2020-11-16T23:58:00-06:00 2019-12-31 990 2019-01-01 362167920 ADVOCATE SHERMAN HOSPITAL ADVO 8478424004 3075 HIGHLAND PARKWAY SUITE 600 DOWNERS GROVE IL 60515 RACHEL HALVERSON VP TAX & ACCTG SVCS 8478424004 2020-11-16 168.235.1.163 2020-11-16 18:27:10 CS P DA39A3EE5E6B4B0D3255BFEF95601890AFD80709 A4FB3176883208785486D876D6220CE57623E176 2019 2021-01-29 14:40:06Z KAREN LAMBERT 3075 HIGHLAND PKWY DOWNERS GROVE IL 60515 467801070 0 X WWW.ADVOCATEHEALTH.COM X 1887 IL SERVE HEALTH NEEDS OF COMMUNITIES THROUGH WHOLISTIC PHILOSOPHY ROOTED IN FUNDAMENTAL UNDERSTANDING OF HUMANS AS CREATED IN THE IMAGE OF GOD. 20 17 2039 416 7310 0 1119961 1329470 461943124 438203079 5943301 24250717 1344055 2071021 470350441 465854287 129058 47819 2753287 0 127780428 131356225 0 0 0 319937953 299680963 450600726 431085007 19749715 34769280 521356283 554453581 311748973 309339737 209607310 245113844 X THE MISSION OF ADVOCATE SHERMAN HOSPITAL IS TO SERVE THE HEALTH NEEDS OF INDIVIDUALS, FAMILIES AND COMMUNITIES THROUGH A WHOLISTIC PHILOSOPHY ROOTED IN OUR FUNDAMENTAL UNDERSTANDING OF HUMAN BEINGS AS CREATED IN THE IMAGE OF GOD. 0 0 359080491 47819 410952857 FINANCIAL ASSISTANCE (CHARITY CARE) AND TRAUMA CARE. AS PART OF ADVOCATE SHERMAN HOSPITAL'S (ADVOCATE SHERMAN) COMMUNITY HEALTH STRATEGY, THE HOSPITAL IS COMMITTED TO PROMOTING INITIATIVES THAT ENAHANCE ACCESS TO HEALTH CARE FOR THE UNINSURED AND UNDERINSURED. AN EXAMPLE OF THIS IS THE PROVISION OF FINANCIAL ASSISTANCE. ADVOCATE SHERMAN PROVIDES INPATIENT AND OUTPATIENT HEALTH CARE SERVICES TO THE COMMUNITY REGARDLESS OF THE PATIENTS' ABILITY TO PAY. THE HOSPITAL OFFERS A VERY GENEROUS FINANCIAL ASSISTANCE PROGRAM, REQUIRING NO PAYMENTS FROM THE PATIENTS MOST IN NEED, AND PROVIDING DISCOUNTS TO UNINSURED AND INSURED PATIENTS. FROM JANUARY 2019 TO MAY 2019, UNINSURED PATIENTS EARNING UP TO SIX TIMES THE FEDERAL POVERTY LEVEL (FPL), AND INSURED PATIENTS EARNING UP TO FOUR TIMES THE FPL WERE ELIGIBLE TO BE CONSIDERED FOR A FULL OR PARTIAL FINANCIAL ASSISTANCE DISCOUNT. AS OF JUNE 2019, 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 WAS ADDED FOR UNINSURED AND INSURED PATIENTS WHOSE INCOMES EXCEED THE TRADITIONAL FINANCIAL ASSISTANCE INCOME GUIDELINES AND HAVE OUTSTANDING PATIENT BALANCES OF $25,000 OR MORE FOR A SINGLE DATE OF SERVICE OR SUM OF SEVERAL DATES OF SERVICE. THESE PATIENTS MAY QUALIFY TO RECEIVE A FINANCIAL ASSISTANCE DISCOUNT THAT REDUCES THEIR OUTSTANDING BALANCE TO 25% OF THEIR NET INCOME. FOR UNINSURED PATIENTS, ADVOCATE SHERMAN 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 FINANCIAL ASSISTANCE APPLICATION. IF PRESUMPTIVE CRITERIA ARE NOT AVAILABLE FOR UNINSURED PATIENTS, FINANCIAL ASSISTANCE ELIGIBILITY IS AVAILABLE USING AN INCOME-BASED SCREENING. THE HOSPITAL EXTENDS ITS INCOME-BASED FINANCIAL ASSISTANCE POLICY TO ITS INSURED PATIENTS AS WELL. BOTH UNINSURED AND INSURED REQUESTS ARE GIVEN CONSIDERATION BASED ON THE INDIVIDUAL'S EXTENUATING CIRCUMSTANCES. ADVOCATE AURORA HEALTH CONTINUES TO REVIEW AND REFINE ITS POLICY IN AN ONGOING EFFORT TO ENSURE THAT FINANCIAL ASSISTANCE IS AVAILABLE TO THOSE WHO NEED HELP AT ADVOCATE SHERMAN AND ALL OTHER AAH HOSPITALS. THE HOSPITAL MAINTAINS HIGHLY VISIBLE SIGNAGE AND BROCHURES IN MULTIPLE LANGUAGES TO INFORM PATIENTS OF THE AVAILABILITY OF FINANCIAL HELP AND FINANCIAL COUNSELORS. INFORMATION ABOUT THE FINANCIAL ASSISTANCE PROGRAM AND AN APPLICATION IS PROVIDED TO ALL UNINSURED PATIENTS DURING REGISTRATION AND IS MAILED TO THEM IN ADVANCE OF THE FIRST PATIENT BILLING. AFTER THAT, EACH UNINSURED PATIENT'S BILL INCLUDES SUMMARY INFORMATION REGARDING THE FINANCIAL ASSISTANCE PROGRAM. AS A LEVEL II TRAUMA CENTER, ADVOCATE SHERMAN PROVIDES EXPERT EMERGENCY CARE. THE HOSPITAL HAD 304 TRAUMA VISITS OUT OF A TOTAL OF 58,050 EMERGENCY DEPARTMENT VISITS IN 2019. 3108406 PROVISION OF NURSING EDUCATION. ADVOCATE SHERMAN IS COMMITTED TO PROVIDING EDUCATION TO NURSING STUDENTS NOW AND IN THE FUTURE. THE HOSPITAL PROVIDES EDUCATION IN A CLINICAL ENVIRONMENT TO NURSING STUDENTS FROM FIVE AREA COLLEGES AND UNIVERSITIES, INCLUDING CHAMBERLAIN COLLEGE, ELGIN COMMUNITY COLLEGE, MCHENRY COUNTY COLLEGE, AURORA UNIVERSITY AND NORTHERN ILLINOIS UNIVERSITY. IN 2019, ADVOCATE SHERMAN'S REGISTERED NURSES SUPERVISED AND TAUGHT 318 UNDERGRADUATE NURSING STUDENTS. HOSPITAL STAFF PROVIDED NEARLY $1.3 MILLION IN STAFF TIME DEVOTED TO DEVELOPING PROFICIENCY AND EXCELLENCE IN THESE NURSING STUDENTS THAT WILL SOON TAKE THEIR PLACE PROVIDING CARE AT VARIOUS HEALTH CARE ORGANIZATIONS IN THE COMMUNITY. 26893545 27250222 HEALTH CARE SERVICES PROVIDED BY PHYSICIANS, NURSES, CLINICIANS AND OTHER ASSOCIATES EMPLOYED BY ADVOCATE SHERMAN. ADVOCATE SHERMAN CLINICIANS PROVIDE CARE TO THE COMMUNITY BOTH AT THE HOSPITAL AND IN THE COMMUNITY. ADVOCATE SHERMAN HAS MORE THAN 30 YEARS OF CARDIOVASCULAR EXCELLENCE FOCUSING ON PROACTIVELY PREVENTING, DIAGNOSING AND TREATING AN ARRAY OF HEART CONDITIONS. AS AN ACCREDITED CHEST PAIN CENTER THROUGH THE SOCIETY OF CARDIOVASCULAR PATIENT CARE, ADVOCATE SHERMAN IS DEDICATED TO THE CARE OF ITS CARDIAC PATIENTS. THIS ACCREDITATION MEANS THAT THE HOSPITAL INTEGRATES THE INDUSTRY'S BEST PRACTICES TO PROVIDE THE BEST POSSIBLE OUTCOMES IN CARDIAC CARE. THE HOSPITAL'S HEART FAILURE PROGRAM HAS ACHIEVED ADVANCED CERTIFICATION IN HEART FAILURE DESIGNATION FOR BEST PRACTICES IN CARING FOR HEART FAILURE PATIENTS. IN 2019, ADVOCATE SHERMAN PROVIDED 794 INPATIENT CARDIAC CATHERIZATIONS AND 112 INPATIENT CARDIOVASCULAR OPEN-HEART SURGERIES.ADVOCATE SHERMAN IS RECOGNIZED AS A CENTER OF EXCELLENCE IN TREATING DISEASES AND INJURIES OF MUSCLES, BONES AND JOINTS AND IS A LEADER IN STATE-OF-THE-ART ORTHOPEDIC DIAGNOSTIC AND TREATMENT OPTIONS. DEPENDING ON THE INJURY OR ILLNESS, TREATMENT CAN RANGE FROM NON-SURGICAL OPTIONS, SUCH AS CASTS, SPLINTS AND PHYSICAL THERAPY, TO SURGICAL OPTIONS, FROM MINIMALLY INVASIVE ARTHROSCOPY TO TOTAL JOINT REPLACEMENT. IN 2019, ADVOCATE SHERMAN PERFORMED 2,087 ORTHOPEDIC SURGERIES (INPATIENT AND OUTPATIENT).ADVOCATE SHERMAN'S CANCER CARE CENTER IS ACCREDITED THROUGH THE COMMISSION ON CANCER (COC) AND THE NATIONAL ACCREDITATION PROGRAM FOR BREAST CENTERS (NAPBC). THE HOSPITAL IS A LEADER IN THE GREATER ELGIN AREA FOR CANCER CARE - PROMOTING HEALTHY LIFESTYLES, FOCUSING ON PREVENTATIVE AND INNOVATIVE MEDICINE, ESTABLISHING A COMPREHENSIVE GENETIC PROGRAM, SECURING NURSE NAVIGATION, ENHANCING THE ONCOLOGY SERVICE LINE (INPATIENT, OUTPATIENT AND COMMUNITY), AS WELL AS PARTNERING WITH THE AMERICAN CANCER SOCIETY, LIVING WELL AND JOURNEY CARE. IN ADDITION, THE HOSPITAL PARTICIPATED IN A COLEMAN GRANT FOR SUPPORTIVE ONCOLOGY AND NATIONAL CANCER INSTITUTE/YALE UNIVERSITY GRANT FOR DISTRESS SCREENING. THE HOSPITAL IS ALSO FOCUSED ON DEVELOPING NEW EDUCATION AND PREVENTION PROGRAMS (INCLUDING COLORECTAL CANCER OUTREACH AND SCREENINGS, AND LUNG CANCER SCREENINGS), ENHANCEMENTS TO GENETIC COUNSELING, THE ADDITION OF AN ONCOLOGY NURSE NAVIGATION RESOURCE, INCLUDING AN ONCOLOGY FINANCIAL NAVIGATOR AND A PARTNERSHIP WITH ADVOCATE LUTHERAN GENERAL FOR RESEARCH AND CLINICAL TRIALS.ADVOCATE SHERMAN'S PRIMARY STROKE CENTER IS ACCREDITED THROUGH DET NORSKE VERITAS HEALTHCARE, INC. (DNV HEALTHCARE). THE SCOPE OF THE PROGRAM ENCOMPASSES THE ADULT POPULATION ENTERING THE HOSPITAL WITH A HEMORRHAGIC/ISCHEMIC STROKE OR TRANSIENT ISCHEMIC ATTACK (TIA) DIAGNOSIS. DATA IS ABSTRACTED, SUBMITTED AND REPORTED THROUGH THE STROKE DATA REGISTRY AND THE CENTERS FOR MEDICARE AND MEDICAID SERVICES. OTHER IMPORTANT HOSPITAL-BASED SERVICES INCLUDE A COMPREHENSIVE DIABETES CENTER, A BIRTHING CENTER PROFICIENT IN HANDLING HIGH RISK DELIVERIES AND AN EMERGENCY DEPARTMENT AND LEVEL II TRAUMA CENTER. IN 2016, A NEW COMPLETE CARE CENTER WAS LAUNCHED AT ADVOCATE SHERMAN HOUSING THE HEART FAILURE RECOVERY CENTER, DIABETES AND NUTRITION CARE CENTER, ANTI-COAGULANTION CLINIC AND THE WOUND CARE CENTER. THE COMPLETE CARE CENTER IS LOCATED ADJACENT TO THE HEART AND VASCULAR CENTER AND OUTPATIENT PHYSICAL THERAPY UNIT FOR EASE OF ACCESS AND COORDINATED APPOINTMENTS FOR OUTPATIENTS. IN 2019, THE COMPLETE CARE CENTER PROVIDED 14,164 VISITS TO PATIENTS. HOSPITAL CLINICIANS ALSO PROVIDE CARE TO PATIENTS AT SEVERAL OFF-SITE LOCATIONS INCLUDING THREE IMMEDIATE CARE CENTERS FOR IMAGING, LABORATORY, PHYSICAL REHABILITATION AND PRIMARY CARE SERVICES, AS WELL AS SERVICES PROVIDED AT A NURSING/REHABILITATION CENTER AND A STAND-ALONE IMAGING CENTER. ADVOCATE SHERMAN CLINICIANS LEAD PRENATAL/CHILDBIRTH, PARENTING EDUCATION AND DIABETES EDUCATION CLASSES. THE HOSPITAL ALSO PROVIDES SUPPORT GROUPS FOCUSED ON INDIVIDUALS STRUGGLING WITH HEALTH ISSUES, SUCH AS DIABETES, HEART DISEASE, CANCERS, OSTOMIES AND BREASTFEEDING. DESCRIPTION OF ADVOCATE SHERMANADVOCATE HEALTH CARE BASED IN ILLINOIS AND AURORA HEALTH CARE BASED IN WISCONSIN MERGED TO BECOME ADVOCATE AURORA HEALTH IN APRIL 2018. ADVOCATE SHERMAN IS A 255-BED NOT-FOR-PROFIT HOSPITAL LOCATED IN ELGIN, ILLINOIS, AND IS ONE OF 27 ACUTE CARE HOSPITALS IN THE ADVOCATE AURORA HEALTH SYSTEM. ADVOCATE SHERMAN PROVIDES ACUTE INPATIENT AND OUTPATIENT MEDICAL CARE TO INDIVIDUALS RESIDING IN THE GREATER ELGIN, ILLINOIS AREA. FOUNDED IN 1888, THE HOSPITAL HAS EXPANDED ITS SERVICES TO SEVERAL OFF-SITE LOCATIONS, INCLUDING THREE IMMEDIATE CARE CENTERS, A NURSING/REHABILITATION CENTER AND A STAND-ALONE IMAGING CENTER. AT ALL THESE SITES OF CARE, THE HOSPITAL'S 820 PHYSICIANS AND 1,495 TEAM MEMBERS (EMPLOYEES) PROVIDE QUALITY AND COMPASSIONATE CARE TO INDIVIDUALS REGARDLESS OF THEIR ABILITY TO PAY FOR SERVICES RECEIVED. THE HOSPITAL MOVED TO ITS CURRENT LOCATION ON RANDALL ROAD FOLLOWING COMPLETION OF A NEW HOSPITAL BUILDING IN DECEMBER 2009. ADVOCATE SHERMAN HAS BEEN RECOGNIZED FOR ITS COMMITMENT TO CONTINUALLY IMPROVING PERFORMANCE AND PATIENT CARE AS DEMONSTRATED THROUGH ITS ACHIEVEMENT OF SEVERAL AWARDS. CONSIDERED THE NATIONAL "GOLD STANDARD" FOR NURSING EXCELLENCE AMONG HOSPITALS, THE HOSPITAL HAS RECEIVED MAGNET RECOGNITION BY THE AMERICAN NURSES CREDENTIALING CENTER, AN AFFILIATE OF THE AMERICAN NURSES ASSOCIATION. MAGNET RECOGNITION IS GIVEN ONLY TO HOSPITALS THAT SATISFY A SET OF CRITERIA DESIGNED TO MEASURE STRENGTH AND QUALITY IN NURSING CARE WITH LESS THAN SEVEN PERCENT OF HOSPITALS NATION-WIDE ACHIEVING THIS STATUS. THE CENTER FOR BREAST CARE AT ADVOCATE SHERMAN IS DESIGNATED AS A BREAST IMAGING CENTER OF EXCELLENCE BY THE AMERICAN COLLEGE OF RADIOLOGY FOR ITS DEDICATION TO IMPROVING WOMEN'S HEALTH. THE HOSPITAL IS ALSO AN ACCREDITED CHEST PAIN CENTER, WHICH MEANS THE HOSPITAL INTEGRATES THE INDUSTRY'S BEST PRACTICES AND NEWEST MODELS TO PROVIDE THE BEST POSSIBLE OUTCOMES IN CARDIAC CARE. THE HOSPITAL'S HEART FAILURE PROGRAM RECEIVED GOLD LEVEL RECOGNITION FROM THE AMERICAN HEART ASSOCIATION'S "GET WITH THE GUIDELINES-HEART FAILURE PROGRAM" FOR COMMITMENT TO IMPROVING QUALITY CARE. ADVOCATE SHERMAN'S HEALTHCARE PROVIDERS ARE ENGAGED IN ONGOING EFFORTS FOCUSED ON QUALITY IMPROVEMENT INITIATIVES. THESE PROVIDERS USE EVIDENCE-BASED PRACTICES AS AN APPROACH TO IMPROVE QUALITY WHILE REDUCING UNNECESSARY VARIATION IN PRACTICE, COST AND HOSPITALIZATION. THESE EFFORTS ARE DESIGNED TO MAINTAIN AND ENHANCE PATIENT, STAFF AND VISITOR SAFETY AND TO IMPROVE THE ENVIRONMENT OF CARE.WITH A TEAM OF NEARLY 50 CARDIOLOGISTS, ADVOCATE SHERMAN HAS OVER 35 YEARS OF EXERIENCE WITH OPEN HEART PROCEDURES AND ALL FORMS OF CARDIAC CARE. IN ADDITION TO A WIDE RANGE OF CARDIOVASCULAR SERVICES, THE HOSPITAL IS ALSO AN ACCREDITED CHEST PAIN CENTER WITH DEDICATED INTERVENTIONAL CARDIOLOGISTS AND CARDIOLOGY AND EMERGENCY PERSONNEL TRAINED IN RAPID RESPONSE AND TREATMENT OF HEART ATTACKS, WHICH HELPS ENSURE REDUCED HEART MUSCLE DAMAGE AND SAVES LIVES. THE HOSPITAL'S CENTER FOR CANCER CARE OFFERS THE LATEST CANCER TREATMENTS AND STATE-OF-THE-ART TECHNOLOGY IN AN ENVIRONMENT CUSTOM-DESIGNED FOR HEALING AND COMPASSIONATE CARE. THE CENTER FOR ADVANCED LIVER & PANCREATIC CARE PROVIDES PATIENTS WITH ACCESS TO SPECIALIZED CARE FOR THE TREATMENT OF A WIDE RANGE OF LIVER AND PANCREATIC DISEASES THAT TYPICALLY HAVE ONLY BEEN TREATED AT ACADEMIC MEDICAL CENTERS. AS AN ADVOCATE AURORA HOSPITAL, ADVOCATE SHERMAN SUPPORTS THE ORGANIZATION'S VISION OF "WE HELP PEOPLE LIVE WELL AND TO FULFILL ITS VALUES OF: EXCELLENCE WE ARE A TOP PERFOMER IN ALL THAT WE DO; COMPASSION WE UNSELFISHLY CARE FOR OTHERS; AND RESPECT WE VALUE THE UNIQUE NEEDS AND PREFERENCES OF ALL PEOPLE. POPULATION SERVEDADVOCATE SHERMAN PROVIDES QUALITY HEALTH CARE TO INDIVIDUALS REGARDLESS OF RACE, CREED, NATIONAL ORIGIN, AGE OR ABILITY TO PAY. IN 2019, THE HOSPITAL'S 820 PHYSICIANS AND 1,495 TEAM MEMBERS (EMPLOYEES) TREATED 13,727 INPATIENT ADMISSIONS, INCLUDING 2,295 DELIVERIES, AND HANDLED 303,551 OUTPATIENT VISITS. AS A LEVEL II TRAUMA CENTER, ADVOCATE SHERMAN PROVIDED 304 TRAUMA VISITS AND 58,050 (INCLUDING TRAUMA) EMERGENCY DEPARTMENT VISITS IN 2019.ADVOCATE SHERMAN SERVES A PRIMARY SERVICE AREA (PSA) INCLUDING 301,055 PEOPLE WHO RESIDE IN THE COMMUNITIES OF ALGONQUIN, CARPENTERSVILLE, DUNDEE, ELGIN, GILBERTS, HUNTLEY, LAKE IN THE HILLS AND SOUTH ELGIN (DATA UPDATED JANUARY 2019).THE PERCENT OF THE FAMILIES IN THE POPULATION LIVING BELOW THE FEDERAL POVERTY LEVEL WAS 7.3% FOR THE PSA AS COMPARED TO 9.8% FOR THE STATE ACCORDING TO JANUARY 2019 DATA (CLARITAS 2019). THERE ARE SEVERAL COMMUNITIES IN THE HOSPITAL'S PSA WHICH ARE FINANCIALLY CHALLENGED, WITH A HIGHER PERCENTAGE LIVING BELOW POVERTY THAN THE STATE, INCLUDING CARPENTERSVILLE WITH 14.55% OF THE FAMILIES IN THE POPULATION LIVING BELOW POVERTY, AND ELGIN (60120) AT TWELVE PERCENT. THE PSA MEDIAN HOUSEHOLD INCOME IS $80,036.THE PSA HAS A HIGH PORTION OF THE POPULATION OF LATINO ETHNICITY (TWENTY-NINE PERCENT). THERE IS ALSO A LOW RATE OF AFRICAN AMERICAN POPULATION (4.79%) IN THE PSA. COMMITMENT TO THE COMMUNITYEVEN IN THE FACE OF LOW REIMBURSEMENTS, ADVOCATE SHERMAN IS DEDICATED TO MAINTAINING A STRONG PRESENCE WITHIN ITS COMMUNITY AND CONTINUES TO MONITOR EXPENDITURES TO MAKE CERTAIN THAT THE PROGRAMS AND SERVICES SUPPORTED ARE IN DIRECT RESPONSE TO COMMUNITY NEED. IN 2019, ADVOCATE SHERMAN PROVIDED OVER $41.5 MILLION IN COMMUNITY BENEFIT PROGRAMS AND SERVICES. THESE BENEFITS INCLUDED NOT ONLY THE COST OF FINANCIAL ASSISTANCE AND UNREIMBURSED MEDICAID AND MEDICARE, FOR EXAMPLE, BUT ALSO THE COST FOR IMPLEMENTING AND SUSTAINING PROGRAMS SPECIFICALLY DESIGNED TO MEET THE HEALTH CARE NEEDS OF THE COMMUNITY. PARTNERING TO ASSESS COMMUNITY NEEDS. ADVOCATE SHERMAN HAS BEEN WORKING COLLABORATIVELY WITH THE MCHENRY COUNTY DEPARTMENT OF PUBLIC HEALTH AND THE KANE COUNTY HEALTH DEPARTMENT TO ASSESS THE HEALTH NEEDS OF THE COMMUNITY. PARTICIPATING IN THE COUNTY-WIDE HEALTH ASSESSMENTS LED BY BOTH HEALTH DEPARTMENTS, COMMUNITY HEALTH ASSOCIATES HAVE PLAYED IMPORTANT ROLES ON THE EXECUTIVE LEADERSHIP OVERSIGHT COMMITTEES AND SUB-COMMITTEES OF THESE INITIATIVES. OTHER HOSPITAL ASSOCIATES SERVE IN KEY LEADERSHIP ROLES IN THE OVERSIGHT COMMITTEES OF BOTH COUNTIES, AS WELL AS SERVING ON MANY SUBCOMMITTEES. ADVOCATE SHERMAN ALSO FOCUSES ITS INTERNAL STRENGTHS TO ASSESS COMMUNITY NEEDS AND TO GUIDE PROGRAM DEVELOPMENT. THE HOSPITAL'S COMMUNITY HEALTH DEPARTMENT PLAYS A KEY ROLE IN WORKING COLLABORATIVELY WITH INTERNAL HOSPITAL DEPARTMENTS AS WELL AS WITH COMMUNITY PARTNERS TO ENHANCE THE HEALTH OF THE COMMUNITY. THE DEPARTMENT ALSO PLANS AND IMPLEMENTS COMMUNITY OUTREACH EVENTS AND HEALTH EDUCATION CLASSES, AND OVERSEES THE AMERICAN HEART ASSOCIATION TRAINING CENTER AT THE HOSPITAL. COMMUNITY HEALTH NEEDS ASSESSMENT COLLABORATIVES. ADVOCATE SHERMAN HAS BEEN WORKING COLLABORATIVELY WITH THE MCHENRY COUNTY DEPARTMENT OF PUBLIC HEALTH AND THE KANE COUNTY HEALTH DEPARTMENT TO ASSESS THE HEALTH NEEDS OF THE COMMUNITY. PARTICIPATING IN THE COUNTY-WIDE HEALTH NEEDS ASSESSMENTS LED BY BOTH HEALTH DEPARTMENTS, COMMUNITY HEALTH TEAM MEMBERS HAVE PLAYED IMPORTANT ROLES ON THE EXECUTIVE LEADERSHIP OVERSIGHT COMMITTEES AND SUB-COMMITTEES OF THESE INITIATIVES SINCE 2006. OTHER HOSPITAL TEAM MEMBERS SERVE IN KEY LEADERSHIP ROLES IN THE OVERSIGHT COMMITTEES OF BOTH COUNTIES AS WELL AS SERVING ON MANY SUBCOMMITTEES OF PUBLIC AND PRIVATE NON-PROFIT ORGANIZATIONS WITHIN THE COMMUNITY. COMMUNITY STRATEGY AND EXAMPLES OF PROGRAMS AND SERVICE ACCOMPLISHMENTSAS A HOSPITAL CENTER WITHIN THE ADVOCATE AURORA HEALTH SYSTEM, ADVOCATE SHERMAN'S IMPLEMENTATION PLANS AND STRATEGIES ALIGN WITH THE AAH SYSTEM STRATEGY. THROUGH THIS COMMUNITY STRATEGY, THE HOSPITAL WILL BUILD HEALTH EQUITY, ENSURE ACCESS AND IMPROVE HEALTH OUCOMES IN ITS COMMUNITY THROUGH EVIDENCE-INFORMED SERVICES AND INNOVATIVE PARTHERSHIPS BY ADDRESSING MEDICAL NEEDS AND SOCIAL DETERMINANTS OF HEALTH. BASED ON NEED AND EFFECT ON HEALTH EQUITY AS IDENTIFIED IN THE AAH HOSPITALS CHNA REPORTS AND ON INDUSTRY LITERATURE, THE FOLLOWING SIX FOCUS AREAS HAVE BEEN PRIORITIZED AND IS THE FOUNDATION ON WHICH THE HOSPITAL-SPECIFIC IMPLEMENATION PLANS ARE BUILT. THE FOCUS AREAS ARE: 1) ACCESS TO PRIMARY MEDICAL HOMES; 2) ACCESS TO BEHAVIORAL HEALTH SERVICES; 3) WORKFORCE DEVELOPMENT; 4) COMMUNITY SAFETY; 5) AFFORDABLE HOUSING; AND 6) FOOD SECURITY. EACH STRATEGY FOCUS AREA AND EXAMPLES OF ADVOCATE SHERMAN PROGRAMS AND ACTIVITIES ADDRESSING THAT STRATEGY ARE PROVIDED BELOW. 389082442 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 0 0 1 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 1 0 0 0 1 0 0 2039 1 1 1 0 0 0 0 0 0 0 0 0 1 0 X 20 17 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 1 0 IL X ADVOCATE AURORA HEALTH INC 6309296057 3075 HIGHLAND PARKWAY SUITE 600 DOWNERS GROVE IL 60515 AZMEY MATARIEH DIRECTOR 1.00 55.00 X 0 732636 28461 CRAIG LAMP DIRECTOR 1.00 X 8100 0 0 JOHN CHAPMAN DIRECTOR 1.00 1.00 X 8100 0 0 JOSE TORRES DIRECTOR 1.00 X 7750 0 0 JOY JENSEN DIRECTOR (NONVOTING) 1.00 X 0 0 38 KAREN LAMBERT INTERIM PRESIDENT, DIRECTOR (START 9/2019) 1.00 55.00 X X 0 1132308 64402 KENNETH KOEHLER DIRECTOR 1.00 1.00 X 7750 0 0 LINDA DEERING DEAN PRESIDENT, DIRECTOR (END 9/2019) 55.00 1.00 X X 1692033 0 34145 LINDA WALLACE ASSISTANT SECRETARY, DIRECTOR 1.00 X X 0 0 0 NICOLE PAULK DIRECTOR 1.00 55.00 X 0 473411 57395 PATRICK CRAWFORD DIRECTOR 1.00 1.00 X 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1 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 39268 39268 0 PART II-B, LINE 1: SUPPLEMENTAL LOBBYING INFORMATION ADVOCATE SHERMAN HOSPITAL IS A MEMBER OF THE AMERICAN HOSPITAL ASSOCIATION AND THE ILLINOIS HEALTH AND HOSPITAL ASSOCIATION. THESE ORGANIZATIONS, AS PART OF THEIR MISSIONS, ADVOCATE IN THE GENERAL ASSEMBLY AND IN CONGRESS ON LEGAL AND POLICY ISSUES THAT AFFECT HEALTHCARE INCLUDING QUALITY, AFFORDABILITY, PATIENT ACCESS, AND ACCREDITATION. A PORTION OF THE ANNUAL MEMBERSHIP DUES PAID TO THIS ORGANIZATION IS ATTRIBUTABLE TO LOBBYING ACTIVITIES. THE HOSPITAL ALSO REIMBURSES ASSOCIATES FOR DUES AND EDUCATIONAL EXPENSES PAID TO VARIOUS PROFESSIONAL AND MEMBERSHIP ORGANIZATIONS. ADVOCATE SHERMAN HOSPITAL ENDEAVORS TO IDENTIFY THE PORTION OF THESE DUES OR FEES ATTRIBUTABLE TO LOBBYING ACTIVITIES. 26987641 26987641 260187682 66202238 193985444 5084048 2461495 2622553 94350675 59461064 34889611 2169326 2169326 260654575 I/C NOTES PAYABLES-SHERMAN 214655695 BLUE CROSS TAKEBACKS 30770561 OTHER THIRD PARTY PAYABLE 3000000 BLUE CROSS DUE-CURRENT YEAR 1100000 MEDICARE RAC RESERVE 1470000 THIRD PARTY PAYOR TRANSFERS 403493 REMEDIATION COST ACCRUAL 8411 LEASE LIABILITY OPERATING - NO 5113567 256521727 1 1 X 1 X 250.000000000000 1 X 600.000000000000 1 1 1 0 1 1 9881012 9887 9871125 0.02380 60874296 46008864 14865432 0.03590 70755308 46018751 24736557 0.05970 1369535 0 1369535 0.00330 3108406 0 3108406 0.00750 1526027 1363337 162690 0.00040 73282 0 73282 0.00020 6077250 1363337 4713913 0.01140 76832558 47382088 29450470 0.07110 0 17115928 196144 125535831 134601839 -9066008 X 1 1 1 ALGONQUIN ROAD SURGERY CENTER LLC ANCILLARY SURGERY CENTER 0.26000 0.00000 0.49000 2 ARSC RE HOLDINGS LLC REAL ESTATE LEASING 0.50000 0.00000 0.00000 1 1 ADVOCATE SHERMAN HOSPITAL 1425 N RANDALL ROAD ELGIN IL 601232300 HTTP://WWW.ADVOCATEHEALTH.COM/HOPE/ 0005884 X X X ADVOCATE SHERMAN HOSPITAL 1 0 0 1 X X X X X X X X X 19 1 1 1 1 X HTTP://WWW.ADVOCATEHEALTH.COM/CHNAREPORTS X X 1 17 1 HTTP://WWW.ADVOCATEHEALTH.COM/CHNAREPORTS 0 1 X 200.000000000000 600.000000000000 X X X X X 1 1 X X X 1 X WWW.ADVOCATEHEALTH.COM/FINANCIALASSISTANCE X WWW.ADVOCATEHEALTH.COM/FINANCIALASSISTANCE X WWW.ADVOCATEHEALTH.COM/FINANCIALASSISTANCE X X X X X X 1 X 1 X X X X X X 1 X 0 0 ADVOCATE SHERMAN HOSPITAL PART V, SECTION B, LINE 5: ADVOCATE SHERMAN HOSPITAL (ADVOCATE SHERMAN) COLLABORATED WITH THE MCHENRY COUNTY AND KANE COUNTY HEALTH DEPARTMENTS TO CONDUCT A COMPREHENSIVE CHNA. ADVOCATE SHERMAN ALSO CONSULTED WITH A NUMBER OF ADDITIONAL PARTNER ORGANIZATIONS INCLUDING SEVERAL FEDERALLY QUALIFIED HEALTH CENTERS (GREATER ELGIN FAMILY CARE CENTER, VNA HEALTH CENTER, AUNT MARTHA'S), THE KANE COUNTY SUBSTANCE ABUSE COALITION, MCHENRY COUNTY SUBSTANCE ABUSE COALITION AND THE MENTAL HEALTH 708 INC BOARD. EACH OF THESE ORGANIZATIONS HAVE A FOCUS ON MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS. THE ADVOCATE SHERMAN COMMUNITY HEALTH STAFF GATHERED AND ANALYZED A VARIETY OF PRIMARY AND SECONDARY DATA FROM 2017 THROUGH 2019. THIS DATA WAS PRESENTED TO THE COMMUNITY HEALTH COUNCIL (CHC). COMMUNITY HEALTH COUNCIL. ADVOCATE SHERMAN CONVENED A COMMUNITY HEALTH COUNCIL (CHC) IN JANUARY 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. THE CHC IS CHAIRED BY A MEMBER OF THE HOSPITAL'S GOVERNING COUNCIL IN ORDER TO FACILITATE ONGOING COMMUNICATION. 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. THE CHC IS COMPRISED OF EIGHT COMMUNITY MEMBERS, REPRESENTING 67 PERCENT OF THE TOTAL MEMBERSHIP. NON-ADVOCATE AURORA-AFFILIATED MEMBERS REPRESENT THE MCHENRY COUNTY AND KANE COUNTY HEALTH DEPARTMENTS, THE AMERICAN CANCER SOCIETY AND A VARIETY OF SOCIAL SERVICE AGENCIES. ADVOCATE SHERMAN REPRESENTATIVES INCLUDE EXECUTIVE TEAM MEMBERS, A PHYSICIAN CHAMPION AND A BUSINESS DEVELOPMENT LEADER. THE AFFILIATIONS AND TITLES OF THE HOSPITAL'S COMMUNITY HEALTH COUNCIL MEMBERS ARE PROVIDED BELOW. UNLESS OTHERWISE INDICATED, CHC MEMBERS WITH AN ASTERISK (*) REPRESENT MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS.- AMERICAN CANCER SOCIETY, HOSPITAL SYSTEMS MANAGER- ELGIN COMMUNITY MEMBER, ADVOCATE SHERMAN BOARD MEMBER (MINORITY POPULATIONS)- GREATER ELGIN FAMILY CARE CENTER, CHIEF OPERATING OFFICER *- KANE COUNTY HEALTH DEPARTMENT, EXECUTIVE DIRECTOR *- MCHENRY COUNTY DEPARTMENT OF HEALTH, ADMINISTRATIVE MANAGER *- SECOND BAPTIST CHURCH OF ELGIN, PASTOR; ADVOCATE SHERMAN BOARD MEMBER AND CHC CHAIR (LOW-INCOME AND MINORITY POPULATIONS)- UNITED WAY OF ELGIN, PRESIDENT/CEO (LOW-INCOME AND MINORITY POPULATIONS) - COALITION FOR A SAFE AND HEALTHY ELGIN, PROGRAM COORDINATOR *ADVOCATE AURORA/ADVOCATE SHERMAN STAFF MEMBERS- ADVOCATE AURORA, DIRECTOR OF COMMUNITY HEALTH, NORTH REGION- ADVOCATE SHERMAN, DIRECTOR OF SERVICE EXCELLENCE AND POPULATION HEALTH- ADVOCATE SHERMAN, MANAGER, COMMUNITY OUTREACH- ADVOCATE SHERMAN, PHYSICIAN, FAMILY PRACTICEDATA WAS PRESENTED TO THE COUNCIL FROM JANUARY THROUGH MARCH 2019. INDICATORS PRESENTED INCLUDED DEMOGRAPHIC, ECONOMIC, EDUCATION, EMPLOYMENT, SOCIAL DETERMINANTS, HEALTH STATUS AND HEALTH BEHAVIOR. THE EIGHT MOST SIGNIFICANT HEALTH ISSUES IDENTIFIED WERE: SUBSTANCE ABUSE, MENTAL HEALTH, HEALTHY EATING/NUTRITION (EXERCISE, NUTRITION, OBESITY, AND FOOD ACCESS/FOOD INSECURITY), HEART DISEASE, DIABETES, RESPIRATORY DISEASES, SEXUALLY TRANSMITTED DISEASES AND ADULT VACCINATIONS. A PROFILE OF CANCER WAS PROVIDED TO THE COUNCIL, BUT BECAUSE CANCER IS ALREADY BEING ADDRESSED AS A HEALTH PRIORITY THROUGH THE HOSPITAL REQUIREMENTS FOR THE COMMISSION ON CANCER, IT WAS NOT PRESENTED AS A SEPARATE HEALTH NEED FOR VOTING. USING A MODIFIED HANLON METHOD, CHC MEMBERS WERE ASKED TO PRIORITIZE SCORES BASED ON THE SIZE AND SERIOUSNESS OF THE HEALTH PROBLEM, THE COST OF THE HEALTH PROBLEM TO SOCIETY AND THE EFFECTIVENESS OF AVAILABLE INTERVENTIONS. THE HEALTH ISSUES WITH THE HIGHEST VOTES WERE: OBESITY (DIABETES, HEART DISEASE, NUTRITION AND EXERCISE) AND BEHAVIORAL HEALTH (SUBSTANCE ABUSE AND MENTAL HEALTH). THESE PRIORITIES WERE PRESENTED TO THE ADVOCATE SHERMAN GOVERNING COUNCIL.GOVERNING COUNCIL. AS INDICATED EARLIER, ALL ACTIVITIES AND DECISIONS MADE BY THE CHC REGARDING THE CHNA ARE SUBMITTED TO ADVOCATE SHERMAN'S FULL GOVERNING COUNCIL (REFERRED TO AS THE ADVOCATE SHERMAN BOARD OF DIRECTORS) FOR APPROVAL AND ONE MEMBER OF THE GOVERNING COUNCIL SERVES AS CHAIR OF THE CHC TO ENSURE COORDINATION OF INFORMATION. THE ADVOCATE SHERMAN GOVERNING COUNCIL IS COMPRISED OF 25 MEMBERS, REPRESENTING A BROAD ARRAY OF COMMUNITY SECTORS. MEMBERS COME FROM THE FIELDS OF EDUCATION, MANUFACTURING, PHILANTHROPY, FAITH COMMUNITIES, MARKETING, FINANCIAL INDUSTRY, PRIMARY CARE AND SUBSPECIALTY HEALTH CARE. THE GOVERNING COUNCIL REVIEWED AND APPROVED THE RECOMMENDED HEALTH NEED PRIORITIES FROM THE CHC ON MAY 20, 2019 AND LATER APPROVED THE 2019 CHNA REPORT ON SEPTEMBER 23, 2019.THE ADVOCATE HEALTH CARE NETWORK BOARD OF DIRECTORS APPROVED THE ADVOCATE SHERMAN 2019 CHNA REPORT AT THE SYSTEM LEVEL ON DECEMBER 16, 2019. THE ADVOCATE SHERMAN 2017-2019 CHNA REPORT WAS POSTED ON THE ADVOCATE HEALTH CARE WEBPAGE THE FOLLOWING DAY AND INCLUDED A LINK TO A FORM AND AN EMAIL FOR THE COMMUNITY TO USE FOR INQUIRIES AND PROVIDING FEEDBACK. AS OF DECEMBER 31, 2019, NO FEEDBACK OR QUESTIONS WERE RECEIVED FROM THE COMMUNITY REGARDING THE 2019 CHNA REPORT, OR THE PREVIOUS 2014-2016 CHNA REPORT AND/OR ITS ACCOMPANYING 2017-2019 IMPLEMENTATION PLAN. ADVOCATE SHERMAN HOSPITAL PART V, SECTION B, LINE 6A: - ADVOCATE GOOD SHEPHERD HOSPITALUNRELATED? - NORTHWESTERN MEDICINE (CENTEGRA HEALTH SYSTEMS) MCHENRY, IL - AMITA ST. JOSEPH'S HOSPITAL, ELGIN, IL - AMITA MERCY MEDICAL CENTER, AURORA, IL- NORTHWESTERN MEDICINE DELNOR COMMUNITY HOSPITAL, GENEVA, IL - RUSH-COPLEY MEDICAL CENTER, AURORA, IL ADVOCATE SHERMAN HOSPITAL PART V, SECTION B, LINE 6B: - FAMILY ALLIANCE, INC., CRYSTAL LAKE, IL - MCHENRY COUNTY COLLEGE, CRYSTAL LAKE, IL- MCHENRY COUNTY DEPARTMENT OF HEALTH, WOODSTOCK, IL- MCHENRY COUNTY MENTAL HEALTH BOARD, CRYSTAL LAKE, IL- MCHENRY COUNTY SUBSTANCE ABUSE COALITION, WOODSTOCK, IL- UNITED WAY OF GREATER MCHENRY COUNTY, MCHENRY, IL- KANE COUNTY HEALTH DEPARTMENT, AURORA, IL- 708 INC BOARD NFP (COMMUNITY MENTAL HEALTH FUNDING ALLIANCE), AURORA, IL ADVOCATE SHERMAN HOSPITAL PART V, SECTION B, LINE 7D: ADVOCATE SHERMAN ISSUED AN ANNOUNCEMENT AND A BRIEF SUMMARY OF THE 2019 CHNA RESULTS TO ADVOCATE SHERMAN TEAM MEMBERS, WHICH ALSO INCLUDED A LINK TO THE FULL REPORT. THE HOSPITAL'S COMMUNITY HEALTH STAFF HAVE PRESENTED THE CHNA RESULTS TO THE ADVOCATE SHERMAN EXECUTIVE AND SENIOR LEADERSHIP TEAMS AS WELL. ADVOCATE SHERMAN HOSPITAL PART V, SECTION B, LINE 11: 2014-2016 CHNA (NOTE: THE FOLLOWING NARRATIVE REVIEWS THE PREVIOUS ADVOCATE SHERMAN 2014-2016 CHNA'S SELECTED PRIORITIES AND THE 2017-2019 IMPLEMENTATION STRATEGIES AND OUTCOMES GIVEN 2019 WAS THE THIRD AND FINAL YEAR OF THE 2017-2019 IMPLEMENTATION PLAN CYCLE.)HEALTH NEEDS SELECTED THE COMPREHENSIVE CHNA PROVIDED THE ADVOCATE SHERMAN COMMUNITY HEALTH COUNCIL THE DATA AND FEEDBACK NEEDED TO SELECT AND APPROVE THE TOP TWO HEALTH AREAS FOR PRIORITY ACTION. THE TWO HEALTH PRIORITIES WERE: 1) OBESITY/NUTRITION/PHYSICAL ACTIVITY; AND 2) DIABETES/KIDNEY DISEASE.OBESITY/NUTRITION/PHYSICAL ACTIVITY. OBESITY/NUTRITION/PHYSICAL ACTIVITY IS BEING ADDRESSED THROUGH AN ADVOCATE AURORA HEALTH-LED, MULTI-STAKEHOLDER CHICAGOLAND COALITION THAT RAISED AND SECURED FUNDS TO LAUNCH THE WEB-BASED GO NAP SACC PROGRAM TO THE STATE OF ILLINOIS IN 2018. THE WEB-BASED PROGRAM WENT LIVE STATEWIDE IN 2019. ALL CHILDCARE CENTERS THAT WERE ACTIVE WITH THE GO NAP SACC PROGRAM WERE ADDED TO THE WEBSITE FOR TRACKING. THE YWCA COMPLETED THEIR GO NAP SACC ACTION PLANS IN 2019 AND MOVED FORWARD WITH THEIR WORK TO PREVENT OBESITY ON THEIR OWN. ADVOCATE SHERMAN'S DIABETES CENTER AND MOBILE INTEGRATED HEALTH PROGRAM (MIH) ADDRESSED OBESITY BY IDENTIFYING INDIVIDUALS LIVING WITHIN ELGIN AND CARPENTERSVILLE WHO ARE FOOD INSECURE IMPLEMENTING SCREENING USING THE HUNGER VITAL SIGN TOOL. THOSE IDENTIFIED AS BEING FOOD INSECURE WERE PROVIDED WITH A FOOD RESOURCE GUIDEBOOK IN ENGLISH AND SPANISH. A TOTAL OF 284 INDIVIDUALS WERE SCREENED FOR FOOD INSECURITY IN 2019, AND 28 PERCENT OF THOSE SCREENED WERE IDENTIFIED AS BEING FOOD INSECURE, MUCH HIGHER THAN THE 7 PERCENT OVERALL RATE FOR KANE COUNTY. DIABETES/KIDNEY DISEASE. DIABETES/KIDNEY DISEASE IS BEING ADDRESSED THROUGH ADVOCATE SHERMAN'S DIABETES IN THE LATINO COMMUNITY PROGRAM, WHICH IMPLEMENTED BLOOD GLUCOSE SCREENINGS IN ELGIN AND CARPENTERSVILLE LATINO COMMUNITIES. PARTNERSHIPS INCLUDED THE ELGIN FLEA MARKET, ELGIN LAUNDROMATS, CARPENTERSVILLE FISH FOOD PANTRY AND THE GRAND VICTORIA CASINO. THE SCREENINGS PROVIDED AN OPPORTUNITY TO CONNECT PATIENTS TO A HEALTH CARE PROVIDER FOR FOLLOW-UP. A TOTAL OF 18 EVENTS OCCURRED IN ELGIN AND CARPENTERSVILLE IN 2019, WITH 466 DIABETES SCREENINGS COMPLETED. IN ADDITION, THE DIABETES SELF-MANAGEMENT PROGRAM (DSMP) CONTINUED IN 2019, IN PARTNERSHIP WITH THE GAIL BORDEN PUBLIC LIBRARY, YWCA AND CENTRO DE INFORMACIN, FOR THE PURPOSE OF EDUCATING AND EMPOWERING INDIVIDUALS WITH DIABETES TO BETTER MANAGE THEIR CONDITION. EIGHTEEN GLUCOSE SCREENING EVENTS WERE HELD IN ELGIN AND CARPENTERSVILLE IN 2019 AND 466 GLUCOSE SCREENINGS WERE COMPLETED. IN ADDITION, THE ADVOCATE SHERMAN COMMUNITY GARDEN PRODUCED 376 POUNDS OF PRODUCE IN 2019, OF WHICH 110 POUNDS OF PRODUCE WAS PROVIDED TO FOOD INSECURE PATIENTS FROM THE DIABETES CENTER. ELGIN COMMUNITY COLLEGE FOOD INSECURE STUDENTS WERE ALSO PROVIDED 266 POUNDS OF PRODUCE FROM THE GARDEN.HEALTH NEEDS NOT SELECTED HEART DISEASE AND STROKE. HEART DISEASE AND STROKE WERE NOT SELECTED AS A HEALTH NEED BASED ON THE CHNA RESULTS INDICATING A DECLINE IN DEATH RATES, AS WELL AS POSITIVE PERFORMANCE AGAINST THE HEALTHY PEOPLE 2020 TARGETS, DEMONSTRATING THAT PROGRESS IS BEING MADE TO DECREASE HEART DISEASE AND STROKE RATES. ADDITIONALLY, ADVOCATE SHERMAN IS PART OF THE ADVOCATE HEART INSTITUTE WHICH PROVIDES ADVANCED DIAGNOSTICS AND TREATMENT WITH STATE-OF-THE-ART TECHNOLOGY TO PROVIDE PATIENTS WITH THE BEST POSSIBLE OUTCOMES. MENTAL HEALTH. MENTAL HEALTH WAS NOT SELECTED AS A HEALTH NEED BASED ON CURRENT PARTNERSHIPS WITH ECKER CENTER FOR MENTAL HEALTH, A NON-PROFIT OUTPATIENT MENTAL HEALTH AGENCY, WITH AN ONSITE OFFICE IN THE EMERGENCY DEPARTMENT (ED) AT ADVOCATE SHERMAN. IN ADDITION, THE HOSPITAL WORKS WITH A WIDE ARRAY OF MENTAL HEALTH PROVIDERS IN THE PRIMARY SERVICE AREA TO ENSURE CONTINUUM OF CARE FOR PATIENTS. ADVOCATE SHERMAN IS A COLLABORATIVE PARTNER WITH THE KANE COUNTY BEHAVIORAL HEALTH COUNCIL, A COALITION OF MENTAL HEALTH AND SUBSTANCE USE TREATMENT PROVIDERS WORKING TO IMPROVE THE CONTINUUM OF CARE FOR KANE COUNTY RESIDENTS. SUBSTANCE ABUSE. SUBSTANCE ABUSE ALSO WAS NOT SELECTED AS A HEALTH NEED DUE TO CURRENT COLLABORATIONS WITH COALITIONS ADDRESSING SUBSTANCE ABUSE IN BOTH KANE AND MCHENRY COUNTIES. 2017-2019 CHNAHEALTH NEEDS SELECTED OBESITY. OBESITY WAS SELECTED AS A HEALTH PRIORITY GIVEN A CONSISTENT RISE IN OBESITY RATES IN BOTH KANE COUNTY AND MCHENRY COUNTY AND THE DEMONSTRATED LINK BETWEEN CHRONIC CONDITIONS (DIABETES, HEART DISEASE, CANCER) AND OBESITY. IN THE KANE COUNTY KEY INFORMANT INTERVIEWS, 40.7 PERCENT OF PARTICIPANTS CONSIDERED NUTRITION, PHYSICAL ACTIVITY AND WEIGHT AS A "MAJOR PROBLEM AND 43.6 PERCENT CONSIDERED IT TO BE A "MODERATE PROBLEM." IN THE MCHENRY COUNTY HEALTHY COMMUNITY STUDY, 44.4 PERCENT OF COMMUNITY LEADERS INTERVIEWED STATED THAT OBESITY IS CONSIDERED A MAJOR PROBLEM IN THE COUNTY. IN 2018, THE ILLINOIS YOUTH SURVEY CONDUCTED IN MCHENRY AND KANE COUNTIES, INDICATED THAT 25 PERCENT OF 10TH AND 12TH GRADE STUDENTS WHO PARTICIPATED IN THE SURVEY WERE CONSIDERED TO BE OVERWEIGHT/OBESE. BOTH THE KANE AND MCHENRY COUNTY HEALTH DEPARTMENTS HAVE IDENTIFIED OBESITY AS A PRIORITY IN THEIR RESPECTIVE COMMUNITY HEALTH IMPROVEMENT PLANS. ADVOCATE SHERMAN SELECTED OBESITY AS A PRIORITY IN THE LAST CHNA CYCLE AND WILL CONTINUE WITH THIS PRIORITY DUE TO THE ONGOING RISE IN OBESITY RATES AND DEMONSTRATED LINK BETWEEN CHRONIC CONDITIONS AND OBESITY.BEHAVIORAL HEALTH. BEHAVIORAL HEALTH WAS SELECTED AS A HEALTH PRIORITY AND IS COMPRISED OF BOTH SUBSTANCE ABUSE AND MENTAL HEALTH. COUNCIL MEMBERS EMPHASIZED THAT BECAUSE MENTAL HEALTH AND SUBSTANCE USE FREQUENTLY CO-OCCUR, BOTH SHOULD BE ADDRESSED. IN THE ADVOCATE SHERMAN PSA, THE HIGHEST AGE-ADJUSTED EMERGENCY ROOM (ER) RATES DUE TO MENTAL HEALTH ARE FOR AFRICAN AMERICANS, THOSE AGES 18-24 YEARS, AGES 25-34 YEARS AND FEMALES. THE HIGHEST PSA PEDIATRIC MENTAL HEALTH ER RATES ARE IN ELGIN (60123 AND 60120) AND CARPENTERSVILLE (60110). ADDITIONALLY, THE ER RATE DUE TO PEDIATRIC MENTAL HEALTH FOR THOSE AGES 15-17 YEARS, 10-14 YEARS AND AFRICAN AMERICANS ARE SIGNIFICANTLY ABOVE THE RATE FOR THE PSA. ADDITIONALLY, ER RATES DUE TO ADOLESCENT SUICIDE AND INTENTIONAL SELF-INFLICTED INJURY FOR THE PSA HAS BEEN INCREASING OVER TIME. TWELVE PERCENT OF ADULTS IN THE CITY OF ELGIN INDICATED THAT THEIR MENTAL HEALTH WAS NOT GOOD FOR 14 OR MORE DAYS IN THE PAST MONTH, HIGHER THAN THE U.S. RATE OF 11.4 PERCENT. SIXTEEN PERCENT OF BOTH KANE AND MCHENRY COUNTIES MEDICARE BENEFICIARIES WERE TREATED FOR DEPRESSION IN 2017, AND THIS RATE IS INCREASING AT A STATISTICALLY SIGNIFICANT RATE. IN THE KANE COUNTY KEY INFORMANT INTERVIEWS, 61 PERCENT OF PARTICIPANTS INDICATED THAT MENTAL HEALTH WAS A "MAJOR PROBLEM AND 44.7 PERCENT INDICATED THAT SUBSTANCE ABUSE WAS A "MAJOR PROBLEM."HEALTH NEEDS NOT SELECTED HEART DISEASE. HEART DISEASE WAS NOT SELECTED AS A HEALTH PRIORITY AS BOTH KANE AND MCHENRY COUNTY DEATH RATES DUE TO CORONARY HEART DISEASE ARE BETTER THAN THE ILLINOIS AND U.S. RATES, AND MEET THE HEALTHY PEOPLE 2020 TARGET. ADDITIONALLY, AGE-ADJUSTED ER AND HOSPITALIZATION RATES FOR HEART FAILURE AND HYPERTENSION FOR THE ADVOCATE SHERMAN PSA ARE ALL WITHIN THE BEST 0-50TH PERCENTILE COMPARED TO OTHER COUNTIES IN ILLINOIS. THE KANE AND MCHENRY COUNTY PERCENTAGE OF MEDICARE BENEFICIARIES BEING TREATED FOR HYPERTENSION IS BETTER THAN THE ILLINOIS AND U.S. RATES AND CONTINUES TO BE ON A DOWNWARD TREND. BECAUSE THESE RATES ARE IMPROVING IN THE PSA, THE COUNCIL SELECTED TO CONTINUE FOCUSING ON OBESITY AS A HEALTH PRIORITY, WHICH HAS A DIRECT CORRELATION TO HEART DISEASE.DIABETES. DIABETES WAS NOT SELECTED GIVEN THE ADVOCATE SHERMAN PSA RATE FOR ER UTILIZATION DUE TO ADULT DIABETES IS BETTER THAN THE ILLINOIS RATE. THE ER RATE DUE TO UNCONTROLLED DIABETES REMAINS HIGHEST IN THE PSA FOR HISPANICS AND AFRICAN AMERICANS. ADVOCATE SHERMAN CHOSE DIABETES AS A PRIORITY IN THE LAST CHNA AND HAS IMPLEMENTED A COMPREHENSIVE DIABETES IN THE LATINO COMMUNITY PROGRAM FOR THE HISPANIC COMMUNITY IN ELGIN AND CARPENTERSVILLE, INCLUDING GLUCOSE SCREENINGS, THE EVIDENCE-BASED DIABETES SELF-MANAGEMENT PROGRAM AND FOOD INSECURITY SCREENING AND LINKAGES TO HEALTHY FOOD RESOURCES. WHILE IT WAS NOT SELECTED AS A PRIORITY FOR THE IMPLEMENTATION PLAN, THE CURRENT DIABETES IN THE LATINO COMMUNITY PROGRAM WILL CONTINUE DURING THE 2020-2022 IMPLEMENTATION PLAN CYCLE. RESPIRATORY DISEASES. RESPIRATORY DISEASES WAS NOT SELECTED AS A HEALTH PRIORITY, ALTHOUGH THE ER RATE DUE TO ASTHMA IN THE ADVOCATE SHERMAN PSA IS IN THE WORST 50TH-75TH PERCENTILE COMPARED TO OTHER COUNTIES IN ILLINOIS, AND THE HOSPITALIZATION RATE DUE TO ASTHMA IS IN THE WORST 25TH PERCENTILE COMPARED TO OTHER COUNTIES IN ILLINOIS. THE SAME COMMUNITIES WITH THE HIGHEST ADULT ASTHMA ER RATES ALSO HAVE THE HIGHEST PEDIATRIC ASTHMA ER RATESCARPENTERSVILLE (60110) AND ELGIN (60123 AND 60120). MALES AND ADVOCATE SHERMAN HOSPITAL PART V, SECTION B, LINE 13H: OTHER FACTORS USED IN DETERMINING AMOUNTS CHARGED TO PATIENTS INCLUDE: DECEASED PATIENTS WITH NO ESTATE; HOMELESS PATIENTS, OR PATIENTS WHO RECEIVE CARE IN A HOMELESS CLINIC; PATIENTS WITH RELIGIOUS AFFILATION WITH A VOW OF POVERTY, PATIENTS WHO QUALIFY FOR A STATE DEPARTMENT OF HUMAN SERVICES (DHS) ASSISTANCE PROGRAM, BUT HAVE NO MEDICAL COVERAGE (E.G., ILLINOIS AMI/GA, FOOD STAMP, PRESCRIPTION, WOMEN, FREE LUNCH AND BREAKFAST PROGRAM, TEMPORARY ASSISTANCE FOR NEEDY FAMILIES (TANF), INFANTS AND CHILDREN (WIC), MEDICAID ELIGIBLE PATIENTS BUT NOT ON THE DATE OF SERVICE, WHY WAIT AND WISE WOMEN PROGRAMS; COUNTY HEALTH CLINIC PATIENTS; LEGAL ASSSISTANCE FOUNDATION OF ILLINOIS REFERRALS; INDIVIDUALS WITH A VALID ADDRESS AT LOW-INCOME/SUSIDIZED HOUSING; QUALIFIED INDIVIDUALS OF LOW INCOME HOME ENERGY ASSISTANCE PROGRAM, INCARCERATED INDIVIIDUALS; INCOMPETENT INDIVIDUALS WITH COMPROMISED DIAGNOSES (E.G., PSYCHIATRIC); INDIVIDUALS MEETING DEFINED CREDIT REPORTING (OR OTHER EXTERNAL REPORTING) RESULT THRESHOLDS; PATIENTS WITH PRIOR HISTORY OF INABILITY TO MAKE PAYMENTS; PATIENTS WITH COURT FILED OR APPROVED BANKRUPTCY DETERMINATIONS. ADVOCATE SHERMAN HOSPITAL PART V, SECTION B, LINE 16J: ADVOCATE SHERMAN COMMUNICATES THE AVAILABILITY OF FINANCIAL ASSISTANCE IN THE APPLICABLE LANGUAGES OF THE HOSPITAL COMMUNITY. MEANS OF COMMUNICATION INCLUDE:1. THE HEALTH CARE CONSENT THAT IS SIGNED UPON REGISTRATION FOR HOSPITAL SERVICES INCLUDES A STATEMENT THAT FINANCIAL COUNSELING, INCLUDING FINANCIAL ASSISTANCE CONSIDERATION, IS AVAILABLE UPON REQUEST.2. SIGNAGE IS CLEARLY AND CONSPICUOUSLY POSTED IN LOCATIONS THAT ARE VISIBLE TO THE PUBLIC, INCLUDING, BUT NOT LIMITED TO HOSPITAL RESGISTRATION AREAS (I.E., PATIENT ACCESS, EMERGENCY DEPARTMENT).3. BROCHURES ARE PLACED IN HOSPITAL RESGISTRATION AREAS (I.E., PATIENT ACCESS, EMERGENCY DEPARTMENT) AND INCLUDE GUIDANCE ON HOW A PATIENTS MAY APPLY FOR MEDICARE, MEDICAID, ALL KIDS, FAMILY CARE ETC., AND THE HOSPTIAL'S FINANCIAL ASSISTANCE PROGRAM. A HOSPITAL CONTACT AND TELEPHONE NUMBER FOR FINANCIAL ASSISTANCE IS INCLUDED. 4. A HANDOUT SUMMARIZING ADVOCATE'S FINANCIAL ASSISTANCE POLICY AND FINANCIAL ASSISTANCE APPLICATION ARE GIVEN TO ALL UNINSURED PATIENTS WHO RECEIVE MEDICALLY NECESSARY HOSPITAL SERVICES AT THE EARLIEST PRACTICAL TIME OF SERVICE.5. ADVOCATE'S WEBSITE PROMINENTLY NOTES THAT FINANCIAL ASSISTANCE IS AVAILABLE, WITH AN EXPLAINATION OF THE APPLICATION PROCESS, A SUMMARY OF THE FINANCIAL ASSISTANCE POLICY, AND THE FINANCIAL ASSISTANCE APPLICATION. ADVOCATE SHERMAN HOSPITAL PART V, SECTION B, LINE 19E: ADVOCATE SHERMAN DOES NOT PERFORM ACTIONS SUCH AS THOSE LISTED IN LINES 19A-D UNTIL REASONABLE EFFORTS HAVE BEEN MADE TO DETERMINE A PATIENT'S FAP ELIGIBILITY. ADVOCATE SHERMAN HOSPITAL PART V, SECTION B, LINE 20E: ADVOCATE MAKES REASONABLE EFFORTS TO DETERMINE A PATIENT'S ELIGIBILITY UNDER ITS FAP, INCLUDING SENDING A SERIES OF LETTERS AND ATTEMPTING TO WORK WITH THE PATIENT THROUGH THE FINANCIAL COUNSELING PROCESS AND/OR PHONE CALLS. ALL CORRESPONDENCE ASKS THE PATIENT TO NOTIFY THE HOSPITAL IF HE/SHE IS EXPERIENCING "DIFFICULTY IN PAYING YOUR BILL". ADVOCATE ALSO USES EARLY OUT AND PRECOLLECTION VENDORS TO ASSIST IN OBTAINING PAYMENTS OR COLLECTING FINANCIAL ASSISTANCE ELIGIBILITY INFORMATION. THESE VENDORS HAVE THE FOLLOWING LANGUAGE IN THEIR CONTRACT: "VENDOR WILL COMMUNICATE THE ADVOCATE HEALTH CARE POLICY AND GUIDELINE TO ANY PATIENT EXPRESSING A DIFFICULTY IN PAYING THEIR BILL AND, "VENDOR WILL MAIL THE ADVOCATE HEALTH CARE FINANCIAL ASSISTANCE APPLICATION TO ANY PATIENTS EXPRESSING A DIFFICULTY IN PAYING THEIR BILL". ADVOCATE'S BAD DEBT AGENCY CONTRACTS HAVE THE FOLLOWING LANGUAGE: "AGENCY SHALL EVALUATE EACH PATIENT WHOSE ACCOUNT IS REFERRED TO AGENCY, WHERE THE PATIENT EXPRESSES DIFFICULTY OR INABILITY TO PAY THEIR BILL, FOR ELIGIBILITY UNDER ADVOCATE'S FINANCIAL ASSISTANCE POLICY." VENDOR AND AGENCY CONTRACTS ARE STANDARD ACROSS ADVOCATE'S SYSTEM. 16 1 - SHERMAN MOB 1435 N RANDALL RD ELGIN IL 60120 PATIENT CARE - IN PATIENT 2 - AMG 1140 N MCLEAN BLVD STE E F ELGIN IL 60120 PATIENT CARE - OUT PATIENT 3 - SHERMAN IMMEDIATE CARE 2320 ROYAL BLVD ELGIN IL 60120 PATIENT CARE - OUT PATIENT 4 - SHERMAN IMMEDIATE CARE - ALGONQUIN 600 RANDALL RD STE 210 230 ALGONQUIN IL 60102 PATIENT CARE - OUT PATIENT 5 - SHERMAN IMMEDIATE CARE - SOUTH ELGIN 2000 MCDONALD RD SOUTH ELGIN IL 60177 PATIENT CARE - OUT PATIENT 6 - THE CENTRE OF ELGIN 100 SYMPHONY WAY ELGIN IL 60120 PATIENT CARE - OUT PATIENT 7 - SHERMAN IMMEDIATE CARE - BARTLETT 1052-54 NORWOOD LN BARTLETT IL 60103 PATIENT CARE - OUT PATIENT 8 - SHERMAN WEST COURT - 826 PROSPECT 826 PROSPECT BLVD ELGIN IL 60120 PATIENT CARE - OUT PATIENT 9 - THE CENTRE OF ELGIN - FLETCHER 745 FLETCHER DR ELGIN IL 60120 PATIENT CARE - OUT PATIENT 10 - THE CENTRE OF ELGIN - PENNY 201 PENNY AVE STE 100 EAST DUNDEE IL 60118 PATIENT CARE - OUT PATIENT 11 - SHERMAN IMMEDIATE CARE - HAMPSHIRE 1000 S STATE ST HAMPSHIRE IL 60140 PATIENT CARE - OUT PATIENT 12 - SHERMAN IMMEDIATE CARE - BARTLETT 864 STERNS RD STE 103 BARTLETT IL 60103 PATIENT CARE - OUT PATIENT 13 - SHERMAN IMMEDIATE CARE - CRYSTAL LAKE 741 MCHENRY AVE CRYSTAL LAKE IL 60014 PATIENT CARE - OUT PATIENT 14 - SHERMAN MOB - CRYSTAL LAKE 4900 S ROUTE 31 CRYSTAL LAKE IL 60014 PATIENT CARE - OUT PATIENT 15 - SHERMAN MOB - ELGIN CHICAGO 999-1019 E CHICAGO ST ELGIN IL 60120 PATIENT CARE - OUT PATIENT 16 - SHERMAN IMMEDIATE CARE - STREAMWOOD 550 S BLVD STREAMWOOD IL 60107 PATIENT CARE - OUT PATIENT PART I, LINE 6A: A SYSTEM-WIDE COMMUNITY BENEFIT REPORT IS FILED BY:ADVOCATE HEALTH CARE NETWORK 3075 HIGHLAND PARKWAY, DOWNERS GROVE, IL 60515. EIN 36-2167779 PART I, LINE 7: A COST-TO-CHARGE RATIO, DERIVED FROM SCHEDULE H INSTRUCTIONS WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES, WAS USED TO CALCULATE THE AMOUNTS REPORTED IN THE TABLE FOR PART I, LINE 7A. SCHEDULE H INSTRUCTIONS WORKSHEET 3, UNREIMBURSED MEDICAID AND OTHER MEANS-TESTED GOVERNMENT PROGRAMS, WAS USED TO CALCULATE THE AMOUNTS REPORTED IN THE TABLE FOR PART I, LINE 7B. A COST ACCOUNTING SYSTEM WAS USED TO DETERMINE THE AMOUNTS REPORTED IN THE TABLE FOR PART I, LINES 7E, 7F, 7G, AND 7I. PART I, LINE 7G: ADVOCATE SHERMAN HOSPITAL PROVIDES SUBSIDIZED HEALTH SERVICES TO THE COMMUNITY. THESE SERVICES ARE PROVIDED DESPITE CREATING A FINANCIAL LOSS FOR ADVOCATE SHERMAN HOSPITAL. THESE SERVICES ARE PROVIDED BECAUSE THEY MEET AN IDENTIFIED COMMUNITY NEED. IF ADVOCATE SHERMAN HOSPITAL DID NOT PROVIDE THE CLINICAL SERVICE, IT IS REASONABLE TO CONCLUDE THAT THESE SERVICES WOULD NOT BE AVAILABLE TO THE COMMUNITY. PART I, LN 7 COL(F): $17,115,928 OF BAD DEBT EXPENSE WAS INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT WAS REMOVED FROM THE DENOMINATOR FOR PURPOSES OF SCHEDULE H, PART I, LINE 7, COLUMN (F). PART I, LINE 7E: ADVOCATE SHERMAN HOSPITAL PROVIDES COMMUNITY HEALTH IMPROVEMENT SERVICES TO THE COMMUNITIES IN WHICH IT SERVES. ADVOCATE SHERMAN HOSPITAL 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. PART I, LINE 7H: ADVOCATE SHERMAN HOSPITAL CONDUCTS NUMEROUS RESEARCH ACTIVITIES FOR THE ADVANCEMENT OF MEDICAL AND HEALTH CARE SERVICES. HOWEVER, THE UNREIMBURSED COST OF SUCH RESEARCH ACTIVITIES IS NOT READILY DETERMINABLE AND NO AMOUNT IS BEING REPORTED FOR PURPOSES OF THE 2019 FORM 990, SCHEDULE H. PART III, LINE 4: FOR 2019, FOR ADVOCATE SHERMAN HOSPITAL, THE ALLOWANCE FOR DOUBTFUL ACCOUNTS COVERED 32.13% OF NET PATIENT ACCOUNTS RECEIVABLE. PATIENT ACCOUNTS RECEIVABLE ARE STATED AT NET REALIZABLE VALUE. ADVOCATE SHERMAN HOSPITAL EVALUATES THE COLLECTABILITY OF ITS ACCOUNTS RECEIVABLE BASED ON THE LENGTH OF TIME THE RECEIVABLE IS OUTSTANDING, PAYER CLASS, HISTORICAL COLLECTION EXPERIENCE, AND TRENDS IN HEALTH CARE INSURANCE PROGRAMS. ACCOUNTS RECEIVABLE ARE CHARGED TO THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS WHEN THEY ARE DEEMED UNCOLLECTIBLE.THE COSTING METHODOLOGY USED IN DETERMINING THE AMOUNTS REPORTED ON LINES 2 AND 3 IS BASED ON THE RATIO OF PATIENT CARE COST TO CHARGES. THE UNREIMBURSED COST OF BAD DEBT WAS CALCULATED BY APPLYING THE ORGANIZATION'S COST TO CHARGE RATIO FROM THE MEDICARE COST REPORTS (CMS 2252-96 WORKSHEET C, PART 1, PPS INPATIENT RATIOS) TO THE ORGANIZATION'S BAD DEBT PROVISION PER GENERALLY ACCEPTED ACCOUNTING PRINCIPLES, LESS ANY PATIENT OR THIRD PARTY PAYOR PAYMENTS RECEIVED.ADVOCATE MAKES EVERY EFFORT TO IDENTIFY THOSE PATIENTS WHO ARE ELIGIBLE FOR FINANCIAL ASSISTANCE BY STRICTLY ADHERING TO ITS FINANCIAL ASSISTANCE POLICY. WE BELIEVE THAT ADVOCATE HAS A POPULATION OF PATIENTS WHO ARE UNINSURED OR UNDERINSURED BUT WHO DO NOT COMPLETE THE FINANCIAL ASSISTANCE APPLICATION. THE ESTIMATED AMOUNT OF BAD DEBT EXPENSE (AT COST) WHICH COULD BE REASONABLY ATTRIBUTABLE TO PATIENTS WHO WOULD LIKELY QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY, IF SUFFICIENT INFORMATION HAD BEEN AVAILABLE TO MAKE A DETERMINATION OF THEIR ELIGIBILITY, WAS BASED UPON SELF PAY PATIENT ACCOUNTS WHICH HAD AMOUNTS WRITTEN OFF TO BAD DEBTS. OUR METHOD WAS TO BEGIN WITH THE SELF-PAY PORTION OF BAD DEBT EXPENSE PROVISION. THE SELF PAY PORTION EXCLUDES THOSE PATIENTS WHO HAD CHARITY APPLICATIONS PENDING AT THE TIME OF SERVICE. THIS COST WAS THEN REDUCED BY CHARGES IDENTIFIED AS TRUE BAD DEBT EXPENSE, INCLUDING COPAYS FOR PATIENTS WHO QUALIFIED FOR LESS THAN 100% FINANCIAL ASSISTANCE. THE COST TO CHARGE RATIO WAS THEN APPLIED TO THE REMAINING CHARGES, TO DETERMINE THE VALUE (AT COST) OF PATIENT ACCOUNTS THAT DID NOT COMPLETE FINANCIAL COUNSELING AND WERE ASSIGNED TO BAD DEBT. WE BELIEVE THIS PROCESS IS A REASONABLE BASIS FOR OUR ESTIMATE. AS WE ARE ONLY CONSIDERING SELF-PAY ACCOUNTS WRITTEN OFF TO BAD DEBT FOR THIS ESTIMATE, THIS ESTIMATE DOES NOT INCLUDE THE IMMEDIATE 30% DISCOUNT TO CHARGES WHICH IS APPLIED TO ALL SELF-PAY PATIENTS. IT ALSO DOES NOT INCLUDE ACCOUNT BALANCES OR CO-PAYS OF NON-SELF PAY ACCOUNTS WHICH ARE WRITTEN OFF TO BAD DEBT WHEN THE PATIENT HAS NO OTHER FINANCIAL RESOURCES TO PAY THESE AMOUNTS AND THE PATIENT DOES NOT APPLY FOR FINANCIAL ASSISTANCE.BAD DEBT AMOUNTS HAVE BEEN EXCLUDED FROM OTHER COMMUNITY BENEFIT AMOUNTS REPORTED THROUGHOUT SCHEDULE H. PART III, LINE 8: THE SHORTFALL OF $9,066,008 ON PART III, LINE 7 IS THE UNREIMBURSED COST OF PROVIDING SERVICES FOR MEDICARE PATIENTS AND SHOULD BE TREATED AS COMMUNITY BENEFIT BECAUSE PROVIDING THESE SERVICES WITHOUT REIMBURSEMENT LESSENS THE BURDENS OF GOVERNMENT OR OTHER CHARITIES THAT WOULD OTHERWISE BE NEEDED TO SERVE THE COMMUNITY.FOR ADVOCATE SHERMAN'S OPERATIONS, THE UNREIMBURSED COST OF MEDICARE WAS CALCULATED BY APPLYING THE ORGANIZATION'S COST TO CHARGE RATIO FROM THE MEDICARE COST REPORTS (CMS 2252-96 WORKSHEET C, PART 1, PPS INPATIENT RATIOS) AND FOR NON-HOSPITAL OPERATIONS THE COST TO CHARGE RATIO CALCULATED ON WORKSHEET 2 RATIO OF PATIENT CARE COST TO CHARGES TO THE ORGANIZATION'S MEDICARE, LESS ANY PATIENT OR THIRD PARTY PAYOR PAYMENTS AND/OR CONTRIBUTIONS RECEIVED THAT WERE DESIGNATED FOR THE PAYMENT OF MEDICARE PATIENT BILLS. PART III, LINE 9B: ADVOCATE SHERMAN HOSPITAL MAINTAINS BOTH WRITTEN FINANCIAL ASSISTANCE AND BAD DEBT/COLLECTION POLICIES. THE BAD DEBT/COLLECTION POLICY DOES NOT APPLY TO THOSE PATIENTS KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE; THEREFORE, SUCH PATIENTS ARE NOT SUBJECT TO COLLECTION PRACTICES. PART VI, LINE 3: ADVOCATE SHERMAN HOSPITAL ASSISTS PATIENTS WITH ENROLLMENT IN GOVERNMENT-SUPPORTED PROGRAMS FOR WHICH THEY ARE ELIGIBLE AND IN SECURING REIMBURSEMENT FROM AVAILABLE THIRD-PARTY RESOURCES. FINANCIAL 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 SHERMAN HOSPITAL'S FINANCIAL ASSISTANCE POLICY. ADVOCATE UTILIZES A FINANCIAL SCREENING SOFTWARE PROGRAM TO HELP IDENTIFY PUBLIC ASSISTANCE PROGRAMS FOR WHICH THE PATIENT MAY BE ELIGIBLE OR ADVOCATE'S FINANCIAL ASSISTANCE AT THE TIME OF REGISTRATION OR AS SOON AS PRACTICABLE THEREAFTER. IN ADDITION, HEALTHADVISOR, ADVOCATE'S EDUCATION REGISTRATION AND PHYSICIAN REFERRAL TELEPHONE CENTER, SERVES AS A COMMUNITY RESOURCE PROVIDING REFERRALS TO GOVERNMENT-FUNDED AND OTHER PROGRAMS VIA TELEPHONE FROM 7 A.M. TO 7 P.M., MONDAY THROUGH FRIDAY AND SATURDAYS 9 A.M. TO 2 P.M. ADVOCATE SHERMAN HOSPITAL ASSISTS PATIENTS WITH APPLYING FOR ADVOCATE'S OWN FINANCIAL ASSISTANCE SERVICES, IF PATIENTS ARE NOT ELIGIBLE FOR GOVERNMENT-SUPPORTED PROGRAMS. ADVOCATE SHERMAN HOSPITAL COMMUNICATES THE AVAILABILITY OF FINANCIAL ASSISTANCE IN THE APPLICABLE LANGUAGES OF THE HOSPITAL COMMUNITY. MEANS OF COMMUNICATION INCLUDE:1. THE HEALTH CARE CONSENT THAT IS SIGNED UPON REGISTRATION FOR HOSPITAL SERVICES INCLUDES A STATEMENT THAT FINANCIAL COUNSELING, INCLUDING FINANCIAL ASSISTANCE CONSIDERATION, IS AVAILABLE UPON REQUEST.2. SIGNS ARE CLEARLY AND CONSPICUOUSLY POSTED IN LOCATIONS THAT ARE VISIBLE TO THE PUBLIC, INCLUDING, BUT NOT LIMITED TO HOSPITAL PATIENT ACCESS, REGISTRATION, EMERGENCY DEPARTMENT, CASHIER, AND BUSINESS OFFICE LOCATIONS.3. BROCHURES ARE PLACED IN HOSPITAL PATIENT ACCESS, REGISTRATION, EMERGENCY DEPARTMENT, CASHIER, AND BUSINESS OFFICE LOCATIONS, AND WILL INCLUDE GUIDANCE ON HOW A PATIENT MAY APPLY FOR MEDICARE, MEDICAID, ALL KIDS, FAMILY CARE ETC., AND THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM. A HOSPITAL CONTACT AND TELEPHONE NUMBER FOR FINANCIAL ASSISTANCE IS INCLUDED.4. A HANDOUT SUMMARIZING ADVOCATE'S FINANCIAL ASSISTANCE POLICY AND FINANCIAL ASSISTANCE APPLICATION IS GIVEN TO UNINSURED PATIENTS WHO RECEIVE MEDICALLY NECESSARY HOSPITAL SERVICES AT THE EARLIEST PRACTICAL TIME OF SERVICE.5. ADVOCATE'S WEBSITE POSTS NOTICE IN A PROMINENT PLACE THAT FINANCIAL ASSISTANCE IS AVAILABLE, WITH AN EXPLANATION OF THE FINANCIAL ASSISTANCE APPLICATION PROCESS, AND ENABLE PRINTING OF THE FINANCIAL ASSISTANCE APPLICATION.6. HOSPITAL BILLS TO UNINSURED PATIENTS INCLUDE A REQUEST THAT THE PATIENT INFORM THE HOSPITAL OF ANY AVAILABLE HEALTH INSURANCE COVERAGE, AND INCLUDE A SUMMARY OF ADVOCATE'S FINANCIAL ASSISTANCE POLICY, A FINANCIAL ASSISTANCE APPLICATION, AND A TELEPHONE NUMBER TO REQUEST FINANCIAL ASSISTANCE. PART VI, LINE 4: DESCRIPTION OF THE COMMUNITY/POPULATION. ADVOCATE SHERMAN DEFINED THE COMMUNITY AS ITS PRIMARY SERVICE AREA (PSA), WHICH INCLUDES COMMUNITIES IN MCHENRY COUNTY AND KANE COUNTY, ILLINOIS. THE PSA INCLUDES THE FOLLOWING COMMUNITIES: ELGIN, LAKE IN THE HILLS, CARPENTERSVILLE, DUNDEE, GILBERTS, SOUTH ELGIN, ALGONQUIN AND HUNTLEY. THE TOTAL POPULATION OF THE ADVOCATE SHERMAN PSA IS 301,055 WHICH IS A 4.75 PERCENT INCREASE FROM 2010 TO 2019. THE THREE LARGEST COMMUNITIES WITHIN THE PSA ARE ELGIN (60120) WITH A POPULATION OF 52,712, ELGIN (60123) WITH A POPULATION OF 47,906 AND CARPENTERSVILLE (60110) WITH A POPULATION OF 39,634. SOCIAL DETERMINANTS OF HEALTH (SDOH). ADVOCATE HEALTH CARE CONTRACTED WITH CONDUENT HEALTH COMMUNITIES INSTITUTE TO USE ITS DATA TOOL FOR THE HOSPITAL'S 2017-2019 CHNA. THE 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, ALL OF WHICH ARE SOCIAL DETERMINANTS OF HEALTH. THE INDICTORS 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). ADVOCATE SHERMAN HAS SEVERAL COMMUNITIES THAT HAVE GREATER SOCIOECONOMIC NEEDS COMPARED TO OTHER COMMUNITIES IN THE PSA, INCLUDING CARPENTERSVILLE (60110), ELGIN (60120) AND ELGIN (60123).DEMOGRAPHICSAGE/GENDER. THE MEDIAN AGE IN ADVOCATE SHERMAN'S PSA IS 38.34 YEARS OLD. IN THE PSA, 25.61 PERCENT OF THE POPULATION IS AGES 17 YEARS AND YOUNGER, AND 13.68 PERCENT IS AGES 65 YEARS AND OVER. THE LARGEST AGE POPULATION IN THE PSA CONSISTS OF INDIVIDUALS AGES 35-64 YEARS AT 40.35 PERCENT. THE GENDER OF THE PSA POPULATION IS 50.46 PERCENT MALES AND 49.54 PERCENT FEMALES. RACE/ETHNICITY/HOUSEHOLDS. THE RACE/ETHNICITY OF THE PSA IS 73 PERCENT WHITE, 7.51 PERCENT ASIAN, 4.79 PERCENT BLACK/AFRICAN AMERICAN, 3.16 PERCENT TWO OR MORE RACES, 0.77 PERCENT AMERICAN INDIAN/ALASKAN NATIVE, 0.04 PERCENT NATIVE HAWAIIAN/PACIFIC ISLANDER AND 10.26 PERCENT SOME OTHER RACE. TWENTY-NINE PERCENT OF THE POPULATION IS OF HISPANIC ETHNICITY, WITH THE LARGEST HISPANIC POPULATION IN ZIP CODES 60120 (ELGIN) AT 54.65 PERCENT AND 60110 (CARPENTERSVILLE) AT 50.75 PERCENT. THERE ARE 100,869 HOUSEHOLDS IN THE PSA WITH THE AVERAGE HOUSEHOLD SIZE OF 2.96 PERSONS. TWENTY-TWO PERCENT OF CHILDREN IN THE PSA ARE LIVING IN A SINGLE PARENT FAMILY HOUSEHOLD, WHICH IS LOWER THAN THE STATE VALUE OF 32.4 PERCENT AND THE U.S. VALUE OF 33.3 PERCENT. ECONOMICS. THE MEDIAN HOUSEHOLD INCOME FOR THE PSA POPULATION IS $83,604. HOUSEHOLDS WITH THE HIGHEST MEDIAN HOUSEHOLD INCOME IS ASIAN AT $115,310 AND THE LOWEST MEDIAN HOUSEHOLD INCOME IS AFRICAN AMERICAN HOUSEHOLDS AT $48,584. IN THE ADVOCATE SHERMAN PSA, 9.4 PERCENT OF THE POPULATION IS LIVING BELOW THE FEDERAL POVERTY LEVEL (FPL), WHICH IS LESS THAN THE ILLINOIS RATE OF 13.5 PERCENT AND THE U.S. RATE OF 14.6 PERCENT. THERE IS A TOTAL OF 5,608 FAMILIES IN THE PSA (7.3 PERCENT OF TOTAL FAMILIES) LIVING BELOW THE FPL. THE COMMUNITIES WITH THE LARGEST PERCENTAGE OF FAMILIES LIVING BELOW THE FPL ARE CARPENTERSVILLE (60110) AT 14.55 PERCENT, ELGIN (60120) AT 12.01 PERCENT AND ELGIN (60123) AT 10.97 PERCENT. UNINSURED AND MEDICAID FOR COMMUNITY AND ADVOCATE SHERMAN. IN THE COMMUNITIES WITHIN THE ADVOCATE SHERMAN PSA, 4,559 HOUSEHOLDS ARE ESTIMATED TO BE UNINSURED, WHICH IS 4.1 PERCENT OF ALL HOUSEHOLDS IN THE PSA. IN THE PSA, 6.1 PERCENT OF HOUSEHOLDS ARE ESTIMATED TO BE COVERED BY MEDICAID. IN 2019, ADVOCATE SHERMAN HOSPITAL SAW 51,676 MEDICAID/MANAGED CARE PATIENTS AND 10,214 SELF-PAY AND CHARITY PATIENTS. EMPLOYMENT. THE PERCENTAGE OF POPULATION IN THE PSA, AGES 16 AND OLDER, THAT IS UNEMPLOYED IS 5.35 PERCENT, WHICH IS LOWER THAN THE ILLINOIS UNEMPLOYMENT RATE OF 6.7 PERCENT. THE TOP THREE INDUSTRIES THAT EMPLOY PSA RESIDENTS, AGES 16 AND OLDER, ARE MANUFACTURING (18 PERCENT), RETAIL TRADE (12 PERCENT) AND HEALTH CARE/SOCIAL SERVICES (11 PERCENT). EDUCATIONAL ATTAINMENT. OF THE PSA POPULATION, 23.54 PERCENT AGES 25 AND OLDER ARE HIGH SCHOOL GRADUATES, 8.53 PERCENT HAVE AN ASSOCIATE DEGREE, 22.02 PERCENT HAVE A BACHELOR'S DEGREE, 8.62 PERCENT HAVE A MASTER'S DEGREE, 1.13 PERCENT HAVE A PROFESSIONAL DEGREE AND 0.84 PERCENT HAVE A DOCTORATE DEGREE. THE HIGH SCHOOL GRADUATION RATE FOR KANE COUNTY IS 85.1 PERCENT AND THE RATE FOR MCHENRY COUNTY IS 91.5 PERCENT, AS COMPARED TO THE HEALTHY PEOPLE 2020 TARGET OF 87 PERCENT. HEALTHCARE RESOURCES IN THE DEFINED COMMUNITY. THERE ARE THREE HOSPITALS IN THE ADVOCATE SHERMAN PSA ADVOCATE SHERMAN; AMITA SAINT JOSEPH'S HOSPITAL IN ELGIN AND NORTHWESTERN MEDICINE-HUNTLEY HOSPITAL IN HUNTLEY. THE FEDERALLY QUALIFIED HEALTH CENTERS (FQHCS) IN THE PSA ARE THE GREATER ELGIN FAMILY CARE CENTER (GEFCC), VISITING NURSES ASSOCIATION (VNA) AND AUNT MARTHA'S CLINIC (AM).MEDICALLY UNDERSERVED AREAS AND MEDICALLY UNDERSERVED POPULATION. IN KANE COUNTY, THERE ARE THREE MEDICALLY UNDERSERVED AREAS (MUAS)ONE FOR THE INNER-CITY AURORA SERVICE AREA, ONE FOR THE KANE COUNTY SERVICE AREA AND ONE FOR THE CENTRAL CARPENTERSVILLE SERVICE AREA. IN MCHENRY COUNTY, THERE IS ONE MEDICALLY UNDERSERVED POPULATION (MUP) FOR THE LOW-INCOME POPULATION OF WOODSTOCK. PART VI, LINE 5: THE GOVERNING COUNCIL AT ADVOCATE SHERMAN HOSPITAL 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. ENTER NUMBER 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.THE BOARD OF DIRECTORS (SAME AS THE GOVERNING COUNCILS AT OTHER ADVOCATE SITES) AT ADVOCATE SHERMAN IS COMPRISED OF LOCAL COMMUNITY LEADERS AND PHYSICIANS. THE 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 BOARD MEMBERS REPRESENT THE COMMUNITY, INCLUDING THE FAITH COMMUNITY. IN ADDITION, THE ORGANIZATION EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY FOR SOME OR ALL OF ITS DEPARTMENTS AND SPECIALTIES. ADVOCATE SHERMAN ALSO DONATES STAFF TIME AND EXPERTISE TO SEVERAL LOCAL COUNCILS, BOARDS, COALITIONS AND COMMITTEES. THE ALIGNMENT COLLABORATIVE FOR EDUCATION (ACE) IS A COLLECTIVE IMPACT ORGANIZATION WHOSE MISSION IS TO ALIGN COMMUNITY RESOURCES IN SUPPORT OF PUBLIC-SCHOOL STRATEGIES TO RAISE STUDENT ACHIEVEMENT, IMPROVE THE HEALTH AND HAPPINESS OF CHILDREN, CREATE RESPONSIBLE, PRODUCTIVE AND CONTRIBUTING MEMBERS OF SOCIETY AND ADVANCE THE ECONOMIC AND SOCIAL WELL-BEING OF COMMUNITIES SERVED BY DISTRICT U-46. THE ACE GOVERNING BOARD IS CHAIRED BY THE PRESIDENT OF ADVOCATE SHERMAN AND FOCUSES ON THE MISSION OF THE ORGANIZATION. THE ACE OPERATING BOARD IS CHAIRED BY ADVOCATE SHERMAN'S VICE PRESIDENT OF OPERATIONS AND CO-CHAIRED BY THE ASSISTANT SUPERINTENDENT OF EDUCATION SUPPORT PROGRAMS AND ALIGNMENT FOR DISTRICT U-46. ALIGNMENT TEAMS (A-TEAMS) WERE CREATED TO FIND SOLUTIONS TO NEEDS IDENTIFIED BY THE PUBLIC SCHOOLS. THE DIRECTOR OF COMMUNITY HEALTH IS A MEMBER OF THE TRAUMA INFORMED CARE A-TEAM. ADVOCATE SHERMAN'S DIRECTOR OF SERVICE EXCELLENCE, POPULATION HEALTH AND PATIENT RELATIONS SERVES ON THE VNA HEALTHCARE BOARD OF DIRECTORS (AN FQHC). THE HOSPITAL'S DIRECTOR OF COMMUNITY HEALTH SERVES ON THE KANE COUNTY BEHAVIORAL HEALTH COUNCIL, A COMMITTEE OF MENTAL HEALTH PROVIDERS, SUBSTANCE ABUSE TREATMENT PROVIDERS, MEDICAL PROVIDERS AND THE KANE COUNTY HEALTH DEPARTMENT FOCUSED ON IMPROVING BEHAVIORAL HEALTH SERVICES IN KANE COUNTY. THE ADVOCATE SHERMAN COMMUNITY HEALTH DIRECTOR ALSO SERVES ON THE KANE COUNTY OPIOID TASK FORCE, A COALITION OF COMMUNITY ORGANIZATIONS AND STAKEHOLDERS WORKING TO PREVENT OPIOID USE AND INCREASE ACCESS TO SUBSTANCE USE TREATMENT. THE HOSPITAL'S MANAGER OF COMMUNITY OUTREACH SERVES ON BOTH THE KANE COUNTY HEALTH DEPARTMENT EXECUTIVE COMMITTEE AND MCHENRY COUNTY HEALTH DEPARTMENT CORE TEAM, WHICH OVERSEES THE IMPLEMENTATION OF STRATEGIES TO ADDRESS THE IDENTIFIED COMMUNITY HEALTH NEEDS FROM THE KANE AND MCHENRY COUNTY COMMUNITY HEALTH ASSESSMENTS (CHA). THE MANAGER OF COMMUNITY OUTREACH ALSO SERVES ON THE ACTIVATE ELGIN COALITION, WHICH FOCUSES ON DECREASING CHILDHOOD OBESITY RATES AND INCREASING PHYSICAL ACTIVITY IN THE ELGIN AREA, AND IS ALSO ON THE EXECUTIVE TEAM FOR THE COALITION FOR A SAFE AND HEALTHY ELGIN (CSHE), WHICH FOCUSES ON THE ISSUES OF YOUTH COMMUNITY VIOLENCE AND SUBSTANCE USE. IN JANUARY 2018, ADVOCATE SHERMAN IMPLEMENTED A NEW ACCESS TO CARE COMMUNITY HEALTH WORKER (CHW) PROGRAM TO LINK PATIENTS TO A PRIMARY CARE PROVIDER. THE CHW WORKS FULL-TIME IN THE EMERGENCY DEPARTMENT TO MEET WITH PATIENTS COMING IN FOR LOW-ACUITY CARE AND EDUCATES THEM ON OTHER OPTIONS FOR CARE, SUCH AS THE ADVOCATE IMMEDIATE CARE CENTERS, WALGREENS CLINICS AND OTHER RETAIL-BASED CLINICS. THE CHW ALSO EDUCATES PATIENTS ON THEIR INSURANCE ENROLLMENT AND LINKS THEM TO A PCP OR FQHC FOR ONGOING CARE IF THEY DO NOT HAVE A MEDICAL HOME. IN 2019, THE CHW SAW 636 PATIENTS IN THE ADVOCATE SHERMAN ED. A TOTAL OF 8 (TWO PERCENT) OF THE 466 PATIENTS SCREENED FOR FOOD INSECURITY WERE FOOD INSECURE AND RECEIVED INFORMATION ABOUT COMMUNITY FOOD RESOURCES. THE CHW MADE 202 APPOINTMENTS WITH A PRIMARY CARE PROVIDER FOR PATIENTS. ADDITIONALLY, THE CHW PROVIDED 1,329 REFERRALS FOR SUPPORT SERVICES, INCLUDING 140 REFERRALS FOR HEALTH INSURANCE SUPPORT. ANOTHER ADVOCATE SHERMAN PROGRAM THAT PROVIDES CARE TO PATIENTS WITH CHRONIC CONDITIONS WITHIN THE COMMUNITY IS THE MOBILE INTEGRATED HEALTH (MIH) PROGRAM. THE PROGRAM GOAL IS TO IMPROVE CARE COORDINATION AND REDUCE READMISSIONS OF PATIENTS WITH CHRONIC CONDITIONS AS THEY TRANSITION FROM THE HOSPITAL TO HOME. THE MIH PARTNERSHIP BETWEEN A PHYSICIAN AND AN ON-STAFF PARAMEDIC ALLOWS OUTREACH TO PATIENTS IN THEIR HOMES WHEN THEY ARE UNABLE TO MAKE A SCHEDULED CLINIC VISIT OR WHEN SYMPTOMS ARISE THAT WOULD BENEFIT FROM AN IN-PERSON HOME ASSESSMENT. IN 2019, THERE WERE 288 PATIENTS ENROLLED IN THE MIH PROGRAM AND 180 PATIENTS SEEN. OF THE 288 PATIENTS ENROLLED IN THE MIH PROGRAM, ONLY 13 PATIENTS (SEVEN PERCENT) WERE READMITTED TO THE HOSPITAL WITHIN 30 DAYS. THE MIH PROGRAM RECEIVED THE ILLINOIS HOSPITAL ASSOCIATION QUALITY AWARD FOR INNOVATIONS IN CARE AND QUALITY IN 2019.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, AND WE DO SO IN A VARIETY OF WAYS. ADVOCATE HEALTH CARE WAS ONE OF 12 FOUNDING AND SPONSORING HEALTH SYSTEMS OF THE NATIONAL HEALTHIER HOSPITALS INITIATIVE, WHICH HAS NOW BECOME A PERMANENT PROGRAM OF PRACTICE GREENHEALTH. THE HEALTHIER HOSPITALS PROGRAM ENGAGES OVER 1,300 HOSPITALS IN SIX KEY CATEGORIES OF HEALTH CARE SUSTAINABILITY: ENGAGED LEADERSHIP, HEALTHIER FOODS, LESS WASTE, LEANER ENERGY, SAFER CHEMICALS, AND SMARTER PURCHASING. ENROLLED HOSPITALS HAVE ACCOMPLISHED REDUCTIONS IN MEAT PURCHASING, INCREASED PURCHASING OF LOCAL AND SUSTAINABLE FOOD, REDUCED EXPOSURE TO TOXIC CHEMICALS THROUGH GREEN CLEANING PROGRAMS AND CONVERSION OF MEDICAL PRODUCTS FREE FROM PVC AND DEHP AND DECREASED ENERGY AND WASTE. ADVOCATE IS PROUD TO JOURNEY WITH THIS GROWING MASS OF HOSPITALS THROUGH ITS OWN INVOLVEMENT AND LEADERSHIP IN THE HEALTHIER HOSPITALS CHALLENGES. ADVOCATE CONTINUES ITS LEADERSHIP, ADVOCACY AND MENTORING ROLE NATIONALLY THROUGH PARTICIPATION IN SEVERAL HEALTHCARE SUSTAINABILITY LEADERSHIP GROUPS AND ADVISORY BOARDS, ADDRESSING ANTIBIOTIC OVERUSE IN AGRICULTURE, SAFER CHEMICALS IN FURNISHING AND MEDICAL PRODUCTS, CLIMATE CHANGE, PLASTICS RECYCLING, AND ENVIRONMENTALLY PREFERABLE PURCHASING:- PRACTICE GREENHEALTH MARKET TRANSFORMATION GROUP LESS MEAT, BETTER MEAT- PRACTICE GREENHEALTH MARKET TRANSFORMATION GROUP SAFER CHEMICALS- HEALTH CARE CLIMATE COUNCIL - HEALTHCARE PLASTICS RECYCLING COALITION HEALTHCARE FACILITY ADVISORY BOARD- PREMIER ENVIRONMENTAL ADVISORY COUNCIL - SIGNATORY OF THE CHEMICAL FOOTPRINT PROJECTADVOCATE ALSO COMMONLY PROVIDES MENTORING TO HEALTH CARE COMMUNITY ON SUSTAINABILITY BEST PRACTICES THROUGH PRESENTATIONS AND WEBINARS, AS WELL AS TO INDIVIDUAL HEALTH CARE INSTITUTIONS ON A CASE-BY-CASE BASIS.2. ADVOCATE HEALTH CARE SYSTEM 2019 ENVIRONMENTAL INITIATIVES: PART VI, LINE 6: ADVOCATE HEALTH CARE (ILLINOIS) AND AURORA HEALTH CARE (WISCONSIN) MERGED IN 2018 TO BECOME ADVOCATE AURORA HEALTH. SOON THEREAFTER WORK BEGAN TO ALIGN THE COMMUNITY STRATEGIES OF BOTH PREDECESSOR ORGANIZATIONS. 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. GIVEN THAT ADVOCATE AND AURORA HAVE SEPARATE FEIN'S, THE NARRATIVE THAT FOLLOWS PRIMARILY DESCRIBES PROGRAMS AND ACTIVITIES PERTAINING TO ADVOCATE (AAH ILLINOIS). AS BACKGROUND, 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. ADVOCATE'S BOARD, 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." ADVOCATE AURORA'S SYSTEM LEADERSHIP HAS HISTORICALLY AND CURRENTLY DIRECTS AND SUPPORTS THE HOSPITALS IN THEIR EFFORTS TO ADDRESS IDENTIFIED COMMUNITY HEALTH NEEDS. IN 2016, A COMMUNITY HEALTH DEPARTMENT WAS DEVELOPED BY ADVOCATE, LED BY A SYSTEM EXECUTIVE AND STAFFED WITH PUBLIC/COMMUNITY HEALTH SPECIALISTS, TO EXECUTE COMMUNITY NEEDS ASSESSMENTS, EVIDENCE-BASED PROGRAM DEVELOPMENT AND COLLABORATIVE PARTNERSHIPS WITHIN THE COMMUNITIES SERVED BY ADVOCATE. PRIOR TO THIS TIME, 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. DURING THE INITIAL 2011-2013 CHNA CYCLE, ADVOCATE'S SYSTEM LEADERS PROVIDED OVERSIGHT AND SUPPORT TO THE HOSPITALS FOR DEVELOPING THEIR CHNAS AND SUBSEQUENT PROGRAMMING. IN 2016, ADVOCATE'S NEW COMMUNITY HEALTH TEAM CONDUCTED THEIR HOSPITAL COMPREHENSIVE CHNAS (2014-2016) AND POSTED GOVERNANCE APPROVED CHNA REPORTS AND CHNA IMPLEMENTATION PLANS ON ADVOCATE'S WEBPAGE IN COMPLIANCE WITH THE AFFORDABLE CARE ACT. FOLLOWING THE MERGER OF ADVOCATE HEALTH CARE AND AURORA HEALTH CARE IN 2018 AND BOARD APPROVAL OF THE NEW COMMUNITY STRATEGY IN 2019, ALL ADVOCATE HOSPITALS' COMMUNITY HEALTH IMPLEMENTATION PLANS ARE GUIDED BY THE AAH COMMUNITY STRATEGY. 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 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.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. FROM JANUARY 2019 TO MAY 2019, UNINSURED PATIENTS EARNING UP TO SIX TIMES THE FEDERAL POVERTY LEVEL (FPL), AND INSURED PATIENTS EARNING UP TO FOUR TIMES THE FPL WERE ELIGIBLE TO BE CONSIDERED FOR A FULL OR PARTIAL FINANCIAL ASSISTANCE DISCOUNT. AS OF JUNE 2019, 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 WAS ADDED 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. BOTH UNINSURED AND INSURED REQUESTS ARE GIVEN CONSIDERATION BASED ON THE INDIVIDUAL'S EXTENUATING CIRCUMSTANCES. 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 FEDERALLY QUALIFIED HEALTH CENTERS OR OTHER COMMUNITY CLINICS WITHIN THEIR SERVICE AREAS FOR PROVIDING CARE FOR MEDICAID AND UNINSURED PATIENTS. ADVOCATE SHERMAN WORKS CLOSELY WITH THE GREATER ELGIN FAMILY CARE CENTER (FQHC), THE VISITING NURSES ASSOCIATION AND AUNT MARTHA'S (FQHC) TO COORDINATE CARE FOR LOW-INCOME PATIENTS IN THE ELGIN AREA. ADVOCATE BROMENN MAINTAINS A COMMUNITY HEALTH CLINIC, IN COLLABORATION WITH OSF ST. JOSEPH'S HOSPITAL, WHEREBY BOTH HOSPITALS ARE RESPONSIBLE FOR DESIGNATED CLINIC PATIENTS' HOSPITAL CARE THROUGHOUT THE YEAR. ADVOCATE BROMENN ALSO PROVIDES SPACE AND INFORMATION TECHNOLOGY SUPPORT TO THE CLINIC. IN ADDITION, ADVOCATE BROMENN, THROUGH AN INFORMAL REFERRAL AGREEMENT DATING BACK TO 2010, COLLABORATES WITH CHESTNUT HEALTH SYSTEMS. CHESTNUT HEALTH SYSTEMS OWNS AND OPERATES A FQHC IN BLOOMINGTON AND PATIENTS ARE SOMETIMES REFERRED TO ADVOCATE BROMENN FOR SERVICES. IN A 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.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.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 PART VI, LINE 7, REPORTS FILED WITH STATES IL 1 ALIGNMENT COLLABORATIVE FOR EDUCATION 1750 GRANDSTAND PLACE SUITE 5 ELGIN IL 60123 474377813 501(C)(3) 6000 COMMUNITY SUPPORT UNITED WAY OF ELGIN 1750 GRANDSTAND PLACE SUITE 5 ELGIN IL 60123 362167052 501(C)(3) 6000 COMMUNITY SUPPORT X 1 1 X X X X 1 1 0 0 0 0 0 1 0 AZMEY MATARIEH DIRECTOR 0 500000 0 232617 0 19 0 22791 0 5670 0 761097 0 0 KAREN LAMBERT INTERIM PRESIDENT, DIRECTOR (START 9 0 624814 0 310092 0 197402 0 25591 0 38811 0 1196710 0 0 LINDA DEERING DEAN PRESIDENT, DIRECTOR (END 9/2019) 390639 0 254464 0 1046930 0 31191 0 2954 0 1726178 0 0 0 NICOLE PAULK DIRECTOR 0 327680 0 98925 0 46806 0 22791 0 34604 0 530806 0 0 RACHEL BAER MD DIRECTOR 0 336524 0 27079 0 5151 0 22791 0 32375 0 423920 0 0 RAJA CHATTERJI MD DIRECTOR 0 369300 0 59600 0 -11473 0 22791 0 36745 0 476963 0 0 DOMINIC J NAKIS TREASURER 0 835262 0 1353554 0 353882 0 25591 0 27539 0 2595828 0 0 JAMES DOHENY ASSISTANT TREASURER 0 400433 0 128131 0 46953 0 25591 0 28986 0 630094 0 0 MICHAEL KERNS ASSISTANT SECRETARY 0 347199 0 104437 0 38646 0 25591 0 34693 0 550566 0 0 MIKE LAPPIN SECRETARY 0 746368 0 569981 0 647908 0 311307 0 20504 0 2296068 0 104917 MICHAEL GREBE ASSISTANT SECRETARY 0 562400 0 403812 0 392281 0 201665 0 0 0 1560158 0 70195 SHELLY HART ASSISTANT SECRETARY 0 498921 0 177092 0 26824 0 112282 0 20504 0 835623 0 0 JAMES SLINKMAN ASSISTANT SECRETARY 0 310935 0 95713 0 27707 0 25591 0 35025 0 494971 0 0 STEVE HUSER ASSISTANT TREASURER 0 308464 0 105266 0 23375 0 71558 0 13904 0 522567 0 0 LESLIE LENZO ASSISTANT TREASURER 0 579092 0 206746 0 89962 0 22791 0 22410 0 921001 0 0 NAN NELSON ASSISTANT TREASURER 0 481008 0 227115 0 364225 0 166423 0 987 0 1239758 0 63304 BRUCE HYMAN VP, CMO 394250 0 87687 0 20212 0 25591 0 19486 0 547226 0 0 0 CHERI GOLL VP, CHIEF NURSING EXECUTIVE 251650 0 39666 0 51 0 22791 0 27266 0 341424 0 0 0 MARY MARTINI VP, OPERATIONS 195655 0 34747 0 39370 0 19758 0 21253 0 310783 0 0 0 MICHAEL ROSENBERG DIRECTOR MED EM & CLINICAL DECISION 315240 0 0 0 13058 0 22791 0 853 0 351942 0 0 0 PATRICK UPLEGGER DIRECTOR PHARMACY 186583 0 22032 0 320 0 16677 0 8599 0 234211 0 0 0 SUSAN CAMPBELL FORMER DIRECTOR 0 0 0 135087 0 272621 0 0 0 7069 0 414777 0 0 WILLIAM P SANTULLI FORMER DIRECTOR 0 1144124 0 1762601 0 482371 0 25591 0 24303 0 3438990 0 0 DAMON HAVILL FORMER OFFICER 0 288454 0 53038 0 12735 0 25591 0 25074 0 404892 0 0 EARL J BARNES II FORMER OFFICER 0 0 0 181123 0 264496 0 0 0 30660 0 476279 0 0 JO AMICK FORMER OFFICER 0 189623 0 31113 0 4296 0 19292 0 7095 0 251419 0 0 KEVIN FITCH FORMER OFFICER 0 261281 0 54555 0 10918 0 25487 0 19756 0 371997 0 0 MARY KANE FORMER OFFICER 0 232976 0 96069 0 161585 0 22543 0 35573 0 548746 0 0 MELISSA O'NEIL FORMER OFFICER 0 234788 0 40494 0 7111 0 24898 0 9772 0 317063 0 0 PEG STONE FORMER OFFICER 0 181450 0 36340 0 1991 0 14539 0 7381 0 241701 0 0 JOAN KANUTE FORMER HCE-DIRECTOR SERVICE EXCEL & 164080 0 16466 0 2307 0 14111 0 11339 0 208303 0 0 0 KARA AALFS FOREMER HCE-DIRECTOR PERIOP & CV SVC 184336 0 18294 0 1978 0 13145 0 1038 0 218791 0 0 0 PAUL DRAHOS FORMER HCE-MGR PHARMACY 171235 0 13280 0 -435 0 14397 0 13041 0 211518 0 0 0 SCHEDULE J, PART I, LINE 1A FREDERICK E. RAJAN RECEIVED A HOUSING ALLOWANCE IN THE AMOUNT OF $60,000. SCHEDULE J, PART I, LINE 4A EARL J. BARNES II, FORMER ASSISTANT SECRETARY, RECEIVED A SERVERANCE PAYMENT IN THE AMOUNT OF $275,000. SUSAN CAMPBELL, FORMER DIRECTOR, RECEIVED A SEVERANCE PAYMENT IN THE AMOUNT OF $275,000. MARY B. KANE, FORMER VICE PRESIDENT, NURSING FORMATICS RECEIVED A SEVERANCE PAYMENT IN THE AMOUNT OF $87,347. MARY M. MARTINI, FORMER VICE PRESIDENT, OPERATIONS RECEIVED A SEVERANCE PAYMENT IN THE AMOUNT OF $44,547. THESE PAYMENTS HAVE ALL BEEN REPORTED IN SCHEDULE J, PART II, COLUMN (B)(III). SCHEDULE J, PART I, LINE 4B ADVOCATE PROVIDES A TARGET REPLACEMENT SENIOR EXECUTIVE RETIREMENT PLAN. THE CONTRIBUTIONS TO THIS PLAN ARE VESTED AND TAXABLE AFTER FIVE YEARS OF SERVICE. THE FOLLOWING EMPLOYEES ARE VESTED IN THE PLAN AND THEREFORE, THE CONTRIBUTIONS ARE REPORTED AS COMPENSATION ON THE W-2: LINDA J. DEERING DEAN $69,608, KAREN A. LAMBERT $62,745, DOMINIC NAKIS $107,256, AND WILLIAM P. SANTULLI $160,864. 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. KELLY DEERING FAMILY MEMBER - LINDA DEERING 68944 EMPLOYMENT 0 FORM 990, PART III, LINE 4D, PROGRAM SERVICE ACCOMPLISHMENTS CONTINUED: 1. ACCESS/PRIMARY MEDICAL HOMES. ADVOCATE SHERMAN IS COMMITTED TO UNDERTAKING AND SUPPORTING INITIATIVES THAT ENHANCE ACCESS TO HEALTH CARE, INCLUDING NOT ONLY ITS FINANCIAL ASSISTANCE AS INDICATED EARLIER FOR ITEM 4.A, BUT ALSO CARE COORDINATION, LANGUAGE ASSISTANCE, CULTURALLY SENSITIVE PROVISION OF CARE, AND PREVENTION EDUCATION AND WELLNESS SERVICES ACROSS THE LIFESPAN AND WITHIN THE DIVERSE COMMUNITIES THE HOSPITAL SERVES. SOME EXAMPLES OF SUCH PROGRAMS PROVIDED BY ADVOCATE SHERMAN INCLUDE THE FOLLOWING. MOBILE INTEGRATED HEALTH (MIH). TO IMPROVE THE CARE COORDINATION AND REDUCE READMISSIONS OF THE CHRONICALLY ILL PATIENTS AT ADVOCATE SHERMAN AS THEY TRANSITION FROM HOSPITAL TO HOME, A HOSPITAL-BASED MIH SYSTEM HAS BEEN CREATED. NATIONAL DATA SHOWS THAT MOBILE CARE HELPS PREVENT HOSPITAL READMISSIONS, ESPECIALLY IN AREAS WHERE PEOPLE HAVE LIMITED ACCESS TO HEALTH CARE AND TRADITIONAL HOME HEALTH SERVICES ARE RESTRICTED DUE TO A VARIETY OF REASONS. THE MIH PARTNERSHIP BETWEEN A PHYSICIAN AND AN ON-STAFF PARAMEDIC, ALLOWS OUTREACH TO PATIENTS IN THEIR HOMES WHEN THE PATIENT IS UNABLE TO MAKE A SCHEDULED CLINIC VISIT OR WHEN SYMPTOMS/CONDITIONS ARISE THAT WOULD BENEFIT FROM AN IN-PERSON HOME ASSESSMENT WITH COMMUNICATION BACK TO THE PHYSICIAN TO DETERMINE THE PLAN OF CARE. ADDITIONALLY IN 2018, THE STATE OF ILLINOIS APPROVED THE ADDITION OF PROVIDING IV MEDICATIONS FOR HEART FAILURE PATIENTS THAT HAVE FLUID RETENTION. ANOTHER ADDITION WAS THE ABILITY TO SEE CANCER CARE PATIENTS FOR SYMPTOM MANAGEMENT. IN 2019, THERE WERE 288 PATIENTS ENROLLED IN THE PROGRAM (72 HEART FAILURE, 68 CHRONIC OBSTRUCTIVE PULMONARY DISEASECOPD, 52 DIABETES, 10 ASTHMA, 13 POST MI, 32 PNEUMONIA AND 41 CANCER CARE). OF THE 196 PATIENTS ENROLLED, THERE WERE ONLY 13 PATIENTS THAT WERE READMITTED TO THE HOSPITAL WITHIN 30 DAYS. IN 2019, THERE WAS A REDUCTION OF FIFTY-EIGHT PERCENT IN HOSPITAL ADMISSIONS AND A REDUCTION OF THIRTY-FIVE PERCENT IN EMERGENCY DEPARTMENT VISITS FOR THESE ENROLLED MIH PATIENTS, WITH A TOTAL OF $3,848,918 IN ESTIMATED COST AVOIDANCE. COMMUNITY HEALTH WORKERS (CHW) PROGRAM. IN JANUARY 2018, ADVOCATE SHERMAN IMPLEMENTED A NEW ACCESS TO C ARE COMMUNITY HEALTH WORKER (CHW) PROGRAM TO LINK PATIENTS TO A PRIMARY CARE PROVIDER. THE CHW WORKS FULL-TIME IN THE EMERGENCY DEPARTMENT TO MEET WITH PATIENTS C OMING IN FOR CARE FOR LOW-ACUITY REASONS AND EDUCATES THEM ON OTHER OPERTIONS FOR CARE, SUCH AS THE ADVOCATE IMMEDIATE CARE CENTERS, WALGREENS CLINICS AND OTHER RETAIL-BASED CLINICS. THE CHW ALSO EDUCATES PATIENTS ON THEIR INSURANCE ENROLLMENT AND LINKS THEM TO A PCP OR A FQHC FOR ONGOING CARE IF THEY DO NOT HAVE A MEDICAL HOME. IN 2019, THE CHW SAW 636 PATIENTS IN THE ADVOCATE SHERMAN ED. A TOTAL OF 8 PATIENTS (TWO PERCENT) OF THE 466 PATIENTS SCREENED FOR FOOD INSECURITY WERE FOOD INSECURE AND RECEIVED INFORMATION ABOUT COMMUNITY FOOD RESOURCES. THE CHW MADE 202 APPOINTMENTS WITH A PRIMARY CARE PROVIDER FOR PATIENTS. ADDITIONALLY, THE CHW PROVIDED 1,329 REFERRALS FOR SUPPORT SERVICES, INCLUDING 140 REFERRALS FOR HEALTH INSURANCE SUPPORT. BREAST CANCER PREVENTION FOCUSED ON LOW-INCOME HISPANIC WOMEN. TO DECREASE THE ELEVATED INCIDENCE OF BREAST CANCER IN ELGIN'S LOW-INCOME HISPANIC FEMALE POPULATION, THE HOSPITAL HAS PARTNERED WITH THE WOMEN'S ORGANIZATION FOR WELLNESS (WOW) TO PROVIDE BREAST CANCER SCREENINGS, PREVENTION EDUCATION AND OUTREACH. THE HOSPITAL'S AUXILIARY HAS BEEN PROVIDING ANNUAL FUNDING TO WOW TO PAY FOR WOMEN TO RECEIVE FREE MAMMOGRAMS. WOW DISTRIBUTES A VOUCHER TO THE PATIENT AT HEALTH EVENTS, PHYSICIAN OFFICES, OR THROUGH THE GREATER ELGIN FAMILY CARE CENTER OR VNA HEALTH CARE, BOTH OF WHICH ARE A FQHC. IN 2019, WOW PROCESSED 57 SCREENING MAMMOGRAMS, 3 DIAGNOSTIC MAMMOGRAMS AND 2 ULTRASOUNDS, FOR A TOTAL OF 61 MAMMOGRAMS COMPLETED. DURING THIS TIME, NO CANCERS WERE DETECTED. COMMUNITY-BASED HISPANIC COUNCIL. DIABETES IS ONE OF THE MOST COSTLY AND HIGHLY PREVALENT CHRONIC DISEASES IN THE U.S.AFFECTING NEARLY 20 PERCENT OF LATINO MEN AND WOMEN. THIS IS EVIDENT IN THE HIGH RATES OF ER AND HOSPITALIZATIONS FOR DIABETES-RELATED COMPLICATIONS IN ADVOCATE SHERMAN'S SERVICE AREA. TO COMBAT THIS EPIDEMIC, ADVOCATE SHERMAN HAS ESTABLISHED A CROSS-SECTOR, COMMUNITY-BASED HISPANIC COUNCIL TO ADVISE ON THE DEVELOPMENT OF A DIABETES PROGRAM FOR THE LATINO COMMUNITY. IN 2019, THE PROGRAM SCREENED 466 INDIVIDUALS AT 18 EVENTS THROUGHOUT ELGIN AND CARPENTERSVILLE. TWO HEMOGLOBIN A1C MACHINES WERE PURCHASED FOR USE IN SCREENING FOR DIABETES IN THE COMMUNITY. TRAINING AND IMPLEMENTATION OF THE A1C MACHINES IS PLANNED FOR EARLY 2020. 2. ACCESS/BEHAVIORAL HEALTH SERVICESADVOCATE SHERMAN IS ALSO FOCUSED ON IMPROVING THE CONTINUUM OF CARE FOR THE BENEFIT OF MENTAL HEALTH AND BEHAVIORAL HEALTH PATIENTS. AN EXAMPLE FOR THIS FOCUS AREA FOLLOWS. IN 2019, ADVOCATE SHERMAN BEGAN PLANNING WITH GATEWAY FOUNDATION, A SUBSTANCE USE TREATEMENT PROVIDER, TO IMPLEMENT THE WARM HANDOFF PROGRAM IN THE EMERGENCY DEPARTMENT. THE PROGRAM WILL INTEGRATE AN ENGAGEMENT SPECIALIST EMPLOYED BY GATEWAY INTO THE ED TEAM AT ADVOCATE SHERMAN. ED STAFF WILL REFER PATIENTS WITH OPIOID USE DISORDER TO BE ASSESSED BY THE ENGAGEMENT SPECIALIST FOR SUBSTANCE USE AND THEN THE PATIENT IS COUNSELED AND ASSISTED TO START SUBSTANCE USE TREATMENT IN THE COMMUNITY. IN 2019, ADVOCATE SHERMAN ALSO CONTINUED ITS LONG-STANDING PARTNERSHIP WITH THE ECKER CENTER, WHICH PROVIDES ONSITE STAFF AT ADVOCATE SHERMAN TO ASSESS PATIENTS IN THE ED WHO ARE BEING SEEN FOR MENTAL HEALTH REASONS. MISSION & SPIRITUAL CARE PARTNERSHIPS ADVOCATE SHERMAN'S MISSION AND SPIRITUAL CARE OFFICE DEVELOPS PARTNERSHIPS WITH COMMUNITIES AND CONGREGATIONS TO HELP ADDRESS LOCAL HEALTH CARE NEEDS AND PROVIDES HEALTH EDUCATION ON TOPICS SUCH AS DIABETES AND MENTAL HEALTH. THE HOSPITAL'S CLINICAL CHAPLAINS ALSO PROVIDE SUPPORT AND SERVICES 24 HOURS EACH DAY TO THE INDIVIDUALS AND FAMILIES SERVED BY ADVOCATE SHERMAN. 3. WORKFORCE DEVELOPMENTBELIEVEING THAT MANY COMMUNITY HEALTH ISSUES ARE DRIVEN BY SOCIAL DETERMINANTS OF HEALTH, THE HOSPITAL HAS FORMED NON-TRADITIONAL PARTNERSHIPS WITH KEY STAKEHOLDERS, SUCH AS AN AREA LIBRARY, SCHOOL DISTRICTS AND SOCIAL SERVICE ORGANIZATIONS, FOCUSED ON IMPROVING THE QUALITY OF LIFE AND HEALTH OF RESIDENTS. THE HOSPITAL ALSO PROMOTES THE TRAINING OF FUTURE HEALTH CARE PROFESSIONALS WORKING TOWARDS DEGREES IN MANY DISCIPLINES. EXAMPLES OF PROGRAMS ARE PROVIDED BELOW. PROMOTING READING AND LITERACY. ADVOCATE SHERMAN HAS BEEN WORKING TO IMPROVE LITERACY IN THE COMMUNITY. LOW LITERACY IS ASSOCIATED WITH POOR HEALTH, QUALITY OF LIFE AND ECONOMIC OPPORTUNITY. TO SET ELGIN FAMILIES ON COURSE FOR A HEALTHY LIFE, ADVOCATE SHERMAN HAS PARTNERED WITH THE GAIL BORDEN PUBLIC LIBRARY, UNITED WAY OF ELGIN AND SCHOOL DISTRICT U-46 FOR THE "WELCOME BABY" INITIATIVE, WHICH PROMOTES LITERACY AND EARLY READING OPPORTUNITIES. THROUGH THIS INITIATIVE, ALL NEWBORNS LIVING WITHIN THE GAIL BORDEN DISTRICT RECEIVE A LIBRARY CARD AND PARENTS ARE INVITED TO A "BABY'S FIRST LIBRARY VISIT," WHERE THEY CAN CHECK OUT "BABY BUNDLES" BOOKS AND PARTICIPATE IN LITERACY CLASSES IN ENGLISH OR SPANISH. IN 2019, 350 BABIES RECEIVED LIBRARY CARDS. FAMILIES ARE ALSO ENROLLED IN UNITED WAY OF ELGIN'S DOLLY PARTON IMAGINATION LIBRARY PROGRAM, WHICH SENDS A BOOK A MONTH TO CHILDREN FROM BIRTH THROUGH THE AGE FIVE. WORKFORCE DEVELOPMENT. IN 2019, ADVOCATE SHERMAN CONTINUED ITS PARTNERSHIP WITH ELGIN COMMUNITY COLLEGE, THE YWCA OF ELGIN AND SCHOOL DISTRICT U-46, INCLUDING PARTICIPATION IN THE DISTRICT U-46 CAREER FAIR AND ADVISING STUDENTS ON HOW TO PREPARE FOR HEALTH CARE CAREER OPPORTUNITIES. PROVISION OF NURSING EDUCATION AND OTHER MEDICAL PROFESSIONALS EDUCATION. AS INDICATED UNDER PART III, LINE B, ADVOCATE SHERMAN STAFF DEVOTED THEIR TIME TO DEVELOPING PROFICIENCY AND EXCELLENCE IN NURSING STUDENTS SENT TO THE HOSPITAL FROM FIVE AREA COLLEGES AND UNIVERSITIES. THE HOSPITAL'S REGISTERED NURSES SUPERVISED AND TAUGHT 318 UNDERGRADUATE NURSING STUDENTS AT A COST OF NEARLY $1.3 MILLION TO THE HOSPITAL IN 2019. ADVOCATE SHERMAN STAFF TRAIN STUDENTS FROM AREA COLLEGES AND UNIVERSITIES IN MULTIPLE OTHER CLINICAL AREAS AS WELL INCLUDING, BUT NOT LIMITED TO, PHYSICAL, OCCUPATIONAL, SPEECH AND REHABILITATION THERAPY, ULTRASOUND, MAMMOGRAPHY, PHARMACY, LABORATORY, AS WELL AS DIETARY AND HEALTH INFORMATION MANAGEMENT. TRAINING OF GREATER ELGIN EMS. ADVOCATE SHERMAN'S FULL-TIME PARAMEDIC INSTRUCTOR AND FULL-TIME EMS CONTINUING EDUCATION COORDINATOR TRAIN ALL NEW REGION 9 PARAMEDICS AND ALL EXISTING GREATER ELGIN EMS PERSONNEL IN EMS REGION 9. FORM 990, PART VI, SECTION A, LINE 2 FAMILY RELATIONSHIP BETWEEN INTERESTED PERSON KELLY DEERING AND ORGANIZATION: FAMILY MEMBER LINDA DEERING FORM 990, PART VI, SECTION A, LINE 6 CORPORATE MEMBER THE BYLAWS PROVIDE FOR ADVOCATE HEALTH CARE NETWORK AS THE SOLE CORPORATE MEMBER. FORM 990, PART VI, SECTION A, LINE 7A POWER TO ELECT OTHER MEMBERS ADVOCATE SHERMAN HOSPITAL HAS A SOLE CORPORATE MEMBER, ADVOCATE HEALTH CARE NETWORK, WHO ELECTS ITS DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B GOVERNANCE DECISIONS THE FOLLOWING REQUIRE A RECOMMENDATION INITIATED BY THE BOARD OF DIRECTORS AND THE SUBSEQUENT APPROVAL BY THE CORPORATE MEMBER, ADVOCATE HEALTH CARE NETWORK, TO BE VALID: A) APPOINTMENT OF THE MEMBERS OF THE BOARD OR ITS AFFILIATES, OTHER THAN THE EX OFFICIO DIRECTORS; B) AMENDMENT OF THE ARTICLES OF INCORPORATION OF THE CORPORATION OR ITS AFFILIATES; C) AMENDMENT OF THE BYLAWS OF THE CORPORATION OR ITS AFFILIATES; D) IMPLEMENTATION OF ANY CHANGE TO THE STRUCTURE OR OPERATION OF THE CORPORATION OR ITS AFFILIATES THAT COULD AFFECT THE CORPORATION'S OR ANY AFFILIATE'S TAX-EXEMPT STATUS; E) ADOPTION OF A STRATEGIC PLAN; F) APPROVAL OF THE CORPORATION'S OR ANY AFFILIATE'S ANNUAL CAPITAL PLAN; G) APPROVAL OF THE CORPORATION'S OR ANY AFFILIATE'S ANNUAL OPERATING BUDGET; H) TRANSFER OR ENCUMBRANCE OF ANY OF THE CORPORATION'S OR ANY AFFILIATE'S ASSETS BY PURCHASE, SALE, CAPITAL LEASE, MORTGAGE, DISPOSITION OR HYPOTHECATION IN EXCESS OF LIMITS ESTABLISHED BY THE CORPORATE MEMBER'S FINANCIAL APPROVAL POLICY; I) FILING OF A CERTIFICATE OF NEED OR EXEMPTION APPLICATION (OR ANY AMENDMENT THERETO) BY THE CORPORATION OR ANY AFFILIATE; J) DISSOLVING OR WINDING-UP THE CORPORATION, OR AN AFFILIATE, OR ABANDONING AN ENTIRE BUSINESS ENTERPRISE THEREOF; K) FILING ANY ACTION IN BANKRUPTCY OR RECEIVERSHIP REGARDING THE CORPORATION OR ANY AFFILIATE; L) THE SALE OR TRANSFER OF ANY MEMBER INTEREST, STOCK, OR OTHER OWNERSHIP INTEREST IN ANY AFFILIATE OF THE CORPORATION; M) THE MERGER OR CONSOLIDATION OF THE CORPORATION OR ANY AFFILIATE, OR THE FORMATION OF ANY PARTNERSHIP, CO-SPONSORSHIP ARRANGEMENT OR JOINT VENTURE BETWEEN OR AMONG THE CORPORATION OR ANY AFFILIATE AND ANY THIRD PARTY; N) ADOPTION OR AMENDMENT OF ANY POLICY, PROTOCOL OR PROCEDURE THAT IS INCONSISTENT WITH ONE OR MORE OF THE CORPORATE MEMBER'S SYSTEM-WIDE POLICIES, PROTOCOLS OR PROCEDURES OR THE CORPORATE MEMBER'S ARTICLES OF INCORPORATION AND/OR BYLAWS; PROVIDED, HOWEVER, THAT THIS COLLABORATIVE AUTHORITY DOES NOT ABROGATE THE POWER OF THE BOARD TO ADOPT POLICIES, PROTOCOLS AND/OR PROCEDURES FOR WHICH NO SYSTEM-WIDE POLICY, PROTOCOL OR PROCEDURE EXISTS AND THAT ARE RELATED SOLELY TO THE INTERNAL OPERATIONS OF THE CORPORATION AND/OR ANY OF ITS AFFILIATES; AND O) APPOINTMENT OF THE CORPORATION'S OFFICERS IDENTIFIED IN SECTION 6.2 OF THE CORPORATION'S BYLAWS. THE CORPORATE MEMBER MAY TAKE THE FOLLOWING ACTIONS WITHOUT THE APPROVAL OR RECOMMENDATION OF THE BOARD OF DIRECTORS: A) REMOVAL OF ANY OF THE MEMBERS OF THE BOARD "FOR CAUSE" IN ACCORDANCE WITH SECTION 3.15 OF THE CORPORATION'S BYLAWS; B) THE INCURRENCE OR MODIFICATION OF SHORT OR LONG-TERM DEBT AND LEASE OBLIGATIONS; C) APPOINTMENT OR REMOVAL OF THE CORPORATION'S PRESIDENT OR CHIEF FINANCIAL OFFICER ("CFO"); D) ADOPTION OF AN ANNUAL CAPITAL PLAN FOR THE CORPORATION, BUT ONLY AFTER THE CORPORATE MEMBER HAS MADE A GOOD FAITH DETERMINATION THAT THE BOARD HAS NOT RECOMMENDED AN ACCEPTABLE ANNUAL CAPITAL PLAN IN A TIMELY MANNER; AND E) ADOPTION OF AN ANNUAL OPERATING BUDGET FOR THE CORPORATION, BUT ONLY AFTER THE CORPORATE MEMBER HAS MADE A GOOD FAITH DETERMINATION THAT THE BOARD HAS NOT RECOMMENDED AN ACCEPTABLE ANNUAL OPERATING BUDGET IN A TIMELY MANNER. FORM 990, PART VI, SECTION B, LINE 11B TAX PREPARATION AND REVIEW PROCESS ADVOCATE'S TAX PREPARATION PROCESS INCLUDES ONGOING CONSULTATION WITH ITS OUTSIDE TAX CONSULTING FIRM AND TAX LEGAL COUNSEL, BOTH OF WHICH POSSESS EXPERTISE IN HEALTH CARE AND TAX-EXEMPT RETURN PREPARATION. THESE ADVISORS WORKED CLOSELY WITH THE ORGANIZATION'S FINANCE, TAX, AND LEGAL ASSOCIATES AND OTHER MEMBERS OF THE ORGANIZATION'S TEAM ASSEMBLED TO PARTICIPATE IN THE PREPARATION OF THE FORM 990. THE FORM 990 IS REVIEWED BY FINANCE MANAGEMENT, THE TAX MANAGER, THE VP OF FINANCE/CORPORATE CONTROLLER, THE CHIEF FINANCIAL OFFICER, AND ADVOCATE'S OUTSIDE TAX CONSULTING FIRM AND TAX LEGAL COUNSEL. PRIOR TO PRESENTING THE FORM 990 TO THE BOARD OF DIRECTOR'S AUDIT COMMITTEE IN NOVEMBER, THE ORGANIZATION'S TEAM--INCLUDING ITS ADVISORS--MET FREQUENTLY TO DISCUSS AND REVIEW DRAFTS OF THE FORM 990. AT THE NOVEMBER AUDIT COMMITTEE MEETING, THE VP OF FINANCE/CORPORATE CONTROLLER AND CHIEF FINANCIAL OFFICER COORDINATED A REVIEW OF THE FORM 990 WITH COMMITTEE MEMBERS, AS THE AUDIT COMMITTEE IS THE COMMITTEE OF THE BOARD OF DIRECTORS CHARGED WITH OVERSIGHT OF AUDIT AND TAX MATTERS. THE VP OF FINANCE/CORPORATE CONTROLLER AND CHIEF FINANCIAL OFFICER RESPONDED TO THE AUDIT COMMITTEE MEMBERS' QUESTIONS AND PROVIDED THE OPPORTUNITY FOR DETAILED DISCUSSION OF THE FORM 990. THE CHANGES IDENTIFIED WERE INCORPORATED, AND THEN A COMPLETE COPY OF THE FINAL FORM 990 WAS PROVIDED TO EACH MEMBER OF THE ORGANIZATION'S BOARD OF DIRECTORS BEFORE THE FORM 990 WAS FILED. FORM 990, PART VI, SECTION B, LINE 12C CONFLICT OF INTEREST POLICY THE ORGANIZATION'S CONFLICT OF INTEREST POLICY APPLIES TO VARIOUS PEOPLE, INCLUDING MEMBERS OF ADVOCATE'S BOARD OF DIRECTORS, GOVERNING COUNCILS, OFFICERS, ASSOCIATES, VOLUNTEERS, AND MEDICAL STAFF MEMBERS WITH ADMINISTRATIVE RESPONSIBILITIES. ANNUALLY, THE COMPLIANCE DEPARTMENT SENDS THIS POLICY AND THE ADVOCATE CODE OF BUSINESS CONDUCT TO A RANGE OF INDIVIDUALS WHO MAY BE IN A POSITION TO EXERCISE SUBSTANTIAL INTEREST OVER A PARTICULAR MATTER (DEFINED AS "INTERESTED PERSONS"). THEY ARE REQUIRED TO READ THE POLICIES AND PROVIDE THE COMPLIANCE DEPARTMENT WITH A DISCLOSURE STATEMENT, WHICH IDENTIFIES ACTIVITIES AND RELATIONSHIPS THAT COULD POTENTIALLY GIVE RISE TO A CONFLICT OF INTEREST. THE CHIEF COMPLIANCE OFFICER REVIEWS THE DISCLOSURES AND PROVIDES A REPORT TO THE SYSTEM BUSINESS CONDUCT (COMPLIANCE) COMMITTEE, EXECUTIVE MANAGEMENT TEAM AND THE AUDIT COMMITTEE OF THE BOARD FOR REVIEW. THE REPORT IS THEN PROVIDED, IN RELEVANT PART, TO THE SITE CHIEF EXECUTIVE OFFICERS. POTENTIAL CONFLICTS ARE REVIEWED BY THE COMPLIANCE DEPARTMENT ON A CASE BY CASE BASIS. FOLLOW-UP PROCEDURES CONDUCTED ARE UNIQUE TO THE GIVEN CIRCUMSTANCE AND MAY INCLUDE REVIEWING THE POTENTIAL CONFLICT WITH THE INTERESTED PERSON OR INVESTIGATING THE MATTER IN CONSULTATION WITH THE INTERESTED PERSON'S SUPERVISOR AND/OR SITE MANAGEMENT. IN CIRCUMSTANCES WHERE THE INTERESTED PERSON IS NOT A MEMBER OF THE BOARD OR GOVERNING COUNCIL OR A COMMITTEE THEREOF OR A PERSON OF INTEREST, AND IT IS DETERMINED THAT THERE IS AN ACTUAL CONFLICT OF INTEREST, THE SUPERVISOR OF THE INDIVIDUAL IS RESPONSIBLE FOR MAKING AN APPROPRIATE RESPONSE--POTENTIALLY INCLUDING A RESTRICTION OF THE INDIVIDUAL'S JOB DUTIES WITH RESPECT TO THE MATTER GIVING RISE TO THE CONFLICT. FORM 990, PART VI, SECTION B, LINE 15 EXECUTIVE COMPENSATION EXECUTIVE COMPENSATION AT ADVOCATE HEALTH CARE NETWORK AND SUBSIDIARIES IS BASED ON A BOARD-APPROVED STRATEGY THAT GUIDES THE CORPORATION IN ESTABLISHING COMPENSATION OPPORTUNITIES FOR EXECUTIVES, MANAGERS, PROFESSIONALS AND EMPLOYEES. IN THIS STRATEGY, SPECIFIC MARKET COMPENSATIONS ARE IDENTIFIED AND THE DESIRED LEVEL OF COMPETITIVENESS IN THOSE MARKETS SPECIFIED. IN ADDITION, THE LINKAGE OF EXECUTIVE PAY TO PERFORMANCE IS ARTICULATED AND HOW THIS RELATIONSHIP IS TO BE MAINTAINED IS OUTLINED. TO SUPPORT AND IMPLEMENT THE COMPENSATION STRATEGY, FIVE BASIC ELEMENTS ARE UTILIZED. THESE ELEMENTS ARE: - A SOLID, RELIABLE AND TESTED JOB EVALUATION METHODOLOGY, - ACCURATE, QUALITY AND RELEVANT COMPENSATION SURVEY INFORMATION, - A CONSISTENT ANNUAL PROCESS FOR UPDATING THE COMPENSATION LEVELS, - AN ACTIVE BOARD REVIEW PROCESS THAT ASSURES COMPLIANCE WITH THE COMPENSATION STRATEGY AND ONGOING REVIEW OF THE PERFORMANCE OF THE ORGANIZATION, AND - ACTIVE REVIEW AND AUDITING OF COMPENSATION BY EXTERNAL INDEPENDENT CONSULTANTS. FORM 990, PART VI, SECTION C, LINE 19 AVAILABILITY OF DOCUMENTS, CONFLICT OF INTEREST POLICY & FINANCIAL STATEMENTS THE ORGANIZATION MAKES ITS FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC THROUGH THE FOLLOWING WEBSITES: - DACBOND.COM (DIGITAL ASSURANCE CERTIFICATION LLC) - EMMA.MSRB.ORG (ELECTRONIC MUNICIPAL MARKET ACCESS) THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS OR CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC. FORM 990, PART XI, LINE 9: BOOK/TAX DIFFERENCE RELATED TO JOINT VENTURES 737,254. FORM 990, PART III, LINE 4D, PROGRAM SERVICE ACCOMPLISHMENTS CONTINUED: 4. COMMUNITY SAFETYTHE HOSPITAL ALSO WORKS WITH COMMUNITY PARTNERS TO ADDRESS COMMUNITY SAFETYA SOCIAL DETERMINANT OF HEALTH. SOME EXAMPLES ARE PROVIDED BELOW. REGION 9 EMERGENCY MEDICAL SERVICES. AS BRIEFLY MENTIONED EARLIER, THE GREATER ELGIN AREA EMS SYSTEM IS OPERATED OUT OF ADVOCATE SHERMAN. ALL NEW PARAMEDICS COMPLETE TRAINING AT ADVOCATE SHERMAN AND ALL EXISTING GREATER ELGIN EMS PERSONNEL COMPLETE THEIR CONTINUING EDUCATION AT THE HOSPITAL. EMS STAFF ARE TRAINED BY A FULL-TIME PARAMEDIC INSTRUCTOR AND A FULL-TIME EMS CONTINUING EDUCATION COORDINATOR WHO ARE EMPLOYED BY THE HOSPITAL. ADVOCATE SHERMAN ALSO COLLABORATES WITH EMERGENCY MEDICAL SERVICE PROVIDERS TO SHARE BEST PRACTICE INFORMATION THROUGHOUT ILLINOIS DEPARTMENT OF PUBLIC HEALTH (IDPH) DESIGNATED REGION 9. 5. HOUSING DATA INDICATES THAT POOR QUALITY HOUSING IS ASSOCIATED WITH VARIOUS NEGATIVE HEALTH COUTCOMES, INCLUDING CHRONIC DISEASE AND INJURY, AND POOR MENTAL HEALTH. ADVOCATE SHERMAN IS WORKING WITH COMMUNITY PARTNERS TO ADDRESS HOUSING WITH THE GOAL OF PROVIDING A SAFE AND HEALTHY PLACE TO LIVE AND TO CONVALESCE. THIS SUPPORTS THE AAH SYSTEMWIDE GOAL TO DECREASE THE NUMBER OF ED PATIENTS WHO ARE SCREENED POSITIVE FOR HOMELESSNESS BY 5% BY 2025. THE FOLLOWING ARE EXAMPLES OF THE HOSPITAL'S EFFORTS TO ADDRESS THIS SDOH. ADVOCATE SHERMAN IS NOT CURRENTLY ENGAGED IN WORK RELATED TO HOUSING. 6. FOOD SECURITY ACCESS TO FRESH, AFFORDABLE FOOD IS A KEY INGREDIENT IN THE RECIPE TO ADDRESS SOCIAL DETERMINANTS OF HEALTHAND IN KEEPING THE COMMUNITY HEALTHY. ADVOCATE SHERMAN IS INVOLVED WITH MULTIPLE LOCAL COMMUNITY PARTNERS TO DEVELOP SUSTAINABLE FOOD INITIATIVES TO ADDRESS FOOD INSECURITY. EXAMPLES OF THESE INITIATIVES ARE PROVIDED BELOW. FOOD SECURITY. IN 2018, ADVOCATE SHERMAN, AS PART OF EFFORTS TO ADDRESS OBESIY AND OBESITY-RELATED DISEASES, DEVELOPED A PROCESS TO PROVIDE EXCESS PRODUCE FROM THE ON-SITE COMMUNITY GARDEN TO HOSPITAL DIABETES CENTER PATIENTS FOR THOSE PATIENTS WHO ARE IDENTIFIED AS FOOD INSECURE BASED ON THE HUNGER VITAL SIGN QUESTIONNAIRE SCREENING. DISTRIBUTION OF FRESH PRODUCE FROM THE GARDEN TO DIABETES CENTER PATIENTS BEGAN IN MARCH 2018. ADDITIONALLY, THE HOSPITAL INITIATED A NEW PARTNERSHIP WITH THE ELGIN COMMUNITY COLLEGE (ECC) STUDENT FOOD PANTRY. ECC STUDENTS WERE ASSIGNED GARDEN PLOTS AT THE ADVOCATE SHERMAN COMMUNITY GARDEN AND THE PRODUCE THAT WAS HARVESTED WAS PROVIDED TO THE STUDENT FOOD PANTRY. IN THE 2019 GARDEN SEASON, 376 TOTAL POUNDS OF PRODUCE WAS PROVIDED TO THE PATIENTS IN THE DIABETES CENTER, AS WELL AS TO THE ECC STUDENT FOOD PANTRY. AS IDENTIFIED IN THE ADVOCATE SHERMAN CHNA, TWENTY-TWO PERCENT OF THE POPULATION HAS LOW FOOD ACCESS IN KANE COUNTY. THIS IS THE PERCENT OF THE POPULATION LIVING IN DESIGNATED FOOD DESERTS. IN 2018, ADVOCATE SHERMAN BEGAN DEVELOPING A FOOD INSECURITY (FI) SCREENING INITIATIVE. USING THE HUNGER VITAL SIGN SCREENING TOOL, INDIVIDUALS IN THE DIABETES CENTER AND ENROLLED PARTICIPANTS OF THE MOBILE INTEGRATED HEALTH PROGRAM WERE SCREENED AND REFERRED TO AREA FOOD PANTRIES, CONGREGATE MEAL PROGRAMS OR THE SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP). IN 2019 THE HOSPITAL UPDATED THE PUBLISHED AND COMPREHENSIVE FOOD AND NUTRITION RESOURCE GUIDE CONTAINING AREA RESOURCES IN BOTH ENGLISH AND SPANISH. IN MARCH 2019, 284 INDIVIDUALS WERE SCREENED, OF WHICH 28 PERCENT SCREENED AS BEING FOOD INSECURE (AS COMPARED TO SEVEN PERCENT OVERALL RATE FOR KANE COUNTY). THE AREAS WITH THE HIGHEST RATE OF CONCERN FOR FOOD INSECURITY AMONG THOSE PATIENTS SCREENED WAS ELGIN (42 PERCENT) AND CARPENTERSVILLE (16 PERCENT). BABY-FRIENDLY HOSPITAL ADVOCATE SHERMAN ACHIEVED RECOGNITION AS A BABY FRIENDLY HOSPITAL IN 2016 AND MAINTAINS THIS RECOGNITION IN 2019. THE CORE COMPONENTS OF THE BABY-FRIENDLY HOSPITAL INITIATIVE (BFHI) ARE THE UNICEF/WHO TEN STEPS TO SUCCESSFUL BREASTFEEDING, WHICH ARE DESIGNED TO FACILITATE THE ROLE OF THE BIRTHING FACILITY IN PROVIDING WOMEN THE INFORMATION, CARE PRACTICES AND OPPORTUNITY TO BREASTFEED, REGARDLESS OF THE METHOD OF BIRTH. NATIONAL HEALTHY PEOPLE 2020 OBJECTIVES TO INCREASE AND EXTEND BREASTFEEDING ARE ALIGNED WITH THIS INITIATIVE. 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