NORTHWEST COMMUNITY HOSPITAL: Form 990, tax year 2016
View the entire original 990 at ProPublica ↗
- Organization
- NORTHWEST COMMUNITY HOSPITAL (EIN 36-2340313)
- Tax period
- 2016-10-01 to 2017-09-30
- Filed
- 2018-08-10
- IRS object ID
- 201802229349301510
- Schema version
- 2016v3.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2018-08-10T14:37:04-05:00 | ReturnTs |
| Tax Period End | 2017-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ERNST & YOUNG US LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 155 N Wacker Drive | AddressLine1Txt |
| City | Chicago | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60606 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2016-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 362340313 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Northwest Community Hospital | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % CHRISSIE ERDMANN | InCareOfNm |
| Business Name Control | NORT | BusinessNameControlTxt |
| Phone | 8476181000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3060 Salt Creek Lane | AddressLine1Txt |
| City | ARLINGTON HEIGHTS | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60005 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JOHN SKEANS | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 8476181000 | PhoneNum |
| Signature | 2018-08-01 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | JESS WAGENER | PreparerPersonNm |
| PTIN | P01622613 | PTIN |
| Phone | 3128792000 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2016 | TaxYr |
| Build TS | 2022-09-23 18:48:47Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | STEPHEN O SCOGNA | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 800 West Central Road | AddressLine1Txt |
| City | ARLINGTON HEIGHTS | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60005 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $510,627,430 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | NCH.ORG | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1953 | FormationYr |
| Legal Domicile State | IL | LegalDomicileStateCd |
| Activity Or Mission | NCH OPERATES AN ACUTE HOSPITAL IN ARLINGTON HEIGHTS, IL. THE HOSPITAL EXISTS TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE AND TO MEET INDIVIDUALS' HEALTHCARE NEEDS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 15 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 13 | VotingMembersIndependentCnt |
| Total Employee | 3204 | TotalEmployeeCnt |
| Total Volunteers | 852 | TotalVolunteersCnt |
| Total Gross UBI | $1,011,702 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | -$22,917 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $2,103,592 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,094,062 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $458,623,728 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $460,826,845 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,074,455 | PYInvestmentIncomeAmt |
| CY Investment Income | -$174,669 | CYInvestmentIncomeAmt |
| PY Other Revenue | $4,518,996 | PYOtherRevenueAmt |
| CY Other Revenue | $4,207,348 | CYOtherRevenueAmt |
| PY Total Revenue | $466,320,771 | PYTotalRevenueAmt |
| CY Total Revenue | $465,953,586 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $175,435 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $106,776 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $224,492,558 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $232,922,516 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $220,950,869 | PYOtherExpensesAmt |
| CY Other Expenses | $238,701,161 | CYOtherExpensesAmt |
| PY Total Expenses | $445,618,862 | PYTotalExpensesAmt |
| CY Total Expenses | $471,730,453 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $20,701,909 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | -$5,776,867 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $582,045,778 | TotalAssetsBOYAmt |
| Total Assets EOY | $568,046,082 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $378,956,787 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $381,153,355 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $203,088,991 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $186,892,727 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | NORTHWEST COMMUNITY HOSPITAL EXISTS TO IMPROVE THE HEALTH OF THE COMMUNITIES IT SERVES AND TO MEET INDIVIDUALS' HEALTHCARE NEEDS. IT STRIVES TO BE KNOWN FOR ITS SINGULAR FOCUS ON PROVIDING A COMPREHENSIVE, PATIENT-CENTERED SYSTEM OF CARE THAT SURPASSES EVERY EXPECTATION FOR EXCELLENCE (IN QUALITY AND SERVICE). | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $49,252,028 | ExpenseAmt |
| Revenue | $44,764,337 | RevenueAmt |
| Desc | CARDIAC NORTHWEST COMMUNITY HOSPITAL'S (HOSPITAL) CARDIAC SERVICE LINE PROVIDED QUALITY, PATIENT CENTERED, COMPASSIONATE CARE, REGARDLESS OF ABILITY TO PAY, TO APPROXIMATELY 50,884 INPATIENT AND OUTPATIENT CASES DURING FY 2017. THE TREATMENT WAS PROVIDED IN HOSPITAL'S STATE-OF-THE-ART DIGITAL CARDIAC CATH LAB SUITES, INCLUSIVE OF ITS HIGH TECH OPERATING ROOMS AND PRIVATE FAMILY CENTERED PATIENT CARE ROOMS ALL AT A COST OF APPROXIMATELY $47,200,000. AN ON-CALL TEAM OF NURSES, RADIOLOGY TECHS, OR TECHS, CARDIOLOGISTS AND SURGEONS WERE READILY AVAILABLE 24 HOURS A DAY, 7 DAYS A WEEK, TO PROVIDE EMERGENT CARE TO THOSE WITH CARDIAC DISEASE. THE CARDIAC TEAM WORKS WITH THE EMERGENCY ROOM AND MULTIPLE NEIGHBORING COMMUNITY PARAMEDICS AND EMERGENCY PERSONNEL TO CONSISTENTLY EXCEED THE NATIONAL BENCHMARK OF DOOR TO BALLOON TIME (OR OPEN ARTERY) IN LESS THAN 90 MINUTES FOR PATIENTS PRESENTING IN HOSPITAL'S EMERGENCY ROOM HAVING AN ACUTE MI. NCH HAS BEEN RECOGNIZED AS AN ACCREDITED ECHO LAB BY THE INTERSOCIETAL COMMISSION FOR THE ACCREDITATION OF ECHOCARDIOGRAPHY LABORATORIES (ICAEL) SINCE 2000. NCH PROVIDES THE FULL SCOPE ON NON INVASIVE CARDIAC DIAGNOSTIC TESTING AT MULITPLE SITES IN THE COMMUNITY INCLUDING THE ATHERTON HEART FAILURE CLINIC WHICH OPENED IN 2014. THE CLINIC PROVIDES A TRANSITIONAL CARE MODEL THAT IS BASED ON PATIENTS WITH HEART FAILURE BEING SEEN IN THE CLINIC BY ADVANCED CARE PRATCTIONERS AND CARDIOLOGISTS WITH 24 HOURS OF HOSPITAL DISCHARGE. THE MULTIDISCIPLINARY TEAM INCLUDING DIETICIANS, SOCIAL WORKERS, PHARMACISTS AND NURSES PROVIDE ONGOING CARE TO PATIENTS AND THEIR FAMILIES IN THE COMMUNITY SETTING ENSURING CARE IS DELIVERED IN THE APPROPRIATE SETTING AND REDUCING AVOIDABLE RE-ADMISSIONS TO THE ACUTE CARE SETTING. NCH HAS EXPERIENCED A SIGNIFICANT DECREASE IN HOSPITAL READMISSIONS FOR BOTH THE HEART FAILURE AND ACUTE MI PATIENT POPULATIONS DIRECLTY RELATED TO STRATEGIES DURING THE HOSPITALIZATION AND IN THE POST ACUTE CARE SETTING. TELEHEALTH MEDICINE AND HOME HEALTH ARE INTEGRAL PARTS OF THE POST ACUTE CARE MODEL NCH HAS IMPLEMENTED FOR CARDIAC PATIENTS. IN ADDITION, NCH HAS ONE OF THE LARGEST CARDIAC AND PULMONARY REHAB PROGRAMS IN THE STATE OF ILLINOIS THAT HAS FURTHER ASSISTED CARDIAC AND PULMONARY PATIENTS IN RETURNING AND MAINTAINING AN OPTIMAL STATE OF HEALTH FOLLOWING A CARDIAC EVENT. THE CARDIAC DEPARTMENT ALSO PROVIDES MULTIPLE SCREENING AND EDUCATION PROGRAMS. DURING 2017, NCH HOSTED MULTIPLE COMMUNITY EVENTS THAT INCLUDED EDUCATIONAL PRESENTATIONS BY CARDIOLOGISTS AND STAFF, HEALTHY COOKING DEMONSTRATIONS AND HEALTH SCREENINGS. NEARLY 200 COMMUNITY MEMBERS ATTENDED THE EVENTS. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $43,763,472 | ExpenseAmt |
| Revenue | $49,909,492 | RevenueAmt |
| Desc | GASTROENTEROLOGY NORTHWEST COMMUNITY HOSPITAL'S GASTROENTEROLOGY (GI) SERVICE LINE PROVIDES QUALITY, PATIENT CENTERED, COMPASSIONATE CARE FOR PATIENTS, REGARDLESS OF ABILITY TO PAY, WHO ARE IN NEED OF DIAGNOSTIC AND THERAPEUTIC ENDOSCOPIC PROCEDURES. THE HOSPITAL'S GI CENTER HAS BECOME A REGIONAL REFERRAL CENTER FOR PATIENTS IN NEED OF INTERVENTIONAL PROCEDURES INCLUDING ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY AND ENDOSCOPIC ULTRASOUND. A STATE-OF-THE-ART INTERVENTIONAL SUITE OFFERS PATIENTS ACCESS TO SUPERIOR QUALITY CARE BY PROVIDING DIGITAL IMAGING. HOSPITAL'S INTERVENTIONAL TEAM IS LED BY AN EXPERT INTERVENTIONAL PHYSICIAN. THIS TEAM PROVIDES SAME-DAY CARE FOR PATIENTS IN AND BEYOND HOSPITAL'S SERVICE AREA WHO ARE IN NEED OF INTERVENTIONAL PROCEDURES. IN FY 2017, THE GASTROENTEROLOGY SERVICE LINE INCURRED APPROXIMATELY 36,044 PATIENT CASES AT A COST OF APPROXIMATELY $42,000,000. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $40,244,474 | ExpenseAmt |
| Revenue | $31,125,256 | RevenueAmt |
| Desc | ORTHOPEDICS NORTHWEST COMMUNITY HOSPITAL'S ORTHOPEDIC SERVICE LINE PROVIDES QUALITY, PATIENT CENTERED, COMPASSIONATE CARE FOR PATIENTS, REGARDLESS OF ABILITY TO PAY, WHO ARE IN NEED OF SPECIALIZED ORTHOPEDIC MEDICAL CARE AND SURGICAL PROCEDURES. PATIENTS HAVE ACCESS TO SUPERIOR QUALITY CARE AND BENEFIT FROM THE LATEST TECHNOLOGIES AND ADVANCED PAIN MANAGEMENT TECHNIQUES. PHYSICIANS ARE BOARD CERTIFIED. PREOPERATIVE EDUCATION, CARE PROVISION ON A DEDICATED ORTHOPEDIC UNIT WITH SPECIALTY NURSES AND EXTENSIVE POST SURGICAL REHABILITATION AND HOME CARE SERVICES ARE INCLUDED IN OUR ORTHOPEDIC SERVICES. HOSPITAL'S ORTHOPEDIC SERVICE LINE TEAM IS LED BY AN EXPERT BOARD CERTIFIED ORTHOPEDIC SURGEON. THE ORTHOPEDIC DEPARTMENT PERFORMS GREATER THAN 800 ELECTIVE JOINT PROCEDURES A YEAR. QUALITY CARE, EXCELLENCE IN PATIENT EXPERIENCE AND FAVORABLE OUTCOMES MAKES HOSPITAL A TOP CHOICE IN THE CHICAGO LAND AREA. IN FY 2017, THE ORTHOPEDIC SERVICE LINE INCURRED APPROXIMATELY 24,092 PATIENT CASES AT A COST OF APPROXIMATELY $38,600,000. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $266,256,674 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Grant | $106,776 | TotalOtherProgSrvcGrantAmt |
| Total Other Prog Srvc Revenue | $335,027,760 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $399,516,648 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (true) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | Yes (true) | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (true) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | false | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | false | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | 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 | Yes (true) | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 272 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 3204 | 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 | 15 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 13 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | false | LocalChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | IL | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | CHRISSIE ERDMANN | PersonNm |
| Phone | 8476184606 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3060 SALT CREEK LANE | AddressLine1Txt |
| City | Arlington Heights | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60005 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (27 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 |
|---|---|---|---|---|---|---|---|---|---|
| Stephen O Scogna | |||||||||
| PRESIDENT/SECRETARY/CEO | 10.0 | 30.0 | Yes (X) | Yes (X) | $908,072 | $0 | $214,008 | ||
| Thomas P MacCarthy | |||||||||
| Chairperson/Director | 1.0 | 1.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Marla F Glabe | |||||||||
| Vice Chairperson/Director | 1.0 | 1.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| James H Bishop | |||||||||
| Director (Thru 12/31/16) | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| Craig E Christell | |||||||||
| Director | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| Kirk Clark MD | |||||||||
| Director | 1.0 | 1.0 | Yes (X) | $18,000 | $0 | $0 | |||
| Jay S Cowen MD | |||||||||
| Director | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| Guy W Eisenhuth | |||||||||
| Director | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| Ann K Ford | |||||||||
| Director | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| Dale J Garber | |||||||||
| Director (Thru 12/31/16) | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| Louis A Gatta Phd | |||||||||
| Director | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| Charles A Hempfling | |||||||||
| Director | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| Diane G Hill | |||||||||
| Director/Chairperson | 10.0 | 1.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Richard D Hoffman | |||||||||
| Director | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| E Quinn Regan MD | |||||||||
| DIRECTOR | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| Mary R Sheahen MS RN | |||||||||
| Director/Vice Chairperson | 1.0 | 1.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | ||
| Nhat Q Tran | |||||||||
| Director (Beginning 1/1/17) | 0.0 | 1.0 | Yes (X) | $0 | $0 | $0 | |||
| John L Skeans | |||||||||
| CFO/Treasurer | 30.0 | 10.0 | Yes (X) | $415,373 | $0 | $85,704 | |||
| Michael C Hartke | |||||||||
| Executive VP/COO | 30.0 | 10.0 | $645,519 | $0 | $99,860 | Yes (X) | |||
| Wendy L Rubas | |||||||||
| Exec VP - Chief Legal Counsel | 30.0 | 10.0 | $391,827 | $0 | $98,797 | Yes (X) | |||
| Kimberly A Nagy | |||||||||
| Executive VP - PT Serv & CNO | 40.0 | 0.0 | $363,363 | $0 | $65,326 | Yes (X) | |||
| Alan B Loren MD | |||||||||
| Executive VP - CMO | 30.0 | 10.0 | $815,073 | $0 | $84,459 | Yes (X) | |||
| Susan E Nelson MD | |||||||||
| VP Physician Operations | 30.0 | 10.0 | $356,519 | $5,329 | $42,399 | Yes (X) | |||
| Bradford A Buxton | |||||||||
| VP Strategy & Business Dev. | 40.0 | 0.0 | $419,532 | $0 | $47,521 | Yes (X) | |||
| Lucy R Hammerberg MD | |||||||||
| Chief Qua. Ofc. (thru 6/23/16) | 40.0 | 0.0 | $344,185 | $0 | $10,895 | Yes (X) | |||
| Glen J Malan | |||||||||
| VP Info Tech & CIO | 40.0 | 0.0 | $315,456 | $0 | $51,647 | Yes (X) | |||
| Joseph C Alappattu | |||||||||
| Chief Medical Physicist | 40.0 | 0.0 | $278,812 | $0 | $17,844 | Yes (X) | |||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $5,271,731 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $5,329 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $818,460 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 197 | 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 |
|---|---|---|---|---|---|
| Huron Consulting Service LLC | |||||
| 3005 Momentum Place | CHICAGO | IL | 60622 | Consulting | $4,727,443 |
| Pricewaterhouse Coopers LLP | |||||
| PO Box 75647 | CHICAGO | IL | 60675 | consulting | $3,859,679 |
| Sodexo Inc Affiliates | |||||
| 4880 paysphere circle po box 36017 | PITTSBURGH | PA | 15251 | Dietary and Biomed | $3,499,399 |
| the roi companies | |||||
| 25001 emery road ste 250 | WARRENVILLE HEIGHTS | OH | 44128 | Collection Services | $2,202,363 |
| eCatalyst Consulting | |||||
| 6635 West Happy Valley Road | GLENDALE | AZ | 85310 | consulting | $1,469,805 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 100 | CntrctRcvdGreaterThan100KCnt |
| Related Organizations | $1,081,562 | RelatedOrganizationsAmt |
| Government Grants | $12,500 | GovernmentGrantsAmt |
| All Other Contributions | $0 | AllOtherContributionsAmt |
| Total Contributions | $1,094,062 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| NET PATIENT SERVICES | 622110 | $445,368,414 | $445,368,414 | |
| REFERENCE LAB | 621511 | $7,832,913 | $7,192,964 | $639,949 |
| CAPITATION REVENUE | 622110 | $1,996,537 | $1,996,537 | |
| INTERCOMPANY RENTS | 532000 | $1,003,976 | $1,003,976 | |
| OTHER RENT INCOME | 532000 | $1,904,095 | $1,904,095 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $2,720,910 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $2,720,910 | RelatedOrExemptFuncIncomeAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $460,826,845 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $31,844 | TotalRevenueColumnAmt |
| Exclusion | $31,844 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $15 | TotalRevenueColumnAmt |
| Exclusion | $15 | 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 | $1,941,525 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,196,638 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $744,887 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $744,887 | TotalRevenueColumnAmt |
| Exclusion | $744,887 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $42,637,332 | SecuritiesAmt |
| Other | $324,682 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $42,616,478 | SecuritiesAmt |
| Other | $552,064 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $20,854 | SecuritiesAmt |
| Other | -$227,382 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$206,528 | TotalRevenueColumnAmt |
| Exclusion | -$206,528 | 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 | $320,487 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $308,664 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $11,823 | TotalRevenueColumnAmt |
| Exclusion | $11,823 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | ExclusionExclusionAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt |
|---|---|---|---|---|
| CAFETERIA | 722212 | $2,122,138 | $2,122,138 | |
| DSC MANAGEMENT FEE | 541611 | $769,856 | $398,103 | $371,753 |
| ALL OTHER REVENUE | 900099 | $558,644 | $558,644 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $3,450,638 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $465,953,586 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $460,186,896 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $1,011,702 | UnrelatedBusinessRevenueAmt |
| Exclusion | $3,660,926 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $106,776 | TotalAmt |
| Program Services | $106,776 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,867,926 | TotalAmt |
| Management And General | $3,867,926 | 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 | $185,472,049 | TotalAmt |
| Program Services | $176,102,716 | ProgramServicesAmt |
| Management And General | $9,369,333 | ManagementAndGeneralAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $4,519,192 | TotalAmt |
| Program Services | $4,301,949 | ProgramServicesAmt |
| Management And General | $217,243 | ManagementAndGeneralAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $25,844,060 | TotalAmt |
| Program Services | $24,167,257 | ProgramServicesAmt |
| Management And General | $1,676,803 | ManagementAndGeneralAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $13,219,289 | TotalAmt |
| Program Services | $12,308,856 | ProgramServicesAmt |
| Management And General | $910,433 | ManagementAndGeneralAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,206,293 | TotalAmt |
| Management And General | $1,206,293 | ManagementAndGeneralAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $500,267 | TotalAmt |
| Management And General | $500,267 | ManagementAndGeneralAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $101,409 | TotalAmt |
| Management And General | $101,409 | ManagementAndGeneralAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | -$33,250 | TotalAmt |
| Program Services | -$33,250 | ProgramServicesAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $36,904,751 | TotalAmt |
| Program Services | $14,656,131 | ProgramServicesAmt |
| Management And General | $22,248,620 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,888,205 | TotalAmt |
| Management And General | $2,888,205 | ManagementAndGeneralAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,071,555 | TotalAmt |
| Program Services | $4,756,098 | ProgramServicesAmt |
| Management And General | $2,315,457 | ManagementAndGeneralAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,826,753 | TotalAmt |
| Program Services | $7,287,712 | ProgramServicesAmt |
| Management And General | $539,041 | ManagementAndGeneralAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $10,003,369 | TotalAmt |
| Program Services | $8,456,211 | ProgramServicesAmt |
| Management And General | $1,547,158 | ManagementAndGeneralAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $425,492 | TotalAmt |
| Program Services | $68,135 | ProgramServicesAmt |
| Management And General | $357,357 | 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 | $359,347 | TotalAmt |
| Program Services | $359,347 | ProgramServicesAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $7,456,137 | TotalAmt |
| Program Services | $7,456,137 | ProgramServicesAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $35,108,288 | TotalAmt |
| Program Services | $20,539,003 | ProgramServicesAmt |
| Management And General | $14,569,285 | ManagementAndGeneralAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $5,609,391 | TotalAmt |
| Program Services | $4,336,853 | ProgramServicesAmt |
| Management And General | $1,272,538 | ManagementAndGeneralAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt |
|---|---|---|
| MEDICAL SUPPLIES | $50,676,464 | $50,676,464 |
| PHARMACEUTICALS | $19,269,588 | $19,269,588 |
| BAD DEBT - PATIENT SERVICES | $16,546,716 | $16,546,716 |
| ILLINOIS PROVIDER TAX | $19,714,947 | $19,714,947 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $17,065,439 | TotalAmt |
| Program Services | $8,439,002 | ProgramServicesAmt |
| Management And General | $8,626,437 | ManagementAndGeneralAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $471,730,453 | TotalAmt |
| Program Services | $399,516,648 | ProgramServicesAmt |
| Management And General | $72,213,805 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $9,195,402 | BOYAmt |
| EOY | $19,039,838 | 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 | $80,941,333 | BOYAmt |
| EOY | $73,236,846 | 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 | $7,417,168 | BOYAmt |
| EOY | $8,376,943 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,760,113 | BOYAmt |
| EOY | $3,873,525 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $738,957,788 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $360,871,419 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $397,087,433 | BOYAmt |
| EOY | $378,086,369 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $42,935,463 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,614,430 | BOYAmt |
| EOY | $10,322,583 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $3,940,000 | BOYAmt |
| EOY | $3,940,000 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $18,154,436 | BOYAmt |
| EOY | $71,169,978 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $582,045,778 | BOYAmt |
| EOY | $568,046,082 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $62,009,034 | BOYAmt |
| EOY | $51,071,849 | 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 | $403,090 | BOYAmt |
| EOY | $398,169 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $269,946,620 | BOYAmt |
| EOY | $259,490,836 | 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 | $46,598,043 | BOYAmt |
| EOY | $70,192,501 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $378,956,787 | BOYAmt |
| EOY | $381,153,355 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $194,281,047 | BOYAmt |
| EOY | $181,932,656 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $7,453,114 | BOYAmt |
| EOY | $3,513,527 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $1,354,830 | BOYAmt |
| EOY | $1,446,544 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $203,088,991 | BOYAmt |
| EOY | $186,892,727 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $582,045,778 | BOYAmt |
| EOY | $568,046,082 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | -$5,776,867 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | -$63,207 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$10,356,190 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbyingGrp | |
| Total Direct Lobbying | TotalDirectLobbyingGrp | |
| Total Lobbying Expend | TotalLobbyingExpendGrp | |
| Other Exempt Purpose Expend | OtherExemptPurposeExpendGrp | |
| Total Exempt Purpose Expend | TotalExemptPurposeExpendGrp | |
| Lobbying Nontaxable Amount | LobbyingNontaxableAmountGrp | |
| Grassroots Nontaxable | GrassrootsNontaxableGrp | |
| Tot Lbbyng Grassroot Mns Non Tx | TotLbbyngGrassrootMnsNonTxGrp | |
| Tot Lbby Expend Mns Lbbyng Non Tx | TotLbbyExpendMnsLbbyngNonTxGrp | |
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Mailings Members | false | MailingsMembersInd |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $101,409 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $101,409 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Form 990 Schedule C Part II-B, Line 1i | FormAndLineReferenceDesc |
| Explanation | NORTHWEST COMMUNITY HOSPITAL PAYS DUES TO CERTAIN HOSPITAL ASSOCIATIONS WHICH USE A PORTION OF THESE DUES FOR LOBBYING. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp |
CY Endwmt Fund CYEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,504,586 | BeginningYearBalanceAmt |
| Contributions | $5,000 | ContributionsAmt |
| Investment Earnings Or Losses | $431,936 | InvestmentEarningsOrLossesAmt |
| End Year Balance | $3,941,522 | EndYearBalanceAmt |
CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $4,068,523 | BeginningYearBalanceAmt |
| Contributions | $5,820 | ContributionsAmt |
| Investment Earnings Or Losses | -$462,764 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $106,993 | OtherExpendituresAmt |
| End Year Balance | $3,504,586 | EndYearBalanceAmt |
CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,438,946 | BeginningYearBalanceAmt |
| Contributions | $2,351 | ContributionsAmt |
| Investment Earnings Or Losses | $696,815 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $69,589 | OtherExpendituresAmt |
| End Year Balance | $4,068,523 | EndYearBalanceAmt |
CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $3,157,536 | BeginningYearBalanceAmt |
| Contributions | $1,179 | ContributionsAmt |
| Investment Earnings Or Losses | $343,513 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $63,282 | OtherExpendituresAmt |
| End Year Balance | $3,438,946 | EndYearBalanceAmt |
CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Year Balance | $2,799,106 | BeginningYearBalanceAmt |
| Contributions | $4,039 | ContributionsAmt |
| Investment Earnings Or Losses | $411,064 | InvestmentEarningsOrLossesAmt |
| Other Expenditures | $56,673 | OtherExpendituresAmt |
| End Year Balance | $3,157,536 | EndYearBalanceAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated Balance EOY | 0.48950 | BoardDesignatedBalanceEOYPct |
| Prmnnt Endowment Balance EOY | 0.36800 | PrmnntEndowmentBalanceEOYPct |
| Term Endowment Balance EOY | 0.14250 | TermEndowmentBalanceEOYPct |
| Endowments Held Unrelated Org | false | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (true) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (true) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $89,072 | OtherCostOrOtherBasisAmt |
| Book Value | $89,072 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $307,065,374 | OtherCostOrOtherBasisAmt |
| Depreciation | $141,463,882 | DepreciationAmt |
| Book Value | $165,601,492 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $3,452,928 | OtherCostOrOtherBasisAmt |
| Depreciation | $1,662,091 | DepreciationAmt |
| Book Value | $1,790,837 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $408,097,043 | OtherCostOrOtherBasisAmt |
| Depreciation | $206,171,057 | DepreciationAmt |
| Book Value | $201,925,986 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $20,253,371 | OtherCostOrOtherBasisAmt |
| Depreciation | $11,574,389 | DepreciationAmt |
| Book Value | $8,678,982 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $378,086,369 | TotalBookValueLandBuildingsAmt |
Other Assets Org OtherAssetsOrgGrp (2 entries)
| DescDesc | Book ValueBookValueAmt |
|---|---|
| DUE FROM AFFILIATES | $58,526,915 |
| FUNDS RSTRCTED UNDER BOND FIN | $12,643,063 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | $71,169,978 | TotalBookValueOtherAssetsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)
| DescDesc | AmtAmt |
|---|---|
| DUE TO THIRD-PARTY PAYORS | $51,231,663 |
| OTHER LONG TERM OBLIGATIONS | $1,642,470 |
| ASSET RETIREMENT OBLIGATION | $823,833 |
| DUE TO AFFILIATES | $1,184,016 |
| PENSION OBLIGATION | $1,291,023 |
| INSURANCE LIABILITY | $14,019,496 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $70,192,501 | TotalLiabilityAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Intended use of endowment funds | FormAndLineReferenceDesc |
| Explanation | Schedule D, Part V, Line 4 ENDOWMENT FUNDS ARE CREATED ACCORDING TO HOSPITAL NEEDS AND DESIGNATION OR PREFERENCES OF THE DONOR(S) SUPPORTING THE ENDOWMENT FUND. SCHOLARSHIP FUNDS, CONTINUED EDUCATION, OR FUNDS FOR PATIENT CARE IN A HOSPITAL DEPARTMENT DESIGNATED BY THE ENDOWMENT FUND ARE EXAMPLES OF FUND USES. THE ENDOWMENT FUNDS REPORTED ON THE HOSPITAL'S 990 ARE ALSO REPORTED ON NORTHWEST COMMUNITY HOSPITAL FOUNDATION'S FORM 990, SCHEDULE D. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| All Hospitals Policy | Yes (X) | AllHospitalsPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 300. | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
Discounted Care Oth Percentage DiscountedCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Discounted Care Other | 600. | DiscountedCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | Yes (true) | ExpensesExceedBudgetInd |
| Unable To Provide Care | false | UnableToProvideCareInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $9,649,720 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $9,649,720 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02120 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $58,061,933 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $47,996,443 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $10,065,490 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02210 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $67,711,653 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $47,996,443 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $19,715,210 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.04330 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 51 | ActivitiesOrProgramsCnt |
| Persons Served | 51083 | PersonsServedCnt |
| Total Community Benefit Expns | $1,514,893 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $152,125 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,362,768 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00300 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 25 | ActivitiesOrProgramsCnt |
| Persons Served | 621 | PersonsServedCnt |
| Total Community Benefit Expns | $3,219,995 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $557,360 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,662,635 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00580 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Persons Served | 2177 | PersonsServedCnt |
| Total Community Benefit Expns | $481,720 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $241,242 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $240,478 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00050 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 2 | ActivitiesOrProgramsCnt |
| Persons Served | 2300 | PersonsServedCnt |
| Total Community Benefit Expns | $132,437 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $132,437 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00030 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 11 | ActivitiesOrProgramsCnt |
| Persons Served | 918 | PersonsServedCnt |
| Total Community Benefit Expns | $428,217 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $2,510 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $425,707 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00090 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 90 | ActivitiesOrProgramsCnt |
| Persons Served | 57099 | PersonsServedCnt |
| Total Community Benefit Expns | $5,777,262 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $953,237 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,824,025 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01050 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 90 | ActivitiesOrProgramsCnt |
| Persons Served | 57099 | PersonsServedCnt |
| Total Community Benefit Expns | $73,488,915 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $48,949,680 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $24,539,235 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.05380 | TotalExpensePct |
Health Improvement Advocacy HealthImprovementAdvocacyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 1 | ActivitiesOrProgramsCnt |
| Total Community Benefit Expns | $2,246 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $2,246 | NetCommunityBenefitExpnsAmt |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 3 | ActivitiesOrProgramsCnt |
| Persons Served | 106 | PersonsServedCnt |
| Total Community Benefit Expns | $26,711 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $26,711 | NetCommunityBenefitExpnsAmt |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Activities Or Programs | 4 | ActivitiesOrProgramsCnt |
| Persons Served | 106 | PersonsServedCnt |
| Total Community Benefit Expns | $28,957 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $28,957 | NetCommunityBenefitExpnsAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReportedInd |
| Bad Debt Expense | $16,546,716 | BadDebtExpenseAmt |
| Reimbursed By Medicare | $176,353,080 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $203,687,689 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$27,334,609 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | Yes (X) | CostToChargeRatioInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NORTHWEST COMMUNITY HOSPITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 800 W CENTRAL ROAD | AddressLine1Txt |
| City | ARLINGTON HEIGHTS | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60005 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Website Address | nch.org | WebsiteAddressTxt |
| State License | 0001701 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NORTHWEST COMMUNITY HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Prior CHNA Impact | Yes (X) | PriorCHNAImpactInd |
| CHNA Conducted | 16 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | false | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | false | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | NCH.org | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 16 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | NCH.org | StrategyWebsiteURLTxt |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 300. | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 600. | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Other Criteria | Yes (X) | OtherCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | NCH.org | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | NCH.org | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | NCH.org | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| Notified FAP Copy Bill Display | Yes (X) | NotifiedFAPCopyBillDisplayInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| Provided Written Notice | Yes (X) | ProvidedWrittenNoticeInd |
| Made Effort Orally Notify | Yes (X) | MadeEffortOrallyNotifyInd |
| Processed FAP Application | Yes (X) | ProcessedFAPApplicationInd |
| Made Presumptive Elig Determ | Yes (X) | MadePresumptiveEligDetermInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Look Back Medicare Private | Yes (X) | LookBackMedicarePrivateInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE H - PART V, SECTION B, LINE 5 | IN 2015, NORTHWEST COMMUNITY HOSPITAL (THE "HOSPITAL") PARTICIPATED IN A REGIONAL COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) OFFERED BY THE METROPOLITAN CHICAGO HEALTHCARE COUNCIL (MCHC) IN PARTNERSHIP WITH PROFESSIONAL RESEARCH CONSULTANTS (PRC). THE CHNA GATHERED INPUT FROM REPRESENTATIVES OF THE COMMUNITY BY CONDUCTING 30-MINUTE TELEPHONE HEALTH SURVEYS IN ENGLISH AND SPANISH BETWEEN MAY AND AUGUST 2015. 3,700 SURVEYS WERE CONDUCTED IN THE REGION WHICH CONSISTED OF COOK, DUPAGE AND LAKE COUNTIES, WITH 311 IN THE HOSPITAL'S SERVICE AREA. CAREFUL CONSIDERATION WAS TAKEN TO ENSURE THAT THE DEMOGRAPHICS OF THOSE PARTICIPATING IN THE SURVEY MIRRORED THE DEMOGRAPHICS OF THE COMMUNITY. THE SURVEY INSTRUMENT USED FOR THE STUDY IS BASED LARGELY ON THE CENTER FOR DISEASE CONTROL AND PREVENTION (CDC) BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS), AS WELL AS VARIOUS OTHER PUBLIC HEALTH SURVEYS AND CUSTOMIZED QUESTIONS ADDRESSING GAPS IN INDICATOR DATA RELATIVE TO HEALTH PROMOTION AND DISEASE PREVENTION OBJECTIVES AND OTHER RECOGNIZED HEALTH ISSUES. THE FINAL SURVEY INSTRUMENT WAS DEVELOPED BY PRC, WITH INPUT FROM THE HOSPITAL AND THE OTHER COMMUNITY SPONSORS. ISSUES ADDRESSED INCLUDED SELF-REPORTED HEALTH STATUS, PHYSICAL HEALTH STATUS, MENTAL HEALTH STATUS, DEATH AND DISABILITY, INFECTION AND CHRONIC DISEASE, BIRTHS, CHILDRENS HEALTH STATUS, MODIFIABLE HEALTH RISKS, ACCESS TO HEALTHCARE, HEALTH EDUCATION AND OUTREACH, AND HEALTH INFORMATION SOURCES.TO SOLICIT INPUT FROM KEY INFORMANTS, THOSE INDIVIDUALS WHO HAVE A BROAD INTEREST IN THE HEALTH OF THE COMMUNITY, AN ONLINE KEY INFORMANT SURVEY WAS IMPLEMENTED AS PART OF THE CHNA PROCESS. A LIST OF 22 RECOMMENDED PARTICIPANTS WAS PROVIDED TO MCHC; THIS LIST INCLUDED NAMES AND CONTACT INFORMATION FOR BEHAVIORAL HEALTH EXPERTS, A COMMUNITY BUSINESS LEADER, COMMUNITY NURSES, ELECTED OFFICIALS, AN EMS COORDINATOR, HOSPITAL ER PHYSICIANS, FQHC REPRESENTATIVES, HOSPITAL COMMUNITY SERVICES STAFF, HOSPITAL SOCIAL WORKERS, SOCIAL SERVICE AGENCIES, TOWNSHIP GENERAL ASSISTANCE STAFF, AND VILLAGE HEALTH AND HUMAN SERVICES STAFF. POTENTIAL PARTICIPANTS WERE CHOSEN BECAUSE OF THEIR ABILITY TO IDENTIFY PRIMARY CONCERNS OF THE POPULATIONS WITH WHOM THEY WORK, AS WELL AS OF THE COMMUNITY OVERALL. KEY INFORMANTS WERE CONTACTED BY EMAIL IN AUGUST 2015, INTRODUCING THE PURPOSE OF THE SURVEY AND PROVIDING A LINK TO TAKE THE SURVEY ONLINE; REMINDER EMAILS WERE SENT AS NEEDED TO INCREASE PARTICIPATION. IN ALL, 16 COMMUNITY STAKEHOLDERS TOOK PART IN THE ONLINE KEY INFORMANT SURVEY WHICH INCLUDED RESPONSES FROM THREE BEHAVIORAL HEALTH EXPERTS, ONE COMMUNITY BUSINESS LEADER, TWO COMMUNITY NURSES, ONE ELECTED OFFICIAL, ONE EMS COORDINATOR, TWO HOSPITAL ER PHYSICIANS, ONE HOSPITAL COMMUNITY SERVICES STAFF MEMBER, TWO SOCIAL SERVICE AGENCIES, TWO TOWNSHIP GENERAL ASSISTANCE DEPARTMENTS AND ONE VILLAGE HEALTH AND HUMAN SERVICES DEPARTMENT. THE ORGANIZATIONS REPRESENTED INCLUDED: NORTHWEST COMPASS, PARTNERS FOR OUR COMMUNITIES, VILLAGE OF ARLINGTON HEIGHTS, PALATINE AND WHEELING TOWNSHIPS, AND NORTHWEST COMMUNITY HEALTHCARE PHYSICIANS AND STAFF. THROUGH THIS PROCESS, INPUT WAS GATHERED FROM SEVERAL INDIVIDUALS WHOSE ORGANIZATIONS WORK WITH LOW-INCOME POPULATIONS, MINORITY POPULATIONS (INCLUDING AFRICAN-AMERICANS, ASIANS, EASTERN EUROPEANS, HISPANICS, INDIAN, JAPANESE, POLISH, AND RUSSIAN) OR OTHER MEDICALLY UNDERSERVED POPULATIONS (INCLUDING THE DISABLED, THE ELDERLY, THE HOMELESS, MEDICAID/MEDICARE BENEFICIARIES, THE MENTALLY ILL, PREGNANT TEENS, SUBSTANCE ABUSERS, UNDOCUMENTED INDIVIDUALS, UNINSURED/UNDERINSURED RESIDENTS, VETERANS, YOUNG ADULTS, AND WOMEN). IN THE ONLINE SURVEY, KEY INFORMANTS WERE ASKED TO RATE THE DEGREE TO WHICH VARIOUS HEALTH ISSUES ARE A PROBLEM IN THEIR OWN COMMUNITY. FOLLOW-UP QUESTIONS ASKED THEM TO DESCRIBE WHY THEY IDENTIFY PROBLEM AREAS AS SUCH, AND HOW THESE MIGHT BE BETTER ADDRESSED. RESULTS OF THEIR RATINGS, AS WELL AS THEIR VERBATIM COMMENTS, ARE INCLUDED THROUGHOUT THE CHNA REPORT AS THEY RELATE TO THE VARIOUS OTHER DATA COLLECTED. |
| SCHEDULE H - PART V, SECTION B, LINE 7A | https://www.nch.org/about-nch/community-services/community-health-needs-as sessment Schedule H - Part V, Section B, Line 10A https://www.nch.org/about-nch/community-services/community-health-needs-as sessment |
| SCHEDULE H - PART V, SECTION B, LINE 11 | THE MOST PREVALENT NEEDS IDENTIFIED IN THE CHNA WERE ACCESS TO CARE (PRIMARY, ORAL AND BEHAVIORAL HEALTHCARE), CANCER, DIABETES/NUTRITION/PHYSICAL ACTIVITY/OBESITY AND HEART DISEASE/STROKE. THE HOSPITAL IS COLLABORATING WITH A COUNTY HEALTH CLINIC AND TWO FEDERALLY QUALIFIED HEALTH CENTERS TO ADDRESS THE NEED OF IMPROVING ACCESS TO PRIMARY HEALTHCARE FOR UNINSURED AND UNDERINSURED INDIVIDUALS. THE HOSPITAL ALSO FUNDS CHARITABLE PRESCRIPTION, TRANSPORTATION AND COMMUNITY NURSING PROGRAMS. ACCESS TO ORAL HEALTH CARE IS ADDRESSED THROUGH A COLLABORATIVE MOBILE DENTAL CLINIC PROGRAM THAT IS OPERATED BY THE HOSPITAL WITH SUPPORT FROM FOUR LOCAL TOWNSHIPS, UNIVERSITY OF CHICAGO AND MIDWESTERN DENTAL SCHOOLS, HARPER COLLEGE, ADVANTAGE AMBULANCE AS WELL AS PROFESSIONAL VOLUNTEERS. THE HOSPITAL OPERATES A BEHAVIORAL HEALTH UNIT AND FUNDS A BEHAVIORAL HEALTH NAVIGATOR THAT ASSISTS UNINSURED AND UNDERINSURED INDIVIDUALS WITH MENTAL ILLNESS AND SUBSTANCE ABUSE ISSUES, ACCESS TO SERVICES AND OTHER RESOURCES. EFFORTS TO ADDRESS CANCER INCLUDE PROVIDING INDIVIDUAL AND GROUP TOBACCO CESSATION AND COUNSELING, FACILITATING MULTIPLE CANCER SUPPORT AND SURVIVOR GROUPS, OFFERING A GIFT-A-MAMMOGRAM PROGRAM, OPERATING A MULTI-DISCIPLINARY BREAST CANCER CLINIC, AND PARTICIPATING IN CANCER RESEARCH PROJECTS. THE HOSPITAL PROVIDES EDUCATION AND FACILITATES DIABETES SUPPORT GROUPS, IS OPENING A WEIGHT LOSS CLINIC, MAKING FINANCIAL CONTRIBUTIONS TO A SUMMER NUTRITION PROGRAM FOR YOUTH AND TO A COMMUNITY GARDEN, AND OFFERING REDUCED COST MEMBERSHIPS TO ITS WELLNESS CENTER ALL TO ADDRESS DIABETES, NUTRITION, PHYSICAL ACTIVITY AND OBESITY. THE HOSPITAL OPERATES A HEART FAILURE CLINIC, OFFERS FREE RISK ASSESSMENTS AND HAS SUPPORT GROUPS THAT ADDRESS HEART FAILURE AND STROKE. IN ACKNOWLEDGING THE WIDE RANGE OF HEALTH ISSUES THAT EMERGED FROM THE CHNA PROCESS, THE HOSPITAL DETERMINED IT COULD ONLY EFFECTIVELY FOCUS ON THOSE WHICH IT DEEMED MOST PRESSING, MOST UNDER-ADDRESSED, AND MOST WITHIN ITS ABILITY TO INFLUENCE. THE COMMUNITY HEALTH NEEDS THAT THE HOSPITAL IS UNABLE TO ADDRESS ARE: DEMENTIA/ALZHEIMERS AS THE HOSPITAL BELIEVES THERE ARE SUFFICIENT COMMUNITY RESOURCES AVAILABLE INCLUDING PRIMARY CARE PHYSICIANS TO DIAGNOSE AND NURSING HOMES AND MEMORY CARE FACILITIES TO TREAT; INFANT/CHILD HEALTH AS THE HOSPITAL BELIEVES THAT EFFORTS TO IMPROVE ACCESS TO PRIMARY HEALTH SERVICES WILL HAVE A POSITIVE IMPACT ON THE HEALTH AND WELLNESS OF INFANTS AND CHILDREN; FAMILY VIOLENCE AS THE HOSPITAL COLLABORATES WITH THREE LOCAL NOT-FOR-PROFIT AGENCIES TO ADDRESS DOMESTIC AND FAMILY VIOLENCE; SEXUALLY TRANSMITTED DISEASE (STD) AS THE HOSPITAL BELIEVES THAT EFFORTS TO IMPROVE ACCESS TO PRIMARY HEALTH SERVICES WILL HAVE A POSITVE IMPACT ON EDUCATION, EARLY DETECTION AND TREATMENT OF STDS; HEARING AND VISION PROBLEMS AS THE HOSPITAL BELIEVES THAT MULTIPLE COMMUNITY-BASED ORGANIZATIONS ARE ADDRESSING THIS NEED; AND FAMILY PLANNING, RESPIRATORY DISEASES, COMMUNITY VIOLENCE, IMMUNIZATIONS, INFECTIOUS DISEASES, ARTHRITIS, OSTEOPOROSIS, BACK CONDITIONS, UNINTENTIONAL INJURY, CHRONIC DISEASE, HIV, AND INJURY/VIOLENCE AS THE KEY INFORMANTS SURVEYED RECOGNIZE THAT THESE ISSUES HAVE INCONSISTENT LEVELS OF NEED WITHIN THE PRIMARY POPULATIONS SERVED. MANY OF THESE ISSUES WERE IDENTIFIED THORUGH SECONDARY COUNTY DATA WHICH IS NOT FULLY REPRESENTATIVE OF THE HOSPITAL'S COMMUNITY. THE HOSPITAL SUPPORTS THE EFFORTS OF OTHERS TO ADDRESS THESE AREAS AND WILL FOCUS ITS LIMITED RESOURCES ON THE MORE PREDOMINANT NEEDS IDENTIFIED. FOR A COMPLETE LIST OF NEEDS AND IMPLEMENTATION STRATEGIES VISIT THE HOSPITAL'S WEBSITE (NCH.ORG). |
| SCHEDULE H - PART V, SECTION B, LINE 13H | PRESUMED ELIGIBLE PATIENTS RECEIVE 100% FINANCIAL ASSISTANCE FOR THE ACCOUNT BALANCE. A PATIENT MUST PROVIDE DOCUMENTATION LISTING ELIGIBILITY OR QUALIFICATION OR PRINT SCREEN OF WEB PAGE LISTINGS ELIGIBILITY. A PATIENT IS PRESUMED ELIGIBLE IF THEY HAVE ONE OF THE FOLLOWING: - PARTICIPATION IN STATE-FUNDED PRESCRIPTION PROGRAMS; - PARTICIPATION IN WOMEN'S, INFANT'S, AND CHILDREN'S PROGRAMS (WIC); - FOOD STAMP ELIGIBILITY (LINK CARD); - ELIGIBILITY FOR OTHER STATE OR LOCAL ASSISTANCE PROGRAM THAT IS UNFUNDED; - LOW INCOME/SUBSIDIZED HOUSING ARE PROVIDED AS A VALID ADDRESS; - PATIENT IS DECEASED WITH NO KNOWN ESTATE; - AFFILIATION WITH HOMELESS ASSISTANCE ORGANIZATION (I.E. JOURNEYS TO HOPE); - ENROLLED IN SNAP, ILLINOIS FREE BREAKFAST/LUNCH, LOW INCOME HOME ENERGY ASSISTANCE PROGRAM, OR A COMMUNITY-BASED MEDICAL ASSISTANCE PROGRAM WITH LOW-INCOME CRITERIA; - RECEIVING GRANT ASSISTANCE FOR MEDICAL SERVICES; - RECENT PERSONAL BANKRUPTCY, INCARCERATION, RELIGIOUS ORDER AFFILIATION AND VOW OF POVERTY OR ENROLLMENT IN TANF OR IHDA'S RENTAL HOUSING SUPPORT PROGRAM; - A PATIENT WHO HAS BEEN UNRESPONSIVE TO EFFORTS TO APPLY FOR FINANCIAL ASSISTANCE BUT HAS BEEN ASSESSED UNDER THE POST-CARE PROCESS AND MEETS THE CRITERIA; - PATIENT IS MENTALLY OR PHYSICALLY INCAPACITATED AND HAS NO ONE TO ACT ON HIS/HER BEHALF; - PATIENT IS ELIGIBLE FOR SUBSIDIZED SCHOOL LUNCH PROGRAMS; OR - MEDICAID ELIGIBILITY THAT DOES NOT APPLY TO THIS SERVICE (I.E. DHS SOCIAL SERVICES, MOMS AND BABIES). |
| SCHEDULE H - PART V, SECTION B, LINE 16 | https://www.nch.org/patients-visitors/fees-and-bill-payment/patient-financ ial-assistance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 16 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (16 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| NCH Imaging Center | ||||
| 880 W Central Road | Arlington Heights | IL | 60005 | Imaging Services |
| NCH Immediate Care & Imaging Center | ||||
| 199 W Rand Road | Mount Prospect | IL | 60056 | WALK IN URGENT CARE CENTER, Lab,Imaging,Physical & Speech Therapy & Heart Care Services |
| NCH Imaging Center | ||||
| 1450 Busch Parkway | Buffalo Grove | IL | 60089 | Imaging Services |
| NCH IMMEDIATE CARE & IMAGING CENTER | ||||
| 519 S Roselle Road | Schaumburg | IL | 60193 | WALK IN URGENT CARE CENTER, Lab,Imaging,Physical Therapy Services |
| NCH BEHAVIORAL HEALTH | ||||
| 901 W Kirchhoff Road | ARLINGTON HEIGHTS | IL | 60005 | Behavioral Health Services |
| NCH Cardiac & Physical Rehabilitation | ||||
| 900 W Central Road | Arlington Heights | IL | 60005 | Cardiac & Physical Rehabilitation Services |
| NCH Home Health | ||||
| 3060 Salt Creek Lane | Arlington Heights | IL | 60005 | Home Healthcare Services |
| NCH Breast Vein care Weight Management | ||||
| 1410 N Arlington Heights Road | Arlington Heights | IL | 60004 | Breast Center, Vein care & Comprehensive Weight Management Services |
| NCH Immediate Care & Imaging Center | ||||
| 15 S McHenry Road | ARLINGTON HEIGHTS | IL | 60089 | Walk in Urgent Care Center Lab, Imaging, Physical Therapy Services |
| NCH OUTPATIENT CENTER | ||||
| 3300 Kirchoff Road | Rolling Meadows | IL | 60008 | Physical, Occupational, & Speech Therapy Services |
| NCH Immediate Care & Imaging Center | ||||
| 1201 S Rand Road | Lake Zurich | IL | 60047 | WALK IN URGENT CARE CENTER, Lab,Imaging,Physical Therapy Services |
| NCH Physical Rehabilitation | ||||
| 455 S Roselle Road | Schaumburg | IL | 60193 | Physical Therapy Services |
| NCH Physical Rehabilitation | ||||
| 1249 S Rand Road | Lake Zurich | IL | 60047 | Physical Therapy Services |
| NCH Pediatric Physical Rehabilitation | ||||
| 1590 N Arlington Heights Road | Arlington Heights | IL | 60005 | Pediatric Physical, Speech & Language, Occupational Therapy Services |
| NCH Imaging Center | ||||
| 1632 W Central Road | Arlington Heights | IL | 60005 | Imaging Services |
| NCH Diabetes Services | ||||
| 605 W Central Road | Arlington Heights | IL | 60005 | Diabetes Services |
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| SCHEDULE H - PART I, LINE 3C - CHARITY CARE POLICY | THE HOSPITAL PROVIDES EMERGENT AND MEDICALLY NECESSARY SERVICES TO ALL PATIENTS WITHOUT REGARD TO THE PATIENT'S ABILITY TO PAY. THE WRITTEN CHARITY CARE POLICY IS WIDELY DISTRIBUTED AND COMMUNICATED TO THE COMMUNITY UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY. THE AMOUNT OF FREE CARE PROVIDED IS DETERMINED BY FINANCIAL NEED AND IS NOT LIMITED BY BUDGETED AMOUNTS. PATIENTS EARNING LESS THAN 300% OF THE FEDERAL POVERTY GUIDELINES RECEIVE FREE CARE AND THOSE BETWEEN 300% AND 600% OF THE GUIDELINES RECEIVE DISCOUNTED CARE ON A SLIDING SCALE. THE FINANCIAL ASSISTANCE PROGRAM LOOKS AT THE CURRENT INCOME AND THEN CALCULATES THE POTENTIAL BENEFIT. THE PATIENT'S LIABILITY IS CAPPED AT 25% OF THE FAMILY'S ANNUAL INCOME. PLEASE SEE SCHEDULE H PART V, SECTION B, LINE 13H NARRATIVE FOR MORE DETAIL. SCHEDULE H - PART I, LINE 6A-COMMUNITY BENEFIT REPORT THE HOSPITAL PRODUCES A COMMUNITY BENEFIT REPORT WHICH HIGHLIGHTS THE COMMUNITY BENEFIT DOLLARS REPORTED IN THE ILLINOIS ATTORNEY GENERAL ANNUAL NON PROFIT HOSPITAL COMMUNITY BENEFITS PLAN REPORT. THIS INCLUDES CHARITY CARE, LANGUAGE ASSISTANT SEVICES, GOVERNMENT SPONSORED INDIGENT HEALTH CARE, DONATIONS, VOLUNTEER SERVICES, EDUCATION, RESEARCH, SUBSIDIZED HEATLH SERVICES AND OTHER COMMUNITY BENEFITS. IT ALSO HIGHLIGHTS THE HOSPITALS KEY OUTREACH INITIATIVES AND EFFORTS TO IMPROVE COMMUNITY HEALTH. COPIES OF THE REPORT ARE PRINTED AND MAILED TO KEY STAKEHOLDERS INCLUDING LOCAL GOVERNMENT, SOCIAL SERVICE AGENCIES, HOSPITAL SUPPORTERS AND MORE. A COPY OF THE REPORT IS POSTED ON THE HOSPITAL WEBSITE NCH.ORG. |
| SCHEDULE H - PART I, LINE 7 - FINANCIAL ASSISTANCE | THE FOLLOWING METHODOLOGIES WERE USED TO DETERMINE THE AMOUNTS REPORTED IN THE TABLE FOR LINE 7: PART I, LINES 7A - 7D RATIO OF COST TO CHARGES WAS DETERMINED USING WORKSHEET 2 IN THE FORM 990, SCHEDULE H INSTRUCTIONS. PART I, LINES 7E - 7I COSTS WERE DETERMINED USING THE DIRECT AND INDIRECT COSTS FOR SPECIFIC PROGRAMS OR SERVICES. THESE COSTS WERE MAINTAINED/IDENTIFIED IN THE HOSPITAL'S "COMMUNITY BENEFIT INVENTORY FOR SOCIAL ACCOUNTABILITY SOFTWARE" (CBISA). THE INDIRECT PORTION OF THESE COSTS WAS CALCULATED UTILIZING THE INDIRECT COST RATIO FROM THE HOSPITAL'S LATEST AVAILABLE MEDICARE COST REPORT. THIS "INDIRECT" RATIO WAS ENTERED INTO CBISA FOR THE CALCULATION OF INDIRECT COSTS. Part I, Line 7g SUBSIDIZED HEALTH SERVICES THE HOSPITAL PROVIDES A MOBILE DENTAL CLINIC PROGRAM STAFFED BY A HOSPITAL-EMPLOYED FULL TIME DENTIST, DENTAL ASSISTANT AND PROGRAM MANAGER. EVIDENCE BASED RESEARCH DEMONSTRATES THAT GUM DISEASE AND ORAL HEALTH PROBLEMS ARE LINKED TO OTHER SYSTEMIC MEDICAL PROBLEMS SUCH AS CARDIOVASCULAR DISEASE, STROKE, AND BACTERIAL PNEUMONIA, AS WELL AS INCREASED RISK OF DELIVERING PRE-TERM OR LOW BIRTH-WEIGHT BABIES. THE HOSPITAL, WITH FINANCIAL SUPPORT FROM LOCAL TOWNSHIPS, PROVIDES PREVENTATIVE AND RESTORATIVE CARE TO UNINSURED AND UNDERINSURED MEMBERS OF THE COMMUNITY 4-5 DAYS PER WEEK IN A TRAVELING DENTAL CLINIC. IN ADDITION TO THE OPERATING COSTS REPORTED, THIS YEAR'S COSTS ALSO INCLUDE THE HOSPITAL'S CAPITAL COSTS TO PURCHASE A NEW CLINIC. PART I, LINE 7, Column (F) $16,546,716 of bad debt expense was excluded from total expenses reported on Form 990, Part IX, Line 25, column (A) in the calculation to determine the percentage of net community benefit expenses in relation to total expenses. |
| SCHEDULE H - PART II, COMMUNITY BUILDING ACTIVITIES | PART II - LINE 6 - COALITION BUILDING THE HOSPITAL'S DIRECTOR OF COMMUNITY SERVICES REPRESENTS THE ORGANIZATION THROUGH PARTICIPATION IN THE ARLINGTON HEIGHTS ROTARY CLUB IN THE HOSPITAL'S PRIMARY SERVICE AREA. ROTARY CLUB MEMBERS ARE PREDOMINATELY BUSINESS AND PROFESSIONAL LEADERS WHO COME TOGETHER TO SUPPORT ORGANIZATIONS THAT ADDRESS NEED AND DISPARITY IN THE COMMUNITY. AREAS ADDRESSED INCLUDE HUNGER, HOMELESSNESS, MENTAL HEALTH ISSUES, CANCER, TROUBLED YOUTH, DEVELOPMENTALLY DISABLED, DOMESTIC VIOLENCE AND MANY MORE. NOTE THAT THIS WAS NOT REPORTED IN THE COMMUNITY BUILDING SECTION OF THIS REPORT BECAUSE THE SALARY IS ALREADY CAPTURED IN COMMUNITY BENEFIT OPERATIONS IN PART I, LINE 7J. PART II - LINE 7 - COMMUNITY HEALTH IMPROVEMENT ADVOCACY THE HOSPITAL'S PRESIDENT AND CEO SERVES ON THE BOARD OF DIRECTORS FOR THE ILLINOIS HOSPITAL ASSOCIATION (IHA). THE IHA WORKS WITH OVER 200 HOSPITALS AND 50 HEALTH CARE SYSTEMS TO IMPROVE THE HEATLH AND WELL-BEING OF PATIENTS AND COMMUNITIES. THE CEO ALSO PARTICIPATES IN THE LEADERSHIP BOARD OF THE CHILDREN'S ADVOACY CENTER (CAC). THE CAC IS THE LEADING RESOURCE TO EMPOWER AND HEAL ABUSED CHILDREN AND TO PREVENT VIOLENCE AGAINST CHILDREN. PART II - LINE 8 - WORKFORCE DEVELOPMENT THE HOSPITAL HAS A PROGRAM TO ENCOURAGE HIGH SCHOOL STUDENTS TO EXPLORE CAREERS IN HEALTHCARE. THE PROGRAM PROVIDES LOCAL HIGH SCHOOL STUDENTS THE OPPORTUNITY TO SPEND 14 WEEKS IN THE HOSPITAL SHADOWING 14 DIFFERENT DEPARTMENTS. AS THE STUDENTS ROTATE THROUGH THE VARIOUS DEPARTMENTS THEY ARE EXPOSED TO AN ARRAY OF CLINICAL FIELDS, PROVIDING THEM WITH AN IN-DEPTH LOOK AT JUST SOME OF THE MANY CAREER TRACKS THEY COULD PURSUE. THE HOSPITAL ALSO PROVIDES AN OPPORTUNITY FOR STUDENTS FROM HARPER COLLEGE'S "ONE MILLION DEGREES" PROGRAM TO VISIT THE HOSPITAL, HEAR PRESENTATIONS FROM DIFFERENT DEPARTMENTS AND ASK QUESTIONS AS A WAY TO EXPLORE DIFFERENT CAREERS IN HEALTHCARE. THE HOSPITAL ALSO HOSTS CAREER FAIRS THROUGHOUT THE YEAR FOR VARIOUS STUDENT GROUPS FROM THE COMMUNITY. THE HOSPITAL HAS STAFF SERVING ON THE BOARD OF DIRECTORS OF THE ILLINOIS SOCIETY FOR ADVANCED PRACTICE NURSING (ISAPN). THIS ORGANIZATION IS A PROFESSIONAL ORGANIZATION DEDICATED TO PROMOTING AND ADVOCATING FOR ADVANCED PRACTICE NURSES. ISAPN MEMBERS TAKE LEADERSHIP ROLES IN TODAY'S HEALTH CARE FIELDS AND ARE KNOWLEDGEABLE ABOUT THE ISSUES THAT SURROUND THEIR PROFESSION. ISAPN PROVIDES CONTINUING EDUCATION PROGRAMS, OFFERS OPPORTUNITIES TO COLLABORATE WITH OTHER PROFESSIONALS AND ORGANIZATIONS AND SUPPORTS LEGISLATION AS IT RELATES TO ADVANCED PRACTICE NURSES. SCHEDULE H - PART III, BAD DEBT, MEDICARE & COLLECTION PRACT. SECTION A, LINE 2, 3 AND 4 NORTHWEST COMMUNITY HOSPITAL IS INCLUDED IN THE AUDITED FINANCIAL STATEMENTS OF NORTHWEST COMMUNITY HEALTHCARE (NCH) AND SUBSIDIARIES. THE TEXT OF THE FOOTNOTE #4, REFERENCING UNCOLLECTIBLE ACCOUNTS IN THE FY 2017 AUDITED FINANCIAL STATEMENT IS AS FOLLOWS: "[NCH] ANALYSES THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS MONTHLY USING A HINDSIGHT CALCULATION THAT UTILIZES WRITE-OFF DATA FOR ALL PAYER CLASSES DURING THE LATEST 18-MONTH PERIOD, WITH WRITE-OFF ACTIVITY TO ESTIMATE THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS AT A POINT IN TIME. THE PERCENTAGES USED IN THE COMPUTATION OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS CHANGE EACH MONTH GIVEN CHANGES IN TRENDS FROM THESE ANALYSES OR POLICY CHANGES." ACCOUNTS RECEIVABLE ARE CHARGED TO THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS WHEN THEY ARE DEEMED UNCOLLECTIBLE. WRITE-OFFS ARE SHOWN NET OF CONTRACTUALS AND DISCOUNTS. THE HOSPITAL'S BAD DEBT EXPENSE AS REPORTED ON LINE 2 IS REPORTED AT THE REMAINING CHARGES. FOR FY 2017, THE HOSPITAL RECORDED PROVISIONS FOR BAD DEBT EXPENSE OF $16,546,716. IN 2013, THE HOSPITAL BEGAN USING A FINANCIAL TOOL TO DETERMINE "PRESUMPTIVE ELIGIBILITY" FOR CHARITY CARE WRITE-OFFS. THIS TOOL UTILIZES VARIOUS CRITERIA TO HELP DETERMINE PATIENTS THAT WOULD BE ELIGIBLE FOR FINANCIAL ASSISTANCE EVEN IF THOSE PATIENTS HAVE NOT COMPLETED A FINANCIAL ASSISTANCE APPLICATION. IT IS BELIEVED THAT ALL PATIENTS WHO WOULD QUALIFY FOR CHARITY HAVE BEEN IDENTIFIED AND THAT LITTLE TO NONE OF THE AMOUNTS WRITTEN OFF AS BAD DEBT COULD BE CLASSIFIED AS CHARITY AS A RESULT OF THE USE OF THIS NEW FINANCIAL TOOL. PART III, SECTION B, LINE 8 THE MEDICARE SHORTFALL REPORTED IN PART III, LINE 7 REPRESENTS THE EXCESS COST OF PROVIDING SERVICES TO MEDICARE BENEFICIARIES OVER THE PAYMENTS RECEIVED FROM THE MEDICARE PROGRAM. ACCESS TO QUALITY HEALTHCARE IS IMPERATIVE FOR ALL MEDICARE RECIPIENTS, MANY OF WHOM ARE LIVING ON A FIXED INCOME. AS SUCH, THE COSTS ABSORBED BY THE HOSPITAL IN PROVIDING THESE SERVICES IS A BENEFIT TO THE MEMBERS OF THE COMMUNITY WE SERVE. PART III SECTION C. COLLECTION PRACTICES, LINE 9B IT IS THE POLICY OF THE HOSPITAL TO OFFER PATIENTS A PAYMENT PLAN OR FINANCIAL ASSISTANCE WHEN IT BECOMES KNOWN OR SUSPECTED THAT A PATIENT NEEDS SUCH ASSISTANCE. FINANCIAL COUNSELORS CONTACT AND WORK WITH THE PATIENT OR THEIR FAMILY TO HELP DETERMINE IF THERE ARE ANY THIRD PARTY PAYERS WHICH MAY BE AVAILABLE TO HELP THE PATIENT MEET THEIR OBLIGATIONS, SUCH AS MEDICAID, COBRA, WORKERS COMPENSATION, OR SPECIALIZED GRANT PROGRAMS. IF NO THIRD PARTY PROGRAMS ARE IDENTIFIED, THE FINANCIAL COUNSELORS WORK WITH THE PATIENT TO HELP THEM APPLY FOR CHARITY DISCOUNTS OR PAYMENT PLANS. FORMS ARE AVAILABLE IN ENGLISH, SPANISH, RUSSIAN, POLISH, GERMAN, JAPANESE AND TRANSLATION SERVICES ARE PROVIDED IN MANY LANGUAGES. IN ADDITION, ALL PATIENT BILLS AND STATEMENTS INCLUDE INFORMATION ABOUT HOW TO APPLY FOR FINANCIAL ASSISTANCE AND THE INFORMATION IS ALSO POSTED ON THE HOSPITAL'S WEBSITE (NCH.ORG). COLLECTION ACTIVITY WILL BE SUSPENDED DURING THE CONSIDERATION OF A COMPLETED FINANCIAL ASSISTANCE APPLICATION OR AN APPLICATION FOR OTHER HEALTHCARE BRACKET (I.E., MEDICARE, MEDICAID, ETC.) UNTIL FINANCIAL ASSISTANCE CAN BE DETERMINED. ACCOUNTS IN THE FINANCIAL ASSISTANCE PROCESS WILL BE MONITORED AND, UPON THE DECISION TO APPROVE OR DENY FINANCIAL ASSISTANCE, THE PATIENT'S ACCOUNT WILL BE UPDATED. IF THE FINANCIAL ASSISTANCE APPLICATION IS APPROVED WITH A PERCENTAGE LESS THAN 100% OR DENIED, THE PATIENT'S ACCOUNT WILL BE NOTED AND THE HOSPITAL WILL RESUME THE SELF-PAY COLLECTION ACTIVITY IN COMPLIANCE WITH ITS SELF PAY FOLLOW-UP PROCEDURES. |
| SCHEDULE H - PART VI, LINE 2 - NEEDS ASSESSMENT | THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) CONDUCTED BY PRC, WHICH WAS DESCRIBED IN PART V, WAS A DATA-DRIVEN APPROACH TO DETERMINING THE HEALTH STATUS OF THE COMMUNITY AND INCLUDED BOTH QUANTITATIVE (PHONE SURVEYS) AND QUALITATIVE (FOCUS GROUP) COMPONENTS. THE ASSESSMENT ALSO INTEGRATED THE MOST RECENT SECONDARY PUBLIC HEALTH DATA TO COMPLEMENT THE RESEARCH OF THE CHNA. THE DATA COLLECTED FOR THE HOSPITAL'S SERVICE AREA WAS BENCHMARKED AGAINST THE SECONDARY DATA AVAILABLE FOR THE REGION, STATE, US, HEALTHY PEOPLE 2020 AS WELL AS COMPARING THE DATA COLLECTED AGAINST THE HOSPITAL'S PREVIOUS ASSESSMENT. ALL QUANTITATIVE DATA FOR BOTH THE HOSPITAL AND REGION IS HOUSED IN AN EASILY ACCESSIBLE ONLINE PORTAL. PRC ALSO PROVIDED THE HOSPITAL WITH A SUMMARY DOCUMENT WHICH INCLUDED RECOMMENDATIONS ON AREAS OF CONCERN OR OPPORTUNITY. THE CHNA IS CONDUCTED EVERY THREE YEARS. THE HOSPITAL CONVENED AN INTERNAL, MULTI-DISCIPLINARY COMMITTEE TO REVIEW THE RESULTS OF THE CHNA, AFFIRM AND PRIORITIZE NEEDS, AND DEVELOP AN IMPLEMENTATION PLAN. REPRESENTATIVES FROM THE FOLLOWING DEPARTMENTS SERVED ON THE COMMITTEE: ADMINISTRATION, BEHAVIORAL HEALTH, CARE COORDINATION, COMMUNITY SERVICES, DIABETES SERVICES, DECISION SUPPORT, EMERGENCY DEPARTMENT, EMS, FOUNDATION, IMMEDIATE CARE CENTERS, NURSING, MEDICAL GROUP, PATIENT ACCESS SERVICES, RESEARCH, SENIOR SERVICES AND SERVICE EXCELLENCE. COMMITTEE MEMBERS REVIEWED THE FINDINGS AND AREAS OF OPPORTUNITY THAT WERE PRESENTED BY PRC. IN ADDITION, FEEDBACK ON COMMUNITY HEALTH NEEDS FROM THE COMMUNITY SERVICES DEPARTMENT AND OTHER INTERNAL DEPARTMENTS WAS ALSO CONSIDERED. THE COMMITTEE USED THE FOLLOWING CRITERIA WHEN PRIORITIZING HEALTH ISSUES: MAGNITUDE, IMPACT, FEASIBILITY AND CONSEQUENCES OF INACTION. THE MOST PREDOMINANT ISSUE WAS THE DIFFICULTY THE COMMUNITY HAS IN ACCESSING HEALTHCARE SERVICES WHICH INCLUDES PRIMARY, ORAL, AND BEHAVIORAL HEALTH SERVICES. OTHER CONCERNS WERE CANCER, DIABETES/NUTRITION/PHYSICAL ACTIVITY/WEIGHT AND HEART DISEASE/STROKE. THE COMMITTEE IDENTIFIED THESE CONCERNS AS THE FOUR MAIN "PRIORITY AREAS,THE MAJORITY OF THE HOSPITAL'S OUTREACH EFFORTS FOCUS ON ADDRESSING THESE NEEDS. AN IMPLEMENTATION PLAN WAS DEVELOPED AND WAS PRESENTED FOR APPROVAL TO THE COMMUNITY HEALTH AND OUTREACH COMMITTEE, A COMMITTEE OF THE BOARD OF DIRECTORS, IN FEBRUARY 2016. IT WAS ALSO PRESENTED FOR APPROVAL TO THE COMMUNITY BENEFIT REGULATORY COMMITTEE, A COMMITTEE THAT ENSURES THE HOSPITAL IS MEETING ALL OF THE MANDATED REGULATORY REQUIREMENTS IN APRIL 2016. BOTH COMMITTEES UNANIMOUSLY APPROVED THE PLAN WHICH INCLUDES MEASUREMENT INDICATORS AND THE PLAN WAS POSTED TO THE HOSPITALS WEBSITE (NCH.ORG) IN JUNE 2016, WHICH THE COMMUNITY WAS MADE AWARE OF THROUGH PRESS RELEASES. THE IMPLEMENTATION PLAN IS ASSESSED AND UPDATED ON THE HOSPITAL'S WEBSITE ON AN ANNUAL BASIS. THE WEBSITE ALSO HAD A LINK WHICH PROVIDES THE COMMUNITY WITH THE OPPORTUNITY TO OFFER COMMENTS AND FEEDBACK ABOUT THE ASSESSMENT AND/OR IMPLEMENTATION STRATEGIES. NO COMMENTS HAVE BEEN RECEIVED SINCE THE CHNA AND IMPLEMENTATION STRATEGIES WERE POSTED. AS MENTIONED PREVIOUSLY, THE HOSPITAL MAINTAINS A FULL TIME COMMUNITY SERVICES DEPARTMENT WHO IS IN CONSTANT COLLABORATION WITH COMMUNITY ORGANIZATIONS, LOCAL GOVERNMENT, SCHOOLS, CHURCHES AND SOCIAL SERVICE AGENCIES TO IDENTIFY AND ADDRESS UNMET NEEDS. THE DIRECTOR OF THE COMMUNITY SERVICES DEPARTMENT IS ON THE BOARD OF DIRECTORS OF PARTNERS FOR OUR COMMUNITIES (POC), A LOCAL NOT FOR PROFIT THAT HELPS THE HOSPITAL RUN A COMMUNITY RESOURCE CENTER IN THE HOSPITALS PRIMARY SERVICE AREA. THE RESOURCE CENTER HOUSES ELEVEN NOT FOR PROFIT AGENCIES INCLUDING VISTA HEALTH CENTER, A COOK COUNTY HEALTH AND HOSPITAL SYSTEM AMBULATORY SITE. PROVIDERS AT THIS CENTER MEET WITH THE HOSPITAL REGULARLY TO REVIEW COMMUNITY NEEDS AND EXPLORE COLLABORATIVE STRATEGIES TO ADDRESS THEM. |
| SCHEDULE H - PART VI, LINE 3 - PATIENT EDUCATION OF ELIG. FOR ASSISTANCE | THE FINANCIAL ASSISTANCE PROGRAM AT NORTHWEST COMMUNITY HOSPITAL IS COMMUNICATED WIDELY TO PATIENTS AND VISITORS IN ENGLISH AND SPANISH USING THE FOLLOWING METHODS: 1. SIGNAGE IN ENGLISH AND SPANISH IS POSTED THROUGHOUT THE ORGANIZATION AT ALL ACCESS POINTS, INCLUDING THE EMERGENCY DEPARTMENT AND OUTPATIENT REGISTRATION AREAS. THESE AREAS ALSO STOCK AND MAKE AVAILABLE A BROCHURE, PRINTED IN ENGLISH AND SPANISH, DESCRIBING THE HOSPITAL'S POLICY. THE HOSPITAL PROVIDES A COMPREHENSIVE LANGUAGE ASSISTANCE PROGRAM WHICH INCLUDES VIDEO REMOTE AND IN-PERSON TRANSLATORS WHO CAN ASSIST THOSE WHO NEED ADDITIONAL INFORMATION ON FINANCIAL ASSISTANCE. 2. IN FY 2017 THE INFORMATION BELOW WAS POSTED ON THE HOSPITAL WEBSITE. "FINANCIAL ASSISTANCEOTHER RELATED TERMS CAN ALSO BE SEARCHED FOR FROM ANY PAGE OF THE HOSPITAL WEBSITE TAKING USERS TO THE INFORMATION INCLUDING APPLICATIONS FOR FINANCIAL ASSISTANCE (AVAILABLE IN ENGLISH, SPANISH, GERMAN, POLISH, JAPANESE, AND RUSSIAN), FINANCIAL ASSISTANCE POLICIES, AND WAYS TO REACH THE NCH FINANCIAL COUNSELOR BY EMAIL, PHONE OR IN PERSON. PATIENT FINANCIAL ASSISTANCE PAGE: TO APPLY FOR PATIENT FINANCIAL ASSISTANCE AT NCH, PLEASE PRINT THE FINANCIAL ASSISTANCE APPLICATION (TAMBIEN DISPONIBLE EN ESPAOL) AND COMPLETE ALL NECESSARY FIELDS. PLEASE BE SURE TO PROVIDE ALL REQUESTED DOCUMENTATION TO BE CONSIDERED FOR FINANCIAL ASSISTANCE. NORTHWEST COMMUNITY HOSPITAL IS A CHARITABLE ORGANIZATION AND PROVIDES FINANCIAL ASSISTANCE TO THOSE WHO ARE ELIGIBLE. THE DAY SURGERY CENTER IS A FOR-PROFIT ORGANIZATION AND ALSO PROVIDES FINANCIAL ASSISTANCE TO THOSE WHO ARE ELIGIBLE. MAIN FEES AND BILL PAYMENT PAGE: FOR FAMILIES WITHOUT INSURANCE WHO NEED HELP WITH MEDICAL BILLS, WE ACCEPT ILLINOIS PUBLIC AID. IN ADDITION, YOU MAY QUALIFY FOR FINANCIAL ASSISTANCE FOR MEDICAL BILLS THROUGH NORTHWEST COMMUNITY HOSPITAL. NORTHWEST COMMUNITY HOSPITAL IS A CHARITABLE ORGANIZATION AND PROVIDES FINANCIAL ASSISTANCE TO THOSE WHO ARE ELIGIBLE. THE DAY SURGERY CENTER IS A FOR-PROFIT ORGANIZATION AND ALSO PROVIDES FINANCIAL ASSISTANCE TO THOSE WHO ARE ELIGIBLE. 3. EACH PATIENT INVOICE OR OTHER SUMMARY OF CHARGES TO A PATIENT SHALL INCLUDE WITH IT OR ON IT A STATEMENT REGARDING HOW A PATIENT MAY APPLY FOR CONSIDERATION UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY. THE PATIENT IS PROVIDED A CONTACT NUMBER FOR FINANCIAL ASSISTANCE AND OUR WEBPAGE TO DOWNLOAD AN APPLICATION. 4. FINANCIAL COUNSELORS PROVIDE FINANCIAL ASSISTANCE INFORMATION TO PATIENTS DURING THEIR REGISTRATION AND WORK WITH PATIENTS IDENTIFIED AT REGISTRATION OR AFTER ADMISSION TO HELP THEM GET THE ASSISTANCE THEY NEED, ANSWER QUESTIONS, SET UP PAYMENT PLANS AND FACILITATE APPLICATIONS FOR GOVERNMENT PROGRAMS SUCH AS MEDICAID. |
| SCHEDULE H - PART VI, LINE 4 - COMMUNITY INFORMATION | NORTHWEST COMMUNITY HOSPITAL IS LOCATED IN ARLINGTON HEIGHTS, ILLINOIS, A SUBURB LOCATED APPROXIMATELY 25 MILES NORTHWEST OF CHICAGO. ITS PRIMARY SERVICE AREA CONSISTS OF ARLINGTON HEIGHTS AND THE SURROUNDING SUBURBS OF MT. PROSPECT, PALATINE, AND ROLLING MEADOWS. THE HOSPITAL'S SECONDARY SERVICE AREA IS COMPRISED OF BARRINGTON, BUFFALO GROVE, DES PLAINES, ELK GROVE VILLAGE, HOFFMAN ESTATES, LAKE ZURICH, PROSPECT HEIGHTS, SCHAUMBURG AND WHEELING. THE POPULATION OF THE HOSPITAL'S TOTAL SERVICE AREA IS APPROXIMATELY 673,000. THE HIGHEST UTILIZATION OF HEALTH CARE SERVICES ARE PATIENTS AGED 65 AND OVER, AND THIS AGE GROUP IS EXPECTED TO GROW 16.9% OVER THE NEXT FIVE YEARS. THE HOSPITAL'S TOTAL SERVICE AREA IS PREDOMINATELY NON-HISPANIC WHITE (65%), FOLLOWED BY HISPANIC (15.7%) AND ASIAN (14.0%). THE NON-HISPANIC WHITE POPULATION IS PROJECTED TO DECREASE BY 3.7% OVER THE NEXT FIVE YEARS (THROUGH 2022). THE POPULATIONS THAT ARE PROJECTED TO HAVE THE LARGEST GROWTH ARE THE ASIAN (11.8%) AND HISPANIC (7.7%) POPULATIONS. HOUSEHOLD INCOME FOR THE SERVICE AREA EXCEEDS STATE AND NATIONAL AVERAGES WITH 69% OF THE HOUSEHOLDS HAVING AN ANNUAL AVERAGE INCOME OF $50K OR MORE PER YEAR. THE HOSPITALS SERVICE AREA HAS SIGNIFIGANT POCKETS OF VULNERABLE POPULATIONS BASED ON INCOME AND ATTAINMENT OF A HIGH SCHOOL DEGREE. IN ADDITION, THE ENTIRE PRIMARY SERVICE AREA AND A SIGNIFICANT PORTION OF THE SECONDARY SERVICE AREA HAVE BEEN DESIGNATED AS A MEDICALLY-UNDERSERVED POPULATION. THE HOSPITAL WORKS CLOSELY WITH TWO FEDERALLY QUALIFIED HEALTH CENTERS AND A COUNTY RUN PRIMARY CARE CLINIC, ALL LOCATED IN THE HOSPITAL'S SERVICE AREA. |
| SCHEDULE H - PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTH | THE HOSPITAL FURTHERS ITS EXEMPT PURPOSE BY PROMOTING THE HEALTH OF ITS COMMUNITY IN MANY WAYS AS FOLLOWS: (1) A MAJORITY OF THE HOSPITAL'S BOARD OF DIRECTORS IS COMPRISED OF PERSONS WHO LIVE OR WORK IN THE HOSPITAL'S PRIMARY SERVICE AREA AND ARE NOT EMPLOYEES OR CONTRACTORS OF THE HOSPITAL. (2) THE HOSPITAL EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY. (3) A STANDING COMMUNITY HEALTH AND OUTREACH COMMITTEE OF THE HOSPITAL BOARD REVIEWS THE COMMUNITY HEALTH NEEDS ASSESSMENT AND ENSURES THE IMPLEMENTATION PLAN ADDRESSES IDENTIFIED NEEDS. THE COMMITTEE PROVIDES OVERSIGHT IN MONITORING AND EVALUATING THE EFFECTIVENESS OF STRATEGIES AND INITIATIVES INCLUDED IN THE IMPLEMENTATION PLAN. THE COMMITTEE MONITORS THE AMOUNT OF DOLLARS INVESTED IN COMMUNITY BENEFIT INCLUDING CHARITY CARE, COMMUNITY HEALTH EDUCATION, AND OTHER COMMUNITY HEALTH IMPROVEMENT INITIATIVES. IN ADDITION, THE COMMUNITY BENEFIT REGULATORY COMMITTEE REVIEWS THE COMMUNITY HEALTH NEEDS ASSESMENT PROCESS TO ENSURE ALL REGULATORY REQUIREMENTS ARE BEING MET. (4) THE HOSPITAL MAINTAINED AN AVERAGE OF 282 DAYS CASH OR CASH EQUIVALENT ON HAND IN THE HOSPITAL ITSELF OR AT NORTHWEST COMMUNITY HEALTHCARE (A 501(C)(3) SUPPORTING ORGANIZATION AND SOLE MEMBER OF THE HOSPITAL) FOR FUNDING CAPITAL IMPROVEMENTS IN TECHNOLOGY, FACILITIES OR PATIENT CARE EQUIPMENT, AND SUPPORTING HOSPITAL OPERATIONS OR COMMUNITY OUTREACH INITIATIVES. (5) THE HOSPITAL HAS DEDICATED STAFF THAT SERVE AS MEMBERS, CHAIRPERSONS, OFFICERS, AND BOARD MEMBERS OF LOCAL AND NATIONAL ORGANIZATIONS DEVOTED TO IMPROVING THE HEALTH AND WELLBEING OF COMMUNITY MEMBERS. THESE ORGANIZATIONS INCLUDE: THE CHILDREN'S ADVOCACY CENTER LEADERSHIP COMMITTEE, CHICAGO DENTAL SOCIETY, ILLINOIS HOSPITAL ASSOCIATION BOARD OF DIRECTORS, ILLINOIS SOCIETY FOR ADVANCED PRACTICE NURSES, PARTNERS FOR OUR COMMUNITIES, AS WELL AS LOCAL ROTARY CLUBS. (6) COLLABORATIVE PARTNERSHIPS ARE THE FOUNDATION TO MANY OF THE HOSPITAL'S COMMUNITY HEALTH INITIATIVES AIMED TO IMPROVE THE HEALTH AND WELL BEING OF THE COMMUNITY. THESE PARTNERSHIPS INCLUDE A COLLABORATION WITH GREATER ELGIN FAMILY CARE CENTER (A LOCAL FEDERALLY QUALIFIED HEALTH CENTER), AND COOK COUNTY HEALTH AND HOSPITAL SYSTEM TO BRING PRIMARY CARE SERVICES FOR THE UNINSURED AND UNDERINSURED TO THE COMMUNITY. THE HOSPITAL ALSO PARTNERS WITH ELK GROVE, PALATINE, SCHAUMBURG, AND WHEELING TOWNSHIPS ON A MOBILE DENTAL CLINIC PROGRAM WHICH PROVIDED 2,177 PATIENT VISITS IN FY 2017 WITH THE HOSPITAL ABSORBING $240,478 OF THE OPERATING COSTS. NORTHWEST COMMUNITY HEALTHCARE, AN AFFILIATE OF THE HOSPITAL, ALSO PARTNERS WITH PARTNERS FOR OUR COMMUNITIES (POC), A LOCAL 501(C)(3) ORGANIZATION, TO OPERATE AND RUN THE COMMUNITY RESOURCE CENTER WHICH PROVIDES DIRECT SERVICES, REFERRALS, AND OTHER ASSISTANCE TO THE UNDER-RESOURCED. THE HOSPITAL OWNS AND MAINTAINS THE BUILDING AND PROVIDES FREE OR LOW-COST RENT TO LOCAL NOT FOR PROFIT AGENCIES, INCLUDING: THE CENTER-RESOURCES FOR TEACHING AND LEARNING (ECDEC PROGRAM), COMMUNITY CONSOLIDATED SCHOOL DISTRICT 15, PALATINE TOWNSHIP SENIOR CITIZENS COUNCIL, PALATINE POLICE DEPARTMENT, HARPER COLLEGE, THE PALATINE PUBLIC LIBRARY, PATH (PALATINE ASSISTING THROUGH HOPE), WINGS (WOMEN IN NEED GROWING STRONGER), BUEHLER YMCA, PALATINE PARK DISTRICT, HIAS CHICAGO, AS WELL AS THE COOK COUNTY HEALTH AND HOSPITAL PRIMARY CARE CLINIC DESCRIBED PREVIOUSLY. SOME OF THE MANY PROGRAMS OFFERED AT THE RESOURCE CENTER INCLUDE GED AND CITIZENSHIP CLASSES, HEALTHCARE SERVICES, COMPUTER LITERACY, AFTER-SCHOOL YOUTH PROGRAM, BILINGUAL COUNSELING, PARENTING CLASSES, JOB PLACEMENT, CAREER EDUCATION AND RECREATION. IN FY 2017, THE COMMUNITY RESOURCE CENTER HAD 218,800 CLIENT VISITS AND THE HOSPITAL'S COST TO OPERATE THE FACILITY WAS $216,412. IN ADDITION TO THE COMMUNITY RESOURCE CENTER, THE HOSPITAL WORKS WITH POC ON MANY COLLABORATIVE HEALTH INITIATIVES INCLUDING THE PROMOTORAS DE SALUD PROGRAM WHICH PROVIDES HEALTH EDUCATION TO THE LATINO POPULATION. THIS PROGRAM IDENTIFIES LATINA WOMEN WHO DEMONSTRATE THE POTENTIAL TO BECOME LEADERS IN THE COMMUNITY. THESE WOMEN THEN RECEIVE LEADERSHIP TRAINING AND EDUCATION ON SPECIFIC HEALTH TOPICS AND LEAD SMALL GROUP PRESENTATIONS AND HEALTH DISCUSSIONS WITH MEMBERS OF THE COMMUNITY. THE PROMOTORAS ALSO ROUND WITH SPANISH SPEAKING MOTHERS ON THE MOTHER BABY UNIT OF THE HOSPITAL OFFERING BEDSIDE AND POST-DISCHARGE BREASTFEEDING SUPPORT. IN ADDITION, A PROMOTORA FOLLOWED AND SUPPORTED SPANISH SPEAKING DISCHARGED CONGESTIVE HEART FAILURE PATIENTS TO HELP THEM UNDERSTAND AND COMPLY WITH DISCHARGE INSTRUCTIONS WHICH CAN OFTEN BE DIFFICULT DUE TO ECONOMIC AND LANGUAGE BARRIERS. IN FY 2017, 210 PEOPLE PARTICIPATED IN CLASSES LED BY THE PROMOTORA, BREASTFEEDING SUPPORT WAS PROVIDED 455 TIMES AND THERE WERE 22 POST DISCHARGE ENCOUNTERS WITH CONGESTIVE HEART FAILURE PATIENTS. THE HOSPITAL, POC AND SCHAUMBURG TOWNSHIP ALSO COLLABORATIVELY PROVIDE THE SERVICES OF TWO COMMUNITY HEALTH NURSES (ONE IS BILINGUAL SPANISH) AND A BILINGUAL SPANISH BEHAVIORAL HEALTH NAVIGATOR. THESE OUTREACH PROFESSIONALS FOCUS ON HELPING VULNERABLE POPULATIONS (UNDER-RESOURCED AND SENIORS) NAVIGATE HEALTHCARE RESOURCES, PROVIDE HEALTH EDUCATION, AND HELP PATIENTS OBTAIN LOW-COST PRESCRIPTIONS. IN FY 2017 THE TWO PART-TIME COMMUNITY NURSES HAD 7,613 CLIENT INTERACTIONS AND THE PART TIME BEHAVIORAL HEALTH NAVIGATOR HAD 880. THE HOSPITAL ALSO DEDICATES RESOURCES TO ENHANCE ITS HEALTH AND WELLNESS OFFERINGS FOR OLDER ADULTS IN THE COMMUNITY. A FULL TIME, DEDICATED SENIOR SERVICES LIAISON SCHEDULES AND OVERSEES LECTURES, PROGRAMS AND SCREENINGS AT LOCAL SENIOR CENTERS AND OTHER COMMUNITY LOCATIONS THAT SERVE OLDER ADULTS. IN 2017, THE HOSPITAL HOSTED MORE THAN 250 HEALTH AND WELLNESS PROGRAMS AND SUPPORT GROUPS AT THE ARLINGTON HEIGHTS SENIOR CENTER ALONE. NURSES IN THE "ASK-THE-NURSE" PROGRAM AT THE SENIOR CENTER ARE AVAILABLE TWICE A WEEK TO ANSWER SENIORS' HEALTHCARE QUESTIONS AND CONCERNS, ESPECIALLY REGARDING MEDICATIONS, TREATMENT PLANS AND UPCOMING TESTS AND PROCEDURES. THEY ALSO PROVIDE FREE BLOOD PRESSURE CHECKS AND OFFER HELP WITH CHRONIC DISEASE MANAGEMENT FOR DIABETES AND OTHER ILLNESSES. THE HOSPITAL PROVIDED 4,300 FREE HEALTH EDUCATION AND SUPPORT ENCOUNTERS AT THE ARLINGTON HEIGHTS SENIOR CENTER. OFFERINGS INCLUDED PHYSICIAN LECTURES, SCREENINGS, "ASK THE NURSE", WALKERS CLUB AND PARKINSON'S PROGRAMS. SENIORS FROM THE COMMUNITY RECEIVED CUTTING EDGE HEALTH INFORMATION FROM PHYSICIANS AND STAFF ON VARIOUS HEALTH TOPICS SUCH AS DIABETES, HEART DISEASE, SKIN CANCER, STROKE, MENTAL HEALTH AND MORE. (7) THE HOSPITAL OPERATES AN EMERGENCY DEPARTMENT THAT IS OPEN 24 HOURS A DAY, 7 DAYS A WEEK AND SERVES ALL PERSONS REGARDLESS OF THEIR ABILITY TO PAY. (8) THE HOSPITAL PARTICIPATES IN BOTH THE MEDICARE AND MEDICAID GOVERNMENT-SPONSORED HEALTHCARE PROGRAMS. THE HOSPITAL CONTRACTS WITH MIRA MED ASSISTANCE PROGRAM TO PROVIDE ASSISTANCE TO PATIENTS, FREE OF CHARGE, THROUGHOUT THE MEDICAID APPLICATION PROCESS WHEN APPLYING FOR MEDICAL COVERAGE THROUGH THE ILLINOIS MEDICAID PROGRAM. THE ASSISTANCE PROVIDED IS INCLUSIVE OF COMPLETING THE APPLICATION, GATHERING ALL OF THE APPROPRIATE ADDITIONAL DOCUMENTS THAT MUST BE SUBMITTED, WORKING WITH THE STATE ON THE PATIENT'S BEHALF AND, IN SOME CASES, WORKING THROUGH AN APPEAL PROCESS. IN FY 2017, 1,271 INDIVIDUALS RECEIVED ASSISTANCE AT A COST OF $164,278. (9) THE HOSPITAL PROVIDES SERVICES FREE OR AT A REDUCED RATE TO INDIVIDUALS WITH LIMITED FINANCIAL RESOURCES WHO ARE UNABLE TO ACCESS ENTITLEMENT PROGRAMS. INDIVIDUALS ARE ELIGIBLE FOR FREE OR DISCOUNTED MEDICALLY NECESSARY HEALTHCARE SERVICES BASED ON ESTABLISHED CRITERIA AND THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY IS WIDELY DISTRIBUTED AND COMMUNICATED TO THE COMMUNITY. (10) THE HOSPITAL IS AN INDEPENDENT COMMUNITY HOSPITAL THAT PROVIDES ACUTE CARE AND IS RECOGNIZED FOR THE FOLLOWING OUTSTANDING SERVICES: 2018 HEALTHGRADES DISTINGUISHED HOSPITAL AWARD FOR CLINICAL EXCELLENCE (CLINICAL DISTINCTION TOP 5 PERCENT IN THE NATION); 2018 HEALTHGRADES AMERICAS 100 BEST HOSPITALS FOR CARDIAC CARE; HEALTHGRADES AMERICAS 100 BEST HOSPITALS FOR STROKE CARE (CLINICAL DISTINCTION NCH IS THE ONLY HOSPITAL IN ILLINOIS TO RECEIVE THE HEALTHGRADES NEUROSCIENCE, STROKE AND CRANIAL NEUROSURGERY SPECIALTY EXCELLENCE AWARDS FOR 2 CONSECUTIVE YEARS (2017-2018); HEALTHGRADES FIVE-STAR RECIPIENT FOR SEVERAL GASTROINTESTINAL DISTINCTIONS INCLUDING COLORECTAL SURGERIES, ESOPHAGEAL/STOMACH SURGERIES, AND TREATMENT OF BOWEL OBSTRUCTION; LANTERN AWARD (AWARDED BY THE EMERGENCY NURSES ASSOCIATION FOR EXCEPTIONAL PRACTICES IN THE EMERGENCY DEPARTMENT); ADVANCED CERTIFICATION FOR COMPREHENSIVE STROKE CENTER AND ADVANCED CERTIFICATION FOR PALLIATIVE CARE (DESIGNATED BY THE JOINT COMMISSION); GASTROENTEROLOGY CENTER (DIRECTED BY A NATIONALLY RENOWNED GASTROENTEROLOGIST WITH THE ONLY GI TEACHING GALLERY IN ILLINOIS FOR INSTRUCTING CLINICIANS); LEVEL III NEONATAL INTENSIVE CARE UNIT; SPECIA |
| SCHEDULE H - PART VI, LINE 6 - AFFILIATED HEALTH CARE SYSTEM | NORTHWEST COMMUNITY HOSPITAL (HOSPITAL), NORTHWEST COMMUNITY HOSPITAL FOUNDATION (THE FOUNDATION), AND NORTHWEST COMMUNITY HEALTHCARE PHO, LLC (PHO) ARE 501(C)(3) TAX EXEMPT ORGANIZATIONS THAT ARE AFFILIATES UNDER THE COMMON CONTROL OF NORTHWEST COMMUNITY HEALTHCARE, THE SYSTEM. TOGETHER THESE AFFILIATES PROVIDE THE RESOURCES AND FUNDING TO DELIVER QUALITY HEALTHCARE SERVICES TO THE PEOPLE OF NORTHWEST SUBURBAN COMMUNITY OF CHICAGO. THE FOUNDATION'S PRIMARY FUNCTION IS TO STIMULATE PHILANTHROPIC GIVING AND OBTAIN CHARITABLE GIFTS IN ORDER TO MEET THE CHANGING NEEDS OF THE COMMUNITY AS WELL AS FUND COMMUNITY OUTREACH INITIATIVES. PHO IS A HEALTH CARE ORGANIZATION THAT PROVIDES COMPREHENSIVE, INTEGRATED, AND COORDINATED HEALTH CARE AT A PRICE THAT IS REASONABLE TO ITS CUSTOMERS AND FAIR TO ITS PARTICIPATING PROVIDERS. NCH OWNS A MAJORITY INTEREST IN NORTHWEST COMMUNITY DAY SURGERY CENTER II, LLC (DSC-II), WHICH WAS FORMED IN 2014. DSC-II IS AN AMBULATORY SURGERY CENTER THAT PROVIDES OUTPATIENT SURGICAL SERVICES. DSC-II IS AN INTEGRAL PART OF NORTHWEST COMMUNITY HEALTHCARE'S SYSTEM OF CARE, THAT DELIVERS INNOVATIVE, EXCEPTIONAL AND COORDINATED CARE WHILE CREATING VALUE FOR THE COMMUNITIES AND POPULATIONS THEY SERVE. NCH OWNS A MAJORITY INTEREST IN NPC-CYBERKNIFE, LLC (CYBERKNIFE). CYBERKNIFE WAS FORMED IN 2006 FOR THE PURPOSE OF LEASING A STEREOTACTIC RADIO SURGERY SYSTEM TO THE HOSPITAL. THE LEASE AGREEMENT PROVIDES A LOWER COST TO THE HOSPITAL COMPARED TO LEASING THE EQUIPMENT FROM AN UNRELATED ORGANIZATION. NORTHWEST COMMUNITY HEALTH SERVICES, INC. (HSV), IS A MULTI-SPECIALTY MEDICAL PHYSICIAN GROUP THAT IS OWNED BY NORTHWEST COMMUNITY HEALTHCARE, THE SYSTEM. HSV WAS ESTABLISHED IN 2010 AND EMPLOYEES OVER 100 PHYSICIANS AND MIDLEVEL PRACTITIONERS AT 17 LOCATIONS IN ARLINGTON HEIGHTS, BUFFALO GROVE, MT. PROSPECT, LAKE ZURICH, PALATINE AND SCHAUMBURG, ILLINOIS. HSV IS A CRITICAL PART OF NORTHWEST COMMUNITY HEALTHCARE'S INTEGRATED SYSTEM OF CARE THAT DELIVERS INNOVATIVE, EXCEPTIONAL AND COORDINATED CARE WHILE CREATING VALUE FOR THE COMMUNITIES AND POPULATIONS THEY SERVE. |
| SCHEDULE H - PART VI, LINE 7 - STATE FILING OF COMMUNITY BENEFIT REPORT | NORTHWEST COMMUNITY HOSPITAL FILES AN ANNUAL NONPROFIT HOSPITAL COMMUNITY BENEFITS PLAN REPORT WITH THE ILLINOIS ATTORNEY GENERAL'S OFFICE IN ACCORDANCE WITH ILLINOIS LAW. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|
| Special Leisure Services Foundation | |||||||
| 3000 W Central Rd | Rolling Meadows | IL | 60008 | 363145710 | 501(c)(3) | $10,000 | Annual Sponsorship |
| Shelter Inc | |||||||
| 826 E Old Willow Rd | PROSPECT HEIGHTS | IL | 60070 | 237399596 | 501(c)(3) | $9,000 | Health Screenings and Gala Sponsor |
| Harper College | |||||||
| 1200 W Algonquin Rd | Palatine | IL | 60067 | 362582782 | 501(c)(3) | $13,500 | Gala and Gold Sponsor |
| Partners for Our Communities | |||||||
| 1585 N Rand Rd | Palatine | IL | 60074 | 363881109 | 501(c)(3) | $5,725 | Sponsor |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 4 | Total501c3OrgCnt |
| Total Other Org | 0 | TotalOtherOrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Form 990, Schedule I, Part I, Line 2 - Org. Proc. for Monitoring grants | FormAndLineReferenceDesc |
| Explanation | GRANTS IN SUPPORT OF NORTHWEST COMMUNITY HOSPITAL'S (HOSPITAL) MISSION ARE MONITORED BY NORTHWEST COMMUNITY'S FINANCE COMMITTEE AND BOARD OF DIRECTORS AS PART OF THE MONTHLY REVIEW OF HOSPITAL'S FINANCIAL RESULTS. SIGNIFICANT GRANTS TO UNRELATED 501(C)(3) OR GOVERNMENTAL ORGANIZATIONS ARE APPROVED BY HOSPITAL'S COMMUNITY SERVICES DEPARTMENT AND ARE MONITORED THROUGH ONGOING INTERACTIONS WITH OFFICIALS OF THOSE RECIPIENTS REGARDING PROGRAM SERVICES PROVIDED IN HOSPITAL'S SERVICE AREA. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | Yes (true) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (true) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (11 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Stephen O Scogna | ||||||||||||||
| PRESIDENT/SECRETARY/CEO | $733,032 | $0 | $171,830 | $0 | $3,210 | $0 | $189,754 | $0 | $24,254 | $0 | $1,122,080 | $0 | $0 | $0 |
| John L Skeans | ||||||||||||||
| CFO/Treasurer | $367,079 | $0 | $18,129 | $0 | $30,165 | $0 | $61,540 | $0 | $24,164 | $0 | $501,077 | $0 | $0 | $0 |
| Michael C Hartke | ||||||||||||||
| Executive VP/COO | $448,786 | $0 | $193,993 | $0 | $2,740 | $0 | $78,841 | $0 | $21,019 | $0 | $745,379 | $0 | $0 | $0 |
| Wendy L Rubas | ||||||||||||||
| Exec VP - Chief Legal Counsel | $333,372 | $0 | $56,097 | $0 | $2,358 | $0 | $77,546 | $0 | $21,251 | $0 | $490,624 | $0 | $0 | $0 |
| Kimberly A Nagy | ||||||||||||||
| Executive VP - PT Serv & CNO | $308,250 | $0 | $51,325 | $0 | $3,788 | $0 | $57,941 | $0 | $7,385 | $0 | $428,689 | $0 | $0 | $0 |
| Alan B Loren MD | ||||||||||||||
| Executive VP - CMO | $415,250 | $0 | $396,021 | $0 | $3,802 | $0 | $71,786 | $0 | $12,673 | $0 | $899,532 | $0 | $0 | $0 |
| Susan E Nelson MD | ||||||||||||||
| VP Physician Operations | $273,126 | $0 | $80,624 | $5,329 | $2,769 | $0 | $35,435 | $0 | $6,964 | $0 | $398,918 | $5,329 | $0 | $0 |
| Bradford A Buxton | ||||||||||||||
| VP Strategy & Business Dev. | $356,785 | $0 | $59,159 | $0 | $3,588 | $0 | $46,886 | $0 | $635 | $0 | $467,053 | $0 | $0 | $0 |
| Lucy R Hammerberg MD | ||||||||||||||
| Chief Qua. Ofc. (thru 6/23/16) | $198,016 | $0 | $0 | $0 | $146,169 | $0 | $10,556 | $0 | $339 | $0 | $355,080 | $0 | $0 | $0 |
| Glen J Malan | ||||||||||||||
| VP Info Tech & CIO | $284,277 | $0 | $28,911 | $0 | $2,268 | $0 | $41,731 | $0 | $9,916 | $0 | $367,103 | $0 | $0 | $0 |
| Joseph C Alappattu | ||||||||||||||
| Chief Medical Physicist | $272,813 | $0 | $0 | $0 | $5,999 | $0 | $17,225 | $0 | $619 | $0 | $296,656 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (2 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| COMPENSATION DETERMINATION PROCESS FOR TOP MANAGEMENT OFFICIALS | FORM 990, SCHEDULE J, LINE 3 THE COMPENSATION COMMITTEE OF THE PARENT CORPORATION (HEALTHCARE) ANNUALLY REVIEWS AND MAKES RECOMMENDATIONS TO THE BOARD REGARDING THE COMPENSATION OF THE PRESIDENTS, OTHER VICE PRESIDENTS AND OTHER KEY MANAGEMENT OFFICERS AS DETERMINED BY THE BOARD. AN INDEPENDENT REASONABLENESS OPINION IS OBTAINED ANNUALLY REGARDING THE CHIEF EXECUTIVE OFFICER'S COMPENSATION AND THAT OF OTHER EXECUTIVES AS DETERMINED BY THE COMMITTEE. SEVERANCE PAYMENTS fORM 990, SCHEDULE J, LINE 4A IN 2016, THE FOLLOWING INDIVIDUAL RECEIVED a SEVERANCE PAYMENT AS PART OF her COMPENSATION ARRANGEMENT: LUCY R. HAMMERBERG, MD $145,179 SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (SERP) FORM 990, SCHEDULE J, LINE 4B FORMER CEO BRUCE CROWTHER PARTICIPATED IN NCHS ORIGINAL SERP PLAN. THIS PLAN WAS FROZEN IN 2010 AND AN AMENDMENT TO THE PLAN ELIMINATED ALL FUTURE BENEFIT ACCRUALS INCLUDING CREDITED SERVICE FINAL AVERAGE EARNINGS AND FINAL AVERAGE AMOUNTS USED TO CALCULATE PLAN BENEFITS. DUE TO BRUCE CROWTHER'S TERMINATION, EFFECTIVE DECEMBER 31, 2015, AS PART OF HIS SETTLEMENT AGREEMENT, THE SERP'S ACCUMULATED PLAN BENEFITS WERE PAID IN FULL IN FYE 9.30.17 AND WILL BE INCLUDED ON HIS 2017 W-2. NO AMOUNTS WERE PAID OR ACCRUED IN 2016. A NEW SERP PLAN WAS CREATED AND WAS EFFECTIVE ON JANUARY 1, 2014. BENEFITS UNDER THE SERP VEST IN THE AMOUNT CREDITED TO HIS OR HER ACCOUNT BALANCE ON JANUARY 1 OF THE FIFTH PLAN YEAR FOLLOWING THE YEAR FOR WHICH A CONTRIBUTION WAS CREDITED TO THE PARTICIPANTS ACCOUNT. FOR EXAMPLE, A JANUARY 1, 2014 CONTRIBUTION, A PARTICIPANT WILL VEST IN THAT CONTRIBUTION, AS ADJUSTED FOR EARNINGS AND LOSSES, ON JANUARY 1, 2019. HOWEVER, A PARTICIPANT WILL AUTOMATICALLY VEST IN HIS OR HER ACCOUNT BALANCE IN THE EVENT OF INVOLUNTARY SEPARATION FROM SERVICE OR HIS OR HER ATTAINMENT OF AGE 65 WHILE STILL EMPLOYED BY NCH. PARTICIPANTS WHO VOLUNTARILY RESIGN OR ARE TERMINATED WITH CAUSE BEFORE THE VESTING PERIOD ARE NO LONGER ELIGIBLE FOR THE AMOUNT ACCRUED. THE FOLLOWING INDIVIDUALS PARTICIPATED IN THE SERP AND EARNED UNVESTED BENEFITS DURING 2016 WHICH ARE REPORTED IN COLUMN (C): STEPHEN O. SCOGNA $175,179 JOHN L. SKEANS $49,615 MICHAEL C. HARTKE $64,226 WENDY L. RUBAS $46,364 KIMBERLY A. NAGY $43,799 ALAN B. LOREN, MD $57,211 SUSAN E. NELSON, MD $25,690 BRADFORD A. BUXTON $33,440 GLEN J. MALAN $27,156 |
| NON-FIXED COMP PAYMENTS | FORM 990, SCHEDULE J, LINE 7 THE CEO AND VICE PRESIDENTS OF THE HOSPITAL ARE ELIGIBLE FOR AN ANNUAL INCENTIVE COMPENSATION PAYMENT THAT IS ALIGNED WITH THE STRATEGIC, FINANCIAL AND OPERATIONAL GOALS OF THE ORGANIZATION. THRESHOLD MEASURES, WHICH CONSTITUTE THE MINIMUM REQUIREMENTS, MUST BE ACHIEVED IN ORDER TO HAVE AN INCENTIVE PAYOUT. AWARD OPPORTUNITY LEVELS VARY AS A PERCENT OF BASE SALARY. ACTUAL AMOUNTS AWARDED ARE BASED ON A COMBINATION OF DEFINED TARGETS. MAXIMUM PAYABLE IS 150% OF THE TARGET. AMOUNTS TO BE PAID ARE SUBJECT TO APPROVAL OF THE COMPENSATION COMMITTEE OF NORTHWEST COMMUNITY HEALTHCARE, THE SOLE MEMBER OF THE HOSPITAL. |
Schedule K IRS990ScheduleK
Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (3 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd | CUSIPCUSIPNum |
|---|---|---|---|---|---|---|---|---|
| ILLINOIS FINANCIAL AUTHORITY | ||||||||
| A | 861091967 | 2011-12-01 | $53,100,000 | SEE PART VI | false | false | false | |
| ILLINOIS FINANCIAL AUTHORITY | ||||||||
| B | 861091967 | 2008-10-17 | $86,820,000 | SEE PART VI | false | false | false | 45200FNU9 |
| illinois financial authority | ||||||||
| C | 861091967 | 2016-06-15 | $157,336,237 | SEE PART VI | false | false | false | 45204EDN5 |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Bond DefeasedBondDefeasedAmt | Total ProceedsTotalProceedsAmt | In Reserve FundInReserveFundAmt | Capitalized InterestCapitalizedInterestAmt | Refunding EscrowRefundingEscrowAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Credit EnhancementCreditEnhancementAmt | Working Capital ExpendituresWorkingCapitalExpendituresAmt | Capital ExpendituresCapitalExpendituresAmt | Other Spent ProceedsOtherSpentProceedsAmt | UnspentUnspentAmt | Substantial CompletionSubstantialCompletionYr | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $7,900,000 | $0 | $53,100,000 | $0 | $0 | $0 | $434,279 | $0 | $0 | $0 | $52,665,721 | $0 | 2011 | Yes (true) | false | Yes (true) | Yes (true) |
| B | $28,220,000 | $0 | $86,820,000 | $0 | $0 | $0 | $598,075 | $93,000 | $0 | $86,128,925 | $0 | $0 | 2008 | Yes (true) | false | Yes (true) | Yes (true) |
| C | $0 | $0 | $157,336,237 | $0 | $0 | $155,497,835 | $1,838,402 | $0 | $0 | $0 | $0 | $0 | false | Yes (true) | false | false |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)
| Bond ReferenceBondReferenceCd | Private Bus Use By OthersPrivateBusUseByOthersPct | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Remedial Action TakenRemedialActionTakenInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Any Research AgreementsAnyResearchAgreementsInd | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd |
|---|---|---|---|---|---|---|---|---|---|
| A | 0 | ||||||||
| B | 0 | false | false | Yes (true) | |||||
| C | 0 | false | false | Yes (true) | false | false | false | false | false |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Business Name Line1GICProviderName/BusinessNameLine1Txt | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|---|
| 0 | ||||||||||
| A | false | Yes (true) | false | false | Yes (true) | false | false | 0 | false | Yes (true) |
| 0 | ||||||||||
| B | false | false | Yes (true) | false | Yes (true) | false | false | 0 | false | Yes (true) |
| 0 | ||||||||||
| C | false | Yes (true) | false | false | false | false | false | 0 | false | Yes (true) |
Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (true) |
| B | Yes (true) |
| C | Yes (true) |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| Sarah Bishop | |||
| See Part V | $39,038 | Compensation | false |
| SEE PART V | |||
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | RELATIONSHIP BETWEEN INTERESTED PERSON AND THE ORGANIZATION | FormAndLineReferenceDesc |
| Explanation | Schedule L, Part IV Sarah Bishop is the daughter of James H. Bishop who is a member of the board. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| Form 990, Part III, Line 4D - Desc. of Other Program Services | INCLUDES REVENUE, EXPENSES, AND GRANTS OF $107,667 FROM ALL OTHER PROGRAM SERVICES NOT DESCRIBED ON FORM 990, PART III, LINES 4A-4C. |
| Form 990, Part VI, Section A. Line 6 - Desc. of Members | NORTHWEST COMMUNITY HEALTHCARE (NCH) IS THE SOLE CORPORATE MEMBER OF NORTHWEST COMMUNITY HOSPITAL (HOSPITAL). AS SUCH, IT ELECTS OR APPOINTS THE MEMBERS OF HOSPITAL'S GOVERNING BODY AND APPROVES SIGNIFICANT DECISIONS. |
| Form 990, Part VI, Section A. Line 7a - Power to elect members | NCH IS THE SOLE CORPORATE MEMBER OF HOSPITAL. AS SUCH, IT ELECTS OR APPOINTS THE MEMBERS OF THE GOVERNING BODY OF HOSPITAL PERIODICALLY OR AS VACANCIES ARISE. |
| Form 990, Part VI, Section A. Line 7b - Governance Decisions | NCH IS THE SOLE CORPORATE MEMBER OF HOSPITAL. AS SUCH, IT MUST APPROVE CERTAIN ACTIONS OF HOSPITAL. ACTION IS TAKEN BY A MAJORITY VOTE OF THE NCH BOARD WITH A QUORUM PRESENT. NCH MUST APPROVE THE FOLLOWING TYPES OF DECISIONS BY HOSPITAL: VOLUNTARY DISSOLUTION, MERGER, CONSOLIDATION OR SALE OR TRANSFER OF 10% OR MORE OF HOSPITAL'S ASSETS; SALE OF REAL PROPERTY OR INTEREST THEREIN; CREATION OF A SUBSIDIARY OR AFFILIATE; ANNUAL AND LONG-TERM CAPITAL AND OPERATING BUDGETS; AMENDMENT, ALTERATION OR REPEAL OF HOSPITAL'S ARTICLES OF INCORPORATION OR BYLAWS; SELECTION OF AUDITORS; APPOINTMENT, REMOVAL AND EVALUATION OF HOSPITAL DIRECTORS; DEBT OR INDEBTEDNESS, GUARANTEES OR BORROWINGS; APPOINTMENT, COMPENSATION, BENEFITS AND EVALUATION OF OFFICERS; APPOINTMENT AND EMPLOYMENT OF THE PRESIDENT; AND ACTIONS TAKEN BY TRUSTEES OF THE NORTHWEST COMMUNITY HOSPITAL EMPLOYEES RETIREMENT PLAN. |
| Form 990, Part VI, Section B. Line 11b - Review of Form 990 | A COPY OF FORM 990 WAS MADE AVAILABLE TO THE MEMBERS OF HOSPITAL'S BOARD PRIOR TO FILING. THE AUDIT AND COMPLIANCE COMMITTEE OF THE BOARD HAS BEEN ASSIGNED THE RESPONSIBILITY OF REVIEWING FORMS 990 FOR ALL AFFILIATES OF NCH. THIS COMMITTEE REVIEWED FORM 990 PRIOR TO DISTRIBUTION TO THE FULL BOARD. SPECIFIC SECTIONS OF THE TAX RETURN ARE ALSO REVIEWED BY HUMAN RESOURCES, LEGAL, AND COMPLIANCE. |
| Form 990, Part VI, Section B. Line 12c - Conflict of Interest | EACH YEAR, THE CONFLICT OF INTEREST POLICY AND QUESTIONNAIRE IS SENT TO DIRECTORS, OFFICERS AND KEY EMPLOYEES. EACH RESPONSE IS REVIEWED BY THE GENERAL COUNSEL AND THOSE IN WHICH ANY ACTUAL OR APPARENT CONFLICT WITH THE PRESENT ROLE IS DISCLOSED, ARE REVIEWED BY THE PRESIDENT/CEO AND BOARD CHAIRPERSON. IN THE CASE OF ANY CONFLICT INVOLVING AN ENTITY OR PARTY WITH WHICH HOSPITAL IS DEALING OR COMPETING, THE PERSON WITH THE CONFLICT MAY NOT PARTICIPATE IN ANY DECISIONS REGARDING THAT PARTY. INDIVIDUALS WHO ARE INDEPENDENT CONTRACTORS, OFFICERS, DIRECTORS, OR EMPLOYEES OF OTHER HEALTHCARE FACILITIES IN HOSPITAL'S SERVICE AREA MAY NOT SERVE ON NCH'S OR ANY RELATED ORGANIZATION'S BOARD OR BOARD COMMITTEE. IN ADDITION, THE POLICY INCLUDES A SAMPLE CONFLICT OF INTEREST DISCLOSURE LETTER TO BE USED IF A CONFLICT ARISES AFTER SUBMISSION OF THE ANNUAL QUESTIONNAIRE AND BEFORE SUBMISSION OF THE NEXT ANNUAL QUESTIONNAIRE. SUCH DISCLOSURE LETTERS WOULD BE REVIEWED AS NOTED ABOVE AT THE TIME THEY ARE RECEIVED. |
| Form 990, Part VI, Section B Line 15a & 15b - Comp. Determination | The Compensation Committee of the Board of Directors (the "Committee") of Northwest Community Healthcare, which is the parent corporation of Northwest Community Hospital and who has idential board members as Northwest Community Healthcare, is responsible for preparing the total compensation paid to the Organization's senior executives (collectively, "Executives") to ensure that compensation paid to such Executives is reasonable and does not result in excessive and inappropriate benefit to private individuals. The Committee shall, on an annual basis, review and recommend to the Board for approval executive compensation consistent with the process described below. This process is intended to result in compensation decisions that are consistent with the Organizations fulfillment of its mission as set forth in the Organizations Articles of Incorporation, as well as the Organizations compensation philosophy and related principles set forth in this document. The Compensation philosophy is intended to result in the determination and payment of total compensation, including benefits, for Executives based on the following objectives: Compensation that is objectively fair and reasonable compared to similar executives at similar institutions; Compensation that contributes to the attraction and retention of qualified and talented individuals in Executive positions; Compensation that rewards the attainment of performance goals and expectations; and Compensation that reinforces the commitment to the Organizations mission, purpose and values. In assessing the reasonableness of an Executives total compensation, the Committee shall endeavor to set base salary at or near the market 60th percentile. The Committee shall target total compensation, including but not limited to, salary, any bonus or incentive payments and deferred and noncash compensation, as well as all compensatory benefits such as payments to medical, dental, life, annuity, retirement and disability benefit plans, and any fringe benefits such as housing, automobile, and computer allowances to approximate the market 75th percentile. The Committee shall conduct an annual performance review of the CEO, the results of which shall be used in determining a reasonable total compensation for him or her. The CEO will formulate a compensation recommendation for each Executive who reports to him or her. The CEO will present compensation recommendations based on an evaluation of each Executives job performance in accordance with criteria established by him or her. When reviewing or assessing the total compensation of any Executive, the Committee shall obtain sufficient information, taking into consideration the knowledge and expertise of its members, to determine whether total compensation of each Executive is reasonable (i.e., whether such compensation is comparable to that of similar executives at similar institutions). To assist in the determination of reasonable compensation, the Committee will select and engage a qualified independent compensation consultant ("Consultant") to annually review and analyze the total compensation, including benefits, of each Executive. The terms of the Consultant's engagement shall provide that the Consultant is to report to the Committee, and that the Consultant shall have no reporting responsibilities to any Executive with respect to any engagement in connection with the executive total compensation program. The Committee shall instruct the Consultant to compile appropriate comparability data, which may include compensation and benefits paid by similarly situated organizations for positions that are functionally comparable to those of each Executive. The Committee shall direct the Consultant to analyze a number of different variables in assessing comparability, including but not limited to organizational size, geographic location, the nature of the services provided, the level of experience and specific responsibilities of the position considered, and the components of the compensation offered. If a Consultant is retained, the Consultant should be directed to provide written analysis and recommendations with respect to a reasonable total compensation for each Executive. The Committee may additionally request that the Consultant be available to present a written analysis and recommendations and to take questions from Board or Committee members. In addition to the reports and analyses of the Consultant, the Committee shall also consider additional comparability data, including but not limited to: the availability of similar services in the geographic area, current compensation surveys compiled by independent firms, and actual written offers from similar institutions competing for services of the applicable Executive. |
| Form 990, Part VI, Section C. Line 19 - Availability of Documents | GOVERNING DOCUMENTS AND THE CONFLICT OF INTEREST POLICY ARE NOT MADE PUBLIC. HOSPITAL'S FINANCIAL STATEMENTS ARE INCLUDED IN THE ANNUAL CONSOLIDATED AUDIT REPORT OF NCH AND SUBSIDIARIES. THESE CONSOLIDATED FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC VIA THE MUNICIPAL SECURITIES RULEMAKING BOARD'S ELECTRONIC MUNICIPAL MARKET ACCESS (EMMA) WEBSITE AT WWW.EMMA.MSRB.ORG. |
| Form 990, Part XI, Line 9 | RECONCILIATION OF NET ASSETS - OTHER CHANGES IN NET ASSETS PENSION ADJUSTMENT ($6,831,319) DECREASE IN TEMP NET ASSET FOR OPERATIONS ($758,556) DECREASE IN TEMPORARILY RESTRICTED ASSETS ($2,858,025) INCREASE PERMANENTLY RESTRICTED ASSETS $91,710 ______________________________________________________________ TOTAL ($10,356,190) |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Total IncomeTotalIncomeAmt | End Of Year AssetsEndOfYearAssetsAmt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Direct Controlling NADirectControllingNACd |
|---|---|---|---|---|---|---|---|---|---|---|
| NORTHWEST COMMUNITY PHYSICIANS ASSN LLC | ||||||||||
| 3060 SALT CREEK LANE | ARLINGTON HTS | IL | 60005 | 510457240 | PATIENT CARE | IL | $0 | $0 | NWC Hospital | |
| Northwest Service Company LLC | ||||||||||
| 3060 Salt Creek Lane | Arlington Heights | IL | 60005 | 263791362 | Inactive | IL | $0 | $0 | N/A | |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| NORTHWEST COMMUNITY HEALTHCARE | ||||||||||
| 800 WEST CENTRAL ROAD | ARLINGTON HEIGHTS | IL | 60005 | 363125209 | SUPPORT ORG. | IL | 501(c)(3) | 12B | NWC Hlthcare | false |
| NORTHWEST COMMUNITY HOSPITAL FOUNDATION | ||||||||||
| 3060 SALT CREEK LANE | ARLINGTON HEIGHTS | IL | 60005 | 363125193 | FUNDRAISING | IL | 501(c)(3) | 7 | NWC Hlthcare | false |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|
| NPC-CYBERKNIFE LLC | |||||||
| 800 W CENTRAL RD | ARLINGTON HTS | IL | 60005 | 204462828 | EQUIPMENT LEA | IL | NWC HEALTHCARE |
| Northwest Community Day Surgery II LLC | |||||||
| 675 KIRCHOFF | ARLINGTON HTS | IL | 60005 | 300798249 | OUTPATIENT CA | IL | NWC HEALTHCARE |
| NORTHWEST ENDO CENTER LLC 81-2 | |||||||
| 3060 SALT CREEK LANE | ARLINGTON | IL | 60005 | SURGICAL CARE | IL | NWC HEALTHCARE | |
| NORTHWEST COMMUNITY FOOT & ANKLE | |||||||
| 3060 SALT CREEK LANE | ARLINGTON | IL | 60005 | AMB SRGCAL CNTER | IL | NWC HEALTHCARE | |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | CountryForeignAddress/CountryCd | Foreign PostalForeignAddress/ForeignPostalCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NORTHWEST COMMUNITY HEALTH SERVICES INC | |||||||||||||
| 800 WEST CENTRAL ROAD | ARLINGTON HEIGHTS | IL | 60005 | 363312906 | HEALTHCARE SE | IL | NWC HEALTHCARE | C Corp | |||||
| CENTRAL INSURANCE COMPANY LTD | |||||||||||||
| 981109518 | INSURANCE | NWC Healthcare | C Corp | PO Box 10233 | Grand Cayman | CJ | KY1-1002 | CJ | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | Yes (true) | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (true) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (true) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | Yes (true) | SharingOfFacilitiesInd |
| Paid Employees Sharing | Yes (true) | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |