2018-08-10T14:37:04-05:00 2017-09-30 ERNST & YOUNG US LLP 155 N Wacker Drive Chicago IL 60606 990 2016-10-01 363125209 Northwest Community Healthcare % CHRISSIE ERDMANN NORT 8476181000 3060 Salt Creek Lane ARLINGTON HEIGHTS IL 60005 JOHN SKEANS CFO 8476185010 2018-08-01 true jess wagener P01622613 3128792000 2016 2022-09-23 18:48:47Z CHRISSIE ERDMANN 3060 SALT CREEK LANE ARLINGTON HEIGHTS IL 60005 46967885 false X nch.org X 1981 IL NORTHWEST COMMUNITY HEALTHCARE EXISTS TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE AND TO MEET INDIVIDUALS' HEALTH NEEDS. 15 13 85 14 10037780 -293351 0 0 29667222 26701908 23184955 18998460 -1420878 -1524344 51431299 44176024 0 0 0 0 2727176 2925688 0 0 0 24485041 21770352 27212217 24696040 24219082 19479984 465373290 523940168 7252310 21241951 458120980 502698217 X NORTHWEST COMMUNITY HEALTHCARE (NCH) WAS ESTABLISHED TO ACQUIRE, SUPPORT, ERECT, MAINTAIN, OWN AND EQUIP HEALTH CARE PROVIDERS AND INSTITUTIONS, INCLUDING HOSPITALS, NURSING HOMES, SKILLED NURSING FACILITIES AND AMBULATORY CARE CENTERS. NORTHWEST COMMUNITY HEALTHCARE'S MISSION IS TO PROVIDE QUALITY, COMPASSIONATE HEALTHCARE SERVICES TO THE PEOPLE OF THE NORTHWEST SUBURBAN COMMUNITY OF CHICAGO. false false 18179058 0 17744723 The PHO is an affiliation between Northwest Community Hospital and practicing physicians on the NCH medical staff. The PHO's purpose is to obtain and manage contracts with Health Maintenance Organizations (HMOS), Preferred Provider Organizations (PPOS), and other health care payers to provide coordinated healthcare to patient members of these plans, while effectively managing the cost and utilization of medical services. The PHO serves as a vehicle for the Hospital and its physicians to jointly participate in risk contracts with managed care plans, and provides a mechanism for physicians to participate in emerging accountable care models. 4700025 0 5146355 Northwest Community Healthcare owns and operates an 83,000 square foot wellness center on the campus of Northwest Community Hospital. The facility provides fitness and wellness services to area residents. In FY 2017, The wellness center has a total of 3,474 memberships. In addition, the wellness center donated memberships and free passes to armed service members, unrelated charities, and community organizations throughout the year. The Hospital also utilizes space at the wellness center for cardiac rehab and outpatient physical medicine and rehab. 543492 0 2995854 Northwest Community Healthcare rents space in its medical office buildings and other facilities located in Arlington Heights, Buffalo Grove, Schaumburg, Mt. Prospect, Lake Zurich, and Palatine, Illinois to Northwest Community Hospital, a related 501(c)(3) entity. The Hospital uses this space for its exempt purposes, including the operations of four immediate care centers, imaging centers, and cardiac rehabilitation and physical medicine services. 189626 0 814976 23612201 true false false false false false false false false false true false true false true false false true false false true false false false false false false false false true false false false false false false true false false false false false true true true true false false true X 0 0 85 true true true true CJ false false false false false false false false X 15 13 false false false false false false false true true false false true true true true true true true true true true IL X CHRISSIE ERDMANN 8476184606 3060 SALT CREEK LANE ARLINGTON HEIGHTS IL 60005 Stephen O Scogna PRESIDENT/SECRETARY/CEO 10.0 30.0 X X 0 908072 214008 Thomas P MacCarthy Chairperson/Director 1.0 1.0 X X 0 0 0 Marla F Glabe Vice Chairperson/Director 1.0 1.0 X X 0 0 0 James H Bishop Director (Thru 12.31.16) 1.0 1.0 X 0 0 0 Craig E Christell Director 1.0 1.0 X 0 0 0 Kirk Clark MD Director 1.0 1.0 X 0 18000 0 Jay S Cowen MD Director 1.0 1.0 X 0 0 0 Guy W Eisenhuth Director 1.0 1.0 X 0 0 0 Ann K Ford Director 1.0 1.0 X 0 0 0 Dale J Garber Director (Thru 12.31.16) 1.0 1.0 X 0 0 0 Louis A Gatta Phd Director 1.0 1.0 X 0 0 0 Charles A Hempfling Director 1.0 1.0 X 0 0 0 Diane G Hill Director/Chairperson 1.0 1.0 X X 0 0 0 Richard D Hoffman Director 1.0 1.0 X 0 0 0 E Quinn Regan MD DIRECTOR 1.0 1.0 X 0 0 0 Mary R Sheahen MS RN Director/Vice Chairperson 1.0 1.0 X X 0 0 0 Nhat Q Tran Director (Beginning 1.1.17) 1.0 1.0 X 0 0 0 John L Skeans CFO/Treasurer 10.0 30.0 X 0 415373 85704 Michael C Hartke Executive VP/COO/SECRETARY 14.0 26.0 X 0 645519 99860 0 1986964 399572 0 false true false MOTHER'S TOUCH LEARNING 800 WEST CENTRAL ROAD ARLINGTON HEIGHTS IL 60005 KIDS CLUB SERVICES 312872 Johnson Cleaning 1090 Howard St ELK GROVE VILLAGE IL 60007 Janatorial 261835 BRIGHTVIEW LANDSCAPES LLC 3630 SOLUTIONS CENTER CHICAGO IL 60677 LANDSCAPING 169423 3 0 PHO CAPITATION REVENUE 621111 17744723 8182092 9562631 0 WELLNESS CENTER REVENUE 713940 5146355 4671206 475149 0 RENTAL INCOME - AFFILIATES 532000 2995854 2995854 0 0 INCOME FROM AFFILIATES 621498 814976 814976 0 0 26701908 6730074 0 0 6730074 0 0 0 0 0 0 0 0 1267518 2791861 -1524343 0 -1524344 0 0 -1524344 12261431 6955 12261431 6955 12268386 0 0 12268386 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 44176024 16664128 10037780 17474116 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 2498895 2327949 170946 0 48397 45086 3311 0 242339 242339 0 0 136057 123873 12184 0 0 0 0 0 0 0 0 0 108780 0 108780 0 0 0 0 0 0 0 697674 0 697674 0 2433723 2382344 51379 0 67921 65388 2533 0 383747 357870 25877 0 3784 0 3784 0 0 0 0 0 1010614 1003243 7371 0 12 12 0 0 0 0 0 0 1797 1797 0 0 0 0 0 0 0 0 0 0 1121543 1121543 0 0 0 0 0 0 CAPITATION CLAIMS EXPENSE 14808055 14808055 0 0 PROVIDER BONUS EXPENSE 918728 918728 0 0 MEDICAL SUPPLIES 213974 213974 0 0 24696040 23612201 1083839 0 6029965 3329902 0 0 0 0 0 0 0 0 0 0 0 0 1164010 995017 504205 416658 76501322 44270191 34142579 32231131 350960755 414933564 0 0 70504004 70241775 0 0 2067772 1792121 465373290 523940168 6068765 4132526 0 0 0 0 0 0 0 0 0 0 0 0 0 0 1183545 17109425 7252310 21241951 X 458120980 502698217 0 0 0 0 458120980 502698217 465373290 523940168 X 19479984 25056351 40902 X false true X true false X X 1 NORTHWEST COMMUNITY HOSPITAL 362340313 3 true 23615512 0 1 23615512 0 false false false false false false false false false false false false false false false true Schedule A Part IV, Section A, Line 1 NORTHWEST COMMUNITY HEALTHCARE IS A SUPPORTING ORGANIZATION OF NORTHWEST COMMUNITY HOSPITAL. THE SUPPORTED ORGANIZATION IS DESIGNATED BY PURPOSE AS STATED IN HEALTHCARE'S ARTICLES OF INCORPORATION: "THE PURPOSE OR PURPOSES FOR WHICH THE CORPORATION IS ORGANIZED ARE: TO ESTABLISH, ACQUIRE, SUPPORT, ERECT, MAINTAIN, OWN, AND EQUIP HEALTH CARE PROVIDERS AND INSTITUTIONS, INCLUDING, WITHOUT LIMITING THE FOREGOING, HOSPITALS, NURSING HOMES, SKILLED NURSING FACILITIES, INTERMEDIATE CARE FACILITIES, AND AMBULATORY CARE CENTERS; TO CONDUCT, SPONSOR, SUPPORT, PROMOTE, DEVELOP, OWN AND OPERATE CHARITABLE, EDUCATIONAL, SCIENTIFIC AND SCHOLASTIC PROGRAMS AND ACTIVITIES AND OTHER ACTIVITIES AND PROGRAMS ANCILLARY TO And IN SUPPORT OF THE FOREGOING; AND TO FOSTER, PROMOTE, SUPPORT, DEVELOP, ENCOURAGE, MAINTAIN, RECEIVE AND ACCEPT FUNDS, GIFTS AND CONTRIBUTIONS FOR AND ON BEHALF OF SUCH ACTIVITIES; TO ESTABLISH, CONDUCT, SPONSOR, ACQUIRE, OWN, MAINTAIN AND OPERATE SUCH OTHER ENTITIES AND ACTIVITIES WHICH, IN THE OPINION OF THE BOARD OF TRUSTEES AND AT ITS DISCRETION, WILL SUPPORT THE FOREGOING; EXCLUSIVELY FOR THE BENEFIT OF AND TO CARRY OUT SOME OR ALL OF THE PURPOSES OF ORGANIZATIONS DESCRIBED IN EITHER SECTION 509(A)(1) OR 509(A)(2) OF THE INTERNAL REVENUE CODE OF 1954, AS AMENDED, OR ANY SUBSEQUENT LAW OF THE UNITED STATES. IN NO INSTANCE, HOWEVER, WILL THE CORPORATION ENGAGE IN THE PRACTICE OF MEDICINE." 0 7391331 7391331 0 51635108 31752608 19882500 0 1096044 783052 312992 0 15222902 10717235 4505667 0 1155937 1017296 138641 32231131 INVESTMENT IN NCH HEALTH SVCS 67928004 C INVESTMENT IN DSC II 2313771 C 70241775 0 DUE TO NORTHWEST COMMUNITY HOSPITAL 17109425 17109425 Central America and the Caribbean Program Services Captive Insurance 9475836 9475836 9475836 true false true false false false X X X X X X false true false false false false false false false Stephen O Scogna PRESIDENT/SECRETARY/CEO 0 733032 0 171830 0 3210 0 189754 0 24254 0 1122080 0 0 John L Skeans CFO/Treasurer 0 367079 0 18129 0 30165 0 61540 0 24164 0 501077 0 0 Michael C Hartke Executive VP/COO/SECRETARY 0 448786 0 193993 0 2740 0 78841 0 21019 0 745379 0 0 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 $64,266 SARAH BISHOP SEE PART V 39038 COMPENSATION false SEE PART V RELATIONSHIP BETWEEN INTERESTED PERSON AND THE ORGANIZATION SCHEDULE L, PART IV SARAH BISHOP IS THE DAUGHTER OF JAMES H. BISHOP WHO IS A MEMBER OF THE BOARD. Form 990, Part III - Program Service, Line 4d NORTHWEST COMMUNITY HEALTHCARE PROVIDES CENTRALIZED INVESTMENT AND MANAGEMENT SERVICES TO RELATED ORGANIZATIONS. Form 990, Part V, Question 1a, Form 1099/1096 Filing VENDORS FOR THE FILING ORGANIZATION ARE PAID BY NORTHWEST COMMUNITY HOSPITAL (EIN 36-2340313). AS SUCH, ALL REQUIRED FORM 1099 AND FORMS 1096 REPORTING IS FILED UNDER THE NORTHWEST COMMUNITY HOSPITAL EIN. Form 990, Part VI, Section B. Line 11b - Review of Form 990 A COPY OF FORM 990 WAS MADE AVAILABLE TO THE MEMBERS OF THE BOARD OF NCH 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 VII AND SCHEDULE J ARE ALSO SEPARATELY RENEWED AND APPROVED BY THE COMPENSATION COMMITTEE OF THE BOARD. 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 NCH 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 NCH'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 identical board members as Northwest Community Healthcare, is responsible for preparing the total compensation paid to the Organizations 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 Consultants 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, RONA, Line 9 NET ASSETS RELEASED FROM RESTRICTIONS USED FOR PURCHASE OF PROPERTY AND EQUIPMENT OR OPERATIONS 165,131 ADDITIONAL CAPITAL CONTRIBUTIONS BY NONCONTROLLING INTERESTS (124,229) LINE 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCES 40,902 Northwest Community Healthcare PHO LLC 800 West Central ROAd Arlington Heights IL 60005 320441800 Healthcare IL 17744723 5318768 NWC Hlthcare NORTHWEST COMMUNITY HOSPITAL 800 WEST CENTRAL ROAD ARLINGTON HTS IL 60005 362340313 HEALTHCARE IL 501(c)(3) 3 NWC Hlthcare true NORTHWEST COMMUNITY HOSPITAL FOUNDATION 3060 SALT CREEK LANE ARLINGTON HTS IL 60005 363125193 FUNDRAISING IL 501(c)(3) 7 NWC Hlthcare true NPC-CYBERKNIFE LLC 800 W CENTRAL RD ARLINGTON HTS IL 60005 204462828 EQUIPMENT LEAsing IL NWC HEALTHCARE related 148122 103482 false 0 true 0.73947 Northwest Community Day Surgery II LLC 675 W KIRCHOFF RD ARLINGTON HTS IL 60005 300798249 OUTPATIENT CAre IL NWC HEALTHCARE related 963448 3115869 false 0 true 0.53000 Northwest Endo Center LLC 3060 SALT CREEK LANE ARLINGTON HEIGHTS IL 60005 812338623 SURGICAL CARE IL NA Northwest Community foot & ankle center 3060 SALT CREEK LANE ARLINGTON HEIGHTS IL 60005 352567039 AMB SRGCAL CNTER IL NA NORTHWEST COMMUNITY HEALTH SERVICES 800 WEST CENTRAL ROAD ARLINGTON HEIGHTS IL 60005 363312906 HEALTHCARE SErv. IL NWC HEALTHCARE C Corp 72938351 35133796 1.00000 true CENTRAL INSURANCE COMPANY LTD PO Box 10233 Grand Cayman CJ KY1-1002 981109518 INSURANCE CJ NWC Healthcare C Corp 9475836 37840220 1.00000 true false false false false false false false false false true true false false false false true false true true NORTHWEST COMMUNITY HOSPITAL j 182600 COST NORTHWEST COMMUNITY HOSPITAL k 2995854 COST NORTHWEST COMMUNITY HOSPITAL p 6164437 COST NORTHWEST COMMUNITY HOSPITAL s 42924412 COST NORTHWEST COMMUNITY DAY SURGERY CENTER IILLC s 678280 COST NPC-CYBERKNIFE LLC s 136696 COST NORTHWEST COMMUNITY DAY SURGERY CENTER IILLC s 262229 COST NORTHWEST COMMUNITY HOSPITAL FOUNDATION S 165131 COST