2025-11-14T11:10:28+00:00 2024-12-31 331498605 Plante & Moran PLLC 3000 TOWN CENTER SUITE 100 SOUTHFIELD MI 48075 990 2024-01-01 452389060 EDWARD AMBULANCE SERVICES LLC EDWA 6305481572 2772 GOLFVIEW DR UNIT A NAPERVILLE IL 60563 MR ANDREW BROOKS TREASURER 6305481572 2025-11-14 true true SAMANTHA L BECKER P01344887 2483522500 2025-11-14 2024 2025-03-06 01:10:19Z ANDREW BROOKS 2772 GOLFVIEW DR UNIT A NAPERVILLE IL 60563 10326256 false X WWW.EDWARD.ORG/AMBULANCE X 2011 IL TO PROVIDE MEDICAL AND NON-MEDICAL TRANSPORTATION IN THE MOST SAFE, SEAMLESS AND PERSONAL MANNER. 4 0 0 3 0 459921 120992 8952623 10205264 8000 0 0 9420544 10326256 4000 7500 0 0 0 0 8357766 8893791 8361766 8901291 1058778 1424965 5085562 10509955 611898 4611326 4473664 5898629 TO PROVIDE MEDICAL AND NON-MEDICAL TRANSPORTATION IN THE MOST SAFE, SEAMLESS AND PERSONAL MANNER. false false 7879899 7500 10205264 IN 2024, THE ORGANIZATION PROVIDED EMERGENCY AND NON-EMERGENCY AMBULANCE TRANSPORTATION SERVICES TO APPROXIMATELY 11,500 PERSONS IN THE SOUTHWEST SUBURBS OF CHICAGO. IN 2024, THE ORGANIZATION PROVIDED NON-EMERGENCY VAN SERVICE TRANSPORTATION TO APPROXIMATELY 1,900 PHYSICALLY AND MENTALLY CHALLENGED PATIENTS TO FACILITIES THAT PROVIDED REHABILITATION CARE TO PROMOTE THE HEALTH OF THE INDIVIDUAL. 7879899 true true false false false false false false false false true false false false false false false false false false false false false false false false false false false true false false false false false false false false false false false false false false false true true true false false true 0 0 0 false false false false false false false false false false false false X 4 0 true true true false true true true true false false false false true true true true true true false false false false X DAVID HENSLEY 6308322000 395 W LAKE ST ELMHURST IL 60126 Andrew Brooks Treasurer 2.0 38.0 X X 0 381870 47128 Tom Scaletta Chairman 2.0 38.0 X X 0 540286 56285 Chris Flores Director - Part Year 2.0 0.0 X 0 0 0 Daryl Wilson MD Director 2.0 38.0 X 0 472863 57162 Ellen Turnbull Director 2.0 38.0 X 0 221441 22763 Michael King Director - Part Year 2.0 0.0 X 0 0 0 Nancy Susick Director - Part Year 2.0 0.0 X 0 0 0 Chris Mollet Former - Assistant Secretary 2.0 38.0 X 0 676431 151925 Jason Ogden Former - Treasurer 2.0 38.0 X 0 424107 46994 0 2716998 382257 0 true true false SUPERIOR AIR-GROUND AMBULANCE SHIAWASSEE CIR SOUTHFIELD MI 48033 MANAGEMENT, DISPATCH & BILLING 1094953 1 0 0 0 0 120992 0 0 120992 AMBULANCE 621910 10104141 10104141 0 0 NON-EMERGENCY TRANSPORT 621910 101123 101123 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10205264 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 10326256 10205264 0 0 X 7500 7500 220000 220000 614482 614482 5434222 5346997 87225 0 7130 7130 17639 17639 182593 180027 2566 10649 10649 158621 158621 201619 104500 97119 BAD DEBT EXPENSE 1690026 1690026 GAS & OIL 170040 170040 AUTOMOTIVE REPAIRS 148074 148074 MEDICAL SUPPLIES 25941 25941 12755 12755 0 0 8901291 7879899 1021392 0 3184238 8403405 1169633 1361411 0 0 0 0 15087 15087 2892272 2162220 716604 730052 0 0 0 0 5085562 10509955 611898 4611326 0 0 0 0 611898 4611326 X 4473664 5898629 4473664 5898629 5085562 10509955 1424965 0 0 0 0 0 X false false false X 217458 459921 120992 798371 6377807 4107227 8427139 8952623 10205264 38070060 0 0 0 6595265 4107227 8427139 9412544 10326256 38868431 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 0 38868431 375 375 0 0 375 0 0 0 375 0 0 0 0 0 0 0 6595265 4107602 8427139 9412544 10326256 38868806 0.99999 0.9999 0 0.0001 X Schedule A, Part III AS OF MARCH 2022, THE BOARD VOTED TO CHANGE THE ACCOUNTING PERIOD FROM 6/30/21 TO 12/31/21. AS A RESULT, THE COLUMNS IN SCHEDULE A, PART III CORRESPOND TO THE FOLLOWING TAX YEARS: 2020 - FYE 6/30/21 2021 - SHORT YEAR END 12/31/21 2022 - FYE 12/31/22 2023 - FYE 12/31/23 2024 - FYE 12/31/24 RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 22214 22214 0 2870058 2140006 730052 730052 true false false false false false false false false Jason Ogden Former - Treasurer 0 329051 0 93519 0 1537 0 20700 0 26294 0 471101 0 0 Andrew Brooks Treasurer 0 298925 0 81335 0 1610 0 20700 0 26428 0 428998 0 0 Tom Scaletta Chairman 0 532762 0 0 0 7524 0 20700 0 35585 0 596571 0 0 Ellen Turnbull Director 0 180936 0 33349 0 7156 0 13286 0 9477 0 244204 0 0 Daryl Wilson MD Director 0 470241 0 0 0 2622 0 20700 0 36462 0 530025 0 0 Chris Mollet Former - Assistant Secretary 0 0 0 68717 0 607714 0 151925 0 0 0 828356 0 0 Schedule J, Part I, Line 4a Severance or change-of-control payment THE FOLLOWING RECEIVED SEVERANCE PAYMENTS DURING THE YEAR: CHRIS MOLLET - $607,714. THE FOLLOWING REPORTED DEFERRED COMPENSATION FOR SERVERANCE PAYMENTS TO BE PAID IN 2025: CHRIS MOLLET - $ 151,925 Form 990, Part VI, Line 15 PROCESS TO ESTABLISH COMPENSATION OF TOP MANAGEMENT OFFICIAL THE TOP MANAGEMENT OFFICIAL AND KEY EMPLOYEES ARE PAID BY SUPERIOR AMBULANCE, THE MANAGEMENT COMPANY. THEREFORE, A COMPENSATION PROCESS IS NOT APPLICABLE FOR THIS ORGANIZATION. THE DIRECTORS OF EDWARD AMBULANCE SERVICES LLC DO NOT RECEIVE ANY FORM OF REMUNERATION FROM THE ORGANIZATION. THE DIRECTORS ARE COMPENSATED FROM A RELATED ENTITY. THE COMPENSATION RECEIVED IS REASONABLE AND IS BASED ON A PERCENTILE OF NATIONAL DATA WITH CONSIDERATION FOR LOCAL AND REGIONAL PAY PRACTICES Form 990, Part VI, Line 2 Family/business relationships amongst interested persons Tom Scaletta, Andrew Brooks, Ellen Turnbull, and Daryl Wilson. - Business relationship, Nancy Susick, Chris Flores, and Michael King - Business relationship Form 990, Part VI, Line 3 Delegation of management duties IN DECEMBER 2020, EDWARD ENTERED INTO AN ON-SITE MANAGEMENT AND EXECUTIVE OVERSIGHT AGREEMENT WITH SUPERIOR AIR-GROUND AMBULANCE. Form 990, Part VI, Line 4 Significant changes to organizational documents EDWARD HOSPITAL IS NOW THE SOLE MEMBER OF EDWARD AMBULANCE. THE BOARD OF DIRECTORS NOW SIT AT 4 MEMBERS WITH THE ABILITY OF EDWARD HOSPITAL TO VOTE IN MORE MEMBERS IF IT CHOOSES TO DO SO. ENDEAVOR HEATH HAS ALSO BEEN NAMED AS THE SYSTEM PARENT. Form 990, Part VI, Line 6 Classes of members or stockholders IN 2011, THE ORGANIZATION WAS FORMED AS A JOINT VENTURE MADE UP OF TWO 501(C)(3) MEMBERS WITH THE FOLLOWING OWNERSHIP PERCENTAGE: COMMUNITY EMERGENCY MEDICAL SERVICE, INC. 45% EDWARD HOSPITAL 55% IN 2024, EDWARD HOSPITAL PURCHASED THE COMMUNITY EMERGENCY MEDICAL SERVICES, INC'S OWNERSHIP IN EDWARD AMBULANCE SERVICE TO BECOME ITS SOLE MEMBER. Form 990, Part VI, Line 7a Members or stockholders electing members of governing body THE BOARD SHALL BE COMPOSED OF AT LEAST 4 MANAGERS AND MAY BE INCREASED AT THE DISCRETION OF THE MEMBERS. The appointment and removal of manages and overall composition of the board shall be subject to the consent of the members. In the event of a removal, the member will provide written notice to the manager at any time and with or without cause, effective upon any future date specified in the notice, according to Article VII, section 7.2 of the bylaws. Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders THE GOVERNING BODY OF THIS ENTITY HAVE FULL AUTHORITY TO GOVERN THE AFFAIRS EXCEPT FOR POWERS WHICH ARE RESERVED TO ITS MEMBERS, PER ARTICLE VII, SECTION 7.4 OF THE BYLAWS. THESE RESERVED POWERS INCLUDE: (A) AMENDMENT, MODIFICATION OR REPEAL OF THIS AGREEMENT OR THE ARTICLES OF ORGANIZATION; (B) MERGER, CONSOLIDATION OR AFFILIATION OF THE COMPANY WITH ANOTHER ENTITY; (C) VOLUNTARY DISSOLUTION OF THE COMPANY; (D) ADDITION OF NEW OR ADDITIONAL MEMBERS TO THE COMPANY; (E) APPROVAL OF, OR A CHANGE IN, THE STRATEGIC AND LONG-RANGE PLANS FOR THE COMPANY; (F) SALE, EXCHANGE, LEASE OR OTHER TRANSFER OF, OR MORTGAGE OF OR GRANT OF ANY SECURITY INTEREST IN, ANY REAL PROPERTY OF THE COMPANY INVOLVING AN AMOUNT IN EXCESS OF TWO HUNDRED THOUSAND DOLLARS ($200,000) IN ANY ONE TRANSACTION (OR SERIES OF RELATED TRANSACTIONS); (G) SALE OF GREATER THAN TEN PERCENT (10%) OF THE ASSETS OF THE COMPANY; (H) ANY BORROWING OR LENDING OF MONEY BY THE COMPANY IN ANY ONE TRANSACTION OR SERIES OF RELATED TRANSACTIONS (FOR ANY PURPOSE OTHER THAN TRADE OBLIGATIONS INCURRED IN THE ORDINARY COURSE OF BUSINESS), OR INCURRING ANY NEW OR INCREASING THE AMOUNT OF ANY EXISTING COMPANY INDEBTEDNESS, OR TAKING ANY ACTION TO MORTGAGE, PLEDGE, HYPOTHECATE OR GRANT A SECURITY INTEREST IN ANY ASSETS OF THE COMPANY OR THE ASSUMPTION OF ANY LOAN OR OBLIGATION OR GUARANTEE OF ANY LOAN OR OBLIGATION OF ANY PARTY OTHER THAN THE COMPANY OR BECOMING A SURETY WITH RESPECT TO A THIRD PARTY LOAN OR OBLIGATION; (I) THE MAKING OF UNBUDGETED CAPITAL EXPENDITURES IN EXCESS OF TEN THOUSAND DOLLARS ($10,000) IN ANY ONE TRANSACTION (OR SERIES OF RELATED TRANSACTIONS); (J) ANY CALL FOR ADDITIONAL CAPITAL CONTRIBUTIONS TO THE COMPANY OR THE ISSUANCE OF ADDITIONAL MEMBERSHIP INTERESTS; (K) MAKING, EXECUTING OR DELIVERING, ON BEHALF OF THE COMPANY, AN ASSIGNMENT FOR THE BENEFIT OF CREDITORS; (L) ADOPTION OR AMENDMENT OF THE COMPANY'S POLICY FOR DISTRIBUTIONS TO MEMBERS AND APPROVAL OF ANY DISTRIBUTION BY THE COMPANY TO A MEMBER OR THE MEMBERS REGARDLESS OF WHETHER THE DISTRIBUTION IS PURSUANT TO THE THEN CURRENT DISTRIBUTION POLICY; (M) ANY OTHER MATTER REQUIRING ACTION OR APPROVAL BY ALL OF THE MEMBERS UNDER THE LAWS OF THE STATE OF ILLINOIS; (N) TAKING ANY ACTION ON BEHALF OF THE COMPANY WITH RESPECT TO MATTERS OUTSIDE THE ORDINARY COURSE OF BUSINESS OF THE COMPANY; (O) APPROVAL OF THE LEASE, SALE, TRANSFER, EXCHANGE, ENCUMBRANCE OR OTHER DISPOSITION OF ALL OR SUBSTANTIALLY ALL OF THE PROPERTY AND ASSETS OF THE COMPANY IN A SINGLE TRANSACTION OR A SERIES OF TRANSACTIONS; (P) ADOPTION OR AMENDMENT TO ANY INVESTMENT POLICY FOR THE COMPANY'S CASH OR RESERVES AND ANY INVESTMENT OF THE COMPANY'S CASH OR RESERVES NOT IN ACCORDANCE WITH THE APPROVED INVESTMENT POLICY; (Q) THE INSTITUTION OF ANY LEGAL PROCEEDINGS, INCLUDING THE COMMENCEMENT OF ANY LITIGATION OR ARBITRATION AGAINST A THIRD PARTY, BY THE COMPANY (OTHER THAN ROUTINE PROCEEDINGS FOR THE COLLECTION OF TRADE DEBT), THE DEFENSE OF ANY CLAIMS AGAINST THE COMPANY, THE NEGOTIATION OR EXECUTION OF ANY SETTLEMENT AGREEMENT, INCLUDING, WITHOUT LIMITATION, ANY ACTIONS OR CONTROVERSIES ARISING UNDER THE CODE, THE FRAUD AND ABUSE STATUTE OR THE STARK ACT OR ANY SUCH AGREEMENTS WITH ANY TAXING, LICENSING OR ACCREDITING AUTHORITY OR AGENCY; AND (R) ANY GUARANTEE OF DEBT OF THE COMPANY BY THE MEMBERS. Form 990, Part VI, Line 8b Documentation of meetings held by committees of governing body THERE ARE NO COMMITTEES. Form 990, Part VI, Line 11b Review of form 990 by governing body THE FORM 990 AND ALL RELATED SCHEDULES WERE PREPARED BY THE ORGANIZATION'S FINANCE DEPARTMENT AND REVEIWED BY AN OUTSIDE TAX FIRM. A COPY OF THE FORM 990 WAS PROVIDED TO THE BOARD OF DIRECTORS BEFORE THE RETURN WAS FILED. Form 990, Part VI, Line 12c Conflict of interest policy THE ORGANIZATION REGULARLY AND CONSISTENTLY MONITORS AND ENFORCES COMPLIANCE OF THE CONFLICT OF INTEREST POLICY BY REVIEW OF THE POLICY ANNUALLY AT THE BOARD MEETING AND REQUESTING SUBMISSION OF CONFLICTS TO THE SECRETARY OF THE ORGANIZATION PER THE POLICY. THE CONFLICT OF INTEREST POLICY COVERS ANY DIRECTOR, OFFICER, NON-DIRECTOR MEMBER OF A COMMITTEE WITH GOVERNING BOARD DELEGATED POWER OR OTHER PERSON IN A SIMILAR POSITION OF AUTHORITY OVER THE CORPORATION. THE DISINTERESTED MEMBERS OF THE BOARD OF DIRECTORS [OR APPROPRIATE COMMITTEE] MAY, IN THEIR DISCRETION, REQUIRE THE INTERESTED PERSON TO LEAVE THE ROOM WHILE THE PROPOSED CONTRACT, TRANSACTION OR ARRANGEMENT IS DISCUSSED. THE COVERED PERSON SHALL LEAVE THE ROOM WHILE THE MATTER IS VOTED ON AND ONLY DISINTERESTED DIRECTORS MAY VOTE TO DETERMINE WHETHER TO APPROVE THE TRANSACTION OR ARRANGEMENT. Form 990, Part VI, Line 19 Required documents available to the public DOCUMENTS THAT ARE REQUIRED TO BE MADE AVAILABLE TO THE PUBLIC WILL BE MADE AVAILABLE UPON REQUEST. Form 990, Part IX, Line 11g Other Fees DISPATCH FEES - Total Expense: 292300, Program Service Expense: 292300, Management and General Expenses: , Fundraising Expenses: ; LEASED EMPLOYEES - Total Expense: 4979950, Program Service Expense: 4892725, Management and General Expenses: 87225, Fundraising Expenses: ; OTHER PURCHASED SERVICES: - Total Expense: 161972, Program Service Expense: 161972, Management and General Expenses: , Fundraising Expenses: ; Swedish Covenant Health 5145 N California Avenue Chicago IL 60625 362179813 Hospital IL 501(c)(3) 3 Endeavor Health Clinical Operations true Radiation Medicine Institute 3040 Salt Creek Lane Arlington Heights IL 60005 363815543 Healthcare IL 501(c)(3) Type I Endeavor Health Clinical Operations true NorthShore University HealthSystem 3040 Salt Creek Lane Arlington Heights IL 60005 362167060 Healthcare IL 501(c)(3) 3 Endeavor Health false Endeavor Health Medical Group 3040 Salt Creek Lane Arlington Heights IL 60005 363738206 Healthcare IL 501(c)(3) 10 Endeavor Health Clinical Operations true Swedish Covenant Hospital Foundation 5145 N California Avenue Chicago IL 60625 205055155 Support of Swedish Covenant Health IL 501(c)(3) 7 Swedish Covenant Health true Northwest Community Healthcare 3040 Salt Creek Lane Arlington Heights IL 60005 363125209 Support of Northwest Community Hospital IL 501(c)(3) Type II Endeavor Health Clinical Operations true Northwest Community Hospital 3040 Salt Creek Lane Arlington Heights IL 60005 362340313 Hospital IL 501(c)(3) 3 Northwest Community Healthcare true Northwest Community Hospital Foundation 3040 Salt Creek Lane Arlington Heights IL 60005 363125193 Fundraising IL 501(c)(3) 7 Northwest Community Healthcare true Endeavor Health 3040 Salt Creek Lane Arlington Heights IL 60005 874520691 Healthcare System Parent IL 501(c)(3) Type III-FI NA false Naperville Psychiatric Ventures 801 South Washington Street Naperville IL 60540 363965251 Hospital IL 501(c)(3) 3 Edward Health Ventures true Edward-Elmhurst Healthcare 801 South Washington Street Naperville IL 60540 363513954 Healthcare IL 501(c)(3) Type II Endeavor Health true Edward Hospital 801 South Washington Street Naperville IL 60540 363297173 Hospital IL 501(c)(3) 3 Edward-Elmhurst Healthcare false Edward Foundation 801 South Washington Street Naperville IL 60540 363723705 Fundraising IL 501(c)(3) 7 Edward-Elmhurst Healthcare true Edward Health Ventures 801 South Washington Street Naperville IL 60540 581672987 Supporting Org IL 501(c)(3) Type II Edward-Elmhurst Healthcare true Edward Health and Fitness Center 801 South Washington Street Naperville IL 60540 363555528 Healthcare IL 501(c)(3) 10 Edward Health Ventures true Elmhurst Memorial Healthcare 155 East Brush Hill Road Elmhurst IL 60126 364037473 Supporting Org IL 501(c)(3) Type II Edward-Elmhurst Healthcare true Elmhurst Memorial Hospital 155 East Brush Hill Road Elmhurst IL 60126 362167784 Hospital IL 501(c)(3) 3 Elmhurst Memorial Healthcare true Elmhurst Memorial Hospital Foundation 155 East Brush Hill Road Elmhurst IL 60126 363083197 Fundraising IL 501(c)(3) 7 Elmhurst Memorial Hospital true Ravine Way Surgery Center LLC 2350 Ravine Way Glenview IL 60025 201245279 Healthcare IL Endeavor Health Clinical Operations N/A false false NWC Day Surgery Center II LLC 3040 Salt Creek Lane Arlington Heights IL 60005 300798249 Outpatient Care IL Northwest Community Healthcare N/A false false Northwest Endo Center LLC 3040 Salt Creek Lane Arlington Heights IL 60005 812338623 Surgical Care IL NWC Health Services Inc N/A false false Envision Medical Imaging LLC 8930 Waukegan Road Suite 130 Morton Grove IL 60053 822067179 Imaging Services IL NWC Health Services Inc N/A false false Elmhurst Outpatient Surgery Center LLC 1200 South York Road Suite 1400 Elmhurst IL 60126 364150045 Surgery Center IL Elmhurst Memorial Healthcare N/A false false Insight Medical Imaging LLC 8930 Waukegan Road Suite 130 Morton Grove IL 60053 822352016 Healthcare IL Edward Health Ventures N/A false false Midwest Endoscopy LLC 1243 Rickert Drive Naperville IL 60540 208292570 Healthcare IL Edward Health Ventures N/A false false RHHI Holdco LLC 400 Northpoint Circle Suite 203 Seven Fields PA 16046 873745286 Healthcare IL NA N/A false false Residential Home Health Illinois LLC 5440 Corporate Drive Suite 400 Troy MI 48098 270179825 Healthcare IL NA N/A false false Swedish Covenant Management Services Inc 5145 N California Avenue Chicago IL 60625 364073303 Physician Practice Management IL Swedish Covenant Health C Corporation true Swedish Covenant Physician Partners Ltd 5145 N California Avenue Chicago IL 60625 363120220 Managed Healthcare Provider IL Swedish Covenant Health C Corporation true NorthShore Legacy NPA Inc 3040 Salt Creek Lane Arlington Heights IL 60005 363648026 Healthcare IL Endeavor Health Medical Group C Corporation true NorthShore Physician Associates Value Based Care LLC 3040 Salt Creek Lane Arlington Heights IL 60005 822268872 Healthcare IL Endeavor Health Physician Partners LLC C Corporation true NorthShore University HealthSystem Insurance International 23 Lime Tree Bay Avenue Building 4 Grand Cayman CJ KY11101 980419452 Insurance CJ Endeavor Health Clinical Operations C Corporation true Northwest Community Health Services Inc 800 West Central Road Arlington Heights IL 60005 363312906 Healthcare IL Northwest Community Healthcare C Corporation true EEH SPC - Segregated Portfolio A 23 Lime Tree Bay Avenue Building 4 Floor 2 Grand Cayman CJ KY11101 981238485 Insurance CJ Edward-Elmhurst Healthcare C Corporation true EEH SPC - Segregated Portfolio B 23 Lime Tree Bay Avenue Building 4 Floor 2 Grand Cayman CJ KY11101 981185160 Insurance CJ Edward-Elmhurst Healthcare C Corporation true EEH SPC - Segregated Portfolio D Governors Square Building 4 Floor 2 Grand Cayman CJ Insurance CJ Edward-Elmhurst Healthcare C Corporation true DuPage Medical Group Portfolio Insurance Company PO Box 1051 Grand Cayman CJ KY11102 Insurance CJ Edward-Elmhurst Healthcare C Corporation true Elmhurst Memorial Health Technologies LLC 855 North Church Court Elmhurst IL 60126 363229839 Practice Management IL Elmhurst Memorial Healthcare C Corporation true false true false false false false false false false false true true false false false false false false false Linden Oaks Hospital L 93309 FMV Schedule R, Part III IDENTIFICATION OF RELATED ORGANIZATIONS TAXABLE AS PARTNERSHIP NAME OF RELATED ORGANIZATION: RAVINE WAY SURGERY CENTER, LLC DIRECT CONTROLLING ENTITY: ENDEAVOR HEALTH CLINICAL OPERATIONS Schedule R, Part IV IDENTIFICATION OF RELATED ORGANIZATIONS TAXABLE AS CORP OR TRUST NAME OF RELATED ORGANIZATION: NORTHSHORE LEGACY NPA, INC. DIRECT CONTROLLING ENTITY: NORTHSHORE UNIVERSITY HEALTHSYSTEM FACULTY PRACTICE ASSOCIATES Schedule R, Part IV IDENTIFICATION OF RELATED ORGANIZATIONS TAXABLE AS CORP OR TRUST NAME OF RELATED ORGANIZATION: NORTHSHORE PHYSICIAN ASSOCIATES VALUE BASED CARE LLC DIRECT CONTROLLING ENTITY: NORTHSHORE PHYSICIAN ASSOCIATES, INC. Schedule R, Part IV IDENTIFICATION OF RELATED ORGANIZATIONS TAXABLE AS CORP OR TRUST NAME, ADDRESS, AND EIN OF RELATED ORGANIZATION: NORTHSHORE UNIVERSITY HEALTHSYSTEM INSURANCE INTERNATIONAL EIN: 98-0419452 GOVERNORS SQUARE, BUILDING 4 GRAND CAYMAN, CAYMAN ISLANDS