2017-08-10T21:08:09-05:00 2016-09-30 Deloitte Tax LLP 111 Monument Circle Suite 4200 Indianapolis IN 462045108 990 2015-10-01 362167060 NorthShore University HealthSystem % JEFF BIESCZAT NORT 8475702000 1301 Central Street Evanston IL 60201 GARY E WEISS Treasurer and CFO 8475705103 2017-08-08 true Shawna M Jimenez P01222873 3174648600 2017-08-04 2015 2021-01-29 14:40:06Z Mark R Neaman 1301 Central Street Evanston IL 60201 1908592046 false X northshore.org X 1891 IL The core mission of NorthShore University HealthSystem is to "preserve and improve human life." 22 16 11415 1101 7782122 22100860 18549509 1436146921 1508081091 99643112 47401823 15323678 16161756 1573214571 1590194179 65771207 72242296 0 0 637887808 666577871 0 0 2877037 730245338 845041323 1433904353 1583861490 139310218 6332689 3267370040 3461456234 1408536139 1414620991 1858833901 2046835243 X See Schedule O false false 1206462954 71529989 1485796198 Patient Care - See Schedule O 56024731 0 11504951 Education - See Schedule O 29628210 712307 12423242 Research - See Schedule O 1292115895 true true false true false false false false false true true true false false true true false true false false true false false false true true true true true true true true false false false false false false false false true false true true false false false true true true false false true 751 0 true 11415 true true true true CJ false false false true true false false false false X 22 16 true false false false false false false true true false false true true true true true true true true true true IL X JEFF BIESCZAT 8475705798 1301 CENTRAL STREET Evanston IL 60201 X Mary Dillon Director 1.0 0.0 X 0 0 0 David A Dohnalek Director 1.0 0.0 X 0 0 0 Connie K Duckworth Director 1.0 0.0 X 0 0 0 William M Farrow III Director 1.0 0.0 X 0 0 0 Gregory K Jones Director/Prior Past Chairman 1.0 0.0 X X 0 0 0 Karen L Kaul Director and Clinical Chairman 20.0 22.0 X 340191 407480 50629 Morris S Kharasch Director and Physician 7.0 35.0 X 66662 497070 47951 Harry M Jansen Kraemer Jr Director 1.0 0.0 X 0 0 0 Theodore Mazzone Director and Clinical Chairman 38.0 4.0 X 821258 86032 49517 Samuel M Mencoff Director/Prior Board Secretary 1.0 0.0 X X 0 0 0 Nancy A Nora Director 1.0 0.0 X 0 0 0 Michael Reinsdorf Director 1.0 0.0 X 0 0 0 Thomas S Ricketts Director 1.0 0.0 X 0 0 0 Scott C Schweighauser Director 1.0 0.0 X 0 0 0 Susan B Sentell Director 1.0 0.0 X 0 0 0 Mark S Talamonti Director and Clinical Chairman 31.0 11.0 X 910249 312633 51818 J Mikesell Thomas Director 1.0 0.0 X 0 0 0 Sona Wang Director 1.0 0.0 X 0 0 0 Kevin Willer Director 1.0 0.0 X 0 0 0 David F Zucker Director 1.0 0.0 X 0 0 0 Percy L Berger Sr Board Chairman 1.0 0.0 X X 0 0 0 Lester B Knight III Board Vice Chairman 1.0 0.0 X X 0 0 0 A Steven Crown Board Past Chairman 1.0 0.0 X X 0 0 0 Mark R Neaman President and CEO 41.0 2.0 X X 2137147 0 379174 Toure S Claiborne Board Secretary/Prior Director 1.0 0.0 X X 0 0 0 Andrew J Mills Board Asst Secretary/Prior Dir 1.0 0.0 X X 0 0 0 Gerald P Gallagher Chief Operating Officer 41.0 1.0 X 867611 0 247842 Gary E Weiss Board Treasurer and CFO 41.0 0.0 X 1119250 0 154010 Julian E Bailes Clinical Chairman 22.0 19.0 X 913439 690425 54089 William D Bloomer Clinical Chairman 24.0 17.0 X 393030 627514 52886 Michael S Caplan Clinical Chairman 33.0 8.0 X 638008 121435 28252 Robert R Edelman Clinical Chairman 38.0 3.0 X 846445 210618 59089 Bernard G Ewigman Clinical Chairman 40.0 1.0 X 448822 0 133571 Thomas H Hodges Chief Investment Officer 40.0 0.0 X 676310 0 36299 Harry L Jones Chief Compliance Officer 40.0 0.0 X 392252 0 45452 Mary Keegan Chief Nursing Officer 40.0 0.0 X 338829 0 34660 Jason L Koh Clinical Chairman 22.0 19.0 X 588022 838473 59567 William R Luehrs Chief Human Resources Officer 40.0 0.0 X 631774 0 116382 Demetrius Maraganore Clinical Chairman 30.0 11.0 X 509004 158305 49319 Frederick E Miller Clinical Chairman 38.0 3.0 X 436705 36238 42449 Kristen Murtos President, Skokie Hospital 40.0 0.0 X 536827 0 153919 Sean O'Grady President, Glenbrook Hospital 40.0 0.0 X 499208 0 127780 Jesse Peterson Hall President, Highland Park Hosp 40.0 0.0 X 563532 0 128865 Richard K Silver Clinical Chairman 35.0 6.0 X 812815 128015 52946 Douglas M Silverstein President, Evanston Hospital 40.0 0.0 X 2786164 0 137271 Steven Smith Chief Information Officer 40.0 0.0 X 572860 0 162624 Joseph Szokol Clinical Chairman 15.0 26.0 X 170435 650758 51872 Brian Washa Senior Vice President 40.0 0.0 X 424915 0 113241 Janardan D Khandekar Medical Director 36.0 4.0 X 561935 44960 42539 Ari A Robicsek VP, Clinical Analytics 37.0 3.0 X 449905 54154 52083 Nancy Semerdjian Former Chief Nursing Officer 40.0 0.0 X 619403 0 34704 Jonathan Silverstein VP, Research Informatics 40.0 0.0 X 456593 0 44679 Jianfeng Xu VP, Translational Research 40.0 0.0 X 456290 0 37273 Jeffery S Vender Former Clinical Chairman 26.0 15.0 X 497743 584927 45346 Thomas A Victor Former Clinical Chairman 11.0 29.0 X 78069 332568 47064 22561702 5781605 2925162 787 true true true Aramark Management Services 2300 Warrenville Road DOWNERS GROVE IL 60515 Facilities/Diet Mgmt 58730921 Pepper Construction Co 643 North Orleans Street CHICAGO IL 60610 Construction Mgmt 38681033 Power Construction Company 2360 North Palmer Drive SCHAUMBURG IL 60173 Construction Mgmt 29584608 University of Chicago Medical Ctr 5841 South Maryland Avenue CHICAGO IL 60637 Medical Education 17273340 Winston Strawn LLP 35 West Wacker Drive CHICAGO IL 60601 Legal Services 10446941 261 163000 740880 599843 10257202 242584 6546000 607718 18549509 PATIENT REVENUE 621990 926648410 926648410 MEDICARE AND MEDICAID REVENUE 621990 542729569 542729569 RENT FROM AFFILIATED EXEMPT ORGS 900003 25185237 25185237 FEES AND CONTRACTS FROM GOVT AGENCIES 541700 7308521 7308521 GRANT INCOME 541700 5114722 5114722 1094632 1094632 1508081091 33247010 2246647 31000363 0 3500000 3500000 3198204 5080469 -1882265 0 -1882265 -1882265 325599198 430232 311826725 47892 13772473 382340 14154813 14154813 927366 599843 795681 131685 131685 24090 500 23590 23590 961215 646600 314615 314615 CAFETERIA 722514 5134700 5134700 LAB REFERENCE TESTING 541380 3785857 3785857 PARKING 812930 1534969 35131 1499838 3618605 1643300 1714487 260818 14074131 1590194179 1484539154 7782122 79323394 72018112 72018112 224184 224184 0 0 23776421 8977163 14799258 11525656 3917180 7252412 356064 514142499 432879994 79785509 1476996 49971925 39624214 10347711 33431229 29536187 3649233 245809 33730141 26965832 6650388 113921 92544757 81844458 10700299 15899239 15899239 1142901 1103 1141798 0 0 19992810 19992810 81568067 55836508 25441138 290421 21377634 21377634 28853324 21317970 7493436 41918 19758095 2132085 17624862 1148 0 31364114 21386134 9647494 330486 1142551 896945 233508 12098 0 2169799 1515503 646897 7399 7482977 7482977 0 106388398 78569370 27819028 -4215834 -5421601 1205767 MEDICAL SUPPLIES 301830113 301830113 PENSION SETTLEMENT CHARGE 77687608 77687608 MEDICAID TAX 36838130 36838130 DUES AND SUBSCRIPTIONS 2390568 1413652 976139 777 826072 2125051 -1298979 1583861490 1292115895 288868558 2877037 62114780 56420741 986669 1047320 4944407 3984388 242739216 270951936 0 0 0 0 0 0 20340080 19955131 11997589 8764697 2118061822 1077052632 995509205 1041009190 1135294071 1271186381 562307382 530762664 0 0 117017923 116551545 114118718 140822241 3267370040 3461456234 198076911 185368513 0 0 10367402 9680979 347563968 334641648 0 0 0 0 0 0 0 0 852527858 884929851 1408536139 1414620991 X 1677846352 1857820744 103222668 112157001 77764881 76857498 1858833901 2046835243 3267370040 3461456234 X 6332689 116384803 65283850 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 118470 118470 false Part II-B 1i - Lobbying Activities NorthShore University HealthSystem (NorthShore) and its employees are members of various organizations that advocate on legal and policy issues that affect healthcare. A portion of the annual membership dues paid by NorthShore to these organizations are attributable to lobbying activities. 129005444 -907383 18880017 7115037 139863041 136189072 1662274 -1207791 7638111 129005444 120987343 1852969 20724353 7375593 136189072 115113667 1726137 11275287 7127748 120987343 103761994 1404411 18276391 8329129 115113667 1.00000 false false 71514092 71514092 1377278876 681056997 696221879 57252243 40013992 17238251 431162913 335299752 95863161 180853698 20681891 160171807 1041009190 HEDGE FUNDS 386735593 C PRIVATE EQUITY FUNDS 105375213 C PRIVATE EQUITY FUNDS 18102771 F REAL ASSET FUND 18012204 F OTHER INVESTMENTS 2536883 F 530762664 0 DUE TO AFFILIATES 347065459 RESERVE FOR MALPRACTICE LOSSES 232000000 DEFERRED COMPENSATION 158201521 DUE TO THIRD PARTIES 130168744 CURRENT MATURITY OF LT DEBT 10295000 ASSET RETIREMENT OBLIGATION 7110999 CURRENT BOND PAYABLE PREMIUM 88128 884929851 X 1534540732 116384803 14933421 131318224 1403222508 97680418 89291253 186971671 1590194179 1418970081 7222049 7222049 1411748032 97680418 74433040 172113458 1583861490 Part V Line 4 - Endowment Funds Endowment fund earnings are used toward research, special purpose, general operations, and department chair funding, as well as uncompensated care offered to patients who meet the criteria established under NorthShore University HealthSystem's financial assistance policy. Part X Line 2 - Liability for Uncertain Tax Positions NorthShore University HealthSystem (NorthShore) and its related affiliates, except for NorthShore Physician Associates, Inc. (NPA) and Community Care Partners, LLC (CCP), known as NorthShore Exempt Group, have been determined to qualify as a tax-exempt organization under Section 501(c)(3) of the Internal Revenue Code (IRC). Most of the income received by NorthShore Exempt Group is exempt from taxation under Section 501(a) of the IRC, as income related to the mission of the organization. Accordingly, there is no material provision for income tax for these entities. Some of the income received by exempt entities is subject to taxation as unrelated business income. NorthShore and its subsidiaries file federal income tax returns and returns for various states in the U.S. ASC 740, Income Taxes, requires that realization of an uncertain income tax position is more likely than not (i.e., greater than 50% likelihood of receiving a benefit) before it is recognized in the financial statements as the amount most likely to be realized assuming a review by tax authorities having all relevant information and applying current conventions. This interpretation also clarifies the financial statement classification of tax-related penalties and interest and sets forth new disclosures regarding unrecognized tax benefits. No amount was recorded for the years ended September 30, 2016 or 2015. NorthShore currently has a net operating loss carryforward of $6,166,645, which generated assets of $2,412,083. NPA currently has a net operating loss carryforward of $642,281, which generated assets of $251,228. These assets are offset by a valuation allowance of $1,219,969. These amounts are for the period ended September 30, 2016. Part XI Line 2d - Other Amount represents expenses deducted from revenues in Form 990 Part VIII and changes in restricted net assets. Part XI Line 4b - Other Amount represents transfers to related organizations, Foundation administrative expenses and investment expenses moved to Form 990 Part IX, and changes in restricted net assets. Part XII Line 2d - Other Amount represents expenses deducted from revenues in Form 990 Part VIII. Part XII Line 4b - Other Amount represents transfers to related organizations, a reversal of prior year grant expenses, and Foundation administrative expenses and investment expenses moved to Form 990 Part IX. Central America and the Caribbean Investments 340384324 Central America and the Caribbean Insurance 3142898 Central America and the Caribbean Program Services Medical Conferences 5746 Central America and the Caribbean Program Services Medical Services 16266 East Asia and the Pacific Program Services Medical Conferences 22043 East Asia and the Pacific Program Services Medical Services 1000 East Asia and the Pacific Program Services Medical Supplies 6712 Europe (Including Iceland and Greenland) Insurance 3181 Europe (Including Iceland and Greenland) Program Services Medical Conferences 42021 Europe (Including Iceland and Greenland) Program Services Medical Equipment 14350 Europe (Including Iceland and Greenland) Program Services Medical Services 8045 Europe (Including Iceland and Greenland) Program Services Medical Supplies 56795 Middle East and North Africa Program Services Medical Conferences 2767 Middle East and North Africa Program Services Medical Services 2287 North America Program Services Medical Conferences 12662 North America Program Services Medical Equipment 96906 North America Program Services Medical Services 755894 North America Program Services Medical Supplies 90623 Russia and the Newly Independent States Program Services Medical Services 2000 South America Program Services Medical Conferences 1914 South America Program Services Medical Services 2000 South Asia Program Services Medical Services 2000 Sub-Saharan Africa Program Services Medical Conferences 7724 Sub-Saharan Africa Program Services Medical Services 1000 344573897 107261 344681158 true false true true true false Am Craft Expo 615837 175998 439839 1029 61679 313251 Summer Soiree 464508 266924 197584 90966 60060 10159 50933 3 446864 156921 289943 37741 6100 163763 1527209 599843 927366 129736 121739 16259 527947 795681 131685 24090 500 true 1.00000 24090 500 500 23590 IL true false false false 0.00000 1.00000 NorthShore University HealthSystem 1301 Central Street Evanston IL 60201 false Kate Beckering 0 Oversees auxiliary operations including raffles. X false 0 true true X true X true X 600. true true true false true true 15108868 187240 14921628 0.00940 124447437 103346931 21100506 0.01320 139556305 103534171 36022134 0.02260 4850745 4850745 0.00300 56024731 11504951 44519780 0.02790 50420577 30978262 19442315 0.01220 27064254 22424654 4639600 0.00290 1513183 1513183 0.00090 139873490 64907867 74965623 0.04690 279429795 168442038 110987757 0.06950 11023 11023 2870 2870 32070 32070 45963 45963 true 10862616 0 415856021 460641256 -44785235 X true true HPMOB LP Medical Office Building 0.3482 0.6518 Ravine Way LLC Orthopaedic Surgery Center 0.285 0.715 NorthShoreUSP LLC General Surgery Centers 0.5 0.5 4 1 Evanston Hospital 2650 Ridge Avenue Evanston IL 60201 northshore.org 0000646 X X X X X A 2 Glenbrook Hospital 2100 Pfingsten Road Glenview IL 60026 northshore.org 0003483 X X X X X A 3 Highland Park Hospital 777 Park Avenue West Highland Park IL 60035 northshore.org 0005066 X X X X X A 4 Skokie Hospital 9600 Gross Point Road Skokie IL 60076 northshore.org 0005587 X X X X X A A false false true X X X X X X X X X 15 true true false true X See Section C X true 15 true See Section C false true X 200. 600. X X X X X true true X X X X true X See Section C X See Section C X See Section C X X X X X true X false X X X true X false false Part V Section B Line 5 - Input From Persons in the Community Facility Reporting Group A: Reporting Group A consists of the following hospital facilities: 1 - Evanston Hospital 2 - Glenbrook Hospital 3 - Highland Park Hospital 4 - Skokie Hospital NorthShore University HealthSystem (NorthShore) contracted with the Illinois Public Health Institute (IPHI) to facilitate and conduct the Community Health Needs Assessment (CHNA). Through IPHIs Center for Community Capacity Development, IPHI supports non-profit hospitals, local health departments and other community groups to conduct community health assessment and planning activities to improve health and increase health equity. The CHNA process included community input data collection including a focus group with NorthShore staff, a focus group with community leaders, and an online survey for Community Advisory Committee members. Priority health issues were identified by NorthShore staff in partnership with IPHI by looking at findings from across all the assessment data and perspectives. The NorthShore staff leaders focus group was comprised of 18 staff members representing a range of departments throughout NorthShore including Emergency Medicine, Family Medicine, Kellogg Cancer Center, Nursing, Internal Medicine, Social Services, Cardiology, Psychiatry, Quality Improvement, and Infection Control. The group discussed prominent health and wellness issues and barriers and assets to health in the communities NorthShore serves. Finally, participants discussed potential strategies to address barriers to community health and well-being. The community leaders focus group was comprised of about twenty representatives from NorthShores Community Advisory Committees. The attendees included health care providers, social service providers, public health agency representatives, local government agency leaders, and small business organizations working throughout the NorthShore service area. The organizations represented included the Lake County Health Department, Moraine Township, Northfield Township, Niles Township, Skokie Health Department, Glenbrook North High School, Glenbrook South High School, Childcare Network of Evanston, Highland Park Chamber of Commerce, North Suburban Healthcare Foundation, City of Evanston, Great Lakes Adaptive Sports Association, Northwest Suburban United Way, Turning Point Behavioral Health Center, Terry Performance Group, Evanston Health Department, Northbrook Police Department, and the Healthcare Foundation of Northern Lake County. The group discussed prominent health and wellness issues, barriers and assets to health in the communities NorthShore serves, and potential strategies to address barriers to community health and well-being. NorthShore and IPHI also developed a nine-question online survey distributed to community partner organizations. The survey was emailed out to approximately 60 members of the four hospitals Community Advisory Committees, which include representatives from community organizations including social services, civic organizations, business, faith community, government, and elected officials. The organizations represented included the Village of Wilmette, Glenwood Sunday Market, Childcare Network of Evanston, McGaw YMCA, Evanston Township High School, City of Evanston, NAMI Cook County North Suburban, Erie Evanston/Skokie Health Center, Mather LifeWays, New Trier High School, Evanston Fire and Life Safety Services, Terry Performance Group, Evanston/Skokie School District 65, Kenilworth School District 38, Cradle to Career, Northfield Township, Northbrook Bank and Trust, Glenbrook South High School, Glenview Youth Services, Glenview Police Department, The Josselyn Center, Northbrook Park District, Frisbe Senior Center, Saint Philip Lutheran Church, Village of Glenview, Wesley Child Care Center, Covenant Village of Northbrook, Glenbrook North High School, Northbrook Police Department, Moraine Township, Zion Lutheran Church, Lake County Health Department, Village of Deerfield, School District 113, Illinois District 58, West Deerfield Township, School District 109, Illinois District 29, Great Lakes Adaptive Sports Association, City of Highland Park, Deerfield Park District, Village of Glencoe, Skokie Public Library, Village of Skokie, Niles Township, Turning Point Behavioral Health Center, Village of Skokie, Silverado Memory Care Communities, Church of God Lincolnwood, Open Communities, North Shore Senior Center, ELL Parent Center, Oakton Community College, Assyrian Health Center, Niles Township High School District 219, Northwest Suburban United Way, Village of Skokie, and CJE Senior Life. NorthShore staff spoke with many of the members and encouraged them to fill out the survey, and a reminder was sent during the second week of the survey period. As a result, a total of 30 community partner organizations responded to the survey. IPHI staff summarized survey responses and performed qualitative analysis of responses to the open ended questions. Part V Section B Line 6a - Other Hospital Facilities Included in CHNA Facility Reporting Group A: Reporting Group A consists of the following hospital facilities: 1 - Evanston Hospital 2 - Glenbrook Hospital 3 - Highland Park Hospital 4 - Skokie Hospital The Community Health Needs Assessment (CHNA) conducted by NorthShore University HealthSystem (NorthShore) included all four NorthShore hospitals: Evanston Hospital, Glenbrook Hospital, Highland Park Hospital, and Skokie Hospital. Part V Section B Line 7a - Website Address of CHNA Facility Reporting Group A: Reporting Group A consists of the following hospital facilities: 1 - Evanston Hospital 2 - Glenbrook Hospital 3 - Highland Park Hospital 4 - Skokie Hospital The Community Health Needs Assessment can be found at northshore.org/community-events/community/community-health-needs-assessmen t/ Part V Section B Line 10a - Website Address of Implementation Strategy Facility Reporting Group A: Reporting Group A consists of the following hospital facilities: 1 - Evanston Hospital 2 - Glenbrook Hospital 3 - Highland Park Hospital 4 - Skokie Hospital The most recently adopted Implementation Strategy can be found at northshore.org/community-events/community/implementation-strategy-plan/ Part V Section B Line 11 - Needs Addressed from the CHNA Facility Reporting Group A: Reporting Group A consists of the following hospital facilities: 1 - Evanston Hospital 2 - Glenbrook Hospital 3 - Highland Park Hospital 4 - Skokie Hospital NorthShore University HealthSystem (NorthShore) has implemented a three-fold strategy to address the identified health needs of the communities it serves, which includes: 1) Community benefit programs and partnerships will address a need identified in the Community Health Needs Assessment (CHNA), with a rationale provided for any identified needs not addressed by NorthShore, 2) Community benefit programs, initiatives, and partnerships will address a need requested by the community, and 3) Community benefit programs, initiatives, and partnerships will be aligned with the guiding principles outlined in Advancing the State of the Art of Community Benefits for Nonprofit Hospitals. The guiding principles are: Disproportionate Unmet Health-Related Needs, Primary Prevention, Seamless Continuum of Care, Build Community Capacity, and Community Collaboration. NorthShore places priority on providing community benefits and services in the communities located nearest to our hospitals, where we believe we have the greatest capacity and responsibility to serve. NorthShore is evaluating the impact of the initiatives developed to address the identified needs by collecting data on how many individuals utilize components of the initiative. Measurement of the impact will also be assessed by gathering ongoing feedback from the hospitals Community Advisory Committees, along with feedback from senior and physician leadership. The needs identified in the most recently conducted CHNA were: Access and Coordination of Care, Access to Behavioral Health, Health Literacy and Navigating the Health Care Environment, Access to Healthy and Affordable Food, Access to Oral Health Care, Chronic Disease Risk Factors (obesity, tobacco use, hypertension), Behavioral Health, Oral Health, Cardiovascular Disease and Stroke, Diabetes, Cancer, Alzheimers/Dementia, Lung Health, and Material and Child Health. NorthShore plans to address all the needs identified in the CHNA, although the following needs will be addressed in a limited capacity through existing services and financial contributions to outside organizations: health literacy and navigating the health care environment and access to healthy and affordable food. Actions taken during fiscal year 2016 to address the needs identified in the CHNA include the following NorthShore programs and services by hospital facility: A, 1 Evanston Hospital: The NorthShore Community Health Center at Evanston Hospital provides medical care to adults and children who lack private medical insurance. Medical services include, but are not limited to: primary care, obstetrics/gynecology, general surgery, orthopaedics, diabetes education, and podiatry. In fiscal year 2016, the clinic treated 3,717 adult patients at 13,158 visits. NorthShores Emergency Departments are staffed 24/7 with physicians, nurses, and technicians who are trained to respond to medical emergencies. In addition, Evanston Hospital provides Level One trauma services. During fiscal year 2016, the NorthShore Emergency Departments had a total of 127,064 patient visits. The Dental Center at Evanston Hospital provides primary care dental services and special consultations for medically underserved adult patients, pre-screenings for cardiovascular patients, and management for oral complications in oncology patients and those with refractory dental problems. The Dental Center provided free and discounted care for adult patients making 4,319 visits during fiscal year 2016. NorthShores Cardiovascular Center provides comprehensive cardiology services with a combined expertise of cardiologists and cardiac surgeons working together to develop treatment plans designed to provide patients with exceptional heart care including cardiac imaging, cardiovascular surgery, clinical cardiology, electrophysiology, heart failure, interventional cardiology and a womens heart program. During fiscal year 2016, NorthShore hospitals had a total of 128,942 cardiology patient visits. The Kellogg Cancer Center is a cancer treatment center that offers comprehensive, compassionate cancer care and treatments for oncology patients and their families. NorthShores collaborative cancer treatment model focuses on each patients individual needs, providing medical, surgical, radiation, psychological, and emotional care. During fiscal year 2016, the Kellogg Cancer Centers at Evanston, Glenbrook, and Highland Park Hospitals had a total of 83,330 patient visits. The Maternal Health Department at Evanston Hospital offers comfortable, high-tech birthing facilities. Evanston Hospital also serves as a Regional Perinatal Network hospital for northeastern Illinois. Both high-risk mothers and high-risk babies are transferred to Evanston Hospital for access to the latest technology and highly trained staff. During fiscal year 2016, the Evanston Hospital Maternal Health Department had a total of 43,713 patient visits. The Pediatric Rehabilitation Clinic offers a wide array of outpatient services for young patients (from birth through adolescence) with special needs. A team of licensed physical, occupational, and speech therapists specializing in pediatric care provide one-on-one individualized treatment as well as group classes to help patients achieve or regain functional skills. During fiscal year 2016, the Pediatric Rehabilitation Clinic had a total of 10,258 patient visits. The Perinatal Depression Program identifies women who are suffering from perinatal depression and offer referrals for women who many need additional support. The program screens women for perinatal depression during and after their pregnancy and offers a 24/7 crisis hotline for women and their family members who may find themselves in an emergent situation. The hotline provides multilingual interpretation services to assist those with limited or no English-speaking ability. All services are provided free of charge. In fiscal year 2016, NorthShore physicians conducted 9,966 screenings to identify at-risk patients, and the hotline received 1,015 calls. Free psychological support and referrals were provided for 598 women identified through the screenings as at-risk for perinatal mood disorders. NorthShores Medication Assistance Program helps patients with the cost of paying for prescription drugs. The Medication Assistance Program assisted 2,436 patients in filling 19,601 prescriptions during fiscal year 2016. NorthShore Evanston and Highland Park Hospitals provide Mental Health Services to adults, adolescents, and children, including group, individual, and family outpatient services, inpatient services, and a crisis call center. During fiscal 2016, the Mental Health Services Departments at Evanston and Highland Park Hospitals had a total of 47,687 patient visits. The Evanston Township High School Health Center was established as a collaborative partnership with Evanston Township High School, the Evanston Health Department, and NorthShore. The Health Center is a free school-based health clinic staffed by NorthShore employees that provides physical exams, immunizations, treatment of acute and chronic illnesses, health education, gynecological care, and counseling and support groups to students. During the 2015-2016 school year, 873 students made 3,173 visits to the Health Center. A, 2 Glenbrook Hospital: NorthShores Emergency Departments are staffed 24/7 with physicians, nurses, and technicians who are trained to respond to medical emergencies. In addition, Evanston Hospital provides Level One trauma services. During fiscal year 2016, the NorthShore Emergency Departments had a total of 127,064 patient visits. The Family Care Center at Glenbrook Hospital provides comprehensive care for people of all ages and serves as a training site for Family Medicine resident physicians and medical students. During fiscal year 2016, the Family Care Center had a total of 13,195 patient visits. NorthShores Cardiovascular Center provides comprehensive cardiology services with a combined expertise of cardiologists and cardiac surgeons working together to develop treatment plans designed to provide patients with exceptional heart care including cardiac imaging, cardiovascular surgery, clinical cardiology, electrophysiology, heart failure, interventional cardiology and a womens heart program. During fiscal year 2016, NorthShore hospitals had a total of 128,942 cardiology patient visits. The Kellogg Cancer Center is a cancer treatment center that offers comprehensive, compassionate cancer care and treatments for oncology patients and their families. NorthShores collaborative cancer treatment model focuses on each patients individual needs, providing medical, surgical, radiation, psychological, and emotional care. During fiscal year 2016, the Kellogg Cancer Centers at Evanston, Glenbrook, and Hig Part V Section B Lines 16a-16c - Website Address of FAP Documents Facility Reporting Group A: Reporting Group A consists of the following hospital facilities: 1 - Evanston Hospital 2 - Glenbrook Hospital 3 - Highland Park Hospital 4 - Skokie Hospital The Financial Assistance Policy (FAP), FAP application form, and plain language summary of the FAP can be found at northshore.org/about-us/billing/financial-assistance/ Part V Section B Line 16i - Publication of Financial Assistance Policy Facility Reporting Group A: Reporting Group A consists of the following hospital facilities: 1 - Evanston Hospital 2 - Glenbrook Hospital 3 - Highland Park Hospital 4 - Skokie Hospital In addition to the measures listed, the NorthShore University HealthSystem (NorthShore) Financial Assistance program is publicized on NorthShore billing statements, which include a notice regarding the Financial Assistance program and necessary contact information. In addition, collection agencies coordinate financial assistance to potentially eligible patients. Part V Section B Line 22d - Amounts Charged to FAP-Eligible Individuals Facility Reporting Group A: Reporting Group A consists of the following hospital facilities: 1 - Evanston Hospital 2 - Glenbrook Hospital 3 - Highland Park Hospital 4 - Skokie Hospital NorthShore University HealthSystem follows the Illinois Hospital Uninsured Patient Discount Act, which requires discounts to uninsured patients who qualify for financial assistance that result in bills of no more than 135% of cost. The discounts required under Illinois law are also monitored to ensure they do not exceed the average of the three lowest negotiated commercial insurance rates. 31 Glenbrook Ambulatory Care Center 2180 Pfingsten Road Glenview IL 60026 Outpatient Clinic Skokie Ambulatory Care Center 9650 Gross Point Road Skokie IL 60076 Outpatient Clinic Graham Medical Office Building 1000 Central Street Evanston IL 60201 Outpatient Clinic Highland Park Ambulatory Care Center 757 Park Avenue West Highland Park IL 60035 Outpatient Clinic Gurnee Ambulatory Care Center 7900 Rollins Road Gurnee IL 60031 Outpatient Clinic Old Orchard Medical Office Building 9977 Woods Drive Skokie IL 60077 Outpatient Clinic Highland Park Medical Office Building 767 Park Avenue West Highland Park IL 60035 Outpatient Clinic Glenbrook Medical Office Building North 2150 Pfingsten Road Glenview IL 60026 Outpatient Clinic Glenbrook Medical Office Building South 2050 Pfingsten Road Glenview IL 60026 Outpatient Clinic Lakeshore Imaging 680 N Lake Shore Drive Chicago IL 60611 Outpatient Clinic Vernon Hills Specialty Care Center 225 N Milwaukee Avenue Vernon Hills IL 60061 Outpatient Clinic Bannockburn Medical Office Building 2151 Waukegan Road Bannockburn IL 60015 Outpatient Clinic NorthShore Lab Services - Evanston 2500 Ridge Avenue Evanston IL 60201 Outpatient Clinic Ravinia X-Ray and GI Lab 1777 Green Bay Road Highland Park IL 60035 Outpatient Clinic Gurnee Medical Office Building 15 Tower Court Gurnee IL 60031 Outpatient Clinic Mount Prospect Medical Office Building 1329 N Wolf Road Mount Prospect IL 60056 Outpatient Clinic Glenview Park Center 2400 Chestnut Avenue Glenview IL 60026 Outpatient Clinic Fetal Diagnostic Center 71 Waukegan Road Lake Bluff IL 60044 Outpatient Clinic PM&R Fitness Center 1501 Busch Parkway Buffalo Grove IL 60089 Outpatient Clinic PM&R Benson Avenue 1729 Benson Avenue Evanston IL 60201 Outpatient Clinic Adolescent Day School 3633 W Lake Avenue Glenview IL 60026 Therapeutic Day School Northbrook Court Imaging 1182 Northbrook Court Northbrook IL 60062 Outpatient Clinic North Suburban Foot and Ankle Center 400 Lake Cook Road Deerfield IL 60015 Outpatient Clinic Fetal Diagnostic Center 880 West Central Road Arlington Heights IL 60005 Outpatient Clinic Fetal Diagnostic Center 755 S Milwaukee Avenue Libertyville IL 60048 Outpatient Clinic PM&R Old Deerfield Road 1630 Old Deerfield Road Highland Park IL 60035 Outpatient Clinic Breast Health and Mammography Program 71 Old Orchard Shopping Center Skokie IL 60077 Outpatient Clinic River North Same Day Surgery One East Erie Street Chicago IL 60611 Ambulatory Surgery Center North Shore Same Day Surgery 3725 West Touhy Avenue Lincolnwood IL 60712 Ambulatory Surgery Center Ravine Way Surgery Center 2350 Ravine Way Glenview IL 60025 Ambulatory Surgery Center 25 East Same Day Surgery Center 25 East Washington Street Chicago IL 60602 Ambulatory Surgery Center Part I Line 3c - Other Factors Used to Determine Eligibility In addition to the Federal Poverty Guidelines, NorthShore University HealthSystem uses the following factors to determine eligibility for financial assistance: asset level, medical indigency, insurance status, underinsurance status, and residency. Part I Line 7 - Costing Methodology NorthShore University HealthSystem calculated the cost of charity care and means-tested government programs using the cost-to-charge ratio derived from Schedule H, Worksheet 2, Ratio of Patient Care Cost-to-Charges. Amounts in the other benefits section of Line 7 were calculated using costs charged directly to the individual programs from the financial accounting system. An indirect cost allocation factor for hospital shared services was also calculated and included for each program indicated in other benefits. Part II - Community Building Activities NorthShore University HealthSystem (NorthShore) employees are involved in numerous community building activities which promote the health of the communities it serves. NorthShore encourages its employees to serve on community collaboration boards and participate in health advocacy programs to promote the health of the communities served. Part III Line 2 - Bad Debt Expense Bad debt expense was reported at cost using a cost-to-charge methodology. The Schedule H, Worksheet 2, Ratio of Patient Care Cost-to-Charges calculated to report charity care on Part I, Line 7a was multiplied by the bad debt expense to determine the bad debt expense at cost. Discounts and payments on patient accounts are excluded from bad debt expense in order to reflect the expected amount to be paid. Part III Line 4 - Financial Statement Footnote Accounts Receivable Financial Statement Footnote - The Corporation evaluates the collectability of its accounts receivable based on the length of time the receivable is outstanding, the payor class, and the anticipated future uncollectible amounts based on historical experience. Accounts receivable are charged to the allowance for uncollectible accounts when they are deemed uncollectible. Part III Line 8 - Medicare Shortfall The Schedule H, Worksheet 2, Ratio of Patient Care Cost-to-Charges was used to determine the Medicare costs reported on Part III, Line 6. NorthShore University HealthSystem (NorthShore) believes that all of the $44,785,235 Medicare shortfall should be considered as community benefit. The Internal Revenue Service Community Benefit Standard includes the provision of care to the elderly and Medicare patients. Medicare shortfalls must be absorbed by NorthShore in order to continue treating the elderly in our community. During fiscal year 2016, Medicare accounted for approximately 46% of hospital gross patient revenues. The hospital provides care regardless of this shortfall and thereby relieves the government of the burden of paying the full cost of care for Medicare beneficiaries. Part III Line 9b - Collection Practices NorthShore University HealthSystem (NorthShore) follows the Illinois Fair Patient Billing Act. The collection policy is the same for all patients. Patients are screened for eligibility for financial assistance before collection procedures begin. After a patient meets the qualifications for financial assistance, the account balance is either partially or entirely written off. Any remaining balance would be collected under the existing debt collection policy. Part VI Line 2 - Needs Assessment See the information reported in Part V Section B regarding the most recently completed Community Health Needs Assessment (CHNA). NorthShore University HealthSystem (NorthShore) contracted with the Illinois Public Health Institute (IPHI) to facilitate and conduct the CHNA. Through IPHIs Center for Community Capacity Development, IPHI supports non-profit hospitals, local health departments and other community groups to conduct community health assessment and planning activities to improve health and increase health equity. The CHNA process included community input data collection including a focus group with NorthShore staff, a focus group with community leaders, and an online survey for Community Advisory Committee members. The assessment process also included the development of a Community Health Profile using secondary data from local health department, federal, and state data sources. Priority health issues were identified by NorthShore staff in partnership with IPHI by looking at findings from across all the assessment data and perspectives. Part VI Line 3 - Patient Education of Eligibility for Assistance NorthShore University HealthSystem (NorthShore) informs and educates low income patients of our Financial Assistance program across many points within the system. We have posted signs--both English and Spanish--in all our facilities Emergency Departments and at our Central Registration areas. The NorthShore patient information television channel is available to all patients upon admission and a section describes how to obtain Financial Assistance. The NorthShore billing statements describes the Financial Assistance program and necessary contact information. Our collection agencies and billing offices also coordinate charity care to potentially eligible patients. Finally, the NorthShore website (northshore.org) is another useful resource that informs patients about the Financial Assistance program with links to the application process and the actual financial application. NorthShore also has approximately 16 full time financial counselors and 38 Customer Service agents representing our hospitals, clinics, and physician offices. These counselors and representatives are responsible for helping patients understand their bills and coordinating financial assistance and insurance eligibility when appropriate. Any uninsured patient admitted to our hospitals will have their case reviewed by a financial counselor. NorthShore has also earned Certified Application Counselor Organization (CACO) status with the Centers for Medicare and Medicaid Services (CMS). Our counselors are certified and capable of helping patients navigate Medicaid and Insurance Exchange options. Any patient having difficulty paying their portion of the bill or wanting to know if they are eligible for financial assistance will have their case reviewed by calling our centralized Customer Service billing department. Our Customer Service department responds to approximately 1,400 calls per day from patients with questions about their bill or that are unable to pay. In addition to the formal application process for Financial Assistance, NorthShore may also grant Financial Assistance on a presumptive basis. Presumptive Financial Assistance approvals are based upon individual life circumstances such as enrollment in low income government programs with income eligibility below 200 percent of federal poverty level income guidelines or verification of financial indigence through an outside vendor. Part VI Line 4 - Community Information NorthShore University HealthSystem (NorthShore) has four hospital facilities located in the northern suburbs of Chicago, Illinois. The NorthShore service area has a total population size of approximately 1.6 million*. The average household income is approximately $100,000*. During fiscal year 2016, approximately 3% of NorthShores patients had no insurance and 8% qualified for Medicaid. Within NorthShores service area, there are four federally-designated medically underserved areas. NorthShores service area also includes 11 other hospitals. *Source: Truven Health Analytics, Market Discovery Planning Part VI Line 5 - Promotion of Community Health NorthShore University HealthSystem (NorthShore) extends medical staff privileges to all qualified physicians in the NorthShore community. A majority of the NorthShore Board members also reside in NorthShores service area and are not employees, independent contractors, or family members thereof. NorthShore also uses surplus funds to add new buildings and renovate existing facilities to better serve patients and the community. Additional programs conducted by NorthShore to help promote the health of the community include: Residency and Education Programs NorthShore is committed to excellence in its academic mission and supports teaching and research in its role as the principal teaching affiliate of the University of Chicago Pritzker School of Medicine. NorthShore also has additional teaching affiliation agreements with Rush University Medical Center, University of Illinois-Chicago, Stroger Hospital, and Northwestern University Feinberg School of Medicine. NorthShore has an extensive selection of training programs and fellowships to offer physicians at our own teaching and research facilities. During fiscal year 2016, a total of 184 resident full time equivalents (FTEs) and 34 fellow FTEs participated in the NorthShore and affiliate-based programs. The NorthShore residency program areas included: Dentistry, Internal Medicine (Categorical, Preliminary, and Transitional), Pathology, and Family Medicine. The NorthShore fellowship program areas included: Anatomic Pathology, Endocrine Surgery, Family Medicine-Sports Medicine, Gastroenterology, Magnetic Resonance Imaging, Musculoskeletal Imaging, Surgical Pathology, and Urogynecology. The affiliate-based residency program areas included: Anesthesiology, Emergency Medicine, General Surgery, Neurology, Neurosurgery, Obstetrics and Gynecology, Ophthalmology, Orthopaedic Surgery, Otolaryngology, Pediatrics, Plastic Surgery, Podiatry, Psychiatry, Radiology, and Urology. The affiliate-based fellowship program areas included: Advanced Cardiovascular Imaging/Research, Cardiology, Cardiothoracic Surgery, Child Neurology, Child Psychiatry, Colon Rectal Surgery, Electrophysiology, Gastroenterology, Gynecology-Oncology, Hematology-Oncology, Mammography, Maternal-Fetal Medicine, Medical Microbiology, Molecular Genetics Pathology, Neonatal-Perinatal Medicine, Nephrology, Neuroradiology, Orthopaedic Hand, Orthopaedic Sports, Palliative Medicine, Pediatric Plastic Surgery, Peripheral Vascular Surgery, and Surgical Oncology. NorthShore also offers a comprehensive Pharmacy residency program, with resident positions located at all four hospitals. The Pharmacy residency program includes both clinical and administrative exposure focusing on inpatient practice. The program consists of a multitude of experiences that reinforce residents knowledge and skills and help them advance into well-rounded practitioners. During fiscal year 2016, 22 residents participated in the program. The NorthShore School of Nurse Anesthesia operates out of Evanston Hospital. The program has full accreditation from the Council of Accreditation of Nurse Anesthesia Educational Programs. The mission of the School is the enrichment and transmission of knowledge of nurse anesthesia as a discipline and promotion of the health and well-being of individuals, families, and communities. The School seeks to provide graduates with innovative, inquiry-based education that anticipates the rapid pace of change in health care and the knowledge, skills, and attitude necessary to assume leadership roles in the nurse anesthesia profession. During fiscal year 2016, 55 students participated in the program. NorthShore also provided clinical training and internships during the 2016 academic year for 910 high school and college students. Students interned in various areas including Nursing, Physical Therapy, Radiology, Laboratory, Speech Therapy, and Occupational Therapy. Community Advisory Committees The Community Advisory Committees (CAC) role is to advise hospital administration on services and initiatives from a community perspective. CACs are structured to ensure NorthShores accountability to the community by working to fulfill our community relations vision that the more NorthShore and the community connect, the stronger and healthier both will become. The CACs are comprised of primarily community members, along with hospital administrative and professional staff. NorthShore strives for diverse membership to include business, faith community, social services, civic organizations, government officials, elected officials, as well as interested citizens. The CACs meet quarterly and help to identify gaps in healthcare services within the community and seek opportunities for partnerships between the hospitals and community organizations. In addition, the CACs assist NorthShore with the community health needs assessment process. Be Well Lake County Be Well Lake County is a collaboration between NorthShore, Lake County Health Department and Community Health Center, and supporting community partners. The program goal is to build greater access through a coordinated network of healthcare targeting the underserved diabetes population in Lake County. The program enables the partner organizations to effectively pool and maximize resources in order to provide high quality comprehensive diabetes management, education, and support resources that will address one of the nations fastest growing health threats. NorthShore provides annual funding to support a diabetes management program to 1,200 current patients. NorthShore Community Health Center The NorthShore Community Health Center at Evanston Hospital provides medical care to adults and children who lack private medical insurance. Medical services include, but are not limited to: primary care, obstetrics/gynecology, general surgery, orthopaedics, diabetes education, and podiatry. In fiscal year 2016, the clinic treated 3,717 adult patients at 13,158 visits. Dental Center The Dental Center at Evanston Hospital provides primary care dental services and special consultations for medically underserved adult patients, pre-screenings for cardiovascular patients, and management for oral complications in oncology patients and those with refractory dental problems. The Dental Center provided free and discounted care for adult patients making 4,319 visits at a cost of $180,592 during fiscal year 2016. Evanston Township High School Health Center Established as a collaborative partnership with Evanston Township High School, the Evanston Health Department, and NorthShore, the Health Center is a free school-based health clinic staffed by NorthShore employees that provides physical exams, immunizations, treatment of acute and chronic illnesses, health education, gynecological care, and counseling and support groups to students. During the 2015-2016 school year, 873 students utilized the Health Center at 3,173 visits at a cost of $612,804. Medication Assistance Program NorthShores Medication Assistance Program helps patients with the cost of paying for prescription drugs. The Medication Assistance Program assisted 2,436 patients in filling 19,601 prescriptions at a cost of $132,941 during fiscal year 2016. Perinatal Depression Program The Perinatal Depression Program identifies women who are suffering from perinatal depression and offer referrals for women who many need additional support. The program screens women for perinatal depression during and after their pregnancy and offers a 24/7 crisis hotline for women and their family members who may find themselves in an emergent situation. The hotline provides multilingual interpretation services to assist those with limited or no English-speaking ability. All services are provided free of charge. In fiscal year 2016, NorthShore physicians conducted 9,966 screenings to identify at-risk patients, and the hotline received 1,015 calls. Free psychological support and referrals were provided for 598 women identified through the screenings as at-risk for perinatal mood disorders. Employee Volunteerism NorthShore employees participate in various volunteer activities that meet community needs and promote goodwill. Several NorthShore publications include information about volunteer organizations and employee volunteer opportunities. NorthShore also recognizes and rewards employees for community service and volunteerism through the annual Sharing Spirit Volunteer Award. Home Health and Hospice Services NorthShore provides intermittent care including skilled nursing, physical therapy, occupational therapy, speech therapy, infusion therapy, and home health aides. NorthShore also provides hospice and palliative care services to patients and their families. During fiscal year 2016, there were 94,629 patient visits and 5,936 admissions. Part VI Line 6 - Affiliated Health Care System NorthShore University HealthSystem (NorthShore) is a comprehensive, fully integrated, healthcare delivery system that includes four hospitals, as well as numerous outpatient departments and clinics. In addition to the hospital organization, there are the following affiliates that help to meet the needs of the community: NorthShore University HealthSystem Foundation The NorthShore University HealthSystem Foundation (Foundation) seeks to obtain the philanthropic support required to ensure that NorthShore can provide medical care, advanced research, and state-of-the-art facilities and equipment. The Foundation builds relationships with individuals and the community to increase awareness of high-quality services and giving opportunities. NorthShore University HealthSystem Research Institute The NorthShore University HealthSystem Research Institute (Research Institute) was organized in 1996 to provide a means for integrating leading-edge research into improved clinical care. The Research Institute also creates an environment to recruit and retain externally-funded research leadership in order to achieve the mission and goals of the organization. The Research Institute houses 108 externally funded research faculty who currently occupy 95,000 net square feet of research space and work on 1,172 active research protocols. Total external funding is now approximately $89 million. NorthShore has also made a substantial commitment to develop the Center for Clinical and Research Informatics to conduct expanded research using informatics. Such infrastructure enables large scale efforts on comparative effectiveness, clinical quality/outcomes, and practice based research. The Center and its work build on our award winning Epic medical records system, providing a focus for growing faculty involvement in research. In 2014 the Genomic Health Initiative was launched for members of the community to help shape the future of Personalized Medicine. This research project will give physician and research experts the opportunity to more proactively learn about the science behind diseases and conditions, and apply this knowledge directly to a clinical setting to improve patient outcomes. The Genomic Health Initiative will allow researchers to more precisely predict, prevent, and treat disease while improving the future of healthcare and the medical field for generations to come. The goal is to collect 40,000 100,000 participants over the next several years to enable sufficient samples for DNA studies. The Research Institute is also a member of the Illinois Precision Medicine Consortium (IPMC) which is part of a national landmark longitudinal Precision Medicine Initiative (PMI) cohort program to improve the ability to prevent and treat disease based on individual lifestyle, environment, and genetics. NorthShore will enroll over 9,000 NorthShore patients in the study, and participants in NorthShores PMI will be asked to share a wide-range of health, environmental, and lifestyle information. The NorthShore Program for Personalized Cancer Care (PPCC) is pioneering new strategies in cancer care. The PPCC uniquely focuses on the genetic pattern of an individuals hereditary DNA to derive a personalized cancer risk assessment profile. Based on the inherited risk of developing a given cancer, the PPCC is beginning to implement personalized cancer care strategies that encompass the entire spectrum of disease. The PPCC believes this approach will lead to more efficient use of health care resources by targeting prevention and screenings toward individuals at greater risk of developing cancer, earlier cancer detection, and, ultimately and most importantly, reduced cancer deaths and suffering. NorthShore University Health System Home and Hospice Services The NorthShore University HealthSystem Home and Hospice Services offers the full spectrum of home and hospice care, including skilled nursing, physical and occupational therapy, and home medical equipment. The Home and Hospice caregivers represent a wide range of medical specialties and work with the patient, family, and physician to tailor home care to meet the individual needs of each patient. NorthShore University HealthSystem Faculty Practice Associates The NorthShore University HealthSystem Faculty Practice Associates (FPA) represents more than 900 physicians with over 130 offices in virtually every specialty all on staff at the hospitals of NorthShore. The primary function and activity of FPA is to employ, supervise, and conduct employment-related activities with respect to physicians who provide professional health care services directly for patients of NorthShore. The FPA physicians also conduct medical education and research activities on behalf of NorthShore. Radiation Medicine Institute The Radiation Medicine Institute (RMI) employs, supervises, and conducts employment-related activities with respect to physicians who provide professional health care services directly for patients of NorthShore. The RMI physicians also conduct medical education and research activities on behalf of NorthShore. Community Care Partners Community Care Partners is an Accountable Care Entity (ACE) created to better serve the growing population of Medicaid patients. NorthShore has partnered with Erie Family Health Center, Lake County Health Department/Community Health Center, and Vista Health System to form this ACE. The organizations and physicians have come together to create a network of providers to improve efficiency and access to care for approximately 30,000 Medicaid patients. Part VI Line 7 - State Filing of Community Benefit Report Illinois true Alliance of Chicago 215 W Ohio St Chicago IL 60654 364444309 501(c)(3) 14988 Research American Cancer Society 225 N Michigan Ave Chicago IL 60601 362167721 501(c)(3) 20000 Community Event Contribution American Heart Association 208 South LaSalle St Chicago IL 60604 360900700 501(c)(3) 50075 Community Event Contribution Boston Medical Center 88 E Newton St Boston MA 02118 043314093 501(c)(3) 10745 Research Catholic Charities Lake County 721 N LaSalle Dr Chicago IL 60654 362170821 501(c)(3) 10000 Community Contribution City of Evanston 2100 Ridge Ave Evanston IL 60201 366005870 115 12050 Community Contribution Council for Jewish Elderly 3003 W Touhy Ave Chicago IL 60645 362727597 501(c)(3) 5000 6800 FMV Office Space Community Contribution Crohn's and Colitis Foundation of America 733 Third Ave New York NY 10017 136193105 501(c)(3) 13000 Community Contribution Emergency Medicine Stroger Cook County 1900 W Polk Chicago IL 60601 680588634 501(c)(3) 25000 Community Contribution Erie Family Health Center 1701 W Superior St Chicago IL 60622 363088628 501(c)(3) 205000 Community Contribution Evanston Chamber of Commerce 1840 Oak Ave Evanston IL 60201 361051450 501(c)(6) 5450 Community Contribution HP Township HS District 113 1040 Park Ave W Highland Park IL 60035 366004892 115 7500 Community Contribution Illinois Hospital Research & Education Fdn 1151 E Warrenville Rd Naperville IL 60566 237421930 501(c)(3) 33720 Hospital Mutual Assisstance Program Interdisciplinary Neonatal Follow-Up Treat 2212 S 17th St Wilmington NC 28401 272791351 501(c)(3) 47175 Research Josselyn Center 405 Central Ave Northfield IL 60093 362217996 501(c)(3) 10000 Community Contribution Lake County Health Department 3010 Grand Ave Waukegan IL 60085 366006600 115 552667 Be Well Lake County Program Lake County Partners for Economic Develop 100 Tri-State Intl Lincolnshire IL 60069 364206288 501(c)(3) 10000 Community Contribution Lurie Childrens Hospital 225 E Chicago Ave Chicago IL 60611 362170833 501(c)(3) 39779 Research Medical College of Wisconsin 8701 Watertown Plank Rd Milwaukee WI 53226 390806261 501(c)(3) 198556 Research Metropolitan Chicago Healthcare Council 222 S Riverside Plaza Chicago IL 60606 363401846 501(c)(6) 45032 Illinois Poison Center Contribution Metropolitan Family Services 1 N Dearborn St Chicago IL 60602 362167940 501(c)(3) 10000 Community Contribution Nami Cook County North Suburban 8324 Skokie Blvd Skokie IL 60077 363714540 501(c)(3) 10500 Community Contribution NorthShore Faculty Practice Associates 1301 Central Street Evanston IL 60201 363738206 501(c)(3) 69239923 General Support Northwestern University 633 Clark St Evanston IL 60208 362167817 501(c)(3) 28128 Research Operation Walk Chicago 680 N Lake Shore Dr Chicago IL 60611 473148545 501(c)(3) 13793 Community Event Contribution Sinai Health System 2750 W 15th St Chicago IL 60608 363166895 501(c)(3) 6000 Community Contribution Skokie Park District 9300 Weber Park Pl Skokie IL 60077 366006104 501(c)(3) 5780 Community Contribution University of Chicago 6054 S Drexel Ave Chicago IL 60637 362177139 501(c)(3) 103968 Research University of Chicago 6054 S Drexel Ave Chicago IL 60637 362177139 501(c)(3) 343333 Residency Program Support University of Chicago Medical Center 5841 S Maryland Ave Chicago IL 60637 363488183 501(c)(3) 500000 Community Contribution University of Michigan 500 S State St Ann Arbor MI 48109 386006309 115 18760 Research University of Pittsburgh 116 Atwood St Pittsburgh PA 15260 250965591 501(c)(3) 14000 Research University of Texas 7703 Floyd Curl Dr San Antonio TX 78229 741586031 115 48129 Research Vanderbilt University 2301 Vanderbilt Pl Nashville TN 37240 620476822 501(c)(3) 43882 Research Village of Skokie 5127 Oakton St Skokie IL 60077 366006103 115 15000 Community Contribution Virginia Polytechnic Institute & State Univ 300 Turner St NW Blacksburg VA 24061 546001805 115 138150 Research Wayne State University 5700 Cass Ave Detroit MI 48202 386028429 115 43114 Research Youth Services of Glenview & Northbrook 3080 W Lake Ave Glenview IL 60026 363182275 501(c)(3) 25500 Community Contribution 35 2 Scholarships in Medical Field 62 224184 Part I Line 2 - Monitoring of Grant Funds NorthShore University HealthSystem (NorthShore) provides cash and non-cash assistance to organizations that help support NorthShore's mission to preserve and improve human life. Requests to support an outside organization must be reviewed and approved by the Community Relations department and NorthShore management to ensure the organization is aligned with NorthShore's mission and charitable purpose. NorthShore also provides cash grants to sub-recipients of grant awards. NorthShore requires all sub-recipients to sign a consortium agreement stating that the sub-recipient understands and agrees to all applicable compliance requirements. NorthShore meets with the sub-recipients on a regular basis and reviews the sub-recipients' A-133 reports. In addition, NorthShore provides cash support to related organizations. Support to related organizations is monitored through the NorthShore budget and reporting procedures for the consolidated financial statements. NorthShore also provides nursing scholarships to individuals. The scholarship amount depends on the degree sought, and the number of scholarships awarded depends on the available funds for each year. Scholarships are awarded on an annual basis to applicants that meet the eligibility criteria. Applicants must be current employees of NorthShore as a staff nurse or other related clinical position. Applicants must also be currently enrolled in a nursing degree program, and enrollment must be maintained for the year the scholarship is received. In addition, applicants must sign a Scholarship Agreement to work for NorthShore as a staff nurse or in a related clinical position for one year following receipt of the scholarship. X X true false X X X X false true false false false false false true false Karen L Kaul Director and Clinical Chairman 257191 284603 83000 100000 0 22877 9171 10148 14863 16447 364225 434075 0 0 Morris S Kharasch Director and Physician 59995 363760 6667 120500 0 12810 2735 16584 4054 24578 73451 538232 0 0 Theodore Mazzone Director and Clinical Chairman 701258 66997 120000 0 0 19035 17634 1685 27565 2633 866457 90350 0 0 Mark S Talamonti Director and Clinical Chairman 810249 282728 100000 0 0 29905 14322 4997 24092 8407 948663 326037 0 0 Mark R Neaman President and CEO 1099592 0 700000 0 337555 0 361899 0 17275 0 2516321 0 0 0 Gerald P Gallagher Chief Operating Officer 596457 0 266000 0 5154 0 219546 0 28296 0 1115453 0 0 0 Gary E Weiss Board Treasurer and CFO 544827 0 246000 0 328423 0 133647 0 20363 0 1273260 0 0 0 Julian E Bailes Clinical Chairman 813439 677267 100000 0 0 13158 10542 8777 18973 15797 942954 714999 0 0 William D Bloomer Clinical Chairman 393030 258878 0 305000 0 63636 11647 7672 20237 13330 424914 648516 0 0 Michael S Caplan Clinical Chairman 538008 109392 100000 0 0 12043 16055 3264 7424 1509 661487 126208 0 0 Robert R Edelman Clinical Chairman 779445 36260 67000 148600 0 25758 18460 859 38002 1768 902907 213245 0 0 Bernard G Ewigman Clinical Chairman 423822 0 25000 0 0 0 66562 0 67009 0 582393 0 0 0 Thomas H Hodges Chief Investment Officer 432170 0 225000 0 19140 0 19319 0 16980 0 712609 0 0 0 Harry L Jones Chief Compliance Officer 264045 0 122000 0 6207 0 19319 0 26133 0 437704 0 0 0 Mary Keegan Chief Nursing Officer 257782 0 77000 0 4047 0 19319 0 15341 0 373489 0 0 0 Jason L Koh Clinical Chairman 521022 433861 67000 400000 0 4612 10541 8778 21961 18287 620524 865538 0 0 William R Luehrs Chief Human Resources Officer 374181 0 169000 0 88593 0 98106 0 18276 0 748156 0 0 0 Demetrius Maraganore Clinical Chairman 434004 148973 75000 0 0 9332 14382 4937 22334 7666 545720 170908 0 0 Frederick E Miller Clinical Chairman 411705 26065 25000 0 0 10173 18169 1150 21753 1377 476627 38765 0 0 Kristen Murtos President, Skokie Hospital 370503 0 161000 0 5324 0 124925 0 28994 0 690746 0 0 0 Sean O'Grady President, Glenbrook Hospital 349164 0 145000 0 5044 0 97052 0 30728 0 626988 0 0 0 Jesse Peterson Hall President, Highland Park Hosp 389223 0 164000 0 10309 0 101548 0 27317 0 692397 0 0 0 Richard K Silver Clinical Chairman 729815 112033 83000 0 0 15982 16748 2571 29152 4475 858715 135061 0 0 Douglas M Silverstein President, Evanston Hospital 503238 0 226000 0 2056926 0 124458 0 12813 0 2923435 0 1641111 0 Steven Smith Chief Information Officer 387323 0 173000 0 12537 0 136384 0 26240 0 735484 0 0 0 Joseph Szokol Clinical Chairman 170435 298756 0 328500 0 23502 7018 12301 11825 20728 189278 683787 0 0 Brian Washa Senior Vice President 310109 0 111000 0 3806 0 85538 0 27703 0 538156 0 0 0 Janardan D Khandekar Medical Director 403962 39960 100000 5000 57973 0 17580 1739 21130 2090 600645 48789 0 0 Ari A Robicsek VP, Clinical Analytics 343395 31693 105000 22461 1510 0 17687 1632 29996 2768 497588 58554 0 0 Nancy Semerdjian Former Chief Nursing Officer 262032 0 322000 0 35371 0 19319 0 15385 0 654107 0 0 0 Jonathan Silverstein VP, Research Informatics 348923 0 105500 0 2170 0 19319 0 25360 0 501272 0 0 0 Jianfeng Xu VP, Translational Research 348574 0 105000 0 2716 0 19319 0 17954 0 493563 0 0 0 Jeffery S Vender Former Clinical Chairman 497743 263180 0 282885 0 38862 12637 6682 17025 9002 527405 600611 0 0 Thomas A Victor Former Clinical Chairman 78069 194108 0 101800 0 36660 5541 13778 7958 19787 91568 366133 0 0 Part I Line 1a - Benefits Provided First-class airfare was provided to the Chief Executive Officer during calendar year 2015 for business travel purposes and was not treated as taxable compensation. The first-class airfare was purchased through a prepaid airline mileage account, which provided discounted airline fare rates. Spousal travel was provided for two trips during calendar year 2015 to the Chief Executive Officer and was treated as taxable compensation. Part I Line 2 - Reimbursement Substantiation A prepaid airline mileage account was purchased for the travel of the Chief Executive Officer. At the time of the purchase, it was not known what specific travel would occur and therefore the travel could not be substantiated at purchase. The business purpose of each trip was substantiated at the time of travel. Part I Line 4b - Supplemental Nonqualified Retirement Plan The following individuals participated in a supplemental nonqualified retirement plan and accrued the following benefits: Mark R Neaman, President and Chief Executive Officer - $291,699, Gerald P Gallagher, Chief Operating Officer - $71,134, William R Luehrs, Chief Human Resources Officer - $75,145, Kristen Murtos, President, Skokie Hospital - $24,843, Steven Smith, Chief Information Officer - $33,326, Gary E Weiss, Chief Financial Officer - $309,814. Part I Line 7 - Non-Fixed Payments NorthShore University HealthSystem provides incentive payments to certain employees after operating and performance goals are achieved. Incentive payment plans are reviewed and approved by the Compensation Committee of the Board of Directors. Form 990 Part VII Line 5 - Compensation from Unrelated Organizations The salary and benefits reported on Schedule J totaling $582,393 for Dr. Bernard G Ewigman were paid by the University of Chicago Medical Center for services provided to NorthShore University HealthSystem as the Chairman of the Department of Family Medicine. A Illinois Finance Authority 861091967 45200F4D8 2010-07-14 138786145 See Part VI false false false B Illinois Finance Authority 861091967 45200MU93 2008-12-11 75000000 See Part VI false false false A 20775000 0 138786145 0 0 0 1017771 0 0 0 137768374 0 2010 true false true true B 0 0 75000000 0 0 0 433044 131875 0 74435081 0 0 2008 false false true true A 0 B false false true true true true 0.00300 0.00100 0.00400 false false false true A false false false true false false 0 false 0 false true B false false true true true false 0 false 0 false true A true B true Part I Line A Column (f) To refund bonds issued on July 3, 2001. Proceeds were also used to pay termination costs in connection with certain derivative agreements related to the refunded bonds. Part I Line B Column (f) To reimburse NorthShore University HealthSystem for the costs of construction, renovation, and equipment for various projects at Evanston Hospital, Glenbrook Hospital, and Highland Park Hospital. Part IV Line 2c Column A A rebate analysis was performed on April 27, 2015, which found there was no rebate due. Part IV Line 2c Column B A rebate analysis was performed on January 29, 2014, which found there was no rebate due as the issue met an exception to rebate. Substantial Contributor 153 Substantial Contributor 30278501 Construction Management false Substantial Contributor 58 Substantial Contributor 4429335 Property Management false Substantial Contributor 73 Substantial Contributor 2364032 Medical Equipment false Jamie Dohnalek Family Mbr-David Dohnalek 91964 Employment false Maureen Kharasch Family Mbr-Dr. Kharasch 136347 Employment false April F Victor Family Mbr-Thomas Victor 96312 Employment false X 8 30510 Cost X 40 Cost X 38721 Cost X 23 379438 Sale Proceeds X 13 2460 Comparables X 16 17092 Cost X 4 49806 Cost X Gift Cards/Certificates 235 37667 Cost X Vacation/Property 5 29450 Comparables X Events/Entertainment 66 22534 Cost 0 false true false Part I Column (b) - Number of Contributions The amounts reported in Part I, column (b) represent the number of contributions. Part III Line 1 - Mission Statement The core mission of NorthShore University HealthSystem is to "preserve and improve human life." This mission will be achieved through the provision of superior clinical care, academic excellence, and innovative research. NorthShore is a not-for-profit organization principally formed to provide quality healthcare services for the communities it serves. The delivery of healthcare services is provided in a wide range of inpatient and ambulatory healthcare settings, community-wide, employing modern technology and expertise. Support for qualified patients who may not be able to pay the entire cost of their care is a part of the organization's commitment. In support of its primary mission of patient care, the organization engages in a wide range of academic activities in medical education and research. This statement recognizes the Board of Directors' responsibility to maintain the organization's viability to meet its long-term commitment to the communities it serves. It further recognizes the responsibility to maintain technologically current assets for this purpose. This includes the cultivation and development of our physicians, graduate medical students, employees, physical plant, equipment and other resources to assure orderly growth of our services. Part III Line 4a - Statement of Program Services - Patient Care Headquartered in Evanston, Illinois, NorthShore University HealthSystem, (NorthShore), is a comprehensive, fully integrated, healthcare delivery system serving the Chicago region. NorthShore includes four hospitals: Evanston Hospital, Glenbrook Hospital, Highland Park Hospital, and Skokie Hospital. NorthShore has approximately 10,000 employees and 2,400 affiliated physicians, including a multispecialty group practice with over 900 physicians and 130-plus office locations under NorthShore University HealthSystem Faculty Practice Associates. The integrated health system has significant capabilities in a wide spectrum of leading clinical programs, including the Kellogg Cancer Center, NorthShore Neurological Institute, NorthShore Orthopaedic Institute, NorthShore Cardiovascular Institute, and High-Risk Maternity. NorthShore also supports teaching and research as the principal teaching affiliate for the University of Chicago Pritzker School of Medicine. NorthShore is a Magnet recognized organization and is the first organization in Illinois designated as a system to receive this prestigious honor that demonstrates excellence in nursing and high standards of patient care. NorthShore is a national leader in the implementation of innovative technologies, including electronic medical records (EMR). In 2003, NorthShore was among the first hospital systems in the country to successfully launch a system-wide EMR with demonstrable benefits in quality, safety, efficiency, and service to patients. NorthShore has been recognized by multiple national organizations for this notable achievement. As part of an ongoing relationship between NorthShore and the Mayo Clinic, physicians from these two organizations are working together on the most complex medical cases. NorthShore physicians have direct access to Mayo Clinic physicians to collaborate on the best treatment for patients with hard to solve cases. NorthShore was recognized as one of the nations "100 Top Hospitals" for 2016 by Truven Health Analytics. NorthShore is one of only two major teaching hospitals in the country to achieve this honor 17 times during the awards 23-year history. Hospitals are evaluated across 11 key analytic measures including patient care, operational efficiency, and financial stability. NorthShore was named one of the "Most Wired" health systems in the country for the 13th straight year by Hospitals & Health Networks magazine's 2016 Most Wired survey. The annual report highlights hospitals and hospital systems at the forefront of adopting health information technology to improve patient care and increase clinical and administrative efficiencies. NorthShore earned national recognition for a number of specialties and procedures in the U.S. News & World Report annual "Best Hospitals" survey. NorthShore was rated high performing in six specialties: gastroenterology and GI surgery, geriatrics, nephrology, neurology and neurosurgery, ortholpaedics, and urology. NorthShore was also rated high performing in seven adult procedures: abdominal aortic aneurysm repair, chronic obstructive pulmonary disease (COPD), colon cancer surgery, heart failure, hip replacement, knee replacement, and lung cancer surgery. NorthShore recognizes and embraces its responsibility to ensure that it fulfills its charitable obligations in the most cost-effective and sustainable manner. In order to achieve this goal, NorthShore has aligned its community benefits program with the guiding principles outlined in Advancing the State of the Art of Community Benefit for nonprofit hospitals, which provides a set of uniform standards to increase accountability and align governance, management, and operations to return benefit to local communities. The five guiding principles are: 1) Disproportionate Unmet Health-Related Needs, 2) Primary Prevention, 3) Seamless Continuum of Care, 4) Build Community Capacity, and 5) Community Collaboration. NorthShore informs and educates low income patients of our Financial Assistance program across many points within the system. We have posted signs--both English and Spanish--in all our facilities Emergency Departments and at our Central Registration areas. The NorthShore patient information television channel is available to all patients upon admission and a section describes how to obtain Financial Assistance. The NorthShore billing statements describes the Financial Assistance program and necessary contact information. Our collection agencies and billing offices also coordinate charity care to potentially eligible patients. Finally, the NorthShore website (www.northshore.org) is another useful resource that informs patients about the Financial Assistance program with links to the application process and the actual financial application. NorthShore also has approximately 16 full time financial counselors and 38 Customer Service agents representing our hospitals, clinics, and physician offices. These counselors and representatives are responsible for helping patients understand their bills and coordinating financial assistance and insurance eligibility when appropriate. Any uninsured patient admitted to our hospitals will have their case reviewed by a financial counselor. NorthShore has also earned Certified Application Counselor Organization (CACO) status with the Centers for Medicare and Medicaid Services (CMS). Our counselors are certified and capable of helping patients navigate Medicaid and Insurance Exchange options. Any patient having difficulty paying their portion of the bill or wanting to know if they are eligible for financial assistance will have their case reviewed by calling our centralized Customer Service billing department. Our Customer Service department responds to approximately 1,400 calls per day from patients with questions about their bill or that are unable to pay. In addition to the formal application process for Financial Assistance, NorthShore may also grant Financial Assistance on a presumptive basis. Presumptive Financial Assistance approvals are based upon individual life circumstances such as enrollment in low income government programs with income eligibility below 200 percent of federal poverty level income guidelines or verification of financial indigence through an outside vendor. Evanston Hospital - With a history dating back to 1891, Evanston Hospital is a 354-licensed bed comprehensive acute-care facility and the nucleus of NorthShore University HealthSystem. Evanston Hospital is a leader in cardiac care, cancer care via the Kellogg Cancer Center and a variety of surgical specialties including neurosurgery, gynecological surgery, robot-assisted surgery, surgical oncology, and urology surgery. Evanston Hospital is certified by the Joint Commission in palliative care and as a Primary Stroke Center. The hospital also is a licensed Level I Trauma Center. Evanston Hospital is also the regional center for high-risk obstetrics. The Infant Special Care Unit and the Women's Hospital offer a comfortable birthing environment where high-risk mothers and their babies have access to the latest technology and a highly trained staff. Evanston Hospital also houses the Grainger Center for Simulation and Innovation, which provides nurses, physicians, residents, paramedics, firefighters and police with simulated clinical care, trauma and emergency preparedness training in a controlled environment. During fiscal year 2016, Evanston Hospital total admissions were 17,610, and total patient days were 95,133. Glenbrook Hospital - Glenbrook Hospital, established in 1977, is a 173-licensed bed comprehensive medical center providing advanced diagnostic and therapeutic interventions. In addition to being a Level II Trauma Center, Glenbrook Hospital is certified by the Joint Commission as a Primary Stroke Center. Glenbrook Hospital provides advanced medical and surgical care for all specialties. Specific specialties include the Kellogg Cancer Center, NorthShore Neurological Institute, NorthShore Spine Center, John and Carol Walter Center for Urological Health, Patricia Nolan Center for Breast Health, Simms Family GI Lab, Eye and Vision Center, Surgical Specialty Suite, and Total Joint Replacement Center. In addition, the hospital offers leading-edge interventional radiology and cardiac catheterization laboratory. During fiscal year 2016, Glenbrook Hospital total admissions were 8,940, and total patient days were 42,294. Part III Line 4a-Statement of Program Services - Patient Care - Continued Highland Park Hospital - Founded in 1918, Highland Park Hospital has provided high-quality healthcare and a wide range of clinical programs for the people of Lake County and beyond for nearly a century. The 139-licensed bed hospital is the site of the first open-heart surgery in Lake County, and continues to provide a full range of cardiac diagnosis and intervention services. Highland Park Hospital's Kellogg Cancer Center offers the most comprehensive subspecialty care for oncology patients. Specialized physicians provide care for the following types of cancer: thoracic and lung, hematology, breast, ovarian, head and neck, melanoma and sarcoma, gastrointestinal, prostate, and stomach. Highland Park Hospital is a Joint Commission certified Primary Stroke Center. The Emergency Department at Highland Park Hospital acts as the region's "pod" hospital for disaster-response activities, coordinating Lake County's efforts when confronted with a disaster. The Pediatric Preparation Program helps to familiarize young patients with the hospital environment through hospital tours and play sessions prior to surgery. NorthShore also has a partnership with the Lake County Health Department and Community Health Center known as Be Well Lake County. The program goal is to build greater access through a coordinated network of healthcare targeting the underserved diabetes population in Lake County. The program enables the partner organizations to effectively pool and maximize resources in order to provide high quality comprehensive diabetes management, education, and support resources that will address one of the nations fastest growing health threats. During fiscal year 2016, Highland Park Hospital total admissions were 9,081, and total patient days were 39,929. Skokie Hospital - Established in 1963, Skokie Hospital is a 123-licensed bed facility that has provided high-quality healthcare for nearly five decades and is nationally recognized for its expertise in orthopaedics and cardiac care. Skokie Hospital is a Joint Commission certified Primary Stroke Center. Skokie Hospitals key specialties and features also include minimally invasive surgery, total joint replacement, spine surgery, clinical cardiology, and graduate medical education (residency) programs in internal medicine, general surgery, and anesthesia. In addition, Skokie Hospitals Level II Trauma Center is staffed by an experienced trauma team specially trained in pediatric life support. During fiscal year 2016, Skokie Hospital total admissions were 7,277, and total patient days were 34,111. NorthShore University HealthSystem Faculty Practice Associates - In order to increase the efficiency and quality of health care NorthShore provides, NorthShore University HealthSystem Faculty Practice Associates (FPA) was organized to serve as an integral part of its health care mission and activities. FPA represents more than 900 physicians with over 130 offices in virtually every specialty all on staff at the hospitals of NorthShore. FPA physicians provide professional health care services for patients of NorthShore, as well as conduct medical education and research activities on behalf of NorthShore. NorthShore University HealthSystem Foundation - NorthShore University HealthSystem Foundation (Foundation) is dedicated to assisting the integrated healthcare delivery system to fulfill NorthShores mission to "preserve and improve human life." The Foundation seeks to obtain the philanthropic support required to ensure that NorthShore can provide medical care, advanced research, and state-of-the-art facilities and equipment. The Foundation builds relationships with individuals and the community to increase awareness of NorthShores high-quality services and giving opportunities. NorthShore University HealthSystem Home and Hospice Services - NorthShore University HealthSystem Home and Hospice Services offers the full spectrum of home and hospice care, including skilled nursing, physical and occupational therapy, and home medical equipment. The Home and Hospice caregivers represent a wide range of medical specialties and work with the patient, family, and physician to tailor home care to meet the individual needs of each patient. Part III Line 4b - Statement of Program Services - Education NorthShore University HealthSystem (NorthShore) is committed to excellence in its academic mission and supports teaching and research in its role as the principal teaching affiliate of the University of Chicago Pritzker School of Medicine. NorthShore also has additional teaching affiliation agreements with Rush University Medical Center, University of Illinois-Chicago, Stroger Hospital, and Northwestern University Feinberg School of Medicine. NorthShore has an extensive selection of training programs and fellowships to offer physicians at our own teaching and research facilities. During fiscal year 2016, a total of 184 resident full time equivalents (FTEs) and 34 fellow FTEs participated in the NorthShore and affiliate-based programs. The NorthShore residency program areas included: Dentistry, Internal Medicine (Categorical, Preliminary, and Transitional), Pathology, and Family Medicine. The NorthShore fellowship program areas included: Anatomic Pathology, Endocrine Surgery, Family Medicine-Sports Medicine, Gastroenterology, Magnetic Resonance Imaging, Musculoskeletal Imaging, Surgical Pathology, and Urogynecology. The affiliate-based residency program areas included: Anesthesiology, Emergency Medicine, General Surgery, Neurology, Neurosurgery, Obstetrics and Gynecology, Ophthalmology, Orthopaedic Surgery, Otolaryngology, Pediatrics, Plastic Surgery, Podiatry, Psychiatry, Radiology, and Urology. The affiliate-based fellowship program areas included: Advanced Cardiovascular Imaging/Research, Cardiology, Cardiothoracic Surgery, Child Neurology, Child Psychiatry, Colon Rectal Surgery, Electrophysiology, Gastroenterology, Gynecology-Oncology, Hematology-Oncology, Mammography, Maternal-Fetal Medicine, Medical Microbiology, Molecular Genetics Pathology, Neonatal-Perinatal Medicine, Nephrology, Neuroradiology, Orthopaedic Hand, Orthopaedic Sports, Palliative Medicine, Pediatric Plastic Surgery, Peripheral Vascular Surgery, and Surgical Oncology. NorthShore also offers a comprehensive Pharmacy residency program, with resident positions located at all four hospitals. The Pharmacy residency program includes both clinical and administrative exposure focusing on inpatient practice. The program consists of a multitude of experiences that reinforce residents knowledge and skills and help them advance into well-rounded practitioners. During fiscal year 2016, 22 residents participated in the program. The NorthShore School of Nurse Anesthesia operates out of Evanston Hospital. The program has full accreditation from the Council of Accreditation of Nurse Anesthesia Educational Programs. The mission of the School is the enrichment and transmission of knowledge of nurse anesthesia as a discipline and promotion of the health and well-being of individuals, families, and communities. The School seeks to provide graduates with innovative, inquiry-based education that anticipates the rapid pace of change in health care and the knowledge, skills, and attitude necessary to assume leadership roles in the nurse anesthesia profession. During fiscal year 2016, 55 students participated in the program. NorthShore also provided clinical training and internships during the 2016 academic year for 910 high school and college students. Students interned in various areas including Nursing, Physical Therapy, Radiology, Laboratory, Speech Therapy, and Occupational Therapy. Part III Line 4c - Statement of Program Services - Research The NorthShore University HealthSystem Research Institute (Research Institute) was organized in 1996 to provide a means for integrating leading-edge research into improved clinical care. The Research Institute also creates an environment to recruit and retain externally-funded research leadership in order to achieve the mission and goals of the organization. The Research Institute houses 108 externally funded research faculty who currently occupy 95,000 net square feet of research space and work on 1,172 active research protocols. Total external funding is now approximately $89 million. NorthShore has also made a substantial commitment to develop the Center for Clinical and Research Informatics to conduct expanded research using informatics. Such infrastructure enables large scale efforts on comparative effectiveness, clinical quality/outcomes, and practice based research. The Center and its work build on our award winning Epic medical records system, providing a focus for growing faculty involvement in research. In 2014 the Genomic Health Initiative was launched for members of the community to help shape the future of Personalized Medicine. This research project will give physician and research experts the opportunity to more proactively learn about the science behind diseases and conditions, and apply this knowledge directly to a clinical setting to improve patient outcomes. The Genomic Health Initiative will allow researchers to more precisely predict, prevent, and treat disease while improving the future of healthcare and the medical field for generations to come. The goal is to collect 40,000 100,000 participants over the next several years to enable sufficient samples for DNA studies. The Research Institute is also a member of the Illinois Precision Medicine Consortium (IPMC) which is part of a national landmark longitudinal Precision Medicine Initiative (PMI) cohort program to improve the ability to prevent and treat disease based on individual lifestyle, environment, and genetics. NorthShore will enroll over 9,000 NorthShore patients in the study, and participants in NorthShores PMI will be asked to share a wide-range of health, environmental, and lifestyle information. The NorthShore Program for Personalized Cancer Care (PPCC) is pioneering new strategies in cancer care. The PPCC uniquely focuses on the genetic pattern of an individuals hereditary DNA to derive a personalized cancer risk assessment profile. Based on the inherited risk of developing a given cancer, the PPCC is beginning to implement personalized cancer care strategies that encompass the entire spectrum of disease. The PPCC believes this approach will lead to more efficient use of health care resources by targeting prevention and screenings toward individuals at greater risk of developing cancer, earlier cancer detection, and, ultimately and most importantly, reduced cancer deaths and suffering. Part VI Section A Line 2 - Business Relationships The following directors, officers, and key employees are directors or officers of NorthShore Physician Associates, Inc., a related for-profit corporation, and have a business relationship: Percy L Berger Sr, Toure S Claiborne, A Steven Crown, Mary Dillon, David A Dohnalek, Connie K Duckworth, William M Farrow III, Gerald P Gallagher, Gregory K Jones, Karen L Kaul, Morris S Kharasch, Lester B Knight III, Harry M Jansen Kraemer Jr, Theodore Mazzone, Samuel M Mencoff, Andrew J Mills, Kristen Murtos, Mark R Neaman, Nancy A Nora, Michael Reinsdorf, Thomas S Ricketts, Scott C Schweighauser, Susan B Sentell, Mark S Talamonti, J Mikesell Thomas, Sona Wang, Kevin Willer, David F Zucker Business relationship - Harry M Jansen Kraemer Jr and Samuel M Mencoff Business relationship - Gerald P Gallagher and Harry L Jones Business relationship - Gerald P Gallagher and Kristen Murtos Business relationship - Gerald P Gallagher and Gary E Weiss Part VI Section B Line 11b - Governing Body Review of 990 The NorthShore University HealthSystem (NorthShore) Form 990 was reviewed by executive management and an outside accounting firm. The NorthShore Form 990 was then provided to each member of the Board of Directors via email for their review and ability to ask questions of management prior to filing. Part VI Section B Line 12c - Conflict of Interest Policy Monitoring All officers, directors and employees are required to report any potential or actual conflicts of interest as they arise, promptly and in writing, to the Chief Compliance Officer. In addition, on an annual basis, the Chief Compliance officer requires all officers, directors, and key employees to complete, sign and return a Conflict of Interest Disclosure Statement requiring information about any and all potential or actual conflicts. Timely and accurate completion of the Statement is mandatory, and completed Statements must be returned to the Chief Compliance Officer within 15 days. Any disclosures included on the Statements are reviewed and acted upon as necessary by the Chief Compliance Officer and the Corporate Compliance Committee. Part VI Section B Line 15 - Determination of Compensation A detailed compensation review of the top 15 executives, including the Chief Executive Officer, is conducted annually. Market data is collected and assessed by an external independent compensation consultant who specializes in compensation consulting within the healthcare industry. The work product from this study is reviewed separately with Board-retained legal counsel. Market data for base and variable compensation is assessed annually for local, regional and national hospitals, integrated delivery systems, and academic medical centers. A detailed total compensation market review is conducted every two years. The market assessment includes assessing job content in order to make appropriate market data comparisons. Specific recommendations are then reviewed, discussed and approved as appropriate with the Compensation Committee of the Board, in session with legal counsel present, in advance of implementation. A detailed compensation review of the 13 Clinical Chairs is also conducted annually. Market data is collected and assessed by an external independent compensation consultant who specializes in compensation consulting for physicians within the healthcare industry. The work product from this study is reviewed separately with Board-retained legal counsel. Market compensation data for each physician's specialized area of training is assessed annually. A detailed total compensation and Fair Market Value review is conducted every two years. Specific recommendations are then reviewed, discussed and approved as appropriate with the Compensation Committee of the Board, in session with legal counsel present, in advance of implementation. Part VI Section C Line 19 - Public Disclosure of Documents The NorthShore University HealthSystem (NorthShore) governing documents, conflict of interest policy, and financial statements are available to the public upon request. The NorthShore annual audit report and financial statements are also available to the public through GuideStar and the Illinois Attorney General's Office websites as part of the federal and state tax return filings. The NorthShore quarterly and annual financial statements and annual audit are also made available to the public through the Electronic Municipal Market Access (EMMA) website as part of the tax-exempt bond offerings. Part XI Line 9 - Other Changes in Net Assets Other changes in net assets include equity adjustments for the pension plan in the amount of $64,868,191, equity adjustments for the supplemental executive retirement plans in the amount of ($584,341), and a reversal of prior year grant expenses in the amount of $1,000,000. 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