NORTHWESTERN MEMORIAL HEALTHCARE: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- NORTHWESTERN MEMORIAL HEALTHCARE (EIN 36-3484281)
- Tax period
- 2011-07-01 to 2012-06-30
- Filed
- 2013-05-07
- IRS object ID
- 201331279349300728
- Schema version
- 2011v1.2
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule K
- Schedule K
- Schedule L
- Schedule M
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-05-07T10:00:25-05:00 | Timestamp |
| Tax Period End Date | 2012-06-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | CROWE HORWATH LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 70 West Madison Street | AddressLine1 |
| Address Line2 | Suite 700 | AddressLine2 |
| City | Chicago | City |
| State | IL | State |
| ZIP Code | 606024903 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-07-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 363484281 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DELNOR-COMMUNITY HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Control | DELN | NameControl |
| Phone | 6302083000 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 300 Randall Road | AddressLine1 |
| City | Geneva | City |
| State | IL | State |
| ZIP Code | 60134 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | JOHN ORSINI | Name |
| Title | EVP/CFO | Title |
| Date Signed | 2013-04-23 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | John Woodhull | Name |
| PTIN | P01305268 | PTIN |
| Phone | 3128997000 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-25 16:41:14Z | BuildTS |
Form 990 IRS990
Doing Business As DoingBusinessAs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DELNOR HOSPITAL | BusinessNameLine1 |
Name Of Principal Officer Business NameOfPrincipalOfficerBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | MICHAEL VIVODA | BusinessNameLine1 |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 25 N Winfield Road | AddressLine1 |
| City | Winfield | City |
| State | IL | State |
| ZIP Code | 60190 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 314056998 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | WWW.DELNOR.ORG | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1986 | YearFormation |
| State Legal Domicile | IL | StateLegalDomicile |
| Activity Or Mission Description | DELNOR-COMMUNITY HOSPITAL IS A CHARITABLE NOT-FOR-PROFIT ORGANIZATION WHICH PROVIDES ACUTE CARE HEALTH SERVICES PRIMARILY TO THE ST. CHARLES, GENEVA, BATAVIA, AND ELBURN, ILLINOIS COMMUNITIES. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 22 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 15 | NbrIndependentVotingMembers |
| Total Nbr Employees | 1568 | TotalNbrEmployees |
| Total Nbr Volunteers | 600 | TotalNbrVolunteers |
| Total Gross UBI | 530563 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 296782 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 464616 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 735689 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 168922621 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 198052791 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 8145538 | InvestmentIncomePriorYear |
| Investment Income Current Year | 12786940 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 2963658 | OtherRevenuePriorYear |
| Other Revenue Current Year | 2479106 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 180496433 | TotalRevenuePriorYear |
| Total Revenue Current Year | 214054526 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 5085830 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 4910717 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 77764223 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 82359020 | SalariesEtcCurrentYear |
| Total Prof Fundrsng Exp Prior Year | 0 | TotalProfFundrsngExpPriorYear |
| Total Prof Fundrsng Exp CY | 0 | TotalProfFundrsngExpCY |
| Total Fundrsng Exp Current Year | 0 | TotalFundrsngExpCurrentYear |
| Other Expense Prior Year | 89780147 | OtherExpensePriorYear |
| Other Expenses Current Year | 104851077 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 172630200 | TotalExpensesPriorYear |
| Total Expenses Current Year | 192120814 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | 7866233 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 21933712 | RevenuesLessExpensesCY |
| Total Assets BOY | 361711475 | TotalAssetsBOY |
| Total Assets EOY | 355278122 | TotalAssetsEOY |
| Total Liabilities BOY | 180259484 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 170691379 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 181451991 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 184586743 | NetAssetsOrFundBalancesEOY |
| Mission Description | DELNOR-COMMUNITY HOSPITAL IS A CHARITABLE NOT-FOR-PROFIT ORGANIZATION WHICH PROVIDES ACUTE CARE HEALTH SERVICES PRIMARILY TO THE ST. CHARLES, GENEVA, BATAVIA, AND ELBURN, ILLINOIS COMMUNITIES. SEE SCHEDULE H FOR FULL COMMUNITY BENEFIT PLAN INFORMATION. | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 155786640 | Expense |
| Grants | 4910717 | Grants |
| Revenue | 199072567 | Revenue |
| Description | PATIENT SERVICES - FEES FOR HOSPITAL SERVICES PROVIDED TO PATIENTS CONTRIBUTING TO DELNOR-COMMUNITY HOSPITAL'S EXEMPT PURPOSE. THE HOSPITAL PROVIDES NEEDED CLINICAL SERVICES AND FACILITIES TO MEET THE MEDICAL AND HEALTH AND WELLNESS NEEDS OF THE COMMUNITIES SERVED. THE FISCAL YEAR SERVICES INCLUDED 8,069 INPATIENT ADMISSIONS RESULTING IN 28,483 PATIENT DAYS, 150,927 OUTPATIENT VISITS, AND 39,290 EMERGENCY ROOM VISITS. GOVERNMENT SPONSORED INDIGENT HEALTH CARE, WHICH CONTRIBUTES TO DELNOR-COMMUNITY HOSPITAL'S EXEMPT PURPOSE, WAS $26,209,613. | Description |
| Total Program Service Expense | 155786640 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | true | LobbyingActivities |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | false | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | false | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | true | ReportFin48Footnote |
| Independent Audit Financial Stmt | false | IndependentAuditFinancialStmt |
| Consolidated Audit Financial Stmt | true | ConsolidatedAuditFinancialStmt |
| School | false | School |
| Foreign Office | false | ForeignOffice |
| Foreign Activities | false | ForeignActivities |
| More Than5000 K To Organizations | false | MoreThan5000KToOrganizations |
| More Than5000 K To Individuals | false | MoreThan5000KToIndividuals |
| Professional Fundraising | false | ProfessionalFundraising |
| Fundraising Activities | false | FundraisingActivities |
| Gaming | false | Gaming |
| Hospital | true | Hospital |
| Financial Stmt Attached | true | FinancialStmtAttached |
| Grants To Organizations | true | GrantsToOrganizations |
| Grants To Individuals | false | GrantsToIndividuals |
| Schedule J Required | true | ScheduleJRequired |
| Tax Exempt Bonds | true | TaxExemptBonds |
| Invest Tax Exempt Bonds | false | InvestTaxExemptBonds |
| Escrow Account | false | EscrowAccount |
| On Behalf Of Issuer | false | OnBehalfOfIssuer |
| Excess Benefit Transaction | false | ExcessBenefitTransaction |
| Prior Excess Benefit Transaction | false | PriorExcessBenefitTransaction |
| Loan To Officer Or DQP | false | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | false | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | false | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | true | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | true | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | false | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | false | RelatedOrgControlledEntity |
| Transaction Related Entity | false | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 211 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 1568 | NumberOfEmployees |
| Employment Tax Returns Filed | true | EmploymentTaxReturnsFiled |
| Unrelated Business Income | true | UnrelatedBusinessIncome |
| Form990-T Filed | true | Form990-TFiled |
| Foreign Financial Account | false | ForeignFinancialAccount |
| Prohibited Tax Shelter Trans | false | ProhibitedTaxShelterTrans |
| Taxable Party Notification | false | TaxablePartyNotification |
| Non Deductible Contributions | false | NonDeductibleContributions |
| Quid Pro Quo Contributions | false | QuidProQuoContributions |
| Form8282 Property Disposed Of | false | Form8282PropertyDisposedOf |
| Funds To Pay Premiums | false | FundsToPayPremiums |
| Premiums Paid | false | PremiumsPaid |
| Indoor Tanning Services | false | IndoorTanningServices |
| Info In Schedule O Part VI | X | InfoInScheduleOPartVI |
| Nbr Voting Governing Body Members | 22 | NbrVotingGoverningBodyMembers |
| Number Independent Voting Members | 15 | NumberIndependentVotingMembers |
| Family Or Business Relationship | true | FamilyOrBusinessRelationship |
| Delegation Of Management Duties | false | DelegationOfManagementDuties |
| Changes To Organizing Docs | false | ChangesToOrganizingDocs |
| Material Diversion Or Misuse | false | MaterialDiversionOrMisuse |
| Members Or Stockholders | true | MembersOrStockholders |
| Election Of Board Members | true | ElectionOfBoardMembers |
| Decisions Subject To Approval | true | DecisionsSubjectToApproval |
| Minutes Of Governing Body | true | MinutesOfGoverningBody |
| Minutes Of Committees | true | MinutesOfCommittees |
| Officer Mailing Address | false | OfficerMailingAddress |
| Local Chapters | false | LocalChapters |
| Form990 Provided To Governing Body | true | Form990ProvidedToGoverningBody |
| Conflict Of Interest Policy | true | ConflictOfInterestPolicy |
| Annual Disclosure Covered Persons | true | AnnualDisclosureCoveredPersons |
| Regular Monitoring Enforcement | true | RegularMonitoringEnforcement |
| Whistleblower Policy | true | WhistleblowerPolicy |
| Document Retention Policy | true | DocumentRetentionPolicy |
| Compensation Process CEO | true | CompensationProcessCEO |
| Compensation Process Other | true | CompensationProcessOther |
| Investment In Joint Venture | false | InvestmentInJointVenture |
| States Where Copy Of Return Is Filed | IL | StatesWhereCopyOfReturnIsFiled |
| Upon Request | X | UponRequest |
The Books Are In Care Of TheBooksAreInCareOf
Name Business NameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | John Orsini EVP & CFO | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Telephone Number | 6309331600 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 25 N Winfield Road | AddressLine1 |
| City | Winfield | City |
| State | IL | State |
| ZIP Code | 60190 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (35 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | OfficerOfficer | Reportable Comp From OrganizationReportableCompFromOrganization | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|---|
| CATHERINE E KOZIK | |||||||||
| Secretary | 1.00 | X | X | 0 | 909 | 0 | |||
| DAVID C BROWN | |||||||||
| Treasurer | 1.00 | X | X | 0 | 909 | 0 | |||
| LUKE MCGUINNESS | |||||||||
| CEO | 1.00 | X | X | 0 | 2536496 | 40661 | |||
| RICHARD A MARK | |||||||||
| Chair | 1.00 | X | X | 0 | 909 | 0 | |||
| WILLIAM P FLESCH | |||||||||
| Vice Chair | 1.00 | X | X | 0 | 909 | 0 | |||
| BRADLEY J KINSEY | |||||||||
| Director | 1.00 | X | 0 | 909 | 0 | ||||
| C WILLIAM POLLARD | |||||||||
| Director | 1.00 | X | 0 | 909 | 0 | ||||
| DONALD VAN PELT | |||||||||
| Director | 1.00 | X | 0 | 909 | 0 | ||||
| JAMES E COMERFORD | |||||||||
| Director | 1.00 | X | 0 | 909 | 0 | ||||
| JAMES G GIBLIN MD | |||||||||
| Director | 1.00 | X | 0 | 78500 | 0 | ||||
| JOSEPH G CACCHIONE MD | |||||||||
| Director | 1.00 | X | 0 | 0 | 0 | ||||
| KAY CLANCY | |||||||||
| Director | 1.00 | X | 0 | 909 | 0 | ||||
| MANNY FAVELA | |||||||||
| Director | 1.00 | X | 0 | 909 | 0 | ||||
| MATTHEW J ROSS MD | |||||||||
| Director | 1.00 | X | 0 | 600 | 0 | ||||
| MICHAEL J KACHMER | |||||||||
| Director | 1.00 | X | 0 | 909 | 0 | ||||
| PATRICK J FLINN | |||||||||
| Director | 1.00 | X | 0 | 909 | 0 | ||||
| PHILIP A BRANSHAW | |||||||||
| Director | 1.00 | X | 0 | 500 | 0 | ||||
| ROGER T HARRIS | |||||||||
| Director | 1.00 | X | 0 | 909 | 0 | ||||
| SCOTT E FORE | |||||||||
| Director | 1.00 | X | 0 | 909 | 0 | ||||
| STEPHEN R HOLTSFORD MD | |||||||||
| Director | 1.00 | X | 40050 | 909 | 0 | ||||
| TIMOTHY P MOEN | |||||||||
| Director | 1.00 | X | 0 | 909 | 0 | ||||
| WILLIAM A WOLFORD | |||||||||
| Director | 1.00 | X | 0 | 909 | 0 | ||||
| JAMES T SPEAR | |||||||||
| CFO | 1.00 | X | 0 | 941050 | 35212 | ||||
| KAREN DIERSEN | |||||||||
| Asst Secy to the BOD | 1.00 | X | 0 | 98258 | 14748 | ||||
| MAUREEN TAUS | |||||||||
| VP/Controller & Asst Treasurer | 1.00 | X | 0 | 349411 | 27482 | ||||
| MICHAEL HOLZHUETER | |||||||||
| VP-Legal & Asst Secy. to the BOD | 1.00 | X | 0 | 559632 | 39430 | ||||
| THOMAS WRIGHT | |||||||||
| EVP (System) & Delnor Hospital President | 40.00 | 3160876 | 0 | 36401 | X | ||||
| JOHN HUBBE | |||||||||
| Sr Assoc General Counsel | 40.00 | 373869 | 0 | 35401 | X | ||||
| KATHRYN MONTAGUE | |||||||||
| CRNA | 40.00 | 285913 | 0 | 52062 | X | ||||
| LORE BOGOLIN | |||||||||
| Chief Nursing Officer | 40.00 | 276195 | 0 | 20414 | X | ||||
| MARK DANIELS MD | |||||||||
| Vice President | 40.00 | 387046 | 0 | 6915 | X | ||||
| TRACY VANDERWIEL | |||||||||
| CRNA | 40.00 | 198773 | 0 | 43444 | X | ||||
| JAMES KEARNS | |||||||||
| Former Chief Information Officer | 0.00 | 441779 | 0 | 31525 | X | ||||
| MICHAEL KITTOE | |||||||||
| Former CFO | 0.00 | 601635 | 0 | 27650 | X | ||||
| MICHELE MCCLELLAND | |||||||||
| VP-Human Resources (partial yr) | 0.00 | 361677 | 0 | 19258 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 6127813 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 4579900 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 430603 | TotalOtherCompensation |
| Number Individuals GT100 K | 228 | NumberIndividualsGT100K |
| Formers Listed | true | FormersListed |
| Total Comp GT150 K | true | TotalCompGT150K |
| Compensation From Other Sources | false | CompensationFromOtherSources |
Contractor Compensation ContractorCompensation (5 entries)
| Address Line1AddressOfContractor/AddressUS/AddressLine1 | CityAddressOfContractor/AddressUS/City | StateAddressOfContractor/AddressUS/State | ZIP CodeAddressOfContractor/AddressUS/ZIPCode | Description Of ServicesDescriptionOfServices | CompensationCompensation |
|---|---|---|---|---|---|
| CDH-DELNOR HEALTH SYSTEM | |||||
| 27W353 JEWELL RD | WINFIELD | IL | 60190 | MANAGEMENT SERVICES | 2855404 |
| CROTHALL FACILITIES MANAGEMENT | |||||
| 13028 COLLECTIONS CENTER | CHICAGO | IL | 60693 | FACILITIES MANAGEMENT | 2392549 |
| LAUGHLIN CONSTABLE | |||||
| PO BOX 1451 | MILWAUKEE | WI | 53201 | MARKETING | 966044 |
| DELOITTE CONSULTING LLP | |||||
| PO BOS 7247-6446 | PHILADELPHIA | PA | 191706446 | CONSULTING SERVICES | 896000 |
| MEDPAY MANAGEMENT SYSTEMS | |||||
| PO BOX 739 | MOLINE | IL | 61265 | COLLECTION SERVICES | 831421 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 40 | NumberOfContractorsGT100K |
| Related Organizations | 602000 | RelatedOrganizations |
| All Other Contributions | 133689 | AllOtherContributions |
| Noncash Contributions | 122829 | NoncashContributions |
| Total Contributions | 735689 | TotalContributions |
Program Service Revenue ProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Description | HOSPITAL SERVICE REVENUE | Description |
| Business Code | 900099 | BusinessCode |
| Total Revenue Column | 198052791 | TotalRevenueColumn |
| Related Or Exempt Function Income | 197522228 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 530563 | UnrelatedBusinessRevenue |
Total Oth Program Service Revenue TotalOthProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 198052791 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 10097366 | TotalRevenueColumn |
| Exclusion | $10,097,366 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 104415 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 104415 | Real |
| Personal | 0 | Personal |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 104415 | TotalRevenueColumn |
| Exclusion | $104,415 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 102692046 | Securities |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 100002472 | Securities |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 2689574 | Securities |
| Other | 0 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 2689574 | TotalRevenueColumn |
| Exclusion | $2,689,574 | ExclusionAmount |
Net Income From Fundraising Events NetIncomeFromFundraisingEvents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income From Gaming NetIncomeFromGaming
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Other Revenue Misc OtherRevenueMisc (2 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | ExclusionExclusionAmount |
|---|---|---|---|---|
| PURCHASED SERVICE REVENUE | 900099 | 1550339 | 1550339 | |
| NUTRITION SERVICES | 900099 | 824352 | $824,352 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
| Related Or Exempt Function Income | 0 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 0 | UnrelatedBusinessRevenue |
| Exclusion | $0 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 2374691 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 214054526 | TotalRevenueColumn |
| Related Or Exempt Function Income | 199072567 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 530563 | UnrelatedBusinessRevenue |
| Exclusion | $13,715,707 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4910717 | Total |
| Program Services | 4910717 | ProgramServices |
Grants To Domestic Individuals GrantsToDomesticIndividuals
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Foreign Grants ForeignGrants
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Benefits To Members BenefitsToMembers
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Comp Current Officers Directors CompCurrentOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1789645 | Total |
| Management And General | 1789645 | ManagementAndGeneral |
Comp Disqual Persons CompDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Other Salaries And Wages OtherSalariesAndWages
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 62896754 | Total |
| Program Services | 50317403 | ProgramServices |
| Management And General | 12579351 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2037390 | Total |
| Program Services | 1629912 | ProgramServices |
| Management And General | 407478 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 11367407 | Total |
| Program Services | 9093926 | ProgramServices |
| Management And General | 2273481 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 4267824 | Total |
| Program Services | 3414259 | ProgramServices |
| Management And General | 853565 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5710806 | Total |
| Management And General | 5710806 | ManagementAndGeneral |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 41056 | Total |
| Management And General | 41056 | ManagementAndGeneral |
Fees For Services Prof Fundraising FeesForServicesProfFundraising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 18022266 | Total |
| Program Services | 11928791 | ProgramServices |
| Management And General | 6093475 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 5890 | Total |
| Management And General | 5890 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1957635 | Total |
| Program Services | 1566108 | ProgramServices |
| Management And General | 391527 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1627344 | Total |
| Program Services | 976406 | ProgramServices |
| Management And General | 650938 | ManagementAndGeneral |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7437719 | Total |
| Program Services | 6322061 | ProgramServices |
| Management And General | 1115658 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 80196 | Total |
| Management And General | 80196 | ManagementAndGeneral |
Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Conferences Meetings ConferencesMeetings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 114189 | Total |
| Program Services | 22838 | ProgramServices |
| Management And General | 91351 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6895283 | Total |
| Program Services | 6895283 | ProgramServices |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12866588 | Total |
| Program Services | 10936600 | ProgramServices |
| Management And General | 1929988 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1921315 | Total |
| Program Services | 1921315 | ProgramServices |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices | Management And GeneralManagementAndGeneral |
|---|---|---|---|
| PATIENT CARE EXPENSES | 28885402 | 28885402 | |
| BAD DEBT | 12883541 | 12883541 | |
| TAXES, FEES, LICENSES | 4010817 | 4010817 | |
| FEDERAL INCOME TAX | 189364 | 189364 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 2201666 | Total |
| Program Services | 71261 | ProgramServices |
| Management And General | 2130405 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 192120814 | Total |
| Program Services | 155786640 | ProgramServices |
| Management And General | 36334174 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Total Joint Costs TotalJointCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 3815 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 10429065 | BOY |
| EOY | 298462 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 25139715 | BOY |
| EOY | 28797504 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| EOY | 726237 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 2931396 | BOY |
| EOY | 2538121 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1414963 | BOY |
| EOY | 603237 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 260422722 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 131736252 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 123518017 | BOY |
| EOY | 128686470 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 192485655 | BOY |
| EOY | 186212423 | EOY |
Investments Other Securities InvestmentsOtherSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Investments Program Related InvestmentsProgramRelated
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 5792664 | BOY |
| EOY | 7411853 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 361711475 | BOY |
| EOY | 355278122 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 20308000 | BOY |
| EOY | 4835920 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 128731268 | BOY |
| EOY | 126889680 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 31220216 | BOY |
| EOY | 38965779 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 180259484 | BOY |
| EOY | 170691379 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 179959221 | BOY |
| EOY | 181418839 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 1492770 | BOY |
| EOY | 3167904 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 181451991 | BOY |
| EOY | 184586743 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 361711475 | BOY |
| EOY | 355278122 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 21933712 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -18798960 | ReconcilationOtherChanges |
| Method Of Accounting Accrual | X | MethodOfAccountingAccrual |
| Accountant Compile Or Review | false | AccountantCompileOrReview |
| FS Audited | true | FSAudited |
| Audit Committee | true | AuditCommittee |
| Financial Statement Consolidated | X | FinancialStatementConsolidated |
| Federal Grant Audit Required | false | FederalGrantAuditRequired |
Schedule A IRS990ScheduleA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital170b1 Aiii | X | Hospital170b1Aiii |
Schedule B IRS990ScheduleB
Contributor Info ContributorInfo
| Field | Value | IRS element (for citing) |
|---|---|---|
| Contributor Number | RESTRICTED | ContributorNumber |
Contributor Name Business ContributorNameBusiness
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | RESTRICTED | BusinessNameLine1 |
Contributor Address US ContributorAddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | RESTRICTED | AddressLine1 |
| Address Line2 | RESTRICTED | AddressLine2 |
| City | RESTRICTED | City |
| State | RESTRICTED | State |
| ZIP Code | RESTRICTED | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Aggregate Contributions | RESTRICTED | AggregateContributions |
Schedule C IRS990ScheduleC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Volunteers | false | Volunteers |
| Paid Staff Or Management | false | PaidStaffOrManagement |
| Media Advertisements | false | MediaAdvertisements |
| Mailings Members | false | MailingsMembers |
| Publications Or Broadcast | false | PublicationsOrBroadcast |
| Grants Other Organizations | false | GrantsOtherOrganizations |
| Direct Contact Legislators | false | DirectContactLegislators |
| Rallies Demonstrations | false | RalliesDemonstrations |
| Other Activities | true | OtherActivities |
| Other Activities | $41,056 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 41056 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | false | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Description of the activities reported on Lines 1a through 1i | Identifier |
| Return Reference | Schedule C, Part II-B, Line 1 | ReturnReference |
| Explanation | PART II-B, LINE 1I: A PORTION OF THE DUES PAID TO HOSPITAL TRADE ASSOCIATIONS WAS DETERMINED BY THOSE ORGANIZATIONS TO HAVE BEEN USED IN THEIR LOBBYING ACTIVITIES ON BEHALF OF THE HOSPITAL INDUSTRY. | Explanation |
Schedule D IRS990ScheduleD
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 461057 | OtherCostOrOtherBasis |
| Book Value | 461057 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 127201207 | OtherCostOrOtherBasis |
| Depreciation | 42315426 | Depreciation |
| Book Value | 84885781 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1661449 | OtherCostOrOtherBasis |
| Depreciation | 928426 | Depreciation |
| Book Value | 733023 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 110917614 | OtherCostOrOtherBasis |
| Depreciation | 79432436 | Depreciation |
| Book Value | 31485178 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 20181395 | OtherCostOrOtherBasis |
| Depreciation | 9059964 | Depreciation |
| Book Value | 11121431 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 128686470 | TotalOfBookValueLandBuildings |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (4 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| OTHER LONG-TERM LIABILITIES | $15,715,459 |
| DUE TO RELATED ORGANIZATIONS | $1,013,773 |
| DUE TO THIRD PARTY PAYORS | $21,716,756 |
| RETIREMENT PLAN LIABILITY | $519,791 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 38965779 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | FIN 48 (ASC 740) footnote | Identifier |
| Return Reference | Schedule D, Part X, Line 2 | ReturnReference |
| Explanation | THE CORPORATIONS APPLY ASC SUBTOPIC 740-10, INCOME TAXES - OVERALL, WHICH ADDRESSES THE DETERMINATION OF HOW TAX BENEFITS CLAIMED OR EXPECTED TO BE CLAIMED ON A TAX RETURN SHOULD BE RECORDED IN THE CONSOLIDATED FINANCIAL STATEMENTS. UNDER ASC SUBTOPIC 740-10, THE CORPORATIONS MUST RECOGNIZE THE TAX BENEFIT FROM AN UNCERTAIN TAX POSITION ONLY IF IT IS MORE LIKELY THAN NOT THAT THE TAX POSITION WILL BE SUSTAINED ON EXAMINATION BY THE TAXING AUTHORITIES, BASED ON THE TECHNICAL MERITS OF THE POSITION. THE TAX BENEFITS RECOGNIZED IN THE CONSOLIDATED FINANCIAL STATEMENTS FROM SUCH A POSITION ARE MEASURED BASED ON THE LARGEST BENEFIT THAT HAS A GREATER THAN 50% LIKELIHOOD OF BEING REALIZED UPON ULTIMATE SETTLEMENT. ASC SUBTOPIC 740-10 ALSO PROVIDES GUIDANCE ON DERECOGNITION, CLASSIFICATION, INTEREST, AND PENALTIES ON INCOME TAXES AND ACCOUNTING IN INTERIM PERIODS AND REQUIRES INCREASED DISCLOSURES. AS OF JUNE 30, 2012, THE CORPORATIONS DO NOT HAVE ANY LIABILITIES FOR UNRECOGNIZED TAX BENEFITS. | Explanation |
Schedule H IRS990ScheduleH
| Field | Value | IRS element (for citing) |
|---|---|---|
| Charity Care Policy | true | CharityCarePolicy |
| Written Policy | true | WrittenPolicy |
| Policy Applied To All Hospitals | X | PolicyAppliedToAllHospitals |
| FPG Reference Free Care | true | FPGReferenceFreeCare |
Other Percentage OtherPercentage
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Free Other Percentage | 3 | FreeOtherPercentage |
| Field | Value | IRS element (for citing) |
|---|---|---|
| FPG Reference Discounted Care | true | FPGReferenceDiscountedCare |
Discounted Other DiscountedOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other | X | Other |
| Discounted Other Percentage | 6 | DiscountedOtherPercentage |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | true | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | false | ExpensesExceededBudget |
| Annual Community Benefit Report | true | AnnualCommunityBenefitReport |
| Report Publically Available | true | ReportPublicallyAvailable |
Charity Care At Cost CharityCareAtCost
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 2656000 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 2656000 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01540 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 6760000 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 6760000 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.03920 | PercentOfTotalExpense |
Unreimbursed Costs UnreimbursedCosts
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expense | 0 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Benefit Expense | 9416000 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 9416000 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.05460 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 696000 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 696000 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00400 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 388000 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 388000 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00230 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expense | 0 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Research Research
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Benefit Expense | 0 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 61000 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 61000 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00040 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Benefit Expense | 1145000 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1145000 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00670 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Benefit Expense | 10561000 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 10561000 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06130 | PercentOfTotalExpense |
Physical Improvements And Housing PhysicalImprovementsAndHousing
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Building Expense | 0 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Economic Development EconomicDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Building Expense | 0 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Community Support CommunitySupport
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Building Expense | 0 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Environmental Improvements EnvironmentalImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Building Expense | 0 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Leadership Development LeadershipDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Building Expense | 0 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Coalition Building CoalitionBuilding
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Building Expense | 0 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Health Improvement Advocacy HealthImprovementAdvocacy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Building Expense | 0 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Workforce Development WorkforceDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Building Expense | 0 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Other Other
| Field | Value | IRS element (for citing) |
|---|---|---|
| Net Community Building Expense | 0 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Activities Or Programs | 0 | NumberOfActivitiesOrPrograms |
| Persons Served | 0 | PersonsServed |
| Total Community Building Expense | 0 | TotalCommunityBuildingExpense |
| Direct Offsetting Revenue | 0 | DirectOffsettingRevenue |
| Net Community Building Expense | 0 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReported |
| Bad Debt Expense | $3,204,000 | BadDebtExpenseAmount |
| Amount Attributable To | 0 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 44485708 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 63935708 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -19450000 | MedicareSurplusOrShortfall |
Costing Methodology Used CostingMethodologyUsed
| Field | Value | IRS element (for citing) |
|---|---|---|
| Cost To Charge Ratio | X | CostToChargeRatio |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Written Debt Collection Policy | true | WrittenDebtCollectionPolicy |
| Provision For Charity Care | true | ProvisionForCharityCare |
| Number Of Hospital Facilities | 1 | NumberOfHospitalFacilities |
Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA
| Field | Value | IRS element (for citing) |
|---|---|---|
| Facility Number | 1 | FacilityNumber |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DELNOR - COMMUNITY HOSPITAL | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 300 RANDALL ROAD | AddressLine1 |
| City | GENEVA | City |
| State | IL | State |
| ZIP Code | 60134 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Licensed Hospital | X | LicensedHospital |
| General Medical And Surgical | X | GeneralMedicalAndSurgical |
| Er24 Hours | X | Er24Hours |
Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB
Hospital Facility Name HospitalFacilityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | DELNOR - COMMUNITY HOSPITAL | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Hospital Facility Number | 1 | HospitalFacilityNumber |
| Eligibility Criteria Explained | true | EligibilityCriteriaExplained |
| Uses FPG Free | true | UsesFPGFree |
| FPG Free Percent | 300 | FPGFreePercent |
| Uses FPG Discounted | true | UsesFPGDiscounted |
| FPG Discount Percent | 600 | FPGDiscountPercent |
| Explains Basis | true | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Explains Application Method | true | ExplainsApplicationMethod |
| Includes Publicity Measures | true | IncludesPublicityMeasures |
| Posted On Website | X | PostedOnWebsite |
| Attached To Invoices | X | AttachedToInvoices |
| Posted In Emergency Room | X | PostedInEmergencyRoom |
| Posted In Admission Office | X | PostedInAdmissionOffice |
| Provided On Admission | X | ProvidedOnAdmission |
| Available On Request | X | AvailableOnRequest |
| Actions On Nonpayment | true | ActionsOnNonpayment |
| Collection Activities | false | CollectionActivities |
| Nondiscrim Emergency Care Policy | true | NondiscrimEmergencyCarePolicy |
| Used Other Method | X | UsedOtherMethod |
| Amounts Generally Billed | false | AmountsGenerallyBilled |
| Gross Charges | false | GrossCharges |
Form990 Schedule H Part VI Form990ScheduleHPartVI (13 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Community benefit report prepared by related organization | Schedule H, Part I, Line 6a | CDH-DELNOR HEALTH SYSTEM (D/B/A CADENCE HEALTH) |
| Costing Methodology used to calculate financial assistance | Schedule H, Part I, Line 7 | THE COSTING METHOD USED TO DETERMINE AMOUNTS REPORTED WAS DETERMINED USING A COST TO CHARGE RATIO BASED ON THE MEDICARE COST REPORT. |
| Bad Debt Expense excluded from financial assistance calculation | Schedule H, Part I, Line 7, column(f) | 12,883,541 |
| Subsidized Health Services | Schedule H, Part I, Line 7g | N/A |
| Bad debt expense - financial statement footnote | Schedule H, Part III, Line 4 | THE ORGANIZATION FOLLOWS GENERALLY ACCEPTED ACCOUNTING PRINCIPLES IN ITS RECOGNITION OF BAD DEBT EXPENSE. OUR AGED RECEIVABLES ARE VALUED AND SUBJECT TO AN INDEPENDENT AUDIT. LINE 2'S COSTING METHODOLOGY IS BASED ON THE ORGANIZATION'S MEDICARE COST-TO-CHARGE RATIO. FOR LINE 3, WHILE WE RECOGNIZE THAT THERE WILL MOST DEFINITELY BE SOME BAD DEBT EXPENSE ATTRIBUTABLE TO PATIENTS ELIGIBLE UNDER THE ORGANIZATION'S CHARITY POLICY, WE HAVE NO REASONABLE BASIS FOR ESTIMATING THIS FIGURE. IF WE KNOW THE PATIENT IS ELIGIBLE, THEY WOULD FALL UNDER CHARITY AND NOT BAD DEBT. |
| Community benefit & methodology for determining medicare costs | Schedule H, Part III, Line 8 | THE ORGANIZATION'S SHORTFALL ON THE MEDICARE PROGRAM SHOULD BE CONSIDERED A COMMUNITY BENEFIT BECAUSE THE ORGANIZATION IS RELIEVING A GOVERNMENT BURDEN BY PROVIDING CARE IN EXCESS OF OUR COSTS TO THESE PATIENTS. THESE ARE RESIDENTS OF OUR COMMUNITY THAT NEED CARE. THE COSTING METHODOLOGY USED FOR LINE 6 IS THE MEDICARE COST REPORT COST-TO-CHARGE RATIO. |
| Collection practices for patients eligible for financial assistance | Schedule H, Part III, Line 9b | IF IT IS KNOWN THAT THE PATIENT QUALIFIES FOR CHARITY CARE OR FINANCIAL ASSISTANCE, THESE ACCOUNTS ARE ADJUSTED TO CHARITY AND NOT PURSUED WITH A COLLECTION AGENCY. FOR ALL OTHER ACCOUNTS, IF SENT TO A COLLECTION AGENCY AND THE COLLECTION AGENCY OBTAINS DOCUMENTATION TO DETERMINE THAT THE PATIENT IS ELIGIBLE FOR CHARITY, THE ACCOUNT IS RETURNED TO THE ORGANIZATION FOR CHARITY ADJUSTMENT AND NO FURTHER COLLECTION EFFORT IS MADE. |
| Means used to determine amounts billed | Schedule H, Part V Section B, Line 19d | (1) DELNOR - COMMUNITY HOSPITAL - A 100% DISCOUNT IS GIVEN TO FAP-ELIGIBLE PATIENTS AT OR BELOW 300% OF THE FEDERAL POVERTY GUIDELINE (FPG). A DISCOUNT IS GIVEN TO FAP-ELIGIBLE PATIENTS WHOSE INCOME IS BETWEEN 301% AND 600% (FPG), WITH THE MAXIMUM AMOUNT CHARGED TO FAP-ELIGIBLE PATIENTS BEING CALCULATED USING THE HOSPITAL'S MEDICARE COST-TO-CHARGE RATIO.; |
| Needs assessment. | Schedule H, Part VI, Line 2 | AS A NOT-FOR-PROFIT ORGANIZATION, DELNOR HOSPITAL IS DEDICATED TO MEETING THE HEALTH NEEDS OF ALL COMMUNITY MEMBERS THROUGH THE PROVISION OF EXCELLENT AND COMPASSIONATE CARE. IN 2007, DELNOR ENGAGED PROFESSIONAL RESEARCH CONSULTANTS (PRC) TO SURVEY COMMUNITY MEMBERS, CONDUCT SECONDARY RESEARCH ON THE INCIDENCE OF DISEASE IN THE SERVICE AREA AND FACILITATE FOCUS GROUPS. THESE FINDINGS, COUPLED WITH THE 2006 KANE COUNTY NEEDS ASSESSMENT/COMMUNITY HEALTH PLAN AND THE COUNTY'S 2007-2011 PROGRESS REPORT ON STRATEGY IMPLEMENTATION, GUIDED THE DEVELOPMENT OF OUR COMMUNITY BENEFIT PLAN FOR FISCAL YEARS 2007 THROUGH 2011. THIS PLAN IS REVIEWED AND REVISED ANNUALLY BASED ON ONGOING RESEARCH AND CHANGES IN HEALTH TRENDS. |
| Patient education of eligibility for assistance. | Schedule H, Part VI, Line 3 | INFORMATION REGARDING FINANCIAL ASSISTANCE IS POSTED AT POINTS OF SERVICE. ALL HOSPITAL EMPLOYEES IN PATIENT FINANCIAL SERVICES, PATIENT ACCESS, REGISTRATION SERVICES, FINANCIAL CLEARANCE CENTER AND THE EMERGENCY ROOM ARE FULLY VERSED IN THE HOSPITAL'S CHARITY CARE AND FINANCIAL ASSISTANCE POLICY, HAVE ACCESS TO THE APPLICATION FORMS, CAN PROVIDE PATIENTS WITH PRINTED MATERIAL EXPLAINING THE CHARITY CARE PROGRAM AND ARE ABLE TO DIRECT QUESTIONS TO THE APPROPRIATE HOSPITAL REPRESENTATIVE. PLEASE NOTE THAT THE REGISTRATION STAFF WILL OFFER A FINANCIAL ASSISTANCE PACKET TO ALL SELF-PAY PATIENTS OR THOSE THAT EXPRESS CONCERN ABOUT THEIR FINANCIAL RESPONSIBILITY. IN ADDITION, THE FILING ORGANIZATION'S WEBSITE HAS INFORMATION EXPLAINING OUR CHARITY CARE/FINANCIAL ASSISTANCE PROGRAM, INCLUDING THE FEDERAL POVERTY GUIDELINES. |
| Community information. | Schedule H, Part VI, Line 4 | CADENCE HEALTH SERVES A POPULATION OF MORE THAN 1.4 MILLION PEOPLE IN DUPAGE AND KANE COUNTIES, A COMBINED AREA THAT COVERS NEARLY 900 SQUARE MILES. FAST GROWING AND INCREASINGLY DIVERSE, THE CADENCE HEALTH SERVICE AREA IN IN A CONSTANT STATE OF CHANGE, REQUIRING ONGOING ATTENTION TO EVOLVING HEALTH TRENDS AND RESIDENT NEEDS. DURING THE PAST TWO DECADES, THE DEMOGRAPHIC PROFILE OF CENTRAL KANE COUNTY HAS CHANGED DRAMATICALLY, WITH THE FASTEST-GROWING SEGMENT BEING 55- TO 69-YEAR-OLDS. WITH 515,269 CURRENT RESIDENTS, THE OVERALL KANE COUNTY POPULATION IS EXPECTED TO REACH 800,000 BY THE YEAR 2040. THIS WILL DRIVE COMMUNITY NEED FOR A GROWING RANGE OF ACUTE CARE SERVICES, INCLUDING HEART AND VASCULAR, STROKE, DIABETES AND CANCER CARE FOR THE AGING POPULATION, AS WELL AS PREVENTIVE AND WELLNESS SERVICES TO PROMOTE HEALTHY LIFESTYLES. KANE COUNTY'S OVERALL MINORITY POPULATION, SPECIFICALLY THE HISPANIC SECTOR, IS ALSO EXPECTED TO CONTINUE TO GROW. THIS GROWTH WILL INCREASE THE NEED FOR CULTURALLY SENSITIVE OUTREACH AND CLINICAL PROGRAMS. |
| Affiliated health care system | Schedule H, Part VI, Line 6 | IN 2011, DELNOR-COMMUNITY HOSPITAL TOOK A STEP TOWARD INTEGRATING CARE ACROSS THE REGION BY MERGING WITH CENTRAL DUPAGE HOSPITAL. BOTH CDH & DELNOR REMAIN COMMITTED TO THE ESSENTIAL ROLES IN SERVING THE HEALTHCARE NEEDS OF OUR COMMUNITIES, INCLUDING STRONG COMMITMENTS TO CHARITY CARE, WELLNESS AND PREVENTION PROGRAMS, AND CONTINUED COLLABORATION WITH COMMUNITY ORGANIZATIONS AND AGENCIES. |
| State filing of community benefit report | Schedule H, Part VI, Line 7 | IL |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | true | RecordsMaintained |
Recipient Table RecipientTable (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant | Address Line2AddressUS/AddressLine2 |
|---|---|---|---|---|---|---|---|---|
| CDH-DELNOR HEALTH SYSTEM | ||||||||
| 27W353 JEWELL RD | WINFIELD | IL | 60190 | 363099698 | 501C3 | 4900000 | HEALTHCARE | |
| ILLINOIS POISON CENTER | ||||||||
| 222 S RIVERSIDE PLAZA | CHICAGO | IL | 60606 | 362167008 | 501C3 | 10717 | PUBLIC HEALTH AND SAFETY | SUITE 1900 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 2 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 0 | TotalNbrOfOtherOrganizations |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Procedures for monitoring use of grant funds | Identifier |
| Return Reference | Schedule I, Part I, Line 2 | ReturnReference |
| Explanation | DELNOR-COMMUNITY HOSPITAL PROVIDES GRANT FUNDS TO A RELATED TAX-EXEMPT ORGANIZATION. DELNOR-COMMUNITY HOSPITAL MONITORS THE USE OF THE GRANT FUNDS THROUGH MANAGEMENT OVERSIGHT BY A COMMON MANAGEMENT TEAM. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Travel For Companions | X | TravelForCompanions |
| Club Dues Or Fees | X | ClubDuesOrFees |
| Written Policy Re T And E Expenses | true | WrittenPolicyReTAndEExpenses |
| Substantiation Required | true | SubstantiationRequired |
| Severance Payment | true | SeverancePayment |
| Supplemental Nonqual Retire Plan | true | SupplementalNonqualRetirePlan |
| Equity Based Comp Arrangement | false | EquityBasedCompArrangement |
| Comp Based On Revenue Of Filing Org | false | CompBasedOnRevenueOfFilingOrg |
| Comp Based On Revenue Related Orgs | false | CompBasedOnRevenueRelatedOrgs |
| Comp Based Net Earnings Filing Org | false | CompBasedNetEarningsFilingOrg |
| Comp Based Net Earnings Relate Orgs | false | CompBasedNetEarningsRelateOrgs |
| Any Non Fixed Payments | false | AnyNonFixedPayments |
| Initial Contract Exception | false | InitialContractException |
Form990 Schedule J Part II Form990ScheduleJPartII (13 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | Bonus Filing OrgBonusFilingOrg | Bonus Related OrgsBonusRelatedOrgs | Other Compensation Filing OrgOtherCompensationFilingOrg | Other Compensation Related OrgsOtherCompensationRelatedOrgs | Deferred Comp Filing OrgDeferredCompFilingOrg | Deferred Comp Related OrgsDeferredCompRelatedOrgs | Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrg | Nontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgs | Total Compensation Filing OrgTotalCompensationFilingOrg | Total Compensation Related OrgsTotalCompensationRelatedOrgs | Comp Report Prior990 Filing OrgCompReportPrior990FilingOrg | Comp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| JAMES KEARNS | |||||||||||||
| 109646 | 0 | 84342 | 0 | 247791 | 0 | 7877 | 0 | 23648 | 0 | 473304 | 0 | 0 | 0 |
| JAMES T SPEAR | |||||||||||||
| 0 | 620455 | 0 | 318223 | 0 | 2372 | 0 | 9747 | 0 | 25465 | 0 | 976262 | 0 | 0 |
| JOHN HUBBE | |||||||||||||
| 203674 | 0 | 134386 | 0 | 35809 | 0 | 9800 | 0 | 25601 | 0 | 409270 | 0 | 0 | 0 |
| KATHRYN MONTAGUE | |||||||||||||
| 245602 | 0 | 0 | 0 | 40311 | 0 | 9800 | 0 | 42262 | 0 | 337975 | 0 | 0 | 0 |
| LORE BOGOLIN | |||||||||||||
| 169063 | 0 | 76186 | 0 | 30946 | 0 | 9547 | 0 | 10867 | 0 | 296609 | 0 | 0 | 0 |
| LUKE MCGUINNESS | |||||||||||||
| 0 | 924669 | 0 | 1287763 | 0 | 324064 | 0 | 18714 | 0 | 21947 | 0 | 2577157 | 0 | 0 |
| MARK DANIELS MD | |||||||||||||
| 271199 | 0 | 75318 | 0 | 40529 | 0 | 0 | 0 | 6915 | 0 | 393961 | 0 | 0 | 0 |
| MAUREEN TAUS | |||||||||||||
| 0 | 245647 | 0 | 102463 | 0 | 1301 | 0 | 24865 | 0 | 2617 | 0 | 376893 | 0 | 0 |
| MICHAEL HOLZHUETER | |||||||||||||
| 0 | 306409 | 0 | 235005 | 0 | 18218 | 0 | 13965 | 0 | 25465 | 0 | 599062 | 0 | 0 |
| MICHAEL KITTOE | |||||||||||||
| 96407 | 0 | 171850 | 0 | 333378 | 0 | 9800 | 0 | 17850 | 0 | 629285 | 0 | 0 | 0 |
| MICHELE MCCLELLAND | |||||||||||||
| 45015 | 0 | 78481 | 0 | 238181 | 0 | 5184 | 0 | 14074 | 0 | 380935 | 0 | 0 | 0 |
| THOMAS WRIGHT | |||||||||||||
| 488737 | 0 | 123703 | 0 | 2548436 | 0 | 9800 | 0 | 26601 | 0 | 3197277 | 0 | 1253922 | 0 |
| TRACY VANDERWIEL | |||||||||||||
| 195706 | 0 | 0 | 0 | 3067 | 0 | 3975 | 0 | 39469 | 0 | 242217 | 0 | 0 | 0 |
Form990 Schedule J Part III Form990ScheduleJPartIII (6 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Travel for companions | Schedule J, Part I, Line 1a | A SOCIAL FUNCTION INVOLVING THE RECEIPT OF AN AWARD GIVEN TO THE ORGANIZATION WAS DEEMED TO BE OF THE TYPE AND/OR NATURE THAT AN INVITATION TO SPOUSES WAS EXTENDED AND THE ORGANIZATION'S SUPPORT OF SPOUSAL TRAVEL WAS DEEMED WARRANTED. TRAVEL FOR THE COMPANION OF TOM WRIGHT WAS PROVIDED BY THE ORGANIZATION. THE COMPANION'S TRAVEL COST WAS REPORTED AS TAXABLE INCOME TO THE LISTED PERSON ON FORM W-2 OR FORM 1099. |
| Health or social club dues or initiation fees | Schedule J, Part I, Line 1a | DELNOR-COMMUNITY HOSPITAL ENCOURAGES ALL OF ITS EMPLOYEES TO PARTICIPATE IN ITS AFFILIATED HEALTH & WELLNESS CLUB BY SUBSIDIZING A PORTION OF THE HEALTH CLUB DUES. INDIVIDUALS WHO TOOK ADVANTAGE OF THIS PROGRAM DURING THE REPORTING PERIOD INCLUDED: THOMAS WRIGHT, MICHELLE MCCLELLAND AND JAMES KEARNS. BASED ON STANDARD DELNOR PRACTICE, THE VALUE OF THE BENEFIT WAS NOT INCLUDED AS TAXABLE INCOME TO THE PARTICIPANTS. |
| Arrangement used to establish the top management official's compensation | Schedule J, Part I, Line 3 | THE FILING ORGANIZATION RELIED ON CDH-DELNOR HEALTH SYSTEM, SOLE MEMBER OF THE FILING ORGANIZATION, WHICH USES A COMPENSATION COMMITTEE, COMPARABILITY DATA AND APPROVAL BY THE BOARD OR COMPENSATION COMMITTEE TO DETERMINE THE COMPENSATION OF ITS TOP MANAGEMENT OFFICIALS. |
| Severance or change-of-control payment | Schedule J, Part I, Line 4a | ONE FORMER OFFICER AND TWO FORMER LISTED EMPLOYEES RECEIVED CHANGE OF CONTROL PAYMENTS IN CY2011. MICHAEL KITTOE $258,289 JAMES KEARNS $209,085 MICHELE MCCLELLAND $198,369 |
| Supplemental nonqualified retirement plan | Schedule J, Part I, Line 4b | THE CHIEF EXECUTIVE OFFICER PARTICIPATES IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN. PURSUANT TO THIS PLAN, DURING CY 2010, $300,000 WAS CONTRIBUTED, IMMEDIATELY VESTED, AND DISTRIBUTED. ALL ASPECTS OF THE CHIEF EXECUTIVE OFFICER'S COMPENSATION, INCLUDING CONTRIBUTIONS TO THE SUPPLEMENTAL RETIREMENT PLAN, ARE REVIEWED BY THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS AND SUPPORTED BY CONSULTANTS ENGAGED BY SUCH COMMITTEE. ONE OFFICER, THOMAS WRIGHT, WAS ELIGIBLE TO PARTICIPATE IN A 457(F) DEFERRED COMPENSATION PROGRAM. TOTAL CY2011 FUNDING FROM MR. WRIGHT WAS $ 1,333,000. |
| COMPENSATION CONTINGENT ON NET EARNINGS | SCHEDULE J, PART I, LINE 6A | DELNOR-COMMUNITY HOSPITAL MAINTAINS AN INCENTIVE PLAN (MYSTEP) AS A COMPONENT OF COMPENSATION FOR ITS EMPLOYEES, INCLUDING EMPLOYED INTERESTED PERSONS. THE INCENTIVE PORTION OF THE COMPENSATION IS INCLUDED IN THE COMPENSATION REVIEW CONDUCTED BY THE COMPENSATION COMMITTEE OF THE CDH-DELNOR HEALTH SYSTEM BOARD OF DIRECTORS, AS DESCRIBED IN SCHEDULE O FOR FORM 990 CORE, PART VI, LINE 15. THE PURPOSE OF MYSTEP IS TO ALIGN EMPLOYEES' INTERESTS WITH THE GOALS AND OBJECTIVES OF CDH-DELNOR HEALTH SYSTEM AND ALL RELATED ORGANIZATIONS BY PROVIDING FINANCIAL INCENTIVES LINKED TO THE CONTINUING AND SUSTAINABLE SUCCESS OF THE ORGANIZATIONS. FINANCIAL INCENTIVES ARE PAID BASED ON A SERIES OF MEASURES THAT INCLUDE: (I) PATIENT SATISFACTION; (II) FINANCIAL PERFORMANCE; AND (III) DEPARTMENTAL/TEAM-SPECIFIC GOALS. OVERALL ADMINISTRATION OF MYSTEP IS THE RESPONSIBILITY OF THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS. THIS INCENTIVE PROGRAM DOES NOT MEET THE STANDARDS AS SET OUT IN SCHEDULE J, PART I FOR LINES 5, 6 OR 7. |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)
| Issuer EINIssuerEIN | CUSIP NumberCUSIPNumber | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer | Pool FinancingPoolFinancing |
|---|---|---|---|---|---|---|---|
| DELNOR-COMMUNITY HOSPITAL | |||||||
| 363484281 | 45200PJ32 | 2008-05-23 | 6304260 | 2002A-IL FIN. AUTH. REV. BONDS | false | false | false |
| DELNOR-COMMUNITY HOSPITAL | |||||||
| 363484281 | 45200PJ40 | 2008-05-23 | 6216780 | 2002B-IL FIN. AUTH. REV. BONDS | false | false | false |
| DELNOR-COMMUNITY HOSPITAL | |||||||
| 363484281 | 45200PJ57 | 2008-05-23 | 6168840 | 2002C-IL FIN. AUTH. REV. BONDS | false | false | false |
| DELNOR-COMMUNITY HOSPITAL | |||||||
| 363484281 | 45200PJ65 | 2008-05-23 | 17223720 | 2002D-IL FIN. AUTH. REV. BONDS | false | false | false |
Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)
| Amount RetiredAmountRetired | Amount Bond DefeasedAmountBondDefeased | Total ProceedsTotalProceeds | Amount In Reserve FundAmountInReserveFund | Capitalized InterestCapitalizedInterest | Refunding EscrowRefundingEscrow | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Credit EnhancementCreditEnhancement | Working Capital ExpendituresWorkingCapitalExpenditures | Capital ExpendituresCapitalExpenditures | Other Spent ProceedsOtherSpentProceeds | Amount UnspentAmountUnspent | Year Of Subst CompletionYearOfSubstCompletion | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 0 | 0 | 6304260 | 0 | 0 | 0 | 64965 | 0 | 239295 | 6000000 | 0 | 0 | 2003 | false | false | true | true |
| 0 | 0 | 6216780 | 0 | 0 | 0 | 64965 | 0 | 151815 | 6000000 | 0 | 0 | 2003 | false | false | true | true |
| 0 | 0 | 6168840 | 0 | 0 | 0 | 64965 | 0 | 103875 | 6000000 | 0 | 0 | 2003 | false | false | true | true |
| 0 | 0 | 17223720 | 0 | 0 | 0 | 184069 | 0 | 39651 | 17000000 | 0 | 0 | 2003 | false | false | true | true |
Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)
| Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Any Research AgreementsAnyResearchAgreements | Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers | Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI | Total Private Business UseTotalPrivateBusinessUse | Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs |
|---|---|---|---|---|---|---|---|
| false | false | false | false | 0.0000 | 0.0000 | 0.0000 | true |
| false | false | false | false | 0.0000 | 0.0000 | 0.0000 | true |
| false | false | false | false | 0.0000 | 0.0000 | 0.0000 | true |
| false | false | false | false | 0.0000 | 0.0000 | 0.0000 | true |
Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)
| Form8038 T FiledForm8038TFiled | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Term Of HedgeTermOfHedge | Superintegrated HedgeSuperintegratedHedge | Hedge TerminatedHedgeTerminated | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Term Of GICTermOfGIC | Gross Proceeds InvestedGrossProceedsInvested | Exception To RebateExceptionToRebate |
|---|---|---|---|---|---|---|---|---|---|
| UBS | |||||||||
| false | false | true | 20.0 | false | false | false | 0.0 | false | true |
| UBS | |||||||||
| false | false | true | 20.0 | false | false | false | false | true | |
| UBS | |||||||||
| false | false | true | 20.0 | false | false | false | 0.0 | false | true |
| UBS | |||||||||
| false | false | true | 20.0 | false | false | false | false | true | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Fed Tax Requirements Compliance | X | FedTaxRequirementsCompliance |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (4 entries)
| Issuer EINIssuerEIN | CUSIP NumberCUSIPNumber | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer | Pool FinancingPoolFinancing |
|---|---|---|---|---|---|---|---|
| DELNOR-COMMUNITY HOSPITAL | |||||||
| 363484281 | 45200PJ73 | 2008-06-04 | 29258573 | 2003A-IL FIN. AUTH. REV. BONDS | false | false | false |
| DELNOR-COMMUNITY HOSPITAL | |||||||
| 363484281 | 45200PL39 | 2008-06-04 | 6230627 | 2003B-IL FIN. AUTH. REV. BONDS | false | false | false |
| DELNOR-COMMUNITY HOSPITAL | |||||||
| 363484281 | 45200PL47 | 2008-06-04 | 5264116 | 2003C-IL FIN. AUTH. REV. BONDS | false | false | false |
| DELNOR-COMMUNITY HOSPITAL | |||||||
| 363488428 | 2011-08-24 | 58415000 | REFUND SERIES 2008 BONDS | false | false | false | |
Form990 Schedule K Part II Form990ScheduleKPartII (4 entries)
| Amount RetiredAmountRetired | Amount Bond DefeasedAmountBondDefeased | Total ProceedsTotalProceeds | Amount In Reserve FundAmountInReserveFund | Capitalized InterestCapitalizedInterest | Refunding EscrowRefundingEscrow | Issuance Costs From ProceedsIssuanceCostsFromProceeds | Credit EnhancementCreditEnhancement | Working Capital ExpendituresWorkingCapitalExpenditures | Capital ExpendituresCapitalExpenditures | Other Spent ProceedsOtherSpentProceeds | Amount UnspentAmountUnspent | Year Of Subst CompletionYearOfSubstCompletion | Current RefundingCurrentRefunding | Advance RefundingAdvanceRefunding | Final Allocation MadeFinalAllocationMade | Adequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| 7825000 | 0 | 29258573 | 0 | 0 | 0 | 310842 | 0 | 1247732 | 27700000 | 0 | 0 | 2003 | true | false | true | true |
| 0 | 0 | 6230627 | 0 | 0 | 0 | 69014 | 0 | 11613 | 6150000 | 0 | 0 | 2003 | true | false | true | true |
| 0 | 0 | 5264116 | 0 | 0 | 0 | 58353 | 0 | 5763 | 5200000 | 0 | 0 | 2003 | true | false | true | true |
| 0 | 0 | 58415000 | 0 | 0 | 0 | 0 | 0 | 0 | 0 | 58415000 | 0 | 2011 | true | false | true | true |
Form990 Schedule K Part III Form990ScheduleKPartIII (4 entries)
| Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Any Research AgreementsAnyResearchAgreements | Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers | Percentage Of Prvt Business Re UBIPercentageOfPrvtBusinessReUBI | Total Private Business UseTotalPrivateBusinessUse | Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs |
|---|---|---|---|---|---|---|---|
| false | false | false | false | 0.0000 | 0.0000 | 0.0000 | true |
| false | false | false | false | 0.0000 | 0.0000 | 0.0000 | true |
| false | false | false | false | 0.0000 | 0.0000 | 0.0000 | true |
| false | false | false | false | 0.0000 | 0.0000 | 0.0000 | true |
Form990 Schedule K Part IV Form990ScheduleKPartIV (4 entries)
| Form8038 T FiledForm8038TFiled | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Term Of HedgeTermOfHedge | Superintegrated HedgeSuperintegratedHedge | Hedge TerminatedHedgeTerminated | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Gross Proceeds InvestedGrossProceedsInvested | Exception To RebateExceptionToRebate | Term Of GICTermOfGIC |
|---|---|---|---|---|---|---|---|---|---|
| UBS | |||||||||
| false | false | true | 21.0 | false | false | false | false | true | |
| UBS | |||||||||
| false | false | true | 21.0 | false | false | false | false | true | |
| UBS | |||||||||
| false | false | true | 21.0 | false | false | false | false | true | |
| (no name) | |||||||||
| false | true | false | 0.0 | false | false | true | 0.0 | ||
Schedule K IRS990ScheduleK
Schedule L IRS990ScheduleL
Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)
| RelationshipRelationship | Amount Of TransactionAmountOfTransaction | Description Of TransactionDescriptionOfTransaction | Sharing Of RevenuesSharingOfRevenues |
|---|---|---|---|
| GORDON FLESCH COMPANY | |||
| ENTITY IS OWNED BY BOARD MEMBER | 160468 | COPIER LEASE MAINTENANCE | false |
| VALLEY EMERGENCY CARE MANAGEMENT LTD | |||
| BOARD MEMBER IS AN OFFICER OF ENTITY | 222464 | PROFESSIONAL FEES | false |
Schedule M IRS990ScheduleM
Clothing And Household Goods ClothingAndHouseholdGoods
| Field | Value | IRS element (for citing) |
|---|---|---|
| Non Cash Checkbox | X | NonCashCheckbox |
| Noncash Contribs Rptd F990 | 122829 | NoncashContribsRptdF990 |
| Method Of Determining Revenues | SELLING COST | MethodOfDeterminingRevenues |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of8283 Received | 0 | NumberOf8283Received |
| Any Property That Must Be Held | false | AnyPropertyThatMustBeHeld |
| Review Process Unusual NC Gifts | false | ReviewProcessUnusualNCGifts |
| Third Parties Used | false | ThirdPartiesUsed |
Form990 Schedule M Part II Form990ScheduleMPartII (2 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| GIFT ACCEPTANCE POLICY | SCHEDULE M, PART I, LINE 31 | THE NON-CASH DONATIONS REFLECTED ON SCHEDULE M ARE DONATIONS OF CLOTHING AND HOUSEHOLD GOODS GIVEN TO THE FILING ORGANIZATION THROUGH ITS AUXILIARY RESALE SHOP. ALL OTHER DONATIONS TO THE FILING ORGANIZATION ARE ACCEPTED THROUGH A RELATED ORGANIZATION, CADENCE HEALTH FOUNDATION, WHICH HAS ADOPTED A GIFT ACCEPTANCE POLICY THAT REQUIRES A REVIEW OF ALL NON-STANDARD POTENTIAL GIFTS PRIOR TO ACCEPTANCE. |
| Number of contributions or items contributed. | Schedule M, part I, column (b), Line 5 |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (13 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| NUMBER OF INDEPENDENT BOARD MEMBERS | FORM 990, PART VI, LINE 1B | SEVEN OF THE TWENTY-TWO BOARD MEMBERS ARE NOT CONSIDERED TO BE INDEPENDENT UNDER THE IRS DEFINITION OF INDEPENDENCE. THOSE MEMBERS ARE: THE ORGANIZATION'S CEO; TWO BOARD MEMBERS WHO SERVE AS MEDICAL STAFF PRESIDENT FOR DELNOR-COMMUNITY HOSPITAL OR CENTRAL DUPAGE HOSPITAL (RELATED ORGANIZATION); TWO BOARD MEMBERS WHOSE MEDICAL PRACTICES ARE COMPENSATED BY THE FILING ORGANIZATION OR A RELATED ORGANIZATION FOR PHYSICIAN SERVICES PROVIDED; AND TWO BOARD MEMBERS WHO ARE OFFICER/ PART OWNER OF A COMPANY WHICH IS COMPENSATED FOR SERVICES PROVIDED TO THE FILING ORGANIZATION OR A RELATED ORGANIZATION. |
| Family/business relationships amongst interested persons | Form 990, Part VI, Section A, Line 2 | PATRICK FLINN AND WILLIAM WOLFORD - BUSINESS RELATIONSHIP |
| Classes of members or stockholders | Form 990, Part VI, Section A, Line 6 | THE SOLE MEMBER OF DELNOR-COMMUNITY HOSPITAL IS CDH-DELNOR HEALTH SYSTEM, A RELATED TAX-EXEMPT ORGANIZATION. MANAGEMENT DUTIES PROVIDED BY CDH-DELNOR HEALTH SYSTEM INCLUDE OPERATIONAL, STRATEGIC, BUDGETING AND LONG-RANGE PLANNING DUTIES, AS WELL AS FINANCE, INTERNAL AUDIT, PERSONNEL, TREASURY AND MARKETING SERVICES. THE INDIVIDUALS PROVIDING THESE SERVICES, INCLUDING THE CEO, CFO, AND OTHER SENIOR MANAGEMENT, ARE EMPLOYEES OF AND COMPENSATED BY CDH-DELNOR HEALTH SYSTEM. DELNOR-COMMUNITY HOSPITAL PAYS A MANAGEMENT SERVICES FEE TO CDH-DELNOR HEALTH SYSTEM. |
| Members or stockholders electing members of governing body | Form 990, Part VI, Section A, Line 7a | CDH-DELNOR HEALTH SYSTEM, THE SOLE MEMBER AND PARENT ORGANIZATION, HAS THE POWER TO ELECT OR REMOVE ALL OF THE DIRECTORS OF DELNOR-COMMUNITY HOSPITAL. |
| Decisions requiring approval by members or stockholders | Form 990, Part VI, Section A, Line 7b | CERTAIN DECISIONS OF THE DELNOR-COMMUNITY HOSPITAL'S (DCH) GOVERNING BODY ARE SUBJECT TO APPROVAL BY CDH-DELNOR HEALTH SYSTEM, AS THE SOLE MEMBER OF DCH. THE MEMBER'S AUTHORITY INCLUDES THE POWER TO AMEND, ALTER, RESTATE OR REPEAL THE BYLAWS OF THE CORPORATION; TO NEGOTIATE AND EXECUTE CONTRACTS ON BEHALF OF THE CORPORATION; TO ADOPT A PLAN OF MERGER, CONSOLIDATION OR CORPORATE REORGANIZATION INVOLVING THE CORPORATION; TO ADOPT A PLAN OF DISSOLUTION OR LIQUIDATION OF THE CORPORATION AND DISTRIBUTION OF ITS ASSETS; AND, TO AMEND, ALTER, RESTATE OR REPEAL THE ARTICLES OF INCORPORATION OF THE CORPORATION. ACTIONS BY THE BOARD OF DIRECTORS REQUIRING THE APPROVAL OF THE SOLE MEMBER INCLUDE: ADOPTION OF CAPITAL AND OPERATING BUDGETS; ADOPTION AND EXECUTION OF A STRATEGIC PLAN; AND, AUTHORIZATION OF A CAPITAL EXPENDITURE IN EXCESS OF THE LIMITS ESTABLISHED BY THE SOLE MEMBER FROM TIME TO TIME. |
| Review of form 990 by governing body | Form 990, Part VI, Section B, Line 11b | PRIOR TO FILING, A DRAFT OF THE COMPLETED FORM 990 IS REVIEWED BY OUTSIDE TAX ADVISERS AND INTERNAL MANAGEMENT. AFTER THAT REVIEW IS COMPLETE, THE FORM 990 IS PROVIDED TO EACH MEMBER OF THE BOARD OF DIRECTORS FOR ADDITIONAL REVIEW AND COMMENT. |
| Conflict of interest policy | Form 990, Part VI, Section B, Line 12c | EACH YEAR, DELNOR-COMMUNITY HOSPITAL (DELNOR) ASKS EACH BOARD MEMBER TO REVIEW THE CONFLICT OF INTEREST POLICY AND TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT. IN ADDITION, THE POLICY REQUIRES THAT BOARD MEMBERS DISCLOSE POTENTIAL CONFLICTS THAT MAY ARISE BETWEEN ANNUAL STATEMENTS THROUGH SUPPLEMENTARY DISCLOSURES. BOTH THE ANNUAL STATEMENTS AND THE SUPPLEMENTARY DISCLOSURES ARE REVIEWED AND EVALUATED BY THE GOVERNANCE COMMITTEE OF THE BOARD OF THE DIRECTORS. THE GOVERNANCE COMMITTEE IS DELEGATED THE RESPONSIBILITY TO DETERMINE WHETHER A POTENTIAL CONFLICT IS AN ACTUAL CONFLICT, AND FURTHER TO RECOMMEND CONFLICT MITIGATION STRATEGIES TO THE BOARD (WHICH MAY INCLUDE LIMITING A BOARD MEMBERS PARTICIPATION IN MATTERS WHERE AN ACTUAL CONFLICT EXISTS, TO BOARD MEMBER REMOVAL IF THE CONFLICT IS INCOMPATIBLE WITH ONGOING BOARD SERVICE). SIMILARLY, EACH YEAR DELNOR ASKS EACH EMPLOYEE TO REVIEW THE CONFLICT OF INTEREST POLICY AND TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT. IN ADDITION, THE POLICY REQUIRES THAT EMPLOYEES DISCLOSE POTENTIAL CONFLICTS THAT MAY ARISE BETWEEN ANNUAL STATEMENTS THROUGH SUPPLEMENTARY DISCLOSURES. BOTH THE ANNUAL STATEMENTS AND THE SUPPLEMENTARY DISCLOSURES ARE REVIEWED AND EVALUATED BY THE DIRECTOR OF INTERNAL AUDIT AND COMPLIANCE. THE DIRECTOR IS DELEGATED THE RESPONSIBILITY TO DETERMINE WHETHER A POTENTIAL CONFLICT IS AN ACTUAL CONFLICT, AND FURTHER, TO RECOMMEND AND IMPLEMENT, WHERE APPROPRIATE, CONFLICT MITIGATION STRATEGIES. COMPLETION RESULTS ARE PROVIDED TO THE AUDIT & FINANCE COMMITTEE OF THE BOARD OF DIRECTORS. |
| Process used to establish compensation of top management official | Form 990, Part VI, Section B, Line 15a | THE FILING ORGANIZATION'S TOP MANAGEMENT OFFICIAL AND OTHER OFFICERS AND KEY EMPLOYEES ARE EMPLOYEES OF CDH-DELNOR HEALTH SYSTEM, A RELATED TAX-EXEMPT ORGANIZATION AND SOLE MEMBER OF THE FILING ORGANIZATION. THE COMPENSATION COMMITTEE OF THE CDH-DELNOR HEALTH SYSTEM BOARD OF DIRECTORS IS COMPRISED OF INDEPENDENT COMMITTEE MEMBERS AND IS DELEGATED THE RESPONSIBILITY FOR REVIEWING THE COMPENSATION OF THE ORGANIZATION'S EXECUTIVES (INCLUDING THE CHIEF EXECUTIVE OFFICER) AND OTHER KEY EMPLOYEES. THE PROCESS INCLUDES ENGAGING AN INDEPENDENT COMPENSATION CONSULTANT TO ASSIST IN DETERMINING THE APPROPRIATENESS OF COMPENSATION, WHICH INCLUDES REVIEWING COMPARABLE COMPENSATION STUDIES FOR SIMILARLY QUALIFIED PERSONS IN COMPARABLE ORGANIZATIONS TO SUPPORT ITS DECISION-MAKING PROCESS. THE COMPENSATION COMMITTEE ROUTINELY REPORTS TO THE FULL BOARD OF DIRECTORS ITS COMPENSATION RELATED ACTIVITIES, AND MAY FROM TIME TO TIME RECOMMEND MATTERS FOR THE FULL BOARD OF DIRECTORS CONSIDERATION (E.G., THE ESTABLISHMENT OF ANY NEW COMPENSATION OR BENEFIT PLAN). THE COMPENSATION COMMITTEE CONDUCTS A FORMAL REVIEW FOR THE ORGANIZATION'S EXECUTIVES ON AN ANNUAL BASIS, AND MAY MAKE DECISIONS RELATED TO COMPENSATION AND BENEFITS THROUGHOUT THE YEAR. THE COMPENSATION COMMITTEE LAST RECEIVED AN INDEPENDENT CONSULTANT'S REPORT SUPPORTING THE REASONABLENESS OF THE ORGANIZATION'S EXECUTIVES' COMPENSATION FOR THE REPORTING PERIOD IN APRIL, 2012. |
| Process used to establish compensation of other officers/key employees | Form 990, Part VI, Section B, Line 15b | SEE NARRATIVE FOR PART VI LINE 15A. |
| Governing documents, conflict of interest policy and financial statements available to the public | Form 990, Part VI, Section C, Line 19 | VARIOUS PUBLIC AND PRIVATE ENTITIES MAY REQUIRE THE FILING OF SUCH DOCUMENTS AS PART OF A REGULATORY AND OUR CONTRACTUAL COMMITMENT, AND AS A RESULT OF SUCH OBLIGATIONS, CERTAIN OF THESE MATERIALS MAY, IN FACT, BE AVAILABLE TO THE PUBLIC. OUTSIDE OF SUCH DISCLOSURES, THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE NOT ROUTINELY MADE AVAILABLE BY THE ORGANIZATION TO THE PUBLIC. NOTABLY, FINANCIAL STATEMENTS, GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICIES ARE NOT REQUIRED TO BE DISCLOSED PURSUANT TO IRC SECTION 6104. |
| COMPENSATION OF OFFICERS, DIRECTORS, TRUSTEES, KEY EMPLOYEES, ETC. | FORM 990, PART VII, SECTION A, LINE 1A, COLUMN (B) | ALL DIRECTORS LISTED ON PART VII, LINE 1A DEVOTE APPROXIMATELY 1 HOUR PER WEEK TO THE FILING ORGANIZATION. THIS BOARD OF DIRECTORS JOINTLY SERVES AS THE CDH-DELNOR HEALTH SYSTEM AND CENTRAL DUPAGE HOSPITAL ASSOCIATION BOARD OF DIRECTORS AND THESE DIRECTORS ALSO DEVOTE APPROXIMATELY 1 HOUR PER WEEK TO THOSE RELATED ORGANIZATIONS. THE CHIEF EXECUTIVE OFFICER, CHIEF FINANCIAL OFFICER, AND THE EMPLOYED OFFICERS ALSO PROVIDE LEADERSHIP AND MANAGEMENT TO, AND/OR SERVE AS DIRECTORS FOR, RELATED ORGANIZATIONS WITHIN THE CDH-DELNOR HEALTH SYSTEM (SEE SCHEDULE R, PART II). FOR THOSE INDIVIDUALS, THE FORM 990 FOR ONE OF THE RELATED ORGANIZATIONS REFLECTS AN ESTIMATE OF 40 HOURS PER WEEK, AND AN ESTIMATE OF 1 HOUR PER WEEK IS REPORTED ON ANY OTHER FORM 990 THAT LISTS THAT INDIVIDUAL AS AN OFFICER OR KEY EMPLOYEE. DUE TO THE OVERLAP OF MANAGEMENT OF THESE ORGANIZATIONS, THERE IS NO MEANINGFUL METHOD BY WHICH TO ESTIMATE THE HOURS DEVOTED SPECIFICALLY TO ANY ONE OF THE RELATED ORGANIZATIONS. FOR THOSE EMPLOYEES WHOSE COMPENSATION INFORMATION IS ALSO REPORTED ON RELATED ORGANIZATIONS' FORM 990S, THE INFORMATION REPORTED IN PART VII REFLECTS THE FULL AND COMPLETE CALENDAR YEAR 2011 COMPENSATION FROM ALL RELATED ORGANIZATIONS. AGGREGATING AND SUMMING THE COMPENSATION FOR A REPORTED INDIVIDUAL FROM EACH DISTINCT BUT RELATED FORM 990 WOULD RESULT IN AN OVERSTATEMENT OF TOTAL COMPENSATION. |
| REPORTABLE COMPENSATION FROM RELATED ORGANIZATIONS | FORM 990, PART VII, SECTION A, LINE 1A, COLUMN (E) | DURING 2011, CDH-DELNOR HEALTH SYSTEM (RELATED ORGANIZATION) PROVIDED BOARD MEMBERS WITH AN IPAD FOR USE AT BOARD MEETINGS AND TO RECEIVE BOARD-RELATED MATERIALS SENT ELECTRONICALLY. EACH BOARD MEMBER RECEIVED A FORM 1099 REFLECTING THE COST OF THE IPAD RECEIVED. |
| Other changes in net assets or fund balances | Form 990, Part XI, Line 5 | NET UNREALIZED GAINS (LOSSES) ON INVESTMENTS - -13505706; NET CHANGE IN NET ASSETS OF DCHCF - 1675134; INT RATE SWAP VALUATION ADJ - -6968388; |
Schedule R IRS990ScheduleR
Form990 Schedule R Part II Form990ScheduleRPartII (10 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Exempt Code SectionExemptCodeSection | Public Charity StatusPublicCharityStatus | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Controlled OrgControlledOrg |
|---|---|---|---|---|---|---|---|---|---|---|
| DELNOR-COMMUNITY HEALTHCARE FOUNDATION | ||||||||||
| 300 RANDALL ROAD | GENEVA | IL | 60134 | 363347004 | HEALTH CARE | IL | 501(C)(3) | 7 | CDH-DELNOR HEALTH SYSTEM | false |
| DELNOR-COMMUNITY RESIDENTIAL LIVINGINC | ||||||||||
| 300 RANDALL ROAD | GENEVA | IL | 60134 | 364156211 | HEALTH CARE | IL | 501(C)(3) | 9 | CDH-DELNOR HEALTH SYSTEM | false |
| LIVING WELL CANCER RESOURCE CENTER | ||||||||||
| 300 RANDALL ROAD | GENEVA | IL | 60134 | 161727774 | HEALTH CARE | IL | 501(C)(3) | 7 | CDH-DELNOR HEALTH SYSTEM | false |
| CDH-DELNOR HEALTH SYSTEM | ||||||||||
| 27W353 JEWELL RD | WINFIELD | IL | 60190 | 363099698 | MANAGEMENT | IL | 501(C)(3) | Type II | CDH-DELNOR HEALTH SYSTEM | false |
| CADENCE HEALTH FOUNDATION | ||||||||||
| 27W353 JEWELL RD | WINFIELD | IL | 60190 | 364401289 | FUNDRAISING | IL | 501(C)(3) | 7 | CDH-DELNOR HEALTH SYSTEM | false |
| CENTRAL DUPAGE PHYSICIAN GROUP | ||||||||||
| 27W353 JEWELL RD | WINFIELD | IL | 60190 | 363149833 | PRIMARILY CARE | IL | 501(C)(3) | 9 | CDH-DELNOR HEALTH SYSTEM | false |
| COMMUNITY NURSING SERVICE OF DUPAGE COUNTY | ||||||||||
| 690 E NORTH AVE | CAROL STREAM | IL | 60188 | 366080833 | HOME HEALTH | IL | 501(C)(3) | 9 | CDH-DELNOR HEALTH SYSTEM | false |
| CENTRAL DUPAGE HOSPITAL ASSOCIATION | ||||||||||
| 27W353 JEWELL RD | WINFIELD | IL | 60190 | 362513909 | HOSPITAL | IL | 501(C)(3) | 3 | CDH-DELNOR HEALTH SYSTEM | false |
| PAHCS II | ||||||||||
| 27W353 JEWELL RD | WINFIELD | IL | 60190 | 363887234 | OCCUP. HEALTH | IL | 501(C)(3) | 9 | CDH-DELNOR HEALTH SYSTEM | false |
| CENTRAL DUPAGE SPECIAL HEALTH ASSOC | ||||||||||
| 27W353 JEWELL RD | WINFIELD | IL | 60190 | 364310557 | PHARMACY | IL | 501(C)(3) | 9 | CDH-DELNOR HEALTH SYSTEM | false |
Form990 Schedule R Part III Form990ScheduleRPartIII (5 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Predominant Income TypePredominantIncomeType | General Or Managing PartnerGeneralOrManagingPartner |
|---|---|---|---|---|---|---|---|---|---|
| TRI-CITIES IMCARE | |||||||||
| 300 RANDALL ROAD | GENEVA | IL | 60134 | 271942888 | HEALTH CARE | IL | DELCOM | RELATED | false |
| TRI-CITIES DIALYSIS | |||||||||
| 1300 WATERFORD DR LOWER LEVEL | AURORA | IL | 60504 | 364272042 | HEALTH CARE | IL | DELCOM | RELATED | false |
| TRI-CITIES SURGERY | |||||||||
| 345 DELNOR DRIVE | GENEVA | IL | 60134 | 510551673 | HEALTH CARE | IL | DELCOM | RELATED | false |
| TRI-CITIES CANCER | |||||||||
| 300 RANDALL ROAD | GENEVA | IL | 60134 | 364009336 | HEALTH CARE | IL | DELCOM | RELATED | false |
| FVFPDELNOR PROPERTIES | |||||||||
| 300 RANDALL ROAD | GENEVA | IL | 60134 | 451147062 | PROPERTY MANAGEMENT | IL | DELCOM | EXCLUDED | false |
Form990 Schedule R Part IV Form990ScheduleRPartIV (4 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivityPrimaryActivity | Legal Domicile StateLegalDomicileState | Business Name Line1DirectControllingEntityName/BusinessNameLine1 | Type Of EntityTypeOfEntity | Address Line1AddressForeign/AddressLine1 | CityAddressForeign/City | CountryAddressForeign/Country | Postal CodeAddressForeign/PostalCode | Legal Domicile Foreign CountryLegalDomicileForeignCountry |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| DUPAGE HEALTH SERVICES INC | |||||||||||||
| 27W353 JEWELL RD | WINFIELD | IL | 60190 | 363270521 | HEALTHCARE | DE | CDH-DELNOR HEALTH SYSTEM | C CORPORATION | |||||
| DELCOM CORPORATION AND SUBSIDIARY | |||||||||||||
| 300 RANDALL ROAD | GENEVA | IL | 60134 | 363334711 | HEALTH MGMT | IL | CDH-DELNOR HEALTH SYSTEM | C CORPORATION | |||||
| UNITED PROFESSIONALS INSURANCE COMPANY LTD | |||||||||||||
| OTHER INSURANCE FUNDS | CDH-DELNOR HEALTH SYSTEM | C CORPORATION | PO BOX 30600 | GRAND CAYMAN | CJ | KY1-1203 | CJ | ||||||
| CORNERSTONE MEDICAL GROUP | |||||||||||||
| 27W353 JEWELL RD | WINFIELD | IL | 60190 | 364345453 | HEALTHCARE | IL | CENTRAL DUPAGE PHYSICIAN GROUP | C CORPORATION | |||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Receipt Of Int Ann Rents Royalties | false | ReceiptOfIntAnnRentsRoyalties |
| Gift Grant Or Cap Contr To Other Org | true | GiftGrantOrCapContrToOtherOrg |
| Gift Grant Or Cap Contr Fr Other Org | true | GiftGrantOrCapContrFrOtherOrg |
| Loans Or Guarantees To Other Org | false | LoansOrGuaranteesToOtherOrg |
| Loans Or Guarantees From Other Org | false | LoansOrGuaranteesFromOtherOrg |
| Sale Of Assets To Other Org | false | SaleOfAssetsToOtherOrg |
| Purchase Of Assets From Other Org | false | PurchaseOfAssetsFromOtherOrg |
| Exchange Of Assets | false | ExchangeOfAssets |
| Rental Of Facilities To Other Orgs | false | RentalOfFacilitiesToOtherOrgs |
| Rental Of Facilities Fr Other Orgs | true | RentalOfFacilitiesFrOtherOrgs |
| Perform Of Services For Other Orgs | true | PerformOfServicesForOtherOrgs |
| Perform Of Services By Other Orgs | true | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | true | SharingOfFacilities |
| Sharing Of Paid Employees | true | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | true | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | false | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | true | OtherTransferToOtherOrg |
| Other Transfer From Other Org | true | OtherTransferFromOtherOrg |