Winfield is a small suburb with money problems; the hospital in town is expanding and has money. Solution? A sizable annual grant from the hospital to the village:

Winfield will receive a $900,000 annual grant over each of the next five years from Northwestern Medicine Central DuPage Hospital as part of an agreement finalized Monday, officials said…

“We recognize the unique economic challenges facing Winfield,” CDH President Brian Lemon said in a statement released Monday afternoon. The hospital, he said, “is committed to working with the village to ensure Winfield remains a great place to live, raise families and receive high-quality health care. Our collaboration with the village of Winfield is designed to encourage economic development while stimulating the village’s economy.”…

CDH made the new offer after Winfield trustees rejected the hospital’s first proposal to give the village an annual $500,000 grant. The board was seeking roughly $1.4 million a year from CDH to help pay for the services Winfield provides to the hospital…

Winfield trustees even voted to put an advisory question on the March 15 primary election ballot that would ask voters if the village board should begin taxing CDH’s operations. The village clerk would have submitted that ballot question to DuPage County election officials had an agreement not been finalized Monday, but officials said it’s no longer necessary.

I wonder how common such agreements are. The hospital provides jobs and status yet is quite the growing facility exempt from the local property tax rolls. Here is how the Village of Winfield described the issue in October 2015:

CDH was established approximately 50 years ago as a small hospital in Winfield’s town center. In the 1990’s, the hospital began a series of major expansions of its campus through numerous property acquisitions. The majority of the purchases were commercial properties located in the town center.

The hospital now controls nearly 60% of the property in the Village ’s town center and has expanded its footprint across both of the downtown’s major arteries – Winfield and High Lake Roads.

CDH has benefited from the expansions. It is now a nationally-ranked hospital and by far the most profitable hospital in Illinois according to tax filings compiled by Crain’s Magazine. CDH has averaged a yearly profit of $160 million over the past five years with growing reserves of approximately $2 billion in cash and investments. Meanwhile the Village has continued cutting staff and services to cope with lean budgets and leaner forecasts.

Is this solely the case of the big non-profit hospital dwarfing the small village? However, Winfield has its own issues including very rancorous infighting among local political officials and candidates (I have not seen many suburb with such regular negative interactions) and a limited tax base (as the community debates whether to expand it).

Maybe this annual grant is a decent solution to the issue: the hospital is unlikely to move and the village needs money. I imagine hospital officials appreciate the village threatening to put something on the ballots unless money is provided and the village is probably not entirely happy with the amount of money. In the end, this seems like a payoff. Do these two parties really need each other and how much is this worth annually?