ADVOCATE NORTH SIDE HEALTH NETWORK: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization: ADVOCATE NORTH SIDE HEALTH NETWORK (EIN 36-3196629)
Tax period: 2020-01-01 to 2020-12-31
Filed: 2021-11-15
IRS object ID: 202103209349300835
Schema version: 2020v4.1
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 L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2021-11-15T23:47:08-06:00	ReturnTs
Tax Period End	2020-12-31	TaxPeriodEndDt
Return Type	990	ReturnTypeCd
Tax Period Begin	2020-01-01	TaxPeriodBeginDt

Filer Filer

Field	Value	IRS element (for citing)
EIN	363196629	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ADVOCATE NORTH SIDE HEALTH NETWORK	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Business Name Control	ADVO	BusinessNameControlTxt
Phone	4142991862	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3075 HIGHLAND PARKWAY SUITE 600	AddressLine1Txt
City	DOWNERS GROVE	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	60515	ZIPCd

Business Officer BusinessOfficerGrp

Field	Value	IRS element (for citing)
Person	RACHEL HALVERSON	PersonNm
Person Title	VP TAX & ACCTG SVCS	PersonTitleTxt
Phone	4142991862	PhoneNum
Signature	2021-11-15	SignatureDt
Discuss With Paid Preparer	0	DiscussWithPaidPreparerInd

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

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	2020	TaxYr
Build TS	2022-09-23 18:48:47Z	BuildTS

Form 990 IRS990

Field	Value	IRS element (for citing)
Principal Officer	SUSAN NORDSTROM LOPEZ	PrincipalOfficerNm

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3075 HIGHLAND PKWY	AddressLine1Txt
City	DOWNERS GROVE	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	60515	ZIPCd

Field	Value	IRS element (for citing)
Gross Receipts	$901,704,046	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	1983	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	14	VotingMembersGoverningBodyCnt
Voting Members Independent	13	VotingMembersIndependentCnt
Total Employee	2679	TotalEmployeeCnt
Total Volunteers	120	TotalVolunteersCnt
Total Gross UBI	$8,035	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$5,761,686	PYContributionsGrantsAmt
CY Contributions Grants	$35,438,877	CYContributionsGrantsAmt
PY Program Service Revenue	$710,121,426	PYProgramServiceRevenueAmt
CY Program Service Revenue	$829,268,543	CYProgramServiceRevenueAmt
PY Investment Income	$53,075,000	PYInvestmentIncomeAmt
CY Investment Income	$30,261,273	CYInvestmentIncomeAmt
PY Other Revenue	$7,258,480	PYOtherRevenueAmt
CY Other Revenue	$6,703,828	CYOtherRevenueAmt
PY Total Revenue	$776,216,592	PYTotalRevenueAmt
CY Total Revenue	$901,672,521	CYTotalRevenueAmt
PY Grants And Similar Paid	$183,244	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$150,021,855	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$198,467,310	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$215,731,623	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$460,832,754	PYOtherExpensesAmt
CY Other Expenses	$581,682,229	CYOtherExpensesAmt
PY Total Expenses	$659,483,308	PYTotalExpensesAmt
CY Total Expenses	$947,435,707	CYTotalExpensesAmt
PY Revenues Less Expenses	$116,733,284	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$45,763,186	CYRevenuesLessExpensesAmt
Total Assets BOY	$903,781,713	TotalAssetsBOYAmt
Total Assets EOY	$946,824,836	TotalAssetsEOYAmt
Total Liabilities BOY	$107,177,649	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$181,044,957	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$796,604,064	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$765,779,879	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	THE MISSION OF ADVOCATE AURORA HEALTH 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	$809,867,603	ExpenseAmt
Grant	$150,021,855	GrantAmt
Revenue	$805,898,714	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 ADVOCATE ILLINOIS MASONIC MEDICAL CENTER'S (ADVOCATE ILLINOIS MASONIC) COMMUNITY HEALTH STRATEGY, THE MEDICAL CENTER IS COMMITTED TO PROMOTING INITIATIVES THAT ENHANCE ACCESS TO HEALTH CARE FOR THE UNINSURED AND UNDERINSURED. AN EXAMPLE OF THIS IS THE PROVISION OF FINANCIAL ASSISTANCE. ADVOCATE ILLINOIS MAONIC 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 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.THE MEDICAL CENTER 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. ADVOCATE ILLINOIS MASONIC IS DEDICATED TO PROVIDING EXPERT EMERGENCY AND TRAUMA CARE. THE MEDICAL CENTER'S LEVEL I TRAUMA CENTER, ONE OF ONLY FOUR IN CHICAGO, CARES FOR THE MOST SERIOUSLY INJURED PEOPLE WITHIN ITS SERVICE AREA. EMERGENCY AND TRAUMA SERVICES ARE PROVIDED REGARDLESS OF ABILITY TO PAY. IN 2020, THE MEDICAL CENTER EXPERIENCED 35,595 EMERGENCY ROOM VISITS, OF WHICH 1,097 WERE TRAUMA PATIENTS.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$47,466,218	ExpenseAmt
Revenue	$15,364,411	RevenueAmt
Desc	FORM 990, PART III PROGRAM SERVICE, LINE 4BHEALTH CARE SERVICES PROVIDED BY PHYSICIANS EMPLOYED BY THE ORGANIZATION. HEALTH CARE SERVICES PROVIDED BY PHYSICIANS EMPLOYED BY THE MEDICAL CENTER ARE FOCUSED ON IMPACTING THE HEALTH OF THE COMMUNITY. THE DIGESTIVE HEALTH TEAM HAS BEEN WORKING ACTIVELY TO INCREASE COLON CANCER SCREENINGS. EMERGENCY MEDICINE PHYSICIANS HAVE BEEN TRAINING LOCAL EMERGENCY MEDICAL TECHNICIANS (EMTS) AS WELL AS PROVIDING TRAINING IN CARDIOPULMONARY RESUSCITATION (CPR), BLEEDING CONTROL AND APPROPRIATE BIKE HELMET USAGE. A RANGE OF PHYSICIANS AND ASSOCIATES PROVIDE HEALTH EDUCATION, LECTURES AND SCREENINGS AT COMMUNITY HEALTH EVENTS THROUGHOUT THE YEAR.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$27,910,161	ExpenseAmt
Revenue	$8,005,417	RevenueAmt
Desc	FORM 990, PART III PROGRAM SERVICES, LINE 4CGRADUATE MEDICAL EDUCATION. ADVOCATE ILLINOIS MASONIC IS COMMITTED TO TRAINING HEALTH CARE PROVIDERS IN A BROAD RANGE OF SPECIALTIES. IN 2020, THE MEDICAL CENTER TRAINED 185 RESIDENTS AND 428 MEDICAL STUDENTS IN THE FOLLOWING SERVICES: ANESTHESIOLOGY, CARDIOLOGY, EMERGENCY MEDICINE, FAMILY MEDICINE, INTERNAL MEDICINE, OBSETRICS/ GYNECOLOGY, ORTHOPEDIC SURGERY, PODIATRY, RADIOLOGY, GENERAL SURGERY, SURGICAL CRITICAL CARE AND UROLOGY. THE MEDICAL CENTER ALSO HAS TRAINING PROGRAMS FOR OTHER HEALTHCARE PROFESSIONALS, INCLUDING PHARMACY, NURSING, PSYCHOLOGY, SOCIAL WORK AND REHABILITATION. A LIMITED NUMBER OF DENTAL STUDENTS RECEIVE SPECIALIZED TRAINING IN PROGRAMS FOR SPECIAL NEEDS DENTISTRY AND SERVE PATIENTS ON THE MOBILE DENTAL VAN. THE MEDICAL CENTER ALSO PROVIDES ACCREDITED CHAPLAINCY TRAINING THROUGH THE MEDICAL CENTER'S ACCREDITED CLINICAL PASTORAL EDUCATION PROGRAM.	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp (4 entries)

DescDesc
FORM 990, PART III, LINE 4DDESCRIPTION OF ADVOCATE ILLINOIS MASONIC. ADVOCATE ILLINOIS MASONIC IS A 397-BED TEACHING MEDICAL CENTER LOCATED ON CHICAGO'S NORTH SIDE AND IS ONE OF 28 ACUTE CARE HOSPITALS IN THE ADVOCATE AURORA HEALTH SYSTEM. ADVOCATE HEALTH CARE BASED IN ILLINOIS AND ADVOCATE AURORA HEALTH CARE BASED IN WISCONSIN MERGED TO BECOME ADVOCATE AURORA HEALTH IN APRIL 2018. THE MEDICAL CENTER, ONE OF ONLY FOUR LEVEL I TRAUMA CENTERS IN CHICAGO, ILLINOIS, TREATED 1,097 TRAUMA PATIENTS IN 2020. ADVOCATE ILLINOIS MASONIC ALSO HAS ONE OF CHICAGO'S MOST ACTIVE EMERGENCY DEPARTMENTS (EDS). THERE WERE A TOTAL OF 35,595 (INCLUDING TRAUMA) EMERGENCY VISITS TO THE MEDICAL CENTER IN 2020. THE MEDICAL CENTER'S LEVEL III NEONATAL INTENSIVE CARE UNIT (NICU) HOLDS THE STATE'S HIGHEST DESIGNATION. THE MEDICAL CENTER HAD 274 NICU ADMITS, 177 TRANSFERS IN AND 1,624 INFANTS DELIVERED (LIVE BIRTHS) IN 2020. ADVOCATE ILLLINOIS MASONIC IS FULLY ACCREDITED BY DET NORSKE VERITAS (NORWAY) AND GERMANISCHER LLOYD (GERMANY) (DNV-GL), WITH THE EXCEPTION OF OUTPATIENT BEHAVIORAL HEALTH, WHICH IS ACCREDITED BY THE COMMISSION ON ACCREDITATION OF REHABILITATION FACILITIES (CARF). ADVOCATE ILLINOIS MASONIC HAS MORE THAN 1,000 ACTIVE PHYSICIANS ON STAFF REPRESENTING 43 MEDICAL SPECIALTIES. IT EMPLOYS ALMOST 800 REGISTERED NURSES. THE MEDICAL CENTER OFFERS A WIDE RANGE OF MEDICAL SERVICES AND IS NATIONALLY RECOGNIZED FOR ITS MEDICAL EXPERTISE, INNOVATIVE TECHNOLOGIES AND DEDICATION TO PATIENT SAFETY, QUALITY AND SERVICE. ADVOCATE ILLINOIS MASONIC'S MAJOR SERVICES INCLUDE: BEHAVIORAL HEALTH; COMPREHENSIVE SURGICAL; EMERGENCY AND TRAUMA; CANCER CARE; OPHTHALMOLOGY; CARDIOVASCULAR; DIGESTIVE DISEASE; OBSTETRIC, GYNECOLOGY, MIDWIFERY AND PEDIATRIC; ORTHOPEDIC AND NEUROSCIENCE. AMBULATORY AND COMMUNITY HEALTH SERVICES INCLUDE: PRIMARY CARE; A DENTISTRY PROGRAM, INCLUDING A MOBILE DENTAL VAN; VISION; A DEAF AND HARD OF HEARING PROGRAM; THE PEDIATRIC DEVELOPMENTAL CENTER; EAR, NOSE AND THROAT; UROLOGY AND UROGYNECOLOGY; PHYSICAL REHABILITATIVE; DIAGNOSTIC IMAGING; INFUSION THERAPY; PAIN MANAGEMENT; RHEUMATOLOGY; AND A HOSPITAL-BASED FOOD PANTRY.MULTIPLE ADVOCATE ILLINOIS MASONIC INSTITUTES BRING THE HIGHEST LEVEL OF EXCELLENCE IN CARING FOR PATIENTS DIAGNOSED WITH THE FOLLOWING CHRONIC DISEASES.HEART DISEASE. GIVEN THAT HEART DISEASE IS THE SECOND LEADING CAUSE OF DEATH IN THE HOSPITAL'S PRIMARY SERVICE AREA, ADVOCATE ILLINOIS MASONIC ESTABLISHED A HEART AND VASCULAR INSTITUTE. AS ONE OF THE AREA'S FIRST MEDICAL CENTERS TO PERFORM OPEN HEART SURGERY, ADVOCATE ILLINOIS MASONIC OFFERS A COMPLETE RANGE OF STATE-OF-THE-ART CARDIAC SERVICES. MEDICAL CENTER STAFF ALSO PARTICIPATE IN ILLINOIS HEART RESCUE, A PROGRAM THAT SEEKS TO IMPROVE OUT-OF-HOSPITAL SURVIVAL RATES RELATED TO CARDIAC ARREST. CANCER. THE CRETICOS CANCER CENTER, LOCATED ON THE ADVOCATE ILLINOIS MASONIC CAMPUS, UNITES ALL CANCER CARE AND RESEARCH UNDER ONE ROOF FOR MORE EFFICIENT AND PERSONALIZED PLANNING AND TREATMENT. THE CENTER OFFERS A WEALTH OF SERVICES TO ADDRESS THE UNIQUE NEEDS OF CANCER PATIENTS THROUGHOUT THE CONTINUUM OF CARE. THE CENTER FOR ADVANCED CARE, WHICH OPENED IN 2015, ENABLED ADVOCATE ILLINOIS MASONIC TO EXPAND AND CENTRALIZE OUTPATIENT SURGERY, DIGESTIVE HEALTH AND CANCER SERVICES INTO ONE LOCATION, CREATING IMPROVED ACCESS TO CARE, CONTINUITY AMONG DISCIPLINES, ENHANCED EFFICIENCIES AND A BETTER OVERALL EXPERIENCE FOR PATIENTS AND THEIR FAMILIES. ADVOCATE ILLINOIS MASONIC HAS AN EXTENSIVE RANGE OF CANCER SUPPORT SERVICES, INCLUDING BILINGUAL SPANISH/ENGLISH PSYCHOSOCIAL SUPPORT, COUNSELING AND FINANCIAL NAVIGATION. NURSE NAVIGATORS PROVIDE LINKAGE WITH COMMUNITY PROGRAMS, PHYSICAL MEDICINE, REHABILITATION, PAIN MANAGEMENT SERVICES, PALLIATIVE CARE, HOSPICE AND HOME CARE PROGRAMS. THE CENTER HOSTS THE AMERICAN CANCER SOCIETY'S LOOK GOOD, FEEL BETTER PROGRAM. EACH YEAR AT THE MEDICAL CENTER, THE AMBER FOUNDATION FACILITATES THE SPONSORSHIP OF FREE MAMMOGRAMS, COUNSELING AND EDUCATION REGARDING BREAST CANCER SPECIFICALLY TARGETING THE POLISH COMMUNITY IN CHICAGO. THE CANCER CENTER PROVIDES A LUNG SCREENING PROGRAM AND A DIRECT ACCESS SCREENING PROGRAM FOR COLORECTAL CANCER. THE DIRECT ACCESS PROGRAM ALLOWS PATIENTS TO SCHEDULE COLONOSCOPIES WITHOUT FIRST HAVING A FACE-TO-FACE CONSULTATION WITH A GASTROENTEROLOGIST.STROKE/PRIMARY STROKE CENTER. COMMUNITY ENGAGEMENT WITHIN THE STROKE PROGRAM IS A KEY INITIATIVE. ADVOCATE ILLINOIS MASONIC PARTNERS WITH MANY ORGANIZATIONS TO ENSURE OUTREACH EDUCATION IS PROVIDED FOR ALL AGES AS STROKE CAN HAPPEN AT ANY AGE. MEDICAL CENTER PARTNERSHIPS INCLUDE NURSING HOMES, ASSISTED LIVING COMMUNITIES, CHICAGO HOUSING AUTHORITY COMMUNITIES (>50 AT RISK POPULATIONS); HEALTH FAIRS; AND EDUCATION DAYS WITH THE CHICAGO FIRE DEPARTMENT AND THE CHICAGO POLICE DEPARTMENT. A FEW EVENTS THAT THE MEDICAL CENTER ATTENDED ARE AHA/ASA CYCLE NATION, AHA HEART AND STROKE WALK, CENTRO ROMERO, CENTER ON ADDISON/HALSTED AND MANY OTHERS. THE OUTREACH AND EDUCATION PROGRAMS INCLUDE: STROKE RISK SCREENING; STROKE IDENTIFICATION AND TREATMENT EDUCATION; AND WELLNESS SCREENINGS/TALKS (BLOOD PRESSURE, DIET, MANAGING OBESITY, SMOKING CESSATION). DUE TO COVID-19, THERE WAS SIGNFICANT IMPACT ON OUTREACH TO THE COMMUNITY, HOWEVER THE MEDICAL CENTER WAS ABLE TO PROVIDE OUTEACH THAT INCLUDED: VIRTUAL AHA CYCLENATION 2020, VIRTUAL AHA HEART WALK 2020, SYSTEM VIRTUAL STROKE SUPPORT GROUP, SITE OUTREACH, WHICH INCLUDED 70 STAFF MEMBERS DURING WORLD STROKE DAY FOR STROKE INDENTIFICATION AND ADVOCATE AURORA HOSTED AN OUTREACH EVENT ON SOCIAL MEDIA FOR WORLD STROKE DAY, WHICH INCLUDED 11,000 TOTAL EVENT VISITS.CANCER SUPPORT PROGRAMS. THE MEDICAL CENTER WORKS CLOSELY WITH THE ILLINOIS BREAST AND CERVICAL CANCER PROGRAM TO ENSURE THAT UNINSURED WOMEN HAVE ACCESS TO SCREENING AND TREATMENT FOR BREAST OR CERVICAL CANCER. ADVOCATE ILLLINOIS MASONIC ALSO HAS A BREAST CANCER SUPPORT GROUP FOR LATINAS AND IS DEVELOPING A CANCER SUPPORT GROUP FOR THE LGBTQ COMMUNITY.BABY FRIENDLY HOSPITAL. ADVOCATE ILLINOIS MASONIC IS CERTIFIED AS BABY FRIENDLY, A DESIGNATION FROM THE WORLD HEALTH ORGANIZATION RECOGNIZING THE HIGHEST LEVEL OF SUPPORT FOR BREASTFEEDING MOTHERS AND BABIES. THIS DESIGNATION AND RELATED PRACTICES ARE A STRONG STEP FORWARD IN ADDRESSING THE CITY'S CHILDHOOD OBESITY EPIDEMIC. PROVIDING INFANTS WITH HUMAN MILK GIVES THEM THE MOST COMPLETE NUTRITION POSSIBLE BECAUSE IT PROVIDES THE BEST MIX OF NUTRIENTS FOR EACH BABY TO THRIVE. THE BABY FRIENDLY DESIGNATION, WHICH IS GRANTED BY BABY-FRIENDLY USA, RECOGNIZES THE MEDICAL CENTER'S SUCCESS AT PROVIDING AN OPTIMAL LEVEL OF SUPPORT FOR BREASTFEEDING MOTHERS AND BABIES. THE DESIGNATION WAS ACHIEVED AFTER A RIGOROUS FOUR-PHASE PROCESS CULMINATING WITH COMPREHENSIVE ON-SITE EVALUATION. SCIENTIFIC STUDIES HAVE SHOWN THAT BREASTFED CHILDREN HAVE FAR FEWER AND LESS SERIOUS ILLNESS THAN THOSE WHO NEVER RECEIVED BREAST MILK, INCLUDING A REDUCED RISK OF SIDS, CHILDHOOD CANCER AND DIABETES.CURRENTLY, THE MEDICAL CENTER EMPLOYS 2,131 ASSOCIATES AND HAS 71 VOLUNTEERS. ADVOCATE ILLINOIS MASONIC TRAINS 148 RESIDENTS AND 428 MEDICAL STUDENTS EACH YEAR. THE MEDICAL CENTER IS ONE OF ILLINOIS' LARGEST NON-UNIVERSITY MEDICAL TEACHING HOSPITALS AND IS AFFILIATED WITH THE UNIVERSITY OF ILLINOIS AT CHICAGO HEALTH SCIENCES CENTER, ROSALIND FRANKLIN UNIVERSITY AND MIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF MEDICINE, ARIZONA COLLEGE OF MEDICINE AND DES MOINES UNIVERSITY. THE MEDICAL CENTER ALSO PROVIDES COMMUNITY HEALTH DATA-DRIVEN HEALTH AND WELLNESS PROGRAMS, EVIDENCE-BASED STRATEGIES TO MEASURE COMMUNITY HEALTH OUTCOMES, COMMUNITY LECTURES AND OTHER SERVICES IN SUPPORT OF ITS VISION "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 SERVEDADVOCATE ILLINOIS MASONIC PROVIDES QUALITY HEALTH CARE TO INDIVIDUALS REGARDLESS OF RACE, GENDER, CREED, NATIONAL ORIGIN, AGE OR ABILITY TO PAY. IN 2020, THE MEDICAL CENTER'S PHYSICIANS AND ASSOCIATES PROVIDED 13,715 INPATIENT ADMISSIONS, INCLUDING 1,624 DELIVERIES, AND HANDLED 216,884 OUTPATIENT VISITS. AS A LEVEL I TRAUMA CENTER, ADVOCATE ILLINOIS MASONIC EXPERIENCED 1,097 TRAUMA VISITS AND A TOTAL OF 35,595 (TRAUMA VISITS INCLUDED) EMERGENCY DEPARTMENT VISITS IN 2020. (FOR A DESCRIPTION OF THE MEDICAL CENTER'S SERVICE AREA, PLEASE SEE THE SUMMARY PROVIDED IN SCHEDULE H, PART VI. SUPPLEMENTAL INFORMATION, LINE 4.)
COMMITMENT TO THE COMMUNITYADVOCATE ILLINOIS MASONIC 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 2020, THE MEDICAL CENTER PROVIDED OVER $63.5 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. COMMUNITY HEALTH STRATEGY AND EXAMPLES OF PROGRAMS AND SERVICES ACCOMPLISHMENTSAS A MEDICAL CENTER WITHIN THE ADVOCATE AURORA SYSTEM, ADVOCATE ILLINOIS MASONIC'S IMPLEMENTATION PLANS AND STRATEGIES ALIGN WITH THE ADVOCATE AURORA SYSTEM STRATEGY. THROUGH THIS COMMUNITY STRATEGY, THE MEDICAL CENTER WILL BUILD HEALTH EQUITY, ENSURE ACCESS AND IMPROVE HEALTH OUTCOMES IN ITS COMMUNITY THROUGH EVIDENCE-INFORMED SERVICES AND INNOVATIVE PARTHERSHIPS BY ADDRESSING MEDICAL NEEDS AND SOCIAL DETERMINANTS. BASED ON NEED AND EFFECT ON HEALTH EQUITY AS IDENTIFIED IN THE ADVOCATE AURORA HOSPITALS CHNA REPORTS AND ON INDUSTRY LITERATURE, THE FOLLOWING SIX FOCUS AREAS HAVE BEEN PRIORITIZED, FROM WHICH EACH INDIVIDUAL ADVOCATE AURORA HOSPITALS' COMMUNITY IMPLEMENATION PLAN IS BUILT: 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 STRATEG FOCUS AREA AND EXAMPLES OF ADVOCATE ILLINOIS MASONIC PROGRAMS ADDRESSING IT ARE PROVIDED BELOW.1. ACCESS/PRIMARY MEDICAL HOMES. ADVOCATE ILLINOIS MASONIC IS COMMITTED TO UNDERTAKING AND SUPPORTING INITIATIVES THAT ENHANCE ACCESS TO HEALTH CARE, INCLUDING NOT ONLY FINANCIAL ASSISTANCE AS INDICATED EARLIER FOR ITEM 4.A, BUT ALSO CARE COORDINATION, LANGUAGE ASSISTANCE, CULTURALLY SENSITIVE PROVISION OF CARE, AND PREVENTION EDUCATION AND WELLNESS SERVICES ACROSS THE LIFESPAN AND WITHIN THE DIVERSE COMMUNITIES THE MEDICAL CENTER SERVES. SOME EXAMPLES OF SUCH PROGRAMS PROVIDED BY THE MEDICAL CENTER INCLUDE THE FOLLOWING.TRANSITION SUPPORT PROGRAM. THE TRANSITION SUPPORT PROGRAM (TSP) IS A NAVIGATION SERVICE THAT ASSISTS WITH THE COORDINATION OF FOLLOW-UP CARE FOR PATIENTS WITH CHALLENGES NAVIGATING HEALTH SERVICES. PRIOR TO THE PROJECT, ADVOCATE ILLINOIS MASONIC'S COMMUNITY HEALTH COUNCIL IDENTIFIED CHRONIC DISEASE MANAGEMENT AS A KEY HEALTH DISPARITY FOR ITS PRIMARY SERVICE AREA (PSA). THE COMMUNITY HEALTH NEEDS ASSESSMENT CONCLUDED THAT PATIENTS IN THE MEDICAL CENTER'S PSA WITH CHRONIC ILLNESSES EXPERIENCE SIGNIFICANT BARRIERS NAVIGATING THE HEALTH CARE SYSTEM, INCLUDING BARRIERS RELATED TO REFERRALS, APPOINTMENTS, INSURANCE, TRANSPORTATION, LANGUAGE AND MEDICATION ACCESS. BY PROVIDING STRENGTH-BUILDING AND CULTURALLY AND LINGUISTICALLY- COMPETENT NAVIGATION OF A COMPLEX HEALTH CARE SYSTEM, THE TSP AIMS TO REDUCE READMISSIONS AND EMERGENCY ROOM VISITS AND IMPROVE CARE TRANSITIONS ACROSS THE CONTINUUM FOR PATIENTS AND FAMILIES, REGARDLESS OF INSURANCE OR CIRCUMSTANCE. THE PROGRAM SERVED 1,245 UNIQUE PATIENTS IN 2020, INCLUDING PROVIDING REFERRALS.SPECIAL NEEDS DENTISTRY PROGRAM. THE GOAL OF THE SPECIAL NEEDS DENTISTRY PROGRAM AT ADVOCATE ILLINOIS MASONIC IS TO IMPROVE ACCESS TO ORAL HEALTH FOR CHILDREN AND ADULTS WITH SPECIAL NEEDS. THE PROGRAM PROVIDES ORAL HEALTH CARE TO PATIENTS WITH DEVELOPMENTAL DISABILITIES INCLUDING DOWN SYNDROME, CEREBRAL PALSY AND SEIZURE DISORDER. SPECIAL NEEDS PATIENTS AND THEIR FAMILIES MAY OVERLOOK ESSENTIAL DENTAL CARE IN THE FACE OF MORE URGENT HEALTH NEEDS. MANY DENTISTS LACK THE TRAINING, RESOURCES AND/OR SUPPLIES NEEDED TO EFFECTIVELY SERVE SPECIAL NEEDS PATIENTS AND, AS A RESULT, MANY PEOPLE WITH DISABILITIES LACK ACCESS TO EVEN BASIC ROUTINE DENTAL CARE. PATIENTS WITH SPECIAL NEEDS ALSO MAY NOT UNDERSTAND THE NEED FOR DENTAL CARE OR COOPERATE WHILE A DENTIST TRIES TO EXAMINE THE MOUTH AND TEETH. IN ADDITION, TO TREATING PATIENTS IN THE DENTAL CENTER, THE SPECIAL NEEDS DENTISTRY PROGRAM PROVIDES OUTREACH SCREENING SERVICES AT SITES THAT SUPPORT PERSONS WITH DEVELOPMENTAL DISABILITIES. IN 2020, THERE WERE 1,199 VISITS THAT SERVED PATIENTS WITH SPECIAL NEEDS. MOBILE DENTAL VAN. THE MOBILE DENTAL VAN PROGRAM AT ADVOCATE ILLLINOIS MASONIC PROVIDES ACCESS TO ORAL HEALTH SERVICES FOR UNDERSERVED AND UNINSURED INDIVIDUALS. THE GOAL OF THE MOBILE DENTAL VAN IS TO IMPROVE THE ORAL HEALTH OF VULNERABLE POPULATIONS, SUCH AS LOW-INCOME CHILDREN AND FAMILIES, HOMELESS INDIVIDUALS, OLDER ADULTS AND PERSONS WITH SPECIAL NEEDS. SERVICES PROVIDED INCLUDE PREVENTIVE CARE, RESTORATIVE TREATMENT AND ORAL SURGERY. THE MOBILE DENTAL VAN SEES PATIENTS FIVE DAYS PER WEEK. IN 2020, THE PROGRAM SERVED 18 SITES INCLUDING HIGH SCHOOLS, ELEMENTARY SCHOOLS, ORGANIZATIONS THAT SERVE THE HOMELESS, COMMUNITY HEALTH CENTERS, AS WELL AS ORGANIZATIONS THAT SERVE INDIVIDUALS WITH MENTAL ILLNESS, DEVELOPMENTAL DISABILITIES, AND SENIORS. IN 2020, THE PROGRAM SERVED 352 UNIQUE PATIENTS, PROVIDING 727 VISITS.PEDIATRIC DEVELOPMENT CENTER/AUTISM TREATMENT PROGRAM. APPROPRIATE DIAGNOSIS OF DEVELOPMENTAL CHALLENGES IS CRITICAL TO ASSISTING THESE INDIVIDUALS IN LIVING THEIR "BEST", MOST HEALTHY LIFE. THIS PROGRAM DIAGNOSES CHILDREN AND ADOLESCENTS FROM BIRTH TO AGE 18 WHO FACE DEVELOPMENTAL CHALLENGES. POST-DIAGNOSIS, THE PROGRAM PROVIDES SPECIALIZED TREATMENT PROGRAMS AS WELL AS TRAINING, EDUCATION AND SUPPORT FOR THE ENTIRE FAMILY, INCLUDING "SIBSHOPS" FOR SIBLINGS OF DEVELOPMENTALLY DISABLED CHILDREN. THE AUTISM TREATMENT PROGRAM HOUSED IN ADVOCATE ILLINOIS MASONIC'S PEDIATRIC DEVELOPMENTAL CENTER (PDC) SERVES CHILDREN WITH AUTISM AND THEIR FAMILIES--BOTH THOSE WITH COMMERCIAL INSURANCE AND MEDICAID PLANS. THE PDC REMAINS ONE OF THE ONLY CENTERS IN ILLINOIS TO PROVIDE DIAGNOSTIC EVALUATIONS AND THERAPY SERVICES FOR AUTISM TO LOW-INCOME FAMILIES. IN 2020, 48% OF PATIENTS SERVED AT THE CENTER WERE ON MEDICAID, DOWN FROM THE PREVIOUS YEAR, DUE TO COVID. THE PDC PROVIDES BOTH COMPREHENSIVE DIAGNOSTIC EVALUATIONS, SPECIALTY MEDICAL CARE (DEVELOPMENTAL PEDIATRICS) AS WELL AS COMPREHENSIVE THERAPY SERVICES (INDIVIDUAL BEHAVIOR THERAPY, SOCIALIZATION GROUPS, SPEECH, OCCUPATIONAL AND PHYSICAL THERAPY, SOCIAL WORK SERVICES, PARENT TRAINING AND SIBLING SUPPORT). IN 2020, THE PDC PROVIDED SERVICES TO 2,625 UNDUPLICATED PATIENTS FOR A TOTAL OF 15,731 PATIENT CONTACTS. AT LEAST HALF REPRESENT PATIENTS WITH AUTISM. THE PDC OFFERS SERVICES IN BOTH ENGLISH AND SPANISH, INCLUDING ONGOING PARENT TRAINING AND SUPPORT TO ENHANCE GENERALIZATION OF SKILLS INTO ALL ENVIRONMENTS. MEDICATION ASSISTANCE PROGRAM. THE MEDICATION ASSISTANCE PROGRAM PROVIDES FINANCIAL AS WELL AS RESOURCE NAVIGATION HELP TO PATIENTS WHO ARE UNABLE TO AFFORD THEIR MEDICATION. MEDICAL CENTER STAFF WORK WITH PHARMACEUTICAL COMPANIES TO OBTAIN MEDICATIONS AT NO OR LOW COSTS FOR PATIENTS AS WELL AS FINANCIALLY SUPPORTING THE PURCHASE OF SOME MEDICATIONS. IN 2020, ADVOCATE ILLINOIS MASONIC ASSISTED 497 PATIENTS THROUGH THIS PROGRAM.SERVICES FOR THE LGBTQ COMMUNITY. PROVIDING A SAFE, WELCOMING (COMFORTABLE) AND LGBTQ-AFFIRMING (FRIENDLY) HEALTH CARE ENVIRONMENT IS PART OF THE EMBRACING CULTURE AT ADVOCATE ILLINOIS MASONIC, WHICH IS LOCATED IN THE HEART OF CHICAGO'S LAKEVIEW NEIGHBORHOOD, ONE OF THE LARGEST LGBTQ COMMUNITIES IN THE MIDWEST. THE MEDICAL CENTER'S PROACTIVE PUSH FOR EQUALITY IS HELPING TO CLOSE THE HEALTH CARE DISPARITIES FACED BY THE LGBTQ COMMUNITY ACROSS CHICAGO AND BEYOND. ADVOCATE ILLINOIS MASONIC HAS BEEN NAMED A LEADER IN LGBTQ HEALTH CARE EQUALITY BY THE HUMAN RIGHTS CAMPAIGN'S HEALTHCARE EQUALITY INDEX FOR 13 YEARS, BEGINNING IN 2008. NONDISCRIMINATORY HEALTH CARE IS A RIGHT, AND THE MEDICAL CENTER STRIVES TO DELIVER EQUAL TREATMENT TO ALL PEOPLE, NO MATTER THEIR SEXUAL ORIENTATION OR GENDER PREFERENCES. COMPREHENSIVE, COMPASSIONATE CARE FOR LGBTQ PATIENTS IS GUARANTEED AT THE MEDICAL CENTER BY ALL OF THE MEDICAL CENTER'S PHYSICIANS, MANY OF WHOM HAVE RECEIVED SPECIAL TRAINING IN CARING SPECIFICALLY FOR THE LGBTQ COMMUNITY AND THE UNIQUE ISSUES IT FACES.HEALTHY FAMILIES. THE ADVOCATE ILLINOIS MASONIC HEALTHY FAMILIES PROGRAM IS A SUPPORT PROGRAM FOR YOUNG PARENTS, PROVIDING INTENSIVE HOME VISITING SERVICES FOR AT-RISK FAMILIES. THE PROGRAM MODEL IS ROOTED IN THE BELIEF THAT EARLY, NURTURING RELATIONSHIPS ARE THE FOUNDATION FOR LIFE-LONG, HEALTHY DEVELOPMENT. THE PROGRAM PROVIDES THREE KEY SERVICES: 1) FREE PRENATAL CLASSES OPEN TO THE COMMUNITY; 2) DOULA SERVICES PROVIDING HOME VISITS AND ON-CALL LABOR/DELIVERY SUPPORT; AND 3) PARENT COACHING HOME VISITATION FOR UP TO THE FIRST THREE YEARS OF A CHILD'S LIFE. ALL SERVICES ARE GRANT-FUNDED, FREE TO THE COMMUNITY AND AVAILABLE IN ENGLISH/SPANISH.
LANGUAGE ASSISTANCE/INTERPRETER SERVICES. ADVOCATE ILLINOIS MASONIC PROVIDES CARE FOR PATIENTS FROM MANY DIFFERENT ETHNIC AND CULTURAL BACKGROUNDS. IN ORDER TO MEET THE UNIQUE COMMUNICATION NEEDS OF POPULATIONS ACCESSING CARE AT THE MEDICAL CENTER, ADVOCATE ILLINOIS MASONIC EMPLOYS SPANISH, POLISH AND AMERICAN SIGN LANGUAGE INTERPRETERS TO PROVIDE INTERPRETATION SERVICES AS NEEDED. IN ADDITION, AS WITH ALL HOSPITALS IN THE SYSTEM, ADVOCATE ILLINOIS MASONIC OFFERS TELEPHONIC AND/OR VIDEO INTERPRETING IN MORE THAN 200 LANGUAGES. IN 2020, THE MEDICAL CENTER PROVIDED INTERPRETER SERVICES FOR A TOTAL OF 1,096 PATIENT/FAMILY ENCOUNTERS. 2. ACCESS/BEHAVIORAL HEALTH SERVICESADVOCATE ILLINOIS MASONIC HAS ALSO IMPLEMENTED SEVERAL PROGRAMS FOCUSED ON IMPROVING THE CONTINUUM OF CARE FOR THE BENEFIT OF MENTAL HEALTH AND BEHAVIORAL HEALTH PATIENTS.FIRST ACCESS. 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 FIRST ACCESS, BEHAVIORAL HEALTH ED PATIENTS, AS WELL AS PATIENTS REFERRED BY THE HOSPITAL'S INPATIENT PSYCHIATRIC UNIT, MEDICAL FLOORS AND PHYSICIANS, ARE LITERALLY WALKED OVER TO OUTPATIENT CARE BY A STAFF MEMBER TO ENSURE SAME DAY FOLLOW-UP FOR OUTPATIENT APPOINTMENTS. SINCE ITS IMPLEMENTATION, FIRST ACCESS HAS CONSISTENTLY INCREASED BEHAVIORAL HEALTH PATIENTS' APPOINTMENT FOLLOW-THROUGH RATES FROM 40 PERCENT IN 2013 TO 100% IN 2019; ALL 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 AURORA PATIENTS AND ITS VOLUMES GREW STEADILY. IN 2020, FIRST ACCESS PROVIDED 825 INTAKES TO PATIENTS.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, HARD OF HEARING AND DEAF-BLIND CHILDREN, ADOLESCENTS AND ADULTS IN THE SIX-COUNTY CHICAGO REGION. THE PROGRAM OFFERS A CONTINUUM OF CARE THAT INCLUDES CLINICAL ASSESSMENTS; PRE-SCREENINGS AND LINKAGE; INDIVIDUAL, FAMILY AND GROUP THERAPY; PSYCHIATRIC EVALUATIONS AND MEDICATION MONITORING; AND INTERVENTION WITH A 24-HOUR PHONE LINE CONNECTED TO A TEXT TELEPHONE (TTY) SYSTEM. A TELE-PSYCHIATRY NETWORK ENABLES THE PROVISION OF OTHERWISE SCARCE DEAF-FRIENDLY PSYCHIATRIC SERVICES IN THE HOMES OF DEAF PATIENTS WHO HAVE RECEIVED THE FREE VIDEOPHONE EQUIPMENT AND SERVICES SUPPORTED BY THE FEDERAL COMMUNICATIONS COMMISSION (FCC). A HEALTH EDUCATION WEBSITE ALLOWS USERS TO WATCH VIDEOS, LINK TO OTHER ASL VIDEOS AND/OR TO ORDER FREE ASL HEALTH EDUCATION DVDS. OVER THE YEARS, THE HOSPITAL HAS DISTRIBUTED SEVERAL THOUSAND FREE ASL DVDS ON HIV/AIDS, STDS, BREAST HEALTH, DIABETES, DEPRESSION AND SMOKING CESSATION. IN 2020, 64 UNIQUE PATIENTS WERE SERVED THROUGH THE DEAF AND HARD OF HEARING PROGRAM. THE MEDICALLY INTEGRATED CRISIS COMMUNITY SUPPORT (MICCS) PROGRAM. THE MICCS PROGRAM IS A SERVICE WHICH FOLLOWS ACUTELY BEHAVIORALLY ILL PATIENTS, A PORTION OF WHOM ARE HOMELESS, WHO HAVE A COMORBID PHYSICAL ILLNESS OR ADDICTION, AND A PATTERN OF SEEKING PRIMARY AND BEHAVIORAL HEALTH CARE IN THE ED, INPATIENT PSYCHIATRIC UNIT OR MEDICAL UNIT OF COMMUNITY HOSPITALS. THE MULTIDISCIPLINARY TEAM WORKING WITH THE CLIENTS IS COMPRISED OF CLINICIANS, CLERGY AND OTHER ASSOCIATES WHO ARE IN DAILY CONTACT WITH THE CLIENTS. IN 2020, THE TEAM ASSISTED 104 CLIENTS WITH THEIR INDIVIDUAL NEEDS, SUCH AS HOUSING AND MEDICATION STABILIZATION. THE PROGRAM HAS CONSISTENTLY DECREASED EMERGENCY DEPARTMENT UTILIZATION FOR THE CLIENTS SERVED.FIRST EPISODE PSYCHOSIS (FEP): FIRST EPISODE PYCHOSIS WORKS WITH YOUNGER PEOPLE SUFFERING FROM THE ONSET OF PSYCHOSIS. IT IS OF SIGNIFICANT BENEFIT TO THESE INDIVIDUALS BECAUSE ITS GOAL IS TO ENSURE THAT THE PSYCHOSIS DISEASE IS CAUGHT AND MANAGED EARLY, SO THAT THE PATIENTS CAN LEAD NORMAL LIVES INSTEAD OF BECOMING DISABLED AND RELYING ON ER/INPATIENT PSYCH IN THE FUTURE. THERE WERE 972 PATIENTS SERVED IN 2020.3. WORKFORCE DEVELOPMENTBELIEVEING THAT MANY COMMUNITY HEALTH ISSUES ARE DRIVEN BY SOCIAL DETERMINANTS OF HEALTH, THE MEDICAL CENTER HAS FORMED NON-TRADITIONAL PARTNERSHIPS WITH KEY STAKEHOLDERS, SUCH AS EMPLOYMENT AGENCIES, TO PROVIDE MEDICAL EDUCATION EMPLOYMENT OPPORTUNITIES TO LOW-INCOME AND/OR MINORITY INDIVIDUALS. ALSO, IN ADDITION TO THE GRADUATE MEDICAL EDUCATION DESCRIBED IN 4.C, THE MEDICAL CENTER ALSO PROMOTES THE TRAINING OF FUTURE HEALTH CARE PROFESSIONALS WORKING TOWARDS DEGREES IN MANY OTHER DISCIPLINES. SEVERAL EXAMPLES OF THESE EDUCATION PROGRAMS ARE PROVIDED BELOW.WORKFORCE INITIATIVE. AS INDICATED IN PART V, QUESTION 11, THE MEDICAL CENTER ALSO ENGAGES IN A WORKFORCE INITIATIVE TO RECRUIT, TRAIN AND HIRE COMMUNITY MEMBERS SEEKING EMPLOYMENT OPPORTUNITIES IN THE HEALTHCARE INDUSTRY. ADDITIONALLY, THE WORKFORCE PROGRAM OFFERS AN INCUMBENT WORKER STRATEGY (NAVIGATE) TO FRONT-LINE WORKFORCE AT ADVOCATE ILLINOIS MASONIC, WHICH INCLUDES SOFT-SKILLS TRAINING, TOOLS AND RESOURCES DESIGNED TO ASSIST INDIVIDUALS IN DEVELOPING CAREER PATHWAYS. THE WORKFORCE INITIATIVE, WHICH ALSO AIMS TO INCREASE MINORITY REPRESENTATION IN THE HEATH CARE SECTOR, ENROLLED 1,250 NEW PROGRAM PARTICIPANTS, WITH OVER 900 PARTICIPANTS COMPLETING THE PROGRAM. PARTNERSHIP WITH THE MEDICAL ORGANIZATION FOR LATINO ADVANCEMENT (MOLA). TARGETING LATINO AT-RISK YOUTH, ADVOCATE ILLINOIS MASONIC, IN PARTNERSHIP WITH MOLA, PROVIDES OUTREACH IN HEALTH EDUCATION AND SCREENING IN UNDERSERVED AREAS OF CHICAGO. THE MEDICAL CENTER ALSO IN PARTNERSHIP WITH MOLA PROVIDES MEDICAL EDUCATION OPPORTUNITIES FOR UNDEREPRESENTED LATINO/LATINA STUDENTS INTERESTED IN HEALTH CARE CAREERS, AS WELL AS OPPORTUNITIES FOR INTERNATIONAL MEDICAL GRADUATES TO GAIN VALUABLE U.S. HOSPITAL EXPERIENCE THROUGH VARIOUS RESOURCE AND VOLUNTEER PROGRAMS (I.E., TRANSITION SUPPORT PROGRAM).NURSING EDUCATION. ADVOCATE ILLINOIS MASONIC'S NURSE RESIDENCY PROGRAM IS AN EVIDENCE-BASED, 15-WEEK PRECEPTED ORIENTATION AND A 12-MONTH RESIDENCY PROGRAM FOR NEWLY LICESNSED REGISTERED NURSES (NLRN). THE GOAL OF THE PROGRAM IS TO ENHANCE NLRN PROFESSIONAL DEVELOPMENT AND INCREASE ORGANIZATIONAL ENGAGEMENT SO THAT THE NLRN PROVIDES SAFE AND CONFIDENT CARE TO PATIENTS. THE MEDICAL CENTER PROVIDED 3 CLASSES (COHORTS) IN 2020. ALTHOUGH THIS PROGRAM IS NOT INCLUDED IN THE COMMUNITY BENEFITS FINANCIAL NUMBERS FOR HEALTH PROFESSIONALS EDUCATION , THIS PROGRAM INCREASES ADVOCATE NURSES' PROFICIENCY AND SKILLS FOR CURRENT AND FUTURE NURSING ROLES. IN ADDITION TO THE NURSE RESIDENCY PROGRAM, THE MEDICAL CENTER TRAINS NURSING STUDENTS (NON-RESIDENT) FROM FIVE AREA COMMUNITY-BASED COLLEGES/UNIVERSITIES FOR WHICH STAFF TEACHING TIME IS REPORTED AS COMMUNITY BENEFIT.4. COMMUNITY SAFETYTHE MEDICAL CENTER ALSO WORKS WITH COMMUNITY PARTNERS TO ADDRESS COMMUNITY SAFETYA SOCIAL DETERMINANT OF HEALTH. SOME EXAMPLES ARE PROVIDED BELOW.ACCLIVUS PARTNERSHIP. AS INDICATED IN PART VI, QUESTION 5, PROMOTION OF COMMUNITY HEALTH, THE MEDICAL CENTER PARTNERS WITH ACCLIVUS, A COMMUNITY ORGANIZATION FOCUSED ON PREVENTING AND DECREASING COMMUNITY VIOLENCE. ACCLIVUS PLACES VIOLENCE INTERRUPTERS IN THE MEDICAL CENTER'S EMERGENCY DEPARTMENT TO ASSESS AND PROVIDE REFERRAL SERVICES TO ANY PATIENT ADMITTED TO THE ED DUE TO TRAUMA/VIOLENCE. THE VIOLENCE INTERRUPTERS ASSESS PATIENTS FOR SOCIAL AND HEALTH NEEDS, INCLUDING HOUSING, EDUCATION AND BEHAVIORAL HEALTH, AND CONNECTS THEM TO SERVICES AND PROGRAMS AT THE MEDICAL CENTER AND IN THE COMMUNITY. THE VIOLENCE INTERRUPTERS ALSO FOLLOW UP WITH PATIENTS AFTER THEY ARE DISCHARGED IN THE COMMUNITY TO DECREASE THE RISK OF RE-OCCURRING VIOLENCE. IN 2020, 117 MEDICAL CENTER PATIENTS WERE ADMITTED TO THE ED DUE TO DOMESTIC OR COMMUNITY VIOLENCE. IN ADDITION, 147 REFERRAL CALLS BY HOSPITAL CHAPLAINS WERE MADE TO THE ACCLIVUS TEAM IN 2020. PARTNERSHIP WITH HOWARD BROWN/SEXUAL HARM RESPONSE PROJECT. ADVOCATE ILLINOIS MASONIC'S ED PARTNERED WITH HOWARD BROWN HEALTH CLINIC TO DEVELOP AND OFFER THE FIRST LGBTQ-SPECIFIC SEXUAL ASSAULT RESPONSE PROGRAM IN THE NATION. THE ED STAFF HAVE BEEN TRAINED BY HOWARD BROWN AND PROVIDE THE EMERGENCY CARE. HOWARD BROWN PROVIDES COUNSELING AND CREATES A LINKAGE TO THE HOSPITAL SO THAT ALL VICTIMS FEEL SAFE.
DISASTER COORDINATION. ADVOCATE ILLINOIS MASONIC'S EMERGENCY MEDICAL SERVICES STAFF TRAIN CITY AND PRIVATE AMBULANCE AND FIRE DEPARTMENT PARAMEDICS. AS ONE OF ONLY ELEVEN HOSPITALS IN ILLINOIS DESIGNATED AS A RESOURCE HOSPITAL COORDINATION CENTER (RHCC), THE MEDICAL CENTER IS RESPONSIBLE FOR COORDINATING MEDICAL RESPONSE WITHIN A DENSELY POPULATED REGION OF CHICAGO. THIS INCLUDES COORDINATING EMERGENCY MEDICAL RESPONSE EFFORTS AT MAJOR EVENTS, SUCH AS THE CHICAGO MARATHON AND DURING VISITS OF NATIONAL AND INTERNATIONAL LEADERS. THE HOSPITAL ALSO SERVES AS THE LEAD HOSPITAL FOR DISASTERS OCCURRING IN CHICAGO, INCLUDING O'HARE AIRPORT.5. HOUSING DATA INDICATES THAT POOR QUALITY HOUSING IS ASSOCIATED WITH VARIOUS NEGATIVE HEALTH COUTCOMES, INCLUDING CHRONIC DISEASE, INJURY, AND POOR MENTAL HEALTH. ADVOCATE ILLINOIS MASONIC IS WORKING WITH COMMUNITY PARTNERS TO ADDRESS HOUSING WITH THE GOAL OF PROVIDING A SAFE AND HEALTHY PLACE TO LIVE AND TO CONVALESCE. THIS SUPPORTS THE ADVOCATE AURORA SYSTEMWIDE GOAL TO DECREASE THE NUMBER OF ED PATIENTS WHO ARE SCREENED POSITIVE FOR HOMELESSNESS BY 5% BY 2025. THE FOLLOWING ARE EXAMPLES OF THE MEDICAL CENTER'S EFFORTS TO ADDRESS THIS SDOH.FLEXIBLE HOUSING POOL. AS INDICATED IN PART VI, QUESTION 5. PROMOTION OF COMMUNITY HEALTH, THE FLEXIBLE HOUSING POOL AT ADVOCATE ILLINOIS MASONIC IS A PARTNERSHIP WITH THE CENTER FOR HEALTH AND HOUSING WITH THE GOAL TO REDUCE HOSPITAL AND EMS RECIDIVISM THROUGH HOUSING. IN 2020, THE FLEXIBLE HOUSING POOL AT ADVOCATE ILLINOIS MASONIC PLACED ONE BEHAVIORAL HEALTH PATIENT IN PERMANENT HOUSING AND THREE INDIVIDUALS IN TRANSITIONAL HOUSING. THE MEDICAL CENTER ALSO PROVIDES INDIVIDUALS PLACED IN PERMANENT HOUSING WITH BEHAVIORAL HEALTH AND CASE MANAGEMENT SERVICES.WARMING CENTER. ADVOCATE ILLINOIS MASONIC ALSO PROVIDES A WARMING CENTERA SAFE WARM PLACE FOR HOMELESS INDIVIDUALS TO STAY OVERNIGHT OUT OF CHICAGO'S BITTERLY COLD, WINTRY WEATHER. IN 2020, THE WARMING CENTER WAS OPEN FOR A TOTAL OF 400 HOURS OVER A PERIOD OF 50 DAYS AT A COST OF OVER $16K TO THE MEDICAL CENTER. WHILE DATA WAS NOT AVAILABLE FOR THE LATTER PART OF 2020 DUE TO COVID-19, THERE WERE 180 INDIVIDUALS THAT STAYED AT THE WARMING CENTER FOR THREE MONTHS, JANUARY THOURGH MARCH.6. FOOD SECURITYACCESS TO FRESH, AFFORDABLE FOOD IS A KEY INGREDIENT IN THE RECIPE TO ADDRESS SOCIAL DETERMINANTS OF HEALTHAND IN KEEPING THE COMMUNITY HEALTHY. ADVOCATE ILLINOIS MASONIC IS INVOLVED WITH MULTIPLE LOCAL COMMUNITY PARTNERS TO DEVELOP SUSTAINABLE FOOD INITIATIVES TO ADDRESS FOOD INSECURITY. EXAMPLES OF THESE INITIATIVES ARE PROVIDED BELOW.LAKEVIEW FOOD PANTRY. IN JUNE 2018, ADVOCATE ILLINOIS MASONIC ESTABLISHED A HOSPITAL-BASED FOOD PANTRY TO ADDRESS THE NEEDS OF FOOD INSECURE ONCOLOGY PATIENTS. IN PARTNERSHIP WITH THE LAKEVIEW FOOD PANTRY, THE MEDICAL CENTER PROVIDED DRY GOOD FOOD BAGS, RE-USABLE WHEELIE GROCERY BAGS AND GIFT CARDS TO LOW-INCOME AND FOOD INSECURE PATIENTS. NUTRITION EDUCATION AND COMMUNITY FOOD PROGRAM RESOURCES WERE ALSO DISTRIBUTED TO ALL PROGRAM PARTICIPANTS. DURING THE SIX-MONTH PILOT, THE PROGRAM SERVED OVER 40 ONCOLOGY PATIENTS. IN JANUARY 2019, THE MEDICAL CENTER EXPANDED THE PANTRY TO FOUR NEW SERVICE LINES AND PROGRAMS INCLUDING THE BEHAVIORAL HEALTH SERVICE LINE, TSP AND THE MEDICATION ASSISTANCE PROGRAM. IN ADDITION, THE COMMUNITY HEALTH DEPARTMENT DEVELOPED THE FRESH PRODUCE COMPONENT, IN PARTNERSHIP WITH IRV AND SHELLY'S FRESH PICKS, TO INCREASE ACCESS OF FRESH PRODUCE TO PATIENTS. FRESH PRODUCE BOXES ARE DELIVERED DIRECTLY TO THE HOMES OF FOOD PANTRY PARTICIPANTS. IN 2020, THE PANTRY SERVED OVER 200 UNIQUE PATIENTS WITH MOST PATIENTS UTILIZING THE PANTRY ON A MONTHLY BASIS. OVER 3,200 POUNDS OF FOOD WAS DISTRIBUTED TO FOOD INSECURE PATIENTS AT ADVOCATE ILLINOIS MASONIC. IN 2020, THE COMMUNITY HEALTH DEPARTMENT EXPANDED THE HOSPITAL-BASED PANTRY TO THREE ADDITIONAL SERVICE LINES AND DEPARTMENTS: OB/GYN, THE DENTAL MOBILE VAN AND IMMC TEAM MEMBERS. IN ADDITION, THE COMMUNITY HEALTH DEPARMENT IMPLEMENTED THREE TABLETS TO ENHANCE AND STREAMLINE DATA COLLECTION AND PROGRAM EVALUATION. POPUP FARMERS MARKETS. IN PARTNERSHIP WITH ADVOCATE ILLINOIS MASONIC, IRV AND SHELLY'S FRESH PICKS, COMMUNITYHEALTH CLINIC, AND OAK STREET HEALTH POPUP FARMER'S MARKETS WERE HOSTED DURING 2020 PROVIDING 900 FRESH PRODUCE BOXES, OVER 3,600 POUNDS OF FOOD AND HEALTH AND NUTRITION EDUCATION TO HUNDREDS OF LOW-INCOME INDIVIDUALS AND FAMILIES IN FOOD DESERT COMMUNITIES. BABY FRIENDLY HOSPITAL. ADVOCATE ILLINOIS MASONIC IS CERTIFIED AS BABY FRIENDLY, A DESIGNATION FROM THE WORLD HEALTH ORGANIZATION RECOGNIZING THE HIGHEST LEVEL OF SUPPORT FOR BREASTFEEDING MOTHERS AND BABIES. THIS DESIGNATION AND RELATED PRACTICES ARE A STRONG STEP FORWARD IN ADDRESSING THE CITY'S CHILDHOOD OBESITY EPIDEMIC. PROVIDING INFANTS WITH HUMAN MILK GIVES THEM THE MOST COMPLETE NUTRITION POSSIBLE BECAUSE IT PROVIDES THE BEST MIX OF NUTRIENTS FOR EACH BABY TO THRIVE. THE BABY FRIENDLY DESIGNATION, WHICH IS GRANTED BY BABY-FRIENDLY USA, RECOGNIZES THE MEDICAL CENTER'S SUCCESS AT PROVIDING AN OPTIMAL LEVEL OF SUPPORT FOR BREASTFEEDING MOTHERS AND BABIES. THE DESIGNATION WAS ACHIEVED AFTER A RIGOROUS FOUR-PHASE PROCESS CULMINATING WITH COMPREHENSIVE ON-SITE EVALUATION. SCIENTIFIC STUDIES HAVE SHOWN THAT BREASTFED CHILDREN HAVE FAR FEWER AND LESS SERIOUS ILLNESS THAN THOSE WHO NEVER RECEIVED BREAST MILK, INCLUDING A REDUCED RISK OF SIDS, CHILDHOOD CANCER AND DIABETES.IN ADDITION TO THE MEDICAL CENTER'S MANY PROGRAMS AND SERVICES DESCRIBED PREVIOUSLY, THERE ARE A MYRIAD OF OTHER COMMUNITY SERVICES OFFERED INCLUDING: HUMAN BREAST MILK DEPOT; BIKE HELMET FITTING EVENTS; THE BETTER BREATHERS CLUB (ASSISTS COMMUNITY MEMBERS WITH RESPIRATORY ISSUES); QUARTERLY BLOOD DRIVES; CAR SEAT SAFETY CHECKS; PROVISION OF MEETING SPACE FOR COMMUNITY ORGANIZATIONS; CPR, CHOKING AND BLEEDING CONTROL TRAININGS FOR THE COMMUNITY; INCONTINENCE SEMINARS; CONTENT TARGETED GOLDEN AGE SENIOR SEMINARS; SEMINARS FOR CHICAGO HOUSING AUTHORITY RESIDENTS ON VARIOUS HEALTH ISSUES; STROKE EDUCATION SEMINARS; AND MULTIPLE DISEASE SPECIFIC SUPPORT GROUPS.

Field	Value	IRS element (for citing)
Total Program Service Expenses	$885,243,982	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	Yes (1)	ReportProgramRelatedInvstInd
Report Other Assets	0	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	Yes (1)	GrantsToOrganizationsInd
Grants To Individuals	Yes (1)	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	Yes (1)	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	197	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	2679	EmployeeCnt
Employment Tax Returns Filed	Yes (1)	EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit	Yes (1)	UnrelatedBusIncmOverLimitInd
Form990 T Filed	Yes (1)	Form990TFiledInd
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	14	GoverningBodyVotingMembersCnt
Independent Voting Member	13	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	6309296057	PhoneNum

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	3075 HIGHLAND PARKWAY STE 600	AddressLine1Txt
City	DOWNERS GROVE	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	60515	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (43 entries)

TitleTitleTxt	Average Hours Per WeekAverageHoursPerWeekRt	Average Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRt	Individual Trustee Or DirectorIndividualTrusteeOrDirectorInd	Reportable Comp From OrgReportableCompFromOrgAmt	Reportable Comp From Rltd OrgReportableCompFromRltdOrgAmt	Other CompensationOtherCompensationAmt	OfficerOfficerInd	Key EmployeeKeyEmployeeInd	Highest Compensated EmployeeHighestCompensatedEmployeeInd	Former Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
DAISY VARUGHESE MD
DIRECTOR	1.00	1.00	Yes (X)	$0	$4,000	$0
ULYSSES BURLEY III
DIRECTOR	1.00	1.00	Yes (X)	$0	$4,000	$0
EMELIE ILARDE MD
DIRECTOR	1.00	1.00	Yes (X)	$0	$8,000	$0
CLARENCE NIXON JR PHD
DIRECTOR	1.00	1.00	Yes (X)	$0	$15,500	$0
RONALD GREENE
DIRECTOR	1.00	1.00	Yes (X)	$0	$3,000	$0
MARK HARRIS
DIRECTOR	1.00	1.00	Yes (X)	$0	$88,000	$0
MICHELE BAKER RICHARDSON
CHAIRPERSON, DIRECTOR	1.00	1.00	Yes (X)	$0	$126,333	$0	Yes (X)
JOHN TIMMER
DIRECTOR	1.00	1.00	Yes (X)	$0	$103,333	$0
GAIL D HASBROUCK
DIRECTOR	1.00	1.00	Yes (X)	$0	$0	$37
DAVID ANDERSON
DIRECTOR	1.00	1.00	Yes (X)	$0	$111,333	$0
REV DR NATHANIEL EDMOND
DIRECTOR	1.00	1.00	Yes (X)	$0	$8,000	$0
LYNN CRUMP-CAINE
DIRECTOR	1.00	1.00	Yes (X)	$0	$111,333	$0
K RICHARD JAKLE
VICE CHAIRPERSON, DIRECTOR	1.00	1.00	Yes (X)	$0	$111,333	$0	Yes (X)
JAMES SKOGSBERGH
OFFICER, DIRECTOR	1.00	55.00	Yes (X)	$0	$6,197,416	$622,527	Yes (X)
MICHAEL KERNS
ASSISTANT SECRETARY	1.00	55.00		$0	$524,766	$90,542	Yes (X)
STEVE HUSER
ASSISTANT TREASURER	1.00	55.00		$0	$476,618	$81,094	Yes (X)
RACHELLE HART
ASSISTANT SECRETARY	1.00	55.00		$0	$757,127	$113,484	Yes (X)
NAN NELSON
ASSISTANT TREASURER	1.00	55.00		$0	$815,972	$95,664	Yes (X)
MIKE LAPPIN
SECRETARY	1.00	55.00		$0	$1,579,916	$188,398	Yes (X)
MICHAEL GREBE
ASSISTANT SECRETARY	1.00	55.00		$0	$1,181,024	$131,982	Yes (X)
LESLIE LENZO
ASSISTANT TREASURER	1.00	55.00		$0	$906,168	$103,790	Yes (X)
JAMES SLINKMAN
ASSISTANT SECRETARY	1.00	55.00		$0	$465,570	$85,939	Yes (X)
DOMINIC J NAKIS
TREASURER	1.00	55.00		$0	$2,001,577	$222,808	Yes (X)
JAMES DOHENY
ASSISTANT TREASURER	1.00	55.00		$0	$600,229	$93,283	Yes (X)
WILLIAM P SANTULLI
PRESIDENT	1.00	55.00		$0	$2,706,183	$293,486	Yes (X)
SUSAN NORDSTROM LOPEZ
HOSPTIAL PRESIDENT	55.00	0.00		$922,712	$0	$36,555		Yes (X)
JADA JOHNSON
CHAIR DEPT PSYCHIATRY	55.00	0.00		$318,511	$0	$17,972			Yes (X)
JOSE ELIZONDO
CHAIR FAMILY MEDICINE	55.00	0.00		$294,487	$0	$21,007			Yes (X)
CLIFTON CLARKE
CHIEF MEDICAL OFFICER - IMMC	55.00	0.00		$481,758	$0	$10,467			Yes (X)
RICHARD FANTUS
CHAIR SURGERY DEPARTMENT	55.00	0.00		$442,318	$0	$28,792			Yes (X)
KENNETH LAUBE
VP/CNO IMMC	55.00	0.00		$348,541	$0	$36,203			Yes (X)
SUSAN CAMPBELL
FORMER OFFICER	0.00	0.00		$0	$259,388	$4,054				Yes (X)
EARL J BARNES II
FORMER OFFICER	0.00	0.00		$0	$291,951	$37				Yes (X)
BRUCE D SMITH
FORMER OFFICER	0.00	0.00		$0	$122,721	$37				Yes (X)
LEE B SACKS MD
FORMER OFFICER	0.00	0.00		$0	$537,635	$390				Yes (X)
KELLY JO GOLSON
FORMER OFFICER	1.00	55.00		$0	$1,017,777	$116,904				Yes (X)
BARBARA BYRNE MD
FORMER OFFICER	1.00	55.00		$0	$1,246,693	$156,889				Yes (X)
SCOTT POWDER
FORMER OFFICER	1.00	55.00		$0	$1,115,868	$153,106				Yes (X)
REV KATHIE B SCHWICH
FORMER OFFICER	1.00	55.00		$0	$634,756	$159,085				Yes (X)
VINCENT BUFALINO MD
FORMER OFFICER	1.00	55.00		$0	$1,270,676	$158,114				Yes (X)
GARY STUCK DO
FORMER OFFICER	1.00	55.00		$0	$1,114,031	$155,668				Yes (X)
KEVIN BRADY
FORMER OFFICER	1.00	55.00		$0	$1,222,838	$163,268				Yes (X)
VIJAY MAKER
FORMER HCE-CHAIR SURGERY	55.00	0.00		$284,909	$0	$28,792				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$3,093,236	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$27,741,065	TotReportableCompRltdOrgAmt
Total Other Compensation	$3,370,374	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	7	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
SMITHGROUP JJR
35 E WACKER DRIVE SUITE 900	CHICAGO	IL	60601	CONSTRUCTION SVCS	$3,915,774
CUSTOM CONTRACTING LTD
21020 N RAND ROAD SUITE D	LAKE ZURICH	IL	60047	CONSTRUCTION SVCS	$1,911,178
BOARD OF TRUSTEES OF THE UNIVERS
506 S WRIGHT ST 209 HAB MC339	URBANA	IL	61801	UNIVERSITY	$1,725,447
CHICAGO ANESTHESIA ASSOCIATES SC
204 CANTERBERRY LN	OAK BROOK	IL	60523	MEDICAL SERVICES	$1,133,326
REHABILITATION INSTITUTE OF CHICAGO
355 E ERIE ST 10TH FLOOR	CHICAGO	IL	60611	MEDICAL SERVICES	$1,003,976

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	33	CntrctRcvdGreaterThan100KCnt
Related Organizations	$1,456,198	RelatedOrganizationsAmt
Government Grants	$33,982,679	GovernmentGrantsAmt
Total Contributions	$35,438,877	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
PATIENT SVC REVENUE	622110	$268,940,588	$268,940,588
MEDICARE / MEDICAID	622110	$228,473,827	$228,473,827
BLUE CROSS / MANAGED C	622110	$193,468,694	$193,468,694
PHARMACY	446110	$90,212,231	$90,212,231
LABORATORY	621511	$48,173,203	$48,173,203

Field	Value	IRS element (for citing)
Total Program Service Revenue	$829,268,543	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$30,270,800	TotalRevenueColumnAmt
Exclusion	$30,270,800	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$3,532,167	RealAmt
Personal	$140	PersonalAmt

Less Rental Expenses LessRentalExpensesGrp

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

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	$3,532,167	RealAmt
Personal	$140	PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$3,532,307	TotalRevenueColumnAmt
Unrelated Business Revenue	$8,035	UnrelatedBusinessRevenueAmt
Exclusion	$3,524,272	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Other	$21,998	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Other	$31,525	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Other	-$9,527	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$9,527	TotalRevenueColumnAmt
Exclusion	-$9,527	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
PARKING	812930	$1,545,251	$1,545,251
CAFETERIA REVENUE	722514	$945,929	$945,929
MISCELLANEOUS	900099	$680,341	$680,341

Field	Value	IRS element (for citing)
Other Revenue Total	$3,171,521	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$901,672,521	TotalRevenueColumnAmt
Related Or Exempt Func Income	$829,268,543	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$8,035	UnrelatedBusinessRevenueAmt
Exclusion	$36,957,066	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$150,021,855	TotalAmt
Program Services	$150,021,855	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$922,712	TotalAmt
Program Services	$922,712	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$180,257,437	TotalAmt
Program Services	$178,553,066	ProgramServicesAmt
Management And General	$1,704,371	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$4,035,619	TotalAmt
Program Services	$4,035,619	ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$19,737,277	TotalAmt
Program Services	$19,695,321	ProgramServicesAmt
Management And General	$41,956	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$10,778,578	TotalAmt
Program Services	$10,709,927	ProgramServicesAmt
Management And General	$68,651	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$77,716	TotalAmt
Management And General	$77,716	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$84,523	TotalAmt
Management And General	$84,523	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$15,537,237	TotalAmt
Management And General	$15,537,237	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$32,154	TotalAmt
Program Services	$27,857	ProgramServicesAmt
Management And General	$4,297	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$2,712,720	TotalAmt
Program Services	$2,704,471	ProgramServicesAmt
Management And General	$8,249	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$462,376	TotalAmt
Program Services	$452,202	ProgramServicesAmt
Management And General	$10,174	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$3,888,063	TotalAmt
Program Services	$3,887,609	ProgramServicesAmt
Management And General	$454	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$333,503	TotalAmt
Program Services	$325,432	ProgramServicesAmt
Management And General	$8,071	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$320,551	TotalAmt
Program Services	$321,322	ProgramServicesAmt
Management And General	-$771	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$20,788,634	TotalAmt
Program Services	$20,777,183	ProgramServicesAmt
Management And General	$11,451	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$4,290,497	TotalAmt
Program Services	$4,290,497	ProgramServicesAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
OTHER INTERCOMPANY	$287,369,553	$287,357,485	$12,068
MEDICAL SUPPLIES	$136,210,048	$136,209,758	$290
OTHER	$47,611,381	$2,952,898	$44,658,483
INCOME TAXES	$21,698	$21,698	$0

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$61,941,575	TotalAmt
Program Services	$61,977,070	ProgramServicesAmt
Management And General	-$35,495	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$947,435,707	TotalAmt
Program Services	$885,243,982	ProgramServicesAmt
Management And General	$62,191,725	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$15,214,175	BOYAmt
EOY	$35,245,475	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$295,292	BOYAmt
EOY	$1,410,296	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$69,992,567	BOYAmt
EOY	$91,852,566	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
EOY	$222,572	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$14,561,156	BOYAmt
EOY	$17,021,637	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$169,724	BOYAmt
EOY	$227,428	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$453,793,017	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$172,023,060	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$249,048,137	BOYAmt
EOY	$281,769,957	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$442,340,079	BOYAmt
EOY	$388,318,159	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$96,852,564	BOYAmt
EOY	$110,658,278	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$15,308,019	BOYAmt
EOY	$20,098,468	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$903,781,713	BOYAmt
EOY	$946,824,836	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$67,907,512	BOYAmt
EOY	$105,361,618	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$171,459	BOYAmt
EOY	$0	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
EOY	$27,662	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$39,098,678	BOYAmt
EOY	$75,655,677	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$107,177,649	BOYAmt
EOY	$181,044,957	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	$791,851,805	BOYAmt
EOY	$765,779,879	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$4,752,259	BOYAmt
EOY	$0	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$796,604,064	BOYAmt
EOY	$765,779,879	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$903,781,713	BOYAmt
EOY	$946,824,836	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$45,763,186	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$14,564,000	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$375,000	OtherChangesInNetAssetsAmt
Method Of Accounting Accrual	Yes (X)	MethodOfAccountingAccrualInd
Accountant Compile Or Review	0	AccountantCompileOrReviewInd
FS Audited	Yes (1)	FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

Field	Value	IRS element (for citing)
Consolidated Basis Fincl Stmt	Yes (X)	ConsolidatedBasisFinclStmtInd

Field	Value	IRS element (for citing)
Audit Committee	Yes (1)	AuditCommitteeInd
Federal Grant Audit Required	Yes (1)	FederalGrantAuditRequiredInd
Federal Grant Audit Performed	Yes (1)	FederalGrantAuditPerformedInd

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	$84,523	OtherActivitiesAmt
Total Lobbying Expenditures	$84,523	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 NORTH SIDE HEALTH NETWORK IS A MEMBER OF THE AMERICAN HOSPITAL ASSOCIATION AND THE ILLINOIS HEALTH AND HOSPITAL ASSOCIATION. THESE ORGANIZATIONS, AS PART OF THEIR MISSION, 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 THESE ORGANIZATIONS IS ATTRIBUTABLE TO LOBBYING ACTIVITIES. ADVOCATE NORTH SIDE HEALTH NETWORK ALSO REIMBURSES VARIOUS ASSOCIATES FOR DUES PAID TO VARIOUS PROFESSIONAL ORGANIZATIONS AND ALSO FOR EDUCATIONAL EXPENSES PROVIDED BY PROFESSIONAL AND MEMBERSHIP ORGANIZATIONS. ADVOCATE NORTH SIDE HEALTH NETWORK ENDEAVORS TO IDENTIFY THE PORTION OF DUES OR FEES PAID TO THESE ORGANIZATIONS WHICH ARE ATTRIBUTABLE TO LOBBYING ACTIVITIES.	ExplanationTxt

Schedule D IRS990ScheduleD

Land LandGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$47,607,887	OtherCostOrOtherBasisAmt
Book Value	$47,607,887	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$294,835,690	OtherCostOrOtherBasisAmt
Depreciation	$140,409,146	DepreciationAmt
Book Value	$154,426,544	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,371,957	OtherCostOrOtherBasisAmt
Depreciation	$2,074,725	DepreciationAmt
Book Value	$297,232	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$57,492,474	OtherCostOrOtherBasisAmt
Depreciation	$29,539,189	DepreciationAmt
Book Value	$27,953,285	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$51,485,009	OtherCostOrOtherBasisAmt
Book Value	$51,485,009	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$281,769,957	TotalBookValueLandBuildingsAmt

Invst Program Related Org InvstProgramRelatedOrgGrp (2 entries)

DescDesc	Book ValueBookValueAmt	Method ValuationMethodValuationCd
MASONIC FAMILY HEALTH FDN	$109,017,000	F
CHICAGO NORTHSIDE MRI	$1,641,278	F

Field	Value	IRS element (for citing)
Total Book Value Program Rltd	$110,658,278	TotalBookValueProgramRltdAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (6 entries)

DescDesc	AmtAmt
THIRD PARTY SETTLEMENTS	$44,177,633
REMEDIATION COST LIABILITY	$200,655
MEDICARE RAC RESERVE	$450,000
OPERATING LEASE LIABILITY	$3,633,055
MEDICARE ADVANCED FUNDING LONG TERM	$23,802,748
DEFERRED TAXES - CARES ACT	$3,391,586

Field	Value	IRS element (for citing)
Total Liability	$75,655,677	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	0	ExpensesExceedBudgetInd
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	$4,311,347	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$91,531	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$4,219,816	NetCommunityBenefitExpnsAmt
Total Expense	0.00560	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$105,160,932	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$85,915,669	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$19,245,263	NetCommunityBenefitExpnsAmt
Total Expense	0.02540	TotalExpensePct

Unreimbursed Costs UnreimbursedCostsGrp

Field	Value	IRS element (for citing)
Total Expense	0.00000	TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$109,472,279	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$86,007,200	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$23,465,079	NetCommunityBenefitExpnsAmt
Total Expense	0.03100	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$5,628,188	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$5,628,188	NetCommunityBenefitExpnsAmt
Total Expense	0.00740	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$31,820,671	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$8,005,417	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$23,815,254	NetCommunityBenefitExpnsAmt
Total Expense	0.03140	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$4,705,679	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$4,180,338	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$525,341	NetCommunityBenefitExpnsAmt
Total Expense	0.00070	TotalExpensePct

Research ResearchGrp

Field	Value	IRS element (for citing)
Total Expense	0.00000	TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$34,703	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$34,703	NetCommunityBenefitExpnsAmt
Total Expense	0.00000	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$42,189,241	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$12,185,755	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$30,003,486	NetCommunityBenefitExpnsAmt
Total Expense	0.03950	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$151,661,520	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$98,192,955	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$53,468,565	NetCommunityBenefitExpnsAmt
Total Expense	0.07050	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReportedInd
Bad Debt Expense	$39,743,657	BadDebtExpenseAmt
Bad Debt Expense Attributable	$283,065	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$133,442,490	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$133,400,487	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	$42,003	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
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 IL MASONIC MEDICAL CENTER	BusinessNameLine1Txt

US Address USAddress

Field	Value	IRS element (for citing)
Address Line1	836 WEST WELLINGTON AVENUE	AddressLine1Txt
City	CHICAGO	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	60657	ZIPCd

Field	Value	IRS element (for citing)
Website Address	HTTP://WWW.ADVOCATEHEALTH.COM/IMMC/	WebsiteAddressTxt
State License	0005165	StateLicenseNum
Licensed Hospital	Yes (X)	LicensedHospitalInd
General Medical And Surgical	Yes (X)	GeneralMedicalAndSurgicalInd
Teaching Hospital	Yes (X)	TeachingHospitalInd
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 ILLINOIS MASONIC MEDICAL CENTER	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	HTTP://WWW.ADVOCATEHEALTH.COM/FINANCIALASSISTANCE	FAPAvailableOnWebsiteURLTxt
FAP App Available On Website	Yes (X)	FAPAppAvailableOnWebsiteInd
FAP App Available On Website URL	HTTP://WWW.ADVOCATEHEALTH.COM/FINANCIALASSISTANCE	FAPAppAvailableOnWebsiteURLTxt
FAP Summary On Website	Yes (X)	FAPSummaryOnWebsiteInd
FAP Summary On Website URL	HTTP://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
Provided Written Notice	Yes (X)	ProvidedWrittenNoticeInd
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 (8 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
ADVOCATE ILLINOIS MASONIC MEDICAL CENTER	PART V, SECTION B, LINE 5: 2017-2019 CHNA ADVOCATE ILLINOIS MASONIC MEDICAL CENTER (ADVOCATE ILLINOIS MASONIC) EMPLOYED MULTIPLE DATA COLLECTION STRATEGIES FOR THE 2017-2019 CHNA. THE MEDICAL CENTER COLLABORATED WITH MANY PARTNERS TO COLLECT PRIMARY AND SECONDARY SERVICE AREA AND COUNTY DATA THROUGH PARTICIPATION IN THE ALLIANCE FOR HEALTH EQUITY (THE ALLIANCE). THE ALLIANCE IS A PARTNERSHIP OF NUMEROUS STAKEHOLDERS REPRESENTING A BOARD CROSS-SECTOR OF ORGANIZATIONS, INCLUDING HEALTHCARE, COUNTY AND CITY GOVERNMENT, PUBLIC HEALTH, SOCIAL SERVICES, HOUSING, EDUCATION, FAITH AND OTHERS. ADDITIONALLY, THE MEDICAL CENTER ENGAGED MEMBERS FROM THE COMMUNITY REPRESENTING THE INTERESTS OF ITS COMMUNITY'S MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS THROUGH THE ADVOCATE ILLINOIS MASONIC COMMUNITY HEALTH AND GOVERNING COUNCILS. THESE COUNCILS AND COLLABORATIVES, AND THE KEY STAKEHOLDERS AND PARTNERS THEREIN, ARE DESCRIBED BELOW.COMMUNITY HEALTH COUNCIL. ADVOCATE ILLINOIS MASONIC CONVENED A COMMUNITY HEALTH COUNCIL (CHC) CHARGED WITH OVERSIGHT OF THE MEDICAL CENTER'S 2017-2019 CHNA PROCESS. THE MEDICAL CENTER'S CHC IS COMPRISED OF COMMUNITY AND MEDICAL CENTER REPRESENTATIVES. THE CHC SUPPORTED THE COLLECTION AND ANALYSIS OF DATA AND SELECTED THE MEDICAL CENTER'S HEALTH NEED PRIORITIES. IN ADDITION, FEEDBACK FROM THE COMMUNITY, HEALTH EXPERTS AND MULTIPLE STAKEHOLDERS WAS ALSO AN ESSENTIAL COMPONENT OF THE MEDICAL CENTER'S CHNA. IN AUGUST 2018, THE MEDICAL CENTER'S COMMUNITY HEALTH DEPARTMENT ORGANIZED A FORCES OF CHANGE ASSESSMENT (FOCA), THAT INCLUDED QUESTIONS SUCH AS "WHAT IS OCCURRING OR MIGHT OCCUR THAT AFFECTS THE WELL-BEING OF THE RESIDENTS OR THE LOCAL SYSTEM? AND "WHAT SPECIFIC THREATS AND OPPORTUNITIES ARE GENERATED BY THESE OCCURRENCES?" THE MEDICAL CENTER'S COMMUNITY HEALTH COUNCIL, COMMUNITY ORGANIZATIONS AND LEADERS, AS WELL AS LOCAL MUNICIPAL REPRESENTATIVES WERE INVITED TO ATTEND THE FOCA TO PROVIDE FEEDBACK AND INPUT ON THE MEDICAL CENTER'S PRIMARY SERVICE AREA (PSA) HEALTH NEEDS, SOCIAL ISSUES, COMMUNITY STRENGTHS AND OPPORTUNITIES. IN DECEMBER 2018, THE COMMUNITY HEALTH DEPARTMENT PRESENTED THE TOP EIGHT HEALTH NEEDS TO THE MEDICAL CENTER'S CHC, USING QUALITATIVE AND QUANTITATIVE DATA FROM VARIOUS SOURCES TO SUPPORT THE SELECTION OF IDENTIFIED HEALTH NEEDS. AFTER A THOROUGH REVIEW AND ANALYSIS OF THE EIGHT HEALTH NEEDS, THE CHC UTILIZED A PRIORITIZATION GRID TO NARROW THE HEALTH NEEDS TO THE TOP FOUR.IN MARCH 2019, THE MEDICAL CENTER'S COMMUNITY HEALTH DEPARTMENT HELD TWO CHC MEETINGS TO SELECT THE FINAL PRIORITY HEALTH NEEDS. COMMUNITY EXPERTS REPRESENTING THE TOP FOUR HEALTH NEEDS EDUCATED THE CHC MEMBERS ON THE BARRIERS AND CHALLENGES IN ADDRESSING EACH HEALTH ISSUE, INCLUDING THE ROOT CAUSE OF THE HEALTH ISSUE AND ORGANIZATIONS THAT ARE ALREADY WORKING TO ADDRESS THE HEALTH NEED IN THE COMMUNITY. THESE SUBJECT MATTER EXPERTS WERE FROM A FEDERALLY QUALIFIED HEALTH CENTER (FQHC), THE NATIONAL ALLIANCE ON MENTAL ILLNESS CHICAGO (NAMI CHICAGO), ILLINOIS PUBLIC HEALTH INSTITUTE AND THE MEDICAL CENTER'S COMMUNITY HEALTH DEPARTMENT. THE SECOND CHC MEETING IN MARCH WAS CONVENED AS A FORUM FOR COUNCIL MEMBERS TO DISCUSS INFORMATION FROM THE EXPERT PRESENTATIONS AND VOTE ON THE FINAL HEALTH NEED PRIORITIES. THE ORGANIZATIONS AND TITLES OF INDIVIDUALS SERVING ON THE MEDICAL CENTER'S CHC ARE PROVIDED BELOW. IN ADDITION, MEMBERS REPRESENTING LOW-INCOME, MEDICALLY UNDERSERVED AND/OR MINORITY POPULATIONS ARE ALSO INDICATED.MEMBERS FROM THE COMMUNITY- ACCLIVUS INC, COO (LOW-INCOME AND MINORITY POPULATIONS)- ASIAN HEALTH COALITION, EXECUTIVE DIRECTOR (LOW-INCOME AND MINORITY POPULATIONS)- CASA CENTRAL, DEPUTY DIRECTOR AND SENIOR COMMUNITY SERVICES (LOW-INCOME, MINORITY AND MEDICALLY UNDERSERVED POPULATIONS)- CENTRO ROMERO, RESOURCE DEVELOPER (LOW-INCOME, MEDICALLY UNDERSERVED AND MINORITY POPULATIONS)- CHICAGO POLICE DEPARTMENT 19TH DISTRICT, OFFICER - CHICAGO PUBLIC HEALTH DEPARTMENT, SENIOR ANALYST (LOW-INCOME, MEDICALLY UNDERSERVED AND MINORITY POPULATIONS)- CHUHAK & TECSON, LAWYER AND ADVOCATE ILLINOIS MASONIC GOVERNING COUNCIL MEMBER- COMMUNITY HEALTH CLINIC, EXECUTIVE DIRECTOR (LOW-INCOME, MEDICALLY UNDERSERVED AND MINORITY POPULATIONS)- DEPAUL UNIVERSITY, DIRECTOR, OFFICE OF HEALTH PROMOTION AND WELLNESS - HEARTLAND HEALTH CENTERS, VP STRATEGY AND DEVELOPMENT (LOW-INCOME, MEDICALLY UNDERSERVED AND MINORITY POPULATIONS)- HOWARD BROWN, DIRECTOR, DATA, EVALUATION AND EPIDEMIOLOGY (MINORITY AND MEDICALLY UNDERSERVED POPULATIONS) - LAKEVIEW FOOD PANTRY, DIRECTOR, PROGRAMS (LOW-INCOME POPULATIONS) - NAMI CHICAGO, EXECUTIVE DIRECTOR (MEDICALLY UNDERSERVED POPULATION)- NORTHEASTERN ILLINOIS UNIVERSITY, COORDINATOR, HEALTH SCIENCES FIELD EXPERIENCE PROGRAM- ONE NORTHSIDE, COORDINATOR (MEDICALLY UNDERSERVED POPULATIONS)ADVOCATE AURORA AND ADVOCATE ILLINOIS MASONIC STAFF MEMBERS- ADVOCATE AURORA, DIRECTOR, COMMUNITY HEALTH- ADVOCATE ILLINOIS MASONIC, COORDINATOR, COMMUNITY HEALTH - ADVOCATE ILLINOIS MASONIC, DIRECTOR, CARE MANAGEMENT - ADVOCATE ILLINOIS MASONIC, DIRECTOR, COMMUNITY HEALTH - ADVOCATE ILLINOIS MASONIC, FAITH COMMUNITY NURSE #1- ADVOCATE ILLINOIS MASONIC, FAITH COMMUNITY NURSE #2- ADVOCATE ILLINOIS MASONIC, MANAGER, BUSINESS DEVELOPMENT - ADVOCATE ILLINOIS MASONIC, PHYSICIAN AND GOVERNING COUNCIL MEMBER - ADVOCATE ILLINOIS MASONIC, PROGRAM MANAGER, TRANSITION SUPPORT PROGRAM- ADVOCATE ILLINOIS MASONIC, PROJECT LEADER, WORKFORCE DEVELOPMENT- ADVOCATE ILLINOIS MASONIC, SUPERVISOR, FOOD AND NUTRITION - ADVOCATE ILLINOIS MASONIC, VP, MISSION AND SPIRITUAL CARE GOVERNING COUNCIL. THE ADVOCATE ILLINOIS MASONIC GOVERNING COUNCIL IS COMPRISED OF COMMUNITY LEADERS AND EXECUTIVE LEVEL MEDICAL CENTER STAFF. THE PRINCIPAL ROLE OF EACH GOVERNING COUNCIL MEMBER IS TO SUPPORT MEDICAL CENTER LEADERSHIP IN ACHIEVEMENT OF THE MEDICAL CENTER'S GOALS, REPRESENT THE COMMUNITY'S INTERESTS TO THE MEDICAL CENTER AND TO SERVE AS AN ADVOCATE ILLINOIS MASONIC AMBASSADOR IN THE COMMUNITY. THE GOVERNING COUNCIL MONITORS CLINICAL OUTCOMES, PATIENT SATISFACTION, ASSOCIATE SATISFACTION, PHYSICIAN CREDENTIALING AND RELATIONS, FINANCIAL PERFORMANCE, STRATEGIC DIRECTION AND OVERALL COMMUNITY HEALTH STRATEGY. THE GOVERNING COUNCIL IS ALSO THE MEDICAL CENTER'S GOVERNING BODY THAT REVIEWS AND APPROVES THE MEDICAL CENTERS CHNA AND SELECTED PRIORITIES TO BE ADDRESSED. THE MEDICAL CENTER'S DIRECTOR OF COMMUNITY HEALTH PRESENTED THE PROCESS AND FINDINGS OF THE 2019 CHNA TO THE MEDICAL CENTER'S GOVERNING COUNCIL. THE PRESENTATION INCLUDED DETAILS REGARDING THE PRIORITY SETTING PROCESS AND PRIORITIZED HEALTH NEEDS. THE ADVOCATE ILLINOIS MASONIC GOVERNING COUNCIL APPROVED THE 2017-2019 CHNA AND THE PRIORITY HEALTH NEEDS ON SEPTEMBER 24, 2019.THE ALLIANCE FOR HEALTH EQUITY. AS MENTIONED EARLIER, ADVOCATE ILLINOIS MASONIC IS A KEY MEMBER OF THE ALLIANCE FOR HEALTH EQUITY AND CONTRIBUTES TO THE COLLECTION AND ANALYSIS OF COOK COUNTY DATA FOR THE COLLABORATIVE CHNA. THE ALLIANCE INCLUDES 37 NON-PROFIT AND PUBLIC HOSPITALS, HEALTH DEPARTMENTS AND REGIONAL AND COMMUNITY-BASED ORGANIZATIONS WORKING TO IMPROVE HEALTH EQUITY, WELLNESS AND QUALITY OF LIFE ACROSS CHICAGO AND SUBURBAN COOK COUNTY. FACILITATED BY THE ILLINOIS PUBLIC HEALTH INSTITUTE, THE COLLABORATIVE SHARES RESOURCES AND WORKS TOGETHER ON A CHNA PROCESS, INCLUDING DATA COLLECTION, PRIORITY SETTING AND HEALTH IMPROVEMENT IMPLEMENTATION PLANNING FOR THE REGION.THE SURVEYS AND DATA DISTRIBUTED AND COLLECTED BY THE COLLABORATIVE WAS A MAJOR SOURCE OF PRIMARY AND SECONDARY DATA FOR THE MEDICAL CENTER'S CHNA. THE ALLIANCE DATA WAS USED TO THOROUGHLY UNDERSTAND HEALTH NEEDS IN THE PSA. STAFF FROM THE ILLINOIS PUBLIC HEALTH INSTITUTE (IPHI) PRESENTED QUALITATIVE, QUANTITATIVE, SECONDARY AND PRIMARY DATA AROUND THE HEALTH AND SOCIAL NEEDS OF THE PSA TO THE MEDICAL CENTER'S CHC. ADVOCATE ILLINOIS MASONIC CONTINUES TO WORK WITH AND FINANCIALLY SUPPORT THE ALLIANCE IN EFFORTS TO ALIGN COMMUNITY HEALTH STRATEGIES TO HAVE A COLLECTIVE IMPACT ON THE COMMUNITY'S PRIORITY HEALTH NEEDS. A COPY OF THE ALLIANCE'S CHNA REPORT IS POSTED NEXT TO THE ADVOCATE ILLINOIS MASONIC CHNA REPORT ON THE MEDICAL CENTER'S WEBSITE.THE ADVOCATE HEALTH CARE NETWORK BOARD OF DIRECTORS APPROVED THE ADVOCATE ILLINOIS MASONIC 2017-2019 CHNA REPORT AND HEALTH PRIORITIES AT THE SYSTEM LEVEL ON DECEMBER 16, 2019. THE MEDICAL CENTER'S 2017-2019 CHNA REPORT WAS POSTED ON THE ADVOCATE HEALTH CARE WEBPAGE THE FOLLOWING DAY AND INCLUDED A FORM AND AN EMAIL AS MECHANISMS FOR THE COMMUNITY TO PROVIDE FEEDBACK ON THE CHNA. AS OF DECEMBER 31, 2019, THE MEDICAL CENTER HAD RECEIVED NO COMMENTS/FEEDBACK ON EITHER THE 2017-2019 CHNA REPORT, OR THE PREVIOUS 2014-2016 CHNA REPORT OR THE ACCOMPANYING 2017-2019 IMPLEMENTATION PLAN.
ADVOCATE ILLINOIS MASONIC MEDICAL CENTER	PART V, SECTION B, LINE 6A: ADVOCATE ILLINOIS MASONIC PARTICIPATED IN THE ALLIANCE FOR HEALTH EQUITY COLLABORATIVE AND SURVEY WHICH WAS LED BY THE ILLINOIS PUBLIC HEALTH INSTITUTE AND INCLUDED OVER 30 HOSPITALS, 7 HEALTH DEPARTMENTS AND OVER 100 COMMUNITY ORGANIZATIONS. THIS COLLABORATIVE COMPLETED A COMMUNITY HEALTH NEEDS ASSESSMENT FOR CHICAGO AND SUBURBAN COOK COUNTY. THE RELATED AS WELL AS UNRELATED HOSPITALS IN CLOSE PROXIMITY TO ADVOCATE ILLINOIS MASONIC ARE PROVIDED BELOW.RELATED? ADVOCATE CHILDREN'S (PARK RIDGE, IL); ADVOCATE LUTHERAN GENERAL (PARK RIDGE, IL)UNRELATED? RUSH UNIVERSITY MEDICAL CENTER (CHICAGO, IL); SWEDISH COVENANT (CHICAGO, IL); AMITA HEALTH (CHICAGO, IL); UNIVERSITY OF CHICAGO MEDICINE (CHICAGO, IL); ANN & ROBERT H. LURIE CHILDREN'S HOSPITAL (CHICAGO, IL). FOR FULL DETAILS ON THE COLLABORATIVE, PLEASE SEE THE FOLLOWING WEBSITE HTTPS://ALLHEALTHEQUITY.ORG/.
ADVOCATE ILLINOIS MASONIC MEDICAL CENTER	PART V, SECTION B, LINE 6B: OTHER NON-HOSPITAL FACILITIES THAT PARTICIPATED IN THE AHE INCLUDED THE ILLINOIS PUBLIC HEALTH INSTITUTE, CHICAGO DEPARTMENT OF PUBLIC HEALTH, COOK COUNTY HEALTH DEPARTMENT, VILLAGE OF SKOKIE HEALTH DEPARTMENT, AND CHICAGO PUBLIC LIBRARY-JEFFERSON PARK BRANCH.FOR A COMPLETE LIST OF COMMUNITY-BASED ORGANIZATIONS' NAMES THAT PARTICIPATED IN THE ASSESSMENT, PLEASE SEE THE FOLLOWING WEBSITE. HTTPS://ALLHEALTHEQUITY.ORG/.
ADVOCATE ILLINOIS MASONIC MEDICAL CENTER	PART V, SECTION B, LINE 7D: IN PARTNERSHIP WITH THE ALLIANCE FOR HEALTH EQUITY, ADVOCATE ILLINOIS MASONIC'S 2017-2019 CHNA WAS MADE WIDELY AVAILABLE ACROSS THE CITY OF CHICAGO AND PRESENTATIONS WERE PROVIDED UPON REQUEST. FURTHERMORE, THE CHNA WAS PRESENTED TO INTERNAL LEADERS FROM THE ADVOCATE ILLINOIS MASONIC CANCER CARE COMMITTEE.
ADVOCATE ILLINOIS MASONIC MEDICAL CENTER	PART V, SECTION B, LINE 11: HEALTH NEEDS SELECTED AS A RESULT OF THE 2017-2019 CHNA PROCESS, ADVOCATE ILLINOIS MASONIC SELECTED THREE PRIORITIES FOR 2020-2022 IMPLEMENTATION PLANNING, INCLUDING: 1) HEALTHY LIFESTYLES/OBESITY; 2) BEHAVIORAL HEALTH; AND 3) SOCIAL DETERMINANTS OF HEALTH. (FOR PRIORITY SELECTION PROCESS DETAILS, SEE PAGES 37-38 OF THE ADVOCATE ILLINOIS MASONIC 2017-2019 CHNA REPORT AT HTTPS://WWW.ADVOCATEHEALTH.COM/ASSETS/DOCUMENTS/CHNA/ILLINOIS-MASONIC-MEDICAL-CENTER/0762_IMMC_CHNA_F_1_14_2020-(LR).PDF.)HEALTHY LIFESTYLES/OBESITY. THE MEDICAL CENTER'S CHC CHOSE HEALTHY LIFESTYLES/OBESITY AS A HEALTH PRIORITY TO ADDRESS DUE TO THE MANY CHRONIC DISEASES AND HEALTH ISSUES THAT ARE RELATED TO POOR NUTRITION AND PHYSICAL INACTIVITY. THE CHC ALSO RECOGNIZED THE SIGNIFICANT IMPACT THIS ISSUE HAS ON QUALITY OF LIFE AND OVERALL HEALTH OUTCOMES IN THE MEDICAL CENTER'S PSA. IN 2020, ADVOCATE ILLINOIS MASONIC IMPLEMENTED DRIVE-THROUGH POP-UP FARMERS MARKETS IN PARTNERSHIP WITH IRV AND SHELLY'S FRESH PICKS, CLEVELAND ELEMENTARY SCHOOL AND AREA FREE CLINICS. THE INITIATIVE DISTRIBUTED OVER 3,680 POUNDS OF FRESH PRODUCE TO 900 INDIVIDUALS AND FAMILIES IN FOOD DESERT COMMUNITIES IN 2020. IN ADDITION, THE MEDICAL CENTER'S FOOD PANTRY, WHICH BEGAN IN 2016, DISTRIBUTED OVER 200 NON-PERISHABLE FOOD BAGS AND 17 FRESH PRODUCE BOXES TO 180 FOOD INSECURE PATIENTS. TO MEET THE NEEDS OF ITS COMMUNITY AND PATIENTS DURING THE COVID-19 PANDEMIC, THE MEDICAL CENTER'S FOOD PANTRY EXPANDED ITS SERVICES TO TEAM MEMBERS AND THREE NEW SERVICES LINES AND DEPARTMENTSOB/GYN, FAMILY MEDICINE AND THE DENTAL MOBILE VAN. IN PARTNERSHIP WITH THE AVONDALE FAITH AND HEALTH COLLABORATIVE, ADVOCATE ILLINOIS MASONIC'S COMMUNITY HEALTH DEPARTMENT COMPLETED A CHNA AND IMPLEMENTATION PLAN TO GUIDE WORK AND ADDRESS HEALTH NEEDS IN THE AVONDALE COMMUNITY. IN 2020, IN RESPONSE TO THE PANDEMIC, THE COLLABORATIVE WORKED WITH IRV'S AND SHELLY'S FRESH PRODUCE AND COMMUNITY ORGANIZATIONS TO HOST COMMUNITY DINNERS, WHICH PROVIDED FRESH AND HEALTHY FOOD TO LOW-INCOME AND UNDOCUMENTED INDIVIDUALS AND FAMILIES. IN 2020, OVER 20 COMMUNITY DINNERS WERE PROVIDED. THE TRANSITION SUPPORT PROGRAM (TSP) AIMS TO IMPROVE HEALTH OUTCOMES AND LIFESTYLES BY INCREASING ACCESS TO PRIMARY CARE FOR LOW-INCOME AND UNINSURED PATIENTS. IN 2020, THE PROGRAM SERVED 1,245 UNIQUE PATIENTS. BEHAVIORAL HEALTH WAS SELECTED AS THE SECOND HEALTH PRIORITY. THE CHC SELECTED BEHAVIORAL HEALTH, INCLUDING MENTAL HEALTH AND SUBSTANCE/ALCOHOL USE, GIVEN THAT THE RATE OF MENTAL HEALTH ISSUES AND SUBSTANCE USE IN ADVOCATE ILLINOIS MASONIC'S PSA ARE CONTINUING TO INCREASE OVER TIME AND ARE HIGH WHEN COMPARED TO OTHER COMMUNITIES IN ILLINOIS. DATA AND HOSPITALIZATION RATES INDICATE THAT THERE IS A GREAT NEED FOR EXPANSION OF BEHAVIORAL HEALTH SERVICES, INCLUDING ACCESS TO HEALTH SERVICES, TREATMENT, HOUSING AND PROGRAMMING. FURTHERMORE, THERE IS A CORRELATION BETWEEN SUBSTANCE USE AND MENTAL HEALTH, WHICH MAKES IT ESSENTIAL FOR THE MEDICAL CENTER TO ADDRESS BOTH HEALTH ISSUES IN TANDEM. IN 2020, ADVOCATE ILLINOIS MASONIC'S MEDICALLY INTEGRATED COMMUNITY CRISIS SUPPORT (MICCS) PROGRAM CONTINUED WORKING TO INCREASE ACCESS TO MENTAL HEALTH SERVICES AND MEDICATION FOR HIGH-RISK PATIENTS IN ITS PSA. IN 2020, THE PROGRAM SERVED 104 LOW-INCOME AND HOUSING INSECURE PATIENTS. IN ADDITION, THE MEDICAL CENTER ALSO OPERATES AN INJECTION CLINIC FOR THOSE WITH MENTAL ILLNESS. IN 2020, THE CLINIC SERVED 204 INDIVIDUALS. DUE TO COVID-19, THE MEDICAL CENTER'S FIRST ACCESS PROGRAM OPERATED VIRTUALLY TO LINK PATIENTS FROM THE MEDICAL CENTER'S ED AND INPATIENT PSYCH UNIT TO OUTPATIENT REMOTE SERVICES. SEVENTY-FIVE PERCENT OF PATIENTS REFERRED THROUGH FIRST ACCESS FOLLOWED UP WITH THEIR OUTPATIENT RECOMMENDATIONS. IN PARTNERSHIP WITH THE CITY OF CHICAGO AND NAMI CHICAGO, THE MEDICAL CENTER'S BEHAVIORAL HEALTH TEAM STAFFED THE CALL4CALM LINE, A PHONE LINE DEVELOPED IN RESPONSE TO COVID-19 FOR THOSE STRUGGLING WITH MENTAL HEALTH ISSUES OR ILLNESS. THE PROGRAM RECEIVED 60 CALLS OF WHICH SEVEN WERE REFERRED TO FIRST ACCESS FOR ADDITIONAL SUPPORT. IN ADDITION, AND DUE TO COVID-19, THE MEDICAL CENTER DID NOT IMPLEMENT MENTAL HEALTH FIRST AID OR BRIDGES OF HOPE TRAININGS IN 2020 AS WAS PLANNED. IN 2021, BRIDGES OF HOPE AND MENTAL HEALTH FIRST AID WILL CONTINUE TO BE IMPLEMENTED IN PARTNERSHIP WITH COMMUNITY ORGANIZATIONS.SOCIAL DETERMINANTS OF HEALTH. THE AHE'S CHNA DEMONSTRATED THE DEVASTATING IMPACT SOCIAL AND ECONOMIC FACTORS CAN HAVE ON ONE'S HEALTH. THE CHC IDENTIFIED SDOH AS A CRUCIAL COMPONENT OF ADDRESSING THE ROOT CAUSE OF THE PRIORITIZED HEALTH ISSUES AND KEY TO IMPROVING THE OVERALL HEALTH AND QUALITY OF LIFE IN THE MEDICAL CENTER'S PSA. SPECIFICALLY, ADVOCATE ILLINOIS MASONIC WILL ADDRESS EMPLOYMENT AND TRAINING, HOUSING AND COMMUNITY SAFETY/VIOLENCE PREVENTION. ADDITIONAL INFORMATION CAN BE FOUND IN ADVOCATE ILLINOIS MASONIC'S 2019 CHNA REPORT OR IN THE ALLIANCE FOR HEALTH EQUITY'S 2019 CHNA REPORT POSTED NEXT TO THE MEDICAL CENTER'S REPORT AT HTTPS://WWW.ADVOCATEHEALTH.COM/HOSPITAL-CHNA-REPORTS-IMPLEMENTATION-PLANS-PROGRESS-REPORTS/ILLINOIS-MASONIC-CHNA-REPORT-2019.IN 2020 AND IN PARTNERSHIP WITH THE CENTER FOR HEALTH AND HOUSING, ADVOCATE ILLINOIS MASONIC PLACED ONE INDIVIDUAL IN PERMANENT HOUSING AND THREE INDIVIDUALS IN TRANSITIONAL HOUSING THROUGH ITS FLEXIBLE HOUSING POOL PROGRAM. PATIENTS PLACED IN HOUSING WERE HOMELESS AND DIAGNOSED WITH MENTAL OR CHRONIC HEALTH CONDITIONS. CASE MANAGEMENT AND WRAP AROUND SERVICES WERE PROVIDED TO ALL PATIENTS PLACED IN PERMANENT AND TRANSITIONAL HOUSING. THE ADVOCATE WORKFORCE INITIATIVE (AWI), AIMS TO INCREASE MINORITY REPRESENTATIONS IN THE HEALTH CARE SECTOR. THE PROGRAM ENROLLED 1,250 NEW PARTICIPANTS IN 2020 WITH OVER 900 PARTICIPANTS COMPLETING THE PROGRAM. ADDITIONALLY, THE COMMUNITY HEALTH AND ADVOCATE WORKFORCE INITIATIVE TEAMS DEVELOPED AN EMPLOYMENT AND TRAINING PROGRAM PROVIDING PAID EXTERNSHIPS TO STUDENTS COMPLETING TRAINING IN ENTRY LEVEL HEALTH CARE POSITIONS. THE PROGRAM FOCUSES ON STUDENTS RESIDING IN UNDER-SERVED COMMUNITIES WITH HIGH UNEMPLOYMENT RATES. THE MEDICAL CENTER ALSO PARTNERS WITH ACCLIVUS, AN ORGANIZATION FOCUSED ON COMMUNITY SAFETY, TO PROVIDE VIOLENCE INTERVENTION SERVICES. IN 2020, 117 MEDICAL CENTER PATIENTS WERE ADMITTED TO THE ED DUE TO DOMESTIC OR COMMUNITY VIOLENCE. IN ADDITION, 147 REFERRAL CALLS BY HOSPITAL CHAPLAINS WERE MADE TO THE ACCLIVUS TEAM. HEALTH NEEDS NOT SELECTED CARDIOVASCULAR/HEART DISEASE. WHILE IDENTIFIED AS A HEALTH NEED IN THE MEDICAL CENTER'S PSA, CARDIOVASCULAR/HEART DISEASE WAS NOT SELECTED AS A PRIORITY DUE TO CONSENSUS FROM THE CHC THAT MANY FACTORS LEADING TO CARDIOVASCULAR/HEART DISEASE CAN PARTIALLY BE PREVENTED BY HEALTHY EATING, PHYSICAL ACTIVITY AND ACCESS TO CARE. THE CHC WILL ADDRESS CARDIOVASCULAR/ HEART DISEASE THROUGH THE HEALTHY LIFESTYLE AND OBESITY PRIORITY. ADVOCATE ILLINOIS MASONIC ALSO ADDRESSES CARDIOVASCULAR DISEASE THOUGH ITS HEART INSTITUTE, WHICH HAS PROVIDED OVER 20,000 HEART PROCEDURES PERFORMED BY OVER 350 SPECIALISTS. CANCER. CANCER WAS NOT SELECTED AS A PRIORITY DUE TO THE MANY CANCER SERVICES AND PROGRAMS OFFERED BY ADVOCATE ILLINOIS MASONIC'S CRETICOS CANCER CENTER (CCC). IN ADDITION, THE MEDICAL CENTER'S COMMUNITY HEALTH DEPARTMENT WORKS WITH THE CCC TO PROVIDE A HOSPITAL-BASED FOOD PANTRY TO FOOD INSECURE CANCER PATIENTS. THE MEDICAL CENTER ALSO WORKS CLOSELY WITH THE AMERICAN CANCER SOCIETY TO PROVIDE OTHER CANCER RELATED SERVICES AND SUPPORT, SUCH AS FOR EXAMPLE, WIGS AND SUPPORT GROUPS. SENIOR HEALTH. WHILE SENIOR HEALTH IS A NEED GIVEN THAT 11.56 PERCENT OF THE MEDICAL CENTER'S PSA IS 65 AND OLDER, THE CHC DID NOT SELECT IT AS A PRIORITY TO BE ADDRESSED BY THE MEDICAL CENTER. ADVOCATE ILLINOIS MASONIC CURRENTLY HAS AN ARRAY OF OUTREACH PROGRAMS FOR SENIORS AND THEIR CARE GIVERS. THE PROGRAMS INCLUDE THE SENIOR FAIR, MEDICARE 101 CLASSES, HEALTH EDUCATION LECTURES PROVIDED TO LOCAL SENIOR CARE PROVIDERS AND ORGANIZATIONS, AS WELL AS SENIOR HOUSING FACILITIES. THE MEDICAL CENTER'S COMMUNITY HEALTH DEPARTMENT ALSO WORKS CLOSELY WITH THE BUSINESS DEVELOPMENT TEAM TO ENSURE THAT THE HEALTH NEEDS OF SENIORS ARE BEING ADDRESSED IN THE COMMUNITY. ASTHMA. THE MEDICAL CENTER'S CHC IDENTIFIED ASTHMA AS A LOWER RANKED HEALTH NEED AND THEREFORE IT WAS NOT SELECTED AS A PRIORITY DUE TO THE LACK OF COMMUNITY PARTNERS AND INEFFECTIVENESS/ AVAILABILITY OF ASTHMA PREVENTION PROGRAMS.ACCESS TO HEALTH CARE. THE CHC, COMMUNITY HEALTH DEPARTMENT AND THE MEDICAL CENTER RECOGNIZE ACCESS TO HEALTH CARE AS BEING CRITICAL TO THE HEALTH OF INDIVIDUALS WITHIN ADVOCATE ILLINOIS MASONIC'S PSA. RATHER THAN MAKING THIS HEALTH ISSUE A STAND-ALONE HEALTH PRIORITY, THE CHC DECIDED TO INCORPORATE ACCESS TO CARE IN BOTH THE BEHAVIORAL HEALTH AND HEALTHY LIFESTYLE STRATEGIES.ADDITONAL INFORMATION ON ADVOCATE ILLINOIS MASONIC'S 2019 CHNA CAN BE FOUND AT: HTTPS://WWW.ADVOCATEHEALTH.COM/HOSPITAL-CHNA-REPORTS-IMPLEMENTA
ADVOCATE ILLINOIS MASONIC MEDICAL CENTER	PART V, SECTION B, LINE 16J: ADVOCATE NORTH SIDE 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 ILLINOIS MASONIC MEDICAL CENTER	PART V, SECTION B, LINE 19E: ADVOCATE NORTH SIDE 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 ILLINOIS MASONIC MEDICAL CENTER	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	7	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (7 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt
1 - EDUCATION CENTER
814 W NELSON ST	CHICAGO	IL	60657	OTHER
2 - AMBULATORY PAVILION
836 W WELLINGTON AVE	CHICAGO	IL	60657	PATIENT CARE - OUT PATIENT
3 - CANCER CENTER
901 W WELLINGTON AVE	CHICAGO	IL	60657	PATIENT CARE - OUT PATIENT
4 - MEDICAL OFFICE BUILDING
3000 N HALSTED ST	CHICAGO	IL	60657	PATIENT CARE - OUT PATIENT
5 - OFFICES
836 W NELSON ST	CHICAGO	IL	60657	PATIENT CARE - OUT PATIENT
6 - PRIMARY CARE CENTER
3048 N WILTON	CHICAGO	IL	60657	PATIENT CARE - OUT PATIENT
7 - IMMC-PAIN CLINIC
3000 N HALSTED STE 823	CHICAGO	IL	60098	PATIENT CARE - OUT PATIENT

Supplemental Information Detail SupplementalInformationDetail (23 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:	ANSHN PROVIDES SUBSIDIZED HEALTH SERVICES TO THE COMMUNITY. THESE SERVICES ARE PROVIDED DESPITE CREATING A FINANCIAL LOSS FOR ANSHN. THESE SERVICES ARE PROVIDED BECAUSE THEY MEET AN IDENTIFIED COMMUNITY NEED. IF ANSHN DID NOT PROVIDE THE CLINICAL SERVICE, IT IS REASONABLE TO CONCLUDE THAT THESE SERVICES WOULD NOT BE AVAILABLE TO THE COMMUNITY. THE SERVICES INCLUDED ARE BOTH INPATIENT AND OUTPATIENT PROGRAMS FOR PEDIATRICS AND REHABILITATION SERVICES.
PART I, LN 7 COL(F):	$39,743,657 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 I, LINE 7E	ADVOCATE NORTHSIDE HEALTH NETWORK PROVIDES COMMUNITY HEALTH IMPROVEMENTSERVICES THAT TARGET IDENTIFIED COMMUNITY NEEDS, INCLUDING ACCESS, TO IMPROVE THE HEALTH OF INDIVIDUALS AND FAMILIES WITHIN THE COMMUNITIES IT SERVES. THESE SERVICES AND PROGRAMS DO NOT GENERATE PATIENT BILLS, HOWEVER, THEY MAY HAVE NOMINAL FEES FOR PARTICIPATION, OR ARE ONLY PARTIALLY PAID THROUGH GRANTS, FOR WHICH THE REMAINING COST IS SUBSIDIZED BY ADVOCATE NORTHSIDE HEALTH NETWORK. COMMUNITY MEMBERS ARE INVITED TO ATTEND SUPPORT GROUPS HELD THROUGHOUT THE YEAR TO ASSIST INDIVIDUALS IN MANAGING THEIR DISEASE, SUCH AS CANCER OR STROKE, TO IMPROVE THEIR QUALITY OF LIFE. "SIBSHOPS" SUPPORT GROUPS ARE PROVIDED FOCUSING ON CHILDREN THAT HAVE A SIBLING WITH A DISABILITY. COMMUNITY MEMBERS MAY ALSO ATTEND EDUCATIONAL CLASSES FOR WOMEN AND BABY, BREASTFEEDING, MULTIPLES, CHILDBIRTH AND PARENTING CLASSES. MANY EDUCATIONAL PROGRAMS RAISE AWARENESS OF HEART DISEASE, STROKE, MENTAL ILLNESS/DEPRESSION, DIABETES, KIDNEY DISEASE, VARIOUS TYPES OF CANCER, INCONTINENCE, DIGESTIVE HEALTH, AND PROPER SELECTION AND INSTALLATION OF INFANT AND CHILD CAR SEATS, INCLUDING SAFETY CHECKS, AND FOOD LABEL READING TO IMPROVE NUTRITION. SOME CLASSES ARE OFFERED IN LANGUAGES OTHER THAN ENGLISH TO PROVIDE ACCESS TO THIS INFORMATION BY NON-ENGLISH-SPEAKING COMMUNITY MEMBERS. IN ADDITION TO EDUCATION, MANY CLASSES INCLUDE HEALTH SCREENINGS TO DETERMINE AT-RISK INDIVIDUALS, INCLUDING REFERRALS TO PHYSICIANS FOR FOLLOW-UP CARE FOR THOSE WITH POOR TEST RESULTS. CPR TRAINING IS ALSO OFFERED TO THE COMMUNITY TO TEACH INDIVIDUALS TO RESPOND QUICKLY TO FAMILY MEMBERS AND OTHERS EXPERIENCING A HEALTH CRISIS. THERE ARE MANY ADDITIONAL PROGRAMS PROVIDED BY THE ANSHN FOR WHICH COSTS ARE SUBSIDIZED BUT THAT ARE ALREADY DESCRIBED ELSEWHERE IN THIS DOCUMENT, SUCH AS: THE SPECIAL NEEDS DENTISTRY PROGRAMS FOR LOW-INCOME, HOMELESS AND/OR DISABLED INDIVIDUALS; THE MEDICATION ASSISTANCE PROGRAM FOR LOW-INCOME UNINSURED; MENTAL HEALTH FIRST AID TO ENABLE COMMUNITY MEMBERS TO IDENTIFY SIGNS OF MENTAL ILLNESS IN OTHERS; SCHOOL-BASED HEALTH CENTERS; THE DEAF AND HARD OF HEARING PROGRAM PROVIDING ACCESS TO PSYCHIATRISTS; THE PEDIATRIC DEVELOPMENT CENTER FOR DEVELOPMENTALLY CHALLENGED CHILDREN AND ADOLESCENTS; AND THE MEDICALLY INTEGRATED CRISIS COMMUNITY SUPPORT PROGRAM PROVIDING THERAPEUTIC COMMUNITY-BASED CONTACTS TO ACUTELY-ILL BEHAVIORAL HEALTH PATIENTS.
PART I, LINE 7H	ANSHN CONDUCTS NUMEROUS RESEARCH ACTIVITIES FOR THE ADVANCEMENT OF MEDICAL AND HEALTH CARE SERVICES. HOWEVER, THE UNREIMBURSED COST OF SUCH RESEARCH ACTIVITIES IS NOT READILY DETERMINABLE AND NO AMOUNT IS BEING REPORTED FOR PURPOSES OF THE 2019 FORM 990, SCHEDULE H.
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 OF 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, 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- PREMIER ENVIRONMENTAL ADVISORY COUNCIL - 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 2020 ENVIRONMENTAL INITIATIVES:- PLEDGED TO POWER ITS FACILITIES WITH 100% RENEWABLE ELECTRICITY BY 2030.- AVOIDED 1,392 MTCO2E OF GREENHOUSE GASES (EQUIVALENT TO 3.4 MILLION MILES OF DRIVING) THROUGH ECO-FRIENDLY MANAGEMENT OF ANESTHETIC GASES. - RECYCLED 3,390 TONS OF WASTE FROM HOSPITAL OPERATIONS.- RECYCLED 85 PERCENT, OR 3,090 TONS, OF CONSTRUCTION AND DEMOLITION DEBRIS.- SAVED 36 TONS OF WASTE FROM LANDFILL AND SAVED $1.6 MILLION VIA OUR SURGICAL AND MEDICAL DEVICE REPROCESSING PROGRAMS.- 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. ADVOCATE DONATED A TOTAL OF 53 PALLETS OF MISCELLANEOUS MEDICAL SUPPLIES AND 14 PIECES OF MEDICAL EQUIPMENT TO PROJECT CURE IN 2020, ALL OF WHICH MAY HAVE OTHERWISE BEEN LANDFILLED.- PURCHASED 48,600 FEWER REAMS OF PAPER IN 2020 VERSUS 2019 - TRANSLATING INTO A 17% YEAR-OVER-YEAR REDUCTION IN PAPER USAGE.- SPENT 83% 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 96% OF TOTAL PURCHASES.- PURCHASED $886,000 OF MEAT PRODUCTS FROM LIVESTOCK AND POULTRY RAISED WITHOUT THE ROUTINE USE OF ANTIBIOTICS (30% 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 NORTH SIDE HEALTH NETWORK ENVIRONMENTAL IMPROVEMENTS IN 2020- ACHIEVED AN ENERGY STAR SCORE OF 100!- AVOIDED 117 MTCO2E OF GREENHOUSE GASES (EQUIVALENT TO 285,024 MILES OF DRIVING) THROUGH ECO-FRIENDLY MANAGEMENT OF ANESTHETIC GASES.- DIVERTED OVER 619,000 POUNDS OF OPERATING WASTE FROM THE LANDFILL THROUGH ITS VARIOUS RECYCLING PROGRAMS. - RECYCLED 87%, OR 39 TONS, OF CONSTRUCTION AND DEMOLITION DEBRIS.- AVOIDED 7,800 POUNDS OF MEDICAL AND SOLID WASTE THROUGH ITS DEVICE REPROCESSING PROGRAMS.- PURCHASED 4,263 FEWER REAMS OF PAPER IN 2020 VERSUS 2019, TRANSLATING INTO AN 27% YEAR OVER YEAR REDUCTION IN PAPER USAGE.- 76% OF CLEANING PRODUCTS PURCHASED FOR FIVE KEY CATEGORIES (WINDOW, FLOOR, CARPET, BATHROOM, AND GENERAL PURPOSE CLEANERS) WERE THIRD-PARTY GREEN CERTIFIED. - 99% OF FURNITURE PURCHASES WERE FREE OF FIVE KEY CHEMICALS OF CONCERN.- PURCHASED 26% 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 VARIOUS MEDICAL SUPPLIES TO PROJECT CURE FOR USE IN RESOURCE-LIMITED AREAS AROUND THE WORLD.
PART III, LINE 4:	FOR 2020, FOR ANHN, THE ALLOWANCE FOR DOUBTFUL ACCOUNTS COVERED 25.93% OF NET PATIENT ACCOUNTS RECEIVABLE. PATIENT ACCOUNTS RECEIVABLE ARE STATED AT NET REALIZABLE VALUE. ANSHN 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 FINANCIAL ASSISTANCE 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 25% 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:	IN 2020, NO SHORTFALL WAS REPORTED ON PART III, LINE 7. FOR ADVOCATE NORTHSIDE'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:	ANSHN 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:	DESCRIPTION OF THE COMMUNITYFOR THE PURPOSES OF THE 2017-2019 CHNA, ADVOCATE ILLINOIS MASONIC DEFINES THE "COMMUNITY" AS ITS PSA. THE MEDICAL CENTER'S PSA CONSISTS OF 21 COMMUNITIES IN COOK COUNTY, INCLUDING FORT DEARBORN (60610), NORTH CENTER (60613), LINCOLN PARK (60614), AVONDALE/NORTH CENTER (60618), WICKER PARK (60622), RAVENSWOOD (60625), ROGERS PARK (60626), JEFFERSON PARK (60630), DUNNING (60634), BELMONT CRAGIN (60639), UPTOWN (60640), IRVING PARK/PORTAGE PARK (60641), WICKER PARK (60642), AVALON PARK/NORTH (60645), LOGAN SQUARE (60647), DIVISION STREET (60651), LAKEVIEW (60657), WEST RIDGE (60659), ROGERS PARK (60660), OLD TOWN/NEAR NORTH SIDE (60610) AND ELMWOOD (60707 AND 60635). DEMOGRAPHICS POPULATION. IN 2019, THE POPULATION OF ADVOCATE ILLINOIS MASONIC'S PSA WAS 1,186,360. THE PSA POPULATION SLIGHTLY DECREASED BY 0.05 PERCENT FROM 2010 TO 2019 (CONDUENT HEALTHY COMMUNITIES INSTITUTE [HCI], CLARITAS, 2019). AGE. TWENTY SEVEN PERCENT OF THE MEDICAL CENTER'S PSA IS UNDER THE AGE OF 18 YEARS OLD. THE 18-24 YEAR OLD AGE GROUP IS THE SMALLEST GROUP AT 7.7 PERCENT OF THE POPULATION, THE 25-64 YEAR OLD AGE GROUP IS THE LARGEST AGE GROUP AT 60.04 PERCENT OF THE POPULATIONS, AND 11.56 PERCENT OF THE POPULATION IS OVER THE AGE OF 65 (CONDUENT HCI, CLARITAS, 2019).GENDER. THERE ARE 49.65 PERCENT MALES AND 50.35 PERCENT FEMALES IN ADVOCATE ILLINOIS MASONIC'S PSA.RACE/ETHNICITY. 2019 DEMOGRAPHIC DATA SHOWS THAT THE MEDICAL CENTER'S PSA IS 62.48 PERCENT WHITE, 15.17 PERCENT "OTHER", 10.33 PERCENT BLACK/AFRICAN AMERICAN, 7.68 PERCENT ASIAN, 3.56 PERCENT 2 OR MORE RACES, 0.56 PERCENT AMERICAN INDIAN/ALASKAN NATIVE AND 0.05 PERCENT NATIVE HAWAIIAN/PACIFIC ISLANDER. THE PSA IS 32.99 PERCENT HISPANIC/LATINO AND 67.01 PERCENT NON-HISPANIC/LATINO (CONDUENT HCI, CLARITAS, 2019).INCOME. THE MEDICAL CENTER HAS 502,786 HOUSEHOLDS IN ITS PSA AND THE AVERAGE HOUSEHOLD SIZE IS 2.32 PERSONS. THE MEDIAN HOUSEHOLD INCOME FOR ADVOCATE ILLINOIS MASONIC'S PSA IS $71,593, WHICH IS $5,106 HIGHER THAN THE STATE'S AVERAGE HOUSEHOLD INCOME OF $66,487. THERE IS A RACIAL AND ETHNIC DISPARITY IN THE MEDIAN HOUSEHOLD INCOME WITH THE WHITE POPULATION HAVING THE HIGHEST MEDIAN HOUSEHOLD INCOME OF $80,630, FOLLOWED BY THE ASIAN POPULATION AT $72,081 AND THE NATIVE HAWAIIAN/PACIFIC ISLANDER POPULATION AT $67,231. THE LOWEST HOUSEHOLD INCOMES IN THE PSA ARE AMONG THE BLACK POPULATION AT $38,837, THE AMERICAN INDIAN/ALASKAN NATIVES AT $45,985, THE "OTHER RACE" POPULATION AT $49,933, AND THE HISPANIC/LATINO POPULATION AT $52,438 (CONDUENT HCI, CLARITAS, 2019). POVERTY. THE NUMBER OF FAMILIES LIVING BELOW THE FEDERAL POVERTY LEVEL (FPL) IS 30,672 (12.49 PERCENT), WHICH IS MORE THAN THE STATE OF ILLINOIS AT 9.8 PERCENT. THERE ARE 8.7 PERCENT OF FAMILIES WITH CHILDREN LIVING BELOW POVERTY, WHICH IS SLIGHTLY MORE THAN ILLINOIS AT 7.38 PERCENT (CONDUENT HCI, CLARITAS, 2019). ADULTS WITH HEALTH INSURANCE. IN COOK COUNTY 87.4 PERCENT OF ADULTS 19 AND OVER ARE IDENTIFIED AS HAVING HEALTH INSURANCE. WITHIN THE MEDICAL CENTER'S PSA, THE LARGEST SOURCE OF HEALTH INSURANCE COVERAGE COMES FROM THE COMMERCIAL SECTOR WITH 64.7 PERCENT OF THE PSA COVERED BY COMMERCIAL INSURANCE. MEDICARE PROVIDES INSURANCE TO 16.9 PERCENT OF THE PSA FOLLOWED BY MEDICAID AT 10.1 PERCENT. THE UNINSURED MAKE UP 4.5 PERCENT OF THE PSA AND 24 PERCENT ARE COVERED THROUGH VETERANS BENEFITS. HISPANIC/LATINO ADULTS HAVE THE LOWEST RATES OF HEALTH INSURANCE COMPARED TO ALL OTHER RACE/ETHNICITIES (CONDUENT HCI, CLARITAS, 2019).CHILDREN WITH HEALTH INSURANCE. AT THE COUNTY LEVEL, 97 PERCENT OF CHILDREN HAVE HEALTH INSURANCE WHICH IS EQUAL TO THE STATE OF ILLINOIS AT 97 PERCENT AND SLIGHTLY MORE THAN THE U.S. AT 95 PERCENT. THERE ARE NO RACIAL/ETHNIC DISPARITIES IN HEALTH INSURANCE RATES FOR CHILDREN IN COOK COUNTY. PERSONS WITH PUBLIC HEALTH INSURANCE ONLY. IN COOK COUNTY, 27 PERCENT OF RESIDENTS HAVE PUBLIC HEALTH INSURANCE. THE PERCENTAGE OF COOK COUNTY RESIDENTS COVERED BY PUBLIC HEALTH INSURANCE HAS INCREASED FROM 23.6 PERCENT IN 2013 TO 27 PERCENT IN 2017. HOSPITALS AND FEDERALLY QUALIFIED HEALTH CENTERS. THERE ARE ELEVEN HOSPITALS IN ADVOCATE ILLINOIS MASONIC'S PSA, INCLUDING, KINDRED-CHICAGO LAKESHORE, KINDRED-CHICAGO NORTH, THOREK MEMORIAL HOSPITAL ANDERSONVILLE, HUMBOLDT PARK HEALTH, COMMUNITY FIRST, AMITA HEALTH-SAINTS MARY AND ELIZABETH, AMITA HEALTH SAINT JOSEPH, SWEDISH COVENANT, THOREK MEMORIAL, AND WEISS MEMORIAL. THERE ARE ALSO TWO FREE CLINICS, INCLUDING THE COMMUNITYHEALTH AND OLD IRVING PARK CLINICS, AS WELL AS NINE FEDERALLY QUALIFIED HEALTH CENTERS, INCLUDING PCC WELLNESS, PRIME CARE, ERIE FAMILY HEALTH NETWORK, NEAR NORTH HEALTH SERVICE CORPORATION, HEARTLAND HEALTH, HAMDARD, ACCESS COMMUNITY HEALTH NETWORK, HOWARD BROWN AND ASIAN HUMAN SERVICES. THERE ARE SEVERAL HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA) MEDICALLY UNDERSERVED COMMUNITIES (MUP) WITHIN THE MEDICAL CENTER'S SERVICES AREA INCLUDING: RODGERS PARK (60626), BELMONT CRAGIN (60639), HUMBOLDT PARK (60651) AND AVONDALE (60618).
PART VI, LINE 3:	ANSHN ASSISTS PATIENTS WITH ENROLLMENT IN GOVERNMENT-SUPPORTED PROGRAMS FOR WHICH THEY ARE ELIGIBLE AND IN SECURING REIMBURSEMENT FROM AVAILABLE THIRD-PARTY RESOURCES. FINANCIAL COUNSELING 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 ANSHN'S HOSPITAL 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. ANSHN ASSISTS PATIENTS WITH APPLYING FOR ADVOCATE'S OWN FINANCIAL ASSISTANCE SERVICES, IF PATIENTS ARE NOT ELIGIBLE FOR GOVERNMENT-SUPPORTED PROGRAMS. ANSHN 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, CASHIER, 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. 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 INCLUDE A REQUEST THAT THE PATIENT INFORM THE HOSPITAL OF ANY AVAILABLE HEALTH INSURANCE COVERAGE, AND INCLUDE 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/POPULATION. FOR THE PURPOSES OF THE 2017-2019 CHNA, ADVOCATE ILLINOIS MASONIC DEFINES THE "COMMUNITY" AS ITS PSA. THE MEDICAL CENTER'S PSA CONSISTS OF 21 COMMUNITIES IN COOK COUNTY INCLUDING FORT DEARBORN (60610), NORTH CENTER (60613), LINCOLN PARK (60614), AVONDALE/NORTH CENTER (60618), WICKER PARK (60622), RAVENSWOOD (60625), ROGERS PARK (60626), JEFFERSON PARK (60630), DUNNING (60634), BELMONT CRAGIN (60639), UPTOWN (60640), IRVING PARK/PORTAGE PARK (60641), WICKER PARK (60642), AVALON PARK/NORTH (60645), LOGAN SQUARE (60647), DIVISION STREET (60651), LAKEVIEW (60657), WEST RIDGE (60659), ROGERS PARK (60660), OLD TOWN/NEAR NORTH SIDE (60610) AND ELMWOOD (60707 AND 60635). THE TOTAL POPULATION FOR THE PSA IS 1,186,360. THE POPULATION SLIGHTLY DECREASED BY 0.05 PERCENT FROM 2010 TO 2019. SOCIAL DETERMINANTS OF HEALTH (SDOH). ADVOCATE ILLINOIS MASONIC'S ASSESSMENT PROCESS UTILIZED THE CONDUENT HEALTHY COMMUNITIES INSTITUTE'S (HCI) SOCIONEEDS INDEX IN ORDER TO UNDERSTAND THE SOCIAL CONTEXT THAT EXISTS IN THE DEFINED COMMUNITY THAT DEEPLY INFLUENCES HEALTH. THE SOCIONEEDS INDEX IS A CONDUENT HCI INDICATOR THAT IS A MEASURE OF SOCIOECONOMIC NEED, CORRELATED WITH POOR HEALTH OUTCOMES. THE INDEX IS CALCULATED FROM SIX INDICATORS, ONE EACH FROM THE FOLLOWING AREAS: POVERTY, INCOME, UNEMPLOYMENT, OCCUPATION, EDUCATION AND LANGUAGE. THE INDICATORS ARE WEIGHTED TO MAXIMIZE THE CORRELATION OF THE INDEX WITH PREMATURE DEATH RATES AND PREVENTABLE HOSPITALIZATION RATES. ALL ZIP CODES, COUNTIES, AND COUNTY EQUIVALENTS IN THE U.S. ARE GIVEN AN INDEX VALUE FROM 0 (LOW NEED) TO 100 (HIGH NEED). TO HELP IDENTIFY THE AREAS OF HIGHEST NEED WITHIN A DEFINED GEOGRAPHIC AREA, THE SELECTED ZIP CODES ARE RANKED FROM ONE (LOW NEED) TO FIVE (HIGH NEED) BASED ON THEIR INDEX VALUE. THESE VALUES ARE SORTED FROM LOW TO HIGH AND DIVIDED INTO FIVE RANKS. THESE RANKS ARE THEN USED TO COLOR THE ZIP CODES WITH THE HIGHEST SOCIONEEDS INDEXES WITH THE DARKER COLORS. THE MEDICAL CENTER HAS SEVERAL COMMUNITIES WITHIN THE PSA THAT HAVE GREATER SOCIOECONOMIC NEEDS COMPARED TO OTHER COMMUNITIES IN THE PSA. BELMONT CRAGIN AND HUMBOLDT PARK ARE THE PSA'S HIGHEST SOCIONEED COMMUNITIES AND ARE RANKED AS FIVES IN THE SOCIONEEDS INDEX MAP. THESE TWO COMMUNITIES EXPERIENCE HIGHER RATES OF CHRONIC DISEASE AND UNEMPLOYMENT, AND HAVE SOME OF THE LOWEST MEDIAN HOUSEHOLD INCOMES IN THE PSA. DEMOGRAPHICSAGE. TWENTY-POINT-SEVEN PERCENT OF THE PSA IS UNDER THE AGE OF 18 YEARS OLD. THE 18-24-YEAR-OLD AGE GROUP IS THE SMALLEST GROUP AT 7.7 PERCENT, THE 25-64-YEAR-OLD AGE GROUP IS THE LARGEST AGE GROUP AT 60.04 PERCENT OF THE POPULATION, AND 11.56 PERCENT OF THE POPULATION IS OVER THE AGE OF 65. RACE/ETHNICITY. DEMOGRAPHIC DATA SHOWS THAT THE MEDICAL CENTER'S PSA IS 62.48 PERCENT WHITE, 15.17 PERCENT "OTHER," 10.33 PERCENT BLACK/AFRICAN AMERICAN, 7.68 PERCENT ASIAN, 3.56 PERCENT 2 OR MORE RACES, 0.56 PERCENT AMERICAN INDIAN/ALASKAN NATIVE AND 0.05 PERCENT NATIVE HAWAIIAN/PACIFIC ISLANDER. THE PSA IS 32.99 PERCENT HISPANIC/LATINO AND 67.01 PERCENT NON-HISPANIC/LATINO.HOUSEHOLDS/INCOME. THERE ARE 502,786 HOUSEHOLDS IN THE MEDICAL CENTER'S PSA AND THE AVERAGE HOUSEHOLD SIZE IS 2.32 PERSONS. THE MEDIAN HOUSEHOLD INCOME FOR THE ADVOCATE ILLINOIS MASONIC'S PSA IS $71,593, WHICH IS $5,106 HIGHER THAN THE STATE'S AVERAGE HOUSEHOLD INCOME OF $66,487. THERE IS A RACIAL AND ETHNIC DISPARITY IN THE MEDIAN HOUSEHOLD INCOME WITH THE WHITE POPULATION HAVING THE HIGHEST MEDIAN HOUSEHOLD INCOME OF $80,630, FOLLOWED BY THE ASIAN POPULATION AT $72,081 AND THE NATIVE HAWAIIAN/PACIFIC ISLANDER POPULATION AT $67,231. THE LOWEST HOUSEHOLD INCOMES ARE AMONG THE BLACK POPULATION AT $38,837, THE AMERICAN INDIAN/ALASKAN NATIVES AT $45,985, THE "OTHER RACE" POPULATION AT $49,933 AND THE HISPANIC/LATINO POPULATION AT $52,438.HEALTH INSURANCE COVERAGE. THE MEDICAL CENTER'S PSA LARGEST SOURCE OF HEALTH INSURANCE COVERAGE COMES FROM THE COMMERCIAL SECTOR WITH 64.7 PERCENT OF THE PSA BEING COVERED BY COMMERCIAL INSURANCE, WHICH IS HIGHER THAN ALL OTHER ADVOCATE AURORA SITES IN ILLINOIS. MEDICARE PROVIDES COVERAGE TO 16.9 PERCENT OF THE PSA FOLLOWED BY MEDICAID AT 10.1 PERCENT. OVER 4 PERCENT (4.5 PERCENT) OF THE PSA IS UNINSURED AND 2.4 PERCENT ARE COVERED THROUGH VETERANS BENEFITS.EMPLOYMENT. THE UNEMPLOYMENT RATE IN THE MEDICAL CENTER'S PSA IS 5.61 PERCENT, WHICH IS SLIGHTLY LESS THAN THE STATE OF ILLINOIS AT 6.7 PERCENT. THE TOP THREE INDUSTRIES OF EMPLOYMENT IN THE PSA ARE PROFESSIONAL/SCIENTIFIC/ TECHNICAL/ADMINISTRATIVE, HEALTH CARE/SOCIAL ASSISTANCE, AND ACCOMMODATIONS/FOOD SERVICES.EDUCATIONAL ATTAINMENT. OVERALL, ADVOCATE ILLINOIS MASONIC'S PSA HAS HIGHER EDUCATIONAL ATTAINMENT RATES WITH 45.66 PERCENT OF THE POPULATION HAVING A BACHELORS AND/OR GRADUATE/PROFESSIONAL DEGREE, COMPARED TO THE STATE OF ILLINOIS AT 32.33 PERCENT. FOURTEEN PERCENT OF THE MEDICAL CENTER'S PSA OVER THE AGE OF 25 HAS LESS THAN A HIGH SCHOOL DIPLOMA, WHICH IS MORE THAN ILLINOIS AT 11.31 PERCENT. HEALTH CARE RESOURCES. ADVOCATE ILLINOIS MASONIC'S COMMUNITY HEALTH STAFF MAPPED ALL HEALTH CARE RESOURCES WITHIN THE MEDICAL CENTER'S PSA. THESE HEALTH CARE RESOURCES INCLUDE TEN HOSPITALS AND ELEVEN FQHC'S (INCLUDING TWO FREE CLINICS). THESE HEALTH CARE RESOURCES INCLUDE: CHICAGO LAKESHORE-HOSPITAL; KINDRED-CHICAGO LAKESHORE-HOSPITAL; KINDRED-CHICAGO NORTH-HOSPITAL; METHODIST HOSPITAL OF CHICAGO-HOSPITAL; NORWEGIAN AMERICAN HOSPITAL-HOSPITAL; COMMUNITY FIRST HOSPITAL-HOSPITAL; AMITA HEALTH-SAINTS MARY AND ELIZABETH-HOSPITAL; AMITA HEALTH SAINT JOSEPH HOSPITAL-HOSPITAL; SWEDISH COVENANT HOSPITAL-HOSPITAL; THOREK MEMORIAL HOSPITAL-HOSPITAL; WEISS MEMORIAL HOSPITAL-HOSPITAL; PCC WELLNESS-FEDERALLY QUALIFIED HEALTH CENTER; PRIME CARE- FDERALLY QUALIFIED HEALTH CENTER; ERIE FAMILY HEALTH NETWORK-FEDERALLY QUALIFIED HEALTH CENTER; NEAR NORTH HEALTH SERVICE CORPORATION-FEDERALLY QUALIFIED HEALTH CENTER; HEARTLAND HEALTH CENTERS-FEDERALLY QUALIFIED HEALTH CENTER; HAMDARD-FEDERALLY QUALIFIED HEALTH CENTER; ACCESS COMMUNITY HEALTH NETWORK-FEDERALLY QUALIFIED HEALTH CENTER; HOWARD BROWN HEALTH-FEDERALLY QUALIFIED HEALTH CENTER; COMMUNITYHEALTH-FREE CLINIC; ASIAN HUMAN SERVICES-FEDERALLY QUALIFIED HEALTH CENTER; OLD IRVING PARK-FREE CLINIC.
PART VI, LINE 5:	THE GOVERNING COUNCIL AT ADVOCATE ILLINOIS MASONIC MEDICAL CENTER IS COMPRISED OF LOCAL COMMUNITY LEADERS AND PHYSICIANS. GOVERNING COUNCIL MEMBERS SUPPORT HOSPITAL LEADERSHIP IN THEIR PURSUIT OF THE HOSPITAL'S GOALS, REPRESENT THE COMMUNITY'S INTEREST TO THE HOSPITAL AND SERVE AS AMBASSADORS IN THE COMMUNITY. 47 PERCENT OF THE CURRENT GOVERNING COUNCIL 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 ITS DEPARTMENTS AND SPECIALTIES.THE ADVOCATE ILLINOIS MASONIC GOVERNING COUNCIL IS COMPRISED OF LOCAL COMMUNITY LEADERS AND PHYSICIANS. GOVERNING COUNCIL MEMBERS SUPPORT HOSPITAL LEADERSHIP IN THEIR PURSUIT OF THE HOSPITAL'S GOALS, REPRESENT THE COMMUNITY'S INTEREST TO THE HOSPITAL AND SERVE AS AMBASSADORS IN THE COMMUNITY. FIFTY-SEVEN PERCENT OF THE CURRENT GOVERNING COUNCIL 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 ITS DEPARTMENTS AND SPECIALTIES.THE FLEXIBLE HOUSING POOL AT ADVOCATE ILLINOIS MASONIC IS A PARTNERSHIP WITH CENTER FOR HEALTH AND HOUSING WITH THE GOAL TO REDUCE HOSPITAL AND EMS RECIDIVISM THROUGH HOUSING. LAUNCHED IN 2019, ADVOCATE ILLINOIS MASONIC HAD FOUR SLOTS TO PLACE BEHAVIORAL HEALTH PATIENTS IN PERMANENT HOUSING. MEDICAL CENTER LEADERSHIP AND TEAM MEMBERS SUPPORT THIS PROGRAM AND HAVE DEVELOPED A PANEL OF TEAM MEMBERS FROM NURSING, EMERGENCY MEDICINE, CARE MANAGEMENT, MISSION AND SPIRITUAL CARE AND COMMUNITY HEALTH TO REVIEW REFERRALS. THE PROGRAM ALSO ADDRESSES THE BEHAVIORAL HEALTH NEEDS OF INDIVIDUALS PLACED IN HOUSING THROUGH THE MEDICALLY INTEGRATED COMMUNITY CRISIS SERVICE PROGRAM AND CASE MANAGEMENT SERVICES. IN 2019, THE PANEL PLACED THREE PATIENTS INTO PERMANENT HOUSING.THE MEDICAL CENTER ALSO PARTNERS WITH ACCLIVUS, A COMMUNITY ORGANIZATION FOCUSED ON PREVENTING AND DECREASING COMMUNITY VIOLENCE. ACCLIVUS PLACES VIOLENCE INTERRUPTERS IN THE MEDICAL CENTER'S EMERGENCY DEPARTMENT (ED) TO ASSESS AND PROVIDE REFERRAL SERVICES TO ANY PATIENT ADMITTED TO THE ED DUE TO TRAUMA/VIOLENCE. THE VIOLENCE INTERRUPTERS ASSESS PATIENTS FOR SOCIAL AND HEALTH NEEDS INCLUDING HOUSING, EDUCATION AND BEHAVIORAL HEALTH, AND CONNECT THEM TO SERVICES AND PROGRAMS AT THE MEDICAL CENTER AND IN THE COMMUNITY. THE VIOLENCE INTERRUPTERS ALSO FOLLOW UP WITH PATIENTS AFTER THEY ARE DISCHARGED IN THE COMMUNITY TO DECREASE THE RISK OF RE-OCCURRING VIOLENCE. THE MEDICAL CENTER PARTNERS WITH LAKEVIEW FOOD PANTRY TO OPERATE A HOSPITAL-BASED FOOD PANTRY. IN 2019, THE MEDICAL CENTER DISTRIBUTED OVER 100 NON-PERISHABLE FOOD BAGS TO OVER 55 FOOD INSECURE PATIENTS, MANY OF WHOM HAD MULTIPLE VISITS. THE MEDICAL CENTER ALSO DISTRIBUTED OVER 20 FRESH PRODUCE BOXES TO HOSPITAL-BASED FOOD PANTRY PATIENTS. ADVOCATE ILLINOIS MASONIC HAS A LONG-STANDING COMMITMENT TO SERVING ITS COMMUNITY. IN ADDITION TO THE PROGRAMS DISCUSSED IN ANOTHER AREA OF THIS DOCUMENT, THE MEDICAL CENTER PROVIDES THE FOLLOWING PROGRAMS.- BETTER BREATHERS CLUB- QUARTERLY BLOOD DRIVES - CAR SEAT CHECKS- PROVISION OF MEETING SPACE FOR COMMUNITY ORGANIZATIONS - CPR, CHOKING AND BLEEDING CONTROL TRAININGS FOR THE COMMUNITY- SEMINARS ON INCONTINENCE- DISASTER PREPAREDNESS PLANNING FOR CHICAGO- TRAUMA SUPPORT SERVICES - EMERGENCY MEDICAL TECH TRAINING FOR THE CITY OF CHICAGO AND PRIVATE COMPANIES - HEALTHY FAMILIES (TEEN PARENTING PROGRAM)- HUMAN MILK DEPOT- BABY FRIENDLY HOSPITAL - GOLDEN AGE SENIOR PROGRAM- GBTQ OUTREACH AND EDUCATION - SEMINARS FOR CHICAGO HOUSING AUTHORITY RESIDENTS- FIRST ACCESS- SIBSHOPS FOR SIBLINGS OF DEVELOPMENTALLY DISABLED CHILDREN- STROKE EDUCATION SEMINARS- BIKE HELMET-FITTING EVENTS ENVIRONMENTAL IMPROVEMENTSADVOCATE 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 OF 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, AND WE DO SO IN A VARIETY OF WAYS. ADVOCATE HEALTH CARE WAS ONE OF 12 FOUNDING AND SPONSORING HEALTH SYSTEMS OF THE NATIONAL HEALTHIER HOSPITALS INITIATIVE, WHICH HAS NOW BECOME A PERMANENT PROGRAM OF PRACTICE GREENHEALTH. THE HEALTHIER HOSPITALS PROGRAM ENGAGES OVER 1,300 HOSPITALS IN SIX KEY CATEGORIES OF HEALTH CARE SUSTAINABILITY: ENGAGED LEADERSHIP, HEALTHIER FOODS, LESS WASTE, LEANER ENERGY, SAFER CHEMICALS, AND SMARTER PURCHASING. ENROLLED HOSPITALS HAVE ACCOMPLISHED REDUCTIONS IN MEAT PURCHASING, INCREASED PURCHASING OF LOCAL AND SUSTAINABLE FOOD, REDUCED EXPOSURE TO TOXIC CHEMICALS THROUGH GREEN CLEANING PROGRAMS AND CONVERSION OF MEDICAL PRODUCTS FREE FROM PVC AND DEHP AND DECREASED ENERGY AND WASTE. ADVOCATE IS PROUD TO JOURNEY WITH THIS GROWING MASS OF HOSPITALS THROUGH ITS OWN INVOLVEMENT AND LEADERSHIP IN THE HEALTHIER HOSPITALS CHALLENGES. ADVOCATE CONTINUES ITS LEADERSHIP, ADVOCACY AND MENTORING ROLE NATIONALLY THROUGH PARTICIPATION IN SEVERAL HEALTHCARE SUSTAINABILITY LEADERSHIP GROUPS AND ADVISORY BOARDS, ADDRESSING ANTIBIOTIC OVERUSE IN AGRICULTURE, SAFER CHEMICALS IN FURNISHING AND MEDICAL PRODUCTS, CLIMATE CHANGE, PLASTICS RECYCLING, AND ENVIRONMENTALLY PREFERABLE PURCHASING- PRACTICE GREENHEALTH MARKET TRANSFORMATION GROUP LESS MEAT, BETTER MEAT- PRACTICE GREENHEALTH MARKET TRANSFORMATION GROUP SAFER CHEMICALS- HEALTH CARE CLIMATE COUNCIL - HEALTHCARE PLASTICS RECYCLING COALITION HEALTHCARE FACILITY ADVISORY BOARD- PREMIER ENVIRONMENTAL ADVISORY COUNCIL - 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 2019 ENVIRONMENTAL INITIATIVES:- REDUCED CUMULATIVE HOSPITAL ENERGY CONSUMPTION BY 1.7 PERCENT IN TWELVE MONTHS ENDING 11/30/19. OUR 2019 ENERGY REDUCTIONS SAVED ADVOCATE $1 MILLION IN ENERGY COSTS, AND AVOIDED THE RELEASE OF 5,647 MTCO2E OF GREENHOUSE GAS EMISSIONS. - PLEDGED TO POWER ITS FACILITIES WITH 100% RENEWABLE ELECTRICITY BY 2030.- AVOIDED 1,124 MTCO2E OF GREENHOUSE GASES (EQUIVALENT TO 2.7 MILLION MILES OF DRIVING) THROUGH ECO-FRIENDLY MANAGEMENT OF ANESTHETIC GASES.- RECYCLED 3,437 TONS OF WASTE FROM HOSPITAL OPERATIONS.- RECYCLED 86 PERCENT, OR 3,166 TONS, OF CONSTRUCTION AND DEMOLITION DEBRIS.- SAVED 49 TONS OF WASTE FROM LANDFILL AND SAVED OVER $1.1 MILLION VIA OUR SURGICAL AND MEDICAL DEVICE REPROCESSING PROGRAMS.- 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. ADVOCATE DONATED A TOTAL OF 154 PALLETS OF MISCELLANEOUS MEDICAL SUPPLIES AND 65 PIECES OF MEDICAL EQUIPMENT TO PROJECT CURE IN 2019, ALL OF WHICH MAY HAVE OTHERWISE BEEN LANDFILLED.- PURCHASED OVER 25,000 FEWER REAMS OF PAPER IN 2019 VERSUS 2018 EVEN THOUGH PATIENT VOLUMES ROSE - TRANSLATING INTO AN OVER 5% YEAR-OVER-YEAR REDUCTION IN PAPER USAGE.- SPENT 77% 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 89% OF TOTAL PURCHASES.- PURCHASED 27% 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.
PART VI, LINE 6:	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) COMMUNITY SAFETY; 4) WORKFORCE DEVELOPMENT; 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 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.FEDERALLY QUALIFIED HEALTH CENTERS (FQHCS). ALL ADVOCATE'S HOSPITALS HAVE RELATIONSHIPS WITH FQHC'S OR OTHER COMMUNITY CLINICS WITHIN THEIR SERVICE AREAS FOR PROVIDING CARE FOR MEDICAID AND UNINSURED PATIENTS. ADVOCATE SHERMAN WORKS CLOSELY WITH GREATER ELGIN 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 ELGIN 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 COMMUNITY HEALTH, 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 PROVIDES MAMMOGRAMS TO AREA UNINSURED AND LOW-INCOME INDIVIDUALS THAT ARE REFERRED BY THE 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. 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.
PART VI, LINE 7, REPORTS FILED WITH STATES	IL
PART VI, 6. AFFILIATED HEALTH CARE SYSTEM CONT.	PRIMARY CARE CONNECTION-COMMUNITY HEALTH WORKERS (CHWS) IS A QUALITY IMPROVEMENT PROJECT TO ENGAGE AND EDUCATE MEDICAID BENEFICIARIES SEEN IN THE ED ON APPROPRIATE LEVEL OF CARE OPTIONS AVAILABLE TO THEM USING COMMUNITY HEALTH WORKERS. THE MAIN OBJECTIVES OF THE PRIMARY CARE CONNECTIONS INTERVENTION ARE TO: EDUCATE AND SCHEDULE LOW ACUITY PATIENTS WHO VISIT THE ED REGARDING ALTERNATIVE CARE OPTIONS AVAILABLE TO THEM; HELP THEM ESTABLISH A PRIMARY CARE MEDICAL HOME; IMPROVE CARE COORDINATION TO PREVENT INAPPROPRIATE ED UTILIZATION; AND HELP THEM NAVIGATE SPECIFIC SOCIAL DETERMINANTS OF HEALTH TO IMPROVE HEALTH OUTCOMES. THE PROGRAM EXISTS IN FOUR AAH ILLINOIS HOSPITALS INCLUDING ADVOCATE CHRIST, ADVOCATE TRINITY, ADVOCATE CONDELL AND ADVOCATE SHERMAN. THE PCC PROGRAM HAS REACHED OVER 28,235 PATIENTS SINCE ITS INCEPTION IN 2017. FROM JANUARY THROUGH DECEMBER 2020, THE PROGRAM SERVED 3,000 PATIENTS WITH A 90-DAY READMISSION RATE AMONG ALL PATIENTS OF LESS THAN THREE PERCENT. ADVOCATE CONTINUES TO PURSUE QUALITY AND UTILIZATION IMPROVEMENT ACTIVITIES LIKE THE PRIMARY CARE CONNECTIONS INTERVENTION TO ACTIVELY MANAGE AND ENGAGE THE ADVOCATE/MERIDIAN FHP MEMBERS IN ORDER TO ACHIEVE THE QUADRUPLE AIM OF IMPROVED PHYSICIAN AND PATIENT EXPERIENCE, BETTER PATIENT OUTCOMES, AND REDUCTIONS IN THE TOTAL COSTS OF CARE.ADVOCATE ALSO PROVIDES LANGUAGE AND OTHER CULTURALLY APPROPRIATE SERVICES TO IMPROVE ACCESS TO A BROAD RANGE OF HEALTH-RELATED SERVICES. LANGUAGE SERVICES. IN 2020, DESPITE THE CHALLENGES OF THE PANDEMIC, THE LANGUAGE SERVICES DEPARTMENT PROACTIVELY DEPLOYED STRATEGIES TO HELP PROVIDE UNINTERRUPTED ACCESS TO LANGUAGE SERVICES FOR PATIENTS AND THEIR FAMILIES. LANGUAGE SERVICES EXPANDED ITS VIDEO INTERPRETATION CAPABILITIES BY DEPLOYING MORE THAN 500 NEW IPADS, BRINGING THE TOTAL AT ALL IL SITES TO 1,400. ALL EMPLOYED INTERPRETERS WERE SETUP TO WORK REMOTELY AND/OR ONSITE TO PROVIDE VIDEO AND TELEPHONIC INTERPRETING SERVICES. PHONES, IPADS AND COMPUTERS HELPED CONNECT PATIENTS IN MORE THAN 250,000 INTERACTIONS ACROSS THE SYSTEM. AS THE USE OF TELEHEALTH INCREASED, INTERPRETERS WERE SEAMLESSLY INTEGRATED INTO THE TELEHEALTH PLATFORMS TO CONTINUE COMMUNICATING WITH PATIENTS IN THEIR PREFERRED LANGUAGE, RESULTING IN NEARLY 2,000 TELEHEALTH VISITS WITH AN INTERPRETER. THROUGHOUT 2020, COVID-19 INFORMATION WAS PROVIDED IN LANGUAGES OTHER THAN ENGLISH TO HELP MITIGATE THE SPREAD IN AT-RISK COMMUNITIES. IN TOTAL, 32% OF ALL TRANSLATED DOCUMENTS INCLUDED COVID-19 RELATED CONTENT. ONSITE INTERPRETERS, EQUIPMENT AND SOFTWARE WERE PROVIDED FOR COVID-19 TESTING TRAILERS, SCREENING TENTS, MOBILE UNITS AND ENTRANCE SCREENING TABLES THROUGHOUT THE SYSTEM. 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 MEDICAL CENTER IS ONE OF 765 HEALTHCARE ORGANIZATIONS, ALONG WITH ALL HOSPITALS WITHIN THE ADVOCATE AURORA HEALTH NETWORK, WHICH IS NOW THE THIRD LARGEST SYSTEM IN THE U.S. WITH ALL ITS HOSPITALS HEI LEADERS AWARDED IN 2020. LEADERS ARE RECOGNIZED FOR POLICIES AND SERVICES SUPPORTIVE OF LGBTQ RIGHTS, INCLUDING PATIENT VISITATION AND EMPLOYMENT NON-DISCRIMINATION, STAFF TRAINING IN LGBTQ PATIENT-CENTERED AND EMPLOYMENT NON-DISCRIMINATION, STAFF TRAINING IN LGBTQ PATIENT-CENTERED CARE, LGBTQ PATIENT SERVICES AND SUPPORT, TRANSGENDER PATIENT SERVICES, EMPLOYEE BENEFITS, AND PATIENT AND COMMUNITY ENGAGEMENT. IN 2016, ADVOCATE ILLINOIS MASONIC ALSO CREATED AN INTERNAL LGBTQ WORK GROUP. THE MEDICAL CENTER HAS DEVELOPED PROCESSES FOR GENDER CONFORMING IDENTIFICATION AND CAPABILITIES TO CAPTURE GENDER IDENTITY AND SEXUAL ORIENTATION SOGI DATA. ONE WAY OF DOING THIS, FOR EXAMPLE, IS TO PLACE A SIGN ON SPECIFIC ROOMS AS AN ALERT TO NURSING AND PHYSICIAN TEAM MEMBERS THAT THE ROOM'S OCCUPANT IS A GENDER DIVERSE OR GENDER EXPANSIVE (TGNC) PATIENT AND TO BE SENSITIVE OF THE PATIENT'S GENDER IDENTITY/PRONOUNS/NAME IN USE. ADVOCATE ILLINOIS MASONIC'S EXPERIENCE WAS THE MODEL FOR OTHER MEDICAL CENTERS WITHIN THE ADVOCATE AURORA HEALTH NETWORK TO PARTICIPATE IN THE HEALTH EQUALITY INDEX IN 2020, IMPACTING MILLIONS OF TEAM MEMBERS AND PATIENTS ACROSS ILLINOIS AND WISCONSIN. DESPITE THE CIRCUMSTANCES AND CHALLENGES THAT THE COVID-19 PANDEMIC BROUGHT TO THE WHOLE HEALTH CARE SYSTEM, ADVOCATE HOSPITALS CONTINUED THEIR COMMITMENT TO INCLUSIVE AND AFFIRMING CARE FOR LGBTQ PATIENTS.CULTURAL HEALTH INITIATIVES. TO BE RESPONSIVE TO THE UNIQUE CULTURAL, SPIRITUAL AND HEALTH NEEDS OF THE DIVERSE COMMUNITIES WITHIN ITS SERVICE AREA, ADVOCATE LUTHERAN GENERAL CREATED A NEW ROLE IN 2020 TO ADDRESS MULTIPLE CULTURAL HEALTH INITIATIVES. PREVIOUSLY THE HOSPITAL HAD A DESIGNATED PATIENT NAVIGATOR (POLISH) WHOSE MAIN RESPONSIBILITIES WAS THE POLISH COMMUNITY. AS OF LATE 2020, THE HOSPITAL ACQUIRED A CULTURAL AND COMMUNITY LIAISON TO SUPPORT THE HOSPITAL'S DIVERSE COMMUNITIES. THIS INDIVIDUAL IS RESPONSIBLE FOR INTEGRATING CULTURALLY APPROPRIATE SERVICES IN THE LATINX, POLISH, RUSSIAN, SOUTH ASIAN AND SENIOR POPULATIONS. IN ALIGNMENT WITH ADVOCATE AURORA HEALTH, THE PROGRAM SEEKS TO EMBED DIVERSITY AND INCLUSION IN ALL FORMS OF PATIENT CARE. ADDITIONALLY, THE CULTURAL AND COMMUNITY LIAISON PROGRAM SUPPORTS COMMUNITY EFFORTS AND WORKS IN COLLABORATION WITH ADVOCATE LUTHERAN GENERAL'S COMMUNITY HEALTH DEPARTMENT. COMMUNICATION WITH PROVIDERS AND CLINICAL SUPPORT SERVICES AROUND CULTURAL SENSITIVITIES OF THE PATIENT'S CARE PLAN AND POSSIBLE ALTERATIONS NEEDED FURTHERS THE GOAL OF SERVICE EXCELLENCE FOR ALL, PROMOTING AN ENVIRONMENT THAT MEETS THE UNEXPRESSED AND EXPRESSED NEEDS OF ALL THOSE IN THE FACILITY. THE OPPORTUNITY ALSO EXISTS TO IDENTIFY POTENTIAL BARRIERS AND TO ASSESS WHAT EDUCATIONAL MATERIALS AND HOSPITAL RESOURCES ARE NEEDED THAT SUPPORT CULTURAL SENSITIVITIES, FOSTERING GREATER COMMUNICATION BETWEEN THE PROVIDER AND PATIENT/FAMILY AROUND THE PATIENT'S CARE PLAN. DUE TO ITS LATE DEVELOPMENT IN 2020, NO OUTCOMES HAVE BEEN REPORTED, HOWEVER, 2021 PROGRAM OUTCOMES WILL BE REPORTED IN ADVOCATE'S 2021 COMMUNITY BENEFITS REPORT. 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. MENTAL HEALTH FIRST AID (MHFA). WITH INCREASING FREQUENCY, MENTAL HEALTH IS SELECTED AS A KEY COMMUNITY HEALTH PRIORITY. MENTAL HEALTH FIRST AID TRAINING FOR COMMUNITY LEADERS, HOSPITAL STAFF, FIRST RESPONDERS AND THE BROADER COMMUNITY CONTINUED IN 2020 AS ONE EVIDENCE-BASED PROGRAM DESIGNED TO IMPACT THIS ISSUE. THE EIGHT-HOUR PROGRAM INCREASES PARTICIPANTS' KNOWLEDGE OF SIGNS, SYMPTOMS AND RISK FACTORS OF MENTAL ILLNESSES AND ADDICTIONS, AND INCREASES THEIR CONFIDENCE IN AND LIKELIHOOD TO HELP AN INDIVIDUAL IN DISTRESS. AS A RESULT OF THE PANDEMIC, THE STRUCTURE OF THE MHFA TRAINING WAS MODIFIED AND MADE VIRTUAL TO MEET THE COVID-19 IN-PERSON AND SOCIAL DISTANCING RESTRICTIONS AND GUIDELINES. IN ITS SERVICE AREA, ADVOCATE CONDELL PROVIDED MENTAL HEALTH FIRST AID TRAINING TO GRAYSLAKE MIDDLE SCHOOL STAFF AND TO GRAYSLAKE HIGH SCHOOL DISTRICT 214 STAFF IN 2020. THE MEDICAL CENTER ALSO SPONSORED THE CERTIFICATION OF TWO SPANISH-SPEAKING MENTAL HEALTH FIRST AID TRAINERS. ADVOCATE GOOD SAMARITAN TRAINED 24 EMERGENCY MEDICAL SERVICES (EMS) STUDENTS IN MHFA IN 2020. FOLLOWING THE TRAINING, NINETY-SEVEN PERCENT OF PARTICIPANTS AGREE OR STRONGLY AGREE THAT THEY ARE MORE CONFIDENT ABOUT RECOGNIZING AND CORRECTING MISCONCEPTIONS ABOUT MENTAL HEALTH AND MENTAL ILLNESS. IN ADDITION, FIVE PSYCHOLOGICAL FIRST AID TRAINING SESSIONS WERE PROVIDED TO A TOTAL OF 125 FAITH LEADERS AND COMMUNITY MEMBERS IN 2020 AND NINE ADDITIONAL MENTAL HEALTH WEBINARS WERE OFFERED TO 109 COMMUNITY MEMBERS IN THE SOUTH CHICAGOLAND REGION. A TOTAL OF 234 FAITH AND COMMUNITY MEMBERS ATTENDED THESE EDUCATIONAL SEMINARS.
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 LITERALLY WALKED OVER TO OUTPATIENT CARE BY A STAFF MEMBER TO ENSURE SAME DAY FOLLOW-UP FOR OUTPATIENT APPOINTMENTS. SINCE ITS IMPLEMENTATION, FIRST ACCESS HAS CONSISTENTLY INCREASED BEHAVIORAL HEALTH PATIENTS' APPOINTMENT FOLLOW-THROUGH RATES FROM 40 PERCENT IN 2013 TO 100 PERCENT IN 2019, ALL DISCHARGED PATIENTS RECEIVED WARM HAND-OFFS TO BEHAVIORAL HEALTH SERVICES AND LEFT WITH AN OUTPATIENT PLAN OF CARE. HAVING ACHIEVED THAT, THE PROGRAM STARTED TO FOCUS ON PROVIDING ACCESS TO CARE TO ALL ADVOCATE AURORA PATIENTS AND ITS VOLUMES GREW STEADILY. IN 2020, FIRST ACCESS PROVIDED 825 INTAKES TO PATIENTS.MEDICALLY INTEGRATED CRISIS COMMUNITY SUPPORT (MICCS). THE MICCS TEAM AT ADVOCATE ILLINOIS MASONIC IS COMPRISED OF SIX CLINICIANS, A CHAPLAIN AND A PEER SUPPORT SPECIALIST WHO PROVIDE ONE-TO-TWO THERAPEUTIC, COMMUNITY-BASED CONTACTS PER PATIENT PER DAY TO ACUTELY ILL BEHAVIORAL HEALTH PATIENTS ON THE NORTHSIDE OF CHICAGO. THIS IS PARTICULARLY IMPORTANT GIVEN THE STATE'S CLOSURE OF NUMEROUS MENTAL HEALTH HOSPITALS IN ILLINOIS. THE TEAM GOES INTO THE COMMUNITY TO HELP HOMELESS AND INDIGENT PATIENTS WITH SITUATIONS IMPACTING THEIR BEHAVIORAL HEALTH, SUCH AS HOUSING AND MEDICATION STABILIZATION, THUS HELPING CLIENTS IMPROVE THEIR OVERALL HEALTH. IN 2020, MICCS SERVED 104 INDIVIDUALS ON THE CASELOAD. IN ADDITION, 100 INDIVIDUALS WERE SERVED BY THE INJECTION CLINIC, MANY OF WHICH ARE UNIQUE PATIENTS GIVEN THEY DO NOT NEED/RECEIVE INTENSIVE CASE MANAGEMENT. 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 THE CHICAGOLAND AREA. THE PROGRAM OFFERS A CONTINUUM OF CARE THAT INCLUDES CLINICAL ASSESSMENTS; PRE-SCREENINGS AND LINKAGE; INDIVIDUAL AND FAMILY THERAPY; PSYCHIATRIC EVALUATIONS AND MEDICATION MONITORING; AND INTERVENTION WITH A 24-HOUR PHONE LINE CONNECTED TO A TEXT TELEPHONE (TTY) SYSTEM. A TELE-PSYCHIATRY NETWORK ENABLES THE PROVISION OF OTHERWISE SCARCE DEAF-FRIENDLY PSYCHIATRIC SERVICES IN THE HOMES OF DEAF PATIENTS WHO HAVE RECEIVED THE FREE VIDEOPHONE EQUIPMENT AND SERVICES SUPPORTED BY THE FEDERAL COMMUNICATIONS COMMISSION (FCC). OVER THE YEARS, THE HOSPITAL HAS DISTRIBUTED SEVERAL THOUSAND FREE ASL DVDS ON HIV/AIDS, STDS, BREAST HEALTH, DIABETES, DEPRESSION AND SMOKING CESSATION. IN 2020, 66 UNIQUE PATIENTS WERE SERVED THROUGH THE DEAF AND HARD OF HEARING PROGRAM.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. IN 2020, THE CLS HELPED COORDINATE SERVICES FOR PATIENTS AND CONDUCTED 75 PATIENT CONTACTS VIA PHONE OR ZOOM. 3. 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. SEXUAL ASSAULT NURSE EXAMINERS (SANE). ADVOCATE CONDELL, ADVOCATE CHILDREN'S AND ADVOCATE'S SOUTH REGION SANE (AT ADVOCATE CHRIST, SOUTH SUBURBAN AND TRINITY) PROGRAMS CONSIST OF SEXUAL ASSAULT NURSE EXAMINERS WHO ARE NATIONALLY AND STATE CERTIFIED BY THE OFFICE OF THE ILLINOIS ATTORNEY GENERAL. SANES ARE AVAILABLE EITHER IN THE ED OR ON AN ON-CALL BASIS TO PROVIDE COMPASSIONATE, TRAUMA-INFORMED CARE TO SEXUAL ASSAULT VICTIMS SEEKING CARE IN THE ED. THESE HIGHLY TRAINED PRACTITIONERS PERFORM HEAD-TO-TOE EXAMS PERTAINING TO SEXUAL ASSAULT/ABUSE, ADDRESS MEDICAL CONCERNS SUCH AS STI (SEXUALLY TRANSMITTED INFECTION), HIV AND PREGNANCY, COLLECT FORENSIC EVIDENCE, TESTIFY IN COURT AS EXPERT WITNESSES, AND OFFER ACCESS TO AFTER-CARE RESOURCESSUPPORTING THE VICTIM THROUGH THE ENTIRE PROCESS. THE THREE SANE PROGRAM COORDINATORS WORK CLOSELY WITH A MULTI-DISCIPLINARY TEAM THAT INCLUDES LOCAL RAPE ADVOCATES, LAW ENFORCEMENT, DEPARTMENT OF CHILDREN AND FAMILY SERVICES (DCFS) AND PROSECUTORS TO ASSURE VICTIMS OF SEXUAL ASSAULT RECEIVE THE BEST CARE POSSIBLE AT ALL CONTACT POINTS. SANE PROGRAM COORDINATORS ALSO COLLABORATE TO PROVIDE BEST PRACTICE STANDARDIZED SEXUAL ASSAULT CARE THROUGHOUT ALL ADVOCATE ILLINOIS HOSPITALS SO THAT BY JANUARY 1, 2022, A SEXUAL ASSAULT NURSE EXAMINER (SANE) WILL BE AVAILABLE 24/7, 365 DAYS A YEAR TO CARE FOR SEXUALLY ASSAULTED PATIENTS. ADVOCATE CONDELL CARED FOR 72 PATIENTS IN 2020, 21 OF WHICH WERE PEDIATRIC SEXUAL ASSAULT PATIENTS (<13 YEARS)CARE PROVIDED DESPITE THE CHALLENGES OF COVID-19 AND CONCERNS THAT PREVENTED MANY INDIVIDUALS FROM SEEKING CARE IN A HOSPITAL SETTING. THE MEDICAL CENTER PROVIDED TRAINING REGARDING SEXUAL ASSAULT TREATMENT AND IN RESPONSE TO COMMUNITY PARTNER REQUESTS FOR EDUCATION FROM RAPE ADVOCACY CENTERS, LAW ENFORCEMENT, MEDICAL STUDENTS AND OTHERS, AND INCREASED ITS PARTICIPATION IN COUNTYWIDE HUMAN TRAFFICKING AWARENESS AND PREVENTION INITIATIVES. ACCLIVUS PARTNERSHIP. ACCLIVUS IS A COMMUNITY OUTREACH ORGANIZATION SEEKING TO REDUCE THE INCIDENCE OF DEADLY STREET VIOLENCE IN CHICAGO NEIGHBORHOODS. ADVOCATE CHRIST AND ADVOCATE ILLINOIS MASONIC, BOTH LEVEL I TRAUMA CENTERS SERVING THE SOUTH AND NORTH PORTIONS OF CHICAGO AND THE SUBURBS, PARTNERED WITH ACCLIVUS TO PROVIDE OUTREACH INTERVENTION SERVICES AND COMMUNITY RESOURCES FOR VICTIMS OF VIOLENCE. NEARLY ONE-THIRD OF TRAUMAS AT ADVOCATE CHRIST EACH YEAR ARE VICTIMS OF INTENTIONAL VIOLENCE, SUCH AS GUNSHOTS, STABBINGS AND/OR BATTERY. VIOLENCE, LIKE OTHER EPIDEMICS, IS PREDICTABLE AND OFTEN ENGAGED IN AS AN ACT OF RETALIATION, SO IMMEDIATE INTERVENTION IS NECESSARY. WHEN VIOLENTLY INJURED PATIENTS FROM THE CHICAGO AREA ARE TRANSPORTED TO ADVOCATE CHRIST AND ILLINOIS MASONIC, CHAPLAINS NOTIFY ACCLIVUS. ACCLIVUS HAS A HOSPITAL RESPONDER AND A CASE MANAGER ASSIGNED TO EACH ADVOCATE SITE WHO PROVIDE COUNSELING TO PATIENTS AND THEIR LOVED ONES AIMING TO REDUCE ONGOING CONFLICT IN THE COMMUNITY AND RISK OF RETALIATION. ACCLIVUS' CASE MANAGER SEES THE PATIENTS IN THE TRAUMA CLINIC AFTER DISCHARGE ENSURING COMPREHENSIVE FOLLOW-UP CARE. IN 2020, HOSPITAL RESPONDERS AT ADVOCATE CHRIST SERVED 745 PATIENTS AND MADE 254 ADDITIONAL REFERRALS TO EXISTING COMMUNITY RESOURCES. DUE TO THE PANDEMIC AND HOSPITAL VISITOR RESTRICTION POLICIES, ACCLIVUS PROVIDED SERVICES AND REFERRALS TO ADVOCATE ILLINOIS MASONIC PATIENTS REMOTELY FROM MARCH THROUGH JULY 2020. THE HOSPITAL RESPONDERS AT ADVOCATE ILLINOIS MASONIC SERVED 147 PATIENTS IN 2020, MANY OF WHICH WERE PROVIDED REFERRALS TO EXISTING COMMUNITY RESOURCES.4. 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.
PART VI, 6. AFFILIATED HEALTH CARE SYSTEM CONT.	ADVOCATE WORKFORCE INITIATIVE (AWI). THE UNEMPLOYMENT RATE OF AFRICAN-AMERICANS AND HISPANICS IN CHICAGO IS THREE TIMES THAT OF THEIR WHITE COUNTERPARTS. THE UNEMPLOYMENT RATES ARE AS HIGH AS 31.9% IN SOME NEIGHBORHOODS IN THE METROPOLITAN AREA AS COMPARED TO CHICAGO'S OVERALL UNEMPLOYMENT RATE OF 8.2%. ILLINOIS ALSO HAS THE NATION'S HIGHEST UNEMPLOYMENT RATE AMONG AFRICAN-AMERICANS. IN 2015, THE HEALTH CARE SECTOR WAS EXPECTED TO GENERATE 14,000 NEW WELL-PAYING MIDDLE-SKILL JOBS ANNUALLY IN THE CHICAGO REGION THROUGH 2019, BUT THERE WAS NOT ENOUGH SKILLED TALENT NEEDED TO FILL THESE ROLES. IN ORDER TO ADDRESS THIS ISSUE, JPMORGAN CHASE MADE A GENEROUS DONATION IN 2015 TO THE ADVOCATE CHARITABLE FOUNDATION, ADVOCATE'S CHARITABLE ARM, TO DEVELOP THE HEALTHCARE WORKFORCE COLLABORATIVE, WHICH OFFERS A CREATIVE AND MODERN SOLUTION TO THE CITY'S TALENT SHORTAGE AND ECONOMIC DISPARITIES. LED BY ADVOCATE, THIS HEALTH CARE SECTOR SKILLS-BASED TRAINING INITIATIVE CONNECTS CHICAGOLAND'S UNDEREMPLOYED AND UNEMPLOYED RESIDENTS WITH HIGH-QUALITY, IN-DEMAND JOBS IN THE RAPIDLY GROWING HEALTH CARE INDUSTRY. ADVOCATE ALSO HELPED TO LAUNCH THE CHICAGOLAND HEALTHCARE WORKFORCE COLLABORATIVE (CHWC). THE CHWC IS A CONSORTIUM OF LEADING HEALTHCARE EMPLOYERS AND INDUSTRY PARTNERS THAT BELIEVE IN THE NECESSITY OF A STRONG AND DIVERSE LOCAL HEALTHCARE WORKFORCE. BY LEVERAGING RESOURCES AND BEST PRACTICES, THE COLLABORATIVE AIMS TO SUPPORT AN INCLUSIVE HEALTHCARE WORKFORCE, PROVIDE ACCESSIBILITY FOR UNEMPLOYED AND UNDEREMPLOYED POPULATIONS, AND DEVELOP INNOVATIVE RESPONSES TO THE EVOLVING NEEDS OF THE HEALTHCARE INDUSTRY. THIS IS ACHIEVED BY IDENTIFYING AND IMPLEMENTING IMPACTFUL, DATA-DRIVEN AND ACTION-ORIENTED SOLUTIONS, WITH A SPECIFIC FOCUS ON POPULATIONS THAT ARE UNDERREPRESENTED IN THE HEALTHCARE WORKFORCE. THE WORKFORCE DEVELOPMENT PROGRAM ALIGNS TRAINING CURRICULUM TO CURRENT AND EMERGING JOB NEEDS; CONNECTS JOB SEEKERS TO EMPLOYMENT OPPORTUNITIES WITHIN ADVOCATE; INCREASES DIVERSITY WITHIN THE HEALTHCARE SECTOR; PROVIDES CAREER PATHWAYS TO ADVANCED TRAINING OR CAREER OPPORTUNITIES IN HEALTHCARE; SUPPORTS ECONOMIC DEVELOPMENT IN VULNERABLE COMMUNITIES; ESTABLISHES BEST PRACTICES, CREATING A REGIONAL/NATIONAL MODEL; AND PROVIDES SUPPORTIVE SERVICES TO REMOVE BARRIERS TO EMPLOYMENT.TO ENSURE THE INITIATIVE IS BROAD-REACHING AND COMPREHENSIVE, ADVOCATE HAS ESTABLISHED STRATEGIC ALLIANCES WITH SIX COLLEGES/UNIVERSITIES AS WELL AS NUMEROUS COMMUNITY-BASED ORGANIZATIONS TO RECRUIT, TRAIN AND SUPPORT POTENTIAL CANDIDATES. AFTER SUCCESSFUL COMPLETION OF THE TRAINING AND LICENSING EXAM, ALL PARTICIPANTS ARE GUARANTEED AN INTERVIEW WITH ADVOCATE AND RECEIVE JOB PLACEMENT ASSISTANCE. SINCE INCEPTION, THE INITIATIVE HAS TRAINED MORE THAN 900 PARTICIPANTS, WITH OVER AN 80% GRADUATION RATE, AND 84% OF THOSE PARTICIPANTS WERE PERSONS OF COLOR. FOUR HUNDRED AND SIXTY-FIVE GRADUATES FROM THE INITIATIVE ARE NOW EMPLOYED IN THE HEALTH CARE INDUSTRY. NEARLY 200 OF THOSE WERE EMPLOYED AT ADVOCATE, AND 84% HAVE MAINTAINED EMPLOYMENT FOR AT LEAST 90 DAYS. ADVOCATE HAS ALSO LAUNCHED THE NAVIGATE PROGRAMAN INCUMBENT WORKER STRATEGY FOR FRONTLINE TEAM MEMBERS. NAVIGATE PROVIDES ASSOCIATES WITH OPPORTUNITIES TO DEVELOP NEW SKILLS, DETERMINE A CAREER PATHWAY AND CONNECT WITH TOOLS AND RESOURCES. NAVIGATE HAS BEEN ROLLED OUT AT SEVERAL HOSPITALS, INCLUDING ADVOCATE TRINITY, ILLINOIS MASONIC, CHRIST, SOUTH SUBURBAN, SHERMAN AND GOOD SAMARITAN, AS WELL AS ADVOCATE MEDICAL GROUP. SINCE INCEPTION, NAVIGATE HAS ENROLLED AND SUPPORTED 338 INCUMBENT WORKERS, GUIDED MORE THAN 150 TO IDENTIFY A CAREER PATHWAY AND HAS NEARLY AN 80% GRADUATION RATE WITH AN AVERAGE SALARY OF $19.17. SEVENTY-SIX PERCENT OF GRADUATES WERE PERSONS OF COLOR. WHEN WORKPLACES AND EDUCATION FACILITIES SHUT DOWN IN 2020 DUE TO THE PANDEMIC, THERE WAS EVEN MORE URGENCY IN ENSURING AWI PARTICIPANTS COULD COMPLETE THEIR REQUIRED CLINICAL AND HOSPITAL EXTERNSHIPS TO JOIN THE WORKFORCE THAT NEEDED THEM. ADVOCATE AURORA ENHANCED ITS REMOTE LEARNING TECHNOLOGY AND LEVERAGED PROGRAM FUNDS TO SUPPORT PARTNERS WHO REQUIRED ADDITIONAL TECHNOLOGY TO ENSURE PROGRAM ACCESS. MANY PARTICIPANTS PUSHED TO SAFELY CONTINUE IN THE AWI PROGRAM WITH MODIFICATIONS. BY COMPLETING TRAINING AND CERTIFICATIONS, PROGRAM GRADUATES COULD IMMEDIATELY ENTER CRITICAL COVID-RELATED ROLES (E.G., CNAS, RESPIRATORY THERAPISTS, ETC.). SOME 2019 AWI GRADUATES WERE CERTIFIED BEFORE THE FIRST COVID-19 SURGE AND SOME AWI PRE-CERTIFICATION GRADUATES WERE BROUGHT ON IN MODIFIED ROLES TO SUPPORT COVID-19 TEAMS. DESPITE CHALLENGES AND UNCERTAINTY, ADVOCATE AURORA WAS STILL ABLE TO EXCEED ESTABLISHED GRANT OUTCOMES AND ELEVATE THE LIVES OF THOSE ABLE TO PARTICIPATE VIRTUALLY. IN 2020, 927 PROGRAM PARTICIPANTS RECEIVED TRAINING AND BECAME CERTIFIED, 427 MORE THAN THE FIVE-YEAR GOAL OF 500. JOB PLACEMENT ALSO EXCEEDED THE FIVE YEAR GOAL, REACHING 465 PARTICIPANTS AS COMPARED TO A GOAL OF 300 OVER THE FIVE-YEAR SPAN. OF THE TOTAL INDIVIDUALS PLACED IN JOBS, 197 WERE ADVOCATE AURORA HIRES. BASED ON ITS SUCCESS TO DATE, AWI AND NAVIGATE ARE NOW CORE COMPONENTS OF ADVOCATE AURORA'S WORKFORCE DEVELOPMENT STRATEGY. USING LESSONS LEARNED AND BEST PRACTICES FROM THE FIVE-YEAR CHICAGOLAND INITIATIVE, PLANS ARE TO EXPAND THE PROGRAM ACROSS THE ADVOCATE AURORA FOOTPRINT IN BOTH STATESILLINOIS AND WISCONSIN. ADVOCATE BETHANY COMMUNITY HEALTH FUND. THE ADVOCATE BETHANY COMMUNITY HEALTH FUND WAS CREATED IN 2006 TO ADDRESS THE UNIQUE HEALTH NEEDS OF CHICAGO'S WEST SIDE BY FUNDING PROGRAMS TO PROMOTE HEALTH AND WELLNESS AND REDUCE HEALTH INEQUITIES AND THEIR SOCIAL DETERMINANTS. DURING ITS 14-YEAR TERM, THE FUND ALLOCATED $14M FOR GRANTMAKING AND CAPACITY BUILDING IN FOUR PRIORITY AREAS: DIABETES, SCHOOL DROPOUT PREVENTION, VIOLENCE PREVENTION AND WORKFORCE DEVELOPMENT. OVER THE FUNDS 14-YEAR TERM, THE FUND BOARD AWARDED 473 GRANTS TO 116 UNIQUE COMMUNITY ORGANIZATIONS, SUPPORTING OVER 75,000 INDIVIDUALS. IN 2020, FINAL FUNDS WERE ALLOCATED TO MAINTAIN THE FUND'S LEGACY. THESE FINAL ALLOCATIONS INCLUDED $1.5M TO PROVIDE CONTINUED OPERATING SUPPORT TO COMMUNITY ORGANIZATIONS, AS WELL AS $272K TO PARTNERSHIP FOR SAFE AND PEACEFUL COMMUNITIES AND AMPT-ADVANCING NONPROFITS TO PROVIDE CONTINUED GRANTMAKING AND CAPACITY-BUILDING SERVICES ON CHICAGO'S WEST SIDE. LEGACY GIFTS WERE ALSO MADE TO THREE OTHER COMMUNITY ORGANIZATIONS FOCUSED ON INCREASING MINORITY LEADERSHIP AND EMPLOYMENT OPPORTUNITIES. TRAINING FUTURE HEALTH PROFESSIONALS. TO FURTHER THE TRADITION OF PROVIDING MEDICAL EDUCATION TO UNDERGRADUATE AND GRADUATE MEDICAL STUDENTS, STUDENTS IN NURSING AND OTHER ALLIED HEALTH PROFESSIONS, ADVOCATE HAS DEVELOPED LONG-TERM ACADEMIC AFFILIATIONS WITH ALL MAJOR UNIVERSITIES IN THE CHICAGO METROPOLITAN AREA FOR THE EDUCATION AND TRAINING OF THESE UNDERGRADUATE, GRADUATE AND POST-GRADUATE STUDENTS. MEDICAL EDUCATION (UNDERGRADUATE MEDICAL EDUCATION [UME]/GRADUATE MEDICAL EDUCATION [GME]/POST-GRADUATE [CME] MEDICAL EDUCATION. THE ADVOCATE MEDICAL EDUCATION DEPARTMENT'S MISSION IS TO TRAIN THE NEXT GENERATION OF PHYSICIANS THROUGH UNDERGRADUATE (UME) AND GRADUATE MEDICAL EDUCATION (GME), AND TO CONTINUE THE DEVELOPMENT OF ADVOCATE PHYSICIANS THROUGH CONTINUING MEDICAL EDUCATION (CME). AS ONE OF THE LARGEST PROVIDERS OF PRIMARY MEDICAL EDUCATION IN ILLINOIS, THERE WERE 1,387 MEDICAL STUDENT ROTATIONS COMPLETED AND 591 RESIDENTS AND FELLOWS WHO RECEIVED HANDS-ON TRAINING IN 2020 AT ADVOCATE'S FOUR ACADEMIC MEDICAL CENTERSADVOCATE BROMENN, ADVOCATE CHRIST, ADVOCATE ILLINOIS MASONIC AND ADVOCATE LUTHERAN GENERAL. ADVOCATE IS ACCREDITED BY THE ACCREDITATION COUNCIL FOR CONTINUING MEDICAL EDUCATION (ACCME) TO PROVIDE CONTINUING MEDICAL EDUCATION (CME) FOR PHYSICIANS. ADVOCATE'S CME PROGRAM PROVIDES PROFESSIONAL DEVELOPMENT THROUGH YEAR-ROUND SCHEDULING AND PLANNING OF ACCREDITED COURSES, SEMINARS AND MEETINGS FOR ADVOCATE AND NON-ADVOCATE PHYSICIANS AND HEALTH CARE PROFESSIONALS IN THE REGION. ADVOCATE'S MEDICAL STAFF SHARE THEIR EXPERTISE THROUGH GRAND ROUNDS, MORTALITY AND MORBIDITY CONFERENCES, AND JOURNAL CLUBSAS WELL AS SINGLE ACTIVITIES ADDRESSING A VARIETY OF CLINICAL AND RESEARCH TOPICS. IN 2020, ADVOCATE HOSTED 2,555 HOURS OF ACCREDITED EDUCATION TO 32,602 PARTICIPANTS, OF WHICH 20,714 WERE PHYSICIANS. DUE TO THE PANDEMIC, MOST EDUCATION WAS PROVIDED VIRTUALLY WHICH EXPANDED OUR REACH TO A BROADER AUDIENCE ACROSS THE ADVOCATE SYSTEM.
PART VI, 6. AFFILIATED HEALTH CARE SYSTEM CONT.	NURSING EDUCATION. UNDERGRADUATE AND GRADUATE (APN/NP/MANAGEMENT) NURSING EDUCATION OCCURS AT TEN ADVOCATE HOSPITALS AND AT MANY ADVOCATE MEDICAL GROUP SITES. NOTABLY, EIGHT ADVOCATE HOSPITALS HAVE EARNED MAGNET RECOGNITION FROM THE AMERICAN NURSE CREDENTIALING CENTER (ANCC), INCLUDING ADVOCATE CHILDREN'S, ADVOCATE CONDELL, ADVOCATE CHRIST, ADVOCATE GOOD SAMARITAN, ADVOCATE GOOD SHEPHERD, ADVOCATE ILLINOIS MASONIC, ADVOCATE LUTHERAN GENERAL AND ADVOCATE SHERMAN. MAGNET STATUS REPRESENTS HOSPITAL-WIDE TEAMWORK AND DEDICATION TO CREATING A POSITIVE ENVIRONMENT, WHICH HELPS ATTRACT THE BEST PHYSICIANS AND NURSES, RESULTING IN BETTER OVERALL PATIENT CARE. ALLIED HEALTH EDUCATION. ADVOCATE IS COMMITTED TO TEACHING STUDENTS IN A BROAD RANGE OF SPECIALTIES. THESE STUDENTS COME FROM LOCAL UNIVERSITIES AND COLLEGES WITH WHOM ADVOCATE HAS CONTRACTED TO PROVIDE EDUCATION. STUDENTS ARE PROVIDED A CLINICAL ENVIRONMENT IN WHICH TO LEARN IN OVER TWENTY HEALTH CARE DISCIPLINES/FIELDS, INCLUDING, BUT NOT LIMITED TO: PHARMACEUTICAL; CARDIO DIAGNOSTICS; CARDIAC REHABILITATION; RADIOLOGY, NUCLEAR MEDICINE, MRI AND X-RAY; RADIATION THERAPY; EXERCISE PHYSIOLOGY; PHYSICAL, OCCUPATIONAL, SPEECH AND RECREATIONAL THERAPY; PSYCHIATRY; BEHAVIORAL HEALTH; RESPIRATORY; AUDIOLOGY; PATHOLOGY; PODIATRY; PHLEBOTOMY; NUTRITION/DIETARY; AND DENTISTRY (DENTISTRY IS ONLY AVAILABLE THROUGH ADVOCATE ILLINOIS MASONIC). SEVERAL ADVOCATE HOSPITALS PROVIDE EMERGENCY MEDICAL TECHNICIAN (EMT) EDUCATION FROM BASIC THROUGH PARAMEDIC LEVEL. IN FACT, SOME OF THESE ADVOCATE FACILITIES SERVE AS THE LEAD HOSPITAL IN THEIR COUNTIES/SERVICE AREAS, PROVIDING EDUCATION, STANDARDIZATION OF PROTOCOLS OF CARE AMONG ALL HOSPITALS (NON-ADVOCATE INCLUDED) AND EMS RESPONDERS, AND DIRECTION OF COUNTY-WIDE EMERGENCY MEDICAL SERVICES IN RESPONSE TO COMMUNITY-BASED, MASS INJURY/CASUALTY DISASTERS. MULTIPLE ADVOCATE SYSTEM AND HOSPITAL DEPARTMENTS ALSO PROVIDE LEARNING ENVIRONMENTS FOR UNDERGRADUATE AND GRADUATE STUDENTS IN PUBLIC HEALTH AND HEALTH INFORMATION MANAGEMENT.CLINICAL PASTORAL EDUCATION (CPE). ADVOCATE'S SPIRITUAL LEADERS OVERSEE A NATIONALLY ACCREDITED CPE PROGRAM. SUPERVISING OVER 200 STUDENT UNITS EACH YEAR, THE PROGRAM IS THE LARGEST IN THE COUNTRY IN AN INTEGRATED HEALTH CARE SYSTEM, PROVIDING OPPORTUNITIES FOR SEMINARY STUDENTS, CHAPLAINS AND LOCAL FAITH LEADERS TO GROW AND DEVELOP SELF-AWARENESS AND SPIRITUAL CARE MINISTRY SKILLS. VOCATIONAL EDUCATION TO HIGH SCHOOL STUDENTS. 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. AS AN EXAMPLE, IN ORDER 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. 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. FLEXIBLE HOUSING POOL. IN 2020, THE FLEXIBLE HOUSING POOL (FHP) AT ADVOCATE ILLINOIS MASONIC PLACED ONE BEHAVIORAL HEALTH PATIENT IN PERMANENT HOUSING. THE FHP PLACED AN ADDITIONAL THREE BEHAVIORAL HEALTH PATIENTS IN TRANSITIONAL HOUSING. THE MEDICAL CENTER ALSO PROVIDES INDIVIDUALS PLACED IN PERMANENT HOUSING WITH BEHAVIORAL HEALTH AND CASE MANAGEMENT SERVICES. THE ADVOCATE LUTHERAN GENERAL CARE MANAGEMENT DEPARTMENT ALSO PLANS SAFE DISCHARGES FOR PATIENTS RECOVERING FROM HOSPITALIZATION, 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/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 2020, EXPENSES FOR ELECTRICITY, CLEANING AND RENT TOTALED $7,350. WITH TOTAL REVENUE FROM PATIENTS OR FAMILIES OF JUST $4,225, THE BALANCE OF $3,125 WAS AN EXPENSE SUBSIDIZED BY ADVOCATE LUTHERAN GENERAL. THIS TOTAL DROPPED FROM 2019 DUE TO FEWER PATIENTS SERVED IN 2020 DUE TO COVID-19.WARMING CENTER. WHILE THE SOLUTION TO END HOMELESSNESS IS MORE COMPLEX THAN PROVIDING A LOCATION FOR AN OVERNIGHT STAY, ADVOCATE RECOGNIZES THAT A CLEAN, SAFE AND SECURE PLACE TO STAY IS A CRITICAL COMPONENT OF LIFTING PEOPLE OUT OF POVERTY. ADVOCATE ILLINOIS MASONIC PROVIDES A WARMING CENTER, A SAFE WARM PLACE FOR HOMELESS INDIVIDUALS TO STAY OVERNIGHT OUT OF CHICAGO'S BITTERLY COLD, WINTERY WEATHER. IN 2020, THE WARMING CENTER WAS OPEN FOR A TOTAL OF 400 HOURS OVER A PERIOD OF 50 DAYS AT A COST OF OVER $16K TO THE MEDICAL CENTER. WHILE THE WARMING CENTER WAS NOT OPEN DURING THE LATTER PART OF 2020, THERE WERE 180 INDIVIDUALS THAT STAYED AT THE WARMING CENTER FROM JANUARY 2020-MARCH 2020. IN ADDITION, TWO ADVOCATE HOSPITALS, ADVOCATE GOOD SAMARITAN AND ADVOCATE SOUTH SUBURBAN, HAVE PARTNERSHIP WITH PADS TO PROVIDE LAUNDRY SERVICES FOR CLEANING LINENS USED IN COMMUNITY HOMELESS SHELTERS. THIS SUPPORTS THE WORK OF DUPAGE PADSTHE LARGEST PROVIDER OF INTERIM AND PERMANENT HOUSING IN DUPAGE COUNTY. THROUGH THE PROVISION OF SHELTERS AS A TEMPORARY HOME, COUPLED WITH SUPPORT SERVICES, DUPAGE PADS HELPS THESE INDIVIDUALS WORK TOWARD BECOMING SELF-SUFFICIENT. PADS FURTHER PROVIDES VITAL SUPPORT SERVICES TO ENABLE INDIVIDUALS TO RECEIVE CASE MANAGEMENT AND LIFE COACHING EMPLOYMENT SUPPORT, SUCH AS JOB COACHING, AS WELL AS ENGAGEMENT WITH EMPLOYERSEFFECTIVELY STOPPING THE CYCLE OF HOMELESSNESS. IN 2020, ADVOCATE GOOD SAMARITAN AND ADVOCATE SOUTH SUBURBAN PROVIDED LINEN CLEANING SERVICES TO AREA PADS AT A COMBINED TOTAL EXPENSE OF $6,625 FOR CLEANING OVER 10,400 POUNDS OF LINENS. THIS WAS LESS THAN THAT WHICH WAS PROVIDED IN 2019 DUE TO THE PANDEMIC.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. ONE SUCH EXAMPLE IS ADVOCATE GOOD SAMARITAN'S PARTNERSHIP WITH LOCAL FOOD PANTRIES AND THE UNIVERSITY OF ILLINOIS EXTENSION TO DEVELOP A PROGRAM THAT OFFERS HEALTHY FRESH FOOD, NUTRITION AND COOKING CLASSES TO CLIENTS OF THE FOOD PANTRIES. ANOTHER EXAMPLE IS ADVOCATE GOOD SHEPHERD'S WORK WITH VARIOUS COMMUNITY-BASED ORGANIZATIONS AND LOCAL MUNICIPAL ENTITIES THAT SERVE SENIORS TO IMPLEMENT FOOD SECURITY SCREENING FOR SENIORS. A SCREENING TOOL AND COMPREHENSIVE RESOURCE GUIDE HAVE BEEN DEVELOPED FOR SENIORS THAT SCREEN AS FOOD INSECURE. ADVOCATE GOOD SHEPHERD AND SEVERAL OTHER ADVOCATE HOSPITALS ARE GROWING VEGETABLES ON THEIR CAMPUSES OR IN THE COMMUNITY. ADVOCATE GOOD SHEPHERD HAS PARTNERED WITH A LOCAL NON-PROFIT ORGANIZATION, SMARTFARM, WHOSE MISSION IS TO BE AN EDUCATIONAL RESOURCE ON SUSTAINABLE GARDENING AND HEALTHY EATING. SMART FARM MANAGES THE ON-SITE GARDEN ON OVER 10 ACRES OF LAND OWNED BY ADVOCATE AND THE HARVESTED FRESH VEGETABLES ARE DONATED TO LOCAL FOOD PANTRIES. SIMILAR PARTNERSHIPS EXIST AT ADVOCATE SHERMAN AND ADVOCATE BROMENN. IN 2018, ADVOCATE ILLINOIS MASONIC ESTABLISHED A HOSPITAL-BASED FOOD PANTRY TO ADDRESS THE NEEDS OF FOOD INSECURE ONCOLOGY PATIENTS AND IN JANUARY 2019, THE PANTRY WAS EXPANDED TO INCLUDE FOOD INSECURE PATIENTS FROM FOUR NEW SERVICE LINES AND PROGRAMS. IN PARTNERSHIP WITH THE LAKEVIEW FOOD PANTRY, THE MEDICAL CENTER PROVIDES DRY GOOD FOOD BAGS, RE-USABLE WHEELIE GROCERY BAGS AND GIFT CARDS TO LOW-INCOME AND FOOD INSECURE PATIENTS. THE HEALTHY LIVING FOOD FARMACY PROGRAM, SUPPORTED BY A PARTNERSHIP BETWEEN THE GREATER CHICAGO FOOD DEPOSITORY AND ADVOCATE TRINITY'S LEADERSHIP, VOLUNTEERS AND COMMUNITY HEALTH DEPARTMENT, INVITES PATIENTS TO ATTEND BI-WEEKLY EVENTS TO TEACH THEM TO MAKE BETTER FOOD SELECTIONS FROM TABLES OF ASSORTED FRESH PRODUCE AND LOW-SODIUM, SHELF-STABLE PROTEINS.
PART VI, 6. AFFILIATED HEALTH CARE SYSTEM CONT.	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.PARISH NURSE MINISTRY. ADVOCATE FULLY FUNDS THREE FAITH COMMUNITY NURSE POSITIONS SERVING IN LOW-INCOME, HIGH NEED COMMUNITIES. THESE NURSES WORK IN PARTNERSHIP WITH COMMUNITY-BASED ORGANIZATIONS AND MULTIPLE CONGREGATIONS IN THE COMMUNITY. THEY WORK WITH AN ADVOCATE-FUNDED COMMUNITY CONNECTOR TO CARRY OUT PROGRAMS THAT ADDRESS HEALTH ISSUES RAISED BY THE COMMUNITY AS CRITICAL TO THEM. THIS INCLUDES INITIATIVES AROUND FOOD SECURITY, STRESS AND MENTAL WELL-BEING, CHRONIC DISEASE MANAGEMENT, AND COMMUNITY SAFETY. ADVOCATE ALSO SUPPORTS A FAITH COMMUNITY NURSE NETWORK OF 37 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. SOCIONEEDS INDEX. ADVOCATE PURCHASED ACCESS TO A TOOL FOR ITS 2014-2016 CHNA CYCLE THAT COULD BE USED BY ALL OF ITS HOSPITALS TO IDENTIFY PRIORITY OPPORTUNITIES TO IMPACT THE SOCIAL DETERMINANTS OF HEALTH IN THE COMMUNITIES SERVED BY ADVOCATE. INCLUDED IN THIS TOOL, WHICH WAS DEVELOPED BY CONDUENT HEALTHY COMMUNITIES INSTITUTE, IS THE SOCIONEEDS INDEX. THE SOCIONEEDS INDEX IS A MEASURE OF SOCIOECONOMIC NEED THAT IS CORRELATED WITH POOR HEALTH OUTCOMES. INDICATORS FOR THE INDEX ARE WEIGHTED TO MAXIMIZE THE CORRELATION OF THE INDEX WITH PREMATURE DEATH RATES AND PREVENTABLE HOSPITALIZATION RATES. THIS INDEX COMBINES MULTIPLE SOCIOECONOMIC INDICATORS INTO A SINGLE COMPOSITE VALUE. AS A SINGLE INDICATOR, THE INDEX CAN SERVE AS A CONCISE WAY TO EXPLAIN WHICH AREAS ARE OF HIGHEST NEED. A MAP WAS THEN PREPARED FOR EACH HOSPITAL SERVICE AREA ENABLING THE COMMUNITY HEALTH COUNCILS TO FOCUS PRIORITY SETTING AND PROGRAM PLANNING ON COMMUNITIES AT HIGHER LEVELS OF SOCIOECONOMIC NEED. THE INDEX WAS AGAIN USED FOR ADVOCATE'S 2017-2019 CHNA PROCESS.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). IN DECEMBER 2016, ADVOCATE JOINED LEADERS FROM HEALTH SYSTEMS IN WASHINGTON, DC, TO EXPLORE WHAT IT WOULD MEAN TO HARNESS THEIR SHARED ECONOMIC AND INTELLECTUAL POWER TO TRULY BENEFIT THEIR COMMUNITIES. "THE DISCUSSION CENTERED ON IDENTIFYING HOW ALL OF THESE ECONOMIC ASSETS (THE COMBINED PURCHASES OF $65 BILLION IN PURCHASED GOODS AND SERVICES, 1.4 MILLION EMPLOYEES AND $200 BILLION IN INVESTMENT AND ENDOWMENT PORTFOLIOS), COMBINED WITH CIVIC LEADERSHIP COULD BE DEPLOYED TO CREATE INCLUSIVE, EQUITABLE, HEALTHY AND ENVIRONMENTALLY SUSTAINABLE COMMUNITIES" (ADVANCING THE ANCHOR MISSION OF HEALTHCARE, DEMOCRACY COLLABORATIVE, 2017). ADVOCATE AURORA, IN ALIGNMENT WITH THIS STRATEGY, HAS LAUNCHED TWO SIGNIFICANT INITIATIVES TO ADDRESS HEALTH EQUITY IN THE COMMUNITIES IT SERVES. ADVOCATE AURORA $50M INVESTMENT PLEDGE. IN 2019, ADVOCATE AURORA ANNOUNCED A NATIONALLY RECOGNIZED COMMITMENT TO INVEST $50 MILLION WITH COMMUNITY DEVELOPMENT FINANCE INSTITUTIONS (CDFIS) BY 2025 TO SUPPORT AFFORDABLE HOUSING, FOOD CENTERS AND SMALL BUSINESS DEVELOPMENT IN UNDERSERVED COMMUNITIES. THIS INVESTMENT STRATEGY UNDERGIRDS ADVOCATE AURORA'S ANCHOR APPROACH ADDRESSING HEALTH INEQUITY IN THE COMMUNITIES WE SERVE. IN 2020, THE COMMUNITY INVESTMENT COMMITTEE DEVELOPED THE ADVOCATE AURORA COMMUNITY INVESTMENT POLICY TO GOVERN THE WORK, RESEARCHED BEST PRACTICES NATIONALLY AND SCREENED MULTIPLE CDFIS, LEADING TO THE DEVELOPMENT OF THREE INITIAL PARTNERSHIPS THAT WILL ADVANCE $31 MILLION OF THE FUNDING FOR LOCAL DEPLOYMENT. ADVOCATE AURORA PURCHASING COMMITMENT. ADVOCATE AURORA IS AMONG THE FIRST FIVE HEALTH SYSTEMS WHO HAVE MADE A COMMITMENT AS MEMBERS OF THE HEALTH CARE ANCHOR NETWORK TO IMPROVE THE HEALTH OF THE COMMUNITIES WE SERVE BY FOCUSING ON INCREASING DIVERSE PURCHASING SPEND AND MEETING IMPORTANT ENVIRONMENTAL SUSTAINABILITY METRICS. "WE KNOW THAT SOCIAL AND ENVIRONMENTAL DETERMINANTS HEAVILY IMPACT HEALTH OUTCOMES AND THAT DEEPLY EMBEDDED ECONOMIC AND RACIAL INEQUITIES DRIVE SUBSTANTIAL HEALTH DISPARITIES, WHICH HAVE BECOME EVEN MORE STARK IN THE CURRENT CONTEXT. WE BELIEVE THAT ALIGNING OUR PURCHASING POWER WITH OUR CLINICAL AND COMMUNITY EFFORTS TO IMPROVE SOCIETAL HEALTH AND WELLBEING REPRESENTS THE EVOLVING MISSION OF HEALTH" (HAN IMPACT PURCHASING COMMITMENT, 2020-2021). 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 OF 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 CONTINUES WORK TO REDUCE THE ENVIRONMENTAL AND HEALTH IMPACTS OF HEALTH CARE, THE SYSTEM'S 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 PRECIOUS RESOURCES FOR FUTURE GENERATIONS. IN ADDITION TO CONTINUING TO REDUCE OUR 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, THUS SPURRING MOVEMENT TOWARD HEALTHIER AND MORE SUSTAINABLE PRACTICES THROUGHOUT THE HEALTH CARE SECTOR AND WIDER MARKETPLACE. THESE COLLABORATIVE PARTNERSHIPS INCLUDE THE: HEALTHCARE ANCHOR NETWORK; HEALTH CARE CLIMATE COUNCIL; HEALTHCARE PLASTICS RECYCLING COALITION HEALTHCARE FACILITY ADVISORY BOARD; PRACTICE GREENHEALTH MARKET TRANSFORMATION GROUPLESS MEAT, BETTER MEAT; PRACTICE GREENHEALTH MARKET TRANSFORMATION GROUPSAFER CHEMICALS; PREMIER'S ENVIRONMENTAL ADVISORY COUNCIL; AND SIGNATORY OF THE CHEMICAL FOOTPRINT PROJECT.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. 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. SURPLUS MEDICAL SUPPLIES AND DECOMMISSIONED EQUIPMENT ARE DONATED TO PROJECT C.U.R.E. AND MANY ADVOCATE ASSOCIATES VOLUNTEER TIME AT ITS WAREHOUSESORTING AND PACKAGING SUPPLIES FOR DISTRIBUTION OVERSEAS. IN 2020, ADVOCATE DONATED A TOTAL OF 53 PALLETS OF MISCELLANEOUS MEDICAL SUPPLIES AND 14 PIECES OF MEDICAL EQUIPMENT TO PROJECT C.U.R.E.SUSTAINABLE BUILDINGS AND OPERATIONS. SUSTAINABILITY, SAFETY AND EFFICIENCY ARE CORE ELEMENTS OF ADVOCATE BUILDING AND OPERATIONS PROGRAMS. 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, IT NOW AIMS TO TRANSITION TO 100% RENEWABLE ELECTRICITY BY 2030.IN 2020, 85% OR 3,090 TONS OF ADVOCATE CONSTRUCTION WASTE WAS RECYCLED. 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.
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 2020, ADVOCATE ACHIEVED THE FOLLOWING. AVOIDED 1,392 MTCO2E OF GREENHOUSE GASES (EQUIVALENT TO 3.4 MILLION MILES OF DRIVING) THROUGH ECO-FRIENDLY MANAGEMENT OF ANESTHETIC GASES. 96% OF ADVOCATE'S 2020 FURNITURE PURCHASES AVOIDED FIVE KEY CHEMICALS OF CONCERN. SPENT OVER $65,000 ON THIRD PARTY CERTIFIED GREEN CLEANERS IN 2020 (83% OF TOTAL PURCHASES IN FIVE KEY CLEANING CATEGORIES). $886,000 OF ADVOCATE'S MEAT PURCHASES SUPPORTED PRODUCERS WHO RAISE THEIR ANIMALS WITHOUT THE USE OF ANTIBIOTICS. COPY PAPER USED CONTAINS 30% POST-CONSUMER RECYCLED CONTENT AND IS FOREST STEWARDSHIP COUNCIL CERTIFIED. REDUCED PAPER USAGE BY 23% FROM 2019 LEVELS--AVOIDING USE OF 48,600 REAMS OF PAPER. RECYCLED 3,390 TONS OF WASTE FROM HOSPITAL OPERATIONS. RECYCLED 85 PERCENT, OR 3,090 TONS, OF CONSTRUCTION AND DEMOLITION DEBRIS. SAVED 36 TONS OF WASTE FROM LANDFILL AND SAVED $1.6 MILLION VIA SURGICAL AND MEDICAL DEVICE REPROCESSING PROGRAMS.STAKEHOLDER HEALTH. ADVOCATE IS A FOUNDING MEMBER AND INVESTING PARTNER OF STAKEHOLDER HEALTH, FORMERLY KNOWN AS THE HEALTH SYSTEMS LEARNING GROUP. MEMBERS OF ADVOCATE STAFF SERVE ON THE ADVISORY COUNCIL AND HAVE BEEN ACTIVELY INVOLVED IN OFFERING THOUGHT LEADERSHIP AS WELL AS CONTRIBUTING TO THE WRITING OF TWO SEMINAL DOCUMENTSA 2013 HEALTH SYSTEMS LEARNING GROUP MONOGRAPH HTTPS://STAKEHOLDERHEALTH.ORG/PDF/ AND A 2016 BOOK, STAKEHOLDER HEALTH: INSIGHTS FROM NEW SYSTEMS OF HEALTH HTTPS://STAKEHOLDERHEALTH.ORG/STAKEHOLDER-HEALTH-CHAPTER-1/. THE LATTER PUBLICATION, DEVELOPED AND PUBLISHED WITH THE SUPPORT OF THE ROBERT WOOD JOHNSON FOUNDATION, IS A RICH AND DETAILED REVIEW OF SOME BEST PRACTICES IN THE AREAS OF COMMUNITY HEALTH IMPROVEMENT, AND CLINICAL AND COMMUNITY PARTNERSHIPS. THE FIRST RELEASE OF THE BOOK OCCURRED AT AN EVENT AT THE CHICAGO THEOLOGICAL SEMINARY AND WAS PLANNED AND EXECUTED BY ADVOCATE STAFF AND STAFF OF THE CENTER FOR FAITH AND COMMUNITY HEALTH TRANSFORMATION. STAKEHOLDER HEALTH ASPIRES TO IDENTIFY AND ACTIVATE A MENU OF PROVEN COMMUNITY HEALTH PRACTICES AND PARTNERSHIPS THAT WORK. ADVOCATE AURORA CONTINUES TO BE AN ACTIVE MEMBER AND LEADER OF STAKEHOLDER HEALTH.ADVOCATE BETHANY COMMUNITY HEALTH FUND (BETHANY FUND). AS INDICATED EARLIER, THE ADVOCATE BETHANY COMMUNITY HEALTH FUND WAS ESTABLISHED IN 2006 BY ADVOCATE AS PART OF AN ONGOING COMMITMENT TO HELP BUILD, PROMOTE AND SUSTAIN HEALTHY COMMUNITIES ON CHICAGO'S WEST SIDE. WHILE THE FUND CAME TO A CLOSE IN 2020, OVER THE YEARS THE BETHANY FUND SUPPORTED NONPROFIT ORGANIZATIONS THAT ARE IN THE COMMUNITIES HISTORICALLY SERVED BY ADVOCATE BETHANY HOSPITAL (NOW RML CHICAGO)INCLUDING AUSTIN, GARFIELD PARK, HUMBOLDT PARK AND NORTH LAWNDALE. THE BETHANY FUND DID THIS THROUGH PROGRAM GRANTS, ORGANIZATIONAL CAPACITY-BUILDING EVENTS AND PARTNERSHIPS TO BUILD ON THE ASSETS OF THESE COMMUNITIES. 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 (FORMERLY KNOWN AS THE HEALTH IMPACT COLLABORATIVE OF COOK COUNTY [HICCC]). ADVOCATE HEALTH CARE (NOW KNOWN AS ADVOCATE AURORA HEALTH), 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. 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, SEVEN LOCAL HEALTH DEPARTMENTS AND MORE THAN 100 COMMUNITY ORGANIZATIONS. THE ALLIANCE FOR HEALTH EQUITY COMPLETED A COLLABORATIVE CHNA BETWEEN MARCH 2018 AND MARCH 2019.THIS COLLABORATIVE CHNA CAN BE VIEWED AT HTTPS://ALLHEALTHEQUITY.ORG/WP-CONTENT/UPLOADS/2019/06/FINAL_2019_CHNA-REPORT_ALLIANCE-FOR-HEALTH-EQUITY.PDF.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 2019 CHNA, THE ALLIANCE FOR HEALTH EQUITY BUILT ON THE PREVIOUS COLLABORATIVE CHNA WORK (2016), PREVIOUS CHNA REPORTS FROM MEMBER HOSPITALS, HEALTHY CHICAGO 2.0 (2016), AND WEPLAN 2020 (2016). 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 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. ADVOCATE PROMOTES ACCOUNTABILITY FOR SYSTEM AND SITE ALIGNMENT BY INCREASING PROGRAM COORDINATION AND DEVELOPING STRONG GOVERNANCE RELATIONSHIPS.SYSTEM OVERSIGHT OF COMMUNITY HEALTH. KEY TO DEVELOPING STRONG GOVERNANCE RELATIONSHIPS IS ESTABLISHING SYSTEM BOARD ENGAGEMENT IN SUPPORT OF ADVOCATE'S COMMUNITY HEALTH VISION. AS THE FUNCTION ACCOUNTABLE FOR ADVOCATE'S SYSTEM-WIDE CHNA PROCESS AND BOTH CHNA AND STATE COMMUNITY BENEFITS REGULATORY REPORTING IN ILLINOIS, THE COMMUNITY HEALTH DEPARTMENT PROVIDES PROGRESS UPDATES AT LEAST ANNUALLY TO HOSPITAL AND SYSTEM LEADERSHIP. THE ADVOCATE HEALTH CARE NETWORK BOARD IS RESPONSIBLE FOR THE ADOPTION OF COMMUNITY HEALTH STRATEGY FOR ADVOCATE'S HOSPITALS. DURING ADVOCATE'S MOST RECENT CHNA CYCLE COMPLETED IN 2019 AND TO SUPPORT ADVOCATE HOSPITALS' PLANS TO IMPLEMENT PROGRAM STRATEGIES FOR 2020-2022, THE VICE PRESIDENT, COMMUNITY HEALTH-ILLINOIS, ANNUALLY ASSURES HOSPITAL-SPECIFIC COMMUNITY HEALTH DEPARTMENT BUDGETS ARE IN PLACE AT ALL ADVOCATE HOSPITALS. THESE BUDGETS SUPPORT ONGOING PROGRAM IMPLEMENTATION COSTS, STAFF SALARIES, ANNUAL CONTRACTED DATA ACCESS COSTS TO USE THE CHNA DATA TOOL, THE FEE TO PARTICIPATE IN THE ALLIANCE FOR HEALTH EQUITY (AHFE), USER FEES AND ANNUAL SUPPORT FOR THE LYON SOFTWARE CBISA (COMMUNITY BENEFITS INVENTORY FOR SOCIAL ACCOUNTABILITY) REPORTING TOOL. ONGOING SYSTEM LEVEL MONITORING OF BUDGETS SUPPORTS APPROPRIATE FUNDING TO SUSTAIN EXISTING AND IMPLEMENT NEW PROGRAMS THAT TARGET SELECTED COMMUNITY HEALTH PRIORITIES.
PART VI, 6. AFFILIATED HEALTH CARE SYSTEM CONT.	HOSPITAL GOVERNING COUNCILS. THE KEY TO PROMOTING ACCOUNTABILITY FOR COMMUNITY HEALTH THROUGHOUT ADVOCATE HAS BEEN SYSTEM IMPLEMENTATION OF A STANDARDIZED PROCESS FOR COMMUNITY HEALTH ASSESSMENTS, REVIEW OF KEY FINDINGS, SELECTION OF KEY PRIORITIES TO ADDRESS AND DEVELOPMENT OF SITE-SPECIFIC IMPLEMENTATION PLANS. TO OVERSEE THIS PROCESS, THE SYSTEM EXPANDED THE ROLE OF THE HOSPITAL GOVERNING COUNCILS TO INCLUDE OVERSIGHT OF THE CHNA PROCESS AND APPROVAL OF THE HOSPITAL CHNA REPORTS AND IMPLEMENTATION STRATEGIES. THIS HAS RESULTED IN COMMUNITY HEALTH BEING STRONGLY INTEGRATED INTO ADVOCATE GOVERNANCE STRUCTURES. COMMUNITY HEALTH COUNCILS COMPRISED OF COMMUNITY EXPERTS AND HOSPITAL LEADERS HAVE BEEN DEVELOPED AT EACH HOSPITAL. 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 CYCLE WERE COMMUNITY REPRESENTATIVES WITH A FOCUS ON PEOPLE WHO REPRESENTED UNDERSERVED AND VULNERABLE POPULATIONS. THE COUNCILS MEET MULTIPLE TIMES THE YEAR THAT THE HOSPITAL CHNA'S ARE COMPLETED, WHICH WAS MOST RECENTLY 2019. HOSPITAL COMMUNITY HEALTH STAFF ANALYZED AND PRESENTED PRIMARY AND SECONDARY COMMUNITY HEALTH DATA TO THE HOSPITALS' COMMUNITY HEALTH COUNCILS IN 2019. THE COUNCIL MEMBERS IDENTIFIED THE HOSPITAL SERVICE AREAS' SIGNIFICANT HEALTH NEEDS, SUBSEQUENTLY EMPLOYING A CONSENSUS BASED, PRIORITY-SETTING PROCESS 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 A LARGER HEALTH IMPROVEMENT IMPACT.CHNA DATA ASSESSMENT RESULTS, RECOMMENDATIONS FOR HEALTH IMPROVEMENT PRIORITIES AND HIGH-LEVEL IMPLEMENTATION STRATEGIES WERE PRESENTED TO THE FULL HOSPITAL GOVERNING COUNCILS FOR ENDORSEMENT. ONCE THE HEALTH IMPROVEMENT PRIORITIES AND STRATEGIES WERE APPROVED BY THE HOSPITAL GOVERNING COUNCILS FOR THE MOST RECENT 2017-2019 CHNA CYCLE, THE RESULTS WERE PRESENTED TO THE ADVOCATE HEALTH CARE NETWORK BOARD FOR APPROVAL AS THE SENIOR BODY RESPONSIBLE FOR OVERSIGHT OF COMMUNITY HEALTH PLANNING AND IMPLEMENTATION STRATEGIES. SERVICE LINE AND POPULATION HEALTH ENGAGEMENT. TO SUPPORT FURTHER ALIGNMENT WITHIN ADVOCATE, THE SYSTEM COMMUNITY HEALTH DEPARTMENT HAS ALSO WORKED TO ENGAGE SYSTEM DEFINED CLINICAL SERVICE LINES IN EXPANDING 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 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. FOLLOWING ARE TWO EXAMPLES OF EDUCATION AND PROGRAMMING ALIGNED WITH POPULATION HEALTH AND SERVICE LINE DEVELOPMENT THAT REFLECT THIS INTEGRATED APPROACH. BEHAVIORAL HEALTH. AS MENTIONED EARLIER, BEHAVIORAL HEALTH COUNCIL INTEGRATION STRATEGIES HAVE INCLUDED COMMUNITY HEALTH STAFF OFFERING THE EVIDENCE-BASED MENTAL HEALTH FIRST AID CLASSES TO TARGETED COMMUNITY MEMBERS FOR THE PURPOSE OF REDUCING STIGMA, AND TRAINING COMMUNITY MEMBERS TO RECOGNIZE MENTAL HEALTH ISSUES AND UNDERSTAND APPROPRIATE INTERVENTIONS.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 2020, MOST VOLUNTEERS WERE LIMITED TO SERVING FROM JANUARY THROUGH MID-MARCH DUE TO ADVOCATE'S ADHERENCE TO COVID-19 SAFETY GUIDELINES, WHICH SIGNIFICANTLY REDUCED THE HOURS THEY WERE ABLE TO DEVOTE TO ADVOCATE SITES. EVEN STILL, ADVOCATE STAFF MANAGED 2,743 ACTIVE COMMUNITY VOLUNTEERS IN 2020 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. ADVOCATE TEAM MEMBERS (STAFF) 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 2020, DUE TO THE COVID-19 PANDEMIC, THESE WALKS WERE HELD VIRTUALLY WITH 1,324 ADVOCATE TEAM MEMBERS REGISTERED TO WALK IN THE ANNUAL LOCAL FUNDRAISERS AND $214,390 IN CHARITABLE CONTRIBUTIONS RAISED TO SUPPORT THESE PARTNER ORGANIZATIONS AT THE COMMUNITY EVENTS. IN 2020, ADVOCATE WAS DESIGNATED BY THE AMERICAN HEART ASSOCIATION AS THE #2 HEART WALK FUNDRAISING HEALTH CARE COMPANY IN THE NATION AND THE #1 HEALTH CARE COMPANY IN THE MIDWEST. IN ADDITION, ADVOCATE'S ASSOCIATES AND PHYSICIANS GENEROUSLY SUPPORT MULTIPLE LOCAL COMMUNITY ORGANIZATIONS, PROGRAMS AND INITIATIVES, INCLUDING SOME OF ADVOCATE'S OWN SYSTEM-WIDE AND HOSPITAL-BASED COMMUNITY HEALTH PROGRAMS. IN 2020, ADVOCATE ASSOCIATES, NURSES AND PHYSICIANS CONTRIBUTED NEARLY $1.2M THROUGH THE ANNUAL ADVOCATE AURORA GIVE WELL CAMPAIGN.

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
IRV & SHELLY'S FRESH PICKS
5625 W HOWARD ST	NILES	IL	60714	204279805	N/A	$10,500	COMMUNITY SUPPORT
ADVOCATE HEALTH AND HOSPITALS CORP
3075 HIGHLAND PARKWAY SUITE 600	DOWNERS GROVE	IL	60515	362169147	501C3	$150,000,000	SUPPORT EXEMPT MISSION

Field	Value	IRS element (for citing)
Total501c3 Org	1	Total501c3OrgCnt
Total Other Org	1	TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

Field	Value	IRS element (for citing)
Form And Line Reference	PART I, LINE 2:	FormAndLineReferenceDesc
Explanation	GRANTS AND OTHER ASSISTANCE TO DOMESTIC ORGANIZATIONS AND DOMESTIC GOVERNMENTS FOR AMOUNTS REPORTED ON SCHEDULE I, ADVOCATE NORTH SIDE HEALTH NETWORK REPORTS ONLY NON PROFIT ORGANIZATIONS THAT ARE TAX-EXEMPT UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OR THAT ARE CONSISTENT WITH AND COMPLIMENTARY TO THE MISSION AND CHARITABLE, TAX-EXEMPT PURPOSES OF ADVOCATE NORTH SIDE HEALTH NETWORK. THE PURPOSES OF THESE GRANTS IS TO SUPPORT COMMUNITY PROGRAMS. CASH CONTRIBUTIONS ARE NOT MADE TO INDIVIDUALS, FOR PROFIT BUSINESSES, OR PRIVATE PROVIDERS.	ExplanationTxt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
First Class Or Charter Travel	Yes (X)	FirstClassOrCharterTravelInd
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
Independent Consultant	Yes (X)	IndependentConsultantInd
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 (30 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
JAMES SKOGSBERGH
OFFICER, DIRECTOR	$0	$1,607,310	$0	$4,480,597	$0	$109,509	$0	$593,225	$0	$29,302	$0	$6,819,943	$0	$535,447
WILLIAM P SANTULLI
PRESIDENT	$0	$1,066,673	$0	$1,571,597	$0	$67,913	$0	$258,437	$0	$35,049	$0	$2,999,669	$0	$319,972
DOMINIC J NAKIS
TREASURER	$0	$788,017	$0	$1,151,310	$0	$62,250	$0	$194,724	$0	$28,084	$0	$2,224,385	$0	$245,312
MIKE LAPPIN
SECRETARY	$0	$721,806	$0	$816,406	$0	$41,704	$0	$170,220	$0	$18,178	$0	$1,768,314	$0	$292,557
VINCENT BUFALINO MD
FORMER OFFICER	$0	$581,376	$0	$639,567	$0	$49,733	$0	$130,623	$0	$27,491	$0	$1,428,790	$0	$166,903
BARBARA BYRNE MD
FORMER OFFICER	$0	$595,892	$0	$612,362	$0	$38,439	$0	$131,197	$0	$25,692	$0	$1,403,582	$0	$160,695
KEVIN BRADY
FORMER OFFICER	$0	$557,513	$0	$627,062	$0	$38,263	$0	$126,912	$0	$36,356	$0	$1,386,106	$0	$164,039
MICHAEL GREBE
ASSISTANT SECRETARY	$0	$540,499	$0	$598,967	$0	$41,558	$0	$131,982	$0	$0	$0	$1,313,006	$0	$180,815
GARY STUCK DO
FORMER OFFICER	$0	$589,740	$0	$479,142	$0	$45,149	$0	$126,146	$0	$29,522	$0	$1,269,699	$0	$78,873
SCOTT POWDER
FORMER OFFICER	$0	$512,679	$0	$571,005	$0	$32,184	$0	$117,756	$0	$35,350	$0	$1,268,974	$0	$150,299
KELLY JO GOLSON
FORMER OFFICER	$0	$474,925	$0	$502,705	$0	$40,147	$0	$108,254	$0	$8,650	$0	$1,134,681	$0	$132,890
LESLIE LENZO
ASSISTANT TREASURER	$0	$579,502	$0	$264,550	$0	$62,116	$0	$92,380	$0	$11,410	$0	$1,009,958	$0	$80,332
SUSAN NORDSTROM LOPEZ
HOSPTIAL PRESIDENT	$528,796	$0	$361,422	$0	$32,494	$0	$8,550	$0	$28,005	$0	$959,267	$0	$0	$0
NAN NELSON
ASSISTANT TREASURER	$0	$482,832	$0	$295,537	$0	$37,603	$0	$95,664	$0	$0	$0	$911,636	$0	$145,573
RACHELLE HART
ASSISTANT SECRETARY	$0	$503,641	$0	$221,328	$0	$32,158	$0	$95,306	$0	$18,178	$0	$870,611	$0	$91,432
REV KATHIE B SCHWICH
FORMER OFFICER	$0	$249,839	$0	$348,701	$0	$36,216	$0	$70,263	$0	$88,822	$0	$793,841	$0	$86,952
JAMES DOHENY
ASSISTANT TREASURER	$0	$399,917	$0	$174,832	$0	$25,480	$0	$67,207	$0	$26,076	$0	$693,512	$0	$55,763
MICHAEL KERNS
ASSISTANT SECRETARY	$0	$348,133	$0	$151,530	$0	$25,103	$0	$59,895	$0	$30,647	$0	$615,308	$0	$47,983
STEVE HUSER
ASSISTANT TREASURER	$0	$322,068	$0	$126,492	$0	$28,058	$0	$68,729	$0	$12,365	$0	$557,712	$0	$50,708
JAMES SLINKMAN
ASSISTANT SECRETARY	$0	$311,772	$0	$135,726	$0	$18,072	$0	$54,796	$0	$31,143	$0	$551,509	$0	$43,451
LEE B SACKS MD
FORMER OFFICER	$0	$0	$0	$358,179	$0	$179,456	$0	$0	$0	$390	$0	$538,025	$0	$0
CLIFTON CLARKE
CHIEF MEDICAL OFFICER - IMMC	$384,542	$0	$87,593	$0	$9,623	$0	$8,550	$0	$1,917	$0	$492,225	$0	$0	$0
RICHARD FANTUS
CHAIR SURGERY DEPARTMENT	$420,000	$0	$28,807	$0	-$6,489	$0	$8,550	$0	$20,242	$0	$471,110	$0	$0	$0
KENNETH LAUBE
VP/CNO IMMC	$280,488	$0	$64,009	$0	$4,044	$0	$8,550	$0	$27,653	$0	$384,744	$0	$0	$0
JADA JOHNSON
CHAIR DEPT PSYCHIATRY	$265,577	$0	$57,950	$0	-$5,016	$0	$0	$0	$17,972	$0	$336,483	$0	$0	$0
JOSE ELIZONDO
CHAIR FAMILY MEDICINE	$241,073	$0	$45,670	$0	$7,744	$0	$0	$0	$21,007	$0	$315,494	$0	$0	$0
VIJAY MAKER
FORMER HCE-CHAIR SURGERY	$292,048	$0	$0	$0	-$7,139	$0	$8,550	$0	$20,242	$0	$313,701	$0	$0	$0
EARL J BARNES II
FORMER OFFICER	$0	$0	$0	$175,605	$0	$116,346	$0	$0	$0	$37	$0	$291,988	$0	$0
SUSAN CAMPBELL
FORMER OFFICER	$0	$0	$0	$122,952	$0	$136,436	$0	$0	$0	$4,054	$0	$263,442	$0	$0
BRUCE D SMITH
FORMER OFFICER	$0	$0	$0	$122,721	$0	$0	$0	$0	$0	$37	$0	$122,758	$0	$0

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
SCHEDULE J, PART I, LINE 4A	EARL J. BARNES II, FORMER ASSISTANT SECRETARY, RECEIVED A SEVERANCE PAYMENT IN THE AMOUNT OF $116,346. SUSAN CAMPBELL, FORMER DIRECTOR, RECEIVED A SEVERANCE PAYMENT IN THE AMOUNT OF $137,500. LEE B. SACKS, FORMER CHIEF MEDICAL OFFICER, RECEIVED A SEVERANCE PAYMENT IN THE AMOUNT OF $179,809. THESE PAYMENTS HAVE ALL BEEN REPORTED IN SCHEDULE J, PART II, COLUMN (B)(III).
SCHEDULE J, PART I, LINE 7	INCENTIVE PAYMENTS ARE BASED UPON A FORMULA. THE AMOUNTS ARE CALCULATED AFTER CERTAIN PERFORMANCE AND OPERATING GOALS ARE ACHIEVED. THE COMPENSATION COMMITTEE CAN EXERCISE DISCRETION OVER WHETHER INCENTIVE COMPENSATION IS PAID OUT ANNUALLY.

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp

Name Of Interested NameOfInterested

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	OSVALDO LOPEZ	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Relationship Description	FAMILY MEMBER - SUSAN NORDSTROM LOPEZ	RelationshipDescriptionTxt
Transaction	$67,952	TransactionAmt
Transaction	EMPLOYMENT	TransactionDesc
Sharing Of Revenues	0	SharingOfRevenuesInd

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 1	DESCRIPTION OF BOARD DELEGATING POWERS TO EXECUTIVE COMMITTEE THE ORGANIZATION'S BY-LAWS PROVIDE THAT THE EXECUTIVE COMMITTEE HAS THE AUTHORITY TO ACT ON BEHALF OF THE BOARD. THE EXECUTIVE COMMITTEE HAS THE SAME COMPOSITION AND MEMBERS AS THE EXECUTIVE COMMITTEE OF THE CORPORATE MEMBER. THE CORPORATE MEMBER'S EXECUTIVE COMMITTEE HAS NINE MEMBERS, CONSISTING OF THE CHAIRPERSON, THE VICE CHAIRPERSON, THE PRESIDENT, THE CHAIRPERSONS OF THE FINANCE, PLANNING HEALTH OUTCOMES AND MISSION AND SPIRITUAL CARE COMMITTEES, AND TWO OTHER DIRECTORS. THE PAST CHAIRPERSON OF THE BOARD OF DIRECTORS MAY SERVE AS AN EX-OFFICIO MEMBER OF THE COMMITTEE, WITH VOTE. EACH OF THE EXECUTIVE COMMITTEE'S MEMBERS IS ON THE BOARD. THE SCOPE OF THE EXECUTIVE COMMITTEE'S AUTHORITY INCLUDES: BE RESPONSIBLE FOR PLANNING EDUCATIONAL PROGRAMS FOR THE BOARD OF DIRECTORS; CONDUCT AN EVALUATION OF THE MEMBERS OF THE BOARD OF DIRECTORS; HAVE SUCH AUTHORITY AS SHALL BE DELEGATED BY THE BOARD OF DIRECTORS; AND ACT ON BEHALF OF THE BOARD OF DIRECTORS BETWEEN MEETINGS. THE EXECUTIVE COMMITTEE IS ACCOUNTABLE AS A BODY TO THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 2	DESCRIPTION OF BUSINESS RELATIONSHIPS AS DR. JAMES DAN, DR. VINCENT BUFALINO, DR. LEE SACKS, EARL BARNES II, JAMES DOHENY, DOMINIC NAKIS, SCOTT POWDER AND WILLIAM SANTULLI ARE EITHER DIRECTORS OR OFFICERS OF WHOLLY OWNED ADVOCATE ENTITIES, THEY ARE DEEMED TO HAVE A BUSINESS RELATIONSHIP PURSUANT TO THE INSTRUCTIONS FOR FORM 990.
FORM 990, PART VI, SECTION A, LINE 6	MEMBERS OR STOCKHOLDERS THE BY-LAWS PROVIDE FOR CORPORATE MEMBERS.
FORM 990, PART VI, SECTION A, LINE 7A	DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS THE NOT-FOR-PROFIT CORPORATIONS OF ADVOCATE HEALTH CARE, WITH THE EXCEPTION OF ADVOCATE HEALTH CARE NETWORK, HAVE CORPORATE MEMBERS WHO ELECT DIRECTORS. ADVOCATE HEALTH CARE NETWORK DOES NOT HAVE ANY MEMBERS, THEREFORE, THE AHCN BOARD ELECTS ITS DIRECTORS. THE FOR-PROFIT ORGANIZATIONS HAVE A SOLE SHAREHOLDER WHO ELECTS THE DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 7B	DESCRIPTION OF CLASSES OF PERSONS, DECISIONS REQUIRING APPROVAL AND TYPE OF VOTING RIGHTS THE FOLLOWING RESERVE POWERS IDENTIFIED IN THE BYLAWS REQUIRE THE APPROVAL OF THE CORPORATE MEMBER, ADVOCATE HEALTH CARE NETWORK: APPOINT OUTSIDE AUDITORS AND ESTABLISH AND REVISE ALL FINANCIAL CONTROL POLICIES, AND ANY CHANGES TO SUCH POLICIES, BEFORE SUCH POLICIES OR CHANGES BECOME EFFECTIVE; CAUSE THE CORPORATION TO PAY, LOAN OR OTHERWISE TRANSFER PROPERTY AND FUNDS TO OTHER ENTITIES AFFILIATED WITH THE CORPORATE MEMBER; AMEND THE BYLAWS WITHOUT ACTION OR APPROVAL BY THE BOARD OF DIRECTORS AFTER TEN DAYS NOTICE TO THE CORPORATION'S BOARD OF DIRECTORS OF THE PROPOSED AMENDMENT(S) WITH AN OPPORTUNITY FOR BOARD MEMBERS TO CONSULT WITH THE CORPORATE MEMBER REGARDING THE PROPOSED AMENDMENT; APPROVAL OF THE OVERALL MISSION, PHILOSOPHY AND VALUES STATEMENTS AND ANY AMENDMENTS OR SUPPLEMENTS TO SUCH STATEMENTS; APPROVAL OF THE OVERALL STRATEGIC PLANS; APPROVAL OF ALL OVERALL OPERATING AND CAPITAL BUDGETS BEFORE ANY EXPENDITURE, PURSUANT TO SUCH BUDGETS ARE MADE OR COMMITTED, AND APPROVAL OF ALL EXPENDITURES ABOVE ANY LIMIT THAT MAY BE ESTABLISHED BY THE BOARD OF THE CORPORATE MEMBER; APPROVAL OF THE INCURRENCE OR GUARANTEE OF ANY INDEBTEDNESS FOR BORROWED MONEY WHICH HAS NOT ALREADY BEEN APPROVED AS PART OF THE BUDGET APPROVAL PROCESS OR WHICH IS ABOVE ANY LIMIT THAT MAY BE ESTABLISHED BY THE BOARD OF THE CORPORATE MEMBER; APPROVAL OF ALL TRANSFERS OF OWNERSHIP OR DONATIONS OF ASSETS ABOVE ANY LIMIT THAT MAY BE ESTABLISHED BY THE BOARD OF THE CORPORATE MEMBER; APPROVAL OF ALL AMENDMENTS TO THE ARTICLES OF INCORPORATION AND BYLAWS OF THE CORPORATION BEFORE THEY BECOME EFFECTIVE; APPROVAL OF ANY MERGER, CONSOLIDATION, OR DISSOLUTION; AND APPROVAL OF THE CREATION OF OR AFFILIATION WITH ANY SUBSIDIARY OR AFFILIATE, BEFORE SUCH ENTITY IS CREATED OR THE ENTRANCE INTO ANY JOINT VENTURE IF THE CONTEMPLATED ACTIVITY WILL INVOLVE THE EXPENDITURE OF FUNDS OR THE ASSUMPTION OF OBLIGATIONS WHICH HAVE NOT ALREADY BEEN APPROVED AS A PART OF THE BUDGET APPROVAL PROCESS OR REQUIRE MEMBER APPROVAL UNDER THE FINANCIAL CONTROL POLICIES.
FORM 990, PART VI, SECTION B, LINE 11B	DESCRIPTION OF THE PROCESS USED BY MANAGEMENT AND/OR GOVERNING BODY TO REVIEW 990 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, TO ADVISE AND ASSIST WITH PREPARATION OF THE FORM 990. 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 AND 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	DESCRIPTION OF THE PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST 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 A DISCLOSURE STATEMENT TO THE COMPLIANCE DEPARTMENT, WHICH IDENTIFIES ACTIVITIES AND RELATIONSHIPS THAT COULD POTENTIALLY GIVE RISE TO A CONFLICT OF INTEREST. THE CHIEF COMPLIANCE OFFICER REVIEWS THE DISCLOSURE 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 COMMITTEE THEREOF, OR A PERSON OF INTEREST, IF 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	OFFICES AND POSITIONS FOR WHICH PROCESS WAS USED AND YEAR PROCESS WAS BEGUN EXECUTIVE COMPENSATION AT THE ADVOCATE HEALTH CARE NETWORK AND SUBSIDIARIES IS BASED ON A BOARD OF DIRECTORS' APPROVED STRATEGY THAT GUIDES THE CORPORATION IN ESTABLISHING COMPENSATION OPPORTUNITIES FOR EXECUTIVES, MANAGERS, PROFESSIONALS, AND ALL EMPLOYEES. IN THIS STRATEGY, SPECIFIC MARKET COMPARISONS 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 ON-GOING REVIEW OF THE PERFORMANCE OF THE ORGANIZATION, AND - ACTIVE, EXTERNAL REVIEW AND AUDITING OF COMPENSATION BY EXTERNAL INDEPENDENT CONSULTANTS.
FORM 990, PART VI, SECTION C, LINE 19	AVAILABILITY OF GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS TO THE GENERAL PUBLIC THE ORGANIZATION MAKES ITS FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC THROUGH THE FOLLOWING SITES: - DACBOND.COM (DIGITAL ASSURANCE CERTIFICATION, LLC) - EMMA.MSRB.ORG (ELECTRONIC MUNICIPAL MARKET ACCESS) THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENT OR CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC.
FORM 990, PART XI, LINE 9:	CAPITAL TRANSFERS - GRANTS 375,000.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (10 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
3075 HIGHLAND PARKWAY STE 600	DOWNERS GROVE	IL	60515	362167779	PARENT CORP	IL	501(C)(3)	LINE 12C, III-FI	N/A	0
ADVOCATE CONDELL MEDICAL CENTER
3075 HIGHLAND PARKWAY STE 600	DOWNERS GROVE	IL	60515	262525968	HEALTH CARE	IL	501(C)(3)	LINE 3		0	AHHC
ADVOCATE HEALTH & HOSPITALS CORPORATION
3075 HIGHLAND PARKWAY STE 600	DOWNERS GROVE	IL	60515	362169147	HEALTH CARE	IL	501(C)(3)	LINE 3		0	AHCN
ADVOCATE CHARITABLE FOUNDATION
3075 HIGHLAND PARKWAY STE 600	DOWNERS GROVE	IL	60515	363297360	FUNDRAISING	IL	501(C)(3)	LINE 7		0	AHCN
EHS HOME HEALTH CARE SERVICE INC
3075 HIGHLAND PARKWAY STE 600	DOWNERS GROVE	IL	60515	362913108	HOME CARE	IL	501(C)(3)	LINE 10		0	AHHC
MERIDIAN HOSPICE
3075 HIGHLAND PARKWAY STE 600	DOWNERS GROVE	IL	60515	363158667	HOSPICE CARE	IL	501(C)(3)	LINE 10		0	EHSHHCS
MASONIC FAMILY HEALTH FOUNDATION INC
3075 HIGHLAND PARKWAY STE 600	DOWNERS GROVE	IL	60515	364397387	FUNDRAISING	IL	501(C)(3)	LINE 12A, I		0	MFHS
ADVOCATE SHERMAN HOSPITAL
3075 HIGHLAND PARKWAY STE 600	DOWNERS GROVE	IL	60515	362167920	HEALTH CARE	IL	501(C)(3)	LINE 3		0	AHCN
SHERMAN WEST COURT
3075 HIGHLAND PARKWAY STE 600	DOWNERS GROVE	IL	60515	363725580	NURSING CARE	IL	501(C)(3)	LINE 10		0	ASH
ADVOCATE AURORA HEALTH INC
3075 HIGHLAND PARKWAY STE 600	DOWNERS GROVE	IL	60515	824184596	SUPPORT ORG	DE	501(C)(3)	LINE 12C, III-FI	N/A	0

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

Field	Value	IRS element (for citing)
Business Name Line1	DMA 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 (13 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
3075 HIGHLAND PARKWAY SUITE 600	DOWNERS GROVE	IL	60515	363315416	HEALTH SERVICES	IL	N/A	C	0
EVANGELICAL SERVICES CORPORATION
3075 HIGHLAND PARKWAY SUITE 600	DOWNERS GROVE	IL	60515	363208101	MGMT SERVICES	IL	N/A	C	0
HIGH TECHNOLOGY INC
3075 HIGHLAND PARKWAY SUITE 600	DOWNERS GROVE	IL	60515	363368224	MEDICAL SERVICES	IL	N/A	C	0
DREYER CLINIC INC
3075 HIGHLAND PARKWAY SUITE 600	DOWNERS GROVE	IL	60515	362690329	MEDICAL SERVICES	IL	N/A	C	0
BROMENN PHYSICIAN MANAGEMENT CORPORATION
3075 HIGHLAND PARKWAY SUITE 600	DOWNERS GROVE	IL	60515	371313150	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 MGMT	IL	N/A	C	0
SHERMAN VENTURES INC
3075 HIGHLAND PARKWAY SUITE 600	DOWNERS GROVE	IL	60515	364292309	HOLDING COMPANY	IL	N/A	C	0
ADVOCATE HPN NFP
3075 HIGHLAND PARKWAY SUITE 600	DOWNERS GROVE	IL	60515	810893878	HEALTH IMPRV MGMT	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 MGMT	IL	N/A	C	0
ADVOCATE PHYSICIAN PARTNERS ACCOUNTABLE
1701 WEST GOLF ROAD	ROLLING MEADOWS	IL	60008	455498384	HEALTH CARE MGMT	IL	N/A	C	0
ADVOCATE PHYSICIAN PARTNERS RISK PURCH
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	Yes (1)	ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org	Yes (1)	GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org	Yes (1)	GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org	0	LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth Org	0	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	Yes (1)	RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org	Yes (1)	PerformOfServicesForOthOrgInd
Perform Of Services By Other Org	Yes (1)	PerformOfServicesByOtherOrgInd
Sharing Of Facilities	0	SharingOfFacilitiesInd
Paid Employees Sharing	0	PaidEmployeesSharingInd
Reimbursement Paid To Other Org	Yes (1)	ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other Org	Yes (1)	ReimbursementPaidByOtherOrgInd
Transfer To Other Org	Yes (1)	TransferToOtherOrgInd
Transfer From Other Org	Yes (1)	TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (12 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
ADVOCATE HEALTH & HOSPITALS CORP
A	$2,299,965	COST
ADVOCATE CHARITABLE FOUNDATION
C	$1,048,723	COST
MASONIC FAMILY HEALTH FOUNDATION
C	$407,475	COST
ADVOCATE HEALTH & HOSPITALS CORP
K	$1,852,321	COST
ADVOCATE HEALTH & HOSPITALS CORP
L	$1,389,277	COST
ADVOCATE HEALTH & HOSPITALS CORP
M	$100,535,165	COST
ADVOCATE HEALTH & HOSPITALS CORP
P	$127,499,595	COST
ADVOCATE HEALTH & HOSPITALS CORP
Q	$57,819,039	COST
ADVOCATE HEALTH & HOSPITALS CORP
R	$39,098,452	COST
ADVOCATE HEALTH & HOSPITALS CORP
S	$28,359,527	COST
ADVOCATE HEALTH & HOSPITALS CORP
C	$20,000,000	COST
ADVOCATE HEALTH & HOSPITALS CORP
B	$150,000,000	COST