Northwest Community Hospital

“Northwest community healthcare (nch) is the sole corporate member of northwest community hospital (hospital). As such, it elects or appoints the members of hospital's governing body and approves significant decisions.”

“Nch is the sole corporate member of hospital. As such, it elects or appoints the members of the governing body of hospital periodically or as vacancies arise.”

“Nch is the sole corporate member of hospital. As such, it must approve certain actions of hospital. Action is taken by a majority vote of the nch board with a quorum present. Nch must approve the following types of decisions by hospital: voluntary dissolution, merger, consolidation or sale or transfer of 10% or more of hospital's assets; sale of real property or interest therein; creation of a subsidiary or affiliate; annual and long term capital and operating budgets; amendment, alteration or repeal of hospital's articles of incorporation or bylaws; selection of auditors; appointment, removal and evaluation of hospital directors; debt or indebtedness, guarantees or borrowings; appointment, compensation, benefits and evaluation of officers; appointment and employment of the president; and actions taken by trustees of the northwest community hospital employees retirement plan.”

“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, NS-EE Holdings for review and the ability to ask questions of management prior to filing.”

“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.”

“Governing documents and the conflict of interest policy are not made public. Hospital's financial statements are included in the annual consolidated audit report of northshore university healthsystem and subsidiaries. These consolidated financial statements are available to the public via the municipal securities rulemaking board's electronic municipal market access (emma) website at www.emma.msrb.org.”

“All other program service revenue - Total Revenue: 897597, Related or Exempt Function Revenue: 897597, Unrelated Business Revenue: 0, Revenue Excluded from Tax Under Sections 512, 513, or 514: 0;”

“Cash Discounts Rebates Refunds - Total Revenue: 26640, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 26640; Ins Int Income - Total Revenue: 55881, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 55881; Other Revenue - Total Revenue: 6956289, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: 6956289; Research Income - Total Revenue: -43537, Related or Exempt Function Revenue: , Unrelated Business Revenue: , Revenue Excluded from Tax Under Sections 512, 513, or 514: -43537;”

“A detailed compensation review of the top executives, including the Chief Executive Officer, is conducted annually. Market data is collected and assessed by an external independent compensation consultant who specializes in compensation consulting within the healthcare industry. The work product from this study is reviewed separately with NS-EE Holdings' Board-retained legal counsel. Market data for base and variable compensation is assessed annually for integrated delivery systems and academic medical centers that are similar in size and complexity. The market assessment includes assessing job content in order to make appropriate market data comparisons. Specific recommendations are then reviewed, discussed and approved as appropriate with the NS-EE Holdings Compensation Committee, in session with legal counsel present, in advance of implementation.”

“(Expenses $ 309,992,725 including grants of $ 116,674)(Revenue $ 400,193,868) INCLUDES REVENUE, EXPENSES, AND GRANTS OF $116,674 FROM ALL OTHER PROGRAM SERVICE SPECIALTIES ALONG WITH REFERENCE LAB REVENUE, CAPITATION REVENUE, INTERCOMPANY RENTS AND OTHER RENTAL INCOME NOT DESCRIBED ON FORM 990, PART III, LINES 4A-4C.”

“Increase in temporary net assets of Foundation - 15591026; Distrobution for CICL Liqudation - 5323961; PENSION EXPENSE - 1910054; TRANSFER TO AFFILIATES - 30367; NET ASSETS RELEASED FROM temporary RESTRICTED - -1457611;”