SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBulletAttach to Form 990.
MediumBullet Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047
2021
Open to Public Inspection
Name of the organization
Edward Hospital
 
Employer identification number

36-3297173
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










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)EDWARD-ELMHURST HEALTHCARE
801 SOUTH WASHINGTON STREET

NAPERVILLE,IL60540
36-3513954 		SYSTEM PARENT IL 501(c)(3) Type II NA
 
 
No
(2)NAPERVILLE PSYCHIATRIC VENTURES
801 SOUTH WASHINGTON STREET

NAPERVILLE,IL60540
36-3965251 		HOSPITAL IL 501(c)(3) 3 EHV
 
 
No
(3)EDWARD HEALTH VENTURES
801 SOUTH WASHINGTON STREET

NAPERVILLE,IL60540
58-1672987 		SUPPORTING ORG IL 501(c)(3) Type II EEH
 
 
No
(4)EDWARD FOUNDATION
801 SOUTH WASHINGTON STREET

NAPERVILLE,IL60540
36-3723705 		FUNDRAISING IL 501(c)(3) 7 EEH
 
 
No
(5)EDWARD HEALTH & FITNESS CENTER
801 SOUTH WASHINGTON STREET

NAPERVILLE,IL60540
36-3555528 		HEALTH CARE IL 501(c)(3) 10 EHV
 
 
No
(6)EDWARD AMBULANCE SERVICES LLC
801 SOUTH WASHINGTON STREET

NAPERVILLE,IL60540
45-2389060 		HEALTH CARE IL 501(c)(3) 10 EH
 
Yes
 
(7)ELMHURST MEMORIAL HOSPITAL
155 E BRUSH HILL ROAD

ELMHURST,IL60126
36-2167784 		HOSPITAL IL 501(c)(3) 3 EMHC
 
 
No
(8)ELMHURST MEMORIAL HOSPITAL FOUNDATION
155 E BRUSH HILL ROAD

ELMHURST,IL60126
36-3083197 		FUNDRAISING IL 501(c)(3) 7 EMH
 
 
No
(9)ELMHURST MEMORIAL HEALTHCARE
155 E BRUSH HILL ROAD

ELMHURST,IL60126
36-4037473 		SUPPORTING ORG IL 501(c)(3) Type II EEH
 
 
No
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2021
Page 2
Schedule R (Form 990) 2021
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) CYBERKNIFE CENTER OF CHICAGO LLC

PO BOX 19532
IRVINE,CA92623
26-4331429 		SURGERY CENTER IL NA
  		N/A               0 %
(2) DMG SURGICAL CENTER LLC

2725 South Technology Drive
Lombard,IL60148
37-1474161 		SURGERY CENTER IL NA
  		N/A               0 %
(3) ELMHURST OUTPATIENT SURGERY CENTER LLC

1200 S YORK ROAD SUIT 1400
ELMHURST,IL60126
36-4150045 		SURGERY CENTER IL NA
  		N/A               0 %
(4) INSIGHT MEDICAL IMAGING LLC

8930 WAUKEGAN RD STE 130
MORTON GROVE,IL60053
82-2352016 		HEALTHCARE IL NA
  		N/A               0 %
(5) MIDWEST ENDOSCOPY LLC

1243 RICKERT DRIVE
NAPERVILLE,IL60540
20-8292570 		HEALTHCARE IL NA
  		N/A               0 %
(6) PLAINFIELD SURGERY CENTER LLC

24600 W 127TH ST BLD C
PLAINFIELD,IL60585
30-0391104 		SURGERY CENTER IL NA
  		N/A               0 %
(7) RESIDENTIAL HOME HEALTH ILLINOIS LLC

5440 CORPORATE DRIVE SUITE 400
TROY,MI48098
27-0179825 		HEALTHCARE IL NA
  		N/A               0 %
(8) RESIDENTIAL HOSPICE ILLINOIS LLC

5440 CORPORATE DRIVE SUITE 400
TROY,MI48098
45-4745710 		HEALTHCARE IL NA
  		N/A               0 %
(9) SALT CREEK SURGERY CENTER

550 w OGDEN AVE STE 100
HINSDALE,IL605213186
36-4419691 		SURGERY CENTER IL NA
  		N/A               0 %
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) IHP ACO

Suite 300
1100 W 31st Street
Downers Grove,IL60515
48-2848987 		HEALTH CARE IL NA
  		C Corporation         No
(2) ELMHURST MEMORIAL HEALTH TECHNOLOGIES LLC

855 NORTH CHURCH COURT
ELMHURST,IL60126
36-3229839 		PRATICE MANGEMENT IL NA
  		C Corporation         No
(3) EEH SPC - SEGREGATED PORTFOLIO A

GOVERNORS SQUARE BLDG 4 FLOOR 2
LIME TREE BAY,GRAND CAYMANKY11002
CJ
98-1238485 		INSURANCE CJ NA
  		C Corporation         No
(4) EEH SPC - SEGREGATED PORTFOLIO B

GOVERNORS SQUARE BLDG 4 FLOOR 2
LIME TREE BAY,GRAND CAYMANKY11002
CJ
98-1185160 		INSURANCE CJ NA
  		C Corporation         No






Schedule R (Form 990) 2021
Page 3
Schedule R (Form 990) 2021
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
 
No
b Gift, grant, or capital contribution to related organization(s) ............................
1b
 
No
c Gift, grant, or capital contribution from related organization(s) ............................
1c
Yes
 
d Loans or loan guarantees to or for related organization(s) ............................
1d
Yes
 
e Loans or loan guarantees by related organization(s) ............................
1e
 
No
f Dividends from related organization(s) ............................
1f
 
No
g Sale of assets to related organization(s) ............................
1g
 
No
h Purchase of assets from related organization(s) ............................
1h
 
No
i Exchange of assets with related organization(s) ............................
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) .......................
1j
 
No
k Lease of facilities, equipment, or other assets from related organization(s) ......................
1k
Yes
 
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
Yes
 
o Sharing of paid employees with related organization(s) ............................
1o
Yes
 
p Reimbursement paid to related organization(s) for expenses ............................
1p
 
No
q Reimbursement paid by related organization(s) for expenses ............................
1q
 
No
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
Yes
 
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) 2021
Page 4
Schedule R (Form 990) 2021
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) 2021
Page 5
Schedule R (Form 990) 2021
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) 2021

Additional Data


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