NORTHWESTERN MEMORIAL HEALTHCARE: Form 990, tax year 2012
View the entire original 990 at ProPublica ↗
- Organization
- NORTHWESTERN MEMORIAL HEALTHCARE (EIN 36-3484281)
- Tax period
- 2012-07-01 to 2013-06-30
- Filed
- 2014-05-08
- IRS object ID
- 201441289349300839
- Schema version
- 2012v2.1
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule K
- Schedule K
- Schedule L
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2014-05-08T10:01:06-05:00 | Timestamp |
| Tax Period End Date | 2013-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CROWE HORWATH LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 70 West Madison Street | AddressLine1 |
| Address Line2 | Suite 700 | AddressLine2 |
| City | Chicago | City |
| State | IL | State |
| ZIP Code | 606024903 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2012-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 363484281 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DELNOR-COMMUNITY HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | DELN | NameControl |
| Phone | 6302083000 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 300 Randall Road | AddressLine1 |
| City | Geneva | City |
| State | IL | State |
| ZIP Code | 60134 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JOHN ORSINI | Name |
| Title | EVP/CFO | Title |
| Date Signed | 2013-09-23 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | John Woodhull | Name |
| PTIN | P01305268 | PTIN |
| Phone | 3128997000 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2012 | TaxYear |
| Build TS | 2015-11-30 17:44:51Z | BuildTS |
Form 990 IRS990
Doing Business As DoingBusinessAs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DELNOR HOSPITAL | BusinessNameLine1 |
Name Of Principal Officer Business NameOfPrincipalOfficerBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MICHAEL VIVODA | BusinessNameLine1 |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 25 N Winfield Road | AddressLine1 |
| City | Winfield | City |
| State | IL | State |
| ZIP Code | 60190 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 358212426 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.DELNOR.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1986 | YearFormation |
| State Legal Domicile | IL | StateLegalDomicile |
| Activity Or Mission Description | DELNOR-COMMUNITY HOSPITAL IS A CHARITABLE NOT-FOR-PROFIT ORGANIZATION WHICH PROVIDES ACUTE CARE HEALTH SERVICES PRIMARILY TO THE ST. CHARLES, GENEVA, BATAVIA, AND ELBURN, ILLINOIS COMMUNITIES. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 22 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 17 | NbrIndependentVotingMembers |
| Total Nbr Employees | 1362 | TotalNbrEmployees |
| Total Nbr Volunteers | 650 | TotalNbrVolunteers |
| Total Gross UBI | 909636 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 335443 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 735689 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 339415 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 198052791 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 200662494 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 12786940 | InvestmentIncomePriorYear |
| Investment Income Current Year | 12604477 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 2479106 | OtherRevenuePriorYear |
| Other Revenue Current Year | 3082293 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 214054526 | TotalRevenuePriorYear |
| Total Revenue Current Year | 216688679 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 4910717 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 11883 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 82359020 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 74027928 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 104851077 | OtherExpensePriorYear |
| Other Expenses Current Year | 122343295 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 192120814 | TotalExpensesPriorYear |
| Total Expenses Current Year | 196383106 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 21933712 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 20305573 | RevenuesLessExpensesCY |
| Total Assets BOY | 355278122 | TotalAssetsBOY |
| Total Assets EOY | 395015809 | TotalAssetsEOY |
| Total Liabilities BOY | 170691379 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 178869521 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 184586743 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 216146288 | NetAssetsOrFundBalancesEOY |
| Mission Description | DELNOR-COMMUNITY HOSPITAL IS A CHARITABLE NOT-FOR-PROFIT ORGANIZATION WHICH PROVIDES ACUTE CARE HEALTH SERVICES PRIMARILY TO THE ST. CHARLES, GENEVA, BATAVIA, AND ELBURN, ILLINOIS COMMUNITIES. SEE SCHEDULE H FOR FULL COMMUNITY BENEFIT PLAN INFORMATION. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 156401574 | Expense |
| Grants | 11883 | Grants |
| Revenue | 201762386 | Revenue |
| Description | PATIENT SERVICES - FEES FOR HOSPITAL SERVICES PROVIDED TO PATIENTS CONTRIBUTING TO DELNOR-COMMUNITY HOSPITAL'S EXEMPT PURPOSE. THE HOSPITAL PROVIDES NEEDED CLINICAL SERVICES AND FACILITIES TO MEET THE MEDICAL AND HEALTH AND WELLNESS NEEDS OF THE COMMUNITIES SERVED. THE FISCAL YEAR SERVICES INCLUDED 7,740 INPATIENT ADMISSIONS RESULTING IN 28,687 PATIENT DAYS, 106,567 OUTPATIENT VISITS, AND 37,845 EMERGENCY ROOM VISITS. | Description |
| Total Program Service Expense | 156401574 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | true | LobbyingActivities |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | true | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Financial Stmt Attached | true | FinancialStmtAttached |
| Grants To Organizations | true | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | true | TaxExemptBonds |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBonds |
| Escrow Account | false | EscrowAccount |
| On Behalf Of Issuer | false | OnBehalfOfIssuer |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | true | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | true | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transaction Related Entity | false | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 0 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Number Of Employees | 1362 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | true | UnrelatedBusinessIncome |
| Form990-T Filed | true | Form990-TFiled |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 22 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 17 | NumberIndependentVotingMembers |
| Family Or Business Relationship | true | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | IL | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | John Orsini EVP & CFO | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 6309331600 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 25 N Winfield Road | AddressLine1 |
| City | Winfield | City |
| State | IL | State |
| ZIP Code | 60190 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (38 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Average Hours Per Week RelatedAverageHoursPerWeekRelated | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|---|---|
| CATHERINE E KOZIK | ||||||||||
| Secretary | 1.00 | 2.00 | X | X | 0 | 0 | 0 | |||
| DAVID C BROWN | ||||||||||
| Treasurer | 1.00 | 2.00 | X | X | 0 | 0 | 0 | |||
| MICHAEL VIVODA | ||||||||||
| CEO | 1.00 | 49.00 | X | X | 0 | 912060 | 36090 | |||
| RICHARD A MARK | ||||||||||
| Chair | 1.00 | 2.00 | X | X | 0 | 0 | 0 | |||
| WILLIAM P FLESCH | ||||||||||
| Vice Chair | 1.00 | 2.00 | X | X | 0 | 0 | 0 | |||
| BRADLEY J KINSEY | ||||||||||
| Director | 1.00 | 2.00 | X | 0 | 0 | 0 | ||||
| C WILLIAM POLLARD | ||||||||||
| Director | 1.00 | 2.00 | X | 0 | 0 | 0 | ||||
| DONALD VAN PELT | ||||||||||
| Director | 1.00 | 2.00 | X | 0 | 0 | 0 | ||||
| JAMES E COMERFORD | ||||||||||
| Director | 1.00 | 2.00 | X | 0 | 0 | 0 | ||||
| JAMES G GIBLIN MD | ||||||||||
| Director | 1.00 | 2.00 | X | 0 | 85250 | 0 | ||||
| JOSEPH G CACCHIONE MD | ||||||||||
| Director | 1.00 | 2.00 | X | 0 | 0 | 0 | ||||
| KAY CLANCY | ||||||||||
| Director | 1.00 | 3.00 | X | 0 | 0 | 0 | ||||
| MANNY FAVELA | ||||||||||
| Director | 1.00 | 2.00 | X | 0 | 0 | 0 | ||||
| MATTHEW J ROSS MD | ||||||||||
| Director | 1.00 | 2.00 | X | 0 | 0 | 0 | ||||
| MICHAEL J KACHMER | ||||||||||
| Director | 1.00 | 2.00 | X | 0 | 0 | 0 | ||||
| PATRICK J FLINN | ||||||||||
| Director | 1.00 | 2.00 | X | 0 | 0 | 0 | ||||
| PHILIP A BRANSHAW | ||||||||||
| Director | 1.00 | 2.00 | X | 0 | 909 | 0 | ||||
| ROGER T HARRIS | ||||||||||
| Director | 1.00 | 2.00 | X | 0 | 0 | 0 | ||||
| SCOTT E FORE | ||||||||||
| Director | 1.00 | 2.00 | X | 0 | 0 | 0 | ||||
| STEPHEN R HOLTSFORD MD | ||||||||||
| Director | 1.00 | 2.00 | X | 47084 | 0 | 0 | ||||
| TIMOTHY P MOEN | ||||||||||
| Director | 1.00 | 2.00 | X | 0 | 0 | 0 | ||||
| WILLIAM A WOLFORD | ||||||||||
| Director | 1.00 | 2.00 | X | 0 | 0 | 0 | ||||
| JOANNE C STREZO | ||||||||||
| Asst Secy to the BOD (partial year) | 1.00 | 47.00 | X | 0 | 66607 | 18112 | ||||
| JOHN ORSINI | ||||||||||
| CFO | 1.00 | 49.00 | X | 0 | 0 | 0 | ||||
| KAREN DIERSEN | ||||||||||
| Asst Secy to the BOD (partial year) | 1.00 | 49.00 | X | 0 | 98203 | 14923 | ||||
| MAUREEN TAUS | ||||||||||
| VP/Controller & Asst Treasurer | 1.00 | 48.00 | X | 0 | 496816 | 19729 | ||||
| MICHAEL HOLZHUETER | ||||||||||
| VP-Legal & Asst Secy. to the BOD | 1.00 | 49.00 | X | 0 | 556476 | 47124 | ||||
| ROBERT FRIEDBERG | ||||||||||
| President, Delnor Hospital and System EVP | 40.00 | 5.00 | 829822 | 0 | 44576 | X | ||||
| JULIE BURROWS | ||||||||||
| Certified Nurse Anesthetist | 40.00 | 0 | 205859 | 0 | 28305 | X | ||||
| KATHRYN MONTAGUE | ||||||||||
| Chief CRNA | 40.00 | 0 | 281120 | 0 | 50616 | X | ||||
| LORE BOGOLIN | ||||||||||
| Chief Nursing Officer | 40.00 | 0 | 529135 | 0 | 35689 | X | ||||
| MARK DANIELS MD | ||||||||||
| Vice President | 40.00 | 0 | 483392 | 0 | 24554 | X | ||||
| ROBERT HINKLE | ||||||||||
| Certified Nurse Anesthetist | 40.00 | 0 | 229032 | 0 | 23877 | X | ||||
| JAMES KEARNS | ||||||||||
| Former Delnor CIO | 0.00 | 0.00 | 146405 | 0 | 0 | X | ||||
| JAMES T SPEAR | ||||||||||
| Former CFO | 0.00 | 0.00 | 0 | 1248934 | 38996 | X | ||||
| LUKE MCGUINNESS | ||||||||||
| Former CEO | 0.00 | 0.00 | 0 | 3517593 | 33471 | X | ||||
| MICHAEL KITTOE | ||||||||||
| Former Delnor CFO | 0.00 | 0.00 | 140709 | 0 | 6310 | X | ||||
| THOMAS WRIGHT | ||||||||||
| Former President, Delnor and EVP (System) | 0.00 | 0.00 | 326185 | 1166667 | 48685 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 3218743 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 8149515 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 471056 | TotalOtherCompensation |
| Number Individuals GT100 K | 53 | NumberIndividualsGT100K |
| Formers Listed | true | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| CDH-DELNOR HEALTH SYSTEM | |||||
| 27W353 JEWELL RD | WINFIELD | IL | 60190 | MANAGEMENT SERVICES | 13272554 |
| DELOITTE CONSULTING LLP | |||||
| PO BOS 7247-6447 | PHILADELPHIA | PA | 191706447 | CONSULTING SERVICES | 6891005 |
| ARAMARK HEALTHCARE FOOD SERVICES | |||||
| 25271 NETWORK PL | CHICAGO | IL | 60673 | CONTRACTED SERVICES | 2557543 |
| RTKL ASSOCIATES | |||||
| PO BOX 42336 | ATLANTA | GA | 303842336 | ARCHITECT / DESIGN SERVICES | 2111146 |
| MEDICAL STAFFING NETWORK | |||||
| PO BOX 23000 | DALLAS | TX | 75320 | TEMPORARY STAFFING | 1192215 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 50 | NumberOfContractorsGT100K |
| Related Organizations | 224491 | RelatedOrganizations |
| All Other Contributions | 114924 | AllOtherContributions |
| Noncash Contributions | 114924 | NoncashContributions |
| Total Contributions | 339415 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| HOSPITAL SERVICE REVENUE | 900099 | 200662494 | 199752858 | 909636 |
| 0 | ||||
| 0 | ||||
| 0 | ||||
| 0 |
Total Oth Program Service Revenue TotalOthProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 200662494 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 6666311 | TotalRevenueColumn |
| Exclusion | $6,666,311 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 151361 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 151361 | Real |
| Personal | 0 | Personal |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 151361 | TotalRevenueColumn |
| Exclusion | $151,361 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 147285876 | Securities |
| Other | 176037 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 141502294 | Securities |
| Other | 21453 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 5783582 | Securities |
| Other | 154584 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 5938166 | TotalRevenueColumn |
| Exclusion | $5,938,166 | ExclusionAmount |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | ExclusionExclusionAmount |
|---|---|---|---|---|
| MEANINGFUL USE REVENUE | 900099 | 1749729 | 1749729 | |
| NUTRITION SERVICES | 900099 | 921404 | $921,404 | |
| OTHER REVENUE | 900099 | 259799 | 259799 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 2930932 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 216688679 | TotalRevenueColumn |
| Related Or Exempt Function Income | 201762386 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 909636 | UnrelatedBusinessRevenue |
| Exclusion | $13,677,242 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11883 | Total |
| Program Services | 11883 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 922896 | Total |
| Management And General | 922896 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 59275096 | Total |
| Program Services | 54533088 | ProgramServices |
| Management And General | 4742008 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2027972 | Total |
| Program Services | 1825175 | ProgramServices |
| Management And General | 202797 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7800017 | Total |
| Program Services | 7020015 | ProgramServices |
| Management And General | 780002 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4001947 | Total |
| Program Services | 3681791 | ProgramServices |
| Management And General | 320156 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 27618621 | Total |
| Management And General | 27618621 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 62064 | Total |
| Management And General | 62064 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12812881 | Total |
| Program Services | 10926218 | ProgramServices |
| Management And General | 1886663 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1426720 | Total |
| Program Services | 1212712 | ProgramServices |
| Management And General | 214008 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1229918 | Total |
| Program Services | 1045430 | ProgramServices |
| Management And General | 184488 | ManagementAndGeneral |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5931100 | Total |
| Program Services | 5337990 | ProgramServices |
| Management And General | 593110 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 32084 | Total |
| Management And General | 32084 | ManagementAndGeneral |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 82332 | Total |
| Program Services | 49399 | ProgramServices |
| Management And General | 32933 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6015778 | Total |
| Program Services | 6015778 | ProgramServices |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12572035 | Total |
| Program Services | 11943433 | ProgramServices |
| Management And General | 628602 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 755536 | Total |
| Program Services | 755536 | ProgramServices |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| PATIENT CARE EXPENSES | 31666543 | 31666543 | |
| BAD DEBT | 16290606 | 16290606 | |
| TAXES, FEES, LICENSES | 4026082 | 4026082 | |
| FEDERAL INCOME TAX | 5358 | 5358 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1815637 | Total |
| Program Services | 59895 | ProgramServices |
| Management And General | 1755742 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 196383106 | Total |
| Program Services | 156401574 | ProgramServices |
| Management And General | 39981532 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Total Joint Costs TotalJointCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3815 | BOY |
| EOY | 3815 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 298462 | BOY |
| EOY | 179181 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 28797504 | BOY |
| EOY | 29842333 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Receivables From Disqual Persons ReceivablesFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 726237 | BOY |
| EOY | 30667 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2538121 | BOY |
| EOY | 3425809 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 603237 | BOY |
| EOY | 189070 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 307931009 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 142502370 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 128686470 | BOY |
| EOY | 165428639 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 186212423 | BOY |
| EOY | 190904066 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7411853 | BOY |
| EOY | 5012229 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 355278122 | BOY |
| EOY | 395015809 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4835920 | BOY |
| EOY | 6320074 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 126889680 | BOY |
| EOY | 123956954 | EOY |
Loans From Officers Directors LoansFromOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 0 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 38965779 | BOY |
| EOY | 48592493 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 170691379 | BOY |
| EOY | 178869521 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 181418839 | BOY |
| EOY | 212975613 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3167904 | BOY |
| EOY | 3170675 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 184586743 | BOY |
| EOY | 216146288 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 355278122 | BOY |
| EOY | 395015809 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 20305573 | ReconcilationRevenueExpenses |
| Reconciliation Unrealized Invest | 6633477 | ReconciliationUnrealizedInvest |
| Reconcilation Other Changes | 4620495 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
FS Audited Basis FSAuditedBasis
| Field | Value | IRS element (for citing) |
|---|---|---|
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Audit Committee | true | AuditCommittee |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Activities | true | OtherActivities |
| Other Activities | $40,836 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 40836 | TotalLobbyingExpendituresIIB |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Description of the activities reported on Lines 1a through 1i | Identifier |
| Return Reference | Schedule C, Part II-B, Line 1 | ReturnReference |
| Explanation | PART II-B, LINE 1I: A PORTION OF THE DUES PAID TO HOSPITAL TRADE ASSOCIATIONS WAS DETERMINED BY THOSE ORGANIZATIONS TO HAVE BEEN USED IN THEIR LOBBYING ACTIVITIES ON BEHALF OF THE HOSPITAL INDUSTRY. | Explanation |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1584576 | OtherCostOrOtherBasis |
| Book Value | 1584576 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 138515529 | OtherCostOrOtherBasis |
| Depreciation | 46767910 | Depreciation |
| Book Value | 91747619 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 2233691 | OtherCostOrOtherBasis |
| Depreciation | 1196019 | Depreciation |
| Book Value | 1037672 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 132081285 | OtherCostOrOtherBasis |
| Depreciation | 85197815 | Depreciation |
| Book Value | 46883470 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 33515928 | OtherCostOrOtherBasis |
| Depreciation | 9340626 | Depreciation |
| Book Value | 24175302 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 165428639 | TotalOfBookValueLandBuildings |
| Federal Income Tax Liability | 34600 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (4 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| OTHER LONG-TERM LIABILITIES | $11,097,734 |
| DUE TO RELATED ORGANIZATIONS | $13,972,066 |
| DUE TO THIRD PARTY PAYORS | $23,205,046 |
| RETIREMENT PLAN LIABILITY | $283,047 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 48592493 | TotalOfAmounts |
| Footnote In Part XIII | X | FootnoteInPartXIII |
Form990 Schedule D Part XIII Form990ScheduleDPartXIII
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | FIN 48 (ASC 740) footnote | Identifier |
| Return Reference | Schedule D, Part X, Line 2 | ReturnReference |
| Explanation | THE CORPORATIONS APPLY ASC SUBTOPIC 740-10, INCOME TAXES - OVERALL, WHICH ADDRESSES THE DETERMINATION OF HOW TAX BENEFITS CLAIMED OR EXPECTED TO BE CLAIMED ON A TAX RETURN SHOULD BE RECORDED IN THE CONSOLIDATED FINANCIAL STATEMENTS. UNDER ASC SUBTOPIC 740-10, THE CORPORATIONS MUST RECOGNIZE THE TAX BENEFIT FROM AN UNCERTAIN TAX POSITION ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITION WILL BE SUSTAINED ON EXAMINATION BY THE TAXING AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE TAX BENEFITS RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTS FROM SUCH A POSITION ARE MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50% LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. ASC SUBTOPIC 740-10 ALSO PROVIDES GUIDANCE ON DERECOGNITION, CLASSIFICATION, INTEREST, AND PENALTIES ON INCOME TAXES AND ACCOUNTING IN INTERIM PERIODS AND REQUIRES INCREASED DISCLOSURES. AS OF JUNE 30, 2013, THE CORPORATIONS DO NOT HAVE ANY LIABILITIES FOR UNRECOGNIZED TAX BENEFITS. | Explanation |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
| FPG Reference Discounted Care | true | FPGReferenceDiscountedCare |
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | true | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | false | ExpensesExceededBudget |
| Annual Community Benefit Report | true | AnnualCommunityBenefitReport |
| Report Publically Available | true | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 14004684 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 11358219 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 2646465 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01630 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 12347843 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 4107996 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 8239847 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05070 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expense | 0 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Benefit Expense | 26352527 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 15466215 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 10886312 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06700 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 627994 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 627994 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00390 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 376359 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 376359 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00230 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expense | 0 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Research Research
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expense | 0 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 350 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 350 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Benefit Expense | 1004703 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1004703 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00620 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Benefit Expense | 27357230 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 15466215 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 11891015 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.07320 | PercentOfTotalExpense |
Physical Improvements And Housing PhysicalImprovementsAndHousing
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Building Expense | 0 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Economic Development EconomicDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Building Expense | 0 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Building Expense | 0 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Environmental Improvements EnvironmentalImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Building Expense | 0 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Leadership Development LeadershipDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Building Expense | 0 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Coalition Building CoalitionBuilding
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Building Expense | 0 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Health Improvement Advocacy HealthImprovementAdvocacy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Building Expense | 0 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Workforce Development WorkforceDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Building Expense | 0 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Other Other
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Building Expense | 0 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Building Expense | 0 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 0 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReported |
| Bad Debt Expense | $3,596,026 | BadDebtExpenseAmount |
| Amount Attributable To | 0 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 42840368 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 67946468 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -25106100 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | true | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DELNOR - COMMUNITY HOSPITAL | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 300 RANDALL ROAD | AddressLine1 |
| City | GENEVA | City |
| State | IL | State |
| ZIP Code | 60134 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DELNOR - COMMUNITY HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| CHNA Conducted | true | CHNAConducted |
| Community Definition | X | CommunityDefinition |
| Community Demographics | X | CommunityDemographics |
| Existing Resources | X | ExistingResources |
| How Data Obtained | X | HowDataObtained |
| Community Health Needs | X | CommunityHealthNeeds |
| Other Health Issues | X | OtherHealthIssues |
| Identifying Process | X | IdentifyingProcess |
| Consulting Process | X | ConsultingProcess |
| Information Gaps | X | InformationGaps |
| Needs Assessment Conducted | 12 | NeedsAssessmentConducted |
| Take Into Account | true | TakeIntoAccount |
| Other Facilities | true | OtherFacilities |
| CHNA Widely Available | true | CHNAWidelyAvailable |
| Own Website | X | OwnWebsite |
| On Request | X | OnRequest |
| Other Method | X | OtherMethod |
| Adopt Implement Strategy | X | AdoptImplementStrategy |
| Execute Implement Strategy | X | ExecuteImplementStrategy |
| Develop Community Plan | X | DevelopCommunityPlan |
| Adopt Budget | X | AdoptBudget |
| Prioritize Health Needs | X | PrioritizeHealthNeeds |
| Prioritize Services | X | PrioritizeServices |
| All Needs Addressed | false | AllNeedsAddressed |
| Organization Incur Excise Tax | false | OrganizationIncurExciseTax |
| Eligibility Criteria Explained | true | EligibilityCriteriaExplained |
| Uses FPG Free | true | UsesFPGFree |
| FPG Free Percent | 300 | FPGFreePercent |
| Uses FPG Discounted | true | UsesFPGDiscounted |
| FPG Discount Percent | 600 | FPGDiscountPercent |
| Explains Basis | true | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Asset Level | X | AssetLevel |
| Medical Indigency | X | MedicalIndigency |
| Uninsured Discount | X | UninsuredDiscount |
| Explains Application Method | true | ExplainsApplicationMethod |
| Includes Publicity Measures | true | IncludesPublicityMeasures |
| Posted On Website | X | PostedOnWebsite |
| Attached To Invoices | X | AttachedToInvoices |
| Posted In Emergency Room | X | PostedInEmergencyRoom |
| Posted In Admission Office | X | PostedInAdmissionOffice |
| Provided On Admission | X | ProvidedOnAdmission |
| Available On Request | X | AvailableOnRequest |
| Actions On Nonpayment | true | ActionsOnNonpayment |
| Collection Activities | false | CollectionActivities |
| Other Actions Taken | X | OtherActionsTaken |
| Nondiscrim Emergency Care Policy | true | NondiscrimEmergencyCarePolicy |
| Used Other Method | X | UsedOtherMethod |
| Amounts Generally Billed | false | AmountsGenerallyBilled |
| Gross Charges | false | GrossCharges |
Form990 Schedule H Part VI Form990ScheduleHPartVI (21 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Community benefit report prepared by related organization | Schedule H, Part I, Line 6a | CDH-DELNOR HEALTH SYSTEM (D/B/A CADENCE HEALTH) |
| Costing Methodology used to calculate financial assistance | Schedule H, Part I, Line 7 | THE COSTING METHOD USED TO DETERMINE AMOUNTS REPORTED WAS DETERMINED USING A COST TO CHARGE RATIO BASED ON THE MEDICARE COST REPORT. |
| Bad Debt Expense excluded from financial assistance calculation | Schedule H, Part I, Line 7, column(f) | 16,290,606 |
| Subsidized Health Services | Schedule H, Part I, Line 7g | N/A |
| Bad debt expense - methodology used to estimate amount | Schedule H, Part III, Line 2 | THE ORGANIZATION FOLLOWS GENERALLY ACCEPTED ACCOUNTING PRINCIPLES IN ITS RECOGNITION OF BAD DEBT EXPENSE. OUR AGED RECEIVABLES ARE VALUED AND SUBJECT TO AN INDEPENDENT AUDIT. LINE 2'S COSTING METHODOLOGY IS BASED ON THE ORGANIZATION'S MEDICARE COST-TO-CHARGE RATIO. PATIENT ACCOUNT BALANCES ARE ONLY CONSIDERED FOR BAD DEBT AFTER FIRST APPLYING ALL CONTRACTUAL DISCOUNTS AND PAYMENTS AND SCREENING FOR CHARITY ELIGIBILITY. |
| Bad debt expense - methodology used to estimate amount as community benefit | Schedule H, Part III, Line 3 | FOR LINE 3, WHILE WE RECOGNIZE THAT THERE WILL MOST DEFINITELY BE SOME BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY POLICY, WE HAVE NO REASONABLE BASIS FOR ESTIMATING THIS FIGURE. IF WE KNOW THE PATIENT IS ELIGIBLE, THEY WOULD FALL UNDER CHARITY AND NOT BAD DEBT. |
| Bad debt expense - financial statement footnote | Schedule H, Part III, Line 4 | THIS FOOTNOTE CAN BE FOUND ON PAGE 17 OF THE CDH-DELNOR HEALTH SYSTEM CONSOLIDATED AUDIT REPORT: PATIENTS' ACCOUNTS RECEIVABLE ARE REDUCED BY AN ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS. IN EVALUATING THE COLLECTABILITY OF PATIENTS' ACCOUNTS RECEIVABLE, THE CORPORATIONS ANALYZE THEIR PAST HISTORY AND IDENTIFY TRENDS FOR EACH OF THEIR MAJOR PAYOR SOURCES OF REVENUE TO ESTIMATE THE APPROPRIATE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS AND PROVISION FOR BAD DEBTS. MANAGEMENT REGULARLY REVIEWS DATA ABOUT THESE MAJOR PAYOR SOURCES OF REVENUE IN EVALUATING THE SUFFICIENCY OF THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. FOR RECEIVABLES ASSOCIATED WITH SERVICES PROVIDED TO PATIENTS WHO HAVE THIRD PARTY COVERAGE, THE CORPORATIONS ANALYZE CONTRACTUALLY DUE AMOUNTS AND PROVIDE AN ALLOWANCE FOR DOUBTFUL ACCOUNTS AND A PROVISION FOR BAD DEBTS, IF NECESSARY (E.G., FOR EXPECTED UNCOLLECTIBLE DEDUCTIBLES AND COPAYMENTS ON ACCOUNTS FOR WHICH THE THIRD PARTY PAYOR HAS NOT YET PAID, OR FOR PAYORS WHO ARE KNOWN TO BE HAVING FINANCIAL DIFFICULTIES THAT MAKE THE REALIZATION OF AMOUNTS DUE UNLIKELY). FOR RECEIVABLES ASSOCIATED WITH SELF PAY PATIENTS (WHICH INCLUDES PATIENTS WITHOUT INSURANCE), THE CORPORATIONS RECORD A SIGNIFICANT PROVISION FOR BAD DEBTS IN THE PERIOD OF SERVICE ON THE BASIS OF ITS PAST EXPERIENCE, WHICH INDICATES THAT MANY PATIENTS ARE UNABLE OR UNWILLING TO PAY THE PORTION OF THEIR BILL FOR WHICH THEY ARE FINANCIALLY RESPONSIBLE. THE DIFFERENCE BETWEEN THE STANDARD RATES (OR THE DISCOUNTED RATES IF NEGOTIATED) AND THE AMOUNTS ACTUALLY COLLECTED AFTER ALL REASONABLE COLLECTION EFFORTS HAVE BEEN EXHAUSTED IS CHARGED OFF AGAINST THE ALLOWANCE FOR DOUBTFUL ACCOUNTS. |
| Community benefit & methodology for determining medicare costs | Schedule H, Part III, Line 8 | THE ORGANIZATION'S SHORTFALL ON THE MEDICARE PROGRAM SHOULD BE CONSIDERED A COMMUNITY BENEFIT BECAUSE THE ORGANIZATION IS RELIEVING A GOVERNMENT BURDEN BY PROVIDING CARE IN EXCESS OF OUR COSTS TO THESE PATIENTS. THESE ARE RESIDENTS OF OUR COMMUNITY THAT NEED CARE. THE COSTING METHODOLOGY USED FOR LINE 6 IS THE MEDICARE COST REPORT COST-TO-CHARGE RATIO. |
| Collection practices for patients eligible for financial assistance | Schedule H, Part III, Line 9b | IF IT IS KNOWN THAT THE PATIENT QUALIFIES FOR CHARITY CARE OR FINANCIAL ASSISTANCE, THESE ACCOUNTS ARE ADJUSTED TO CHARITY AND NOT PURSUED WITH A COLLECTION AGENCY. FOR ALL OTHER ACCOUNTS, IF SENT TO A COLLECTION AGENCY AND THE COLLECTION AGENCY OBTAINS DOCUMENTATION TO DETERMINE THAT THE PATIENT IS ELIGIBLE FOR CHARITY, THE ACCOUNT IS RETURNED TO THE ORGANIZATION FOR CHARITY ADJUSTMENT AND NO FURTHER COLLECTION EFFORT IS MADE. |
| Community Served by Needs Assessment | Schedule H, Part V Section B, Line 3 | (1) DELNOR - COMMUNITY HOSPITAL - INPUT WAS GATHERED VIA A VARIETY OF METHODS, INCLUDING A FORMAL HEALTH BEHAVIOR SURVEY, INFORMATION-GATHERING MEETINGS WITH COMMUNITY LEADERS, FOCUS GROUPS WITH RESIDENTS, INTERVIEWS WITH KEY INDIVIDUALS WITH INTIMATE KNOWLEDGE OF THE HEALTH INDICATORS AND NEEDS OF THE COMMUNITY. ALL FIVE HOSPITALS LOCATED IN KANE COUNTY COLLABORATED TO COLLECT THE DATA TO DETERMINE THE NEEDS OF THE COMMUNITY, AS WELL AS DEVELOPING THE TOP PRIORITIES AND OVERALL COUNTY-WIDE IMPLEMENTATION PLAN. IN 2010 THE KANE COUNTY BOARD BECAME THE ONLY COUNTY GOVERNMENT IN ILLINOIS TO PROVIDE POLICY DIRECTION THAT WAS AIMED AT FORMALLY INTEGRATING HEALTH, LAND USE AND TRANSPORTATION INTO A COMPREHENSIVE MASTER PLAN. THE COLLABORATION BETWEEN THESE PLANNING DISCIPLINES IS TITLED "QUALITY OF KANE" AND IS ROOTED IN THE BELIEF THAT THE QUALITY OF THE COMMUNITIES WHERE RESIDENTS LIVE, WORK AND PLAY IS AS IMPORTANT TO ACHIEVING GOOD HEALTH AS GOING TO THE DOCTOR FOR REGULAR CHECKUPS, PROPER NUTRITION AND ADEQUATE PHYSICAL EXERCISE. ADDITIONALLY, IT IS WIDELY RECOGNIZED BY ALL COMMUNITY STAKEHOLDERS THAT PHYSICAL ENVIRONMENT, SOCIAL AND ECONOMIC FACTORS, AND CLINICAL CARE ALSO PLAY A MAJOR ROLE IN AN INDIVIDUAL'S HEALTH. THE THREE KEY DOCUMENTS AND THEIR RESULTANT INITIATIVES IDENTIFIED BELOW WILL BE USED TO PROMOTE COLLABORATION IN PLANNING AND RESPONDING TO COMMUNITY HEALTH NEEDS WITHIN THE COUNTY AS THE COUNTY STRIVES TO MEETS ITS GOAL OF MAKING KANE COUNTY RESIDENTS THE HEALTHIEST RESIDENTS IN ILLINOIS. 2012 - 2016 COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP) - DELNOR HOSPITAL ACTIVELY PARTICIPATED IN MULTIPLE PHASES OF THE COMMUNITY NEEDS ASSESSMENT AND DEVELOPMENT OF THE CHIP. THE HOSPITAL SERVED AS A SITE USED BY THE CHIP SUBCONTRACTOR, NORTHERN ILLINOIS UNIVERSITY, IN WHICH COMMUNITY MEMBERS PARTICIPATED IN HEALTH-RELATED FOCUS GROUPS. ADDITIONALLY, HOSPITAL LEADERSHIP ACTIVELY SERVED ON THE KANE COUNTY HEALTH ASSESSMENT COMMITTEE. KANE COUNTY HEALTH DEPARTMENT STRATEGIC PLAN - BOTH THE KANE COUNTY HEALTH DEPARTMENT AND KANE COUNTY BOARD HAVE HISTORICALLY ENCOURAGED PARTICIPATION AND INPUT FROM KEY COMMUNITY STAKEHOLDERS TO GUIDE, IMPLEMENT AND EVALUATE THEIR STRATEGIC PLANNING PROCESS. TO THAT END, THE COUNTY BOARD CHAIR HAS ESTABLISHED AND EFFECTIVELY USES A PUBLIC HEALTH ADVISORY BOARD TO ELICIT INPUT INTO BOTH THE DAY-TO-DAY PROGRAMMING AND THE OVERARCHING STRATEGIC PLANNING PROCESS. FIT KIDS 2020 PLAN - THE MAKING KANE COUNTY FIT FOR KIDS (FFK) CAMPAIGN WAS LAUNCHED IN 2008 TO ADDRESS THE ALARMING CONCERNS RELATED TO CHILDHOOD OBESITY. THE PURPOSE OF THE PLAN WAS TO PROVIDE A STRATEGIC FRAMEWORK TO GUIDE KEY STAKEHOLDER ACTIONS IN AN EFFORT TO REVERSE THE TOLL OF CHILDHOOD OBESITY BY THE YEAR 2020.FOUR STRATEGIC ACTION PRINCIPLES GUIDE THIS PLAN: 1. PROVIDE PARENTS AND CHILDREN WITH RELIABLE, UP-TO-DATE INFORMATION IN MULTIPLE SETTINGS REGARDING HEALTHFUL PHYSICAL ACTIVITY AND EATING HABITS. 2. SUPPORT A CULTURE OF WELLNESS AND HEALTH PROMOTION IN OUR WORKPLACES, SCHOOLS AND OTHER INSTITUTIONS 3. DEVELOP LAND USE, PLANNING AND OTHER PUBLIC POLICIES THAT FOSTER AND SUPPORT PHYSICAL ACTIVITY FOR ALL IN OUR COMMUNITY 4. ASSURE THAT FRESH FRUITS AND VEGETABLES ARE AFFORDABLE AND ACCESSIBLE TO ALL FAMILIES DELNOR LEADERSHIP AND STAFF SUPPORT THE FIT KIDS 2020 PLAN IN MULTIPLE WAYS, INCLUDING THE PROVISION OF HEALTH EDUCATION MATERIALS, COMMUNITY EDUCATION PROGRAMMING FOR BOTH ADULTS AND CHILDREN, SUPPORTING A WORKPLACE WELLNESS INITIATIVE VIA THE USE OF MULTIPLE WALKING PATHS THROUGHOUT THE HOSPITAL CAMPUS AND SERVING ON THE COUNTY'S COMMUNITY HEALTH AND WELLNESS COMMITTEE. KANE COUNTY MENTAL HEALTH COUNCIL - PEOPLE WHO NEED MENTAL HEALTH SERVICES IN KANE COUNTY FREQUENTLY FIND THEMSELVES WITHOUT TIMELY ACCESS TO MOST MENTAL HEALTH PROVIDERS. THE KANE COUNTY MENTAL HEALTH COUNCIL CONTINUOUSLY WORKS TO COORDINATE AVAILABLE RESOURCES IN ADDITION TO RECRUITING ADDITIONAL RESOURCES TO KANE COUNTY IN ORDER TO BETTER SERVE COUNTY RESIDENTS. DELNOR HOSPITAL SERVES AS A MEMBER OF THE COUNCIL. HEALTHY PLACES COALITION - THE HEALTHY PLACES COALITION IS AN ESSENTIAL HEALTH PARTNERSHIP AIMED AT PROMOTING THE HEALTH OF INDOOR AND OUTDOOR ENVIRONMENTS, WHICH ARE INTEGRAL TO THE HEALTH OF ALL MEMBERS OF THE COMMUNITY. THE COALITION WAS FORMED BY PARTICIPANTS FROM DIVERSE ASPECTS OF THE COMMUNITY, INCLUDING THE U.S.ENVIRONMENTAL PROTECTION AGENCY, THE KANE COUNTY HEALTH DEPARTMENT, MUNICIPAL GOVERNMENTS, HOSPITALS (INCLUDING DELNOR), FIRE DEPARTMENTS, COMMUNITY ADVOCACY GROUPS AND MANY OTHERS. DELNOR'S COMMUNITY EDUCATOR SERVES ON THIS COALITION. KANE COMMUNITY HEALTH ACCESS INTEGRATED NETWORK (KCHAIN) - KCHAIN WAS FORMED IN 2004 BY KANE COUNTY HEALTH PROVIDERS, ADVOCATES, THE FIVE HOSPITALS AND LOCAL FEDERALLY QUALIFIED HEALTH CENTERS. THE PROJECTS PRIMARY PURPOSE WAS TO INCREASE ACCESS TO AFFORDABLE HEALTH CARE FOR UNDERSERVED RESIDENTS IN KANE COUNTY AND TO PROMOTE PREVENTIVE TREATMENT THROUGH THE ASSIGNMENT OF A MEDICAL HOME. DELNOR'S COMMUNITY HEALTH AND OUTREACH STAFF MEMBER JENNIFER SIMMONS, MBA, REPRESENTS THE HOSPITAL ON THE COMMITTEE. ALL OUR KIDS EARLY CHILDHOOD NETWORKS (AOK) - THE AOK NETWORK IS A MATERNAL-CHILD PROGRAM THAT SEEKS TO ENSURE THAT ALL FAMILIES WITH CHILDREN YOUNGER THAN 5 WILL RECEIVE NEEDED SERVICES INCLUDING BUT NOT LIMITED TO PRENATAL CARE, WELL BABY CHECKUPS AND PARENTING EDUCATION. DELNOR STAFF FROM THE PRENATAL EDUCATION DEPARTMENT TAKE AN ACTIVE ROLE IN SUPPORTING THIS INITIATIVE IN ADDITION TO PARTICIPATING ON THE KANE COUNTY PERINATAL COMMITTEE AND BREASTFEEDING COALITION. LAZARUS HOUSE - LAZARUS HOUSE IS A NONPROFIT CHARITABLE ORGANIZATION SERVING PERSONS WHO ARE HOMELESS OR AT RISK OF HOMELESSNESS AND CONNECTED TO CENTRAL KANE COUNTY. THE PROGRAM SERVES MEN, WOMEN AND CHILDREN BY PROVIDING EMERGENCY SHELTER, TRANSITIONAL LIVING SERVICES AND AN OUTREACH ASSISTANCE PROGRAM WHEN FUNDS ARE AVAILABLE. DELNOR STAFF FREQUENTLY REACHES OUT TO LAZARUS HOUSE STAFF FOR ASSISTANCE WHEN CARING FOR HOMELESS OR NEAR-HOMELESS INDIVIDUALS. TRI CITY HEALTH PARTNERSHIP - TRI CITY HEALTH PARTNERSHIP IS A FREE MEDICAL CLINIC WITH A MISSION TO PROVIDE QUALITY HEALTH CARE IN AN ENVIRONMENT OF MUTUAL RESPECT TO THOSE MEMBERS OF THE COMMUNITY WHO ARE WITHOUT MEDICAL BENEFITS. THE CLINIC IS STAFFED BY DEDICATED VOLUNTEER NURSES AND PHYSICIANS. SERVICES INCLUDE HEALTH CARE FOR CHILDREN AND ADULTS, TREATMENT FOR CHRONIC AND ACUTE ILLNESSES, LIMITED DIAGNOSTICS AND SPECIALTY REFERRALS. DELNOR STAFF USES TRI CITY RESOURCES TO ENSURE UNINSURED PATIENTS HAVE ACCESS TO AMBULATORY HEALTHCARE SERVICES. TRI-CITY, ELGIN AND BURLINGTON SCHOOL DISTRICTS - DELNOR COMMUNITY HEALTH AND OUTREACH STAFF WORK CLOSELY WITH LOCAL SCHOOL DISTRICTS TO PROVIDE MULTIPLE HEALTH PROMOTION AND DISEASE PREVENTION PROGRAMS INCLUDING BUT NOT LIMITED TO HEALTHFUL EATING, EXERCISE AND HYGIENE. TRI-CITY SALVATION ARMY - THE TRI-CITY SALVATION ARMY IS A FAITH-BASED ORGANIZATION OFFERING MULTIPLE PROGRAMS TO THE NEEDY AND VULNERABLE IN THE TRI-CITY REGION.SERVICES INCLUDE A FOOD AND BREAD PANTRY, MULTIPLE HEALTH AND EDUCATION PROGRAMS, SUMMER DAY CAMPS, AFTER SCHOOL PROGRAMMING, AND SERVICES FOR WOMEN AND YOUTH.THE ORGANIZATION ALSO PROVIDES EMERGENCY ASSISTANCE TO RESIDENTS OF GENEVA, BATAVIA, ST.CHARLES AND CAMPTON HILLS. LOCAL TARGET, WALGREENS AND WAL-MART PHARMACIES - THESE LOCAL PHARMACIES PROVIDE A $4 GENERIC PRESCRIPTION PROGRAM USING A WIDE RANGE OF GENERICS TO HELP TREAT A VARIETY OF CONDITIONS AND DISEASES.PROGRAMS SUCH AS THESE SUPPORT THE CARE PROVIDED BY CADENCE HEALTH PHYSICIANS AND ASSIST PATIENTS IN BEING ABLE TO AFFORD THEIR MEDICATIONS, THUS FACILITATING BETTER COMPLIANCE. ECKER CENTER FOR MENTAL HEALTH - THE ECKER CENTER FOR MENTAL HEALTH PROVIDES AN ARRAY OF OUTPATIENT MENTAL HEALTH SERVICES PRIMARILY TO ADULTS WITH MENTAL ILLNESS. SERVICES RANGE FROM EARLY INTERVENTION TO RECOVERY AND INCLUDE CRISIS, PSYCHIATRIC CARE, CASE MANAGEMENT, REHABILITATION, RESIDENTIAL AND PSYCHOTHERAPY ASSISTANCE. ; |
| Other Hospital Facilities included in Needs Assessment | Schedule H, Part V Section B, Line 4 | (1) DELNOR - COMMUNITY HOSPITAL - SHERMAN HOSPITAL RUSH-COPLEY MEDICAL CENTER ST. JOSEPH HOSPITAL MERCY HOSPITAL; |
| Availability of Needs Assessment | Schedule H, Part V Section B, Line 5c | (1) DELNOR - COMMUNITY HOSPITAL - PRINTED AND DISTRIBUTED TO KEY HEALTH LEADERS IN THE COMMUNITY. ; |
| Needs not addressed in Needs Assessment | Schedule H, Part V Section B, Line 7 | (1) DELNOR - COMMUNITY HOSPITAL - THREE ADDITIONAL NEEDS WERE IDENTIFIED IN THE COUNTY COMMUNITY HEALTH ASSESSMENT DATA - INFANT MORTALITY, CHILDHOOD LEAD POISONING AND POOR SOCIAL/EMOTIONAL WELLNESS. WHILE WE STILL CONSIDER THESE PRIORITY NEEDS AND WILL CONTINUE TO PARTICIPATE IN COUNTYWIDE INITIATIVES TO ADDRESS THESE CONCERNS, AN ANALYSIS OF CENTRAL KANE DATA SPECIFIC TO THESE PRIORITIES DID NOT DEMONSTRATE SIGNIFICANT NEED AT THIS TIME. WE WILL, HOWEVER, CONTINUE TO MONITOR THESE TRENDS AND RESPOND ACCORDINGLY SHOULD THEY BECOME A NOTABLE CONCERN IN CENTRAL KANE COUNTY. INFANT MORTALITY - THERE WERE A TOTAL OF 1,023 BIRTHS TO KANE COUNTY RESIDENTS AT DELNOR HOSPITAL IN 2008. OF THESE, 85 PERCENT HAD ADEQUATE PRENATAL CARE. THIS REPRESENTS THE HIGHEST PERCENTAGE IN KANE COUNTY AND EXCEEDED HEALTHY PEOPLE 2010 GOALS FOR EARLY PRENATAL CARE. ADDITIONALLY, INFANT MORTALITY FOR DELNOR RESIDENTS WAS NON-CALCULABLE DUE TO SMALL NUMBERS. CHILDHOOD LEAD POISONING - WHILE KANE COUNTY HAS ONE OF THE HIGHEST LEVELS OF CHILDHOOD LEAD POISONING IN THE STATE, COUNTY DATA INDICATES THE AGGREGATION OF THIS PROBLEM IS CONCENTRATED IN BOTH THE NORTHERN AND SOUTHERN PARTS OF THE COUNTY AS EVIDENCED BY ZIP CODE TRACKING. WE WILL CONTINUE TO MONITOR THIS TREND AND ASSESS VFC PARTICIPANTS AS NEEDED FOR RISK. POOR SOCIAL/EMOTIONAL WELLNESS - RESIDENTS IN THE DELNOR SERVICE AREA HAD RELATIVELY BETTER HEALTH OUTCOMES THAN IN OTHER AREAS OF THE COUNTY. SURVEY DATA INDICATED THAT 61 PERCENT OF CENTRAL KANE RESPONDENTS REPORTED THEIR GENERAL HEALTH AS EXCELLENT OR VERY GOOD, WHILE 7 PERCENT REPORTED THEIR MENTAL HEALTH AS NOT BEING GOOD. ; |
| Other actions taken before collection actions | Schedule H, Part V Section B, Line 18e | (1) DELNOR - COMMUNITY HOSPITAL - DELNOR HOSPITAL DID NOT TAKE ANY ACTIONS LISTED IN LINE 17 PRIOR TO FIRST NOTIFYING THE INDIVIDUALS OF THE AVAILABILITY OF FINANCIAL ASSISTANCE.; |
| Means used to determine amounts billed | Schedule H, Part V Section B, Line 20d | (1) DELNOR - COMMUNITY HOSPITAL - A 100% DISCOUNT IS GIVEN TO FAP-ELIGIBLE PATIENTS AT OR BELOW 300% OF THE FEDERAL POVERTY GUIDELINE (FPG). A DISCOUNT IS GIVEN TO FAP-ELIGIBLE PATIENTS WHOSE INCOME IS BETWEEN 301% AND 600% (FPG), WITH THE MAXIMUM AMOUNT CHARGED TO FAP-ELIGIBLE PATIENTS BEING CALCULATED USING THE STATE OF ILLINOIS' HOSPITAL UNINSURED PATIENT DISCOUNT ACT GUIDELINES WHICH SPECIFY THAT ELIGIBLE PATIENTS (UP TO 600% FPG) SHOULD BE CHARGED NO MORE THAN 135% OF HOSPITAL COSTS, WHICH FOR DELNOR HOSPITAL APPROXIMATES 30% OF CHARGES.; |
| Needs assessment. | Schedule H, Part VI, Line 2 | ON A REGULAR BASIS, CADENCE HEALTH DEVELOPS A STRATEGIC PLAN THAT PROVIDES A ROADMAP FOR THE FUTURE OF THE HEALTHCARE ORGANIZATIONS IN ITS SYSTEM - INCLUDING DELNOR-COMMUNITY HOSPITAL. THE PLAN OUTLINES TACTICS NECESSARY TO EXPAND THE HEALTH CARE SERVICES OFFERED TO OUR COMMUNITIES. TO DEVELOP THAT PLAN, CADENCE HEALTH RELIES ON A VARIETY OF SOURCES. WE PARTNER WITH PHYSICIANS AND OTHER LOCAL ORGANIZATIONS TO BETTER UNDERSTAND THE CURRENT HEALTH CARE DEMANDS. WE HOST PATIENT FOCUS GROUPS TO HEAR THEIR NEEDS DIRECTLY. DATA, INCLUDING LOCAL COMMUNITY DEMOGRAPHICS, HEALTH INDICATORS, DISEASE INCIDENCE RATES AND OTHER TRENDS, IS EVALUATED TO ENSURE WE ARE ADEQUATELY PREPARED FOR PENDING HEALTH CARE NEEDS. WE ALSO INVENTORY THE SERVICES AVAILABLE IN THE MARKET, BOTH AT CADENCE HEALTH FACILITIES AND BY OTHER HEALTH CARE PROVIDERS, TO AVOID REDUNDANCY. THIS INFORMATION ALLOWS MANAGEMENT TO MAKE RESPONSIBLE PROGRAM GROWTH AND INVESTMENT DECISIONS THAT ARE CONSISTENT WITH THE NEEDS OF THE COMMUNITY. |
| Patient education of eligibility for assistance. | Schedule H, Part VI, Line 3 | INFORMATION REGARDING FINANCIAL ASSISTANCE IS POSTED AT POINTS OF SERVICE. ALL HOSPITAL EMPLOYEES IN PATIENT FINANCIAL SERVICES, PATIENT ACCESS, REGISTRATION SERVICES, FINANCIAL CLEARANCE CENTER AND THE EMERGENCY ROOM ARE FULLY VERSED IN THE HOSPITAL'S CHARITY CARE AND FINANCIAL ASSISTANCE POLICY, HAVE ACCESS TO THE APPLICATION FORMS, CAN PROVIDE PATIENTS WITH PRINTED MATERIAL EXPLAINING THE CHARITY CARE PROGRAM AND ARE ABLE TO DIRECT QUESTIONS TO THE APPROPRIATE HOSPITAL REPRESENTATIVE. PLEASE NOTE THAT THE REGISTRATION STAFF, CASHIERS AND FINANCIAL COUNSELORS WILL OFFER A FINANCIAL ASSISTANCE PACKET TO ALL SELF-PAY PATIENTS OR THOSE THAT EXPRESS CONCERN ABOUT THEIR FINANCIAL RESPONSIBILITY. IN ADDITION, THE FILING ORGANIZATION'S WEBSITE HAS INFORMATION EXPLAINING OUR CHARITY CARE/FINANCIAL ASSISTANCE PROGRAM, INCLUDING THE FEDERAL POVERTY GUIDELINES. |
| Community information. | Schedule H, Part VI, Line 4 | DELNOR HOSPITAL'S PRIMARY AND MOST OF ITS SECONDARY SERVICE AREA IS LOCATED IN KANE COUNTY, WHICH HAS AN AREA OF 520 SQUARE MILES OF LAND. KANE COUNTY HAS A POPULATION OF 520,271 WITH ITS LARGEST CITIES SITUATED ALONG THE FOX RIVER. ALTHOUGH THE DELNOR SERVICE AREA HAS THE HIGHEST MEDIAN INCOME OF THE COUNTY, THE NUMBER OF LOW-INCOME HOUSEHOLDS HAS INCREASED OVER THE PAST FIVE YEARS. THE OVERALL POVERTY RATE IN KANE COUNTY INCREASED BY TWO-THIRDS TO 11.1 PERCENT, AND THE POVERTY STATUS IN ST. CHARLES, BATAVIA, AND GENEVA WERE 3.9 PERCENT, 8.5 PERCENT AND 2.1 PERCENT RESPECTIVELY. THERE WERE OVER 119,000 MEDICAID BENEFICIARIES IN 2013, 22.9% OF THE TOTAL POPULATION. THERE ARE A TOTAL OF FIVE ACUTE-CARE HOSPITALS LOCATED IN KANE COUNTY, ILLINOIS. |
| Promotion of community health | Schedule H, Part VI, Line 5 | A MAJORITY OF THE ORGANIZATION'S GOVERNING BODY IS COMPOSED OF PERSONS WHO RESIDE IN THE ORGANIZATION'S PRIMARY SERVICE AREA AND ARE NEITHER EMPLOYEES NOR CONTRACTORS OF THE ORGANIZATION. THE ORGANIZATION HAS AN OPEN MEDICAL STAFF AND EXTENDS PRIVIEGES TO ALL QUALIFIED PHYSICIANS WITHIN ITS COMMUNITY. THE ORGANIZATION'S CONTINUING INVESTMENTS IN PEOPLE, TECHNOLOGY AND SERVICES BRING HIGH-INTENSITY, HIGH-TECHNOLOGY HEALTH CARE SERVICES TO KANE COUNTY, DELIVERED WITH COMPASSION AND RESPECT. EVERY DOLLAR OF OUR INCOME OVER EXPENSES IS REINVESTED IN OUR COMMUNITY. |
| Affiliated health care system | Schedule H, Part VI, Line 6 | DELNOR-COMMUNITY HOSPITAL (DELNOR), A MEMBER ORGANIZATION OF CADENCE HEALTH, IS LOCATED IN KANE COUNTY, IN THE WESTERN SUBURBS OF THE METROPOLITAN CHICAGO AREA. OTHER ORGANIZATIONS WITHIN CADENCE HEALTH INCLUDE: CENTRAL DUPAGE HOSPITAL ASSOCIATION (COMMUNITY HOSPITAL LOCATED IN NEIGHBORING DUPAGE COUNTY), CENTRAL DUPAGE PHYSICIAN GROUP (A NETWORK OF PRIMARY AND SPECIALTY PHYSICIANS LOCATED THROUGHOUT DUPAGE AND KANE COUNTIES), COMMUNITY NURSING SERVICE OF DUPAGE COUNTY (HOME HEALTH AND HOSPICE), CADENCE OCCUPATIONAL HEALTH (PAHCS II), CENTRAL DUPAGE SPECIAL HEALTH ASSOCIATION (INTEGRATED PHARMACY SERVICES), DELNOR-COMMUNITY RESIDENTIAL LIVING (RESIDENTIAL SERVICES FOR SENIORS), AND LIVING WELL CANCER RESOURCE CENTER. IN ADDITION TO THESE ORGANIZATIONS, CADENCE HEALTH (CDH-DELNOR HEALTH SYSTEM) SERVES AS THE PARENT ORGANIZATION AND, TOGETHER WITH TWO FOUNDATION ENTITIES (CADENCE HEALTH FOUNDATION AND DELNOR-COMMUNITY HEALTH CARE FOUNDATION), SUPPORTS THE EFFORTS OF THE DIRECT HEALTHCARE-PROVIDING ENTITIES. TOGETHER THESE ORGANIZATIONS SERVE THE HEALTHCARE NEEDS OF OUR COMMUNITIES ACROSS THE SPECTRUM OF CARE, WITH A STRONG COMMITMENT TO WELLNESS, PREVENTATIVE CARE, AND CHARITY CARE. HEALTHCARE IS PROVIDED IN A VARIETY OF SETTINGS FROM HOMEBOUND CARE, PHYSICIAN OFFICE SERVICES, INPATIENT ACUTE CARE HOSPITAL SERVICES, AND OUTPATIENT MEDICAL CARE PROVIDED AT OUR CONVENIENT CARE CENTERS LOCATED THROUGHOUT THE COMMUNITY, PROVIDING SAME-DAY, WALK-IN CARE FOR MINOR INJURIES AND ILLNESSES. FOR MORE INFORMATION ABOUT CADENCE HEALTH, VISIT WWW.CADENCEHEALTH.ORG |
| State filing of community benefit report | Schedule H, Part VI, Line 7 | IL |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | true | RecordsMaintained |
Recipient Table RecipientTable
Recipient Name Business RecipientNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ILLINOIS POISON CENTER | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 222 S RIVERSIDE PLAZA STE 100 | AddressLine1 |
| City | CHICAGO | City |
| State | IL | State |
| ZIP Code | 60606 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN Of Recipient | 362167008 | EINOfRecipient |
| IRC Section | 501C3 | IRCSection |
| Amount Of Cash Grant | 11883 | AmountOfCashGrant |
| Purpose Of Grant | PUBLIC HEALTH AND SAFETY | PurposeOfGrant |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 1 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 0 | TotalNbrOfOtherOrganizations |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Procedures for monitoring use of grant funds | Identifier |
| Return Reference | Schedule I, Part I, Line 2 | ReturnReference |
| Explanation | DELNOR-COMMUNITY HOSPITAL PROVIDED GRANT FUNDS TO A TAX-EXEMPT ORGANIZATION. DELNOR-COMMUNITY HOSPITAL MONITORS THE USE OF THE GRANT FUNDS THROUGH MEMBERSHIP IN THE ORGANIZATION OVERSEEING THE PROGRAM. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Club Dues Or Fees | X | ClubDuesOrFees |
| Written Policy Re T And E Expenses | true | WrittenPolicyReTAndEExpenses |
| Substantiation Required | true | SubstantiationRequired |
| Severance Payment | true | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (14 entries)
| TitleTitle | Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JAMES KEARNS | ||||||||||||||
| FORMER DELNOR CIO | 0 | 0 | 0 | 0 | 146405 | 0 | 0 | 0 | 0 | 0 | 146405 | 0 | 0 | 0 |
| JAMES T SPEAR | ||||||||||||||
| FORMER CFO | 0 | 418976 | 0 | 452059 | 0 | 377899 | 0 | 16235 | 0 | 22761 | 0 | 1287930 | 0 | 0 |
| JULIE BURROWS | ||||||||||||||
| CERTIFIED NURSE ANESTHETIST | 128856 | 0 | 12287 | 0 | 64716 | 0 | 8934 | 0 | 19371 | 0 | 234164 | 0 | 0 | 0 |
| KATHRYN MONTAGUE | ||||||||||||||
| CHIEF CRNA | 159067 | 0 | 17569 | 0 | 104484 | 0 | 30044 | 0 | 20571 | 0 | 331735 | 0 | 0 | 0 |
| LORE BOGOLIN | ||||||||||||||
| CHIEF NURSING OFFICER | 242958 | 0 | 283900 | 0 | 2277 | 0 | 15349 | 0 | 20341 | 0 | 564825 | 0 | 0 | 0 |
| LUKE MCGUINNESS | ||||||||||||||
| FORMER CEO | 0 | 992240 | 0 | 2250000 | 0 | 275353 | 0 | 14708 | 0 | 18763 | 0 | 3551064 | 0 | 0 |
| MARK DANIELS MD | ||||||||||||||
| VICE PRESIDENT | 366830 | 0 | 113067 | 0 | 3496 | 0 | 16167 | 0 | 8387 | 0 | 507946 | 0 | 0 | 0 |
| MAUREEN TAUS | ||||||||||||||
| VP/CONTROLLER & ASST TREASURER | 0 | 252178 | 0 | 243373 | 0 | 1265 | 0 | 17910 | 0 | 1819 | 0 | 516545 | 0 | 0 |
| MICHAEL HOLZHUETER | ||||||||||||||
| VP-LEGAL & ASST SECY. TO THE BOD | 0 | 335582 | 0 | 219325 | 0 | 1569 | 0 | 15192 | 0 | 31932 | 0 | 603600 | 0 | 0 |
| MICHAEL KITTOE | ||||||||||||||
| FORMER DELNOR CFO | 0 | 0 | 0 | 0 | 140709 | 0 | 0 | 0 | 6310 | 0 | 147018 | 0 | 0 | 0 |
| MICHAEL VIVODA | ||||||||||||||
| CEO | 0 | 616830 | 0 | 293988 | 0 | 1242 | 0 | 16096 | 0 | 19994 | 0 | 948150 | 0 | 0 |
| ROBERT FRIEDBERG | ||||||||||||||
| PRESIDENT, DELNOR HOSPITAL AND SYSTEM EVP | 388982 | 0 | 438563 | 0 | 2277 | 0 | 15385 | 0 | 29191 | 0 | 874398 | 0 | 0 | 0 |
| ROBERT HINKLE | ||||||||||||||
| CERTIFIED NURSE ANESTHETIST | 122931 | 0 | 11620 | 0 | 94481 | 0 | 9411 | 0 | 14466 | 0 | 252909 | 0 | 0 | 0 |
| THOMAS WRIGHT | ||||||||||||||
| FORMER PRESIDENT, DELNOR AND EVP (SYSTEM) | 325336 | 116667 | 0 | 0 | 848 | 1050000 | 30384 | 0 | 18301 | 0 | 374870 | 1166667 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (5 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Health or social club dues or initiation fees | Schedule J, Part I, Line 1a | DELNOR-COMMUNITY HOSPITAL ENCOURAGES ALL OF ITS EMPLOYEES TO PARTICIPATE IN ITS AFFILIATED HEALTH & WELLNESS CLUB BY SUBSIDIZING A PORTION OF THE HEALTH CLUB DUES. ONE LISTED INDIVIDUALS WHO TOOK ADVANTAGE OF THIS PROGRAM DURING THE REPORTING PERIOD WAS ROBERT HINKLE. THE VALUE OF THE BENEFIT WAS INCLUDED AS TAXABLE INCOME TO THE PARTICIPANTS. |
| Arrangement used to establish the top management official's compensation | Schedule J, Part I, Line 3 | THE FILING ORGANIZATION RELIED ON CDH-DELNOR HEALTH SYSTEM, A RELATED TAX-EXEMPT ORGANIZATION, WHICH USED A COMPENSATION COMMITTEE, COMPARABILITY DATA, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE, TO DETERMINE THE COMPENSATION OF ITS CEO. |
| Severance or change-of-control payment | Schedule J, Part I, Line 4a | FOUR FORMER OFFICERS RECEIVED SEVERANCE PAYMENTS DURING CY2012. THESE PAYMENTS WERE MADE BY A RELATED ORGANIZATION. IN ADDITION, FOUR EMPLOYEES WHO ARE LISTED ON THIS FY13 990 AS HIGHLY COMPENSATED EMPLOYEES RECEIVED SEVERANCE PAYMENTS DURING THE YEAR. JAMES KEARNS $122,615 MICHAEL KITTOE $ 142,195 JAMES SPEAR $375,577 THOMAS WRIGHT $ 1,050,000 CHRISTOPHER ARBIR $29,516 JULIE BURROWS $43,098 ROBERT HINKLE $72,984 KATHRYN MONTAGUE $74.861 |
| Supplemental nonqualified retirement plan | Schedule J, Part I, Line 4b | THE FORMER CHIEF EXECUTIVE OFFICER (MCGUINNESS) PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. PURSUANT TO THIS PLAN, DURING CY 2012, $268,845 WAS CONTRIBUTED, IMMEDIATELY VESTED, AND DISTRIBUTED. ALL ASPECTS OF THE FORMER CHIEF EXECUTIVE OFFICER'S COMPENSATION, INCLUDING CONTRIBUTIONS TO THE SUPPLEMENTAL RETIREMENT PLAN, ARE REVIEWED BY THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS AND SUPPORTED BY CONSULTANTS ENGAGED BY SUCH COMMITTEE. |
| COMPENSATION CONTINGENT ON NET EARNINGS | SCHEDULE J, PART I, LINE 6A | DELNOR-COMMUNITY HOSPITAL MAINTAINS AN INCENTIVE PLAN (MYSTEP) AS A COMPONENT OF COMPENSATION FOR ITS EMPLOYEES, INCLUDING EMPLOYED INTERESTED PERSONS. THE INCENTIVE PORTION OF THE COMPENSATION IS INCLUDED IN THE COMPENSATION REVIEW CONDUCTED BY THE COMPENSATION COMMITTEE OF THE CDH-DELNOR HEALTH SYSTEM BOARD OF DIRECTORS, AS DESCRIBED IN SCHEDULE O FOR FORM 990 CORE, PART VI, LINE 15. THE PURPOSE OF MYSTEP IS TO ALIGN EMPLOYEES' INTERESTS WITH THE GOALS AND OBJECTIVES OF CDH-DELNOR HEALTH SYSTEM AND ALL RELATED ORGANIZATIONS BY PROVIDING FINANCIAL INCENTIVES LINKED TO THE CONTINUING AND SUSTAINABLE SUCCESS OF THE ORGANIZATIONS. FINANCIAL INCENTIVES ARE PAID BASED ON A SERIES OF MEASURES THAT INCLUDE: (I) PATIENT SATISFACTION; (II) FINANCIAL PERFORMANCE; AND (III) DEPARTMENTAL/TEAM-SPECIFIC GOALS. OVERALL ADMINISTRATION OF MYSTEP IS THE RESPONSIBILITY OF THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS. THIS INCENTIVE PROGRAM DOES NOT MEET THE STANDARDS AS SET OUT IN SCHEDULE J, PART I FOR LINES 5, 6 OR 7. |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)
| Bond ReferenceBondReferenceCd | Issuer EINIssuerEIN | CUSIP NumberCUSIPNumber | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer | Pool FinancingPoolFinancing |
|---|---|---|---|---|---|---|---|---|
| DELNOR-COMMUNITY HOSPITAL | ||||||||
| A | 363484281 | 45200PJ32 | 2008-05-23 | 6304260 | 2002A-IL FIN. AUTH. REV. BONDS | false | false | false |
| DELNOR-COMMUNITY HOSPITAL | ||||||||
| B | 363484281 | 45200PJ40 | 2008-05-23 | 6216780 | 2002B-IL FIN. AUTH. REV. BONDS | false | false | false |
| DELNOR-COMMUNITY HOSPITAL | ||||||||
| C | 363484281 | 45200PJ57 | 2008-05-23 | 6168840 | 2002C-IL FIN. AUTH. REV. BONDS | false | false | false |
| DELNOR-COMMUNITY HOSPITAL | ||||||||
| D | 363484281 | 45200PJ65 | 2008-05-23 | 17223720 | 2002D-IL FIN. AUTH. REV. BONDS | false | false | false |
Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)
| Bond ReferenceBondReferenceCd | Amount RetiredAmountRetired | Amount Bond DefeasedAmountBondDefeased | Total ProceedsTotalProceeds | Amount In Reserve FundAmountInReserveFund | Capitalized InterestCapitalizedInterest | Refunding EscrowRefundingEscrow | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Credit EnhancementCreditEnhancement | Working Capital ExpendituresWorkingCapitalExpenditures | Capital ExpendituresCapitalExpenditures | Other Spent ProceedsOtherSpentProceeds | Amount UnspentAmountUnspent | Year Of Subst CompletionYearOfSubstCompletion | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | 0 | 0 | 6304260 | 0 | 0 | 0 | 64965 | 0 | 239295 | 6000000 | 0 | 0 | 2003 | false | false | true | true |
| B | 0 | 0 | 6216780 | 0 | 0 | 0 | 64965 | 0 | 151815 | 6000000 | 0 | 0 | 2003 | false | false | true | true |
| C | 0 | 0 | 6168840 | 0 | 0 | 0 | 64965 | 0 | 103875 | 6000000 | 0 | 0 | 2003 | false | false | true | true |
| D | 0 | 0 | 17223720 | 0 | 0 | 0 | 184069 | 0 | 39651 | 17000000 | 0 | 0 | 2003 | false | false | true | true |
Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Engage Bond Counsel ContractsEngageBondCounselContracts | Any Research AgreementsAnyResearchAgreements | Engage Bond Counsel ResearchEngageBondCounselResearch | Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers | Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI | Total Private Business UseTotalPrivateBusinessUse | Bond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTest | Change In Use Bond Financed PropChangeInUseBondFinancedProp | Prcntge Bond Financed PropPrcntgeBondFinancedProp | Remedial Action TakenRemedialActionTaken | Non Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | false | false | false | false | false | false | 0.0000 | 0.0000 | 0.0000 | false | false | 0.0000 | false | true |
| B | false | false | false | false | false | false | 0.0000 | 0.0000 | 0.0000 | false | false | 0.0000 | false | true |
| C | false | false | false | false | false | false | 0.0000 | 0.0000 | 0.0000 | false | false | 0.0000 | false | true |
| D | false | false | false | false | false | false | 0.0000 | 0.0000 | 0.0000 | false | false | 0.0000 | false | true |
Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiled | Rebate Not Due YetRebateNotDueYet | Exception To RebateExceptionToRebate | No Rebate DueNoRebateDue | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Term Of HedgeTermOfHedge | Superintegrated HedgeSuperintegratedHedge | Hedge TerminatedHedgeTerminated | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Term Of GICTermOfGIC | Regulatory Safe Harbor SatisfiedRegulatorySafeHarborSatisfied | Gross Proceeds InvestedGrossProceedsInvested | Written Proc To Monitor ReqsWrittenProcToMonitorReqs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| UBS | ||||||||||||||
| A | false | false | false | true | false | true | 19.0 | false | false | false | 0.0 | false | false | true |
| UBS | ||||||||||||||
| B | false | false | false | true | false | true | 19.0 | false | false | false | 0 | false | false | true |
| UBS | ||||||||||||||
| C | false | false | false | true | false | true | 19.0 | false | false | false | 0.0 | false | false | true |
| UBS | ||||||||||||||
| D | false | false | false | true | false | true | 19.0 | false | false | false | 0 | false | false | true |
Form990 Schedule K Part V Form990ScheduleKPartV (4 entries)
| Bond ReferenceBondReferenceCd | Proc To Undertk Corrective ActionProcToUndertkCorrectiveAction |
|---|---|
| A | true |
| B | true |
| C | true |
| D | true |
Form990 Schedule K Part VI Form990ScheduleKPartVI (9 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| ISSUER NAME: DELNOR-COMMUNITY HOSPITAL: No Rebate Due. | Schedule K, Part IV, Line 2c | THE CALCULATION FOR COMPUTING NO REBATE DUE WAS PERFORMED ON 5/26/06. |
| ISSUER NAME: DELNOR-COMMUNITY HOSPITAL: No Rebate Due. | Schedule K, Part IV, Line 2c | THE CALCULATION FOR COMPUTING NO REBATE DUE WAS PERFORMED ON 5/26/06. |
| ISSUER NAME: DELNOR-COMMUNITY HOSPITAL: No Rebate Due. | Schedule K, Part IV, Line 2c | THE CALCULATION FOR COMPUTING NO REBATE DUE WAS PERFORMED ON 5/26/06. |
| ISSUER NAME: DELNOR-COMMUNITY HOSPITAL: No Rebate Due. | Schedule K, Part IV, Line 2c | THE CALCULATION FOR COMPUTING NO REBATE DUE WAS PERFORMED ON 5/26/06. |
| ISSUER NAME: DELNOR-COMMUNITY HOSPITAL: No Rebate Due. | Schedule K, Part IV, Line 2c | THE CALCULATION FOR COMPUTING NO REBATE DUE WAS PERFORMED ON 9/28/06. |
| ISSUER NAME: DELNOR-COMMUNITY HOSPITAL: No Rebate Due. | Schedule K, Part IV, Line 2c | THE CALCULATION FOR COMPUTING NO REBATE DUE WAS PERFORMED ON 9/28/06. |
| ISSUER NAME: DELNOR-COMMUNITY HOSPITAL: No Rebate Due. | Schedule K, Part IV, Line 2c | THE CALCULATION FOR COMPUTING NO REBATE DUE WAS PERFORMED ON 9/28/06. |
| ARBITRAGE REBATE CALCULATION | SCHEDULE K, PART IV, LINE 2C | SERIES 2002A-D FINAL ARBITRAGE REBATE CALCULATION 5/26/06. ALL FUNDS WERE DEPLETED AT THAT TIME. |
| ARBITRAGE REBATE CALCULATION | SCHEDULE K, PART IV, LINE 2C | SERIES 2003A-C FINAL ARBITRAGE REBATE CALCULATION 9/28/2006. ALL FUNDS WERE DEPLETED AT THAT TIME. |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)
| Bond ReferenceBondReferenceCd | Issuer EINIssuerEIN | CUSIP NumberCUSIPNumber | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer | Pool FinancingPoolFinancing |
|---|---|---|---|---|---|---|---|---|
| DELNOR-COMMUNITY HOSPITAL | ||||||||
| A | 363484281 | 45200PJ73 | 2008-06-04 | 29258573 | 2003A-IL FIN. AUTH. REV. BONDS | false | false | false |
| DELNOR-COMMUNITY HOSPITAL | ||||||||
| B | 363484281 | 45200PL39 | 2008-06-04 | 6230627 | 2003B-IL FIN. AUTH. REV. BONDS | false | false | false |
| DELNOR-COMMUNITY HOSPITAL | ||||||||
| C | 363484281 | 45200PL47 | 2008-06-04 | 5264116 | 2003C-IL FIN. AUTH. REV. BONDS | false | false | false |
| DELNOR-COMMUNITY HOSPITAL | ||||||||
| D | 363488428 | 2011-08-24 | 58415000 | SERIES 2011C-REFUND SERIES 2008 BONDS | false | false | false | |
Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)
| Bond ReferenceBondReferenceCd | Amount RetiredAmountRetired | Amount Bond DefeasedAmountBondDefeased | Total ProceedsTotalProceeds | Amount In Reserve FundAmountInReserveFund | Capitalized InterestCapitalizedInterest | Refunding EscrowRefundingEscrow | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Credit EnhancementCreditEnhancement | Working Capital ExpendituresWorkingCapitalExpenditures | Capital ExpendituresCapitalExpenditures | Other Spent ProceedsOtherSpentProceeds | Amount UnspentAmountUnspent | Year Of Subst CompletionYearOfSubstCompletion | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | 9950000 | 0 | 29258573 | 0 | 0 | 0 | 310842 | 0 | 1247732 | 27700000 | 0 | 0 | 2003 | true | false | true | true |
| B | 0 | 0 | 6230627 | 0 | 0 | 0 | 69014 | 0 | 11613 | 6150000 | 0 | 0 | 2003 | true | false | true | true |
| C | 0 | 0 | 5264116 | 0 | 0 | 0 | 58353 | 0 | 5763 | 5200000 | 0 | 0 | 2003 | true | false | true | true |
| D | 255000 | 0 | 58415000 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 58415000 | 0 | 2011 | true | false | true | true |
Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)
| Bond ReferenceBondReferenceCd | Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Engage Bond Counsel ContractsEngageBondCounselContracts | Any Research AgreementsAnyResearchAgreements | Engage Bond Counsel ResearchEngageBondCounselResearch | Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers | Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI | Total Private Business UseTotalPrivateBusinessUse | Bond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTest | Change In Use Bond Financed PropChangeInUseBondFinancedProp | Prcntge Bond Financed PropPrcntgeBondFinancedProp | Remedial Action TakenRemedialActionTaken | Non Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| A | false | false | false | false | false | false | 0.0000 | 0.0000 | 0.0000 | false | false | 0.0000 | false | true |
| B | false | false | false | false | false | false | 0.0000 | 0.0000 | 0.0000 | false | false | 0.0000 | false | true |
| C | false | false | false | false | false | false | 0.0000 | 0.0000 | 0.0000 | false | false | 0.0000 | false | true |
| D | false | false | false | false | false | false | 0.0000 | 0.0000 | 0.0000 | false | false | 0.0000 | false | true |
Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)
| Bond ReferenceBondReferenceCd | Form8038 T FiledForm8038TFiled | Rebate Not Due YetRebateNotDueYet | Exception To RebateExceptionToRebate | No Rebate DueNoRebateDue | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Term Of HedgeTermOfHedge | Superintegrated HedgeSuperintegratedHedge | Hedge TerminatedHedgeTerminated | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Term Of GICTermOfGIC | Regulatory Safe Harbor SatisfiedRegulatorySafeHarborSatisfied | Gross Proceeds InvestedGrossProceedsInvested | Written Proc To Monitor ReqsWrittenProcToMonitorReqs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| UBS | ||||||||||||||
| A | false | false | false | true | false | true | 20.0 | false | false | false | 0 | false | false | true |
| UBS | ||||||||||||||
| B | false | false | false | true | false | true | 20.0 | false | false | false | 0.0 | false | false | true |
| UBS | ||||||||||||||
| C | false | false | false | true | false | true | 20.0 | false | false | false | 0 | false | false | true |
| (no name) | ||||||||||||||
| D | false | true | false | false | true | false | 0 | false | false | false | 0 | false | false | true |
Form990 Schedule K Part V Form990ScheduleKPartV (4 entries)
| Bond ReferenceBondReferenceCd | Proc To Undertk Corrective ActionProcToUndertkCorrectiveAction |
|---|---|
| A | true |
| B | true |
| C | true |
| D | true |
Schedule K IRS990ScheduleK
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV
Name Of Interested Person NameOfInterestedPerson
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | VALLEY EMERGENCY CARE MANAGEMENT LTD | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship | PHYSICIAN PRACTICE OF BOARD MEMBER STEPHEN HOLTSFORD, M.D. | Relationship |
| Amount Of Transaction | 147750 | AmountOfTransaction |
| Description Of Transaction | PROFESSIONAL FEES | DescriptionOfTransaction |
| Sharing Of Revenues | false | SharingOfRevenues |
Schedule M IRS990ScheduleM
Clothing And Household Goods ClothingAndHouseholdGoods
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Noncash Contribs Rptd F990 | 114924 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | SELLING COST | MethodOfDeterminingRevenues |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of8283 Received | 0 | NumberOf8283Received |
| Any Property That Must Be Held | false | AnyPropertyThatMustBeHeld |
| Review Process Unusual NC Gifts | false | ReviewProcessUnusualNCGifts |
| Third Parties Used | false | ThirdPartiesUsed |
Form990 Schedule M Part II Form990ScheduleMPartII (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| GIFT ACCEPTANCE POLICY | SCHEDULE M, PART I, LINE 31 | THE NON-CASH DONATIONS REFLECTED ON SCHEDULE M ARE DONATIONS OF CLOTHING AND HOUSEHOLD GOODS GIVEN TO THE FILING ORGANIZATION THROUGH ITS AUXILIARY RESALE SHOP. ALL OTHER DONATIONS TO THE FILING ORGANIZATION ARE ACCEPTED THROUGH A RELATED ORGANIZATION, CADENCE HEALTH FOUNDATION, WHICH HAS ADOPTED A GIFT ACCEPTANCE POLICY THAT REQUIRES A REVIEW OF ALL NON-STANDARD POTENTIAL GIFTS PRIOR TO ACCEPTANCE. |
| Number of contributions or items contributed. | Schedule M, part I, column (b), Line 5 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (13 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| NUMBER OF INDEPENDENT BOARD MEMBERS | FORM 990, PART VI, LINE 1B | FIVE OF THE TWENTY-TWO BOARD MEMBERS ARE NOT CONSIDERED TO BE INDEPENDENT UNDER THE IRS DEFINITION OF INDEPENDENCE. THOSE MEMBERS ARE: THE ORGANIZATION'S CEO; TWO BOARD MEMBERS WHO SERVE AS MEDICAL STAFF PRESIDENT FOR CENTRAL DUPAGE HOSPITAL OR DELNOR-COMMUNITY HOSPITAL (RELATED ORGANIZATIONS); AND, TWO BOARD MEMBERS WHOSE MEDICAL PRACTICES ARE COMPENSATED FOR PHYSICIAN SERVICES PROVIDED TO CENTRAL DUPAGE HOSPITAL OR DELNOR-COMMUNITY HOSPITAL (RELATED ORGANIZATIONS). |
| Family/business relationships amongst interested persons | Form 990, Part VI, Section A, Line 2 | PATRICK FLINN AND WILLIAM WOLFORD - BUSINESS RELATIONSHIP |
| Classes of members or stockholders | Form 990, Part VI, Section A, Line 6 | THE SOLE MEMBER OF DELNOR-COMMUNITY HOSPITAL IS CDH-DELNOR HEALTH SYSTEM, A RELATED TAX-EXEMPT ORGANIZATION. MANAGEMENT DUTIES PROVIDED BY CDH-DELNOR HEALTH SYSTEM INCLUDE OPERATIONAL, STRATEGIC, BUDGETING AND LONG-RANGE PLANNING DUTIES, AS WELL AS FINANCE, INTERNAL AUDIT, PERSONNEL, TREASURY AND MARKETING SERVICES. THE INDIVIDUALS PROVIDING THESE SERVICES, INCLUDING THE CEO, CFO, AND OTHER SENIOR MANAGEMENT, ARE EMPLOYEES OF AND COMPENSATED BY CDH-DELNOR HEALTH SYSTEM. DELNOR-COMMUNITY HOSPITAL PAYS A MANAGEMENT SERVICES FEE TO CDH-DELNOR HEALTH SYSTEM. |
| Members or stockholders electing members of governing body | Form 990, Part VI, Section A, Line 7a | CDH-DELNOR HEALTH SYSTEM, THE SOLE MEMBER AND PARENT ORGANIZATION, HAS THE POWER TO ELECT OR REMOVE ALL OF THE DIRECTORS OF DELNOR-COMMUNITY HOSPITAL. |
| Decisions requiring approval by members or stockholders | Form 990, Part VI, Section A, Line 7b | CERTAIN DECISIONS OF THE DELNOR-COMMUNITY HOSPITAL'S (DCH) GOVERNING BODY ARE SUBJECT TO APPROVAL BY CDH-DELNOR HEALTH SYSTEM, AS THE SOLE MEMBER OF DCH. THE MEMBER'S AUTHORITY INCLUDES THE POWER TO AMEND, ALTER, RESTATE OR REPEAL THE BYLAWS OF THE CORPORATION; TO NEGOTIATE AND EXECUTE CONTRACTS ON BEHALF OF THE CORPORATION; TO ADOPT A PLAN OF MERGER, CONSOLIDATION OR CORPORATE REORGANIZATION INVOLVING THE CORPORATION; TO ADOPT A PLAN OF DISSOLUTION OR LIQUIDATION OF THE CORPORATION AND DISTRIBUTION OF ITS ASSETS; AND, TO AMEND, ALTER, RESTATE OR REPEAL THE ARTICLES OF INCORPORATION OF THE CORPORATION. ACTIONS BY THE BOARD OF DIRECTORS REQUIRING THE APPROVAL OF THE SOLE MEMBER INCLUDE: ADOPTION OF CAPITAL AND OPERATING BUDGETS; ADOPTION AND EXECUTION OF A STRATEGIC PLAN; AND, AUTHORIZATION OF A CAPITAL EXPENDITURE IN EXCESS OF THE LIMITS ESTABLISHED BY THE SOLE MEMBER FROM TIME TO TIME. |
| Review of form 990 by governing body | Form 990, Part VI, Section B, Line 11b | PRIOR TO FILING, A DRAFT OF THE COMPLETED FORM 990 IS REVIEWED BY OUTSIDE TAX ADVISERS AND INTERNAL MANAGEMENT. AFTER THAT REVIEW IS COMPLETE, THE FORM 990 IS PROVIDED TO EACH MEMBER OF THE BOARD OF DIRECTORS FOR ADDITIONAL REVIEW AND COMMENT. |
| Conflict of interest policy | Form 990, Part VI, Section B, Line 12c | EACH YEAR, DELNOR-COMMUNITY HOSPITAL (DELNOR) ASKS EACH BOARD MEMBER TO REVIEW THE CONFLICT OF INTEREST POLICY AND TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT. IN ADDITION, THE POLICY REQUIRES THAT BOARD MEMBERS DISCLOSE POTENTIAL CONFLICTS THAT MAY ARISE BETWEEN ANNUAL STATEMENTS THROUGH SUPPLEMENTARY DISCLOSURES. BOTH THE ANNUAL STATEMENTS AND THE SUPPLEMENTARY DISCLOSURES ARE REVIEWED AND EVALUATED BY THE GOVERNANCE COMMITTEE OF THE BOARD OF THE DIRECTORS. THE GOVERNANCE COMMITTEE IS DELEGATED THE RESPONSIBILITY TO DETERMINE WHETHER A POTENTIAL CONFLICT IS AN ACTUAL CONFLICT, AND FURTHER TO RECOMMEND CONFLICT MITIGATION STRATEGIES TO THE BOARD (WHICH MAY INCLUDE LIMITING A BOARD MEMBERS PARTICIPATION IN MATTERS WHERE AN ACTUAL CONFLICT EXISTS, TO BOARD MEMBER REMOVAL IF THE CONFLICT IS INCOMPATIBLE WITH ONGOING BOARD SERVICE). SIMILARLY, EACH YEAR DELNOR ASKS EACH EMPLOYEE TO REVIEW THE CONFLICT OF INTEREST POLICY AND TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT. IN ADDITION, THE POLICY REQUIRES THAT EMPLOYEES DISCLOSE POTENTIAL CONFLICTS THAT MAY ARISE BETWEEN ANNUAL STATEMENTS THROUGH SUPPLEMENTARY DISCLOSURES. BOTH THE ANNUAL STATEMENTS AND THE SUPPLEMENTARY DISCLOSURES ARE REVIEWED AND EVALUATED BY THE DIRECTOR OF INTERNAL AUDIT AND COMPLIANCE. THE DIRECTOR IS DELEGATED THE RESPONSIBILITY TO DETERMINE WHETHER A POTENTIAL CONFLICT IS AN ACTUAL CONFLICT, AND FURTHER, TO RECOMMEND AND IMPLEMENT, WHERE APPROPRIATE, CONFLICT MITIGATION STRATEGIES. COMPLETION RESULTS ARE PROVIDED TO THE AUDIT & FINANCE COMMITTEE OF THE BOARD OF DIRECTORS. |
| Process used to establish compensation of top management official | Form 990, Part VI, Section B, Line 15a | THE FILING ORGANIZATION'S TOP MANAGEMENT OFFICIAL AND OTHER OFFICERS AND KEY EMPLOYEES ARE EMPLOYEES OF CDH-DELNOR HEALTH SYSTEM, A RELATED TAX-EXEMPT ORGANIZATION AND SOLE MEMBER OF THE FILING ORGANIZATION. THE COMPENSATION COMMITTEE OF THE CDH-DELNOR HEALTH SYSTEM BOARD OF DIRECTORS IS COMPRISED OF INDEPENDENT COMMITTEE MEMBERS AND IS DELEGATED THE RESPONSIBILITY FOR REVIEWING THE COMPENSATION OF THE ORGANIZATION'S EXECUTIVES (INCLUDING THE CHIEF EXECUTIVE OFFICER) AND OTHER KEY EMPLOYEES. THE PROCESS INCLUDES ENGAGING AN INDEPENDENT COMPENSATION CONSULTANT TO ASSIST IN DETERMINING THE APPROPRIATENESS OF COMPENSATION, WHICH INCLUDES REVIEWING COMPARABLE COMPENSATION STUDIES FOR SIMILARLY QUALIFIED PERSONS IN COMPARABLE ORGANIZATIONS TO SUPPORT ITS DECISION-MAKING PROCESS. THE COMPENSATION COMMITTEE ROUTINELY REPORTS TO THE FULL BOARD OF DIRECTORS ITS COMPENSATION RELATED ACTIVITIES, AND MAY FROM TIME TO TIME RECOMMEND MATTERS FOR THE FULL BOARD OF DIRECTORS CONSIDERATION (E.G., THE ESTABLISHMENT OF ANY NEW COMPENSATION OR BENEFIT PLAN). THE COMPENSATION COMMITTEE CONDUCTS A FORMAL REVIEW FOR THE ORGANIZATION'S EXECUTIVES ON AN ANNUAL BASIS, AND MAY MAKE DECISIONS RELATED TO COMPENSATION AND BENEFITS THROUGHOUT THE YEAR. THE COMPENSATION COMMITTEE LAST RECEIVED AN INDEPENDENT CONSULTANT'S REPORT SUPPORTING THE REASONABLENESS OF THE ORGANIZATION'S EXECUTIVES' COMPENSATION FOR THE REPORTING PERIOD IN JULY, 2013. |
| Process used to establish compensation of other officers/key employees | Form 990, Part VI, Section B, Line 15b | SEE NARRATIVE FOR PART VI LINE 15A. |
| Governing documents, conflict of interest policy and financial statements available to the public | Form 990, Part VI, Section C, Line 19 | VARIOUS PUBLIC AND PRIVATE ENTITIES MAY REQUIRE THE FILING OF SUCH DOCUMENTS AS PART OF A REGULATORY AND OUR CONTRACTUAL COMMITMENT, AND AS A RESULT OF SUCH OBLIGATIONS, CERTAIN OF THESE MATERIALS MAY, IN FACT, BE AVAILABLE TO THE PUBLIC. OUTSIDE OF SUCH DISCLOSURES, THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE NOT ROUTINELY MADE AVAILABLE BY THE ORGANIZATION TO THE PUBLIC. NOTABLY, FINANCIAL STATEMENTS, GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICIES ARE NOT REQUIRED TO BE DISCLOSED PURSUANT TO IRC SECTION 6104. |
| REPORTABLE COMPENSATION FROM RELATED ORGANIZATIONS | FORM 990, PART VII, SECTION A, LINE 1A, COLUMN (E) | CDH-DELNOR HEALTH SYSTEM, A RELATED ORGANIZATION, PROVIDES BOARD MEMBERS WITH AN IPAD FOR USE AT BOARD MEETINGS AND TO RECEIVE BOARD-RELATED MATERIALS SENT ELECTRONICALLY. MOST BOARD MEMBERS RECEIVED THEIR IPAD IN CY11 AND THIS WAS REFLECTED ON THE FY12 FORM 990. ONE BOARD MEMBER RECEIVED AN IPAD DURING CY12, WHICH IS REPORTED IN THIS FY13 FORM 990, PART VII-A. BOARD MEMBERS RECEIVE A FORM 1099 REFLECTING THE COST OF THE IPAD RECEIVED. |
| REPORTABLE COMPENSATION FROM RELATED ORGANIZATIONS | FORM 990, PART VII, SECTION A, LINE 1A, COLUMN (E) | JOHN ORSINI, AN OFFICER LISTED IN PART VII-A JOINED CDH-DELNOR HEALTH SYSTEM, A RELATED ORGANIZATION, IN 2013. THEREFORE THERE IS NO CALENDAR YEAR 2012 W-2 COMPENSATION TO REPORT FOR MR. ORSINI. |
| Other changes in net assets or fund balances | Form 990 , Part XI, Line 9 | INT RATE SWAP VALUATION ADJ - 4617725; NET CHANGE IN NET ASSETS OF FOUNDATION - 2770; |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (10 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|
| DELNOR-COMMUNITY HEALTHCARE FOUNDATION | |||||||||
| 300 RANDALL ROAD | GENEVA | IL | 60134 | HEALTH/FITNESS | IL | 501(C)(3) | 7 | CDH-DELNOR HEALTH SYSTEM | false |
| DELNOR-COMMUNITY RESIDENTIAL LIVINGINC | |||||||||
| 300 RANDALL ROAD | GENEVA | IL | 60134 | RESIDENTIAL SERVICES | IL | 501(C)(3) | 9 | CDH-DELNOR HEALTH SYSTEM | false |
| LIVING WELL CANCER RESOURCE CENTER | |||||||||
| 300 RANDALL ROAD | GENEVA | IL | 60134 | WELLNESS | IL | 501(C)(3) | 7 | CDH-DELNOR HEALTH SYSTEM | false |
| CDH-DELNOR HEALTH SYSTEM | |||||||||
| 27W353 JEWELL RD | WINFIELD | IL | 60190 | MANAGEMENT | IL | 501(C)(3) | Type II | CDH-DELNOR HEALTH SYSTEM | false |
| CADENCE HEALTH FOUNDATION | |||||||||
| 27W353 JEWELL RD | WINFIELD | IL | 60190 | FUNDRAISING | IL | 501(C)(3) | 7 | CDH-DELNOR HEALTH SYSTEM | false |
| CENTRAL DUPAGE PHYSICIAN GROUP | |||||||||
| 27W353 JEWELL RD | WINFIELD | IL | 60190 | PHYSICIAN SERVICES | IL | 501(C)(3) | 9 | CDH-DELNOR HEALTH SYSTEM | false |
| COMMUNITY NURSING SERVICE OF DUPAGE COUNTY | |||||||||
| 690 E NORTH AVE | CAROL STREAM | IL | 60188 | HOME HEALTH | IL | 501(C)(3) | 9 | CDH-DELNOR HEALTH SYSTEM | false |
| CENTRAL DUPAGE HOSPITAL ASSOCIATION | |||||||||
| 27W353 JEWELL RD | WINFIELD | IL | 60190 | HOSPITAL | IL | 501(C)(3) | 3 | CDH-DELNOR HEALTH SYSTEM | false |
| PAHCS II | |||||||||
| 27W353 JEWELL RD | WINFIELD | IL | 60190 | OCCUP. HEALTH | IL | 501(C)(3) | 9 | CDH-DELNOR HEALTH SYSTEM | false |
| CENTRAL DUPAGE SPECIAL HEALTH ASSOC | |||||||||
| 27W353 JEWELL RD | WINFIELD | IL | 60190 | PHARMACY | IL | 501(C)(3) | 9 | CDH-DELNOR HEALTH SYSTEM | false |
Form990 Schedule R Part III Form990ScheduleRPartIII (5 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Predominant Income TypePredominantIncomeType | General Or Managing PartnerGeneralOrManagingPartner |
|---|---|---|---|---|---|---|---|---|---|
| TRI-CITIES IMCARE | |||||||||
| 300 RANDALL ROAD | GENEVA | IL | 60134 | 271942888 | HEALTH CARE | IL | DELCOM | RELATED | false |
| TRI-CITIES DIALYSIS | |||||||||
| 1300 WATERFORD DR LOWER LEVEL | AURORA | IL | 60504 | 364272042 | HEALTH CARE | IL | DELCOM | RELATED | false |
| TRI-CITIES SURGERY | |||||||||
| 345 DELNOR DRIVE | GENEVA | IL | 60134 | 510551673 | HEALTH CARE | IL | DELCOM | RELATED | false |
| TRI-CITIES CANCER | |||||||||
| 300 RANDALL ROAD | GENEVA | IL | 60134 | 364009336 | HEALTH CARE | IL | DELCOM | RELATED | false |
| FVFPDELNOR PROPERTIES | |||||||||
| 300 RANDALL ROAD | GENEVA | IL | 60134 | 451147062 | PROPERTY MANAGEMENT | IL | DELCOM | EXCLUDED | false |
Form990 Schedule R Part IV Form990ScheduleRPartIV (4 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity | Address Line1AddressForeign/AddressLine1 | CityAddressForeign/City | CountryAddressForeign/Country | Postal CodeAddressForeign/PostalCode | Legal Domicile Foreign CountryLegalDomicileForeignCountry |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DUPAGE HEALTH SERVICES INC | |||||||||||||
| 27W353 JEWELL RD | WINFIELD | IL | 60190 | 363270521 | PRIMARY CARE | DE | CDH-DELNOR HEALTH SYSTEM | C CORPORATION | |||||
| DELCOM CORPORATION AND SUBSIDIARY | |||||||||||||
| 300 RANDALL ROAD | GENEVA | IL | 60134 | 363334711 | HEALTH MGMT | IL | CDH-DELNOR HEALTH SYSTEM | C CORPORATION | |||||
| UNITED PROFESSIONALS INSURANCE COMPANY LTD | |||||||||||||
| OTHER INSURANCE FUNDS | CDH-DELNOR HEALTH SYSTEM | C CORPORATION | PO BOX 30600 | GRAND CAYMAN | CJ | KY1-1203 | CJ | ||||||
| CORNERSTONE MEDICAL GROUP | |||||||||||||
| 27W353 JEWELL RD | WINFIELD | IL | 60190 | 364345453 | PHYSICIAN SERVICES | IL | CENTRAL DUPAGE PHYSICIAN GROUP | C CORPORATION | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | false | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | true | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Dividends Related Organization | false | DividendsRelatedOrganization |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | true | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | true | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | true | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | true | SharingOfFacilities |
| Sharing Of Paid Employees | true | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | true | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | true | OtherTransferToOtherOrg |
| Other Transfer From Other Org | true | OtherTransferFromOtherOrg |