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      <Form990PartVIISectionAGrp>
        <PersonNm>Nimesh S Jhaveri</PersonNm>
        <TitleTxt>Director</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Ricardo Knight</PersonNm>
        <TitleTxt>Director</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Sean O'Grady</PersonNm>
        <TitleTxt>Director</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Douglas D Welday</PersonNm>
        <TitleTxt>System Treasurer and CFO</TitleTxt>
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        <ReportableCompFromRltdOrgAmt>1854234</ReportableCompFromRltdOrgAmt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Shivani Bautista</PersonNm>
        <TitleTxt>System Chief Legal Officer/Secretary</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Kimberly Maguire</PersonNm>
        <TitleTxt>Chief Nursing Officer, NCH</TitleTxt>
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        <PersonNm>Thomas Oryszczak</PersonNm>
        <TitleTxt>Chief Medical Officer, NCH</TitleTxt>
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      <Form990PartVIISectionAGrp>
        <PersonNm>Christine Erdmann</PersonNm>
        <TitleTxt>Vice President and Controller</TitleTxt>
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        <PersonNm>Glen J Malan</PersonNm>
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        <PersonNm>John L Skeans</PersonNm>
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        <PersonNm>Susan E Nelson</PersonNm>
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        <PersonNm>Willis Parsons</PersonNm>
        <TitleTxt>Medical Director, NCH GI Center</TitleTxt>
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          <USAddress>
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        <ContractorName>
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          <USAddress>
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          <BusinessName>
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          <USAddress>
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      <ContractorCompensationGrp>
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          <USAddress>
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      <ContractorCompensationGrp>
        <ContractorName>
          <BusinessName>
            <BusinessNameLine1Txt>MIDWEST ANESTHESIA PARTNERS LLC</BusinessNameLine1Txt>
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          <USAddress>
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          </USAddress>
        </ContractorAddress>
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      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 3E</FormAndLineReferenceDesc>
        <ExplanationTxt>The significant health needs of our patients and community are identified through prioritized descriptions reflected in the CHNA.</ExplanationTxt>
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      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 5 Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - NORTHWEST COMMUNITY HOSPITAL. Community Health Survey NCH developed a comprehensive online community health survey to accept input from people who represent the broad interests of the community served by the hospital. The survey, available in English and Spanish, asked participants to share their beliefs and perceptions about access to care, behavioral health, chronic disease/health issues, modifiable risk factors/behaviors and social determinants of health and other concerns. It also asked the participants to rank their top health concern for the community. Community members who live in the hospital's service area were invited to participate in the online survey through social media, an Endeavor Health leader newsletter, and various emails to NCH's donors, volunteers, employees and patients. The survey link, located on Endeavor Health's website (endeavorhealth.org/survey), was open March 25 - April 8, 2024 and 1,963 people from the NCH service area responded. Key Informant Survey An additional online survey was implemented as part of the CHNA process specifically to solicit input from key informants. Key informants are defined as individuals who are considered experts in public health. Potential participants were chosen because of their ability to identify primary concerns of the community, including the medically underserved, low-income and minority populations served by the hospital. The following organizations were invited to participate in the key informant survey: -All Saints Lutheran Church -Maryville Academy -Cook County Department of Public Health -Illinois Department of Public Health -Arlington Heights Health Center -ACCESS Northwest Family Health Center -Community Consolidated School District 15 -Heartland Alliance -Village of Arlington Heights -Arlington Heights School District 25 -Arlington Heights Chamber of Commerce -Community Consolidated School District 25 -Harper College -Village of Mt. Prospect -Village of Palatine -Access Community Health Network -Cook County Health and Hospital System -Greater Family Health -Arlington Heights Senior Citizens Center -Bridge Youth and Family Services -Center for Teaching and Learning -City of Rolling Meadows -Connections to Care -Elk Grove Township -Family Forward -Hopeful Beginnings -Journeys The Road Home -Kenneth Young Center -Northwest Compass -NW Casa -Palatine High School -Palatine Township Senior Citizens Center -Partners for our Communities -Schaumburg Township -Shelter Inc. -Wheeling Township -WINGS On March 4, 2024, the hospital President sent an email to the key informants to explain the purpose of the survey and invite them to participate. A direct link to the survey, which remained open until March 18, 2024, was also included. A reminder email was sent on March 14, 2024 to encourage participation. The key informants were asked the same questions as the community which focused on access to care, behavioral health, chronic disease/health issues, modifiable risk factors/behaviors and social determinants of health and other concerns. It also asked them to rank their "top health concern" for the community. A total of 44 surveys were completed at NCH's invitation. The key informant survey was modeled off the community survey with minimal variations. Through this process, input was gathered from individuals whose organizations work with low-income populations, minority populations or other medically underserved populations (including the disabled, the elderly, the homeless, Medicaid/Medicare beneficiaries, the mentally ill, pregnant teens, substance abusers, undocumented individuals, veterans, and uninsured/underinsured residents). Focus Groups NCH recognized the importance of gathering opinions and feedback from under-resourced populations in the community who have some of the greatest healthcare needs. An independent moderator was identified to conduct two focus groups, one with Spanish- speaking under-resourced community members and one with English-speaking under-resourced community members. These focus groups were held at the Community Resource Center in Palatine, located within the hospital's primary service area. Potential participants were given a short screening questionnaire to verify they lived in the hospital's service area and to ensure that participants selected would vary in age, gender, insurance status, income and educational levels to the extent possible. The focus groups followed a guideline which mirrored questions included in the community and key informant surveys so that the information gathered could be used to compare with the survey results. The moderator summarized the results of the focus groups which were used as one of the tools in identifying the most predominant community needs.</ExplanationTxt>
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      <SupplementalInformationGrp>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 11 Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - NORTHWEST COMMUNITY HOSPITAL. In consideration of the top health priorities identified through the CHNA process - and taking into account hospital resources and overall alignment with the hospital's mission, goals and strategic priorities - it was determined that NCH would focus the majority of its efforts on developing and/or supporting strategies and initiatives that address the following priority areas (in no particular order), with health equity and SDOH woven throughout: 1. Behavioral Health (includes mental health, substance abuse and access to care) 2. Community Health and Wellness (includes nutrition, physical activity, healthy body weight and food security) 3. Chronic Diseases (includes heart disease/high blood pressure/stroke and diabetes) 4. Cancer (includes smoking/tobacco cessation) 5. Access to Care (includes primary, specialty, screenings, diagnostics and prescription medication) Based on relationships with community partners, clinical expertise, strategic priorities and an ongoing commitment to community engagement, NCH believes it is best equipped to make an impact in the above priority needs, including focused attention within communities of greatest need. The corresponding Implementation Strategies describe programs NCH is undertaking over the coming years to address the prioritized health needs within our surrounding community, as follows: Behavioral Health -Provide standardized behavioral health inpatient placement for individuals in crisis via the ED Crisis Teams and Care Management Center. -Offer free, confidential 24/7 telephone support to individuals needing behavioral health support and referrals (1-847-HEALING). -In-person and virtual behavioral health assessments for community members via Behavioral Health Assessment and Referral Center -Patients referred by primary care physicians that receive health referrals and resources via Behavioral Health Navigation. Community Health and Wellness -Offer free wellness webinars focused on health education and living a healthy lifestyle. -Low-cost 60-day guided customized exercise program for individuals referred by physicians (MedFit Program). -Persons receiving workplace health and wellness preventative screenings to identify obesity and chronic disease risk factors -Offer physician-supervised medical weight loss program for adults. Chronic Diseases -Support controlled hypertension (HTN) levels among Endeavor Health Medical Group (MG) patients. -Support controlled levels of diabetes/A1C among MG patients. -Use the Lens of Equity Tool to identify populations and develop targeted interventions around chronic disease management. -A comprehensive program which includes rehab exercising and education to improve heart health and reduce cardiovascular risk (Cardiac Rehab Program). -Support group for stroke survivors to promote emotional healing and community-based risk factor assessments and education to identify and prevent strokes. Cancer -Utilize FIT Tests (fecal immunochemical test) for Endeavor Health Medical Group (MG) patients who have been recommended a colonoscopy screening and declined. -Use Lens of Equity Tool to identify populations and develop targeted interventions around cancer screenings. -Lung cancer screenings for early detection and treatment. -Provide free mammograms for uninsured women over 40. -Provide financial assistance for cancer patients struggling to pay their rent, utilities, and other living expenses. Access to Care -Deploy a team of Community Health Workers (CHW) to provide patient support which may include finding medical homes, scheduling appointments and screenings, addressing social determinants of health and referrals to other community resources. -Community nurses provide health education, screenings, assistance with chronic disease management and referrals to medical homes and other community resources. -Atherton Heart Failure Clinic supports individuals with congestive heart failure regardless of ability to pay. -NCH Foundation subsidized OB visits for under-resourced women at Greater Family Health, a local Federally Qualified Health Center (FQHC). NCH focused on five priority health issues as a result of the previous 2023 CHNA: 1. Behavioral Health 2. Diabetes (includes obesity, nutrition, food insecurity, and physical activity) 3. Cancer 4. Chronic Disease (heart disease, stroke and high blood pressure) 5. Access to Care In acknowledging the wide range of priority health issues that emerged from the CHNA process, NCH determined that it could only effectively focus on those which it deemed most pressing, most under-addressed and most within its ability to influence. NCH worked with key stakeholders to develop strategies, tactics and metrics for the majority of the top 50% prioritized needs identified in the CHNA. The remaining needs in the top 50% are addressed as noted below. -Homelessness and Housing (adequate, affordable, safe) - NCH works closely with Journey's the Road Home, a local not-for-profit organization that has extensive experience and expertise with homelessness and is located in the hospitals service area. NCH provides Journeys with an annual financial contribution. NCH Social Workers have direct linkages with organizations that address affordable housing. -Older Adults Aging in Place - NCH recognizes that its service area is comprised of many older adults and wants to work collaboratively with other organizations to address their unique health and wellness needs. NCH has a dedicated Senior Services Specialist and is a member of the "Community Wrap Around Committee" facilitated by Catholic Charities, which is dedicated to supporting older adults. -Racism/Other Discrimination - NCH has a Diversity, Equity and Inclusion (DEI) Steering Committee focused on ensuring equitable policies and practices for employees, patients, visitors and community members. There is also an internal DEI Council comprised of NCH employees that focus on internal employee-focused priorities. In addition, Endeavor Health has a system-wide Health Equity Team that is focused on broader issues. -Community Violence - NCH partners and provides financial support to a number of not-for-profit organizations that address community violence including: The Children's Advocacy Center, Northwest Center Against Sexual Assault, Women In Need Growing Stronger. In addition, Endeavor Health is a member of the Northwell Collaborative Gun Violence Prevention Learning Collaborative for Health Systems and Hospitals. During 2024, the hospital took the following actions to address the key priority areas identified in the 2023 Community Health Needs Assessment: 1.Behavioral Health -Free in-person behavioral health assessments and referrals for community members. In 2024, the hospital provided 514 assessments. -Free behavioral health assessments and care coordination for patients hospitalized with medical issues. In 2024, the hospital provided 894 assessments. -Confidential 24/7 phone line for individuals needing support and referrals to behavioral health services. In 2024, the hospital received 1,142 calls. -Navigation services for patients referred by primary care physicians for referrals and resources. In 2024, the 2,871 patients received navigation services. 2. Diabetes (Nutrition, Obesity, Food Insecurity, Physical Activity) -Inpatient screening for food insecurity with emergency food and resources provided to any patient screening positive. In 2024, 389 patients screened positive and received support. -Workplace preventive health and wellness screenings to identify diabesity/obesity risk factors. In 2024, 680 screenings were provided. -Medfit customized 60-day guided exercise program for individuals referred by physicians. In 2024, 808 individuals participated in Medfit. -Outpatient nutrition counseling by registered dietician for weight management. In 2024, 161 individuals received counseling. -Physician supervised medical weight loss clinic for adults. In 2024, 1,043 patients participated in the weight loss program.</ExplanationTxt>
      </SupplementalInformationGrp>
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        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 13 Facility , 1</FormAndLineReferenceDesc>
        <ExplanationTxt>Facility , 1 - NORTHWEST COMMUNITY HOSPITAL. In addition to individuals that can demonstrate that they are below 200% of the federal poverty guidelines, presumed eligible patients receive 100% financial assistance for the account balance. Presumptive Eligibility Criteria is demonstrated by enrollment in one of the following programs: a) Women, Infants and Children Nutrition Program (WIC) b) Supplemental Nutrition Assistance Program (SNAP) c) Illinois Free Lunch and Breakfast Program d) Low Income Home Energy Assistance Program (LIHEAP) e) Temporary Assistance for Needy Families (TANF) f) Illinois Housing Development Authority's Rental Housing Support Program g) Organized community-based program or charitable health program providing medical care that assesses and documents low income financial status as criteria h) Medicaid eligibility, but not eligible on date of service or for non-covered service Presumptive Eligibility Criteria can also be demonstrated by the following life circumstances: a) Receipt of grant assistance for medical services b) Homelessness c) Deceased with no estate d) Mental incapacitation with no one to act on patient's behalf e) Recent personal bankruptcy f) Incarceration in a penal institution g) Affiliation with a religious order and vow of poverty h) Evidence from an independent third-party reporting agency indicating family income is less than two times FPL For patients with income between 200% and 600% of Federal poverty guidelines discounted care is available on a sliding scale. The financial assistance program looks at the current income and then calculates the potential benefit. Certain discounts are only available to Illinois residents.</ExplanationTxt>
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            <AddressLine1Txt>3300 KIRCHOFF ROAD</AddressLine1Txt>
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            <AddressLine1Txt>15 S MCHENRY ROAD</AddressLine1Txt>
            <CityNm>BUFFALO GROVE</CityNm>
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            <StateAbbreviationCd>IL</StateAbbreviationCd>
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            <StateAbbreviationCd>IL</StateAbbreviationCd>
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            <AddressLine1Txt>199 W RAND ROAD</AddressLine1Txt>
            <CityNm>MOUNT PROSPECT</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60056</ZIPCd>
          </USAddress>
          <FacilityTxt>WALK IN URGENT CARE CENTER, LAB,IMAGING,PHYSICAL THERAPY &amp; HEART CARE SERVICES</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>NCH BEHAVIORAL HEALTH</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>901 W KIRCHOFF ROAD</AddressLine1Txt>
            <CityNm>ARLINGTON HEIGHTS</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60005</ZIPCd>
          </USAddress>
          <FacilityTxt>BEHAVIORAL HEALTH SERVICES</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>NCH IMAGING CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>880 W CENTRAL ROAD</AddressLine1Txt>
            <CityNm>ARLINGTON HEIGHTS</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60005</ZIPCd>
          </USAddress>
          <FacilityTxt>IMAGING SERVICES</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>NCH CARDIAC PHYSICAL REHABILITATION</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>900 W CENTRAL ROAD</AddressLine1Txt>
            <CityNm>ARLINGTON HEIGHTS</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60005</ZIPCd>
          </USAddress>
          <FacilityTxt>CARDIAC &amp; PHYSICAL REHABILITATION SERVICES</FacilityTxt>
        </OthHlthCareFcltsGrp>
        <OthHlthCareFcltsGrp>
          <BusinessName>
            <BusinessNameLine1Txt>NCH IMAGING CENTER</BusinessNameLine1Txt>
          </BusinessName>
          <USAddress>
            <AddressLine1Txt>1632 W CENTRAL ROAD</AddressLine1Txt>
            <CityNm>ARLINGTON HEIGHTS</CityNm>
            <StateAbbreviationCd>IL</StateAbbreviationCd>
            <ZIPCd>60005</ZIPCd>
          </USAddress>
          <FacilityTxt>IMAGING, CARDIAC DIAGNOSTIC SERVICES</FacilityTxt>
        </OthHlthCareFcltsGrp>
      </OthHlthCareFcltsNotHospitalGrp>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 3c CHARITY CARE POLICY</FormAndLineReferenceDesc>
        <ExplanationTxt>In addition to the Federal Poverty Guidelines, the hospital uses the following factors to determine eligibility for financial assistance: medical indigency, insurance status, underinsurance status, and residency. Please see Schedule H Part V, Section B, Line 13h narrative for more detail.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 6a COMMUNITY BENEFIT REPORT</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL ANNUALLY PRODUCES A COMMUNITY IMPACT REPORT WHICH HIGHLIGHTS THE COMMUNITY BENEFIT DOLLARS REPORTED IN THE ILLINOIS ATTORNEY GENERAL ANNUAL NONPROFIT HOSPITAL COMMUNITY BENEFITS PLAN REPORT. THIS INCLUDES CHARITY CARE, LANGUAGE ASSISTANT SERVICES, GOVERNMENT SPONSORED INDIGENT HEALTH CARE, DONATIONS, VOLUNTEER SERVICES, EDUCATION, RESEARCH, SUBSIDIZED HEALTH SERVICES AND OTHER COMMUNITY BENEFITS. THE REPORT IS SHARED WITH KEY STAKEHOLDERS INCLUDING LOCAL GOVERNMENT, SOCIAL SERVICE AGENCIES, HOSPITAL SUPPORTERS AND MORE. THE REPORT IS POSTED ON THE HOSPITAL WEBSITE (ENDEAVORHEALTH.ORG/COMMUNITY#REPORTS) AND IS AVAILABLE IN HARD COPY TO ANYONE WHO REQUESTS ONE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 5 Promotion of community health (continued)</FormAndLineReferenceDesc>
        <ExplanationTxt>12. The hospital also dedicates resources to enhance its health and wellness offerings for older adults in the community. A senior services specialist coordinates and promotes health and wellness programs held on the hospital's campus, the Arlington Heights senior center and other locations in the hospital's service area. The senior services specialist sits on the board of the palatine township senior citizens council and participates in various committees, all which assist in contributing to the improvement of services and relationships with seniors. 13. More than sixty years ago the hospital was founded by a group of business and civic leaders that recognized the need for a hospital in their growing community. The hospital was built "by the community, for the community its members have always played an active role in supporting "their" hospital through volunteering and making generous financial gifts. The community has grown and changed, so has the hospital to meet the evolving needs. Over the years these needs included a new patient tower, an expanded and updated neonatal department, behavioral health center, state-of-the-art emergency department, heart failure clinic, inpatient rehab unit, changing technology, and multiple community outreach initiatives. The community has continually stepped forward to help through its philanthropic gifts to the hospital's foundation. Grateful patients, families, employees, physicians, businesses and private foundations continue to support the hospitals Foundation. 318 volunteers contributed 45,794 hours of service in 2024.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part II, Line 2 ECONOMIC DEVELOPMENT</FormAndLineReferenceDesc>
        <ExplanationTxt>THE HOSPITAL'S VICE PRESIDENT OF OPERATIONS REPRESENTS THE ORGANIZATION THROUGH PARTICIPATION IN THE ARLINGTON HEIGHTS ECONOMIC ALLIANCE COMMISSION. THE COMMISSION IS MADE UP OF 13 LOCAL BUSINESS OWNERS AND REPRESENTATIVES WHO ARE TASKED WITH IMPROVING THE COMMUNITY'S ECONOMIC CLIMATE BY ADVISING THE VILLAGE BOARD AND STAFF THROUGH A BUSINESS PERSPECTIVE. THE ORGANIZATION ALSO IS A MEMBER OF AND SUPPORTS THE ARLINGTON HEIGHTS CHAMBER OF COMMERCE (AHCC). THE AHCC IS DEDICATED TO FOSTERING BUSINESS GROWTH AND STRENGTHENING THE LOCAL ECONOMY AND COMMUNITY.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part II, Line 8 WORKFORCE DEVELOPMENT</FormAndLineReferenceDesc>
        <ExplanationTxt>The hospital's chief nursing officer represented the organization for the Harper College Certified Nursing Assistant Program which provides students to earn their certification and begin a career in healthcare.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part I, Line 7 COSTING METHODOLOGY</FormAndLineReferenceDesc>
        <ExplanationTxt>The following methodologies were used to determine the amounts reported in the table for Line 7. Lines 7a - 7d Ratio of cost to charges was determined using Worksheet 2 in the Form 990, Schedule H instructions. Lines 7e-7j Costs were determined using the direct and indirect costs for specific programs or services. These costs were maintained/identified in the hospital's "community benefit inventory for social accountability software" (CBISA). The indirect portion of these costs was calculated utilizing the indirect cost ratio from the hospital's latest available Medicare cost report. The "indirect" ratios were entered into CBISA for the calculation of indirect costs.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part II, Line 3 COMMUNITY SUPPORT</FormAndLineReferenceDesc>
        <ExplanationTxt>The hospital's emergency department offers Stop the Bleed classes and conducted an active threat community training exercise to prepare the community for external community threats such as a mass shooting. All education is provided free of charge by leaders and educators from the department.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part II, Line 7 ADVOCACY FOR COMMUNITY HEALTH IMPROVEMENT/SAFETY</FormAndLineReferenceDesc>
        <ExplanationTxt>The hospital supported the American Heart Association through hospital wide participation in the annual heart walk held on September 20, 2024. More than 100 employees and hospital leaders walked to support the work of the AHA who is committed to driving equitable health impact in Illinois through five key priority areas: women, readiness, tobacco and vaping, patients, and healthy living. Through their focus on these key impact areas, and with collaboration among local organizations they are working to improve the health and well-being of Illinois citizens while saving and improving countless lives.</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 1, LINE 7A WAS MULTIPLIED BY THE COST-TO-CHARGE RATIO 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 MEDICARE SHORTFALL REPORTED IN PART III, LINE 7 REPRESENTS THE EXCESS COST OF PROVIDING SERVICES TO MEDICARE BENEFICIARIES OVER THE PAYMENTS RECEIVED FROM THE MEDICARE PROGRAM. ACCESS TO QUALITY HEALTHCARE IS IMPERATIVE FOR ALL MEDICARE RECIPIENTS, MANY OF WHOM ARE LIVING ON A FIXED INCOME. AS SUCH, THE COSTS ABSORBED BY THE HOSPITAL IN PROVIDING THESE SERVICES IS A BENEFIT TO THE MEMBERS OF THE COMMUNITY WE SERVE.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part III, Line 9b Collection practices for patients eligible for financial assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>IT IS THE POLICY OF THE HOSPITAL TO OFFER PATIENTS A PAYMENT PLAN OR FINANCIAL ASSISTANCE WHEN IT BECOMES KNOWN OR SUSPECTED THAT A PATIENT NEEDS SUCH ASSISTANCE. FINANCIAL COUNSELORS CONTACT AND WORK WITH THE PATIENT OR THEIR FAMILY TO HELP DETERMINE IF THERE ARE ANY THIRD PARTY PAYERS WHICH MAY BE AVAILABLE TO HELP THE PATIENT MEET THEIR OBLIGATIONS, SUCH AS MEDICAID, COBRA, WORKERS COMPENSATION, OR SPECIALIZED GRANT PROGRAMS. IF NO THIRD PARTY PROGRAMS ARE IDENTIFIED, THE FINANCIAL COUNSELORS WORK WITH THE PATIENT TO HELP THEM APPLY FOR CHARITY DISCOUNTS OR PAYMENT PLANS. FORMS ARE AVAILABLE IN ENGLISH, SPANISH, RUSSIAN, POLISH, GERMAN, JAPANESE AND TRANSLATION SERVICES ARE PROVIDED IN MANY LANGUAGES. IN ADDITION, ALL PATIENT BILLS AND STATEMENTS INCLUDE INFORMATION ABOUT HOW TO APPLY FOR FINANCIAL ASSISTANCE AND THE INFORMATION IS ALSO POSTED ON THE HOSPITAL'S WEBSITE (NCH.ORG). COLLECTION ACTIVITY WILL BE SUSPENDED DURING THE CONSIDERATION OF A COMPLETED FINANCIAL ASSISTANCE APPLICATION OR AN APPLICATION FOR OTHER HEALTHCARE BRACKET (I.E., MEDICARE, MEDICAID, ETC.) UNTIL FINANCIAL ASSISTANCE CAN BE DETERMINED. ACCOUNTS IN THE FINANCIAL ASSISTANCE PROCESS WILL BE MONITORED AND, UPON THE DECISION TO APPROVE OR DENY FINANCIAL ASSISTANCE, THE PATIENT'S ACCOUNT WILL BE UPDATED. IF THE FINANCIAL ASSISTANCE APPLICATION IS APPROVED WITH A PERCENTAGE LESS THAN 100% OR DENIED, THE PATIENT'S ACCOUNT WILL BE NOTED AND THE HOSPITAL WILL RESUME THE SELF-PAY COLLECTION ACTIVITY IN COMPLIANCE WITH ITSELF PAY FOLLOW-UP PROCEDURES.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16a FAP website</FormAndLineReferenceDesc>
        <ExplanationTxt>- NORTHWEST COMMUNITY HOSPITAL: Line 16a URL: HTTPS://WWW.NCH.ORG/BILLING-INSURANCE/FINANCIAL-ASSISTANCE/;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16b FAP Application website</FormAndLineReferenceDesc>
        <ExplanationTxt>- NORTHWEST COMMUNITY HOSPITAL: Line 16b URL: HTTPS://WWW.NCH.ORG/BILLING-INSURANCE/FINANCIAL-ASSISTANCE/;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part V, Section B, Line 16c FAP plain language summary website</FormAndLineReferenceDesc>
        <ExplanationTxt>- NORTHWEST COMMUNITY HOSPITAL: Line 16c URL: HTTPS://WWW.NCH.ORG/BILLING-INSURANCE/FINANCIAL-ASSISTANCE/;</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 2 Needs assessment</FormAndLineReferenceDesc>
        <ExplanationTxt>Endeavor Health screens adult patients in many care settings for social drivers of health (SDOH) to identify patients in need and connect them to resources. Collecting SDOH information deepens our understanding of the challenges patients face and guides navigation to critical services. EndeavorHealth screens for five key areas: food insecurity, housing instability, transportation barriers, interpersonal safety and utility difficulties. This data helps us understand patient needs and connect them to essential resources like food pantries. We have launched a Community Health Worker Program to address gaps in cancer screening rates, 30-day readmissions, and chronic disease outcomes, while also strengthening SDOH navigation and connections to community resources. Endeavor Health has a dedicated Community Impact and Engagement team made up of professionals across the system who are committed to strengthening our community's health and wellbeing. Strategic priorities and commitments include: - Community Health Needs Assessment - Identifying and addressing community health needs. - Community Engagement - Convening and connecting people for collective impact. - Community Health and Wellness - Promoting health and wellness through education and outreach. - Community Investment Fund - Investing in local organizations committed to community health and wellbeing. - Anchor Strategy - Leveraging organizational resources to support community health and economic growth. - Community Benefit - Demonstrating community impact. The hospital has a local Community Services department made up of community health workers, community nurses and a senior services specialist which is overseen by a System Community Impact and Engagement Director. This team works closely with community members including local not for profit organizations, social service agencies, schools and faith- based organizations to identify and address unmet needs. They also work closely internally with other hospital staff including physicians, nurses and other key leaders to identify and address the healthcare needs and social drivers of health concerns of its patients. The System Director of Community Impact and Engagement is on the board of directors of Partners for our Communities (POC), a local not for profit that helps the hospital run a community resource center in the hospitals primary service area. The resource center houses fourteen not for profit agencies including a food and clothing pantry for under-resourced members of the community. Providers at this center meet with the hospital regularly to review community needs and explore collaborative strategies to address them.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 3 Patient education of eligibility for assistance</FormAndLineReferenceDesc>
        <ExplanationTxt>The financial assistance program at the hospital is communicated widely to patients and visitors in English and Spanish using the following methods: Signage in English and Spanish is posted throughout the organization at all access points, including the emergency department and outpatient registration areas. These areas also stock and make available a brochure, printed in English and Spanish, describing the hospital's policy. The hospital provides a comprehensive language assistance program which includes video remote and in-person translators who can assist those who need additional information on financial assistance. The information below was posted on the hospital website. "Financial Assistance other related terms can also be searched for from any page of the hospital website taking users to the information including applications for financial assistance (available in English, Spanish, German, polish, Japanese, and Russian), financial assistance policies, and ways to reach the NCH financial counselor by email, phone or in person. Patient financial assistance page: to apply for patient financial assistance at NCH, please print the financial assistance application (tambien disponible en espanol) and complete all necessary fields. Please be sure to provide all requested documentation to be considered for financial assistance. The patient's can apply on MyChart and submit the necessary financial assistance forms electronically to the financial counseling team. Northwest community hospital is a charitable organization and provides financial assistance to those who are eligible. The day surgery center is a for-profit organization and also provides financial assistance to those who are eligible. Main fees and bill payment page: for families without insurance who need help with medical bills, we accept Illinois public aid. In addition, you may qualify for financial assistance for medical bills through northwest community hospital. Northwest community hospital is a charitable organization and provides financial assistance to those who are eligible. The day surgery center is a for-profit organization and also provides financial assistance to those who are eligible. Each patient invoice or other summary of charges to a patient includes with it or on it a statement regarding how a patient may apply for consideration under the hospital's financial assistance policy. The patient is provided a contact number for financial assistance and our webpage to download an application or submit electronically via MyChart. Financial counselors provide financial assistance information to patients during their registration and work with patients identified at registration or after admission to help them get the assistance they need, answer questions, set up payment plans and facilitate applications for government programs such as Medicaid. NCH partners with Great Lakes Medicaid with the goal to provide under insured and uninsured patients with insurance coverage through various Medicaid programs. The service is offered to patients receiving care as an inpatient, in the emergency department and in various outpatient departments, and is tailored to guide the patient through a complex application process for applicable federal, state, and community benefit programs. In addition to the formal application process for Financial Assistance, NCH 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>NCH holds a vast geographical position, extending across multiple counties and encompassing a diverse range or socioeconomic profiles. The population of the NCH service area is nearly 700,000 and is projected to decrease slightly over the next five years. The highest utilizers of heath care services are patients 65 and over, and this age group is expected to grow 10.9% over the next five years. The number of residents in all other age groups is expected to decrease 2.4% to 5.2%. The female population in the NCH service area is slightly higher than the male population and is projected to decline slightly along with the male population over the next five years. The NCH service area is primarily Non- Hispanic/Latino White (59.6%) but also has substantial Hispanic/Latino population (17.0%). The Hispanic/Latino population is projected to grow 10.6%% over the next five years, while Non-Hispanic/Latinos will decrease 2.9% driven by White Alone Non Hispanic/Latinos. There is a slight projected decline in Bachelor's Degree and above in the NCH service area over the next five years. The unemployment rate in the NCH service area is 1.9% less than Illinois and .8% below the Endeavor Health service area. Unemployment rates are projected to grow .9% by 2027 in the NCH service area, The number of households in upper income brackets ($100,000+ annual income) are projected to increase while all lower income brackets are projected to decrease. The average household income in the NCH service area is $137,110 while the median household income is $99,734. Household income levels in the NCH service area are exceeding Illinois for households making $100,000 or more and are projected to continue to exceed Illinois over the next five years. Although the overall poverty level for the NCH service area is less than the Endeavor Health service area and Illinois, a Palatine ZIP code has a poverty level of 29.6%. The percentage of uninsured residents in the NCH service area is higher than the Illinois average and ranges from 2.4% to 15.6%, an indicator of the disparities that exist within the communities we serve. The percentage of residents in the NCH service area with limited English proficiency is higher than both the Endeavor Health service area and the Illinois average and ranges from 1.9% to 14.2%, an indicator of the disparities that exist within the communities we serve. Other hospitals serving the NCH community include: - Advocate Good Shepard - Ascension Alexian Brothers Medical Center - Ascension St. Alexius Medical Center Federally Qualified Health Centers and Other Safety Net Providers serving the NCH community include: - ACCESS Northwest Family Health Center/FQHC (Arlington Heights) - ACCESS Genesis Health Center/FQHC (Des Plaines) - Arlington Heights Health Center/Cook County (Arlington Heights) - Greater Family Health/FQHC (Palatine) - Greater Family Health/FQHC (Wheeling)</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 5 Promotion of community health</FormAndLineReferenceDesc>
        <ExplanationTxt>The hospital furthers its exempt purpose by promoting the health of its community in many ways as follows: 1. A majority of the governing body of the hospital is comprised of persons who reside in the primary service area and are neither employees nor independent contractors of the organization, nor family members thereof. The organization extends medical staff privileges to all qualified physicians in its community for all departments. As a Not-For-Profit Organizations, the hospital reinvests earnings in the organization to maintain and enhance services that benefit the community served by the hospital. The organization develops and updates a strategic plan on a regular basis to identify needs and opportunities to deploy excess funds. Projects are evaluated based on organizational objectives and community needs, and are prioritized by senior management and the board of trustees. 2. The Endeavor Health Community Investment Fund is a dedicated resource aimed at fostering health and wellness, addressing social drivers of health (SDOH) and improving access to quality healthcare within our community. By strategically allocating these funds, we support local initiatives, partnerships and non-profit organizations that respond to priority community health needs. Whether it's funding for preventive health programs, grants for community health education or resources for mental health initiatives, our goal is to provide the supportive framework that helps community members thrive. During 2024, CIF partnerships in the communities served by the hospital included: - Partners for Our Communities - Increased access to vital resources for new immigrants and low-income residents, serving more than one thousand people monthly. Conducted intake for 78% of new clients to the Community Resource Center and referred 54% of intakes to the case manager, where a comprehensive assessment was performed 100% of the time. Case manager assisted 81% of individuals in navigation of health and human services. - Kenneth Young Center - Enhanced mobile behavioral health crisis response, providing safe, accessible and 24/7 mental health services, navigation and follow-up. Received 450+ crisis line support calls, with mobile crisis team providing in-person to 50+ individuals experiencing crisis. Outfitted two vans to support mobile crisis response, provide client transportation to hospitals, temporary living rooms and shelter, and for follow-up and outreach with existing clients. - Shelter Inc. - Removes critical transportation-based barriers to community-based services for at-risk and in need young women housed in the first Illinois DCFS approved home for victims of trafficking. Services include healthcare, counseling, job training and support groups. 3. The System Office of Community Health Equity &amp; Engagement (SOCHEE) is the governing body that provides thought leadership and shares best practices to inspire and drive equity and inclusion internally and externally. The hospitals senior executives are part of SOCHEE and help support this important work. The three key components of SOCHEE are Community Impact and Engagement (focused on our community), Health Equity (focused on our patients) and Diversity, Equity and Inclusion (focused on our team members). 4. Endeavor Health is a member of the Healthcare Anchor Network which catalyzes health systems individually and collectively to leverage their hiring, purchasing, investing, and other key institutional assets to create stronger local economies that sustain healthy communities. This intentional commitment creates partnership with the community for mutual benefit. 5. The hospitals competent and committed professional nursing staff provides their time and expertise to serve as clinical preceptors for nursing students who come to the organization to complete their clinical practicum requirements. The hospital remains committed to these efforts and strategic programs because they are inextricably linked to supporting the ever-growing need for nurses, which in turn improves access to healthcare for the patients and families served. The hospital is also a clinical rotation site for interns in many other healthcare areas such as radiology, lab, physical therapy, pharmacy and more. Clinical preceptors provide one-on-one teaching with student(s) assigned to them during the clinical practicum. The preceptors develop plans and teaching techniques for each student to achieve an environment conducive for learning. 6. The hospital operates an emergency department that is open 24 hours a day, seven days a week and serves all persons regardless of their ability to pay. 7. One of hospital's most significant contributions is that it serves as the Illinois department of public health (IDPH) designated resource hospital for the northwest community EMS system. In compliance with the Illinois EMS systems act and administrative rules, the EMS medical director (EMS MD) is responsible for all aspects of EMS operation within the system. In collaboration with the EMS administrative director and the system shared governance committees, leadership provides oversight for EMS strategic planning, licensure/re-licensure, clinical credentialing and awarding of practice privileges, creation/ maintenance of EMS practice standards; educational programs, quality management and data reporting, research, vehicle inventory, electronic patient care report design, and fiscal management for the hospital, five associate hospitals, 24 provider agencies that employ over 1,400 EMS personnel, and seven emergency medical dispatch agencies. Members serve a 300-square-mile area and responded to all EMS calls in that area. Online medical control is provided by over 225 emergency communications registered nurses (ECRNs) who are educated, licensed, credentialed, and relicensed by NCH. 8. A standing Community Health and Outreach Committee of the hospital board reviews the community health needs assessment and ensures the implementation plan addresses identified needs. The committee, comprised of board members, senior executives, physicians, community members and staff, provides oversight in monitoring and evaluating the effectiveness of strategies and initiatives included in the implementation plan. The committee monitors the amount of dollars invested in community benefit including charity care, community health education, and other community health improvement initiatives. 9. Collaborative partnerships are the foundation to many of the hospital's community health initiatives aimed to improve the health and well-being of the community. These partnerships include a collaboration with Greater Family Health to bring primary care services for the uninsured and underinsured to the community. The hospital also partners with Elk Grove, Palatine, Schaumburg, and Wheeling townships on a mobile dental clinic program which provides oral health care services to community members who lack access due to financial challenges. Northwest community healthcare, an affiliate of the hospital, also partners with partners for our communities (POC), a local 501(c) (3) organization, to operate and run the community resource center which provides direct services, referrals, and other assistance to the under-resourced. The hospital owns and maintains the building and provides free or low-cost rent to local not for profit agencies, including: the bridge youth and family services, the center-resources for teaching and learning (ECDEC/find program), community consolidated school district 15, faith feeds food pantry, harper college, HIAS Chicago, Palatine Township Senior Citizens Council, Palatine Park District, Palatine Public Library, Shelter Inc., Trellus, and Wings (Women in Need Growing Stronger). Some of the many programs and services offered at the resource center include GED and citizenship classes, healthcare services, computer literacy, after-school youth program, bilingual counseling, parenting classes, job placement, career education, recreation and a food and clothing pantry. 10. In addition to the community resource center, the hospital works with POC on many collaborative health initiatives including the Community Health Worker (CHW) program which provides health education and support for the Latino population. This program identifies Latina women who demonstrate the potential to become leaders in the community who then receive leadership training and education on specific health topics. The CHW meets patient's bedside and then provides post discharge support to help them understand and comply with discharge instructions which can often be difficult due to economic and language barriers. 11. The hospital, POC and Schaumburg township also collaboratively provide the services of two community health nurses; one of which is bilingual in Spanish. These outreach professionals focus on helping vulnerable populations (under-resourced and seniors)</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 6 Affiliated health care system</FormAndLineReferenceDesc>
        <ExplanationTxt>Northwest Community Hospital (NCH) is part of Endeavor Health. The core mission of Endeavor Health is to "help everyone in our communities be their best." Endeavor Health is a Chicagoland-based integrated health system driven by our mission to help everyone in our communities be their best. As Illinois' third-largest health system and third-largest medical group, we proudly serve an area of more than 4.2 million residents across seven northeast Illinois counties. Our more than 27,600 team members, including more than 1,700 employed physicians, are the heart of our organization, delivering seamless access to personalized, pioneering, world-class patient care across more than 300 ambulatory locations and nine hospitals, including eight Magnet-recognized acute care hospitals - Edward (Naperville), Elmhurst, Evanston, Glenbrook (Glenview), Highland Park, Northwest Community (Arlington Heights), Skokie and NorthShore (Chicago) and Linden Oaks Behavioral Health Hospital (Naperville). The Endeavor Health service area is composed of 171 ZIP codes across nearly 75 miles, with a total population of nearly 4.2 million. In 2024, Endeavor Health/Northwest Community Hospital (NCH) conducted a comprehensive Community Health Needs Assessment (CHNA) to identify and prioritize key health issues of the surrounding communities. Endeavor Health conducted this CHNA as part of a simultaneous, system-wide approach to our four CHNAs across the Endeavor Health service area. The insights gained through this assessment guide the development of an implementation strategy to address priority concerns from 2025-2027. The 2024 CHNA serves as a tool toward reaching three basic goals: - To improve residents' health status, increase their life spans and elevate their overall quality of life. A healthy community is not only one where its residents suffer little from physical and mental illness, but also one where its residents enjoy a high quality of life. - To reduce the health disparities among residents. By gathering demographic information along with health status and behavior data, it will be possible to identify population segments that are most at-risk for various diseases and injuries. Intervention plans aimed at prioritizing these individuals may then be developed to address some of the socio-economic factors which have historically had a negative impact on residents' health. - To increase accessibility to preventive services for all community residents. More accessible preventive services will prove beneficial in accomplishing the first goal (improving health status, increasing life spans, and elevating the quality of life), as well as lowering the costs associated with caring for late-stage diseases resulting from a lack of preventive care.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule H, Part VI, Line 7 State filing of community benefit report</FormAndLineReferenceDesc>
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        <USAddress>
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          <CityNm>Palatine</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
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        <RecipientEIN>237093615</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
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        <PurposeOfGrantTxt>Support of Therapy and Counseling Program for newcomers, communities responding to violence and those with grief or loss.</PurposeOfGrantTxt>
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          <CityNm>Palatine</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
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          <AddressLine1Txt>1140 EAST NORTHWEST HWY</AddressLine1Txt>
          <CityNm>Palatine</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60074</ZIPCd>
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        <RecipientEIN>363919018</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
        <CashGrantAmt>10000</CashGrantAmt>
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        <USAddress>
          <AddressLine1Txt>433 E GOLF RD</AddressLine1Txt>
          <CityNm>Des Plaines</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60016</ZIPCd>
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        <RecipientEIN>471308073</RecipientEIN>
        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
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        <PurposeOfGrantTxt>Committed to 25 care packages for NCH oncology patients receiving chemotherapy, programming and referrals.</PurposeOfGrantTxt>
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      <RecipientTable>
        <RecipientBusinessName>
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          <AddressLine1Txt>415 W Golf RD</AddressLine1Txt>
          <CityNm>Arlington Heights</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
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        <USAddress>
          <AddressLine1Txt>PO BOX 95615</AddressLine1Txt>
          <CityNm>Palatine</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
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        <IRCSectionDesc>501(c)(3)</IRCSectionDesc>
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          <CityNm>Palatine</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
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          <CityNm>Palatine</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
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        <GrantTypeTxt>CANCER ASSISTANCE FUND</GrantTypeTxt>
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        <DeferredCompensationFlngOrgAmt>20700</DeferredCompensationFlngOrgAmt>
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        <NontaxableBenefitsFilingOrgAmt>19426</NontaxableBenefitsFilingOrgAmt>
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        <CompReportPrior990FilingOrgAmt>129471</CompReportPrior990FilingOrgAmt>
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        <PersonNm>Willis Parsons</PersonNm>
        <TitleTxt>Medical Director, NCH GI Center</TitleTxt>
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        <OtherCompensationFilingOrgAmt>7524</OtherCompensationFilingOrgAmt>
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        <DeferredCompensationFlngOrgAmt>20700</DeferredCompensationFlngOrgAmt>
        <DeferredCompRltdOrgsAmt>0</DeferredCompRltdOrgsAmt>
        <NontaxableBenefitsFilingOrgAmt>22878</NontaxableBenefitsFilingOrgAmt>
        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>1705388</TotalCompensationFilingOrgAmt>
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      <RltdOrgOfficerTrstKeyEmplGrp>
        <PersonNm>John L Skeans</PersonNm>
        <TitleTxt>Vice President, Revenue Cycle</TitleTxt>
        <BaseCompensationFilingOrgAmt>125150</BaseCompensationFilingOrgAmt>
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        <BonusFilingOrganizationAmount>126408</BonusFilingOrganizationAmount>
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        <OtherCompensationFilingOrgAmt>299432</OtherCompensationFilingOrgAmt>
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        <DeferredCompensationFlngOrgAmt>20700</DeferredCompensationFlngOrgAmt>
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        <NontaxableBenefitsRltdOrgsAmt>0</NontaxableBenefitsRltdOrgsAmt>
        <TotalCompensationFilingOrgAmt>577601</TotalCompensationFilingOrgAmt>
        <TotalCompensationRltdOrgsAmt>0</TotalCompensationRltdOrgsAmt>
        <CompReportPrior990FilingOrgAmt>201374</CompReportPrior990FilingOrgAmt>
        <CompReportPrior990RltdOrgsAmt>0</CompReportPrior990RltdOrgsAmt>
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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 Endeavor Health 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 Endeavor Health Compensation Committee, in session with legal counsel present, in advance of implementation.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 4a Severance or change-of-control payment</FormAndLineReferenceDesc>
        <ExplanationTxt>The following individual received a severance payment based upon mutually agreed-upon separation agreement entered into with the organization: John Skeans - $75,000</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan</FormAndLineReferenceDesc>
        <ExplanationTxt>An NCH SERP plan was created and was effective on January 1, 2014. Benefits under the SERP vest in the amount credited to his or her account balance on January 1 of the fifth plan year following the year for which a contribution was credited to the participant's account. However, participant will automatically vest in his or her account balance in the event of involuntary separation from service or his or her attainment of age 65 while still employed by NCH. Participants who voluntarily resign or are terminated with cause before the vesting period are no longer eligible for the amount accrued. The following individuals participated in the supplemental nonqualified retirement plan and received payments reported as taxable compensation: John Skeans - $201,374 Susan Nelson - $138,669 An Endeavor Health Defined Contribution supplemental executive retirement plan (SERP) was created and effective in 2024. The following individuals participated in the supplemental nonqualified retirement plan and accrued the following benefits: Michael C. Hartke - $123,276 Shivani Bautista - $248,338 The following individuals participated in a supplemental nonqualified retirement plan and below are the increases to the plan balances during 2024: Gerald P. Gallagher - $757,674 Mahalakshmi Halasyamani - $222,465 Sean O'Grady - $470,529 The following individuals received payments from a supplemental nonqualified retirement plan reported as taxable compensation: Douglas D. Welday - $465,005</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule J, Part I, Line 7 Non-fixed payments</FormAndLineReferenceDesc>
        <ExplanationTxt>The CEO and vice presidents of the hospital are eligible for an annual incentive compensation payment that is aligned with the strategic, financial and operational goals of the organization. Threshold measures, which constitute the minimum requirements, must be achieved in order to have an incentive payout. Award opportunity levels vary as a percent of base salary. Actual amounts awarded are based on a combination of defined targets. Maximum payable is 150% of the target. Amounts to be paid are subject to approval of the compensation committee of northwest community healthcare, the sole member of the hospital. The compensation committee retains the discretion to recommend for board approval adjustments to payouts (either higher or lower) at plan cycle end, to reflect extraordinary performance or unanticipated circumstances.</ExplanationTxt>
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        <FormAndLineReferenceDesc>Schedule K, Part I, Column (c) CUSIP</FormAndLineReferenceDesc>
        <ExplanationTxt>NO NEW CUSIPS WERE ASSIGNED TO THE REISSUANCE: SERIES 2011 (NO CUSIPS ASSIGNED); SERIES 2008B (45200FNU9); SERIES 2008C (45200FNV7)</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule K, Part I, Column (f) REISSUANCE</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PURPOSE OF THE ISSUE WAS THE REISSUANCE OF SERIES 2011, ISSUED ON 12/01/2011, AND SERIES 2008B&amp;C, ISSUED ON 10/17/2008.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule K, Part I, Column (f) REISSUANCE</FormAndLineReferenceDesc>
        <ExplanationTxt>THE PURPOSE OF THE ISSUE WAS TO REPAY A TERM LOAN WITH NORTHERN TRUST COMPANY THE PROCEEDS OF WHICH WERE USED TO REFUND SERIES 2002 ISSUED ON 2/13/2002</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule K, Part II, Line 11 BOND A</FormAndLineReferenceDesc>
        <ExplanationTxt>THE OTHER SPENT PROCEEDS ARE THE REFUNDING PROCEEDS NO LONGER IN ESCROW</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule K, Part III BOND A &amp; B</FormAndLineReferenceDesc>
        <ExplanationTxt>THE REISSUED SERIES 2011 AND SERIES 2008BC SOLE PURPOSES TIE TO REFUNDING, DIRECTLY OR INDIRECTLY, BONDS ISSUED PRIOR TO 12/31/2002 AND THEREFORE THIS ISSUE IS EXEMPT FROM PART III OF SCHEDULE K.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Schedule K, Part IV, Line 2b EXCEPTION TO REBATE</FormAndLineReferenceDesc>
        <ExplanationTxt>THE REISSUED BOND MEETS AN EXCEPTION TO REBATE BUT A CALCULATION WAS COMPLETED FOR THE ORIGINAL ISSUES ON 12/1/2021 (2011) AND 11/29/2018 (2008BC) WITH NO REBATE LIABILITY BEING DUE</ExplanationTxt>
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    </IRS990ScheduleK>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 15 PROCESS FOR DETERMINING COMPENSATION OF CEO AND OTHERS</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 Endeavor Health 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 Endeavor Health Compensation Committee, in session with legal counsel present, in advance of implementation.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 6 Classes of members or stockholders</FormAndLineReferenceDesc>
        <ExplanationTxt>Northwest Community Healthcare is the sole corporate member of Northwest Community Hospital.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7a Members or stockholders electing members of governing body</FormAndLineReferenceDesc>
        <ExplanationTxt>Endeavor Health Clinical Operations, as the sole corporate member of Northwest Community Healthcare, has the power to appoint and approve board members.</ExplanationTxt>
      </SupplementalInformationDetail>
      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 7b Decisions requiring approval by members or stockholders</FormAndLineReferenceDesc>
        <ExplanationTxt>Certain powers reserved to the Member shall be exercised by Endeavor Health Clinical Operations (EHCO), in its capacity as the sole corporate member of the Member. EHCO may exercise any of its reserved powers through authority delegated to the officers or management of EHCO or the board of directors or officers of the Member pursuant to corporate resolutions and policies which may be adopted by EHCO, provided that the exercise of such reserved powers remains the ultimate responsibility of EHCO. The following matters shall be submitted to EHCO for approval and shall not be authorized unless approved by EHCO: -To develop, approve and modify annual operating and capital budgets, financial plans and strategic plans for the Corporation and its Affiliates -To determine all substantive changes in the clinical programs and services to be provided by the Corporation and its Affiliates, including the establishment, expansion, reconfiguration, reduction or discontinuation of clinical programs and services, subject to the commitments set forth in the Definitive Agreement and taking into account the input and recommendations of the Member's Board of Directors and the Transaction Rationale and Vision; -To establish or change existing medical education programs; -To approve indebtedness and unbudgeted capital or operating expenditures above a designated dollar threshold set for the Corporation by EHCO from time to time; -To establish, amend or terminate third-party payor relationships; -To approve contractual relationships between the Corporation or an Affiliate of the Corporation and a third party involving: (i) consideration in excess of a designated dollar threshold set for the Corporation by EHCO from time to time, (ii) a restrictive covenant applicable to the Corporation or an Affiliate of the Corporation; or (iii) a term in excess of three (3) years that cannot be terminated without cause; -To approve any changes to employee benefit or compensation plans; -To approve any agreement involving the licensing of trademarks or intellectual property to or from a third party; -To hire, terminate and evaluate the terms of employment for the Corporation's President &amp; CEO and, with input from the Corporation's President &amp; CEO, other key Corporation managers; -To approve of any acquisitions or lease transactions of the Corporation or an Affiliate of the Corporation, as well as any termination, liquidation, mortgage or encumbrance of assets or real property of the Corporation or an Affiliate of the Corporation above a designated dollar threshold set for the Corporation by EHCO from time to time; -To evaluate and approve of any affiliation, joint venture, merger, corporate consolidation or restructuring or similar transaction by or involving the Corporation or its Affiliates, as well as any dissolution or termination of any affiliation or joint venture; -To select the auditor for, and approval of all audits of, the Corporation and its Affiliates; -To select outside legal counsel and approve any waiver, settlement or compromise of any legal proceeding, suit, claim or action against or brought by or on behalf of the Corporation or its Affiliates if the uninsured portion of the amount in controversy is in excess of the threshold amount designated in the EHCO system policy as requiring EHCO approval; -To initiate and approve amendments and restatements of the governing documents of the Corporation and its Affiliates, including without limitation the Corporation's Articles of Incorporation and these Bylaws, subject to the commitments made in the Definitive Agreement; -To establish and ensure implementation of system-wide quality standards that protect and enhance EHCO's, the Member's and Corporation's brands; -To establish and ensure implementation of financial goals and standards that protect and enhance the operations of EHCO, the Member and the Corporation; and -To determine the extent to which and the manner in which the powers described in this section which are reserved to EHCO with respect to the Corporation are to be included in the governing documents of any Affiliate of the Corporation and exercised with respect to any Affiliate of the Corporation for which the Corporation holds the aforementioned powers or similar reserved powers. -To develop, approve and modify annual operating and capital budgets, financial plans and strategic plans for the Corporation and its Affiliates -To determine all substantive changes in the clinical programs and services to be provided by the Corporation and its Affiliates, including the establishment, expansion, reconfiguration, reduction or discontinuation of clinical programs and services, subject to the commitments set forth in the Definitive Agreement and taking into account the input and recommendations of the Member's Board of Directors and the Transaction Rationale and Vision; -To establish or change existing medical education programs; -To approve indebtedness and unbudgeted capital or operating expenditures above a designated dollar threshold set for the Corporation by EHCO from time to time; -To establish, amend or terminate third-party payor relationships; -To approve contractual relationships between the Corporation or an Affiliate of the Corporation and a third party involving: (i) consideration in excess of a designated dollar threshold set for the Corporation by EHCO from time to time, (ii) a restrictive covenant applicable to the Corporation or an Affiliate of the Corporation; or (iii) a term in excess of three (3) years that cannot be terminated without cause; -To approve any changes to employee benefit or compensation plans; -To approve any agreement involving the licensing of trademarks or intellectual property to or from a third party; -To hire, terminate and evaluate the terms of employment for the Corporation's President &amp; CEO and, with input from the Corporation's President &amp; CEO, other key Corporation managers; -To approve of any acquisitions or lease transactions of the Corporation or an Affiliate of the Corporation, as well as any termination, liquidation, mortgage or encumbrance of assets or real property of the Corporation or an Affiliate of the Corporation above a designated dollar threshold set for the Corporation by EHCO from time to time; -To evaluate and approve of any affiliation, joint venture, merger, corporate consolidation or restructuring or similar transaction by or involving the Corporation or its Affiliates, as well as any dissolution or termination of any affiliation or joint venture; -To select the auditor for, and approval of all audits of, the Corporation and its Affiliates; -To select outside legal counsel and approve any waiver, settlement or compromise of any legal proceeding, suit, claim or action against or brought by or on behalf of the Corporation or its Affiliates if the uninsured portion of the amount in controversy is in excess of the threshold amount designated in the EHCO system policy as requiring EHCO approval; -To initiate and approve amendments and restatements of the governing documents of the Corporation and its Affiliates, including without limitation the Corporation's Articles of Incorporation and these Bylaws, subject to the commitments made in the Definitive Agreement; -To establish and ensure implementation of system-wide quality standards that protect and enhance EHCO's, the Member's and Corporation's brands; -To establish and ensure implementation of financial goals and standards that protect and enhance the operations of EHCO, the Member and the Corporation; and -To determine the extent to which and the manner in which the powers described in this section which are reserved to EHCO with respect to the Corporation are to be included in the governing documents of any Affiliate of the Corporation and exercised with respect to any Affiliate of the Corporation for which the Corporation holds the aforementioned powers or similar reserved powers.</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 Board of Trustees of the health system parent, Endeavor Health for review and the ability to ask questions of management prior to filing.</ExplanationTxt>
      </SupplementalInformationDetail>
      <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>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VI, Line 19 Required documents available to the public</FormAndLineReferenceDesc>
        <ExplanationTxt>Northwest Community Hospital governing documents, conflict of interest policy, and financial statements are available to the public upon request. The Endeavor Health annual audit report and financial statements are also available to the public through GuideStar as part of the Form 990 filings. The Endeavor Health 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>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part VIII, Line 2f Other Program Service Revenue</FormAndLineReferenceDesc>
        <ExplanationTxt>Research Grant Revenue - Total Revenue: 130177, Related or Exempt Function Revenue: 130177, 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>Miscellaneous Revenue - Total Revenue: 219401, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 219401;</ExplanationTxt>
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      <SupplementalInformationDetail>
        <FormAndLineReferenceDesc>Form 990, Part IX, Line 11g Other Fees</FormAndLineReferenceDesc>
        <ExplanationTxt>PURCHASED SERVICES - Total Expense: 66705198, Program Service Expense: 60618709, Management and General Expenses: 6086489, Fundraising Expenses: ; PHYSICIAN PROFESSIONAL FEES - Total Expense: 7228940, Program Service Expense: 4623600, Management and General Expenses: 2605340, Fundraising Expenses: ; FOOD SERVICES - Total Expense: 5463075, Program Service Expense: , Management and General Expenses: 5463075, Fundraising Expenses: ; NURSING STAFF - Total Expense: 3313917, Program Service Expense: 3313917, Management and General Expenses: , Fundraising Expenses: ;</ExplanationTxt>
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        <FormAndLineReferenceDesc>Form 990, Part XI, Line 9 Other changes in net assets or fund balances</FormAndLineReferenceDesc>
        <ExplanationTxt>Nonoperating pension adjustment - -5092398; Net asset transfers to affiliates - -694244; Other changes in net assets - 0; Pension related equity changes - -845639; Increase in temporary net assets of foundation - 5861187; Net assets released from temporary restricted - 1135403; Total - 364309;</ExplanationTxt>
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        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Swedish Covenant Health</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>5145 N California Avenue</AddressLine1Txt>
          <CityNm>Chicago</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60625</ZIPCd>
        </USAddress>
        <EIN>362179813</EIN>
        <PrimaryActivitiesTxt>Hospital</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Endeavor Health Clinical Operations</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Swedish Covenant Hospital Foundation</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>5145 N California Avenue</AddressLine1Txt>
          <CityNm>Chicago</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60625</ZIPCd>
        </USAddress>
        <EIN>205055155</EIN>
        <PrimaryActivitiesTxt>Support of Swedish Covenant Health</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>7</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Swedish Covenant Health</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Edward-Elmhurst Healthcare</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>801 South Washington Street</AddressLine1Txt>
          <CityNm>Naperville</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60540</ZIPCd>
        </USAddress>
        <EIN>363513954</EIN>
        <PrimaryActivitiesTxt>Healthcare</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
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        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Endeavor Health</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Northwest Community Healthcare</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>3041 SALT CREEK LANE</AddressLine1Txt>
          <CityNm>ARLINGTON HEIGHTS</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60005</ZIPCd>
        </USAddress>
        <EIN>363125209</EIN>
        <PrimaryActivitiesTxt>Support of Northwest Community Hospital</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Type II</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Endeavor Health Clinical Operations</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Northwest Community Hospital Foundation</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>3041 SALT CREEK LANE</AddressLine1Txt>
          <CityNm>Arlington Heights</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60005</ZIPCd>
        </USAddress>
        <EIN>363125193</EIN>
        <PrimaryActivitiesTxt>Fundraising</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>7</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Northwest Community Healthcare</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Endeavor Health</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>3041 SALT CREEK LANE</AddressLine1Txt>
          <CityNm>ARLINGTON HEIGHTS</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60005</ZIPCd>
        </USAddress>
        <EIN>874520691</EIN>
        <PrimaryActivitiesTxt>Healthcare System Parent</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Type III-FI</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>false</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Naperville Psychiatric Ventures</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>801 South Washington Street</AddressLine1Txt>
          <CityNm>Naperville</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60540</ZIPCd>
        </USAddress>
        <EIN>363965251</EIN>
        <PrimaryActivitiesTxt>Hospital</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Edward Health Ventures</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Endeavor Health Clinical Operations</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>3040 Salt Creek Lane</AddressLine1Txt>
          <CityNm>ARLINGTON HEIGHTS</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60005</ZIPCd>
        </USAddress>
        <EIN>362167060</EIN>
        <PrimaryActivitiesTxt>Heathcare</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Endeavor Health</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Edward Hospital</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>801 South Washington Street</AddressLine1Txt>
          <CityNm>Naperville</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60540</ZIPCd>
        </USAddress>
        <EIN>363297173</EIN>
        <PrimaryActivitiesTxt>Hospital</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Edward-Elmhurst Healthcare</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Edward Foundation</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>801 South Washington Street</AddressLine1Txt>
          <CityNm>Naperville</CityNm>
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          <ZIPCd>60540</ZIPCd>
        </USAddress>
        <EIN>363723705</EIN>
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        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>7</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Edward-Elmhurst Healthcare</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Edward Health Ventures</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>801 South Washington Street</AddressLine1Txt>
          <CityNm>Naperville</CityNm>
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          <ZIPCd>60540</ZIPCd>
        </USAddress>
        <EIN>581672987</EIN>
        <PrimaryActivitiesTxt>Supporting Org</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Type II</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Edward-Elmhurst Healthcare</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Edward Health and Fitness Center</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>801 South Washington Street</AddressLine1Txt>
          <CityNm>Naperville</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60540</ZIPCd>
        </USAddress>
        <EIN>363555528</EIN>
        <PrimaryActivitiesTxt>Healthcare</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Edward Health Ventures</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Edward Ambulance Services LLC</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>801 South Washington Street</AddressLine1Txt>
          <CityNm>Naperville</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60540</ZIPCd>
        </USAddress>
        <EIN>452389060</EIN>
        <PrimaryActivitiesTxt>Healthcare</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>10</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Edward Hospital</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Elmhurst Memorial Healthcare</BusinessNameLine1Txt>
        </DisregardedEntityName>
        <USAddress>
          <AddressLine1Txt>155 East Brush Hill Road</AddressLine1Txt>
          <CityNm>Elmhurst</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60126</ZIPCd>
        </USAddress>
        <EIN>364037473</EIN>
        <PrimaryActivitiesTxt>Supporting Org</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>Type II</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Edward-Elmhurst Healthcare</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedTaxExemptOrgGrp>
      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Elmhurst Memorial Hospital</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>155 East Brush Hill Road</AddressLine1Txt>
          <CityNm>Elmhurst</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60126</ZIPCd>
        </USAddress>
        <EIN>362167784</EIN>
        <PrimaryActivitiesTxt>Hospital</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <ExemptCodeSectionTxt>501(c)(3)</ExemptCodeSectionTxt>
        <PublicCharityStatusTxt>3</PublicCharityStatusTxt>
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          <BusinessNameLine1Txt>Elmhurst Memorial Healthcare</BusinessNameLine1Txt>
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        <ControlledOrganizationInd>true</ControlledOrganizationInd>
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      <IdRelatedTaxExemptOrgGrp>
        <DisregardedEntityName>
          <BusinessNameLine1Txt>Elmhurst Memorial Hospital Foundation</BusinessNameLine1Txt>
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        <USAddress>
          <AddressLine1Txt>155 East Brush Hill Road</AddressLine1Txt>
          <CityNm>Elmhurst</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60126</ZIPCd>
        </USAddress>
        <EIN>363083197</EIN>
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        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
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        <PublicCharityStatusTxt>7</PublicCharityStatusTxt>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Elmhurst Memorial Hospital</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
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      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Ravine Way Surgery Center LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>2401 Ravine Way</AddressLine1Txt>
          <CityNm>Glenview</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60025</ZIPCd>
        </USAddress>
        <EIN>201245279</EIN>
        <PrimaryActivitiesTxt>Healthcare</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
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        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>N/A</PredominantIncomeTypeTxt>
        <ShareOfTotalIncomeAmt>0</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>0</ShareOfEOYAssetsAmt>
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      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Northwest Community Day Surgery Center II LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>3040 Salt Creek Lane</AddressLine1Txt>
          <CityNm>Arlington Heights</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60005</ZIPCd>
        </USAddress>
        <EIN>300798249</EIN>
        <PrimaryActivitiesTxt>Outpatient Care</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
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        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>N/A</PredominantIncomeTypeTxt>
        <ShareOfTotalIncomeAmt>0</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>0</ShareOfEOYAssetsAmt>
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      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Northwest Endo Center LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>3040 Salt Creek Lane</AddressLine1Txt>
          <CityNm>Arlington Heights</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60005</ZIPCd>
        </USAddress>
        <EIN>812338623</EIN>
        <PrimaryActivitiesTxt>Surgical Care</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Northwest Community Health Services Inc</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>N/A</PredominantIncomeTypeTxt>
        <ShareOfTotalIncomeAmt>0</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>0</ShareOfEOYAssetsAmt>
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      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>EnVision Medical Imaging LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>8930 Waukegan Road Suite 130</AddressLine1Txt>
          <CityNm>Morton Grove</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60053</ZIPCd>
        </USAddress>
        <EIN>822067179</EIN>
        <PrimaryActivitiesTxt>Imaging Services</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Northwest Community Health Services Inc</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>N/A</PredominantIncomeTypeTxt>
        <ShareOfTotalIncomeAmt>0</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>0</ShareOfEOYAssetsAmt>
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      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Elmhurst Outpatient Surgery Center LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>1200 South York Road Suite 1400</AddressLine1Txt>
          <CityNm>Elmhurst</CityNm>
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          <ZIPCd>60126</ZIPCd>
        </USAddress>
        <EIN>364150045</EIN>
        <PrimaryActivitiesTxt>Surgery Center</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Elmhurst Memorial Hospital</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>N/A</PredominantIncomeTypeTxt>
        <ShareOfTotalIncomeAmt>0</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>0</ShareOfEOYAssetsAmt>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Midwest Endoscopy LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>1243 Rickert Drive</AddressLine1Txt>
          <CityNm>Naperville</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60585</ZIPCd>
        </USAddress>
        <EIN>208292570</EIN>
        <PrimaryActivitiesTxt>Healthcare</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Edward Health Ventures</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>N/A</PredominantIncomeTypeTxt>
        <ShareOfTotalIncomeAmt>0</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>0</ShareOfEOYAssetsAmt>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>RHHI Holdco LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>400 Northpoint Circle Suite 203</AddressLine1Txt>
          <CityNm>Seven Fields</CityNm>
          <StateAbbreviationCd>PA</StateAbbreviationCd>
          <ZIPCd>16046</ZIPCd>
        </USAddress>
        <EIN>873745286</EIN>
        <PrimaryActivitiesTxt>Healthcare</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>N/A</PredominantIncomeTypeTxt>
        <ShareOfTotalIncomeAmt>0</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>0</ShareOfEOYAssetsAmt>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblPartnershipGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Residential Home Health Illinois LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>5440 Corporate Drive Suite 400</AddressLine1Txt>
          <CityNm>Troy</CityNm>
          <StateAbbreviationCd>MI</StateAbbreviationCd>
          <ZIPCd>48098</ZIPCd>
        </USAddress>
        <EIN>270179825</EIN>
        <PrimaryActivitiesTxt>Healthcare</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>NA</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <PredominantIncomeTypeTxt>N/A</PredominantIncomeTypeTxt>
        <ShareOfTotalIncomeAmt>0</ShareOfTotalIncomeAmt>
        <ShareOfEOYAssetsAmt>0</ShareOfEOYAssetsAmt>
      </IdRelatedOrgTxblPartnershipGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>NorthShore Legacy NPA Inc</BusinessNameLine1Txt>
        </RelatedOrganizationName>
        <USAddress>
          <AddressLine1Txt>3040 Salt Creek Lane</AddressLine1Txt>
          <CityNm>Arlington Heights</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60005</ZIPCd>
        </USAddress>
        <EIN>363648026</EIN>
        <PrimaryActivitiesTxt>Heathcare</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Endeavor Health Medical Group</BusinessNameLine1Txt>
        </DirectControllingEntityName>
        <EntityTypeTxt>C Corporation</EntityTypeTxt>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
      </IdRelatedOrgTxblCorpTrGrp>
      <IdRelatedOrgTxblCorpTrGrp>
        <RelatedOrganizationName>
          <BusinessNameLine1Txt>NorthShore Physician Associates Value Based Care LLC</BusinessNameLine1Txt>
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          <CityNm>Arlington Heights</CityNm>
          <StateAbbreviationCd>IL</StateAbbreviationCd>
          <ZIPCd>60005</ZIPCd>
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        <EIN>822268872</EIN>
        <PrimaryActivitiesTxt>Heathcare</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
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          <BusinessNameLine1Txt>Endeavor Health Physician Partners LLC</BusinessNameLine1Txt>
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        <EntityTypeTxt>C Corporation</EntityTypeTxt>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
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          <BusinessNameLine1Txt>NorthShore University HealthSystem Insurance International</BusinessNameLine1Txt>
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          <AddressLine1Txt>Governors Sq Bldg 4</AddressLine1Txt>
          <CityNm>Grand Cayman</CityNm>
          <CountryCd>CJ</CountryCd>
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        <PrimaryActivitiesTxt>Insurance</PrimaryActivitiesTxt>
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          <BusinessNameLine1Txt>Swedish Covenant Management Services Inc</BusinessNameLine1Txt>
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          <AddressLine1Txt>5145 N California Avenue</AddressLine1Txt>
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          <StateAbbreviationCd>IL</StateAbbreviationCd>
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        <EIN>364073303</EIN>
        <PrimaryActivitiesTxt>Physician Practice Management</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Swedish Covenant Health</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>Swedish Covenant Physician Partners Ltd</BusinessNameLine1Txt>
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          <AddressLine1Txt>5145 N California Avenue</AddressLine1Txt>
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        <EIN>363120220</EIN>
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        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
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          <BusinessNameLine1Txt>Swedish Covenant Health</BusinessNameLine1Txt>
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          <CityNm>Arlington Heights</CityNm>
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        <EIN>363312906</EIN>
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        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
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          <BusinessNameLine1Txt>Northwest Community Healthcare</BusinessNameLine1Txt>
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        <RelatedOrganizationName>
          <BusinessNameLine1Txt>EEH SPC - Segregated Portfolio A</BusinessNameLine1Txt>
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          <AddressLine1Txt>Governors Square 23 Lime Tree Bay</AddressLine1Txt>
          <AddressLine2Txt>Building 4 Floor 2</AddressLine2Txt>
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          <CountryCd>CJ</CountryCd>
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        <EIN>981238485</EIN>
        <PrimaryActivitiesTxt>Insurance</PrimaryActivitiesTxt>
        <LegalDomicileForeignCountryCd>CJ</LegalDomicileForeignCountryCd>
        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Edward-Elmhurst Healthcare</BusinessNameLine1Txt>
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        <EntityTypeTxt>C Corporation</EntityTypeTxt>
        <ControlledOrganizationInd>true</ControlledOrganizationInd>
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          <BusinessNameLine1Txt>EEH SPC - Segregated Portfolio B</BusinessNameLine1Txt>
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        <ForeignAddress>
          <AddressLine1Txt>Governors Square 23 Lime Tree Bay</AddressLine1Txt>
          <AddressLine2Txt>Building 4 Floor 2</AddressLine2Txt>
          <CityNm>Grand Cayman</CityNm>
          <CountryCd>CJ</CountryCd>
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        <EIN>981185160</EIN>
        <PrimaryActivitiesTxt>Insurance</PrimaryActivitiesTxt>
        <LegalDomicileForeignCountryCd>CJ</LegalDomicileForeignCountryCd>
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          <BusinessNameLine1Txt>Edward-Elmhurst Healthcare</BusinessNameLine1Txt>
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          <BusinessNameLine1Txt>EEH SPC - Segregated Portfolio D</BusinessNameLine1Txt>
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          <CountryCd>CJ</CountryCd>
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        <PrimaryActivitiesTxt>Insurance</PrimaryActivitiesTxt>
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          <CountryCd>CJ</CountryCd>
          <ForeignPostalCd>KY1102</ForeignPostalCd>
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        <DirectControllingEntityName>
          <BusinessNameLine1Txt>Edward-Elmhurst Healthcare</BusinessNameLine1Txt>
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        <RelatedOrganizationName>
          <BusinessNameLine1Txt>Elmhurst Memorial Health Technologies LLC</BusinessNameLine1Txt>
        </RelatedOrganizationName>
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          <CityNm>Elmhurst</CityNm>
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        <PrimaryActivitiesTxt>Practice Management</PrimaryActivitiesTxt>
        <LegalDomicileStateCd>IL</LegalDomicileStateCd>
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          <BusinessNameLine1Txt>Elmhurst Memorial Healthcare</BusinessNameLine1Txt>
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      <GiftGrntOrCapContriToOthOrgInd>false</GiftGrntOrCapContriToOthOrgInd>
      <GiftGrntCapContriFromOthOrgInd>false</GiftGrntCapContriFromOthOrgInd>
      <LoansOrGuaranteesToOtherOrgInd>false</LoansOrGuaranteesToOtherOrgInd>
      <LoansOrGuaranteesFromOthOrgInd>false</LoansOrGuaranteesFromOthOrgInd>
      <DivRelatedOrganizationInd>false</DivRelatedOrganizationInd>
      <AssetSaleToOtherOrgInd>false</AssetSaleToOtherOrgInd>
      <AssetPurchaseFromOtherOrgInd>false</AssetPurchaseFromOtherOrgInd>
      <AssetExchangeInd>false</AssetExchangeInd>
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      <RentalOfFcltsFromOthOrgInd>true</RentalOfFcltsFromOthOrgInd>
      <PerformOfServicesForOthOrgInd>true</PerformOfServicesForOthOrgInd>
      <PerformOfServicesByOtherOrgInd>false</PerformOfServicesByOtherOrgInd>
      <SharingOfFacilitiesInd>true</SharingOfFacilitiesInd>
      <PaidEmployeesSharingInd>true</PaidEmployeesSharingInd>
      <ReimbursementPaidToOtherOrgInd>true</ReimbursementPaidToOtherOrgInd>
      <ReimbursementPaidByOtherOrgInd>true</ReimbursementPaidByOtherOrgInd>
      <TransferToOtherOrgInd>true</TransferToOtherOrgInd>
      <TransferFromOtherOrgInd>true</TransferFromOtherOrgInd>
    </IRS990ScheduleR>
  </ReturnData>
</Return>