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ObjectId: 202403199349316245 - Submission: 2024-11-14
TIN: 36-3125209
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
23
Open to Public Inspection
Name of the organization
Northwest Community Healthcare
Employer identification number
36-3125209
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)
NORTHWEST COMMUNITY HEALTHCARE PHO LLC
3040 SALT CREEK LN
ARLINGTON HTS
,
IL
60005
32-0441800
HEALTHCARE
IL
4,349,957
6,001,952
NWC HLTHCARE
(2)
NWC SUPPORT SERVICES LLC
3040 SALT CREEK LN
ARLINGTON HTS
,
IL
60005
83-4631586
PATIENT CARE
IL
0
0
NWC HLTHCARE
(3)
NCH-EHP LLC
3040 SALT CREEK LN
ARLINGTON HEIGHTS
,
IL
60005
84-4376965
HEALTHCARE
IL
0
0
NWC HLTHCARE
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)
Swedish Covenant Health
5145 N California Avenue
Chicago
,
IL
60625
36-2179813
Healthcare
IL
501(c)(3)
3
Endeavor Health Clinical Operations
Yes
(2)
Endeavor Health Clinical Operations
3040 Salt Creek Lane
Arlington Heights
,
IL
60005
36-2167060
Healthcare
IL
501(c)(3)
3
Endeavor Health
No
(3)
Swedish Covenant Hospital Foundation
5145 N California Avenue
Chicago
,
IL
60625
20-5055155
Support of Swedish Covenant Health
IL
501(c)(3)
7
Swedish Covenant Health
Yes
(4)
Northwest Community Hospital
3040 Salt Creek Lane
Arlington Heights
,
IL
60005
36-2340313
Hospital
IL
501(c)(3)
3
Northwest Community Healthcare
Yes
(5)
Northwest Community Hospital Foundation
3040 Salt Creek Lane
Arlington Heights
,
IL
60005
36-3125193
Fundraising
IL
501(c)(3)
7
Northwest Community Healthcare
Yes
(6)
Endeavor Health
3040 Salt Creek Lane
Arlington Heights
,
IL
60005
87-4520691
Healthcare System Parent
IL
501(c)(3)
Type III-FI
NA
No
(7)
Naperville Psychiatric Ventures
801 South Washington Street
Naperville
,
IL
60540
36-3965251
Hospital
IL
501(c)(3)
3
Edward Health Ventures
Yes
(8)
Edward-Elmhurst Healthcare
801 South Washington Street
Naperville
,
IL
60540
36-3513954
Healthcare
IL
501(c)(3)
Type II
Endeavor Health
Yes
(9)
Edward Hospital
801 South Washington Street
Naperville
,
IL
60540
36-3297173
Hospital
IL
501(c)(3)
3
Edward-Elmhurst Healthcare
Yes
(10)
Edward Foundation
801 South Washington Street
Naperville
,
IL
60540
36-3723705
Fundraising
IL
501(c)(3)
7
Edward-Elmhurst Healthcare
Yes
(11)
Edward Health Ventures
801 South Washington Street
Naperville
,
IL
60540
58-1672987
Supporting Org
IL
501(c)(3)
Type II
Edward-Elmhurst Healthcare
Yes
(12)
Edward Health and Fitness Center
801 South Washington Street
Naperville
,
IL
60540
36-3555528
Healthcare
IL
501(c)(3)
10
Edward Health Ventures
Yes
(13)
Edward Ambulance Services LLC
801 South Washington Street
Naperville
,
IL
60540
45-2389060
Healthcare
IL
501(c)(3)
10
Edward Hospital
Yes
(14)
Elmhurst Memorial Healthcare
155 East Brush Hill Road
Elmhurst
,
IL
60126
36-4037473
Supporting Org
IL
501(c)(3)
Type II
Edward-Elmhurst Healthcare
Yes
(15)
Elmhurst Memorial Hospital
155 East Brush Hill Road
Elmhurst
,
IL
60126
36-2167784
Hospital
IL
501(c)(3)
3
Elmhurst Memorial Healthcare
Yes
(16)
Elmhurst Memorial Hospital Foundation
155 East Brush Hill Road
Elmhurst
,
IL
60126
36-3083197
Fundraising
IL
501(c)(3)
7
Elmhurst Memorial Hospital
Yes
(17)
RADIATION MEDICINE INSTITUTE
3040 Salt Creek Lane
Arlington Heights
,
IL
60005
36-3815543
HEALTHCARE
IL
501(c)(3)
10
Endeavor Health Clinical Operations
Yes
(18)
Endeavor Health Medical Group
3040 Salt Creek Lane
Arlington Heights
,
IL
60005
36-3738206
HEALTHCARE
IL
501(c)(3)
10
Endeavor Health Clinical Operations
Yes
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2023
Page 2
Schedule R (Form 990) 2023
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)
Ravine Way Surgery Center LLC
2401 Ravine Way
Glenview
,
IL
60025
20-1245279
Healthcare
IL
Endeavor Health Clinical Operations
N/A
(2)
NWC Day Surgery Center II LLC
3040 Salt Creek Lane
Arlington Heights
,
IL
60005
30-0798249
Outpatient Care
IL
Northwest Community Healthcare
N/A
(3)
Northwest Endo Center LLC
3040 Salt Creek Lane
Arlington Heights
,
IL
60005
81-2338623
Surgical Care
IL
NWC Health Services Inc
N/A
(4)
Envision Medical Imaging LLC
8930 Waukegan Road
Suite 130
Morton Grove
,
IL
60053
82-2067179
Imaging Services
IL
NWC Health Services Inc
N/A
(5)
Elmhurst Outpatient Surgery Center LLC
1200 South York Road
Suite 1400
Elmhurst
,
IL
60126
36-4150045
Surgery Center
IL
Elmhurst Memorial Healthcare
N/A
(6)
Insight Medical Imaging LLC
8930 Waukegan Road
Suite 130
Morton Grove
,
IL
60053
82-2352016
Healthcare
IL
Edward Health Ventures
N/A
(7)
Midwest Endoscopy LLC
1243 Rickert Drive
Naperville
,
IL
60540
20-8292570
Healthcare
IL
Edward Health Ventures
N/A
(8)
RHHI Holdco LLC
400 Northpoint Circle
Suite 203
Seven Fields
,
PA
16046
87-3745286
Healthcare
IL
NA
N/A
(9)
Residential Home Health Illinois LLC
5440 Corporate Drive
Suite 400
Troy
,
MI
48098
27-0179825
Healthcare
IL
NA
N/A
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)
Swedish Covenant Management Services Inc
5145 N California Avenue
Chicago
,
IL
60625
36-4073303
Physician Practice Management
IL
Swedish Covenant Health
C Corporation
Yes
(2)
Swedish Covenant Physician Partners Ltd
5145 N California Avenue
Chicago
,
IL
60625
36-3120220
Managed Healthcare Provider
IL
Swedish Covenant Health
C Corporation
Yes
(3)
NorthShore Legacy NPA Inc
1301 Central Street
Evanston
,
IL
60201
36-3648026
Healthcare
IL
Endeavor Health Medical Group
C Corporation
Yes
(4)
NorthShore Physician Associates Value Based Care LLC
1301 Central Street
Evanston
,
IL
60201
82-2268872
Healthcare
IL
NorthShore Physician Associates Inc
C Corporation
Yes
(5)
NorthShore University HealthSystem Insurance International
98-0419452
Insurance
CJ
Endeavor Health Clinical Operations
C Corporation
Yes
(6)
Northwest Community Health Services Inc
800 West Central Road
Arlington Heights
,
IL
60005
36-3312906
Healthcare
IL
Northwest Community Healthcare
C Corporation
108,865,071
37,293,536
100 %
Yes
(7)
EEH SPC - Segregated Portfolio A
98-1238485
Insurance
CJ
Edward-Elmhurst Healthcare
C Corporation
Yes
(8)
EEH SPC - Segregated Portfolio B
98-1185160
Insurance
CJ
Edward-Elmhurst Healthcare
C Corporation
Yes
(9)
Elmhurst Memorial Health Technologies LLC
855 North Church Court
Elmhurst
,
IL
60126
36-3229839
Practice Management
IL
Elmhurst Memorial Healthcare
C Corporation
Yes
(10)
IHP ACO
1100 West 31st Street
Suite 300
Downers Grove
,
IL
60515
46-2848987
Healthcare
IL
Edward-Elmhurst Healthcare
C Corporation
No
(11)
EEH SPC - Segregated Portfolio D
insurance
CJ
Edward-Elmhurst Healthcare
C Corporation
Yes
(12)
DuPage Medical Group Portfolio Insurance Company
INSURANCE
CJ
Edward-Elmhurst Healthcare
C Corporation
Yes
Schedule R (Form 990) 2023
Page 3
Schedule R (Form 990) 2023
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
No
d
Loans or loan guarantees to or for related organization(s)
............................
1d
No
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
No
l
Performance of services or membership or fundraising solicitations for related organization(s)
.....................
1l
No
m
Performance of services or membership or fundraising solicitations by related organization(s)
.................
1m
No
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
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
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) 2023
Page 4
Schedule R (Form 990) 2023
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) 2023
Page 5
Schedule R (Form 990) 2023
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) 2023
Additional Data
Software ID:
23017437
Software Version:
2023v5.1