Instrumentl eFile Render
Object ID: 202111959349300416 - Rendered 2024-05-07
TIN: 36-4724966
SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
Attach to Form 990.
Go to
www.irs.gov/Form990
for instructions and the latest information.
OMB No. 1545-0047
20
19
Open to Public Inspection
Name of the organization
Northwestern Memorial HealthCare Group
Employer identification number
36-4724966
Part I
Identification of Disregarded Entities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 33.
(a)
Name, address, and EIN (if applicable) of disregarded entity
(b)
Primary activity
(c)
Legal domicile (state
or foreign country)
(d)
Total income
(e)
End-of-year assets
(f)
Direct controlling
entity
(1)
ILLINOIS PROTON CENTER LLC
541 N Fairbanks Ct
Rm 1630
CHICAGO
,
IL
60611
26-0876468
HEALTHCARE
DE
29,944,146
78,887,086
CENTRAL DUPAGE HOSPITAL
(2)
CENTEGRA HEALTH BRIDGE FITNESS CENTER LLC
541 N Fairbanks Ct
Rm 1630
CHICAGO
,
IL
60611
26-1277524
HEALTHCARE
DE
3,701,660
108,274
HEALTH BRIDGE CORPORATION
(3)
NORTHWESTERN MEDICINE ACO LLC
541 N Fairbanks Ct
Rm 1630
CHICAGO
,
IL
60611
35-2507700
HEALTHCARE
IL
NORTHWESTERN MEDICINE PHYSICIAN NETWORK LLC
(4)
CENTEGRA PRIMARY CARE LLC
541 N Fairbanks Ct
Rm 1630
CHICAGO
,
IL
60611
36-4085398
HEALTHCARE
DE
2,427,235
0
CENTEGRA HEALTH SYSTEM
(5)
CENTEGRA HEALTH & WELLNESS NETWORK LLC
541 N Fairbanks Ct
Rm 1630
CHICAGO
,
IL
60611
36-4740459
HEALTHCARE
DE
NORTHWESTERN MEDICINE PHYSICIAN NETWORK
(6)
CADENCE AMBULATORY SURGERY CENTER LLC
541 N Fairbanks Ct
Rm 1630
CHICAGO
,
IL
60611
80-0838376
HEALTHCARE
IL
10,535,653
28,577,791
CENTRAL DUPAGE HOSPITAL
(7)
NORTHWESTERN MEDICINE INNOVATION LLC
541 N Fairbanks Ct
Rm 1630
CHICAGO
,
IL
60611
84-1833690
INVESTING
IL
NORTHWESTERN MEDICINE HOLDINGS CO
(8)
NORTHWESTERN MEDICINE INSURANCE CO LLC
541 N Fairbanks Ct
Rm 1630
CHICAGO
,
IL
60611
84-2020413
RISK TRANSFER
DC
NORTHWESTERN MEMORIAL HEALTHCARE
(9)
NORTHWESTERN HOSPITALITY LLC
541 N Fairbanks Ct
Rm 1630
CHICAGO
,
IL
60611
84-2302820
MANAGEMENT
IL
NORTHWESTERN MEDICINE HOLDINGS CO
(10)
NORTHWESTERN MEDICINE PHYSICIAN NETWORK LLC
541 N Fairbanks Ct
Rm 1630
CHICAGO
,
IL
60611
90-0917479
HEALTHCARE
IL
NORTHWESTERN MEMORIAL HEALTHCARE
Part II
Identification of Related Tax-Exempt Organizations.
Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.
(a)
Name, address, and EIN of related organization
(b)
Primary activity
(c)
Legal domicile (state
or foreign country)
(d)
Exempt Code section
(e)
Public charity status
(if section 501(c)(3))
(f)
Direct controlling
entity
(g)
Section 512(b)(13) controlled entity?
Yes
No
(1)
KISHWAUKEE COMMUNITY HOSPITAL
541 N FAIRBANKS CT
Rm 1630
CHICAGO
,
IL
60611
23-7087041
HOSPITAL
IL
501(c)(3)
3
KISHHEALTH SYSTEM
Yes
(2)
MEMORIAL MEDICAL CENTER-WOODSTOCK
541 N FAIRBANKS CT
Rm 1630
CHICAGO
,
IL
60611
36-2179764
HOSPITAL
IL
501(c)(3)
3
NIMC
Yes
(3)
NORTHWESTERN LAKE FOREST HOSPITAL
541 N FAIRBANKS CT
Rm 1630
CHICAGO
,
IL
60611
36-2179779
HOSPITAL
IL
501(c)(3)
3
NMHC
Yes
(4)
NORTHERN ILLINOIS MEDICAL CENTER
541 N FAIRBANKS CT
Rm 1630
CHICAGO
,
IL
60611
36-2338884
HOSPITAL
IL
501(c)(3)
3
CENTEGRA HEALTH SYSTEM
Yes
(5)
CENTRAL DUPAGE HOSPITAL ASSOCIATION
541 N FAIRBANKS CT
Rm 1630
CHICAGO
,
IL
60611
36-2513909
HOSPITAL
IL
501(c)(3)
3
NMHC
Yes
(6)
MARIANJOY REHABILITATION HOSPITAL & CLINICS INC
541 N FAIRBANKS CT
Rm 1630
CHICAGO
,
IL
60611
36-2680776
HOSPITAL
IL
501(c)(3)
3
NMHC
Yes
(7)
NORTHWESTERN MEDICAL FACULTY FOUNDATION
541 N FAIRBANKS CT
Rm 1630
CHICAGO
,
IL
60611
36-3097297
HEALTHCARE
IL
501(c)(3)
3
NMHC
Yes
(8)
CENTRAL DUPAGE PHYSICIAN GROUP
541 N FAIRBANKS CT
Rm 1630
CHICAGO
,
IL
60611
36-3149833
HEALTHCARE
IL
501(c)(3)
10
NMHC
Yes
(9)
NORTHWESTERN MEMORIAL HEALTHCARE
541 N FAIRBANKS CT
Rm 1630
CHICAGO
,
IL
60611
36-3152959
MANAGEMENT
IL
501(c)(3)
Type III-FI
NA
No
(10)
NORTHWESTERN MEMORIAL FOUNDATION
541 N FAIRBANKS CT
Rm 1630
CHICAGO
,
IL
60611
36-3155315
FUNDRAISING
IL
501(c)(3)
7
NMHC
Yes
(11)
DEKALB COUNTY HOSPICE INC
541 N FAIRBANKS CT
Rm 1630
CHICAGO
,
IL
60611
36-3164329
HOSPICE
IL
501(c)(3)
7
KISHHEALTH SYSTEM
Yes
(12)
HEALTH BRIDGE CORPORATION
541 N FAIRBANKS CT
Rm 1630
CHICAGO
,
IL
60611
36-3196550
HEALTH
IL
501(c)(3)
10
CENTEGRA HEALTH SYSTEM
Yes
(13)
CENTEGRA HEALTH SYSTEM
541 N FAIRBANKS CT
Rm 1630
CHICAGO
,
IL
60611
36-3196559
MANAGEMENT
IL
501(c)(3)
10
NMHC
Yes
(14)
REHABILITATION MEDICINE CLINIC INC
541 N FAIRBANKS CT
Rm 1630
CHICAGO
,
IL
60611
36-3236791
HOSPITAL
IL
501(c)(3)
3
NMHC
Yes
(15)
DELNOR-COMMUNITY HOSPITAL
541 N FAIRBANKS CT
Rm 1630
CHICAGO
,
IL
60611
36-3484281
HOSPITAL
IL
501(c)(3)
3
NMHC
Yes
(16)
KISHHEALTH SYSTEM
541 N FAIRBANKS CT
Rm 1630
CHICAGO
,
IL
60611
36-3649080
MANAGEMENT
IL
501(c)(3)
Type II
NMHC
Yes
(17)
PAHCS II
541 N FAIRBANKS CT
Rm 1630
CHICAGO
,
IL
60611
36-3887234
OCCUPATIONAL HEALTH
IL
501(c)(3)
10
NMHC
Yes
(18)
MARIANJOY REHABILITATION CENTER AUXILIARY
541 N FAIRBANKS CT
Rm 1630
CHICAGO
,
IL
60611
36-3896976
SUPPORTING
IL
501(c)(3)
Type I
MARIANJOY
Yes
(19)
VALLEY WEST COMMUNITY HOSPITAL
541 N FAIRBANKS CT
Rm 1630
CHICAGO
,
IL
60611
36-4244337
HOSPITAL
IL
501(c)(3)
3
KISHHEALTH SYSTEM
Yes
(20)
CENTRAL DUPAGE SPECIAL HEALTH ASSOC
541 N FAIRBANKS CT
Rm 1630
CHICAGO
,
IL
60611
36-4310557
PHARMACY
IL
501(c)(3)
10
NMHC
Yes
(21)
COMMUNITY NURSING SERVICE OF DUPAGE COUNTY
541 N FAIRBANKS CT
Rm 1630
CHICAGO
,
IL
60611
36-6080833
HOME HEALTH
IL
501(c)(3)
10
NMHC
Yes
(22)
NORTHWESTERN MEMORIAL HOSPITAL
541 N FAIRBANKS CT
Rm 1630
CHICAGO
,
IL
60611
37-0960170
HOSPITAL
IL
501(c)(3)
3
NMHC
Yes
(23)
KISHHEALTH SYSTEM HOME CARE
541 N FAIRBANKS CT
Rm 1630
CHICAGO
,
IL
60611
37-1703513
HOME HEALTH
IL
501(c)(3)
3
KISHHEALTH SYSTEM
Yes
(24)
CENTEGRA HOSPITAL HUNTLEY HOLDINGS
541 N FAIRBANKS CT
Rm 1630
CHICAGO
,
IL
60611
45-3449737
SUPPORTING
IL
501(c)(3)
Type I
CENTEGRA HEALTH SYSTEM
Yes
(25)
DEKALB BEHAVIORAL HEALTH FOUNDATION INC
541 N FAIRBANKS CT
Rm 1630
CHICAGO
,
IL
60611
47-4579189
BEHAVIORAL HEALTH
IL
501(c)(3)
3
KISHHEALTH SYSTEM
Yes
(26)
AUXILIARY BOARD OF NORTHWESTERN MEMORIAL HOSPITAL
541 N FAIRBANKS CT
Ste 800
CHICAGO
,
IL
60611
23-7241270
SUPPORTING
IL
501(c)(3)
Type I
NA
No
(27)
MCGAW MEDICAL CENTER NORTHWESTERN UNIV
420 E SUPERIOR ST
Ste 9 900
CHICAGO
,
IL
60611
36-2656113
SUPPORTING
IL
501(c)(3)
Type I
NA
No
(28)
FRIENDS OF PRENTICE
251 E HURON
CHICAGO
,
IL
60611
36-3930139
SUPPORTING
IL
501(c)(3)
Type III-O
NA
No
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2019
Schedule R (Form 990) 2019
Page
2
Part III
Identification of Related Organizations Taxable as a Partnership.
Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year.
(a)
Name, address, and EIN of
related organization
(b)
Primary activity
(c)
Legal
domicile
(state or foreign
country)
(d)
Direct controlling
entity
(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)
(f)
Share of total income
(g)
Share of end-of-year
assets
(h)
Disproprtionate allocations?
(i)
Code V-UBI
amount in box 20 of
Schedule K-1
(Form 1065)
(j)
General or
managing
partner?
(k)
Percentage
ownership
Yes
No
Yes
No
(1)
KISHWAUKEE AREA PHYSICIAN HOSPITAL ORGANIZATION LLC
541 N FAIRBANKS CT
RM 1630
CHICAGO
,
IL
60611
36-4205273
HEALTHCARE
IL
KISHWAUKEE COMM HOSP
Related
0
19,787
No
No
75 %
(2)
ILLINOIS REGIONAL CANCER CENTER LLP
10 HEALTH SERVICES DR
DEKALB
,
IL
60115
36-3847273
HEALTHCARE
IL
NA
N/A
No
No
(3)
NORTHWESTERN MEDICAL FACULTY FOUNDATION DIALYSIS CENTER
541 N FAIRBANKS CT
RM 1630
CHICAGO
,
IL
60611
46-2159685
HEALTHCARE
DE
NMFF
Related
2,787,196
6,368,421
No
No
80 %
(4)
MIDLAND SURGICAL CENTER LLC
3085 WOLF CT
DEKALB
,
IL
60115
35-2194610
HEALTHCARE
IL
KISHWAUKEE COMM HOSP
Related
-387,322
258,410
No
No
78 %
Part IV
Identification of Related Organizations Taxable as a Corporation or Trust.
Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.
(a)
Name, address, and EIN of
related organization
(b)
Primary activity
(c)
Legal
domicile
(state or foreign
country)
(d)
Direct controlling
entity
(e)
Type of entity
(C corp, S corp,
or trust)
(f)
Share of total income
(g)
Share of end-of-year
assets
(h)
Percentage
ownership
(i)
Section 512(b)(13) controlled entity?
Yes
No
(1)
NORTHWESTERN HEALTHCARE CORPORATION
541 N FAIRBANKS CT
SUITE 1630
CHICAGO
,
IL
60611
36-3382383
HEALTHCARE
IL
NMH
C Corporation
661
765,343
100 %
Yes
(2)
DUPAGE HEALTH SERVICES INC
541 N FAIRBANKS CT
SUITE 1630
CHICAGO
,
IL
60611
36-3270521
HEALTHCARE
IL
HEALTH PROGRESS INC
C Corporation
(3)
DELCOM CORPORATION
541 N FAIRBANKS CT
SUITE 1630
CHICAGO
,
IL
60611
36-3334711
HEALTH MGMT
IL
HEALTH PROGRESS INC
C Corporation
(4)
HEALTH PROGRESS INC
541 N FAIRBANKS CT
SUITE 1630
CHICAGO
,
IL
60611
36-3824138
HEALTHCARE
IL
KISH HEALTH SYSTEM
C Corporation
7,714,368
50,500,082
100 %
Yes
(5)
NORTHWESTERN MEDICINE HOLDINGS CO
541 N FAIRBANKS CT
Rm 1630
CHICAGO
,
IL
60611
83-4687208
MANAGEMENT
IL
NORTHWESTERN MEMORIAL HEALTHCARE
C Corporation
Schedule R (Form 990) 2019
Schedule R (Form 990) 2019
Page
3
Part V
Transactions With Related Organizations.
Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.
Note.
Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
1
During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a
Receipt of
(i)
interest,
(ii)
annuities,
(iii)
royalties, or
(iv)
rent from a controlled entity
.....................
1a
Yes
b
Gift, grant, or capital contribution to related organization(s)
............................
1b
Yes
c
Gift, grant, or capital contribution from related organization(s)
............................
1c
No
d
Loans or loan guarantees to or for related organization(s)
............................
1d
Yes
e
Loans or loan guarantees by related organization(s)
............................
1e
Yes
f
Dividends from related organization(s)
............................
1f
No
g
Sale of assets to related organization(s)
............................
1g
Yes
h
Purchase of assets from related organization(s)
............................
1h
Yes
i
Exchange of assets with related organization(s)
............................
1i
No
j
Lease of facilities, equipment, or other assets to related organization(s)
.......................
1j
Yes
k
Lease of facilities, equipment, or other assets from related organization(s)
......................
1k
No
l
Performance of services or membership or fundraising solicitations for related organization(s)
.....................
1l
Yes
m
Performance of services or membership or fundraising solicitations by related organization(s)
.................
1m
Yes
n
Sharing of facilities, equipment, mailing lists, or other assets with related organization(s)
...................
1n
No
o
Sharing of paid employees with related organization(s)
............................
1o
No
p
Reimbursement paid to related organization(s) for expenses
............................
1p
Yes
q
Reimbursement paid by related organization(s) for expenses
............................
1q
Yes
r
Other transfer of cash or property to related organization(s)
............................
1r
No
s
Other transfer of cash or property from related organization(s)
............................
1s
No
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of related organization
(b)
Transaction
type (a-s)
(c)
Amount involved
(d)
Method of determining amount involved
Schedule R (Form 990) 2019
Schedule R (Form 990) 2019
Page
4
Part VI
Unrelated Organizations Taxable as a Partnership.
Complete if the organization answered "Yes" on Form 990, Part IV, line 37.
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity
(b)
Primary activity
(c)
Legal domicile
(state or foreign
country)
(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)
(e)
Are all partners
section
501(c)(3)
organizations?
(f)
Share of total income
(g)
Share of
end-of-year
assets
(h)
Disproprtionate allocations?
(i)
Code V-UBI
amount in box 20
of Schedule K-1
(Form 1065)
(j)
General or
managing
partner?
(k)
Percentage
ownership
Yes
No
Yes
No
Yes
No
Schedule R (Form 990) 2019
Schedule R (Form 990) 2019
Page
5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R. (see instructions).
Return Reference
Explanation
Schedule R (Form 990) 2019
Additional Data
Software ID:
19010655
Software Version:
2019v5.0