NORTHWESTERN MEMORIAL HEALTHCARE: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization: NORTHWESTERN MEMORIAL HEALTHCARE (EIN 36-2338884)
Tax period: 2017-07-01 to 2018-06-30
Filed: 2019-05-14
IRS object ID: 201921349349302197
Schema version: 2017v2.3
Source: Download XML · Original 990 at ProPublica

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

Return header
Form 990
Schedule A
Schedule B
Schedule D
Schedule H
Schedule J
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2019-05-14T09:07:33-05:00	ReturnTs
Tax Period End	2018-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

Field	Value	IRS element (for citing)
Business Name Line1	KPMG LLP	BusinessNameLine1Txt

Preparer US Address PreparerUSAddress

Field	Value	IRS element (for citing)
Address Line1	191 West Nationwide Blvd Ste 500	AddressLine1Txt
City	Columbus	CityNm
State Abbreviation	OH	StateAbbreviationCd
ZIP	432152568	ZIPCd

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2017-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	362338884	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	Northern Illinois Medical Center	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
In Care Of	% ROBERT GERECKE	InCareOfNm
Business Name Control	NORT	BusinessNameControlTxt
Phone	3129262000	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	541 N FAIRBANKS CT STE 1630	AddressLine1Txt
City	CHICAGO	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	606113309	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	MICHAEL S EESLEY	PersonNm
Person Title	CEO	PersonTitleTxt
Phone	8157885800	PhoneNum
Signature	2019-05-08	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Mollie P Longhouse	PreparerPersonNm
PTIN	P00294881	PTIN
Phone	6142492300	PhoneNum
Preparation	2019-05-07	PreparationDt

Filing Security Information FilingSecurityInformation

IP Address IPAddress

Field	Value	IRS element (for citing)
I Pv4 Address	167.68.102.5	IPv4AddressTxt

Field	Value	IRS element (for citing)
Federal Original Submission Id	31017320191345000003	FederalOriginalSubmissionId
Federal Original Submission Id	2019-05-14	FederalOriginalSubmissionIdDt
Filing License Type	P	FilingLicenseTypeCd
At Submission Creation Device Id	9C3345A26C8B7EBF72BA8D1496178D02933C26EF	AtSubmissionCreationDeviceId
At Submission Filing Device Id	45A8568F3D6DD65DED9B8AFD68B75215B242B44C	AtSubmissionFilingDeviceId

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

Form 990 IRS990

Field	Value	IRS element (for citing)
Address Change	Yes (X)	AddressChangeInd
Principal Officer	MICHAEL S EESLEY	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	385 MILLENNIUM DRIVE	AddressLine1Txt
City	CRYSTAL LAKE	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	60012	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$485,603,540	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.CENTEGRA.ORG	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1956	FormationYr
Legal Domicile State	IL	LegalDomicileStateCd
Activity Or Mission	TO PROVIDE QUALITY HEALTH CARE SERVICES WITH INNOVATIVE AND RESPONSIBLE USE OF RESOURCES AND PROMOTE WELLNESS FOR THE MCHENRY COUNTY AREA.	ActivityOrMissionDesc
Voting Members Governing Body	14	VotingMembersGoverningBodyCnt
Voting Members Independent	11	VotingMembersIndependentCnt
Total Employee	2423	TotalEmployeeCnt
Total Volunteers	423	TotalVolunteersCnt
Total Gross UBI	$783,333	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$114,495	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$1,410,013	PYContributionsGrantsAmt
CY Contributions Grants	$388,989	CYContributionsGrantsAmt
PY Program Service Revenue	$399,424,106	PYProgramServiceRevenueAmt
CY Program Service Revenue	$473,231,902	CYProgramServiceRevenueAmt
PY Investment Income	$3,688,685	PYInvestmentIncomeAmt
CY Investment Income	$4,061,670	CYInvestmentIncomeAmt
PY Other Revenue	$7,229,649	PYOtherRevenueAmt
CY Other Revenue	$5,280,535	CYOtherRevenueAmt
PY Total Revenue	$411,752,453	PYTotalRevenueAmt
CY Total Revenue	$482,963,096	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$137,698,531	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$156,078,913	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$281,693,243	PYOtherExpensesAmt
CY Other Expenses	$306,582,029	CYOtherExpensesAmt
PY Total Expenses	$419,391,774	PYTotalExpensesAmt
CY Total Expenses	$462,660,942	CYTotalExpensesAmt
PY Revenues Less Expenses	-$7,639,321	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$20,302,154	CYRevenuesLessExpensesAmt
Total Assets BOY	$476,545,169	TotalAssetsBOYAmt
Total Assets EOY	$487,411,971	TotalAssetsEOYAmt
Total Liabilities BOY	$326,804,205	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$342,098,023	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$149,740,964	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$145,313,948	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	The primary mission of Northern Illinois Medical Center is to provide quality health care services with innovative and responsible use of resources and promote wellness for the greater McHenry County area.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$430,674,302	ExpenseAmt
Revenue	$473,437,029	RevenueAmt
Desc	See Schedule O	Desc
Total Program Service Expenses	$430,674,302	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (true)	DescribedInSection501c3Ind
Schedule B Required	Yes (true)	ScheduleBRequiredInd
Political Campaign Acty	false	PoliticalCampaignActyInd
Lobbying Activities	false	LobbyingActivitiesInd
Subject To Proxy Tax	false	SubjectToProxyTaxInd
Donor Advised Fund	false	DonorAdvisedFundInd
Conservation Easements	false	ConservationEasementsInd
Collections Of Art	false	CollectionsOfArtInd
Credit Counseling	false	CreditCounselingInd
Temp Or Permanent Endowments	false	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	Yes (true)	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	false	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	false	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	16	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	2423	EmployeeCnt
Employment Tax Returns Filed	Yes (true)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (true)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (true)	Form990TFiledInd
Foreign Financial Account	false	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	false	ProhibitedTaxShelterTransInd
Taxable Party Notification	false	TaxablePartyNotificationInd
Nondeductible Contributions	false	NondeductibleContributionsInd
Quid Pro Quo Contributions	false	QuidProQuoContributionsInd
Form8282 Property Disposed Of	false	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	false	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	false	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	false	IndoorTanningServicesInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	14	GoverningBodyVotingMembersCnt
Independent Voting Member	11	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	false	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	IL	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	ROBERT GERECKE	PersonNm
Phone	3129269495	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	541 N FAIRBANKS CT RM 1639	AddressLine1Txt
City	CHICAGO	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	606113309	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (24 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
MICHAEL EESLEY
CHIEF EXECUTIVE OFFICER	0.0	40.0	Yes (X)	Yes (X)	$0	$2,316,338	$46,299
CHARIE ZANCK
BOARD OF GOVERNORS	0.0	4.0	Yes (X)		$0	$0	$0
CHARLES RUTH
BOARD OF GOVERNORS	0.0	2.0	Yes (X)		$0	$0	$0
CHRIS NEWKIRK
BOARD OF GOVERNORS	0.0	1.0	Yes (X)		$0	$0	$0
DAVE DOMEK
BOARD OF GOVERNORS	0.0	3.0	Yes (X)		$0	$0	$0
IRFAN HAFIZ
BOARD OF GOVERNORS / SVP - CMO	0.0	40.0	Yes (X)		$0	$420,299	$1,976
JIM THORPE
BOARD OF GOVERNORS	1.0	2.0	Yes (X)		$0	$0	$0
LISA GLOSSON MD
BOARD OF GOVERNORS	0.0	40.0	Yes (X)		$0	$256,745	$30,698
MICHAEL LUECHT
BOARD OF GOVERNORS	0.0	4.0	Yes (X)		$0	$0	$0
MIKE CURRAN
BOARD OF GOVERNORS	0.0	1.0	Yes (X)		$0	$0	$0
PAULA DORION GRAY
BOARD OF GOVERNORS	1.0	2.0	Yes (X)		$0	$0	$0
TERRANCE BUGNO
BOARD OF GOVERNORS	0.0	2.0	Yes (X)		$0	$0	$0
TOM CAREY
Board of Directors	0.0	2.0	Yes (X)		$0	$0	$0
WILLIAM BUSSE
Board of Directors	0.0	2.0	Yes (X)		$0	$0	$0
DAVID TOMLINSON
EVP - CFO	0.0	40.0		Yes (X)	$0	$1,044,771	$63,657
JASON SCIARRO
PRESIDENT / COO- Termed 5/2018	0.0	40.0		Yes (X)	$0	$785,924	$59,571
Kumar Nathan
Pres. Insur. Svcs./Gen Counsel	0.0	40.0			$0	$571,084	$62,277	Yes (X)
RACHEL SEBASTIAN
PRESIDENT - CHM	40.0	0.0			$0	$467,740	$38,841	Yes (X)
SHEILA SENN
SVP - COO - CHH- Termed 3/2018	20.0	20.0			$0	$295,338	$38,654	Yes (X)
CONNIE SECOR
DIRECT SURG/CARD- Termed 10/17	40.0	0.0			$166,785	$0	$4,110		Yes (X)
JOHN GEINOPOLOS
MEDICAL PHYSICIST	40.0	0.0			$188,466	$0	$59,194		Yes (X)
Lisa Evan
PHARMD IP NGT	40.0	0.0			$167,766	$0	$22,833		Yes (X)
SUSAN CORCORAN
CLINICAL STAFF PHARMACIST	40.0	0.0			$178,634	$0	$60,603		Yes (X)
WEIHONG HE
MEDICAL PHYSICIST	40.0	0.0			$217,333	$0	$56,896		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$918,984	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$6,158,239	TotReportableCompRltdOrgAmt
Total Other Compensation	$545,609	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	119	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	false	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (true)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	false	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
CARDINAL HEALTH - AURORA DIV
7000 CARDINAL PL	DUBLIN	OH	43017	HEALTHCARE SERVICES	$23,590,001
SODEXO INC AFFILIATES
PO BOX 352	BUFFALO	NY	14240	HOUSEKEEPING	$4,641,060
FFF ENTERPRISES
41093 COUNTY CENTER DRIVE	TEMECULA	CA	92591	HEALTHCARE SERVICES	$2,155,260
GE HEALTHCARE
3000 N GRANDVIEW BLVD	WAUKESHA	WI	53188	HEALTHCARE SERVICES	$1,940,791
ARUP LABORATORIES
PO BOX 27964	SALT LAKE CITY	UT	84127	LABORATORY SERVICES	$1,885,675

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	78	CntrctRcvdGreaterThan100KCnt
Related Organizations	$293,547	RelatedOrganizationsAmt
Government Grants	$95,442	GovernmentGrantsAmt
Total Contributions	$388,989	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
ANCILLARY OUTPATIENT SERVICES	621110	$351,207,628	$351,207,628
ANCILLARY INPATIENT SERVICES	621110	$110,101,934	$110,101,934
IDPA PROVIDER TAX REVENUE	621110	$11,922,340	$11,922,340

Field	Value	IRS element (for citing)
Total Program Service Revenue	$473,231,902	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,588,848	TotalRevenueColumnAmt
Exclusion	$4,588,848	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$107	TotalRevenueColumnAmt
Exclusion	$107	ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

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

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$11,518	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$11,518	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$11,518	TotalRevenueColumnAmt
Exclusion	$11,518	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$2,113,159	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$2,439,895	SecuritiesAmt
Other	$200,549	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	-$326,736	SecuritiesAmt
Other	-$200,549	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$527,285	TotalRevenueColumnAmt
Exclusion	-$527,285	ExclusionAmt

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

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

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

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

Net Income From Gaming NetIncomeFromGamingGrp

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

Field	Value	IRS element (for citing)
Gross Sales Of Inventory	$0	GrossSalesOfInventoryAmt
Cost Of Goods Sold	$0	CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

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

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Unrelated Business RevenueUnrelatedBusinessRevenueAmt	ExclusionExclusionAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CHILD DAY CARE /RETAIL PHARMACY/LACTATION	624410	$2,546,538	$783,333	$1,763,205
CAFETERIA SERVICES/EDUCATION	900099	$1,751,535		$1,751,535
RELATED COMPANY REVENUE	900099	$205,127			$205,127

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$765,817	TotalRevenueColumnAmt
Exclusion	$765,817	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$5,269,017	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$482,963,096	TotalRevenueColumnAmt
Related Or Exempt Func Income	$473,437,029	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$783,333	UnrelatedBusinessRevenueAmt
Exclusion	$8,353,745	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

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

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

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

Foreign Grants ForeignGrantsGrp

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

Benefits To Members BenefitsToMembersGrp

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

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$1,321,893	TotalAmt
Management And General	$1,321,893	ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

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

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$126,516,485	TotalAmt
Program Services	$115,075,174	ProgramServicesAmt
Management And General	$11,441,311	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	-$864,378	TotalAmt
Program Services	-$786,584	ProgramServicesAmt
Management And General	-$77,794	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$20,712,136	TotalAmt
Program Services	$18,848,044	ProgramServicesAmt
Management And General	$1,864,092	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$8,392,777	TotalAmt
Program Services	$7,637,427	ProgramServicesAmt
Management And General	$755,350	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$1,362,716	TotalAmt
Management And General	$1,362,716	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$5,402	TotalAmt
Management And General	$5,402	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

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

Fees For Services Lobbying FeesForServicesLobbyingGrp

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

Fees For Services Prof Fundraising FeesForServicesProfFundraising

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

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

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

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$21,478,849	TotalAmt
Program Services	$19,740,944	ProgramServicesAmt
Management And General	$1,737,905	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$4,381	TotalAmt
Program Services	$4,381	ProgramServicesAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$96,492,565	TotalAmt
Program Services	$95,895,219	ProgramServicesAmt
Management And General	$597,346	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$16,674	TotalAmt
Program Services	$15,899	ProgramServicesAmt
Management And General	$775	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$7,834,478	TotalAmt
Program Services	$6,817,507	ProgramServicesAmt
Management And General	$1,016,971	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$134,133	TotalAmt
Program Services	$92,818	ProgramServicesAmt
Management And General	$41,315	ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

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

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$133,804	TotalAmt
Program Services	$102,620	ProgramServicesAmt
Management And General	$31,184	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$12,024,094	TotalAmt
Program Services	$10,941,925	ProgramServicesAmt
Management And General	$1,082,169	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$19,394,122	TotalAmt
Program Services	$17,648,652	ProgramServicesAmt
Management And General	$1,745,470	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$2,437,007	TotalAmt
Program Services	$2,217,675	ProgramServicesAmt
Management And General	$219,332	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
RELATED COMPANY - CHS	$78,510,624	$71,444,668	$7,065,956
BAD DEBT	$33,105,551	$33,105,551
RELATED COMPANY - CMS	$15,303,139	$15,303,139
IDA PROVIDER TAX	$8,880,655	$8,880,655

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$9,463,835	TotalAmt
Program Services	$7,688,588	ProgramServicesAmt
Management And General	$1,775,247	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$462,660,942	TotalAmt
Program Services	$430,674,302	ProgramServicesAmt
Management And General	$31,986,640	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$92,587	BOYAmt
EOY	-$120,074	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$42,550,177	BOYAmt
EOY	$20,034,601	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

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

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$59,004,288	BOYAmt
EOY	$60,920,449	EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

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

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

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

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

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

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$8,897,834	BOYAmt
EOY	$9,874,673	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$1,802,900	BOYAmt
EOY	$1,735,314	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$431,095,522	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$168,175,119	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$276,571,875	BOYAmt
EOY	$262,920,403	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$74,832,266	BOYAmt
EOY	$78,144,435	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

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

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$6,623,112	BOYAmt
EOY	$6,446,654	EOYAmt

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$6,170,130	BOYAmt
EOY	$47,455,516	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$476,545,169	BOYAmt
EOY	$487,411,971	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$217,184,003	BOYAmt
EOY	$231,688,605	EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

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

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$108,489,024	BOYAmt
EOY	$109,147,647	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

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

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,131,178	BOYAmt
EOY	$1,261,771	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$326,804,205	BOYAmt
EOY	$342,098,023	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$146,106,844	BOYAmt
EOY	$141,835,870	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$3,634,120	BOYAmt
EOY	$3,478,078	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$149,740,964	BOYAmt
EOY	$145,313,948	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$476,545,169	BOYAmt
EOY	$487,411,971	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$20,302,154	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$345,811	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$25,074,981	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	false	AccountantCompileOrReviewInd
FS Audited	Yes (true)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

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

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

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Schedule D IRS990ScheduleD

Field	Value	IRS element (for citing)
Art Public Exhibition Amounts		ArtPublicExhibitionAmountsGrp
Held Works Art		HeldWorksArtGrp
CY Minus3 Yr Endwmt Fund		CYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt Fund		CYMinus4YrEndwmtFundGrp

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$116,338	OtherCostOrOtherBasisAmt
Book Value	$116,338	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$248,384,712	OtherCostOrOtherBasisAmt
Depreciation	$57,405,524	DepreciationAmt
Book Value	$190,979,188	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$15,562,587	OtherCostOrOtherBasisAmt
Depreciation	$1,965,343	DepreciationAmt
Book Value	$13,597,244	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$157,043,169	OtherCostOrOtherBasisAmt
Depreciation	$108,270,603	DepreciationAmt
Book Value	$48,772,566	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$9,988,716	OtherCostOrOtherBasisAmt
Depreciation	$533,649	DepreciationAmt
Book Value	$9,455,067	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$262,920,403	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDesc	Book ValueBookValueAmt
INTERCOMPANY RECEIVABLES	$46,543,485
OTHER RECEIVABLES	$912,031

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$47,455,516	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp

Field	Value	IRS element (for citing)
Desc	PROFESSIONAL LIABILITY	Desc
Amt	$1,261,771	Amt

Field	Value	IRS element (for citing)
Total Liability	$1,261,771	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Form Sch D Part X Line 2	FormAndLineReferenceDesc
Explanation	ASC Topic 740, Income Taxes, addresses the determination of how tax benefits claimed or expected to be claimed on a tax return should be recorded on the consolidated financial statements. Under ASC Topic 740, the Medical Center must recgonize the tax benefit from an uncertain tax position only if it is more likely than not that the tax position will be sustained on examination by the taxing authorities, based on the technical merits of the position. The tax benefits recognized in the consolidated financials statements from such a position are measured based on the largest benefit that has the greater than fifty percent likelihood of being realized upon ultimate settlement. ASC Topic 740 also provides guidance on derecognition, classification, interest and penalties on income taxes, and accounting in interim periods and requires increased disclosures. As of June 30, 2018 and 2017 the Health System does not have a liability for unrecognized tax benefits.	ExplanationTxt

Schedule H IRS990ScheduleH

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

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

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

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

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,900,429	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$5,900,429	NetCommunityBenefitExpnsAmt
Total Expense	0.01280	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$43,255,916	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$23,711,748	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$19,544,168	NetCommunityBenefitExpnsAmt
Total Expense	0.04220	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$49,156,345	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$23,711,748	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$25,444,597	NetCommunityBenefitExpnsAmt
Total Expense	0.05500	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$286,396	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$286,396	NetCommunityBenefitExpnsAmt
Total Expense	0.00060	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$662,029	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$662,029	NetCommunityBenefitExpnsAmt
Total Expense	0.00140	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$26,140	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$26,140	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$974,565	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$974,565	NetCommunityBenefitExpnsAmt
Total Expense	0.00210	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$50,130,910	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$23,711,748	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$26,419,162	NetCommunityBenefitExpnsAmt
Total Expense	0.05710	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$33,105,551	BadDebtExpenseAmt
Reimbursed By Medicare	$156,041,612	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$190,986,298	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$34,944,686	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

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

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (2 entries)

Primary ActivitiesPrimaryActivitiesTxt	Org Profit Or OwnershipOrgProfitOrOwnershipPct
ALGON RD SURGERT CTR
OUTPATIENT SURGICAL SERVICES	0.1275
ARSC REAL ESTATE
PROPERTY MANAGEMENT	0.25

Field	Value	IRS element (for citing)
Hospital Facilities	2	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (2 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Critical Access HospitalCriticalAccessHospitalInd	Emergency Room24 HrsEmergencyRoom24HrsInd	OtherOtherDesc
NORTHERN ILLINOIS MEDICAL CENTER
1	385 MILLENNIUM DRIVE	CRYSTAL LAKE	IL	60012	3889	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Cancer Center
CENTEGRA HOSPITAL-HUNTLEY
2	385 MILLENNIUM DRIVE	CRYSTAL LAKE	IL	60012	3889	Yes (X)	Yes (X)	Yes (X)	Yes (X)

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (2 entries)

FacilityFacilityNum	First Licensed CY Or PYFirstLicensedCYOrPYInd	Tax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYInd	CHNA ConductedCHNAConductedInd	Community DefinitionCommunityDefinitionInd	Community DemographicsCommunityDemographicsInd	Existing ResourcesExistingResourcesInd	How Data ObtainedHowDataObtainedInd	Community Health NeedsCommunityHealthNeedsInd	Other Health IssuesOtherHealthIssuesInd	Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd	Consulting ProcessConsultingProcessInd	CHNA ConductedCHNAConductedYr	Take Into Account Others InputTakeIntoAccountOthersInputInd	CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd	CHNA Conducted With Non FcltsCHNAConductedWithNonFcltsInd	CHNA Report Widely AvailableCHNAReportWidelyAvailableInd	Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd	Own Website URLOwnWebsiteURLTxt	Other WebsiteOtherWebsiteInd	Other Website URLOtherWebsiteURLTxt	Paper Copy Public InspectionPaperCopyPublicInspectionInd	Implementation Strategy AdoptImplementationStrategyAdoptInd	Implementation Strategy AdptImplementationStrategyAdptYr	Strategy Posted WebsiteStrategyPostedWebsiteInd	Strategy Website URLStrategyWebsiteURLTxt	Organization Incur Excise TaxOrganizationIncurExciseTaxInd	Elig Criteria ExplainedEligCriteriaExplainedInd	FPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntInd	FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct	FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct	Income Level CriteriaIncomeLevelCriteriaInd	Asset Level CriteriaAssetLevelCriteriaInd	Medical Indigency CriteriaMedicalIndigencyCriteriaInd	Insurance Status CriteriaInsuranceStatusCriteriaInd	Underinsurance Stat CriteriaUnderinsuranceStatCriteriaInd	Other CriteriaOtherCriteriaInd	Explained BasisExplainedBasisInd	App Financial Asst ExplnAppFinancialAsstExplnInd	Described InfoDescribedInfoInd	Described Suprt DocDescribedSuprtDocInd	Provided Hospital ContactProvidedHospitalContactInd	Provided Nonprofit ContactProvidedNonprofitContactInd	Includes Publicity MeasuresIncludesPublicityMeasuresInd	FAP Available On WebsiteFAPAvailableOnWebsiteInd	FAP Available On Website URLFAPAvailableOnWebsiteURLTxt	FAP App Available On WebsiteFAPAppAvailableOnWebsiteInd	FAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxt	FAP Summary On WebsiteFAPSummaryOnWebsiteInd	FAP Summary On Website URLFAPSummaryOnWebsiteURLTxt	FAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeInd	FAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgInd	FAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgInd	Notified FAP Copy Bill DisplayNotifiedFAPCopyBillDisplayInd	Communtity Notified FAPCommuntityNotifiedFAPInd	FAP TranslatedFAPTranslatedInd	FAP Actions On NonpaymentFAPActionsOnNonpaymentInd	Permit No ActionsPermitNoActionsInd	Collection ActivitiesCollectionActivitiesInd	Provided Written NoticeProvidedWrittenNoticeInd	Made Effort Orally NotifyMadeEffortOrallyNotifyInd	Processed FAP ApplicationProcessedFAPApplicationInd	Made Presumptive Elig DetermMadePresumptiveEligDetermInd	Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd	Look Back Medicare PrivateLookBackMedicarePrivateInd	Amounts Generally BilledAmountsGenerallyBilledInd	Gross ChargesGrossChargesInd
NORTHERN ILLINOIS MEDICAL CENTER
1	false	false	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	17	Yes (true)	Yes (true)	Yes (true)	Yes (true)	Yes (X)	See Part V	Yes (X)	See Part V	Yes (X)	Yes (true)	17	Yes (true)	See Part V	false	Yes (true)	Yes (X)	200.	600.	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	CENTEGRA.ORG/financial-assistance	Yes (X)	CENTEGRA.ORG/financial-assistance	Yes (X)	SAME AS 16A & 16B	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	false
Centegra Hospital-Huntley
2	Yes (true)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	17	Yes (true)	Yes (true)	Yes (true)	Yes (true)	Yes (X)	See Part V	Yes (X)	See Part V	Yes (X)	Yes (true)	17	Yes (true)	See Part V	false	Yes (true)	Yes (X)	200.	600.	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (true)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	CENTEGRA.ORG/financial-assistance	Yes (X)	CENTEGRA.ORG/financial-assistance	Yes (X)	SAME AS 16A & 16B	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (true)	Yes (X)	false	false

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FACILITY INFORMATION	Form Sch H Part V Line 2 CENTEGRA HOSPITAL - HUNTLEY WAS PLACED INTO SERVICE IN AUGUST 2016. CENTEGRA HOSPITAL - HUNTLEY IS A 128 BED HOSPITAL IN HUNTLEY, ILLINOIS. IT PROVIDES SOPHISTICATED TREATMENTS AND ADVANCED TECHNOLOGY TO ADDRESS THE MOST SERIOUS MEDICAL CONDITIONS. THESE INCLUDE - LEVEL II TRAUMA DEPARTMENT 8-BED INTENSIVE CARE UNIT FAMILY BIRTH CENTER CHEST PAIN CENTER CARDIAC CATHERIZATION AND CARDIOLOGY SERVICES A FULL RANGE OF DIAGNOSTIC IMAGING ACCOUNT INPUT FROM PERSON WHO REPRESENT THE COMMUNITY Form Sch H Part V Line 5 In pursuit of a healthier community, the 2017 McHenry County Healthy Community partners commissioned a set of studies to measure and monitor the overall health of the county. With the intent of identifying the most pressing needs, the six funding partners in conjunction with 25 additional community organizations, known collectively as the MAPP agencies, will use the studies' findings to assess multiple dimensions of life in McHenry County. Similar needs assessments were completed in 2006, 2010 and 2014. The MAPP (Mobilizing for Action through Partnerships and Planning) process has been used since 2010. Each of the three studies was designed to examine the health of McHenry County from a different perspective: The Community Survey targeted the county as a whole and was open to all persons 18 years and older who lived or worked in the county. Survey participants numbered 1,090 which included 774 electronic replies and 316 paper returns. Surpassing the 2014 survey response by 46.5%, the impressive volume of replies demonstrates the value of broad and multi-layer promotion about the survey. Focus groups sought information through discussion with target populations and community leaders. Target population focus groups included 1) persons with mental illness, substance abuse, disabilities, and their parents, 2) Hispanics/Latinos 3) veterans 4) low-income mothers. Total participants in the five target population focus groups numbered 59. For community leaders, three separate focus groups were conducted. Of the 50 community leaders invited to attend, 29 persons took part. Community leaders involved in the focus groups were comprised of: Claudia Aquilina, Office Coordinator Senior Services, Inc.; Susan Bauer, Executive Director, Harvard Area Community Health Center; Julie Biel Claussen, Executive Director, Harvard Area Community Health Center; Denise Bowman, Training and Community Development, McHenry County Mental Health Board; Terry Braune, Compliance and Operations Manager, McHenry County Mental Health Board; Robin Doeden, Executive Director, McHenry County Community Foundation; Michael Eesley, CEO, Centegra Health System; Jane Farmer, Executive Director, Turning Point; Laura Franz, Executive Director, Transitional Living Services; Bona Heinsohn, President, McHenry County Conservation District; Scott Hennings; Principal Transportation Planner, McHenry County Government; Michael Hill, Administrator, McHenry County Department of Health; Suzanne Hoban, Executive Director, Family Health Partnership Clinic; Aimee Knop, Sheriff's Deputy, McHenry County Sheriff's Office; Art Krzyzanowski, Program Director, Thresholds; Ashley Lach, Manager, American Cancer Society; Kim Larson, Executive Director, Family Alliance; Mary McCann, County Board Member, McHenry County; Scott Naydenoff, Deputy Chief of Field Operations, Cary Police Department; Steve Otten, Executive Director, United Way of Greater McHenry County; Walt Pesterfield, Director, Department of Probation and Court Services; Dennis Sandquist, Director, McHenry County Planning and Development; Gerald Schalk, Chaplain, Fox River Fire District; Nancy Schietzelt, President, McHenry County Environmental Defenders; Todd Schroll, Director of Behavioral Health Services, Centegra Health System; Rebecca Stiemke, Executive Director, Volunteer Center of McHenry County; Cindy Sullivan, Executive Director, Options and Advocacy; Toni Weaver, President, PFLAG; James Wiseman, Executive Director, Northern IL Special Recreation Association. The Community Analysis gathered secondary data about McHenry County. A description of McHenry County's demographic, social, economic and health characteristics using secondary sources of information that draws extensively on the U.S. Census and Centers for Disease Control and Prevention, National Center for Health Statistics products as well as numerous other sources.
CHNA CONDUCTED WITH OTHER HOSPITAL FACILITIES	Form Sch H Part V Line 6a Advocate Good Shepherd Hospital and Advocate Sherman Hospital
CHNA CONDUCTED WITH OTHER FACILITIES	Form Sch H Part V Line 6b The 2017 McHenry County Healthy Community Study was directed by six partners. They were: Advocate Health Care, Centegra Health System, McHenry County Department of Health, McHenry County Mental Health Board, McHenry County Substance Abuse Coalition, and United Way of Greater McHenry County. Form Sch H Part V Line 7a https://centegra.org/mchenry-county-healthy-community-study Form Sch H Part V Line 7b i. https://www.mchenrycountyil.gov/county-government/departments-a-i/ health-department/health-administration/strategic-planning ii. https://www.mchenrycountyil.gov/home/showdocument?id=71454 Form Sch H Part V Line 10a https://centegra.org/mchenry-county-healthy-community-study
HOW THE HOSPITAL IS ADDRESSING NEEDS AND NEEDS NOT ADDRESSED	Form Sch H Part V Line 11 Centegra Health System adopted an Implementation Strategy on behalf of its three hospitals, Centegra Hospital-McHenry, Centegra Hospital-Huntley and Centegra Hospital-Woodstock, to lay out the ways our teams will address our community's health needs through 2020. As Centegra Health System continues to grow and evolve, these strategies may be amended to most effectively utilize the system's capabilities. While this Implementation Strategy addresses the priorities identified in its 2017 Community Health Needs Assessment, Centegra will also continue to offer a wide range of other services to meet additional needs that have been identified by our health system. Centegra Health System and its hospitals also are an active member in McHenry County MAPP (Mobilizing for Action through Partnerships), which has workgroups focused around the following high-priority issues facing the County: Obesity, Cardiovascular health, Active Communities, and Behavioral Health. Centegra Health System has representation on each workgroup, which partners with area organizations including the McHenry County Department of Health to establish goals and strategies to improve the health of our community. There are certain needs identified in the CHNA that are not being addressed by Centegra Health System. These needs include areas of which Centegra Health System has no expertise, and falls outside the scope of care in which Centegra Health System provides to the community. Several of Centegra Health System's CHNA partner organizations are addressing these needs. Community Benefits Program Activity Highlights: Preventative Health (7/1/2017-6/30-2018) Big Latch On, Mommy Mingle Fair Centegra Health System takes part as a host site for the Big Latch On global initiative each August. The event welcomes breastfeeding mothers and babies to come and be counted in the Big Latch On a yearly total to promote and encourage breastfeeding. The Mommy Mingle Fair immediately follows the Big Latch On and includes vendors who promote services and products for health and wellness. McHenry County police officers and Safe Kids provide free car seat safety checks in the parking lot. In FY18, this initiative totaled 100 participants. Blood Pressure Screenings The Sun City residential community offers The Wellness Center at Sun City in partnership with Centegra Health System. This on-site service provides health education, screenings and healthcare support to residents while enabling easy access to experienced providers on staff. Walk-in blood pressure screenings are available every day. In FY18, this initiative totaled 104 participants. Know Your Numbers This event was held twice and included an 8- to 12-hour fasting finger-stick blood test for cholesterol, blood sugar, blood pressure and body mass index. Attendees received a one-on-one consultation to review their results with a physician, and had access to health experts in cardiology, oncology, sleep and neuro-rehabilitation. In FY18, this initiative totaled 68 participants. Concussion Screenings The Centegra Sports Concussion Program provides a cognitive baseline assessment and the necessary follow-up care for students and individuals in youth sports programs between the ages of 10-18. The full assessment is done using the ImPACT test: . An online testing program used to test cognitive ability with certified impact consultants. . The program measures multiple aspects of cognitive function in athletes including working memory, reaction time, speed and concentration. In FY18, this initiative totaled 8,000 participants. Freshstart Tobacco Cessation Program Freshstart is the American Cancer Society's 6-week, group-based, tobacco cessation, counseling program. The program is designed to help participants stop smoking by providing essential information, skills for coping with cravings and group support. In FY18, this initiative totaled 12 participants. Patient Transportation Free transportation is made available to or from a Centegra Health System facility for people who do not have a driver's license, who are being admitted or discharged from the hospital, who are undergoing treatment that prohibits driving, or for patients without any other means of transportation. In FY18, this initiative totaled 14,500 participants. Poison Prevention Education Poison prevention education and resources from the Illinois Poison Center are provided by Centegra Health System nurses to elementary students at the kindergarten level once a year. This program is intended to educate the kindergartener and their family on poison prevention and safety, and what to do if someone is exposed to a potentially poisonous item. The goal is to prevent accidental poisonings and introduce the Illinois Poison Center phone number to the community. In FY18, this initiative totaled 2,920 participants. Skin Cancer Screenings Monthly screenings are provided between May and September by a board-certified dermatologist or a certified physician assistant. A thorough examination of the skin is performed to detect suspicious lesions and any precancerous changes. In FY18, this initiative totaled 31 participants.
INCOME LEVEL OTHER THAN FPG	Form Sch H Part V Line 13B In addition to the documented 200% of FPG, we also provide a sliding scale discount of 80% for those who have FPG up to 350%. In addition we have presumption charity which allows for charity discounts/financial assistance to those who currently meet Medicaid eligibility or other state programs based on FPG who may not have had insurance coverage at the time of the service we provided.
OTHER FACTORS USED IN DETERMINING AMOUNTS CHARGED PATIENTS	Form Sch H Part V Line 13h All patients are charged the same for services rendered. Patients may qualify for free or discounted care as described in Part VI, Line 3. Eligibility for financial assistance depends on factors such as income level, asset level and medical indigency.

Field	Value	IRS element (for citing)
Facility	28	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (28 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
CENTEGRA PHYSICIAN CARE
3707 DOTY RD MOB 2 STE C-E G H	WOODSTOCK	IL	60098	HOSPITAL OUTPATIENT DEPARTMENT
CENTEGRA CARDIACPULMONARY REHAB
4309 MEDICAL CENTER DR SUITE B104	MCHENRY	IL	60050	Other health care facility
CENTEGRA GAVERS BREAST CENTER DIV
360 N TERRA COTTA RD	CRYSTAL LAKE	IL	60012	Other health care facility
CENTEGRA HEALTH CENTER
360 STATION DR	CRYSTAL LAKE	IL	60014	Other health care facility
CENTEGRA HEALTH CENTER
420 N IL ROUTE 31	CRYSTAL LAKE	IL	60012	HOSPITAL BASED LOCATION
CENTEGRA HEALTH CENTER
10350 HALIGUS RD 100	HUNTLEY	IL	60142	Other health care facility
CENTEGRA HEALTH CENTER-WEST DUNDEE
1925 HUNTLEY RD	WEST DUNDEE	IL	60118	HOSPITAL BASED LOCATION
CENTEGRA HEALTHY LIVING INSTITUTE
10350 HALIGUS RD 220	HUNTLEY	IL	60142	Other health care facility
CENTEGRA HOSPITAL
10370 HALIGUS RD	HUNTLEY	IL	60142	HOSPITAL BASED
CENTEGRA HOSPITAL - HUNTLEY
10400 HALIGUS RD	HUNTLEY	IL	60142	PROVIDER-BASED REMOTE LOCATION
CENTEGRA HOSPITAL-MCHENRY
4309 W MEDICAL CENTER DR A200-B	MCHENRY	IL	60050	Other health care facility
CENTEGRA MILESTONES THERAPY CENTER
394 FEDERAL DR	CRYSTAL LAKE	IL	60014	Other health care facility
CENTEGRA NEURO REHABILITATION CENTER
500 COVENTRY LN 170	CRYSTAL LAKE	IL	60014	Other health care facility
CENTEGRA PHYSICAN CARE
690 E TERRA COTTA AVE	CRYSTAL LAKE	IL	60014	Other health care facility
CENTEGRA PHYSICAN CARE
4309 W MEDICAL CENTER DR	MCHENRY	IL	60050	Other health care facility
CENTEGRA PHYSICIAN CARE
248 E GRAND AVE	FOX LAKE	IL	60020	Hospital Based Location
CENTEGRA PHYSICIAN CARE
1906 HOLIAN DR	SPRING GROVE	IL	60081	Other health care facility
CENTEGRA PHYSICIAN CARE
10350 HALIGUS RD 200	HUNTLEY	IL	60142	Other health care facility
CENTEGRA PHYSICIAN CARE
750 E TERRA COTTA AVE	CRYSTAL LAKE	IL	60014	Other health care facility
CENTEGRA PHYSICIAN CARE
650 DAKOTA ST	CRYSTAL LAKE	IL	60012	Other health care facility
CENTEGRA PHYSICIAN CARE
1465 COMMERCE DR	ALGONQUIN	IL	60102	Other health care facility
CENTEGRA REHABILITATION & SPORTS MEDICIN
4305 MEDICAL CENTER DR 3	MCHENRY	IL	60050	Other health care facility
CENTEGRA REHABILITATION & SPORTS MEDICIN
333 FRONT ST	MCHENRY	IL	60050	Other health care facility
CENTEGRA REHABILITATION & SPORTS MEDICIN
3703 DOTY RD 5	WOODSTOCK	IL	60098	Other health care facility
CENTEGRA REHABILITATION & SPORTS MEDICIN
10450 ALGONQUIN RD	HUNTLEY	IL	60142	Other health care facility
CENTEGRA REHABILITATION & SPORTS MEDICIN
201 N THROOP ST	WOODSTOCK	IL	60098	Other health care facility
CENTEGRA REHABILITATION & SPORTS MEDICIN
200 E CONGRESS PKWY	CRYSTAL LAKE	IL	60014	Other health care facility
CENTEGRA SAGE CANCER CENTER DIV
4305 MEDICAL CENTER DR A	MCHENRY	IL	60050	Other health care facility

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
Financial Assistance and Community Benefits	Form Sch H Part I Line 7 Line 7a-7c amounts are calculated using the Medicare cost to charge ratio. Line 7e-7i dollars are calculated from community benefit reports that are submitted by the Hospital departments for various activities and support groups that benefit the community.
METHODOLOGY USED TO ESTIMATE BAD DEBT EXPENSE	Form Sch H Part III Line 2 In estimating allowances for doubtful accounts, the Health System analyzes past history, existing trends, and payer sources to determine the reserves needed.
BAD DEBT EXPENSE	Form Sch H Part III Line 4 In estimating allowances for doubtful accounts, the Health System analyzes past history, existing trends, and payer sources to determine the reserves needed. Please reference the notes to the audited financial statements for information on the allowances for doubtful accounts.
EXPLANATION OF SHORTFALL AS COMMUNITY BENEFIT	Form Sch H Part III Line 8 The amount shown in line 6 represents the actual costs incurred to treat Medicare patients and is calculated by applying the Medicare cost-to-charge ratio. Therefore, the entire amount of line 7 constitutes a community benefit.
PROVISIONS ON COLLECTION PRACTICES FOR QUALIFIED PATIENTS	Form Sch H Part III Line 9b Centegra provides patients with consistent information on payment expectations and assists them in meeting their financial obligations. A written explanation of the payment requirements categorized by type of payor is given prior to admission/registration or upon admission/registration of each Centegra health system (CHS) patient. Centegra will bill the patient's insurance carrier. Procedures will be implemented over time and by area to collect as much as possible of the time of service unless payor contracts require billing (i.e., no assignments). 1. Admission reservation/outpatient appointment made by physician/patient. Walk-in and emergency department patients present for service. 2. Perform the patient pre-registration for applicable scheduled registrations. 3. Patient verbal consent obtained and annotated except where prohibited by law. ""On (date) at about (time), (patient or representative) orally authorized (site name) to release information concerning the patient's medical care, treatment and diagnosis to employers, insurance companies, government agencies or third-party payors and their agents, for verification of benefits and pre-certification. I (the pre-registrar) did not obtain a written consent signed by the patient, due to the patient not being physically present and limited time constraints."" This statement would be signed and dated by the pre-registrar. Patient refusal to provide oral consent requires patient notification of potential penalties and places the burden on the patient to complete payor requirements. 4. Complete insurance verification and initiate pre-certification. 5. Estimate the approximate cost of services and advise the responsible party. Explanation of the cost will fluctuate based on services ordered by the physicians. 6. Discuss the financial requirements, including payment expectations with the patient/guarantor prior to admission/registration when applicable. 7. Interview conducted by financial counselor of patients who express difficulty in meeting Centegra's payment requirements. 8. Admission/registration of patient is completed. Patient/guarantor signature for the consent to release information obtained. 9. Collect the estimated patient share. The deductible and co-payments and any non-covered amounts quoted by the carrier are due from inpatients prior to discharge and where possible, for outpatients prior to or at the time of registration. 10. Self-pay accounts are to be paid in full or screened by the financial counselor for potential state or federal program, financial assistance application or payment plan. 11. Policy regarding non-compliance with respect to payment arrangements or plans: Self-pay: patients who have not completed arrangements for one of the payment options within 120 days of the billing date will be automatically turned over to a collection agency. Broken promise/defaults: patients with delinquent payments, 15 or more days late, will be turned over to a collection agency. After insurance: processing patients who have not made payments or enrolled in one of the payment options for co-insurance and deductible amounts within 120 days of insurance payment will be turned over to a collection agency.
NEEDS ASSESSMENT	Form Sch H Part VI Line 2 Centegra health system identifies community health care priorities and develops activities and strategies to meet the health care needs of at risk populations within its service area. These community benefit programs promote community wellness and disease prevention, enhance community health education, and improve the quality of clinical education. In 2016, centegra health system partnered with the mchenry county health department and other hospitals and organizations to conduct the 2017 mchenry county healthy community study. The intent of the needs assessment was to understand and address the county's most pressing needs, involving partners from diverse organizations, in order to improve the health of county residents. A thorough understanding of the county's health was measured using four assessments, each from a different perspective including residents, populations in need of services, community leaders, and descriptors using secondary data sources. Through the assessments, knowledge was gained about the current health status of county residents, demographic trends, social and economic indicators, health behaviors, and utilization of health services. The assessments also attempted to understand the perceptions of community strengths and weaknesses as well as answer questions about the health and human services delivery system, unmet needs, gaps, and barriers to care.
PATIENT EDUCATION OF ELIGIBILITY OF ASSISTANCE	Form Sch H Part VI Line 3 Uninsured patients arriving at our emergency department and/or direct admits are screened at time of service by either an emergency department financial counselor or the health system's in-patient financial counseling team, public aid representatives, and a medication assistance coordinator to identify eligibility guidelines for federal, state and local government programs, as well as charity care. CHS's self-pay process includes a screening which is completed by using hospital form c910050 03-09 prompting an interview offering payment options and eligibility guidelines. It is at this time that a patient becomes aware of the hospital uninsured patient discount act, Medicaid, medication assistance programs, crime victims, IBCCP, cash pay fee schedules, and other hospital discount incentives. Patients are advised of timeline for completing application processes at time of service in person. Appropriate scripting is followed by CHS associates. Discounts were established following the 200%, 350% and 600% federal poverty guidelines to assist in determining charity adjustments. Applications were designed by CHS self-pay committee in accordance to our financial policy (policy number 9850-2) identifying qualifications for the medically needy/catastrophic aid. Uninsured patients opting for elective services are contacted by phone prior to their date of service by the CHS outpatient financial counseling team. CHS'S self-pay process is followed and includes a screening for federal, state and local government programs as well as charity care. An interview offering payment options and eligibility guidelines using hospital form c910050 03/09 prompts a quick eligibility determination. It is at this time that a patient becomes aware of the uninsured patient discount act, Medicaid, medication assistance programs, crime victims, IBCCP, cash pay fee schedules, and other hospital discount incentives. Patients are advised of time line for completing application processes prior to their elective services via phone. Appropriate scripting is followed by CHS associates. Discounts were established following the 200%, 350% and 600% federal poverty guidelines to assist in determining charity adjustments. Applications were designed by CHS self-pay committee in accordance to our financial policy (policy number 9850-2) identifying qualifications for the medically needy/catastrophic aid. Our health system's website offers FAQ'S and answers as well as encourages patients to contact our customer service team when they are unable to pay for services. Our health system's statements also identify detailed account and billing information encouraging the patient to contact our customer service team and inquire about financial assistance options. Documentation is essential in effective communication. Follow up teams will then move forward in a timely manner with the appropriate actions to insure all necessary documents (if applicable) are received for eligibility determinations. CHS advertises a price line encouraging patients to inquire about estimated costs for future services. The price is manned by our outpatient financial counselors from 8:00am to 7:00pm. When calls are returned with estimated costs, a conversation ensues to identify a possible financial hardship. Our self-pay process is put into effect at this time. Site registrars will notify the CHS financial counseling team when a financial hardship is identified. Emergency department financial counseling positions have been created to meet the needs of our ED patients. In addition to these new roles, a full time financial counselor position was created to meet the special needs of our cancer patients. A financial assistance coordinator reviews all financial applications, gathers needed documents, determines financial assistance and prepares each patient file for leadership approval.
COMMUNITY INFORMATION	Form Sch H Part VI Line 4 Centegra Health System defines its primary service area as McHenry County, an area of approximately 603 square miles and approximately 309,122 residents in 2017. In 2017, the age distribution of the population was as follows: 29.5% ages 0-18, 56.5% ages 18-65, 14.0% ages 65 and older. McHenry County has relatively high socioeconomic status compared to the rest of Illinois. In 2013-2017 (in 2017 dollars), the median household income of the households in McHenry County was $82,230 compared to the Illinois state average of $61,229. The 2017 percentage of civilians in labor force ages 16+ was 70.8%, which was higher than the state of Illinois at 65.2%. The 2017 percentage of persons in poverty in McHenry County was lower than that of the state of Illinois, at 6.1% compared to 12.6%. In 2017, the percentage of the county's population holding a high school diploma or higher was 92.8%, while the percentage holding a bachelor's degree or higher was 33.2%. The McHenry County uninsured in 2017 was 5.5% compared to the state uninsured rate of 7.8%. The most recent data available was used in this description. Source: US Census Bureau
PROMOTION OF COMMUNITY HEALTH	Form Sch H Part VI Line 5 Please see Schedule O for a detailed description of the medical center's program service accomplishments.
AFFILIATED HEALTH CARE SYSTEM	Form Sch H Part VI Line 6 THE LEGAL ENTITY Northern Illinois Medical Center (NIMC) operates two hospitals - Centegra Hospital - McHenry and Centegra Hospital - Huntley. NIMC IS AFFILIATED with memorial medical center of Woodstock, IL. ALL THREE HOSPITALS are acute care facilities serving the greater Mchenry county area. Centegra health system is the parent of both northern Illinois medical center and memorial medical center. Northern Illinois medical center is affiliated with health bridge fitness centers in Crystal Lake, and the medical center provides outpatient physical rehabilitation services to the community from a clinic within that location. The centegra health system foundation supports hospital operations through fundraising activities. Please see schedule R for complete listing of all affiliated organizations.
STATE FILING OF COMMUNITY BENEFIT REPORT	Form Sch H Part VI Line 7 IL

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Compensation Committee	Yes (X)	CompensationCommitteeInd
Written Employment Contract	Yes (X)	WrittenEmploymentContractInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (true)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (true)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	false	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	false	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	false	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	false	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	false	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	false	AnyNonFixedPaymentsInd
Initial Contract Exception	false	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (13 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
MICHAEL EESLEY
CHIEF EXECUTIVE OFFICER	$0	$886,518	$0	$806,719	$0	$623,101	$0	$3,431	$0	$42,868	$0	$2,362,637	$0	$453,073
IRFAN HAFIZ
BOARD OF GOVERNORS / SVP - CMO	$0	$326,944	$0	$69,096	$0	$24,259	$0	$1,907	$0	$69	$0	$422,275	$0	$0
LISA GLOSSON MD
BOARD OF GOVERNORS	$0	$209,423	$0	$12,356	$0	$34,966	$0	$0	$0	$30,698	$0	$287,443	$0	$10,600
DAVID TOMLINSON
EVP - CFO	$0	$426,425	$0	$323,400	$0	$294,946	$0	$3,450	$0	$60,207	$0	$1,108,428	$0	$40,114
JASON SCIARRO
PRESIDENT / COO- Termed 5/2018	$0	$96,396	$0	$88,694	$0	$600,834	$0	$3,533	$0	$56,038	$0	$845,495	$0	$0
Kumar Nathan
Pres. Insur. Svcs./Gen Counsel	$0	$404,047	$0	$90,300	$0	$76,737	$0	$3,042	$0	$59,235	$0	$633,361	$0	$28,074
RACHEL SEBASTIAN
PRESIDENT - CHM	$0	$312,880	$0	$86,988	$0	$67,872	$0	$3,399	$0	$35,442	$0	$506,581	$0	$24,853
SHEILA SENN
SVP - COO - CHH- Termed 3/2018	$0	$271,793	$0	$0	$0	$23,545	$0	$2,764	$0	$35,890	$0	$333,992	$0	$0
CONNIE SECOR
DIRECT SURG/CARD- Termed 10/17	$140,321	$0	$0	$0	$26,464	$0	$3,153	$0	$957	$0	$170,895	$0	$0	$0
JOHN GEINOPOLOS
MEDICAL PHYSICIST	$161,796		$0		$26,670		$0		$59,194		$247,660		$0
Lisa Evan
PHARMD IP NGT	$152,427	$0	$0	$0	$15,339	$0	$1,852	$0	$20,981	$0	$190,599	$0	$0	$0
SUSAN CORCORAN
CLINICAL STAFF PHARMACIST	$158,223		$2,110		$18,301		$2,479		$58,124		$239,237		$0
WEIHONG HE
MEDICAL PHYSICIST	$210,062	$0	$0	$0	$7,271	$0	$0	$0	$56,896	$0	$274,229	$0	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc

ExplanationExplanationTxt

Form Sch J Part I Line 4a

The following individuals received severance payments: JASON SCIARRO PRESIDENT / COO $555,916 SHEILA SENN SVP / COO - CHH $218,327 DAVID TOMLINSON EVP/CFO $162,657 CONNIE SECOR DIRECT. SURG./CARD $86,065

Form Sch J Part I Line 4b

Certain individuals listed in schedule J, Part II participate in a supplemental non-qualified retirement plan to which the hospital network makes annual contributions. The following individuals received distributions from a supplemental non-qualified retirement plan during 2017: Name Title Amount MICHAEL EESLEY CHIEF EXECUTIVE OFFICER $453,073 DAVID TOMLINSON EVP / CFO $40,144 RACHEL SEBASTIAN PRESIDENT - CHM $24,853 KUMAR NATHAN PRES. INSUR. SVCS./GEN COUNSEL $28,074 LISA GLOSSON BOARD OF GOVERNORS $10,600

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Field	Value	IRS element (for citing)
Person	RACHEL SEBASTIAN	PersonNm

Field	Value	IRS element (for citing)
Relationship Description	FAMILY MEMBER	RelationshipDescriptionTxt
Transaction	$506,581	TransactionAmt
Transaction	EMPLOYEE	TransactionDesc
Sharing Of Revenues	false	SharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	BUSINESS TRANSACTIONS INVOLVING INTERESTED PERSONS	FormAndLineReferenceDesc
Explanation	SCHEDULE L, PART IV ALL BUSINESS TRANSACTIONS ARE ARMS LENGTH TRANSACTIONS. SEE CONFLICT OF INTEREST DISCLOSURES IN SCHEDULE O FOR FORM 990, PART VI, LINE 2.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PROGRAM SERVICE ACCOMPLISHMENTS	Form 990 Part III Line 4a Executive Summary Centegra Health System (Centegra) coordinates the delivery of health care services by assisting in the management of Centegra Hospital- McHenry, Centegra Hospital-Huntley (both facilities within Northern Illinois Medical Center), Centegra Hospital- Woodstock (Memorial Medical Center), (The Medical Centers), and Centegra Health System Foundation, Health Bridge Corporation and NIMED Corporation (Affiliates). Centegra's mission is to inspire and engage our community in their health and wellness. We provide quality health care services with innovative and responsible use of resources and promote wellness for the greater McHenry County area in Illinois. During its fiscal year 2018, Centegra Health System sponsored more than 230 community events. These events focused on the high priority issues facing the county: obesity, cardiovascular health, active communities and behavioral health. The Medical Centers provide optimum quality health care, delivered by competent hospital and medical center staff, to all who seek its services regardless of race, creed, sex, national origin, handicap, age, or ability to pay. The primary mission of the Medical Centers is to enhance the health of the community as the preferred health care organization providing outstanding service and value. It is the Medical Centers' objective to serve the community with respect to providing health care services and education. Although reimbursement for services rendered is critical to the operation and stability of the Medical Centers, it is recognized that not all individuals possess the ability to purchase essential medical services. Therefore, in keeping with the Medical Centers' commitment to serve all members of its community, free care and/or subsidized care will be considered where the need and/or an individual's inability to pay exist. Medical Services are provided in a dignified manner to Medicare, Medicaid and indigent patients. System-wide, community benefits included approximately $8.8 million of charity care, over $58.0 million of government sponsored indigent health care, approximately $4.5 million of other community benefits, and over 115,000 community benefit hours. The Medical Centers' services include, but are not limited to: Centegra Hospital-McHenry is a 179-bed facility located about 50 miles outside of Chicago. The hospital is the region's leading provider of advanced cardiovascular treatments through the Centegra Cardiovascular & Thoracic Center. It is also home to the Centegra Hip & Knee Replacement Center, the Centegra Sage Cancer Center and the Centegra Family Birth Center. As part of Centegra Health System, Centegra Hospital-McHenry achieved Magnet designation for nursing excellence. Centegra Hospital-McHenry provides sophisticated treatments and advanced technology to address the most serious medical conditions. These include: Open-heart surgery and heart catheterizations Joint replacement surgeries A Level II Trauma Center and on-site Flight for Life helicopter Certified chest pain and stroke centers Advanced cancer treatments including radiation oncology and infusion services Labor and delivery and on-site 24/7 obstetrics hospitalists and neonatologists Intensive care Medical-Surgical care and 24/7 hospitalist care Outpatient surgery Centegra Hospital - Huntley opened its doors in August 2016 as a 384,135 square-foot, 128 bed facility. Centegra Hospital- Huntley provides sophisticated treatments and advanced technology to address the most serious medical conditions. These include: Level II Trauma emergency department 8-bed intensive care unit Family Birth Center Chest Pain Center Cardiac Catheterization Laboratory and Cardiology Services A full range of diagnostic imaging including radiology, ultrasound, MRI scanning and nuclear medicine Helipad for transporting patients Centegra Hospital-Woodstock is a 106-bed facility located about 60 miles outside of Chicago. The hospital provides exceptional inpatient and outpatient care and has won top awards for patient safety and satisfaction. As part of Centegra Health System, Centegra Hospital-Woodstock achieved Magnet designation for nursing excellence. Centegra Hospital - Woodstock provides sophisticated treatments and advanced technology to address the most serious medical conditions, including: A Level II Trauma Center and on-site Flight for Life helicopter Certified chest pain and stroke centers Intensive care Medical-Surgical care and 24/7 hospitalist care Outpatient surgery Inpatient behavioral health services Weight-loss surgery through the Centegra Healthy Living Institute State-of-the-art medical imaging Centegra Health System Foundation provides fund-raising services for Centegra Health System in conjunction with the Medical Centers. The proceeds of these activities are used to purchase medical equipment and supplies, therefore enabling the Medical Centers to better serve the community. Health Bridge Corporation provides various rehabilitation services for the Medical Centers in conjunction with Centegra Health System, by providing a fitness center and pool that serves the community in various capacities and sponsors and hosts assorted educational programs. NIMED Corporation aids in the management of the Medical Centers and several satellite locations within the Centegra Health System organization. The Medical Centersthe Affiliates' program accomplishments are summarized below. SUPPORT GROUPS Centegra Health System, in conjunction with the Medical Centers and Affiliates, sponsors or hosts many support groups for its patients as well as the community. The following ongoing support groups are held at the Medical Centers, Affiliates or in the community. By supporting these groups, the Medical Centers and Affiliates are able to provide one or all of the following: Staff professionals who either act as facilitators of the group or function as Guest Speakers, Space offered free or at minimal charge, Free marketing to educate the community about these services. Programs sponsored by the Medical Centers and or Affiliates in conjunction with Centegra Health System include: Oncology Support Groups - Cancer Transitions focuses on the needs of cancer survivors who have finished treatment with the last two years. Caring for the Caregiver is a group for those offering care to anyone with a serious illness. The group provides an opportunity to connect with others who understand the unique experience of being a caregiver. Education and support are offered on relevant topics to assist successful management of the challenges of caregiving. Creating Expressions links artistic experience with the emotional benefits of cancer management. Growing Together Through Cancer Transitions is a monthly group for cancer survivors who have completed the Cancer Transitions program. Education and support is offered through the group experience to increase personal empowerment and wellness in body, mind and spirit toward the goal of long term cancer survivorship. Centegra STAR Program Guided Patient Services (GPS) where participants receive valuable information and resources that aid them before, during and after diagnosis and treatment. Members of the Survivorship Training and Rehabilitation (STAR) certified team are available to address questions and concerns while patients participate in assessments to help create a personalized plan of care. H.O.P.E.: High on Positive Energy is for women living with breast cancer Look Good Feel Better is a free program offered by the American Cancer Society and teaches beauty techniques to women who are currently undergoing cancer treatment. Partners in Cancer Transitions, a monthly support group for cancer survivors and their care partners. Pathfinders, a support group for men and women living with cancer and their care partners. Wig Boutique: This American Cancer Society program helps women with cancer select a free wig. Young Ribbons, a support group for those diagnosed with breast cancer younger than the age of 45. This support group helps participants connect with other breast cancer survivors to share, learn and support one another during and after treatment.
ADDITIONAL SUPPORT GROUPS AND SERVICES	A.W.A.K.E. (Alert, Well and Keeping Energetic) Support Group is a sleep disorder support group for patients and family members affected by sleep disordered breathing. The A.W.A.K.E. Support Group is part of the American Sleep Apnea Association. ADHD Parent Support Group a free support group for parents of children with Attention Deficit Disorder (ADD) or Attention Deficit Hyperactivity Disorder (ADHD) this group provides opportunities for parents to share, collaborate and communicate about some of the challenges involved in raising children with ADD or ADHD. Breastfeeding Support groups are held to support all breastfeeding moms. Centegra Crisis Services in partnership with the McHenry County Mental Health Board offers 24-hour crisis line and 24-hour onsite response team. Diabetes Support Group is for individuals with diabetes and their families. Eating Disorder Support Group, a monthly eating disorder support group led by a mental health professional and a registered dietitian. Free Freshstart/Tobacco Cessation: Centegra has partnered with the American Cancer Society to empower participants towards quitting a tobacco habit. Freshstart provides information about effective strategies and helps motivate and prepare participants to make a successful quit attempt. Living with Grief, sponsored by Centegra Pastoral Care, offers support for adults grieving the loss of a loved one. Stroke Support Group. Weight-Loss Surgery Support Group for patients that have had weight-loss surgery. EDUCATION PROGRAMS The Medical Centers and Affiliates make a variety of educational programs designed to promote wellness available to all members of the community. The Medical Centers, in conjunction with Centegra Health System, work in cooperation with McHenry County College to provide a complete series of specialized training for those interested in developing their knowledge of emergency basics, or in pursuing a career in the emergency health care field. There are three levels of training available: First Responder, Emergency Medical Technician - Basic, Emergency Medical Technician - Paramedic. An Emergency Medical Dispatcher Course designed to prepare individuals for employment as dispatchers for a public service agency providing dispatch to law enforcement fire service, and/or Emergency Medical Service is also offered. The Medical Centers offer a variety of classes that can help people save lives. The Medical Centers, in conjunction with Centegra's Health Bridge Fitness Centers, offer Red Cross first aid classes that include First Aid and Cardio-Pulmonary Resuscitation (CPR). Classes help community members learn CPR prior to certification, or brush up on skills for re-certification. The Medical Centers also offer a CPR Instructor Course, International Trauma Life Support, Advanced Cardiac Life Support, and Pediatric Advanced Life Support training classes. Family health and wellness programs presented by the Medical Centers are designed to promote a healthier community. The Medical Centers offer low-cost education classes for expectant families including prenatal and cesarean birth classes, along with free hospital tours. Centegra's Healthy Living Institute offers a variety of education programs to support healthy habits toward weight loss or weight maintenance. Lipid screenings are offered periodically during the year. Integrative programs include mindful eating, understanding the healing potential of food, and journaling. Still more educational programs are offered to assist members of the community take charge of special needs in their lives, to change their lifestyles for healthier lives, as well as programs to inform the community about Advance Medical Directives, including living wills, durable power of attorney issues, organ donations, and Understanding Medicare. The Medical Centers sponsor several programs specializing in issues of concern for women including reduced fee mammograms, programs on osteoporosis, and programs on menopause. The annual Centegra Health Strong Woman Event is a program designed to give health information across a variety of topics to women in McHenry County and the surrounding area. Centegra Hospital - McHenry's Sage Cancer Center and Centegra Gavers Breast Center, together with the American Cancer Society, Gavers Community Cancer Foundation, and McHenry County College, sponsor various Cancer Awareness Programs. Centegra Health System offers colorectal cancer screenings, reduced fee mammograms, skin, oral, head and neck cancer screenings, and reduced fee prostrate (PSA) screenings. Cancer awareness also includes programs on reduction of risk for cancer through good nutrition and healthy lifestyle habits. Centegra Health System also sponsors celebrations of cancer survivorship. In addition, Centegra Health System is a learning center (clinical site) for students from a multitude of colleges and universities. Students have completed internships in programs such as nurse practitioner, nursing, nurse aide, physician assistant, social work, speech therapy, phlebotomy, diagnostic medical sonography, medical imaging, medical records, pharmacy, medical physics, surgical technology, professional counselor, substance abuse counselor, and medical assistant. Centegra Health System is also a learning site for 3rd and 4th year medical students from Rosalind Franklin University. OTHER COMMUNITY SERVICES The Medical Centers and Affiliates participate in various community events and initiatives including community health fairs and county business fairs in order to promote health and awareness in the community. Other community services are career shadowing opportunities for area students, Flight for Life Helicopter appearances, poison awareness programs, blood drives, and a variety of health screenings (blood pressure, diabetes, skin cancer, colorectal cancer, glaucoma, hearing, etc.) to promote health and awareness in the community. The Medical Centers and Affiliates also distribute thousands of informational brochures, service listings, and flyers at the request of area schools, churches, and organizations on an ongoing basis. The Referral Line (877-CENTEGRA) is a toll-free phone line sponsored by the Medical Centers. It offers free, computerized service to callers who require information or physician referrals. A trained counselor staffs the line. Several medical specialties are represented, and physicians are on staff for referrals. The line also gives information regarding physician's office hours, locations, insurance, and languages spoken. Additionally, counselors give information on Self-Help and Support Groups. The Medical Centers sponsor blood drives every year and are able to provide numerous pints of blood to those in need. The Medical Centers provide Patient Express! transportation services for individuals who require transportation to the Medical Centers. The Patient Express! van is provided and is frequently used by the disabled and elderly individuals of the community. The service is provided free of charge, although donations are accepted to defray the costs of the service. EXERCISE PROGRAMS The Medical Centers, in conjunction with Centegra Health System and Centegra Health Bridge Fitness Centers offer specialized exercise programs that help participants get moving and stay active for a healthier lifestyle. These programs include Aquatics, Individual and Group Fitness, Mind/Body including Pilates, Tai Chi, Yoga, Sports Performance, and Tennis Racquetball & Basketball.
REHABILITATION / PHYSICAL THERAPY PROGRAMS	Through the Centegra Hospital - McHenry's acute inpatient rehabilitation/physical therapy programs, disabled individuals can practice and master the skills required for personal hygiene, home maintenance, financial management, mobility, and social interaction in the security and privacy of the rehabilitation department. Using distinctive environments such as, apartment, car, cafe & restaurant, and an ambulation course, therapists and clinical staff are able to assess and evaluate the progress of each patient using a unique form of individual care. When individual confidence and proficiency return, discharge planning and community re-entry training complete the rehabilitation program. The Medical Centers also provide extensive Cardiac Rehabilitation and Pulmonary Rehabilitation programs. Integrated into the Cardiac Rehabilitation Program is the Centegra WellBridge program. This is a wellness membership that promotes community health by providing patients who have completed Phase II or Phase III with a supervised exercise area at Centegra Health Bridge Fitness Centers at a very low cost. Outpatient rehabilitation care and Sports Medicine Clinics at Health Bridge Fitness Centers and other locations provide sports medicine, aquatics, outpatient physical and occupational therapy programs. The Centegra Industrial Rehabilitation programs help area employers with injured employees rebuild their strength and abilities for a safe and speedy return to work. The program includes work hardening, work conditioning, functional capacity evaluations, physical and occupational therapy. Worksite Services and Programs include ergonomic consultations and evaluations as well as other educational and safety programs. The Centegra Neuro-Rehabilitation Center serves individuals who have experienced traumatic brain injury and neurological impairments due to stroke, accident, or disease. It is a comprehensive program for patients requiring intensive, interdisciplinary services on an outpatient basis. The program facilitates the individual's function and independence in the home, work, school, and community with integrated and holistic treatment. Services include physical therapy, occupational therapy, speech therapy, neuropsychology, social work, nursing, vocational counseling, and recreational therapy. This program also has access to facilities at Centegra Health Bridge Fitness Center and may work in conjunction with the Centegra Industrial Rehabilitation Program. The Centegra Milestones Therapy Center provides outpatient therapy services for children from birth through age 21. Centegra Milestones Therapy Center provides individual therapy sessions with occupational, speech and physical therapists as well as a variety of playgroups where children learn and interact in a safe and stimulating environment. TAX-EXEMPT BONDS FORM 990 PART IV LINE 24A Northern Illinois Medical Center HOLDS A LIABILITY ON ITS BOOKS FOR TAX-EXEMPT BONDS, WHICH IS AN ALLOCATION FROM ITS SOLE CORPORATE MEMBER, CENTEGRA HEALTH SYSTEM. AS A RESULT, THE QUESTION WAS ANSWERED NO, AND SCHEDULE K WILL BE COMPLETED IN CENTEGRA HEALTH SYSTEM'S FORM 990. BUSINESS OR FAMILY RELATIONSHIP OF OFFICERS, DIRECTORS, ETC. Form 990 Part VI Line 2 Northern Illinois Medical Center, (NIMC), as part of Centegra Health System, has adopted specific conflict of interest policies for its governing and management staff. The policy includes, but is not limited to, when an individual, governor, committee member, officer, agent or employee believes that he or she, or a member of his or her immediate family might have or does have a real or apparent conflict, he or she should in addition to filing the disclosure notice required, abstain from making motions, voting, executing agreements, or taking any other similar direct action on behalf of the Medical Center. During fiscal year 2018, Northern Illinois Medical Center purchased certain goods, and or services from organizations with directors' affiliation. All transactions were competitively bid and were conducted at arms-length. The fees paid were at fair market value. During fiscal year 2018, Director Micheal Curran is an Officer / Director of Curran Contracting Company, supplier of excavation and asphalt pavement services. Director Charles Ruth is the Board Chairman of American Community Bank & Trust and Chief Executive Officer of Alliance Contractors. Director Tom Carey is Vice-President and majority owner, Carey Electric Contracting, Inc., supplier of electrical contracting services. Rachel Sebastian, President, Centegra Hospital - McHenry is the daughter of Chief Executive Officer, Michael Eesley. Rachel Sebastian reported to the Chief Executive Officer, Micheal Eesley. Matthew Eesley is the son of Chief Executive Officer, Michael Eesley. During fiscal year 2018, Matthew Eesley was the Director, Centegra Physician Care Outpatient Services, reporting to Mattias Carlen, Senior-Vice President - Ambulatory Services and CHW. EXPLANATION OF CLASSES OF MEMBERS OR SHAREHOLDER Form 990 Part VI Line 6 Centegra Health System is the sole member of NIMC. Centegra Health System has a single class of members.
HOW MEMBERS OR SHAREHOLDERS ELECT GOVERNING BODY	Form 990 Part VI Line 7a The powers and duties of the Centegra Health System members in fulfilling the purposes and objectives of the Corporation shall include, but not be limited to, the taking of action with respect to the following matters: The election of governors and the filling of vacancies on the Board of Governors, which shall be in accordance with the procedures set forth in the Bylaws. The Nominating Committee shall select one candidate for each position on the Board having a term to be voted upon for the office of governor at the next annual meeting of members. The Nominating Committee shall consider and approve a list of candidates and submit such list to the Board of Governors not less than 10 days prior to the date of the last meeting of the Board of Governors prior to the date on which notice of the annual meeting of members is to be sent, and the candidates set forth on such list shall be subject to approval by the Board of Governors. The names of the candidates so selected by the Nominating Committee and approved by the Board of Governors shall be included in the notice of the annual meeting of the members of the Corporation and shall be presented to the members of the Corporation at the annual meeting. The voting members of the Corporation may nominate candidates for the positions on the Board of Governors. Nominations by such members may be effected by means of written nomination signed by not less than 20 voting members in good standing, accompanied by a written statement of such nominee indicating a willingness to serve as a governor of the Corporation if elected. Any such nomination must be received by the Nominating Committee of the Corporation not less than 60 days prior to the annual meeting of members in order to be considered at such annual meeting. All elections shall be by secret ballot if there are more nominees than vacancies to be filled on the Board. All voting members present in person or by proxy at a meeting at which an election occurs shall be entitled to vote for governors. To be valid a ballot must not have more votes than there are vacancies. If there are more nominees than vacancies to be filled on the Board, those nominees who receive the most votes shall be elected to the Board of Governors. Members shall not be entitled to cumulate their votes in the election of governors.
REVIEW PROCESS	Form 990 Part VI Line 11b The review process for the Form 990 includes compilation by internal staff, detailed review by an outside tax preparer, and review by the Centegra Health System (CHS) Chief Financial Officer, prior to submission to the IRS. The tax return will be made available for the Board to review after submission to the IRS.
EXPLANATION OF MONITORING AND ENFORCEMENT OF CONFLICTS	Form 990 Part VI Line 12c As stated in Centegra's Bylaws, the Bylaws recognize that both real and apparent conflicts of interest sometimes naturally occur in the course of conducting daily affairs. Conflicts occur because the many persons associated with Centegra should be expected to have and do, in fact, generally have multiple interests and affiliations and various positions of responsibility within the community. The long-range interests of Centegra do not require the termination of all association with persons who may have real or apparent conflicts if a prescribed and effective method can render such conflicts harmless to all concerned. Centegra Health System has a conflict of interest policy that is intended to address such matters. 1. Duty to Disclose: In connection with any actual or possible conflicts of interest, an interested person or other person subject to this policy must disclose the existence and nature of his or her financial interest in writing to the President of Centegra or the Chief Corporate Responsibility Officer or designee, who shall provide such written disclosure to the Governors Affairs Committee of Centegra, which shall consider all conflicts of interest issues and, if appropriate, to the directors and members of committees with board-delegated powers considering the proposed transaction or arrangement. The disclosure must occur, at minimum, annually, with a Conflict of Interest Disclosure Statement being submitted no later than January 31st of each year. Copies of disclosure statements filed by Board members shall be distributed to the Board annually at the February Board meeting. 2. Determining Whether a Conflict of Interest Exists: When a conflict of interest is disclosed at meeting of the board or committee thereof, after disclosure of the financial interest, the interested person shall leave the board or committee meeting while the financial interest is discussed and voted upon. The remaining board or committee members shall decide if a conflict of interest exists. The interested person's leaving such meeting shall not affect whether a quorum exists at such meeting. 3. Procedures for Addressing the Transaction or Arrangement from Which the Conflict Arose: A. The chairperson of the board or committee shall, if appropriate, appoint a disinterested person or committee to investigate alternatives to the proposed transaction or arrangement. B. After exercising due diligence, the board or committee shall determine whether Centegra can obtain a more advantageous transaction or arrangement with reasonable efforts from a person or entity that would not give rise to a conflict of interest. C. If a more advantageous transaction or arrangement is not reasonably attainable under circumstances that would not give rise to a conflict of interest, the board or committee shall determine by a majority vote of the disinterested directors whether the transaction or arrangement is in Centegra's best interest and for its own benefit and whether the transaction is fair and reasonable to Centegra and shall make its decision as to whether to enter into the transaction or arrangement in conformity with such determination. 4. Violations of the Conflicts of Interest Policy: A. If the administration, the board, or a committee has a reasonable cause to believe that a member has failed to disclose actual or possible conflicts of interest, it shall inform the member of the basis for such belief and afford the member an opportunity to explain the alleged failure to disclose. B. If, after hearing the response of the member and making such further investigation as may be warranted in the circumstances, the board or committee determines that the member has, in fact, failed to disclose an actual or possible conflict of interest, it shall refer the matter to the Governors Affairs Committee for consideration, which shall subsequently recommend appropriate disciplinary and corrective action to such board or committee. 5. The minutes of the board and all committees with board-delegated powers shall contain the names of the persons who disclosed or otherwise were found to have a financial interest in connection with an actual or possible conflict of interest, the nature of the financial interest, any action taken to determine whether a conflict of interest was present, and the board's or committee's decision as to whether a conflict of interest, in fact, existed. The names of the persons who were present for discussion and votes relating to the transaction or arrangement, the content of the discussions, including any alternatives to the proposed transaction or arrangement, and a record of any votes taken in connection therewith. 6. A voting member of any committee whose jurisdiction includes compensation matters and who receives compensation, directly or indirectly, from Centegra for services is precluded from voting on matters pertaining to that member's compensation, physicians who receive compensation, directly or indirectly from Centegra, whether as employees or independent contractors, are precluded from membership on any committee whose jurisdiction includes compensation matters and in which such physician may have a direct or indirect interest. 7. Each director, principal officer, and member of a committee with board-delegated powers shall annually sign a statement which affirms that such person has received a copy of the conflicts of interest policy; has read and understands the policy; has agreed to comply with the policy; and understands that Centegra is a charitable organization and that in order to maintain its federal tax exemption, it must engage primarily in activities which accomplish one or more of its tax exempt purposes. 8. To ensure that Centegra operates in a matter consistent with its charitable purposes and that it does not engage in activities that could jeopardize its status as an organization exempt from federal income tax, periodic reviews shall, at a minimum, include the following subjects: whether acquisition of physician practices and other provider services result in inurement or impermissible private benefit. Whether joint venture arrangements and arrangements with management service organizations and physician hospital organizations conform to written policies, are properly recorded, reflect reasonable payment for goods and services, further Centegra's charitable purposes and do not result in inurement or impermissible private benefit. Whether agreements to provide healthcare and agreements with other healthcare providers, employees, and third party payors further Centegra's charitable purposes and do not result in inurement or impermissible private benefit. Whether business transactions on behalf of Centegra or an entity controlled by it are the result of arms-length dealing and are no less advantageous than competitively available goods and services of like grade and quality. 9. In conducting the periodic reviews provided for in article vii, Centegra may, but need not, use outside advisors. If outside experts are used, their use shall not relieve the board of its responsibility for ensuring that periodic reviews are conducted.
COMPENSATION REVIEW & APPROVAL PROCESS- OFFICERS & KEY EMPLOYEES	Form 990 Part VI Line 15a & 15b The Board of Governors of Centegra Health System, through the Compensation Committee comprised of independent members free of conflict, reviewed executive compensation levels and other features of the compensation plan in accordance with the organization's approved compensation philosophy and strategy: The Committee is comprised of members of the Board of Governors, who are independent of Centegra management, have no personal interest in the compensation arrangements, are not related to, or under the control of any individual whose compensation arrangement is being reviewed and have no material business relationship with Centegra. The C-Suite's compensation is determined by the Compensation Committee in relation to comparable peers or 990 market data. Compensation for other members of the executive staff is recommended by the CEO, reviewed by the Committee, and evaluated against market data based on comparable peers. The Committee approves all compensation decisions in advance of their implementation and documents its determinations and discussions. Its decisions and deliberations are thoroughly documented and meeting minutes are kept and distributed to the Committee members (for historical reference). The Compensation Committee uses a number of external resources and comparisons, and their review includes total compensation (cash compensation, plus benefits provided by Centegra) in relation to organizational performance and prevailing industry practices of comparably-sized organizations. They have engaged the services of a compensation consulting firm (Sullivan Cotter) specializing in the not-for-profit sector that has worked with Centegra and reports directly to the Compensation Committee. Reasonableness letters and documentation are provided to the organization after each review.
OTHER ORGANIZATION DOCUMENTS PUBLICLY AVAILABLE	Form 990 Part VI Line 19 The organization makes its governing documents, conflict of interest policy, and financial statements available to the public upon request.
RELATED COMPANY - CHS	Form 990 Part IX Line 24a It should be noted that the Related Company expenses in Form 990, Part IX, line 24a are allocated at 89% of total expense of the related company (Centegra Health System, FEIN 36-3196559). The allocation method is reviewed annually.
RECONCILIATION OF NET ASSETS	Form 990 Part XI Line 9 AFFILIATE TRANSFERS ($26,300,000) INTEREST IN FOUNDATION $1,381,062 NET ASSETS RELEASED FROM RESTRICTIONS ($156,043) ------------ ($25,074,981)

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (6 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
Centegra Health System
541 N FAIRBANKS CT STE 1630	CHICAGO	IL	606113309	363196559	Health System	IL	501(c)(3)	10	NA	false
Centegra Health System Foundation
541 N FAIRBANKS CT STE 1630	CHICAGO	IL	606113309	363196560	Fundraising	IL	501(c)(3)	7	Centegra HS	false
NIMED Corporation
541 N FAIRBANKS CT STE 1630	CHICAGO	IL	606113309	363119911	Property Mgmt	IL	501(c)(3)	12B	Centegra HS	false
Health Bridge Corporation
541 N FAIRBANKS CT STE 1630	CHICAGO	IL	606113309	363196550	Health FT CTR	IL	501(c)(3)	10	Centegra HS	false
Centegra Hospital Huntley Holdings
541 N FAIRBANKS CT STE 1630	CHICAGO	IL	606113309	453449737	Support Org	IL	501(c)(3)	12C	NIMC	Yes (true)
Memorial Medical Center
541 N FAIRBANKS CT STE 1630	CHICAGO	IL	606113309	362179764	Hospital	IL	501(c)(3)	3	Centegra HS	false

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	Centegra Management Services	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	541 N FAIRBANKS CT STE 1630	AddressLine1Txt
City	CHICAGO	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	606113309	ZIPCd

Field	Value	IRS element (for citing)
EIN	364028114	EIN
Primary Activities	Management	PrimaryActivitiesTxt
Legal Domicile State	IL	LegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

Field	Value	IRS element (for citing)
Business Name Line1	Centegra HS	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Entity Type	C Corp	EntityTypeTxt
Share Of Total Income	$0	ShareOfTotalIncomeAmt
Share Of EOY Assets	$0	ShareOfEOYAssetsAmt
Controlled Organization	false	ControlledOrganizationInd

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