Form990
Department of the TreasuryInternal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private foundations)
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OMB No. 1545-0047
2019
Open to Public Inspection
A For the 2019 calendar year, or tax year beginning 09-01-2019 , and ending 08-31-2020
BCheck if applicable:
CName of organization
Northwestern Memorial HealthCare Group
 
 
Doing business as
 
 
Number and street (or P.O. box if mail is not delivered to street address)
541 N Fairbanks Ct Rm 1630
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
Chicago, IL606113319
D Employer identification number

36-4724966
E Telephone number

G Gross receipts $ 6,646,723,612
F Name and address of principal officer:
Dean M Harrison
251 E Huron
Chicago,IL606112908
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
www.NM.Org
H(a)
Is this a group return for
subordinates?
H(b)
Are all subordinates
included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet5878
K Form of organization:  
L Year of formation:  
M State of legal domicile:
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: THE PRIMARY MISSION OF THE NORTHWESTERN AFFILIATES INCLUDED IN THIS GROUP RETURN IS TO BE THE DESTINATION OF CHOICE FOR (CONTINUED IN SCHEDULE O)
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 162
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 123
5 Total number of individuals employed in calendar year 2019 (Part V, line 2a) ...... 5 28,681
6 Total number of volunteers (estimate if necessary) ............. 6 2,131
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 41,929,599
b Net unrelated business taxable income from Form 990-T, line 39 ......... 7b 8,659,084
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 65,076,110 331,593,048
9 Program service revenue (Part VIII, line 2g) ......... 6,329,403,735 6,195,701,814
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 10,101,791 36,789,528
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 76,512,620 77,233,759
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12) 6,481,094,256 6,641,318,149
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 18,804,578 25,913,616
14 Benefits paid to or for members (Part IX, column (A), line 4).....   0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 2,509,249,050 2,611,519,690
16a Professional fundraising fees (Part IX, column (A), line 11e) .....   0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet12,889,875    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 3,622,025,759 3,836,472,706
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 6,150,079,387 6,473,906,012
19 Revenue less expenses. Subtract line 18 from line 12....... 331,014,869 167,412,137
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 11,000,741,502 10,856,787,981
21 Total liabilities (Part X, line 26)............. 3,142,226,688 2,757,735,820
22 Net assets or fund balances. Subtract line 21 from line 20..... 7,858,514,814 8,099,052,161
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
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Signature of officer Date
JumboBullet
Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
Preparer's signature
Date
PTIN
Firm's name MediumBullet

Firm's EIN MediumBullet
Firm's address MediumBullet



Phone no.
May the IRS discuss this return with the preparer shown above? (see instructions) ..........
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y Form 990 (2019)
Form 990 (2019)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response or note to any line in this Part III..............
1
Briefly describe the organization’s mission: NORTHWESTERN MEMORIAL HEALTHCARE IS AN INTEGRATED HEALTHCARE SYSTEM, CONSISTING OF MULTIPLE HOSPITALS (INCLUDING NORTHWESTERN MEMORIAL HOSPITAL, AN ACADEMIC MEDICAL CENTER) AND NETWORKS OF PHYSICIANS AND HEALTHCARE PROFESSIONALS, WHERE THE PATIENT COMES FIRST. WE ARE AN ORGANIZATION OF CAREGIVERS WHO ASPIRE TO CONSISTENTLY HIGH STANDARDS OF QUALITY, COST-EFFECTIVENESS AND PATIENT SATISFACTION. WE SEEK TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE BY DELIVERING A BROAD RANGE OF SERVICES WITH SENSITIVITY TO THE INDIVIDUAL NEEDS OF OUR PATIENTS AND THEIR FAMILIES. WE ARE BONDED IN AN ESSENTIAL ACADEMIC AND SERVICE RELATIONSHIP WITH FEINBERG SCHOOL OF MEDICINE OF NORTHWESTERN UNIVERSITY. THE QUALITY OF OUR SERVICES IS ENHANCED THROUGH THEIR INTEGRATION WITH EDUCATION AND RESEARCH IN AN ENVIRONMENT THAT ENCOURAGES EXCELLENCE OF PRACTICE, CRITICAL INQUIRY AND LEARNING.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? .....................
If "Yes," describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program
services? ...........................
If "Yes," describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 4,838,448,609 including grants of $ 25,913,616 ) (Revenue $ 6,221,049,155 )
THE NMHC GROUP RETURN REFLECTS THE COMBINED INFORMATION AND OPERATIONS OF TWENTY-THREE TAX EXEMPT ORGANIZATIONS. THIS INCLUDES EIGHT HOSPITAL FACILITIES, TWO MEDICAL GROUPS, ONE FOUNDATION, AND VARIOUS OTHER RELATED ENTITIES SUPPORTING THE HEALTHCARE MISSION OF THE SYSTEM. NORTHWESTERN MEMORIAL HOSPITAL (EIN: 37-0960170) ("NMH") FOR MORE THAN 150 YEARS, NMH AND ITS PREDECESSOR INSTITUTIONS, PASSAVANT MEMORIAL AND WESLEY MEMORIAL HOSPITALS, HAVE SERVED THE RESIDENTS OF CHICAGO. THE COMMITMENT TO PROVIDE HEALTHCARE, REGARDLESS OF THE PATIENTS' ABILITY TO PAY, REACHES BACK TO THE FOUNDING PRINCIPLES OF PASSAVANT AND WESLEY AND CONTINUES TO BE INTEGRAL TO OUR MISSION TO PUT PATIENTS FIRST. NMH IS AN ACADEMIC MEDICAL CENTER (AMC) HOSPITAL AND SERVES AS THE PRIMARY TEACHING HOSPITAL FOR THE NORTHWESTERN UNIVERSITY FEINBERG SCHOOL OF MEDICINE ("FEINBERG"), WITH MORE THAN 4,866 PHYSICIANS ON THE MEDICAL STAFF, THE MAJORITY OF WHOM HAVE FACULTY APPOINTMENTS AT FEINBERG. NMH IS AMONG THE LIMITED NUMBER OF HOSPITALS IN THE UNITED STATES TO BE DESIGNATED AS A MAJOR TEACHING HOSPITAL BY THE ASSOCIATION OF AMERICAN MEDICAL COLLEGES (AAMC). ACCORDING TO THE AAMC, WHILE MAJOR TEACHING HOSPITALS REPRESENT ONLY 5 PERCENT OF ALL HOSPITALS, THEY ACCOUNT FOR 25 PERCENT AND 20 PERCENT OF ALL MEDICAID AND MEDICARE DISCHARGES, RESPECTIVELY, AS WELL AS PROVIDE 35 PERCENT OF THE COUNTRY'S CHARITY CARE. IN AGGREGATE, MAJOR TEACHING HOSPITALS SERVE A HIGHER PROPORTION OF LOW-INCOME, DUAL-ELIGIBLE, DISABLED AND MINORITY PATIENTS THAN OTHER HOSPITALS. AS AMCS SERVE AS MAJOR REFERRAL CENTERS AND HAVE VERY SPECIALIZED EXPERTISE, THEY PROVIDE CARE TO THOSE PATIENTS WHO ARE UNABLE TO SEEK NECESSARY CARE ELSEWHERE AND THEREFORE HAVE A PATIENT POPULATION THAT IS OFTEN MORE COMPLEX, SICKER AND MORE VULNERABLE THAN THE GENERAL PATIENT POPULATION. NMH IS A 943-BED, ADULT ACUTE CARE HOSPITAL LOCATED IN CHICAGO'S GROWING DOWNTOWN AREA AND SAW MORE THAN 42,600 ADULTS ADMITTED AS INPATIENTS IN FISCAL YEAR 2020. AS AN ADULT LEVEL I TRAUMA CENTER IN DOWNTOWN CHICAGO WITH 24/7 SERVICE, NMH HAD NEARLY 81,000 EMERGENCY DEPARTMENT (ED) VISITS IN FISCAL YEAR 2020. NMH IS ALSO THE ONLY AMC HOSPITAL IN CHICAGO PARTICIPATING IN BOTH CITY AND STATE LEVEL I TRAUMA NETWORKS AND AS A LEVEL III NEONATAL INTENSIVE CARE UNIT, ALLOWING US TO PROVIDE LIFESAVING CARE AND TREATMENT TO THE MOST SERIOUSLY INJURED ADULTS AND PREMATURE AND SICK INFANTS. NMH HAS THE LARGEST BIRTHING CENTER IN ILLINOIS, WITH MORE THAN 12,000 DELIVERIES IN FISCAL YEAR 2020. NORTHWESTERN MEDICINE CENTRAL DUPAGE HOSPITAL (EIN: 36-2513909) ("CDH") CDH HAS A RICH HISTORY OF CARING FOR ITS COMMUNITY. THE 392-BED, TERTIARY-CARE FACILITY LOCATED IN WINFIELD, ILLINOIS OFFERS EMERGENCY, INPATIENT AND OUTPATIENT CARE IN MEDICAL AND SURGICAL SERVICES, OBSTETRICS, PEDIATRICS, BEHAVIORAL HEALTH, CARDIOLOGY, NEUROLOGY AND ONCOLOGY TO RESIDENTS OF DUPAGE COUNTY AND SURROUNDING AREAS. CDH IS DESIGNATED AS A LEVEL II TRAUMA CENTER AND PROVIDES LEVEL III NEONATAL INTENSIVE CARE; CDH EMS SERVES AS A STATE-DESIGNATED RESOURCE HOSPITAL. IT IS ALSO A REGIONAL DESTINATION FOR ONCOLOGY, ORTHOPEDIC, PEDIATRIC AND CARDIOLOGY CARE. CANCER PATIENTS ARE OFFERED HIGHLY ADVANCED TREATMENT AT THE STATE'S FIRST AND ONLY PROTON THERAPY CENTER. MORE THAN 1,300 PHYSICIANS ARE ON THE MEDICAL STAFF AND ARE TRAINED IN MORE THAN 90 SPECIALTY AREAS. IN FISCAL YEAR 2020, CDH HAD MORE THAN 19,000 INPATIENT ADMISSIONS. CDH'S ED HAD NEARLY 65,000 VISITS IN FISCAL YEAR 2020. NORTHWESTERN LAKE FOREST HOSPITAL (EIN: 36-2179779) ("LFH") WITH ROOTS IN THE NORTHERN CHICAGO REGION, LFH WAS FOUNDED IN 1899 AS ALICE HOME ON THE CAMPUS OF LAKE FOREST COLLEGE. SINCE ITS FOUNDING, LFH HAS UPHELD THE PROMISE TO PROVIDE LAKE COUNTY RESIDENTS WITH CONVENIENT ACCESS TO QUALITY CARE SUPPORTED BY ADVANCED DIAGNOSTICS AND TECHNOLOGY. THE CURRENT LAKE FOREST HOSPITAL INCLUDES 114 PRIVATE INPATIENT ROOMS, 72 OUTPATIENT CARE SPACES, EIGHT OPERATING ROOMS AND 483,500 SQUARE FEET OF NEW CONSTRUCTION ON ITS 160-ACRE CAMPUS, OPENED IN FISCAL YEAR 2018. LFH SERVES THE LAKE COUNTY, ILLLINOIS AND KENOSHA COUNTY, WISCONSIN AREA. MORE THAN 900 PHYSICIANS OFFER LAKE COUNTY RESIDENTS CONVENIENT ACCESS TO ADVANCED DIAGNOSTIC AND SPECIALTY SERVICES. CARE IS PROVIDED THROUGH THE MAIN HOSPITAL CAMPUS IN SUBURBAN LAKE FOREST, ABOUT 30 MILES NORTH OF DOWNTOWN CHICAGO, AT LARGE OUTPATIENT FACILITIES IN GRAYSLAKE, ILLINOIS AND GLENVIEW, ILLINOIS AND AT FOUR IMMEDIATE CARE CENTERS. IN FISCAL YEAR 2020, LFH PROVIDED CARE FOR OVER 9,500 INPATIENT ADMISSIONS. LFH'S BOARD-CERTIFIED EMERGENCY PHYSICIANS AND TRAUMA-TRAINED NURSES PROVIDE TRAUMA AND EMERGENCY CARE TO PATIENTS THROUGH THE LEVEL II TRAUMA CENTER AT LFH AND A FREE-STANDING EMERGENCY ROOM AT THE GRAYSLAKE OUTPATIENT CENTER, WHICH TOGETHER HAD MORE THAN 51,000 EMERGENCY VISITS IN FISCAL YEAR 2020. LAUNCHED IN 2015, LFH SERVES AS THE HOME SITE FO THE NORTHWESTERN MCGAW FAMILY MEDICINE RESIDENCY PROGRAM. DURING FISCAL YEAR 2020, LFH LAUNCHED ITS NEW TRANSITIONAL CARE CLINIC TO PROVIDE MEDICAL AND PSYCHOSOCIAL SUPPORT TO PATIENTS WHO DO NOT HAVE A PRIMARY CARE PHYSICIAN AND FACE COMPLEX CHALLENGES NAVIGATING THE HEALTHCARE SYSTEM FOLLOWING AN INPATIENT OR EMERGENCY HEALTH EPISODE. LAKE FOREST HEALTH AND FITNESS INSTITUTE (EIN: 36-3835030) ("LFHFI") LFHFI WAS THE FITNESS CENTER LOCATED ON THE LFH HOSPITAL CAMPUS. AS OF SEPTEMBER 1, 2019, THE LEGAL ENTITY WAS MERGED WITH LFH WHILE THE FITNESS CENTER ACTIVITIES CONTINUE UNDER THE NORTHWESTERN MEDICINE LAKE FOREST HEALTH & FITNESS CENTER NAME. NORTHWESTERN MEMORIAL FOUNDATION (EIN: 35-3155315) ("NMF") NMF IS THE FUNDRAISING ARM OF THE HEALTH SYSTEM AND REPRESENTS THE COMBINED LEGACY OF THE HOSPITALS COMPRISING THE GROUP. NMF PROVIDES SUPPORT SYSTEMWIDE THROUGH THE CONTRIBUTIONS IT COLLECTS. NORTHWESTERN MEDICAL FACULTY FOUNDATION D/B/A NORTHWESTERN MEDICAL GROUP (EIN: 36-3097297) ("NMG") NORTHWESTERN MEDICAL GROUP IS A MULTISPECIALTY AND PRIMARY CARE PHYSICIAN PRACTICE WITH MORE THAN 1,300 PHYSICIANS AND 360 ADVANCED PRACTICE PROVIDERS WITH EXPERTISE IN MORE THAN 90 MEDICAL SPECIALTIES. SERVING ON THE FACULTY OF FEINBERG, PHYSICIANS CONTRIBUTE TO RESEARCH AND EDUCATION, AS WELL AS PROVIDE CLINICAL CARE. CENTRAL DUPAGE PHYSICIAN GROUP D/B/A NORTHWESTERN MEDICINE REGIONAL MEDICAL GROUP (EIN: 36-3149833) ("RMG" or "CDPG") CENTRAL DUPAGE PHYSICIAN GROUP IS A MULTI-SPECIALTY AND PRIMARY CARE NETWORK WITH MORE THAN 400 PHYSICIANS, INCLUDING 335 SPECIALISTS, WITH EXPERTISE IN OVER 60 SPECIALTIES. RMG OFFERS MORE THAN 90 PRACTICES IN 36 LOCATIONS THROUGHOUT CHICAGO'S WESTERN SUBURBS. DELNOR-COMMUNITY HOSPITAL (EIN: 36-3484281) ("DCH") DCH OPENED 75 YEARS AGO AS THE RESULT OF A COMMUNITY-LED EFFORT TO BUILD A FACILITY TO MEET THE GROWING HEALTHCARE NEEDS OF RESIDENTS OF KANE COUNTY. NOW A 159-BED ACUTE CARE FACILITY, DCH IS A RECOGNIZED LEADER IN CLINICAL QUALITY AND PATIENT-CENTERED CARE LOCATED 37 MILES WEST OF DOWNTOWN CHICAGO IN GENEVA, ILLINOIS. THE DCH MEDICAL STAFF INCLUDES NEARLY 700 PHYSICIANS IN 80 SPECIALTIES, PROVIDING COMPREHENSIVE MEDICAL CARE FOR ITS SURROUNDING COMMUNITIES. IN FISCAL YEAR 2020, DCH HAD MORE THAN 8,000 INPATIENT ADMISSIONS AND ITS ED HAD NEARLY 38,000 VISITS. KISHWAUKEE COMMUNITY HOSPITAL (EIN: 23-7087041) ("KCH") KCH IS LOCATED IN DEKALB, ILLINOIS AND SERVES AS AN ACUTE-CARE, 98-BED COMMUNITY HOSPITAL WITH AN ENDURING COMMITMENT TO THE RESIDENTS OF DEKALB COUNTY. THE HOSPITAL PROVIDES CARE THROUGH A BROAD RANGE OF SPECIALTIES AND UNIQUE SERVICES, INCLUDING THROUGH ITS INNOVATIVE BREASTFEEDING CENTER AND ITS NEW, STATE-OF-THE-ART HEALTH AND WELLNESS CENTER THAT OPENED IN 2018. THE KISHWAUKEE MEDICAL STAFF IS COMPOSED OF MORE THAN 300 PHYSICIANS WHO TREATED MORE THAN 4,900 INPATIENT ADMISSIONS AND MORE THAN 31,600 ED VISITS IN FISCAL YEAR 2020. VALLEY WEST COMMUNITY HOSPITAL (EIN: 36-4244337) ("VWCH") VWCH IS A CRITICAL-ACCESS, 25-BED HOSPITAL IN SANDWICH, ILLINOIS, SERVING THE FOX VALLEY COMMUNITY FOR MORE THAN 70 YEARS. MORE THAN 200 PHYSICIANS ARE ON STAFF WITH VALLEY WEST, REPRESENTING A WIDE RANGE OF SPECIALTIES. DURING FISCAL YEAR 2020, VALLEY WEST HAD APPROXIMATELY 700 INPATIENT ADMISSIONS AND MORE THAN 7,300 ED VISITS. AS A CRITICAL-ACCESS HOSPITAL WITHIN THE NORTHWESTERN MEDICINE SYSTEM, VALLEY WEST CREATES A SEAMLESS PATHWAY TO SPECIALTY CARE ACROSS THE SYSTEM AND GREATLY EXPANDING ACCESS TO CARE FOR THE RURAL COMMUNITY. IN FISCAL YEAR 2020, VWCH LAUNCHED THE HOMEWARD HEALING PROGRAM FOR PATIENTS WHO NEED SHORT-TERM, COMPREHENSIVE, SKILLED HEALTHCARE SERVICES AFTER AN ACUTE STAY IN THE HOSPITAL. THIS ALLOWS FOR ADDITIONAL CARE THAT CANNOT BE PROVIDED AT HOME AND WITHOUT HAVING TO BE TRANSFERRED TO A SKILLED NURSING FACILITY.
4b (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4c (Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
4d Other program services (Describe in Schedule O.)
(Expenses $   including grants of $   ) (Revenue $   )
4e Total program service expensesMediumBullet4,838,448,609
Form 990 (2019)
Form 990 (2019)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes," complete Schedule A.....................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors (see instructions)? ...
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If "Yes," complete Schedule C, Part I.............
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part II.........
4
Yes
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If "Yes," complete Schedule C, Part III..
5
 
 
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If "Yes," complete Schedule D, Part I.........................
6
Yes
 
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part II....
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes,"
complete Schedule D, Part III..............
8
Yes
 
9
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If "Yes," complete Schedule D, Part IV..............
9
 
No
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi endowments? If "Yes," complete Schedule D, Part V......
10
Yes
 
11
If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable.
a
Did the organization report an amount for land, buildings, and equipment in Part X, line 10? If "Yes," complete
Schedule D, Part VI. ...................
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VII.......
11b
 
No
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIII.......
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part IX............
11d
Yes
 
e
Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part X
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete Schedule D, Part X
11f
Yes
 
12a
Did the organization obtain separate, independent audited financial statements for the tax year? If "Yes," complete
Schedule D, Parts XI and XII......................
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If "Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States? .....
14a
 
No
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV.........
14b
Yes
 
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If “Yes,” complete Schedule F, Parts II and IV.....
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If “Yes,” complete Schedule F, Parts III and IV...
16
 
No
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I(see instructions) ....
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II............
18
Yes
 
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If "Yes," complete Schedule G, Part III...................
19
Yes
 
20a
Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H....
20a
Yes
 
b
If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return?
20b
Yes
 
21
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II.....
21
Yes
 
Form 990 (2019)
Form 990 (2019)
Page 4
Part IV
Checklist of Required Schedules (continued)
Yes
No
22
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........
22
Yes
 
23
Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5 about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If "Yes," complete Schedule J.......................
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25a...............
24a
 
No
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
 
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds? ...............
24c
 
 
d
Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year?...
24d
 
 
25a
Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part I ....
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If "Yes," complete Schedule L, Part I.......................
25b
 
No
26
Did the organization report any amount on Part X, line 5 or 22 for receivables from or payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part II...........
26
 
No
27
Did the organization provide a grant or other assistance to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or employee thereof, a grant selection committee member, or to a 35% controlled entity (including an employee thereof) or family member of any of these persons?
If "Yes," complete
Schedule L, Part III.........................
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, key employee, creator or founder, or substantial contributor? If "Yes," complete Schedule L, Part IV......................
28a
Yes
 
b
A family member of any individual described in line 28a? If "Yes," complete Schedule L, Part IV.....
28b
Yes
 
c
A 35% controlled entity of one or more individuals and/or organizations described in lines 28a or 28b? If "Yes," complete Schedule L, Part IV.....................
28c
Yes
 
29
Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M..
29
Yes
 
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes," complete Schedule M .................
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N, Part I
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes," complete Schedule N, Part II........................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If "Yes," complete Schedule R, Part I............
33
Yes
 
34
Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Part II, III, or IV, and Part V, line 1.........................
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
Yes
 
b
If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If "Yes," complete Schedule R, Part V, line 2 ...
35b
Yes
 
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If "Yes," complete Schedule R, Part V, line 2.............
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R, Part VI
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response or note to any line in this Part V...........
Yes
No
1a
Enter the number reported in Box 3 of Form 1096. Enter -0- if not applicable ..
1a
1,250
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable .
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
Form 990 (2019)
Form 990 (2019)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance (continued)
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return ..................
2a
28,681
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?...
3a
Yes
 
b
If “Yes,” has it filed a Form 990-T for this year? If “No” to line 3b, provide an explanation in Schedule O...
3b
Yes
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)? ..
4a
 
No
b
If "Yes," enter the name of the foreign country: MediumBullet
See instructions for filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR).
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year? ..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If "Yes," to line 5a or 5b, did the organization file Form 8886-T? ............
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions? ...
6a
 
No
b
If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible? ......................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor? ....................
7a
Yes
 
b
If "Yes," did the organization notify the donor of the value of the goods or services provided? .....
7b
Yes
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282? .........................
7c
 
No
d
If "Yes," indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract? ..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required? ......................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C? ..........................
7h
 
 
8
Sponsoring organizations maintaining donor advised funds. Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year? ........
8
 
No
9
Sponsoring organizations maintaining donor advised funds.
a
Did the sponsoring organization make any taxable distributions under section 4966?........
9a
 
No
b
Did the sponsoring organization make a distribution to a donor, donor advisor, or related person?...
9b
 
No
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If "Yes," enter the amount of tax-exempt interest received or accrued during the year.
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state? .........
Note. See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....
13b
 
c
Enter the amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation in Schedule O..
14b
 
 
15
Is the organization subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or excess parachute payment(s) during the year? ....................
If "Yes," see instructions and file Form 4720, Schedule N.
15
 
No
16
Is the organization an educational institution subject to the section 4968 excise tax on net investment income? ..
If "Yes," complete Form 4720, Schedule O.
16
 
No
Form 990 (2019)
Form 990 (2019)
Page 6
Part VI
Governance, Management, and Disclosure For each "Yes" response to lines 2 through 7b below, and for a "No" response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response or note to any line in this Part VI..............
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year
1a
162
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent
1b
123
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
Yes
 
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? .
4
Yes
 
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
Yes
 
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
Yes
 
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
Yes
 
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .......................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If "Yes," provide the names and addresses in Schedule O.......
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
 
No
b
If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
 
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If "No," go to line 13.......
12a
Yes
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe in Schedule O how this was done...................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line 15a or 15b, describe the process in Schedule O (see instructions).
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
Yes
 
b
If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
Yes
 
Section C. Disclosure
17
List the states with which a copy of this Form 990 is required to be filedMediumBullet
CA , FL , IL , KY , MD , MA , MN , NJ , OR , SC , WI
18
Section 6104 requires an organization to make its Form 1023 (or 1024-A if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, address, and telephone number of the person who possesses the organization's books and records:
MediumBulletRobert Gerecke541 N Fairbanks Rm 1639   Chicago,IL606113319 (312) 926-9495
Form 990 (2019)
Form 990 (2019)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response or note to any line in this Part VII..............
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

See instructions for the order in which to list the persons above.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(A)
Name and title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W-2/1099-MISC) 		(E)
Reportable compensation from related organizations (W-2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(1) Dean M Harrison
 
See Schedule O
 39.0
.................
1.0 		X   X       7,082,153 0 257,917
(2) DIANA KRAFT MD
 
See Schedule O
 1.0
.................
0 		X   X       0 0 0
(3) Emily J Kozak
 
See Schedule O
 37.0
.................
3.0 		X   X       461,776 0 58,721
(4) Eric G Neilson MD
 
See Schedule O
 40.0
.................
0 		X   X       1,083,218 0 39,452
(5) Forrest R Whittaker
 
See Schedule O
 4.0
.................
0 		X   X       0 0 0
(6) Glenn F Tilton
 
See Schedule O
 2.0
.................
0 		X   X       0 0 0
(7) HOMI B PATEL
 
See Schedule O
 2.0
.................
0 		X   X       0 0 0
(8) Howard B Chrisman MD
 
See Schedule O
 40.0
.................
0 		X   X       1,230,095 0 65,340
(9) Jay Anderson
 
See Schedule O
 40.0
.................
0 		X   X       923,670 0 135,459
(10) JOHN A CANNING
 
SEE SCHEDULE O
 1.0
.................
0 		X   X       0 0 0
(11) John A Orsini
 
See Schedule O
 39.0
.................
1.0 		X   X       1,644,261 0 219,569
(12) Julie L Creamer
 
See Schedule O
 40.0
.................
0 		X   X       1,760,447 0 44,448
(13) Kent Dauten
 
See Schedule O
 7.0
.................
0 		X   X       0 0 0
(14) Kevin P Poorten
 
See Schedule O
 37.0
.................
3.0 		X   X       1,083,315 0 258,125
(15) LEE M MITCHELL
 
See Schedule O
 1.0
.................
0 		X   X       0 0 0
(16) Matthew J Flynn
 
See Schedule O
 37.0
.................
3.0 		X   X       620,783 0 110,549
(17) Michael A Cullen
 
See Schedule O
 8.0
.................
0 		X   X       0 0 0
Form 990 (2019)
Form 990 (2019)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W-2/1099-MISC) 		(E)
Reportable compensation from related organizations (W-2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(18) Mike S Eesley
 
See Schedule O
 40.0
.......................0 		X   X       1,529,669 0 35,156
(19) Patrick Towne MD
 
See Schedule O
 40.0
.......................0 		X   X       905,333 0 141,742
(20) Thomas J McAfee
 
See Schedule O
 40.0
.......................0 		X   X       1,154,513 0 156,506
(21) W James McNerney Jr
 
SEE SCHEDULE O
 1.0
.......................0 		X   X       0 0 0
(22) William A Osborn
 
SEE SCHEDULE O
 1.0
.......................0 		X   X       0 0 0
(23) WILLIAM P FLESCH
 
SEE SCHEDULE O
 1.0
.......................0 		X   X       0 0 0
(24) Douglas Young
 
See Schedule O
 40.0
.......................0 		X         X 636,414 0 50,301
(25) Adam Cooper
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(26) Adam Hoeflich
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(27) Albert M Friedman
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(28) ALEXANDER D STUART
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(29) Amy S Paller MD
 
See Schedule O
 40.0
.......................0 		X           391,993 0 46,880
(30) Andrea Redmond-Ferguson
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(31) Andrea Zopp
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(32) Andrew G Bluhm
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(33) ANNE PRAMAGGIORE
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(34) Anthony Altimari MD
 
See Schedule O
 40.0
.......................0 		X           701,757 0 43,479
(35) Anthony B Davis
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(36) ANTHONY K KESMAN
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(37) Brett J Hart
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(38) Brett M Dale
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(39) Carol L Bernick
 
SEE SCHEDULE O
 1.0
.......................0 		X           0 0 0
(40) Catherine Kozik
 
See Schedule O
 5.0
.......................0 		X           0 0 0
(41) Charie A Zanck
 
See Schedule O
 5.0
.......................0 		X           0 0 0
(42) CHARLES M BRENNAN
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(43) Charles Mills
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(44) CHARLES Ruth
 
See Schedule O
 4.0
.......................0 		X           0 0 0
(45) Christine Leahy
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(46) Corinne J Wood
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(47) Craig T Collins
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(48) Dan A DeCanniere
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(49) Daniel Brat
 
See Schedule O
 40.0
.......................0 		X           366,238 0 9,626
(50) Daniel Campagna MD
 
See Schedule O
 4.0
.......................0 		X           0 0 0
(51) David R Casper
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(52) Dean Barrett
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(53) Debbie S Saran
 
See Schedule O
 2.0
.......................0 		X           0 0 0
(54) Dee A Manire
 
See Schedule O
 4.0
.......................0 		X           0 0 0
(55) DENNIS MUILENBERG
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(56) Desiree Rogers
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(57) Dolly Devara MD
 
See Schedule O
 40.0
.......................0 		X           615,428 0 44,337
(58) DONALD L THOMPSON
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(59) Douglas Bade
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(60) Douglas E Vaughan MD
 
See Schedule O
 40.0
.......................0 		X           567,198 0 27,352
(61) Edward T Tilly
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(62) Eric Ruth
 
SEE SCHEDULE O
 1.0
.......................0 		X           0 0 0
(63) FREDERICK H WADDELL
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(64) Gary Evans
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(65) Greg Smith
 
See Schedule O
 3.0
.......................0 		X           0 0 0
(66) J Christopher Reyes
 
SEE SCHEDULE O
 1.0
.......................0 		X           0 0 0
(67) Jagdish R Patel MD
 
See Schedule O
 40.0
.......................0 		X           374,554 0 25,814
(68) James A Gordon
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(69) James C Murray III
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(70) JAMES P ZALLIE
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(71) James T Glerum
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(72) James Thorpe
 
See Schedule O
 5.0
.......................0 		X           0 0 0
(73) Jane D Pigott
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(74) Jane Lux
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(75) Jason Tyler
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(76) Jay L Kloosterboer
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(77) JC Gonzalez-Mendez
 
See Schedule O
 5.0
.......................0 		X           0 0 0
(78) Jill Holden MD
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(79) John A Kessler MD
 
See Schedule O
 1.0
.......................0 		X           39,938 0 19,427
(80) John F Podjasek
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(81) JOHN H DICK
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(82) John R Ettelson
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(83) Joseph D Mansueto
 
SEE SCHEDULE O
 1.0
.......................0 		X           0 0 0
(84) JOSEPH F DAMICO
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(85) Judy P Greffin
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(86) Julie Lampert
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(87) Justin Gent MD
 
See Schedule O
 40.0
.......................0 		X           809,185 0 38,938
(88) Karen R Mills
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(89) Keating Crown
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(90) KERMIT R CRAWFORD
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(91) Kevin Most DO
 
See Schedule O
 40.0
.......................0 		X           627,748 0 56,025
(92) Kevin P Bethke
 
See Schedule O
 40.0
.......................0 		X           699,209 0 19,343
(93) LARRY D RICHMAN
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(94) Leonidas C Plantanias MD PhD
 
See Schedule O
 40.0
.......................0 		X           133,189 0 9,328
(95) Linda Johnson Rice
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(96) Lisa M Giles
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(97) Mahesh Ramachandran MD
 
See Schedule O
 40.0
.......................0 		X           438,588 0 43,098
(98) Manny Favela
 
SEE SCHEDULE O
 1.0
.......................0 		X           0 0 0
(99) Marc S Schulman
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(100) MARC STRAUSS
 
See Schedule O
 5.0
.......................0 		X           0 0 0
(101) Mark Cozzi
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(102) Mary Beth Richmond MD
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(103) Matthew S Darnall
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(104) Michael F DeSantiago
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(105) Michael G O'Grady
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(106) Michael J Kachmer
 
SEE SCHEDULE O
 1.0
.......................0 		X           0 0 0
(107) Michael W Ferro
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(108) Michael-Dean Chorneyko
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(109) Morton O Schapiro
 
SEE SCHEDULE O
 1.0
.......................0 		X           0 0 0
(110) Muneer A Satter
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(111) Nicholas D Chabraja
 
SEE SCHEDULE O
 1.0
.......................0 		X           0 0 0
(112) Nicholas J Volpe MD
 
See Schedule O
 40.0
.......................0 		X           552,224 0 44,393
(113) Patricia A Woertz
 
SEE SCHEDULE O
 1.0
.......................0 		X           0 0 0
(114) Paula Dorion-Gray
 
See Schedule O
 4.0
.......................0 		X           0 0 0
(115) Pedro DeJesus
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(116) Peter Bernick
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(117) PETER D CRIST
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(118) Peter K Whinfrey
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(119) Peter S Hurst BDS
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(120) Phebe N Novakovic
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(121) Reeve Waud
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(122) Ricardo Meza
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(123) Richard A Davis
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(124) Richard H Lenny
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(125) Richard Melman
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(126) Richard S Price
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(127) Robert A Sullivan
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(128) Robert J Parkinson Jr
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(129) Robert J Stucker
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(130) Roberto R Herencia
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(131) Roger L Benson
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(132) Ron M Saslow
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(133) Samuel C Scott III
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(134) Sandra L Helton
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(135) Scott C Smith
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(136) Scott Helm MD
 
See Schedule O
 40.0
.......................0 		X           232,574 0 0
(137) SEAN M CONNOLLY
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(138) Shawn M Donnelly
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(139) Shelia G Talton
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(140) Stephen Crawford
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(141) Stephen Davis
 
See Schedule O
 5.0
.......................0 		X           0 0 0
(142) TERRANCE D PEABODY MD
 
See Schedule O
 40.0
.......................0 		X           811,524 0 46,940
(143) Terrence Bugno MD
 
SEE SCHEDULE O
 1.0
.......................0 		X           0 0 0
(144) Thomas F Quinn
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(145) Thomas Matya
 
See Schedule O
 6.0
.......................0 		X           0 0 0
(146) Timothy P Moen
 
See Schedule O
 5.0
.......................0 		X           0 0 0
(147) Timothy P Sullivan
 
SEE SCHEDULE O
 1.0
.......................0 		X           0 0 0
(148) Todd Barrowclift DO
 
See Schedule O
 40.0
.......................0 		X           231,456 0 41,216
(149) Tom Carey
 
See Schedule O
 4.0
.......................0 		X           0 0 0
(150) Trina Gordon McCallister
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(151) WILLARD M HUNTER
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(152) WILLIAM A VONHOENE
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(153) William Busse
 
See Schedule O
 4.0
.......................0 		X           0 0 0
(154) William C Kunkler
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(155) WILLIAM D PEREZ
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(156) William F Cunningham
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(157) WILLIAM G DALUGA
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(158) WILLIAM J BRODSKY
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(159) William M Daley
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(160) William S Goldberg
 
See Schedule O
 1.0
.......................0 		X           0 0 0
(161) Brian J Lemon
 
See Schedule O
 39.0
.......................1.0 		    X       1,013,054 0 45,613
(162) Connie Falcone
 
See Schedule O
 40.0
.......................0 		    X       570,079 0 50,970
(163) Danae K Prousis
 
See Schedule O
 40.0
.......................0 		    X       1,208,326 0 26,598
(164) Edward J Wehmer
 
See Schedule O
 1.0
.......................0 		    X       0 0 0
(165) Leah V Hobson
 
See Schedule O
 40.0
.......................0 		    X       440,504 0 65,093
(166) Maureen Bryant
 
See Schedule O
 40.0
.......................0 		    X       762,654 0 25,957
(167) Aaron Bare
 
See Schedule O
 40.0
.......................0 		        X   1,182,424 0 48,380
(168) Harish Shownkeen
 
See Schedule O
 40.0
.......................0 		        X   1,674,877 0 37,779
(169) PATRICK MCCARTHY MD
 
SEE SCHEDULE O
 40.0
.......................0 		        X   2,270,376 0 72,748
(170) Sharif Zubair
 
See Schedule O
 40.0
.......................0 		        X   1,186,827 0 44,615
(171) William Bower
 
See Schedule O
 40.0
.......................0 		        X   1,204,635 0 43,165
(172) Denise Majeski
 
See Schedule O
 40.0
.......................0 		          X 363,297 0 28,294
(173) Elizabeth Rosenberg
 
See Schedule O
 40.0
.......................0 		          X 1,118,692 0 177,938
(174) Gary Noskin MD
 
SEE SCHEDULE O
 1.0
.......................0 		          X 752,139 0 138,003
(175) James Adams
 
See Schedule O
 40.0
.......................0 		          X 928,491 0 80,946
(176) James Giblin
 
See Schedule O
 40.0
.......................0 		          X 837,791 0 146,624
(177) Maureen Taus
 
SEE SCHEDULE O
 40.0
.......................0 		          X 526,397 0 65,245
(178) Michael Vivoda
 
See Schedule O
 40.0
.......................0 		          X 721,725 0 48,408
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)...........MediumBullet 44,470,740 0 3,235,858
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organization MediumBullet4,258
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If "Yes," complete Schedule J for such individual ..............
3
Yes
 
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If "Yes," complete Schedule J for such
individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If "Yes," complete Schedule J for such person ........
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address 		(B)
Description of services 		(C)
Compensation
SKENDER CONSTRUCTION

200 W MADISON SUITE 1300
CHICAGO,IL60606 		CONSTRUCTION 48,435,131
NTHRIVE REVENUE SYSTEMS LLC

100 North Point Center
East Suite 200
Alpharetta,GA30009 		REVENUE CYCLE MANAGEMENT COMPANY 26,521,864
BULLEY & ANDREWS LLC

1453 W 38th St
CHICAGO,IL60609 		CONSTRUCTION SERVICES 25,644,317
LO DESTRO CONSTRUCTION COMPANY

211 E Ontario St 500
CHICAGO,IL60604 		CONSTRUCTION SERVICES 22,488,697
CB RICHARD ELLIS INC

205 W WACKER DRIVE
CHICAGO,IL60606 		PROPERTY MANAGEMENT 19,302,749
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet774
Form 990 (2019)
Form 990 (2019)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII.............
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512 - 514
Contributions, Gifts, GrantAmt and OtherAmt Similar Amounts 1a Federated campaigns..1a 0
b Membership dues..1b 0
c Fundraising events..1c 1,013,355
d Related organizations1d 0
e Government grants (contributions)1e 281,516,612
f All other contributions, gifts, grants, and similar amounts not included above1f 49,063,081
g Noncash contributions included in lines 1a - 1f:$ 1g 6,861,444
h Total. Add lines 1a-1f.......MediumBullet 331,593,048
Program Service RevenueAmt Business Code
2a NMH-PATIENT SERVICE AND OTHER REVENUE 621990 2,126,629,908 2,124,834,668 1,795,240  
b CDH-PATIENT SERVICE AND OTHER REVENUE 621990 1,085,755,325 1,051,782,350 33,972,975  
c NMG-PATIENT SERVICE AND OTHER REVENUE 621110 1,092,062,512 1,092,062,512    
d NIMC-PATIENT SERVICE AND OTHER REVENUE 621990 401,701,869 401,698,620 3,249  
e NLFHPATIENT SERVICE AND OTHER REVENUE 621990 390,237,184 390,218,346 18,838  
f All other program service revenue. 1,099,315,016 1,097,178,928 2,136,088 0
g Total. Add lines 2a–2f .....MediumBullet 6,195,701,814
OtherAmtRevenueAmt 3 Investment income (including dividends, interest, and othersimilar amounts) ......MediumBullet 6,998,768   1,150,017 5,848,751
4 Income from investment of tax-exempt bond proceedsMediumBullet        
5 Royalties...........MediumBullet        
(ii) Personal (i) Real
6a Gross rents   50,356,675 6a
b Less: rental expenses     6b
c Rental income or (loss) 0 50,356,675 6c
d Net rental income or (loss).......MediumBullet 50,356,675   1,255,373 49,101,302
(ii) Other (i) Securities
7a Gross amount from sales of assets other than inventory   34,456,610 7a
b Less: cost or other basis and sales expenses   4,665,850 7b
c Gain or (loss) 0 29,790,760 7c
d Net gain or (loss).........MediumBullet 29,790,760     29,790,760
8a Gross income from fundraising events (not including $ 1,013,355of contributions reported on line 1c). See Part IV, line 18 ....
8a 98,462
b Less: direct expenses ... 8b 366,205
c Net income or (loss) from fundraising events..MediumBullet -267,743   -267,743
9a Gross income from gaming activities.
See Part IV, line 19 ...
9a 36,465
b Less: direct expenses ... 9b 22,922
c Net income or (loss) from gaming activities..MediumBullet 13,543     13,543
10a Gross sales of inventory, less
returns and allowances ..
10a 536,610
b Less: cost of goods sold .. 10b 350,486
c Net income or (loss) from sales of inventory..MediumBullet 186,124     186,124
Business Code Miscellaneous Revenue
11a PROFESSIONAL SERVICE FEES 561000 8,979,079 8,979,079    
b PARKING REVENUE 812930 10,825,164 9,368,330 1,456,834  
c PROFESSIONAL SERVICES TO AFFILIATE 561000 4,469,305 4,469,305    
d All other revenue .... 2,671,612 2,530,627 140,985 0
e Total. Add lines 11a–11d ...... MediumBullet 26,945,160
12 Total revenue. See instructions.....MediumBullet 6,641,318,149 6,183,122,765 41,929,599 84,672,737
Form 990 (2019)
Form 990 (2019)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).Check if Schedule O contains a response or note to any line in this Part IX..............
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII. 		(A)
Total expenses 		(B)
Program service expenses 		(C)
Management and general expenses 		(D)
Fundraising
expenses
1 Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 .... 24,428,608 24,428,608
2 Grants and other assistance to domestic individuals. See Part IV, line 22 ........... 1,485,008 1,485,008
3 Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............    
4 Benefits paid to or for members .......    
5 Compensation of current officers, directors, trustees, and key employees ........... 36,419,752 32,737,715 3,550,926 131,111
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) ......... 8,255,597 7,420,956 804,921 29,720
7 Other salaries and wages........ 2,112,468,629 1,898,898,051 205,965,691 7,604,887
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 78,854,125 70,881,973 7,688,277 283,875
9 Other employee benefits ....... 242,638,900 218,108,107 23,657,293 873,500
10 Payroll taxes ........... 132,882,687 119,448,247 12,956,062 478,378
11 Fees for services (non-employees):        
a Management ...... 1,130,033,417   1,130,033,417  
b Legal ......... 474,701   474,701  
c Accounting ........... 1,623,964   1,623,964  
d Lobbying ........... 339,577 339,577    
e Professional fundraising services. See Part IV, line 17    
f Investment management fees ......        
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) 353,060,886 265,679,029 85,683,057 1,698,800
12 Advertising and promotion .... 3,470,042 416,211 2,970,550 83,281
13 Office expenses ....... 46,518,651 37,304,406 8,981,652 232,593
14 Information technology ...... 5,349,598 1,096,894 3,963,826 288,878
15 Royalties ..        
16 Occupancy ........... 254,867,645 147,509,130 106,848,780 509,735
17 Travel ............ 4,176,974 3,214,034 921,170 41,770
18 Payments of travel or entertainment expenses for any federal, state, or local public officials .        
19 Conferences, conventions, and meetings .... 7,950,459 2,912,921 4,608,215 429,323
20 Interest ........... 92,010 91,972 38  
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization .. 271,028,600 259,372,035 11,586,098 70,467
23 Insurance ... 156,549,706 148,899,927 7,621,600 28,179
24 Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a Medical Supplies 1,254,092,314 1,254,092,314    
b Medicaid Tax 157,278,792 157,278,792    
c Bad Debt 172,897,800 172,897,800    
d Income Taxes 3,816,540 3,816,540    
e All other expenses 12,851,030 10,118,362 2,627,290 105,378
25 Total functional expenses. Add lines 1 through 24e 6,473,906,012 4,838,448,609 1,622,567,528 12,889,875
26 Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here MediumBullet if following SOP 98-2 (ASC 958-720).        
Form 990 (2019)
Form 990 (2019)
Page 11
Part X
Balance Sheet
Check if Schedule O contains a response or note to any line in this Part IX..............
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash–non-interest-bearing ........   1 2,002,616,147
2 Savings and temporary cash investments ......... 1,517,486,157 2 6,387,372
3 Pledges and grants receivable, net ...... 47,663,590 3 42,551,748
4 Accounts receivable, net ............. 858,258,370 4 664,752,615
5 Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
175,000 5 0
6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
0 6 0
7 Notes and loans receivable, net ........... 1,730,393 7 1,090,374
8 Inventories for sale or use ............ 89,053,889 8 104,357,784
9 Prepaid expenses and deferred charges ...... 94,285,383 9 104,132,692
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 6,139,806,932
b Less: accumulated depreciation 10b 2,409,114,656 3,611,639,201 10c 3,730,692,276
11 Investments—publicly traded securities .   11  
12 Investments—other securities. See Part IV, line 11 ..... 0 12  
13 Investments—program-related. See Part IV, line 11 .. 50,191,970 13 47,856,158
14 Intangible assets ............... 33,305,177 14 34,002,558
15 Other assets. See Part IV, line 11 ........... 4,696,952,372 15 4,118,348,257
16 Total assets. Add lines 1 through 15 (must equal line 33)... 11,000,741,502 16 10,856,787,981
Liabilities 17 Accounts payable and accrued expenses ..... 401,578,003 17 432,912,972
18 Grants payable ... 60,378,158 18 50,923,165
19 Deferred revenue ......... 11,749,254 19 3,287,981
20 Tax-exempt bond liabilities ......... 595,428,068 20 0
21 Escrow or custodial account liability. Complete Part IV of Schedule D   21  
22 Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
0 22 0
23 Secured mortgages and notes payable to unrelated third parties ..   23  
24 Unsecured notes and loans payable to unrelated third parties ..   24  
25 Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17 - 24). Complete Part X of Schedule D 2,073,093,205 25 2,270,611,702
26 Total liabilities. Add lines 17 through 25.. 3,142,226,688 26 2,757,735,820
Net Assets or Fund Balance Organizations that follow FASB ASC 958, check here MediumBullet and complete lines 27, 28, 32, and 33.
27 Net assets without donor restrictions .......... 7,404,291,381 27 7,644,828,727
28 Net assets with donor restrictions ........... 454,223,433 28 454,223,434
Organizations that do not follow FASB ASC 958, check here MediumBullet and complete lines 29 through 33.
29 Capital stock or trust principal, or current funds .....   29  
30 Paid-in or capital surplus, or land, building or equipment fund ...   30  
31 Retained earnings, endowment, accumulated income, or other funds   31  
32 Total net assets or fund balances ........... 7,858,514,814 32 8,099,052,161
33 Total liabilities and net assets/fund balances ........ 11,000,741,502 33 10,856,787,981
Form 990 (2019)
Form 990 (2019)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response or note to any line in this Part XI..............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
6,641,318,149
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
6,473,906,012
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
167,412,137
4
Net assets or fund balances at beginning of year (must equal Part X, line 32, column (A)) ..
4
7,858,514,814
5
Net unrealized gains (losses) on investments ...............
5
436,529
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
72,688,681
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 32, column (B))
10
8,099,052,161
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response or note to any line in this Part XII.............
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?
2a
 
No
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If "Yes," to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133?
3a
Yes
 
b
If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits.
3b
Yes
 
Form 990 (2019)
Form 990 (2019)
Additional Data


Software ID: 19010655
Software Version: 2019v5.0
Form 990, Special Condition Description:
Special Condition Description