2014-05-08T10:01:06-05:00 2013-06-30 CROWE HORWATH LLP 70 West Madison Street Suite 700 Chicago IL 606024903 990 2012-07-01 363484281 DELNOR-COMMUNITY HOSPITAL DELN 6302083000 300 Randall Road Geneva IL 60134 JOHN ORSINI 2013-09-23 true John Woodhull P01305268 3128997000 2012 2015-11-30 17:44:51Z DELNOR HOSPITAL MICHAEL VIVODA 25 N Winfield Road Winfield IL 60190 358212426 false X WWW.DELNOR.ORG X 1986 IL 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. 22 17 1362 650 909636 335443 735689 339415 198052791 200662494 12786940 12604477 2479106 3082293 214054526 216688679 4910717 11883 0 0 82359020 74027928 0 0 0 104851077 122343295 192120814 196383106 21933712 20305573 355278122 395015809 170691379 178869521 184586743 216146288 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. false false 156401574 11883 201762386 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. 156401574 true true false true false false false false false true false false false true true false true false false false false false false false false true true true false true true false false false false false false false false false true true false false false false true false false false false true 0 0 1362 true true true false false false false false false false false false X 22 17 true false false false true true true true true false false true true true true true true true true false IL X John Orsini EVP & CFO 6309331600 25 N Winfield Road Winfield IL 60190 X CATHERINE E KOZIK 1.00 2.00 X X 0 0 0 DAVID C BROWN 1.00 2.00 X X 0 0 0 MICHAEL VIVODA 1.00 49.00 X X 0 912060 36090 RICHARD A MARK 1.00 2.00 X X 0 0 0 WILLIAM P FLESCH 1.00 2.00 X X 0 0 0 BRADLEY J KINSEY 1.00 2.00 X 0 0 0 C WILLIAM POLLARD 1.00 2.00 X 0 0 0 DONALD VAN PELT 1.00 2.00 X 0 0 0 JAMES E COMERFORD 1.00 2.00 X 0 0 0 JAMES G GIBLIN MD 1.00 2.00 X 0 85250 0 JOSEPH G CACCHIONE MD 1.00 2.00 X 0 0 0 KAY CLANCY 1.00 3.00 X 0 0 0 MANNY FAVELA 1.00 2.00 X 0 0 0 MATTHEW J ROSS MD 1.00 2.00 X 0 0 0 MICHAEL J KACHMER 1.00 2.00 X 0 0 0 PATRICK J FLINN 1.00 2.00 X 0 0 0 PHILIP A BRANSHAW 1.00 2.00 X 0 909 0 ROGER T HARRIS 1.00 2.00 X 0 0 0 SCOTT E FORE 1.00 2.00 X 0 0 0 STEPHEN R HOLTSFORD MD 1.00 2.00 X 47084 0 0 TIMOTHY P MOEN 1.00 2.00 X 0 0 0 WILLIAM A WOLFORD 1.00 2.00 X 0 0 0 JOANNE C STREZO 1.00 47.00 X 0 66607 18112 JOHN ORSINI 1.00 49.00 X 0 0 0 KAREN DIERSEN 1.00 49.00 X 0 98203 14923 MAUREEN TAUS 1.00 48.00 X 0 496816 19729 MICHAEL HOLZHUETER 1.00 49.00 X 0 556476 47124 ROBERT FRIEDBERG 40.00 5.00 X 829822 0 44576 JULIE BURROWS 40.00 0 X 205859 0 28305 KATHRYN MONTAGUE 40.00 0 X 281120 0 50616 LORE BOGOLIN 40.00 0 X 529135 0 35689 MARK DANIELS MD 40.00 0 X 483392 0 24554 ROBERT HINKLE 40.00 0 X 229032 0 23877 JAMES KEARNS 0.00 0.00 X 146405 0 0 JAMES T SPEAR 0.00 0.00 X 0 1248934 38996 LUKE MCGUINNESS 0.00 0.00 X 0 3517593 33471 MICHAEL KITTOE 0.00 0.00 X 140709 0 6310 THOMAS WRIGHT 0.00 0.00 X 326185 1166667 48685 3218743 8149515 471056 53 true true false 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 50 224491 114924 114924 339415 HOSPITAL SERVICE REVENUE 900099 200662494 199752858 909636 0 0 0 0 0 0 0 0 200662494 6666311 6666311 0 0 151361 151361 0 151361 151361 147285876 176037 141502294 21453 5783582 154584 5938166 5938166 0 0 0 MEANINGFUL USE REVENUE 900099 1749729 1749729 NUTRITION SERVICES 900099 921404 921404 OTHER REVENUE 900099 259799 259799 0 0 0 0 2930932 216688679 201762386 909636 13677242 11883 11883 0 0 0 922896 922896 0 59275096 54533088 4742008 2027972 1825175 202797 7800017 7020015 780002 4001947 3681791 320156 27618621 27618621 0 62064 62064 0 0 0 12812881 10926218 1886663 0 0 1426720 1212712 214008 1229918 1045430 184488 0 5931100 5337990 593110 32084 32084 0 82332 49399 32933 6015778 6015778 0 12572035 11943433 628602 755536 755536 PATIENT CARE EXPENSES 31666543 31666543 BAD DEBT 16290606 16290606 TAXES, FEES, LICENSES 4026082 4026082 FEDERAL INCOME TAX 5358 5358 1815637 59895 1755742 0 196383106 156401574 39981532 0 0 3815 3815 298462 179181 28797504 29842333 0 0 726237 30667 2538121 3425809 603237 189070 307931009 142502370 128686470 165428639 186212423 190904066 0 0 0 0 7411853 5012229 355278122 395015809 4835920 6320074 126889680 123956954 0 38965779 48592493 170691379 178869521 X 181418839 212975613 3167904 3170675 184586743 216146288 355278122 395015809 X 20305573 6633477 4620495 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED true 40836 40836 Description of the activities reported on Lines 1a through 1i Schedule C, Part II-B, Line 1 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. 1584576 1584576 138515529 46767910 91747619 2233691 1196019 1037672 132081285 85197815 46883470 33515928 9340626 24175302 165428639 34600 OTHER LONG-TERM LIABILITIES 11097734 DUE TO RELATED ORGANIZATIONS 13972066 DUE TO THIRD PARTY PAYORS 23205046 RETIREMENT PLAN LIABILITY 283047 48592493 X FIN 48 (ASC 740) footnote Schedule D, Part X, Line 2 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. true true X true true true true false true true 14004684 11358219 2646465 0.01630 12347843 4107996 8239847 0.05070 0 0.00000 0 0 26352527 15466215 10886312 0.06700 627994 627994 0.00390 376359 376359 0.00230 0 0.00000 0 0.00000 350 350 0.00000 0 0 1004703 0 1004703 0.00620 0 0 27357230 15466215 11891015 0.07320 0 0.00000 0 0.00000 0 0.00000 0 0.00000 0 0.00000 0 0.00000 0 0.00000 0 0.00000 0 0.00000 0 0 0 0 0 0.00000 false 3596026 0 42840368 67946468 -25106100 X true true 1 1 DELNOR - COMMUNITY HOSPITAL

300 RANDALL ROAD GENEVA IL 60134

X X X DELNOR - COMMUNITY HOSPITAL 1 true X X X X X X X X X 12 true true true X X X X X X X X X false false true true 300 true 600 true X X X X true true X X X X X X true false X true X false false 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 true ILLINOIS POISON CENTER 222 S RIVERSIDE PLAZA STE 100 CHICAGO IL 60606 362167008 501C3 11883 PUBLIC HEALTH AND SAFETY 1 0 Procedures for monitoring use of grant funds Schedule I, Part I, Line 2 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. X true true true true false false false false false false false JAMES KEARNS 0 0 0 0 146405 0 0 0 0 0 146405 0 0 0 JAMES T SPEAR 0 418976 0 452059 0 377899 0 16235 0 22761 0 1287930 0 0 JULIE BURROWS 128856 0 12287 0 64716 0 8934 0 19371 0 234164 0 0 0 KATHRYN MONTAGUE 159067 0 17569 0 104484 0 30044 0 20571 0 331735 0 0 0 LORE BOGOLIN 242958 0 283900 0 2277 0 15349 0 20341 0 564825 0 0 0 LUKE MCGUINNESS 0 992240 0 2250000 0 275353 0 14708 0 18763 0 3551064 0 0 MARK DANIELS MD 366830 0 113067 0 3496 0 16167 0 8387 0 507946 0 0 0 MAUREEN TAUS 0 252178 0 243373 0 1265 0 17910 0 1819 0 516545 0 0 MICHAEL HOLZHUETER 0 335582 0 219325 0 1569 0 15192 0 31932 0 603600 0 0 MICHAEL KITTOE 0 0 0 0 140709 0 0 0 6310 0 147018 0 0 0 MICHAEL VIVODA 0 616830 0 293988 0 1242 0 16096 0 19994 0 948150 0 0 ROBERT FRIEDBERG 388982 0 438563 0 2277 0 15385 0 29191 0 874398 0 0 0 ROBERT HINKLE 122931 0 11620 0 94481 0 9411 0 14466 0 252909 0 0 0 THOMAS WRIGHT 325336 116667 0 0 848 1050000 30384 0 18301 0 374870 1166667 0 0 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. A DELNOR-COMMUNITY HOSPITAL 363484281 45200PJ32 2008-05-23 6304260 2002A-IL FIN. AUTH. REV. BONDS false false false B DELNOR-COMMUNITY HOSPITAL 363484281 45200PJ40 2008-05-23 6216780 2002B-IL FIN. AUTH. REV. BONDS false false false C DELNOR-COMMUNITY HOSPITAL 363484281 45200PJ57 2008-05-23 6168840 2002C-IL FIN. AUTH. REV. BONDS false false false D DELNOR-COMMUNITY HOSPITAL 363484281 45200PJ65 2008-05-23 17223720 2002D-IL FIN. AUTH. REV. BONDS false false false 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 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 A false false false true false true UBS 19.0 false false false 0.0 false false true B false false false true false true UBS 19.0 false false false 0 false false true C false false false true false true UBS 19.0 false false false 0.0 false false true D false false false true false true UBS 19.0 false false false 0 false false true A true B true C true D true 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. A DELNOR-COMMUNITY HOSPITAL 363484281 45200PJ73 2008-06-04 29258573 2003A-IL FIN. AUTH. REV. BONDS false false false B DELNOR-COMMUNITY HOSPITAL 363484281 45200PL39 2008-06-04 6230627 2003B-IL FIN. AUTH. REV. BONDS false false false C DELNOR-COMMUNITY HOSPITAL 363484281 45200PL47 2008-06-04 5264116 2003C-IL FIN. AUTH. REV. BONDS false false false D DELNOR-COMMUNITY HOSPITAL 363488428 2011-08-24 58415000 SERIES 2011C-REFUND SERIES 2008 BONDS false false false 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 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 A false false false true false true UBS 20.0 false false false 0 false false true B false false false true false true UBS 20.0 false false false 0.0 false false true C false false false true false true UBS 20.0 false false false 0 false false true D false true false false true false 0 false false false 0 false false true A true B true C true D true VALLEY EMERGENCY CARE MANAGEMENT LTD PHYSICIAN PRACTICE OF BOARD MEMBER STEPHEN HOLTSFORD, M.D. 147750 PROFESSIONAL FEES false X 114924 SELLING COST 0 false false false 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 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; 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 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 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 PO BOX 30600 GRAND CAYMAN CJ KY1-1203 OTHER INSURANCE FUNDS CJ CDH-DELNOR HEALTH SYSTEM C CORPORATION CORNERSTONE MEDICAL GROUP 27W353 JEWELL RD WINFIELD IL 60190 364345453 PHYSICIAN SERVICES IL CENTRAL DUPAGE PHYSICIAN GROUP C CORPORATION false false true false false false false false false false true true true true true true false true true