NORTHWEST COMMUNITY HOSPITAL: Form 990, tax year 2014
View the entire original 990 at ProPublica ↗
- Organization
- NORTHWEST COMMUNITY HOSPITAL (EIN 36-2340313)
- Tax period
- 2014-10-01 to 2015-09-30
- Filed
- 2016-08-05
- IRS object ID
- 201612189349301551
- Schema version
- 2014v6.0
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return | 2016-08-05T10:29:40-05:00 | ReturnTs |
| Tax Period End | 2015-09-30 | TaxPeriodEndDt |
Preparer Firm PreparerFirmGrp
Preparer Firm Name PreparerFirmName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ERNST & YOUNG US LLP | BusinessNameLine1Txt |
Preparer US Address PreparerUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 155 N Wacker Drive | AddressLine1Txt |
| City | Chicago | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60606 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnTypeCd |
| Tax Period Begin | 2014-10-01 | TaxPeriodBeginDt |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 362340313 | EIN |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Northwest Community Hospital | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of | % MIKE MULAY | InCareOfNm |
| Business Name Control | NORT | BusinessNameControlTxt |
| Phone | 8476181000 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 800 WEST CENTRAL ROAD | AddressLine1Txt |
| City | ARLINGTON HEIGHTS | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60005 | ZIPCd |
Business Officer BusinessOfficerGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | JOHN L SKEANS | PersonNm |
| Person Title | CFO | PersonTitleTxt |
| Phone | 3128792000 | PhoneNum |
| Signature | 2016-08-03 | SignatureDt |
| Discuss With Paid Preparer | Yes (true) | DiscussWithPaidPreparerInd |
Preparer Person PreparerPersonGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Preparer Person | TAMARA TARAZI | PreparerPersonNm |
| PTIN | P01266026 | PTIN |
| Phone | 3128792000 | PhoneNum |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax | 2014 | TaxYr |
| Build TS | 2016-12-15 16:53:06Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Principal Officer | STEPHEN O SCOGNA | PrincipalOfficerNm |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 800 WEST CENTRAL ROAD | AddressLine1Txt |
| City | ARLINGTON HEIGHTS | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60005 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | $549,749,280 | GrossReceiptsAmt |
| Group Return For Affiliates | false | GroupReturnForAffiliatesInd |
| Organization501c3 | Yes (X) | Organization501c3Ind |
| Website Address | www.nch.org | WebsiteAddressTxt |
| Type Of Organization Corp | Yes (X) | TypeOfOrganizationCorpInd |
| Formation | 1953 | FormationYr |
| Legal Domicile State | IL | LegalDomicileStateCd |
| Activity Or Mission | NCH OPERATES AN ACUTE HOSPITAL IN ARLINGTON HEIGHTS, IL. THE HOSPITAL EXISTS TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE AND TO MEET INDIVIDUALS' HEALTHCARE NEEDS. | ActivityOrMissionDesc |
| Voting Members Governing Body | 14 | VotingMembersGoverningBodyCnt |
| Voting Members Independent | 12 | VotingMembersIndependentCnt |
| Total Employee | 3625 | TotalEmployeeCnt |
| Total Volunteers | 906 | TotalVolunteersCnt |
| Total Gross UBI | $1,533,369 | TotalGrossUBIAmt |
| Net Unrelated Bus Txbl Incm | -$485,704 | NetUnrelatedBusTxblIncmAmt |
| PY Contributions Grants | $2,940,570 | PYContributionsGrantsAmt |
| CY Contributions Grants | $1,294,762 | CYContributionsGrantsAmt |
| PY Program Service Revenue | $434,046,573 | PYProgramServiceRevenueAmt |
| CY Program Service Revenue | $443,727,183 | CYProgramServiceRevenueAmt |
| PY Investment Income | $1,027,850 | PYInvestmentIncomeAmt |
| CY Investment Income | $665,763 | CYInvestmentIncomeAmt |
| PY Other Revenue | $8,448,066 | PYOtherRevenueAmt |
| CY Other Revenue | $4,815,616 | CYOtherRevenueAmt |
| PY Total Revenue | $446,463,059 | PYTotalRevenueAmt |
| CY Total Revenue | $450,503,324 | CYTotalRevenueAmt |
| PY Grants And Similar Paid | $191,136 | PYGrantsAndSimilarPaidAmt |
| CY Grants And Similar Paid | $225,872 | CYGrantsAndSimilarPaidAmt |
| PY Benefits Paid To Members | $0 | PYBenefitsPaidToMembersAmt |
| CY Benefits Paid To Members | $0 | CYBenefitsPaidToMembersAmt |
| PY Salaries Comp Emp Bnft Paid | $217,073,788 | PYSalariesCompEmpBnftPaidAmt |
| CY Salaries Comp Emp Bnft Paid | $229,283,606 | CYSalariesCompEmpBnftPaidAmt |
| PY Total Prof Fndrsng Expns | $0 | PYTotalProfFndrsngExpnsAmt |
| CY Total Prof Fndrsng Expns | $0 | CYTotalProfFndrsngExpnsAmt |
| CY Total Fundraising Expense | $0 | CYTotalFundraisingExpenseAmt |
| PY Other Expenses | $204,942,027 | PYOtherExpensesAmt |
| CY Other Expenses | $197,716,952 | CYOtherExpensesAmt |
| PY Total Expenses | $422,206,951 | PYTotalExpensesAmt |
| CY Total Expenses | $427,226,430 | CYTotalExpensesAmt |
| PY Revenues Less Expenses | $24,256,108 | PYRevenuesLessExpensesAmt |
| CY Revenues Less Expenses | $23,276,894 | CYRevenuesLessExpensesAmt |
| Total Assets BOY | $585,363,334 | TotalAssetsBOYAmt |
| Total Assets EOY | $605,286,289 | TotalAssetsEOYAmt |
| Total Liabilities BOY | $406,770,741 | TotalLiabilitiesBOYAmt |
| Total Liabilities EOY | $414,281,307 | TotalLiabilitiesEOYAmt |
| Net Assets Or Fund Balances BOY | $178,592,593 | NetAssetsOrFundBalancesBOYAmt |
| Net Assets Or Fund Balances EOY | $191,004,982 | NetAssetsOrFundBalancesEOYAmt |
| Info In Schedule O Part III | Yes (X) | InfoInScheduleOPartIIIInd |
| Mission | NORTHWEST COMMUNITY HOSPITAL EXISTS TO IMPROVE THE HEALTH OF THE COMMUNITIES IT SERVES AND TO MEET INDIVIDUALS' HEALTHCARE NEEDS. IT STRIVES TO BE KNOWN FOR ITS SINGULAR FOCUS ON PROVIDING A COMPREHENSIVE, PATIENT-CENTERED SYSTEM OF CARE THAT SURPASSES EVERY EXPECTATION FOR EXCELLENCE (IN QUALITY AND SERVICE). | MissionDesc |
| Significant New Program Srvc | false | SignificantNewProgramSrvcInd |
| Significant Change | false | SignificantChangeInd |
| Expense | $22,640,310 | ExpenseAmt |
| Revenue | $26,406,508 | RevenueAmt |
| Desc | CARDIAC NORTHWEST COMMUNITY HOSPITAL'S (HOSPITAL) CARDIAC SERVICE LINE PROVIDED QUALITY, PATIENT CENTERED, COMPASSIONATE CARE, REGARDLESS OF ABILITY TO PAY, TO APPROXIMATELY 34,586 INPATIENTS AND OUTPATIENTS DURING FY 2015. 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 NEARLY $22,648,310. 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. NOT ONLY DOES NCH PROVIDE THE FULL SCOPE ON NON-INVASIVE CARDIAC DIAGNOSTIC TESTING AT MULITPLE SITES IN THE COMMUNITY BUT IN 2014, NCH OPENED THE ATHERTON HEART FAILURE (HF) CLINIC. THE HF CLINIC PROVIDES A TRANSITIONAL CARE MODEL THAT IS BASED ON PATIENTS WITH HF 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 READMISSSIONS 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 2015, HOSPITAL HOSTED A COMMUNITY EVENT WHERE BLOOD PRESSURE, CHOLESTEROL AND BMI SCREENINGS WERE USED TO CALCULATE AN INDIVIDUAL'S RISK OF DEVELOPING HEART DISEASE FOR A MINIMAL FEE. IN ADDITION, PHYSICIANS PROVIDED EDUCATION ON HEART HEALTH AND WELLNESS. OVER 300 PEOPLE PARTICIPATED IN THE EVENT. | Desc |
Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $27,448,549 | ExpenseAmt |
| Revenue | $40,018,191 | RevenueAmt |
| Desc | GASTROENTEROLOGY HOSPITAL'S GASTROENTEROLOGY (GI) CENTER PROVIDES QUALITY, PATIENT CENTERED, COMPASSIONATE CARE FOR PATIENTS, REGARDLESS OF ABILITY TO PAY, IN NEED OF DIAGNOSTIC AND THERAPEUTIC ENDOSCOPIC PROCEDURES. THE 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 2015, THE GI CENTER PERFORMED 17,451 PROCEDURES ON 14,252 PATIENTS. | Desc |
Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | $14,320,732 | ExpenseAmt |
| Revenue | $11,994,881 | RevenueAmt |
| Desc | GENERAL SURGERY HOSPITAL'S GENERAL SURGERY SERVICE LINE PROVIDED QUALITY, PATIENT CENTERED, COMPASSIONATE CARE, REGARDLESS OF ABILITY TO PAY, TO 1,685 GENERAL SURGICAL PATIENTS (INPATIENT AND OUTPATIENT) IN THE MAIN OR DURING FY 2015. PROCEDURES WERE PERFORMED IN STATE-OF-THE-ART OPERATING ROOMS WHICH INCLUDE THREE DEDICATED MINIMALLY INVASIVE SURGERY SUITES. THE GENERAL SURGERY PROGRAM PROVIDES CARE FOR BOTH PEDIATRIC AND ADULT POPULATIONS. IN FY 2011, HOSPITAL PARTNERED WITH CHILDREN'S MEMORIAL HOSPITAL TO IMPLEMENT A NEONATAL SURGERY PROGRAM TO SUPPORT ITS NEW LEVEL 3 NICU. THE GENERAL SURGERY PROGRAM ALSO INCLUDES A COMPREHENSIVE DAVINCI ROBOTIC PROGRAM THAT SUPPORTS GYNECOLOGY, UROLOGY AND GENERAL SURGICAL PROCEDURES AND HAS SERVED AS A TRAINING EPICENTER FOR OB-GYN SURGEONS FROM ACROSS THE COUNTRY. NCH IS ALSO KNOWN AND RESPECTED AS A DEDICATED PANCREATIC SURGERY PROGRAM THAT PERFORMS THE MOST COMPLEX PROCEDURES. OTHER SERVICE LINES IN SURGICAL SERVICES INCLUDE CARDIOVASCULAR, VASCULAR, THORACIC, NEUROSURGICAL AND ORTHOPEDICS AND ENT. SURGICAL SERVICES ARE PROVIDED 24 HOURS-A-DAY, 7 DAYS-A-WEEK WITH A DEDICATED SURGICAL PREP AREA AND MULTIPHASE POST ANESTHIA CARE UNIT (PACU) THAT IS ALSO AVAILABLE 24 HOURS-A-DAY, 7 DAYS-PER-WEEK. THE PROGRAM IS DESIGNATED A LEVEL 2 TRAUMA CENTER. A MULTIDISCIPLINARY TEAM HAS WORKED TO IMPROVE OUTCOMES IN THE SURGICAL CARE IMPROVEMENT PROJECT'S CORE MEASURES. AREAS OF CONCENTRATION INCLUDE: ANTIBIOTICS ADMINISTERED WITHIN 60 MINUTES OF INCISION, APPROPRIATE ANTIBIOTICS ADMINISTERED, ANTIBIOTICS DISCONTINUED WITHIN 24 HOURS, APPROPRIATE HAIR REMOVAL, URINARY CATHETER REMOVED POST-OP DAY 1 OR 2, SURGERY TEMPERATURE MANAGEMENT, BETA BLOCKER PRIOR TO SURGERY AND VTE PROPHYLAXIS. THE MAJORITY OF HOSPITAL'S OUTCOME MEASURES WERE AT OR ABOVE BENCHMARK LEVELS. SURGICAL SERVICES ALSO PRIDES ITSELF ON ITS MULTIDISICIPLINARY PATIENT SAFETY TEAM THAT IS LEAD BY THE CHIEF OF ANESTHESIA AND IS RESPONSIBLE FOR ENSURING PATIENT SAFETY PRACTICES ARE IN PLACE IN ALL AREAS OF THE DEPARTMENT. | Desc |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Prog Srvc Expense | $261,041,614 | TotalOtherProgSrvcExpenseAmt |
| Total Other Prog Srvc Revenue | $365,307,603 | TotalOtherProgSrvcRevenueAmt |
| Total Program Service Expenses | $325,451,205 | TotalProgramServiceExpensesAmt |
| Described In Section501c3 | Yes (true) | DescribedInSection501c3Ind |
| Schedule B Required | Yes (true) | ScheduleBRequiredInd |
| Political Campaign Acty | false | PoliticalCampaignActyInd |
| Lobbying Activities | Yes (true) | LobbyingActivitiesInd |
| Subject To Proxy Tax | false | SubjectToProxyTaxInd |
| Donor Advised Fund | false | DonorAdvisedFundInd |
| Conservation Easements | false | ConservationEasementsInd |
| Collections Of Art | false | CollectionsOfArtInd |
| Credit Counseling | false | CreditCounselingInd |
| Temp Or Permanent Endowments | Yes (true) | TempOrPermanentEndowmentsInd |
| Report Land Building Equipment | Yes (true) | ReportLandBuildingEquipmentInd |
| Report Investments Other Sec | false | ReportInvestmentsOtherSecInd |
| Report Program Related Invst | false | ReportProgramRelatedInvstInd |
| Report Other Assets | false | ReportOtherAssetsInd |
| Report Other Liabilities | Yes (true) | ReportOtherLiabilitiesInd |
| Include FIN48 Footnote | false | IncludeFIN48FootnoteInd |
| Independent Audit Fincl Stmt | false | IndependentAuditFinclStmtInd |
| Consolidated Audit Fincl Stmt | Yes (true) | ConsolidatedAuditFinclStmtInd |
| School Operating | false | SchoolOperatingInd |
| Foreign Office | false | ForeignOfficeInd |
| Foreign Activities | false | ForeignActivitiesInd |
| More Than5000 K To Org | false | MoreThan5000KToOrgInd |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividualsInd |
| Professional Fundraising | false | ProfessionalFundraisingInd |
| Fundraising Activities | false | FundraisingActivitiesInd |
| Gaming Activities | false | GamingActivitiesInd |
| Operate Hospital | Yes (true) | OperateHospitalInd |
| Audited Financial Stmt Att | Yes (true) | AuditedFinancialStmtAttInd |
| Grants To Organizations | Yes (true) | GrantsToOrganizationsInd |
| Grants To Individuals | false | GrantsToIndividualsInd |
| Schedule J Required | Yes (true) | ScheduleJRequiredInd |
| Tax Exempt Bonds | Yes (true) | TaxExemptBondsInd |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBondsInd |
| Escrow Account | false | EscrowAccountInd |
| On Behalf Of Issuer | false | OnBehalfOfIssuerInd |
| Engaged In Excess Benefit Trans | false | EngagedInExcessBenefitTransInd |
| PY Excess Benefit Trans | false | PYExcessBenefitTransInd |
| Loan Outstanding | Yes (true) | LoanOutstandingInd |
| Grant To Related Person | false | GrantToRelatedPersonInd |
| Business Rln With Org Mem | Yes (true) | BusinessRlnWithOrgMemInd |
| Business Rln With Fam Mem | Yes (true) | BusinessRlnWithFamMemInd |
| Business Rln With Officer Ent | false | BusinessRlnWithOfficerEntInd |
| Deductible Non Cash Contri | false | DeductibleNonCashContriInd |
| Deductible Art Contribution | false | DeductibleArtContributionInd |
| Terminate Operations | false | TerminateOperationsInd |
| Partial Liquidation | false | PartialLiquidationInd |
| Disregarded Entity | Yes (true) | DisregardedEntityInd |
| Related Entity | Yes (true) | RelatedEntityInd |
| Related Organization Ctrl Ent | Yes (true) | RelatedOrganizationCtrlEntInd |
| Transaction With Control Ent | Yes (true) | TransactionWithControlEntInd |
| Trnsfr Exmpt Non Chrtbl Rltd Org | false | TrnsfrExmptNonChrtblRltdOrgInd |
| Activities Conducted Prtshp | false | ActivitiesConductedPrtshpInd |
| Schedule O Required | Yes (true) | ScheduleORequiredInd |
| IRP Document | 209 | IRPDocumentCnt |
| IRP Document W2 G | 0 | IRPDocumentW2GCnt |
| Backup Wthld Compliance | Yes (true) | BackupWthldComplianceInd |
| Employee | 3625 | EmployeeCnt |
| Employment Tax Returns Filed | Yes (true) | EmploymentTaxReturnsFiledInd |
| Unrelated Bus Incm Over Limit | Yes (true) | UnrelatedBusIncmOverLimitInd |
| Form990 T Filed | Yes (true) | Form990TFiledInd |
| Foreign Financial Account | false | ForeignFinancialAccountInd |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTransInd |
| Taxable Party Notification | false | TaxablePartyNotificationInd |
| Nondeductible Contributions | false | NondeductibleContributionsInd |
| Quid Pro Quo Contributions | false | QuidProQuoContributionsInd |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOfInd |
| Rcv Fnds To Pay Prsnl Bnft Cntrct | false | RcvFndsToPayPrsnlBnftCntrctInd |
| Pay Premiums Prsnl Bnft Cntrct | false | PayPremiumsPrsnlBnftCntrctInd |
| Indoor Tanning Services | false | IndoorTanningServicesInd |
| Info In Schedule O Part VI | Yes (X) | InfoInScheduleOPartVIInd |
| Governing Body Voting Members | 14 | GoverningBodyVotingMembersCnt |
| Independent Voting Member | 12 | IndependentVotingMemberCnt |
| Family Or Business Rln | false | FamilyOrBusinessRlnInd |
| Delegation Of Mgmt Duties | false | DelegationOfMgmtDutiesInd |
| Change To Org Documents | false | ChangeToOrgDocumentsInd |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuseInd |
| Members Or Stockholders | Yes (true) | MembersOrStockholdersInd |
| Election Of Board Members | Yes (true) | ElectionOfBoardMembersInd |
| Decisions Subject To Approva | Yes (true) | DecisionsSubjectToApprovaInd |
| Minutes Of Governing Body | Yes (true) | MinutesOfGoverningBodyInd |
| Minutes Of Committees | Yes (true) | MinutesOfCommitteesInd |
| Officer Mailing Address | false | OfficerMailingAddressInd |
| Local Chapters | Yes (true) | LocalChaptersInd |
| Policies Reference Chapters | Yes (true) | PoliciesReferenceChaptersInd |
| Form990 Provided To Gvrn Body | Yes (true) | Form990ProvidedToGvrnBodyInd |
| Conflict Of Interest Policy | Yes (true) | ConflictOfInterestPolicyInd |
| Annual Disclosure Covered Prsn | Yes (true) | AnnualDisclosureCoveredPrsnInd |
| Regular Monitoring Enfrc | Yes (true) | RegularMonitoringEnfrcInd |
| Whistleblower Policy | Yes (true) | WhistleblowerPolicyInd |
| Document Retention Policy | Yes (true) | DocumentRetentionPolicyInd |
| Compensation Process CEO | Yes (true) | CompensationProcessCEOInd |
| Compensation Process Other | Yes (true) | CompensationProcessOtherInd |
| Investment In Joint Venture | false | InvestmentInJointVentureInd |
| States Where Copy Of Return Is Fld | IL | StatesWhereCopyOfReturnIsFldCd |
| Upon Request | Yes (X) | UponRequestInd |
Books In Care Of Detail BooksInCareOfDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Person | MIKE MULAY | PersonNm |
| Phone | 8476184601 | PhoneNum |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3060 W Salt Creek Lane | AddressLine1Txt |
| City | Arlington Heights | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60005 | ZIPCd |
Form990 Part VII Section A Form990PartVIISectionAGrp (30 entries)
| TitleTitleTxt | Average Hours Per WeekAverageHoursPerWeekRt | Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt | Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd | OfficerOfficerInd | Reportable Comp From OrgReportableCompFromOrgAmt | Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt | Other CompensationOtherCompensationAmt | Key EmployeeKeyEmployeeInd | Highest Compensated EmployeeHighestCompensatedEmployeeInd | Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd |
|---|---|---|---|---|---|---|---|---|---|---|
| Stephen O Scogna | ||||||||||
| CEO, Pres & Secretary | 10.0 | 30.0 | Yes (X) | Yes (X) | $830,315 | $0 | $188,313 | |||
| Kirk Clark MD | ||||||||||
| Director | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | ||||
| James H Bishop | ||||||||||
| Director | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | ||||
| Craig E Christell | ||||||||||
| Director | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | ||||
| Dale J Garber | ||||||||||
| Director | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | ||||
| Louis A Gatta | ||||||||||
| Director | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | ||||
| Marla F Glabe | ||||||||||
| VICE CHAIRPERSON | 1.0 | 1.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| Charles A Hempfling | ||||||||||
| Director | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | ||||
| Diane G Hill | ||||||||||
| Director | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | ||||
| MARSHA C LIU | ||||||||||
| CFO & TREASURER (UNTIL 2/15) | 10.0 | 30.0 | Yes (X) | Yes (X) | $376,107 | $0 | $85,138 | |||
| EQUINN REGAN MD | ||||||||||
| DIRECTOR | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | ||||
| Mary R Sheahen | ||||||||||
| Director | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | ||||
| Raymond Grady | ||||||||||
| Director | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | ||||
| Cynthia M Valukas MD | ||||||||||
| Director | 1.0 | 1.0 | Yes (X) | $0 | $0 | $0 | ||||
| Thomas P MacCarthy | ||||||||||
| Chairperson | 10.0 | 1.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| John L Skeans | ||||||||||
| CFO & Treasurer (Beg 6/15) | 10.0 | 30.0 | Yes (X) | Yes (X) | $0 | $0 | $0 | |||
| Ed Maher | ||||||||||
| INTERIM CFO (3/15 - 7/15) | 10.0 | 30.0 | Yes (X) | $0 | $0 | $0 | ||||
| MARK D LUSSON | ||||||||||
| Exec VP - HR (until 5/14) | 40.0 | 0.0 | $284,920 | $0 | $14,243 | Yes (X) | ||||
| Michael C Hartke | ||||||||||
| EXECUTIVE VP/COO | 40.0 | 1.0 | $514,324 | $0 | $93,337 | Yes (X) | ||||
| KIMBERLY NAGY | ||||||||||
| Exec VP - Pt Serv & CNO | 40.0 | 0.0 | $291,682 | $0 | $61,102 | Yes (X) | ||||
| Wendy L Rubas | ||||||||||
| EXEC VP - CHIEF LEGAL COUNSEL | 10.0 | 30.0 | $363,707 | $0 | $63,227 | Yes (X) | ||||
| Alan B Loren MD | ||||||||||
| EXEC VP - CMO | 40.0 | 0.0 | $375,701 | $564,422 | $41,536 | Yes (X) | ||||
| LOVENDER KUMAR RAJU MD | ||||||||||
| ICC PHYSICIAN | 40.0 | 0.0 | $323,254 | $0 | $58,246 | Yes (X) | ||||
| BRADFORD A BUXTON | ||||||||||
| VP STRATEGY & BUSINESS DEV | 40.0 | 0.0 | $340,072 | $0 | $59,986 | Yes (X) | ||||
| Lucy R Hammerberg MD | ||||||||||
| CHIEF QUALITY OFFICER | 40.0 | 0.0 | $332,463 | $0 | $33,812 | Yes (X) | ||||
| Glen J Malan | ||||||||||
| VP INFO TECH & CIO | 40.0 | 0.0 | $303,981 | $0 | $59,550 | Yes (X) | ||||
| Lacy A Knight MD | ||||||||||
| CHIEF MEDICAL INFORMATICS OFCR | 40.0 | 0.0 | $299,463 | $0 | $57,977 | Yes (X) | ||||
| DALE E BEATTY | ||||||||||
| Exec VP - CNO (until 1/13) | 0.0 | 0.0 | $328,924 | $0 | $0 | Yes (X) | ||||
| ERIC BENINK MD | ||||||||||
| CHIEF MED OFFICER (UNTIL 7/14) | 0.0 | 0.0 | $516,200 | $0 | $14,017 | Yes (X) | ||||
| Bruce K Crowther | ||||||||||
| PRES/CEO/SEC (until 4/13) | 0.0 | 0.0 | $716,158 | $0 | $47,319 | Yes (X) | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | $6,197,271 | TotalReportableCompFromOrgAmt |
| Tot Reportable Comp Rltd Org | $564,422 | TotReportableCompRltdOrgAmt |
| Total Other Compensation | $877,803 | TotalOtherCompensationAmt |
| Indiv Rcvd Greater Than100 K | 238 | IndivRcvdGreaterThan100KCnt |
| Former Ofcr Employees Listed | Yes (true) | FormerOfcrEmployeesListedInd |
| Total Comp Greater Than150 K | Yes (true) | TotalCompGreaterThan150KInd |
| Compensation From Other Srcs | false | CompensationFromOtherSrcsInd |
Contractor Compensation ContractorCompensationGrp (5 entries)
| Address Line1ContractorAddress/USAddress/AddressLine1Txt | CityContractorAddress/USAddress/CityNm | State AbbreviationContractorAddress/USAddress/StateAbbreviationCd | ZIPContractorAddress/USAddress/ZIPCd | ServicesServicesDesc | CompensationCompensationAmt |
|---|---|---|---|---|---|
| Deloitte Consulting LLP | |||||
| PO Box 844717 | Dallas | TX | 75284 | project management | $5,325,475 |
| Sodexo Inc Affiliates | |||||
| PO Box 536922 | Atlanta | GA | 30353 | DIETARY AND BIOMED | $3,669,573 |
| Structured Communication Systems In | |||||
| 12901 SE 97th Ave Ste 400 | Clackaas | OR | 97015 | IT technical support | $2,878,773 |
| Care Logistics LLC | |||||
| 2655 Northwinds Parkway | Alpharetta | GA | 30009 | IT support services | $2,519,102 |
| ROI Companies | |||||
| 25001 Emery Road Ste 250 | Warrensville Heights | OH | 44128 | collection services | $1,998,295 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cntrct Rcvd Greater Than100 K | 60 | CntrctRcvdGreaterThan100KCnt |
| Fundraising | $0 | FundraisingAmt |
| Related Organizations | $1,294,262 | RelatedOrganizationsAmt |
| All Other Contributions | $500 | AllOtherContributionsAmt |
| Noncash Contributions | $0 | NoncashContributionsAmt |
| Total Contributions | $1,294,762 | TotalContributionsAmt |
Program Service Revenue ProgramServiceRevenueGrp (5 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| Net patient services | 622110 | $417,703,043 | $417,703,043 | $0 | $0 |
| Lab services | 621500 | $23,407,978 | $21,874,609 | $1,533,369 | $0 |
| Meaningful Use Reimb. | 900099 | $1,720,622 | $1,720,622 | $0 | $0 |
| Classes and training | 611430 | $365,263 | $365,263 | $0 | $0 |
| Nursing Services | 623000 | $47,552 | $47,552 | $0 | $0 |
Total Oth Program Service Rev TotalOthProgramServiceRevGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $482,725 | TotalRevenueColumnAmt |
| Exclusion | $482,725 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | $443,727,183 | TotalProgramServiceRevenueAmt |
Investment Income InvestmentIncomeGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,049,280 | TotalRevenueColumnAmt |
| Exclusion | $1,049,280 | ExclusionAmt |
Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $51 | TotalRevenueColumnAmt |
| Exclusion | $51 | ExclusionAmt |
Royalties Revenue RoyaltiesRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Gross Rents GrossRentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $2,548,548 | RealAmt |
Less Rental Expenses LessRentalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,228,817 | RealAmt |
Rental Income Or Loss RentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | $1,319,731 | RealAmt |
| Personal | $0 | PersonalAmt |
Net Rental Income Or Loss NetRentalIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $1,319,731 | TotalRevenueColumnAmt |
| Exclusion | $1,319,731 | ExclusionAmt |
Gross Amount Sales Assets GrossAmountSalesAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $96,657,637 | SecuritiesAmt |
| Other | $657,795 | OtherAmt |
Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | $96,797,111 | SecuritiesAmt |
| Other | $901,889 | OtherAmt |
Gain Or Loss GainOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -$139,474 | SecuritiesAmt |
| Other | -$244,094 | OtherAmt |
Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -$383,568 | TotalRevenueColumnAmt |
| Exclusion | -$383,568 | ExclusionAmt |
Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
Net Income From Gaming NetIncomeFromGamingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $0 | TotalRevenueColumnAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | $332,374 | GrossSalesOfInventoryAmt |
| Cost Of Goods Sold | $318,139 | CostOfGoodsSoldAmt |
Net Income Or Loss NetIncomeOrLossGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $14,235 | TotalRevenueColumnAmt |
| Exclusion | $14,235 | ExclusionAmt |
Other Revenue Misc OtherRevenueMiscGrp (3 entries)
| DescDesc | BusinessBusinessCd | Total Revenue ColumnTotalRevenueColumnAmt | Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt | Unrelated Business RevenueUnrelatedBusinessRevenueAmt | ExclusionExclusionAmt |
|---|---|---|---|---|---|
| CAFETERIA | 900099 | $2,106,376 | $0 | $0 | $2,106,376 |
| DSC MANAGEMENT FEES | 900099 | $713,791 | $0 | $0 | $713,791 |
| CASH DISCOUNTS | 900099 | $550,369 | $0 | $0 | $550,369 |
Miscellaneous Revenue MiscellaneousRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $111,114 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $0 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $0 | UnrelatedBusinessRevenueAmt |
| Exclusion | $111,114 | ExclusionAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Revenue Total | $3,481,650 | OtherRevenueTotalAmt |
Total Revenue TotalRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | $450,503,324 | TotalRevenueColumnAmt |
| Related Or Exempt Func Income | $441,711,089 | RelatedOrExemptFuncIncomeAmt |
| Unrelated Business Revenue | $1,533,369 | UnrelatedBusinessRevenueAmt |
| Exclusion | $5,964,104 | ExclusionAmt |
Grants To Domestic Orgs GrantsToDomesticOrgsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $225,872 | TotalAmt |
| Program Services | $225,872 | ProgramServicesAmt |
Grants To Domestic Individuals GrantsToDomesticIndividualsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
Foreign Grants ForeignGrantsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
Benefits To Members BenefitsToMembersGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $3,556,548 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $3,556,548 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Comp Disqual Persons CompDisqualPersonsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Salaries And Wages OtherSalariesAndWagesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $177,193,776 | TotalAmt |
| Program Services | $126,103,954 | ProgramServicesAmt |
| Management And General | $51,089,822 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Pension Plan Contributions PensionPlanContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $11,932,511 | TotalAmt |
| Program Services | $6,761,631 | ProgramServicesAmt |
| Management And General | $5,170,880 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Employee Benefits OtherEmployeeBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $24,183,251 | TotalAmt |
| Program Services | $13,703,589 | ProgramServicesAmt |
| Management And General | $10,479,662 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Payroll Taxes PayrollTaxesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $12,417,520 | TotalAmt |
| Program Services | $7,036,465 | ProgramServicesAmt |
| Management And General | $5,381,055 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Management FeesForServicesManagementGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Legal FeesForServicesLegalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,169,634 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $1,169,634 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Accounting FeesForServicesAccountingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $291,071 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $291,071 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Lobbying FeesForServicesLobbyingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $72,767 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $72,767 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $178,960 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $178,960 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Fees For Services Other FeesForServicesOtherGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $33,244,877 | TotalAmt |
| Program Services | $13,808,929 | ProgramServicesAmt |
| Management And General | $19,435,948 | ManagementAndGeneralAmt |
Advertising AdvertisingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $2,182,336 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $2,182,336 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Office Expenses OfficeExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $19,300,374 | TotalAmt |
| Program Services | $14,703,006 | ProgramServicesAmt |
| Management And General | $4,597,368 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Information Technology InformationTechnologyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $6,334,159 | TotalAmt |
| Program Services | $3,589,290 | ProgramServicesAmt |
| Management And General | $2,744,869 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Royalties RoyaltiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Occupancy OccupancyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,624,256 | TotalAmt |
| Program Services | $8,908,845 | ProgramServicesAmt |
| Management And General | $715,411 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Travel TravelGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $480,810 | TotalAmt |
| Program Services | $345,388 | ProgramServicesAmt |
| Management And General | $135,422 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Conferences Meetings ConferencesMeetingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $486,195 | TotalAmt |
| Program Services | $418,128 | ProgramServicesAmt |
| Management And General | $68,067 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Interest InterestGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $9,101,598 | TotalAmt |
| Program Services | $9,101,598 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Payments To Affiliates PaymentsToAffiliatesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
| Program Services | $0 | ProgramServicesAmt |
| Management And General | $0 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Depreciation Depletion DepreciationDepletionGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $33,369,290 | TotalAmt |
| Program Services | $25,616,330 | ProgramServicesAmt |
| Management And General | $7,752,960 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Insurance InsuranceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | -$9,453,112 | TotalAmt |
| Program Services | $3,794,443 | ProgramServicesAmt |
| Management And General | -$13,247,555 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Other Expenses OtherExpensesGrp (4 entries)
| DescDesc | TotalTotalAmt | Program ServicesProgramServicesAmt | Management And GeneralManagementAndGeneralAmt | FundraisingFundraisingAmt |
|---|---|---|---|---|
| Medical Supplies | $45,720,057 | $45,720,057 | $0 | $0 |
| Pharmaceuticals | $18,973,842 | $18,973,842 | $0 | $0 |
| BAD DEBT - PATIENT SVCS | $8,259,761 | $8,259,761 | $0 | $0 |
| Illinois Provider Tax | $16,782,682 | $16,782,682 | $0 | $0 |
All Other Expenses AllOtherExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $1,597,395 | TotalAmt |
| Program Services | $1,597,395 | ProgramServicesAmt |
Total Functional Expenses TotalFunctionalExpensesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $427,226,430 | TotalAmt |
| Program Services | $325,451,205 | ProgramServicesAmt |
| Management And General | $101,775,225 | ManagementAndGeneralAmt |
| Fundraising | $0 | FundraisingAmt |
Total Joint Costs TotalJointCostsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | $0 | TotalAmt |
Cash Non Interest Bearing CashNonInterestBearingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Savings And Temp Cash Invst SavingsAndTempCashInvstGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $12,711,831 | BOYAmt |
| EOY | $2,423,185 | EOYAmt |
Pledges And Grants Receivable PledgesAndGrantsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Accounts Receivable AccountsReceivableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $62,694,429 | BOYAmt |
| EOY | $85,804,766 | EOYAmt |
Receivables From Officers Etc ReceivablesFromOfficersEtcGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $2,708 | BOYAmt |
| EOY | $0 | EOYAmt |
Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Inventories For Sale Or Use InventoriesForSaleOrUseGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $5,132,761 | BOYAmt |
| EOY | $8,190,812 | EOYAmt |
Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $6,099,267 | BOYAmt |
| EOY | $3,335,882 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Bldg Equip Cost Or Other Bss | $730,271,166 | LandBldgEquipCostOrOtherBssAmt |
| Land Bldg Equip Accum Deprec | $312,839,846 | LandBldgEquipAccumDeprecAmt |
Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $381,617,080 | BOYAmt |
| EOY | $417,431,320 | EOYAmt |
Investments Pub Traded Sec InvestmentsPubTradedSecGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $87,586,567 | BOYAmt |
| EOY | $70,096,536 | EOYAmt |
Investments Other Securities InvestmentsOtherSecuritiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Investments Program Related InvestmentsProgramRelatedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $19,348,689 | BOYAmt |
| EOY | $12,912,660 | EOYAmt |
Intangible Assets IntangibleAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Assets Total OtherAssetsTotalGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $10,170,002 | BOYAmt |
| EOY | $5,091,128 | EOYAmt |
Total Assets TotalAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $585,363,334 | BOYAmt |
| EOY | $605,286,289 | EOYAmt |
Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $79,693,866 | BOYAmt |
| EOY | $85,775,299 | EOYAmt |
Grants Payable GrantsPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Deferred Revenue DeferredRevenueGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $444,708 | BOYAmt |
| EOY | $1,397,252 | EOYAmt |
Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $265,470,000 | BOYAmt |
| EOY | $259,030,000 | EOYAmt |
Escrow Account Liability EscrowAccountLiabilityGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Loans From Officers Directors LoansFromOfficersDirectorsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Other Liabilities OtherLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $61,162,167 | BOYAmt |
| EOY | $68,078,756 | EOYAmt |
Total Liabilities TotalLiabilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $406,770,741 | BOYAmt |
| EOY | $414,281,307 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Organization Follows SFAS117 | Yes (X) | OrganizationFollowsSFAS117Ind |
Unrestricted Net Assets UnrestrictedNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $178,592,593 | BOYAmt |
| EOY | $191,004,982 | EOYAmt |
Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $0 | BOYAmt |
| EOY | $0 | EOYAmt |
Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $178,592,593 | BOYAmt |
| EOY | $191,004,982 | EOYAmt |
Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | $585,363,334 | BOYAmt |
| EOY | $605,286,289 | EOYAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | Yes (X) | InfoInScheduleOPartXIInd |
| Reconcilation Revenue Expnss | $23,276,894 | ReconcilationRevenueExpnssAmt |
| Net Unrlzd Gains Losses Invst | $596,150 | NetUnrlzdGainsLossesInvstAmt |
| Other Changes In Net Assets | -$11,460,655 | OtherChangesInNetAssetsAmt |
| Method Of Accounting Accrual | Yes (X) | MethodOfAccountingAccrualInd |
| Accountant Compile Or Review | false | AccountantCompileOrReviewInd |
| FS Audited | Yes (true) | FSAuditedInd |
FS Audited Basis FSAuditedBasisGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Consolidated Basis Fincl Stmt | Yes (X) | ConsolidatedBasisFinclStmtInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | Yes (true) | AuditCommitteeInd |
| Federal Grant Audit Required | false | FederalGrantAuditRequiredInd |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital | Yes (X) | HospitalInd |
Schedule B IRS990ScheduleB
Contributor Information ContributorInformationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor | RESTRICTED | ContributorNum |
Contributor Business Name ContributorBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor US Address ContributorUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Contributions | RESTRICTED | TotalContributionsAmt |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbyingGrp | |
| Total Direct Lobbying | TotalDirectLobbyingGrp | |
| Total Lobbying Expend | TotalLobbyingExpendGrp | |
| Other Exempt Purpose Expend | OtherExemptPurposeExpendGrp | |
| Total Exempt Purpose Expend | TotalExemptPurposeExpendGrp | |
| Lobbying Nontaxable Amount | LobbyingNontaxableAmountGrp | |
| Grassroots Nontaxable | GrassrootsNontaxableGrp | |
| Tot Lbbyng Grassroot Mns Non Tx | TotLbbyngGrassrootMnsNonTxGrp | |
| Tot Lbby Expend Mns Lbbyng Non Tx | TotLbbyExpendMnsLbbyngNonTxGrp | |
| Volunteers | false | VolunteersInd |
| Paid Staff Or Management | false | PaidStaffOrManagementInd |
| Media Advertisements | false | MediaAdvertisementsInd |
| Media Advertisements | $0 | MediaAdvertisementsAmt |
| Mailings Members | false | MailingsMembersInd |
| Mailings Members | $0 | MailingsMembersAmt |
| Publications Or Broadcast | false | PublicationsOrBroadcastInd |
| Publications Or Broadcast | $0 | PublicationsOrBroadcastAmt |
| Grants Other Organizations | false | GrantsOtherOrganizationsInd |
| Grants Other Organizations | $0 | GrantsOtherOrganizationsAmt |
| Direct Contact Legislators | false | DirectContactLegislatorsInd |
| Direct Contact Legislators | $0 | DirectContactLegislatorsAmt |
| Rallies Demonstrations | false | RalliesDemonstrationsInd |
| Rallies Demonstrations | $0 | RalliesDemonstrationsAmt |
| Other Activities | Yes (true) | OtherActivitiesInd |
| Other Activities | $72,767 | OtherActivitiesAmt |
| Total Lobbying Expenditures | $72,767 | TotalLobbyingExpendituresAmt |
| Not Described Section501c3 | false | NotDescribedSection501c3Ind |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | LOBBYING ACTIVITIES | FormAndLineReferenceDesc |
| Explanation | PART 11-B, LINE 11 NORTHWEST COMMUNITY HOSPITAL PAYS DUES TO CERTAIN HOSPITAL ASSOCIATIONS WHICH USE A PORTION OF THESE DUES FOR LOBBYING. | ExplanationTxt |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amounts | ArtPublicExhibitionAmountsGrp | |
| Held Works Art | HeldWorksArtGrp | |
| CY Minus3 Yr Endwmt Fund | CYMinus3YrEndwmtFundGrp | |
| CY Minus4 Yr Endwmt Fund | CYMinus4YrEndwmtFundGrp | |
| Endowments Held Unrelated Org | false | EndowmentsHeldUnrelatedOrgInd |
| Endowments Held Related Org | Yes (true) | EndowmentsHeldRelatedOrgInd |
| Related Org List Sch R | Yes (true) | RelatedOrgListSchRInd |
Land LandGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $89,072 | OtherCostOrOtherBasisAmt |
| Book Value | $89,072 | BookValueAmt |
Buildings BuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $303,921,767 | OtherCostOrOtherBasisAmt |
| Depreciation | $124,984,733 | DepreciationAmt |
| Book Value | $178,937,035 | BookValueAmt |
Leasehold Improvements LeaseholdImprovementsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $211,515,760 | OtherCostOrOtherBasisAmt |
| Depreciation | $108,865,740 | DepreciationAmt |
| Book Value | $102,650,020 | BookValueAmt |
Equipment EquipmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Investment Cost Or Other Basis | $0 | InvestmentCostOrOtherBasisAmt |
| Other Cost Or Other Basis | $190,417,886 | OtherCostOrOtherBasisAmt |
| Depreciation | $68,403,347 | DepreciationAmt |
| Book Value | $122,014,539 | BookValueAmt |
Other Land Buildings OtherLandBuildingsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | $24,326,680 | OtherCostOrOtherBasisAmt |
| Depreciation | $10,586,026 | DepreciationAmt |
| Book Value | $13,740,654 | BookValueAmt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Land Buildings | $417,431,320 | TotalBookValueLandBuildingsAmt |
| Federal Income Tax Liability | $0 | FederalIncomeTaxLiabilityAmt |
Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)
| DescDesc | AmtAmt |
|---|---|
| THIRD PARTY OBLIGATIONS | $48,009,705 |
| DUE TO AFFILIATES | $58,767 |
| ASSET RETIREMENT | $809,743 |
| PENSION OBLIGATION | $16,957,136 |
| OTHER LONG TERM LIABILITIES | $2,283,219 |
| BASIS SWAP | -$39,814 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Liability | $68,078,756 | TotalLiabilityAmt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | INTENDED USE OF ENDOWMENT FUNDS | FormAndLineReferenceDesc |
| Explanation | Schedule D, Part V, Line 4 ENDOWMENT FUNDS ARE CREATED ACCORDING TO HOSPITAL NEEDS AND DESIGNATION OR PREFERENCES OF THE DONOR(S) SUPPORTING THE ENDOWMENT FUND. SCHOLARSHIP FUNDS, CONTINUED EDUCATION, OR FUNDS FOR PATIENT CARE IN A HOSPITAL DEPARTMENT DESIGNATED BY THE ENDOWMENT FUND ARE EXAMPLES OF FUND USES. Substantially all restricted contributions benefiting Hospital are initially received by Foundation. When a donor restriction is met, Foundation transfers the temporarily restricted gift to Healthcare or Hospital at which time the related net assets are released from restriction in the consolidated financial statements. | ExplanationTxt |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Assistance Policy | Yes (true) | FinancialAssistancePolicyInd |
| Written Policy | Yes (true) | WrittenPolicyInd |
| FPG Reference Free Care | Yes (true) | FPGReferenceFreeCareInd |
Free Care Oth Percentage FreeCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Free Care Other | 300. | FreeCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | Yes (true) | FPGReferenceDiscountedCareInd |
Discounted Care Oth Percentage DiscountedCareOthPercentageGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | Yes (X) | OtherInd |
| Discounted Care Other | 600. | DiscountedCareOtherPct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Care Medically Indigent | Yes (true) | FreeCareMedicallyIndigentInd |
| Financial Assistance Budget | Yes (true) | FinancialAssistanceBudgetInd |
| Expenses Exceed Budget | false | ExpensesExceedBudgetInd |
| Annual Community Bnft Report | Yes (true) | AnnualCommunityBnftReportInd |
| Report Publically Available | Yes (true) | ReportPublicallyAvailableInd |
Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $11,535,277 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $11,535,277 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.02700 | TotalExpensePct |
Unreimbursed Medicaid UnreimbursedMedicaidGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $47,456,345 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $20,085,148 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $27,371,197 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.06410 | TotalExpensePct |
Total Financial Assistance Typ TotalFinancialAssistanceTyp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $58,991,622 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $20,085,148 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $38,906,474 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.09110 | TotalExpensePct |
Community Health Services CommunityHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $1,515,891 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $124,506 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $1,391,385 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00330 | TotalExpensePct |
Health Professions Education HealthProfessionsEducationGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $2,870,106 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $484,498 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $2,385,608 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00560 | TotalExpensePct |
Subsidized Health Services SubsidizedHealthServicesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $491,093 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $243,727 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $247,366 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00060 | TotalExpensePct |
Research ResearchGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $63,911 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $63,911 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00010 | TotalExpensePct |
Cash And In Kind Contributions CashAndInKindContributionsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $578,232 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $578,232 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00140 | TotalExpensePct |
Total Other Benefits TotalOtherBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $5,519,233 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $852,731 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $4,666,502 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.01100 | TotalExpensePct |
Total Community Benefits TotalCommunityBenefitsGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $64,510,855 | TotalCommunityBenefitExpnsAmt |
| Direct Offsetting Revenue | $20,937,879 | DirectOffsettingRevenueAmt |
| Net Community Benefit Expns | $43,572,976 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.10210 | TotalExpensePct |
Economic Development EconomicDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,435 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $3,435 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Community Support CommunitySupportGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $10,427 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $10,427 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Coalition Building CoalitionBuildingGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $3,149 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $3,149 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Workforce Development WorkforceDevelopmentGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $16,865 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $16,865 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
Total Communtity Building Acty TotalCommuntityBuildingActyGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expns | $33,876 | TotalCommunityBenefitExpnsAmt |
| Net Community Benefit Expns | $33,876 | NetCommunityBenefitExpnsAmt |
| Total Expense | 0.00000 | TotalExpensePct |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReportedInd |
| Bad Debt Expense | $8,259,761 | BadDebtExpenseAmt |
| Bad Debt Expense Attributable | $0 | BadDebtExpenseAttributableAmt |
| Reimbursed By Medicare | $150,043,709 | ReimbursedByMedicareAmt |
| Cost Of Care Reimbursed By Medcr | $181,816,143 | CostOfCareReimbursedByMedcrAmt |
| Medicare Surplus Or Shortfall | -$31,772,434 | MedicareSurplusOrShortfallAmt |
Costing Methodology Used CostingMethodologyUsedGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost Accounting System | Yes (X) | CostAccountingSystemInd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | Yes (true) | WrittenDebtCollectionPolicyInd |
| Financial Assistance Prvsn | Yes (true) | FinancialAssistancePrvsnInd |
| Hospital Facilities | 1 | HospitalFacilitiesCnt |
Hospital Facilities HospitalFacilitiesGrp
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
Business Name BusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NORTHWEST COMMUNITY HOSPITAL | BusinessNameLine1Txt |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 800 W CENTRAL ROAD | AddressLine1Txt |
| City | ARLINGTON HEIGHTS | CityNm |
| State Abbreviation | IL | StateAbbreviationCd |
| ZIP | 60005 | ZIPCd |
| Field | Value | IRS element (for citing) |
|---|---|---|
| State License | 0001701 | StateLicenseNum |
| Licensed Hospital | Yes (X) | LicensedHospitalInd |
| General Medical And Surgical | Yes (X) | GeneralMedicalAndSurgicalInd |
| Emergency Room24 Hrs | Yes (X) | EmergencyRoom24HrsInd |
Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NORTHWEST COMMUNITY HOSPITAL | BusinessNameLine1Txt |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 1 | FacilityNum |
| First Licensed CY Or PY | false | FirstLicensedCYOrPYInd |
| Tax Exempt Hospital CY Or PY | false | TaxExemptHospitalCYOrPYInd |
| CHNA Conducted | Yes (true) | CHNAConductedInd |
| Community Definition | Yes (X) | CommunityDefinitionInd |
| Community Demographics | Yes (X) | CommunityDemographicsInd |
| Existing Resources | Yes (X) | ExistingResourcesInd |
| How Data Obtained | Yes (X) | HowDataObtainedInd |
| Community Health Needs | Yes (X) | CommunityHealthNeedsInd |
| Other Health Issues | Yes (X) | OtherHealthIssuesInd |
| Community Hlth Needs Id Process | Yes (X) | CommunityHlthNeedsIdProcessInd |
| Consulting Process | Yes (X) | ConsultingProcessInd |
| Information Gaps | Yes (X) | InformationGapsInd |
| CHNA Conducted | 12 | CHNAConductedYr |
| Take Into Account Others Input | Yes (true) | TakeIntoAccountOthersInputInd |
| CHNA Conducted With Other Fclts | false | CHNAConductedWithOtherFcltsInd |
| CHNA Conducted With Non Fclts | Yes (true) | CHNAConductedWithNonFcltsInd |
| CHNA Report Widely Available | Yes (true) | CHNAReportWidelyAvailableInd |
| Rpt Available On Own Website | Yes (X) | RptAvailableOnOwnWebsiteInd |
| Own Website URL | www.nch.org | OwnWebsiteURLTxt |
| Paper Copy Public Inspection | Yes (X) | PaperCopyPublicInspectionInd |
| Rpt Available Thru Other Method | Yes (X) | RptAvailableThruOtherMethodInd |
| Implementation Strategy Adopt | Yes (true) | ImplementationStrategyAdoptInd |
| Implementation Strategy Adpt | 12 | ImplementationStrategyAdptYr |
| Strategy Posted Website | Yes (true) | StrategyPostedWebsiteInd |
| Strategy Website URL | WWW.NCH.ORG | StrategyWebsiteURLTxt |
| Strategy Attached | false | StrategyAttachedInd |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTaxInd |
| Elig Criteria Explained | Yes (true) | EligCriteriaExplainedInd |
| FPG Family Incm Lmt Free Dscnt | Yes (X) | FPGFamilyIncmLmtFreeDscntInd |
| FPG Family Incm Lmt Free Care | 300. | FPGFamilyIncmLmtFreeCarePct |
| FPG Family Incm Lmt Dscnt Care | 600. | FPGFamilyIncmLmtDscntCarePct |
| Asset Level Criteria | Yes (X) | AssetLevelCriteriaInd |
| Medical Indigency Criteria | Yes (X) | MedicalIndigencyCriteriaInd |
| Insurance Status Criteria | Yes (X) | InsuranceStatusCriteriaInd |
| Underinsurance Stat Criteria | Yes (X) | UnderinsuranceStatCriteriaInd |
| Residency Criteria | Yes (X) | ResidencyCriteriaInd |
| Explained Basis | Yes (true) | ExplainedBasisInd |
| App Financial Asst Expln | Yes (true) | AppFinancialAsstExplnInd |
| Described Info | Yes (X) | DescribedInfoInd |
| Described Suprt Doc | Yes (X) | DescribedSuprtDocInd |
| Provided Hospital Contact | Yes (X) | ProvidedHospitalContactInd |
| Provided Nonprofit Contact | Yes (X) | ProvidedNonprofitContactInd |
| Includes Publicity Measures | Yes (true) | IncludesPublicityMeasuresInd |
| FAP Available On Website | Yes (X) | FAPAvailableOnWebsiteInd |
| FAP Available On Website URL | www.nch.org | FAPAvailableOnWebsiteURLTxt |
| FAP App Available On Website | Yes (X) | FAPAppAvailableOnWebsiteInd |
| FAP App Available On Website URL | www.nch.org | FAPAppAvailableOnWebsiteURLTxt |
| FAP Summary On Website | Yes (X) | FAPSummaryOnWebsiteInd |
| FAP Summary On Website URL | www.nch.org | FAPSummaryOnWebsiteURLTxt |
| FAP Avlbl On Request No Charge | Yes (X) | FAPAvlblOnRequestNoChargeInd |
| FAP App Avlbl On Request No Chrg | Yes (X) | FAPAppAvlblOnRequestNoChrgInd |
| FAP Sum Avlbl On Request No Chrg | Yes (X) | FAPSumAvlblOnRequestNoChrgInd |
| FAP Notice Displayed | Yes (X) | FAPNoticeDisplayedInd |
| Communtity Notified FAP | Yes (X) | CommuntityNotifiedFAPInd |
| FAP Actions On Nonpayment | Yes (true) | FAPActionsOnNonpaymentInd |
| Permit No Actions | Yes (X) | PermitNoActionsInd |
| Collection Activities | false | CollectionActivitiesInd |
| FAP Notified Upon Admission | Yes (X) | FAPNotifiedUponAdmissionInd |
| FAP Notified Before Discharge | Yes (X) | FAPNotifiedBeforeDischargeInd |
| FAP Notified All Patients | Yes (X) | FAPNotifiedAllPatientsInd |
| Documented Elig Determination | Yes (X) | DocumentedEligDeterminationInd |
| Nondis Emergency Care Policy | Yes (true) | NondisEmergencyCarePolicyInd |
| Other Method Used | Yes (X) | OtherMethodUsedInd |
| Amounts Generally Billed | false | AmountsGenerallyBilledInd |
| Gross Charges | false | GrossChargesInd |
Supplemental Information SupplementalInformationGrp (5 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART V, SECTION B, LINE 5 | IN 2012, 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. 3,710 SURVEYS WERE CONDUCTED IN THE REGION WHICH CONSISTED OF COOK, DUPAGE AND LAKE COUNTIES, WITH 325 IN THE HOSPITAL'S IMMEDIATE 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 CENTERS 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, CHILDREN'S 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 RECOMMENDED PARTICIPANTS WAS PROVIDED BY MCHC; THIS LIST INCLUDED NAMES AND CONTACT INFORMATION FOR PHYSICIANS, PUBLIC HEALTH REPRESENTATIVES, OTHER HEALTH PROFESSIONALS, SOCIAL SERVICE PROVIDERS, AND A VARIETY OF OTHER COMMUNITY LEADERS. 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, 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, 17 COMMUNITY STAKEHOLDERS TOOK PART IN THE ONLINE KEY INFORMANT SURVEY WHICH INCLUDED RESPONSES FROM TWO COMMUNITY/BUSINESS LEADERS, SIX HEALTH PROVIDERS, TWO PHYSICIANS, ONE PUBLIC HEALTH EXPERT, AND SIX SOCIAL SERVICE AGENCY REPRESENTATIVES. THE ORGANIZATIONS REPRESENTED INCLUDE: NORTHWEST COMPASS, PALATINE OPPORTUNITY CENTER, PALATINE TOWNSHIP, VILLAGE OF ARLINGTON HEIGHTS, WHEELING TOWNSHIP GENERAL ASSISTANCE OFFICE AND NORTHWEST COMMUNITY HEALTHCARE. 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. PART V, SECTION B, LINE 6B THE 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 AND A FEDERALLY QUALIFIED HEALTH CENTER TO ADDRESS THE NEED OF IMPROVING ACCESS TO PRIMARY AND BEHAVIORAL HEALTHCARE FOR UNINSURED AND UNDERINSURED INDIVIDUALS; 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 DENTAL SCHOOL, AS WELL AS PROFESSIONAL VOLUNTEERS. IN ADDITION, THE HOSPITAL WORKS WITH LOCAL SCHOOL DISTRICTS, HEALTHCARE ORGANIZATIONS, SOCIAL SERVICE ORGANIZATIONS AND COMMUNITY ORGANIZATIONS TO ADDRESS DIABETES, NUTRITION, CANCER AND OTHER HEALTHCARE NEEDS. A COMPLETE LIST OF PARTNERS IS INCLUDED IN THE HOSPITAL'S IMPLEMENTATION PLAN WHICH IS POSTED ON THE HOSPITAL'S WEBSITE (WWW.NCH.ORG). PART V, SECTION B, LINE 7D IN ADDITION TO POSTING THE CHNA ON THE HOSPITAL'S WEBSITE (WWW.NCH.ORG) AND HAVING COPIES AVAILABLE UPON REQUEST, THE HOSPITAL MAILED MORE THAN 200 COPIES TO KEY GOVERNMENT AND MUNICIPAL LEADERS, SOCIAL SERVICE AGENCIES AND COMMUNITY MEMEBERS. ALSO, THE HOSPITAL SENT SEVERAL PRESS RELEASES TO LOCAL NEWSPAPERS TO INFORM THE COMMUNITY THAT THE REPORT WAS AVAILABLE. |
| PART V, SECTION B, LINE 11 | THE MOST PREVALENT NEEDS IDENTIFIED IN THE CHNA WERE ACCESS TO CARE (PRIMARY, ORAL AND BEHAVIORAL HEALTHCARE), OBESITY/ DIABETES AND CANCER. THE HOSPITAL PARTNERS WITH MANY NOT FOR PROFIT AGENCIES, MUNICIPALITIES, AND OTHERS TO ADDRESS THE COMMUNITY HEALTH NEEDS IDENTIFIED IN THE CHNA. EXAMPLES OF HOW THE HOSPITAL IS ADDRESSING THESE NEEDS INCLUDE: THE HOSPITAL COLLABORATES WITH A COUNTY HEALTH CLINIC AND A FEDERALLY QUALIFIED HEALTH CENTER TO ADDRESS THE NEED OF IMPROVING ACCESS TO PRIMARY HEALTHCARE FOR UNINSURED AND UNINSURED INDIVIDUALS. THE HOSPITAL ALSO FUNDS A CHARITABLE PRESCRIPTION AND COMMUNITY NURSING PROGRAM. 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 DENTAL SCHOOL, HARPER COLLEGE, AS WELL AS PROFESSIONAL VOLUNTEERS. THE HOSPITAL OPERATES A MENTAL HEALTH UNIT AND FUNDS A BEHAVIORAL HEALTH NAVIGATOR WHO ASSISTS UNINSURED AND UNDERINSURED INDIVIDUALS WITH MENTAL ILLNESS AND SUBSTANCE ABUSE ISSUE ACCESS SERVICES AND OTHER RESOURCES. THE HOSPITAL FUNDS A COMMUNITY HEALTH WORKER PROGRAM, PROMOTORAS DE SALUD, TO PROVIDE EDUCATION AND SUPPORT TO SPANISH SPEAKERS IN THE COMMUNITY ON NUTRITION, EXERCISE AND DIABETES. THE HOSPITAL ALSO WORKS WITH A LOCAL SCHOOL DISTRICT TO FUND A SUMMER NUTRITION PROGRAM AND SUPPORTS A COMMUNITY GARDEN. EFFORTS TO ADDRESS CANCER INCLUDE PROVIDING INDIVIDUAL AND GROUP TOBACCO CESSATION AND COUNSELING, FACILITATING MULTIPLE CANCER SUPPORT GROUPS, UTILIZING CANCER NURSE NAVIGATORS AND PARTICIPATING IN CANCER RESEARCH PROJECTS. IN ACKNOWLEDGING THE WIDE RANGE OF PRIORITY 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. THERE ARE TWO COMMUNITY HEALTH NEEDS THAT THE HOSPITAL IS UNABLE TO ADDRESS; CHRONIC DISEASES (ARTHRITIS, RHEUMATISM, OSTEOPOROSIS, AND KIDNEY) AND ADULT SUBSTANCE ABUSE. THE HOSPITAL BELIEVES THAT THE EFFORTS TO IMPROVE ACCESS TO PRIMARY HEALTH SERVICES WILL HAVE A POSITIVE IMPACT ON EARLY DETECTION AND THAT A SEPARATE SET OF DISEASE SPECIFIC INITIATIVES IS NOT NECESSARY. FOR THOSE DIAGNOSED WITH THESE DISEASES, NCH PROVIDES TREATMENT IN ITS SCOPE OF SERVICE REGARDLESS OF A PATIENT'S ABILITY TO PAY. THE HOSPITAL DOES NOT PROVIDE ADULT SUBSTANCE ABUSE SERVICES BUT REFERS THESE PATIENTS TO OTHER RESOURCES IN THE COMMUNITY. FOR A COMPLETE LIST OF INITIATIVES AND COLLABORATIVE PARTNERS VISIT THE HOSPITAL'S WEBSITE (WWW.NCH.ORG). |
| PART V, SECTION B, LINE 13H | PRESUMED ELIGIBLE PATIENTS RECEIVE 100% FINANCIAL ASSISTANCE FOR THE ACCOUNT BALANCE. A PATIENT IS PRESUMED ELIGIBLE IF THE PATIENT HAS ONE OF THE FOLLOWING. A PATIENT MUST PROVIDE DOCUMENTATION LISTING ELIGIBILITY OR QUALIFICATION, OR PRINT SCREEN OF WEB PAGE LISTINGS ELIGIBILITY: - 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) - RELIGIOUS ORDER AFFILIATION AND A VOW OF POVERTY. |
| PART V, SECTION B, LINE 22D | AMOUNTS 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). |
| PART V, SECTION B, LINES 23-24 | INDIVIDUALS ARE QUALIFIED FOR FINANCIAL ASSISTANCE UTILIZING FEDERAL POVERTY GUIDELINES, FAMILY INCOME LEVELS AND FAMILY SIZE. MOST INDIVIDUALS WHO QUALIFY UNDER OUR FINANCIAL ASSISTANCE POLICY WOULD BE BILLED AN AMOUNT SIGNIFICANTLY LOWER THAN THE AMOUNT THAT WOULD BE BILLED FOR AN INDIVIDUAL WITH INSURANCE COVERAGE. HOWEVER, IN RARE INSTANCES IT IS POSSIBLE THAT THE AMOUNT BILLED TO SUCH AN INDIVIDUAL COULD BE HIGHER THAN THAT BILLED FOR INDIVIDUALS WITH INSURANCE COVERAGE. HOWEVER, ONCE IT IS KNOWN THAT THE PERSON IS FAP ELIGIBLE, THE AMOUNT WOULD BE REDUCED. |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility | 11 | FacilityNum |
Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp
Oth Hlth Care Fclts OthHlthCareFcltsGrp (11 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | FacilityFacilityTxt |
|---|---|---|---|---|
| NCH MENTAL HEALTH & YOUTH CENTER | ||||
| 901 W KIRCHOFF ROAD | ARLINGTON HEIGHTS | IL | 60005 | IN & OUT MENTAL HEALTH YOUTH SUBSTANCE ABUSE TREATMENT SERVICES |
| NCH IMMEDIATE CARE & IMAGING CENTER | ||||
| 199 W RAND ROAD | MOUNT PROSPECT | IL | 60056 | WALK IN URGENT CARE CENTER IMAGING SERVICES & CARDIAC TREATMENT |
| NCH IMMEDIATE CARE & IMAGING CENTER | ||||
| 519 SROSELLE ROAD | SCHAUMBURG | IL | 60193 | WALK IN URGENT CARE CENTER, IMAGING SERVICES & OUTPATIENT PHYSICAL MEDICINE SERVICES |
| NORTHWEST COMMUNITY HOSPITAL & IMAGING | ||||
| 1450 BUSCH PARKWAY | BUFFALO GROVE | IL | 60089 | IMAGING SERVICES |
| NCH IMMEDIATE CARE & IMAGING CENTER | ||||
| 15 S MCHENRY ROAD | BUFFALO GROVE | IL | 60089 | WALK IN URGENT CARE CENTER, IMAGING SERVICES & PHYSICAL MEDICINE SERVICES |
| NCH CARDIAC & PHYSICAL MEDICINE REHAB | ||||
| 900 W CENTRAL ROAD | ARLINGTON HEIGHTS | IL | 60005 | OUTPATIENT CARDIAC REHAB PROGRAM & PHYSICAL MEDICINE SERVICES |
| NCH HOME HEALTH | ||||
| 3060 SALT CREEK LANE | ARLINGTON HEIGHTS | IL | 60005 | HOME HEALTHCARE SERVICES |
| NCH IMMEDIATE CARE CENTER | ||||
| 1201 S RAND ROAD | LAKE ZURICH | IL | 60047 | WALK IN URGENT CARE CENTER & OUTPATIENT PHYSICAL MEDICINE SERVICES |
| NCH OUTPATIENT CENTER | ||||
| 3300 KIRCHOFF ROAD | ROLLING MEADOWS | IL | 60008 | OUTPATIENT PHYSICAL MEDICINE SERVICES |
| NCH PHYSICAL MEDICINE & REHAB | ||||
| 1590 N ARLINGTON HEIGHTS ROAD | ARLINGTON HEIGHTS | IL | 60005 | OUTPATIENT PHYSICAL MEDICINE SERVICES |
| NCH OCCUPATIONAL WELLNESS & REHAB | ||||
| 455 S ROSELLE ROAD | SCHAUMBURG | IL | 60193 | OCCUPATIONAL WELLNESS & REHAB |
Supplemental Information Detail SupplementalInformationDetail (16 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| PART I, LINE 3C | CHARITY CARE POLICY THE HOSPITAL PROVIDES EMERGENT AND MEDICALLY NECESSARY SERVICES TO ALL PATIENTS WITHOUT REGARD TO THE PATIENT'S ABILITY TO PAY. THE WRITTEN CHARITY CARE POLICY IS WIDELY DISTRIBUTED AND COMMUNICATED TO THE COMMUNITY UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY. THE AMOUNT OF FREE CARE PROVIDED IS DETERMINED BY FINANCIAL NEED AND IS NOT LIMITED BY BUDGETED AMOUNTS. PATIENTS EARNING LESS THAN 300% OF THE FEDERAL POVERTY GUIDELINES RECEIVE FREE CARE AND THOSE BETWEEN 300% AND 600% OF THE GUIDELINES RECEIVE DISCOUNTED CARE ON A SLIDING SCALE. THE FINANCIAL ASSISTANCE PROGRAM LOOKS AT THE CURRENT INCOME AND THEN CALCULATES THE POTENTIAL BENEFIT. CONSISTENT WITH THE ILLINOIS UNINSURED PATIENT DISCOUNT ACT, PATIENTS WITHOUT INSURANCE COVERAGE ARE ELIGIBLE FOR A 64% DISCOUNT IF THEIR INCOME IS BETWEEN 301% AND 600% OF THE FEDERAL POVERTY GUIDELINES. OF THE REMAINING BALANCE, THE PATIENT'S LIABILITY IS CAPPED AT 25% OF THE FAMILY'S ANNUAL INCOME. |
| PART I, LINE 6A | COMMUNITY BENEFIT REPORT THE HOSPITAL'S COMMUNITY BENEFIT ACTIVITIES ARE INCLUDED IN AN ANNUAL REPORT ISSUED BY NORTHWEST COMMUNITY HEALTHCARE, THE SOLE CORPORATE MEMBER OF THE HOSPITAL. |
| PART I, LINE 7 | THE FOLLOWING METHODOLOGIES WERE USED TO DETERMINE THE AMOUNTS REPORTED IN THE TABLE FOR LINE 7: |
| PART I, LINES 7A - 7D | RATIO OF COST TO CHARGES WAS DETERMINED USING WORKSHEET 2 IN THE FORM 990, SCHEDULE H INSTRUCTIONS. |
| PART I, LINES 7E - 7I | COSTS WERE DETERMINED USING THE DIRECT AND INDIRECT COSTS FOR SPECIFIC PROGRAMS OR SERVICES. THESE COSTS WERE MAINTAINED / IDENTIFIED IN THE HOSPITALS "COMMUNITY BENEFIT INVENTORY FOR SOCIAL ACCOUNTABILITY SOFTWARE" (CBISA). THE INDIRECT PORTION OF THESE COSTS WAS CALCULATED UTILIZING THE INDIRECT COST RATIO FROM THE HOSPITALS 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. |
| PART II | COMMUNITY BUILDING ACTIVITIES ECONOMIC DEVELOPMENT NCH'S VICE PRESIDENT REPRESENTS NCH AS A MEMBER AND ACTIVE PARTICIPANT OF THE ARLINGTON HEIGHTS ECONOMIC ALLIANCE. THE PURPOSE OF THE ALLIANCE IS TO PROVIDE THE BUSINESS COMMUNITY A STRONG PARTNERSHIP WITH THE VILLAGE AND TO PROMOTE A HEALTHY BUSINESS CLIMATE. THE ALLIANCE IS THE VILLAGE BOARD'S ECONOMIC ADVISORY COMMITTEE ON BUSINESS ISSUES. COMMUNITY SUPPORT THE HOSPITAL HAS A DEDICATED INFECTION CONTROL TEAM THAT NOT ONLY ENSURES THE HOSPITAL IS SAFE BUT ALSO ASSISTS THE COMMUNITY IN TIMES OF EMERGENCY. IN 2015 THE DEPARTMENT WAS ACTIVELY INVOLVED IN PREPARING THE COMMUNITY FOR A POTENTIAL EBOLA OUTBREAK. THE DOLLARS REPORTED REPRESENT STAFF HOURS. COALITION BUILDING NCH'S CONTROLLER AND NCH'S DIRECTOR OF COMMUNITY SERVICES REPRESENT NCH THROUGH PARTICIPATION IN THE PALATINE AND ARLINGTON HEIGHTS ROTARY CLUBS IN THE HOSPITALS 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. WORKFORCE DEVELOPMENT NCH 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. NCH 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. NCH 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. |
| PART III, LINES 2, 3 AND 4 | 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 REFERENCING ACCOUNTS RECEIVABLE IN THE FY 2015 AUDIT IS AS FOLLOWS: "[NCH] ANALYSES THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS QUARTERLY USING A HINDSIGHT CALCULATION THAT UTILIZES WRITE-OFF DATA FOR ALL PAYER CLASSES DURING THE PREVIOUS EIGHTEEN MONTH PERIOD TO ESTIMATE THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS AT A POINT IN TIME. THE RESERVE PERCENTAGES IN THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS RESERVE CHANGES EACH MONTH GIVEN CHANGES IN TRENDS FROM THESE ANALYSIS 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 2015, THE HOSPITAL RECORDED PROVISIONS FOR BAD DEBT EXPENSE OF $8,259,761. 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, LINE 8 | MEDICARE SHORTFALL 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 LINE 9b | COLLECTION PRACTICES 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. 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.). THE PATIENT'S ACCOUNT MAY BE SUSPENDED FROM COLLECTION ACTIVITY 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. |
| PART VI, LINE 2 | NEEDS ASSESSMENT THE ASSESSMENT 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 SURVEY) 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 HOSPITALS 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 AND QUALITATIVE DATA WAS COMPILED AND PRESENTED TO THE HOSPITAL IN A 213 PAGE DOCUMENT WHICH INCLUDED A RECOMMENDATION 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: COMMUNITY SERVICES, STRATEGIC PLANNING, PATIENT ACCESS SERVICES, FINANCE, CLINICAL RESOURCE MANAGEMENT, FOUNDATION, DATA GOVERNANCE, NURSING, RESEARCH, AND MARKETING. 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, AS WELL AS PRESCRIPTION MEDICATION. OTHER CONCERNS WERE ADULT AND CHILDHOOD OBESITY/DIABETES AND CANCER. THE HOSPITAL HAS IDENTIFIED THESE CONCERNS AS THE FIVE MAIN "PRIORITY AREAS", AND THE MAJORITY OF THE HOSPITAL'S OUTREACH EFFORTS FOCUS ON ADDRESSING THESE NEEDS. AN IMPLEMENTATION PLAN WAS DEVELOPED AND WAS PRESENTED FOR APPROVAL TO THE COMMUNITY HEALTH AND OUTREACH COMMITTEE, A COMMITTEE OF THE BOARD OF DIRECTORS, AS WELL AS TO THE COMMUNITY BENEFIT REGULATORY COMMITTEE, A NEW COMMITTEE FORMED TO ENSURE THE HOSPITAL IS MEETING ALL REGULATORY REQUIREMENTS. BOTH COMMITTEES UNANIMOUSLY APPROVED THE PLAN WHICH INCLUDES MEASUREMENT INDICATORS AND THE PLAN WAS POSTED TO THE HOSPITALS WEBSITE (WWW.NCH.ORG), 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. |
| PART VI, LINE 3 | PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE THE FINANCIAL ASSISTANCE PROGRAM AT NORTHWEST COMMUNITY HOSPITAL IS COMMUNICATED WIDELY TO PATIENTS AND VISITORS IN ENGLISH AND SPANISH USING THE FOLLOWING METHODS: 1. SIGNAGE IN ENGLISH AND SPANISH IS POSTED THROUGHOUT THE ORGANIZATION AT ALL ACCESS POINTS, INCLUDING THE EMERGENCY DEPARTMENT AND OUTPATIENT REGISTRATION AREAS. THESE AREAS ALSO STOCK AND MAKE AVAILABLE A BROCHURE, PRINTED IN ENGLISH AND SPANISH, DESCRIBING THE HOSPITAL'S POLICY. THE HOSPITAL PROVIDES A COMPREHENSIVE LANGUAGE ASSISTANCE PROGRAM WHICH CAN ASSIST THOSE WHO NEED ADDITIONAL INFORMATION ON FINANCIAL ASSISTANCE. IN 2015 ASSISTANCE WAS PROVIDED 24 HOURS-PER-DAY, 7 DAYS-PER-WEEK THROUGH TELEPHONIC AND VIDEO REMOTE INTERPRETATION. MEDICAL INTERPRETERS ALSO PROVIDED IN-PERSON LANGUAGE INTERPRETATION FOR 1,710 HOURS AND IN-PERSON SIGN LANGUAGE INTERPRETATION FOR 337 HOURS. 2. IN 2015 THE INFORMATION BELOW WAS POSTED ON THE HOSPITAL WEBSITE. "FINANCIAL ASSISTANCE" AND OTHER 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, WAYS TO REACH THE NCH FINANCIAL COUNSELOR BY EMAIL OR PHONE, AND MORE. 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. FINANCIAL ROLES & RESPONSIBILITIES PAGE: NORTHWEST COMMUNITY HOSPITAL IS A CHARITABLE ORGANIZATION AND PROVIDES FINANCIAL ASSISTANCE TO THOSE WHO ARE ELIGIBLE. THE DAY SURGERY CENTER IS A FOR-PROFIT ORGANIZATION AND ALSO PROVIDES FINANCIAL ASSISTANCE TO THOSE WHO ARE ELIGIBLE. 3. EACH PATIENT INVOICE OR OTHER SUMMARY OF CHARGES TO A PATIENT SHALL INCLUDE WITH IT OR ON IT A STATEMENT REGARDING HOW A PATIENT MAY APPLY FOR CONSIDERATION UNDER THE HOSPITAL'S FINANCIAL ASSISTANCE POLICY. THE PATIENT IS PROVIDED CONTACT NUMBER FOR FINANCIAL ASSISTANCE AND OUR WEBPAGE TO DOWN LOAD 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. |
| PART VI, LINE 4 | COMMUNITY INFORMATION NORTHWEST COMMUNITY HOSPITAL IS LOCATED IN ARLINGTON HEIGHTS, ILLINOIS; A SUBURB LOCATED APPROXIMATELY 25 MILES NORTHWEST OF CHICAGO. ITS PRIMARY SERVICE AREA CONSISTS OF ARLINGTON HEIGHTS AND THE SURROUNDING SUBURBS OF MT. PROSPECT, PALATINE, AND ROLLING MEADOWS. THE HOSPITAL'S SECONDARY SERVICE AREA IS COMPRISED OF BARRINGTON, BUFFALO GROVE, DES PLAINES, ELK GROVE VILLAGE, HOFFMAN ESTATES, LAKE ZURICH, PROSPECT HEIGHTS, SCHAUMBURG AND WHEELING. THE HOSPITAL'S TOTAL SERVICE AREA HAS INCREASED FROM 659,299 IN 2007 TO 676,828 IN 2015. THE HIGHEST UTILIZERS OF HEALTH CARE SERVICES ARE PATIENTS AGED 65 AND OVER, AND THIS AGE GROUP IS EXPECTED TO GROW 17.4% OVER THE NEXT SIX 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 20121). 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 LOCATED IN THE HOSPITAL'S SERVICE AREA. |
| PART VI, LINE 5 | PROMOTION OF COMMUNITY HEALTH THE HOSPITAL FURTHERS ITS EXEMPT PURPOSE BY PROMOTING THE HEALTH OF ITS COMMUNITY IN MANY WAYS AS FOLLOWS: (1) A MAJORITY OF THE HOSPITAL'S BOARD OF DIRECTORS IS COMPRISED OF PERSONS WHO LIVE OR WORK IN THE HOSPITAL'S PRIMARY SERVICE AREA AND ARE NOT EMPLOYEES OR CONTRACTORS OF THE HOSPITAL. (2) THE HOSPITAL EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY. (3) A STANDING COMMUNITY HEALTH AND OUTREACH COMMITTEE OF THE HOSPITAL BOARD REVIEWS THE COMMUNITY HEALTH NEEDS ASSESSMENT AND ENSURES THE IMPLEMENTATION PLAN ADDRESS' 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 ANY SURPLUS FUNDS 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: AMERICAN CANCER SOCIETY, THE CHILDREN'S ADVOCACY CENTER LEADERSHIP COMMITTEE, CHICAGO DENTAL SOCIETY, METROPOLITAN CHICAGO HEALTHCARE COUNCIL BOARD OF DIRECTORS, NORTHERN FOX VALLEY ONCOLOGY NURSING SOCIETY, 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 2015, 35,439 PATIENT VISITS WERE PROVIDED AT THESE CLINICS AND THE HOSPITAL'S FINANCIAL AND IN-KIND SUPPORT WAS $159,700. THE HOSPITAL ALSO PARTNERS WITH ELK GROVE, PALATINE, SCHAUMBURG, AND WHEELING TOWNSHIPS ON A MOBILE DENTAL CLINIC PROGRAM WHICH PROVIDED 2,560 PATIENT VISITS IN FY 2015 WITH THE HOSPITAL ABSORBING $130,500 OF THE TOTAL COST. 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 2015, THE COMMUNITY RESOURCE CENTER HAD 21,100 CLIENT VISITS AND THE HOSPITAL'S COST TO OPERATE THE FACILITY WAS $193,100. 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 2015, 350 PEOPLE PARTICIPATED IN CLASSES LED BY THE PROMOTORA, BREASTFEEDING SUPPORT WAS PROVIDED 1,300 TIMES AND 4 CONGESTIVE HEART FAILURE PATIENTS RECEIVED ASSISTANCE AFTER DISCHARGE. THE HOSPITAL AND POC ALSO COLLABORATIVELY PROVIDE THE SERVICES OF A BILINGUAL COMMUNITY HEALTH NURSE AND BILINGUAL BEHAVIORAL HEALTH NAVIGATOR WHO FOCUS ON HELPING UNDER-RESOURCED MEMBERS OF THE COMMUNITY NAVIGATE HEALTHCARE RESOURCES, PROVIDE HEALTH EDUCATION, AND HELP PATIENTS OBTAIN LOW-COST PRESCRIPTIONS. IN FY 2015 THE PART-TIME COMMUNITY NURSE HAD 1,902 CLIENT INTERACTIONS AND THE PART-TIME BEHAVIORAL HEALTH NAVIGATOR HAD 1,356. NCH 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 2015, NCH HOSTED MORE THAN 350 FREE 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. NCH PROVIDED HEALTH EDUCATION AND SUPPORT TO ALMOST 2,000 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 2015, 635 INDIVIUDALS RECEIVED ASSISTANCE AT A COST OF $120,000. (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: PRIMARY STROKE CENTER (DESIGNATED BY 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). (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 RESOURCE HOSPITAL, PROVIDING ADMINISTRATIVE, CLINICAL PRACTICE, QUALITY MANAGEMENT, AND FISCAL OVERSIGHT AND EDUCATION FOR EMERGENCY MEDICAL DISPATCHERS (EMD), EMERGENCY MEDICAL RESPONDERS (EMR), EMERGENCY MEDICAL TECHNICIANS (EMT), PARAMEDICS, AND EMERGENCY COMMUNICATIONS REGISTERED NURSES (ECRN) W |
| PART VI, LINE 6 | AFFILIATED HEALTH CARE SYSTEM NORTHWEST COMMUNITY HOSPITAL (HOSPITAL) IS ONE OF SEVERAL AFFILIATES UNDER THE COMMON CONTROL OF NORTHWEST COMMUNITY HEALTHCARE (NCH). THE NORTHWEST COMMUNITY HOSPITAL 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 BENEFIT INITIATIVES. NORTHWEST COMMUNITY HEALTH PARTNERS (NWHP) IS A PARTNERSHIP BETWEEN NORTHWEST COMMUNITY HOSPITAL AND PHYSICIANS PRACTICING ON ITS MEDICAL STAFF AND EXISTS TO PROVIDE COMPREHENSIVE INTERGRATED, AND COORDINATED HEALTH CARE AT A PRICE THAT IS REASONABLE TO ITS CUSTOMERS AND FAIR TO ITS PARTICIPATING PROVIDERS. THESES 4 ENTITIES ARE 501(C) (3) EXEMPT ORGANIZATIONS AND TOGETHER PROVIDE THE RESOURCES AND FUNDING TO DELIVER QUALITY HEALTHCARE SERVICES TO THE PEOPLE OF NORTHWEST SUBURBAN COMMUNITY OF CHICAGO. NCH OWNS A MAJORITY INTEREST IN NORTHWEST COMMUNITY DAY SURGERY CENTER, II, LLC, WHICH PROVIDES OUTPATIENT SERVICES AT A LOWER COST. IN ADDITION TO THE CHARITY CARE THAT THE HOSPITAL PROVIDED THE DAY SURGERY CENTER PROVIDED AN ADDITIONAL $608,877 IN CHARITY CARE (AT COST) IN FY14. NORTHWEST COMMUNITY HEALTH SERVICES, INC., A MULTI-SPECIALTY MEDICAL GROUP, IS ANOTHER AFFILIATE OF NCH. HEALTH SERVICES OWNS AND OPERATES THE NCH MEDICAL GROUP, A MULTI-SPECIALTY PHYSICIAN PRACTICE WITH OFFICES IN ARLINGTON HEIGHTS, BUFFALO GROVE, PALATINE AND MT. PROSPECT, ILLINOIS. HEALTH SERVICES ALSO OPERATES "FAST CARE", A CLINIC THAT IS LOCATED CENTRALLY IN A LOCAL GROCERY STORE THAT PROVIDES AFFORDABLE PRIMARY HEALTHCARE SERVICES DURING CONVENIENT HOURS. |
| PART VI, LINE 7 | STATE FILING OF COMMUNITY BENEFIT REPORT NORTHWEST COMMUNITY HEALTHCARE, THE SOLE CORPORATE MEMBER OF THE HOSPITAL, FILES AN ANNUAL NONPROFIT HOSPITAL COMMUNITY BENEFITS PLAN REPORT WITH THE ILLINOIS ATTORNEY GENERAL'S OFFICE IN ACCORDANCE WITH ILLINOIS LAW. THE REPORT IS FILED ON BEHALF OF NORTHWEST COMMUNITY HEALTHCARE, THE HOSPITAL, AND NORTHWEST COMMUNITY DAY SURGERY CENTER, INC. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Grant Records Maintained | Yes (true) | GrantRecordsMaintainedInd |
Recipient Table RecipientTable (5 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | Recipient EINRecipientEIN | IRC SectionIRCSectionDesc | Cash GrantCashGrantAmt | Non Cash AssistanceNonCashAssistanceAmt | Purpose Of GrantPurposeOfGrantTxt |
|---|---|---|---|---|---|---|---|---|
| AMERICAN CANCER SOCIETY | ||||||||
| 1114 N ARLNGTN HTS RD | ARLNGTN HTS | IL | 60004 | 131788491 | 501(c)(3) | $18,464 | $0 | RELAY FOR LIFE |
| AMERICAN HEART ASSOCIATION | ||||||||
| 208 S LASALLE STE 1500 | CHICAGO | IL | 60604 | 135613797 | 501(c)(3) | $20,000 | $0 | METRO CHICAGO HEART WALK |
| BRIDGE YOUTH & FAMILY SERVICES | ||||||||
| 2240 W OGDEN AVENUE | CHICAGO | IL | 60612 | 237093615 | 501(c)(3) | $7,500 | $0 | VISTA CLINIC SUPPORT |
| HEKTOEN INSTITUTE LLC | ||||||||
| 1577 FLORENCE AVE | EVANSTON | IL | 60201 | 366006541 | 501(c)(3) | $100,000 | $0 | MISSION TRIPS |
| SPECIAL LEISURE SERVICES FOUNDATION | ||||||||
| 3000 W CENTRAL RD | ROLLING MEADOWS | IL | 60008 | 363145710 | 501(c)(3) | $15,000 | $0 | ANNUAL SPONSORSHIP |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total501c3 Org | 5 | Total501c3OrgCnt |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | Description of Organization's Procedures for Monitoring the Use of Grants | FormAndLineReferenceDesc |
| Explanation | Form 990, Schedule I GRANTS IN SUPPORT OF NORTHWEST COMMUNITY HOSPITAL'S (HOSPITAL) MISSION ARE MONITORED BY NORTHWEST COMMUNITY'S FINANCE COMMITTEE AND BOARD OF DIRECTORS AS PART OF THE MONTHLY REVIEW OF HOSPITAL'S FINANCIAL RESULTS. SIGNIFICANT GRANTS TO UNRELATED 501(C)(3) OR GOVERNMENTAL ORGANIZATIONS ARE APPROVED BY HOSPITAL'S COMMUNITY SERVICES DEPARTMENT AND ARE MONITORED THROUGH ONGOING INTERACTIONS WITH OFFICIALS OF THOSE RECIPIENTS REGARDING PROGRAM SERVICES PROVIDED IN HOSPITAL'S SERVICE AREA. | ExplanationTxt |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | Yes (true) | SeverancePaymentInd |
| Supplemental Nonqual Rtr Plan | Yes (true) | SupplementalNonqualRtrPlanInd |
| Equity Based Comp Arrngm | false | EquityBasedCompArrngmInd |
| Comp Based On Revenue Of Flng Org | false | CompBasedOnRevenueOfFlngOrgInd |
| Comp Bsd On Rev Related Orgs | false | CompBsdOnRevRelatedOrgsInd |
| Comp Bsd Net Earns Flng Org | false | CompBsdNetEarnsFlngOrgInd |
| Comp Bsd Net Earns Rltd Orgs | false | CompBsdNetEarnsRltdOrgsInd |
| Any Non Fixed Payments | Yes (true) | AnyNonFixedPaymentsInd |
| Initial Contract Exception | false | InitialContractExceptionInd |
Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (15 entries)
| TitleTitleTxt | Base Compensation Filing OrgBaseCompensationFilingOrgAmt | Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt | Bonus Filing OrganizationBonusFilingOrganizationAmount | Bonus Related OrganizationsBonusRelatedOrganizationsAmt | Other Compensation Filing OrgOtherCompensationFilingOrgAmt | Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt | Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt | Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt | Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt | Total Compensation Filing OrgTotalCompensationFilingOrgAmt | Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt | Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Stephen O Scogna | ||||||||||||||
| CEO, Pres & Secretary | $671,877 | $0 | $0 | $0 | $158,438 | $0 | $159,384 | $0 | $28,929 | $0 | $1,018,628 | $0 | $40,014 | $0 |
| MARK D LUSSON | ||||||||||||||
| Exec VP - HR (until 5/14) | $2,210 | $0 | $0 | $0 | $282,710 | $0 | $0 | $0 | $14,243 | $0 | $299,163 | $0 | $0 | $0 |
| DALE E BEATTY | ||||||||||||||
| Exec VP - CNO (until 1/13) | -$6,081 | $0 | $0 | $0 | $335,005 | $0 | $0 | $0 | $0 | $0 | $328,924 | $0 | $0 | $0 |
| Michael C Hartke | ||||||||||||||
| EXECUTIVE VP/COO | $401,225 | $0 | $0 | $0 | $113,099 | $0 | $67,096 | $0 | $26,241 | $0 | $607,661 | $0 | $24,448 | $0 |
| MARSHA C LIU | ||||||||||||||
| CFO & TREASURER (UNTIL 2/15) | $343,934 | $0 | $0 | $0 | $32,173 | $0 | $59,869 | $0 | $25,269 | $0 | $461,245 | $0 | $0 | $0 |
| ERIC BENINK MD | ||||||||||||||
| CHIEF MED OFFICER (UNTIL 7/14) | $257,822 | $0 | $0 | $0 | $258,378 | $0 | $14,017 | $0 | $0 | $0 | $530,217 | $0 | $42,007 | $0 |
| KIMBERLY NAGY | ||||||||||||||
| Exec VP - Pt Serv & CNO | $269,962 | $0 | $5,076 | $0 | $16,644 | $0 | $45,414 | $0 | $15,688 | $0 | $352,784 | $0 | $0 | $0 |
| LOVENDER KUMAR RAJU MD | ||||||||||||||
| ICC PHYSICIAN | $321,781 | $0 | $1,473 | $0 | $0 | $0 | $35,313 | $0 | $22,933 | $0 | $381,500 | $0 | $0 | $0 |
| Bruce K Crowther | ||||||||||||||
| PRES/CEO/SEC (until 4/13) | $569,682 | $0 | $0 | $0 | $146,476 | $0 | $23,150 | $0 | $24,169 | $0 | $763,477 | $0 | $144,868 | $0 |
| Wendy L Rubas | ||||||||||||||
| EXEC VP - CHIEF LEGAL COUNSEL | $282,963 | $0 | $61,664 | $0 | $19,080 | $0 | $39,322 | $0 | $23,905 | $0 | $426,934 | $0 | $0 | $0 |
| Alan B Loren MD | ||||||||||||||
| EXEC VP - CMO | $94,102 | $529,482 | $266,754 | $34,139 | $14,845 | $801 | $11,054 | $16,581 | $3,378 | $10,523 | $390,133 | $591,526 | $0 | $0 |
| BRADFORD A BUXTON | ||||||||||||||
| VP STRATEGY & BUSINESS DEV | $315,016 | $0 | $0 | $0 | $25,056 | $0 | $36,073 | $0 | $23,913 | $0 | $400,058 | $0 | $0 | $0 |
| Lucy R Hammerberg MD | ||||||||||||||
| CHIEF QUALITY OFFICER | $332,463 | $0 | $0 | $0 | $0 | $0 | $32,907 | $0 | $905 | $0 | $366,275 | $0 | $0 | $0 |
| Glen J Malan | ||||||||||||||
| VP INFO TECH & CIO | $270,426 | $0 | $317 | $0 | $33,238 | $0 | $33,642 | $0 | $25,908 | $0 | $363,531 | $0 | $0 | $0 |
| Lacy A Knight MD | ||||||||||||||
| CHIEF MEDICAL INFORMATICS OFCR | $260,123 | $0 | $20,000 | $0 | $19,340 | $0 | $34,064 | $0 | $23,913 | $0 | $357,440 | $0 | $0 | $0 |
Supplemental Information Detail SupplementalInformationDetail (3 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| COMPENSATION DETERMINATION PROCESS FOR TOP MANAGEMENT OFFICIALS | Form 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 PAYMENTS | Form 990, Schedule J, Line 4a IN 2014, THE FOLLOWING INDIVIDUALS RECEIVED SEVERENCE PAYMENTS AS PART OF THEIR COMPENSATION ARRANGEMENT: MARK D. LUSSON $282,710 DALE E. BEATTY $335,005 ERIC BENINK $193,853 SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN FORM 990, SCHEDULE J, LINE 4B IN 2014, THE FOLLOWING INDIVIDUALS PARTICIPATED IN A 457(F) PLAN WITH A TWO-YEAR VESTING PERIOD. THE AMOUNTS BELOW WERE ACCRUED, BUT NOT PAID IN CALENDAR YEAR 2014 AND ARE INCLUDED ON SCHEDULE J, PART II, COLUMN (C). NO AMOUNTS WERE PAID FROM THE PLAN IN 2014. BRUCE K. CROWTHER $130,681 STEPHEN O. SCOGNA $47,500 MICHAEL C. HARTKE $30,000 ERIC BENINK, MD $42,000 |
| NON-FIXED COMP PAYMENTS | Form 990, Schedule J, Line 7 The CEO and Vice Presidents of the hospital are eligible for an annual incentive compensation payment that is aligned with the strategic, financial and operational goals of the organization. Threshold measures, which constitute the minimum requirements, must be achieved in order to have an incentive payout. Award opportunity levels vary as a percent of base salary. Actual amounts awarded are based on a combination of defined targets (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 (3 entries)
| Bond ReferenceBondReferenceCd | Bond Issuer EINBondIssuerEIN | Bond IssuedBondIssuedDt | Issue PriceIssuePriceAmt | PurposePurposeDesc | DefeasedDefeasedInd | On Behalf Of IssuerOnBehalfOfIssuerInd | Pool FinancingPoolFinancingInd | CUSIPCUSIPNum |
|---|---|---|---|---|---|---|---|---|
| ILLINOIS FINANCE AUTHORITY | ||||||||
| A | 861091967 | 2011-12-01 | $53,100,000 | SEE PART VI | false | false | false | |
| ILLINOIS FINANCE AUTHORITY | ||||||||
| B | 861091967 | 2008-09-19 | $151,075,932 | SEE PART VI | false | false | false | 45200FNR6 |
| ILLINOIS FINANCE AUTHORITY | ||||||||
| C | 861091967 | 2008-10-17 | $86,820,000 | SEE PART VI | false | false | false | 45200FNU9 |
Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (3 entries)
| Bond ReferenceBondReferenceCd | RetiredRetiredAmt | Bond DefeasedBondDefeasedAmt | Total ProceedsTotalProceedsAmt | In Reserve FundInReserveFundAmt | Capitalized InterestCapitalizedInterestAmt | Refunding EscrowRefundingEscrowAmt | Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt | Credit EnhancementCreditEnhancementAmt | Working Capital ExpendituresWorkingCapitalExpendituresAmt | Capital ExpendituresCapitalExpendituresAmt | Other Spent ProceedsOtherSpentProceedsAmt | UnspentUnspentAmt | Substantial CompletionSubstantialCompletionYr | Current RefundingCurrentRefundingInd | Advance RefundingAdvanceRefundingInd | Final Allocation MadeFinalAllocationMadeInd | Adequate Books And Rec MaintAdequateBooksAndRecMaintInd |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | $0 | $0 | $53,100,000 | $0 | $0 | $0 | $434,279 | $0 | $0 | $0 | $52,665,721 | $0 | 2011 | Yes (true) | false | Yes (true) | Yes (true) |
| B | $0 | $0 | $151,417,356 | $0 | $0 | $0 | $1,437,934 | $0 | $0 | $149,979,422 | $0 | $0 | 2010 | false | false | Yes (true) | Yes (true) |
| C | $0 | $0 | $86,820,000 | $0 | $0 | $0 | $598,075 | $93,000 | $0 | $86,128,925 | $0 | $0 | 2008 | Yes (true) | false | Yes (true) | Yes (true) |
Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)
| Bond ReferenceBondReferenceCd | Private Bus Use By OthersPrivateBusUseByOthersPct | Owning Bond Financed PropertyOwningBondFinancedPropertyInd | Any Lease ArrangementsAnyLeaseArrangementsInd | Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd | Any Research AgreementsAnyResearchAgreementsInd | Bond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestInd | Change In Use Bond Financed PropChangeInUseBondFinancedPropInd | Remedial Action TakenRemedialActionTakenInd | Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd |
|---|---|---|---|---|---|---|---|---|---|
| A | 0 | ||||||||
| B | 0 | false | false | false | false | false | false | false | Yes (true) |
| C | 0 |
Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (3 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiledInd | Rebate Not Due YetRebateNotDueYetInd | Exception To RebateExceptionToRebateInd | No Rebate DueNoRebateDueInd | Variable Rate IssueVariableRateIssueInd | Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd | Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd | Business Name Line1GICProviderName/BusinessNameLine1Txt | Gross Proceeds InvestedGrossProceedsInvestedInd | Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd |
|---|---|---|---|---|---|---|---|---|---|---|
| 0 | ||||||||||
| A | false | Yes (true) | false | false | Yes (true) | false | false | 0 | false | Yes (true) |
| 0 | ||||||||||
| B | false | false | false | Yes (true) | false | false | false | 0 | false | Yes (true) |
| 0 | ||||||||||
| C | false | false | Yes (true) | false | Yes (true) | false | false | 0 | false | Yes (true) |
Procedures Corrective Action ProceduresCorrectiveActionGrp (3 entries)
| Bond ReferenceBondReferenceCd | Procedures Corrective ActionProceduresCorrectiveActionInd |
|---|---|
| A | Yes (true) |
| B | Yes (true) |
| C | Yes (true) |
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | SUPPLEMENTAL INFORMATION | FormAndLineReferenceDesc |
| Explanation | SCHEDULE 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 B A REBATE CALCULATION WAS CONDUCTED ON APRIL 17, 2014. | ExplanationTxt |
Schedule L IRS990ScheduleL
Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (2 entries)
| Relationship DescriptionRelationshipDescriptionTxt | TransactionTransactionAmt | TransactionTransactionDesc | Sharing Of RevenuesSharingOfRevenuesInd |
|---|---|---|---|
| SARAH BISHOP | |||
| SEE PART V | $54,484 | SALARY | false |
| SEE PART V | |||
Supplemental Information Detail SupplementalInformationDetail
| Field | Value | IRS element (for citing) |
|---|---|---|
| Form And Line Reference | RELATIONSHIP BETWEEN INTERESTED PERSON AND THE ORGANIZATION | FormAndLineReferenceDesc |
| Explanation | SCHEDULE L, PART IV SARAH BISHOP IS THE DAUGHTER OF JAMES H. BISHOP (DIRECTOR). A director owned more than 5% ownership in Suburban ENT. Unrelated to the directors tenure on the board, this practice rented office space totaling: $189,000. | ExplanationTxt |
Schedule O IRS990ScheduleO
Supplemental Information Detail SupplementalInformationDetail (9 entries)
| Form And Line ReferenceFormAndLineReferenceDesc | ExplanationExplanationTxt |
|---|---|
| DESCRIPTION OF OTHER PROGRAM SERVICES | FORM 990, PART III, LINE 4D INCLUDES THE REVENUE AND EXPENSES FROM ALL OTHER PROGRAM SERVICES NOT DESCRIBED ON FORM 990, PART III, LINES 4A-4C. |
| DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERS | FORM 990, PART VI, QUESTION 6 NORTHWEST COMMUNITY HEALTHCARE (NCH) IS THE SOLE CORPORATE MEMBER OF NORTHWEST COMMUNITY HOSPITAL (HOSPITAL). AS SUCH, IT ELECTS OR APPOINTS THE MEMBERS OF HOSPITAL'S GOVERNING BODY AND APPROVES SIGNIFICANT DECISIONS. |
| DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS | FORM 990, PART VI, QUESTION 7A NCH IS THE SOLE CORPORATE MEMBER OF HOSPITAL. AS SUCH, IT ELECTS OR APPOINTS THE MEMBERS OF THE GOVERNING BODY OF HOSPITAL PERIODICALLY OR AS VACANCIES ARISE. |
| DESCR CLASSES OF PERSONS, DECISIONS REQUIRING APPR & TYPE OF VOTING RIGHTS | FORM 990, PART VI, QUESTION 7B NCH IS THE SOLE CORPORATE MEMBER OF HOSPITAL. AS SUCH, IT MUST APPROVE CERTAIN ACTIONS OF HOSPITAL. ACTION IS TAKEN BY A MAJORITY VOTE OF THE NCH BOARD WITH A QUORUM PRESENT. NCH MUST APPROVE THE FOLLOWING TYPES OF DECISIONS BY HOSPITAL: VOLUNTARY DISSOLUTION, MERGER, CONSOLIDATION OR SALE OR TRANSFER OF 10% OR MORE OF HOSPITAL'S ASSETS; SALE OF REAL PROPERTY OR INTEREST THEREIN; CREATION OF A SUBSIDIARY OR AFFILIATE; ANNUAL AND LONG-TERM CAPITAL AND OPERATING BUDGETS; AMENDMENT, ALTERATION OR REPEAL OF HOSPITAL'S ARTICLES OF INCORPORATION OR BYLAWS; SELECTION OF AUDITORS; APPOINTMENT, REMOVAL AND EVALUATION OF HOSPITAL DIRECTORS; DEBT OR INDEBTEDNESS, GUARANTEES OR BORROWINGS; APPOINTMENT, COMPENSATION, BENEFITS AND EVALUATION OF OFFICERS; APPOINTMENT AND EMPLOYMENT OF THE PRESIDENT; AND ACTIONS TAKEN BY TRUSTEES OF THE NORTHWEST COMMUNITY HOSPITAL EMPLOYEES RETIREMENT PLAN. |
| DESCRIBE THE PROCESS USED BY MANAGEMENT &/OR GOVERNING BODY TO REVIEW 990 | FORM 990, PART VI, QUESTION 11B A COPY OF FORM 990 WAS MADE AVAILABLE TO THE MEMBERS OF HOSPITAL'S BOARD PRIOR TO FILING. THE AUDIT AND COMPLIANCE COMMITTEE OF THE NCH BOARD REVIEWED FORM 990 FOR AFFILIATES OF NCH PRIOR TO DISTRIBUTION TO THE FULL BOARD. FORM 990, PART VII AND SCHEDULE J ARE ALSO SEPARATELY RENEWED AND APPROVED BY THE COMPENSATION COMMITTEE OF THE BOARD. |
| DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST | FORM 990, PART VI, QUESTION 12C EACH YEAR, THE CONFLICT OF INTEREST POLICY AND QUESTIONNAIRE IS SENT TO DIRECTORS, OFFICERS AND KEY EMPLOYEES. EACH RESPONSE IS REVIEWED BY 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. |
| COMPENSATION DETERMINATION PROCESS FOR TOP MANAGEMENT OFFICIAL | FORM 990, PART VI, LINE 15A THE COMPENSATION AND GOVERNANCE COMMITTEE OF THE NCH BOARD IS RESPONSIBLE FOR SETTING THE COMPENSATION OF THE PRESIDENT/CEO WHO IS THE TOP MANAGEMENT OFFICIAL. COMPENSATION IS REVIEWED USING AN EXTERNAL COMPENSATION FIRM. THE REVIEW ALSO UTILIZES COMPARISONS TO SIMILAR ORGANIZATIONS THROUGH REVIEW OF FORMS 990, USE OF COMPARISON STUDIES FROM THE METROPOLITAN CHICAGO HEALTHCARE COUNCIL AND OTHER SOURCES. THE PROCESS IS DOCUMENTED IN THE MINUTES OF THE COMPENSATION AND GOVERNANCE COMMITTEE. COMPENSATION DETERMINATION PROCESS FOR OFFICERS AND KEY EMPLOYEES FORM 990, PART VI, LINE 15B THE COMPENSATION AND GOVERNANCE COMMITTEE OF THE NCH BOARD IS RESPONSIBLE FOR APPROVING THE COMPENSATION OF THE OFFICERS AND KEY EMPLOYEES (VICE PRESIDENTS) OF HOSPITAL BASED ON RECOMMENDATIONS FROM THE PRESIDENT/CEO. THE REVIEW UTILIZES COMPARISONS TO STUDIES FROM THE METROPOLITAN CHICAGO HEALTHCARE COUNCIL AND OTHER SOURCES. THE PROCESS IS DOCUMENTED IN THE MINUTES OF THE COMPENSATION AND GOVERNANCE COMMITTEE. |
| AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY, & FIN STMTS TO GEN PUBLIC | FORM 990, PART VI, QUESTION 19 GOVERNING DOCUMENTS AND THE CONFLICT OF INTEREST POLICY ARE NOT MADE PUBLIC. HOSPITAL'S FINANCIAL STATEMENTS ARE INCLUDED IN THE ANNUAL CONSOLIDATED AUDIT REPORT OF NCH AND SUBSIDIARIES. THESE CONSOLIDATED FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC VIA THE MUNICIPAL SECURITIES RULEMAKING BOARD'S ELECTRONIC MUNICIPAL MARKET ACCESS (EMMA) WEBSITE AT WWW.EMMA.MSRB.ORG. |
| RECONCILIATION OF NET ASSETS - OTHER CHANGES IN NET ASSETS | FORM 990, PART XI, QUESTION 9 PENSION RELATED CHANGES (11,090,583) RESTRICTED FUNDS 508,268 TRANSFER TO NORTHWEST COMMUNITY HEALTHCARE (1,300,000) ============ TOTAL (11,882,315) |
Schedule R IRS990ScheduleR
Id Disregarded Entities IdDisregardedEntitiesGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Total IncomeTotalIncomeAmt | End Of Year AssetsEndOfYearAssetsAmt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|---|---|
| NCH SERVICE COMPANY LLC | |||||||||
| 3060 SALT CREEK LANE | ARLINGTON HTS | IL | 60005 | 263791362 | PATIENT CARE | IL | $0 | $0 | NA |
| NORTHWEST COMMUNITY PHYSICIANS ASSN LLC | |||||||||
| 3060 SALT CREEK LANE | ARLINGTON HTS | IL | 60005 | 510457240 | PATIENT CARE | IL | $0 | $0 | NCPA LLC |
Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Exempt Code SectionExemptCodeSectionTxt | Public Charity StatusPublicCharityStatusTxt | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Controlled OrganizationControlledOrganizationInd |
|---|---|---|---|---|---|---|---|---|---|---|
| NORTHWEST COMMUNITY HEALTHCARE | ||||||||||
| 675 WEST KIRCHOFF ROAD | ARLINGTON HEIGHTS | IL | 60005 | 363125209 | SUPPORT ORG | IL | 501(c)(3) | 3 | NCH | false |
| NORTHWEST COMMUNITY HOSPITAL FOUNDATION | ||||||||||
| 3060 SALT CREEK LANE | ARLINGTON HEIGHTS | IL | 60005 | 363125193 | FUNDRAISING | IL | 501(c)(3) | 7 | NCH | false |
Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp (2 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt |
|---|---|---|---|---|---|---|---|
| NPC-CYBERKNIFE LLC | |||||||
| 800 W CENTRAL RD | ARLNGTN HTS | IL | 60005 | 204462828 | EQUIPMENT LEASING | IL | NA |
| NCH DSC II | |||||||
| 675 KIRCHOFF | ARLNGTN HTS | IL | 60005 | 300798249 | OUTPATIENT CARE | IL | NA |
Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (4 entries)
| Address Line1USAddress/AddressLine1Txt | CityUSAddress/CityNm | State AbbreviationUSAddress/StateAbbreviationCd | ZIPUSAddress/ZIPCd | EINEIN | Primary ActivitiesPrimaryActivitiesTxt | Legal Domicile StateLegalDomicileStateCd | Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt | Entity TypeEntityTypeTxt | Controlled OrganizationControlledOrganizationInd | Address Line1ForeignAddress/AddressLine1Txt | CityForeignAddress/CityNm | Province Or StateForeignAddress/ProvinceOrStateNm | CountryForeignAddress/CountryCd | Legal Domicile Foreign CountryLegalDomicileForeignCountryCd | Share Of Total IncomeShareOfTotalIncomeAmt | Share Of EOY AssetsShareOfEOYAssetsAmt | OwnershipOwnershipPct |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| CENTRAL INSURANCE COMPANY LTD | |||||||||||||||||
| 800 WEST CENTRAL ROAD | ARLINGTON HEIGHTS | IL | 60005 | 981109518 | INSURANCE | IL | HEALTHCARE SVCS | C Corp | false | ||||||||
| NCH PHYSICIANS COOPERATIVE | |||||||||||||||||
| 201830299 | GROUP PURCHASING | HEALTHCARE | C Corp | false | 68 WEST BAY ROAD KY1-1102 | GRAND CAYMAN | CAYMAN ISLANDS | CJ | CJ | $0 | $0 | 1.00000 | |||||
| NORTHWEST COMMUNITY CAPCO INC | |||||||||||||||||
| 800 West Central Road | Arlington Heights | IL | 60005 | 364027717 | MANAGED CARE | IL | HEALTHCARE | C Corp | false | $0 | $24,519 | 1.00000 | |||||
| NORTHWEST COMMUNITY HEALTH SERVICES INC | |||||||||||||||||
| 800 WEST CENTRAL ROAD | ARLINGTON HEIGHTS | IL | 60005 | 363312906 | HEALTHCARE SERVIC | IL | HOSPITAL | C Corp | false | ||||||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Annts Rnts Rylts | false | ReceiptOfIntAnntsRntsRyltsInd |
| Gift Grnt Or Cap Contri To Oth Org | false | GiftGrntOrCapContriToOthOrgInd |
| Gift Grnt Cap Contri From Oth Org | Yes (true) | GiftGrntCapContriFromOthOrgInd |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrgInd |
| Loans Or Guarantees From Oth Org | false | LoansOrGuaranteesFromOthOrgInd |
| Asset Sale To Other Org | false | AssetSaleToOtherOrgInd |
| Asset Purchase From Other Org | false | AssetPurchaseFromOtherOrgInd |
| Asset Exchange | false | AssetExchangeInd |
| Rental Of Facilities To Oth Org | false | RentalOfFacilitiesToOthOrgInd |
| Rental Of Fclts From Oth Org | Yes (true) | RentalOfFcltsFromOthOrgInd |
| Perform Of Services For Oth Org | Yes (true) | PerformOfServicesForOthOrgInd |
| Perform Of Services By Other Org | false | PerformOfServicesByOtherOrgInd |
| Sharing Of Facilities | false | SharingOfFacilitiesInd |
| Paid Employees Sharing | false | PaidEmployeesSharingInd |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrgInd |
| Reimbursement Paid By Other Org | Yes (true) | ReimbursementPaidByOtherOrgInd |
| Transfer To Other Org | Yes (true) | TransferToOtherOrgInd |
| Transfer From Other Org | false | TransferFromOtherOrgInd |