ADVOCATE SHERMAN HOSPITAL: Form 990, tax year 2022

View the entire original 990 at ProPublica ↗

Organization: ADVOCATE SHERMAN HOSPITAL (EIN 36-2167920)
Tax period: 2022-01-01 to 2022-12-31
Filed: 2023-11-15
IRS object ID: 202343209349300929
Schema version: 2022v5.0
Source: Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header
Form 990
Schedule A
Schedule B
Schedule C
Schedule D
Schedule H
Schedule I
Schedule J
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2023-11-15T23:53:21-06:00	ReturnTs
Tax Period End	2022-12-31	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2022-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	362167920	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ADVOCATE SHERMAN HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	ADVO	BusinessNameControlTxt
Phone	4142991576	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2025 WINDSOR DRIVE	AddressLine1Txt
City	OAK BROOK	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	60523	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	RACHEL HALVERSON	PersonNm
Person Title	SVP CONTROLLER	PersonTitleTxt
Phone	4142991576	PhoneNum
Signature	2023-11-15	SignatureDt

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

Field	Value	IRS element (for citing)
Person First	RACHEL	PersonFirstNm
Person Last	HALVERSON	PersonLastNm

Field	Value	IRS element (for citing)
SSN	999009999	SSN

Field	Value	IRS element (for citing)
IRS Responsible Prty Info Curr	0	IRSResponsiblePrtyInfoCurrInd

Additional Filer Information AdditionalFilerInformation

Trusted Customer TrustedCustomerGrp

Field	Value	IRS element (for citing)
Trusted Customer	2	TrustedCustomerCd
Authentication Assurance Level	AAL1	AuthenticationAssuranceLevelCd
Identity Assurance Level	IAL1	IdentityAssuranceLevelCd

Field	Value	IRS element (for citing)
Tax	2022	TaxYr
Build TS	2023-04-26 12:10:37Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Address Change	Yes (X)	AddressChangeInd
Principal Officer	KAREN LAMBERT	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2025 WINDSOR DRIVE	AddressLine1Txt
City	OAK BROOK	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	60523	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$493,509,487	GrossReceiptsAmt
Group Return For Affiliates	0	GroupReturnForAffiliatesInd
Organization501c3	Yes (X)	Organization501c3Ind
Website Address	WWW.ADVOCATEHEALTH.COM	WebsiteAddressTxt
Type Of Organization Corp	Yes (X)	TypeOfOrganizationCorpInd
Formation	1887	FormationYr
Legal Domicile State	IL	LegalDomicileStateCd
Activity Or Mission	SERVE HEALTH NEEDS OF COMMUNITIES THROUGH WHOLISTIC PHILOSOPHY ROOTED IN FUNDAMENTAL UNDERSTANDING OF HUMANS AS CREATED IN THE IMAGE OF GOD.	ActivityOrMissionDesc
Voting Members Governing Body	26	VotingMembersGoverningBodyCnt
Voting Members Independent	20	VotingMembersIndependentCnt
Total Employee	1710	TotalEmployeeCnt
Total Volunteers	164	TotalVolunteersCnt
Total Gross UBI	$0	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$2,631,114	PYContributionsGrantsAmt
CY Contributions Grants	$3,773,517	CYContributionsGrantsAmt
PY Program Service Revenue	$465,318,760	PYProgramServiceRevenueAmt
CY Program Service Revenue	$487,784,065	CYProgramServiceRevenueAmt
PY Investment Income	$24,737,728	PYInvestmentIncomeAmt
CY Investment Income	$967,792	CYInvestmentIncomeAmt
PY Other Revenue	$1,024,087	PYOtherRevenueAmt
CY Other Revenue	$832,894	CYOtherRevenueAmt
PY Total Revenue	$493,711,689	PYTotalRevenueAmt
CY Total Revenue	$493,358,268	CYTotalRevenueAmt
PY Grants And Similar Paid	$26,300	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	-$20,000	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$115,010,677	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$125,039,768	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$344,635,980	PYOtherExpensesAmt
CY Other Expenses	$374,797,782	CYOtherExpensesAmt
PY Total Expenses	$459,672,957	PYTotalExpensesAmt
CY Total Expenses	$499,817,550	CYTotalExpensesAmt
PY Revenues Less Expenses	$34,038,732	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$6,459,282	CYRevenuesLessExpensesAmt
Total Assets BOY	$508,478,691	TotalAssetsBOYAmt
Total Assets EOY	$513,887,857	TotalAssetsEOYAmt
Total Liabilities BOY	$335,077,591	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$347,013,921	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$173,401,100	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$166,873,936	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	THE MISSION OF ADVOCATE SHERMAN HOSPITAL IS TO SERVE THE HEALTH NEEDS OF INDIVIDUALS, FAMILIES AND COMMUNITIES THROUGH A WHOLISTIC PHILOSOPHY ROOTED IN OUR FUNDAMENTAL UNDERSTANDING OF HUMAN BEINGS AS CREATED IN THE IMAGE OF GOD.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$394,011,951	ExpenseAmt
Grant	-$20,000	GrantAmt
Revenue	$486,818,318	RevenueAmt
Desc	FINANCIAL ASSISTANCE (CHARITY CARE) AND TRAUMA CARE. PROVIDING INPATIENT AND OUTPATIENT HEALTH CARE SERVICES TO THE COMMUNITY REGARDLESS OF THE PATIENTS' ABILITY TO PAY.AS PART OF ITS COMMUNITY HEALTH STRATEGY, ADVOCATE SHERMAN HOSPITAL (ADVOCATE SHERMAN) IS COMMITTED TO PROMOTING INITIATIVES THAT ENAHANCE ACCESS TO HEALTH CARE FOR THE UNINSURED AND UNDERINSURED. AN EXAMPLE OF THIS IS THE PROVISION OF FINANCIAL ASSISTANCE. ADVOCATE SHERMAN HOSPITAL OFFERS A VERY GENEROUS FINANCIAL ASSISTANCE PROGRAM, REQUIRING NO PAYMENTS FROM THE PATIENTS MOST IN NEED, AND PROVIDING DISCOUNTS TO UNINSURED AND INSURED PATIENTS. PATIENTS EARNING UP TO SIX TIMES THE FPL, AND INSURED PATIENTS EARNING UP TO TWO AND HALF TIMES THE FPL, MAY QUALIFY FOR A FULL OR PARTIAL FINANCIAL ASSISTANCE DISCOUNT. ADDITIONALLY, A CATASTROPHIC ASSISTANCE DISCOUNT IS AVAILABLE FOR UNINSURED AND INSURED PATIENTS WHOSE INCOMES EXCEED THE TRADITIONAL FINANCIAL ASSISTANCE INCOME GUIDELINES AND HAVE OUTSTANDING PATIENT BALANCES OF $25,000 OR MORE FOR A SINGLE DATE OF SERVICE OR SUM OF SEVERAL DATES OF SERVICE. THESE PATIENTS MAY QUALIFY TO RECEIVE A FINANCIAL ASSISTANCE DISCOUNT THAT REDUCES THEIR OUTSTANDING BALANCE TO 25% OF THEIR NET INCOME. FOR UNINSURED PATIENTS, ADVOCATE SHERMAN HOSPITAL WILL PRESUMPTIVELY PROVIDE FINANCIAL ASSISTANCE IF THE FINANCIAL STATUS HAS BEEN VERIFIED BY A THIRD PARTY. IN THESE CASES, THE PATIENT IS NOT REQUIRED TO SUBMIT A SEPARATE CHARITY APPLICATION. IF PRESUMPTIVE CRITERIA ARE NOT AVAILABLE FOR UNINSURED PATIENTS, FINANCIAL ASSISTANCE ELIGIBILITY IS AVAILABLE USING AN INCOME-BASED SCREENING. ADVOCATE SHERMAN HOSPITAL EXTENDS ITS INCOME-BASED FINANCIAL ASSISTANCE POLICY TO ITS INSURED PATIENTS AS WELL. THE HOSPITAL CONTINUES TO REVIEW AND REFINE ITS POLICY IN AN ONGOING EFFORT TO ENSURE THAT FINANCIAL ASSISTANCE IS AVAILABLE TO THOSE WHO NEED HELP. THE HOSPITAL MAINTAINS HIGHLY VISIBLE SIGNAGE AND BROCHURES IN MULTIPLE LANGUAGES TO INFORM PATIENTS OF THE AVAILABILITY OF FINANCIAL HELP AND FINANCIAL COUNSELORS. INFORMATION ABOUT THE FINANCIAL ASSISTANCE PROGRAM AND AN APPLICATION IS PROVIDED TO ALL UNINSURED PATIENTS DURING REGISTRATION AND IS MAILED TO THEM IN ADVANCE OF THE FIRST PATIENT BILLING. AFTER THAT, EACH UNINSURED PATIENT'S BILL INCLUDES SUMMARY INFORMATION REGARDING THE FINANCIAL ASSISTANCE PROGRAM.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$3,754,663	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$0	RevenueAmt
Desc	PROVISION OF NURSING EDUCATION AND OTHER MEDICAL PROFESSIONALS' EDUCATION. ADVOCATE SHERMAN STAFF DEVOTE THEIR TIME TO DEVELOPING PROFICIENCY AND EXCELLENCE IN NURSING STUDENTS SENT TO THE HOSPITAL FROM AREA COLLEGES AND UNIVERSITIES. THE HOSPITAL'S REGISTERED NURSES SUPERVISED AND TAUGHT 272 UNDERGRADUATE NURSING STUDENTS AT A COST OF $1.1 MILLION TO THE HOSPITAL IN 2022. ADVOCATE SHERMAN STAFF ALSO TRAIN STUDENTS FROM AREA COLLEGES AND UNIVERSITIES IN OTHER CLINICAL AREAS AS WELL INCLUDING, BUT NOT LIMITED TO, PHYSICAL, OCCUPATIONAL, SPEECH AND REHABILITATION THERAPY, ULTRASOUND, MAMMOGRAPHY, PHARMACY, LABORATORY, AS WELL AS DIETARY AND HEALTH INFORMATION MANAGEMENT, AT A COST OF NEARLY $2.5 MILLION.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$0	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$0	RevenueAmt
Desc	HEALTH CARE SERVICES PROVIDED BY PHYSICIANS EMPLOYED BY THE ORGANIZATION. ADVOCATE SHERMAN CLINICIANS PROVIDE CARE TO THE COMMUNITY BOTH AT THE HOSPITAL AND IN THE COMMUNITY. ADVOCATE SHERMAN HAS MORE THAN 35 YEARS OF CARDIOVASCULAR EXCELLENCE FOCUSING ON PROACTIVELY PREVENTING, DIAGNOSING AND TREATING AN ARRAY OF HEART CONDITIONS. AS AN ACCREDITED CHEST PAIN CENTER THROUGH THE SOCIETY OF CARDIOVASCULAR PATIENT CARE, ADVOCATE SHERMAN IS DEDICATED TO THE CARE OF ITS CARDIAC PATIENTS. THIS ACCREDITATION MEANS THAT THE HOSPITAL INTEGRATES THE INDUSTRY'S BEST PRACTICES TO PROVIDE THE BEST POSSIBLE OUTCOMES IN CARDIAC CARE. THE HOSPITAL'S HEART FAILURE PROGRAM HAS ACHIEVED ADVANCED CERTIFICATION IN HEART FAILURE DESIGNATION FOR BEST PRACTICES IN CARING FOR HEART FAILURE PATIENTS. IN 2022, ADVOCATE SHERMAN PROVIDED 2,566 CARDIAC CATHERIZATIONS AND 87 INPATIENT CARDIOVASCULAR OPEN-HEART SURGERIES. ADVOCATE SHERMAN IS RECOGNIZED AS A CENTER OF EXCELLENCE IN TREATING DISEASES AND INJURIES OF MUSCLES, BONES AND JOINTS AND IS A LEADER IN STATE-OF-THE-ART ORTHOPEDIC DIAGNOSTIC AND TREATMENT OPTIONS. DEPENDING ON THE INJURY OR ILLNESS, TREATMENT CAN RANGE FROM NON-SURGICAL OPTIONS, SUCH AS CASTS, SPLINTS AND PHYSICAL THERAPY, TO SURGICAL OPTIONS, FROM MINIMALLY INVASIVE ARTHROSCOPY TO TOTAL JOINT REPLACEMENT. IN 2022, ADVOCATE SHERMAN PERFORMED 1,300 ORTHOPEDIC SURGERIES (INPATIENT AND OUTPATIENT). ADVOCATE SHERMAN'S CANCER CARE CENTER IS ACCREDITED THROUGH THE COMMISSION ON CANCER (COC) AND THE NATIONAL ACCREDITATION PROGRAM FOR BREAST CENTERS (NAPBC). THE HOSPITAL IS A LEADER IN THE GREATER ELGIN AREA FOR CANCER CAREPROMOTING HEALTHY LIFESTYLES, FOCUSING ON PREVENTIVE AND INNOVATIVE MEDICINE, ESTABLISHING A COMPREHENSIVE GENETIC PROGRAM, SECURING NURSE NAVIGATION, ENHANCING THE ONCOLOGY SERVICE LINE (INPATIENT, OUTPATIENT AND COMMUNITY), AS WELL AS PARTNERING WITH THE AMERICAN CANCER SOCIETY, LIVING WELL AND JOURNEY CARE. IN ADDITION, THE HOSPITAL PARTICIPATED IN A COLEMAN GRANT FOR SUPPORTIVE ONCOLOGY AND NATIONAL CANCER INSTITUTE/YALE UNIVERSITY GRANT FOR DISTRESS SCREENING. THE HOSPITAL IS ALSO FOCUSED ON DEVELOPING NEW EDUCATION AND PREVENTION PROGRAMS (INCLUDING COLORECTAL CANCER OUTREACH AND SCREENINGS, AND LUNG CANCER SCREENINGS), ENHANCEMENTS TO GENETIC COUNSELING, THE ADDITION OF AN ONCOLOGY NURSE NAVIGATION RESOURCE, INCLUDING AN ONCOLOGY FINANCIAL NAVIGATOR AND A PARTNERSHIP WITH ADVOCATE LUTHERAN GENERAL FOR RESEARCH AND CLINICAL TRIALS. ADVOCATE SHERMAN'S PRIMARY STROKE CENTER IS ACCREDITED THROUGH DET NORSKE VERITAS HEALTHCARE, INC. (DNV HEALTHCARE). THE SCOPE OF THE PROGRAM ENCOMPASSES THE ADULT POPULATION ENTERING THE HOSPITAL WITH A HEMORRHAGIC/ISCHEMIC STROKE OR TRANSIENT ISCHEMIC ATTACK (TIA) DIAGNOSIS. DATA IS ABSTRACTED, SUBMITTED AND REPORTED THROUGH THE STROKE DATA REGISTRY AND THE CENTERS FOR MEDICARE AND MEDICAID SERVICES. OTHER IMPORTANT HOSPITAL-BASED SERVICES INCLUDE THE COMPLETE CARE CENTER (CCC) WHICH INCLUDES NONINVASIVE CARDIOLOGY SERVICES, HEART FAILURE RECOVERY, NEURODIAGNOSTICS, ANTI-COAGULATION, HEALTH MANAGEMENT RESOURCES (HMR) WEIGHT MANAGEMENT PROGRAM, DIABETES/NUTRITION, WOUND CARE AND HYPERBARIC OXYGEM THERAPY AND PULMONARY FUNCTION LAB. IN 2022, THE CCC PROVIDED 49,309 PATIENT VISITS THROUGH THE ABOVE PROGRAMS. HOSPITAL CLINICIANS ALSO PROVIDE CARE TO PATIENTS AT SEVERAL OFF-SITE LOCATIONS INCLUDING THREE IMMEDIATE CARE CENTERS FOR IMAGING, LABORATORY, PHYSICAL REHABILITATION AND PRIMARY CARE SERVICES, AS WELL AS A STAND-ALONE IMAGING CENTER. ADVOCATE SHERMAN CLINICIANS LEAD PRENATAL/ CHILDBIRTH, PARENTING EDUCATION AND DIABETES EDUCATION CLASSES. THE HOSPITAL ALSO PROVIDES SUPPORT GROUPS FOCUSED ON INDIVIDUALS STRUGGLING WITH HEALTH ISSUES, SUCH AS DIABETES, HEART DISEASE, CANCERS, OSTOMIES AND BREASTFEEDING.	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

Field	Value	IRS element (for citing)
Expense	$0	ExpenseAmt
Grant	$0	GrantAmt
Revenue	$965,747	RevenueAmt
Desc	DESCRIPTION OF ADVOCATE SHERMAN HOSPITAL. ADVOCATE HEALTH CARE BASED IN ILLINOIS AND AURORA HEALTH CARE BASED IN WISCONSIN MERGED TO BECOME ADVOCATE AURORA HEALTH IN APRIL 2018. ADVOCATE SHERMAN IS A 255-BED NOT-FOR-PROFIT HOSPITAL LOCATED IN ELGIN, ILLINOIS, AND IS ONE OF 27 ACUTE CARE HOSPITALS IN THE ADVOCATE AURORA HEALTH SYSTEM. ADVOCATE SHERMAN PROVIDES ACUTE INPATIENT AND OUTPATIENT MEDICAL CARE TO INDIVIDUALS RESIDING IN THE GREATER ELGIN, ILLINOIS AREA. FOUNDED IN 1888, THE HOSPITAL HAS EXPANDED ITS SERVICES TO SEVERAL OFF-SITE LOCATIONS, INCLUDING THREE IMMEDIATE CARE CENTERS AND A STAND-ALONE IMAGING CENTER. AT ALL THESE SITES OF CARE, THE HOSPITAL'S 952 CREDENTIALED PHYSICIANS AND 1,681 TEAM MEMBERS (EMPLOYEES) PROVIDE QUALITY AND COMPASSIONATE CARE TO INDIVIDUALS REGARDLESS OF THEIR ABILITY TO PAY FOR SERVICES RECEIVED. THE HOSPITAL HAS OPERATED IN ITS CURRENT LOCATION ON RANDALL ROAD SINCE DECEMBER 2009. ADVOCATE SHERMAN HAS BEEN RECOGNIZED FOR ITS COMMITMENT TO CONTINUALLY IMPROVING PERFORMANCE AND PATIENT CARE AS DEMONSTRATED THROUGH ITS ACHIEVEMENT OF SEVERAL AWARDS. CONSIDERED THE NATIONAL "GOLD STANDARD" FOR NURSING EXCELLENCE AMONG HOSPITALS, THE HOSPITAL HAS RECEIVED MAGNET RECOGNITION BY THE AMERICAN NURSES CREDENTIALING CENTER, AN AFFILIATE OF THE AMERICAN NURSES ASSOCIATION. MAGNET RECOGNITION IS GIVEN ONLY TO HOSPITALS THAT SATISFY A SET OF CRITERIA DESIGNED TO MEASURE STRENGTH AND QUALITY IN NURSING CARE WITH LESS THAN SEVEN PERCENT OF HOSPITALS NATION-WIDE ACHIEVING THIS STATUS. THE CENTER FOR BREAST CARE AT ADVOCATE SHERMAN IS DESIGNATED AS A BREAST IMAGING CENTER OF EXCELLENCE BY THE AMERICAN COLLEGE OF RADIOLOGY FOR ITS DEDICATION TO IMPROVING WOMEN'S HEALTH. THE HOSPITAL IS ALSO AN ACCREDITED CHEST PAIN CENTER, WHICH MEANS THE HOSPITAL INTEGRATES THE INDUSTRY'S BEST PRACTICES AND NEWEST MODELS TO PROVIDE THE BEST POSSIBLE OUTCOMES IN CARDIAC CARE. THE HOSPITAL'S HEART FAILURE PROGRAM RECEIVED GOLD LEVEL RECOGNITION FROM THE AMERICAN HEART ASSOCIATION'S "GET WITH THE GUIDELINES-HEART FAILURE PROGRAM" FOR COMMITMENT TO IMPROVING QUALITY CARE. THE HOSPITAL IS ALSO CERTIFIED AS A PRIMARY STROKE CENTER BY DNV-GL HEALTHCARE.ADVOCATE SHERMAN'S HEALTHCARE PROVIDERS ARE ENGAGED IN ONGOING EFFORTS FOCUSED ON QUALITY IMPROVEMENT INITIATIVES. THESE PROVIDERS USE EVIDENCE-BASED PRACTICES AS AN APPROACH TO IMPROVE QUALITY WHILE REDUCING UNNECESSARY VARIATION IN PRACTICE, COST AND HOSPITALIZATION. THESE EFFORTS ARE DESIGNED TO MAINTAIN AND ENHANCE PATIENT, STAFF AND VISITOR SAFETY AND TO IMPROVE THE ENVIRONMENT OF CARE. WITH A TEAM OF NEARLY 34 CARDIOLOGISTS, ADVOCATE SHERMAN HAS OVER 35 YEARS OF EXERIENCE WITH OPEN HEART PROCEDURES AND ALL FORMS OF CARDIAC CARE. IN ADDITION TO A WIDE RANGE OF CARDIOVASCULAR SERVICES, THE HOSPITAL IS ALSO AN ACCREDITED CHEST PAIN CENTER WITH DEDICATED INTERVENTIONAL CARDIOLOGISTS AND CARDIOLOGY AND EMERGENCY PERSONNEL TRAINED IN RAPID RESPONSE AND TREATMENT OF HEART ATTACKS, WHICH HELPS ENSURE REDUCED HEART MUSCLE DAMAGE AND SAVES LIVES. THE HOSPITAL'S CENTER FOR CANCER CARE OFFERS THE LATEST CANCER TREATMENTS AND STATE-OF-THE-ART TECHNOLOGY IN AN ENVIRONMENT CUSTOM-DESIGNED FOR HEALING AND COMPASSIONATE CARE. THE CENTER FOR ADVANCED LIVER & PANCREATIC CARE PROVIDES PATIENTS WITH ACCESS TO SPECIALIZED CARE FOR THE TREATMENT OF A WIDE RANGE OF LIVER AND PANCREATIC DISEASES THAT TYPICALLY HAVE ONLY BEEN TREATED AT ACADEMIC MEDICAL CENTERS. ADVOCATE SHERMAN ACHIEVED RECOGNITION AS A BABY FRIENDLY HOSPITAL IN 2016 AND MAINTAINED THIS RECOGNITION IN 2022 THE CORE COMPONENTS OF THE BABY-FRIENDLY HOSPITAL INITIATIVE (BFHI) ARE THE UNICEF/WHO TEN STEPS TO SUCCESSFUL BREASTFEEDING, WHICH ARE DESIGNED TO FACILITATE THE ROLE OF THE BIRTHING FACILITY IN PROVIDING WOMEN THE INFORMATION, CARE PRACTICES AND OPPORTUNITY TO BREASTFEED, REGARDLESS OF THE METHOD OF BIRTH. NATIONAL HEALTHY PEOPLE 2030 OBJECTIVES TO INCREASE AND EXTEND BREASTFEEDING ARE ALIGNED WITH THIS INITIATIVE. AS AN ADVOCATE AURORA HOSPITAL, ADVOCATE SHERMAN SUPPORTS THE ORGANIZATION'S VISION OF "WE HELP PEOPLE LIVE WELL AND TO FULFILL ITS VALUES OF: EXCELLENCE WE ARE A TOP PERFOMER IN ALL THAT WE DO; COMPASSION WE UNSELFISHLY CARE FOR OTHERS; AND RESPECT WE VALUE THE UNIQUE NEEDS AND PREFERENCES OF ALL PEOPLE. POPULATION SERVED. ADVOCATE SHERMAN PROVIDES QUALITY HEALTH CARE TO INDIVIDUALS REGARDLESS OF RACE, CREED, NATIONAL ORIGIN, AGE OR ABILITY TO PAY. IN 2022, THE HOSPITAL'S PHYSICIANS AND TEAM MEMBERS TREATED 11,844 INPATIENT ADMISSIONS, INCLUDING 2,006 DELIVERIES, AND HANDLED 308,127 OUTPATIENT VISITS. AS A LEVEL II TRAUMA CENTER, ADVOCATE SHERMAN PROVIDED 1,734 TRAUMA VISITS AND 58,936 EMERGENCY DEPARTMENT VISITS IN 2022. ADVOCATE SHERMAN SERVES A PRIMARY SERVICE AREA (PSA) INCLUDING 298,893 PEOPLE WHO RESIDE IN THE ILLINOIS COMMUNITIES OF ALGONQUIN, CARPENTERSVILLE, WEST DUNDEE, ELGIN, GILBERTS, HUNTLEY , LAKE IN THE HILLS AND SOUTH ELGIN.ACCORDING TO THE 2019 CHNA, IN THE ADVOCATE SHERMAN PSA, 9.4 PERCENT OF THE POPULATION IS LIVING BELOW THE FEDERALPOVERTY LELVE (FPL), WHICH IS LESS THAN THE STATE OF ILLINOIS RATE OF 13.5 PERCENT AND THE U.S. RATE OF 14.6 PERCENT. THERE IS A TOTAL OF 5,608 FAMILIES (7.3 PERCENT OF TOTAL FAMILIES) LIVING BELOW THE FEDERAL POVERTY LEVEL. THE COMMUNITIES WITH THE LARGEST PERCENTAGE OF FAMILIES LIVING BELOW THE FEDERAL POVERTY LEVEL ARE THOSE IN CARPENTERSVILLE (60110) AT14.55 PERCENT, ELGIN (60120) AT 12.01 PERCENT AND ELGIN (60123) AT 10.97 PERCENT. THE PSA MEDIAN HOUSEHOLD INCOME IS $83,604. A HIGH PORTION OF THE PSA POPULATION IS OF LATINO ETHNICITY (TWENTY-NINE PERCENT). THERE IS ALSO A LOW RATE OF AFRICAN AMERICAN POPULATION (4.79%) IN THE PSA.COMMITMENT TO THE COMMUNITY. EVEN IN THE FACE OF LOW REIMBURSEMENTS, ADVOCATE SHERMAN IS DEDICATED TO MAINTAINING A STRONG PRESENCE WITHIN ITS COMMUNITY AND CONTINUES TO MONITOR EXPENDITURES TO MAKE CERTAIN THAT THE PROGRAMS AND SERVICES SUPPORTED ARE IN DIRECT RESPONSE TO COMMUNITY NEED. IN 2022, ADVOCATE SHERMAN PROVIDED OVER $56.4 MILLION IN COMMUNITY BENEFIT PROGRAMS AND SERVICES .THESE BENEFITS INCLUDED NOT ONLY THE COST OF FINANCIAL ASSISTANCE AND UNREIMBURSED MEDICAID AND MEDICARE, FOR EXAMPLE, BUT ALSO THE COST FOR IMPLEMENTING AND SUSTAINING PROGRAMS SPECIFICALLY DESIGNED TO MEET THE HEALTH CARE NEEDS OF THE COMMUNITY.PARTNERING TO ASSESS COMMUNITY NEEDS. ADVOCATE SHERMAN HAS BEEN WORKING COLLABORATIVELY WITH THE MCHENRY COUNTY DEPARTMENT OF PUBLIC HEALTH AND THE KANE COUNTY HEALTH DEPARTMENT TO ASSESS THE HEALTH NEEDS OF THE COMMUNITY. PARTICIPATING IN THE COUNTY-WIDE HEALTH ASSESSMENTS LED BY BOTH HEALTH DEPARTMENTS, ADVOCATE SHERMAN'S COMMUNITY HEALTH TEAM MEMBERS HAVE PLAYED IMPORTANT ROLES ON THE EXECUTIVE LEADERSHIP OVERSIGHT COMMITTEES AND SUB-COMMITTEES OF THESE INITIATIVES. OTHER SHERMAN HOSPITAL LEADERS SERVE IN KEY LEADERSHIP ROLES IN THE OVERSIGHT COMMITTEES OF BOTH COUNTIES, AS WELL AS SERVING ON MANY SUBCOMMITTEES. ADVOCATE SHERMAN ALSO FOCUSES ITS INTERNAL STRENGTHS TO ASSESS COMMUNITY NEEDS AND TO GUIDE PROGRAM DEVELOPMENT. THE HOSPITAL'S COMMUNITY HEALTH DEPARTMENT PLAYS A KEY ROLE IN WORKING COLLABORATIVELY WITH INTERNAL HOSPITAL DEPARTMENTS AS WELL AS WITH COMMUNITY PARTNERS TO ENHANCE THE HEALTH OF THE COMMUNITY. COMMUNITY STRATEGY AND EXAMPLES OF PROGRAMS AND SERVICE ACCOMPLISHMENTS. AS A HOSPITAL WITHIN THE ADVOCATE AURORA HEALTH SYSTEM, ADVOCATE SHERMAN HOSPITAL IMPLEMENTATION PLANS AND STRATEGIES ALIGN WITH THE AAH SYSTEM STRATEGY. THROUGH THIS COMMUNITY STRATEGY, THE HOSPITAL WILL BUILD HEALTH EQUITY, ENSURE ACCESS AND IMPROVE HEALTH OUCOMES IN ITS COMMUNITY THROUGH EVIDENCE-INFORMED SERVICES AND INNOVATIVE PARTHERSHIPS BY ADDRESSING MEDICAL NEEDS AND SOCIAL DETERMINANTS OF HEALTH. BASED ON NEED AND EFFECT ON HEALTH EQUITY AS IDENTIFIED IN THE AAH HOSPITALS CHNA REPORTS AND ON INDUSTRY LITERATURE, THE FOLLOWING SIX FOCUS AREAS HAVE BEEN PRIORITIZED AND ARE THE FOUNDATION ON WHICH THE HOSPITAL-SPECIFIC IMPLEMENATION PLANS ARE BUILT. THE FOCUS AREAS ARE: 1) ACCESS TO PRIMARY MEDICAL HOMES; 2) ACCESS TO BEHAVIORAL HEALTH SERVICES; 3) WORKFORCE DEVELOPMENT; 4) COMMUNITY SAFETY; 5) AFFORDABLE HOUSING; AND 6) WORKFORCE DEVELOPMENT. EACH STRATEGY FOCUS AREA AND EXAMPLES OF ADVOCATE SHERMAN HOSPITAL PROGRAMS AND ACTIVITIES ADDRESSING THAT STRATEGY ARE PROVIDED BELOW.	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$0	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant	$0	TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue	$965,747	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$397,766,614	TotalProgramServiceExpensesAmt
Described In Section501c3	Yes (1)	DescribedInSection501c3Ind
Schedule B Required	Yes (1)	ScheduleBRequiredInd
Political Campaign Acty	0	PoliticalCampaignActyInd
Lobbying Activities	Yes (1)	LobbyingActivitiesInd
Subject To Proxy Tax	0	SubjectToProxyTaxInd
Donor Advised Fund	0	DonorAdvisedFundInd
Conservation Easements	0	ConservationEasementsInd
Collections Of Art	0	CollectionsOfArtInd
Credit Counseling	0	CreditCounselingInd
Donor Rstr Or Quasi Endowments	0	DonorRstrOrQuasiEndowmentsInd
Report Land Building Equipment	Yes (1)	ReportLandBuildingEquipmentInd
Report Investments Other Sec	0	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	ReportProgramRelatedInvstInd
Report Other Assets	Yes (1)	ReportOtherAssetsInd
Report Other Liabilities	Yes (1)	ReportOtherLiabilitiesInd
Include FIN48 Footnote	0	IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt	0	IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt	Yes (1)	ConsolidatedAuditFinclStmtInd
School Operating	0	SchoolOperatingInd
Foreign Office	0	ForeignOfficeInd
Foreign Activities	0	ForeignActivitiesInd
More Than5000 K To Org	0	MoreThan5000KToOrgInd
More Than5000 K To Individuals	0	MoreThan5000KToIndividualsInd
Professional Fundraising	0	ProfessionalFundraisingInd
Fundraising Activities	0	FundraisingActivitiesInd
Gaming Activities	0	GamingActivitiesInd
Operate Hospital	Yes (1)	OperateHospitalInd
Audited Financial Stmt Att	Yes (1)	AuditedFinancialStmtAttInd
Grants To Organizations	0	GrantsToOrganizationsInd
Grants To Individuals	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	0	TaxExemptBondsInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	0	GrantToRelatedPersonInd
Business Rln With Org Mem	0	BusinessRlnWithOrgMemInd
Business Rln With Fam Mem	0	BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent	0	BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri	0	DeductibleNonCashContriInd
Deductible Art Contribution	0	DeductibleArtContributionInd
Terminate Operations	0	TerminateOperationsInd
Partial Liquidation	0	PartialLiquidationInd
Disregarded Entity	0	DisregardedEntityInd
Related Entity	Yes (1)	RelatedEntityInd
Related Organization Ctrl Ent	Yes (1)	RelatedOrganizationCtrlEntInd
Transaction With Control Ent	0	TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org	0	TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp	0	ActivitiesConductedPrtshpInd
Schedule O Required	Yes (1)	ScheduleORequiredInd
IRP Document	69	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	1710	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	0	UnrelatedBusIncmOverLimitInd
Foreign Financial Account	0	ForeignFinancialAccountInd
Prohibited Tax Shelter Trans	0	ProhibitedTaxShelterTransInd
Taxable Party Notification	0	TaxablePartyNotificationInd
Nondeductible Contributions	0	NondeductibleContributionsInd
Quid Pro Quo Contributions	0	QuidProQuoContributionsInd
Form8282 Property Disposed Of	0	Form8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft Cntrct	0	RcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft Cntrct	0	PayPremiumsPrsnlBnftCntrctInd
Indoor Tanning Services	0	IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt	Yes (1)	SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc	0	SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VI	Yes (X)	InfoInScheduleOPartVIInd
Governing Body Voting Members	26	GoverningBodyVotingMembersCnt
Independent Voting Member	20	IndependentVotingMemberCnt
Family Or Business Rln	Yes (1)	FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties	0	DelegationOfMgmtDutiesInd
Change To Org Documents	0	ChangeToOrgDocumentsInd
Material Diversion Or Misuse	0	MaterialDiversionOrMisuseInd
Members Or Stockholders	Yes (1)	MembersOrStockholdersInd
Election Of Board Members	Yes (1)	ElectionOfBoardMembersInd
Decisions Subject To Approva	Yes (1)	DecisionsSubjectToApprovaInd
Minutes Of Governing Body	Yes (1)	MinutesOfGoverningBodyInd
Minutes Of Committees	Yes (1)	MinutesOfCommitteesInd
Officer Mailing Address	0	OfficerMailingAddressInd
Local Chapters	0	LocalChaptersInd
Form990 Provided To Gvrn Body	Yes (1)	Form990ProvidedToGvrnBodyInd
Conflict Of Interest Policy	Yes (1)	ConflictOfInterestPolicyInd
Annual Disclosure Covered Prsn	Yes (1)	AnnualDisclosureCoveredPrsnInd
Regular Monitoring Enfrc	Yes (1)	RegularMonitoringEnfrcInd
Whistleblower Policy	Yes (1)	WhistleblowerPolicyInd
Document Retention Policy	Yes (1)	DocumentRetentionPolicyInd
Compensation Process CEO	Yes (1)	CompensationProcessCEOInd
Compensation Process Other	Yes (1)	CompensationProcessOtherInd
Investment In Joint Venture	0	InvestmentInJointVentureInd
States Where Copy Of Return Is Fld	IL	StatesWhereCopyOfReturnIsFldCd
Upon Request	Yes (X)	UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ADVOCATE AURORA HEALTH INC	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Phone	4142991576	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2025 WINDSOR DRIVE	AddressLine1Txt
City	OAK BROOK	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	60523	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (56 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	OfficerOfficerInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
LINDA WALLACE
DIRECTOR, ASSISTANT SECRETARY	1.00	0.00	Yes (X)	Yes (X)	$3,000	$0	$0
REV DR NATHANIEL EDMOND
CHAIRPERSON, DIRECTOR	1.00	1.00	Yes (X)	Yes (X)	$7,100	$8,000	$0
CRAIG LAMP
DIRECTOR, VICE CHAIRPERSON	1.00	0.00	Yes (X)	Yes (X)	$3,000	$0	$0
SHERI DE SHAZO
PRESIDENT, DIRECTOR	55.00	0.00	Yes (X)	Yes (X)	$621,771	$0	$113,574
KAREN LAMBERT
DIRECTOR	1.00	55.00	Yes (X)		$0	$1,206,986	$144,939
WILLIAM HOFFER
DIRECTOR	1.00	0.00	Yes (X)		$0	$0	$0
AZMEY MATARIEH
DIRECTOR	1.00	55.00	Yes (X)		$0	$820,354	$66,291
JOHN CHAPMAN
DIRECTOR	1.00	0.00	Yes (X)		$0	$0	$0
JOSE TORRES
DIRECTOR	1.00	0.00	Yes (X)		$3,000	$0	$0
KENNETH KOEHLER
DIRECTOR	1.00	0.00	Yes (X)		$0	$0	$0
PATRICK CRAWFORD
DIRECTOR	1.00	0.00	Yes (X)		$3,000	$0	$0
RACHEL BAER MD
DIRECTOR	1.00	55.00	Yes (X)		$0	$286,302	$58,957
RAVI DAMARAJU MD
DIRECTOR	1.00	0.00	Yes (X)		$3,000	$0	$0
RICHARD JAKLE
DIRECTOR	1.00	55.00	Yes (X)		$3,000	$120,433	$0
SCOTT RICHMOND
DIRECTOR	1.00	0.00	Yes (X)		$3,000	$0	$0
SHARON JAKLE
DIRECTOR	1.00	0.00	Yes (X)		$3,000	$0	$0
RAJA CHATTERJI MD
DIRECTOR	1.00	55.00	Yes (X)		$0	$528,173	$46,172
TERRY DUNNING
DIRECTOR	1.00	0.00	Yes (X)		$0	$0	$0
MICHAEL KENYON
DIRECTOR	1.00	0.00	Yes (X)		$3,000	$0	$0
SUNIL JOSEPH MD
DIRECTOR	1.00	0.00	Yes (X)		$3,000	$0	$0
WENDY MILLER
DIRECTOR	1.00	0.00	Yes (X)		$3,000	$0	$0
JANELLE DIXON
DIRECTOR	1.00	0.00	Yes (X)		$3,000	$0	$0
RITA CORBETT
DIRECTOR	1.00	0.00	Yes (X)		$0	$0	$0
RAMINDER SINGH MD
DIRECTOR	1.00	55.00	Yes (X)		$0	$826,917	$48,676
MEELI PATEL
DIRECTOR	1.00	55.00	Yes (X)		$0	$391,658	$72,588
KURT SCHNEIDER
DIRECTOR	1.00	0.00	Yes (X)		$3,000	$0	$0
DOMINIC J NAKIS
TREASURER	1.00	55.00		Yes (X)	$0	$2,304,330	$214,335
JAMES DOHENY
ASSISTANT TREASURER	1.00	55.00		Yes (X)	$0	$664,780	$103,379
MICHAEL KERNS
ASSISTANT SECRETARY	1.00	55.00		Yes (X)	$0	$587,048	$98,816
MICHAEL GREBE
SECRETARY AS OF JAN 21	1.00	55.00		Yes (X)	$0	$1,338,491	$132,454
RACHELLE HART
ASSISTANT SECRETARY	1.00	55.00		Yes (X)	$0	$864,327	$120,559
STEVE HUSER
ASSISTANT TREASURER	1.00	55.00		Yes (X)	$0	$523,937	$91,064
NANINE NELSON
ASSISTANT TREASURER	1.00	55.00		Yes (X)	$0	$1,049,258	$123,675
DOMINICA TALLARICO
VICE PRESIDENT	1.00	55.00		Yes (X)	$0	$1,520,998	$165,810
CARRIE DONOVAN
ASSISTANT TREASURER	1.00	55.00		Yes (X)	$0	$575,844	$108,096
ROBIN STOEN
ASSISTANT TREASURER	1.00	55.00		Yes (X)	$0	$271,057	$29,570
MICHAEL VOLANTE
ASSISTANT TREASURER	1.00	55.00		Yes (X)	$0	$264,121	$18,806
MICHAEL ROSENBERG
DIRECTOR MED EM & CLINICAL DECISION	55.00	0.00			$344,764	$0	$9,979	Yes (X)
JUSTIN MACARIOLA-COAD
VICE PRESIDENT & CMO	55.00	0.00			$469,312	$0	$57,125	Yes (X)
SUSAN MORBY
VICE PRESIDENT & CNO	55.00	0.00			$303,693	$0	$39,661	Yes (X)
DARREN SMITH
DIRECTOR ED ICU & NURSING OPS	55.00	0.00			$214,746	$0	$13,020	Yes (X)
BYRON ATKINSON
DIR PERIOPERATIVE SVCS	55.00	0.00			$218,152	$0	$9,787	Yes (X)
LINDA DEERING DEAN
FORMER PRESIDENT, DIRECTOR	0.00	0.00			$0	$39,542	$0		Yes (X)
NICOLE PAULK
FORMER DIRECTOR	0.00	0.00			$0	$368,973	$12,506		Yes (X)
WILLIAM SANTULLI
FORMER DIRECTOR	0.00	0.00			$0	$3,046,462	$273,298		Yes (X)
MICHAEL LAPPIN
FORMER OFFICER	0.00	0.00			$0	$1,020,814	$15,549		Yes (X)
JAMES SLINKMAN
FORMER OFFICER	0.00	0.00			$0	$518,002	$95,446		Yes (X)
LESLIE LENZO
FORMER OFFICER	0.00	0.00			$0	$968,247	$32,298		Yes (X)
DAMON HAVILL
FORMER VP STRATEGY PLANNING & BUS DEV	0.00	0.00			$0	$434,801	$94,561		Yes (X)
JO AMICK
FORMER VP DEVELOPMENT	0.00	0.00			$0	$260,196	$36,815		Yes (X)
KEVIN FITCH
FORMER VP FINANCE	0.00	0.00			$0	$482,530	$100,642		Yes (X)
MELISSA O'NEILL
FORMER VP HUMAN RESOURCES	0.00	0.00			$0	$312,350	$43,082		Yes (X)
TRENT GORDON
FORMER VP STRATEGY PLANNING & BUS DEV	0.00	0.00			$0	$284,705	$55,236		Yes (X)
PATRICK UPLEGGER
FORMER DIRECTOR PHARMACY	0.00	0.00			$211,321	$0	$31,557		Yes (X)
SHARON MCGREGOR
CLINIC PHARMACIST (FORMER HCE)	0.00	0.00			$193,636	$0	$33,477		Yes (X)
JOAN KANUTE
FORMER DIR SVC EXCEL & POP HEALTH	0.00	0.00			$203,943	$0	$44,081		Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$2,827,438	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$21,889,636	TotReportableCompRltdOrgAmt
Total Other Compensation	$2,755,881	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	9	IndivRcvdGreaterThan100KCnt
Former Ofcr Employees Listed	Yes (1)	FormerOfcrEmployeesListedInd
Total Comp Greater Than150 K	Yes (1)	TotalCompGreaterThan150KInd
Compensation From Other Srcs	0	CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1Txt	CityContractorAddress/USAddress/CityNm	State AbbreviationContractorAddress/USAddress/StateAbbreviationCd	ZIPContractorAddress/USAddress/ZIPCd	ServicesServicesDesc	CompensationCompensationAmt
TRAVEL NURSE ACROSS AMERICA LLC
5020 NORTHSHORE DR STE 2	ANORTH LITTLE ROCK	AR	72118	HEALTHCARE SERVICES	$4,619,112
MIDWEST ANESTHESIA PARTNERS LLC
387 SHUMAN BLVD STE 240W	NAPERVILLE	IL	60563	MEDICAL SERVICES	$2,172,913
VASCULAR AND INTERVENTIONAL PROF
911 N ELM STREET 128	HINSDALE	IL	60521	MEDICAL SERVICES	$910,769
TOTAL RENAL CARE
PO BOX 402946	ATLANTA	GA	30384	MEDICAL SERVICES	$804,868
CARDIOTHORACIC & VASCULAR SURGICAL
9500 BORMET DR STE 204	MOKENA	IL	60448	MEDICAL SERVICES	$710,750

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	20	CntrctRcvdGreaterThan100KCnt
Related Organizations	$49,873	RelatedOrganizationsAmt
Government Grants	$3,718,290	GovernmentGrantsAmt
All Other Contributions	$5,354	AllOtherContributionsAmt
Total Contributions	$3,773,517	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MEDICARE/MEDICAID	622110	$172,698,877	$172,698,877
PATIENT SVC REVENUE	622110	$120,398,909	$120,398,909
BLUE CROSS/MGD CARE	622110	$105,153,424	$105,153,424
PHARMACY	456110	$47,588,661	$47,588,661
LABORATORY	541380	$41,944,194	$41,944,194

Field	Value	IRS element (for citing)
Total Program Service Revenue	$487,784,065	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$657,401	TotalRevenueColumnAmt
Exclusion	$657,401	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$228,247	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$0	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$228,247	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$228,247	TotalRevenueColumnAmt
Exclusion	$228,247	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$461,610	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$151,219	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	$310,391	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$310,391	TotalRevenueColumnAmt
Exclusion	$310,391	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
CAFETERIA REVENUE	722514	$580,029	$580,029
ALL OTHER REVENUE	900099	$23,442	$23,442
MISCELLANEOUS	900099	$1,176	$1,176

Field	Value	IRS element (for citing)
Other Revenue Total	$604,647	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$493,358,268	TotalRevenueColumnAmt
Related Or Exempt Func Income	$487,784,065	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$0	UnrelatedBusinessRevenueAmt
Exclusion	$1,800,686	ExclusionAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part IX	Yes (X)	InfoInScheduleOPartIXInd

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	-$20,000	TotalAmt
Program Services	-$20,000	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$621,771	TotalAmt
Program Services	$621,771	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$100,575,173	TotalAmt
Program Services	$95,329,310	ProgramServicesAmt
Management And General	$5,245,863	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$2,447,947	TotalAmt
Program Services	$2,447,947	ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$13,785,607	TotalAmt
Program Services	$13,611,214	ProgramServicesAmt
Management And General	$174,393	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$7,609,270	TotalAmt
Program Services	$7,295,800	ProgramServicesAmt
Management And General	$313,470	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$1,327	TotalAmt
Management And General	$1,327	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$16,243	TotalAmt
Management And General	$16,243	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$42,108	TotalAmt
Management And General	$42,108	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$66,676,088	TotalAmt
Management And General	$66,676,088	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$16,860	TotalAmt
Program Services	$16,860	ProgramServicesAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$1,809,421	TotalAmt
Program Services	$1,769,686	ProgramServicesAmt
Management And General	$39,735	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$330,608	TotalAmt
Program Services	$330,608	ProgramServicesAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$1,760,034	TotalAmt
Program Services	$1,759,173	ProgramServicesAmt
Management And General	$861	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$61,368	TotalAmt
Program Services	$61,368	ProgramServicesAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$67,813	TotalAmt
Program Services	$61,913	ProgramServicesAmt
Management And General	$5,900	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$19,001,491	TotalAmt
Program Services	$19,001,491	ProgramServicesAmt

Payments To Affiliates PaymentsToAffiliatesGrp

Field	Value	IRS element (for citing)
Total	$2,170	TotalAmt
Program Services	$2,170	ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$18,110,207	TotalAmt
Program Services	$18,110,207	ProgramServicesAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$6,085,742	TotalAmt
Program Services	$6,085,742	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
OTHER INTERCOMPANY	$126,198,219	$126,195,396	$2,823
MEDICAL SUPPLIES	$60,034,046	$60,032,951	$1,095
OTHER	$30,941,811	$1,410,781	$29,531,030
INCOME TAXES	$3,254	$3,254	$0

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$43,638,972	TotalAmt
Program Services	$43,638,972	ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$499,817,550	TotalAmt
Program Services	$397,766,614	ProgramServicesAmt
Management And General	$102,050,936	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$10,276,008	BOYAmt
EOY	-$4,113	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
EOY	$14,017,424	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$414,476	BOYAmt
EOY	$88,761	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$35,852,328	BOYAmt
EOY	$37,944,480	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$8,563,761	BOYAmt
EOY	$10,462,592	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$188,277	BOYAmt
EOY	$223,955	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$372,244,316	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$168,814,979	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$218,466,924	BOYAmt
EOY	$203,429,337	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$202,752,326	BOYAmt
EOY	$175,546,394	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$4,367,269	BOYAmt
EOY	$4,498,092	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$27,597,322	BOYAmt
EOY	$67,680,935	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$508,478,691	BOYAmt
EOY	$513,887,857	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$105,990,461	BOYAmt
EOY	$126,552,899	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	-$623,305	BOYAmt
EOY	$0	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$229,710,435	BOYAmt
EOY	$220,461,022	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$335,077,591	BOYAmt
EOY	$347,013,921	EOYAmt

Field	Value	IRS element (for citing)
Organization Follows FASB117	Yes (X)	OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$173,279,895	BOYAmt
EOY	$166,820,613	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$121,205	BOYAmt
EOY	$53,323	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$173,401,100	BOYAmt
EOY	$166,873,936	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$508,478,691	BOYAmt
EOY	$513,887,857	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$6,459,282	ReconcilationRevenueExpnssAmt
Other Changes In Net Assets	-$67,882	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	0	FSAuditedInd
Federal Grant Audit Required	0	FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

Field	Value	IRS element (for citing)
Hospital	Yes (X)	HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

Field	Value	IRS element (for citing)
Contributor	RESTRICTED	ContributorNum

Contributor Business Name ContributorBusinessName

Field	Value	IRS element (for citing)
Business Name Line1	RESTRICTED	BusinessNameLine1

Contributor US Address ContributorUSAddress

Field	Value	IRS element (for citing)
Address Line1	RESTRICTED	AddressLine1
Address Line2	RESTRICTED	AddressLine2
City	RESTRICTED	City
State	RESTRICTED	State
ZIP Code	RESTRICTED	ZIPCode

Field	Value	IRS element (for citing)
Total Contributions	RESTRICTED	TotalContributionsAmt

Schedule C IRS990ScheduleC

Field	Value	IRS element (for citing)
Volunteers	0	VolunteersInd
Paid Staff Or Management	0	PaidStaffOrManagementInd
Media Advertisements	0	MediaAdvertisementsInd
Mailings Members	0	MailingsMembersInd
Publications Or Broadcast	0	PublicationsOrBroadcastInd
Grants Other Organizations	0	GrantsOtherOrganizationsInd
Direct Contact Legislators	0	DirectContactLegislatorsInd
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$42,100	OtherActivitiesAmt
Total Lobbying Expenditures	$42,100	TotalLobbyingExpendituresAmt
Not Described Section501c3	0	NotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART II-B, LINE 1:	FormAndLineReferenceDesc
Explanation	SUPPLEMENTAL LOBBYING INFORMATION ADVOCATE SHERMAN HOSPITAL IS A MEMBER OF THE AMERICAN HOSPITAL ASSOCIATION AND THE ILLINOIS HEALTH AND HOSPITAL ASSOCIATION. THESE ORGANIZATIONS, AS PART OF THEIR MISSIONS, ADVOCATE IN THE GENERAL ASSEMBLY AND IN CONGRESS ON LEGAL AND POLICY ISSUES THAT AFFECT HEALTHCARE INCLUDING QUALITY, AFFORDABILITY, PATIENT ACCESS, AND ACCREDITATION. A PORTION OF THE ANNUAL MEMBERSHIP DUES PAID TO THIS ORGANIZATION IS ATTRIBUTABLE TO LOBBYING ACTIVITIES. THE HOSPITAL ALSO REIMBURSES ASSOCIATES FOR DUES AND EDUCATIONAL EXPENSES PAID TO VARIOUS PROFESSIONAL AND MEMBERSHIP ORGANIZATIONS. ADVOCATE SHERMAN HOSPITAL ENDEAVORS TO IDENTIFY THE PORTION OF THESE DUES OR FEES ATTRIBUTABLE TO LOBBYING ACTIVITIES.	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$27,114,239	OtherCostOrOtherBasisAmt
Book Value	$27,114,239	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$249,220,859	OtherCostOrOtherBasisAmt
Depreciation	$94,915,868	DepreciationAmt
Book Value	$154,304,991	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$5,979,015	OtherCostOrOtherBasisAmt
Depreciation	$3,501,028	DepreciationAmt
Book Value	$2,477,987	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$84,454,927	OtherCostOrOtherBasisAmt
Depreciation	$67,207,917	DepreciationAmt
Book Value	$17,247,010	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$5,475,276	OtherCostOrOtherBasisAmt
Depreciation	$3,190,166	DepreciationAmt
Book Value	$2,285,110	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$203,429,337	TotalBookValueLandBuildingsAmt

Other Assets Org OtherAssetsOrgGrp (11 entries)

DescDesc	Book ValueBookValueAmt
VALUATION ALLOWANCE	-$2,221,523
APP CLINICAL INTEGRATION RECEIVABLES	$212,467
THIRD PARTY PAYER TRANSFERS	$1,631,056
PROFESSIONAL BUILDING RENT RECEIVABLE	-$30,246
INCOME TAX RECEIVABLE	$7,657
INTERCOMPANY DUE	$28,934,978
LONG TERM DEFERRED TAXES	$577,548
LONG TERM VALUATION ALLOWANCE	-$569,962
MEDICARE SETTLEMENT - CURRENT	$378,000
PREPAID ASSETS	$43,580
INTERCOMPANY ASSETS	$38,717,380

Field	Value	IRS element (for citing)
Total Book Value Other Assets	$67,680,935	TotalBookValueOtherAssetsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (9 entries)

DescDesc	AmtAmt
I/C NOTES PAYABLES-SHERMAN	$181,734,113
BLUE CROSS TAKEBACKS	$30,737,983
OTHER THIRD PARTY PAYABLE	$1,631,056
MEDICARE RAC RESERVE	$1,000,000
BLUE CROSS DUE-CURRENT YEAR	$1,645,002
REMEDIATION COST ACCRUAL	$8,411
LEASE LIABILITY OPERATING - NO	$2,318,070
BLUE CROSS-OTHER	$1,000,000
CURRENT PORTION - BUILDING	$386,387

Field	Value	IRS element (for citing)
Total Liability	$220,461,022	TotalLiabilityAmt

Schedule H IRS990ScheduleH

Field	Value	IRS element (for citing)
Financial Assistance Policy	Yes (1)	FinancialAssistancePolicyInd
Written Policy	Yes (1)	WrittenPolicyInd
All Hospitals Policy	Yes (X)	AllHospitalsPolicyInd
FPG Reference Free Care	Yes (1)	FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Free Care Other	250.000000000000	FreeCareOtherPct

Field	Value	IRS element (for citing)
FPG Reference Discounted Care	Yes (1)	FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

Field	Value	IRS element (for citing)
Other	Yes (X)	OtherInd
Discounted Care Other	600.000000000000	DiscountedCareOtherPct

Field	Value	IRS element (for citing)
Free Care Medically Indigent	Yes (1)	FreeCareMedicallyIndigentInd
Financial Assistance Budget	Yes (1)	FinancialAssistanceBudgetInd
Expenses Exceed Budget	Yes (1)	ExpensesExceedBudgetInd
Unable To Provide Care	0	UnableToProvideCareInd
Annual Community Bnft Report	Yes (1)	AnnualCommunityBnftReportInd
Report Publically Available	Yes (1)	ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$6,071,613	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,071,613	NetCommunityBenefitExpnsAmt
Total Expense	0.01270	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$69,975,080	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$53,571,965	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$16,403,115	NetCommunityBenefitExpnsAmt
Total Expense	0.03420	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$76,046,693	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$53,571,965	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$22,474,728	NetCommunityBenefitExpnsAmt
Total Expense	0.04690	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$1,020,519	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$1,020,519	NetCommunityBenefitExpnsAmt
Total Expense	0.00210	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$3,754,663	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,754,663	NetCommunityBenefitExpnsAmt
Total Expense	0.00780	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$21,690,218	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$17,811,192	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$3,879,026	NetCommunityBenefitExpnsAmt
Total Expense	0.00810	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$139,585	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$0	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$139,585	NetCommunityBenefitExpnsAmt
Total Expense	0.00030	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$26,604,985	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$17,811,192	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$8,793,793	NetCommunityBenefitExpnsAmt
Total Expense	0.01830	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$102,651,678	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$71,383,157	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$31,268,521	NetCommunityBenefitExpnsAmt
Total Expense	0.06520	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReportedInd
Bad Debt Expense	$20,684,122	BadDebtExpenseAmt
Bad Debt Expense Attributable	$907,723	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$131,439,433	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$150,986,297	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$19,546,864	MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

Field	Value	IRS element (for citing)
Cost To Charge Ratio	Yes (X)	CostToChargeRatioInd

Field	Value	IRS element (for citing)
Written Debt Collection Policy	Yes (1)	WrittenDebtCollectionPolicyInd
Financial Assistance Prvsn	Yes (1)	FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (2 entries)

Primary ActivitiesPrimaryActivitiesTxt	Org Profit Or OwnershipOrgProfitOrOwnershipPct	Ofcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPct	Physicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
1 ALGONQUIN ROAD SURGERY CENTER LLC
ANCILLARY SURGERY CENTER	0.26000	0.00000	0.49000
2 ARSC RE HOLDINGS LLC
REAL ESTATE LEASING	0.50000	0.00000	0.00000

Field	Value	IRS element (for citing)
Hospital Facilities	1	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

Field	Value	IRS element (for citing)
Facility	1	FacilityNum

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ADVOCATE SHERMAN HOSPITAL	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	1425 N RANDALL ROAD	AddressLine1Txt
City	ELGIN	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	601232300	ZIPCd

Field	Value	IRS element (for citing)
Website Address	HTTP://WWW.ADVOCATEHEALTH.COM/HOPE/	WebsiteAddressTxt
State License	0005884	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Emergency Room24 Hrs	Yes (X)	EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

Field	Value	IRS element (for citing)
Business Name Line1	ADVOCATE SHERMAN HOSPITAL	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Facility	1	FacilityNum
First Licensed CY Or PY	0	FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY	0	TaxExemptHospitalCYOrPYInd
CHNA Conducted	Yes (1)	CHNAConductedInd
Community Definition	Yes (X)	CommunityDefinitionInd
Community Demographics	Yes (X)	CommunityDemographicsInd
Existing Resources	Yes (X)	ExistingResourcesInd
How Data Obtained	Yes (X)	HowDataObtainedInd
Community Health Needs	Yes (X)	CommunityHealthNeedsInd
Other Health Issues	Yes (X)	OtherHealthIssuesInd
Community Hlth Needs Id Process	Yes (X)	CommunityHlthNeedsIdProcessInd
Consulting Process	Yes (X)	ConsultingProcessInd
Prior CHNA Impact	Yes (X)	PriorCHNAImpactInd
CHNA Conducted	19	CHNAConductedYr
Take Into Account Others Input	Yes (1)	TakeIntoAccountOthersInputInd
CHNA Conducted With Other Fclts	Yes (1)	CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non Fclts	Yes (1)	CHNAConductedWithNonFcltsInd
CHNA Report Widely Available	Yes (1)	CHNAReportWidelyAvailableInd
Rpt Available On Own Website	Yes (X)	RptAvailableOnOwnWebsiteInd
Own Website URL	HTTP://WWW.ADVOCATEHEALTH.COM/CHNAREPORTS	OwnWebsiteURLTxt
Paper Copy Public Inspection	Yes (X)	PaperCopyPublicInspectionInd
Rpt Available Thru Other Method	Yes (X)	RptAvailableThruOtherMethodInd
Implementation Strategy Adopt	Yes (1)	ImplementationStrategyAdoptInd
Implementation Strategy Adpt	20	ImplementationStrategyAdptYr
Strategy Posted Website	Yes (1)	StrategyPostedWebsiteInd
Strategy Website URL	HTTP://WWW.ADVOCATEHEALTH.COM/CHNAREPORTS	StrategyWebsiteURLTxt
Organization Incur Excise Tax	0	OrganizationIncurExciseTaxInd
Elig Criteria Explained	Yes (1)	EligCriteriaExplainedInd
FPG Family Incm Lmt Free Dscnt	Yes (X)	FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care	250.000000000000	FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care	600.000000000000	FPGFamilyIncmLmtDscntCarePct
Medical Indigency Criteria	Yes (X)	MedicalIndigencyCriteriaInd
Insurance Status Criteria	Yes (X)	InsuranceStatusCriteriaInd
Underinsurance Stat Criteria	Yes (X)	UnderinsuranceStatCriteriaInd
Residency Criteria	Yes (X)	ResidencyCriteriaInd
Other Criteria	Yes (X)	OtherCriteriaInd
Explained Basis	Yes (1)	ExplainedBasisInd
App Financial Asst Expln	Yes (1)	AppFinancialAsstExplnInd
Described Info	Yes (X)	DescribedInfoInd
Described Suprt Doc	Yes (X)	DescribedSuprtDocInd
Provided Hospital Contact	Yes (X)	ProvidedHospitalContactInd
Includes Publicity Measures	Yes (1)	IncludesPublicityMeasuresInd
FAP Available On Website	Yes (X)	FAPAvailableOnWebsiteInd
FAP Available On Website URL	WWW.ADVOCATEHEALTH.COM/FINANCIALASSISTANCE	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	WWW.ADVOCATEHEALTH.COM/FINANCIALASSISTANCE	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	WWW.ADVOCATEHEALTH.COM/FINANCIALASSISTANCE	FAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No Charge	Yes (X)	FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No Chrg	Yes (X)	FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No Chrg	Yes (X)	FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill Display	Yes (X)	NotifiedFAPCopyBillDisplayInd
FAP Translated	Yes (X)	FAPTranslatedInd
Other Publicity	Yes (X)	OtherPublicityInd
FAP Actions On Nonpayment	Yes (1)	FAPActionsOnNonpaymentInd
Permit Report To Credit Agency	Yes (X)	PermitReportToCreditAgencyInd
Collection Activities	Yes (1)	CollectionActivitiesInd
Reporting To Credit Agency	Yes (X)	ReportingToCreditAgencyInd
Made Effort Orally Notify	Yes (X)	MadeEffortOrallyNotifyInd
Processed FAP Application	Yes (X)	ProcessedFAPApplicationInd
Made Presumptive Elig Determ	Yes (X)	MadePresumptiveEligDetermInd
Other Actions Taken	Yes (X)	OtherActionsTakenInd
Nondis Emergency Care Policy	Yes (1)	NondisEmergencyCarePolicyInd
Look Back Medicare Private	Yes (X)	LookBackMedicarePrivateInd
Amounts Generally Billed	0	AmountsGenerallyBilledInd
Gross Charges	0	GrossChargesInd

Supplemental Information SupplementalInformationGrp (9 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
ADVOCATE SHERMAN HOSPITAL	PART V, SECTION B, LINE 5: COLLABORATIVE COUNTY ASSESSMENTS. ADVOCATE SHERMAN HOSPITAL (ADVOCATE SHERMAN) COLLABORATED WITH THE MCHENRY COUNTY AND KANE COUNTY HEALTH DEPARTMENTS TO CONDUCT A COMPREHENSIVE CHNA. ADVOCATE SHERMAN ALSO CONSULTED WITH A NUMBER OF ADDITIONAL PARTNER ORGANIZATIONS INCLUDING SEVERAL FEDERALLY QUALIFIED HEALTH CENTERS (GREATER ELGIN FAMILY CARE CENTER, VNA HEALTH CENTER, AUNT MARTHA'S), THE KANE COUNTY SUBSTANCE ABUSE COALITION, MCHENRY COUNTY SUBSTANCE ABUSE COALITION AND THE MENTAL HEALTH 708 INC BOARD. EACH OF THESE ORGANIZATIONS HAVE A FOCUS ON MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS, INCLUDING AFRICAN AMERICAN AND HISPANIC RESIDENTS. IN MCHENRY COUNTY, A COMMUNITY SURVEY, FOCUS GROUPS AND KEY INFORMANT INTERVIEWS WERE CONDUCTED TO GATHER INPUT FROM COMMUNITY RESIDENTS ON KEY HEALTH ISSUES AS PART OF THE HEALTH DEPARTMENT'S COMMUNITY HEALTH ASSESSMENT (CHA). IN ADDITION, A BROAD DATA REVIEW OF MCHENRY COUNTY USING SECONDARY SOURCES WAS CONDUCTED, WHICH INCLUDED DEMOGRAPHICS, HOUSING, INCOME AND POVERTY, EDUCATION, EMPLOYMENT, CRIME AND SAFETY, BIRTH AND DEATH RATES, HEALTH STATUS AND BEHAVIORS, AND HEALTH UTILIZATION. THE KANE COUNTY HEALTH DEPARTMENT NEEDS ASSESSMENT INCLUDED A COMMUNITY HEALTH SURVEY AND AN ON-LINE KEY INFORMANT SURVEY. IN BOTH COUNTIES, SURVEYS WERE TRANSLATED INTO, AND SPECIFIC FOCUS GROUPS WERE HELD, IN SPANISH TO SOLICIT INPUT FROM SPANISH-SPEAKING RESIDENTS. A VARIETY OF SECONDARY DATA SOURCES WERE CONSULTED FOR KANE COUNTY-LEVEL DATA IN THE AREAS OF DEMOGRAPHICS, PUBLIC HEALTH, MENTAL HEALTH, SUBSTANCE ABUSE, EDUCATION, DISEASE INCIDENCE AND PREVALENCE, ECONOMICS AND PUBLIC SAFETY. (LINKS TO THE MULTIPLE COMMUNITY ASSESSMENTS DESCRIBED ABOVE ARE: HTTPS://WWW.MCHENRYCOUNTYIL.GOV/HOME/SHOWDOCUMENT?ID=71354HTTPS://WWW.MCHENRYCOUNTYIL.GOV/HOME/SHOWDOCUMENT?ID=71454HTTPS://WWW.MCHENRYCOUNTYIL.GOV/HOME/SHOWDOCUMENT?ID=71360HTTPS://WWW.COUNTYOFKANE.ORG/DOCUMENTS/QUALITY%20OF%20KANE/COMMUNITY_HEALTH_NEEDS_ASSESSMENT.PDF)COMMUNITY HEALTH COUNCIL (CHC). THE ADVOCATE SHERMAN CHC WAS CONVENED FROM JANUARY-MARCH 2019 TO REVIEW QUANTITATIVE AND QUALITATIVE DATA GATHERED FROM 2017 THROUGH 2019, AND TO SELECT THE TOP HEALTH NEEDS OF THE SERVICE AREA. THE CHC IS COMPRISED OF EIGHT COMMUNITY MEMBERS, REPRESENTING 67 PERCENT OF THE TOTAL MEMBERSHIP. CHC MEMBERS INCLUDE A VARIETY OF REPRESENTATIVES FROM THE COMMUNITY; SEVERAL OF WHICH REPRESENT MEDICALLY UNDERSERVED, LOW INCOME AND/OR MINORITY POPULATIONS.GOVERNING COUNCIL (GC). FOLLOWING CHC APPROVAL, THE CHNA AND RECOMMENDED PRIORITIES PASS TO THE HOSPITAL'S GOVERNING COUNCIL FOR APPROVAL. THE ADVOCATE SHERMAN GC IS COMPRISED OF 25 MEMBERS, REPRESENTING A BROAD ARRAY OF COMMUNITY SECTORS AND EXECUTIVE LEVEL HOSPITAL STAFF. COMMUNITY MEMBERS COME FROM THE FIELDS OF EDUCATION, MANUFACTURING, PHILANTHROPY, FAITH COMMUNITIES, MARKETING, FINANCIAL INDUSTRY, PRIMARY CARE AND SUBSPECIALTY CARE. ONE MEMBER OF THE GOVERNING COUNCIL SERVES AS CHAIR OF THE CHC TO ENSURE COORDINATION OF INFORMATION. THE 2017-2019 CHNA REPORT AND ITS PRIORITIZED NEEDS WERE APPROVED BY THE GC ON SEPTEMBER 23, 2019, AND THEN FORWARDED TO THE ADVOCATE HEALTH CARE NETWORK BOARD OF DIRECTORS WHICH APPROVED ADVOCATE SHERMAN'S 2017-2019 CHNA REPORT ON DECEMBER 16, 2019.
ADVOCATE SHERMAN HOSPITAL	PART V, SECTION B, LINE 6A: RELATED? ADVOCATE GOOD SHEPHERD HOSPITAL (BARRINGTON, IL)UNRELATED? AMITA ST. JOSEPH'S HOSPITAL (ELGIN, IL); AMITA MERCY MEDICAL CENTER (AURORA, IL); NORTHWESTERN MEDICINE MCHENRY (MCHENRY, IL); RUSH-COPLEY MEDICAL CENTER (AURORA, IL)
ADVOCATE SHERMAN HOSPITAL	PART V, SECTION B, LINE 6B: OTHER NON-HOSPITAL FACILITIES THAT PARTICIPATED IN THE CHNA INCLUDED FAMILY ALLIANCE, INC., MCHENRY COUNTY COLLEGE, MCHENRY COUNTY DEPARTMENT OF HEALTH, MCHENRY COUNTY MENTAL HEALTH BOARD, MCHENRY COUNTY SUBSTANCE ABUSE COALITION, UNITED WAY OF GREATER MCHENRY COUNTY, KANE COUNTY HEALTH DEPARTMENT AND THE 708 INC BOARD NFP.
ADVOCATE SHERMAN HOSPITAL	PART V, SECTION B, LINE 7D: THE HOSPITAL ISSUED AN ANNOUNCEMENT AND A BRIEF SUMMARY OF THE 2019 CHNA RESULTS TO ADVOCATE SHERMAN TEAM MEMBERS, WHICH ALSO INCLUDED A LINK TO THE FULL REPORT. COMMUNITY HEALTH STAFF HAVE PRESENTED THE CHNA RESULTS TO THE ADVOCATE SHERMAN EXECUTIVE AND SENIOR LEADERSHIP TEAMS A WELL.
ADVOCATE SHERMAN HOSPITAL	PART V, SECTION B, LINE 11: HEALTH NEEDS SELECTEDAS A RESULT OF THE 2017-2019 CHNA PROCESS, ADVOCATE SHERMAN SELECTED TWO PRIORITIES FOR 2020-2022 IMPLEMENTATION PLANNING - OBESITY (DIABETES, HEART DISEASE, NUTRITION AND EXERCISE) AND BEHAVIORAL HEALTH (SUBSTANCE ABUSE AND MENTAL HEALTH).(FOR PRIORITY SELECTION PROCESS DETAILS, SEE PAGE 88 OF THE 2017-2019 CHNA REPORT AT HTTPS://WWW.ADVOCATEHEALTH.COM/HOSPITAL-CHNA-REPORTS-IMPLEMENTATION-PLANS-PROGRESS-REPORTS/SHERMAN-CHNA-REPORT-2019.)OBESITY. ADVOCATE SHERMAN SELECTED OBESITY AS A HEALTH PRIORITY GIVEN THE CONTINUAL RISE IN OBESITY RATES IN BOTH KANE AND MCHENRY COUNTIES, AND EVIDENCE SHOWING A DEMONSTRATED LINK BETWEEN OBESITY AND CHRONIC CONDITIONS (DIABETES, HEART DISEASE, NUTRITION, EXERCISE, AND CANCER). THE GOAL IS TO REDUCE THE PROPORTION OF ADULTS WHO ARE OBESE IN THE PRIMARY SERVICE AREA (PSA). SPECIFICALLY ADDRESSING FOOD INSECURITY, THE ADVOCATE SHERMAN ON-CAMPUS COMMUNITY GARDEN DONATED OVER THE HOSPITAL DONATED 315 POUNDS OF FRESH PRODUCE FOR STUDENTS WHO ARE FOOD INSECURE AND ACCESSING THE ELGIN COMMUNITY COLLEGE STUDENT SPARTAN FOOD PANTRY AND THE CLIENTS OF THE FOOD FOR GREATER ELGIN FOOD PANTRY.ADVOCATE SHERMAN CONTINUES TO PARTNER WITH THE UNIVERSITY OF ILLINOIS EXTENSION MASTER GARDENERS. THEY ARE AN INTEGRAL PART OF THE ONSITE COMMUNITY GARDENS, MAINTAINING DEMONSTRATION BEDS, HOLDING LEADERSHIP ROLES ON THE GARDEN COMMITTEE AND MENTORING MASTER GARDENER INTERNS ON SITE. ADVOCATE SHERMAN PROVIDES FOOD INSECURITY SCREENING AND REFERRALS TO FOOD RESOURCES FOR ALL PATIENTS ENROLLED IN THE MOBILE INTEGRATED HEALTH (MIH) PROGRAM. IN 2022, THERE WERE 19 PATIENTS SCREENED FOR FOOD INSECURITY, BUT NO MIH PATIENTS WERE IDENTIFIED AS BEING FOOD INSECURE. THE COVID-19 FOOD RESOURCE GUIDE WAS UPDATED AND PUBLISHED TO THE COMMUNITY AGAIN IN 2022 TO REFLECT THE CURRENT FOOD ACCESS POINTS IN THE SERVICE AREA, INCLUDING FOOD PANTRIES, SOUP KITCHENS, MOBILE PARTNERS AND MEALS ON WHEELS PROGRAMS. THE GUIDE WAS DISTRIBUTED WITHIN THE HOSPITAL'S WIDE COMMUNITY PARTNER NETWORK. BEHAVIORAL HEALTH. ADVOCATE SHERMAN SELECTED BEHAVIORAL HEALTH AS A PRIORITY, WHICH IS COMPRISED OF BOTH SUBSTANCE ABUSE AND MENTAL HEALTH, GIVEN THESE FREQUENTLY CO-OCCUR AND DUE TO THE HIGH RATES OF MENTAL HEALTH NEEDS IN THE PSA. THE GOAL IS TO REDUCE THE PERCENT OF ADOLESCENTS AND ADULTS WHO ARE ABUSING SUBSTANCES. THE WARM HANDOFF PROGRAM WAS IMPLEMENTED IN THE EMERGENCY DEPARTMENT (ED) ON SEPTEMBER 21, 2020. THE PROGRAM IS A PARTNERSHIP WITH GATEWAY FOUNDATION, A COMMUNITY-BASED ADDICTION MEDICINE PROVIDER. A GATEWAY FOUNDATION ENGAGEMENT SPECIALIST MEETS IN THE ED WITH A PATIENT WHO HAS COME IN FOR OPIOID-RELATED HEALTH ISSUES, AND SCREENS AND REFERS HIM OR HER TO TREATMENT. A GATEWAY FOUNDATION RECOVERY COACH ON THE TEAM PROVIDES SUPPORT TO PATIENTS AS THEY TRANSITION INTO TREATMENT. THE 2020-2022 IMPLEMENTATION PLANS FOR OBESITY AND BEHAVIORAL HEALTH THAT WERE SELECTED THROUGH THE 2017-2019 CHNA PROCESS CAN BE VIEWED AT: HTTPS://WWW.ADVOCATEHEALTH.COM/ASSETS/IMAGES/CHNA/SHERMAN-2020-2022-CMTY-HLTH-IMPLEMENTATION-PLAN-FINAL-LR-4-24-20.PDF.HEALTH NEEDS NOT SELECTED AND WHYHEART DISEASE. THE KANE COUNTY AND MCHENRY COUNTY DEATH RATES DUE TO CORONARY HEART DISEASE ARE BETTER THAN THE ILLINOIS AND U.S. RATES, AND MEET THE HEALTHY PEOPLE 2020 TARGET. ADDITIONALLY, AGE-ADJUSTED ER AND HOSPITALIZATION RATES FOR HEART FAILURE AND HYPERTENSION FOR THE ADVOCATE SHERMAN PSA ARE ALL BETTER THAN RATES IN COMPARATIVE COUNTIES. THE CHC SELECTED TO CONTINUE FOCUSING ON OBESITY AS A HEALTH PRIORITY, WHICH HAS A DIRECT CORRELATION TO HEART DISEASE. DIABETES. THE PSA'S ER UTILIZATION RATE DUE TO ADULT DIABETES IS BETTER THAN THE ILLINOIS RATE. HOWEVER, THE EMERGENCY ROOM RATE DUE TO UNCONTROLLED DIABETES REMAINS HIGH IN THE PSA FOR HISPANICS AND AFRICAN AMERICANS. ADVOCATE SHERMAN CHOSE DIABETES AS A PRIORITY IN THE LAST CHNA CYCLE AND HAS IMPLEMENTED A COMPREHENSIVE DIABETES IN THE LATINO COMMUNITY PROGRAM, SERVING THE TARGET COMMUNITIES OF ELGIN AND CARPENTERSVILLE. THE PROGRAM IS CONTINUING DURING THE 2020-2022 IMPLEMENTATION PLAN CYCLE. RESPIRATORY DISEASES. ADVOCATE SHERMAN ED AND HOSPITALIZATION RATES DUE TO ASTHMA ARE HIGH COMPARED TO OTHER COUNTIES. HOWEVER, ADULT PATIENTS THAT ARE IDENTIFIED WITH ASTHMA AND/OR COPD ARE REFERRED TO THE ADVOCATE SHERMAN MOBILE INTEGRATED HEALTH COMMUNITY PARAMEDICINE PROGRAM, AND THE PROGRAM HAS DEMONSTRATED A DECREASE IN HOSPITAL READMISSIONS. ALSO, ADVOCATE SHERMAN COMMUNITY HEALTH STAFF WORK COLLABORATIVELY WITH THE LOCAL HEALTH DEPARTMENTS, CANCER CARE CENTER AND AMERICAN CANCER SOCIETY TO COORDINATE LUNG CANCER SCREENINGS AND PREVENTION EFFORTS. SEXUALLY TRANSMITTED DISEASES. ALTHOUGH SEXUALLY TRANSMITTED INFECTIONS ARE A CONSIDERABLE HEALTH ISSUE IN BOTH COUNTIES, THE LOCAL HEALTH DEPARTMENTS ARE TAKING THE LEAD ON IDENTIFICATION AND PREVENTION EFFORTS THROUGH THEIR RESPECTIVE COMMUNICABLE DISEASE DEPARTMENTS. ADVOCATE SHERMAN COMMUNITY HEALTH STAFF ASSIST WITH SHARING PREVENTION MESSAGES AND PRACTICES WITH PRIMARY CARE PROVIDERS IN THE PSA. OVERALL, THE NUMBER OF RESIDENTS AFFECTED IS SMALL COMPARED TO THOSE AFFECTED BY OBESITY AND BEHAVIORAL HEALTH; THEREFORE, SEXUALLY TRANSMITTED INFECTIONS WERE NOT SELECTED AS A PRIMARY FOCUS.ADULT VACCINATIONS. THE CHC THOUGHT THAT THERE IS MORE OF AN ISSUE WITH EDUCATION ON THE IMPORTANCE OF VACCINE COMPLIANCE, RATHER THAN AN ACCESS ISSUE. IN ADDITION, ADULT VACCINATIONS ARE AVAILABLE WIDELY IN PHYSICIAN OFFICES, AT LOCAL HEALTH DEPARTMENTS AND IN LOCAL PHARMACIES. FOR MORE INFORMATION ON THE PRIORITIES SELECTED TO ADDRESS, AND THOSE NOT SELECTED TO ADDRESS AND WHY, PLEASE SEE PAGES 89-92 OF THE ADVOCATE SHERMAN 2017-2019 CHNA AT HTTPS://WWW.ADVOCATEHEALTH.COM/ASSETS/DOCUMENTS/CHNA/SHERMAN-HOSPITAL/SHERMAN-2019-CHNA_FINAL_LINKED_11_6_19.PDF
ADVOCATE SHERMAN HOSPITAL	PART V, SECTION B, LINE 13H: OTHER FACTORS USED IN DETERMINING AMOUNTS CHARGED TO PATIENTS INCLUDE: DECEASED PATIENTS WITH NO ESTATE; HOMELESS PATIENTS, OR PATIENTS WHO RECEIVE CARE IN A HOMELESS CLINIC; PATIENTS WITH RELIGIOUS AFFILATION WITH A VOW OF POVERTY, PATIENTS WHO QUALIFY FOR A STATE DEPARTMENT OF HUMAN SERVICES (DHS) ASSISTANCE PROGRAM, BUT HAVE NO MEDICAL COVERAGE (E.G., ILLINOIS AMI/GA, FOOD STAMP, PRESCRIPTION, WOMEN, FREE LUNCH AND BREAKFAST PROGRAM, TEMPORARY ASSISTANCE FOR NEEDY FAMILIES (TANF), INFANTS AND CHILDREN (WIC), MEDICAID ELIGIBLE PATIENTS BUT NOT ON THE DATE OF SERVICE, WHY WAIT AND WISE WOMEN PROGRAMS; COUNTY HEALTH CLINIC PATIENTS; LEGAL ASSSISTANCE FOUNDATION OF ILLINOIS REFERRALS; INDIVIDUALS WITH A VALID ADDRESS AT LOW-INCOME/SUSIDIZED HOUSING; QUALIFIED INDIVIDUALS OF LOW INCOME HOME ENERGY ASSISTANCE PROGRAM, INCARCERATED INDIVIIDUALS; INCOMPETENT INDIVIDUALS WITH COMPROMISED DIAGNOSES (E.G., PSYCHIATRIC); INDIVIDUALS MEETING DEFINED CREDIT REPORTING (OR OTHER EXTERNAL REPORTING) RESULT THRESHOLDS; PATIENTS WITH PRIOR HISTORY OF INABILITY TO MAKE PAYMENTS; PATIENTS WITH COURT FILED OR APPROVED BANKRUPTCY DETERMINATIONS.
ADVOCATE SHERMAN HOSPITAL	PART V, SECTION B, LINE 16J: ADVOCATE SHERMAN COMMUNICATES THE AVAILABILITY OF FINANCIAL ASSISTANCE IN THE APPLICABLE LANGUAGES OF THE HOSPITAL COMMUNITY. MEANS OF COMMUNICATION INCLUDE:1. THE HEALTH CARE CONSENT THAT IS SIGNED UPON REGISTRATION FOR HOSPITAL SERVICES INCLUDES A STATEMENT THAT FINANCIAL COUNSELING, INCLUDING FINANCIAL ASSISTANCE CONSIDERATION, IS AVAILABLE UPON REQUEST.2. SIGNAGE IS CLEARLY AND CONSPICUOUSLY POSTED IN LOCATIONS THAT ARE VISIBLE TO THE PUBLIC, INCLUDING, BUT NOT LIMITED TO HOSPITAL RESGISTRATION AREAS (I.E., PATIENT ACCESS, EMERGENCY DEPARTMENT).3. BROCHURES ARE PLACED IN HOSPITAL RESGISTRATION AREAS (I.E., PATIENT ACCESS, EMERGENCY DEPARTMENT) AND INCLUDE GUIDANCE ON HOW A PATIENTS MAY APPLY FOR MEDICARE, MEDICAID, ALL KIDS, FAMILY CARE ETC., AND THE HOSPTIAL'S FINANCIAL ASSISTANCE PROGRAM. A HOSPITAL CONTACT AND TELEPHONE NUMBER FOR FINANCIAL ASSISTANCE IS INCLUDED. 4. A HANDOUT SUMMARIZING ADVOCATE'S FINANCIAL ASSISTANCE POLICY AND FINANCIAL ASSISTANCE APPLICATION ARE GIVEN TO ALL UNINSURED PATIENTS WHO RECEIVE MEDICALLY NECESSARY HOSPITAL SERVICES AT THE EARLIEST PRACTICAL TIME OF SERVICE.5. ADVOCATE'S WEBSITE PROMINENTLY NOTES THAT FINANCIAL ASSISTANCE IS AVAILABLE, WITH AN EXPLAINATION OF THE APPLICATION PROCESS, A SUMMARY OF THE FINANCIAL ASSISTANCE POLICY, AND THE FINANCIAL ASSISTANCE APPLICATION.
ADVOCATE SHERMAN HOSPITAL	PART V, SECTION B, LINE 19E: ADVOCATE SHERMAN DOES NOT PERFORM ACTIONS SUCH AS THOSE LISTED IN LINES 19A-D UNTIL REASONABLE EFFORTS HAVE BEEN MADE TO DETERMINE A PATIENT'S FAP ELIGIBILITY.
ADVOCATE SHERMAN HOSPITAL	PART V, SECTION B, LINE 20E: ADVOCATE MAKES REASONABLE EFFORTS TO DETERMINE A PATIENT'S ELIGIBILITY UNDER ITS FAP, INCLUDING SENDING A SERIES OF LETTERS AND ATTEMPTING TO WORK WITH THE PATIENT THROUGH THE FINANCIAL COUNSELING PROCESS AND/OR PHONE CALLS. ALL CORRESPONDENCE ASKS THE PATIENT TO NOTIFY THE HOSPITAL IF HE/SHE IS EXPERIENCING "DIFFICULTY IN PAYING YOUR BILL". ADVOCATE ALSO USES EARLY OUT AND PRECOLLECTION VENDORS TO ASSIST IN OBTAINING PAYMENTS OR COLLECTING FINANCIAL ASSISTANCE ELIGIBILITY INFORMATION. THESE VENDORS HAVE THE FOLLOWING LANGUAGE IN THEIR CONTRACT: "VENDOR WILL COMMUNICATE THE ADVOCATE HEALTH CARE POLICY AND GUIDELINE TO ANY PATIENT EXPRESSING A DIFFICULTY IN PAYING THEIR BILL AND, "VENDOR WILL MAIL THE ADVOCATE HEALTH CARE FINANCIAL ASSISTANCE APPLICATION TO ANY PATIENTS EXPRESSING A DIFFICULTY IN PAYING THEIR BILL". ADVOCATE'S BAD DEBT AGENCY CONTRACTS HAVE THE FOLLOWING LANGUAGE: "AGENCY SHALL EVALUATE EACH PATIENT WHOSE ACCOUNT IS REFERRED TO AGENCY, WHERE THE PATIENT EXPRESSES DIFFICULTY OR INABILITY TO PAY THEIR BILL, FOR ELIGIBILITY UNDER ADVOCATE'S FINANCIAL ASSISTANCE POLICY." VENDOR AND AGENCY CONTRACTS ARE STANDARD ACROSS ADVOCATE'S SYSTEM.

Field	Value	IRS element (for citing)
Facility	15	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (15 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - SHERMAN MOB
1435 N RANDALL RD	ELGIN	IL	60120	PATIENT CARE - IN PATIENT
3 - SHERMAN IMMEDIATE CARE
2320 ROYAL BLVD	ELGIN	IL	60120	PATIENT CARE - OUT PATIENT
4 - SHERMAN IMMEDIATE CARE - ALGONQUIN
600 RANDALL RD STE 210 230	ALGONQUIN	IL	60102	PATIENT CARE - OUT PATIENT
5 - SHERMAN IMMEDIATE CARE - SOUTH ELGIN
2000 MCDONALD RD	SOUTH ELGIN	IL	60177	PATIENT CARE - OUT PATIENT
6 - THE CENTRE OF ELGIN
100 SYMPHONY WAY	ELGIN	IL	60120	PATIENT CARE - OUT PATIENT
7 - SHERMAN IMMEDIATE CARE - BARTLETT
1052-54 NORWOOD LN	BARTLETT	IL	60103	PATIENT CARE - OUT PATIENT
8 - SHERMAN WEST COURT - 826 PROSPECT
826 PROSPECT BLVD	ELGIN	IL	60120	PATIENT CARE - OUT PATIENT
9 - THE CENTRE OF ELGIN - FLETCHER
745 FLETCHER DR	ELGIN	IL	60120	PATIENT CARE - OUT PATIENT
10 - THE CENTRE OF ELGIN - PENNY
201 PENNY AVE STE 100	EAST DUNDEE	IL	60118	PATIENT CARE - OUT PATIENT
11 - SHERMAN IMMEDIATE CARE - HAMPSHIRE
1000 S STATE ST	HAMPSHIRE	IL	60140	PATIENT CARE - OUT PATIENT
12 - SHERMAN IMMEDIATE CARE - BARTLETT
864 STEARNS RD STE 103	BARTLETT	IL	60103	PATIENT CARE - OUT PATIENT
13 - SHERMAN IMMEDIATE CARE - CRYSTAL LAKE
741 MCHENRY AVE	CRYSTAL LAKE	IL	60014	PATIENT CARE - OUT PATIENT
14 - SHERMAN MOB - CRYSTAL LAKE
4900 S ROUTE 31	CRYSTAL LAKE	IL	60014	PATIENT CARE - OUT PATIENT
15 - SHERMAN MOB - ELGIN CHICAGO
999-1019 E CHICAGO ST	ELGIN	IL	60120	PATIENT CARE - OUT PATIENT
16 - SHERMAN IMMEDIATE CARE - STREAMWOOD
550 S BLVD	STREAMWOOD	IL	60107	PATIENT CARE - OUT PATIENT

Supplemental Information Detail SupplementalInformationDetail (22 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 6A:	A SYSTEM-WIDE COMMUNITY BENEFIT REPORT IS FILED BY:ADVOCATE HEALTH CARE NETWORK 3075 HIGHLAND PARKWAY, DOWNERS GROVE, IL 60515. EIN 36-2167779
PART I, LINE 7:	A COST-TO-CHARGE RATIO, DERIVED FROM SCHEDULE H INSTRUCTIONS WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES, WAS USED TO CALCULATE THE AMOUNTS REPORTED IN THE TABLE FOR PART I, LINE 7A. SCHEDULE H INSTRUCTIONS WORKSHEET 3, UNREIMBURSED MEDICAID AND OTHER MEANS-TESTED GOVERNMENT PROGRAMS, WAS USED TO CALCULATE THE AMOUNTS REPORTED IN THE TABLE FOR PART I, LINE 7B. A COST ACCOUNTING SYSTEM WAS USED TO DETERMINE THE AMOUNTS REPORTED IN THE TABLE FOR PART I, LINES 7E, 7F, 7G, AND 7I.
PART I, LINE 7G:	ADVOCATE SHERMAN HOSPITAL PROVIDES SUBSIDIZED HEALTH SERVICES TO THE COMMUNITY. THESE SERVICES ARE PROVIDED DESPITE CREATING A FINANCIAL LOSS FOR ADVOCATE SHERMAN HOSPITAL. THESE SERVICES ARE PROVIDED BECAUSE THEY MEET AN IDENTIFIED COMMUNITY NEED. IF ADVOCATE SHERMAN HOSPITAL DID NOT PROVIDE THE CLINICAL SERVICE, IT IS REASONABLE TO CONCLUDE THAT THESE SERVICES WOULD NOT BE AVAILABLE TO THE COMMUNITY.
PART I, LN 7 COL(F):	$20,684,122 OF BAD DEBT EXPENSE WAS INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT WAS REMOVED FROM THE DENOMINATOR FOR PURPOSES OF SCHEDULE H, PART I, LINE 7, COLUMN (F).
PART II, COMMUNITY BUILDING ACTIVITIES:	ENVIRONMENTAL IMPROVEMENTS ADVOCATE HEALTH CARE IS COMMITTED TO GREENING HEALTH CARE BECAUSE IT IS DEEPLY CONNECTED TO THE PURPOSE OF OUR ORGANIZATION HEALTH AND HEALING. WE UNDERSTAND THAT THE HEALTH OF THE ENVIRONMENT AND THE HEALTH OF THE PATIENTS AND COMMUNITIES WE SERVE IS INEXTRICABLY LINKED AND THAT A HEALTHY PLANET SUPPORTS HEALTHY PEOPLE. REDUCING WASTE, CONSERVING ENERGY AND WATER, MINIMIZING USE OF TOXIC CHEMICALS, AND CONSTRUCTING ECO-FRIENDLY BUILDINGS FOR TODAY AND TOMORROW ALL THESE EFFORTS HAVE A DIRECT BENEFIT ON THE HEALTH OF LOCAL COMMUNITIES VIA CLEANER COMMUNITIES, HEALTHIER AIR QUALITY, REDUCED GREENHOUSE GASES, AND PRESERVATION OF NATURAL RESOURCES. AS WE WORK TO REDUCE THE ENVIRONMENTAL AND HEALTH IMPACT OF HEALTH CARE, OUR ENVIRONMENTAL STEWARDSHIP PRACTICES HELP EASE THE BURDEN OF HEALTH CARE COSTS BOTH DIRECTLY (LOWER ENERGY COSTS) AND INDIRECTLY (LOWER ENVIRONMENTALLY-RELATED DISEASE BURDEN). 1. MENTORING AND EDUCATIONAS WE WORK TO SERVE THE HEALTH NEEDS OF TODAY'S PATIENTS AND FAMILIES WITHOUT COMPROMISING THE NEEDS OF FUTURE GENERATIONS, ADVOCATE HAS COMMITTED RESOURCES TO SHARING LESSONS LEARNED AND BEST PRACTICES WITH OTHER HOSPITALS AND HEALTH SYSTEMS, BOTH LOCALLY AND NATIONALLY. ADVOCATE SERVES IN A LEADERSHIP, ADVOCACY AND MENTORING ROLE NATIONALLY THROUGH PARTICIPATION IN SEVERAL HEALTHCARE SUSTAINABILITY LEADERSHIP GROUPS AND ADVISORY BOARDS, ADDRESSING SAFER CHEMICALS IN FURNISHING AND MEDICAL PRODUCTS, GREEN BUILDING, CLIMATE CHANGE, PLASTICS RECYCLING, AND ENVIRONMENTALLY-PREFERABLE PURCHASING: HEALTH CARE CLIMATE COUNCIL HEALTHCARE ANCHOR NETWORK HEALTHCARE PLASTICS RECYCLING COALITION HEALTHCARE FACILITY ADVISORY BOARD PRACTICE GREENHEALTH MARKET TRANSFORMATION GROUP SAFER CHEMICALS HEALTHY BUILDING NETWORK PREMIER ENVIRONMENTAL ADVISORY COUNCIL STEERING COUNCIL OVERSIGHT AND SIGNATORY OF THE CHEMICAL FOOTPRINT PROJECTADVOCATE ALSO COMMONLY PROVIDES MENTORING TO HEALTH CARE COMMUNITY ON SUSTAINABILITY BEST PRACTICES THROUGH PRESENTATIONS AND WEBINARS, AS WELL AS TO INDIVIDUAL HEALTH CARE INSTITUTIONS ON A CASE-BY-CASE BASIS.2. ADVOCATE HEALTH CARE SYSTEM 2021 ENVIRONMENTAL INITIATIVES: PLEDGED TO POWER ITS FACILITIES WITH 100% RENEWABLE ELECTRICITY BY 2030. REDUCED ENERGY INTENSITY UTILIZATION BY 1.3% FROM 2020. AVOIDED 31 MTCO2E OF GREENHOUSE GASES (EQUIVALENT TO OVER 75,000 MILLION MILES OF DRIVING) THROUGH ECO-FRIENDLY MANAGEMENT OF ANESTHETIC GASES. RECYCLED 2,983 TONS OF WASTE FROM HOSPITAL OPERATIONS. RECYCLED 84 PERCENT, OR 1,090 TONS, OF CONSTRUCTION AND DEMOLITION DEBRIS. SAVED 26 TONS OF WASTE FROM LANDFILL VIA OUR SURGICAL AND MEDICAL DEVICE REPROCESSING PROGRAMS. REDUCED PAPER UTILIZATION BY 1.6% FROM 2020. CONTINUED OUR DONATION PROGRAM WITH PROJECT C.U.R.E., A NON-PROFIT ORGANIZATION THAT WILL RESPONSIBLY REDISTRIBUTE DONATED MEDICAL SUPPLIES AND EQUIPMENT TO UNDER-RESOURCED AREAS AROUND THE GLOBE, FOR ALL ADVOCATE HEALTH CARE FACILITIES. IN 2021, ADVOCATE HEALTH CARE DONATED 128 PALLETS OF MEDICAL SUPPLIES TO PROJECT CURE. SPENT OVER $68,000, OR 84% OF ADVOCATE'S EXPENSES IN SELECT CLEANING PRODUCT CATEGORIES (WINDOW, FLOOR, CARPET, BATHROOM, AND GENERAL-PURPOSE CLEANERS) ON THIRD-PARTY CERTIFIED "GREEN" CLEANERS. INCREASED THE PURCHASE OF HEALTHIER HOSPITALS-APPROVED FURNITURE, MADE WITHOUT SELECT CHEMICALS OF CONCERN, INCLUDING PERFLUORINATED COMPOUNDS, PVC (VINYL), FORMALDEHYDE, FLAME RETARDANTS (WHERE CODE PERMISSIBLE) AND ANTIMICROBIALS, TO 99% OF TOTAL PURCHASES. PURCHASED OVER $1,000,000 OF MEAT PRODUCTS FROM LIVESTOCK AND POULTRY RAISED WITHOUT THE ROUTINE USE OF ANTIBIOTICS (32% OF TOTAL), SUPPORTING THE JUDICIOUS AND RESPONSIBLE USE OF ANTIBIOTICS IN AGRICULTURE WHICH CAN HELP SLOW THE EMERGENCE OF ANTIBIOTIC-RESISTANT BACTERIA. PLEASE SEE ADVOCATE HEALTH CARE'S PUBLICLY FACING SUSTAINABILITY & WELLNESS WEBSITE FOR MORE INFORMATION.3. ADVOCATE SHERMAN HOSPITAL ENVIRONMENTAL IMPROVEMENTS IN 2021 REDUCED ENERGY INTENSITY UTILIZATION BY 2.3% FROM 2020. LUTHERAN GENERAL HOSPITAL DIVERTED OVER ONE MILLION POUNDS OF OPERATING WASTE FROM THE LANDFILL THROUGH ITS VARIOUS RECYCLING PROGRAMS. RECYCLED 91%, OR 326 TONS, OF CONSTRUCTION AND DEMOLITION DEBRIS. AVOIDED 7,613 POUNDS OF MEDICAL AND SOLID WASTE THROUGH ITS DEVICE REPROCESSING PROGRAMS 85% OF CLEANING PRODUCTS PURCHASED FOR FIVE KEY CATEGORIES (WINDOW, FLOOR, CARPET, BATHROOM, AND GENERAL PURPOSE CLEANERS) WERE THIRD-PARTY GREEN CERTIFIED. 97% OF FURNITURE PURCHASES WERE FREE OF FIVE KEY CHEMICALS OF CONCERN. PURCHASED 31% OF TOTAL MEAT PRODUCTS FROM LIVESTOCK AND POULTRY RAISED WITHOUT THE ROUTINE USE OF ANTIBIOTICS, SUPPORTING THE JUDICIOUS AND RESPONSIBLE USE OF ANTIBIOTICS IN AGRICULTURE WHICH CAN HELP SLOW THE EMERGENCE OF ANTIBIOTIC-RESISTANT BACTERIA. DONATED 4 PALLETS OF MEDICAL SUPPLIES TO PROJECT CURE.
PART III, LINE 4:	FOR ADVOCATE SHERMAN HOSPITAL, IN 2022 THE ALLOWANCE FOR DOUBTFUL ACCOUNTS COVERED 33.50% OF NET PATIENT ACCOUNTS RECEIVABLE. PATIENT ACCOUNTS RECEIVABLE ARE STATED AT NET REALIZABLE VALUE. ADVOCATE SHERMAN HOSPITAL EVALUATES THE COLLECTABILITY OF ITS ACCOUNTS RECEIVABLE BASED ON THE LENGTH OF TIME THE RECEIVABLE IS OUTSTANDING, PAYER CLASS, HISTORICAL COLLECTION EXPERIENCE, AND TRENDS IN HEALTH CARE INSURANCE PROGRAMS. ACCOUNTS RECEIVABLE ARE CHARGED TO THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS WHEN THEY ARE DEEMED UNCOLLECTIBLE.THE COSTING METHODOLOGY USED IN DETERMINING THE AMOUNTS REPORTED ON LINES 2 AND 3 IS BASED ON THE RATIO OF PATIENT CARE COST TO CHARGES. THE UNREIMBURSED COST OF BAD DEBT WAS CALCULATED BY APPLYING THE ORGANIZATION'S COST TO CHARGE RATIO FROM THE MEDICARE COST REPORTS (CMS 2252-96 WORKSHEET C, PART 1, PPS INPATIENT RATIOS) TO THE ORGANIZATION'S BAD DEBT PROVISION PER GENERALLY ACCEPTED ACCOUNTING PRINCIPLES, LESS ANY PATIENT OR THIRD PARTY PAYOR PAYMENTS RECEIVED.ADVOCATE MAKES EVERY EFFORT TO IDENTIFY THOSE PATIENTS WHO ARE ELIGIBLE FOR FINANCIAL ASSISTANCE BY STRICTLY ADHERING TO ITS FINANCIAL ASSISTANCE POLICY. WE BELIEVE THAT ADVOCATE HAS A POPULATION OF PATIENTS WHO ARE UNINSURED OR UNDERINSURED BUT WHO DO NOT COMPLETE THE FINANCIAL ASSISTANCE APPLICATION. THE ESTIMATED AMOUNT OF BAD DEBT EXPENSE (AT COST) WHICH COULD BE REASONABLY ATTRIBUTABLE TO PATIENTS WHO WOULD LIKELY QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY, IF SUFFICIENT INFORMATION HAD BEEN AVAILABLE TO MAKE A DETERMINATION OF THEIR ELIGIBILITY, WAS BASED UPON SELF PAY PATIENT ACCOUNTS WHICH HAD AMOUNTS WRITTEN OFF TO BAD DEBTS. OUR METHOD WAS TO BEGIN WITH THE SELF-PAY PORTION OF BAD DEBT EXPENSE PROVISION. THE SELF PAY PORTION EXCLUDES THOSE PATIENTS WHO HAD CHARITY APPLICATIONS PENDING AT THE TIME OF SERVICE. THIS COST WAS THEN REDUCED BY CHARGES IDENTIFIED AS TRUE BAD DEBT EXPENSE, INCLUDING COPAYS FOR PATIENTS WHO QUALIFIED FOR LESS THAN 100% FINANCIAL ASSISTANCE. THE COST TO CHARGE RATIO WAS THEN APPLIED TO THE REMAINING CHARGES, TO DETERMINE THE VALUE (AT COST) OF PATIENT ACCOUNTS THAT DID NOT COMPLETE FINANCIAL COUNSELING AND WERE ASSIGNED TO BAD DEBT. WE BELIEVE THIS PROCESS IS A REASONABLE BASIS FOR OUR ESTIMATE. AS WE ARE ONLY CONSIDERING SELF-PAY ACCOUNTS WRITTEN OFF TO BAD DEBT FOR THIS ESTIMATE, THIS ESTIMATE DOES NOT INCLUDE THE IMMEDIATE 30% DISCOUNT TO CHARGES WHICH IS APPLIED TO ALL SELF-PAY PATIENTS. IT ALSO DOES NOT INCLUDE ACCOUNT BALANCES OR CO-PAYS OF NON-SELF PAY ACCOUNTS WHICH ARE WRITTEN OFF TO BAD DEBT WHEN THE PATIENT HAS NO OTHER FINANCIAL RESOURCES TO PAY THESE AMOUNTS AND THE PATIENT DOES NOT APPLY FOR FINANCIAL ASSISTANCE.BAD DEBT AMOUNTS HAVE BEEN EXCLUDED FROM OTHER COMMUNITY BENEFIT AMOUNTS REPORTED THROUGHOUT SCHEDULE H.
PART III, LINE 8:	THE SHORTFALL OF $19,546,864 ON PART III, LINE 7 IS THE UNREIMBURSED COST OF PROVIDING SERVICES FOR MEDICARE PATIENTS AND SHOULD BE TREATED AS COMMUNITY BENEFIT BECAUSE PROVIDING THESE SERVICES WITHOUT REIMBURSEMENT LESSENS THE BURDENS OF GOVERNMENT OR OTHER CHARITIES THAT WOULD OTHERWISE BE NEEDED TO SERVE THE COMMUNITY.FOR ADVOCATE SHERMAN'S OPERATIONS, THE UNREIMBURSED COST OF MEDICARE WAS CALCULATED BY APPLYING THE ORGANIZATION'S COST TO CHARGE RATIO FROM THE MEDICARE COST REPORTS (CMS 2252-96 WORKSHEET C, PART 1, PPS INPATIENT RATIOS) AND FOR NON-HOSPITAL OPERATIONS THE COST TO CHARGE RATIO CALCULATED ON WORKSHEET 2 RATIO OF PATIENT CARE COST TO CHARGES TO THE ORGANIZATION'S MEDICARE, LESS ANY PATIENT OR THIRD PARTY PAYOR PAYMENTS AND/OR CONTRIBUTIONS RECEIVED THAT WERE DESIGNATED FOR THE PAYMENT OF MEDICARE PATIENT BILLS.
PART III, LINE 9B:	ADVOCATE SHERMAN HOSPITAL MAINTAINS BOTH WRITTEN FINANCIAL ASSISTANCE AND BAD DEBT/COLLECTION POLICIES. THE BAD DEBT/COLLECTION POLICY DOES NOT APPLY TO THOSE PATIENTS KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE; THEREFORE, SUCH PATIENTS ARE NOT SUBJECT TO COLLECTION PRACTICES.
PART VI, LINE 2:	COMMUNITY HEALTH NEEDS ASSESSMENTCOLLABORATIVE COUNTY ASSESSMENTS . ADVOCATE SHERMAN HOSPITAL (ADVOCATE SHERMAN) COLLABORATED WITH THE KANE COUNTY AND MCHENRY COUNTY HEALTH DEPARTMENTS TO CONDUCT A COMPREHENSIVE CHNA. ADVOCATE SHERMAN ALSO CONSULTED WITH A NUMBER OF ADDITIONAL PARTNER ORGANIZATIONS INCLUDING SEVERAL FEDERALLY QUALIFIED HEALTH CENTERS (GREATER FAMILY HEALTH, VNA HEALTH CARE, AUNT MARTHA'S), THE KANE COUNTY SUBSTANCE ABUSE COALITION, MCHENRY COUNTY SUBSTANCE ABUSE COALITION AND THE MENTAL HEALTH 708 INC BOARD. EACH OF THESE ORGANIZATIONS HAVE A FOCUS ON MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS, INCLUDING AFRICAN AMERICAN AND HISPANIC RESIDENTS. IN MCHENRY COUNTY, A COMMUNITY SURVEY, FOCUS GROUPS AND KEY INFORMANT INTERVIEWS WERE CONDUCTED TO GATHER INPUT FROM COMMUNITY RESIDENTS ON KEY HEALTH ISSUES AS PART OF THE HEALTH DEPARTMENT'S COMMUNITY HEALTH ASSESSMENT (CHA). IN ADDITION, A BROAD DATA REVIEW OF MCHENRY COUNTY USING SECONDARY SOURCES WAS CONDUCTED, WHICH INCLUDED DEMOGRAPHICS, HOUSING, INCOME AND POVERTY, EDUCATION, EMPLOYMENT, CRIME AND SAFETY, BIRTH AND DEATH RATES, HEALTH STATUS AND BEHAVIORS, AND HEALTH UTILIZATION. A VARIETY OF SECONDARY DATA SOURCES WERE CONSULTED FOR KANE COUNTY-LEVEL DATA IN THE AREAS OF DEMOGRAPHICS, PUBLIC HEALTH, MENTAL HEALTH, SUBSTANCE ABUSE, EDUCATION, DISEASE INCIDENCE AND PREVALENCE, ECONOMICS AND PUBLIC SAFETY. COMMUNITY HEALTH COUNCIL (CHC). THE ADVOCATE SHERMAN CHC WAS CONVENED FROM JANUARY-MARCH 2019 TO REVIEW QUANTITATIVE AND QUALITATIVE DATA GATHERED FROM 2017 THROUGH 2019, AND TO SELECT THE TOP HEALTH NEEDS OF THE SERVICE AREA. THE CHC IS COMPRISED OF EIGHT COMMUNITY MEMBERS, REPRESENTING 67 PERCENT OF THE TOTAL MEMBERSHIP. CHC MEMBERS INCLUDE A VARIETY OF REPRESENTATIVES FROM THE COMMUNITY; SEVERAL OF WHICH REPRESENT MEDICALLY UNDERSERVED, LOW INCOME AND/OR MINORITY POPULATIONS.GOVERNING COUNCIL (GC). FOLLOWING CHC APPROVAL, THE CHNA AND RECOMMENDED PRIORITIES PASS TO THE HOSPITAL'S GOVERNING COUNCIL (GC) FOR APPROVAL. THE ADVOCATE SHERMAN GC IS COMPRISED OF 21 MEMBERS, REPRESENTING A BROAD ARRAY OF COMMUNITY SECTORS AND EXECUTIVE LEVEL HOSPITAL STAFF. COMMUNITY MEMBERS COME FROM THE FIELDS OF EDUCATION, MANUFACTURING, PHILANTHROPY, FAITH COMMUNITIES, MARKETING, FINANCIAL INDUSTRY, PRIMARY CARE AND SUBSPECIALTY CARE. ONE MEMBER OF THE GOVERNING COUNCIL SERVES AS CHAIR OF THE CHC TO ENSURE COORDINATION OF INFORMATION. THE 2017-2019 CHNA REPORT AND ITS PRIORITIZED NEEDS WERE APPROVED BY THE GC ON SEPTEMBER 23, 2019, AND THEN FORWARDED TO THE ADVOCATE HEALTH CARE NETWORK BOARD OF DIRECTORS WHICH APPROVED ADVOCATE SHERMAN'S 2017-2019 CHNA REPORT ON DECEMBER 16, 2019.
PART VI, LINE 3:	ADVOCATE SHERMAN HOSPITAL ASSISTS PATIENTS WITH ENROLLMENT IN GOVERNMENT-SUPPORTED PROGRAMS FOR WHICH THEY ARE ELIGIBLE AND IN SECURING REIMBURSEMENT FROM AVAILABLE THIRD-PARTY RESOURCES. FINANCIAL ASSESSMENT IS PROVIDED TO HELP PATIENTS IDENTIFY AND OBTAIN PAYMENT FROM THIRD PARTIES, INCLUDING ILLINOIS MEDICAID, ILLINOIS CRIME VICTIMS FUND, ETC., AS WELL AS TO DETERMINE ELIGIBILITY UNDER ADVOCATE SHERMAN HOSPITAL'S FINANCIAL ASSISTANCE POLICY. ADVOCATE UTILIZES A FINANCIAL SCREENING SOFTWARE PROGRAM TO HELP IDENTIFY PUBLIC ASSISTANCE PROGRAMS FOR WHICH THE PATIENT MAY BE ELIGIBLE OR ADVOCATE'S FINANCIAL ASSISTANCE AT THE TIME OF REGISTRATION OR AS SOON AS PRACTICABLE THEREAFTER. IN ADDITION, HEALTHADVISOR, ADVOCATE'S EDUCATION REGISTRATION AND PHYSICIAN REFERRAL TELEPHONE CENTER, SERVES AS A COMMUNITY RESOURCE PROVIDING REFERRALS TO GOVERNMENT-FUNDED AND OTHER PROGRAMS VIA TELEPHONE FROM 7 A.M. TO 7 P.M., MONDAY THROUGH FRIDAY AND SATURDAYS 9 A.M. TO 2 P.M. ADVOCATE SHERMAN HOSPITAL ASSISTS PATIENTS WITH APPLYING FOR ADVOCATE'S OWN FINANCIAL ASSISTANCE SERVICES, IF PATIENTS ARE NOT ELIGIBLE FOR GOVERNMENT-SUPPORTED PROGRAMS. ADVOCATE SHERMAN HOSPITAL COMMUNICATES THE AVAILABILITY OF FINANCIAL ASSISTANCE IN THE APPLICABLE LANGUAGES OF THE HOSPITAL COMMUNITY. MEANS OF COMMUNICATION INCLUDE:1. THE HEALTH CARE CONSENT THAT IS SIGNED UPON REGISTRATION FOR HOSPITAL SERVICES INCLUDES A STATEMENT THAT FINANCIAL COUNSELING, INCLUDING FINANCIAL ASSISTANCE CONSIDERATION, IS AVAILABLE UPON REQUEST.2. SIGNS ARE CLEARLY AND CONSPICUOUSLY POSTED IN LOCATIONS THAT ARE VISIBLE TO THE PUBLIC, INCLUDING, BUT NOT LIMITED TO HOSPITAL PATIENT ACCESS, REGISTRATION, EMERGENCY DEPARTMENT, CASHIER, AND BUSINESS OFFICE LOCATIONS.3. BROCHURES ARE PLACED IN HOSPITAL PATIENT ACCESS, REGISTRATION, EMERGENCY DEPARTMENT AND BUSINESS OFFICE LOCATIONS, AND WILL INCLUDE GUIDANCE ON HOW A PATIENT MAY APPLY FOR MEDICARE, MEDICAID, ALL KIDS, FAMILY CARE ETC., AND THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM. A HOSPITAL CONTACT AND TELEPHONE NUMBER FOR FINANCIAL ASSISTANCE IS INCLUDED.4. UPON REQUEST A HANDOUT SUMMARIZING ADVOCATE'S FINANCIAL ASSISTANCE POLICY AND FINANCIAL ASSISTANCE APPLICATION IS GIVEN TO UNINSURED PATIENTS WHO RECEIVE MEDICALLY NECESSARY HOSPITAL SERVICES AT THE EARLIEST PRACTICAL TIME OF SERVICE.5. ADVOCATE'S WEBSITE POSTS NOTICE IN A PROMINENT PLACE THAT FINANCIAL ASSISTANCE IS AVAILABLE, WITH AN EXPLANATION OF THE FINANCIAL ASSISTANCE APPLICATION PROCESS, AND ENABLE PRINTING OF THE FINANCIAL ASSISTANCE APPLICATION.6. HOSPITAL BILLS TO UNINSURED PATIENTS A SUMMARY OF ADVOCATE'S FINANCIAL ASSISTANCE POLICY, A FINANCIAL ASSISTANCE APPLICATION AND A TELEPHONE NUMBER TO REQUEST FINANCIAL ASSISTANCE.
PART VI, LINE 4:	DESCRIPTION OF THE COMMUNITY/POPULATIONFOR THE 2017-2019 CHNA, ADVOCATE SHERMAN DEFINED THE COMMUNITY AS ITS PSA, WHICH INCLUDES COMMUNITIES IN MCHENRY AND KANE COUNTIES. THE PSA INCLUDES THE FOLLOWING ILLINOIS COMMUNITIES: ELGIN, LAKE IN THE HILLS, CARPENTERSVILLE, DUNDEE, GILBERTS, SOUTH ELGIN, ALGONQUIN AND HUNTLEY. DEMOGRAPHICS POPULATION. THE TOTAL POPULATION OF THE ADVOCATE SHERMAN PSA IS 301,055, WHICH IS A 4.75 PERCENT INCREASE FROM 2010-2019. THE THREE LARGEST COMMUNITIES WITHIN THE PSA ARE ELGIN (60120) WITH A POPULATION OF 52,712, ELGIN (60123) WITH A POPULATION OF 47,906 AND CARPENTERSVILLE (60110) WITH A POPULATION OF 39,634. AGE. THE MEDIAN AGE OF THE ADVOCATE SHERMAN PSA IS 38.84 YEARS OLD. IN THE PSA, 25.61 PERCENT OF THE POPULATION IS AGES 17 YEARS AND YOUNGER AND 13.68 PERCENT IS AGES 65 AND OVER. THE LARGEST POPULATION IN THE PSA ARE THOSE AGES 25-64 YEARS AT 40.35 PERCENT. GENDER. THE ADVOCATE SHERMAN PSA IS COMPRISED OF 50.46 PERCENT MALES AND 49.54 PERCENT FEMALES.RACE/ETHNICITY. THE HOSPITAL'S PSA IS 73 PERCENT WHITE, 7.51 PERCENT ASIAN, 4.79 PERCENT BLACK/AFRICAN AMERICAN, 3.16 PERCENT TWO OR MORE RACES, 0.77 PERCENT AMERICAN INDIAN/ALASKAN NATIVE, 0.04 PERCENT NATIVE HAWAIIAN/PACIFIC ISLANDER, AND 10.26 PERCENT SOME OTHER RACE. TWENTY-NINE PERCENT PSA IS HISPANIC/LATINO WITH THE LARGEST HISPANIC POPULATION IN THE ZIP CODES OF ELGIN (60120) AT 54.65 PERCENT AND CARPENTERSVILLE (60110) AT 50.75 PERCENT. INCOME. THE MEDIAN HOUSEHOLD INCOME FOR THE PSA POPULATION IS $83.604. ASIAN HOUSEHOLDS HAVE THE HIGHEST MEDIAN HOUSEHOLD INCOME AT $115,310 WHILE AFRICAN AMERICAN HOUSEHOLDS HAVE THE LOWEST AT $48,584.POVERTY. IN THE ADVOCATE SHERMAN PSA, 9.4 PERCENT OF THE POPULATION IS LIVING BELOW THE FEDERAL POVERTY LEVEL (FPL), WHICH IS LESS THAN THE STATE OF ILLINOIS RATE OF 13.5 PERCENT AND THE U.S. RATE OF 14.6 PERCENT. THERE IS A TOTAL OF 5,608 FAMILIES (7.3 PERCENT OF TOTAL FAMILIES) LIVING BELOW THE FEDERAL POVERTY LEVEL. THE COMMUNITIES WITH THE LARGEST PERCENTAGE OF FAMILIES LIVING BELOW THE FEDERAL POVERTY LEVEL ARE THOSE IN CARPENTERSVILLE (60110) AT 14.55 PERCENT, ELGIN (60120) AT 12.01 PERCENT AND ELGIN (60123) AT 10.97 PERCENTADULTS WITH HEALTH INSURANCE. A TOTAL OF 88.7 PERCENT OF KANE COUNTY ADULTS, AGES 19-64 YEARS, AND 93.5 PERCENT OF MCHENRY COUNTY ADULTS HAVE SOME TYPE OF HEALTH INSURANCE. THE PERCENTAGE OF ADULTS WITH HEALTH INSURANCE IN MCHENRY COUNTY IS HIGHER THAN THE ILLINOIS RATE OF 90.2 PERCENT, BUT THE PERCENT IN KANE COUNTY IS LOWER THAN THE ILLINOIS RATE. CHILDREN WITH HEALTH INSURANCE. THE PERCENTAGE OF CHILDREN WITH HEALTH INSURANCE COVERAGE IN BOTH KANE COUNTY (97.9 PERCENT) AND MCHENRY COUNTY (97.0 PERCENT) IS EQUAL TO OR GREATER THAN THE ILLINOIS RATE OF 97.1 PERCENT. FOR THE CENSUS PLACE (CITY) OF ELGIN, 97.1 PERCENT OF CHILDREN UNDER AGE 19 YEARS HAVE SOME TYPE OF HEALTH INSURANCE COVERAGE. PERSONS WITH PUBLIC HEALTH INSURANCE ONLY. BOTH KANE AND MCHENRY COUNTIES INDICATE LOWER RATES OF PUBLIC HEALTH INSURANCE ONLY, AT 19.8 PERCENT AND 15.9 PERCENT, RESPECTIVELY, AS COMPARED TO THE ILLINOIS RATE OF 23.3 PERCENT. HOSPITALS AND FEDERALLY QUALIFIED HEALTH CENTERS. THERE ARE THREE HOSPITALS IN THE ADVOCATE SHERMAN PSA INCLUDING ADVOCATE SHERMAN AND AMITA SAINT JOSEPH'S HOSPITAL IN ELGIN, AND NORTHWESTERN MEDICINE-HUNTLEY HOSPITAL IN HUNTLEY. THE FEDERALLY QUALIFIED HEALTH CENTERS (FQHCS) IN THE PSA INCLUDE GREATER ELGIN FAMILY CARE CENTER (GEFCC), VNA HEALTH CARE (VNA) AND AUNT MARTHA'S CLINIC (AM). IN KANE COUNTY, THERE ARE THREE MUASONE FOR THE INNER-CITY AURORA SERVICE AREA, ONE FOR THE KANE COUNTY SERVICE AREA AND ONE FOR THE CENTRAL CARPENTERSVILLE AREA. IN MCHENRY COUNTY, THERE IS ONE MUP FOR THE POVERTY POPULATION OF WOODSTOCK.
PART VI, LINE 5:	PROMOTION OF COMMUNITY HEALTHADVOCATE SHERMAN HOSPITAL GOVERNING COUNCIL (BOARD OF DIRECTORS) IS COMPRISED OF LOCAL COMMUNITY LEADERS AND PHYSICIANS. SEVENTY-ONE PERCENT OF THE CURRENT GC MEMBERS REPRESENT THE COMMUNITY, INCLUDING THE FAITH COMMUNITY. IN ADDITION, THE ORGANIZATION EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY FOR SOME OR ALL OF ITS DEPARTMENTS AND SPECIALTIES.ADVOCATE SHERMAN HAS SEVERAL OTHER PROGRAMS THAT CONTRIBUTE TO THE HEALTH OF THE COMMUNITY AS DESCRIBED BELOW. MOBILE INTEGRATED HEALTH. THE MOBILE INTEGRATED HEALTHCARE (MIH) COMMUNITY PARAMEDICINE PROGRAM PROVIDES HOME VISITS BY A LICENSED PARAMEDIC TO PATIENTS WITH CHRONIC HEALTH CONDITIONS IN ORDER TO IMPROVE HEALTH OUTCOMES. IN 2022, THERE WERE 87 PATIENTS ENROLLED IN THE PROGRAM AND 55 PATIENTS WERE SEEN FOR 244 VISITS. OF THE 87 PATIENTS ENROLLED, ONLY 2 PERCENT OF PATIENTS WERE READMITTED TO THE HOSPITAL WITHIN 30 DAYS. ENROLLED PATIENTS HAD THE FOLLOWING HEALTH CONDITIONS: HEART FAILURE; CHRONIC OBSTRUCTIVE PULMONARY DISEASE; DIABETES; POST-MYOCARDIAL INFARCTION; PNEUMONIA AND ONE PATIENT WAS UNDERGOING CANCER CARE.ALIGNMENT COLLABORATIVE FOR EDUCATION (ACE). ACE IS A COLLECTIVE IMPACT ORGANIZATION WHOSE MISSION IS TO ALIGN COMMUNITY RESOURCES IN SUPPORT OF PUBLIC-SCHOOL STRATEGIES TO RAISE STUDENT ACHIEVEMENT, IMPROVE THE HEALTH AND HAPPINESS OF CHILDREN, CREATE RESPONSIBLE, PRODUCTIVE AND CONTRIBUTING MEMBERS OF SOCIETY AND ADVANCE THE ECONOMIC AND SOCIAL WELL-BEING OF COMMUNITIES SERVED BY DISTRICT U-46. ALIGNMENT TEAMS (A-TEAMS) WERE CREATED TO FIND SOLUTIONS TO NEEDS IDENTIFIED BY THE PUBLIC SCHOOLS. THE DIRECTOR OF COMMUNITY HEALTH IS A MEMBER OF THE TRAUMA INFORMED CARE A-TEAM. THE 2022 SCHOOL DISTRICT U-46 EXPLORE CAREER EXPO, ORGANIZED THROUGH ACE, PROVIDED AROUND 2,700 EIGHTH GRADERS HANDS-ON EXPERIENCE IN HEALTH CAREER PATHS INCLUDING RESPIRATORY, LAB, NURSING, PHYSICAL THERAPY AND RADIOLOGY. COMMUNITY HEALTH WORKER. A CHW IS AN EXPERT IN LOCAL SOCIAL SUPPORT RESOURCES IN A LOCAL COMMUNITY. THE CHW OFTEN IS A MEMBER OF THE COMMUNITY HE OR SHE SERVES AND EDUCATES PATIENTS ON WHERE TO GET ASSISTANCE IN HOUSING, UTILITY ASSISTANCE OR MEDICAID ENROLLMENT. A FULL-TIME CHW IS EMBEDDED IN THE ADVOCATE SHERMAN EMERGENCY DEPARTMENT (ED). HE MEETS WITH PATIENTS AND ASSESSES THEIR SOCIAL DRIVERS OF HEALTH (SDOH) TO IDENTIFY BARRIERS AND NEEDS. HE THEN LINKS PATIENTS TO A PRIMARY CARE HOME AND OTHER AGENCIES FOR SUPPORT NEEDED. IN 2022, THE CHW WORKED WITH 302 PATIENTS AND MADE 424 REFERRALS, INCLUDING 271 REFERRALS TO PHYSICIANS, 29 REFERRALS TO ADVOCATE MEDICAL GROUP CLINICS AND 213 REFERRALS TO FEDERALLY QUALIFIED HEALTH CENTERS. THE TOP NEEDS OF PATIENTS SEEN WERE WOMEN'S HEALTHOBSTETRIC AND GYNECOLOGICAL CARE AND BEHAVIORAL HEALTHDUE TO LENGTHY WAIT TIMES FOR APPOINTMENTS AND SPECIALTY CARE. AMERICAN RED CROSS BLOOD DRIVES. ADVOCATE SHERMAN HOSPITAL PARTNERED WITH THE AMERICAN RED CROSS TO PROVIDE MONTHLY BLOOD DRIVES HELD AT THE HOSPITAL TO ADDRESS THE ONGOING CRITICAL BLOOD SUPPLY SHORTAGE. IN 2022, A TOTAL OF 16 BLOOD DRIVES WERE COORDINATED. A TOTAL OF 780 DONORS (INCLUDING 108 FIRST TIME DONORS) COLLECTED 755 UNITS OF BLOOD WHICH EQUATES TO APPROXIMATELY 2,265 LIVES SAVED.
PART VI, LINE 6:	6. AFFILIATED HEALTH CARE SYSTEM. IF THE ORGANIZATION IS PART OF AN AFFILIATED HEALTH CARE SYSTEM, DESCRIBE THE RESPECTIVE ROLES OF THE ORGANIZATION AND ITS AFFILIATES IN PROMOTING THE HEALTH OF THE COMMUNITIES SERVED.ADVOCATE HEALTH CARE (ILLINOIS) AND AURORA HEALTH CARE (WISCONSIN) MERGED IN 2018 TO BECOME ADVOCATE AURORA HEALTH. ADVOCATE AURORA HEALTH'S ILLINOIS HOSPITALS (ADVOCATE) ARE NOT-FOR-PROFIT AND ARE RELATED TO BOTH THE EVANGELICAL LUTHERAN CHURCH IN AMERICA AND THE UNITED CHURCH OF CHRIST. THE ADVOCATE HEALTH CARE NETWORK BOARD MEMBERS, LEADERSHIP AND TEAM MEMBERS (STAFF/EMPLOYEES) ARE COMMITTED TO POSITIVELY AFFECTING THE HEALTH STATUS AND QUALITY OF LIFE OF INDIVIDUALS AND POPULATIONS IN COMMUNITIES SERVED BY THE ORGANIZATION THROUGH PROGRAMS AND PRACTICES THAT SUPPORT THE ADVOCATE AURORA VISION OF "WE HELP PEOPLE LIVE WELL." PRIOR TO 2016, THE COMMUNITY FACING FUNCTION WAS LED BY A TEAM OF ADVOCATE SYSTEM-LEVEL INDIVIDUALS WHOSE JOB RESPONSIBILITIES INCLUDED VARIOUS COMMUNITY ROLES MORE CLOSELY ALIGNED WITH COMMUNITY RELATIONS. IN AN ONGOING EFFORT TO SUPPORT ITS HOSPITALS IN ADDRESSING COMMUNITY HEALTH PRIORITIES, ADVOCATE AURORA'S SYSTEM LEADERSHIP DIRECTED THE FORMATION OF A COMMUNITY HEALTH DEPARTMENT IN 2016. THE DEPARTMENT IS LED BY A SYSTEM EXECUTIVE AND STAFFED WITH PUBLIC/COMMUNITY HEALTH SPECIALISTS WHO ARE RESPONSIBLE FOR COMMUNITY BENEFITS REPORTING, EXECUTING COMMUNITY NEEDS ASSESSMENTS, EVIDENCE-BASED PROGRAM DEVELOPMENT AND IMPLEMENTATION, AND COLLABORATIVE PARTNERSHIPS WITHIN THE COMMUNITIES SERVED BY ADVOCATE. THE COMMUNITY HEALTH TEAM HAS SINCE LED TWO CHNA CYCLES. THE MOST RECENT CHNA REPORTS WERE APPROVED BY THE ADVOCATE HEALTH CARE NETWORK BOARD AND POSTED IN DECEMBER 2019, FOLLOWED BY APPROVAL AND POSTING OF THE HOSPITALS' COMMUNITY HEALTH IMPLEMENTATION PLANS IN 2020. IN OCTOBER 2019, THE ADVOCATE AURORA BOARD APPROVED A COMMUNITY STRATEGY THAT WOULD SUPPORT ORGANIZATIONAL VALUES AND CONTINUE TO SUPPORT SYSTEM-WIDE PROGRAMS THAT ADDRESS THE HEALTH NEEDS OF PATIENTS, FAMILIES AND THE COMMUNITIES SERVED BY ADVOCATE AURORA. THROUGH THIS STRATEGY, WE WILL BUILD HEALTH EQUITY, ENSURE ACCESS AND IMPROVE HEALTH OUTCOMES IN OUR COMMUNITIES THROUGH EVIDENCE-INFORMED SERVICES AND INNOVATIVE PARTNERSHIPS BY ADDRESSING MEDICAL NEEDS AND SOCIAL DETERMINANTS. BASED ON NEED AND EFFECT ON HEALTH EQUITY, AS IDENTIFIED IN ADVOCATE AURORA'S 27 HOSPITAL CHNA REPORTS AND IN INDUSTRY LITERATURE, ADVOCATE AURORA PRIORITIZED THE FOLLOWING SIX FOCUS AREAS ON WHICH THE INDIVIDUAL HOSPITAL COMMUNITY HEALTH IMPLEMENTATION PLANS ARE BUILT AND SUPPORT, INCLUDING: 1) ACCESS/PRIMARY MEDICAL HOMES; 2) ACCESS/ BEHAVIORAL HEALTH SERVICES; 3) WORKFORCE DEVELOPMENT; 4) COMMUNITY SAFETY; 5) AFFORDABLE HOUSING; AND 6) FOOD SECURITY. GIVEN THAT ADVOCATE AND AURORA HAVE SEPARATE FEIN'S, THE NARRATIVE WITHIN THIS DOCUMENT PRIMARILY DESCRIBES PROGRAMS AND ACTIVITIES PERTAINING TO ADVOCATE (AAH ILLINOIS). ADVOCATE'S BOARD, SYSTEM LEADERSHIP AND TEAM MEMBERS ARE FULLY ENGAGED IN PROGRAMS AND ACTIVITIES THAT SUPPORT SYSTEM AND SITE EFFORTS IN ACHIEVING MILESTONES IN EACH OF THESE COMMUNITY STRATEGY FOCUS AREAS. EXAMPLES OF AFFILIATED SYSTEM PROGRAMS/SERVICES THAT ALIGN WITH THE ORGANIZATION'S COMMUNITY STRATEGY AND SUPPORT EFFORTS TO ADDRESS THESE KEY FOCUS AREAS ARE PROVIDED IN THE FOLLOWING NARRATIVE. 1. ACCESS/PRIMARY MEDICAL HOMES. THE FIRST OF SIX KEY AREAS TARGETED BY ADVOCATE'S COMMUNITY STRATEGY IS IMPROVING ACCESS/CONNECTING PATIENTS TO PRIMARY MEDICAL HOMES. ADVOCATE IS COMMITTED TO UNDERTAKING AND SUPPORTING INITIATIVES THAT ENHANCE ACCESS TO HEALTH CARE, INCLUDING FINANCIAL ASSISTANCE, CARE COORDINATION, LANGUAGE ASSISTANCE, CULTURALLY SENSITIVE PROVISION OF CARE, AND PREVENTION EDUCATION AND WELLNESS SERVICES ACROSS THE LIFESPAN AND WITHIN THE DIVERSE COMMUNITIES ADVOCATE SERVES. FINANCIAL ASSISTANCE. ADVOCATE OFFERS A VERY GENEROUS FINANCIAL ASSISTANCE PROGRAM, REQUIRING NO PAYMENTS FROM THE PATIENTS MOST IN NEED AND PROVIDING DISCOUNTS TO UNINSURED AND INSURED PATIENTS. PATIENTS EARNING UP TO SIX TIMES THE FEDERAL POVERTY LEVEL (FPL) AND INSURED PATIENTS EARNING UP TO TWO AND HALF TIMES THE FPL, MAY QUALIFY FOR A FULL OR PARTIAL FINANCIAL ASSISTANCE DISCOUNT. ADDITIONALLY, A CATASTROPHIC ASSISTANCE DISCOUNT IS AVAILABLE FOR UNINSURED AND INSURED PATIENTS WHOSE INCOMES EXCEED THE TRADITIONAL FINANCIAL ASSISTANCE INCOME GUIDELINES AND HAVE OUTSTANDING PATIENT BALANCES OF $25,000 OR MORE FOR A SINGLE DATE OF SERVICE OR SUM OF SEVERAL DATES OF SERVICE. THESE PATIENTS MAY QUALIFY TO RECEIVE A FINANCIAL ASSISTANCE DISCOUNT THAT REDUCES THEIR OUTSTANDING BALANCE TO 25% OF THEIR NET INCOME. FOR UNINSURED PATIENTS, ADVOCATE WILL PRESUMPTIVELY PROVIDE FINANCIAL ASSISTANCE IF THE FINANCIAL STATUS HAS BEEN VERIFIED BY A THIRD PARTY. IN THESE CASES, THE PATIENT IS NOT REQUIRED TO SUBMIT A SEPARATE CHARITY APPLICATION. IF PRESUMPTIVE CRITERIA ARE NOT AVAILABLE FOR UNINSURED PATIENTS, FINANCIAL ASSISTANCE ELIGIBILITY IS AVAILABLE USING AN INCOME-BASED SCREENING. ADVOCATE EXTENDS ITS INCOME-BASED FINANCIAL ASSISTANCE POLICY TO ITS INSURED PATIENTS AS WELL. ADVOCATE CONTINUES TO REVIEW AND REFINE ITS POLICY IN AN ONGOING EFFORT TO ENSURE THAT FINANCIAL ASSISTANCE IS AVAILABLE TO THOSE WHO NEED HELP. IN 2022, FINANCIAL ADVOCATES PROCESSED 14,111 ADVOCATE FINANCIAL ASSISTANCE APPLICATIONS, COMPLETED 1,188 MEDICAID APPLICATIONS, IDENTIFIED 693 PEOPLE FOR CO-PAY ASSISTANCE AND ASSISTED PEOPLE WITH COMPLETING 260 MARKETPLACE APPLICATIONS.FEDERALLY QUALIFIED HEALTH CENTERS (FQHCS). ALL ADVOCATE'S HOSPITALS CONTINUE TO HAVE RELATIONSHIPS WITH FQHC'S OR OTHER COMMUNITY CLINICS WITHIN THEIR SERVICE AREAS AND COLLABORATE WITH THOSE PARTNERS TO IMPROVE ACCESS TO CARE FOR MEDICAID AND UNINSURED PATIENTS. ADVOCATE SHERMAN CONTINUES TO WORK CLOSELY WITH GREATER FAMILY HEALTH (FQHC), VNA HEALTH CARE AND AUNT MARTHA'S (FQHC) TO COORDINATE CARE FOR LOW-INCOME PATIENTS IN THE ELGIN AREA. THE HOSPITAL PROVIDES COLONOSCOPIES AND MAMMOGRAMS TO GREATER FAMILY HEALTH PATIENTS, COORDINATED THROUGH GRANT-FUNDED PROGRAMS. ADVOCATE CONDELL WORKS COLLABORATIVELY WITH THE LAKE COUNTY HEALTH DEPARTMENT AND COMMUNITY HEALTH CENTER (FQHC) AND ERIE HEALTHREACH WAUKEGAN (FQHC), BY PROVIDING MAMMOGRAMS AND SOME SPECIALTY CARE TO UNINSURED AND LOW-INCOME PATIENTS AS THEY ARE REFERRED TO THE MEDICAL CENTER. ADVOCATE ILLINOIS MASONIC AND ADVOCATE LUTHERAN GENERAL ALSO PARTNER WITH HEARTLAND HEALTH CENTERS AND COMMUNITYHEALTH, ONE OF THE LARGEST FREE CLINICS IN THE NATION, TO PROVIDE SPECIALTY CARE TO UNINSURED PATIENTS AND REFERRALS TO FQHCS AND FREE CLINICS FOR PRIMARY CARE SERVICES. IN ADDITION, ADVOCATE ILLINOIS MASONIC PROVIDES OPERATIONS SPACE TO HEARTLAND HEALTH CENTERS ON ITS CAMPUS TO PROVIDE PRIMARY CARE FOR INDIVIDUALS AND FAMILIES THAT ARE UNINSURED. IN PARTNERSHIP WITH THE ACCESS TO CARE ORGANIZATION, ADVOCATE CHRIST CONTINUES TO PROVIDE FREE MAMMOGRAMS TO UNINSURED AND LOW-INCOME INDIVIDUALS THAT ARE REFERRED BY THEIR CLINIC TO THE HOSPITAL WHEN THIS SERVICE IS REQUIRED. ADVOCATE TRINITY WORKS WITH CHICAGO FAMILY HEALTH CENTER AND CHRISTIAN COMMUNITY HEALTH CENTER TO COORDINATE CARE FOR LOW-INCOME PATIENTS. ADVOCATE HOSPITAL IN COOK COUNTY WORK CLOSELY WITH COMMUNITYHEALTH TO CONNECT TREAT UNINSURED PATIENTS AND TO CONNECT INDIVIDUALS THAT NEED A PRIMARY CARE PROVIDER .
PART VI, LINE 7, REPORTS FILED WITH STATES	IL
PART VI, 6. AFFILIATED HEALTH CARE SYSTEM CONT.	TO MAINTAIN QUALITY CARE EXCELLENCE AND IMPROVE QUALITY OF LIFE FOR PEOPLE SEEKING CARE FROM ADVOCATE, WORKING TO FIND MEDICAL HOMES AND TO REDUCE EMERGENCY ROOM VISITS AND HOSPITAL ADMISSIONS IS ESSENTIAL. ADVOCATE HAS NUMEROUS PROGRAMS FOCUSED ON MANAGING THE PATIENT EXPERIENCE THROUGH THE CONTINUUM OF CAREIN INPATIENT AND OUTPATIENT SETTINGS, AND IN THE HOME. MEDICAID AND MEDICARE. ADVOCATE ACTIVELY WORKS TO IMPROVE THE PROVISION OF SERVICES TO INDIVIDUALS AND FAMILIES WHO ARE COVERED BY MEDICARE AND MEDICAID AND THAT SEEK SERVICES AT ANY OF ADVOCATE'S 400 SITES OF CARE. ADVOCATE COLLABORATES WITH VARIOUS COMMUNITY-BASED ORGANIZATIONS (CBOS) AND FEDERALLY QUALIFIED HEALTH CENTERS (FQHCS) IN INNOVATIVE WAYS TO ESTABLISH PRIMARY CARE RELATIONSHIPS FOR MEDICAID AND UNINSURED PATIENTS. ADVOCATE CARE ORGANIZATION (ACO). ADVOCATE COLLABORATES WITH MERIDIAN FAMILY HEALTH PLAN (FHP) OF ILLINOIS AS PART OF AN INTEGRATED CARE MODEL FOR PEOPLE ON MEDICAID. ADVOCATE HAS A STRONG HISTORY OF PROVIDING HIGH QUALITY CARE TO THE MEDICAID POPULATION WITHIN ITS NETWORK WITH KEY FOCUS AREAS, INCLUDING IMPROVED CARE COORDINATION, ACCESS AND QUALITY PERFORMANCE. THE RESULT HAS BEEN A REDUCTION IN ED UTILIZATION DUE TO SUCCESSFULLY CONNECTING INDIVIDUALS IN THE PLAN TO A MEDICAL HOME AND DUE TO CONNECTING PATIENTS WITH COMMUNITY RESOURCES FOR UNMET SOCIAL DETERMINANTS OF HEALTH NEEDS.COMMUNITY HEALTH WORKERS-CONNECTING AND NAVIGATING PEOPLE TO PRIMARY CARE AND SOCIAL SERVICES. THE PRIMARY CARE CONNECTION (PCC) PROGRAM, DEPLOYS COMMUNITY HEALTH WORKERS (CHWS) AS COMMUNITY RESOURCE NAVIGATORS TO SERVE PEOPLE IN THE ED. THE PURPOSE OF THE PROGRAM IS TO REDUCE UNNECESSARY ED VISITS AND TO CONNECT PEOPLE TO A PRIMARY CARE HOME. CHWS EDUCATE PEOPLE ABOUT ACCESSING THE APPROPRIATE LEVEL OF CARE AND PROVIDING FOLLOW-UP APPOINTMENTS TO A CONVENIENT CARE SITE FOR PEOPLE DURING THE ED VISIT. CHWS ALSO CONDUCT A COMMUNITY HEALTH ASSESSMENT TO IDENTIFY SOCIAL DETERMINANTS OF HEALTH AND LINK PEOPLE TO SOCIAL SERVICES AND COMMUNITY RESOURCES THAT CONTRIBUTE TO THE PERSONS' OVERALL WELLBEING. THE PCC PROGRAM HAS REACHED OVER 40,000 PEOPLE SINCE 2018. FROM JANUARY 2018 THROUGH DECEMBER 19, 2022, COMMUNITY HEALTH WORKERS HAVE SERVED A TOTAL OF 40,082 PEOPLE WITH A COMBINED 90-DAY READMISSION RATE FOR 2018-2022 OF 3.5 PERCENT.ADVOCATE ALSO PROVIDES LANGUAGE AND OTHER CULTURALLY APPROPRIATE SERVICES TO IMPROVE ACCESS TO A BROAD RANGE OF HEALTH-RELATED SERVICES. LANGUAGE SERVICES. OUR LANGUAGE SERVICES TEAM BRIDGES LANGUAGES AND CULTURES BY CONNECTING PATIENTS, FAMILY MEMBERS, AND COMPANIONS TO INFORMATION AND SERVICES AT THE DESIRED TIME, IN THE OPTIMAL PLACE, AND UTILIZING APPROPRIATE COMMUNICATION MODALITIES.INFOGRAPHIC: OUR JOURNEY OVER THE LAST FIVE YEARS HAS YIELDED SIGNIFICANT GROWTH, DEMONSTRATED BY A 124% INCREASE IN ENCOUNTERS, OVER 1.2 MILLION INTERACTIONS, AND 193 LANGUAGES FROM 2018 TO 2022.A FOCUS FOR LANGUAGE SERVICES IN 2022 WAS TO ENSURE PATIENTS, FAMILY MEMBERS, AND COMPANIONS HAVE AUXILIARY AIDS, DEVICES, OR SERVICES THAT ENABLE EFFECTIVE COMMUNICATION. WE EXPECT ALL ACCESS POINTS WITHIN THE SYSTEM WILL BE FULLY EQUIPPED WITH THESE AIDS. THESE AIDS INCLUDE BUT ARE NOT LIMITED TO CLEAR MASKS, VISUAL ALERT SYSTEMS, BABY SOUND ALERT, POCKET TALKERS, CAPTEL PHONES, TTY PHONES, PICTURE BOARD, WHITEBOARD, MAGNIFIER, AND SPECIAL COMMUNICATION NEEDS SIGNS. ENHANCING THE EXPERIENCE AND POSITIVE OUTCOMES OF OUR CONSUMERS WHO ARE DEAF, HARD OF HEARING, BLIND, LOW VISION, OR THOSE WITH LIMITED LITERACY REMAINS A CORE FOCUS FOR LANGUAGE SERVICES.
PART VI, 6. AFFILIATED HEALTH CARE SYSTEM CONT.	ADVOCATE'S LONG-TERM SUPPORT OF PROGRAMS AND SERVICES THAT PROMOTE HEALTH EQUITY HAVE RESULTED IN VARIOUS PROGRAMS/INITIATIVES THAT WORK TO IMPROVE THE HEALTH OF DIVERSE UNDERSERVED POPULATIONS IN THE COMMUNITIES IT SERVES. EXAMPLES OF THESE EFFORTS FOLLOW. LGBTQ (LESBIAN, GAY, BISEXUAL, TRANSGENDER AND QUEER) HEALTH EQUITY INDEX. ADVOCATE ILLINOIS MASONIC WAS THE FIRST ADVOCATE AURORA HOSPITAL TO ACHIEVE, SINCE ITS INCEPTION, "LEADER" STATUS DENOMINATION WITH THE HUMAN RIGHTS CAMPAIGN FOUNDATION'S HEALTH EQUALITY INDEX. THE HOSPITAL IS ONE OF 496 LEADERS OUT OF 906 PARTICIPANTS. AS THE LEADING LGBTQ SITE, IT HAS BEEN THE FOUNDATION FOR ADVOCATE AURORA HEALTH TO BE THE 4TH LARGEST HEALTH SYSTEM WITH ALL ITS SITES ACCREDITED IN 2022. LEADERS ARE RECOGNIZED FOR POLICIES AND SERVICES SUPPORTIVE OF LGBTQ RIGHTS, INCLUDING PATIENT VISITATION AND EMPLOYMENT NON-DISCRIMINATION, STAFF TRAINING IN LGBTQ PATIENT-CENTERED CARE AND EMPLOYMENT NON-DISCRIMINATION, LGBTQ PATIENT SERVICES AND SUPPORT, TRANSGENDER PATIENT SERVICES, EMPLOYEE BENEFITS, AND PATIENT AND COMMUNITY ENGAGEMENT. IN 2016, ADVOCATE ILLINOIS MASONIC CREATED A SITE LGBTQ WORK GROUP WORKING ON AFFINITY, ADVOCATING FOR POLICIES AND PROCESSES AFFIRMING TOWARD LGBTQ PATIENTS AND TEAM MEMBERS. THE MEDICAL CENTER HAS DEVELOPED PROCESSES FOR GENDER EXPANSIVE AFFIRMING IDENTIFICATION AND CAPABILITIES TO CAPTURE GENDER IDENTIFY AND SEXUAL ORIENTATION SOGI DATA. ADVOCATE ILLINOIS MASONIC'S EXPERIENCE SERVED AS THE MODEL FOR OTHER MEDICAL CENTERS WITHIN THE ADVOCATE AURORA HEALTH NETWORK TO PARTICIPATE IN THE HEALTH EQUALITY INDEX IN 2020, IMPACTING THOUSANDS OF TEAM MEMBERS AND MILLIONS OF PATIENTS ACROSS ILLINOIS AND WISCONSIN. THE HOSPITAL WAS FEATURED IN THE HEI 15 YEARS REPORT AS ONE OF 4 INITIAL SURVEY RESPONDENTS AND A MODEL FOR COMMUNITY HOSPITALS PARTICIPATION. DESPITE THE CIRCUMSTANCES AND CHALLENGES THAT THE COVID-19 PANDEMIC BROUGHT TO THE ENTIRE HEALTH CARE SYSTEM, ADVOCATE HOSPITALS CONTINUED THEIR COMMITMENT TO INCLUSIVE AND AFFIRMING CARE FOR LGBTQ PATIENTS IN 2022.CULTURAL HEALTH INITIATIVES. IN MARCH 2021, ADVOCATE LUTHERAN GENERAL HOSPITAL RESHAPED TWO PREVIOUS PATIENT NAVIGATOR POSITIONS PREVIOUSLY SERVING THE POLISH AND KOREAN POPULATIONS AND CREATED A MORE ROBUST CULTURAL AND COMMUNITY LIAISON ROLE. THIS POSITION CONTINUES THE MORE THAN DECADE LONG ADVOCATE LUTHERAN COMMITMENT AND DEDICATED RESPONSE TO THE MULTITUDE AND CONTINUALLY CHANGING DIVERSE CULTURES, LANGUAGES, HEALTH LITERACY AND DEMOGRAPHICS OF THE COMMUNITIES THAT WE SERVE. THIS POSITION'S PRIORITY IS TO CREATE AN ENVIRONMENT THAT IS CONDUCIVE TO DEVELOPING LIFELONG RELATIONSHIPS WITH MEMBERS OF THE COMMUNITY, TO INCREASE ACCESS TO HEALTH CARE SERVICES FOR MEMBERS OF THE COMMUNITY AND TO HELP OUR CURRENT PATIENTS ACHIEVE BEST HEALTH OUTCOMES. THE LIAISON ALSO WORKS IN COLLABORATION WITH THE CENTRAL CHICAGOLAND PRIMARY SERVICE AREA (PSA) AND THE COMMUNITY HEALTH AREA TO MEET THE HEALTH CARE, CULTURAL AND SPIRITUAL NEEDS OF OUR PATIENTS AND FAMILIES. THE LIAISON CONTINUES TO ASSIST PATIENTS WHO ARE LIMITED/NON-ENGLISH SPEAKING AND HELPS PATIENTS NAVIGATE THE HEALTH CARE FACILITY, PROVIDES LINGUISTICALLY COMPETENT AND CULTURALLY SENSITIVE PATIENT EDUCATION IN THE CONTEXT OF COMMUNITY OUTREACH, AND HELPS TO IDENTIFY POTENTIAL BARRIERS TO HEALTH CARE FOR THE COMMUNITY. THE CULTURAL AND COMMUNITY LIAISON COLLABORATES WITH EXTERNAL STAKEHOLDERS INCLUDING BUT NOT LIMITED TO, CHAMBERS OF COMMERCE, COMMUNITY AGENCIES AND EDUCATIONAL DISTRICTS TO PROMOTE OUR HEALTH CARE SERVICE LINES AND CONCURRENTLY EMBED AND INTEGRATE THE AHC MISSION OF DIVERSITY, EQUITY AND INCLUSION INTO THE SIX COMPONENTS OF THIS ROLE. THEY ARE PATIENT NAVIGATION, COMMUNITY RELATIONS/OUTREACH AND ENGAGEMENT, CULTURAL COMPETENCE, PHYSICIAN RELATIONS/RECRUITMENT AND COMMUNITY HEALTH. THE LIAISON PARTNERS WITH INTERNAL STAKEHOLDERS INCLUDING PHYSICIANS, TEAM MEMBERS, ADMINISTRATORS AND VOLUNTEERS TO PROVIDE GUIDANCE AROUND CULTURAL SENSITIVITIES OF THE PATIENT'S CARE PLAN AND POSSIBLE ALTERATIONS NEEDED TO FURTHER THE GOAL OF SERVICE EXCELLENCE FOR ALL, WHICH IN TURN PROMOTES AN ENVIRONMENT THAT MEETS THE UNEXPRESSED AND EXPRESSED NEEDS OF ALL THOSE IN THE FACILITY. THIS PROVIDES AN OPPORTUNITY TO ALSO IDENTIFY POTENTIAL BARRIERS AND TO ASSESS WHAT EDUCATIONAL MATERIALS AND HOSPITAL RESOURCES ARE NEEDED THAT SUPPORT CULTURAL SENSITIVITIES TO CONTINUE TO FOSTER GREATER COMMUNICATION BETWEEN THE PROVIDER AND PATIENT/FAMILY AROUND THE PATIENT'S CARE PLAN.2. ACCESS/BEHAVIORAL HEALTH SERVICESA SECOND ADVOCATE COMMUNITY STRATEGY FOCUS AREA IS ACCESS TO BEHAVIORAL HEALTH SERVICES. ADVOCATE HAS IMPLEMENTED MANY PROGRAMS/SERVICES FOCUSED ON IMPROVING THE CONTINUUM OF CARE FOR THE BENEFIT OF MENTAL HEALTH AND BEHAVIORAL HEALTH PATIENTS. SEVERAL EXAMPLES OF BEHAVIORAL HEALTH PROGRAMS THAT ADVOCATE HOSPITALS HAVE IMPLEMENTED AND IMPROVE ACCESS ARE PROVIDED BELOW. BEHAVIORAL HEALTH INTEGRATION. MANY STUDIES HAVE SHOWN THAT INTEGRATING BEHAVIORAL HEALTH INTO PRIMARY CARE PRACTICE CAN LEAD TO INCREASES IN A PERSON'S ADHERENCE TO TREATMENT, IMPROVES QUALITY OF LIFE, AND INCREASES A PERSON'S SATISFACTION WITH THEIR CARE. AT ADVOCATE HEALTH WE ARE INTEGRATING INTO PRIMARY CARE PRACTICES IN ILLINOIS AND WISCONSIN USING THE COLLABORATIVE CARE APPROACH AND EMBEDDING SOCIAL WORKER TO WORK ALONGSIDE THE PRIMARY CARE TEAM SEEING PEOPLE IN NEED WHEN THEY COME IN FOR THEIR PRIMARY CARE VISIT. IN ADDITION, PATIENTS HAVE ACCESS TO A VIRTUAL LICENSED CLINICIAN FOR BRIEF TARGETED SOLUTION FOCUSED THERAPY. THIRDLY, PRIMARY CARE PHYSICIANS HAVE ACCESS TO A CONSULTING PSYCHIATRIST FOR QUESTIONS REGARDING PRESCRIPTION MEDICATIONS TO TREAT MENTAL HEALTH CONDITIONS. THE GOAL OF THIS INITIATIVE IS TO ADDRESS LOWER-LEVEL BEHAVIORAL HEALTH ISSUES IN THE PRIMARY CARE SETTING WHERE PEOPLE FEEL MOST COMFORTABLE. BETWEEN JUNE 2021 THROUGH 2022, THE PROGRAM HAS SERVED 2,927 PEOPLE IN OUR NINETEEN BEHAVIORAL HEALTH INTEGRATION PROGRAMS ACROSS ILLINOIS AND WISCONSIN, INCLUDING 2,133 PEOPLE SERVED IN 2022 ALONE. THIS PROGRAM IS BASED ON AN EVIDENCE-BASED MODEL OF CARE, COLLABORATIVE CARE OUT OF UNIVERSITY OF WASHINGTON. WE USE EVIDENCE-BASED SCREENING TOOLS, PHQ-9 AND GAD-7. EARLY METRICS HAVE DEMONSTRATED AN INCREASED TIME TO FIRST APPOINTMENT BY 83% COMPARED TO REFERRAL TO USUAL OUTPATIENT BEHAVIORAL HEALTH PROVIDERS.BEHAVIORAL HEALTH ASSESSMENTS. BEHAVIORAL HEALTH ASSESSMENTS HELP PROVIDERS IDENTIFY WHEN A PERSON IS EXPERIENCING BEHAVIORAL HEALTH ISSUES AND ASSISTS IN EXPEDITING REFERRALS TO APPROPRIATE LEVELS OF CARE AND OTHER SUPPORTIVE RESOURCES. IN 2022, 10,637 ASSESSMENTS FOR PEOPLE PRESENTING IN AN ADVOCATE HEALTH IN IL HOSPITAL ED IN ACUTE MENTAL/BEHAVIORAL HEALTH CRISIS WERE COMPLETED BY A BEHAVIORAL-HEALTH SPECIALIST. MOBILE CRISIS RESPONSE TEAM (FORMERLY KNOWN AS MICCS). THE TEAM IS COMPRISED OF FOUR CLINICIANS AND A PEER SUPPORT SPECIALIST. THEY PROVIDE CRISIS INTERVENTIONS, THERAPY AND CASE MANAGEMENT TO ACUTELY ILL BEHAVIORAL HEALTH PATIENTS, OFFERING COMMUNITY-BASED ENCOUNTERS. IN 2022, 85 PEOPLE ENROLLED IN MOBILE CRISIS RECEIVED 1,917 SERVICES, OF WHICH ABOUT HALF WAS DELIVERED IN THE COMMUNITY. ADVOCATE ILLINOIS MASONIC'S BEHAVIORAL HEALTH SERVICES ALSO RAN AN INJECTION CLINIC DURING THE FIRST 2 MONTHS OF 2022 AND DURING THAT TIME, 62 PEOPLE RECEIVED 107 INJECTIONS.DEAF AND HARD OF HEARING PROGRAM. ADVOCATE ILLINOIS MASONIC'S DEAF AND HARD OF HEARING PROGRAM PROVIDES COMPREHENSIVE MENTAL HEALTH CARE IN AMERICAN SIGN LANGUAGE (ASL) TO DEAF AND HARD OF HEARING CHILDREN, ADOLESCENTS, AND ADULTS ACROSS ILLINOIS. THE PROGRAM OFFERS A CONTINUUM OF CARE THAT INCLUDES CLINICAL ASSESSMENTS; PRE-SCREENINGS AND LINKAGE; INDIVIDUAL AND FAMILY THERAPY; PSYCHIATRIC EVALUATIONS AND MEDICATION MONITORING; AS WELL AS CRISIS INTERVENTION WITH A 24-HOUR PHONE LINE. TELE-PSYCHIATRY IS AVAILABLE TO CLIENTS USING A VARIETY OF METHODS, INCLUDING VIDEOPHONE EQUIPMENT SUPPORTED BY THE FEDERAL COMMUNICATIONS COMMISSION (FCC) AND TEAMS/ZOOM, THAT SUIT THE INDIVIDUAL'S LINGUISTIC AND TECHNOLOGICAL NEEDS TO ENABLE THE PROVISION OF OTHERWISE SCARCE DEAF-FRIENDLY PSYCHIATRIC SERVICES IN THE HOMES OF DEAF PATIENTS. OVER THE YEARS, THE HOSPITAL HAS DISTRIBUTED SEVERAL THOUSAND FREE ASL DVDS ON HIV/AIDS, STDS, BREAST HEALTH, DIABETES, DEPRESSION, AND SMOKING CESSATION. IN 2022, BHS PROVIDED 1537 SERVICES TO 84 DHOH PATIENTS, WITH 1380 OFFERED BY THE ASL-FLUENT STAFF AND 157 SERVICES USING ACCOMMODATION. 12 PATIENTS OF THOSE 84 ALSO HAVE VISUAL IMPAIRMENT; THEY RECEIVED 195 SERVICES OVER THE COURSE OF 2022.
PART VI, 6. AFFILIATED HEALTH CARE SYSTEM CONT.	FIRST ACCESS PROGRAM. GIVEN THE HIGH NUMBER OF ADMISSIONS AND ED VISITS FOR BEHAVIORAL HEALTH CONDITIONS AT ADVOCATE ILLINOIS MASONIC AND THE HIGH NUMBER OF DISCHARGED PATIENTS THAT WERE NOT KEEPING THEIR OUTPATIENT FOLLOW-UP APPOINTMENTS, THE HOSPITAL'S BEHAVIORAL HEALTH DEPARTMENT CREATED THE FIRST ACCESS PROGRAM IN 2013. THE GOAL OF FIRST ACCESS IS TO PROVIDE IMMEDIATE ACCESS TO FOLLOW-UP BEHAVIORAL HEALTH SERVICES TO SUPPORT RECOVERY AND PREVENT RELAPSES. THROUGH THIS PROGRAM, BEHAVIORAL HEALTH ED PATIENTS, AS WELL AS PATIENTS REFERRED BY THE HOSPITAL'S INPATIENT PSYCHIATRIC UNIT, MEDICAL FLOORS AND PHYSICIANS, ARE LINKED TO FOLLOW-UP FOR OUTPATIENT APPOINTMENTS WITH MINIMAL WAIT TIME. SINCE ITS IMPLEMENTATION, FIRST ACCESS CONSISTENTLY INCREASED BEHAVIORAL HEALTH PATIENTS' APPOINTMENT FOLLOW-THROUGH RATES FROM 40 PERCENT IN 2013 TO 100 PERCENT IN 2019. DISCHARGED PATIENTS RECEIVED WARM HAND-OFFS TO BEHAVIORAL HEALTH SERVICES AND LEFT WITH AN OUTPATIENT PLAN OF CARE. HAVING ACHIEVED THAT, FIRST ACCESS STARTED TO FOCUS ON PROVIDING ACCESS TO CARE TO ALL ADVOCATE PATIENTS AND ITS VOLUMES HAVE STEADILY GROWN, PROVIDING 1,828 INTAKES TO PATIENTS IN 2021. THESE VOLUMES WERE MAINTAINED AND IN 2022 FIRST ACCESS PROVIDED 1826 NEW-PATIENT INTAKES.COMMUNITY LINKAGE SPECIALIST (CLS). IN RESPONSE TO THE INCREASING RATES OF SUBSTANCE ABUSE AND MENTAL ILLNESS IN DUPAGE COUNTY, ADVOCATE GOOD SAMARITAN EMPLOYED A COMMUNITY LINKAGE SPECIALIST THAT WORKS WITH DETOX AND BEHAVIORAL HEALTH UNIT PATIENTS TO CONNECT THEM TO THE APPROPRIATE COMMUNITY SUPPORT SERVICES AND RESOURCES. THIS INDIVIDUAL ALSO CONDUCTS COMMUNITY AND HOME VISITS WITH DISCHARGED PATIENTS. MENTAL HEALTH FIRST AID (IMMC AND GSAM). MENTAL HEALTH FIRST AID TRAINING AIMS TO INCREASE AWARENESS AROUND MENTAL ILLNESS THROUGH HELPING PEOPLE IDENTIFY MENTAL HEALTH ISSUES/ILLNESS AND ADDRESS MENTAL HEALTH CRISES IN THE COMMUNITY. THE TEAM IMPLEMENTED TWO MENTAL HEALTH FIRST AID TRAININGS ACROSS CENTRAL CHICAGOLAND (GOOD SAMARITAN'S EMS/PARAMEDIC STUDENTS AND AVONDALE RESTORATIVE JUSTICE COMMUNITY COURT. TWENTY-EIGHT INDIVIDUALS COMPLETED THE TRAINING AND RECEIVED THEIR CERTIFICATION IN MENTAL HEALTH FIRST AID IN 2022.3. WORKFORCE DEVELOPMENT. ADVOCATE WORKS WITH NON-TRADITIONAL COMMUNITY PARTNERS, SUCH AS SCHOOL DISTRICTS, EMPLOYMENT AGENCIES, COLLEGES AND UNIVERSITIES, AND OTHER PUBLIC AND PRIVATE BUSINESS LEADERS TO ADDRESS BOTH THE HIGH UNEMPLOYMENT RATES AND ECONOMIC DISPARITIES IN SOME CHICAGO NEIGHBORHOODS AS WELL AS TO CONTRIBUTE TO SOLVING THE CITY'S HEALTHCARE SECTOR TALENT SHORTAGE. ADVOCATE WORKFORCE INITIATIVE (AWI). THE ADVOCATE AURORA HEALTH, WORKFORCE DEVELOPMENT TEAM ORIGINATED FROM A GENEROUS GRANT FROM JPMORGAN CHASE IN 2015 VIA A GRANT ENTITLED THE "ADVOCATE WORKFORCE INITIATIVE" (AWI). AWI WAS CREATED TO ADDRESS HIGH-UNEMPLOYMENT RATES AND EMPLOYMENT DISPARITIES IN THE CITY OF CHICAGO'S MOST UNDERSERVED AREAS. SINCE THE GRANT COMPLETION IN 2020, AAH HAS CONTINUED THIS WORK BY ESTABLISHING A SYSTEMWIDE WORKFORCE DEVELOPMENT TEAM ACROSS WISCONSIN AND ILLINOIS. THIS TEAM HAS CREATED AND CONTINUES TO SCALE PROGRAMS AIMED TO CREATE EQUITABLE WORKPLACE PROGRAMS, MEETING THE TALENT NEEDS OF THE ORGANIZATION AND BUILDING SUSTAINABLE WORKFORCE DEVELOPMENT PROGRAMMING. THESE PROGRAMS INCLUDE, BUT AREN'T LIMITED TO:REGISTERED APPRENTICESHIP. LAUNCHED IN 2019, ADVOCATE HEALTH HAS CREATED SEVERAL APPRENTICESHIP MODELS THROUGH THE WISCONSIN DEPARTMENT OF WORKFORCE DEVELOPMENT (DWD) AND THE US DEPARTMENT OF LABOR (DOL) TO ADDRESS URGENT TALENT NEEDS. THESE PROGRAMS INCLUDE A FACILITIES MAINTENANCE AND CULINARY ARTS APPRENTICESHIP IN PARTNERSHIP WITH LOCAL COLLEGES. DIVERSE ABILITIES. SINCE 2017, AAH HAS CREATED A FOCUSED EFFORT TO SOURCE AND EMPLOY INDIVIDUALS WITH DISABILITIES WHILE CREATING A MORE INCLUSIVE HIRING PROCESS. TO DATE, ADVOCATE HEALTH HAS EMPLOYED 35 INDIVIDUALS THROUGH THE PROGRAM. TEAMMATE SUCCESS COACHING. LAUNCHED IN 2022, THIS EFFORT ADDRESSES SOCIAL DETERMINANTS TO RETENTION BY PROVIDING COMPLEX CASE MANAGEMENT AND PROVIDE WRAPAROUND SUPPORT TO SELECT NEW TEAM MEMBERS FROM THE MOST VULNERABLE TALENT POPULATIONS. THIS EFFORT LAUNCHED WITH TWO "TEAMMATE SUCCESS COACHES" IN SOUTH CHICAGOLAND AT CHRIST MEDICAL CENTER IN JUNE 2022 AND CENTRAL CHICAGOLAND AT ILLINOIS MASONIC MEDICAL CENTER IN JANUARY 2023. CORPORATE INTERNSHIPS. EACH SUMMER, AAH EMPLOYS 20+ CORPORATE INTERNS FROM AROUND THE COUNTRY TO INTRODUCE COLLEGE STUDENTS TO CAREERS IN HR, FINANCE, IT AND OTHER CORPORATE FUNCTIONS.COMMUNITY SCHOLARSHIP. STARTING IN 2021, THE AAH COMMUNITY SCHOLARSHIP PROGRAM AWARDS $5,000 SCHOLARSHIPS TO 10 COMMUNITY MEMBERS AND 10 DEPENDENTS OF AAH TEAM MEMBERS. IN 2022, AAH AWARDED TWENTY, $5,000 SCHOLARSHIPS FOR STUDENTS ACROSS ILLINOIS AND WISCONSIN THAT ARE PURSUING STEM-RELATED CAREERS.HISTORICALLY BLACK COLLEGES AND UNIVERSITY (HBCU). STARTING IN 2021, AAH PARTNERED WITH SEVERAL HBCUS ACROSS THE NATION TO PROVIDE SPONSORSHIPS, SCHOLARSHIPS, INTERNSHIPS, AND MENTORING FOR STUDENTS ENROLLED IN COLLEGE PROGRAMS. PARTNER SCHOOLS INCLUDE FLORIDA A&M, CENTRAL STATE UNIVERSITY AND SPELMAN COLLEGE.HERZING UPSKILLING PROGRAMS. STARTING IN 2021, ADVOCATE HEALTH DEVELOPED AND LAUNCHED TWO UPSKILLING PROGRAMS WITH HERZING UNIVERSITY 'STERILE PROCESSING TO SURGICAL TECHNOLOGIST AND 'MEDICAL ASSISTANT'. ADVOCATE HEALTH TEAM MEMBERS IN ENTRY-LEVEL ROLES CAN ENROLL IN REGULARLY SCHEDULED COHORTS AS THEY WORK THROUGH ONLINE EDUCATION AND ON-SITE SKILLS TRAINING. TO DATE, OVER 80 TEAM MEMBERS HAVE ENROLLED ACROSS ILLINOIS AND WISCONSIN WITH MANY MORE ON THE WAY.MAAPET (MEDICAL ASSISTANT ACCELERATED PATH TO EMPLOYMENT TRAINING PROGRAM). THE MAAPET PROGRAM WAS A PAID TRAINING PROGRAM IN PARTNERSHIP WITH THE CENTER FOR HEALTHCARE CAREERS OF SE WI (CHCSEW) AND MADE POSSIBLE BY A $500K GRANT THROUGH THE MEDICAL COLLEGE OF WISCONSIN'S ADVANCING A HEALTHIER WISCONSIN ENDOWMENT (AHW). THIS PROGRAM, IN COLLABORATION WITH THE REGION'S FOUR LARGEST HEALTHCARE SYSTEMS, TRAINED OVER 100 NEW MEDICAL ASSISTANTS FROM UNDERSERVED COMMUNITIES BY THE END OF 2022. OVER THE COURSE OF THIS PAID, 14-WEEK, ACCELERATED TRAINING PROGRAM, EMPLOYEES OF ALL FOUR SYSTEMS TRAINED TO BECOME MAS AND SIT FOR A NATIONAL MA CERTIFICATION UPON COMPLETION. WORKFORCE DEVELOPMENT. IN 2021, ADVOCATE WORKFORCE INITIATIVE AND CENTRAL CHICAGOLAND COMMUNITY HEALTH PARTNERED WITH COMMUNITY COLLEGES AND ORGANIZATIONS TO PROVIDE PHLEBOTOMY AND MEDICAL ASSISTANT EXTERNSHIPS FOR INDIVIDUALS LIVING IN UNDERSERVED, DISENFRANCHISED COMMUNITIES. THE INITIATIVE PROVIDED HANDS-ON AND WORKFORCE DEVELOPMENT TRAINING TO 11 INDIVIDUALS FROM COMMUNITIES WITH HIGH RATES OF UNEMPLOYMENT. IN ADDITION, ADVOCATE LUTHERAN GENERAL HOSPITAL PARTNERS CLOSELY WITH MAINE EAST HIGH SCHOOL AND THEIR JUMPSTART PROGRAM. JUMPSTART IS A YOUTH EMPLOYMENT PROGRAM, FEDERALLY FUNDED THROUGH THE WORKFORCE INNOVATION AND OPPORTUNITY ACT BASED OUT OF MAIN TOWNSHIP HIGH SCHOOL DISTRICT 207. THE PROGRAM SERVES IN AND OUT OF SCHOOL YOUTH WITH EMPLOYMENT AND EDUCATION BARRIERS THROUGHOUT NORTHERN COOK COUNTY WITH AN EMPHASIS ON THE DES PLAINES, PARK RIDGES, NILES, MORTON GROVE AND GLENVIEW NEIGHBORHOODS. ADVOCATE LUTHERAN OFFERS WORKING OPPORTUNITIES IN VARIOUS ENTRY-LEVEL DEPARTMENT, SUCH AS FOOD AND NUTRITION SERVICES AND ENVIRONMENTAL SERVICES. THE COMMUNITY HEALTH DEPARTMENT OVERSEES THE ORIENTATION PROCESS AND WORKS WITH THE JUMPSTART TEAM AND HOSPITAL STAFF TO ENSURE THAT THE STUDENTS ARE EQUIPPED WITH THE PROPER TOOLS TO START THEIR PAID INTERNSHIP. FROM 2021 TO 2022, A TOTAL OF 27 JUMPSTART YOUTH HAS HAD WORK EXPERIENCES AT ADVOCATE LUTHERAN GENERAL AND SEVEN OF THOSE YOUTH HAVE BEEN HIRED INTO PERMANENT POSITIONS. SOUTH SHORE INTERNATIONAL COLLEGE PREPARATORY. SEVERAL ADVOCATE HOSPITALS PROVIDE EXPERIENTIAL LEARNING TO AREA HIGH SCHOOL STUDENTS THAT ARE ON AN EDUCATIONAL TRACK TO A HEALTH CARE CAREER. THESE STUDENTS RECEIVE CREDIT TOWARDS GRADUATION IN ADDITION TO HELPING THEM DISCERN IN WHICH HEALTH CARE AREA THEY WISH TO SPECIALIZE. TO GIVE CHICAGO SOUTHSIDE STUDENTS BETTER JOB OPPORTUNITIES, ADVOCATE TRINITY WORKS WITH STUDENTS FROM CHICAGO VOCATIONAL CAREER ACADEMY, AND SOUTH SHORE AND JULIAN HIGH SCHOOLS. THESE STUDENTS ARE ROTATED IN HOSPITAL UNITS TO LEARN MARKETABLE JOB SKILLS.
PART VI, 6. AFFILIATED HEALTH CARE SYSTEM CONT.	4. COMMUNITY SAFETY: ADVOCATE ALSO WORKS WITH COMMUNITY PARTNERS TO ADDRESS COMMUNITY SAFETY/VIOLENCEANOTHER COMMUNITY STRATEGY FOCUS AREA. SOME EXAMPLES ARE PROVIDED BELOW.CENTER FOR FAITH AND COMMUNITY HEALTH TRANSFORMATION. THE CENTER FOR FAITH AND COMMUNITY HEALTH TRANSFORMATION WORKS TO ADVANCE HEALTH EQUITY BY PARTNERING WITH FAITH-BASED AND COMMUNITY ORGANIZATIONS TO BUILD COMMUNITY, NURTURE LEADERS AND CONNECT THE UNIQUE SPIRIT POWER OF FAITH COMMUNITIES TO PROMOTE SOCIAL JUSTICE AND ABUNDANT LIFE FOR INDIVIDUALS, FAMILIES AND COMMUNITIES. THE CENTER IS A PARTNERSHIP BETWEEN ADVOCATE AND THE OFFICE FOR COMMUNITY ENGAGEMENT AND NEIGHBORHOOD HEALTH PARTNERSHIPS AT THE UNIVERSITY OF ILLINOIS AT CHICAGO. CURRENTLY, THE CENTER IS CONVENING A TRAUMA INFORMED CONGREGATIONS NETWORK TO SUPPORT THE CAPACITY OF FAITH COMMUNITIES TO PREVENT TRAUMA AND TO BE PLACES OF HEALING FOR THOSE WHO HAVE EXPERIENCED ADVERSITY IN CHILDHOOD OR THROUGHOUT THEIR LIVES.ILLINOIS ADVOCATE HEALTH FORENSIC NURSE EXAMINERS (FNES). FNES, SPECIALLY TRAINED AND STATE CERTIFIED NURSE EXAMINERS LOCATED IN ADVOCATE HEALTH HOSPITALS IN BOTH ILLINOIS AND WISCONSIN, PROVIDE COMPASSIONATE, TRAUMA-INFORMED CARE TO SEXUAL ASSAULT AND DOMESTIC VIOLENCE SURVIVORS SEEKING CARE IN THE EMERGENCY DEPARTMENT. THESE HIGHLY TRAINED PRACTITIONERS PERFORM FORENSIC EXAMS PERTAINING TO SEXUAL ASSAULT/ABUSE, ADDRESS SEXUALLY TRANSMITTED INFECTION CONCERNS, COLLECT FORENSIC EVIDENCE, TESTIFY IN COURT AS EXPERT WITNESSES, AND PROVIDE ACCESS TO ADVOCACY AND AFTER-CARE RESOURCESSUPPORTING SURVIVORS THROUGH THE ENTIRE PROCESS. IN ILLINOIS, WE HAVE BEEN AGGRESSIVELY TRAINING AND RECRUITING SEXUAL ASSAULT NURSE EXAMINERS TO MEET THE REGULATORY MANDATE THAT GOES INTO EFFECT JANUARY 2023. IN 2022 WE TRAINED 11 RN TO SUPPORT COVERAGE AT ALL ADVOCATE HOSPITALS IN ILLINOIS. WE HAVE DEVELOPED A REGIONAL RESPONSE TO SEXUAL ASSAULT VICTIMS THAT WILL PROVIDE 24/7 COVERAGE WITHIN 90 MINUTES OF THE PATIENT'S ARRIVAL AT OUR FACILITIES. IN 2022 ACROSS OUR ILLINOIS MARKET, 294 ADULTS AND 234 CHILDREN <13 YEARS WERE TREATED FOR SEXUAL ASSAULT, WITH AN ADDITIONAL 91 CHILDREN REFERRED FOR FURTHER EVALUATION TO ADVOCATE CHILDREN'S HOSPITAL CHILD PROTECTION TEAM SEXUAL ABUSE CLINIC. SOUTHLAND RISE. SOUTHLAND RISE (RESILIENCE INITIATIVE TO STRENGTHEN AND EMPOWER) IS A COLLABORATIVE UNITING THE TRAUMA RECOVERY CENTER OF ADVOCATE CHRIST MEDICAL CENTER IN OAK LAWN AND THE VIOLENCE RECOVERY PROGRAM OF HYDE PARK-BASED UCHICAGO MEDICINE (UCM). INSPIRED BY U.S. SENATOR DICK DURBIN'S HEAL (HOSPITAL ENGAGEMENT, ACTION, LEADERSHIP) INITIATIVE, THE TWO HOSPITALS WORK TOGETHER AND ALONGSIDE COMMUNITY PARTNERS TO IMPROVE LONG-TERM TRAUMA RECOVERY CARE AND MITIGATE VIOLENCE-RELATED INJURY IN SOUTHLAND AND ON THE SOUTH SIDE OF CHICAGO. THROUGH ITS ACTIVE LEADERSHIP ROLE IN SOUTHLAND RISE, ADVOCATE HEALTH CHAMPIONS EFFORTS THAT INCREASE ACCESS TO QUALITY CARE FOR SURVIVORS OF INTENTIONAL VIOLENCE AND STRIVES TO BUILD STRONGER, MORE RESILIENT COMMUNITIES. ADVOCATE HEALTH'S LEADERSHIP ROLE IN SOUTHLAND RISE HAD A PROFOUNDLY POSITIVE IMPACT ON SOUTH SIDE COMMUNITIES IN 2022.THROUGH THE RAPID CYCLE VIOLENCE PREVENTION & COMMUNITY RESILIENCY GRANT PROGRAM, 18 SOUTH SIDE COMMUNITY GROUPS RECEIVED $150,000 TO STRENGTHEN THEIR GRASSROOTS WORK SUPPORTING YOUTH AND KEEPING THEM SAFE DURING THE SUMMER IN 2022. THE COLLABORATIVE HAS BEEN ABLE TO EXPAND THE COMMUNITY VIOLENCE PREVENTION INITIATIVE BY HIRING TWO STAFF MEMBERS IN 2022. ADDITIONAL FUNDS WERE RECEIVED TO IMPROVE THE DELIVERY OF TRAUMA-INFORMED CARE AND SUPPORT AWARENESS EFFORTS SUCH AS THE STRIDES FOR PEACE, RACE AGAINST GUN VIOLENCE EVENT. SOUTHLAND RISE HOSPITAL PARTNERS HAVE AGAIN RENEWED THEIR COMMITMENT TO FUND THE RAPID-CYCLE VIOLENCE PREVENTION & COMMUNITY RESILIENCY GRANT PROGRAM, WITH THE ADDED GOAL OF STRENGTHENING COLLABORATION BETWEEN GRANT RECEIVING ORGANIZATIONS. ALSO, A PRIORITY IS CONTINUING TO STRENGTHEN COMMUNITY PARTNERSHIPS, FOSTERING DEEPER COLLABORATION WITH KEY VIOLENCE PREVENTION STAKEHOLDERS, AND ENCOURAGING CONTINUED COLLABORATION BETWEEN THE TWO HOSPITALS THROUGH THE SOUTHLAND RISE STEERING COMMITTEE.ADVOCATE TRAUMA RECOVERY CENTER (TRC). THE TRC IS A HEALTH CARE-BASED VIOLENCE INTERVENTION PROGRAM THAT PROVIDES SOCIAL AND BEHAVIORAL HEALTH SERVICES, INDIVIDUAL AND GROUP THERAPEUTIC SERVICES, AND PSYCHIATRIC CONSULTATION TO SURVIVORS OF INTENTIONAL CRIME AND/OR TRAUMA. THE PURPOSE IS TO AID INDIVIDUALS WHO HAVE EXPERIENCED TRAUMA IN REBUILDING, RESTORING AND STRENGTHENING THEIR SENSE OF SAFETY BY ENDING THE CYCLE OF VIOLENCE. THE TRC PROVIDES ACCESS TO TRAUMA-INFORMED CARE BY ACKNOWLEDGING HOW PAST AND PRESENT TRAUMATIC EXPERIENCES AND STRESS MAY IMPACT THE INDIVIDUALS AND FAMILIES SERVEDRESPONDING TO THE UNIQUE NEEDS OF EACH SURVIVOR AND THEIR FAMILY. THE TRC PROGRAM BEGAN AT ADVOCATE CHRIST MEDICAL CENTER IN 2019. IN LATE 2022, THE TRC PROGRAM EXPANDED ITS SERVICES TO ADVOCATE CONDELL MEDICAL CENTER AND ADVOCATE ILLINOIS MASONIC THROUGH SUPPORT FROM THE ILLINOIS CRIMINAL JUSTICE INFORMATION AUTHORITY. THE TRC SERVICES HAVE EXPANDED FROM COOK COUNTY, WILL COUNTY, KANKAKEE COUNTY AND DUPAGE COUNTY TO ALSO SERVE LAKE COUNTY, KANE COUNTY, KENDALL COUNTY, MCHENRY COUNTY. THE PROGRAM NOW HAS TRAUMA OUTREACH WORKERS THAT ARE AVAILABLE 24 HOURS A DAY, 7 DAYS A WEEK. IN 2022, A TOTAL OF 1,556 PEOPLE WERE SERVED BY THE TRC PROGRAM. THE TOP THREE GROUPS SERVICED, BY RACE AND ETHNICITY, WERE BLACK OR AFRICAN AMERICAN (56.8%), HISPANIC OR LATINO (21.2%) AND WHITE NON-LATINO OR CAUCASIAN (17.7%).VIOLENCE REDUCTION. THE TRAUMA RECOVERY CENTER HAS PARTNERED WITH COMMUNITIES PARTNERING 4 PEACE (CP4P) TO BETTER SERVE OUR COMMUNITIES THAT ARE IMPACTED BY GUN VIOLENCE. CP4P IS PART OF METROPOLITAN FAMILY SERVICES; THEY WORK WITH STREET OUTREACH ORGANIZATIONS THAT COVER 28 COMMUNITIES IN THE CHICAGOLAND AREA. TRC TEAMMATES ARE TRAINED BY CP4P TO IDENTIFY HIGH RISK FOR RETALIATION SITUATIONS AND THEN TO PARTNER WITH THE STREET OUTREACH ORGANIZATION IN THE NEIGHBORHOOD IN WHICH THE INCIDENT OCCURRED. STREET OUTREACH WILL WORK WITHIN THE NEIGHBORHOOD TO PREVENT RETALIATION AND PARTNER WITH MEMBERS OF THE TRC TO HELP THE PATIENT IN THEIR HEALING PROCESS AND DO OUR BEST TO ENSURE SAFETY UPON DISCHARGE. TRAUMA-INFORMED CARE (TIC) TRAINING. THROUGH STAFF MEETINGS, STUDENT EDUCATION, AND SPECIALIZED TRAINING AS REQUESTED BY ADVOCATE HEALTH TEAMS, THE TRAUMA INFORMED CARE (TIC) MANAGER LOCATED AT AURORA SINAI MEDICAL CENTER IN MILWAUKEE PROVIDED A FUNDAMENTAL OVERVIEW OF TRAUMA-INFORMED CARE TO TEAMMATES IN VARIOUS ROLES ACROSS THE SYSTEM. THE TRAINING PROVIDES AN OVERVIEW OF THE FOUR RS OF TRAUMA-INFORMED CARE (REALIZE, RECOGNIZE, RESPOND, AND RESIST RE-TRAUMATIZATION) AND HISTORICAL TRAUMA AS A FACTOR IMPACTING A PERSON'S LIFETIME WELLNESS. THIS EXPANDED THE WORK WITH INITIATIVES TO ASSURE TEAM MEMBER AND PATIENT SAFETY BY INTEGRATING TRAUMA-INFORMED CARE PRACTICES TAILORED TO SERVICE AREAS AND EXPANDED IMPLEMENTATION OF THE FOUR R'S OF TRAUMA-INFORMED CARE. OUR TIC MANAGER TRAINED 1,100 AURORA TEAMMATES IN 2022. 5. AFFORDABLE HOUSING: ACCORDING TO HEALTHY PEOPLE 2020, DATA INDICATES THAT POOR-QUALITY HOUSING IS ASSOCIATED WITH VARIOUS NEGATIVE HEALTH OUTCOMES, INCLUDING CHRONIC DISEASE AND INJURY, AND POOR MENTAL HEALTH. IT IS FOR THIS REASON THAT ADVOCATE HAS VOWED AS A FIFTH COMMUNITY STRATEGY FOCUS AREA TO DECREASE THE NUMBER OF ED PATIENTS WHO ARE SCREENED POSITIVE FOR HOMELESSNESS BY 5% BY 2025. WHILE WORK TOWARDS THIS GOAL IS STILL EMERGING, SEVERAL ADVOCATE HOSPITALS ARE TAKING STEPS TO PROVIDE PATIENTS WITH A HEALTHY AND SAFE ENVIRONMENT IN WHICH TO HEAL. COOK COUNTY FLEXIBLE HOUSING POOL. THE COOK COUNTY FLEXIBLE HOUSING POOL IS A COLLABORATIVE PARTNERSHIP AMONG HEALTH SYSTEMS, MANAGED CARE ORGANIZATIONS, COOK COUNTY HEALTH AND HOSPITAL SYSTEM, CITY OF CHICAGO DEPARTMENT OF PUBLIC HEALTH AND THE CENTER FOR HEALTH AND HOUSING. THE PROGRAM ADDRESSES HOUSING INSECURITY AMONG HOMELESS PATIENTS BY PLACING INDIVIDUALS IN PERMANENT SUPPORTIVE HOUSING WHILE ALSO PROVIDING WRAP AROUND CARE, CASE MANAGEMENT AND BEHAVIORAL HEALTH SERVICES. THE MAIN GOAL OF THE PROGRAM IS TO ADDRESS HOMELESSNESS, ONE OF THE MOST SIGNIFICANT ROOT CAUSES OF POOR HEALTH. WHILE THIS PROGRAM SERVES A SMALL NUMBER OF PEOPLE, THE IMPACT IS DEEP AND LIFELONG. IN 2022, THE ADVOCATE HEALTH TEAMS IN COOK COUNTY PLACED 10 INDIVIDUALS AND FAMILIES INTO PERMANENT SUPPORTIVE HOUSING .
PART VI, 6. AFFILIATED HEALTH CARE SYSTEM CONT.	THE CAROL STREET APARTMENTS. THE ADVOCATE LUTHERAN GENERAL CARE MANAGEMENT DEPARTMENT PLANS SAFE DISCHARGES FOR PATIENTS RECOVERING FROM HOSPITALIZATION AND WHO HAVE NO HOUSING RESOURCES. THE DEPARTMENT MANAGES THE ADVOCATE LUTHERAN CAROL STREET APARTMENTS. LOCATED ON THE HOSPITAL'S CAMPUS, THESE APARTMENTS ARE AVAILABLE FOR RENT ON A DAILY, WEEKLY OR MONTHLY BASIS. THE APARTMENTS ARE USED BY PATIENTS THAT ARE ACTIVELY GETTING SERVICES ON CAMPUS, I.E., CHEMOTHERAPY, RADIATION, ETC., AND ARE ALSO AVAILABLE FOR FAMILY MEMBERS OF INPATIENTS THAT DO NOT LIVE NEAR THE HOSPITAL. FINANCIAL ASSISTANCE IS GRANTED TO PATIENTS AND FAMILIES THAT DEMONSTRATE FINANCIAL HARDSHIP. IN 2022, THE PROGRAM SERVED 11INDIVIDUALS. 6. FOOD SECURITY. ANOTHER KEY ADVOCATE COMMUNITY STRATEGY FOCUS AREA IS FOOD SECURITY. ACCESS TO FRESH, AFFORDABLE FOOD IS A KEY INGREDIENT IN THE RECIPE TO ADDRESS FOOD INSECURITYAND IN KEEPING THE COMMUNITY HEALTHY. ADVOCATE IS INVOLVED WITH MULTIPLE NON-TRADITIONAL COMMUNITY PARTNERS IN LOCAL AND SUSTAINABLE FOOD INITIATIVES TO ADDRESS FOOD INSECURITY. RX MOBILE PANTRY. IN 2019, ADVOCATE CONDELL LAUNCHED THE RX MOBILE FOOD PANTRY TO SERVE FOOD INSECURE (FI) RESIDENTS OF THE ROUND LAKE AREA. THE PROGRAM GREW FROM THE MEDICAL CENTER'S COMMUNITY HEALTH EFFORTS IN SCREENING AND REFERRAL FOR FOOD INSECURITY. IN DECEMBER OF 2021, ADVOCATE CONDELL'S RX MOBILE FOOD PANTRY PROGRAM TRANSITIONED INTO AN RX MARKET, WHICH WILL BE MANAGED BY CATHOLIC CHARITIES. THE PERMANENT LOCATION WILL CONTINUE ADDRESSING THE NEEDS OF THE COMMUNITY WHILE OFFERING THE SAME VARIETY OF HEALTHY FOODS DURING SEVERAL DAYS AND AT VARIOUS HOURS OF EACH WEEK. THE PROGRAM EVOLVED INTO A SUSTAINABLE MODEL THAT HAS SIGNIFICANTLY INCREASED ACCESS TO HEALTHY FOODS IN THAT AREA. IN 2022, ADVOCATE CONDELL LAUNCHED A SECOND RX MOBILE PROGRAM IN LAKE COUNTY, FOCUSING ON LAKE VILLA. IN 2022, THE PROGRAM SERVED 8,478 PEOPLE AND DISTRIBUTED OVER 100,000 POUNDS OF MEAT, DAIRY AND PRODUCE. HOSPITAL-BASED FOOD PANTRY PROGRAMS IN CENTRAL CHICAGOLAND. ADVOCATE ILLINOIS MASONIC MEDICAL CENTER HOSPITAL-BASED FOOD PANTRY PROGRAM SCREENS PATIENTS FOR FOOD INSECURITY. PATIENTS WHO SCREEN POSITIVE FOR FOOD INSECURITY ARE ELIGIBLE FOR A NON-PERISHABLE FOOD BAG AND FRESH PRODUCE BOX ONCE A MONTH. IN ADDITION, THE MEDICAL CENTER IMPLEMENTS POP UP FARMERS MARKETS IN LOW-INCOME AND VULNERABLE COMMUNITIES WITH HIGH FOOD INSECURITY RATES. IN 2022. THE PROGRAM SERVED 47 NEW PATIENTS AND 21 REPEAT PATIENTS, A TOTAL OF 68 PATIENTS. SIMILARLY, ADVOCATE LUTHERAN GENERAL HOSPITAL HAS AN ESTABLISHED HOSPITAL-BASED PANTRY PROGRAM THAT SERVED 98 PATIENT AND 3 REPEAT PATIENTS IN 2022. ADVOCATE GOOD SAMARITAN HOSPITAL SERVED 19 NEW PATIENTS AND 4 REPEAT PATIENTS IN 2022. THE CENTRAL CHICAGOLAND HOSPITAL-BASED PANTRY PROGRAM CONTINUE TO GROW AND WILL CONTINUE TO EVOLVE TO ADDRESS THE GROWING NEEDS OF THE COMMUNITY AND THE PATIENTS. HEALTHY LIVING FOOD FARMACY. ADVOCATE LAUNCHED AN INNOVATIVE PILOT PROGRAMHEALTHY LIVING FOOD FARMACYAT ADVOCATE TRINITY HOSPITAL TO MAKE A POSITIVE IMPACT ON PATIENTS FACING SOCIO-ECONOMIC BARRIERS TO BETTER HEALTH. PATIENTS ARE INVITED TO ATTEND THE BI-WEEKLY EVENTS FOR A FREE DOSE OF HEALTHY FOODMAKING THEIR SELECTIONS FROM TABLES OF ASSORTED FRESH PRODUCE AND LOW-SODIUM, SHELF-STABLE PROTEINS. THE PROGRAM IS FOCUSED ON IMPACTING THE HEALTH OF THE COMMUNITY BY PROVIDING ACCESS TO HEALTHY FOOD OPTIONS FOR FOOD INSECURE PATIENTS. THE HEALTHY LIVING FOOD FARMACY IS SUPPORTED BY A PARTNERSHIP WITH THE GREATER CHICAGO FOOD DEPOSITORY, ADVOCATE TRINITY'S LEADERSHIP, VOLUNTEERS AND COMMUNITY HEALTH DEPARTMENT. IN 2022, THE FOOD FARMACY DISTRIBUTE 48,917 POUNDS OF FOOD AND SERVED 2,065 PATIENTS.SHERMAN NATURAL PRAIRIE AND COMMUNITY GARDEN (SNPCG). ADVOCATE SHERMAN HOSPITAL IS ADDRESSING FOOD INSECURITY BY DONATING PRODUCE HARVESTED FROM THE MASTER GARDENERS (COLLABORATION WITH UNIVERSITY OF ILLINOIS EXTENSION OFFICE) AND EXCESS PRODUCE FROM COMMUNITY GARDEN BEDS THROUGH THE ON-CAMPUS COMMUNITY GARDEN. IN 2022, 315 POUNDS OF PRODUCE WAS HARVESTED AND DONATED TO THE ELGIN COMMUNITY COLLEGE SPARTAN STUDENT FOOD PANTRY AND FOOD FOR GREAT ELGIN FOOD PANTRY. OVERALL, ADVOCATE FUNDS MANY SYSTEM LEVEL PROGRAMS AND ACTIVITIES FOCUSED ON POSITIVELY AFFECTING THE HEALTH STATUS AND QUALITY OF LIFE OF INDIVIDUALS AND POPULATIONS IN COMMUNITIES SERVED BY ADVOCATE. IN ADDITION TO THE MANY PROGRAM EXAMPLES PROVIDED PREVIOUSLY, ANOTHER SYSTEM-LEVEL FUNDED PROGRAM IS PROVIDED BELOW.FAITH AND HEALTH PARTNERSHIPS. ADVOCATE AURORA HEALTH'S FAITH AND HEALTH PARTNERSHIPS PROGRAM WORKS SIDE BY SIDE WITH FAITH COMMUNITIES TO PROMOTE HEALTH EQUITY BY MOBILIZING THE TRANSFORMING POWER OF SOCIAL CONNECTEDNESS AND SPIRITUAL WISDOM. THE PROGRAM SUPPORTS A NEIGHBORHOOD MODEL THAT EMBEDS AAH TEAM MEMBERS IN SPECIFIC NEIGHBORHOODS IDENTIFIED AS PRIORITIES THROUGH THE AAH COMMUNITY STRATEGY. TEAM MEMBERS WORK WITH A COLLABORATIVE NETWORK OF FAITH COMMUNITIES AND COMMUNITY-BASED ORGANIZATIONS TO ADDRESS HEALTH ISSUES THAT HAVE BEEN IDENTIFIED BY COMMUNITY MEMBERS AS ISSUES THAT ARE IMPORTANT TO THEM. IN ILLINOIS WE HAVE NEIGHBORHOOD NETWORK PROGRAMS IN SOUTH CHICAGO AND AVONDALE AND ARE FOCUSED EFFORTS ON REDUCING STRESS AND INCREASING SOCIAL CONNECTEDNESS, MANAGING CHRONIC DISEASE, AND SUPPORTING FOOD ACCESS. FAITH AND HEALTH PARTNERSHIPS ALSO WORKS ACROSS OUR FOOTPRINT ON BUILDING CAPACITY OF FAITH LEADERS AND CONGREGATIONS TO PROMOTE THE WHOLISTIC HEALTH OF THEIR MEMBERS AND THE COMMUNITIES THEY SERVE, PARTICULARLY AROUND MENTAL HEALTH. AAH ALSO SUPPORTS A FAITH COMMUNITY NURSE NETWORK OF 27 NURSES THAT SERVE CONGREGATIONS ACROSS THE CHICAGOLAND REGION.AT BOTH THE SYSTEM AND SITE LEVELS, ADVOCATE IS WORKING TO EXAMINE AND ADDRESS THE ROOT CAUSES OF HEALTH INEQUITIES IN OUR COMMUNITIES. TO SUPPORT THE ADVOCATE HOSPITALS IN CONDUCTING CHNA'S, ADVOCATE PURCHASED ACCESS TO METOPIO, A CHNA DATA TOOL. METOPIO IS A SOFTWARE AND SERVICES COMPANY THAT IS GROUNDED IN THE PHILOSOPHY THAT COMMUNITIES ARE CONNECTED THROUGH PLACES AND PEOPLE. METOPIO'S TOOLS AND VISUALIZATIONS USE DATA TO REVEAL VALUABLE, INTERCONNECTED FACTORS THAT INFLUENCE HEALTH OUTCOMES IN DIFFERENT LOCATIONS. METOPIO OFFERS A DATA, TAILORED TO SUPPORT ALL ADVOCATE AURORA HEALTH HOSPITALS WITH IDENTIFYING HEALTH INEQUITIES IN COMMUNITIES. METOPIO USES THE MOST CURRENT DATA SOURCES AND CREATES TOOLS AND INDICES THAT FOCUS ON THE COMMUNITIES WITHIN THE AAH SERVICES AREAS. THE DATA CAN BE USED TO FOCUS ON SPECIFIC REGIONS, COMMUNITIES, AND HOSPITAL SERVICES AREAS. BELOW IS A DESCRIPTION OF TWO IMPORTANT INDICES FOUND IN METOPIO. HARDSHIP INDEX DESCRIPTION. THE HARDSHIP INDEX WAS ORIGINALLY DEVELOPED BY RICHARD P. NATHAN AND CHARLES F. ADAMS, JR. IN 1976 TO COMPARE SOCIOECONOMIC CONDITIONS BETWEEN COMMUNITIES. IT IS HIGHLY CORRELATED WITH OTHER MEASURES OF ECONOMIC HARDSHIP, SUCH AS LABOR FORCE STATISTICS, AND WITH POOR HEALTH OUTCOMES. THE INDEX COMBINES THE FOLLOWING TOPICS INTO A SINGLE COMPOSITE VALUE ON A SCALE OF 0-100: CROWDED HOUSING (MORE THAN ONE PERSON PER ROOM) POVERTY RATE FOR HOUSEHOLDS UNEMPLOYMENT RATE ADULTS WITH A HIGH SCHOOL DEGREE OR EQUIVALENT AGE DEPENDENCY RATIO (% OF RESIDENTS WHO ARE <18 OR >65 YEARS OLD, COMPARED TO THOSE OF WORKING AGE) PER-CAPITA INCOME HIGHER VALUES INDICATE GREATER HARDSHIP AND CORRELATE HIGHER WITH POOR HEALTH OUTCOMES. THE INDEX DOES NOT PRESERVE THE RATIO BETWEEN TWO PLACES, SO IF ONE PLACE HAS TWICE THE HARDSHIP INDEX OF ANOTHER, WE CANNOT SAY THAT IT EXPERIENCES "TWICE AS MUCH HARDSHIP" AS ANOTHER PLACE. INSTEAD, COMPARE DIFFERENT PLACES USING THE CONSTITUENT TOPICS. SOCIAL VULNERABILITY INDEX. THE SOCIAL VULNERABILITY INDEX (SVI) WAS DEVELOPED BY THE CENTER FOR DISEASE CONTROL AND PREVENTION (CDC) TO HELP PUBLIC HEALTH OFFICIALS AND EMERGENCY RESPONSE PLANNERS IDENTIFY AND MAP THE COMMUNITIES THAT WILL MOST LIKELY NEED SUPPORT BEFORE, DURING, AND AFTER A HAZARDOUS EVENT, SUCH AS A NATURAL DISASTER, DISEASE OUTBREAK, OR CHEMICAL SPILL. SVI INDICATES RELATIVE VULNERABILITY BY RANKING PLACES ON 15 SOCIAL FACTORS THAT CAN BE DIVIDED INTO 4 CATEGORIES: SOCIOECONOMIC HOUSEHOLD COMPOSITION & DISABILITY MINORITY STATUS & LANGUAGE HOUSING TYPE & TRANSPORTATION THE ORIGINAL SCORE IS ON A SCALE FROM 0-1, BUT IT IS MULTIPLIED BY 100 FOR READABILITY ON METOPIO. A HIGHER SCORE REPRESENTS A COMMUNITY MORE VULNERABLE TO A HAZARDOUS EVENT. DETAILED DOCUMENTATION IS AVAILABLE FROM THE CDC HERE.
PART VI, 6. AFFILIATED HEALTH CARE SYSTEM CONT.	ADVOCATE CONTINUES TO WORK LOCALLY AND NATIONALLY WITH MANY PROMINENT COMMUNITY PARTNERS TO ADDRESS SOCIAL DETERMINANTS OF HEALTH. EXAMPLES OF THESE EFFORTS INCLUDE THE FOLLOWING. HEALTH CARE ANCHOR NETWORK (HAN). AAH IS A FOUNDING MEMBER OF THE HEALTHCARE ANCHOR NETWORK WHICH HAS EXPANDED TO INCLUDE 70 OTHER AREA HEALTH SYSTEM AND HOSPITAL PARTNERS. AAH HAS SIGNIFICANT ECONOMIC AND HUMAN RESOURCES ACROSS ITS SERVICE AREA AS THE LARGEST EMPLOYER IN THE MILWAUKEE AREA AND THE FOURTH LARGEST IN CHICAGO. TO LEVERAGE THESE RESOURCES, IN 2019, AAH ANNOUNCED A COMMITMENT TO INVEST $50 MILLION TO HELP ADDRESS THE ECONOMIC, RACIAL, AND ENVIRONMENTAL DISPARITIES THAT IMPACT COMMUNITY HEALTH OUTCOMES AND DECREASE HEALTH INEQUITY. ADDITIONALLY, AAH COMMITTED TO DRIVING COMMUNITY HEALTH AND WELL-BEING THROUGH ITS INCLUSIVE, LOCAL HIRING AND LOCAL PURCHASING STRATEGIES AND INITIATIVES.ADVOCATE AURORA $50M INVESTMENT PLEDGE. AAH IS AMONG THE FIRST HEALTH SYSTEMS IN THE COUNTRY TO MAKE A SIGNIFICANT COMMITMENT TO INVESTING IN TARGETED COMMUNITY DEVELOPMENT. THE ANCHOR STRATEGY INVESTMENTS ARE TARGETED TO ENHANCE CRITICAL SERVICES SUCH AS AFFORDABLE OR SUPPORTIVE HOUSING AND FOOD ACCESS IN COMMUNITIES THAT LEAD TO IMPROVED HEALTH AND DEMONSTRATED DOWNSTREAM BENEFITS TO OUR PATIENTS AND THE COMMUNITY. INITIALLY, THE INVESTMENT WORK WAS DONE IN PARTNERSHIP WITH COMMUNITY DEVELOPMENT FINANCING INSTITUTIONS (CDFIS) TO FUND PROJECTS. ALTHOUGH NOT A PROFIT MAXIMIZING ACTIVITY, THIS INVESTMENT COMMITMENT WILL RESULT IN A RETURN OF THE PRINCIPAL TO THE ORGANIZATION WITH INTEREST TO ENSURE A SUSTAINABLE INVESTMENT CAPACITY FOR REINVESTMENT OVER TIME. A COMMUNITY INVESTMENT STRATEGY TEAM WAS FORMED TO PLAN AND GUIDE THE WORKCONSISTING OF FINANCE AND TREASURY, COMMUNITY HEALTH AND OPERATIONS TEAMS TO DEVELOP THE SCOPE AND PROCESS. THE TEAM IS RESPONSIBLE FOR DEPLOYING $50 MILLION IN LOANS TO CDFIS ACROSS OUR FOOTPRINT BY THE END OF 2025. TO DATE, THE TEAM HAS COMPLETED 4 CONTRACTS WITH LOCAL CDFIS: $25M WITH LOCAL INITIATIVE SUPPORT CORPORATION (LISC) $5M WITH IFF $2.5M WITH CHICAGO COMMUNITY LOAN FUND (CCLF) $1M WITH WISCONSIN WOMEN'S BUSINESS INITIATIVE CORPORATION (WWBIC)ADVOCATE AURORA PURCHASING COMMITMENT. THIS ANCHOR STRATEGY BUILDS ON THE EXISTING DIVERSITY, EQUITY, AND INCLUSION PURCHASING STRATEGIES AND ESTABLISHES TARGETS RELATED TO INCREASING THE NUMBER OF LOCAL AND DIVERSE VENDORS WITH THE POSSIBILITY OF THE INVESTMENT STRATEGY ALSO FUNDING STRATEGIC BUSINESSES SUCH AS URBAN AGRICULTURE VENTURES TO QUALIFY MORE BUSINESS AS VENDORS. ON JUNE 9, 2021, AAH ANNOUNCED SIGNING THE "IMPACT PURCHASING COMMITMENT"DESIGNED BY THE HEALTH ANCHOR NETWORK (HAN)TO BUILD HEALTHY, EQUITABLE, AND CLIMATE-RESILIENT LOCAL ECONOMIES THROUGH SPENDING. THE COMMITMENT INCLUDES INCREASING SPENDING WITH MINORITY AND WOMEN OWNED BUSINESS ENTERPRISES (MWBES) AS WELL AS LOCAL AND EMPLOYEE-OWNED, COOPERATIVELY OWNED AND/OR NONPROFIT-OWNED ENTERPRISES, BY AT LEAST $1 BILLION OVER FIVE YEARS. AAH WILL ALSO WORK WITH AT LEAST TWO OF THEIR LARGE EXISTING VENDORS TO CREATE HIRING PIPELINES IN THE DISINVESTED COMMUNITIES THAT IT SERVES AND WILL COMMIT TO ADOPTING SUSTAINABLE PROCUREMENT GOALS. THERE ARE SEVERAL ADDITIONAL EXAMPLES OF EFFORTS TO STRENGTHEN CORPORATE OPTIONS THROUGH HUMAN RESOURCE, SUPPLY CHAIN, ENVIRONMENTAL STEWARDSHIP AND INVESTMENT POLICIES THAT IMPACT THE SOCIAL DETERMINANTS OF HEALTH IN THE COMMUNITIES SERVED BY ADVOCATE.ADVOCATE IS ALSO STRENGTHENING CORPORATE OPTIONS THROUGH HUMAN RESOURCE, SUPPLY CHAIN, ENVIRONMENTAL STEWARDSHIP AND INVESTMENT POLICIES TO IMPACT THE SOCIAL DETERMINANTS OF HEALTH IN THE COMMUNITIES IT SERVES.ENVIRONMENTAL LEADERSHIP. REDUCING WASTE, CONSERVING ENERGY AND WATER, MINIMIZING USE OF TOXIC CHEMICALS, AND CONSTRUCTING ECO-FRIENDLY BUILDINGS FOR TODAY AND TOMORROWALL THESE EFFORTS HAVE A DIRECT BENEFIT ON THE HEALTH OF LOCAL COMMUNITIES VIA CLEANER COMMUNITIES, HEALTHIER AIR QUALITY, REDUCED GREENHOUSE GASES, AND PRESERVATION OF NATURAL RESOURCES. AS ADVOCATE WORKS TO REDUCE THE ENVIRONMENTAL AND HEALTH IMPACTS OF HEALTH CARE, ITS ENVIRONMENTAL STEWARDSHIP PRACTICES EASE THE BURDEN OF HEALTH CARE COSTS BOTH DIRECTLY (LOWER ENERGY COSTS) AND INDIRECTLY (LOWER ENVIRONMENTALLY RELATED DISEASE BURDEN) AND HELP SAVE RESOURCES FOR FUTURE GENERATIONS. IN ADDITION TO CONTINUING TO REDUCE ADVOCATE'S OWN ENVIRONMENTAL IMPACTS AS A HEALTH CARE ORGANIZATION, ADVOCATE ALSO PROVIDES NATIONAL LEADERSHIP AND MENTORING IN SUSTAINABLE HEALTH CARE THROUGH THE MEMBERSHIP AND PARTICIPATION IN SEVERAL SUSTAINABILITY LEADERSHIP COUNCILS AND GROUPS. THESE COLLABORATIVE PARTNERSHIPS ADDRESS MULTIPLE SUSTAINABILITY ISSUES, INCLUDING ANTIBIOTIC OVERUSE IN AGRICULTURE, SAFER CHEMICALS IN FURNISHINGS AND MEDICAL PRODUCTS, CLIMATE CHANGE, CLINICAL PLASTICS RECYCLING, AND ENVIRONMENTALLY PREFERABLE AND LOCAL PURCHASING, SPURRING MOVEMENT TOWARD HEALTHIER AND MORE SUSTAINABLE PRACTICES THROUGHOUT THE HEALTH CARE SECTOR AND WIDER MARKETPLACE. THESE PARTNERSHIPS INCLUDE:O HEALTHCARE ANCHOR NETWORK -IMPACT PURCHASING COMMITTEEO HEALTH CARE CLIMATE COUNCILO HEALTHCARE PLASTICS RECYCLING COALITION HEALTHCARE FACILITY ADVISORY BOARDO PRACTICE GREENHEALTH MARKET TRANSFORMATION GROUPSAFER CHEMICALSO HEALTHY BUILDING NETWORKO PREMIER'S ENVIRONMENTAL ADVISORY COUNCILO STEERING COUNCIL OVERSIGHT AND SIGNATORY OF THE CHEMICAL FOOTPRINT PROJECTIT IS IMPORTANT TO HIGHLIGHT THAT WE ACCOMPLISHED MUCH, BUT DECARBONIZATION IS A MUCH LARGER ISSUE THAN ANY ONE BUSINESS CAN SOLVE ON ITS OWN. WE HAVE A LONG HISTORY OF ENVIRONMENTAL AND CLIMATE ADVOCACY BECAUSE WE UNDERSTAND THROUGH POLICY AND LEGISLATIVE CHANGES, WE ARE OPENING DOORS, GETTING PERMISSION, AND SUPPORTING COMPLIANCE IN THIS IMPACT WORK. BELOW ARE SOME HIGHLIGHTS OVER THE PAST FOUR YEARS. O THROUGH THE HEALTH CARE CLIMATE COUNCIL, A LETTER OF SUPPORT WAS SENT TO THE MEMBERS OF CONGRESS ABOUT THE BUILD BACK BETTER PACKAGE AND CERTAIN PROVISIONS (2022)O WE PROVIDED COMMENTS TO THE CURRENT ASSESSMENT OF CLIMATE CHANGE IMPACTS ON OUTCOMES, CARE, AND HEALTH EQUITYREQUEST FOR INFORMATION (RFI) IN THE MEDICARE PROGRAM: HOSPITAL INPATIENT PROSPECTIVE PAYMENT SYSTEMS (IPPS), ETC. PROPOSED RULE (SECTION IX.A) (2022)O IN THE SUMMER OF 2022, WE RESPONDED TO THE HOUSE WAYS & MEANS COMMITTEE HEARING AND RFI REPORT ON HEALTH CARE'S ROLE IN THE CLIMATE CRISIS (2022) O IN JUNE 2022, AS A SYSTEM WE SIGNED THE HHS PLEDGE TO BECOME A NET ZERO HEALTH SYSTEM BY 2050** (2022)PROJECT C.U.R.E. (COMMISSION ON URGENT RELIEF AND EQUIPMENT). ADVOCATE IS A MEDICAL EQUIPMENT AND SUPPLY DONATION PARTNER OF PROJECT C.U.R.E., THE WORLD'S LEADING MEDICAL SUPPLY DISTRIBUTION ORGANIZATION BENEFITING RESOURCE-LIMITED AREAS ACROSS THE GLOBE. IN 2022, ADVOCATE DONATED A TOTAL OF 182 PALLETS OF MISCELLANEOUS MEDICAL SUPPLIES TO PROJECT C.U.R.E.SUSTAINABLE BUILDINGS AND OPERATIONS. SUSTAINABILITY, SAFETY AND EFFICIENCY ARE CORE ELEMENTS OF ADVOCATE BUILDING AND OPERATIONS PROGRAMS. O ADVOCATE PURSUES LEADERSHIP IN ENERGY AND ENVIRONMENTAL DESIGN (LEED) CERTIFICATION FOR ALL NEW MAJOR BUILDINGS AND UTILIZES A RIGOROUS, INTERNAL TOOL CALLED THE HEALTHY SPACES ROADMAP TO ENSURE SUSTAINABILITY IN ALL ITS RENOVATIONS AND PROJECTS. TO DATE, ADVOCATE HAS COMPLETED SIX MAJOR PROJECTS THAT HAVE RECEIVED LEED SILVER OR GOLD CERTIFICATION. O IN 2008, ADVOCATE EMBARKED ON A JOURNEY TO REDUCE ITS CARBON FOOTPRINT AND TO BECOME THE MOST ENERGY EFFICIENT HEALTH SYSTEM IN THE COUNTRY. BY 2015, ADVOCATE HAD REDUCED ENERGY CONSUMPTION BY 23% FROM THE 2008 BASELINE. WHILE AGGRESSIVELY CONTINUING ENERGY EFFICIENCY PROJECTS, ADVOCATE NOW AIMS TO BE CARBON NEUTRAL BY 2030 AND NET ZERO BY 2050 AND HAS SIGNED ON THE US DEPARTMENT OF HEALTH AND HUMAN SERVICES CLIMATE PLEDGE.
PART VI, 6. AFFILIATED HEALTH CARE SYSTEM CONT.	ADVOCATE COMBINES SUSTAINABLE FACILITIES WITH ENVIRONMENTALLY FRIENDLY OPERATIONS AND PURCHASES. THIS INCLUDES WASTE MINIMIZATION AND RECYCLING, REDUCING CHEMICALS IN FURNITURE AND CLEANING PRODUCTS, PURCHASING MEAT RAISED WITHOUT ANTIBIOTICS, AND OTHER ECO-FRIENDLY PRODUCTS, ALL OF WHICH HAVE COMMUNITY HEALTH IMPACTS IN THEIR LIFE CYCLE. IN 2022, ADVOCATE ACHIEVED THE FOLLOWING:O AVOIDED 34 MTCO2E OF GREENHOUSE GASES (EQUIVALENT TO 82,000 MILES OF DRIVING) THROUGH ECO-FRIENDLY MANAGEMENT OF ANESTHETIC GASES.O 95% OF ADVOCATE'S FURNITURE PURCHASES AVOIDED FIVE KEY CHEMICALS OF CONCERN.O 87% OF FIVE MAIN CATEGORIES OF CLEANERS WERE ON THIRD PARTY CERTIFIED GREEN CLEANERS O OVER $1 MILLION OF ADVOCATE'S MEAT PURCHASES SUPPORTED PRODUCERS WHO RAISE THEIR ANIMALS WITHOUT THE USE OF ANTIBIOTICS (30% OF TOTAL).O COPY PAPER USED CONTAINS 30% POST-CONSUMER RECYCLED CONTENT AND IS FOREST STEWARDSHIP COUNCIL CERTIFIED. O RECYCLED 2,982 TONS OF WASTE FROM HOSPITAL OPERATIONS.ENVIRONMENTALLY RESPONSIBLE INVESTING. ADVOCATE INSTITUTES AN ENVIRONMENTALLY-BASED SOCIAL SCREEN FOR ITS MARKETABLE INVESTMENT PROGRAM. ALL COMPANIES IN SEPARATELY MANAGED ACCOUNTS ARE SCORED ON ENVIRONMENTAL PRACTICES, BEHAVIOR AND CONTROVERSIES. POOR-SCORING COMPANIES ARE SCREENED OUT OF THE INVESTMENT PROGRAM. RECOGNITION. ADVOCATE IS CONSISTENTLY RECOGNIZED FOR ITS COMMITMENT AND ACHIEVEMENTS IN SUSTAINABLE HEALTH CARE. O ALL ADVOCATE HOSPITALS RECEIVED INDIVIDUAL RECOGNITION FROM PRACTICE GREENHEALTH.O ADVOCATE AURORA HEALTH RECEIVED THE PRACTICE GREENHEALTH SYSTEM FOR CHANGE AWARD FOR THE 15TH CONSECUTIVE YEAR AND RECEIVED A CIRCLE OF EXCELLENCE IN CHEMICALS, TOP 25 PERFORMERO ADVOCATE AURORA HEALTH WAS NAMED A CLIMATE CHAMPION IN THE CATEGORY OF CLIMATE LEADERSHIP (SILVER) THROUGH THE HEALTH CARE CLIMATE CHALLENGEEMPLOYEE ENGAGEMENT. EVERY HOSPITAL HAS A GREEN TEAM, LED BY SITE SUSTAINABILITY LEADERS AND SPONSORED BY EXECUTIVE CHAMPIONS (OFTEN INCLUDING HOSPITAL PRESIDENTS). TOGETHER, OUR SSLS EACH YEAR HOST A MINIMUM OF TWO ENVIRONMENTAL SUSTAINABILITY CAMPAIGNS USED TO INFORM, INSPIRE, AND INVOLVE HOSPITAL TEAM MEMBERS IN OUR ES JOURNEY.SOME CAMPAIGNS TO HIGHLIGHT:O ANNUAL 'BIKE TO WORK' CELEBRATIONS (SUPPORTING ALTERNATIVE TRANSPORTATION)O CHILDREN'S HOSPITAL CELEBRATING CHILDREN'S ENVIRONMENTAL HEALTH WEEK FOR THREE CONSECUTIVE YEARS, SINCE 2019.O SITE SUSTAINABILITY LEADERS AND GREEN ADVOCATES COLLECTING AND GIVING AWAY FREE PARTIALLY USED (HALTER MONITOR) BATTERIES TO TEAM MEMBERSO RACIAL EQUITY CHALLENGE O IN 2022, THE SYSTEM ADOPTED ENVIRONMENTAL JUSTICE AS A LENS FOR WHICH TO IMPLEMENT ENVIRONMENTAL SUSTAINABILITY AND LAUNCHED THE FIRST-EVER RACIAL EQUITY CHALLENGE IN COLLABORATION WITH SSLS AND HOSTED A REFLECTION AND LEARNING CONVERSATION AS OUR FEATURED 2022 EARTH DAY EVENT ADVOCATE WORKS TO LEVERAGE RESOURCES AND MAXIMIZE COMMUNITY ENGAGEMENT BY BUILDING AND STRENGTHENING COMMUNITY PARTNERSHIPS WITH HEALTH DEPARTMENTS AND OTHER DIVERSE COMMUNITY ORGANIZATIONS. A PRIMARY VALUE OF ADVOCATE'S COMMUNITY HEALTH DEPARTMENT IS COLLABORATION WITH PARTNERS, PREFERABLY THROUGH A COLLECTIVE IMPACT MODEL. IN ORDER TO ALIGN INITIATIVES WITH LOCAL HEALTH DEPARTMENTS AND THEIR COMMUNITY HEALTH PRIORITIES, ALL ADVOCATE HOSPITALS COLLABORATE WITH THEIR RESPECTIVE HEALTH DEPARTMENTS DURING THE CHNA AND HEALTH IMPROVEMENT (IMPLEMENTATION PLAN) CYCLES. ONE SUCH NOTABLE COLLABORATION IN WHICH ADVOCATE SYSTEM LEADERSHIP PLAYED A VITAL ROLE IS AS FOLLOWS. THE ALLIANCE FOR HEALTH EQUITY. ADVOCATE HEALTH CARE, PRESENCE HEALTH (NOW KNOWN AS AMITA HEALTH) AND THE ILLINOIS PUBLIC HEALTH INSTITUTE (IPHI) WERE THE THREE FOUNDING ORGANIZATIONS OF THE HEALTH IMPACT COLLABORATIVE OF COOK COUNTY (HICCC). THESE ORGANIZATIONS INVITED HEALTH DEPARTMENTS AND ALL COOK COUNTY NONPROFIT HOSPITALS TO JOIN THEM IN CREATING WHAT IS NOW ONE OF THE LARGEST CHNA AND COMMUNITY HEALTH IMPROVEMENT COLLABORATIVES IN THE COUNTRY. THE INITIAL PARTICIPATING HOSPITALS AND HEALTH DEPARTMENTS WORKED TOGETHER TO DESIGN A SHARED LEADERSHIP MODEL AND COLLABORATIVE INFRASTRUCTURE TO SUPPORT COMMUNITY-ENGAGED PLANNING PARTNERSHIPS AND STRATEGIC ALIGNMENT OF IMPLEMENTATION PLANS TO FACILITATE MORE EFFECTIVE AND SUSTAINABLE COMMUNITY HEALTH IMPROVEMENT. IN LATE 2017, HICCC MERGED WITH THE HEALTHY CHICAGO HOSPITALS COLLABORATIVE TO CREATE THE ALLIANCE FOR HEALTH EQUITY (THE ALLIANCE). IPHI SERVES AS THE BACKBONE ORGANIZATION FOR THE COLLABORATIVE AND THE HOSPITALS PROVIDE FUNDING FOR THE SHARED ASSESSMENT AND COMMUNITY HEALTH IMPROVEMENT PLANNING WORK. IN 2019, THE ALLIANCE GREW TO INCLUDE 37 NONPROFIT AND PUBLIC HOSPITALS, SIX LOCAL HEALTH DEPARTMENTS AND MORE THAN 100 COMMUNITY ORGANIZATIONS. IN 2022, THE ALLIANCE COMPLETED A COLLABORATIVE COMMUNITY HEALTH NEEDS ASSESSMENTS (CHNA) FOR CHICAGO AND SUBURBAN COOK COUNTY. THE REPORT BUILDS ON THE PREVIOUS ASSESSMENTS AND ALLOWS PARTNERS TO IDENTIFY STRATEGIC PRIORITIES THAT THEY CAN COLLECTIVELY ADDRESS TO IMPROVE COMMUNITY HEALTH. A COPY OF THE REPORT AND THE APPENDICES CAN BE FOUND AT THIS LINK 2022 CHNA REPORT - ALLIANCE FOR HEALTH EQUITY (ALLHEALTHEQUITY.ORG)PRIMARY AND SECONDARY DATA FROM A DIVERSE RANGE OF SOURCES WERE UTILIZED FOR ROBUST DATA ANALYSIS AND TO IDENTIFY COMMUNITY HEALTH NEEDS IN CHICAGO AND SUBURBAN COOK COUNTY. FOR THE 2022 CHNA, THE ALLIANCE FOR HEALTH EQUITY BUILT ON THE PREVIOUS COLLABORATIVE CHNA WORK (2019). ADVOCATE CONTINUES TO BE ACTIVELY INVOLVED IN LEADERSHIP OF THE ALLIANCE PARTNERSHIP, SERVING ON THE STEERING COMMITTEE. ADVOCATE HOSPITALS, AS WELL AS THE OTHER MEMBER HOSPITALS, PROVIDE THE MONETARY SUPPORT FOR THE COLLABORATIVE'S WORK AND SUPPORT THE COST OF STAFF AND OVERSIGHT PROVIDED BY THE ILLINOIS PUBLIC HEALTH INSTITUTE. ADDITIONALLY, ADVOCATE HAS BEEN INVOLVED IN LEADING THIS ASSESSMENT WORK AS AN ACTIVE MEMBER OF THE STEERING COMMITTEE, PROVIDING FINANCIAL SUPPORT TO THE ALLIANCE IN 2022.THE PRIORITY AREAS SELECTED BY THE ALLIANCE INCLUDE SOCIAL AND STRUCTURAL DETERMINANTS OF HEALTH, ACCESS TO CARE, MENTAL HEALTH AND SUBSTANCE USE DISORDERS, CHRONIC HEALTH CONDITIONS, INJURY INCLUDING VIOLENCE, AND MATERNAL/FETAL HEALTH. ALL PARTICIPATING HOSPITALS SELECTED SOME OF THE PRIORITIES TO ADDRESS IN THE AREAS SERVED. THERE ARE MULTIPLE WORK GROUPS ADDRESSING THE PRIORITY AREAS AND ADVOCATE STAFF SERVE ON MOST OF THE WORK GROUPS.ADVOCATE PROMOTES ACCOUNTABILITY FOR SYSTEM AND SITE ALIGNMENT BY INCREASING PROGRAM COORDINATION AND DEVELOPING STRONG GOVERNANCE RELATIONSHIPS.SYSTEM OVERSIGHT OF COMMUNITY HEALTH. ADVOCATE HAS TAKEN SEVERAL STEPS TO ASSURE SYSTEM AND SITE ACCOUNTABILITY FOR AND ALIGNMENT OF COMMUNITY HEALTH IMPROVEMENT EFFORTS. THESE ACTIONS INCLUDE DEVELOPING A GOVERNANCE AND DEPARTMENTAL INFRASTRUCTURE AT THE SITES AND SYSTEM LEVELS TO LEAD AND SUPPORT EFFORTS, AND TO INCLUDE ADVOCATE'S AMPLE CLINICAL EXPERTISE IN DEVELOPING AND SUSTAINING EVIDENCE-BASED PROGRAMS THAT MEASURABLY IMPACT/IMPROVE COMMUNITY HEALTH.HOSPITAL GOVERNING COUNCILS. COMMUNITY HEALTH IS STRONGLY INTEGRATED INTO ADVOCATE'S GOVERNANCE STRUCTURES. COMMUNITY HEALTH COUNCILS, COMPRISED OF COMMUNITY EXPERTS AND HOSPITAL LEADERS, HAVE BEEN DEVELOPED AT EACH OF THE ADVOCATE HOSPITALS. THESE COUNCILS ARE CO-LED BY THE HOSPITAL COMMUNITY HEALTH LEADER AND A HOSPITAL GOVERNING COUNCIL MEMBER. A MINIMUM OF 50% OF THE COUNCIL MEMBERS FOR THE 2019 CHNA REPORT AND 2020-2022 COMMUNITY HEALTH IMPLEMENTATION PLAN CYCLES WERE COMMUNITY REPRESENTATIVES WITH A FOCUS ON PEOPLE WHO REPRESENTED UNDERSERVED AND VULNERABLE POPULATIONS. DEPENDENT ON THE HOSPITAL, THE COUNCILS MET THREE OR FOUR TIMES DURING THE YEAR.HOSPITAL COMMUNITY HEALTH STAFF ANALYZED AND PRESENTED PRIMARY AND SECONDARY COMMUNITY HEALTH DATA TO THE HOSPITALS' COMMUNITY HEALTH COUNCILS. THE COUNCIL MEMBERS IDENTIFIED THE HOSPITAL SERVICE AREAS' SIGNIFICANT HEALTH NEEDS, SUBSEQUENTLY EMPLOYING CONSENSUS-BASED, PRIORITY-SETTING PROCESSES TO DETERMINE THE NEEDS UPON WHICH TO FOCUS. AS PART OF THE PRIORITIZATION PROCESS, THE COUNCILS SCANNED HOSPITAL AND COMMUNITY CHALLENGES AND ASSETS, AS WELL AS POTENTIAL PARTNERSHIPS WITH OTHER ORGANIZATIONS THAT MIGHT RESULT IN LARGER HEALTH IMPROVEMENT IMPACT.TO LEARN MORE ABOUT THE 2017-2019 CHNA CYCLE DATA ASSESSMENT RESULTS FOR EACH HOSPITAL, VISIT HOSPITAL CHNA REPORTS IMPLEMENTATION PLANS PROGRESS REPORTS \| ADVOCATE HEALTH CARE .
PART VI, 6. AFFILIATED HEALTH CARE SYSTEM CONT.	ENGAGING SYSTEM CLINICAL SERVICE LINES TO EXPAND THEIR FOCUS ON COMMUNITY HEALTH. ADVOCATE IS VIEWED AS A LEADER IN THE POPULATION HEALTH MANAGEMENT ARENA. AN EARLY ADOPTER OF MANAGING CARE ACROSS POPULATIONS, ADVOCATE HAS SIGNIFICANT SUCCESS IN IMPROVING HEALTH OUTCOMES WHILE DECREASING OR MAINTAINING COST OF CARE DELIVERY. ADVOCATE'S COMMUNITY HEALTH DEPARTMENT HAS INTENTIONALLY ALIGNED WITH ADVOCATE POPULATION HEALTH LEADERS AND ADVOCATE SERVICE LINES. THIS ALIGNMENT ASSURES THAT MEMBERS OF THE COMMUNITIES ADVOCATE SERVES AND OUR PATIENTS RECEIVE COMMUNITY-BASED INTERVENTIONS, AS WELL AS EDUCATION AND PROGRAMMING THAT ALIGNS WITH THEIR HEALTH NEEDS. COMMUNITY PROGRAMS ARE TAILORED TO MEET THE SPECIFIC HEALTH NEEDS IDENTIFIED IN A COMMUNITY OR A SPECIFIC POPULATION. MANY OF THE EXAMPLES OF EDUCATION AND PROGRAMMING ALIGNED WITH POPULATION HEALTH AND SERVICE LINE DEVELOPMENT HAVE ALREADY BEEN DISCUSSED IN OTHER SECTIONS OF THIS PLAN. ALL ADVOCATE HOSPITALS, FOR EXAMPLE, ARE PARTICIPATING IN LOCAL COMMUNITY BEHAVIORAL HEALTH AND SUBSTANCE ABUSE COLLABORATIVES, FOLLOWING ADVOCATE'S INTEGRATED APPROACH TO IMPLEMENTATION. SEVERAL EXAMPLES OF THE BEHAVIORAL HEALTH INITIATIVES ARE PROVIDED BELOW. WARM HANDOFF PROGRAM. THREE ADVOCATE HEALTH CARE HOSPITALS, ADVOCATE CONDELL MEDICAL CENTER, ADVOCATE GOOD SHEPHERD HOSPITAL AND ADVOCATE SHERMAN HOSPITAL WORK IN PARTNERSHIP WITH GATEWAY FOUNDATION, A COMMUNITY-BASED ADDICTION MEDICINE TREATMENT PROVIDER, TO IMPLEMENT AN EVIDENCE-BASED MODEL TO SCREEN AND ASSESS PATIENTS COMING TO THE HOSPITAL FOR SUBSTANCE USE. THE WARM HANDOFF PROGRAM INTEGRATES A FULL-TIME CREDENTIALED ENGAGEMENT SPECIALIST EMPLOYED BY GATEWAY FOUNDATION INTO THE HOSPITAL ED TEAM TO ASSESS AND COUNSEL PATIENTS WITH SUBSTANCE USE DISORDER, AND THEN ASSISTS WITH LINKING THEM TO TREATMENT. A GATEWAY FOUNDATION-EMPLOYED RECOVERY COACH ON THE TEAM ALSO PROVIDES SUPPORT TO PATIENTS AS THEY TRANSITION INTO TREATMENT. IN 2022, THE GATEWAY ENGAGEMENT SPECIALISTS AT THESE THREE HOSPITALS COMPLETED PATIENT ENCOUNTERS WITH 899 PATIENTS AND 392 (44 PERCENT) WERE CONNECTED AND PLACED IN SUBSTANCE USE TREATMENT. MEDICATION ASSISTED TREATMENT (MAT). IN JULY OF 2020, ADVOCATE GOOD SHEPHERD LAUNCHED A PROGRAM THAT PRESCRIBES BUPRENORPHINE UPON DISCHARGE FROM THE EMERGENCY DEPARTMENT (ED) FOR PATIENTS WITH SUBSTANCE USE DISORDER SEEKING MEDICATION ASSISTED TREATMENT. THE PROGRAM IS DESIGNED TO HELP INDIVIDUALS WITH WITHDRAWAL SYMPTOMS AND INCREASE THEIR CHANCES OF TREATMENT. IN 2022, ADVOCATE GOOD SHEPHERD HAD 12 PATIENTS THAT WERE DISCHARGED FROM THE ED ON BUPRENORPHINE PRESCRIPTION. ENDING THE SILENCE AND TEEN SUPPORT GROUP. ADVOCATE GOOD SAMARITAN PARTNERED WITH NAMI DUPAGE TO PROVIDE ENDING THE SILENCE TO MIDDLE AND HIGH SCHOOL STUDENTS. ENDING THE SILENCE IS A ONE-HOUR CLASS THAT AIMS TO DESTIGMATIZE MENTAL ILLNESS AND CREATE AWARENESS AROUND MENTAL HEALTH. IN 2022, ADVOCATE GOOD SAMARITAN SUPPORTED WESTMONT HIGH SCHOOL AND EISENHOWER JUNIOR HIGHSCHOOL, OFFERING 11 PRESENTATIONS IN TOTAL, SERVING 193 STUDENTS. IN ADDITION, ADVOCATE GOOD SAMARITAN HOSPITAL WORKED WITH NAMI BY PROVIDING A BEHAVIORAL HEALTH SPECIALIST TO FACILITATE A TEEN SUPPORT GROUP. THE SIX WEEK PROGRAM SERVED 6 STUDENTS IN THE SUMMER OF 2022. THE SUPPORT GROUP ADDRESSES CONCERNS AROUND ANXIETY, FEAR, SELF-ESTEEM AND MORE. ADVOCATE PHYSICIAN PARTNERS (APP). ADVOCATE POPULATION HEALTH LEADERS AND ADVOCATE COMMUNITY HEALTH LEADERS ARE ALSO PARTNERING TO DEVELOP NEW APPROACHES TO PATIENT SCREENING AND RESOURCING FOR SOCIAL DETERMINANTS OF HEALTH. ADVOCATE ALSO PROVIDES AN INFRASTRUCTURE TO ALLOW COMMUNITY MEMBERS WITH AN OPPORTUNITY TO VOLUNTEER AT VARIOUS ADVOCATE SITES OF CARE, AS WELL AS PROVIDING OPPORTUNITIES FOR ADVOCATE TEAM MEMBERS TO VOLUNTEER IN THE COMMUNITIES SERVED BY ADVOCATE.VOLUNTEERS FROM THE COMMUNITY. EACH YEAR, VOLUNTEERS FROM THE COMMUNITY SHARE THEIR TIME AND TALENTS THROUGH SERVICE AT ADVOCATE'S HOSPITALS, ADVOCATE MEDICAL GROUP AND ADVOCATE AT HOME, AND IN THEIR OWN WAY, FURTHER ADVOCATE'S COMMITMENT TO PROVIDING EXCELLENT HEALTH CARE. IN 2022, ADVOCATE HEALTH CARE MANAGED TO OPEN VOLUNTEER SERVICES AND WELCOMED A TOTAL OF 1,551 COMMUNITY VOLUNTEERS THAT ENGAGED PATIENTS, FAMILIES AND STAFF IN A VARIETY OF ACTIVITIES, SOME OF WHICH WERE: PROVIDING INFORMATION DESK SERVICES TO VISITORS; CLERICAL SUPPORT TO STAFF; SERVING CUSTOMERS IN HOSPITAL GIFT AND RESALE SHOPS; OFFERING COMPASSIONATE CONCERN TO PATIENTS AND THEIR LOVED ONES IN MULTIPLE HOSPITAL AREAS, SUCH AS THE EMERGENCY DEPARTMENT, INTENSIVE CARE UNIT, SURGERY WAITING ROOM, POST-ANESTHESIA CARE AND NURSERY INTENSIVE CARE UNITS; ASSISTING WITH COMMUNITY HEALTH SCREENINGS AND BLOOD DRIVE EVENTS; PROVIDING CHEERFUL SERVICE TO PATIENTS BY DELIVERING FLOWERS, MAIL AND NEWSPAPERS; AND PROVIDING SUPPORT SERVICES IN THE HOSPITAL THAT HAVE LIBRARIES AND/OR WELLNESS CENTERS. VOLUNTEERS FROM THE COMMUNITY ALSO GIVE THEIR TIME AND TALENTS TO VARIOUS OTHER PROGRAMS AND FUNDRAISING ACTIVITIES. MEMBERS OF ADVOCATE'S HOSPITAL AUXILIARIES PLAN AND ENGAGE IN FUNDRAISING EFFORTS TO SUPPORT NOT ONLY SERVICES IN THE HOSPITAL BUT ALSO COMMUNITY-FOCUSED PROGRAMS AND SERVICES. STUDENTS FROM THE COMMUNITY VOLUNTEER THEIR TIME TO TAKING CARE OF CHILDREN IN THE PEDIATRIC DEVELOPMENTAL CENTER LOCATED ON ADVOCATE ILLINOIS MASONIC'S CAMPUS SO THAT PARENTS CAN MEET WITH THE CENTER'S STAFF TO LEARN THE SKILLS NECESSARY TO WORK WITH THEIR CHILDREN WITH SPECIAL NEEDS SO THEY CAN REACH THEIR FULL POTENTIAL. THE HEARTS FOR HOPE GROUP AT ADVOCATE CHILDREN'SOAK LAWN IS COMPRISED OF GRATEFUL PARENTS, CONCERNED FAMILIES AND CARING COMMUNITY MEMBERS WHO SUPPORT THE MISSION OF THE HOSPITAL. THE VOLUNTEERS ENSURE THEY HAVE A PRESENCE IN THE HOSPITAL BY POSITIVELY IMPACTING FAMILY-CENTERED CARE, AS WELL AS WORKING TO RAISE FUNDS AND AWARENESS THROUGH PHILANTHROPIC EVENTS AND ACTIVITIES BENEFITING ADVOCATE CHILDREN'S.ADVOCATE TEAM MEMBERS VOLUNTEERING IN THE COMMUNITY. ADVOCATE TEAM MEMBERS (EMPLOYEES) AND PHYSICIANS ARE ENCOURAGED TO DONATE TO, VOLUNTEER AT AND HELP RAISE FUNDS FOR COMMUNITY INITIATIVES. ADVOCATE PROMOTES AND SUPPORTS TEAM MEMBER, PHYSICIAN AND HOSPITAL PARTICIPATION IN FOUR COMPANY-SPONSORED WALKS FOR MULTIPLE HEALTH-RELATED, NOT-FOR-PROFIT ORGANIZATIONS, INCLUDING THE AMERICAN HEART ASSOCIATION (AHA HEART WALK), AMERICAN CANCER SOCIETY (MAKING STRIDES AGAINST BREAST CANCER), ALZHEIMER'S ASSOCIATION (WALK TO END ALZHEIMER'S) AND THE MARCH OF DIMES (MARCH FOR BABIES IN 2022, 1,559 ADVOCATE TEAM MEMBERS REGISTERED TO PARTICIPATE IN THE ANNUAL LOCAL FUNDRAISERS AND $316,317 IN CHARITABLE CONTRIBUTIONS WERE RAISED TO SUPPORT THESE PARTNER ORGANIZATIONS, DEMONSTRATING OUR COMMITMENT TO HELPING OUR COMMUNITIES LIVE WELL. THIS YEAR, ADVOCATE WAS DESIGNATED BY THE AMERICAN HEART ASSOCIATION AS THE #1 HEALTH CARE COMPANY IN THE MIDWEST. IN ADDITION, ADVOCATE'S ASSOCIATES AND PHYSICIANS GENEROUSLY SUPPORT MULTIPLE COMMUNITY PARTNERS, PROGRAMS AND INITIATIVES, INCLUDING SOME OF ADVOCATE'S OWN SYSTEM-WIDE AND HOSPITAL-BASED COMMUNITY HEALTH PROGRAMS. FOR IL ONLY, ADVOCATE TEAM MEMBERS, NURSES AND PHYSICIANS CONTRIBUTED $1,061,451 THROUGH THE ANNUAL ADVOCATE TEAM MEMBER GIVING CAMPAIGN IN 2022. ADVOCATE ASSOCIATES DEVOTE WORK TIME VOLUNTEERING ON DOZENS OF COMMUNITY BOARDS, COMMITTEES, COUNCILS, TASK FORCES AND COALITIONS, USING THEIR TALENTS TO SUPPORT A VARIETY OF COMMUNITY-BASED ORGANIZATIONS. AN EXAMPLE OF ASSOCIATE VOLUNTEERISM IS ADVOCATE GOOD SAMARITAN'S VICE PRESIDENT OF SUPPORT OPERATIONS AND THE PRESIDENT OF MEDICAL STAFF DEVOTE TIME TO SERVE ON THE DUPAGE HEALTH COALITION'S BOARDDUPAGE HEALTH COALITION IS AN ORGANIZATION THAT LINKS UNINSURED AND UNDOCUMENTED INDIVIDUALS TO PRIMARY AND SPECIALTY HEALTHCARE AND INSURANCE. YET ANOTHER EXAMPLE OF ASSOCIATE VOLUNTEERISM IS ADVOCATE TRINITY HOSPITAL'S PRESIDENT AND AHC'S REGIONAL VICE PRESIDENT TIME DEVOTED TO THE SOUTH SIDE HEALTHY COMMUNITY ORGANIZATION, A COMMUNITY COALITION FOCUSED ON IMPROVING HEALTH EQUITY ON THE SOUTH SIDE OF CHICAGO.

Schedule I IRS990ScheduleI

Field	Value	IRS element (for citing)
Grant Records Maintained	Yes (1)	GrantRecordsMaintainedInd

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
Housing Allowance Or Residence	Yes (X)	HousingAllowanceOrResidenceInd
Written Policy Ref T And E Expnss	Yes (1)	WrittenPolicyRefTAndEExpnssInd
Substantiation Required	Yes (1)	SubstantiationRequiredInd
Compensation Committee	Yes (X)	CompensationCommitteeInd
Form990 Of Other Organizations	Yes (X)	Form990OfOtherOrganizationsInd
Compensation Survey	Yes (X)	CompensationSurveyInd
Board Or Committee Approval	Yes (X)	BoardOrCommitteeApprovalInd
Severance Payment	Yes (1)	SeverancePaymentInd
Supplemental Nonqual Rtr Plan	Yes (1)	SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm	0	EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org	0	CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs	0	CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org	0	CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs	0	CompBsdNetEarnsRltdOrgsInd
Any Non Fixed Payments	Yes (1)	AnyNonFixedPaymentsInd
Initial Contract Exception	0	InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (37 entries)

TitleTitleTxt	Base Compensation Filing OrgBaseCompensationFilingOrgAmt	Compensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmt	Bonus Filing OrganizationBonusFilingOrganizationAmount	Bonus Related OrganizationsBonusRelatedOrganizationsAmt	Other Compensation Filing OrgOtherCompensationFilingOrgAmt	Other Compensation Rltd OrgsOtherCompensationRltdOrgsAmt	Deferred Compensation Flng OrgDeferredCompensationFlngOrgAmt	Deferred Comp Rltd OrgsDeferredCompRltdOrgsAmt	Nontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmt	Nontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmt	Total Compensation Filing OrgTotalCompensationFilingOrgAmt	Total Compensation Rltd OrgsTotalCompensationRltdOrgsAmt	Comp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmt	Comp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
WILLIAM SANTULLI
FORMER DIRECTOR	$0	$1,183,703	$0	$1,633,526	$0	$229,233	$0	$246,278	$0	$27,020	$0	$3,319,760	$0	$263,083
DOMINIC J NAKIS
TREASURER	$0	$903,852	$0	$1,221,060	$0	$179,418	$0	$195,217	$0	$19,118	$0	$2,518,665	$0	$204,758
DOMINICA TALLARICO
VICE PRESIDENT	$0	$802,182	$0	$623,368	$0	$95,448	$0	$132,605	$0	$33,205	$0	$1,686,808	$0	$132,504
MICHAEL GREBE
SECRETARY AS OF JAN 21	$0	$601,938	$0	$635,238	$0	$101,315	$0	$129,806	$0	$2,648	$0	$1,470,945	$0	$0
KAREN LAMBERT
DIRECTOR	$0	$689,213	$0	$438,885	$0	$78,888	$0	$112,071	$0	$32,868	$0	$1,351,925	$0	$115,211
NANINE NELSON
ASSISTANT TREASURER	$0	$633,041	$0	$343,233	$0	$72,984	$0	$99,317	$0	$24,358	$0	$1,172,933	$0	$0
MICHAEL LAPPIN
FORMER OFFICER	$0	$0	$0	$284,150	$0	$736,664	$0	$0	$0	$15,549	$0	$1,036,363	$0	$0
LESLIE LENZO
FORMER OFFICER	$0	$630,040	$0	$274,706	$0	$63,501	$0	$29,650	$0	$2,648	$0	$1,000,545	$0	$106,034
RACHELLE HART
ASSISTANT SECRETARY	$0	$564,637	$0	$241,805	$0	$57,885	$0	$93,460	$0	$27,099	$0	$984,886	$0	$0
AZMEY MATARIEH
DIRECTOR	$0	$500,008	$0	$326,871	$0	-$6,525	$0	$29,650	$0	$36,641	$0	$886,645	$0	$28,200
RAMINDER SINGH MD
DIRECTOR	$0	$500,008	$0	$326,871	$0	$38	$0	$29,650	$0	$19,026	$0	$875,593	$0	$28,200
JAMES DOHENY
ASSISTANT TREASURER	$0	$430,058	$0	$189,033	$0	$45,689	$0	$78,993	$0	$24,386	$0	$768,159	$0	$82,473
SHERI DE SHAZO
PRESIDENT, DIRECTOR	$444,252	$0	$160,210	$0	$17,309	$0	$80,706	$0	$32,868	$0	$735,345	$0	$79,452	$0
MICHAEL KERNS
ASSISTANT SECRETARY	$0	$379,886	$0	$165,167	$0	$41,995	$0	$73,386	$0	$25,430	$0	$685,864	$0	$75,911
CARRIE DONOVAN
ASSISTANT TREASURER	$0	$398,775	$0	$147,392	$0	$29,677	$0	$75,228	$0	$32,868	$0	$683,940	$0	$0
STEVE HUSER
ASSISTANT TREASURER	$0	$350,319	$0	$136,123	$0	$37,495	$0	$69,926	$0	$21,138	$0	$615,001	$0	$0
JAMES SLINKMAN
FORMER OFFICER	$0	$338,966	$0	$147,762	$0	$31,274	$0	$68,915	$0	$26,531	$0	$613,448	$0	$71,128
KEVIN FITCH
FORMER VP FINANCE	$0	$347,929	$0	$110,564	$0	$24,037	$0	$69,511	$0	$31,131	$0	$583,172	$0	$65,373
RAJA CHATTERJI MD
DIRECTOR	$0	$456,775	$0	$75,442	$0	-$4,044	$0	$24,746	$0	$21,426	$0	$574,345	$0	$28,200
DAMON HAVILL
FORMER VP STRATEGY PLANNING & BUS DE	$0	$300,192	$0	$109,826	$0	$24,783	$0	$64,418	$0	$30,143	$0	$529,362	$0	$66,300
JUSTIN MACARIOLA-COAD
VICE PRESIDENT & CMO	$377,820	$0	$92,401	$0	-$909	$0	$23,257	$0	$33,868	$0	$526,437	$0	$19,931	$0
MEELI PATEL
DIRECTOR	$0	$283,708	$0	$90,842	$0	$17,108	$0	$41,255	$0	$31,333	$0	$464,246	$0	$40,343
NICOLE PAULK
FORMER DIRECTOR	$0	$0	$0	$77,474	$0	$291,499	$0	$0	$0	$12,506	$0	$381,479	$0	$31,519
MELISSA O'NEILL
FORMER VP HUMAN RESOURCES	$0	$251,326	$0	$61,805	$0	-$781	$0	$29,650	$0	$13,432	$0	$355,432	$0	$28,200
MICHAEL ROSENBERG
DIRECTOR MED EM & CLINICAL DECISION	$338,944	$0	$0	$0	$5,820	$0	$9,150	$0	$829	$0	$354,743	$0	$8,700	$0
RACHEL BAER MD
DIRECTOR	$0	$267,138	$0	$20,830	$0	-$1,666	$0	$29,136	$0	$29,821	$0	$345,259	$0	$8,700
SUSAN MORBY
VICE PRESIDENT & CNO	$246,999	$0	$59,488	$0	-$2,794	$0	$9,150	$0	$30,511	$0	$343,354	$0	$8,261	$0
TRENT GORDON
FORMER VP STRATEGY PLANNING & BUS DE	$0	$233,996	$0	$57,677	$0	-$6,968	$0	$22,802	$0	$32,434	$0	$339,941	$0	$18,601
ROBIN STOEN
ASSISTANT TREASURER	$0	$222,236	$0	$49,513	$0	-$692	$0	$8,152	$0	$21,418	$0	$300,627	$0	$0
JO AMICK
FORMER VP DEVELOPMENT	$0	$204,992	$0	$52,267	$0	$2,937	$0	$25,800	$0	$11,015	$0	$297,011	$0	$20,185
MICHAEL VOLANTE
ASSISTANT TREASURER	$0	$212,211	$0	$49,794	$0	$2,116	$0	$15,887	$0	$2,919	$0	$282,927	$0	$12,679
JOAN KANUTE
FORMER DIR SVC EXCEL & POP HEALTH	$174,541	$0	$31,816	$0	-$2,414	$0	$26,691	$0	$17,390	$0	$248,024	$0	$25,254	$0
PATRICK UPLEGGER
FORMER DIRECTOR PHARMACY	$176,749	$0	$36,933	$0	-$2,361	$0	$21,065	$0	$10,492	$0	$242,878	$0	$18,458	$0
BYRON ATKINSON
DIR PERIOPERATIVE SVCS	$171,226	$0	$0	$0	$46,926	$0	$9,753	$0	$34	$0	$227,939	$0	$0	$0
DARREN SMITH
DIRECTOR ED ICU & NURSING OPS	$181,798	$0	$33,335	$0	-$387	$0	$11,683	$0	$1,337	$0	$227,766	$0	$7,665	$0
SHARON MCGREGOR
CLINIC PHARMACIST (FORMER HCE)	$194,499	$0	$0	$0	-$863	$0	$5,970	$0	$27,507	$0	$227,113	$0	$5,464	$0
LINDA DEERING DEAN
FORMER PRESIDENT, DIRECTOR	$0	$0	$0	$39,542	$0	$0	$0	$0	$0	$0	$0	$39,542	$0	$0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (12 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART III, LINE 4C, PROGRAM SERVICE ACCOMPLISHMENTS CONT.	1. ACCESS/PRIMARY MEDICAL HOMES. MOBILE INTEGRATED HEALTH (MIH). TO IMPROVE THE CARE COORDINATION AND REDUCE READMISSIONS OF THE CHRONICALLY ILL PATIENTS AT ADVOCATE SHERMAN AS THEY TRANSITION FROM HOSPITAL TO HOME, A HOSPITAL-BASED MIH SYSTEM HAS BEEN CREATED. NATIONAL DATA SHOWS THAT MOBILE CARE HELPS PREVENT HOSPITAL READMISSIONS, ESPECIALLY IN AREAS WHERE PEOPLE HAVE LIMITED ACCESS TO HEALTH CARE AND TRADITIONAL HOME HEALTH SERVICES ARE RESTRICTED DUE TO A VARIETY OF REASONS. THE MIH PARTNERSHIP BETWEEN A PHYSICIAN AND AN ON-STAFF PARAMEDIC, ALLOWS OUTREACH TO PATIENTS IN THEIR HOMES. THIS IS IMPORTANT WHEN THE PATIENT IS UNABLE TO MAKE A SCHEDULED CLINIC VISIT OR WHEN SYMPTOMS/CONDITIONS ARISE THAT WOULD BENEFIT FROM AN IN-PERSON HOME ASSESSMENT WITH COMMUNICATION BACK TO THE PHYSICIAN TO DETERMINE THE PLAN OF CARE. ADDITIONALLY, IN 2018, THE STATE OF ILLINOIS APPROVED THE ADDITION OF PROVIDING IV MEDICATIONS FOR HEART FAILURE PATIENTS THAT HAVE FLUID RETENTION. ANOTHER ADDITION WAS THE ABILITY TO SEE CANCER CARE PATIENTS FOR SYMPTOM MANAGEMENT. IN 2022, THERE WERE 87 PATIENTS ENROLLED IN THE PROGRAM (59 HEART FAILURE, 18 CHRONIC OBSTRUCTIVE PULMONARY DISEASE [COPD], SIX DIABETES, ONE POST MI, TWO PNEUMONIA AND ONE CANCER CARE) WITH A TOTAL OF 55 PATIENTS SEEN FOR 244 VISITS. OF THE 87 PATIENTS ENROLLED, ONLY TWO PERCENT OF PATIENTS WERE READMITTED TO THE HOSPITAL WITHIN 30 DAYS. COMMUNITY HEALTH WORKERS (CHW) PROGRAM. IN JANUARY 2018, ADVOCATE SHERMAN IMPLEMENTED A NEW ACCESS TO CARE COMMUNITY HEALTH WORKER (CHW) PROGRAM TO LINK PATIENTS TO A PRIMARY CARE PROVIDER. THE CHW WORKS FULL-TIME IN THE EMERGENCY DEPARTMENT TO MEET WITH PATIENTS C OMING IN FOR CARE FOR LOW-ACUITY REASONS AND EDUCATES THEM ON OTHER OPTIONS FOR CARE, SUCH AS THE ADVOCATE IMMEDIATE CARE CENTERS, WALGREENS CLINICS AND OTHER RETAIL-BASED CLINICS. THE CHW ALSO EDUCATES PATIENTS ON THEIR INSURANCE ENROLLMENT AND LINKS THEM TO A PRIMARY CARE PROVIDER (PCP) OR A FQHC FOR ONGOING CARE IF THEY DO NOT HAVE A MEDICAL HOME. IN 2022, THE CHW ENGAGED WITH 302 PATIENTS, MADE 424 REFERRALS, INCLUDING 271 REFERRALS TO PHYSICIANS, 29 REFERRALS TO ADVOCATE MEDICAL GROUP CLINICS AND 213 REFERRALS TO FEDERALLY QUALIFIED HEALTH CENTERS. THE TOP NEEDS OF PATIENTS SEEEN WERE WOMEN'S HEALTH-OBSTETRIC AND GYNECOLOGICAL CARE, BEHAVIORAL HEALTH AND EAR-NOSE-THROAT OR ORTHOPEDIC SPECIALTY CARE. BREAST CANCER PREVENTION FOCUSED ON LOW-INCOME HISPANIC WOMEN. TO DECREASE THE ELEVATED INCIDENCE OF BREAST CANCER IN ELGIN'S LOW-INCOME HISPANIC FEMALE POPULATION, THE HOSPITAL HAS PARTNERED WITH THE WOMEN'S ORGANIZATION FOR WELLNESS (WOW) TO PROVIDE BREAST CANCER SCREENINGS, PREVENTION EDUCATION AND OUTREACH. THE HOSPITAL'S AUXILIARY HAS BEEN PROVIDING ANNUAL FUNDING TO WOW TO PAY FOR WOMEN TO RECEIVE FREE MAMMOGRAMS. WOW DISTRIBUTES A VOUCHER TO THE PATIENT AT HEALTH EVENTS, PHYSICIAN OFFICES, OR THROUGH THE GREATER FAMILY HEALTH OR VNA HEALTH CARE, BOTH LOCAL FEDERALLY QUALIFIED HEALTH CENTERS. IN 2022, WOW PROCESSED 29 SCREENING MAMMOGRAMS AND 2 ULTRASOUNDS. DURING THIS TIME, NO CANCERS WERE DETECTED. COMMUNITY-BASED HISPANIC COUNCIL. DIABETES IS ONE OF THE COSTLIEST AND HIGHLY PREVALENT CHRONIC DISEASES IN THE U.S., AFFECTING NEARLY 20 PERCENT OF LATINO MEN AND WOMEN. THIS IS EVIDENT IN THE HIGH RATES OF ED VISITS AND HOSPITALIZATIONS FOR DIABETES-RELATED COMPLICATIONS IN ADVOCATE SHERMAN'S SERVICE AREA. TO COMBAT THIS EPIDEMIC, ADVOCATE SHERMAN ESTABLISHED A CROSS-SECTOR, COMMUNITY-BASED HISPANIC COUNCIL TO ADVISE ON THE DEVELOPMENT OF A DIABETES PROGRAM FOR THE LATINO COMMUNITY. IN 2021, THE PROGRAM WAS PAUSED DUE TO THE COVID-19 PANDEMIC AND THE PROGRAM STILL REMAINS ON HOLD WHILE COMMUNITY HEALTH STAFF FOCUS ON FOOD INSECURITY PROGRAMS TO DECREASE OBESITY AS A PRIORITY. ADVOCATE SHERMAN COMMUNITY HEALTH STAFF CONTINUE TO PARTICIPATE IN SEVERAL LOCAL COALITIONS THAT FOCUS ON THE NEEDS OF HISPANIC RESIDENTS WITHIN ITS SERVICE AREA. 2. ACCESS/BEHAVIORAL HEALTH SERVICES. WARM HANDOFF PROGRAM. IN 2019, ADVOCATE SHERMAN BEGAN PLANNING WITH GATEWAY FOUNDATION, A SUBSTANCE USE TREATEMENT PROVIDER, TO IMPLEMENT THE WARM HANDOFF PROGRAM. THE PROGRAM INTEGRATES A GATEWAY-EMPLOYED ENGAGEMENT SPECIALIST INTO THE ADVOCATE SHERMAN ED. EMERGENCY DEPARTMENT STAFF REFER PATIENTS WITH OPIOID USE DISORDER TO BE ASSESSED BY THE ENGAGEMENT SPECIALIST FOR SUBSTANCE USE AND THEN THE PATIENT IS COUNSELED AND ASSISTED TO START SUBSTANCE USE TREATMENT IN THE COMMUNITY. IN 2022, GATEWAY FOUNDATION COMPLETED 397 PATIENT ENCOUNTERS AND 158 PATIENTS (39.8%) WERE PLACED IN TREATMENT. 3. WORKFORCE DEVELOPMENT. PROMOTING READING AND LITERACY. ADVOCATE SHERMAN HAS BEEN WORKING TO IMPROVE LITERACY IN THE COMMUNITY. LOW LITERACY IS ASSOCIATED WITH POOR HEALTH, QUALITY OF LIFE AND ECONOMIC OPPORTUNITY. TO SET ELGIN FAMILIES ON COURSE FOR A HEALTHY LIFE, ADVOCATE SHERMAN HAS PARTNERED WITH THE GAIL BORDEN PUBLIC LIBRARY, UNITED WAY OF ELGIN AND SCHOOL DISTRICT U-46 FOR THE "WELCOME BABY" INITIATIVE, WHICH PROMOTES LITERACY AND EARLY READING OPPORTUNITIES. THROUGH THIS INITIATIVE, ALL NEWBORNS LIVING WITHIN THE GAIL BORDEN DISTRICT RECEIVE A LIBRARY CARD AND PARENTS ARE INVITED TO A "BABY'S FIRST LIBRARY VISIT," WHERE THEY CAN CHECK OUT "BABY BUNDLES" BOOKS AND PARTICIPATE IN LITERACY CLASSES IN ENGLISH OR SPANISH. FAMILIES ARE ALSO ENROLLED IN UNITED WAY OF ELGIN'S DOLLY PARTON IMAGINATION LIBRARY PROGRAM, WHICH SENDS A BOOK A MONTH TO CHILDREN FROM BIRTH THROUGH AGE FIVE. IN 2022, THE PROGRAM PROVIDED LIBRARY CARDS TO 599 BABIES. HEALTH CARE CAREER DEVELOPMENT. IN 2022, ADVOCATE SHERMAN CONTINUED ITS PARTNERSHIP WITH ELGIN COMMUNITY COLLEGE, THE YWCA OF ELGIN AND SCHOOL DISTRICT U-46, INCLUDING PARTICIPATION IN THE DISTRICT U-46 CAREER FAIR, AND ADVISING STUDENTS ON HOW TO PREPARE FOR HEALTH CARE CAREER OPPORTUNITIES. PROVISION OF NURSING EDUCATION AND OTHER MEDICAL PROFESSIONALS' EDUCATION. ADVOCATE SHERMAN STAFF DEVOTE THEIR TIME TO DEVELOPING PROFICIENCY AND EXCELLENCE IN NURSING STUDENTS SENT TO THE HOSPITAL FROM AREA COLLEGES AND UNIVERSITIES. THE HOSPITAL'S REGISTERED NURSES SUPERVISED AND TAUGHT 272 UNDERGRADUATE NURSING STUDENTS AT A COST OF $1.1 MILLION TO THE HOSPITAL IN 2022. ADVOCATE SHERMAN STAFF ALSO TRAIN STUDENTS FROM AREA COLLEGES AND UNIVERSITIES IN OTHER CLINICAL AREAS AS WELL INCLUDING, BUT NOT LIMITED TO, PHYSICAL, OCCUPATIONAL, SPEECH AND REHABILITATION THERAPY, ULTRASOUND, MAMMOGRAPHY, PHARMACY, LABORATORY, AS WELL AS DIETARY AND HEALTH INFORMATION MANAGEMENT, AT A COST OF NEARLY $2.5 MILLION. TRAINING OF GREATER ELGIN EMS. ADVOCATE SHERMAN'S FULL-TIME PARAMEDIC INSTRUCTOR AND FULL-TIME EMS CONTINUING EDUCATION COORDINATOR TRAIN ALL NEW REGION 9 PARAMEDICS AND ALL EXISTING GREATER ELGIN EMS PERSONNEL IN EMS REGION 9. 4. COMMUNITY SAFETY. REGION 9 EMERGENCY MEDICAL SERVICES. AS BRIEFLY MENTIONED EARLIER, THE GREATER ELGIN AREA EMS SYSTEM IS OPERATED OUT OF ADVOCATE SHERMAN. ALL NEW PARAMEDICS COMPLETE TRAINING AT ADVOCATE SHERMAN AND ALL EXISTING GREATER ELGIN EMS PERSONNEL COMPLETE THEIR CONTINUING EDUCATION AT THE HOSPITAL. EMS STAFF ARE TRAINED BY A FULL-TIME PARAMEDIC INSTRUCTOR AND A FULL-TIME EMS CONTINUING EDUCATION COORDINATOR WHO ARE EMPLOYED BY THE HOSPITAL. ADVOCATE SHERMAN ALSO COLLABORATES WITH EMERGENCY MEDICAL SERVICE PROVIDERS TO SHARE BEST PRACTICE INFORMATION THROUGHOUT ILLINOIS DEPARTMENT OF PUBLIC HEALTH (IDPH) DESIGNATED REGION 9. 5. HOUSING. ADVOCATE SHERMAN IS NOT CURRENTLY ENGAGED IN WORK RELATED TO HOUSING.
FORM 990, PART III, LINE 4C, PROGRAM SERVICE ACCOMPLISHMENTS CONT.	6. FOOD SECURITY. FOOD SECURITY. IN 2018, ADVOCATE SHERMAN, AS PART OF EFFORTS TO ADDRESS OBESITY AND OBESITY-RELATED DISEASES, DEVELOPED A PROCESS TO PROVIDE EXCESS PRODUCE FROM THE ON-SITE COMMUNITY GARDEN TO HOSPITAL DIABETES CENTER PATIENTS. THE DISTRIBUTION OF FRESH PRODUCE FROM THE GARDEN IS FOR PATIENTS WHO ARE IDENTIFIED AS FOOD INSECURE BASED ON THE HUNGER VITAL SIGN QUESTIONNAIRE SCREENING. FOOD INSECURE INDIVIDUALS IN THE DIABETES CENTER AND ENROLLED PARTICIPANTS OF THE MOBILE INTEGRATED HEALTH PROGRAM WERE REFERRED TO AREA FOOD PANTRIES, CONGREGATE MEAL PROGRAMS OR THE SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP). IN 2022, THE HOSPITAL UPDATED THE PUBLISHED COMPREHENSIVE FOOD AND NUTRITION RESOURCE GUIDE CONTAINING AREA RESOURCES IN BOTH ENGLISH AND SPANISH. THIS GUIDE IS USED BY THE COMMUNITY HEALTH WORKER, CARE MANAGERS AND OTHER CLINICAL STAFF WHEN REFERRING PATIENTS TO FOOD RESOURCES. IN ADDITION, THE HOSPITAL INITIATED A NEW PARTNERSHIP WITH THE ELGIN COMMUNITY COLLEGE (ECC) STUDENT FOOD PANTRY. ECC STUDENTS WERE ASSIGNED GARDEN PLOTS AT THE ADVOCATE SHERMAN COMMUNITY GARDEN AND THE PRODUCE THAT WAS HARVESTED WAS PROVIDED TO THE STUDENT FOOD PANTRY. IN THE 2022 GARDEN SEASON, 315 TOTAL POUNDS OF PRODUCE WAS PROVIDED TO THE YWCA IN ELGIN, FOOD FOR GREATER ELGIN LOCAL FOOD PANTRY AND THE ECC FOOD PANTRY. AS IDENTIFIED IN THE ADVOCATE SHERMAN CHNA, 9.8 PERCENT OF THE POPULATION IN THE PSA IS EXPERIENCING FOOD INSECURITY AT SOME POINT. IN THE PSA, 65.9 PERECENT OF RESIDENTS ARE CONSIDERED TO HAVE LOW ACCESS TO FOOD, AND 4.6 PERCENT OF RESIDENTS ARE LIVING IN FOOD DESERTS.
FORM 990, PART VI, SECTION A, LINE 2	FAMILY RELATIONSHIP BETWEEN INTERESTED PERSON KELLY DEERING AND ORGANIZATION: FAMILY MEMBER LINDA DEERING
FORM 990, PART VI, SECTION A, LINE 6	CORPORATE MEMBER THE BYLAWS PROVIDE FOR ADVOCATE HEALTH CARE NETWORK AS THE SOLE CORPORATE MEMBER.
FORM 990, PART VI, SECTION A, LINE 7A	POWER TO ELECT OTHER MEMBERS ADVOCATE SHERMAN HOSPITAL HAS A SOLE CORPORATE MEMBER, ADVOCATE HEALTH CARE NETWORK, WHO ELECTS ITS DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 7B	GOVERNANCE DECISIONS THE FOLLOWING REQUIRE A RECOMMENDATION INITIATED BY THE BOARD OF DIRECTORS AND THE SUBSEQUENT APPROVAL BY THE CORPORATE MEMBER, ADVOCATE HEALTH CARE NETWORK, TO BE VALID: A) APPOINTMENT OF THE MEMBERS OF THE BOARD OR ITS AFFILIATES, OTHER THAN THE EX OFFICIO DIRECTORS; B) AMENDMENT OF THE ARTICLES OF INCORPORATION OF THE CORPORATION OR ITS AFFILIATES; C) AMENDMENT OF THE BYLAWS OF THE CORPORATION OR ITS AFFILIATES; D) IMPLEMENTATION OF ANY CHANGE TO THE STRUCTURE OR OPERATION OF THE CORPORATION OR ITS AFFILIATES THAT COULD AFFECT THE CORPORATION'S OR ANY AFFILIATE'S TAX-EXEMPT STATUS; E) ADOPTION OF A STRATEGIC PLAN; F) APPROVAL OF THE CORPORATION'S OR ANY AFFILIATE'S ANNUAL CAPITAL PLAN; G) APPROVAL OF THE CORPORATION'S OR ANY AFFILIATE'S ANNUAL OPERATING BUDGET; H) TRANSFER OR ENCUMBRANCE OF ANY OF THE CORPORATION'S OR ANY AFFILIATE'S ASSETS BY PURCHASE, SALE, CAPITAL LEASE, MORTGAGE, DISPOSITION OR HYPOTHECATION IN EXCESS OF LIMITS ESTABLISHED BY THE CORPORATE MEMBER'S FINANCIAL APPROVAL POLICY; I) FILING OF A CERTIFICATE OF NEED OR EXEMPTION APPLICATION (OR ANY AMENDMENT THERETO) BY THE CORPORATION OR ANY AFFILIATE; J) DISSOLVING OR WINDING-UP THE CORPORATION, OR AN AFFILIATE, OR ABANDONING AN ENTIRE BUSINESS ENTERPRISE THEREOF; K) FILING ANY ACTION IN BANKRUPTCY OR RECEIVERSHIP REGARDING THE CORPORATION OR ANY AFFILIATE; L) THE SALE OR TRANSFER OF ANY MEMBER INTEREST, STOCK, OR OTHER OWNERSHIP INTEREST IN ANY AFFILIATE OF THE CORPORATION; M) THE MERGER OR CONSOLIDATION OF THE CORPORATION OR ANY AFFILIATE, OR THE FORMATION OF ANY PARTNERSHIP, CO-SPONSORSHIP ARRANGEMENT OR JOINT VENTURE BETWEEN OR AMONG THE CORPORATION OR ANY AFFILIATE AND ANY THIRD PARTY; N) ADOPTION OR AMENDMENT OF ANY POLICY, PROTOCOL OR PROCEDURE THAT IS INCONSISTENT WITH ONE OR MORE OF THE CORPORATE MEMBER'S SYSTEM-WIDE POLICIES, PROTOCOLS OR PROCEDURES OR THE CORPORATE MEMBER'S ARTICLES OF INCORPORATION AND/OR BYLAWS; PROVIDED, HOWEVER, THAT THIS COLLABORATIVE AUTHORITY DOES NOT ABROGATE THE POWER OF THE BOARD TO ADOPT POLICIES, PROTOCOLS AND/OR PROCEDURES FOR WHICH NO SYSTEM-WIDE POLICY, PROTOCOL OR PROCEDURE EXISTS AND THAT ARE RELATED SOLELY TO THE INTERNAL OPERATIONS OF THE CORPORATION AND/OR ANY OF ITS AFFILIATES; AND O) APPOINTMENT OF THE CORPORATION'S OFFICERS IDENTIFIED IN SECTION 6.2 OF THE CORPORATION'S BYLAWS. THE CORPORATE MEMBER MAY TAKE THE FOLLOWING ACTIONS WITHOUT THE APPROVAL OR RECOMMENDATION OF THE BOARD OF DIRECTORS: A) REMOVAL OF ANY OF THE MEMBERS OF THE BOARD "FOR CAUSE" IN ACCORDANCE WITH SECTION 3.15 OF THE CORPORATION'S BYLAWS; B) THE INCURRENCE OR MODIFICATION OF SHORT OR LONG-TERM DEBT AND LEASE OBLIGATIONS; C) APPOINTMENT OR REMOVAL OF THE CORPORATION'S PRESIDENT OR CHIEF FINANCIAL OFFICER ("CFO"); D) ADOPTION OF AN ANNUAL CAPITAL PLAN FOR THE CORPORATION, BUT ONLY AFTER THE CORPORATE MEMBER HAS MADE A GOOD FAITH DETERMINATION THAT THE BOARD HAS NOT RECOMMENDED AN ACCEPTABLE ANNUAL CAPITAL PLAN IN A TIMELY MANNER; AND E) ADOPTION OF AN ANNUAL OPERATING BUDGET FOR THE CORPORATION, BUT ONLY AFTER THE CORPORATE MEMBER HAS MADE A GOOD FAITH DETERMINATION THAT THE BOARD HAS NOT RECOMMENDED AN ACCEPTABLE ANNUAL OPERATING BUDGET IN A TIMELY MANNER.
FORM 990, PART VI, SECTION B, LINE 11B	TAX PREPARATION AND REVIEW PROCESS ADVOCATE'S TAX PREPARATION PROCESS INCLUDES ONGOING CONSULTATION WITH ITS OUTSIDE TAX CONSULTING FIRM AND TAX LEGAL COUNSEL, BOTH OF WHICH POSSESS EXPERTISE IN HEALTH CARE AND TAX-EXEMPT RETURN PREPARATION. THESE ADVISORS WORKED CLOSELY WITH THE ORGANIZATION'S FINANCE, TAX, AND LEGAL ASSOCIATES AND OTHER MEMBERS OF THE ORGANIZATION'S TEAM ASSEMBLED TO PARTICIPATE IN THE PREPARATION OF THE FORM 990. THE FORM 990 IS REVIEWED BY FINANCE MANAGEMENT, THE TAX MANAGER, THE VP OF FINANCE/CORPORATE CONTROLLER, THE CHIEF FINANCIAL OFFICER, AND ADVOCATE'S OUTSIDE TAX CONSULTING FIRM AND TAX LEGAL COUNSEL. PRIOR TO PRESENTING THE FORM 990 TO THE BOARD OF DIRECTOR'S AUDIT COMMITTEE IN NOVEMBER, THE ORGANIZATION'S TEAM--INCLUDING ITS ADVISORS--MET FREQUENTLY TO DISCUSS AND REVIEW DRAFTS OF THE FORM 990. AT THE NOVEMBER AUDIT COMMITTEE MEETING, THE VP OF FINANCE/CORPORATE CONTROLLER AND CHIEF FINANCIAL OFFICER COORDINATED A REVIEW OF THE FORM 990 WITH COMMITTEE MEMBERS, AS THE AUDIT COMMITTEE IS THE COMMITTEE OF THE BOARD OF DIRECTORS CHARGED WITH OVERSIGHT OF AUDIT AND TAX MATTERS. THE VP OF FINANCE/CORPORATE CONTROLLER AND CHIEF FINANCIAL OFFICER RESPONDED TO THE AUDIT COMMITTEE MEMBERS' QUESTIONS AND PROVIDED THE OPPORTUNITY FOR DETAILED DISCUSSION OF THE FORM 990. THE CHANGES IDENTIFIED WERE INCORPORATED, AND THEN A COMPLETE COPY OF THE FINAL FORM 990 WAS PROVIDED TO EACH MEMBER OF THE ORGANIZATION'S BOARD OF DIRECTORS BEFORE THE FORM 990 WAS FILED.
FORM 990, PART VI, SECTION B, LINE 12C	CONFLICT OF INTEREST POLICY THE ORGANIZATION'S CONFLICT OF INTEREST POLICY APPLIES TO VARIOUS PEOPLE, INCLUDING MEMBERS OF ADVOCATE'S BOARD OF DIRECTORS, GOVERNING COUNCILS, OFFICERS, ASSOCIATES, VOLUNTEERS, AND MEDICAL STAFF MEMBERS WITH ADMINISTRATIVE RESPONSIBILITIES. ANNUALLY, THE COMPLIANCE DEPARTMENT SENDS THIS POLICY AND THE ADVOCATE CODE OF BUSINESS CONDUCT TO A RANGE OF INDIVIDUALS WHO MAY BE IN A POSITION TO EXERCISE SUBSTANTIAL INTEREST OVER A PARTICULAR MATTER (DEFINED AS "INTERESTED PERSONS"). THEY ARE REQUIRED TO READ THE POLICIES AND PROVIDE THE COMPLIANCE DEPARTMENT WITH A DISCLOSURE STATEMENT, WHICH IDENTIFIES ACTIVITIES AND RELATIONSHIPS THAT COULD POTENTIALLY GIVE RISE TO A CONFLICT OF INTEREST. THE CHIEF COMPLIANCE OFFICER REVIEWS THE DISCLOSURES AND PROVIDES A REPORT TO THE SYSTEM BUSINESS CONDUCT (COMPLIANCE) COMMITTEE, EXECUTIVE MANAGEMENT TEAM AND THE AUDIT COMMITTEE OF THE BOARD FOR REVIEW. THE REPORT IS THEN PROVIDED, IN RELEVANT PART, TO THE SITE CHIEF EXECUTIVE OFFICERS. POTENTIAL CONFLICTS ARE REVIEWED BY THE COMPLIANCE DEPARTMENT ON A CASE BY CASE BASIS. FOLLOW-UP PROCEDURES CONDUCTED ARE UNIQUE TO THE GIVEN CIRCUMSTANCE AND MAY INCLUDE REVIEWING THE POTENTIAL CONFLICT WITH THE INTERESTED PERSON OR INVESTIGATING THE MATTER IN CONSULTATION WITH THE INTERESTED PERSON'S SUPERVISOR AND/OR SITE MANAGEMENT. IN CIRCUMSTANCES WHERE THE INTERESTED PERSON IS NOT A MEMBER OF THE BOARD OR GOVERNING COUNCIL OR A COMMITTEE THEREOF OR A PERSON OF INTEREST, AND IT IS DETERMINED THAT THERE IS AN ACTUAL CONFLICT OF INTEREST, THE SUPERVISOR OF THE INDIVIDUAL IS RESPONSIBLE FOR MAKING AN APPROPRIATE RESPONSE--POTENTIALLY INCLUDING A RESTRICTION OF THE INDIVIDUAL'S JOB DUTIES WITH RESPECT TO THE MATTER GIVING RISE TO THE CONFLICT.
FORM 990, PART VI, SECTION B, LINE 15	EXECUTIVE COMPENSATION EXECUTIVE COMPENSATION AT ADVOCATE HEALTH CARE NETWORK AND SUBSIDIARIES IS BASED ON A BOARD-APPROVED STRATEGY THAT GUIDES THE CORPORATION IN ESTABLISHING COMPENSATION OPPORTUNITIES FOR EXECUTIVES, MANAGERS, PROFESSIONALS AND EMPLOYEES. IN THIS STRATEGY, SPECIFIC MARKET COMPENSATIONS ARE IDENTIFIED AND THE DESIRED LEVEL OF COMPETITIVENESS IN THOSE MARKETS SPECIFIED. IN ADDITION, THE LINKAGE OF EXECUTIVE PAY TO PERFORMANCE IS ARTICULATED AND HOW THIS RELATIONSHIP IS TO BE MAINTAINED IS OUTLINED. TO SUPPORT AND IMPLEMENT THE COMPENSATION STRATEGY, FIVE BASIC ELEMENTS ARE UTILIZED. THESE ELEMENTS ARE: - A SOLID, RELIABLE AND TESTED JOB EVALUATION METHODOLOGY, - ACCURATE, QUALITY AND RELEVANT COMPENSATION SURVEY INFORMATION, - A CONSISTENT ANNUAL PROCESS FOR UPDATING THE COMPENSATION LEVELS, - AN ACTIVE BOARD REVIEW PROCESS THAT ASSURES COMPLIANCE WITH THE COMPENSATION STRATEGY AND ONGOING REVIEW OF THE PERFORMANCE OF THE ORGANIZATION, AND - ACTIVE REVIEW AND AUDITING OF COMPENSATION BY EXTERNAL INDEPENDENT CONSULTANTS.
FORM 990, PART VI, SECTION C, LINE 19	AVAILABILITY OF DOCUMENTS, CONFLICT OF INTEREST POLICY & FINANCIAL STATEMENTS THE ORGANIZATION MAKES ITS FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC THROUGH THE FOLLOWING WEBSITES: - DACBOND.COM (DIGITAL ASSURANCE CERTIFICATION LLC) - EMMA.MSRB.ORG (ELECTRONIC MUNICIPAL MARKET ACCESS) THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS OR CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC.
FORM 990, PART IX, LINE 11G	OTHER FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 66,676,088. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 66,676,088.
FORM 990, PART XI, LINE 9:	TAX ADJUSTMENTS -67,882.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (9 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Exempt Code SectionExemptCodeSectionTxt	Public Charity StatusPublicCharityStatusTxt	Direct Controlling NADirectControllingNACd	Controlled OrganizationControlledOrganizationInd	Business Name Line1DirectControllingEntityName/BusinessNameLine1Txt
ADVOCATE HEALTH CARE NETWORK
2025 WINDSOR DR	OAK BROOK	IL	60523	362167779	PARENT CORP	IL	501(C)(3)	LINE 12C, III-FI	N/A	0
ADVOCATE CONDELL MEDICAL CENTER
2025 WINDSOR DR	OAK BROOK	IL	60523	262525968	HEALTH CARE	IL	501(C)(3)	LINE 3		0	AHHC
ADVOCATE NORTH SIDE HEALTH NETWORK
2025 WINDSOR DR	OAK BROOK	IL	60523	363196629	HEALTH CARE	IL	501(C)(3)	LINE 3		0	AHHC
ADVOCATE HEALTH & HOSPITALS CORPORATION
2025 WINDSOR DR	OAK BROOK	IL	60523	362169147	HEALTH CARE	IL	501(C)(3)	LINE 3		0	AHCN
ADVOCATE CHARITABLE FOUNDATION
2025 WINDSOR DR	OAK BROOK	IL	60523	363297360	FUNDRAISING	IL	501(C)(3)	LINE 7		0	AHCN
EHS HOME HEALTH CARE SERVICE INC
2025 WINDSOR DR	OAK BROOK	IL	60523	362913108	HOME CARE	IL	501(C)(3)	LINE 10		0	AHHC
MERIDIAN HOSPICE
2025 WINDSOR DR	OAK BROOK	IL	60523	363158667	HOSPICE CARE	IL	501(C)(3)	LINE 10		0	EHSHHCS
MASONIC FAMILY HEALTH FOUNDATION INC
2025 WINDSOR DR	OAK BROOK	IL	60523	364397387	FUNDRAISING	IL	501(C)(3)	LINE 12A, I		0	MFHS
ADVOCATE AURORA HEALTH INC
2025 WINDSOR DR	OAK BROOK	IL	60523	824184596	SUPPORT ORG	DE	501(C)(3)	LINE 12D, III-O	N/A	Yes (1)

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	DREYER AMBULATORY SURGERY CENTER	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	2357 SEQUOIA DRIVE	AddressLine1Txt
City	AURORA	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	60506	ZIPCd

Field	Value	IRS element (for citing)
EIN	363890298	EIN
Primary Activities	MEDICAL SERVICES	PrimaryActivitiesTxt
Legal Domicile State	IL	LegalDomicileStateCd
Direct Controlling NA	N/A	DirectControllingNACd
Disproportionate Allocations	0	DisproportionateAllocationsInd
General Or Managing Partner	0	GeneralOrManagingPartnerInd

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (11 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	EINEIN	Primary ActivitiesPrimaryActivitiesTxt	Legal Domicile StateLegalDomicileStateCd	Direct Controlling NADirectControllingNACd	Entity TypeEntityTypeTxt	Controlled OrganizationControlledOrganizationInd	Address Line1ForeignAddress/AddressLine1Txt	CityForeignAddress/CityNm	CountryForeignAddress/CountryCd	Foreign PostalForeignAddress/ForeignPostalCd	Legal Domicile Foreign CountryLegalDomicileForeignCountryCd
ADVOCATE HOME CARE PRODUCTS
2025 WINDSOR DR	OAK BROOK	IL	60523	363315416	HEALTH SERVICES	IL	N/A	C	0
EVANGELICAL SERVICES CORPORATION
2025 WINDSOR DR	OAK BROOK	IL	60523	363208101	MGMT SERVICES	IL	N/A	C	0
HIGH TECHNOLOGY INC
2025 WINDSOR DR	OAK BROOK	IL	60523	363368224	MEDICAL SERVICES	IL	N/A	C	0
DREYER CLINIC INC
2025 WINDSOR DR	OAK BROOK	IL	60523	362690329	MEDICAL SERVICES	IL	N/A	C	0
PARKSIDE CENTER CONDO ASSOCIATION
1775 WEST DEMPSTER STREET	PARK RIDGE	IL	60068	363452486	PROPERTY MGMT	IL	N/A	C	0
THE DELPHI GROUP IV INC
1425 N RANDALL ROAD	ELGIN	IL	60123	364017279	HEALTH COST MGT	IL	N/A	C	0
ADVOCATE HPN NFP
2025 WINDSOR DR	OAK BROOK	IL	60523	810893878	HEALTH IMPRV	IL	N/A	C	0
ADVOCATE INSURANCE SPC
				980422925	INSURANCE		N/A	C	0	878 W BAY RD PO BOX 1159	GRAND CAYMAN	CJ	KY1-1102	CJ
ADVOCATE HEALTH PARTNERS
1701 WEST GOLF ROAD	ROLLING MEADOWS	IL	60008	364032117	HEALTH CARE MGT	IL	N/A	C	0
ADVOCATE PHYSICIAN PARTNERS ACCTBLE CARE
1701 WEST GOLF ROAD	ROLLING MEADOWS	IL	60008	455498384	HEALTH CARE MGT	IL	N/A	C	0
ADVOCATE PHYSICIAN PTNRS RISK PURC GROUP
1701 WEST GOLF ROAD	ROLLING MEADOWS	IL	60008	383914173	GROUP MALPRACTICE	IL	N/A	C	0

Field	Value	IRS element (for citing)
Receipt Of Int Annts Rnts Rylts	0	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	0	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	0	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	Yes (1)	LoansOrGuaranteesFromOthOrgInd
Div Related Organization	0	DivRelatedOrganizationInd
Asset Sale To Other Org	0	AssetSaleToOtherOrgInd
Asset Purchase From Other Org	0	AssetPurchaseFromOtherOrgInd
Asset Exchange	0	AssetExchangeInd
Rental Of Facilities To Oth Org	0	RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org	0	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	0	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	0	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	0	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	0	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	0	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	0	TransferToOtherOrgInd
Transfer From Other Org	0	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (2 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
ADVOCATE HEALTH CARE NETWORK
E	$39,095,000	COST
ADVOCATE HEALTH AND HOSPITALS CORPORATION
E	$152,054,113	COST