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Nonprofiteer
← NORTHWEST COMMUNITY HOSPITAL

Form 990 for tax year 2022

Filed by NORTHWEST COMMUNITY HOSPITAL.

Totals

Total revenue
$592,462,535
Total expenses
$570,337,439
Contributions and grants received
$7,992,359
Grants paid
$116,674
Program service revenue
$565,858,604
Investment income
$7,780,705
Other revenue
$10,830,867
Total assets, end of year
$470,792,136
Total liabilities, end of year
$360,094,224
Net assets or fund balances, end of year
$110,697,912
Program services expenses (Part IX)
$488,069,497
Management and general expenses
$82,267,942
Fundraising expenses
$0
Program service expenses (Part III)
$488,069,497

Program services were 85.6% of total expenses calculated — Part IX's program-services column over total expenses, both as filed.

Line items

Every line the filer filed in Parts VIII, IX and X, as filed and in filed order. Blank columns are left out, and the lines are not forced to add up to the totals above.

Revenue

Part VIII, the statement of revenue.

  • 1e · Government grants (contributions)

    $7,992,359

  • 2a · Program service revenue: Net patient services

    total $540,750,382 · related or exempt $540,750,382 · unrelated business $0 · excluded $0

  • 2b · Program service revenue: Reference Lab

    total $20,798,737 · related or exempt $20,550,091 · unrelated business $248,646 · excluded $0

  • 2c · Program service revenue: Capitation Revenue

    total $3,076,850 · related or exempt $3,076,850 · unrelated business $0 · excluded $0

  • 2d · Program service revenue: Intercompany Rents

    total -$104,022 · related or exempt -$104,022 · unrelated business $0 · excluded $0

  • 2e · Program service revenue: Hospice Revenue

    total $439,060 · related or exempt $439,060 · unrelated business $0 · excluded $0

  • 2f · All other program service revenue

    total $897,597 · related or exempt $897,597 · unrelated business $0 · excluded $0

  • 6a · Gross rents

    real property $2,156,989

  • 6b · Less rental expenses

    real property $860,545

  • 6c · Rental income or loss

    real property $1,296,444 · personal property $0

  • 6d · Net rental income or loss

    total $1,296,444 · related or exempt $0 · unrelated business $0 · excluded $1,296,444

  • 7a · Gross sales of assets other than inventory

    other assets $7,780,705

  • 7b · Less cost or other basis and sales expenses

    other assets $0

  • 7c · Gain or loss

    securities $0 · other assets $7,780,705

  • 7d · Net gain or loss

    total $7,780,705 · related or exempt $0 · unrelated business $0 · excluded $7,780,705

  • 8c · Net income from fundraising events

    total $0 · unrelated business $0 · excluded $0

  • 9c · Net income from gaming

    total $0 · related or exempt $0 · unrelated business $0 · excluded $0

  • 10a · Gross sales of inventory

    $210,811

  • 10b · Cost of goods sold

    $254,454

  • 10c · Net income from sales of inventory

    total -$43,643 · related or exempt $0 · unrelated business $0 · excluded -$43,643

  • 11a · Other revenue: CAFETERIA

    total $1,529,139 · related or exempt $0 · unrelated business $0 · excluded $1,529,139

  • 11b · Other revenue: JOINT VENTURE MANAGEMENT FEE

    total $1,112,392 · related or exempt $0 · unrelated business $629,569 · excluded $482,823

  • 11c · Other revenue: OUTPATIENT PHARMACY

    total -$58,738 · related or exempt $0 · unrelated business -$58,368 · excluded -$370

  • 11d · All other revenue

    total $6,995,273 · related or exempt $0 · unrelated business $0 · excluded $6,995,273

  • 11e · Other revenue, total

    $9,578,066

Functional expenses

Part IX, the statement of functional expenses.

  • 1 · Grants to domestic organizations and governments

    total $48,695 · program services $48,695

  • 2 · Grants to domestic individuals

    total $67,979 · program services $67,979

  • 3 · Grants to foreign organizations and individuals

    total $0 · program services $0

  • 4 · Benefits paid to or for members

    total $0 · program services $0

  • 5 · Compensation of officers, directors and key employees

    total $6,590,201 · program services $0 · management and general $6,590,201 · fundraising $0

  • 7 · Other salaries and wages

    total $232,486,309 · program services $221,451,722 · management and general $11,034,587 · fundraising $0

  • 8 · Pension plan contributions

    total $7,273,179 · program services $6,736,998 · management and general $536,181 · fundraising $0

  • 9 · Other employee benefits

    total $25,121,704 · program services $23,269,725 · management and general $1,851,979 · fundraising $0

  • 10 · Payroll taxes

    total $16,438,602 · program services $15,226,744 · management and general $1,211,858 · fundraising $0

  • 11b · Fees: legal

    total $472,275 · program services $0 · management and general $472,275 · fundraising $0

  • 11c · Fees: accounting

    total -$40,779 · program services $0 · management and general -$40,779 · fundraising $0

  • 11d · Fees: lobbying

    total $7,629 · program services $0 · management and general $7,629 · fundraising $0

  • 11f · Fees: investment management

    total $1,154 · program services $1,154 · management and general $0 · fundraising $0

  • 11g · Fees: other

    total $38,422,332 · program services $11,563,975 · management and general $26,858,357 · fundraising $0

  • 12 · Advertising and promotion

    total $2,207,470 · program services $0 · management and general $2,207,470 · fundraising $0

  • 13 · Office expenses

    total $7,472,403 · program services $5,971,150 · management and general $1,501,253 · fundraising $0

  • 14 · Information technology

    total $10,923,656 · program services $10,118,361 · management and general $805,295 · fundraising $0

  • 16 · Occupancy

    total $9,287,469 · program services $7,377,613 · management and general $1,909,856 · fundraising $0

  • 17 · Travel

    total $187,797 · program services $47,758 · management and general $140,039 · fundraising $0

  • 19 · Conferences, conventions and meetings

    total $385,773 · program services $385,773 · management and general $0 · fundraising $0

  • 20 · Interest

    total $5,660,032 · program services $5,660,032 · management and general $0 · fundraising $0

  • 22 · Depreciation, depletion and amortization

    total $39,258,383 · program services $24,226,289 · management and general $15,032,094 · fundraising $0

  • 23 · Insurance

    total $12,960,405 · program services $12,931,364 · management and general $29,041 · fundraising $0

  • 24a · Other expenses: MEDICAL SUPPLIES

    total $71,967,721 · program services $71,967,721 · management and general $0 · fundraising $0

  • 24b · Other expenses: ILLINOIS PROVIDER TAX

    total $24,441,797 · program services $24,441,797 · management and general $0 · fundraising $0

  • 24c · Other expenses: PHARMACEUTICALS

    total $20,934,538 · program services $20,934,538 · management and general $0 · fundraising $0

  • 24d · Other expenses: BAD DEBT - PATIENT SERVICES

    total $15,538,485 · program services $15,538,485 · management and general $0 · fundraising $0

  • 24e · All other expenses

    total $22,222,230 · program services $10,101,624 · management and general $12,120,606 · fundraising $0

Balance sheet

Part X, book values.

  • 1 · Cash, non-interest-bearing

    beginning of year $12,799,925 · end of year $398,155

  • 4 · Accounts receivable

    beginning of year $53,714,292 · end of year $53,335,706

  • 5 · Loans and receivables from officers and key people

    beginning of year $0 · end of year $0

  • 6 · Loans and receivables from disqualified persons

    beginning of year $0 · end of year $0

  • 8 · Inventories for sale or use

    beginning of year $9,558,715 · end of year $8,513,557

  • 9 · Prepaid expenses and deferred charges

    beginning of year $4,247,038 · end of year $2,952,472

  • 10a · Land, buildings and equipment: cost or other basis

    $418,324,573

  • 10b · Land, buildings and equipment: accumulated depreciation

    $74,406,124

  • 10c · Land, buildings and equipment, net

    beginning of year $332,165,028 · end of year $343,918,449

  • 12 · Investments: other securities

    beginning of year $0

  • 13 · Investments: program-related

    beginning of year $32,158,628 · end of year $42,075,208

  • 14 · Intangible assets

    beginning of year $75,000

  • 15 · Other assets

    beginning of year $1,941,248 · end of year $19,598,589

  • 17 · Accounts payable and accrued expenses

    beginning of year $72,108,223 · end of year $58,514,651

  • 19 · Deferred revenue

    beginning of year $5,269,844 · end of year $0

  • 20 · Tax-exempt bond liabilities

    beginning of year $234,663,615 · end of year $80,877,232

  • 22 · Loans and payables to officers and key people

    beginning of year $0 · end of year $0

  • 25 · Other liabilities

    beginning of year $64,109,340 · end of year $220,702,341

  • 27 · Net assets without donor restrictions

    beginning of year $57,517,985 · end of year $85,868,375

  • 28 · Net assets with donor restrictions

    beginning of year $12,990,867 · end of year $24,829,537

Mission and programs · 2022

Mission

NORTHWEST COMMUNITY HOSPITAL follows the mission of NorthShore - Edward-Elmhurst Health (NS-EEH). On January 1, 2022, NS-EE Holdings (NS-EE) became the sole corporate member of NorthShore and Edward-Elmhurst Healthcare (EEH). The mission of NS-EEH is to "help everyone in our communities be their best." Central to this mission is a commitment to providing clinical programs and services that meet community health needs, while also pursuing continuous improvement to identify and understand future needs.

Activities or mission (Part I)

NORTHWEST COMMUNITY HOSPITAL follows the mission of NorthShore - Edward-Elmhurst Health to "help everyone in our communities be their best."

  • ORTHOPEDICS NORTHWEST COMMUNITY HOSPITAL'S (HOSPITAL) ORTHOPEDIC SERVICE LINE PROVIDES QUALITY, PATIENT CENTERED, COMPASSIONATE CARE FOR PATIENTS, REGARDLESS OF ABILITY TO PAY, WHO ARE IN NEED OF SPECIALIZED ORTHOPEDIC MEDICAL CARE AND SURGICAL PROCEDURES. PATIENTS HAVE ACCESS TO SUPERIOR QUALITY CARE AND BENEFIT FROM THE LATEST TECHNOLOGIES AND ADVANCED PAIN MANAGEMENT TECHNIQUES. PHYSICIANS ARE BOARD CERTIFIED. PREOPERATIVE EDUCATION, CARE PROVISION ON A DEDICATED ORTHOPEDIC UNIT WITH SPECIALTY NURSES AND EXTENSIVE POST SURGICAL REHABILITATION AND HOME CARE SERVICES ARe INCLUDED IN OUR ORTHOPEDIC SERVICES. HOSPITAL'S ORTHOPEDIC SERVICE LINE TEAM IS LED BY AN EXPERT BOARD CERTIFIED ORTHOPEDIC SURGEON. THE ORTHOPEDIC DEPARTMENT PERFORMS GREATER THAN 800 ELECTIVE JOINT PROCEDURES A YEAR. QUALITY CARE, EXCELLENCE IN PATIENT EXPERIENCE AND FAVORABLE OUTCOMES MAKES HOSPITAL A TOP CHOICE IN THE CHICAGO LAND AREA. in the calendar year ending December 31, 2022, THE ORTHOPEDIC SERVICE LINE INCURRED APPROXIMATELY 7,500 PATIENT CASES AT A COST OF APPROXIMATELY $63,000,000.

    Expenses $62,912,895 · Revenue $55,602,462

  • CARDIOLOGY The HOSPITAL'S CARDIAC SERVICE LINE PROVIDED QUALITY, PATIENT CENTERED, COMPASSIONATE CARE, REGARDLESS OF ABILITY TO PAY, TO APPROXIMATELY 14,300 INPATIENT AND OUTPATIENT CASES DURING the calendar year ending DECEMBER 31, 2022. THE TREATMENT WAS PROVIDED IN HOSPITAL'S STATE-OF-THE-ART DIGITAL CARDIAC CATH LAB SUITES, INCLUSIVE OF ITS HIGH TECH OPERATING ROOMS AND PRIVATE FAMILY CENTERED PATIENT CARE ROOMS ALL AT A COST OF APPROXIMATELY $63,000,000. AN ON-CALL TEAM OF NURSES, RADIOLOGY TECHS, OR TECHS, CARDIOLOGISTS AND SURGEONS WERE READILY AVAILABLE 24 HOURS A DAY, 7 DAYS A WEEK, TO PROVIDE EMERGENT CARE TO THOSE WITH CARDIAC DISEASE. THE CARDIAC TEAM WORKS WITH THE EMERGENCY ROOM AND MULTIPLE NEIGHBORING COMMUNITY PARAMEDICS AND EMERGENCY PERSONNEL TO CONSISTENTLY EXCEED THE NATIONAL BENCHMARK OF DOOR TO BALLOON TIME (OR OPEN ARTERY) IN LESS THAN 90 MINUTES FOR PATIENTS PRESENTING IN HOSPITAL'S EMERGENCY ROOM HAVING AN ACUTE MI. NCH HAS BEEN RECOGNIZED AS AN ACCREDITED ECHO LAB BY THE INTERSOCIETAL COMMISSION FOR THE ACCREDITATION OF ECHOCARDIOGRAPHY LABORATORIES (ICAEL) SINCE 2000. NCH PROVIDES THE FULL SCOPE ON NON INVASIVE CARDIAC DIAGNOSTIC TESTING AT MULTIPLE SITES IN THE COMMUNITY INCLUDING THE ATHERTON HEART FAILURE CLINIC WHICH OPENED IN 2014. THE CLINIC PROVIDES A TRANSITIONAL CARE MODEL THAT IS BASED ON PATIENTS WITH HEART FAILURE BEING SEEN IN THE CLINIC BY ADVANCED CARE PRACTITIONERS AND CARDIOLOGISTS WITH 24 HOURS OF HOSPITAL DISCHARGE. THE MULTIDISCIPLINARY TEAM INCLUDING DIETICIANS, SOCIAL WORKERS, PHARMACISTS AND NURSES PROVIDE ONGOING CARE TO PATIENTS AND THEIR FAMILIES IN THE COMMUNITY SETTING ENSURING CARE IS DELIVERED IN THE APPROPRIATE SETTING AND REDUCING AVOIDABLE RE-ADMISSIONS TO THE ACUTE CARE SETTING. NCH HAS EXPERIENCED A SIGNIFICANT DECREASE IN HOSPITAL READMISSIONS FOR BOTH THE HEART FAILURE AND ACUTE MI PATIENT POPULATIONS DIRECTLY RELATED TO STRATEGIES DURING THE HOSPITALIZATION AND IN THE POST ACUTE CARE SETTING. TELEHEALTH MEDICINE AND HOME HEALTH ARE INTEGRAL PARTS OF THE POST ACUTE CARE MODEL NCH HAS IMPLEMENTED FOR CARDIAC PATIENTS. IN ADDITION, NCH HAS ONE OF THE LARGEST CARDIAC AND PULMONARY REHAB PROGRAMS IN THE STATE OF ILLINOIS THAT HAS FURTHER ASSISTED CARDIAC AND PULMONARY PATIENTS IN RETURNING AND MAINTAINING AN OPTIMAL STATE OF HEALTH FOLLOWING A CARDIAC EVENT.

    Expenses $62,589,108 · Revenue $59,352,596

  • INFECTIOUS DISEASE The HOSPITAL'S INFECTIOUS DISEASE DEPARTMENT PROVIDED QUALITY, PATIENT CENTERED, COMPASSIONATE CARE, REGARDLESS OF ABILITY TO PAY. IN THE CALENDAR YEAR ENDING DECEMBER 31, 2022, THE INFECTIOUS DISEASE SERVICE LINE INCURRED APPROXIMATELY 14,600 CASES AT A COST OF APPROXIMATELY $53,000,000.

    Expenses $52,574,769 · Revenue $50,709,678

  • 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.

    Expenses $309,992,725 · Grants $116,674 · Revenue $400,193,868

As filed on the 2022 return. The filer continues this part on Schedule O, which is not shown here.

Listed in Part VII

  • GERALD P GALLAGHER

    NS/CEO/DIRECTOR

    Total calculated
    $4,759,273
    From this org
    $0
    From related orgs
    $3,655,300
    Other
    $1,103,973
    Hours/week
    3 + 44 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,588,674 related
    Bonus
    $0
    Other
    $0 + $2,066,626 related
    Deferred
    $0 + $1,068,475 related
    Nontaxable benefits
    $0 + $35,498 related
    Filer's total
    $0 + $4,759,273 related

  • GUY W EISENHUTH

    VICE CHAIRPERSON

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • MARY R SHEAHEN MS RN

    CHAIRPERSON

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • STEPHEN O SCOGNA

    CEO/PRESIDENT/SECRETARY

    Total calculated
    $1,593,537
    From this org
    $1,547,134
    From related orgs
    $0
    Other
    $46,403
    Hours/week
    34 + 6 related

    Schedule J breakdown matched by us

    Base
    $952,129
    Bonus
    $587,479
    Other
    $7,526
    Deferred
    $13,725
    Nontaxable benefits
    $32,678
    Filer's total
    $1,593,537

  • ANN K FORD

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • CATHERINE WOOD MD

    PHY & DIRECTOR

    Total calculated
    $361,460
    From this org
    $338,674
    From related orgs
    $0
    Other
    $22,786
    Hours/week
    40 + 1 related

    Schedule J breakdown matched by us

    Base
    $165,667
    Bonus
    $171,495
    Other
    $1,512
    Deferred
    $6,883
    Nontaxable benefits
    $15,903
    Filer's total
    $361,460

  • DANIEL REAVEN MD

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • DIANE G HILL

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 2 related

  • JOHN L GATTA

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • LEAH MONTOYA

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • MAHALAKSHMI HALASYAMANI MD

    NS CMO/DIRECTOR

    Total calculated
    $1,571,227
    From this org
    $0
    From related orgs
    $1,175,239
    Other
    $395,988
    Hours/week
    1 + 40 related

    Schedule J breakdown matched by us

    Base
    $0 + $825,000 related
    Bonus
    $0
    Other
    $0 + $350,239 related
    Deferred
    $0 + $392,300 related
    Nontaxable benefits
    $0 + $3,688 related
    Filer's total
    $0 + $1,571,227 related

  • MARIA THOMPSON

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • MARLA F GLABE

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • MICHAEL D LEVON

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • MUKESH GANGWAL

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • NIMESH S JHAVERI

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • RICARDO KNIGHT MD

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • SEAN O'GRADY

    NS COO/DIRECTOR

    Total calculated
    $1,814,246
    From this org
    $0
    From related orgs
    $1,139,494
    Other
    $674,752
    Hours/week
    1 + 41 related

    Schedule J breakdown matched by us

    Base
    $0 + $1,084,939 related
    Bonus
    $0 + $45,000 related
    Other
    $0 + $9,555 related
    Deferred
    $0 + $639,146 related
    Nontaxable benefits
    $0 + $35,606 related
    Filer's total
    $0 + $1,814,246 related

  • SUSAN M GRAUNKE

    DIRECTOR

    Total calculated
    $0
    Hours/week
    1 + 1 related

  • CHRISTINE E ERDMANN

    CFO/TREASURER (AS OF 1/31/22)

    Total calculated
    $414,526
    From this org
    $403,978
    From related orgs
    $0
    Other
    $10,548
    Hours/week
    34 + 6 related

    Schedule J breakdown matched by us

    Base
    $306,274
    Bonus
    $95,500
    Other
    $2,204
    Deferred
    $0
    Nontaxable benefits
    $10,548
    Filer's total
    $414,526

  • DOUGLAS D WELDAY

    SYSTEM TREASURER AND CHIEF FINANCIAL OFFICER

    Total calculated
    $1,643,351
    From this org
    $0
    From related orgs
    $1,217,510
    Other
    $425,841
    Hours/week
    3 + 41 related

    Schedule J breakdown matched by us

    Base
    $0 + $837,005 related
    Bonus
    $0
    Other
    $0 + $380,505 related
    Deferred
    $0 + $392,300 related
    Nontaxable benefits
    $0 + $33,541 related
    Filer's total
    $0 + $1,643,351 related

  • JOHN L SKEANS

    CFO/TREASURER (TERM 1/31/22)

    Total calculated
    $813,183
    From this org
    $768,646
    From related orgs
    $0
    Other
    $44,537
    Hours/week
    34 + 6 related

    Schedule J breakdown matched by us

    Base
    $460,523
    Bonus
    $303,000
    Other
    $5,123
    Deferred
    $13,725
    Nontaxable benefits
    $30,812
    Filer's total
    $813,183

  • ALAN B LOREN MD

    EXEC VP CHIEF MEDICAL OFFICER (Term 1/31/22)

    Total calculated
    $748,152
    From this org
    $735,323
    From related orgs
    $0
    Other
    $12,829
    Hours/week
    37 + 3 related

    Schedule J breakdown matched by us

    Base
    $34,497
    Bonus
    $0
    Other
    $700,826
    Deferred
    $0
    Nontaxable benefits
    $12,829
    Filer's total
    $748,152

  • KIMBERLY MAGUIRE

    EXEC VP - PT SERV & CNO

    Total calculated
    $340,324
    From this org
    $312,034
    From related orgs
    $0
    Other
    $28,290
    Hours/week
    37 + 3 related

    Schedule J breakdown matched by us

    Base
    $309,360
    Bonus
    $0
    Other
    $2,674
    Deferred
    $3,271
    Nontaxable benefits
    $25,019
    Filer's total
    $340,324

  • MICHAEL C HARTKE

    EXEC VP/COO

    Total calculated
    $998,557
    From this org
    $951,411
    From related orgs
    $0
    Other
    $47,146
    Hours/week
    31 + 9 related

    Schedule J breakdown matched by us

    Base
    $578,063
    Bonus
    $370,448
    Other
    $2,900
    Deferred
    $13,725
    Nontaxable benefits
    $33,421
    Filer's total
    $998,557

  • THOMAS ORYSZCZAK

    EXEC VP CHIEF MEDICAL OFFICER (As of 1/31/22)

    Total calculated
    $580,753
    From this org
    $540,434
    From related orgs
    $0
    Other
    $40,319
    Hours/week
    37 + 3 related

    Schedule J breakdown matched by us

    Base
    $502,869
    Bonus
    $35,715
    Other
    $1,850
    Deferred
    $13,725
    Nontaxable benefits
    $26,594
    Filer's total
    $580,753

  • GLEN J MALAN

    VP INFO TECHNOLOGY & CIO

    Total calculated
    $509,957
    From this org
    $493,750
    From related orgs
    $0
    Other
    $16,207
    Hours/week
    37 + 3 related

    Schedule J breakdown matched by us

    Base
    $357,521
    Bonus
    $133,000
    Other
    $3,229
    Deferred
    $4,424
    Nontaxable benefits
    $11,783
    Filer's total
    $509,957

  • JOHN MATHAI

    DIR MEDICAL PHYSICS

    Total calculated
    $508,365
    From this org
    $476,843
    From related orgs
    $0
    Other
    $31,522
    Hours/week
    37 + 3 related

    Schedule J breakdown matched by us

    Base
    $376,067
    Bonus
    $100,000
    Other
    $776
    Deferred
    $0
    Nontaxable benefits
    $31,522
    Filer's total
    $508,365

  • RICHARD J CASEY

    VP HOSPITAL OPERATIONS

    Total calculated
    $476,490
    From this org
    $435,759
    From related orgs
    $0
    Other
    $40,731
    Hours/week
    37 + 3 related

    Schedule J breakdown matched by us

    Base
    $316,414
    Bonus
    $116,460
    Other
    $2,885
    Deferred
    $13,725
    Nontaxable benefits
    $27,006
    Filer's total
    $476,490

  • SUSAN E NELSON MD

    VP PHYSICIAN OPERATIONS

    Total calculated
    $728,048
    From this org
    $705,871
    From related orgs
    $0
    Other
    $22,177
    Hours/week
    37 + 3 related

    Schedule J breakdown matched by us

    Base
    $379,599
    Bonus
    $322,037
    Other
    $4,235
    Deferred
    $13,725
    Nontaxable benefits
    $8,452
    Filer's total
    $728,048

  • WILLIS PARSON

    VP SURGICAL SERVICES

    Total calculated
    $1,837,956
    From this org
    $1,796,618
    From related orgs
    $0
    Other
    $41,338
    Hours/week
    40

    Schedule J breakdown matched by us

    Base
    $1,789,178
    Bonus
    $0
    Other
    $7,440
    Deferred
    $13,725
    Nontaxable benefits
    $27,613
    Filer's total
    $1,837,956

  • EILEEN GILLESPIE

    FORMER EXE. VP/ CNO

    Total calculated
    $481,875
    From this org
    $468,751
    From related orgs
    $0
    Other
    $13,124
    Hours/week
    0

    Schedule J breakdown matched by us

    Base
    $20,943
    Bonus
    $0
    Other
    $447,808
    Deferred
    $0
    Nontaxable benefits
    $13,124
    Filer's total
    $481,875

Compensation is as filed in Part VII: reportable pay from this organization and from related organizations, other compensation, and hours per week. The total, marked calculated, is our sum of the three dollar columns, with a blank column counted as $0; the form itself has no total. On a Form 990-EZ the columns are Part IV's instead, and on a Form 990-PF Part VIII's — compensation, contributions to benefit plans, and expense account — and the total sums those. A Schedule J breakdown is as filed: base pay, bonus, other, deferred compensation and nontaxable benefits from this organization, with any from related organizations beside each, and the filer's own total. It is shown with the Part VII listing of the same name on the same return. The form gives no key between the two, so that pairing is ours, and is marked matched by us.

Schedule J

Answered yes

  • 4a · Severance or change-of-control payment
  • 4b · Supplemental nonqualified retirement plan
  • 7 · Other non-fixed payments

Answered no

  • 4c · Equity-based compensation arrangement
  • 5a · Pay contingent on this organization's revenues
  • 5b · Pay contingent on a related organization's revenues
  • 6a · Pay contingent on this organization's net earnings
  • 6b · Pay contingent on a related organization's net earnings
  • 8 · Paid under the initial-contract exception

The filer's explanations (Part III)

Schedule J, Part I, Line 3 Arrangement used to establish the top management official's compensation
A DETAILED COMPENSATION REVIEW OF THE TOP EXECUTIVES, INCLUDING THE CHIEF EXECUTIVE OFFICER, IS CONDUCTED ANNUALLY. MARKET DATA IS COLLECTED AND ASSESSED BY AN EXTERNAL INDEPENDENT COMPENSATION CONSULTANT WHO SPECIALIZES IN COMPENSATION CONSULTING WITHIN THE HEALTHCARE INDUSTRY. THE WORK PRODUCT FROM THIS STUDY IS REVIEWED SEPARATELY WITH NS-EE HOLDINGS' BOARD-RETAINED LEGAL COUNSEL. MARKET DATA FOR BASE AND VARIABLE COMPENSATION IS ASSESSED ANNUALLY FOR INTEGRATED DELIVERY SYSTEMS AND ACADEMIC MEDICAL CENTERS THAT ARE SIMILAR IN SIZE AND COMPLEXITY. THE MARKET ASSESSMENT INCLUDES ASSESSING JOB CONTENT IN ORDER TO MAKE APPROPRIATE MARKET DATA COMPARISONS. SPECIFIC RECOMMENDATIONS ARE THEN REVIEWED, DISCUSSED AND APPROVED AS APPROPRIATE WITH THE NS-EE HOLDINGS COMPENSATION COMMITTEE, IN SESSION WITH LEGAL COUNSEL PRESENT, IN ADVANCE OF IMPLEMENTATION.
Schedule J, Part I, Line 4a Severance or change-of-control payment
IN 2022, THE FOLLOWING INDIVIDUAL RECEIVED A SEVERANCE PAYMENT AS PART OF THEIR COMPENSATION ARRANGEMENT: Eileen Gillespie $397,717 Alan Loren: 622,044
Schedule J, Part I, Line 4b Supplemental nonqualified retirement plan
A 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 SERP AND EARNED UNVESTED BENEFITS DURING 2022 WHICH ARE REPORTED IN COLUMN (C): STEPHEN O. SCOGNA, $186,210 MICHAEL C. HARTKE $68,390 JOHN L. SKEANS $54,832 THE FOLLOWING INDIVIDUALS PARTICIPATED IN A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN WITH NORTHSHORE AND BELOW ARE THE INCREASES OR DECREASES TO THE PLAN BALANCES DURING 2022: GERALD P GALLAGHER $400,558 MAHALAKSHMI HALASYAMANI $114,959 SEAN O'GRADY $279,864 DOUGLAS D WELDAY $109,254 THE FOLLOWING INDIVIDUALS RECEIVED PAYMENTS FROM A SUPPLEMENTAL NONQUALIFIED RETIREMENT PLAN REPORTED AS TAXABLE COMPENSATION: GERALD P GALLAGHER $2,057,902 MAHALAKSHMI HALASYAMANI $337,081 DOUGLAS D WELDAY $360,309
Schedule J, Part I, Line 7 Non-fixed payments
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.

Part I's answers as filed. A line not listed was left unanswered; on lines 1a and 3 that means the box was not checked.

Grants on this return

Related organizations on this return

Schedule R Part II: tax-exempt organizations related to the filer by control. It does not record shared board members or money.

Taxable family on this return

Schedule R Parts I, III and IV, as filed. These record ownership and control, not shared board members or money moved.

Related partnerships

Part III: related organizations taxable as a partnership, with the filer's share.

Related corporations and trusts

Part IV: related organizations taxable as a corporation or trust.

Provenance

Return type
form_990
Tax year
2022
Filed
15 November 2023
IRS schema version
2022v5.0
Source object
202333199349308888

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