ADVOCATE HEALTH AND HOSPITALS CORPORATION: Form 990, tax year 2020

View the entire original 990 at ProPublica ↗

Organization: ADVOCATE HEALTH AND HOSPITALS CORPORATION (EIN 36-2169147)
Tax period: 2020-01-01 to 2020-12-31
Filed: 2021-11-16
IRS object ID: 202103209349301815
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 F
Schedule H
Schedule I
Schedule J
Schedule K
Schedule K
Schedule K
Schedule K
Schedule L
Schedule O
Schedule R

Return header ReturnHeader

Field	Value	IRS element (for citing)
Return	2021-11-16T12:34:57-06:00	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	362169147	EIN

Business Name BusinessName

Field	Value	IRS element (for citing)
Business Name Line1	ADVOCATE HEALTH AND HOSPITALS CORP	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	2021-11-16	SignatureDt

Signing Officer SigningOfficerGrp

Person Full Name PersonFullName

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

Field	Value	IRS element (for citing)
SSN	999009999	SSN

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	JAMES SKOGSBERGH	PrincipalOfficerNm

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

Field	Value	IRS element (for citing)
Gross Receipts	$8,718,072,681	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	1906	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	11	VotingMembersIndependentCnt
Total Employee	35695	TotalEmployeeCnt
Total Volunteers	1791	TotalVolunteersCnt
Total Gross UBI	$5,198,687	TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm	$0	NetUnrelatedBusTxblIncmAmt
PY Contributions Grants	$28,047,472	PYContributionsGrantsAmt
CY Contributions Grants	$711,097,463	CYContributionsGrantsAmt
PY Program Service Revenue	$5,388,961,319	PYProgramServiceRevenueAmt
CY Program Service Revenue	$5,094,113,885	CYProgramServiceRevenueAmt
PY Investment Income	$244,267,870	PYInvestmentIncomeAmt
CY Investment Income	-$79,361,176	CYInvestmentIncomeAmt
PY Other Revenue	$11,342,585	PYOtherRevenueAmt
CY Other Revenue	$21,088,747	CYOtherRevenueAmt
PY Total Revenue	$5,672,619,246	PYTotalRevenueAmt
CY Total Revenue	$5,746,938,919	CYTotalRevenueAmt
PY Grants And Similar Paid	$7,301,611	PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid	$81,672,107	CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members	$0	PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members	$0	CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid	$2,658,864,681	PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid	$2,862,713,025	CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns	$0	PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns	$0	CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense	$0	CYTotalFundraisingExpenseAmt
PY Other Expenses	$3,034,943,930	PYOtherExpensesAmt
CY Other Expenses	$2,927,570,929	CYOtherExpensesAmt
PY Total Expenses	$5,701,110,222	PYTotalExpensesAmt
CY Total Expenses	$5,871,956,061	CYTotalExpensesAmt
PY Revenues Less Expenses	-$28,490,976	PYRevenuesLessExpensesAmt
CY Revenues Less Expenses	-$125,017,142	CYRevenuesLessExpensesAmt
Total Assets BOY	$14,268,789,247	TotalAssetsBOYAmt
Total Assets EOY	$16,281,554,867	TotalAssetsEOYAmt
Total Liabilities BOY	$8,971,712,438	TotalLiabilitiesBOYAmt
Total Liabilities EOY	$10,649,148,789	TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY	$5,297,076,809	NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY	$5,632,406,078	NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part III	Yes (X)	InfoInScheduleOPartIIIInd
Mission	THE MISSION OF ADVOCATE HEALTH AND HOSPITALS CORPORATION IS TO SERVETHE HEALTH NEEDS OF INDIVIDUALS, FAMILIES AND COMMUNITIES THOUGH AWHOLISTIC PHILOSOPY ROOTED IN OUR FUNDAMENTAL UNDERSTANDING OF HUMANBEINGS AS CREATED IN THE IMAGE OF GOD.	MissionDesc
Significant New Program Srvc	0	SignificantNewProgramSrvcInd
Significant Change	0	SignificantChangeInd
Expense	$2,791,872,793	ExpenseAmt
Grant	$81,672,107	GrantAmt
Revenue	$3,046,944,132	RevenueAmt
Desc	FINANCIAL ASSISTANCE PROVIDING INPATIENT AND OUTPATIENT HEALTHCARE SERVICES TO THE COMMUNITY REGARDLESS OF THE PATIENTS' ABILITY TO PAY. INCLUDED IN THESE HEALTH CARE SERVICES ARE THE PROVISION OF FINANCIAL ASSISTANCE AND TRAUMA CARE. AS PART OF ITS COMMUNITY BENEFITS STRATEGY AND ITS VISION AND VALUES, ADVOCATE IS COMMITTED TO PROMOTING INITIATIVES THAT ENHANCE ACCESS TO HEALTH CARE FOR PEOPLE WHO ARE UNINSURED, UNDERINSURED AND LOW INCOME. 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.ADVOCATE HEALTH CARE IS DEDICATED TO PROVIDING EXPERT EMERGENCY CARETODAY AND INTO THE FUTURE. IN THE AREA OF TRAUMA CARE, LEVEL 1 DESIGNATION IS THE HIGHEST LEVEL FOR TRAUMA CENTERS. AS LEVEL 1 TRAUMA CENTERS, FIVE ADVOCATE HOSPITALSADVOCATE CHRIST, ADVOCATE CONDELL, ADVOCATE GOOD SAMARITAN, ADVOCATE ILLINOIS MASONIC AND ADVOCATE LUTHERAN GENERALCARE FOR THE MOST SERIOUSLY INJURED PEOPLE IN CHICAGOLAND. AS IS THE CASE WITH ALL ILLINOIS LEVEL I TRAUMA CENTERS, ADVOCATE'S TRAUMA CENTERS ARE STAFFED BY ON-SITE, 24-HOUR-A-DAY TRAUMA SURGEONS; FEATURE 24-HOUR SURGICAL AND NONSURGICAL SERVICES, SUCH AS RADIOLOGY AND ANESTHESIA; AND CAN ACCOMMODATE HELICOPTER TRANSPORTS. ADVOCATE OPERATES NEARLY ONE-QUARTER OF ALL LEVEL I TRAUMA CENTERS IN ILLINOIS AND IS THE LARGEST TRAUMA SYSTEM IN THE STATE. TWENTY PERCENT OF TRAUMA PATIENTS IN METROPOLITAN CHICAGO ARE TREATED ANNUALLY IN AN ADVOCATE TRAUMA CENTER. IN 2019 , ADVOCATE'S LEVEL I TRAUMA HOSPITALS TREATED 10,524 TRAUMA PATIENTS. AN ADDITIONAL 2,025 TRAUMA PATIENTS WERE TREATED AT ADVOCATE'S LEVEL II DESIGNATED TRAUMA HOSPITALSADVOCATE BROMENN, ADVOCATE GOOD SHEPHERD AND ADVOCATE SHERMAN. IN ADDITION TO THE TRAUMA I AND II PATIENTS, THERE WERE 528,479 NON-TRAUMA ER VISITS TO ADVOCATE'S HOSPITALS IN 2019.1 DUE TO COVID-19 RELATED DELAYS, THE SOURCE FOR HOSPITAL UTILIZATION DATA, THE HEALTH FACILITIES & SERVICES REVIEW BOARD (HFRSB), HAD NOT POSTED 2020 ANNUAL HOSPITAL QUESTIONNAIRE (AHQ) OUTCOMES DATA ON ITS WEBPAGE AT THE TIME THIS DOCUMENT WAS DRAFTEDTHEREFORE, 2019 DATA HAS BEEN USED IN PLACES WHERE 2020 DATA WAS UNAVAILABLE.	Desc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

Field	Value	IRS element (for citing)
Expense	$1,372,636,944	ExpenseAmt
Revenue	$1,143,395,885	RevenueAmt
Desc	HEALTH CARE SERVICES PROVIDED BY PHYSICIANS EMPLOYED BY THE ORGANIZATION. AS PART OF ADVOCATE'S BROAD ARRAY OF SERVICES AND PROGRAMS DESIGNED TO MEET COMMUNITY HEALTH NEEDS, ADVOCATE PHYSICIANS TARGET UNIQUE HEALTH ACCESS NEEDS OF THE UNINSURED, UNDERINSURED, UNDERSERVED, LOW INCOME AND SPECIAL NEEDS INDIVIDUALS LIVING IN CHICAGOLAND AND CENTRAL ILLINOIS COMMUNITIES. EXAMPLES OF THESE PROGRAMS INCLUDE:ADVOCATE ADULT DOWN SYNDROME CENTER. ESTABLISHED IN 1992 THROUGH A PARTNERSHIP BETWEEN ADVOCATE LUTHERAN GENERAL AND THE NATIONAL ASSOCIATION FOR DOWN SYNDROME (NADS), THE ADVOCATE MEDICAL GROUP ADULT DOWN SYNDROME CENTER PROVIDES CRUCIAL PSYCHOSOCIAL AND MEDICAL SERVICES TO ADOLESCENTS AND ADULTS WITH DOWN SYNDROME LIVING IN ALL AREAS OF ILLINOIS. EACH YEAR, APPROXIMATELY 2,000 INDIVIDUALS ARE SERVED THROUGH OVER 7,000 VISITS, INCLUDING CARE IN THE OFFICE, THE PATIENT'S HOME, AT RESIDENTIAL FACILITIES, NURSING HOMES AND IN THE HOSPITAL. THE CENTER'S MULTIDISCIPLINARY APPROACH TO COMPREHENSIVE MEDICAL CARE, WITH A STRONG EMPHASIS ON PREVENTIVE MEDICINE, PROVIDES PRACTICAL APPROACHES TO HEALTH EDUCATION AND HEALTH RISK REDUCTION, INCLUDING SUPPORTING PEOPLE WITH DOWN SYNDROME IN THEIR OWN HEALTH PROMOTION EFFORTS. REIMBURSEMENT IS REDUCED GIVEN MORE TIME IS PROVIDED TO EACH PATIENT VISIT TO ALLOW INDIVIDUALS WITH DOWN SYNDROME TO PARTICIPATE IN THEIR OWN HEALTH CARE. FURTHER, ONLY ONE-THIRD OF THE COST OF THE CLINIC IS REIMBURSED THROUGH BILLING INSURANCE DUE TO THE PAYOR MIX. ADVOCATE GENEROUSLY PROVIDES SOME SERVICES THROUGH THE CENTER THAT ARE KEY TO HEALTH PROMOTION BUT THAT ARE NOT REIMBURSABLE OR BILLABLE. IN ADDITION TO PATIENT CARE, THE MISSION OF THE CENTER INCLUDES EDUCATION AND RESEARCH. IN 2020, THE CENTER STAFF PROVIDED NUMEROUS EDUCATIONAL EVENTS AND CLASSES (VIRTUAL, OF COURSE, DURING THE PANDEMIC), PUBLISHED RESEARCH STUDIES, PROVIDED EXTENSIVE EDUCATIONAL MATERIALS ONLINE AND IN PRINT FORM, AND PARTICIPATED IN NATIONAL AND INTERNATIONAL PROJECTS EDUCATING ABOUT AND RESEARCHING THE EFFECT OF COVID-19 ON PEOPLE WITH DOWN SYNDROME. MAINE TOWNSHIP DISTRICT 207 SCHOOL-BASED HEALTH CENTERS (SBHC). MAINE TOWNSHIP DISTRICT 207 WAS FACED WITH APPROXIMATELY 30 PERCENT OF ITS STUDENTS NOT BEING ABLE TO MEET, OR EXPERIENCING SIGNIFICANT DIFFICULTY MEETING, THE STATE-MANDATED PHYSICAL AND IMMUNIZATION REQUIREMENTS DUE TO BEING UNINSURED OR UNDERINSURED. FOLLOWING SEVERAL YEARS OF PLANNING AND IN COLLABORATION WITH ADVOCATE MEDICAL GROUP AND ADVOCATE LUTHERAN GENERAL, THE DISTRICT OPENED A SCHOOL-BASED HEALTH CENTER (D207 SBHC) IN MAINE EAST HIGH SCHOOL IN MARCH 2003 TO PROVIDE THESE STUDENTS WITH ACCESS TO VITAL HEALTH CARE SERVICES. ADVOCATE EMPLOYEES SERVE AS MEDICAL DIRECTOR, PEDIATRICIAN, NURSE PRACTITIONER AND MENTAL HEALTH WORKER FOR THE GRANT-FUNDED CLINIC. THE CLINIC HAS A SMALL PHARMACY THAT PROVIDES LIMITED MEDICATIONS FOR STUDENTS IN NEED AND ADVOCATE KEEPS THE CLINIC EQUIPPED WITH OFFICE SUPPLIES AND OTHER EQUIPMENT. THE CENTER ALSO SERVES AS A TRAINING SITE FOR PEDIATRIC AND FAMILY MEDICINE RESIDENTS. OPEN TO ALL HIGH SCHOOL STUDENTS IN MAINE TOWNSHIP HIGH SCHOOL DISTRICT 207, THE D207 SBHC HAS HELPED TO PROVIDE MANY STUDENTS WITH PHYSICALS AND IMMUNIZATIONS WHICH HAS ALLOWED THE DISTRICT TO MAINTAIN ITS 99% IL STATE COMPLIANCE RATE. THE CENTER PROVIDES FREE OR LOW-COST SERVICES INCLUDING PHYSICALS, IMMUNIZATIONS, EMERGENT CARE, BEHAVIORAL HEALTH TREATMENT, NUTRITIONAL COUNSELING AND EDUCATIONAL PROGRAMS. DURING 2020 AND AS A RESULT OF THE COVID-19 PANDEMIC, THE SBHC TRANSFORMED CARE TO VIRTUAL VISITS IN ORDER TO CONNECT TO STUDENTS. THE CENTER'S MEDICAL DIRECTOR AND STAFF PROVIDED APPROXIMATELY 2,400 TOTAL VISITS (MENTAL HEALTH AND MEDICAL COMBINED) FOR THE 2020/2021 SCHOOL YEAR FOR A TOTAL OF 33,200 STUDENT CONTACTS SINCE THE FACILITY'S INCEPTION. MEDFEST. IN 2020, THE COVID-19 PANDEMIC PREVENTED THE SPECIAL OLYMPICS OF ILLINOIS FROM HOLDING MEDFESTAN ANNUAL EVENT THAT THE ADVOCATE MEDICAL GROUP HAD PLANNED TO SPONSOR FOR THE 22ND YEAR IN A ROW. WHILE IT WAS DISAPPOINTING FOR THE EVENT TO HAVE BEEN CANCELLED, IT IS ANTICIPATED THAT EVENTS WILL RESUME ONCE THE PANDEMIC SUBSIDES AND IT IS SAFE TO DO SO. MEDFEST IS ANNUALLY HELD AT VARIOUS LOCATIONS IN THE STATE. THE EVENT PROVIDES PEOPLE WITH INTELLECTUAL DISABILITIES OPPORTUNITIES TO PARTICIPATE IN SPORTS TRAINING AND COMPETITIONS, CREATING AVENUES FOR INCLUSION AND ACCEPTANCE FOR THIS UNDERSERVED POPULATION THROUGHOUT ILLINOIS. ADVOCATE MEDICAL GROUP PHYSICIANS ARE PASSIONATE ABOUT PROVIDING THE FREE CLINICAL SERVICES, WHICH RESULT IN PARTICIPANTS' ENHANCED PHYSICAL FITNESS AND COMFORT WITH THE MEDICAL COMMUNITY. IN 2019, BEFORE THE PANDEMIC HIT, AMG PROVIDED 1,764 FREE ATHLETIC PHYSICALS TO SPECIAL OLYMPIANS AT CHICAGO'S UNITED CENTER, ALLOWING THEM OPPORTUNITIES TO PARTICIPATE IN COMPETITIONS THROUGHOUT THE YEAR. ADVOCATE MEDICAL GROUP HAS ALSO PROVIDED FREE PHYSICALS TO SPECIAL OLYMPIANS IN ORLAND PARK, FOR WHICH 208 PHYSICAL EXAMS WERE PROVIDED IN 2019.	Desc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

Field	Value	IRS element (for citing)
Expense	$86,186,513	ExpenseAmt
Revenue	$24,447,669	RevenueAmt
Desc	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 ALSO 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. DUE TO THE PANDEMIC, MOST EDUCATION WAS PROVIDED VIRTUALLY, WHICH SERVED TO STRONGLY SUPPORT THESE EDUCATION PROGRAMS THROUGHOUT 2020 AND ENABLED OUR REACHING A BROADER AUDIENCE THAN MIGHT HAVE OTHERWISE BEEN POSSIBLE. AS A RESULT, ADVOCATE HOSTED 2,555 HOURS OF ACCREDITED EDUCATION TO 32,602 PARTICIPANTS IN 2020, OF WHICH 20,714 WERE PHYSICIANSWHICH, DESPITE THE PANDEMIC, WAS ONLY A MINIMAL DECLINE FROM THE PREVIOUS YEAR'S ACHEIVEMENT. IN ADDITION TO TEACHING GME AND CME STUDENTS, ADVOCATE MEDICAL GROUP (AMG) PHYSICIANS ALSO DEVOTE ONE-ON-ONE TIME TO TEACHING PHYSICIAN ASSISTANTS (PA) AND NURSE PRACTIONER (NP) STUDENTS FROM MULTIPLE AREA UNIVERSITIES. WHILE THE COVID-19 PANDEMIC REDUCED THE NUMBER OF STUDENTS TAUGHT IN 2020, AMG PHYSICIANS WERE ABLE TO DEVOTE 7,321 HOURS TO TEACHING NP STUDENTS IN PHYSICIAN'S OFFICES. WHILE THIS WAS A DROP IN THE TOTAL PHYSICIAN HOURS WHEN COMPARED TO 2019, AMG NP'S PICKED UP CONSIDERABLY MORE HOURS TEACHING NP STUDENTS AT 11,224 HOURS IN 2020 AS COMPARED TO 2,280 HOURS IN 2019. AMG PHYSICIANS ALSO DEVOTED 3,780 PHYSICIAN HOURS TO TEACHING PA STUDENTS IN PHYSICIANS' OFFICES. THE VALUE OF THEIR TIME TEACHING NP AND PA STUDENTS EXCLUSIVELY TOTALED OVER $2.3M IN 2020.DEPENDENT ON EACH HOSPITAL'S OR ADVOCATE'S SYSTEM-LEVEL ACADEMIC AFFILIATIONS, THE TRAINING OF UNDERGRADUATE AND GRADUATE STUDENT NURSES, AND STUDENTS IN OTHER ALLIED HEALTH PROFESSIONS, SUCH AS RESPIRATORY CARE, RADIOLOGIC TECHNOLOGY, PHYSICAL AND SPEECH THERAPY, PHARMACEUTICAL SERVICES, ETC., ALSO OCCURS THROUGHOUT ADVOCATE'S MULTIPLE SITES. ADVOCATE'S SPIRITUAL LEADERS OVERSEE A NATIONALLY ACCREDITED CLINICAL PASTORAL EDUCATION PROGRAM AS WELL. SUPERVISING OVER 200 STUDENT UNITS EACH YEAR, THIS PROGRAM IS THE LARGEST IN THE COUNTRY, PROVIDING OPPORTUNITIES FOR SEMINARY STUDENTS AND LOCAL FAITH LEADERS TO GROW AND DEVELOP SPIRITUAL CARE MINISTRY SKILLS.NOT INCLUDED IN THE EXPENSE AND REVENUE AMOUNTS YET VERY IMPORTANT TO THE ORGANIZATION'S ROLE IN TRAINING HEALTH CARE PROFESSIONALS, ARE THE NURSING RESIDENCY PROGRAMS AT TWO HOSPITALSADVOCATE GOOD SAMARITAN AND ADVOCATE ILLINOIS MASONIC. RESIDENCY PROGRAMS OCCUR IN OTHER DISCIPLINES, SUCH AS THE PHARMACY RESIDENCY PROGRAM FOR EXAMPLE, AT MULTIPLE ADVOCATE SITES.	Desc

Prog Srvc Accom Acty Other ProgSrvcAccomActyOtherGrp

Field	Value	IRS element (for citing)
Expense	$1,240,455,224	ExpenseAmt
Revenue	$874,127,510	RevenueAmt
Desc	FORM 990, PART III, LINE 4D, PROGRAM SERVICE ACCOMPLISHMENTS- SEE SCHEDULE O	Desc

Field	Value	IRS element (for citing)
Total Other Prog Srvc Expense	$1,240,455,224	TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Revenue	$874,127,510	TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses	$5,491,151,474	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	Yes (1)	ReportInvestmentsOtherSecInd
Report Program Related Invst	0	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	Yes (1)	ForeignOfficeInd
Foreign Activities	Yes (1)	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	0	GrantsToIndividualsInd
Schedule J Required	Yes (1)	ScheduleJRequiredInd
Tax Exempt Bonds	Yes (1)	TaxExemptBondsInd
Invest Tax Exempt Bonds	0	InvestTaxExemptBondsInd
Escrow Account	0	EscrowAccountInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Engaged In Excess Benefit Trans	0	EngagedInExcessBenefitTransInd
PY Excess Benefit Trans	0	PYExcessBenefitTransInd
Loan Outstanding	0	LoanOutstandingInd
Grant To Related Person	Yes (1)	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	3132	IRPDocumentCnt
IRP Document W2 G	0	IRPDocumentW2GCnt
Backup Wthld Compliance	Yes (1)	BackupWthldComplianceInd
Employee	35695	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	Yes (1)	ForeignFinancialAccountInd
Foreign Country	CJ	ForeignCountryCd
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	11	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	Yes (1)	LocalChaptersInd
Policies Reference Chapters	Yes (1)	PoliciesReferenceChaptersInd
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	Yes (1)	InvestmentInJointVentureInd
Written Policy Or Procedure	0	WrittenPolicyOrProcedureInd
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 SUITE 600	AddressLine1Txt
City	DOWNERS GROVE	CityNm
State Abbreviation	IL	StateAbbreviationCd
ZIP	60515	ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (55 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
ULYSSES BURLEY III
DIRECTOR	1.00	1.00	Yes (X)	$0	$4,000	$0
DAISY VARUGHESE MD
DIRECTOR	1.00	1.00	Yes (X)	$0	$4,000	$0
JAMES SKOGSBERGH
PRESIDENT, DIRECTOR	1.00	55.00	Yes (X)	$0	$6,197,416	$622,527	Yes (X)
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	$37	$0
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
RON GREENE
DIRECTOR	1.00	1.00	Yes (X)	$0	$3,000	$0
MARK HARRIS JD
DIRECTOR	1.00	1.00	Yes (X)	$0	$88,000	$0
LYNN CRUMP-CAINE
DIRECTOR	1.00	1.00	Yes (X)	$0	$111,333	$0
CLARENCE NIXON JR PHD
DIRECTOR	1.00	1.00	Yes (X)	$0	$15,500	$0
K RICHARD JAKLE
VICE CHAIRPERSON, DIRECTOR	1.00	1.00	Yes (X)	$0	$111,333	$0	Yes (X)
EMELIE ILARDE MD
DIRECTOR	1.00	1.00	Yes (X)	$0	$8,000	$0
JAMES DOHENY
ASSISTANT TREASURER	55.00	1.00		$600,229	$0	$93,283	Yes (X)
DOMINIC J NAKIS
TREASURER	1.00	55.00		$0	$2,001,577	$222,808	Yes (X)
JAMES SLINKMAN
ASSISTANT SECRETARY	1.00	55.00		$0	$465,570	$85,939	Yes (X)
LESLIE LENZO
ASSISTANT TREASURER	55.00	1.00		$906,168	$0	$103,790	Yes (X)
MICHAEL GREBE
ASSISTANT SECRETARY	1.00	55.00		$0	$1,181,024	$131,982	Yes (X)
MICHAEL KERNS
ASSISTANT SECRETARY	1.00	55.00		$0	$524,766	$90,542	Yes (X)
MIKE LAPPIN
SECRETARY	1.00	55.00		$0	$1,579,916	$188,398	Yes (X)
NAN NELSON
ASSISTANT TREASURER	1.00	55.00		$0	$815,972	$95,664	Yes (X)
SHELLY HART
ASSISTANT SECRETARY	1.00	55.00		$0	$757,127	$113,484	Yes (X)
STEVE HUSER
ASSISTANT TREASURER	1.00	55.00		$0	$476,618	$81,094	Yes (X)
MICHAEL FARRELL
PRESIDENT OF ADVOCATE CHILDRENS HOSPITAL	55.00	0.00		$1,445,257	$0	$160,697		Yes (X)
HAMAD FARHAT MD
NEUROSURGEON	55.00	0.00		$1,976,322	$0	$38,910			Yes (X)
DEAN KARAHALIOS MD
NEUROSURGEON	55.00	0.00		$1,312,698	$0	$37,665			Yes (X)
EGON DOPPENBERG MD
NEUROSURGEON	55.00	0.00		$1,213,277	$0	$37,131			Yes (X)
RYAN TROMBLY MD
NEUROSURGEON	55.00	0.00		$1,143,367	$0	$38,107			Yes (X)
DEMETRIUS LOPES
NEUROSURGEON	55.00	0.00		$1,342,294	$0	$33,356			Yes (X)
BRUCE D SMITH
FORMER OFFICER	0.00	0.00		$122,721	$0	$37				Yes (X)
GARY STUCK DO
FORMER OFFICER	0.00	55.00		$0	$1,114,031	$155,668				Yes (X)
WILLIAM SANTULLI
FORMER OFFICER	0.00	55.00		$0	$2,706,183	$293,486				Yes (X)
LEE SACKS MD
FORMER OFFICER	0.00	0.00		$0	$537,635	$390				Yes (X)
REV KATHIE BENDER SCHWICH
FORMER OFFICER	0.00	55.00		$0	$634,756	$159,085				Yes (X)
KEVIN BRADY
FORMER OFFICER	0.00	55.00		$0	$1,222,838	$163,268				Yes (X)
VINCENT BUFALINO MD
FORMER OFFICER	0.00	55.00		$0	$1,270,676	$158,114				Yes (X)
SUSAN CAMPBELL
FORMER OFFICER	0.00	0.00		$259,388	$0	$4,054				Yes (X)
KELLY JO GOLSON
FORMER OFFICER	0.00	55.00		$0	$1,017,777	$116,904				Yes (X)
SCOTT POWDER
FORMER OFFICER	0.00	55.00		$0	$1,115,868	$153,106				Yes (X)
EARL J BARNES II
FORMER OFFICER	0.00	0.00		$0	$291,951	$37				Yes (X)
BARBARA BYRNE MD
FORMER OFFICER	0.00	55.00		$0	$1,246,693	$156,889				Yes (X)
RICHARD B FLOYD
FORMER KEY EMPLOYEE	0.00	0.00		$115,311	$0	$0				Yes (X)
DAVID FOX JR
FORMER KEY EMPLOYEE	0.00	0.00		$136,574	$0	$37				Yes (X)
DOMINICA TALLARICO
FORMER KEY EMPLOYEE	55.00	0.00		$1,191,921	$0	$154,283				Yes (X)
TERIKA R MBANU
FORMER KEY EMPLOYEE	55.00	0.00		$760,092	$0	$112,885				Yes (X)
RICHARD HEIM
FORMER KEY EMPLOYEE	55.00	0.00		$941,715	$0	$123,599				Yes (X)
COLLEEN KANNADAY
FORMER KEY EMPLOYEE	55.00	0.00		$1,054,794	$0	$21,270				Yes (X)
KAREN LAMBERT
FORMER KEY EMPLOYEE	55.00	1.00		$1,067,627	$0	$139,347				Yes (X)
KENNETH LUKHARD
FORMER KEY EMPLOYEE	0.00	0.00		$139,594	$0	$1,982				Yes (X)
MATTHEW PRIMACK
FORMER KEY EMPLOYEE	0.00	55.00		$0	$594,674	$96,674				Yes (X)
NANCY M TINSLEY
FORMER KEY EMPLOYEE	55.00	0.00		$705,991	$0	$97,236				Yes (X)
RASHARD JOHNSON
FORMER KEY EMPLOYEE	55.00	0.00		$527,978	$0	$72,964				Yes (X)
MICHEL ILBAWI MD
FORMER HIGHEST COMPENSATED	55.00	0.00		$1,058,549	$0	$32,736				Yes (X)
RICHARD SCOTT
FORMER HIGHEST COMPENSATED	55.00	0.00		$553,982	$0	$14,231				Yes (X)

Field	Value	IRS element (for citing)
Total Reportable Comp From Org	$18,575,849	TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org	$26,447,270	TotReportableCompRltdOrgAmt
Total Other Compensation	$4,403,659	TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K	22	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
POWER CONSTRUCTION COMPANY LLC
8750 W BRYN MAWR AVE STE 500	CHICAGO	IL	60631	CONSTRUCTION SERVICES	$39,308,329
BOARD OF TRUSTEES OF THE UNIVERSITY
506 S WRIGHT ST 209 HAB MC339	URBANA	IL	61801	UNIVERSITY SERVICES	$12,070,436
UNIVERSITY OF CHICAGO
5801 S ELLIS AVENUE	CHICAGO	IL	60637	UNIVERSITY SERVICES	$10,337,630
MIDWEST ANESTHESIOLOGISTS LTD
387 SHUMAN BLVD STE 240W	NAPERVILLE	IL	60563	MEDICAL SERVICES	$10,206,745
SUPERIOR HEALTH LINENS LLC
5005 S PACKARD AVE	CUDAHY	IL	53110	OUTSIDE SERVICES	$8,883,024

Field	Value	IRS element (for citing)
Cntrct Rcvd Greater Than100 K	205	CntrctRcvdGreaterThan100KCnt
Related Organizations	$368,256,501	RelatedOrganizationsAmt
Government Grants	$334,808,334	GovernmentGrantsAmt
All Other Contributions	$8,032,628	AllOtherContributionsAmt
Total Contributions	$711,097,463	TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	Related Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MEDICARE/MEDICAID	622110	$1,650,982,525	$1,650,982,525
PATIENT SVC REVENUE	622110	$1,257,508,491	$1,257,508,491
BLUE CROSS/MGD CARE	622110	$1,157,157,399	$1,157,157,399
PHARMACY	446110	$623,050,598	$623,050,598
LABORATORY	621511	$408,531,286	$408,531,286

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$3,116,414	TotalRevenueColumnAmt
Related Or Exempt Func Income	-$8,315,101	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$5,198,687	UnrelatedBusinessRevenueAmt

Field	Value	IRS element (for citing)
Total Program Service Revenue	$5,094,113,885	TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$84,071,350	TotalRevenueColumnAmt
Exclusion	-$84,071,350	ExclusionAmt

Royalties Revenue RoyaltiesRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$333,203	TotalRevenueColumnAmt
Exclusion	$333,203	ExclusionAmt

Gross Rents GrossRentsGrp

Field	Value	IRS element (for citing)
Real	$9,232,983	RealAmt

Less Rental Expenses LessRentalExpensesGrp

Field	Value	IRS element (for citing)
Real	$9,567,466	RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Real	-$334,483	RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

Field	Value	IRS element (for citing)
Total Revenue Column	-$334,483	TotalRevenueColumnAmt
Exclusion	-$334,483	ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

Field	Value	IRS element (for citing)
Securities	$2,767,972,318	SecuritiesAmt
Other	$198,304,152	OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

Field	Value	IRS element (for citing)
Securities	$2,741,858,559	SecuritiesAmt
Other	$219,707,737	OtherAmt

Gain Or Loss GainOrLossGrp

Field	Value	IRS element (for citing)
Securities	$26,113,759	SecuritiesAmt
Other	-$21,403,585	OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$4,710,174	TotalRevenueColumnAmt
Exclusion	$4,710,174	ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDesc	BusinessBusinessCd	Total Revenue ColumnTotalRevenueColumnAmt	ExclusionExclusionAmt
MISCELLANEOUS	621999	$12,828,927	$12,828,927
CAFETERIA REVENUE	722514	$6,073,270	$6,073,270
FITNESS & WELLNESS CLU	713940	$2,001,663	$2,001,663

Miscellaneous Revenue MiscellaneousRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$186,167	TotalRevenueColumnAmt
Exclusion	$186,167	ExclusionAmt

Field	Value	IRS element (for citing)
Other Revenue Total	$21,090,027	OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

Field	Value	IRS element (for citing)
Total Revenue Column	$5,746,938,919	TotalRevenueColumnAmt
Related Or Exempt Func Income	$5,088,915,198	RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue	$5,198,687	UnrelatedBusinessRevenueAmt
Exclusion	-$58,272,429	ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

Field	Value	IRS element (for citing)
Total	$81,672,107	TotalAmt
Program Services	$81,672,107	ProgramServicesAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

Field	Value	IRS element (for citing)
Total	$2,951,654	TotalAmt
Program Services	$2,951,654	ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

Field	Value	IRS element (for citing)
Total	$2,358,583,145	TotalAmt
Program Services	$2,157,868,757	ProgramServicesAmt
Management And General	$200,714,388	ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

Field	Value	IRS element (for citing)
Total	$91,211,153	TotalAmt
Program Services	$86,393,935	ProgramServicesAmt
Management And General	$4,817,218	ManagementAndGeneralAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

Field	Value	IRS element (for citing)
Total	$256,579,237	TotalAmt
Program Services	$239,921,343	ProgramServicesAmt
Management And General	$16,657,894	ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

Field	Value	IRS element (for citing)
Total	$153,387,836	TotalAmt
Program Services	$139,366,312	ProgramServicesAmt
Management And General	$14,021,524	ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

Field	Value	IRS element (for citing)
Total	$29,230,297	TotalAmt
Management And General	$29,230,297	ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

Field	Value	IRS element (for citing)
Total	$3,067,776	TotalAmt
Management And General	$3,067,776	ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

Field	Value	IRS element (for citing)
Total	$1,702,684	TotalAmt
Management And General	$1,702,684	ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

Field	Value	IRS element (for citing)
Total	$1,952,740	TotalAmt
Management And General	$1,952,740	ManagementAndGeneralAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

Field	Value	IRS element (for citing)
Total	$2,898,624	TotalAmt
Management And General	$2,898,624	ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

Field	Value	IRS element (for citing)
Total	$462,260,238	TotalAmt
Management And General	$462,260,238	ManagementAndGeneralAmt

Advertising AdvertisingGrp

Field	Value	IRS element (for citing)
Total	$19,862,898	TotalAmt
Program Services	$1,278,328	ProgramServicesAmt
Management And General	$18,584,570	ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

Field	Value	IRS element (for citing)
Total	$19,484,731	TotalAmt
Program Services	$15,859,256	ProgramServicesAmt
Management And General	$3,625,475	ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

Field	Value	IRS element (for citing)
Total	$25,234,808	TotalAmt
Program Services	$6,446,771	ProgramServicesAmt
Management And General	$18,788,037	ManagementAndGeneralAmt

Occupancy OccupancyGrp

Field	Value	IRS element (for citing)
Total	$99,321,866	TotalAmt
Program Services	$90,981,774	ProgramServicesAmt
Management And General	$8,340,092	ManagementAndGeneralAmt

Travel TravelGrp

Field	Value	IRS element (for citing)
Total	$4,232,859	TotalAmt
Program Services	$3,202,920	ProgramServicesAmt
Management And General	$1,029,939	ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

Field	Value	IRS element (for citing)
Total	$6,994,950	TotalAmt
Program Services	$6,011,225	ProgramServicesAmt
Management And General	$983,725	ManagementAndGeneralAmt

Interest InterestGrp

Field	Value	IRS element (for citing)
Total	$56,026,544	TotalAmt
Program Services	$56,017,605	ProgramServicesAmt
Management And General	$8,939	ManagementAndGeneralAmt

Depreciation Depletion DepreciationDepletionGrp

Field	Value	IRS element (for citing)
Total	$224,010,443	TotalAmt
Program Services	$200,495,239	ProgramServicesAmt
Management And General	$23,515,204	ManagementAndGeneralAmt

Insurance InsuranceGrp

Field	Value	IRS element (for citing)
Total	$92,430,289	TotalAmt
Program Services	$91,658,640	ProgramServicesAmt
Management And General	$771,649	ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDesc	TotalTotalAmt	Program ServicesProgramServicesAmt	Management And GeneralManagementAndGeneralAmt
MEDICAL SUPPLIES	$658,995,716	$661,442,668	-$2,446,952
OTHER INTERCOMPANY	$612,133,872	$589,614,445	$22,519,427
BAD DEBT	$248,384,803	$248,384,803
INCOME TAXES	$3,179,163	$3,179,163

All Other Expenses AllOtherExpensesGrp

Field	Value	IRS element (for citing)
Total	$356,165,628	TotalAmt
Program Services	$808,404,529	ProgramServicesAmt
Management And General	-$452,238,901	ManagementAndGeneralAmt

Total Functional Expenses TotalFunctionalExpensesGrp

Field	Value	IRS element (for citing)
Total	$5,871,956,061	TotalAmt
Program Services	$5,491,151,474	ProgramServicesAmt
Management And General	$380,804,587	ManagementAndGeneralAmt
Fundraising	$0	FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

Field	Value	IRS element (for citing)
BOY	$129,375,434	BOYAmt
EOY	$299,329,909	EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

Field	Value	IRS element (for citing)
BOY	$140,244	BOYAmt
EOY	$10,184	EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$3,005,724	BOYAmt
EOY	$10,991,392	EOYAmt

Accounts Receivable AccountsReceivableGrp

Field	Value	IRS element (for citing)
BOY	$708,251,462	BOYAmt
EOY	$634,999,273	EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

Field	Value	IRS element (for citing)
BOY	$1,467,359,444	BOYAmt
EOY	$1,459,916,321	EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

Field	Value	IRS element (for citing)
BOY	$62,804,909	BOYAmt
EOY	$62,364,081	EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

Field	Value	IRS element (for citing)
BOY	$58,328,807	BOYAmt
EOY	$40,928,160	EOYAmt

Field	Value	IRS element (for citing)
Land Bldg Equip Cost Or Other Bss	$4,403,336,075	LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec	$2,230,268,423	LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

Field	Value	IRS element (for citing)
BOY	$2,382,617,394	BOYAmt
EOY	$2,173,067,652	EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

Field	Value	IRS element (for citing)
BOY	$4,943,503,759	BOYAmt
EOY	$5,349,636,355	EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

Field	Value	IRS element (for citing)
BOY	$3,951,932,009	BOYAmt
EOY	$5,314,092,808	EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

Field	Value	IRS element (for citing)
BOY	$101,795,607	BOYAmt
EOY	$167,303,612	EOYAmt

Intangible Assets IntangibleAssetsGrp

Field	Value	IRS element (for citing)
BOY	$40,408,739	BOYAmt
EOY	$39,523,276	EOYAmt

Other Assets Total OtherAssetsTotalGrp

Field	Value	IRS element (for citing)
BOY	$419,265,715	BOYAmt
EOY	$729,391,844	EOYAmt

Total Assets TotalAssetsGrp

Field	Value	IRS element (for citing)
BOY	$14,268,789,247	BOYAmt
EOY	$16,281,554,867	EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

Field	Value	IRS element (for citing)
BOY	$1,032,258,425	BOYAmt
EOY	$1,255,430,035	EOYAmt

Deferred Revenue DeferredRevenueGrp

Field	Value	IRS element (for citing)
BOY	$17,636,606	BOYAmt
EOY	$23,190,648	EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$1,514,549,946	BOYAmt
EOY	$1,409,324,101	EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

Field	Value	IRS element (for citing)
BOY	$32,544,043	BOYAmt
EOY	$16,283,103	EOYAmt

Other Liabilities OtherLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$6,374,723,418	BOYAmt
EOY	$7,944,920,902	EOYAmt

Total Liabilities TotalLiabilitiesGrp

Field	Value	IRS element (for citing)
BOY	$8,971,712,438	BOYAmt
EOY	$10,649,148,789	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	$5,266,360,903	BOYAmt
EOY	$5,630,257,898	EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

Field	Value	IRS element (for citing)
BOY	$30,715,906	BOYAmt
EOY	$2,148,180	EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$5,297,076,809	BOYAmt
EOY	$5,632,406,078	EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

Field	Value	IRS element (for citing)
BOY	$14,268,789,247	BOYAmt
EOY	$16,281,554,867	EOYAmt

Field	Value	IRS element (for citing)
Info In Schedule O Part XI	Yes (X)	InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss	-$125,017,142	ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst	$423,521,808	NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets	$36,824,603	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	Yes (1)	DirectContactLegislatorsInd
Direct Contact Legislators	$904,826	DirectContactLegislatorsAmt
Rallies Demonstrations	0	RalliesDemonstrationsInd
Other Activities	Yes (1)	OtherActivitiesInd
Other Activities	$1,047,914	OtherActivitiesAmt
Total Lobbying Expenditures	$1,952,740	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	PART IV SUPPLEMENTAL INFORMATION FORM 990, SCHEDULE C, PART II-B, LINES 1A, B, D, G SUPPLEMENTAL LOBBYING INFORMATION ADVOCATE HEALTH AND HOSPITALS CORPORATION SPONSORS A NURSE ADVOCACY COUNCIL, COMPRISED OF NURSES EMPLOYED BY THE SYSTEM. THIS GROUP PROVIDES LEGISLATIVE FORUMS AND EDUCATION SUMMITS TO APPRISE AND EDUCATE LEGISLATORS OF THE ISSUES FACING THE NURSING PROFESSION AND HOW CHANGES IN LEGISLATION AFFECT PATIENT CARE. FORM 990, SCHEDULE C, PART II-B, LINE 1I ADVOCATE HEALTH AND HOSPITALS CORPORATION IS A MEMBER OF THE AMERICAN HOSPITAL ASSOCIATION AND THE ILLINOIS HEALTH AND HOSPITAL ASSOCIATION. THESE ORGANIZATIONS, AS PART OF THEIR MISSIONS, ADVOCATE IN THE GENERAL ASSEMBLY AND 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 THESE LOBBYING ACTIVITIES. ADVOCATE ALSO ENGAGES CERTAIN FIRMS TO LOBBY ON ITS BEHALF REGARDING ISSUES AND POLICIES THAT AFFECT HEALTHCARE SUCH AS QUALITY, AFFORDABILITY AND PATIENT ACCESS. ADVOCATE ALSO REIMBURSES VARIOUS ASSOCIATES FOR DUES PAID TO VARIOUS PROFESSIONAL ORGANIZATIONS AND ALSO FOR EDUCATIONAL EXPENSES PROVIDED BY PROFESSIONAL AND MEMBERSHIP ORGANIZATIONS. ADVOCATE 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	$151,370,826	OtherCostOrOtherBasisAmt
Book Value	$151,370,826	BookValueAmt

Buildings BuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$2,954,707,014	OtherCostOrOtherBasisAmt
Depreciation	$1,511,867,922	DepreciationAmt
Book Value	$1,442,839,092	BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$185,235,643	OtherCostOrOtherBasisAmt
Depreciation	$82,629,445	DepreciationAmt
Book Value	$102,606,198	BookValueAmt

Equipment EquipmentGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$1,019,035,755	OtherCostOrOtherBasisAmt
Depreciation	$635,772,109	DepreciationAmt
Book Value	$383,263,646	BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

Field	Value	IRS element (for citing)
Other Cost Or Other Basis	$92,986,837	OtherCostOrOtherBasisAmt
Depreciation	-$1,053	DepreciationAmt
Book Value	$92,987,890	BookValueAmt

Field	Value	IRS element (for citing)
Total Book Value Land Buildings	$2,173,067,652	TotalBookValueLandBuildingsAmt

Closely Held Equity Interests CloselyHeldEquityInterestsGrp

Field	Value	IRS element (for citing)
Book Value	$5,314,092,808	BookValueAmt
Method Valuation	F	MethodValuationCd

Field	Value	IRS element (for citing)
Total Book Value Securities	$5,314,092,808	TotalBookValueSecuritiesAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (9 entries)

DescDesc	AmtAmt
SELF INSURANCE LIABILITY	$626,721,262
3RD PARTY SETTLEMENTS	$177,440,766
EXECUTIVE PENSION LIABILITY & DEF COMP	$515,411,573
TAXABLE TERM LOAN	$1,507,840,027
INTEREST RATE SWAP MTM SERIES	$399,640,124
OBLIGATION TO RETURN COLLATERAL	$19,788,902
LONG TERM DISABILITY	$24,493,800
DEFERRED CONTRACTS	$43,662,925
DUE TO INVESTMENT POOL	$4,629,921,523

Field	Value	IRS element (for citing)
Total Liability	$7,944,920,902	TotalLiabilityAmt

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (8 entries)

RegionRegionTxt	OfficesOfficesCnt	EmployeeEmployeeCnt	Type Of Activities ConductedTypeOfActivitiesConductedTxt	Region Total ExpendituresRegionTotalExpendituresAmt	Specific Services ProvidedSpecificServicesProvidedTxt
CENTRAL AMERICA AND THE CARIBBEAN	1	1	INVESTMENTS	$2,315,556,399
CENTRAL AMERICA AND THE CARIBBEAN			PROGRAM SERVICES	$15,338,442	SELF-INSURANCE
EAST ASIA AND THE PACIFIC			INVESTMENTS	$534,305,479
EUROPE (INCLUDING ICELAND & GREENLAND)			INVESTMENTS	$1,062,275,872
MIDDLE EAST AND NORTH AFRICA			INVESTMENTS	$5,598,951
NORTH AMERICA			INVESTMENTS	$123,306,490
NORTH AMERICA			PROGRAM SERVICES	$1,402	CONFERENCE
SOUTH AMERICA			INVESTMENTS	$2,996,563

Field	Value	IRS element (for citing)
Subtotal Offices	1	SubtotalOfficesCnt
Subtotal Employees	1	SubtotalEmployeesCnt
Continuation Total Office	0	ContinuationTotalOfficeCnt
Continuation Total Employee	0	ContinuationTotalEmployeeCnt
Total Office	1	TotalOfficeCnt
Total Employee	1	TotalEmployeeCnt
Subtotal Spent	$4,059,379,598	SubtotalSpentAmt
Continuation Spent	$0	ContinuationSpentAmt
Total Spent	$4,059,379,598	TotalSpentAmt
Transfer To Foreign Corp	Yes (1)	TransferToForeignCorpInd
Interest In Foreign Trust	0	InterestInForeignTrustInd
Foreign Corp Ownership	Yes (1)	ForeignCorpOwnershipInd
Passive Foreign Investmest Co	0	PassiveForeignInvestmestCoInd
Foreign Partnership	Yes (1)	ForeignPartnershipInd
Boycott Countries	0	BoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail (2 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART III ACCOUNTING METHOD:
FORM 990, SCHEDULE F, PART I, LINE 3	TOTAL EXPENDITURES THE EXPENDITURES REPORTED IN PART I, LINE 3 ARE BASED ON THE CASH PAID FOR THESE ACTIVITIES.

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	$40,955,316	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$820	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$40,954,496	NetCommunityBenefitExpnsAmt
Total Expense	0.00740	TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$781,376,663	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$654,748,574	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$126,628,089	NetCommunityBenefitExpnsAmt
Total Expense	0.02280	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	$822,331,979	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$654,749,394	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$167,582,585	NetCommunityBenefitExpnsAmt
Total Expense	0.03020	TotalExpensePct

Community Health Services CommunityHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$19,634,642	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$19,634,642	NetCommunityBenefitExpnsAmt
Total Expense	0.00350	TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$103,202,031	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$24,447,670	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$78,754,361	NetCommunityBenefitExpnsAmt
Total Expense	0.01420	TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$34,521,456	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$27,791,508	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$6,729,948	NetCommunityBenefitExpnsAmt
Total Expense	0.00120	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	$4,160,109	TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns	$4,160,109	NetCommunityBenefitExpnsAmt
Total Expense	0.00070	TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$161,518,238	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$52,239,178	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$109,279,060	NetCommunityBenefitExpnsAmt
Total Expense	0.01960	TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

Field	Value	IRS element (for citing)
Total Community Benefit Expns	$983,850,217	TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue	$706,988,572	DirectOffsettingRevenueAmt
Net Community Benefit Expns	$276,861,645	NetCommunityBenefitExpnsAmt
Total Expense	0.04980	TotalExpensePct

Field	Value	IRS element (for citing)
Bad Debt Expense Reported	0	BadDebtExpenseReportedInd
Bad Debt Expense	$248,200,844	BadDebtExpenseAmt
Bad Debt Expense Attributable	$17,930,287	BadDebtExpenseAttributableAmt
Reimbursed By Medicare	$1,181,101,839	ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr	$1,480,495,287	CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall	-$299,393,448	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	8	HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (8 entries)

FacilityFacilityNum	Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Website AddressWebsiteAddressTxt	State LicenseStateLicenseNum	Licensed HospitalLicensedHospitalInd	General Medical And SurgicalGeneralMedicalAndSurgicalInd	Childrens HospitalChildrensHospitalInd	Teaching HospitalTeachingHospitalInd	Emergency Room24 HrsEmergencyRoom24HrsInd	Critical Access HospitalCriticalAccessHospitalInd
CHRIST HOSP INCL HOPE CHILDREN'S HOSP
1	440 W 95TH ST OAK	OAK LAWN	IL	60453	HTTP://WWW.ADVOCATEHEALTH.COM/CMC/	0000315	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)
LUTHERAN GEN HOSP INCL LUTH GEN CHILD
2	1775 DEMPSTER ST	PARK RIDGE	IL	60068	HTTP://WWW.ADVOCATEHEALTH.COM/LUTH/	0004796	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)
GOOD SAMARITAN HOSPITAL
3	3815 HIGHLAND AVE	DOWNERS GROVE	IL	60515	HTTP://WWW.ADVOCATEHEALTH.COM/GSAM/	0003384	Yes (X)	Yes (X)			Yes (X)
GOOD SHEPHERD HOSPITAL
4	450 W HWY 22	BARRINGTON	IL	60010	HTTP://WWW.ADVOCATEHEALTH.COM/GSHP/	0003475	Yes (X)	Yes (X)			Yes (X)
SOUTH SUBURBAN HOSPITAL & ICU
5	17800 S KEDZIE	HAZEL CREST	IL	60429	HTTP://WWW.ADVOCATEHEALTH.COM/SSUB/	0004697	Yes (X)	Yes (X)			Yes (X)
BROMENN MEDICAL CENTER
6	1304 FRANKLIN AVE	NORMAL	IL	61761	HTTP://WWW.ADVOCATEHEALTH.COM/BROMENN/	0005645	Yes (X)	Yes (X)			Yes (X)
TRINITY HOSPITAL
7	2320 E 93RD ST	CHICAGO	IL	60617	HTTP://WWW.ADVOCATEHEALTH.COM/TRIN/	0004176	Yes (X)	Yes (X)			Yes (X)
EUREKA HOSPITAL
8	101-109 R101 S MAJOR	EUREKA	IL	61530	HTTP://WWW.ADVOCATEHEALTH.COM/EUREKA/	0005652	Yes (X)	Yes (X)			Yes (X)	Yes (X)

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (8 entries)

FacilityFacilityNum	First Licensed CY Or PYFirstLicensedCYOrPYInd	Tax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYInd	CHNA ConductedCHNAConductedInd	Community DefinitionCommunityDefinitionInd	Community DemographicsCommunityDemographicsInd	Existing ResourcesExistingResourcesInd	How Data ObtainedHowDataObtainedInd	Community Health NeedsCommunityHealthNeedsInd	Other Health IssuesOtherHealthIssuesInd	Community Hlth Needs Id ProcessCommunityHlthNeedsIdProcessInd	Consulting ProcessConsultingProcessInd	Prior CHNA ImpactPriorCHNAImpactInd	CHNA ConductedCHNAConductedYr	Take Into Account Others InputTakeIntoAccountOthersInputInd	CHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsInd	CHNA Conducted With Non FcltsCHNAConductedWithNonFcltsInd	CHNA Report Widely AvailableCHNAReportWidelyAvailableInd	Rpt Available On Own WebsiteRptAvailableOnOwnWebsiteInd	Own Website URLOwnWebsiteURLTxt	Other Website URLOtherWebsiteURLTxt	Paper Copy Public InspectionPaperCopyPublicInspectionInd	Rpt Available Thru Other MethodRptAvailableThruOtherMethodInd	Implementation Strategy AdoptImplementationStrategyAdoptInd	Implementation Strategy AdptImplementationStrategyAdptYr	Strategy Posted WebsiteStrategyPostedWebsiteInd	Strategy Website URLStrategyWebsiteURLTxt	Organization Incur Excise TaxOrganizationIncurExciseTaxInd	Elig Criteria ExplainedEligCriteriaExplainedInd	FPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntInd	FPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePct	FPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePct	Medical Indigency CriteriaMedicalIndigencyCriteriaInd	Insurance Status CriteriaInsuranceStatusCriteriaInd	Underinsurance Stat CriteriaUnderinsuranceStatCriteriaInd	Residency CriteriaResidencyCriteriaInd	Other CriteriaOtherCriteriaInd	Explained BasisExplainedBasisInd	App Financial Asst ExplnAppFinancialAsstExplnInd	Described InfoDescribedInfoInd	Described Suprt DocDescribedSuprtDocInd	Provided Hospital ContactProvidedHospitalContactInd	Includes Publicity MeasuresIncludesPublicityMeasuresInd	FAP Available On WebsiteFAPAvailableOnWebsiteInd	FAP Available On Website URLFAPAvailableOnWebsiteURLTxt	FAP App Available On WebsiteFAPAppAvailableOnWebsiteInd	FAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxt	FAP Summary On WebsiteFAPSummaryOnWebsiteInd	FAP Summary On Website URLFAPSummaryOnWebsiteURLTxt	FAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeInd	FAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgInd	FAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgInd	Notified FAP Copy Bill DisplayNotifiedFAPCopyBillDisplayInd	FAP TranslatedFAPTranslatedInd	Other PublicityOtherPublicityInd	FAP Actions On NonpaymentFAPActionsOnNonpaymentInd	Permit Report To Credit AgencyPermitReportToCreditAgencyInd	Collection ActivitiesCollectionActivitiesInd	Reporting To Credit AgencyReportingToCreditAgencyInd	Provided Written NoticeProvidedWrittenNoticeInd	Made Effort Orally NotifyMadeEffortOrallyNotifyInd	Processed FAP ApplicationProcessedFAPApplicationInd	Made Presumptive Elig DetermMadePresumptiveEligDetermInd	Other Actions TakenOtherActionsTakenInd	Nondis Emergency Care PolicyNondisEmergencyCarePolicyInd	Look Back Medicare PrivateLookBackMedicarePrivateInd	Amounts Generally BilledAmountsGenerallyBilledInd	Gross ChargesGrossChargesInd	Other WebsiteOtherWebsiteInd
ADVOCATE EUREKA HOSPITAL
8	0	0	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	19	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (X)	HTTP://WWW.ADVOCATEHEALTH.COM/CHNAREPORTS	N/A	Yes (X)	Yes (X)	Yes (1)	20	Yes (1)	HTTP://WWW.ADVOCATEHEALTH.COM/CHNAREPORTS	0	Yes (1)	Yes (X)	250.000000000000	600.000000000000	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	HTTP://WWW.ADVOCATEHEALTH.COM/FINANCIALASSISTANCE	Yes (X)	HTTP://WWW.ADVOCATEHEALTH.COM/FINANCIALASSISTANCE	Yes (X)	HTTP://WWW.ADVOCATEHEALTH.COM/FINANCIALASSISTANCE	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	0
CHRIST HOSP INCL HOPE CHILDREN'S HOSP
1	0	0	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	19	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (X)	HTTP://WWW.ADVOCATEHEALTH.COM/CHNAREPORTS		Yes (X)		Yes (1)	20	Yes (1)	HTTP://WWW.ADVOCATEHEALTH.COM/CHNAREPORTS	0	Yes (1)	Yes (X)	250.000000000000	600.000000000000	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	HTTP://WWW.ADVOCATEHEALTH.COM/FINANCIALASSISTANCE	Yes (X)	HTTP://WWW.ADVOCATEHEALTH.COM/FINANCIALASSISTANCE	Yes (X)	HTTP://WWW.ADVOCATEHEALTH.COM/FINANCIALASSISTANCE	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	0
GOOD SHEPHERD HOSPITAL
4	0	0	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	19	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (X)	HTTP://WWW.ADVOCATEHEALTH.COM/CHNAREPORTS		Yes (X)	Yes (X)	Yes (1)	20	Yes (1)	HTTP://WWW.ADVOCATEHEALTH.COM/CHNAREPORTS	0	Yes (1)	Yes (X)	250.000000000000	600.000000000000	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	HTTP://WWW.ADVOCATEHEALTH.COM/FINANCIALASSISTANCE	Yes (X)	HTTP://WWW.ADVOCATEHEALTH.COM/FINANCIALASSISTANCE	Yes (X)	HTTP://WWW.ADVOCATEHEALTH.COM/FINANCIALASSISTANCE	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	Yes (1)	Yes (X)		Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	0
GOOD SAMARITAN HOSPITAL
3	0	0	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	19	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (X)	HTTP://WWW.ADVOCATEHEALTH.COM/CHNAREPORTS		Yes (X)		Yes (1)	20	Yes (1)	HTTPS://WWW.ADVOCATEHEALTH.COM/ASSETS/IMAGES/CHNA	0	Yes (1)	Yes (X)	250.000000000000	600.000000000000	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	HTTP://WWW.ADVOCATEHEALTH.COM/FINANCIALASSISTANCE	Yes (X)	HTTP://WWW.ADVOCATEHEALTH.COM/FINANCIALASSISTANCE	Yes (X)	HTTP://WWW.ADVOCATEHEALTH.COM/FINANCIALASSISTANCE	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	0
LUTHERAN GEN HOSP INCL LUTH GEN CHILD
2	0	0	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	19	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (X)	HTTP://WWW.ADVOCATEHEALTH.COM/CHNAREPORTS		Yes (X)	Yes (X)	Yes (1)	20	Yes (1)	HTTP://WWW.ADVOCATEHEALTH.COM/CHNAREPORTS	0	Yes (1)	Yes (X)	250.000000000000	600.000000000000	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	HTTP://WWW.ADVOCATEHEALTH.COM/FINANCIALASSISTANCE	Yes (X)	HTTP://WWW.ADVOCATEHEALTH.COM/FINANCIALASSISTANCE	Yes (X)	HTTP://WWW.ADVOCATEHEALTH.COM/FINANCIALASSISTANCE	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	0
ADVOCATE SOUTH SUBURBAN HOSPITAL
5	0	0	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	19	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (X)	HTTP://WWW.ADVOCATEHEALTH.COM/CHNAREPORTS		Yes (X)		Yes (1)	20	Yes (1)	HTTP://WWW.ADVOCATEHEALTH.COM/CHNAREPORTS	0	Yes (1)	Yes (X)	250.000000000000	600.000000000000	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	HTTP://WWW.ADVOCATEHEALTH.COM/FINANCIALASSISTANCE	Yes (X)	HTTP://WWW.ADVOCATEHEALTH.COM/FINANCIALASSISTANCE	Yes (X)	HTTP://WWW.ADVOCATEHEALTH.COM/FINANCIALASSISTANCE	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	0
ADVOCATE TRINITY HOSPITAL
7	0	0	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	19	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (X)	HTTP://WWW.ADVOCATEHEALTH.COM/CHNAREPORTS		Yes (X)		Yes (1)	20	Yes (1)	HTTP://WWW.ADVOCATEHEALTH.COM/CHNAREPORTS	0	Yes (1)	Yes (X)	250.000000000000	600.000000000000	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	HTTP://WWW.ADVOCATEHEALTH.COM/FINANCIALASSISTANCE	Yes (X)	HTTP://WWW.ADVOCATEHEALTH.COM/FINANCIALASSISTANCE	Yes (X)	HTTP://WWW.ADVOCATEHEALTH.COM/FINANCIALASSISTANCE	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	0	0
BROMENN MEDICAL CENTER
6	0	0	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	19	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (X)	CONT.	CONT.	Yes (X)	Yes (X)	Yes (1)	20	Yes (1)	HTTP://WWW.ADVOCATEHEALTH.COM/CHNAREPORTS	0	Yes (1)	Yes (X)	250.000000000000	600.000000000000	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (1)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	HTTP://WWW.ADVOCATEHEALTH.COM/FINANCIALASSISTANCE	Yes (X)	HTTP://WWW.ADVOCATEHEALTH.COM/FINANCIALASSISTANCE	Yes (X)	HTTP://WWW.ADVOCATEHEALTH.COM/FINANCIALASSISTANCE	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (X)	Yes (1)	Yes (X)	Yes (1)	Yes (X)	Yes (X)					Yes (1)	Yes (X)	0	0	Yes (X)

Supplemental Information SupplementalInformationGrp (85 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
ADVOCATE EUREKA HOSPITAL	PART V, SECTION B, LINE 5: ADVOCATE EUREKA HOSPITALADVOCATE EUREKA HOSPITAL (ADVOCATE EUREKA) PARTICIPATED IN THE TRI-COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WHICH IS A COLLABORATIVE UNDERTAKING SPEARHEADED BY THE PARTNERSHIP FOR A HEALTHY COMMUNITY (PFHC). THE PFHC IS A MULTI-SECTOR COMMUNITY PARTNERSHIP WORKING TO IMPROVE POPULATION HEALTH IN WOODFORD, PEORIA AND TAZEWELL COUNTIES. AN AD HOC COMMITTEE WITHIN THE PFHC FORMED A COLLABORATIVE TEAM TO FACILITATE THE 2019 TRI-COUNTY CHNA. THE CHNA COLLABORATIVE TEAM BEGAN MEETING ONE-TO-TWO TIMES PER MONTH IN JANUARY 2019. MEMBERS OF THE PFHC AD-HOC CHNA COLLABORATIVE TEAM INCLUDE ADVOCATE EUREKA, OSF ST. FRANCIS MEDICAL CENTER, UNITYPOINT HEALTHMETHODIST, PROCTOR AND PEKIN, HOPEDALE MEDICAL CENTER, WOODFORD COUNTY HEALTH DEPARTMENT, PEORIA CITY/COUNTY HEALTH DEPARTMENT, TAZEWELL COUNTY HEALTH DEPARTMENT, HOPEDALE MEDICAL COMPLEX, HEART OF ILLINOIS UNITED WAY, HEARTLAND HEALTH SERVICES AND BRADLEY UNIVERSITY. MEMBERS OF THE AD-HOC COLLABORATIVE TEAM CONSISTED OF INDIVIDUALS WITH SPECIAL KNOWLEDGE OF AND EXPERTISE IN THE HEALTH OF THE COMMUNITY. TEAM MEMBERS WERE CAREFULLY SELECTED TO ENSURE REPRESENTATION OF THE BROAD INTERESTS OF THE COMMUNITY. ADDITIONALLY, A DATA-ACTION TEAM WAS CREATED TO FOCUS ON CHNA DATA. ADVOCATE EUREKA, CONSISTENT WITH OTHER MEMBERS OF THE PFHC, USED THE TRI-COUNTY CHNA TO PREPARE ITS 2019 CHNA REPORT, WITH A FOCUS ON WOODFORD COUNTY. FOR THE ADVOCATE EUREKA 2017-2019 CHNA, THE HOSPITAL PARTICIPATED IN THE PRIORITY-SETTING PROCESS WITH THE PFHC AD HOC CHNA COLLABORATIVE. FOUR SIGNIFICANT HEALTH NEEDS WERE SELECTED DURING THE TRI-COUNTY CHNA COLLABORATIVE PROCESS BY KEY COMMUNITY STAKEHOLDERS FROM ALL THREE COUNTIES AT THE MARCH 12, 2019, PRIORITIZATION MEETING. PARTICIPANTS INCLUDED A BROAD CROSS-SECTOR OF REPRESENTATIVES FROM ORGANIZATIONS, INCLUDING HEALTHCARE, PUBLIC HEALTH, SOCIAL SERVICES, EDUCATION, FAITH AND OTHERS. SOCIAL SERVICE AGENCIES REPRESENTING THE UNDERSERVED INCLUDED CENTRAL ILLINOIS FRIENDS (HIV), EASTER SEALS (CHILDREN WITH SPECIAL NEEDS), CHILDREN'S HOME OF ILLINOIS, HUMAN SERVICE CENTER (ADULT BEHAVIORAL HEALTH), HEARTLAND HEALTH SERVICES (FQHC), SOUTHSIDE OFFICE OF CONCERN (SPECIAL NEEDSMENTAL ILLNESS OR DEVELOPMENTALLY DISABLED), HEART OF ILLINOIS UNITED WAY AND THE PEORIA AREA FOOD BANK. THE PFHC CHNA WAS CONDUCTED USING A MIXED METHODOLOGICAL APPROACH. THE MAIN SOURCE OF PRIMARY DATA CAME FROM THE TRI-COUNTY COMMUNITY HEALTH SURVEY THAT WAS ADMINISTERED IN THE SUMMER OF 2018. WOODFORD COUNTY RESULTS INDICATED THAT 465 RESIDENTS RESPONDED TO THE SURVEY. THE PFCH AD-HOC CHNA COLLABORATIVE TEAM ALSO EXAMINED DATA FROM A VARIETY OF SECONDARY SOURCES. AT THE MARCH 12, 2019, PRIORITIZATION MEETING, THE FOLLOWING CRITERIA WERE CONSIDERED BY THE PFHC AD HOC CHNA COLLABORATIVE TEAM AND COMMUNITY STAKEHOLDERS IN PRIORITIZING HEALTH NEEDS: 1) MAGNITUDE OF THE ISSUES, BASED ON THE PERCENTAGE OF THE POPULATION IMPACTED BY THE ISSUE; 2) SERIOUSNESS OF THE ISSUES, BASED ON SERIOUSNESS OF OUTCOMES, ECONOMIC IMPACT, URGENCY, AND FUTURE TRENDS AND FORECASTS; 3) EFFECTIVENESS CONSIDERATIONS, BASED ON POTENTIAL IMPACT THROUGH COLLABORATION, COMMUNITY SUPPORT AND MEASUREMENT OF IMPACT. USING A MODIFIED VERSION OF THE HANLON METHOD, THE COLLABORATIVE TEAM AND COMMUNITY STAKEHOLDERS IDENTIFIED FOUR SIGNIFICANT HEALTH NEEDS: 1) MENTAL HEALTH; 2) SUBSTANCE USE; 3) CANCER; AND 4) HEALTHY BEHAVIORS OR HEALTHY EATING/ACTIVE LIVING. FROM THE FOUR PRIORITIES ABOVE, THE CHNA TEAM FROM ADVOCATE EUREKA ANALYZED ADDITIONAL DATA FOR WOODFORD COUNTY FOR THE FOUR PRIORITIES AND SELECTED TWO SIGNIFICANT HEALTH NEEDS FOR ITS 2019 CHNAMENTAL HEALTH AND HEALTHY EATING/ACTIVE LIVING. THE HOSPITAL WANTED TO FOCUS ITS EFFORTS ON TWO SIGNIFICANT HEALTH NEEDS SPECIFIC TO WOODFORD COUNTY GIVEN ITS RESOURCES ARE LIMITED AS A CRITICAL ACCESS HOSPITAL. MENTAL HEALTH HAS BEEN A HEALTH PRIORITY IN THE HOSPITAL'S 2013 AND 2016 CHNAS. ALTHOUGH THE HOSPITAL FOCUSES A MAJORITY OF ITS COMMUNITY HEALTH EFFORTS ON THE TWO HEALTH PRIORITIES, BY BEING ACTIVE MEMBERS OF THE PFHC MENTAL HEALTH/SUBSTANCE USE AND HEALTHY EATING/ACTIVE LIVING PRIORITY ACTION TEAMS, ADVOCATE EUREKA STAFF MEMBERS PARTICIPATE IN THE PFHC PRIORITY ACTION TEAMS FOR CANCER AND SUBSTANCE USE, WHEN NEEDED, TO FURTHER TRI-COUNTY EFFORTS TO ADDRESS BOTH OF THESE HEALTH PRIORITIES.ON NOVEMBER 19, 2019, THE ADVOCATE BROMENN AND ADVOCATE EUREKA GOVERNING COUNCIL REVIEWED AND APPROVED THE ADVOCATE EUREKA 2017-2019 CHNA REPORT AND SIGNIFICANT HEALTH NEEDS FOLLOWED BY APPROVAL OF THE ADVOCATE EUREKA COMMUNITY HEALTH IMPLEMENTATION STRATEGY PLAN ON JANUARY 23, 2020. THE ADVOCATE HEALTH CARE NETWORK BOARD APPROVED THE CHNA REPORT AND RECOMMENDED HEALTH NEEDS TO ADDRESS ON DECEMBER 16, 2019. THE 2017-2019 CHNA REPORT WAS POSTED ON THE ADVOCATE WEBPAGE ON DECEMBER 17, 2019, AND CONTAINED BOTH A FORM AND AN EMAIL FOR THE COMMUNITY TO PROVIDE FEEDBACK ON THE CHNA. POSTING OF THE IMPLEMENTATION STRATEGY OCCURRED IN EARLY MAY 2020. AS OF JUNE 30, 2020, THE DATE PRIOR TO THE TRANSITION OF THE HOSPITAL TO CARLE HEALTH OWNERSHIP, THERE HAD BEEN NO FEEDBACK FROM THE COMMUNITY ON EITHER THE 2017-2019 CHNA REPORT, THE 2020-2022 IMPLEMENTATION PLAN, OR THE PREVIOUS 2014-2016 CHNA REPORT OR ITS ACCOMPANYING 2017-2019 IMPLEMENTATION PLAN.
CHRIST HOSP INCL HOPE CHILDREN'S HOSP	PART V, SECTION B, LINE 5: THE ALLIANCE FOR HEALTH EQUITY. ADVOCATE CHRIST AND ADVOCATE CHILDREN'S ARE MEMBERS OF THE ALLIANCE FOR HEALTH EQUITY (AHE), A COLLABORATION OF 37 NON-PROFIT AND PUBLIC HOSPITALS/ MEDICAL CENTERS WORKING WITH HEALTH DEPARTMENTS AND REGIONAL AND COMMUNITY-BASED ORGANIZATIONS TO IMPROVE HEALTH EQUITY, WELLNESS AND QUALITY OF LIFE ACROSS CHICAGO AND SUBURBAN COOK COUNTY. DETAILED INFORMATION RELATED TO THIS COLLABORATIVE ASSESSMENT AND PARTICIPATING HOSPITALS, HEALTH DEPARTMENTS AND COMMUNITY ORGANIZATIONS MAY BE FOUND IN THE COMMUNITY HEALTH NEEDS ASSESSMENT FOR CHICAGO AND SUBURBAN COOK COUNTY, 2019, AS POSTED ALONGSIDE ADVOCATE CHRIST'S 2017-2019 CHNA REPORT ON THE ADVOCATE CHNA WEBPAGE AT: HTTPS://WWW.ADVOCATEHEALTH.COM/HOSPITAL-CHNA-REPORTS-IMPLEMENTATION-PLANS-PROGRESS-REPORTS/CHRIST-CHNA-REPORT-2019COMMUNITY HEALTH COUNCIL (CHC). ADVOCATE CHRIST AND ADVOCATE CHILDREN'S CONVENED A CHC FROM MARCHOCTOBER 2019 TO OVERSEE ITS CHNA PROCESS, PRIORITIZE HEALTH NEEDS AND OVERSEE COMMUNITY HEALTH STRATEGY FOR THE MEDICAL CENTER, INCLUDING DEVELOPMENT OF AN IMPLEMENTATION PLAN TO ADDRESS PRIORITIZED COMMUNITY HEALTH NEEDS. THE CHC, COMPRISED OF A VARIETY OF REPRESENTATIVES FROM THE COMMUNITY, REPRESENT MEDICALLY UNDERSERVED, LOW-INCOME AND/OR MINORITY POPULATIONS. GOVERNING COUNCIL (GC). FOLLOWING CHC APPROVAL OF THE SELECTED PRIORITIES, THE CHNA WAS PRESENTED TO THE MEDICAL CENTER'S GC FOR APPROVAL. THE GC IS COMPRISED OF COMMUNITY LEADERS AND EXECUTIVE LEVEL MEDICAL CENTER STAFF. THE GC CONSISTS OF 26 MEMBERS REPRESENTING A BROAD SPECTRUM OF COMMUNITY SECTORS, INCLUDING FAITH COMMUNITY, MEDICAL, BUSINESS AND INDUSTRY FIELDS. THE 2017-2019 CHNA AND ITS PRIORITIZED HEALTH NEEDS WERE FULLY APPROVED BY THE GC ON OCTOBER 17, 2019, AND THEN FORWARDED TO THE SYSTEM LEVEL ADVOCATE HEALTH CARE NETWORK BOARD OF DIRECTORS, WHICH APPROVED THE ADVOCATE CHRIST/ADVOCATE CHILDREN'S 2017-2019 CHNA AND PRIORITIZED NEEDS ON DECEMBER 16, 2019.
GOOD SHEPHERD HOSPITAL	PART V, SECTION B, LINE 5: LAKE COUNTY HEALTH DEPARTMENT COLLABORATIVE SURVEY/PARTNER CONSULTATIONS. IN 2018, ADVOCATE GOOD SHEPHERD HOSPITAL (ADVOCATE GOOD SHEPHERD) COMMUNITY HEALTH STAFF COLLABORATED WITH THE LAKE COUNTY HEALTH DEPARTMENT (LCHD) TO ADMINISTER A SURVEY TO ASSESS THE CURRENT HEALTH STATUS OF TWO COMMUNITIES IN LAKE COUNTY. THESE COMMUNITIES ARE GURNEE (60031) AND NORTHWEST LAKE COUNTY INCLUDING ANTIOCH (60002)/LAKE VILLA (60046). THE RESULTS OF THESE SURVEYS WERE COMBINED WITH QUANTITATIVE DATA TO IDENTIFY THE KEY HEALTH CHALLENGES FACING LAKE COUNTY COMMUNITIES. ADVOCATE GOOD SHEPHERD ALSO CONSULTED WITH A NUMBER OF ADDITIONAL PARTNER ORGANIZATIONS FOR THE MEDICAL CENTER'S CHNA. THESE INCLUDED TWO PARTNER FEDERALLY QUALIFIED HEALTH CENTERS (LAKE COUNTY HEALTH DEPARTMENT AND ERIE HEALTHREACH WAUKEGAN), THE LAKE COUNTY OPIOID TASK FORCE AND THE HEALTH CARE FOUNDATION OF NORTHERN LAKE COUNTY. EACH OF THE ORGANIZATIONS HAVE A FOCUS ON MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS. MCHENRY COUNTY ASSESSMENTS. IN MCHENRY COUNTY, A COMMUNITY SURVEY, FOCUS GROUPS AND KEY INFORMANT INTERVIEWS WERE CONDUCTED TO GATHER INPUT FROM COMMUNITY RESIDENTS ON KEY HEALTH ISSUES AS PART OF THE HEALTH DEPARTMENT'S COMMUNITY HEALTH ASSESSMENT (CHA). IN ADDITION, A BROAD DATA REVIEW OF MCHENRY COUNTY USING SECONDARY SOURCES WAS CONDUCTED, WHICH INCLUDED DEMOGRAPHICS, HOUSING, INCOME AND POVERTY, EDUCATION, EMPLOYMENT, CRIME AND SAFETY, BIRTH AND DEATH RATES, HEALTH STATUS AND BEHAVIORS, AND HEALTH UTILIZATION. COMMUNITY HEALTH COUNCIL (CHC). ADVOCATE GOOD SHEPHERD CONVENED A CHC FROM JANUARYMARCH 2019 TO REVIEW THE RESULTS OF THE CHNA, SELECT THE TOP HEALTH NEEDS AND TO ASSIST WITH DEVELOPMENT OF IMPLEMENTATION PLANS TO ADDRESS PRIORITIZED COMMUNITY HEALTH NEEDS. THE CHC, COMPRISED OF A VARIETY OF REPRESENTATIVES FROM THE COMMUNITY, REPRESENT MEDICALLY UNDERSERVED, LOW INCOME AND/OR MINORITY POPULATIONS.GOVERNING COUNCIL (GC). FOLLOWING CHC APPROVAL, THE CHNA AND SELECTED PRIORITIES WERE PASSED TO THE ADVOCATE GOOD SHEPHERD GOVERNING COUNCIL FOR REVIEW AND APPROVAL. THE GC IS COMPRISED OF COMMUNITY LEADERS AND EXECUTIVE LEVEL HOSPITAL STAFF. THE GC CONSISTS OF 19 MEMBERS REPRESENTING A BROAD SPECTRUM OF COMMUNITY SECTORS, INCLUDING FAITH COMMUNITY, MEDICAL, BUSINESS AND INDUSTRY FIELDS. THE SELECTED TOP HEALTH PRIORITIES AND FULL CHNA REPORT WERE APPROVED BY THE ADVOCATE GOOD SHEPHERD GOVERNING COUNCIL ON OCTOBER 8, 2019. THIS WAS FOLLOWED BY ADVOCATE HEALTH CARE NETWORK BOARD APPROVAL OF ADVOCATE GOOD SHEPHERD'S 2017-2019 CHNA REPORT AT THE SYSTEM LEVEL ON DECEMBER 16, 2019.
GOOD SAMARITAN HOSPITAL	PART V, SECTION B, LINE 5: ADVOCATE GOOD SAMARITAN HOSPITALIMPACT DUPAGE. THE IMPACT DUPAGE STEERING COMMITTEE IS A COLLABORATIVE OF 18 DUPAGE COUNTY HOSPITALS AND COMMUNITY ORGANIZATIONS THAT OVERSEE THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PROCESS AND ACTION PLAN FOR THE COUNTY. ADVOCATE GOOD SAMARITAN'S DIRECTOR OF COMMUNITY HEALTH IS A MEMBER OF THIS COMMITTEE AND IS ACTIVELY ENGAGED IN IDENTIFYING AND ADDRESSING THE COUNTY'S COMMUNITY HEALTH NEEDS IN PARTNERSHIP WITH OTHER STEERING COMMITTEE MEMBERS AND ORGANIZATIONS.COMMUNITY HEALTH COUNCIL (CHC). THE ADVOCATE GOOD SAMARITAN COMMUNITY HEALTH COUNCIL (CHC) WAS FORMED IN 2016 AND SERVES IN AN ADVISORY CAPACITY FOR THE HOSPITAL'S COMMUNITY HEALTH PROGRAMMING, IMPLEMENTATION PLAN AND CHNA, AND WORKS CLOSELY WITH THE HOSPITAL'S COMMUNITY HEALTH DEPARTMENT TO IDENTIFY COMMUNITY PARTNERS FOR IMPLEMENTATION PLANNING. THE CHC IS LED BY THE HOSPITAL'S REGIONAL DIRECTOR OF COMMUNITY HEALTH AND IS A MULTI-SECTORIAL COUNCIL COMPRISED OF HOSPITAL LEADERS AND COMMUNITY REPRESENTATIVES FROM COMMUNITY-BASED ORGANIZATIONS. THERE ARE A TOTAL OF 13 CHC MEMBERS OF WHICH SEVEN ARE COMMUNITY ORGANIZATION REPRESENTATIVES AND SIX ARE HOSPITAL REPRESENTATIVES. MEMBERS FROM THE COMMUNITY SERVING ON THE CHC REPRESENT THE MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS IN DUPAGE COUNTY. UNDER THE DIRECTION OF THE DIRECTOR OF COMMUNITY HEALTH AND THE DUPAGE COUNTY HEALTH DEPARTMENT, THE CHC SUPPORTED THE COLLABORATIVE DUPAGE COUNTY/IMPACT DUPAGE CHNA THROUGH DATA COLLECTION, DATA REVIEW AND PRIORITIZING IDENTIFIED HEALTH NEEDS. THE CHC CONDUCTED AN ADDITIONAL ASSESSMENT AND IDENTIFIED HEALTH NEED PRIORITIES FOR THE BOLINGBROOK-ROMEOVILLE COMMUNITY, WHICH IS OUTSIDE OF DUPAGE COUNTY BUT WITHIN THE HOSPITAL'S SERVICE AREA.GOVERNING COUNCIL (GC). THE HOSPITAL'S GOVERNING COUNCIL IS COMPRISED OF COMMUNITY LEADERS AND EXECUTIVE LEVEL HOSPITAL STAFF. THE ROLE OF EACH GOVERNING COUNCIL MEMBER INCLUDES SUPPORTING HOSPITAL LEADERSHIP IN ACHIEVING THE HOSPITAL'S GOALS, REPRESENTING THE COMMUNITY'S INTEREST TO THE HOSPITAL AND SERVING AS A HOSPITAL AMBASSADOR IN THE COMMUNITY. THE GOVERNING COUNCIL ALSO MONITORS CLINICAL OUTCOMES, PATIENT AND TEAM MEMBER SATISFACTION, PHYSICIAN CREDENTIALING AND RELATIONS, FINANCIAL PERFORMANCE, STRATEGIC DIRECTION AND OVERALL COMMUNITY HEALTH. THE HOSPITAL'S GOVERNING COUNCIL IS RESPONSIBLE FOR APPROVING AND ENDORSING THE CHNA REPORT PASSED TO THEM BY THE HOSPITAL'S CHC. THE DIRECTOR OF COMMUNITY HEALTH PRESENTED THE PROCESS AND FINDINGS OF THE COLLABORATIVE DUPAGE COUNTY CHNA IN SEPTEMBER 2019 TO THE FULL GOVERNING COUNCIL. THE PRESENTATION INCLUDED DETAILS OF THE DATA REVIEW AND ANALYSIS, THE HOSPITAL'S ROLE IN THE COLLABORATIVE CHNA, THE COLLABORATIVE PRIORITIZATION PROCESS AND THE SELECTION OF THE PRIORITIZED HEALTH NEEDS. THE ADVOCATE GOOD SAMARITAN GOVERNING COUNCIL APPROVED THE 2019 CHNA AND THE PRIORITY HEALTH NEEDS ON SEPTEMBER 19, 2019. THIS WAS FOLLOWED BY APPROVAL OF ADVOCATE GOOD SAMARITAN'S 2017-2019 CHNA REPORT BY THE ADVOCATE HEALTH CARE NETWORK BOARD OF DIRECTORS ON DECEMBER 16, 2019.
LUTHERAN GEN HOSP INCL LUTH GEN CHILD	PART V, SECTION B, LINE 5: ADVOCATE LUTHERAN GENERAL HOSPITALALLIANCE FOR HEALTH EQUITY. ADVOCATE LUTHERAN GENERAL HOSPITAL (ADVOCATE LUTHERAN GENERAL) AND ADVOCATE CHILDREN'S HOSPITAL IN PARK RIDGE (ADVOCATE CHILDREN'S-PARK RIDGE), WHICH IS LOCATED ON ADVOCATE LUTHERAN GENERAL'S CAMPUS, PARTICIPATE IN THE ALLIANCE FOR HEALTH EQUITY COLLABORATIVE ASSESSMENT PROCESS. THE ALLIANCE FOR HEALTH EQUITY (AHE) IS A COLLABORATION OF 37 NON-PROFIT AND PUBLIC HOSPITALS/MEDICAL CENTERS WORKING WITH HEALTH DEPARTMENTS AND COMMUNITY-BASED ORGANIZATIONS TO IMPROVE HEALTH EQUITY, WELLNESS AND QUALITY OF LIFE ACROSS CHICAGO AND SUBURBAN COOK COUNTY. DETAILED INFORMATION RELATED TO THIS COLLABORATIVE ASSESSMENT AND PARTICIPATING HOSPITALS, HEALTH DEPARTMENTS AND COMMUNITY ORGANIZATIONS MAY BE FOUND IN THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT FOR CHICAGO AND SUBURBAN COOK COUNTY. THE REPORT IS POSTED ALONGSIDE ADVOCATE LUTHERAN GENERAL'S 2017-2019 CHNA REPORT AT: HTTPS://WWW.ADVOCATEHEALTH.COM/HOSPITAL-CHNA-REPORTS-IMPLEMENTATION-PLANS-PROGRESS-REPORTS/LUTHERAN-GENERAL-CHNA-REPORT-2019.COMMUNITY HEALTH COUNCIL (CHC). ADVOCATE LUTHERAN GENERAL AND ADVOCATE CHILDREN'S CONDUCTED A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) FROM 2017-2019. THE HOSPITAL CONVENED ITS COMMUNITY HEALTH COUNCIL (CHC) TO OVERSEE AND ADVISE THE PROCESS, WHICH IDENTIFIED AND PRIORITIZED HEALTH NEEDS. THE CHC IS COMPRISED OF 19 MEMBERS, INCLUDING 11 COMMUNITY STAKEHOLDERS AND EIGHT HOSPITAL REPRESENTATIVES. THE MEMBERS FROM THE COMMUNITY ON THE CHC REPRESENT VARIOUS VULNERABLE POPULATIONS AND SECTORS, SUCH AS LOW-INCOME, UNDERINSURED, IMMIGRANT, YOUTH, HOMELESS AND FOOD INSECURE. THE CHC MEETINGS INCLUDED DATA REVIEW, ANALYSIS OF KEY HEALTH ISSUES, AND ANALYSIS AND DEVELOPMENT OF HEALTH IMPROVEMENT STRATEGIES. ADVOCATE LUTHERAN GENERAL'S CHC ALSO WORKED WITH ADVOCATE CHILDREN'S TO ENSURE CHILDREN'S DATA WAS COLLECTED AND THOROUGHLY ANALYZED. GOVERNING COUNCIL (GC). FOLLOWING THE CHC'S IDENTIFICATION AND APPROVAL OF THE CHNA HEALTH NEED PRIORITIES, THE HOSPITAL'S COMMUNITY HEALTH DEPARTMENT PRESENTED THIS INFORMATION TO THE ADVOCATE LUTHERAN GENERAL'S GOVERNING COUNCIL FOR APPROVAL. THE GOVERNING COUNCIL IS COMPRISED OF LOCAL COMMUNITY LEADERS AND PHYSICIANS. THE GC 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. MEMBERS OF THE GC REPRESENT VARIOUS COMMUNITY SECTORS, INCLUDING THE FAITH COMMUNITY, MEDICAL, BUSINESS AND INDUSTRY FIELDS. THE 2017-2019 CHNA REPORT AND ITS PRIORITIZED HEALTH NEEDS WERE APPROVED BY ADVOCATE LUTHERAN'S GC IN LATE 2019, AND THEN FORWARDED TO THE SYSTEM LEVEL ADVOCATE HEALTH CARE NETWORK BOARD OF DIRECTORS, WHICH APPROVED THE ADVOCATE LUTHERAN GENERAL/ADVOCATE CHILDREN'S 2017-2019 CHNA REPORT ON DECEMBER 16, 2019.
ADVOCATE SOUTH SUBURBAN HOSPITAL	PART V, SECTION B, LINE 5: ADVOCATE SOUTH SUBURBAN HOSPITALTHE ALLIANCE FOR HEALTH EQUITY. ADVOCATE SOUTH SUBURBAN IS A MEMBER OF THE ALLIANCE FOR HEALTH EQUITY, A COALITION OF 37 NON-PROFIT AND PUBLIC HOSPITALS, HEALTH DEPARTMENTS AND REGIONAL COMMUNITY-BASED ORGANIZATIONS WORKING TO IMPROVE HEALTH EQUITY, WELLNESS AND QUALITY OF LIFE ACROSS CHICAGO AND SUBURBAN COOK COUNTY. DETAILED INFORMATION RELATED TO THIS COLLABORATIVE ASSESSMENT AND PARTICIPATING HOSPITALS, HEALTH DEPARTMENTS AND COMMUNITY ORGANIZATIONS MAY BE FOUND IN THE COMMUNITY HEALTH NEEDS ASSESSMENT FOR CHICAGO AND SUBURBAN COOK COUNTY, 2019, AS POSTED ALONGSIDE ADVOCATE SOUTH SUBURBAN'S 2017-2019 CHNA REPORT ON THE ADVOCATE CHNA WEBPAGE AT: HTTPS://WWW.ADVOCATEHEALTH.COM/HOSPITAL-CHNA-REPORTS-IMPLEMENTATION-PLANS-PROGRESS-REPORTS/SOUTH-SUBURBAN-CHNA-REPORT-2019COMMUNITY HEALTH COUNCIL (CHC). ADVOCATE SOUTH SUBURBAN CONVENED CHC MEETINGS FROM MARCH THROUGH OCTOBER 2019 TO OVERSEE THE CHNA PROCESS, PRIORITIZE HEALTH NEEDS AND OVERSEE COMMUNITY HEALTH STRATEGIES FOR THE HOSPITAL. THE CHC, COMPRISED OF A VARIETY OF REPRESENTATIVES FROM THE COMMUNITY AND HOSPITAL LEADERSHIP, REPRESENTS THE COMMUNITY'S UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS AND ALSO CONTRIBUTED TO THE DEVELOPMENT OF THE HOSPITAL'S IMPLEMENTATION PLAN TO ADDRESS PRIORITIZED COMMUNITY HEALTH NEEDS. GOVERNING COUNCIL (GC). FOLLOWING THE CHC APPROVAL OF THE SELECTED PRIORITIES, THE CHNA WAS PRESENTED TO THE HOSPITAL'S GC FOR APPROVAL. THE GC IS COMPRISED OF EXECUTIVE LEVEL HOSPITAL STAFF AND COMMUNITY LEADERS REPRESENTING A BROAD SPECTRUM ACROSS COMMUNITY SECTORS INCLUDING THE FAITH COMMUNITY, MEDICAL, BUSINESS AND INDUSTRY FIELDS. IN NOVEMBER 2019, LEADERS OF THE CHC PRESENTED THE 2017-2019 CHNA REPORT AND PRIORITIZED HEALTH NEEDS THEREIN TO THE HOSPITAL'S GOVERNING COUNCIL. THE GOVERNING COUNCIL APPROVED AND ADOPTED THE HOSPITAL'S 2017-2019 CHNA REPORT ON NOVEMBER 21, 2019. THE ADVOCATE HEALTH CARE NETWORK BOARD APPROVED THE ADVOCATE SOUTH SUBURBAN 2017-2019 CHNA REPORT AT THE SYSTEM LEVEL ON DECEMBER 16, 2019.
ADVOCATE TRINITY HOSPITAL	PART V, SECTION B, LINE 5: ADVOCATE TRINITY HOSPITALTHE ALLIANCE FOR HEALTH EQUITY. ADVOCATE TRINITY IS A MEMBER OF THE ALLIANCE, A COLLABORATIVE OF 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. DETAILS CAN BE FOUND ON THE HOSPITAL WEBPAGE AT: HTTPS://WWW.ADVOCATEHEALTH.COM/HOSPITAL-CHNA-REPORTS-IMPLEMENTATION-PLANS-PROGRESS-REPORTS/TRINITY-CHNA-REPORT-2019COMMUNITY HEALTH COUNCIL (CHC). ADVOCATE TRINITY CONVENED A CHC IN MARCH 2019. THE CHC'S RESPONSIBILITIES ARE TO OVERSEE COMMUNITY HEALTH STRATEGY FOR THE HOSPITAL, REVIEW DATA AND PRIORITIZE HEALTH NEEDS IDENTIFIED FOR THE 2017-2019 CHNA, AND TO OVERSEE THE DEVELOPMENT AND IMPLEMENTATION OF THE HOSPITAL'S COMMUNITY HEALTH STRATEGIES. CHAIRED BY A MEMBER OF ADVOCATE TRINITY'S GOVERNING COUNCIL AND MANAGED BY THE REGIONAL DIRECTOR AND MANAGER OF COMMUNITY HEALTH, THE CHC IS COMPRISED OF A VARIETY OF REPRESENTATIVES FROM THE COMMUNITY, MANY OF WHICH REPRESENT MEDICALLY UNDERSERVED, LOW-INCOME AND/OR MINORITY POPULATIONS. THE CHC FUNCTIONS AS A SUBSET OF THE HOSPITAL'S GOVERNING COUNCIL AND ALL ACTIVITIES AND DECISIONS MADE BY THE CHC REGARDING THE CHNA ARE SUBMITTED FOR APPROVAL BY THE FULL GOVERNING COUNCIL. GOVERNING COUNCIL (GC). THE HOSPITAL'S GOVERNING COUNCIL IS COMPRISED OF COMMUNITY LEADERS AND EXECUTIVE LEVEL HOSPITAL STAFF. THE PRINCIPAL ROLES OF EACH GOVERNING COUNCIL MEMBER ARE TO SUPPORT HOSPITAL LEADERSHIP IN ACHIEVEMENT OF THE HOSPITAL'S GOALS, REPRESENT THE COMMUNITY'S INTERESTS TO THE HOSPITAL AND TO SERVE AS A HOSPITAL AMBASSADOR IN THE COMMUNITY. ADVOCATE TRINITY'S GOVERNING COUNCIL IS COMPRISED OF 16 MEMBERS REPRESENTING A BROAD SPECTRUM ACROSS MULTIPLE COMMUNITY SECTORS, INCLUDING THE FAITH COMMUNITY, MEDICAL, BUSINESS AND INDUSTRY FIELDS. ONE MEMBER OF THE GOVERNING COUNCIL ALSO SERVES AS THE CHAIR OF THE COMMUNITY HEALTH COUNCIL TO ENSURE THE SHARING OF INFORMATION BETWEEN THE TWO COUNCILS. THE HOSPITAL'S GOVERNING COUNCIL REVIEWS AND APPROVES THE CHNA REPORT, INCLUDING THE PRIORITIZED HEALTH NEEDS. IN NOVEMBER 2019, LEADERS OF THE CHC PRESENTED THE CHNA PROCESS AND PRIORITIZED HEALTH NEEDS TO THE HOSPITAL'S GOVERNING COUNCIL. THIS RESULTED IN THE GOVERNING COUNCIL'S APPROVAL AND ADOPTION OF ADVOCATE TRINITY'S 2017-2019 CHNA REPORT ON NOVEMBER 26, 2019. THE 2017-2019 CHNA REPORT WAS APPROVED BY THE ADVOCATE HEALTH CARE NETWORK BOARD AT THE SYSTEM LEVEL ON DECEMBER 16, 2019.
BROMENN MEDICAL CENTER	PART V, SECTION B, LINE 5: ADVOCATE BROMENN MEDICAL CENTERADVOCATE BROMENN MEDICAL CENTER (ADVOCATE BROMENN), CHESTNUT HEALTH SYSTEMS (A FEDERALLY QUALIFIED HEALTH CENTER), THE MCLEAN COUNTY HEALTH DEPARTMENT AND OSF ST. JOSEPH MEDICAL CENTER COLLABORATED WITH REPRESENTATIVES FROM 39 OTHER ORGANIZATIONS ON THE MCLEAN COUNTY COMMUNITY HEALTH COUNCIL TO CONDUCT A JOINT 2019 MCLEAN COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND ADOPT A JOINT 2020-2022 MCLEAN COUNTY COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP). PARTICIPANTS INCLUDED A BROAD CROSS-SECTOR OF REPRESENTATIVES FROM 39 ORGANIZATIONS INCLUDING HEALTHCARE, COUNTY AND CITY GOVERNMENT, PUBLIC HEALTH, SOCIAL SERVICES, HOUSING, EDUCATION, FAITH AND OTHERS. ELEVEN OF THESE ORGANIZATIONS ARE SOCIAL SERVICES ORGANIZATIONS REPRESENTING THE UNDERSERVED, INCLUDING THE BABY FOLD, BLOOMINGTON NORMAL GIRLS AND BOYS CLUB, CHILDREN'S HOME AND AID, EAST CENTRAL ILLINOIS AREA AGENCY ON AGING, HEARTLAND HEAD START, HOME SWEET HOME MINISTRIES (HOMELESS), MARCFIRST SPICE, MCLEAN COUNTY CENTER FOR HUMAN SERVICES, MID CENTRAL COMMUNITY ACTION, PROJECT OZ (YOUTH) AND UNITED WAY OF MCLEAN COUNTY. THERE WERE ALSO REPRESENTATIVES FROM TWO HEALTH CARE CLINICSCHESTNUT HEALTH SYSTEMS AND THE COMMUNITY HEALTH CARE CLINICSERVING LOW-INCOME AND UNDERSERVED RESIDENTS OF MCLEAN COUNTY. CONDUCTING A JOINT CHNA IS POSSIBLE AS ALL FOUR ENTITIES DEFINE THEIR SERVICE AREA AS MCLEAN COUNTY. THE PROCESS OF COLLECTING AND ANALYZING DATA AND PRIORITIZING SIGNIFICANT NEEDS WAS OVERSEEN BY AN EXECUTIVE STEERING COMMITTEE OF THE COUNCIL COMPRISED OF ONE REPRESENTATIVE FROM BOTH HOSPITALS, CHESTNUT HEALTH SYSTEMS AND THE MCLEAN COUNTY HEALTH DEPARTMENT. IN THE FALL/WINTER OF 2018-2019, THE COMMITTEE ANALYZED DATA FROM A VARIETY OF SOURCES, INCLUDING EXISTING SECONDARY DATA SOURCES AND PRIMARY DATA FROM A SURVEY ADMINISTERED TO MCLEAN COUNTY RESIDENTS IN JULY-SEPTEMBER 2018. OF THE 675 RESIDENTS THAT RESPONDED, 102 WERE FROM THE LOW-INCOME POPULATION.THE EXECUTIVE STEERING COMMITTEE IDENTIFIED THE SIGNIFICANT HEALTH NEEDS TO PRESENT TO THE MCLEAN COUNTY COMMUNITY HEALTH COUNCIL FOR PRIORITIZATION BY UTILIZING THE FOLLOWING CRITERIA: SIZE OF ISSUE; RATES WORSE THAN OTHER COUNTIES IN ILLINOIS OR THE STATE RATE; DISPARITIES BY RACE/ETHNICITY, AGE, GENDER OR ZIP CODE; AND DOES NOT MEET THE HEALTHY PEOPLE 2020 TARGET. THE SIX SIGNIFICANT HEALTH NEEDS IDENTIFIED BY THE EXECUTIVE STEERING COMMITTEE FOR PRIORITIZATION BY THE COUNCIL WERE ACCESS TO CARE; BEHAVIORAL HEALTH (MENTAL HEALTH AND SUBSTANCE USE); HEALTHY EATING AND ACTIVE LIVING (EXERCISE, NUTRITION, OBESITY, FOOD ACCESS/INSECURITY); HEART DISEASE; ORAL HEALTH; AND RESPIRATORY DISEASE.THE EXECUTIVE STEERING COMMITTEE FACILITATED THREE MEETINGS OF THE MCLEAN COUNTY COMMUNITY HEALTH COUNCIL FROM JANUARY THROUGH FEBRUARY 2019. THE PURPOSE OF THE MEETINGS WAS TO REVIEW OUTCOMES FROM THE MCLEAN COUNTY 2017-2019 CHIP, TO PRESENT DATA FOR THE SIX SIGNIFICANT HEALTH NEEDS IDENTIFIED BY THE EXECUTIVE STEERING COMMITTEE AND TO PRIORITIZE THE NEEDS, USING THE HANLON METHOD, IN ORDER TO SELECT THE THREE SIGNIFICANT HEALTH NEEDS FOR THE 2019 MCLEAN COUNTY CHNA AND THE 2020-2022 MCLEAN COUNTY CHIP. THE ADVOCATE BROMENN-EUREKA GOVERNING COUNCIL APPROVED THE 2019 MCLEAN COUNTY CHNA REPORT ON JULY 23, 2019, FOLLOWED BY APPROVAL OF THE 2020-2022 MCLEAN COUNTY CHIP ON JANUARY 28, 2020. THE MCLEAN COUNTY 2019 CHNA WAS POSTED IN AUGUST 2019 AND INCLUDED A MECHANISM FOR THE COMMUNITY TO PROVIDE FEEDBACK BY EITHER A FORM OR VIA EMAIL. POSTING OF THE MCLEAN COUNTY 2020-2022 CHIP OCCURRED IN FEBRUARY 2020. AS OF JUNE 30, 2020, THERE WAS NO ADDITIONAL FEEDBACK FROM THE COMMUNITY RELATED TO THE 2019 MCLEAN COUNTY CHNA, THE 2020-2022 MCLEAN COUNTY CHIP, OR THE PREVIOUS 2016 MCLEAN COUNTY CHNA OR THE 2017-2019 MCLEAN COUNTY CHIP.
ADVOCATE EUREKA HOSPITAL	PART V, SECTION B, LINE 6A: OSF SAINT FRANCIS MEDICAL CENTER, PEORIA, ILLINOISUNITYPOINT HEALTH-METHODIST \| PROCTOR, PEORIA, ILLINOISHOPEDALE MEDICAL COMPLEX, HOPEDALE, ILLINOISUNITYPOINT HEALTH-PEKIN HOSPITAL, PEKIN, ILLINOIS
CHRIST HOSP INCL HOPE CHILDREN'S HOSP	PART V, SECTION B, LINE 6A: ADVOCATE CHRIST AND ADVOCATE CHILDREN'S PARTICIPATED IN THE ALLIANCE FOR HEALTH EQUITY (AHE) COLLABORATIVE AND SURVEY THAT INCLUDED OVER 30 HOSPITALS, 7 HEALTH DEPARTMENTS AND OVER 100 COMMUNITY ORGANIZATIONS. A LIST OF RELATED AHE HOSPITALS, AS WELL AS UNRELATED HOSPITALS IN CLOSE PROXIMITY TO ADVOCATE CHRIST, ARE PROVIDED BELOW. RELATED? ADVOCATE CHILDREN'S (OAK LAWN, IL); ADVOCATE SOUTH SUBURBAN HOSPITAL (HAZEL CREST, IL); ADVOCATE TRINITY HOSPITAL (CHICAGO, IL)UNRELATED? JACKSON PARK HOSPITAL (CHICAGO, IL); MERCY HOSPITAL AND MEDICAL CENTER (CHICAGO, IL); ROSELAND COMMUNITY HOSPITAL (CHICAGO, IL); SOUTH SHORE HOSPITAL (CHICAGO, IL); UNIVERSITY OF CHICAGO MEDICINE (CHICAGO, IL); UNIVERSITY OF CHICAGO MEDICINEINGALLS MEMORIAL HOSPITAL (HARVEY, IL). FOR FULL DETAILS ON THE COLLABORATIVE, PLEASE SEE THE FOLLOWING WEBSITE. HTTP://ALLHEALTHEQUITY.ORG/
GOOD SHEPHERD HOSPITAL	PART V, SECTION B, LINE 6A: RELATED? ADVOCATE CONDELL MEDICAL CENTER (LIBERTYVILLE, IL) THROUGH THE LAKE COUNTY HEALTH DEPARTMENT; ADVOCATE SHERMAN HOSPITAL (ELGIN, IL) THROUGH THE MCHENRY COUNTY HEALTH DEPARTMENTUNRELATED? NORTHWESTERN MEDICINE MCHENRY (MCHENRY, IL); AND THREE HOSPITALS THROUGH THE LAKE COUNTY HEALTH DEPARTMENT, INCLUDING: LOVELL FEDERAL HEALTHCARE CENTER (NORTH CHICAGO, IL); NORTHWESTERN LAKE FOREST HOSPITAL (LAKE FOREST, IL); AND VISTA HEALTH SYSTEMS (WAUKEGAN, IL).
GOOD SAMARITAN HOSPITAL	PART V, SECTION B, LINE 6A: ADVOCATE GOOD SAMARITAN HOSPITALRELATED? N/AUNRELATED? ADVENTIST HINSDALE HOSPITAL, NORTHWESTERN MEDICINE CENTRAL DUPAGE HOSPITAL, LINDEN OAKS HOSPITAL, EDWARD-ELMHURST HOSPITAL
LUTHERAN GEN HOSP INCL LUTH GEN CHILD	PART V, SECTION B, LINE 6A: ADVOCATE LUTHERAN GENERAL HOSPITALADVOCATE LUTHERAN GENERAL AND ADVOCATE CHILDREN'S 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. AHE COMPLETED A CHNA FOR COOK COUNTY. A LIST OF RELATED HOSPITALS, AS WELL AS UNRELATED HOSPITALS IN CLOSE PROXIMITY TO ADVOCATE LUTHERAN GENERAL, ARE PROVIDED BELOW. RELATED? ADVOCATE CHILDREN'S HOSPITAL (PARK RIDGE, IL); ADVOCATE CHRIST MEDICAL CENTER (OAK LAWN, IL); ADVOCATE ILLINOIS MASONIC MEDICAL CENTER (CHICAGO, IL); ADVOCATE SOUTH SUBURBAN HOSPITAL (HAZEL CREST, IL); AND ADVOCATE TRINITY HOSPITAL (CHICAGO, IL).UNRELATED? - AMITA ALEXIAN BROTHERS MEDICAL CENTER (ELK GROVE, IL)- AMITA RESURRECTION MEDICAL CENTER (EDISON PARK-CHICAGO, IL) - RUSH UNIVERSITY MEDICAL CENTER- AMITA ST. ALEXIUS MEDICAL CENTER AND ALEXIAN BROTHERS BEHAVIORAL HEALTH HOSPITAL (HOFFMAN ESTATES, IL)- AMITA SAINT FRANCIS HOSPITAL (EVANSTON, IL) FOR FULL DETAILS ON THE COLLABORATIVE AND A COMPLETE LIST OF ORGANIZATIONS INVOLVED, PLEASE REFER TO THE ALLIANCE FOR HEALTH EQUITY'S WEBPAGE AT HTTP://ALLHEALTHEQUITY.ORG/
ADVOCATE SOUTH SUBURBAN HOSPITAL	PART V, SECTION B, LINE 6A: ADVOCATE SOUTH SUBURBAN HOSPITALADVOCATE SOUTH SUBURBAN PARTICIPATED IN THE ALLIANCE FOR HEALTH EQUITY (AHE) COLLABORATIVE AND SURVEY THAT INCLUDED OVER 30 HOSPITALS, 4 HEALTH DEPARTMENTS AND OVER 100 COMMUNITY ORGANIZATIONS. A LIST OF RELATED AHE HOSPITALS, AS WELL AS UNRELATED HOSPITALS IN CLOSE PROXIMITY TO ADVOCATE SOUTH SUBURBAN, ARE PROVIDED BELOW. RELATED? ADVOCATE CHRIST MEDICAL CENTER AND ADVOCATE CHILDREN'S (OAK LAWN, IL); ADVOCATE TRINITY HOSPITAL (CHICAGO, IL)UNRELATED? PALOS COMMUNITY HOSPITAL (PALOS HEIGHTS, IL); UNIVERSITY OF CHICAGO MEDICINE-INGALLS MEMORIAL HOSPITAL (HARVEY, IL). FOR A COMPLETE LIST OF HOSPITALS AS WELL AS FULL DETAILS ON THE COLLABORATIVE, PLEASE SEE THE FOLLOWING WEBSITE: HTTP://ALLHEALTHEQUITY.ORG/
ADVOCATE TRINITY HOSPITAL	PART V, SECTION B, LINE 6A: ADVOCATE TRINITY HOSPITALADVOCATE TRINITY PARTICIPATED IN THE ALLIANCE FOR HEALTH EQUITY (AHE) COLLABORATIVE AND SURVEY THAT INCLUDED OVER 30 HOSPITALS, 4 HEALTH DEPARTMENTS AND OVER 100 COMMUNITY ORGANIZATIONS. A LIST OF RELATED AHE HOSPITALS, AS WELL AS UNRELATED HOSPITALS IN CLOSE PROXIMITY TO ADVOCATE TRINITY, ARE PROVIDED BELOW. RELATED? ADVOCATE CHRIST MEDICAL CENTER & ADVOCATE CHILDREN'S (OAK LAWN, IL); ADVOCATE SOUTH SUBURBAN HOSPITAL (HAZEL CREST, IL)UNRELATED? ROSELAND HOSPITAL (CHICAGO, IL); SOUTH SHORE HOSPITAL (CHICAGO, IL); JACKSON PARK MEDICAL CENTER (CHICAGO, IL), ACCESS COMMUNITY HEALTH NETWORK (CHICAGO, IL), AUNT MARTHA'S COMMUNITY HEALTH CENTER (CHICAGO, IL), CHICAGO FAMILY HEALTH CENTER (CHICAGO, IL), MILES SQUARE HEALTH CENTER (CHICAGO, IL), COOK COUNTY HEALTH CENTER (CHICAGO, IL), CHICAGO DEPARTMENT OF PUBLIC HEALTH (CHICAGO, IL). FOR FULL DETAILS ON THE COLLABORATIVE, PLEASE SEE THE FOLLOWING WEBSITE. HTTP://ALLHEALTHEQUITY.ORG/
BROMENN MEDICAL CENTER	PART V, SECTION B, LINE 6A: RELATED? NONEUNRELATED? OSF HEALTHCARE ST. JOSEPH MEDICAL CENTER, BLOOMINGTON, ILLINOIS
ADVOCATE EUREKA HOSPITAL	PART V, SECTION B, LINE 6B: WOODFORD COUNTY HEALTH DEPARTMENT PEORIA CITY/COUNTY HEALTH DEPARTMENTTAZEWELL COUNTY HEALTH DEPARTMENTHEART OF ILLINOIS UNITED WAYHEARTLAND COMMUNITY HEALTH CARE CLINIC, PEORIA, ILLINOISBRADLEY UNIVERSITY, PEORIA, ILLINOIS
CHRIST HOSP INCL HOPE CHILDREN'S HOSP	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, NATIONAL ALLIANCE FOR MENTAL HEALTH, PARK FOREST HEALTH DEPARTMENT, AND STICKNEY HEALTH DEPARTMENT. FOR A COMPLETE LIST OF COMMUNITY-BASED ORGANIZATIONS NAMES THAT PARTICIPATED IN THE ASSESSMENT, PLEASE SEE THE FOLLOWING WEBSITE. HTTP://ALLHEALTHEQUITY.ORG/
GOOD SHEPHERD HOSPITAL	PART V, SECTION B, LINE 6B: OTHER NON-HOSPITAL FACILITIES THAT PARTICIPATED IN THE CHNA INCLUDED THE MCHENRY COUNTY DEPARTMENT OF HEALTH, MCHENRY COUNTY MENTAL HEALTH BOARD, MCHENRY COUNTY SUBSTANCE ABUSE COALITION, UNITED WAY OF GREATER MCHENRY COUNTY, LAKE COUNTY HEALTH DEPARTMENT, HEALTHIER BARRINGTON COALITION, AND THE WAUCONDA UNITED PARTNERS SUBSTANCE ABUSE PREVENTION COALITION.
GOOD SAMARITAN HOSPITAL	PART V, SECTION B, LINE 6B: ADVOCATE GOOD SAMARITAN HOSPITALTHE 2019 CHNA WAS CONDUCTED WITH THE DUPAGE COUNTY HEALTH DEPARTMENT (WHEATON, IL) AND WITH THE IMPACT DUPAGE STEERING COMMITTEE (WHEATON, IL).
LUTHERAN GEN HOSP INCL LUTH GEN CHILD	PART V, SECTION B, LINE 6B: ADVOCATE LUTHERAN GENERAL HOSPITALOTHER NON-HOSPITAL FACILITIES THAT PARTICIPATED IN THE AHE COLLABORATIVE ASSESSMENT INCLUDED THE CHICAGO DEPARTMENT OF PUBLIC HEALTH; EVANSTON HEALTH AND HUMAN SERVICES DEPARTMENT; COOK COUNTY DEPARTMENT OF PUBLIC HEALTH; AND VILLAGE OF SKOKIE HEALTH DEPARTMENTA COMPLETE LIST OF COMMUNITY ORGANIZATIONS INVOLVED IN THE ASSESSMENT CAN BE VIEWED AT HTTPS://ALLHEALTHEQUITY.ORG/PROJECTS/2019-CHNA-REPORTS/.
ADVOCATE SOUTH SUBURBAN HOSPITAL	PART V, SECTION B, LINE 6B: ADVOCATE SOUTH SUBURBAN HOSPITALOTHER NON-HOSPITAL FACILITIES THAT PARTICIPATED IN THE AHE CHNA INCLUDED THE ILLINOIS PUBLIC HEALTH INSTITUTE (CHICAGO, IL), THE CHICAGO DEPARTMENT OF PUBLIC HEALTH (CHICAGO, IL), COOK COUNTY DEPARTMENT OF PUBLIC HEALTH (CHICAGO, IL), EVANSTON HEALTH AND HUMAN SERVICES DEPARTMENT (EVANSTON, IL) AND THE VILLAGE OF SKOKIE HEALTH DEPARTMENT (SKOKIE, IL). FOR A COMPLETE LIST OF ALL ORGANIZATIONS THAT PARTICIPATED IN THE ASSESSMENT, PLEASE VISIT: HTTP://ALLHEALTHEQUITY.ORG/
ADVOCATE TRINITY HOSPITAL	PART V, SECTION B, LINE 6B: ADVOCATE TRINITY HOSPITALOTHER NON-HOSPITAL FACILITIES THAT PARTICIPATED IN THE ALLIANCE INCLUDED THE ILLINOIS PUBLIC HEALTH INSTITUTE (CHICAGO, IL), CHICAGO DEPARTMENT OF PUBLIC HEALTH (CHICAGO, IL), COOK COUNTY HEALTH DEPARTMENT (CHICAGO, IL), FOR A COMPLETE LIST OF COMMUNITY-BASED ORGANIZATIONS NAMES THAT PARTICIPATED IN THE ASSESSMENT, PLEASE SEE THE FOLLOWING WEBSITE. HTTP://ALLHEALTHEQUITY.ORG/
BROMENN MEDICAL CENTER	PART V, SECTION B, LINE 6B: CHESTNUT FAMILY HEALTH CENTER, BLOOMINGTON, ILLINOIS MCLEAN COUNTY HEALTH DEPARTMENT, BLOOMINGTON, ILLINOIS
ADVOCATE EUREKA HOSPITAL	PART V, SECTION B, LINE 7D: THE RESULTS OF THE 2019 ADVOCATE EUREKA CHNA WERE PRESENTED TO THE ADVOCATE BROMENN MEDICAL CENTER AND ADVOCATE EUREKA DELEGATE CHURCH ASSOCIATION.
GOOD SHEPHERD HOSPITAL	PART V, SECTION B, LINE 7D: THE HOSPITAL ISSUED AN ANNOUNCEMENT AND A BRIEF SUMMARY OF THE CHNA RESULTS TO ADVOCATE GOOD SHEPHERD TEAM MEMBERS, WHICH ALSO INCLUDED A LINK TO THE FULL REPORT. COMMUNITY HEALTH STAFF ALSO PRESENTED THE CHNA RESULTS TO THE HEALTHIER BARRINGTON COALITION AND ADVOCATE GOOD SHEPHERD EXECUTIVE AND SENIOR LEADERSHIP TEAMS.
LUTHERAN GEN HOSP INCL LUTH GEN CHILD	PART V, SECTION B, LINE 7D: AN OVERVIEW OF THE ADVOCATE LUTHERAN GENERAL 2017-2019 CHNA REPORT WAS PROVIDED IN JANUARY 2020 TO THE DES PLAINES MINISTERIAL ASSOCIATION, WHICH IS COMPRISED OF LOCAL COMMUNITY ORGANIZATIONS AND LEADERS. IN ADDITION, AN OVERVIEW OF THE CHNA REPORT WAS PROVIDED TO THE BELMONT-CRAGIN COALITION, LED BY THE NORTH WESTSIDE HOUSING CENTER, WHICH IS A COMMUNITY COALITION COMPRISED OF COMMUNITY RESIDENTS, ORGANIZATIONS AND FAITH-BASED INSTITUTIONS.
BROMENN MEDICAL CENTER	PART V, SECTION B, LINE 7D: ADVOCATE BROMENN MEDICAL CENTERAN OVERVIEW OF THE PROCESS AND RESULTS OF THE 2019 MCLEAN COUNTY CHNA WERE GIVEN TO THE FOLLOWING GROUPS: JOHN M. SCOTT HEALTH COMMISSION; ADVOCATE BROMENN DELEGATE CHURCH ASSOCIATION; ADVOCATE BROMENN AND ADVOCATE EUREKA GOVERNING COUNCIL; OSF HEALTHCARE SYSTEMS BOARD OF DIRECTORS; MCLEAN COUNTY BOARD OF HEALTH; CHESTNUT HEALTH SYSTEMS BOARD OF DIRECTORS; ADVOCATE BROMENN NURSING LEADERSHIP; AND CITY OF BLOOMINGTON PLANNING COMMISSION.
ADVOCATE EUREKA HOSPITAL	PART V, SECTION B, LINE 11: ADVOCATE EUREKA HOSPITAL2017-2019 CHNATHE 2020-2022 ADVOCATE EUREKA COMMUNITY HEALTH IMPLEMENTATION PLAN IS FOCUSED ON WOODFORD COUNTY AND TWO OF THE FOUR SIGNIFICANT HEALTH NEEDS SELECTED FOR THE TRI-COUNTY REGION. COMMUNITY HEALTH IMPROVEMENT PLANNING SPECIFIC TO ADVOCATE EUREKA ALIGNS WITH THE ADVOCATE AURORA COMMUNITY STRATEGY FOCUSED ON HEALTH EQUITY. HEALTH INEQUITY IS DEFINED AS DIFFERENCES IN HEALTH THAT ARE SYSTEMIC, AVOIDABLE, UNFAIR OR UNJUST. THERE ARE SIX FOCUS AREAS THAT ARE IDENTIFIED IN CURRENT INDUSTRY LITERATURE AS HAVING THE MOST UPSTREAM EFFECT ON HEALTH EQUITY AND ARE ALSO STRONGLY CONFIRMED BY ORGANIZATION WIDE CHNA DATA. THESE SIX FOCUS AREAS INCLUDE: 1) ACCESS/PRIMARY MEDICAL HOMES; 2) ACCESS/BEHAVIORAL HEALTH SERVICES; 3) WORKFORCE DEVELOPMENT; 4) COMMUNITY SAFETY; 5) HOUSING; AND 6) FOOD SECURITY.ADVOCATE EUREKA TRANSITIONADVOCATE EUREKA WAS ACQUIRED BY CARLE HEALTH ON JULY 1, 2020. THE IMPLEMENTATION PLAN EFFORTS FOR EACH HEALTH NEED BELOW REFER TO THE TIME PERIOD OF JANUARY 1JUNE 30, 2020, WHEN ADVOCATE EUREKA WAS A PART OF ADVOCATE AURORA HEALTH. COVID-19ON MARCH 9, 2020, GOVERNOR JB PRITZKER DECLARED ALL COUNTIES IN THE STATE OF ILLINOIS AS A DISASTER AREA IN RESPONSE TO THE OUTBREAK OF COVID-19. A STAY AT HOME ORDER WAS ISSUED ON MARCH 21, 2020, AND EXTENDED ON APRIL 30, 2020. ALTHOUGH EFFORTS WERE MADE TO CONTINUE WITH AS MANY IMPLEMENTATION PLAN INTERVENTIONS AS POSSIBLE, COVID-19 IMPACTED THE IMPLEMENTATION STRATEGIES AND INTERVENTIONS OUTLINED IN THE 2020-2022 ADVOCATE EUREKA HOSPITAL COMMUNITY HEALTH IMPLEMENTATION PLAN. PFHC PRIORITY ACTION TEAM MEETINGS WERE CANCELLED IN MARCH, APRIL AND MAY (FOR HEALTHY EATING/ACTIVE LIVING) DUE TO COVID-19.HEALTH NEEDS SELECTED MENTAL HEALTH WAS SELECTED BY ADVOCATE EUREKA'S CHNA TEAM AS A SIGNIFICANT HEALTH NEED FROM THE FOUR SIGNIFICANT HEALTH NEEDS SELECTED BY THE PFHC AD-HOC CHNA COLLABORATIVE TEAM FOR SEVERAL REASONS. WOODFORD COUNTY RESIDENTS THAT PARTICIPATED IN THE 2018 TRI-COUNTY COMMUNITY HEALTH SURVEY PERCEIVED MENTAL HEALTH AS THE MOST IMPORTANT HEALTH ISSUE IN THE COMMUNITY. THE AGE-ADJUSTED DEATH RATE DUE TO SUICIDE IN WOODFORD COUNTY IS ALSO IN THE WORST 25TH PERCENTILE RANGE COMPARED TO OTHER COUNTIES IN THE U.S., IS HIGHER THAN THE ILLINOIS VALUE AND IS HIGHER THAN BOTH PEORIA AND TAZEWELL COUNTIES. ADDITIONALLY, 27 PERCENT OF THE WOODFORD COUNTY SURVEY RESPONDENTS WHO REPORTED THAT THEY DID NOT HAVE ACCESS TO COUNSELING CITED EMBARRASSMENT AS THE REASON. FINALLY, A FEW OF THE HIGH SOCIONEEDS ZIP CODESSPECIFICALLY EL PASO, WASHBURN AND LOWPOINTHAD HIGHER VALUES THAN THE COUNTY VALUE FOR SOME OF THE AGE-ADJUSTED EMERGENCY ROOM RATES; MENTAL HEALTH, PEDIATRIC MENTAL HEALTH AND/OR SUICIDE AND SELF-INFLICTED INJURY FOR BOTH ADULTS AND ADOLESCENTS. (THE CONDUENT HCI SOCIONEEDS INDEX TOOL IS DESCRIBED IN PART VI., LINE 4, COMMUNITY INFORMATION.)HIGHLIGHTS FOR STEPS THAT WERE TAKEN FROM JANUARY 1JUNE 30, 2020, AS A PART OF THE ADVOCATE EUREKA 2020-2022 COMMUNITY HEALTH IMPLEMENTATION PLAN TO ADDRESS MENTAL HEALTH INCLUDE THE FOLLOWING: MENTAL HEALTH FIRST AID (MHFA) WAS TAUGHT BY A HOSPITAL SOCIAL WORKER TO NINE EUREKA LIBRARY STAFF IN JANUARY 2020. ADDITIONAL CLASSES COULD NOT BE SCHEDULED DUE TO COVID-19. MHFA IS CURRENTLY NOT AVAILABLE AS A VIRTUAL CLASS. THIRTY-SEVEN COUNSELING SERVICES WERE OFFERED ON-SITE AT ADVOCATE EUREKA. THE SERVICES WERE PROVIDED AT THE HOSPITAL BY THE TAZWOOD CENTER FOR WELLNESS AND ALLOWED RESIDENTS TO RECEIVE CARE LOCALLY VERSUS TRAVELING OUTSIDE OF THE COUNTY FOR CARE. THE COMMUNITY HEALTH DIRECTOR FOR ADVOCATE BROMENN AND ADVOCATE EUREKA SERVED AS A BOARD MEMBER ON THE PARTNERSHIP FOR A HEALTHY COMMUNITY. THE COMMUNITY HEALTH DIRECTOR FOR ADVOCATE BROMENN AND ADVOCATE EUREKA AND AN ADVOCATE EUREKA SOCIAL WORKER SERVED ON THE PFHC MENTAL HEALTH/SUBSTANCE USE PRIORITY ACTION TEAM. AS A RESULT OF A PARTNERSHIP BETWEEN ADVOCATE MEDICAL GROUP (AMG) BEHAVIORAL HEALTH, TRI-COUNTY SPECIAL EDUCATION ASSOCIATION AND ILLINOIS STATE UNIVERSITY'S PSYCHOLOGICAL SERVICES CENTER, DOCTORAL IN PSYCHOLOGY INTERNS PROVIDED FOUR DAYS OF INTEGRATED BEHAVIORAL HEALTH SERVICES ACROSS THREE AMG SETTINGSADVOCATE BROMENN OUTPATIENT CENTER, EL PASO FAMILY PRACTICE AND EUREKA FAMILY PRACTICE.THE 2020-2022 ADVOCATE EUREKA CHNA IMPLEMENTATION PLAN WAS POSTED IN MAY 2020. INTERVENTIONS FOR MENTAL HEALTH OUTLINED IN THE PLAN CAN BE VIEWED AT: HTTP://WWW.ADVOCATEHEALTH.COM/CHNAREPORTS.HEALTHY EATING/ACTIVE LIVING WAS SELECTED BY ADVOCATE EUREKA'S CHNA TEAM AS A SIGNIFICANT HEALTH NEED FROM THE FOUR SIGNIFICANT HEALTH NEEDS SELECTED BY THE PFHC AD-HOC CHNA COLLABORATIVE TEAM FOR SEVERAL REASONS. A HEALTHY LIFESTYLE OF REGULAR PHYSICAL ACTIVITY AND A HEALTHY DIET SERVES AS A FOUNDATION FOR GOOD MENTAL, PHYSICAL AND EMOTIONAL HEALTH, AND IS KEY IN PREVENTING NUMEROUS CHRONIC DISEASES. ADDITIONALLY, FIFTY-FIVE PERCENT OF TRI-COUNTY COMMUNITY HEALTH SURVEY RESPONDENTS RATED BEING OVERWEIGHT OR OBESITY AS ONE OF THE TOP PERCEIVED HEALTH NEEDS IN THE COUNTY. ALTHOUGH WOODFORD COUNTY IS SURROUNDED BY FARMLAND, THE PERCENTAGE OF ADULTS WHO EAT FRUITS AND VEGETABLES FIVE OR MORE TIMES PER DAY IS LOW AT 11.6 PERCENT AND IS IN THE WORST 25TH PERCENTILE RANGE IN COMPARISON TO OTHER COUNTIES IN ILLINOIS. IN ADDITION TO NOT EATING ENOUGH FRUITS AND VEGETABLES, THE 2018 TRI-COUNTY COMMUNITY HEALTH SURVEY DATA SHOW THAT 26 PERCENT OF WOODFORD COUNTY SURVEY RESPONDENTS INDICATED THAT THEY DO NOT EXERCISE AT ALL, WHILE 34 PERCENT ONLY EXERCISE ONE TO TWO TIMES PER WEEK. AN ADDITIONAL REASON ADVOCATE EUREKA SELECTED HEALTHY EATING/ACTIVE LIVING TO ADDRESS IS DUE TO THE HOSPITAL RESOURCES AND STAFFING AVAILABLE TO ASSIST WITH THIS ISSUE FOR WOODFORD COUNTY, AS WELL AS THE TRI-COUNTY REGION. THE HOSPITAL'S CHNA TEAM FELT THAT AS A CRITICAL ACCESS HOSPITAL, IT COULD MAKE SIGNIFICANTLY MORE CONTRIBUTIONS TOWARD IMPROVING HEALTHY EATING/ACTIVE LIVING IN THE COUNTY THAN WITH SUBSTANCE USE OR CANCER. HIGHLIGHTS FOR STEPS TAKEN FROM JANUARY 1JUNE 30, 2020, AS A PART OF THE 2020-2022 ADVOCATE EUREKA COMMUNITY HEALTH IMPLEMENTATION PLAN TO ADDRESS HEALTHY EATING/ACTIVE LIVING ARE AS FOLLOWS: THE COMMUNITY HEALTH DIRECTOR FOR ADVOCATE BROMENN AND ADVOCATE EUREKA AND AN ADVOCATE EUREKA DIETITIAN SERVED ON THE PFHC HEALTHY EATING/ACTIVE LIVING PRIORITY ACTION TEAM. THEY ALSO PARTICIPATED IN THE ENDING THE HUNGER TRI-COUNTY COLLABORATION. A STAFF MEMBER OF ADVOCATE EUREKA VOLUNTEERED AT THE WOODFORD COUNTY FOOD PANTRY WHILE WORKING REMOTELY DUE TO COVID-19.INTERVENTIONS FOR HEALTHY EATING/ACTIVE LIVING OUTLINED IN THE PLAN CAN BE VIEWED AT: HTTP://WWW.ADVOCATEHEALTH.COM/CHNAREPORTSHEALTH NEEDS NOT SELECTED CANCER. THE HOSPITAL CHNA TEAM DID NOT SELECT CANCER AS A SIGNIFICANT HEALTH NEED AND ELECTED TO FOCUS ON JUST TWO SIGNIFICANT HEALTH NEEDS INSTEAD, GIVEN ITS RESOURCES ARE LIMITED AS A CRITICAL ACCESS HOSPITAL. THE HOSPITAL WILL, HOWEVER, CONTINUE TO SUPPORT THE EFFORTS OF THE PFCH CANCER PRIORITY ACTION TEAM FOR THE TRI-COUNTY REGION. A MEMBER OF THE ADVOCATE EUREKA MANAGEMENT TEAM IS SERVING ON THE PFCH CANCER PRIORITY ACTION TEAM AND HAS ASSISTED IN THE MAMMOGRAPHY SCREENING DATA INITIATIVE.SUBSTANCE ABUSE. THE HOSPITAL CHNA TEAM ALSO DID NOT SELECT SUBSTANCE USE AS A SIGNIFICANT HEALTH NEED AS IT WANTED TO FOCUS THE HOSPITAL'S EFFORTS ON ONLY TWO SIGNIFICANT HEALTH NEEDS GIVEN ITS RESOURCES ARE LIMITED AS A CRITICAL ACCESS HOSPITAL. THE HOSPITAL WILL, HOWEVER, CONTINUE TO SUPPORT THE EFFORTS OF THE PFCH BEHAVIORAL HEALTH PRIORITY ACTION TEAM FOR THE TRI-COUNTY REGION, WHICH INCLUDES SUBSTANCE USE AS WELL AS MENTAL HEALTH.
CHRIST HOSP INCL HOPE CHILDREN'S HOSP	PART V, SECTION B, LINE 11: HEALTH NEEDS SELECTEDAS A RESULT OF THE 2017-2019 CHNA PROCESS, ADVOCATE CHRIST SELECTED THREE PRIORITIES FOR 2020-2022 IMPLEMENTATION PLANNING, INCLUDING: 1) MENTAL HEALTH/SUBSTANCE ABUSE;2) DIABETES; AND 3) VIOLENCE PREVENTION (SOCIAL, ECONOMIC AND STRUCTURAL DETERMINANTS OF HEALTH). (FOR PRIORITY SELECTION PROCESS DETAILS, SEE PAGES 77-78 OF THE 2017-2019 CHNA REPORT AT HTTPS://WWW.ADVOCATEHEALTH.COM/ASSETS/IMAGES/CHNA/0802_CHRIST_CHNA_F_1_16_2020JANUARY28.PDF )MENTAL HEALTH/SUBSTANCE ABUSE. ADVOCATE CHRIST WILL ADDRESS THE MENTAL HEALTH AND SUBSTANCE USE ISSUES OF INDIVIDUALS IMPACTED BY TRAUMA THROUGH THE TRAUMA RECOVERY CENTER. THE MEDICAL CENTER WILL ADOPT STRATEGIES THAT IMPROVE THE RATES OF MENTAL HEALTH EMERGENCIES AND DECREASE ED VISITS AND HOSPITALIZATION DUE TO MENTAL HEALTH ISSUES. IN ADDITION, ADVOCATE CHRIST WILL CONTINUE TO BUILD A PARTNERSHIP WITH STAFF FROM THE MEDICAL CENTER'S TRAUMA RECOVERY CENTER. GOALS TO ADDRESS MENTAL HEALTH INCLUDE PROVIDING ACCESS TO MENTAL HEALTH FIRST AID TRAININGS AND INCREASING EDUCATION, AWARENESS AND ACCESS TO SERVICES FOR MENTAL HEALTH. IN 2020, ADVOCATE CHRIST PARTNERED WITH SERTOMA CENTRE, INC., TO PROVIDE VIRTUAL PROGRAMMING FOR MENTAL HEALTH EDUCATION, COMPLETING THREE WEB-BASED TRAININGS WITH TOPICS IN SELF-CARE, UNDERSTANDING ANXIETY AND MANAGING CONFLICT. THE COMMUNITY HEALTH TEAM ALSO PARTNERED WITH THE ALLIANCE FOR HEALTH EQUITY TO COLLABORATE ON ADDRESSING ACCESS TO MENTAL HEALTH SERVICES AND PROGRAMS.DIABETES. ED VISITS FOR DIABETES ARE HEAVILY CONCENTRATED IN THE WEST AND SOUTH SIDES OF CHICAGO AND THE SOUTHERN REGION OF SUBURBAN COOK COUNTY. THE AREAS WITH HIGH RATES OF ED VISITS LARGELY OVERLAP WITH COMMUNITIES WITH HIGH RATES OF POVERTY, UNEMPLOYMENT AND COST-BURDENED HOUSEHOLDS. AS A RESULT, THE MEDICAL CENTER'S CHC DECIDED THAT DIABETES INITIATIVES IN THIS SERVICE AREA ARE STILL NEEDED AND CONTINUE TO BE A BURDEN FOR RESIDENTS (THE ALLIANCE FOR HEALTH EQUITY, 2019). IN 2020, ADVOCATE CHRIST CONTINUED TO IMPLEMENT THE NATIONAL DIABETES PREVENTION PROGRAM (DPP). THE NATIONAL DPP IS A CENTERS FOR DISEASE CONTROL AND PREVENTION PROGRAM TO PREVENT OR DELAY TYPE 2 DIABETES. ADVOCATE CHRIST OFFERED TWO DIABETES PREVENTION PROGRAMS 1) THE YEAR-LONG NATIONAL DIABETES PREVENTION PROGRAM (DPP), AND 2) THE EIGHT-WEEK DIABETES EMPOWERMENT AND EDUCATION PROGRAM (DEEP). THE MEDICAL CENTER ACHIEVED PRELIMINARY RECOGNITION STATUS AS A CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC) NATIONAL DIABETES PREVENTION PROGRAM IN 2020. THE PROGRAM GRADUATED THREE COHORTS WITH 33 PARTICIPANTS IN THE DEEP PROGRAM AND 16 PARTICIPANTS FROM THE DPP PROGRAM. DUE TO THE COVID-19 PANDEMIC, THE PROGRAM WAS TRANSITIONED FROM IN-PERSON LEARNING TO DISTANCE LEARNING (ONLINE/VIRTUAL). IN 2020, PROGRAM PARTICIPANTS ACHIEVED AN AVERAGE DECREASE IN BODY MASS INDEX (BMI) OF FIVE PERCENT AFTER COMPLETING THE PROGRAM. VIOLENCE PREVENTION. THE MEDICAL CENTER'S CHC IDENTIFIED VIOLENCE PREVENTION AS A SIGNIFICANT DETERMINANT OF HEALTH IN THE PSA AND WILL WORK WITH INTERNAL AND EXTERNAL STAKEHOLDERS TO DEVELOP NEW AND STRENGTHEN EXISTING EFFORTS TO PREVENT VIOLENCE IN THE COMMUNITY. IN 2020, ADVOCATE CHRIST ENGAGED IN THE FOLLOWING ACTIVITIES TO ADDRESS VIOLENCE PREVENTION. ADVOCATE CHRIST PARTICIPATED IN THE CHICAGO HEAL INITIATIVE WHICH BRINGS TOGETHER HOSPITALS FROM LEADING HEALTH SYSTEMS TO ADDRESS VIOLENCE IN TARGETED CHICAGO NEIGHBORHOODS. THE ADVOCATE TRAUMA RECOVERY CENTER PROVIDED TRAUMA RECOVERY SERVICES TO 772 VICTIMS OF TRAUMA. THE ACCLIVUS COMMUNITY SUPPORT PROGRAM ASSISTED 745 VICTIMS OF VIOLENCE WITH REFERRALS TO COMMUNITY SUPPORT AND CASE MANAGEMENT SERVICES. ADVOCATE CHRIST PARTNERED WITH UNIVERSITY OF CHICAGO MEDICINE TO CONTINUE IMPLEMENTATION OF THE SOUTHLAND RISE INITIATIVE DEVELOPED TO ADDRESS VIOLENCE IN SOUTHSIDE CHICAGO NEIGHBORHOODS. THE SOUTHLAND RISE PARTNERSHIP PROVIDED 100,000 DOLLARS IN GRANT FUNDING TO COMMUNITY BASED ORGANIZATIONS TO ADDRESS YOUTH VIOLENCE, COVID-19 STRATEGIES AND SOCIAL DETERMINANTS OF HEALTH (SDOH) IDENTIFIED DURING THE COVID-19 PANDEMIC. IN ADDITION, A SOUTHLAND RISE VIOLENCE PREVENTION SUMMIT WAS CONDUCTED IN MARCH 2020 WITH CLOSE TO 200 PEOPLE IN ATTENDANCE. AS A RESULT OF THE 2017-2019 CHNA PROCESS, ADVOCATE CHILDREN'S-OAK LAWN WILL ADDRESS THE FOLLOWING PRIORITY AREAS FOR IMPLEMENTATION PLANNING FROM 2020-2022, INCLUDING: 1) ACCESS TO PRIMARY HEALTH CARE FOR LOW-INCOME CHILDREN; 2) SCHOOL-BASED BEHAVIORAL HEALTH ASSISTANCE; AND 3) INFANT MORTALITY/PRE-TERM DELIVERIES/LOW BIRTH WEIGHT.ACCESS TO PRIMARY CARE. ADVOCATE CHILDREN'S WILL OFFER SCHOOL-BASED HEALTH SERVICES AT NO CHARGE TO HIGH-RISK, LOW-INCOME CHILDREN WHO ARE UNINSURED OR RECEIVING MEDICAID. SERVICES PROVIDED BY THE RONALD MCDONALD CARE MOBILE (RMCM) WILL INCLUDE FREE PHYSICALS, IMMUNIZATIONS, COMPLETION OF HPV VACCINE SERIES, ASSISTANCE WITH SECURING A MEDICAL HOME, WELLNESS AND HEALTH EDUCATION, COMMUNITY-BASED SOCIAL SERVICE REFERRALS AND FOOD INSECURITY SCREENING. IN 2020, ADVOCATE CHILDREN'S CONTINUED TO PARTNER WITH RONALD MCDONALD HOUSE CHARITIES OF CHICAGOLAND AND NORTHWEST INDIANA TO PROVIDE ACCESS TO FREE SCHOOL PHYSICALS AND IMMUNIZATIONS FOR AT-RISK CHILDREN THROUGH THE RMCM. STAFFED BY AN ADVOCATE CHILDREN'S TEAM, INCLUDING A NURSE PRACTITIONER, MEDICAL ASSISTANT, HEALTH EDUCATOR AND DRIVER, THE ADVOCATE CHILDREN'S RMCM TEAM PROVIDES IMMUNIZATIONS, ROUTINE CHECK-UPS, AND SCREENINGS TO THE MOST VULNERABLE STUDENTS IN THE ADVOCATE CHILDREN'S-OAK LAWN PSA. THE RMCM SAW LIMITED OPERATIONS DURING SPRING/SUMMER 2020 DUE TO SCHOOL CANCELLATIONS, AND HYBRID AND ONLINE LEARNING MODELS WHICH LIMITED STUDENT AND SCHOOL ACCESS NECESSITATED BY THE COVID-19 PANDEMIC. HOWEVER, THE CARE MOBILE WAS ABLE TO SEE 689 PATIENTS AND PROVIDED 1,317 VACCINATIONS IN 2020. IN ADDITION, THE CARE MOBILE WAS REDEPLOYED FOR COMMUNITY-BASED COVID-19 TESTING AT EIGHT SITES IN 2020, COMPLETING A TOTAL OF 694 COVID-19 TESTS WITH A 7.7% POSITIVITY RATE. SCHOOL-BASED BEHAVIORAL HEALTH ASSISTANCE. ADVOCATE CHILDREN'S WILL OFFER SCHOOL-BASED SOCIAL SERVICES AND RESOURCE ASSISTANCE TO IMPROVE SOCIAL AND PSYCHOLOGICAL FUNCTIONING OF CHILDREN AND FAMILIES TO MAXIMIZE FAMILY WELL-BEING AND THE ACADEMIC FUNCTIONING OF CHILDREN. SERVICES WILL BE PROVIDED BY A LICENSED CLINICAL SOCIAL WORKER ON SITE AT SELECT PARTNER SCHOOLS. CLINICAL FUNCTIONS WILL INCLUDE SCREENING AND ASSESSMENTS FOR IDENTIFIED FAMILIES, BRIEF INTERVENTIONS AND REFERRAL TO TREATMENT, COORDINATION WITH PEDIATRICIANS, SCHOOL PERSONNEL, COMMUNITY PARTNERS AND ALLIED THERAPISTS, AND PARENT EDUCATION AND TRAINING. ADVOCATE CHILDREN'S PLANNED TO IMPLEMENT A PROGRAM TO EMBED A LICENSED CLINICAL PROFESSIONAL COUNSELOR (LCPC) IN PARTNERING CHICAGO PUBLIC SCHOOLS IN ORDER TO PROVIDE BEHAVIORAL HEALTH SERVICES AND EDUCATION TO STUDENTS, FACULTY AND PARENTS. FOR THE 2020-2021 SCHOOL YEAR, THE PROGRAM WAS PUT ON PAUSE DUE TO COVID-19. THE LCPC WAS REDEPLOYED TO ASSIST IN THE PEDIATRIC OUTPATIENT CLINIC IN OAK LAWN AND THE ADOLESCENT MEDICINE CLINIC IN EVERGREEN PARK. DISCUSSIONS HAVE RESUMED WITH CHICAGO PUBLIC SCHOOLS TO PROVIDE SERVICES IN THE AUBURN-GRESHAM NEIGHBORHOOD OF CHICAGO BEGINNING IN THE 2021-22 SCHOOL YEAR. INFANT MORTALITY/PRE-TERM DELIVERIES/LOW BIRTH WEIGHT. ADVOCATE CHILDREN'S WILL PROVIDE THE CENTERING PREGNANCY PROGRAM, A GROUP PRENATAL CARE MODEL WHERE PREGNANT WOMEN RECEIVE MONTHLY EXAMS, SOCIAL SUPPORT AND EXTENSIVE EDUCATION IN A GROUP SETTING. THE PROGRAM IS DESIGNED TO ENGAGE WOMEN IN THEIR PREGNANCY WITH THE GOAL TO REDUCE PREMATURE BIRTHS, INFANT MORTALITY AND LOW BIRTH WEIGHT BABIES WHILE DEVELOPING A MUCH-NEEDED SOCIAL SUPPORT SYSTEM. IN 2020, ADVOCATE CHILDREN'S IMPLEMENTED THE CENTERING PREGNANCY PROGRAM IN THE PRIMARY SERVICE AREA. THE CENTERING PREGNANCY PROGRAM BRINGS TOGETHER A SMALL GROUP OF POTENTIALLY AT-RISK WOMEN TO GAIN KNOWLEDGE AND SUPPORT TO ENSURE A SUCCESSFUL PREGNANCY AND BIRTH. EACH GROUP FOLLOWS THE RECOMMENDED SCHEDULE OF PRENATAL VISITS BUT EACH VISIT IS LONGER, GIVING WOMEN MORE TIME WITH THEIR PROVIDER AND SUPPORT TEAM. BESIDES ASSESSMENT, THE VISIT INCLUDES DISCUSSION AND INTERACTIVE ACTIVITIES DESIGNED TO ADDRESS HEALTH TOPICS SUCH AS NUTRITION, COMMON DISCOMFORTS, STRESS MANAGEMENT, LABOR AND DELIVERY, BREASTFEEDING, AND INFANT CARE. DUE TO COVID-19, IMPLEMENTATION OF THIS PROGRAM HAS BEEN PLACED ON A BRIEF PAUSE AND WILL BE REACTIVATED ONCE IT IS SAFE FOR SMALL GROUP GATHERINGS. HEALTH NEEDS NOT SELECTED AND WHYWHILE CANCER, HEART DISEASE/STROKE AND ASTHMA ARE IMPORTANT HEALTH CONCERNS IN THE PSA, THE CHC FELT THAT THESE HEALTH CONCERNS WERE AMONG THE HIGHEST RESOURCED HEALTH NEEDS IN THE COMMUNITY. ALSO, ADVOCATE CHRIST ALREADY HAS WELL ESTABLISHED CLINICAL INSTITUTES AND RESPIRATORY HEALTH RESOURCES THAT ARE FOCUSED ON CANCER, HEART DISEASE/STROKE AND ASTHMA.
GOOD SHEPHERD HOSPITAL	PART V, SECTION B, LINE 11: HEALTH NEEDS SELECTEDAS A RESULT OF THE 2017-2019 CHNA PROCESS, ADVOCATE GOOD SHEPHERD SELECTED TWO PRIORITIES FOR 2020-2022 IMPLEMENTATION PLANNING, INCLUDING: 1) OBESITY (DIABETES, HEART DISEASE, NUTRITION, AND EXERCISE) AND 2) SUBSTANCE ABUSE. (FOR PRIORITY SELECTION PROCESS DETAILS, SEE PAGES 110-111 OF THE ADVOCATE GOOD SHEPHERD 2017-2019 CHNA REPORT AT HTTPS://WWW.ADVOCATEHEALTH.COM/ASSETS/IMAGES/GOOD-SHEPHERD-2020-2022-CMTY-HLTH-IMPLEMENTATION-PLAN-FINAL-LR-4-24-20.PDF.)OBESITY. OBESITY WAS SELECTED AS A PRIORITY FOR THE 2014-2016 CHNA CYCLE. SINCE THIS TIME PERIOD, THE PREVALENCE OF OBESITY IN THE U.S. HAS CONTINUED TO STEADILY INCREASE. OBESITY IS A SERIOUS CONCERN BECAUSE IT IS ASSOCIATED WITH POORER MENTAL HEALTH OUTCOMES, REDUCED QUALITY OF LIFE, AND THE LEADING CAUSES OF DEATH IN THE U.S. AND WORLDWIDE, INCLUDING DIABETES, HEART DISEASE, STROKE, AND SOME TYPES OF CANCER (CENTERS FOR DISEASE CONTROL AND PREVENTION, ADULT OVERWEIGHT AND OBESITY CAUSES AND CONSEQUENCES, 2017). BECAUSE OF ITS STRONG CORRELATION TO CHRONIC DISEASES AND OTHER HEALTH CONDITIONS, THE CHC VOTED TO CONTINUE FOCUSING ON OBESITY AS A PRIORITY HEALTH ISSUE FOR THE 2020-2022 IMPLEMENTATION PLAN CYCLE. THE GOAL IS TO REDUCE THE PROPORTION OF ADULTS WHO ARE OBESE IN THE PSA. ADVOCATE GOOD SHEPHERD IS COLLABORATING WITH SENIOR SERVICE ORGANIZATIONS IN ITS SERVICE AREA TO SCREEN SENIORS FOR FOOD INSECURITY, USING THE HUNGER VITAL SIGN FOOD INSECURITY QUESTIONNAIRE. INDIVIDUALS WHO ARE IDENTIFIED AS FOOD INSECURE ARE REFERRED TO COMMUNITY RESOURCES (FOOD PANTRIES, SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP), MEALS ON WHEELS, CONGREGATE MEAL PROGRAMS, FARMERS MARKETS AND COMMUNITY GARDENS. IN 2020, ADVOCATE GOOD SHEPHERD STAFF CREATED A COVID-19 FOOD AND NUTRITION RESOURCE GUIDE, INCLUDING ALL AREA FOOD DISTRIBUTION SITES AND FOOD PANTRY'S NEW PROCEDURES AND POLICIES BASED ON THE PANDEMIC. THIS GUIDE WAS SENT TO ALL SENIOR CENTERS AND NONPROFITS IN THE SERVICE AREA. IN 2020, THE HOSPITAL COLLABORATED WITH THE WAUCONDA PARK DISTRICT TO IMPLEMENT GO WAUCONDA, A COMMUNITY WIDE WALKING AND PHYSICAL ACTIVITY CAMPAIGN FOR THE SECOND CONSECUTIVE YEAR. SUBSTANCE ABUSE. SUBSTANCE ABUSE WAS THE SECOND HEALTH ISSUE IDENTIFIED AS A PRIORITY NEED WITHIN THE ADVOCATE GOOD SHEPHERD PSA. TWO SPECIFIC HEALTH BEHAVIORS WERE DISCUSSED AS CENTRAL TO THE ISSUE IN THE PSAEXCESSIVE ALCOHOL USE IN ADULTS AND THE HIGH PERCENTAGE OF TEENS VAPING. THE GOAL IS TO REDUCE THE PERCENT OF ADOLESCENTS AND ADULTS WHO ARE ABUSING SUBSTANCES. THE WARM HANDOFF PROGRAM WAS IMPLEMENTED IN THE EMERGENCY DEPARTMENT (ED) AND IS A PARTNERSHIP WITH GATEWAY FOUNDATION, A COMMUNITY-BASED ADDICTION MEDICINE PROVIDER. A GATEWAY FOUNDATION ENGAGEMENT SPECIALIST MEETS WITH A PATIENT IN THE ED WHO HAS COME IN FOR OPIOID-RELATED HEALTH ISSUES AND SCREENS AND REFERS HIM OR HER TO TREATMENT. A GATEWAY FOUNDATION RECOVERY COACH ON THE TEAM PROVIDES SUPPORT TO PATIENTS AS THEY TRANSITION INTO TREATMENT. THE COMMUNITY HEALTH STAFF HAS ALIGNED WITH KEY COMMUNITY-BASED COALITIONS TO IMPLEMENT SUBSTANCE ABUSE PREVENTION PROGRAMMING, SUCH AS THE MCHENRY SUBSTANCE ABUSE COALITION, HEALTHIER BARRINGTON COALITION, BE STRONG TOGETHER, LAKE COUNTY OPIOID TASK FORCE, LAKE COUNTY UNDERAGE DRINKING TASK FORCE AND THE WAUCONDA SUBSTANCE ABUSE PREVENTION COALITION. IN 2020, THE WAUCONDA SUBSTANCE ABUSE PREVENTION COALITION WAS AWARDED THE DRUG FREE COMMUNITIES GRANT WITH THE FOCUS ON UNDERAGE DRINKING, VAPING AND MARIJUANA. FOR MORE IMPLEMENTATION PLAN DETAILS, PLEASE SEE THE ADVOCATE GOOD SHEPHERD 2020-2022 COMMUNITY HEALTH IMPLEMENTATION PLAN AT HTTPS://WWW.ADVOCATEHEALTH.COM/ASSETS/IMAGES/GOOD-SHEPHERD-2020-2022-CMTY-HLTH-IMPLEMENTATION-PLAN-FINAL-LR-4-24-20.PDF.HEALTH NEEDS NOT SELECTED AND WHYDIABETES. DIABETES WAS NOT IDENTIFIED AS ONE OF THE PRIORITY HEALTH NEEDS FOR THE ADVOCATE GOOD SHEPHERD PSA, ALTHOUGH DIABETES PREVALENCE IS INCREASING OVER TIME BOTH NATIONALLY AND LOCALLY. ACTION TEAMS ARE ACTIVELY ADDRESSING DIABETES IN BOTH LAKE AND MCHENRY COUNTIES, COORDINATED THROUGH EACH OF THE LOCAL HEALTH DEPARTMENTS. EVIDENCE-BASED INITIATIVES ARE UNDERWAY, INCLUDING THE DIABETES SELF-MANAGEMENT PROGRAM (STANFORD MODEL) AND DIABETES PREVENTION PROGRAM IN BOTH COUNTIES. ACTIVITIES INCLUDE DIABETES PREVENTION, DIABETES SCREENING TO IDENTIFY DIABETES AND PRE-DIABETES, AND EDUCATION ON DIABETES SELF-MANAGEMENT. THESE INITIATIVES INVOLVE A WIDE RANGE OF STAKEHOLDERS INCLUDING IMMIGRANT-RIGHTS ORGANIZATIONS, PUBLIC LIBRARIES, FQHCS AND HOSPITAL SYSTEMS. BECAUSE PROGRAMS TO ADDRESS DIABETES ARE ALREADY IN PLACE, ADVOCATE GOOD SHEPHERD'S CHC MADE THE DECISION TO CONTINUE TO FOCUS ON OBESITY AS A PRIORITY, GIVEN ITS IMPACT ON THE RISK FOR PRE-DIABETES AND DIABETES.CARDIOVASCULAR DISEASE. CARDIOVASCULAR DISEASE WAS NOT SELECTED AS A HEALTH PRIORITY. OVER THE PAST DECADE, HEART DISEASE DEATH RATES HAVE DROPPED IN BOTH LAKE AND MCHENRY COUNTIES. WHILE HEART DISEASE RATES ARE DECLINING, MALES AND OLDER ADULTS HAVE SLIGHTLY HIGHER RATES. THE HOSPITAL CURRENTLY PROMOTES AND CONDUCTS HEART HEALTH RISK ASSESSMENTS USING THE AMERICAN HEART ASSOCIATION TOOL, CONDUCTS HEART SCAN CTS TO IDENTIFY CALCIUM IN THE HEART, AND PROMOTES PREVENTION MEASURES, SUCH AS GOOD NUTRITION AND PHYSICAL ACTIVITY IN THE COMMUNITY. ALL OF THESE ACTIVITIES ARE COORDINATED WITH THE ADVOCATE HEART INSTITUTE PROGRAMS FOCUSED ON TREATING CARDIOVASCULAR DISEASE IN THE HOSPITAL'S PSA AND THE PUBLIC HEALTH DEPARTMENTS IN MCHENRY AND LAKE COUNTIES. SINCE HEART DISEASE DEATH RATES ARE DECLINING AND MANY COMMUNITY-BASED PROGRAMS TO ADDRESS CARDIOVASCULAR DISEASE ARE ALREADY ACTIVE, THE CHC DECIDED IT WAS MORE BENEFICIAL TO PRIORITIZE OBESITY BECAUSE OF ITS IMPACT ON THE RISK FOR HEART DISEASE. MENTAL HEALTH. MENTAL HEALTH WAS NOT SELECTED AS A PRIORITY FOR THE CURRENT CHNA CYCLE EVEN THOUGH IT WAS SELECTED IN THE PREVIOUS CHNA CYCLE. ADVOCATE GOOD SHEPHERD HAS WORKED CLOSELY WITH THE NATIONAL ALLIANCE FOR MENTAL ILLNESS (NAMI) BARRINGTON CHAPTER TO DEVELOP AND LAUNCH A WEBSITE NAMED HEALTHY BARRINGTON, WHICH HELPS INDIVIDUALS FIND MENTAL HEALTH PROVIDERS IN THE BARRINGTON AREA AND THROUGHOUT THE CHICAGOLAND AREA. THERE ARE ALSO ACTIVE BEHAVIORAL HEALTH COUNCILS IN PLACE FOR BOTH LAKE COUNTY AND MCHENRY COUNTY, FOCUSING ON IMPROVING MENTAL HEALTH PROVIDER CAPACITY AND STREAMLINING SERVICE PROVISION. THE DIRECTOR OF COMMUNITY HEALTH SITS ON THESE COMMITTEES. SINCE A GREAT DEAL OF WORK IS ALREADY BEING DONE TO ADDRESS MENTAL HEALTH IN THE PSA, THE CHC VOTED FOR THE HOSPITAL TO TURN ITS ATTENTION TO SUBSTANCE ABUSE FOR THE NEXT THREE-YEAR PERIOD.CANCER. AS PART OF THE REQUIREMENTS TO MAINTAIN CERTIFICATION WITH THE COMMISSION ON CANCER, ADVOCATE GOOD SHEPHERD IMPLEMENTS CANCER SCREENING AND PREVENTION EDUCATION ON AN ANNUAL BASIS. OVER THE PAST THREE YEARS, COMMUNITY HEALTH STAFF HAVE WORKED WITH THE ADVOCATE GOOD SHEPHERD CANCER CENTER STAFF TO ADDRESS BARRIERS TO NAVIGATION, AND PROMOTE EARLY SCREENING AND DETECTION FOR COLORECTAL CANCER, SKIN CANCER AND LUNG CANCER. BECAUSE ACTIVITIES RELATED TO CANCER SCREENING AND PREVENTION ARE ALREADY INTEGRATED INTO THE REGULAR PROGRAMMING OF BOTH THE COMMUNITY HEALTH PROGRAM AND THE CANCER CENTER, AND CANCER INCIDENCE RATES ARE TRENDING DOWN FOR ALL BUT BREAST CANCER, THE CHC DETERMINED IT WAS PRUDENT TO FOCUS ON OTHER HEALTH PRIORITIES. FOR MORE DETAIL RELATED TO PRIORITIES SELECTED TO ADDRESS, AND NOT SELECTED TO ADDRESS AND WHY, PLEASE SEE PAGES 110-112 OF THE ADVOCATE GOOD SHEPHERD 2020-2022 COMMUNITY HEALTH IMPLEMENTATION PLAN AT HTTPS://WWW.ADVOCATEHEALTH.COM/ASSETS/IMAGES/GOOD-SHEPHERD-2020-2022-CMTY-HLTH-IMPLEMENTATION-PLAN-FINAL-LR-4-24-20.PDF.
GOOD SAMARITAN HOSPITAL	PART V, SECTION B, LINE 11: ADVOCATE GOOD SAMARITAN HOSPITALAS A RESULT OF THE 2017-2019 CHNA PROCESS, ADVOCATE GOOD SAMARITAN SELECTED TWO HEALTH PRIORITIES FOR THE HOSPITAL TO ADDRESS FOR 2020-2022 IMPLEMENTATION PLANNING: 1) BEHAVIORAL HEALTH; AND 2) HEALTH STATUS IMPROVEMENT, WHICH INCLUDES ACCESS TO HEALTH CARE, OBESITY PREVENTION, NUTRITION AND PHYSICAL ACTIVITY. (FOR PRIORITY SELECTION PROCESS DETAILS, SEE PAGE 41 OF ADVOCATE GOOD SAMARITAN'S 2017-2019 CHNA REPORT AT HTTPS://WWW.ADVOCATEHEALTH.COM/ASSETS/DOCUMENTS/CHNA/GOOD-SAMARITAN-HOSPITAL/0715_GSAM_CHNA_F_1_14_2020-(LR).PDF.)DUPAGE COUNTY HEALTH NEEDS SELECTED BEHAVIORAL HEALTH. THE ADVOCATE GOOD SAMARITAN CHC INITIALLY LOOKED AT SUBSTANCE USE AND MENTAL HEALTH AS SEPARATE HEALTH ISSUES HOWEVER, AFTER CAREFUL REVIEW OF DATA, IT WAS EVIDENT THAT MENTAL HEALTH AND SUBSTANCE USE ARE STRONGLY CORRELATED AND PRESENT AS CO-OCCURRING HEALTH ISSUES. TAKING THIS INTO CONSIDERATION, THE CHC AND THE IMPACT DUPAGE STEERING COMMITTEE IDENTIFIED BEHAVIORAL HEALTH AS THE PRIORITY HEALTH NEED AND THE MOST EFFECTIVE WAY TO ADDRESS MENTAL HEALTH AND SUBSTANCE USE. DATA TRENDS INDICATED THAT MENTAL HEALTH ISSUES ARE INCREASING AND THE NEED FOR MENTAL HEALTH SERVICES AND PROGRAMMING CONTINUES TO GROW. ADOLESCENTS AND YOUNG ADULTS HAVE SOME OF THE HIGHEST HOSPITALIZATION AND ER RATES DUE TO MENTAL HEALTH ISSUES AND THE GREATEST NEED FOR MENTAL HEALTH SERVICES. THE CHC IS INTERESTED IN COLLABORATING WITH COMMUNITY ORGANIZATIONS SUCH AS THE NATIONAL ALLIANCE FOR MENTAL ILLNESS (NAMI) TO INCREASE THE AMOUNT OF COMMUNITY PROGRAMS AND RESOURCES AVAILABLE TO TEENS AND YOUNG ADULTS WHO EXPERIENCE MENTAL HEALTH ISSUES. THE HOSPITAL WILL WORK WITH THE DUPAGE COUNTY HEALTH DEPARTMENT AND IMPACT DUPAGE TO EFFECTIVELY ADDRESS BEHAVIORAL HEALTH NEEDS IN DUPAGE COUNTY. PROGRESS AND OUTCOMES FOR 2020 ARE AS FOLLOWS. IN PARTNERSHIP WITH NAMI DUPAGE, ADVOCATE GOOD SAMARITAN IMPLEMENTED THE TEEN RECOVERY SUPPORT GROUP, WHICH AIMS TO REDUCE MENTAL HEALTH CRISES. IN 2020, 12 SESSIONS WERE HELD VIRTUALLY WITH EIGHT PARTICIPANTS. THE HOSPITAL PARTNERED WITH THE SERATOMA CENTER TO PROVIDE VIRTUAL MENTAL HEALTH FIRST AID, A TRAINING THAT AIMS TO HELP INDIVIDUALS IDENTIFY AND ADDRESS MENTAL HEALTH CRISES. THE TRAINING WAS PROVIDED TO 20 OF THE HOSPITAL'S EMS STUDENTS IN 2020. ADVOCATE GOOD SAMARITAN CONTINUED TO PARTNER WITH NAMI DUPAGE TO PROVIDE ENDING THE SILENCE TO DUPAGE COUNTY SCHOOLS. THE PROGRAM AIMS TO REDUCE MENTAL HEALTH STIGMA AMONG ADOLESCENTS. IN 2020, 105 MIDDLE AND HIGH SCHOOL STUDENTS COMPLETED THE CLASS VIRTUALLY. IN PARTNERSHIP WITH THE DUPAGE COUNTY HEALTH DEPARTMENT, NARCAN (AN OPIOID OVERDOSE REVERSAL DRUG) KITS WERE DISTRIBUTED TO 19 ADVOCATE GOOD SAMARITAN HOSPITAL EMERGENCY DEPARTMENT (ED) PATIENTS WITH SUBSTANCE USE DISORDER. IN ADDITION, ADVOCATE GOOD SAMARITAN PARTNERED WITH GATEWAY FOUNDATION TO PROVIDE ASSESSMENT AND INTERVENTION SERVICES TO 48 HOSPITAL PATIENTS WITH OPIOID USE DISORDER AND TO LINK 135 SUBSTANCE USE DISORDER PATIENTS TO TREATMENT THROUGH GATEWAY FOUNDATION'S ENHANCED ACCESS PROCESS.HEALTH STATUS IMPROVEMENT. HEALTH STATUS IMPROVEMENT INCLUDES ACCESS TO HEALTH CARE, OBESITY PREVENTION, NUTRITION AND PHYSICAL ACTIVITY. THE CHC AND IMPACT DUPAGE IDENTIFIED HEALTHY LIFESTYLES AND ACCESS TO HEALTH CARE AS A CRITICAL HEALTH NEED FOR DUPAGE COUNTY. OBESITY AND NUTRITION ARE THE LEADING CAUSES OF MANY CHRONIC DISEASES AND HEALTH ISSUES, INCLUDING HEART DISEASE, STROKE, SOME CANCERS AND DIABETES. TAKING THIS INTO CONSIDERATION, THE CHC AND IMPACT DUPAGE SELECTED HEALTH STATUS IMPROVEMENT DUE TO THE ABILITY TO IMPACT THE QUALITY OF LIFE AND OVERALL HEALTH STATUS OF COMMUNITY MEMBERS. PROGRESS AND OUTCOMES FOR 2020 ARE AS FOLLOWS. IN PARTNERSHIP WITH PEOPLE'S RESOURCE CENTER, WEST SUBURBAN COMMUNITY PANTRY, NORTHERN ILLINOIS FOOD BANK AND UNIVERSITY OF ILLINOIS EXTENSION, ADVOCATE GOOD SAMARITAN IMPLEMENTED 8 VIRTUAL HEALTHY LIFESTYLE WORKSHOPS WITH OVER 15 LOW-INCOME AND FOOD INSECURE INDIVIDUALS. TO ADDRESS THE INCREASING NEED FOR ACCESS TO FOOD, ADVOCATE GOOD SAMARITAN LAUNCHED A HOSPITAL-BASED FOOD PANTRY PILOT IN DECEMBER 2020 TO SERVE FOOD INSECURE ONCOLOGY PATIENTS. THE HOSPITAL'S COMMUNITY HEALTH TEAM WILL REVIEW OUTCOMES OF THE PILOT AND EXPLORE EXPANSION OF THE PROGRAM TO OTHER HOSPITAL DEPARTMENTS THAT SERVE LARGE VOLUMES OF VULNERABLE PATIENTS. ADVOCATE GOOD SAMARITAN PARTNERED WITH ACCESS DUPAGE TO DISTRIBUTE NUTRITION EDUCATION AND FRESH PRODUCE BOXES TO 66 LOW INCOME PATIENTS WITH CHRONIC DISEASES. PATIENTS ALSO COMPLETED THE TAKE CHARGE OF YOUR DIABETES CLASSES TO IMPROVE HEALTH OUTCOMES RELATED TO CHRONIC DISEASE MANAGEMENT. THE TRANSITION SUPPORT PROGRAM (TSP) AIMS TO INCREASE ACCESS TO PRIMARY CARE, SPECIFICALLY FOR UNINSURED AND LOW-INCOME PATIENTS. IN 2020, THE PROGRAM SERVED 5,666 PATIENTS. ADVOCATE GOOD SAMARITAN CONTINUED TO PARTNER WITH SCHAFER AND JOHN L. SIPLEY ELEMENTARY SCHOOLS TO PROVIDE VIRTUAL PHYSICAL ACTIVITY CLASSES AND NUTRITION EDUCATION. IN 2020, THE HOSPITAL PROVIDED PHYSICAL ACTIVITY KITS FOR 300 STUDENTS AND 8 VIRTUAL YOGA AND MEDITATION CLASSES FOR OVER 100 STUDENTS. BOLINGBROOK-ROMEOVILLE HEALTH NEEDS SELECTED CHRONIC DISEASE PREVENTION AND MANAGEMENT. CHRONIC DISEASE PREVENTION AND MANAGEMENT WAS SELECTED AS A HEALTH PRIORITY FOR THE BOLINGBROOK-ROMEVILLE COMMUNITY. THIS IS DUE TO THE POTENTIAL IMPACT IT CAN HAVE ON DECREASING OBESITY, INCREASING HEALTHY LIFESTYLES AND IMPROVING ACCESS TO AFFORDABLE HEALTHY FOODS. THE HOSPITAL WILL PARTNER WITH BOLINGBROOK-ROMEOVILLE VNA HEALTH CARE, WILL COUNTY HEALTH DEPARTMENT AND WEST SUBURBAN COMMUNITY PANTRY (WSCP) TO ADDRESS CHRONIC DISEASE PREVENTION AND MANAGEMENT. THE HOSPITAL WILL WORK WITH VNA TO REVIEW THEIR HEALTHY LIFESTYLE CURRICULUM, WHICH INCLUDES NUTRITION EDUCATION, COOKING DEMONSTRATIONS AND HEALTHY FOOD TASTE TESTING. THE HOSPITAL WILL ALSO EXPLORE A PARTNERSHIP WITH THE WSCP MOBILE PRODUCE PROGRAM, WHICH DELIVERS FRESH PRODUCE TO LOW-INCOME HOUSEHOLDS AND COMMUNITY ORGANIZATIONS TO ADDRESS FOOD INSECURITY. FURTHERMORE, THE HOSPITAL WILL BE ENGAGED IN THE WILL COUNTY FOOD ACCESS WORKSHOP TO ADDRESS FOOD INSECURITY IN WILL COUNTY. PROGRESS AND OUTCOMES FOR 2020 ARE AS FOLLOWS. ADVOCATE GOOD SAMARITAN PARTNERED WITH WEST SUBURBAN COMMUNITY PANTRY TO PROVIDE NUTRITION EDUCATIONS TO OVER 100 STUDENTS AND THEIR FAMILIES. THE HOSPITAL ALSO WORKED CLOSELY WITH THE PANTRY TO PROVIDE A SCHOOL-BASED PANTRY ONLINE ORDERING PILOT, WHICH SERVES LOW-INCOME STUDENTS AND FAMILIES AT BJ WARD ELEMENTARY SCHOOL IN BOLINGBROOK. DUPAGE COUNTY HEALTH NEEDS NOT SELECTED AFFORDABLE HOUSING. ALTHOUGH AFFORDABLE HOUSING WAS IDENTIFIED AS A SIGNIFICANT HEALTH NEED, IT WAS NOT VOTED AS A PRIORITY FOR DUPAGE COUNTY BY THE IMPACT DUPAGE STEERING COMMITTEE. THE GOOD SAMARITAN CHC DETERMINED THE HOSPITAL'S CAPACITY AND AVAILABILITY OF RESOURCES WAS LIMITED TO TWO HEALTH PRIORITIES AND THEREFORE DID NOT SELECT AFFORDABLE HOUSING. HOWEVER, IN EFFORTS TO EFFECTIVELY ADDRESS BEHAVIORAL HEALTH AND HEALTH STATUS IMPROVEMENT, THE CHC AND THE HOSPITAL'S COMMUNITY HEALTH DEPARTMENT DECIDED TO BE ENGAGED IN THE PLANNING, BRAINSTORMING AND PROMOTION PHASE OF THE COUNTY'S AFFORDABLE HOUSING INITIATIVE. ADVOCATE GOOD SAMARITAN RECOGNIZES THE SIGNIFICANCE OF THE NEED FOR AFFORDABLE HOUSING IN DUPAGE COUNTY AND WILL, THEREFORE, CONTINUE TO PARTNER WITH THE DUPAGE COUNTY HEALTH DEPARTMENT AND DUPAGE PADS TO ADVANCE AFFORDABLE HOUSING STRATEGIES IN THE COUNTY.CARDIOVASCULAR DISEASE. FOLLOWING CAREFUL REVIEW OF THE DATA, THE HOSPITAL'S CHC DID NOT SELECT CARDIOVASCULAR DISEASE AS THE PRIORITY TO ADDRESS AS THE COUNCIL ALTERNATIVELY RECOMMENDED THE HOSPITAL ADDRESS CARDIOVASCULAR DISEASE THROUGH THE HEALTH STATUS IMPROVEMENT PRIORITY, WHICH INCLUDES NUTRITION, PHYSICAL ACTIVITY AND OBESITY PREVENTION. THE IMPACT DUPAGE STEERING COMMITTEE ALSO DID NOT SELECT CARDIOVASCULAR DISEASE AS A PRIORITY HEALTH NEED DUE TO THE IMPACT HEALTH STATUS IMPROVEMENT HAS ON DECREASING THE RATE OF CARDIOVASCULAR DISEASE. ASTHMA. WHILE IDENTIFIED AS A HEALTH NEED, ASTHMA WAS NOT SELECTED AS THE RECOMMENDED HEALTH PRIORITY DUE TO THE LACK OF COMMUNITY PARTNERS AND THE INEFFECTIVENESS/AVAILABILITY OF ASTHMA PREVENTION PROGRAMS. THE CHC ALSO IDENTIFIED THE HIGH RATES OF HOSPITALIZATION AND EMERGENCY ROOM (ER) VISITS DUE TO ASTHMA AS A POTENTIAL ACCESS TO HEALTH CARE ISSUE. TAKING THIS INTO CONSIDERATION, CHC MEMBERS SUGGESTED ADDRESSING ACCESS TO CARE THROUGH THE HEALTH STATUS IMPROVEMENT PRIORITY AS A WAY TO ADDRESS THE ER AND HOSPITALIZATION RATES DUE TO ASTHMA.
LUTHERAN GEN HOSP INCL LUTH GEN CHILD	PART V, SECTION B, LINE 11: ADVOCATE LUTHERAN GENERAL HOSPITALHEALTH NEEDS SELECTEDAS A RESULT OF THE 2017-2019 CHNA PROCESS, ADVOCATE LUTHERAN SELECTED THREE PRIORITIES FOR 2020-2022 IMPLEMENTATION PLANNING, INCLUDING: 1) OBESITY/HEALTHY LIFESTYLES; 2) BEHAVIORAL HEALTH; AND 3) SOCIAL DETERMINANTS OF HEALTH. (FOR PRIORITY SELECTION PROCESS DETAILS, SEE PAGES 46-48 OF THE HOSPITAL'S 2017-2019 CHNA REPORT AT HTTPS://WWW.ADVOCATEHEALTH.COM/ASSETS/DOCUMENTS/CHNA/LUTHERAN-GENERAL-HOSPITAL/0771_LGH_CHNA_F_1_14_2020-(LR).PDF.) ADVOCATE LUTHERAN GENERALOBESITY/HEALTHY LIFESTYLES. THE CHC CHOSE OBESITY/HEALTHY LIFESTYLES DUE TO THE MANY CHRONIC DISEASES AND HEALTH ISSUES THAT ARE RELATED TO POOR NUTRITION AND PHYSICAL INACTIVITY. MOREOVER, THE CHC RECOGNIZED THE LARGE IMPACT THIS ISSUE HAS ON QUALITY OF LIFE AND OVERALL HEALTH OUTCOMES IN THE PSA. IMPLEMENTATION ACTIVITY AND OUTCOMES IN 2020 ARE AS FOLLOWS. ADVOCATE LUTHERAN GENERAL PARTNERED WITH THE IRVING PARK FOOD PANTRY TO IMPLEMENT THE LGH PANTRY PILOT PROGRAM AS PART OF OUR STRATEGY TO ADDRESS FOOD INSECURITY (FI) AND OBESITY. THE LGH HOSPITAL-BASED FOOD PANTRY PROGRAM OFFICIALLY LAUNCHED IN OCTOBER OF 2020. DUE TO COVID-19, IN PERSON PATIENT VISITS TO THE HOSPITAL HAVE DECREASED. FROM OCTOBER TO DECEMBER 2020, OUR PILOT PROGRAM IDENTIFIED AND SERVED NINE PATIENTS. ALL PATIENTS REPORTED AT LEAST ONE OR MORE EXISTING HEALTH CONDITIONS. ADVOCATE LUTHERAN GENERAL PARTNERED WITH THE NORTHWEST SIDE HOUSING CENTER TO DONATE 60-BOXED LUNCHES TO UNDOCUMENTED FAMILIES THAT WERE AFFECTED BY THE PANDEMIC AND WERE IN IMMEDIATE NEED OF FOOD. DUE TO COVID-19, ADVOCATE LUTHERAN GENERAL'S COMMUNITY HEALTH TEAM HAD TO POSTPONE SEVERAL HEALTH PROGRAMS SUCH AS COMMUNITY POP-UP FARMER'S MARKETS AND HEALTHY SCHOOL INITIATIVES, TO FOCUS ON OTHER EFFORTS ASSOCIATED WITH COVID-19.BEHAVIORAL HEALTH. THE CHC SELECTED BEHAVIORAL HEALTH AS A PRIORITY, INCLUDING MENTAL HEALTH AND SUBSTANCE/ALCOHOL USE. AFTER INITIALLY PRIORITIZING MENTAL HEALTH, THE HOSPITAL'S CHC CONSIDERED THE STRONG CORRELATION BETWEEN SUBSTANCE USE AND MENTAL HEALTH, MAKING IT ESSENTIAL FOR THE HOSPITAL TO ADDRESS BOTH HEALTH ISSUES IN TANDEM. THE RATE OF MENTAL HEALTH ISSUES AND SUBSTANCE USE ARE CONTINUING TO INCREASE IN THE PSA. DATA AND HOSPITALIZATION RATES INDICATE THAT THERE IS A GREAT NEED FOR EXPANSION OF BEHAVIORAL HEALTH SERVICES, SUCH AS MENTAL HEALTH SERVICES, SUBSTANCE USE DISORDER TREATMENT, HOUSING AND PREVENTATIVE PROGRAMMING. IMPLEMENTATION PLAN ACTIVITIES AND OUTCOMES FOR 2020 ARE AS FOLLOWS. ADVOCATE LUTHERAN GENERAL'S COMMUNITY HEALTH TEAM MET WITH TURNING POINT LEADERS TO DISCUSS TRAINING OPPORTUNITIES FOR THE LIVING ROOM PROGRAM TEAM MEMBERS. DUE TO COVID-19 AND STAFF CHANGES, TRAINING SESSIONS WERE POSTPONED IN 2020. THE HOSPITAL'S COMMUNITY HEALTH TEAM PARTNERED WITH ADVOCATE AURORA HEALTH'S FAITH AND MENTAL HEALTH PROGRAM SPECIALIST AND NAMI CHICAGO TO COORDINATE BRIDGES OF HOPEA TWO-HOUR, VIRTUAL TRAINING FOR FAITH LEADERS ON MENTAL HEALTH AWARENESS. THIS TRAINING WAS PROVIDED BY NAMI FOR LOCAL FAITH LEADERS IN THE HOSPITAL'S PSA. DUE TO COVID-19, THE COMMUNITY HEALTH TEAM HAD TO POSTPONE THE MENTAL HEALTH FIRST AID (MHFA) TRAINING FOR LOCAL LEADERS IN THE COMMUNITY. HOWEVER, PLANNING MEETINGS WERE HELD WITH NAMI SUBURBAN COOK COUNTY TO IMPLEMENT MHFA IN 2021. IN ADDITION, THE HOSPITAL'S COMMUNITY HEALTH TEAM MET WITH INTERNAL EMERGENCY MEDICAL SERVICE (EMS) LEADERS IN 2020 TO COORDINATE A MHFA TRAINING FOR FIRST RESPONDERS SERVING THE HOSPITAL'S PSA.SOCIAL DETERMINANTS OF HEALTH (SDOH). SOCIAL DETERMINANTS OF HEALTH AFFECT A WIDE RANGE OF HEALTH CONDITIONS, MAY CONTRIBUTE TO ADVERSE HEALTH OUTCOMES AND ARE COMMONLY THE ROOT CAUSE OF POOR HEALTH OUTCOMES; THEREFORE, ADVOCATE LUTHERAN GENERAL AND ADVOCATE CHILDREN'S SELECTED SOCIAL DETERMINANTS OF HEALTH AS A PRIORITY HEALTH NEED FOR THE PSA. ADVOCATE LUTHERAN GENERAL AND ADVOCATE CHILDREN'S WILL PARTNER WITH THE ALLIANCE FOR HEALTH EQUITY TO ADDRESS SOCIAL DETERMINANTS OF HEALTH, INCLUDING ACCESS TO CARE, AND EMPLOYMENT AND TRAINING. ADDITIONAL INFORMATION CAN BE FOUND AT HTTPS://WWW.ADVOCATEHEALTH.COM/HOSPITAL-CHNA-REPORTS-IMPLEMENTATION-PLANS-PROGRESS-REPORTS/LUTHERAN-GENERAL-CHNA-REPORT-2019.IN ADDITION, ADVOCATE LUTHERAN GENERAL CONTINUED TO WORK WITH DISTRICT 207 SCHOOLS IN 2020 TO OFFER PAID INTERNSHIPS AND HANDS ON EXPERIENCE. THE HOSPITAL'S COMMUNITY HEALTH TEAM HAS PARTNERED WITH JUMPSTART, A YOUTH EMPLOYMENT PROGRAM THAT PROVIDES PAID WORK EXPERIENCES FOR AT-RISK YOUTH IN DISTRICT 207. THE PROGRAM FOCUSES ON DEVELOPING YOUTH'S WORK READINESS SKILLS WHILE PROVIDING ACADEMIC SUPPORT. THE HOSPITAL PROVIDES INTERNSHIP PLACEMENT FOR STUDENTS AND THE COMMUNITY HEALTH TEAM WORKS CLOSELY WITH THE CAREER ADVISORS TO ENSURE PROPER ORIENTATION AND EXPAND INTERNAL OPPORTUNITIES FOR INTERNS. WHILE UNABLE TO PROVIDE IN PERSON ORIENTATION, THE HOSPITAL'S COMMUNITY HEALTH TEAM DID PREPARE A ONE-HOUR VIRTUAL ORIENTATION FOR JUMPSTART INTERNS. COMMUNITY HEALTH IS ALSO WORKING CLOSELY WITH AN ADVOCATE LICENSED CLINICAL SOCIAL WORKER (LCSW) TO PROVIDE A TRAINING ON STRESS MANAGEMENT AND TEENS IN 2021. UNFORTUNATELY, DUE TO COVID-19 AND HOSPITAL RESTRICTIONS, THE HOSPITAL WAS ONLY ABLE TO PROVIDE INTERNSHIPS FOR TWO STUDENTS IN LATE 2020. ADDITIONAL INFORMATION CAN BE FOUND AT HTTPS://WWW.ADVOCATEHEALTH.COM/HOSPITAL-CHNA-REPORTS-IMPLEMENTATION-PLANS-PROGRESS-REPORTS/LUTHERAN-GENERAL-CHNA-REPORT-2019.ADVOCATE CHILDREN'S HOSPITALAS A RESULT OF THE 2017-2019 CHNA PROCESS, ADVOCATE CHILDREN'S-PR WILL ADDRESS THE FOLLOWING PRIORITY AREAS FOR IMPLEMENTATION PLANNING FROM 2020-2022, INCLUDING: 1) SCHOOL-BASED BEHAVIORAL HEALTH ASSISTANCE; 2) ACCESS TO PRIMARY HEALTH CARE FOR LOW-INCOME CHILDREN; AND 3) INFANT MORTALITY/PRE-TERM DELIVERIES/LOW BIRTH WEIGHT.BEHAVIORAL HEALTH. ADVOCATE CHILDREN'S CONTINUES TO OPERATE THE MAINE TOWNSHIP SCHOOL-BASED HEALTH CENTER (SBHC) LOCATED ON THE CAMPUS OF MAINE EAST HIGH SCHOOL, WHICH SERVES STUDENTS AT MAINE TOWNSHIP HIGH SCHOOL DISTRICT 207. THE GOAL OF THE SBHC IS TO IMPROVE THE PHYSICAL AND EMOTIONAL HEALTH OF THE STUDENTS IN THE DISTRICT, WHICH INCLUDES ALL OF PARK RIDGE AND MOST OF DES PLAINES AS WELL AS PORTIONS OF GLENVIEW, HARWOOD HEIGHTS, MORTON GROVE, NILES, NORRIDGE, AND NORWOOD PARK TOWNSHIP. NEARLY 50 PERCENT OF THE STUDENTS AT TWO OF THE DISTRICT'S SCHOOLS ARE LOW INCOME. SERVICES PROVIDED INCLUDE HEALTH ASSESSMENTS AND SCREENINGS, PHYSICALS, DENTAL SERVICES, IMMUNIZATIONS, ASSESSMENT OF STRESS/EMOTIONAL STATE, ASSESSMENT OF ALCOHOL AND DRUG USE AND ABUSE, INDIVIDUAL AND FAMILY COUNSELING, COUNSELING FOR EMOTIONAL, BEHAVIORAL AND ADJUSTMENT-RELATED ISSUES. IN PARTNERSHIP WITH ADVOCATE LUTHERAN GENERAL, ADVOCATE CHILDREN'S WILL ALSO WORK WITH COMMUNITY SCHOOLS TO INCREASE AWARENESS ABOUT MENTAL HEALTH THROUGH IMPLEMENTATION OF ENDING THE SILENCE PROGRAM. ADVOCATE CHILDREN'S WILL ALSO COMPLETE A FIVE-YEAR PATH 2 PURPOSE RESEARCH STUDY TO PROVIDE TWO DEPRESSION EARLY INTERVENTION/PREVENTION TREATMENT MODELS IN ADOLESCENTS 13-18 YEARS. STUDY COMPARES "GOLDEN STANDARD" COGNITIVE BEHAVIORAL HEALTH PREVENTION GROUP TREATMENT (8-WEEKLY SESSIONS) VS SELF-DIRECTED ONLINE PREVENTION PROGRAM. OVER 500 ADOLESCENTS WHO HAVE ELEVATED SYMPTOMS OF DEPRESSION AND ANXIETY WILL RECEIVE SERVICES THOUGH THE RESEARCH STUDY.IN 2020, ADVOCATE CHILDREN'S CONTINUED TO PROVIDE MENTAL HEALTH SERVICES THROUGH MAINE TOWNSHIP HIGH SCHOOL DISTRICT 207'S SBHC. THE CLINICAL TEAM ADAPTED TO A VIRTUAL FORMAT FOR PATIENT VISITS DUE TO COVID RESTRICTIONS. THE SBHC PROVIDES HEALTH ASSESSMENTS AND SCREENINGS, PHYSICALS, DENTAL SERVICES AND IMMUNIZATIONS. MENTAL HEALTH SERVICES INCLUDED ASSESSMENT OF STRESS AND EMOTIONAL STATE, DRUG USE AND ABUSE, INDIVIDUAL FAMILY COUNSELING, AS WELL AS COUNSELING FOR EMOTIONAL, BEHAVIORAL AND ADJUSTMENT-RELATED ISSUES. IN 2020, THE MENTAL HEALTH TEAM TREATED 197 PATIENTS IN 524 SESSIONS.ACCESS TO HEALTH CARE. IN ADDITION TO THE COLLABORATIVE PRIORITIES (BEHAVIORAL HEALTH AND HEALTHY LIFESTYLES), ADVOCATE CHILDREN'S WILL CONTINUE TO OFFER FREE SCHOOL-BASED HEALTH SERVICES TO HIGH RISK, LOW INCOME CHILDREN WHO ARE UNINSURED OR RECEIVE MEDICAID THROUGH THE RONALD MCDONALD CARE MOBILES (RMCM). SERVICES PROVIDED BY THE TWO RCMCS INCLUDE PHYSICALS, IMMUNIZATIONS, COMPLETION OF HPV VACCINE SERIES, ASSISTANCE WITH SECURING A MEDICAL HOME, HEALTH AND WELLNESS EDUCATION, COMMUNITY-BASED SOCIAL SERVICE REFERRALS AND FOOD INSECURITY SCREENING AND RESOURCING.
ADVOCATE SOUTH SUBURBAN HOSPITAL	PART V, SECTION B, LINE 11: ADVOCATE SOUTH SUBURBAN HOSPITALHEALTH NEEDS SELECTEDAS A RESULT OF THE 2017-2019 CHNA PROCESS, ADVOCATE SOUTH SUBURBAN SELECTED THREE PRIORITIES FOR IMPLEMENTATION PLANNING INCLUDING: DIABETES; MENTAL HEALTH; AND WORKFORCE DEVELOPMENT (SOCIAL, ECONOMIC AND STRUCTURAL DETERMINANTS OF HEALTH). FOR PRIORITY SELECTION PROCESS DETAILS, SEE PAGE 65 OF THE 2017-2019 CHNA REPORT AT HTTPS://WWW.ADVOCATEHEALTH.COM/HOSPITAL-CHNA-REPORTS-IMPLEMENTATION-PLANS-PROGRESS-REPORTS/SOUTH-SUBURBAN-CHNA-REPORT-2019.DIABETES. UNCONTROLLED DIABETES CONTINUES TO BE A SIGNIFICANT FACTOR IN BOTH THE HOSPITAL'S PSA AND IN THE COUNTY. SINCE 2017, THE PREVENT T2 DIABETES PREVENTION PROGRAM HAS PROVEN SUCCESSFUL FOR PARTICIPANTS WHO HAVE COMPLETED THE YEAR-LONG CLASSES. TO ESTABLISH THE HOSPITAL AS A DESIGNATED DIABETES PREVENTION PROGRAM SITE, THE HOSPITAL WILL CONTINUE TO OFFER PRE-DIABETES EDUCATION CLASSES AND DATA WILL BE SUBMITTED IN ACCORDANCE TO THE PROGRAM GUIDELINES. DIABETES AFFECTS PEOPLE OF DIFFERENT BACKGROUNDS, AGES AND ETHNICITIES CONTINUING THIS PROGRAM EMPOWERS INDIVIDUALS TO TAKE CONTROL OF THEIR HEALTH. IN JANUARY 2020, ADVOCATE SOUTH SUBURBAN ACHIEVED RECOGNITION STATUS AS A CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC) NATIONAL DIABETES PREVENTION PROGRAM (DPP) SITE IN JANUARY 2020 FOR THE PREVENT T2 PROGRAM. THE PROGRAM GRADUATED THREE COHORTS IN 2020, WITH AN ADDITIONAL 45 PARTICIPANTS IN THE PROGRAM. IN RESPONSE TO THE COVID-19 PANDEMIC, ADVOCATE SOUTH SUBURBAN SUCCESSFULLY MIGRATED PARTICIPANTS TO THE VIRTUAL PLATFORM AND RETAINED A HIGH NUMBER OF PARTICIPANTS DUE TO THE COVID-19 PANDEMIC. THE PROGRAM ALSO EXPANDED ITS REACH THROUGH THE VIRTUAL PLATFORM. PARTICIPANTS ENROLLED NOT ONLY WITHIN THE HOSPITAL'S PSA, BUT ALSO FROM NEIGHBORING COMMUNITIES AND FROM ACROSS THE COUNTRY, INCLUDING THE STATES OF GEORGIA, INDIANA AND NEVADA. THE AVERAGE WEIGHT LOSS FOR ALL PARTICIPANTS WAS FOUR PERCENT COMPARED TO A GOAL OF FIVE PERCENT. AFTER THE YEAR-LONG PROGRAM, 45 PERCENT OF PARTICIPANTS ALSO MET THEIR WEIGHT LOSS GOAL FROM THEIR BASELINE WEIGHT.MENTAL HEALTH. THE HOSPITAL ADOPTED STRATEGIES THAT IMPROVE THE RATES OF MENTAL HEALTH EMERGENCIES AND DECREASE ED VISITS AND HOSPITALIZATIONS DUE TO MENTAL HEALTH ISSUES. STRATEGIES INCLUDE PARTNERING WITH COMMUNITY-BASED ORGANIZATIONS, FAITH INSTITUTIONS AND EDUCATIONAL INSTITUTIONS TO EDUCATE COMMUNITY MEMBERS ABOUT MENTAL HEALTH ILLNESS; CONDUCTING ASSET MAPPING FOR THE HOSPITAL'S PSA TO DETERMINE GAPS IN SERVICES; AND COORDINATING WITH COMMUNITY PARTNERS TO CONDUCT MENTAL HEALTH FIRST AID TRAININGS FOCUSED ON UNDERSTANDING AND RESPONDING TO MENTAL HEALTH ILLNESS. IN 2020, ADVOCATE SOUTH SUBURBAN PARTNERED WITH THE SERTOMA CENTRE, INC., TO PROVIDE VIRTUAL PROGRAMMING FOR MENTAL HEALTH EDUCATION. SEMINAR TOPICS WERE: MENTAL HEALTH FIRST AID TRAININGADULTS; SUICIDE PREVENTION; AND HOW TO MANAGE CONFLICT. PROGRAMS WERE INTENDED FOR THE COMMUNITY AT LARGE AND FIRST RESPONDERS TO ADDRESS MENTAL HEALTH DISPARITIES. THE HOSPITAL'S COMMUNITY HEALTH TEAM ALSO PARTNERED WITH THE ALLIANCE FOR HEALTH EQUITY TO COLLABORATE ON ADDRESSING ACCESS TO MENTAL HEALTH SERVICES AND PROGRAMS. WORKFORCE DEVELOPMENT. TO CONTINUE ITS COMMITMENT TO THE COMMUNITY, ADVOCATE AURORA ENTERED PHASE 3 OF THE WORKFORCE DEVELOPMENT PROJECT. AS AN ADVOCATE AURORA HOSPITAL, ADVOCATE SOUTH SUBURBAN COLLABORATED WITH COMMUNITY ORGANIZATIONS TO RECRUIT AND TRAIN COMMUNITY MEMBERS FOR ENTRY AND MID-LEVEL SKILL JOBS WITHIN HEALTH CARE. THE ADVOCATE WORKFORCE INITIATIVE FOCUSES ON FOUR TO FIVE MIDDLE-SKILL HEALTHCARE OCCUPATIONS THAT INCLUDE BOTH IN-PATIENT AND OUT-PATIENT JOBS. THE PROGRAM PROVIDES GRADUATES WITH EMPLOYMENT OPPORTUNITIES AND LAYS THE FOUNDATION FOR LONGER-TERM CAREER GROWTH AND ECONOMIC STABILITY FOR THE INDIVIDUAL AND THEIR FAMILY. ADVOCATE SOUTH SUBURBAN LAUNCHED THE ADVOCATE WORKFORCE INITIATIVE (AWI) ON OCTOBER 31, 2019, WITH 75 PARTICIPANTS BEFORE INTERRUPTION BY COVID-19 IN 2020. THE AWI ENROLLED 83 PARTICIPANTS FROM ADVOCATE SOUTH SUBURBAN'S PSA IN 2020. NINETY PERCENT OF PARTICIPANTS COMPLETED THE PROGRAM. FORTY-FOUR PERCENT OF PROGRAM PARTICIPANTS WERE HIRED INTO HEALTH CARE CAREERS AND 15 PERCENT OF THOSE HIRED RECEIVED JOBS FROM ADVOCATE AURORA. THE TOP THREE COMMUNITIES THAT ENROLLED PARTICIPANTS WERE CALUMET CITY, CHICAGO HEIGHTS AND PARK FOREST. THE AWI ALSO ENROLLED 18 ADVOCATE TEAM MEMBERS IN THE NAVIGATE PROGRAM. THE PROGRAM MENTORS TEAM MEMBERS AND PROVIDES CAREER DEVELOPMENT AND JOB SKILLS TRAINING TO PREPARE THEM FOR CAREER ADVANCEMENT. IN 2020, 89 PERCENT OF PARTICIPANTS COMPLETED THE PROGRAM.HEALTH NEEDS NOT SELECTED AND WHYCANCER. THE HOSPITAL IS VERY ENGAGED IN PROVIDING AN ARRAY OF CANCER SERVICES AND COMMUNITY PROGRAMS INCLUDING RADIATION THERAPY, BRACHYTHERAPY, IMAGE GUIDED RADIATION THERAPY, INTENSITY MODULATED RADIATION THERAPY AND MINIMALLY INVASIVE APPROACHES TO CANCER TREATMENT. THE BREAST HEALTH CENTER OFFERS A MYRIAD OF EARLY DETECTION SERVICES AS WELL AS ADVANCED PROCEDURES. ADVOCATE SOUTH SUBURBAN ALSO HAS AN ACTIVE CANCER COMMITTEE AND CANCER CARE TEAM THAT ARE DEDICATED TO DEVELOPING A COMPREHENSIVE, MULTIDISCIPLINARY APPROACH TO TREATMENT AND PREVENTION SERVICES. NUMEROUS EDUCATION AND SCREENING PROGRAMS ARE ALSO HELD IN THE COMMUNITY AND AT THE HOSPITAL FOCUSING ON BREAST, LUNG AND PROSTATE CANCERS. SOME SERVICES INCLUDE GENETIC COUNSELING, PATIENT NAVIGATION, CLINICAL TRIALS/ RESEARCHALL OF WHICH ARE DESIGNED TO IMPROVE QUALITY OF LIFE FOR PATIENTS AND THEIR FAMILIES.HEART DISEASE/STROKE: ADVOCATE SOUTH SUBURBAN IS ADDRESSING THE HEART DISEASE NEEDS OF THE COMMUNITY THROUGH THE ADVOCATE HEART INSTITUTE. ADVOCATE HEART INSTITUTE SERVICES ARE COMPREHENSIVE AND RANGE FROM CARDIOVASCULAR DIAGNOSTICS AND DETECTION TO TREATMENT AND SURGERY, USING THE MOST ADVANCED DIAGNOSTIC AND THERAPEUTIC TOOLS AVAILABLE. THE INSTITUTE ALSO OFFERS CPR TRAINING, A FREE HEART RISK ASSESSMENT AND AN AFFORDABLE HEART CT SCAN. IN ADDITION, THE HOSPITAL HAS A CARDIAC CATHETERIZATION LAB, WHICH PROVIDES PROCEDURES USED TO DIAGNOSE CARDIOVASCULAR CONDITIONS. THE HOSPITAL ALSO OFFERS A NUMBER OF COMMUNITY EDUCATION PROGRAMS BOTH AT THE HOSPITAL AND THROUGHOUT THE COMMUNITY. THESE EDUCATIONAL PROGRAMS INCLUDE LECTURES, SEMINARS AND SUPPORT GROUP MEETINGS FOR CONGESTIVE HEART FAILURE, DIABETES EDUCATION, HEART RISK ASSESSMENTS AND LECTURES COVERING A RANGE OF TOPICS PERTINENT TO HEART HEALTH. IN ADDITION TO THESE SERVICES, ADVOCATE SOUTH SUBURBAN'S COMMUNITIES HAVE ACCESS TO HEALTH EDUCATION, AND CHOLESTEROL, GLUCOSE AND BLOOD PRESSURE SCREENINGS.ASTHMA. ASTHMA WAS ALSO NOT SELECTED AS A PRIORITY HEALTH NEED TO ADDRESS AS THE HOSPITAL ALREADY PROVIDES MANY SERVICES AND PROGRAMS TO ADDRESS ASTHMA. ADVOCATE SOUTH SUBURBAN OFFERS COMPREHENSIVE, MULTI-DISCIPLINARY SERVICES FOR LUNG AND RESPIRATORY CARE, INCLUDING THE TREATMENT OF ASTHMA. THE LUNG AND RESPIRATORY CARE CENTER PROVIDES INPATIENT AND OUTPATIENT RESPIRATORY CARE SERVICES TO HELP PATIENTS ACHIEVE A BETTER QUALITY OF LIFE. WITH BOARD CERTIFIED PULMONOLOGISTS WHO COLLABORATE WITH RELATED SPECIALISTS, AIRWAY DISEASES ARE TREATED FROM PREVENTION AND DIAGNOSTICS TO ADVANCED TREATMENT AND SUPPORT SERVICES. IN ADDITION, ADVOCATE CHILDREN'S ALLERGY AND ASTHMA SPECIALISTS WORK WITH CHILDREN AND THEIR FAMILIES TO MANAGE ASTHMA AND PROVIDE EDUCATION REGARDING HOW TO PREVENT ASTHMA ATTACKS. RESPIRATORY CARE SPECIALISTS PROVIDE FAMILY CONSULTATION, TREATMENT TO ELIMINATE CHRONIC PROBLEMS FROM ALLERGY AND ASTHMA TRIGGERS, AND EDUCATION REGARDING ASTHMA MANAGEMENT. LASTLY, ADVOCATE CHILDREN'S OFFERS A VARIETY OF EDUCATIONAL RESOURCES FOR CHILDREN, TEENS AND PARENTS THROUGH THE ASTHMA CENTER.SUBSTANCE ABUSE: ADVOCATE SOUTH SUBURBAN IS A COMMUNITY HOSPITAL THAT DOES NOT HAVE A PSYCHIATRIC UNIT AND DOES NOT PROVIDE ONGOING TREATMENT FOR SUBSTANCE ABUSE. HOWEVER, IN ORDER TO MEET THE IMMEDIATE NEEDS OF ITS ED PATIENTS AND HOSPITAL INPATIENTS AND PROVIDE FOR CONTINUITY OF CARE, THE HOSPITAL PROVIDES TREATMENT OPTIONS THROUGH ADVOCATE BEHAVIORAL HEALTH SERVICES AND THE FAMILY CARE NETWORK LOCATED AT ADVOCATE CHRIST MEDICAL CENTER. ADVOCATE BEHAVIORAL HEALTH SERVICES AND FAMILY CARE NETWORK PROVIDE AN ADULT INPATIENT PSYCHIATRIC PROGRAM, OLDER ADULT INPATIENT PROGRAM TO HELP OLDER ADULTS REGAIN PSYCHOLOGICAL STABILITY, ADOLESCENT PARTIAL HOSPITALIZATIONS AND SUBSTANCE ABUSE-PARTIAL HOSPITALIZATION FOR SHORT-TERM INTENSIVE TREATMENT OF CHEMICAL DEPENDENCE. UPON TREATMENT AND PRIOR TO DISCHARGE, PATIENTS ARE CONNECTED TO BEHAVIORAL HEALTH PROGRAMS AND PROVIDED RESOURCES TO ORGANIZATIONS THAT ASSIST THE PATIENT BASED ON NEEDS (I.E., SUBSTANCE ABUSE FACILITY OR DETOX CENTER).
ADVOCATE TRINITY HOSPITAL	PART V, SECTION B, LINE 11: ADVOCATE TRINITY HOSPITALHEALTH NEEDS SELECTEDAS A RESULT OF THE 2017-2019 CHNA PROCESS, ADVOCATE TRINITY SELECTED THREE PRIORITIES FOR 2020-2022 IMPLEMENTATION PLANNING, INCLUDING: 1) MENTAL HEALTH; 2) DIABETES; AND 3) FOOD SECURITY (SOCIAL, ECONOMIC, AND STRUCTURAL DETERMINANTS OF HEALTH). (FOR PRIORITY SELECTION PROCESS DETAILS, SEE PAGES 69-70 OF THE 2017-2019 CHNA REPORT AT: HTTPS://WWW.ADVOCATEHEALTH.COM/ASSETS/DOCUMENTS/CHNA/TRINITY-HOSPITAL/0805_TRINITY_CHNA_2017-2019-FINAL-LINKED-(LR).PDFMENTAL HEALTH. THE CHC SELECTED MENTAL HEALTH AS THE MOST PERTINENT HEALTH NEED PRIORITY DUE TO THE INCREASE IN ED AND HOSPITALIZATION RATES, AND THE GROWING NEED FOR COMMUNITY SERVICES AND RESOURCES. THIS IS A HEALTH NEED THAT IS ALSO RELATED TO SUBSTANCE ABUSE AS MANY SUBSTANCE USERS/ABUSERS ALSO EXPERIENCE MENTAL HEALTH ISSUES AND MANY INDIVIDUALS WITH MENTAL HEALTH DISORDERS EXPERIENCE SUBSTANCE ABUSE ISSUES. THE HIGH RATES OF ED VISITS AND HOSPITALIZATION DUE TO MENTAL HEALTH ISSUES ARE PREVENTABLE THROUGH EMPLOYING COPING MECHANISMS AND RESILIENCE TRAINING. IN 2020, ADVOCATE TRINITY PARTNERED WITH THE SERTOMA CENTRE, INC., TO PROVIDE VIRTUAL PROGRAMMING FOR MENTAL HEALTH EDUCATION. THREE SEMINARS WERE OFFERED REACHING 37 PARTICIPANTS. THE SEMINARS INCLUDED: SELF CARE WORKSHOP ON AUGUST 19, 2020; SUICIDE PREVENTION ON SEPTEMBER 16, 2020; AND MENTAL HEALTH FIRST AID TRAININGYOUTH ON OCTOBER 14, 2020. THE PROGRAMS WERE INTENDED FOR THE COMMUNITY AT LARGE AND FIRST RESPONDERS TO ADDRESS MENTAL HEALTH DISPARITIES. ADVOCATE TRINITY'S COMMUNITY HEALTH TEAM ALSO PARTNERED WITH THE ALLIANCE FOR HEALTH EQUITY TO COLLABORATE ON ADDRESSING ACCESS TO MENTAL HEALTH SERVICES AND PROGRAMS.DIABETES. ADVOCATE TRINITY'S COMMUNITY HEALTH COUNCIL AND COMMUNITY HEALTH DEPARTMENT SELECTED DIABETES AS A CHRONIC CONDITION THAT NEEDS TO CONTINUE. UNCONTROLLED DIABETES CONTINUES TO BE A FACTOR IN THE HOSPITAL'S PSA AS WELL AS IN COOK COUNTY. ADVOCATE TRINITY HAS IMPLEMENTED THE EVIDENCE-BASED CDC NATIONAL DIABETES PREVENTION PROGRAM, PREVENT T2, IN THE COMMUNITY AND IN PARTNERSHIP WITH COMMUNITY-BASED ORGANIZATIONS AND FAITH COMMUNITIES. SINCE 2017, THE PROGRAM HAS PROVEN SUCCESSFUL FOR PARTICIPANTS WHO HAVE COMPLETED THE YEAR-LONG SERIES OF CLASSES. TO ESTABLISH THE HOSPITAL AS A DESIGNATED DIABETES PREVENTION PROGRAM, THE HOSPITAL WILL CONTINUE TO IMPLEMENT THIS STRATEGY, AND DATA WILL BE COLLECTED AND SUBMITTED IN ACCORDANCE WITH THE PROGRAM GUIDELINES. DIABETES AFFECTS PEOPLE OF DIFFERENT BACKGROUNDS, AGES, AND ETHNICITIES. CONTINUING THIS PROGRAM EMPOWERS INDIVIDUALS TO TAKE CONTROL OF THEIR HEALTH. DURING 2020, ADVOCATE TRINITY MAINTAINED ITS RECOGNITION STATUS AS A CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC) NATIONAL DIABETES PREVENTION PROGRAM (DPP). THE HOSPITAL ESTABLISHED THREE COHORTS ESTABLISHED IN 2020 SERVING 34 PARTICIPANTS. ADVOCATE TRINITY ALSO ESTABLISHED ITS FIRST SPANISH LANGUAGE DPP COHORT IN COLLABORATION WITH THE FAITH PARTNEROUR LADY OF GUADALUPE. THE PROGRAMS REACH WAS EXPANDED THROUGH THE VIRTUAL PLATFORM, RESULTING IN ENROLLED PARTICIPANTS NOT ONLY WITHIN THE HOSPITAL'S PSA BUT FROM NEIGHBORING COMMUNITIES AND STATES. IN 2020, A TOTAL OF 109 POUNDS WAS LOST AMONG 34 PARTICIPANTS. PARTICIPANTS ALSO ENGAGED IN A TOUR AT A LOCAL GROCERY STORE. ADDITIONALLY, NINETEEN PARTICIPANTS RECEIVED FRESH PRODUCE DELIVERY FROM TOP BOX FOODS TO SUPPORT HEALTHY EATING.FOOD SECURITY. ADVOCATE TRINITY WILL ADDRESS FOOD INSECURITY (FI) FOR THE 2020-2022 CHNA COMMUNITY HEALTH IMPROVEMENT IMPLEMENTATION CYCLE IN A COMMITMENT TO ADDRESSING SOCIAL DETERMINANTS OF HEALTH AND HEALTH INEQUITY. FI WAS ALSO SELECTED TO ALIGN WITH EFFORTS AND STRATEGIES FOR DIABETES PREVENTION. FI IS A HOUSEHOLD LEVEL FACTOR OF LIMITED OR UNCERTAIN ACCESS TO ADEQUATE FOOD AND CONTRIBUTES TO STRESS AND POOR NUTRITION MAKING INDIVIDUALS SUSCEPTIBLE TO CHRONIC DISEASE. THE LACK OF ACCESS TO ADEQUATE FOOD CAN WORSEN HEALTH PROBLEMS AND INCREASE FINANCIAL STRAIN THROUGH DECREASED EMPLOYABILITY DUE TO CHRONIC DISEASE (THE ALLIANCE FOR HEALTH EQUITY, COMMUNITY HEALTH NEEDS ASSESSMENT, 2019). SEVERAL COMMUNITY AREAS IN THE ADVOCATE TRINITY PSA ARE AT RISK FOR FI. THE HOSPITAL WILL ESTABLISH SEVERAL STRATEGIES TO ENHANCE INITIATIVES THAT INCREASE ACCESS TO HEALTHY FOOD CHOICES WITHIN ITS PSA AND PATIENT POPULATION. IN 2020, A DRIVE-THROUGH FOOD PANTRY, KNOWN AS THE HEALTHY LIVING FOOD FARMACY, WAS ESTABLISHED WITH SEVERAL PARTNERS DUE TO IN-PERSON RESTRICTIONS FROM THE COVID-19 PANDEMIC. THE HEALTHY LIVING FOOD FARMACY WAS CREATED TO ACCOMMODATE THE NEEDS OF ADVOCATE TRINITY'S FOOD INSECURE PATIENTS. IN 2020, THERE WERE 1,660 PATIENT VISITS TO THE HEALTHY LIVING FOOD FARMACY AND A TOTAL OF 48,116 POUNDS OF FOOD WAS DISTRIBUTED TO PROGRAM PARTICIPANTS.IN NOVEMBER 2020, SIXTY-FIVE TURKEYS WERE GIVEN AWAY DURING THE THANKSGIVING HOLIDAY. THREE FOCUS GROUPS WERE ESTABLISHED IN PARTNERSHIP WITH THE ALLIANCE FOR HEALTH EQUITY WITH A TOTAL OF 18 PARTICIPANTS. THE PURPOSE OF THE FOCUS GROUPS WAS TO DETERMINE THE BENEFITS, OUTCOMES AND IMPROVEMENTS FOR THE HEALTHY LIVING FOOD FARMACY PROGRAM IN ADDRESSING FOOD INSECURITY. HEALTH NEEDS NOT SELECTED AND WHYCANCER. ADVOCATE TRINITY DID NOT SELECT CANCER AS A HEALTH PRIORITY BECAUSE THE HOSPITAL HAS MULTIPLE PROGRAMS AND SERVICES IN PLACE TO ADDRESS THIS HEALTH ISSUE. ADVOCATE TRINITY'S ONCOLOGY CENTER PROGRAMS ARE STRUCTURED TO FACILITATE A MULTIDISCIPLINARY ENVIRONMENT THAT PROVIDES MINIMALLY INVASIVE PROCEDURES AND ADVANCED SURGICAL INTERVENTION TO TREAT CANCER. THE ONCOLOGY CENTER INCLUDES ADVANCED DIAGNOSTICS, IMAGING SERVICES, INTERVENTIONAL RADIOLOGY, AND AN INFUSION CENTER. THE HOSPITAL HAS A CANCER COMMITTEE TO DEVELOP, APPROVE AND IMPLEMENT THE STRATEGIC PLANS, GOALS AND OBJECTIVES OF ADVOCATE TRINITY'S CANCER PROGRAMS AND TO PROVIDE OVERSIGHT FOR ONGOING PROGRAMS AND OUTREACH SERVICES. THE CANCER COMMITTEE ENSURES THAT COMMUNITY OUTREACH PLANS REFLECT THE CANCER EXPERIENCE AT ADVOCATE TRINITY AND THAT THE DEFINED COMMUNITY NEEDS ARE ADDRESSED. ADVOCATE TRINITY'S ONCOLOGY NURSE NAVIGATOR, IN COLLABORATION WITH THE COMMUNITY HEALTH DEPARTMENT, WORK TO IMPLEMENT OUTREACH SERVICES IN THE COMMUNITY. OUTREACH ACTIVITIES INCLUDE COMMUNITY EDUCATION FOR BREAST CANCER PREVENTION, PROSTATE CANCER PREVENTION AND ADDITIONAL COMMUNITY HEALTH EDUCATION, INCLUDING HEALTHY LIFESTYLE EDUCATION FOR CANCER PREVENTION. SUBSTANCE ABUSE. A SECOND HEALTH NEED IDENTIFIED BUT NOT SELECTED IS SUBSTANCE ABUSE. ADVOCATE TRINITY IS A COMMUNITY HOSPITAL THAT DOES NOT HAVE A PSYCHIATRIC UNIT AND DOES NOT PROVIDE ONGOING TREATMENT FOR SUBSTANCE ABUSE. HOWEVER, TO MEET THE IMMEDIATE NEEDS OF ITS ED PATIENTS AND INPATIENTS AND FOR CONTINUITY OF CARE, THE HOSPITAL PROVIDES TREATMENT OPTIONS THROUGH ADVOCATE BEHAVIORAL HEALTH SERVICES AND THE FAMILY CARE NETWORK LOCATED AT ADVOCATE CHRIST. ADVOCATE BEHAVIORAL HEALTH SERVICES AND FAMILY CARE NETWORK PROVIDE AN ADULT INPATIENT PSYCHIATRIC PROGRAM, OLDER ADULT INPATIENT PROGRAM TO HELP OLDER ADULTS REGAIN PSYCHOLOGICAL STABILITY, ADOLESCENT PARTIAL HOSPITALIZATIONS, AND SUBSTANCE ABUSE-PARTIAL HOSPITALIZATION FOR SHORT-TERM INTENSIVE TREATMENT OF CHEMICAL DEPENDENCE. UPON TREATMENT AND PRIOR TO DISCHARGE, PATIENTS ARE CONNECTED TO THE BEHAVIORAL HEALTH PROGRAMS AND PROVIDED RESOURCES TO ORGANIZATIONS THAT ASSIST THE PATIENT BASED ON THE PATIENT'S UNIQUE NEEDS (I.E., SUBSTANCE ABUSE FACILITY OR DETOX CENTER).HEART DISEASE. ONE OF THE HEALTH ISSUES IDENTIFIED BUT NOT SELECTED AS A PRIORITIZED HEALTH NEED WAS HEART DISEASE. ADVOCATE TRINITY IS ADDRESSING THE COMMUNITY'S HEART DISEASE NEEDS THROUGH THE ADVOCATE HEART INSTITUTE. THE ADVOCATE HEART INSTITUTE'S SERVICES ARE COMPREHENSIVE AND RANGE FROM CARDIOVASCULAR DIAGNOSTICS AND DETECTION, TO TREATMENT AND SURGERY USING THE MOST ADVANCED DIAGNOSTIC AND THERAPEUTIC TOOLS AVAILABLE. THE INSTITUTE ALSO OFFERS CPR TRAINING, A FREE HEART RISK ASSESSMENT AND AN AFFORDABLE HEART CT SCAN.
BROMENN MEDICAL CENTER	PART V, SECTION B, LINE 11: ADVOCATE BROMENN MEDICAL CENTERTHE 2020-2022 MCLEAN COUNTY CHIP IS A JOINT PLAN FOR THE ENTIRE COUNTY AND CONSISTS OF INTERVENTIONS AND RESOURCES TO BE PROVIDED BY THE HOSPITALS, HEALTH DEPARTMENT, FAMILY HEALTH CENTER AND NUMEROUS SOCIAL-SERVICE OR OTHER COMMUNITY ORGANIZATIONS. PRIORITY ACTION TEAMS MET DURING 2019 AND INTO 2020 TO COORDINATE EFFORTS. COMMUNITY HEALTH IMPROVEMENT PLANNING SPECIFIC TO ADVOCATE BROMENN ALIGNS WITH THE ADVOCATE AURORA COMMUNITY STRATEGY FOCUSED ON HEALTH EQUITY. HEALTH INEQUITY IS DEFINED AS DIFFERENCES IN HEALTH THAT ARE SYSTEMIC, AVOIDABLE, UNFAIR OR UNJUST. THERE ARE SIX FOCUS AREAS THAT ARE IDENTIFIED IN CURRENT INDUSTRY LITERATURE AS HAVING THE MOST UPSTREAM EFFECT ON HEALTH EQUITY AND ARE ALSO STRONGLY CONFIRMED BY ORGANIZATION WIDE CHNA DATA. THESE SIX FOCUS AREAS INCLUDE: 1) ACCESS/PRIMARY MEDICAL HOMES; 2) ACCESS/BEHAVIORAL HEALTH SERVICES; 3) COMMUNITY SAFETY; 4) FOOD SECURITY; 5) HOUSING; AND 6) WORKFORCE DEVELOPMENT.ADVOCATE BROMENN TRANSITIONADVOCATE BROMENN WAS ACQUIRED BY CARLE HEALTH ON JULY 1, 2020. THE IMPLEMENTATION PLAN EFFORTS FOR EACH HEALTH NEED BELOW REFER TO THE TIME PERIOD OF JANUARY 1JUNE 30, 2020, WHEN ADVOCATE BROMENN WAS A PART OF ADVOCATE AURORA HEALTH. COVID-19ON MARCH 9, 2020, GOVERNOR JB PRITZKER DECLARED ALL COUNTIES IN THE STATE OF ILLINOIS AS A DISASTER AREA IN RESPONSE TO THE OUTBREAK OF COVID-19. A STAY-AT-HOME ORDER WAS ISSUED ON MARCH 21, 2020, AND EXTENDED ON APRIL 30, 2020. ALTHOUGH EFFORTS WERE MADE TO CONTINUE WITH AS MANY IMPLEMENTATION PLAN INTERVENTIONS AS POSSIBLE, COVID-19 IMPACTED THE IMPLEMENTATION STRATEGIES AND INTERVENTIONS OUTLINED IN THE 2020-2022 MCLEAN COUNTY CHIP. HEALTH NEEDS SELECTED ACCESS TO CARE WAS SELECTED AS A SIGNIFICANT HEALTH NEED TO ADDRESS GIVEN THERE ARE SIGNIFICANT GEOGRAPHIC AND RACIAL/ETHNIC DISPARITIES IN MCLEAN COUNTY THAT MAY BE RELATED TO ACCESS TO CARE, AND IMPROVING ACCESS IN CERTAIN AREAS AND FOR CERTAIN POPULATIONS CAN HAVE A WIDESPREAD IMPACT ON A VARIETY OF HEALTH OUTCOMES RANGING FROM ORAL HEALTH TO RESPIRATORY DISEASE. HIGHLIGHTS FOR STEPS TAKEN FROM JANUARY 1JUNE 30, 2020, AS A PART OF THE 2020-2022 MCLEAN COUNTY CHIP TO ADDRESS ACCESS TO CARE ARE AS FOLLOWS: ADVOCATE BROMENN AND OSF ST. JOSEPH MEDICAL CENTER COLLABORATED WITH THE COMMUNITY HEALTH CARE CLINIC FOR COORDINATING APPROPRIATE ACCESS TO COMPREHENSIVE CARE (CAATCH). CAATCH IS AN EMERGENCY ROOM NAVIGATION PROGRAM FOR NAVIGATORS AND/OR CARE COORDINATORS TO ENGAGE THOSE WITHOUT A PRIMARY CARE HOME. FROM JANUARY 1JUNE 30, 2020, THERE WERE 238 CAATCH REFERRALS. ADVOCATE BROMENN CONTINUED LEADING THE MONTHLY LGBTQ+ ADVISORY COUNCIL MEETINGS WHICH BEGAN IN DECEMBER 2019. THE COUNCIL FOSTERS INCREASED ACCESS TO CARE BY GIVING A VOICE TO THE LGBTQ+ COMMUNITY AND ALLIES IN ORDER TO PROVIDE SENSITIVE AND RESPECTFUL CARE. ADVOCATE BROMENN CONTINUES TO OFFER TELEPSYCHIATRY CONSULTS TO INCREASE ACCESS TO MENTAL HEALTH SERVICES FOR PATIENTS. THIRTEEN CONSULTS OCCURRED BETWEEN JANUARY 1 AND JUNE 30, 2020. THERE WERE SEVERAL OTHER INITIATIVES RELATED TO ACCESS TO CARE THAT WERE NOT INCLUDED IN THE 2020-2022 MCLEAN COUNTY CHIP THAT AROSE DUE TO COVID-19. TAKE COVER WAS LAUNCHED BY THE ILLINOIS HEART AND LUNG FOUNDATION (IHLF). ADVOCATE BROMENN, ALONG WITH SEVERAL OTHER COMMUNITY PARTNERS, JOINED FORCES WITH IHLF TO COLLECT AND DISTRIBUTE CLOTH FACE COVERINGS AND NON-MEDICAL MASKS TO INDIVIDUALS AND FAMILIES IN UNDERSERVED AND VULNERABLE COMMUNITIES. IN RESPONSE TO COVID-19, ADVOCATE BROMENN TOOK STEPS TO ENSURE THAT COMMUNITY MEMBERS REMAINED COMFORTABLE ACCESSING THE EMERGENCY ROOM FOR CARE. TWO ENTRANCES WERE ESTABLISHED FOR THE EMERGENCY ROOM, ONE WITH INDIVIDUALS WITH RESPIRATORY SYMPTOMS AND/OR FEVER AND ONE FOR ALL OTHER INDIVIDUALS. WITH INCREASED VISITOR RESTRICTIONS DUE TO COVID-19, THE HOSPITAL ALSO INITIATED THE USE OF IPADS FOR VIRTUAL VISITS WITH LOVED ONE'S OF DYING PATIENTS. THE 2020-2022 MCLEAN COUNTY CHIP WAS POSTED IN FEBRUARY 2020. INTERVENTIONS FOR ACCESS TO CARE OUTLINED IN THE PLAN CAN BE VIEWED AT: HTTPS://WWW.ADVOCATEHEALTH.COM/HOSPITAL-CHNA-REPORTS-IMPLEMENTATION-PLANS-PROGRESS-REPORTS/BROMENN-CHNA-REPORT-2019BEHAVIORAL HEALTH WAS SELECTED AS A SIGNIFICANT HEALTH NEED TO ADDRESS GIVEN THERE ARE NUMEROUS HEALTH DISPARITIES IN BLOOMINGTON ZIP CODE 61701 FOR BOTH MENTAL HEALTH AND SUBSTANCE ABUSE. THERE HAS ALSO BEEN A GREAT DEAL OF PUBLIC SUPPORT AND MOMENTUM BEHIND MENTAL HEALTH, AND THE COUNTY IS WELL SITUATED TO CONTINUE TO COLLABORATE ON MENTAL HEALTH DUE TO THE ON-GOING EFFORTS OF NUMEROUS ORGANIZATIONS AND THE MCLEAN COUNTY GOVERNMENT. MENTAL HEALTH HAD ALSO BEEN SELECTED AS A SIGNIFICANT HEALTH NEED FOR THE 2016 MCLEAN COUNTY CHNA GIVING FURTHER MOMENTUM TO THE EFFORTS OF IMPROVING MENTAL HEALTH FOR COUNTY RESIDENTS. HIGHLIGHTS FOR STEPS TAKEN TO ADDRESS BEHAVIORAL HEALTH FROM JANUARY 1JUNE 30, 2020, AS A PART OF THE 2020-2022 MCLEAN COUNTY CHIP ARE AS FOLLOWS: THE COMMUNITY HEALTH DIRECTOR FOR ADVOCATE BROMENN FACILITATED ONE IN-PERSON AND TWO VIRTUAL MEETINGS WITH THE MCLEAN COUNTY COMMUNITY HEALTH IMPROVEMENT PLAN BEHAVIORAL HEALTH PRIORITY ACTION TEAM. TWENTY-TO-THIRTY KEY BEHAVIORAL HEALTH STAKEHOLDERS PARTICIPATED IN THE MEETINGS AND SHARED HOW THEIR AGENCY IS ADAPTING THEIR SERVICES DUE TO COVID-19. PARTICIPANTS WERE ALSO LED IN A DISCUSSION TO REACH CONSENSUS ON ENSURING THAT COMMUNITY MEMBERS ARE REFERRED TO THE APPROPRIATE RESOURCE WHEN CALLING PATH/211 CRISIS LINE, AS THERE ARE SEVERAL AGENCIES PERFORMING OVERLAPPING SERVICES. THE ASSISTANT CLINICAL MANAGER OF MENTAL HEALTH SERVICES FOR ADVOCATE BROMENN SERVED ON THE MCLEAN COUNTY CHIP BEHAVIORAL HEALTH PRIORITY ACTION TEAM. THE HOSPITAL CONTINUES TO HAVE THE ONLY INPATIENT MENTAL HEALTH UNIT AND THE ONLY HOSPITAL-BASED SUBSTANCE USE PROGRAM IN MCLEAN COUNTY WHICH ADDRESSES BOTH THE BEHAVIORAL HEALTH AND ACCESS TO CARE SIGNIFICANT HEALTH NEEDS. THE INPATIENT MENTAL HEALTH UNIT AND THE ADDICTION AND RECOVERY UNIT PROVIDE CRITICAL SERVICES TO THOSE ADULTS NEEDING INPATIENT PSYCHIATRIC OR ADDICTION AND RECOVERY SERVICES. THE INPATIENT MENTAL HEALTH UNIT OPERATED AT A LOSS OF $799,948 AND THE ADDICTION AND RECOVERY UNIT OPERATED AT A LOSS OF $409,714 FROM JANUARY 1JUNE 30, 2020. ADVOCATE BROMENN WAS SCHEDULED TO HOST A JUNE MENTAL HEALTH FIRST AID CLASS. THE CLASS WAS CANCELLED DUE TO COVID-19. THE COORDINATOR OF BEHAVIORAL HEALTH, ADVOCATE BROMENN CHEMICAL DEPENDENCY, SERVED ON THE MCLEAN COUNTY RECOVERY ORIENTED SYSTEM OF CARE COUNCIL. AS A RESULT OF A PARTNERSHIP BETWEEN ADVOCATE MEDICAL GROUP (AMG) BEHAVIORAL HEALTH, TRI-COUNTY SPECIAL EDUCATION ASSOCIATION AND ILLINOIS STATE UNIVERSITY'S PSYCHOLOGICAL SERVICES CENTER, DOCTORAL PSYCHOLOGY INTERNS PROVIDED FOUR DAYS OF INTEGRATED BEHAVIORAL HEALTH SERVICES ACROSS THREE AMG SETTINGSADVOCATE BROMENN OUTPATIENT CENTER, EL PASO FAMILY PRACTICE AND EUREKA FAMILY PRACTICE. INTERVENTIONS FOR BEHAVIORAL HEALTH OUTLINED IN THE 2020-2022 MCLEAN COUNTY CHIP CAN BE VIEWED AT: HTTPS://WWW.ADVOCATEHEALTH.COM/HOSPITAL-CHNA-REPORTS-IMPLEMENTATION-PLANS-PROGRESS-REPORTS/BROMENN-CHNA-REPORT-2019HEALTHY EATING/ACTIVE LIVING WAS SELECTED AS A SIGNIFICANT HEALTH NEED TO BE ADDRESSED GIVEN THAT BY FOCUSING ON HEALTHY EATING/ACTIVE LIVING, MANY OTHER HEALTH OUTCOMES RELATED TO HEART DISEASE, CANCER AND DIABETES, MAY ALSO BE POSITIVELY IMPACTED. IT WAS ALSO SELECTED BECAUSE OBESITY IS A WIDESPREAD ISSUE AFFECTING SO MANY PEOPLE AND IT DOES NOT DISCRIMINATE. FOOD INSECURITY AND FOOD ACCESS ARE ALSO AREAS NEEDING IMPROVEMENT IN MCLEAN COUNTY. HIGHLIGHTS FOR STEPS TAKEN TO ADDRESS HEALTHY EATING/ACTIVE LIVING FROM JANUARY 1JUNE 30, 2020, AS A PART OF THE 2020-2022 MCLEAN COUNTY CHIP ARE AS FOLLOWS: THE PARTNERSHIP FOR HEALTH PILOT PROGRAM, WHICH BEGAN IN APRIL 2017, CONTINUED IN 2020. THE PROGRAM IS A PRIVATE-PUBLIC PARTNERSHIP TO IMPROVE THE HEALTH AND FITNESS OF PEOPLE WITH DEVELOPMENTAL AND INTELLECTUAL DISABILITIES AND THEIR SUPPORT WORKERS. PARTNERS INCLUDE ADVOCATE BROMENN HEALTH AND FITNESS CENTER, MARCFIRST, ADVOCATE BROMENN CHARITABLE FOUNDATION, THE MCLEAN COUNTY HEALTH DEPARTMENT AND THE MCLEAN COUNTY BOARD FOR THE CARE AND TREATMENT OF PERSONS WITH A DEVELOPMENTAL DISABILITY (377 BOARD). FROM JANUARY 1JUNE 30, 2020, FIFTY-ONE PEOPLE PARTICIPATED IN THE PROGRAM. WITH THE ONSET OF COVID-19, SERVICES WERE CONTINUED VIRTUALLY AND OUTDOORS AT CLIENT'S HOMES. THE ADVOCATE BROMENN COMMUNITY GARDEN WAS PLANTED IN LATE SPRING 2020. THE GARDEN IS A CONTINUED EFFORT AND PARTNERSHIP WITH THE COMMUNITY HEALTH CARE CLINIC (CHCC). THE CHCC IS LOCATED ON LAND OWNED BY ADVOCATE BROMENN. PRODUCE FROM THE GARDEN IS DONATED EACH YEAR TO PATIENTS OF THE CLINIC.
ADVOCATE TRINITY HOSPITAL	PART V, SECTION B, LINE 13B: PART V, SECTION C - DESCRIPTION FOR PART V, SEC B, LINE 13BALL HOSPITAL FACILITIESN/A
BROMENN MEDICAL CENTER	PART V, SECTION B, LINE 13B: PART V,SECTION C - DESCRIPTION FOR PART V, SEC B, LINE 13BALL HOSPITAL FACILITIESN/A
ADVOCATE EUREKA HOSPITAL	PART V, SECTION B, LINE 13H: OTHER FACTORS USED IN DETERMINING AMOUNTS CHARGED TO PATIENTS INCLUDE: DECEASED PATIENTS WITH NO ESTATE; HOMELESS PATIENTS, OR PATIENTS WHO RECEIVE CARE IN A HOMELESS CLINIC; PATIENTS WITH RELIGIOUS AFFILATION WITH A VOW OF POVERTY, PATIENTS WHO QUALIFY FOR A STATE DEPARTMENT OF HUMAN SERVICES (DHS) ASSISTANCE PROGRAM, BUT HAVE NO MEDICAL COVERAGE (E.G., ILLINOIS AMI/GA, FOOD STAMP, PRESCRIPTION, WOMEN, FREE LUNCH AND BREAKFAST PROGRAM, TEMPORARY ASSISTANCE FOR NEEDY FAMILIES (TANF), INFANTS AND CHILDREN (WIC), MEDICAID ELIGIBLE PATIENTS BUT NOT ON THE DATE OF SERVICE, WHY WAIT AND WISE WOMEN PROGRAMS; COUNTY HEALTH CLINIC PATIENTS; LEGAL ASSSISTANCE FOUNDATION OF ILLINOIS REFERRALS; INDIVIDUALS WITH A VALID ADDRESS AT LOW-INCOME/SUSIDIZED HOUSING; QUALIFIED INDIVIDUALS OF LOW INCOME HOME ENERGY ASSISTANCE PROGRAM, INCARCERATED INDIVIIDUALS; INCOMPETENT INDIVIDUALS WITH COMPROMISED DIAGNOSES (E.G., PSYCHIATRIC); INDIVIDUALS MEETING DEFINED CREDIT REPORTING (OR OTHER EXTERNAL REPORTING) RESULT THRESHOLDS; PATIENTS WITH PRIOR HISTORY OF INABILITY TO MAKE PAYMENTS; PATIENTS WITH COURT FILED OR APPROVED BANKRUPTCY DETERMINATIONS.
CHRIST HOSP INCL HOPE CHILDREN'S HOSP	PART V, SECTION B, LINE 13H: OTHER FACTORS USED IN DETERMINING AMOUNTS CHARGED TO PATIENTS INCLUDE: DECEASED PATIENTS WITH NO ESTATE; HOMELESS PATIENTS, OR PATIENTS WHO RECEIVE CARE IN A HOMELESS CLINIC; PATIENTS WITH RELIGIOUS AFFILATION WITH A VOW OF POVERTY, PATIENTS WHO QUALIFY FOR A STATE DEPARTMENT OF HUMAN SERVICES (DHS) ASSISTANCE PROGRAM, BUT HAVE NO MEDICAL COVERAGE (E.G., ILLINOIS AMI/GA, FOOD STAMP, PRESCRIPTION, WOMEN, FREE LUNCH AND BREAKFAST PROGRAM, TEMPORARY ASSISTANCE FOR NEEDY FAMILIES (TANF), INFANTS AND CHILDREN (WIC), MEDICAID ELIGIBLE PATIENTS BUT NOT ON THE DATE OF SERVICE, WHY WAIT AND WISE WOMEN PROGRAMS; COUNTY HEALTH CLINIC PATIENTS; LEGAL ASSSISTANCE FOUNDATION OF ILLINOIS REFERRALS; INDIVIDUALS WITH A VALID ADDRESS AT LOW-INCOME/SUSIDIZED HOUSING; QUALIFIED INDIVIDUALS OF LOW INCOME HOME ENERGY ASSISTANCE PROGRAM, INCARCERATED INDIVIIDUALS; INCOMPETENT INDIVIDUALS WITH COMPROMISED DIAGNOSES (E.G., PSYCHIATRIC); INDIVIDUALS MEETING DEFINED CREDIT REPORTING (OR OTHER EXTERNAL REPORTING) RESULT THRESHOLDS; PATIENTS WITH PRIOR HISTORY OF INABILITY TO MAKE PAYMENTS; PATIENTS WITH COURT FILED OR APPROVED BANKRUPTCY DETERMINATIONS.
GOOD SHEPHERD HOSPITAL	PART V, SECTION B, LINE 13H: OTHER FACTORS USED IN DETERMINING AMOUNTS CHARGED TO PATIENTS INCLUDE: DECEASED PATIENTS WITH NO ESTATE; HOMELESS PATIENTS, OR PATIENTS WHO RECEIVE CARE IN A HOMELESS CLINIC; PATIENTS WITH RELIGIOUS AFFILATION WITH A VOW OF POVERTY, PATIENTS WHO QUALIFY FOR A STATE DEPARTMENT OF HUMAN SERVICES (DHS) ASSISTANCE PROGRAM, BUT HAVE NO MEDICAL COVERAGE (E.G., ILLINOIS AMI/GA, FOOD STAMP, PRESCRIPTION, WOMEN, FREE LUNCH AND BREAKFAST PROGRAM, TEMPORARY ASSISTANCE FOR NEEDY FAMILIES (TANF), INFANTS AND CHILDREN (WIC), MEDICAID ELIGIBLE PATIENTS BUT NOT ON THE DATE OF SERVICE, WHY WAIT AND WISE WOMEN PROGRAMS; COUNTY HEALTH CLINIC PATIENTS; LEGAL ASSSISTANCE FOUNDATION OF ILLINOIS REFERRALS; INDIVIDUALS WITH A VALID ADDRESS AT LOW-INCOME/SUSIDIZED HOUSING; QUALIFIED INDIVIDUALS OF LOW INCOME HOME ENERGY ASSISTANCE PROGRAM, INCARCERATED INDIVIIDUALS; INCOMPETENT INDIVIDUALS WITH COMPROMISED DIAGNOSES (E.G., PSYCHIATRIC); INDIVIDUALS MEETING DEFINED CREDIT REPORTING (OR OTHER EXTERNAL REPORTING) RESULT THRESHOLDS; PATIENTS WITH PRIOR HISTORY OF INABILITY TO MAKE PAYMENTS; PATIENTS WITH COURT FILED OR APPROVED BANKRUPTCY DETERMINATIONS.
GOOD SAMARITAN HOSPITAL	PART V, SECTION B, LINE 13H: OTHER FACTORS USED IN DETERMINING AMOUNTS CHARGED TO PATIENTS INCLUDE: DECEASED PATIENTS WITH NO ESTATE; HOMELESS PATIENTS, OR PATIENTS WHO RECEIVE CARE IN A HOMELESS CLINIC; PATIENTS WITH RELIGIOUS AFFILATION WITH A VOW OF POVERTY, PATIENTS WHO QUALIFY FOR A STATE DEPARTMENT OF HUMAN SERVICES (DHS) ASSISTANCE PROGRAM, BUT HAVE NO MEDICAL COVERAGE (E.G., ILLINOIS AMI/GA, FOOD STAMP, PRESCRIPTION, WOMEN, FREE LUNCH AND BREAKFAST PROGRAM, TEMPORARY ASSISTANCE FOR NEEDY FAMILIES (TANF), INFANTS AND CHILDREN (WIC), MEDICAID ELIGIBLE PATIENTS BUT NOT ON THE DATE OF SERVICE, WHY WAIT AND WISE WOMEN PROGRAMS; COUNTY HEALTH CLINIC PATIENTS; LEGAL ASSSISTANCE FOUNDATION OF ILLINOIS REFERRALS; INDIVIDUALS WITH A VALID ADDRESS AT LOW-INCOME/SUSIDIZED HOUSING; QUALIFIED INDIVIDUALS OF LOW INCOME HOME ENERGY ASSISTANCE PROGRAM, INCARCERATED INDIVIIDUALS; INCOMPETENT INDIVIDUALS WITH COMPROMISED DIAGNOSES (E.G., PSYCHIATRIC); INDIVIDUALS MEETING DEFINED CREDIT REPORTING (OR OTHER EXTERNAL REPORTING) RESULT THRESHOLDS; PATIENTS WITH PRIOR HISTORY OF INABILITY TO MAKE PAYMENTS; PATIENTS WITH COURT FILED OR APPROVED BANKRUPTCY DETERMINATIONS.
LUTHERAN GEN HOSP INCL LUTH GEN CHILD	PART V, SECTION B, LINE 13H: OTHER FACTORS USED IN DETERMINING AMOUNTS CHARGED TO PATIENTS INCLUDE: DECEASED PATIENTS WITH NO ESTATE; HOMELESS PATIENTS, OR PATIENTS WHO RECEIVE CARE IN A HOMELESS CLINIC; PATIENTS WITH RELIGIOUS AFFILATION WITH A VOW OF POVERTY, PATIENTS WHO QUALIFY FOR A STATE DEPARTMENT OF HUMAN SERVICES (DHS) ASSISTANCE PROGRAM, BUT HAVE NO MEDICAL COVERAGE (E.G., ILLINOIS AMI/GA, FOOD STAMP, PRESCRIPTION, WOMEN, FREE LUNCH AND BREAKFAST PROGRAM, TEMPORARY ASSISTANCE FOR NEEDY FAMILIES (TANF), INFANTS AND CHILDREN (WIC), MEDICAID ELIGIBLE PATIENTS BUT NOT ON THE DATE OF SERVICE, WHY WAIT AND WISE WOMEN PROGRAMS; COUNTY HEALTH CLINIC PATIENTS; LEGAL ASSSISTANCE FOUNDATION OF ILLINOIS REFERRALS; INDIVIDUALS WITH A VALID ADDRESS AT LOW-INCOME/SUSIDIZED HOUSING; QUALIFIED INDIVIDUALS OF LOW INCOME HOME ENERGY ASSISTANCE PROGRAM, INCARCERATED INDIVIIDUALS; INCOMPETENT INDIVIDUALS WITH COMPROMISED DIAGNOSES (E.G., PSYCHIATRIC); INDIVIDUALS MEETING DEFINED CREDIT REPORTING (OR OTHER EXTERNAL REPORTING) RESULT THRESHOLDS; PATIENTS WITH PRIOR HISTORY OF INABILITY TO MAKE PAYMENTS; PATIENTS WITH COURT FILED OR APPROVED BANKRUPTCY DETERMINATIONS.
ADVOCATE SOUTH SUBURBAN HOSPITAL	PART V, SECTION B, LINE 13H: OTHER FACTORS USED IN DETERMINING AMOUNTS CHARGED TO PATIENTS INCLUDE: DECEASED PATIENTS WITH NO ESTATE; HOMELESS PATIENTS, OR PATIENTS WHO RECEIVE CARE IN A HOMELESS CLINIC; PATIENTS WITH RELIGIOUS AFFILATION WITH A VOW OF POVERTY, PATIENTS WHO QUALIFY FOR A STATE DEPARTMENT OF HUMAN SERVICES (DHS) ASSISTANCE PROGRAM, BUT HAVE NO MEDICAL COVERAGE (E.G., ILLINOIS AMI/GA, FOOD STAMP, PRESCRIPTION, WOMEN, FREE LUNCH AND BREAKFAST PROGRAM, TEMPORARY ASSISTANCE FOR NEEDY FAMILIES (TANF), INFANTS AND CHILDREN (WIC), MEDICAID ELIGIBLE PATIENTS BUT NOT ON THE DATE OF SERVICE, WHY WAIT AND WISE WOMEN PROGRAMS; COUNTY HEALTH CLINIC PATIENTS; LEGAL ASSSISTANCE FOUNDATION OF ILLINOIS REFERRALS; INDIVIDUALS WITH A VALID ADDRESS AT LOW-INCOME/SUSIDIZED HOUSING; QUALIFIED INDIVIDUALS OF LOW INCOME HOME ENERGY ASSISTANCE PROGRAM, INCARCERATED INDIVIIDUALS; INCOMPETENT INDIVIDUALS WITH COMPROMISED DIAGNOSES (E.G., PSYCHIATRIC); INDIVIDUALS MEETING DEFINED CREDIT REPORTING (OR OTHER EXTERNAL REPORTING) RESULT THRESHOLDS; PATIENTS WITH PRIOR HISTORY OF INABILITY TO MAKE PAYMENTS; PATIENTS WITH COURT FILED OR APPROVED BANKRUPTCY DETERMINATIONS.
ADVOCATE TRINITY HOSPITAL	PART V, SECTION B, LINE 13H: OTHER FACTORS USED IN DETERMINING AMOUNTS CHARGED TO PATIENTS INCLUDE: DECEASED PATIENTS WITH NO ESTATE; HOMELESS PATIENTS, OR PATIENTS WHO RECEIVE CARE IN A HOMELESS CLINIC; PATIENTS WITH RELIGIOUS AFFILATION WITH A VOW OF POVERTY, PATIENTS WHO QUALIFY FOR A STATE DEPARTMENT OF HUMAN SERVICES (DHS) ASSISTANCE PROGRAM, BUT HAVE NO MEDICAL COVERAGE (E.G., ILLINOIS AMI/GA, FOOD STAMP, PRESCRIPTION, WOMEN, FREE LUNCH AND BREAKFAST PROGRAM, TEMPORARY ASSISTANCE FOR NEEDY FAMILIES (TANF), INFANTS AND CHILDREN (WIC), MEDICAID ELIGIBLE PATIENTS BUT NOT ON THE DATE OF SERVICE, WHY WAIT AND WISE WOMEN PROGRAMS; COUNTY HEALTH CLINIC PATIENTS; LEGAL ASSSISTANCE FOUNDATION OF ILLINOIS REFERRALS; INDIVIDUALS WITH A VALID ADDRESS AT LOW-INCOME/SUSIDIZED HOUSING; QUALIFIED INDIVIDUALS OF LOW INCOME HOME ENERGY ASSISTANCE PROGRAM, INCARCERATED INDIVIIDUALS; INCOMPETENT INDIVIDUALS WITH COMPROMISED DIAGNOSES (E.G., PSYCHIATRIC); INDIVIDUALS MEETING DEFINED CREDIT REPORTING (OR OTHER EXTERNAL REPORTING) RESULT THRESHOLDS; PATIENTS WITH PRIOR HISTORY OF INABILITY TO MAKE PAYMENTS; PATIENTS WITH COURT FILED OR APPROVED BANKRUPTCY DETERMINATIONS.
BROMENN MEDICAL CENTER	PART V, SECTION B, LINE 13H: OTHER FACTORS USED IN DETERMINING AMOUNTS CHARGED TO PATIENTS INCLUDE: DECEASED PATIENTS WITH NO ESTATE; HOMELESS PATIENTS, OR PATIENTS WHO RECEIVE CARE IN A HOMELESS CLINIC; PATIENTS WITH RELIGIOUS AFFILATION WITH A VOW OF POVERTY, PATIENTS WHO QUALIFY FOR A STATE DEPARTMENT OF HUMAN SERVICES (DHS) ASSISTANCE PROGRAM, BUT HAVE NO MEDICAL COVERAGE (E.G., ILLINOIS AMI/GA, FOOD STAMP, PRESCRIPTION, WOMEN, FREE LUNCH AND BREAKFAST PROGRAM, TEMPORARY ASSISTANCE FOR NEEDY FAMILIES (TANF), INFANTS AND CHILDREN (WIC), MEDICAID ELIGIBLE PATIENTS BUT NOT ON THE DATE OF SERVICE, WHY WAIT AND WISE WOMEN PROGRAMS; COUNTY HEALTH CLINIC PATIENTS; LEGAL ASSSISTANCE FOUNDATION OF ILLINOIS REFERRALS; INDIVIDUALS WITH A VALID ADDRESS AT LOW-INCOME/SUSIDIZED HOUSING; QUALIFIED INDIVIDUALS OF LOW INCOME HOME ENERGY ASSISTANCE PROGRAM, INCARCERATED INDIVIIDUALS; INCOMPETENT INDIVIDUALS WITH COMPROMISED DIAGNOSES (E.G., PSYCHIATRIC); INDIVIDUALS MEETING DEFINED CREDIT REPORTING (OR OTHER EXTERNAL REPORTING) RESULT THRESHOLDS; PATIENTS WITH PRIOR HISTORY OF INABILITY TO MAKE PAYMENTS; PATIENTS WITH COURT FILED OR APPROVED BANKRUPTCY DETERMINATIONS.
ADVOCATE EUREKA HOSPITAL	PART V, SECTION B, LINE 16J: ADVOCATE HEALTH AND HOSPITALS CORPORATION 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.
CHRIST HOSP INCL HOPE CHILDREN'S HOSP	PART V, SECTION B, LINE 16J: ADVOCATE HEALTH AND HOSPITALS CORPORATION 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.
GOOD SHEPHERD HOSPITAL	PART V, SECTION B, LINE 16J: ADVOCATE HEALTH AND HOSPITALS CORPORATION 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.
GOOD SAMARITAN HOSPITAL	PART V, SECTION B, LINE 16J: ADVOCATE HEALTH AND HOSPITALS CORPORATION 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.
LUTHERAN GEN HOSP INCL LUTH GEN CHILD	PART V, SECTION B, LINE 16J: ADVOCATE HEALTH AND HOSPITALS CORPORATION 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 SOUTH SUBURBAN HOSPITAL	PART V, SECTION B, LINE 16J: ADVOCATE HEALTH AND HOSPITALS CORPORATION 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 TRINITY HOSPITAL	PART V, SECTION B, LINE 16J: ADVOCATE HEALTH AND HOSPITALS CORPORATION 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.
BROMENN MEDICAL CENTER	PART V, SECTION B, LINE 16J: ADVOCATE HEALTH AND HOSPITALS CORPORATION 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 EUREKA HOSPITAL	PART V, SECTION B, LINE 18E: ADVOCATE HEALTH AND HOSPITALS CORPORATION 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.
CHRIST HOSP INCL HOPE CHILDREN'S HOSP	PART V, SECTION B, LINE 18E: ADVOCATE HEALTH AND HOSPITALS CORPORATION 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.
GOOD SHEPHERD HOSPITAL	PART V, SECTION B, LINE 18E: ADVOCATE HEALTH AND HOSPITALS CORPORATION 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.
GOOD SAMARITAN HOSPITAL	PART V, SECTION B, LINE 18E: ADVOCATE HEALTH AND HOSPITALS CORPORATION 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.
LUTHERAN GEN HOSP INCL LUTH GEN CHILD	PART V, SECTION B, LINE 18E: ADVOCATE HEALTH AND HOSPITALS CORPORATION 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 SOUTH SUBURBAN HOSPITAL	PART V, SECTION B, LINE 18E: ADVOCATE HEALTH AND HOSPITALS CORPORATION 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 TRINITY HOSPITAL	PART V, SECTION B, LINE 18E: ADVOCATE HEALTH AND HOSPITALS CORPORATION 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.
BROMENN MEDICAL CENTER	PART V, SECTION B, LINE 18E: ADVOCATE HEALTH AND HOSPITALS CORPORATION 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 EUREKA HOSPITAL	PART V, SECTION B, LINE 19E: ADVOCATE HEALTH AND HOSPITALS CORPORATION 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.
CHRIST HOSP INCL HOPE CHILDREN'S HOSP	PART V, SECTION B, LINE 19E: ADVOCATE HEALTH AND HOSPITALS CORPORATION 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.
GOOD SHEPHERD HOSPITAL	PART V, SECTION B, LINE 19E: ADVOCATE HEALTH AND HOSPITALS CORPORATION 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.
GOOD SAMARITAN HOSPITAL	PART V, SECTION B, LINE 19E: ADVOCATE HEALTH AND HOSPITALS CORPORATION 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.
LUTHERAN GEN HOSP INCL LUTH GEN CHILD	PART V, SECTION B, LINE 19E: ADVOCATE HEALTH AND HOSPITALS CORPORATION 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 SOUTH SUBURBAN HOSPITAL	PART V, SECTION B, LINE 19E: ADVOCATE HEALTH AND HOSPITALS CORPORATION 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 TRINITY HOSPITAL	PART V, SECTION B, LINE 19E: ADVOCATE HEALTH AND HOSPITALS CORPORATION 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.
BROMENN MEDICAL CENTER	PART V, SECTION B, LINE 19E: ADVOCATE HEALTH AND HOSPITALS CORPORATION 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 EUREKA HOSPITAL	PART V, SECTION B, LINE 20E: ADVOCATE MAKES REASONABLE EFFORTS TO DETERMINE A PATIENT'S ELIGIBILITY UNDER ITS FAP, INCLUDING SENDING A SERIES OF LETTERS AND ATTEMPTING TO WORK WITH THE PATIENT THROUGH THE FINANCIAL COUNSELING PROCESS AND/OR PHONE CALLS. ALL CORRESPONDENCE ASKS THE PATIENT TO NOTIFY THE HOSPITAL IF HE/SHE IS EXPERIENCING "DIFFICULTY IN PAYING YOUR BILL". ADVOCATE ALSO USES EARLY OUT AND PRECOLLECTION VENDORS TO ASSIST IN OBTAINING PAYMENTS OR COLLECTING FINANCIAL ASSISTANCE ELIGIBILITY INFORMATION. THESE VENDORS HAVE THE FOLLOWING LANGUAGE IN THEIR CONTRACT: "VENDOR WILL COMMUNICATE THE ADVOCATE HEALTH CARE POLICY AND GUIDELINE TO ANY PATIENT EXPRESSING A DIFFICULTY IN PAYING THEIR BILL AND, "VENDOR WILL MAIL THE ADVOCATE HEALTH CARE FINANCIAL ASSISTANCE APPLICATION TO ANY PATIENTS EXPRESSING A DIFFICULTY IN PAYING THEIR BILL". ADVOCATE'S BAD DEBT AGENCY CONTRACTS HAVE THE FOLLOWING LANGUAGE: "AGENCY SHALL EVALUATE EACH PATIENT WHOSE ACCOUNT IS REFERRED TO AGENCY, WHERE THE PATIENT EXPRESSES DIFFICULTY OR INABILITY TO PAY THEIR BILL, FOR ELIGIBILITY UNDER ADVOCATE'S FINANCIAL ASSISTANCE POLICY." VENDOR AND AGENCY CONTRACTS ARE STANDARD ACROSS ADVOCATE'S SYSTEM.
CHRIST HOSP INCL HOPE CHILDREN'S HOSP	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.
GOOD SHEPHERD HOSPITAL	PART V, SECTION B, LINE 20E: ADVOCATE MAKES REASONABLE EFFORTS TO DETERMINE A PATIENT'S ELIGIBILITY UNDER ITS FAP, INCLUDING SENDING A SERIES OF LETTERS AND ATTEMPTING TO WORK WITH THE PATIENT THROUGH THE FINANCIAL COUNSELING PROCESS AND/OR PHONE CALLS. ALL CORRESPONDENCE ASKS THE PATIENT TO NOTIFY THE HOSPITAL IF HE/SHE IS EXPERIENCING "DIFFICULTY IN PAYING YOUR BILL". ADVOCATE ALSO USES EARLY OUT AND PRECOLLECTION VENDORS TO ASSIST IN OBTAINING PAYMENTS OR COLLECTING FINANCIAL ASSISTANCE ELIGIBILITY INFORMATION. THESE VENDORS HAVE THE FOLLOWING LANGUAGE IN THEIR CONTRACT: "VENDOR WILL COMMUNICATE THE ADVOCATE HEALTH CARE POLICY AND GUIDELINE TO ANY PATIENT EXPRESSING A DIFFICULTY IN PAYING THEIR BILL AND, "VENDOR WILL MAIL THE ADVOCATE HEALTH CARE FINANCIAL ASSISTANCE APPLICATION TO ANY PATIENTS EXPRESSING A DIFFICULTY IN PAYING THEIR BILL". ADVOCATE'S BAD DEBT AGENCY CONTRACTS HAVE THE FOLLOWING LANGUAGE: "AGENCY SHALL EVALUATE EACH PATIENT WHOSE ACCOUNT IS REFERRED TO AGENCY, WHERE THE PATIENT EXPRESSES DIFFICULTY OR INABILITY TO PAY THEIR BILL, FOR ELIGIBILITY UNDER ADVOCATE'S FINANCIAL ASSISTANCE POLICY." VENDOR AND AGENCY CONTRACTS ARE STANDARD ACROSS ADVOCATE'S SYSTEM.
GOOD SAMARITAN HOSPITAL	PART V, SECTION B, LINE 20E: ADVOCATE MAKES REASONABLE EFFORTS TO DETERMINE A PATIENT'S ELIGIBILITY UNDER ITS FAP, INCLUDING SENDING A SERIES OF LETTERS AND ATTEMPTING TO WORK WITH THE PATIENT THROUGH THE FINANCIAL COUNSELING PROCESS AND/OR PHONE CALLS. ALL CORRESPONDENCE ASKS THE PATIENT TO NOTIFY THE HOSPITAL IF HE/SHE IS EXPERIENCING "DIFFICULTY IN PAYING YOUR BILL". ADVOCATE ALSO USES EARLY OUT AND PRECOLLECTION VENDORS TO ASSIST IN OBTAINING PAYMENTS OR COLLECTING FINANCIAL ASSISTANCE ELIGIBILITY INFORMATION. THESE VENDORS HAVE THE FOLLOWING LANGUAGE IN THEIR CONTRACT: "VENDOR WILL COMMUNICATE THE ADVOCATE HEALTH CARE POLICY AND GUIDELINE TO ANY PATIENT EXPRESSING A DIFFICULTY IN PAYING THEIR BILL AND, "VENDOR WILL MAIL THE ADVOCATE HEALTH CARE FINANCIAL ASSISTANCE APPLICATION TO ANY PATIENTS EXPRESSING A DIFFICULTY IN PAYING THEIR BILL". ADVOCATE'S BAD DEBT AGENCY CONTRACTS HAVE THE FOLLOWING LANGUAGE: "AGENCY SHALL EVALUATE EACH PATIENT WHOSE ACCOUNT IS REFERRED TO AGENCY, WHERE THE PATIENT EXPRESSES DIFFICULTY OR INABILITY TO PAY THEIR BILL, FOR ELIGIBILITY UNDER ADVOCATE'S FINANCIAL ASSISTANCE POLICY." VENDOR AND AGENCY CONTRACTS ARE STANDARD ACROSS ADVOCATE'S SYSTEM.
LUTHERAN GEN HOSP INCL LUTH GEN CHILD	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.
ADVOCATE SOUTH SUBURBAN HOSPITAL	PART V, SECTION B, LINE 20E: ADVOCATE MAKES REASONABLE EFFORTS TO DETERMINE A PATIENT'S ELIGIBILITY UNDER ITS FAP, INCLUDING SENDING A SERIES OF LETTERS AND ATTEMPTING TO WORK WITH THE PATIENT THROUGH THE FINANCIAL COUNSELING PROCESS AND/OR PHONE CALLS. ALL CORRESPONDENCE ASKS THE PATIENT TO NOTIFY THE HOSPITAL IF HE/SHE IS EXPERIENCING "DIFFICULTY IN PAYING YOUR BILL". ADVOCATE ALSO USES EARLY OUT AND PRECOLLECTION VENDORS TO ASSIST IN OBTAINING PAYMENTS OR COLLECTING FINANCIAL ASSISTANCE ELIGIBILITY INFORMATION. THESE VENDORS HAVE THE FOLLOWING LANGUAGE IN THEIR CONTRACT: "VENDOR WILL COMMUNICATE THE ADVOCATE HEALTH CARE POLICY AND GUIDELINE TO ANY PATIENT EXPRESSING A DIFFICULTY IN PAYING THEIR BILL AND, "VENDOR WILL MAIL THE ADVOCATE HEALTH CARE FINANCIAL ASSISTANCE APPLICATION TO ANY PATIENTS EXPRESSING A DIFFICULTY IN PAYING THEIR BILL". ADVOCATE'S BAD DEBT AGENCY CONTRACTS HAVE THE FOLLOWING LANGUAGE: "AGENCY SHALL EVALUATE EACH PATIENT WHOSE ACCOUNT IS REFERRED TO AGENCY, WHERE THE PATIENT EXPRESSES DIFFICULTY OR INABILITY TO PAY THEIR BILL, FOR ELIGIBILITY UNDER ADVOCATE'S FINANCIAL ASSISTANCE POLICY." VENDOR AND AGENCY CONTRACTS ARE STANDARD ACROSS ADVOCATE'S SYSTEM.
ADVOCATE TRINITY HOSPITAL	PART V, SECTION B, LINE 20E: ADVOCATE MAKES REASONABLE EFFORTS TO DETERMINE A PATIENT'S ELIGIBILITY UNDER ITS FAP, INCLUDING SENDING A SERIES OF LETTERS AND ATTEMPTING TO WORK WITH THE PATIENT THROUGH THE FINANCIAL COUNSELING PROCESS AND/OR PHONE CALLS. ALL CORRESPONDENCE ASKS THE PATIENT TO NOTIFY THE HOSPITAL IF HE/SHE IS EXPERIENCING "DIFFICULTY IN PAYING YOUR BILL". ADVOCATE ALSO USES EARLY OUT AND PRECOLLECTION VENDORS TO ASSIST IN OBTAINING PAYMENTS OR COLLECTING FINANCIAL ASSISTANCE ELIGIBILITY INFORMATION. THESE VENDORS HAVE THE FOLLOWING LANGUAGE IN THEIR CONTRACT: "VENDOR WILL COMMUNICATE THE ADVOCATE HEALTH CARE POLICY AND GUIDELINE TO ANY PATIENT EXPRESSING A DIFFICULTY IN PAYING THEIR BILL AND, "VENDOR WILL MAIL THE ADVOCATE HEALTH CARE FINANCIAL ASSISTANCE APPLICATION TO ANY PATIENTS EXPRESSING A DIFFICULTY IN PAYING THEIR BILL". ADVOCATE'S BAD DEBT AGENCY CONTRACTS HAVE THE FOLLOWING LANGUAGE: "AGENCY SHALL EVALUATE EACH PATIENT WHOSE ACCOUNT IS REFERRED TO AGENCY, WHERE THE PATIENT EXPRESSES DIFFICULTY OR INABILITY TO PAY THEIR BILL, FOR ELIGIBILITY UNDER ADVOCATE'S FINANCIAL ASSISTANCE POLICY." VENDOR AND AGENCY CONTRACTS ARE STANDARD ACROSS ADVOCATE'S SYSTEM.
BROMENN 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.
ADVOCATE TRINITY HOSPITAL	PART V, SECTION B, LINE 23: PART V, SECTION C - DESCRIPTION FOR PART V, SEC B, LINE 23ALL HOSPITAL FACILITIESN/A
ADVOCATE TRINITY HOSPITAL	PART V, SECTION B, LINE 24: PART V, SECTION C - DESCRIPTION FOR PART V, SEC B, LINE 24ALL HOSPITAL FACILITIESN/A
SCHEDULE H, PART V, SEC B, LINE 11 - CHRIST HOSP INCL HOPE CHILDREN'S CONT.	CANCER. ADVOCATE CHRIST'S CANCER PROGRAM HAS BEEN CERTIFIED BY THE AMERICAN COLLEGE OF SURGEONS, COMMISSION ON CANCER AND INCLUDES BOTH INPATIENT AND OUTPATIENT UNITS, A RADIATION ONCOLOGY UNIT, CYBERKNIFE TREATMENT, INTRAOPERATIVE ELECTRON RADIATION THERAPY (IOERT), A HOME HEALTH/HOSPICE PROGRAM, A BREAST HEALTH PROGRAM AND A COMMUNITY EDUCATION PROGRAM. HEART DISEASE/STROKE. THE ADVOCATE HEART INSTITUTE HAS BEEN CERTIFIED BY THE AMERICAN ASSOCIATION OF CARDIAC AND PULMONARY REHABILITATION AND IS ILLINOIS' MOST COMPREHENSIVE CENTER FOR HEART CARE. THE HEART INSTITUTE OFFERS A FULL RANGE OF TREATMENTS AND PROGRAMS INCLUDING PREVENTIVE, DIAGNOSTICS, CLINICAL TRIALS, HEART TRANSPLANTS AND REHABILITATION SERVICES. IN ADDITION, ADVOCATE CHRIST OFFERS A SERIES OF COMMUNITY HEALTH CLASSES AND SUPPORT GROUPS, AS WELL AS THE LIVE FROM THE HEART PROGRAMWHICH EDUCATES HIGH SCHOOL STUDENTS ABOUT HEART HEALTH THROUGH LIVE INTERACTIVE HEART SURGERIES PROVIDED THROUGH VIDEO MONITORING IN THE CLASSROOM AND FOSTERS INTEREST IN THE HEALTH SCIENCES. ADVOCATE CHILDREN'S IS THE FIRST CHILDREN'S HOSPITAL IN THE COUNTRY TO RECEIVE CONGENITAL HEART DISEASE ACCREDITATION FROM ACE (ACCREDITATION FOR CARDIOVASCULAR EXCELLENCE) FOR SETTING THE HIGHEST STANDARDS OF QUALITY CARE FOR CHILDREN AND IS A DESIGNATED PEDIATRIC CRITICAL CARE CENTER BY THE ILLINOIS DEPARTMENT OF PUBLIC HEALTH.ASTHMA. ADVOCATE CHRIST OFFERS COMPREHENSIVE, MULTI-DISCIPLINARY SERVICES FOR LUNG AND RESPIRATORY CARE, INCLUDING THE TREATMENT OF ASTHMA. THE LUNG AND RESPIRATORY CARE CENTER PROVIDES INPATIENT AND OUTPATIENT RESPIRATORY CARE SERVICES. IN ADDITION, ADVOCATE CHILDREN'S ALLERGY AND ASTHMA SPECIALISTS AND RESPIRATORY CARE SPECIALISTS WORK WITH CHILDREN AND THEIR FAMILIES TO MANAGE ASTHMA, EDUCATING THEM ON ALLERGY AND ASTHMA TRIGGERS. ONE-ON-ONE ASTHMA MANAGEMENT EDUCATION IS ALSO PROVIDED BY ADVOCATE CHILDREN'S ASTHMA CENTER, OFFERING A VARIETY OF EDUCATIONAL RESOURCES FOR CHILDREN, TEENS AND PARENTS, AND ONE-TO-ONE ASTHMA EDUCATION TO PATIENTS ON THE RONALD MCDONALD CARE MOBILE. FOR MORE DETAIL ON WHAT ADVOCATE CHRIST/CHILDREN'S DID SELECT TO ADDRESS, AND DID NOT SELECT AND WHY, SEE PAGES 78-81 OF THE ADVOCATE CHRIST 2017-2019 CHNA REPORT AT HTTPS://WWW.ADVOCATEHEALTH.COM/ASSETS/IMAGES/CHNA/0802_CHRIST_CHNA_F_1_16_2020JANUARY28.PDF ).
SCHEDULE H, PART V, SEC B, LINE 11 - LUTHERAN GEN HOSP INCL LUTH GEN CHILD 2	IN 2020, ADVOCATE CHILDREN'S CONTINUED TO PARTNER WITH RONALD MCDONALD HOUSE CHARITIES OF CHICAGOLAND AND NORTHWEST INDIANA TO PROVIDE ACCESS TO FREE SCHOOL PHYSICALS AND IMMUNIZATIONS FOR AT-RISK CHILDREN THROUGH THE RMCMS. DUE TO COVID-19, THE RMCMS SAW LIMITED OPERATIONS DURING THE SPRING 2020 SCHOOL SEMESTER DUE TO HYBRID AND ONLINE LEARNING MODELS IN THE PARTNERING SCHOOLS. HOWEVER, IN 2020, THE RMCMS WERE ABLE TO SEE 1,245 PATIENTS AND PROVIDED 2,609 VACCINATIONS.INFANT MORTALITY/PRETERM DELIVERIES/LOW BIRTHWEIGHT. ADVOCATE CHILDREN'S ALSO HAS PLANS TO PROVIDE A CENTERING PREGNANCY PROGRAM, A GROUP PRENATAL CARE MODEL WHERE POTENTIALLY AT-RISK PREGNANT WOMEN RECEIVE MONTHLY EXAMS, SOCIAL SUPPORT AND EXTENSIVE EDUCATION IN A GROUP SETTING. THE PROGRAM IS DESIGNED TO ENGAGE WOMEN IN THEIR PREGNANCY WITH THE GOAL TO REDUCE PREMATURE BIRTHS, INFANT MORTALITY AND LOW BIRTH WEIGHT BABIES WHILE DEVELOPING A MUCH-NEEDED SOCIAL SUPPORT SYSTEM. DUE TO COVID-19, THE IMPLEMENTATION OF THIS PROGRAM HAS BEEN PLACED ON A BRIEF PAUSE AND WILL BE IMPLEMENTED ONCE IT IS SAFE FOR SMALL GATHERINGS AT THE RAVENSWOOD FAMILY PRACTICE CLINIC, AS WELL AS ADDITIONAL COMMUNITY-BASED PARTNERS. HEALTH NEEDS NOT SELECTED AND WHYADVOCATE LUTHERAN GENERALHEART DISEASE. WHILE HEART DISEASE WAS NOT SELECTED AS A PRIORITY BY ADVOCATE LUTHERAN GENERAL, THE HOSPITAL IS COMMITTED TO DECREASING THE RATE OF HEART DISEASE THROUGH ADDRESSING AND PRIORITIZING HEALTHY LIFESTYLES AND OBESITY PREVENTION. NATIONAL DATA MAPS FROM THE CDC INDICATE THAT HIGHER HEART DISEASE AND STROKE DEATH RATES OCCUR IN STATES THAT ALSO HAVE HIGHER OBESITY RATES. THE CHC DECIDED IT WAS MORE BENEFICIAL TO PRIORITIZE OBESITY BECAUSE OF ITS IMPACT ON REDUCING THE RISK FOR HEART DISEASE, INCLUDING HOSPITALIZATIONS AND ER VISITS DUE TO HEART DISEASE. THE HOSPITAL ALSO ADDRESSES HEART DISEASE THROUGH ITS MANY ADVOCATE HEART INSTITUTE PROGRAMS. DIABETES. WHILE THE ADVOCATE LUTHERAN GENERAL CHC ACKNOWLEDGES DIABETES IS A HEALTH ISSUE, IT WAS NOT SELECTED AS A PRIORITY. INSTEAD THEY DECIDED TO ADDRESS DIABETES PREVENTION AND MANAGEMENT THROUGH THE OBESITY PREVENTION/HEALTHY LIFESTYLES PRIORITY, WHICH WILL INCLUDE INTERVENTIONS AND PARTNERSHIPS TO ADDRESS NUTRITION AND PHYSICAL ACTIVITYKEY ELEMENTS OF DIABETES PREVENTION AND MANAGEMENT. IMMUNIZATION AND INFECTIOUS DISEASES. WHILE CONSIDERED, IMMUNIZATION AND INFECTIOUS DISEASES WAS NOT SELECTED BY THE CHC TO ADDRESS GIVEN CURRENT COMMUNITY-BASED EFFORTS BEING IMPLEMENTED TO ADDRESS THIS HEALTH NEED. THROUGHOUT THE PSA, VACCINATIONS/ IMMUNIZATIONS ARE BEING ADDRESSED BY THE RETAIL AND NON-PROFIT SECTORS. ADVOCATE AURORA HAS SEVERAL WALGREENS CLINICS IN WHICH VACCINATIONS ARE OFFERED AT A LOW-COST TO THE COMMUNITY. IN ADDITION, THERE ARE SEVERAL COMMUNITY CLINICS THAT OFFER VACCINATIONS AT LOW OR NO COST TO PSA RESIDENTS, INCLUDING THOSE WITH NO INSURANCE. ADVOCATE CHILDREN'SASTHMA/RESPIRATORY DISEASE. THE CHC DID NOT RECOMMEND ASTHMA/RESPIRATORY DISEASE AS A HEALTH PRIORITY DUE TO THE LACK OF COMMUNITY PARTNERS AND THE INEFFECTIVENESS/AVAILABILITY OF ASTHMA PREVENTION PROGRAMS. ADVOCATE CHILDREN'S RMCM STAFF CURRENTLY PROVIDE ASTHMA EDUCATION TO PEDIATRIC PATIENTS IN ADDITION TO PRIMARY HEALTH CARE PROVIDED TO LOW-INCOME CHILDREN THAT HAVE BARRIERS TO RECEIVING CARE. ADVOCATE CHILDREN'S WILL ALSO EXPLORE THE IMPLEMENTATION OF KICKIN' ASTHMA, A PROGRAM CREATED BY THE AMERICAN LUNG ASSOCIATION, THAT AIMS TO IMPROVE ASTHMA SELF-MANAGEMENT. FOR MORE DETAIL ON THE ADVOCATE CHRIST/CHILDREN'S PRIORITIES SELECTED TO ADDRESS, AND OTHER NEEDS NOT SELECTED TO ADDRESS AND WHY, SEE PAGES 48-50 OF THE ADVOCATE CHRIST 2017-2019 CHNA REPORT AT HTTPS://WWW.ADVOCATEHEALTH.COM/HOSPITAL-CHNA-REPORTS-IMPLEMENTATION-PLANS-PROGRESS-REPORTS/LUTHERAN-GENERAL-CHNA-REPORT-2019.
SCHEDULE H, PART V, SEC B, LINE 11 - ADVOCATE GOOD SAMARITAN HOSPITAL CONT.	SEXUALLY TRANSMITTED INFECTIONS (STIS). WHILE THE CHC RECOGNIZED THAT STIS ARE AN INCREASING NEED PARTICULARLY IN THE ADOLESCENT POPULATION, THE CHC DID NOT RECOMMEND PRIORITIZING THIS HEALTH ISSUE DUE TO THE MULTIPLE ORGANIZATIONS, INCLUDING DUPAGE COUNTY SCHOOLS, ADDRESSING THE ISSUE. THE HOSPITAL ALSO HAS LIMITED EXPERTISE TO ADDRESS THIS HEALTH NEED IN THE ADOLESCENT POPULATION. THE HOSPITAL, HOWEVER, WILL BE ABLE TO ADDRESS SEXUALLY TRANSMITTED DISEASES THROUGH THE HEALTH STATUS IMPROVEMENT PRIORITY BY IMPROVING ACCESS TO HEALTH CARE FOR DETECTION AND TREATMENT OF STIS. SENIOR HEALTH. ADVOCATE GOOD SAMARITAN RECOGNIZES THE IMPORTANCE OF SENIOR HEALTH AND ENGAGES IN MULTIPLE COMMUNITY ACTIVITIES AND PROGRAMS THAT ADDRESS THE HEALTH NEEDS OF SENIORS, THEREFORE THE CHC DID NOT SELECT SENIOR HEALTH AS A HEALTH PRIORITY. THE HOSPITAL IMPLEMENTS THE MATTER OF BALANCE PROGRAM, WHICH AIMS TO DECREASE FALLS AMONG SENIORS THROUGH INCREASING EDUCATION AROUND PREVENTING FALLS AND CREATING FALL-FREE ENVIRONMENTS. IN ADDITION, THE HOSPITAL IMPLEMENTS SENIOR HEALTH FAIRS AND HEALTH EDUCATION WORKSHOPS ACROSS DUPAGE COUNTY IN PARTNERSHIP WITH VARIOUS SENIOR CENTERS AND RESIDENCES.IMMUNIZATION FOR PREVENTABLE DISEASES. THE CHC ACKNOWLEDGED THE CURRENT EFFORTS UNDERWAY BY THE RETAIL AND NON-PROFIT SECTORS TO PROVIDE ACCESS TO VACCINATIONS/ IMMUNIZATIONS THROUGHOUT DUPAGE COUNTY AND THEREFORE DID NOT SELECT IT AS THE HEALTH PRIORITY TO FOCUS ON FOR IMPLEMENTATION PLANNING. ADVOCATE AURORA HEALTH HAS SEVERAL WALGREENS CLINICS IN WHICH VACCINATIONS ARE OFFERED AT LOW-COST TO THE COMMUNITY. IN ADDITION, THE DUPAGE COUNTY HEALTH DEPARTMENT OFFERS VACCINATIONS AT LOW OR NO COST TO DUPAGE COUNTY RESIDENTS, INCLUDING THOSE WITH NO INSURANCE.BOLINGBROOK-ROMEOVILLE HEALTH NEEDS NOT SELECTED HEART DISEASE. WHILE HEART DISEASE WAS NOT SPECIFICALLY SELECTED AS THE HEALTH NEED PRIORITY FOR BOLINGBROOK-ROMEOVILLE, THE ADVOCATE GOOD SAMARITAN CHC DID SELECT CHRONIC DISEASE MANAGEMENT, WHICH INCLUDES MANAGEMENT OF VARIOUS CHRONIC HEART CONDITIONS. THIS HEALTH ISSUE WILL ALSO BE ADDRESSED THROUGH CHRONIC DISEASE PREVENTION FOCUSING ON PROPER NUTRITION AND PHYSICAL ACTIVITY (HEALTHY LIFESTYLES). DIABETES. THE CHC ALSO DID NOT SELECT DIABETES AS THE HEALTH NEED PRIORITY FOR BOLINGBROOK-ROMEOVILLE GIVEN CHRONIC DISEASE MANAGEMENT WAS SELECTED, WHICH INCLUDES DIABETES MANAGEMENT EDUCATION AND PROGRAMS. THIS HEALTH ISSUE WILL ALSO BE ADDRESSED THROUGH CHRONIC DISEASE PREVENTION FOCUSING ON PROPER NUTRITION AND PHYSICAL ACTIVITY. ACCORDING TO THE NATIONAL INSTITUTE OF DIABETES AND DIGESTIVE AND KIDNEY DISEASES, NUTRITION AND PHYSICAL ACTIVITY ARE IMPORTANT PARTS OF A HEALTHY LIFESTYLE WHEN DIAGNOSED WITH DIABETES. PROGRAMMING AND SUPPORT FOR HEALTHY LIFESTYLES IS ESSENTIAL IN ADDRESSING CHRONIC DISEASE PREVENTION AND MANAGEMENT. ASTHMA. WHILE ASTHMA WAS NOT SELECTED AS THE HEALTH NEED PRIORITY FOR BOLINGBROOK-ROMEOVILLE, THE CHC DID SELECT CHRONIC DISEASE MANAGEMENT, WHICH INCLUDES ASTHMA MANAGEMENT. THIS HEALTH ISSUE WILL ALSO BE ADDRESSED THROUGH CHRONIC DISEASE PREVENTION FOCUSING ON PROPER NUTRITION AND PHYSICAL ACTIVITY (HEALTHY LIFESTYLES), BOTH OF WHICH ARE CRUCIAL COMPONENTS IN MANAGING ASTHMA. BEHAVIORAL HEALTH. BEHAVIORAL HEALTH WAS NOT SELECTED AS A PRIORITY DUE TO OTHER COMMUNITY PARTNERS AND HOSPITALS ALREADY ADDRESSING THE HEALTH ISSUE. AFTER THE BOLINGBROOK-ROMEOVILLE VNA PRESENTATION AND FEEDBACK FROM AMITA, ANOTHER HOSPITAL SYSTEM, IT WAS DETERMINED THAT THE HEALTH NEED WAS SUFFICIENTLY BEING ADDRESSED WHILE THE ISSUE OF CHRONIC DISEASE WAS NOT. ALTHOUGH BEHAVIORAL HEALTH WAS NOT SELECTED AS A PRIORITY, THE HOSPITAL WILL PROVIDE SUPPORT TO PARTNER ORGANIZATIONS AND HOSPITALS WHERE RESOURCES ARE AVAILABLE. FOR ADDITIONAL DETAILS ON THE HEALTH PRIORITIES SELECTED TO ADDRESS, AS WELL AS THOSE NOT SELECTED AND WHY, PLEASE SEE PAGES 43-45 OF THE ADVOCATE GOOD SAMARITAN 2017-2019 CHNA REPORT AT HTTPS://WWW.ADVOCATEHEALTH.COM/ASSETS/DOCUMENTS/CHNA/GOOD-SAMARITAN-HOSPITAL/0715_GSAM_CHNA_F_1_14_2020-(LR).PDF.
SCHEDULE H, PART V, SEC B, LINE 11 - ADVOCATE TRINITY HOSPITAL CONT.	ASTHMA. ASTHMA WAS ANOTHER HEALTH ISSUE IDENTIFIED BUT NOT SELECTED AS A PRIORITIZED HEALTH NEED DURING THIS CHNA CYCLE. ADVOCATE TRINITY'S ASTHMA PROGRAM USES A UNIQUE, MULTI-DISCIPLINARY TEAM APPROACH TO ASTHMA CARE. THE PROGRAM OFFERS BOARD CERTIFIED PULMONOLOGISTS TO DEVELOP AND MONITOR TREATMENT PROTOCOLS AND STANDING ORDERS FOR CARE, AND AN ASTHMA NURSE EDUCATOR WHO OVERSEES THE PROGRAM, PROVIDES PATIENT EDUCATION AND SERVES AS A LINK TO THE COMMUNITY TO ENSURE THE PATIENT'S ASTHMA IS MANAGED. OTHER TEAM MEMBERS INCLUDE RESPIRATORY CARE PRACTITIONERS WHO PROVIDE BREATHING TREATMENTS AND TEACH PATIENT EDUCATION IN THE HOSPITAL AND COMMUNITY. IN ADDITION, THE ASTHMA PROGRAM OFFERS MANY EDUCATIONAL PROGRAMS TO HELP PEOPLE BETTER UNDERSTAND THEIR CONDITION AND MANAGE THEIR ASTHMA. THESE PROGRAMS INCLUDE ONE-ON-ONE INDIVIDUALIZED EDUCATION SESSIONS FOR PEOPLE ENCOUNTERING DIFFICULTIES MANAGING THEIR ASTHMA, AND MONTHLY ASTHMA EDUCATION CLASSES COVERING SELF-MANAGEMENT, PEAK FLOW MONITORING AND ADDRESSING ENVIRONMENTAL TRIGGERS.FOR MORE DETAIL ON WHAT ADVOCATE TRINITY DID SELECT TO ADDRESS, AND DID NOT SELECT TO ADDRESS AND WHY, SEE PAGES 68-71 OF THE ADVOCATE TRINITY 2017-2019 CHNA REPORT AT HTTPS://WWW.ADVOCATEHEALTH.COM/ASSETS/DOCUMENTS/CHNA/TRINITYHOSPITAL/0805_TRINITY_CHNA_2017-2019-FINAL-LINKED-(LR).PDF
SCHEDULE H, PART V, SEC B, LINE 11 - ADVOCATE BROMENN MEDICAL CENTER CONT.	A FOOD INSECURITY PILOT STEMMING FROM A PARTNERSHIP WITH ADVOCATE BROMENN MISSION AND SPIRITUAL CARE AND EASTVIEW CHRISTIAN CHURCH BEGAN IN APRIL 2020. THE HOSPITAL PROVIDES STAPLE FOOD BOXES, PROVIDED BY EASTVIEW CHRISTIAN CHURCH, TO PATIENTS BEING DISCHARGED WHO ARE FOOD INSECURE. AN IN-KIND DONATION WAS MADE BY ADVOCATE BROMENN OF $3,583 TO SUNNYSIDE GARDENS AND THE WEST BLOOMINGTON REVITALIZATION PROJECT, TWO ORGANIZATIONS LOCATED IN AN AREA OF HIGH SOCIOECONOMIC NEED, WITH HEALTHY EATING AND FOOD INSECURITY EFFORTS UNDERWAY. INTERVENTIONS FOR HEALTHY EATING/ACTIVE LIVING OUTLINED IN THE 2020-2022 MCLEAN COUNTY CHIP CAN BE VIEWED AT: HTTPS://WWW.ADVOCATEHEALTH.COM/HOSPITAL-CHNA-REPORTS-IMPLEMENTATION-PLANS-PROGRESS-REPORTS/BROMENN-CHNA-REPORT-2019HEALTH NEEDS NOT SELECTED HEART DISEASE WAS NOT SELECTED TO ADDRESS BECAUSE IT WAS RANKED FOURTH ACCORDING TO ITS PRIORITY SCORE OF 111.1 AND THE MCLEAN COUNTY COMMUNITY HEALTH COUNCIL DID NOT FEEL THAT THERE WAS A COMPELLING REASON TO ELIMINATE ONE OF THE HEALTH ISSUES THAT RANKED IN THE TOP THREE. THE COUNCIL DID DISCUSS THAT IMPROVING ACCESS TO CARE MAY POSSIBLY ALSO IMPROVE HEALTH OUTCOMES FOR HEART DISEASE, PARTICULARLY IN AREAS OF HIGH SOCIOECONOMIC NEEDS.ALTHOUGH ORAL HEALTH IS DEEMED AS AN EXTREMELY IMPORTANT ISSUE IN MCLEAN COUNTY, THE MCLEAN COUNTY COMMUNITY HEALTH COUNCIL AGREED TO ADDRESS THE THREE NEEDS THAT RECEIVED THE HIGHEST PRIORITY SCORES USING THE HANLON METHOD. THE COUNCIL DID DISCUSS THAT ORAL HEALTH IS ALSO AN ACCESS ISSUE AND CAN FIT UNDER ACCESS TO CARE. THE OPENING OF A NEW DENTAL CLINIC FOR INDIVIDUALS WITHOUT HEALTH INSURANCE, WHICH IS SUPPORTED BY ADVOCATE BROMENN AND OSF ST. JOSEPH MEDICAL CENTER, MAY ASSIST IN IMPROVING ACCESS TO ORAL HEALTH CARE IN MCLEAN COUNTY. ONE OF THE REASONS RESPIRATORY DISEASE WAS NOT SELECTED AS A HEALTH NEED TO BE ADDRESSED WAS THAT IT RANKED SIXTH ACCORDING TO ITS PRIORITY SCORE OF 81.1 AND THE COUNCIL DID NOT FEEL THERE WAS A COMPELLING REASON TO ELIMINATE ONE OF THE HEALTH CONCERNS THAT RANKED IN THE TOP THREE. THE COUNCIL DID DISCUSS THAT IMPROVING ACCESS TO CARE MAY POSSIBLY ALSO IMPROVE HEALTH OUTCOMES FOR RESPIRATORY DISEASE, PARTICULARLY IN AREAS OF HIGH SOCIOECONOMIC NEEDS.

Field	Value	IRS element (for citing)
Facility	396	FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (396 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	FacilityFacilityTxt	Address Line2USAddress/AddressLine2Txt
1 - ABMC LANDMARK DR LOCATION - FULL BUILDI
207 LANDMARK	NORMAL	IL	61761	OFFICE - OTHER
2 - ACC 95TH ST
2210 W 95TH ST	CHICAGO	IL	60643	PATIENT CARE - OUT PATIENT
3 - ACL LAB SERVICE CENTER
3048 N WILTON LAB	CHICAGO	IL	60657	PATIENT CARE - OUT PATIENT
4 - ACL LAB SERVICE CENTER
1775 BALLARD RD LL	PARK RIDGE	IL	60068	PATIENT CARE - OUT PATIENT
5 - ACL LAB SERVICE CENTER - PARKSIDE CTR
1875 DEMPSTER ST STE 504	PARK RIDGE	IL	60068	PATIENT CARE - OUT PATIENT
6 - ACMG OAK LAWN 95 ST 210
4220 W 95TH ST	OAK LAWN	IL	60453	PATIENT CARE - OUT PATIENT
7 - ADULT DOWN SYNDROME CLINIC
1610 LUTHER LN	PARK RIDGE	IL	60068	PATIENT CARE - OUT PATIENT
8 - ADVANCED MRI (AMRI)
2204 EASTLAND DR STE 200	BLOOMINGTON	IL	61701	PATIENT CARE - OUT PATIENT
9 - ADVOCATE ADULT & PEDIATRIC REHABILITATIO
5150 NORTHWEST HWY	CRYSTAL LAKE	IL	60014	PATIENT CARE - OUT PATIENT
10 - ADVOCATE CHRIST MEDICAL CENTER - OUTPATI
1206 E 9TH ST STES 110 170 250	LOCKPORT	IL	60441	PATIENT CARE - OUT PATIENT
11 - ADVOCATE GOOD SAMARITAN HOSPITAL OUT PAT
6840 MAIN ST 1ST FL STE 202	DOWNERS GROVE	IL	60515	PATIENT CARE - OUT PATIENT
12 - ADVOCATE GOOD SHEPHERD HEALTH & FITNESS
1301 S BARRINGTON RD	BARRINGTON	IL	60005	PATIENT CARE - OUT PATIENT
13 - ADVOCATE HEALTH & HOSPITALS CORPORATION
114 SKOKIE BLVD	WILMETTE	IL	60091	PATIENT CARE - OUT PATIENT
14 - ADVOCATE MEDICAL GROUP - DES PLAINES
701 LEE ST STES LL 100 110 300	DES PLAINES	IL	60016	PATIENT CARE - OUT PATIENT
15 - ADVOCATE MEDICAL GROUP - GLENVIEW
1255 MILWAUKEE RD	GLENVIEW	IL	60025	PATIENT CARE - OUT PATIENT
16 - ADVOCATE MEDICAL GROUP - HEART AND VASCU
3118 N ASHLAND AVE	CHICAGO	IL	60657	PATIENT CARE - OUT PATIENT
17 - ADVOCATE MEDICAL GROUP - HEART AND VASCU
5151 W 95TH ST 2ND FL	OAK LAWN	IL	60453	PATIENT CARE - OUT PATIENT
18 - ADVOCATE MEDICAL GROUP - HYDE PARK
1301 E 47TH ST UNIT 2	CHICAGO	IL	60615	PATIENT CARE - OUT PATIENT
19 - ADVOCATE MEDICAL GROUP - LOCKPORT PRIMAR
1206 E 9TH ST STE 210	LOCKPORT	IL	60441	PATIENT CARE - OUT PATIENT
20 - ADVOCATE MEDICAL GROUP - LOCKPORT PRIMAR
1206 E 9TH ST STE 100	LOCKPORT	IL	60441	PATIENT CARE - OUT PATIENT
21 - ADVOCATE MEDICAL GROUP - LOCKPORT PRIMAR
1206 E 9TH ST STE 250	LOCKPORT	IL	60441	PATIENT CARE - OUT PATIENT
22 - ADVOCATE MEDICAL GROUP - MUNDELEIN INTER
550 N LAKE ST	MUNDELEIN	IL	60060	PATIENT CARE - OUT PATIENT
23 - ADVOCATE MEDICAL GROUP - OAK LAWN
4712 W 103RD ST	OAK LAWN	IL	60453	PATIENT CARE - OUT PATIENT
24 - ADVOCATE MEDICAL GROUP - PARKSIDE CENTER
1875 W DEMPSTER ST STE 525 110 66	PARK RIDGE	IL	60068	PATIENT CARE - OUT PATIENT
25 - ADVOCATE MEDICAL GROUP - POSEN
2590 W WALTER ZIMNY DR	POSEN	IL	60469	PATIENT CARE - OUT PATIENT
26 - ADVOCATE MEDICAL GROUP - RICHTON PARK
4511 SAUK TRAIL	RICHTON PARK	IL	60471	PATIENT CARE - OUT PATIENT
27 - ADVOCATE MEDICAL GROUP - SOUTHEAST LOCAT
2301 E 93RD ST STE 213	CHICAGO	IL	60617	PATIENT CARE - OUT PATIENT
28 - ADVOCATE MEDICAL GROUP - WAUCONDA
224 BROWN ST	WAUCONDA	IL	60522	PATIENT CARE - OUT PATIENT
29 - ADVOCATE MEDICAL GROUP- METRODOCS
431 LAKEVIEW CT	MOUNT PROSPECT	IL	60056	PATIENT CARE - OUT PATIENT
30 - ADVOCATE PHARMACY
15-17 W COLLEGE DR	ARLINGTON HEIGHTS	IL	60005	PHARMACY
31 - ADVOCATE PTOT (CHRIST)
12340-50 S HARLEM AVE	PALOS HEIGHTS	IL	60463	PATIENT CARE - OUT PATIENT
32 - AHHC - FAMILY CARE NETWORK
440 QUADRANGLE DR STE K	BOLINGBROOK	IL	60440	PATIENT CARE - OUT PATIENT
33 - ALGONQUIN COUNTY LINE RD
2284 COUNTYLINE RD	ALGONQUIN	IL	60201	PATIENT CARE - OUT PATIENT
34 - ALGONQUIN MERCHANT DR
1486 MERCHANT DR	ALGONQUIN	IL	60102	PATIENT CARE - OUT PATIENT
35 - ALGONQUIN RANDALL RD
600 S RANDALL RD	ALGONQUIN	IL	60102	PATIENT CARE - OUT PATIENT
36 - ALGONQUIN RYAN PARKWAY
1345 RYAN PKWY	ALGONQUIN	IL	60102	PATIENT CARE - OUT PATIENT
37 - AMBULATORY BUILDING
4440 W 95TH ST	OAK LAWN	IL	60453	PATIENT CARE - IN PATIENT
38 - AMG
151 E DUNDEE AVE STE C	EAST DUNDEE	IL	60118	PATIENT CARE - OUT PATIENT
39 - AMG
7900 N MILWAUKEE AVE STE 2-34	NILES	IL	60714	PATIENT CARE - OUT PATIENT
40 - AMG
7900 N MILWAUKEE AVE STE 16	NILES	IL	60714	PATIENT CARE - OUT PATIENT
41 - AMG
890 GARFIELD AVE STE 200	LIBERTYVILLE	IL	60098	PATIENT CARE - OUT PATIENT
42 - AMG
7432 HANCOCK DR	WONDER LAKE	IL	60098	PATIENT CARE - OUT PATIENT
43 - AMG
214 WASHINGTON ST	INGLESIDE	IL	60098	PATIENT CARE - OUT PATIENT
44 - AMG
1050 NORWOOD LN	BARTLETT	IL	60103	PATIENT CARE - OUT PATIENT
45 - AMG
4400 W 95TH ST STE 106	OAK LAWN	IL	60453	PATIENT CARE - OUT PATIENT
46 - AMG
1273 MILWAUKEE AVE	CHICAGO	IL	60622	PATIENT CARE - OUT PATIENT
47 - AMG
2622 W 83RD ST	DARIEN	IL	60561	PATIENT CARE - OUT PATIENT
48 - AMG
100 SPALDING AVE	NAPERVILLE	IL	60540	PATIENT CARE - OUT PATIENT
49 - AMG
214 WASHINGTON ST	INGLESIDE	IL	60041	PATIENT CARE - OUT PATIENT
50 - AMG
7432 HANCOCK DR	WONDER LAKE	IL	60097	PATIENT CARE - OUT PATIENT
51 - AMG - LIBERTYVILLE AMBULATORY BUILDING
825 S MILWAUKEE AVE	LIBERTYVILLE	IL	60048	PATIENT CARE - OUT PATIENT
52 - AMG ALPINE FAMILY MEDICINE
350 SURRYSE RD STE 100	LAKE ZURICH	IL	60047	PATIENT CARE - OUT PATIENT
53 - AMG BARTLETT
1054 NORWOOD LN	BARTLETT	IL	60103	PATIENT CARE - OUT PATIENT
54 - AMG DOWNERS GROVE
1341 WARREN AVE	DOWNERS GROVE	IL	60515	PATIENT CARE - OUT PATIENT
55 - AMG DUNDEE
979 W MAIN ST	DUNDEE	IL	60118	PATIENT CARE - OUT PATIENT
56 - AMG EAST DUNDEE
151 E DUNDEE AVE	EAST DUNDEE	IL	60118	PATIENT CARE - OUT PATIENT
57 - AMG ELGIN 1710 RANDALL RD
1710 RANDALL RD STES 200 250 380	ELGIN	IL	60123	PATIENT CARE - OUT PATIENT
58 - AMG ELGIN 750 FLETCHER DR
750 FLETCHER DR STE 206	ELGIN	IL	60123	PATIENT CARE - OUT PATIENT
59 - AMG GLENBROOK
2551 COMPASS DR	GLENVIEW	IL	60026	PATIENT CARE - OUT PATIENT
60 - AMG HAMPSHIRE
1000 S STATE ST	HAMPSHIRE	IL	60140	PATIENT CARE - OUT PATIENT
61 - AMG HOMETOWN
4140 SOUTHWEST HWY	HOMETOWN	IL	60456	PATIENT CARE - OUT PATIENT
62 - AMG HUNTLEY
12151-12199 REGENCY CENTER	HUNTLEY	IL	60142	PATIENT CARE - OUT PATIENT
63 - AMG ICC MONTROSE
918 W MONTROSE	CHICAGO	IL	60613	PATIENT CARE - OUT PATIENT
64 - AMG ISLAND LAKE
27979 CONVERSE RD	ISLAND LAKE	IL	60042	PATIENT CARE - OUT PATIENT
65 - AMG LEMONT
6319 S FAIRVIEW	WESTMONT	IL	60559	PATIENT CARE - OUT PATIENT
66 - AMG LEMONT
15900 W 127TH ST	LEMONT	IL	60439	PATIENT CARE - OUT PATIENT
67 - AMG LEROY
911 S CHESTNUT	LE ROY	IL	61752	PATIENT CARE - OUT PATIENT
68 - AMG LEXINGTON
307 W MAIN	LEXINGTON	IL	61753	PATIENT CARE - OUT PATIENT
69 - AMG LIBERTYVILLE 801 S MILWAUKEE
801 S MILWAUKEE RD	LIBERTYVILLE	IL	60048	PATIENT CARE - OUT PATIENT
70 - AMG LIBERTYVILLE WINCHESTER
1870 WINCHESTER RD STE 143	LIBERTYVILLE	IL	60048	PATIENT CARE - OUT PATIENT
71 - AMG LINCOLNSHIRE
100 VILLAGE GREEN DR STE 120	LINCOLNSHIRE	IL	60069	PATIENT CARE - OUT PATIENT
72 - AMG LINCOLNSHIRE
100 VILLAGE GREEN DR STE 210	LINCOLNSHIRE	IL	60069	PATIENT CARE - OUT PATIENT
73 - AMG LINCOLNWOOD
6540 N LINCOLN AVE	LINCOLNWOOD	IL	60712	PATIENT CARE - OUT PATIENT
74 - AMG LOMBARD
454 W ROOSEVELT RD	LOMBARD	IL	60148	PATIENT CARE - OUT PATIENT
75 - AMG LOMBARD AND AMG LEMONT 15900 W 127TH
500 EAST 22ND ST STE A	LOMBARD	IL	60148	PATIENT CARE - OUT PATIENT
76 - AMG MCHENRY 5403 BULL VALLEY ROAD
5403 BULL VALLEY RD	MCHENRY	IL	60050	PATIENT CARE - OUT PATIENT
77 - AMG MERRIONETTE PARK
11600 S KEDZIE	MERRIONETTE PARK	IL	60803	PATIENT CARE - OUT PATIENT
78 - AMG MUNDELEIN 560 N MIDLOTHIAN
560 N MIDLOTHIAN STE 400	MUNDELEIN	IL	60060	PATIENT CARE - OUT PATIENT
79 - AMG OAK LAWN 4400 W 95TH STE 101
4400 W 95TH ST	OAK LAWN	IL	60453	PATIENT CARE - OUT PATIENT
80 - AMG OAK LAWN 4400 W 95TH STE 102
4400 W 95TH ST	OAK LAWN	IL	60453	PATIENT CARE - OUT PATIENT
81 - AMG OAK LAWN 4400 W 95TH STE 108
4400 W 95TH ST	OAK LAWN	IL	60453	PATIENT CARE - OUT PATIENT
82 - AMG OAK LAWN 4400 W 95TH STE 109 111
4400 W 95TH ST	OAK LAWN	IL	60453	PATIENT CARE - OUT PATIENT
83 - AMG OAK LAWN 4400 W 95TH STE 207
4400 W 95TH ST	OAK LAWN	IL	60453	PATIENT CARE - OUT PATIENT
84 - AMG OAK LAWN 4400 W 95TH STE 301
4400 W 95TH ST	OAK LAWN	IL	60453	PATIENT CARE - OUT PATIENT
85 - AMG OAK LAWN 4400 W 95TH STE 403
4400 W 95TH ST	OAK LAWN	IL	60453	PATIENT CARE - OUT PATIENT
86 - AMG OAK LAWN 4400 W 95TH STE 404
4400 W 95TH ST	OAK LAWN	IL	60453	PATIENT CARE - OUT PATIENT
87 - AMG OAK LAWN 4400 W 95TH STE 407
4400 W 95TH ST	OAK LAWN	IL	60453	PATIENT CARE - OUT PATIENT
88 - AMG OAK LAWN 4400 W 95TH STE 408
4400 W 95TH ST	OAK LAWN	IL	60453	PATIENT CARE - OUT PATIENT
89 - AMG OAK LAWN 4400 W 95TH STE 413
4400 W 95TH ST	OAK LAWN	IL	60453	PATIENT CARE - OUT PATIENT
90 - AMG OAK LAWN 4700 W 95TH STE 308
4400 W 95TH ST	OAK LAWN	IL	60453	PATIENT CARE - OUT PATIENT
91 - AMG OAK LAWN 95 ST 200
4220 W 95TH ST	OAK LAWN	IL	60453	PATIENT CARE - OUT PATIENT
92 - AMG ORLAND PARK 165TH
10745 W 165TH ST	ORLAND PARK	IL	60467	PATIENT CARE - OUT PATIENT
93 - AMG ORLAND PARK CLINIC & ORLAND PARK SUR
9550 W 167TH ST	ORLAND PARK	IL	60467	PATIENT CARE - OUT PATIENT
94 - AMG ORLAND PARK RAVINIA
14741 RAVINIA DR	ORLAND PARK	IL	60467	PATIENT CARE - OUT PATIENT
95 - AMG PALOS HEIGHTS HARLEM AVE
12332 S HARLEM AVE	PALOS HEIGHTS	IL	60463	PATIENT CARE - OUT PATIENT
96 - AMG PALOS HEIGHTS HARLEM AVE
12400 S HARLEM AVE	PALOS HEIGHTS	IL	60463	PATIENT CARE - OUT PATIENT
97 - AMG PALOS HEIGHTS SW HWY
11800 SOUTHWEST HWY	PALOS HEIGHTS	IL	60463	PATIENT CARE - OUT PATIENT
98 - AMG PALOS HILLS
7620 W 111TH ST	PALOS HILLS	IL	60465	PATIENT CARE - OUT PATIENT
99 - AMG PARK RIDGE BUSSE HIGHWAY
850 BUSSE HWY	PARK RIDGE	IL	60068	PATIENT CARE - OUT PATIENT
100 - AMG PRIMARY CARE SPECIALISTS
150 N RIVER RD	DES PLAINES	IL	60016	PATIENT CARE - OUT PATIENT
101 - AMG PULASKI
10627 S PULASKI	CHICAGO	IL	60655	PATIENT CARE - OUT PATIENT
102 - AMG RIVERSIDE
7234 W OGDEN AVE	DOWNERS GROVE	IL	60515	PATIENT CARE - OUT PATIENT
103 - AMG SWEDISH COVENANT
5140 N CALIFORNIA AVE STE 505	CHICAGO	IL	60625	PATIENT CARE - OUT PATIENT
104 - AMG SYKES OUTPATIENT CENTER
2535 S MARTIN LUTHER KING DR	CHICAGO	IL	60616	PATIENT CARE - OUT PATIENT
105 - AMG WINFIELD
25 N WINFIELD	WINFIELD	IL	60527	PATIENT CARE - OUT PATIENT
106 - AMG WOODSTOCK 3703 DOTY ROAD
3703 DOTY RD BLDG1 STE 4	WOODSTOCK	IL	60098	PATIENT CARE - OUT PATIENT
107 - AMG-CHICAGO-900 W NELSON
900 W NELSON 1ST FL	CHICAGO	IL	60657	PATIENT CARE - OUT PATIENT
108 - AMUNDSEN SCHOOL BASED HEALTH CENTER
5110 N DAMEN AVE RM 307	CHICAGO	IL	60625	PATIENT CARE - OUT PATIENT
109 - AURORA CARDIOLOGY
4100 HEALTHWAY DR	AURORA	IL	60504	PATIENT CARE - OUT PATIENT
110 - AURORA PEDS SPECIALISTS
2020 OGDEN AVE	AURORA	IL	60504	PATIENT CARE - OUT PATIENT
111 - BARRINGTON GARLANDS
6000 GARLANDS LN	BARRINGTON	IL	60010	PATIENT CARE - OUT PATIENT
112 - BARRINGTON GSHP OCC HLTH
27790 W HWY 22 STE 19	BARRINGTON	IL	60010	PATIENT CARE - OUT PATIENT
113 - BARRINGTON GSHP OCC HLTH
27790 W HWY 22 STE 20	BARRINGTON	IL	60010	PATIENT CARE - OUT PATIENT
114 - BARRINGTON GSHP SLEEP
27790 W HWY 22 STE 20	BARRINGTON	IL	60010	PATIENT CARE - OUT PATIENT
115 - BARRINGTON PEPPER RD
22285 PEPPER RD	BARRINGTON	IL	60010	PATIENT CARE - OUT PATIENT
116 - BEVERLY HEALTH FACILITY - WALK-IN CARE
9831 S WESTERN AVE	CHICAGO	IL	60643	PATIENT CARE - OUT PATIENT
117 - BLOOMINGTON 1401 EASTLAND DR
1401 EASTLAND DR	BLOOMINGTON	IL	61701	PATIENT CARE - OUT PATIENT
118 - BLOOMINGTON 2204 EASTLAND DR
2204 EASTLAND DR	BLOOMINGTON	IL	61704	PATIENT CARE - OUT PATIENT
119 - BLOOMINGTON 2406 E EMPIRE
2406 E EMPIRE	BLOOMINGTON	IL	61704	PATIENT CARE - OUT PATIENT
120 - BLOOMINGTON 3024 E EMPIRE IMMCARE
3024 E EMPIRE	BLOOMINGTON	IL	61704	PATIENT CARE - OUT PATIENT
121 - BLOOMINGTON 3024 E EMPIRE OCCHLTH
3024 E EMPIRE	BLOOMINGTON	IL	61704	PATIENT CARE - OUT PATIENT
122 - BLOOMINGTON 3024 E EMPIRE SURGERY
3024 E EMPIRE	BLOOMINGTON	IL	61704	PATIENT CARE - OUT PATIENT
123 - BLOOMINGTON 3024 E EMPIRE 3A
3024 E EMPIRE	BLOOMINGTON	IL	61704	PATIENT CARE - OUT PATIENT
124 - BLOOMINGTON 3024 E EMPIRE 3D
3024 E EMPIRE	BLOOMINGTON	IL	61704	PATIENT CARE - OUT PATIENT
125 - BLOOMINGTON 3024 E EMPIRE 3E-3F
3024 E EMPIRE	BLOOMINGTON	IL	61704	PATIENT CARE - OUT PATIENT
126 - BLOOMINGTON HERSHEY
303 N HERSHEY	BLOOMINGTON	IL	61704	PATIENT CARE - OUT PATIENT
127 - BOLINGBROOK QUADRANGLE BUILDING C
391 QUADRANGLE DR N-4	BOLINGBROOK	IL	60440	PATIENT CARE - OUT PATIENT
128 - BOLINGBROOK WEBER DR
130 WEBER DR	BOLINGBROOK	IL	60440	PATIENT CARE - OUT PATIENT
129 - BREAST HEALTH CENTER
4545 W 103RD ST	OAK LAWN	IL	60453	PATIENT CARE - OUT PATIENT
130 - BRIARWOOD BUILDING
2272 COUNTYLINE RD STES 100 200 300	ALGONQUIN	IL	60102	PATIENT CARE - OUT PATIENT
131 - BROMENN
1609 NORTHTOWN RD UNIT 8	NORMAL	IL	61761	PATIENT CARE - OUT PATIENT
132 - BROMENN
1111 TRINITY LN UNIT E	BLOOMINGTON	IL	61704	PATIENT CARE - OUT PATIENT
133 - BROMENN OUTPATIENT CENTER
3024 E EMPIRE ST	BLOOMINGTON	IL	61704	PATIENT CARE - OUT PATIENT
134 - BURBANK
4901 W 79TH ST	BURBANK	IL	60459	PATIENT CARE - OUT PATIENT
135 - BURBANK HEALTH FACILITY
4901 W 79TH ST	BURBANK	IL	60459	PATIENT CARE - OUT PATIENT
136 - CARDIAC RISK
8820 DEMPSTER ST	PARK RIDGE	IL	60068	PATIENT CARE - OUT PATIENT
137 - CENTER FOR ADVANCED CARDIOLOGY
1875 DEMPSTER STES 580 585 590 595	PARK RIDGE	IL	60068	PATIENT CARE - OUT PATIENT
138 - CENTER FOR ADVANCED CARE - (OLD W PAVIL
1700 LUTHER LN	PARK RIDGE	IL	60068	PATIENT CARE - OUT PATIENT
139 - CHICAGO (MEDICINE & SURGERY) AMG (WAS MP
11250 S WESTERN	CHICAGO	IL	60643	PATIENT CARE - OUT PATIENT
140 - CHICAGO 3040 N WILTON 2ND FL
3040 N WILTON	CHICAGO	IL	60657	PATIENT CARE - OUT PATIENT
141 - CHICAGO 3048 N WILTON 1ST FL
3040 N WILTON	CHICAGO	IL	60657	PATIENT CARE - OUT PATIENT
142 - CHICAGO 3048 N WILTON 3RD FL OB MIDWIFE
3040 N WILTON	CHICAGO	IL	60657	PATIENT CARE - OUT PATIENT
143 - CHICAGO 3048 N WILTON 3RD FL RESIDENCY
3040 N WILTON	CHICAGO	IL	60657	PATIENT CARE - OUT PATIENT
144 - CHICAGO 9831 S WESTERN
9831 S WESTERN AVE	CHICAGO	IL	60643	PATIENT CARE - OUT PATIENT
145 - CHICAGO CRETICOS CANCER CENTER
901 WELLINGTON AVE	CHICAGO	IL	60657	PATIENT CARE - OUT PATIENT
146 - CHICAGO DOTY (PULLMAN)
10834 S DOTY AVE	CHICAGO	IL	60628	PATIENT CARE - OUT PATIENT
147 - CHICAGO E 118TH ST
3550 E 118TH ST	CHICAGO	IL	60625	PATIENT CARE - OUT PATIENT
148 - CHICAGO E 93RD STE 117-213
2301 E 93RD ST	CHICAGO	IL	60617	PATIENT CARE - OUT PATIENT
149 - CHICAGO E 93RD STE 222
2315 E 93RD ST	CHICAGO	IL	60617	PATIENT CARE - OUT PATIENT
150 - CHICAGO E 93RD STE 322
2301 E 93RD ST	CHICAGO	IL	60617	PATIENT CARE - OUT PATIENT
151 - CHICAGO E 93RD STE 440
2301 E 93RD ST	CHICAGO	IL	60617	PATIENT CARE - OUT PATIENT
152 - CHICAGO EVERGREEN
1357 W 103RD ST	CHICAGO	IL	60643	PATIENT CARE - OUT PATIENT
153 - CHICAGO GREENWOOD
1111 E 87TH ST STE 900A	CHICAGO	IL	60619	PATIENT CARE - OUT PATIENT
154 - CHICAGO GREENWOOD SLEEP
1111 E 87TH ST STE 500	CHICAGO	IL	60619	PATIENT CARE - OUT PATIENT
155 - CHICAGO HALSTEDBLACKHAWK
1460 N HALSTED AVE	CHICAGO	IL	60622	PATIENT CARE - OUT PATIENT
156 - CHICAGO IRV & WESTERN
4025 N WESTERN AVE	CHICAGO	IL	60634	PATIENT CARE - OUT PATIENT
157 - CHICAGO MARINE DR
4646 N MARINE DR	CHICAGO	IL	60640	PATIENT CARE - OUT PATIENT
158 - CHICAGO N BROADWAY
5304 N BROADWAY AVE	CHICAGO	IL	60640	PATIENT CARE - OUT PATIENT
159 - CHICAGO N CENTRAL AVE
3942 N CENTRAL AVE	CHICAGO	IL	60617	PATIENT CARE - OUT PATIENT
160 - CHICAGO N CICERO
4211 N CICERO	CHICAGO	IL	60641	PATIENT CARE - OUT PATIENT
161 - CHICAGO N KEDZIE
AMG CHICAGO LOGAN SQUARE	CHICAGO	IL	60647	PATIENT CARE - OUT PATIENT
162 - CHICAGO NORTH AVE
6434 W NORTH AVE	CHICAGO	IL	60302	PATIENT CARE - OUT PATIENT
163 - CHICAGO SYKES
AMG SYKES	CHICAGO	IL	60616	PATIENT CARE - OUT PATIENT
164 - CHICAGO W BRYN MAWR STE 350
8550 W BRYN MAWR	CHICAGO	IL	60631	PATIENT CARE - OUT PATIENT
165 - CHICAGO W BRYN MAWR STE 650
8550 W BRYN MAWR	CHICAGO	IL	60631	PATIENT CARE - OUT PATIENT
166 - CHICAGO W BRYN MAWR STE 700
8550 W BRYN MAWR	CHICAGO	IL	60631	PATIENT CARE - OUT PATIENT
167 - CHICAGO W BRYN MAWR STE 800
8550 W BRYN MAWR	CHICAGO	IL	60631	PATIENT CARE - OUT PATIENT
168 - CHICAGO W FOSTER
AMG CHICAGO FOSTER	CHICAGO	IL	60610	PATIENT CARE - OUT PATIENT
169 - CHICAGO WELLINGTON DENTISTRY
811 WELLINGTON AVE	CHICAGO	IL	60657	PATIENT CARE - OUT PATIENT
170 - CHRIST POB
4400 W 95TH ST STES 101 102 107 1	OAK LAWN	IL	60453	PATIENT CARE - OUT PATIENT
171 - CHRIST WOMEN'S HEALTH CENTER
18210 S LAGRANGE RD STE 200	TINLEY PARK	IL	60477	PATIENT CARE - OUT PATIENT
172 - COMMUNITY CANCER CENTER (CYBERKNIFE)
407 E VERNON	NORMAL	IL	61761	PATIENT CARE - OUT PATIENT
173 - CROSSROADS MEDICAL
128 W MAIN ST	LEXINGTON	IL	61753	PATIENT CARE - OUT PATIENT
174 - CROSSROADS MEDICAL
385 S ORANGE ST	EL PASO	IL	61738	PATIENT CARE - OUT PATIENT
175 - CROSSROADS MEDICAL
307 W MAIN ST	LEXINGTON	IL	61753	PATIENT CARE - OUT PATIENT
176 - CRYSTAL LAKE CONGRESS PARKWAY
525 CONGRESS PKWY	CRYSTAL LAKE	IL	60014	PATIENT CARE - OUT PATIENT
177 - CRYSTAL LAKE MEMORIAL COURT
284 MEMORIAL CT	CRYSTAL LAKE	IL	60014	PATIENT CARE - OUT PATIENT
178 - DES PLAINES ACMG
8901 GOLF RD	DES PLAINES	IL	60016	PATIENT CARE - OUT PATIENT
179 - DES PLAINES LEE ST STE 003
701 LEE ST	DES PLAINES	IL	60016	PATIENT CARE - OUT PATIENT
180 - DES PLAINES LEE ST STE 100 ILL HEALTH P
701 LEE ST	DES PLAINES	IL	60016	PATIENT CARE - OUT PATIENT
181 - DES PLAINES LEE ST STE 800
701 LEE ST	DES PLAINES	IL	60016	PATIENT CARE - OUT PATIENT
182 - DES PLAINES RAND RD
77 RAND RD	DES PLAINES	IL	60016	PATIENT CARE - OUT PATIENT
183 - DEVELOPMENT CENTER
4546 W 95TH ST	OAK LAWN	IL	60453	PATIENT CARE - OUT PATIENT
184 - DOCTORS OF THE NORTH SHORE
6131 W DEMPSTER ST	MORTON GROVE	IL	60053	PATIENT CARE - OUT PATIENT
185 - DOCTORS OFFICE
3040 N WILTON	CHICAGO	IL	60657	PATIENT CARE - OUT PATIENT
186 - DOWNERS GROVE 4900 MAIN ST 1ST FL
4900 MAIN ST	DOWNERS GROVE	IL	60515	PATIENT CARE - OUT PATIENT
187 - DOWNERS GROVE 4900 MAIN ST BSMNT
4900 MAIN ST	DOWNERS GROVE	IL	60515	PATIENT CARE - OUT PATIENT
188 - DOWNERS GROVE CENTER
3551 HIGHLAND AVE STE 200	DOWNERS GROVE	IL	60515	PATIENT CARE - OUT PATIENT
189 - DOWNERS GROVE GSAM SLEEP
3815 HIGHLAND AVE	DOWNERS GROVE	IL	60515	PATIENT CARE - OUT PATIENT
190 - DOWNERS GROVE GSAM STE 103
3825 HIGHLAND AVE	DOWNERS GROVE	IL	60515	PATIENT CARE - OUT PATIENT
191 - DOWNERS GROVE GSAM STE 107
3825 HIGHLAND AVE	DOWNERS GROVE	IL	60515	PATIENT CARE - OUT PATIENT
192 - DOWNERS GROVE GSAM STE 200
3551 HIGHLAND AVE	DOWNERS GROVE	IL	60515	PATIENT CARE - OUT PATIENT
193 - DOWNERS GROVE GSAM STE 306
3825 HIGHLAND AVE	DOWNERS GROVE	IL	60515	PATIENT CARE - OUT PATIENT
194 - DOWNERS GROVE GSAM STE 400
3825 HIGHLAND AVE	DOWNERS GROVE	IL	60515	PATIENT CARE - OUT PATIENT
195 - DOWNERS GROVE GSAM STE 4H4K
3825 HIGHLAND AVE	DOWNERS GROVE	IL	60515	PATIENT CARE - OUT PATIENT
196 - DOWNERS GROVE GSAM STE 5B
3825 HIGHLAND AVE	DOWNERS GROVE	IL	60515	PATIENT CARE - OUT PATIENT
197 - DOWNERS GROVE INTERNISTS
3825 HIGHLAND AVE STE 5B	DOWNERS GROVE	IL	60515	PATIENT CARE - OUT PATIENT
198 - DOWNERS GROVE S MAIN STE 101
6840 S MAIN ST	DOWNERS GROVE	IL	60515	PATIENT CARE - OUT PATIENT
199 - DOWNERS GROVE S MAIN STE 202
6840 S MAIN ST	DOWNERS GROVE	IL	60515	PATIENT CARE - OUT PATIENT
200 - DOWNERS GROVE S MAIN STE 2ND FL
6840 S MAIN ST	DOWNERS GROVE	IL	60515	PATIENT CARE - OUT PATIENT
201 - EAST PAVILION (OLD SCIENCE BUILDING)
1775 WESTERN AVE	PARK RIDGE	IL	60068	PATIENT CARE - OUT PATIENT
202 - EL PASO
385 S ORANGE	EL PASO	IL	61738	PATIENT CARE - OUT PATIENT
203 - ELDORADO
306 ELDORADO	BLOOMINGTON	IL	61704	SUPPORT
204 - ELGIN FLETCHER STE 101
745 FLETCHER RD	ELGIN	IL	60123	PATIENT CARE - OUT PATIENT
205 - ELGIN FLETCHER STE 302
745 FLETCHER RD	ELGIN	IL	60123	PATIENT CARE - OUT PATIENT
206 - ELGIN RANDALL STE 107
1710 RANDALL RD STE 107	ELGIN	IL	60123	PATIENT CARE - OUT PATIENT
207 - ELGIN RANDALL STE 201 (EFFECTIVE 41
1710 RANDALL RD STE 201	ELGIN	IL	60123	PATIENT CARE - OUT PATIENT
208 - ELGIN RANDALL STE 340
1710 RANDALL RD	ELGIN	IL	60123	PATIENT CARE - OUT PATIENT
209 - ELK GROVE CENTER
1502 ELMHURST RD	ELK GROVE VILLAGE	IL	60007	PATIENT CARE - OUT PATIENT
210 - EUREKA
105 S MAJOR	EUREKA	IL	61530	PATIENT CARE - OUT PATIENT
211 - EVERGREEN HEALTH FACILITY I - NAME CHANG
1357 W 103RD ST STES 100 200	CHICAGO	IL	60643	PATIENT CARE - OUT PATIENT
212 - EVERGREEN PARK S WESTERN AVE PARKING LOT
9730 S WESTERN AVE	EVERGREEN PARK	IL	60805	PATIENT CARE - OUT PATIENT
213 - EVERGREEN PARK S WESTERN AVE STE 500
9730 S WESTERN AVE	EVERGREEN PARK	IL	60805	PATIENT CARE - OUT PATIENT
214 - EVERGREEN PARK S WESTERN AVE STE 733
9730 S WESTERN AVE	EVERGREEN PARK	IL	60805	PATIENT CARE - OUT PATIENT
215 - EVERGREEN PLAZA - UM
9730 S WESTERN AVE STE 733	EVERGREEN PARK	IL	60805	PATIENT CARE - OUT PATIENT
216 - EVERGREENEVERGREEN PEDS - NAME CHANGED
9730 S WESTERN AVE STE 500	EVERGREEN PARK	IL	60805	PATIENT CARE - OUT PATIENT
217 - FAIRBURY
115 E WALNUT	FAIRBURY	IL	61739	PATIENT CARE - OUT PATIENT
218 - FAIRBURY MEDICAL ASSOCIATES
115 E WALNUT	FAIRBURY	IL	61739	PATIENT CARE - OUT PATIENT
219 - FAMILY PRACTICE
4140 W SOUTHWEST HWY	HOMETOWN	IL	60456	PATIENT CARE - OUT PATIENT
220 - FAMILY PRACTICE - ARLINGTON HEIGHTS
825 E GOLF RD	ARLINGTON HEIGHTS	IL	60005	PATIENT CARE - OUT PATIENT
221 - FAMILY PRACTICE AT RAVENSWOOD
4600 N RAVENSWOOD AVE	CHICAGO	IL	60640	PATIENT CARE - OUT PATIENT
222 - FOX RIVER GROVE
912 NORTHWEST HWY	FOX RIVER GROVE	IL	60010	PATIENT CARE - OUT PATIENT
223 - FRANKFORT AHC
328 N LAGRANGE RD	FRANKFORT	IL	60423	PATIENT CARE - OUT PATIENT
224 - FRANKFORT GRACELAND
20325 S GRACELAND	FRANKFORT	IL	60423	PATIENT CARE - OUT PATIENT
225 - FRANKFORT LAGRANGE
21160 S LAGRANGE AVE	FRANKFORT	IL	60423	PATIENT CARE - OUT PATIENT
226 - FRANKFORT MEDICAL OFFICE
20325 S GRACELAND LN	FRANKFORT	IL	60423	PATIENT CARE - OUT PATIENT
227 - FRANKLIN AVE BUILDING
900 FRANKLIN AVE	NORMAL	IL	61761	PATIENT CARE - OUT PATIENT
228 - GARTNER DENTISTRY BUILDING
811 W WELLINGTON AVE	CHICAGO	IL	60657	PATIENT CARE - OUT PATIENT
229 - GLENVIEW MILWAUKEE
1255 MILWAUKEE	GLENVIEW	IL	60025	PATIENT CARE - OUT PATIENT
230 - GLENVIEW WAUKEGAN
1412 WAUKEGAN RD	GLENVIEW	IL	60025	PATIENT CARE - OUT PATIENT
231 - GOOD SAMARITAN HOSPITAL CANCER CARE CENT
3745 HIGHLAND AVE	DOWNERS GROVE	IL	60515	PATIENT CARE - IN PATIENT
232 - GOOD SAMARITAN POB TOWER 1
3825 HIGHLAND AVE STES 2J 4H 4K GR	DOWNERS GROVE	IL	60515	PATIENT CARE - OUT PATIENT
233 - GOOD SAMARITAN POB TOWER 2
3825 HIGHLAND AVE STES 103 107 110	DOWNERS GROVE	IL	60515	PATIENT CARE - OUT PATIENT
234 - GOOD SAMARITAN WELLNESS CENTER
3551 HIGHLAND AVE	DOWNERS GROVE	IL	60515	PATIENT CARE - OUT PATIENT
235 - GOOD SHEPHERD OUTPATIENT CENTER & IMAGIN
525 CONGRESS PKWY 1ST FL 225	CRYSTAL LAKE	IL	60014	PATIENT CARE - OUT PATIENT
236 - GOOD SHEPHERD POB BUILDING 1
27790 W HWY 22 STE 2 5 13 14 16	BARRINGTON	IL	60010	PATIENT CARE - OUT PATIENT
237 - GOOD SHEPHERD POB BUILDING 2
27750 W HWY 22 STES G50 G60 140 2	BARRINGTON	IL	60010	PATIENT CARE - OUT PATIENT
238 - GRAND OAKS HEALTH CENTER HOLLISTER GROV
1800 HOLLISTER DR STE G2	LIBERTYVILLE	IL	60048	PATIENT CARE - OUT PATIENT
239 - GREAT LAKES REIT (GLR) INTERNAL MEDICINE
27790 W HWY 22 BLDG 1 STE 16	BARRINGTON	IL	60010	PATIENT CARE - OUT PATIENT
240 - GURNEE HUNT CLUB RD IMM CARE
1445 HUNT CLUB RD	GURNEE	IL	60031	PATIENT CARE - OUT PATIENT
241 - GURNEE HUNT CLUB RD SLEEP
1445 HUNT CLUB RD	GURNEE	IL	60031	PATIENT CARE - OUT PATIENT
242 - GURNEE HUNT CLUB RD STE 301
1425 HUNT CLUB RD	GURNEE	IL	60031	PATIENT CARE - OUT PATIENT
243 - GURNEE HUNT CLUB RD STE 304
1445 HUNT CLUB RD	GURNEE	IL	60031	PATIENT CARE - OUT PATIENT
244 - HALSTED & BLACKHAWK HEALTH FACILITY
1460 N HALSTED AVE	CHICAGO	IL	60614	PATIENT CARE - OUT PATIENT
245 - HAZEL CREST W 177TH ST
3330 W 177TH ST	HAZEL CREST	IL	60429	PATIENT CARE - OUT PATIENT
246 - HAZEL CREST CENTER
17850 S KEDZIE AVE STE 1100	HAZEL CREST	IL	60429	PATIENT CARE - OUT PATIENT
247 - HAZEL CREST S KEDZIE (SANE)
17680 S KEDZIE	HAZEL CREST	IL	60429	PATIENT CARE - OUT PATIENT
248 - HAZEL CREST S KEDZIE (SHAH)
17680 S KEDZIE	HAZEL CREST	IL	60429	PATIENT CARE - OUT PATIENT
249 - HAZEL CREST SSUB EMP HLTH
17850 S KEDZIE	HAZEL CREST	IL	60429	PATIENT CARE - OUT PATIENT
250 - HAZEL CREST SSUB STE 2100
17850 S KEDZIE	HAZEL CREST	IL	60429	PATIENT CARE - OUT PATIENT
251 - HAZEL CREST SSUB STE 2300
17850 S KEDZIE	HAZEL CREST	IL	60429	PATIENT CARE - OUT PATIENT
252 - HAZEL CREST SSUB STE 3100 3500
17850 S KEDZIE	HAZEL CREST	IL	60429	PATIENT CARE - OUT PATIENT
253 - HEALTHPOINT
1437 E COLLEGE AVE	NORMAL	IL	61761	PATIENT CARE - OUT PATIENT
254 - HIGH TECH OFFICES - HOSPITAL
11800 SOUTHWEST HWY	PALOS HEIGHTS	IL	60463	PATIENT CARE - OUT PATIENT
255 - HOME HEALTHHOSPICECOMMUNITY HEALTH
407 E VERNON	NORMAL	IL	61761	PATIENT CARE - OUT PATIENT
256 - ILLINOIS HEART & LUNG - BILLING OFFICE
1300 FRANKLIN AVE	NORMAL	IL	61761	PATIENT CARE - OUT PATIENT
257 - ILLINOIS HEART & LUNG - PONTIAC OFFICE
1508 W REYNOLDS STE A	PONTIAC	IL	61764	PATIENT CARE - OUT PATIENT
258 - ILLINOIS HEART & LUNG ASSOCIATES PULMONO
1302 FRANKLIN AVE	NORMAL	IL	61761	PATIENT CARE - OUT PATIENT
259 - ILLINOIS HEART & LUNG CARDIOLOGY ASSOCIA
1302 FRANKLIN AVE MOB 4500	NORMAL	IL	61761	PATIENT CARE - OUT PATIENT
260 - ILLINOIS MASONIC PHYSICIAN GROUP
4211 N CICERO STE 300	CHICAGO	IL	60641	PATIENT CARE - OUT PATIENT
261 - IMAGING CENTER
2284 W COUNTYLINE RD	ALGONQUIN	IL	60014	PATIENT CARE - OUT PATIENT
262 - INTERNAL MEDICINE - BUFFALO GROVE
214 MCHENRY RD STES B19 B20	BUFFALO GROVE	IL	60089	PATIENT CARE - OUT PATIENT
263 - IRVING AND WESTERN
4025 N WESTERN AVE	CHICAGO	IL	60618	PATIENT CARE - OUT PATIENT
264 - IVY PHYSICIANS GROUP
2437 N SOUTHPORT AVE 1ST FL	CHICAGO	IL	60614	PATIENT CARE - OUT PATIENT
265 - LAKE ZURICH BREAST IMAGING CENTER PEDIA
350 SURRYSE RD STES 140 150 250	LAKE ZURICH	IL	60047	PATIENT CARE - OUT PATIENT
266 - LAKE ZURICH CENTER
350 SURRYSE RD	LAKE ZURICH	IL	60047	PATIENT CARE - OUT PATIENT
267 - LAKE ZURICH STE 110
350 SURRYSE RD STE 110	LAKE ZURICH	IL	60047	PATIENT CARE - OUT PATIENT
268 - LAKEVIEW SCHOOL BASED HEALTH CENTER
4015 N ASHLAND AVE RM 103	CHICAGO	IL	60657	PATIENT CARE - OUT PATIENT
269 - LEMONT WALK IN CLINICRADIOLOGY
15900 W 127TH ST STES 100 131 20	LEMONT	IL	60439	PATIENT CARE - OUT PATIENT
270 - LEROY FAMILY MEDICINE
911 S CHESTNUT	LEROY	IL	61752	PATIENT CARE - OUT PATIENT
271 - LGOHC-I
7255 CALDWELL	NILES	IL	60714	PATIENT CARE - OUT PATIENT
272 - LIBERTYVILLE 755 S MILWAUKEE
755 S MILWAUKEE AVE	LIBERTYVILLE	IL	60048	PATIENT CARE - OUT PATIENT
273 - LIBERTYVILLE GARFIELD STE 200
890 GARFIELD	LIBERTYVILLE	IL	60048	PATIENT CARE - OUT PATIENT
274 - LIBERTYVILLE GARFIELD STE 202
890 GARFIELD	LIBERTYVILLE	IL	60048	PATIENT CARE - OUT PATIENT
275 - LIBERTYVILLE OFFICE BUILDING AMG (WAS CO
716 S MILWAUKEE AVE	LIBERTYVILLE	IL	60048	PATIENT CARE - OUT PATIENT
276 - MCHENRY
633 RIDGEVIEW DR	MCHENRY	IL	60050	PATIENT CARE - OUT PATIENT
277 - MEDICAL HILLS INTERNISTS
1401 EASTLAND DR	BLOOMINGTON	IL	61701	PATIENT CARE - OUT PATIENT
278 - MEDICAL OFFICE BUILDING
1302 FRANKLIN	NORMAL	IL	61761	PATIENT CARE - OUT PATIENT
279 - MEDICAL OFFICE BUILDING
3000 N HALSTED ST STES 209 209B 30	CHICAGO	IL	60657	PATIENT CARE - OUT PATIENT
280 - MIDAMERICA CARDIOVASCULAR CONSULTANTS A
10837 S CICERO AVE STES 200 110	OAK LAWN	IL	60453	PATIENT CARE - OUT PATIENT
281 - MIDAMERICA CARDIOVASCULAR CONSULTANTS A
3611 W 183RD ST	HAZEL CREST	IL	60429	PATIENT CARE - OUT PATIENT
282 - MIDAMERICA CARDIOVASCULAR CONSULTANTS A
14741 RAVINIA DR	ORLAND PARK	IL	60467	PATIENT CARE - OUT PATIENT
283 - MIDAMERICA CARDIOVASCULAR CONSULTANTS A
9830 S RIDGELAND AVE	CHICAGO RIDGE	IL	60415	PATIENT CARE - OUT PATIENT
284 - MIDAMERICA CARDIOVASCULAR CONSULTANTS A
17850 S KEDZIE AVE STE 3250	HAZEL CREST	IL	60429	PATIENT CARE - OUT PATIENT
285 - MIDAMERICA CARDIOVASCULAR CONSULTANTS A
2301/2315 E 93RD ST STE 222	CHICAGO	IL	60617	PATIENT CARE - OUT PATIENT
286 - MIDAMERICA CARDIOVASCULAR CONSULTANTS S
3800 BURKE DR STE 201	OLYMPIA FIELDS	IL	60449	PATIENT CARE - OUT PATIENT
287 - MIDW HEART SPECIALISTSADVOCATE MEDICAL
27750 W HWY 22 STE 240	BARRINGTON	IL	60010	PATIENT CARE - OUT PATIENT
288 - MIDW HEART SPECIALISTSADVOCATE MEDICAL
3825 HIGHLAND AVE STE 400	DOWNERS GROVE	IL	60515	PATIENT CARE - OUT PATIENT
289 - MIDW HEART SPECIALISTSADVOCATE MEDICAL
133 E BRUSH HILL RD STE 202	ELMHURST	IL	60126	PATIENT CARE - OUT PATIENT
290 - MIDW HEART SPECIALISTSADVOCATE MEDICAL
1555 BARRINGTON RD STE 3200	HOFFMAN ESTATES	IL	60194	PATIENT CARE - OUT PATIENT
291 - MIDW HEART SPECIALISTSADVOCATE MEDICAL
801 S WASHINGTON 4TH FL	NAPERVILLE	IL	60540	PATIENT CARE - OUT PATIENT
292 - MIDW HEART SPECIALISTSADVOCATE MEDICAL
25 N WINFIELD RD STE 301	WINFIELD	IL	60190	PATIENT CARE - OUT PATIENT
293 - MIDW PEDIATRIC CARDIOLOGY ADVOCATE MED
2020 OGDEN AVE STE 400	AURORA	IL	60504	PATIENT CARE - OUT PATIENT
294 - MIDW PEDIATRIC CARDIOLOGY ADVOCATE MED
4440 W 95TH ST STE 108	OAK LAWN	IL	60453	PATIENT CARE - OUT PATIENT
295 - MIDW PEDIATRIC CARDIOLOGY ADVOCATE MED
16151 WEBER RD UNIT 107	CREST HILL	IL	60403	PATIENT CARE - OUT PATIENT
296 - MIDW PEDIATRIC CARDIOLOGY ADVOCATE MED
4440 W 95TH ST STE 1100H	OAK LAWN	IL	60453	PATIENT CARE - OUT PATIENT
297 - MIDW PEDIATRIC CARDIOLOGY ADVOCATE MED
1206 9TH ST STE 310	LOCKPORT	IL	60441	PATIENT CARE - OUT PATIENT
298 - MIDW PEDIATRIC CARDIOLOGY ADVOCATE MED
209 E 86TH PLACE STE D	MERRILLVILLE	IN	46410	PATIENT CARE - OUT PATIENT
299 - MIDW PEDIATRIC CARDIOLOGY ADVOCATE MED
1555 BARRINGTON RD STE 3200	HOFFMAN ESTATES	IL	60169	PATIENT CARE - OUT PATIENT
300 - MIDW PEDIATRIC CARDIOLOGY ADVOCATE MED
800 MACARTHUR BLVD STE 3	MUNSTER	IN	46321	PATIENT CARE - OUT PATIENT
301 - MIDW PEDIATRIC CARDIOLOGY ADVOCATE MED
1020 E OGDEN AVE STE 302	NAPERVILLE	IL	60563	PATIENT CARE - OUT PATIENT
302 - MIDW PEDIATRIC CARDIOLOGY ADVOCATE MED
4700 W 95TH ST STE 205	OAK LAWN	IL	60453	PATIENT CARE - OUT PATIENT
303 - MIDW PEDIATRIC CARDIOLOGY ADVOCATE MED
5701 STRATHMOOR DR STE 1 3	ROCKFORD	IL	61107	PATIENT CARE - OUT PATIENT
304 - MIDWEST CENTER FOR DAY SURGERY
3811 HIGHLAND AVE	DOWNERS GROVE	IL	60515	PATIENT CARE - OUT PATIENT
305 - NESSET HEALTH CENTER
1775 BALLARD RD	PARK RIDGE	IL	60068	PATIENT CARE - OUT PATIENT
306 - NILES CALDWELL
7255 N CALDWELL	NILES	IL	60714	PATIENT CARE - OUT PATIENT
307 - NILES MILWAUKEE
7900 MILWAUKEE AVE	NILES	IL	60714	PATIENT CARE - OUT PATIENT
308 - NORMAL BEHAVIORAL HEALTH
403 W VIRGINIA AVE	NORMAL	IL	61761	PATIENT CARE - OUT PATIENT
309 - NORMAL BILLING OFFICE
1304 FRANKLIN AVE	NORMAL	IL	61761	PATIENT CARE - OUT PATIENT
310 - NORMAL ENDOCRINOLOGY
1302 FRANKLIN AVE	NORMAL	IL	61761	PATIENT CARE - OUT PATIENT
311 - NORMAL ENY SURGICAL ASSOCIATES
207 LANDMARK	NORMAL	IL	61761	PATIENT CARE - OUT PATIENT
312 - NORMAL GENERAL & COLORECTAL SURGERY
1300 FRANKLIN AVE	NORMAL	IL	61761	PATIENT CARE - OUT PATIENT
313 - NORMAL ILL HEART AND LUNG CARDIOLOGY
1302 FRANKLIN AVE	NORMAL	IL	61761	PATIENT CARE - OUT PATIENT
314 - NORMAL ILL HEART AND LUNG PULMONOLOGY
1302 FRANKLIN AVE	NORMAL	IL	61761	PATIENT CARE - OUT PATIENT
315 - NORMAL NEUROLOGY
1300 FRANKLIN AVE	NORMAL	IL	61761	PATIENT CARE - OUT PATIENT
316 - NORMAL PEDIATRICS
1302 FRANKLIN AVE	NORMAL	IL	61761	PATIENT CARE - OUT PATIENT
317 - NORMAL PRIMARY CARE & IMMEDIATE CARE
1302 FRANKLIN AVE	NORMAL	IL	61761	PATIENT CARE - OUT PATIENT
318 - NORTH PAVILION
3743 HIGHLAND AVE	DOWNERS GROVE	IL	60515	PATIENT CARE - OUT PATIENT
319 - NORTH SUBURBAN CLINIC
2575 ALGONQUIN RD	ALGONQUIN	IL	60102	PATIENT CARE - OUT PATIENT
320 - NORTHSIDE-SUBURBAN PEDIATRICS
4801 W PETERSON 506	CHICAGO	IL	60646	PATIENT CARE - OUT PATIENT
321 - OAK PARK - NORTH AVE HEALTH FACILITY
6434 W NORTH AVE	OAK PARK	IL	60639	PATIENT CARE - OUT PATIENT
322 - OFFICE BUILDING-ADVOCATE PHYSICIAN PARTN
3004 GENERAL ELECTRIC RD STE	BLOOMINGTON	IL	61704	PATIENT CARE - OUT PATIENT
323 - OLYMPIA FIELDS AMG (WAS MPG)
4001 VOLLMER RD	OLYMPIA FIELDS	IL	60461	PATIENT CARE - OUT PATIENT
324 - OLYMPIA FIELDS CANCER CARE INSTITUTE AMG
3700 W 203RD ST	OLYMPIA FIELDS	IL	60461	PATIENT CARE - OUT PATIENT
325 - OLYMPIA FIELDS CORPORATE & PHYSICAL THE
20110 GOVERNORS HWY	OLYMPIA FIELDS	IL	60461	PATIENT CARE - OUT PATIENT
326 - ORLAND SQUARE ORLAND DR
29 ORLAND PARK DR	ORLAND PARK	IL	60467	PATIENT CARE - OUT PATIENT
327 - PALOS
7620 W 111TH ST	PALOS HILLS	IL	60465	PATIENT CARE - OUT PATIENT
328 - PARK RIDE YACKTMAN
1675 DEMPSTER	PARK RIDGE	IL	60068	PATIENT CARE - OUT PATIENT
329 - PARK RIDGE ADULT DOWN SYNDROME
1610 LUTHER LN	PARK RIDGE	IL	60068	PATIENT CARE - OUT PATIENT
330 - PARK RIDGE CAC GYNONC ONCOLOGY
1700 LUTHER LN	PARK RIDGE	IL	60068	PATIENT CARE - OUT PATIENT
331 - PARK RIDGE CARDIO VASCULAR
1700 LUTHER LN	PARK RIDGE	IL	60068	PATIENT CARE - OUT PATIENT
332 - PARK RIDGE LGH SLEEP CENTER
1775 DEMPSTER	PARK RIDGE	IL	60068	PATIENT CARE - OUT PATIENT
333 - PARK RIDGE NESSET
1775 BALLARD RD	PARK RIDGE	IL	60068	PATIENT CARE - OUT PATIENT
334 - PARK RIDGE PARKSIDE STE 270
1875 W DEMPSTER	PARK RIDGE	IL	60068	PATIENT CARE - OUT PATIENT
335 - PARK RIDGE PARKSIDE STE 285
1875 W DEMPSTER	PARK RIDGE	IL	60068	PATIENT CARE - OUT PATIENT
336 - PARK RIDGE PARKSIDE STE 310
1875 W DEMPSTER	PARK RIDGE	IL	60068	PATIENT CARE - OUT PATIENT
337 - PARK RIDGE PARKSIDE STE 325
1875 W DEMPSTER	PARK RIDGE	IL	60068	PATIENT CARE - OUT PATIENT
338 - PARK RIDGE PARKSIDE STE 340
1875 W DEMPSTER	PARK RIDGE	IL	60068	PATIENT CARE - OUT PATIENT
339 - PARK RIDGE PARKSIDE STE 360
1875 W DEMPSTER	PARK RIDGE	IL	60068	PATIENT CARE - OUT PATIENT
340 - PARK RIDGE PARKSIDE STE 470
1875 W DEMPSTER	PARK RIDGE	IL	60068	PATIENT CARE - OUT PATIENT
341 - PARK RIDGE PARKSIDE STE 490
1875 W DEMPSTER	PARK RIDGE	IL	60068	PATIENT CARE - OUT PATIENT
342 - PARK RIDGE PARKSIDE STE 520
1875 W DEMPSTER	PARK RIDGE	IL	60068	PATIENT CARE - OUT PATIENT
343 - PARK RIDGE PARKSIDE STE 550
1875 W DEMPSTER	PARK RIDGE	IL	60068	PATIENT CARE - OUT PATIENT
344 - PARK RIDGE PARKSIDE STE 555-556
1875 W DEMPSTER	PARK RIDGE	IL	60068	PATIENT CARE - OUT PATIENT
345 - PARK RIDGE PARKSIDE STE 640
1875 W DEMPSTER	PARK RIDGE	IL	60068	PATIENT CARE - OUT PATIENT
346 - PARK RIDGE PEDIATRIC NEPHROLOGY
1480 RENAISSANCE DR STE 211	PARK RIDGE	IL	60068	PATIENT CARE - OUT PATIENT
347 - PARK RIDGE RENAISSANCE DR
1480 RENAISSANCE DR	PARK RIDGE	IL	60068	PATIENT CARE - OUT PATIENT
348 - PARK RIDGE YACKTMAN OB
1675 DEMPSTER	PARK RIDGE	IL	60068	PATIENT CARE - OUT PATIENT
349 - PARKSIDE CENTER
1875 DEMPSTER ST	PARK RIDGE	IL	60068	PATIENT CARE - OUT PATIENT
350 - PEDS - DEERFIELD
720 OSTERMAN AVE 103	DEERFIELD	IL	60015	PATIENT CARE - OUT PATIENT
351 - PHYSICIAN'S OFFICES
11745 SOUTHWEST HWY	PALOS HEIGHTS	IL	60463	PATIENT CARE - OUT PATIENT
352 - PHYSICIAN'S OFFICES
4151 NAPERVILLE RD	LISLE	IL	60532	PATIENT CARE - OUT PATIENT
353 - PHYSICIAN'S OFFICES
9848 S ROBERTS RD	PALOS HEIGHTS	IL	60465	PATIENT CARE - OUT PATIENT
354 - PLAINFIELD
24600 W 127TH ST BLDG B	PLAINFIELD	IL	60544	PATIENT CARE - OUT PATIENT
355 - POB BUILDING
414 S HOMAN	CHICAGO	IL	60624	PATIENT CARE - OUT PATIENT
356 - POB BUILDING
3410 W VAN BUREN	CHICAGO	IL	60624	PATIENT CARE - OUT PATIENT
357 - POB BUILDING
1300 FRANKLIN AVE	NORMAL	IL	61761	PATIENT CARE - OUT PATIENT
358 - PONTIAC ILLINOIS HEART AND LUNG
1508 W REYNOLDS	PONTIAC	IL	61764	PATIENT CARE - OUT PATIENT
359 - RAVENSWOOD MEDICAL GROUP
1945 W WILSON AVE STE 2100 4TH FL	CHICAGO	IL	60640	PATIENT CARE - OUT PATIENT
360 - RIVERSIDE
7234 W OGDEN AVE	RIVERSIDE	IL	60546	PATIENT CARE - OUT PATIENT
361 - ROANOKE
415 W FRONT	ROANOKE	IL	61561	PATIENT CARE - OUT PATIENT
362 - ROTUNDA MEDICAL BUILDING
4340 W 95TH ST STE 104 105 106 AN	OAK LAWN	IL	60453	PATIENT CARE - OUT PATIENT
363 - SIX CORNERS AHC
4211 N CICERO STES 308 306 304	CHICAGO	IL	60641	PATIENT CARE - OUT PATIENT
364 - SLEEP CENTER
1111 E 87TH ST STE 500	CHICAGO	IL	60617	PATIENT CARE - OUT PATIENT
365 - SOUTH ELGIN
2000 MCDONALD RD	SOUTH ELGIN	IL	60177	PATIENT CARE - OUT PATIENT
366 - SOUTH ELGIN
2000 MCDONALD RD	SOUTH ELGIN	IL	60177	PATIENT CARE - OUT PATIENT
367 - SOUTH HOLLAND
100 W 162ND ST	SOUTH HOLLAND	IL	60473	PATIENT CARE - OUT PATIENT
368 - SOUTH HOLLAND
100 W 162ND ST	SOUTH HOLLAND	IL	60473	PATIENT CARE - OUT PATIENT
369 - SOUTH SUBURBAN HOSPITAL - CRETE LOCATION
1024-1036 E STEGER RD 4 STES	CRETE	IL	60417	PATIENT CARE - OUT PATIENT
370 - SOUTH SUBURBAN HOSPITAL CANCER CENTER
17750 S KEDZIE	HAZEL CREST	IL	60429	PATIENT CARE - OUT PATIENT
371 - SOUTH SUBURBAN MEDICAL OFFICE AND SLEEP
16532 OAK PARK AVE STE LL1	TINLEY PARK	IL	60477	PATIENT CARE - OUT PATIENT
372 - SOUTH SUBURBAN POB
17850 S KEDZIE STES LL 1 2 LL STO	HAZEL CREST	IL	60429	PATIENT CARE - OUT PATIENT
373 - SOUTHEAST HEALTH FACILITY
2301 EAST 93RD ST STES 117 2ND AND	CHICAGO	IL	60617	PATIENT CARE - OUT PATIENT	3
374 - SOUTHWEST HIGHWAY
11824 SOUTHWEST HWY STES 135 140 1	PALOS HEIGHTS	IL	60463	PATIENT CARE - OUT PATIENT
375 - SUGAR CREEK MEDICAL I
1302 FRANKLIN AVE STE 1100	NORMAL	IL	61761	PATIENT CARE - OUT PATIENT
376 - SUGAR CREEK MEDICAL II
1302 FRANKLIN AVE STE 2500	NORMAL	IL	61761	PATIENT CARE - OUT PATIENT
377 - TINLEY PARK - CMC 8TH AVE STE E
16750 S 80TH AVE	TINLEY PARK	IL	60477	PATIENT CARE - OUT PATIENT
378 - TINLEY PARK CENTER - OCC HEALTH
18210 S LAGRANGE RD STE 211	TINLEY PARK	IL	60477	PATIENT CARE - OUT PATIENT
379 - TINLEY PARK HIGH TECH
18210 S LAGRANGE AVE	TINLEY PARK	IL	60477	PATIENT CARE - OUT PATIENT
380 - TINLEY PARK LA GRANGE AVE STE 105
18210 S LAGRANGE AVE	TINLEY PARK	IL	60477	PATIENT CARE - OUT PATIENT
381 - TINLEY PARK LA GRANGE AVE STE 200
18210 S LAGRANGE AVE	TINLEY PARK	IL	60477	PATIENT CARE - OUT PATIENT
382 - TINLEY PARK LA GRANGE AVE STE 209
18210 S LAGRANGE AVE	TINLEY PARK	IL	60477	PATIENT CARE - OUT PATIENT
383 - TINLEY PARK MEDICAL OFFICE
16750 S 80TH AVE STE B	TINLEY PARK	IL	60477	PATIENT CARE - OUT PATIENT
384 - TINLEY PARK SLEEP CENTER
16532 OAK PARK AVE	TINLEY PARK	IL	60477	PATIENT CARE - OUT PATIENT
385 - TOWN & COUNTRY
105 S MAJOR ST	EUREKA	IL	61530	PATIENT CARE - OUT PATIENT
386 - TOWN & COUNTRY
415 W FRONT	ROANOKE	IL	61561	PATIENT CARE - OUT PATIENT
387 - TRINITY POB
2301-2315 E 93RD ST STES 117 213 3	CHICAGO	IL	60617	PATIENT CARE - OUT PATIENT
388 - TWIN CITIES BEHAVIORAL HEALTHEAP
403 VIRGINIA AVE	NORMAL	IL	61761	PATIENT CARE - OUT PATIENT
389 - TWIN CITIES BEHAVIORAL HEALTHEAP
403 VIRGINIA AVE 2ND FL	NORMAL	IL	61761	PATIENT CARE - OUT PATIENT
390 - TWIN CITIES BEHAVIORAL HEALTHEAP
303 N HERSHEY RD STE 2C	BLOOMINGTON	IL	61761	PATIENT CARE - OUT PATIENT
391 - VACANT
1999 DEMPSTER ST	PARK RIDGE	IL	60068	PATIENT CARE - OUT PATIENT
392 - VERNON HILLS OB
565 LAKEVIEW DR	VERNON HILLS	IL	60061	PATIENT CARE - OUT PATIENT
393 - WOODRIDGE IMAGING CENTER
7530 WOODWARD AVE	WOODRIDGE	IL	60517	PATIENT CARE - OUT PATIENT
394 - WOUND CARE CLINIC
8751 S GREENWOOD STE600 100	CHICAGO	IL	60619	PATIENT CARE - OUT PATIENT
395 - WRIGLEY FIELD
1060 W ADDISON	CHICAGO	IL	60613	PATIENT CARE - OUT PATIENT
396 - YACKTMAN CHILDREN'S PAVILION
1675 DEMPSTER ST	PARK RIDGE	IL	60068	PATIENT CARE - OUT PATIENT

Supplemental Information Detail SupplementalInformationDetail (38 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
PART I, LINE 6A:	A SYSTEM-WIDE COMMUNITY BENEFIT REPORT IS FILED BY:ADVOCATE HEALTH CARE NETWORK 3075 HIGHLAND PARKWAY, DOWNERS GROVE, IL 60515. EIN 36-2167779
PART I, LINE 7:	A COST-TO-CHARGE RATIO, DERIVED FROM SCHEDULE H INSTRUCTIONS WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES, WAS USED TO CALCULATE THE AMOUNTS REPORTED IN THE TABLE FOR PART I, LINE 7A. SCHEDULE H INSTRUCTIONS WORKSHEET 3, UNREIMBURSED MEDICAID AND OTHER MEANS-TESTED GOVERNMENT PROGRAMS, WAS USED TO CALCULATE THE AMOUNTS REPORTED IN THE TABLE FOR PART I, LINE 7B. A COST ACCOUNTING SYSTEM WAS USED TO DETERMINE THE AMOUNTS REPORTED IN THE TABLE FOR PART I, LINES 7E, 7F, 7G, AND 7I.
PART I, LINE 7G:	ADVOCATE HEALTH & HOSPITALS CORPORATION PROVIDES SUBSIDIZED HEALTH SERVICES TO THE COMMUNITY. THESE SERVICES ARE PROVIDED DESPITE CREATING A FINANCIAL LOSS FOR AHHC. THESE SERVICES ARE PROVIDED BECAUSE THEY MEET AN IDENTIFIED COMMUNITY NEED. IF AHHC 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, MENTAL, BEHAVIORAL AND CHEMICAL DEPENDENCY HEALTH SERVICES, REHABILITATION SERVICES, CARDIAC SURGERY, ORTHOPEDIC AND HOSPICE SERVICES.
PART I, LN 7 COL(F):	$17,930,287 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).
SCHEDULE H, PART I, LINE 7E - SYSTEM-WIDE	ADVOCATE HEALTH & HOSPITALS CORPORATION PROVIDES COMMUNITY HEALTH IMPROVEMENT SERVICES TO THE COMMUNITIES IN WHICH IT SERVES. AHHC PROVIDES LANGUAGE SERVICES TO ALL THOSE IN NEED IN ORDER TO PROVIDE BETTER ACCESS TO CARE FOR ALL COMMUNITY MEMBERS. IN ADDITION, OTHER PROGRAMS ARE CARRIED OUT WITH THE EXPRESS PURPOSE OF IMPROVING COMMUNITY HEALTH, ACCESS TO HEALTH SERVICES AND GENERAL HEALTH KNOWLEDGE. THESE SERVICES DO NOT GENERATE PATIENT BILLS, HOWEVER, CERTAIN PROGRAMS OR SERVICES MAY HAVE NOMINAL FEES. THESE SERVICES AND PROGRAMS INCLUDE SENIOR BREAKFAST CLUBS WHICH INCLUDE EDUCATIONAL SPEAKERS FOCUSING ON HEALTH AND WELLNESS AND INCLUDE BLOOD PRESSURE SCREENINGS; CANCER SUPPORT GROUPS FOR VARIOUS TYPES OF CANCER INCLUDING, PROSTATE, BREAST AND SKIN CANCERS. THESE GROUPS FOCUS ON EDUCATING THE NEWLY DIAGNOSED AND PROVIDING INFORMATION ON BETTER LIVING FOR SURVIVORS. SKIN CANCER SCREENING ARE ALSO PROVIDED; VARIOUS PROGRAMS REGARDING JOINT PAIN AND REPLACEMENT INCLUDING TREATMENT OPTIONS AND INFORMATION ON PAIN RELIEF; VARIOUS WOMEN AND BABY, BREASTFEEDING, MULTIPLES AND CHILDBIRTH CLASSES; VARIOUS EDUCATIONAL PROGRAMS AND SUPPORT GROUPS TO RAISE AWARENESS OF HEART DISEASE RISK FACTORS AND TREATMENT OPTIONS AND EDUCATION FOR LIVING WITH THE DISEASE; THERE ARE VARIOUS PROGRAMS REGARDING HEALTH EATING AND THE RISKS OF BEING OVERWEIGHT FOR BOTH ADULTS AND ADOLESCENTS. THESE PROGRAMS INCLUDE SCREENING, EDUCATION AND OPTIONS FOR DEALING WITH THE ISSUE; PROGRAMS RELATED TO SPORTS MEDICINE AND ATHLETIC TRAINING AND INJURIES ARE ALSO OFFERED; CPR TRAINING IS OFFERED TO THE COMMUNITY AS WELL AS VARIOUS OTHER WELLNESS AND SCREENING PROGRAMS AND HEALTH FAIRS ARE OFFERED THROUGHOUT THE YEAR. CAREER COUNSELING, MENTORING AND JOB SHADOWING ARE ALSO OFFERED TO STUDENTS WHO EXPLORE CAREER POSSIBILITIES IN HEALTH CARE. CERTAIN OF THESE PROGRAMS ARE GEARED TO THE LOW INCOME AND DIVERSE STUDENT POPULATIONS.
PART I, LINE 7H - SYSTEM-WIDE	AHHC 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 2020 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. HOSPITAL-BASED ENVIRONMENTAL IMPROVEMENTS IN 2020ADVOCATE CHRIST MEDICAL CENTER- REDUCED ENERGY INTENSITY UTILIZATION BY 1.1 PERCENT, AVOIDING THE RELEASE OF 1,103 MTCO2E OF GREENHOUSE GAS EMISSIONS. - AVOIDED 369 MTCO2E OF GREENHOUSE GASES (EQUIVALENT TO 901,605 MILES OF DRIVING) THROUGH ECO-FRIENDLY MANAGEMENT OF ANESTHETIC GASES.- DIVERTED ALMOST 1.4 MILLION POUNDS OF WASTE FROM THE LANDFILL THROUGH ITS VARIOUS RECYCLING PROGRAMS.- RECYCLED 95%, OR 49 TONS, OF CONSTRUCTION AND DEMOLITION DEBRIS.- AVOIDED 9,352 POUNDS OF MEDICAL AND SOLID WASTE THROUGH ITS DEVICE REPROCESSING PROGRAMS- PURCHASED 11,051 FEWER REAMS OF PAPER IN 2020 VERSUS 2019, TRANSLATING INTO AN 10.8% YEAR OVER YEAR REDUCTION IN PAPER USAGE.- 75% OF CLEANING PRODUCTS PURCHASED FOR FIVE KEY CATEGORIES (WINDOW, FLOOR, CARPET, BATHROOM, AND GENERAL PURPOSE CLEANERS) WERE THIRD-PARTY GREEN CERTIFIED. - 79% OF FURNITURE PURCHASES WERE FREE OF FIVE KEY CHEMICALS OF CONCERN.- DONATED 32 PALLETS OF VARIOUS MEDICAL SUPPLIES TO PROJECT CURE FOR USE IN RESOURCE-LIMITED AREAS AROUND THE WORLD. - PURCHASED 32% 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.ADVOCATE GOOD SAMARITAN HOSPITAL- AVOIDED 211 MTCO2E OF GREENHOUSE GASES (EQUIVALENT TO 515,991 MILES OF DRIVING) THROUGH ECO-FRIENDLY MANAGEMENT OF ANESTHETIC GASES.- DIVERTED OVER 601,000 POUNDS OF OPERATING WASTE FROM THE LANDFILL THROUGH ITS VARIOUS RECYCLING PROGRAMS. - AVOIDED 13,200 POUNDS OF MEDICAL AND SOLID WASTE THROUGH ITS DEVICE REPROCESSING PROGRAMS.- PURCHASED 4,652 FEWER REAMS OF PAPER IN 2020 VERSUS 2019, TRANSLATING INTO AN 20% YEAR OVER YEAR REDUCTION IN PAPER USAGE.- 95% 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 28% 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.ADVOCATE GOOD SHEPHERD HOSPITAL- REDUCED ENERGY INTENSITY UTILIZATION BY 7.5 PERCENT, AVOIDING THE RELEASE OF 442 MTCO2E OF GREENHOUSE GAS EMISSIONS. - DIVERTED OVER 462,000 POUNDS OF OPERATING WASTE FROM THE LANDFILL THROUGH ITS VARIOUS RECYCLING PROGRAMS. - AVOIDED 8,600 POUNDS OF MEDICAL AND SOLID WASTE THROUGH ITS DEVICE REPROCESSING PROGRAMS.- PURCHASED 3,195 FEWER REAMS OF PAPER IN 2020 VERSUS 2019, TRANSLATING INTO A 15% YEAR OVER YEAR REDUCTION IN PAPER USAGE.- 84% OF CLEANING PRODUCTS PURCHASED FOR FIVE KEY CATEGORIES (WINDOW, FLOOR, CARPET, BATHROOM, AND GENERAL PURPOSE CLEANERS) WERE THIRD-PARTY GREEN CERTIFIED. - 98% OF FURNITURE PURCHASES WERE FREE OF FIVE KEY CHEMICALS OF CONCERN.- PURCHASED 31% OF TOTAL MEAT PRODUCTS FROM LIVESTOCK AND POULTRY RAISED WITHOUT THE ROUTINE USE OF ANTIBIOTICS, SUPPORTING THE JUDICIOUS AND RESPONSIBLE USE OF ANTIBIOTICS IN AGRICULTURE WHICH CAN HELP SLOW THE EMERGENCE OF ANTIBIOTIC-RESISTANT BACTERIA.- DONATED 2 PALLETS OF VARIOUS MEDICAL SUPPLIES TO PROJECT CURE FOR USE IN RESOURCE-LIMITED AREAS AROUND THE WORLD. - DONATED LAND TO AND PARTNERED WITH A LOCAL NON-PROFIT ORGANIZATION, SMART FARM, TO GROW VEGETABLES AND TEACH THE COMMUNITY HOW TO GROW ORGANIC FOOD AND EAT HEALTHY. THE SMART FARM DONATED OVER 15,100 POUNDS OF FRESH PRODUCE TO LOCAL FOOD PANTRIES IN 2020.- HOSTED A COMMUNITY GARDEN ON CAMPUS, OFFERING HOSPITAL EMPLOYEES AND COMMUNITY MEMBERS LAND TO GROW AND HARVEST FRESH, SUSTAINABLY-GROWN PRODUCE.
PART III, LINE 4:	FOR 2020, FOR AHHC, THE ALLOWANCE FOR DOUBTFUL ACCOUNTS COVERED 26.58 4% OF NET PATIENT ACCOUNTS RECEIVABLE. PATIENT ACCOUNTS RECEIVABLE ARE STATED AT NET REALIZABLE VALUBE. AHHC 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 20% DISCOUNT TO CHARGES WHICH IS APPLIED TO ALL SELF-PAY PATIENTS. IT ALSO DOES NOT INCLUDE ACCOUNT BALANCES OR CO-PAYS OF NON-SELF PAY ACCOUNTS WHICH ARE WRITTEN OFF TO BAD DEBT WHEN THE PATIENT HAS NO OTHER FINANCIAL RESOURCES TO PAY THESE AMOUNTS AND THE PATIENT DOES NOT APPLY FOR FINANCIAL ASSISTANCE.BAD DEBT AMOUNTS HAVE BEEN EXCLUDED FROM OTHER COMMUNITY BENEFIT AMOUNTS REPORTED THROUGHOUT SCHEDULE H.
PART III, LINE 8:	THE SHORTFALL OF $299,393,448 ON PART III, LINE 7 IS THE UNREIMBURSED COST OF PROVIDING SERVICES FOR MEDICARE PATIENTS AND SHOULD BE TREATED AS COMMUNITY BENEFIT BECAUSE PROVIDING THESE SERVICES WITHOUT REIMBURSEMENT LESSENS THE BURDENS OF GOVERNMENT OR OTHER CHARITIES THAT WOULD OTHERWISE BE NEEDED TO SERVE THE COMMUNITY.FOR ADVOCATE HEALTH AND HOSPITALS CORPORATION'S OPERATIONS, THE UNREIMBURSED COST OF MEDICARE WAS CALCULATED BY APPLYING THE ORGANIZATION'S COST TO CHARGE RATIO FROM THE MEDICARE COST REPORTS (CMS 2252-96 WORKSHEET C, PART 1, PPS INPATIENT RATIOS) AND FOR NON-HOSPITAL OPERATIONS THE COST TO CHARGE RATIO CALCULATED ON WORKSHEET 2 RATIO OF PATIENT CARE COST TO CHARGES TO THE ORGANIZATION'S MEDICARE, LESS ANY PATIENT OR THIRD PARTY PAYOR PAYMENTS AND/OR CONTRIBUTIONS RECEIVED THAT WERE DESIGNATED FOR THE PAYMENT OF MEDICARE PATIENT BILLS.
PART III, LINE 9B:	ADVOCATE HEALTH AND HOSPITALS CORPORATION 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 3:	PART VI, 3. PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE (APPLIES TO ALL HOSPITALS).ADVOCATE 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 ADVOCATE'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. ADVOCATE ASSISTS PATIENTS WITH APPLYING FOR ADVOCATE'S OWN FINANCIAL ASSISTANCE SERVICES, IF PATIENTS ARE NOT ELIGIBLE FOR GOVERNMENT-SUPPORTED PROGRAMS. ADVOCATE 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 6:	6. AFFILIATED HEALTH CARE SYSTEM. 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 H, PART VI, LINE 2 - CHRIST HOSP INCL HOPE CHILDREN'S HOSP	FOCUS GROUPS. BETWEEN AUGUST 2018 AND FEBRUARY 2019, IPHI WORKED WITH AHE PARTNERS TO HOLD A TOTAL OF 52 COMMUNITY INPUT SESSIONS (FOCUS GROUPS AND LEARNING MAP SESSIONS) WITH PRIORITY POPULATIONS SUCH AS VETERANS, INDIVIDUALS LIVING WITH MENTAL ILLNESS, COMMUNITIES OF COLOR, OLDER ADULTS, CAREGIVERS, TEENS AND YOUNG ADULTS, LGBTQ+ COMMUNITY MEMBERS, ADULTS AND TEENS EXPERIENCING HOMELESSNESS, FAMILIES WITH CHILDREN, FAITH COMMUNITIES, ADULTS WITH DISABILITIES, AND CHILDREN AND ADULTS LIVING WITH CHRONIC CONDITIONS, SUCH AS DIABETES AND ASTHMA. THE COMMUNITY INPUT SESSIONS INCLUDED 31 FOCUS GROUPS CONDUCTED BY IPHI AND 21 LEARNING MAP SESSIONS LED BY WEST SIDE UNITED, WITH NOTETAKING BY IPHI. IN ADDITION TO THESE INPUT SESSIONS, THERE WERE ALSO FIVE FOCUS GROUPS WITH HEALTH CARE AND SOCIAL SERVICE PROVIDERS. OTHER AVAILABLE NATIONAL AND LOCAL DATA. BETWEEN JUNE 2018 AND JUNE 2019, ADVOCATE CHRIST STAFF COLLECTED AND REVIEWED PERTINENT COMMUNITY HEALTH DATA FOR ITS PSA FROM OTHER DATA SOURCES INCLUDING THE CHICAGO HEALTH ATLAS, ILLINOIS DEPARTMENT OF PUBLIC HEALTH, CHICAGO DEPARTMENT OF PUBLIC HEALTH, ADVOCATE CHRIST PATIENT UTILIZATION DATA, CITY OF CHICAGO-HEALTHY CHICAGO 2.0, COOK COUNTY DEPARTMENT OF PUBLIC HEALTH, HEALTHY PEOPLE 2020, AND CDC (STATE AND COUNTY HEALTH DATA). ADVOCATE CHILDREN'S WORKED CLOSELY WITH LOCAL PARTNER SCHOOL DISTRICTS, SCHOOL NURSES, THE HOSPITAL'S FAMILY ADVISORY COUNCIL, THE PARTNERSHIP FOR RESILIENCE, HEALTHY SCHOOLS CAMPAIGN AND THE CHICAGO PUBLIC SCHOOL'S OFFICE OF STUDENT WELLNESS TO IDENTIFY HEALTH ISSUES AFFECTING CHILDREN.
SCHEDULE H, PART VI, LINE 2 - ADVOCATE SOUTH SUBURBAN HOSPITAL	FOCUS GROUPS. BETWEEN AUGUST 2018 AND FEBRUARY 2019, ILLINOIS PUBLIC HEALTH INSTITUTE WORKED WITH THE ALLIANCE PARTNERS, INCLUDING ADVOCATE SOUTH SUBURBAN TO HOLD A TOTAL OF 52 COMMUNITY INPUT SESSIONS (FOCUS GROUPS AND LEARNING MAP SESSIONS) WITH PRIORITY POPULATIONS, SUCH AS VETERANS, INDIVIDUALS LIVING WITH MENTAL ILLNESS, COMMUNITIES OF COLOR, OLDER ADULTS, CAREGIVERS, TEENS AND YOUNG ADULTS, LGBTQ+ COMMUNITY MEMBERS, ADULTS AND TEENS EXPERIENCING HOMELESSNESS, FAMILIES WITH CHILDREN, FAITH COMMUNITIES, ADULTS WITH DISABILITIES, AND CHILDREN AND ADULTS LIVING WITH CHRONIC CONDITIONS SUCH AS DIABETES AND ASTHMA. THE COMMUNITY INPUT SESSIONS INCLUDED 31 FOCUS GROUPS CONDUCTED BY IPHI AND 21 LEARNING MAP SESSIONS LED BY WEST SIDE UNITED WITH NOTETAKING BY IPHI. IN ADDITION TO THE 52 COMMUNITY INPUT SESSIONS, THERE WERE ALSO FIVE FOCUS GROUPS WITH HEALTH CARE AND SOCIAL SERVICE PROVIDERS.OTHER NATIONAL AND LOCAL DATA. BETWEEN JUNE 2018 AND JUNE 2019, ADVOCATE SOUTH SUBURBAN STAFF COLLECTED PERTINENT COMMUNITY HEALTH DATA FOR THE HOSPITAL'S PSA. OTHER DATA SOURCES REVIEWED INCLUDED THE COOK COUNTY DEPARTMENT OF PUBLIC HEALTH, ILLINOIS DEPARTMENT OF PUBLIC HEALTH, ADVOCATE SOUTH SUBURBAN PATIENT UTILIZATION DATA, HEALTHY PEOPLE 2020, AND THE CDC (STATE AND COUNTY HEALTH DATA).
SCHEDULE H, PART VI, LINE 2 - ADVOCATE TRINITY HOSPITAL	FOCUS GROUPS. BETWEEN AUGUST 2018 AND FEBRUARY 2019, THE ILLINOIS PUBLIC HEALTH INSTITUTE WORKED WITH THE ALLIANCE PARTNERS TO HOLD A TOTAL OF 52 COMMUNITY INPUT SESSIONS (FOCUS GROUPS AND LEARNING MAP SESSIONS) WITH PRIORITY POPULATIONS SUCH AS VETERANS, INDIVIDUALS LIVING WITH MENTAL ILLNESS, COMMUNITIES OF COLOR, OLDER ADULTS, CAREGIVERS, TEENS AND YOUNG ADULTS, LGBTQ+ COMMUNITY MEMBERS, ADULTS AND TEENS EXPERIENCING HOMELESSNESS, FAMILIES WITH CHILDREN, FAITH COMMUNITIES, ADULTS WITH DISABILITIES, AND CHILDREN AND ADULTS LIVING WITH CHRONIC CONDITIONS, SUCH AS DIABETES AND ASTHMA. THE COMMUNITY INPUT SESSIONS INCLUDED 31 FOCUS GROUPS CONDUCTED BY IPHI AND 21 LEARNING MAP SESSIONS LED BY WEST SIDE UNITED. IN ADDITION TO THE 52 COMMUNITY INPUT SESSIONS, THERE WERE ALSO FIVE FOCUS GROUPS WITH HEALTH CARE AND SOCIAL SERVICE PROVIDERS HOSTED BY SWEDISH COVENANT HOSPITAL, MACNEAL HOSPITAL AND SOUTH SHORE HOSPITAL. OTHER AVAILABLE NATIONAL AND LOCAL DATA. BETWEEN JUNE 2018 AND JUNE 2019, ADVOCATE TRINITY'S STAFF COLLECTED PERTINENT COMMUNITY HEALTH DATA FOR THE HOSPITAL'S PSA. OTHER DATA SOURCES REVIEWED INCLUDED THE CHICAGO HEALTH ATLAS, ILLINOIS DEPARTMENT OF PUBLIC HEALTH, CHICAGO DEPARTMENT OF PUBLIC HEALTH, ADVOCATE TRINITY PATIENT UTILIZATION DATA, CITY OF CHICAGO-HEALTHY CHICAGO 2.0, HEALTHY PEOPLE 2020, AND THE CDC (STATE AND COUNTY HEALTH DATA). A COMPREHENSIVE LIST OF DATA RESOURCES IS PROVIDED IN APPENDIX 1 OF ADVOCATE TRINITY'S 2017-2019 CHNA REPORT AT: HTTPS://WWW.ADVOCATEHEALTH.COM/ASSETS/DOCUMENTS/CHNA/TRINITY-HOSPITAL/0805_TRINITY_CHNA_2017-2019-FINAL-LINKED-(LR).PDF
SCHEDULE H, PART VI, LINE 4 - CHRIST HOSP INCL HOPE CHILDREN'S HOSP	DESCRIPTION OF THE COMMUNITY/POPULATION. FOR THE 2017-2019 CHNA, ADVOCATE CHRIST DEFINED THE COMMUNITY AS THE MEDICAL CENTER'S PSA, CONSISTING OF 28 ZIP CODES IN CHICAGO AND SUBURBAN COOK COUNTY, INCLUDING THE COMMUNITY AREAS OF ALSIP, ASHBURN, AUBURN GRESHAM BEDFORD PARK, BURBANK, CHICAGO LAWN, CHICAGO RIDGE, CLEARING, EVERGREEN PARK, ELSDON, HICKORY HILLS, HOMETOWN, JUSTICE, MIDLOTHIAN, MORGAN PARK, OAK FOREST, MT. GREENWOOD, OAK LAWN, ORLAND HILLS, ORLAND PARK, PALOS HILLS, PALOS HEIGHTS, PALOS PARK, TINLEY PARK, WEST ENGLEWOOD AND WORTH.DEMOGRAPHICS POPULATION. IN 2019, ADVOCATE CHRIST PSA'S TOTAL POPULATION WAS ESTIMATED AT 924,370. THERE HAS BEEN A DECREASE OF 0.42 PERCENT IN THE POPULATION FROM 20102019. SIMILARLY, THE STATE OF ILLINOIS POPULATION DECREASED 0.46 PERCENT (CONDUENT HEALTHY COMMUNITIES INSTITUTE, 2019).AGE. AS OF 2019, THE ADVOCATE CHRIST PSA HAS A MEDIAN AGE OF 38 YEARS COMPARED TO THE STATE OF ILLINOIS AT 39 YEARS. MALES HAVE A MEDIAN AGE OF 36 YEARS IN THE PSA COMPARABLE TO A MEDIAN AGE OF 37 YEARS IN THE STATE OF ILLINOIS. IN ADDITION, FEMALES HAVE A MEDIAN AGE OF 39 YEARS IN THE PSA COMPARED TO 40 YEARS IN THE STATE OF ILLINOIS. INDIVIDUALS AGES 25-64 YEARS MAKE UP A MAJORITY OF THE POPULATION (52.62 PERCENT) FOR THE MEDICAL CENTER'S PSA AND IN THE STATE OF ILLINOIS (52.34 PERCENT). THERE ARE NO NOTABLE DIFFERENCES IN AGE GROUPS AMONG THE MEDICAL CENTER'S PSA COMPARED TO THE STATE OF ILLINOIS. OVERALL, INDIVIDUALS AGES 25-34 (14.45 PERCENT) MAKE UP THE MAJORITY OF THE POPULATION WITHIN THE PSA COMPARED TO INDIVIDUALS AGES 25-34 (13.48 PERCENT) THAT MAKE UP THE MAJORITY OF THE POPULATION WITHIN THE STATE OF ILLINOIS. CHILDREN AGES 0-17 MAKE UP 24 PERCENT OF THE TOTAL SERVICE AREA POPULATION. THOSE AGES 15-17 YEARS OF AGE REPRESENT THE LOWEST PERCENTAGE (4 PERCENT) OF THE POPULATION. ALL IN ALL, INDIVIDUALS AGE 0-14 MAKE UP A MAJORITY OF THE PEDIATRIC POPULATION FOR ADVOCATE CHILDREN'S HOSPITAL.GENDER. MALES AND FEMALES FOR THE MEDICAL CENTER'S PSA ARE SIMILAR IN THE PERCENT OF POPULATION BY GENDER WHEN COMPARED TO THE STATE OF ILLINOIS. THERE ARE 51.50 PERCENT FEMALES IN THE MEDICAL CENTER'S PSA COMPARED TO 50.82 PERCENT IN THE STATE OF ILLINOIS. SIMILARLY, THERE ARE 48.50 PERCENT MALES IN THE MEDICAL CENTER'S PSA COMPARED TO 49.18 PERCENT IN THE STATE OF ILLINOIS. RACE/ETHNICITY. ADVOCATE CHRIST'S PSA POPULATION IS 57.53 PERCENT WHITE; 23.44 PERCENT BLACK/AFRICAN AMERICAN; 13.88 PERCENT SOME OTHER RACE; 2.33 PERCENT 2+ RACES; 2.41 PERCENT ASIAN; 0.38 PERCENT AMERICAN INDIAN/ALASKAN NATIVE AND 0.02 PERCENT NATIVE HAWAIIAN/PACIFIC ISLANDER. THE MEDICAL CENTER'S PSA HAS A LARGER HISPANIC/LATINO POPULATION COMPARED TO THE STATE OF ILLINOIS WITH 69.36 PERCENT NON-HISPANIC AND 30.64 PERCENT HISPANIC/LATINO. INCOME. ADVOCATE CHRIST'S PSA POVERTY LEVEL OF 14.4 PERCENT IS LOWER THAN THE COOK COUNTY LEVEL OF 15.9 PERCENT OF THE POPULATION. HOUSEHOLDS BY INCOME ARE RELATIVELY SIMILAR FOR THE MEDICAL CENTER'S PSA AND THE STATE OF ILLINOIS. AS OF 2019, 15.52 PERCENT OF HOUSEHOLDS HAVE AN INCOME LEVEL BETWEEN $50,000-$74,499. COMPARATIVELY, THE STATE OF ILLINOIS HAS 16 PERCENT OF HOUSEHOLDS WITH AN INCOME BETWEEN $50,000-$74,499.POVERTY. THE NUMBER OF FAMILIES LIVING BELOW 100 PERCENT OF THE FEDERAL POVERTY LEVEL (FPL) IN ADVOCATE CHRIST'S PSA IS 25,665 OR 11.33 PERCENT OF THE POPULATION COMPARED TO 313,034 FAMILIES OR 9.80 PERCENT IN THE STATE OF ILLINOIS. THE NUMBER OF FAMILIES WITH CHILDREN LIVING BELOW 100 PERCENT FPL IS 19,100 FAMILIES OR 8.4 PERCENT COMPARED TO 235,695 FAMILIES OR 7.38 PERCENT IN THE STATE OF ILLINOIS. THE NUMBER OF CHILDREN IDENTIFIED AS LIVING BELOW THE FEDERAL POVERTY LEVEL IN THE PSA IS 21.7 PERCENT COMPARED TO THE STATE OF ILLINOIS AT 18.8 PERCENT. BETWEEN THE YEARS 2013-2017, THERE WERE 9.2 PERCENT OF PEOPLE 65 YEARS AND OLDER IN THE PSA LIVING BELOW THE FPL COMPARED TO 8.8 PERCENT IN THE STATE OF ILLINOIS AND 9.3 PERCENT IN THE U.S. ADULTS WITH HEALTH INSURANCE. IN COOK COUNTY, 87.4 PERCENT OF ADULTS AGE 19 AND OVER ARE IDENTIFIED AS HAVING HEALTH INSURANCE. THIS VALUE IS SLIGHTLY LOWER THAN THE STATE AND U.S. VALUES OF 90.2 PERCENT AND 87.7 PERCENT, RESPECTIVELY. MORE FEMALES (89.0 PERCENT) HAVE HEALTH INSURANCE WHEN COMPARED TO MALES (85.7 PERCENT) IN THE COUNTY. (CONDUENT HEALTHY COMMUNITIES INSTITUTE, AMERICAN COMMUNITY SURVEY, 2019).CHILDREN WITH HEALTH INSURANCE. IN COOK COUNTY, 97.0 PERCENT OF CHILDREN HAVE HEALTH INSURANCE. THIS VALUE IS COMPARABLE TO THE STATE OF ILLINOIS VALUE OF 97.1 PERCENT AND HIGHER THAT THE U.S. VALUE OF 95.0 PERCENT. DATA INDICATES THAT IN ALL RACE AND ETHNICITY CATEGORIES, MORE THAN 95 PERCENT OF CHILDREN UNDER AGE 19 HAD HEALTH INSURANCE. INTERESTINGLY, 100 PERCENT OF CHILDREN SURVEYED IN THE AMERICAN INDIAN/ALASKA NATIVE POPULATION HAD HEALTH INSURANCE. PERSONS WITH PUBLIC HEALTH INSURANCE ONLY. IN COOK COUNTY, 27.0 PERCENT OF THE POPULATION HAD PUBLIC HEALTH INSURANCE; HIGHER THAN THE STATE RATE OF 23.3 PERCENT AND THE U.S. RATE OF 23.6 PERCENT. THE AGE GROUPS OF 65 AND OVER (46.1 PERCENT) AND 0-18 YEARS (42.7 PERCENT) HAD THE GREATEST LEVEL OF PUBLIC HEALTH INSURANCE.HOSPITALS AND FEDERALLY QUALIFIED HEALTH CENTERS. CURRENTLY THERE ARE THREE HOSPITALS/MEDICAL CENTERS AND FIVE FQHC'S WITHIN THE ADVOCATE CHRIST PSA. THE CHICAGO DEPARTMENT OF PUBLIC HEALTH (CDPH) AND COOK COUNTY HEALTH SYSTEM (CCHS) CLINICS ALSO SERVE THE MEDICAL CENTER'S PSA POPULATION. THERE ARE FOUR COMMUNITIES WHICH ARE MEDICALLY UNDERSERVED AREAS (MUAS) AND EXHIBIT THE HIGHEST SOCIAL NEEDS, INCLUDING ELSDON (60632), CHICAGO LAWN (60629), WEST ENGLEWOOD (60636) AND AUBURN GRESHAM (60620).
SCHEDULE H, PART VI, LINE 4 - LUTHERAN GEN HOSP INCL LUTH GEN CHILD	DESCRIPTION OF THE COMMUNITY. FOR THE 2017-2019 CHNA, ADVOCATE LUTHERAN GENERAL DEFINED COMMUNITY AS THE HOSPITAL'S PRIMARY SERVICE AREA (PSA). THERE ARE 28 ZIP CODES25 IN COOK COUNTY AND THREE IN LAKE COUNTY WITHIN THE HOSPITAL'S PSA. (SEE COMPLETE LIST OF COMMUNITIES/ZIP CODES UNDER SOCIAL DETERMINANTS OF HEALTH.)SOCIAL DETERMINANTS OF HEALTH. FOR THE 2017-2019 CHNA, ADVOCATE USED THE CONDUENT HEALTHY COMMUNITIES INSTITUTE (CONDUENT HCI) CHNA DATA TOOL. CONDUENT HCI DETERMINED THE SOCIOECONOMIC NEED AND RANKED COMMUNITIES USING A SOCIONEEDS INDEX. THE SOCIONEEDS INDEX USED SIX MAJOR SOCIO-NEED INDICATORS THAT WERE CORRELATED WITH POOR HEALTH OUTCOMES, INCLUDING INCOME, UNEMPLOYMENT, OCCUPATION, EDUCATION, LANGUAGE AND POVERTY. INDICATORS FOR THE INDEX ARE WEIGHTED TO MAXIMIZE THE CORRELATION OF THE INDEX WITH PREMATURE DEATH AND PREVENTABLE HOSPITALIZATION RATES. INDEX VALUES RANGE FROM ZERO TO 100 AND CAN BE COMPARED ACROSS GEOGRAPHIC LOCATIONS. THE RANKING OF ONE TO FIVE IS A COMPARISON OF THE INDEX VALUE FOR EACH ZIP CODE TO ALL OTHERS WITHIN THE PSA; A FIVE REPRESENTS AREAS OF HIGHER SOCIO-ECONOMIC NEED RELATIVE TO OTHERS IN THE DEFINED GEOGRAPHIC AREA. ADVOCATE LUTHERAN GENERAL'S PSA INCLUDES THE FOLLOWING COMMUNITIES, LISTED IN ORDER OF GREATEST SOCIOECONOMIC TO LOWEST SOCIOECONOMIC NEED, AS DEFINED BY THE SOCIONEEDS INDEX: IRVING PARK/PORTAGE (60641), ELMWOOD PARK (60707), DES PLAINES (60018), DUNNING (60634), JEFFERSON PARK (60630), PALATINE (60074), HARWOOD HEIGHTS (60706), MOUNT PROSPECT (60656), NILES (60714), WHEELING (60090), SKOKIE (60077), DES PLAINES (60016), PROSPECT HEIGHTS (60070), MORTON GROVE (60053), SKOKIE (60076), HARWOOD HEIGHTS (60056), NORWOOD PARK (60631), ARLINGTON HEIGHTS (60005), FOREST GLEN (60646), ARLINGTON HEIGHTS (60004), PALATINE (60067), GLENVIEW (60025), BUFFALO GROVE (60089), PARK RIDGE (60068), NORTHBROOK (60062), LAKE ZURICH (60047), GLENVIEW (60026) AND DEERFIELD (60015). WHEN COMPARED TO THE 2014-2016 CHNA COMMUNITY RANKINGS, JEFFERSON PARK (60630) AND HARDWOOD HEIGHTS (60706) IMPROVED FROM A LEVEL 5 TO A LEVEL 4 RANKING. DEMOGRAPHICSPOPULATION. THE HOSPITAL'S PSA INCLUDES APPROXIMATELY 1,052,976 INDIVIDUALS, WHICH IS A SLIGHT POPULATION INCREASE FROM THE 2016 (CONDUENT HEALTH COMMUNITIES INSTITUTE, CLARITAS, 2018). AGE. THE MEDIAN AGE FOR ADVOCATE LUTHERAN GENERAL'S PSA POPULATION IS 42.3 YEARS, SLIGHTLY HIGHER THAN THE MEDIAN AGE FOR ILLINOIS (38.5) AND COOK COUNTY (37.5). GENDER. THE MALE POPULATION ACCOUNTS FOR 49 PERCENT OF THE POPULATION WHILE THE FEMALE POPULATION ACCOUNTS FOR 51 PERCENT OF THE POPULATION. RACE/ETHNICITY. THE PSA POPULATION BY RACE IS 73.12 PERCENT WHITE, 12.8 PERCENT ASIAN, 8.36 PERCENT SOME OTHER RACE, 2.45 PERCENT BLACK/AFRICAN AMERICAN, 2.83 PERCENT TWO OR MORE RACES, 0.36 PERCENT AMERICAN INDIAN/ALASKAN NATIVE AND 0.03 PERCENT NATIVE HAWAIIAN/PACIFIC ISLANDER. THE WHITE POPULATION IS THE LARGEST GROUP. WHEN COMPARED TO COOK COUNTY, THE HOSPITAL SERVES A LARGER ASIAN POPULATION (7.59 PERCENT) AND A LOWER AFRICAN AMERICAN POPULATION (2.45 PERCENT). THE LARGEST ASIAN POPULATED COMMUNITIES IN THE PSA ARE 60076 SKOKIE (29.10 PERCENT), 60077 SKOKIE (32.61 PERCENT) AND 60016 DES PLAINES (22.22 PERCENT). FOR THE AFRICAN AMERICAN POPULATION, THE LARGEST COMMUNITIES ARE 60076 SKOKIE (8.17 PERCENT), 60707 ELMWOOD PARK (8.11 PERCENT) AND 60077 SKOKIE (7.46 PERCENT). INSURANCE. THE MAJORITY OF THE HOSPITAL'S PSA HAS COMMERCIAL HEALTH INSURANCE AT 60 PERCENT OF THE POPULATION, FOLLOWED BY MEDICARE AT 25 PERCENT, AND THEN MEDICAID AT 6 PERCENT. AN ESTIMATED 3.5 PERCENT OF THE POPULATION IS UNINSURED. LANGUAGE. THE DOMINANT LANGUAGE SPOKEN AT HOME BY THE HOSPITAL'S PSA POPULATION AGE 5 YEARS AND OLDER IS ENGLISH. FIFTY-SIX PERCENT OF THE PSA POPULATION SPEAKS ENGLISH, LOWER THAN COOK COUNTY (64.94 PERCENT) AND ILLINOIS (77.20 PERCENT). ADVOCATE LUTHERAN GENERAL SERVES A LARGER INDO-EUROPEAN SPEAKING POPULATION (18.68 PERCENT) WHEN COMPARED TO COOK COUNTY (8.45 PERCENT) AND ILLINOIS (5.49 PERCENT). ACCORDING TO THE U.S. CENSUS BUREAU, INDO-EUROPEAN LANGUAGES INCLUDE POLISH, RUSSIAN, FRENCH, ITALIAN, GERMAN, GREEK, YIDDISH, PORTUGUESE, HINDI, GUJARATI AND MORE. THE THIRD LARGEST LANGUAGE WITHIN THE PSA IS SPANISH AT 15.63 PERCENT. WHEN CONSIDERING THE PSA'S TOTAL HISPANIC/LATINO POPULATION (20.12 PERCENT), THE PERCENT OF THE POPULATION SPEAKING SPANISH AT HOME IS ALMOST 5 PERCENT LOWER. INCOME. THE MEDIAN HOUSEHOLD INCOME FOR THE OVERALL PSA IS $85,370, WHICH IS SIGNIFICANTLY HIGHER WHEN COMPARED TO THE ILLINOIS VALUE ($66,487). THE ASIAN POPULATION IS THE HIGHEST EARNING RACIAL AND ETHNIC GROUP WITH A MEDIAN INCOME OF $100,618. THE SECOND HIGHEST EARNING RACIAL GROUP IS THE WHITE POPULATION, WITH A MEDIAN INCOME OF $87,015WHICH IS HIGHER WHEN COMPARED TO THE OVERALL WHITE POPULATION IN ILLINOIS ($71,965). THE LOWEST EARNING GROUP IS AMERICAN INDIAN/ALASKAN NATIVE. THE TOP THREE COMMUNITIES WITH THE LOWEST MEDIAN INCOME ARE 60707 ELMWOOD PARK ($55,566), 60641 IRVING PARK ($56,488) AND 60714 NILES ($58,298). CONVERSELY, 60015 DEERFIELD ($141,268), 60047 LAKE ZURICH ($132,803) AND 60087 BUFFALO GROVE ($106,630) ARE THE TOP THREE COMMUNITIES WITH THE HIGHEST MEDIAN INCOME.POVERTY. OF THE 403,196 HOUSEHOLDS IN THE PSA, 8.2 PERCENT OF PEOPLE ARE LIVING BELOW THE FEDERAL POVERTY LEVEL (FPL), EQUIVALENT TO 33,062 FAMILIES. NO COMMUNITIES ARE IN THE WORST 25TH PERCENTILE IN THE PSAMEANING THAT NO COMMUNITIES HAVE RATES HIGHER THAN 16.2 PERCENT. HOWEVER, THE TOP THREE COMMUNITIES IN THE PSA ARE 60018 DES PLAINES (14.2 PERCENT), 60074 PALATINE (13.7 PERCENT), AND BOTH 60641 IRVING PARK AND 60077 SKOKIE, WHICH HAVE A RATE OF 13.3 PERCENT. FOR PEOPLE 65+ YEARS LIVING BELOW THE FPL (2007 TO 2017), THE PERCENTAGE RATE INCREASED BY 1.2 PERCENT. COMMUNITIES WITH THE HIGHEST RATES OF POVERTY AMONG THOSE AGED 65 AND OLDER INCLUDE: 60077 SKOKIE (14.7 PERCENT), 60641 IRVING PARK (13.4 PERCENT), 60706 HARWOOD HEIGHTS (13.2 PERCENT), 60074 PALATINE (12.5 PERCENT), 60005 ARLINGTON HEIGHTS (12 PERCENT), 60707 ELMWOOD PARK (11.6 PERCENT), 60016 DES PLAINES (11.3 PERCENT), 60646 FOREST GLEN (11 PERCENT) AND 60634 DUNNING AT 10.5 PERCENT (CONDUENT HCI, AMERICAN COMMUNITY SURVEY, 2013-2017).EDUCATION. APPROXIMATELY 90.1 PERCENT OF ADULTS AGED 25 AND OLDER HAVE COMPLETED AT LEAST A HIGH SCHOOL DEGREE OR EQUIVALENT IN THE PSA. EDUCATIONAL ATTAINMENT IS HIGHER IN THE HOSPITAL'S PSA WHEN COMPARED TO THE ILLINOIS VALUE (88.6 PERCENT) AND THE U.S VALUE (87.3 PERCENT). EIGHT COMMUNITIES IN THE PSA HAVE AN 87.4 PERCENT RATE OR LOWER, WHICH PLACES THEM IN THE WORST 25TH PERCENTILE WHEN COMPARED TO OTHER ZIP CODES IN ILLINOIS. THE COMMUNITIES WITH THE LOWEST EDUCATIONAL ATTAINMENT ARE 60641 IRVING PARK AT 79.9 PERCENT AND 60018 DES PLAINES AT 80.6 PERCENT (CONDUENT HCI, AMERICAN COMMUNITY SURVEY, 2013-2017). HOSPITALS AND FEDERALLY QUALIFIED HEALTH CENTERS. CURRENTLY THERE ARE SIX HOSPITALS, IN ADDITION TO ADVOCATE LUTHERAN GENERAL, THREE COMMUNITY CLINICS AND TWO FQHCS WITHIN ADVOCATE LUTHERAN GENERAL'S PSA. THE HOSPITAL ALSO SERVES SEVERAL COMMUNITIES THAT ARE DESIGNATED MEDICALLY UNDERSERVED POPULATIONS (MUP) BY THE HEALTH RESOURCES AND SERVICES ADMINISTRATION. MUPS WITHIN THE HOSPITAL'S SERVICE AREA INCLUDE IRVING PARK (60641), DUNNING (60634) AND NORWOOD PARK (60631).
SCHEDULE H, PART VI, LINE 4 - ADVOCATE GOOD SAMARITAN HOSPITAL	DESCRIPTION OF COMMUNITY. ADVOCATE GOOD SAMARITAN DEFINED ITS COMMUNITY AS DUPAGE COUNTY FOR THE 2017-2019 CHNA. IN PARTNERSHIP WITH THE DUPAGE COUNTY HEALTH DEPARTMENT AND ALONG WITH DUPAGE COUNTY HOSPITALS AND COMMUNITY ORGANIZATIONS, ADVOCATE GOOD SAMARITAN CONDUCTED A JOINT CHNA FOR DUPAGE COUNTY, WHICH INCLUDES 36 ZIP CODES AND 31 COMMUNITIES. THE DUPAGE COUNTY COMMUNITIES INCLUDE ZIP CODES 60101 (ADDISON), 60504 (AURORA), 60502 (AURORA), 60103 (BARTLETT), 60106 (BENSENVILLE), 60108 (BLOOMINGDALE), 60527 (BURR RIDGE), 60188 (CAROL STREAM), 60514 (CLARENDON HILLS), 60561 (DARIEN), 60515 (DOWNERS GROVE), 60516 (DOWNERS GROVE), 60126 (ELMHURST), 60519 (EOLA), 60137 (GLEN ELLYN), 60139 (GLENDALE HEIGHTS), 60521 (HINSDALE), 60143 (ITASCA), 60532 (LISLE), 60148 (LOMBARD), 60157 (MEDINAH), 60540 (NAPERVILLE), 60565 (NAPERVILLE), 60563 (NAPERVILLE), 60523 (OAK BROOK), 60172 (ROSELLE), 60181 (VILLA PARK), 60555 (WARRENVILLE), 60184 (WAYNE), 60185 (WEST CHICAGO), 60559 (WESTMONT), 60187 (WHEATON), 60189 (WHEATON), 60190 (WINFIELD), 60191 (WOOD DALE), 60517 (WOODRIDGE). ADVOCATE GOOD SAMARITAN ALSO CONDUCTED A SUPPLEMENTAL CHNA FOR TWO COMMUNITIES WITHIN THE HOSPITAL'S PSA BUT OUTSIDE OF DUPAGE COUNTY. THE COMMUNITIES INCLUDE BOLINGBROOK (60440) AND ROMEOVILLE (60446), WHICH ARE HIGH SOCIONEED COMMUNITIES IN WILL COUNTY. THE SUPPLEMENTAL CHNA IS INCLUDED IN THE APPENDIX OF THE DUPAGE COUNTY CHNA AND INCLUDES DEMOGRAPHIC AND SOCIOECONOMIC DATA. DEMOGRAPHICS POPULATION. THE TOTAL POPULATION FOR DUPAGE COUNTY IS 929,026 (CONDUENT HEALTHY COMMUNITIES INSTITUTE [HCI], 2018). THE TOTAL POPULATION FOR THE TWO ADDITIONAL WILL COUNTY HIGH SOCIONEED COMMUNITIES THAT WERE ASSESSED IS 93,181 PERSONS, WITH 41,410 IN ROMEOVILLE AND 51,771 IN BOLINGBROOK. AGE. TWENTY-THREE PERCENT OF THE DUPAGE COUNTY POPULATION IS UNDER THE AGE OF 18, WHILE 9.3 PERCENT OF THE POPULATION IS BETWEEN THE AGES OF 18 AND 24. THE LARGEST AGE GROUP IS THE 25-64-YEAR-OLD AGE GROUP, WITH A POPULATION OF 53.01 PERCENT (CONDUENT HCI, CLARITAS, 2018). THE THIRD LARGEST AGE GROUP IS THE SENIOR POPULATION (65 YEARS AND OLDER) AT 17 PERCENT. THE LIFE EXPECTANCY FOR THE COUNTY IS 82.5 YEARS, WHICH IS HIGHER THAN THE STATE OF ILLINOIS AT 79.2 YEARS AND THE U.S. AT 79.1 YEARS OF AGE. GENDER. FEMALES MAKE UP 51 PERCENT OF DUPAGE COUNTY WHILE MALES MAKE UP 49 PERCENT OF THE COUNTY. RACE/ETHNICITY. DUPAGE COUNTY IS 74.7 PERCENT WHITE, FOLLOWED BY THE ASIAN POPULATION AT 11.68 PERCENT, THE "OTHER" POPULATION AT 5.45 PERCENT, THE BLACK/AFRICAN AMERICAN POPULATION AT 5.22 PERCENT, TWO OR MORE RACES AT 2.6 PERCENT, AMERICAN INDIAN/ALASKAN NATIVE AT 0.3 PERCENT AND THE NATIVE HAWAIIAN/PACIFIC ISLANDER POPULATION AT 0.04 PERCENT. THE ETHNIC MAKE-UP OF THE COUNTY IS 15 PERCENT HISPANIC/LATINO AND 85 PERCENT NON-HISPANIC/LATINO (CONDUENT HCI, CLARITAS, 2018). INCOME. THE MEDIAN HOUSEHOLD INCOME IN DUPAGE COUNTY IS $88,988, WHICH IS SIGNIFICANTLY HIGHER THAN THE STATE'S MEDIAN HOUSEHOLD INCOME OF $64,87 (CONDUENT HCI, CLARITAS, 2018). THERE IS A LARGE RACIAL DISPARITY IN THE MEDIAN HOUSEHOLD INCOME WITH THE WHITE AND ASIAN POPULATIONS HAVING THE HIGHEST HOUSEHOLD INCOMES AND THE AFRICAN AMERICAN, "OTHER AND AMERICAN INDIAN/ALASKAN NATIVE POPULATIONS HAVING THE LOWEST MEDIAN HOUSEHOLD INCOMES. POVERTY. THE NUMBER OF FAMILIES LIVING BELOW THE FEDERAL POVERTY LEVEL (FPL) IS 1,982, WHICH ACCOUNTS FOR FIVE PERCENT OF FAMILIES IN DUPAGE COUNTY. IN ADDITION, THERE ARE 9,162 FAMILIES WITH CHILDREN THAT LIVE BELOW THE FPL, WHICH ACCOUNTS FOR 3.9 PERCENT OF FAMILIES WITH CHILDREN. FURTHERMORE, 5.4 PERCENT OF SENIORS AGED 65 AND OLDER LIVE BELOW THE FPL. ADULTS WITH HEALTH INSURANCE. DUPAGE COUNTY ADULTS WITH HEALTH INSURANCE ACCOUNT FOR 92.6 PERCENT OF THE ADULT POPULATION, WHICH IS HIGHER THAN THE STATE OF ILLINOIS AT 90.2 PERCENT AND THE U.S. AT 87.7 PERCENT. THERE IS A RACIAL AND ETHNIC DISPARITY IN THE RATES OF HEALTH INSURANCE AMONG ADULTS WITH THE WHITE POPULATION HAVING THE HIGHEST COVERAGES RATES AT 95.1 PERCENT COMPARED TO THE HISPANIC/LATINO POPULATION AT 80.3 PERCENT.CHILDREN WITH HEALTH INSURANCE. DUPAGE COUNTY CHILDREN WITH HEALTH INSURANCE ACCOUNT FOR 96.3 PERCENT OF THE POPULATION AMONG THOSE AGED 18 YEARS AND YOUNGER, WHICH IS SLIGHTLY LOWER THAN THE STATE OF ILLINOIS AT 97.1 PERCENT AND SLIGHTLY MORE THAN THE U.S. AT 95 PERCENT. THERE IS A RACIAL DISPARITY IN INSURANCE RATES AMONG CHILDREN IN DUPAGE COUNTY WITH 98 PERCENT OF WHITE NON-HISPANIC CHILDREN HAVING HEALTH INSURANCE AND ONLY 88.4 PERCENT OF AFRICAN AMERICAN CHILDREN HAVING HEALTH INSURANCE. PERSONS WITH PUBLIC HEALTH INSURANCE ONLY. PUBLIC HEALTH INSURANCE COVERS 14.1 PERCENT OF THE POPULATION IN DUPAGE COUNTY, WHICH IS LESS THAT THE STATE OF ILLINOIS AT 23.3 PERCENT AND THE U.S. AT 23.6 PERCENT. HOSPITALS AND FEDERALLY QUALIFIED HEALTH CENTERS. THERE ARE FIVE HOSPITALS IN ADDITION TO ADVOCATE GOOD SAMARITAN LOCATED IN THE PSA, INCLUDING EDWARD HOSPITAL IN NAPERVILLE, AMITA HEALTH ADVENTIST MEDICAL CENTER HINSDALE IN HINSDALE, AMITA HEALTH ADVENTIST MEDICAL CENTER BOLINGBROOK IN BOLINGBROOK, AND ELMHURST MEMORIAL HOSPITAL IN ELMHURST. THE DUPAGE COUNTY HEALTH DEPARTMENT, AS WELL AS THE ACCESS COMMUNITY HEALTH NETWORK, WHICH IS A FQHC, PROVIDE HEALTH CARE PRIMARILY FOR LOW-INCOME AND UNINSURED PATIENTS. IN ADDITION, THE DUPAGE HEALTH COALITION/ACCESS DUPAGE, A COLLABORATIVE EFFORT BY HUNDREDS OF INDIVIDUALS AND ORGANIZATIONS IN DUPAGE COUNTY, ALSO PROVIDES A MOSAIC APPROACH TO PROVIDING ACCESS TO MEDICAL SERVICES FOR THE COUNTY'S LOW-INCOME AND MEDICALLY UNINSURED RESIDENTS. IT REPRESENTS A UNIQUE PARTNERSHIP OF COUNTY HOSPITALS (INCLUDING ADVOCATE GOOD SAMARITAN), PHYSICIANS, LOCAL GOVERNMENT, HUMAN SERVICE AGENCIES AND COMMUNITY GROUPS WORKING TOGETHER TO ADDRESS THIS FORMIDABLE ISSUE. THERE ARE SEVERAL MEDICALLY UNDERSERVED POPULATIONS (MUP) AS DESIGNATED BY THE HEALTH RESOURCES AND SERVICES ADMINISTRATION. MUPS IN THE HOSPITAL'S SERVICE AREA INCLUDE VILLA PARK (60181), BOLINGBROOK (60440) AND ADDISON (60101).
SCHEDULE H, PART VI, LINE 4 - ADVOCATE GOOD SHEPHERD HOSPITAL	DESCRIPTION OF THE COMMUNITY/POPULATION. FOR THE PURPOSE OF THIS 2017-2019 CHNA, ADVOCATE GOOD SHEPHERD DEFINES COMMUNITY AS THE HOSPITAL'S PSA. THE PSA INCLUDES COMMUNITIES IN MCHENRY COUNTY AND LAKE COUNTY, AND A SMALL PORTION OF BARRINGTON THAT LIES IN COOK COUNTY. THE PSA INCLUDES THE FOLLOWING VILLAGES AND CITIES: BARRINGTON (ZIP CODE 60010); CRYSTAL LAKE (60014); LAKE ZURICH (60047); CARY (60013); FOX RIVER GROVE (60021); ISLAND LAKE (60042); WAUCONDA (60084); MCHENRY (60050, 60051); ALGONQUIN (60102); AND LAKE IN THE HILLS (60156).DEMOGRAPHICS POPULATION. ADVOCATE GOOD SHEPHERD'S PSA POPULATION IS 309,765. FOR ADVOCATE AURORA, THE PSA IS DEFINED AS THE GEOGRAPHICAL AREA WHERE 75 PERCENT OF PATIENTS RESIDE. THE PSA EXPERIENCED SLOW POPULATION GROWTH OF 0.59 PERCENT FROM 2010 TO 2019. SIX COMMUNITIES EXPERIENCED AN INCREASE IN POPULATION FROM 2010 TO 2019 (MCHENRYBOTH ZIP CODES, LAKE IN THE HILLS, BARRINGTON, LAKE ZURICH AND WAUCONDA), WHILE THE OTHER FIVE HAD A DECREASE IN POPULATION (FOX RIVER GROVE, CRYSTAL LAKE, ALGONQUIN, ISLAND LAKE AND CARY).AGE. THE MEDIAN AGE OF ALL RESIDENTS IN THE HOSPITAL'S PSA IS 41.68 YEARS; THE MEDIAN AGE FOR FEMALES IS 42.83 YEARS AND 40.45 YEARS FOR MALES. THE PSA MEDIAN AGE HAS INCREASED BY 0.7 YEARS SINCE THE 2016 CHNA.GENDER. A TOTAL OF 49.6 PERCENT OF THE HOSPITAL'S PSA RESIDENTS ARE MALE AND 50.4 PERCENT ARE FEMALE.RACE/ETHNICITY. THE POPULATION OF THE HOSPITAL'S PSA IS 86.6 PERCENT WHITE, 5.8 PERCENT ASIAN AND 1.5 PERCENT AFRICAN AMERICAN. NINETY PERCENT OF RESIDENTS ARE NON-HISPANIC, AND 10.4 PERCENT ARE OF HISPANIC ETHNICITY. THE ZIP CODES IN THE HOSPITAL'S PSA WITH THE HIGHEST PERCENT OF HISPANIC RESIDENTS ARE WAUCONDA (19.8 PERCENT), ISLAND LAKE (17.9 PERCENT), MCHENRY (14.6 PERCENT), LAKE IN THE HILLS (13.8 PERCENT) AND CRYSTAL LAKE (13.5 PERCENT).INCOME. THE MEDIAN HOUSEHOLD INCOME FOR THE PSA POPULATION IS $104,718. THE GROUP WITH THE HIGHEST MEDIAN HOUSEHOLD INCOME IS ASIAN AT $151,905 AND THE LOWEST IS AMERICAN INDIAN/PACIFIC ISLANDER AT $42,405. NON-HISPANICS HAVE A HIGHER MEDIAN HOUSEHOLD INCOME AT $107,714 THAN HISPANICS AT $68,679.POVERTY. IN THE PSA, 5.4 PERCENT OF PEOPLE ARE LIVING BELOW 100 PERCENT OF THE FEDERAL POVERTY LEVEL (FPL). SIXTY-SEVEN PERCENT OF CHILDREN AND 4.8 PERCENT OF ADULTS AGE 65 AND OLDER ARE LIVING BELOW THE POVERTY LEVEL. IN LAKE COUNTY, 13.8 PERCENT OF PERSONS WITH A DISABILITY ARE LIVING IN POVERTY AND THE RATE IS 13.3 PERCENT FOR PERSONS WITH A DISABILITY IN MCHENRY COUNTY.ADULTS WITH HEALTH INSURANCE. IN LAKE COUNTY, 91.7 PERCENT OF ADULTS AGES 19-64 YEARS HAVE ANY TYPE OF HEALTH INSURANCE COVERAGE, WHILE THE PERCENTAGE OF MCHENRY COUNTY ADULTS IS 93.5 PERCENT. HISPANICS HAVE DISPROPORTIONATELY LOWER RATES OF INSURANCE IN BOTH LAKE AND MCHENRY COUNTIES, AT 76.6 PERCENT AND 79.6 PERCENT, RESPECTIVELY.CHILDREN WITH HEALTH INSURANCE. THE PERCENT OF CHILDREN WITH HEALTH INSURANCE IN LAKE COUNTY (97.2 PERCENT) IS SLIGHTLY HIGHER THAN IN MCHENRY COUNTY (97 PERCENT); THE INDICATOR CONSIDERS CHILDREN UNDER 19 THAT HAVE ANY TYPE OF HEALTH INSURANCE COVERAGE.PERSONS WITH PUBLIC HEALTH INSURANCE ONLY. IN LAKE AND MCHENRY COUNTIES, THE PERCENTAGE OF PERSONS WITH PUBLIC HEALTH INSURANCE ONLY IS 18.5 PERCENT AND 15.9 PERCENT, RESPECTIVELY. BOTH COUNTIES HAVE LOWER PERCENTAGES OF PERSONS WITH PUBLIC HEALTH INSURANCE THAN ILLINOIS (23.3 PERCENT) AND THE U.S. (23.6 PERCENT). THE RATES FOR BOTH COUNTIES ARE TRENDING UP NON-SIGNIFICANTLY OVER TIME.HOSPITALS AND FEDERALLY QUALIFIED HEALTH CENTERS. THE HOSPITALS AND FQHCS IN THE ADVOCATE GOOD SHEPHERD PSA INCLUDE ADVOCATE SHERMAN HOSPITAL (ELGIN, IL), ADVOCATE CONDELL MEDICAL CENTER (LIBERTYVILLE, IL), NORTHWESTERN MEDICINE-HUNTLEY HOSPITAL (HUNTLEY, IL), GREATER ELGIN FAMILY CARE CENTER (GEFCC) (FQHC), AUNT MARTHA'S CLINIC (FQHC), LAKE COUNTY HEALTH DEPARTMENT AND ERIE HEALTH WAUKEGAN (FQHC). IN LAKE COUNTY, THERE ARE FOUR DESIGNATED MEDICALLY UNDERSERVED AREAS (MUAS)ONE FOR THE NORTH CHICAGO SERVICE AREA, ONE FOR WAUKEGAN SERVICE AREA, ONE FOR ZION SERVICE AREA AND ONE FOR THE HIGHLAND PARK/HIGHWOOD SERVICE AREA. IN MCHENRY COUNTY, THERE IS ONE DESIGNATED MEDICALLY UNDERSERVED POPULATION (MUP) FOR THE POVERTY POPULATION OF WOODSTOCK.
SCHEDULE H, PART VI, LINE 4 - ADVOCATE SOUTH SUBURBAN HOSPITAL	DESCRIPTION OF THE COMMUNITYFOR THE 2017-2019 CHNA, ADVOCATE SOUTH SUBURBAN DEFINED THE COMMUNITY AS THE HOSPITAL'S PSA. THIS AREA INCLUDES THE FOLLOWING CITIES AND TOWNS: CALUMET CITY, CHICAGO HEIGHTS, COUNTRY CLUB HILLS, DOLTON, FLOSSMOOR, GLENWOOD, HARVEY, MARKHAM, HAZEL CREST, HOMEWOOD, LANSING, MATTESON, MIDLOTHIAN, OAK FOREST, OLYMPIA FIELDS, PARK FOREST, RICHTON PARK, SOUTH HOLLAND, THORNTON, TINLEY PARK, AND FRANKFORT. DEMOGRAPHICS POPULATION. IN 2019, THE TOTAL POPULATION FOR ADVOCATE SOUTH SUBURBAN'S PSA CONSISTED OF 479,400 PERSONS. THE PSA POPULATION DECREASED BY 0.82 PERCENT FROM 2010 TO 2019. SIMILARLY, THE STATE OF ILLINOIS POPULATION DECREASED 0.46 PERCENT (CONDUENT HEALTHY COMMUNITIES INSTITUTE, 2019).AGE. AS OF 2019, THE MEDIAN AGE IN THE HOSPITAL'S PSA IS 39 YEARS, WHICH IS EQUAL TO THE STATE OF ILLINOIS' MEDIAN AGE AT 39. IN THE ADVOCATE SOUTH SUBURBAN PSA, THE MEDIAN AGE FOR MEN IS 36 YEARS, WHILE THE MEDIAN AGE FOR WOMEN IS 41 YEARS. INDIVIDUALS AGED 25-64 YEARS MAKE UP MOST OF THE PSA'S POPULATION (52.08 PERCENT), WHICH IS SIMILAR TO THE STATE OF ILLINOIS (52.34 PERCENT). OVERALL, INDIVIDUALS AGED 55-64 MAKE UP 13.84 PERCENT OF THE PSA, WHILE INDIVIDUALS AGED 25-34 MAKE UP 13.48 PERCENT OF THE PSA.GENDER. THERE ARE 52.46 PERCENT FEMALES IN THE HOSPITAL'S PSA WHILE 47.54 PERCENT ARE MALES. THE PERCENTAGE OF FEMALES COMPARED TO MALES IS COMPARABLE TO THE STATE OF ILLINOIS AT 50.82 PERCENT FEMALE AND 49.18 PERCENT MALE. OVERALL, THERE ARE NO NOTABLE DIFFERENCES IN GENDER BETWEEN THE HOSPITAL'S PSA AND THE STATE OF ILLINOIS AMONG THE MALE AND FEMALE POPULATION. RACE/ETHNICITY. ADVOCATE SOUTH SUBURBAN'S PSA POPULATION IS 47.40 PERCENT BLACK/AFRICAN AMERICAN; 41.70 PERCENT WHITE; 5.99 PERCENT "OTHER RACE; 2.77 PERCENT 2+ RACES; 1.84 PERCENT ASIAN; 0.27 PERCENT AMERICAN INDIAN/ALASKAN NATIVE; AND 0.03 PERCENT NATIVE HAWAIIAN/PACIFIC ISLANDER. THE HOSPITAL'S PSA HAS A SUBSTANTIALLY HIGHER REPRESENTATION OF BLACK/AFRICAN AMERICAN POPULATION WHEN COMPARED TO THE STATE OF ILLINOIS. THE ETHNIC MAKEUP OF THE PSA IS 87.06 PERCENT NON-HISPANIC AND 12.94 PERCENT HISPANIC/LATINO. THE PSA HAS A SMALLER HISPANIC/LATINO POPULATION COMPARED TO THE STATE OF ILLINOIS AT 17.62 HISPANIC/LATINO AND 82.38 PERCENT NON-HISPANIC/LATINO.INCOME. AS OF 2019, 16.62 PERCENT OF HOUSEHOLDS IN THE PSA HAVE A HOUSEHOLD INCOME BETWEEN $50,000-$74,499. COMPARATIVELY, THE STATE OF ILLINOIS HAS 16.36 PERCENT OF HOUSEHOLDS WITH AN INCOME BETWEEN 50,000-$74,499.POVERTY. AS OF 2019, THE NUMBER OF FAMILIES IN THE HOSPITAL'S PSA LIVING BELOW 100 PERCENT OF THE FEDERAL POVERTY LEVEL (FPL) IS 14,168 PEOPLE OR 11.46 PERCENT OF THE POPULATION, WHICH IS HIGHER THAN THE STATE OF ILLINOIS AT 9.80 (313,034 PEOPLE). THE NUMBER OF FAMILIES WITH CHILDREN LIVING BELOW THE 100 PERCENT FPL IN THE PSA IS 10,468 OR 8.47 PERCENT AS COMPARED TO 235,695 OR 7.38 PERCENT IN THE STATE OF ILLINOIS. THE NUMBER OF CHILDREN IDENTIFIED AS LIVING BELOW THE POVERTY LEVEL IS 21.7 PERCENT COMPARED TO THE STATE OF ILLINOIS AT 18.8 PERCENT. BETWEEN THE YEARS 2013-2017, 9.6 PERCENT OF PEOPLE 65 YEARS AND OLDER RESIDING IN THE HOSPITAL'S PSA WERE LIVING BELOW THE FPL COMPARED TO 8.8 PERCENT IN THE STATE OF ILLINOIS AND 9.3 PERCENT IN THE U.S. ADULTS WITH HEALTH INSURANCE. IN COOK COUNTY, 87.4 PERCENT OF ADULTS AGE 19 AND OVER ARE IDENTIFIED AS HAVING HEALTH INSURANCE. THIS VALUE IS SLIGHTLY LOWER THAN THE STATE AND U.S. VALUES OF 90.2 PERCENT AND 87.7 PERCENT, RESPECTIVELY. MORE FEMALES (89.0 PERCENT) HAVE HEALTH INSURANCE WHEN COMPARED TO MALES (85.7 PERCENT) IN THE COUNTY. THIS VALUE IS THE LOWEST WHEN COMPARED TO THE SIX COUNTIES SURROUNDING COOK COUNTY (CONDUENT HEALTHY COMMUNITIES INSTITUTE, AMERICAN COMMUNITY SURVEY, 2019).CHILDREN WITH HEALTH INSURANCE. IN COOK COUNTY, 97.0 PERCENT OF CHILDREN HAVE HEALTH INSURANCE. THIS VALUE IS COMPARABLE TO THE STATE OF ILLINOIS VALUE OF 97.1 PERCENT AND HIGHER THAT THE U.S. VALUE OF 95.0 PERCENT. DATA INDICATES THAT IN ALL RACE AND ETHNICITY CATEGORIES, MORE THAN 95 PERCENT OF CHILDREN UNDER AGE 19 HAD HEALTH INSURANCE. SURPRISINGLY, 100 PERCENT OF CHILDREN SURVEYED IN THE AMERICAN INDIAN/ALASKA NATIVE POPULATION HAD HEALTH INSURANCE.PERSONS WITH PUBLIC HEALTH INSURANCE ONLY. IN COOK COUNTY, 27.0 PERCENT OF THE POPULATION HAD PUBLIC HEALTH INSURANCE, WHICH IS HIGHER THAN THE STATE RATE OF 23.3 PERCENT AND THE U.S. RATE OF 23.6. THE AGE GROUPS OF 65 AND OVER (46.1 PERCENT) AND 0-18 YEARS (42.7 PERCENT) HAD THE HIGHEST LEVELS OF PUBLIC HEALTH INSURANCE.HOSPITALS AND FEDERALLY QUALIFIED HEALTH CENTERS. INCLUDING ADVOCATE SOUTH SUBURBAN, THERE ARE THREE HOSPITALS AND THREE FEDERALLY QUALIFIED HEALTH CENTERS IN THE HOSPITAL'S PSA. THE COOK COUNTY HEALTH CENTER CLINIC IN OAK FOREST ALSO SERVES THE HOSPITAL'S PSA POPULATION. THERE ARE FIVE COMMUNITIES WHICH ARE MEDICALLY UNDERSERVED AREAS (MUAS) AND EXHIBIT THE HIGHEST SOCIAL NEEDS, INCLUDING HARVEY (60426), CHICAGO HEIGHTS (60411), MARKHAM (60428), CALUMET CITY (60409), AND DOLTON (60419).
SCHEDULE H, PART VI, LINE 4 - ADVOCATE TRINITY HOSPITAL	DESCRIPTION OF THE COMMUNITY. FOR THE 2017-2019 CHNA, ADVOCATE TRINITY DEFINES COMMUNITY AS THE HOSPITAL'S PSA, CONSISTING OF 6 ZIP CODES, ALL WITHIN THE CITY OF CHICAGO, ILLINOIS. THESE ZIP CODES INCLUDE: SOUTH CHICAGO, GREATER GRAND CROSSING, AUBURN GRESHAM, ROSELAND, MORGAN PARK AND SOUTH SHORE. DEMOGRAPHICS POPULATION. IN 2019, THE TOTAL POPULATION IN ADVOCATE TRINITY'S PRIMARY SERVICE AREA (PSA) WAS ESTIMATED AT 374,433 PERSONS. THE PSA POPULATION DECREASED BY 3.8 PERCENT FROM 2010 TO 2019. COMPARATIVELY, THE STATE OF ILLINOIS POPULATION DECREASED BY 0.46 PERCENT (CONDUENT HEALTHY COMMUNITIES INSTITUTE, 2019). AGE. THE MEDIAN AGE IN THE HOSPITAL'S PSA IS 39 YEARS, WHICH IS EQUAL TO THE STATE OF ILLINOIS MEDIAN AGE OF 39. IN THE ADVOCATE TRINITY PSA, THE MEDIAN AGE FOR MALES IS 36 YEARS WHILE THE MEDIAN AGE FOR FEMALES IS 41 YEARS. THIS IS COMPARABLE TO THE STATE OF ILLINOIS MEDIAN AGE RANGE FOR MALES (37 YEARS) AND FEMALES (40 YEARS). INDIVIDUALS AGED 25-64 YEARS MAKE UP THE MAJORITY OF THE PSA'S POPULATION (50.83 PERCENT), WHICH IS SLIGHTLY LOWER THAN THE STATE OF ILLINOIS (52.34 PERCENT). OVERALL, INDIVIDUALS AGED 25-34 MAKE UP 13.89 PERCENT OF THE PSA, WHILE INDIVIDUALS AGED 55-64 MAKE UP 13.24 PERCENT OF THE PSA (CONDUENT HEALTHY COMMUNITIES INSTITUTE, CLARITAS, 2019).GENDER. THE HOSPITAL'S PSA POPULATION IS 54.57 PERCENT FEMALE COMPARED TO 50.82 PERCENT FOR THE STATE OF ILLINOIS. THERE ARE 45.43 PERCENT MALES IN THE HOSPITAL'S PSA COMPARED TO 49.18 PERCENT IN THE STATE OF ILLINOIS. OVERALL, THERE ARE SLIGHT DIFFERENCES IN GENDER BETWEEN THE PSA AND THE STATE OF ILLINOIS AMONG THE MALE AND FEMALE POPULATION. RACE/ETHNICITY. ADVOCATE TRINITY'S PSA POPULATION IS 83.64 PERCENT BLACK/AFRICAN AMERICAN; 9.15 PERCENT WHITE; 4.39 PERCENT OTHER RACE; 2.21 PERCENT 2+ RACES; 0.27 PERCENT ASIAN; 0.33 PERCENT AMERICAN INDIAN/ALASKAN NATIVE; AND 0.02 PERCENT NATIVE HAWAIIAN/PACIFIC ISLANDER (CONDUENT HEALTHY COMMUNITIES INSTITUTE, CLARITAS, 2019). THE PSA HAS A SUBSTANTIALLY LARGER BLACK/AFRICAN AMERICAN POPULATION WHEN COMPARED TO THE STATE OF ILLINOIS. THE ETHNIC MAKEUP OF THE HOSPITAL'S PSA IS 89.85 PERCENT NON-HISPANIC AND 10.15 PERCENT HISPANIC/LATINO. THE HISPANIC/LATINO POPULATION IN THE HOSPITAL'S PSA IS SMALLER AS COMPARED TO THE STATE OF ILLINOIS AT 17.62 PERCENT.INCOME. POVERTY CREATES BARRIERS TO ACCESS, INCLUDING HEALTH SERVICES, HEALTHY FOOD CHOICES AND OTHER FACTORS THAT CONTRIBUTE TO POOR HEALTH. TWENTY-THREE-POINT SIX PERCENT OF THE POPULATION IN THE HOSPITAL'S PSA LIVE IN POVERTY, WHICH IS HIGHER THAN COOK COUNTY AT 15.9 PERCENT. AS OF 2019, 21 PERCENT OF HOUSEHOLDS HAVE A HOUSEHOLD INCOME LEVEL UNDER $15,000, WHILE 14 PERCENT HAVE A HOUSEHOLD INCOME LEVEL BETWEEN $15,000 TO $25,000. COMPARATIVELY, THE STATE OF ILLINOIS HAS 10 PERCENT OF HOUSEHOLDS WITH INCOME LEVELS UNDER $15,000 AND EIGHT PERCENT OF HOUSEHOLDS HAVE INCOME LEVELS BETWEEN $15,000 TO $25,000. THE HOSPITAL'S PSA HAS 45 PERCENT OF HOUSEHOLD INCOME LEVELS BELOW $34,000 COMPARED TO THE STATE OF ILLINOIS WITH 26 PERCENT OF HOUSEHOLD INCOME LEVELS BELOW $34,000 (CONDUENT HEALTHY COMMUNITIES INSTITUTE, CLARITAS, 2019).POVERTY. AS OF 2019, THE NUMBER OF FAMILIES IN THE PSA LIVING BELOW 100 PERCENT OF THE FEDERAL POVERTY LEVEL (FPL) IS 19,146 OR 20.82 PERCENT OF THE POPULATION, WHICH IS DOUBLE COMPARED TO THE STATE OF ILLINOIS AT 313,034 OR 9.80 PERCENT. THE NUMBER OF FAMILIES WITH CHILDREN IN THE HOSPITAL'S PSA LIVING BELOW 100 PERCENT OF THE FPL IS 14,082 OR 15.31 PERCENT. THIS IS MORE THAN TRIPLE THE STATE OF ILLINOIS NUMBER OF FAMILIES WITH CHILDREN LIVING BELOW 100 PERCENT OF THE FPL AT 235,695 OR 7.38 PERCENT. THERE ARE 38.8 PERCENT OF CHILDREN RESIDING IN THE HOSPITAL'S PSA THAT LIVE BELOW THE FPL, WHICH IS SUBSTANTIALLY HIGHER THAN THE STATE OF ILLINOIS AT 18.8 PERCENT. BETWEEN THE YEARS 2013-2017, THERE WERE 26.3 PERCENT OF PEOPLE LIVING BELOW THE FPL AS COMPARED TO 13.5 PERCENT IN THE STATE OF ILLINOIS AND 14.6 PERCENT IN THE U.S. ADULTS WITH HEALTH INSURANCE. IN COOK COUNTY, 87.4 PERCENT OF ADULTS AGE 19 AND OVER ARE IDENTIFIED AS HAVING HEALTH INSURANCE. THIS VALUE IS SLIGHTLY LOWER THAN THE STATE OF ILLINOIS AND U.S. VALUES OF 90.2 PERCENT AND 87.7 PERCENT RESPECTIVELY. MORE FEMALES (89.0 PERCENT) HAVE HEALTH INSURANCE WHEN COMPARED TO MALES (85.7 PERCENT) IN THE COUNTY. COOK COUNTY HAS THE LOWEST PERCENT OF ADULTS WITH HEALTH INSURANCE COMPARED TO THE SURROUNDING SIX COUNTIES (CONDUENT HEALTHY COMMUNITIES INSTITUTE, AMERICAN COMMUNITY SURVEY, 2018).CHILDREN WITH HEALTH INSURANCE. HEALTH INSURANCE FOR CHILDREN IS PARTICULARLY IMPORTANT. TO STAY HEALTHY, CHILDREN REQUIRE REGULAR CHECKUPS, DENTAL AND VISION CARE, AND MEDICAL ATTENTION FOR ILLNESS AND INJURY. CHILDREN WITH HEALTH INSURANCE ARE MORE LIKELY TO HAVE BETTER HEALTH THROUGHOUT THEIR CHILDHOOD AND ADOLESCENCE. THEY ARE MORE LIKELY TO RECEIVE REQUIRED IMMUNIZATIONS, FALL ILL LESS FREQUENTLY, OBTAIN NECESSARY TREATMENT WHEN THEY DO GET SICK, AND PERFORM BETTER AT SCHOOL. HAVING HEALTH INSURANCE LOWERS BARRIERS TO ACCESSING CARE, WHICH IS LIKELY TO PREVENT THE DEVELOPMENT OF MORE SERIOUS ILLNESSES. THIS IS NOT ONLY OF BENEFIT TO THE CHILD BUT ALSO HELPS LOWER OVERALL FAMILY HEALTH COSTS. DUE TO THE IMPLEMENTATION OF THE AFFORDABLE CARE ACT, CHANGES WERE MADE TO THE DEFINITION OF A "QUALIFYING CHILD." UNDER THE ACA, A QUALIFYING CHILD IS UNDER AGE 19 AT THE CLOSE OF THE CALENDAR YEAR. THEREFORE, AGE CATEGORIES USED TO MEASURE HEALTH INSURANCE NOW DEFINE THOSE AGED 18 AND UNDER AS CHILDREN (CONDUENT HEALTHY COMMUNITIES INSTITUTE, AMERICAN COMMUNITY SURVEY, 2019).IN COOK COUNTY, 97.0 PERCENT OF CHILDREN HAD HEALTH INSURANCE IN 2017. THIS VALUE IS COMPARABLE TO THE STATE OF ILLINOIS AT 97.1 PERCENT AND HIGHER THAN THE U.S. AT 95.0 PERCENT. IN ALL RACE AND ETHNICITY CATEGORIES, DATA INDICATES MORE THAN 95 PERCENT OF CHILDREN UNDER AGE 19 HAD HEALTH INSURANCE. ONE HUNDRED PERCENT OF CHILDREN SURVEYED IN THE AMERICAN INDIAN/ALASKA NATIVE POPULATION HAD HEALTH INSURANCE (CONDUENT HEALTHY COMMUNITIES INSTITUTE, AMERICAN COMMUNITY SURVEY, 2017).PERSONS WITH PUBLIC HEALTH INSURANCE ONLY. PUBLIC HEALTH COVERAGE INCLUDES THE FEDERAL PROGRAMS MEDICARE, MEDICAID, AND VA HEALTH CARE (PROVIDED THROUGH THE DEPARTMENT OF VETERANS AFFAIRS), THE CHILDREN'S HEALTH INSURANCE PROGRAM (CHIP) AND INDIVIDUAL STATE HEALTH PLANS. IN COOK COUNTY, 27.0 PERCENT OF THE POPULATION HAD PUBLIC HEALTH INSURANCE, WHICH IS MORE THAN THE STATE AT 23.3 PERCENT AND THE U.S. AT 23.6 PERCENT. THE 65 AND OVER AND 0-18 AGE GROUPS IN COOK COUNTY HAD THE GREATEST LEVEL OF PUBLIC HEALTH INSURANCE AT 46.1 AND 42.7 PERCENT RESPECTIVELY (CONDUENT HEALTHY COMMUNITIES INSTITUTE, AMERICAN COMMUNITY SURVEY, 2018).HOSPITALS AND FEDERALLY QUALIFIED HEALTH CENTERS. THERE ARE SEVERAL HOSPITALS, FEDERALLY QUALIFIED HEALTH CENTERS (FQHCS), THE CHICAGO DEPARTMENT OF PUBLIC HEALTH (CDPH) AND THE COOK COUNTY HEALTH SYSTEM (CCHS) CLINICS WHICH SERVE ADVOCATE TRINITY'S PSA. THERE ARE THREE COMMUNITIES WHICH ARE MEDICALLY UNDERSERVED AREAS (MUAS) AND EXHIBIT THE HIGHEST SOCIAL NEEDS, INCLUDING AUBURN GRESHAM (60620), SOUTH CHICAGO (60617), AND ROSELAND (60628).
SCHEDULE H, PART VI, LINE 4 - ADVOCATE BROMENN MEDICAL CENTER	DESCRIPTION OF THE COMMUNITY/POPULATIONTHE MCLEAN COUNTY COMMUNITY HEALTH COUNCIL DEFINED THE COMMUNITY AS MCLEAN COUNTY, THE PRIMARY SERVICE AREA FOR ADVOCATE BROMENN, THE MCLEAN COUNTY HEALTH DEPARTMENT, OSF ST. JOSEPH MEDICAL CENTER AND CHESTNUT FAMILY HEALTH CENTER. THIS AREA INCLUDES THE FOLLOWING CITIES AND TOWNS: ANCHOR, ARROWSMITH, BELLFLOWER, BLOOMINGTON, CARLOCK, CHENOA, COLFAX, COOKSVILLE, DANVERS, DOWNS, ELLSWORTH, GRIDLEY, HEYWORTH, HUDSON, LE ROY, LEXINGTON, MCLEAN, MERNA, NORMAL, SAYBROOK, STANFORD AND TOWANDA. THE TOTAL POPULATION OF MCLEAN COUNTY IS 172,052 WITH BLOOMINGTON HAVING THE LARGEST POPULATION IN THE COUNTY WITH 78,368 AND NORMAL THE SECOND LARGEST POPULATION WITH 54,534. THE POPULATION IN MCLEAN COUNTY INCREASED BY 1.46 PERCENT FROM 2010 TO 2019. SOCIAL DETERMINANTS OF HEALTH (SDOH)THE SOCIONEEDS INDEX IS A CONDUENT HEALTHY COMMUNITIES INSTITUTE TOOL (CONDUENT HCI) THAT IS A MEASURE OF SOCIOECONOMIC NEED, WHICH IS CORRELATED WITH POOR HEALTH OUTCOMES. THE INDEX IS CALCULATED FROM SIX INDICATORS, ONE EACH FROM THE FOLLOWING TOPICS: 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 1 (LOW NEED) TO 5 (HIGH NEED) BASED ON THEIR INDEX VALUE. THESE VALUES ARE SORTED FROM LOW TO HIGH AND DIVIDED INTO FIVE RANKS USING NATURAL BREAKS. MCLEAN COUNTY HAS SEVERAL COMMUNITIES THAT HAVE GREATER SOCIOECONOMIC NEEDS COMPARED TO OTHER COMMUNITIES IN THE COUNTY. ONE ZIP CODE WITH A RANKING OF 5, BLOOMINGTON 61701, AND EIGHT ZIP CODES WITH A RANKING OF 4, REPRESENT THE AREAS WITH THE HIGHEST SOCIOECONOMIC NEED IN MCLEAN COUNTY. THE EIGHT COMMUNITIES WITH A RANKING OF 4 ARE NORMAL, COLFAX, FUNKS GROVE/MCLEAN, SAYBROOK, STANFORD, BELLFLOWER AND COOKSVILLE. DEMOGRAPHICSTHE MEDIAN AGE IN MCLEAN COUNTY IS 33.7 YEARS OF AGE, WHICH IS LESS THAN THE MEDIAN AGE IN ILLINOIS AT 38.5. TWENTY-TWO PERCENT OF PERSONS IN MCLEAN COUNTY ARE LESS THAN 18 YEARS OF AGE AND 24 PERCENT ARE 45 TO 64 YEARS OF AGE. THIRTEEN PERCENT OF PERSONS ARE OVER THE AGE OF 65. FORTY-NINE PERCENT OF THE POPULATION IN MCLEAN COUNTY IS MALE AND 51 PERCENT IS FEMALE. THE RACE/ETHNICITY OF THE COUNTY'S POPULATION IS 81.7 PERCENT WHITE, 7.7 PERCENT BLACK OR AFRICAN AMERICAN, 5.8 PERCENT ASIAN, 5.1 PERCENT HISPANIC OR LATINO, 0.25 PERCENT AMERICAN INDIAN AND ALASKA NATIVE, AND .05 PERCENT NATIVE HAWAIIAN OR PACIFIC ISLANDER. THERE ARE 66,336 HOUSEHOLDS IN MCLEAN COUNTY. THE AVERAGE HOUSEHOLD SIZE IS 2.43. APPROXIMATELY 25 PERCENT OF THE HOUSEHOLDS IN MCLEAN COUNTY ARE SINGLE PARENT HOUSEHOLDS COMPARED TO 32.4 PERCENT FOR ILLINOIS.THE MEDIAN HOUSEHOLD INCOME FOR MCLEAN COUNTY IS $67,065. THIS IS HIGHER THAN THE MEDIAN HOUSEHOLD INCOME FOR ILLINOIS OF $66,487. IN MCLEAN COUNTY, THE PERCENT OF PEOPLE LIVING BELOW THE FEDERAL POVERTY LINE (FPL) IS 14.5 PERCENT. WITHIN MCLEAN COUNTY, THE MEDIAN HOUSEHOLD INCOME VARIES WITH NATIVE HAWAIIAN/PACIFIC ISLANDERS HAVING THE HIGHEST MEDIAN HOUSEHOLD INCOME OF $114,583 AND BLACKS/AFRICAN AMERICANS HAVING THE LOWEST AT $34,463. HOWEVER, NATIVE HAWAIIAN/PACIFIC ISLANDERS REPRESENT ONLY .05 PERCENT OF THE POPULATION IN MCLEAN COUNTY. THEREFORE, SMALL CHANGES CAN GREATLY AFFECT THE DATA. THE PERCENTAGE OF THE CIVILIAN LABOR FORCE AGES 16 YEARS AND OVER THAT IS UNEMPLOYED IN MCLEAN COUNTY IS 3.73 PERCENT, LOWER THAN ILLINOIS AT 6.7 PERCENT. THE THREE COMMON INDUSTRIES OF EMPLOYMENT ARE THE FINANCIAL OR INSURANCE INDUSTRY AT 18.2 PERCENT, EDUCATIONAL SERVICES AT 13.9 PERCENT AND HEALTHCARE AT 13.1 PERCENT. AS FAR AS LEVEL OF EDUCATION, NINETY-SIX PERCENT OF THE POPULATION AGES 25 AND OVER IN MCLEAN COUNTY POSSESSES A HIGH SCHOOL DIPLOMA OR HIGHER AND 44.7 PERCENT HAVE A BACHELOR'S DEGREE OR HIGHER. THE STATE PERCENTAGE FOR A BACHELOR'S DEGREE OR HIGHER IS 33.4 PERCENT. ILLINOIS STATE UNIVERSITY, ILLINOIS WESLEYAN UNIVERSITY, HEARTLAND COMMUNITY COLLEGE AND LINCOLN COLLEGE ARE ALL LOCATED IN MCLEAN COUNTY. THE FOUR-YEAR HIGH SCHOOL GRADUATION RATE FOR MCLEAN COUNTY IS 88.1 PERCENT. THIS IS HIGHER THAN THE GRADUATION RATE FOR ILLINOIS OF 85.6 PERCENT. ONE-HUNDRED-AND-ONE PERCENT OF THE 2018 MCLEAN COUNTY COMMUNITY HEALTH SURVEY RESPONDENTS REPORTED HAVING EITHER PRIVATE INSURANCE, MEDICARE OR MEDICAID, WHILE TEN PERCENT REPORTED NOT HAVING ANY INSURANCE. THIS PERCENTAGE IS GREATER THAN 100 PERCENT BECAUSE RESPONDENTS COULD CHOOSE MORE THAN ONE ANSWER. THE INDEX OF MEDICAL UNDERSERVICE (IMU) SCORE FOR THE MCLEAN COUNTY SERVICE AREA IS 49.2. THE LOWEST SCORE (HIGHEST NEED) IS 0; THE HIGHEST SCORE (LOWEST NEED) IS 100. TO QUALIFY FOR DESIGNATION, THE IMU SCORE MUST BE LESS THAN OR EQUAL TO 62.0. THIS SCORE APPLIES TO THE MEDICALLY UNDERSERVED AREA (MUA) OR MEDICALLY UNDERSERVED POPULATIONS (MUP) AS A WHOLE, AND NOT TO INDIVIDUAL PORTIONS OF IT.HEALTHCARE RESOURCES IN THE DEFINED COMMUNITYMCLEAN COUNTY HAS TWO HOSPITALS, ADVOCATE BROMENN LOCATED IN NORMAL AND OSF ST. JOSEPH MEDICAL CENTER LOCATED IN BLOOMINGTON. THERE IS ALSO A FEDERALLY QUALIFIED HEALTH CENTER (FQHC), THE CHESTNUT FAMILY HEALTH CENTER, LOCATED IN BLOOMINGTON. IN ADDITION, THERE ARE THREE COMMUNITY CLINICS. THE COMMUNITY HEALTH CARE CLINIC AND THE COMMUNITY CANCER CENTER ARE BOTH LOCATED IN NORMAL, AND MCLEAN COUNTY CENTER FOR HUMAN SERVICES IS IN BLOOMINGTON. TWO ADDITIONAL HEALTH CARE RESOURCES IN MCLEAN COUNTY ARE THE CLINIC WITHIN THE MCLEAN COUNTY HEALTH DEPARTMENT AND A CRISIS STABILIZATION UNIT WHICH IS A PART OF CHESTNUT HEALTH SYSTEMS. IN THE 2019 COUNTY HEALTH RANKINGS, MCLEAN COUNTY RANKED 2ND OUT OF 102 ILLINOIS COUNTIES FOR CLINICAL CARE, WHICH COMPARES 7 INDICATORS: PERCENT UNINSURED; RATIO OF PRIMARY CARE PHYSICIANS, DENTISTS, AND MENTAL HEALTH PROVIDERS TO THE POPULATION; PREVENTABLE HOSPITAL STAYS; PERCENT COMPLETING MAMMOGRAM SCREENINGS; AND PERCENT OF FLU VACCINATIONS.
SCHEDULE H, PART VI, LINE 4 - ADVOCATE EUREKA HOSPITAL	DESCRIPTION OF THE COMMUNITY/POPULATIONFOR THE PURPOSE OF THE 2017-2019 CHNA, "COMMUNITY" IS DEFINED AS WOODFORD COUNTY, ILLINOIS. ADVOCATE EUREKA IS THE ONLY HOSPITAL IN WOODFORD COUNTY, WHICH IS IN RURAL CENTRAL ILLINOIS. ALTHOUGH THE HOSPITAL PARTICIPATED IN THE 2019 TRI-COUNTY COLLABORATIVE, LED BY THE PARTNERSHIP FOR A HEALTHY COMMUNITY FOR THE THREE COUNTIES, FOR THE PURPOSE OF THE 2017-2019 ADVOCATE EUREKA CHNA, THE COMMUNITY IS DEFINED AS WOODFORD COUNTY. THE FOLLOWING TOWNS ARE IN WOODFORD COUNTY: BAY VIEW GARDENS, BENSON, CONGERVILLE, EL PASO, EUREKA, GERMANTOWN HILLS, GOODFIELD, KAPPA, LOWPOINT, METAMORA, MINONK, PANOLA, ROANOKE, SECOR, SPRING BAY AND WASHBURN. THE TOTAL POPULATION OF WOODFORD COUNTY IS 38,606. THE TOWN OF EUREKA HAS THE LARGEST POPULATION IN THE COUNTY AT 6,735. THE POPULATION IN WOODFORD COUNTY DECREASED BY 0.15 PERCENT FROM 2010 TO 2019.SOCIAL DETERMINANTS OF HEALTH: SOCIONEEDS INDEXTHE SOCIONEEDS INDEX IS A CONDUENT HEALTHY COMMUNITIES INSTITUTE 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 TOPICS: 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 1 (LOW NEED) TO 5 (HIGH NEED) BASED ON THEIR INDEX VALUE. THESE VALUES ARE SORTED FROM LOW TO HIGH AND DIVIDED INTO FIVE RANKS USING NATURAL BREAKS. WOODFORD COUNTY HAS FOUR COMMUNITIES THAT HAVE GREATER SOCIOECONOMIC NEEDS (RANKING OF A 4 OR 5) COMPARED TO OTHER COMMUNITIES IN THE COUNTY. THE COMMUNITIES WITH A RANKING OF 4 OR 5 ARE WASHBURN61570 (5), SECOR61771 (5), LOWPOINT61545 (4) AND EL PASO61738 (4). EL PASO IS LOCATED IN BOTH MCLEAN AND WOODFORD COUNTIES. IN ADDITION TO THE ABOVE ZIP CODES WITH A HIGH SOCIONEEDS RANKING, WOODFORD COUNTY HAS THREE ZIP CODES, WITH A LOW SOCIONEEDS RANKING. GOODFIELD61742, GERMANTOWN HILLS61548 AND ROANOKE61561ALL OF WHICH HAVE A SOCIONEEDS RANKING OF 1. DEMOGRAPHICSTHE MEDIAN AGE IN WOODFORD COUNTY IS 40.4 YEARS, WHICH IS HIGHER THAN THE MEDIAN AGE FOR ILLINOIS OF 38.5 YEARS. WOODFORD COUNTY IS EVENLY SPLIT IN POPULATION IN TERMS OF GENDER, WITH 49.7 PERCENT OF THE POPULATION BEING MALE AND 50.3 PERCENT BEING FEMALE. THE RACE/ETHNICITY OF THE COUNTY'S POPULATION IS 96.3 PERCENT WHITE, 2.13 PERCENT HISPANIC/LATINO, 0.73 PERCENT ASIAN, 0.69 PERCENT BLACK OR AFRICAN AMERICAN, 0.26 PERCENT AMERICAN INDIAN AND ALASKA NATIVE, AND 0.03 PERCENT NATIVE HAWAIIAN OR PACIFIC ISLANDER. INCOMETHE MEDIAN HOUSEHOLD INCOME IN WOODFORD COUNTY IS $72,597, WHICH IS HIGHER THAN THE ILLINOIS MEDIAN HOUSEHOLD INCOME OF $66,487. IN WOODFORD COUNTY, THE PERCENT OF PEOPLE LIVING BELOW THE POVERTY LEVEL IS 7.4 THE PERCENT OF CHILDREN LIVING BELOW THE POVERTY LEVEL IN WOODFORD COUNTY IS 11.8 PERCENT AND THE PERCENT OF INDIVIDUALS WITH DISABILITIES LIVING IN POVERTY IN WOODFORD COUNTY IS 24.6 PERCENT.EMPLOYMENT/EDUCATIONTHE PERCENT OF THE CIVILIAN LABOR FORCE OVER THE AGE OF 16 THAT IS UNEMPLOYED IN WOODFORD COUNTY IS 5.2 PERCENT, LOWER THAN ILLINOIS AT 6.7 PERCENT. THE THREE COMMON INDUSTRIES OF EMPLOYMENT ARE MANUFACTURING AT 16.6 PERCENT, HEALTHCARE AT 12.9 PERCENT AND RETAIL TRADE AT 11.5 PERCENT. AS FAR AS LEVEL OF EDUCATION, NINETY-FOUR PERCENT OF THE WOODFORD COUNTY POPULATION OVER THE AGE OF 25 POSSESSES A HIGH SCHOOL DIPLOMA OR HIGHER, AND 21.7 PERCENT HAVE A BACHELOR'S DEGREE OR HIGHER. EUREKA COLLEGE, A SMALL LIBERAL ARTS COLLEGE, IS IN WOODFORD COUNTY. THE FOUR-YEAR HIGH SCHOOL GRADUATION RATE FOR WOODFORD COUNTY IS 92 PERCENT. INSURANCE/MEDICAID/MEDICAREACCORDING TO THE TRI-COUNTY COMMUNITY HEALTH SURVEY, EIGHTY-ONE PERCENT OF WOODFORD COUNTY SURVEY RESPONDENTS REPORTED HAVING PRIVATE INSURANCE, FOLLOWED BY 16 PERCENT HAVING MEDICAID AND 11 PERCENT HAVING MEDICARE. THREE PERCENT OF SURVEY RESPONDENTS REPORTED NOT HAVING ANY INSURANCE. ACCORDING TO THE HEALTH RESOURCES AND SERVICES ADMINISTRATION WEBSITE; HTTPS://DATA.HRSA.GOV/TOOLS/SHORTAGE-AREA/MUA-FIND, WOODFORD COUNTY DOES NOT HAVE AN INDEX OF MEDICAL UNDERSERVICE (IMU) SCORE INDICATING THAT THERE ARE NO MEDICALLY UNDERSERVED AREAS (MUAS) IN THE COUNTY. HEALTH CARE RESOURCES IN THE DEFINED COMMUNITYWOODFORD COUNTY HAS A CRITICAL ACCESS HOSPITAL, ADVOCATE EUREKA. ADDITIONAL RESOURCES IN THE COUNTY ARE THEWOODFORD COUNTY PUBLIC HEALTH DEPARTMENT AND HEART HOUSE/SHELTER; A COMMUNITY ORGANIZATION.
SCHEDULE H, PART VI, LINE 5 - CHRIST HOSP INCL HOPE CHILDREN'S HOSP	ADVOCATE CHRIST'S GOVERNING COUNCIL IS COMPRISED OF LOCAL COMMUNITY LEADERS AND PHYSICIANS. SIXTY-EIGHT PERCENT OF THE CURRENT GC MEMBERS REPRESENT THE COMMUNITY, INCLUDING THE FAITH COMMUNITY. IN ADDITION, THE ORGANIZATION EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY FOR SOME OR ALL OF ITS DEPARTMENTS AND SPECIALTIES.OTHER MEDICAL CENTER PROGRAMS THAT CONTRIBUTE TO THE HEALTH OF THE COMMUNITY ARE DESCRIBED BELOW.CHICAGO HEAL INITIATIVE. CHICAGO HEAL HOSPITAL ENGAGEMENT, ACTION AND LEADERSHIPIS A THREE-YEAR INITIATIVE TO REDUCE VIOLENCE AND IMPROVE HEALTH THROUGH NEIGHBORHOOD ENGAGEMENT. DRIVEN BY THE LEADERSHIP OF SENATOR DICK DURBIN, ADVOCATE CHRIST JOINED CHICAGO HEAL HOSPITALS TO SHARE BEST PRACTICES AND IDENTIFY WAYS TO COLLABORATE IN ADDRESSING THE SOCIAL DETERMINANTS OF HEALTH THAT IMPACT VULNERABLE CHICAGO COMMUNITIES. CHICAGO HEAL'S THREE MAIN OBJECTIVES ARE TO: 1) INCREASE LOCAL WORKFORCE COMMITMENT TO REDUCE ECONOMIC HARDSHIP; 2) SUPPORT COMMUNITY PARTNERSHIPS TO IMPROVE HEALTH AND SAFETY OF PUBLIC ENVIRONMENTS; AND 3) PRIORITIZE KEY IN-HOSPITAL CLINICAL PRACTICES TO ADDRESS UNMET NEEDS OF THE COMMUNITY.SOUTHLAND RISE. IN 2019, IN RESPONSE TO THE PUBLIC HEALTH CRISIS OF INTENTIONAL VIOLENCE, ADVOCATE CHRIST AND THE UNIVERSITY OF CHICAGO MEDICINE JOINED FORCES TO FORM SOUTHLAND RISE (RESILIENCE INITIATIVE TO STRENGTHEN AND EMPOWER). THIS NEW COLLABORATIVE IS DESIGNED TO BETTER CARE FOR INDIVIDUALS, FAMILIES AND COMMUNITIES ON CHICAGO'S SOUTH SIDE AND SOUTH SUBURBAN COMMUNITIES. IN ADDITION TO INTEGRATING THE VIOLENCE RECOVERY PROGRAMS OF BOTH INSTITUTIONS, THE SOUTHLAND RISE COLLABORATIVE COMMITTED TO PURSUE AND ALIGN SERVICES ACROSS THEIR SHARED COMMUNITIES.
SCHEDULE H, PART VI, LINE 5 - LUTHERAN GEN HOSP INCL LUTH GEN CHILD	ADVOCATE LUTHERAN GENERAL'S GOVERNING COUNCIL IS COMPRISED OF LOCAL COMMUNITY LEADERS AND PHYSICIANS. SIXTY-THREE PERCENT OF THE CURRENT GC MEMBERS REPRESENT THE COMMUNITY, INCLUDING THE FAITH COMMUNITY. IN ADDITION, THE ORGANIZATION EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY FOR SOME OR ALL OF ITS DEPARTMENTS AND SPECIALTIES.CULTURAL HEALTH INITIATIVES. AS OF LATE 2020, ADVOCATE LUTHERAN GENERAL HIRED A CULTURAL AND COMMUNITY LIAISON TO SUPPORT LGH'S DIVERSE COMMUNITIES. THE CULTURAL AND COMMUNITY LIAISON 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 LGH'S COMMUNITY HEALTH DEPARTMENT. THIS PROGRAM IS DESIGNED TO PROMOTE AN ENVIRONMENT THAT MEETS THE UNEXPRESSED AND EXPRESSED NEEDS OF ALL PATIENTS AND FAMILIES IN THE FACILITY. THE CAROL STREET APARTMENTS. THE ADVOCATE LUTHERAN GENERAL CARE MANAGEMENT DEPARTMENT PLANS SAFE DISCHARGES FOR PATIENTS RECOVERING FROM HOSPITALIZATION, WHO HAVE NO HOUSING RESOURCES. THE DEPARTMENT MANAGES FIVE OF THE ADVOCATE LUTHERAN CAROL STREET APARTMENTS, WHICH ARE LOCATED ON THE HOSPITAL'S CAMPUS. THESE FIVE APARTMENTS ARE AVAILABLE FOR RENT ON A DAILY, WEEKLY OR MONTHLY BASIS FOR LGH PATIENTS AND/OR THEIR FAMILY MEMBERS. PATIENTS THAT ARE ACTIVELY RECEIVING SERVICES ON CAMPUS (I.E. CHEMOTHERAPY, RADIATION) AND HAVE CHALLENGES AROUND HOUSING ARE ELIGIBLE TO RESIDE IN THE APARTMENTS. IN ADDITION, THE APARTMENTS ARE ALSO AVAILABLE FOR FAMILY MEMBERS OF INPATIENTS THAT DO NOT LIVE NEAR THE HOSPITAL. TRAUMA RECOVERY CENTER. IN 2020, THE HOSPITAL OPENED A TRAUMA RECOVERY CENTER (TRC), WHICH PROVIDES TRAUMA INFORMED SERVICES SUCH AS INDIVIDUAL THERAPY, SUPPORT GROUPS, CASE MANAGEMENT AND INTENSIVE OUTREACH. TRC ALSO PROVIDES REFERRALS TO COMMUNITY RESOURCES AND SOCIAL SUPPORT, SUCH AS HOUSING AND FOOD, FOR VICTIMS OF VIOLENCE. THE PROGRAM IS FREE OF CHARGE AND AIMS TO INCREASE SAFETY AND TRAUMA SUPPORT SERVICES IN VULNERABLE COMMUNITIES. ADVOCATE CHILDREN'S CAR SEAT PROGRAM. IN 2020, ADVOCATE CHILDREN'S HOSPITALS CONTINUED TO OFFER ONE-ON-ONE CAR SEAT EDUCATION WITH THE FAMILY DETAILING THE IMPORTANCE OF PROPER CAR SEAT SAFETY, WHICH INCLUDED ONE-ON-ONE CAR SEAT INSTALLATION EDUCATION WITH REQUIRED TEACH BACK BY THE FAMILY. THE CHILD REQUIRING A CAR SEAT IS EVALUATED FOR PROPER FIT IN THE CURRENT CAR SEAT. THE CAR SEAT IS ALSO INSPECTED FOR ANY DEFECTS AND IS EVALUATED FOR COMPATIBILITY IN THE VEHICLE. DUE TO COVID-19, THE CAR SEAT PROGRAM WAS TEMPORARILY POSTPONED, BUT RESUMED IN LATE 2020. COMMUNITY LEADERSHIP. ADVOCATE LUTHERAN GENERAL AND ADVOCATE CHILDREN'S LEADERS ARE ACTIVELY INVOLVED IN THE COMMUNITY THROUGH REPRESENTATION AND/OR PARTICIPATION IN MANY COMMUNITY ORGANIZATIONS, SUCH AS LOCAL CHAMBERS OF COMMERCE, INCLUDING THE PARK RIDGE CHAMBERS OF COMMERCE. ADVOCATE LUTHERAN LEADERS ALSO SERVE ON MULTIPLE BOARDS INCLUDING THE CATHOLIC CHARITIES OF DES PLAINES BOARD, THE JULIE ORGANIZATION FOR OVARIAN CANCER BOARD, PARTNERSHIP FOR RESILIENCE, THE MAINE TOWNSHIP HIGH SCHOOL DISTRICT 207 BOARD AND THE ALLIANCE FOR HEALTH EQUITY COLLABORATIVE. ADVOCATE LUTHERAN GENERAL HOSPITAL IS COMMITTED TO THE COMMUNITY AND ENSURES LEADERSHIP INVOLVEMENT IN THE COMMUNITY. COVID-19 PREVENTION AND MITIGATION. IN RESPONSE TO THE HEALTH NEEDS DURING THE 2020 COVID-19 PANDEMIC, ADVOCATE LUTHERAN GENERAL HOSPITAL AND ADVOCATE CHILDREN'S HOSPITAL PARTNERED WITH LOCAL ORGANIZATIONS TO PROVIDE COVID-19 TESTING IN UNDERSERVED COMMUNITIES WITH HIGH RATES OF COVID-19. IN 2020, THE PARTNERSHIP OFFERED TESTING TO OVER 440 INDIVIDUALS, INCLUDING CHILDREN. TO ENSURE ADEQUATE ACCESS TO PERSONAL PROTECTIVE EQUIPMENT (PPE), ADVOCATE LUTHERAN ALSO WORKED WITH SEVERAL COMMUNITY ORGANIZATIONS TO DISTRIBUTE THOUSANDS OF MASKS TO INDIVIDUALS AND FAMILIES IN UNDERSERVED AND VULNERABLE COMMUNITIES. ADDITIONALLY, ADVOCATE LUTHERAN'S EMERGENCY DEPARTMENT STAFF SCREENED OVER 350 INDIVIDUALS IN THE COMMUNITY AND IN LOCAL LONG-TERM CARE FACILITIES. LEADERSHIP IN ENERGY AND ENVIRONMENTAL DESIGN (LEED). ADVOCATE LUTHERAN GENERAL ALSO ASSURES ENVIRONMENTAL RESPONSIVENESS, RESOURCE EFFICIENCY AND COMMUNITY SENSITIVITY THROUGH LEED DESIGNATION FOR THE HOSPITAL'S NEW BED TOWER AND ONGOING EDUCATIONAL ACTIVITIES. AWARDED BY THE U.S. GREEN BUILDING COUNCIL, LEED IS A FOUNDATIONAL PROFESSIONAL CREDENTIAL SIGNIFYING CORE COMPETENCY IN GREEN BUILDING PRINCIPLES.
SCHEDULE H, PART VI, LINE 5 - ADVOCATE GOOD SAMARITAN HOSPITAL	THE GOVERNING COUNCIL AT ADVOCATE GOOD SAMARITAN 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. SIXTY-THREE 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 OF ITS DEPARTMENTS AND SPECIALTIES.ADVOCATE GOOD SAMARITAN IS ONE OF FOUR RESOURCE HOSPITALS WITHIN EMERGENCY MEDICAL SERVICES (EMS) REGION 8. THE HOSPITAL PROVIDES KEY LEADERSHIP TO THE REGION EMS PROGRAM THROUGH EXECUTING TABLETOP, FUNCTIONAL AND FULL-SCALE EXERCISES TO ADDRESS THE RISKS IN THE AGENCY SPECIFIC TO HAZARD VULNERABILITY ANALYSIS (HVA). THESE EXERCISES, COMPLETED IN CONJUNCTION WITH STATE, COUNTY AND COMMUNITY PARTNERS, IMPROVE THE THOROUGHNESS AND EFFICIENCY OF THE REGION 8 EMERGENCY PREPAREDNESS PLAN.IN 2020, AS A RESPONSE TO THE COVID-19 PANDEMIC, ADVOCATE GOOD SAMARITAN PROVIDED FUNDING TO SEVERAL COMMUNITY ORGANIZATIONS ADDRESSING ESSENTIAL NEEDS OF VULNERABLE AND UNDER-SERVED POPULATIONS. OVER $15,000 IN FUNDING WAS PROVIDED TO LOCAL FOOD PANTRIES, HOMELESS SHELTERS AND ORGANIZATIONS WORKING TO SUPPORT SCHOOLS IN KEEPING STUDENTS AND FAMILIES HEALTHY AND SUCCESSFUL DURING VIRTUAL LEARNING. ADVOCATE GOOD SAMARITAN ALSO SUPPORTED DUPAGE PADS THROUGH CONTRACTING WITH A LOCAL CLEANING COMPANY TO WASH LINENS FOR CONGREGATE SHELTERS IN DUPAGE COUNTY. IN 2019, ADVOCATE GOOD SAMARITAN COVERED THE EXPENSES TO WASH OVER 3,200 POUNDS OF DUPAGE PADS LINENS FOR DUPAGE COUNTY'S HOMELESS INDIVIDUALS AND FAMILIES.TO ENSURE QUALITY AND SAFE CARE ADVOCATE GOOD SAMARITAN INVESTED OVER $3.2 MILLION IN PURCHASING A CT SCANNER AND MOBILE X-RAY MACHINE TO ENSURE THE HOSPITAL PROVIDES TECHNOLOGICALLY ADVANCED CARE TO PATIENTS AND THE COMMUNITY.
SCHEDULE H, PART VI, LINE 5 - ADVOCATE GOOD SHEPHERD HOSPITAL	THE ADVOCATE GOOD SHEPHERD GOVERNING COUNCIL IS COMPRISED OF LOCAL COMMUNITY LEADERS AND PHYSICIANS. FORTY-SEVEN PERCENT OF THE CURRENT GC MEMBERS REPRESENT THE COMMUNITY, INCLUDING THE FAITH COMMUNITY. IN ADDITION, THE ORGANIZATION EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY FOR SOME OR ALL OF ITS DEPARTMENTS AND SPECIALTIES.ADVOCATE GOOD SHEPHERD DONATES STAFF TIME AND EXPERTISE TO SEVERAL LOCAL COUNCILS, BOARDS, COALITIONS AND COMMITTEES. THE HOSPITAL'S PRESIDENT SERVES ON THE BOARD OF THE BARRINGTON AREA COMMUNITY FOUNDATION, AND THE VICE PRESIDENT OF PHYSICIAN STRATEGY AND CLINICAL OPERATIONS SERVES ON THE BOARD OF THE FOGLIA YMCA WHICH FOCUSES ON YOUTH DEVELOPMENT, HEALTHY LIVING AND SOCIAL RESPONSIBILITY. THE HOSPITAL'S VICE PRESIDENT OF NURSING SERVES ON THE BOARD OF THE SAMARITAN COUNSELING CENTER. THE DIRECTOR OF COMMUNITY HEALTH REPRESENTS THE HOSPITAL ON THE MCHENRY COUNTY SUBSTANCE ABUSE COALITION AND THE LAKE COUNTY OPIOID INITIATIVE TASK FORCE, WHICH FOCUS ON ISSUES OF SUBSTANCE ABUSE PREVENTION AND TREATMENT IN THE SERVICE AREA. THE COMMUNITY HEALTH DIRECTOR ALSO SERVES ON THE LIVE WELL LAKE COUNTY STEERING COMMITTEE, WHICH PROVIDES OVERSIGHT TO THE IMPLEMENTATION OF THE LAKE COUNTY HEALTH DEPARTMENT'S STRATEGIC PLAN. BOTH THE COMMUNITY HEALTH DIRECTOR AND COMMUNITY HEALTH COORDINATOR SIT ON THE MCHENRY COUNTY HEALTH COALITION, ALONG WITH REPRESENTATIVES FROM CENTEGRA HOSPITAL AND THE MCHENRY COUNTY MENTAL HEALTH BOARD, TO PROVIDE OVERSIGHT OF THE MCHENRY COUNTY HEALTH DEPARTMENT'S STRATEGIC PLAN. THE ADVOCATE GOOD SHEPHERD COMMUNITY HEALTH DIRECTOR, COMMUNITY HEALTH COORDINATOR AND THE DIRECTOR OF COMMUNITY RELATIONS SIT ON THE HEALTHIER BARRINGTON COALITION, A COMMITTEE OF ELECTED OFFICIALS, BUSINESS LEADERS, SOCIAL SERVICE, MENTAL HEALTH AND MEDICAL PROVIDERS FOCUSED ON IMPROVING THE HEALTH OF THE BARRINGTON AREA. THE HOSPITAL'S SENIOR SERVICES COORDINATOR SERVES ON THE BOARD OF THE FAMILY HEALTH PARTNERSHIP CLINIC, A FREE CLINIC SERVING UNINSURED RESIDENTS OF THE SERVICE AREA. THE COMMUNITY HEALTH COORDINATOR SITS ON THE WAUCONDA UNITED HEALTH PARTNERSHIP, A COALITION ADDRESSING THE HEALTH AND COMMUNITY DEVELOPMENT NEEDS OF THE WAUCONDA AREA. IN ADDITION, THE HOSPITAL ROUTINELY MAKES CASH AND IN-KIND DONATIONS TO PARTNERS, SUCH AS THE PIONEER CENTER AND FAMILY HEALTH PARTNERSHIP CLINIC, TO FURTHER THE HEALTH OF THE COMMUNITY, INCLUDING THE DONATION OF MEDICAL SUPPLIES THROUGH COMMUNITY ORGANIZATIONS.
SCHEDULE H, PART VI, LINE 5 - ADVOCATE SOUTH SUBURBAN HOSPITAL	ADVOCATE SOUTH SUBURBAN'S GOVERNING COUNCIL IS COMPRISED OF LOCAL COMMUNITY LEADERS AND PHYSICIANS. FIFTY NINE PERCENT OF THE CURRENT GC MEMBERS REPRESENT THE COMMUNITY, INCLUDING THE FAITH COMMUNITY. IN ADDITION, THE ORGANIZATION EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY FOR SOME OR ALL OF ITS DEPARTMENTS AND SPECIALTIES.ADVOCATE SOUTH SUBURBAN IS AN ACUTE-CARE FACILITY PROVIDING A WIDE RANGE OF COMPREHENSIVE INPATIENT, OUTPATIENT, DIAGNOSTIC AND AMBULATORY MEDICAL SERVICES. IN ADDITION TO OFFERING AN ARRAY OF HOSPITAL SERVICES, THIS NOT-FOR-PROFIT FACILITY PROVIDES FREE SCREENINGS AND A VARIETY OF OTHER OUTREACH SERVICES THROUGHOUT THE COMMUNITY, INCLUDING:SENIOR SERVICES: ADVOCATE SOUTH SUBURBAN SERVES A LARGE SENIOR POPULATION AND HOSTS A VARIETY OF PROGRAMS AND SCREENINGS IN THE COMMUNITY FOR SENIORS, INCLUDING: THE ANNUAL ACTIVE SENIOR EXPO, A PREMIER EVENT DESIGNED ESPECIALLY FOR SENIORS; AND PARTICIPATION IN A VARIETY OF COMMUNITY HEALTH EVENTS THROUGHOUT THE YEAR.SUPPORT GROUPS: THE HOSPITAL HOSTS SUPPORT GROUPS FOR THE COMMUNITY DESIGNED FOR INDIVIDUALS LIVING WITH A SPECIFIC ILLNESS. COMMUNITY MEMBERS CAN FIND SUPPORT GROUPS FOR: ALZHEIMER'S, DIABETES, PARKINSON'S, EASY BREATHERS, LUPUS, NAMI, CONGESTIVE HEART FAILURE, OSTOMY, PLATELET, AND STROKE AT THE HOSPITALALL PROVIDED FREE OF CHARGE TO THE COMMUNITY.LIFESTYLE CLASSES: TO AID THE COMMUNITY WITH LIFESTYLE ADJUSTMENTS, ADVOCATE SOUTH SUBURBAN AND ITS TEAM OF HEALTH CARE PROFESSIONALS OFFER CLASSES ON CONGESTIVE HEART FAILURE, LIFE AFTER A STROKE, AND DIABETES. THE HOSPITAL ALSO HAS STRONG PARTNERSHIPS WITH THE AMERICAN CANCER SOCIETY AND OFFERS WELLNESS CLASSES FOR CANCER PATIENTS THROUGH THE CANCER SUPPORT CENTER, AN EXTERNAL SUPPORT CENTER WITH TWO LOCATIONS IN HOMEWOOD AND MOKENA, IL. SANE PROGRAM: SEXUAL ASSAULT NURSE EXAMINERS (SANES) ARE SPECIALISTS IN FORENSIC NURSING. SANES NOT ONLY ASSIST PATIENTS WHO HAVE BEEN SEXUALLY ASSAULTED, BUT THEY ALSO USE THEIR EDUCATION AND EXPERIENCE TO EXPAND THEIR CLINICAL PRACTICES TO ACCOMMODATE VICTIMS OF OTHER FORMS OF VIOLENCE, SUCH AS DOMESTIC VIOLENCE. EXPERIENCED SANES CAN BE A VALUABLE RESOURCE TO PROSECUTORS, PARTICULARLY IN CASES WHERE THE VICTIM MAY BE UNWILLING OR UNABLE TO TESTIFY, AS THEY ASSIST LAW ENFORCEMENT AND THE COURTS IN SENDING THOSE PERPETRATORS OF SEXUAL ASSAULT AND/OR DOMESTIC VIOLENCE TO JAIL.WOMEN AND INFANTS CENTER: IN OCTOBER 2018, ADVOCATE SOUTH SUBURBAN OPENED THE WOMEN AND INFANTS CENTER. THE CENTER UNDERTOOK MEASURES TO ENHANCE IT WOMEN'S HEALTH AND OB SERVICES BY INVESTING IN THE UNIT'S REDESIGN. THE REDESIGN INCLUDED CONSTRUCTION THAT ENHANCES PATIENT PRIVACY AND PROMOTES THE BEST ENVIRONMENT IN WHICH TO HEAL. THE UNIT INCLUDES 16 PRIVATE AND STATE-OF-THE-ART SUITES, 4 SEMI-PRIVATE TRIAGE ROOMS FOR OUTPATIENT TESTING, 2 SURGICAL SUITES, 2 RECOVERY SUITES AND COMPREHENSIVE CLASSES AND SUPPORT. SURGICAL SERVICES EXPANSION: IN OCTOBER 2018, ADVOCATE SOUTH SUBURBAN UNDERTOOK MEASURES TO EXPAND AND MODERNIZE THE SURGICAL AND PROCEDURE SUITES. THE CENTER FOR ADVANCED CARE (CAC) PROJECT INCLUDED ENLARGING AND UPDATING SURGICAL SUITES, ADDING NINE OPERATING ROOMS, THREE CARDIAC CATHETERIZATION LABS AND NEW PREPARATION AND RECOVERY SPACES. THESE ENHANCEMENTS PROVIDE THE HOSPITAL THE OPPORTUNITY TO TAKE ADVANTAGE OF EFFICIENCIES AND NEW TECHNOLOGY AND DELIVER HIGH-QUALITY CARE FOR THE PATIENTS IT SERVES. THE CENTER FOR ADVANCED CARE OPENED IN AUGUST 2020.
SCHEDULE H, PART VI, LINE 5 - ADVOCATE TRINITY HOSPITAL	ADVOCATE TRINITY'S GOVERNING COUNCIL IS COMPRISED OF LOCAL COMMUNITY LEADERS AND PHYSICIANS. SIXTY-FIVE PERCENT OF THE CURRENT GC MEMBERS REPRESENT THE COMMUNITY, INCLUDING THE FAITH COMMUNITY. IN ADDITION, THE ORGANIZATION EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY FOR SOME OR ALL OF ITS DEPARTMENTS AND SPECIALTIES.OTHER HOSPITAL PROGRAMS THAT CONTRIBUTE TO THE HEALTH OF THE COMMUNITY ARE DESCRIBED BELOW.PRIMARY CARE CONNECTION. THE PRIMARY CARE CONNECTION (PCC) PROGRAM AT ADVOCATE TRINITY DEPLOYS COMMUNITY HEALTH WORKERS (CHWS) AS COMMUNITY RESOURCE NAVIGATORS TO SERVE PATIENTS IN THE ED. IN 2020, THE PROGRAM REDUCED UNNECESSARY ED VISITS AND CONNECTED PATIENTS TO A PRIMARY CARE HOME. CHWS EDUCATED PATIENTS ABOUT ACCESSING THE APPROPRIATE LEVEL OF CARE AND PROVIDED FOLLOW-UP APPOINTMENTS TO A CONVENIENT CARE SITE FOR PATIENTS AFTER THE ED VISIT. CHWS ALSO CONDUCTED A HEALTH ASSESSMENT TO IDENTIFY SOCIAL DETERMINANTS OF HEALTH AND LINKED THE PATIENTS TO SOCIAL SERVICES AND COMMUNITY RESOURCES THAT CONTRIBUTE TO THE PATIENTS' OVERALL WELLBEING. OVERALL, THE PCC PROGRAM REACHED 411 PATIENTS AND CONNECTED 50 PERCENT OF THEM TO PRIMARY CARE IN 2020. IMANI GREEN HEALTH ADVOCATES. IN 2020, A TEAM OF COLLABORATORS INCLUDING ADVOCATE TRINITY, TRINITY UNITED CHURCH OF CHRIST, NATURE CONSERVANCY, UNIVERSITY OF ILLINOIS AT CHICAGO, MORTON ARBORETUM AND THE USDA FOREST SERVICE COORDINATED THE IMANI GREEN HEALTH ADVOCATES (IGHA) APPRENTICESHIP PROGRAM TO PROVIDE YOUNG ADULTS, AGES 18 TO 25, SUPPORT IN CAREER AND LEADERSHIP DEVELOPMENT. THE ADVOCATES PROVIDED COMMUNITY TREE-PLANTING IN HIGH-NEED AREAS BY PLANTING 30 TREES. THE PROGRAM ALSO TRAINED FOUR YOUTH AS COMMUNITY HEALTH WORKERS TO ASSIST IN COMMUNITY HEALTH PROJECTS, INCLUDING, THE COVID-19 TESTING SUPPORT TEAM, FOOD FARMACY SUPPORT TEAM, FLU VACCINATION SUPPORT TEAM AND BY PROVIDING COMMUNITY ENGAGEMENT SUPPORT WITH VARIOUS COMMUNITY PARTNERSHIPS.
SCHEDULE H, PART VI, LINE 5 - ADVOCATE EUREKA HOSPITAL	ADVOCATE EUREKA'S DEDICATION TO PROMOTING THE HEALTH OF THE COMMUNITY IS EXEMPLIFIED IN NUMEROUS WAYS. THE ADVOCATE BROMENN AND ADVOCATE EUREKA 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. SEVENTY-ONE PERCENT OF THE CURRENT GOVERNING COUNCIL MEMBERS REPRESENT THE COMMUNITY. IN ADDITION, THE ORGANIZATION EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY FOR SOME OR ALL OF ITS DEPARTMENTS AND SPECIALTIES. ADVOCATE EUREKA IS A 25-BED FACILITY THAT HAS SERVED AND CARED FOR THE PEOPLE OF WOODFORD COUNTY AND THE SURROUNDING AREA SINCE 1901. ADVOCATE EUREKA IS THE ONLY HOSPITAL IN WOODFORD COUNTY AND IS A CRITICAL ACCESS HOSPITAL AS CERTIFIED BY THE CENTERS FOR MEDICARE AND MEDICAID SERVICES. BY FUNCTIONING IN THIS CAPACITY, ADVOCATE EUREKA PLAYS A VITAL ROLE IN SERVING THE HEALTH NEEDS OF A PRIMARILY RURAL AREA. COMMUNITY RESIDENTS BENEFIT FROM HAVING ACCESS TO CARE CLOSE TO HOME AS PROVIDED BY A DEDICATED GROUP OF PRIMARY CARE AND SPECIALTY PHYSICIANS. IF THE PATIENT'S CONDITION REQUIRES ADVANCED CARE, ADVOCATE EUREKA IS AVAILABLE TO STABILIZE THE CONDITION AND SEAMLESSLY TRANSITION THE PATIENT TO ANOTHER FACILITY. HAVING ACCESS TO A CRITICAL CARE HOSPITAL HAS BEEN ESPECIALLY BENEFICIAL TO COMMUNITY RESIDENTS DURING THE COVID-19 PANDEMIC.A CHERISHED COMMUNITY INSTITUTION, ADVOCATE EUREKA HAS SET NEW STANDARDS FOR WHAT A RURAL HOSPITAL CAN ACCOMPLISH. WHILE PATIENTS APPRECIATE THE SMALL-TOWN TOUCH OF ONE-ON-ONE CARE, THEY ALSO KNOW THAT IT'S BACKED BY SERVICES AND TECHNOLOGY TYPICALLY UNAVAILABLE AT A SMALL HOSPITAL. EMERGENCY CARE, INPATIENT AND OUTPATIENT SURGERIES, REHABILITATION AND ADVANCED RADIOLOGY ARE ONLY A FEW OF THE SERVICES OFFERED. THESE SERVICES ARE PROVIDED BY A SKILLED AND CARING STAFF THAT HAS WON NUMEROUS AWARDS FOR PATIENT SATISFACTION.ADVOCATE EUREKA ALSO PROMOTES THE HEALTH OF THE COMMUNITY THROUGH ITS RECYCLING EFFORTS. USED PRINTER CARTRIDGES ARE COLLECTED AND DONATED DIRECTLY TO SPECIAL OLYMPICS. IN ADDITION, THE HOSPITAL DONATES USED MEDICAL EQUIPMENT AND FURNITURE, AND HAS MADE IMPROVEMENTS TO REDUCE ENERGY, SOLID AND MEDICAL WASTE USAGE. IN ADDITION, THE HOSPITAL SPONSORS COMMUNITY RACES TO PROMOTE HEALTH AWARENESS AND ENGAGES IN FUNDRAISING EFFORTS TO IMPROVE THE HEALTH OF THE COMMUNITY. MEMBERS OF THE HOSPITAL'S EXECUTIVE OR LEADERSHIP TEAM SERVE ON MULTIPLE COMMUNITY BOARDS THAT WILL HELP EITHER DIRECTLY OR INDIRECTLY IMPROVE THE HEALTH OF THE COMMUNITY, SUCH AS THE WOODFORD COUNTY FOOD PANTRY, EUREKA BUSINESS ASSOCIATION, EMERGENCY MANAGEMENT SERVICES AND THE ROTARY CLUB. IN ADDITION TO THE ABOVE EFFORTS TO PROMOTE THE HEALTH OF THE COMMUNITY, ADVOCATE EUREKA HAD TWO SIGNIFICANT CAPITAL PROJECTS OR EXPENSES FROM JANUARY 1 JUNE 30, 2020 THAT IMPROVED PATIENT CARE, INCLUDING 1) TELE REHAB VERSA FOR SURGERY; AND 2) THE PADNET ABI WITH EXERCISE SYSTEM FOR RADIOLOGY.

Schedule I IRS990ScheduleI

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

Recipient Table RecipientTable (95 entries)

Address Line1USAddress/AddressLine1Txt	CityUSAddress/CityNm	State AbbreviationUSAddress/StateAbbreviationCd	ZIPUSAddress/ZIPCd	Recipient EINRecipientEIN	IRC SectionIRCSectionDesc	Cash GrantCashGrantAmt	Purpose Of GrantPurposeOfGrantTxt
ALZHEIMERS ASSOCIATION
850 ESSINGTON ROAD SUITE 200	JOLIET	IL	60435	133039601	501(C)(3)	$5,500	SPONSOR EVENTS
AMERICAN CANCER SOCIETY
225 N MICHIGAN AVE SUITE 1200	CHICAGO	IL	60601	131788491	501(C)(3)	$25,000	SPONSOR EVENTS
AMERICAN HEART ASSOCIATION
PO BOX 50035	PRESCOTT	AZ	863045035	135613797	501(C)(3)	$25,000	SPONSOR EVENTS
ACADEMY OF SCHOLASTIC ACHIEVEMENT
4651 W MADISON	CHICAGO	IL	60644	363738243	501(C)(3)	$35,000	SUPPORT EXEMPT MISSION
BARRINGTON CHILDRENS CHARITIES
145 W MAIN ST 204	BARRINGTON	IL	60010	270963289	501(C)(3)	$10,000	SUPPORT EXEMPT MISSION
BETHEL NEW LIFE
4950 W THOMAS	CHICAGO	IL	60651	363013241	501(C)(3)	$35,000	SUPPORT EXEMPT MISSION
BREAKTHROUGH URBAN MINISTRIES
402 N ST LOUIS AVE	CHICAGO	IL	60624	363810926	501(C)(3)	$35,000	SUPPORT EXEMPT MISSION
CASA CENTRAL
1343 N CALIFORNIA AVE	CHICAGO	IL	60622	362728618	501(C)(3)	$35,000	SUPPORT EXEMPT MISSION
CHICAGO AMACHI MENTORING PROGRAM
3508 W OGDEN AVE	CHICAGO	IL	60623	260907131	501(C)(3)	$17,500	SUPPORT EXEMPT MISSION
CHICAGO JESUIT ACADEMY
5058 W JACKSON BLVD	CHICAGO	IL	60644	202091040	501(C)(3)	$17,500	SUPPORT EXEMPT MISSION
CHICAGO URBAN LEAGUE
4510 SOUTH MICHIGAN AVENUE	CHICAGO	IL	60653	362225483	501(C)(3)	$10,000	SPONSOR EVENTS
CHICAGO CARES
2 N RIVERSIDE DR PLZ STE 1800	CHICAGO	IL	60606	363777709	501(C)(3)	$250,000	SUPPORT EXEMPT MISSION
CHOOSE DUPAGE
2525 CABOT DRIVE SUITE 303	LISLE	IL	60532	320177792	501(C)(3)	$10,000	COMMUNITY SUPPORT
CIRCLE URBAN MINISTRIES
118 N CENTRAL AVE	CHICAGO	IL	60644	363136997	501(C)(3)	$22,500	SUPPORT EXEMPT MISSION
COLLEGE MENTORING EXPERIENCE
5800 W ADAMS ST	CHICAGO	IL	60644	465578549	501(C)(3)	$27,500	SUPPORT EXEMPT MISSION
COMMUNITY HEALTH
2611 W CHICAGO AVE	CHICAGO	IL	60622	363831793	501(C)(3)	$30,000	SUPPORT EXEMPT MISSION
CONNECTIONS FOR ABUSED WOMEN AND CHILDREN
1116 N KEDZIE AVENUE	CHICAGO	IL	60651	362950380	501(C)(3)	$22,500	SUPPORT EXEMPT MISSION
CRISTO REY JESUIT HIGH SCHOOL
1852 WEST 22ND PLACE	CHICAGO	IL	60608	043730980	501(C)(3)	$81,340	SUPPORT EXEMPT MISSION
DUPAGE HEALTH COALITION
511 THORNHILL DRIVE SUITE M	CAROL STREAM	IL	60188	364448208	501(C)(3)	$414,884	SUPPORT EXEMPT MISSION
ERIE ELEMENTARY CHARTER SCHOOL
1405 N WASHTENAW	CHICAGO	IL	60622	371504399	501(C)(3)	$30,000	SUPPORT EXEMPT MISSION
FOX VALLEY HANDS OF HOPE
200 WHITFIELD DRIVE	GENEVA	IL	60134	363111451	501(C)(3)	$20,000	SCHOLARSHIP FUNDING
FREE SPIRIT MEDIA
906 S HOMAN AVE FLOOR 5	CHICAGO	IL	60624	364456215	501(C)(3)	$20,000	SUPPORT EXEMPT MISSION
GARDENEERS
3414 W ROOSEVELT RD	CHICAGO	IL	60624	464651665	501(C)(3)	$27,500	SUPPORT EXEMPT MISSION
HEALTHY SCHOOLS CAMPAIGN
175 N FRANKLIN SUITE 300	CHICAGO	IL	60606	364308068	501(C)(3)	$25,000	SPONSOR EVENTS
HOLY FAMILY MINISTRIES
3415 W ARTHINGTON	CHICAGO	IL	60624	364320533	501(C)(3)	$35,000	SUPPORT EXEMPT MISSION
I AM ABLE CENTER FOR FAMILY DEVELOPMENT INC
3408 W ROOSEVELT RD	CHICAGO	IL	60624	363861251	501(C)(3)	$27,500	SUPPORT EXEMPT MISSION
IHREF
24676 NETWORK PLACE	CHICAGO	IL	606731246	237421930	501(C)(3)	$1,711,794	SUPPORT EXEMPT MISSION
IMANI VILLAGE (CHURCH OF CHRIST)
400 W 95TH ST	CHICAGO	IL	60628	362879287	501(C)(3)	$10,000	SUPPORT EXEMPT MISSION
INSTITUTE FOR NONVIOLENCE CHICAGO
4926 WEST CHICAGO AVENUE	CHICAGO	IL	60651	811098722	501(C)(3)	$25,000	SUPPORT EXEMPT MISSION
JOINT CENTER FOR POLITICAL AND ECONOMIC STUDIES INC
633 PENNSYLVANIA AVE NW	WASHINGTON	DC	20004	521069070	501(C)(3)	$25,000	SUPPORT EXEMPT MISSION
JOURNEYCARE FOUNDATION
2050 CLAIRE CT	GLENVIEW	IL	60025	363820916	501(C)(3)	$6,000	SUPPORT EXEMPT MISSION
KIPP CHICAGO
2007 SOUTH HALSTED STREET	CHICAGO	IL	60608	300135927	501(C)(3)	$22,500	SUPPORT EXEMPT MISSION
KOHL CHILDRENS MUSEUM
2100 PATRIOT BOULEVARD	GLENVIEW	IL	60026	363706878	501(C)(3)	$7,900	SPONSOR EVENTS
LEGAL PREP CHARTER ACADEMIES
4319 W WASHINGTON BLVD	CHICAGO	IL	60647	271071296	501(C)(3)	$22,500	SUPPORT EXEMPT MISSION
LAWNDALE CHRISTIAN HEALTH CENTER
3860 W OGDEN AVE	CHICAGO	IL	60623	363308953	501(C)(3)	$35,000	SUPPORT EXEMPT MISSION
LAWNDALE CHRISTIAN LEGAL CENTER
1530 S HAMLIN AVE	CHICAGO	IL	60623	272285007	501(C)(3)	$35,000	SUPPORT EXEMPT MISSION
LEADERSHIP GREATER CHICAGO
111 E WACKER DR STE 1220	CHICAGO	IL	60601	363293207	501(C)(3)	$775,000	SUPPORT EXEMPT MISSION
MARCH OF DIMES FOUNDATION
141 W JACKSON BLVD SUITE 1875	CHICAGO	IL	60604	131846366	501(C)(3)	$10,000	SPONSOR EVENTS
MARILLAC ST VINCENT FAMILY SERVICES
212 S FRANCISCO AVE	CHICAGO	IL	60612	362109717	501(C)(3)	$22,500	SUPPORT EXEMPT MISSION
MCHENRY COUNTY COLLEGE FDN
8900 US HWY 14	CRYSTAL LAKE	IL	60012	237418071	501(C)(3)	$6,000	SUPPORT EXEMPT MISSION
NATIONAL MEDICAL FELLOWSHIPS
12 E 46TH STREET SUITE 5E	NEW YORK	NY	10017	010963657	501(C)(3)	$10,000	SUPPORT EXEMPT MISSION
NATL KIDNEY FOUNDATION OF IL
215 WEST ILLINOIS SUITE 1C	CHICAGO	IL	60654	366009226	501(C)(3)	$5,500	SUPPORT EXEMPT MISSION
NEW MOMS INC
5317 W CHICAGO AVE	CHICAGO	IL	60651	363265804	501(C)(3)	$15,000	SUPPORT EXEMPT MISSION
NEOPOLITAN LIGHTHOUSE
PO BOX 24709	CHICAGO	IL	60624	363309888	501(C)(3)	$35,000	SUPPORT EXEMPT MISSION
NORTH LAWNDALE COLLEGE PREPARATORY CHARTER HIGH SCHOOL
1313 S SACRAMETO	CHICAGO	IL	60623	364229548	501(C)(3)	$35,000	SUPPORT EXEMPT MISSION
NORTH LAWNDALE EMPLOYMENT NETWORK
3726 W FLOURNY	CHICAGO	IL	60624	364295189	501(C)(3)	$35,000	SUPPORT EXEMPT MISSION
SINAI HEALTH SYSTEMS
1500 S FAIRFIELD AVE F-125	CHICAGO	IL	60608	363166895	501(C)(3)	$16,250	SUPPORT EXEMPT MISSION
SPECIAL OLYMPICS ILLINOIS
500 WATERS EDGE SUITE 100	LOMBARD	IL	60148	362922811	501(C)(3)	$25,000	SPONSOR EVENTS
STROKE SURVIVORS EMPOWERING
PO BOX 855	LOMBARD	IL	601480855	271925734	501(C)(3)	$10,000	SUPPORT EXEMPT MISSION
SOUTH SUBURBAN PADS
4411 W GATLING BLVD	COUNTRY CLUB HILLS	IL	60478	363744405	501(C)(3)	$10,000	SUPPORT EXEMPT MISSION
TAPROOTS INC
2718 W ADAMS ST	CHICAGO	IL	60612	363041825	501(C)(3)	$35,000	SUPPORT EXEMPT MISSION
THE BOULEVARD OF CHICAGO
3456 WEST FRANKLIN BOULEVARD	CHICAGO	IL	60624	364075641	501(C)(3)	$25,000	SUPPORT EXEMPT MISSION
THE PEACE CORNER YOUTH CENTER
5022 W MADISON	CHICAGO	IL	60644	202940156	501(C)(3)	$35,000	SUPPORT EXEMPT MISSION
THE UNIVERSITY OF CHICAGO (MEDICAL CENTER)
150 HARVESTER DR STE 300	BURR RIDGE	IL	60527	363488183	501(C)(3)	$54,750	GRANT FOR CURE VIOLENCE
TURNING THE PAGE
906 SOUTH HOMAN AVENUE 6TH FLOOR	CHICAGO	IL	60624	522081934	501(C)(3)	$25,000	SUPPORT EXEMPT MISSION
UCAN
3605 W FILLMORE ST	CHICAGO	IL	60624	362167937	501(C)(3)	$35,000	SUPPORT EXEMPT MISSION
VILLAGE OF OAK LAWN
6451 WEST 93RD PLACE	OAK LAWN	IL	60453	366006024	501(C)(3)	$700,000	COMMUNITY SUPPORT
WEST TOWN BIKES
2459 W DIVISION	CHICAGO	IL	60622	204767185	501(C)(3)	$12,500	SUPPORT EXEMPT MISSION
WORLD BUSINESS CHICAGO
177 N STATE STREET SUITE 500	CHICAGO	IL	60601	364313685	501(C)(3)	$29,500	SUPPORT EXEMPT MISSION
ALGONQUIN LAKE IN THE HILS (CHAMBER OF COMMERCE)
2200 HARNISH DR	LAKE IN THE HILLS	IL	60102	363549075	501(C)(3)	$6,900	COMMUNITY SUPPORT
ALLIANCE OF LOCAL SERVICE ORGANIZATIONS
2401 W NORTH AVE	CHICAGO	IL	60647	364207887	501(C)(3)	$35,000	SUPPORT EXEMPT MISSION
WEST SUBURBAN COMMUNITY PANTRY
6809 HOBSON VALLEY DR118	WOODRIDGE	IL	60517	363857072	501(C)(3)	$12,000	SUPPORT EXEMPT MISSION
WAUBONSEE COMMUNITY COLLEGE
RTE 47 AT WAUBONSEE DR	SUGAR GROVE	IL	60554	366153030	501(C)(3)	$6,000	SUPPORT EXEMPT MISSION
AMITA HEALTH MERCY MEDICAL CTR
1000 REMINGTON BLVD STE 100	BOLINGBROOK	IL	60440	364195126	501(C)(3)	$15,000	SCHOLARSHIP FUNDING
BUILD INC
5100 W HARRISON ST	CHICAGO	IL	60644	237022085	501(C)(3)	$15,000	SUPPORT EXEMPT MISSION
BY THE HAND CLUB FOR KIDS
415 N LARAMIE AVE	CHICAGO	IL	60644	203144284	501(C)(3)	$35,000	SUPPORT EXEMPT MISSION
CENTER OF CONCERN
1665 ELK BLVD	DES PLAINES	IL	60016	362984360	501(C)(3)	$6,250	SPONSOR EVENTS
CHICAGO COMMUNITY TRUST
225 N MICHIGAN AVE SUITE 2200	CHICAGO	IL	60601	363432023	501(C)(3)	$72,000	SUPPORT EXEMPT MISSION
CHICAGO FOUNDATION FOR WOMEN
140 S DEARBORN ST STE 400	CHICAGO	IL	60603	363348160	501(C)(3)	$201,500	SUPPORT EXEMPT MISSION
CHICAGO UNITED INC
300 E RANDOLPH ST STE CL290	CHICAGO	IL	60601	362770509	501(C)(3)	$10,000	SUPPORT EXEMPT MISSION
CHILDRENS DISCOVERY MUSEUM FND
11 UPTOWN CIRCLE	NORMAL	IL	61761	371288369	501(C)(3)	$20,000	SUPPORT EXEMPT MISSION
CHRIST THE KING JESUIT COLLEGE PREP
5088 W JACKSON BLVD	CHICAGO	IL	60644	260556958	501(C)(3)	$35,000	SUPPORT EXEMPT MISSION
CLARETIAN ASSOCIATES INC
9108 S BRANDON AVE	CHICAGO	IL	60617	364087259	501(C)(3)	$10,000	SUPPORT EXEMPT MISSION
CLUSTER TUTORING PROGRAM
5460 W AUGUSTA BLVD	CHICAGO	IL	60651	363835179	501(C)(3)	$35,000	SUPPORT EXEMPT MISSION
COMMUNITY CHRISTIAN ALTERNATIVE ACADEMY
1231 S PULASKI RD	CHICAGO	IL	60623	363001358	501(C)(3)	$35,000	SUPPORT EXEMPT MISSION
CRYSTAL LAKE CHAMBER OF COMM
427 VIRGINIA ST	CRYSTAL LAKE	IL	60014	362550889	501(C)(3)	$12,000	COMMUNITY SUPPORT
DEMOCRATIC PARTY OF ILLINOIS
PO BOX 518	SPRINGFIELD	IL	62705	364073402	N/A	$19,546	SPONSORS EVENT
DUPAGE PADS INC
601 W LIBERTY	WHEATON	IL	60187	363675494	501(C)(3)	$7,500	SUPPORT EXEMPT MISSION
EUREKA COLLEGE
300 E COLLEGE AVE	EUREKA	IL	61530	370673484	501(C)(3)	$20,000	SUPPORT EXEMPT MISSION
GARFIELD PARK CONSERVATORY ALLIANCE
300 N CENTRAL PARK AVE	CHICAGO	IL	60624	364200490	501(C)(3)	$35,000	SUPPORT EXEMPT MISSION
GIRLS IN THE GAME
1401 S SACRAMENTO DR	CHICAGO	IL	60623	364024533	501(C)(3)	$35,000	SUPPORT EXEMPT MISSION
GREATER CHICAGO FOOD (DEPOSITORY)
4100 W ANN LURIE PL	CHICAGO	IL	60632	362971864	501(C)(3)	$10,000	SUPPORT EXEMPT MISSION
GRAND PRAIRIE SERVICES
17746 PAK PARK AVE	TINLEY PARK	IL	60477	363428755	501(C)(3)	$10,000	SUPPORT EXEMPT MISSION
GREATER WEST TOWN COMMUNITY DEVELOPMENT PROJECT
500 N SACRAMENTO BLVD	CHICAGO	IL	60612	363657734	501(C)(3)	$35,000	SUPPORT EXEMPT MISSION
HARPER COLLEGE EDUC FOUNDATION
1200 WEST ALGONQUIN RD	PALATINE	IL	60067	237348228	501(C)(3)	$9,500	SUPPORT EXEMPT MISSION
NEIGHBORSPACE
455 N SACRAMENTO	CHICAGO	IL	60612	364105593	501(C)(3)	$35,000	SUPPORT EXEMPT MISSION
NORTHERN ILLINOIS FOOD BANK
273 DEARBORN CT	GENEVA	IL	60134	363203648	501(C)(3)	$10,000	SUPPORT EXEMPT MISSION
NORTHWEST SIDE HOUSING CENTER
5233 W DIVERSEY AVE	CHICAGO	IL	60639	201413891	501(C)(3)	$10,000	SUPPORT EXEMPT MISSION
PEDRO ALBIZU CAMPOS PUERTO RICAN HIGH SCHOOL
2739 W DIVISION ST	CHICAGO	IL	60622	232754514	501(C)(3)	$35,000	SUPPORT EXEMPT MISSION
PROACTIVE KIDS FOUNDATION
1101 S BATAVIA AVE	GENEVA	IL	60134	371556796	501(C)(3)	$6,000	SUPPORT EXEMPT MISSION
RESTORATION MINISTRIES INC
253 E 159TH ST	HARVEY	IL	60426	363552070	501(C)(3)	$10,000	SUPPORT EXEMPT MISSION
TRINITY UNITED (CHURCH OF CHRIST)
400 W 95TH ST	CHICAGO	IL	60628	362879287	501(C)(3)	$21,718	SUPPORT EXEMPT MISSION
UNITED WAY OF METROPOLITAN (CHICAGO)
333 S WABASH AVE FLOOR 30	CHICAGO	IL	60604	300200478	501(C)(3)	$15,000	SUPPORT EXEMPT MISSION
YOUNG MENS EDUCATIONAL NETWORK
1241 S PULASKI RD	CHICAGO	IL	60623	364124098	501(C)(3)	$35,000	SUPPORT EXEMPT MISSION
ADVOCATE HEALTH CARE NETWORK
3075 HIGHLAND PARKWAY	DOWNERS GROVE	IL	60515	362167779	501(C)(3)	$75,000,000	SUPPORT EXEMPT MISSION

Field	Value	IRS element (for citing)
Total501c3 Org	94	Total501c3OrgCnt
Total Other Org	1	TotalOtherOrgCnt

Schedule J IRS990ScheduleJ

Field	Value	IRS element (for citing)
First Class Or Charter Travel	Yes (X)	FirstClassOrCharterTravelInd
Housing Allowance Or Residence	Yes (X)	HousingAllowanceOrResidenceInd
Club Dues Or Fees	Yes (X)	ClubDuesOrFeesInd
Personal Services	Yes (X)	PersonalServicesInd
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 (42 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
PRESIDENT, 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 SANTULLI
FORMER OFFICER	$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
HAMAD FARHAT MD
NEUROSURGEON	$1,850,000	$0	$0	$0	$126,322	$0	$8,550	$0	$30,360	$0	$2,015,232	$0	$0	$0
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
MICHAEL FARRELL
PRESIDENT OF ADVOCATE CHILDRENS HOSP	$822,103	$0	$578,013	$0	$45,141	$0	$132,337	$0	$28,360	$0	$1,605,954	$0	$126,525	$0
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
DEMETRIUS LOPES
NEUROSURGEON	$1,346,434	$0	$0	$0	-$4,140	$0	$8,550	$0	$24,806	$0	$1,375,650	$0	$0	$0
DEAN KARAHALIOS MD
NEUROSURGEON	$1,215,312	$0	$100,000	$0	-$2,614	$0	$8,550	$0	$29,115	$0	$1,350,363	$0	$0	$0
DOMINICA TALLARICO
FORMER KEY EMPLOYEE	$742,031	$0	$417,437	$0	$32,453	$0	$116,799	$0	$37,484	$0	$1,346,204	$0	$96,516	$0
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
EGON DOPPENBERG MD
NEUROSURGEON	$1,215,875	$0	$0	$0	-$2,598	$0	$8,550	$0	$28,581	$0	$1,250,408	$0	$0	$0
KAREN LAMBERT
FORMER KEY EMPLOYEE	$624,009	$0	$413,478	$0	$30,140	$0	$103,592	$0	$35,755	$0	$1,206,974	$0	$96,077	$0
RYAN TROMBLY MD
NEUROSURGEON	$988,282	$0	$119,241	$0	$35,844	$0	$8,550	$0	$29,557	$0	$1,181,474	$0	$0	$0
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
MICHEL ILBAWI MD
FORMER HIGHEST COMPENSATED	$900,000	$0	$152,236	$0	$6,313	$0	$8,550	$0	$24,186	$0	$1,091,285	$0	$0	$0
COLLEEN KANNADAY
FORMER KEY EMPLOYEE	$249,634	$0	$770,827	$0	$34,333	$0	$8,550	$0	$12,720	$0	$1,076,064	$0	$72,333	$0
RICHARD HEIM
FORMER KEY EMPLOYEE	$567,012	$0	$346,433	$0	$28,270	$0	$93,367	$0	$30,232	$0	$1,065,314	$0	$83,362	$0
LESLIE LENZO
ASSISTANT TREASURER	$579,502	$0	$264,550	$0	$62,116	$0	$92,380	$0	$11,410	$0	$1,009,958	$0	$80,332	$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
TERIKA R MBANU
FORMER KEY EMPLOYEE	$482,676	$0	$260,256	$0	$17,160	$0	$78,518	$0	$34,367	$0	$872,977	$0	$63,887	$0
SHELLY HART
ASSISTANT SECRETARY	$0	$503,641	$0	$221,328	$0	$32,158	$0	$95,306	$0	$18,178	$0	$870,611	$0	$91,432
NANCY M TINSLEY
FORMER KEY EMPLOYEE	$495,335	$0	$187,127	$0	$23,529	$0	$79,694	$0	$17,542	$0	$803,227	$0	$57,786	$0
REV KATHIE BENDER 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	$399,917	$0	$174,832	$0	$25,480	$0	$67,207	$0	$26,076	$0	$693,512	$0	$55,763	$0
MATTHEW PRIMACK
FORMER KEY EMPLOYEE	$0	$419,466	$0	$158,623	$0	$16,585	$0	$66,769	$0	$29,905	$0	$691,348	$0	$52,735
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
RASHARD JOHNSON
FORMER KEY EMPLOYEE	$376,511	$0	$131,430	$0	$20,037	$0	$62,064	$0	$10,900	$0	$600,942	$0	$43,622	$0
RICHARD SCOTT
FORMER HIGHEST COMPENSATED	$0	$0	$277,745	$0	$276,237	$0	$0	$0	$14,231	$0	$568,213	$0	$41,145	$0
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 SACKS MD
FORMER OFFICER	$0	$0	$0	$358,179	$0	$179,456	$0	$0	$0	$390	$0	$538,025	$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	$122,952	$0	$136,436	$0	$0	$0	$4,054	$0	$263,442	$0	$0	$0
KENNETH LUKHARD
FORMER KEY EMPLOYEE	$0	$0	$129,209	$0	$10,385	$0	$0	$0	$1,982	$0	$141,576	$0	$0	$0
DAVID FOX JR
FORMER KEY EMPLOYEE	$0	$0	$136,574	$0	$0	$0	$0	$0	$37	$0	$136,611	$0	$0	$0
BRUCE D SMITH
FORMER OFFICER	$0	$0	$122,721	$0	$0	$0	$0	$0	$37	$0	$122,758	$0	$0	$0
RICHARD B FLOYD
FORMER KEY EMPLOYEE	$0	$0	$115,311	$0	$0	$0	$0	$0	$0	$0	$115,311	$0	$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 SERVERANCE PAYMENT IN THE AMOUNT OF $116,346. SUSAN CAMPBELL, FORMER DIRECTOR, RECEIVED A SEVERANCE PAYMENT IN THE AMOUNT OF $137,500. KENNETH W. LUKHARD, FORMER PRESIDENT, RECEIVED A SEVERANCE PAYMENT IN THE AMOUNT OF $10,385. LEE B. SACKS, FORMER CHIEF MEDICAL OFFICER, RECEIVED A SEVERANCE PAYMENT IN THE AMOUNT OF $179,809. RICHARD SCOTT, FORMER SVP CLINICAL, RECEIVED A SEVERANCE PAYMENT IN THE AMOUNT OF $280,000. 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 K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
ILLINOIS HEALTH FACILITIES AUTHORITY
A	362780046	45200PXH5	2003-10-29	$115,000,000	SEE SCHEDULE K PART VI	0	0	0
ILLINOIS FINANCE AUTHORITY
B	861091967	75204E7J1	2020-01-15	$42,043,187	SEE SCHEDULE K PART VI	0	0	0
ILLINOIS FINANCE AUTHORITY
C	861091967	45204EY93	2019-05-01	$42,794,542	SEE SCHEDULE K PART VI	0	0	0
ILLINOIS FINANCE AUTHORITY
D	861091967	45200FAZ2	2007-10-10	$348,000,000	SEE SCHEDULE K PART VI	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Capital ExpendituresCapitalExpendituresAmt	Other Spent ProceedsOtherSpentProceedsAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	UnspentUnspentAmt	Credit EnhancementCreditEnhancementAmt
A	$104,540,000	$116,432,024	$1,034,454	$111,807,084	$3,590,486	2005	0	Yes (1)	Yes (1)
B		$42,043,187			$42,043,187	2009	Yes (1)	Yes (1)	Yes (1)
C		$42,794,542				2009	Yes (1)	Yes (1)	Yes (1)	$42,794,542
D	$76,235,000	$352,851,959	$2,331,125	$154,520,722	$192,581,505	2009	Yes (1)	Yes (1)	Yes (1)		$3,418,607

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Total Private Business UseTotalPrivateBusinessUsePct	Change In Use Bond Financed PropChangeInUseBondFinancedPropInd	Change In Use Bond Financed PropChangeInUseBondFinancedPropPct	Remedial Action TakenRemedialActionTakenInd	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
A	Yes (1)	Yes (1)	0.00100	0.00100	Yes (1)	0.00600	Yes (1)	Yes (1)
B	Yes (1)	Yes (1)	0.00100	0.00100	0			Yes (1)
C	Yes (1)	Yes (1)	0.00100	0.00100	0			Yes (1)
D	Yes (1)	Yes (1)	0.00100	0.00100	Yes (1)	0.01400	Yes (1)	Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Form8038 T FiledForm8038TFiledInd	Rebate Not Due YetRebateNotDueYetInd	Exception To RebateExceptionToRebateInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Hedge Identified In Bks And RecHedgeIdentifiedInBksAndRecInd	Gross Proceeds Invested In GICGrossProceedsInvestedInGICInd	Gross Proceeds InvestedGrossProceedsInvestedInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd	Term Of HedgeTermOfHedgePct	Superintegrated HedgeSuperintegratedHedgeInd	Hedge TerminatedHedgeTerminatedInd	Business Name Line1GICProviderName/BusinessNameLine1Txt	Business Name Line2GICProviderName/BusinessNameLine2Txt	Term Of GICTermOfGICPct	Regulatory Safe Harbor StsfdRegulatorySafeHarborStsfdInd
(no name)
A	0	0	0	Yes (1)	Yes (1)	0	0	0	Yes (1)
(no name)
B	0	0	Yes (1)	Yes (1)	Yes (1)	0	0	0	Yes (1)
(no name)
C	0	0	Yes (1)	Yes (1)	Yes (1)	0	0	0	Yes (1)
SEE PART VI
D	0	0	Yes (1)	Yes (1)	Yes (1)	Yes (1)	Yes (1)	0	Yes (1)	26.800000000000	0	0	TRINITY PLUS	FUNDING	2.100000000000	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (1)
B	Yes (1)
C	Yes (1)
D	Yes (1)

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
ILLINOIS FINANCE AUTHORITY
A	861091967	45203HCM2	2011-09-21	$12,453,367	SEE SCHEDULE K PART VI	0	0	0
ILLINOIS FINANCE AUTHORITY
B	861091967	45203HCA8	2011-09-21	$201,774,238	SEE SCHEDULE K PART VI	Yes (1)	0	0
ILLINOIS FINANCE AUTHORITY
C	861091967	45203HNJ7	2012-11-29	$150,003,863	SEE SCHEDULE K PART VI	Yes (1)	0	0
ILLINOIS FINANCE AUTHORITY
D	861091967	45203HUC4	2013-08-08	$103,136,955	SEE SCHEDULE K PART VI	Yes (1)	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Total ProceedsTotalProceedsAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Other Spent ProceedsOtherSpentProceedsAmt	Substantial CompletionSubstantialCompletionYr	Refunding Tax Exempt BondsRefundingTaxExemptBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Bond DefeasedBondDefeasedAmt	Capital ExpendituresCapitalExpendituresAmt
A	$11,210,000	$12,453,367	$130,427	$12,322,940	2011	Yes (1)	Yes (1)	Yes (1)
B	$830,000	$202,235,524	$1,649,390	$124,879	2013	0	Yes (1)	Yes (1)	$32,085,000	$200,461,255
C		$150,184,694	$1,646,514	$44,206	2014	0	Yes (1)	Yes (1)	$107,110,000	$148,493,974
D	$9,220,000	$103,146,877	$1,285,192	$12,160	2015	0	Yes (1)	Yes (1)	$44,810,000	$101,849,526

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (3 entries)

Bond ReferenceBondReferenceCd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Total Private Business UseTotalPrivateBusinessUsePct	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
B	Yes (1)	Yes (1)	0.00010	0.00010	Yes (1)
C	Yes (1)	Yes (1)			Yes (1)
D	Yes (1)	Yes (1)	0.00030	0.00030	Yes (1)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	Yes (1)	Yes (1)	Yes (1)
B	Yes (1)	Yes (1)	Yes (1)
C	Yes (1)	0	Yes (1)
D	Yes (1)	0	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (1)
B	Yes (1)
C	Yes (1)
D	Yes (1)

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCd	Bond Issuer EINBondIssuerEIN	CUSIPCUSIPNum	Bond IssuedBondIssuedDt	Issue PriceIssuePriceAmt	PurposePurposeDesc	DefeasedDefeasedInd	On Behalf Of IssuerOnBehalfOfIssuerInd	Pool FinancingPoolFinancingInd
ILLINOIS FINANCE AUTHORITY
A	861091967	45203HE40	2014-12-18	$341,558,564	SEE SCHEDULE K PART VI	Yes (1)	0	0
ILLINOIS FINANCE AUTHORITY
B	861091967	45203H4J8	2015-09-24	$104,517,375	SEE SCHEDULE K PART VI	0	0	0
ILLINOIS FINANCE AUTHORITY
C	861091967	45203H6T4	2015-10-22	$73,276,988	SEE SCHEDULE K PART VI	0	0	0
WISCONSIN HEALTH & ED FACILITIES AUTHORITY
D	391337855	97712DP34	2018-08-16	$520,918,343	SEE SCHEDULE K, PART VI	0	0	0

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCd	RetiredRetiredAmt	Bond DefeasedBondDefeasedAmt	Total ProceedsTotalProceedsAmt	Issuance Costs From ProceedsIssuanceCostsFromProceedsAmt	Other Spent ProceedsOtherSpentProceedsAmt	Substantial CompletionSubstantialCompletionYr	Refunding Taxable BondsRefundingTaxableBondsInd	Final Allocation MadeFinalAllocationMadeInd	Adequate Books And Rec MaintAdequateBooksAndRecMaintInd	Capital ExpendituresCapitalExpendituresAmt
A	$18,255,000	$147,580,000	$353,041,187	$2,627,651	$350,413,536	2015	Yes (1)	Yes (1)	Yes (1)
B		$13,850,000	$104,528,531	$1,436,749	$23,136	2016	0	Yes (1)	Yes (1)	$103,068,646
C		$55,810,000	$75,569,387	$715,867	$74,853,520	2016	Yes (1)	Yes (1)	Yes (1)
D			$520,919,019		$26,728	2018	0	Yes (1)	Yes (1)	$520,892,291

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCd	Any Lease ArrangementsAnyLeaseArrangementsInd	Mgmt Contract Bond Fincd PropMgmtContractBondFincdPropInd	Any Research AgreementsAnyResearchAgreementsInd	Private Bus Use By OthersPrivateBusUseByOthersPct	Total Private Business UseTotalPrivateBusinessUsePct	Procs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd	Engage Bond Counsel ResearchEngageBondCounselResearchInd
A	Yes (1)	Yes (1)	0	0.01200	0.01200	Yes (1)
B	Yes (1)	Yes (1)	0	0.00020	0.00020	Yes (1)
C	Yes (1)	Yes (1)	0			Yes (1)
D	Yes (1)	Yes (1)	Yes (1)	0.01200	0.01200	Yes (1)	0

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCd	Rebate Not Due YetRebateNotDueYetInd	No Rebate DueNoRebateDueInd	Variable Rate IssueVariableRateIssueInd	Written Proc To Monitor ReqsWrittenProcToMonitorReqsInd
A	0	Yes (1)	0	Yes (1)
B	Yes (1)	0	0	Yes (1)
C	Yes (1)	0	0	Yes (1)
D	Yes (1)	0	Yes (1)	Yes (1)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCd	Procedures Corrective ActionProceduresCorrectiveActionInd
A	Yes (1)
B	Yes (1)
C	Yes (1)
D	Yes (1)

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd

Issuer Name IssuerName

Field	Value	IRS element (for citing)
Business Name Line1	ILLINOIS FINANCE AUTHORITY	BusinessNameLine1Txt

Field	Value	IRS element (for citing)
Bond Issuer EIN	861091967	BondIssuerEIN
CUSIP	45204E7K8	CUSIPNum
Bond Issued	2020-02-12	BondIssuedDt
Issue Price	$35,487,997	IssuePriceAmt
Defeased	0	DefeasedInd
On Behalf Of Issuer	0	OnBehalfOfIssuerInd
Pool Financing	0	PoolFinancingInd

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp

Field	Value	IRS element (for citing)
Bond Reference	A	BondReferenceCd
Total Proceeds	$35,487,997	TotalProceedsAmt
Other Spent Proceeds	$35,487,997	OtherSpentProceedsAmt
Unspent	$2,009	UnspentAmt
Refunding Tax Exempt Bonds	Yes (1)	RefundingTaxExemptBondsInd
Refunding Taxable Bonds	0	RefundingTaxableBondsInd
Final Allocation Made	Yes (1)	FinalAllocationMadeInd
Adequate Books And Rec Maint	Yes (1)	AdequateBooksAndRecMaintInd

Schedule L IRS990ScheduleL

Grnt Asst Bnft Interested Prsn GrntAsstBnftInterestedPrsnGrp

Field	Value	IRS element (for citing)
Person	ROBERT SKOGSBERGH	PersonNm
Relationship With Org	FAMILY MEMBER- JAMES SKOGSBERGH	RelationshipWithOrgTxt
Cash Grant	$50,954	CashGrantAmt
Type Of Assistance	SALARY	TypeOfAssistanceTxt
Assistance Purpose	INTERNSHIP	AssistancePurposeTxt

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (13 entries)

Relationship DescriptionRelationshipDescriptionTxt	TransactionTransactionAmt	TransactionTransactionDesc	Sharing Of RevenuesSharingOfRevenuesInd
JULIE NAKIS
FAMILY MEMBER - DOMINIC J. NAKIS	$120,204	EMPLOYMENT	0
MICHAEL MAHONEY
FAMILY MEMBER - DOMINIC J. NAKIS	$91,944	EMPLOYMENT	0
ANNA KATZ
FAMILY MEMBER - LEE SACKS	$434,810	EMPLOYMENT	0
IBEAWUCHI MBANU
FAMILY MEMBER - TERIKA RICHARDSON	$468,510	EMPLOYMENT	0
KRISTINE ARIAS
FAMILY MEMBER - JOHN TIMMER	$33,163	EMPLOYMENT	0
RAFAEL ARIAS
FAMILY MEMBER - JOHN TIMMER	$146,729	EMPLOYMENT	0
MEGAN SKOGSBERGH
FAMILY MEMBER - JAMES SKOGSBERGH	$69,824	EMPLOYMENT	0
DIANE DOHENY
FAMILY MEMBER - JAMES DOHENY	$62,888	EMPLOYMENT	0
JESSICA SLINKMAN
FAMILY MEMBER - HAROLD SLINKMAN	$66,439	EMPLOYMENT	0
WAYNE M GOLDSTEIN
FAMILY MEMBER- JEFF GOLDSTEIN	$171,930	EMPLOYMENT	0
EMILY A EICH
FAMILY MEMBER -WILLIAM EICH	$48,158	EMPLOYMENT	0
SHARON C CURRY
FAMILY MEMBER YEHIEL CURRY	$57,480	EMPLOYMENT	0
WALTER NALIWAJKO
FAMILY MEMBER - KAREN MOORE NALIWAJKO	$99,343	EMPLOYMENT	0

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (15 entries)

Form And Line ReferenceFormAndLineReferenceDesc	ExplanationExplanationTxt
FORM 990, PART III, LINE 4A, PROGRAM SERVICE ACCOMPLISHMENTS CONTINUED:	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. ADVOCATE HEALTH CARE IS DEDICATED TO PROVIDING EXPERT EMERGENCY CARETODAY AND INTO THE FUTURE. IN THE AREA OF TRAUMA CARE, LEVEL 1 DESIGNATION IS THE HIGHEST LEVEL FOR TRAUMA CENTERS. AS LEVEL 1 TRAUMA CENTERS, FIVE ADVOCATE HOSPITALSADVOCATE CHRIST, ADVOCATE CONDELL, ADVOCATE GOOD SAMARITAN, ADVOCATE ILLINOIS MASONIC AND ADVOCATE LUTHERAN GENERALCARE FOR THE MOST SERIOUSLY INJURED PEOPLE IN CHICAGOLAND. AS IS THE CASE WITH ALL ILLINOIS LEVEL I TRAUMA CENTERS, ADVOCATE'S TRAUMA CENTERS ARE STAFFED BY ON-SITE, 24-HOUR-A-DAY TRAUMA SURGEONS; FEATURE 24-HOUR SURGICAL AND NONSURGICAL SERVICES, SUCH AS RADIOLOGY AND ANESTHESIA; AND CAN ACCOMMODATE HELICOPTER TRANSPORTS. ADVOCATE OPERATES NEARLY ONE-QUARTER OF ALL LEVEL I TRAUMA CENTERS IN ILLINOIS AND IS THE LARGEST TRAUMA SYSTEM IN THE STATE. TWENTY PERCENT OF TRAUMA PATIENTS IN METROPOLITAN CHICAGO ARE TREATED ANNUALLY IN AN ADVOCATE TRAUMA CENTER. IN 2019 , ADVOCATE'S LEVEL I TRAUMA HOSPITALS TREATED 10,524 TRAUMA PATIENTS. AN ADDITIONAL 2,025 TRAUMA PATIENTS WERE TREATED AT ADVOCATE'S LEVEL II DESIGNATED TRAUMA HOSPITALSADVOCATE BROMENN, ADVOCATE GOOD SHEPHERD AND ADVOCATE SHERMAN. IN ADDITION TO THE TRAUMA I AND II PATIENTS, THERE WERE 528,479 NON-TRAUMA ER VISITS TO ADVOCATE'S HOSPITALS IN 2019. 1 DUE TO COVID-19 RELATED DELAYS, THE SOURCE FOR HOSPITAL UTILIZATION DATA, THE HEALTH FACILITIES & SERVICES REVIEW BOARD (HFRSB), HAD NOT POSTED 2020 ANNUAL HOSPITAL QUESTIONNAIRE (AHQ) OUTCOMES DATA ON ITS WEBPAGE AT THE TIME THIS DOCUMENT WAS DRAFTEDTHEREFORE, 2019 DATA HAS BEEN USED IN PLACES WHERE 2020 DATA WAS UNAVAILABLE.
FORM 990, PART III, LINE 4B, PROGRAM SERVICE ACCOMPLISHMENTS CONTINUED:	ILLINOIS. EACH YEAR, APPROXIMATELY 2,000 INDIVIDUALS ARE SERVED THROUGH OVER 7,000 VISITS, INCLUDING CARE IN THE OFFICE, THE PATIENT'S HOME, AT RESIDENTIAL FACILITIES, NURSING HOMES AND IN THE HOSPITAL. THE CENTER'S MULTIDISCIPLINARY APPROACH TO COMPREHENSIVE MEDICAL CARE, WITH A STRONG EMPHASIS ON PREVENTIVE MEDICINE, PROVIDES PRACTICAL APPROACHES TO HEALTH EDUCATION AND HEALTH RISK REDUCTION, INCLUDING SUPPORTING PEOPLE WITH DOWN SYNDROME IN THEIR OWN HEALTH PROMOTION EFFORTS. REIMBURSEMENT IS REDUCED GIVEN MORE TIME IS PROVIDED TO EACH PATIENT VISIT TO ALLOW INDIVIDUALS WITH DOWN SYNDROME TO PARTICIPATE IN THEIR OWN HEALTH CARE. FURTHER, ONLY ONE-THIRD OF THE COST OF THE CLINIC IS REIMBURSED THROUGH BILLING INSURANCE DUE TO THE PAYOR MIX. ADVOCATE GENEROUSLY PROVIDES SOME SERVICES THROUGH THE CENTER THAT ARE KEY TO HEALTH PROMOTION BUT THAT ARE NOT REIMBURSABLE OR BILLABLE. IN ADDITION TO PATIENT CARE, THE MISSION OF THE CENTER INCLUDES EDUCATION AND RESEARCH. IN 2020, THE CENTER STAFF PROVIDED NUMEROUS EDUCATIONAL EVENTS AND CLASSES (VIRTUAL, OF COURSE, DURING THE PANDEMIC), PUBLISHED RESEARCH STUDIES, PROVIDED EXTENSIVE EDUCATIONAL MATERIALS ONLINE AND IN PRINT FORM, AND PARTICIPATED IN NATIONAL AND INTERNATIONAL PROJECTS EDUCATING ABOUT AND RESEARCHING THE EFFECT OF COVID-19 ON PEOPLE WITH DOWN SYNDROME. MAINE TOWNSHIP DISTRICT 207 SCHOOL-BASED HEALTH CENTERS (SBHC). MAINE TOWNSHIP DISTRICT 207 WAS FACED WITH APPROXIMATELY 30 PERCENT OF ITS STUDENTS NOT BEING ABLE TO MEET, OR EXPERIENCING SIGNIFICANT DIFFICULTY MEETING, THE STATE-MANDATED PHYSICAL AND IMMUNIZATION REQUIREMENTS DUE TO BEING UNINSURED OR UNDERINSURED. FOLLOWING SEVERAL YEARS OF PLANNING AND IN COLLABORATION WITH ADVOCATE MEDICAL GROUP AND ADVOCATE LUTHERAN GENERAL, THE DISTRICT OPENED A SCHOOL-BASED HEALTH CENTER (D207 SBHC) IN MAINE EAST HIGH SCHOOL IN MARCH 2003 TO PROVIDE THESE STUDENTS WITH ACCESS TO VITAL HEALTH CARE SERVICES. ADVOCATE EMPLOYEES SERVE AS MEDICAL DIRECTOR, PEDIATRICIAN, NURSE PRACTITIONER AND MENTAL HEALTH WORKER FOR THE GRANT-FUNDED CLINIC. THE CLINIC HAS A SMALL PHARMACY THAT PROVIDES LIMITED MEDICATIONS FOR STUDENTS IN NEED AND ADVOCATE KEEPS THE CLINIC EQUIPPED WITH OFFICE SUPPLIES AND OTHER EQUIPMENT. THE CENTER ALSO SERVES AS A TRAINING SITE FOR PEDIATRIC AND FAMILY MEDICINE RESIDENTS. OPEN TO ALL HIGH SCHOOL STUDENTS IN MAINE TOWNSHIP HIGH SCHOOL DISTRICT 207, THE D207 SBHC HAS HELPED TO PROVIDE MANY STUDENTS WITH PHYSICALS AND IMMUNIZATIONS WHICH HAS ALLOWED THE DISTRICT TO MAINTAIN ITS 99% IL STATE COMPLIANCE RATE. THE CENTER PROVIDES FREE OR LOW-COST SERVICES INCLUDING PHYSICALS, IMMUNIZATIONS, EMERGENT CARE, BEHAVIORAL HEALTH TREATMENT, NUTRITIONAL COUNSELING AND EDUCATIONAL PROGRAMS. DURING 2020 AND AS A RESULT OF THE COVID-19 PANDEMIC, THE SBHC TRANSFORMED CARE TO VIRTUAL VISITS IN ORDER TO CONNECT TO STUDENTS. THE CENTER'S MEDICAL DIRECTOR AND STAFF PROVIDED APPROXIMATELY 2,400 TOTAL VISITS (MENTAL HEALTH AND MEDICAL COMBINED) FOR THE 2020/2021 SCHOOL YEAR FOR A TOTAL OF 33,200 STUDENT CONTACTS SINCE THE FACILITY'S INCEPTION. MEDFEST. IN 2020, THE COVID-19 PANDEMIC PREVENTED THE SPECIAL OLYMPICS OF ILLINOIS FROM HOLDING MEDFESTAN ANNUAL EVENT THAT THE ADVOCATE MEDICAL GROUP HAD PLANNED TO SPONSOR FOR THE 22ND YEAR IN A ROW. WHILE IT WAS DISAPPOINTING FOR THE EVENT TO HAVE BEEN CANCELLED, IT IS ANTICIPATED THAT EVENTS WILL RESUME ONCE THE PANDEMIC SUBSIDES AND IT IS SAFE TO DO SO. MEDFEST IS ANNUALLY HELD AT VARIOUS LOCATIONS IN THE STATE. THE EVENT PROVIDES PEOPLE WITH INTELLECTUAL DISABILITIES OPPORTUNITIES TO PARTICIPATE IN SPORTS TRAINING AND COMPETITIONS, CREATING AVENUES FOR INCLUSION AND ACCEPTANCE FOR THIS UNDERSERVED POPULATION THROUGHOUT ILLINOIS. ADVOCATE MEDICAL GROUP PHYSICIANS ARE PASSIONATE ABOUT PROVIDING THE FREE CLINICAL SERVICES, WHICH RESULT IN PARTICIPANTS' ENHANCED PHYSICAL FITNESS AND COMFORT WITH THE MEDICAL COMMUNITY. IN 2019, BEFORE THE PANDEMIC HIT, AMG PROVIDED 1,764 FREE ATHLETIC PHYSICALS TO SPECIAL OLYMPIANS AT CHICAGO'S UNITED CENTER, ALLOWING THEM OPPORTUNITIES TO PARTICIPATE IN COMPETITIONS THROUGHOUT THE YEAR. ADVOCATE MEDICAL GROUP HAS ALSO PROVIDED FREE PHYSICALS TO SPECIAL OLYMPIANS IN ORLAND PARK, FOR WHICH 208 PHYSICAL EXAMS WERE PROVIDED IN 2019.
FORM 990, PART III, LINE 4C, PROGRAM SERVICE ACCOMPLISHMENTS CONTINUED:	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. DUE TO THE PANDEMIC, MOST EDUCATION WAS PROVIDED VIRTUALLY, WHICH SERVED TO STRONGLY SUPPORT THESE EDUCATION PROGRAMS THROUGHOUT 2020 AND ENABLED OUR REACHING A BROADER AUDIENCE THAN MIGHT HAVE OTHERWISE BEEN POSSIBLE. AS A RESULT, ADVOCATE HOSTED 2,555 HOURS OF ACCREDITED EDUCATION TO 32,602 PARTICIPANTS IN 2020, OF WHICH 20,714 WERE PHYSICIANSWHICH, DESPITE THE PANDEMIC, WAS ONLY A MINIMAL DECLINE FROM THE PREVIOUS YEAR'S ACHEIVEMENT. IN ADDITION TO TEACHING GME AND CME STUDENTS, ADVOCATE MEDICAL GROUP (AMG) PHYSICIANS ALSO DEVOTE ONE-ON-ONE TIME TO TEACHING PHYSICIAN ASSISTANTS (PA) AND NURSE PRACTIONER (NP) STUDENTS FROM MULTIPLE AREA UNIVERSITIES. WHILE THE COVID-19 PANDEMIC REDUCED THE NUMBER OF STUDENTS TAUGHT IN 2020, AMG PHYSICIANS WERE ABLE TO DEVOTE 7,321 HOURS TO TEACHING NP STUDENTS IN PHYSICIAN'S OFFICES. WHILE THIS WAS A DROP IN THE TOTAL PHYSICIAN HOURS WHEN COMPARED TO 2019, AMG NP'S PICKED UP CONSIDERABLY MORE HOURS TEACHING NP STUDENTS AT 11,224 HOURS IN 2020 AS COMPARED TO 2,280 HOURS IN 2019. AMG PHYSICIANS ALSO DEVOTED 3,780 PHYSICIAN HOURS TO TEACHING PA STUDENTS IN PHYSICIANS' OFFICES. THE VALUE OF THEIR TIME TEACHING NP AND PA STUDENTS EXCLUSIVELY TOTALED OVER $2.3M IN 2020. DEPENDENT ON EACH HOSPITAL'S OR ADVOCATE'S SYSTEM-LEVEL ACADEMIC AFFILIATIONS, THE TRAINING OF UNDERGRADUATE AND GRADUATE STUDENT NURSES, AND STUDENTS IN OTHER ALLIED HEALTH PROFESSIONS, SUCH AS RESPIRATORY CARE, RADIOLOGIC TECHNOLOGY, PHYSICAL AND SPEECH THERAPY, PHARMACEUTICAL SERVICES, ETC., ALSO OCCURS THROUGHOUT ADVOCATE'S MULTIPLE SITES. ADVOCATE'S SPIRITUAL LEADERS OVERSEE A NATIONALLY ACCREDITED CLINICAL PASTORAL EDUCATION PROGRAM AS WELL. SUPERVISING OVER 200 STUDENT UNITS EACH YEAR, THIS PROGRAM IS THE LARGEST IN THE COUNTRY, PROVIDING OPPORTUNITIES FOR SEMINARY STUDENTS AND LOCAL FAITH LEADERS TO GROW AND DEVELOP SPIRITUAL CARE MINISTRY SKILLS. NOT INCLUDED IN THE EXPENSE AND REVENUE AMOUNTS YET VERY IMPORTANT TO THE ORGANIZATION'S ROLE IN TRAINING HEALTH CARE PROFESSIONALS, ARE THE NURSING RESIDENCY PROGRAMS AT TWO HOSPITALSADVOCATE GOOD SAMARITAN AND ADVOCATE ILLINOIS MASONIC. RESIDENCY PROGRAMS OCCUR IN OTHER DISCIPLINES, SUCH AS THE PHARMACY RESIDENCY PROGRAM FOR EXAMPLE, AT MULTIPLE ADVOCATE SITES.
FORM 990, PART VI, SECTION A, LINE 1	BOARD DELEGATING POWERS TO EXECUTIVE COMMITTEE 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 COMMITTEES' 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	OFFICER BUSINESS RELATIONSHIP AS JAMES DAN, M.D., VINCENT BUFALINO, M.D., GAIL D. HASBROUCK, EARL BARNES II, JAMES DOHENY, AND DOMINIC J. NAKIS 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	DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERS BYLAWS PROVIDE FOR CORPORATE MEMBERS.
FORM 990, PART VI, SECTION A, LINE 7A	DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS DIRECTORS OF THE BOARD ARE CORPORATE MEMBERS OF ADVOCATE HEALTH AND HOSPITAL BOARD, WHICH ELECTS THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 7B	DESCR CLASSES OF PERSONS, DECISIONS REQUIRING APPR & 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 A 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	DESCRIBE THE PROCESS USED BY MANAGEMENT &/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, INCLUDING ITS ADVISORS, MET FREQUENTLY TO DISCUSS AND REVIEW DRAFTS OF THE FORM 990. AT THE NOVEMBER AUDIT COMMITTEE MEETING, THE VP OF FINANCE/CORPORATE CONTROLLER AND CHIEF FINANCIAL OFFICER COORDINATED A REVIEW OF THE FORM 990 WITH COMMITTEE MEMBERS, AS THE AUDIT COMMITTEE IS THE COMMITTEE OF THE BOARD OF DIRECTORS CHARGED WITH OVERSIGHT OF AUDIT AND TAX MATTERS. THE VP OF FINANCE/CORPORATE CONTROLLER AND CHIEF FINANCIAL OFFICER RESPONDED TO THE AUDIT COMMITTEE MEMBERS' QUESTIONS AND PROVIDED THE OPPORTUNITY FOR DETAILED DISCUSSION OF THE FORM 990. THE CHANGES IDENTIFIED WERE INCORPORATED, AND THEN A COMPLETE COPY OF THE FINAL FORM 990 WAS PROVIDED TO EACH MEMBER OF THE ORGANIZATION'S BOARD OF DIRECTORS BEFORE THE FORM 990 WAS FILED.
FORM 990, PART VI, SECTION B, LINE 12C	DESCRIBE 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 DISCLOSURES AND PROVIDES A REPORT TO THE SYSTEM BUSINESS CONDUCT (COMPLIANCE) COMMITTEE, EXECUTIVE MANAGEMENT TEAM AND THE AUDIT COMMITTEE OF THE BOARD FOR REVIEW. THE REPORT IS THEN PROVIDED, IN RELEVANT PART, TO THE SITE CHIEF EXECUTIVE OFFICERS. POTENTIAL CONFLICTS ARE REVIEWED BY THE COMPLIANCE DEPARTMENT ON A CASE BY CASE BASIS. FOLLOW UP PROCEDURES CONDUCTED ARE UNIQUE TO THE GIVEN CIRCUMSTANCE, AND MAY INCLUDE REVIEWING THE POTENTIAL CONFLICT WITH THE INTERESTED PERSON, OR INVESTIGATING THE MATTER IN CONSULTATION WITH THE INTERESTED PERSON'S SUPERVISOR AND/OR SITE MANAGEMENT. IN CIRCUMSTANCES WHERE THE INTERESTED PERSON IS NOT A MEMBER OF THE BOARD, OR GOVERNING COUNCIL, OR A COMMITTEE THEREOF, OR A PERSON OF INTEREST, 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 & POSITIONS FOR WHICH PROCESS WAS USED, & YEAR PROCESS WAS BEGUN EXECUTIVE COMPENSATION AT ADVOCATE HEALTH AND HOSPITAL CORPORATION 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 LEVELS 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	THE ORGANIZATION MAKES ITS FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC THROUGH THE FOLLOWING WEB SITES: DACBOND.COM (DIGITAL ASSURANCE CERTIFICATION LLC) EMMA.MSRB.ORG (ELECTRONIC MUNICIPAL MARKET ACCESS) THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS OR CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC.
FORM 990, PART XI, LINE 9:	AMMC OTH COMPR 30,851,833. TEM RESTRICTED FUND BALANCE -549,554. FUND DISTRIBUTIONS-TEMP REST 237,238. INTRA-AUX TRANSFER-SCH G AUX 634. OTHER CHANGE IN NET ASSETS -40,875. TCOM 6,325,327.
FORM 990, PART III, LINE 4D, PROGRAM SERVICE ACCOMPLISHMENTS CONTINUED:	DESCRIPTION OF ADVOCATE AURORA HEALTH. IN APRIL 2018, ADVOCATE HEALTH CARE OF ILLINOIS AND AURORA HEALTH CARE OF WISCONSIN MERGED. ADVOCATE AURORA HEALTH IS AMONG THE 10 LARGEST NOT-FOR-PROFIT, INTEGRATED HEALTH SYSTEMS IN THE UNITED STATES AND A LEADING EMPLOYER IN THE MIDWEST WITH MORE THAN 70,000 TEAM MEMBERS, INCLUDING MORE THAN 22,000 NURSES, AND HAS ONE OF THE LARGEST EMPLOYED MEDICAL STAFF IN THE REGION, AND A HOME HEALTH ORGANIZATION. A NATIONAL LEADER IN CLINICAL INNOVATION, HEALTH OUTCOMES, CONSUMER EXPERIENCE AND VALUE-BASED CARE, THE SYSTEM SERVES NEARLY 3 MILLION PATIENTS ANNUALLY IN ILLINOIS AND WISCONSIN ACROSS MORE THAN 500 SITES OF CARE. ADVOCATE AURORA IS ENGAGED IN HUNDREDS OF CLINICAL TRIALS AND RESEARCH STUDIES, AND IS NATIONALLY RECOGNIZED FOR ITS EXPERTISE IN CARDIOLOGY, NEUROSCIENCES, ONCOLOGY AND PEDIATRICS. AS A MERGED ENTITY, ADVOCATE AURORA HEALTH (ILLINOIS AND WISCONSIN) CONTRIBUTED NEARLY $2.2 BILLION IN CHARITABLE CARE AND COMMUNITY HEALTH SERVICES TO ITS COMMUNITIES IN 2019. (A 2020 TOTAL WAS NOT YET AVAILABLE AT THE TIME THIS DOCUMENT WAS FINALIZED.) DESCRIPTION OF ADVOCATE HEALTH CARE (ILLINOIS). WHILE ADVOCATE IS ONE OF TWO ORGANIZATIONS THAT MERGED IN APRIL 2018 TO BECOME ADVOCATE AURORA HEALTH, ADVOCATE IN ILLINOIS MAINTAINS A SEPARATE FEIN AND THEREFORE THE NARRATIVE THAT IMMEDIATELY FOLLOWS PERTAINS PREDOMINANTLY TO ADVOCATE HEALTH CARE (ILLINOIS). ADVOCATE IS A NOT-FOR-PROFIT PROVIDER THAT IS AFFILIATED WITH BOTH THE EVANGELICAL LUTHERAN CHURCH IN AMERICA AND THE UNITED CHURCH OF CHRIST. THE ORGANIZATION IS ONE OF THE LARGEST FULLY INTEGRATED HEALTH CARE SYSTEMS IN ILLINOIS AND ONE OF THE LARGEST HEALTH CARE PROVIDERS IN THE MIDWEST. IN 2020, AS PART OF A NETWORK OF NEARLY 400 SITES OF CARE IN ILLINOIS, ADVOCATE'S MORE THAN 37,000 TEAM MEMBERS PROVIDED CARE AT TWELVE HOSPITALS, INCLUDING A CHILDREN'S HOSPITAL LOCATED ON TWO CAMPUSES (OAK LAWN AND PARK RIDGE, ILLINOIS), TOTALING 3,531 LICENSED BEDS, INCLUDING BROMENN (221 BEDS) AND EUREKA (25 BEDS) THAT TRANSITIONED TO CARLE HEALTH ON JULY 1, 2020. ADVOCATE HAD A COMBINED TOTAL OF 181,668 INPATIENT ADMISSIONS, 2,113,631 OUTPATIENT VISITS AND 541,028 EMERGENCY DEPARTMENT VISITS (TOTAL TRAUMA AND NON TRAUMA) IN 2019. IN ADDITION, ADVOCATE IS RECOGNIZED AS HAVING ONE OF THE LARGEST HOME HEALTH CARE COMPANIES IN THE STATE WITH 28,896 ADMITS IN 2019, AND ADVOCATE HOSPICE HAD 157,424 HOSPICE PATIENT DAYS. EIGHT ADVOCATE HOSPITALS HAVE BEEN RECOGNIZED FOR DELIVERING EXCEPTIONAL PATIENT CARE IN 2020 BY U.S. NEWS & WORLD REPORT IN ITS BEST HOSPITALS RANKINGS LIST. THE U.S. NEWS AND WORLD REPORT LIST RECOGNIZES BOTH REGIONAL AND NATIONAL EXCELLENCE. ADVOCATE CHILDREN'S HOSPITAL RANKED 25TH IN THE NATION FOR PEDICATRIC CARDIOLOGY AND CARDIOVASCULAR SURGERY IN THE U.S. NEWS & WORLD REPORT'S 2020-2021 BEST CHILDREN'S HOSPTALS RANKINGS. FOR THE ADULT HOSPITALS, ADVOCATE CHRIST AND ADVOCATE LUTHERAN EARNED NATIONAL RANKINGADVOCATE CHRIST RANKED 40TH IN THE COUNTRY IN CARDIOLOGY AND HEART SURGERY, WHILE ADVOCATE LUTHERAN RANKED 37TH IN GYNECOLOGY. FIVE ADVOCATE HOSPITALS RECEIVED A BEST REGIONAL HOSPITAL DESIGNATION AND STATE RANKING AMONG THE TOP 15 IN THE CHICAGO METROPOLITAN AREA, INCLUDING ADVOCATE'S CHRIST, LUTHERAN, GOOD SAMARITAN, SHERMAN AND GOOD SHEPHERD. TWO ADDITIONAL ADVOCATE HOSPITALS RECEIVED HIGH-PERFORMANCE RATINGS IN SPECIALTIES OR PROCEDURES AND CONDITIONS CATEGORIES, INCLUDING ADVOCATE'S CONDELL AND ILLINOIS MASONIC MEDICAL CENTERS. ADVOCATE CHILDREN'S HOSPITAL EARNED AMERICAN NURSES CREDENTIALING CENTER MAGNATE DESIGNATION IN 2020 THE GOLD STANDARD AND HIGHEST HONOR FOR NURSING EXCELLENCEJOINING EIGHT OTHER ADVOCATE ADULT HOSPITALSADVOCATE'S BROMENN, CHRIST, CONDELL, GOOD SAMARITAN, GOOD SHEPHERD, ILLINOIS MASONIC, LUTHERAN GENERAL AND SHERMANTHAT PREVIOUSLY EARNED AND MAINTAIN NURSING MAGNET DESIGNATION. TWO ADVOCATE HOSPITALS SERVE AS POINT OF DISPENSING HOSPITALS FOR COORDINATION OF DISASTER COMMUNICATIONADVOCATE ILLINOIS MASONIC FOR THE CITY OF CHICAGO AND ADVOCATE CHRIST FOR A 5-COUNTY GEOGRAPHIC AREA. LEADERSHIP OF THE METROPOLITAN CHICAGO AND COLLAR COUNTY DISASTER AND COMMUNICATION COORDINATION EFFORTS REQUIRES SIGNIFICANT INVOLVEMENT IN BOTH NATIONAL AND LOCAL BIOTERRORISM AND DISASTER PREPAREDNESS ACTVITIES. ADVOCATE TREATS MORE PEDIATRIC PATIENTS THAN ANY OTHER HOSPITAL OR SYSTEM IN THE STATE THROUGH THE ADVOCATE CHILDREN'S HOSPITAL. NAMED AS ONE OF THE NATION'S BEST CHILDREN'S HOSPITALS FOR CARDIOLOGY AND HEART SURGERY AS WELL AS NEONATOGY BY U.S. NEWS & WORLD REPORT, ADVOCATE CHILDREN'S WAS THE FIRST CHILDREN'S HOSPITAL IN THE COUNTRY TO RECEIVE CONGENITAL HEART DISEASE ACCREDITATION FROM ACE (ACCREDITATION FOR CARDIOVASCULAR EXCELLENCE) FOR SETTING THE HIGHEST STANDARDS OF QUALITY CARE FOR CHILDREN. THE HOSPITAL IS DESCRIBED AS ONE OF 12 "WORLD CLASS" NEWBORN INTENSIVE CARE UNITS BY THE NATIONAL VERMONT OXFORD "YOUR IDEAL NICU" PROJECT. IN ADDITION, ADVOCATE CHILDREN'S PROVIDES SERVICES FOR COMPLEX SURGERIES DURING PREGNANCY AND NEONATAL PERIODS. THE ADVOCATE CHILDREN'S CENTER FOR FETAL CARE IS ONE OF THE FIRST IN CHICAGOLAND, AND ONE OF ONLY 34 SUCH MEDICAL CENTERS IN NORTH AMERICA. IN FACT, ADVOCATE CHILDREN'S IS ONE OF LESS THAN 30 HOSPITALS NATIONWIDE THAT PERFORM ADVANCED IN-UTERO FETAL THERAPY PROCEDURES. FOUR OF ADVOCATE'S HOSPITALS ARE DESIGNATED LEVEL III (THE STATE'S HIGHEST LEVEL) NEONATAL INTENSIVE CARE UNITS (NICUS). THESE HOSPITALSADVOCATE CHRIST, ADVOCATE GOOD SAMARITAN, ADVOCATE ILLINOIS MASONIC AND ADVOCATE LUTHERAN GENERALHANDLE THE MOST ILL BABIES FROM OTHER ADVOCATE HOSPITALS AND THROUGH TRANSFERS FROM NON-ADVOCATE HOSPITALS IN THE CHICAGOLAND AREA. IN 2019, THERE WERE 2,834 NICU ADMISSIONS TO ADVOCATE'S NICU-DESIGNATED HOSPITALS. MORE PEOPLE TRUST THEIR HEARTS (CARDIAC CARE) TO ADVOCATE THAN ANY OTHER HEALTH SYSTEM OR HOSPITAL IN THE STATE OF ILLINOIS. ADVOCATE'S 350 HEART SPECIALISTS PERFORM MORE THAN 20,000 HEART PROCEDURES EACH YEARMORE THAN THE FIVE CHICAGO ACADEMIC HOSPITALS COMBINED. ADVOCATE ALSO DIAGNOSES AND TREATS MORE CANCER THAN ANY HEALTH SYSTEM IN ILLINOIS. THIS IS IMPORTANT BECAUSE HEALTH RESEARCH SHOWS THERE IS A POSITIVE RELATIONSHIP BETWEEN THE NUMBER OF PROCEDURES PERFORMED AND QUALITY OUTCOMES. THROUGH LEADING-EDGE RESEARCH AND A STRONG TEAM OF SPECIALISTS THAT PROVIDE COMPASSIONATE AND PERSONALIZED CARE, ADVOCATE HELPS MORE CANCER PATIENTS IN ILLINOIS BECOME CANCER SURVIVORS. ADVOCATE HAS ONE OF THE LARGEST PHYSICIAN NETWORKS OF PRIMARY CARE PHYSICIANS, SPECIALISTS AND SUB-SPECIALISTS IN ILLINOIS. OF ADVOCATE'S 6,300 AFFILIATED PHYSICIANS, 4,500 ARE MEMBERS OF ADVOCATE PHYSICIAN PARTNERS, THE SYSTEM'S CARE MANAGEMENT ORGANIZATION, WITH 1,600 EMPLOYED THROUGH ADVOCATE MEDICAL GROUP. AS ONE OF THE NATIONS LARGEST ACCOUNTABLE CARE ORGANIZATIONS (ACOS), ADVOCATE IS NATIONALLY RECOGNIZED FOR THE ABILITY TO POSITIVELY AFFECT RISING HEALTHCARE COSTS. ADVOCATE CONTINUES TO BE THE MARKET LEADER IN WORKING WITH PAYERS TO OFFER NEW SOLUTIONS THAT ALIGN INCENTIVES AND LEAD TO IMPROVED QUALITY WITH REDUCED COSTS TO PAYERS, EMPLOYERS AND PATIENTS. IN ADDITION, 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, FOCUSING ON THE KEY AREAS OF IMPROVED CARE COORDINATION, ACCESS AND QUALITY PERFORMANCE. THE RESULT HAS BEEN A REDUCTION IN EMERGENCY DEPARTMENT UTILIZATION DUE TO SUCCESSFULLY CONNECTING INDIVIDUALS IN THE PLAN TO A MEDICAL HOME. ADVOCATE HAS ACADEMIC AND TEACHING AFFILIATIONS WITH MOST MAJOR UNIVERSITIES IN THE CHICAGO METROPOLITAN AREA. AT ITS FOUR TEACHING HOSPITALS, ADVOCATE TRAINS MORE PRIMARY CARE PHYSICIANS AND RESIDENTS THAN ANY OTHER HEALTH CARE SYSTEM IN THE STATE. ADVOCATE AURORA SYSTEMWIDE (ILLINOIS AND WISCONSIN) ACCOMPLISHMENTS. ALL 26 ADVOCATE AURORA HOSPITALS EARNED THE HUMAN RIGHTS CAMPAIGN FOUNDATION'S LGBTQ HEALTHCARE EQUALITY LEADER DESIGNATION IN 2020, RECEIVING THE MAXIMUM SCORE IN EACH SECTION AND EARNING AN OVERALL SCORE OF 100. HEALTH CARE FACILITIES RECEIVED NATIONAL RECOGNITION AS 'LEADERS' FOR DEMONSTRATING COMMITMENT TO ADVANCING HEALTH EQUITY FOR INDIVIDUALS IN THE LESBIAN, GAY, BISEXUAL, TRANSGENDER AND QUEER OR QUESTIONING (LGBTQ) COMMUNITY.
FORM 990, PART III, LINE 4D, PROGRAM SERVICE ACCOMPLISHMENTS CONTINUED:	ADVOCATE AURORA RECEIVED THE PRACTICE GREENHEALTH SYSTEM FOR CHANGE AWARD FOR THE SECOND CONSECUTIVE YEAR IN 2021 FOR WORKING TO REDUCE ENERGY USE, INCREASE RECYCLING, ESTABLISH GREEN BUILDING PRACTICES AND SETTING AND MEETING OTHER GOALS RELATED TO SUSTAINABILITY. BEFORE THE MERGER IN 2019, ADVOCATE (ILLINOIS) HAD RECEIVED THIS RECOGNITION TEN STRAIGHT YEARS IN A ROW. IN ADDITION, ADVOCATE AURORA HEALTH RECEIVED A GOLD CLIMATE LEADERSHIP AWARD, RECOGNIZING THE ORGANIZATION'S LEADERSHIP IN TRANSFORMING TO SUSTAINABLE AND CLEAN OPERATIONS IN THE HEALTH CARE ENVIRONMENT. IN ADDITION, ADVOCATE AURORA WAS RECOGNIZED AS A CLIMATE CHAMPION IN THE HEALTH CARE CLIMATE CHALLENGE AMONG MORE THAN 40 HEALTH CARE INSTITUTIONS SPREAD OUT ACROSS 17 COUNTRIES ON 6 CONTINENTS. ADVOCATE AURORA HAS TAKEN BOLD, IMPACTFUL STEPS TOWARD CLIMATE-SMART HEALTH CARE, INCLUDING A PLEDGED GOAL TO ACHIEVE 100% RENEWABLE ELECTRICITY BY 2030. HEALTH CARE INSTITUTIONS ARE BEING RECOGNIZED FOR THEIR COMMITMENT TO REDUCING THEIR OWN CARBON FOOTPRINT, PREPARING FOR THE IMPACTS OF EXTREME WEATHER AND THE SHIFTING BURDEN OF DISEASE, AND EDUCATING STAFF AND THE PUBLIC WHILE PROMOTING POLICIES TO PROTECT PUBLIC HEALTH FROM CLIMATE CHANGE. ADVOCATE AURORA HEALTH WAS ALSO INCLUDED IN MODERN HEALTHCARE'S BEST PLACES TO WORK IN HEALTHCARE LIST FOR 2020. THIS RECOGNITION PROGRAM HONORS COMPANIES THROUGHOUT THE INDUSTRY THAT EMPOWER EMPLOYEES TO PROVIDE PATIENTS AND CUSTOMERS WITH THE BEST POSSIBLE CARE, PRODUCTS AND SERVICES. HOW THESE ORGANIZATIONS HAVE NAVIGATED THE COVID-19 PANDEMIC IS ONLY PART OF THE STORY; THEY WERE ALSO SCORED ON MORE TRADITIONAL MEASURES SUCH AS BENEFIT DESIGN, TRANSPARENT COMMUNICATION FROM LEADERSHIP AND OTHERS. IN ADDITION, ADVOCATE AURORA HEALTH WAS NAMED ONE OF THE TOP WORKPLACES IN 2020 BY CHICAGO TRIBUNE. THIS IS THE FOURTH TOP WORKPLACE RECOGNITION FOR ADVOCATE AURORA SINCE THE MERGER. ADVOCATE WAS A PREVIOUS SIX-TIME WINNER OF THE TRIBUNE ACCOLADE. ADVOCATE AURORA HEALTH WAS NAMED AMONG THE NATION'S TOP ORGANIZATIONS ACROSS INDUSTRIES ON DIVERSITY MBA MAGAZINE'S 50 OUT FRONT COMPANIES FOR DIVERSITY LEADERSHIP: BEST PLACES TO WORK FOR WOMEN & DIVERSE MANAGERS FOR 2020. THIS AWARD RECOGNIZES ADVOCATE'S ONGOING STRATEGIC EFFORT TO IMPLEMENT INTENTIONAL STRATEGIES FOR WOMEN AND MANAGERS OF DIVERSE BACKGROUNDS TO ADVANCE TO LEADERSHIP ROLES IN THE ORGANIZATION. DIVERSITY MBA EMPHASIZES HOW COMPANIES ARE CHAMPIONING RECRUITMENT EFFORTS THAT RESULT IN A DIVERSE AND TARGETED TALENT SELECTION PROCESS. ADVOCATE AURORA WAS ALSO RANKED AMONG THE TOP 10 BEST IN CLASS CATEGORY FOR BOARD DIVERSITY. OTHER NOTABLE ADVOCATE AURORA ACCOMPLISHMENTS ACHIEVED IN 2020 ARE AS FOLLOW. FOR THE SAFETY OF ADVOCATE AURORA TEAM MEMBERS, OUR PATIENTS AND COMMUNITY MEMBERS DURING THE PANDEMIC, THE ADVOCATE AURORA SUPPLY CHAIN MANAGEMENT TEAM SECURED 700,000 N95 MASKS, 7 TIMES THAT OF THE CUSTOMARY 100,000 N95 MASKS SECURED EACH YEAR AND ENOUGH TO FILL 5 FOOTBALL FIELDS. IN ITS ENTIRETY, OVER 258 MILLION PIECES OF PPE WERE SECURED BY ADVOCATE AURORA IN 2020. ADVOCATE AURORA'S ACL LAB SCIENTISTS CREATED OUR OWN TEST FOR COVID-19, INCREASING ADVOCATE AURORA'S TESTING CAPACITY FROM 500 TESTS PER DAY TO 5,000 TESTS PER DAY. ADVOCATE AURORA DISCHARGED 18,164 COVID-19 PATIENTS, MONITORED 3,213 PATIENTS REMOTELY AND CONDUCTED OVER 800,000 VIRTUAL VISITS IN 2020. ADVOCATE AURORA'S WORKFORCE EXHIBITED EXCEPTIONAL FLEXIBILTY AND CREATIVITY, SHUTTING DOWN PARTS OF OUR BUSINESS AND PIVOTING TO ADDRESS ISSUES SPECIFIC TO COVID-19 PATIENTS, AND IMPLEMENTING SAFETY PROTOCOLS/PROCEDURES APPROPRIATE FOR ACCESSING ALL SITES OF CARE. THE ADVOCATE AURORA INFORMATICS AND TECHNOLOGY TEAM IMPLEMENTED THE LARGEST EPIC ELECTRONIC MEDICAL RECORD SYSTEM INSTALLATION EVERNOT ONLY FOR EPIC, BUT NATIONALLY AND INTERNATIONALLY FOR ALL SUCH MEDICAL RECORD SYSTEM INSTALLATIONS. THROUGH THE WORK OF OUR WORLD CLASS PHYSICIANS, ADVOCATE AURORA POPULATION HEALTH SAVED TAXPAYERS $85.5M ACROSS THREE MEDICARE SAVINGS PROGRAMS IN TWO STATES THROUGH COST REDUCTIONS IN 2020, WHILE CONSISTENTLY MAINTAINING HIGH QUALITY OUTCOMES. OUR DIGITAL CONSUMER PLATFORM ACCELERATED IN 2020FAR EXCEEDING EXPECTATIONS. ADVOCATE AURORA RACED PAST ITS GOAL OF 25,000 VIRTUAL VISITS TO 900,000 VIRTUAL VISITS. A TOTAL OF 613,000 ON-LINE APPOINTMENTS WERE BOOKED AND 670,000 CONSUMERS DOWNLOADED OUR LIVE WELL APP IN 2020. ADVOCATE AURORA VISION AND COMMUNITY STRATEGY. THE ADVOCATE AURORA SYSTEM VISION IS WE HELP PEOPLE LIVE WELL. INSPIRED BY THIS VISION AND BUILDING ON A STRONG HISTORY OF COMMUNITY ENGAGEMENT AND SERVICE, A MULTIDISCIPLINARY CORE TEAM OF LEADERS WAS CONVENED IN 2019 AND TASKED WITH DEVELOPING AN INTEGRATED STRATEGY FOR ADVOCATE AURORA'S COMMUNITY FACING WORK. THE STRATEGY THAT EMERGED WILL INTENTIONALLY TRANSFORM ADVOCATE AURORA'S COMMUNITY FACING WORK TO PROVIDE SUPPORT FOR PATIENT HEALTH AND TO BUILD COMMUNITY HEALTH. THE NEW COMMUNITY STRATEGY WILL IMPACT HEALTH OUTCOMES FOR ADVOCATE'S (IL) AND AURORA'S (WI) PATIENTS AS WELL AS THE BROADER COMMUNITY WITH THE LONG-TERM GOAL OF REDUCING THE INEQUITABLE GAP IN LIFE EXPECTANCY ACROSS THE ORGANIZATION'S FOOTPRINT. TO GROUND THIS WORK AND IN ALIGNMENT WITH THE ORGANIZATION-WIDE ADVOCATE AURORA VISIONWE HELP PEOPLE LIVE WELLA COMMUNITY STRATEGY VISION STATEMENT WAS DEVELOPEDWE 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. TO EXECUTE ON THIS VISION, ALL COMMUNITY FACING WORK IS BEING ALIGNED THROUGH A HEALTH EQUITY LENS. ADVOCATE AURORA DEFINES HEALTH EQUITY AS DIFFERENCES IN HEALTH THAT ARE SYSTEMIC, AVOIDABLE, UNFAIR OR UNJUST. THE OVERARCHING AIM OF THIS STRATEGY IS TO DECREASE THE INEQUITY GAP IN LIFE EXPECTANCY ACROSS THE AAH FOOTPRINT. THE COMMUNITY STRATEGY GOAL IS TO INCREASE LIFE EXPECTANCY BY 5% IN TARGETED LOW-INCOME COMMUNITIES OVER 10 YEARS. SIX FOCUS AREAS HAVE BEEN SELECTED THAT HAVE AN UPSTREAM EFFECT ON HEALTH EQUITY AND THAT ARE ALSO STRONGLY CONFIRMED BY ORGANIZATION-WIDE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) DATA. THESE FOCUS AREAS INCLUDE: 1) ACCESS/PRIMARY MEDICAL HOMES; 2) ACCESS/BEHAVIORAL HEALTH SERVICES; 3) WORKFORCE DEVELOPMENT; 4) COMMUNITY SAFETY; 5) HOUSING; AND 6) FOOD SECURITY. DURING 2020, ADVOCATE AURORA CONTINUED ITS EFFORTS TO REALIGN ITS COMMUNITY-FACING BUDGET PROGRAM AND SPONSORSHIP DOLLARS TO BEST SUPPORT THESE FOCUS AREAS. THIS PROCESS IS EXPECTED TO BE COMPLETED BY YEAR-END 2021.

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		Yes (1)	AHHC
ADVOCATE NORTH SIDE HEALTH NETWORK
3075 HIGHLAND PARKWAY STE 600	DOWNERS GROVE	IL	60515	363196629	HEALTH CARE	IL	501(C)(3)	LINE 3		Yes (1)	AHHC
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		Yes (1)	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 (12 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	OwnershipOwnershipPct
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 MGT	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	Yes (1)	878 WEST BAY ROAD PO BOX 1159	GRAND CAYMAN	CJ	KY1-1102	CJ	1.00000
ADVOCATE HEALTH PARTNERS
1701 WEST GOLF ROAD	ROLLING MEADOWS	IL	60008	364032117	HEALTH CARE MGT	IL	N/A	C	0
ADVOCATE PHYSICIAN PARTNERS ACCOUNTABLE
1701 WEST GOLF ROAD	ROLLING MEADOWS	IL	60008	455498384	HEALTH CARE MGT	IL	N/A	C	0
ADVOCATE PHYSICIAN PTNRS RISK PURCHASE
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 (31 entries)

Transaction TypeTransactionTypeTxt	InvolvedInvolvedAmt	Method Of Amount DeterminationMethodOfAmountDeterminationTxt
ADVOCATE NORTH SIDE HEALTH NETWORK
A	$1,852,321	COST
ADVOCATE HEALTH CARE NETWORK
B	$75,000,000	COST
EHS HOME HEALTH CARE SERVICE INC
A	$14,724	COST
ADVOCATE CHARITABLE FOUNDATION
C	$18,256,501	COST
ADVOCATE INSURANCE SPC
P	$3,850	COST
ADVOCATE NORTH SIDE HEALTH NETWORK
K	$2,299,965	COST
ADVOCATE CONDELL MEDICAL CENTER
K	$160,817	COST
EHS HOME HEALTH CARE SERVICE INC
K	$121,086	COST
ADVOCATE NORTH SIDE HEALTH NETWORK
L	$100,535,165	COST
ADVOCATE CONDELL MEDICAL CENTER
L	$74,413,130	COST
EHS HOME HEALTH CARE SERVICE INC
L	$4,124,905	COST
ADVOCATE NORTH SIDE HEALTH NETWORK
M	$1,389,277	COST
ADVOCATE CONDELL MEDICAL CENTER
M	$1,304,138	COST
EHS HOME HEALTH CARE SERVICE INC
M	$295,667	COST
ADVOCATE NORTH SIDE HEALTH NETWORK
P	$57,819,039	COST
ADVOCATE CONDELL MEDICAL CENTER
P	$126,571,286	COST
EHS HOME HEALTH CARE SERVICE INC
P	$3,516,537	COST
ADVOCATE NORTH SIDE HEALTH NETWORK
Q	$127,499,595	COST
ADVOCATE CONDELL MEDICAL CENTER
Q	$61,990,082	COST
ADVOCATE INSURANCE SPC
Q	$5,683,284	COST
EHS HOME HEALTH CARE SERVICE INC
Q	$10,307,497	COST
ADVOCATE NORTH SIDE HEALTH NETWORK
R	$28,359,527	COST
ADVOCATE CONDELL MEDICAL CENTER
R	$101,165	COST
EHS HOME HEALTH CARE SERVICE INC
R	$181,664	COST
ADVOCATE NORTH SIDE HEALTH NETWORK
S	$39,098,452	COST
ADVOCATE CONDELL MEDICAL CENTER
S	$12,191,605	COST
EHS HOME HEALTH CARE SERVICE INC
S	$1,153,306	COST
ADVOCATE HEALTH CARE NETWORK
C	$100,000,000	COST
ADVOCATE NORTH SIDE HEALTH NETWORK
C	$150,000,000	COST
EHS HOME HEALTH CARE SERVICE INC
C	$25,000,000	COST
ADVOCATE CONDELL MEDICAL CENTER
C	$75,000,000	COST