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        <TitleTxt>Director</TitleTxt>
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        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 5 Facility A, 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility A, 1 - Facility Reporting Group A. Facility Reporting Group A: Reporting Group A consists of the following hospital facilities: 1 - Evanston Hospital 2 - Glenbrook Hospital 3 - Highland Park Hospital 4 - Skokie Hospital NorthShore University HealthSystem (NorthShore) contracted with Crowe LLP (Crowe) to facilitate and conduct the Community Health Needs Assessment (CHNA). Crowe has significant healthcare experience including providing services to hundreds of large healthcare organizations across the country. NorthShore obtained input from 63 leaders representing public health, major employers, public schools, social services, representatives from the underserved community, NorthShore leaders and the community at-large through five focus groups. Focus groups were conducted throughout January 2022. Focus groups explored multiple areas to identify significant health needs of the community as well as potential ways to address identified needs. Four focus groups were comprised of leaders representing public health, major employers, public schools, social services, NorthShore leaders and the community at-large. A fifth focus group was conducted with leaders from public health. Public health officials from the City of Evanston Department of Health, Lake County Health Department, and the Village of Skokie Health Department were interviewed to obtain additional input on the health needs of the community. The officials were asked three questions regarding community health. First, the officials were asked for their input regarding the most significant health needs within the community and their thoughts on recommended strategies for how to address those needs. Second, the officials were asked for their input regarding health disparities within the community and their thoughts on what populations in the community are most underserved. Third, the officials were asked their opinion regarding emerging health needs within the community. Primary input was also obtained by conducting an online community health survey distributed to members of the community from January to February of 2022. The survey was available in English and Spanish. Links to the survey were distributed via e-mail, social media and word of mouth to the community at-large. Signage, including information regarding the community survey and survey links, was posted at community clinics and federally qualified health centers in the CHNA Community. A total of 947 surveys were completed. Secondary data was assessed including: - Demographics (population, age, sex, race) - Socioeconomic indicators (household income, poverty, unemployment, educational attainment) - Key health indicators Information gathered in the above steps was reviewed and analyzed to identify health issues in the community.</ExplanationTxt>
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      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 6a Facility A, 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility A, 1 - Facility Reporting Group A. Facility Reporting Group A consists of the following hospital facilities: 1 - Evanston Hospital 2 - Glenbrook Hospital 3 - Highland Park Hospital 4 - Skokie Hospital The Community Health Needs Assessment (CHNA) conducted by NorthShore University HealthSystem (NorthShore) included all four NorthShore hospitals: Evanston Hospital, Glenbrook Hospital, Highland Park Hospital, and Skokie Hospital.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 11 Facility A, 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility A, 1 - Facility Reporting Group A. Facility Reporting Group A: Reporting Group A consists of the following hospital facilities: 1 - Evanston Hospital 2 - Highland Park Hospital 3 - Glenbrook Hospital 4 - Skokie Hospital NorthShore University HealthSystem (NorthShore) intends to undertake the following strategies to meet the identified community health needs. Most of the strategies and initiatives will be coordinated and advanced through teams comprised of representatives from each of the four hospitals included in the joint implementation strategy. It is important to note that our health equity work is fundamental and integrated throughout our priority needs' strategies. Access to Health Services - Expand efforts to identify and respond to social determinants of health (SDOH), such as medication, transportation, housing. - Explore ways to enhance access to services and/or partnerships via NorthShore or other community organizations. - Increase the members in the community that have a medical home. - Enhance partnerships with local community organizations addressing access to care. Mental Health - Build community's capacity to understand and respond to mental health challenges and emergencies. - Expand access to mental health resources in the community. - Explore programs to reduce stigma surrounding mental health. - Enhance partnerships with local community organizations addressing mental health. Chronic Health Conditions - Address high blood pressure and diabetes through targeted interventions and outreach. - Enhance partnerships with local community organizations addressing chronic health conditions. - Improve preventative cancer screening rates for breast, cervical and colorectal cancer. Below is a list of the other significant health needs identified through the CHNA and the reasons why NorthShore 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 - Affordability of Healthcare: incorporated into Access to Health Services and Health Equity - Cancer: incorporated into Chronic Health Conditions and Health Equity - Heart Disease: incorporated into Chronic Health Conditions and Health Equity - Health Literacy: incorporated into Access to Health Services and Health Equity - Maternal and Child Health: This need was not selected for further prioritization in the CHNA process due to focus groups/surveys. However, NorthShore continues to address this need via comprehensive services, as well as partnerships with local FQHCs and other organizations to raise awareness about this issue. - Obesity: incorporated into Chronic Health Conditions and Health Equity - Preventative Care: incorporated into Chronic Health Conditions and Health Equity - Food Insecurity: incorporated into Access to Health Services priority via SDOH screening enhancements - Lack of Affordable Housing: incorporated into Access to Health Services priority via SDOH screening enhancements - Poverty: incorporated into Access to Health Services and Health Equity - Violence/Safety: incorporated into Access to Health Services priority via SDOH screening enhancements, as well as expanded Pathways Program Actions taken during 2022 to address the needs identified in the CHNA include the following NorthShore programs and services by hospital facility:</ExplanationTxt>
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        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 11 Facility A, 2</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility A, 2 - A, 1 Evanston Hospital. The Evanston Hospital Community Health Center provided medical care to adults who lack private medical insurance. Medical services included, but were not limited to: Primary Care, Obstetrics/Gynecology, General Surgery, Orthopedics, Diabetes Education and Podiatry. The Community Center provided care for 3,611 patients and 8,052 visits from Oct 1, 2021 - December 31, 2022. Emergency Departments within NorthShore are staffed 24/7 with physicians, nurses, and technicians who are trained to respond to medical emergencies. Evanston Hospital provides Level 1 trauma services. During 2022, the NorthShore Emergency Departments had 117,172 patient visits. The Dental Center at Evanston Hospital provided primary dental care services and special consultations for medically underserved adult patients, pre-screenings for cardiovascular patients, management for oral complications in oncology patients and refractory dental problems. Annually, the Dental Center served approximately 10,500 underserved individuals. NorthShore's Cardiovascular Center provides comprehensive cardiology services with a combined expertise of cardiologists and cardiac surgeons working together to develop treatment plans designed to provide patients with exceptional heart care including cardiac imaging, cardiovascular surgery, clinical cardiology, electrophysiology, heart failure, interventional cardiology and a women's heart program. The Kellogg Cancer Center is a cancer treatment center that offers comprehensive, compassionate cancer care and treatments for oncology patients and their families. NorthShore's collaborative cancer treatment model focuses on each patient's individual needs, providing medical, surgical, radiation, psychological, and emotional care. During 2022, the Kellogg Cancer Centers at Evanston, Glenbrook, and Highland Park Hospitals had a total of 94,966 patient visits. The Maternal Health Department at Evanston Hospital offers comfortable, high-tech birthing facilities. Evanston Hospital also serves as a Regional Perinatal Network hospital for northeastern Illinois. Both high-risk mothers and high-risk babies are transferred to Evanston Hospital for access to the latest technology and highly trained staff. During the 2022, the Evanston Hospital Maternal Health Department had a total of 43,002 patient visits. The Pediatric Rehabilitation Clinic offers a wide array of outpatient services for young patients (from birth through adolescence) with special needs. A team of licensed physical, occupational, and speech therapists specializing in pediatric care provide one-on-one individualized treatment as well as group classes to help patients achieve or regain functional skills. During 2022, the Pediatric Rehabilitation Clinic had a total of 5,742 patient visits. The Perinatal Depression Program identifies women who are suffering from perinatal depression and offers referrals for women who may need additional help. 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. All services are provided free of charge. During 2022, the Perinatal Family Support Center responded to more than 600 referrals. NorthShore's Medication Assistance Program helps with the cost of prescriptions for patients of the Evanston Hospital Community Health Center. The Medication Assistance Program provided 33,649 prescriptions to 2,103 low-income patients. NorthShore Mental Health Services for adults, adolescents and children offers along with a continuum of care including group, individual and family outpatient services, intensive outpatient, partial hospital programs, inpatient centers for both adults and adolescents, and crisis call center. The Access/Crisis Center offers 24-hour crisis intervention and triage over the phone and in the emergency department. During 2022, the Mental Health Services Departments at Evanston, Highland Park, and Skokie Hospitals had a total of 26,959 patient visits. The Evanston Township High School Health Center is a school-based health clinic that provides physical exams, immunizations, treatment of acute and chronic illnesses, individual counseling, health education, gynecological care, and support groups to students whose parents allow them to enroll in the health center. An average of 900 students made 3,500 visits to the Health Center annually.</ExplanationTxt>
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      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 11 Facility A, 3</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility A, 3 - A, 2 Highland Park Hospital. Emergency Departments within NorthShore are staffed 24/7 with physicians, nurses, and technicians who are trained to respond to medical emergencies. Evanston Hospital provides Level 1 trauma services. During 2022, the NorthShore Emergency Departments had 117,172 patient visits. NorthShore's Cardiovascular Center provides comprehensive cardiology services with a combined expertise of cardiologists and cardiac surgeons working together to develop treatment plans designed to provide patients with exceptional heart care including cardiac imaging, cardiovascular surgery, clinical cardiology, electrophysiology, heart failure, interventional cardiology and a women's heart program. The Kellogg Cancer Center is a cancer treatment center that offers comprehensive, compassionate cancer care and treatments for oncology patients and their families. NorthShore's collaborative cancer treatment model focuses on each patient's individual needs, providing medical, surgical, radiation, psychological, and emotional care. During 2022, the Kellogg Cancer Centers at Evanston, Glenbrook, and Highland Park Hospitals had a total of 94,966 patient visits. The Maternal Health Department at Highland Park Hospital is committed to providing the best in family care and strives to provide individualized care for each family. The Center's state-of-the-art birthing center rooms were designed to achieve the labor-delivery-recovery-postpartum, or single-room care experience with the latest technology. During 2022, the Highland Park Hospital Maternal Health Department had a total of 3,491 patient visits. The Pediatric Rehabilitation Clinic offers a wide array of outpatient services for young patients (from birth through adolescence) with special needs. A team of licensed physical, occupational, and speech therapists specializing in pediatric care provide one-on-one individualized treatment as well as group classes to help patients achieve or regain functional skills. During 2022, the Pediatric Rehabilitation Clinic had a total of 5,742 patient visits. The Perinatal Depression Program identifies women who are suffering from perinatal depression and offers referrals for women who may need additional help. 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. All services are provided free of charge. During 2022, the Perinatal Family Support Center responded to more than 600 referrals. NorthShore Mental Health Services for adults, adolescents and children offers along with a continuum of care including group, individual and family outpatient services, intensive outpatient, partial hospital programs, inpatient centers for both adults and adolescents, and crisis call center. The Access/Crisis Center offers 24-hour crisis intervention and triage over the phone and in the emergency department. During 2022, the Mental Health Services Departments at Evanston, Highland Park, and Skokie Hospitals had a total of 26,959 patient visits.</ExplanationTxt>
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      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 11 Facility A, 4</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility A, 4 - A, 3 Glenbrook Hospital. Emergency Departments within NorthShore are staffed 24/7 with physicians, nurses, and technicians who are trained to respond to medical emergencies. Evanston Hospital provides Level 1 trauma services. During 2022, the NorthShore Emergency Departments had 117,172 patient visits. NorthShore's Cardiovascular Center provides comprehensive cardiology services with a combined expertise of cardiologists and cardiac surgeons working together to develop treatment plans designed to provide patients with exceptional heart care including cardiac imaging, cardiovascular surgery, clinical cardiology, electrophysiology, heart failure, interventional cardiology and a women's heart program. The Kellogg Cancer Center is a cancer treatment center that offers comprehensive, compassionate cancer care and treatments for oncology patients and their families. NorthShore's collaborative cancer treatment model focuses on each patient's individual needs, providing medical, surgical, radiation, psychological, and emotional care. During 2022, the Kellogg Cancer Centers at Evanston, Glenbrook, and Highland Park Hospitals had a total of 94,966 patient visits. The Pediatric Rehabilitation Clinic offers a wide array of outpatient services for young patients (from birth through adolescence) with special needs. A team of licensed physical, occupational, and speech therapists specializing in pediatric care provide one-on-one individualized treatment as well as group classes to help patients achieve or regain functional skills. During 2022, the Pediatric Rehabilitation Clinic had a total of 5,742 patient visits. The Perinatal Depression Program identifies women who are suffering from perinatal depression and offers referrals for women who may need additional help. 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. All services are provided free of charge. During 2022, the Perinatal Family Support Center responded to more than 600 referrals.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 11 Facility A, 5</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility A, 5 - A, 4 Skokie Hospital. Emergency Departments within NorthShore are staffed 24/7 with physicians, nurses, and technicians who are trained to respond to medical emergencies. Evanston Hospital provides Level 1 trauma services. During 2022, the NorthShore Emergency Departments had 117,172 patient visits. NorthShore's Cardiovascular Center provides comprehensive cardiology services with a combined expertise of cardiologists and cardiac surgeons working together to develop treatment plans designed to provide patients with exceptional heart care including cardiac imaging, cardiovascular surgery, clinical cardiology, electrophysiology, heart failure, interventional cardiology and a women's heart program. The Pediatric Rehabilitation Clinic offers a wide array of outpatient services for young patients (from birth through adolescence) with special needs. A team of licensed physical, occupational, and speech therapists specializing in pediatric care provide one-on-one individualized treatment as well as group classes to help patients achieve or regain functional skills. During 2022, the Pediatric Rehabilitation Clinic had a total of 5,742 patient visits. The Perinatal Depression Program identifies women who are suffering from perinatal depression and offers referrals for women who may need additional help. 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. All services are provided free of charge. During 2022, the Perinatal Family Support Center responded to more than 600 referrals. NorthShore Mental Health Services for adults, adolescents and children offers along with a continuum of care including group, individual and family outpatient services, intensive outpatient, partial hospital programs, inpatient centers for both adults and adolescents, and crisis call center. The Access/Crisis Center offers 24-hour crisis intervention and triage over the phone and in the emergency department. During 2022, the Mental Health Services Departments at Evanston, Highland Park, and Skokie Hospitals had a total of 26,959 patient visits.</ExplanationTxt>
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      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 20 Facility A, 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility A, 1 - Facility Reporting Group A. Facility Reporting Group A consists of the following hospital facilities: 1 - Evanston Hospital 2 - Highland Park Hospital 3 - Glenbrook Hospital 4 - Skokie Hospital Per the Billing and Collections Policy of NorthShore - Edward-Elmhurst Health (NS-EEH), NorthShore does not engage in Extraordinary Collection Actions (ECAs), nor does it permit its collections vendors to engage in ECAs.</ExplanationTxt>
      </SupplementalInformationGrp>
      <FacilityNum>44</FacilityNum>
      <OthHlthCareFcltsNotHospitalGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Glenbrook Ambulatory Care Center</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2180 Pfingsten Road</AddressLine1Txt>
            <CityNm>Glenview</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60026</ZIPCd>
          </USAddress>
          <FacilityTxt>Outpatient Clinic</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Skokie Ambulatory Care Center</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>9650 Gross Point Road</AddressLine1Txt>
            <CityNm>Skokie</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60076</ZIPCd>
          </USAddress>
          <FacilityTxt>Outpatient Clinic</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Graham Medical Office Building</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1000 Central Street</AddressLine1Txt>
            <CityNm>Evanston</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60201</ZIPCd>
          </USAddress>
          <FacilityTxt>Outpatient Clinic</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Highland Park Ambulatory Care Center</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>757 Park Avenue West</AddressLine1Txt>
            <CityNm>Highland Park</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60035</ZIPCd>
          </USAddress>
          <FacilityTxt>Outpatient Clinic</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Gurnee Ambulatory Care Center</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>7900 Rollins Road</AddressLine1Txt>
            <CityNm>Gurnee</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60031</ZIPCd>
          </USAddress>
          <FacilityTxt>Outpatient Clinic</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Old Orchard Medical Office Building</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>9977 Woods Drive</AddressLine1Txt>
            <CityNm>Skokie</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60077</ZIPCd>
          </USAddress>
          <FacilityTxt>Outpatient Clinic</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Highland Park Medical Office Building</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>767 Park Avenue West</AddressLine1Txt>
            <CityNm>Highland Park</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60035</ZIPCd>
          </USAddress>
          <FacilityTxt>Outpatient Clinic</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Glenbrook Medical Office Building North</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2150 Pfingsten Road</AddressLine1Txt>
            <CityNm>Glenview</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60026</ZIPCd>
          </USAddress>
          <FacilityTxt>Outpatient Clinic</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Glenbrook Medical Office Building South</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2050 Pfingsten Road</AddressLine1Txt>
            <CityNm>Glenview</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60026</ZIPCd>
          </USAddress>
          <FacilityTxt>Outpatient Clinic</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Vernon Hills Specialty Care Center</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>225 N Milwaukee Avenue</AddressLine1Txt>
            <CityNm>Vernon Hills</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60061</ZIPCd>
          </USAddress>
          <FacilityTxt>Outpatient Clinic</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>NorthShore Lab Services - Evanston</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2500 Ridge Avenue</AddressLine1Txt>
            <CityNm>Evanston</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60201</ZIPCd>
          </USAddress>
          <FacilityTxt>Outpatient Clinic</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Bannockburn Medical Office Building</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2151 Waukegan Road</AddressLine1Txt>
            <CityNm>Bannockburn</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60015</ZIPCd>
          </USAddress>
          <FacilityTxt>Outpatient Clinic</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Lincolnshire Medical Office Building</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>920 N Milwaukee Avenue</AddressLine1Txt>
            <CityNm>Lincolnshire</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60048</ZIPCd>
          </USAddress>
          <FacilityTxt>Outpatient Clinic</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Pediatric Outpatient Center</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>3232 Lake Avenue</AddressLine1Txt>
            <CityNm>Wilmette</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60091</ZIPCd>
          </USAddress>
          <FacilityTxt>Outpatient Clinic</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Fetal Diagnostic Center</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>71 Waukegan Road</AddressLine1Txt>
            <CityNm>Lake Bluff</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60044</ZIPCd>
          </USAddress>
          <FacilityTxt>Outpatient Clinic</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Niles Medical Office Building</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>6450 W Touhy Avenue</AddressLine1Txt>
            <CityNm>Niles</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60714</ZIPCd>
          </USAddress>
          <FacilityTxt>Outpatient Clinic</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Lakeshore Imaging</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>680 N Lake Shore Drive</AddressLine1Txt>
            <CityNm>Chicago</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60611</ZIPCd>
          </USAddress>
          <FacilityTxt>Outpatient Clinic</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Ravinia X-Ray and GI Lab</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1777 Green Bay Road</AddressLine1Txt>
            <CityNm>Highland Park</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60035</ZIPCd>
          </USAddress>
          <FacilityTxt>Outpatient Clinic</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>NorthShore Medical Group - Round Lake Beach</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1000 Rollins Road</AddressLine1Txt>
            <CityNm>Round Lake Beach</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60073</ZIPCd>
          </USAddress>
          <FacilityTxt>Outpatient Clinic</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Gurnee Medical Office Building</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>15 Tower Court</AddressLine1Txt>
            <CityNm>Gurnee</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60031</ZIPCd>
          </USAddress>
          <FacilityTxt>Outpatient Clinic</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Mount Prospect Medical Office Building</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1329 N Wolf Road</AddressLine1Txt>
            <CityNm>Mount Prospect</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60056</ZIPCd>
          </USAddress>
          <FacilityTxt>Outpatient Clinic</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Glenview Park Center</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2400 Chestnut Avenue</AddressLine1Txt>
            <CityNm>Glenview</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60026</ZIPCd>
          </USAddress>
          <FacilityTxt>Outpatient Clinic</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>NorthShore Immediate Care Center - Chicago at Sauganash</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>6141 N Cicero Avenue</AddressLine1Txt>
            <CityNm>Chicago</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60646</ZIPCd>
          </USAddress>
          <FacilityTxt>Outpatient Clinic</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>PM&amp;R Fitness Center</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1501 Busch Parkway</AddressLine1Txt>
            <CityNm>Buffalo Grove</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60089</ZIPCd>
          </USAddress>
          <FacilityTxt>Outpatient Clinic</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>NorthShore Immediate Care Center - Chicago at Bucktown</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1942 W Fullerton Avenue</AddressLine1Txt>
            <CityNm>Chicago</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60647</ZIPCd>
          </USAddress>
          <FacilityTxt>Outpatient Clinic</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>NorthShore Immediate Care Center - Des Plaines</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1535 Ellinwood</AddressLine1Txt>
            <CityNm>Des Plaines</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60016</ZIPCd>
          </USAddress>
          <FacilityTxt>Outpatient Clinic</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>NorthShore Immediate Care Center - Chicago at NorthCenter</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2019 W Irving Park Road</AddressLine1Txt>
            <CityNm>Chicago</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60618</ZIPCd>
          </USAddress>
          <FacilityTxt>Outpatient Clinic</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>PM&amp;R Benson Avenue</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1729 Benson Avenue</AddressLine1Txt>
            <CityNm>Evanston</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60201</ZIPCd>
          </USAddress>
          <FacilityTxt>Outpatient Clinic</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>NorthShore Immediate Care Center - Chicago at Broadway Square</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>5238 N Broadway Avenue</AddressLine1Txt>
            <CityNm>Chicago</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60640</ZIPCd>
          </USAddress>
          <FacilityTxt>Outpatient Clinic</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>NorthShore Immediate Care Center - Chicago at Andersonville</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>4914 N Clark Street</AddressLine1Txt>
            <CityNm>Chicago</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60640</ZIPCd>
          </USAddress>
          <FacilityTxt>Outpatient Clinic</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>NorthShore Immediate Care Center - Evanston</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>524 Main Street</AddressLine1Txt>
            <CityNm>Evanston</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60201</ZIPCd>
          </USAddress>
          <FacilityTxt>Outpatient Clinic</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>NorthShore Immediate Care Center - Chicago at Jefferson Park</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>5211 W Lawrence Avenue</AddressLine1Txt>
            <CityNm>Chicago</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60630</ZIPCd>
          </USAddress>
          <FacilityTxt>Outpatient Clinic</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>NorthShore Immediate Care Center - Chicago at Belle Plaine</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>4070 N Milwaukee Avenue</AddressLine1Txt>
            <CityNm>Chicago</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60641</ZIPCd>
          </USAddress>
          <FacilityTxt>Outpatient Clinic</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>NorthShore Immediate Care Center - Skokie Commons</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>3304 W Touhy Ave</AddressLine1Txt>
            <CityNm>Skokie</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60076</ZIPCd>
          </USAddress>
          <FacilityTxt>Outpatient Clinic</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>NorthShore Immediate Care Center - Chicago at Mayfair Commons</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>5240 N Pulaski</AddressLine1Txt>
            <CityNm>Chicago</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60630</ZIPCd>
          </USAddress>
          <FacilityTxt>Outpatient Clinic</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>NorthShore Immediate Care Center - Chicago at Lincoln Village</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>6071 N Lincoln Ave</AddressLine1Txt>
            <CityNm>Chicago</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60659</ZIPCd>
          </USAddress>
          <FacilityTxt>Outpatient Clinic</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>NorthShore Immediate Care Center - Chicago at Lincoln Square</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2323 W Lawrence</AddressLine1Txt>
            <CityNm>Chicago</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60625</ZIPCd>
          </USAddress>
          <FacilityTxt>Outpatient Clinic</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Fetal Diagnostic Center</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>800 W Central Road</AddressLine1Txt>
            <CityNm>Arlington Heights</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60005</ZIPCd>
          </USAddress>
          <FacilityTxt>Outpatient Clinic</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Breast Health and Mammography Program</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>71 Old Orchard Shopping Center</AddressLine1Txt>
            <CityNm>Skokie</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60077</ZIPCd>
          </USAddress>
          <FacilityTxt>Outpatient Clinic</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Ravine Way Surgery Center</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>2350 Ravine Way</AddressLine1Txt>
            <CityNm>Glenview</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60025</ZIPCd>
          </USAddress>
          <FacilityTxt>Ambulatory Surgery Center</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>North Shore Same Day Surgery</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>3725 W Touhy Avenue</AddressLine1Txt>
            <CityNm>Lincolnwood</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60712</ZIPCd>
          </USAddress>
          <FacilityTxt>Ambulatory Surgery Center</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>River North Same Day Surgery</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>One East Erie Street</AddressLine1Txt>
            <CityNm>Chicago</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60611</ZIPCd>
          </USAddress>
          <FacilityTxt>Ambulatory Surgery Center</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>Morton Grove Medical Imaging</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>9000 Waukegan Road</AddressLine1Txt>
            <CityNm>Morton Grove</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60053</ZIPCd>
          </USAddress>
          <FacilityTxt>Ambulatory Surgery Center</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>25 East Same Day Surgery Center</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>25 E Washington Street</AddressLine1Txt>
            <CityNm>Chicago</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60602</ZIPCd>
          </USAddress>
          <FacilityTxt>Ambulatory Surgery Center</FacilityTxt>
        </OthHlthCareFcltsGrp>
      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 3c Other Factors Used to Determine Eligibility for Financial Assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>In addition to the Federal Poverty Guidelines, NorthShore University HealthSystem uses the following factors to determine eligibility for financial assistance: asset level, medical indigency, insurance status, underinsurance status, and residency.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 7 Costing Methodology used to calculate financial assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>NorthShore University HealthSystem calculated the cost of charity care and means-tested government programs using the cost-to-charge ratio derived from Schedule H, Worksheet 2, Ratio of Patient Care Cost-to-Charges. Amounts in the other benefits section of Line 7 were calculated using costs charged directly to the individual programs from the financial accounting system. An indirect cost allocation factor for hospital shared services was also calculated and included for each program indicated in other benefits.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part II Community Building Activities</FormAndLineReferenceDesc>
        <ExplanationTxt>NorthShore University HealthSystem (NorthShore) employees are 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 and participate in health advocacy programs to promote the health of the communities served.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 2 Bad debt expense - methodology used to estimate amount</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 4 Bad debt expense - financial statement footnote</FormAndLineReferenceDesc>
        <ExplanationTxt>See pages 9 and 14-18 of the audited financial statements for footnotes describing accounts receivable and bad debt expense.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 8 Community benefit &amp; methodology for determining medicare costs</FormAndLineReferenceDesc>
        <ExplanationTxt>The Schedule H, Worksheet 2, Ratio of Patient Care Cost-to-Charges was used to determine the Medicare costs reported on Part III, Line 6. NorthShore University HealthSystem (NorthShore) believes that all of the $89,544,898 Medicare 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 2022, Medicare accounted for approximately 51% 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>NorthShore University HealthSystem (NorthShore) 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16a FAP website</FormAndLineReferenceDesc>
        <ExplanationTxt>A - Evanston Hospital: Line 16a URL: northshore.org/about-us/billing/financial-assistance;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16b FAP Application website</FormAndLineReferenceDesc>
        <ExplanationTxt>A - Evanston Hospital: Line 16b URL: northshore.org/about-us/billing/financial-assistance;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16c FAP plain language summary website</FormAndLineReferenceDesc>
        <ExplanationTxt>A - Evanston Hospital: Line 16c URL: northshore.org/about-us/billing/financial-assistance;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 2 Needs assessment</FormAndLineReferenceDesc>
        <ExplanationTxt>See the information reported in Part V Section B regarding the most recently completed Community Health Needs Assessment (CHNA). NorthShore University HealthSystem (NorthShore) contracted with Crowe LLP (Crowe) to compile and analyze existing data which led to the collection of community input data for the 2022 CHNA. NorthShore has defined its "community" to include 54 zip codes within Lake and Cook Counties in Illinois. Defining the CHNA community similarly to its primary service area will allow NorthShore to more effectively focus its resources to address identified significant health needs, targeting areas of greatest need and health disparities. NorthShore obtained input from 63 leaders representing public health, major employers, public schools, social services, NorthShore leaders and the community at-large through five focus groups. Primary input was also obtained by conducting an online community health survey distributed to members of the community. Secondary data was assessed including: - Demographics (population, age, sex, race) - Socioeconomic indicators (household income, poverty, unemployment, educational attainment) - Key health indicators Information gathered in the above steps was reviewed and analyzed to identify health issues in the community.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 3 Patient education of eligibility for assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>NorthShore University HealthSystem (NorthShore) informs and educates low-income patients of our Financial Assistance program across many points within the system. We have posted signs--both English and Spanish--in all our facilities' Emergency Departments and at our Central Registration areas as well as in the following languages upon request or on the NorthShore website: Arabic, Assyrian, German, Japanese, Korean, Mongolian, Polish, Russian, and Vietnamese. The NorthShore patient information television channel is available to all patients upon admission and a section describes how to obtain Financial Assistance. The NorthShore billing statements describes the Financial Assistance program and necessary contact information. Our collection agencies and billing offices also coordinate charity care to potentially eligible patients. Finally, the NorthShore website (northshore.org) is another useful resource that informs patients about the Financial Assistance program with links to the application process and the actual financial application. NorthShore also has approximately 16 full-time financial counselors, 45 External Customer Service agents, and 8 internal agents representing our hospitals, clinics, and physician offices. These counselors and representatives 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. NorthShore 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. Any patient having difficulty paying their portion of the bill or wanting to know if they are eligible for financial assistance can have their case reviewed by calling our centralized Customer Service billing department, completing paper application or applying using NorthShore Connect patient portal. Our Customer Service department responds to approximately 1,400 calls per day from patients with questions about their bill or that are unable to pay. In addition to the formal application process for Financial Assistance, NorthShore may also grant Financial Assistance on a presumptive basis. Presumptive Financial Assistance approvals are based upon individual life circumstances such as enrollment in low-income government programs with income eligibility below 200 percent of federal poverty level income guidelines or verification of financial indigence through a credit rating agency and their calculated healthcare credit score.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 4 Community information</FormAndLineReferenceDesc>
        <ExplanationTxt>NorthShore University HealthSystem (NorthShore) has four hospital facilities located in the northern suburbs of Chicago, Illinois. NorthShore has defined its "community" to include 54 zip codes within Lake and Cook Counties in Illinois. NorthShore's patients collectively come from a large geographic area. For purposes of the 2022 CHNA, the community served by NorthShore included 54 zip codes in Lake County, northern Cook County and the north side of Chicago. Between October 1, 2020 and September 30, 2021, 85% of NorthShore's inpatient discharges and 81% of its outpatient visits came from patients residing in these 54 zip codes. The CHNA community has a total population of 1,607,577 according to the U.S. Census Bureau American Community Survey 2015-2019 5-year estimates. The percentage of population by combined race and ethnicity is made up of 58.0% Non-Hispanic White, 19.8% Hispanic or Latino, 12.4% Non-Hispanic Asian, 6.8% Non-Hispanic Black, 2.5% Non-Hispanic Multiple Races and .5% Non-Hispanic some other race. The demographic makeup of the CHNA community is as follows: Average Family Income - $145,116 People 25+ with a Bachelor's Degree or Higher - 50% Percent of people living in poverty (160,285 persons) - 10.2% Population without Health Insurance Coverage (127,593 persons) - 8.08% Population 16+ in Civilian Labor Force - 66% Persons living in Limited English speaking households (122,423 persons) - 8% During 2022, approximately 9% of NorthShore's patients were uninsured or were Medicaid recipients. Within NorthShore's service area, there are four federally-designated medically underserved areas. NorthShore's service area also includes 11 other hospitals.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 5 Promotion of community health</FormAndLineReferenceDesc>
        <ExplanationTxt>NorthShore University HealthSystem (NorthShore) extends medical staff privileges to all qualified physicians in the NorthShore community. A majority of the NorthShore Board members also reside in NorthShore's service area and are not employees, independent contractors, or family members thereof. 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 its teaching and research facilities. During 2022, 172 resident and 41 fellow full-time equivalents (FTEs) participated in NorthShore and affiliate-based programs. The NorthShore residency program areas include: Dentistry, Family Medicine, Internal Medicine (Categorical, Preliminary, and Transitional), and Pathology. The NorthShore fellowship program areas include: Breast Surgery, Cardiology, Endocrine Surgery, Family Medicine-Sports Medicine, Gastroenterology, Maternal-Fetal Medicine, Musculoskeletal Imaging, Simulation-Emergency Medicine, and Urogynecology. The affiliate-based residency program areas include: Anesthesiology, Emergency Medicine, General Surgery, Neurology, Neurosurgery, Obstetrics and Gynecology, Ophthalmology, Orthopaedic Surgery, Otolaryngology, Pediatrics, Plastic Surgery, Podiatry, Psychiatry, Radiology, and Urology. The affiliate-based fellowship program areas include: Cardiothoracic Surgery, Child Psychiatry, Colon Rectal Surgery, Gynecology-Oncology, Hematology-Oncology, Mammography, Maternal-Fetal Medicine, Medical Microbiology, Molecular Genetics Pathology, Neonatal-Perinatal Medicine, Nephrology, Neuroradiology, Orthopaedic Hand, Orthopaedic Sports, Palliative Medicine, Peripheral Vascular Surgery, and Surgical Oncology. NorthShore also offers a comprehensive Pharmacy residency program, with resident positions located at all four hospitals. The Pharmacy residency program includes both clinical and administrative exposure focusing on inpatient and ambulatory practice. The program also includes specialty residencies in oncology, pharmacy informatics, and pharmacy administration. The program consists of a multitude of experiences that reinforce residents' knowledge and skills and help them advance into well-rounded practitioners. During the 2021-2022 academic year, 16 residents participated in the program. The NorthShore School of Nurse Anesthesia operates out of Evanston Hospital and is affiliated with DePaul University. 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 2022, 99 students participated in the program. NorthShore also provided clinical training and internships during 2022 for 422 high school and college students. Students interned in the following areas: Nursing, Diagnostic Radiology, and Physical Therapy. Community Advisory Committees - The Community Advisory Committees' (CAC) role is to advise hospital administration on services and initiatives from a community perspective. The CACs are structured to ensure NorthShore's accountability to the community and to assist in the fulfillment of the community relations vision, to be the most trusted and indispensable heath partner throughout the communities we serve. The CACs are primarily comprised of community members, along with hospital administrative and professional staff. NorthShore strives for diverse membership to include business, faith community, social services, civic organizations, government and elected officials, as well as interested citizens. The CACs meet quarterly and help to identify gaps in healthcare services within the community and seek opportunities for partnerships between the hospitals and community organizations. In addition, the CACs assist NorthShore with the community health needs assessment process. The Evanston Hospital Community Health Center provided medical care to adults who lack private medical insurance. Medical services included, but were not limited to: Primary Care, Obstetrics/Gynecology, General Surgery, Orthopedics, Diabetes Education and Podiatry. The Community Center provided care for 3,611 patients and 8,052 visits from Oct 1, 2021 to December 31, 2022. The Dental Center at Evanston Hospital provided primary dental care services and special consultations for medically underserved adult patients, pre-screenings for cardiovascular patients, management for oral complications in oncology patients and refractory dental problems. Annually, the Dental Center served approximately 10,500 underserved individuals. Erie Evanston/Skokie Health Center - NorthShore partners with this Federally Qualified Health Center to provide services to the underserved. Over 2,000 Erie Evaston/Skokie Health Center clients receive specialty care services at NorthShore on an annual basis. Evanston Township High School Health Center - The Evanston Township High School Health Center is a school-based health clinic that provides physical exams, immunizations, treatment of acute and chronic illnesses, individual counseling, health education, gynecological care, and support groups to students whose parents allow them to enroll in the health center. An average of 900 students made 3,500 visits to the Health Center annually. NorthShore's Medication Assistance Program helps with the cost of prescriptions for patients of the Evanston Hospital Community Health Center. The Medication Assistance Program provided 33,649 prescriptions to 2,103 low-income patients. The Perinatal Depression Program identifies women who are suffering from perinatal depression and offers referrals for women who may need additional help. 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. All services are provided free of charge. During 2022, the Perinatal Family Support Center responded to more than 600 referrals. Employee Volunteerism - NorthShore employees participate in various volunteer activities that meet community needs and promote goodwill. 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.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 6 Affiliated health care system</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 7 State filing of community benefit report</FormAndLineReferenceDesc>
        <ExplanationTxt>IL</ExplanationTxt>
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        <TitleTxt>Chief Information Officer</TitleTxt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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      <RltdOrgOfficerTrstKeyEmplGrp>
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        <TitleTxt>Senior Vice President, Chief Investment Officer</TitleTxt>
        <BaseCompensationFilingOrgAmt>479798</BaseCompensationFilingOrgAmt>
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        <FormAndLineReferenceDesc>Schedule J, Part I, Line 1a First-class or charter travel</FormAndLineReferenceDesc>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan</FormAndLineReferenceDesc>
        <ExplanationTxt>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 Sean O'Grady - $279,864 Steven Smith - $-(185,534) Dianna Sparacino - $139,044 Douglas D Welday - $109,254 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</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 7 Non-fixed payments</FormAndLineReferenceDesc>
        <ExplanationTxt>NorthShore 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.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 2 Substantiation Prior to Reimbursement for Expenses</FormAndLineReferenceDesc>
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        <FormAndLineReferenceDesc>Schedule K, Part I, Column (c) Bond A - CUSIP #</FormAndLineReferenceDesc>
        <ExplanationTxt>In addition to the CUSIP number shown here, Form 8038 lists the following CUSIP numbers: 45204FAG0 and 45204FAH8.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Schedule K, Part I, Column (f) Bond A - Description of Purpose</FormAndLineReferenceDesc>
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        <FormAndLineReferenceDesc>Schedule K, Part II, Line 11 Bond A - Other Spent Proceeds</FormAndLineReferenceDesc>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 1 Organization's Mission</FormAndLineReferenceDesc>
        <ExplanationTxt>NorthShore University HealthSystem 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. NorthShore is a not-for-profit organization 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 patients who may not be able to pay the entire cost of their care is a part of the organization's commitment. In support of its primary mission of patient care, the organization 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, graduate medical students, employees, physical plant, equipment and other resources to assure orderly growth of our services.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4a Program Service Description - Patient Care</FormAndLineReferenceDesc>
        <ExplanationTxt>NorthShore University HealthSystem (NorthShore) is part of an integrated, healthcare delivery system. On January 1, 2022, NS-EE Holdings (NS-EEH) became the sole corporate member of NorthShore and Edward-Elmhurst Healthcare (EEH). NS-EEH 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. NorthShore, headquartered in Evanston, Illinois, includes six hospitals - Evanston Hospital, Glenbrook Hospital, Highland Park Hospital, Northwest Community Hospital, Skokie Hospital, and Swedish Hospital. NorthShore also includes a 900 physician multispecialty group practice, NorthShore University HealthSystem Faculty Practice Associates, with more than 140 locations in the Chicagoland area. NorthShore is a Magnet-recognized organization, the first in Illinois to receive this prestigious honor as an entire system that demonstrates excellence in nursing and high standards in patient care. NorthShore also is a national leader in the implementation of innovative technologies, including an Electronic Medical Record (EMR) system. In 2003, NorthShore was among the first in the country to successfully implement a system-wide EMR with demonstrable benefits in quality, safety, efficiency and service to patients. NorthShore has been recognized by multiple national organizations for this notable achievement. As the principal teaching affiliate for the University of Chicago Pritzker School of Medicine, NorthShore is dedicated to excellence in medical education and research. Combined with NorthShore's established reputation for advanced information technology and its strong clinical environment, this affiliation represents an exciting advancement in patient care for the Chicagoland area. NorthShore's health system includes significant capabilities in a wide spectrum of leading clinical programs, including Kellogg Cancer Center, NorthShore Neurological Institute, NorthShore Orthopaedic Institute, NorthShore Cardiovascular Institute, Neaman Center for Personalized Medicine and High-Risk Maternity. NorthShore is nationally named a 2022 Most Wired health system by the College of Healthcare Information Management Executives. NorthShore receives a "Level 9 Quality Award" (out of 10) for both Acute and Ambulatory surveys. NorthShore is named to the 2022 Fortune/Merative 100 Top Hospitals list for a record 23 times, more than any other hospital or health system in the U.S. in the award's 29-year history. NorthShore also is among the Top 15 Major Teaching Hospitals. NorthShore is ranked by Crain's as #6 among the Largest Health Systems in Chicago area, based on the greatest increase in net patient revenue of the nine systems ranked. Combined, NorthShore and Edward-Elmhurst Health would rank #4 on the Largest Health Systems list. Also, NorthShore was recognized in U.S. News &amp; World Report's Best Hospitals ranking as the #4 health system in Illinois and Chicago metro area. NorthShore earns five stars-the highest possible quality rating from the Centers for Medicare &amp; Medicaid Services (CMS), as part of its consumer-oriented Hospital Compare program. The Glenbrook Hospital ICU team received the Beacon Award for Critical Care Excellence - regarded as the top honor in the field of critical care nursing - given by the American Association of Critical Care Nurses. Swedish was recognized by Healthgrades as one of the nation's Top 250 hospitals. Northwest Community received Healthgrades America's 100 Best Hospitals Award and was recognized by as a 2022 Patient Safety Excellence Award recipient. Northwest Community Hospital received "A" grade and Evanston, Glenbrook, Highland Park, and Swedish Hospitals received "B" grades in the Fall 2022 ratings from The Leapfrog Group, a national organization that focuses on quality and safety in American health care. NorthShore 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 NS-EEH 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's mission, services, and strategic priorities. NorthShore informs and educates low-income patients of our Financial Assistance program across many points within the system. We have posted signs--both English and Spanish--in all our facilities' Emergency Departments and at our Central Registration areas as well as in the following languages upon request or on the NorthShore website: Arabic, Assyrian, German, Japanese, Korean, Mongolian, Polish, Russian, and Vietnamese. The NorthShore patient information television channel is available to all patients upon admission and a section describes how to obtain Financial Assistance. The NorthShore billing statements describes the Financial Assistance program and necessary contact information. Our collection agencies and billing offices also coordinate charity care to potentially eligible patients. Finally, the NorthShore website (northshore.org) is another useful resource that informs patients about the Financial Assistance program with links to the application process and the actual financial application. NorthShore also has approximately 16 full-time financial counselors, 45 External Customer Service agents, and 8 internal agents representing our hospitals, clinics, and physician offices. These counselors and representatives 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. NorthShore 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. Any patient having difficulty paying their portion of the bill or wanting to know if they are eligible for financial assistance can have their case reviewed by calling our centralized Customer Service billing department, completing paper application or applying using NorthShore Connect patient portal. Our Customer Service department responds to approximately 1,400 calls per day from patients with questions about their bill or that are unable to pay. In addition to the formal application process for Financial Assistance, NorthShore may also grant Financial Assistance on a presumptive basis. Presumptive Financial Assistance approvals are based upon individual life circumstances such as enrollment in low-income government programs with income eligibility below 200 percent of federal poverty level income guidelines or verification of financial indigence through a credit rating agency and their calculated healthcare credit score. Evanston Hospital is a comprehensive acute-care facility and the flagship hospital of NorthShore University HealthSystem. Evanston Hospital is a leader in cardiac care, cancer care via the NorthShore Kellogg Cancer Center and a variety of surgical specialties. The hospital is also the regional center for high-risk obstetrics with the Infant Special Care Unit and the Women's Hospital offering the latest technology and a highly trained staff. Key highlights include NorthShore Cardiovascular Institute, Center for Breast Health, Infant Special Care Unit (ISCU), NorthShore Kellogg Cancer Center, Level I Trauma Center, Primary Stroke Center, Regional Center for High-Risk Obstetrics and Women's Hospital. During 2022, Evanston Hospital total admissions were 21,287, and total patient days were 101,925.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4a Program Service Description - Patient Care (continued)</FormAndLineReferenceDesc>
        <ExplanationTxt>Glenbrook Hospital is a comprehensive medical center providing advanced diagnostic and therapeutic interventions, as well as superior medical and surgical care for all specialties. Key highlights include NorthShore Cardiovascular Institute, Center for Breast Health, Eye and Vision Center, Gastroenterology, NorthShore Kellogg Cancer Center, Level II Trauma Center, NorthShore Neurological Institute, NorthShore Orthopaedic Institute, Primary Stroke Center and the John and Carol Walter Center for Urological Health. Construction is currently underway for a new, 170,000-square-foot, premier Cardiovascular Institute (CVI) pavilion on the Glenbrook Hospital campus. The $170 million pavilion will serve as NorthShore's central hub for elective cardiac and vascular procedures, catheterizations and interventions, as well as structural heart procedures and electrophysiology studies. The complex will also become a focus for the development of women's heart health, sports cardiology, cardio-oncology and cardiac rehabilitation; and will house six new CVI-dedicated operating rooms and nine new labs. During 2022, Glenbrook Hospital total admissions were 8,577, and total patient days were 46,021. Highland Park Hospital has provided high-quality healthcare and a wide range of clinical programs for the people of Lake County and beyond for over a century. The hospital is the site of the first open-heart surgery in Lake County and continues to provide a full range of cardiac diagnosis and intervention services. Highland Park Hospital's Kellogg Cancer Center offers the most comprehensive subspecialty care for oncology patients. Key additional highlights include Adolescent Behavioral Health, Bariatric Center of Excellence, NorthShore Cardiovascular Institute, Center for Breast Health, Center for Pelvic Health, Gastroenterology, Level II Trauma Center, Primary Stroke Center and Women's Hospital. During 2022, Highland Park Hospital total admissions were 9,549, and total patient days were 42,769. Skokie Hospital is home to Illinois' only specialty hospital dedicated to orthopaedic and spine care, and it also offers emergency and outpatient services to meet the needs of the local community. The Orthopaedic &amp; Spine Institute provides advanced care and is designed for both outpatient and inpatient procedures, including joint replacement, fracture care and complex spine surgeries. Key highlights include NorthShore Orthopaedic &amp; Spine Institute, Comprehensive Emergency Department, Clinical Cardiology Services, Comprehensive Outpatient Services that include GI Lab and Outpatient Laboratory, Mammography, Outpatient Pharmacy, Radiology (CAT Scan, MRI, Ultrasound, X-Ray), Primary Care and Specialty Care Physician Offices. During 2022, Skokie Hospital total admissions were 2,379, and total patient days were 14,644. 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. Northwest Community Hospital - Serving Chicago's northwest suburbs since 1959, Northwest Community Healthcare (NCH) is a not-for-profit comprehensive healthcare system dedicated to providing outstanding care in the communities they serve. NCH combines compassionate care with a healing environment, cutting-edge clinical expertise and state-of-the-art facilities. Throughout the northwest suburbs, NCH has 23 doctor's offices, five immediate care centers, seven physical rehabilitation sites and 13 lab locations. NCH offers a full range of services, including primary and specialty care through the NCH Medical Group. Major clinical services include: Level III NICU, Level II Trauma Center, a dedicated pediatric emergency department, acute inpatient and outpatient rehab services, behavioral health services, cancer services, heart and vascular services, neurosciences and orthopedics. NorthShore University HealthSystem Faculty Practice Associates (FPA) is comprised of about 900 primary and specialty care physicians located in Chicago and many of the northern suburbs. With more than 140 locations, the primary care team includes experts in internal medicine, family medicine, pediatrics and obstetrics and gynecology. Our primary care team works in close collaboration with physicians in over 50 specialty services in every field of medicine, including cancer, orthopaedics, neurological and cardiovascular care. Additionally, NorthShore advanced primary care by integrating genetics into patient care plans to more precisely guide medical management. Patients who see a FPA primary care physician, now receive a Genetic and Wellness Assessment as part of a patient's annual physical. This personalized medicine tool helps the doctor better identify risk factors and detect diseases at their earliest, most treatable stages. Through NorthShore's teaching affiliation with the University of Chicago Pritzker School of Medicine, FPA physicians hold academic appointments at the Pritzker School of Medicine, helping to teach and train the physicians of tomorrow. NorthShore University HealthSystem Foundation (Foundation) is dedicated to attracting and stewarding philanthropy in support of the integrated healthcare delivery system's mission to "preserve and improve human life." Generous donations of time, talent and treasure - from individuals, foundations and corporations - help to ensure that world-class healthcare is available close to home. Philanthropy was integral to the founding of NorthShore in 1891, and is simply a part of NorthShore - past, present and future.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part III, Line 4b Program Service Description - Education</FormAndLineReferenceDesc>
        <ExplanationTxt>As a primary teaching affiliate for University of Chicago Pritzker School of Medicine, NorthShore University HealthSystem (NorthShore) is dedicated to excellence in medical education and research. 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 physician-educators connect and innovate with the next generation of medical specialists to help shape the future of healthcare. Combined with NorthShore's established reputation for advanced information technology and its strong clinical environment, this affiliation represents an exciting advancement in academic medicine for the Chicagoland area and for future physician leaders. NorthShore has an extensive selection of training programs and fellowships to offer physicians at its teaching and research facilities. During 2022, 181 resident and 44 fellow full-time equivalents (FTEs) participated in NorthShore and affiliate-based programs. The NorthShore residency program areas include: Dentistry, Family Medicine, Internal Medicine (Categorical, Preliminary, and Transitional), and Pathology. The NorthShore fellowship program areas include: Breast Surgery, Cardiology, Endocrine Surgery, Family Medicine-Sports Medicine, Gastroenterology, Maternal-Fetal Medicine, Musculoskeletal Imaging, Simulation-Emergency Medicine, and Urogynecology. The affiliate-based residency program areas include: Anesthesiology, Emergency Medicine, General Surgery, Neurology, Neurosurgery, Obstetrics and Gynecology, Ophthalmology, Orthopaedic Surgery, Otolaryngology, Pediatrics, Plastic Surgery, Podiatry, Psychiatry, Radiology, and Urology. The affiliate-based fellowship program areas include: Cardiothoracic Surgery, Child Psychiatry, Colon Rectal Surgery, Gynecology-Oncology, Hematology-Oncology, Mammography, Maternal-Fetal Medicine, Medical Microbiology, Molecular Genetics Pathology, Neonatal-Perinatal Medicine, Nephrology, Neuroradiology, Orthopaedic Hand, Orthopaedic Sports, Palliative Medicine, Peripheral Vascular Surgery, and Surgical Oncology. NorthShore also offers a comprehensive Pharmacy residency program, with resident positions located at all four hospitals. The Pharmacy residency program includes both clinical and administrative exposure focusing on inpatient and ambulatory practice. The program also includes specialty residencies in oncology, pharmacy informatics, and pharmacy administration. The program consists of a multitude of experiences that reinforce residents' knowledge and skills and help them advance into well-rounded practitioners. During the 2021-2022 academic year, 16 residents participated in the program. The NorthShore School of Nurse Anesthesia operates out of Evanston Hospital and is affiliated with DePaul University. 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 2022, 99 students participated in the program. NorthShore also provided clinical training and internships during 2022 for 422 high school and college students. Students interned in the following areas: Nursing, Diagnostic Radiology, and Physical Therapy.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part III, Line 4c Program Service Description - Research</FormAndLineReferenceDesc>
        <ExplanationTxt>The NorthShore University HealthSystem Research Institute (Research Institute) was organized in 1996 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 more than 250 principal investigators who currently occupy 95,000 net square feet of research space and work on more than 550 active research protocols. In 2022, NorthShore's contribution to the internal support for the Research Institute exceeded $10 million The Research Institute builds on NorthShore's promise to deliver excellence in all aspects of patient care. Efforts are directed to research initiatives that make a difference across multiple disciplines. From oncology and neurology to orthopaedics and cardiovascular care, the Research Institute focuses on areas of inquiry that have the potential to make the greatest impact on improving and saving lives. NorthShore offers over 550 active clinical trials of various types, from innovative surgical procedures to the latest drug therapies. NorthShore's clinical research portfolio focuses on a range of conditions, including cancer, neurologic disorders and stroke, cardiovascular disorders, and a wide range of pediatric and gynecologic conditions. Additionally, major clinical trial programs in advanced imaging and medical genetics are also offered. The Research Institute is also a member of the Illinois Precision Medicine Consortium (IPMC), which is part of a national landmark longitudinal All of Us Research Program (AoURP) cohort program to improve the ability to prevent and treat disease based on individual lifestyle, environment, and genetics. NorthShore will enroll over 9,000 NorthShore patients in the study, and participants in NorthShore's AoURP will be asked to share a wide-range of health, environmental, and lifestyle information. The NorthShore Program for Personalized Cancer Care (PPCC) is pioneering new strategies in cancer care. The PPCC uniquely focuses on the genetic pattern of an individual's hereditary DNA to derive a personalized cancer risk assessment profile. Based on the inherited risk of developing a given cancer, the PPCC is beginning to implement personalized cancer care strategies that encompass the entire spectrum of disease. The PPCC believes this approach will lead to more efficient use of health care resources by targeting prevention and screenings toward individuals at greater risk of developing cancer, earlier cancer detection, and, ultimately and most importantly, reduced cancer deaths and suffering.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15 Process to Establish Compensation of CEO and Other Employees</FormAndLineReferenceDesc>
        <ExplanationTxt>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. A detailed compensation review of the 13 Clinical Chairs is also conducted annually. Market data is collected and assessed by an external independent compensation consultant who specializes in compensation consulting for physicians within the healthcare industry. The work product from this study is reviewed separately with Board-retained legal counsel. Market compensation data for each physician's specialized area of training is assessed annually. A detailed total compensation and Fair Market Value review is conducted every two years. 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 2 Family/business relationships amongst interested persons</FormAndLineReferenceDesc>
        <ExplanationTxt>Mahalakshmi Halasyamani, Jeffery Biesczat, Neil S Freedman, Wanda Cruz-Knight, John Erwin III, and Karen L Kaul - Business relationship, Harry M Jansen Kraemer Jr and Samuel M Mencoff - Business relationship, Kristen Murtos, David Rahija, and Gregory Portland - Business relationship, Mahalakshmi Halasyamani, Kristen Murtos, and Karen L Kaul - Business relationship, Sean O'Grady and Joseph Golbus - Business relationship, Douglas D Welday and Jesse Peterson Hall - Business relationship</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 4 Significant changes to organizational documents</FormAndLineReferenceDesc>
        <ExplanationTxt>On January 1, 2022, NS-EE Holdings became the sole corporate member of NorthShore University HealthSystem (NorthShore) and Edward-Elmhurst Healthcare (EEH). Accordingly, the governing documents were amended on January 1, 2022 to name NS-EE Holdings as the sole corporate member of the health system and to explain the rights and powers of NS-EE Holdings operating as the system parent. The number and qualifications for the Board of Directors was amended to indicate there must be between 9 and 20 voting directors, as determined by the system parent, including the NorthShore Regional President, at least one member of the system parent board, and certain physician and clinical representatives. The composition and election of the officers was amended to indicate the officers include a Chairperson, a Vice Chairperson, a President, a Secretary, and other officers and assistant officers may be elected or appointed. The Board of Directors elect the Chairperson and Vice Chairperson, and the remaining officers serve until their successor are elected and/or appointed and qualified, or until their death, resignation or removal.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 6 Classes of members or stockholders</FormAndLineReferenceDesc>
        <ExplanationTxt>The sole member of NorthShore University HealthSystem is NS-EE Holdings, an Illinois not-for-profit corporation operating as the health system parent.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7a Members or stockholders electing members of governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>The Board of Directors of NS-EE Holdings elects individuals to fill the offices of the directors whose terms of office are due to expire at the end of the fiscal year during their annual meeting.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders</FormAndLineReferenceDesc>
        <ExplanationTxt>NS-EE Holdings, through action of the NS-EE Holdings Board of Directors or President &amp; CEO, holds the following reserved powers over NorthShore University HealthSystem. - 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.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 11b Review of form 990 by governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 12c Conflict of interest policy</FormAndLineReferenceDesc>
        <ExplanationTxt>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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19 Required documents available to the public</FormAndLineReferenceDesc>
        <ExplanationTxt>The 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 GuideStar and the Illinois Attorney General's Office websites as part of the federal and 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.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VIII, Line 2f Other Program Service Revenue</FormAndLineReferenceDesc>
        <ExplanationTxt>- Total Revenue: 11390680, Related or Exempt Function Revenue: 11390680, Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: ;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VIII, Line 11d Other Miscellaneous Revenue</FormAndLineReferenceDesc>
        <ExplanationTxt>- Total Revenue: 8234284, Related or Exempt Function Revenue: 6451965, Unrelated Business Revenue: 1291589, Revenue Excluded from Tax Under Sections 512, 513, or 514: 490730;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9 Other changes in net assets or fund balances</FormAndLineReferenceDesc>
        <ExplanationTxt>Equity adjustments for the Pension Plan - 11409234; SERP Equity Adjustment - 543031; Extinguishment of Debt - -17022725; Home Health Hospice Gain - non-operating - 19748747; Other changes in net assets - -41246;</ExplanationTxt>
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