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NORTHSHORE UNIVERSITY HEALTHSYSTEM: Form 990, tax year 2012

View the entire original 990 at ProPublica ↗

Organization
NORTHSHORE UNIVERSITY HEALTHSYSTEM (EIN 36-2167060)
Tax period
2012-10-01 to 2013-09-30
Filed
2014-08-11
IRS object ID
201422239349301572
Schema version
2012v2.3
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)
Timestamp2014-08-11T13:46:47-05:00Timestamp
Tax Period End Date2013-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Deloitte Tax LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1111 South Wacker DriveAddressLine1
CityChicagoCity
StateILState
ZIP Code606064301ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2012-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN362167060EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1NorthShore University HealthSystemBusinessNameLine1
FieldValueIRS element (for citing)
In Care Of Name% JEFF BIESCZATInCareOfName
Name ControlNORTNameControl
Phone8475702000Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line11301 Central StreetAddressLine1
Address Line2SuiteAddressLine2
CityEvanstonCity
StateILState
ZIP Code60201ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameGARY E WEISSName
TitleTreasurer and CFOTitle
Phone8475705050Phone
Date Signed2014-08-06DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone3124861000Phone
FieldValueIRS element (for citing)
Tax Year2012TaxYear
Build TS2015-11-30 17:44:51ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonMark R NeamanNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11301 Central StreetAddressLine1
CityEvanstonCity
StateILState
ZIP Code60201ZIPCode
FieldValueIRS element (for citing)
Gross Receipts1818843198GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitenorthshore.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1891YearFormation
State Legal DomicileILStateLegalDomicile
Activity Or Mission DescriptionThe core mission of NorthShore University HealthSystem is to "preserve and improve human life."ActivityOrMissionDescription
Nbr Voting Members Governing Body25NbrVotingMembersGoverningBody
Nbr Independent Voting Members0NbrIndependentVotingMembers
Total Nbr Employees10943TotalNbrEmployees
Total Nbr Volunteers1729TotalNbrVolunteers
Total Gross UBI12042101TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year35236321ContributionsGrantsPriorYear
Contributions Grants Current Year19859019ContributionsGrantsCurrentYear
Program Service Revenue Prior Year1308273826ProgramServiceRevenuePriorYear
Program Service Revenue CY1314797581ProgramServiceRevenueCY
Investment Income Prior Year51678030InvestmentIncomePriorYear
Investment Income Current Year88441142InvestmentIncomeCurrentYear
Other Revenue Prior Year36326858OtherRevenuePriorYear
Other Revenue Current Year20908347OtherRevenueCurrentYear
Total Revenue Prior Year1431515035TotalRevenuePriorYear
Total Revenue Current Year1444006089TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year51107501GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY62705604GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year617542056SalariesEtcPriorYear
Salaries Etc Current Year638940846SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year2190098TotalFundrsngExpCurrentYear
Other Expense Prior Year719347526OtherExpensePriorYear
Other Expenses Current Year706891381OtherExpensesCurrentYear
Total Expenses Prior Year1387997083TotalExpensesPriorYear
Total Expenses Current Year1408537831TotalExpensesCurrentYear
Revenues Less Expenses Prior Year43517952RevenuesLessExpensesPriorYear
Revenues Less Expenses CY35468258RevenuesLessExpensesCY
Total Assets BOY2881261196TotalAssetsBOY
Total Assets EOY3036512925TotalAssetsEOY
Total Liabilities BOY1358259332TotalLiabilitiesBOY
Total Liabilities EOY1311411378TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY1523001864NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY1725101547NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionSEE SCHEDULE OMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense1070005931Expense
Grants61694590Grants
Revenue1301986178Revenue
DescriptionPatient Care - See Schedule ODescription

Activity2 Activity2

FieldValueIRS element (for citing)
Expense56258817Expense
Grants0Grants
Revenue11541177Revenue
DescriptionEducation - See Schedule ODescription

Activity3 Activity3

FieldValueIRS element (for citing)
Expense25278875Expense
Grants1011014Grants
Revenue10971483Revenue
DescriptionResearch - See Schedule ODescription
FieldValueIRS element (for citing)
Total Program Service Expense1151543623TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiestrueReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiestrueForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiestrueFundraisingActivities
GamingtrueGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualstrueGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
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 RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionstrueDeductibleNonCashContributions
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 With1096615NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees10943NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccounttrueForeignFinancialAccount
Name Of Foreign CountryCJNameOfForeignCountry
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionstrueQuidProQuoContributions
Quid Pro Quo DisclosuretrueQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members25NbrVotingGoverningBodyMembers
Number Independent Voting Members0NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
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 VenturetrueInvestmentInJointVenture
Written Policy Or ProceduretrueWrittenPolicyOrProcedure
States Where Copy Of Return Is FiledILStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonJEFF BIESCZATNamePerson
Telephone Number8475705798TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11301 CENTRAL STREETAddressLine1
CityEVANSTONCity
StateILState
ZIP Code60201ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (60 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
Leon S Benson
Director1.00.0X000
Toure S Claiborne
Director1.00.0X000
William L Davis
Director1.00.0X000
Mary Dillon
Director1.00.0X000
David A Dohnalek
Director1.00.0X000
Connie K Duckworth
Director1.00.0X000
Bernard G Ewigman
Director and Clinical Chairman41.01.0X4102550113049
Ike Hong
Director1.00.0X000
Richard L Keyser
Director1.00.0X000
Lester B Knight III
Director1.00.0X000
Harry M Jansen Kraemer Jr
Director1.00.0X000
Theodore Mazzone
Director and Clinical Chairman37.05.0X58861116817130706
Samuel M Mencoff
Director1.00.0X000
Andrew J Mills
Director1.00.0X000
Nancy A Nora
Director1.00.0X000
Michael Reinsdorf
Director1.00.0X000
Thomas S Ricketts
Director1.00.0X000
Scott C Schweighauser
Director1.00.0X000
Mark S Talamonti
Director and Clinical Chairman30.012.0X63233235092053475
J Mikesell Thomas
Director1.00.0X000
John R Walter
Director1.00.0X000
Sona Wang
Director1.00.0X000
Jonathan P Ward
Director1.00.0X000
William Wrigley Jr
Director1.00.0X000
David F Zucker
Director1.00.0X000
A Steven Crown
Board Chairman1.00.0X000X
Percy L Berger Sr
Board Vice Chairman1.00.0X000X
Gregory K Jones
Board Past Chairman1.00.0X000X
Mark R Neaman
President and CEO41.02.0X19214730339829X
Gerald P Gallagher
Chief Operating Officer41.01.05542630141286X
Jeffrey H Hillebrand
Former Chief Operating Officer41.01.012538030171894X
Susan B Sentell
Board Secretary1.00.0000X
Gary E Weiss
Board Treasurer and CFO41.00.09669850136202X
Julian E Bailes
Clinical Chairman13.028.0499950109410052676X
William D Bloomer
Clinical Chairman24.017.039303061727755085X
Michael S Caplan
Clinical Chairman29.012.040710024610829805X
Robert R Edelman
Clinical Chairman38.03.071102629791861242X
Thomas H Hodges
Chief Investment Officer36.00.0582905037219X
Harry L Jones
Chief Compliance Officer40.00.0337509046870X
Karen L Kaul
Clinical Chairman11.030.010266246465353501X
Jason L Koh
Clinical Chairman8.033.015393889219053547X
William R Luehrs
Chief Human Resources Officer40.00.05081740107000X
Demetrius Maraganore
Clinical Chairman28.013.034671920434750346X
Frederick E Miller
Clinical Chairman35.06.03463747507349191X
Kristen Murtos
President, Skokie Hospital40.00.04165660114381X
Sean O'Grady
President, Glenbrook Hospital40.00.0326383048456X
Jesse Peterson Hall
President, Highland Park Hosp.40.00.04941320122208X
Nancy Semerdjian
Chief Nursing Officer40.00.0403080039572X
Richard K Silver
Clinical Chairman34.07.070001326009155143X
Douglas M Silverstein
President, Evanston Hospital40.00.05688930302084X
Steven Smith
Chief Information Officer40.00.0391655044159X
Jeffery S Vender
Clinical Chairman27.014.050457753216046807X
Brian Washa
Senior Vice President40.00.03563240104901X
Kenneth P Anderson
Chief Medical Quality Officer40.00.0482122040318X
Janardan D Khandekar
Medical Director40.00.0566823661547324X
William J Robb III
Former Clinical Chairman40.00.0577980025050X
Leopold G Selker
Former President, Res. Inst.40.00.0596875027432X
Thomas W Smith
Former Chief Info. Officer40.00.0450720036588X
Nicholas A Vick
Former Clinical Chairman34.06.01656167109437660X
Thomas A Victor
Former Clinical Chairman30.011.031613837193253929X
FieldValueIRS element (for citing)
Total Reportable Comp From Org18035006TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs5652649TotalReportableCompFrmRltdOrgs
Total Other Compensation2728935TotalOtherCompensation
Number Individuals GT100 K668NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcestrueCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Aramark Management Services
2300 Warrenville RoadDOWNERS GROVEIL60515Facilities/Diet Mgmt58546830
Power Construction Company
2360 North Palmer DriveSCHAUMBURGIL60173Construction Mgmt47151229
Pepper Construction Company
643 North Orleans StreetCHICAGOIL60610Construction Mgmt33628057
University of Chicago Medical Ctr
5841 South Maryland AvenueCHICAGOIL60637Medical Education14923001
Valenti Builders Inc
225 Northfield RoadNORTHFIELDIL60093Construction Mgmt8382876
FieldValueIRS element (for citing)
Number Of Contractors GT100 K265NumberOfContractorsGT100K
Info In Schedule O Part VIIIXInfoInScheduleOPartVIII
Federated Campaigns32000FederatedCampaigns
Membership Dues723493MembershipDues
Fundraising Events513074FundraisingEvents
Related Organizations7664294RelatedOrganizations
Government Grants276132GovernmentGrants
All Other Contributions10650026AllOtherContributions
Noncash Contributions1345159NoncashContributions
Total Contributions19859019TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeExclusionExclusionAmount
PATIENT REVENUE621990804199759804199759
MEDICARE AND MEDICAID REVENUE621990475315648475315648
RENT FROM AFFILIATED EXEMPT ORGS90000323380543$23,380,543
FEES AND CONTRACTS FROM GOVT AGENCIES54170069293496929349
GRANT INCOME54170040421354042135

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column930147TotalRevenueColumn
Related Or Exempt Function Income930147RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue1314797581TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column30662510TotalRevenueColumn
Unrelated Business Revenue221921UnrelatedBusinessRevenue
Exclusion$30,440,589ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column17500TotalRevenueColumn
Exclusion$17,500ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real4043575Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real12405889Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real-8362314Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column-8362314TotalRevenueColumn
Exclusion-$8,362,314ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities418727762Securities
Other0Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities360404360Securities
Other544770Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities58323402Securities
Other-544770Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column57778632TotalRevenueColumn
Exclusion$57,778,632ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events1046207GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events513074CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses943496FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column102711TotalRevenueColumn
Exclusion$102,711ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Gaming60067GrossIncomeGaming
Gaming Direct Expenses1560GamingDirectExpenses

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column58507TotalRevenueColumn
Exclusion$58,507ExclusionAmount
FieldValueIRS element (for citing)
Gross Sales Of Inventory1031896GrossSalesOfInventory
Cost Of Goods Sold537034CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column494863TotalRevenueColumn
Exclusion$494,863ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmount
EHR INCENTIVE INCOME90009975169787516978
OFFSITE PHARMACIES44611062127046212704
CAFETERIA7222105329570$5,329,570

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column9537828TotalRevenueColumn
Related Or Exempt Function Income2184279RelatedOrExemptFunctionIncome
Unrelated Business Revenue5607476UnrelatedBusinessRevenue
Exclusion$1,746,073ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue28597080TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column1444006089TotalRevenueColumn
Related Or Exempt Function Income1301118295RelatedOrExemptFunctionIncome
Unrelated Business Revenue12042101UnrelatedBusinessRevenue
Exclusion$110,986,674ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total62616104Total
Program Services62616104ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total89500Total
Program Services89500ProgramServices

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)
Total19210033Total
Program Services5525671ProgramServices
Management And General13684362ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total9578081Total
Program Services1112449ProgramServices
Management And General8465632ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total487832795Total
Program Services425657084ProgramServices
Management And General60651674ManagementAndGeneral
Fundraising1524037Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total40924095Total
Program Services31809240ProgramServices
Management And General9114855ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total49648414Total
Program Services44365188ProgramServices
Management And General4955205ManagementAndGeneral
Fundraising328021Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total31747428Total
Program Services26357020ProgramServices
Management And General5293655ManagementAndGeneral
Fundraising96753Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total93221015Total
Program Services80576762ProgramServices
Management And General12644253ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total8589589Total
Management And General8589589ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total748866Total
Management And General748866ManagementAndGeneral

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)
Total21991155Total
Management And General21991155ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total79271433Total
Program Services56512875ProgramServices
Management And General22584340ManagementAndGeneral
Fundraising174218Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total12977758Total
Management And General12977758ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total26301269Total
Program Services20894212ProgramServices
Management And General5355381ManagementAndGeneral
Fundraising51676Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total12670344Total
Program Services1165926ProgramServices
Management And General11504262ManagementAndGeneral
Fundraising156Fundraising

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total46532741Total
Program Services38152508ProgramServices
Management And General8380233ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total1374875Total
Program Services1127290ProgramServices
Management And General237766ManagementAndGeneral
Fundraising9819Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total1870851Total
Program Services1322806ProgramServices
Management And General544604ManagementAndGeneral
Fundraising3441Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total8093159Total
Management And General8093159ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total100484242Total
Program Services65449298ProgramServices
Management And General35034944ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total21673892Total
Program Services20751907ProgramServices
Management And General921985ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
MEDICAL SUPPLIES240299120240299120
MEDICAID TAX2482762224827622
DUES AND SUBSCRIPTIONS2273631101602412556301977
INCOME TAX17730761773076

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total1916743Total
Program Services1915017ProgramServices
Management And General1726ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total1408537831Total
Program Services1151543623ProgramServices
Management And General254804110ManagementAndGeneral
Fundraising2190098Fundraising
FieldValueIRS element (for citing)
Info In Schedule O Part XXInfoInScheduleOPartX

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY21871464BOY
EOY40777099EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY17016078BOY
EOY36565446EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY11520100BOY
EOY9583940EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY211476195BOY
EOY204365612EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY20032751BOY
EOY20170898EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY7125887BOY
EOY10188445EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis1974772229LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec1009945809LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY961044111BOY
EOY964826420EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY974650596BOY
EOY1075257374EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY446210564BOY
EOY459117412EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY119416877BOY
EOY120275507EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY90896573BOY
EOY95384772EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY2881261196BOY
EOY3036512925EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY182875621BOY
EOY163571919EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY4976116BOY
EOY5985424EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY376463352BOY
EOY367200224EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY793944243BOY
EOY774653811EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1358259332BOY
EOY1311411378EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY1352272712BOY
EOY1549900996EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY98205650BOY
EOY100950912EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY72523502BOY
EOY74249639EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1523001864BOY
EOY1725101547EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2881261196BOY
EOY3036512925EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses35468258ReconcilationRevenueExpenses
Reconciliation Unrealized Invest61219677ReconciliationUnrealizedInvest
Reconcilation Other Changes105411748ReconcilationOtherChanges
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 RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

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 C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$82,659OtherActivitiesAmount
Total Lobbying Expenditures IIB82659TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierLobbying ActivitiesIdentifier
Return ReferencePart II-B Line 1iReturnReference
ExplanationNorthShore 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.Explanation

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmtsArtPublicExhibitionAmts
Held Works Of Art AmtsHeldWorksOfArtAmts

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance115113667BeginningOfYearBalance
Contributions1726137Contributions
Investment Earnings Or Losses11275287InvestmentEarningsOrLosses
Other Expenditures7127748OtherExpenditures
End Of Year Balance120987343EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance103761994BeginningOfYearBalance
Contributions1404411Contributions
Investment Earnings Or Losses18276391InvestmentEarningsOrLosses
Other Expenditures8329129OtherExpenditures
End Of Year Balance115113667EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance103298573BeginningOfYearBalance
Contributions1772373Contributions
Investment Earnings Or Losses5671678InvestmentEarningsOrLosses
Other Expenditures6980630OtherExpenditures
End Of Year Balance103761994EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance42760422BeginningOfYearBalance
Contributions57871694Contributions
Investment Earnings Or Losses3630113InvestmentEarningsOrLosses
Other Expenditures963656OtherExpenditures
End Of Year Balance103298573EndOfYearBalance

Current Year Minus4 Years CurrentYearMinus4Years

FieldValueIRS element (for citing)
Beginning Of Year Balance41297746BeginningOfYearBalance
Contributions2467038Contributions
Investment Earnings Or Losses-331934InvestmentEarningsOrLosses
Other Expenditures672428OtherExpenditures
End Of Year Balance42760422EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance1.00000PermanentEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgsfalseEndowmentsHeldByRelatedOrgs

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis61651668OtherCostOrOtherBasis
Book Value61651668BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1287740561OtherCostOrOtherBasis
Depreciation582481516Depreciation
Book Value705259045BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis56027083OtherCostOrOtherBasis
Depreciation26779136Depreciation
Book Value29247947BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis508258216OtherCostOrOtherBasis
Depreciation385976293Depreciation
Book Value122281923BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis61094700OtherCostOrOtherBasis
Depreciation14708863Depreciation
Book Value46385837BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings964826420TotalOfBookValueLandBuildings
Financial DerivativesFinancialDerivatives
Closely Held Equity InterestsCloselyHeldEquityInterests

Other Securities OtherSecurities (5 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
HEDGE FUNDS336557843C
PRIVATE EQUITY FUNDS91659074C
PRIVATE EQUITY FUNDS6805288F
REAL ASSET FUND21473452F
OTHER INVESTMENTS2621755F
FieldValueIRS element (for citing)
Total Of Book Value Securities459117412TotalOfBookValueSecurities
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (7 entries)

DescriptionDescriptionAmountAmount
RESERVE FOR MALPRACTICE LOSSES$272,980,000
DEFERRED COMPENSATION$128,574,186
DUE TO AFFILIATES$273,112,845
DUE TO THIRD PARTIES$81,612,097
CURRENT MATURITY OF LT DEBT$9,175,000
ASSET RETIREMENT OBLIGATION$9,111,555
CURRENT BOND PAYABLE PREMIUM$88,128
FieldValueIRS element (for citing)
Total Of Amounts774653811TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII
Tot Revenue Etc Audited Fincl Stmt1428913432TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments59117124NetUnrealizedGainsInvestments
Other Revenues27973480OtherRevenues
Revenue Not Rptd F99087090604RevenueNotRptdF990
Revenue Subtotal1341822828RevenueSubtotal
Investment Expenses Not Included22416776InvestmentExpensesNotIncluded
Other Revenues Not Included79766485OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt102183261RevenueNotRptdOnFinStmt
Total Revenue Per Form9901444006089TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt1339009757TotExpensesEtcAuditedFinclStmt
Other Expenses Included15217362OtherExpensesIncluded
Expenses Not Rptd F99015217362ExpensesNotRptdF990
Expenses Subtotal1323792395ExpensesSubtotal
Investment Expenses Not Included222416776InvestmentExpensesNotIncluded2
Other Expenses Not Included62328660OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt84745436ExpensesNotRptdOnFinStmt
Total Expenses Per Form9901408537831TotalExpensesPerForm990

Form990 Schedule D Part XIII Form990ScheduleDPartXIII (4 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Endowment FundsPart V Line 4Endowment 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.
FIN 48 (ASC 740) FootnotePart X Line 2NorthShore University HealthSystem (NorthShore) and its related affiliates, except for NorthShore Physician Associates, Inc. (NPA), 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, 2013 or 2012. NorthShore currently has a net operating loss carryforward of $11,671,554, which generated assets of $4,705,762. NPA currently has a net operating loss carryforward of $642,283, which generated assets of $258,647. These assets are 100% offset by valuation allowances.
Reconciliation of RevenuesPart XI Lines 2d and 4bLine 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.
Reconciliation of ExpensesPart XII Lines 2d and 4bLine 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.

Schedule F IRS990ScheduleF

Accts Actvs Out US Table AcctsActvsOutUSTable (19 entries)

RegionRegionType Of Activities ConductedTypeOfActivitiesConductedTotal ExpendituresTotalExpendituresSpecific Services ProvidedSpecificServicesProvided
Central America and the CaribbeanInsurance4715723
Central America and the CaribbeanInvestments276699118
Central America and the CaribbeanProgram Services2951Medical Conferences
Central America and the CaribbeanProgram Services6511Medical Services
East Asia and the PacificProgram Services6463Medical Conferences
East Asia and the PacificProgram Services13500Medical Supplies/Svcs
Europe (Including Iceland and Greenland)Insurance3368
Europe (Including Iceland and Greenland)Program Services20243Medical Conferences
Europe (Including Iceland and Greenland)Program Services42163Medical Supplies/Svcs
Middle East and North AfricaProgram Services3810Medical Supplies/Svcs
North AmericaInsurance559
North AmericaProgram Services10993Medical Conferences
North AmericaProgram Services272801Medical Supplies/Svcs
Russia and the Newly Independent StatesProgram Services16904Medical Conferences
Russia and the Newly Independent StatesProgram Services1000Medical Services
South AmericaProgram Services7996Medical Conferences
South AmericaProgram Services3000Medical Services
South AsiaProgram Services2657Medical Conferences
South AsiaProgram Services7078Medical Supplies/Svcs
FieldValueIRS element (for citing)
Subtotal Amount Spent281827103SubtotalAmountSpent
Cont Amount Spent9735ContAmountSpent
Total Amount Spent281836838TotalAmountSpent
Transfer To Foreign CorptrueTransferToForeignCorp
Interest In Foreign TrustfalseInterestInForeignTrust
Own Foreign CorptrueOwnForeignCorp
Passive Foreign Invest CotruePassiveForeignInvestCo
Foreign PartnershiptrueForeignPartnership
Boycott CountriesfalseBoycottCountries

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1June GalaNameOfEvent1
Gross Receipts Event1563333GrossReceiptsEvent1
Charitable Contributions Event1259732CharitableContributionsEvent1
Gross Revenue Event1303601GrossRevenueEvent1
Rent Facility Costs Event160630RentFacilityCostsEvent1
Food And Beverage Event170265FoodAndBeverageEvent1
Entertainment Event116325EntertainmentEvent1
Other Direct Expenses Event1103345OtherDirectExpensesEvent1
Name Of Event2Craft ExpoNameOfEvent2
Gross Receipts Event2580108GrossReceiptsEvent2
Charitable Contributions Event2162206CharitableContributionsEvent2
Gross Revenue Event2417902GrossRevenueEvent2
Rent Facility Costs Event223257RentFacilityCostsEvent2
Food And Beverage Event258987FoodAndBeverageEvent2
Other Direct Expenses Event2247503OtherDirectExpensesEvent2
Total Number Of Other Events3TotalNumberOfOtherEvents
Gross Receipts Other Events415840GrossReceiptsOtherEvents
Charitable Contrib Other Events91136CharitableContribOtherEvents
Gross Revenue Other Events324704GrossRevenueOtherEvents
Rent Facility Costs Other Events64418RentFacilityCostsOtherEvents
Food And Beverage Other Events968FoodAndBeverageOtherEvents
Other Direct Expenses Other Events297798OtherDirectExpensesOtherEvents
Gross Receipts Total1559281GrossReceiptsTotal
Charitable Contributions Total513074CharitableContributionsTotal
Gross Revenue Total Events1046207GrossRevenueTotalEvents
Rent Facility Costs Total Events148305RentFacilityCostsTotalEvents
Food And Beverage Total Events130220FoodAndBeverageTotalEvents
Entertainment Total Events16325EntertainmentTotalEvents
Other Direct Expenses Total Events648646OtherDirectExpensesTotalEvents
Direct Expense Summary Events943496DirectExpenseSummaryEvents
Net Income Summary102711NetIncomeSummary

Gaming Information GamingInformation

FieldValueIRS element (for citing)
Gross Revenue Other Gaming60067GrossRevenueOtherGaming
Non Cash Prizes Other Gaming1560NonCashPrizesOtherGaming
Volunteer Labor Other GamingtrueVolunteerLaborOtherGaming
Volunteer Labor Prcnt Other Gaming1.00000VolunteerLaborPrcntOtherGaming
Gross Revenue Total Gaming60067GrossRevenueTotalGaming
Non Cash Prizes Total Gaming1560NonCashPrizesTotalGaming
Direct Expense Summary Gaming1560DirectExpenseSummaryGaming
Net Gaming Income Summary58507NetGamingIncomeSummary
FieldValueIRS element (for citing)
States Where Gaming ConductedILStatesWhereGamingConducted
LicensedtrueLicensed
License Suspended EtcfalseLicenseSuspendedEtc
Gaming With NonmembersfalseGamingWithNonmembers
Member Of Other EntityfalseMemberOfOtherEntity
Percentage Of Gaming Othr Facility1.00000PercentageOfGamingOthrFacility
Name Of Gaming Rec Keeper PersonNorthShore University HealthSystemNameOfGamingRecKeeperPerson

Address Of Gaming Rec Keeper US AddressOfGamingRecKeeperUS

FieldValueIRS element (for citing)
Address Line11301 Central StreetAddressLine1
CityEvanstonCity
StateILState
ZIP Code60201ZIPCode
FieldValueIRS element (for citing)
Contract With3rd Party For Gam RevfalseContractWith3rdPartyForGamRev
Gaming Manager Name PersonKate BeckeringGamingManagerNamePerson
Gaming Manager Services ProvidedOversees auxiliary operations including raffle.GamingManagerServicesProvided
Gaming Manager Is EmployeeXGamingManagerIsEmployee
Charitable Distrib RequiredfalseCharitableDistribRequired

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free CaretrueFPGReferenceFreeCare
Pcent200XPcent200
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare

Discounted Other DiscountedOther

FieldValueIRS element (for citing)
OtherXOther
Discounted Other Percentage600.DiscountedOtherPercentage
FieldValueIRS element (for citing)
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgetfalseExpensesExceededBudget
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense22886321TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense22886321NetCommunityBenefitExpense
Percent Of Total Expense0.01620PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense106585261TotalCommunityBenefitExpense
Direct Offsetting Revenue77855029DirectOffsettingRevenue
Net Community Benefit Expense28730232NetCommunityBenefitExpense
Percent Of Total Expense0.02040PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Total Community Benefit Expense0TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense0NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense129471582TotalCommunityBenefitExpense
Direct Offsetting Revenue77855029DirectOffsettingRevenue
Net Community Benefit Expense51616553NetCommunityBenefitExpense
Percent Of Total Expense0.03660PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense2146320TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense2146320NetCommunityBenefitExpense
Percent Of Total Expense0.00150PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense56258817TotalCommunityBenefitExpense
Direct Offsetting Revenue11541177DirectOffsettingRevenue
Net Community Benefit Expense44717640NetCommunityBenefitExpense
Percent Of Total Expense0.03170PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense59621441TotalCommunityBenefitExpense
Direct Offsetting Revenue41632079DirectOffsettingRevenue
Net Community Benefit Expense17989362NetCommunityBenefitExpense
Percent Of Total Expense0.01280PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Total Community Benefit Expense23606684TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense23606684NetCommunityBenefitExpense
Percent Of Total Expense0.01680PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense3173644TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense3173644NetCommunityBenefitExpense
Percent Of Total Expense0.00230PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense144806906TotalCommunityBenefitExpense
Direct Offsetting Revenue53173256DirectOffsettingRevenue
Net Community Benefit Expense91633650NetCommunityBenefitExpense
Percent Of Total Expense0.06510PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense274278488TotalCommunityBenefitExpense
Direct Offsetting Revenue131028285DirectOffsettingRevenue
Net Community Benefit Expense143250203NetCommunityBenefitExpense
Percent Of Total Expense0.10170PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

FieldValueIRS element (for citing)
Total Community Building Expense0TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense0NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Economic Development EconomicDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense0TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense0NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Total Community Building Expense5829TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense5829NetCommunityBuildingExpense

Environmental Improvements EnvironmentalImprovements

FieldValueIRS element (for citing)
Total Community Building Expense0TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense0NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Leadership Development LeadershipDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense1204TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense1204NetCommunityBuildingExpense

Coalition Building CoalitionBuilding

FieldValueIRS element (for citing)
Total Community Building Expense13828TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense13828NetCommunityBuildingExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Total Community Building Expense29947TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense29947NetCommunityBuildingExpense

Workforce Development WorkforceDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense8797TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense8797NetCommunityBuildingExpense

Other Other

FieldValueIRS element (for citing)
Total Community Building Expense0TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense0NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense59605TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense59605NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$12,862,510BadDebtExpenseAmount
Amount Attributable To0AmountAttributableTo
Amount Reimbursed By Medicare379341829AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare460422531CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-81080702MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare

Form990 Schedule H Part IV Form990ScheduleHPartIV (3 entries)

Description Ent Primary ActivityDescriptionEntPrimaryActivityOrganization Profit Or OwnershipOrganizationProfitOrOwnershipOfficers Etc Profit Or OwnershipOfficersEtcProfitOrOwnershipPhysicans Profit Or OwnershipPhysicansProfitOrOwnership
HPMOB LP
Medical Office Building0.296200.000000.70380
Ravine Way LLC
Orthopaedic Surgery Center0.300000.000000.70000
NorthShoreUSP LLC
General Surgery Centers0.499000.000000.50100
FieldValueIRS element (for citing)
Number Of Hospital Facilities4NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA (4 entries)

Facility NumberFacilityNumberAddress Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeWebsite AddressWebsiteAddressLicensed HospitalLicensedHospitalGeneral Medical And SurgicalGeneralMedicalAndSurgicalTeaching HospitalTeachingHospitalResearch FacilityResearchFacilityEr24 HoursEr24HoursFacility Reporting GroupFacilityReportingGroup
Evanston Hospital
12650 Ridge AvenueEvanstonIL60201northshore.orgXXXXXA
Glenbrook Hospital
22100 Pfingsten RoadGlenviewIL60026northshore.orgXXXXXA
Highland Park Hospital
3777 Park Avenue WestHighland ParkIL60035northshore.orgXXXXXA
Skokie Hospital
49600 Gross Point RoadSkokieIL60076northshore.orgXXXXXA

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1ABusinessNameLine1
FieldValueIRS element (for citing)
CHNA ConductedtrueCHNAConducted
Community DefinitionXCommunityDefinition
Community DemographicsXCommunityDemographics
Existing ResourcesXExistingResources
How Data ObtainedXHowDataObtained
Community Health NeedsXCommunityHealthNeeds
Other Health IssuesXOtherHealthIssues
Identifying ProcessXIdentifyingProcess
Consulting ProcessXConsultingProcess
Information GapsXInformationGaps
Needs Assessment Conducted12NeedsAssessmentConducted
Take Into AccounttrueTakeIntoAccount
Other FacilitiestrueOtherFacilities
CHNA Widely AvailabletrueCHNAWidelyAvailable
Own WebsiteXOwnWebsite
On RequestXOnRequest
Adopt Implement StrategyXAdoptImplementStrategy
Execute Implement StrategyXExecuteImplementStrategy
Include Operational PlansXIncludeOperationalPlans
Adopt BudgetXAdoptBudget
Prioritize Health NeedsXPrioritizeHealthNeeds
Prioritize ServicesXPrioritizeServices
All Needs AddressedfalseAllNeedsAddressed
Organization Incur Excise TaxfalseOrganizationIncurExciseTax
Eligibility Criteria ExplainedtrueEligibilityCriteriaExplained
Uses FPG FreetrueUsesFPGFree
FPG Free Percent200.FPGFreePercent
Uses FPG DiscountedtrueUsesFPGDiscounted
FPG Discount Percent600.FPGDiscountPercent
Explains BasistrueExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Medical IndigencyXMedicalIndigency
Insurance StatusXInsuranceStatus
Uninsured DiscountXUninsuredDiscount
Medicaid MedicareXMedicaidMedicare
State RegulationXStateRegulation
Explains Application MethodtrueExplainsApplicationMethod
Includes Publicity MeasurestrueIncludesPublicityMeasures
Posted On WebsiteXPostedOnWebsite
Available On RequestXAvailableOnRequest
Other PublicityXOtherPublicity
Actions On NonpaymenttrueActionsOnNonpayment
Collection ActivitiesfalseCollectionActivities
Nondiscrim Emergency Care PolicytrueNondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally BilledfalseAmountsGenerallyBilled
Gross ChargesfalseGrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities33NumberOfOtherFacilities

Other Facilities OtherFacilities (33 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
Skokie Ambulatory Care Center
9650 Gross Point RoadSkokieIL60076Outpatient Clinic
Glenbrook Ambulatory Care Center
2180 Pfingsten RoadGlenviewIL60026Outpatient Clinic
Graham Medical Office Building
1000 Central StreetEvanstonIL60201Outpatient Clinic
Highland Park Ambulatory Care Building
757 Park Avenue WestHighland ParkIL60035Outpatient Clinic
Gurnee Ambulatory Care Center
7900 Rollins RoadGurneeIL60031Outpatient Clinic
Old Orchard Medical Office Building
9977 Woods DriveSkokieIL60077Outpatient Clinic
Highland Park Medical Office Building
767 Park Avenue WestHighland ParkIL60035Outpatient Clinic
Glenbrook Medical Office Building North
2150 Pfingsten RoadGlenviewIL60026Outpatient Clinic
Glenbrook Medical Office Building South
2050 Pfingsten RoadGlenviewIL60026Outpatient Clinic
Lakeshore Imaging
680 N Lake Shore DriveChicagoIL60611Outpatient Clinic
Vernon Hills Specialty Care Center
225 N Milwaukee AvenueVernon HillsIL60061Outpatient Clinic
Bannockburn Medical Office Building
2151 Waukegan RoadBannockburnIL60015Outpatient Clinic
Gurnee Medical Office Building
15 Tower CourtGurneeIL60031Outpatient Clinic
PM&R Pediatrics Lab Services
9811 Woods DriveSkokieIL60077Outpatient Clinic
Glenview Park Center
2400 Chestnut AvenueGlenviewIL60026Outpatient Clinic
Fetal Diagnostic Center
71 Waukegan RoadLake BluffIL60044Outpatient Clinic
PMR Fitness Center
1501 Busch ParkwayBuffalo GroveIL60089Outpatient Clinic
PM&R Benson Avenue
1729 Benson AvenueEvanstonIL60201Outpatient Clinic
Adolescent Day School
3633 W Lake AvenueGlenviewIL60026Therapeutic Day School
Northbrook Court Imaging
1182 Northbrook CourtNorthbrookIL60062Outpatient Clinic
Fetal Diagnostic Center
5145 N California AvenueChicagoIL60625Outpatient Clinic
NorthShore Lab Services - Evanston
2500 Ridge AvenueEvanstonIL60201Outpatient Clinic
Northbrook Pharmacy
1127 Church StreetNorthbrookIL60062Outpatient Pharmacy
Fetal Diagnostic Center
755 S Milwaukee AvenueLibertyvilleIL60048Outpatient Clinic
Libertyville Pharmacy
1451 W Peterson RoadLibertyvilleIL60048Outpatient Pharmacy
Lake Forest Pharmacy
825 S Waukegan AvenueLake ForestIL60045Outpatient Pharmacy
PM&R Old Deerfield Road
1630 Old Deerfield RoadHighland ParkIL60035Outpatient Clinic
Breast Health and Mammography Program
71 Old Orchard Shopping CenterSkokieIL60077Outpatient Clinic
River North Same Day Surgery
One East Erie StreetChicagoIL60611Ambulatory Surgery Center
25 East Same Day Surgery Center
25 East Washington StreetChicagoIL60602Ambulatory Surgery Center
Ravine Way Surgery Center
2350 Ravine WayGlenviewIL60025Ambulatory Surgery Center
North Shore Same Day Surgery
3725 West Touhy AvenueLincolnwoodIL60712Ambulatory Surgery Center
Elmwood Park Same Day Surgery
1614 North Harlem AvenueElmwood ParkIL60707Ambulatory Surgery Center

Form990 Schedule H Part VI Form990ScheduleHPartVI (13 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Costing MethodologyPart I Line 7NorthShore 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.
Community Building ActivitiesPart IINorthShore 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.
Bad Debt ExpensePart III Line 2Bad 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.
Financial Statement FootnotePart III Line 4Accounts 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.
Medicare ShortfallPart III Line 8The 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 $81,080,702 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 2013, Medicare accounted for approximately 44% 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.
Collection PracticesPart III Line 9bNorthShore 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.
Needs AssessmentPart VI Line 2NorthShore 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.
Patient Education of Eligibility for AssistancePart VI Line 3NorthShore informs and educates potentially impacted patients of the Financial Assistance program by posting signage (both English and Spanish) in all the facilities' Emergency Departments and at our Central Registration areas. The NorthShore Patient Handbook is also available to patients upon admission and it describes the Financial Assistance program that includes Charity Care. NorthShore also has approximately 16 full time financial counselors and 38 customer service agents representing our hospitals, clinics, and physician offices. They are responsible for helping patients understand their bills and coordinating financial assistance and eligibility. NorthShore has earned Certified Application Counselor status with the Centers for Medicare and Medicaid Services (CMS). Our counselors are certified and capable of helping patients navigate Medicaid and Insurance Exchange options. Uninsured patients admitted to the hospital will have their case reviewed, and our counselors will assist with coordinating insurance coverage or financial assistance. NorthShore billing statements also indicate the Financial Assistance program and necessary contact information. NorthShore's physician offices and collection agencies are also instructed to coordinate charity care to potentially eligible patients. The NorthShore website is another useful resource that informs patients about the Financial Assistance program with links to the application process and the application form. Any patient having difficulty paying their portion of the bill or wanting to know if they are eligible will have their case reviewed by either our financial counselors or by calling the Customer Service department.
Community InformationPart VI Line 4NorthShore 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 $94,000*. During fiscal year 2013, approximately 5% 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
Promotion of Community HealthPart VI Line 5NorthShore 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 2013, a total of 187 residents and 28 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: Female Pelvic Medicine and Reconstructive Surgery, Gastroenterology, Musculoskeletal Imaging, Emergency Medicine Simulation, and Endocrine Surgery. The affiliate-based residency program areas included: Anesthesiology, Dermatology, 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, Infectious Disease Research, 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 2013, 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 2013, 61 students participated in the program. NorthShore also provided clinical training and internships during the 2013 academic year for 833 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 role of the CACs is to 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 2013, the clinic treated 4,641 adult patients at 15,091 visits and 2,357 adolescent patients at 7,406 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 3,106 visits at a cost of $194,596 during fiscal year 2013. 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 for the school's approximately 3,000 students. The Health Center is staffed by NorthShore employees, including a physician, two part-time nurse practitioners, and a social worker. During the 2012-2013 school year, 682 students utilized the Health Center at 2,167 visits at a cost of $621,932. Medication Assistance Program - NorthShore's Medication Assistance Program helps patients with the cost of paying for prescription drugs. The Medication Assistance Program assisted 2,891 patients in filling 42,248 prescriptions at a cost of $301,137 during fiscal year 2013. 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 2013, there were 95,818 patient visits and 6,315 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 2013, NorthShore physicians conducted 6,895 screenings to identify at-risk patients, and the hotline received 763 calls. Free psychological support and referrals were provided for 493 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.
Affiliated Health Care SystemPart VI Line 6NorthShore 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 now houses nearly 200 externally funded research faculty who currently occupy over 100,000 net square feet of research space and work on nearly 1,000 active research protocols. Total external funding is now over $100 million. In addition, NorthShore has 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. NorthShore University HealthSystem Faculty Practice Associates - The NorthShore University HealthSystem Faculty Practice Associates (FPA) represents more than 800 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.
State Filing of Community Benefit ReportPart VI Line 7Illinois
Facility Reporting Group APart VI Line 8The Part V Section B answers below are for Hospital Facility Reporting Group A, which includes the following hospital facilities: Evanston Hospital, Glenbrook Hospital, Highland Park Hospital, and Skokie Hospital. Part V Section B Line 3 - 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 - 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 5a - The NorthShore University HealthSystem (NorthShore) Community Health Needs Assessment is located at the following address on the NorthShore website: http://www.northshore.org/Global/Community%20and%20Events/Community%20Heal th%20Needs%20Assessment%20%e2%80%93%20Fiscal%20Year%202013.pdf Part V Section B Line 7 - 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 - 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 Handbook, which includes a description of the Financial Assistance program, is also available to patients upon admission to a NorthShore hospital. NorthShore billing statements also indicate the Financial Assistance program and necessary contact information. Collection agencies are also instructed to offer charity care to potentially eligible patients. Part V Section B Line 20d - NorthShore University HealthSystem follows the Illinois Hospital Uninsured Patient Discount Act, which requires discounts to patients who qualify for financial assistance that result in bills of no more than 135% of cost. The requirements under Illinois law are also monitored to ensure amounts charged to patients who qualify for financial assistance do not exceed the average of the three lowest negotiated commercial insurance rates.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (33 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrantAmount Of Non Cash AssistanceAmountOfNonCashAssistanceMethod Of ValuationMethodOfValuationDescription Of Non Cash AssistanceDescriptionOfNonCashAssistance
American Cancer Society
820 Davis StEvanstonIL60201362167721501(c)(3)20000Community Event Contributions
American Heart Association
208 South LaSalle StChicagoIL60604360900700501(c)(3)20000Community Event Contributions
American Red Cross of Greater Chicago
2200 West Harrison StreetChicagoIL60612530196605501(c)(3)25000Disaster Relief Fund
Council for Jewish Elderly
3003 W Touhy AveChicagoIL60645362727597501(c)(3)5000Community Contribution6000FMVOffice Space
Evanston Community Foundation
1007 Church StEvanstonIL60201363466802501(c)(3)6500Community Contribution
Erie Family Health Center Inc
1701 W Superior StChicagoIL60622363088628501(c)(3)1400000Community Contribution
Family Service Center of Wilmette
3545 Lake AveWilmetteIL60091362171173501(c)(3)6000Community Contribution
Friends of the Orphans
134 N LaSalle StChicagoIL60602651229309501(c)(3)10000Community Contribution
Greater Chicago Food Depository
4100 West Ann Lurie PlaceChicagoIL60632362971864501(c)(3)10000Community Contribution
Healthreach Incorporated
201 Liberty StWaukeganIL60085363816410501(c)(3)62500Community Contribution
Illinois Hospital Research and Edu Fndn
24676 Network PlaceChicagoIL60673237421930501(c)(3)46403Hospital Mutual Assistance Program
Lake County Health Department
3010 Grand AveWaukeganIL60085366006600115500000Be Well Lake County Program
Lake County Partners for Economic Develop
100 Tri-St Int DrLincolnshireIL60069364206288501(c)(3)11500Community Contribution
Lydia Home Association
4300 W Irving Park RdChicagoIL60641361412810501(c)(3)10000Community Contribution
Metropolitan Chicago Healthcare Council
222 S Riverside PlazaChicagoIL60606363401846501(c)(6)37000Illinois Poison Center Contribution
Metropolitan Family Services
1 N Dearborn StChicagoIL60602362167940501(c)(3)10000Community Contribution
Northern Illinois Food Bank
600 Industrial DrSt CharlesIL60174363203648501(c)(3)10000Community Contribution
NorthShore Faculty Practice Associates
1301 Central StreetEvanstonIL60201363738206501(c)(3)58838998General Support
The Josselyn Center NFP
405 Central AveNorthfieldIL60093362217996501(c)(3)8000Community Contribution
Turning Point Behavioral Health Care Center
8324 Skokie BlvdSkokieIL60077362327294501(c)(3)8000Community Contribution
The University of Chicago Medical Center
5841 S Maryland AveChicagoIL60637363488183501(c)(3)800075Community Contribution
Wings Program Inc
PO Box 95615PalatineIL60095363456061501(c)(3)10000Community Contribution
Youth Services of Glenview-Northbrook
3080 West Lake AveGlenviewIL60026363182275501(c)(3)5500Community Contribution
Massachusetts General Hospital
55 Fruit StBostonMA02114041564655501(c)(3)11968Research
Mayo Clinic
200 First St SWRochesterMN55905416011702501(c)(3)112787Research
Northwestern University
633 Clark StEvanstonIL60208362167817501(c)(3)291284Research
Regents of the University of Minnesota
PO Box 1450MinneapolisMN55485416007513115138527Research
Texas Biomedical Research Institute
PO Box 760549San AntonioTX78245741109630501(c)(3)86676Research
The Brigham and Women's Hospital Inc
75 Francis StBostonMA02115042312909501(c)(3)106238Research
University of Chicago
5801 S Ellis AveChicagoIL60637362177139501(c)(3)377697Research
University of Pittsburgh
580 S Aiken AvePittsburghPA15232250965591501(c)(3)11101Research
University of Wisconsin Milwaukee
3202 N Maryland AveMilwaukeeWI5320239180596311512440Research
Westat Inc
PO Box 1004RockvilleMD208508405295665373Research
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants31TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations2TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII

FieldValueIRS element (for citing)
Type Of GrantScholarships in Medical FieldTypeOfGrant
Number Of Recipients45NumberOfRecipients
Amount Of Cash Grant89500AmountOfCashGrant

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierMonitoring of Grant FundsIdentifier
Return ReferenceSchedule I Part I line 2ReturnReference
ExplanationNorthShore 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. Finally, NorthShore 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 Statement of Agreement to work for NorthShore as a staff nurse or in a related clinical position for one year following receipt of the scholarship.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
First Class Or Charter TravelXFirstClassOrCharterTravel
Travel For CompanionsXTravelForCompanions
Idemnification Gross Up PaymentsXIdemnificationGrossUpPayments
Written Policy Re T And E ExpensestrueWrittenPolicyReTAndEExpenses
Substantiation RequiredfalseSubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
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 PaymentstrueAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (34 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
Bernard G Ewigman
Director and Clinical Chairman389255021000000605330525160523304000
Theodore Mazzone
Director and Clinical Chairman58861169466083000015705194322293803394861607617141200
Mark S Talamonti
Director and Clinical Chairman63233225147408300001644615543618222716903467059136613600
Mark R Neaman
President and CEO97125404300000520219032356001626902261302000
Gerald P Gallagher
Chief Operating Officer40009401520000216901148920263940695549000
Jeffrey H Hillebrand
Former Chief Operating Officer64329302570000353510015312501876901425697000
Gary E Weiss
Board Treasurer and CFO44251701760000348468011617802002401103187000
Julian E Bailes
Clinical Chairman4999509954240830000156767263144621034820603517561112916500
William D Bloomer
Clinical Chairman3930302599360306000051341130778648200801328042618763920500
Michael S Caplan
Clinical Chairman4071001548230700000212851573959865854222642869325432000
Robert R Edelman
Clinical Chairman71102635013024970001320520705102037662185576939330079300
Thomas H Hodges
Chief Investment Officer41252001590000113850217250154940620124000
Harry L Jones
Chief Compliance Officer237366097000031430217250251450384379000
Karen L Kaul
Clinical Chairman102662270957016885202484459701575587312304511736350345300
Jason L Koh
Clinical Chairman15393866206602268690325540981762760032581916403993563600
William R Luehrs
Chief Human Resources Officer32692501310000502490902610167390615174000
Demetrius Maraganore
Clinical Chairman3467191486250500000572215207651820033858838195921945300
Frederick E Miller
Clinical Chairman34637452325017000057481887428512386136053891098152900
Kristen Murtos
President, Skokie Hospital3012610112000033050868280275530530947000
Sean O'Grady
President, Glenbrook Hospital25086607500005170217250267310374839000
Jesse Peterson Hall
President, Highland Park Hosp.3482110136000099210947770274310616340000
Nancy Semerdjian
Chief Nursing Officer28232801070000137520217250178470442652000
Richard K Silver
Clinical Chairman700013117895010000004219618594313128601481774720826803900
Douglas M Silverstein
President, Evanston Hospital40619401580000469902911700109140870977000
Steven Smith
Chief Information Officer2781180110600029370217250224340435814000
Jeffery S Vender
Clinical Chairman504577245387026538502138814617710816875820753606954747500
Brian Washa
Senior Vice President272160082500016640805370243640461225000
Kenneth P Anderson
Chief Medical Quality Officer377984094900092380217250185930522440000
Janardan D Khandekar
Medical Director44300561575000600048818021695302556336614081668100
William J Robb III
Former Clinical Chairman4384620100000039518021725033250603030000
Leopold G Selker
Former President, Res. Inst.25127603200000255990127250147070624307000
Thomas W Smith
Former Chief Info. Officer27051501350000452050217250148630487308000
Nicholas A Vick
Former Clinical Chairman16561631967010240381031724233281432527651971837718700
Thomas A Victor
Former Clinical Chairman316138109904018097808105016121560423896830835615538584400

Form990 Schedule J Part III Form990ScheduleJPartIII (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Benefits ProvidedPart I Line 1aFirst-class airfare was provided to the Chief Executive Officer and the Former Chief Operating Officer for business travel purposes and was not treated as taxable compensation. The first-class airfare was purchased through a prepaid airline mileage account, which provided discounted airline fare rates. Spousal travel was provided for one trip during calendar year 2012 to the Chief Executive Officer and was treated as taxable compensation. Tax indemnification and gross-up payments are occasionally provided to employees for achievement awards and other benefits, which are reviewed and approved by management. During calendar year 2012, seven employees listed in Part VII received gross-up payments. These amounts were treated as taxable compensation.
Reimbursement SubstantiationPart I Line 2A 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.
Supplemental Nonqualified Retirement PlanPart I Line 4bThe following individuals participated in a supplemental nonqualified retirement plan and accrued the following benefits: Mark R Neaman, President and Chief Executive Officer - $497,551, Jeffrey H Hillebrand, Former Chief Operating Officer - $337,414, William R Luehrs, Chief Human Resources Officer - $43,432, Douglas M Silverstein, President, Evanston Hospital - $180,772, Thomas W Smith, Former Chief Information Officer - $16,000, Gary E Weiss, Chief Financial Officer - $339,376.
Non-Fixed PaymentsPart I Line 7NorthShore 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.
Compensation from Unrelated OrganizationsCore Form 990 Part VII Line 5The salary and benefits reported on Schedule J totaling $523,304 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.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Bond ReferenceBondReferenceCdIssuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
Illinois Finance Authority
A86109196745200F4D82010-07-14138786145See Part VIfalsefalsefalse
Illinois Finance Authority
B86109196745200MU932008-12-1175000000See Part VIfalsefalsefalse

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Bond ReferenceBondReferenceCdAmount RetiredAmountRetiredAmount Bond DefeasedAmountBondDefeasedTotal ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundCapitalized InterestCapitalizedInterestRefunding EscrowRefundingEscrowIssuance Costs From ProceedsIssuanceCostsFromProceedsCredit EnhancementCreditEnhancementWorking Capital ExpendituresWorkingCapitalExpendituresCapital ExpendituresCapitalExpendituresOther Spent ProceedsOtherSpentProceedsAmount UnspentAmountUnspentYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
A102700000138786145000101777100013776837402010truefalsetruetrue
B0075000000000433044131875074435081002008falsefalsetruetrue

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Bond ReferenceBondReferenceCdPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersOwning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyEngage Bond Counsel ContractsEngageBondCounselContractsAny Research AgreementsAnyResearchAgreementsEngage Bond Counsel ResearchEngageBondCounselResearchPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUseBond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTestChange In Use Bond Financed PropChangeInUseBondFinancedPropRemedial Action TakenRemedialActionTakenNon Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs
A0
B0.00400falsefalsetruetruetruetrue0.001000.00500falsefalsefalsetrue

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledRebate Not Due YetRebateNotDueYetException To RebateExceptionToRebateNo Rebate DueNoRebateDueVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICBusiness Name Line1NameOfGICProvider/BusinessNameLine1Gross Proceeds InvestedGrossProceedsInvestedWritten Proc To Monitor ReqsWrittenProcToMonitorReqs
0
Afalsetruefalsefalsefalsefalsefalse0falsetrue
0
Bfalsefalsetruetruetruefalsefalse0falsetrue

Form990 Schedule K Part V Form990ScheduleKPartV (2 entries)

Bond ReferenceBondReferenceCdProc To Undertk Corrective ActionProcToUndertkCorrectiveAction
Atrue
Btrue

Form990 Schedule K Part VI Form990ScheduleKPartVI (3 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
1Part 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.
2Part 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.
3Part IV Line 2c Column BA rebate analysis was performed as of January 29, 2014, which found there was no rebate due as the issue met an exception to rebate.

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (12 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
NorthShore Physician Associates Inc
See Part V21006502Capitation Payments, Otherfalse
NorthShore Insurance International
See Part V4714244Insurance Premiums, Taxesfalse
Ravine Way Surgery Center LLC
See Part V445500Earnings Distributionstrue
NorthShoreUSP Surgery Center II LL
Bd Mbr - Kristen Murtos1781191Earnings Distributionstrue
Advisory Board Company
Bd Mbr - Mark Neaman305300Membership Duesfalse
Vocera Communications Inc
Bd Mbr - Jeff Hillebrand845873Communications Equipmentfalse
VHA Inc
Bd Mbr - Jeff Hillebrand2850573Net Purch Rebates/Mbr Chargesfalse
Medline Industries
Officer - Andrew Mills515860Medical Suppliesfalse
Blue Cross Blue Shield of Illinois
Bd Mbr - Sona Wang426783954Net Patient Revenuesfalse
JNH Consulting LLC
Manager - Jeff Hillebrand151031Consulting Servicesfalse
April F Victor
Family Mbr-Thomas Victor51201Employmentfalse
Alexis A Washa
Family Mbr-Brian Washa185173Employmentfalse

Form990 Schedule L Part V Form990ScheduleLPartV

FieldValueIRS element (for citing)
IdentifierBusiness Transactions with Interested PersonsIdentifier
Return ReferencePart IV Column (b)ReturnReference
ExplanationNorthShore Physician Associates, Inc. board members and officers were: Leon S Benson, Percy L Berger Sr, Toure S Claiborne, A Steven Crown, William L Davis, Mary Dillon, David A Dohnalek, Connie K Duckworth, Bernard G Ewigman, Gerald P Gallagher, Jeffrey H Hillebrand, Ike Hong, Gregory K Jones, Richard 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, Mark S Talamonti, J Mikesell Thomas, John R Walter, Sona Wang, Jonathan P Ward, William 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.Explanation

Schedule M IRS990ScheduleM

FieldValueIRS element (for citing)
Works Of ArtWorksOfArt
Art Historical TreasuresArtHistoricalTreasures
Art Fractional InterestArtFractionalInterest
Books And PublicationsBooksAndPublications

Clothing And Household Goods ClothingAndHouseholdGoods

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Noncash Contribs Rptd F99019580NoncashContribsRptdF990
Method Of Determining RevenuesCostMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Cars And Other VehiclesCarsAndOtherVehicles
Boats And PlanesBoatsAndPlanes
Intellectual PropertyIntellectualProperty

Securities Publicly Traded SecuritiesPubliclyTraded

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions22NumberOfContributions
Noncash Contribs Rptd F9901288549NoncashContribsRptdF990
Method Of Determining RevenuesSale ProceedsMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Securities Closely Held StockSecuritiesCloselyHeldStock
Securities Prtnrshp Trust IntrstsSecuritiesPrtnrshpTrustIntrsts
Securities MiscellaneousSecuritiesMiscellaneous
Qualified Contrib Hist StructQualifiedContribHistStruct
Qualified Contrib OtherQualifiedContribOther
Real Estate ResidentialRealEstateResidential
Real Estate CommercialRealEstateCommercial
Real Estate OtherRealEstateOther
CollectiblesCollectibles
Food InventoryFoodInventory
Drugs And Medical SuppliesDrugsAndMedicalSupplies
TaxidermyTaxidermy
Historical ArtifactsHistoricalArtifacts
Scientific SpecimensScientificSpecimens
Archaeological ArtifactsArchaeologicalArtifacts

Other Non Cash Contributions Table OtherNonCashContributionsTable

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
DescriptionGift CardsDescription
Number Of Contributions161NumberOfContributions
Noncash Contribs Rptd F99037030NoncashContribsRptdF990
Method Of Determining RevenuesCostMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Number Of8283 Received0NumberOf8283Received
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeld
Review Process Unusual NC GiftstrueReviewProcessUnusualNCGifts
Third Parties UsedfalseThirdPartiesUsed

Form990 Schedule M Part II Form990ScheduleMPartII

FieldValueIRS element (for citing)
IdentifierNumber of ContributionsIdentifier
Return ReferencePart I Column (b)ReturnReference
ExplanationThe amounts reported in Part I, column (b) represent the number of contributions.Explanation

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (12 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Independence of Voting Members of Governing BodyPart I Line 4 and Part VI Section A Line 1bVoting 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.
Mission StatementPart III Line 1The 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.
Statement of Program Services - Patient CarePart III Line 4aHeadquartered 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 800 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 cancer, neurology, cardiovascular care, orthopaedics, and high-risk maternity. Further, NorthShore 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's Evanston and Glenbrook hospitals were named to the annual class of top national hospitals by the Leapfrog Group's Top Hospitals List for 2013. NorthShore's hospitals were among 90 hospitals selected from a field of more than 1,300 hospitals nationally based on the results of the Leapfrog Group's annual hospital survey, which measures performance on patient safety and quality. All of NorthShore's four hospitals also received "A" grades as part of the Leapfrog semi-annual Hospital Safety Scores. NorthShore is nationally ranked in two specialties and rated as high performing in nine others, according to the U.S. News and World Report annual Best Hospitals survey. NorthShore was nationally ranked in Gynecology and Gastroenterology and GI Surgery, and rated as high-performing in the following specialties: Cancer, Diabetes and Endocrinology, Ear Nose and Throat, Geriatrics, Nephrology, Neurology and Neurosurgery, Orthopaedics, Pulmonology, and Urology. The survey looked at about 5,000 hospitals nationwide, ranking them in 16 different specialties, and just three percent of all hospitals earned a national ranking in any specialty. NorthShore has been recognized as one of the nation's Most Wired hospitals for the tenth consecutive year according to the 2013 Most Wired Survey issued by Hospitals and Health Networks magazine. According to the survey results, the 2013 Most Wired hospitals implemented strategies to reduce medication errors, as well as focused on adopting technologies that protect patient data and optimize patient flow and communications. 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 potentially impacted patients of the Financial Assistance program by posting signage (both English and Spanish) in all the facilities' Emergency Departments and at our Central Registration areas. The NorthShore Patient Handbook is also available to patients upon admission and it describes the Financial Assistance program that includes Charity Care. NorthShore also has approximately 16 full time financial counselors and 38 customer service agents representing our hospitals, clinics, and physician offices. They are responsible for helping patients understand their bills and coordinating financial assistance and eligibility. NorthShore has earned Certified Application Counselor status with the Centers for Medicare and Medicaid Services (CMS). Our counselors are certified and capable of helping patients navigate Medicaid and Insurance Exchange options. Uninsured patients admitted to the hospital will have their case reviewed, and our counselors will assist with coordinating insurance coverage or financial assistance. NorthShore billing statements also indicate the Financial Assistance program and necessary contact information. NorthShore's physician offices and collection agencies are also instructed to coordinate charity care to potentially eligible patients. The NorthShore website is another useful resource that informs patients about the Financial Assistance program with links to the application process and the application form. Any patient having difficulty paying their portion of the bill or wanting to know if they are eligible will have their case reviewed by either our financial counselors or by calling the Customer Service department. 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: 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 2013, Evanston Hospital total admissions were 18,319, and total patient days were 97,175.
Statement of Program Services - Patient Care - ContinuedPart III Line 4aGlenbrook 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 2013, Glenbrook Hospital total admissions were 9,158, and total patient days were 43,761. 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 2013, Highland Park Hospital total admissions were 9,083, and total patient days were 40,480. Skokie Hospital - Established in 1963, Skokie Hospital is a 156-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 2013, Skokie Hospital total admissions were 6,550, and total patient days were 33,508. 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 800 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.
Statement of Program Services - EducationPart III Line 4bNorthShore 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 2013, a total of 187 residents and 28 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: Female Pelvic Medicine and Reconstructive Surgery, Gastroenterology, Musculoskeletal Imaging, Emergency Medicine Simulation, and Endocrine Surgery. The affiliate-based residency program areas included: Anesthesiology, Dermatology, 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, Infectious Disease Research, 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 2013, 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 2013, 61 students participated in the program. NorthShore also provided clinical training and internships during the 2013 academic year for 833 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.
Statement of Program Services - ResearchPart III Line 4cThe 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 now houses nearly 200 externally funded research faculty who currently occupy over 100,000 net square feet of research space and work on nearly 1,000 active research protocols. Total external funding is now over $100 million. In addition, NorthShore has 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.
Business RelationshipsPart VI Section A Line 2The 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, William L Davis, Mary Dillon, David A Dohnalek, Connie K Duckworth, Bernard G Ewigman, Gerald P Gallagher, Jeffrey H Hillebrand, Ike Hong, Gregory K Jones, Richard 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, Mark S Talamonti, J Mikesell Thomas, John R Walter, Sona Wang, Jonathan P Ward, William 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
Governing Body Review of 990Part VI Section B Line 11bThe 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.
Conflict of Interest Policy MonitoringPart VI Section B Line 12cOn 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.
Determination of CompensationPart VI Section B Line 15A 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.
Public Disclosure of DocumentsPart VI Section C Line 19The 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.
Other Changes in Net AssetsPart XI Line 9Other changes in net assets include equity adjustments for the pension and supplemental executive retirement plans.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
NorthShore Faculty Practice Associates
1301 Central StreetEvanstonIL60201363738206HealthcareIL501(c)(3)11 Type INorthShoretrue
Radiation Medicine Institute
1301 Central StreetEvanstonIL60201363815543HealthcareIL501(c)(3)11 Type INorthShoretrue
Healthcare Foundation of Highland Park
610 Central AvenueHighland ParkIL60035363196647FundraisingIL501(c)(3)11 Type IINAfalse

Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeTypeShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsDisproportionate AllocationsDisproportionateAllocationsCode VCodeVAmountGeneral Or Managing PartnerGeneralOrManagingPartnerPercentage OwnershipPercentageOwnership
Ravine Way LLC
2401 Ravine WayGlenviewIL60025201245279HealthcareILNorthShoreRelated571112820447false$0true0.30000
HPMOB Limited Ptr
1301 Central StEvanstonIL60201363497502HealthcareILNorthShoreExcluded73734369013false$0true0.29620

Form990 Schedule R Part IV Form990ScheduleRPartIV (3 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/AddressLine1Province Or StateAddressForeign/ProvinceOrStateCountryAddressForeign/CountryLegal Domicile Foreign CountryLegalDomicileForeignCountry
NorthShore Physician Associates Inc
1301 Central StreetEvanstonIL60201363648026HealthcareILNorthShore FPAC corp0113003861.00000true
NorthShore Insurance International
980419452InsuranceNorthShoreC corp71969198913791.00000trueGovernors Sq Bldg 4Grand CaymanCJCJ
Clinical & Interventional Cardiology Ltd
1301 Central StreetEvanstonIL60201363551900HealthcareILNorthShoreC corp892701.00000true
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiestrueReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
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 OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (17 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
NorthShore Faculty Practice Associates
a18572753Cost
NorthShore Faculty Practice Associates
b58838998Cost
NorthShore Faculty Practice Associates
c3346014Cost
Radiation Medicine Institute
c318280Cost
Healthcare Foundation of Highland Park
c4000000Cost
HPMOB Limited Partnership
k496241Cost
NorthShore Faculty Practice Associates
p63830908Cost
NorthShore Faculty Practice Associates
q8499869Cost
NorthShore Physician Associates Inc
q194851Cost
NorthShore Faculty Practice Associates
r371304114Cost
Radiation Medicine Institute
r3176754Cost
NorthShore Physician Associates Inc
r119323456Cost
NorthShore Insurance International
r4714244Cost
NorthShore Faculty Practice Associates
s334831315Cost
Radiation Medicine Institute
s2858474Cost
NorthShore Physician Associates Inc
s88562389Cost
Ravine Way Surgery Center LLC
s445500Cost