STRATEGY STUDIO / NONPROFIT PEOPLE SEARCH

NORTHWESTERN MEMORIAL HEALTHCARE: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
NORTHWESTERN MEMORIAL HEALTHCARE (EIN 36-3149833)
Tax period
2012-07-01 to 2013-06-30
Filed
2014-05-09
IRS object ID
201401299349301200
Schema version
2012v2.1
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2014-05-09T08:48:28-05:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1CROWE HORWATH LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line170 West Madison StreetAddressLine1
Address Line2Suite 700AddressLine2
CityChicagoCity
StateILState
ZIP Code606024903ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN363149833EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1CENTRAL DUPAGE PHYSICIAN GROUPBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCENTNameControl
Phone6309331600Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line127W353 Jewell RdAddressLine1
CityWinfieldCity
StateILState
ZIP Code60190ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJOHN ORSININame
TitleEVP/CFOTitle
Date Signed2013-09-23DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJohn WoodhullName
PTINP01305268PTIN
Phone3128997000Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1CADENCE PHYSICIAN GROUPBusinessNameLine1

Name Of Principal Officer Business NameOfPrincipalOfficerBusiness

FieldValueIRS element (for citing)
Business Name Line1MICHAEL VIVODABusinessNameLine1

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line125 N Winfield RdAddressLine1
CityWinfieldCity
StateILState
ZIP Code60190ZIPCode
FieldValueIRS element (for citing)
Gross Receipts101870231GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteN/AWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1981YearFormation
State Legal DomicileILStateLegalDomicile
Activity Or Mission DescriptionCENTRAL DUPAGE PHYSICIAN GROUP (CDPG) STRIVES TO DELIVER QUALITY, COST EFFICIENT HEALTH CARE SERVICES TO THE COMMUNITY AND TO COORDINATE, DEVELOP AND SUPPORT QUALITY PATIENT CARE IN PRIMARY CARE AND SELECT SPECIALTIES FACILITIES.ActivityOrMissionDescription
Nbr Voting Members Governing Body3NbrVotingMembersGoverningBody
Nbr Independent Voting Members0NbrIndependentVotingMembers
Total Nbr Employees987TotalNbrEmployees
Total Nbr Volunteers0TotalNbrVolunteers
Total Gross UBI169884TotalGrossUBI
Net Unrelated Business Txbl Income-9982NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year43337560ContributionsGrantsPriorYear
Contributions Grants Current Year98339ContributionsGrantsCurrentYear
Program Service Revenue Prior Year53753999ProgramServiceRevenuePriorYear
Program Service Revenue CY99758740ProgramServiceRevenueCY
Investment Income Prior Year10078InvestmentIncomePriorYear
Investment Income Current Year0InvestmentIncomeCurrentYear
Other Revenue Prior Year463913OtherRevenuePriorYear
Other Revenue Current Year2013152OtherRevenueCurrentYear
Total Revenue Prior Year97565550TotalRevenuePriorYear
Total Revenue Current Year101870231TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year0GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY0GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year56798000SalariesEtcPriorYear
Salaries Etc Current Year96029581SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year25630507OtherExpensePriorYear
Other Expenses Current Year46627413OtherExpensesCurrentYear
Total Expenses Prior Year82428507TotalExpensesPriorYear
Total Expenses Current Year142656994TotalExpensesCurrentYear
Revenues Less Expenses Prior Year15137043RevenuesLessExpensesPriorYear
Revenues Less Expenses CY-40786763RevenuesLessExpensesCY
Total Assets BOY20722760TotalAssetsBOY
Total Assets EOY37539565TotalAssetsEOY
Total Liabilities BOY3494993TotalLiabilitiesBOY
Total Liabilities EOY6071064TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY17227767NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY31468501NetAssetsOrFundBalancesEOY
Mission DescriptionCENTRAL DUPAGE PHYSICIAN GROUP (CDPG) STRIVES TO DELIVER QUALITY, COST-EFFICIENT HEALTH CARE SERVICES TO THE COMMUNITY AND TO COORDINATE, DEVELOP AND SUPPORT QUALITY PATIENT CARE IN PRIMARY CARE PRACTICE SITES AND SELECT SPECIALTIES FOR THE BENEFIT OF THE COMMUNITY.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense128101239Expense
Revenue101572509Revenue
DescriptionCENTRAL DUPAGE PHYSICIAN GROUP (CDPG) PROVIDES PRIMARY AND SPECIALTY MEDICAL CARE AND PATIENT EDUCATION THROUGH 312,128 PATIENT VISITS AT PHYSICIAN OFFICES LOCATED THROUGHOUT THE COMMUNITY. IN ADDITION, CDPG PHYSICIANS SERVE AS HOSPITALISTS AT CENTRAL DUPAGE HOSPITAL (A RELATED ORGANIZATION) AND PROVIDED 105,740 PATIENT VISITS. CDPG ALSO OFFERS A HOMECARE PHYSICIAN PROGRAM WHICH PROVIDED 4,786 PHYSICIAN HOUSE CALLS TO THE HOMEBOUND IN OUR COMMUNITY. DESPITE THE FACT THAT COSTS FOR THIS PROGRAM EXCEEDED REVENUES BY $747,000, CDPG BELIEVES THAT THIS PROGRAM PROVIDES A VITAL SERVICE TO MEMBERS OF OUR COMMUNITY.Description
Total Program Service Expense128101239TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiesfalseLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetstrueReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitalfalseHospital
Grants To OrganizationsfalseGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MembertrueBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshpfalseOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With109619NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees987NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members3NbrVotingGoverningBodyMembers
Number Independent Voting Members0NumberIndependentVotingMembers
Family Or Business RelationshipfalseFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledILStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1John Orsini EVP & CFOBusinessNameLine1
FieldValueIRS element (for citing)
Telephone Number6309331600TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line125 N Winfield RdAddressLine1
CityWinfieldCity
StateILState
ZIP Code60190ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (15 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
ANDREW PALUMBO
Chair40.002.00XX050014537692
MAUREEN TAUS
Secretary/Treasurer1.0048.00XX049681619729
MICHAEL VIVODA
CEO (full yr) / Board Chair (partial yr)1.0049.00XX091206036090
PATRICK TOWNE MD
Vice Chair / President40.000XX540231043931
JOANNE C STREZO
Asst Secy to the Board (partial yr)1.0047.00X06660718112
JOHN ORSINI
CFO1.0049.00X000
KAREN DIERSEN
Asst. Secy to the BOD (partial year)1.0049.00X09820314923
MICHAEL HOLZHUETER
VP-Legal & Asst Secy. to the BOD1.0049.00X055647647124
ANDREW CHENELLE MD
Physician40.000693498037781X
KONSTANTIN DZAMASHVILI MD
Physician40.000802314033512X
M TUDOR IACOB
Physician40.000816685037771X
TARAS MASNYK MD
Physician40.0001027857040408X
TIMOTHY W JAMES MD
Physician40.000887856026603X
JAMES T SPEAR
Former CFO0.000.000124893438996X
LUKE MCGUINNESS
Former CEO0.000.000351759333471X
FieldValueIRS element (for citing)
Total Reportable Comp From Org4768440TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs7396834TotalReportableCompFrmRltdOrgs
Total Other Compensation466142TotalOtherCompensation
Number Individuals GT100 K157NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
CDH-DELNOR HEALTH SYSTEM
27W353 JEWELL RDWINFIELDIL60190MANAGEMENT SERVICES3547413
ORTHOPAEDIC THERAPY SPECIALISTS
920 ESSINGTON RDJOLIETIL60435PROFESSIONAL SERVICES515435
MCDERMOTT WILL & EMERY LLP
227 W MONROE ST SUITE 4400CHICAGOIL606065096LEGAL SERVICE497272
MEDICAL STAFFING NETWORK
PO BOX 20300DALLASTX753203000PURCHASED PERSONNEL224958
CENTRAL DUPAGE HOSPITAL ASSOCIATION
25 N WINFIELD RDWINFIELDIL60190LABORATORY SERVICES220080
FieldValueIRS element (for citing)
Number Of Contractors GT100 K8NumberOfContractorsGT100K
Related Organizations98339RelatedOrganizations
Total Contributions98339TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
NET PATIENT CARE REVENUE6211109975874099758740
0
0
0
0

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Program Service Revenue99758740TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real12000Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real12000Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column12000TotalRevenueColumn
Exclusion$12,000ExclusionAmount

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities0Securities
Other0Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmount
BILLING SERVICE REVENUE900099384124214240169884
MEANINGFUL USE REVENUE90009915995291599529
RESEARCH GRANT REVENUE90009917499$17,499

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue2001152TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column101870231TotalRevenueColumn
Related Or Exempt Function Income101572509RelatedOrExemptFunctionIncome
Unrelated Business Revenue169884UnrelatedBusinessRevenue
Exclusion$29,499ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total0Total

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total619497Total
Program Services557547ProgramServices
Management And General61950ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total83592594Total
Program Services77741112ProgramServices
Management And General5851482ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total1746786Total
Program Services1624511ProgramServices
Management And General122275ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total6002009Total
Program Services5581868ProgramServices
Management And General420141ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total4068695Total
Program Services3783886ProgramServices
Management And General284809ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total5621426Total
Management And General5621426ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total2130Total
Management And General2130ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total32727Total
Management And General32727ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total5036785Total
Program Services4165666ProgramServices
Management And General871119ManagementAndGeneral
Fundraising0Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total119396Total
Management And General119396ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1132289Total
Program Services792602ProgramServices
Management And General339687ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total331077Total
Program Services231754ProgramServices
Management And General99323ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total7482165Total
Program Services6958413ProgramServices
Management And General523752ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total74386Total
Program Services70667ProgramServices
Management And General3719ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total3175Total
Program Services1587ProgramServices
Management And General1588ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total1765529Total
Program Services1641942ProgramServices
Management And General123587ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total6089664Total
Program Services6089664ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServices
PATIENT CARE EXPENSE1267905912679059
BAD DEBT EXPENSE33325663332566
ACQUISITION OF PHYSICIAN PRACTICES20359382035938
PHYSICIAN CONTINUING ED/DUES735814735814

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total153287Total
Program Services76643ProgramServices
Management And General76644ManagementAndGeneral
Fundraising0Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total142656994Total
Program Services128101239ProgramServices
Management And General14555755ManagementAndGeneral
Fundraising0Fundraising

Total Joint Costs TotalJointCosts

FieldValueIRS element (for citing)
Total0Total

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY8470BOY
EOY875511EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY8688372BOY
EOY18153160EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
EOY0EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY4975BOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis20843365LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec12010046LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY4188605BOY
EOY8833319EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY0BOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY2912727BOY
EOY-36367EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY4919611BOY
EOY9713942EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY20722760BOY
EOY37539565EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY219726BOY
EOY2417931EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY19951BOY
EOY19951EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY3255316BOY
EOY3633182EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY3494993BOY
EOY6071064EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY17227767BOY
EOY29924910EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
EOY1543591EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY17227767BOY
EOY31468501EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY20722760BOY
EOY37539565EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses-40786763ReconcilationRevenueExpenses
Reconcilation Other Changes55027497ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

FieldValueIRS element (for citing)
Financial Statement ConsolidatedXFinancialStatementConsolidated
FieldValueIRS element (for citing)
Audit CommitteetrueAuditCommittee
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Publicly Supported Org509a2XPubliclySupportedOrg509a2

Gifts Grants Contrib Received509 GiftsGrantsContribReceived509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years187762CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years14607770CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years16982124CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year43337560CurrentTaxYearMinus1Year
Current Tax Year98339CurrentTaxYear
Total75213555Total

Gross Receipts From Admissions GrossReceiptsFromAdmissions

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years20942805CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years22640733CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years34585625CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year53753999CurrentTaxYearMinus1Year
Current Tax Year99758740CurrentTaxYear
Total231681902Total

Gross Receipts From Non UBI GrossReceiptsFromNonUBI

FieldValueIRS element (for citing)
Total0Total

Tax Rev Levied For Org Benefit509 TaxRevLeviedForOrgBenefit509

FieldValueIRS element (for citing)
Total0Total

Value Of Svcs Fclts Furnishd By Govt ValueOfSvcsFcltsFurnishdByGovt

FieldValueIRS element (for citing)
Total0Total

Total509 Total509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years21130567CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years37248503CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years51567749CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year97091559CurrentTaxYearMinus1Year
Current Tax Year99857079CurrentTaxYear
Total306895457Total

Amts Recd From Disqual Persons AmtsRecdFromDisqualPersons

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Current Tax Year0CurrentTaxYear
Total0Total

Amts From Subst Contributors AmtsFromSubstContributors

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Current Tax Year0CurrentTaxYear
Total0Total

Support From DQ Ps Etc SupportFromDQPsEtc

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years0CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years0CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years0CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year0CurrentTaxYearMinus1Year
Current Tax Year0CurrentTaxYear
Total0Total
FieldValueIRS element (for citing)
Public Support Total509306895457PublicSupportTotal509

Gross Investment Income509 GrossInvestmentIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years94734CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years39747CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years48052CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year21078CurrentTaxYearMinus1Year
Current Tax Year12000CurrentTaxYear
Total215611Total

Post1975 UBTI Post1975UBTI

FieldValueIRS element (for citing)
Total0Total

Investment Income And UBTI InvestmentIncomeAndUBTI

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years94734CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years39747CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years48052CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year21078CurrentTaxYearMinus1Year
Current Tax Year12000CurrentTaxYear
Total215611Total

Net Income From Other UBI NetIncomeFromOtherUBI

FieldValueIRS element (for citing)
Total0Total

Other Income509 OtherIncome509

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years198032CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years280950CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years132156CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year260104CurrentTaxYearMinus1Year
Current Tax Year1831268CurrentTaxYear
Total2702510Total

Total Support Total TotalSupportTotal

FieldValueIRS element (for citing)
Current Tax Year Minus4 Years21423333CurrentTaxYearMinus4Years
Current Tax Year Minus3 Years37569200CurrentTaxYearMinus3Years
Current Tax Year Minus2 Years51747957CurrentTaxYearMinus2Years
Current Tax Year Minus1 Year97372741CurrentTaxYearMinus1Year
Current Tax Year101700347CurrentTaxYear
Total309813578Total
FieldValueIRS element (for citing)
Public Support Percentage5090.99060PublicSupportPercentage509
Prior Year Support Percentage0.99480PriorYearSupportPercentage
Investment Income Percentage0.00060InvestmentIncomePercentage
Prior Yr Invest Income Percentage0.00140PriorYrInvestIncomePercentage
Thirty Three Percnt Tests CY509XThirtyThreePercntTestsCY509
General ExplanationOTHER INCOME, SCHEDULE A, PART III, LINE 12, DESCRIPTION - BILLING SERVICE REVENUE, COLUMN A - 198032, COLUMN B - 280950, COLUMN C - 117990, COLUMN D - 203775, COLUMN E - 214240, COLUMN F - 1014987; DESCRIPTION - RESEARCH GRANTS, COLUMN A - 0, COLUMN B - 0, COLUMN C - 14166, COLUMN D - 56329, COLUMN E - 17499, COLUMN F - 87994; DESCRIPTION - MEANINGFUL USE REVENUE, COLUMN A - , COLUMN B - , COLUMN C - , COLUMN D - , COLUMN E - 1599529, COLUMN F - 1599529;,GeneralExplanation

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Aggregate ContributionsRESTRICTEDAggregateContributions

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance5483018BeginningOfYearBalance
Contributions10100Contributions
Investment Earnings Or Losses32000InvestmentEarningsOrLosses
End Of Year Balance5525118EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance5265230BeginningOfYearBalance
Contributions12631Contributions
Investment Earnings Or Losses205157InvestmentEarningsOrLosses
End Of Year Balance5483018EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance4623441BeginningOfYearBalance
Contributions32212Contributions
Investment Earnings Or Losses637454InvestmentEarningsOrLosses
Other Expenditures27877OtherExpenditures
End Of Year Balance5265230EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance4359240BeginningOfYearBalance
Contributions73315Contributions
Investment Earnings Or Losses198755InvestmentEarningsOrLosses
Other Expenditures7869OtherExpenditures
End Of Year Balance4623441EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Beginning Of Year Balance4632175BeginningOfYearBalance
Contributions299599Contributions
Investment Earnings Or Losses-550985InvestmentEarningsOrLosses
Other Expenditures21549OtherExpenditures
End Of Year Balance4359240EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance1.00000PermanentEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgstrueEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RtrueAreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Book Value0BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Book Value0BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis4396110OtherCostOrOtherBasis
Depreciation2040422Depreciation
Book Value2355688BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis15963197OtherCostOrOtherBasis
Depreciation9969624Depreciation
Book Value5993573BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis484058OtherCostOrOtherBasis
Book Value484058BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings8833319TotalOfBookValueLandBuildings

Other Assets OtherAssets (4 entries)

DescriptionDescriptionBook ValueBookValue
DUE FROM RELATED ORGANIZATIONS0
UNAMORTIZED PRACTICE ACQUISITION COSTS6844351
INTEREST IN NET ASSETS OF CADENCE HEALTH FOUNDATION1543591
GOODWILL1326000
FieldValueIRS element (for citing)
Total Book Value Other Assets9713942TotalBookValueOtherAssets
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (2 entries)

DescriptionDescriptionAmountAmount
DUE TO RELATED ORGANIZATIONS$3,579,940
UNCLAIMED PROPERTY$53,242
FieldValueIRS element (for citing)
Total Of Amounts3633182TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Intended uses of endowment fundsSchedule D, Part V, Line 4THE ENDOWMENT FUNDS ARE HELD BY CADENCE HEALTH FOUNDATION, A RELATED TAX-EXEMPT ORGANIZATION, AND ARE USED TO SUPPORT CENTRAL DUPAGE HOSPITAL, A RELATED TAX-EXEMPT ORGANIZATION, AND CENTRAL DUPAGE PHYSICIAN GROUP'S HOMECARE PHYSICIAN'S PROGRAMS.
FIN 48 (ASC 740) footnoteSchedule D, Part X, Line 2THE CORPORATIONS APPLY ASC SUBTOPIC 740-10, INCOME TAXES - OVERALL, WHICH ADDRESSES THE DETERMINATION OF HOW TAX BENEFITS CLAIMED OR EXPECTED TO BE CLAIMED ON A TAX RETURN SHOULD BE RECORDED IN THE CONSOLIDATED FINANCIAL STATEMENTS. UNDER ASC SUBTOPIC 740-10, THE CORPORATIONS MUST RECOGNIZE THE TAX BENEFIT FROM AN UNCERTAIN TAX POSITION ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITION WILL BE SUSTAINED ON EXAMINATION BY THE TAXING AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE TAX BENEFITS RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTS FROM SUCH A POSITION ARE MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50% LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. ASC SUBTOPIC 740-10 ALSO PROVIDES GUIDANCE ON DERECOGNITION, CLASSIFICATION, INTEREST, AND PENALTIES ON INCOME TAXES AND ACCOUNTING IN INTERIM PERIODS AND REQUIRES INCREASED DISCLOSURES. AS OF JUNE 30, 2013, THE CORPORATIONS DO NOT HAVE ANY LIABILITIES FOR UNRECOGNIZED TAX BENEFITS.

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Severance PaymenttrueSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (12 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
ANDREW CHENELLE MD
PHYSICIAN69213000013670175000202810731278000
ANDREW PALUMBO
CHAIR02777220221613081008490029201053783700
JAMES T SPEAR
FORMER CFO0418976045205903778990162350227610128793000
KONSTANTIN DZAMASHVILI MD
PHYSICIAN79896300033510125000210120835826000
LUKE MCGUINNESS
FORMER CEO09922400225000002753530147080187630355106400
M TUDOR IACOB
PHYSICIAN8158530008320110010267700854456000
MAUREEN TAUS
SECRETARY/TREASURER025217802433730126501791001819051654500
MICHAEL HOLZHUETER
VP-LEGAL & ASST SECY. TO THE BOD0335582021932501569015192031932060360000
MICHAEL VIVODA
CEO (FULL YR) / BOARD CHAIR (PARTIAL YR)0616830029398801242016096019994094815000
PATRICK TOWNE MD
VICE CHAIR / PRESIDENT53914600010850195000244310584162000
TARAS MASNYK MD
PHYSICIAN1025362000249501415502625301068265000
TIMOTHY W JAMES MD
PHYSICIAN709410017462503821022090045130914459000

Form990 Schedule J Part III Form990ScheduleJPartIII (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Arrangement used to establish the top management official's compensationSchedule J, Part I, Line 3THE FILING ORGANIZATION RELIED ON CDH-DELNOR HEALTH SYSTEM, A RELATED TAX-EXEMPT ORGANIZATION, WHICH USED A COMPENSATION COMMITTEE, COMPARABILITY DATA, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE, TO DETERMINE THE COMPENSATION OF ITS CEO.
Severance or change-of-control paymentSchedule J, Part I, Line 4aONE FORMER OFFICER RECEIVED SEVERANCE PAYMENTS DURING CY2012 FROM A RELATED ORGANIZATION. JAMES SPEAR $375,577
Supplemental nonqualified retirement planSchedule J, Part I, Line 4bTHE FORMER CHIEF EXECUTIVE OFFICER(MCGUINNESS) PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. PURSUANT TO THIS PLAN, DURING CY 2012, $268,845 WAS CONTRIBUTED, IMMEDIATELY VESTED, AND DISTRIBUTED. ALL ASPECTS OF THE FORMER CHIEF EXECUTIVE OFFICER'S COMPENSATION, INCLUDING CONTRIBUTIONS TO THE SUPPLEMENTAL RETIREMENT PLAN, ARE REVIEWED BY THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS AND SUPPORTED BY CONSULTANTS ENGAGED BY SUCH COMMITTEE.
COMPENSATION CONTINGENT ON NET EARNINGSSCHEDULE J, PART I, LINE 6ACENTRAL DUPAGE PHYSICIAN GROUP (CDPG) MAINTAINS AN INCENTIVE PLAN (MYSTEP) AS A COMPONENT OF COMPENSATION FOR ITS EMPLOYEES, INCLUDING EMPLOYED INTERESTED PERSONS. THE INCENTIVE PORTION OF THE COMPENSATION IS INCLUDED IN THE COMPENSATION REVIEW CONDUCTED BY THE COMPENSATION COMMITTEE OF THE CDH-DELNOR HEALTH SYSTEM BOARD OF DIRECTORS, AS DESCRIBED IN SCHEDULE O FOR FORM 990 CORE, PART VI, LINE 15. THE PURPOSE OF MYSTEP IS TO ALIGN EMPLOYEES' INTERESTS WITH THE GOALS AND OBJECTIVES OF CDH-DELNOR HEALTH SYSTEM AND ALL RELATED ORGANIZATIONS BY PROVIDING FINANCIAL INCENTIVES LINKED TO THE CONTINUING AND SUSTAINABLE SUCCESS OF THE ORGANIZATIONS. FINANCIAL INCENTIVES ARE PAID BASED ON A SERIES OF MEASURES THAT INCLUDE: (I) PATIENT SATISFACTION; (II) FINANCIAL PERFORMANCE; AND (III) DEPARTMENTAL/TEAM-SPECIFIC GOALS. OVERALL ADMINISTRATION OF MYSTEP IS THE RESPONSIBILITY OF THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS. THIS INCENTIVE PROGRAM DOES NOT MEET THE STANDARDS AS SET OUT IN SCHEDULE J, PART I FOR LINES 5, 6 OR 7.
NON-FIXED PAYMENTSSCHEDULE J, PART I, LINE 7MOST EMPLOYED PHYSICIANS, INCLUDING THE MAJORITY OF THE EMPLOYED INTERESTED PERSONS, ARE COMPENSATED USING A PAY MATRIX WHICH APPROXIMATES EARNINGS AT THE PHYSICIAN'S LEVEL OF PRODUCTIVITY AS BENCHMARKED BY THE MEDICAL GROUP MANAGEMENT ASSOCIATION (MGMA). FOR CERTAIN PHYSICIANS, AN ADDITIONAL STIPEND IS PAID FOR PERFORMANCE OF ADMINISTRATIVE DUTIES. IN ADDITION, SOME EMPLOYED PHYSICIANS PARTICIPATE IN AN INCENTIVE PROGRAM UNDER WHICH ADDITIONAL COMPENSATION MAY BE EARNED BASED ON ACHIEVEMENT OF ESTABLISHED GOALS FOR PRODUCTIVITY, PATIENT SATISFACTION, QUALITY AND CITIZENSHIP. EMPLOYEES PARTICIPATING IN THIS INCENTIVE PROGRAM DO NOT PARTICIPATE IN THE MYSTEP PROGRAM DESCRIBED IN THE SUPPLEMENTAL NARRATIVE. THIS COMPENSATION PROGRAM DOES NOT MEET THE STANDARDS AS SET OUT IN SCHEDULE J, PART I FOR LINES 7.

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
JAMES TOWNE MD
FAMILY MEMBER OF PATRICK TOWNE, M.D., OFFICER/DIRECTOR174184EMPLOYED BY ORGANIZATIONfalse
WILLIAM TOWNE MD
FAMILY MEMBER OF PATRICK TOWNE, M.D., OFFICER/DIRECTOR484329EMPLOYED BY ORGANIZATIONfalse

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (10 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Classes of members or stockholdersForm 990, Part VI, Section A, Line 6THE SOLE MEMBER OF CENTRAL DUPAGE PHYSICIAN GROUP IS CDH-DELNOR HEALTH SYSTEM, A RELATED TAX-EXEMPT ORGANIZATION. MANAGEMENT DUTIES PROVIDED BY CDH-DELNOR HEALTH SYSTEM INCLUDE OPERATIONAL, STRATEGIC, BUDGETING AND LONG-RANGE PLANNING DUTIES, AS WELL AS FINANCE, INTERNAL AUDIT, PERSONNEL, TREASURY AND MARKETING SERVICES. THE INDIVIDUALS PROVIDING THESE SERVICES, INCLUDING THE CEO, CFO, AND OTHER SENIOR MANAGEMENT, ARE EMPLOYEES OF AND COMPENSATED BY CDH-DELNOR HEALTH SYSTEM. CDPG PAYS A MANAGEMENT SERVICES FEE TO CDH-DELNOR HEALTH SYSTEM.
Members or stockholders electing members of governing bodyForm 990, Part VI, Section A, Line 7aCDH-DELNOR HEALTH SYSTEM, THE SOLE MEMBER AND PARENT ORGANIZATION, HAS THE POWER TO ELECT OR REMOVE ALL OF THE DIRECTORS OF CENTRAL DUPAGE PHYSICIAN GROUP.
Decisions requiring approval by members or stockholdersForm 990, Part VI, Section A, Line 7bCERTAIN DECISIONS OF THE CENTRAL DUPAGE PHYSICIAN GROUP'S (CDPG) GOVERNING BODY ARE SUBJECT TO APPROVAL BY CDH-DELNOR HEALTH SYSTEM, AS THE SOLE MEMBER OF CDPG. THE MEMBER'S AUTHORITY INCLUDES THE POWER TO AMEND, ALTER, RESTATE OR REPEAL THE BYLAWS OF THE CORPORATION; TO NEGOTIATE AND EXECUTE CONTRACTS ON BEHALF OF THE CORPORATION; TO ADOPT A PLAN OF MERGER, CONSOLIDATION OR CORPORATE REORGANIZATION INVOLVING THE CORPORATION; TO ADOPT A PLAN OF DISSOLUTION OR LIQUIDATION OF THE CORPORATION AND DISTRIBUTION OF ITS ASSETS; AND, TO AMEND, ALTER, RESTATE OR REPEAL THE ARTICLES OF INCORPORATION OF THE CORPORATION. ACTIONS BY THE BOARD OF DIRECTORS REQUIRING THE APPROVAL OF THE SOLE MEMBER INCLUDE: ADOPTION OF CAPITAL AND OPERATING BUDGETS; ADOPTION AND EXECUTION OF A STRATEGIC PLAN; AND, AUTHORIZATION OF A CAPITAL EXPENDITURE IN EXCESS OF THE LIMITS ESTABLISHED BY THE SOLE MEMBER FROM TIME TO TIME.
Review of form 990 by governing bodyForm 990, Part VI, Section B, Line 11bPRIOR TO FILING, A DRAFT OF THE COMPLETED FORM 990 IS REVIEWED BY OUTSIDE TAX ADVISORS AND INTERNAL MANAGEMENT. AFTER THAT REVIEW IS COMPLETE, THE FORM 990 IS PROVIDED TO THE BOARD OF DIRECTORS OF CDH-DELNOR HEALTH SYSTEM (SOLE MEMBER OF FILING ORGANIZATION) FOR ADDITIONAL REVIEW AND COMMENT.
Conflict of interest policyForm 990, Part VI, Section B, Line 12cTHE CENTRAL DUPAGE PHYSICIAN GROUP'S OFFICERS AND DIRECTORS ARE EMPLOYEES OF CDH-DELNOR HEALTH SYSTEM, PARENT ORGANIZATION FOR THE FILING ORGANIZATION. EACH YEAR, ALL EMPLOYEES OF CDH-DELNOR HEALTH SYSTEM AND ITS RELATED ORGANIZATIONS ARE REQUIRED TO REVIEW THE CONFLICT OF INTEREST POLICY AND TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT. IN ADDITION, THE POLICY REQUIRES THAT EMPLOYEES DISCLOSE POTENTIAL CONFLICTS THAT MAY ARISE BETWEEN ANNUAL STATEMENTS THROUGH SUPPLEMENTARY DISCLOSURES. BOTH THE ANNUAL STATEMENTS AND THE SUPPLEMENTARY DISCLOSURES ARE REVIEWED AND EVALUATED BY CDH-DELNOR HEALTH SYSTEM'S DIRECTOR OF INTERNAL AUDIT AND COMPLIANCE. THE DIRECTOR IS DELEGATED THE RESPONSIBILITY TO DETERMINE WHETHER A POTENTIAL CONFLICT IS AN ACTUAL CONFLICT, AND FURTHER TO RECOMMEND AND IMPLEMENT, WHERE APPROPRIATE, CONFLICT MITIGATION STRATEGIES. COMPLETION RESULTS ARE PROVIDED TO THE AUDIT & FINANCE COMMITTEE OF THE CDH-DELNOR HEALTH SYSTEM BOARD OF DIRECTORS.
Process used to establish compensation of top management officialForm 990, Part VI, Section B, Line 15aTHE FILING ORGANIZATION'S TOP MANAGEMENT OFFICIAL AND OTHER OFFICERS AND KEY EMPLOYEES ARE EMPLOYEES OF CDH-DELNOR HEALTH SYSTEM, A RELATED TAX-EXEMPT ORGANIZATION AND SOLE MEMBER OF THE FILING ORGANIZATION. THE COMPENSATION COMMITTEE OF THE CDH-DELNOR HEALTH SYSTEM BOARD OF DIRECTORS IS COMPRISED OF INDEPENDENT COMMITTEE MEMBERS AND IS DELEGATED THE RESPONSIBILITY FOR REVIEWING THE COMPENSATION OF THE ORGANIZATION'S EXECUTIVES (INCLUDING THE CHIEF EXECUTIVE OFFICER) AND OTHER KEY EMPLOYEES. THE PROCESS INCLUDES ENGAGING AN INDEPENDENT COMPENSATION CONSULTANT TO ASSIST IN DETERMINING THE APPROPRIATENESS OF COMPENSATION, WHICH INCLUDES REVIEWING COMPARABLE COMPENSATION STUDIES FOR SIMILARLY QUALIFIED PERSONS IN COMPARABLE ORGANIZATIONS TO SUPPORT ITS DECISION-MAKING PROCESS. THE COMPENSATION COMMITTEE ROUTINELY REPORTS TO THE FULL BOARD OF DIRECTORS ITS COMPENSATION RELATED ACTIVITIES, AND MAY FROM TIME TO TIME RECOMMEND MATTERS FOR THE FULL BOARD OF DIRECTORS CONSIDERATION (E.G., THE ESTABLISHMENT OF ANY NEW COMPENSATION OR BENEFIT PLAN). THE COMPENSATION COMMITTEE CONDUCTS A FORMAL REVIEW FOR THE ORGANIZATION'S EXECUTIVES ON AN ANNUAL BASIS, AND MAY MAKE DECISIONS RELATED TO COMPENSATION AND BENEFITS THROUGHOUT THE YEAR. THE COMPENSATION COMMITTEE LAST RECEIVED AN INDEPENDENT CONSULTANT'S REPORT SUPPORTING THE REASONABLENESS OF THE ORGANIZATION'S EXECUTIVES' COMPENSATION IN JULY, 2013.
Process used to establish compensation of other officers/key employeesForm 990, Part VI, Section B, Line 15bSEE THE NARRATIVE FOR FORM 990, PART VI, LINE 15A.
Governing documents, conflict of interest policy and financial statements available to the publicForm 990, Part VI, Section C, Line 19VARIOUS PUBLIC AND PRIVATE ENTITIES MAY REQUIRE THE FILING OF SUCH DOCUMENTS AS PART OF A REGULATORY OR CONTRACTUAL COMMITMENT, AND AS A RESULT OF SUCH OBLIGATIONS, CERTAIN OF THESE MATERIALS MAY, IN FACT, BE AVAILABLE TO THE PUBLIC. OUTSIDE OF SUCH DISCLOSURE, THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE NOT ROUTINELY MADE AVAILABLE BY THE ORGANIZATION TO THE PUBLIC. NOTABLY, FINANCIAL STATEMENTS, GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICIES ARE NOT REQUIRED TO BE DISCLOSED PURSUANT TO IRC SECTION 6104.
REPORTABLE COMPENSATION FROM RELATED ORGANIZATIONSFORM 990, PART VII, SECTION A, LINE 1A, COLUMN (E)JOHN ORSINI, AN OFFICER LISTED IN PART VII-A JOINED CDH-DELNOR HEALTH SYSTEM, A RELATED ORGANIZATION, IN 2013. THEREFORE THERE IS NO CALENDAR YEAR 2012 W-2 COMPENSATION TO REPORT FOR MR. ORSINI.
Other changes in net assets or fund balancesForm 990 , Part XI, Line 9CHANGE IN NET ASSETS OF FOUNDATION - 1543591; LOSS ON INVESTMENT IN SUBSIDIARY - -2949094; FUND BALANCE TRANSFER FROM CDH-DELNOR HEALTH SYSTEM - 43233000; FUND BALANCE TRANSFER FROM CENTRAL DUPAGE HOSPITAL ASSOCIATION - 13200000;

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (10 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodePrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
CDH-DELNOR HEALTH SYSTEM
27W353 JEWELL RDWINFIELDIL60190MANAGEMENTIL501(C)(3)Type IICDH-DELNOR HEALTH SYSTEMfalse
CENTRAL DUPAGE HOSPITAL ASSOCIATION
25 N WINFIELD RDWINFIELDIL60190HOSPITALIL501(C)(3)3CDH-DELNOR HEALTH SYSTEMfalse
CADENCE HEALTH FOUNDATION
27W353 JEWELL RDWINFIELDIL60190FUNDRAISINGIL501(C)(3)7CDH-DELNOR HEALTH SYSTEMfalse
COMMUNITY NURSING SERVICE OF DUPAGE COUNTY
690 E NORTH AVENUECAROL STREAMIL60188HOME HEALTHIL501(C)(3)9CDH-DELNOR HEALTH SYSTEMfalse
PAHCS II
27W353 JEWELL RDWINFIELDIL60190OCCUP. HEALTHIL501(C)(3)9CDH-DELNOR HEALTH SYSTEMfalse
CENTRAL DUPAGE SPECIAL HEALTH
27W353 JEWELL RDWINFIELDIL60190PHARMACYIL501(C)(3)9CDH-DELNOR HEALTH SYSTEMfalse
DELNOR-COMMUNITY HEALTHCARE FOUNDATION
300 RANDALL ROADGENEVAIL60134HEALTH/FITNESSIL501(C)(3)7CDH-DELNOR HEALTH SYSTEMfalse
DELNOR-COMMUNITY RESIDENTIAL LIVING INC
300 RANDALL ROADGENEVAIL60134RESIDENTIAL SERVICESIL501(C)(3)9CDH-DELNOR HEALTH SYSTEMfalse
LIVING WELL CANCER RESOURCE CENTER
300 RANDALL ROADGENEVAIL60134WELLNESSIL501(C)(3)7CDH-DELNOR HEALTH SYSTEMfalse
DELNOR-COMMUNITY HOSPITAL
300 RANDALL ROADGENEVAIL60134HOSPITALIL501(C)(3)3CDH-DELNOR HEALTH SYSTEMfalse

Form990 Schedule R Part III Form990ScheduleRPartIII (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeType
TRI-CITIES IMCARE
300 RANDALL ROADGENEVAIL60134271942888HEALTH CAREILDELCOMRELATED
TRI-CITIES DIALYSIS
1300 WATERFORD DR LOWER LEVELAURORAIL60504364272042HEALTH CAREILDELCOMRELATED
TRI-CITIES SURGERY
345 DELNOR DRIVEGENEVAIL60134510551673HEALTH CAREILDELCOMRELATED
TRI-CITIES CANCER
300 RANDALL ROADGENEVAIL60134364009336HEALTH CAREILDELCOMRELATED
FVFPDELNOR PROPERTIES
300 RANDALL RDGENEVAIL60134451147062PROPERTY MANAGEMENTILDELCOMEXCLUDED

Form990 Schedule R Part IV Form990ScheduleRPartIV (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnershipControlled OrgControlledOrgAddress Line1AddressForeign/AddressLine1CityAddressForeign/CityCountryAddressForeign/CountryPostal CodeAddressForeign/PostalCodeLegal Domicile Foreign CountryLegalDomicileForeignCountry
DELCOM CORPORATION AND SUBSIDIARY
300 RANDALL ROADGENEVAIL60134363334711HEALTH MGMTILCDH-DELNOR HEALTH SYSTEMC CORPORATION
DUPAGE HEALTH SERVICES INC
27W353 JEWELL RDWINFIELDIL60190363270521PRIMARY CAREDECDH-DELNOR HEALTH SYSTEMC CORPORATION
CORNERSTONE MEDICAL GROUP
2001 WEISBROOK RDWHEATONIL60189364345453PHYSICIAN SERVICESILCENTRAL DUPAGE PHYSICIAN GROUPC CORPORATION-29490945265321true
UNITED PROFESSIONALS INSURANCE COMPANY LTD
OTHER INSURANCE FUNDSCDH-DELNOR HEALTH SYSTEMC CORPORATIONPO BOX 30600GRAND CAYMANCJKY1-1203CJ
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgstruePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgfalseOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable

Name Of Other Organization NameOfOtherOrganization

FieldValueIRS element (for citing)
Business Name Line1CORNERSTONE MEDICAL GROUPBusinessNameLine1
FieldValueIRS element (for citing)
Transaction TypePTransactionType
Amount Involved5314913AmountInvolved
Method Of Amt DeterminationFMVMethodOfAmtDetermination