2015-08-12T12:19:00-05:00 2014-09-30 Deloitte Tax LLP 111 Monument Circle Suite 4200 Indianapolis IN 462045108 990 2013-10-01 362167060 NorthShore University HealthSystem % JEFF BIESCZAT NORT 8475702000 1301 Central Street Suite Evanston IL 60201 GARY E WEISS Treasurer and CFO 8475705050 2015-08-04 true Shawna M Jimenez P01222873 8475705050 2013 2016-02-25 16:41:14Z Mark R Neaman 1301 Central Street Evanston IL 60201 1926566153 false X northshore.org X 1891 IL The core mission of NorthShore University HealthSystem is to "preserve and improve human life." 25 0 10981 1404 6956275 0 19859019 25159898 1314797581 1411552119 88441142 117493177 20908347 18255785 1444006089 1572460979 62705604 65371492 0 0 638940846 615255602 0 0 2500802 706891381 760622559 1408537831 1441249653 35468258 131211326 3036512925 3225538727 1311411378 1362260822 1725101547 1863277905 X SEE SCHEDULE O false false 1086197725 64903632 1398014615 Patient Care - See Schedule O 55055382 10661007 Education - See Schedule O 25792321 467860 8780682 Research - See Schedule O 1167045428 true true false true false false false false false true true true false false true true false true false false true false false false true true true true true true true true false false false false false false false false true true true true false false false true true true false false true 636 0 true 10981 true true true true CJ false false false true true false false false false X 25 0 true false false false false false false true true false false true true true true true true true true true true IL X JEFF BIESCZAT 8475705798 1301 CENTRAL STREET EVANSTON IL 60201 X Leon S Benson Director 1.0 0.0 X 0 0 0 Toure S Claiborne Director 1.0 0.0 X 0 0 0 Mary Dillon Director 1.0 0.0 X 0 0 0 David A Dohnalek Director 1.0 0.0 X 0 0 0 Connie K Duckworth Director 1.0 0.0 X 0 0 0 William M Farrow III Director 1.0 0.0 X 0 0 0 Richard L Keyser Director 1.0 0.0 X 0 0 0 Lester B Knight III Director 1.0 0.0 X 0 0 0 Harry M Jansen Kraemer Jr Director 1.0 0.0 X 0 0 0 Theodore Mazzone Director and Clinical Chairman 37.0 5.0 X 621584 162175 30363 Samuel M Mencoff Director 1.0 0.0 X 0 0 0 Andrew J Mills Director 1.0 0.0 X 0 0 0 Nancy A Nora Director 1.0 0.0 X 0 0 0 Michael Reinsdorf Director 1.0 0.0 X 0 0 0 Thomas S Ricketts Director 1.0 0.0 X 0 0 0 Scott C Schweighauser Director 1.0 0.0 X 0 0 0 Susan B Sentell Director/Prior Board Secretary 1.0 0.0 X X 0 0 0 Mark S Talamonti Director and Clinical Chairman 30.0 12.0 X 675529 363430 52290 J Mikesell Thomas Director 1.0 0.0 X 0 0 0 Jeffery S Vender Director and Clinical Chairman 28.0 14.0 X 525520 590515 45253 John R Walter Director 1.0 0.0 X 0 0 0 Kevin Willer Director 1.0 0.0 X 0 0 0 William Wrigley Jr Director 1.0 0.0 X 0 0 0 David F Zucker Director 1.0 0.0 X 0 0 0 A Steven Crown Board Chairman 1.0 0.0 X X 0 0 0 Percy L Berger Sr Board Vice Chairman 1.0 0.0 X X 0 0 0 Gregory K Jones Board Past Chairman 1.0 0.0 X X 0 0 0 Mark R Neaman President and CEO 41.0 2.0 X X 1957643 0 337945 Sona Wang Board Secretary/Prior Director 1.0 0.0 X X 0 0 0 Gerald P Gallagher Chief Operating Officer 41.0 1.0 X 701400 0 141921 Gary E Weiss Board Treasurer and CFO 41.0 0.0 X 988966 0 134601 Julian E Bailes Clinical Chairman 13.0 28.0 X 499950 1107309 52062 William D Bloomer Clinical Chairman 24.0 17.0 X 393030 601190 53403 Michael S Caplan Clinical Chairman 33.0 8.0 X 517785 192234 29531 Robert R Edelman Clinical Chairman 38.0 3.0 X 743241 285482 59562 Bernard G Ewigman Clinical Chairman 40.0 1.0 X 430630 0 124429 Thomas H Hodges Chief Investment Officer 36.0 0.0 X 565905 0 36073 Harry L Jones Chief Compliance Officer 40.0 0.0 X 347712 0 45772 Karen L Kaul Clinical Chairman 8.0 33.0 X 103200 596232 51263 Jason L Koh Clinical Chairman 22.0 19.0 X 500400 797661 53238 William R Luehrs Chief Human Resources Officer 40.0 0.0 X 523205 0 106910 Demetrius Maraganore Clinical Chairman 28.0 13.0 X 367846 205544 49746 Frederick E Miller Clinical Chairman 35.0 6.0 X 361620 83938 48037 Kristen Murtos President, Skokie Hospital 40.0 0.0 X 459429 0 114268 Sean O'Grady President, Glenbrook Hospital 40.0 0.0 X 404187 0 46486 Jesse Peterson Hall President, Highland Park Hosp. 40.0 0.0 X 502493 0 120428 Nancy Semerdjian Chief Nursing Officer 40.0 0.0 X 423026 0 38522 Richard K Silver Clinical Chairman 34.0 7.0 X 700013 233974 53462 Douglas M Silverstein President, Evanston Hospital 40.0 0.0 X 653944 0 153790 Steven Smith Chief Information Officer 40.0 0.0 X 431587 0 43718 Brian Washa Senior Vice President 40.0 0.0 X 372065 0 104655 Kenneth P Anderson Chief Medical Quality Officer 40.0 0.0 X 504811 300 46465 Jeffrey H Hillebrand Former Chief Operating Officer 10.0 0.0 X 1023354 0 4905 Janardan D Khandekar Medical Director 33.0 7.0 X 480402 98250 43443 William A Knaus Director, Research Informatics 40.0 0.0 X 409018 0 48015 Jonathan Silverstein VP, Research Informatics 40.0 0.0 X 413983 0 42631 Leopold G Selker Former President, Res. Inst. 0.0 0.0 X 153506 0 0 Nicholas A Vick Former Clinical Chairman 29.0 11.0 X 85803 52321 18780 Thomas A Victor Former Clinical Chairman 11.0 30.0 X 99887 413892 51103 17942674 5784447 2383070 711 true true true Aramark Management Services 2300 Warrenville Road DOWNERS GROVE IL 60515 Facilities/Diet Mgmt 58869445 Power Construction Company 2360 North Palmer Drive SCHAUMBURG IL 60173 Construction Mgmt 35272774 University of Chicago Medical Ctr 5841 South Maryland Avenue CHICAGO IL 60637 Medical Education 16218232 Pepper Construction Co 643 North Orleans Street CHICAGO IL 60610 Construction Mgmt 11309987 McKesson Technologies Inc 5995 Windward Parkway ALPHARETTA GA 30005 Info Tech Services 9155473 238 X 93000 814508 663920 10545604 275628 12767238 2734517 25159898 PATIENT REVENUE 621990 901636739 901636739 MEDICARE AND MEDICAID REVENUE 621990 475571782 475571782 RENT FROM AFFILIATED EXEMPT ORGS 900003 24496565 24496565 FEES AND CONTRACTS FROM GOVT AGENCIES 541700 6010312 6010312 GRANT INCOME 541700 2770370 2768370 2000 1066351 1066351 1411552119 34871026 -85933 34956959 0 10000 10000 4076591 6761901 -2685310 0 -2685310 -2685310 428434904 18200 342747061 3083891 85687843 -3065691 82622151 82622151 1002738 663920 908108 94630 94630 40024 2547 37477 37477 989545 601666 387880 387880 CAFETERIA 722210 5265314 5265314 LAB REFERENCE TESTING 541380 4649636 4649636 EHR INCENTIVE INCOME 900099 4146217 4146217 6349941 1757968 2390572 2201401 20411108 1572460979 1392957739 6956275 147387067 65261659 65261659 109833 109833 0 0 22352016 7868956 14483060 14957042 3883104 10752423 321515 467977119 407356097 59437872 1183150 46453580 35046725 11406855 32474739 29722959 2531976 219804 31041106 25306479 5645548 89079 90622296 77458091 13164205 9135194 9135194 991725 991725 0 0 29521589 29521589 85845754 58989443 26525349 330962 13611484 13611484 26652344 20608136 6000508 43700 15225551 1287608 13937879 64 0 38324462 27685949 10336989 301524 1265778 1050333 204759 10686 0 1652453 1098986 553331 136 7068022 7068022 0 108176700 73813313 34363387 19216642 18209388 1007254 MEDICAL SUPPLIES 256163920 256163920 MEDICAID TAX 52762622 52762622 DUES AND SUBSCRIPTIONS 2272059 1260479 1011398 182 STUDENT HOUSING 760371 760371 1353593 1340977 12616 1441249653 1167045428 271703423 2500802 X 40777099 36417815 36565446 1037098 9583940 8472997 204365612 229287252 0 0 0 0 0 0 20170898 21216654 10188445 10095135 1952523620 992627395 964826420 959896225 1075257374 1210453403 459117412 536768481 0 0 120275507 117928715 95384772 93964952 3036512925 3225538727 163571919 166032055 0 0 5985424 9324030 367200224 357562096 0 0 0 0 0 0 0 0 774653811 829342641 1311411378 1362260822 X 1549900996 1671906917 100950912 115268380 74249639 76102608 1725101547 1863277905 3036512925 3225538727 X 131211326 30845603 -23880571 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false false false false false false true 86342 86342 false Part II-B 1i - Lobbying Activities NorthShore University HealthSystem (NorthShore) and its employees are members of various organizations that advocate on legal and policy issues that affect healthcare. A portion of the annual membership dues paid by NorthShore to these organizations are attributable to lobbying activities. 120987343 1852969 20724353 7375593 136189072 115113667 1726137 11275287 7127748 120987343 103761994 1404411 18276391 8329129 115113667 103298573 1772373 5671678 6980630 103761994 42760422 57871694 3630113 963656 103298573 1.00000 false false 69947668 69947668 1304721810 624201564 680520246 56304060 31550042 24754018 425446438 319597611 105848827 96103644 17278178 78825466 959896225 HEDGE FUNDS 376974428 C PRIVATE EQUITY FUNDS 101612373 C PRIVATE EQUITY FUNDS 11880685 F REAL ASSET FUND 43356390 F OTHER INVESTMENTS 2944605 F 536768481 0 RESERVE FOR MALPRACTICE LOSSES 273000000 DEFERRED COMPENSATION 134100396 DUE TO AFFILIATES 310995777 DUE TO THIRD PARTIES 92929368 CURRENT MATURITY OF LT DEBT 9550000 ASSET RETIREMENT OBLIGATION 8678972 CURRENT BOND PAYABLE PREMIUM 88128 829342641 X 1505516786 30961642 24927018 55888660 1449628126 29521588 93311265 122832853 1572460979 1357463664 11610067 11610067 1345853597 29521588 65874468 95396056 1441249653 Part V Line 4 - Endowment Funds Endowment fund earnings are used toward research, special purpose, general operations, and department chair funding, as well as uncompensated care offered to patients who meet the criteria established under NorthShore University HealthSystem's financial assistance policy. Part X Line 2 - FIN 48 (ASC 740) Footnote NorthShore University HealthSystem (NorthShore) and its related affiliates, except for NorthShore Physician Associates, Inc. (NPA) and Community Care Partners, LLC, known as NorthShore Exempt Group, have been determined to qualify as a tax-exempt organization under 501(c)(3) of the Internal Revenue Code (IRC). Most of the income received by NorthShore Exempt Group is exempt from taxation under Section 501(a) of the IRC, as income related to the mission of the organization. Accordingly, there is no material provision for income tax for these entities. Some of the income received by exempt entities is subject to taxation as unrelated business income. NorthShore and its subsidiaries file federal income tax returns and returns for various states in the U.S. ASC 740-10, Income Taxes, requires that realization of an uncertain income tax position is more likely than not (i.e., greater than 50% likelihood of receiving a benefit) before it can be recognized in the financial statements. Furthermore, this interpretation prescribes the benefit to be recorded in the financial statements as the amount most likely to be realized assuming a review by tax authorities having all relevant information and applying current conventions. This interpretation also clarifies the financial statement classification of tax-related penalties and interest and sets forth new disclosures regarding unrecognized tax benefits. No amount was recorded for the periods ended September 30, 2014 or 2013. NorthShore currently has a net operating loss carryforward of $11,379,357, which generated assets of $4,585,450. NPA currently has a net operating loss carryforward of $642,281, which generated assets of $258,647. These assets are 100% offset by valuation allowances. Part XI Lines 2d and 4b - Reconciliation of Revenues Line 2d - Amount represents expenses deducted from revenues in Form 990 Part VIII and changes in restricted net assets. Line 4b - Amount represents transfers to related organizations, Foundation administrative expenses and investment expenses moved to Form 990 Part IX, and changes in restricted net assets. Part XII Lines 2d and 4b - Reconciliation of Expenses Line 2d - Amount represents expenses deducted from revenues in Form 990 Part VIII. Line 4b - Amount represents transfers to related organizations and Foundation administrative expenses and investment expenses moved to Form 990 Part IX. Central America and the Caribbean Insurance 3584600 Central America and the Caribbean Investments 337614396 Central America and the Caribbean Program Services Medical Conferences 2036 Central America and the Caribbean Program Services Medical Services 4697 East Asia and the Pacific Program Services Medical Conferences 6125 East Asia and the Pacific Program Services Medical Supplies/Svcs 3275 Europe (Including Iceland and Greenland) Program Services Medical Conferences 42013 Europe (Including Iceland and Greenland) Program Services Medical Supplies/Svcs 104676 North America Program Services Medical Conferences 11356 North America Program Services Medical Supplies/Svcs 551755 Russia and the Newly Independent States Program Services Medical Services 2000 South America Program Services Medical Conferences 3906 South America Program Services Medical Supplies/Svcs 1500 South Asia Program Services Medical Services 1000 Sub-Saharan Africa Program Services Medical Services 1000 341934335 341934335 true false true true true false June Gala 602207 307807 294400 64790 65000 12000 83541 Craft Expo 645522 205756 439766 31910 58567 254305 3 418929 150357 268572 60840 650 276505 1666658 663920 1002738 157540 123567 12650 614351 908108 94630 40024 2547 true 1.00000 40024 2547 2547 37477 IL true false false false 1.00000 NorthShore University HealthSystem 1301 Central Street Evanston IL 60201 false Kate Beckering Oversees auxiliary operations including raffles. X false true true X true X true X 600. true true false true true 20763508 161779 20601728 0.01430 139532761 110052679 29480083 0.02050 0 0 0 0.00000 160296269 110214458 50081811 0.03480 2343157 0 2343157 0.00160 55055382 10661007 44394375 0.03080 50416127 32964422 17451705 0.01210 22904744 15041769 7862975 0.00550 1769642 0 1769642 0.00120 132489052 58667198 73821854 0.05120 292785321 168881656 123903665 0.08600 0 0 0 0.00000 0 0 0 0.00000 3901 0 3901 0 0 0 0.00000 343 0 343 17832 0 17832 33552 0 33552 413 0 413 56041 0 56041 0.00000 true 15960791 0 379820964 454425633 -74604669 X true true HPMOB LP Medical Office Building 0.29620 0.00000 0.70380 Ravine Way LLC Orthopaedic Surgery Center 0.28500 0.00000 0.71500 NorthShoreUSP LLC General Surgery Centers 0.49900 0.00000 0.50100 4 1 Evanston Hospital 2650 Ridge Avenue Evanston IL 60201 northshore.org 0000646 X X X X X A 2 Glenbrook Hospital 2100 Pfingsten Road Glenview IL 60026 northshore.org 0003483 X X X X X A 3 Highland Park Hospital 777 Park Avenue West Highland Park IL 60035 northshore.org 0005066 X X X X X A 4 Skokie Hospital 9600 Gross Point Road Skokie IL 60076 northshore.org 0005587 X X X X X A A true X X X X X X X X X 12 true true true X northshore.org/community-events X X X X X X X false false true true 200. true 600. true X X X X X X X X true true X X X true false X X X true X false false Part V Section B Line 3 - Input From Persons in the Community Facility Reporting Group A: Reporting Group A consists of the following hospital facilities: 1 - Evanston Hospital 2 - Glenbrook Hospital 3 - Highland Park Hospital 4 - Skokie Hospital As part of the fiscal year 2013 Community Health Needs Assessment (CHNA) information gathering process, NorthShore University HealthSystem (NorthShore) utilized multiple mechanisms to receive input from persons who represent broad interests of the community. NorthShore has a Community Relations Department, whose personnel serve as points of contact for NorthShore's involvement with community building, partnership development, program building, local governmental advocacy, and outreach activities. Community Relations has developed relationships with local and state government, public health agencies, clergy, business, civic and social service agencies, and school leaders. Through these relationships, Community Relations identified health needs in the NorthShore community by regularly attending events, meetings, community boards, coalitions, consortiums, and one-on-one engagements. NorthShore's senior leadership also regularly participate in outreach programs to local leaders. NorthShore physicians and staff also play an equally important role in identifying health trends and needs through their leadership, board participation, and involvement in local, regional, and national organizations. Each NorthShore hospital has a Community Advisory Committee (CAC) comprised of a range of community leaders representing local public health agencies, non-profit organizations serving low-income residents, faith based groups, governmental agencies, and business and civic leaders. Each hospital's CAC meets quarterly to discuss the health needs in their communities, identifying gaps in delivery of services and providing strategic recommendations to the hospital to address the identified health needs. All four hospital CACs also meet annually to address more global health and healthcare related issues, promoting discussion about policy and services at the local, state and federal levels. The following organizations were represented on the NorthShore CACs while NorthShore conducted the fiscal year 2013 CHNA: Evanston Hospital - Village of Wilmette, CJE Senior Life, Childcare Network of Evanston, McGaw YMCA, Erie Evanston/Skokie Health Center, City of Evanston, North Shore Senior Center, Kenilworth School District 38, Mather LifeWays, Evanston/Skokie School District 65, Shorefront Legacy, New Trier High School, YWCA Evanston Northshore, and Evanston Township High School. Glenbrook Hospital - Northfield Township, Glenbrook North High School, Glenview Police Department, Village of Glenview, Glenview Park District, Covenant Village of Northbrook, Northfield Police Department, Glenbrook South High School, Family Service Center, Glenview Senior Center, Frisbe Senior Center, The Josselyn Center, and the Northbrook Police Department. Highland Park Hospital - Lake County Health Department, Moraine Township, Lake County Board, City of Highwood, Illinois District 29, Deerfield School District 109, Village of Glencoe, City of Highland Park, Zion Lutheran Church, Township High School District 113, Illinois District 58, Park District of Highland Park, West Deerfield Township, City of Highland Park, Lake Forest Senior Center, and the Village of Deerfield. Skokie Hospital - Niles Township, Village of Skokie, Open Communities, Lincolnwood Parks and Recreation, Oakton Community College, Northwest Suburban United Way, Village of Lincolnwood, Niles Township High School District 219, Skokie Park District, Village of Morton Grove, and the Skokie Chamber of Commerce. NorthShore also conducted a community health needs focus group, consisting of community leaders and public health experts who provide social services and healthcare within NorthShore's community. Discussions during the focus group centered on what pressing health concerns were present, which healthcare resources were available and not available, and what barriers to healthcare resources existed for individuals in the community. The following organizations were represented in the focus group: Evanston Health Department, City of Evanston, New Trier High School, Kenilworth School District 38, Evanston/Skokie School District 65, North Shore Senior Center, Lake County Health Department, Lake Forest Senior Center, Tri-Con Childcare Center, Northfield Township, Northbrook Police Department, Northbrook YMCA, Skokie Health Department, Erie Family Health Center, Metropolitan Family Services, and the Northwest Suburban United Way. Part V Section B Line 4 - Other Hospital Facilities Included in CHNA Facility Reporting Group A: Reporting Group A consists of the following hospital facilities: 1 - Evanston Hospital 2 - Glenbrook Hospital 3 - Highland Park Hospital 4 - Skokie Hospital The Community Health Needs Assessment (CHNA) conducted by NorthShore University HealthSystem (NorthShore) included all four NorthShore hospitals: Evanston Hospital, Glenbrook Hospital, Highland Park Hospital, and Skokie Hospital. Part V Section B Line 7 - Reasons for Needs not Addressed from the CHNA Facility Reporting Group A: Reporting Group A consists of the following hospital facilities: 1 - Evanston Hospital 2 - Glenbrook Hospital 3 - Highland Park Hospital 4 - Skokie Hospital The following needs identified in the fiscal year 2013 Community Health Needs Assessment (CHNA) were not addressed by NorthShore University HealthSystem (NorthShore): violence prevention, healthy environment (air/water), and tobacco use prevention. NorthShore decided not to address these needs in order to avoid duplication of services with other organizations dedicating resources to these areas. In addition, these needs were not areas of expertise for NorthShore and therefore would not have a measurable, significant impact on these issues. Part V Section B Line 14g - Publication of Financial Assistance Policy Facility Reporting Group A: Reporting Group A consists of the following hospital facilities: 1 - Evanston Hospital 2 - Glenbrook Hospital 3 - Highland Park Hospital 4 - Skokie Hospital The NorthShore University HealthSystem (NorthShore) Financial Assistance program is publicized on the NorthShore website with a summary of the program, application process, contact information, and links to the Financial Assistance Policy and the application form in both English and Spanish. Information about the NorthShore Financial Assistance program is also publicized with signage (both English and Spanish) in all our facilities' Emergency Departments and at our Central Registration areas. The NorthShore patient information television channel is also available to all patients upon admission and includes a section on how to obtain Financial Assistance. NorthShore billing statements also indicate the Financial Assistance program and necessary contact information. Collection agencies also coordinate charity care to potentially eligible patients. Part V Section B Line 20d - Amounts Charged to FAP-Eligible Individuals Facility Reporting Group A: Reporting Group A consists of the following hospital facilities: 1 - Evanston Hospital 2 - Glenbrook Hospital 3 - Highland Park Hospital 4 - Skokie Hospital NorthShore University HealthSystem follows the Illinois Hospital Uninsured Patient Discount Act, which requires discounts to uninsured patients who qualify for financial assistance that result in bills of no more than 135% of cost. The discounts required under Illinois law are also monitored to ensure they do not exceed the average of the three lowest negotiated commercial insurance rates. 32 Skokie Ambulatory Care Center 9650 Gross Point Road Skokie IL 60076 Outpatient Clinic Glenbrook Ambulatory Care Center 2180 Pfingsten Road Glenview IL 60026 Outpatient Clinic Graham Medical Office Building 1000 Central Street Evanston IL 60201 Outpatient Clinic Gurnee Ambulatory Care Center 7900 Rollins Road Gurnee IL 60031 Outpatient Clinic Highland Park Medical Office Building 767 Park Avenue West Highland Park IL 60035 Outpatient Clinic Old Orchard Medical Office Building 9977 Woods Drive Skokie IL 60077 Outpatient Clinic Glenbrook Medical Office Building South 2050 Pfingsten Road Glenview IL 60026 Outpatient Clinic Glenbrook Medical Office Building North 2150 Pfingsten Road Glenview IL 60026 Outpatient Clinic Highland Park Ambulatory Care Center 757 Park Avenue West Highland Park IL 60035 Outpatient Clinic Lakeshore Imaging 680 N Lake Shore Drive Chicago IL 60611 Outpatient Clinic Vernon Hills Specialty Care Center 225 N Milwaukee Avenue Vernon Hills IL 60061 Outpatient Clinic Bannockburn Medical Office Building 2151 Waukegan Road Bannockburn IL 60015 Outpatient Clinic Gurnee Medical Office Building 15 Tower Court Gurnee IL 60031 Outpatient Clinic PM&R Pediatrics Lab Services 9811 Woods Drive Skokie IL 60077 Outpatient Clinic Glenview Park Center 2400 Chestnut Avenue Glenview IL 60026 Outpatient Clinic Fetal Diagnostic Center 71 Waukegan Road Lake Bluff IL 60044 Outpatient Clinic PM&R Fitness Center 1501 Busch Parkway Buffalo Grove IL 60089 Outpatient Clinic PM&R Benson Avenue 1729 Benson Avenue Evanston IL 60201 Outpatient Clinic Adolescent Day School 3633 W Lake Avenue Glenview IL 60026 Therapeutic Day School Northbrook Court Imaging 1182 Northbrook Court Northbrook IL 60062 Outpatient Clinic NorthShore Lab Services - Evanston 2500 Ridge Avenue Evanston IL 60201 Outpatient Clinic Northbrook Pharmacy 1127 Church Street Northbrook IL 60062 Outpatient Pharmacy Fetal Diagnostic Center 755 S Milwaukee Avenue Libertyville IL 60048 Outpatient Clinic Libertyville Pharmacy 1451 W Peterson Road Libertyville IL 60048 Outpatient Pharmacy Lake Forest Pharmacy 825 S Waukegan Avenue Lake Forest IL 60045 Outpatient Pharmacy PM&R Old Deerfield Road 1630 Old Deerfield Road Highland Park IL 60035 Outpatient Clinic Breast Health and Mammography Program 71 Old Orchard Shopping Center Skokie IL 60077 Outpatient Clinic River North Same Day Surgery One East Erie Street Chicago IL 60611 Ambulatory Surgery Center 25 East Same Day Surgery Center 25 East Washington Street Chicago IL 60602 Ambulatory Surgery Center North Shore Same Day Surgery 3725 West Touhy Avenue Lincolnwood IL 60712 Ambulatory Surgery Center Ravine Way Surgery Center 2350 Ravine Way Glenview IL 60025 Ambulatory Surgery Center Elmwood Park Same Day Surgery 1614 North Harlem Avenue Elmwood Park IL 60707 Ambulatory Surgery Center Part I Line 7 - Costing Methodology NorthShore University HealthSystem calculated the cost of charity care and means-tested government programs using the cost-to-charge ratio derived from Schedule H, Worksheet 2, Ratio of Patient Care Cost-to-Charges. Amounts in the other benefits section of Line 7 were calculated using costs charged directly to the individual programs from the financial accounting system. An indirect cost allocation factor for hospital shared services was also calculated and included for each program indicated in other benefits. Part II - Community Building Activities NorthShore University HealthSystem (NorthShore) employees are involved in numerous community building activities which promote the health of the communities it serves. NorthShore encourages its employees to serve on community collaboration boards and participate in health advocacy programs to promote the health of the communities served. Part III Line 2 - Bad Debt Expense Bad debt expense was reported at cost using a cost-to-charge methodology. The Schedule H, Worksheet 2, Ratio of Patient Care Cost-to-Charges calculated to report charity care on Part I, Line 7a was multiplied by the bad debt expense to determine the bad debt expense at cost. Discounts and payments on patient accounts are excluded from bad debt expense in order to reflect the expected amount to be paid. Part III Line 4 - Financial Statement Footnote Accounts Receivable Financial Statement Footnote - The Corporation evaluates the collectibility of its accounts receivable based on the length of time the receivable is outstanding, payor class, and the anticipated future uncollectible amounts based on historical experience. Accounts receivable are charged to the allowance for uncollectible accounts when they are deemed uncollectible. Part III Line 8 - Medicare Shortfall The Schedule H, Worksheet 2, Ratio of Patient Care Cost-to-Charges was used to determine the Medicare costs reported on Part III, Line 6. NorthShore University HealthSystem (NorthShore) believes that all of the $74,604,669 Medicare shortfall should be considered as community benefit. The Internal Revenue Service Community Benefit Standard includes the provision of care to the elderly and Medicare patients. Medicare shortfalls must be absorbed by NorthShore in order to continue treating the elderly in our community. During fiscal year 2014, Medicare accounted for approximately 47% of hospital gross patient revenues. The hospital provides care regardless of this shortfall and thereby relieves the government of the burden of paying the full cost of care for Medicare beneficiaries. Part III Line 9b - Collection Practices NorthShore University HealthSystem (NorthShore) follows the Illinois Fair Patient Billing Act. The collection policy is the same for all patients. Patients are screened for eligibility for financial assistance before collection procedures begin. After a patient meets the qualifications for financial assistance, the account balance is either partially or entirely written off. Any remaining balance would be collected under the existing debt collection policy. Part VI Line 2 - Needs Assessment NorthShore University HealthSystem (NorthShore) completed a Community Health Needs Assessment (CHNA) during fiscal year 2013. See information reported on the CHNA in Part V Section B. The purpose of the CHNA was to determine the needs of the communities served and align NorthShore programs with the health needs identified. In addition to collecting and analyzing available quantitative and qualitative data on mortality, disease incidence, utilization of and access to healthcare services, NorthShore also established a mechanism in which to actively seek the involvement of our community and public health leaders in an ongoing manner to ensure that our analysis reflected the current public health needs in our community. NorthShore will continue to seek to understand community health needs and track both quantitative and qualitative sources of public health information, as well as solicit feedback from the community. Part VI Line 3 - Patient Education of Eligibility for Assistance NorthShore informs and educates low income patients of our Financial Assistance program across many points within the system. We have posted signs--both English and Spanish--in all our facilities' Emergency Departments and at our Central Registration areas. The NorthShore patient information television channel is available to all patients upon admission and a section describes how to obtain Financial Assistance. The NorthShore billing statements describe the Financial Assistance program and necessary contact information. Our collection agencies and Medical Group billing offices also coordinate charity care to potentially eligible patients. Finally, the NorthShore website (www.northshore.org) is another useful resource that informs patients about the Financial Assistance program with links to the application process and the actual financial application. NorthShore also has approximately sixteen full time financial counselors and thirty-eight Customer Service agents representing in our Hospitals, Clinics, and Medical Group. These counselors and representatives are responsible for helping patients understand their bills and coordinating financial assistance and insurance eligibility when appropriate. Any uninsured patient admitted to our hospitals will have their case reviewed by a financial counselor. NorthShore has also earned Certified Application Counselor status with CMS. Our counselors are certified and capable of helping patients navigate Medicaid and Insurance Exchange options. Any patient having difficulty paying their portion of the bill or wanting to know if they are eligible for financial assistance will have their case reviewed by calling our centralized Customer Service billing department. Our customer service responds to approximately 1,300 calls per day from patients with questions about their bill or that are unable to pay. In addition to the formal application process for financial assistance, NorthShore may also grant charity on a presumptive basis. Presumptive charity approvals are based upon individual life circumstances such as enrollment in low income government programs with income eligibility below 200% of federal poverty level income guidelines or verification of financial indigence through an outside vendor. Part VI Line 4 - Community Information NorthShore University HealthSystem (NorthShore) has four hospital facilities located in the northern suburbs of Chicago, Illinois. The NorthShore service area has a total population size of approximately 1.6 million*. The average household income is approximately $89,000*. During fiscal year 2014, approximately 4% of NorthShore's patients had no insurance and 7% qualified for Medicaid. Within NorthShore's service area, there are three federally-designated medically underserved areas. NorthShore's service area also includes nine other hospitals. *Source: US Census via Thomson Reuters Market Planner Plus Part VI Line 5 - Promotion of Community Health NorthShore University HealthSystem (NorthShore) extends medical staff privileges to all qualified physicians in the NorthShore community. A majority of the NorthShore Board members also reside in NorthShore's service area and are not employees, independent contractors, or family members thereof. NorthShore also uses surplus funds to add new buildings and renovate existing facilities to better serve patients and the community. Additional programs conducted by NorthShore to help promote the health of the community include: Residency and Education Programs - NorthShore University HealthSystem (NorthShore) is committed to excellence in its academic mission and supports teaching and research in its role as the principal teaching affiliate of the University of Chicago Pritzker School of Medicine. NorthShore also has additional teaching affiliation agreements with Rush University Medical Center, University of Illinois-Chicago, Stroger Hospital, and Northwestern University Feinberg School of Medicine. NorthShore has an extensive selection of training programs and fellowships to offer physicians at our own teaching and research facilities. During fiscal year 2014, a total of 191 residents and 30 fellows participated in the NorthShore and affiliate-based programs. The NorthShore residency program areas included: Dentistry, Internal Medicine, Pathology, Preliminary Medicine (intern year), Transitional Medicine (1st Year prior to specialization), and Family Medicine. The NorthShore fellowship program areas included: Urogynecology, Gastroenterology, Musculoskeletal Imaging, Emergency Medicine Simulation, Endocrine Surgery, Family Medicine/Sports Medicine, and Surgical Pathology. The affiliate-based residency program areas included: Anesthesiology, Emergency Medicine, Obstetrics and Gynecology, Orthopaedic Surgery, Pediatrics, Psychiatry, Radiology, General Surgery, Neurology, Neurosurgery, Ophthalmology, Otolaryngology, Plastic Surgery, Podiatry, and Urology. The affiliate-based fellowship program areas included: Advanced Cardiovascular Imaging and Research, Cardiology, Cardiothoracic Surgery, Child Neurology, Child Psychiatry, Colon Rectal Surgery, Electrophysiology, Gastroenterology, Gynecologic Oncology, Hematology/Oncology, Mammography, Maternal-Fetal Medicine, Medical Microbiology, Neonatal-Perinatal Medicine, Nephrology, Neuroradiology, Orthopaedic Hand, Orthopaedic Sports, Palliative Medicine, Peripheral Vascular Surgery, and Surgical Oncology. NorthShore also offers a comprehensive Pharmacy residency program, with resident positions located at all four hospitals. The Pharmacy residency program includes both clinical and administrative exposure focusing on inpatient practice. The program consists of a multitude of experiences that reinforce residents' knowledge and skills and help them advance into well-rounded practitioners. During fiscal year 2014, 22 residents participated in the program. The NorthShore School of Nurse Anesthesia operates out of Evanston Hospital. The program has full accreditation from the Council of Accreditation of Nurse Anesthesia Educational Programs. The mission of the school is to prepare qualified professional registered nurses for the advanced practice of nurse anesthesia in a variety of practice settings. The graduate nurse anesthetist demonstrates the knowledge, skills, and attitude necessary to take on leadership roles in the practice of nurse anesthesia. During fiscal year 2014, 58 students participated in the program. NorthShore also provided clinical training and internships during the 2014 academic year for 764 high school and college students. Students interned in the following areas: Nursing, Physical Therapy, Laboratory, Radiology, Occupational Therapy, Medical Social Work, Speech Pathology, and Infection Control. Community Advisory Committees - The Community Advisory Committees' (CAC) role is to advise hospital administration on services and initiatives from a community perspective. CACs are structured to ensure NorthShore's accountability to the community by working to fulfill our community relations vision that the more NorthShore and the community connect, the stronger and healthier both will become. The CACs are comprised of primarily community members, along with hospital administrative and professional staff. NorthShore strives for diverse membership to include business, faith community, social services, civic organizations, government officials, elected officials, interested citizens, former patients, and healthcare professionals. The CACs serve as an advocate for the greater good of the community and its health, and to provide recommendations for annual community benefit planning. The CACs also help identify opportunities for partnerships between the hospitals and community organizations, and they identify gaps in healthcare services within the community. Be Well Lake County - Be Well Lake County is a collaboration between NorthShore, Lake County Health Department and Community Health Center, and supporting community partners. The program goal is to build greater access through a coordinated network of healthcare targeting the underserved diabetes population in Lake County. The program enables the partner organizations to effectively pool and maximize resources in order to provide high quality comprehensive diabetes management, education, and support resources that will address one of the nation's fastest growing health threats. NorthShore Community Health Center - The NorthShore Community Health Center at Evanston Hospital provides medical care to adults and children who lack private medical insurance. Medical services include, but are not limited to: primary care, obstetrics/gynecology, general surgery, orthopaedics, diabetes education, and podiatry. In fiscal year 2014, the clinic treated 2,676 adult patients at 5,311 visits and 1,020 adolescent patients at 1,559 visits. Dental Center - The Dental Center at Evanston Hospital provides primary care dental services and special consultations for medically underserved adult patients, pre-screenings for cardiovascular patients, and management for oral complications in oncology patients and those with refractory dental problems. The Dental Center provided free and discounted care for adult patients making 3,066 visits at a cost of $176,103 during fiscal year 2014. Evanston Township High School Health Center - Established as a collaborative partnership with Evanston Township High School, the Evanston Health Department, and NorthShore, the Health Center is a free school-based health clinic staffed by NorthShore employees that provides physical exams, immunizations, treatment of acute and chronic illnesses, and other health services to students. During the 2013-2014 school year, 880 students utilized the Health Center at 2,986 visits at a cost of $575,899. Medication Assistance Program - NorthShore's Medication Assistance Program helps patients with the cost of paying for prescription drugs. The Medication Assistance Program assisted 2,962 patients in filling 40,946 prescriptions at a cost of $257,815 during fiscal year 2014. Home Health and Hospice Services - NorthShore provides intermittent care including skilled nursing, physical therapy, occupational therapy, speech therapy, infusion therapy, and home health aides. NorthShore also provides hospice and palliative care services to patients and their families. During fiscal year 2014, there were 94,897 patient visits and 6,435 admissions. Perinatal Depression Program - The Perinatal Depression Program identifies women who are suffering from perinatal depression and offer referrals for women who many need additional support. The program screens women for perinatal depression during and after their pregnancy and offers a 24/7 crisis hotline for women and their family members who may find themselves in an emergent situation. The hotline provides multilingual interpretation services to assist those with limited or no English-speaking ability. All services are provided free of charge. In fiscal year 2014, NorthShore physicians conducted 7,900 screenings to identify at-risk patients, and the hotline received 790 calls. Free psychological support and referrals were provided for 497 women identified through the screenings as at-risk for perinatal mood disorders. Employee Volunteerism - NorthShore employees participate in various volunteer activities that meet community needs and promote goodwill. Several NorthShore publications include information about volunteer organizations and employee volunteer opportunities. NorthShore also recognizes and rewards employees for community service and volunteerism through the annual Sharing Spirit Volunteer Award. Part VI Line 6 - Affiliated Health Care System NorthShore University HealthSystem (NorthShore) is a comprehensive, fully integrated, healthcare delivery system that includes four hospitals, as well as numerous outpatient departments and clinics. In addition to the hospital organization, there are the following affiliates that help to meet the needs of the community: NorthShore University HealthSystem Foundation - The NorthShore University HealthSystem Foundation (Foundation) seeks to obtain the philanthropic support required to ensure that NorthShore can provide medical care, advanced research, and state-of-the-art facilities and equipment. The Foundation builds relationships with individuals and the community to increase awareness of high-quality services and giving opportunities. NorthShore University HealthSystem Research Institute - The NorthShore University HealthSystem Research Institute (Research Institute) was organized to provide a means for integrating leading-edge research into improved clinical care. The Research Institute also creates an environment to recruit and retain externally-funded research leadership in order to achieve the mission and goals of the organization. The Research Institute houses nearly 112 externally funded research faculty who currently occupy over 100,000 net square feet of research space and work on nearly 1,400 active research protocols. Total external funding is now over $100 million. NorthShore has also made a substantial commitment to develop a new Center for Clinical and Research Informatics to conduct expanded research using informatics. Such infrastructure will enable large scale efforts on comparative effectiveness, clinical quality/outcomes, and practice based research. The Center and its work will build on our award winning Epic medical records system, providing a focus for growing faculty involvement in research. In 2014 the Genomic Health Initiative was launched for members of the community to help shape the future of Personalized Medicine. This research project will give physician and research experts the opportunity to more proactively learn about the science behind diseases and conditions, and apply this knowledge directly to a clinical setting to improve patient outcomes. The Genomic Health Initiative will allow researchers to more precisely predict, prevent, and treat disease while improving the future of healthcare and the medical field for generations to come. The goal is to collect 40,000 - 100,000 participants over the next several years to enable sufficient samples for DNA studies. Health Heritage was also established for patients and their families to have a powerful foundation on which to build personalized plans for improving their health, and potentially the health of family members. Health Heritage was designed and built by researchers and developers at NorthShore along with colleagues at the University of Virginia. This secure, dynamic online family health history will also be an essential part of the legacy NorthShore patients will leave their children and future generations with vital information including a family health history and personalized health risk reports and recommendations. NorthShore University HealthSystem Faculty Practice Associates - The NorthShore University HealthSystem Faculty Practice Associates (FPA) represents more than 900 physicians with over 100 offices in virtually every specialty all on staff at the hospitals of NorthShore. The primary function and activity of FPA is to employ, supervise, and conduct employment-related activities with respect to physicians who provide professional health care services directly for patients of NorthShore. The FPA physicians also conduct medical education and research activities on behalf of NorthShore. Radiation Medicine Institute - The Radiation Medicine Institute (RMI) employs, supervises, and conducts employment-related activities with respect to physicians who provide professional health care services directly for patients of NorthShore. The RMI physicians also conduct medical education and research activities on behalf of NorthShore. Part VI Line 7 - State Filing of Community Benefit Report Illinois true A Safe Place 2710 17th Street Zion IL 60099 363032700 501(c)(3) 7500 Community Contribution American Cancer Society 820 Davis St Evanston IL 60201 362167721 501(c)(3) 20000 Community Event Contribution American Heart Association 208 South LaSalle St Chicago IL 60604 360900700 501(c)(3) 25000 Community Event Contribution Crohn's and Colitis Foundation of America 386 Park Avenue South New York NY 10016 136193105 501(c)(3) 5075 Community Contribution Common Threads 500 N Dearborn St Chicago IL 60654 200106847 501(c)(3) 6400 Community Contribution Council for Jewish Elderly 3003 W Touhy Ave Chicago IL 60645 362727597 501(c)(3) 5000 6500 FMV Office Space Community Contribution Catholic Charities of Chicago 721 N LaSalle St Chicago IL 60654 362170821 501(c)(3) 31000 Community Contribution Erie Family Health Center Inc 1701 W Superior St Chicago IL 60622 363088628 501(c)(3) 511400 Community Contribution Family Promise Chicago North Shore PO Box 484 Glencoe IL 60022 270288849 501(c)(3) 7500 Community Contribution Family Service Center of Wilmette 3545 Lake Ave Wilmette IL 60091 362171173 501(c)(3) 18000 Community Contribution Helping Hands of Glenview 2320 Glenview Rd Glenview IL 60025 363624216 501(c)(3) 7500 Community Contribution Illinois Hospital Research and Edu Fndn 24676 Network Place Chicago IL 60673 237421930 501(c)(3) 52808 Hospital Mutual Assistance Program Lake County Health Department 3010 Grand Ave Waukegan IL 60085 366006600 115 547729 Be Well Lake County Program Lake County Partners for Economic Develop 100 Tri-St Int Dr Lincolnshire IL 60069 364206288 501(c)(3) 10000 Community Contribution Metropolitan Chicago Healthcare Council 222 S Riverside Plaza Chicago IL 60606 363401846 501(c)(6) 40964 Illinois Poison Center Contribution NorthShore Faculty Practice Associates 1301 Central Street Evanston IL 60201 363738206 501(c)(3) 62766645 General Support Niles Township General Assistance 1700 Ballard Rd Park Ridge IL 60068 362438196 115 7500 Community Contribution Skokie Park District 9300 Weber Park Place Skokie IL 60077 366006104 115 7500 Community Contribution The Josselyn Center NFP 405 Central Ave Northfield IL 60093 362217996 501(c)(3) 8000 Community Contribution Turning Point Behavioral Health Care Center 8324 Skokie Blvd Skokie IL 60077 362327294 501(c)(3) 73000 Community Contribution The University of Chicago Medical Center 5841 S Maryland Ave Chicago IL 60637 363488183 501(c)(3) 400000 Community Contribution Ann & Robert H Lurie Children's Hospital 225 E Chicago Ave Chicago IL 60611 362170833 501(c)(3) 19890 Research Massachusetts General Hospital 55 Fruit St Boston MA 02114 041564655 501(c)(3) 17490 Research The Medical College of Wisconsin Inc 8701 Watertown Plank Rd Milwaukee WI 53226 390806261 501(c)(3) 163286 Research Northwestern University 633 Clark St Evanston IL 60208 362167817 501(c)(3) 13064 Research Texas Biomedical Research Institute PO Box 760549 San Antonio TX 78245 741109630 501(c)(3) 139336 Research University of Chicago 5801 S Ellis Ave Chicago IL 60637 362177139 501(c)(3) 50675 Research University Of Texas at Austin PO Box 7159 Austin TX 78713 746000203 115 42726 Research 27 1 Scholarships in Medical Field 45 109883 Part I Line 2 - Monitoring of Grant Funds NorthShore University HealthSystem (NorthShore) provides cash and non-cash assistance to organizations that help support NorthShore's mission to preserve and improve human life. Requests to support an outside organization must be reviewed and approved by the Community Relations department and NorthShore management to ensure the organization is aligned with NorthShore's mission and charitable purpose. NorthShore also provides cash grants to sub-recipients of grant awards. NorthShore requires all sub-recipients to sign a consortium agreement stating that the sub-recipient understands and agrees to all applicable compliance requirements. NorthShore meets with the sub-recipients on a regular basis and reviews the sub-recipients' A-133 reports. In addition, NorthShore provides cash support to related organizations. Support to related organizations is monitored through the NorthShore budget and reporting procedures for the consolidated financial statements. NorthShore also provides nursing scholarships to individuals. The scholarship amount depends on the degree sought, and the number of scholarships awarded depends on the available funds for each year. Scholarships are awarded on an annual basis to applicants that meet the eligibility criteria. Applicants must be current employees of NorthShore as a staff nurse or other related clinical position. Applicants must also be currently enrolled in a nursing degree program, and enrollment must be maintained for the year the scholarship is received. In addition, applicants must sign a Scholarship Agreement to work for NorthShore as a staff nurse or in a related clinical position for one year following receipt of the scholarship. Finally, NorthShore receives Federal funding to provide grants to Nurse Anesthesia Trainees (NATs). To be eligible for a grant, a NAT must be a registered nurse enrolled in NorthShore's School of Nurse Anesthesia program. NATs must also be citizens of the United States, non-citizen nationals, or foreign nationals with a visa permitting permanent residence in the United States. NATs must also be eligible to sit for the certification examination from the American Association of Nurse Anesthetists Council on Certification of Nurse Anesthetists to become a Certified Registered Nurse Anesthetist upon completion of the program. X true false X X X X false true false false false false false true false Theodore Mazzone Director and Clinical Chairman 621584 69185 0 75000 0 17990 18564 2066 8758 975 648906 165216 0 0 Mark S Talamonti Director and Clinical Chairman 675529 244113 0 67000 0 52317 15154 5476 23256 8404 713939 377310 0 0 Jeffery S Vender Director and Clinical Chairman 525520 245389 0 273600 0 71526 14063 6567 16785 7838 556368 604920 0 0 Mark R Neaman President and CEO 1012149 0 454500 0 490994 0 321730 0 16215 0 2295588 0 0 0 Gerald P Gallagher Chief Operating Officer 498430 0 200000 0 2970 0 114963 0 26958 0 843321 0 0 0 Gary E Weiss Board Treasurer and CFO 475838 0 192000 0 321128 0 114897 0 19704 0 1123567 0 0 0 Julian E Bailes Clinical Chairman 499950 994151 0 100000 0 13158 6903 13727 10518 20914 517371 1141950 0 0 William D Bloomer Clinical Chairman 393030 259730 0 290000 0 51460 12421 8209 19733 13040 425184 622439 0 0 Michael S Caplan Clinical Chairman 515625 109375 0 58000 2160 24859 17020 3610 7343 1558 542148 197402 0 0 Robert R Edelman Clinical Chairman 739440 37161 3801 233799 0 14522 19643 987 37069 1863 799953 288332 0 0 Bernard G Ewigman Clinical Chairman 405630 0 25000 0 0 0 63691 0 60738 0 555059 0 0 0 Thomas H Hodges Chief Investment Officer 394951 0 159000 0 11954 0 20630 0 15443 0 601978 0 0 0 Harry L Jones Chief Compliance Officer 245896 0 98000 0 3816 0 20630 0 25142 0 393484 0 0 0 Karen L Kaul Clinical Chairman 103200 389446 0 172803 0 33983 4322 16308 6417 24216 113939 636756 0 0 Jason L Koh Clinical Chairman 500400 392221 0 400000 0 5440 11565 9065 18280 14328 530245 821054 0 0 William R Luehrs Chief Human Resources Officer 341368 0 138000 0 43837 0 89297 0 17613 0 630115 0 0 0 Demetrius Maraganore Clinical Chairman 367846 149873 0 50000 0 5671 14658 5972 20687 8429 403191 219945 0 0 Frederick E Miller Clinical Chairman 361620 52160 0 25000 0 6778 18029 2601 23952 3455 403601 89994 0 0 Kristen Murtos President, Skokie Hospital 324594 0 132000 0 2835 0 86630 0 27638 0 573697 0 0 0 Sean O'Grady President, Glenbrook Hospital 285658 0 116000 0 2529 0 20630 0 25856 0 450673 0 0 0 Jesse Peterson Hall President, Highland Park Hosp. 359286 0 134000 0 9207 0 93563 0 26865 0 622921 0 0 0 Nancy Semerdjian Chief Nursing Officer 291681 0 118000 0 13345 0 20630 0 17892 0 461548 0 0 0 Richard K Silver Clinical Chairman 700013 117687 0 75000 0 41287 17661 2969 28107 4725 745781 241668 0 0 Douglas M Silverstein President, Evanston Hospital 460104 0 184000 0 9840 0 142517 0 11273 0 807734 0 0 0 Steven Smith Chief Information Officer 304006 0 122000 0 5581 0 20630 0 23088 0 475305 0 0 0 Brian Washa Senior Vice President 283845 0 86700 0 1520 0 79590 0 25065 0 476720 0 0 0 Kenneth P Anderson Chief Medical Quality Officer 388370 0 108100 0 8341 300 20630 0 25835 0 551276 300 0 0 Jeffrey H Hillebrand Former Chief Operating Officer 179650 0 505000 0 338704 0 0 0 4905 0 1028259 0 164585 0 Janardan D Khandekar Medical Director 444438 93750 0 4500 35964 0 17036 3594 18839 3974 516277 105818 0 0 William A Knaus Director, Research Informatics 391601 0 0 0 17417 0 20630 0 27385 0 457033 0 0 0 Jonathan Silverstein VP, Research Informatics 329410 0 82900 0 1673 0 20630 0 22001 0 456614 0 0 0 Leopold G Selker Former President, Res. Inst. 0 0 145000 0 8506 0 0 0 0 0 153506 0 0 0 Nicholas A Vick Former Clinical Chairman 77255 30424 0 0 8548 21897 5044 1986 8430 3320 99277 57627 0 0 Thomas A Victor Former Clinical Chairman 99887 270494 0 80436 0 62962 5564 15066 8218 22255 113669 451213 0 0 Part I Line 1a - Benefits Provided First-class airfare was provided to the Chief Executive Officer and the Former Chief Operating Officer during calendar year 2013 for business travel purposes and was not treated as taxable compensation. The first-class airfare was purchased through a prepaid airline mileage account, which provided discounted airline fare rates. Part I Line 2 - Reimbursement Substantiation A prepaid airline mileage account was purchased for the travel of the Chief Executive Officer and Former Chief Operating Officer. At the time of the purchase, it was not known what specific travel would occur and therefore the travel could not be substantiated at purchase. The business purpose of each trip was substantiated at the time of travel. Part I Line 4b - Supplemental Nonqualified Retirement Plan The following individuals participated in a supplemental nonqualified retirement plan and accrued the following benefits: Mark R Neaman, President and Chief Executive Officer - $465,851, Jeffrey H Hillebrand, Former Chief Operating Officer - $285,767, William R Luehrs, Chief Human Resources Officer - $34,973, Douglas M Silverstein, President, Evanston Hospital - $33,087, Gary E Weiss, Chief Financial Officer - $309,857. Part I Line 7 - Non-Fixed Payments NorthShore University HealthSystem provides incentive payments to certain employees after operating and performance goals are achieved. Incentive payment plans are reviewed and approved by the Compensation Committee of the Board of Directors. Form 990 Part VII Line 5 - Compensation from Unrelated Organizations The salary and benefits reported on Schedule J totaling $555,059 for Dr. Bernard G Ewigman were paid by the University of Chicago Medical Center for services provided to NorthShore University HealthSystem as the Chairman of the Department of Family Medicine. A Illinois Finance Authority 861091967 45200F4D8 2010-07-14 138786145 See Part VI false false false B Illinois Finance Authority 861091967 45200MU93 2008-12-11 75000000 See Part VI false false false A 13610000 0 138786145 0 0 0 1017771 0 0 0 137768374 0 2010 true false true true B 0 0 75000000 0 0 0 433044 131875 0 74435081 0 0 2008 false false true true A 0 B false false true true true true 0.00400 0.00100 0.00500 false false false true A false false false true false false 0 false 0 false true B false false true true true false 0 false 0 false true A true B true Part I Line A Column (f) To refund bonds issued on July 3, 2001. Proceeds were also used to pay termination costs in connection with certain derivative agreements related to the refunded bonds. Part I Line B Column (f) To reimburse NorthShore University HealthSystem for the costs of construction, renovation, and equipment for various projects at Evanston Hospital, Glenbrook Hospital, and Highland Park Hospital. Part IV Line 2c Column A A rebate analysis was performed on April 27, 2015, which found there was no rebate due. Part IV Line 2c Column B A rebate analysis was performed on January 29, 2014, which found there was no rebate due as the issue met an exception to rebate. NorthShore Physician Associates Inc See Part V 21624047 Capitation Payments, Other false NorthShore Insurance International See Part V 3577141 Insurance Premiums, Taxes false Ravine Way Surgery Center LLC See Part V 377055 Earnings Distributions true NorthShoreUSP Surgery Center II LL Board Mbr-Kristen Murtos 1534425 Earnings Distributions true Advisory Board Company Board Mbr - Mark Neaman 315970 Membership Dues false Medline Industries Officer - Andrew Mills 527322 Medical Supplies false Blue Cross Blue Shield of Illinois Board Mbr - Sona Wang 450064856 Net Patient Revenues false Thomas M Selker Family Mbr-Leopold Selker 71268 Employment false April F Victor Family Mbr-Thomas Victor 57500 Employment false Alexis A Washa Family Mbr-Brian Washa 161367 Employment false Part IV Column (b) - Business Transactions with Interested Persons NorthShore Physician Associates, Inc. board members and officers were: Leon S Benson, Percy L Berger Sr, Toure S Claiborne, A Steven Crown, Mary Dillon, David A Dohnalek, Connie K Duckworth, William M Farrow III, Gerald P Gallagher, Gregory K Jones, Rchard L Keyser, Lester B Knight III, Harry M Jansen Kraemer Jr, Theodore Mazzone, Samuel M Mencoff, Andrew J Mills, Kristen Murtos, Mark R Neaman, Nancy A Nora, Michael Reinsdorf, Thomas S Ricketts, Scott C Schweighauser, Susan B Sentell, Mark S Talamonti, J Mikesell Thomas, Jeffery S Vender, John R Walter, Kevin Willer, William M Wrigley Jr, David F Zucker NorthShore Insurance International board members were Gerald P Gallagher and Harry L Jones. Ravine Way Surgery Center, LLC board members were Gerald P Gallagher and Kristen Murtos. X 20 17695 Cost X 20 Comparables X 19310 Cost X 32 2523966 Sale Proceeds X 5 1135 Comparables X 6 2093 Cost X 4 87554 Cost X Gift Cards/Certificates 258 69391 Cost X Events/Entertainment 29 8986 Cost X Vacation/Property 1 3000 Comparables X Facilities 1 1367 Cost 0 false true false Part I Column (b) - Number of Contributions The amounts reported in Part I, column (b) represent the number of contributions. Part I, Line 4 and Part VI, Sec A, Line 1b-Independence of Voting Members Voting members of the NorthShore University HealthSystem (NorthShore) Board of Directors are also members of the Board of Directors for NorthShore Physician Associates, Inc. (NPA), a related for-profit corporation. Because transactions between NorthShore and NPA are required to be reported on Schedule L, the voting members of the NorthShore Board of Directors are not considered independent for 990 reporting purposes. Part III Line 1 - Mission Statement The core mission of NorthShore University HealthSystem is to "preserve and improve human life." This mission will be achieved through the provision of superior clinical care, academic excellence, and innovative research. NorthShore is a not-for-profit organization principally formed to provide quality healthcare services for the communities it serves. The delivery of healthcare services is provided in a wide range of inpatient and ambulatory healthcare settings, community-wide, employing modern technology and expertise. Support for qualified patients who may not be able to pay the entire cost of their care is a part of the organization's commitment. In support of its primary mission of patient care, the organization engages in a wide range of academic activities in medical education and research. This statement recognizes the Board of Directors' responsibility to maintain the organization's viability to meet its long-term commitment to the communities it serves. It further recognizes the responsibility to maintain technologically current assets for this purpose. This includes the cultivation and development of our physicians, graduate medical students, employees, physical plant, equipment and other resources to assure orderly growth of our services. Part III Line 4a - Statement of Program Services - Patient Care Headquartered in Evanston, Illinois, NorthShore University HealthSystem, (NorthShore), is a comprehensive, fully integrated, healthcare delivery system serving the Chicago region. NorthShore includes four hospitals: Evanston Hospital, Glenbrook Hospital, Highland Park Hospital, and Skokie Hospital. NorthShore has approximately 10,000 employees and 2,100 affiliated physicians, including a multispecialty group practice with over 900 physicians and 100-plus office locations under the NorthShore University HealthSystem Faculty Practice Associates. The integrated health system has significant capabilities in a wide spectrum of leading clinical programs, including the Kellogg Cancer Center, NorthShore Neurological Institute, NorthShore Orthopaedic Institute, NorthShore Cardiovascular Institute, and High-Risk Maternity. NorthShore also supports teaching and research as the principal teaching affiliate for the University of Chicago Pritzker School of Medicine. NorthShore is a Magnet recognized organization, the only one in Illinois designated as a system to receive this prestigious honor that demonstrates excellence in nursing and high standards of patient care. NorthShore is a national leader in the implementation of innovative technologies, including electronic medical records (EMR). In 2003, NorthShore was among the first hospital systems in the country to successfully launch a system-wide EMR with demonstrable benefits in quality, safety, efficiency, and service to patients. NorthShore has been recognized by multiple national organizations for this notable achievement. As part of an ongoing relationship between NorthShore and the Mayo Clinic, physicians from these two organizations are working together on the most complex medical cases. NorthShore physicians have direct access to Mayo Clinic physicians to collaborate on the best treatment for patients with hard to solve cases. NorthShore was nationally ranked in one specialty and rated as high performing in ten others, according to the 2014 U.S. News and World Report annual Best Hospitals survey. NorthShore was nationally ranked in Gastroenterology and GI Surgery, and rated as high-performing in the following specialties: Cancer, Diabetes and Endocrinology, Ear Nose and Throat, Geriatrics, Gynecology, Nephrology, Neurology and Neurosurgery, Orthopaedics, Pulmonology, and Urology. The survey looked at about 5,000 hospitals nationwide, ranking them in 16 different specialties, and less than three percent of all hospitals earned a national ranking in any specialty. NorthShore hospitals earned "A" grades in The Leapfrog Group's 2014 "Hospital Safety Score" initiative, achieving the highest ranking among more than 2,600 hospitals rated nationwide. Grades were based on patient data measures such as medical and medication errors, falls and trauma, preventable complications from surgery, and scrutiny of procedures and protocols due to strong nursing leadership, hand hygiene policies, and safety-first organizational leadership. NorthShore has been recognized as one of the nation's Most Wired health systems for the eleventh consecutive year according to the 2014 Most Wired Survey issued by Hospitals and Health Networks magazine. The annual report highlights hospitals and hospital systems at the forefront of adopting health information technology to improve patient care and increase clinical and administrative efficiencies. NorthShore earned an Excellence Award for Sustainability in 2014 from VHA, Inc., the national healthcare network. The "Best in Class" Excellence Award honors NorthShore for its work in creating a comprehensive sustainability program that reduces waste and demonstrates environmental stewardship in the local community. Only six hospitals or healthcare systems nationwide received this VHA recognition. NorthShore recognizes and embraces its responsibility to ensure that it fulfills its charitable obligations in the most cost-effective and sustainable manner. In order to achieve this goal, NorthShore has aligned its community benefits program with the guiding principles outlined in Advancing the State of the Art of Community Benefit for nonprofit hospitals, which provides a set of uniform standards to increase accountability and align governance, management, and operations to return benefit to local communities. The five guiding principles are: 1) Disproportionate Unmet Health-Related Needs, 2) Primary Prevention, 3) Seamless Continuum of Care, 4) Build Community Capacity, and 5) Community Collaboration. NorthShore informs and educates low income patients of our Financial Assistance program across many points within the system. We have posted signs--both English and Spanish--in all our facilities' Emergency Departments and at our Central Registration areas. The NorthShore patient information television channel is available to all patients upon admission and a section describes how to obtain Financial Assistance. The NorthShore billing statements describe the Financial Assistance program and necessary contact information. Our collection agencies and Medical Group billing offices also coordinate charity care to potentially eligible patients. Finally, the NorthShore website (www.northshore.org) is another useful resource that informs patients about the Financial Assistance program with links to the application process and the actual financial application. NorthShore also has approximately sixteen full time financial counselors and thirty-eight Customer Service agents representing in our Hospitals, Clinics, and Medical Group. These counselors and representatives are responsible for helping patients understand their bills and coordinating financial assistance and insurance eligibility when appropriate. Any uninsured patient admitted to our hospitals will have their case reviewed by a financial counselor. NorthShore has also earned Certified Application Counselor status with CMS. Our counselors are certified and capable of helping patients navigate Medicaid and Insurance Exchange options. Any patient having difficulty paying their portion of the bill or wanting to know if they are eligible for financial assistance will have their case reviewed by calling our centralized Customer Service billing department. Our customer service responds to approximately 1,300 calls per day from patients with questions about their bill or that are unable to pay. In addition to the formal application process for financial assistance, NorthShore may also grant charity on a presumptive basis. Presumptive charity approvals are based upon individual life circumstances such as enrollment in low income government programs with income eligibility below 200% of federal poverty level income guidelines or verification of financial indigence through an outside vendor. Evanston Hospital - With a history dating back to 1891, Evanston Hospital is a 354-licensed bed comprehensive acute-care facility and the nucleus of NorthShore University HealthSystem. Evanston Hospital is a leader in cardiac care, cancer care via the Kellogg Cancer Center and a variety of surgical specialties including neurosurgery, gynecological surgery, robot-assisted surgery, surgical oncology, and urology surgery. Evanston Hospital is certified by the Joint Commission in palliative care and as a Primary Stroke Center. The hospital also is a licensed Level I Trauma Center. Evanston Hospital is also the regional center for high-risk obstetrics. The Infant Special Care Unit and the Women's Hospital offer a comfortable birthing environment where high-risk mothers and their babies have access to the latest technology and a highly trained staff. Evanston Hospital also houses the NorthShore Center for Simulation and Innovation, which provides nurses, physicians, residents, paramedics, firefighters and police with simulated clinical care, trauma and emergency preparedness training in a controlled environment. During fiscal year 2014, Evanston Hospital total admissions were 17,416, and total patient days were 93,889. Part III Line 4a-Statement of Program Services - Patient Care - Continued Glenbrook Hospital - Glenbrook Hospital, established in 1977, is a 173-licensed bed comprehensive medical center providing advanced diagnostic and therapeutic interventions. In addition to being a Level II Trauma Center, Glenbrook Hospital is certified by the Joint Commission as a Primary Stroke Center. Glenbrook Hospital provides advanced medical and surgical care for all specialties. Specific specialties include the Kellogg Cancer Center, NorthShore Neurological Institute, NorthShore Spine Center, John and Carol Walter Center for Urological Health, Patricia Nolan Center for Breast Health, Simms Family GI Lab, Eye and Vision Center, Surgical Specialty Suite, and Total Joint Replacement Center. In addition, the hospital offers leading-edge interventional radiology and cardiac catheterization laboratory. During fiscal year 2014, Glenbrook Hospital total admissions were 9,084, and total patient days were 42,448. Highland Park Hospital - Founded in 1918, Highland Park Hospital has provided high-quality healthcare and a wide range of clinical programs for the people of Lake County and beyond for nearly a century. The 149-licensed bed hospital is the site of the first open-heart surgery in Lake County, and continues to provide a full range of cardiac diagnosis and intervention services. Highland Park Hospital's Kellogg Cancer Center offers the most comprehensive subspecialty care for oncology patients. Specialized physicians provide care for the following types of cancer: thoracic and lung, hematology, breast, ovarian, head and neck, melanoma and sarcoma, gastrointestinal, prostate, and stomach. Highland Park Hospital is a Joint Commission certified Primary Stroke Center. The Emergency Department at Highland Park Hospital acts as the region's "pod" hospital for disaster-response activities, coordinating Lake County's efforts when confronted with a disaster. The Pediatric Preparation Program helps to familiarize young patients with the hospital environment through hospital tours and play sessions prior to surgery. NorthShore also has a partnership with the Lake County Health Department and Community Health Center known as Be Well Lake County. The program goal is to build greater access through a coordinated network of healthcare targeting the underserved diabetes population in Lake County. The program enables the partner organizations to effectively pool and maximize resources in order to provide high quality comprehensive diabetes management, education, and support resources that will address one of the nation's fastest growing health threats. During fiscal year 2014, Highland Park Hospital total admissions were 9,191, and total patient days were 40,379. Skokie Hospital - Established in 1963, Skokie Hospital is a 125-licensed bed facility that has provided high-quality healthcare for nearly five decades and is nationally recognized for its expertise in orthopaedics and cardiac care. Skokie Hospital is a Joint Commission certified Primary Stroke Center. Skokie Hospital's key specialties and features also include minimally invasive surgery, total joint replacement, spine surgery, clinical cardiology, and graduate medical education (residency) programs in internal medicine, general surgery, and anesthesia. In addition, Skokie Hospital's Level II Trauma Center is staffed by an experienced trauma team specially trained in pediatric life support. During fiscal year 2014, Skokie Hospital total admissions were 6,676, and total patient days were 32,459. NorthShore University HealthSystem Faculty Practice Associates - In order to increase the efficiency and quality of health care NorthShore provides, NorthShore University HealthSystem Faculty Practice Associates (FPA) was organized to serve as an integral part of its health care mission and activities. FPA represents more than 900 physicians with over 100 offices in virtually every specialty all on staff at the hospitals of NorthShore. FPA physicians provide professional health care services for patients of NorthShore, as well as conduct medical education and research activities on behalf of NorthShore. NorthShore University HealthSystem Foundation - NorthShore University HealthSystem Foundation (Foundation) is dedicated to assisting the integrated healthcare delivery system to fulfill NorthShore's mission to "preserve and improve human life." The Foundation seeks to obtain the philanthropic support required to ensure that NorthShore can provide medical care, advanced research, and state-of-the-art facilities and equipment. The Foundation builds relationships with individuals and the community to increase awareness of NorthShore's high-quality services and giving opportunities. NorthShore Home and Hospice Services - NorthShore Home and Hospice Services offers the full spectrum of home and hospice care, including skilled nursing, physical and occupational therapy, and home medical equipment. The NorthShore Home and Hospice caregivers represent a wide range of medical specialties and work with the patient, family, and physician to tailor home care to meet the individual needs of each patient. Part III Line 4b - Statement of Program Services - Education NorthShore University HealthSystem (NorthShore) is committed to excellence in its academic mission and supports teaching and research in its role as the principal teaching affiliate of the University of Chicago Pritzker School of Medicine. NorthShore also has additional teaching affiliation agreements with Rush University Medical Center, University of Illinois-Chicago, Stroger Hospital, and Northwestern University Feinberg School of Medicine. NorthShore has an extensive selection of training programs and fellowships to offer physicians at our own teaching and research facilities. During fiscal year 2014, a total of 191 residents and 30 fellows participated in the NorthShore and affiliate-based programs. The NorthShore residency program areas included: Dentistry, Internal Medicine, Pathology, Preliminary Medicine (intern year), Transitional Medicine (1st Year prior to specialization), and Family Medicine. The NorthShore fellowship program areas included: Urogynecology, Gastroenterology, Musculoskeletal Imaging, Emergency Medicine Simulation, Endocrine Surgery, Family Medicine/Sports Medicine, and Surgical Pathology. The affiliate-based residency program areas included: Anesthesiology, Emergency Medicine, Obstetrics and Gynecology, Orthopaedic Surgery, Pediatrics, Psychiatry, Radiology, General Surgery, Neurology, Neurosurgery, Ophthalmology, Otolaryngology, Plastic Surgery, Podiatry, and Urology. The affiliate-based fellowship program areas included: Advanced Cardiovascular Imaging and Research, Cardiology, Cardiothoracic Surgery, Child Neurology, Child Psychiatry, Colon Rectal Surgery, Electrophysiology, Gastroenterology, Gynecologic Oncology, Hematology/Oncology, Mammography, Maternal-Fetal Medicine, Medical Microbiology, Neonatal-Perinatal Medicine, Nephrology, Neuroradiology, Orthopaedic Hand, Orthopaedic Sports, Palliative Medicine, Peripheral Vascular Surgery, and Surgical Oncology. NorthShore also offers a comprehensive Pharmacy residency program, with resident positions located at all four hospitals. The Pharmacy residency program includes both clinical and administrative exposure focusing on inpatient practice. The program consists of a multitude of experiences that reinforce residents' knowledge and skills and help them advance into well-rounded practitioners. During fiscal year 2014, 22 residents participated in the program. The NorthShore School of Nurse Anesthesia operates out of Evanston Hospital. The program has full accreditation from the Council of Accreditation of Nurse Anesthesia Educational Programs. The mission of the school is to prepare qualified professional registered nurses for the advanced practice of nurse anesthesia in a variety of practice settings. The graduate nurse anesthetist demonstrates the knowledge, skills, and attitude necessary to take on leadership roles in the practice of nurse anesthesia. During fiscal year 2014, 58 students participated in the program. NorthShore also provided clinical training and internships during the 2014 academic year for 764 high school and college students. Students interned in the following areas: Nursing, Physical Therapy, Laboratory, Radiology, Occupational Therapy, Medical Social Work, Speech Pathology, and Infection Control. Part III Line 4c - Statement of Program Services - Research The NorthShore University HealthSystem Research Institute (Research Institute) was organized in 1996 to provide a means for integrating leading-edge research into improved clinical care. The Research Institute also creates an environment to recruit and retain externally-funded research leadership in order to achieve the mission and goals of the organization. The Research Institute houses 112 externally funded research faculty who currently occupy over 100,000 net square feet of research space and work on nearly 1,400 active research protocols. Total external funding is now over $100 million. NorthShore has also made a substantial commitment to develop a new Center for Clinical and Research Informatics to conduct expanded research using informatics. Such infrastructure will enable large scale efforts on comparative effectiveness, clinical quality/outcomes, and practice based research. The Center and its work will build on our award winning Epic medical records system, providing a focus for growing faculty involvement in research. In 2014 the Genomic Health Initiative was launched for members of the community to help shape the future of Personalized Medicine. This research project will give physician and research experts the opportunity to more proactively learn about the science behind diseases and conditions, and apply this knowledge directly to a clinical setting to improve patient outcomes. The Genomic Health Initiative will allow researchers to more precisely predict, prevent, and treat disease while improving the future of healthcare and the medical field for generations to come. The goal is to collect 40,000 - 100,000 participants over the next several years to enable sufficient samples for DNA studies. Health Heritage was also established for patients and their families to have a powerful foundation on which to build personalized plans for improving their health, and potentially the health of family members. Health Heritage was designed and built by researchers and developers at NorthShore along with colleagues at the University of Virginia. This secure, dynamic online family health history will also be an essential part of the legacy NorthShore patients will leave their children and future generations with vital information including a family health history and personalized health risk reports and recommendations. Part VI Section A Line 2 - Business Relationships The following directors, officers, and key employees are directors or officers of NorthShore Physician Associates, Inc., a related for-profit corporation, and have a business relationship: Leon S Benson, Percy L Berger Sr, Toure S Claiborne, A Steven Crown, Mary Dillon, David A Dohnalek, Connie K Duckworth, William M Farrow III, Gerald P Gallagher, Gregory K Jones, Rchard L Keyser, Lester B Knight III, Harry M Jansen Kraemer Jr, Theodore Mazzone, Samuel M Mencoff, Andrew J Mills, Kristen Murtos, Mark R Neaman, Nancy A Nora, Michael Reinsdorf, Thomas S Ricketts, Scott C Schweighauser, Susan B Sentell, Mark S Talamonti, J Mikesell Thomas, Jeffery S Vender, John R Walter, Kevin Willer, William M Wrigley Jr, David F Zucker Business relationship - Harry M Jansen Kraemer Jr and Samuel M Mencoff Business relationship - Michael Reinsdorf and A Steven Crown Business relationship - Gerald P Gallagher and Harry L Jones Business relationship - Gerald P Gallagher and Kristen Murtos Business relationship - Gerald P Gallagher and Gary E Weiss Part VI Section B Line 11b - Governing Body Review of 990 The NorthShore University HealthSystem (NorthShore) Form 990 was reviewed by executive management and an outside accounting firm. The NorthShore Form 990 was then provided to each member of the Board of Directors via email for their review and ability to ask questions of management prior to filing. Part VI Section B Line 12c - Conflict of Interest Policy Monitoring On an annual basis, the Chief Compliance Officer requires all officers, directors, and key employees to complete, sign and return a Conflict of Interest Disclosure Statement. Timely and accurate completion of the Statement is mandatory, and completed Statements must be returned to the Chief Compliance Officer within 15 days. Any disclosures included on the Statements are reviewed and acted upon as necessary by the Chief Compliance Officer and the Corporate Compliance Committee. Part VI Section B Line 15 - Determination of Compensation A detailed compensation review of the top 15 executives, including the Chief Executive Officer, is conducted annually. Market data is collected and assessed by an external independent compensation consultant who specializes in compensation consulting within the healthcare industry. The work product from this study is reviewed separately with Board-retained legal counsel. Market data for base and variable compensation is assessed annually for local, regional and national hospitals, integrated delivery systems, and academic medical centers. A detailed total compensation market review is conducted every two years. The market assessment includes assessing job content in order to make appropriate market data comparisons. Specific recommendations are then reviewed, discussed and approved as appropriate with the Compensation Committee of the Board, in session with legal counsel present, in advance of implementation. A detailed compensation review of the 13 Clinical Chairs is also conducted annually. Market data is collected and assessed by an external independent compensation consultant who specializes in compensation consulting for physicians within the healthcare industry. The work product from this study is reviewed separately with Board-retained legal counsel. Market compensation data for each physician's specialized area of training is assessed annually. A detailed total compensation and Fair Market Value review is conducted every two years. Specific recommendations are then reviewed, discussed and approved as appropriate with the Compensation Committee of the Board, in session with legal counsel present, in advance of implementation. Part VI Section C Line 19 - Public Disclosure of Documents The NorthShore University HealthSystem (NorthShore) governing documents, conflict of interest policy, and financial statements are available to the public upon request. The NorthShore annual audit report and financial statements are also available to the public through GuideStar and the Illinois Attorney General's Office websites as part of the federal and state tax return filings. The NorthShore quarterly and annual financial statements and annual audit are also made available to the public through the Electronic Municipal Market Access (EMMA) website as part of the tax-exempt bond offerings. Part XI Line 9 - Other Changes in Net Assets Other changes in net assets include equity adjustments for the pension and supplemental executive retirement plans. 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