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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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2014-05-08T10:01:06-05:00Timestamp
Tax Period End Date2013-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1CROWE HORWATH LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

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

Filer Filer

FieldValueIRS element (for citing)
EIN363484281EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1DELNOR-COMMUNITY HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlDELNNameControl
Phone6302083000Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line1300 Randall RoadAddressLine1
CityGenevaCity
StateILState
ZIP Code60134ZIPCode

Officer Officer

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

Preparer Preparer

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

Form 990 IRS990

Doing Business As DoingBusinessAs

FieldValueIRS element (for citing)
Business Name Line1DELNOR HOSPITALBusinessNameLine1

Name Of Principal Officer Business NameOfPrincipalOfficerBusiness

FieldValueIRS element (for citing)
Business Name Line1MICHAEL VIVODABusinessNameLine1

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line125 N Winfield RoadAddressLine1
CityWinfieldCity
StateILState
ZIP Code60190ZIPCode
FieldValueIRS element (for citing)
Gross Receipts358212426GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.DELNOR.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1986YearFormation
State Legal DomicileILStateLegalDomicile
Activity Or Mission DescriptionDELNOR-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 Body22NbrVotingMembersGoverningBody
Nbr Independent Voting Members17NbrIndependentVotingMembers
Total Nbr Employees1362TotalNbrEmployees
Total Nbr Volunteers650TotalNbrVolunteers
Total Gross UBI909636TotalGrossUBI
Net Unrelated Business Txbl Income335443NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year735689ContributionsGrantsPriorYear
Contributions Grants Current Year339415ContributionsGrantsCurrentYear
Program Service Revenue Prior Year198052791ProgramServiceRevenuePriorYear
Program Service Revenue CY200662494ProgramServiceRevenueCY
Investment Income Prior Year12786940InvestmentIncomePriorYear
Investment Income Current Year12604477InvestmentIncomeCurrentYear
Other Revenue Prior Year2479106OtherRevenuePriorYear
Other Revenue Current Year3082293OtherRevenueCurrentYear
Total Revenue Prior Year214054526TotalRevenuePriorYear
Total Revenue Current Year216688679TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year4910717GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY11883GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year82359020SalariesEtcPriorYear
Salaries Etc Current Year74027928SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year104851077OtherExpensePriorYear
Other Expenses Current Year122343295OtherExpensesCurrentYear
Total Expenses Prior Year192120814TotalExpensesPriorYear
Total Expenses Current Year196383106TotalExpensesCurrentYear
Revenues Less Expenses Prior Year21933712RevenuesLessExpensesPriorYear
Revenues Less Expenses CY20305573RevenuesLessExpensesCY
Total Assets BOY355278122TotalAssetsBOY
Total Assets EOY395015809TotalAssetsEOY
Total Liabilities BOY170691379TotalLiabilitiesBOY
Total Liabilities EOY178869521TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY184586743NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY216146288NetAssetsOrFundBalancesEOY
Mission DescriptionDELNOR-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 ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense156401574Expense
Grants11883Grants
Revenue201762386Revenue
DescriptionPATIENT 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 Expense156401574TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentsfalseTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MemberfalseBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionstrueDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees1362NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members22NbrVotingGoverningBodyMembers
Number Independent Voting Members17NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledILStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

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

Address US AddressUS

FieldValueIRS element (for citing)
Address Line125 N Winfield RoadAddressLine1
CityWinfieldCity
StateILState
ZIP Code60190ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (38 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekAverage Hours Per Week RelatedAverageHoursPerWeekRelatedIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
CATHERINE E KOZIK
Secretary1.002.00XX000
DAVID C BROWN
Treasurer1.002.00XX000
MICHAEL VIVODA
CEO1.0049.00XX091206036090
RICHARD A MARK
Chair1.002.00XX000
WILLIAM P FLESCH
Vice Chair1.002.00XX000
BRADLEY J KINSEY
Director1.002.00X000
C WILLIAM POLLARD
Director1.002.00X000
DONALD VAN PELT
Director1.002.00X000
JAMES E COMERFORD
Director1.002.00X000
JAMES G GIBLIN MD
Director1.002.00X0852500
JOSEPH G CACCHIONE MD
Director1.002.00X000
KAY CLANCY
Director1.003.00X000
MANNY FAVELA
Director1.002.00X000
MATTHEW J ROSS MD
Director1.002.00X000
MICHAEL J KACHMER
Director1.002.00X000
PATRICK J FLINN
Director1.002.00X000
PHILIP A BRANSHAW
Director1.002.00X09090
ROGER T HARRIS
Director1.002.00X000
SCOTT E FORE
Director1.002.00X000
STEPHEN R HOLTSFORD MD
Director1.002.00X4708400
TIMOTHY P MOEN
Director1.002.00X000
WILLIAM A WOLFORD
Director1.002.00X000
JOANNE C STREZO
Asst Secy to the BOD (partial year)1.0047.00X06660718112
JOHN ORSINI
CFO1.0049.00X000
KAREN DIERSEN
Asst Secy to the BOD (partial year)1.0049.00X09820314923
MAUREEN TAUS
VP/Controller & Asst Treasurer1.0048.00X049681619729
MICHAEL HOLZHUETER
VP-Legal & Asst Secy. to the BOD1.0049.00X055647647124
ROBERT FRIEDBERG
President, Delnor Hospital and System EVP40.005.00829822044576X
JULIE BURROWS
Certified Nurse Anesthetist40.000205859028305X
KATHRYN MONTAGUE
Chief CRNA40.000281120050616X
LORE BOGOLIN
Chief Nursing Officer40.000529135035689X
MARK DANIELS MD
Vice President40.000483392024554X
ROBERT HINKLE
Certified Nurse Anesthetist40.000229032023877X
JAMES KEARNS
Former Delnor CIO0.000.0014640500X
JAMES T SPEAR
Former CFO0.000.000124893438996X
LUKE MCGUINNESS
Former CEO0.000.000351759333471X
MICHAEL KITTOE
Former Delnor CFO0.000.0014070906310X
THOMAS WRIGHT
Former President, Delnor and EVP (System)0.000.00326185116666748685X
FieldValueIRS element (for citing)
Total Reportable Comp From Org3218743TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs8149515TotalReportableCompFrmRltdOrgs
Total Other Compensation471056TotalOtherCompensation
Number Individuals GT100 K53NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
CDH-DELNOR HEALTH SYSTEM
27W353 JEWELL RDWINFIELDIL60190MANAGEMENT SERVICES13272554
DELOITTE CONSULTING LLP
PO BOS 7247-6447PHILADELPHIAPA191706447CONSULTING SERVICES6891005
ARAMARK HEALTHCARE FOOD SERVICES
25271 NETWORK PLCHICAGOIL60673CONTRACTED SERVICES2557543
RTKL ASSOCIATES
PO BOX 42336ATLANTAGA303842336ARCHITECT / DESIGN SERVICES2111146
MEDICAL STAFFING NETWORK
PO BOX 23000DALLASTX75320TEMPORARY STAFFING1192215
FieldValueIRS element (for citing)
Number Of Contractors GT100 K50NumberOfContractorsGT100K
Related Organizations224491RelatedOrganizations
All Other Contributions114924AllOtherContributions
Noncash Contributions114924NoncashContributions
Total Contributions339415TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeUnrelated Business RevenueUnrelatedBusinessRevenue
HOSPITAL SERVICE REVENUE900099200662494199752858909636
0
0
0
0

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Program Service Revenue200662494TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column6666311TotalRevenueColumn
Exclusion$6,666,311ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real151361Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real151361Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column151361TotalRevenueColumn
Exclusion$151,361ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities147285876Securities
Other176037Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities141502294Securities
Other21453Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities5783582Securities
Other154584Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column5938166TotalRevenueColumn
Exclusion$5,938,166ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeExclusionExclusionAmount
MEANINGFUL USE REVENUE90009917497291749729
NUTRITION SERVICES900099921404$921,404
OTHER REVENUE900099259799259799

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue2930932TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column216688679TotalRevenueColumn
Related Or Exempt Function Income201762386RelatedOrExemptFunctionIncome
Unrelated Business Revenue909636UnrelatedBusinessRevenue
Exclusion$13,677,242ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total11883Total
Program Services11883ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total922896Total
Management And General922896ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total59275096Total
Program Services54533088ProgramServices
Management And General4742008ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total2027972Total
Program Services1825175ProgramServices
Management And General202797ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total7800017Total
Program Services7020015ProgramServices
Management And General780002ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total4001947Total
Program Services3681791ProgramServices
Management And General320156ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total27618621Total
Management And General27618621ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total0Total

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total62064Total
Management And General62064ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total12812881Total
Program Services10926218ProgramServices
Management And General1886663ManagementAndGeneral
Fundraising0Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total0Total

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total1426720Total
Program Services1212712ProgramServices
Management And General214008ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total1229918Total
Program Services1045430ProgramServices
Management And General184488ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total5931100Total
Program Services5337990ProgramServices
Management And General593110ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total32084Total
Management And General32084ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total82332Total
Program Services49399ProgramServices
Management And General32933ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total6015778Total
Program Services6015778ProgramServices

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total12572035Total
Program Services11943433ProgramServices
Management And General628602ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total755536Total
Program Services755536ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
PATIENT CARE EXPENSES3166654331666543
BAD DEBT1629060616290606
TAXES, FEES, LICENSES40260824026082
FEDERAL INCOME TAX53585358

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total1815637Total
Program Services59895ProgramServices
Management And General1755742ManagementAndGeneral
Fundraising0Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total196383106Total
Program Services156401574ProgramServices
Management And General39981532ManagementAndGeneral
Fundraising0Fundraising

Total Joint Costs TotalJointCosts

FieldValueIRS element (for citing)
Total0Total

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY3815BOY
EOY3815EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY298462BOY
EOY179181EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY28797504BOY
EOY29842333EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY726237BOY
EOY30667EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY2538121BOY
EOY3425809EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY603237BOY
EOY189070EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis307931009LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec142502370LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY128686470BOY
EOY165428639EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY186212423BOY
EOY190904066EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY7411853BOY
EOY5012229EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY355278122BOY
EOY395015809EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY4835920BOY
EOY6320074EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY126889680BOY
EOY123956954EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY38965779BOY
EOY48592493EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY170691379BOY
EOY178869521EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY181418839BOY
EOY212975613EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY3167904BOY
EOY3170675EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY184586743BOY
EOY216146288EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY355278122BOY
EOY395015809EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses20305573ReconcilationRevenueExpenses
Reconciliation Unrealized Invest6633477ReconciliationUnrealizedInvest
Reconcilation Other Changes4620495ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited

FS Audited Basis FSAuditedBasis

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

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Other ActivitiestrueOtherActivities
Other Activities$40,836OtherActivitiesAmount
Total Lobbying Expenditures IIB40836TotalLobbyingExpendituresIIB

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierDescription of the activities reported on Lines 1a through 1iIdentifier
Return ReferenceSchedule C, Part II-B, Line 1ReturnReference
ExplanationPART 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

FieldValueIRS element (for citing)
Other Cost Or Other Basis1584576OtherCostOrOtherBasis
Book Value1584576BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis138515529OtherCostOrOtherBasis
Depreciation46767910Depreciation
Book Value91747619BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis2233691OtherCostOrOtherBasis
Depreciation1196019Depreciation
Book Value1037672BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis132081285OtherCostOrOtherBasis
Depreciation85197815Depreciation
Book Value46883470BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis33515928OtherCostOrOtherBasis
Depreciation9340626Depreciation
Book Value24175302BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings165428639TotalOfBookValueLandBuildings
Federal Income Tax Liability34600FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (4 entries)

DescriptionDescriptionAmountAmount
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
FieldValueIRS element (for citing)
Total Of Amounts48592493TotalOfAmounts
Footnote In Part XIIIXFootnoteInPartXIII

Form990 Schedule D Part XIII Form990ScheduleDPartXIII

FieldValueIRS element (for citing)
IdentifierFIN 48 (ASC 740) footnoteIdentifier
Return ReferenceSchedule D, Part X, Line 2ReturnReference
ExplanationTHE 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

FieldValueIRS element (for citing)
Charity Care PolicytrueCharityCarePolicy
Written PolicytrueWrittenPolicy
Policy Applied To All HospitalsXPolicyAppliedToAllHospitals
FPG Reference Free CaretrueFPGReferenceFreeCare
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgetfalseExpensesExceededBudget
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense14004684TotalCommunityBenefitExpense
Direct Offsetting Revenue11358219DirectOffsettingRevenue
Net Community Benefit Expense2646465NetCommunityBenefitExpense
Percent Of Total Expense0.01630PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense12347843TotalCommunityBenefitExpense
Direct Offsetting Revenue4107996DirectOffsettingRevenue
Net Community Benefit Expense8239847NetCommunityBenefitExpense
Percent Of Total Expense0.05070PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

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

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Number Of Activities Or Programs0NumberOfActivitiesOrPrograms
Persons Served0PersonsServed
Total Community Benefit Expense26352527TotalCommunityBenefitExpense
Direct Offsetting Revenue15466215DirectOffsettingRevenue
Net Community Benefit Expense10886312NetCommunityBenefitExpense
Percent Of Total Expense0.06700PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense627994TotalCommunityBenefitExpense
Net Community Benefit Expense627994NetCommunityBenefitExpense
Percent Of Total Expense0.00390PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense376359TotalCommunityBenefitExpense
Net Community Benefit Expense376359NetCommunityBenefitExpense
Percent Of Total Expense0.00230PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

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

Research Research

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

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense350TotalCommunityBenefitExpense
Net Community Benefit Expense350NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs0NumberOfActivitiesOrPrograms
Persons Served0PersonsServed
Total Community Benefit Expense1004703TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense1004703NetCommunityBenefitExpense
Percent Of Total Expense0.00620PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs0NumberOfActivitiesOrPrograms
Persons Served0PersonsServed
Total Community Benefit Expense27357230TotalCommunityBenefitExpense
Direct Offsetting Revenue15466215DirectOffsettingRevenue
Net Community Benefit Expense11891015NetCommunityBenefitExpense
Percent Of Total Expense0.07320PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

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

Economic Development EconomicDevelopment

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

Community Support CommunitySupport

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

Environmental Improvements EnvironmentalImprovements

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

Leadership Development LeadershipDevelopment

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

Coalition Building CoalitionBuilding

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

Health Improvement Advocacy HealthImprovementAdvocacy

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

Workforce Development WorkforceDevelopment

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

Other Other

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

Total Total

FieldValueIRS element (for citing)
Number Of Activities Or Programs0NumberOfActivitiesOrPrograms
Persons Served0PersonsServed
Total Community Building Expense0TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense0NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReported
Bad Debt Expense$3,596,026BadDebtExpenseAmount
Amount Attributable To0AmountAttributableTo
Amount Reimbursed By Medicare42840368AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare67946468CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-25106100MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

FieldValueIRS element (for citing)
Cost To Charge RatioXCostToChargeRatio
FieldValueIRS element (for citing)
Written Debt Collection PolicytrueWrittenDebtCollectionPolicy
Provision For Charity CaretrueProvisionForCharityCare
Number Of Hospital Facilities1NumberOfHospitalFacilities

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1DELNOR - COMMUNITY HOSPITALBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line1300 RANDALL ROADAddressLine1
CityGENEVACity
StateILState
ZIP Code60134ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Er24 HoursXEr24Hours

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1DELNOR - COMMUNITY HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
CHNA ConductedtrueCHNAConducted
Community DefinitionXCommunityDefinition
Community DemographicsXCommunityDemographics
Existing ResourcesXExistingResources
How Data ObtainedXHowDataObtained
Community Health NeedsXCommunityHealthNeeds
Other Health IssuesXOtherHealthIssues
Identifying ProcessXIdentifyingProcess
Consulting ProcessXConsultingProcess
Information GapsXInformationGaps
Needs Assessment Conducted12NeedsAssessmentConducted
Take Into AccounttrueTakeIntoAccount
Other FacilitiestrueOtherFacilities
CHNA Widely AvailabletrueCHNAWidelyAvailable
Own WebsiteXOwnWebsite
On RequestXOnRequest
Other MethodXOtherMethod
Adopt Implement StrategyXAdoptImplementStrategy
Execute Implement StrategyXExecuteImplementStrategy
Develop Community PlanXDevelopCommunityPlan
Adopt BudgetXAdoptBudget
Prioritize Health NeedsXPrioritizeHealthNeeds
Prioritize ServicesXPrioritizeServices
All Needs AddressedfalseAllNeedsAddressed
Organization Incur Excise TaxfalseOrganizationIncurExciseTax
Eligibility Criteria ExplainedtrueEligibilityCriteriaExplained
Uses FPG FreetrueUsesFPGFree
FPG Free Percent300FPGFreePercent
Uses FPG DiscountedtrueUsesFPGDiscounted
FPG Discount Percent600FPGDiscountPercent
Explains BasistrueExplainsBasis
Income LevelXIncomeLevel
Asset LevelXAssetLevel
Medical IndigencyXMedicalIndigency
Uninsured DiscountXUninsuredDiscount
Explains Application MethodtrueExplainsApplicationMethod
Includes Publicity MeasurestrueIncludesPublicityMeasures
Posted On WebsiteXPostedOnWebsite
Attached To InvoicesXAttachedToInvoices
Posted In Emergency RoomXPostedInEmergencyRoom
Posted In Admission OfficeXPostedInAdmissionOffice
Provided On AdmissionXProvidedOnAdmission
Available On RequestXAvailableOnRequest
Actions On NonpaymenttrueActionsOnNonpayment
Collection ActivitiesfalseCollectionActivities
Other Actions TakenXOtherActionsTaken
Nondiscrim Emergency Care PolicytrueNondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally BilledfalseAmountsGenerallyBilled
Gross ChargesfalseGrossCharges

Form990 Schedule H Part VI Form990ScheduleHPartVI (21 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Community benefit report prepared by related organizationSchedule H, Part I, Line 6aCDH-DELNOR HEALTH SYSTEM (D/B/A CADENCE HEALTH)
Costing Methodology used to calculate financial assistanceSchedule H, Part I, Line 7THE 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 calculationSchedule H, Part I, Line 7, column(f)16,290,606
Subsidized Health ServicesSchedule H, Part I, Line 7gN/A
Bad debt expense - methodology used to estimate amountSchedule H, Part III, Line 2THE 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 benefitSchedule H, Part III, Line 3FOR 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 footnoteSchedule H, Part III, Line 4THIS 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 costsSchedule H, Part III, Line 8THE 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 assistanceSchedule H, Part III, Line 9bIF 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 AssessmentSchedule 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 AssessmentSchedule 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 AssessmentSchedule 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 AssessmentSchedule 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 actionsSchedule 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 billedSchedule 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 2ON 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 3INFORMATION 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 4DELNOR 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 healthSchedule H, Part VI, Line 5A 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 systemSchedule H, Part VI, Line 6DELNOR-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 reportSchedule H, Part VI, Line 7IL

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable

Recipient Name Business RecipientNameBusiness

FieldValueIRS element (for citing)
Business Name Line1ILLINOIS POISON CENTERBusinessNameLine1

Address US AddressUS

FieldValueIRS element (for citing)
Address Line1222 S RIVERSIDE PLAZA STE 100AddressLine1
CityCHICAGOCity
StateILState
ZIP Code60606ZIPCode
FieldValueIRS element (for citing)
EIN Of Recipient362167008EINOfRecipient
IRC Section501C3IRCSection
Amount Of Cash Grant11883AmountOfCashGrant
Purpose Of GrantPUBLIC HEALTH AND SAFETYPurposeOfGrant
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants1TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations0TotalNbrOfOtherOrganizations

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierProcedures for monitoring use of grant fundsIdentifier
Return ReferenceSchedule I, Part I, Line 2ReturnReference
ExplanationDELNOR-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

FieldValueIRS element (for citing)
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E ExpensestrueWrittenPolicyReTAndEExpenses
Substantiation RequiredtrueSubstantiationRequired
Severance PaymenttrueSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (14 entries)

TitleTitleBase Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
JAMES KEARNS
FORMER DELNOR CIO000014640500000146405000
JAMES T SPEAR
FORMER CFO0418976045205903778990162350227610128793000
JULIE BURROWS
CERTIFIED NURSE ANESTHETIST128856012287064716089340193710234164000
KATHRYN MONTAGUE
CHIEF CRNA15906701756901044840300440205710331735000
LORE BOGOLIN
CHIEF NURSING OFFICER2429580283900022770153490203410564825000
LUKE MCGUINNESS
FORMER CEO09922400225000002753530147080187630355106400
MARK DANIELS MD
VICE PRESIDENT366830011306703496016167083870507946000
MAUREEN TAUS
VP/CONTROLLER & ASST TREASURER025217802433730126501791001819051654500
MICHAEL HOLZHUETER
VP-LEGAL & ASST SECY. TO THE BOD0335582021932501569015192031932060360000
MICHAEL KITTOE
FORMER DELNOR CFO000014070900063100147018000
MICHAEL VIVODA
CEO0616830029398801242016096019994094815000
ROBERT FRIEDBERG
PRESIDENT, DELNOR HOSPITAL AND SYSTEM EVP3889820438563022770153850291910874398000
ROBERT HINKLE
CERTIFIED NURSE ANESTHETIST122931011620094481094110144660252909000
THOMAS WRIGHT
FORMER PRESIDENT, DELNOR AND EVP (SYSTEM)325336116667008481050000303840183010374870116666700

Form990 Schedule J Part III Form990ScheduleJPartIII (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Health or social club dues or initiation feesSchedule J, Part I, Line 1aDELNOR-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 compensationSchedule J, Part I, Line 3THE FILING ORGANIZATION RELIED ON CDH-DELNOR HEALTH SYSTEM, A RELATED TAX-EXEMPT ORGANIZATION, WHICH USED A COMPENSATION COMMITTEE, COMPARABILITY DATA, AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE, TO DETERMINE THE COMPENSATION OF ITS CEO.
Severance or change-of-control paymentSchedule J, Part I, Line 4aFOUR 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 planSchedule J, Part I, Line 4bTHE FORMER CHIEF EXECUTIVE OFFICER (MCGUINNESS) PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. PURSUANT TO THIS PLAN, DURING CY 2012, $268,845 WAS CONTRIBUTED, IMMEDIATELY VESTED, AND DISTRIBUTED. ALL ASPECTS OF THE FORMER CHIEF EXECUTIVE OFFICER'S COMPENSATION, INCLUDING CONTRIBUTIONS TO THE SUPPLEMENTAL RETIREMENT PLAN, ARE REVIEWED BY THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS AND SUPPORTED BY CONSULTANTS ENGAGED BY SUCH COMMITTEE.
COMPENSATION CONTINGENT ON NET EARNINGSSCHEDULE J, PART I, LINE 6ADELNOR-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 ReferenceBondReferenceCdIssuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
DELNOR-COMMUNITY HOSPITAL
A36348428145200PJ322008-05-2363042602002A-IL FIN. AUTH. REV. BONDSfalsefalsefalse
DELNOR-COMMUNITY HOSPITAL
B36348428145200PJ402008-05-2362167802002B-IL FIN. AUTH. REV. BONDSfalsefalsefalse
DELNOR-COMMUNITY HOSPITAL
C36348428145200PJ572008-05-2361688402002C-IL FIN. AUTH. REV. BONDSfalsefalsefalse
DELNOR-COMMUNITY HOSPITAL
D36348428145200PJ652008-05-23172237202002D-IL FIN. AUTH. REV. BONDSfalsefalsefalse

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Bond ReferenceBondReferenceCdAmount RetiredAmountRetiredAmount Bond DefeasedAmountBondDefeasedTotal ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundCapitalized InterestCapitalizedInterestRefunding EscrowRefundingEscrowIssuance Costs From ProceedsIssuanceCostsFromProceedsCredit EnhancementCreditEnhancementWorking Capital ExpendituresWorkingCapitalExpendituresCapital ExpendituresCapitalExpendituresOther Spent ProceedsOtherSpentProceedsAmount UnspentAmountUnspentYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
A0063042600006496502392956000000002003falsefalsetruetrue
B0062167800006496501518156000000002003falsefalsetruetrue
C0061688400006496501038756000000002003falsefalsetruetrue
D001722372000018406903965117000000002003falsefalsetruetrue

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyEngage Bond Counsel ContractsEngageBondCounselContractsAny Research AgreementsAnyResearchAgreementsEngage Bond Counsel ResearchEngageBondCounselResearchPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUseBond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTestChange In Use Bond Financed PropChangeInUseBondFinancedPropPrcntge Bond Financed PropPrcntgeBondFinancedPropRemedial Action TakenRemedialActionTakenNon Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs
Afalsefalsefalsefalsefalsefalse0.00000.00000.0000falsefalse0.0000falsetrue
Bfalsefalsefalsefalsefalsefalse0.00000.00000.0000falsefalse0.0000falsetrue
Cfalsefalsefalsefalsefalsefalse0.00000.00000.0000falsefalse0.0000falsetrue
Dfalsefalsefalsefalsefalsefalse0.00000.00000.0000falsefalse0.0000falsetrue

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledRebate Not Due YetRebateNotDueYetException To RebateExceptionToRebateNo Rebate DueNoRebateDueVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsTerm Of HedgeTermOfHedgeSuperintegrated HedgeSuperintegratedHedgeHedge TerminatedHedgeTerminatedGross Proceeds Invested In GICGrossProceedsInvestedInGICTerm Of GICTermOfGICRegulatory Safe Harbor SatisfiedRegulatorySafeHarborSatisfiedGross Proceeds InvestedGrossProceedsInvestedWritten Proc To Monitor ReqsWrittenProcToMonitorReqs
UBS
Afalsefalsefalsetruefalsetrue19.0falsefalsefalse0.0falsefalsetrue
UBS
Bfalsefalsefalsetruefalsetrue19.0falsefalsefalse0falsefalsetrue
UBS
Cfalsefalsefalsetruefalsetrue19.0falsefalsefalse0.0falsefalsetrue
UBS
Dfalsefalsefalsetruefalsetrue19.0falsefalsefalse0falsefalsetrue

Form990 Schedule K Part V Form990ScheduleKPartV (4 entries)

Bond ReferenceBondReferenceCdProc To Undertk Corrective ActionProcToUndertkCorrectiveAction
Atrue
Btrue
Ctrue
Dtrue

Form990 Schedule K Part VI Form990ScheduleKPartVI (9 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
ISSUER NAME: DELNOR-COMMUNITY HOSPITAL: No Rebate Due.Schedule K, Part IV, Line 2cTHE 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 2cTHE 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 2cTHE 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 2cTHE 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 2cTHE 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 2cTHE 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 2cTHE CALCULATION FOR COMPUTING NO REBATE DUE WAS PERFORMED ON 9/28/06.
ARBITRAGE REBATE CALCULATIONSCHEDULE K, PART IV, LINE 2CSERIES 2002A-D FINAL ARBITRAGE REBATE CALCULATION 5/26/06. ALL FUNDS WERE DEPLETED AT THAT TIME.
ARBITRAGE REBATE CALCULATIONSCHEDULE K, PART IV, LINE 2CSERIES 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 ReferenceBondReferenceCdIssuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
DELNOR-COMMUNITY HOSPITAL
A36348428145200PJ732008-06-04292585732003A-IL FIN. AUTH. REV. BONDSfalsefalsefalse
DELNOR-COMMUNITY HOSPITAL
B36348428145200PL392008-06-0462306272003B-IL FIN. AUTH. REV. BONDSfalsefalsefalse
DELNOR-COMMUNITY HOSPITAL
C36348428145200PL472008-06-0452641162003C-IL FIN. AUTH. REV. BONDSfalsefalsefalse
DELNOR-COMMUNITY HOSPITAL
D3634884282011-08-2458415000SERIES 2011C-REFUND SERIES 2008 BONDSfalsefalsefalse

Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)

Bond ReferenceBondReferenceCdAmount RetiredAmountRetiredAmount Bond DefeasedAmountBondDefeasedTotal ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundCapitalized InterestCapitalizedInterestRefunding EscrowRefundingEscrowIssuance Costs From ProceedsIssuanceCostsFromProceedsCredit EnhancementCreditEnhancementWorking Capital ExpendituresWorkingCapitalExpendituresCapital ExpendituresCapitalExpendituresOther Spent ProceedsOtherSpentProceedsAmount UnspentAmountUnspentYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
A99500000292585730003108420124773227700000002003truefalsetruetrue
B006230627000690140116136150000002003truefalsetruetrue
C00526411600058353057635200000002003truefalsetruetrue
D25500005841500000000005841500002011truefalsetruetrue

Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyEngage Bond Counsel ContractsEngageBondCounselContractsAny Research AgreementsAnyResearchAgreementsEngage Bond Counsel ResearchEngageBondCounselResearchPrcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUseBond Iss Meet Prvt Security Pay TestBondIssMeetPrvtSecurityPayTestChange In Use Bond Financed PropChangeInUseBondFinancedPropPrcntge Bond Financed PropPrcntgeBondFinancedPropRemedial Action TakenRemedialActionTakenNon Qualified Bond Remed ProcdrsNonQualifiedBondRemedProcdrs
Afalsefalsefalsefalsefalsefalse0.00000.00000.0000falsefalse0.0000falsetrue
Bfalsefalsefalsefalsefalsefalse0.00000.00000.0000falsefalse0.0000falsetrue
Cfalsefalsefalsefalsefalsefalse0.00000.00000.0000falsefalse0.0000falsetrue
Dfalsefalsefalsefalsefalsefalse0.00000.00000.0000falsefalse0.0000falsetrue

Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledRebate Not Due YetRebateNotDueYetException To RebateExceptionToRebateNo Rebate DueNoRebateDueVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsTerm Of HedgeTermOfHedgeSuperintegrated HedgeSuperintegratedHedgeHedge TerminatedHedgeTerminatedGross Proceeds Invested In GICGrossProceedsInvestedInGICTerm Of GICTermOfGICRegulatory Safe Harbor SatisfiedRegulatorySafeHarborSatisfiedGross Proceeds InvestedGrossProceedsInvestedWritten Proc To Monitor ReqsWrittenProcToMonitorReqs
UBS
Afalsefalsefalsetruefalsetrue20.0falsefalsefalse0falsefalsetrue
UBS
Bfalsefalsefalsetruefalsetrue20.0falsefalsefalse0.0falsefalsetrue
UBS
Cfalsefalsefalsetruefalsetrue20.0falsefalsefalse0falsefalsetrue
(no name)
Dfalsetruefalsefalsetruefalse0falsefalsefalse0falsefalsetrue

Form990 Schedule K Part V Form990ScheduleKPartV (4 entries)

Bond ReferenceBondReferenceCdProc To Undertk Corrective ActionProcToUndertkCorrectiveAction
Atrue
Btrue
Ctrue
Dtrue

Schedule K IRS990ScheduleK

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV

Name Of Interested Person NameOfInterestedPerson

Name Business NameBusiness

FieldValueIRS element (for citing)
Business Name Line1VALLEY EMERGENCY CARE MANAGEMENT LTDBusinessNameLine1
FieldValueIRS element (for citing)
RelationshipPHYSICIAN PRACTICE OF BOARD MEMBER STEPHEN HOLTSFORD, M.D.Relationship
Amount Of Transaction147750AmountOfTransaction
Description Of TransactionPROFESSIONAL FEESDescriptionOfTransaction
Sharing Of RevenuesfalseSharingOfRevenues

Schedule M IRS990ScheduleM

Clothing And Household Goods ClothingAndHouseholdGoods

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Noncash Contribs Rptd F990114924NoncashContribsRptdF990
Method Of Determining RevenuesSELLING COSTMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Number Of8283 Received0NumberOf8283Received
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeld
Review Process Unusual NC GiftsfalseReviewProcessUnusualNCGifts
Third Parties UsedfalseThirdPartiesUsed

Form990 Schedule M Part II Form990ScheduleMPartII (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
GIFT ACCEPTANCE POLICYSCHEDULE M, PART I, LINE 31THE 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)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
NUMBER OF INDEPENDENT BOARD MEMBERSFORM 990, PART VI, LINE 1BFIVE 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 personsForm 990, Part VI, Section A, Line 2PATRICK FLINN AND WILLIAM WOLFORD - BUSINESS RELATIONSHIP
Classes of members or stockholdersForm 990, Part VI, Section A, Line 6THE 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 bodyForm 990, Part VI, Section A, Line 7aCDH-DELNOR HEALTH SYSTEM, THE SOLE MEMBER AND PARENT ORGANIZATION, HAS THE POWER TO ELECT OR REMOVE ALL OF THE DIRECTORS OF DELNOR-COMMUNITY HOSPITAL.
Decisions requiring approval by members or stockholdersForm 990, Part VI, Section A, Line 7bCERTAIN 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 bodyForm 990, Part VI, Section B, Line 11bPRIOR 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 policyForm 990, Part VI, Section B, Line 12cEACH 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 officialForm 990, Part VI, Section B, Line 15aTHE FILING ORGANIZATION'S TOP MANAGEMENT OFFICIAL AND OTHER OFFICERS AND KEY EMPLOYEES ARE EMPLOYEES OF CDH-DELNOR HEALTH SYSTEM, A RELATED TAX-EXEMPT ORGANIZATION AND SOLE MEMBER OF THE FILING ORGANIZATION. THE COMPENSATION COMMITTEE OF THE CDH-DELNOR HEALTH SYSTEM BOARD OF DIRECTORS IS COMPRISED OF INDEPENDENT COMMITTEE MEMBERS AND IS DELEGATED THE RESPONSIBILITY FOR REVIEWING THE COMPENSATION OF THE ORGANIZATION'S EXECUTIVES (INCLUDING THE CHIEF EXECUTIVE OFFICER) AND OTHER KEY EMPLOYEES. THE PROCESS INCLUDES ENGAGING AN INDEPENDENT COMPENSATION CONSULTANT TO ASSIST IN DETERMINING THE APPROPRIATENESS OF COMPENSATION, WHICH INCLUDES REVIEWING COMPARABLE COMPENSATION STUDIES FOR SIMILARLY QUALIFIED PERSONS IN COMPARABLE ORGANIZATIONS TO SUPPORT ITS DECISION-MAKING PROCESS. THE COMPENSATION COMMITTEE ROUTINELY REPORTS TO THE FULL BOARD OF DIRECTORS ITS COMPENSATION RELATED ACTIVITIES, AND MAY FROM TIME TO TIME RECOMMEND MATTERS FOR THE FULL BOARD OF DIRECTORS CONSIDERATION (E.G., THE ESTABLISHMENT OF ANY NEW COMPENSATION OR BENEFIT PLAN). THE COMPENSATION COMMITTEE CONDUCTS A FORMAL REVIEW FOR THE ORGANIZATION'S EXECUTIVES ON AN ANNUAL BASIS, AND MAY MAKE DECISIONS RELATED TO COMPENSATION AND BENEFITS THROUGHOUT THE YEAR. THE COMPENSATION COMMITTEE LAST RECEIVED AN INDEPENDENT CONSULTANT'S REPORT SUPPORTING THE REASONABLENESS OF THE ORGANIZATION'S EXECUTIVES' COMPENSATION FOR THE REPORTING PERIOD IN JULY, 2013.
Process used to establish compensation of other officers/key employeesForm 990, Part VI, Section B, Line 15bSEE NARRATIVE FOR PART VI LINE 15A.
Governing documents, conflict of interest policy and financial statements available to the publicForm 990, Part VI, Section C, Line 19VARIOUS PUBLIC AND PRIVATE ENTITIES MAY REQUIRE THE FILING OF SUCH DOCUMENTS AS PART OF A REGULATORY 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 ORGANIZATIONSFORM 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 ORGANIZATIONSFORM 990, PART VII, SECTION A, LINE 1A, COLUMN (E)JOHN ORSINI, AN OFFICER LISTED IN PART VII-A JOINED CDH-DELNOR HEALTH SYSTEM, A RELATED ORGANIZATION, IN 2013. THEREFORE THERE IS NO CALENDAR YEAR 2012 W-2 COMPENSATION TO REPORT FOR MR. ORSINI.
Other changes in net assets or fund balancesForm 990 , Part XI, Line 9INT 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/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodePrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
DELNOR-COMMUNITY HEALTHCARE FOUNDATION
300 RANDALL ROADGENEVAIL60134HEALTH/FITNESSIL501(C)(3)7CDH-DELNOR HEALTH SYSTEMfalse
DELNOR-COMMUNITY RESIDENTIAL LIVINGINC
300 RANDALL ROADGENEVAIL60134RESIDENTIAL SERVICESIL501(C)(3)9CDH-DELNOR HEALTH SYSTEMfalse
LIVING WELL CANCER RESOURCE CENTER
300 RANDALL ROADGENEVAIL60134WELLNESSIL501(C)(3)7CDH-DELNOR HEALTH SYSTEMfalse
CDH-DELNOR HEALTH SYSTEM
27W353 JEWELL RDWINFIELDIL60190MANAGEMENTIL501(C)(3)Type IICDH-DELNOR HEALTH SYSTEMfalse
CADENCE HEALTH FOUNDATION
27W353 JEWELL RDWINFIELDIL60190FUNDRAISINGIL501(C)(3)7CDH-DELNOR HEALTH SYSTEMfalse
CENTRAL DUPAGE PHYSICIAN GROUP
27W353 JEWELL RDWINFIELDIL60190PHYSICIAN SERVICESIL501(C)(3)9CDH-DELNOR HEALTH SYSTEMfalse
COMMUNITY NURSING SERVICE OF DUPAGE COUNTY
690 E NORTH AVECAROL STREAMIL60188HOME HEALTHIL501(C)(3)9CDH-DELNOR HEALTH SYSTEMfalse
CENTRAL DUPAGE HOSPITAL ASSOCIATION
27W353 JEWELL RDWINFIELDIL60190HOSPITALIL501(C)(3)3CDH-DELNOR HEALTH SYSTEMfalse
PAHCS II
27W353 JEWELL RDWINFIELDIL60190OCCUP. HEALTHIL501(C)(3)9CDH-DELNOR HEALTH SYSTEMfalse
CENTRAL DUPAGE SPECIAL HEALTH ASSOC
27W353 JEWELL RDWINFIELDIL60190PHARMACYIL501(C)(3)9CDH-DELNOR HEALTH SYSTEMfalse

Form990 Schedule R Part III Form990ScheduleRPartIII (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeTypeGeneral Or Managing PartnerGeneralOrManagingPartner
TRI-CITIES IMCARE
300 RANDALL ROADGENEVAIL60134271942888HEALTH CAREILDELCOMRELATEDfalse
TRI-CITIES DIALYSIS
1300 WATERFORD DR LOWER LEVELAURORAIL60504364272042HEALTH CAREILDELCOMRELATEDfalse
TRI-CITIES SURGERY
345 DELNOR DRIVEGENEVAIL60134510551673HEALTH CAREILDELCOMRELATEDfalse
TRI-CITIES CANCER
300 RANDALL ROADGENEVAIL60134364009336HEALTH CAREILDELCOMRELATEDfalse
FVFPDELNOR PROPERTIES
300 RANDALL ROADGENEVAIL60134451147062PROPERTY MANAGEMENTILDELCOMEXCLUDEDfalse

Form990 Schedule R Part IV Form990ScheduleRPartIV (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityAddress Line1AddressForeign/AddressLine1CityAddressForeign/CityCountryAddressForeign/CountryPostal CodeAddressForeign/PostalCodeLegal Domicile Foreign CountryLegalDomicileForeignCountry
DUPAGE HEALTH SERVICES INC
27W353 JEWELL RDWINFIELDIL60190363270521PRIMARY CAREDECDH-DELNOR HEALTH SYSTEMC CORPORATION
DELCOM CORPORATION AND SUBSIDIARY
300 RANDALL ROADGENEVAIL60134363334711HEALTH MGMTILCDH-DELNOR HEALTH SYSTEMC CORPORATION
UNITED PROFESSIONALS INSURANCE COMPANY LTD
OTHER INSURANCE FUNDSCDH-DELNOR HEALTH SYSTEMC CORPORATIONPO BOX 30600GRAND CAYMANCJKY1-1203CJ
CORNERSTONE MEDICAL GROUP
27W353 JEWELL RDWINFIELDIL60190364345453PHYSICIAN SERVICESILCENTRAL DUPAGE PHYSICIAN GROUPC CORPORATION
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgfalseGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Dividends Related OrganizationfalseDividendsRelatedOrganization
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgstruePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgfalseReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg