NORTHWESTERN MEMORIAL HEALTHCARE: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization: NORTHWESTERN MEMORIAL HEALTHCARE (EIN 36-2179764)
Tax period: 2015-07-01 to 2016-06-30
Filed: 2017-05-10
IRS object ID: 201711309349303166
Schema version: 2015v3.0
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 J
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2017-05-10T15:14:11-05:00	ReturnTs
Tax Period End	2016-06-30	TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

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

Preparer US Address PreparerUSAddress

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

Field	Value	IRS element (for citing)
Return Type	990	ReturnTypeCd
Tax Period Begin	2015-07-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	362179764	EIN

Business Name BusinessName

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

Field	Value	IRS element (for citing)
In Care Of	% David Tomlinson	InCareOfNm
Business Name Control	MEMO	BusinessNameControlTxt
Phone	8157885800	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3701 Doty Road	AddressLine1Txt
City	Woodstock	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	60098	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	DAVID TOMLINSON	PersonNm
Person Title	EVP, CFO	PersonTitleTxt
Phone	8157885800	PhoneNum
Signature	2017-05-08	SignatureDt
Discuss With Paid Preparer	Yes (true)	DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

Field	Value	IRS element (for citing)
Preparer Person	Mollie P Longhouse 51017	PreparerPersonNm
PTIN	P00294881	PTIN
Phone	6142492300	PhoneNum

Field	Value	IRS element (for citing)
Tax	2015	TaxYr
Build TS	2021-01-29 14:40:06Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	Michael S Eesley	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	385 Millennium Drive	AddressLine1Txt
City	Crystal Lake	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	60012	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$137,574,666	GrossReceiptsAmt
Group Return For Affiliates	false	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	www.centegra.org	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1914	FormationYr
Legal Domicile State	IL	LegalDomicileStateCd
Activity Or Mission	To provide quality healthcare services with innovative and responsible use of resources and promote wellness for the McHenry County area.	ActivityOrMissionDesc
Voting Members Governing Body	15	VotingMembersGoverningBodyCnt
Voting Members Independent	9	VotingMembersIndependentCnt
Total Employee	914	TotalEmployeeCnt
Total Volunteers	103	TotalVolunteersCnt
Total Gross UBI	$158,163	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	-$24,104	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$461,790	PYContributionsGrantsAmt
CY Contributions Grants	$1,940,289	CYContributionsGrantsAmt
PY Program Service Revenue	$127,937,273	PYProgramServiceRevenueAmt
CY Program Service Revenue	$123,306,206	CYProgramServiceRevenueAmt
PY Investment Income	$1,735,308	PYInvestmentIncomeAmt
CY Investment Income	$451,548	CYInvestmentIncomeAmt
PY Other Revenue	$4,308,423	PYOtherRevenueAmt
CY Other Revenue	$4,545,732	CYOtherRevenueAmt
PY Total Revenue	$134,442,794	PYTotalRevenueAmt
CY Total Revenue	$130,243,775	CYTotalRevenueAmt
PY Grants And Similar Paid	$0	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$0	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$49,899,762	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$49,776,550	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$76,642,618	PYOtherExpensesAmt
CY Other Expenses	$74,763,803	CYOtherExpensesAmt
PY Total Expenses	$126,542,380	PYTotalExpensesAmt
CY Total Expenses	$124,540,353	CYTotalExpensesAmt
PY Revenues Less Expenses	$7,900,414	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	$5,703,422	CYRevenuesLessExpensesAmt
Total Assets BOY	$139,276,939	TotalAssetsBOYAmt
Total Assets EOY	$145,765,847	TotalAssetsEOYAmt
Total Liabilities BOY	$86,175,448	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$89,581,534	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$53,101,491	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$56,184,313	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	The mission of Memorial Medical Center is to provide quality healthcare services with innovative and responsible use of resources and promote wellness for the greater McHenry County area.	MissionDesc
Significant New Program Srvc	false	SignificantNewProgramSrvcInd
Significant Change	false	SignificantChangeInd
Expense	$102,414,948	ExpenseAmt
Revenue	$123,306,206	RevenueAmt
Desc	See Schedule O	Desc
Total Program Service Expenses	$102,414,948	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	false	TempOrPermanentEndowmentsInd
Report Land Building Equipment	Yes (true)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	false	ReportInvestmentsOtherSecInd
Report Program Related Invst	false	ReportProgramRelatedInvstInd
Report Other Assets	Yes (true)	ReportOtherAssetsInd
Report Other Liabilities	Yes (true)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	Yes (true)	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	false	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (true)	ConsolidatedAuditFinclStmtInd
School Operating	false	SchoolOperatingInd
Foreign Office	false	ForeignOfficeInd
Foreign Activities	false	ForeignActivitiesInd
More Than5000 K To Org	false	MoreThan5000KToOrgInd
More Than5000 K To Individuals	false	MoreThan5000KToIndividualsInd
Professional Fundraising	false	ProfessionalFundraisingInd
Fundraising Activities	false	FundraisingActivitiesInd
Gaming Activities	false	GamingActivitiesInd
Operate Hospital	Yes (true)	OperateHospitalInd
Audited Financial Stmt Att	Yes (true)	AuditedFinancialStmtAttInd
Grants To Organizations	false	GrantsToOrganizationsInd
Grants To Individuals	false	GrantsToIndividualsInd
Schedule J Required	Yes (true)	ScheduleJRequiredInd
Tax Exempt Bonds	false	TaxExemptBondsInd
Engaged In Excess Benefit Trans	false	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	false	PYExcessBenefitTransInd
Loan Outstanding	false	LoanOutstandingInd
Grant To Related Person	false	GrantToRelatedPersonInd
Business Rln With Org Mem	false	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	false	BusinessRlnWithFamMemInd
Business Rln With Officer Ent	Yes (true)	BusinessRlnWithOfficerEntInd
Deductible Non Cash Contri	false	DeductibleNonCashContriInd
Deductible Art Contribution	false	DeductibleArtContributionInd
Terminate Operations	false	TerminateOperationsInd
Partial Liquidation	false	PartialLiquidationInd
Disregarded Entity	false	DisregardedEntityInd
Related Entity	Yes (true)	RelatedEntityInd
Related Organization Ctrl Ent	false	RelatedOrganizationCtrlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	false	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	false	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (true)	ScheduleORequiredInd
IRP Document	1	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (true)	BackupWthldComplianceInd
Employee	914	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	9	IndependentVotingMemberCnt
Family Or Business Rln	Yes (true)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	false	DelegationOfMgmtDutiesInd
Change To Org Documents	false	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	false	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (true)	MembersOrStockholdersInd
Election Of Board Members	Yes (true)	ElectionOfBoardMembersInd
Decisions Subject To Approva	false	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (true)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (true)	MinutesOfCommitteesInd
Officer Mailing Address	false	OfficerMailingAddressInd
Local Chapters	false	LocalChaptersInd
Form990 Provided To Gvrn Body	false	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (true)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (true)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (true)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (true)	WhistleblowerPolicyInd
Document Retention Policy	Yes (true)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (true)	CompensationProcessCEOInd
Compensation Process Other	Yes (true)	CompensationProcessOtherInd
Investment In Joint Venture	Yes (true)	InvestmentInJointVentureInd
Written Policy Or Procedure	Yes (true)	WrittenPolicyOrProcedureInd
States Where Copy Of Return Is Fld	IL	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Field	Value	IRS element (for citing)
Person	David Tomlinson	PersonNm
Phone	8157885800	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	385 Millenium Drive	AddressLine1Txt
City	Crystal Lake	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	60012	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (25 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd
MICHAEL EESLEY
CHIEF EXECUTIVE OFFICER	0.0	40.0	Yes (X)	Yes (X)	$0	$1,567,554	$141,514
CHARIE ZANCK
DIRECTOR	0.0	2.0	Yes (X)		$0	$0	$0
CHARLES RUTH
DIRECTOR	0.0	2.0	Yes (X)		$0	$0	$0
CHRIS NEWKIRK
DIRECTOR	0.0	1.0	Yes (X)		$0	$0	$0
JACK PORTER
DIRECTOR	0.0	1.0	Yes (X)		$0	$0	$0
KATHY POWELL
DIRECTOR	0.0	5.0	Yes (X)		$0	$0	$0
LISA GLOSSON MD
DIRECTOR	0.0	40.0	Yes (X)		$0	$244,619	$18,633
LUKE JOHNSOS
DIRECTOR	0.0	2.0	Yes (X)		$0	$0	$0
MICHAEL LUECHT
DIRECTOR	0.0	4.0	Yes (X)		$0	$0	$0
MIKE CURRAN
DIRECTOR	0.0	2.0	Yes (X)		$0	$0	$0
PATRICK MOREHEAD
DIRECTOR	0.0	4.0	Yes (X)		$0	$0	$0
RICHARD LIND
DIRECTOR	0.0	1.0	Yes (X)		$0	$293,680	$14,812
TERRENCE BUGNO
DIRECTOR	0.0	4.0	Yes (X)		$0	$0	$0
TOM CAREY
DIRECTOR	0.0	3.0	Yes (X)		$0	$0	$0
WILLIAM BUSSE
DIRECTOR	0.0	2.0	Yes (X)		$0	$0	$0
IRFAN HAFIZ MD
SECRETARY	0.0	40.0	Yes (X)		$0	$411,021	$21,551
DAVE DOMEK
DIRECTOR	0.0	3.0	Yes (X)		$0	$0	$0
DAVID TOMLINSON
EVP/CFO	0.0	40.0		Yes (X)	$0	$603,938	$60,723
JASON SCIARRO
PRESIDENT/ COO	0.0	40.0		Yes (X)	$0	$978,327	$91,729
SHEILA SENN
SVP CHIEF OPERATING OFFICER	0.0	0.0			$0	$326,749	$34,186	Yes (X)
JENNIFER OETGEN
MANAGER, PHARMACY	40.0	0.0			$146,750	$0	$10,798		Yes (X)
SUELLEN AUS-DER-AU
CLINICAL STAFF PHARMACIST	40.0	0.0			$157,794	$0	$10,515		Yes (X)
LISA EVAN
CLINICAL STAFF PHARMACIST	40.0	0.0			$145,783	$0	$4,769		Yes (X)
JANINE KRUEGER
CLINICAL STAFF PHARMACIST	40.0	0.0			$139,356	$0	$4,684		Yes (X)
MICHAEL GALE
MANAGER RETAIL PHARMACY	40.0	0.0			$137,078	$0	$24,719		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$726,761	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$4,425,888	TotReportableCompRltdOrgAmt
Total Other Compensation	$438,633	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	21	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
SODEXO INC AFFILIATES
4880 PAYSPHERE CIRCLE	CHICAGO	IL	60674	Food & ES	$1,877,340
MEDLINE INDUSTRIES
ONE MEDLINE PLACE	MUNDELEIN	IL	60060	MEDICAL SUPPLIES/REP	$3,372,622
GILCOR CONSTRUCTION CORP
121 HARRISON STREET	BARRINGTON	IL	60010	CONSTRUCTION	$2,218,117
GE HEALTHCARE
15724 COLLECTIONS CENTER	CHICAGO	IL	60693	MEDICAL EQUIPMENT	$1,264,299
PRECYSE SOLUTIONS LLC
DEPT1736 PO BOX 11407	BIRMINGHAM	AL	35246	SERVICE	$979,112

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	17	CntrctRcvdGreaterThan100KCnt
Related Organizations	$187,615	RelatedOrganizationsAmt
Government Grants	$1,752,674	GovernmentGrantsAmt
Total Contributions	$1,940,289	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
ANCILLARY OUTPATIENT SERVICES	621110	$76,763,913	$76,763,913
ROUTINE PATIENT SERVICES	621110	$42,239,172	$42,239,172
ANCILLARY INPATIENT SERVICES	621110	$2,271,723	$2,271,723
IDPA PROVIDER TAX REVENUE	621110	$10,488,258	$10,488,258
CHARITY CARE/ADMIN ALLOWANCE	621110	-$8,456,860	-$8,456,860

Field	Value	IRS element (for citing)
Total Program Service Revenue	$123,306,206	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$2,001,979	TotalRevenueColumnAmt
Exclusion	$2,001,979	ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$35	TotalRevenueColumnAmt
Exclusion	$35	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	$1,351,740	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$1,351,740	RealAmt
Personal	$0	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,351,740	TotalRevenueColumnAmt
Exclusion	$1,351,740	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$5,780,425	SecuritiesAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$7,330,891	SecuritiesAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	-$1,550,466	SecuritiesAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$1,550,466	TotalRevenueColumnAmt
Exclusion	-$1,550,466	ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

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

Net Income From Gaming NetIncomeFromGamingGrp

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

Net Income Or Loss NetIncomeOrLossGrp

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

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
CAFETERIA SERVICES AND EDUCATION	900099	$567,963	$567,963
RELATED COMPANY REVENUE	900099	$22,195	$22,195
ALL OTHER	900099	$1,148,139	$1,148,139

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$1,455,695	TotalRevenueColumnAmt
Unrelated Business Revenue	$158,163	UnrelatedBusinessRevenueAmt
Exclusion	$1,298,532	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$3,193,992	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$130,243,775	TotalRevenueColumnAmt
Related Or Exempt Func Income	$123,306,206	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$158,163	UnrelatedBusinessRevenueAmt
Exclusion	$4,840,117	ExclusionAmt

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

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

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

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

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

Foreign Grants ForeignGrantsGrp

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

Benefits To Members BenefitsToMembersGrp

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

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$444,630	TotalAmt
Management And General	$444,630	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	$39,014,819	TotalAmt
Program Services	$30,586,365	ProgramServicesAmt
Management And General	$8,428,454	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$920,354	TotalAmt
Program Services	$721,528	ProgramServicesAmt
Management And General	$198,826	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$6,632,170	TotalAmt
Program Services	$5,199,408	ProgramServicesAmt
Management And General	$1,432,762	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$2,764,577	TotalAmt
Program Services	$2,167,339	ProgramServicesAmt
Management And General	$597,238	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$422,115	TotalAmt
Management And General	$422,115	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

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

Fees For Services Accounting FeesForServicesAccountingGrp

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

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$40,656	TotalAmt
Management And General	$40,656	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	$0	TotalAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$3,447,855	TotalAmt
Program Services	$2,422,023	ProgramServicesAmt
Management And General	$1,025,832	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$13,973	TotalAmt
Program Services	$13,282	ProgramServicesAmt
Management And General	$691	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$19,858,241	TotalAmt
Program Services	$19,476,929	ProgramServicesAmt
Management And General	$381,312	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$11,751	TotalAmt
Program Services	$7,776	ProgramServicesAmt
Management And General	$3,975	ManagementAndGeneralAmt

Royalties RoyaltiesGrp

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

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$1,214,413	TotalAmt
Program Services	$108,572	ProgramServicesAmt
Management And General	$1,105,841	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$68,771	TotalAmt
Program Services	$38,530	ProgramServicesAmt
Management And General	$30,241	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	$30,253	TotalAmt
Program Services	$17,858	ProgramServicesAmt
Management And General	$12,395	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$2,782,233	TotalAmt
Program Services	$2,181,181	ProgramServicesAmt
Management And General	$601,052	ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

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

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$6,103,588	TotalAmt
Program Services	$4,785,017	ProgramServicesAmt
Management And General	$1,318,571	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$1,528,388	TotalAmt
Program Services	$1,198,207	ProgramServicesAmt
Management And General	$330,181	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
RELATED COMPANY - CHS	$23,509,077	$18,430,360	$5,078,717
IDPA PROVIDER TAX	$5,649,528	$5,649,528
BAD DEBT	$5,033,004	$5,033,004
RELATED COMPANY - LAB	$1,398,395	$1,398,395

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$3,651,562	TotalAmt
Program Services	$2,979,646	ProgramServicesAmt
Management And General	$671,916	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$124,540,353	TotalAmt
Program Services	$102,414,948	ProgramServicesAmt
Management And General	$22,125,405	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	-$479,060	BOYAmt
EOY	$35,299	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$2,856,421	BOYAmt
EOY	$3,333,026	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	$17,282,666	BOYAmt
EOY	$20,437,274	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	$2,251,672	BOYAmt
EOY	$2,264,700	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$831,853	BOYAmt
EOY	$346,424	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$145,099,469	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$108,980,305	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$39,572,676	BOYAmt
EOY	$36,119,164	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$29,817,654	BOYAmt
EOY	$25,799,734	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	$5,078,500	BOYAmt
EOY	$5,201,392	EOYAmt

Intangible Assets IntangibleAssetsGrp

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

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$42,064,557	BOYAmt
EOY	$52,228,834	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$139,276,939	BOYAmt
EOY	$145,765,847	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$14,867,358	BOYAmt
EOY	$16,418,035	EOYAmt

Grants Payable GrantsPayableGrp

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

Deferred Revenue DeferredRevenueGrp

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

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$69,797,249	BOYAmt
EOY	$71,204,669	EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

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

Loans From Officers Directors LoansFromOfficersDirectorsGrp

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

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

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

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

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

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,510,841	BOYAmt
EOY	$1,958,830	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$86,175,448	BOYAmt
EOY	$89,581,534	EOYAmt

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

Unrestricted Net Assets UnrestrictedNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$50,136,974	BOYAmt
EOY	$53,135,020	EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$2,964,517	BOYAmt
EOY	$3,049,293	EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

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

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$53,101,491	BOYAmt
EOY	$56,184,313	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$139,276,939	BOYAmt
EOY	$145,765,847	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	$5,703,422	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	-$1,075,349	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	-$1,545,251	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	$40,656	OtherActivitiesAmt
Total Lobbying Expenditures	$40,656	TotalLobbyingExpendituresAmt
Not Described Section501c3	false	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	DESCRIPTION OF LOBBYING ACTIVITIES	FormAndLineReferenceDesc
Explanation	Form Sch C Part II-B Line 1c As part of our dues payments to the Illinois Hospital Association, American Hospital Association and Metropolitan Chicago Healthcare Council, approximately 37.3% of dues, on average, are allocable to lobbying activities.	ExplanationTxt

Schedule D IRS990ScheduleD

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

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$219,884	OtherCostOrOtherBasisAmt
Book Value	$219,884	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$75,711,388	OtherCostOrOtherBasisAmt
Depreciation	$53,003,430	DepreciationAmt
Book Value	$22,707,958	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$3,212,830	OtherCostOrOtherBasisAmt
Depreciation	$2,080,648	DepreciationAmt
Book Value	$1,132,182	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$65,955,367	OtherCostOrOtherBasisAmt
Depreciation	$53,896,227	DepreciationAmt
Book Value	$12,059,140	BookValueAmt

Field	Value	IRS element (for citing)
Other Land Buildings		OtherLandBuildingsGrp
Total Book Value Land Buildings	$36,119,164	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (2 entries)

DescDesc	Book ValueBookValueAmt
DUE FROM AFFILIATES	$50,010,751
OTHER RECEIVABLES	$2,218,083

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$52,228,834	TotalBookValueOtherAssetsAmt
Federal Income Tax Liability	$0	FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (2 entries)

DescDesc	AmtAmt
PROFESSIONAL LIABILITY	$1,888,274
OTHER LONG TERM LIABILITY	$70,556

Field	Value	IRS element (for citing)
Total Liability	$1,958,830	TotalLiabilityAmt
Footnote Text	Yes (X)	FootnoteTextInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Form Sch D Part X Line 2	FormAndLineReferenceDesc
Explanation	ASC Topic 740, Income Taxes, addresses the determination of how tax benefits claimed or expected to be claimed on a tax return should be recorded in the consolidated financial statements. Under ASC Topic 740, the Health System must recognize the tax benefit from an uncertain tax position only if it is more likely than not that the tax position will be sustained on examination by the taxing authorities, based on the technical merits of the position. The tax benefits recognized in the consolidated financial statements from such a position are measured by the largest benefit that has a greater than fifty percent likelihood of being realized upon ultimate settlement. ASC Topic 740 also provides guidance on derecognition, classification, interest and penalties on income taxes, and accounting in interim periods and requires increased disclosures. As of June 30 2016 and 2015, the Health System does not have a liability for unrecognized tax benefits.	ExplanationTxt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (true)	FinancialAssistancePolicyInd
Written Policy	Yes (true)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (true)	FPGReferenceFreeCareInd
Percent200	Yes (X)	Percent200Ind
FPG Reference Discounted Care	Yes (true)	FPGReferenceDiscountedCareInd
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	$1,604,649	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,604,649	NetCommunityBenefitExpnsAmt
Total Expense	0.01290	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$11,529,461	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$8,205,007	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,324,453	NetCommunityBenefitExpnsAmt
Total Expense	0.02670	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$13,134,110	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$8,205,007	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,929,102	NetCommunityBenefitExpnsAmt
Total Expense	0.03960	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	27	ActivitiesOrProgramsCnt
Persons Served	4266	PersonsServedCnt
Total Community Benefit Expns	$557,685	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$557,685	NetCommunityBenefitExpnsAmt
Total Expense	0.00450	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Activities Or Programs	8	ActivitiesOrProgramsCnt
Persons Served	158	PersonsServedCnt
Total Community Benefit Expns	$233,392	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$233,392	NetCommunityBenefitExpnsAmt
Total Expense	0.00190	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Activities Or Programs	3	ActivitiesOrProgramsCnt
Persons Served	640	PersonsServedCnt
Total Community Benefit Expns	$3,920	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$3,920	NetCommunityBenefitExpnsAmt

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	39	ActivitiesOrProgramsCnt
Persons Served	7184	PersonsServedCnt
Total Community Benefit Expns	$794,997	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$794,997	NetCommunityBenefitExpnsAmt
Total Expense	0.00640	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Activities Or Programs	39	ActivitiesOrProgramsCnt
Persons Served	7184	PersonsServedCnt
Total Community Benefit Expns	$13,929,107	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$8,205,007	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$5,724,099	NetCommunityBenefitExpnsAmt
Total Expense	0.04600	TotalExpensePct

Economic Development EconomicDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	12	PersonsServedCnt
Total Community Benefit Expns	$320	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$320	NetCommunityBenefitExpnsAmt

Community Support CommunitySupportGrp

Field	Value	IRS element (for citing)
Activities Or Programs	4	ActivitiesOrProgramsCnt
Persons Served	410	PersonsServedCnt
Total Community Benefit Expns	$6,720	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$500	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,220	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Leadership Development LeadershipDevelopmentGrp

Field	Value	IRS element (for citing)
Activities Or Programs	1	ActivitiesOrProgramsCnt
Persons Served	5	PersonsServedCnt
Total Community Benefit Expns	$120	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$120	NetCommunityBenefitExpnsAmt

Coalition Building CoalitionBuildingGrp

Field	Value	IRS element (for citing)
Activities Or Programs	2	ActivitiesOrProgramsCnt
Persons Served	135	PersonsServedCnt
Total Community Benefit Expns	$440	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$440	NetCommunityBenefitExpnsAmt

Health Improvement Advocacy HealthImprovementAdvocacyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	3	ActivitiesOrProgramsCnt
Persons Served	100	PersonsServedCnt
Total Community Benefit Expns	$1,520	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$1,520	NetCommunityBenefitExpnsAmt

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

Field	Value	IRS element (for citing)
Activities Or Programs	11	ActivitiesOrProgramsCnt
Persons Served	662	PersonsServedCnt
Total Community Benefit Expns	$9,120	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$500	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,620	NetCommunityBenefitExpnsAmt
Total Expense	0.00010	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	Yes (true)	BadDebtExpenseReportedInd
Bad Debt Expense	$5,033,004	BadDebtExpenseAmt
Bad Debt Expense Attributable	$2,663,719	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$34,622,307	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$40,615,358	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$5,993,051	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

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

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

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (2 entries)

Primary ActivitiesPrimaryActivitiesTxt	Org Profit Or OwnershipOrgProfitOrOwnershipPct
Algonquin Rd SurgCtr
Outpatient Surgery Center	0.1275
ARSC Real Estate Hol
Real Estate Holding Company	0.25

Field	Value	IRS element (for citing)
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	Memorial Medical Center	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3701 Doty Road	AddressLine1Txt
City	Woodstock	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	60098	ZIPCd

Field	Value	IRS element (for citing)
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	Memorial Medical Center	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
CHNA Conducted	14	CHNAConductedYr
Take Into Account Others Input	Yes (true)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (true)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (true)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (true)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	www.centegra.org	OwnWebsiteURLTxt
Other Website	Yes (X)	OtherWebsiteInd
Other Website URL	www. co.mchenry.il.us	OtherWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Implementation Strategy Adopt	Yes (true)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	14	ImplementationStrategyAdptYr
Strategy Posted Website	false	StrategyPostedWebsiteInd
Strategy Attached	Yes (true)	StrategyAttachedInd
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	200.	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	600.	FPGFamilyIncmLmtDscntCarePct
Income Level Criteria	Yes (X)	IncomeLevelCriteriaInd
Asset Level Criteria	Yes (X)	AssetLevelCriteriaInd
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
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	WWW.CENTEGRA.ORG	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	WWW.CENTEGRA.ORG	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	WWW.CENTEGRA.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
FAP Notice Displayed	Yes (X)	FAPNoticeDisplayedInd
Communtity Notified FAP	Yes (X)	CommuntityNotifiedFAPInd
FAP Actions On Nonpayment	Yes (true)	FAPActionsOnNonpaymentInd
Permit No Actions	Yes (X)	PermitNoActionsInd
Collection Activities	false	CollectionActivitiesInd
FAP Notified Upon Admission	Yes (X)	FAPNotifiedUponAdmissionInd
FAP Notified Before Discharge	Yes (X)	FAPNotifiedBeforeDischargeInd
FAP Notified All Patients	Yes (X)	FAPNotifiedAllPatientsInd
Documented Elig Determination	Yes (X)	DocumentedEligDeterminationInd
Nondis Emergency Care Policy	Yes (true)	NondisEmergencyCarePolicyInd
Other Method Used	Yes (X)	OtherMethodUsedInd
Amounts Generally Billed	false	AmountsGenerallyBilledInd
Gross Charges	false	GrossChargesInd

Supplemental Information SupplementalInformationGrp (7 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
ACCOUNT INPUT FROM PERSON WHO REPRESENT THE COMMUNITY	SCHEDULE H, Part V, Line 5 The McHenry County CHNA was conducted in partnership with a variety of community organizations, including the McHenry County Department of Health. These organizations have extensive knowledge of the community and its constituents, and shared that input during the CHNA process. COMMUNITY SURVEY A DESCRIPTION OF COMMUNITY ISSUES AND PROBLEMS BASED ON A SAMPLE OF MCHENRY COUNTY RESIDENTS. THE SURVEY WAS CONDUCTED ONLINE WITH THE LINK WIDELY BROADCAST BY PARTNER ORGANIZATIONS, AND SUPPLEMENTED BY A PAPER VERSION DISSEMINATED AT NUMEROUS EVENTS AND LOCATIONS. SURVEY RESPONDENTS NUMBERED 744 WITH A 60/40 SPLIT BETWEEN ONLINE AND PAPER RESPONDENTS. QUESTIONS IN THE SURVEY COVERED: * COMMUNITY FEATURES * FINANCIAL ISSUES * HEALTH STATUS - PERCEPTION OF HEALTH AND PREVALENCE OF DISEASES AND CONDITIONS (PHYSICAL AND MENTAL) * ACCESS TO CARE * HEALTH INSURANCE STATUS * ABUSE, SUICIDE, CARE OF OTHER PERSONS KEY INFORMANTS INTERVIEWS WITH 21 COMMUNITY LEADERS, AGENCY DIRECTORS, AND OTHER PEOPLE CONSIDERED EXPERTS IN THEIR FIELD BASED ON PROFESSIONAL EXPERTISE, KNOWLEDGE OF LOCAL HUMAN SERVICES SYSTEM OR POSITION OF INFLUENCE. AS SELECTED BY THE PARTNERS, MANY KEY INFORMANTS OR THEIR PREDECESSORS AT THEIR ORGANIZATIONS HAD BEEN INTERVIEWED FOR THE 2010 STUDY. INTERVIEW QUESTIONS FOCUSED ON COMMUNITY ASSETS, CHALLENGES, TARGET GROUPS IN NEED OF SERVICES, AND PERCEPTION OF STRENGTHS AND WEAKNESSES OF HEALTH AND HUMAN SERVICES DELIVERY. KEY INFORMANTS WERE INTERVIEWED BY FOUR VOLUNTEER INTERVIEWERS, RECORDED, AND TRANSCRIBED BY HEALTH SYSTEMS RESEARCH STAFF.
HOSPITAL FACILITIES THAT JOINTLY CONDUCTED NEEDS ASSESSMENT	SCHEDULE H, Part V, Line 6a THE CHNA WAS CONDUCTED WITH THE FOLLOWING HOSPITALS: Advocate Good Shepherd and Advocate Sherman Hospital
OTHER ORGANIZATIONS THAT JOINTLY CONDUCTED NEEDS ASSESSMENT	SCHEDULE H, Part V, Line 6B THE CHNA WAS CONDUCTED WITH THE FOLLOWING ORGANIZATIONS: MCHENRY COUNTY DEPARTMENT OF HEALTH, FAMILY ALLIANCE INC., MCHENRY COUNTY COLLEGE, MCHENRY COUNTY COMMUNITY FOUNDATION, MCHENRY COUNTY MENTAL HEALTH BOARD, POINEER CENTER FOR HUMAN SERVICES, SENIOR SERVICES ASSOCIATES, INC., UNITED WAY OF CREATER MCHENRY COUNTY, WOODSTOCK CONSOLIDATE UNIT SCHOOL DISTRICT 200.
HOW THE HOSPITAL IS ADDRESSING NEEDS AND NEEDS NOT ADDRESSED	Schedule H, Part V, Line 11 The ways in which Centegra Health System is addressing the significant needs identified in its most recently conducted CHNA are thoroughly described in the attached implementation strategy. There are certain needs identified in the CHNA that are not being addressed by Centegra Health System. These needs include areas of which Centegra Health System has no expertise, and falls outside the scope of care in which Centegra Health System provides to the community. Several of Centegra Health System's CHNA partner organizations are addressing these needs. System's CHNA partner organizations are addressing these needs.
INCOME LEVEL OTHER THAN FPG USED IN DETERMINING AMOUNTS CHARGED PATIENTS	SCHEDULE H, PART V, LINE 13B In addition to the documented 200% of FPG, we also provide a sliding scale discount of 80% for those who have FPG up to 350%. In addition we have presumptive charity which allows for charity discounts/financial assistance to those who currently meet Medicaid eligibility or other state programs based on FPG who may not have had insurance coverage at the time of the service we provided.
OTHER FACTORS USED IN DETERMINING AMOUNTS CHARGED PATIENTS	SCHEDULE H, PART V, LINE 13H ALL PATIENTS ARE CHARGED THE SAME FOR SERVICES RENDERED. PATIENTS MAY QUALIFY FOR FREE OR DISCOUNTED CARE AS DESCRIBED IN PART VI, LINE 3. ELIGIBILITY FOR FINANCIAL ASSISTANCE DEPENDS ON FACTORS SUCH AS INCOME LEVEL, ASSET LEVEL AND MEDICAL INDIGENCY.
OTHER BILLING DETERMINATION OF INDIVIDUALS WITHOUT INSURANCE	SCHEDULE H, PART V, LINE 22D SEE PART VI SUPPLEMENTAL INFORMATION FOR BILLING AND COLLECTION POLICIES REGARDING PERSONS ELIGIBLE FOR FINANCIAL ASSISTANCE.

Field	Value	IRS element (for citing)
Facility	3	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (3 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
CENTEGRA WOODSTOCK OUTPATIENT BH
527 WEST SOUTH STREET	WOODSTOCK	IL	60098	OUTPATIENT BEHAVIORAL HEALTH
CENTEGRA SLEEP DISORDERS CLINIC
1122 N MAIN STREET	ALGONQUIN	IL	60102	SLEEP DISORDER CLINIC
CENTEGRA WOUND AND HYPERBARIC CENTER
11650 SOUTH ROUTE 47	HUNTLEY	IL	60142	WOUND AND HYPERBARIC CENTER

Supplemental Information Detail SupplementalInformationDetail (11 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FINANCIAL ASSISTANCE	Schedule H, Part I, Line 7 LINE 7A-7C AMOUNTS ARE CALCULATED USING THE MEDICARE COST TO CHARGE RATIO. LINE 7E-7I AMOUNTS ARE CALCULATED FROM COMMUNITY BENEFIT REPORTS THAT ARE SUBMITTED BY THE HOSPITAL DEPARTMENTS FOR VARIOUS ACTIVITIES AND SUPPORT GROUPS THAT BENEFIT THE COMMUNITY. METHODOLOGY USED TO ESTIMATE BAD DEBT EXPENSE Part III Line 2 In estimating allowances for doubtful accounts, the Health System analyzes past history, existing trends, and payer sources to determine the reserves needed.
METHODOLOGY OF EST AMOUNT & RATIONALE FOR INCLUDING IN COMMUNITY BENEFIT	Form Sch H Part III Line 3 The estimated amount of bad debt expense which could be reasonably attributed to patients who would likely qualify for financial assistance under the organization's charity care policy if sufficient information had been available to make a determination of their eligibility was based on the self pay patient accounts which were written off as bad debts. Any payments received during the fiscal year on these accounts were deducted from the expense. The amount of expense that exceeds reimbursement is actual expense to treat patients and is therefore treated as a community benefit.
BAD DEBT EXPENSE	Form Sch H Part III Line 4 In estimating allowances for doubtful accounts, the Health System analyzes past history, existing trends, and payer sources to determine the reserves needed. Please reference pages 13-14 of the audited financial statements for notes on the allowances for doubtful accounts.
EXPLANATION OF SHORTFALL AS COMMUNITY BENEFIT	Form Sch H Part III Line 8 The amount shown in line 6 represents the actual costs incurred to treat Medicare patients and is calculated by applying the Medicare cost-to-charge ratio. Therefore, the entire amount of line 7 constitutes a community benefit.
PROVISIONS ON COLLECTION PRACTICES FOR QUALIFIED PATIENTS	FORM SCH H PART III LINE 9B Centegra provides patients with consistent information on payment expectations and assists them in meeting their financial obligations. A written explanation of the payment requirements categorized by type of payor is given prior to admission/registration or upon admission/registration of each Centegra Health System (CHS) patient. Centegra will bill the patient's insurance carrier. Procedures will be implemented over time and by area to collect as much as possible of the time of service unless payor contracts require billing (i.e., no assignments). 1. Admission reservation/outpatient appointment made by physician/patient. Walk-in and Emergency Department patients present for service. 2. Perform the patient pre-registration for applicable scheduled registrations. 3. Patient verbal consent obtained and annotated except where prohibited by law. ""On (date) at about (time), (patient or representative) orally authorized (Site Name) to release information concerning the patient's medical care, treatment and diagnosis to employers, insurance companies, government agencies or third-party payors and their agents, for verification of benefits and pre-certification. I (the Pre-Registrar) did not obtain a written consent signed by the patient, due to the patient not being physically present and limited time constraints."" This statement would be signed and dated by the Pre-Registrar. Patient refusal to provide oral consent requires patient notification of potential penalties and places the burden on the patient to complete payor requirements. 4. Complete insurance verification and initiate pre-certification. 5. Estimate the approximate cost of services and advise the responsible party. Explanation of the cost will fluctuate based on services ordered by the physicians. 6. Discuss the financial requirements, including payment expectations with the patient/guarantor prior to admission/registration when applicable. 7. Interview conducted by Financial Counselor of patients who express difficulty in meeting Centegra's payment requirements. 8. Admission/registration of patient is completed. Patient/guarantor signature for the Consent to Release Information obtained. 9. Collect the estimated patient share. The deductible and co-payments and any non-covered amounts quoted by the carrier are due from inpatients prior to discharge and where possible, for outpatients prior to or at the time of registration. 10. Self-Pay accounts are to be paid in full or screened by the Financial Counselor for potential State or Federal Program, Financial Assistance application or payment plan. 11. Policy regarding non-compliance with respect to payment arrangements or plans: Self-Pay: Patients who have not completed arrangements for one of the payment options within 120 days of the billing date will be automatically turned over to a collection agency. Broken Promise/Defaults: Patients with delinquent payments, 15 or more days late, will be turned over to a collection agency. After Insurance: Processing patients who have not made payments or enrolled in one of the payment options for co-insurance and deductible amounts within 120 days of insurance payment will be turned over to a collection agency.
Needs Assessment	SCHEDULE H, PART VI, LINE 2 CENTEGRA HEALTH SYSTEM IDENTIFIES COMMUNITY HEALTH CARE PRIORITIES AND DEVELOPS ACTIVITIES AND STRATEGIES TO MEET THE HEALTH CARE NEEDS OF AT RISK POPULATIONS WITHIN ITS SERVICE AREA. THESE COMMUNITY BENEFIT PROGRAMS PROMOTE COMMUNITY WELLNESS AND DISEASE PREVENTION, ENHANCE COMMUNITY HEALTH EDUCATION, AND IMPROVE THE QUALITY OF CLINICAL EDUCATION. IN 2013, CENTEGRA HEALTH SYSTEM PARTNERED WITH THE MCHENRY COUNTY HEALTH DEPARTMENT, UNITED WAY OF MCHENRY COUNTY AND OTHER HOSPITALS AND ORGANIZATIONS TO CONDUCT THE 2014 MCHENRY COUNTY HEALTHY COMMUNITY STUDY. THE INTENT OF THE NEEDS ASSESSMENT WAS TO UNDERSTAND AND ADDRESS THE COUNTY'S MOST PRESSING NEEDS, INVOLVING PARTNERS FROM DIVERSE ORGANIZATIONS, IN ORDER TO IMPROVE THE HEALTH OF COUNTY RESIDENTS. A THOROUGH UNDERSTANDING OF THE COUNTY'S HEALTH WAS MEASURED USING FOUR ASSESSMENTS, EACH FROM A DIFFERENT PERSPECTIVE INCLUDING RESIDENTS, POPULATIONS IN NEED OF SERVICES, COMMUNITY LEADERS, AND DESCRIPTORS USING SECONDARY DATA SOURCES. THROUGH THE ASSESSMENTS, KNOWLEDGE WAS GAINED ABOUT THE CURRENT HEALTH STATUS OF COUNTY RESIDENTS, DEMOGRAPHIC TRENDS, SOCIAL AND ECONOMIC INDICATORS, HEALTH BEHAVIORS, AND UTILIZATION OF HEALTH SERVICES. THE ASSESSMENTS ALSO ATTEMPTED TO UNDERSTAND THE PERCEPTIONS OF COMMUNITY STRENGTHS AND WEAKNESSES AS WELL AS ANSWER QUESTIONS ABOUT THE HEALTH AND HUMAN SERVICES DELIVERY SYSTEM, UNMET NEEDS, GAPS, AND BARRIERS TO CARE.
PATIENT EDUCATION OF ELIGIBILITY OF ASSISTANCE	SCHEDULE H, PART VI, LINE 3 UNINSURED PATIENTS ARRIVING AT OUR EMERGENCY DEPARTMENT AND/OR DIRECT ADMITS ARE SCREENED AT TIME OF SERVICE BY EITHER AN EMERGENCY DEPARTMENT FINANCIAL COUNSELOR OR THE HEALTH SYSTEM'S IN-PATIENT FINANCIAL COUNSELING TEAM, PUBLIC AID REPRESENTATIVES, AND A MEDICATION ASSISTANCE COORDINATOR TO IDENTIFY ELIGIBILITY GUIDELINES FOR FEDERAL, STATE AND LOCAL GOVERNMENT PROGRAMS, AS WELL AS CHARITY CARE. CHS'S SELF PAY PROCESS INCLUDES A SCREENING WHICH IS COMPLETED BY USING HOSPITAL FORM C910050 03-09 PROMPTING AN INTERVIEW OFFERING PAYMENT OPTIONS AND ELIGIBILITY GUIDELINES. IT IS AT THIS TIME THAT A PATIENT BECOMES AWARE OF THE HOSPITAL UNINSURED PATIENT DISCOUNT ACT, MEDICAID, MEDICATION ASSISTANCE PROGRAMS, CRIME VICTIMS, IBCCP, CASH PAY FEE SCHEDULES, AND OTHER HOSPITAL DISCOUNT INCENTIVES. PATIENTS ARE ADVISED OF TIMELINE FOR COMPLETING APPLICATION PROCESSES AT TIME OF SERVICE IN PERSON. APPROPRIATE SCRIPTING IS FOLLOWED BY CHS ASSOCIATES. DISCOUNTS WERE ESTABLISHED FOLLOWING THE 200%, 350% AND 600% FEDERAL POVERTY GUIDELINES TO ASSIST IN DETERMINING CHARITY ADJUSTMENTS. APPLICATIONS WERE DESIGNED BY CHS SELF PAY COMMITTEE IN ACCORDANCE TO OUR FINANCIAL POLICY (POLICY NUMBER 9850-2) IDENTIFYING QUALIFICATIONS FOR THE MEDICALLY NEEDY/CATASTROPHIC AID. UNINSURED PATIENTS OPTING FOR ELECTIVE SERVICES ARE CONTACTED BY PHONE PRIOR TO THEIR DATE OF SERVICE BY THE CHS OUTPATIENT FINANCIAL COUNSELING TEAM. CHS'S SELF PAY PROCESS IS FOLLOWED AND INCLUDES A SCREENING FOR FEDERAL, STATE AND LOCAL GOVERNMENT PROGRAMS AS WELL AS CHARITY CARE. AN INTERVIEW OFFERING PAYMENT OPTIONS AND ELIGIBILITY GUIDELINES USING HOSPITAL FORM C910050 03/09 PROMPTS A QUICK ELIGIBILITY DETERMINATION. IT IS AT THIS TIME THAT A PATIENT BECOMES AWARE OF THE UNINSURED PATIENT DISCOUNT ACT, MEDICAID, MEDICATION ASSISTANCE PROGRAMS, CRIME VICTIMS, IBCCP, CASH PAY FEE SCHEDULES, AND OTHER HOSPITAL DISCOUNT INCENTIVES. PATIENTS ARE ADVISED OF TIME LINE FOR COMPLETING APPLICATION PROCESSES PRIOR TO THEIR ELECTIVE SERVICES VIA PHONE. APPROPRIATE SCRIPTING IS FOLLOWED BY CHS ASSOCIATES. DISCOUNTS WERE ESTABLISHED FOLLOWING THE 200%, 350% AND 600% FEDERAL POVERTY GUIDELINES TO ASSIST IN DETERMINING CHARITY ADJUSTMENTS. APPLICATIONS WERE DESIGNED BY CHS SELF PAY COMMITTEE IN ACCORDANCE TO OUR FINANCIAL POLICY (POLICY NUMBER 9850-2) IDENTIFYING QUALIFICATIONS FOR THE MEDICALLY NEEDY/CATASTROPHIC AID. OUR HEALTH SYSTEM'S WEBSITE OFFERS FAQ'S AND ANSWERS AS WELL AS ENCOURAGES PATIENTS TO CONTACT OUR CUSTOMER SERVICE TEAM WHEN THEY ARE UNABLE TO PAY FOR SERVICES. OUR HEALTH SYSTEM'S STATEMENTS ALSO IDENTIFY DETAILED ACCOUNT AND BILLING INFORMATION ENCOURAGING THE PATIENT TO CONTACT OUR CUSTOMER SERVICE TEAM AND INQUIRE ABOUT FINANCIAL ASSISTANCE OPTIONS. DOCUMENTATION IS ESSENTIAL IN EFFECTIVE COMMUNICATION. FOLLOW UP TEAMS WILL THEN MOVE FORWARD IN A TIMELY MANNER WITH THE APPROPRIATE ACTIONS TO INSURE ALL NECESSARY DOCUMENTS (IF APPLICABLE) ARE RECEIVED FOR ELIGIBILITY DETERMINATIONS. CHS ADVERTISES A PRICE LINE ENCOURAGING PATIENTS TO INQUIRE ABOUT ESTIMATED COSTS FOR FUTURE SERVICES. THE PRICE IS MANNED BY OUR OUTPATIENT FINANCIAL COUNSELORS FROM 8:00AM TO 7:00PM. WHEN CALLS ARE RETURNED WITH ESTIMATED COSTS, A CONVERSATION ENSUES TO IDENTIFY A POSSIBLE FINANCIAL HARDSHIP. OUR SELF PAY PROCESS IS PUT INTO EFFECT AT THIS TIME. SITE REGISTRARS WILL NOTIFY THE CHS FINANCIAL COUNSELING TEAM WHEN A FINANCIAL HARDSHIP IS IDENTIFIED. EMERGENCY DEPARTMENT FINANCIAL COUNSELING POSITIONS HAVE BEEN CREATED TO MEET THE NEEDS OF OUR ED PATIENTS. IN ADDITION TO THESE NEW ROLES, A FULL TIME FINANCIAL COUNSELOR POSITION WAS CREATED TO MEET THE SPECIAL NEEDS OF OUR CANCER PATIENTS. A FINANCIAL ASSISTANCE COORDINATOR REVIEWS ALL FINANCIAL APPLICATIONS, GATHERS NEEDED DOCUMENTS, DETERMINES FINANCIAL ASSISTANCE AND PREPARES EACH PATIENT FILE FOR LEADERSHIP APPROVAL.
COMMUNITY INFORMATION	SCHEDULE H, PART VI, LINE 4 CENTEGRA HEALTH SYSTEM DEFINES ITS PRIMARY SERVICE AREA AS MCHENRY COUNTY, AN AREA OF APPROXIMATELY 603 SQUARE MILES AND 327,502 RESIDENTS. THIS COUNTY IS AMONG THE FASTEST GROWING COUNTIES IN ILLINOIS WITH AN 18.7% POPULATION GROWTH FROM 2000-2010. THE AGE GROUPS WITH PROJECTED POPULATION GROWTH FROM 2012 TO 2017 ARE THE 20-44 WITH 0.4% AND THE 65+ AGE GROUP WITH 15.8% GROWTH. THE COUNTY'S OVERALL POPULATION IS PROJECTED TO INCREASE BY 0.9% IN THE NEXT FIVE YEARS (2013 TO 2018). FOR 2010, THE AGE DISTRIBUTION OF THE POPULATION WAS AS FOLLOWS: 30% 0-19, 32% 20-44, 28% 45-64, AND 10% 65+. MCHENRY COUNTY HAS RELATIVELY HIGH SOCIOECONOMIC STATUS COMPARED TO THE REST OF ILLINOIS. MEDIAN HOUSEHOLD INCOME FOR 2012 WAS $76,683 COMPARED TO THE IL STATE MEDIAN INCOME OF $55,137. THE MARCH 2014 UNEMPLOYMENT RATE WAS 7.8% WHICH IS LOWER THAN THE STATE AVERAGE OF 8.3%. FOR 2012, THE PERCENTAGE OF THE COUNTY'S POPULATION HOLDING A HIGH SCHOOL DIPLOMA OR HIGHER WAS 92.0%, WHILE THE PERCENTAGE HOLDING A BACHELOR'S DEGREE OR HIGHER WAS 33.1%. THE MCHENRY COUNTY UNINSURED RATE IN 2012 WAS 9.8% COMPARED TO THE STATE UNINSURED RATE OF 12.8%. The most recent data available was used in this description.
PROMOTION OF COMMUNITY HEALTH	SCHEDULE H, PART VI, LINE 5 PLEASE SEE SCHEDULE O FOR A DETAILED DESCRIPTION OF THE MEDICAL CENTER'S PROGRAM SERVICE ACCOMPLISHMENTS.
AFFILIATED HEALTH CARE SYSTEM	SCHEDULE H, PART VI, LINE 6 MEMORIAL MEDICAL CENTER OF MCHENRY, IL IS AFFILIATED WITH NORTHERN ILLINOIS MEDICAL CENTER OF MCHENTRY, IL. BOTH HOSPITALS ARE ACUTE CARE FACILITIES SERVING THE GREATER MCHENRY COUNTY AREA. CENTEGRA HEALTH SYSTEM IS THE PARENT OF BOTH NORTHERN ILLINOIS MEDICAL CENTER AND MEMORIAL MEDICAL CENTER. MEMORIAL MEDICAL CENTER IS AFFILIATED WITH HEALTH BRIDGE FITNESS CENTERS IN CRYSTAL LAKE, AND THE MEDICAL CENTER PROVIDES OUTPATIENT PHYSICAL REHABILITATION SERVICES TO THE COMMUNITY FROM A CLINIC WITHIN THAT LOCATION. THE CENTEGRA HEALTH SYSTEM FOUNDATION SUPPORTS HOSPITAL OPERATIONS THROUGH FUNDRAISING ACTIVITIES. PLEASE SEE SCHEDULE R FOR COMPLETE LISTING OF ALL AFFILIATED ORGANIZATIONS.
STATES WHERE COMMUNITY BENEFIT REPORT FILED	SCHEDULE H, PART VI, LINE 7 IL

Schedule J IRS990ScheduleJ

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

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (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
MICHAEL EESLEY
CHIEF EXECUTIVE OFFICER	$0	$923,531	$0	$319,403	$0	$324,620	$0	$123,889	$0	$17,625	$0	$1,709,068	$0	$0
LISA GLOSSON MD
DIRECTOR	$0	$232,288	$0	$0	$0	$12,331	$0	$7,399	$0	$11,234	$0	$263,252	$0	$0
RICHARD LIND
DIRECTOR	$0	$293,680	$0	$0	$0	$0	$0	$0	$0	$14,812	$0	$308,492	$0	$0
DAVID TOMLINSON
EVP/CFO	$0	$457,428	$0	$146,510	$0	$0	$0	$34,105	$0	$26,618	$0	$664,661	$0	$0
JASON SCIARRO
PRESIDENT/ COO	$0	$636,395	$0	$229,947	$0	$111,985	$0	$69,175	$0	$22,554	$0	$1,070,056	$0	$0
SHEILA SENN
SVP CHIEF OPERATING OFFICER	$0	$256,595	$0	$70,154	$0	$0	$0	$24,435	$0	$9,751	$0	$360,935	$0	$0
JENNIFER OETGEN
MANAGER, PHARMACY	$140,369	$0	$6,381	$0	$0	$0	$1,973	$0	$8,825	$0	$157,548	$0	$0	$0
SUELLEN AUS-DER-AU
CLINICAL STAFF PHARMACIST	$157,794	$0	$0	$0	$0	$0	$3,868	$0	$6,647	$0	$168,309	$0	$0	$0
LISA EVAN
CLINICAL STAFF PHARMACIST	$145,783	$0	$0	$0	$0	$0	$3,198	$0	$1,571	$0	$150,552	$0	$0	$0
MICHAEL GALE
MANAGER RETAIL PHARMACY	$137,078	$0	$0	$0	$0	$0	$0	$0	$24,719	$0	$161,797	$0	$0	$0
IRFAN HAFIZ MD
SECRETARY	$0	$341,063	$0	$69,958	$0	$0	$0	$21,525	$0	$26	$0	$432,572	$0	$0

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Received Severance, Supplemental NQ Retirement, Equity-Based Compensation	FormAndLineReferenceDesc
Explanation	Schedule J, Part I, Line 4b The following people received the following amounts as part of a supplemental nonqualified retirement plan: Name Title Amount MICHAEL EESLEY CHIEF EXECUTIVE OFFICER $118,000 JASON SCIARRO PRESIDENT / COO $63,205 DAVID TOMLINSON EVP / CFO $27,741 IRFAN HAFIZ SVP CHIEF MEDICAL OFFICER $21,525 SHEILA SENN SVP CHIEF OPERATING OFFICER $18,358	ExplanationTxt

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Field	Value	IRS element (for citing)
Person	CAREY ELECTRIC	PersonNm

Field	Value	IRS element (for citing)
Relationship Description	DIRECTOR	RelationshipDescriptionTxt
Transaction	$35,123	TransactionAmt
Transaction	ELECTRICAL CONTRACTOR	TransactionDesc
Sharing Of Revenues	false	SharingOfRevenuesInd

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	Sch. L, Part IV	FormAndLineReferenceDesc
Explanation	All business transactions with interested persons are arm's length transactions, see conflict of interest diclosure for Form 990, Part VI, Line 2.	ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PROGRAM SERVCE ACCOMPLISHMENTS	Form 990 Part III Line 4a Executive Summary Centegra Health System (Centegra) coordinates the delivery of health care services by assisting in the management of Centegra Hospital- McHenry (Northern Illinois Medical Center) and Centegra Hospital- Woodstock (Memorial Medical Center), (The Medical Centers), and Centegra Health System Foundation, Health Bridge Corporation and NIMED Corporation (Affiliates). CENTEGRA HOSPITAL- HUNTLEY is opening IN AUGUST 2016. Centegra's mission is to inspire and engage our community in their health and wellness. We provide quality health care services with innovative and responsible use of resources and promote wellness for communities in and around the greater McHenry County area in Illinois. During its fiscal year 2016, Centegra Health System sponsored more than 200 community events. These events touched more than 191,000 individuals. The Medical Centers provide optimum quality health care, delivered by competent hospital and medical center staff, to all whom seek its services regardless of race, creed, sex, national origin, handicap, age, or ability to pay. The primary mission of the Medical Centers is to enhance the health of the community as the preferred health care organization providing outstanding service and value. It is the Medical Centers' objective to serve the community with respect to providing health care services and education. Although reimbursement for services rendered is critical to the operation and stability of the Medical Centers, it is recognized that not all individuals possess the ability to purchase essential medical services. Therefore, in keeping with the Medical Centers' commitment to serve all members of its community, free care and/or subsidized care will be considered where the need and/or an individual's inability to pay exist. Medical Services are provided in a dignified manner to Medicare, Medicaid and indigent patients. System-wide, community benefits included approximately $4.5 million of charity care, over $43.5 million of government sponsored indigent health care, approximately $5.4 million of other community benefits, and over 88,000 community benefit hours. The Medical Centers' services include, but are not limited to: Centegra Hospital-McHenry is a 179-bed facility located about 50 miles outside of Chicago. The hospital is the region's leading provider of advanced cardiovascular treatments through the Centegra Cardiovascular & Thoracic Center. It is also home to the Centegra Hip & Knee Replacement Center, the Centegra Sage Cancer Center and the Centegra Family Birth Center. As part of Centegra Health System, Centegra Hospital-McHenry achieved Magnet designation for nursing excellence. Centegra Hospital-McHenry provides sophisticated treatments and advanced technology to address the most serious medical conditions. These include: Open-heart surgery and heart catheterizations Joint replacement surgeries A Level II Trauma Center and on-site Flight for Life helicopter Certified chest pain and stroke centers Advanced cancer treatments including radiation oncology and infusion services Labor and delivery and on-site 24/7 obstetrics hospitalists and neonatologists Intensive care Medical-Surgical care and 24/7 hospitalist care Outpatient surgery Centegra Hospital-Woodstock is a 106-bed facility located about 60 miles outside of Chicago. The hospital provides exceptional inpatient and outpatient care and has won top awards for patient safety and satisfaction. As part of Centegra Health System, Centegra Hospital-Woodstock achieved Magnet designation for nursing excellence. Centegra Hospital - Woodstock provides sophisticated treatments and advanced technology to address the most serious medical conditions, including: A Level II Trauma Center and on-site Flight for Life helicopter Certified chest pain and stroke centers Intensive care Medical-Surgical care and 24/7 hospitalist care Outpatient surgery Inpatient behavioral health services Weight-loss surgery through the Centegra Healthy Living Institute State-of-the-art medical imaging Centegra Health System Foundation provides fund-raising services for Centegra Health System in conjunction with the Medical Centers. The proceeds of these activities are used to purchase medical equipment and supplies, therefore enabling the Medical Centers to better serve the community. Health Bridge Corporation provides various rehabilitation services for the Medical Centers in conjunction with Centegra Health System, by providing fitness centers and pools that serve the community in various capacities and sponsors and hosts assorted educational programs. NIMED Corporation aids in the management of the Medical Centers and several satellite locations within the Centegra Health System organization. The Medical Centersthe Affiliates' program accomplishments are summarized below. SUPPORT GROUPS Centegra Health System, in conjunction with the Medical Centers and Affiliates, sponsors or hosts many support groups for its patients as well as the community. The following ongoing support groups are held at the Medical Centers, Affiliates or in the community. By supporting these groups, the Medical Centers and Affiliates are able to provide one or all of the following: Staff professionals who either act as facilitators of the group or function as "Guest Speakers," Space offered free or at minimal charge, Free marketing to educate the community about these services. Programs sponsored by the Medical Centers and or Affiliates in conjunction with Centegra Health System include: Oncology Support Groups Cancer Transitions focuses on the needs of cancer survivors who have finished treatment within the last two years. Caring for the Caregiver is a group for those offering care to anyone with a serious illness. The group provides an opportunity to connect with others who understand the unique experience of being a caregiver. Education and support are offered on relevant topics to assist successful management of the challenges of caregiving. Creating Expressions links artistic experience with the emotional benefits of cancer management. Growing Together Through Cancer Transitions is a monthly group for cancer survivors who have completed the Cancer Transitions program. Education and support is offered through the group experience to increase personal empowerment and wellness in body, mind and spirit toward the goal of long term cancer survivorship. Centegra STAR Program Guided Patient Services (GPS) where participants receive valuable information and resources that aid them before, during and after diagnosis and treatment. Members of the Survivorship Training and Rehabilitation (STAR) certified team are available to address questions and concerns while patients participate in assessments to help create a personalized plan of care. H.O.P.E.: High on Positive Energy is for women living with breast cancer. Look Good Feel Better is a free program offered by the American Cancer Society and teaches beauty techniques to women who are currently undergoing cancer treatment. Partners in Cancer Transitions, a monthly support group for cancer survivors and their care partners. Pathfinders, a support group for men and women living with cancer and their care partners. Wig Boutique: This American Cancer Society program helps women with cancer select a free wig. Young Ribbons, a support group or those diagnosed with breast cancer younger than the age of 45. This support group helps participants connect with other breast cancer survivors to share, learn and support one another during and after treatment. Additional Support Groups and Services: A.W.A.K.E. (Alert, Well and Keeping Energetic) Support Group is a sleep disorder support group for patients and family members affected by sleep disordered breathing. The A.W.A.K.E. Support Group is part of the American Sleep Apnea Association. ADHD Parent Support Group a free support group for parents of children with Attention Deficit Disorder (ADD) or Attention Deficit Hyperactivity Disorder (ADHD) this group provides opportunities for parents to share, collaborate and communicate about some of the challenges involved in raising children with ADD or ADHD. Breastfeeding Support groups are held to support all breastfeeding moms. Centegra Crisis Services in partnership with the McHenry County Mental Health Board offers 24-hour crisis line and 24-hour onsite response team. Diabetes Support Group is for individuals with diabetes and their families. Eating Disorder Support Group, a monthly eating disorder support group led by a mental health professional and a registered dietitian. Free Freshstart/Tobacco Cessation: Centegra has partnered with the American Cancer Society to empower participants towards quitting a tobacco habit. Freshstart provides information about effective strategies and helps motivate and prepare participants to make a successful quit attempt. Living with Grief, sponsor
Business or Family Relationship of Officers, Directors, Etc	Form 990 Part VI Line 2 As part of Centegra Health System, Memorial Medical Center (MMC) has adopted specific conflict of interest policies for its governing and management staff. The policy includes, but is not limited to, when an individual, governor, committee member, agent or employee believes that he or she, or member of his or her immediate family might have or does have a real or apparent conflict, he or she should in addition to filing the disclosure notice required, abstain from making motions, voting, executing agreements, or taking any other similar direct action on behalf of MMC. During fiscal year 2016, Memorial Medical Center purchased certain goods and/or services from organizations with director's affiliation. All goods were competitively bid and conducted at arm's length. The fees paid were at fair market value. Durring the fiscal year 2016, director michael curran is an officer/director of Curran contracting company, supplier of excavation and asphalt pavement services. Director Patrick Morehead, whose term on the Board of Covernors expired in December 2015, is a 2% owner of Home State Bank. Director Charles Ruth is the Board Chairman of American Community Bank & Trust and chief Executive Officer of Alliance Contractors. Director Tom Carey is the Vice President and Majority Owner of Carey Electric, Inc., supplier of electrical contracting services. Senior Vice President, Chief Operating Officer of Centegra Hospital- McHenry, is the daughter of Michael Eesley, CEO. Rachel Sebastian reports directly to the President and Chief Operating Officer Jason Sciarro.
Explanation of Classes of Members or Shareholder	Form 990 Part VI Line 6 Centegra Health System is a sole member of MMC. Centegra Health System has a single class of members.
How Members or shareholders elect governing body	Form 990 Part VI Line 7a The powers and duties of the Centegra Health System members in fulfilling the purposes and objectives of the Corporation shall include, but not be limited to, the taking of action with respect to the following matters: The election of governors and the filling of vacancies of the Board of Governors, which shall be in accordance with the procedures set forth in the Bylaws. The Nominating Committee shall select one candidate for each position on the Board having a term to be voted upon for the office of governor at the next annual meeting of members. The Nominating Committee shall consider and approve a list of candidates and submit such a list to the Board of Governors not less than 10 days prior to the date of the last meeting of member is to be sent, and the candidates set forth on such list shall be subject to approval by the Board of Governors. The names of the candidates so selected by the Nominating Committee and approved by the Board of Governors shall be included in the notice of the annual meeting for the members of the Corporation and shall be presented to the members for the Corporation at the annual meeting. The voting members of the Corporation may nominate candidates for positions on the Board of Governors. Nominations by such members may be effected by means of written nomination signed by not less than 20 voting members in good standing, accompanied by a written statement of such nominee indicating a willingness to serve as a governor of the Corporation if elected. Any such nomination must be received by the Nominating Committee of the Corporation not less than 60 days prior to the annual meeting of members in order to be considered at such annual meeting. All elections shall be by secret ballot if there are more nominees than vacancies to be filled on the Board. All voting members present in person or by proxy at a meeting at which an election occurs shall be entitled to vote for governors. To be valid a ballot must not have more votes than there are vacancies. If there are more nominees than vacancies to be filled on the Board, those nominees who receive the most votes shall be elected to the Board of Governors. Members shall not be entitled to cumulate their votes in the election of governors.
Review Process	Form 990 Part VI Line 11b The review process for the 990 include compilation by internal staff, detailed review by an outside tax preparer and Chief Financial Officer, prior to submission to the IRS. The tax return will be made available for the Board to review after submission to the IRS.
Explanation of monitoring and enforcement of conflicts	Form 990 Part VI Line 12c Notwithstanding, it is realized that both real and apparent conflicts of interest sometimes naturally occur in the course of conducting daily affairs. Conflicts occur because the many persons associated with MMC should be expected to have, and do in fact generally have multiple interests and affiliations, and various positions of responsibility with the community. The long-range interests of Centegra do not require the termination of an association with persons who may have real or apparent conflicts, if a prescribed and effective method can render such conflicts harmless to all concerned. Centegra Health System has a conflict of interest policy that is intended to address such matters. 1. DUTY TO DISCLOSE: In connection with any actual or possible conflicts of interest, an interested person or other person subject to this policy must disclose the existence and nature of his or her financial interest in writing to the President of Centegra or the Chief Corporate Responsibility Officer or designee, who shall provide such written disclosure to the Governors Affairs Committee of Centegra, which shall consider all conflicts of interest issues and, if appropriate, to the directors and members of committees with board-delegated powers considering the proposed transaction or agreement. The disclosure must occur, at minimum, annually, with a conflict of Interest Disclosure Statement being submitted no later than January 31st of each year. Copies of disclosure statement filed by the Board members shall be distributed to the Board annually at the February Board meeting. 2. DETERMINING WHETHER A CONFLICT OF INTEREST EXISTS: When a conflict of interest is disclosed at a meeting of the board or committee thereof, after disclosure of the financial interest, the interested person shall leave the board or committee meeting while the financial interest is discussed and voted upon. The remaining board or committee shall decide if a conflict of interest exists. The interested person's leaving such meeting shall not affect whether a quorum exists at such meeting. 3. Procedures for addressing the transaction or arrangement from which the conflict arose. The chairperson of the board of committee shall, if appropriate, appoint a disinterested person or committee to investigate alternatives to the proposed transaction or arrangement. After exercising due diligence, the board or committee shall determine whether Centegra can obtain a more advantageous transaction or arrangement with reasonable efforts from a person or entity that would not give rise to a conflict of interest. If a more advantageous transaction or arrangement is not reasonably attainable under circumstances that would not give rise to a conflict of interest, the board of committee shall determine by a majority vote of the disinterested directors whether the transaction or arrangement is in Centegra's best interest and for its own benefit and whether the transaction is fair and reasonable to Centegra and shall make its decision as to whether to enter into the transaction or arrangement in conformity with such determination. 4. Violations of the Conflicts of Interest Policy: If the administration, the board, or a committee has a reasonable cause to believe that a member has failed to disclose actual or possible conflicts of interest, it shall inform the member of the basis for such belief and afford the member an opportunity to explain the alleged failure to disclose. If, after hearing the response of the member and making such further investigation as may be warranted in the circumstances, the board or committee determines that the member has, in fact failed to disclose an actual or possible conflict of interest, it shall refer the matter to the Governors Affairs Committee for consideration, which shall subsequently recommend appropriate disciplinary and corrective action to such board or committee. 5. The minutes of the board and all committees with board-delegated powers shall contain the names of the persons who disclosed or otherwise were found to have a financial interest in connection with an actual or possible conflict of interest, the nature of the financial interest, any action taken to determine whether a conflict of interest was present, and the board's or committee's decision as to whether a conflict of interest, in fact, existed. The names of the persons who were present for discussion and votes relating to the transaction or arrangement, the content of the discussions, including any alternatives to the proposed transaction or arrangement, and a record of any votes taken in connection therewith. 6. A voting member of any committee whose jurisdiction includes compensation matters and who receives compensation, directly or indirectly, from Centegra for services is precluded from voting on matters pertaining to that member's compensation, Physicians who receive compensation, directly or indirectly from Centegra, whether as employees or independent contractors, are precluded from membership on any committee whose jurisdiction includes compensation matters and in which such physician may have a direct or indirect interest. 7. Each director, principal officer, and member of a committee with board-delegated powers shall annually sign a statement which affirms that such person has received a copy of the conflicts of interest policy; has read and understands the policy; has agreed to comply with the policy; and understands that Centegra is a charitable organization and that in order to maintain its federal tax exemption, it must engage primarily in activities which accomplish one or more of its tax exempt purposes. 8. To ensure that Centegra operates in a matter consistent with its charitable purposes and that it does not engage in activities that could jeopardize its status as an organization exempt from federal income tax, periodic reviews shall, at a minimum, include the following subjects: Whether acquisition of physician practices and other provider services result in inurement or impermissible private benefit. Whether joint venture arrangements and arrangements with management service organizations and physician hospital organizations conform to written policies, are properly recorded, reflect reasonable payment for goods and services, further Centegra's charitable purposes and do not result in inurement or impermissible private benefit. Whether agreements to provide healthcare and agreements with other healthcare providers, employees, and third party payors further Centegra's charitable purposes and do not result in inurement or impermissible private benefit. Whether business transactions on behalf of Centegra or an entity controlled by it are the result of arms-length dealing and are no less advantageous than competitively available goods and services of like grade and quality. 9. In conducting the periodic reviews provided for in Article VII, Centegra may, but need not, use outside advisors. If outside experts are used, their use shall not relieve the board of its responsibility for ensuring that periodic reviews are conducted.
COMPENSATION REVIEW & APPROVAL PROCESS- OFFICERS & KEY EMPLOYEES	Form 990 Part VI Line 15A & 15b The Board of Directors of Centegra Health System, through the Compensation Committee comprised of independent members free of conflict, reviewed executive compensation levels and other features of the compensation plan in accordance with the organization's approved compensation philosophy and strategy: The Committee is comprised of members of the Board of Directors, who are independent of Centegra management, have no personal interest in the compensation arrangements, are not related to, or under the control of any individual whose compensation arrangement is being reviewed and have no material business relationship with Centegra. The C-Suite's compensation is determined by the Compensation Committee in relation to comparable peers or 990 Market Data. Compensation for other members of the executive staff are recommended by the CEO, reviewed by the Committee, and evaluated against market data based on comparable peers. The Committee approves all compensation decisions in advance of their implementation and documents its determinations and discussions. Its decision and deliberations are thoroughly documented and meeting minutes are kept and distributed to the Committee members (for historical reference). The Compensation Committee uses a number of external sources and comparisons, and their review includes total compensation (cash compensation, plus benefits provided by Centegra) in relation to organizational performance and prevailing industry practices of comparably-sized organizations. They have engaged the services of a compensation consulting firm (Sullivan Cotter) specializing in the not-for-profit sector that has worked with Centegra and reports directly to the Compensation Committee. Reasonableness letters and documentatioini are provided to the organization after each review.
OTHER ORGANIZATION DOCUMENTS PUBLICLY AVAILABLE	Form 990 Part VI Line 19 The organizatoin makes its governing documents, conflict of interest policy, and financial statements available to the public upon request.
RELATED COMPANY - CHS	Form 990 Part IX Line 24a It should be noted that the Related Company expenses in Form 990, Part IX, line 24a are allocated at 30% of total expense of the related company (Centegra Health System, FEIN 36-3196559). The allocation method is reviewed annually. Expense detail is as follows: Salaries $7,746,514; Benefits $1,569,718; Payroll Taxes $577,331; Purchased Services/Professional Fees $7,914,574; IT Expenses $2,275,974; Office Expenses $712,583; Advertising and Promotional $635,427; Other Expenses $2,076,956.
RECONCILIATION OF NET ASSETS	FORM 990, PART XI, LINE 9 INTEREST IN FOUNDATION $84,749 AFFILIATE TRANSFERS ($1,630,000) -------------- ($1,545,251)

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (7 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt	Controlled OrganizationControlledOrganizationInd
Centegra Health System
385 Millennium Drive	Crystal Lake	IL	60012	363196559	Health System	IL	501(c)(3)	11c	NA	false
Northern Illinois Medical Center
4201 Medical Center Drive	McHenry	IL	60050	362338884	Hospital	IL	501(c)(3)	3	Centegra HS	false
Centegra Health System Foundation
385 Millennium Drive	Crystal Lake	IL	60012	363726310	Fundraising	IL	501(c)(3)	11a	Centegra HS	false
NIMED Corporation
385 Millennium Drive	Crystal Lake	IL	60012	363199111	Property Mgmt	IL	501(c)(3)	11c	Centegra HS	false
Health Bridge Corporation
385 Millennium Drive	Crystal Lake	IL	60012	363196550	Health FT CTR	IL	501(c)(3)	11c	Centegra HS	false
Centegra Hospital-Huntley Holdings
385 Millennium Drive	Crystal Lake	IL	60012	453449737	Support Org	IL	501(c)(3)	11C	NIMC	false
OAK CREEK LODGE
385 MILLENNIUM DRIVE	CRYSTAL LAKE	IL	60012	363591359	HOSPITAL	IL	501(C)3	3	CENTEGRA HS	false

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp

Related Organization Name RelatedOrganizationName

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

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	385 Millenium Drive	AddressLine1Txt
City	Crystal Lake	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	60012	ZIPCd

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

Direct Controlling Entity Name DirectControllingEntityName

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

Field	Value	IRS element (for citing)
Entity Type	C Corp	EntityTypeTxt
Controlled Organization	false	ControlledOrganizationInd

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