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NORTHSHORE UNIVERSITY HEALTHSYSTEM: Form 990, tax year 2009

View the entire original 990 at ProPublica ↗

Organization
NORTHSHORE UNIVERSITY HEALTHSYSTEM (EIN 36-2167060)
Tax period
2009-10-01 to 2010-09-30
Filed
2011-08-11
IRS object ID
201102239349301315
Schema version
2009v1.7
Source
Download XML · Original 990 at ProPublica

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

Return header ReturnHeader

FieldValueIRS element (for citing)
Timestamp2011-08-11T09:13:04-04:00Timestamp
Tax Period End Date2010-09-30TaxPeriodEndDate

Preparer Firm PreparerFirm

Preparer Firm Business Name PreparerFirmBusinessName

FieldValueIRS element (for citing)
Business Name Line1Deloitte Tax LLPBusinessNameLine1

Preparer Firm US Address PreparerFirmUSAddress

FieldValueIRS element (for citing)
Address Line1111 South Wacker DriveAddressLine1
CityChicagoCity
StateILState
ZIP Code60606ZIPCode
FieldValueIRS element (for citing)
Return Type990ReturnType
Tax Period Begin Date2009-10-01TaxPeriodBeginDate

Filer Filer

FieldValueIRS element (for citing)
EIN362167060EIN

Name Name

FieldValueIRS element (for citing)
Business Name Line1NorthShore University HealthSystemBusinessNameLine1
FieldValueIRS element (for citing)
Name ControlNORTNameControl
Phone8475702000Phone

US Address USAddress

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

Officer Officer

FieldValueIRS element (for citing)
NameGARY E WEISSName
TitleTreasurer and CFOTitle
Date Signed2011-08-09DateSigned
Authorize Third PartytrueAuthorizeThirdParty

Preparer Preparer

FieldValueIRS element (for citing)
Phone3124861000Phone
FieldValueIRS element (for citing)
Tax Year2009TaxYear
Build TS2016-02-24 21:20:13ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Name Of Principal Officer PersonGary E WeissNameOfPrincipalOfficerPerson

Address Principal Officer US AddressPrincipalOfficerUS

FieldValueIRS element (for citing)
Address Line11301 Central StreetAddressLine1
CityEvanstonCity
StateILState
ZIP Code60201ZIPCode
FieldValueIRS element (for citing)
Gross Receipts1712398615GrossReceipts
Group Return For AffiliatesfalseGroupReturnForAffiliates
Organization501cXOrganization501c
Web Sitenorthshore.orgWebSite
Type Of Organization CorporationXTypeOfOrganizationCorporation
Year Formation1891YearFormation
State Legal DomicileILStateLegalDomicile
Activity Or Mission DescriptionThe core mission of NorthShore University HealthSystem is to preserve and improve human life.ActivityOrMissionDescription
Nbr Voting Members Governing Body25NbrVotingMembersGoverningBody
Nbr Independent Voting Members21NbrIndependentVotingMembers
Total Nbr Employees9970TotalNbrEmployees
Total Nbr Volunteers1015TotalNbrVolunteers
Total Gross UBI25175642TotalGrossUBI
Net Unrelated Business Txbl Income-850732NetUnrelatedBusinessTxblIncome
Contributions Grants Prior Year8532715ContributionsGrantsPriorYear
Contributions Grants Current Year11188035ContributionsGrantsCurrentYear
Program Service Revenue Prior Year1094216333ProgramServiceRevenuePriorYear
Program Service Revenue CY1136217061ProgramServiceRevenueCY
Investment Income Prior Year-59265718InvestmentIncomePriorYear
Investment Income Current Year35568079InvestmentIncomeCurrentYear
Other Revenue Prior Year41787994OtherRevenuePriorYear
Other Revenue Current Year30629002OtherRevenueCurrentYear
Total Revenue Prior Year1085271324TotalRevenuePriorYear
Total Revenue Current Year1213602177TotalRevenueCurrentYear
Grants And Similar Amnts Prior Year33242363GrantsAndSimilarAmntsPriorYear
Grants And Similar Amnts CY31956016GrantsAndSimilarAmntsCY
Benefits Paid To Members Prior Year0BenefitsPaidToMembersPriorYear
Benefits Paid To Members CY0BenefitsPaidToMembersCY
Salaries Etc Prior Year484877730SalariesEtcPriorYear
Salaries Etc Current Year507921510SalariesEtcCurrentYear
Total Prof Fundrsng Exp Prior Year0TotalProfFundrsngExpPriorYear
Total Prof Fundrsng Exp CY0TotalProfFundrsngExpCY
Total Fundrsng Exp Current Year0TotalFundrsngExpCurrentYear
Other Expense Prior Year638599086OtherExpensePriorYear
Other Expenses Current Year628153262OtherExpensesCurrentYear
Total Expenses Prior Year1156719179TotalExpensesPriorYear
Total Expenses Current Year1168030788TotalExpensesCurrentYear
Revenues Less Expenses Prior Year-71447855RevenuesLessExpensesPriorYear
Revenues Less Expenses CY45571389RevenuesLessExpensesCY
Total Assets BOY2307023213TotalAssetsBOY
Total Assets EOY2673472097TotalAssetsEOY
Total Liabilities BOY1177225718TotalLiabilitiesBOY
Total Liabilities EOY1304792510TotalLiabilitiesEOY
Net Assets Or Fund Balances BOY1129797495NetAssetsOrFundBalancesBOY
Net Assets Or Fund Balances EOY1368679587NetAssetsOrFundBalancesEOY
Mission DescriptionSee Schedule OMissionDescription
Significant New Program ServicesfalseSignificantNewProgramServices
Significant ChangefalseSignificantChange
Expense936411644Expense
Grants27352862Grants
Revenue1138141743Revenue
DescriptionPATIENT CARE - Headquartered in Evanston, IL, NorthShore University HealthSystem, (NorthShore), is a comprehensive, fully integrated, healthcare delivery system that serves the greater North Shore and northern Illinois communities. NorthShore includes four Hospitals: Evanston Hospital, Glenbrook Hospital, Highland Park Hospital and Skokie Hospital. The system has more than 2,000 affiliated physicians, including a multispecialty group practice with over 75 office locations under the NorthShore University HealthSystem Faculty Practice Associates. The NorthShore University HealthSystem Foundation seeks to obtain philanthropic support for ensuring the health system can provide advanced research and state-of-the-art facilities and equipment. The integrated health system has significant capabilities in a wide spectrum of clinical programs, including cancer, heart, orthopaedics, high-risk maternity and pediatrics. NorthShore is a national leader in the implementation of innovative technologies, including electronic medical records (EMRs). In 2003, NorthShore was among the first hospital system in the country to successfully launch a systemwide EMR with demonstrable benefits in quality, safety, efficiency and service to patients. NorthShore has been recognized by multiple national organizations for this notable achievement. NorthShore has also been named one of the nation's Top 100 Hospitals by Thomson Reuters, a leading provider of information and solutions to improve the cost and quality of healthcare. NorthShore was recently named a Top 100 Hospital for the fifteenth time, which is more times than any hospital in the United States. The award recognizes hospitals that have achieved excellence in clinical outcomes, patient safety, patient satisfaction, financial performance, and operational efficiency. In addition, NorthShore's four hospitals - Evanston, Glenbrook, Highland Park and Skokie - were named to the annual class of top national hospitals by the Leapfrog Group's Top Hospitals List for 2010. NorthShore's four hospitals were among 65 selected from a field of nearly 1,200 hospitals that participated voluntarily in the survey. The selections were based on the results of the Leapfrog Group's national survey that measures hospitals' performance in crucial areas of patient safety and quality. The survey is the most complete picture available of a hospital's quality and safety. NorthShore has also received Magnet recognition, which is given by the American Nurses Credentialing Center (ANCC) to recognize health care organizations that demonstrate excellence in nursing and high standards in patient care. The Magnet recognition is the highest honor in nursing and serves as a benchmark for patients to measure the safety and quality of care they can expect to receive. Only six percent of hospitals across the country have achieved this extraordinary recognition. NorthShore is also the only organization in Illinois to receive this prestigious designation as a system. NorthShore has aligned its community benefits program with the guiding principles outlined in Advancing the State of the Art of Community Benefit for nonprofit hospitals, which provides a set of uniform standards to increase accountability and align governance, management, and operations to return benefit to local communities. The five guiding principles are: 1) Disproportionate Unmet Health-Related Needs, 2) Primary Prevention, 3) Seamless Continuum of Care, 4) Build Community Capacity, and 5) Community Collaboration. NorthShore informs and educates patients who may be billed for patient care of the Financial Assistance program by posting signage (both English and Spanish) in all our facilities' Emergency Departments and at our Central Registration areas. The NorthShore Patient Handbook is also presented to patients upon admission and it describes our Financial Assistance program that includes Charity Care. NorthShore also has approximately 13 full time financial counselors and 22 customer service agents working in our hospitals and clinics, and they are responsible for coordinating financial assistance and eligibility. Any uninsured patient admitted into the hospital will have their case reviewed by a financial counselor. NorthShore billing statements also indicate the Financial Assistance program and necessary contact information, and collection agencies are also instructed to offer charity care to potentially eligible patients. The NorthShore website is another useful resource that informs patients about the Financial Assistance program with links to the application process and the actual financial application. Any patient having difficulty paying their portion of the bill will have their case reviewed by either our financial counselors or by calling our Customer Service department. Evanston Hospital - With a history dating to 1891, Evanston Hospital is a 372-licensed bed hospital and serves as the nucleus of the NorthShore University HealthSystem. Evanston Hospital demonstrates leadership in cancer and cardiac care, providing specialized cancer services at the Kellogg Cancer Care Center and comprehensive heart care at the Cardiovascular Care Center. Physicians work alongside leading researchers to translate the latest technology, treatment and research into improved patient care. As a Level Three Perinatal Center for high risk obstetrics, the Women's Hospital offers a comfortable birthing environment where high risk mothers and their babies have access to the latest technology and a highly trained staff. Evanston Hospital is the regional referral center for high risk maternal transports for eight suburban Chicago hospitals. The Hospital is also a licensed Level I Trauma Center. During fiscal year 2010, Evanston Hospital total admissions were 19,328, and total patient days were 98,086. As of September 2010, Evanston Hospital had 2,908 employees. Glenbrook Hospital - Opened in 1977, Glenbrook Hospital is a 169-licensed bed hospital facility offering high-tech medical care in a community hospital setting. Few hospitals of its size deliver such diverse services as cardiac care, including cardiac catheterization and ultra fast CT scan; total hip and knee replacement; the Eye and Vision Center for LASIK and other eye surgery; and neurological services including a new sleep center, a cognitive and memory disorder program and a Parkinson's Disease clinic. Glenbrook Hospital also features a top notch gastroenterology (GI) suite with advanced technology. Paired with a highly qualified team of physicians, the GI program is among the strongest in the region for research, diagnosis and treatment. Children's at Glenbrook provides outpatient pediatric services and ambulatory surgery in partnership with Children's Memorial Hospital. A Level II Trauma Center, the Emergency Department of Glenbrook Hospital has been ranked No. 1 in the nation for patient satisfaction and offers a Fast Track service for prompt responsive treatment of minor illnesses and injuries. Near Glenbrook Hospital, the Park Center, in the Glenview Park District building, offers several services, including an Integrative Medicine Program, appointments with physicians in Rheumatology and Physical Medicine, rehabilitation services, community wellness programs and a retail herbal and wellness pharmacy. During fiscal year 2010, Glenbrook Hospital total admissions were 9,174, and total patient days were 42,129. As of September 2010, Glenbrook Hospital had 1,014 employees. (Continued on Schedule O)Description

Activity2 Activity2

FieldValueIRS element (for citing)
Expense45261217Expense
Revenue910603Revenue
DescriptionEDUCATION - NorthShore University HealthSystem (NorthShore) is committed to excellence in its academic mission and supports teaching and research in its role as the principal teaching affiliate of the University of Chicago Pritzker School of Medicine. NorthShore also has additional teaching affiliation agreements with Rush University Medical Center, University of Illinois-Chicago, Stroger Hospital, and Northwestern University Feinberg School of Medicine. NorthShore has an extensive selection of training programs and fellowships to offer physicians at our own teaching and research facilities. During fiscal year 2010, a total of 187 residents and fellows participated in the NorthShore and affiliate-based programs. The NorthShore residency program areas included: Dentistry, Internal Medicine, Pathology, Preliminary Medicine (intern year), Transitional Medicine (1st Year prior to specialization), and Family Medicine. The NorthShore fellowship program areas included: Urogynecology, Magnetic Resonance Imaging, Musculoskeletal Imaging, and Pediatric Plastic Surgery. The affiliate-based residency program areas included: Anesthesiology, Dermatology, Emergency Medicine, Obstetrics and Gynecology, Orthopaedic Surgery, Pediatrics, Psychiatry, Radiology, General Surgery, Neurosurgery, Ophthalmology, Plastic Surgery, Podiatry, and Urology. The affiliate-based fellowship program areas included: Cardiology, Gastroenterology, Molecular Genetics Pathology, Pediatrics, Psychiatry, Radiology, and Surgical Oncology. The NorthShore School of Anesthesia operates out of Evanston Hospital. The program has full accreditation from the Council of Accreditation of Nurse Anesthesia Educational Programs. The mission of the school is to prepare qualified professional registered nurses for the advanced practice of nurse anesthesia in a variety of practice settings. The graduate nurse anesthetist demonstrates the knowledge, skills, and attitude necessary to take on leadership roles in the practice of nurse anesthesia. During fiscal year 2010, 68 students participated in the program. NorthShore also provides clinical training and internships for student nurses, allied health technicians, and social work students through collaborative relationships with Chamberlain College, College of DuPage, College of Lake County, North Park University, Loyola University Chicago, Oakton Community College, Rosalind Franklin University, University of Illinois, University of Illinois at Chicago, Rush University, DePaul University, Harper College, Midwestern University, Northwestern University, Northern Illinois University, and Eastern Illinois University. During the 2010 academic year, 1,309 students participated in clinical rotations at NorthShore.Description

Activity3 Activity3

FieldValueIRS element (for citing)
Expense4603154Expense
Grants4603154Grants
DescriptionRESEARCH - In order to increase the efficiency and quality of health care NorthShore provides, the NorthShore University HealthSystem Research Institute (Research Institute) was organized in 1996 to serve as an integral part of its health care mission and activities. The Research Institute was organized to provide a means for integrating leading-edge research into improved clinical care. The Research Institute also creates an environment to recruit and retain externally-funded research leadership in order to achieve the mission and goals of the organization. The Research Institute now houses nearly 200 externally funded research faculty who currently occupy over 100,000 net square feet of research space and work on nearly 1,000 active research protocols. Total external funding is now over $100 million. Funding from the NIH places the hospitals of NorthShore among the top 10 comprehensive independent research hospitals in the country.Description
FieldValueIRS element (for citing)
Total Program Service Expense986276015TotalProgramServiceExpense
Described In501 C3trueDescribedIn501C3
Schedule B RequiredtrueScheduleBRequired
Political ActivitiesfalsePoliticalActivities
Lobbying ActivitiestrueLobbyingActivities
Donor Advised FundsfalseDonorAdvisedFunds
Conservation EasementsfalseConservationEasements
Collections Of ArtfalseCollectionsOfArt
Credit CounselingfalseCreditCounseling
Term Or Permanent EndowmentstrueTermOrPermanentEndowments
Balance Sheet Amounts ReportedtrueBalanceSheetAmountsReported
Independent Audit Financial StmtfalseIndependentAuditFinancialStmt
Consolidated Audit Financial StmttrueConsolidatedAuditFinancialStmt
SchoolfalseSchool
Foreign OfficefalseForeignOffice
Foreign ActivitiestrueForeignActivities
More Than5000 K To OrganizationsfalseMoreThan5000KToOrganizations
More Than5000 K To IndividualsfalseMoreThan5000KToIndividuals
Professional FundraisingfalseProfessionalFundraising
Fundraising ActivitiesfalseFundraisingActivities
GamingfalseGaming
HospitaltrueHospital
Grants To OrganizationstrueGrantsToOrganizations
Grants To IndividualsfalseGrantsToIndividuals
Schedule J RequiredtrueScheduleJRequired
Tax Exempt BondstrueTaxExemptBonds
Invest Tax Exempt BondsfalseInvestTaxExemptBonds
Escrow AccountfalseEscrowAccount
On Behalf Of IssuerfalseOnBehalfOfIssuer
Excess Benefit TransactionfalseExcessBenefitTransaction
Prior Excess Benefit TransactionfalsePriorExcessBenefitTransaction
Loan To Officer Or DQPfalseLoanToOfficerOrDQP
Grant To Related PersonfalseGrantToRelatedPerson
Bsnss Rltnshp With OrganizationfalseBsnssRltnshpWithOrganization
Bsnss Rltnshp Thru Family MembertrueBsnssRltnshpThruFamilyMember
Officer Entity With Bsnss RltnshptrueOfficerEntityWithBsnssRltnshp
Deductible Non Cash ContributionsfalseDeductibleNonCashContributions
Deductible Contributions Of ArtfalseDeductibleContributionsOfArt
TerminatedfalseTerminated
Partial LiquidationfalsePartialLiquidation
Disregarded EntityfalseDisregardedEntity
Related EntitytrueRelatedEntity
Related Org Controlled EntitytrueRelatedOrgControlledEntity
Transfers To Exempt Non Chrtbl OrgfalseTransfersToExemptNonChrtblOrg
Activities Conducted PartnershipfalseActivitiesConductedPartnership
Schedule O RequiredtrueScheduleORequired
Number Forms Transmitted With1096778NumberFormsTransmittedWith1096
Number W2 G Included0NumberW2GIncluded
Compliance With Backup WitholdingtrueComplianceWithBackupWitholding
Number Of Employees9970NumberOfEmployees
Employment Tax Returns FiledtrueEmploymentTaxReturnsFiled
Unrelated Business IncometrueUnrelatedBusinessIncome
Form990-T FiledtrueForm990-TFiled
Foreign Financial AccounttrueForeignFinancialAccount
Name Of Foreign CountryCJNameOfForeignCountry
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTrans
Taxable Party NotificationfalseTaxablePartyNotification
Non Deductible ContributionsfalseNonDeductibleContributions
Quid Pro Quo ContributionsfalseQuidProQuoContributions
Form8282 Property Disposed OffalseForm8282PropertyDisposedOf
Funds To Pay PremiumsfalseFundsToPayPremiums
Premiums PaidfalsePremiumsPaid
Nbr Voting Governing Body Members25NbrVotingGoverningBodyMembers
Number Independent Voting Members21NumberIndependentVotingMembers
Family Or Business RelationshiptrueFamilyOrBusinessRelationship
Delegation Of Management DutiesfalseDelegationOfManagementDuties
Changes To Organizing DocsfalseChangesToOrganizingDocs
Material Diversion Or MisusefalseMaterialDiversionOrMisuse
Members Or StockholdersfalseMembersOrStockholders
Election Of Board MembersfalseElectionOfBoardMembers
Decisions Subject To ApprovalfalseDecisionsSubjectToApproval
Minutes Of Governing BodytrueMinutesOfGoverningBody
Minutes Of CommitteestrueMinutesOfCommittees
Officer Mailing AddressfalseOfficerMailingAddress
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Policies Reference ChapterstruePoliciesReferenceChapters
Form990 Provided To Governing BodytrueForm990ProvidedToGoverningBody
Conflict Of Interest PolicytrueConflictOfInterestPolicy
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Regular Monitoring EnforcementtrueRegularMonitoringEnforcement
Whistleblower PolicytrueWhistleblowerPolicy
Document Retention PolicytrueDocumentRetentionPolicy
Compensation Process CEOtrueCompensationProcessCEO
Compensation Process OthertrueCompensationProcessOther
Investment In Joint VenturetrueInvestmentInJointVenture
Written Policy Or ProceduretrueWrittenPolicyOrProcedure
States Where Copy Of Return Is FiledILStatesWhereCopyOfReturnIsFiled
Upon RequestXUponRequest

The Books Are In Care Of TheBooksAreInCareOf

FieldValueIRS element (for citing)
Name PersonGARY L GEPHARTNamePerson
Telephone Number8475705053TelephoneNumber

Address US AddressUS

FieldValueIRS element (for citing)
Address Line11301 CENTRAL STREETAddressLine1
CityEVANSTONCity
StateILState
ZIP Code60201ZIPCode

Form990 Part VII Section A Form990PartVIISectionA (57 entries)

TitleTitleAverage Hours Per WeekAverageHoursPerWeekIndividual Trustee Or DirectorIndividualTrusteeOrDirectorReportable Comp From OrganizationReportableCompFromOrganizationReportable Comp From Related OrgsReportableCompFromRelatedOrgsOther CompensationOtherCompensationOfficerOfficerKey EmployeeKeyEmployeeHighest Compensated EmployeeHighestCompensatedEmployeeFormerFormer
Percy L Berger Sr
Director1.0X000
Michael S Caplan
Director and Clinical Chairman18.0X23008331536225877
Toure S Claiborne
Director1.0X000
A Steven Crown
Director1.0X000
William L Davis
Director1.0X000
Mary Dillon
Director1.0X000
Laurie C Hochberg
Director1.0X000
Ike Hong
Director1.0X000
Thomas C Keeler
Director and Physician3.0X2051243142039484
Richard L Keyser
Director1.0X000
Janardan D Khandekar
Director and Clinical Chairman23.0X51100041332441825
Lester B Knight III
Director1.0X000
Harvey N Medvin
Director1.0X000
Samuel M Mencoff
Director1.0X000
Andrew J Mills
Director1.0X000
M Jude Reyes
Director1.0X000
Susan B Sentell
Director1.0X000
Joseph W Szokol
Director and Physician6.0X12003676958045969
Mark S Talamonti
Director and Clinical Chairman26.0X59993037377346239
J Mikesell Thomas
Director1.0X000
John R Walter
Director1.0X000
Sona Wang
Director1.0X000
Jonathan P Ward
Director1.0X000
William J White
Director1.0X000
Connie K Duckworth
Board Past Chairman1.0X000X
Gregory K Jones
Board Vice Chairman1.0X000X
Harry M Jansen Kraemer Jr
Board Chairman1.0X000X
Mark R Neaman
President and CEO41.0X18611420250493X
Jeffrey H Hillebrand
Chief Operating Officer41.09282260685006X
Gary E Weiss
Board Treasurer and CFO41.05624400105192X
William Wrigley Jr
Board Secretary1.0000X
William D Bloomer
Clinical Chairman15.039303066953048823X
Robert R Edelman
Clinical Chairman12.030000068361754916X
Bernard G Ewigman
Clinical Chairman40.0195411048388X
Gerald P Gallagher
President, Evanston Hospital40.0378441098282X
Thomas H Hodges
Chief Investment Officer40.0675853034115X
Harry L Jones
Chief Compliance Officer40.0346483040088X
William R Luehrs
Chief Human Resources Officer40.05027000436368X
Frederick E Miller
Clinical Chairman30.02930169182338795X
Kristen Murtos
President, Skokie Hospital40.0398437097237X
Sean O'Grady
Senior Vice President40.0286635041471X
Jesse Peterson Hall
President, Highland Park Hosp.40.04469980104395X
William J Robb III
Clinical Chairman40.0572562018645X
Nancy Semerdjian
Chief Nursing Officer40.0397361033197X
Richard K Silver
Clinical Chairman30.070235322237948888X
Douglas M Silverstein
President, Glenbrook Hospital40.05250690881352X
Thomas W Smith
Chief Information Officer40.0501482099177X
Jeffery S Vender
Clinical Chairman13.037500076888339798X
Nicholas A Vick
Clinical Chairman14.014153926507633612X
Thomas A Victor
Clinical Chairman3.06645071865246950X
Brian Washa
Senior Vice President40.0339171034566X
Kenneth P Anderson
Chief Medical Quality Officer40.0483296041182X
Raymond Grady
Former President, Hosp./Clinic2.08153520203X
Kerry Kerlin
CIO - RNS2.03833930725X
Roslyn Lennon
Vice President, Nursing - RNS2.039624506440X
Gregory Pagliuzza
CFO and EVP, Finance - RNS2.044793101343X
David C Holub
Former Clinical Chairman30.02003866521526201X
FieldValueIRS element (for citing)
Total Reportable Comp From Org15397963TotalReportableCompFromOrg
Total Reportable Comp Frm Rltd Orgs5788634TotalReportableCompFrmRltdOrgs
Total Other Compensation3595242TotalOtherCompensation
Number Individuals GT100 K443NumberIndividualsGT100K
Formers ListedtrueFormersListed
Total Comp GT150 KtrueTotalCompGT150K
Compensation From Other SourcestrueCompensationFromOtherSources

Contractor Compensation ContractorCompensation (5 entries)

Address Line1AddressOfContractor/AddressUS/AddressLine1CityAddressOfContractor/AddressUS/CityStateAddressOfContractor/AddressUS/StateZIP CodeAddressOfContractor/AddressUS/ZIPCodeDescription Of ServicesDescriptionOfServicesCompensationCompensation
Aramark Management Services
2300 Warrenville RoadDOWNERS GROVEIL60515Facilities/Diet Mgmt48067815
Power Construction Company
2360 North Palmer DriveSCHAUMBURGIL60173Construction Mgmt36844694
Pepper Construction Company
643 North Orleans StreetCHICAGOIL60610Construction Mgmt18609711
McKesson Health Solutions
5995 Winward ParkwayALPHARETTAGA30005IT Services7428938
Bulley and Andrews LLC
1755 West Armitage AvenueCHICAGOIL60622Construction Mgmt7174495
FieldValueIRS element (for citing)
Number Of Contractors GT100 K222NumberOfContractorsGT100K
Related Organizations6522525RelatedOrganizations
Government Grants665510GovernmentGrants
All Other Contributions4000000AllOtherContributions
Total Contributions11188035TotalContributions

Program Service Revenue ProgramServiceRevenue (4 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnRelated Or Exempt Function IncomeRelatedOrExemptFunctionIncomeExclusionExclusionAmount
PATIENT REVENUE621990742860020742860020
MEDICARE AND MEDICAID REVENUE621990375124906375124906
TUITION REVENUE611600910603910603
RENT FROM AFFILIATED EXEMPT ORGS90000317321532$17,321,532
FieldValueIRS element (for citing)
Total Program Service Revenue1136217061TotalProgramServiceRevenue

Investment Income InvestmentIncome

FieldValueIRS element (for citing)
Total Revenue Column21324688TotalRevenueColumn
Unrelated Business Revenue-934422UnrelatedBusinessRevenue
Exclusion$22,259,110ExclusionAmount

Income From Invest Bond Proceeds IncomeFromInvestBondProceeds

FieldValueIRS element (for citing)
Total Revenue Column626361TotalRevenueColumn
Exclusion$626,361ExclusionAmount

Royalties Revenue RoyaltiesRevenue

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Total Revenue Column0TotalRevenueColumn

Gross Rents GrossRents

FieldValueIRS element (for citing)
Real4111550Real

Less Rental Expenses LessRentalExpenses

FieldValueIRS element (for citing)
Real8635285Real

Rental Income Or Loss RentalIncomeOrLoss

FieldValueIRS element (for citing)
Real-4523735Real

Net Rental Income Or Loss NetRentalIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column-4523735TotalRevenueColumn
Exclusion-$4,523,735ExclusionAmount

Gross Amount Sales Assets GrossAmountSalesAssets

FieldValueIRS element (for citing)
Securities503400853Securities
Other18753Other

Less Cost Oth Basis Sales Expenses LessCostOthBasisSalesExpenses

FieldValueIRS element (for citing)
Securities488555257Securities
Other1247319Other

Gain Or Loss GainOrLoss

FieldValueIRS element (for citing)
Securities14845596Securities
Other-1228566Other

Net Gain Or Loss Investments NetGainOrLossInvestments

FieldValueIRS element (for citing)
Total Revenue Column13617030TotalRevenueColumn
Exclusion$13,617,030ExclusionAmount

Net Income From Fundraising Events NetIncomeFromFundraisingEvents

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn

Net Income From Gaming NetIncomeFromGaming

FieldValueIRS element (for citing)
Total Revenue Column0TotalRevenueColumn
FieldValueIRS element (for citing)
Gross Sales Of Inventory599840GrossSalesOfInventory
Cost Of Goods Sold358577CostOfGoodsSold

Net Income Or Loss NetIncomeOrLoss

FieldValueIRS element (for citing)
Total Revenue Column241263TotalRevenueColumn
Exclusion$241,263ExclusionAmount

Other Revenue Misc OtherRevenueMisc (3 entries)

DescriptionDescriptionBusiness CodeBusinessCodeTotal Revenue ColumnTotalRevenueColumnUnrelated Business RevenueUnrelatedBusinessRevenueExclusionExclusionAmount
OFFSITE PHARMACIES44611074571567457156
CAFETERIA7222104735645$4,735,645
LAB REFERENCE TESTING5413801795527917955279

Miscellaneous Revenue MiscellaneousRevenue

FieldValueIRS element (for citing)
Total Revenue Column4763394TotalRevenueColumn
Related Or Exempt Function Income2835285RelatedOrExemptFunctionIncome
Unrelated Business Revenue697629UnrelatedBusinessRevenue
Exclusion$1,230,480ExclusionAmount
FieldValueIRS element (for citing)
Total Other Revenue34911474TotalOtherRevenue

Total Revenue TotalRevenue

FieldValueIRS element (for citing)
Total Revenue Column1213602177TotalRevenueColumn
Related Or Exempt Function Income1121730814RelatedOrExemptFunctionIncome
Unrelated Business Revenue25175642UnrelatedBusinessRevenue
Exclusion$55,507,686ExclusionAmount

Grants To Domestic Orgs GrantsToDomesticOrgs

FieldValueIRS element (for citing)
Total31956016Total
Program Services31956016ProgramServices

Grants To Domestic Individuals GrantsToDomesticIndividuals

FieldValueIRS element (for citing)
Total0Total

Foreign Grants ForeignGrants

FieldValueIRS element (for citing)
Total0Total

Benefits To Members BenefitsToMembers

FieldValueIRS element (for citing)
Total0Total

Comp Current Officers Directors CompCurrentOfficersDirectors

FieldValueIRS element (for citing)
Total14934533Total
Program Services3469546ProgramServices
Management And General11464987ManagementAndGeneral

Comp Disqual Persons CompDisqualPersons

FieldValueIRS element (for citing)
Total4870959Total
Program Services2494308ProgramServices
Management And General2376651ManagementAndGeneral

Other Salaries And Wages OtherSalariesAndWages

FieldValueIRS element (for citing)
Total392902974Total
Program Services342367885ProgramServices
Management And General50535089ManagementAndGeneral

Pension Plan Contributions PensionPlanContributions

FieldValueIRS element (for citing)
Total17981482Total
Program Services13770223ProgramServices
Management And General4211259ManagementAndGeneral

Other Employee Benefits OtherEmployeeBenefits

FieldValueIRS element (for citing)
Total50643890Total
Program Services44761008ProgramServices
Management And General5882882ManagementAndGeneral

Payroll Taxes PayrollTaxes

FieldValueIRS element (for citing)
Total26587672Total
Program Services22832057ProgramServices
Management And General3755615ManagementAndGeneral

Fees For Services Management FeesForServicesManagement

FieldValueIRS element (for citing)
Total63261145Total
Program Services51580468ProgramServices
Management And General11680677ManagementAndGeneral

Fees For Services Legal FeesForServicesLegal

FieldValueIRS element (for citing)
Total5412177Total
Program Services31416ProgramServices
Management And General5380761ManagementAndGeneral

Fees For Services Accounting FeesForServicesAccounting

FieldValueIRS element (for citing)
Total705545Total
Management And General705545ManagementAndGeneral

Fees For Services Lobbying FeesForServicesLobbying

FieldValueIRS element (for citing)
Total0Total

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total0Total

Fees For Services Invst Mgmnt Fees FeesForServicesInvstMgmntFees

FieldValueIRS element (for citing)
Total12030184Total
Management And General12030184ManagementAndGeneral

Fees For Services Other FeesForServicesOther

FieldValueIRS element (for citing)
Total81811818Total
Program Services55920909ProgramServices
Management And General25890909ManagementAndGeneral

Advertising Advertising

FieldValueIRS element (for citing)
Total11532767Total
Program Services11532767ProgramServices

Office Expenses OfficeExpenses

FieldValueIRS element (for citing)
Total26439396Total
Program Services21934405ProgramServices
Management And General4504991ManagementAndGeneral

Information Technology InformationTechnology

FieldValueIRS element (for citing)
Total1600779Total
Program Services1258302ProgramServices
Management And General342477ManagementAndGeneral

Royalties Royalties

FieldValueIRS element (for citing)
Total0Total

Occupancy Occupancy

FieldValueIRS element (for citing)
Total36674981Total
Program Services25962368ProgramServices
Management And General10712613ManagementAndGeneral

Travel Travel

FieldValueIRS element (for citing)
Total470429Total
Program Services244269ProgramServices
Management And General226160ManagementAndGeneral

Travel Entrtnmnt Public Officials TravelEntrtnmntPublicOfficials

FieldValueIRS element (for citing)
Total0Total

Conferences Meetings ConferencesMeetings

FieldValueIRS element (for citing)
Total979333Total
Program Services601872ProgramServices
Management And General377461ManagementAndGeneral

Interest Interest

FieldValueIRS element (for citing)
Total9678345Total
Management And General9678345ManagementAndGeneral

Payments To Affiliates PaymentsToAffiliates

FieldValueIRS element (for citing)
Total0Total

Depreciation Depletion DepreciationDepletion

FieldValueIRS element (for citing)
Total92028214Total
Program Services72819807ProgramServices
Management And General19208407ManagementAndGeneral

Insurance Insurance

FieldValueIRS element (for citing)
Total12229660Total
Program Services10653380ProgramServices
Management And General1576280ManagementAndGeneral

Other Expenses OtherExpenses (5 entries)

DescriptionDescriptionTotalTotalProgram ServicesProgramServicesManagement And GeneralManagementAndGeneral
MEDICAL SUPPLIES216549614216549614
BAD DEBTS2911012329110123
MEDICAID TAX2482763124827631
DUES AND SUBSCRIPTIONS19869397809141206025
SALES TAX367707367707

All Other Expenses AllOtherExpenses

FieldValueIRS element (for citing)
Total456475Total
Program Services449020ProgramServices
Management And General7455ManagementAndGeneral

Total Functional Expenses TotalFunctionalExpenses

FieldValueIRS element (for citing)
Total1168030788Total
Program Services986276015ProgramServices
Management And General181754773ManagementAndGeneral
Fundraising0Fundraising

Cash Non Interest Bearing CashNonInterestBearing

FieldValueIRS element (for citing)
BOY7484875BOY
EOY3800843EOY

Savings And Temp Cash Investments SavingsAndTempCashInvestments

FieldValueIRS element (for citing)
BOY17499211BOY
EOY51061808EOY

Pledges And Grants Receivable PledgesAndGrantsReceivable

FieldValueIRS element (for citing)
EOY8164470EOY

Accounts Receivable AccountsReceivable

FieldValueIRS element (for citing)
BOY185504443BOY
EOY166839183EOY

Inventories For Sale Or Use InventoriesForSaleOrUse

FieldValueIRS element (for citing)
BOY16384951BOY
EOY18050162EOY

Prepaid Expenses Deferred Charges PrepaidExpensesDeferredCharges

FieldValueIRS element (for citing)
BOY7272276BOY
EOY8405724EOY
FieldValueIRS element (for citing)
Land Buildings Equipment Basis1675553515LandBuildingsEquipmentBasis
Land Bldg Equipment Accum Deprec835123688LandBldgEquipmentAccumDeprec

Land Buildings Equipment Basis Net LandBuildingsEquipmentBasisNet

FieldValueIRS element (for citing)
BOY779277071BOY
EOY840429827EOY

Investments Pub Traded Securities InvestmentsPubTradedSecurities

FieldValueIRS element (for citing)
BOY890039615BOY
EOY998580888EOY

Investments Other Securities InvestmentsOtherSecurities

FieldValueIRS element (for citing)
BOY249697640BOY
EOY375818862EOY

Intangible Assets IntangibleAssets

FieldValueIRS element (for citing)
EOY82330008EOY

Other Assets Total OtherAssetsTotal

FieldValueIRS element (for citing)
BOY153863131BOY
EOY119990322EOY

Total Assets TotalAssets

FieldValueIRS element (for citing)
BOY2307023213BOY
EOY2673472097EOY

Accounts Payable Accrued Expenses AccountsPayableAccruedExpenses

FieldValueIRS element (for citing)
BOY135926705BOY
EOY154807221EOY

Deferred Revenue DeferredRevenue

FieldValueIRS element (for citing)
EOY5447827EOY

Tax Exempt Bond Liabilities TaxExemptBondLiabilities

FieldValueIRS element (for citing)
BOY280800000BOY
EOY394054608EOY

Other Liabilities OtherLiabilities

FieldValueIRS element (for citing)
BOY760499013BOY
EOY750482854EOY

Total Liabilities TotalLiabilities

FieldValueIRS element (for citing)
BOY1177225718BOY
EOY1304792510EOY
FieldValueIRS element (for citing)
Follow SFAS117XFollowSFAS117

Unrestricted Net Assets UnrestrictedNetAssets

FieldValueIRS element (for citing)
BOY1129797495BOY
EOY1213731105EOY

Temporarily Restricted Net Assets TemporarilyRestrictedNetAssets

FieldValueIRS element (for citing)
EOY85601765EOY

Permanently Restricted Net Assets PermanentlyRestrictedNetAssets

FieldValueIRS element (for citing)
EOY69346717EOY

Total Net Assets Fund Balances TotalNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY1129797495BOY
EOY1368679587EOY

Total Liab Net Assets Fund Balances TotalLiabNetAssetsFundBalances

FieldValueIRS element (for citing)
BOY2307023213BOY
EOY2673472097EOY
FieldValueIRS element (for citing)
Method Of Accounting AccrualXMethodOfAccountingAccrual
Accountant Compile Or ReviewfalseAccountantCompileOrReview
FS AuditedtrueFSAudited
Audit CommitteetrueAuditCommittee
Financial Statement ConsolidatedXFinancialStatementConsolidated
Federal Grant Audit RequiredfalseFederalGrantAuditRequired

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
Hospital170b1 AiiiXHospital170b1Aiii

Schedule B IRS990ScheduleB

Contributor Info ContributorInfo

FieldValueIRS element (for citing)
Contributor NumberRESTRICTEDContributorNumber

Contributor Name Business ContributorNameBusiness

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor Address US ContributorAddressUS

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

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbying
Total Direct LobbyingTotalDirectLobbying
Total Lobbying ExpendituresTotalLobbyingExpenditures
Other Exempt Purpose ExpendituresOtherExemptPurposeExpenditures
Total Exempt Purpose ExpendituresTotalExemptPurposeExpenditures
Lobbying NontaxableLobbyingNontaxableAmount
Grassroots NontaxableGrassrootsNontaxableAmount
Tot Lobbying Grassroot Minus Non TxTotLobbyingGrassrootMinusNonTx
Tot Lobby Expend Mns Lobbying NontxTotLobbyExpendMnsLobbyingNontx
VolunteersfalseVolunteers
Paid Staff Or ManagementfalsePaidStaffOrManagement
Media AdvertisementsfalseMediaAdvertisements
Mailings MembersfalseMailingsMembers
Publications Or BroadcastfalsePublicationsOrBroadcast
Grants Other OrganizationsfalseGrantsOtherOrganizations
Direct Contact LegislatorsfalseDirectContactLegislators
Rallies DemonstrationsfalseRalliesDemonstrations
Other ActivitiestrueOtherActivities
Other Activities$103,339OtherActivitiesAmount
Total Lobbying Expenditures IIB103339TotalLobbyingExpendituresIIB
Not Described In501c3falseNotDescribedIn501c3

Form990 Schedule C Part IV Form990ScheduleCPartIV

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

Schedule D IRS990ScheduleD

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

Current Year CurrentYear

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

Current Year Minus1 Year CurrentYearMinus1Year

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

Land Land

FieldValueIRS element (for citing)
Other Cost Or Other Basis56336132OtherCostOrOtherBasis
Book Value56336132BookValue

Buildings Buildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis1006322401OtherCostOrOtherBasis
Depreciation461477187Depreciation
Book Value544845214BookValue

Leasehold Improvements LeaseholdImprovements

FieldValueIRS element (for citing)
Other Cost Or Other Basis37267716OtherCostOrOtherBasis
Depreciation13832074Depreciation
Book Value23435642BookValue

Equipment Equipment

FieldValueIRS element (for citing)
Other Cost Or Other Basis479389057OtherCostOrOtherBasis
Depreciation351199803Depreciation
Book Value128189254BookValue

Other Land Buildings OtherLandBuildings

FieldValueIRS element (for citing)
Other Cost Or Other Basis96238208OtherCostOrOtherBasis
Depreciation8614623Depreciation
Book Value87623585BookValue
FieldValueIRS element (for citing)
Total Of Book Value Land Buildings840429827TotalOfBookValueLandBuildings
Financial DerivativesFinancialDerivatives
Closely Held Equity InterestsCloselyHeldEquityInterests

Other Securities OtherSecurities (5 entries)

DescriptionDescriptionBook ValueBookValueMethod Of ValuationMethodOfValuation
HEDGE FUNDS270012112C
PRIVATE EQUITY FUNDS52591596C
PRIVATE EQUITY FUNDS33899409F
REAL ASSET FUND16764767F
OTHER INVESTMENTS2550978F
FieldValueIRS element (for citing)
Total Of Book Value Securities375818862TotalOfBookValueSecurities
Federal Income Tax Liability0FederalIncomeTaxLiability

Other Liabilities OtherLiabilities (9 entries)

DescriptionDescriptionAmountAmount
RESERVE FOR MALPRACTICE LOSSES$286,391,000
DEFERRED COMPENSATION$131,327,973
DUE TO AFFILIATES$202,547,542
DUE TO THIRD PARTIES$57,776,671
CURRENT MATURITY OF LT DEBT$9,625,000
SECURITIES LENDING PROGRAM$52,388,835
ASSET RETIREMENT OBLIGATION$9,337,705
MISCELLANEOUS LT LIABILITY$1,000,000
CURRENT BOND PAYABLE PREMIUM$88,128
FieldValueIRS element (for citing)
Total Of Amounts750482854TotalOfAmounts
Total Revenue1213602177TotalRevenue
Total Expenses1168030788TotalExpenses
Excess Or Deficit For Year45571389ExcessOrDeficitForYear
Net Unrealized GL On Investments66232518NetUnrealizedGLOnInvestments
Other-$694,753OtherAmount
Total Adjustments65537765TotalAdjustments
Excess Or Deficit Per FS111109154ExcessOrDeficitPerFS
Tot Revenue Etc Audited Fincl Stmt1245931008TotRevenueEtcAuditedFinclStmt
Net Unrealized Gains Investments66232518NetUnrealizedGainsInvestments
Other Revenues10222427OtherRevenues
Revenue Not Rptd F99076454945RevenueNotRptdF990
Revenue Subtotal1169476063RevenueSubtotal
Investment Expenses Not Included12955194InvestmentExpensesNotIncluded
Other Revenues Not Included31170920OtherRevenuesNotIncluded
Revenue Not Rptd On Fin Stmt44126114RevenueNotRptdOnFinStmt
Total Revenue Per Form9901213602177TotalRevenuePerForm990
Tot Expenses Etc Audited Fincl Stmt1134821854TotExpensesEtcAuditedFinclStmt
Other Expenses Included9616078OtherExpensesIncluded
Expenses Not Rptd F9909616078ExpensesNotRptdF990
Expenses Subtotal1125205776ExpensesSubtotal
Investment Expenses Not Included212955194InvestmentExpensesNotIncluded2
Other Expenses Not Included29869818OtherExpensesNotIncluded
Expenses Not Rptd On Fin Stmt42825012ExpensesNotRptdOnFinStmt
Total Expenses Per Form9901168030788TotalExpensesPerForm990

Form990 Schedule D Part XIV Form990ScheduleDPartXIV (6 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Transfer of Endowment FundsPart V Line 1bEndowment funds from NorthShore University HealthSystem Foundation and NorthShore University HealthSystem Research Institute were transferred to NorthShore University HealthSystem as part of the merger effective September 30, 2010.
Endowment FundsPart V Line 4Endowment fund earnings are available for healthcare services, including capital acquisition and maintenance, operations, free care, research, and education.
FIN 48 FootnotePart XNorthShore and its related affiliates, except for NorthShore University HealthSystem Medical Group, Inc. (MG), known as NorthShore Exempt Group have been determined to qualify as a tax-exempt organization under 501(c)(3) of the Internal Revenue Code. Most of the income received by NorthShore Exempt Group is exempt from taxation under 501(a) of the Internal Revenue Code, as income related to the mission of the organization. Accordingly, there is no material provision for income tax for these entities. Some of the income received by exempt entities is subject to taxation as unrelated business income. NorthShore and its subsidiaries file income tax returns for the U.S. federal and various states. ASC 740-10, Income Taxes, requires that realization of an uncertain income tax position must be more likely than not (i.e., greater than 50% likelihood of receiving a benefit) before it can be recognized in the financial statements. Furthermore, this interpretation prescribes the benefit to be recorded in the financial statements as the amount most likely to be realized assuming a review by tax authorities having all relevant information and applying current conventions. This interpretation also clarifies the financial statement classification of tax-related penalties and interest and sets forth new disclosures regarding unrecognized tax benefits. No amount was recorded for the periods ended September 30, 2010 or 2009. MG does not have taxable asset or liabilities. MG currently has a net operating loss carryforward of $712,276, which generated an asset of $277,787. NorthShore currently has a net operating loss carryforward of $13,299,375, which generated an asset of $5,186,756. These assets are 100% offset by valuation allowances.
Change in Net AssetsPart XI Line 8Amount represents related organization equity transfers.
Reconciliation of RevenuesPart XII Lines 2d and 4bAmounts represent gains and losses reported in Form 990 Part VIII and cash transfers to and from related organizations.
Reconciliation of ExpensesPart XIII Lines 2d and 4bAmounts represent gains and losses reported in Form 990 Part VIII and cash transfers to and from related organizations.

Schedule F IRS990ScheduleF

Accts Actvs Out US Table AcctsActvsOutUSTable (5 entries)

RegionRegionType Of Activities ConductedTypeOfActivitiesConductedSpecific Services ProvidedSpecificServicesProvidedTotal ExpendituresTotalExpenditures
Central America and the CaribbeanInvestments
Central America and the CaribbeanProgram ServicesMedical Conferences2832
Central America and the CaribbeanInsurance5620215
Europe (Including Iceland and Greenland)Insurance4595
North AmericaProgram ServicesConferences/Equipment33330
FieldValueIRS element (for citing)
Total Amount Spent5660972TotalAmountSpent

Schedule H IRS990ScheduleH

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

Discounted Other DiscountedOther

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

Charity Care At Cost CharityCareAtCost

FieldValueIRS element (for citing)
Total Community Benefit Expense18325475TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense18325475NetCommunityBenefitExpense
Percent Of Total Expense0.01610PercentOfTotalExpense

Unreimbursed Medicaid UnreimbursedMedicaid

FieldValueIRS element (for citing)
Total Community Benefit Expense88760375TotalCommunityBenefitExpense
Direct Offsetting Revenue75968872DirectOffsettingRevenue
Net Community Benefit Expense12791503NetCommunityBenefitExpense
Percent Of Total Expense0.01120PercentOfTotalExpense

Unreimbursed Costs UnreimbursedCosts

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

Total Charity Care TotalCharityCare

FieldValueIRS element (for citing)
Total Community Benefit Expense107085850TotalCommunityBenefitExpense
Direct Offsetting Revenue75968872DirectOffsettingRevenue
Net Community Benefit Expense31116978NetCommunityBenefitExpense
Percent Of Total Expense0.02730PercentOfTotalExpense

Community Health Services CommunityHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense1816459TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense1816459NetCommunityBenefitExpense
Percent Of Total Expense0.00160PercentOfTotalExpense

Health Professions Education HealthProfessionsEducation

FieldValueIRS element (for citing)
Total Community Benefit Expense45261217TotalCommunityBenefitExpense
Direct Offsetting Revenue9927756DirectOffsettingRevenue
Net Community Benefit Expense35333461NetCommunityBenefitExpense
Percent Of Total Expense0.03100PercentOfTotalExpense

Subsidized Health Services SubsidizedHealthServices

FieldValueIRS element (for citing)
Total Community Benefit Expense26805403TotalCommunityBenefitExpense
Direct Offsetting Revenue15077590DirectOffsettingRevenue
Net Community Benefit Expense11727813NetCommunityBenefitExpense
Percent Of Total Expense0.01030PercentOfTotalExpense

Research Research

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

Cash And In Kind Contributions CashAndInKindContributions

FieldValueIRS element (for citing)
Total Community Benefit Expense1562146TotalCommunityBenefitExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Benefit Expense1562146NetCommunityBenefitExpense
Percent Of Total Expense0.00140PercentOfTotalExpense

Total Other Benefits TotalOtherBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense75445225TotalCommunityBenefitExpense
Direct Offsetting Revenue25005346DirectOffsettingRevenue
Net Community Benefit Expense50439879NetCommunityBenefitExpense
Percent Of Total Expense0.04430PercentOfTotalExpense

Total Community Benefits TotalCommunityBenefits

FieldValueIRS element (for citing)
Total Community Benefit Expense182531075TotalCommunityBenefitExpense
Direct Offsetting Revenue100974218DirectOffsettingRevenue
Net Community Benefit Expense81556857NetCommunityBenefitExpense
Percent Of Total Expense0.07160PercentOfTotalExpense

Physical Improvements And Housing PhysicalImprovementsAndHousing

FieldValueIRS element (for citing)
Total Community Building Expense0TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense0NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Economic Development EconomicDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense4897TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense4897NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Community Support CommunitySupport

FieldValueIRS element (for citing)
Total Community Building Expense406TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense406NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Environmental Improvements EnvironmentalImprovements

FieldValueIRS element (for citing)
Total Community Building Expense225TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense225NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Leadership Development LeadershipDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense171TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense171NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Coalition Building CoalitionBuilding

FieldValueIRS element (for citing)
Total Community Building Expense6412TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense6412NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Health Improvement Advocacy HealthImprovementAdvocacy

FieldValueIRS element (for citing)
Total Community Building Expense6069TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense6069NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Workforce Development WorkforceDevelopment

FieldValueIRS element (for citing)
Total Community Building Expense1679TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense1679NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense

Total Total

FieldValueIRS element (for citing)
Total Community Building Expense19859TotalCommunityBuildingExpense
Direct Offsetting Revenue0DirectOffsettingRevenue
Net Community Building Expense19859NetCommunityBuildingExpense
Percent Of Total Expense0.00000PercentOfTotalExpense
FieldValueIRS element (for citing)
Bad Debt Expense ReportedtrueBadDebtExpenseReported
Bad Debt Expense$8,186,271BadDebtExpenseAmount
Amount Attributable To0AmountAttributableTo
Amount Reimbursed By Medicare332990994AmountReimbursedByMedicare
Cost Of Care Reimbursed By Medicare381925574CostOfCareReimbursedByMedicare
Medicare Surplus Or Shortfall-48934580MedicareSurplusOrShortfall

Costing Methodology Used CostingMethodologyUsed

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

Form990 Schedule H Part IV Form990ScheduleHPartIV (3 entries)

Description Ent Primary ActivityDescriptionEntPrimaryActivityOrganization Profit Or OwnershipOrganizationProfitOrOwnershipOfficers Etc Profit Or OwnershipOfficersEtcProfitOrOwnershipPhysicans Profit Or OwnershipPhysicansProfitOrOwnership
HPMOB LP
Medical Office Building0.284000.000000.71600
Ravine Way LLC
Orthopaedic Surgery Center0.300000.000000.70000
NorthShoreUSP LLC
General Surgery Centers0.499000.000000.50100

Form990 Schedule H Part V Form990ScheduleHPartV (32 entries)

Address Line1Address/AddressLine1CityAddress/CityStateAddress/StateZIP CodeAddress/ZIPCodeLicensed HospitalLicensedHospitalGeneral Medical And SurgicalGeneralMedicalAndSurgicalTeaching HospitalTeachingHospitalResearch FacilityResearchFacilityEr24 HoursEr24HoursOtherOther
Evanston Hospital
2650 Ridge AvenueEvanstonIL60201XXXXX
Glenbrook Hospital
2100 Pfingsten RoadGlenviewIL60026XXXXX
Highland Park Hospital
777 Park Avenue WestHighland ParkIL60035XXXXX
Skokie Hospital
9600 Gross Point RoadSkokieIL60076XXXXX
Breast Health and Mammography Program
4999 Old Orchard CenterSkokieIL60077Outpatient Mammography Center
Fetal Diagnostic Center
5145 N California AvenueChicagoIL60625Outpatient Clinic
Fetal Diagnostic Center
660 N Westmoreland RoadLake ForestIL60045Outpatient Clinic
Fetal Diagnostic Center
755 S Milwaukee AvenueLibertyvilleIL60048Outpatient Clinic
Fetal Diagnostic Center
880 W Central RoadArlington HeightsIL60005Outpatient Clinic
Glenbrook Medical Office Building (North
2150 Pfingsten RoadGlenviewIL60026Outpatient Clinic
Glenbrook Medical Office Building (South
2050 Pfingsten RoadGlenviewIL60026Outpatient Clinic
Glenview Park Center
2400 Chestnut AvenueGlenviewIL60026Outpatient Clinic
Graham Medical Office Building
1000 Central StreetEvanstonIL60201Outpatient Clinic
Gurnee Medical Office Building
15 Tower CourtGurneeIL60031Outpatient Clinic
Highland Park Ambulatory Care Building
757 Park Avenue WestHighland ParkIL60035Outpatient Clinic
NorthShore Lab Services - Evanston
2500 Ridge AvenueEvanstonIL60201Outpatient Clinic
NorthShore Lab Services - Mount Prospect
1329 Wolf RoadMount ProspectIL60056Outpatient Clinic
Old Orchard Primary Care
9977 Woods DriveSkokieIL60077Outpatient Clinic
PM&R Benson Avenue
1729 Benson AvenueEvanstonIL60201Outpatient Clinic
PM&R Pediatrics Lab Services
9811 Woods DriveSkokieIL60077Outpatient Clinic
PMR Fitness Center
1501 Busch ParkwayBuffalo GroveIL60089Outpatient Clinic
Vernon Hills Specialty Care Center
225 N Milwaukee AvenueVernon HillsIL60061Outpatient Clinic
Highland Park Medical Office Building
767 Park Avenue WestHighland ParkIL60035Outpatient Pharmacy
Lake Forest Pharmacy
825 S Waukegan AvenueLake ForestIL60045Outpatient Pharmacy
Libertyville Pharmacy
1451 W Peterson RoadLibertyvilleIL60048Outpatient Pharmacy
Northbrook Pharmacy
1127 Church StreetNorthbrookIL60062Outpatient Pharmacy
Adolescent Day School
3633 W Lake AvenueGlenviewIL60026Theraputic Day School
Ravine Way Surgery Center
2350 Ravine WayGlenviewIL60025Joint Venture Orthopaedic Surgery Center
North Shore Same Day Surgery
3725 West Touhy AvenueLincolnwoodIL60712Joint Venture General Surgery Center
Elmwood Park Same Day Surgery
1614 North Harlem AvenueElmwood ParkIL60707Joint Venture General Surgery Center
25 East Same Day Surgery Center
25 East Washington StreetChicagoIL60602Joint Venture General Surgery Center
River North Same Day Surgery
One East Erie StreetChicagoIL60611Joint Venture General Surgery Center

Form990 Schedule H Part VI Form990ScheduleHPartVI

FieldValueIRS element (for citing)
Percent Of Total Expense ExplnThe amount of bad debt expense that was included in Form 990, Part IX, line 25, column (A) but removed from the figure in Part I, Line 7, column (f) was $29,110,123.PercentOfTotalExpenseExpln
Bad Debt FootnoteAccounts Receivable Financial Statement Footnote - The Corporation evaluates the collectibility of its accounts receivable based on the length of time the receivable is outstanding, payor class, and the anticipated future uncollectible amounts based on historical experience. Accounts receivable are charged to the allowance for uncollectible accounts when they are deemed uncollectible. Bad debt expense at cost was calculated using a cost-to-charge methodology. The Ratio of Patient Care cost to charges calculated to report charity care on Part I, Line 7a was multiplied by the bad debt expense to determine the bad debt expense at cost. Discounts and payments on patient accounts are excluded from bad debt expense in order to reflect the expected amount to be paid.BadDebtFootnote
Shortfall As Community BenefitNorthShore University HealthSystem (NorthShore) believes that all of the $48,934,580 shortfall should be considered as community benefit. The Internal Revenue Service Community Benefit Standard includes the provision of care to the elderly and Medicare patients. Medicare shortfalls must be absorbed by NorthShore in order to continue treating the elderly in our community. During fiscal year 2010, Medicare accounted for approximately 42% of hospital gross patient revenues. The hospital provides care regardless of this shortfall and thereby relieves the government of the burden of paying the full cost of care for Medicare beneficiaries.ShortfallAsCommunityBenefit
Debt Collection PolicyNorthShore University HealthSystem (NorthShore) follows the Illinois Fair Patient Billing Act. The collection policy is the same for all patients. Patients are screened for eligibility for financial assistance before collection procedures begin. After a patient meets the qualifications for financial assistance, the account balance is either partially or entirely written off. Any remaining balance would be collected under the existing debt collection policy.DebtCollectionPolicy
Number Of Facility Type ExplnIn addition to the four hospitals, NorthShore University HealthSystem (NorthShore) operates 18 outpatient clinics, four outpatient pharmacies, one therapeutic day school, and five ambulatory surgery centers.NumberOfFacilityTypeExpln
Needs AssessmentNorthShore University HealthSystem (NorthShore) consistently assesses the needs of its communities and those of the underserved to ensure that its community benefits programs are in alignment with the health needs of the communities it serves. In addition to collecting and analyzing available quantitative and qualitative data on mortality, disease incidence, utilization of and access to health care services, NorthShore established a mechanism in which to actively seek the involvement of our community and public health leaders in an ongoing manner to ensure that our analysis reflects the current public health needs in our area. Community Needs Assessment Methodology - In order to produce a comprehensive health assessment, NorthShore utilized a range of available data sources. Public health statistics on mortality, maternal, infant, and child health, emotional well-being and access to care were obtained from the Illinois Department of Public Health website. The most recent data available is from 2006. As public health data often lags by several years, and is only available at the state, Metropolitan Statistical Area, or county level, NorthShore also identified sources of zip-code level estimates of disease incidence metrics and socioeconomic status. This data assisted in understanding local levels of need and variation across our specific service area. (The zip-code level metrics included data from Thomson/Reuters from 2008, a health care information company, which creates estimates based on Census data, Medicare and third party insurance claims, and a nationally-representative household survey that includes self-reported health status, health care utilization, and self-report diagnoses.) NorthShore also identified zip-code level rates of preventable hospitalizations based on Agency for Healthcare Research and Quality (AHRQ) definitions. Preventable hospitalizations served as an indicator of the quality and depth of the outpatient management of chronic diseases, such as hypertension, high cholesterol, diabetes and obesity. The causes that trigger hospitalization were identified using the Illinois Hospital Associations COMPData database. Based on the compilation of these sources, NorthShore found that mortality and non-obstetric hospitalizations are driven predominantly by heart disease, cancer, stroke, pneumonia, diabetes and psychiatric conditions. Areas of greatest socioeconomic need within NorthShore's service area are concentrated in northern Lake County and the North Chicago neighborhoods. NorthShore also identified differences across the service area in the self-reported health status and diagnosis of disease, and compared overall rates to Healthy Goals 2010 (where applicable). Community Involvement - NorthShore utilizes multiple mechanisms for seeking out the collective voice of the community in understanding the unmet health needs. For example, each NorthShore hospital has a community advisory committee that includes a range of community leaders. These leaders represent local public health agencies, non-profit organizations serving low-income residents, faith based groups, and business and civic leaders. They advise each hospital and NorthShore on services or initiatives from a community perspective and provide strategic recommendations for community benefits programs. NorthShore's key senior administrators as well as its community relations staff maintain strong working relationships with local leaders, public health agencies, township officials and social service agencies not represented in the community advisory committee. In their role as community liaison, the community relations personnel serve as point of contact for NorthShore's involvement with community requests. In addition, community relations personnel coordinate the hospital presidents' role in NorthShore advocacy programs. Senior administrators at NorthShore also participate regularly in outreach to local leaders. NorthShore physicians and staff play an equally important role in identifying health trends and needs through their leadership, board participation and involvement in local, regional and national organizations. Information related to the health assessments and findings are communicated at the department level to NorthShore leadership. NorthShore will continue to track both quantitative and qualitative sources of public health information as it becomes available, as well as feedback from community leaders. Community health needs data is used in our annual strategic planning processes. Stakeholder participation is critical and greatly influences NorthShore's prioritization and execution of its community benefits programs. In addition, collaboration with local leadership allows NorthShore to detect urgent and growing needs that may be underrepresented or absent from aggregate data, in a timely and effective manner. Lastly, collaboration with local leaders has facilitated the development of signature programs, such as Be Well-Lake County and real time solutions to critical health challenges. Strategic Approach for Meeting Community Health Needs - NorthShore implements a three-fold strategy to address the health needs of the communities that it serves as follows: 1) Community benefits programs, signature initiatives and partnerships will address a need identified in the community health needs assessment conducted by NorthShore, 2) Community benefits programs, initiatives and partnerships will address a need identified by the community, 3) Community benefits programs, initiatives and partnerships will be aligned with the guiding principles outlined in Advancing the State of the Art of Community Benefits for Nonprofit Hospitals. The guiding principles are: disproportionate unmet health-related needs; primary prevention; seamless continuum of care; build community capacity and, community collaboration. All of NorthShore's community benefits programs, initiatives and partnerships are documented in a report that provides the date(s), describes the initiative, identifies assessed need(s) met, highlights outcomes and identifies guiding principles met. NorthShore will continue to place priority on providing community benefits and services in the communities located nearest to our hospitals, where we believe we have the greatest capacity and responsibility to serve.NeedsAssessment
Patient Education AssistanceNorthShore University HealthSystem (NorthShore) informs and educates patients who may be billed for patient care of the Financial Assistance program by posting signage (both English and Spanish) in all our facilities' Emergency Departments and at our Central Registration areas. The NorthShore Patient Handbook is also presented to patients upon admission and it describes our Financial Assistance program that includes Charity Care. NorthShore also has approximately 13 full time financial counselors and 22 customer service agents working in our hospitals and clinics, and they are responsible for coordinating financial assistance and eligibility. Any uninsured patient admitted into the hospital will have their case reviewed by a financial counselor. NorthShore billing statements also indicate the Financial Assistance program and necessary contact information, and collection agencies are also instructed to offer charity care to potentially eligible patients. The NorthShore website is another useful resource that informs patients about the Financial Assistance program with links to the application process and the actual financial application. Any patient having difficulty paying their portion of the bill will have their case reviewed by either our financial counselors or by calling our Customer Service department.PatientEducationAssistance
Community InformationNorthShore University HealthSystem (NorthShore) has four hospital facilities located in the northern suburbs of Chicago, Illinois. The NorthShore service area has a total population size of approximately 1.6 million*. The average household income is approximately $95,000*. During fiscal year 2010, approximately 5% of NorthShore's patients had no insurance and 7% qualified for Medicaid. Within NorthShore's service area, there are three federally-designated medically underserved areas. NorthShore's service area also includes five other hospitals. *Source: US Census via Thomson Reuters Market Planner PlusCommunityInformation
Community Building ActivitiesNorthShore University HealthSystem (NorthShore) is involved in numerous community building activities which promote the health of the communities it serves. NorthShore encourages its employees to serve on community collaboration boards, health advocacy programs, and physical improvement projects to promote the health of the communities served.CommunityBuildingActivities
Other InformationNorthShore University HealthSystem (NorthShore) does extend medical staff privileges to all qualified physicians in the NorthShore community. NorthShore also uses surplus funds to add new buildings and renovate existing facilities to better serve patients and the community. Additional programs conducted by NorthShore to help promote the health of the community include: Residency and Education Programs - NorthShore is committed to excellence in its academic mission and supports teaching and research in its role as the principal teaching affiliate of the University of Chicago Pritzker School of Medicine. NorthShore also has additional teaching affiliation agreements with Rush University Medical Center, University of Illinois-Chicago, Stroger Hospital, and Northwestern University Feinberg School of Medicine. NorthShore has an extensive selection of training programs and fellowships to offer physicians at our own teaching and research facilities. During fiscal year 2010, a total of 187 residents and fellows participated in the NorthShore and affiliate-based programs. The NorthShore residency program areas included: Dentistry, Internal Medicine, Pathology, Preliminary Medicine (intern year), Transitional Medicine (1st Year prior to specialization), and Family Medicine. The NorthShore fellowship program areas included: Urogynecology, Magnetic Resonance Imaging, Musculoskeletal Imaging, and Pediatric Plastic Surgery. The affiliate-based residency program areas included: Anesthesiology, Dermatology, Emergency Medicine, Obstetrics and Gynecology, Orthopaedic Surgery, Pediatrics, Psychiatry, Radiology, General Surgery, Neurosurgery, Ophthalmology, Plastic Surgery, Podiatry, and Urology. The affiliate-based fellowship program areas included: Cardiology, Gastroenterology, Molecular Genetics Pathology, Pediatrics, Psychiatry, Radiology, and Surgical Oncology. The NorthShore School of Anesthesia operates out of Evanston Hospital. The program has full accreditation from the Council of Accreditation of Nurse Anesthesia Educational Programs. The mission of the school is to prepare qualified professional registered nurses for the advanced practice of nurse anesthesia in a variety of practice settings. The graduate nurse anesthetist demonstrates the knowledge, skills, and attitude necessary to take on leadership roles in the practice of nurse anesthesia. During fiscal year 2010, 68 students participated in the program. NorthShore also provides clinical training and internships for student nurses, allied health technicians, and social work students through collaborative relationships with Chamberlain College, College of DuPage, College of Lake County, North Park University, Loyola University Chicago, Oakton Community College, Rosalind Franklin University, University of Illinois, University of Illinois at Chicago, Rush University, DePaul University, Harper College, Midwestern University, Northwestern University, Northern Illinois University, and Eastern Illinois University. During the 2010 academic year, 1,309 students participated in clinical rotations at NorthShore. Community Advisory Committees - The Community Advisory Committees' (CAC) role is to advise hospital administration on services and initiatives from a community perspective. CACs are structured to ensure NorthShore's accountability to the community by working to fulfill our community relations vision that the more NorthShore and the community connect, the stronger and healthier both will become. The CACs are comprised of primarily community members, along with hospital administrative and professional staff. NorthShore strives for diverse membership to include business, faith community, social services, civic organizations, government officials, elected officials, interested citizens, former patients, and healthcare professionals. The role of the CACs is to serve as an advocate for the greater good of the community and its health, and to provide recommendations for annual community benefit planning. The CACs also help identify opportunities for partnerships between the hospitals and community organizations, and they identify gaps in healthcare services within the community. Be Well Lake County - Be Well Lake County is a collaboration between NorthShore, Lake County Health Department and Community Health Center, and supporting community partners. The program's goal is to build greater access through a coordinated network of healthcare targeting the underserved diabetes population in Lake County. The program enables the partner organizations to effectively pool and maximize resources in order to provide high quality comprehensive diabetes management, education, and support resources that will address one of the nation's fastest growing health threats. Evanston Hospital Outpatient Clinic - The Outpatient Clinic at Evanston Hospital provides medical care to adults and children who lack private medical insurance. Medical services include, but are not limited to: primary care, obstetrics/gynecology, general surgery, orthopedics, diabetes education, and podiatry. In fiscal year 2010, the clinic treated 7,081 adult patients at 13,430 visits and 4,289 adolescent patients at 7,454 visits. Dental Center - The Dental Center at Evanston Hospital provides primary care dental services and special consultations for medically underserved adult patients, pre-screenings for cardiovascular patients, and management for oral complications in oncology patients and those with refractory dental problems. The Dental Center provided free and discounted care for 2,613 patients during fiscal year 2010. Evanston Township High School Health Center - Established as a collaborative partnership with Evanston Township High School, the Evanston Health Department, and NorthShore, the Health Center is a free school-based health clinic for the school's approximately 3,000 students. The Health Center is staffed by NorthShore employees, including a physician, two part-time nurse practitioners, and a social worker. During the 2009-2010 school year, 956 students utilized the Health Center at 2,624 visits. Medication Assistance Program - NorthShore's Medication Assistance Program offers aid to patients who need help paying for prescription drugs. The Medication Assistance Program assisted 1,723 patients in filling 26,143 prescriptions during fiscal year 2010. Perinatal Depression Program - The Perinatal Depression Program identifies women who are suffering from perinatal depression and offer referrals for women who many need additional support. The program screens women for perinatal depression during and after their pregnancy and offers a 24/7 crisis hotline for women and their family members who may find themselves in an emergent situation. The hotline provides multilingual interpretation services to assist those with limited or no English-speaking ability. All services are provided free of charge. In fiscal year 2010, NorthShore physicians conducted 5,238 screenings to identify at-risk patients, and the hotline received 731 calls. Free psychological support and referrals were provided for 438 women identified through the screenings as at-risk for perinatal mood disorders. Community Action for Child Health Equity - NorthShore's Community Action for Child Health Equity (CACHE) is one of five national sites for a National Institutes of Health funded study focused on maternal stress and the corresponding effect on birth outcomes and child health, growth, and development. The overall goal of the study is to gain information that will ultimately lead to the elimination of disparities in maternal health and child development. CACHE has pushed the study to offer immediate community benefit by developing a pioneering parallel system that provides outreach efforts to interview subjects in real time when important health interventions are needed. Mentoring and Clinical Internships - NorthShore provides internship and mentoring opportunities for high school, college, and post-graduate students interested in the medical and allied health fields. Throughout NorthShore, students are offered the opportunity to intern in departments such as Cardiology, Laboratory, Medical Social Work, Occupational Therapy, Patient Care, Infection Control, Perinatal Family Support Center, Physical Therapy, Radiology, Radiation Oncology, Pastoral Care, and Hospital Administration. Employee Volunteerism - NorthShore employees participate in various volunteer activities that meet community needs and promote good will. Several NorthShore publications include information about volunteer organizations and employee volunteer opportunities. NorthShore also recognizes and rewards employees for community service and volunteerism through the annual Sharing Spirit Volunteer Award.OtherInformation
Affiliated Health Care SystemNorthShore University HealthSystem (NorthShore) is a comprehensive, fully integrated, healthcare delivery system that includes four hospitals, as well as numerous outpatient departments and clinics. In additional to the hospital organization, there are five affiliated organizations that help to meet the needs of the community. The NorthShore affiliated organizations are as follows: NorthShore University HealthSystem Foundation - The NorthShore University HealthSystem Foundation (Foundation) was organized to enhance development efforts to raise funds and awareness of the NorthShore operations. The Foundation conducts fundraising and development activities which support and benefit the operation of NorthShore. With community gifts, NorthShore can continue to provide excellent care, advanced research, and innovative new services. NorthShore University HealthSystem Research Institute - The NorthShore University HealthSystem Research Institute (Research Institute) was organized to provide a means for integrating leading-edge research into improved clinical care. The Research Institute also creates an environment to recruit and retain externally-funded research leadership in order to achieve the mission and goals of the organization. The Research Institute now houses nearly 200 externally funded research faculty who currently occupy over 100,000 net square feet of research space and work on nearly 1,000 active research protocols. Total external funding is now over $110 million. Funding from the NIH places the hospitals of NorthShore among the top 10 comprehensive independent research hospitals in the country. NorthShore University HealthSystem Faculty Practice Associates - The NorthShore University HealthSystem Faculty Practice Associates (FPA) represents more than 650 physicians with over 75 offices in virtually every specialty with all on staff at the hospitals of NorthShore. The primary function and activity of FPA is to employ, supervise, and conduct employment-related activities with respect to physicians who provide professional health care services directly for patients of NorthShore. The FPA physicians also conduct medical education activities for the NorthShore interns and residents, and FPA also performs medical research on behalf of NorthShore. Radiation Medicine Institute - The Radiation Medicine Institute (RMI) employs, supervises, and conducts employment-related activities with respect to physicians who provide professional health care services directly for patients of NorthShore. RMI also conducts medical education activities for the NorthShore interns and residents, and RMI also performs medical research on behalf of NorthShore. NorthShore University HealthSystem Home and Hospice Services - NorthShore University HealthSystem Home and Hospice Services (Home and Hospice) provides intermittent care including skilled nursing, physical therapy, occupational therapy, speech therapy, infusion therapy, and home health aides. Home and Hospice also provides hospice and palliative care services to NorthShore patients and their families.AffiliatedHealthCareSystem
Reports Filed With StatesILReportsFiledWithStates

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Records MaintainedtrueRecordsMaintained

Recipient Table RecipientTable (20 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEIN Of RecipientEINOfRecipientIRC SectionIRCSectionAmount Of Cash GrantAmountOfCashGrantPurpose Of GrantPurposeOfGrantAmount Of Non Cash AssistanceAmountOfNonCashAssistanceMethod Of ValuationMethodOfValuationDescription Of Non Cash AssistanceDescriptionOfNonCashAssistance
American Cancer Society
820 Davis StreetEvanstonIL60201362167721501(c)(3)20200Relay for Life Sponsorship
American Heart Association
208 South LaSalle StreetChicagoIL60604360900700501(c)(3)20075Heart Walk Sponsorship
Chicago Blackhawk Charities
1901 West Madison StreetChicagoIL60612203871291501(c)(3)6000Community Contribution
Crohns and Colitis Foundation
386 Park Avenue SouthNew YorkNY10016136193105501(c)(3)10050General Support
Family Awareness Network
PO Box 322WinnetkaIL60093363969679501(c)(3)12000Community Contribution
Glenview Education Foundation
PO Box 373GlenviewIL60025383789505501(c)(3)8000Community Contribution
Greater Chicago Food Depository
4100 West Ann Lurie PlaceChicagoIL60632362971864501(c)(3)20000Community Contribution
Healthreach Incorporated
1800 Grand AvenueWaukeganIL60085363816410501(c)(3)10000Community Contribution
Illinois Hospital Res and Edu Fndn
24676 Network PlaceChicagoIL60673237421930501(c)(3)67851Hospital Mutual Assistance Program
Lake County Health Department
3010 Grand AvenueWaukeganIL60085366006600115250000Be Well Lake County Program
Lake County Partners for Econ Dev
28055 Ashley CircleLibertyvilleIL60048364206288501(c)(3)10000Community Economic Development
McGaw YMCA
1000 Grove StreetEvanstonIL60201362169194501(c)(3)10000Community Contribution
North Shore Senior Center
161 Northfield RoadNorthfieldIL60093362366074501(c)(3)22500Oasis Center Program Sponsorship
Oakton Community College
1600 East Golf RoadDes PlainesIL60016362917302501(c)(3)10000Scholarship for Health Careers
Partners In Health
888 Commonwealth AvenueBostonMA02215043567502501(c)(3)Haiti Relief Effort Contribution190985CostMedical Supplies
University Of Chicago Medical Center
5841 South Maryland AveChicagoIL60637363488183501(c)(3)800000Urban Health Initiative
Village Of Skokie
5127 Oakton StreetSkokieIL6007736600610311510000Community Contribution
NorthShore Foundation
1301 Central StreetEvanstonIL60201320097446501(c)(3)936863General and Endowment Support
NorthShore Research Institute
1301 Central StreetEvanstonIL60201364191793501(c)(3)4603154General Support
NorthShore FPA
1301 Central StreetEvanstonIL60201363738206501(c)(3)24329801General Support
FieldValueIRS element (for citing)
Total Nbr Of501 C3 And Govt Grants20TotalNbrOf501C3AndGovtGrants

Form990 Schedule I Part IV Form990ScheduleIPartIV

FieldValueIRS element (for citing)
IdentifierMonitoring of Grant FundsIdentifier
Return ReferenceSchedule I Part I line 2ReturnReference
ExplanationNorthShore University HealthSystem (NorthShore) provides cash and non-cash assistance to organizations that help support NorthShore's mission to preserve and improve human life. Requests to support an outside organization must be reviewed and approved by the Community Relations department and NorthShore management to ensure the organization is aligned with NorthShore's mission and charitable purpose. NorthShore also provides cash support to related organizations. Support to related organizations is monitored through the NorthShore budget and reporting procedures for the consolidated financial statements.Explanation

Schedule J IRS990ScheduleJ

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

Form990 Schedule J Part II Form990ScheduleJPartII (34 entries)

Base Compensation Filing OrgBaseCompensationFilingOrgComp Based On Related OrgsCompBasedOnRelatedOrgsBonus Filing OrgBonusFilingOrgBonus Related OrgsBonusRelatedOrgsOther Compensation Filing OrgOtherCompensationFilingOrgOther Compensation Related OrgsOtherCompensationRelatedOrgsDeferred Comp Filing OrgDeferredCompFilingOrgDeferred Comp Related OrgsDeferredCompRelatedOrgsNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgNontaxable Benefits Related OrgsNontaxableBenefitsRelatedOrgsTotal Compensation Filing OrgTotalCompensationFilingOrgTotal Compensation Related OrgsTotalCompensationRelatedOrgsComp Report Prior990 Filing OrgCompReportPrior990FilingOrgComp Report Prior990 Related OrgsCompReportPrior990RelatedOrgs
Michael S Caplan
224998230003080000508553597575103833340457924099833032400
Thomas C Keeler
2051231613708309203219181517143977205492230446911200
Janardan D Khandekar
511000213894015500004443099288030131951067253412343202600
Joseph W Szokol
1200362935330240050023599724231553537802423112623980934600
Mark S Talamonti
599930245428012000008345110656894174241085662841939152300
Mark R Neaman
85272005210000487422023545901503402111635000
Jeffrey H Hillebrand
5543520352000021874066433902066701613232000
Gary E Weiss
3474740208000069660912920139000667632000
William D Bloomer
3930302606680370000038862664311316114161944841108970029400
Robert R Edelman
300000437604023807007943547712481112722568631674972178400
Bernard G Ewigman
17041102500000000483880243799000
Gerald P Gallagher
2656990110000027420776260206560476723000
Thomas H Hodges
41788001900000679730179590161560709968000
Harry L Jones
2290780116000014050179590221290386571000
William R Luehrs
30618101900000651904145920217760939068000
Frederick E Miller
293016495800370000524313674428515865497132255510107900
Kristen Murtos
234555016300008820729590242780495674000
Sean O'Grady
207430078000012050179590235120328106000
Jesse Peterson Hall
3131590130000038390832920211030551393000
William J Robb III
43615401320000440801795906860591207000
Nancy Semerdjian
2513020140000060590179590152380430558000
Richard K Silver
7000131186210950002340875813640431923491743873948423413600
Douglas M Silverstein
35254101670000552808717310962101406421000
Thomas W Smith
31388001640000236020819590172180600659000
Jeffery S Vender
3750003705770252250014605658871207171601468038804779563400
Nicholas A Vick
14153915789407000003718262511170754491020515323928698800
Thomas A Victor
6645037024802980000504041520164392454265377042476162800
Brian Washa
234785010400003860179590166070373737000
Kenneth P Anderson
3516040127000046920179590232230524478000
Raymond Grady
8080028500005222720002030815555000
Kerry Kerlin
2267505717403035440007250384118000
Roslyn Lennon
1354206025203224510546709730402685000
Gregory Pagliuzza
15560069373036299800013430449274000
David C Holub
1961654543201000042219783135494409621920242201547164800

Form990 Schedule J Part III Form990ScheduleJPartIII (6 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Benefits ProvidedPart I Line 1aFirst-class airfare was provided to the Chief Executive Officer and Chief Operating Officer for business travel purposes and was not treated as taxable compensation. The first-class airfare was purchased through a prepaid airline mileage account, which provided discounted airline fare rates. Spousal travel was provided for one trip during calendar year 2009 to the Chief Executive Officer and was treated as taxable compensation. Tax indemnification and gross-up payments are occasionally provided to employees for achievement awards and other benefits, which are reviewed and approved by management. During calendar year 2009, 17 employees listed in Part VII received gross-up payments. These amounts were treated as taxable compensation.
Reimbursement SubstantiationPart I Line 2A prepaid airline mileage account was purchased for the travel of the Chief Executive Officer and Chief Operating Officer. At the time of the purchase, it was not known what specific travel would occur and therefore the travel could not be substantiated at purchase. The business purpose of each trip was substantiated at the time of travel.
Severance PaymentsPart I Line 4aThe following individuals received a severance payment from the organization: Raymond Grady, Former President, Hospitals and Clinics - $423,000, Kerry Kerlin, Chief Information Officer-RNS - $272,696, Roslyn Lennon, Vice President, Nursing-RNS - $287,010, Gregory Pagliuzza, CFO and EVP, Finance-RNS - $330,493.
Supplemental Nonqualified Retirement PlanPart I line 4bThe following individuals participated in a supplemental nonqualified retirement plan and accrued the following benefits: Raymond Grady, Former President, Hospitals and Clinics - $622,577, Jeffrey H Hillebrand, Chief Operating Officer - $531,047, Thomas H Hodges, Chief Investment Officer - $55,000, William R Luehrs, Chief Human Resources Officer - $334,233, Mark R Neaman, President and Chief Executive Officer - $444,483, Douglas M Silverstein, President, Glenbrook Hospital - $781,439, Thomas W Smith, Chief Information Officer - $13,000.
Non-Fixed PaymentsPart I Line 7NorthShore University HealthSystem provides incentive payments to certain employees after operating and performance goals are achieved. Incentive payment plans are reviewed and approved by the Compensation Committee of the Board of Directors.
Compensation from Unrelated OrganizationsCore Form 990, Part VII, Line 5The salary and benefits reported on Schedule J totaling $243,799 for Dr. Bernard G Ewigman were paid by the University of Chicago Medical Center for services provided to NorthShore University HealthSystem as the Chairman of the Department of Family Medicine.

Schedule K IRS990ScheduleK

Form990 Schedule K Part I Form990ScheduleKPartI (2 entries)

Issuer EINIssuerEINCUSIP NumberCUSIPNumberDate IssuedDateIssuedIssue PriceIssuePriceDescription Of PurposeDescriptionOfPurposeDefeasedDefeasedOn Behalf Of IssuerOnBehalfOfIssuer
Illinois Finance Authority
86109196745200MU932008-12-1175000000See Schedule Ofalsefalse
Illinois Finance Authority
86109196745200F4D82010-07-14138786145See Schedule Ofalsefalse

Form990 Schedule K Part II Form990ScheduleKPartII (2 entries)

Total ProceedsTotalProceedsIssuance Costs From ProceedsIssuanceCostsFromProceedsCapital ExpendituresCapitalExpendituresYear Of Subst CompletionYearOfSubstCompletionCurrent RefundingCurrentRefundingAdvance RefundingAdvanceRefundingFinal Allocation MadeFinalAllocationMadeAdequate Books And Recds MaintaindAdequateBooksAndRecdsMaintaind
75000000564919744350812008falsefalsetruetrue
138786145242397712010truefalsetruetrue

Form990 Schedule K Part III Form990ScheduleKPartIII

FieldValueIRS element (for citing)
Owning Bond Financed PropertyfalseOwningBondFinancedProperty
Any Lease ArrangementsfalseAnyLeaseArrangements
Mngment Cntrct Bond Financd PrprtytrueMngmentCntrctBondFinancdPrprty
Any Research AgreementstrueAnyResearchAgreements
Bond Counsel Routinely EngagedtrueBondCounselRoutinelyEngaged
Prcntge Prvt Business Use By Others0.00200PrcntgePrvtBusinessUseByOthers
Percentage Of Prvt Business Re UBI0.00400PercentageOfPrvtBusinessReUBI
Total Private Business Use0.00600TotalPrivateBusinessUse
Post Issuance Compliance ProcdrstruePostIssuanceComplianceProcdrs

Form990 Schedule K Part IV Form990ScheduleKPartIV (2 entries)

Form8038 T FiledForm8038TFiledVariable Rate IssueVariableRateIssueHedge Identified In Books And RecdsHedgeIdentifiedInBooksAndRecdsGross Proceeds Invested In GICGrossProceedsInvestedInGICGross Proceeds InvestedGrossProceedsInvestedException To RebateExceptionToRebate
falsetruefalsefalsefalsetrue
falsefalsefalsefalsefalsetrue

Schedule L IRS990ScheduleL

Form990 Schedule L Part IV Form990ScheduleLPartIV (11 entries)

RelationshipRelationshipAmount Of TransactionAmountOfTransactionDescription Of TransactionDescriptionOfTransactionSharing Of RevenuesSharingOfRevenues
NorthShore Medical Group Inc
Bd Mbr - Mark Talamonti2164822Capitation Payments, Otherfalse
NorthShore Insurance International
See Schedule O5617268Insurance Premiumsfalse
Ravine Way Surgery Center LLC
See Schedule O850800Earnings Distributionstrue
NorthShoreUSP Surgery Center II LL
See Schedule O1542254Earnings Distrib/Investmentstrue
Advisory Board Company
Bd Mbr - Mark Neaman120800Membership Duesfalse
Vocera Communications Inc
Bd Mbr - Jeff Hillebrand173447Communications Equipmentfalse
VHA Inc
Bd Mbr - Jeff Hillebrand2563742Net Purch Rebates/Mbr Chargesfalse
Medline Industries
Officer - Andrew Mills1033107Medical Suppliesfalse
Blue Cross Blue Shield of Illinois
Bd Mbr - Sona Wang402382812Net Patient Revenuesfalse
April F Victor
Family Mbr-Thomas Victor46705Employmentfalse
Alexis A Washa
Family Mbr-Brian Washa168109Employmentfalse

Schedule O IRS990ScheduleO

General Explanation GeneralExplanation (12 entries)

IdentifierIdentifierReturn ReferenceReturnReferenceExplanationExplanation
Mission StatementPart III Line 1The core mission of NorthShore University HealthSystem is to preserve and improve human life. This mission will be achieved through the provision of superior clinical care, academic excellence, and innovative research. NorthShore University HealthSystem is a not-for-profit corporation principally formed to provide quality healthcare services for the communities it serves. The delivery of healthcare services is provided in a wide range of inpatient and ambulatory healthcare settings, community-wide, employing modern technology and expertise. Support for qualified residents who may not be able to pay the entire cost of their care is a part of the organization's commitment. The organization's primary service area includes Chicago's "north shore," northern suburbs, and its environs. In support of its primary mission of patient care, the corporation engages in a wide range of academic activities in medical education and research. This statement recognizes the Board of Directors' responsibility to maintain the organization's viability to meet its long-term commitment to the communities it serves. It further recognizes the responsibility to maintain technologically current assets for this purpose. This includes the cultivation and development of our physicians, employees, physical plant, equipment, and other resources to assure orderly growth of our services.
Statement of Program Services - Patient Care ContinuedPart III Line 4a(Patient Care Continued) Highland Park Hospital - Founded in 1918, NorthShore's Highland Park Hospital has provided high-quality healthcare and a wide range of clinical programs for more than 80 years. The 158-licensed bed Hospital is the site of the first open heart surgery in Lake County. Highland Park Hospital's Kellogg Cancer Care Center offers the most comprehensive subspecialty care for oncology patients within Lake County. The specialized physicians provide care for the following types of cancer: thoracic and lung; hematology; breast; ovarian; head and neck; melanoma and sarcoma; gastrointestinal; prostate; and stomach. The Highland Park Hospital campus recently has established a new stroke center that complements the enhanced neurology services. In addition, a new wound care center gives patients access to the most comprehensive wound treatment program on the North Shore. It offers hyperbaric oxygen therapy to help patients recover faster and leads to better clinical and quality outcomes. A new, improved Simulation Laboratory gives first responders - paramedics, physicians, nurses and other health professionals - ongoing training to enhance their skills. With a renovated Emergency Department, Highland Park Hospital participates as the region's "pod" hospital for disaster response activities, coordinating Lake County's efforts when confronted with a disaster. NorthShore also has a partnership with the Lake County Health Department and Community Health Center known as Be Well Lake County. The program's goal is to build greater access through a coordinated network of healthcare targeting the underserved diabetes population in Lake County. The program enables the partner organizations to effectively pool and maximize resources in order to provide high quality comprehensive diabetes management, education, and support resources that will address one of the nation's fastest growing health threats. During fiscal year 2010, Highland Park Hospital total admissions were 9,662, and total patient days were 41,813. As of September 2010, Highland Park Hospital had 1,064 employees. Skokie Hospital - Founded in 1963, Skokie Hospital has provided high-quality healthcare for nearly five decades. The 195-licensed bed acute care hospital is nationally recognized for its expertise in cancer care, cardiac care and orthopaedics. The Illinois Foundation for Quality Health Care has recognized the Hospital as one of 43 hospitals nationwide for its Surgical Care Improvement Project Commitment to Quality Award. Additionally, in the Blue Cross Blue Shield Hospital Survey, Skokie Hospital scored in the top 50 percent of participating hospitals in 2007 and 2008. For its comprehensive cardiac care, the Hospital was named one of the Top 100 Cardiovascular Hospitals in the nation for cardiology and heart surgery programs. Skokie Hospital's Level II Trauma Center - Emergency Department is staffed by experienced trauma team members specially trained in pediatric life support. During fiscal year 2010, Skokie Hospital total admissions were 8,394, and total patient days were 43,808. As of September 2010, Skokie Hospital had 992 employees. NorthShore University HealthSystem Faculty Practice Associates - In order to increase the efficiency and quality of health care NorthShore provides, NorthShore University HealthSystem Faculty Practice Associates (FPA) was organized to serve as an integral part of its health care mission and activities. FPA represents more than 650 physicians with over 75 offices in virtually every specialty with all on staff at the hospitals of NorthShore. The primary function and activity of FPA is to employ, supervise, and conduct employment-related activities with respect to physicians who provide professional health care services directly for patients of NorthShore. The FPA physicians also conduct medical education activities for the NorthShore interns and residents, and FPA also performs medical research on behalf of NorthShore. NorthShore University HealthSystem Foundation - NorthShore University HealthSystem Foundation (Foundation) was organized to enhance development efforts to raise funds and awareness of the NorthShore operations. The Foundation conducts fundraising and development activities which support and benefit the operation of NorthShore. With community gifts, NorthShore can continue to provide excellent care, advanced research, and innovative new services.
Family or Business RelationshipsPart VI Section A Line 2Harry M Jansen Kraemer Jr and Samuel M Mencoff - business relationship, Andrew J Mills and Nancy Semerdjian - business relationship
Governing Body Review of 990Part VI Section B Line 11AThe NorthShore University HealthSystem (NorthShore) Form 990 was reviewed by executive management and an outside accounting firm. The NorthShore Form 990 was then provided to each member of the Board of Directors via email for their review and ability to ask questions of management prior to filing.
Conflict of Interest Policy MonitoringPart VI Section B Line 12cOn an annual basis, the Chief Compliance Officer requires all officers, directors, and key employees to complete, sign and return a Conflict of Interest Disclosure Statement. Timely and accurate completion of the Statement is mandatory, and completed Statements must be returned to the Chief Compliance Officer within 15 days. Any disclosures included on the Statements are reviewed and acted upon as necessary by the Chief Compliance Officer and the Corporate Compliance Committee.
Determination of CompensationPart VI Section B Line 15A detailed compensation review of the top 16 executives, including the Chief Executive Officer, is conducted annually. Market data is collected and assessed by an external independent compensation consultant who specializes in compensation consulting within the healthcare industry. The work product from this study is reviewed separately with Board-retained legal counsel. Market data for base and variable compensation is assessed annually for local, regional and national hospitals, integrated delivery systems and academic medical centers. A detailed total compensation market review is conducted every two years. The market assessment includes assessing job content in order to make appropriate market data comparisons. Specific recommendations are then reviewed, discussed and approved as appropriate with the Compensation Committee of the Board, in session with legal counsel present, in advance of implementation.
Public Disclosure of DocumentsPart VI Section C Line 19The NorthShore University HealthSystem (NorthShore) governing documents, conflict of interest policy and financial statements are available to the public upon request. The NorthShore annual audit report and financial statements are also available to the public through the Illinois Attorney General's Office website as part of the state tax return filings. The NorthShore quarterly and annual financial statements and annual audit are also made available to the public through the Electronic Municipal Market Access (EMMA) website as part of the tax-exempt bond offerings.
Average Hours Per Week for Related OrganizationsPart VII Section A Column BCertain individuals listed in Part VII had the following average hours per week devoted to related organizations: William D Bloomer - 25, Michael S Caplan - 25, A Steven Crown - 2, Connie K Duckworth - 2, Robert R Edelman - 28, Jeffrey H Hillebrand - 2, David C Holub - 10, Ike Hong - 1, Gregory K Jones - 2, Thomas C Keeler - 38, Richard L Keyser - 1, Janardan D Khandekar - 19, Harry M Jansen Kraemer Jr - 2, Frederick E Miller - 10, Mark R Neaman - 5, Richard K Silver - 10, Joseph W Szokol - 35, Mark S Talamonti - 16, Jeffery S Vender - 27, Nicholas A Vick - 26, Thomas A Victor - 37, John R Walter - 1, Gary E Weiss - 1
Bond Issue Description of PurposeSchedule K Part I Column fA - The 2008 Illinois Finance Authority Commercial Paper Revenue Notes were issued to reimburse NorthShore University HealthSystem for the costs of construction, renovation, and equipment for various projects at Evanston Hospital, Glenbrook Hospital, and Highland Park Hospital. Proceeds of the 2008 Issue were also used for credit enhancement and bond issuance costs. B - The Series 2010 Illinois Finance Authority Revenue Refunding Bonds were issued to refund Series 2001A Illinois Development Finance Authority Variable Rate Demand Revenue Bonds. The Series 2001A Bonds were originally issued on July 3, 2001. Proceeds of the Series 2010 Bonds were also used to pay bond issuance costs and termination costs in connection with certain derivative agreements related to the Series 2001A Bonds.
Bond Issuance Costs from ProceedsSchedule K Part II Line 5A - The 2008 Bond issuance costs of $564,919 represents $433,044 in proceeds used for bond issuance costs and $131,875 in proceeds used for credit enhancement. B - The 2010 Bond issuance costs of $24,239,771 represents $1,017,771 in proceeds used for bond issuance costs and $23,222,000 in proceeds used for termination costs in connection with certain derivative agreements related to the refunded bonds.
Business Transactions with Interested PersonsSchedule L Part IV Column bNorthShore Insurance International board members were Jeffrey H Hillebrand and Harry L Jones. Ravine Way Surgery Center LLC board members were Jeffrey H Hillebrand and Gerald P Gallagher. NorthShore/USP Surgery Center II LLC board members were Jeffrey H Hillebrand and Thomas H Hodges.
Transactions with Related OrganizationsSchedule R Part V Line 2 Column cTransactions with related organizations reported on Schedule R Part V line 2 were valued at cost.

Schedule R IRS990ScheduleR

Form990 Schedule R Part II Form990ScheduleRPartII (5 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivitiesPrimaryActivitiesLegal Domicile StateLegalDomicileStateExempt Code SectionExemptCodeSectionPublic Charity StatusPublicCharityStatusBusiness Name Line1DirectControllingEntityName/BusinessNameLine1
NorthShore Foundation
1301 Central StreetEvanstonIL60201320097446FundraisingIL501(c)(3)11 Type INA
NorthShore Research Institute
1301 Central StreetEvanstonIL60201364191793ResearchIL501(c)(3)4NA
NorthShore Faculty Practice Associates
1301 Central StreetEvanstonIL60201363738206HealthcareIL501(c)(3)11 Type INA
Radiation Medicine Institute
1301 Central StreetEvanstonIL60201363815543HealthcareIL501(c)(3)11 Type INA
NorthShore Home and Hospice Services
1301 Central StreetEvanstonIL60201362167944HealthcareIL501(c)(3)9NA

Form990 Schedule R Part III Form990ScheduleRPartIII (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Predominant Income TypePredominantIncomeTypeShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsDisproportionate AllocationsDisproportionateAllocationsCode VCodeVAmountGeneral Or Managing PartnerGeneralOrManagingPartner
Ravine Way LLC
2401 Ravine WayGlenviewIL60025201245279HealthcareILNARelated11803671721167false$0true
HPMOB Limited Ptr
1301 Central StEvanstonIL60201363497502HealthcareILNARelated11586850747false$0true

Form990 Schedule R Part IV Form990ScheduleRPartIV (2 entries)

Address Line1AddressUS/AddressLine1CityAddressUS/CityStateAddressUS/StateZIP CodeAddressUS/ZIPCodeEINEINPrimary ActivityPrimaryActivityLegal Domicile StateLegalDomicileStateBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Type Of EntityTypeOfEntityShare Of Total IncomeShareOfTotalIncomeShare Of EOY AssetsShareOfEOYAssetsPercentage OwnershipPercentageOwnershipAddress Line1AddressForeign/AddressLine1Province Or StateAddressForeign/ProvinceOrStateCountryAddressForeign/CountryLegal Domicile Foreign CountryLegalDomicileForeignCountry
NorthShore Medical Group Inc
1301 Central StreetEvanstonIL60201363648026HealthcareILNorthShore FPAC corp-4159707741.00000
NorthShore Insurance International
980419452InsuranceNAC corp40340205396931.00000Governors Sq Bldg 4Grand CaymanCJCJ
FieldValueIRS element (for citing)
Receipt Of Int Ann Rents RoyaltiestrueReceiptOfIntAnnRentsRoyalties
Gift Grant Or Cap Contr To Other OrgtrueGiftGrantOrCapContrToOtherOrg
Gift Grant Or Cap Contr Fr Other OrgtrueGiftGrantOrCapContrFrOtherOrg
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrg
Loans Or Guarantees From Other OrgfalseLoansOrGuaranteesFromOtherOrg
Sale Of Assets To Other OrgfalseSaleOfAssetsToOtherOrg
Purchase Of Assets From Other OrgfalsePurchaseOfAssetsFromOtherOrg
Exchange Of AssetsfalseExchangeOfAssets
Rental Of Facilities To Other OrgsfalseRentalOfFacilitiesToOtherOrgs
Rental Of Facilities Fr Other OrgsfalseRentalOfFacilitiesFrOtherOrgs
Perform Of Services For Other OrgsfalsePerformOfServicesForOtherOrgs
Perform Of Services By Other OrgsfalsePerformOfServicesByOtherOrgs
Sharing Of FacilitiesfalseSharingOfFacilities
Sharing Of Paid EmployeesfalseSharingOfPaidEmployees
Reimbursement Paid To Other OrgtrueReimbursementPaidToOtherOrg
Reimbursement Paid By Other OrgtrueReimbursementPaidByOtherOrg
Other Transfer To Other OrgtrueOtherTransferToOtherOrg
Other Transfer From Other OrgtrueOtherTransferFromOtherOrg

Transactions Related Orgs Table TransactionsRelatedOrgsTable (29 entries)

Transaction TypeTransactionTypeAmount InvolvedAmountInvolved
NorthShore Foundation
a566340
NorthShore Research Institute
a4751353
NorthShore Faculty Practice Associates
a11447316
NorthShore Home and Hospice Services
a556524
NorthShore Foundation
b936863
NorthShore Research Institute
b4603154
NorthShore Faculty Practice Associates
b24329801
NorthShore Foundation
c5869648
NorthShore Faculty Practice Associates
c652877
NorthShore Faculty Practice Associates
o32949977
NorthShore Foundation
p163626
Northshore Research Institute
p2254096
NorthShore Faculty Practice Associates
p10767658
NorthShore Home and Hospice Services
p1465467
NorthShore Medical Group Inc
p169202
NorthShore Foundation
q21411006
NorthShore Research Institute
q22790596
NorthShore Faculty Practice Associates
q295312685
Radiation Medicine Institute
q5839739
NorthShore Home and Hospice Services
q17035423
NorthShore Medical Group Inc
q97068446
NorthShore Insurance International
q5617268
NorthShore Foundation
r159007456
NorthShore Research Institute
r88768047
NorthShore Faculty Practice Associates
r254916578
Radiation Medicine Institute
r5275878
NorthShore Home and Hospice Services
r17973081
NorthShore Medical Group Inc
r95072826
Ravine Way Surgery Center LLC
r850800