2014-05-09T16:49:01-05:00 2013-06-30 CROWE HORWATH LLP 70 West Madison Street Suite 700 Chicago IL 606024903 990 2012-07-01 362513909 CENTRAL DUPAGE HOSPITAL ASSOCIATION CENT 6309331600 25 North Winfield Road Winfield IL 60190 JOHN ORSINI 2013-09-23 true John Woodhull P01305268 3128997000 2012 2015-11-30 17:44:51Z MICHAEL VIVODA 25 North Winfield Road Winfield IL 60190 883652131 false X WWW.CDH.ORG X 1958 IL CENTRAL DUPAGE HOSPITAL (CDH) PROVIDES MEDICAL SERVICES TO PATIENTS, REGARDLESS OF THEIR ABILITY TO PAY, AND OTHERWISE STRIVES TO IMPROVE THE HEALTH AND WELL-BEING OF THOSE WITHIN ITS COMMUNITY. 22 17 4059 750 63638429 21628216 694819 3797268 760694984 831310040 7474361 7422302 4376741 6524093 773240905 849053703 65230316 1895165 0 0 236511591 240074606 0 0 0 359250039 422701421 660991946 664671192 112248959 184382511 1029440344 1058903148 113718427 142358763 915721917 916544385 CENTRAL DUPAGE HOSPITAL IS A COMMUNITY OF CAREGIVERS COMMITTED TO PROVIDING EXCELLENT AND COMPASSIONATE PATIENT CARE EACH AND EVERY TIME, THROUGH SHARED VALUES OF INTEGRITY, COMPASSION, ACCOUNTABILITY, RESPECT AND EXCELLENCE. false false 550367912 1895165 767671611 CDH PROVIDES INPATIENT AND OUTPATIENT DIAGNOSTIC AND THERAPEUTIC MEDICAL CARE TO PATIENTS, REGARDLESS OF THEIR ABILITY TO PAY. IN FY2013, CDH PROVIDED INPATIENT CARE FOR 23,863 PATIENTS. IN ADDITION, CDH OPERATES AN EMERGENCY DEPARTMENT 24/7 WHERE 71,410 PATIENTS WERE TREATED, AND SIX COMMUNITY-BASED CONVENIENT CARE CENTERS WHERE 239,338 PATIENTS RECEIVED CARE IN FY2013. CDH ALSO DEMONSTRATES ITS COMMITMENT TO THE COMMUNITY BY WORKING CLOSELY WITH COMMUNITY PARTNERS TO IDENTIFY HEALTH NEEDS AND DETERMINE THE MOST EFFECTIVE WAY TO MEET THOSE NEEDS. THIS ACTIVITY RESULTS IN A VARIETY OF GRANTS AND COLLABORATIVE PROGRAMS THAT PROMOTE THE HEALTH AND WELLNESS OF THE COMMUNITY. 550367912 true true false true false false false false true true false false false true true false true false false false false false false false false true true true true true false false false false false false true true true false false false false true false false false false true 0 0 4059 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 NORTH 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 85250 0 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 0 47084 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 BRIAN LEMON 40.00 0 X 230646 0 7370 AVI MAZUMDAR MD 40.00 0 X 643445 0 27861 DEBRA O'DONNELL 40.00 2.00 X 571438 0 34042 HARISH SHOWNKEEN MD 40.00 0 X 1442288 0 47501 KEVIN P MOST DO 40.00 1.00 X 518061 0 25982 RAJEEV DEVESHWAR MD 40.00 0 X 645249 0 42184 JAMES T SPEAR 0.00 0.00 X 0 1248934 38996 LUKE MCGUINNESS 0.00 0.00 X 0 3517593 33471 ROBERT FRIEDBERG 1.00 44.00 X 0 829822 44576 4136377 7774504 437961 235 true true false CDH-DELNOR HEALTH SYSTEM 27W353 JEWELL RD WINFIELD IL 60190 MANAGEMENT SERVICES 59990460 ARAMARK SERVICES 25271 NETWORK PL CHICAGO IL 606731252 CONTRACTED SERVICES 11147651 EPIC SYSTEMS CORP PO BOX 88314 MILWAUKEE WI 532880314 CONSULTING/EMR 5027391 INTERNATIONAL CONTRACTORS INC 977 SOUTH ROUTE 83 ELMHURST IL 60126 CONSTRUCTION 4849383 PEPPER CONSTRUCTION 18505 WEST CREEK DR TINLEY PARK IL 60477 CONSTRUCTION 4345767 102 2978614 557106 261548 261548 3797268 HOSPITAL SERVICE REVENUE, NET 900099 831310040 767671611 63638429 0 0 0 0 0 0 0 0 831310040 6196978 6196978 0 0 0 0 0 35127736 371052 34188342 85122 939394 285930 1225324 1225324 0 0 656615 324964 331651 331651 CAFETERIA/VENDING 900099 2739782 2739782 MEANINGFUL USE REVENUE 900099 2523333 2523333 RESEARCH INCOME 900099 199561 199561 729766 0 0 729766 6192442 849053703 767671611 63638429 13946395 1728734 1728734 166431 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RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED true 51434 51434 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. 5483018 10100 32000 5525118 5265230 12631 205157 5483018 4623441 32212 637454 27877 5265230 4359240 73315 198755 7869 4623441 4632175 299599 -550985 21549 4359240 1.00000 false true true 4916541 4916541 471565303 141947153 329618150 1335274 311269 1024005 404271104 225457688 178813416 36668451 11112475 25555976 539928088 8483335 DUE TO RELATED ORGANIZATIONS 22668548 31151883 X Intended uses of endowment funds Schedule D, Part V, Line 4 THE ENDOWMENTS ARE HELD BY CADENCE HEALTH FOUNDATION, A RELATED TAX-EXEMPT ORGANIZATION, AND ARE USED TO SUPPORT CDH AND CENTRAL DUPAGE PHYSICIAN GROUP'S HOMECARE PHYSICIANS PROGRAM 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 true false true true 112947760 93114394 19833366 0.03660 58328416 37539290 20789126 0.03840 0 0.00000 0 0 171276176 130653684 40622492 0.07500 3886527 3886527 0.00720 943082 943082 0.00170 0 0.00000 424744 424744 0.00080 1630664 1630664 0.00300 0 0 6885017 0 6885017 0.01270 0 0 178161193 130653684 47507509 0.08770 0 0.00000 0 0.00000 60000 60000 0.00000 0 0.00000 0 0.00000 0 0.00000 0 0.00000 0 0.00000 0 0.00000 0 0 60000 0 60000 0.00000 false 9826987 0 137103057 184755538 -47652481 X true true 1 1 CENTRAL DUPAGE HOSPITAL

25 N WINFIELD ROAD WINFIELD IL 60190

X X X X CENTRAL DUPAGE HOSPITAL 1 true X X X X X X X X X X 13 true false true X X 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 0 CDH-BARTLETT CONVENIENT CARE

820 ROUTE 59 BARTLETT IL 60103

OUTPATIENT CLINIC CDH-CHARLESTOWNE CONVENIENT CARE

2900 FOXFIELD RD ST CHARLES IL 60174

OUTPATIENT CLINIC CDH-DANADA CONVENIENT CARE

7 BLANCHARD CIRCLE WHEATON IL 60187

OUTPATIENT CLINIC CDH-GLEN ELLYN CONVENIENT CARE

885 ROOSEVELT RD GLEN ELLYN IL 60137

OUTPATIENT CLINIC CDH-RIVER NORTH CONVENIENT CARE

636 RAYMOND DRIVE 106 NAPERVILLE IL 60563

OUTPATIENT CLINIC CDH-STRATFORD CONVENIENT CARE

231 S GARY AVENUE BLOOMINGDALE IL 60108

OUTPATIENT CLINIC CDH-PHYSICAL THERAPY AT HEALTH TRACK

875 ROOSEVELT ROAD GLEN ELLYN IL 60137

OUTPATIENT CLINIC CDH BEHAVIORAL HEALTH SERVICES

27W350 HIGH LAKE RD WINFIELD IL 60190

OUTPATIENT CLINIC 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) 56,616,219 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 COLLECTIBILITY 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. Other Content in Needs Assessment Schedule H, Part V Section B, Line 1j (1) CENTRAL DUPAGE HOSPITAL - * HEALTHCOLLABORATIVES AND KEY COMMUNITY STAKEHOLDERS * DESCRIPTION OF THE PLAN TO RESPOND TO THE NEEDS - SUMMARY OF KEY NEXT ACTION STEPS IN THE COMMUNITY BENEFIT STRATEGIC PLANNING PROCESS ; Community Served by Needs Assessment Schedule H, Part V Section B, Line 3 (1) CENTRAL DUPAGE 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. EXISTING HEALTH COLLABORATIVES * IMPROVING ACCESS FOR THE UNDERSERVED -A BROAD-BASED COLLABORATIVE INVOLVING CDH, AS WELL AS MANY OTHER HEALTHCARE PROVIDERS AND SOCIAL SERVICE AGENCIES, ADDRESSES ACCESS ISSUES FOR LOW-INCOME AND MINORITY POPULATIONS IN DUPAGE COUNTY. THESE INCLUDE IN-KIND SERVICE CONTRIBUTIONS AND ADMINISTRATIVE SUPPORT TO DUPAGE HEALTH COALITION'S ACCESS DUPAGE PROGRAM FOR UNINSURED LOW INCOME ADULTS, AS WELL AS FEDERALLY QUALIFIED COMMUNITY HEALTH CENTERS. COLLABORATIVE REFERRAL ARRANGEMENTS AMONG PARTICIPANTS HELP LINK PATIENTS TO PRIMARY CARE PHYSICIANS AND OTHER ONGOING CARE. * ADDRESSING CHRONIC ILLNESS AND MENTAL HEALTH NEEDS - EFFORTS LED BY THE COUNTY HEALTH DEPARTMENT ARE UNDERWAY TO CREATE THE COMPREHENSIVE NETWORK OF PREVENTIVE, WELLNESS, MAINTENANCE, AND SOCIAL SUPPORT SERVICES NEEDED TO IMPROVE THE LIVES OF COMMUNITY MEMBERS SUFFERING FROM CHRONIC ILLNESS AND MENTAL HEALTH ISSUES. CDH AND OTHER PROVIDERS ARE PARTICIPATING. * PROMOTING WELLNESS AND PREVENTION - CDH JOINS OTHER PROVIDERS AND COMMUNITY GROUPS IN ADDRESSING A VARIETY OF COMMUNITY-WIDE HEALTH CHALLENGES INCLUDING CHILDHOOD AND ADULT OBESITY AND PREVENTION OF HEART DISEASE, CANCER, AND STROKE. KEY COMMUNITY STAKEHOLDERS * DUPAGE COUNTY HEALTH COALITION - ACCESS DUPAGE IS A COLLABORATIVE EFFORT BY LOCAL INDIVIDUALS AND ORGANIZATIONS WHOSE GOAL IS TO PROVIDE ACCESS TO MEDICAL AND MENTAL HEALTH SERVICES TO LOW-INCOME RESIDENTS IN DUPAGE COUNTY. THE PROGRAM IS A PARTNERSHIP OF HOSPITALS, PHYSICIANS, LOCAL GOVERNMENT, HUMAN SERVICE AGENCIES, AND COMMUNITY GROUPS. IT PROVIDES SERVICES TO ADULT COUNTY RESIDENTS WHO ARE UNDER AGE 65, HAVE HOUSEHOLD INCOMES BELOW 200 PERCENT OF THE FEDERAL POVERTY LEVEL, HAVE NO MEDICAL INSURANCE, AND ARE NOT ELIGIBLE FOR PUBLIC HEALTH INSURANCE PLANS. THE AVERAGE WEEKLY ENROLLMENT FOR ACCESS DUPAGE IN 2012 WAS 9,696 PEOPLE. THE TOTAL NUMBER OF PERSONS ENROLLED AT SOME POINT DURING 2012 WAS 14,402 WITH A RE-ENROLLMENT RATE FROM OF 63.8 PERCENT. * DUPAGE COUNTY HEALTH DEPARTMENT - THE DUPAGE COUNTY HEALTH DEPARTMENT, LOCATED IN WHEATON, ILLINOIS, IS CHARGED WITH PROVIDING CORE PUBLIC HEALTH FUNCTIONS RELATED TO ASSESSMENT, ASSURANCE, AND POLICY DEVELOPMENT. TO THAT END, THE HEALTH DEPARTMENT OFFERS A COMPREHENSIVE ARRAY OF SERVICES DESIGNED IN RESPONSE TO COMMUNITY NEED AND PUBLIC MANDATE. CDH, AS WELL AS OTHER DUPAGE COUNTY HOSPITALS, HEALTH PROFESSIONALS, AND HEALTH-RELATED SOCIAL SERVICE AGENCIES, SUPPORT THE HEALTH DEPARTMENT IN A VARIETY OF WAYS INCLUDING PARTICIPATION IN THE IPLAN PROCESS AND MENTAL HEALTH INITIATIVE. THE HEALTH DEPARTMENT IS AN ANCHOR MEMBER OF THE DUPAGE HEALTH COALITION, AND THEIR EXECUTIVE DIRECTOR SERVES ON THE BOARD. THE HEALTH DEPARTMENT ALSO SERVES AS THE FIDUCIARY AGENT FOR THE FORWARD INITIATIVE. * DUPAGE FEDERATION ON HUMAN SERVICE REFORM - THE DUPAGE FEDERATION ON HUMAN SERVICES REFORM IS A COLLABORATION OF GOVERNMENT AND KEY COMMUNITY ORGANIZATIONS THAT IDENTIFY WAYS A LOCAL COMMUNITY CAN ADDRESS ITS HUMAN NEEDS USING ITS OWN RESOURCES AND RESOURCEFULNESS. THE FEDERATION SERVES AS AN ORGANIZER AND CATALYST IN DUPAGE COUNTY, BRINGING TOGETHER THE RESPONSIBLE ORGANIZATIONS AND ADVOCATING FOR THE DEVELOPMENT OF REAL SOLUTIONS. THE ORGANIZATION EFFECTS CHANGE BY MANAGING COLLABORATIONS AND PROJECTS, IDENTIFYING NEEDED SYSTEMS CHANGES, AND MAKING RECOMMENDATIONS FOR IMPROVEMENT. THE FEDERATION'S VALUE LIES IN ITS EXPERTISE AND OBJECTIVITY. THE FACT THAT IT IS NOT A DIRECT SERVICE PROVIDER PRESERVES ITS ABILITY TO LOOK AT THE BIG PICTURE, ADDRESSING CROSS-CATEGORICAL PROBLEMS IN HUMAN SERVICES. THIS IS ACHIEVED THROUGH A STRONG, INVOLVED BOARD, A SYNERGISTIC PARTNERSHIP BETWEEN BOARD AND STAFF, AND THROUGH LONG-TERM RELATIONSHIPS WITH KEY DECISION-MAKERS AND ORGANIZATIONAL PARTNERS (WWW.DUPAGEFEDERATION.ORG). CDH AND OTHER COMMUNITY PROVIDERS PARTICIPATE ACTIVELY IN BOTH THE FEDERATION AND ITS INITIATIVES. * FORWARD INITIATIVE - FORWARD IS A NEW LEADERSHIP INITIATIVE AIMED AT REVERSING THE TREND OF CHILDHOOD OBESITY IN DUPAGE COUNTY. ONE OF THE GOALS IS TO IDENTIFY THE MAGNITUDE OF THE PROBLEM IN ORDER TO DEVELOP APPROPRIATE INTERVENTIONS. PRELIMINARY DATA SHOWS THAT THE OVERWEIGHT AND OBESITY RATE FOR DUPAGE COUNTY IS 60.9 PERCENT. FOR YOUTH BETWEEN THE AGES OF 5 AND 17, THE RATE IS 25.2 PERCENT, DOWN FROM 34 PERCENT IN 2009. CDH AND OTHER COMMUNITY PROVIDERS AND GROUPS ACTIVELY PARTICIPATE IN THIS COALITION BY PROVIDING FUNDING, PLANNING, LEADERSHIP, AND IN-KIND SUPPORT FOR RESEARCH AND OUTREACH ACTIVITIES. * DUPAGE COUNTY IPLAN 2015 - IPLAN (ILLINOIS PROJECT FOR LOCAL ASSESSMENT OF NEEDS) IS A SERIES OF PLANNING ACTIVITIES LED BY THE CERTIFIED LOCAL HEALTH DEPARTMENT. IPLAN 2015 CLEARLY DEMONSTRATES THE DUPAGE COUNTY HEALTH DEPARTMENT'S COMMITMENT TO THE TEN ESSENTIAL PUBLIC HEALTH SERVICES. * MUNICIPALITIES, SCHOOL AND PARK DISTRICTS, AND NON-GOVERNMENTAL COMMUNITY GROUPS - IN ADDITION TO THE COLLABORATIVES NOTED ABOVE, CDH MAINTAINS DIRECT RELATIONSHIPS WITH A VARIETY OF GOVERNMENT AND NON-GOVERNMENT ORGANIZATIONS THROUGHOUT ITS SERVICE AREA. THESE INCLUDE MUNICIPALITIES, PARK DISTRICTS, SCHOOL DISTRICTS, CHURCHES, SERVICE CLUBS, AND RESEARCH AND SUPPORT ORGANIZATIONS SUCH AS THE AMERICAN HEART ASSOCIATION. ASSISTANCE FROM CDH AND OTHER COMMUNITY PROVIDERS INCLUDES IN-KIND DONATIONS, FUNDRAISING SUPPORT, AND PARTICIPATION IN WELLNESS, PREVENTION, SCREENING, AND OTHER HEALTH-RELATED ACTIVITIES. CDH HAS A LONG-STANDING HISTORY OF PROVIDING SUPPORT, LEADERSHIP, AND COALITION-BUILDING IN SUPPORT OF HEALTH AND WELLNESS INITIATIVES. HIGHLIGHTS OF THESE PROGRAMS ARE DETAILED IN OUR ANNUAL COMMUNITY BENEFIT REPORT. OTHER KEY STAKEHOLDERS DUPAGE COMMUNITY HUNGER NETWORK HTTP://COMMUNITYHUNGERNETWORK.ORG/ NORTHERN ILLINOIS FOOD BANK HTTP://SOLVEHUNGERTODAY.ORG/ PEOPLE'S RESOURCE CENTER (PRC) HTTP://WWW.PEOPLESRC.ORG/ PROACTIVE KIDS FOUNDATION HTTP://PROACTIVEKIDS.ORG/ABOUT MEIER CLINIC'S FAMILY BRIDGES HTTP://WWW.MEIERCLINICS.COM/ILLINOIS INTERFAITH MENTAL HEALTH HTTP://INTERFAITHMHC.ORG/ABOUT-THE-COALITION ; Availability of Needs Assessment Schedule H, Part V Section B, Line 5c (1) CENTRAL DUPAGE HOSPITAL - PRINTED AND DISTRIBUTED TO KEY HEALTH LEADERS OF THE COMMUNITY. ; Needs not addressed in Needs Assessment Schedule H, Part V Section B, Line 7 (1) CENTRAL DUPAGE HOSPITAL - TWO ADDITIONAL NEEDS WERE IDENTIFIED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT - PRENATAL AND PERINATAL CARE FOR UNDERSERVED POPULATIONS AND INFECTIOUS AND SEXUALLY TRANSMITTED DISEASE RATES ABOVE TARGETS. WHILE WE STILL CONSIDER THESE AS PRIORITY NEEDS, WE BELIEVE THE MOST EFFECTIVE WAY TO RESPOND IS BY CONTINUING TO PARTICIPATE IN COUNTY-LED INITIATIVES TO ADDRESS THESE CONCERNS AND SUPPORTING THE WORK OF QUALIFIED ORGANIZATIONS PROVIDING AMBULATORY CARE TO THE UNDERSERVED. CHILD AND MATERNAL HEALTH - THERE IS A NEED FOR ADDITIONAL EFFORT TO IMPROVE PRENATAL AND PERINATAL CARE, AND TO TARGET HIGH-RISK GROUPS SUCH AS TEENAGERS AND OLDER WOMEN IN ADDITION TO MONITORING HISTORICALLY HIGHER INFANT MORTALITY RATES AMONG AFRICAN-AMERICANS RESIDENTS OF DUPAGE COUNTY, SUGGESTING THAT INTERVENTIONS TARGETING THIS POPULATION MAY HELP. WE BELIEVE THAT WE ARE BEST SUITED TO ASSIST IN MEETING THESE NEEDS IN TWO WAYS: (1) THROUGH THE SUPPORT OF LOCAL MEDICAL HOME PROVIDERS FOR THE UNDERSERVED AND (2) BY CONTINUING TO OFFER STATE OF THE ART PRENATAL EDUCATION SERVICES TO ALL MEMBERS OF OUR COMMUNITY. INFECTIOUS AND SEXUALLY TRANSMITTED DISEASE RATES ABOVE TARGETS MAINTAINING HIGH LEVELS OF VACCINATION IN THE POPULATION IS THE BEST WAY TO CONTROL THESE DISEASES. VACCINE RATES FOR PNEUMONIA AND FLU AMONG OLDER DUPAGE RESIDENTS ARE BELOW NATIONAL TARGETS. IMPROVING VACCINE RATES FOR ESTABLISHED DISEASES REQUIRES PUBLIC OUTREACH AND COORDINATION AMONG PROVIDERS. MEETING EMERGING DISEASE THREATS ALSO REQUIRES HIGHLY COORDINATED RAPID MOBILIZATION OF PUBLIC HEALTH AND PROVIDER RESOURCES. SEXUALLY TRANSMITTED DISEASE RATES - WHILE STILL BELOW NATIONAL AND STATE LEVELS, RATES OF SEXUALLY TRANSMITTED DISEASE HAVE RISEN IN DUPAGE COUNTY IN RECENT YEARS. EDUCATION AND OUTREACH AS WELL AS ACCESS TO CONFIDENTIAL AND AFFORDABLE TREATMENT ARE NEEDED TO ADDRESS THESE DISEASES. CDH WILL CONTINUE TO PARTICIPATE IN COUNTY-LED INITIATIVES IN THESE AREAS IN ADDITION TO SUPPORTING THE WORK OF HEALTHCARE PROVIDERS FOR THE UNDERSERVED. ; Other actions taken before collection actions Schedule H, Part V Section B, Line 18e (1) CENTRAL DUPAGE HOSPITAL - NONE OF THE ACTIONS LISTED IN LINE 16 WERE INITIATED PRIOR TO NOTIFYING THE INDIVIDUALS OF THE AVAILABILITY OF FINANCIAL ASSISTANCE.; Means used to determine amounts billed Schedule H, Part V Section B, Line 20d (1) CENTRAL DUPAGE 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 CDH 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 CENTRAL DUPAGE 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 CENTRAL DUPAGE HOSPITAL (CDH) IS LOCATED IN THE WESTERN SUBURBS OF THE CHICAGOLAND AREA. CDH'S PRIMARY AND MUCH OF ITS SECONDARY SERVICE AREA IS LOCATED IN DUPAGE COUNTY, WHICH HAS AN AREA OF 336 SQUARE MILES. DUPAGE CURRENTLY HAS A POPULATION OF 923,222 AND IS THE SECOND MOST POPULOUS COUNTY IN ILLINOIS. IN 2010, DUPAGE'S POPULATION WAS REPORTED TO HAVE A BREAKDOWN ESTIMATED TO BE 646,130 CAUCASIANS, 41,024 AFRICAN-AMERICANS, 91,793 ASIANS, AND 121,506 HISPANIC OR LATINO ORIGIN. WHILE DUPAGE COUNTY TRADITIONALLY HAS BEEN AMONG THE MOST AFFLUENT IN ILLINOIS, IN RECENT YEARS THE NUMBER OF LOW-INCOME HOUSEHOLDS HAS INCREASED SHARPLY. THE PERCENTAGE OF RESIDENTS EARNING BELOW 200 PERCENT OF THE FEDERAL POVERTY LEVEL GREW NEARLY 28 PERCENT FROM 2000 TO 2005, ACCORDING TO THE DUPAGE FEDERATION ON HUMAN SERVICES REFORM. THERE WERE 13.8% OF THE RESIDENTS RECEIVING MEDICAID BENEFITS IN 2013. IN ADDITION TO CENTRAL DUPAGE HOSPITAL, THERE ARE FIVE OTHER ACUTE CARE HOSPITALS LOCATED IN DUPAGE COUNTY. 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 PRIVILEGES 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 DUPAGE 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 CENTRAL DUPAGE HOSPITAL ASSOCIATION (CDH), A MEMBER ORGANIZATION OF CADENCE HEALTH, IS LOCATED IN DUPAGE COUNTY, IN THE WESTERN SUBURBS OF THE METROPOLITAN CHICAGO AREA. OTHER ORGANIZATIONS WITHIN CADENCE HEALTH INCLUDE: DELNOR-COMMUNITY HOSPITAL (COMMUNITY HOSPITAL LOCATED IN NEIGHBORING KANE 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 CADENCE HEALTH FOUNDATION 27W353 JEWELL RD WINFIELD IL 60190 364401289 501C3 275000 HEALTHCARE DUPAGE COALITION (ACCESS DUPAGE) 511 THORNHILL DR SUITE M CAROL STREAM IL 60188 364448208 501C3 987000 ACCESS TO HEALTHCARE FOR LOW INCOME COLLEGE OF DUPAGE FOUNDATION 425 FAWELL BLVD GLEN ELLYN IL 60137 237011835 501C3 53500 HEALTHCARE INSTRUCTIONAL SUPPORT VILLAGE OF WINFIELD 27W465 JEWELL RD WINFIELD IL 60190 366009519 GOVERNMENT 52000 COMMUNITY PROJECTS / PUBLIC SAFETY SPECTRIOS INSTITUTE 219 E COLE AVE WHEATON IL 60187 363083157 501C3 51000 PEDIATRIC VISION OUTREACH WINFIELD EDUCATION FOUNDATION 0S150 WINFIELD RD WINFIELD IL 60190 010692701 501C3 45880 STUDENT HEALTH WINFIELD SCHOOL DISTRICT 34 0S150 WINFIELD RD WINFIELD IL 60190 366004497 GOVERNMENT 32480 STUDENT HEALTH ILLINOIS POISON CENTER 222 S RIVERSIDE PLZ STE 1900 CHICAGO IL 60606 362167008 501C3 22166 PUBLIC HEALTH AND SAFETY GLOBAL HEALTH INITIATIVE 676 N ST CLAIR STE 2300 CHICAGO IL 60611 264626429 501C3 18000 HEALTH ACCESS FOR MEDICALLY UNDERSERVED BOY SCOUTS OF AMERICA THREE FIRES COUNCIL TROOP 575 415 N 2ND ST ST CHARLES IL 60174 363831877 501C3 13155 FIRST AID AND SAFETY TRAINING COMMUNITY UNIT SCHOOL DISTRICT 200 130 W PARK WHEATON IL 60189 362739066 GOVERNMENT 12575 EDUCATION AND FITNESS ASSISTANCE ALIVIO MEDICAL CENTER 966 W 21ST STREET CHICAGO IL 60608 363661051 501C3 10000 HEALTH ACCESS FOR MEDICALLY UNDERSERVED AMERICAN CANCER SOCIETY 1801 MEYERS RD STE 100 OAKBROOK TERRACE IL 60181 131788491 501C3 10000 EDUCATION/RESEARCH/SUPPORT WHEATON COLLEGE 501 COLLEGE AVE WHEATON IL 60187 362182171 501C3 10000 PERFORMING ARTS WINFIELD IN ACTION 0S623 JEFFERSON ST WINFIELD IL 60190 237359257 501C3 8338 RECREATION PROGRAMS SUPPORT ADVOCATES OF THE WINFIELD RIVERWALK 27W465 JEWELL RD WINFIELD IL 60190 300549828 501C3 7500 EVENT SPONSOR FOR COMMUNITY FUNDRAISER VILLAGE OF WINFIELD WINFIELD BIKEWAY PLANNING GROUP 27W465 JEWELL RD WINFIELD IL 60190 366009519 GOVERNMENT 7000 COMMUNITY IMPROVEMENT HOSPITAL SISTERS MISSION OUTREACH PO BOX 1665 SPRINGFIELD IL 62705 352271729 501C3 6573 MEDICAL ASSISTANCE FOR UNDERSERVED WINFIELD PARK DISTRICT 0N020 COUNTY FARM RD WINFIELD IL 60190 363303703 GOVERNMENT 6000 PARK DISTRICT SCHOLARSHIP PROGRAM SPECIAL CAMPS FOR SPECIAL PEOPLE 26W684 LINDSEY WINFIELD IL 60190 364002804 501C3 5058 SPECIAL NEEDS CITIZENS FRIENDS FOR THERAPEUTIC EQUINE ACTIVITIES 28W051 LIBERTY ST WINFIELD IL 60190 364095011 501C3 5058 SPECIAL NEEDS CHILDREN / ADULTS AMERICAN HEART ASSOCIATION 208 S LASALLE ST STE 1500 CHICAGO IL 60604 135613797 501C3 5000 EDUCATION/RESEARCH/SUPPORT UNIVERSITY OF ILLINOIS FOUNDATION 1305 W GREEN ST URBANA IL 61801 376006007 501C3 5000 SUPPORT FOR CHICAGO DIABETES PROJECT THE WHEATON SOCIETY FOR CHRISTIAN EDUCATION WHEATON CHRISTIAN GRAMMAR SCHOOL 1N350 TAYLOR DR WINFIELD IL 60190 362210719 501C3 5000 EDUCATION AND FITNESS ASSISTANCE AMERICAN RED CROSS 2025 E STREET NW WASHINGTON DC 20005 530196660 501C3 5000 DISASTER RECOVERY ASSISTANCE 25 0 STUDENT TUITION SCHOLARSHIPS - HEALTH EDUCATION 42 88000 MEDICAL MISSONS TRIP REIMBURSEMENTS TO THIRD WORLD COUNTRIES 17 70931 Procedures for monitoring use of grant funds Schedule I, Part I, Line 2 THE GUIDING PHILOSOPHY OF CDH'S CHARITABLE GRANT ACTIVITY IS TO NOT ONLY CONTRIBUTE OUR OWN RESOURCES, BUT TO ACTIVELY ENGAGE PARTNERS TO ASSESS, PLAN FOR AND MEET COMMUNITY HEALTH AND MEDICAL NEEDS. CDH WORKS VERY CLOSELY WITH ITS PARTNERS IN THE PROGRAMS THAT ARE SUPPORTED, IN PART, BY CDH. MONITORING OF THE USE OF GRANT FUNDS IS ACHIEVED THROUGH VARIOUS MEANS, INCLUDING ACTIVE PARTICIPATION IN PROGRAM IMPLEMENTATION, WRITTEN CONTRIBUTION AGREEMENTS, PERFORMANCE REPORTS AND, IN SOME INSTANCES, BOARD PARTICIPATION. X true true true true false false false false false false false AVI MAZUMDAR MD 406525 0 235000 0 1920 0 7277 0 20584 0 671306 0 0 0 BRIAN LEMON 180117 0 50000 0 529 0 0 0 7370 0 238017 0 0 0 DEBRA O'DONNELL 306293 0 260850 0 4295 0 14808 0 19235 0 605481 0 0 0 HARISH SHOWNKEEN MD 1008801 0 428823 0 4664 0 15369 0 32131 0 1489788 0 0 0 JAMES T SPEAR 0 418976 0 452059 0 377899 0 16235 0 22761 0 1287930 0 0 KEVIN P MOST DO 375369 0 139878 0 2813 0 15799 0 10183 0 544043 0 0 0 LUKE MCGUINNESS 0 992240 0 2250000 0 275353 0 14708 0 18763 0 3551064 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 VIVODA 0 616830 0 293988 0 1242 0 16096 0 19994 0 948150 0 0 RAJEEV DEVESHWAR MD 406156 0 235000 0 4093 0 15752 0 26432 0 687433 0 0 0 ROBERT FRIEDBERG 0 388982 0 438563 0 2277 0 15385 0 29191 0 874398 0 0 Health or social club dues or initiation fees Schedule J, Part I, Line 1a CENTRAL DUPAGE HOSPITAL ASSOCIATION REIMBURSES HEALTH CLUB DUES FOR SOME EXECUTIVES AND SOME KEY EMPLOYEES. ALL EMPLOYEES ARE ELIGIBLE TO RECEIVE A HEALTH CLUB SUBSIDY IF THEY MEET OR EXCEED THE REQUIRED NUMBER OF VISITS TO THEIR HEALTH CLUB IN A GIVEN MONTH. ALL SUCH REIMBURSEMENTS OR SUBSIDIES ARE INCLUDED AS TAXABLE INCOME IN THE EMPLOYEES' W-2. EMPLOYEES LISTED IN FORM 990, PART VII, SECTION A, LINE 1A WHO RECEIVED A HEALTH CLUB DUES REIMBURSEMENT WERE: DEBRA O'DONNELL, AVI MAZUMDAR AND KEVIN MOST. THESE AMOUNTS WERE INCLUDED AS TAXABLE INCOME IN THE EMPLOYEES' W-2. 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 ONE FORMER OFFICER RECEIVED SEVERANCE PAYMENTS DURING CY2012 FROM A RELATED ORGANIZATION. JAMES SPEAR $375,577 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 CENTRAL DUPAGE HOSPITAL (CDH) 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 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. MIDWEST NEUROSURGERY & SPINE SPECIALISTS PHYSICIAN PRACTICE OF BOARD MEMBER, MATTHEW ROSS, MD 204000 MEDICAL SERVICES PROVIDED TO CDH false BRIAN GIBLIN FAMILY MEMBER OF DR. JAMES GIBLIN, DIRECTOR 72119 EMPLOYED BY ORGANIZATION false X 261548 SELLING COST 0 false false false 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 ORGANIZATION); AND, TWO BOARD MEMBERS WHOSE MEDICAL PRACTICES ARE COMPENSATED BY THE FILING ORGANIZATION OR A RELATED ORGANIZATION FOR PHYSICIAN SERVICES PROVIDED. 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 CENTRAL DUPAGE HOSPITAL ASSOCIATION 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. CDH 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 CENTRAL DUPAGE HOSPITAL ASSOCIATION Decisions requiring approval by members or stockholders Form 990, Part VI, Section A, Line 7b CERTAIN DECISIONS OF THE CENTRAL DUPAGE HOSPITAL ASSOCIATION'S (CDH) GOVERNING BODY ARE SUBJECT TO APPROVAL BY CDH-DELNOR HEALTH SYSTEM, AS THE SOLE MEMBER OF CDH. 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, CENTRAL DUPAGE HOSPITAL (CDH) ASKS EACH BOARD MEMBER TO REVIEW THE CDH 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 CDH ASKS EACH EMPLOYEE TO REVIEW THE CDH 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 TOP MANAGEMENT OFFICIAL AND OTHER OFFICERS OF THE ORGANIZATION ARE COMPENSATED BY CDH-DELNOR HEALTH SYSTEM, A RELATED TAX-EXEMPT ORGANIZATION. THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS IS COMPRISED OF INDEPENDENT COMMUNITY MEMBERS AND IS DELEGATED THE RESPONSIBILITY FOR REVIEWING THE COMPENSATION OF THE ORGANIZATION'S EXECUTIVES (INCLUDING THE CHIEF EXECUTIVE OFFICER) AND OTHER KEY EMPLOYEES AND CERTAIN PHYSICIANS. 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 AN ANNUAL BASIS, AND MAY MAKE DECISIONS RELATED TO COMPENSATION AND BENEFITS THROUGHOUT THE YEAR. THE COMPENSATION COMMITTEE 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 THE NARRATIVE FOR FORM 990, 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) 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. 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. Other changes in net assets or fund balances Form 990 , Part XI, Line 9 NET ASSETS RELEASED FROM RESTRICTION - 500932; NET CHANGE IN NET ASSETS OF CADENCE HEALTH FOUNDATION - 8529912; FUND BALANCE TRANSFER TO CDH-DELNOR HEALTH SYSTEM - -171000000; FUND BALANCE TRANSFER TO CENTRAL DUPAGE PHYSICIAN GROUP - -13200000; 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 PRIMARY CARE 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 SPECIAL HEALTH ASSOC 27W353 JEWELL RD WINFIELD IL 60190 PHARMACY IL 501(C)(3) 9 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 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 LIVING INC 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 DELNOR-COMMUNITY HOSPITAL 300 RANDALL ROAD GENEVA IL 60134 HOSPITAL IL 501(C)(3) 3 CDH-DELNOR HEALTH SYSTEM false TRI-CITIES IMCARE 300 RANDALL ROAD GENEVA IL 60134 271942888 HEALTH CARE IL DELCOM RELATED TRI-CITIES DIALYSIS 1300 WATERFORD DR LOWER LEVEL AURORA IL 60504 364272042 HEALTH CARE IL DELCOM RELATED TRI-CITIES SURGERY 345 DELNOR DRIVE GENEVA IL 60134 510551673 HEALTH CARE IL DELCOM RELATED TRI-CITIES CANCER 300 RANDALL ROAD GENEVA IL 60134 364009336 HEALTH CARE IL DELCOM RELATED FVFPDELNOR PROPERTIES 300 RANDALL RD GENEVA IL 60134 451147062 PROPERTY MANAGEMENT IL DELCOM EXCLUDED DUPAGE HEALTH SERVICES INC 27W353 JEWELL RD WINFIELD IL 60190 363270521 HEALTHCARE 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 true true true false false false false false false true true true true true true true true true