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NORTHWEST COMMUNITY HOSPITAL: Form 990, tax year 2015

View the entire original 990 at ProPublica ↗

Organization
NORTHWEST COMMUNITY HOSPITAL (EIN 36-2340313)
Tax period
2015-10-01 to 2016-09-30
Filed
2017-08-07
IRS object ID
201732199349300973
Schema version
2015v3.0
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2017-08-07T12:43:42-05:00ReturnTs
Tax Period End2016-09-30TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1155 N Wacker DriveAddressLine1Txt
CityChicagoCityNm
State AbbreviationILStateAbbreviationCd
ZIP60606ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2015-10-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN362340313EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Northwest Community HospitalBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% KAREN WILLIAMSInCareOfNm
Business Name ControlNORTBusinessNameControlTxt
Phone8476181000PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line13060 Salt Creek LaneAddressLine1Txt
CityARLINGTON HEIGHTSCityNm
State AbbreviationILStateAbbreviationCd
ZIP60005ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJOHN SKEANSPersonNm
Person TitleCFOPersonTitleTxt
Phone8476181000PhoneNum
Signature2017-08-01SignatureDt
Discuss With Paid PreparerYes (true)DiscussWithPaidPreparerInd

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonKATHERINE KURTZMANPreparerPersonNm
PTINP01236691PTIN
Phone3128792000PhoneNum
FieldValueIRS element (for citing)
Tax2015TaxYr
Build TS2021-01-29 14:40:06ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Address ChangeYes (X)AddressChangeInd
Principal OfficerSTEPHEN O SCOGNAPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line1800 West Central RoadAddressLine1Txt
CityARLINGTON HEIGHTSCityNm
State AbbreviationILStateAbbreviationCd
ZIP60005ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$539,029,954GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressNCH.ORGWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1953FormationYr
Legal Domicile StateILLegalDomicileStateCd
Activity Or MissionNCH OPERATES AN ACUTE HOSPITAL IN ARLINGTON HEIGHTS, IL. THE HOSPITAL EXISTS TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE AND TO MEET INDIVIDUALS' HEALTHCARE NEEDS.ActivityOrMissionDesc
Voting Members Governing Body16VotingMembersGoverningBodyCnt
Voting Members Independent14VotingMembersIndependentCnt
Total Employee3773TotalEmployeeCnt
Total Volunteers855TotalVolunteersCnt
Total Gross UBI$2,237,556TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm-$1,075,152NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$1,294,762PYContributionsGrantsAmt
CY Contributions Grants$2,103,592CYContributionsGrantsAmt
PY Program Service Revenue$443,727,183PYProgramServiceRevenueAmt
CY Program Service Revenue$458,623,728CYProgramServiceRevenueAmt
PY Investment Income$665,763PYInvestmentIncomeAmt
CY Investment Income$1,074,455CYInvestmentIncomeAmt
PY Other Revenue$4,815,616PYOtherRevenueAmt
CY Other Revenue$4,518,996CYOtherRevenueAmt
PY Total Revenue$450,503,324PYTotalRevenueAmt
CY Total Revenue$466,320,771CYTotalRevenueAmt
PY Grants And Similar Paid$225,872PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$175,435CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$229,283,606PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$224,492,558CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$197,716,952PYOtherExpensesAmt
CY Other Expenses$220,950,869CYOtherExpensesAmt
PY Total Expenses$427,226,430PYTotalExpensesAmt
CY Total Expenses$445,618,862CYTotalExpensesAmt
PY Revenues Less Expenses$23,276,894PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$20,701,909CYRevenuesLessExpensesAmt
Total Assets BOY$605,286,289TotalAssetsBOYAmt
Total Assets EOY$582,045,778TotalAssetsEOYAmt
Total Liabilities BOY$414,281,307TotalLiabilitiesBOYAmt
Total Liabilities EOY$378,956,787TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$191,004,982NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$203,088,991NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionNORTHWEST COMMUNITY HOSPITAL EXISTS TO IMPROVE THE HEALTH OF THE COMMUNITIES IT SERVES AND TO MEET INDIVIDUALS' HEALTHCARE NEEDS. IT STRIVES TO BE KNOWN FOR ITS SINGULAR FOCUS ON PROVIDING A COMPREHENSIVE, PATIENT-CENTERED SYSTEM OF CARE THAT SURPASSES EVERY EXPECTATION FOR EXCELLENCE (IN QUALITY AND SERVICE).MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$47,240,382ExpenseAmt
Revenue$45,887,146RevenueAmt
DescCARDIAC NORTHWEST COMMUNITY HOSPITAL'S (HOSPITAL) CARDIAC SERVICE LINE PROVIDED QUALITY, PATIENT CENTERED, COMPASSIONATE CARE, REGARDLESS OF ABILITY TO PAY, TO APPROXIMATELY 43,700 INPATIENT AND OUTPATIENT CASES DURING FY 2016. THE TREATMENT WAS PROVIDED IN HOSPITAL'S STATE-OF-THE-ART DIGITAL CARDIAC CATH LAB SUITES, INCLUSIVE OF ITS HIGH TECH OPERATING ROOMS AND PRIVATE FAMILY CENTERED PATIENT CARE ROOMS ALL AT A COST OF APPROXIMATELY $47,200,000. AN ON-CALL TEAM OF NURSES, RADIOLOGY TECHS, OR TECHS, CARDIOLOGISTS AND SURGEONS WERE READILY AVAILABLE 24 HOURS A DAY, 7 DAYS A WEEK, TO PROVIDE EMERGENT CARE TO THOSE WITH CARDIAC DISEASE. THE CARDIAC TEAM WORKS WITH THE EMERGENCY ROOM AND MULTIPLE NEIGHBORING COMMUNITY PARAMEDICS AND EMERGENCY PERSONNEL TO CONSISTENTLY EXCEED THE NATIONAL BENCHMARK OF DOOR TO BALLOON TIME (OR OPEN ARTERY) IN LESS THAN 90 MINUTES FOR PATIENTS PRESENTING IN HOSPITAL'S EMERGENCY ROOM HAVING AN ACUTE MI. NCH HAS BEEN RECOGNIZED AS AN ACCREDITED ECHO LAB BY THE INTERSOCIETAL COMMISSION FOR THE ACCREDITATION OF ECHOCARDIOGRAPHY LABORATORIES (ICAEL) SINCE 2000. NCH PROVIDES THE FULL SCOPE ON NON INVASIVE CARDIAC DIAGNOSTIC TESTING AT MULITPLE SITES IN THE COMMUNITY INCLUDING THE ATHERTON HEART FAILURE CLINIC WHICH OPENED IN 2014. THE CLINIC PROVIDES A TRANSITIONAL CARE MODEL THAT IS BASED ON PATIENTS WITH HEART FAILURE BEING SEEN IN THE CLINIC BY ADVANCED CARE PRATCTIONERS AND CARDIOLOGISTS WITH 24 HOURS OF HOSPITAL DISCHARGE. THE MULTIDISCIPLINARY TEAM INCLUDING DIETICIANS, SOCIAL WORKERS, PHARMACISTS AND NURSES PROVIDE ONGOING CARE TO PATIENTS AND THEIR FAMILIES IN THE COMMUNITY SETTING ENSURING CARE IS DELIVERED IN THE APPROPRIATE SETTING AND REDUCING AVOIDABLE RE-ADMISSIONS TO THE ACUTE CARE SETTING. NCH HAS EXPERIENCED A SIGNIFICANT DECREASE IN HOSPITAL READMISSIONS FOR BOTH THE HEART FAILURE AND ACUTE MI PATIENT POPULATIONS DIRECLTY RELATED TO STRATEGIES DURING THE HOSPITALIZATION AND IN THE POST ACUTE CARE SETTING. TELEHEALTH MEDICINE AND HOME HEALTH ARE INTEGRAL PARTS OF THE POST ACUTE CARE MODEL NCH HAS IMPLEMENTED FOR CARDIAC PATIENTS. IN ADDITION, NCH HAS ONE OF THE LARGEST CARDIAC AND PULMONARY REHAB PROGRAMS IN THE STATE OF ILLINOIS THAT HAS FURTHER ASSISTED CARDIAC AND PULMONARY PATIENTS IN RETURNING AND MAINTAINING AN OPTIMAL STATE OF HEALTH FOLLOWING A CARDIAC EVENT. THE CARDIAC DEPARTMENT ALSO PROVIDES MULTIPLE SCREENING AND EDUCATION PROGRAMS. DURING 2016, NCH HOSTED MULTIPLE COMMUNITY EVENTS THAT INCLUDED EDUCATIONAL PRESENTATIONS BY CARDIOLOGISTS AND STAFF, HEALTHY COOKING DEMONSTRATIONS AND HEALTH SCREENINGS. NEARLY 200 COMMUNITY MEMBERS ATTENDED THE EVENTS.Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$41,976,001ExpenseAmt
Revenue$51,161,355RevenueAmt
DescGASTROENTEROLOGY NORTHWEST COMMUNITY HOSPITAL'S GASTROENTEROLOGY (GI) SERVICE LINE PROVIDES QUALITY, PATIENT CENTERED, COMPASSIONATE CARE FOR PATIENTS, REGARDLESS OF ABILITY TO PAY, WHO ARE IN NEED OF DIAGNOSTIC AND THERAPEUTIC ENDOSCOPIC PROCEDURES. THE HOSPITAL'S GI CENTER HAS BECOME A REGIONAL REFERRAL CENTER FOR PATIENTS IN NEED OF INTERVENTIONAL PROCEDURES INCLUDING ENDOSCOPIC RETROGRADE CHOLANGIOPANCREATOGRAPHY AND ENDOSCOPIC ULTRASOUND. A STATE-OF-THE-ART INTERVENTIONAL SUITE OFFERS PATIENTS ACCESS TO SUPERIOR QUALITY CARE BY PROVIDING DIGITAL IMAGING. HOSPITAL'S INTERVENTIONAL TEAM IS LED BY AN EXPERT INTERVENTIONAL PHYSICIAN. THIS TEAM PROVIDES SAME-DAY CARE FOR PATIENTS IN AND BEYOND HOSPITAL'S SERVICE AREA WHO ARE IN NEED OF INTERVENTIONAL PROCEDURES. IN FY 2016, THE GASTROENTEROLOGY SERVICE LINE INCURRED APPROXIMATELY 31,000 PATIENT CASES AT A COST OF APPROXIMATELY $42,000,000.Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$38,600,732ExpenseAmt
Revenue$31,905,960RevenueAmt
DescORTHOPEDICS NORTHWEST COMMUNITY HOSPITAL'S ORTHOPEDIC SERVICE LINE PROVIDES QUALITY, PATIENT CENTERED, COMPASSIONATE CARE FOR PATIENTS, REGARDLESS OF ABILITY TO PAY, WHO ARE IN NEED OF SPECIALIZED ORTHOPEDIC MEDICAL CARE AND SURGICAL PROCEDURES. PATIENTS HAVE ACCESS TO SUPERIOR QUALITY CARE AND BENEFIT FROM THE LATEST TECHNOLOGIES AND ADVANCED PAIN MANAGEMENT TECHNIQUES. PHYSICIANS ARE BOARD CERTIFIED. PREOPERATIVE EDUCATION, CARE PROVISION ON A DEDICATED ORTHOPEDIC UNIT WITH SPECIALTY NURSES AND EXTENSIVE POST SURGICAL REHABILITATION AND HOME CARE SERVICES ARE INCLUDED IN OUR ORTHOPEDIC SERVICES. HOSPITAL'S ORTHOPEDIC SERVICE LINE TEAM IS LED BY AN EXPERT BOARD CERTIFIED ORTHOPEDIC SURGEON. THE ORTHOPEDIC DEPARTMENT PERFORMS GREATER THAN 800 ELECTIVE JOINT PROCEDURES A YEAR. QUALITY CARE, EXCELLENCE IN PATIENT EXPERIENCE AND FAVORABLE OUTCOMES MAKES HOSPITAL A TOP CHOICE IN THE CHICAGO LAND AREA. IN FY 2016, THE ORTHOPEDIC SERVICE LINE INCURRED APPROXIMATELY 20,700 PATIENT CASES AT A COST OF APPROXIMATELY $38,600,000.Desc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$207,498,442TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$175,435TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue$329,669,267TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$335,315,557TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsYes (true)TempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecfalseReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficefalseForeignOfficeInd
Foreign ActivitiesfalseForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsYes (true)GrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemYes (true)BusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (true)BusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityYes (true)DisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document241IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Backup Wthld ComplianceYes (true)BackupWthldComplianceInd
Employee3773EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountfalseForeignFinancialAccountInd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members16GoverningBodyVotingMembersCnt
Independent Voting Member14IndependentVotingMemberCnt
Family Or Business RlnfalseFamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersfalseLocalChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VenturefalseInvestmentInJointVentureInd
States Where Copy Of Return Is FldILStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonKAREN WILLIAMSPersonNm
Phone8476184606PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line13060 SALT CREEK LANEAddressLine1Txt
CityArlington HeightsCityNm
State AbbreviationILStateAbbreviationCd
ZIP60005ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (29 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
Stephen O Scogna
PRESIDENT/SECRETARY/CEO10.030.0Yes (X)Yes (X)$1,325,186$0$181,715
Thomas P MacCarthy
Chairperson10.01.0Yes (X)Yes (X)$0$0$0
Marla F Glabe
Vice Chairperson1.01.0Yes (X)Yes (X)$0$0$0
James H Bishop
Director1.01.0Yes (X)$0$0$0
Craig E Christell
Director1.01.0Yes (X)$0$0$0
Kirk Clark MD
Director1.01.0Yes (X)$0$0$0
Jay S Cowen MD
Director (beginning 1/1/16)1.01.0Yes (X)$0$0$0
Guy W Eisenhuth
Director (beginning 1/1/16)1.01.0Yes (X)$0$0$0
Ann K Ford
Director (beginning 1/1/16)1.01.0Yes (X)$0$0$0
Dale J Garber
Director1.01.0Yes (X)$0$0$0
Louis A Gatta Phd
Director1.01.0Yes (X)$0$0$0
Charles A Hempfling
Director1.01.0Yes (X)$0$0$0
Diane G Hill
Director1.01.0Yes (X)$0$0$0
Richard D Hoffman
Director (beginning 1/1/16)1.01.0Yes (X)$0$0$0
E Quinn Regan MD
DIRECTOR1.01.0Yes (X)$0$0$0
Mary R Sheahen MS RN
Director1.01.0Yes (X)$0$0$0
Cynthia M Valukas MD
Director (thru 12/31/15)1.01.0Yes (X)$24,000$0$0
John L Skeans
CFO/Treasurer (Beg 6/15/15)10.030.0Yes (X)$242,137$0$43,486
Michael C Hartke
Executive VP/COO14.026.0$584,118$0$88,003Yes (X)
Wendy L Rubas
Exec VP - Chief Legal Counsel10.030.0$383,106$0$60,099Yes (X)
Kimberly A Nagy
Executive VP - PT Serv & CNO40.00.0$406,661$0$62,811Yes (X)
Alan B Loren MD
Executive VP - CMO30.010.0$409,935$371,688$74,508Yes (X)
Susan E Nelson MD
VP Physician Operations30.010.0$370,633$83,977$45,710Yes (X)
Bradford A Buxton
VP Strategy & Business Dev.40.00.0$403,235$0$41,094Yes (X)
Lucy R Hammerberg MD
Chief Qua. Ofc. (thru 6/23/16)40.00.0$339,128$0$13,878Yes (X)
Glen J Malan
VP Info Tech & CIO40.00.0$308,948$0$45,249Yes (X)
Lacy A Knight MD
Chief Med. Info. (thru 5/7/16)40.00.0$297,130$0$57,818Yes (X)
Bruce K Crowther
Pres/CEO/Sec (thru 1/1/15)0.00.0$798,775$0$1,432Yes (X)
Marsha C Liu
CFO & Treasurer (thru 2/9/15)0.00.0$495,761$0$32,594Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$6,388,753TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$455,665TotReportableCompRltdOrgAmt
Total Other Compensation$748,397TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K175IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
Deloitte Consulting LLP
PO Box 844717DALLASTX75284Consulting$14,069,950
Leopardo Companies Inc
5200 Prairie Stone ParkwayHOFFMAN ESTATESIL60192Construction$4,098,849
Sodexo Inc Affiliates
PO Box 536922ATLANTAGA30353Dietary and Biomed$4,067,067
Pricewaterhouse Coopers LLP
300 Madison AvenueNEW YORKNY10017Consulting$2,305,527
ROI Companies
25001 Emery Road Ste 250WARRENSVILLE HEIGHTSOH44128Collection Services$1,882,554
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K97CntrctRcvdGreaterThan100KCnt
Related Organizations$2,103,592RelatedOrganizationsAmt
Total Contributions$2,103,592TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
NET PATIENT SERVICES622110$453,106,803$453,106,803$0$0
REFERENCE LAB621511$1,882,849$0$1,882,849$0
CLASSES AND TRAINING611430$922,247$922,247$0$0
MEANINGFUL USE REIMBURSEMENT900099$706,286$706,286$0$0
CAPITATION REVENUE622110$430,225$430,225$0$0

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$1,575,318TotalRevenueColumnAmt
Related Or Exempt Func Income$1,575,318RelatedOrExemptFuncIncomeAmt
Exclusion$0ExclusionAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$458,623,728TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$655,233TotalRevenueColumnAmt
Exclusion$655,233ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$478TotalRevenueColumnAmt
Exclusion$478ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$1,890,829RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$1,306,115RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$584,714RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$584,714TotalRevenueColumnAmt
Exclusion$584,714ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$71,424,835SecuritiesAmt
Other$86,107OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$71,092,197SecuritiesAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$332,638SecuritiesAmt
Other$86,107OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$418,744TotalRevenueColumnAmt
Exclusion$418,744ExclusionAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$328,041GrossSalesOfInventoryAmt
Cost Of Goods Sold$310,871CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$17,170TotalRevenueColumnAmt
Exclusion$17,170ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmtExclusionExclusionAmt
CAFETERIA722514$2,046,734$0$0$2,046,734
DSC MANAGEMENT FEE541611$754,695$0$354,707$399,988
ALL OTHER REVENUE900099$1,115,683$0$0$1,115,683
FieldValueIRS element (for citing)
Other Revenue Total$3,917,112OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$466,320,771TotalRevenueColumnAmt
Related Or Exempt Func Income$456,740,879RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$2,237,556UnrelatedBusinessRevenueAmt
Exclusion$5,238,744ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$152,433TotalAmt
Program Services$152,433ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$23,002TotalAmt
Program Services$23,002ProgramServicesAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$5,222,273TotalAmt
Management And General$5,222,273ManagementAndGeneralAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$178,441,355TotalAmt
Program Services$131,304,500ProgramServicesAmt
Management And General$47,136,855ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$5,995,995TotalAmt
Program Services$4,286,647ProgramServicesAmt
Management And General$1,709,348ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$22,074,564TotalAmt
Program Services$15,781,511ProgramServicesAmt
Management And General$6,293,053ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$12,758,371TotalAmt
Program Services$9,121,194ProgramServicesAmt
Management And General$3,637,177ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$1,379,728TotalAmt
Management And General$1,379,728ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$489,650TotalAmt
Management And General$489,650ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$78,668TotalAmt
Program Services$0ProgramServicesAmt
Management And General$78,668ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$222,296TotalAmt
Management And General$222,296ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$31,677,104TotalAmt
Program Services$12,104,432ProgramServicesAmt
Management And General$19,572,672ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$2,434,676TotalAmt
Management And General$2,434,676ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$6,588,721TotalAmt
Program Services$4,359,961ProgramServicesAmt
Management And General$2,228,760ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$7,241,326TotalAmt
Program Services$5,176,957ProgramServicesAmt
Management And General$2,064,369ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$9,996,368TotalAmt
Program Services$8,184,733ProgramServicesAmt
Management And General$1,811,635ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$461,502TotalAmt
Program Services$79,320ProgramServicesAmt
Management And General$382,182ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$392,506TotalAmt
Program Services$392,506ProgramServicesAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$8,529,148TotalAmt
Program Services$8,529,148ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$36,846,805TotalAmt
Program Services$28,314,374ProgramServicesAmt
Management And General$8,532,431ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$5,139,234TotalAmt
Program Services$5,164,975ProgramServicesAmt
Management And General-$25,741ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmt
MEDICAL SUPPLIES$50,723,790$50,723,790
PHARMACEUTICALS$18,179,887$18,179,887
BAD DEBT - PATIENT SERVICES$9,271,542$9,271,542
ILLINOIS PROVIDER TAX$16,407,485$16,407,485

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$14,890,433TotalAmt
Program Services$7,757,160ProgramServicesAmt
Management And General$7,133,273ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$445,618,862TotalAmt
Program Services$335,315,557ProgramServicesAmt
Management And General$110,303,305ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$2,423,185BOYAmt
EOY$9,195,402EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$85,804,766BOYAmt
EOY$80,941,333EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$8,190,812BOYAmt
EOY$7,417,168EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$3,335,882BOYAmt
EOY$2,760,113EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$736,338,193LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$339,250,760LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$417,431,320BOYAmt
EOY$397,087,433EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$70,096,536BOYAmt
EOY$42,935,463EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$12,912,660BOYAmt
EOY$19,614,430EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$3,940,000EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$5,091,128BOYAmt
EOY$18,154,436EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$605,286,289BOYAmt
EOY$582,045,778EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$85,775,299BOYAmt
EOY$62,009,034EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$1,397,252BOYAmt
EOY$403,090EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$259,030,000BOYAmt
EOY$269,946,620EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$68,078,756BOYAmt
EOY$46,598,043EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$414,281,307BOYAmt
EOY$378,956,787EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$191,004,982BOYAmt
EOY$194,281,047EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$7,453,114EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$1,354,830EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$191,004,982BOYAmt
EOY$203,088,991EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$605,286,289BOYAmt
EOY$582,045,778EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$20,701,909ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst-$148,935NetUnrlzdGainsLossesInvstAmt
Prior Period Adjustments$7,953,630PriorPeriodAdjustmentsAmt
Other Changes In Net Assets-$16,422,595OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredfalseFederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbyingGrp
Total Direct LobbyingTotalDirectLobbyingGrp
Total Lobbying ExpendTotalLobbyingExpendGrp
Other Exempt Purpose ExpendOtherExemptPurposeExpendGrp
Total Exempt Purpose ExpendTotalExemptPurposeExpendGrp
Lobbying Nontaxable AmountLobbyingNontaxableAmountGrp
Grassroots NontaxableGrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non TxTotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non TxTotLbbyExpendMnsLbbyngNonTxGrp
VolunteersfalseVolunteersInd
Paid Staff Or ManagementfalsePaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersfalseMailingsMembersInd
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsfalseDirectContactLegislatorsInd
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$78,668OtherActivitiesAmt
Total Lobbying Expenditures$78,668TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceForm 990 Schedule C Part II-B, Line 1iFormAndLineReferenceDesc
ExplanationNORTHWEST COMMUNITY HOSPITAL PAYS DUES TO CERTAIN HOSPITAL ASSOCIATIONS WHICH USE A PORTION OF THESE DUES FOR LOBBYING.ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp

CY Endwmt Fund CYEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$4,068,523BeginningYearBalanceAmt
Contributions$5,820ContributionsAmt
Investment Earnings Or Losses-$462,764InvestmentEarningsOrLossesAmt
Other Expenditures$106,993OtherExpendituresAmt
End Year Balance$3,504,586EndYearBalanceAmt

CY Minus1 Yr Endwmt Fund CYMinus1YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,438,946BeginningYearBalanceAmt
Contributions$2,351ContributionsAmt
Investment Earnings Or Losses$696,815InvestmentEarningsOrLossesAmt
Other Expenditures$69,589OtherExpendituresAmt
End Year Balance$4,068,523EndYearBalanceAmt

CY Minus2 Yr Endwmt Fund CYMinus2YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$3,157,536BeginningYearBalanceAmt
Contributions$1,179ContributionsAmt
Investment Earnings Or Losses$343,513InvestmentEarningsOrLossesAmt
Other Expenditures$63,282OtherExpendituresAmt
End Year Balance$3,438,946EndYearBalanceAmt

CY Minus3 Yr Endwmt Fund CYMinus3YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,799,106BeginningYearBalanceAmt
Contributions$4,039ContributionsAmt
Investment Earnings Or Losses$411,064InvestmentEarningsOrLossesAmt
Other Expenditures$56,673OtherExpendituresAmt
End Year Balance$3,157,536EndYearBalanceAmt

CY Minus4 Yr Endwmt Fund CYMinus4YrEndwmtFundGrp

FieldValueIRS element (for citing)
Beginning Year Balance$2,319,650BeginningYearBalanceAmt
Contributions$950ContributionsAmt
Investment Earnings Or Losses$478,506InvestmentEarningsOrLossesAmt
Other Expenditures$0OtherExpendituresAmt
End Year Balance$2,799,106EndYearBalanceAmt
FieldValueIRS element (for citing)
Board Designated Balance EOY0.52170BoardDesignatedBalanceEOYPct
Prmnnt Endowment Balance EOY0.27690PrmnntEndowmentBalanceEOYPct
Term Endowment Balance EOY0.20140TermEndowmentBalanceEOYPct
Endowments Held Unrelated OrgfalseEndowmentsHeldUnrelatedOrgInd
Endowments Held Related OrgYes (true)EndowmentsHeldRelatedOrgInd
Related Org List Sch RYes (true)RelatedOrgListSchRInd

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$89,072OtherCostOrOtherBasisAmt
Book Value$89,072BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$306,043,518OtherCostOrOtherBasisAmt
Depreciation$133,042,544DepreciationAmt
Book Value$173,000,974BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$3,382,022OtherCostOrOtherBasisAmt
Depreciation$1,248,966DepreciationAmt
Book Value$2,133,056BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$405,339,867OtherCostOrOtherBasisAmt
Depreciation$193,519,150DepreciationAmt
Book Value$211,820,717BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$21,483,714OtherCostOrOtherBasisAmt
Depreciation$11,440,100DepreciationAmt
Book Value$10,043,614BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$397,087,433TotalBookValueLandBuildingsAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (4 entries)

DescDescAmtAmt
DUE TO THIRD-PARTY PAYORS$41,490,703
OTHER LONG TERM OBLIGATIONS$3,425,494
ASSET RETIREMENT OBLIGATION$809,743
DUE TO AFFILIATES$872,103
FieldValueIRS element (for citing)
Total Liability$46,598,043TotalLiabilityAmt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceIntended use of endowment fundsFormAndLineReferenceDesc
ExplanationSchedule D, Part V, Line 4 ENDOWMENT FUNDS ARE CREATED ACCORDING TO HOSPITAL NEEDS AND DESIGNATION OR PREFERENCES OF THE DONOR(S) SUPPORTING THE ENDOWMENT FUND. SCHOLARSHIP FUNDS, CONTINUED EDUCATION, OR FUNDS FOR PATIENT CARE IN A HOSPITAL DEPARTMENT DESIGNATED BY THE ENDOWMENT FUND ARE EXAMPLES OF FUND USES. THE ENDOWMENT FUNDS REPORTED ON THE HOSPITAL'S 990 ARE ALSO REPORTED ON NORTHWEST COMMUNITY HOSPITAL FOUNDATION'S FORM 990, SCHEDULE D.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other300.FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Discounted Care Other600.DiscountedCareOtherPct
FieldValueIRS element (for citing)
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (true)ExpensesExceedBudgetInd
Unable To Provide CarefalseUnableToProvideCareInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$8,960,109TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$8,960,109NetCommunityBenefitExpnsAmt
Total Expense0.02050TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$51,055,413TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$41,913,587DirectOffsettingRevenueAmt
Net Community Benefit Expns$9,141,826NetCommunityBenefitExpnsAmt
Total Expense0.02100TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$60,015,522TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$41,913,587DirectOffsettingRevenueAmt
Net Community Benefit Expns$18,101,935NetCommunityBenefitExpnsAmt
Total Expense0.04150TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs54ActivitiesOrProgramsCnt
Persons Served45387PersonsServedCnt
Total Community Benefit Expns$1,329,057TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$127,138DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,201,919NetCommunityBenefitExpnsAmt
Total Expense0.00280TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Activities Or Programs23ActivitiesOrProgramsCnt
Persons Served672PersonsServedCnt
Total Community Benefit Expns$3,073,460TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$616,225DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,457,235NetCommunityBenefitExpnsAmt
Total Expense0.00560TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Activities Or Programs2ActivitiesOrProgramsCnt
Persons Served2402PersonsServedCnt
Total Community Benefit Expns$798,487TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$358,355DirectOffsettingRevenueAmt
Net Community Benefit Expns$440,132NetCommunityBenefitExpnsAmt
Total Expense0.00100TotalExpensePct

Research ResearchGrp

FieldValueIRS element (for citing)
Activities Or Programs2ActivitiesOrProgramsCnt
Total Community Benefit Expns$53,008TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$53,008NetCommunityBenefitExpnsAmt
Total Expense0.00010TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Activities Or Programs14ActivitiesOrProgramsCnt
Persons Served706PersonsServedCnt
Total Community Benefit Expns$686,372TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$550DirectOffsettingRevenueAmt
Net Community Benefit Expns$685,822NetCommunityBenefitExpnsAmt
Total Expense0.00160TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs95ActivitiesOrProgramsCnt
Persons Served49167PersonsServedCnt
Total Community Benefit Expns$5,940,384TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$1,102,268DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,838,116NetCommunityBenefitExpnsAmt
Total Expense0.01110TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Activities Or Programs95ActivitiesOrProgramsCnt
Persons Served49167PersonsServedCnt
Total Community Benefit Expns$65,955,906TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$43,015,855DirectOffsettingRevenueAmt
Net Community Benefit Expns$22,940,051NetCommunityBenefitExpnsAmt
Total Expense0.05260TotalExpensePct

Economic Development EconomicDevelopmentGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$429TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$429NetCommunityBenefitExpnsAmt

Workforce Development WorkforceDevelopmentGrp

FieldValueIRS element (for citing)
Persons Served90PersonsServedCnt
Total Community Benefit Expns$19,790TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$19,790NetCommunityBenefitExpnsAmt

Total Communtity Building Acty TotalCommuntityBuildingActyGrp

FieldValueIRS element (for citing)
Persons Served90PersonsServedCnt
Total Community Benefit Expns$20,219TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$20,219NetCommunityBenefitExpnsAmt
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReportedInd
Bad Debt Expense$9,271,542BadDebtExpenseAmt
Reimbursed By Medicare$155,522,370ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$189,885,602CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$34,363,232MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1NORTHWEST COMMUNITY HOSPITALBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line1800 W CENTRAL ROADAddressLine1Txt
CityARLINGTON HEIGHTSCityNm
State AbbreviationILStateAbbreviationCd
ZIP60005ZIPCd
FieldValueIRS element (for citing)
Website AddressNCH.ORGWebsiteAddressTxt
State License0001701StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1NORTHWEST COMMUNITY HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PYfalseFirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PYfalseTaxExemptHospitalCYOrPYInd
CHNA ConductedYes (true)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Consulting ProcessYes (X)ConsultingProcessInd
Information GapsYes (X)InformationGapsInd
CHNA Conducted15CHNAConductedYr
Take Into Account Others InputYes (true)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsfalseCHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (true)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (true)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLNCH.ORGOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Implementation Strategy AdoptYes (true)ImplementationStrategyAdoptInd
Implementation Strategy Adpt15ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (true)StrategyPostedWebsiteInd
Strategy Website URLNCH.ORGStrategyWebsiteURLTxt
Organization Incur Excise TaxfalseOrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (true)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care300.FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care600.FPGFamilyIncmLmtDscntCarePct
Asset Level CriteriaYes (X)AssetLevelCriteriaInd
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Other CriteriaYes (X)OtherCriteriaInd
Explained BasisYes (true)ExplainedBasisInd
App Financial Asst ExplnYes (true)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Provided Nonprofit ContactYes (X)ProvidedNonprofitContactInd
Includes Publicity MeasuresYes (true)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLNCH.ORGFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLNCH.ORGFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLNCH.ORGFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
FAP Notice DisplayedYes (X)FAPNoticeDisplayedInd
Communtity Notified FAPYes (X)CommuntityNotifiedFAPInd
FAP Actions On NonpaymentYes (true)FAPActionsOnNonpaymentInd
Permit No ActionsYes (X)PermitNoActionsInd
Collection ActivitiesfalseCollectionActivitiesInd
FAP Notified Upon AdmissionYes (X)FAPNotifiedUponAdmissionInd
FAP Notified Before DischargeYes (X)FAPNotifiedBeforeDischargeInd
FAP Notified All PatientsYes (X)FAPNotifiedAllPatientsInd
Documented Elig DeterminationYes (X)DocumentedEligDeterminationInd
Nondis Emergency Care PolicyYes (true)NondisEmergencyCarePolicyInd
Other Method UsedYes (X)OtherMethodUsedInd
Amounts Generally BilledfalseAmountsGenerallyBilledInd
Gross ChargesfalseGrossChargesInd

Supplemental Information SupplementalInformationGrp (5 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE H - PART V, SECTION B, LINE 5IN 2015, NORTHWEST COMMUNITY HOSPITAL (THE "HOSPITAL") PARTICIPATED IN A REGIONAL COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) OFFERED BY THE METROPOLITAN CHICAGO HEALTHCARE COUNCIL (MCHC) IN PARTNERSHIP WITH PROFESSIONAL RESEARCH CONSULTANTS (PRC). THE CHNA GATHERED INPUT FROM REPRESENTATIVES OF THE COMMUNITY BY CONDUCTING 30-MINUTE TELEPHONE HEALTH SURVEYS IN ENGLISH AND SPANISH BETWEEN MAY AND AUGUST 2015. 3,700 SURVEYS WERE CONDUCTED IN THE REGION WHICH CONSISTED OF COOK, DUPAGE AND LAKE COUNTIES, WITH 311 IN THE HOSPITAL'S SERVICE AREA. CAREFUL CONSIDERATION WAS TAKEN TO ENSURE THAT THE DEMOGRAPHICS OF THOSE PARTICIPATING IN THE SURVEY MIRRORED THE DEMOGRAPHICS OF THE COMMUNITY. THE SURVEY INSTRUMENT USED FOR THE STUDY IS BASED LARGELY ON THE CENTER FOR DISEASE CONTROL AND PREVENTION (CDC) BEHAVIORAL RISK FACTOR SURVEILLANCE SYSTEM (BRFSS), AS WELL AS VARIOUS OTHER PUBLIC HEALTH SURVEYS AND CUSTOMIZED QUESTIONS ADDRESSING GAPS IN INDICATOR DATA RELATIVE TO HEALTH PROMOTION AND DISEASE PREVENTION OBJECTIVES AND OTHER RECOGNIZED HEALTH ISSUES. THE FINAL SURVEY INSTRUMENT WAS DEVELOPED BY PRC, WITH INPUT FROM THE HOSPITAL AND THE OTHER COMMUNITY SPONSORS. ISSUES ADDRESSED INCLUDED SELF-REPORTED HEALTH STATUS, PHYSICAL HEALTH STATUS, MENTAL HEALTH STATUS, DEATH AND DISABILITY, INFECTION AND CHRONIC DISEASE, BIRTHS, CHILDRENS HEALTH STATUS, MODIFIABLE HEALTH RISKS, ACCESS TO HEALTHCARE, HEALTH EDUCATION AND OUTREACH, AND HEALTH INFORMATION SOURCES. TO SOLICIT INPUT FROM KEY INFORMANTS, THOSE INDIVIDUALS WHO HAVE A BROAD INTEREST IN THE HEALTH OF THE COMMUNITY, AN ONLINE KEY INFORMANT SURVEY WAS IMPLEMENTED AS PART OF THE CHNA PROCESS. A LIST OF 22 RECOMMENDED PARTICIPANTS WAS PROVIDED TO MCHC; THIS LIST INCLUDED NAMES AND CONTACT INFORMATION FOR BEHAVIORAL HEALTH EXPERTS, A COMMUNITY BUSINESS LEADER, COMMUNITY NURSES, ELECTED OFFICIALS, AN EMS COORDINATOR, HOSPITAL ER PHYSICIANS, FQHC REPRESENTATIVES, HOSPITAL COMMUNITY SERVICES STAFF, HOSPITAL SOCIAL WORKERS, SOCIAL SERVICE AGENCIES, TOWNSHIP GENERAL ASSISTANCE STAFF, AND VILLAGE HEALTH AND HUMAN SERVICES STAFF. POTENTIAL PARTICIPANTS WERE CHOSEN BECAUSE OF THEIR ABILITY TO IDENTIFY PRIMARY CONCERNS OF THE POPULATIONS WITH WHOM THEY WORK, AS WELL AS OF THE COMMUNITY OVERALL. KEY INFORMANTS WERE CONTACTED BY EMAIL IN AUGUST 2015, INTRODUCING THE PURPOSE OF THE SURVEY AND PROVIDING A LINK TO TAKE THE SURVEY ONLINE; REMINDER EMAILS WERE SENT AS NEEDED TO INCREASE PARTICIPATION. IN ALL, 16 COMMUNITY STAKEHOLDERS TOOK PART IN THE ONLINE KEY INFORMANT SURVEY WHICH INCLUDED RESPONSES FROM THREE BEHAVIORAL HEALTH EXPERTS, ONE COMMUNITY BUSINESS LEADER, TWO COMMUNITY NURSES, ONE ELECTED OFFICIAL, ONE EMS COORDINATOR, TWO HOSPITAL ER PHYSICIANS, ONE HOSPITAL COMMUNITY SERVICES STAFF MEMBER, TWO SOCIAL SERVICE AGENCIES, TWO TOWNSHIP GENERAL ASSISTANCE DEPARTMENTS AND ONE VILLAGE HEALTH AND HUMAN SERVICES DEPARTMENT. THE ORGANIZATIONS REPRESENTED INCLUDED: NORTHWEST COMPASS, PARTNERS FOR OUR COMMUNITIES, VILLAGE OF ARLINGTON HEIGHTS, PALATINE AND WHEELING TOWNSHIPS, AND NORTHWEST COMMUNITY HEALTHCARE PHYSICIANS AND STAFF. THROUGH THIS PROCESS, INPUT WAS GATHERED FROM SEVERAL INDIVIDUALS WHOSE ORGANIZATIONS WORK WITH LOW-INCOME POPULATIONS, MINORITY POPULATIONS (INCLUDING AFRICAN-AMERICANS, ASIANS, EASTERN EUROPEANS, HISPANICS, INDIAN, JAPANESE, POLISH, AND RUSSIAN) OR OTHER MEDICALLY UNDERSERVED POPULATIONS (INCLUDING THE DISABLED, THE ELDERLY, THE HOMELESS, MEDICAID/MEDICARE BENEFICIARIES, THE MENTALLY ILL, PREGNANT TEENS, SUBSTANCE ABUSERS, UNDOCUMENTED INDIVIDUALS, UNINSURED/UNDERINSURED RESIDENTS, VETERANS, YOUNG ADULTS, AND WOMEN). IN THE ONLINE SURVEY, KEY INFORMANTS WERE ASKED TO RATE THE DEGREE TO WHICH VARIOUS HEALTH ISSUES ARE A PROBLEM IN THEIR OWN COMMUNITY. FOLLOW-UP QUESTIONS ASKED THEM TO DESCRIBE WHY THEY IDENTIFY PROBLEM AREAS AS SUCH, AND HOW THESE MIGHT BE BETTER ADDRESSED. RESULTS OF THEIR RATINGS, AS WELL AS THEIR VERBATIM COMMENTS, ARE INCLUDED THROUGHOUT THE CHNA REPORT AS THEY RELATE TO THE VARIOUS OTHER DATA COLLECTED.
SCHEDULE H - PART V, SECTION B, LINE 6BTHE HOSPITAL PARTNERS WITH MANY NOT-FOR-PROFIT AGENCIES, MUNICIPALITIES, AND OTHERS TO ADDRESS COMMUNITY HEALTH NEEDS IDENTIFIED IN THE CHNA. THE HOSPITAL COLLABORATES WITH A COUNTY HEALTH CLINIC, TWO FEDERALLY QUALIFIED HEALTH CENTERS, FOUR TOWNSHIPS, TWO UNIVERSITIES, LOCAL SCHOOL DISTRICTS, MANY SOCIAL SERVICES AGNCIES AND MORE TO IDENTIFY AND ADDRESS THE COMMUNITIES NEEDS.
SCHEDULE H - PART V, SECTION B, LINE 11THE MOST PREVALENT NEEDS IDENTIFIED IN THE CHNA WERE ACCESS TO CARE (PRIMARY, ORAL AND BEHAVIORAL HEALTHCARE), CANCER, DIABETES/NUTRITION/PHYSICAL ACTIVITY/OBESITY AND HEART DISEASE/STROKE. THE HOSPITAL IS COLLABORATING WITH A COUNTY HEALTH CLINIC AND TWO FEDERALLY QUALIFIED HEALTH CENTERS TO ADDRESS THE NEED OF IMPROVING ACCESS TO PRIMARY HEALTHCARE FOR UNINSURED AND UNDERINSURED INDIVIDUALS. THE HOSPITAL ALSO FUNDS CHARITABLE PRESCRIPTION, TRANSPORTATION AND COMMUNITY NURSING PROGRAMS. ACCESS TO ORAL HEALTH CARE IS ADDRESSED THROUGH A COLLABORATIVE MOBILE DENTAL CLINIC PROGRAM THAT IS OPERATED BY THE HOSPITAL WITH SUPPORT FROM FOUR LOCAL TOWNSHIPS, UNIVERSITY OF CHICAGO AND MIDWESTERN DENTAL SCHOOLS, HARPER COLLEGE, ADVANTAGE AMBULANCE AS WELL AS PROFESSIONAL VOLUNTEERS. THE HOSPITAL OPERATES A BEHAVIORAL HEALTH UNIT AND FUNDS A BEHAVIORAL HEALTH NAVIGATOR THAT ASSISTS UNINSURED AND UNDERINSURED INDIVIDUALS WITH MENTAL ILLNESS AND SUBSTANCE ABUSE ISSUES, ACCESS TO SERVICES AND OTHER RESOURCES. EFFORTS TO ADDRESS CANCER INCLUDE PROVIDING INDIVIDUAL AND GROUP TOBACCO CESSATION AND COUNSELING, FACILITATING MULTIPLE CANCER SUPPORT AND SURVIVOR GROUPS, OFFERING A GIFT-A-MAMMOGRAM PROGRAM, OPERATING A MULTI-DISCIPLINARY BREAST CANCER CLINIC, AND PARTICIPATING IN CANCER RESEARCH PROJECTS. THE HOSPITAL PROVIDES EDUCATION AND FACILITATES DIABETES SUPPORT GROUPS, IS OPENING A WEIGHT LOSS CLINIC, MAKING FINANCIAL CONTRIBUTIONS TO A SUMMER NUTRITION PROGRAM FOR YOUTH AND TO A COMMUNITY GARDEN, AND OFFERING REDUCED COST MEMBERSHIPS TO ITS WELLNESS CENTER ALL TO ADDRESS DIABETES, NUTRITION, PHYSICAL ACTIVITY AND OBESITY. THE HOSPITAL OPERATES A HEART FAILURE CLINIC, OFFERS FREE RISK ASSESSMENTS AND HAS SUPPORT GROUPS THAT ADDRESS HEART FAILURE AND STROKE. IN ACKNOWLEDGING THE WIDE RANGE OF HEALTH ISSUES THAT EMERGED FROM THE CHNA PROCESS, THE HOSPITAL DETERMINED IT COULD ONLY EFFECTIVELY FOCUS ON THOSE WHICH IT DEEMED MOST PRESSING, MOST UNDER-ADDRESSED, AND MOST WITHIN ITS ABILITY TO INFLUENCE. THE COMMUNITY HEALTH NEEDS THAT THE HOSPITAL IS UNABLE TO ADDRESS ARE: DEMENTIA/ALZHEIMERS AS THE HOSPITAL BELIEVES THERE ARE SUFFICIENT COMMUNITY RESOURCES AVAILABLE INCLUDING PRIMARY CARE PHYSICIANS TO DIAGNOSE AND NURSING HOMES AND MEMORY CARE FACILITIES TO TREAT; INFANT/CHILD HEALTH AS THE HOSPITAL BELIEVES THAT EFFORTS TO IMPROVE ACCESS TO PRIMARY HEALTH SERVICES WILL HAVE A POSITIVE IMPACT ON THE HEALTH AND WELLNESS OF INFANTS AND CHILDREN; FAMILY VIOLENCE AS THE HOSPITAL COLLABORATES WITH THREE LOCAL NOT-FOR-PROFIT AGENCIES TO ADDRESS DOMESTIC AND FAMILY VIOLENCE; SEXUALLY TRANSMITTED DISEASE (STD) AS THE HOSPITAL BELIEVES THAT EFFORTS TO IMPROVE ACCESS TO PRIMARY HEALTH SERVICES WILL HAVE A POSITVE IMPACT ON EDUCATION, EARLY DETECTION AND TREATMENT OF STDS; HEARING AND VISION PROBLEMS AS THE HOSPITAL BELIEVES THAT MULTIPLE COMMUNITY-BASED ORGANIZATIONS ARE ADDRESSING THIS NEED; AND FAMILY PLANNING, RESPIRATORY DISEASES, COMMUNITY VIOLENCE, IMMUNIZATIONS, INFECTIOUS DISEASES, ARTHRITIS, OSTEOPOROSIS, BACK CONDITIONS, UNINTENTIONAL INJURY, CHRONIC DISEASE, HIV, AND INJURY/VIOLENCE AS THE KEY INFORMANTS SURVEYED RECOGNIZE THAT THESE ISSUES HAVE INCONSISTENT LEVELS OF NEED WITHIN THE PRIMARY POPULATIONS SERVED. MANY OF THESE ISSUES WERE IDENTIFIED THORUGH SECONDARY COUNTY DATA WHICH IS NOT FULLY REPRESENTATIVE OF THE HOSPITAL'S COMMUNITY. THE HOSPITAL SUPPORTS THE EFFORTS OF OTHERS TO ADDRESS THESE AREAS AND WILL FOCUS ITS LIMITED RESOURCES ON THE MORE PREDOMINANT NEEDS IDENTIFIED. FOR A COMPLETE LIST OF NEEDS AND IMPLEMENTATION STRATEGIES VISIT THE HOSPITAL'S WEBSITE (NCH.ORG).
SCHEDULE H - PART V, SECTION B, LINE 13HPRESUMED ELIGIBLE PATIENTS RECEIVE 100% FINANCIAL ASSISTANCE FOR THE ACCOUNT BALANCE. A PATIENT MUST PROVIDE DOCUMENTATION LISTING ELIGIBILITY OR QUALIFICATION OR PRINT SCREEN OF WEB PAGE LISTINGS ELIGIBILITY. A PATIENT IS PRESUMED ELIGIBLE IF THEY HAVE ONE OF THE FOLLOWING: - PARTICIPATION IN STATE-FUNDED PRESCRIPTION PROGRAMS; - PARTICIPATION IN WOMEN'S, INFANT'S, AND CHILDREN'S PROGRAMS (WIC); - FOOD STAMP ELIGIBILITY (LINK CARD); - ELIGIBILITY FOR OTHER STATE OR LOCAL ASSISTANCE PROGRAM THAT IS UNFUNDED; - LOW INCOME/SUBSIDIZED HOUSING ARE PROVIDED AS A VALID ADDRESS; - PATIENT IS DECEASED WITH NO KNOWN ESTATE; - AFFILIATION WITH HOMELESS ASSISTANCE ORGANIZATION (I.E. JOURNEYS TO HOPE); - ENROLLED IN SNAP, ILLINOIS FREE BREAKFAST/LUNCH, LOW INCOME HOME ENERGY ASSISTANCE PROGRAM, OR A COMMUNITY-BASED MEDICAL ASSISTANCE PROGRAM WITH LOW-INCOME CRITERIA; - RECEIVING GRANT ASSISTANCE FOR MEDICAL SERVICES; - RECENT PERSONAL BANKRUPTCY, INCARCERATION, RELIGIOUS ORDER AFFILIATION AND VOW OF POVERTY OR ENROLLMENT IN TANF OR IHDA'S RENTAL HOUSING SUPPORT PROGRAM; - A PATIENT WHO HAS BEEN UNRESPONSIVE TO EFFORTS TO APPLY FOR FINANCIAL ASSISTANCE BUT HAS BEEN ASSESSED UNDER THE POST-CARE PROCESS AND MEETS THE CRITERIA; - PATIENT IS MENTALLY OR PHYSICALLY INCAPACITATED AND HAS NO ONE TO ACT ON HIS/HER BEHALF; - PATIENT IS ELIGIBLE FOR SUBSIDIZED SCHOOL LUNCH PROGRAMS; OR - MEDICAID ELIGIBILITY THAT DOES NOT APPLY TO THIS SERVICE (I.E. DHS SOCIAL SERVICES, MOMS AND BABIES).
SCHEDULE H - PART V, SECTION B, LINE 22DAMOUNTS THAT CAN BE CHARGED TO FAP-ELIGIBLE INDIVIDUALS WERE CALCULATED USING THE AVERAGE DISCOUNT FOR ALL MANAGED CARE CONTRACTS (EXCLUDING BLUE CROSS PLANS, AND BEECH STREET, MULTIPLAN, AND PREFERRED ACCESS NETWORK PLANS).
FieldValueIRS element (for citing)
Facility16FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (16 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
NCH Imaging Center
880 W Central RoadArlington HeightsIL60005Imaging Services
NCH Immediate Care & Imaging Center
199 W Rand RoadMount ProspectIL60056WALK IN URGENT CARE CENTER, Lab,Imaging,Physical & Speech Therapy & Heart Care Services
NCH Imaging Center
1450 Busch ParkwayBuffalo GroveIL60089Imaging Services
NCH IMMEDIATE CARE & IMAGING CENTER
519 S Roselle RoadSchaumburgIL60193WALK IN URGENT CARE CENTER, Lab,Imaging,Physical Therapy Services
NCH BEHAVIORAL HEALTH
901 W Kirchhoff RoadARLINGTON HEIGHTSIL60005Behavioral Health Services
NCH Cardiac & Physical Rehabilitation
900 W Central RoadArlington HeightsIL60005Cardiac & Physical Rehabilitation Services
NCH Home Health
3060 Salt Creek LaneArlington HeightsIL60005Home Healthcare Services
NCH Breast Vein care Weight Management
1410 N Arlington Heights RoadArlington HeightsIL60004Breast Center, Vein care & Comprehensive Weight Management Services
NCH Immediate Care & Imaging Center
15 S McHenry RoadARLINGTON HEIGHTSIL60089Walk in Urgent Care Center Lab, Imaging, Physical Therapy Services
NCH OUTPATIENT CENTER
3300 Kirchoff RoadRolling MeadowsIL60008Physical, Occupational, & Speech Therapy Services
NCH Immediate Care & Imaging Center
1201 S Rand RoadLake ZurichIL60047WALK IN URGENT CARE CENTER, Lab,Imaging,Physical Therapy Services
NCH Physical Rehabilitation
455 S Roselle RoadSchaumburgIL60193Physical Therapy Services
NCH Physical Rehabilitation
1249 S Rand RoadLake ZurichIL60047Physical Therapy Services
NCH Pediatric Physical Rehabilitation
1590 N Arlington Heights RoadArlington HeightsIL60005Pediatric Physical, Speech & Language, Occupational Therapy Services
NCH Imaging Center
1632 W Central RoadArlington HeightsIL60005Imaging Services
NCH Diabetes Services
605 W Central RoadArlington HeightsIL60005Diabetes Services

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
SCHEDULE H - PART I, LINE 3C - CHARITY CARE POLICYTHE HOSPITAL PROVIDES EMERGENT AND MEDICALLY NECESSARY SERVICES TO ALL PATIENTS WITHOUT REGARD TO THE PATIENT'S ABILITY TO PAY. THE WRITTEN CHARITY CARE POLICY IS WIDELY DISTRIBUTED AND COMMUNICATED TO THE COMMUNITY UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY. THE AMOUNT OF FREE CARE PROVIDED IS DETERMINED BY FINANCIAL NEED AND IS NOT LIMITED BY BUDGETED AMOUNTS. PATIENTS EARNING LESS THAN 300% OF THE FEDERAL POVERTY GUIDELINES RECEIVE FREE CARE AND THOSE BETWEEN 300% AND 600% OF THE GUIDELINES RECEIVE DISCOUNTED CARE ON A SLIDING SCALE. THE FINANCIAL ASSISTANCE PROGRAM LOOKS AT THE CURRENT INCOME AND THEN CALCULATES THE POTENTIAL BENEFIT. THE PATIENT'S LIABILITY IS CAPPED AT 25% OF THE FAMILY'S ANNUAL INCOME. Please see Schedule H Part V, Section B, Line 13H narrative for more detail.
SCHEDULE H - PART I, LINE 7 - FINANCIAL ASSISTANCETHE FOLLOWING METHODOLOGIES WERE USED TO DETERMINE THE AMOUNTS REPORTED IN THE TABLE FOR LINE 7: PART I, LINES 7A - 7D RATIO OF COST TO CHARGES WAS DETERMINED USING WORKSHEET 2 IN THE FORM 990, SCHEDULE H INSTRUCTIONS. PART I, LINES 7E - 7I COSTS WERE DETERMINED USING THE DIRECT AND INDIRECT COSTS FOR SPECIFIC PROGRAMS OR SERVICES. THESE COSTS WERE MAINTAINED/IDENTIFIED IN THE HOSPITAL'S "COMMUNITY BENEFIT INVENTORY FOR SOCIAL ACCOUNTABILITY SOFTWARE" (CBISA). THE INDIRECT PORTION OF THESE COSTS WAS CALCULATED UTILIZING THE INDIRECT COST RATIO FROM THE HOSPITAL'S LATEST AVAILABLE MEDICARE COST REPORT. THIS "INDIRECT" RATIO WAS ENTERED INTO CBISA FOR THE CALCULATION OF INDIRECT COSTS. Part I, Line 7g SUBSIDIZED HEALTH SERVICES THE HOSPITAL PROVIDES A MOBILE DENTAL CLINIC PROGRAM STAFFED BY A HOSPITAL-EMPLOYED FULL TIME DENTIST, DENTAL ASSISTANT AND PROGRAM MANAGER. EVIDENCE BASED RESEARCH DEMONSTRATES THAT GUM DISEASE AND ORAL HEALTH PROBLEMS ARE LINKED TO OTHER SYSTEMIC MEDICAL PROBLEMS SUCH AS CARDIOVASCULAR DISEASE, STROKE, AND BACTERIAL PNEUMONIA, AS WELL AS INCREASED RISK OF DELIVERING PRE-TERM OR LOW BIRTH-WEIGHT BABIES. THE HOSPITAL, WITH FINANCIAL SUPPORT FROM LOCAL TOWNSHIPS, PROVIDES PREVENTATIVE AND RESTORATIVE CARE TO UNINSURED AND UNDERINSURED MEMBERS OF THE COMMUNITY 4-5 DAYS PER WEEK IN A TRAVELING DENTAL CLINIC. IN ADDITION TO THE OPERATING COSTS REPORTED, THIS YEARS COSTS ALSO INCLUDE THE HOSPITAL'S CAPITAL COSTS TO PURCHASE A NEW CLINIC. PART I, LINE 7, Column (F) $9,271,542 of bad debt expense was excluded from total expenses reported on Form 990, Part IX, Line 25, column (A) in the calculation to determine the percentage of net community benefit expenses in relation to total expenses.
SCHEDULE H - PART II, COMMUNITY BUILDING ACTIVITIESPART II - LINE 2 - ECONOMIC DEVELOPMENT THE HOSPITALS PRESIDENT AND CEO WAS THE KEY NOTE SPEAKER ON CHANGES IN HEALTHCARE AT A LOCAL CHAMBER OF COMMERCE ANNUAL INSTALLATION DINNER. PART II - LINE 6 - COALITION BUILDING THE HOSPITALS DIRECTOR OF COMMUNITY SERVICES REPRESENTS THE ORGANIZATION THROUGH PARTICIPATION IN THE ARLINGTON HEIGHTS ROTARY CLUB IN THE HOSPITAL'S PRIMARY SERVICE AREA. ROTARY CLUB MEMBERS ARE PREDOMINATELY BUSINESS AND PROFESSIONAL LEADERS WHO COME TOGETHER TO SUPPORT ORGANIZATIONS THAT ADDRESS NEED AND DISPARITY IN THE COMMUNITY. AREAS ADDRESSED INCLUDE HUNGER, HOMELESSNESS, MENTAL HEALTH ISSUES, CANCER, TROUBLED YOUTH, DEVELOPMENTALLY DISABLED, DOMESTIC VIOLENCE AND MANY MORE. NOTE THAT THIS WAS NOT REPORTED IN THE COMMUNITY BUILDING SECTION OF THIS REPORT BECAUSE THE SALARY IS ALREADY CAPTURED IN COMMUNITY BENEFIT OPERATIONS IN PART I, LINE 7J. PART II - LINE 9 - WORKFORCE DEVELOPMENT THE HOSPITAL HAS A PROGRAM TO ENCOURAGE HIGH SCHOOL STUDENTS TO EXPLORE CAREERS IN HEALTHCARE. THE FIRST PROGRAM PROVIDES LOCAL HIGH SCHOOL STUDENTS THE OPPORTUNITY TO SPEND 14 WEEKS IN THE HOSPITAL SHADOWING 16 DIFFERENT DEPARTMENTS. AS THE STUDENTS ROTATE THROUGH THE VARIOUS DEPARTMENTS THEY ARE EXPOSED TO AN ARRAY OF CLINICAL FIELDS, PROVIDING THEM WITH AN IN-DEPTH LOOK AT JUST SOME OF THE MANY CAREER TRACKS THEY COULD PURSUE. THE HOSPITAL ALSO PROVIDES AN OPPORTUNITY FOR STUDENTS FROM HARPER COLLEGE'S "ONE MILLION DEGREES" PROGRAM TO VISIT THE HOSPITAL, HEAR PRESENTATIONS FROM DIFFERENT DEPARTMENTS AND ASK QUESTIONS AS A WAY TO EXPLORE DIFFERENT CAREERS IN HEALTHCARE. THE HOSPITAL HAS STAFF SERVING ON THE BOARD OF DIRECTORS OF THE ILLINOIS SOCIETY FOR ADVANCED PRACTICE NURSING (ISAPN). THIS ORGANIZATION IS A PROFESSIONAL ORGANIZATION DEDICATED TO PROMOTING AND ADVOCATING FOR ADVANCED PRACTICE NURSES. ISAPN MEMBERS TAKE LEADERSHIP ROLES IN TODAY'S HEALTH CARE FIELDS AND ARE KNOWLEDGEABLE ABOUT THE ISSUES THAT SURROUND THEIR PROFESSION. ISAPN PROVIDES CONTINUING EDUCATION PROGRAMS, OFFERS OPPORTUNITIES TO COLLABORATE WITH OTHER PROFESSIONALS AND ORGANIZATIONS AND SUPPORTS LEGISLATION AS IT RELATES TO ADVANCED PRACTICE NURSES.
SCHEDULE H - PART III, BAD DEBT, MEDICARE & COLLECTION PRACT.SECTION A. BAD DEBT EXPENSE NORTHWEST COMMUNITY HOSPITAL IS INCLUDED IN THE AUDITED FINANCIAL STATEMENTS OF NORTHWEST COMMUNITY HEALTHCARE (NCH) AND SUBSIDIARIES. THE TEXT OF THE FOOTNOTE #4, REFERENCING UNCOLLECTIBLE ACCOUNTS IN THE FY 2016 AUDITED FINANCIAL STATEMENT IS AS FOLLOWS: "[NCH] ANALYSES THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS MONTHLY USING A HINDSIGHT CALCULATION THAT UTILIZES WRITE-OFF DATA FOR ALL PAYER CLASSES DURING THE LATEST 18-MONTH PERIOD, WITH WRITE-OFF ACTIVITY TO ESTIMATE THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS AT A POINT IN TIME. THE PERCENTAGES USED IN THE COMPUTATION OF THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS CHANGE EACH MONTH GIVEN CHANGES IN TRENDS FROM THESE ANALYSES OR POLICY CHANGES." ACCOUNTS RECEIVABLE ARE CHARGED TO THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS WHEN THEY ARE DEEMED UNCOLLECTIBLE. WRITE-OFFS ARE SHOWN NET OF CONTRACTUALS AND DISCOUNTS. THE HOSPITAL'S BAD DEBT EXPENSE AS REPORTED ON LINE 2 IS REPORTED AT THE REMAINING CHARGES. FOR FY 2016, THE HOSPITAL RECORDED PROVISIONS FOR BAD DEBT EXPENSE OF $9,271,542. IN 2013, THE HOSPITAL BEGAN USING A FINANCIAL TOOL TO DETERMINE "PRESUMPTIVE ELIGIBILITY" FOR CHARITY CARE WRITE-OFFS. THIS TOOL UTILIZES VARIOUS CRITERIA TO HELP DETERMINE PATIENTS THAT WOULD BE ELIGIBLE FOR FINANCIAL ASSISTANCE EVEN IF THOSE PATIENTS HAVE NOT COMPLETED A FINANCIAL ASSISTANCE APPLICATION. IT IS BELIEVED THAT ALL PATIENTS WHO WOULD QUALIFY FOR CHARITY HAVE BEEN IDENTIFIED AND THAT LITTLE TO NONE OF THE AMOUNTS WRITTEN OFF AS BAD DEBT COULD BE CLASSIFIED AS CHARITY AS A RESULT OF THE USE OF THIS NEW FINANCIAL TOOL. PART III, SECTION B. MEDICARE, LINE 8 THE MEDICARE SHORTFALL REPORTED IN PART III, LINE 7 REPRESENTS THE EXCESS COST OF PROVIDING SERVICES TO MEDICARE BENEFICIARIES OVER THE PAYMENTS RECEIVED FROM THE MEDICARE PROGRAM. ACCESS TO QUALITY HEALTHCARE IS IMPERATIVE FOR ALL MEDICARE RECIPEINTS, MANY OF WHOM ARE LIVING ON A FIXED INCOME. AS SUCH, THE COSTS ABSORBED BY THE HOSPITAL IN PROVIDING THESE SERVICES IS A BENEFIT TO THE MEMBERS OF THE COMMUNITY WE SERVE. PART III SECTION C. COLLECTION PRACTICES, LINE 9B IT IS THE POLICY OF THE HOSPITAL TO OFFER PATIENTS A PAYMENT PLAN OR FINANCIAL ASSISTANCE WHEN IT BECOMES KNOWN OR SUSPECTED THAT A PATIENT NEEDS SUCH ASSISTANCE. FINANCIAL COUNSELORS CONTACT AND WORK WITH THE PATIENT OR THEIR FAMILY TO HELP DETERMINE IF THERE ARE ANY THIRD PARTY PAYERS WHICH MAY BE AVAILABLE TO HELP THE PATIENT MEET THEIR OBLIGATIONS, SUCH AS MEDICAID, COBRA, WORKERS COMPENSATION, OR SPECIALIZED GRANT PROGRAMS. IF NO THIRD PARTY PROGRAMS ARE IDENTIFIED, THE FINANCIAL COUNSELORS WORK WITH THE PATIENT TO HELP THEM APPLY FOR CHARITY DISCOUNTS OR PAYMENT PLANS. FORMS ARE AVAILABLE IN ENGLISH AND SPANISH, AND TRANSLATION SERVICES ARE PROVIDED IN MANY LANGUAGES. IN ADDITION, ALL PATIENT BILLS AND STATEMENTS INCLUDE INFORMATION ABOUT HOW TO APPLY FOR FINANCIAL ASSISTANCE AND THE INFORMATION IS ALSO POSTED ON THE HOSPITAL'S WEBSITE (NCH.ORG). COLLECTION ACTIVITY WILL BE SUSPENDED DURING THE CONSIDERATION OF A COMPLETED FINANCIAL ASSISTANCE APPLICATION OR AN APPLICATION FOR OTHER HEALTHCARE BRACKET (I.E, MEDICARE, MEDICAID, ETC.) UNTIL FINANCIAL ASSISTANCE CAN BE DETERMINED. ACCOUNTS IN THE FINANCIAL ASSISTANCE PROCESS WILL BE MONITORED AND, UPON THE DECISION TO APPROVE OR DENY FINANCIAL ASSISTANCE, THE PATIENT'S ACCOUNT WILL BE UPDATED. IF THE FINANCIAL ASSISTANCE APPLICATION IS APPROVED WITH A PERCENTAGE LESS THAN 100% OR DENIED, THE PATIENT'S ACCOUNT WILL BE NOTED AND THE HOSPITAL WILL RESUME THE SELF-PAY COLLECTION ACTIVITY IN COMPLIANCE WITH ITS SELF PAY FOLLOW-UP PROCEDURES.
SCHEDULE H - PART VI, LINE 2 - NEEDS ASSESSMENTTHE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) CONDUCTED BY PRC, WHICH WAS DESCRIBED IN PART V, WAS A DATA-DRIVEN APPROACH TO DETERMINING THE HEALTH STATUS OF THE COMMUNITY AND INCLUDED BOTH QUANTITATIVE (PHONE SURVEYS) AND QUALITATIVE (FOCUS GROUP) COMPONENTS. THE ASSESSMENT ALSO INTEGRATED THE MOST RECENT SECONDARY PUBLIC HEALTH DATA TO COMPLEMENT THE RESEARCH OF THE CHNA. THE DATA COLLECTED FOR THE HOSPITAL'S SERVICE AREA WAS BENCHMARKED AGAINST THE SECONDARY DATA AVAILABLE FOR THE REGION, STATE, US, HEALTHY PEOPLE 2020 AS WELL AS COMPARING THE DATA COLLECTED AGAINST THE HOSPITAL'S PREVIOUS ASSESSMENT. ALL QUANTITATIVE DATA FOR BOTH THE HOSPITAL AND REGION IS HOUSED IN AN EASILY ACCESSIBLE ONLINE PORTAL. PRC ALSO PROVIDED THE HOSPITAL WITH A SUMMARY DOCUMENT WHICH INCLUDED RECOMMENDATIONS ON AREAS OF CONCERN OR OPPORTUNITY. THE CHNA IS CONDUCTED EVERY THREE YEARS. THE HOSPITAL CONVENED AN INTERNAL, MULTI-DISCIPLINARY COMMITTEE TO REVIEW THE RESULTS OF THE CHNA, AFFIRM AND PRIORITIZE NEEDS, AND DEVELOP AN IMPLEMENTATION PLAN. REPRESENTATIVES FROM THE FOLLOWING DEPARTMENTS SERVED ON THE COMMITTEE: ADMINISTRATION, BEHAVIORAL HEALTH, CARE COORDINATION, COMMUNITY SERVICES, DIABETES SERVICES, DECISION SUPPORT, EMERGENCY DEPARTMENT, EMS, FOUNDATION, IMMEDIATE CARE CENTERS, NURSING, MEDICAL GROUP, PATIENT ACCESS SERVICES, RESEARCH, SENIOR SERVICES AND SERVICE EXCELLENCE. COMMITTEE MEMBERS REVIEWED THE FINDINGS AND AREAS OF OPPORTUNITY THAT WERE PRESENTED BY PRC. IN ADDITION, FEEDBACK ON COMMUNITY HEALTH NEEDS FROM THE COMMUNITY SERVICES DEPARTMENT AND OTHER INTERNAL DEPARTMENTS WAS ALSO CONSIDERED. THE COMMITTEE USED THE FOLLOWING CRITERIA WHEN PRIORITIZING HEALTH ISSUES: MAGNITUDE, IMPACT, FEASIBILITY AND CONSEQUENCES OF INACTION. THE MOST PREDOMINANT ISSUE WAS THE DIFFICULTY THE COMMUNITY HAS IN ACCESSING HEALTHCARE SERVICES WHICH INCLUDES PRIMARY, ORAL, AND BEHAVIORAL HEALTH SERVICES. OTHER CONCERNS WERE CANCER, DIABETES/NUTRITION/PHYSICAL ACTIVITY/WEIGHT AND HEART DISEASE/STROKE. THE COMMITTEE IDENTIFIED THESE CONCERNS AS THE FOUR MAIN "PRIORITY AREAS,THE MAJORITY OF THE HOSPITAL'S OUTREACH EFFORTS WILL FOCUS ON ADDRESSING THESE NEEDS. AN IMPLEMENTATION PLAN WAS DEVELOPED AND WAS PRESENTED FOR APPROVAL TO THE COMMUNITY HEALTH AND OUTREACH COMMITTEE, A COMMITTEE OF THE BOARD OF DIRECTORS IN FEBRUARY 2016. IT WAS ALSO PRESENTED FOR APPROVAL TO THE COMMUNITY BENEFIT REGULATORY COMMITTEE, A COMMITTEE THAT ENSURES THE HOSPITAL IS MEETING ALL OF THE MANDATED REGULATORY REQUIREMENTS IN APRIL 2016. BOTH COMMITTEES UNANIMOUSLY APPROVED THE PLAN WHICH INCLUDES MEASUREMENT INDICATORS AND THE PLAN WAS POSTED TO THE HOSPITALS WEBSITE (NCH.ORG) IN JUNE 2016, WHICH THE COMMUNITY WAS MADE AWARE OF THROUGH PRESS RELEASES. THE IMPLEMENTATION PLAN IS ASSESSED AND UPDATED ON THE HOSPITAL'S WEBSITE ON AN ANNUAL BASIS. AS MENTIONED PREVIOUSLY, THE HOSPITAL MAINTAINS A FULL TIME COMMUNITY SERVICES DEPARTMENT WHO IS IN CONSTANT COLLABORATION WITH COMMUNITY ORGANIZATIONS, LOCAL GOVERNMENT, SCHOOLS, CHURCHES AND SOCIAL SERVICE AGENCIES TO IDENTIFY AND ADDRESS UNMET NEEDS. THE DIRECTOR OF THE COMMUNITY SERVICES DEPARTMENT IS ON THE BOARD OF DIRECTORS OF PARTNERS FOR OUR COMMUNITIES (POC), A LOCAL NOT FOR PROFIT THAT HELPS THE HOSPITAL RUN A COMMUNITY RESOURCE CENTER IN THE HOSPITALS PRIMARY SERVICE AREA. THE RESOURCE CENTER HOUSES ELEVEN NOT FOR PROFIT AGENCIES INCLUDING COOK COUNTY HEALTH AND HOSPITAL SYSTEM AND COOK COUNTY DEPARTMENT OF PUBLIC HEALTH. PROVIDERS AT THIS CENTER MEET WITH THE HOSPITAL REGULARLY TO REVIEW COMMUNITY NEEDS AND EXPLORE COLLABORATIVE STRATEGIES TO ADDRESS THEM.
SCHEDULE H - PART VI, LINE 3 - PATIENT EDUCATION OF ELIG. FOR ASSISTANCETHE FINANCIAL ASSISTANCE PROGRAM AT NORTHWEST COMMUNITY HOSPITAL IS COMMUNICATED WIDELY TO PATIENTS AND VISITORS IN ENGLISH AND SPANISH USING THE FOLLOWING METHODS: 1. SIGNAGE IN ENGLISH AND SPANISH IS POSTED THROUGHOUT THE ORGANIZATION AT ALL ACCESS POINTS, INCLUDING THE EMERGENCY DEPARTMENT AND OUTPATIENT REGISTRATION AREAS. THESE AREAS ALSO STOCK AND MAKE AVAILABLE A BROCHURE, PRINTED IN ENGLISH AND SPANISH, DESCRIBING THE HOSPITAL'S POLICY. THE HOSPITAL PROVIDES A COMPREHENSIVE LANGUAGE ASSISTANCE PROGRAM WHICH INCLUDES VIDEO REMOTE AND IN-PERSON TRANSLATORS WHO CAN ASSIST THOSE WHO NEED ADDITIONAL INFORMATION ON FINANCIAL ASSISTANCE. 2. IN FY 2016 THE INFORMATION BELOW WAS POSTED ON THE HOSPITAL WEBSITE. "FINANCIAL ASSISTANCEOTHER RELATED TERMS CAN ALSO BE SEARCHED FOR FROM ANY PAGE OF THE HOSPITAL WEBSITE TAKING USERS TO THE INFORMATION INCLUDING APPLICATIONS FOR FINANCIAL ASSISTANCE (AVAILABLE IN ENGLISH AND SPANISH), FINANCIAL ASSISTANCE POLICIES, AND WAYS TO REACH THE NCH FINANCIAL COUNSELOR BY EMAIL, PHONE OR IN PERSON. PATIENT FINANCIAL ASSISTANCE PAGE: TO APPLY FOR PATIENT FINANCIAL ASSISTANCE AT NCH, PLEASE PRINT THE FINANCIAL ASSISTANCE APPLICATION (TAMBIEN DISPONIBLE EN ESPAOL) AND COMPLETE ALL NECESSARY FIELDS. PLEASE BE SURE TO PROVIDE ALL REQUESTED DOCUMENTATION TO BE CONSIDERED FOR FINANCIAL ASSISTANCE. NORTHWEST COMMUNITY HOSPITAL IS A CHARITABLE ORGANIZATION AND PROVIDES FINANCIAL ASSISTANCE TO THOSE WHO ARE ELIGIBLE. THE DAY SURGERY CENTER IS A FOR-PROFIT ORGANIZATION AND ALSO PROVIDES FINANCIAL ASSISTANCE TO THOSE WHO ARE ELIGIBLE. MAIN FEES AND BILL PAYMENT PAGE: FOR FAMILIES WITHOUT INSURANCE WHO NEED HELP WITH MEDICAL BILLS, WE ACCEPT ILLINOIS PUBLIC AID. IN ADDITION, YOU MAY QUALIFY FOR FINANCIAL ASSISTANCE FOR MEDICAL BILLS THROUGH NORTHWEST COMMUNITY HOSPITAL. NORTHWEST COMMUNITY HOSPITAL IS A CHARITABLE ORGANIZATION AND PROVIDES FINANCIAL ASSISTANCE TO THOSE WHO ARE ELIGIBLE. THE DAY SURGERY CENTER IS A FOR-PROFIT ORGANIZATION AND ALSO PROVIDES FINANCIAL ASSISTANCE TO THOSE WHO ARE ELIGIBLE. VIEW A SUMMARY OF OUR FINANCIAL ASSISTANCE POLICY. 3. EACH PATIENT INVOICE OR OTHER SUMMARY OF CHARGES TO A PATIENT SHALL INCLUDE WITH IT OR ON IT A STATEMENT REGARDING HOW A PATIENT MAY APPLY FOR CONSIDERATION UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY. THE PATIENT IS PROVIDED A CONTACT NUMBER FOR FINANCIAL ASSISTANCE AND OUR WEBPAGE TO DOWNLOAD AN APPLICATION. 4. FINANCIAL COUNSELORS PROVIDE FINANCIAL ASSISTANCE INFORMATION TO PATIENTS DURING THEIR REGISTRATION AND WORK WITH PATIENTS IDENTIFIED AT REGISTRATION OR AFTER ADMISSION TO HELP THEM GET THE ASSISTANCE THEY NEED, ANSWER QUESTIONS, SET UP PAYMENT PLANS AND FACILITATE APPLICATIONS FOR GOVERNMENT PROGRAMS SUCH AS MEDICAID.
SCHEDULE H - PART VI, LINE 4 - COMMUNITY INFORMATIONNORTHWEST COMMUNITY HOSPITAL IS LOCATED IN ARLINGTON HEIGHTS, ILLINOIS, A SUBURB LOCATED APPROXIMATELY 25 MILES NORTHWEST OF CHICAGO. ITS PRIMARY SERVICE AREA CONSISTS OF ARLINGTON HEIGHTS AND THE SURROUNDING SUBURBS OF MT. PROSPECT, PALATINE, AND ROLLING MEADOWS. THE HOSPITAL'S SECONDARY SERVICE AREA IS COMPRISED OF BARRINGTON, BUFFALO GROVE, DES PLAINES, ELK GROVE VILLAGE, HOFFMAN ESTATES, LAKE ZURICH, PROSPECT HEIGHTS, SCHAUMBURG AND WHEELING. THE POPULATION OF THE HOSPITAL'S TOTAL SERVICE AREA IS APPROXIMATELY 680,000. THE HIGHEST UTILIZATION OF HEALTH CARE SERVICES ARE PATIENTS AGED 65 AND OVER, AND THIS AGE GROUP IS EXPECTED TO GROW 17.4% OVER THE NEXT FIVE YEARS. THE HOSPITAL'S TOTAL SERVICE AREA IS PREDOMINATELY NON-HISPANIC WHITE (66%), FOLLOWED BY HISPANIC (15.5%) AND ASIAN (14.2%). THE NON-HISPANIC WHITE POPULATION IS PROJECTED TO REMAIN STABLE WITH ONLY 1.1% GROWTH PROJECTED OVER THE NEXT FIVE YEARS (THROUGH 2021). THE POPULATIONS THAT ARE PROJECTED TO HAVE THE LARGEST GROWTH ARE THE ASIAN (11.2%) AND HISPANIC (8.7%) POPULATIONS. THE HISTORICAL AND PROJECTED PER CAPITA INCOME LEVELS OF THE PRIMARY AND SECONDARY SERVICE AREAS HAVE EXCEEDED AND ARE PROJECTED TO CONTINUE TO EXCEED STATE OF ILLINOIS AND NATIONAL LEVELS. THERE ARE POCKETS OF UNDER RESOURCED INDIVIDUALS IN THE HOSPITAL'S SERVICE AREA. THE ENTIRE PRIMARY SERVICE AREA AND A SIGNIFICANT PORTION OF THE SECONDARY SERVICE AREA HAVE BEEN DESIGNATED AS A MEDICALLY-UNDERSERVED POPULATION. THE HOSPITAL SUPPORTS BOTH A FEDERALLY QUALIFIED HEALTH CENTER LOCATED ACROSS THE STREET FROM THE HOSPITAL, AND A COUNTY RUN PRIMARY CARE CLINIC, ALSO LOCATED IN THE HOSPITAL'S PRIMARY SERVICE AREA. IN ADDITION, THERE ARE FOUR OTHER HOSPITALS AND A SECOND FEDERALLY QUALIFIED HEALTH CENTER LOCATED IN THE HOSPITAL'S SERVICE AREA.
SCHEDULE H - PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTHTHE HOSPITAL FURTHERS ITS EXEMPT PURPOSE BY PROMOTING THE HEALTH OF ITS COMMUNITY IN MANY WAYS AS FOLLOWS: (1) A MAJORITY OF THE HOSPITAL'S BOARD OF DIRECTORS IS COMPRISED OF PERSONS WHO LIVE OR WORK IN THE HOSPITAL'S PRIMARY SERVICE AREA AND ARE NOT EMPLOYEES OR CONTRACTORS OF THE HOSPITAL. (2) THE HOSPITAL EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY. (3) A STANDING COMMUNITY HEALTH AND OUTREACH COMMITTEE OF THE HOSPITAL BOARD REVIEWS THE COMMUNITY HEALTH NEEDS ASSESSMENT AND ENSURES THE IMPLEMENTATION PLAN ADDRESSES IDENTIFIED NEEDS. THE COMMITTEE PROVIDES OVERSIGHT IN MONITORING AND EVALUATING THE EFFECTIVENESS OF STRATEGIES AND INITIATIVES INCLUDED IN THE IMPLEMENTATION PLAN. THE COMMITTEE MONITORS THE AMOUNT OF DOLLARS INVESTED IN COMMUNITY BENEFIT INCLUDING CHARITY CARE, COMMUNITY HEALTH EDUCATION, COMMUNITY MEDICAL/DENTAL CLINICS, AND COMMUNITY HEALTH IMPROVEMENT INITIATIVES. (4) THE HOSPITAL MAINTAINS AN AVERAGE OF 300 DAYS CASH OR CASH EQUIVALENT ON HAND IN THE HOSPITAL ITSELF OR AT NORTHWEST COMMUNITY HEALTHCARE (A 501(C)(3) SUPPORTING ORGANIZATION AND SOLE MEMBER OF THE HOSPITAL) FOR FUNDING CAPITAL IMPROVEMENTS IN TECHNOLOGY, FACILITIES OR PATIENT CARE EQUIPMENT, AND SUPPORTING HOSPITAL OPERATIONS OR COMMUNITY OUTREACH INITIATIVES. (5) THE HOSPITAL HAS DEDICATED STAFF THAT SERVE AS MEMBERS, CHAIRPERSONS, OFFICERS, AND BOARD MEMBERS OF LOCAL AND NATIONAL ORGANIZATIONS DEVOTED TO IMPROVING THE HEALTH AND WELLBEING OF COMMUNITY MEMBERS. THESE ORGANIZATIONS INCLUDE: THE CHILDREN'S ADVOCACY CENTER LEADERSHIP COMMITTEE, CHICAGO DENTAL SOCIETY, METROPOLITAN CHICAGO HEALTHCARE COUNCIL BOARD OF DIRECTORS, ILLINOIS SOCIETY FOR ADVANCED PRACTICE NURSES, PARTNERS FOR OUR COMMUNITIES, AS WELL AS LOCAL ROTARY CLUBS. (6) COLLABORATIVE PARTNERSHIPS ARE THE FOUNDATION TO MANY OF THE HOSPITAL'S COMMUNITY HEALTH INITIATIVES AIMED TO IMPROVE THE HEALTH AND WELLBEING OF THE COMMUNITY. THESE PARTNERSHIPS INCLUDE A COLLABORATION WITH ACCESS COMMUNITY HEALTH NETWORK (A LOCAL FEDERALLY QUALIFIED HEALTH CENTER), AND COOK COUNTY HEALTH AND HOSPITAL SYSTEM TO BRING PRIMARY CARE SERVICES FOR THE UNINSURED AND UNDERINSURED TO THE COMMUNITY. IN FY 2016, 34,509 PATIENT VISITS WERE PROVIDED AT THESE CLINICS AND THE HOSPITAL'S FINANCIAL AND IN-KIND SUPPORT WAS $153,900. THE HOSPITAL ALSO PARTNERS WITH ELK GROVE, PALATINE, SCHAUMBURG, AND WHEELING TOWNSHIPS ON A MOBILE DENTAL CLINIC PROGRAM WHICH PROVIDED 2,402 PATIENT VISITS IN FY 2016 WITH THE HOSPITAL ABSORBING $240,363 OF THE OPERATING COSTS AND ABSORBING $199,769 IN CAPITAL COSTS USED TO PURCHASE A NEW CLINIC. NORTHWEST COMMUNITY HEALTHCARE, AN AFFILIATE OF THE HOSPITAL, ALSO PARTNERS WITH PARTNERS FOR OUR COMMUNITIES (POC), A LOCAL 501(C)(3) ORGANIZATION, TO OPERATE AND RUN THE COMMUNITY RESOURCE CENTER WHICH PROVIDES DIRECT SERVICES, REFERRALS, AND OTHER ASSISTANCE TO THE UNDER-RESOURCED. THE HOSPITAL OWNS AND MAINTAINS THE BUILDING AND PROVIDES FREE OR LOW-COST RENT TO LOCAL NOT FOR PROFIT AGENCIES, INCLUDING: THE CENTER-RESOURCES FOR TEACHING AND LEARNING (ECDEC PROGRAM), COMMUNITY CONSOLIDATED SCHOOL DISTRICT 15, NORTHWEST COMPASS, PALATINE TOWNSHIP SENIOR CITIZENS COUNCIL, PALATINE POLICE DEPARTMENT, HARPER COLLEGE, THE COOK COUNTY DEPARTMENT OF PUBLIC HEALTH, PALATINE PUBLIC LIBRARY, PATH (PALATINE ASSISTING THROUGH HOPE), AS WELL AS THE COOK COUNTY HEALTH AND HOSPITAL PRIMARY CARE CLINIC DESCRIBED PREVIOUSLY. SOME OF THE MANY PROGRAMS OFFERED AT THE RESOURCE CENTER INCLUDE GED AND CITIZENSHIP CLASSES, HEALTHCARE SERVICES, COMPUTER LITERACY, AFTER-SCHOOL YOUTH PROGRAM, BILINGUAL COUNSELING, PARENTING CLASSES, JOB PLACEMENT, CAREER EDUCATION AND RECREATION. IN FY 2016, THE COMMUNITY RESOURCE CENTER HAD 218,800 CLIENT VISITS AND THE HOSPITAL'S COST TO OPERATE THE FACILITY WAS $176,100. IN ADDITION TO THE COMMUNITY RESOURCE CENTER, THE HOSPITAL WORKS WITH POC ON MANY COLLABORATIVE HEALTH INITIATIVES INCLUDING THE PROMOTORAS DE SALUD PROGRAM WHICH PROVIDES HEALTH EDUCATION TO THE LATINO POPULATION. THIS PROGRAM IDENTIFIES LATINA WOMEN WHO DEMONSTRATE THE POTENTIAL TO BECOME LEADERS IN THE COMMUNITY. THESE WOMEN THEN RECEIVE LEADERSHIP TRAINING AND EDUCATION ON SPECIFIC HEALTH TOPICS AND LEAD SMALL GROUP PRESENTATIONS AND HEALTH DISCUSSIONS WITH MEMBERS OF THE COMMUNITY. THE PROMOTORAS ALSO ROUND WITH SPANISH SPEAKING MOTHERS ON THE MOTHER BABY UNIT OF THE HOSPITAL OFFERING BEDSIDE AND POST-DISCHARGE BREASTFEEDING SUPPORT. IN ADDITION, A PROMOTORA FOLLOWED AND SUPPORTED SPANISH SPEAKING DISCHARGED CONGESTIVE HEART FAILURE PATIENTS TO HELP THEM UNDERSTAND AND COMPLY WITH DISCHARGE INSTURCTIONS WHICH CAN OFTEN BE DIFFICULT DUE TO ECONOMIC AND LANGUAGE BARRIERS. IN FY 2016, 437 PEOPLE PARTICIPATED IN CLASSES LED BY THE PROMOTORA, BREASTFEEDING SUPPORT WAS PROVIDED 713 TIMES AND 6 CONGESTIVE HEART FAILURE PATIENTS RECEIVED ASSISTANCE AFTER DISCHARGE. THE HOSPITAL, POC AND SCHAUMBURG TOWNSHIP ALSO COLLABORATIVELY PROVIDE THE SERVICES OF TWO COMMUNITY HEALTH NURSES (ONE IS BILINGUAL SPANISH) AND A BILINGUAL SPANISH BEHAVIORAL HEALTH NAVIGATOR. THESE OUTREACH PROFESSIONALS FOCUS ON HELPING VULNERABLE POPULATIONS (UNDER-RESOURCED AND SENIORS) NAVIGATE HEALTHCARE RESOURCES, PROVIDE HEALTH EDUCATION, AND HELP PATIENTS OBTAIN LOW-COST PRESCRIPTIONS. IN FY 2016 THE TWO PART-TIME COMMUNITY NURSES HAD 6,277 CLIENT INTERACTIONS AND THE PART-TIME BEHAVIORAL HEALTH NAVIGATOR HAD 883. THE HOSPITAL ALSO DEDICATES RESOURCES TO ENHANCE ITS HEALTH AND WELLNESS OFFERINGS FOR OLDER ADULTS IN THE COMMUNITY. A FULL TIME, DEDICATED SENIOR SERVICES LIAISON SCHEDULES AND OVERSEES LECTURES, PROGRAMS AND SCREENINGS AT LOCAL SENIOR CENTERS AND OTHER COMMUNITY LOCATIONS THAT SERVE OLDER ADULTS. IN 2016, THE HOSPITAL HOSTED MORE THAN 250 HEALTH AND WELLNESS PROGRAMS AND SUPPORT GROUPS AT THE ARLINGTON HEIGHTS SENIOR CENTER ALONE. NURSES IN THE "ASK-THE-NURSE" PROGRAM AT THE SENIOR CENTER ARE AVAILABLE TWICE A WEEK TO ANSWER SENIORS' HEALTHCARE QUESTIONS AND CONCERNS, ESPECIALLY REGARDING MEDICATIONS, TREATMENT PLANS AND UPCOMING TESTS AND PROCEDURES. THEY ALSO PROVIDE FREE BLOOD PRESSURE CHECKS AND OFFER HELP WITH CHRONIC DISEASE MANAGEMENT FOR DIABETES AND OTHER ILLNESSES. THE HOSPITAL PROVIDED HEALTH EDUCATION AND SUPPORT TO ALMOST 3,300 INDIVIDUALS. PHYSICIAN LECTURES, SCREENINGS, AND "ASK THE NURSE" WERE OFFERED WEEKLY, FREE OF CHARGE, AT THE ARLINGTON HEIGHTS SENIOR CENTER, COMPLIMENTING THE WALKERS CLUB AND PARKINSON'S PROGRAMS. SENIORS FROM THE COMMUNITY RECEIVE CUTTING EDGE HEALTH INFORMATION FROM PHYSICIANS AND STAFF ON VARIOUS HEALTH TOPICS SUCH AS DIABETES, HEART DISEASE, SKIN CANCER, STROKE, MENTAL HEALTH AND MORE. (7) THE HOSPITAL OPERATES AN EMERGENCY DEPARTMENT THAT IS OPEN 24 HOURS A DAY, 7 DAYS A WEEK AND SERVES ALL PERSONS REGARDLESS OF THEIR ABILITY TO PAY. (8) THE HOSPITAL PARTICIPATES IN BOTH THE MEDICARE AND MEDICAID GOVERNMENT-SPONSORED HEALTHCARE PROGRAMS. THE HOSPITAL CONTRACTS WITH MIRA MED ASSISTANCE PROGRAM TO PROVIDE ASSISTANCE TO PATIENTS, FREE OF CHARGE, THROUGHOUT THE MEDICAID APPLICATION PROCESS WHEN APPLYING FOR MEDICAL COVERAGE THROUGH THE ILLINOIS MEDICAID PROGRAM. THE ASSISTANCE PROVIDED IS INCLUSIVE OF COMPLETING THE APPLICATION, GATHERING ALL OF THE APPROPRIATE ADDITIONAL DOCUMENTS THAT MUST BE SUBMITTED, WORKING WITH THE STATE ON THE PATIENT'S BEHALF AND, IN SOME CASES, WORKING THROUGH AN APPEAL PROCESS. IN FY 2016, 823 INDIVIUDALS RECEIVED ASSISTANCE AT A COST OF $109,000. (9) THE HOSPITAL PROVIDES SERVICES FREE OR AT A REDUCED RATE TO INDIVIDUALS WITH LIMITED FINANCIAL RESOURCES WHO ARE UNABLE TO ACCESS ENTITLEMENT PROGRAMS. INDIVIDUALS ARE ELIGIBLE FOR FREE OR DISCOUNTED MEDICALLY NECESSARY HEALTHCARE SERVICES BASED ON ESTABLISHED CRITERIA AND THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY IS WIDELY DISTRIBUTED AND COMMUNICATED TO THE COMMUNITY. (10) THE HOSPITAL IS AN INDEPENDENT COMMUNITY HOSPITAL THAT PROVIDES ACUTE CARE AND IS RECOGNIZED FOR THE FOLLOWING OUTSTANDING SERVICES: ADVANCED CERTIFICATION FOR COMPREHENSIVE STROKE CENTER AND ADVANCED CERTIFICATION FOR PALLIATIVE CARE (DESIGNATED BY THE JOINT COMMISSION), GASTROENTEROLOGY CENTER (DIRECTED BY A NATIONALLY-RENOWNED GASTROENTEROLOGIST WITH THE ONLY GI TEACHING GALLERY IN ILLINOIS FOR INSTRUCTING CLINICIANS), LEVEL III NEONATAL INTENSIVE CARE UNIT, SPECIALIZED CANCER SERVICES (ACCREDITED BY THE COMMISSION ON CANCER), ILLINOIS CENTER FOR PANCREATIC AND HEPATOBILIARY DISEASE, TOP HOSPITAL BASED ON QUALITY AND SAFETY CRITERIA BY THE LEAPFROG GROUP, AND MAGNET AWARD FOR NURSING EXCELLENCE RECIPIENT (AWARDED BY THE AMERICAN NURSES CREDENTIALING CENTER ORIGINAL DESIGNATION AND TWO RE-DESIGNATIONS). (11) ONE OF HOSPITAL'S MOST SIGNIFICANT CONTRIBUTIONS TO THE REGION IS THE NORTHWEST COMMUNITY EMERGENCY MEDICAL SERVICES (EMS) SYSTEM. LAUNCHED IN 1972, IT WAS THE FIRST EMS PROGRAM IN ILLINOIS AND THE FIRST IN THE NATION TO SERVE MULTIPLE COMMUNITIES. TODAY THE HOSPITAL CONTINUES TO SERVE AS THE AREA'S EMS
SCHEDULE H - PART VI, LINE 6 - AFFILIATED HEALTH CARE SYSTEMNORTHWEST COMMUNITY HOSPITAL (HOSPITAL), NORTHWEST COMMUNITY HOSPITAL FOUNDATION (THE FOUNDATION), AND NORTHWEST COMMUNITY HEALTHCARE PHO, LLC (PHO) ARE 501(C)(3) TAX EXEMPT ORGANIZATIONS THAT ARE AFFILIATES UNDER THE COMMON CONTROL OF NORTHWEST COMMUNITY HEALTHCARE, THE SYSTEM. TOGETHER THESE AFFILIATES PROVIDE THE RESOURCES AND FUNDING TO DELIVER QUALITY HEALTHCARE SERVICES TO THE PEOPLE OF NORTHWEST SUBURBAN COMMUNITY OF CHICAGO. THE FOUNDATION'S PRIMARY FUNCTION IS TO STIMULATE PHILANTHROPIC GIVING AND OBTAIN CHARITABLE GIFTS IN ORDER TO MEET THE CHANGING NEEDS OF THE COMMUNITY AS WELL AS FUND COMMUNITY OUTREACH INITIATIVES. PHO IS A HEALTH CARE ORGANIZATION THAT PROVIDES COMPREHENSIVE, INTEGRATED, AND COORDINATED HEALTH CARE AT A PRICE THAT IS REASONABLE TO ITS CUSTOMERS AND FAIR TO ITS PARTICIPATING PROVIDERS. NCH OWNS A MAJORITY INTEREST IN NORTHWEST COMMUNITY DAY SURGERY CENTER II, LLC (DSC-II), WHICH WAS FORMED IN 2014. DSC-II IS AN AMBULATORY SURGERY CENTER THAT PROVIDES OUTPATIENT SURGICAL SERVICES. DSC-II IS AN INTEGRAL PART OF NORTHWEST COMMUNITY HEALTHCARE'S SYSTEM OF CARE, THAT DELIVERS INNOVATIVE, EXCEPTIONAL AND COORDINATED CARE WHILE CREATING VALUE FOR THE COMMUNITIES AND POPULATIONS THEY SERVE. NCH OWNS A MAJORITY INTEREST IN NPC-CYBERKNIFE, LLC (CYBERKNIFE). CYBERKNIFE WAS FORMED IN 2006 FOR THE PURPOSE OF LEASING A STEREOTACTIC RADIO SURGERY SYSTEM TO THE HOSPITAL. THE LEASE AGREEMENT PROVIDES A LOWER COST TO THE HOSPITAL COMPARED TO LEASING THE EQUIPMENT FROM AN UNRELATED ORGANIZATION. NORTHWEST COMMUNITY HEALTH SERVICES, INC. (HSV), IS A MULTI-SPECIALTY MEDICAL PHYSICIAN GROUP, THAT IS OWNED BY NORTHWEST COMMUNITY HEALTHCARE, THE SYSTEM. HSV WAS ESTABLISHED IN 2010 AND EMPLOYEES OVER 100 PHYSICIANS AND MIDLEVEL PRACTITIONERS AT 17 LOCATIONS IN ARLINGTON HEIGHTS, BUFFALO GROVE, MT. PROSPECT, LAKE ZURICH, PALATINE AND SCHAUMBURG, ILLINOIS. HSV IS A CRITICAL PART OF NORTHWEST COMMUNITY HEALTHCARE'S INTEGRATED SYSTEM OF CARE THAT DELIVERS INNOVATIVE, EXCEPTIONAL AND COORDINATED CARE WHILE CREATING VALUE FOR THE COMMUNITIES AND POPULATIONS THEY SERVE.
SCHEDULE H - PART VI, LINE 7 - STATE FILING OF COMMUNITY BENEFIT REPORTNORTHWEST COMMUNITY HOSPITAL FILES AN ANNUAL NONPROFIT HOSPITAL COMMUNITY BENEFITS PLAN REPORT WITH THE ILLINOIS ATTORNEY GENERAL'S OFFICE IN ACCORDANCE WITH ILLINOIS LAW.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtPurpose Of GrantPurposeOfGrantTxt
AMERICAN HEART ASSOCIATION Inc
7272 Greenville AvenueDallasTX75231135613797501(c)(3)$10,000$0METRO CHICAGO HEART WALK
The Hektoen Institute of Medicine
2240 W OGDEN AVENUECHICAGOIL60612362244897501(c)(3)$100,000$0Mission Trips
SPECIAL LEISURE SERVICES FOUNDATION
3000 W CENTRAL RDROLLING MEADOWSIL60008363145710501(c)(3)$15,000$0ANNUAL SPONSORSHIP
Arlington Heights Park District
410 N Arlington Heights RoadArlington HeightsIL60004366000167Local Gov.$6,667$0Health Initiatives
FieldValueIRS element (for citing)
Total501c3 Org4Total501c3OrgCnt
Total Other Org0TotalOtherOrgCnt

Grants Other Asst To Indiv In US GrantsOtherAsstToIndivInUSGrp (2 entries)

Grant TypeGrantTypeTxtRecipientRecipientCntCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmt
Health Initiatives7$22,277$0
Community Assistance1$725$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceForm 990, Schedule I, Part I, Line 2 - Org. Proc. for Monitoring grantsFormAndLineReferenceDesc
ExplanationGRANTS IN SUPPORT OF NORTHWEST COMMUNITY HOSPITAL'S (HOSPITAL) MISSION ARE MONITORED BY NORTHWEST COMMUNITY'S FINANCE COMMITTEE AND BOARD OF DIRECTORS AS PART OF THE MONTHLY REVIEW OF HOSPITAL'S FINANCIAL RESULTS. SIGNIFICANT GRANTS TO UNRELATED 501(C)(3) OR GOVERNMENTAL ORGANIZATIONS ARE APPROVED BY HOSPITAL'S COMMUNITY SERVICES DEPARTMENT AND ARE MONITORED THROUGH ONGOING INTERACTIONS WITH OFFICIALS OF THOSE RECIPIENTS REGARDING PROGRAM SERVICES PROVIDED IN HOSPITAL'S SERVICE AREA.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymentYes (true)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (true)AnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (13 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
Stephen O Scogna
PRESIDENT/SECRETARY/CEO$716,863$0$604,713$0$3,610$0$158,600$0$23,115$0$1,506,901$0$0$0
John L Skeans
CFO/Treasurer (Beg 6/15/15)$189,439$0$37,500$0$15,198$0$31,733$0$11,753$0$285,623$0$0$0
Michael C Hartke
Executive VP/COO$437,903$0$143,175$0$3,040$0$66,602$0$21,401$0$672,121$0$0$0
Wendy L Rubas
Exec VP - Chief Legal Counsel$328,006$0$28,893$0$26,207$0$39,782$0$20,317$0$443,205$0$0$0
Kimberly A Nagy
Executive VP - PT Serv & CNO$300,116$0$103,247$0$3,298$0$49,605$0$13,206$0$469,472$0$0$0
Alan B Loren MD
Executive VP - CMO$406,713$0$0$371,688$3,222$0$62,401$0$12,107$0$484,443$371,688$0$0
Susan E Nelson MD
VP Physician Operations$264,811$0$83,977$105,822$0$29,000$0$16,710$0$416,343$83,977$0$0
Bradford A Buxton
VP Strategy & Business Dev.$346,882$0$52,765$0$3,588$0$40,416$0$678$0$444,329$0$0$0
Lucy R Hammerberg MD
Chief Qua. Ofc. (thru 6/23/16)$333,043$0$0$0$6,085$0$13,200$0$678$0$353,006$0$0$0
Glen J Malan
VP Info Tech & CIO$279,005$0$27,914$0$2,029$0$35,531$0$9,718$0$354,197$0$0$0
Lacy A Knight MD
Chief Med. Info. (thru 5/7/16)$276,573$0$18,667$0$1,890$0$35,601$0$22,217$0$354,948$0$0$0
Bruce K Crowther
Pres/CEO/Sec (thru 1/1/15)$17,457$0$0$0$781,318$0$663$0$769$0$800,207$0$245,636$0
Marsha C Liu
CFO & Treasurer (thru 2/9/15)$40,542$0$122,625$0$332,594$0$12,444$0$20,150$0$528,355$0$0$0

Supplemental Information Detail SupplementalInformationDetail (4 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
COMPENSATION DETERMINATION PROCESS FOR TOP MANAGEMENT OFFICIALSForm 990, Schedule J, Line 3 THE COMPENSATION AND GOVERNANCE COMMITTEE OF THE PARENT CORPORATION (HEALTHCARE) ANNUALLY REVIEWS AND MAKES RECOMMENDATIONS TO THE BOARD REGARDING THE COMPENSATION OF THE PRESIDENTS, OTHER VICE PRESIDENTS AND OTHER KEY MANAGEMENT OFFICERS AS DETERMINED BY THE BOARD. AN INDEPENDENT REASONABLENESS OPINION IS OBTAINED ANNUALLY REGARDING THE CHIEF EXECUTIVE OFFICER'S COMPENSATION AND THAT OF OTHER EXECUTIVES AS DETERMINED BY THE COMMITTEE.
SEVERANCE PAYMENTSForm 990, Schedule J, Line 4a IN 2015, THE FOLLOWING INDIVIDUALS RECEIVED SEVERENCE PAYMENTS AS PART OF THEIR COMPENSATION ARRANGEMENT: Marsha C. Liu $302,886
Supplemental Executive Retirement Plan (SERP)Form 990, Schedule J, Line 4b IN 2015, THE FOLLOWING INDIVIDUALS PARTICIPATED IN A 457(F) PLAN WITH A TWO-YEAR VESTING PERIOD. THE AMOUNTS BELOW THAT WERE ACCRUED, BUT NOT PAID IN CALENDAR YEAR 2015, ARE INCLUDED ON SCHEDULE J, PART II, COLUMN (C). STEPHEN O. SCOGNA $145,400 John L. Skeans $ 24,990 Michael C. Hartke $ 53,402 Wendy L. Rubas $ 26,582 Kimberly Nagy $ 36,482 Alan B. Loren, MD $ 49,201 Susan E. Nelson, MD $ 21,199 Bradford A. Buxton $ 27,216 Glen J. Malan $ 22,331 Lacy A. Knight, MD $ 22,401 Marsha C. Liu $ 7,825 Former CEO Bruce Crowther participated in a SERP. This plan was frozen in 2010 and an amendment to the plan eliminated all future benefit accruals including credited service final average earnings and final average amounts used to calculate plan benefits. Due to Bruce Crowther's termination, effective December 31, 2014, as part of his settlement agreement, the SERP's accumulated plan benefits will be paid in full in FYE 9.30.17. The benefit accrued as of 9.30.16 is $2,224,743. $378,062 of deferred compensation was paid to Bruce during the 9.30.16 FYE and reported as income on his 2015 W-2. $245,636 of this payment was accrued prior to the 9.30.16 FYE.
NON-FIXED COMP PAYMENTSForm 990, Schedule J, Line 7 The CEO and Vice Presidents of the hospital are eligible for an annual incentive compensation payment that is aligned with the strategic, financial and operational goals of the organization. Threshold measures, which constitute the minimum requirements, must be achieved in order to have an incentive payout. Award opportunity levels vary as a percent of base salary. Actual amounts awarded are based on a combination of defined targets (15-25% of base pay) and discretionary amounts (10% of base pay). Maximum payable is 150% of the target. Amounts to be paid are subject to approval of the Compensation Committee of Northwest Community Healthcare, the sole member of the hospital.

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingIndCUSIPCUSIPNum
ILLINOIS FINANCE AUTHORITY
A8610919672011-12-01$53,100,000SEE PART VIfalsefalsefalse
ILLINOIS FINANCE AUTHORITY
B8610919672008-09-19$151,075,932SEE PART VIYes (true)falsefalse45200FNR6
ILLINOIS FINANCE AUTHORITY
C8610919672008-10-17$86,820,000SEE PART VIfalsefalsefalse45200FNU9
ILLINOIS FINANCE AUTHORITY
D8610919672016-06-15$157,336,237SEE PART VIfalsefalsefalse45204EDN5

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtBond DefeasedBondDefeasedAmtTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtCapitalized InterestCapitalizedInterestAmtRefunding EscrowRefundingEscrowAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCredit EnhancementCreditEnhancementAmtWorking Capital ExpendituresWorkingCapitalExpendituresAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtUnspentUnspentAmtSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$7,900,000$0$53,100,000$0$0$0$434,279$0$0$0$52,665,721$02011Yes (true)falseYes (true)Yes (true)
B$11,250,000$139,480,000$151,417,356$0$0$0$1,437,934$0$0$149,979,422$0$02010falsefalseYes (true)Yes (true)
C$24,970,000$0$86,820,000$0$0$0$598,075$93,000$0$86,128,925$0$02008Yes (true)falseYes (true)Yes (true)
D$0$0$157,336,237$0$0$155,497,835$1,838,402$0$0$0$0$0falseYes (true)falseYes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCdPrivate Bus Use By OthersPrivateBusUseByOthersPctOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndAny Research AgreementsAnyResearchAgreementsIndBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndRemedial Action TakenRemedialActionTakenIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A0
B0falsefalsefalsefalsefalsefalsefalseYes (true)
C0
D0falsefalsefalsefalsefalsefalsefalseYes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndBusiness Name Line1GICProviderName/BusinessNameLine1TxtGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
0
AfalseYes (true)falsefalseYes (true)falsefalse0falseYes (true)
0
BfalsefalsefalseYes (true)falsefalsefalse0falseYes (true)
0
CfalsefalseYes (true)falseYes (true)falsefalse0falseYes (true)
0
DfalseYes (true)falsefalsefalsefalsefalse0falseYes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (true)
BYes (true)
CYes (true)
DYes (true)

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceSUPPLEMENTAL INFORMATIONFormAndLineReferenceDesc
ExplanationSCHEDULE K, PART I, COLUMN (F) BOND A PROCEEDS WERE USED TO REFUND THE 2/13/2002 BOND ISSUANCE. BOND B PROCEEDS WERE USED FOR: CONSTRUCTION OF A PATIENT TOWER AND PARKING GARAGE; EXPANSION AND RENOVATION OF THE HOSPITAL'S EMERGENCY DEPARTMENT AND SURGERY SUITES; RELOCATION OF CERTAIN DEPARTMENTS ON THE HOSPITAL'S CAMPUS; AND PURCHASE OF CERTAIN EQUIPMENT USED IN THE HOSPITAL'S BUSINESS. BOND C PROCEEDS WERE USED TO REFUND THE 2/13/2002 BOND ISSUANCE. BOND D PROCEEDS WERE USED TO PARTIALLY REFUND THE 9/19/2008 BOND ISSUANCE. BOND B A REBATE CALCULATION WAS CONDUCTED ON APRIL 17, 2014.ExplanationTxt

Schedule L IRS990ScheduleL

FieldValueIRS element (for citing)
Total Balance Due$0TotalBalanceDueAmt

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
Sarah Bishop
See Part V$50,780Compensationfalse
SEE PART V

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceRELATIONSHIP BETWEEN INTERESTED PERSON AND THE ORGANIZATIONFormAndLineReferenceDesc
ExplanationSchedule L, Part IV Sarah Bishop is the daughter of James H. Bishop who is a member of the board.ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (9 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
Form 990, Part III, Line 4D - Desc. of Other Program ServicesINCLUDES REVENUE, EXPENSES, AND GRANTS OF $175,435 FROM ALL OTHER PROGRAM SERVICES NOT DESCRIBED ON FORM 990, PART III, LINES 4A-4C.
Form 990, Part VI, Section A. Line 6 - Desc. of MembersNORTHWEST COMMUNITY HEALTHCARE (NCH) IS THE SOLE CORPORATE MEMBER OF NORTHWEST COMMUNITY HOSPITAL (HOSPITAL). AS SUCH, IT ELECTS OR APPOINTS THE MEMBERS OF HOSPITAL'S GOVERNING BODY AND APPROVES SIGNIFICANT DECISIONS.
Form 990, Part VI, Section A. Line 7a - Power to elect membersNCH IS THE SOLE CORPORATE MEMBER OF HOSPITAL. AS SUCH, IT ELECTS OR APPOINTS THE MEMBERS OF THE GOVERNING BODY OF HOSPITAL PERIODICALLY OR AS VACANCIES ARISE.
Form 990, Part VI, Section A. Line 7b - Governance DecisionsNCH IS THE SOLE CORPORATE MEMBER OF HOSPITAL. AS SUCH, IT MUST APPROVE CERTAIN ACTIONS OF HOSPITAL. ACTION IS TAKEN BY A MAJORITY VOTE OF THE NCH BOARD WITH A QUORUM PRESENT. NCH MUST APPROVE THE FOLLOWING TYPES OF DECISIONS BY HOSPITAL: VOLUNTARY DISSOLUTION, MERGER, CONSOLIDATION OR SALE OR TRANSFER OF 10% OR MORE OF HOSPITAL'S ASSETS; SALE OF REAL PROPERTY OR INTEREST THEREIN; CREATION OF A SUBSIDIARY OR AFFILIATE; ANNUAL AND LONG-TERM CAPITAL AND OPERATING BUDGETS; AMENDMENT, ALTERATION OR REPEAL OF HOSPITAL'S ARTICLES OF INCORPORATION OR BYLAWS; SELECTION OF AUDITORS; APPOINTMENT, REMOVAL AND EVALUATION OF HOSPITAL DIRECTORS; DEBT OR INDEBTEDNESS, GUARANTEES OR BORROWINGS; APPOINTMENT, COMPENSATION, BENEFITS AND EVALUATION OF OFFICERS; APPOINTMENT AND EMPLOYMENT OF THE PRESIDENT; AND ACTIONS TAKEN BY TRUSTEES OF THE NORTHWEST COMMUNITY HOSPITAL EMPLOYEES RETIREMENT PLAN.
Form 990, Part VI, Section B. Line 11b - Review of Form 990A COPY OF FORM 990 WAS MADE AVAILABLE TO THE MEMBERS OF HOSPITAL'S BOARD PRIOR TO FILING. THE AUDIT AND COMPLIANCE COMMITTEE OF THE BOARD HAS BEEN ASSIGNED THE RESPONSIBILITY OF REVIEWING FORMS 990 FOR ALL AFFILIATES OF NCH. THIS COMMITTEE REVIEWED FORM 990 PRIOR TO DISTRIBUTION TO THE FULL BOARD. SPECIFIC SECTIONS OF THE TAX RETURN ARE ALSO REVIEWED BY HUMAN RESOURCES, LEGAL, AND COMPLIANCE.
Form 990, Part VI, Section B. Line 12c - Conflict of InterestEACH YEAR, THE CONFLICT OF INTEREST POLICY AND QUESTIONNAIRE IS SENT TO DIRECTORS, OFFICERS AND KEY EMPLOYEES. EACH RESPONSE IS REVIEWED BY THE GENERAL COUNSEL AND THOSE IN WHICH ANY ACTUAL OR APPARENT CONFLICT WITH THE PRESENT ROLE IS DISCLOSED, ARE REVIEWED BY THE PRESIDENT/CEO AND BOARD CHAIRPERSON. IN THE CASE OF ANY CONFLICT INVOLVING AN ENTITY OR PARTY WITH WHICH HOSPITAL IS DEALING OR COMPETING, THE PERSON WITH THE CONFLICT MAY NOT PARTICIPATE IN ANY DECISIONS REGARDING THAT PARTY. INDIVIDUALS WHO ARE INDEPENDENT CONTRACTORS, OFFICERS, DIRECTORS, OR EMPLOYEES OF OTHER HEALTHCARE FACILITIES IN HOSPITAL'S SERVICE AREA MAY NOT SERVE ON NCH'S OR ANY RELATED ORGANIZATION'S BOARD OR BOARD COMMITTEE. IN ADDITION, THE POLICY INCLUDES A SAMPLE CONFLICT OF INTEREST DISCLOSURE LETTER TO BE USED IF A CONFLICT ARISES AFTER SUBMISSION OF THE ANNUAL QUESTIONNAIRE AND BEFORE SUBMISSION OF THE NEXT ANNUAL QUESTIONNAIRE. SUCH DISCLOSURE LETTERS WOULD BE REVIEWED AS NOTED ABOVE AT THE TIME THEY ARE RECEIVED.
Form 990, Part VI, Section B Line 15a & 15b - Comp. DeterminationThe Compensation Committee of the Board of Directors (the "Committee") of Northwest Community Healthcare, which is the parent corporation of Northwest Community Hospital and who has idential board members as Northwest Community Healthcare, is responsible for preparing the total compensation paid to the Organization's senior executives (collectively, "Executives") to ensure that compensation paid to such Executives is reasonable and does not result in excessive and inappropriate benefit to private individuals. The Committee shall, on an annual basis, review and recommend to the Board for approval executive compensation consistent with the process described below. This process is intended to result in compensation decisions that are consistent with the Organizations fulfillment of its mission as set forth in the Organizations Articles of Incorporation, as well as the Organizations compensation philosophy and related principles set forth in this document. The Compensation philosophy is intended to result in the determination and payment of total compensation, including benefits, for Executives based on the following objectives: Compensation that is objectively fair and reasonable compared to similar executives at similar institutions; Compensation that contributes to the attraction and retention of qualified and talented individuals in Executive positions; Compensation that rewards the attainment of performance goals and expectations; and Compensation that reinforces the commitment to the Organizations mission, purpose and values. In assessing the reasonableness of an Executives total compensation, the Committee shall endeavor to set base salary at or near the market 60th percentile. The Committee shall target total compensation, including but not limited to, salary, any bonus or incentive payments and deferred and noncash compensation, as well as all compensatory benefits such as payments to medical, dental, life, annuity, retirement and disability benefit plans, and any fringe benefits such as housing, automobile, and computer allowances to approximate the market 75th percentile. The Committee shall conduct an annual performance review of the CEO, the results of which shall be used in determining a reasonable total compensation for him or her. The CEO will formulate a compensation recommendation for each Executive who reports to him or her. The CEO will present compensation recommendations based on an evaluation of each Executives job performance in accordance with criteria established by him or her. When reviewing or assessing the total compensation of any Executive, the Committee shall obtain sufficient information, taking into consideration the knowledge and expertise of its members, to determine whether total compensation of each Executive is reasonable (i.e., whether such compensation is comparable to that of similar executives at similar institutions). To assist in the determination of reasonable compensation, the Committee will select and engage a qualified independent compensation consultant ("Consultant") to annually review and analyze the total compensation, including benefits, of each Executive. The terms of the Consultant's engagement shall provide that the Consultant is to report to the Committee, and that the Consultant shall have no reporting responsibilities to any Executive with respect to any engagement in connection with the executive total compensation program. The Committee shall instruct the Consultant to compile appropriate comparability data, which may include compensation and benefits paid by similarly situated organizations for positions that are functionally comparable to those of each Executive. The Committee shall direct the Consultant to analyze a number of different variables in assessing comparability, including but not limited to organizational size, geographic location, the nature of the services provided, the level of experience and specific responsibilities of the position considered, and the components of the compensation offered. If a Consultant is retained, the Consultant should be directed to provide written analysis and recommendations with respect to a reasonable total compensation for each Executive. The Committee may additionally request that the Consultant be available to present a written analysis and recommendations and to take questions from Board or Committee members. In addition to the reports and analyses of the Consultant, the Committee shall also consider additional comparability data, including but not limited to: the availability of similar services in the geographic area, current compensation surveys compiled by independent firms, and actual written offers from similar institutions competing for services of the applicable Executive.
Form 990, Part VI, Section C. Line 19 - Availability of DocumentsGOVERNING DOCUMENTS AND THE CONFLICT OF INTEREST POLICY ARE NOT MADE PUBLIC. HOSPITAL'S FINANCIAL STATEMENTS ARE INCLUDED IN THE ANNUAL CONSOLIDATED AUDIT REPORT OF NCH AND SUBSIDIARIES. THESE CONSOLIDATED FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC VIA THE MUNICIPAL SECURITIES RULEMAKING BOARD'S ELECTRONIC MUNICIPAL MARKET ACCESS (EMMA) WEBSITE AT WWW.EMMA.MSRB.ORG.
Form 990, Part XI, Line 9Reconciliation of Net Assets - Other Changes in Net Assets Transfer to NWC Healthcare (23,000,000) Pension Related Changes 9,729,554 Loss on early extinguishment of debt (3,809,642) Change in value of interest swap (991,610) Net assets released from restrictions 881,562 Increase in temporarily restricted assets 823,678 Decrease in permanently restricted assets (56,137) ____________ Other changes in net assets (16,422,595)

Schedule R IRS990ScheduleR

Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdTotal IncomeTotalIncomeAmtEnd Of Year AssetsEndOfYearAssetsAmtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtDirect Controlling NADirectControllingNACd
NORTHWEST COMMUNITY PHYSICIANS ASSN LLC
3060 SALT CREEK LANEARLINGTON HTSIL60005510457240PATIENT CAREIL$0$0NWC Hospital
Northwest Service Company LLC
3060 Salt Creek LaneArlington HeightsIL60005263791362InactiveIL$0$0N/A

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
NORTHWEST COMMUNITY HEALTHCARE
800 WEST CENTRAL ROADARLINGTON HEIGHTSIL60005363125209SUPPORT ORG.IL501(c)(3)11 Type IINWC Hlthcarefalse
NORTHWEST COMMUNITY HOSPITAL FOUNDATION
3060 SALT CREEK LANEARLINGTON HEIGHTSIL60005363125193FUNDRAISINGIL501(c)(3)7NWC Hlthcarefalse

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
NPC-CYBERKNIFE LLC
800 W CENTRAL RDARLINGTON HTSIL60005204462828EQUIPMENT LEASINGILNWC HEALTHCARE
Northwest Community Day Surgery II LLC
675 KIRCHOFFARLINGTON HTSIL60005300798249OUTPATIENT CAREILNWC HEALTHCARE

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndAddress Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmCountryForeignAddress/CountryCdForeign PostalForeignAddress/ForeignPostalCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
NORTHWEST COMMUNITY HEALTH SERVICES INC
800 WEST CENTRAL ROADARLINGTON HEIGHTSIL60005363312906HEALTHCARE SERV.ILNWC HEALTHCAREC Corpfalse
CENTRAL INSURANCE COMPANY LTD
981109518INSURANCENWC HealthcareC CorpfalsePO Box 10233Grand CaymanCJKY1-1002CJ
NCH PHYSICIAN COOPERATIVE-DSLVD 4116
800 W CENTRAL ROADARLINGTON HEIGHTSIL60005201830299GROUP PURCHASINGILNWC HOSPITALC CORPfalse
NORTHWEST COMM CAPCOINC-DSLVD 42916
800 W CENTRAL ROADARLINGTON HEIGHTSIL60005364027717MANAGED CAREILNWC HOSPITALC CORPfalse
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsfalseReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationfalseDivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgfalsePerformOfServicesByOtherOrgInd
Sharing Of FacilitiesYes (true)SharingOfFacilitiesInd
Paid Employees SharingYes (true)PaidEmployeesSharingInd
Reimbursement Paid To Other OrgfalseReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgfalseTransferFromOtherOrgInd