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NORTHWESTERN MEMORIAL HEALTHCARE: Form 990, tax year 2011

View the entire original 990 at ProPublica ↗

Organization
NORTHWESTERN MEMORIAL HEALTHCARE (EIN 36-2513909)
Tax period
2011-07-01 to 2012-06-30
Filed
2013-05-09
IRS object ID
201331299349301633
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 ReturnHeader

FieldValueIRS element (for citing)
Timestamp2013-05-09T14:00:07-05:00Timestamp
Tax Period End Date2012-06-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1CROWE HORWATH LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line170 West Madison StreetAddressLine1
Address Line2Suite 700AddressLine2
CityChicagoCity
StateILState
ZIP Code606024903ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2011-07-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN362513909EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1CENTRAL DUPAGE HOSPITAL ASSOCIATIONBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlCENTNameControl
Phone6309331600Phone

US Address USAddress

FieldValueIRS element (for citing)
Address Line125 North Winfield RoadAddressLine1
CityWinfieldCity
StateILState
ZIP Code60190ZIPCode

Officer Officer

FieldValueIRS element (for citing)
NameJOHN ORSININame
TitleEVP & CFOTitle
Date Signed2013-05-15DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
NameJohn WoodhullName
PTINP01305268PTIN
Phone3128997000Phone
FieldValueIRS element (for citing)
Tax Year2011TaxYear
Build TS2016-02-25 16:41:14ZBuildTS

Form 990 IRS990

Name Of Principal Officer Business NameOfPrincipalOfficerBusiness

FieldValueIRS element (for citing)
Business Name Line1MICHAEL VIVODABusinessNameLine1

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line125 North Winfield RoadAddressLine1
CityWinfieldCity
StateILState
ZIP Code60190ZIPCode
FieldValueIRS element (for citing)
Gross Receipts779138912GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501c3XOrganization501c3
Web SiteWWW.CDH.ORGWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1958YearFormation
State Legal DomicileILStateLegalDomicile
Activity Or Mission DescriptionCENTRAL DUPAGE HOSPITAL (CDH) PROVIDES MEDICAL SERVICES TO PATIENTS, REGARDLESS OF THEIR ABILITY TO PAY, AND OTHERWISE STRIVES TO IMPROVE THE HEALTH AND WELL-BEING OF THOSE WITHIN ITS COMMUNITY.ActivityOrMissionDescription
Nbr Voting Members Governing Body22NbrVotingMembersGoverningBody
Nbr Independent Voting Members15NbrIndependentVotingMembers
Total Nbr Employees4056TotalNbrEmployees
Total Nbr Volunteers800TotalNbrVolunteers
Total Gross UBI42330917TotalGrossUBI
Net Unrelated Business Txbl Income0NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year3132295ContributionsGrantsPriorYear
Contributions Grants Current Year694819ContributionsGrantsCurrentYear
Program Service Revenue Prior Year664436260ProgramServiceRevenuePriorYear
Program Service Revenue CY760694984ProgramServiceRevenueCY
Investment Income Prior Year8346197InvestmentIncomePriorYear
Investment Income Current Year7474361InvestmentIncomeCurrentYear
Other Revenue Prior Year4081317OtherRevenuePriorYear
Other Revenue Current Year4376741OtherRevenueCurrentYear
Total Revenue Prior Year679996069TotalRevenuePriorYear
Total Revenue Current Year773240905TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year120086336GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY65230316GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year215093729SalariesEtcPriorYear
Salaries Etc Current Year236511591SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year321121692OtherExpensePriorYear
Other Expenses Current Year359250039OtherExpensesCurrentYear
Total Expenses Prior Year656301757TotalExpensesPriorYear
Total Expenses Current Year660991946TotalExpensesCurrentYear
Revenues Less Expenses Prior Year23694312RevenuesLessExpensesPriorYear
Revenues Less Expenses CY112248959RevenuesLessExpensesCY
Total Assets BOY956371094TotalAssetsBOY
Total Assets EOY1029440344TotalAssetsEOY
Total Liabilities BOY151333038TotalLiabilitiesBOY
Total Liabilities EOY113718427TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY805038056NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY915721917NetAssetsOrFundBalancesEOY
Mission DescriptionCENTRAL DUPAGE HOSPITAL IS A COMMUNITY OF CAREGIVERS COMMITTED TO PROVIDING EXCELLENT AND COMPASSIONATE PATIENT CARE EACH AND EVERY TIME, THROUGH SHARED VALUES OF INTEGRITY, COMPASSION, ACCOUNTABILITY, RESPECT AND EXCELLENCE.MissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense575342242Expense
Grants65230316Grants
Revenue718364067Revenue
DescriptionCDH PROVIDES INPATIENT AND OUTPATIENT DIAGNOSTIC AND THERAPEUTIC MEDICAL CARE TO PATIENTS, REGARDLESS OF THEIR ABILITY TO PAY. IN FY2012, CDH PROVIDED INPATIENT CARE FOR 22,929 PATIENTS. IN ADDITION, CDH OPERATES AN EMERGENCY DEPARTMENT 24/7 WHERE 70,448 PATIENTS WERE TREATED, AND SIX COMMUNITY-BASED CONVENIENT CARE CENTERS WHERE 230,236 PATIENTS RECEIVED CARE IN FY2012. CDH ALSO DEMONSTRATES ITS COMMITMENT TO THE COMMUNITY BY WORKING CLOSELY WITH COMMUNITY PARTNERS TO IDENTIFY HEALTH NEEDS AND DETERMINE THE MOST EFFECTIVE WAY TO MEET THOSE NEEDS. THIS ACTIVITY RESULTS IN A VARIETY OF GRANTS AND COLLABORATIVE PROGRAMS THAT PROMOTE THE HEALTH AND WELLNESS OF THE COMMUNITY.Description
Total Program Service Expense575342242TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Report Land Bldg EquiptrueReportLandBldgEquip
Report Invest Oth SecuritiesfalseReportInvestOthSecurities
Report Prog Rel InvestfalseReportProgRelInvest
Report Other AssetsfalseReportOtherAssets
Report Other LiabilitiestrueReportOtherLiabilities
Report Fin48 FootnotetrueReportFin48Footnote
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiesfalseForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Financial Stmt AttachedtrueFinancialStmtAttached
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualstrueGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondsfalseTaxExemptBonds
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 EntityfalseRelatedOrgControlledEntity
Transaction Related EntityfalseTransactionRelatedEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With10960NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Number Of Employees4056NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccountfalseForeignFinancialAccount
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Indoor Tanning ServicesfalseIndoorTanningServices
Info In Schedule O Part VIXInfoInScheduleOPartVI
Nbr Voting Governing Body Members22NbrVotingGoverningBodyMembers
Number Independent Voting Members15NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholderstrueMembersOrStockholders
Election Of Board MemberstrueElectionOfBoardMembers
Decisions Subject To ApprovaltrueDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
Local ChaptersfalseLocalChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
Annual Disclosure Covered PersonstrueAnnualDisclosureCoveredPersons
Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturefalseInvestmentInJointVenture
States Where Copy Of Return Is FiledILStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

Name Business NameBusiness

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

Address US AddressUS

FieldValueIRS element (for citing)
Address Line125 NORTH WINFIELD ROADAddressLine1
CityWinfieldCity
StateILState
ZIP Code60190ZIPCode
FieldValueIRS element (for citing)
Info In Schedule O Part VIIXInfoInScheduleOPartVII

Form990 Part VII Section A Form990PartVIISectionA (33 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorOfficerOfficerReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployee
CATHERINE E KOZIK
Secretary1.00XX09090
DAVID C BROWN
Treasurer1.00XX09090
LUKE MCGUINNESS
CEO1.00XX0253649640661
RICHARD A MARK
Chair1.00XX09090
WILLIAM P FLESCH
Vice Chair1.00XX09090
BRADLEY J KINSEY
Director1.00X09090
C WILLIAM POLLARD
Director1.00X09090
DONALD VAN PELT
Director1.00X09090
JAMES E COMERFORD
Director1.00X09090
JAMES G GIBLIN MD
Director1.00X7850000
JOSEPH G CACCHIONE MD
Director1.00X000
KAY CLANCY
Director1.00X09090
MANNY FAVELA
Director1.00X09090
MATTHEW J ROSS MD
Director1.00X60000
MICHAEL J KACHMER
Director1.00X09090
PATRICK J FLINN
Director1.00X09090
PHILIP A BRANSHAW
Director1.00X05000
ROGER T HARRIS
Director1.00X09090
SCOTT E FORE
Director1.00X09090
STEPHEN R HOLTSFORD MD
Director1.00X0409590
TIMOTHY P MOEN
Director1.00X09090
WILLIAM A WOLFORD
Director1.00X09090
JAMES T SPEAR
CFO1.00X094105035212
KAREN DIERSEN
Asst Secretary to the BOD1.00X09825814748
MAUREEN TAUS
VP/Controller & Asst Treasurer1.00X034941127482
MICHAEL HOLZHUETER
VP-Legal & Asst Secy. to the BOD1.00X055963239430
MICHAEL VIVODA
EVP (System) & President, CDH40.00073770437859X
ROBERT FRIEDBERG
System EVP40.00550573044342X
AVI MAZUMDAR MD
Physician40.00657760022135X
DAVID COOKE MD
VP - Quality & Safety40.00459533038124X
HARISH SHOWNKEEN MD
Physician40.001548572050748X
KEVIN P MOST DO
VP-Medical Affairs40.00539728039581X
RAJEEV DEVESHWAR MD
Physician40.00727369022972X
FieldValueIRS element (for citing)
Total Reportable Comp From Org4562635TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs5278554TotalReportableCompFrmRltdOrgs
Total Other Compensation413294TotalOtherCompensation
Number Individuals GT100 K253NumberIndividualsGT100K
Formers ListedfalseFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcesfalseCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
CDH-DELNOR HEALTH SYSTEM
27W353 JEWELL RDWINFIELDIL60190MANAGEMENT SERVICES47799863
PEPPER CONSTRUCTION CO
18505 WEST CREEK DRTINLEY PARKIL60477CONSTRUCTION44474438
ARAMARK SERVICES
25271 NETWORK PLCHICAGOIL606731252CONTRACTED SERVICES9966193
DELOITTE CONSULTING
PO BOX 7247-6446PHILADELPHIAPA191706446CONSULTING8319045
EPIC SYSTEMS CORP
PO BOX 88314MILWAUKEEWI532880314CONSULTING/EMR6102427
FieldValueIRS element (for citing)
Number Of Contractors GT100 K111NumberOfContractorsGT100K
Related Organizations183944RelatedOrganizations
Government Grants244212GovernmentGrants
All Other Contributions266663AllOtherContributions
Noncash Contributions266663NoncashContributions
Total Contributions694819TotalContributions

Program Service Revenue ProgramServiceRevenue

FieldValueIRS element (for citing)
DescriptionHOSPITAL SERVICE REVENUE, NETDescription
Business Code900099BusinessCode
Total Revenue Column760694984TotalRevenueColumn
Related Or Exempt Function Income718364067RelatedOrExemptFunctionIncome
Unrelated Business Revenue42330917UnrelatedBusinessRevenue

Total Oth Program Service Revenue TotalOthProgramServiceRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$0ExclusionAmount
FieldValueIRS element (for citing)
Total Program Service Revenue760694984TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column7622777TotalRevenueColumn
Exclusion$7,622,777ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Royalties Revenue RoyaltiesRevenue

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real0Real
Personal0Personal

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities5445284Securities
Other0Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities5525204Securities
Other68496Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities-79920Securities
Other-68496Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column-148416TotalRevenueColumn
Exclusion-$148,416ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Gross Sales Of Inventory743125GrossSalesOfInventory
Cost Of Goods Sold304307CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column438818TotalRevenueColumn
Exclusion$438,818ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnExclusionExclusionAmount
CAFETERIA/VENDING9000992634858$2,634,858
MEDICAL STAFF RECEIPTS900099368015$368,015
RESEARCH INCOME900099202170$202,170

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column732880TotalRevenueColumn
Related Or Exempt Function Income0RelatedOrExemptFunctionIncome
Unrelated Business Revenue0UnrelatedBusinessRevenue
Exclusion$732,880ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue3937923TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column773240905TotalRevenueColumn
Related Or Exempt Function Income718364067RelatedOrExemptFunctionIncome
Unrelated Business Revenue42330917UnrelatedBusinessRevenue
Exclusion$11,851,102ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total65082265Total
Program Services65082265ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total148051Total
Program Services148051ProgramServices

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total585093Total
Management And General585093ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total0Total

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total190126908Total
Program Services180620563ProgramServices
Management And General9506345ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total7330959Total
Program Services6964411ProgramServices
Management And General366548ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total25957637Total
Program Services24659755ProgramServices
Management And General1297882ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total12510994Total
Program Services11885444ProgramServices
Management And General625550ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total50429568Total
Management And General50429568ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total34665Total
Management And General34665ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total162000Total
Management And General162000ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total50950Total
Management And General50950ManagementAndGeneral

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total0Total

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total54733038Total
Program Services42691770ProgramServices
Management And General12041268ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total230468Total
Management And General230468ManagementAndGeneral

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total6388621Total
Program Services5749759ProgramServices
Management And General638862ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total1785715Total
Program Services1428572ProgramServices
Management And General357143ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total13955566Total
Program Services13676455ProgramServices
Management And General279111ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total724924Total
Program Services507447ProgramServices
Management And General217477ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total165175Total
Program Services115622ProgramServices
Management And General49553ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total0Total

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total47478164Total
Program Services46528601ProgramServices
Management And General949563ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total4363441Total
Program Services4363441ProgramServices

Other Expenses OtherExpenses (4 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
PATIENT CARE SUPPLIES109145366109145366
BAD DEBT EXPENSE5002118850021188
TAX EXPENSE ON UBI74830067483006
PROVIDER TAX1147486311474863

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total623321Total
Program Services278669ProgramServices
Management And General344652ManagementAndGeneral
Fundraising0Fundraising

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total660991946Total
Program Services575342242ProgramServices
Management And General85649704ManagementAndGeneral
Fundraising0Fundraising

Total Joint Costs TotalJointCosts

FieldValueIRS element (for citing)
Total0Total

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY269519BOY
EOY135933EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY26039064BOY
EOY10111838EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY105338475BOY
EOY140000526EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY2446478BOY
EOY1824961EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY10198777BOY
EOY8586653EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis885801484LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec331932450LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY532050384BOY
EOY553869034EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY274789951BOY
EOY298327178EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Investments Program Related InvestmentsProgramRelated

FieldValueIRS element (for citing)
BOY0BOY
EOY0EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY5238446BOY
EOY16584221EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY956371094BOY
EOY1029440344EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY143906876BOY
EOY107553444EOY

Grants Payable GrantsPayable

FieldValueIRS element (for citing)
BOY7400BOY
EOY9006EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY7418762BOY
EOY6155977EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY151333038BOY
EOY113718427EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY805038056BOY
EOY915721917EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY805038056BOY
EOY915721917EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY956371094BOY
EOY1029440344EOY
FieldValueIRS element (for citing)
Info In Schedule O Part XIXInfoInScheduleOPartXI
Reconcilation Revenue Expenses112248959ReconcilationRevenueExpenses
Reconcilation Other Changes-1565098ReconcilationOtherChanges
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$50,950OtherActivitiesAmount
Total Lobbying Expenditures IIB50950TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

FieldValueIRS element (for citing)
IdentifierDescription of the activities reported on Lines 1a through 1iIdentifier
Return ReferenceSchedule C, Part II-B, Line 1ReturnReference
ExplanationPART II-B, LINE 1I: A PORTION OF THE DUES PAID TO HOSPITAL TRADE ASSOCIATIONS WAS DETERMINED BY THOSE ORGANIZATIONS TO HAVE BEEN USED IN THEIR LOBBYING ACTIVITIES ON BEHALF OF THE HOSPITAL INDUSTRY.Explanation

Schedule D IRS990ScheduleD

Current Year CurrentYear

FieldValueIRS element (for citing)
Beginning Of Year Balance5265230BeginningOfYearBalance
Contributions12631Contributions
Investment Earnings Or Losses205157InvestmentEarningsOrLosses
End Of Year Balance5483018EndOfYearBalance

Current Year Minus1 Year CurrentYearMinus1Year

FieldValueIRS element (for citing)
Beginning Of Year Balance4623441BeginningOfYearBalance
Contributions32212Contributions
Investment Earnings Or Losses637454InvestmentEarningsOrLosses
Other Expenditures27877OtherExpenditures
End Of Year Balance5265230EndOfYearBalance

Current Year Minus2 Years CurrentYearMinus2Years

FieldValueIRS element (for citing)
Beginning Of Year Balance4359240BeginningOfYearBalance
Contributions73315Contributions
Investment Earnings Or Losses198755InvestmentEarningsOrLosses
Other Expenditures7869OtherExpenditures
End Of Year Balance4623441EndOfYearBalance

Current Year Minus3 Years CurrentYearMinus3Years

FieldValueIRS element (for citing)
Beginning Of Year Balance4632175BeginningOfYearBalance
Contributions299599Contributions
Investment Earnings Or Losses-550985InvestmentEarningsOrLosses
Other Expenditures21549OtherExpenditures
End Of Year Balance4359240EndOfYearBalance
FieldValueIRS element (for citing)
Permanent Endowment EOY Balance1.00000PermanentEndowmentEOYBalance
Endowments Held By Unrelated OrgsfalseEndowmentsHeldByUnrelatedOrgs
Endowments Held By Related OrgstrueEndowmentsHeldByRelatedOrgs
Are Related Orgs Listed Schedule RtrueAreRelatedOrgsListedScheduleR

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis4916541OtherCostOrOtherBasis
Book Value4916541BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis457815402OtherCostOrOtherBasis
Depreciation118986065Depreciation
Book Value338829337BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis551767OtherCostOrOtherBasis
Depreciation175801Depreciation
Book Value375966BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis390050970OtherCostOrOtherBasis
Depreciation203123305Depreciation
Book Value186927665BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis32466804OtherCostOrOtherBasis
Depreciation9647279Depreciation
Book Value22819525BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings553869034TotalOfBookValueLandBuildings
Federal Income Tax Liability6110000FederalIncomeTaxLiability

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
DescriptionDUE TO RELATED ORGANIZATIONSDescription
Amount$45,977Amount
FieldValueIRS element (for citing)
Total Of Amounts6155977TotalOfAmounts

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (2 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Intended uses of endowment fundsSchedule D, Part V, Line 4THE ENDOWMENTS ARE HELD BY CADENCE HEALTH FOUNDATION, A RELATED TAX-EXEMPT ORGANIZATION, AND ARE USED TO SUPPORT CDH AND CENTRAL DUPAGE PHYSICIAN GROUP'S HOMECARE PHYSICIANS PROGRAM
FIN 48 (ASC 740) footnoteSchedule D, Part X, Line 2THE 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.

Schedule H IRS990ScheduleH

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

Other Percentage OtherPercentage

FieldValueIRS element (for citing)
OtherXOther
Free Other Percentage3FreeOtherPercentage
FieldValueIRS element (for citing)
FPG Reference Discounted CaretrueFPGReferenceDiscountedCare

Discounted Other DiscountedOther

FieldValueIRS element (for citing)
OtherXOther
Discounted Other Percentage6DiscountedOtherPercentage
FieldValueIRS element (for citing)
Free Disc Care Medically IndigenttrueFreeDiscCareMedicallyIndigent
Amounts Budgeted For Charity CaretrueAmountsBudgetedForCharityCare
Expenses Exceeded BudgetfalseExpensesExceededBudget
Annual Community Benefit ReporttrueAnnualCommunityBenefitReport
Report Publically AvailabletrueReportPublicallyAvailable

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense16480000TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense16480000NetCommunityBenefitExpense
Percent Of Total Expense0.03060PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense23866000TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense23866000NetCommunityBenefitExpense
Percent Of Total Expense0.04420PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

FieldValueIRS element (for citing)
Total Community Benefit Expense0TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense0NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Number Of Activities Or Programs0NumberOfActivitiesOrPrograms
Persons Served0PersonsServed
Total Community Benefit Expense40346000TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense40346000NetCommunityBenefitExpense
Percent Of Total Expense0.07480PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense3339000TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense3339000NetCommunityBenefitExpense
Percent Of Total Expense0.00620PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense876000TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense876000NetCommunityBenefitExpense
Percent Of Total Expense0.00160PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense0TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense0NetCommunityBenefitExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Research Research

FieldValueIRS element (for citing)
Total Community Benefit Expense471000TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense471000NetCommunityBenefitExpense
Percent Of Total Expense0.00090PercentOfTotalExpense

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense1969000TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense1969000NetCommunityBenefitExpense
Percent Of Total Expense0.00370PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs0NumberOfActivitiesOrPrograms
Persons Served0PersonsServed
Total Community Benefit Expense6655000TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense6655000NetCommunityBenefitExpense
Percent Of Total Expense0.01240PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Number Of Activities Or Programs0NumberOfActivitiesOrPrograms
Persons Served0PersonsServed
Total Community Benefit Expense47001000TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense47001000NetCommunityBenefitExpense
Percent Of Total Expense0.08720PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

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

Economic Development EconomicDevelopment

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

Community Support CommunitySupport

FieldValueIRS element (for citing)
Total Community Building Expense60000TotalCommunityBuildingExpense
Net Community Building Expense60000NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense

Environmental Improvements EnvironmentalImprovements

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

Leadership Development LeadershipDevelopment

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

Coalition Building CoalitionBuilding

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

Health Improvement Advocacy HealthImprovementAdvocacy

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

Workforce Development WorkforceDevelopment

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

Other Other

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

Total Total

FieldValueIRS element (for citing)
Number Of Activities Or Programs0NumberOfActivitiesOrPrograms
Persons Served0PersonsServed
Total Community Building Expense60000TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense60000NetCommunityBuildingExpense
Percent Of Total Expense0.00010PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReported
Bad Debt Expense$11,205,000BadDebtExpenseAmount
Amount Attributable To0AmountAttributableTo
Amount Reimbursed By Medicare126651744AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare166655371CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-40003627MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

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

Form990 Schedule H Part V Section A Form990ScheduleHPartVSectionA

FieldValueIRS element (for citing)
Facility Number1FacilityNumber

Name Name

FieldValueIRS element (for citing)
Business Name Line1CENTRAL DUPAGE HOSPITALBusinessNameLine1

Address Address

FieldValueIRS element (for citing)
Address Line125 N WINFIELD ROADAddressLine1
CityWINFIELDCity
StateILState
ZIP Code60190ZIPCode
FieldValueIRS element (for citing)
Licensed HospitalXLicensedHospital
General Medical And SurgicalXGeneralMedicalAndSurgical
Er24 HoursXEr24Hours
Er OtherXErOther

Form990 Schedule H Part V Section B Form990ScheduleHPartVSectionB

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1CENTRAL DUPAGE HOSPITALBusinessNameLine1
FieldValueIRS element (for citing)
Hospital Facility Number1HospitalFacilityNumber
Eligibility Criteria ExplainedtrueEligibilityCriteriaExplained
Uses FPG FreetrueUsesFPGFree
FPG Free Percent300FPGFreePercent
Uses FPG DiscountedtrueUsesFPGDiscounted
FPG Discount Percent600FPGDiscountPercent
Explains BasistrueExplainsBasis
Income LevelXIncomeLevel
Explains Application MethodtrueExplainsApplicationMethod
Includes Publicity MeasurestrueIncludesPublicityMeasures
Posted On WebsiteXPostedOnWebsite
Attached To InvoicesXAttachedToInvoices
Posted In Emergency RoomXPostedInEmergencyRoom
Posted In Admission OfficeXPostedInAdmissionOffice
Provided On AdmissionXProvidedOnAdmission
Available On RequestXAvailableOnRequest
Actions On NonpaymenttrueActionsOnNonpayment
Collection ActivitiesfalseCollectionActivities
Nondiscrim Emergency Care PolicytrueNondiscrimEmergencyCarePolicy
Used Other MethodXUsedOtherMethod
Amounts Generally BilledfalseAmountsGenerallyBilled
Gross ChargesfalseGrossCharges

Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC

FieldValueIRS element (for citing)
Number Of Other Facilities8NumberOfOtherFacilities

Other Facilities OtherFacilities (8 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeFacility TypeFacilityType
CDH-BARTLETT CONVENIENT CARE
820 ROUTE 59BARTLETTIL60103OUTPATIENT CLINIC
CDH-CHARLESTOWNE CONVENIENT CARE
2900 FOXFIELD RDST CHARLESIL60174OUTPATIENT CLINIC
CDH-DANADA CONVENIENT CARE
7 BLANCHARD CIRCLEWHEATONIL60187OUTPATIENT CLINIC
CDH-GLEN ELLYN CONVENIENT CARE
885 ROOSEVELT RDGLEN ELLYNIL60137OUTPATIENT CLINIC
CDH-RIVER NORTH CONVENIENT CARE
636 RAYMOND DRIVE 106NAPERVILLEIL60563OUTPATIENT CLINIC
CDH-STRATFORD CONVENIENT CARE
231 S GARY AVENUEBLOOMINGDALEIL60108OUTPATIENT CLINIC
CDH-PHYSICAL THERAPY AT HEALTH TRACK
875 ROOSEVELT ROADGLEN ELLYNIL60137OUTPATIENT CLINIC
CDH BEHAVIORAL HEALTH SERVICES
27W350 HIGH LAKE RDWINFIELDIL60190OUTPATIENT CLINIC

Form990 Schedule H Part VI Form990ScheduleHPartVI (15 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Community benefit report prepared by related organizationSchedule H, Part I, Line 6aCDH-DELNOR HEALTH SYSTEM (D/B/A CADENCE HEALTH)
Costing Methodology used to calculate financial assistanceSchedule H, Part I, Line 7THE COSTING METHOD USED TO DETERMINE AMOUNTS REPORTED WAS DETERMINED USING A COST TO CHARGE RATIO BASED ON THE MEDICARE COST REPORT.
Bad Debt Expense excluded from financial assistance calculationSchedule H, Part I, Line 7, column(f)50,021,188
Subsidized Health ServicesSchedule H, Part I, Line 7gN/A
Community Building ActivitiesSchedule H, Part IIWORKING WITH THE LOCAL FIRE DEPARTMENT, THE ORGANIZATION PLANS AND PARTICIPATES IN DISASTER PREPAREDNESS EXERCISES IN ORDER TO PREPARE FOR POTENTIAL DISASTERS. THESE EXERCISES ALLOW THE ORGANIZATION TO CONTINUE TO SERVE THE COMMUNITY IN THE EVENT OF A DISASTER.
Bad debt expense - financial statement footnoteSchedule H, Part III, Line 4THE 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 costsSchedule H, Part III, Line 8THE ORGANIZATION'S SHORTFALL ON THE MEDICARE PROGRAM SHOULD BE CONSIDERED A COMMUNITY BENEFIT BECAUSE THE ORGANIZATION IS RELIEVING A GOVERNMENT BURDEN BY PROVIDING CARE IN EXCESS OF OUR COSTS TO THESE PATIENTS. THESE ARE RESIDENTS OF OUR COMMUNITY THAT NEED CARE. THE COSTING METHODOLOGY USED FOR LINE 6 IS THE MEDICARE COST REPORT COST-TO-CHARGE RATIO.
Collection practices for patients eligible for financial assistanceSchedule H, Part III, Line 9bIF IT IS KNOWN THAT THE PATIENT QUALIFIES FOR CHARITY CARE OR FINANCIAL ASSISTANCE, THESE ACCOUNTS ARE ADJUSTED TO CHARITY AND NOT PURSUED WITH A COLLECTION AGENCY. FOR ALL OTHER ACCOUNTS, IF SENT TO A COLLECTION AGENCY AND THE COLLECTION AGENCY OBTAINS DOCUMENTATION TO DETERMINE THAT THE PATIENT IS ELIGIBLE FOR CHARITY, THE ACCOUNT IS RETURNED TO THE ORGANIZATION FOR CHARITY ADJUSTMENT AND NO FURTHER COLLECTION EFFORT IS MADE.
Means used to determine amounts billedSchedule H, Part V Section B, Line 19d(1) CENTRAL DUPAGE HOSPITAL - A 100% DISCOUNT IS GIVEN TO FAP-ELIGIBLE PATIENTS AT OR BELOW 300% OF THE FEDERAL POVERTY GUIDELINE (FPG). A DISCOUNT IS GIVEN TO FAP-ELIGIBLE PATIENTS WHOSE INCOME IS BETWEEN 301% AND 600% (FPG), WITH THE MAXIMUM AMOUNT CHARGED TO FAP-ELIGIBLE PATIENTS BEING CALCULATED USING THE HOSPITAL'S MEDICARE COST-TO-CHARGE RATIO.;
Needs assessment.Schedule H, Part VI, Line 2TO HELP IDENTIFY UNMET AND EMERGING NEEDS, IN 2010 CDH CONDUCTED A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT, THE FINDINGS OF WHICH ARE SUMMARIZED IN OUR COMMUNITY BENEFIT PLAN REPORT. THESE FINDINGS GUIDED DEVELOPMENT OF THE THREE-YEAR COMMUNITY BENEFIT PLAN FOR FISCAL YEARS 2011 THROUGH 2013. THIS PLAN WAS EVALUATED FOR FISCAL YEAR 2012 AND WILL BE UPDATED IN FISCAL YEAR 2013 BASED ON ONGOING RESEARCH AND THE RESULTS OF PLANNED INTERVENTIONS.
Patient education of eligibility for assistance.Schedule H, Part VI, Line 3INFORMATION REGARDING FINANCIAL ASSISTANCE IS POSTED AT POINTS OF SERVICE. ALL HOSPITAL EMPLOYEES IN PATIENT FINANCIAL SERVICES, PATIENT ACCESS, REGISTRATION SERVICES, FINANCIAL CLEARANCE CENTER AND THE EMERGENCY ROOM ARE FULLY VERSED IN THE HOSPITAL'S CHARITY CARE AND FINANCIAL ASSISTANCE POLICY, HAVE ACCESS TO THE APPLICATION FORMS, CAN PROVIDE PATIENTS WITH PRINTED MATERIAL EXPLAINING THE CHARITY CARE PROGRAM AND ARE ABLE TO DIRECT QUESTIONS TO THE APPROPRIATE HOSPITAL REPRESENTATIVE. PLEASE NOTE THAT THE REGISTRATION STAFF 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 4CADENCE 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. BY 2030, THE NUMBER OF DUPAGE COUNTY RESIDENTS AGE 60 AND OLDER WILL HAVE INCREASED 133 PERCENT FROM 2000, ACCORDING TO ESTIMATES BY THE U.S. CENSUS BUREAU. THIS WILL DRIVE COMMUNITY NEED FOR A RANGE OF ACUTE CARE SERVICES, INCLUDING HEART AND VASCULAR, STROKE AND CANCER CARE. THE NEED FOR RESOURCES TO PROMOTE HEALTHY LIFESTYLES AND TO MANAGE THE CHRONIC CONDITIONS MORE COMMONLY FOUND IN OLDER POPULATIONS WILL ALSO INCREASE SIGNIFICANTLY. THE MINORITY POPULATION OF DUPAGE COUNTY, PARTICULARLY THE HISPANIC POPULATION, IS ALSO EXPECTED TO CONTINUE TO GROW. THIS IS LIKELY TO CREATE GREATER NEED FOR OUTREACH AND CLINICAL PROGRAMS DESIGNED TO MEET DIVERSE LANGUAGE AND CULTURAL NEEDS.
Promotion of community healthSchedule H, Part VI, Line 5A MAJORITY OF THE ORGANIZATION'S GOVERNING BODY IS COMPOSED OF PERSONS WHO RESIDE IN THE ORGANIZATION'S PRIMARY SERVICE AREA AND ARE NEITHER EMPLOYEES NOR CONTRACTORS OF THE ORGANIZATION. THE ORGANIZATION'S CONTINUING INVESTMENTS IN PEOPLE, TECHNOLOGY AND SERVICES BRING HIGH-INTENSITY, HIGH-TECHNOLOGY HEALTH CARE SERVICES TO DUPAGE COUNTY, DELIVERED WITH COMPASSION AND RESPECT. EVERY DOLLAR OF OUR INCOME OVER EXPENSES IS REINVESTED IN OUR COMMUNITY.
Affiliated health care systemSchedule H, Part VI, Line 6CNS HOME HEALTH & HOSPICE IS ONE OF THE OLDEST AND LARGEST COMPREHENSIVE HOME-CARE AGENCIES IN ILLINOIS. CADENCE PHYSICIAN GROUP IS A NETWORK OF PRIMARY CARE AND SPECIALTY PHYSICIANS LOCATED THROUGHOUT DUPAGE AND KANE COUNTIES, THAT ALSO PROVIDES PHYSICIAN SERVICES TO THE HOME-BOUND. CENTRAL DUPAGE HOSPITAL CONVENIENT CARE CENTERS SERVE GROWING FAMILIES WITH SAME-DAY, WALK-IN CARE FOR MINOR INJURIES AND ILLNESSES. IN 2011, CDH TOOK ANOTHER STEP TOWARD INTEGRATING CARE ACROSS THE REGION BY MERGING WITH DELNOR-COMMUNITY HOSPITAL IN GENEVA. BOTH CDH & DELNOR REMAIN COMMITTED TO OUR 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 reportSchedule H, Part VI, Line 7IL

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (23 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrantAddress Line2AddressUS/AddressLine2
CDH-DELNOR HEALTH SYSTEM
27W353 JEWELL RDWINFIELDIL60190363099698501C363000000HEALTHCARE
DUPAGE COALITION (ACCESS DUPAGE)
511 THORNHILL DRCAROL STREAMIL60188364448208501C3987000ACCESS TO HEALTHCARE FOR LOW INCOMESUITE M
CADENCE HEALTH FOUNDATION
27W353 JEWELL RDWINFIELDIL60190364401289501C3483473HEALTHCARE
THE CHILDREN'S MEMORIAL HOSPITAL
2300 CHILDRENS PLAZACHICAGOIL60614362170833501C399500PEDIATRIC HEALTHBOX 268
SPECTRIOS INSTITUTE FOR LOW VISION
219 E COLE AVEWHEATONIL60187363083157501C383000PEDIATRIC VISION OUTREACH
VILLAGE OF WINFIELD
27W465 JEWELL RDWINFIELDIL60190366009519GOVERNMENT87838PUBLIC SAFETY/COMMUNITY IMPROVEMENT
COLLEGE OF DUPAGE
425 FAWELL BLVDGLEN ELLYNIL60137362594972GOVERNMENT53800HEALTHCARE INSTRUCTIONAL SUPPORT
PROCURE CANCER FOUNDATION
192 LEXINGTON AVNEW YORKNY10016270472367501C350000SUPPORT FOR CANCER PATIENTS
GLOBAL HEALTH INITIATIVE
676 N ST CLAIRCHICAGOIL60611264626429501C321520HEALTH ACCESS FOR MEDICALLY UNDERSERVEDSTE 2300
ILLINOIS POISON CENTER
222 S RIVERSIDE PLZCHICAGOIL60606362167008501C318072PUBLIC HEALTH AND SAFETYSUITE 1900
WINFIELD EDUCATION FOUNDATION
0S150 WINFIELD RDWINFIELDIL60190010692701501C314982PUBLIC SAFETY (CRISIS PLAN)
WINFIELD PARK DISTRICT
0N020 COUNTY FARM RDWINFIELDIL60190363303703GOVERNMENT13906RECREATIONAL PROGRAMS/FIRST AID KITS
WINFIELD SCHOOL DISTRICT 34
0S150 WINFIELD RDWINFIELDIL60190366004497GOVERNMENT13507STUDENT HEALTH
CHOOSE DUPAGE
2525 CABOT DRLISLEIL60532320177792501C612500ECONOMIC DEVELOPMENTSTE 303
ALIVIO MEDICAL CENTER
966 W 21ST STREETCHICAGOIL60608363661051501C310000HEALTH ACCESS FOR MEDICALLY UNDERSERVED
TRINITY INTERNATIONAL UNIVERSITY
CTR FOR BIOETHICSDEERFIELDIL60015362216176501C310000RESEARCH / EDUCATION2065 HALF DAY RD
DUPAGE PADS
705 W LIBERTY STWHEATONIL60187363675494501C310000HOMELESSNESS
PEOPLE'S RESOURCE CENTER
201 S NAPERVILLE RDWHEATONIL60187363157600501C310000SUPPORT FOR LOW INCOME AREA RESIDENTS
COMMUNITY UNIT SCHOOL DISTRICT 200
130 W PARK AVEWHEATONIL60189362739066GOVERNMENT8995EDUCATION AND FITNESS ASSISTANCE
ST JOHNS PARISH
ST JOHN THE BAPTIST SCHOOLWINFIELDIL60190362171044501C37000PUBLIC SAFETY (CRISIS PLAN)0S259 CHURCH ST
WELLNESS HOUSE
131 N COUNTY LINE RDHINSDALEIL60521363636933501C36500SUPPORT FOR CANCER PATIENTS
FRIENDS FOR THERAPEUTIC EQUINE ACTIVITIES
28W051 LIBERTY STWINFIELDIL60190364095011501C36000SPECIAL NEEDS CHILDREN / ADULTS
WINFIELD IN ACTION
0S623 JEFFERSON STWINFIELDIL60190237359257501C35852RECREATION PROGRAMS SUPPORT
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants22TotalNbrOf501C3AndGovtGrants
Total Nbr Of Other Organizations1TotalNbrOfOtherOrganizations

Form990 Schedule I Part III Form990ScheduleIPartIII (2 entries)

Type Of GrantTypeOfGrantNumber Of RecipientsNumberOfRecipientsAmount Of Cash GrantAmountOfCashGrant
STUDENT TUITION SCHOLARSHIPS - HEALTH EDUCATION3587500
MEDICAL MISSONS TRIP REIMBURSEMENTS TO THIRD WORLD COUNTRIES1560551

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierProcedures for monitoring use of grant fundsIdentifier
Return ReferenceSchedule I, Part I, Line 2ReturnReference
ExplanationTHE GUIDING PHILOSOPHY OF CDH'S CHARITABLE GRANT ACTIVITY IS TO NOT ONLY CONTRIBUTE OUR OWN RESOURCES, BUT TO ACTIVELY ENGAGE PARTNERS TO ASSESS, PLAN FOR AND MEET COMMUNITY HEALTH AND MEDICAL NEEDS. CDH WORKS VERY CLOSELY WITH ITS PARTNERS IN THE PROGRAMS THAT ARE SUPPORTED, IN PART, BY CDH. MONITORING OF THE USE OF GRANT FUNDS IS ACHIEVED THROUGH VARIOUS MEANS, INCLUDING ACTIVE PARTICIPATION IN PROGRAM IMPLEMENTATION, WRITTEN CONTRIBUTION AGREEMENTS, PERFORMANCE REPORTS AND, IN SOME INSTANCES, BOARD PARTICIPATION.Explanation

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Travel For CompanionsXTravelForCompanions
Idemnification Gross Up PaymentsXIdemnificationGrossUpPayments
Club Dues Or FeesXClubDuesOrFees
Written Policy Re T And E ExpensestrueWrittenPolicyReTAndEExpenses
Substantiation RequiredtrueSubstantiationRequired
Compensation CommitteeXCompensationCommittee
Independent ConsultantXIndependentConsultant
Written Employment ContractXWrittenEmploymentContract
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 PaymentsfalseAnyNonFixedPayments
Initial Contract ExceptionfalseInitialContractException

Form990 Schedule J Part II Form990ScheduleJPartII (11 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
AVI MAZUMDAR MD
6567340001026088010133340679895000
DAVID COOKE MD
3176750135389064690127990253250497657000
HARISH SHOWNKEEN MD
15270720002150001813503261301599320000
JAMES T SPEAR
062045503182230237209747025465097626200
KEVIN P MOST DO
3595180161172019038030000095810579309000
LUKE MCGUINNESS
09246690128776303240640187140219470257715700
MAUREEN TAUS
024564701024630130102486502617037689300
MICHAEL HOLZHUETER
03064090235005018218013965025465059906200
MICHAEL VIVODA
04709040248293018507018000019859077556300
RAJEEV DEVESHWAR MD
7250470002322000229720750341000
ROBERT FRIEDBERG
3515480197522015030161930281490594915000

Form990 Schedule J Part III Form990ScheduleJPartIII (5 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Travel for companionsSchedule J, Part I, Line 1aA 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 A COMPANION OF ONE LISTED PERSON (DAVID COOKE) 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.
Tax indemnification and gross-up paymentsSchedule J, Part I, Line 1aALL EMPLOYEES, INCLUDING INTERESTED PERSONS, RECEIVED A $105 GIFT CARD IN RECOGNITION OF THE HOSPITAL RECEIVING A NATIONAL AWARD. THIS WAS TREATED AS TAXABLE COMPENSATION AND GROSSED-UP IN THE EMPLOYEES' W-2.
Health or social club dues or initiation feesSchedule J, Part I, Line 1aCENTRAL DUPAGE HOSPITAL ASSOCIATION REIMBURSES HEALTH CLUB DUES FOR SOME EXECUTIVES AND SOME KEY EMPLOYEES. ALL OTHER EMPLOYEES ARE ELIGIBLE TO RECEIVE A HEALTH CLUB SUBSIDY IF THEY MEET OR EXCEED THE REQUIRED NUMBER OF VISITS TO THEIR HEALTH CLUB IN A GIVEN MONTH. ALL SUCH REIMBURSEMENTS OR SUBSIDIES ARE INCLUDED AS TAXABLE INCOME IN THE EMPLOYEES' W-2.
Supplemental nonqualified retirement planSchedule J, Part I, Line 4bTHE 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.
COMPENSATION CONTINGENT ON NET EARNINGSSCHEDULE J, PART I, LINE 6ACENTRAL DUPAGE HOSPITAL (CDH) MAINTAINS AN INCENTIVE PLAN (MYSTEP) AS A COMPONENT OF COMPENSATION FOR ITS EMPLOYEES, INCLUDING EMPLOYED INTERESTED PERSONS. THE INCENTIVE PORTION OF THE COMPENSATION IS INCLUDED IN THE COMPENSATION REVIEW CONDUCTED BY THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS, AS DESCRIBED IN SCHEDULE O FOR FORM 990 CORE, PART VI, LINE 15. THE PURPOSE OF MYSTEP IS TO ALIGN EMPLOYEES' INTERESTS WITH THE GOALS AND OBJECTIVES OF CDH-DELNOR HEALTH SYSTEM AND ALL RELATED ORGANIZATIONS BY PROVIDING FINANCIAL INCENTIVES LINKED TO THE CONTINUING AND SUSTAINABLE SUCCESS OF THE ORGANIZATIONS. FINANCIAL INCENTIVES ARE PAID BASED ON A SERIES OF MEASURES THAT INCLUDE: (I) PATIENT SATISFACTION; (II) FINANCIAL PERFORMANCE; AND (III) DEPARTMENTAL/TEAM-SPECIFIC GOALS. OVERALL ADMINISTRATION OF MYSTEP IS THE RESPONSIBILITY OF THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS. THIS INCENTIVE PROGRAM DOES NOT MEET THE STANDARDS AS SET OUT IN SCHEDULE J, PART I FOR LINES 5, 6 OR 7.

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (2 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
MW NEUROSURGERY & SPINE SPECIALISTS
PHYSICAN PRACTICE OF BOARD MEMBER187700MEDICAL SERVICES PROVIDED TO CDHfalse
BRIAN GIBLIN
FAMILY MEMBER OF DR. JAMES GIBLIN, DIRECTOR58846EMPLOYED BY ORGANIZATIONfalse

Schedule M IRS990ScheduleM

Clothing And Household Goods ClothingAndHouseholdGoods

FieldValueIRS element (for citing)
Non Cash CheckboxXNonCashCheckbox
Noncash Contribs Rptd F990266663NoncashContribsRptdF990
Method Of Determining RevenuesSELLING COSTMethodOfDeterminingRevenues
FieldValueIRS element (for citing)
Number Of8283 Received0NumberOf8283Received
Any Property That Must Be HeldfalseAnyPropertyThatMustBeHeld
Review Process Unusual NC GiftsfalseReviewProcessUnusualNCGifts
Third Parties UsedfalseThirdPartiesUsed

Form990 Schedule M Part II Form990ScheduleMPartII

FieldValueIRS element (for citing)
IdentifierNumber of contributions or items contributed.Identifier
Return ReferenceSchedule M, part I, column (b), Line 5ReturnReference

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (13 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
NUMBER OF INDEPENDENT BOARD MEMBERSFORM 990, PART VI, LINE 1BSEVEN OF THE TWENTY-TWO BOARD MEMBERS ARE NOT CONSIDERED TO BE INDEPENDENT UNDER THE IRS DEFINITION OF INDEPENDENCE. THOSE MEMBERS ARE: THE ORGANIZATION'S CEO; TWO BOARD MEMBERS WHO SERVE AS MEDICAL STAFF PRESIDENT FOR CENTRAL DUPAGE HOSPITAL OR DELNOR-COMMUNITY HOSPITAL (RELATED ORGANIZATION); 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 personsForm 990, Part VI, Section A, Line 2PATRICK FLINN AND WILLIAM WOLFORD - BUSINESS RELATIONSHIP
Classes of members or stockholdersForm 990, Part VI, Section A, Line 6THE SOLE MEMBER OF CENTRAL DUPAGE HOSPITAL ASSOCIATION IS CDH-DELNOR HEALTH SYSTEM, A RELATED TAX-EXEMPT ORGANIZATION. MANAGEMENT DUTIES PROVIDED BY CDH-DELNOR HEALTH SYSTEM INCLUDE OPERATIONAL, STRATEGIC, BUDGETING AND LONG-RANGE PLANNING DUTIES, AS WELL AS FINANCE, INTERNAL AUDIT, PERSONNEL, TREASURY AND MARKETING SERVICES. THE INDIVIDUALS PROVIDING THESE SERVICES, INCLUDING THE CEO, CFO, AND OTHER SENIOR MANAGEMENT, ARE EMPLOYEES OF AND COMPENSATED BY CDH-DELNOR HEALTH SYSTEM. CDH PAYS A MANAGEMENT SERVICES FEE TO CDH-DELNOR HEALTH SYSTEM.
Members or stockholders electing members of governing bodyForm 990, Part VI, Section A, Line 7aCDH-DELNOR HEALTH SYSTEM, THE SOLE MEMBER AND PARENT ORGANIZATION, HAS THE POWER TO ELECT OR REMOVE ALL OF THE DIRECTORS OF CENTRAL DUPAGE HOSPITAL ASSOCIATION.
Decisions requiring approval by members or stockholdersForm 990, Part VI, Section A, Line 7bCERTAIN DECISIONS OF THE CENTRAL DUPAGE HOSPITAL ASSOCIATION'S (CDH) GOVERNING BODY ARE SUBJECT TO APPROVAL BY CDH-DELNOR HEALTH SYSTEM, AS THE SOLE MEMBER OF CDH. THE MEMBER'S AUTHORITY INCLUDES THE POWER TO AMEND, ALTER, RESTATE OR REPEAL THE BYLAWS OF THE CORPORATION; TO NEGOTIATE AND EXECUTE CONTRACTS ON BEHALF OF THE CORPORATION; TO ADOPT A PLAN OF MERGER, CONSOLIDATION OR CORPORATE REORGANIZATION INVOLVING THE CORPORATION; TO ADOPT A PLAN OF DISSOLUTION OR LIQUIDATION OF THE CORPORATION AND DISTRIBUTION OF ITS ASSETS; AND, TO AMEND, ALTER, RESTATE OR REPEAL THE ARTICLES OF INCORPORATION OF THE CORPORATION. ACTIONS BY THE BOARD OF DIRECTORS REQUIRING THE APPROVAL OF THE SOLE MEMBER INCLUDE: ADOPTION OF CAPITAL AND OPERATING BUDGETS; ADOPTION AND EXECUTION OF A STRATEGIC PLAN; AND, AUTHORIZATION OF A CAPITAL EXPENDITURE IN EXCESS OF THE LIMITS ESTABLISHED BY THE SOLE MEMBER FROM TIME TO TIME.
Review of form 990 by governing bodyForm 990, Part VI, Section B, Line 11bPRIOR TO FILING, A DRAFT OF THE COMPLETED FORM 990 IS REVIEWED BY OUTSIDE TAX ADVISERS AND INTERNAL MANAGEMENT. AFTER THAT REVIEW IS COMPLETE, THE FORM 990 IS PROVIDED TO EACH MEMBER OF THE BOARD OF DIRECTORS FOR ADDITIONAL REVIEW AND COMMENT.
Conflict of interest policyForm 990, Part VI, Section B, Line 12cEACH YEAR, CENTRAL DUPAGE HOSPITAL (CDH) ASKS EACH BOARD MEMBER TO REVIEW THE CDH CONFLICT OF INTEREST POLICY AND TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT. IN ADDITION, THE POLICY REQUIRES THAT BOARD MEMBERS DISCLOSE POTENTIAL CONFLICTS THAT MAY ARISE BETWEEN ANNUAL STATEMENTS THROUGH SUPPLEMENTARY DISCLOSURES. BOTH THE ANNUAL STATEMENTS AND THE SUPPLEMENTARY DISCLOSURES ARE REVIEWED AND EVALUATED BY THE GOVERNANCE COMMITTEE OF THE BOARD OF THE DIRECTORS. THE GOVERNANCE COMMITTEE IS DELEGATED THE RESPONSIBILITY TO DETERMINE WHETHER A POTENTIAL CONFLICT IS AN ACTUAL CONFLICT, AND FURTHER TO RECOMMEND CONFLICT MITIGATION STRATEGIES TO THE BOARD (WHICH MAY INCLUDE LIMITING A BOARD MEMBERS PARTICIPATION IN MATTERS WHERE AN ACTUAL CONFLICT EXISTS, TO BOARD MEMBER REMOVAL IF THE CONFLICT IS INCOMPATIBLE WITH ONGOING BOARD SERVICE). SIMILARLY, EACH YEAR CDH ASKS EACH EMPLOYEE TO REVIEW THE CDH CONFLICT OF INTEREST POLICY AND TO COMPLETE A CONFLICT OF INTEREST DISCLOSURE STATEMENT. IN ADDITION, THE POLICY REQUIRES THAT EMPLOYEES DISCLOSE POTENTIAL CONFLICTS THAT MAY ARISE BETWEEN ANNUAL STATEMENTS THROUGH SUPPLEMENTARY DISCLOSURES. BOTH THE ANNUAL STATEMENTS AND THE SUPPLEMENTARY DISCLOSURES ARE REVIEWED AND EVALUATED BY THE DIRECTOR OF INTERNAL AUDIT AND COMPLIANCE. THE DIRECTOR IS DELEGATED THE RESPONSIBILITY TO DETERMINE WHETHER A POTENTIAL CONFLICT IS AN ACTUAL CONFLICT, AND FURTHER, TO RECOMMEND AND IMPLEMENT, WHERE APPROPRIATE, CONFLICT MITIGATION STRATEGIES. COMPLETION RESULTS ARE PROVIDED TO THE AUDIT & FINANCE COMMITTEE OF THE BOARD OF DIRECTORS.
Process used to establish compensation of top management officialForm 990, Part VI, Section B, Line 15aTHE TOP MANAGEMENT OFFICIAL AND OTHER OFFICERS OF THE ORGANIZATION ARE COMPENSATED BY CDH-DELNOR HEALTH SYSTEM, A RELATED TAX-EXEMPT ORGANIZATION. THE COMPENSATION COMMITTEE OF THE BOARD OF DIRECTORS IS COMPRISED OF INDEPENDENT COMMUNITY MEMBERS AND IS DELEGATED THE RESPONSIBILITY FOR REVIEWING THE COMPENSATION OF THE ORGANIZATION'S EXECUTIVES (INCLUDING THE CHIEF EXECUTIVE OFFICER) AND OTHER KEY EMPLOYEES AND CERTAIN PHYSICIANS. THE PROCESS INCLUDES ENGAGING AN INDEPENDENT COMPENSATION CONSULTANT TO ASSIST IN DETERMINING THE APPROPRIATENESS OF COMPENSATION, WHICH INCLUDES REVIEWING COMPARABLE COMPENSATION STUDIES FOR SIMILARLY QUALIFIED PERSONS IN COMPARABLE ORGANIZATIONS TO SUPPORT ITS DECISION-MAKING PROCESS. THE COMPENSATION COMMITTEE ROUTINELY REPORTS TO THE FULL BOARD OF DIRECTORS ITS COMPENSATION RELATED ACTIVITIES, AND MAY FROM TIME TO TIME RECOMMEND MATTERS FOR THE FULL BOARD OF DIRECTORS CONSIDERATION (E.G., THE ESTABLISHMENT OF ANY NEW COMPENSATION OR BENEFIT PLAN). THE COMPENSATION COMMITTEE CONDUCTS A FORMAL REVIEW FOR THE ORGANIZATION'S EXECUTIVES AN ANNUAL BASIS, AND MAY MAKE DECISIONS RELATED TO COMPENSATION AND BENEFITS THROUGHOUT THE YEAR. THE COMPENSATION COMMITTEE RECEIVED AN INDEPENDENT CONSULTANT'S REPORT SUPPORTING THE REASONABLENESS OF THE ORGANIZATION'S EXECUTIVES' COMPENSATION FOR THE REPORTING PERIOD IN APRIL, 2012.
Process used to establish compensation of other officers/key employeesForm 990, Part VI, Section B, Line 15bSEE THE NARRATIVE FOR FORM 990, PART VI, LINE 15A.
Governing documents, conflict of interest policy and financial statements available to the publicForm 990, Part VI, Section C, Line 19VARIOUS PUBLIC AND PRIVATE ENTITIES MAY REQUIRE THE FILING OF SUCH DOCUMENTS AS PART OF A REGULATORY AND OUR CONTRACTUAL COMMITMENT, AND AS A RESULT OF SUCH OBLIGATIONS, CERTAIN OF THESE MATERIALS MAY, IN FACT, BE AVAILABLE TO THE PUBLIC. OUTSIDE OF SUCH DISCLOSURES, THE ORGANIZATION'S GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY, AND FINANCIAL STATEMENTS ARE NOT ROUTINELY MADE AVAILABLE BY THE ORGANIZATION TO THE PUBLIC. NOTABLY, FINANCIAL STATEMENTS, GOVERNING DOCUMENTS AND CONFLICT OF INTEREST POLICIES ARE NOT REQUIRED TO BE DISCLOSED PURSUANT TO IRC SECTION 6104.
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 1HR PER WEEK TO THE FILING ORGANIZATION, THIS BOARD OF DIRECTORS JOINTLY SERVES AS THE CDH-DELNOR HEALTH SYSTEM AND THE DELNOR-COMMUNITY HOSPITAL BOARD OF DIRECTORS AND THESE INDIVIDUALS ALSO DEVOTE APPROXIMATELY 1HR PER WEEK TO THOSE RELATED ORGANIZATIONS. THE CEO, CFO, THE EMPLOYED OFFICERS AND MOST KEY EMPLOYEES ALSO PROVIDE LEADERSHIP AND MANAGEMENT TO, AND/OR SERVE AS DFOR 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 ORGANIZATIONSFORM 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 balancesForm 990, Part XI, Line 5NET UNREALIZED GAINS (LOSSES) ON INVESTMENTS - -1565098;

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (10 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Controlled OrgControlledOrg
CDH-DELNOR HEALTH SYSTEM
27W353 JEWELL RDWINFIELDIL60190363099698MANAGEMENTIL501(C)(3)Type IICDH-DELNOR HEALTH SYSTEMfalse
CADENCE HEALTH FOUNDATION
27W353 JEWELL RDWINFIELDIL60190364401289FUNDRAISINGIL501(C)(3)7CDH-DELNOR HEALTH SYSTEMfalse
CENTRAL DUPAGE PHYSICIAN GROUP
27W353 JEWELL RDWINFIELDIL60190363149833PRIMARY CAREIL501(C)(3)9CDH-DELNOR HEALTH SYSTEMfalse
COMMUNITY NURSING SERVICE OF DUPAGE
COUNTY 690 E NORTH AVECAROL STREAMIL60188366080833HOME HEALTHIL501(C)(3)9CDH-DELNOR HEALTH SYSTEMfalse
CENTRAL DUPAGE SPECIAL HEALTH ASSOC
27W353 JEWELL RDWINFIELDIL60190364310557PHARMACYIL501(C)(3)9CDH-DELNOR HEALTH SYSTEMfalse
PAHCS II
27W353 JEWELL RDWINFIELDIL60190363887234OCCUP. HEALTHIL501(C)(3)9CDH-DELNOR HEALTH SYSTEMfalse
DELNOR-COMMUNITY HEALTHCARE FOUNDATION
300 RANDALL ROADGENEVAIL60134363347004HEALTH CAREIL501(C)(3)7CDH-DELNOR HEALTH SYSTEMfalse
DELNOR-COMMUNITY RESIDENTIAL LIVING INC
300 RANDALL ROADGENEVAIL60134364156211HEALTH CAREIL501(C)(3)9CDH-DELNOR HEALTH SYSTEMfalse
LIVING WELL CANCER RESOURCE CENTER
300 RANDALL ROADGENEVAIL60134161727774HEALTH CAREIL501(C)(3)7CDH-DELNOR HEALTH SYSTEMfalse
DELNOR-COMMUNITY HOSPITAL
300 RANDALL ROADGENEVAIL60134363484281HEALTH CAREIL501(C)(3)3CDH-DELNOR HEALTH SYSTEMfalse

Form990 Schedule R Part III Form990ScheduleRPartIII (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeType
TRI-CITIES IMCARE
300 RANDALL ROADGENEVAIL60134271942888HEALTH CAREILDELCOMRELATED
TRI-CITIES DIALYSIS
1300 WATERFORD DR LOWER LEVELAURORAIL60504364272042HEALTH CAREILDELCOMRELATED
TRI-CITIES SURGERY
345 DELNOR DRIVEGENEVAIL60134510551673HEALTH CAREILDELCOMRELATED
TRI-CITIES CANCER
300 RANDALL ROADGENEVAIL60134364009336HEALTH CAREILDELCOMRELATED
FVFPDELNOR PROPERTIES
300 RANDALL RDGENEVAIL60134451147062PROPERTY MANAGEMENTILDELCOMEXCLUDED

Form990 Schedule R Part IV Form990ScheduleRPartIV (4 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityAddress Line1AddressForeign/AddressLine1Province Or StateAddressForeign/ProvinceOrStateCountryAddressForeign/CountryPostal CodeAddressForeign/PostalCode
DUPAGE HEALTH SERVICES INC
27W353 JEWELL RDWINFIELDIL60190363270521HEALTHCAREDECDH-DELNOR HEALTH SYSTEMC CORPORATION
DELCOM CORPORATION AND SUBSIDIARY
300 RANDALL ROADGENEVAIL60134363334711HEALTH MGMTILCDH-DELNOR HEALTH SYSTEMC CORPORATION
UNITED PROFESSIONALS INSURANCE COMPANY LTD
OTHER INSURANCE FUNDSCDH-DELNOR HEALTH SYSTEMC CORPORATIONPO BOX 30600GRAND CAYMANCJKY1-1203
CORNERSTONE MEDICAL GROUP
27W353 JEWELL RDWINFIELDIL60190364345453HEALTHCAREILCENTRAL DUPAGE PHYSICIAN GROUPC CORPORATION
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiesfalseReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgtrueLoansOrGuaranteesToOtherOrg
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 OrgstruePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgstruePerformOfServicesByOtherOrgs
Sharing Of FacilitiestrueSharingOfFacilities
Sharing Of Paid EmployeestrueSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg