NORTHWEST COMMUNITY HOSPITAL: Form 990, tax year 2011
View the entire original 990 at ProPublica ↗
- Organization
- NORTHWEST COMMUNITY HOSPITAL (EIN 36-2340313)
- Tax period
- 2011-10-01 to 2012-09-30
- Filed
- 2013-08-01
- IRS object ID
- 201332139349300133
- Schema version
- 2011v1.5
- Source
- Download XML · Original 990 at ProPublica
Every field in the e-filed return. Faint text is the IRS element name, for citing.
- Return header
- Form 990
- Schedule A
- Schedule B
- Schedule C
- Schedule D
- Schedule H
- Schedule I
- Schedule J
- Schedule K
- Schedule L
- Schedule O
- Schedule R
Return header ReturnHeader
| Field | Value | IRS element (for citing) |
|---|---|---|
| Timestamp | 2013-08-01T11:02:37-05:00 | Timestamp |
| Tax Period End Date | 2012-09-30 | TaxPeriodEndDate |
Preparer Firm PreparerFirm
Preparer Firm Business Name PreparerFirmBusinessName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | ERNST & YOUNG US LLP | BusinessNameLine1 |
Preparer Firm US Address PreparerFirmUSAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 155 NORTH WACKER DRIVE | AddressLine1 |
| City | CHICAGO | City |
| State | IL | State |
| ZIP Code | 60606 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Return Type | 990 | ReturnType |
| Tax Period Begin Date | 2011-10-01 | TaxPeriodBeginDate |
Filer Filer
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 362340313 | EIN |
Name Name
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | Northwest Community Hospital | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| In Care Of Name | % SANDY SORIA | InCareOfName |
| Name Control | NORT | NameControl |
| Phone | 8476181000 | Phone |
US Address USAddress
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 800 WEST CENTRAL ROAD | AddressLine1 |
| City | ARLINGTON HEIGHTS | City |
| State | IL | State |
| ZIP Code | 60005 | ZIPCode |
Officer Officer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name | STEVEN SCOGNA | Name |
| Title | CEO | Title |
| Date Signed | 2013-07-30 | DateSigned |
| Authorize Third Party | true | AuthorizeThirdParty |
Preparer Preparer
| Field | Value | IRS element (for citing) |
|---|---|---|
| Phone | 3128792000 | Phone |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Tax Year | 2011 | TaxYear |
| Build TS | 2016-02-24 21:20:13Z | BuildTS |
Form 990 IRS990
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Of Principal Officer Person | STEPHEN O SCOGNA | NameOfPrincipalOfficerPerson |
Address Principal Officer US AddressPrincipalOfficerUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 800 W Central Road | AddressLine1 |
| City | Arlington Heights | City |
| State | IL | State |
| ZIP Code | 60005 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Receipts | 552159540 | GrossReceipts |
| Group Return For Affiliates | false | GroupReturnForAffiliates |
| Organization501c3 | X | Organization501c3 |
| Web Site | www.nch.org | WebSite |
| Type Of Organization Corporation | X | TypeOfOrganizationCorporation |
| Year Formation | 1953 | YearFormation |
| State Legal Domicile | IL | StateLegalDomicile |
| Activity Or Mission Description | NCH OPERATES AN ACUTE CARE HOSPITAL IN ARLINGTON HEIGHTS, IL. THE HOSPITAL EXISTS TO PROVIDE QUALITY COMPASSIONATE HEALTHCARE SERVICES TO THE PEOPLE OF THE NORTHWEST SUBURBAN COMMUNITY OF CHICAGO. | ActivityOrMissionDescription |
| Nbr Voting Members Governing Body | 18 | NbrVotingMembersGoverningBody |
| Nbr Independent Voting Members | 15 | NbrIndependentVotingMembers |
| Total Nbr Employees | 3954 | TotalNbrEmployees |
| Total Nbr Volunteers | 930 | TotalNbrVolunteers |
| Total Gross UBI | 1726375 | TotalGrossUBI |
| Net Unrelated Business Txbl Income | 0 | NetUnrelatedBusinessTxblIncome |
| Contributions Grants Prior Year | 1732845 | ContributionsGrantsPriorYear |
| Contributions Grants Current Year | 1466035 | ContributionsGrantsCurrentYear |
| Program Service Revenue Prior Year | 464896764 | ProgramServiceRevenuePriorYear |
| Program Service Revenue CY | 472194812 | ProgramServiceRevenueCY |
| Investment Income Prior Year | 1384958 | InvestmentIncomePriorYear |
| Investment Income Current Year | 521265 | InvestmentIncomeCurrentYear |
| Other Revenue Prior Year | 6015024 | OtherRevenuePriorYear |
| Other Revenue Current Year | 6907544 | OtherRevenueCurrentYear |
| Total Revenue Prior Year | 474029591 | TotalRevenuePriorYear |
| Total Revenue Current Year | 481089656 | TotalRevenueCurrentYear |
| Grants And Similar Amnts Prior Year | 2958497 | GrantsAndSimilarAmntsPriorYear |
| Grants And Similar Amnts CY | 187489 | GrantsAndSimilarAmntsCY |
| Benefits Paid To Members Prior Year | 0 | BenefitsPaidToMembersPriorYear |
| Benefits Paid To Members CY | 0 | BenefitsPaidToMembersCY |
| Salaries Etc Prior Year | 242624121 | SalariesEtcPriorYear |
| Salaries Etc Current Year | 240095074 | 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 | 236398778 | OtherExpensePriorYear |
| Other Expenses Current Year | 228410407 | OtherExpensesCurrentYear |
| Total Expenses Prior Year | 481981396 | TotalExpensesPriorYear |
| Total Expenses Current Year | 468692970 | TotalExpensesCurrentYear |
| Revenues Less Expenses Prior Year | -7951805 | RevenuesLessExpensesPriorYear |
| Revenues Less Expenses CY | 12396686 | RevenuesLessExpensesCY |
| Total Assets BOY | 591409283 | TotalAssetsBOY |
| Total Assets EOY | 619249436 | TotalAssetsEOY |
| Total Liabilities BOY | 440310263 | TotalLiabilitiesBOY |
| Total Liabilities EOY | 456809134 | TotalLiabilitiesEOY |
| Net Assets Or Fund Balances BOY | 151099020 | NetAssetsOrFundBalancesBOY |
| Net Assets Or Fund Balances EOY | 162440302 | NetAssetsOrFundBalancesEOY |
| Info In Schedule O Part III | X | InfoInScheduleOPartIII |
| Mission Description | NORTHWEST COMMUNITY HOSPITAL existS to improve the health of the communities IT serveS and to meet individuals' healthcare needs. IT STRIVES TO be known for ITS singular focus on providing a comprehensive, patient-centered system of care that surpasses every expectation for excellence (in quality, convenience and service). | MissionDescription |
| Significant New Program Services | false | SignificantNewProgramServices |
| Significant Change | false | SignificantChange |
| Expense | 46647824 | Expense |
| Grants | 0 | Grants |
| Revenue | 46298276 | Revenue |
| Description | CARDIAC Northwest Community Hospital'S (Hospital) Cardiac Service Line provided quality, patient centered, compassionate care, regardless of ability to pay, to approximately 32,000 inpatients and outpatients during FY 2012. The treatment was provided in Hospital's State-of-the-Art Digital Cardiac Cath Lab Suites, inclusive of its high tech operating rooms and private family centered patient care rooms all at a cost of nearly $46,700,000. An on-call team of nurses, radiology techs, OR techs, Cardiologists and Surgeons were readily available 24 hours a day, 7 days a week, to provide emergent care to those with Cardiac Disease. The cardiac team works with the Emergency Room and multiple neighboring community Paramedics and emergency personnel to CONSISTENTLY exceed the national benchmark of Door to Balloon Time (or open artery) in less than 90 minutes for patients presenting in Hospital's Emergency Room having an Acute MI. Hospital has been repeatedly recognized for its commitment to quality outcomes and has twice been recognized as an Accredited Chest Pain Center by the Society for Chest Pain Centers. In addition, NCH has been recognized as an Accredited Echo Lab by the Intersocietal Commission for the Accreditation of Echocardiography Laboratories (ICAEL) since 2000. In addition, Hospital has also been recognized five times between 2000 and 2010 as a ThomSON Reuters Top 100 Heart Hospital for providing excellence in a cost effective manner to multiple cardiac patient populations. Hospital has also been the recipient of multiple Healthgrades Awards for excellence in Cardiac Services, most recently in 2010. The Cardiac Department also provides multiple screening and education programs, including free individual consultations with Cardiac Rehab personnel for community members considered to be at risk for developing heart disease based on their completion of Hospital's on-line screening tool. During 2012, hospital hosted a community event where blood pressure, cholesterol and BMI screenings were used to calculate an individual's risk of developing heart disease for a minimal fee. In addition, physicians provided education on heart health and wellness. Over 300 people participated in the event. | Description |
Activity2 Activity2
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 30984717 | Expense |
| Grants | 0 | Grants |
| Revenue | 45700708 | Revenue |
| Description | Gastroenterology Hospital's Gastroenterology (GI) Center provides quality, patient centered, compassionate care for patients, regardless of ability to pay, in need of diagnostic and therapeutic endoscopic procedures. The GI Center has become a regional referral center for patients in need of interventional procedures including endoscopic retrograde cholangiopancreatography and endoscopic ultrasound. A state-of-the-art interventional suite offers patients access to superior quality care by providing digital imaging. Hospital's interventional team is led by an expert interventional physician and an interventional procedure consultant. This team provides same-day care for patients in and beyond Hospital's service area who are in need of interventional procedures. In FY 2012 the GI center provided service for 31,002 patients. | Description |
Activity3 Activity3
| Field | Value | IRS element (for citing) |
|---|---|---|
| Expense | 33992765 | Expense |
| Grants | 187489 | Grants |
| Revenue | 33962121 | Revenue |
| Description | General Surgery Hospital's General Surgery Service Line provided quality, patient centered, compassionate care, regardless of ability to pay, to 4,643 general surgical patients (inpatient and outpatient) in the main OR during FY 2012. Procedures were performed in state-of-the-art operating rooms which include three dedicated minimally invasive surgery suites. The general surgery program provides care for both pediatric and adult populations. In FY 2011, Hospital partnered with Children's Memorial Hospital to plan for a neonatal surgery program to support its new Level 3 NICU. The general surgery program also includes daVinci robotic capabilities and a dedicated pancreatic surgery program. General surgery services are provided 24 hours a day, 7 days a week, and the program is designated a Level 2 Trauma Center. Hospital has been the recipient of multiple Healthgrades awards which include GI services. General surgery mortality and surgical site infections observed-to-expected ratios are in the "low" range based on Hospital's Case Mix Index. A multidisciplinary team has worked to improve results in the Surgical Care Improvement Project's Core Measures. An Advanced Practice Nurse was hired to oversee surgical outcomes and improve performance in all surgical specialties. Areas of concentration include: antibiotics administered within 60 minutes of incision, appropriate antibiotics administered, antibiotics discontinued within 24 hours, appropriate hair removal, urinary catheter removed post-op day 1 or 2, surgery temperature management, beta blocker prior to surgery and VTE prophylaxis. The majority of Hospital's outcome measures were at or above benchmark levels. FORM 990, PART III - OTHER PROGRAM SERVICES, LINE 4D FORM 990, PART III, LINE 4D INCLUDES REVENUE AND EXPENSES FROM ALL OTHER PROGRAM SERVICES NOT DESCRIBED ON FORM 990, PART III, LINES 4A-4C. | Description |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Other Program Service Exp | 259649408 | TotalOfOtherProgramServiceExp |
| Total Of Other Program Service Grnt | 0 | TotalOfOtherProgramServiceGrnt |
| Total Of Other Program Service Rev | 346233707 | TotalOfOtherProgramServiceRev |
| Total Program Service Expense | 371274714 | TotalProgramServiceExpense |
| Described In501 C3 | true | DescribedIn501C3 |
| Schedule B Required | true | ScheduleBRequired |
| Political Activities | false | PoliticalActivities |
| Lobbying Activities | true | LobbyingActivities |
| Subject To Proxy Tax | false | SubjectToProxyTax |
| Donor Advised Funds | false | DonorAdvisedFunds |
| Conservation Easements | false | ConservationEasements |
| Collections Of Art | false | CollectionsOfArt |
| Credit Counseling | false | CreditCounseling |
| Term Or Permanent Endowments | true | TermOrPermanentEndowments |
| Report Land Bldg Equip | true | ReportLandBldgEquip |
| Report Invest Oth Securities | false | ReportInvestOthSecurities |
| Report Prog Rel Invest | false | ReportProgRelInvest |
| Report Other Assets | true | ReportOtherAssets |
| Report Other Liabilities | true | ReportOtherLiabilities |
| Report Fin48 Footnote | false | 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 | true | LoanToOfficerOrDQP |
| Grant To Related Person | false | GrantToRelatedPerson |
| Bsnss Rltnshp With Organization | true | BsnssRltnshpWithOrganization |
| Bsnss Rltnshp Thru Family Member | true | BsnssRltnshpThruFamilyMember |
| Officer Entity With Bsnss Rltnshp | false | OfficerEntityWithBsnssRltnshp |
| Deductible Non Cash Contributions | false | DeductibleNonCashContributions |
| Deductible Contributions Of Art | false | DeductibleContributionsOfArt |
| Terminated | false | Terminated |
| Partial Liquidation | false | PartialLiquidation |
| Disregarded Entity | true | DisregardedEntity |
| Related Entity | true | RelatedEntity |
| Related Org Controlled Entity | true | RelatedOrgControlledEntity |
| Transaction Related Entity | true | TransactionRelatedEntity |
| Transfers To Exempt Non Chrtbl Org | false | TransfersToExemptNonChrtblOrg |
| Activities Conducted Partnership | false | ActivitiesConductedPartnership |
| Schedule O Required | true | ScheduleORequired |
| Number Forms Transmitted With1096 | 503 | NumberFormsTransmittedWith1096 |
| Number W2 G Included | 0 | NumberW2GIncluded |
| Compliance With Backup Witholding | true | ComplianceWithBackupWitholding |
| Number Of Employees | 3954 | 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 | 18 | 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 | true | LocalChapters |
| Policies Reference Chapters | true | PoliciesReferenceChapters |
| 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
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | SANDY SORIA | NamePerson |
| Telephone Number | 8476184636 | TelephoneNumber |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 3060 SALT CREEK LANE | AddressLine1 |
| City | ARLINGTON HEIGHTS | City |
| State | IL | State |
| ZIP Code | 60005 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part VII | X | InfoInScheduleOPartVII |
Form990 Part VII Section A Form990PartVIISectionA (33 entries)
| TitleTitle | Average Hours Per WeekAverageHoursPerWeek | Individual Trustee Or DirectorIndividualTrusteeOrDirector | Reportable Comp From OrganizationReportableCompFromOrganization | OfficerOfficer | Reportable Comp From Related OrgsReportableCompFromRelatedOrgs | Other CompensationOtherCompensation | Key EmployeeKeyEmployee | Highest Compensated EmployeeHighestCompensatedEmployee | FormerFormer |
|---|---|---|---|---|---|---|---|---|---|
| M Shan Atkins | |||||||||
| Director | 1.0 | X | |||||||
| James H Bishop | |||||||||
| Director | 1.0 | X | 750 | ||||||
| Craig E Christell | |||||||||
| Director | 1.0 | X | 350 | ||||||
| Daniel P DiCaro | |||||||||
| Director | 1.0 | X | 350 | ||||||
| Dale J Garber | |||||||||
| Director | 1.0 | X | |||||||
| Louis A Gatta | |||||||||
| Director | 1.0 | X | 350 | ||||||
| Marla E Glabe | |||||||||
| Director | 1.0 | X | 350 | ||||||
| Charles A Hempfling | |||||||||
| Director | 1.0 | X | 550 | ||||||
| Diane G Hill | |||||||||
| Director | 1.0 | X | 350 | ||||||
| Francis J Lamberta MD | |||||||||
| Director/Med Staff Pres. 2011 | 10.0 | X | 48350 | ||||||
| Robert J Longo MD | |||||||||
| Director/Med Staff Pres. 2012 | 1.0 | X | 350 | ||||||
| Allen S Malmed MD | |||||||||
| Director thru 12/31/11 | 1.0 | X | 550 | ||||||
| Louis J Marsico | |||||||||
| Director | 1.0 | X | 550 | ||||||
| Mary R Sheahen | |||||||||
| Director | 1.0 | X | 550 | ||||||
| William D Soper MD | |||||||||
| Director | 1.0 | X | 550 | ||||||
| Raymond Grady | |||||||||
| Director | 1.0 | X | 350 | ||||||
| Cynthia M Valukas MD | |||||||||
| Director | 1.0 | X | |||||||
| Max Brittain Jr | |||||||||
| Chairperson 2011, 2012 | 10.0 | X | 350 | X | |||||
| Thomas P MacCarthy | |||||||||
| Vice Chairperson 2011, 2012 | 10.0 | X | 350 | X | 0 | 0 | |||
| Bruce K Crowther | |||||||||
| President/CEO/Secretary | 40.0 | 1101159 | X | 0 | 148801 | ||||
| Stephen O Scogna | |||||||||
| Exec. VP/CFO/Treasurer | 40.0 | 361175 | X | 0 | 27038 | ||||
| LEIGHTON B SMITH MD | |||||||||
| Executive VP Medical Affairs | 40.0 | 482772 | 0 | 32188 | X | ||||
| MARK D LUSSON | |||||||||
| Executive VP Human RESOURCES | 40.0 | 373147 | 0 | 78282 | X | ||||
| DALE E BEATTY | |||||||||
| Exec VP Patient Services & CNO | 40.0 | 354532 | 0 | 48944 | X | ||||
| Michael C Hartke | |||||||||
| Exec VP Clinics Regional SerVS | 40.0 | 231116 | 0 | 77575 | X | ||||
| WILLIS G PARSONS MD | |||||||||
| Medical Director GI Center | 40.0 | 1709339 | 0 | 16368 | X | ||||
| MALCOLM BILIMORIA MD | |||||||||
| GASTROENTEROLOGY Physician | 40.0 | 1487197 | 0 | 39281 | X | ||||
| RAMEEZ ALASADI MD | |||||||||
| GASTROENTEROLOGY Physician | 40.0 | 1003539 | 0 | 30171 | X | ||||
| SOTIRIOS MARKULY MD | |||||||||
| OB Gyne Hospitalist | 40.0 | 302178 | 0 | 23935 | X | ||||
| SONIA C MEHTA MD | |||||||||
| EXEC. DIR IMMEDIATE CARE OHS | 40.0 | 290510 | 0 | 28334 | X | ||||
| MICHAEL B ZENN | |||||||||
| FORMER Executive VP/COO/TREAS. | 0.0 | 395990 | 0 | 20789 | X | ||||
| ANN SAYVETZ | |||||||||
| General Counsel | 0.0 | 154595 | 0 | 17269 | X | ||||
| ANGELA STEFANIU | |||||||||
| VP Marketing Bus Development | 0.0 | 156448 | 0 | 9486 | X | ||||
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Reportable Comp From Org | 8458697 | TotalReportableCompFromOrg |
| Total Reportable Comp Frm Rltd Orgs | 0 | TotalReportableCompFrmRltdOrgs |
| Total Other Compensation | 598461 | TotalOtherCompensation |
| Number Individuals GT100 K | 110 | 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 |
|---|---|---|---|---|---|
| Xtend Healthcare | |||||
| 500 W Main Street Suite 14 | HENDERSONVILLE | TX | 37075 | Collection Services | 3421718 |
| Siemens Medical Solutions USA Inc | |||||
| Dept CH 14195 | PALATINE | IL | 60055 | IT SUPPORT | 2050461 |
| GE Healthcare | |||||
| PO Box 96483 | CHICAGO | IL | 60693 | EQUIP. Maintenance | 1624053 |
| Transcend Services Inc | |||||
| Dept 40089 PO Box 740209 | ATLANTA | GA | 30374 | MED. transcription | 1550885 |
| HLS Wheeling LLC | |||||
| 13028 Collection Center Dr | CHICAGO | IL | 60693 | Laundry services | 1514067 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Contractors GT100 K | 79 | NumberOfContractorsGT100K |
| Related Organizations | 1315301 | RelatedOrganizations |
| Government Grants | 150734 | GovernmentGrants |
| Total Contributions | 1466035 | TotalContributions |
Program Service Revenue ProgramServiceRevenue (5 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | Related Or Exempt Function IncomeRelatedOrExemptFunctionIncome | Unrelated Business RevenueUnrelatedBusinessRevenue |
|---|---|---|---|---|
| Net patient services | 621110 | 443815487 | 443815487 | |
| MEANINGFUL USE REIMBURSEMENTS | 900099 | 3600144 | 3600144 | |
| LAB SERVICES | 621500 | 22904323 | 21177948 | 1726375 |
| CLASSES AND TRAINING | 900099 | 1038084 | 1038084 | |
| NURSING SERVICES - PALATINE OPPORTUNITY CENTER, LI | 900099 | 432087 | 432087 |
Total Oth Program Service Revenue TotalOthProgramServiceRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 404687 | TotalRevenueColumn |
| Related Or Exempt Function Income | 404687 | RelatedOrExemptFunctionIncome |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Program Service Revenue | 472194812 | TotalProgramServiceRevenue |
Investment Income InvestmentIncome
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1972259 | TotalRevenueColumn |
| Exclusion | $1,972,259 | ExclusionAmount |
Income From Invest Bond Proceeds IncomeFromInvestBondProceeds
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 84 | TotalRevenueColumn |
| Exclusion | $84 | ExclusionAmount |
Royalties Revenue RoyaltiesRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 0 | TotalRevenueColumn |
Gross Rents GrossRents
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 2605264 | Real |
Less Rental Expenses LessRentalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 1062195 | Real |
Rental Income Or Loss RentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Real | 1543069 | Real |
Net Rental Income Or Loss NetRentalIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 1543069 | TotalRevenueColumn |
| Exclusion | $1,543,069 | ExclusionAmount |
Gross Amount Sales Assets GrossAmountSalesAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 67664223 | Securities |
| Other | 575216 | Other |
Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | 67834631 | Securities |
| Other | 1855886 | Other |
Gain Or Loss GainOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Securities | -170408 | Securities |
| Other | -1280670 | Other |
Net Gain Or Loss Investments NetGainOrLossInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | -1451078 | TotalRevenueColumn |
| Exclusion | -$1,451,078 | 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 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Gross Sales Of Inventory | 329438 | GrossSalesOfInventory |
| Cost Of Goods Sold | 317172 | CostOfGoodsSold |
Net Income Or Loss NetIncomeOrLoss
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 12266 | TotalRevenueColumn |
| Exclusion | $12,266 | ExclusionAmount |
Other Revenue Misc OtherRevenueMisc (3 entries)
| DescriptionDescription | Business CodeBusinessCode | Total Revenue ColumnTotalRevenueColumn | ExclusionExclusionAmount |
|---|---|---|---|
| Reinsurance Recoveries | 900099 | 2509914 | $2,509,914 |
| Cafeteria | 722210 | 1696477 | $1,696,477 |
| COMMUNICATIONS | 900099 | 300452 | $300,452 |
Miscellaneous Revenue MiscellaneousRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 845366 | TotalRevenueColumn |
| Exclusion | $845,366 | ExclusionAmount |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Other Revenue | 5352209 | TotalOtherRevenue |
Total Revenue TotalRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Revenue Column | 481089656 | TotalRevenueColumn |
| Related Or Exempt Function Income | 470468437 | RelatedOrExemptFunctionIncome |
| Unrelated Business Revenue | 1726375 | UnrelatedBusinessRevenue |
| Exclusion | $7,428,809 | ExclusionAmount |
Grants To Domestic Orgs GrantsToDomesticOrgs
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 187489 | Total |
| Program Services | 187489 | 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 | 7272097 | Total |
| Management And General | 7272097 | 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 | 179866781 | Total |
| Program Services | 136790581 | ProgramServices |
| Management And General | 43076200 | ManagementAndGeneral |
Pension Plan Contributions PensionPlanContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12539618 | Total |
| Program Services | 9598905 | ProgramServices |
| Management And General | 2940713 | ManagementAndGeneral |
Other Employee Benefits OtherEmployeeBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 27449064 | Total |
| Program Services | 20956480 | ProgramServices |
| Management And General | 6492584 | ManagementAndGeneral |
Payroll Taxes PayrollTaxes
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 12967514 | Total |
| Program Services | 10157014 | ProgramServices |
| Management And General | 2810500 | ManagementAndGeneral |
Fees For Services Management FeesForServicesManagement
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Fees For Services Legal FeesForServicesLegal
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1350855 | Total |
| Management And General | 1350855 | ManagementAndGeneral |
Fees For Services Accounting FeesForServicesAccounting
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 245595 | Total |
| Management And General | 245595 | ManagementAndGeneral |
Fees For Services Lobbying FeesForServicesLobbying
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
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 | 167664 | Total |
| Management And General | 167664 | ManagementAndGeneral |
Fees For Services Other FeesForServicesOther
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 27565048 | Total |
| Program Services | 12788424 | ProgramServices |
| Management And General | 14776624 | ManagementAndGeneral |
Advertising Advertising
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1980270 | Total |
| Program Services | 72963 | ProgramServices |
| Management And General | 1907307 | ManagementAndGeneral |
Office Expenses OfficeExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 17780408 | Total |
| Program Services | 13818228 | ProgramServices |
| Management And General | 3962180 | ManagementAndGeneral |
Information Technology InformationTechnology
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 6933629 | Total |
| Program Services | 5280818 | ProgramServices |
| Management And General | 1652811 | ManagementAndGeneral |
Royalties Royalties
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Occupancy Occupancy
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 9257319 | Total |
| Program Services | 8327875 | ProgramServices |
| Management And General | 929444 | ManagementAndGeneral |
Travel Travel
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 554841 | Total |
| Program Services | 314802 | ProgramServices |
| Management And General | 240039 | 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 | 278122 | Total |
| Program Services | 170625 | ProgramServices |
| Management And General | 107497 | ManagementAndGeneral |
Interest Interest
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 8977415 | Total |
| Program Services | 8977415 | ProgramServices |
Payments To Affiliates PaymentsToAffiliates
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 0 | Total |
Depreciation Depletion DepreciationDepletion
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 34148954 | Total |
| Program Services | 26226606 | ProgramServices |
| Management And General | 7922348 | ManagementAndGeneral |
Insurance Insurance
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 7251357 | Total |
| Program Services | 6944974 | ProgramServices |
| Management And General | 306383 | ManagementAndGeneral |
Other Expenses OtherExpenses (4 entries)
| DescriptionDescription | TotalTotal | Program ServicesProgramServices |
|---|---|---|
| MEDICAL SUPPLIES | 43181551 | 43181551 |
| BAD DEBT-PATIENT SERVICES | 39720635 | 39720635 |
| PHARMACEUTICALS | 15826323 | 15826323 |
| ILLINOIS PROVIDER TAX | 11676247 | 11676247 |
All Other Expenses AllOtherExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 1514174 | Total |
| Program Services | 256759 | ProgramServices |
| Management And General | 1257415 | ManagementAndGeneral |
Total Functional Expenses TotalFunctionalExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total | 468692970 | Total |
| Program Services | 371274714 | ProgramServices |
| Management And General | 97418256 | ManagementAndGeneral |
| Fundraising | 0 | Fundraising |
Cash Non Interest Bearing CashNonInterestBearing
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Savings And Temp Cash Investments SavingsAndTempCashInvestments
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 18667752 | BOY |
| EOY | 30946366 | EOY |
Pledges And Grants Receivable PledgesAndGrantsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Accounts Receivable AccountsReceivable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 55078694 | BOY |
| EOY | 60733467 | EOY |
Receivables From Officers Etc ReceivablesFromOfficersEtc
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 94386 | BOY |
| EOY | 98476 | EOY |
Receivables From Disqual Persons ReceivablesFromDisqualPersons
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Notes Loans Receivable Net OtherNotesLoansReceivableNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 305372 | BOY |
| EOY | 0 | EOY |
Inventories For Sale Or Use InventoriesForSaleOrUse
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4752063 | BOY |
| EOY | 5315340 | EOY |
Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 6193121 | BOY |
| EOY | 3627812 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Land Buildings Equipment Basis | 627860378 | LandBuildingsEquipmentBasis |
| Land Bldg Equipment Accum Deprec | 245628349 | LandBldgEquipmentAccumDeprec |
Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 399431606 | BOY |
| EOY | 382232029 | EOY |
Investments Pub Traded Securities InvestmentsPubTradedSecurities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 94056794 | BOY |
| EOY | 97484804 | 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 | 5753291 | BOY |
| EOY | 6698999 | EOY |
Intangible Assets IntangibleAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Assets Total OtherAssetsTotal
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 7076204 | BOY |
| EOY | 32112143 | EOY |
Total Assets TotalAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 591409283 | BOY |
| EOY | 619249436 | EOY |
Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 65928264 | BOY |
| EOY | 91828628 | EOY |
Grants Payable GrantsPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Deferred Revenue DeferredRevenue
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 3090185 | BOY |
| EOY | 122193 | EOY |
Tax Exempt Bond Liabilities TaxExemptBondLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 283300000 | BOY |
| EOY | 277615000 | EOY |
Escrow Account Liability EscrowAccountLiability
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Loans From Officers Directors LoansFromOfficersDirectors
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Mort Notes Pybl Secured Invest Prop MortNotesPyblSecuredInvestProp
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Unsecured Notes Loans Payable UnsecuredNotesLoansPayable
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 0 | BOY |
| EOY | 0 | EOY |
Other Liabilities OtherLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 87991814 | BOY |
| EOY | 87243313 | EOY |
Total Liabilities TotalLiabilities
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 440310263 | BOY |
| EOY | 456809134 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Follow SFAS117 | X | FollowSFAS117 |
Unrestricted Net Assets UnrestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 145345729 | BOY |
| EOY | 155741303 | EOY |
Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 4793222 | BOY |
| EOY | 5587588 | EOY |
Permanently Restricted Net Assets PermanentlyRestrictedNetAssets
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 960069 | BOY |
| EOY | 1111411 | EOY |
Total Net Assets Fund Balances TotalNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 151099020 | BOY |
| EOY | 162440302 | EOY |
Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances
| Field | Value | IRS element (for citing) |
|---|---|---|
| BOY | 591409283 | BOY |
| EOY | 619249436 | EOY |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Info In Schedule O Part XI | X | InfoInScheduleOPartXI |
| Reconcilation Revenue Expenses | 12396686 | ReconcilationRevenueExpenses |
| Reconcilation Other Changes | -1055404 | 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) |
|---|---|---|
| Total Grassroots Lobbying | TotalGrassrootsLobbying | |
| Total Direct Lobbying | TotalDirectLobbying | |
| Total Lobbying Expenditures | TotalLobbyingExpenditures | |
| Other Exempt Purpose Expenditures | OtherExemptPurposeExpenditures | |
| Total Exempt Purpose Expenditures | TotalExemptPurposeExpenditures | |
| Lobbying Nontaxable | LobbyingNontaxableAmount | |
| Grassroots Nontaxable | GrassrootsNontaxableAmount | |
| Tot Lobbying Grassroot Minus Non Tx | TotLobbyingGrassrootMinusNonTx | |
| Tot Lobby Expend Mns Lobbying Nontx | TotLobbyExpendMnsLobbyingNontx | |
| 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 | $55,798 | OtherActivitiesAmount |
| Total Lobbying Expenditures IIB | 55798 | TotalLobbyingExpendituresIIB |
| Not Described In501c3 | false | NotDescribedIn501c3 |
Form990 Schedule C Part IV Form990ScheduleCPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | LOBBYING ACTIVITIES | Identifier |
| Return Reference | PART II-B, LINE 1i | ReturnReference |
| Explanation | NORTHWEST COMMUNITY HOSPITAL PAYS DUES TO CERTAIN HOSPITAL ASSOCIATIONS WHICH USE A PORTION OF THESE DUES FOR LOBBYING. | Explanation |
Schedule D IRS990ScheduleD
| Field | Value | IRS element (for citing) |
|---|---|---|
| Art Public Exhibition Amts | ArtPublicExhibitionAmts | |
| Held Works Of Art Amts | HeldWorksOfArtAmts |
Current Year CurrentYear
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 2319650 | BeginningOfYearBalance |
| Contributions | 950 | Contributions |
| Investment Earnings Or Losses | 478506 | InvestmentEarningsOrLosses |
| End Of Year Balance | 2799106 | EndOfYearBalance |
Current Year Minus1 Year CurrentYearMinus1Year
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 2248734 | BeginningOfYearBalance |
| Contributions | 169337 | Contributions |
| Investment Earnings Or Losses | -10576 | InvestmentEarningsOrLosses |
| Other Expenditures | 87845 | OtherExpenditures |
| End Of Year Balance | 2319650 | EndOfYearBalance |
Current Year Minus2 Years CurrentYearMinus2Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 2160499 | BeginningOfYearBalance |
| Contributions | 9266 | Contributions |
| Investment Earnings Or Losses | 78969 | InvestmentEarningsOrLosses |
| End Of Year Balance | 2248734 | EndOfYearBalance |
Current Year Minus3 Years CurrentYearMinus3Years
| Field | Value | IRS element (for citing) |
|---|---|---|
| Beginning Of Year Balance | 2131037 | BeginningOfYearBalance |
| Contributions | 39825 | Contributions |
| Investment Earnings Or Losses | -10363 | InvestmentEarningsOrLosses |
| End Of Year Balance | 2160499 | EndOfYearBalance |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Board Designated EOY Balance | 0.50500 | BoardDesignatedEOYBalance |
| Permanent Endowment EOY Balance | 0.49500 | PermanentEndowmentEOYBalance |
| Term Endowment EOY Balance | 0.00000 | TermEndowmentEOYBalance |
| Endowments Held By Unrelated Orgs | false | EndowmentsHeldByUnrelatedOrgs |
| Endowments Held By Related Orgs | true | EndowmentsHeldByRelatedOrgs |
| Are Related Orgs Listed Schedule R | true | AreRelatedOrgsListedScheduleR |
Land Land
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 1789072 | OtherCostOrOtherBasis |
| Book Value | 1789072 | BookValue |
Buildings Buildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 297135319 | OtherCostOrOtherBasis |
| Depreciation | 98636492 | Depreciation |
| Book Value | 198498827 | BookValue |
Leasehold Improvements LeaseholdImprovements
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 205678088 | OtherCostOrOtherBasis |
| Depreciation | 89379094 | Depreciation |
| Book Value | 116298994 | BookValue |
Equipment Equipment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 107414349 | OtherCostOrOtherBasis |
| Depreciation | 48639930 | Depreciation |
| Book Value | 58774419 | BookValue |
Other Land Buildings OtherLandBuildings
| Field | Value | IRS element (for citing) |
|---|---|---|
| Other Cost Or Other Basis | 15843550 | OtherCostOrOtherBasis |
| Depreciation | 8972833 | Depreciation |
| Book Value | 6870717 | BookValue |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Book Value Land Buildings | 382232029 | TotalOfBookValueLandBuildings |
Other Assets OtherAssets (3 entries)
| DescriptionDescription | Book ValueBookValue |
|---|---|
| Due from Affiliates | 2843743 |
| Bond Issue Costs | 5692009 |
| Reinsurance Receivable | 23576391 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Book Value Other Assets | 32112143 | TotalBookValueOtherAssets |
| Federal Income Tax Liability | 0 | FederalIncomeTaxLiability |
Other Liabilities OtherLiabilities (7 entries)
| DescriptionDescription | AmountAmount |
|---|---|
| Pension Obligation | $43,274,512 |
| Due to Third-Party Payors | $40,702,369 |
| Interest Rate Swap Liability | $1,062,418 |
| Asset Retirement Obligation | $1,085,148 |
| Due to Affiliates | $232,661 |
| Short Term Capital Lease Obligation | $283,491 |
| Long Term Capital Lease Obligation | $602,714 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Of Amounts | 87243313 | TotalOfAmounts |
Form990 Schedule D Part XIV Form990ScheduleDPartXIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Description of intended uses of endowment funds | Identifier |
| Return Reference | Schedule D, Part V, Line 4 | ReturnReference |
| Explanation | endowment funds are created according to hospital needs and designation or preferences of the donor(s) supporting the endowment fund. Scholarship funds, continued education, or funds for patient care in a hospital department designated by the endowment fund are examples of fund uses. | 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 |
| Pcent200 | X | Pcent200 |
| FPG Reference Discounted Care | true | FPGReferenceDiscountedCare |
| Pcent400 | X | Pcent400 |
| Free Disc Care Medically Indigent | true | FreeDiscCareMedicallyIndigent |
| Amounts Budgeted For Charity Care | true | AmountsBudgetedForCharityCare |
| Expenses Exceeded Budget | true | ExpensesExceededBudget |
| Unable To Provide Care | false | UnableToProvideCare |
| 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 | 8969081 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 8969081 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02060 | PercentOfTotalExpense |
Unreimbursed Medicaid UnreimbursedMedicaid
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 37275071 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 26173509 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 11101562 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.02550 | PercentOfTotalExpense |
Total Charity Care TotalCharityCare
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 46244152 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 26173509 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 20070643 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.04610 | PercentOfTotalExpense |
Community Health Services CommunityHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 1914433 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 86319 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 1828114 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00420 | PercentOfTotalExpense |
Health Professions Education HealthProfessionsEducation
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 3193127 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 3193127 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00730 | PercentOfTotalExpense |
Subsidized Health Services SubsidizedHealthServices
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 328187 | TotalCommunityBenefitExpense |
| Net Community Benefit Expense | 328187 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00080 | PercentOfTotalExpense |
Research Research
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 277551 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 4000 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 273551 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00060 | PercentOfTotalExpense |
Cash And In Kind Contributions CashAndInKindContributions
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 812822 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 938 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 811884 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.00190 | PercentOfTotalExpense |
Total Other Benefits TotalOtherBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 6526120 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 91257 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 6434863 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.01480 | PercentOfTotalExpense |
Total Community Benefits TotalCommunityBenefits
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Benefit Expense | 52770272 | TotalCommunityBenefitExpense |
| Direct Offsetting Revenue | 26264766 | DirectOffsettingRevenue |
| Net Community Benefit Expense | 26505506 | NetCommunityBenefitExpense |
| Percent Of Total Expense | 0.06090 | PercentOfTotalExpense |
Coalition Building CoalitionBuilding
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 8924 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 8924 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Workforce Development WorkforceDevelopment
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 4776 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 4776 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
Total Total
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Community Building Expense | 13700 | TotalCommunityBuildingExpense |
| Net Community Building Expense | 13700 | NetCommunityBuildingExpense |
| Percent Of Total Expense | 0.00000 | PercentOfTotalExpense |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Bad Debt Expense Reported | false | BadDebtExpenseReported |
| Bad Debt Expense | $39,720,635 | BadDebtExpenseAmount |
| Amount Attributable To | 3614578 | AmountAttributableTo |
| Amount Reimbursed By Medicare | 145347892 | AmountReimbursedByMedicare |
| Cost Of Care Reimbursed By Medicare | 191249356 | CostOfCareReimbursedByMedicare |
| Medicare Surplus Or Shortfall | -45901464 | 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 | Northwest Community Hospital | BusinessNameLine1 |
Address Address
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 800 W Central Road | AddressLine1 |
| City | Arlington Heights | City |
| State | IL | State |
| ZIP Code | 60005 | 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 | Northwest 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 | 200. | FPGFreePercent |
| Uses FPG Discounted | true | UsesFPGDiscounted |
| FPG Discount Percent | 400. | FPGDiscountPercent |
| Explains Basis | true | ExplainsBasis |
| Income Level | X | IncomeLevel |
| Asset Level | X | AssetLevel |
| Medical Indigency | X | MedicalIndigency |
| Insurance Status | X | InsuranceStatus |
| Uninsured Discount | X | UninsuredDiscount |
| Medicaid Medicare | X | MedicaidMedicare |
| State Regulation | X | StateRegulation |
| 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 |
| Other Publicity | X | OtherPublicity |
| Actions On Nonpayment | true | ActionsOnNonpayment |
| Collection Activities | false | CollectionActivities |
| Nondiscrim Emergency Care Policy | true | NondiscrimEmergencyCarePolicy |
| Used Other Method | X | UsedOtherMethod |
| Amounts Generally Billed | true | AmountsGenerallyBilled |
| Gross Charges | false | GrossCharges |
Form990 Schedule H Part V Section C Form990ScheduleHPartVSectionC
| Field | Value | IRS element (for citing) |
|---|---|---|
| Number Of Other Facilities | 11 | NumberOfOtherFacilities |
Other Facilities OtherFacilities (11 entries)
| Address Line1Address/AddressLine1 | CityAddress/City | StateAddress/State | ZIP CodeAddress/ZIPCode | Facility TypeFacilityType |
|---|---|---|---|---|
| NCH MENTAL HEALTH & YOUTH CENTER | ||||
| 901 W KIRCHOFF ROAD | ARLINGTON HEIGHTS | IL | 60005 | IN & OUT MENTAL HEALTH AND YOUTH SUBSTANCE ABUSE TREATMENT |
| NCH IMMEDIATE CARE & IMAGING CENTER | ||||
| 199 W RAND ROAD | MOUNT PROSPECT | IL | 60056 | WALK IN URGENT CARE CENTER, IMAGING SERVICES & CARDIAC SERVICES |
| NCH IMMEDIATE CARE & IMAGING CENTER | ||||
| 519 S ROSELLE ROAD | SCHAUMBURG | IL | 60193 | WALK IN URGENT CARE CENTER, IMAGING SERVICES & OUTPATIENT PHYSICAL MEDICINE SERVICES |
| NCH IMMEDIATE CARE & IMAGING CENTER | ||||
| 15 S MCHENRY ROAD | BUFFALO GROVE | IL | 60089 | WALK IN URGENT CARE CENTER, IMAGING SERVICES & OUTPATIENT PHYSICAL MEDICINE SERVICES |
| NORTHWEST COMMUNITY HOSPITAL IMAGING | ||||
| 1450 BUSCH PARKWAY | BUFFALO GROVE | IL | 60089 | IMAGING SERVICES |
| NCH CARDIAC & PHYSICAL MEDICINE REHAB | ||||
| 900 W CENTRAL ROAD | ARLINGTON HEIGHTS | IL | 60005 | OUTPATIENT CARDIAC REHAB PROGRAM AND PHYSICAL MEDICINE SERVICES |
| NCH HOME HEALTH | ||||
| 3060 SALT CREEK LANE | ARLINGTON HEIGHTS | IL | 60005 | HOME HEALTHCARE SERVICES |
| NCH IMMEDIATE CARE CENTER | ||||
| 1201 S RAND ROAD | LAKE ZURICH | IL | 60047 | WALK IN URGENT CARE CENTER & OUTPATIENT PHYSICAL MEDICINE SERVICES |
| NCH OUTPATIENT CENTER | ||||
| 3300 KIRCHOFF ROAD | ROLLING MEADOWS | IL | 60008 | OUTPATIENT PHYSICAL MEDICINE SERVICES |
| NCH PHYSICAL MEDICINE & REHAB | ||||
| 1590 N ARLINGTON HEIGHTS ROAD | ARLINGTON HEIGHTS | IL | 60005 | OUTPATIENT PHYSICAL MEDICINE SERVICES |
| NCH OCCUPATIONAL WELLNESS & REHAB | ||||
| 455 S ROSELLE ROAD | SCHAUMBURG | IL | 60193 | OCCUPATIONAL WELLNESS & REHAB |
Form990 Schedule H Part VI Form990ScheduleHPartVI (13 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| PART I, LINE 3C | CHARITY CARE POLICY | HOSPITAL PROVIDES EMERGENT AND MEDICALLY NECESSARY SERVICES TO ALL PATIENTS WITHOUT REGARD TO THE PATIENT'S ABILITY TO PAY. THE WRITTEN CHARITY CARE POLICY IS WIDELY DISTRIBUTED AND COMMUNICATED TO THE COMMUNITY UNDER HOSPITAL'S FINANCIAL ASSISTANCE POLICY. THE AMOUNT OF FREE CARE PROVIDED IS DETERMINED BY FINANCIAL NEED AND IS NOT LIMITED BY BUDGETED AMOUNTS. PATIENTS EARNING LESS THAN 200% OF THE FEDERAL POVERTY GUIDELINES RECEIVE FREE CARE AND THOSE BETWEEN 200% AND 400% OF THE GUIDELINES RECEIVE DISCOUNTED CARE ON A SLIDING SCALE. THE FINANCIAL ASSISTANCE PROGRAM LOOKS AT BOTH THE CURRENT INCOME AND THE INCOME FROM THE PREVIOUS YEAR (AS DISPLAYED IN TAX DOCUMENTS) AND THEN CALCULATES POTENTIAL BENEFITS BASED UPON EACH VARIABLE, OFFERING ITS PATIENT'S THE MOST GENEROUS BENEFIT. THIS POLICY ACKNOWLEDGES THE FRAGILE NATURE OF EMPLOYMENT AND THE IMPACT OF PREVIOUS YEAR HARDSHIPS. CONSISTENT WITH THE ILLINOIS UNINSURED PATIENT DISCOUNT ACT, PATIENTS WITHOUT INSURANCE COVERAGE ARE ELIGIBLE FOR A 61% DISCOUNT IF THEIR INCOME IS AT OR BELOW 600% OF THE FEDERAL POVERTY GUIDELINES. OF THE REMAINING BALANCE, THE PATIENT'S LIABILITY IS CAPPED AT 25% OF THE FAMILY'S ANNUAL INCOME. |
| PART I, LINE 6A | COMMUNITY BENEFIT REPORT | HOSPITAL'S COMMUNITY BENEFIT ACTIVITIES ARE INCLUDED IN AN ANNUAL REPORT ISSUED BY NORTHWEST COMMUNITY HEALTHCARE, THE SOLE CORPORATE MEMBER OF HOSPITAL. |
| PART I, LINE 7 | COSTING METHODOLOGY | THE FOLLOWING METHODOLOGIES WERE USED TO DETERMINE THE AMOUNTS REPORTED IN THE TABLE FOR LINE 7: PART I, LINES 7A - 7D, RATIO OF COST TO CHARGES AS DETERMINED USING WORKSHEET 2 IN THE FORM 990, SCHEDULE H INSTRUCTIONS. PART I, LINES 7E - 7I, COSTS WERE DETERMINED USING THE DIRECT AND INDIRECT COSTS FOR THE SPECIFIC PROGRAM OR SERVICE. THESE COSTS WERE MAINTAINED/IDENTIFIED IN HOSPITAL'S "COMMUNITY BENEFIT INVENTORY FOR SOCIAL ACCOUNTABILITY SOFTWARE" (CBISA). THE INDIRECT PORTION OF THESE COSTS WAS CALCULATED UTILIZING THE INDIRECT COST RATIO FROM HOSPITAL'S LATEST AVAILABLE MEDICARE COST REPORT. THIS "INDIRECT" RATIO WAS ENTERED INTO CBISA FOR THE CALCULATION OF INDIRECT COSTS. PART I, LINE 7G: SUBSIDIZED HEALTH SERVICES HOSPITAL HAS NOT INCLUDED ANY COSTS RELATED TO A PHYSICIAN CLINIC AS PART OF SUBSIDIZED HEALTH SERVICES. PART I, LINE 7, COLUMN F: BAD DEBT EXPENSE THE AMOUNT OF BAD DEBT EXPENSE INCLUDED IN PART IX, LINE 25, COLUMN (A) THAT WAS EXCLUDED FROM THE CALCULATION OF THE RATIO OF COST TO CHARGES FOR THE PURPOSE OF DETERMINING THE COST OF BAD DEBTS WAS $39,720,635. |
| PART II | COMMUNITY BUILDING ACTIVITIES | WORKFORCE DEVELOPMENT HOSPITAL'S EXECUTIVE DIRECTOR OF PATIENT CARE SERVICES PARTICIPATES ON THE LEADERSHIP BOARD OF THE ILLINOIS ORGANIZATION OF NURSE LEADERS (IONL). THE PURPOSE OF IONL IS TO DEVELOP NURSING LEADERS IN ALL HEALTHCARE SETTINGS. IONL PROVIDES DIRECTION FOR ACHIEVEMENT OF EXCELLENCE IN NURSING LEADERSHIP. IT PROMOTES PROFESSIONAL DEVELOPMENT, RESEARCH AND INNOVATION FOR THE ADVANCEMENT OF NURSING PRACTICE. IONL ENCOURAGES DEVELOPMENT OF CARE DELIVERY SYSTEMS THAT ARE FORTHRIGHT AND VISIONARY. THE IONL DEVELOPS STRATEGIC INITIATIVES IN THE AREA OF EXECUTIVE MANAGEMENT EXPERTISE IN HEALTHCARE SYSTEMS. COALITION BUILDING HOSPITAL'S DIRECTOR OF CORPORATE ACCOUNTING AND EXECUTIVE DIRECTOR OF MANAGED CARE/PHO REPRESENT HOSPITAL THROUGH THEIR PARTICIPATION IN TWO ROTARY CLUBS IN HOSPITAL'S SERVICE AREA: ARLINGTON HEIGHTS AND PALATINE, ILLINOIS. ROTARY CLUB MEMBERS ARE PREDOMINATELY BUSINESS AND PROFESSIONAL LEADERS WHO COME TOGETHER TO SUPPORT ORGANIZATIONS THAT ADDRESS NEED AND DISPARITY IN THE COMMUNITY. AREAS ADDRESSED INCLUDE HOMELESSNESS, MENTAL HEALTH ISSUES, CANCER, TROUBLED YOUTH, DEVELOPMENTALLY DISABLED, DOMESTIC VIOLENCE AND MANY MORE. |
| PART III, LINE 1 | BAD DEBT EXPENSE | HOSPITAL RECORDS BAD DEBT EXPENSE IN ACCORDANCE WITH GENERALLY ACCEPTED ACCOUNTING PRINCIPLES (GAAP). HFMA STATEMENT 15 IS FOLLOWED TO THE EXTENT THAT IT ALIGNS WITH THE GUIDELINES PER GAAP. PART III, LINE 4 BAD DEBT EXPENSE HOSPITAL IS INCLUDED IN THE AUDITED FINANCIAL STATEMENTS OF NORTHWEST COMMUNITY HEALTHCARE (NCH) AND SUBSIDIARIES. THE TEXT OF THE FOOTNOTE REFERENCING ACCOUNTS RECEIVABLE IN THE FY 2012 AUDIT IS AS FOLLOWS: "[NCH] EVALUATES THE COLLECTABILITY OF ITS ACCOUNTS RECEIVABLE BASED ON THE LENGTH OF TIME THE RECEIVABLE IS OUTSTANDING, PAYOR CLASS AND THE ANTICIPATED FUTURE COLLECTIBLE AMOUNTS BASED ON HISTORICAL EXPERIENCE. ACCOUNTS RECEIVABLE ARE CHARGED TO THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS WHEN THEY ARE DEEMED UNCOLLECTIBLE." WRITE-OFFS ARE SHOWN NET OF CONTRACTUALS AND DISCOUNTS. THE HOSPITAL'S BAD DEBT EXPENSE AS REPORTED ON LINES 2 AND 3 WAS REPORTED AT CHARGES. FOR FY 2012, THE HOSPITAL RECORDED PROVISIONS FOR BAD DEBT EXPENSE OF $39,720,635 OF WHICH IT IS ESTIMATED THAT 9.1% OF THIS AMOUNT WOULD HAVE BEEN REPORTED AS CHARITY IF THE PATIENT WOULD HAVE FULLY COMPLETED THE CHARITY APPLICATION PROCESS. THIS ESTIMATE IS BASED ON PATIENTS WHO BEGAN THE FINANCIAL ASSISTANCE PROCESS BUT DID NOT RESPOND TO HOSPITAL'S REQUEST FOR ADDITIONAL INFORMATION AND/OR COMPLETE THE APPLICATION FOR DETERMINATION. THESE PATIENTS WERE DEEMED VIABLE CANDIDATES TO RECEIVE FINANCIAL ASSISTANCE FOR THEIR SERVICES BY HOSPITAL'S FINANCIAL COUNSELORS. THE FINANCIAL COUNSELORS FOLLOWED UP IN WRITING AND BY PHONE IN AN ATTEMPT TO OBTAIN THE NECESSARY INFORMATION FOR THE FINANCIAL ASSISTANCE DETERMINATION. |
| PART III, LINE 8 | MEDICARE SHORTFALL | THE MEDICARE SHORTFALL REPORTED IN PART III, LINE 7 REPRESENTS THE EXCESS COST OF PROVIDING SERVICES TO MEDICARE BENEFICIARIES OVER THE PAYMENTS RECEIVED FROM THE MEDICARE PROGRAM. ACCESS TO QUALITY HEALTHCARE IS IMPERATIVE FOR ALL MEDICARE RECIPEINTS, MANY OF WHOM ARE LIVING ON A FIXED INCOME. AS SUCH, THE COSTS ABSORBED BY THE HOSPITAL IN PROVIDING THESE SERVICES IS A BENEFIT TO THE MEMBERS OF THE COMMUNITY WE SERVE. |
| PART III, LINE 9B | COLLECTION PRACTICES | IT IS THE POLICY OF HOSPITAL TO OFFER PATIENTS A PAYMENT PLAN OR FINANCIAL ASSISTANCE WHEN IT BECOMES KNOWN OR SUSPECTED THAT A PATIENT NEEDS SUCH ASSISTANCE. FINANCIAL COUNSELORS CONTACT AND WORK WITH THE PATIENT OR THEIR FAMILY TO HELP DETERMINE IF THERE ARE ANY THIRD PARTY PAYORS WHICH MAY BE AVAILABLE TO HELP THE PATIENT MEET THEIR OBLIGATIONS, SUCH AS MEDICAID, COBRA, WORKERS COMPENSATION, OR SPECIALIZED GRANT PROGRAMS. IF NO THIRD PARTY PROGRAMS ARE IDENTIFIED, THE FINANCIAL COUNSELORS WORK WITH THE PATIENT TO HELP THEM APPLY FOR CHARITY DISCOUNTS OR PAYMENT PLANS. FORMS ARE AVAILABLE IN ENGLISH AND SPANISH, AND TRANSLATION SERVICES ARE PROVIDED IN MANY LANGUAGES. IN ADDITION, ALL PATIENT BILLS AND STATEMENTS INCLUDE INFORMATION ABOUT HOW TO APPLY FOR FINANCIAL ASSISTANCE AND THE INFORMATION IS ALSO POSTED ON HOSPITAL'S WEBSITE. COLLECTION ACTIVITY WILL BE SUSPENDED DURING THE CONSIDERATION OF A COMPLETED FINANCIAL ASSISTANCE APPLICATION OR AN APPLICATION FOR ANY OTHER HEALTHCARE BRACKET (I.E, MEDICARE, MEDICAID, ETC.). A NOTE IS ENTERED INTO THE PATIENT'S ACCOUNT TO SUSPEND COLLECTION ACTIVITY UNTIL THE FINANCIAL ASSISTANCE PROCESS IS COMPLETED. ACCOUNTS IN THE FINANCIAL ASSISTANCE PROCESS WILL BE MONITORED AND, UPON THE DECISION TO APPROVE OR DENY FINANCIAL ASSISTANCE, THE PATIENT'S ACCOUNT WILL BE UPDATED. IF THE FINANCIAL ASSISTANCE APPLICATION IS APPROVED WITH A PERCENTAGE LESS THAN 100% OR DENIED, THE PATIENT'S ACCOUNT WILL BE NOTED AND HOSPITAL WILL RESUME THE SELF PAY COLLECTION ACTIVITY IN COMPLIANCE WITH ITS SELF PAY FOLLOW-UP PROCEDURES. PART V, LINEs 19 & 20 FINANCIAL ASSISTANCE INDIVIDUALS ARE QUALIFIED FOR FINANCIAL ASSISTANCE UTILIZING FEDERAL POVERTY GUIDELINES, FAMILY INCOME LEVELS, AND FAMILY SIZE. MOST INDIVIDUALS WHO QUALIFY UNDER OUR FINANCIAL ASSISTANCE POLICY WOULD BE BILLED AN AMOUNT SIGNIFICANTLY LOWER THAN THE AMOUNT THAT WOULD BE BILLED FOR AN INDIVIDUAL WITH INSURANCE COVERAGE. HOWEVER, IN RARE INSTANCES IT IS POSSIBLE THAT THE AMOUNT BILLED TO SUCH AN INDIVIDUAL COULD BE HIGHER THAN THAT BILLED FOR AN INDIVIDUAL WITH INSURANCE COVERAGE. |
| PART VI, LINE 2 | NEEDS ASSESSMENT | IN FY 2012, HOSPITAL PARTICIPATED IN A REGIONAL COMMUNITY HEALTH NEEDS ASSESSMENT OFFERED BY THE METROPOLITAN CHICAGO HEALTHCARE COUNCIL (MCHC) IN PARTNERSHIP WITH PROFESSIONAL RESEARCH CONSULTANTS (PRC). THE ASSESSMENT WAS A DATA-DRIVEN APPROACH TO DETERMINING THE HEALTH STATUS OF THE COMMUNITY AND INCLUDED BOTH QUANTITATIVE AND QUALITATIVE COMPONENTS. THE QUANTITATIVE COMPONENT CONSISTED OF A 30-MINUTE TELEPHONE HEALTH SURVEY THAT WAS CONDUCTED IN ENGLISH AND SPANISH. OVER 3,710 SURVEYS WERE CONDUCTED IN THE REGION WHICH CONSISTED OF COOK, DUPAGE AND LAKE COUNTIES, WITH 325 IN HOSPITAL'S IMMEDIATE SERVICE AREA. CAREFUL CONSIDERATION WAS TAKEN TO ENSURE THAT THE DEMOGRAPHICS OF THOSE PARTICIPATING IN THE SURVEY MIRRORED THE DEMOGRAPHICS OF THE COMMUNITY. ISSUES ADDRESSED INCLUDED SELF-REPORTED HEALTH STATUS, PHYSICAL HEALTH STATUS, MENTAL HEALTH STATUS, DEATH AND DISABILITY, INFECTION AND CHRONIC DISEASE, BIRTHS, CHILDREN'S HEALTH STATUS, MODIFIABLE HEALTH RISKS, ACCESS TO HEALTHCARE, HEALTH EDUCATION AND OUTREACH, AND HEALTH INFORMATION SOURCES. THE ASSESSMENT ALSO INTEGRATED THE MOST RECENT SECONDARY PUBLIC HEALTH DATA TO COMPLEMENT THE PRIMARY TELEPHONE SURVEY DATA. THE DATA COLLECTED FOR HOSPITAL'S SERVICE AREA WAS BENCHMARKED AGAINST THE SECONDARY DATA AVAILABLE FOR THE REGION, STATE, US, HEALTHY PEOPLE 2020 AS WELL AS COMPARING THE DATA COLLECTED AGAINST HOSPITAL'S PREVIOUS ASSESSMENT. THE ASSESSMENT ALSO INCLUDED A QUALITATIVE COMPONENT WHICH INCLUDED HOSTING FOCUS GROUPS IN NORTH COOK COUNTY WHICH INCLUDED REPRESENTATIVES FROM PUBLIC HEALTH, PHYSICIANS, AND OTHER HEALTH PROFESSIONALS, SOCIAL SERVICE PROVIDERS AND OTHER COMMUNITY LEADERS. THE PARTICIPANTS WERE CHOSEN BECAUSE OF THEIR ABILITY TO IDENTIFY PRIMARY CONCERNS OF THE POPULATIONS WITH WHO THEY WORK, AS WELL AS OF THE COMMUNITY OVERALL. PARTICIPANTS INCLUDED A REPRESENTATIVE OF PUBLIC HEALTH, AS WELL AS SEVERAL INDIVIDUALS WHO WORK WITH LOW-INCOME, MINORITY OR OTHER MEDICALLY UNDERSERVED POPULATIONS, AND THOSE WHO WORK WITH PERSON WITH CHRONIC DISEASE CONDITIONS. ALL QUANTITATIVE AND QUALITATIVE DATA WAS COMPILED AND PRESENTED TO HOSPITAL IN A 213 PAGE DOCUMENT WHICH INCLUDED A RECOMMENDATION ON AREAS OF CONCERN OR OPPORTUNITY. A HOSPITAL TEAM COMPRISED OF REPRESENTATIVES FROM COMMUNITY SERVICES, STRATEGIC PLANNING, PATIENT ACCESS SERVICES, CLINICAL RESOURCE MANAGEMENT, RESEARCH, FOUNDATION, DATA GOVERNANCE, FINANCE, NURSING AND MARKETING DEPARTMENTS THEN REVIEWED THE RESULTS ALONG WITH THE RECOMMENDATIONS ON AREAS OR COMMUNITY NEEDS HOSPITAL SHOULD ADDRESS. THE GROUP PRIORITIZED THE NEEDS AND IS IN THE PROCESS OF DEVELOPING AN IMPLEMENTATION PLAN TO ADDRESS EVERYTHING IDENTIFIED IN THE ASSESSMENT. THE MOST PREDOMINANT FINDING WAS THE DIFFICULTY THE COMMUNITY HAS IN ACCESSING HEALTHCARE SERVICES WHICH INCLUDES PRIMARY, ORAL, AND BEHAVIORAL HEALTH SERVICES, AS WELL AS PRESCRIPTION MEDICATION. ANOTHER MAJOR CONCERN WAS FOCUSED ON ADULT AND CHILDHOOD OBESITY AND THE LACK OF GOOD NUTRITION AND PHYSICAL ACTIVITY. THE IMPLEMENTATION PLAN HAS IDENTIFIED THESE CONCERNS AS "PRIORITY AREAS", AND WILL DEVELOP PLANS TO ADDRESS. IN FY 2013, THE COMMUNITY HEALTH NEEDS ASSESSMENT ALONG WITH THE IMPLEMENTATION PLAN WILL BE PRESENTED FOR APPROVAL TO THE COMMUNITY HEALTH AND OUTREACH COMMITTEE, A COMMITTEE OF THE BOARD OF DIRECTORS, AS WELL AS TO THE COMMUNITY BENEFIT REGULATORY COMMITTEE, A NEW COMMITTEE FORMED TO ENSURE HOSPITAL IS MEETING ALL REGULATORY REQUIREMENTS. ONCE APPROVED, THE RESULTS OF THE COMMUNITY HEALTH NEEDS ASSESSMENT AND THE IMPLEMENTATION PLAN WILL BE MADE AVAILABLE TO THE PUBLIC BY POSTING THEM ON THE NCH WEBSITE NO LATER THAN SEPTEMBER 30, 2013. |
| PART V, LINE 13 AND PART VI, LINE 3 | PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE | THE FINANCIAL ASSISTANCE PROGRAM AT NORTHWEST COMMUNITY HOSPITAL IS COMMUNICATED WIDELY TO PATIENTS AND VISITORS IN ENGLISH AND SPANISH USING THE FOLLOWING METHODS: (1) SIGNAGE IN ENGLISH AND SPANISH IS POSTED THROUGHOUT THE ORGANIZATION AT ALL ACCESS POINTS, INCLUDING THE EMERGENCY DEPARTMENT AND OUTPATIENT REGISTRATION AREAS. THESE AREAS ALSO STOCK AND MAKE AVAILABLE A BROCHURE, PRINTED IN ENGLISH AND SPANISH, DESCRIBING HOSPITAL'S POLICY. A FULL-TIME INTERPRETATION SERVICE DEPARTMENT IS AVAILABLE TO ASSIST THOSE WHO NEED ADDITIONAL INFORMATION IN OTHER LANGUAGES. IN FY 2012, HOSPITAL RESPONDED TO 9,766 IN-PERSON REQUESTS AND PROVIDED 850 HOURS OF TELEPHONIC ASSISTANCE IN 44 DIFFERENT LANGUAGES. (2) EACH PAGE OF HOSPITAL'S WEBSITE (WWW.NCH.ORG) CONTAINS THE FOLLOWING FOOTNOTE: "NORTHWEST COMMUNITY HOSPITAL IS A CHARITABLE ORGANIZATION AND PROVIDES FINANCIAL ASSISTANCE TO THOSE WHO ARE ELIGIBLE. FOR MORE INFORMATION, CLICK HERE." A LINK TAKES VISITORS TO A SUBSEQUENT PAGE THAT DESCRIBES FINANCIAL ASSISTANCE/CHARITY CARE AND PROVIDES A PHONE NUMBER TO CONTACT A NORTHWEST COMMUNITY HOSPITAL FINANCIAL COUNSELOR. APPLICATIONS FOR FINANCIAL ASSISTANCE, IN ENGLISH AND SPANISH, ARE AVAILABLE FOR DOWNLOAD ON THE HOSPITAL WEBSITE. (3) ALL EXTERNAL HOSPITAL PUBLICATIONS INCLUDE THE FOLLOWING NOTE: "NORTHWEST COMMUNITY HOSPITAL IS A CHARITABLE ORGANIZATION AND PROVIDES FINANCIAL ASSISTANCE TO PEOPLE WHO ARE ELIGIBLE. FOR MORE INFORMATION PLEASE CALL 847.618.4542 OR VISIT OUR WEBSITE AT WWW.NCH.ORG." (4) INFORMATION ON FINANCIAL ASSISTANCE IS INCLUDED WITH EVERY PATIENT BILL. (5) FINANCIAL COUNSELORS PROVIDE FINANCIAL ASSISTANCE INFORMATION TO PATIENTS DURING THEIR REGISTRATION AND WORK WITH PATIENTS IDENTIFIED AT REGISTRATION OR AFTER ADMISSION TO HELP THEM GET THE ASSISTANCE THEY NEED, ANSWER QUESTIONS, SET UP PAYMENT PLANS AND FACILITATE APPLICATIONS FOR GOVERNMENT PROGRAMS SUCH AS MEDICAID. |
| PART VI, LINE 4 | COMMUNITY INFORMATION | NORTHWEST COMMUNITY HOSPITAL IS LOCATED IN ARLINGTON HEIGHTS, ILLINOIS; A SUBURB LOCATED APPROXIMATELY 25 MILES NORTHWEST OF CHICAGO. ITS PRIMARY SERVICE AREA CONSISTS OF ARLINGTON HEIGHTS AND THE SURROUNDING SUBURBS OF MT. PROSPECT, PALATINE, AND ROLLING MEADOWS. HOSPITAL'S SECONDARY SERVICE AREA IS COMPRISED OF BARRINGTON, BUFFALO GROVE, DES PLAINES, ELK GROVE VILLAGE, HOFFMAN ESTATES, LAKE ZURICH, PROSPECT HEIGHTS, SCHAUMBURG AND WHEELING. THESE AREAS HAVE A COMBINED POPULATION OF APPROXIMATELY 667,000 PEOPLE. THIS NUMBER HAS REMAINED FAIRLY STABLE AND GROWTH OVER THE NEXT 5 YEARS IS EXPECTED TO BE RELATIVELY FLAT. HOSPITAL'S TOTAL SERVICE AREA IS PREDOMINATELY CAUCASIAN (68.3%), FOLLOWED BY HISPANIC (14.7%), ASIAN (13.0%) AND ALL OTHERS (4.1%). THE HISPANIC POPULATION IS EXPECTED TO GROW BY 13.1% AND THE ASIAN POPULATION 10.8% OVER THE NEXT 5 YEARS. OF INDIVIDUALS LIVING IN HOSPITAL'S TOTAL SERVICE AREA, 10.6% ARE ON MEDICAID AND, PENDING HEALTHCARE REFORM, THIS IS EXPECTED TO GROW BY 9.6% OVER THE NEXT FIVE YEARS. OVER THE PAST 10 YEARS, THERE HAS BEEN A DECIDED SHIFT IN THE AGE OF THOSE LIVING IN HOSPITAL'S SERVICE AREA. A PORTION OF THE 18-44 AGE GROUP MOVED INTO THE 45-64 AGE GROUP. IT IS ESTIMATED THAT IN THE NEXT 5 YEARS, THE AREA WILL SEE FURTHER MIGRATION INTO THE 65+ AGE GROUP RESULTING IN A 13.1% INCREASE. THERE ARE FOUR OTHER HOSPITALS LOCATED IN HOSPITAL'S SERVICE AREA. THE ENTIRE PRIMARY SERVICE AREA AND A SIGNIFICANT PORTION OF THE SECONDARY SERVICE AREA HAVE BEEN DESIGNATED AS A MEDICALLY-UNDERSERVED AREA. HOSPITAL SUPPORTS BOTH A FEDERALLY QUALIFIED HEALTH CENTER LOCATED ACROSS THE STREET FROM HOSPITAL, AND A COUNTY RUN PRIMARY CARE CLINIC, ALSO LOCATED IN HOSPITAL'S PRIMARY SERVICE AREA. |
| PART VI, LINE 5 | PROMOTION OF COMMUNITY HEALTH | HOSPITAL PROMOTES THE HEALTH OF ITS COMMUNITY IN MANY WAYS AS FOLLOWS: (1) A MAJORITY OF HOSPITAL'S BOARD OF DIRECTORS IS COMPRISED OF PERSONS WHO LIVE OR WORK IN HOSPITAL'S PRIMARY SERVICE AREA AND ARE NOT EMPLOYEES OR CONTRACTORS OF HOSPITAL. (2) A STANDING COMMUNITY HEALTH AND OUTREACH COMMITTEE OF THE HOSPITAL BOARD REVIEWS THE COMMUNITY HEALTH NEEDS ASSESSMENT AND ENSURES THE IMPLEMENTATION PLAN ADDRESSES IDENTIFIED NEEDS. THE COMMITTEE PROVIDES OVERSIGHT IN MONITORING AND EVALUATING THE EFFECTIVENESS OF STRATEGIES AND INITIATIVES INCLUDED IN THE IMPLEMENTATION PLAN. THE COMMITTEE MONITORS THE AMOUNT OF DOLLARS INVESTED IN COMMUNITY BENEFIT INCLUDING CHARITY CARE, COMMUNITY HEALTH EDUCATION, COMMUNITY MEDICAL/DENTAL CLINICS, AND COMMUNITY HEALTH IMPROVEMENT INITIATIVES. (3) HOSPITAL MAINTAINS ANY SURPLUS FUNDS IN HOSPITAL ITSELF OR AT NORTHWEST COMMUNITY HEALTHCARE (A 501(C)(3) SUPPORTING ORGANIZATION AND SOLE MEMBER OF HOSPITAL) FOR FUNDING CAPITAL IMPROVEMENTS IN TECHNOLOGY, FACILITIES OR PATIENT CARE EQUIPMENT, AND SUPPORTING HOSPITAL OPERATIONS OR COMMUNITY OUTREACH INITIATIVES. (4) HOSPITAL HAS DEDICATED STAFF THAT SERVE AS MEMBERS, CHAIRPERSONS, OFFICERS, AND BOARD MEMBERS OF LOCAL AND NATIONAL ORGANIZATIONS DEVOTED TO IMPROVING THE HEALTH AND WELLBEING OF COMMUNITY MEMBERS. THESE ORGANIZATIONS INCLUDE: WINGS (WOMEN IN NEED GROWING STRONGER), NORTHWEST SUBURBAN ALLIANCE ON DOMESTIC VIOLENCE, HARPER COLLEGE NURSING ADVISORY COMMITTEE, METROPOLITAN CHICAGO HEALTHCARE COUNCIL HEALTH CARE WORKFORCE ADVISORY INSTITUTE, NORTHERN FOX VALLEY ONCOLOGY NURSING SOCIETY CHAPTER, CHICAGO DENTAL SOCIETY, HOSPICE OF NORTHEASTERN ILLINOIS, HEALTHWORLD, BRIDGE YOUTH AND FAMILY SERVICES, LITTLE CITY FOUNDATION HUMAN RIGHTS COMMITTEE, AS WELL AS LOCAL BOARD OF HEALTH DEPARTMENTS AND ROTARY CLUBS. (5) HOSPITAL HAS DEDICATED STAFF THAT ASSIST WITH ADVOCACY INITIATIVES TO PROMOTE COMMUNITY, STATE, AND NATIONAL EFFORTS TO IMPROVE THE HEALTH OF THE POPULATION. THIS INCLUDES THE OBESITY EPIDEMIC THROUGH THE EFFORTS OF THE ILLINOIS ALLIANCE TO PREVENT OBESITY AS WELL AS CANCER RESEARCH AND PREVENTION THROUGH THE AMERICAN CANCER SOCIETY. (6) COLLABORATIVE PARTNERSHIPS ARE THE FOUNDATION TO MANY OF HOSPITAL'S COMMUNITY HEALTH INITIATIVES AIMED TO IMPROVE THE HEALTH AND WELL BEING OF THE COMMUNITY. THESE PARTNERSHIPS INCLUDE A COLLABORATION WITH ACCESS COMMUNITY HEALTH NETWORK (A LOCAL FEDERALLY QUALIFIED HEALTH CENTER), AND COOK COUNTY HEALTH AND HOSPITAL SYSTEM TO BRING PRIMARY CARE SERVICES FOR THE UNINSURED AND UNDERINSURED TO THE COMMUNITY. IN FY 2012, OVER 34,000 PATIENT VISITS WERE PROVIDED AT THESE CLINICS AND HOSPITAL'S FINANCIAL AND IN-KIND SUPPORT WAS $92,366. HOSPITAL ALSO PARTNERS WITH ELK GROVE, PALATINE, SCHAUMBURG, AND WHEELING TOWNSHIPS ON A MOBILE DENTAL CLINIC PROGRAM WHICH PROVIDED 2,666 PATIENT VISITS IN FY 2012 WITH HOSPITAL ABSORBING $189,000 OF THE TOTAL COST. NORTHWEST COMMUNITY HEALTHCARE, AN AFFILIATE OF HOSPITAL, ALSO PARTNERS WITH THE PALATINE OPPORTUNITY CENTER (POC), A LOCAL 501(C)(3) ORGANIZATION, TO OPERATE AND RUN A RESOURCE CENTER WHICH PROVIDES DIRECT SERVICES, REFERRALS, AND OTHER ASSISTANCE TO THE UNDER-RESOURCED. THE HOSPITAL OWNS AND MAINTAINS THE BUILDING AND PROVIDES FREE OR LOW-COST RENT TO LOCAL NOT FOR PROFIT AGENCIES, INCLUDING: PRESERVATION FOR HUMAN DIGNITY (PHD), THE CENTER-RESOURCES FOR TEACHING AND LEARNING (ECDEC PROGRAM), COMMUNITY ECONOMIC DEVELOPMENT ASSOCIATION (CEDA), PALATINE TOWNSHIP SENIOR CITIZENS COUNCIL, PALATINE POLICE DEPARTMENT, HARPER COLLEGE, THE BRIDGE YOUTH AND FAMILY SERVICES, PALATINE PUBLIC LIBRARY, BUEHLER YMCA, PATH (PALATINE ASSISTING THROUGH HOPE), AS WELL AS THE COOK COUNTY PRIMARY CARE CLINIC DESCRIBED PREVIOUSLY. SOME OF THE MANY PROGRAMS OFFERED AT THE RESOURCE CENTER INCLUDE GED AND CITIZENSHIP CLASSES, HEALTHCARE SERVICES, COMPUTER LITERACY, AFTER-SCHOOL YOUTH PROGRAM, BILINGUAL COUNSELING, PARENTING CLASSES, JOB PLACEMENT, CAREER EDUCATION AND RECREATION. IN FY 2012, THE POC HAD 227,000 CLIENT VISITS AND HOSPITAL'S COST TO OPERATE THE FACILITY WAS $261,925. IN ADDITION TO THE RESOURCE CENTER, HOSPITAL WORKS WITH POC ON MANY COLLABORATIVE HEALTH INITIATIVES INCLUDING THE PROMOTORAS DE SALUD PROGRAM WHICH PROVIDES HEALTH EDUCATION TO THE LATINO POPULATION. THIS PROGRAM IDENTIFIES LATINA WOMEN WHO DEMONSTRATE THE POTENTIAL TO BECOME LEADERS IN THE COMMUNITY. THESE WOMEN THEN RECEIVE LEADERSHIP TRAINING AND EDUCATION ON SPECIFIC HEALTH TOPICS AND LEAD SMALL GROUP PRESENTATIONS AND HEALTH DISCUSSIONS WITH MEMBERS OF THE COMMUNITY. IN FY 2012, CLOSE TO 800 PEOPLE PARTICIPATED IN CLASSES LED BY THE PROMOTORA AND SEVENTY-FIVE PERCENT OF THE PARTICIPANTS HAD ANNUAL HOUSEHOLD INCOMES OF $25,000 OR LESS AND 49 PERCENT HAD NO HEALTH INSURANCE. POC AND HOSPITAL ALSO COLLABORATIVELY PROVIDE THE SERVICES OF A BILINGUAL COMMUNITY HEALTH NURSE AND BILINGUAL BEHAVIORAL HEALTH NAVIGATOR WHO FOCUS ON HELPING UNDER-RESOURCED MEMBERS OF THE COMMUNITY NAVIGATE HEALTHCARE RESOURCES, PROVIDE HEALTH EDUCATION, AND HELP PATIENTS OBTAIN LOW-COST PRESCRIPTIONS. IN FY 2012, THE PART-TIME COMMUNITY NURSE HAD 2,098 CLIENT INTERACTIONS AND THE PART-TIME BEHAVIORAL HEALTH NAVIGATOR HAD 1308. INDIVIDUALS WITH INTELLECTUAL AND DEVELOPMENTAL DISABILITIES ARE ANOTHER POPULATION THAT HAS DIFFICULTY ACCESSING PRIMARY AND ORAL HEALTHCARE SERVICES. HOSPITAL PARTNERS WITH LITTLE CITY FOUNDATION, A LOCAL RESIDENTIAL ORGANIZATION THAT SERVES SUCH INDIVIDUALS, ON PROVIDING PRIMARY HEALTHCARE BY AN ADVANCED PRACTICE NURSE AND ORAL HEALTHCARE BY THE MOBILE DENTAL CLINIC TEAM. (7) HOSPITAL OPERATES AN EMERGENCY DEPARTMENT THAT IS OPEN 24 HOURS A DAY, 7 DAYS A WEEK AND SERVES ALL PERSONS REGARDLESS OF THEIR ABILITY TO PAY. (8) HOSPITAL PARTICIPATES IN BOTH THE MEDICARE AND MEDICAID GOVERNMENT-SPONSORED HEALTHCARE PROGRAMS. HOSPITAL CONTRACTS WITH MIRA MED ASSISTANCE PROGRAM TO PROVIDE ASSISTANCE TO PATIENTS, FREE OF CHARGE, THROUGHOUT THE MEDICAID APPLICATION PROCESS WHEN APPLYING FOR MEDICAL COVERAGE THROUGH THE ILLINOIS MEDICAID PROGRAM. THE ASSISTANCE PROVIDED IS INCLUSIVE OF COMPLETING THE APPLICATION, GATHERING ALL OF THE APPROPRIATE ADDITIONAL DOCUMENTS THAT MUST BE SUBMITTED, WORKING WITH THE STATE ON THE PATIENT'S BEHALF AND, IN SOME CASES, WORKING THROUGH AN APPEAL PROCESS. THE COST OF PROVIDING THIS SERVICE WAS $92,810 IN FY 2012. (9) HOSPITAL PROVIDES SERVICES FREE OR AT A REDUCED RATE TO INDIVIDUALS WITH LIMITED FINANCIAL RESOURCES WHO ARE UNABLE TO ACCESS ENTITLEMENT PROGRAMS. INDIVIDUALS ARE ELIGIBLE FOR FREE OR DISCOUNTED MEDICALLY NECESSARY HEALTHCARE SERVICES BASED ON ESTABLISHED CRITERIA AND HOSPITAL'S FINANCIAL ASSISTANCE POLICY IS WIDELY DISTRIBUTED AND COMMUNICATED TO THE COMMUNITY. (10) HOSPITAL IS AN INDEPENDENT COMMUNITY HOSPITAL, THAT PROVIDES ACUTE CARE AND IS RECOGNIZED FOR THE FOLLOWING OUTSTANDING SERVICES: PRIMARY STROKE CENTER (DESIGNATED BY JOINT COMMISSION), GASTROENTEROLOGY CENTER (DIRECTED BY A NATIONALLY-RENOWNED GASTROENTEROLOGIST WITH THE ONLY GI TEACHING GALLERY IN ILLINOIS FOR INSTRUCTING CLINICIANS), LEVEL III NEONATAL INTENSIVE CARE UNIT, SPECIALIZED CANCER SERVICES (ACCREDITED BY THE COMMISSION ON CANCER), ILLINOIS CENTER FOR PANCREATIC AND HEPATOBILIARY DISEASE, TOP HOSPITAL BASED ON QUALITY AND SAFETY CRITERIA BY THE LEAPFROG GROUP, AND MAGNET AWARD FOR NURSING EXCELLENCE RECIPIENT (AWARDED BY THE AMERICAN NURSES CREDENTIALING CENTER). (11) ONE OF HOSPITAL'S MOST SIGNIFICANT CONTRIBUTIONS TO THE REGION IS THE NORTHWEST COMMUNITY EMERGENCY MEDICAL SERVICES (EMS) SYSTEM. LAUNCHED IN 1972, IT WAS THE FIRST EMS PROGRAM IN ILLINOIS AND THE FIRST IN THE NATION TO SERVE MULTIPLE COMMUNITIES. TODAY HOSPITAL CONTINUES TO SERVE AS THE AREA'S EMS RESOURCE HOSPITAL, PROVIDING ADMINISTRATIVE, CLINICAL PRACTICE, QUALITY MANAGEMENT, AND FISCAL OVERSIGHT AND EDUCATION FOR EMERGENCY MEDICAL DISPATCHERS (EMD), EMERGENCY MEDICAL RESPONDERS (EMR), EMERGENCY MEDICAL TECHNICIANS (EMT), PARAMEDICS, AND EMERGENCY COMMUNICATIONS REGISTERED NURSES (ECRN) WITHIN A 375 SQUARE-MILE AREA. THE SYSTEM IS A COALITION OF 6 HOSPITALS AND 24 EMS PROVIDER AGENCIES THAT EMPLOY OVER 950 PARAMEDICS AND 400 EMTS, WHO RESPOND TO MORE THAN 64,000 PATIENTS EACH YEAR. ON-LINE MEDICAL CONTROL IS PROVIDED BY OVER 250 ECRNS. THE NET COST FOR EMS RESOURCE HOSPITAL ACTIVITIES IN FY 2012 WAS $1,625,900 AND PROVIDED TRAINING FOR 1,555 INDIVIDUALS. (12) HOSPITAL'S COMPETENT AND COMMITTED PROFESSIONAL NURSING STAFF PROVIDES THEIR TIME AND EXPERTISE TO SERVE AS CLINICAL PRECEPTORS FOR 417 UNDERGRADUATE NURSING STUDENTS WHO COME TO THE ORGANIZATION TO COMPLETE THEIR CLINICAL PRACTICUM REQUIREMENTS. THE NURSING STUDENTS COME FROM VARIOUS COLLEGES AND UNIVERSITIES, INCLUDING HARPER COLLEGE, ELMHURST COLLEGE, UNIVERSITY OF ILLINOIS-CHICAGO, NORTH PARK UNIVERSITY, CHAMBERLAIN COLLEGE, RUSH UNIVERSITY, OLIVET NAZARENE UNIVERSITY, AND LOYOLA UNIVERSITY. AS MANY NURSES THROUGHOUT THE CHICAGO AREA CONTINUE TO PURSUE EDUCATIONAL DEG |
| PART VI, LINE 6 | AFFILIATED HEALTH CARE SYSTEM | NORTHWEST COMMUNITY HOSPITAL (HOSPITAL) IS ONE OF SEVERAL AFFILIATES UNDER THE COMMON CONTROL OF NORTHWEST COMMUNITY HEALTHCARE (NCH). NCH IS A SUPPORTING ORGANIZATION THAT ALSO SUPPORTS NORTHWEST COMMUNITY DAY SURGERY CENTER, INC. AND NORTHWEST COMMUNITY HOSPITAL FOUNDATION. THESE 4 ENTITIES ARE 501(C)(3) EXEMPT ORGANIZATIONS AND TOGETHER PROVIDE THE RESOURCES AND FUNDING TO DELIVER QUALITY HEALTHCARE SERVICES TO THE PEOPLE OF THE NORTHWEST SUBURBAN COMMUNITY OF CHICAGO. IN ADDITION TO THE CHARITY CARE THAT THE HOSPITAL PROVIDED, THE DAY SURGERY CENTER PROVIDED AN ADDITIONAL $100,000 IN CHARITY CARE (AT COST) IN FY 2012. THE NORTHWEST COMMUNITY HOSPITAL FOUNDATION'S PRIMARY FUNCTION IS TO STIMULATE PHILANTHROPIC GIVING AND OBTAIN CHARITABLE GIFTS IN ORDER TO MEET THE CHANGING NEEDS OF THE COMMUNITY AS WELL AS FUND COMMUNITY BENEFIT INITIATIVES. NORTHWEST COMMUNITY HEALTH SERVICES, INC., A MULTI-SPECIALTY MEDICAL GROUP, IS ANOTHER AFFILIATE OF NCH. HEALTH SERVICES OWNS AND OPERATES THE NCH MEDICAL GROUP, A MULTI-SPECIALTY PHYSICIAN PRACTICE WITH OFFICES IN ARLINGTON HEIGHTS, BUFFALO GROVE, PALATINE AND MT. PROSPECT, ILLINOIS. HEALTH SERVICES ALSO OPERATES "FAST CARE", A CLINIC THAT IS LOCATED CENTRALLY IN A LOCAL GROCERY STORE THAT PROVIDES AFFORDABLE PRIMARY HEALTHCARE SERVICES DURING CONVENIENT HOURS. |
| PART VI, LINE 7 | STATE FILING COMMUNITY BENEFIT REPORT | NORTHWEST COMMUNITY HEALTHCARE, THE SOLE CORPORATE MEMBER OF THE HOSPITAL, FILES AN ANNUAL NON-PROFIT HOSPITAL COMMUNITY BENEFITS PLAN REPORT WITH THE ILLINOIS ATTORNEY GENERAL'S OFFICE IN ACCORDANCE WITH ILLINOIS LAW. THE REPORT IS FILED ON BEHALF OF NORTHWEST COMMUNITY HEALTHCARE, HOSPITAL, AND NORTHWEST COMMUNITY DAY SURGERY CENTER, INC. |
Schedule I IRS990ScheduleI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Records Maintained | true | RecordsMaintained |
Recipient Table RecipientTable (9 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EIN Of RecipientEINOfRecipient | IRC SectionIRCSection | Amount Of Cash GrantAmountOfCashGrant | Purpose Of GrantPurposeOfGrant |
|---|---|---|---|---|---|---|---|
| AMERICAN CANCER SOCIETY | |||||||
| 1114 N ARLINGTON HTS RD | ARLINGTON HEIGHTS | IL | 60004 | 131788491 | 501(c)(3) | 10000 | ANNUAL SPONSORSHIP - RELAYS FOR LIFE HEART WALK SPONSORSHIP ANNUAL SPONSORSHIP VISTA CLINIC SUPPORT ANNUAL SPONSORSHIP ANNUAL SPONSORSHIP ANNUAL SPONSORSHIP NORTHWEST SPECIAL RECREATION AS ANNUAL SPONSORSHIP MISSIONS |
| AMERICAN HEART ASSOCIATION | |||||||
| PO BOX 4002902 | DES MOINES | IA | 50340 | 135613797 | 501(c)(3) | 5300 | |
| BRIDGE YOUTH & FAMILY SERVICES | |||||||
| 721 S QUENTIN ROAD | PALATINE | IL | 60067 | 237093615 | 501(c)(3) | 5500 | |
| HEKTOEN INSTITUTE LLC | |||||||
| 2240 W OGDEN AVENUE | CHICAGO | IL | 60612 | 366006541 | 501(c)(3) | 49155 | |
| PALATINE TOWNSHIP SENIOR CITIZEN COUNCIL | |||||||
| 505 S QUENTIN ROAD | PALATINE | IL | 60067 | 362781764 | 501(c)(3) | 7400 | |
| SOCIETY FOR THE PRESERVATION HUMAN DIGNITY | |||||||
| 1610 COLONIAL PARKWAY | INVERNESS | IL | 60067 | 237208626 | 501(c)(3) | 5350 | |
| SPECIAL LEISURE SERVICES FOUNDATION | |||||||
| 3000 W CENTRAL SUITE 205 | ROLLING MEADOWS | IL | 60008 | 363145710 | 501(c)(3) | 15500 | |
| WINGS PROGRAM INC | |||||||
| PO BOX 95615 | PALATINE | IL | 60095 | 363456061 | 501(c)(3) | 5400 | |
| SOLIDARITY BRIDGE | |||||||
| 1577 FLORENCE AVE | EVANSTON | IL | 60201 | 364481213 | 501(C)(3) | 28000 | |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Nbr Of501 C3 And Govt Grants | 9 | TotalNbrOf501C3AndGovtGrants |
| Total Nbr Of Other Organizations | 0 | TotalNbrOfOtherOrganizations |
Form990 Schedule I Part IV Form990ScheduleIPartIV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | Form 990, Schedule I | Identifier |
| Return Reference | Description of Organization's Procedures for Monitoring the Use of Grants | ReturnReference |
| Explanation | GRANTS IN SUPPORT OF NORTHWEST COMMUNITY HOSPITAL'S (HOSPITAL) MISSION ARE MONITORED BY NORTHWEST COMMUNITY'S FINANCE COMMITTEE AND BOARD OF DIRECTORS AS PART OF THE MONTHLY REVIEW OF HOSPITAL'S FINANCIAL RESULTS. SIGNIFICANT GRANTS TO UNRELATED 501(C)(3) OR GOVERNMENTAL ORGANIZATIONS ARE APPROVED BY HOSPITAL'S COMMUNITY SERVICES DEPARTMENT AND ARE MONITORED THROUGH ONGOING INTERACTIONS WITH OFFICIALS OF THOSE RECIPIENTS REGARDING PROGRAM SERVICES PROVIDED IN HOSPITAL'S SERVICE AREA. | Explanation |
Schedule J IRS990ScheduleJ
| Field | Value | IRS element (for citing) |
|---|---|---|
| Severance Payment | true | SeverancePayment |
| Supplemental Nonqual Retire Plan | false | 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 (14 entries)
| Base Compensation Filing OrgBaseCompensationFilingOrg | Comp Based On Related OrgsCompBasedOnRelatedOrgs | 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 | Bonus Filing OrgBonusFilingOrg |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Bruce K Crowther | |||||||||||||
| 964491 | 0 | 0 | 136668 | 0 | 131596 | 0 | 17205 | 0 | 1249960 | 0 | 134860 | 0 | |
| Stephen O Scogna | |||||||||||||
| 285000 | 0 | 0 | 1175 | 0 | 9800 | 0 | 17238 | 0 | 388213 | 0 | 0 | 0 | 75000 |
| LEIGHTON B SMITH MD | |||||||||||||
| 412579 | 0 | 0 | 70193 | 0 | 17150 | 0 | 15038 | 0 | 514960 | 0 | 0 | 0 | 0 |
| MARK D LUSSON | |||||||||||||
| 252497 | 0 | 0 | 120650 | 0 | 66204 | 0 | 12078 | 0 | 451429 | 0 | 119042 | 0 | 0 |
| DALE E BEATTY | |||||||||||||
| 331307 | 0 | 0 | 23225 | 0 | 40159 | 0 | 8785 | 0 | 403476 | 0 | 21367 | 0 | 0 |
| Michael C Hartke | |||||||||||||
| 229308 | 0 | 0 | 1808 | 0 | 59039 | 0 | 18536 | 0 | 308691 | 0 | 0 | 0 | 0 |
| MICHAEL B ZENN | |||||||||||||
| 0 | 0 | 0 | 395990 | 0 | 517 | 0 | 20272 | 0 | 416779 | 0 | 0 | 0 | 0 |
| ANN SAYVETZ | |||||||||||||
| 119643 | 0 | 0 | 34952 | 0 | 9798 | 0 | 7471 | 0 | 171864 | 0 | 0 | 0 | 0 |
| ANGELA STEFANIU | |||||||||||||
| 0 | 0 | 0 | 156448 | 0 | 8093 | 0 | 1393 | 0 | 165934 | 0 | 0 | 0 | 0 |
| WILLIS G PARSONS MD | |||||||||||||
| 1269101 | 0 | 0 | 244615 | 0 | 14700 | 0 | 1668 | 0 | 1725707 | 0 | 0 | 0 | 195623 |
| MALCOLM BILIMORIA MD | |||||||||||||
| 1487197 | 0 | 0 | 0 | 0 | 14700 | 0 | 24581 | 0 | 1526478 | 0 | 0 | 0 | 0 |
| RAMEEZ ALASADI MD | |||||||||||||
| 615639 | 0 | 0 | 187562 | 0 | 11120 | 0 | 19051 | 0 | 1033710 | 0 | 0 | 0 | 200338 |
| SOTIRIOS MARKULY MD | |||||||||||||
| 301778 | 0 | 0 | 0 | 0 | 17150 | 0 | 6785 | 0 | 326113 | 0 | 0 | 0 | 400 |
| SONIA C MEHTA MD | |||||||||||||
| 256473 | 0 | 0 | 24037 | 0 | 9800 | 0 | 18534 | 0 | 318844 | 0 | 0 | 0 | 10000 |
Form990 Schedule J Part III Form990ScheduleJPartIII (3 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| COMPENSATION DETERMINATION PROCESS FOR TOP MANAGEMENT OFFICIAL | SCHEDULE J, PART I, LINE 3 | The Compensation and Governance Committee of the parent corporation (Healthcare) annually reviews and makes recommendations to the Board regarding the compensation of the President and the guidelines for compensation of the Executive Vice Presidents, other Vice Presidents and other key management officers as determined by the Board. An independent reasonableness opinion is obtained annually regarding the Chief Executive Officer's compensation and that of other executives as determined by the Committee. |
| SEVERANCE PAYMENTS | SCHEDULE J, PART I, LINE 4A | THE FOLLOWING INDIVIDUALS RECEIVED SEVERANCE PAY DURING THE CALENDAR YEAR 2011 PURSUANT TO A WRITTEN SEPARATION AGREEMENT WITH THE HOSPITAL: MICHAEL B. ZENN: $329,542 ANGELA STEFANIU: $157,019 RAMEEZ ALASADI, MD: $173,077 |
| SUPPLEMENTAL INFORMATION | SCHEDULE J, PART II, COLUMN C | CERTAIN OFFICERS AND KEY EMPLOYEES OF NORTHWEST COMMUNITY HOSPITAL PARTICIPATE IN A SECTION 457(F) DEFERRED COMPENSATION PLAN. CURRENT YEAR DEFERRED AMOUNTS ARE INCLUDED IN PART VII, COLUMN F AND SCHEDULE J, PART II, COLUMN C. CURRENT YEAR DISTRIBUTIONS, INCLUDED IN PART VII, COLUMN D; SCHEDULE J, PART II, COLUMN B(III); AND SCHEDULE J, PART II, COLUMN (F) ARE: BRUCE K. CROWTHER $134,860 MARK D. LUSSON $119,042 DALE E. BEATTY $21,367 |
Schedule K IRS990ScheduleK
Form990 Schedule K Part I Form990ScheduleKPartI (3 entries)
| Issuer EINIssuerEIN | CUSIP NumberCUSIPNumber | Date IssuedDateIssued | Issue PriceIssuePrice | Description Of PurposeDescriptionOfPurpose | DefeasedDefeased | On Behalf Of IssuerOnBehalfOfIssuer | Pool FinancingPoolFinancing |
|---|---|---|---|---|---|---|---|
| ILLINOIS FINANCE AUTHORITY | |||||||
| 861091967 | 45200FNR6 | 2008-09-19 | 151075932 | SEE PART VI | false | false | false |
| ILLINOIS FINANCE AUTHORITY | |||||||
| 861091967 | 45200FNU9 | 2008-10-17 | 86820000 | SEE PART VI | false | false | false |
| ILLINOIS FINANCE AUTHORITY | |||||||
| 861091967 | 000000000 | 2011-12-01 | 53100000 | SEE PART VI | false | false | false |
Form990 Schedule K Part II Form990ScheduleKPartII (3 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 | 151417356 | 0 | 0 | 0 | 1437934 | 0 | 0 | 149979422 | 0 | 0 | 2010 | false | false | true | true |
| 0 | 0 | 86820000 | 0 | 0 | 0 | 598075 | 93000 | 0 | 86128925 | 0 | 0 | 2008 | true | false | true | true |
| 0 | 0 | 53100000 | 0 | 0 | 0 | 434279 | 0 | 0 | 0 | 52665721 | 0 | 2011 | true | false |
Form990 Schedule K Part III Form990ScheduleKPartIII (3 entries)
| Owning Bond Financed PropertyOwningBondFinancedProperty | Any Lease ArrangementsAnyLeaseArrangements | Mngment Cntrct Bond Financd PrprtyMngmentCntrctBondFinancdPrprty | Engage Bond Counsel ContractsEngageBondCounselContracts | Any Research AgreementsAnyResearchAgreements | Prcntge Prvt Business Use By OthersPrcntgePrvtBusinessUseByOthers | Post Issuance Compliance ProcdrsPostIssuanceComplianceProcdrs |
|---|---|---|---|---|---|---|
| false | false | false | false | false | 0 | true |
| false | false | false | 0 | true | ||
| false | false | false | 0 | true |
Form990 Schedule K Part IV Form990ScheduleKPartIV (3 entries)
| Form8038 T FiledForm8038TFiled | Variable Rate IssueVariableRateIssue | Hedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecds | Gross Proceeds Invested In GICGrossProceedsInvestedInGIC | Business Name Line1NameOfGICProvider/BusinessNameLine1 | Gross Proceeds InvestedGrossProceedsInvested | Exception To RebateExceptionToRebate |
|---|---|---|---|---|---|---|
| 0 | ||||||
| false | false | false | false | 0 | false | true |
| 0 | ||||||
| false | true | false | false | 0 | false | true |
| 0 | ||||||
| 0 | ||||||
Form990 Schedule K Part VI Form990ScheduleKPartVI
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | supplemental information | Identifier |
| Return Reference | 0 | ReturnReference |
| Explanation | SCHEDULE K, PART I, COLUMN (F) DESCRIPTION OF PURPOSE BOND A PROCEEDS WERE USED FOR: CONSTRUCTION OF A PATIENT TOWER AND PARKING GARAGE; EXPANSION AND RENOVATION OF THE HOSPITAL'S EMERGENCY DEPARTMENT AND SURGERY SUITES; RELOCATION OF CERTAIN DEPARTMENTS ON THE HOSPITAL'S CAMPUS; AND PURCHASE OF CERTAIN EQUIPMENT USED IN THE HOSPITAL'S BUSINESS. BOND B PROCEEDS WERE USED TO REPAY A TAXABLE LOAN, THE PROCEEDS OF WHICH WERE USED, TOGETHER WITH OTHER FUNDS, TO REDEEM THE AUTHORITY'S SERIES 2002A BONDS (NW COMMUNITY HOSPITAL) IN APRIL 2008. BOND C PROCEEDS WERE USED TO REFUND THE 2/13/2002 BOND ISSUANCE. SCHEDULE K, PART II, LINE 3 BOND A THE TOTAL PROCEEDS INCLUDE $341,424 OF INVESTMENT EARNINGS. | Explanation |
Schedule L IRS990ScheduleL
Loan Table LoanTable
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | James J Smith MD | NamePerson |
| Purpose Of Loan | Phys Practice Suppt | PurposeOfLoan |
| Loan From Organization | X | LoanFromOrganization |
| Original Principal | $85,793 | OriginalPrincipalAmount |
| Balance Due | 98476 | BalanceDue |
| Default | true | Default |
| Approved By Board | true | ApprovedByBoard |
| Written Agreement | true | WrittenAgreement |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Total Balance Due | 98476 | TotalBalanceDue |
Form990 Schedule L Part IV Form990ScheduleLPartIV
Name Of Interested Person NameOfInterestedPerson
| Field | Value | IRS element (for citing) |
|---|---|---|
| Name Person | SARAH BISHOP | NamePerson |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Relationship | see part v | Relationship |
| Amount Of Transaction | 26406 | AmountOfTransaction |
| Description Of Transaction | salary | DescriptionOfTransaction |
| Sharing Of Revenues | false | SharingOfRevenues |
Form990 Schedule L Part V Form990ScheduleLPartV
| Field | Value | IRS element (for citing) |
|---|---|---|
| Identifier | RELATIONSHIP BETWEEN INTERESTED PERSON AND THE ORGANIZATION | Identifier |
| Return Reference | SCHEDULE L, PART IV | ReturnReference |
| Explanation | SARAH BISHOP IS THE DAUGHTER OF JAMES H. BISHOP (DIRECTOR). | Explanation |
Schedule O IRS990ScheduleO
General Explanation GeneralExplanation (40 entries)
| IdentifierIdentifier | Return ReferenceReturnReference | ExplanationExplanation |
|---|---|---|
| Description of Relationships | Form 990, Part VI, Question 2 | BRUCE K. CROWTHER, NORTHWEST COMMUINTY HOSPITAL (HOSPITAL) DIRECTOR AND CEO, AND JAMES H. BISHOP, HOSPITAL DIRECTOR, SERVE ON THE BOARDS OF WINTRUST FINANCIAL CORPORATION AND BARRINGTON BANK AND TRUST COMPANY NA. MICHAEL B. ZENN, FORMER HOSPITAL OFFICER, AND JAMES H. BISHOP, HOSPITAL DIRECTOR, SERVE ON THE BOARD OF VILLAGE BANK AND TRUST (A WINTRUST BANK). HOSPITAL DOES NOT TRANSACT ANY BUSINESS WITH WINTRUST FINANCIAL, BARRINGTON BANK, OR VILLAGE BANK AND TRUST. |
| DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERS | FORM 990, PART VI, QUESTION 6 | NORTHWEST COMMUNITY HEALTHCARE (NCH) IS THE SOLE CORPORATE MEMBER OF NORTHWEST COMMUNITY HOSPITAL (HOSPITAL). AS SUCH, IT ELECTS OR APPOINTS THE MEMBERS OF HOSPITAL'S GOVERNING BODY AND APPROVES SIGNIFICANT DECISIONS. DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS FORM 990, PART VI, QUESTION 7A NCH IS THE SOLE CORPORATE MEMBER OF HOSPITAL. AS SUCH, IT ELECTS OR APPOINTS THE MEMBERS OF THE GOVERNING BODY OF HOSPITAL PERIODICALLY OR AS VACANCIES ARISE. DESCR CLASSES OF PERSONS, DECISIONS REQUIRING APPR & TYPE OF VOTING RIGHTS FORM 990, PART VI, QUESTION 7B NCH IS THE SOLE CORPORATE MEMBER OF HOSPITAL. AS SUCH, IT MUST APPROVE CERTAIN ACTIONS OF HOSPITAL. ACTION IS TAKEN BY A MAJORITY VOTE OF THE NCH BOARD WITH A QUORUM PRESENT. NCH MUST APPROVE THE FOLLOWING TYPES OF DECISIONS BY HOSPITAL: VOLUNTARY DISSOLUTION, MERGER, CONSOLIDATION OR SALE OR TRANSFER OF 10% OR MORE OF HOSPITAL'S ASSETS; SALE OF REAL PROPERTY OR INTEREST THEREIN; CREATION OF A SUBSIDIARY OR AFFILIATE; ANNUAL AND LONG-TERM CAPITAL AND OPERATING BUDGETS; AMENDMENT, ALTERATION OR REPEAL OF HOSPITAL'S ARTICLES OF INCORPORATION OR BYLAWS; SELECTION OF AUDITORS; APPOINTMENT, REMOVAL AND EVALUATION OF HOSPITAL DIRECTORS; DEBT OR INDEBTEDNESS, GUARANTEES OR BORROWINGS; APPOINTMENT, COMPENSATION, BENEFITS AND EVALUATION OF OFFICERS; APPOINTMENT AND EMPLOYMENT OF THE PRESIDENT; AND ACTIONS TAKEN BY TRUSTEES OF THE NORTHWEST COMMUNITY HOSPITAL EMPLOYEES RETIREMENT PLAN. |
| Describe the Process used by Management &/or Governing Body to Review 990 | FORM 990, PART VI, QUESTION 11B | A COPY OF FORM 990 WAS MADE AVAILABLE TO THE MEMBERS OF HOSPITAL'S BOARD PRIOR TO FILING. THE AUDIT AND COMPLIANCE COMMITTEE OF THE NCH BOARD REVIEWED FORM 990 FOR AFFILIATES OF NCH PRIOR TO DISTRIBUTION TO THE FULL BOARD. Description of Process to Monitor Transactions for Conflicts of Interest Form 990, Part VI, Question 12c EACH YEAR, THE CONFLICT OF INTEREST POLICY AND QUESTIONNAIRE IS SENT TO DIRECTORS, OFFICERS AND KEY EMPLOYEES. EACH RESPONSE IS REVIEWED BY THE GENERAL COUNSEL AND THOSE IN WHICH ANY ACTUAL OR APPARENT CONFLICT WITH THE PRESENT ROLE IS DISCLOSED, ARE REVIEWED BY THE PRESIDENT/CEO AND BOARD CHAIRPERSON. IN THE CASE OF ANY CONFLICT INVOLVING AN ENTITY OR PARTY WITH WHICH HOSPITAL IS DEALING OR COMPETING, THE PERSON WITH THE CONFLICT MAY NOT PARTICIPATE IN ANY DECISIONS REGARDING THAT PARTY. INDIVIDUALS WHO ARE INDEPENDENT CONTRACTORS, OFFICERS, DIRECTORS, OR EMPLOYEES OF OTHER HEALTHCARE FACILITIES IN HOSPITAL'S SERVICE AREA MAY NOT SERVE ON NCH'S OR ANY RELATED ORGANIZATION'S BOARD OR BOARD COMMITTEE. IN ADDITION, THE POLICY INCLUDES A SAMPLE CONFLICT OF INTEREST DISCLOSURE LETTER TO BE USED IF A CONFLICT ARISES AFTER SUBMISSION OF THE ANNUAL QUESTIONNAIRE AND BEFORE SUBMISSION OF THE NEXT ANNUAL QUESTIONNAIRE. SUCH DISCLOSURE LETTERS WOULD BE REVIEWED AS NOTED ABOVE AT THE TIME THEY ARE RECEIVED. |
| COMPENSATION DETERMINATION PROCESS FOR TOP MANAGEMENT OFFICIAL | Form 990, Part VI, Question 15a | THE COMPENSATION AND GOVERNANCE COMMITTEE OF THE NCH BOARD IS RESPONSIBLE FOR SETTING THE COMPENSATION OF THE PRESIDENT/CEO WHO IS THE TOP MANAGEMENT OFFICIAL. COMPENSATION IS REVIEWED USING AN EXTERNAL COMPENSATION FIRM, PINP, INC. THE REVIEW ALSO UTILIZES COMPARISONS TO SIMILAR ORGANIZATIONS THROUGH REVIEW OF FORMS 990, USE OF COMPARISON STUDIES FROM THE METROPOLITAN CHICAGO HEALTHCARE COUNCIL AND OTHER SOURCES. THE PROCESS IS DOCUMENTED IN THE MINUTES OF THE NOMINATION AND COMPENSATION COMMITTEE. |
| COMPENSATION DETERMINATION PROCESS FOR OFFICERS & KEY EMPLOYEES | FORM 990, PART VI, QUESTION 15B | THE COMPENSATION AND GOVERNANCE COMMITTEE OF THE NCH BOARD IS RESPONSIBLE FOR APPROVING THE COMPENSATION OF THE OFFICERS AND KEY EMPLOYEES (VICE PRESIDENTS) OF HOSPITAL BASED ON RECOMMENDATIONS FROM THE PRESIDENT/CEO. THE REVIEW UTILIZES COMPARISONS TO STUDIES FROM THE METROPOLITAN CHICAGO HEALTHCARE COUNCIL AND OTHER SOURCES. THE PROCESS IS DOCUMENTED IN THE MINUTES OF THE NOMINATION AND COMPENSATION COMMITTEE. |
| AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY, & FIN STMTS TO GEN PUBLIC | FORM 990, PART VI, QUESTION 19 | GOVERNING DOCUMENTS AND THE CONFLICT OF INTEREST POLICY ARE NOT MADE PUBLIC. HOSPITAL'S FINANCIAL STATEMENTS ARE INCLUDED IN THE ANNUAL CONSOLIDATED AUDIT REPORT OF NCH AND SUBSIDIARIES. THESE CONSOLIDATED FINANCIAL STATEMENTS ARE AVAILABLE TO THE PUBLIC VIA THE MUNICIPAL SECURITIES RULEMAKING BOARD'S ELECTRONIC MUNICIPAL MARKET ACCESS (EMMA) WEBSITE AT WWW.EMMA.MSRB.ORG. |
| RECONCILIATION OF NET ASSETS - OTHER CHANGES IN NET ASSETS | FORM 990, PART XI, QUESTION 5 | OTHER CHANGES IN NET ASSETS: UNREALIZED GAIN ON SALE OF INVESTMENT 1,831,353 BASIS SWAP GAIN 1,064,599 LOSS ON EARLY EXTINGUISHMENT OF DEBT (319,354) PENSION RELATED CHANGES OTHER THAN NET PERIODIC PENSION COST 1,939,914 RESTRICTED FUNDS - SILVER LINING PROGRAM (17,624) CHANGE IN TEMPORARILY RESTRICTED FUNDS 794,366 CHANGE IN PERMANENTLY RESTRICTED FUNDS 151,342 NET ASSETS TRANSFER TO NORTHWEST COMMUNITY HEALTHCARE (6,500,000) ------------ OTHER CHANGES IN NET ASSETS (1,055,404) |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:M. Shan Atkins TITLE:Director HOURS: |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:James H. Bishop TITLE:Director HOURS: |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Craig E. Christell TITLE:Director HOURS: |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Daniel P. DiCaro TITLE:Director HOURS: |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Dale J. Garber TITLE:Director HOURS: |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Louis A. Gatta TITLE:Director HOURS: |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Marla E. Glabe TITLE:Director HOURS: |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Charles A. Hempfling TITLE:Director HOURS: |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Diane G. Hill TITLE:Director HOURS: |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Francis J. Lamberta, MD TITLE:Director/Med Staff Pres. 2011 HOURS: |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Robert J. Longo, MD TITLE:Director/Med Staff Pres. 2012 HOURS: |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Allen S. Malmed, MD TITLE:Director thru 12/31/11 HOURS: |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Louis J. Marsico TITLE:Director HOURS: |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Mary R. Sheahen TITLE:Director HOURS: |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:William D. Soper, MD TITLE:Director HOURS: |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Raymond Grady TITLE:Director HOURS: |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Cynthia M. Valukas, MD TITLE:Director HOURS: |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Max Brittain, Jr. TITLE:Chairperson 2011, 2012 HOURS: |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Thomas P. MacCarthy TITLE:Vice Chairperson 2011, 2012 HOURS: |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Bruce K. Crowther TITLE:President/CEO/Secretary HOURS:14 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Stephen O. Scogna TITLE:Exec. VP/CFO/Treasurer HOURS:9 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:LEIGHTON B. SMITH, MD TITLE:Executive VP Medical Affairs HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:MARK D. LUSSON TITLE:Executive VP Human RESOURCES HOURS: |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:DALE E. BEATTY TITLE:Exec VP Patient Services & CNO HOURS:2 |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:Michael C. Hartke TITLE:Exec VP Clinics Regional SerVS HOURS: |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:WILLIS G. PARSONS, MD TITLE:Medical Director GI Center HOURS: |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:MALCOLM BILIMORIA, MD TITLE:GASTROENTEROLOGY Physician HOURS: |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:RAMEEZ ALASADI, MD TITLE:GASTROENTEROLOGY Physician HOURS: |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:SOTIRIOS MARKULY, MD TITLE:OB Gyne Hospitalist HOURS: |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:SONIA C. MEHTA, MD TITLE:EXEC. DIR IMMEDIATE CARE OHS HOURS: |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:MICHAEL B. ZENN TITLE:FORMER Executive VP/COO/TREAS. HOURS: |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:ANN SAYVETZ TITLE:General Counsel HOURS: |
| HOURS DEVOTED FOR RELATED ORGANIZATION | FORM 990 PART VII | NAME:ANGELA STEFANIU TITLE:VP Marketing Bus Development HOURS: |
Schedule R IRS990ScheduleR
Form990 Schedule R Part I Form990ScheduleRPartI (2 entries)
| Address Line1AddressUS/AddressLine1 | CityAddressUS/City | StateAddressUS/State | ZIP CodeAddressUS/ZIPCode | EINEIN | Primary ActivitiesPrimaryActivities | Legal Domicile StateLegalDomicileState | Total IncomeTotalIncome | EOY AssetsEOYAssets | Business Name Line1DirectControllingEntityName/BusinessNameLine1 |
|---|---|---|---|---|---|---|---|---|---|
| NORTHWEST COMMUNITY PHYSICIANS ASSN LLC | |||||||||
| 3060 SALT CREEK LANE | ARLINGTON HTS | IL | 60005 | 510457240 | PATIENT CARE | IL | 2901038 | 526056 | NA |
| NCH SERVICE COMPANY LLC | |||||||||
| 3060 SALT CREEK LANE | ARLINGTON HTS | IL | 60005 | 263791362 | PATIENT CARE | IL | 1830459 | 269554 | NCPA LLC |
Form990 Schedule R Part II Form990ScheduleRPartII (3 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 |
|---|---|---|---|---|---|---|---|---|---|---|
| NORTHWEST COMMUNITY HEALTHCARE | ||||||||||
| 800 WEST CENTRAL ROAD | ARLINGTON HTS | IL | 60005 | 363125209 | SUPPORT ORG | IL | 501(C)(3) | 11 TYPE II | NA | false |
| NORTHWEST COMMUNITY DAY SURGERY CTR INC | ||||||||||
| 675 WEST KIRCHOFF | ARLINGTON HTS | IL | 60005 | 363540436 | OUTPATIENT | IL | 501(c)(3) | 3 | NCH | false |
| NORTHWEST COMMUNITY HOSPITAL FOUNDATION | ||||||||||
| 3060 SALT CREEK LANE | ARLINGTON HTS | IL | 60005 | 363125193 | FUNDRAISING | IL | 501(c)(3) | 7 | NCH | false |
Form990 Schedule R Part III Form990ScheduleRPartIII
Name Of Related Org NameOfRelatedOrg
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NPC-CYBERKNIFE LLC | BusinessNameLine1 |
Address US AddressUS
| Field | Value | IRS element (for citing) |
|---|---|---|
| Address Line1 | 800 W CTRL | AddressLine1 |
| City | ARLINGTON HTS | City |
| State | IL | State |
| ZIP Code | 60005 | ZIPCode |
| Field | Value | IRS element (for citing) |
|---|---|---|
| EIN | 204462828 | EIN |
| Primary Activity | EQUIPMENT LEASING | PrimaryActivity |
| Legal Domicile State | DE | LegalDomicileState |
Direct Controlling Entity Name DirectControllingEntityName
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NA | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Predominant Income Type | N/A | PredominantIncomeType |
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 | Share Of Total IncomeShareOfTotalIncome | Share Of EOY AssetsShareOfEOYAssets | Percentage OwnershipPercentageOwnership | Address Line1AddressForeign/AddressLine1 | CityAddressForeign/City | Province Or StateAddressForeign/ProvinceOrState | CountryAddressForeign/Country | Legal Domicile Foreign CountryLegalDomicileForeignCountry |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NORTHWEST COMMUNITY HEALTH SERVICES INC | ||||||||||||||||
| 800 WEST CENTRAL ROAD | ARLINGTON HTS | IL | 60005 | 363312906 | HEALTHCARE SVCS | IL | HEALTHCARE | C CORP | ||||||||
| NORTHWEST COMMUNITY CAPCO INC | ||||||||||||||||
| 800 WEST CENTRAL ROAD | ARLINGTON HEIGHTS | IL | 60005 | 364027717 | MANAGED CARE | IL | HOSPITAL | C CORP | 238474 | 623286 | 1.00000 | |||||
| NCH CASUALTY INSURANCE SPC LTD | ||||||||||||||||
| 980442062 | INSURANCE | HEALTHCARE | C CORP | 68 WEST BAY ROAD KY1-1102 | GRAND CAYMAN | CAYMAN ISLANDS | CJ | CJ | ||||||||
| NCH PHYSICIANS COOPERATIVE | ||||||||||||||||
| 800 WEST CENTRAL ROAD | ARLINGTON HEIGHTS | IL | 60005 | 201830299 | GROUP PURCHASING | IL | HOSPITAL | C CORP | 1.00000 | |||||||
| 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 | false | 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 | false | PerformOfServicesByOtherOrgs |
| Sharing Of Facilities | false | SharingOfFacilities |
| Sharing Of Paid Employees | false | SharingOfPaidEmployees |
| Reimbursement Paid To Other Org | false | ReimbursementPaidToOtherOrg |
| Reimbursement Paid By Other Org | true | ReimbursementPaidByOtherOrg |
| Other Transfer To Other Org | true | OtherTransferToOtherOrg |
| Other Transfer From Other Org | false | OtherTransferFromOtherOrg |
Transactions Related Orgs Table TransactionsRelatedOrgsTable
Name Of Other Organization NameOfOtherOrganization
| Field | Value | IRS element (for citing) |
|---|---|---|
| Business Name Line1 | NORTHWEST COMMUNITY CAPCO INC | BusinessNameLine1 |
| Field | Value | IRS element (for citing) |
|---|---|---|
| Transaction Type | P | TransactionType |
| Amount Involved | 289129 | AmountInvolved |
| Method Of Amt Determination | COST | MethodOfAmtDetermination |