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NORTHSHORE UNIVERSITY HEALTHSYSTEM: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
NORTHSHORE UNIVERSITY HEALTHSYSTEM (EIN 36-2167060)
Tax period
2011-10-01 to 2012-09-30
Filed
2013-08-09
IRS object ID
201322219349300047
Schema version
2011v1.5
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-08-09T12:36:06-05:00Timestamp
Tax Period End Date2012-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Deloitte Tax LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1111 Monument Circle Suite 2000AddressLine1
CityIndianapolisCity
StateINState
ZIP Code462045108ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN362167060EIN

Name Name

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

US Address USAddress

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

Officer Officer

FieldValueIRS element (for citing)
NameGARY E WEISSName
TitleTreasurer and CFOTitle
Date Signed2013-07-24DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone3174648600Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

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

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11301 Central StreetAddressLine1
CityEvanstonCity
StateILState
ZIP Code60201ZIPCode
FieldValueIRS element (for citing)
Gross Receipts1796227749GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web Sitenorthshore.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1891YearFormation
State Legal DomicileILStateLegalDomicile
Activity Or Mission DescriptionThe core mission of NorthShore University HealthSystem is to "preserve and improve human life."ActivityOrMissionDescription
Nbr Voting Members Governing Body23NbrVotingMembersGoverningBody
Nbr Independent Voting Members0NbrIndependentVotingMembers
Total Nbr Employees10635TotalNbrEmployees
Total Nbr Volunteers1881TotalNbrVolunteers
Total Gross UBI26009501TotalGrossUBI
Net Unrelated Business Txbl Income-125905NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year21820514ContributionsGrantsPriorYear
Contributions Grants Current Year35236321ContributionsGrantsCurrentYear
Program Service Revenue Prior Year1259561280ProgramServiceRevenuePriorYear
Program Service Revenue CY1308273826ProgramServiceRevenueCY
Investment Income Prior Year115755104InvestmentIncomePriorYear
Investment Income Current Year51678030InvestmentIncomeCurrentYear
Other Revenue Prior Year41581161OtherRevenuePriorYear
Other Revenue Current Year36326858OtherRevenueCurrentYear
Total Revenue Prior Year1438718059TotalRevenuePriorYear
Total Revenue Current Year1431515035TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year45548410GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY51107501GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year574086526SalariesEtcPriorYear
Salaries Etc Current Year617542056SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year2529932TotalFundrsngExpCurrentYear
Other Expense Prior Year688995935OtherExpensePriorYear
Other Expenses Current Year719347526OtherExpensesCurrentYear
Total Expenses Prior Year1308630871TotalExpensesPriorYear
Total Expenses Current Year1387997083TotalExpensesCurrentYear
Revenues Less Expenses Prior Year130087188RevenuesLessExpensesPriorYear
Revenues Less Expenses CY43517952RevenuesLessExpensesCY
Total Assets BOY2680646127TotalAssetsBOY
Total Assets EOY2881261196TotalAssetsEOY
Total Liabilities BOY1313904278TotalLiabilitiesBOY
Total Liabilities EOY1358259332TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY1366741849NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY1523001864NetAssetsOrFundBalancesEOY
Info In Schedule O Part IIIXInfoInScheduleOPartIII
Mission DescriptionSEE SCHEDULE OMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense1068343468Expense
Grants46247024Grants
Revenue1269874296Revenue
DescriptionPatient Care - See Schedule ODescription

Activity2 Activity2

FieldValueIRS element (for citing)
Expense54987712Expense
Grants0Grants
Revenue11412056Revenue
DescriptionEducation - See Schedule ODescription

Activity3 Activity3

FieldValueIRS element (for citing)
Expense34745631Expense
Grants4860477Grants
Revenue18692365Revenue
DescriptionResearch - See Schedule ODescription
FieldValueIRS element (for citing)
Total Program Service Expense1158076811TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Subject To Proxy TaxfalseSubjectToProxyTax
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiestrueReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiestrueForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiestrueFundraisingActivities
GamingtrueGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualstrueGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MembertrueBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionstrueDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transaction Related EntitytrueTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096671NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees10635NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccounttrueForeignFinancialAccount
Name Of Foreign CountryCJNameOfForeignCountry
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionstrueQuidProQuoContributions
Quid Pro Quo DisclosuretrueQuidProQuoDisclosure
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members23NbrVotingGoverningBodyMembers
Number Independent Voting Members0NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturetrueInvestmentInJointVenture
Written Policy Or ProceduretrueWrittenPolicyOrProcedure
States Where Copy Of Return Is FiledILStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonJEFF BIESCZATNamePerson
Telephone Number8475705798TelephoneNumber

Address US AddressUS

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

Form990 Part VII Section A Form990PartVIISectionA (55 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
Leon S Benson
Director1.0X000
Toure S Claiborne
Director1.0X000
William L Davis
Director1.0X000
Mary Dillon
Director1.0X000
Connie K Duckworth
Director1.0X000
Bernard G Ewigman
Director and Clinical Chairman41.0X4071260115601
Laurie C Hochberg
Director1.0X000
Ike Hong
Director1.0X000
Richard L Keyser
Director1.0X000
Lester B Knight III
Director1.0X000
Theodore Mazzone
Director and Clinical Chairman37.0X2812956391423730
Samuel M Mencoff
Director1.0X000
Andrew J Mills
Director1.0X000
Scott C Schweighauser
Director1.0X000
Susan B Sentell
Director1.0X000
Mark S Talamonti
Director and Clinical Chairman29.0X60481639191351693
John R Walter
Director1.0X000
Sona Wang
Director1.0X000
Jonathan P Ward
Director1.0X000
William Wrigley Jr
Director1.0X000
Gregory K Jones
Board Chairman1.0X000X
A Steven Crown
Board Vice Chairman1.0X000X
Harry M Jansen Kraemer Jr
Board Past Chairman1.0X000X
Mark R Neaman
President and CEO41.0X28606720111361X
Percy L Berger Sr
Board Secretary1.0000X
Jeffrey H Hillebrand
Chief Operating Officer41.04423030072264X
J Mikesell Thomas
Board Assistant Treasurer1.0000X
Gary E Weiss
Board Treasurer and CFO41.02679815062814X
Julian E Bailes
Clinical Chairman13.025767731623227541X
William D Bloomer
Clinical Chairman24.039303064597453303X
Michael S Caplan
Clinical Chairman27.032916424855328920X
Robert R Edelman
Clinical Chairman38.069997526036857959X
Gerald P Gallagher
President, Evanston Hospital40.0762082069170X
Thomas H Hodges
Chief Investment Officer36.0508468035686X
William R Luehrs
Chief Human Resources Officer40.02320499054324X
Demetrius Maraganore
Clinical Chairman22.028647324238348445X
Frederick E Miller
Clinical Chairman32.032733912430446987X
Kristen Murtos
President, Skokie Hospital40.0572419063127X
Jesse Peterson Hall
President, Highland Park Hosp.40.0787601065229X
William J Robb III
Clinical Chairman40.0695299025466X
Leopold G Selker
President, Research Institute40.01045399045339X
Nancy Semerdjian
Chief Nursing Officer40.0410794037355X
Richard K Silver
Clinical Chairman20.040004350480953361X
Douglas M Silverstein
President, Glenbrook Hospital40.08732340369627X
Thomas W Smith
Chief Information Officer40.0768721039156X
Jeffery S Vender
Clinical Chairman27.050002651645245229X
Thomas A Victor
Clinical Chairman35.038098035430252232X
Brian Washa
Senior Vice President40.0345432043860X
Kenneth P Anderson
Chief Medical Quality Officer40.0478307044884X
Harry L Jones
Chief Compliance Officer40.0338839045009X
Janardan D Khandekar
Medical Director34.057567122743445965X
Jonathan Silverstein
Vice President40.0387543038388X
Rajiv Udani
Hospitalist40.0311496043497X
Sean O'Grady
Senior Vice President40.0309651046453X
Nicholas A Vick
Former Clinical Chairman32.01560008209237595X
FieldValueIRS element (for citing)
Total Reportable Comp From Org26478916TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs3978730TotalReportableCompFrmRltdOrgs
Total Other Compensation2001570TotalOtherCompensation
Number Individuals GT100 K581NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcestrueCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Aramark Management Services
2300 Warrenville RoadDOWNERS GROVEIL60515Facilities/Diet Mgmt56506953
Pepper Construction Company
643 North Orleans StreetCHICAGOIL60610Construction Mgmt38243607
Power Construction Company
2630 North Palmer DriveSCHAUMBURGIL60173Construction Mgmt37039871
University of Chicago Medical Ctr
5841 South Maryland AvenueCHICAGOIL60637Medical Education13058276
McKesson Technologies
5995 Winward ParkwayALPHARETTAGA30005Info Tech Services7634399
FieldValueIRS element (for citing)
Number Of Contractors GT100 K278NumberOfContractorsGT100K
Federated Campaigns58570FederatedCampaigns
Membership Dues563665MembershipDues
Fundraising Events514269FundraisingEvents
Related Organizations8991711RelatedOrganizations
Government Grants451826GovernmentGrants
All Other Contributions24656280AllOtherContributions
Noncash Contributions1148026NoncashContributions
Total Contributions35236321TotalContributions

Program Service Revenue ProgramServiceRevenue (5 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeExclusionExclusionAmount
PATIENT REVENUE621990815929282815929282
MEDICARE AND MEDICAID REVENUE621990451282888451282888
RENT FROM AFFILIATED EXEMPT ORGS90000321403322$21,403,322
FEES AND CONTRACTS FROM GOVT AGENCIES5417001456542214565422
GRANT INCOME54170041269434126943

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column965969TotalRevenueColumn
Related Or Exempt Function Income965969RelatedOrExemptFunctionIncome
FieldValueIRS element (for citing)
Total Program Service Revenue1308273826TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column34234290TotalRevenueColumn
Unrelated Business Revenue-288552UnrelatedBusinessRevenue
Exclusion$34,522,842ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column110521TotalRevenueColumn
Exclusion$110,521ExclusionAmount

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real3610482Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real14129678Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real-10519196Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column-10519196TotalRevenueColumn
Exclusion-$10,519,196ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities366304601Securities
Other149953Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities343502556Securities
Other5508258Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities22802045Securities
Other-5358305Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column17443740TotalRevenueColumn
Exclusion$17,443,740ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Fundraising Events1031552GrossIncomeFundraisingEvents
Cntrbtns Rprtd Fundraising Events514269CntrbtnsRprtdFundraisingEvents
Fundraising Direct Expenses1001878FundraisingDirectExpenses

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column29674TotalRevenueColumn
Exclusion$29,674ExclusionAmount
FieldValueIRS element (for citing)
Gross Income Gaming44055GrossIncomeGaming
Gaming Direct Expenses4579GamingDirectExpenses

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column39476TotalRevenueColumn
Exclusion$39,476ExclusionAmount
FieldValueIRS element (for citing)
Gross Sales Of Inventory964651GrossSalesOfInventory
Cost Of Goods Sold565765CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column398887TotalRevenueColumn
Exclusion$398,887ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnUnrelated Business RevenueUnrelatedBusinessRevenueRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncome
LAB REFERENCE TESTING5413801823965118239651
EHR INCENTIVE INCOME9000991086440510864405
OFFSITE PHARMACIES44611068290456829045

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column10334395TotalRevenueColumn
Related Or Exempt Function Income2243808RelatedOrExemptFunctionIncome
Unrelated Business Revenue1229357UnrelatedBusinessRevenue
Exclusion$6,861,230ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue46267496TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column1431515035TotalRevenueColumn
Related Or Exempt Function Income1299978717RelatedOrExemptFunctionIncome
Unrelated Business Revenue26009501UnrelatedBusinessRevenue
Exclusion$70,290,496ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total51020092Total
Program Services51020092ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total86909Total
Program Services86909ProgramServices

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total500Total
Program Services500ProgramServices

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total30705194Total
Program Services4707725ProgramServices
Management And General25997469ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total13781773Total
Program Services4441503ProgramServices
Management And General9340270ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total458198777Total
Program Services410518846ProgramServices
Management And General46044668ManagementAndGeneral
Fundraising1635263Fundraising

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total32944070Total
Program Services25374268ProgramServices
Management And General7569802ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total50593653Total
Program Services46949018ProgramServices
Management And General3272469ManagementAndGeneral
Fundraising372166Fundraising

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total31318589Total
Program Services26584361ProgramServices
Management And General4628142ManagementAndGeneral
Fundraising106086Fundraising

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total91359351Total
Program Services79662435ProgramServices
Management And General11696916ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total10304775Total
Program Services56458ProgramServices
Management And General10248317ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total756000Total
Management And General756000ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total
Fundraising0Fundraising

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total17393497Total
Management And General17393497ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total78187017Total
Program Services60227623ProgramServices
Management And General17676200ManagementAndGeneral
Fundraising283194Fundraising

Advertising Advertising

FieldValueIRS element (for citing)
Total13641384Total
Management And General13641384ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total32361112Total
Program Services28653575ProgramServices
Management And General3621658ManagementAndGeneral
Fundraising85879Fundraising

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total11022213Total
Program Services537864ProgramServices
Management And General10484349ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total46534884Total
Program Services33057963ProgramServices
Management And General13476921ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total1320273Total
Program Services1049947ProgramServices
Management And General259345ManagementAndGeneral
Fundraising10981Fundraising

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total2056851Total
Program Services1445793ProgramServices
Management And General608952ManagementAndGeneral
Fundraising2106Fundraising

Interest Interest

FieldValueIRS element (for citing)
Total7966639Total
Management And General7966639ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total94819688Total
Program Services73884446ProgramServices
Management And General20935242ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total18183717Total
Program Services17585958ProgramServices
Management And General597759ManagementAndGeneral

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneralFundraisingFundraising
MEDICAL SUPPLIES233063092232958580104512
BAD DEBTS3191686431916864
MEDICAID TAX2482762224827622
DUES AND SUBSCRIPTIONS22085031109262106498434257

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total1424044Total
Program Services1419199ProgramServices
Management And General4845ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total1387997083Total
Program Services1158076811ProgramServices
Management And General227390340ManagementAndGeneral
Fundraising2529932Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY25844974BOY
EOY21871464EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY16382627BOY
EOY17016078EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
BOY10868057BOY
EOY11520100EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY172338299BOY
EOY211476195EOY

Receivables From Officers Etc ReceivablesFromOfficersEtc

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Receivables From Disqual Persons ReceivablesFromDisqualPersons

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Notes Loans Receivable Net OtherNotesLoansReceivableNet

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY18527025BOY
EOY20032751EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY6308512BOY
EOY7125887EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis1866378041LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec905333930LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY890393816BOY
EOY961044111EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY927770166BOY
EOY974650596EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY443144648BOY
EOY446210564EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
BOY93237674BOY
EOY119416877EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY75830329BOY
EOY90896573EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY2680646127BOY
EOY2881261196EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY157448974BOY
EOY182875621EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
BOY4892711BOY
EOY4976116EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY385411480BOY
EOY376463352EOY

Escrow Account Liability EscrowAccountLiability

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Loans From Officers Directors LoansFromOfficersDirectors

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Unsecured Notes Loans Payable UnsecuredNotesLoansPayable

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY766151113BOY
EOY793944243EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1313904278BOY
EOY1358259332EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY1211767856BOY
EOY1352272712EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY83854902BOY
EOY98205650EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
BOY71119091BOY
EOY72523502EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1366741849BOY
EOY1523001864EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2680646127BOY
EOY2881261196EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses43517952ReconcilationRevenueExpenses
Reconcilation Other Changes112742063ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredtrueFederalGrantAuditRequired
Federal Grant Audit PerformedtrueFederalGrantAuditPerformed

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$75,575OtherActivitiesAmount
Total Lobbying Expenditures IIB75575TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierLobbying ActivitiesIdentifier
Return ReferencePart II-B Line 1iReturnReference
ExplanationNorthShore University HealthSystem (NorthShore) and its employees are members of various organizations that advocate on legal and policy issues that affect healthcare. A portion of the annual membership dues paid by NorthShore to these organizations are attributable to lobbying activities.Explanation

Schedule D IRS990ScheduleD

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

Current Year CurrentYear

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

Current Year Minus1 Year CurrentYearMinus1Year

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

Current Year Minus2 Years CurrentYearMinus2Years

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

Current Year Minus3 Years CurrentYearMinus3Years

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

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis56783859OtherCostOrOtherBasis
Book Value56783859BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1167347057OtherCostOrOtherBasis
Depreciation522262272Depreciation
Book Value645084785BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis45629617OtherCostOrOtherBasis
Depreciation22824956Depreciation
Book Value22804661BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis486673550OtherCostOrOtherBasis
Depreciation348255871Depreciation
Book Value138417679BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis109943958OtherCostOrOtherBasis
Depreciation11990831Depreciation
Book Value97953127BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings961044111TotalOfBookValueLandBuildings
Financial DerivativesFinancialDerivatives
Closely Held Equity InterestsCloselyHeldEquityInterests

Other Securities OtherSecurities (5 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
HEDGE FUNDS326408713C
PRIVATE EQUITY FUNDS85830715C
PRIVATE EQUITY FUNDS8437543F
REAL ASSET FUND23465641F
OTHER INVESTMENTS2067952F
FieldValueIRS element (for citing)
Total Of Book Value Securities446210564TotalOfBookValueSecurities
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (7 entries)

DescriptionDescriptionAmountAmount
RESERVE FOR MALPRACTICE LOSSES$266,000,000
DEFERRED COMPENSATION$207,976,358
DUE TO AFFILIATES$235,700,134
DUE TO THIRD PARTIES$65,999,503
CURRENT MATURITY OF LT DEBT$8,860,000
ASSET RETIREMENT OBLIGATION$9,320,120
CURRENT BOND PAYABLE PREMIUM$88,128
FieldValueIRS element (for citing)
Total Of Amounts793944243TotalOfAmounts
Total Revenue1431515035TotalRevenue
Total Expenses1387997083TotalExpenses
Excess Or Deficit For Year43517952ExcessOrDeficitForYear
Net Unrealized GL On Investments121898701NetUnrealizedGLOnInvestments
Other-$7,242,847OtherAmount
Total Adjustments114655854TotalAdjustments
Excess Or Deficit Per FS158173806ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt1500749532TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments121898701NetUnrealizedGainsInvestments
Other Revenues24330216OtherRevenues
Revenue Not Rptd F990146228917RevenueNotRptdF990
Revenue Subtotal1354520615RevenueSubtotal
Other Revenues Not Included76994420OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt76994420RevenueNotRptdOnFinStmt
Total Revenue Per Form9901431515035TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt1342575726TotExpensesEtcAuditedFinclStmt
Other Expenses Included21060205OtherExpensesIncluded
Expenses Not Rptd F99021060205ExpensesNotRptdF990
Expenses Subtotal1321515521ExpensesSubtotal
Other Expenses Not Included66481562OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt66481562ExpensesNotRptdOnFinStmt
Total Expenses Per Form9901387997083TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Endowment FundsPart V Line 4Endowment fund earnings are available for healthcare services, including capital acquisition and maintenance, operations, free care, research, and education.
FIN 48 (ASC 740) FootnotePart XNorthShore and its related affiliates, except for NorthShore Physician Associates, Inc. (NPA), known as NorthShore Exempt Group, have been determined to qualify as a tax-exempt organization under 501(c)(3) of the Internal Revenue Code (IRC). Most of the income received by NorthShore Exempt Group is exempt from taxation under Section 501(a) of the IRC, as income related to the mission of the organization. Accordingly, there is no material provision for income tax for these entities. Some of the income received by exempt entities is subject to taxation as unrelated business income. NorthShore and its subsidiaries file federal income tax returns and returns for various states in the U.S. ASC 740-10, Income Taxes, requires that realization of an uncertain income tax position is more likely than not (i.e., greater than 50% likelihood of receiving a benefit) before it can be recognized in the financial statements. Furthermore, this interpretation prescribes the benefit to be recorded in the financial statements as the amount most likely to be realized assuming a review by tax authorities having all relevant information and applying current conventions. This interpretation also clarifies the financial statement classification of tax-related penalties and interest and sets forth new disclosures regarding unrecognized tax benefits. No amount was recorded for the periods ended September 30, 2012 or 2011. NorthShore currently has a net operating loss carryforward of $12,656,460, which generated assets of $5,111,297. NPA currently has a net operating loss carryforward of $712,282, which generated assets of $286,836. These assets are 100% offset by valuation allowances.
Change in Net AssetsPart XI Line 8Amount represents changes in restricted net assets.
Reconciliation of RevenuesPart XII Lines 2d and 4bLine 2d - Amount represents expenses deducted from revenues in Form 990 Part VIII and changes in restricted net assets. Line 4b - Amount represents transfers to related organzations, Foundation administrative expenses, and investment expenses moved to Form 990 Part IX, and changes in restricted net assets.
Reconciliation of ExpensesPart XIII Lines 2d and 4bLine 2d - Amount represents expenses deducted from revenues in Form 990 Part VIII. Line 4b - Amount represents transfers to related organzations, Foundation administrative expenses, and investment expenses moved to Form 990 Part IX.

Schedule F IRS990ScheduleF

FieldValueIRS element (for citing)
Grant Records MaintainedtrueGrantRecordsMaintained

Accts Actvs Out US Table AcctsActvsOutUSTable (17 entries)

RegionRegionType Of Activities ConductedTypeOfActivitiesConductedTotal ExpendituresTotalExpendituresSpecific Services ProvidedSpecificServicesProvided
Central America and the CaribbeanInsurance5070760
Central America and the CaribbeanInvestments256685752
Central America and the CaribbeanProgram Services2735Medical Conferences
Central America and the CaribbeanProgram Services5443Medical Services
East Asia and the PacificProgram Services35404Medical Conferences
East Asia and the PacificGrantmaking500
East Asia and the PacificProgram Services9000Medical Services
Europe (Including Iceland and Greenland)Insurance14399
Europe (Including Iceland and Greenland)Program Services42389Medical Conferences
Europe (Including Iceland and Greenland)Program Services104131Medical Supplies/Svcs
North AmericaProgram Services32364Medical Conferences
North AmericaProgram Services441542Medical Supplies/Svcs
Russia and the Newly Independent StatesProgram Services2000Medical Services
South AmericaProgram Services8003Medical Conferences
South AmericaProgram Services1000Medical Services
South AsiaProgram Services4000Medical Services
Sub-Saharan AfricaProgram Services1000Medical Services
FieldValueIRS element (for citing)
Subtotal Amount Spent262460422SubtotalAmountSpent
Total Amount Spent262460422TotalAmountSpent
Transfer To Foreign CorptrueTransferToForeignCorp
Interest In Foreign TrustfalseInterestInForeignTrust
Own Foreign CorptrueOwnForeignCorp
Passive Foreign Invest CotruePassiveForeignInvestCo
Foreign PartnershiptrueForeignPartnership
Boycott CountriesfalseBoycottCountries

Form990 Schedule F Part V Form990ScheduleFPartV

FieldValueIRS element (for citing)
IdentifierGrant and Assistance ProceduresIdentifier
Return ReferencePart I Line 2ReturnReference
ExplanationNorthShore University HealthSystem (NorthShore) provides cash and non-cash assistance to organizations that help support NorthShore's mission to preserve and improve human life. Requests to support an outside organization must be reviewed and approved by the Community Relations department and NorthShore management to ensure the organization is aligned with NorthShore's mission and charitable purpose.Explanation

Schedule G IRS990ScheduleG

Events Information EventsInformation

FieldValueIRS element (for citing)
Name Of Event1June GalaNameOfEvent1
Gross Receipts Event1604155GrossReceiptsEvent1
Charitable Contributions Event1292551CharitableContributionsEvent1
Gross Revenue Event1311604GrossRevenueEvent1
Rent Facility Costs Event128642RentFacilityCostsEvent1
Food And Beverage Event198831FoodAndBeverageEvent1
Entertainment Event114551EntertainmentEvent1
Other Direct Expenses Event162760OtherDirectExpensesEvent1
Name Of Event2Craft ExpoNameOfEvent2
Gross Receipts Event2547881GrossReceiptsEvent2
Charitable Contributions Event280157CharitableContributionsEvent2
Gross Revenue Event2467724GrossRevenueEvent2
Rent Facility Costs Event225669RentFacilityCostsEvent2
Food And Beverage Event259906FoodAndBeverageEvent2
Other Direct Expenses Event2262841OtherDirectExpensesEvent2
Total Number Of Other Events3TotalNumberOfOtherEvents
Gross Receipts Other Events393785GrossReceiptsOtherEvents
Charitable Contrib Other Events141561CharitableContribOtherEvents
Gross Revenue Other Events252224GrossRevenueOtherEvents
Rent Facility Costs Other Events162850RentFacilityCostsOtherEvents
Food And Beverage Other Events3193FoodAndBeverageOtherEvents
Other Direct Expenses Other Events282635OtherDirectExpensesOtherEvents
Gross Receipts Total1545821GrossReceiptsTotal
Charitable Contributions Total514269CharitableContributionsTotal
Gross Revenue Total Events1031552GrossRevenueTotalEvents
Rent Facility Costs Total Events217161RentFacilityCostsTotalEvents
Food And Beverage Total Events161930FoodAndBeverageTotalEvents
Entertainment Total Events14551EntertainmentTotalEvents
Other Direct Expenses Total Events608236OtherDirectExpensesTotalEvents
Direct Expense Summary Events1001878DirectExpenseSummaryEvents
Net Income Summary29674NetIncomeSummary

Gaming Information GamingInformation

FieldValueIRS element (for citing)
Gross Revenue Other Gaming44055GrossRevenueOtherGaming
Non Cash Prizes Other Gaming4579NonCashPrizesOtherGaming
Volunteer Labor Other GamingtrueVolunteerLaborOtherGaming
Volunteer Labor Prcnt Other Gaming1.00000VolunteerLaborPrcntOtherGaming
Gross Revenue Total Gaming44055GrossRevenueTotalGaming
Non Cash Prizes Total Gaming4579NonCashPrizesTotalGaming
Direct Expense Summary Gaming4579DirectExpenseSummaryGaming
Net Gaming Income Summary39476NetGamingIncomeSummary
FieldValueIRS element (for citing)
States Where Gaming ConductedILStatesWhereGamingConducted
LicensedtrueLicensed
License Suspended EtcfalseLicenseSuspendedEtc
Gaming With NonmembersfalseGamingWithNonmembers
Member Of Other EntityfalseMemberOfOtherEntity
Percentage Of Gaming Othr Facility1.00000PercentageOfGamingOthrFacility
Name Of Gaming Rec Keeper PersonNorthShore University HealthSystemNameOfGamingRecKeeperPerson

Address Of Gaming Rec Keeper US AddressOfGamingRecKeeperUS

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

Schedule H IRS990ScheduleH

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

Discounted Other DiscountedOther

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

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense22612634TotalCommunityBenefitExpense
Net Community Benefit Expense22612634NetCommunityBenefitExpense
Percent Of Total Expense0.01670PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense101894505TotalCommunityBenefitExpense
Direct Offsetting Revenue74355695DirectOffsettingRevenue
Net Community Benefit Expense27538810NetCommunityBenefitExpense
Percent Of Total Expense0.02030PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense124507139TotalCommunityBenefitExpense
Direct Offsetting Revenue74355695DirectOffsettingRevenue
Net Community Benefit Expense50151444NetCommunityBenefitExpense
Percent Of Total Expense0.03700PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense2082323TotalCommunityBenefitExpense
Net Community Benefit Expense2082323NetCommunityBenefitExpense
Percent Of Total Expense0.00150PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense54987712TotalCommunityBenefitExpense
Direct Offsetting Revenue11412056DirectOffsettingRevenue
Net Community Benefit Expense43575656NetCommunityBenefitExpense
Percent Of Total Expense0.03210PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense57725084TotalCommunityBenefitExpense
Direct Offsetting Revenue37081762DirectOffsettingRevenue
Net Community Benefit Expense20643322NetCommunityBenefitExpense
Percent Of Total Expense0.01520PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Total Community Benefit Expense31038221TotalCommunityBenefitExpense
Net Community Benefit Expense31038221NetCommunityBenefitExpense
Percent Of Total Expense0.02290PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense935503TotalCommunityBenefitExpense
Net Community Benefit Expense935503NetCommunityBenefitExpense
Percent Of Total Expense0.00070PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense146768843TotalCommunityBenefitExpense
Direct Offsetting Revenue48493818DirectOffsettingRevenue
Net Community Benefit Expense98275025NetCommunityBenefitExpense
Percent Of Total Expense0.07240PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense271275982TotalCommunityBenefitExpense
Direct Offsetting Revenue122849513DirectOffsettingRevenue
Net Community Benefit Expense148426469NetCommunityBenefitExpense
Percent Of Total Expense0.10940PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Total Community Building Expense12346TotalCommunityBuildingExpense
Net Community Building Expense12346NetCommunityBuildingExpense

Environmental Improvements EnvironmentalImprovements

FieldValueIRS element (for citing)
Total Community Building Expense690TotalCommunityBuildingExpense
Net Community Building Expense690NetCommunityBuildingExpense

Leadership Development LeadershipDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense98TotalCommunityBuildingExpense
Net Community Building Expense98NetCommunityBuildingExpense

Coalition Building CoalitionBuilding

FieldValueIRS element (for citing)
Total Community Building Expense20709TotalCommunityBuildingExpense
Net Community Building Expense20709NetCommunityBuildingExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Total Community Building Expense84181TotalCommunityBuildingExpense
Net Community Building Expense84181NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Workforce Development WorkforceDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense5021TotalCommunityBuildingExpense
Net Community Building Expense5021NetCommunityBuildingExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense123045TotalCommunityBuildingExpense
Net Community Building Expense123045NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$9,087,981BadDebtExpenseAmount
Amount Reimbursed By Medicare366840428AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare452279142CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-85438714MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

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

Form990 Schedule H Part IV Form990ScheduleHPartIV (3 entries)

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

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

Facility NumberFacilityNumberAddress Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeLicensed HospitalLicensedHospitalGeneral Medical And SurgicalGeneralMedicalAndSurgicalTeaching HospitalTeachingHospitalResearch FacilityResearchFacilityEr24 HoursEr24Hours
Evanston Hospital
12650 Ridge AvenueEvanstonIL60201XXXXX
Glenbrook Hospital
22100 Pfingsten RoadGlenviewIL60026XXXXX
Highland Park Hospital
3777 Park Avenue WestHighland ParkIL60035XXXXX
Skokie Hospital
49600 Gross Point RoadSkokieIL60076XXXXX

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB (4 entries)

Hospital Facility NumberHospitalFacilityNumberEligibility Criteria ExplainedEligibilityCriteriaExplainedUses FPG FreeUsesFPGFreeFPG Free PercentFPGFreePercentUses FPG DiscountedUsesFPGDiscountedFPG Discount PercentFPGDiscountPercentExplains BasisExplainsBasisIncome LevelIncomeLevelAsset LevelAssetLevelMedical IndigencyMedicalIndigencyInsurance StatusInsuranceStatusUninsured DiscountUninsuredDiscountMedicaid MedicareMedicaidMedicareState RegulationStateRegulationExplains Application MethodExplainsApplicationMethodIncludes Publicity MeasuresIncludesPublicityMeasuresAvailable On RequestAvailableOnRequestOther PublicityOtherPublicityActions On NonpaymentActionsOnNonpaymentCollection ActivitiesCollectionActivitiesNondiscrim Emergency Care PolicyNondiscrimEmergencyCarePolicyAverage Negotiated RatesAverageNegotiatedRatesUsed Other MethodUsedOtherMethodAmounts Generally BilledAmountsGenerallyBilledGross ChargesGrossCharges
Evanston Hospital
1truetrue200.true600.trueXXXXXXXtruetrueXXtruefalsetrueXXfalsefalse
Glenbrook Hospital
2truetrue200.true600.trueXXXXXXXtruetrueXXtruefalsetrueXXfalsefalse
Highland Park Hospital
3truetrue200.true600.trueXXXXXXXtruetrueXXtruefalsetrueXXfalsefalse
Skokie Hospital
4truetrue200.true600.trueXXXXXXXtruetrueXXtruefalsetrueXXfalsefalse

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities34NumberOfOtherFacilities

Other Facilities OtherFacilities (34 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
Glenbrook Ambulatory Care Center
2180 Pfingsten RoadGlenviewIL60026Outpatient Clinic
Graham Medical Office Building
1000 Central StreetEvanstonIL60201Outpatient Clinic
Highland Park Ambulatory Care Building
757 Park Avenue WestHighland ParkIL60035Outpatient Clinic
Gurnee Ambulatory Care Center
7900 Rollins RoadGurneeIL60031Outpatient Clinic
Old Orchard Medical Office Building
9977 Woods DriveSkokieIL60077Outpatient Clinic
Skokie Medical Office Building
9669 N Kenton AvenueSkokieIL60076Outpatient Clinic
Highland Park Medical Office Building
767 Park Avenue WestHighland ParkIL60035Outpatient Clinic
Glenbrook Medical Office Building (North
2150 Pfingsten RoadGlenviewIL60026Outpatient Clinic
Glenbrook Medical Office Building (South
2050 Pfingsten RoadGlenviewIL60026Outpatient Clinic
Lakeshore Imaging
680 N Lake Shore DriveChicagoIL60611Outpatient Clinic
Vernon Hills Specialty Care Center
225 N Milwaukee AvenueVernon HillsIL60061Outpatient Clinic
Bannockburn Medical Office Building
2151 Waukegan RoadBannockburnIL60015Outpatient Clinic
Gurnee Medical Office Building
15 Tower CourtGurneeIL60031Outpatient Clinic
PM&R Pediatrics Lab Services
9811 Woods DriveSkokieIL60077Outpatient Clinic
NorthShore Lab Services - Mount Prospect
1329 Wolf RoadMount ProspectIL60056Outpatient Clinic
Glenview Park Center
2400 Chestnut AvenueGlenviewIL60026Outpatient Clinic
Fetal Diagnostic Center
71 Waukegan RoadLake BluffIL60044Outpatient Clinic
PMR Fitness Center
1501 Busch ParkwayBuffalo GroveIL60089Outpatient Clinic
PM&R Benson Avenue
1729 Benson AvenueEvanstonIL60201Outpatient Clinic
Adolescent Day School
3633 W Lake AvenueGlenviewIL60026Therapeutic Day
Northbrook Court Imaging
1182 Northbrook CourtNorthbrookIL60062Outpatient Clinic School
Fetal Diagnostic Center
5145 N California AvenueChicagoIL60625Outpatient Clinic
NorthShore Lab Services - Evanston
2500 Ridge AvenueEvanstonIL60201Outpatient Clinic
Fetal Diagnostic Center
880 W Central RoadArlington HeightsIL60005Outpatient Clinic
Northbrook Pharmacy
1127 Church StreetNorthbrookIL60062Outpatient Pharmacy
Fetal Diagnostic Center
755 S Milwaukee AvenueLibertyvilleIL60048Outpatient Clinic
Libertyville Pharmacy
1451 W Peterson RoadLibertyvilleIL60048Outpatient Pharmacy
Lake Forest Pharmacy
825 S Waukegan AvenueLake ForestIL60045Outpatient Pharmacy
Breast Health and Mammography Program
71 Old Orchard Shopping CenterSkokieIL60077Outpatient Clinic
River North Same Day Surgery
One East Erie StreetChicagoIL60611Ambulatory Surgery
Ravine Way Surgery Center
2350 Ravine WayGlenviewIL60025Ambulatory Surgery Center
25 East Same Day Surgery Center
25 East Washington StreetChicagoIL60602Ambulatory Surgery Center
North Shore Same Day Surgery
3725 West Touhy AvenueLincolnwoodIL60712Ambulatory Surgery Center
Elmwood Park Same Day Surgery
1614 North Harlem AvenueElmwood ParkIL60707Ambulatory Surgery Center

Form990 Schedule H Part VI Form990ScheduleHPartVI (14 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Percent of Total ExpensePart I Line 7 column (f)The amount of bad debt expense that was included in Form 990, Part IX, line 25, column (A) but removed from the figure in Part I, Line 7, column (f) was $31,916,864.
Costing MethodologyPart I Line 7NorthShore University HealthSystem calculated the cost of charity care and means-tested government programs using the cost-to-charge ratio derived from Schedule H, Worksheet 2, Ratio of Patient Care Cost-to-Charges. Amounts in the other benefits section of Line 7 were calculated using costs charged directly to the individual programs from the financial accounting system. An indirect cost allocation factor for hospital shared services was also calculated and included for each program indicated in other benefits.
Community Building ActivitiesPart IINorthShore University HealthSystem (NorthShore) is involved in numerous community building activities which promote the health of the communities it serves. NorthShore encourages its employees to serve on community collaboration boards, health advocacy programs, and physical improvement projects to promote the health of the communities served.
Bad Debt ExpensePart III Line 4Bad debt expense was reported at cost using a cost-to-charge methodology. The Schedule H, Worksheet 2, Ratio of Patient Care Cost-to-Charges calculated to report charity care on Part I, Line 7a was multiplied by the bad debt expense to determine the bad debt expense at cost. Discounts and payments on patient accounts are excluded from bad debt expense in order to reflect the expected amount to be paid. Accounts Receivable Financial Statement Footnote - The Corporation evaluates the collectibility of its accounts receivable based on the length of time the receivable is outstanding, payor class, and the anticipated future uncollectible amounts based on historical experience. Accounts receivable are charged to the allowance for uncollectible accounts when they are deemed uncollectible.
Medicare ShortfallPart III Line 8The Schedule H, Worksheet 2, Ratio of Patient Care Cost-to-Charges was used to determine the Medicare costs reported on Part III, Line 6. NorthShore University HealthSystem (NorthShore) believes that all of the $85,438,714 shortfall should be considered as community benefit. The Internal Revenue Service Community Benefit Standard includes the provision of care to the elderly and Medicare patients. Medicare shortfalls must be absorbed by NorthShore in order to continue treating the elderly in our community. During fiscal year 2012, Medicare accounted for approximately 45% of hospital gross patient revenues. The hospital provides care regardless of this shortfall and thereby relieves the government of the burden of paying the full cost of care for Medicare beneficiaries.
Collection PracticesPart III Line 9bNorthShore University HealthSystem (NorthShore) follows the Illinois Fair Patient Billing Act. The collection policy is the same for all patients. Patients are screened for eligibility for financial assistance before collection procedures begin. After a patient meets the qualifications for financial assistance, the account balance is either partially or entirely written off. Any remaining balance would be collected under the existing debt collection policy.
Publication of Financial Assistance PolicyPart V Section B Line 13gEvanston Hospital (Number 1) - The NorthShore University HealthSystem (NorthShore) Financial Assistance program is publicized on the NorthShore website with a summary of the program, application process, and a link to the actual financial application. Information about the NorthShore Financial Assistance program is also publicized with signage (both English and Spanish) in all our facilities' Emergency Departments and at our Central Registration areas. The NorthShore Patient Handbook, which includes a description of the Financial Assistance program, is also available to patients upon admission to a NorthShore hospital. NorthShore billing statements also indicate the Financial Assistance program and necessary contact information. Collection agencies are also instructed to offer charity care to potentially eligible patients. A copy of the complete NorthShore Financial Assistance Policy is also available upon request. Glenbrook Hospital (Number 2) - The NorthShore University HealthSystem (NorthShore) Financial Assistance program is publicized on the NorthShore website with a summary of the program, application process, and a link to the actual financial application. Information about the NorthShore Financial Assistance program is also publicized with signage (both English and Spanish) in all our facilities' Emergency Departments and at our Central Registration areas. The NorthShore Patient Handbook, which includes a description of the Financial Assistance program, is also available to patients upon admission to a NorthShore hospital. NorthShore billing statements also indicate the Financial Assistance program and necessary contact information. Collection agencies are also instructed to offer charity care to potentially eligible patients. A copy of the complete NorthShore Financial Assistance Policy is also available upon request. Highland Park Hospital (Number 3) - The NorthShore University HealthSystem (NorthShore) Financial Assistance program is publicized on the NorthShore website with a summary of the program, application process, and a link to the actual financial application. Information about the NorthShore Financial Assistance program is also publicized with signage (both English and Spanish) in all our facilities' Emergency Departments and at our Central Registration areas. The NorthShore Patient Handbook, which includes a description of the Financial Assistance program, is also available to patients upon admission to a NorthShore hospital. NorthShore billing statements also indicate the Financial Assistance program and necessary contact information. Collection agencies are also instructed to offer charity care to potentially eligible patients. A copy of the complete NorthShore Financial Assistance Policy is also available upon request. Skokie Hospital (Number 4) - The NorthShore University HealthSystem (NorthShore) Financial Assistance program is publicized on the NorthShore website with a summary of the program, application process, and a link to the actual financial application. Information about the NorthShore Financial Assistance program is also publicized with signage (both English and Spanish) in all our facilities' Emergency Departments and at our Central Registration areas. The NorthShore Patient Handbook, which includes a description of the Financial Assistance program, is also available to patients upon admission to a NorthShore hospital. NorthShore billing statements also indicate the Financial Assistance program and necessary contact information. Collection agencies are also instructed to offer charity care to potentially eligible patients. A copy of the complete NorthShore Financial Assistance Policy is also available upon request.
Amounts Charged to Individuals Eligible for Financial AssistancePart V Section B Line 19dEvanston Hospital (Number 1) - NorthShore follows the Illinois Hospital Uninsured Patient Discount Act, which requires discounts to patients who qualify for financial assistance that result in bills of no more than 135% of cost. The discount requirements under Illinois law are also monitored to ensure they do not exceed the average of the three lowest negotiated commercial insurance rates. Glenbrook Hospital (Number 2) - NorthShore follows the Illinois Hospital Uninsured Patient Discount Act, which requires discounts to patients who qualify for financial assistance that result in bills of no more than 135% of cost. The discount requirements under Illinois law are also monitored to ensure they do not exceed the average of the three lowest negotiated commercial insurance rates. Highland Park Hospital (Number 3) - NorthShore follows the Illinois Hospital Uninsured Patient Discount Act, which requires discounts to patients who qualify for financial assistance that result in bills of no more than 135% of cost. The discount requirements under Illinois law are also monitored to ensure they do not exceed the average of the three lowest negotiated commercial insurance rates. Skokie Hospital (Number 4) - NorthShore follows the Illinois Hospital Uninsured Patient Discount Act, which requires discounts to patients who qualify for financial assistance that result in bills of no more than 135% of cost. The discount requirements under Illinois law are also monitored to ensure they do not exceed the average of the three lowest negotiated commercial insurance rates.
Needs AssessmentPart VI Line 2NorthShore University HealthSystem (NorthShore) consistently assesses the needs of its communities and those of the underserved to ensure that its community benefits programs are in alignment with the health needs of the communities it serves. In addition to collecting and analyzing available quantitative and qualitative data on mortality, disease incidence, utilization of and access to health care services, NorthShore established a mechanism in which to actively seek the involvement of our community and public health leaders in an ongoing manner to ensure that our analysis reflects the current public health needs in our area. Community Needs Assessment Methodology - In order to produce a comprehensive health assessment, NorthShore utilized a range of available data sources. Public health statistics on mortality, maternal, infant, and child health, emotional well-being and access to care were obtained for 2006 from the Illinois Department of Public Health website. As public health data often lags by several years, and is only available at the state, Metropolitan Statistical Area, or county level, NorthShore also identified sources of zip-code level estimates of disease incidence metrics and socioeconomic status. This data assisted in understanding local levels of need and variation across our specific service area. (The zip-code level metrics included data from Thomson/Reuters from 2008, a health care information company, which creates estimates based on Census data, Medicare and third party insurance claims, and a nationally-representative household survey that includes self-reported health status, health care utilization, and self-report diagnoses.) NorthShore also identified zip-code level rates of preventable hospitalizations based on Agency for Healthcare Research and Quality (AHRQ) definitions. Preventable hospitalizations served as an indicator of the quality and depth of the outpatient management of chronic diseases, such as hypertension, high cholesterol, diabetes and obesity. The causes that trigger hospitalization were identified using the Illinois Hospital Associations COMPData database. Based on the compilation of these sources, NorthShore found that mortality and non-obstetric hospitalizations are driven predominantly by heart disease, cancer, stroke, pneumonia, diabetes and psychiatric conditions. Areas of greatest socioeconomic need within NorthShore's service area are concentrated in northern Lake County and the North Chicago neighborhoods. NorthShore also identified differences across the service area in the self-reported health status and diagnosis of disease, and compared overall rates to Healthy Goals 2010 (where applicable). Community Involvement - NorthShore utilizes multiple mechanisms for seeking out the collective voice of the community in understanding the unmet health needs. For example, each NorthShore hospital has a community advisory committee that includes a range of community leaders. These leaders represent local public health agencies, non-profit organizations serving low-income residents, faith based groups, and business and civic leaders. They advise each hospital and NorthShore on services or initiatives from a community perspective and provide strategic recommendations for community benefits programs. NorthShore's key senior administrators as well as its community relations staff maintain strong working relationships with local leaders, public health agencies, township officials and social service agencies not represented in the community advisory committee. In their role as community liaison, the community relations personnel serve as a point of contact for NorthShore's involvement with community requests. In addition, community relations personnel coordinate the hospital presidents' role in NorthShore advocacy programs. Senior administrators at NorthShore also participate regularly in outreach to local leaders. NorthShore physicians and staff play an equally important role in identifying health trends and needs through their leadership, board participation and involvement in local, regional and national organizations. Information related to the health assessments and findings are communicated at the department level to NorthShore leadership. NorthShore continues to track both quantitative and qualitative sources of public health information as it becomes available, as well as feedback from community leaders. Community health needs data is used in our annual strategic planning processes. Stakeholder participation is critical and greatly influences NorthShore's prioritization and execution of its community benefits programs. In addition, collaboration with local leadership allows NorthShore to detect urgent and growing needs that may be underrepresented or absent from aggregate data, in a timely and effective manner. Lastly, collaboration with local leaders has facilitated the development of signature programs, such as Be Well-Lake County and real time solutions to critical health challenges. Strategic Approach for Meeting Community Health Needs - NorthShore implements a three-fold strategy to address the health needs of the communities that it serves as follows: 1) Community benefits programs, signature initiatives and partnerships will address a need identified in the community health needs assessment conducted by NorthShore, 2) Community benefits programs, initiatives and partnerships will address a need identified by the community, 3) Community benefits programs, initiatives and partnerships will be aligned with the guiding principles outlined in Advancing the State of the Art of Community Benefits for Nonprofit Hospitals. The guiding principles are: disproportionate unmet health-related needs; primary prevention; seamless continuum of care; build community capacity; and community collaboration. All of NorthShore's community benefits programs, initiatives and partnerships are documented in a report that provides the date(s), describes the initiative, identifies assessed need(s) met, highlights outcomes and identifies guiding principles met. NorthShore will continue to place priority on providing community benefits and services in the communities located nearest to our hospitals, where we believe we have the greatest capacity and responsibility to serve. NorthShore conducted its most recent assessment in 2010, and therefore, will complete its next assessment in 2013.
Patient Education of Eligibility for AssistancePart VI Line 3NorthShore informs and educates potentially impacted patients of the Financial Assistance program by posting signage (both English and Spanish) in all the facilities' Emergency Departments and at our Central Registration areas. The NorthShore Patient Handbook is also available to patients upon admission and it describes the Financial Assistance program that includes Charity Care. NorthShore also has approximately 16 full time financial counselors and 38 customer service agents representing our hospitals, clinics, and physician offices. They are responsible for helping patients understand their bills and coordinating financial assistance and eligibility. Any uninsured patient admitted into the hospital will have their case reviewed by a financial counselor. NorthShore billing statements also indicate the Financial Assistance program and necessary contact information. NorthShore's physician offices and collection agencies are also instructed to coordinate charity care to potentially eligible patients. The NorthShore website is another useful resource that informs patients about the Financial Assistance program with links to the application process and the financial application. Any patient having difficulty paying their portion of the bill or wanting to know if they are eligible will have their case reviewed by a financial counselor or by calling the Customer Service department.
Community InformationPart VI Line 4NorthShore University HealthSystem (NorthShore) has four hospital facilities located in the northern suburbs of Chicago, Illinois. The NorthShore service area has a total population size of approximately 1.6 million*. The average household income is approximately $90,000*. During fiscal year 2012, approximately 5% of NorthShore's patients had no insurance and 7% qualified for Medicaid. Within NorthShore's service area, there are three federally-designated medically underserved areas. NorthShore's service area also includes eight other hospitals. *Source: US Census via Thomson Reuters Market Planner Plus
Promotion of Community HealthPart VI Line 5NorthShore University HealthSystem (NorthShore) extends medical staff privileges to all qualified physicians in the NorthShore community. A majority of the NorthShore Board members also reside in NorthShore's service area and are not employees, independent contractors, or family members thereof. NorthShore also uses surplus funds to add new buildings and renovate existing facilities to better serve patients and the community. Additional programs conducted by NorthShore to help promote the health of the community include: Residency and Education Programs - NorthShore is committed to excellence in its academic mission and supports teaching and research in its role as the principal teaching affiliate of the University of Chicago Pritzker School of Medicine. NorthShore also has additional teaching affiliation agreements with Rush University Medical Center, University of Illinois-Chicago, Stroger Hospital, and Northwestern University Feinberg School of Medicine. NorthShore has an extensive selection of training programs and fellowships to offer physicians at our own teaching and research facilities. During fiscal year 2012, a total of 192 residents and 25 fellows participated in the NorthShore and affiliate-based programs. The NorthShore residency program areas included: Dentistry, Internal Medicine, Pathology, Preliminary Medicine (intern year), Transitional Medicine (1st Year prior to specialization), and Family Medicine. The NorthShore fellowship program areas included: Female Pelvic Medicine and Reconstructive Surgery, Musculoskeletal Imaging, Surgical Pathology, and Endocrine Surgery. The affiliate-based residency program areas included: Anesthesiology, Dermatology, Emergency Medicine, Obstetrics and Gynecology, Orthopaedic Surgery, Pediatrics, Psychiatry, Radiology, General Surgery, Neurology, Neurosurgery, Ophthalmology, Otolaryngology, Plastic Surgery, Podiatry, and Urology. The affiliate-based fellowship program areas included: Advanced Cardiovascular Imaging and Research, Cardiology, Cardiothoracic Surgery, Child Neurology, Child Psychiatry, Colon Rectal Surgery, Electrophysiology, Gastroenterology, Gynecologic Oncology, Hematology/Oncology, Infectious Disease Research, Maternal-Fetal Medicine, Neonatal-Perinatal Medicine, Nephrology, Neuroradiology, Orthopaedic Hand, Orthopaedic Sports, Palliative Medicine, Peripheral Vascular Surgery, and Surgical Oncology. The NorthShore School of Nurse Anesthesia operates out of Evanston Hospital. The program has full accreditation from the Council of Accreditation of Nurse Anesthesia Educational Programs. The mission of the school is to prepare qualified professional registered nurses for the advanced practice of nurse anesthesia in a variety of practice settings. The graduate nurse anesthetist demonstrates the knowledge, skills, and attitude necessary to take on leadership roles in the practice of nurse anesthesia. During fiscal year 2012, 65 students participated in the program. NorthShore also provided clinical training and internships during the 2012 academic year for 1,239 high school and college students. Student interned in the following areas: Nursing, Cardiology, Laboratory, Medical Social Work, Occupational Therapy, Infection Control, Perinatal Family Support Center, Physical Therapy, Radiology, Radiation Oncology, Speech Pathology, and Hospital Administration. Community Advisory Committees - The Community Advisory Committees' (CAC) role is to advise hospital administration on services and initiatives from a community perspective. CACs are structured to ensure NorthShore's accountability to the community by working to fulfill our community relations vision that the more NorthShore and the community connect, the stronger and healthier both will become. The CACs are comprised of primarily community members, along with hospital administrative and professional staff. NorthShore strives for diverse membership to include business, faith community, social services, civic organizations, government officials, elected officials, interested citizens, former patients, and healthcare professionals. The role of the CACs is to serve as an advocate for the greater good of the community and its health, and to provide recommendations for annual community benefit planning. The CACs also help identify opportunities for partnerships between the hospitals and community organizations, and they identify gaps in healthcare services within the community. Be Well Lake County - Be Well Lake County is a collaboration between NorthShore, Lake County Health Department and Community Health Center, and supporting community partners. The program's goal is to build greater access through a coordinated network of healthcare targeting the underserved diabetes population in Lake County. The program enables the partner organizations to effectively pool and maximize resources in order to provide high quality comprehensive diabetes management, education, and support resources that will address one of the nation's fastest growing health threats. Evanston Hospital Outpatient Clinic - The Outpatient Clinic at Evanston Hospital provides medical care to adults and children who lack private medical insurance. Medical services include, but are not limited to: primary care, obstetrics/gynecology, general surgery, orthopaedics, diabetes education, and podiatry. In fiscal year 2012, the clinic treated 4,819 adult patients at 13,231 visits and 2,736 adolescent patients at 6,795 visits. Dental Center - The Dental Center at Evanston Hospital provides primary care dental services and special consultations for medically underserved adult patients, pre-screenings for cardiovascular patients, and management for oral complications in oncology patients and those with refractory dental problems. The Dental Center provided free and discounted care for 356 adult patients making 3,478 visits at a cost of $207,782 during fiscal year 2012. Evanston Township High School Health Center - Established as a collaborative partnership with Evanston Township High School, the Evanston Health Department, and NorthShore, the Health Center is a free school-based health clinic for the school's approximately 3,000 students. The Health Center is staffed by NorthShore employees, including a physician, two part-time nurse practitioners, and a social worker. During the 2011-2012 school year, 721 students utilized the Health Center at 3,478 visits at a cost of $577,577. Medication Assistance Program - NorthShore's Medication Assistance Program helps patients with the cost of paying for prescription drugs. The Medication Assistance Program assisted 2,566 patients in filling 35,103 prescriptions at a cost of $281,158 during fiscal year 2012. Home Health and Hospice Services - NorthShore provides intermittent care including skilled nursing, physical therapy, occupational therapy, speech therapy, infusion therapy, and home health aides. Home and Hospice also provides hospice and palliative care services to NorthShore patients and their families. During fiscal year 2012, there were 76,647 patient visits and 5,851 admissions. Perinatal Depression Program - The Perinatal Depression Program identifies women who are suffering from perinatal depression and offer referrals for women who many need additional support. The program screens women for perinatal depression during and after their pregnancy and offers a 24/7 crisis hotline for women and their family members who may find themselves in an emergent situation. The hotline provides multilingual interpretation services to assist those with limited or no English-speaking ability. All services are provided free of charge. In fiscal year 2012, NorthShore physicians conducted 6,917 screenings to identify at-risk patients, and the hotline received 752 calls. Free psychological support and referrals were provided for 510 women identified through the screenings as at-risk for perinatal mood disorders. Employee Volunteerism - NorthShore employees participate in various volunteer activities that meet community needs and promote good will. Several NorthShore publications include information about volunteer organizations and employee volunteer opportunities. NorthShore also recognizes and rewards employees for community service and volunteerism through the annual Sharing Spirit Volunteer Award.
Affiliated Health Care SystemPart VI Line 6NorthShore University HealthSystem (NorthShore) is a comprehensive, fully integrated, healthcare delivery system that includes four hospitals, as well as numerous outpatient departments and clinics. In addition to the hospital organization, there are the following affiliates that help to meet the needs of the community: NorthShore University HealthSystem Foundation - The NorthShore University HealthSystem Foundation (Foundation) seeks to obtain the philanthropic support required to ensure that NorthShore can provide medical care, advanced research, and state-of-the-art facilities and equipment. The Foundation builds relationships with individuals and the community to increase awareness of high-quality services and giving opportunities. NorthShore University HealthSystem Research Institute - The NorthShore University HealthSystem Research Institute (Research Institute) was organized to provide a means for integrating leading-edge research into improved clinical care. The Research Institute also creates an environment to recruit and retain externally-funded research leadership in order to achieve the mission and goals of the organization. The Research Institute now houses nearly 200 externally funded research faculty who currently occupy over 100,000 net square feet of research space and work on nearly 1,000 active research protocols. Total external funding is now over $100 million. In addition, NorthShore has made a substantial commitment to develop a new Center for Clinical and Research Informatics to conduct expanded research using informatics. Such infrastructure will enable large scale efforts on comparative effectiveness, clinical quality/outcomes, and practice based research. The Center and its work will build on our award winning Epic medical records system, providing a focus for growing faculty involvement in research. NorthShore University HealthSystem Faculty Practice Associates - NorthShore University HealthSystem Faculty Practice Associates (FPA) represents more than 800 physicians with over 100 offices in virtually every specialty all on staff at the hospitals of NorthShore. FPA physicians provide professional health care services for patients of NorthShore, as well as conduct medical education and research activities on behalf of NorthShore. Radiation Medicine Institute - Radiation Medicine Institute (RMI) provides professional health care services for patients of NorthShore. RMI physicians also conduct medical education and research activities on behalf of NorthShore.
State Filing of Community Benefit ReportIllinois

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (41 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrantAmount Of Non Cash AssistanceAmountOfNonCashAssistanceMethod Of ValuationMethodOfValuationDescription Of Non Cash AssistanceDescriptionOfNonCashAssistance
American Cancer Society
820 Davis StEvanstonIL60201362167721501(c)(3)27575Community Event Contributions
American Heart Association
208 South LaSalle StChicagoIL60604360900700501(c)(3)20000Community Event Contributions
Cancer Wellness Center
215 Revere DrNorthbrookIL60062363604463501(c)(3)7500Community Contribution
Council for Jewish Elderly
3003 W Touhy AveChicagoIL60645362727597501(c)(3)Community Contribution5800FMVOffice Space
Crohns and Colitis Foundation
386 Park Avenue SouthNew YorkNY10016136193105501(c)(3)15000General Contribution
Evanston Chamber of Commerce
1840 Oak AveEvanstonIL60201361051450501(c)(6)9700Community Contribution
Evanston Community Foundation
1007 Church StEvanstonIL60201363466802501(c)(3)6750Community Contribution
Glenview Education Foundation
PO Box 373GlenviewIL60025363789505501(c)(3)8000Community Contribution
Housing Options Mentally Ill Evanston Inc
1132 Florence AveEvanstonIL60202363611260501(c)(3)10000Community Contribution
Infant Welfare Society of Evanston Inc
2200 Main StEvanstonIL60202362167753501(c)(3)10000Community Contribution
Lake County Health Department
3010 Grand AveWaukeganIL60085366006600115510000Be Well Lake County Program
Lake County Partners for Economic Develop
100 Tri-St Int DrLincolnshireIL60069364206288501(c)(3)10000Community Contribution
Medical Eye & Dental International Org
2955 Dawn DrGeorgetownTX78628742587018501(c)(3)Donation to Honduras54168CostMedical Supplies
Northeast Illinois Council of Boy Scouts
2745 Skokie Val RdHighland ParkIL60035362663224501(c)(3)25000Community Contribution
Northfield Township
3801 West Lake AveGlenviewIL6002636600865011510000Community Contribution
NorthShore Faculty Practice Associates
1301 Central StreetEvanstonIL60201363738206501(c)(3)44888583General Support
Skokie Public Library
5215 Oakton StSkokieIL600773660061021155300Community Contribution
The Josselyn Center NFP
405 Central AveNorthfieldIL60093362217996501(c)(3)8000Community Contribution
Village of Niles
1000 Civic Center DrNilesIL6071436600601611510000Community Contribution
Atlantic Health System
PO Box 48328NewarkNJ07101521958352501(c)(3)17800Research
Delve LLC
11971 Westline Ind DrSt LouisMO63143200684635829319Research
Emory University
1599 Clifton RdAtlantaGA30322580566256501(c)(3)63627Research
Indiana Institute for Medical Research
1481 W 10th StIndianapolisIN46202351781809501(c)(3)5754Research
Massachusetts General Hospital
55 Fruit StBostonMA02114041564655501(c)(3)27691Research
Mayo Clinic
200 First St SWRochesterMN55905416011702501(c)(3)88860Research
Monell Chemical Senses Center
3500 Market StPhiladelphiaPA19104232020897501(c)(3)9184Research
Mount Auburn Professional Services Inc
330 Mount Auburn StCambridgeMA021380430268976700Research
Northwestern University
633 Clark StEvanstonIL60208362167817501(c)(3)2895515Research
Regents of the University of Michigan
3003 S State StAnn ArborMI48109386006309115106561Research
Rehabilitation Institute of Chicago
345 E Superior StChicagoIL60611362256036501(c)(3)56581Research
Temple University
1803 N Broad StPhiladelphiaPA19122231365971501(c)(3)14629Research
Texas Biomedical Research Institute
PO Box 760549San AntonioTX78245741109630501(c)(3)167529Research
The Brigham and Women's Hospital Inc
75 Francis StBostonMA02115042312909501(c)(3)87138Research
The Regents of the University of California
1200 Dutton HallDavisCA9561694603649311566855Research
University of Chicago
5801 S Ellis AveChicagoIL60637362177139501(c)(3)26715Research
University of Pittsburgh
580 S Aiken AvePittsburghPA15232250965591501(c)(3)30884Research
University of South Florida
4202 E Fowler AveTampaFL33620593102112115143326Research
University of Southern California
1450 San Pablo StLos AngelesCA90033951642394501(c)(3)23438Research
University of Washington
3917 University Way NESeattleWA9810591600153711553800Research
University of Wisconsin Milwaukee
3202 N Maryland AveMilwaukeeWI5320239180596311578044Research
Westat Inc
PO Box 1004RockvilleMD2085084052956634010Research
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants37TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations4TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII

FieldValueIRS element (for citing)
Type Of GrantScholarships in Medical FieldTypeOfGrant
Number Of Recipients51NumberOfRecipients
Amount Of Cash Grant86909AmountOfCashGrant

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierMonitoring of Grant FundsIdentifier
Return ReferenceSchedule I Part I line 2ReturnReference
ExplanationNorthShore University HealthSystem (NorthShore) provides cash and non-cash assistance to organizations that help support NorthShore's mission to preserve and improve human life. Requests to support an outside organization must be reviewed and approved by the Community Relations department and NorthShore management to ensure the organization is aligned with NorthShore's mission and charitable purpose. NorthShore also provides cash grants to sub-recipients of grant awards. NorthShore requires all sub-recipients to sign a consortium agreement stating that the sub-recipient understands and agrees to all applicable compliance requirements. NorthShore meets with the sub-recipients on a regular basis and reviews the sub-recipients' A-133 reports. In addition, NorthShore provides cash support to related organizations. Support to related organizations is monitored through the NorthShore budget and reporting procedures for the consolidated financial statements. Finally, NorthShore provides nursing scholarships to individuals. The scholarship amount depends on the degree sought, and the number of scholarships awarded depends on the available funds for each year. Scholarships are awarded on an annual basis to applicants that meet the eligibility criteria. Applicants must be current employees of NorthShore as a staff nurse or other related clinical position. Applicants must also be currently enrolled in a nursing degree program, and enrollment must be maintained for the year the scholarship is received. In addition, applicants must sign a Statement of Agreement to work for NorthShore as a staff nurse or in a related clinical position for one year following receipt of the scholarship.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
First Class Or Charter TravelXFirstClassOrCharterTravel
Travel For CompanionsXTravelForCompanions
Idemnification Gross Up PaymentsXIdemnificationGrossUpPayments
Written Policy Re T And E ExpensestrueWrittenPolicyReTAndEExpenses
Substantiation RequiredfalseSubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Compensation SurveyXCompensationSurvey
Board Or Committee ApprovalXBoardOrCommitteeApproval
Severance PaymentfalseSeverancePayment
Supplemental Nonqual Retire PlantrueSupplementalNonqualRetirePlan
Equity Based Comp ArrangementfalseEquityBasedCompArrangement
Comp Based On Revenue Of Filing OrgfalseCompBasedOnRevenueOfFilingOrg
Comp Based On Revenue Related OrgsfalseCompBasedOnRevenueRelatedOrgs
Comp Based Net Earnings Filing OrgfalseCompBasedNetEarningsFilingOrg
Comp Based Net Earnings Relate OrgsfalseCompBasedNetEarningsRelateOrgs
Any Non Fixed PaymentstrueAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (33 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Bernard G Ewigman
382126025000000599570556440522727000
Theodore Mazzone
281295337050250000520918684223925073003024866645300
Mark S Talamonti
604816246858010000004505514858606521851891964152540689700
Mark R Neaman
9120470142440005242250957050156560297203304890610
Jeffrey H Hillebrand
61216207940000301686805410801815604495294012403250
Gary E Weiss
4026170510000017671980437020191120274262901643700
Julian E Bailes
1576773142081000000020246991139322211440726687933457100
William D Bloomer
3930302601120335000050862125908333194851289542510566720200
Michael S Caplan
3263291632870560002835292661394569785330266734843925819800
Robert R Edelman
69997538511020760001425719832109135105193175491226339000
Gerald P Gallagher
341808041850001774044215024955083125201335870
Thomas H Hodges
34646601520000100020209230147630544154000
William R Luehrs
3110650421800015876340379040164200237482308244230
Demetrius Maraganore
28647318789405000004489126368287166211090131573026157100
Frederick E Miller
3273398050502500001879916793413020919514536505113357900
Kristen Murtos
280283029000002136036713026414063554601100000
Jesse Peterson Hall
335617044700004984039198026031085283001468530
William J Robb III
5700000100000025299020923045430720765000
Leopold G Selker
312443040800003249560209230244160109073801441870
Nancy Semerdjian
27312701240000136670209230164320448149000
Richard K Silver
4000434180410750000117681023110692158621657642613653207700
Douglas M Silverstein
37639804915000533603592590103680124286101626230
Thomas W Smith
3173120432000019409020923018233080787701441870
Jeffery S Vender
500026245422025000002103014035688816304800253036553134200
Thomas A Victor
38098055162024100405813618277264627349396042660636090800
Brian Washa
253696089300024360209230229370389292000
Kenneth P Anderson
3632150109800052920209230239610523191000
Harry L Jones
2298490106000029900209230240860383848000
Janardan D Khandekar
5002709114275000880004014829217699322421183385961455323451700
Jonathan Silverstein
28744909930007940209230174650425931000
Rajiv Udani
2243460213470658030209230225740354993000
Sean O'Grady
23027307900003780209230255300356104000
Nicholas A Vick
15600041682011640392461666644531300234741856689001900

Form990 Schedule J Part III Form990ScheduleJPartIII (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Benefits ProvidedPart I Line 1aFirst-class airfare was provided to the Chief Executive Officer and Chief Operating Officer for business travel purposes and was not treated as taxable compensation. The first-class airfare was purchased through a prepaid airline mileage account, which provided discounted airline fare rates. Spousal travel was provided for one trip during calendar year 2011 to the Chief Executive Officer and was treated as taxable compensation. Tax indemnification and gross-up payments are occasionally provided to employees for achievement awards and other benefits, which are reviewed and approved by management. During calendar year 2011, nine employees listed in Part VII received gross-up payments. These amounts were treated as taxable compensation.
Reimbursement SubstantiationPart I Line 2A prepaid airline mileage account was purchased for the travel of the Chief Executive Officer and Chief Operating Officer. At the time of the purchase, it was not known what specific travel would occur and therefore the travel could not be substantiated at purchase. The business purpose of each trip was substantiated at the time of travel.
Supplemental Nonqualified Retirement PlanPart I Line 4bThe following individuals participated in a supplemental nonqualified retirement plan and accrued the following benefits: Mark R Neaman, President and Chief Executive Officer - $501,419, Jeffrey H Hillebrand, Chief Operating Officer - $2,995,991, William R Luehrs, Chief Human Resources Officer - $1,580,140, Leopold G Selker, President, Research Institute - $303,246, Douglas M Silverstein, President, Glenbrook Hospital - $316,168, Gary E Weiss, Chief Financial Officer - $1,758,577.
Non-Fixed PaymentsPart I Line 7NorthShore University HealthSystem provides incentive payments to certain employees after operating and performance goals are achieved. Incentive payment plans are reviewed and approved by the Compensation Committee of the Board of Directors.
Compensation from Unrelated OrganizationsCore Form 990 Part VII Line 5The salary and benefits reported on Schedule J totaling $522,727 for Dr. Bernard G Ewigman were paid by the University of Chicago Medical Center for services provided to NorthShore University HealthSystem as the Chairman of the Department of Family Medicine.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuerPool FinancingPoolFinancing
Illinois Finance Authority
86109196745200F4D82010-07-14138786145See Part VIfalsefalsefalse
Illinois Finance Authority
86109196745200MU932008-12-1175000000See Part VIfalsefalsefalse

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Amount RetiredAmountRetiredAmount Bond DefeasedAmountBondDefeasedTotal ProceedsTotalProceedsAmount In Reserve FundAmountInReserveFundCapitalized InterestCapitalizedInterestRefunding EscrowRefundingEscrowIssuance Costs From ProceedsIssuanceCostsFromProceedsCredit EnhancementCreditEnhancementWorking Capital ExpendituresWorkingCapitalExpendituresCapital ExpendituresCapitalExpendituresOther Spent ProceedsOtherSpentProceedsAmount UnspentAmountUnspentYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
71300000138786145000101777100013776837402010truefalsetruetrue
0075000000000433044131875074435081002008falsefalsetruetrue

Form990 Schedule K Part III Form990ScheduleKPartIII (2 entries)

Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthersOwning Bond Financed PropertyOwningBondFinancedPropertyAny Lease ArrangementsAnyLeaseArrangementsMngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprtyEngage Bond Counsel ContractsEngageBondCounselContractsAny Research AgreementsAnyResearchAgreementsEngage Bond Counsel ResearchEngageBondCounselResearchPercentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBITotal Private Business UseTotalPrivateBusinessUsePost Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs
0
0.00300falsefalsetruetruetruetrue0.002000.00500true

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICBusiness Name Line1NameOfGICProvider/BusinessNameLine1Gross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebate
0
falsefalsefalsefalse0falsetrue
0
falsetruefalsefalse0falsetrue
FieldValueIRS element (for citing)
Fed Tax Requirements ComplianceXFedTaxRequirementsCompliance

Form990 Schedule K Part VI Form990ScheduleKPartVI (4 entries)

IdentifierIdentifierReturn ReferenceReturnReference
A-To refund bonds issued 7/3/2001. Proceeds were also used to pay0
termination costs of derivative agreements related to the refunded bonds.0
B-To reimburse NorthShore for the costs of construction, renovation, and0
equipment for projects at Evanston, Glenbrook, and Highland Park Hospitals0

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (12 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
NorthShore Physician Associates Inc
See Part V20721002Capitation Payments, Otherfalse
NorthShore Insurance International
Bd Mbr - Gerald Gallagher5066774Insurance Premiumsfalse
Ravine Way Surgery Center LLC
See Part V1080000Earnings Distributionstrue
NorthShoreUSP Surgery Center II LL
See Part V2245500Earnings Distributionstrue
Advisory Board Company
Bd Mbr - Mark Neaman295550Membership Duesfalse
Vocera Communications Inc
Bd Mbr - Jeff Hillebrand1646814Communications Equipmentfalse
VHA Inc
Bd Mbr - Jeff Hillebrand3165446Net Purch Rebates/Mbr Chargesfalse
Medline Industries
Officer - Andrew Mills450739Medical Suppliesfalse
Blue Cross Blue Shield of Illinois
Bd Mbr - Sona Wang434115367Net Patient Revenuesfalse
Thomas M Selker
Family Mbr-Leopold Selker59364Employmentfalse
April F Victor
Family Mbr-Thomas Victor52731Employmentfalse
Alexis A Washa
Family Mbr-Brian Washa188860Employmentfalse

Form990 Schedule L Part V Form990ScheduleLPartV

FieldValueIRS element (for citing)
IdentifierBusiness Transactions with Interested PersonsIdentifier
Return ReferencePart IV Column (b)ReturnReference
ExplanationNorthShore Physician Associates, Inc. board members and officers were: Leon S Benson, Michael S Caplan, Toure S Claiborne, A Steven Crown, William L Davis, Mary Dillon, Connie K Duckworth, Bernard G Ewigman, Jeffrey H Hillebrand, Ike Hong, Gregory K Jones, Richard L Keyser, Lester B Knight III, Harry M Jansen Kraemer Jr, Theodore Mazzone, Samuel M Mencoff, Andrew J Mills, Kristen Murtos, Mark R Neaman, Scott C Schweighauser, Susan B Sentell, Mark S Talamonti, Thomas A Victor, John R Walter, Sona Wang, Jonathan P Ward, William Wrigley Jr Ravine Way Surgery Center LLC board members were Gerald P Gallagher and Jeffrey H Hillebrand. NorthShore/USP Surgery Center II LLC board members were Jeffrey H Hillebrand and Thomas H Hodges.Explanation

Schedule M IRS990ScheduleM

FieldValueIRS element (for citing)
Works Of ArtWorksOfArt
Art Historical TreasuresArtHistoricalTreasures
Art Fractional InterestArtFractionalInterest
Books And PublicationsBooksAndPublications
Clothing And Household GoodsClothingAndHouseholdGoods
Cars And Other VehiclesCarsAndOtherVehicles
Boats And PlanesBoatsAndPlanes
Intellectual PropertyIntellectualProperty

Securities Publicly Traded SecuritiesPubliclyTraded

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Number Of Contributions24NumberOfContributions
Noncash Contribs Rptd F9901148026NoncashContribsRptdF990
Method Of Determining RevenuesSale ProceedsMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Securities Closely Held StockSecuritiesCloselyHeldStock
Securities Prtnrshp Trust IntrstsSecuritiesPrtnrshpTrustIntrsts
Securities MiscellaneousSecuritiesMiscellaneous
Qualified Contrib Hist StructQualifiedContribHistStruct
Qualified Contrib OtherQualifiedContribOther
Real Estate ResidentialRealEstateResidential
Real Estate CommercialRealEstateCommercial
Real Estate OtherRealEstateOther
CollectiblesCollectibles
Food InventoryFoodInventory
Drugs And Medical SuppliesDrugsAndMedicalSupplies
TaxidermyTaxidermy
Historical ArtifactsHistoricalArtifacts
Scientific SpecimensScientificSpecimens
Archaeological ArtifactsArchaeologicalArtifacts
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeld
Review Process Unusual NC GiftstrueReviewProcessUnusualNCGifts
Third Parties UsedfalseThirdPartiesUsed

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (13 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Independence of Voting Members of Governing BodyPart I Line 4 and Part VI Section A Line 1bVoting members of the NorthShore University HealthSystem (NorthShore) Board of Directors are also members of the Board of Directors for NorthShore Physician Associates, Inc. (NPA), a related for-profit corporation. Because transactions between NorthShore and NPA are required to be reported on Schedule L, the voting members of the NorthShore Board of Directors are not considered independent for 990 reporting purposes.
Mission StatementPart III Line 1The core mission of NorthShore University HealthSystem is to "preserve and improve human life." This mission will be achieved through the provision of superior clinical care, academic excellence, and innovative research. NorthShore is a not-for-profit organization principally formed to provide quality healthcare services for the communities it serves. The delivery of healthcare services is provided in a wide range of inpatient and ambulatory healthcare settings, community-wide, employing modern technology and expertise. Support for qualified patients who may not be able to pay the entire cost of their care is a part of the organization's commitment. In support of its primary mission of patient care, the organization engages in a wide range of academic activities in medical education and research. This statement recognizes the Board of Directors' responsibility to maintain the organization's viability to meet its long-term commitment to the communities it serves. It further recognizes the responsibility to maintain technologically current assets for this purpose. This includes the cultivation and development of our physicians, graduate medical students, employees, physical plant, equipment and other resources to assure orderly growth of our services.
Statement of Program Services - Patient CarePart III Line 4aHeadquartered in Evanston, Illinois, NorthShore University HealthSystem, (NorthShore), is a comprehensive, fully integrated, healthcare delivery system serving the Chicago region. NorthShore includes four hospitals: Evanston Hospital, Glenbrook Hospital, Highland Park Hospital, and Skokie Hospital. NorthShore has approximately 10,000 employees and 2,100 affiliated physicians, including a multispecialty group practice with over 800 physicians and 100-plus office locations under the NorthShore University HealthSystem Faculty Practice Associates. The integrated health system has significant capabilities in a wide spectrum of leading clinical programs, including cancer, neurology, cardiovascular care, orthopaedics, and high-risk maternity. Further, NorthShore supports teaching and research as the principal teaching affiliate for the University of Chicago Pritzker School of Medicine. NorthShore is a Magnet recognized organization, the only one in Illinois designated as a system to receive this prestigious honor that demonstrates excellence in nursing and high standards of patient care. NorthShore is a national leader in the implementation of innovative technologies, including electronic medical records (EMR). In 2003, NorthShore was among the first hospital systems in the country to successfully launch a system-wide EMR with demonstrable benefits in quality, safety, efficiency, and service to patients. NorthShore has been recognized by multiple national organizations for this notable achievement. As part of a formalized relationship between NorthShore and the Mayo Clinic, physicians from these two organizations are working together on the most complex medical cases. NorthShore physicians have direct access to Mayo Clinic physicians to collaborate on the best treatment for patients with hard to solve cases. NorthShore has also been recognized as one of the nation's 100 Top Hospitals by Truven Health Analytics, formerly the healthcare business of Thomson Reuters. NorthShore has been named to the list 16 times, which is more than any hospital in the country during the award's 20-year history. The 100 Top Hospitals study measures the performance of health systems based on several metrics, including in-hospital mortality, medical complications, patient safety, average length of stay, expenses, profitability, patient satisfaction, adherence to clinical standards of care, post-discharge mortality, and readmission rates. NorthShore's Evanston and Glenbrook hospitals were named to the annual class of top national hospitals by the Leapfrog Group's Top Hospitals List for 2012. NorthShore's hospitals were among 67 selected from a field of nearly 1,200 hospitals nationally based on the results of the Leapfrog Group's annual hospital survey, which measures performance on patient safety and quality. All of NorthShore's four hospitals also received A grades as part of the Leapfrog semi-annual Hospital Safety Scores. NorthShore is nationally ranked in two specialties and rated as high performing in nine others, according to the U.S. News and World Report annual Best Hospitals survey. The survey looked at about 5,000 hospitals nationwide, ranking them in 16 different specialties, and a total of fewer than 150 hospitals received at least one national ranking. NorthShore was nationally ranked in Gynecology and Gastroenterology, and rated as high-performing in the following specialties: Cancer, Diabetes and Endocrinology, Ear, Nose, and Throat, Geriatrics, Nephrology, Neurology and Neurosurgery, Orthopaedics, Pulmonology, and Urology. NorthShore recognizes and embraces its responsibility to ensure that it fulfills its charitable obligations in the most cost-effective and sustainable manner. In order to achieve this goal, NorthShore has aligned its community benefits program with the guiding principles outlined in Advancing the State of the Art of Community Benefit for nonprofit hospitals, which provides a set of uniform standards to increase accountability and align governance, management, and operations to return benefit to local communities. The five guiding principles are: 1) Disproportionate Unmet Health-Related Needs, 2) Primary Prevention, 3) Seamless Continuum of Care, 4) Build Community Capacity, and 5) Community Collaboration. NorthShore informs and educates potentially impacted patients of the Financial Assistance program by posting signage (both English and Spanish) in all the facilities' Emergency Departments and at our Central Registration areas. The NorthShore Patient Handbook is also available to patients upon admission and it describes the Financial Assistance program that includes Charity Care. NorthShore also has approximately 16 full time financial counselors and 38 customer service agents representing our hospitals, clinics, and physician offices. They are responsible for helping patients understand their bills and coordinating financial assistance and eligibility. Any uninsured patient admitted into the hospital will have their case reviewed by a financial counselor. NorthShore billing statements also indicate the Financial Assistance program and necessary contact information. NorthShore's physician offices and collection agencies are also instructed to coordinate charity care to potentially eligible patients. The NorthShore website is another useful resource that informs patients about the Financial Assistance program with links to the application process and the financial application. Any patient having difficulty paying their portion of the bill or wanting to know if they are eligible will have their case reviewed by a financial counselor or by calling the Customer Service department. Evanston Hospital - With a history dating back to 1891, Evanston Hospital is a 354-licensed bed comprehensive acute-care facility and the nucleus of NorthShore University HealthSystem. Evanston Hospital is a leader in cardiac care, cancer care via the Kellogg Cancer Center and a variety of surgical specialties: neurosurgery, gynecological surgery, robot-assisted surgery, surgical oncology, and urology surgery. Evanston Hospital is certified by the Joint Commission in palliative care and as a Primary Stroke Center. The hospital also is a licensed Level I Trauma Center. Evanston Hospital is also the regional center for high-risk obstetrics. The Infant Special Care Unit and the Women's Hospital offer a comfortable birthing environment where high-risk mothers and their babies have access to the latest technology and a highly trained staff. Evanston Hospital also houses the NorthShore Center for Simulation and Innovation, which provides nurses, physicians, residents, paramedics, firefighters and police with simulated clinical care, trauma and emergency preparedness training in a controlled environment. During fiscal year 2012, Evanston Hospital total admissions were 18,685, and total patient days were 99,869.
Statement of Program Services - Patient Care - ContinuedPart III Line 4aGlenbrook Hospital - Glenbrook Hospital, established in 1977, is a 173-licensed bed comprehensive medical center providing advanced diagnostic and therapeutic interventions. In addition to being a Level II Trauma Center, Glenbrook Hospital is certified by the Joint Commission as a Primary Stroke Center. Glenbrook Hospital provides advanced medical and surgical care for all specialties. Specific specialties include the Kellogg Cancer Center, NorthShore Neurological Institute, NorthShore Spine Center, John and Carol Walter Center for Urological Health, Patricia Nolan Center for Breast Health, Simms Family GI Lab, Eye and Vision Center, Surgical Specialty Suite, and Total Joint Replacement Center. In addition, the hospital offers leading-edge interventional radiology and cardiac catheterization laboratory. During fiscal year 2012, Glenbrook Hospital total admissions were 9,240, and total patient days were 44,883. Highland Park Hospital - Founded in 1918, Highland Park Hospital has provided high-quality healthcare and a wide range of clinical programs for the people of Lake County and beyond for nearly a century. The 149-licensed bed hospital is the site of the first open-heart surgery in Lake County, and continues to provide a full range of cardiac diagnosis and intervention services. Highland Park Hospital's Kellogg Cancer Center offers the most comprehensive subspecialty care for oncology patients. Specialized physicians provide care for the following types of cancer: thoracic and lung, hematology, breast, ovarian, head and neck, melanoma and sarcoma, gastrointestinal, prostate, and stomach. Highland Park Hospital is a Joint Commission certified Primary Stroke Center. The Emergency Department at Highland Park Hospital acts as the region's "pod" hospital for disaster-response activities, coordinating Lake County's efforts when confronted with a disaster. The Pediatric Preparation Program helps to familiarize young patients with the hospital environment through hospital tours and play sessions prior to surgery. NorthShore also has a partnership with the Lake County Health Department and Community Health Center known as Be Well Lake County. The program goal is to build greater access through a coordinated network of healthcare targeting the underserved diabetes population in Lake County. The program enables the partner organizations to effectively pool and maximize resources in order to provide high quality comprehensive diabetes management, education, and support resources that will address one of the nation's fastest growing health threats. During fiscal year 2012, Highland Park Hospital total admissions were 9,077, and total patient days were 41,600. Skokie Hospital - Established in 1963, Skokie Hospital is a 156-licensed bed facility that has provided high-quality healthcare for nearly five decades and is nationally recognized for its expertise in orthopaedics and cardiac care. Key hospital specialties and features also include minimally invasive surgery, total joint replacement, spine surgery, clinical cardiology, and graduate medical education (residency) programs in internal medicine, general surgery, and anesthesia. In addition, Skokie Hospital's Level II Trauma Center-Emergency Department-is staffed by an experienced trauma team specially trained in pediatric life support. During fiscal year 2012, Skokie Hospital total admissions were 6,612, and total patient days were 34,786. NorthShore University HealthSystem Faculty Practice Associates - In order to increase the efficiency and quality of health care NorthShore provides, NorthShore University HealthSystem Faculty Practice Associates (FPA) was organized to serve as an integral part of its health care mission and activities. FPA represents more than 800 physicians with over 100 offices in virtually every specialty all on staff at the hospitals of NorthShore. FPA physicians provide professional health care services for patients of NorthShore, as well as conduct medical education and research activities on behalf of NorthShore. NorthShore University HealthSystem Foundation - NorthShore University HealthSystem Foundation (Foundation) is dedicated to assisting the integrated healthcare delivery system to fulfill NorthShore's mission to "preserve and improve human life." The Foundation seeks to obtain the philanthropic support required to ensure that NorthShore can provide medical care, advanced research, and state-of-the-art facilities and equipment. The Foundation builds relationships with individuals and the community to increase awareness of NorthShore's high-quality services and giving opportunities.
Statement of Program Services - EducationPart III Line 4bNorthShore University HealthSystem (NorthShore) is committed to excellence in its academic mission and supports teaching and research in its role as the principal teaching affiliate of the University of Chicago Pritzker School of Medicine. NorthShore also has additional teaching affiliation agreements with Rush University Medical Center, University of Illinois-Chicago, Stroger Hospital, and Northwestern University Feinberg School of Medicine. NorthShore has an extensive selection of training programs and fellowships to offer physicians at our own teaching and research facilities. During fiscal year 2012, a total of 192 residents and 25 fellows participated in the NorthShore and affiliate-based programs. The NorthShore residency program areas included: Dentistry, Internal Medicine, Pathology, Preliminary Medicine (intern year), Transitional Medicine (1st Year prior to specialization), and Family Medicine. The NorthShore fellowship program areas included: Female Pelvic Medicine and Reconstructive Surgery, Musculoskeletal Imaging, Surgical Pathology, and Endocrine Surgery. The affiliate-based residency program areas included: Anesthesiology, Dermatology, Emergency Medicine, Obstetrics and Gynecology, Orthopaedic Surgery, Pediatrics, Psychiatry, Radiology, General Surgery, Neurology, Neurosurgery, Ophthalmology, Otolaryngology, Plastic Surgery, Podiatry, and Urology. The affiliate-based fellowship program areas included: Advanced Cardiovascular Imaging and Research, Cardiology, Cardiothoracic Surgery, Child Neurology, Child Psychiatry, Colon Rectal Surgery, Electrophysiology, Gastroenterology, Gynecologic Oncology, Hematology/Oncology, Infectious Disease Research, Maternal-Fetal Medicine, Neonatal-Perinatal Medicine, Nephrology, Neuroradiology, Orthopaedic Hand, Orthopaedic Sports, Palliative Medicine, Peripheral Vascular Surgery, and Surgical Oncology. The NorthShore School of Nurse Anesthesia operates out of Evanston Hospital. The program has full accreditation from the Council of Accreditation of Nurse Anesthesia Educational Programs. The mission of the school is to prepare qualified professional registered nurses for the advanced practice of nurse anesthesia in a variety of practice settings. The graduate nurse anesthetist demonstrates the knowledge, skills, and attitude necessary to take on leadership roles in the practice of nurse anesthesia. During fiscal year 2012, 65 students participated in the program. NorthShore also provided clinical training and internships during the 2012 academic year for 1,239 high school and college students. Student interned in the following areas: Nursing, Cardiology, Laboratory, Medical Social Work, Occupational Therapy, Infection Control, Perinatal Family Support Center, Physical Therapy, Radiology, Radiation Oncology, Speech Pathology, and Hospital Administration.
Statement of Program Services - ResearchPart III Line 4cThe NorthShore University HealthSystem Research Institute (Research Institute) was organized in 1996 to provide a means for integrating leading-edge research into improved clinical care. The Research Institute also creates an environment to recruit and retain externally-funded research leadership in order to achieve the mission and goals of the organization. The Research Institute now houses nearly 200 externally funded research faculty who currently occupy over 100,000 net square feet of research space and work on nearly 1,000 active research protocols. Total external funding is now over $100 million. In addition, NorthShore has made a substantial commitment to develop a new Center for Clinical and Research Informatics to conduct expanded research using informatics. Such infrastructure will enable large scale efforts on comparative effectiveness, clinical quality/outcomes, and practice based research. The Center and its work will build on our award winning Epic medical records system, providing a focus for growing faculty involvement in research.
Business RelationshipsPart VI Section A Line 2The following directors, officers, and key employees are directors or officers of NorthShore Physician Associates, Inc., a related for-profit corporation, and have a business relationship: Leon S Benson, Michael S Caplan, Toure S Claiborne, A Steven Crown, William L Davis, Mary Dillon, Connie K Duckworth, Bernard G Ewigman, Jeffrey H Hillebrand, Ike Hong, Gregory K Jones, Richard L Keyser, Lester B Knight III, Harry M Jansen Kraemer Jr, Theodore Mazzone, Samuel M Mencoff, Andrew J Mills, Kristen Murtos, Mark R Neaman, Scott C Schweighauser, Susan B Sentell, Mark S Talamonti, Thomas A Victor, John R Walter, Sona Wang, Jonathan P Ward, William Wrigley Jr Business relationship - Harry M Jansen Kraemer Jr and Samuel M Mencoff. Business relationship - Gerald P Gallagher and Jeffrey H Hillebrand. Business relationship - Jeffrey H Hillebrand and Thomas H Hodges.
Governing Body Review of 990Part VI Section B Line 11bThe NorthShore University HealthSystem (NorthShore) Form 990 was reviewed by executive management and an outside accounting firm. The NorthShore Form 990 was then provided to each member of the Board of Directors via email for their review and ability to ask questions of management prior to filing.
Conflict of Interest Policy MonitoringPart VI Section B Line 12cOn an annual basis, the Chief Compliance Officer requires all officers, directors, and key employees to complete, sign and return a Conflict of Interest Disclosure Statement. Timely and accurate completion of the Statement is mandatory, and completed Statements must be returned to the Chief Compliance Officer within 15 days. Any disclosures included on the Statements are reviewed and acted upon as necessary by the Chief Compliance Officer and the Corporate Compliance Committee.
Determination of CompensationPart VI Section B Line 15A detailed compensation review of the top 15 executives, including the Chief Executive Officer, is conducted annually. Market data is collected and assessed by an external independent compensation consultant who specializes in compensation consulting within the healthcare industry. The work product from this study is reviewed separately with Board-retained legal counsel. Market data for base and variable compensation is assessed annually for local, regional and national hospitals, integrated delivery systems and academic medical centers. A detailed total compensation market review is conducted every two years. The market assessment includes assessing job content in order to make appropriate market data comparisons. Specific recommendations are then reviewed, discussed and approved as appropriate with the Compensation Committee of the Board, in session with legal counsel present, in advance of implementation.
Public Disclosure of DocumentsPart VI Section C Line 19The NorthShore University HealthSystem (NorthShore) governing documents, conflict of interest policy and financial statements are available to the public upon request. The NorthShore annual audit report and financial statements are also available to the public through GuideStar and the Illinois Attorney General's Office websites as part of the federal and state tax return filings. The NorthShore quarterly and annual financial statements and annual audit are also made available to the public through the Electronic Municipal Market Access (EMMA) website as part of the tax-exempt bond offerings.
Average Hours per Week for Related OrganizationsPart VII Section A Column BCertain individuals listed in Part VII had the following average hours per week devoted to related organizations: Bernard G Ewigman - 1, Theodore Mazzone - 5, Mark S Talamonti - 13, Mark R Neaman - 2, Jeffrey H Hillebrand - 1, Julian E Bailes - 28, William D Bloomer - 17, Michael S Caplan - 14, Robert R Edelman - 3, Demetrius (Jim) Maraganore - 17, Frederick E Miller - 9, Richard K Silver - 21, Jeffery S Vender - 14, Thomas A Victor - 6, Janardan D Khandekar - 7, Nicholas A Vick - 8
Other Changes in Net AssetsPart XI Line 5Other changes in net assets of $112,742,063 included unrealized gains of $132,908,381 and negative equity adjustments for the pension and supplemental executive retirement plans of $20,166,318.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (3 entries)

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

Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeTypeShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsDisproportionate AllocationsDisproportionateAllocationsCode VCodeVAmountGeneral Or Managing PartnerGeneralOrManagingPartnerPercentage OwnershipPercentageOwnership
Ravine Way LLC
2401 Ravine WayGlenviewIL60025201245279HealthcareILNorthShoreRelated9414281661511false$0true0.30000
HPMOB Limited Ptr
1301 Central StEvanstonIL60201363497502HealthcareILNorthShoreRelated48096334878false$0true0.29620

Form990 Schedule R Part IV Form990ScheduleRPartIV (3 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnershipAddress Line1AddressForeign/AddressLine1Province Or StateAddressForeign/ProvinceOrStateCountryAddressForeign/CountryLegal Domicile Foreign CountryLegalDomicileForeignCountry
NorthShore Physician Associates Inc
1301 Central StreetEvanstonIL60201363648026HealthcareILNorthShore FPAC corp-2132450131.00000
NorthShore Insurance International
980419452InsuranceNorthShoreC corp-401177648281.00000Governors Sq Bldg 4Grand CaymanCJCJ
Clinical & Interventional Cardiology Ltd
1328 Laurel AvenueDeerfieldIL60015363551900HealthcareILNorthShoreC corp-3567844971.00000
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiestrueReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgstrueRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (17 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolvedMethod Of Amt DeterminationMethodOfAmtDetermination
NorthShore Faculty Practice Associates
a16448625Cost
NorthShore Faculty Practice Associates
b44888583Cost
NorthShore Faculty Practice Associates
c4584592Cost
Radiation Medicine Institute
c407119Cost
Healthcare Foundation of Highland Park
c4000000Cost
HPMOB Limited Partnership
j482907Cost
NorthShore Faculty Practice Associates
o58620936Cost
NorthShore Faculty Practice Associates
p7386771Cost
NorthShore Physician Associates Inc
p211684Cost
NorthShore Faculty Practice Associates
q342393669Cost
Radiation Medicine Institute
q4252618Cost
NorthShore Physician Associates Inc
q116555091Cost
NorthShore Insurance International
q5066774Cost
NorthShore Faculty Practice Associates
r304457849Cost
Radiation Medicine Institute
r3845499Cost
NorthShore Physician Associates Inc
r82795937Cost
Ravine Way Surgery Center LLC
r1080000Cost