2023-11-13T12:34:06+00:00 2022-12-31 861065772 Deloitte Tax LLP 111 South Wacker Drive Chicago IL 60606 990 2022-01-01 362179813 Swedish Covenant Health SWED 7738788200 5145 N California Avenue Chicago IL 60625 Anthony Guaccio President & CEO 7738788200 2023-11-13 true Anthony Guaccio 999009999 Monika Yadav P01473820 3124861000 2022 2023-04-26 12:10:37Z Anthony Guaccio 5145 N California Avenue Chicago IL 60625 300504779 false X swedishcovenant. org X 1907 IL Swedish Covenant Health follows the mission of NorthShore - Edward-Elmhurst Health to "help everyone in our communities be their best." 17 12 3149 40 1219039 0 137746 8558071 73997256 288125140 20215 50307 1735949 3771261 75891166 300504779 235000 983178 0 31471169 150949955 0 0 38340356 155244640 70046525 307177773 5844641 -6672994 746038383 840938672 552862530 653184889 193175853 187753783 See Schedule O false false 279815815 983178 289977182 See Schedule O 279815815 true false false true false false false false true true false 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false true X true true true X false true false false false false false false true 150000 150000 false Schedule C, Part II-B, Line 1 DETAILED DESCRIPTION OF THE LOBBYING ACTIVITY In the course of regular business activities, Swedish Covenant Health or its lobbyist perform some lobbying activities on matters of interest to itself and its patients. 23007772 1263923 -656297 1288148 22327250 22765823 262195 150165 0 170411 0 23007772 22124964 1496298 768722 0 1624161 0 22765823 22595758 1436848 192855 0 2100497 0 22124964 22708436 1550188 63850 0 1726716 0 22595758 0.1961 0.8039 0.0 false true true 32028937 32028937 146672715 18343821 128328894 47457567 17270479 30187088 54779283 7775074 47004209 237549128 Due from Affiliates 516917820 All Other Current Assets 1631950 Other Investments 1617547 Leases 441480 Due from Third Party Payers 19934763 540543560 Due to Affiliates 600949141 Asset Retirement Obligation 1939283 Accrued Malpractice Liability 1694619 Leases - Long-Term 159752 604742795 X Schedule D, Part V, Line 4 Intended uses of endowment funds The earnings are to be used for education, charity care, and other hospital programs. Swedish Covenant Health is the related beneficiary of the endowment funds held by Swedish Covenant Hospital Foundation. Schedule D, Part X, Line 2 FIN 48 (ASC 740) footnote The affiliates and subsidiaries of the System are primarily tax-exempt organizations under Internal Revenue Code Section 501(c)(3), and their related income is exempt from federal income tax. 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. The System files federal income tax returns and returns for various states in the U.S. ASC 740-10, Income Taxes, requires that realization of an uncertain income tax position is more likely than not (i.e., greater than 50% likelihood of receiving a benefit) before it can be recognized in the consolidated financial statements. Furthermore, this interpretation prescribes the benefit to be recorded in the consolidated 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 year ended December 31, 2022. For the year ended December 31, 2022, the System has a net operating loss carryforward of $340,271, which generated deferred tax assets of $96,228. These assets are offset by a valuation allowance of $94,373. true true X true X true X 600 true true true false true true 9572050 9572050 0.0312 108326070 120786859 0 0.0 0 0.0 0 0 117898120 120786859 9572050 0.0312 1229700 1229700 0.0040 9573419 3574695 5998724 0.0195 5126082 5126082 0.0167 0 0.0 983179 983179 0.0032 0 0 16912380 3574695 13337685 0.0434 0 0 134810500 124361554 22909735 0.0746 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 0 0.0 23153 23153 0.0001 0 0.0 0 0.0 0 0 23153 0 23153 0.0001 true 3812722 62345297 51442176 10903121 X true true 1 1 Swedish Hospital 5145 N California Avenue Chicago IL 60625 swedishcovenant.org 0002717 X X X X I/P & O/P Hospital Services, Skilled Nursing Facility Swedish Hospital 1 false false true X X X X X X X X X 22 true true true true X swedishcovenant.org/community/community-outreach X true 22 true swedishcovenant.org/community/community-outreach false true X 200.0 600.0 X X X X X true true X X X true X swedishcovenant.org/for-patients-and-visitors/pay-your-bill/financial-assistance X swedishcovenant.org/for-patients-and-visitors/pay-your-bill/financial-assistance X swedishcovenant.org/for-patients-and-visitors/pay-your-bill/financial-assistance X X X X X X true X false X true X false false Schedule H, Part V, Section B, Line 5 Facility , 1 Facility , 1 - Swedish Hospital. Swedish Hospital (Swedish) and members of the Alliance for Health Equity (AHE), a collaborative of over 30 hospitals partnering with health departments and community based organizations, worked together throughout 2021-2022 to build a comprehensive Community Health Needs Assessment (CHNA) in Chicago and Cook County. Swedish Hospital and the Alliance for Health Equity adapted the Mobilizing for Action through Planning and Partnerships (MAPP) model for the CHNA, emphasizing the importance of community engagement, partnership development, and both primary and secondary data. The Alliance for Health Equity chose this inclusive, community-driven process to leverage and align with health department assessments and to actively engage stakeholders, including community members, in identifying and addressing strategic priorities to advance health equity. Swedish Hospital worked with the Alliance for Health Equity and local community partners in the communities we serve to identify and prioritize the health needs within our community through 2024. As part of the hospital's community outreach efforts, the Community Ambassador Program and the Community Leader Engagement Program allow Swedish to further connect with the community. Swedish initiated a Community Ambassador Program in FY16 which consists of employees throughout the organization who live in the local community and serve as liaisons to further build bridges among neighbors. Ambassadors engage in dialogue with schools, churches, cultural groups and other local organizations to learn more directly about the community's unique needs. Ambassadors share feedback and insight with the Community Relations Department which helps guide development of programming and education to serve the community. Swedish established a Community Leader Engagement Program in FY17 as an extension of the Ambassador Program, to invite leaders from throughout the community to convene several times per year to discuss community health needs and ways to collaborate for the benefit of all. Together, the group has worked on the following health initiatives: head injury prevention/bike helmet safety, bystander CPR and community wellness (fitness, nutrition, mind/body, prevention). This Community Leader group consists of more than 100 social service organizations, health care providers, elected officials, schools and others. Members include: Apna Ghar, Between Friends, Budlong Elementary School, Centro Romero, Chicago Police - 20th District, Common Pantry, Erie Family Health, The Friendship Center, HANA Center, Hamdard Health, Hatzalah, Heartland Health Centers, ICNA Relief, Lutheran Social Services, Neighborhood Boys and Girls Club and Rohingya Culture Center. As part of the CHNA process, Swedish's Community Leader group met with hospital leaders and the Alliance for Health Equity staff to provide feedback on initial findings and priorities from the CHNA. Additionally, various organizations from the Community Leader group were active contributors to focus groups related to health care providers and social services, including immigrant and refugee-serving organizations. The Alliance for Health Equity's collaborative CHNA combined robust public health data, community input, existing research, existing plans, and existing assessments to document the health status of communities within Chicago and Suburban Cook County and to highlight systemic inequities that are negatively impacting health. The CHNA also provided insight into community-based assets and resources that would benefit from support and leverage during the implementation of health improvement strategies. Swedish Hospital partnered with the Alliance for Health Equity (AHE), other hospitals, the Chicago Department of Public Health, Cook County Department of Public Health, and community organizations to complete this collaborative CHNA between March 2021 and March 2022, during a time that communities across our county, country, and globe have been experiencing profound impacts from the COVID-19 pandemic. The health, economic, and social impacts of the pandemic are strongly present in what we heard from community members and healthcare and public health workers over the course of the assessment. Primary and secondary data from a diverse range of sources were utilized for robust data analysis and to identify community health needs in Chicago and Suburban Cook County. Primary data for the CHNA was collected through three methods: Community input surveys, community resident focus groups, and social service provider focus groups. Epidemiologists from the Cook County Department of Public Health (CCDPH) and Chicago Department of Public Health (CDPH) and Metopio are invaluable partners in identifying, compiling, and analyzing secondary data for the CHNA. IPHI and the Alliance for Health Equity steering committee worked with CDPH and CCDPH to refine a common set of indicators based on an adapted version of the County Health Rankings and Roadmaps Model. Secondary data used in the CHNA were compiled from a range of sources. In alignment with the purpose, vision, and values, the Alliance for Health Equity prioritizes engagement of community members and community-based organizations as a critical component of assessing and addressing community health needs. Community partners have been involved in the assessment and ongoing implementation process in several ways both in providing community input and in decision making processes. The community based organizations engaged in the Alliance for Health Equity represent a broad range of sectors such as workforce development, housing and homeless services, food access and food justice, community safety, planning and community development, immigrant rights, youth development, community organizing, faith communities, mental health services, substance use services, policy and advocacy, transportation, older adult services, health care services, higher education, and many more. All community partners work with or represent communities that are disproportionately affected by health inequities such as communities of color, immigrants, youth, older adults and caregivers, LGBTQ+, individuals experiencing homelessness or housing instability, individuals living with mental illness or substance use disorders, individuals with disabilities, veterans, and unemployed youth and adults. Community input is the most important data input into the Alliance for Health Equity Community Health Needs Assessment. Particularly in the context of the current COVID-19 pandemic, first-hand information from communities most impacted by inequities is the most up-to-date data we have available about priority community health needs. Swedish Hospital (Swedish) worked closely with the AHE and community-based organizations that are members of Swedish's Community Leader Program to collect in-depth community input data through a community input survey and focus groups. We collected 1108 surveys and conducted 8 focus groups with residents from Swedish's service area. The community input survey was a qualitative tool designed to understand community health needs and assets from community members, with a focus on hearing from community members most impacted by health inequities. The community input surveys, along with focus group data, informed the priority areas and strategies for community health improvement in Chicago and suburban Cook County. Between August 2021 and February 2022, the Illinois Public Health Institute (IPHI) worked with Alliance for Health Equity partners to hold a total of 43 focus groups with priority populations such as veterans, individuals living with mental illness, communities of color, older adults, caregivers, teens and young adults, LGBTQ+ community members, adults and teens experiencing homelessness, families with children, faith communities, adults with disabilities, and children and adults living with chronic conditions such as diabetes and asthma. In total, eight focus groups were held with community members and service providers in Swedish's service area. Swedish Hospital values the community health needs assessment process as an opportunity to engage with community leaders and organizations and with our colleagues from other healthcare institutions across the County through the Alliance for Health Equity. In partnership with communities, the Chicago Department of Public Health, the Illinois Public Health Institute, and the Alliance for Health Equity, we have taken an in-depth look at the needs and assets in the communities we serve, and we are committed to addressing those needs through implementation strategies in partnership with communities most impacted by health inequities. Schedule H, Part V, Section B, Line 5 Facility , 2 Facility , 2 - Swedish Hospital. We undertake this collaborative, collective impact approach to community health needs assessment and implementation in order to address the underlying root causes of health disparities and to support greater community health and well-being in the communities we serve. Swedish Hospital makes the Community Health Needs Assessment available at SwedishCovenant.org/community-benefit. It is also shared broadly with internal and external stakeholders, including employees, volunteers, physicians, elected officials and members of our community, including the Community Leader Engagement Program. Schedule H, Part V, Section B, Line 6a Facility , 1 Facility , 1 - Swedish Hospital. Swedish Hospital (Swedish) and members of the Alliance for Health Equity (AHE), a collaborative of over 30 hospitals partnering with health departments and community based organizations, worked together throughout 2021-2022 to build a comprehensive Community Health Needs Assessment (CHNA) in Chicago and Cook County. The following hospitals were included in the collaborate CHNA with Swedish Hospital: - Advocate Aurora Children's Hospital - Advocate Aurora Christ Medical Center - Advocate Aurora Illinois Masonic Medical Center - Advocate Aurora Lutheran General Hospital - Advocate Aurora South Suburban Hospital - Advocate Aurora Trinity Hospital - Advent Health Medical Center La Grange - Ascension Alexian Brothers Medical Center, Elk Grove Village - Ascension Holy Family Medical Center - Ascension Resurrection Medical Center - Ascension St. Alexius Medical Center and Alexian Brothers Behavioral Health Hospital - Ascension Saint Francis Hospital - Ascension Saint Joseph Hospital - Ascension Saints Mary and Elizabeth Medical Center - Ann & Robert H. Lurie Children's Hospital of Chicago - Humboldt Park Health - Jackson Park Hospital - The Loretto Hospital - Loyola Medicine- Gottlieb Memorial Hospital - Loyola Medicine- Loyola University Medical Center - Loyola Medicine- MacNeal Hospital - Northwestern Memorial Hospital - Northwestern Palos Community Hospital - OSF Little Company of Mary Medical Center - Roseland Community Hospital - Rush Oak Park - Rush University Medical Center - Sinai Health System- Holy Cross Hospital - Sinai Health System- Mount Sinai Hospital - Sinai Health System- Schwab Rehabilitation Hospital - South Shore Hospital - University of Illinois Hospital and Health Sciences System Schedule H, Part V, Section B, Line 6b Facility , 1 Facility , 1 - Swedish Hospital. The CHNA was conducted with the following organizations other than hospital facilities: - Chicago Department of Public Health - Cook County Department of Public Health - Cook County Health - Illinois Public Health Institute Schedule H, Part V, Section B, Line 11 Facility , 1 Facility , 1 - Swedish Hospital. The implementation strategy was developed after the comprehensive Community Health Needs Assessment (CHNA) was completed. Swedish Hospital intends to undertake the following strategies to meet the identified community health needs. It is important to note that our health equity and social determinants of health (SDOH) work is fundamental and integrated throughout our priority needs' strategies. Access to Health and Social Services - Expand efforts to identify and respond to social determinants of health (SDOH). - Expand efforts to support benefits enrollment for under resourced community members. - Increase access to specialty care and diabetes education via Healthcare Transformation Program. - Strengthen Swedish Hospital's capacity to respond to survivors of sexual and intimate partner violence via Pathway Programs. - Develop Community Health strategy addressing health and racial disparities through community partnership and program development. Mental and Behavioral Health - Deepen partnerships with community organizations addressing mental health - Continue and enhance behavioral mental health and substance abuse services. - Explore opportunities to educate the community about mental health via programs and partnerships. Chronic Health Conditions and Wellness - Address high blood pressure, diabetes and preventative cancer screenings through targeted interventions and outreach. - Enhance partnerships with local community organizations to better address chronic health conditions. - Expand education and outreach to community and patients to promote nutrition, health lifestyle choices and wellbeing. - Enhance Galter LifeCenter offerings to support health and wellbeing. Below is a list of the other significant health needs identified through the CHNA and the reasons why Swedish Hospital did not identify as a priority need in the implementation strategy plan. Many of these needs are incorporated into other priority areas or are a part of existing hospital programs or services. - Age Related Illness: incorporated into Chronic Health Conditions and Wellness. - Child and Adolescent Health: incorporated into Mental & Behavioral Health and other priority areas through SDOH screenings and other programs. The hospital is also committed to working with other organizations where possible to support these efforts and elevate awareness of these issues. - COVID-19: Swedish Hospital has a robust focus on COVID-19. This need is incorporated into Access to Health & Social Services and the active partnership between Swedish's Healthy Chicago Equity Zones team and the City of Chicago. - Homelessness and Housing Instability: incorporated into Access to Health & Social Services via SDOH screening enhancements and is also addressed via the hospital's Housing Connections program. The hospital is also committed to working with other organizations where possible to support these efforts and elevate awareness of these issues. - Violence: incorporated into Access to Health & Social Services priority via Swedish Hospital's Pathways Program. - Obesity: incorporated into Chronic Health Conditions and Wellbeing and Health Equity. It is also being addressed through existing work with the Nutrition & Diabetes Center. - Food Insecurity: Swedish Hospital has a robust focus on Food Insecurity via the Food Connections program. This need is incorporated into both the Access to Health & Social Services priority as well as Chronic Health Conditions & Wellness and is part of our SDOH screening enhancements. Actions taken during 2022 to address the needs identified in the CHNA include the following programs and services: Addressing Access to Health and Social/Structural Determinants of Health - Swedish developed robust strategies to address health and racial disparities through community partnership and program development via its Regional Lead role for North/Central Zone of Healthy Chicago Equity Zones initiative, a collaboration with Chicago Department of Public Health. During the FY22 time period, the Swedish HCEZ team participated in 167 events. - A Community Wellness Center launched in October 2022 as a hub for educational programming, support groups and wellness offerings, including collaboration with area organizations. - The Pathways Program strengthened Swedish Hospital's capacity to respond to survivors of sexual and intimate partner violence. This included creating a culture of safety and awareness, with more than 275 patients served annually who have been impacted by sexual assault, domestic violence or human trafficking. The program provided extensive de-escalation, trauma, domestic violence, human trafficking and sexual assault training to medical providers, and staff, with more than 40 trainings held annually and more than 500 people trained. Additionally, a Pathways staff support group launched in late 2022. - A SDOH screening tool launched in late 2022 and helped navigate screened individuals to services and resources. - Swedish expanded efforts to support benefits enrollment for under-resourced community members, including initiating process to enroll patients who screen positive for food insecurity in various programs (LINK, SNAP, WIC, food pantries). - A Healthcare Transformation Program with FQHC partners increased access to specialty care and diabetes education. Addressing Chronic Conditions and Wellness - The organization addressed high blood pressure, diabetes and preventative cancer screenings through targeted interventions and outreach, including navigating patients with no record of mammogram history to Breast Health Center and funding opportunities for free screening as needed. More than 1,100 no-charge cancer detection services were provided in 2022. - Swedish enhanced partnerships with local community organizations to better address chronic health conditions, including deeper collaboration within local FQHCs via the Transformation Program to care for under-resourced patients managing chronic health conditions. - Swedish expanded education and outreach to community and patients, promoting nutrition, healthy lifestyle choices and wellbeing. Programs included Food Connections, Veggies for Health program, Nutrition & Diabetes Center, and Bystander CPR & AED Training. - Via free special events and programs, Swedish expanded community education programming about the importance of healthy eating and physical activity. Efforts included partnership with Swedish's Healthy Chicago Equity Zones and the Community Outreach Registered Dietitian to outreach into local underserved communities. Programs included cooking demonstrations, bike helmet giveaways and safety tips, healthy eating tips with the interactive Smoothie Bike and more. - Swedish provided four smoking cessation programs in FY22 (each program included eight one hour sessions), including discounted fees for under-resourced individuals. - Galter LifeCenter (GLC) enhanced offerings to support health and wellbeing, including approximately 80 discounted scholarship memberships based on financial and medical need as well as Fundamental Fitness and Eat, Move, Lose programs. GLC also supported the Integrated Cancer Care Program (ICCP) via free services such as support groups, integrative therapies (massage, acupuncture, etc.), fitness programming, nutrition counseling and more. Improving Mental Health - Swedish continued its robust partnership with Lutheran Social Services of Illinois (LSSI) via Project IMPACT (within the ED), via The Welcoming Center (outpatient setting on hospital campus) and through the LSSI Mobile Crisis Team. This includes treatment for patients in need of medical stabilization for substance or alcohol abuse. - An integrated, team-based approach co-located a clinical psychologist among sixteen primary care providers to better facilitate warm handoffs and streamlined connection to behavioral health services. - A free weekly support group, as well as other community education programs with local organizations supported new moms. - Swedish Hospital Foundation's Women's Care Fund provided more than $50,000 worth of free counseling services to uninsured or underinsured women. - Swedish applied for and was awarded a $100,000 grant from Cigna Foundation for an LCSW to be hired to provide psychoeducation in the community and expand individual services. Funds were received in December 2022 - to begin in 2023. - Swedish featured "Boosting Your Mental Health" in Healthy Driven ABC TV spots, along with online content, provided by health psychologist Dr. Katie Hanson. - Swedish initiated a suboxone opioid addiction clinic pilot within Emergency Department. 1 Galter LifeCenter 5157 N Francisco Avenue Chicago IL 60625 Physical Rehabilitation / Medical Fitness Facility Schedule H, Part I, Line 7d The PA tax benefit is not reimbursement for direct patient care and therefore we believe it shows for Schedule H, Line 7b, Column (c). The $108,326,070 in the community benefit expense includes the provider assessment tax of $16,173,667. Had the provider tax been excluded, the total community benefit expense would have been $92,152,403. On Schedule H, Line 7b, Column (d), the direct offsetting revenue of $120,786,859 includes the provider tax revenue of $59,082,145. Had the public aid provider revenue been excluded from Schedule H, the direct offsetting revenue would have been $61,704,714. Using an adjusted total community benefit expense of $92,152,403 noted above, minus an adjusted direct offsetting revenue amount of $61,704,714, also noted above, the resulting community benefit dollar amount on Schedule H, Line 7b, Column (e) would have been $30,447,689. On Schedule H, Line 7b, Column (f) percentage of total expense would have increased from 0% to 9.59%. The PA tax benefit is not reimbursement for direct patient care and therefore we believe it should be excluded from the Schedule H calculations. Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance Swedish Hospital calculated the cost of charity care using the cost-to-charge ratio. Amounts in the other benefits section of Line 7 were calculated using costs charged directly to the individual programs from the financial accounting system. Schedule H, Part II Community Building Activities Members of Swedish Hospital staff work with other organizations and participate in many activities to advocate for health improvement in our community. These include: involvement with the association for community safety net hospitals and the IHA advocacy outreach team, participation in the Medicaid rate reform tag group, community meetings, chambers of commerce, education, and seeking of resources to enhance health care services in the community. During the fiscal year, Swedish Hospital continued its active involvement in a collaborative of area hospitals entitled the Alliance for Health Equity (AHE). AHE is a partnership between the Illinois public health institute, hospitals, health departments, and community organizations across Chicago and cook county. This initiative is one of the largest collaborative hospital-community partnerships in the country with the current involvement of over 30 hospitals, 7 health departments, and 100 community partners throughout Chicago and cook county serving on various action teams. AHE is a collaboration of Chicago and cook county-based hospitals that strives to promote a collective impact on health outcomes in the city of Chicago through an environment that fosters learning, sharing of resources, data and best practices. They are also the driving force to facilitate and execute the community health needs assessment (CHNA) for their hospital members. Swedish Hospital has staff who participate in a variety of sub-groups via AHE including the following: AHE steering committee, social and structural determinants of health committee, housing and health workgroup, food security/food access workgroup, mental health and substance use disorders committee, CHNA committee, policy committee and trauma informed hospitals collaborative. In addition to the above mentioned activities, SCH regularly engages in conversation to advocate for community health improvement and support, including attending meetings with the local police districts on safety/community policing and meeting with organizations who serve disadvantaged populations within our community to develop relationships/partnerships to provide preventive health screenings (including mammograms), violence prevention resources, and other free health education offerings throughout the community. Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount Bad debt expense was reported at cost using a cost-to-charge methodology. The Schedule H, Worksheet 2, Ratio of Patient Care Cost-to-Charges calculated to report charity care on Part I, Line 7a was multiplied by the bad debt expense to determine the bad debt expense at cost. Discounts and payments on patient accounts are excluded from bad debt expense in order to reflect the expected amount to be paid. Schedule H, Part III, Line 3 Bad Debt Expense Methodology There are no bad debt amounts included in community benefits. Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote See pages 9 and 14-18 of the audited financial statements for footnotes describing accounts receivable and bad debt expense. Schedule H, Part III, Line 8 Community benefit & methodology for determining medicare costs The Medicare allowable costs were determined from the amounts in the Medicare Cost Report excluding costs already reported on Schedule H, Part I, Line 7f as health professions education. Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance Swedish Hospital is included in the billing and collections policy for NorthShore - Edward-Elmhurst Health. The policy applies to all patients. Patients are screened for eligibility for financial assistance before collection procedures begin. Financial counseling will be provided to help patients identify available federal or state healthcare coverage programs which may be available to them, as well as to determine eligibility under the financial assistance policy. Collection activity will be placed on hold pending the outcome of these determinations. 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 billing and collections policy. Schedule H, Part V, Section B, Line 16a FAP website - Swedish Hospital: Line 16a URL: swedishcovenant.org/for-patients-and-visitors/pay-your-bill/financial-assistance; Schedule H, Part V, Section B, Line 16b FAP Application website - Swedish Hospital: Line 16b URL: swedishcovenant.org/for-patients-and-visitors/pay-your-bill/financial-assistance; Schedule H, Part V, Section B, Line 16c FAP plain language summary website - Swedish Hospital: Line 16c URL: swedishcovenant.org/for-patients-and-visitors/pay-your-bill/financial-assistance; Schedule H, Part VI, Line 2 Needs assessment Swedish Hospital (Swedish) and members of the Alliance for Health Equity (AHE), a collaborative of over 30 hospitals partnering with health departments and community based organizations, worked together throughout 2021-2022 to build a comprehensive Community Health Needs Assessment (CHNA) in Chicago and Cook County. The CHNA was reviewed and approved by the hospital board of directors during August 2022. Swedish Hospital and the Alliance for Health Equity adapted the Mobilizing for Action through Planning and Partnerships (MAPP) model for the CHNA, emphasizing the importance of community engagement, partnership development, and both primary and secondary data. The Alliance for Health Equity chose this inclusive, community-driven process to leverage and align with health department assessments and to actively engage stakeholders, including community members, in identifying and addressing strategic priorities to advance health equity. Swedish Hospital worked with the Alliance for Health Equity and local community partners in the communities we serve to identify and prioritize health needs within our community through 2024. Swedish Hospital serves the culturally-diverse residents of Chicago's north and northwest side communities, with a full service hospital campus located in Lincoln Square at the intersection of Foster and California Avenues. Swedish Hospital provides a full range of comprehensive health and wellness services including an acute care hospital, primary care and specialists in the medical group, strong community outreach programs and Chicago's only certified medical fitness center, Galter LifeCenter. Swedish offers more than 50 medical specialties with practices conveniently placed throughout hospital's campus and on multiple sites throughout Chicago's north side communities (including several Immediate Care Centers) to make care accessible to our patients, wherever they are. Swedish maintains a department dedicated to addressing its outreach objectives of serving the entire community, not only those who come through its doors. Building on a long tradition of service, the Community Relations Department utilizes hospital strengths alongside those of other well-established community partners. This strategy allows Swedish to better understand and reach the most vulnerable sectors of the community, while meeting pressing healthcare needs. The goal is to improve the community's health status by empowering citizens to make healthy life choices. Based on assessment and analysis of the primary and secondary data compiled for the Swedish Hospital Service Area, Swedish plans to focus on the following needs, with health equity and social determinants of health woven throughout: Access to Health and Social Services, Mental and Behavioral Health, and Chronic Health Conditions and Wellness. Based on relationships with community partners, clinical expertise, strategic priorities and an ongoing commitment to community engagement, Swedish believes it is best equipped to make an impact in the above priority needs, including focused attention within communities of greatest need. The corresponding Community Health Implementation Plan describes programs Swedish is undertaking over the coming years to address the prioritized health needs within our community. Schedule H, Part VI, Line 3 Patient education of eligibility for assistance Charity or discounted care is available for medically necessary services as defined by Medicare, to patients who meet the financial and documentation criteria defined below. Each situation is reviewed on an individual case-by-case basis. While not absolutely essential, the need for potential charity or discounted care should be established in advance of admission or rendering of service, or shortly thereafter. Notices in English, Arabic, Assyrian, German, Japanese, Korean, Mongolian, Polish, Russian, Spanish, and Vietnamese about the availability of Charity or Discounted Care are posted in the Emergency Room registration area, and the inpatient and outpatient registration areas. The information is also contained in the Patient Handbook, given to all patients upon inpatient admission. Patients and families are encouraged to speak to a financial counselor for more information and assistance, The Guidelines, along with the financial questionnaire, are posted in English, Arabic, Assyrian, German, Japanese, Korean, Mongolian, Polish, Russian, Spanish, and Vietnamese on the hospital's website. In order to be eligible for charity or discounted care, the patient must be willing to provide verification of income by filling out the Patient Financial Statement. The patient is responsible to voluntarily submit any and all documentation in order to be eligible to receive this discount. Swedish Hospital has 5 full-time financial counselors representing our hospitals, clinics, and physician offices. These counselors are responsible for helping patients understand their bills and coordinating financial assistance and insurance eligibility when appropriate. Any uninsured patient admitted to our hospitals will have their case reviewed by a financial counselor. Swedish has also earned Certified Application Counselor Organization (CACO) status with the Centers for Medicare and Medicaid Services (CMS). Our counselors are certified and capable of helping patients navigate Medicaid and Insurance Exchange options. During the registration and information gathering process, the financial counselors determine if the patient qualifies for medical assistance from other existing financial resources such as Medicare, Medicaid, Kid Care, Family Care or other state or federal programs, If the patient refuses to apply for existing financial resources or to provide information necessary to the application process, charity or discounted care cannot be granted. If the application for existing financial resources is denied, or has been previously denied, consideration for charity or discounted care will then be given. Once the Financial Assistance Application form is received, the Financial Service Center determines the eligibility for charity or discount care. SCH suspends the collection process while the Financial Assistance Application is being reviewed. The only criteria considered for Financial Assistance is income and family size. Income is evaluated against the matrix of Federal Poverty Guidelines to determine whether full or partial discount can be approved, Documentation of income is submitted in the form of paycheck stubs, income tax returns, Social Security checks, and/or other documents that are indicative of income. If the information submitted is not perceived to be accurate or reliable, SCH reserves the right to request additional documentation to substantiate income or family size. Patients who are approved for financial assistance and earn a family income less than 200% of the federal poverty guidelines will receive care at no cost for their patient balance after $150 per inpatient stay or outpatient services. The insured patient with a large balance due to deductibles and/or co-payments may be eligible for charity or discounted care. In order to qualify, the patient must complete the Patient Financial Statement and return it to the financial counselors for evaluation and recommendation. No legal action is taken against uninsured patients for the first one hundred twenty (120) days after discharge. Patients who have a family income that is no more than 600% of the Federal Poverty Guidelines (as determined each year), and who do not have any health insurance (or coverage under workers' compensation, accident liability insurance, or other third party liability) as documented through SCH's insurance verification procedures, receive a discount in accordance with the Hospital Uninsured Patient Discount Act (210 ILCS 89/) (the Act). Schedule H, Part VI, Line 4 Community information Swedish's community, as defined for the purposes of the Community Health Needs Assessment, includes each of the residential ZIP Codes that comprise the hospital's Primary Service Area (PSA) and Secondary Service Area (SSA): 60613, 60618, 60625, 60626, 60630, 60640, 60641, 60645, 60646, 60659, 60660 and 60712, as shown in the map in Figure 1. These zip codes encompass fourteen community areas in Chicago-Albany Park, Avondale, Edgewater, Forest Glen, Irving Park, Jefferson Park, Lake View, Lincoln Square, North Center, North Park, Portage Park, Rogers Park, Uptown, West Ridge-and the village of Lincolnwood. This community definition was determined because most Swedish's patients originate from these areas. The total population in Swedish's service area is 686,000. In the service area, 25% of the population identifies as Hispanic/Latinx and 75% Non-Hispanic. Fifty-three percent of the population identifies as white, 10% Asian, 8% Black/African American, 3% identifies as two or more races, and less than 1% as Native American. There is substantial variation in median income within Swedish's service area. The median income in Rogers Park is nearly $100,000 less than the median income in North Center. In addition, poverty rates are highest in Rogers Park and Uptown. Swedish Hospital serves a remarkably diverse population, and many of the community areas are home to large immigrant and refugee populations. Five of the 14 community areas within Swedish's service area have a limited English speaking population of 10% or greater. The Spanish language represents the majority of interpretive assistance requested at the hospital. To meet this need on an inpatient and outpatient basis, the hospital employs a full time Spanish medical interpreter. The hospital additionally uses telephonic and video interpretive services to meet the needs in other languages, as well as for when the employed interpreter is not present. To better serve the Korean community, the hospital partners each year with HANA Center, the Korean Medical Society and the Korean Nurses Association to host an annual Korean Health Fair at the hospital. This event provides discounted services for the uninsured and underinsured working population. More than 100 Koreans residing in the greater Chicago area attend this event to receive free or reduced cost screenings and services. HANA Center coordinates the event collaboratively with staff from SCH. During 2022, approximately 28% of Swedish's patients were uninsured or were Medicaid recipients. Within Swedish's service area, there are three federally-designated medically underserved areas. Swedish's service area also includes 3 other hospitals. Schedule H, Part VI, Line 5 Promotion of community health In keeping with the Hospital's mission to provide a continuum of excellent healthcare services, any surplus funds are invested in capital improvements related to patient care or in community benefit programs. The hospital extends medical staff privileges to all qualified physicians in the communities it serves, in accordance with our medical staff development process. The hospital has an active Board of Directors who meet every two months. In addition to reviewing the hospital's financial results, they discuss the hospital's plans and programs in support of our efforts to enhance the health care environment for the entire community we service. The Hospital helps community members gain access to health care services by assisting low income families in applying for the Illinois Department of Public Aid's KidCare and FamilyCare programs. Information about these services is distributed to numerous community organizations, churches, health fairs and school events. It is also publicized throughout the hospital campus and on the hospital web site. Medicaid applications continue to be processed for all inpatients who qualify. The Senior Health Insurance Program (SHIP) counselor continues to provide information for seniors, including information on Medicare Part D. Information about this service is also publicized throughout the hospital campus. Schedule H, Part VI, Line 6 Affiliated health care system Swedish Hospital is part of NorthShore-Edward-Elmhurst Health. NorthShore-Edward-Elmhurst Health is a fully integrated healthcare delivery system committed to providing access to quality, vibrant, community-connected care, serving an area of more than 4.2 million residents across six northeast Illinois counties. Our more than 25,000 team members and more than 6,000 physicians aim to deliver transformative patient experiences and expert care close to home across more than 300 ambulatory locations and eight acute care hospitals - Edward (Naperville), Elmhurst, Evanston, Glenbrook (Glenview), Highland Park, Northwest Community (Arlington Heights), Skokie, and Swedish (Chicago) - all recognized as Magnet hospitals for nursing excellence. Located in Naperville, Linden Oaks Behavioral Health provides for the mental health needs of area residents. NorthShore - Edward-Elmhurst Health desires to continue providing clinical programs and services to meet community health needs, while also pursuing continuous improvement in existing and future programs to improve the overall health of individuals in the communities it serves. As such, hospitals within the NorthShore-Edward-Elmhurst Health system conduct Community Health Needs Assessments (CHNA's) every three years, using primary and secondary data, to ensure community benefit programs and resources are focused on significant health needs as perceived by the community at large, as well as alignment with NorthShore-Edward-Elmhurst Health's mission, services, and strategic priorities. Schedule H, Part VI, Line 7 State filing of community benefit report IL true Erie Family Health Center 1701 W Superior Street 3rd Floor Chicago IL 60622 363088628 501(c)(3) 940000 To help defray the costs of uncompensated care to lower income and medically underserved patients at the health center. Erie Family Health Foundation Inc 1701 W Superior Street Chicago IL 60622 814172423 501(c)(3) 20000 General Support Friends of Northside College Preparatory High School 5501 N Kedzie Avenue Chicago IL 60625 364391169 501(c)(3) 5750 General Support 3 0 Schedule I, Part I, Line 2 Procedures for monitoring use of grant funds. The mission of Swedish Covenant Health is to provide excellent healthcare services for our culturally diverse community. In pursuit of this mission, the hospital will fund or otherwise sponsor programs which advance our mission. If a grant is approved by the Board of Directors, yearly progress reports will be required, with a final report required at the conclusion of the project. An annual audit may be requested, if appropriate. false true false false false false false true false Anthony Guaccio President & CEO 485808 0 0 0 90224 0 213124 0 26334 0 815490 0 0 0 Gerald P Gallagher Director 0 1588674 0 0 0 2066626 0 1068475 0 35498 0 4759273 0 2057902 Kristen Murtos Director 0 735296 0 0 0 7038 0 284995 0 35250 0 1062579 0 0 Mahalakshmi Halasyamani Director 0 825000 0 0 0 350239 0 392758 0 3688 0 1571685 0 337081 Douglas D Welday Chief Financial Officer 0 837005 0 0 0 380505 0 392300 0 33541 0 1643351 0 327145 Bruce McNulty Chief Medical Officer 394776 0 0 0 66208 0 122386 0 38910 0 622280 0 0 0 Jonathan Lind Senior VP & Chief Operation Officer 303565 0 0 0 46509 0 101088 0 33073 0 484235 0 0 0 Kathryn Donofrio Senior VP, CNO 208657 0 0 0 47014 0 11712 0 23165 0 290548 0 0 0 Karen M Sheehan Senior VP & CIO 229887 0 0 0 53148 0 10169 0 34512 0 327716 0 0 0 Nicola Byrne Director, Accounting and Finance 220562 0 0 0 29314 0 14993 0 4992 0 269861 0 0 0 Saliba Kokaly VP Operations & Chief Safety Officer 192535 0 0 0 53217 0 10531 0 34280 0 290563 0 0 0 Shameem A Abbasy VP Quality, Safety, & Patient Experience 365065 0 0 0 23122 0 18300 0 39886 0 446373 0 0 0 Lagrosa Noly Grace Supervisor Nursing Administration 313376 0 0 0 18422 0 18300 0 28913 0 379011 0 0 0 Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation A detailed compensation review of the top 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 NS-EE Holdings' Board-retained legal counsel. Market data for base and variable compensation is assessed annually for integrated delivery systems and academic medical centers that are similar in size and complexity. 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 NS-EE Holdings Compensation Committee, in session with legal counsel present, in advance of implementation. Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan The following individuals participated in a supplemental nonqualified retirement plan and below are the increases or decreases to the plan balances during 2022: Gerald P Gallagher - $400,558 Mahalakshmi Halasyamani - $114,959 Kristen Murtos - $29,739 Douglas D Welday - $109,254 Anthony Guaccio - $58,681 Jonathan Lind - -(S5,386) Bruce McNulty - -(S6,607) Karen M Sheehan - -(S6,813) Kathryn Donofrio - -(S3,628) Saliba Kokaly - -($4,215) The following individuals received payments from a supplemental nonqualified retirement plan reported as taxable compensation: Gerald P Gallagher - $2,057,902 Mahalakshmi Halasyamani - $337,081 Douglas D Welday - $360,309 Schedule J, Part I, Line 7 Non-fixed payments Swedish Covenant Health 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. Tony Donofrio Family member of Kathryn Donofrio, Key Employee 52856 Employment false Anthony M Guaccio Family member of Anthony Guaccio, Director and Officer 39456 Employment false Antonio Medina Family member of Bruce McNulty, Key Employee 25757 Employment false Form 990, Part III, Line 1 Organization's Mission Swedish Covenant Health (Swedish Hospital) follows the mission of NorthShore - Edward-Elmhurst Health (NS-EEH). On January 1, 2022, NS-EE Holdings (NS-EE) became the sole corporate member of NorthShore and Edward-Elmhurst Healthcare (EEH). The mission of NS-EEH is to "help everyone in our communities be their best." Central to this mission is a commitment to providing clinical programs and services that meet community health needs, while also pursuing continuous improvement to identify and understand future needs. Form 990, Part III, Line 4 Program Service Description Swedish Covenant Health (Swedish Hospital) serves the culturally-diverse residents of Chicago's north and northwest side communities as a safety-net hospital, with a full-service hospital campus located in the Lincoln Square neighborhood. Swedish Hospital provides a full range of comprehensive health and wellness services including an acute care hospital, primary care and specialists in the medical group, strong community outreach programs and Chicago's only certified medical fitness center, Galter LifeCenter. Swedish Hospital offers more than 50 medical specialties with practices, including several Immediate Care Centers, conveniently placed throughout the hospital's campus and on multiple sites throughout Chicago's north side communities. During 2022, Swedish Hospital total admissions were 11,803 and total patient days were 59,942. Physical Medicine/Rehab Services - Swedish Hospital is dedicated to providing a comprehensive Rehab Unit that combines the disciplines of physical therapy, speech therapy, occupational therapy and social work to help patients regain their strength and skills. The Rehab unit features a special room that simulates a home environment so patients can practice with home-like carpeting, furniture and fixtures while supervised by nurses. During 2022, 172,874 inpatient and outpatient treatments for rehab, speech and occupational therapy were provided for a total cost of $5,546,334. Cardiac Care and Rehab - The Cardiac Rehabilitation program offered by Swedish Hospital has improved the lives of many individuals with such innovative programs as "coronary Heart Disease Reversal." Swedish Hospital also offers a state-of-the-art Cardiac Catheterization Lab, and other diagnostic and preventive programs. During 2022, Swedish Hospital performed 1,774 procedures in the Cardiac Catheterization Lab for a total cost of $9,559,734. In addition to the program services listed above, Swedish Hospital also offers the following services to the community: Health Screening, Health Promotions, Education, Prevention Swedish Hospital offers year-round health screenings to members of the community. Blood pressure screening events are provided in collaboration with the hospital's Stroke Education Coordinator. Each year free or reduced-cost cancer screenings are offered to the community. These included prostate, skin, cervical and breast screenings. Additionally, dozens of programs led by physicians, nurses, dietitians, personal trainers and other clinicians and experts from the hospital address topics of cancer prevention, treatment, nutrition, fitness and other healthy lifestyle recommendations. During 2022, Swedish Hospital served more than 4,500 persons through participation in health promotions, education, and prevention for a total estimated cost of $780,000. Community Wellness and Prevention programs continue to serve the community with more than 100 events held at the Hospital or in the community through collaboration with community partners. These events include health fairs, screenings, daytime and evening lectures, seminars, classes, Speakers' Bureau presentations, children's events and other health related activities. Throughout the year the Hospital collaborated with dozens of community organizations to provide wellness and prevention programs. Swedish Hospital publishes periodic health and wellness information which is distributed through mailings and web-based programs to 140,000 households throughout the surrounding community for a cost of approximately $62,000. This included a special mailer on COVID symptoms and availability of free testing which was produced in English and Spanish. During 2022, Swedish Covenant Hospital also offered transportation services to the community at an estimated net cost of $101,000. Interpreter Services Swedish Hospital provides in-house interpreters for patients who speak Korean and Spanish, the primary non-English languages in the community. During 2022, the interpreters participated in a more than 2,000 interpretive encounters. Additionally, SCH uses professional telephone interpretive assistance and had a total of 1,140,239 telephonic interpretation minutes (79,894 calls) in 93 languages. For deaf or hearing impaired patients who request sign language interpreters, the Hospital provides interpreters through CAIRS and Chicago Hearing Society. Swedish Hospital incurred an estimated total cost of $1,058,000 for interpreter services. Medical Education Swedish Hospital is a teaching hospital and part of the wider NorthShore University HealthSystem, with residency programs in emergency medicine, family medicine, internal medicine, and podiatric medicine and surgery. Swedish Hospital also has fellowship programs in Critical Care Medicine and Pulmonary Critical Care Medicine. Swedish Hospital utilizes board-certified physicians who are either independent contractors or are employed by Swedish or NorthShore Medical Groups, to provide teaching, training and supervision of the residents in Swedish Hospital's Family Medicine (11 residents), Internal Medicine (30 residents), Podiatric Medicine and Surgery (5 residents) residency programs as well as the Critical Care (2 fellows) and Pulmonary Critical Care Fellowships (3 fellows). Swedish Hospital has an affiliation agreement with McGaw, the postgraduate arm of Northwestern University, to be a training site for their family medicine residents. Surgical residents from the Ascension St Joseph's general surgery residency program also rotate at Swedish Hospital. OBGYN residents from UIC also rotate at Swedish Hospital. Swedish Hospital is also a training site for students of three medical schools; Chicago College of Osteopathic Medicine (33), and Arizona College of Osteopathic Medicine (15), both part of Midwestern University, and for the St George's University of London program delivered by the University of Nicosia (50). In addition to the above, during 2022, Swedish Hospital voluntarily provided $9,572,050 at cost in charity care/uninsured discounts and provided $30,447,689 at cost in unreimbursed Medicaid services. Form 990, Part VI, Line 15 Process to Establish Compensation of CEO and Other Employees A detailed compensation review of the top 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 NS-EE Holdings' Board-retained legal counsel. Market data for base and variable compensation is assessed annually for integrated delivery systems and academic medical centers that are similar in size and complexity. 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 NS-EE Holdings Compensation Committee, in session with legal counsel present, in advance of implementation. Form 990, Part VI, Line 2 Family/business relationships amongst interested persons Kurt D Anderson and Lawrence P Anderson - Family relationship, Kristen Murtos and Mahalakshmi Halasyamani - Business relationship Form 990, Part VI, Line 4 Significant changes to organizational documents On January 1, 2022, NS-EE Holdings became the sole corporate member of NorthShore University HealthSystem (NorthShore) and Edward-Elmhurst Healthcare (EEH). Accordingly, the bylaws were amended on January 1, 2022 to transfer the rights and powers that used to be held by NorthShore to NS-EE Holdings. NS-EE Holdings has the right to appoint and remove board members, approve the dissolution of the corporation, and make amendments to the bylaws. Form 990, Part VI, Line 6 Classes of members or stockholders The sole member is NorthShore University HealthSystem. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body The system parent, NS-EE Holdings, elects the Board of Directors. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders NS-EE Holdings, through action of the NS-EE Holdings Board of Directors or President & CEO, holds the following reserved powers over Swedish Covenant Health. - Develop, approve and modify annual operating and capital budgets and strategic plans for the Corporation and its Affiliate Entities - Determine all material changes in the clinical programs and services to be provided by the Corporation and its Affiliate Entities, including the establishment, expansion, reconfiguration, reduction or discontinuation of clinical programs and services - Any discontinuation of a "category of service" (as defined by the Illinois Health Facilities Services Review Board) and any closure or permanent repurposing of any material licensed health care facility owned or operated by the Corporation and its Affiliate Entities - Initiate and/or approve amendments or restatements of the governing documents of the Corporation and its Affiliate Entities - Establish or change existing medical education programs - Approve indebtedness and unbudgeted capital expenditures above a designated dollar threshold set for the Corporation and its Affiliate Entities by the System Parent from time to time - Establish, amend or terminate third-party payor relationships of the Corporation and its Affiliate Entities - Approve ordinary course of business contractual relationships between the Corporation and/or its Affiliate Entities and a third party involving: (1) consideration in excess of a designated dollar threshold set for the Corporation and its Affiliate Entities by the System Parent from time to time, (2) a restrictive covenant applicable to the Corporation and/or its Affiliate Entities; or (3) a term in excess of three (3) years that cannot be terminated without cause - Approve any changes to any of the Corporation's or Affiliate Entities' employee benefit or compensation plans or executive agreements - Approve any agreement involving the licensing of trademarks or intellectual property to or from a third party - Hire, terminate and evaluate the terms of employment for the Corporation's President and Chief Executive Officer and the President and Chief Executive Officer of the Affiliate Entities, as applicable - Approve any real property acquisitions, dispositions or lease transactions of the Corporation and its Affiliate Entities above a designated dollar threshold set for the Corporation and its Affiliate Entities by the System Parent from time to time, as well as any mortgage or encumbrance of real property of the Corporation and its Affiliate Entities above a designated dollar threshold set for the Corporation and its Affiliate Entities by the System Parent from time to time - Evaluate and approve any acquisition, affiliation, joint venture, merger, corporate consolidation or restructuring, sale of all or substantially all of the assets or similar transaction by or involving the Corporation and/or its Affiliate Entities, as well as any dissolution, liquidation or termination of any affiliation or joint venture by or involving the Corporation and/or its Affiliate Entities - Select the auditor for, and approval of all audits of, the Corporation and its Affiliate Entities - Select outside legal counsel and approve any waiver, settlement or compromise of any legal proceeding, suit, claim, regulatory or other action involving the Corporation and/or its Affiliate Entities if the amount in controversy is in excess of a designated dollar threshold set for the Corporation and its Affiliate Entities by the System Parent from time to time - Approve the filing of any petition for bankruptcy of the Corporation and/or any of its Affiliate Entities. - Approve the nomination and/or remove with cause any member of the board of directors of the Corporation or its Affiliate Entities - Establish and ensure implementation of system-wide quality standards that protect and enhance the Corporation's and Affiliate Entities' brands - Establish and ensure implementation of financial goals and standards that protect and enhance the operations of the Corporation and its Affiliate Entities, and - Determine the extent to which and the manner in which the powers described in this section which are reserved to the System Parent with respect to the Corporation and its Affiliate Entities are to be exercised by the System Parent. Form 990, Part VI, Line 11b Review of form 990 by governing body The Form 990 was reviewed by executive management and an outside accounting firm. The Form 990 was then provided to the NS-EE Holdings' Board of Trustees for review for the ability to ask questions of management prior to filing. Form 990, Part VI, Line 12c Conflict of interest policy All officers, directors and employees are required to report potential conflicts of interest to the Compliance Officer when his/her circumstances could create a conflict of interest, or prior to their arising, so that the health system can proactively review the report to identify actual and potential Conflicts of Interest. In addition, on an annual basis, members of the Board of Directors, Corporate Officers, and other key employees will be provided with a Conflict of Interest Questionnaire, which is used for purposes of reporting potential Conflicts of Interest. Subsequent to reporting, and depending on the nature of the matter, the Compliance Officer will review the reported information and arrive at a determination regarding the matter based upon his/her knowledge of the organization and/or in consultation with other members of management. Determinations will be reviewed with the Executive Leadership Team or designee for members of management, all categories of physicians, and the Board of Directors. Determinations will be reviewed with the Board of Directors for senior management and members of the Board of Directors. If it is determined that a Conflict of Interest exists, appropriate mitigating or remedial measures may be taken through a management plan. If a management plan has yet to be developed and the individual is involved in discussion related to his/her conflict, the individual must disclose the Conflict of Interest to those involved in the conversation and must recuse him/herself from participating in the conversation and making a decision on behalf of the health system. If this conversation takes place at a Board meeting, the minutes of the meeting should reflect the fact that the Conflict of Interest has been disclosed and the individual has recused him/herself. If the issue or circumstances cannot be adequately addressed through a management plan or if the proposed or actual arrangement is inconsistent with the health system's Guiding Principles for Conflicts of Interest, the conflict will be eliminated. Disclosure of the management plan may be made to appropriate individuals or committees, which may include patients, students, a department, group, or others as necessary. Monitoring and oversight of Conflicts of Interest and management plans will be conducted by the Executive Leadership Team. In the event that an individual engages in prohibited activities or does not provide prompt or transparent Reporting in compliance with this policy or does not comply with a determination and/or management plan, a review will be performed and appropriate corrective action may be taken, including retraining, referral for further action, termination of employment, termination of the agreement with the health system, or removal from the Board of Directors. Form 990, Part VI, Line 19 Required documents available to the public The governing documents, conflict of interest policy, and financial statements are available to the public upon request. The annual audit report and financial statements are also available to the public through GuideStar and the Illinois Attorney General's Office websites as part of the state filing. Form 990, Part VIII, Line 2f Other Program Service Revenue Hospice - Total Revenue: 1049755, Related or Exempt Function Revenue: 1049755, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Form 990, Part VIII, Line 11d Other Miscellaneous Revenue Other Revenue - Total Revenue: 1852042, Related or Exempt Function Revenue: 1852042, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ; Form 990, Part IX, Line 11g Other Fees Consulting Fees - Total Expense: 194747, Program Service Expense: 16496, Management and General Expenses: 178251, Fundraising Expenses: ; Physician Fees - Total Expense: 3367530, Program Service Expense: 3092611, Management and General Expenses: 274919, Fundraising Expenses: ; Outside Professional Fees - Total Expense: 2108869, Program Service Expense: 1764357, Management and General Expenses: 344512, Fundraising Expenses: ; Agency Fees - Total Expense: 8014441, Program Service Expense: 8014441, Management and General Expenses: , Fundraising Expenses: ; Collection Expense - Total Expense: 1527351, Program Service Expense: 1583, Management and General Expenses: 1525768, Fundraising Expenses: ; Purchased Services - Total Expense: 14778212, Program Service Expense: 12180339, Management and General Expenses: 2597873, Fundraising Expenses: ; Computer Software License - Total Expense: 3703281, Program Service Expense: 528042, Management and General Expenses: 3175239, Fundraising Expenses: ; Form 990, Part XI, Line 9 Other changes in net assets or fund balances Net Assets Released from Restrictions - 478902; Net Asset Transfers with Swedish Covenant Hospital Foundation - 1076874; Write off of prior year specialty pharmacy revenue - -241847; NorthShore University HealthSystem Faculty Practice Associates 1301 Central Street Evanston IL 60201 363738206 Healthcare IL 501(c)(3) Type I NorthShore University HealthSystem true NorthShore University HealthSystem 1301 Central Street 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Healthcare Provider IL Swedish Covenant Health C Corporation 18451483 5545338 1 true NorthShore Legacy NPA Inc 1301 Central Street Evanston IL 60201 363648026 Healthcare IL NorthShore University HealthSystem Faculty Practice Associates C Corporation true NorthShore Physician Associates Value Based Care LLC 1301 Central Street Evanston IL 60201 822268872 Healthcare IL NorthShore Legacy NPA Inc C Corporation true NorthShore University HealthSystem Insurance International 980419452 Insurance CJ NorthShore University HealthSystem C Corporation true Central Insurance Company Ltd 981109518 Insurance CJ Northwest Community Healthcare C Corporation true Northwest Community Health Services Inc 800 West Central Road Arlington Heights IL 60005 363312906 Healthcare IL Northwest Community Healthcare C Corporation true EEH SPC - Segregated Portfolio A 981238485 Insurance CJ Edward-Elmhurst Healthcare C Corporation true EEH SPC - Segregated Portfolio B 981185160 Insurance CJ Edward-Elmhurst Healthcare C Corporation true Elmhurst Memorial Health Technologies LLC 855 North Church Court Elmhurst IL 60126 363229839 Practice Management IL Elmhurst Memorial Healthcare C Corporation true IHP ACO 1100 West 31st Street Suite 300 Downers Grove IL 60515 462848987 Healthcare IL Edward-Elmhurst Healthcare C Corporation false false false false false false false false false false false false false false false false false false true true Swedish Covenant Management Services Inc R 36036362 Cash Value NorthShore University HealthSystem S 67463923 Cash Value Swedish Covenant Hospital Foundation S 1099053 Cash Value