2016-11-14T12:35:31-06:00 2015-12-31 ERNST & YOUNG US LLP 155 N Wacker Drive Chicago IL 60606 990 2015-01-01 362169147 Advocate Health and Hospitals Corp % JAMES DOHENY ADVO 6305729393 3075 HIGHLAND PARKWAY SUITE 600 DOWNERS GROVE IL 60515 JAMES W DOHENY VP FIN & CONTROLLER 6309295543 2016-11-11 TAMARA TARAZI P01266026 3128792000 2015 2017-02-10 21:41:12Z JAMES SKOGSBERGH 3075 HIGHLAND PARKWAY DOWNERS GROVE IL 60515 5194235751 false X www.ADVOCATEHEALTH.COM X 1906 IL SERVE HEALTH NEEDS OF COMMUNITIES THROUGH WHOLISTIC PHILOSOPHY ROOTED IN FUNDAMENTAL UNDERSTANDING OF HUMANS AS CREATED IN THE IMAGE OF GOD. 12 7 30395 4747 56597672 0 24370687 30387679 4075372322 4136066656 214590661 -4709394 18405139 21687820 4332738809 4183432761 5301251 5074721 0 0 2005401718 2112482857 0 0 364335 1967277840 1936979883 3977980809 4054537461 354758000 128895300 7251361082 7308192927 3509146769 3629393998 3742214313 3678798929 X THE MISSION OF ADVOCATE HEALTH AND HOSPITALS CORPORATION 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. false false 2088536298 5074721 2808636180 SEE SCHEDULE O. 835097952 0 830481330 SEE SCHEDULE O. 95826223 0 22329810 SEE SCHEDULE O. 400284313 0 474619336 3419744786 true true false true false false false false false false true true false false true false false true false true true false false false false false true true true false true true false false false false false true false false true false false false false false false true true true false false true 3152 0 true 30395 true true true true CJ false false false false false false false false X 12 7 true false false false true true true true true false true true true true true true true true true true true true IL X JAMES DOHENY 6309295543 3075 HIGHLAND PARKWAY SUITE 600 DOWNERS GROVE IL 60515 X James Skogsbergh PRESIDENT & CEO, DIRECTOR 40.0 4.0 X X 5938747 0 1549940 Michele Baker Richardson Chairperson, Director 1.0 3.0 X 0 0 0 John Timmer Vice Chairperson, Director 1.0 3.0 X 0 0 0 Gail D Hasbrouck SVP, Gen Counsel & Corp. Sec 40.0 9.0 X X 1132499 0 134928 David Anderson Director 1.0 3.0 X 0 0 0 Rev Dr Nathaniel Edmond Director 1.0 5.0 X 0 5250 0 Ron Greene Director 1.0 3.0 X 0 0 0 Mark Harris Director 1.0 3.0 X 0 0 0 Lynn Crump-Caine Director 1.0 3.0 X 0 0 0 Clarence Nixon Jr PhD Director 1.0 3.0 X 0 0 0 Rick Jakle Director 1.0 5.0 X 0 5500 0 Gary Stuck DO Director 1.0 3.0 X 0 0 0 William P Santulli Exec VP, COO 40.0 4.0 X 2527155 0 579977 Lee B Sacks MD EXEC VP, CHIEF MEDICAL OFFICER 40.0 3.0 X 1854798 0 225447 James Doheny VP, Sys Contr & Asst.Treasurer 40.0 10.0 X 444538 0 57072 James Dan MD PRES PHYSICIAN/AMBULATORY SVCS 40.0 4.0 X 1332087 0 175360 Rev K Bender Schwich SVP, Mission & Spiritual Care 40.0 3.0 X 511062 0 178887 Kevin Brady SVP, Chf Human Resources offc 40.0 3.0 X 1183424 0 178528 Vincent Bufalino MD SVP, CARDIO/SR MED DIR CARDIO 40.0 0.0 X 881705 0 262234 Susan Campbell SVP OF PATIENT CR-CHF NRS OFFC 40.0 5.0 X 589152 0 183649 Kelly Jo Golson SVP, Chief Marketing Officer 40.0 3.0 X 786782 0 83043 Dominic J Nakis SVP, CFO & TREASURER 40.0 7.0 X 1745343 0 230358 Scott Powder SVP, Chief Strategy Officer 40.0 3.0 X 873088 0 122934 Bruce D Smith SVP, Information Systems, CIO 40.0 3.0 X 1116262 0 144466 Don Calcagno SVP, Oper Integration/Optim 40.0 2.0 X 853454 0 135121 Rishi Sikka MD SVP, Clinical Operations 40.0 3.0 X 860098 0 144547 Michael Farrell PRESIDENT -ADV CHILDREN'S HOSP 40.0 0.0 X 1339339 0 398634 David Fox President, Good Samaritan Hosp 40.0 0.0 X 1084474 0 151899 Michelle Gaskill-Hames President, Trinity Hospital 40.0 0.0 X 537411 0 90926 Richard Heim President, South Suburban Hosp 40.0 0.0 X 702081 0 114809 Colleen Kannaday President, BroMenn Medical Ctr 40.0 0.0 X 1210845 0 127994 Karen Lambert President, Good Shepherd Hosp 40.0 1.0 X 967436 0 140113 Kenneth Lukhard Mkt President, Christ Med Ctr 40.0 0.0 X 1365257 0 180101 Rick Floyd President, Lutheran Gen Hosp 40.0 1.0 X 1670636 0 186951 Hamad Farhat Neurosurgeon 40.0 0.0 X 1705657 0 38639 Egon Doppenberg Neurosurgeon 40.0 0.0 X 1100421 0 36327 Dean Karahalios Neurosurgeon 40.0 0.0 X 1096126 0 42598 Thomas Grobelny Physician-Neuroint. Radiology 40.0 0.0 X 1046969 0 43794 Michel Ilbawi Pediatric CV Surgery 40.0 0.0 X 901615 0 11992 Michael Englehart Fmr. President S Suburban Hosp 0.0 41.0 X 0 802531 40377 37358461 813281 5991645 2799 true true false POWER CONSTRUCTION COMPANY 2360 N PALMER DR SCHAUMBURG IL 601733818 CONSTRUCTION CONTR 101947343 ARAMARK HEALTHCARE SUPPORT SERVICES 25271 NETWORK PLACE CHICAGO IL 606731252 HOSPITAL SERVICES 20419860 FORWARD SPACE LLC 1142 N NORTH BRANCH CHICAGO IL 60642 ASSET MANAGEMENT 8981926 ALLSCRIPTS HEALTHCARE LLC 24630 NETWORK PLACE CHICAGO IL 606731246 MEDICAL SOFTWARE 8718131 RIVER CITY CONSTRUCTION LLC 101 HOFFER LANE EAST PEORIA IL 61611 CONSTRUCTION CONTR 8125312 139 0 21989060 3774049 4624570 0 30387679 BLUE CROSS/MANAGED CARE 622110 1429750820 1429750820 0 0 MEDICARE/MEDICAID 622110 1278979069 1278979069 0 0 PATIENT SERVICE REVENUE 622110 687606990 687606990 0 0 PHARMACY 446110 407558613 407208300 350313 0 LABORATORY 621511 332171164 277363041 54808123 0 4136066656 -82789047 15698791 -15698791 -82789047 0 250165 250165 9602892 9287255 315637 0 315637 315637 1076875547 2716615 998862769 2649740 78012778 66875 78079653 78079653 6737 3226 3511 3511 0 0 MISCELLANEOUS 621999 10237909 0 0 10237909 CAFETERIA REVENUE 722514 9864980 0 0 9864980 GIFT SHOP REVENUE 812930 931740 0 0 931740 83878 0 0 83878 21118507 4183432761 4079468984 56597672 16978426 5074721 5074721 0 0 0 0 0 0 21317770 19603559 1712096 2115 1010737 1010737 0 0 1695005212 1558624664 136212245 168303 62177781 55601883 6569737 6161 221676156 206605985 15048206 21965 111295201 102775895 8508278 11028 16234429 0 16234429 0 8462639 0 8462639 0 857422 0 857422 0 678078 0 678078 0 0 0 12889279 0 12889279 0 345348169 345348169 17937827 1403519 16534308 0 40055198 37034445 3020753 0 99694840 93446745 6248095 0 0 0 0 0 84898302 80343723 4554579 0 7017169 5170018 1847151 0 0 0 0 0 7464246 6225689 1238557 0 42918499 42918499 0 0 0 0 0 0 191946902 158027891 33919011 0 95589512 94594368 995144 0 INCOME TAXES -2463120 -2463120 0 0 MEDICAL SUPPLIES 530554942 533378253 -2823311 0 BAD DEBT 148548619 148548619 0 0 PUBLIC ASSESSMENT FEE 104002901 104002901 0 0 184344030 167815792 16373475 154763 4054537461 3419744786 634428340 364335 0 0 0 0 148084260 120698045 396140 196186 1540021 1924150 482355852 477254766 102368 581262 0 0 161414318 166162270 47800917 55039994 59340897 47284504 4131461016 2158726551 1734305871 1972734465 2220620864 1948342213 2144112484 2246299832 38487901 32588718 24860715 22110642 187938474 216975880 7251361082 7308192927 706530901 729268205 0 0 3833798 2029739 1572310991 1646360716 0 0 0 0 0 0 0 0 1226471079 1251735338 3509146769 3629393998 X 3711636595 3648294177 30577718 30504752 0 0 3742214313 3678798929 7251361082 7308192927 X 128895300 -158640676 0 0 0 -33670008 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED true true false 0 true 4938 false 0 false 0 true 442497 false 0 true 639129 1086564 false Form 990, Schedule C, Part II-B, Lines 1A, B, D, G SUPPLEMENTAL LOBBYING INFORMATION ADVOCATE HEALTH AND HOSPITALS CORPORATION SPONSORS A NURSE ADVOCACY COUNCIL, COMPRISED OF NURSES EMPLOYED BY THE SYSTEM. THIS GROUP PROVIDES LEGISLATIVE FORUMS AND EDUCATION SUMMITS TO APPRISE AND EDUCATE LEGISLATORS OF THE ISSUES FACING THE NURSING PROFESSION AND HOW CHANGES IN LEGISLATION AFFECT PATIENT CARE. FORM 990, SCHEDULE C, PART II-B, LINE 1I ADVOCATE HEALTH AND HOSPITALS CORPORATION IS A MEMBER OF THE AMERICAN HOSPITAL ASSOCIATION, THE ILLINOIS HOSPITAL ASSOCIATION AND THE METROPOLITAN CHICAGO HEALTHCARE COUNCIL. THESE ORGANIZATIONS, AS PART OF THEIR MISSIONS, ADVOCATE IN THE GENERAL ASSEMBLY AND CONGRESS ON LEGAL AND POLICY ISSUES THAT AFFECT HEALTHCARE INCLUDING QUALITY, AFFORDABILITY, PATIENT ACCESS AND ACCREDITATION. A PORTION OF THE ANNUAL MEMBERSHIP DUES PAID TO THESE ORGANIZATIONS IS ATTRIBUTABLE TO THESE LOBBYING ACTIVITIES. ADVOCATE ALSO ENGAGES CERTAIN FIRMS TO LOBBY ON ITS BEHALF REGARDING ISSUES AND POLICIES THAT AFFECT HEALTHCARE SUCH AS QUALITY, AFFORDABILITY AND PATIENT ACCESS. ADVOCATE ALSO REIMBURSES VARIOUS ASSOCIATES FOR DUES PAID TO VARIOUS PROFESSIONAL ORGANIZATIONS AND ALSO FOR EDUCATIONAL EXPENSES PROVIDED BY PROFESSIONAL AND MEMBERSHIP ORGANIZATIONS. ADVOCATE ENDEAVORS TO IDENTIFY THE PORTION OF DUES OR FEES PAID TO THESE ORGANIZATIONS WHICH ARE ATTRIBUTABLE TO LOBBYING ACTIVITIES. 35776804 121391390 157168194 2039390252 1118004988 921385264 90242059 50880943 39361116 1309816771 989340687 320476084 534843740 499933 534343807 1972734465 2246229832 F 2246229832 0 SELF INSURANCE LIABILITY 763995619 3RD PARTY SETTLEMENTS 212920635 OBLIGATION TO RETURN COLLATERAL 18267162 PENSION PLAN BENEFITS 19937935 EXECUTIVE PENSION LIAB & DEF COMP 94794899 LONG TERM DISABILITY 19702000 INTEREST RATE SWAP MTM SERIES 88842756 REMEDIATION COST ACCRUAL 13730364 UNFUNDED HRA/DRA 18419715 DEACONESS RESIDENCE LIABILITY 364676 DEFERRED CONTRACTS 759577 1251735338 Central America and the Caribbean 1 1 Program Services Self-Insurance 22878802 East Asia and the Pacific 0 0 Program Services Conference 1660 Europe (Including Iceland and Greenland) 0 0 Program Services Conference 6123 North America 0 0 Program Services Conference 17488 Central America and the Caribbean 0 0 Investments 1128062639 East Asia and the Pacific 0 0 Investments 91578622 Europe (Including Iceland and Greenland) 0 0 Investments 352668630 Middle East and North Africa 0 0 Investments 2306856 North America 0 0 Investments 27824230 South America 0 0 Investments 4821132 South Asia 0 0 Investments 266924 1 1 1 1 1630433106 1630433106 true false true true true false Form 990, Schedule F, Part I, Line 3 Total Expenditures The Expenditures reported in Part I, Line 3 are based on the cash paid for these activities. true true X true X true X 600. true true false true true 43161928 12621 43149307 0.01100 718280625 546683544 171597081 0.04390 761442553 546696165 214746388 0.05490 7688268 0 7688268 0.00200 120208171 22329810 97878361 0.02510 38647489 31840501 6806988 0.00170 3798195 0 3798195 0.00100 170342123 54170311 116171812 0.02980 931784676 600866476 330918200 0.08470 false 148548619 8222089 1005853199 1150250936 -144397737 X true true 8 1 CHRIST HOSP INCL HOPE CHILDREN'S HOSP 4440 WEST 95TH STREET OAK LAWN IL 60453 http://www.advocatehealth.com/cmc/ 0000315 X X X X X 2 LUTHERAN GEN HOSP INCL LUTH GEN CHILD 1775 DEMPSTER STREET PARK RIDGE IL 60068 http://www.advocatehealth.com/luth/ 0004796 X X X X X 3 GOOD SAMARITAN HOSPITAL 3815 HIGHLAND AVENUE DOWNERS GROVE IL 60515 http://www.advocatehealth.com/gsam/ 0003384 X X X 4 GOOD SHEPHERD HOSPITAL 450 W HIGHWAY 22 BARRINGTON IL 60010 http://www.advocatehealth.com/gshp/ 0003475 X X X 5 SOUTH SUBURBAN HOSPITAL & ICU 17800 S KEDZIE HAZEL CREST IL 60429 http://www.advocatehealth.com/ssub/ 0004697 X X X 6 BROMENN MEDICAL CENTER 1304 FRANKLIN AVENUE NORMAL IL 61761 http://www.advocatehealth.com/BROMENN/ 0005645 X X X 7 TRINITY HOSPITAL 2320 EAST 93RD STREET CHICAGO IL 60617 http://www.advocatehealth.com/TRIN/ 0004176 X X X 8 EUREKA HOSPITAL 101 S MAJOR STREET EUREKA IL 61530 http://www.advocatehealth.com/eureka/ 0005652 X X X X CHRIST HOSP INCL HOPE CHILDREN'S HOSP 1 false false true X X X X X X X X X 13 true false false true X WWW.ADVOCATEHEALTH.COM/CHNAREPORTS X true 14 true WWW.ADVOCATEHEALTH.COM/CHNAREPORTS false false true X 200. 600. X X X X X true true X X X X true X SEE SECTION C X SEE SECTION C X X X X X true X false X X X X X true X true false LUTHERAN GEN HOSP INCL LUTH GEN CHILD 2 false false true X X X X X X X X X 13 true false false true X WWW.ADVOCATEHEALTH.COM/CHNAREPORTS X true 14 true WWW.ADVOCATEHEALTH.COM/CHNAREPORTS false false true X 200. 600. X X X X X true true X X X X true X SEE SECTION C X SEE SECTION C X X X X X true X false X X X X X true X true false GOOD SAMARITAN HOSPITAL 3 false false true X X X X X X X X X 13 true false false true X WWW.ADVOCATEHEALTH.COM/CHNAREPORTS X true 14 true WWW.ADVOCATEHEALTH.COM/CHNAREPORTS false false true X 200. 600. X X X X X true true X X X X true X SEE SECTION C X SEE SECTION C X X X X X true X false X X X X X true X true false GOOD SHEPHERD HOSPITAL 4 false false true X X X X X X X X X 13 true true false true X WWW.ADVOCATEHEALTH.COM/CHNAREPORTS X true 14 true WWW.ADVOCATEHEALTH.COM/CHNAREPORTS false false true X 200. 600. X X X X X true true X X X X true X SEE SECTION C X SEE SECTION C X X X X X true X false X X X X X true X true false SOUTH SUBURBAN HOSPITAL & ICU 5 false false true X X X X X X X X X 13 true false false true X WWW.ADVOCATEHEALTH.COM/CHNAREPORTS X X true 14 true WWW.ADVOCATEHEALTH.COM/CHNAREPORTS false false true X 200. 600. X X X X X true true X X X X true X SEE SECTION C X SEE SECTION C X X X X X true X false X X X X X true X true false BROMENN MEDICAL CENTER 6 false false true X X X X X X X X X 13 true true false true X WWW.ADVOCATEHEALTH.COM/CHNAREPORTS X X true 14 true WWW.ADVOCATEHEALTH.COM/CHNAREPORTS false false true X 200. 600. X X X X X true true X X X X true X SEE SECTION C X SEE SECTION C X X X X X true X false X X X X X true X true false TRINITY HOSPITAL 7 false false true X X X X X X X X X 13 true false false true X WWW.ADVOCATEHEALTH.COM/CHNAREPORTS X true 14 true WWW.ADVOCATEHEALTH.COM/CHNAREPORTS false false true X 200. 600. X X X X X true true X X X X true X SEE SECTION C X SEE SECTION C X X X X X true X false X X X X X true X true false EUREKA HOSPITAL 8 false false true X X X X X X X X X 13 true true false true X WWW.ADVOCATEHEALTH.COM/CHNAREPORTS X X true 14 true WWW.ADVOCATEHEALTH.COM/CHNAREPORTS false false true X 200. 600. X X X X X true true X X X X true X SEE SECTION C X SEE SECTION C X X X X X true X false X X X X X true X true false PART V, SEC B, LINE 2 N/A PART V, SEC B, LINE 3J N/A PART V, SEC B, LINE 5 ADVOCATE CHRIST MEDICAL CENTER COMMUNITY HEALTH COUNCILS REVIEW DATA & SET PRIORITIES IN SUPPORT OF THIS VISION AND IN ALIGNMENT WITH ADVOCATE HEALTH CARES STANDARDIZED APPROACH, ADVOCATE CHRIST MEDICAL CENTER (ACMC) CONVENED A COMMUNITY HEALTH COUNCIL FROM JANUARY 2011 TO DECEMBER 2011 TO CONDUCT ITS COMPREHENSIVE CHNA. THIS COUNCIL WAS CHAIRED BY THE MEDICAL CENTERS COMMUNITY HEALTH LEADER AND COMPRISED OF REPRESENTATIVE(S) FROM THE EXECUTIVE TEAM, PUBLIC AFFAIRS AND MARKETING, MISSION AND SPIRITUAL CARE, AND BUSINESS DEVELOPMENT AND STRATEGY. COMMUNITY MEMBERS SERVING ON THE MEDICAL CENTERS GOVERNING COUNCIL WERE ALSO RECRUITED AS ACTIVE PARTICIPANTS IN THE COMMUNITY HEALTH COUNCIL. THE TITLES AND AFFILIATIONS OF THE COMMUNITY HEALTH COUNCILS MEMBERS ARE PROVIDED BELOW. CHRIST MEDICAL CENTER COMMUNITY HEALTH COUNCIL MEMBERS * VICE PRESIDENT, CLINICAL TRANSFORMATION, CHRIST MEDICAL CENTER * COORDINATOR, COMMUNITY RELATIONS, CANCER INSTITUTE, CHRIST MEDICAL CENTER * COORDINATOR, COMMUNITY RELATIONS, HEART AND VASCULAR INSTITUTE, CHRIST MEDICAL CENTER * COORDINATOR, COMMUNITY RELATIONS, ADVOCATE CHILDRENS HOSPITAL * VICE PRESIDENT, PUBLIC AFFAIRS AND MARKETING, ADVOCATE CHILDRENS HOSPITAL * PLANNING MANAGER, BUSINESS DEVELOPMENT, CHRIST MEDICAL CENTER * REGIONAL VICE PRESIDENT, BUSINESS DEVELOPMENT, CHRIST MEDICAL CENTER * FINANCIAL ADVISOR, COMMUNITY REPRESENTATIVE/MEMBER, CHRIST MEDICAL CENTER GOVERNING COUNCIL * HEALTH ADMINISTRATOR, COMMUNITY REPRESENTATIVE/MEMBER, CHRIST MEDICAL CENTER GOVERNING COUNCIL * VICE PRESIDENT, MISSION AND SPIRITUAL CARE, CHRIST MEDICAL CENTER * DIRECTOR, BUSINESS DEVELOPMENT, CHRIST MEDICAL CENTER USING BOTH PRIMARY AND SECONDARY COMMUNITY HEALTH DATA, THE COMMUNITY HEALTH COUNCIL IDENTIFIED THE MEDICAL CENTER SERVICE AREAS KEY HEALTH NEEDS AND THEN EMPLOYED A PRIORITY-SETTING PROCESS TO DETERMINE THE PRIORITIES FOR FOCUS. THIS PROCESS INCLUDED AN EXAMINATION OF BOTH THE MEDICAL CENTERS AND THE COMMUNITYS ISSUES/CHALLENGES AND ASSETS, AND DISCUSSIONS WITH EXTERNAL KEY INFORMANTS TO DETERMINE THE POTENTIAL FOR PARTNERSHIPS WITH OTHER ORGANIZATIONS AND FOR SHARING RESOURCES TO ADDRESS COMMUNITY NEED. ADDITIONAL MEDICAL CENTER STAFF AND COMMUNITY REPRESENTATIVES WERE ADDED AS KEY INFORMANTS TO FILL IN ANY COMMUNITY HEALTH COUNCIL GAPS IN EXPERTISE. MEETINGS WERE HELD WITH COMMUNITY REPRESENTATIVES AS NEEDED TO GATHER NEEDED INFORMATION AND DATA. THE TIMEFRAME OF WHEN THESE MEETINGS OCCURRED WERE FROM FEBRUARY TO OCTOBER OF 2014. THE ROLES AND AFFILIATIONS OF INDIVIDUALS WITH WHOM ACMA CONSULTED DURING ITS MOST RECENT CHNA AS WELL AS THE MEANS BY WHICH THEY WERE CONSULTED ARE AS FOLLOWS. * MEGAN ERSKINE, STUDENT HEALTH SPECIALIST, OFFICE OF STUDENT HEALTH AND WELLNESS, CHICAGO PUBLIC SCHOOLS PROVIDED CHICAGO PUBLIC SCHOOLS DEMOGRAPHIC DATA. * JAMIE DORNFIELD, VICE PRESIDENT, HEALTH OPERATIONS, AUNT MARTHAS HEALTH CENTER PROVIDED PATIENT DEMOGRAPHIC DATA FOR THEIR FEDERALLY QUALIFIED HEALTH CENTER (FQHC). * MARY AGNES LAGUATAN, VICE PRESIDENT, OPERATIONS, RONALD MCDONALD HOUSE CHARITIES OF CHICAGOLAND AND NORTHWEST INDIANA PROVIDED UTILIZATION DATA ON FAMILIES SERVED AT THE RONALD MCDONALD HOUSES THROUGHOUT THE CHICAGOLAND AREA. (MEETINGS) * NAREMAN TAHA, CO-FOUNDER/EXECUTIVE DIRECTOR, ARAB AMERICAN FAMILY SERVICES PROVIDED ANECDOTAL DEMOGRAPHIC INFORMATION FOR PATIENTS SERVED BY THEIR SOCIAL SERVICE AGENCY. * PASTORS/CONGREGATIONAL LEADERS, SOUTHWEST SUBURBAN CONGREGATION COLLABORATION DID NOT PROVIDE ANY DATA THAT WAS RELEVANT TO OUR POPULATION BECAUSE THE COLLABORATION DISSOLVED. (MEETINGS) ADVOCATE LUTHERAN GENERAL HOSPITAL IN SUPPORT OF THIS VISION AND IN ALIGNMENT WITH ADVOCATE HEALTH CARES STANDARDIZED APPROACH, LUTHERAN GENERAL HOSPITAL CONVENED A COMMUNITY HEALTH COUNCIL TO CONDUCT ITS COMPREHENSIVE 2011-2013 CHNA AND TO CONTINUE TO MONITOR COMMUNITY NEEDS AND PROGRAMMING. THE COUNCIL HAS CONTINUED TO MEET QUARTERLY EACH YEAR, INCLUDING IN 2015. THESE MEETINGS INCLUDED EDUCATION ON ISSUES, UPDATES ON COMMUNITY PROGRAMS, DATA REVIEW AND ASSESSMENT FOR 2014-2016 CHNA. THIS COUNCIL WAS CHAIRED BY THE HOSPITALS COMMUNITY HEALTH LEADER AND COMPRISED OF REPRESENTATIVES FROM THE EXECUTIVE TEAM, PUBLIC AFFAIRS AND MARKETING, MISSION AND SPIRITUAL CARE, AND BUSINESS DEVELOPMENT AND STRATEGY. COMMUNITY MEMBERS SERVING ON THE HOSPITALS GOVERNING COUNCIL WERE ALSO RECRUITED AS ACTIVE PARTICIPANTS IN THE COMMUNITY HEALTH COUNCIL. ADDITIONAL HOSPITAL STAFF AND COMMUNITY REPRESENTATIVES WERE ADDED AS THE PROCESS EVOLVED TO FILL IN ANY COMMUNITY HEALTH COUNCIL GAPS IN EXPERTISE. THE TITLES OF THE COMMUNITY HEALTH COUNCILS MEMBERS AND THE NAMES OF THE ORGANIZATIONS REPRESENTED FOR 2015 ARE PROVIDED BELOW. LUTHERAN GENERAL HOSPITAL COMMUNITY HEALTH COUNCIL MEMBERS LUTHERAN GENERAL HOSPITAL INTERNAL MEMBERS: * DIRECTOR, COMMUNITY AND HEALTH RELATIONS * VP, MISSION AND SPIRITUAL CARE * DIRECTOR, OLDER ADULT SERVICES * DIRECTOR, PUBLIC AFFAIRS AND MARKETING * STRATEGIC SPECIALIST, BUSINESS DEVELOPMENT * EXECUTIVE CLINICAL DIRECTOR, HEART/VASCULAR/CC/ED/TRAUMA DIRECTOR, OPERATIONS-REHAB/OUT PATIENT PSYCHOLOGY/NEUROLOGY * MANAGER, MENTAL HEALTH SERVICES * ADVOCATE MEDICAL GROUP COMMUNITY RELATIONS REPRESENTATIVE, BEHAVIORAL HEALTH AND ADVOCATE ADDICTION TREATMENT PROGRAM COMMUNITY MEMBERS: * SUPERINTENDENT, ROUNDOUT SCHOOL DISTRICT #72/GOVERNING COUNCIL CHAIR, LUTHERAN GENERAL HOSPITAL * VP, US BANK/GOVERNING COUNCIL MEMBER, LUTHERAN GENERAL HOSPITAL * GOVERNING COUNCIL MEMBER, LUTHERAN GENERAL HOSPITAL * DIRECTOR, CHRONIC DISEASE PREVENTION & HEALTH PROMOTION, COOK COUNTY DEPARTMENT OF HEALTH * PROGRAM DIRECTOR, NATIONAL ALLIANCE FOR MENTAL ILLNESS (NAMI) * ASSISTANT DIRECTOR, MAINE TOWNSHIP-MAINESTAY YOUTH AND FAMILY SERVICES * SENIOR DIRECTOR, COMMUNITY HEALTH, AMERICAN HEART ASSOCIATION * CHIEF OF POLICE, PARK RIDGE * ENVIRONMENTAL HEALTH OFFICER, PARK RIDGE * MENTAL HEALTH SERVICES DIRECTOR, LUTHERAN SOCIAL SERVICES (LSSI) * ASSISTANT PRINCIPAL, DISTRICT 207 * MEMBER, PARK RIDGE HEALTHY COMMUNITY PARTNERSHIP AND JOINT COMMUNITY RECOVERY RESPONSE TEAM * MEMBER, DES PLAINES HEALTHY COMMUNITY PARTNERSHIP * CITY OF DES PLAINES NURSE * CITY OF DES PLAINES SOCIAL WORKER * SCHAUMBURG TOWNSHIP SUPERVISOR * VILLAGE OF NILES NURSE * VILLAGE OF NILES DIRECTOR OF FAMILY SERVICES * VILLAGE OF NILES FITNESS CENTER DIRECTOR IN ITS CHNA, ADVOCATE LUTHERAN GENERAL HOSPITAL ALSO CONSULTED WITH THE FOLLOWING COMMUNITY ORGANIZATIONS ON A CONSISTENT BASIS AND CONTINUES TO DO SO EACH YEAR, INCLUDING 2015: * SCHOOL DISTRICT 64 * SCHOOL DISTRICT 207 * CHIEF OF POLICE, PARK RIDGE * POLICE CHIEF ADVISORY TASK FORCE, PARK RIDGE * REGION 9 EMS FIRE DEPARTMENT DATA * DES PLAINES, PARK RIDGE AND NILES POLICE DEPARTMENTS * DIRECTOR OF EPIDEMIOLOGY, COOK COUNTY DEPARTMENT OF HEALTH * LUTHERAN GENERAL HOSPITAL EMERGENCY MEDICAL SERVICES (EMS); LUTHERAN GENERAL EMS RESOURCE HOSPITAL FOR PARK RIDGE, NILES, MORTON GROVE, NORTH MAINE AND GLENVIEW * PARK RIDGE HEALTH COMMISSION * DES PLAINES HEALTHY COMMUNITY PARTNERSHIP * VILLAGE OF NILES * VILLAGE OF GLENVIEW * VILLAGE OF MORTON GROVE * HEALTHIER PARK RIDGE COALITION (NAME CHANGE) * PARK RIDGE HUMAN NEEDS TASK FORCE * PARK RIDGE CHAMBER OF COMMERCE HEALTH CARE FORUM * PARK RIDGE COMMUNITY FUND * MEMBERS OF PARK RIDGE, NILES AND DES PLAINES MINISTERIAL ASSOCIATIONS * FAITH COMMUNITIES * DIRECTOR, COUNCIL OF ADVISORS, LUTHERAN GENERAL HOSPITAL * PATIENT ADVISORY COUNCILS, LUTHERAN GENERAL HOSPITAL * COMMUNITY LEADERS, SOUTH ASIAN, KOREAN AND POLISH COMMUNITIES * FOCUS GROUP PARTICIPANTS WITH KOREAN AND POLISH COMMUNITY MEMBERS * MEMBERS OF THE HEALTHIER PARK RIDGE PROJECT * MEMBERS OF THE HEALTHIER NILES PROJECT * MEMBERS OF THE HEALTHIER DES PLAINES PROJECT * HANUL FAMILY ALLIANCE (KOREAN COMMUNITY PARTNER) * SCHAUMBURG TOWNSHIP SUPERVISOR AND TRUSTEE THE HOSPITAL HAS WORKED WITH UNDERSERVED, LOW INCOME AND MINORITY POPULATIONS IN IDENTIFIED HIGH RISK ZIP CODES IN DES PLAINES AND NILES. THE FOLLOWING ORGANIZATIONS AND INDIVIDUALS HAVE BEEN PARTICULARLY IMPORTANT IN PROVIDING INFORMATION ABOUT THESE POPULATIONS: THE MAYOR AND VILLAGE OF NILES, THE HEALTHIER NILES COALITION, THE HEATHIER DES PLAINES COALITION, DES PLAINES FIRE CHIEF AND THE MULTIPLE NEW COMMUNITY HEALTH COUNCIL MEMBERS WHO ARE ON STAFF FOR THE VILLAGE OF NILES AND CITY OF DES PLAINES. IN ADDITION, AS PART OF THE HOSPITALS GOAL TO BETTER UNDERSTAND THE IMPORTANT ETHNIC POPULATIONS IN THE SERVICE AREA, ORGANIZATIONS SUCH AS THE HANUL FAMILY ALLIANCE (KOREAN POPULATION), THE POLISH AMERICAN ASSOCIATION AND THE GENESIS ACCESS TO CARE COMMUNITY CLINIC (HISPANIC POPULATION) HAVE BEEN ENGAGED IN THE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS. ADVOCATE GOOD SAMARITAN HOSPITAL ADVOCATE GOOD SAMARITAN HOSPITAL CONVENED A COMMUNITY HEALTH COUNCIL, WHICH MET FROM 2011 THROUGH 2013 TO CONDUCT ITS CHNA. THE COMMUNITY HEALTH COUNCIL WAS COMPRISED OF GOOD SAMARITAN HOSPITAL LEADERSHIP AND REPRESE ADVOCATE SOUTH SUBURBAN HOSPITAL ADVOCATE SOUTH SUBURBAN HOSPITAL CONVENED A COMMUNITY HEALTH COUNCIL TO CONDUCT ITS COMPREHENSIVE CHNA, FROM JANUARY 2012 THROUGH DECEMBER 2013. THIS COUNCIL WAS CHAIRED BY THE HOSPITALS VICE PRESIDENT OF MISSION AND SPIRITUAL CARE, AND WAS COMPRISED OF HOSPITAL REPRESENTATIVES FROM BUSINESS DEVELOPMENT, COMMUNITY RELATIONS, VOLUNTEER SERVICES, PUBLIC AFFAIRS AND MARKETING, ONCOLOGY SERVICES AND RESPIRATORY CARE. ADDITIONALLY, COMMUNITY MEMBERS PARTICIPATED ON THE COMMUNITY HEALTH COUNCIL, INCLUDING REPRESENTATIVES FROM AUNT MARTHAS COMMUNITY HEALTH CENTER, A FEDERALLY QUALIFIED HEALTH CENTER (FQHC), AND FAITH LEADERS WHO ARE ALSO MEMBERS OF SOUTH SUBURBAN HOSPITALS GOVERNING COUNCIL. THE TITLES AND AFFILIATIONS OF THE COMMUNITY HEALTH COUNCIL MEMBERS ARE PROVIDED BELOW. MEMBERS MET QUARTERLY AND SHARED INFORMATION FROM THEIR RESPECTIVE INSTITUTIONS ABOUT THE HEALTH DISPARITIES THEY ENCOUNTER. REPRESENTATIVES FROM AUNT MARTHAS COMMUNITY HEALTH CENTER WERE ABLE TO PROVIDE SUBSTANTIAL INFORMATION ABOUT THE MEDICALLY UNDERSERVED AND LOW-INCOME POPULATIONS DURING THE COUNCILS DELIBERATIONS. ADVOCATE SOUTH SUBURBAN HOSPITAL COMMUNITY HEALTH COUNCIL MEMBERS * DIRECTOR, NURSING, AUNT MARTHAS COMMUNITY HEALTH CENTER, HAZEL CREST CAMPUS * DIRECTOR, COMMUNITY RELATIONS, AUNT MARTHAS COMMUNITY HEALTH CENTER * ASSOCIATE PASTOR, COVENANT UNITED CHURCH OF CHRIST-SOUTH HOLLAND/MEMBER, SOUTH SUBURBAN HOSPITAL GOVERNING COUNCIL * LAY FAITH LEADER, PILGRIM FAITH UNITED CHURCH OF CHRIST-OAK LAWN/MEMBER, SOUTH SUBURBAN HOSPITAL GOVERNING COUNCIL * INTERN, GOVERNORS STATE UNIVERSITY * VP, MISSION AND SPIRITUAL CARE, SOUTH SUBURBAN HOSPITAL * VP, BUSINESS DEVELOPMENT, SOUTH SUBURBAN HOSPITAL * COMMUNITY RELATIONS COORDINATOR, SOUTH SUBURBAN HOSPITAL * MANAGER, VOLUNTEER SERVICES, SOUTH SUBURBAN HOSPITAL * BREAST HEALTH SPECIALIST, SOUTH SUBURBAN HOSPITAL * MANAGER, RESPIRATORY CARE, SOUTH SUBURBAN HOSPITAL THROUGH KEY INFORMANT INTERVIEWS DURING THE FIRST AND SECOND QUARTER OF 2013, THE HOSPITAL ALSO CONSULTED WITH FQHC LEADERS, SCHOOL NURSES, PARISH NURSES AND FAITH LEADERS WITHIN THE PRIMARY SERVICE AREA (PSA). MUCH OF THE EXTERNAL QUANTITATIVE DATA WAS SUPPLIED BY THE COOK COUNTY DEPARTMENT OF PUBLIC HEALTH (CCDPH), ILLINOIS DEPARTMENT OF PUBLIC HEALTH (IDPH) AND UNIVERSITY OF WISCONSIN-COUNTY HEALTH RANKINGS. ADVOCATE TRINITY HOSPITAL ADVOCATE TRINITY HOSPITAL CONVENED A COMMUNITY HEALTH COUNCIL BETWEEN JANUARY 2011 AND DECEMBER 2013 TO CONDUCT ITS COMPREHENSIVE CHNA. THIS COUNCIL WAS CHAIRED BY THE HOSPITALS COMMUNITY HEALTH LEADER AND COMPRISED OF REPRESENTATIVES FROM THE EXECUTIVE TEAM, PUBLIC AFFAIRS AND MARKETING, MISSION AND SPIRITUAL CARE, AND BUSINESS DEVELOPMENT AND STRATEGY. COMMUNITY MEMBERS SERVING ON THE HOSPITALS GOVERNING COUNCIL WERE ALSO RECRUITED AS ACTIVE PARTICIPANTS IN THE COMMUNITY HEALTH COUNCIL. ADDITIONAL TRINITY HOSPITAL STAFF AND COMMUNITY REPRESENTATIVES WERE ADDED AS THE PROCESS EVOLVED TO FILL IN ANY COMMUNITY HEALTH COUNCIL GAPS IN EXPERTISE. THE TITLES AND AFFILIATIONS OF THE COMMUNITY HEALTH COUNCILS MEMBERS ARE PROVIDED BELOW. THE COMMUNITY HEALTH COUNCIL MEMBERS WERE ALL AWARE OF THE VULNERABLE POPULATIONS SERVED BY TRINITY SERVICE AREAS. THE MEDICALLY UNDERSERVED, LOW INCOME, OR MINORITY POPULATIONS BEING REPRESENTED BY THE MEMBERS INCLUDED: AFRICAN AMERICAN; HISPANIC/LATINO AND THE ELDERLY POPULATION. TRINITY HOSPITAL COMMUNITY HEALTH COUNCIL MEMBERS * STATE REPRESENTATIVE 33RD DISTRICT, ILLINOIS GENERAL ASSEMBLY * PROGRAM SUPERVISOR, METROPOLITAN FAMILY SERVICES * PUBLIC HEALTH ADMINISTRATOR, CHICAGO DEPARTMENT OF PUBLIC HEALTH * ADMINISTRATOR PROFESSIONAL SERVICES, SOUTH SHORE HOSPITAL * PHYSICIAN, ASSOCIATES IN NEPHROLOGY * RETIRED CHICAGO PUBLIC SCHOOLS EDUCATOR, COMMUNITY REPRESENTATIVE * RETIRED HEALTHCARE ADMINISTRATOR, CHICAGO DEPARTMENT OF PUBLIC HEALTH, COMMUNITY REPRESENTATIVE * COMMUNITY RELATIONS SPECIALIST, BLUE CROSS BLUE SHIELD OF ILLINOIS * MANAGER, COMMUNITY HEALTH PROMOTION, TRINITY HOSPITAL * MANAGER, FINANCE, TRINITY HOSPITAL * MANAGER, PLANNING, TRINITY HOSPITAL * VP, MISSION AND SPIRITUAL CARE, TRINITY HOSPITAL * ACCOUNT MANAGER, ACKERS PACKAGING/MEMBER, TRINITY HOSPITAL GOVERNING COUNCIL * OWNER, A-DESIGN STUDIO/MEMBER, TRINITY HOSPITAL GOVERNING COUNCIL * FOUNDER, TEECH FOUNDATION/MEMBER, TRINITY HOSPITAL GOVERNING COUNCIL * ADVANCED PRACTICE NURSE, SURGERY, TRINITY HOSPITAL * ADVANCED PRACTICE NURSE, MEDICAL, TRINITY HOSPITAL * COORDINATOR HEALTH EDUCATION, EMERGENCY DEPARTMENT, TRINITY HOSPITAL IN TOTAL, THERE WERE 18 COMMUNITY HEALTH COUNCIL MEMBERS CATEGORIZED AS FOLLOWS: 44% NON-ADVOCATE EMPLOYEES; 39% TRINITY EMPLOYEES AND 14% TRINITY GOVERNING COUNCIL MEMBERS. THE HOSPITALS COMMUNITY HEALTH COUNCIL MEMBERS ATTENDED TWO CHNA WORKSHOPS HOSTED BY THE ADVOCATE SYSTEM THAT WERE DESIGNED TO LAUNCH THE PROCESS BY EDUCATING THEM ON HOW TO CONDUCT AN ASSESSMENT AND HOW TO FIND RELIABLE DATA SOURCES. USING BOTH PRIMARY AND SECONDARY COMMUNITY HEALTH DATA, THE TEAM IDENTIFIED THE TOTAL SERVICE AREAS KEY HEALTH NEEDS AND THEN EMPLOYED A PRIORITY-SETTING PROCESS TO DETERMINE KEY HEALTH NEEDS ON WHICH TO FOCUS. THIS PROCESS INCLUDED AN EXAMINATION OF BOTH TRINITY HOSPITALS AND THE COMMUNITYS ISSUES/CHALLENGES AND ASSETS, AND DISCUSSIONS WITH EXTERNAL KEY INFORMANTS TO DETERMINE THE POTENTIAL FOR PARTNERSHIPS WITH OTHER ORGANIZATIONS AND FOR SHARING RESOURCES TO ADDRESS COMMUNITY NEED. ADVOCATE BROMENN MEDICAL CENTER ADVOCATE BROMENN MEDICAL CENTER RECEIVED INPUT FROM AN ARRAY OF COMMUNITY MEMBERS THROUGH ITS COMMUNITY HEALTH COUNCIL. THE PRIMARY METHOD OF OBTAINING INPUT WAS THROUGH MEETINGS HELD FROM JUNE 2011 THROUGH JUNE 2013. THE TITLES AND AFFILIATIONS OF THE COMMUNITY MEMBERS THAT PARTICIPATED IN BROMENNS COMMUNITY HEALTH NEEDS ASSESSMENT ARE LISTED BELOW. ADVOCATE BROMENN COMMUNITY HEALTH COUNCIL * ASSISTANT ADMINISTRATOR, MCLEAN COUNTY PUBLIC HEALTH DEPARTMENT/ADVOCATE BROMENN GOVERNING COUNCIL MEMBER * SUPERVISOR, MCLEAN COUNTY PUBLIC HEALTH DEPARTMENT * EXECUTIVE DIRECTOR, COMMUNITY HEALTH CARE CLINIC * SUPERINTENDENT OF SCHOOLS, MCLEAN COUNTY UNIT DISTRICT # 5 * DIRECTOR, AMERICAN RED CROSS OF THE HEARTLAND/ADVOCATE BROMENN GOVERNING COUNCIL MEMBER * ASSOCIATE PASTOR, CALVARY UNITED METHODIST CHURCH * PROFESSOR, ILLINOIS STATE UNIVERSITYS MENNONITE COLLEGE OF NURSING * PRESIDENT, MCLEAN COUNTY INDIA ASSOCIATION * VICE PRESIDENT, BUSINESS DEVELOPMENT, ADVOCATE BROMENN MEDICAL CENTER * ADMINISTRATOR, ADVOCATE EUREKA HOSPITAL * MANAGER OF WELLNESS SERVICES, ADVOCATE BROMENN MEDICAL CENTER * TRAUMA COORDINATOR, ADVOCATE BROMENN MEDICAL CENTER * SERVICE AREA ADMINISTRATOR FOR BEHAVIORAL HEALTH SERVICES, ADVOCATE BROMENN MEDICAL CENTER * DIRECTOR OF CRITICAL CARE SERVICES, MEDICAL AND ONCOLOGY SPECIALTY UNIT/PEDIATRICS/OUTPATIENT INFUSION, PROGRESSIVE CARE UNIT AND SURGICAL/ORTHO UNIT, ADVOCATE BROMENN MEDICAL CENTER * COORDINATOR OF CHURCH RELATIONS, ADVOCATE BROMENN MEDICAL CENTER * MANAGER, CASE MANAGEMENT, ADVOCATE BROMENN MEDICAL CENTER * CLIENT PROGRAM SPECIALIST, WOMENS CENTER, ADVOCATE BROMENN MEDICAL CENTER * DIETITIAN, ADVOCATE BROMENN MEDICAL CENTER * DIABETES EDUCATOR, ADVOCATE BROMENN MEDICAL CENTER * COORDINATOR, PUBLIC AFFAIRS AND MARKETING, ADVOCATE BROMENN MEDICAL CENTER SEVERAL MEMBERS OF THE COMMUNITY HEALTH COUNCIL SERVED AS REPRESENTATIVES FOR SPECIFIC POPULATIONS IN THE COMMUNITY. INDIVIDUALS FROM THE MCLEAN COUNTY HEALTH DEPARTMENT AND THE COMMUNITY HEALTH CARE CLINIC REPRESENTED UNDERSERVED, UNINSURED, MINORITY AND LOW INCOME POPULATIONS. THE MCLEAN COUNTY INDIA ASSOCIATION REPRESENTED A MINORITY POPULATION. ADVOCATE EUREKA HOSPITAL ADVOCATE EUREKA HOSPITAL WORKED WITH MEMBERS OF THE COMMUNITY THROUGH ITS PARTNERSHIP WITH THE WOODFORD COUNTY HEALTH DEPARTMENT TO REVIEW ITS CHNA FINDINGS. STAFF MEMBERS AT ADVOCATE BROMENN MEDICAL CENTER, LOCATED 30 MINUTES SOUTHEAST OF EUREKA IN NORMAL, WERE ALSO A PART OF THE HOSPITALS CHNA TEAM. BOTH HOSPITALS FALL UNDER THE ADMINISTRATION OF THE SAME PRESIDENT. THE PRIMARY METHOD OF OBTAINING INPUT WAS THROUGH MEETINGS WITH THE WOODFORD COUNTY HEALTH DEPARTMENT WHICH WERE HELD FROM SEPTEMBER 2011AUGUST 2012. THE TITLES AND AFFILIATIONS OF THE REPRESENTATIVES ON THE COMMUNITY HEALTH COUNCIL ARE PROVIDED BELOW. ADVOCATE EUREKA HOSPITALS COMMUNITY HEALTH COUNCIL * ADMINISTRATOR, WOODFORD COUNTY HEALTH DEPARTMENT * DIRECTOR OF HEALTH EDUCATION AND SUPPORTIVE SERVICES, WOODFORD COUNTY HEALTH DEPARTMENT * SUPERINTENDENT OF MARSHALL, PUTNAM AND WOODFORD COUNTIES, REGIONAL OFFICE OF EDUCATION * RETIRED SUPERINTENDENT, SCHOOL DISTRICT 140 EUREKA-GOODFIELD-CONGERVILLE * REGIONAL DIRECTOR OF HEALTH INITIATIVES, AMERICAN CANCER SOCIETY * ASSISTANT DEAN/DIRECTOR OF RESIDENTIAL LIFE, EUREKA COLLEGE * MINISTER, DISCIPLES OF CHRIST CHURCH * ADMINISTRATOR, HERITAGE HEALTH NURSING HOME-SKILLED NURSING FACILITY-EL PASO * EXECUTIVE DIRECTOR, WOODFORD COUNTY HOUSING ASSOCIATION * NUTRITION AND WELLNESS EDUCATOR, UNIVERSITY OF ILLINOIS EXTENSION * EX PART V, SEC B, LINE 6A ADVOCATE GOOD SHEPHERD HOSPITALS CHNA WAS CONDUCTED WITH THE FOLLOWING OTHER HOSPITAL FACILITIES: - ADVOCATE CONDELL MEDICAL CENTER, LIBERTYVILLE, IL (THROUGH THE LAKE COUNTY HEALTH DEPARTMENT) - CENTEGRA HEALTH SYSTEMS, MCHENRY, IL (THROUGH THE MCHENRY COUNTY HEALTH DEPARTMENT) - LOVELL FEDERAL HEALTHCARE CENTER, NORTH CHICAGO, IL (THROUGH THE LAKE COUNTY HEALTH DEPARTMENT) - NORTHWESTERN LAKE FOREST HOSPITAL, LAKE FOREST, IL (THROUGH THE LAKE COUNTY HEALTH DEPARTMENT) - VISTA HEALTH SYSTEMS, WAUKEGAN, IL (THROUGH THE LAKE COUNTY HEALTH DEPARTMENT) ADVOCATE BROMENN MEDICAL CENTERS CHNA WAS CONDUCTED WITH ADVOCATE EUREKA HOSPITAL, EUREKA, IL. ADVOCATE EUREKA HOSPITALS CHNA WAS CONDUCTED WITH ADVOCATE BROMENN MEDICAL CENTER, NORMAL, IL. PART V, SEC B, LINE 6B N/A PART V, SEC B, LINE 7D ADVOCATE SOUTH SUBURBAN HOSPITAL ON MARCH 11, 2015, ADVOCATE SOUTH SUBURBAN HOSPITALS COMMUNITY HEALTH COORDINATOR PRESENTED A PAPER COPY OF THE CHNA REPORT AND A PRESENTATION OF THE THE OVERALL KICKIN ASTHMA PROGRAM TO MEMBERS OF THE LOCAL HOMEWOOD ROTARY. ADVOCATE BROMENN MEDICAL CENTER THE LINK FOR THE CHNA REPORT WAS EMAILED TO ADVOCATE BROMENN AND ADVOCATE EUREKA HOSPITALS DELEGATE CHURCH ASSOCIATION MEMBERS WHO REPRESENT 80 CHURCHES. NUMEROUS COPIES OF THE REPORT AND THE LINK FOR THE REPORT HAVE ALSO BEEN DISTRIBUTED TO THE MCLEAN COUNTY COMMUNITY HEALTH ADVISORY COMMITTEE, THE ADVOCATE BROMENN MEDICAL CENTER COMMUNITY HEALTH COUNCIL, AND OTHER APPROPRIATE COMMUNITY PARTNERS, SUCH AS THE DIRECTOR OF THE COMMUNITY HEALTH CARE CLINIC. ADVOCATE EUREKA HOSPITAL THE LINK FOR THE CHNA REPORT WAS EMAILED TO ADVOCATE BROMENN MEDICAL CENTERS AND ADVOCATE EUREKA HOSPITALS DELEGATE CHURCH ASSOCIATION MEMBERS, WHICH IS COMPRISED OF 80 CHURCHES. A COPY OF THE REPORT WAS ALSO GIVEN TO THE ADMINISTRATOR OF THE WOODFORD COUNTY HEALTH DEPARTMENT. PART V, SEC B, LINE 11 ADVOCATE CHRIST MEDICAL CENTER HEALTH NEEDS SELECTED TO ADDRESS THREE NEEDS WERE SELECTED AS KEY AREAS OF FOCUS: 1) CHILDHOOD OBESITY; 2) VIOLENCE REDUCTION; AND 3) ACCESS TO PEDIATRIC PRIMARY MEDICAL CARE FOR LOW INCOME, UNINSURED/UNDER-INSURED, AT-RISK CHILDREN. CHILDHOOD OBESITY THE PROACTIVE KIDS (PAK) PROGRAM IS AN EIGHT WEEK WEIGHT LOSS AND FITNESS PROGRAM THAT TARGETS CHILDREN AGES 8-18 WHO ARE IN THE 85TH PERCENTILE AND ABOVE FOR BMI, RESIDING IN THE HOSPITALS PRIMARY AND SECONDARY SERVICE AREAS AND REFERRED BY A PHYSICIAN. PAK IS OFFERED THREE TIMES EACH CALENDAR YEAR AND CAN ACCOMMODATE A MAXIMUM OF 30 CHILDREN AT EACH SESSION. IN 2015, THE PAK PROGRAM IN OAK LAWN HAD 70 REGISTERED PARTICIPANTS. THE PROGRAM IS DESIGNED TO INTRODUCE HEALTHIER LIFESTYLE OPTIONS TO CHILDREN AND THEIR FAMILIES THROUGH FITNESS, NUTRITION AND LIFESTYLE COACHING. THE GOAL IS TO IMPROVE CHILDRENSS HEALTH BY PROVIDING TOOLS TO ACHIEVE AND MAINTAIN A HEALTHY WEIGHT, BMI AND FITNESS LEVEL. PAK TRAINERS FOLLOW A FITNESS PROGRAM ESTABLISHED BY RIGHT FIT SPORT WELLNESS THAT INCLUDES THREE 45-MINUTE SESSIONS EACH WEEK DESIGNED TO INCREASE MUSCULAR ENDURANCE AND STRENGTH, CARDIOVASCULAR ENDURANCE, FLEXIBILITY AND REDUCE BODY FAT/BMI. NUTRITIONAL HEALTH ACTIVITIES ARE LED BY LICENSED DIETICIANS AND A FAMILY-INCLUSIVE APPROACH IS USED TO PROMOTE MAKING LIFESTYLE CHANGES TOGETHER THAT LEAD TO HEALTHIER EATING HABITS. EACH 40-MINUTE NUTRITION LESSON ENGAGES THE ENTIRE FAMILY TO DISCUSS PROPER NUTRITION AS WELL AS TOOLS FOR MAKING HEALTHY SNACKS AND MEAL PREPARATION. COUNSELORS FOLLOW A CURRICULUM DESIGNED BY MEIER CLINICS TO REINFORCE CONFIDENCE, ENCOURAGE COMMUNICATION AND TEACH VALUABLE COPING SKILLS TO EMPOWER KIDS TO TAKE CONTROL OF THEIR LIVES AND DECISIONS. PROGRAM DATA IS GATHERED BY THE FITNESS TEAM PRE-PAK ENROLLMENT, WEEK 1 AND WEEK 8 USING PROGRESSION SURVEYS AND BODY COMPOSITION MEASUREMENTS INCLUDING WEIGHT, BMI, BODY FAT, FAT MASS, FAT FREE MASS, AND HIP TO WAIST RATIO. THE PROGRAM OBJECTIVES ARE TO: * INCREASE MUSCLE AND DECREASE BODY FAT AND BMI FOR ATTENDEE. * CREATE HEALTHIER FOOD SELECTION, COOKING AND EATING HABITS NUTRITIONISTS PROVIDED WEEKLY EDUCATION TO CHILDREN AND THEIR PARENTS REGARDING HEALTHY CHOICES AND FOOD PREPARATION. * BUILD CONFIDENCE AND INCREASE COMMUNICATION AND COPING SKILLS WEEKLY LESSONS WERE TAUGHT TO GIVE PARTICIPANTS NEW SKILLS. PROGRAM STATISTICS FOR 2015 * FOR ALL PARTICIPANTS, BODY FAT DECREASED AN AVERAGE OF 1.4%; BMI DECREASED BY 0.5 POINTS; AVERAGE WEIGHT DECREASED BY 3.04 POUNDS; FAT FREE MASS IMPROVED UP TO 2.07 POUNDS * 70% OF PARENTS SAID THEIR WEIGHT IS A STRUGGLE FOR THEM. 39% SAID THEY LOST WEIGHT AS A RESULT OF CHILD ATTENDING PAK. * 91% OF PARENTS REPORTED THAT THEIR CHILD HAS POSITIVELY CHANGED THEIR COMMITMENT TO FITNESS SINCE BEGINNING PAK. * 95% OF PARENTS BELIEVE THEIR CHILD WILL BE MORE PHYSICALLY ACTIVE AS A RESULT OF ATTENDING PAK. * 100% OF THE PARENTS AGREE OR STRONGLY AGREE THAT THEIR CHILD BELIEVES HE/SHE CAN ACCOMPLISH ANYTHING HE/SHE SETS OUT TO DO. * 94% OF PARENTS SAY THEIR CHILD HAS IMPROVED SOCIALLY AND HAS IMPROVED BODY IMAGE AND SELF-ESTEEM AFTER ATTENDING PAK. * 87% OF PARENTS SAID THEIR CHILDS ATTITUDE TOWARD DIET AND NUTRITION IMPROVED. * 34% OF PARENTS SAID THAT PAK HAS CHANGED THE WAY THEY VIEW FITNESS AND NUTRITION AS A FAMILY AND HAVE MADE SIGNIFICANT LIFESTYLE CHANGES. * 22% SAID THEY HAVE ADOPTED MANY LEARNINGS AND PRACTICES FROM PAK AND ARE ON THEIR WAY TO BEING HEALTH SMART ON A DAILY BASIS. * 43% SAID PAK WAS A GREAT FIRST STEP. * 70% SAID FITNESS WAS THE MOST HELPFUL COMPONENT OF PAK TO THEIR CHILD. * 52% SAID NUTRITION WAS THE MOST HELPFUL COMPONENT OF PAK FOR THE FAMILY. VIOLENCE VIOLENCE IS A SIGNIFICANT PROBLEM IN MANY NEIGHBORHOODS IN CHRIST MEDICAL CENTERS TOTAL SERVICE AREA. THE COMMUNITIES WITH THE HIGHEST RATES OF VIOLENCE ARE ROSELAND, ENGLEWOOD, CHICAGO LAWN/WEST LAWN, GRAND BOULEVARD AND WOODLAWN. GIVEN THAT CHRIST MEDICAL CENTER IS THE ONLY LEVEL 1 TRAUMA CENTER SERVING THESE COMMUNITIES, THE MEDICAL CENTER PROVIDES TRAUMA SERVICES TO A HIGH VOLUME OF GUNSHOT VICTIMS. TO ADDRESS GUN VIOLENCE IN CHRIST MEDICAL CENTERS SERVICE AREA, THE MEDICAL CENTER HAS PARTNERED WITH CEASEFIRE WITH THE GOAL OF REDUCING VIOLENCE IN THESE FIVE COMMUNITIES. CEASEFIRE IS A LOCAL BRANCH OF THE CURE VIOLENCE ORGANIZATION WHOSE MISSION IS TO STOP TRANSMISSION OF VIOLENCE AT THE SOURCE, WHILE ATLERING NORMS AND BEHAVIOR SO THAT FEWER PEOPLE ARE AFFECTED. HIGHLY TRAINED VIOLENCE INTERRRUPTERS - FORMER PERPETRATORS - AIM TO DISPRUPT CONFLICTS BEFORE THEY HAPPEN AND EDUCATE THE COMMUNITY ABOUT THE CONSEQUENCES OF VIOLENT BEHAVIOR. THE CEASEFIRE COLLABORATIONS OBJECTIVE IS TO REDUCE RETALIATORY VIOLENCE IN THE COMMUNITY FOLLOWING A VIOLENT INCIDENT. CEASEFIRE HAS ONE VIOLENCE INTERRUPTER ASSIGNED EXCLUSIVELY TO CHRIST MEDICAL CENTER WITH OTHERS AVAILABLE AS NEEDED. WHEN A VICTIM OF VIOLENCE IS TRANSPORTED TO CHRISTS EMERGENCY DEPARTMENT, THE VIOLENCE INTERRUPTER MEETS WITH THE VICTIMS FAMILY MEMBERS AND FRIENDS, PROVIDING COUNSELING BEFORE RETALIATION CAN BE INITIATED TO QUELL THE LIKLIHOOD OF ANOTHER ACT OF VIOLENCE OCCURRING. IN 2015, THIS VIOLENCE INTERRUPTER MET WITH 890 PATIENTS WHO WERE VICTIMS OF VIOLENCE. NINETY PERCENT OF THESE PATIENTS WERE ASSESSED FOR FOLLOW-UP NEEDS AND 97.9% WERE CONNECTED TO LONG-TERM COMMUNITY SUPPORT. ACCESS TO CARE FOR LOW-INCOME/UNDERINSURED AT-RISK CHILDREN AS EVIDENT IN ACMCS CHNA, ACCESS TO CARE IS DIFFICULT FOR LOW INCOME, UNINSURED/UNDER-INSURED, AT-RISK CHILDREN IN CHRISTS PRIMARY SERVICE AREA. SEVERAL DATA SOURCES USED FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) CONFIRM THE NEED FOR ACCESSIBLE, BASIC PEDIATRIC MEDICAL CARE IN CHRISTS SERVICE AREA WHICH INCLUDES LARGE AREAS OF CHICAGOS SOUTH SIDE WHERE STUDENTS ATTEND CHICAGO PUBLIC SCHOOLS (CPS). * 87% OF CPS STUDENTS ARE FROM LOW INCOME FAMILIES; 25% OF COOK COUNTY CHILDREN ARE LIVING IN POVERTY. * 37% OF CHILDREN IN COOK COUNTY COME FROM SINGLE PARENT FAMILIES. * 24% OF COOK COUNTY CHILDREN HAVE INADEQUATE SOCIAL SUPPORT. * AS OF THE FIRST DAY OF SCHOOL 2013, ONLY 40.92% OF CPS STUDENTS WERE IN COMPLIANCE WITH STATE MANDATED SCHOOL PHYSICALS AND IMMUNIZATIONS, LEAVING 158,000+ OUT OF COMPLIANCE. * THE OBESITY RATE FOR CHICAGO CHILDREN IS TWICE THE NATIONAL AVERAGE AND SIGNIFICANTLY HIGHER IN BLACK AND HISPANIC CHILDREN THAN IN WHITE CHILDREN. * THE RATE OF SEXUALLY TRANSMITTED DISEASES IN COOK COUNTY WAS 671 PER 100,000 POPULATION VERSUS 469 PER 100,000 FOR THE STATE OF ILLINOIS. * THE RATE OF TEEN BIRTHS (15-19 YEARS) WAS 49 PER 1,000 POPULATION VS 22 IN THE U.S. * THE NUMBER OF PRIMARY CARE PHYSICIANS AVAILABLE WAS 736:1 IN COOK COUNTY VERSUS 976:1 IN THE STATE OF ILLINOIS. * CHICAGO HAS THE HIGHEST HOMICIDE RATE IN CITIES WITH OVER 1 MILLION POPULATION, POTENTIALLY LIMITING SAFE TRAVEL AND ACCESSIBILITY DUE, IN PART, TO PARENTAL AND PROVIDER FEAR AND CONCERN. GIVEN THIS INITIAL DATA, ACMC FURTHER REVIEWED AND PRIORITIZED THE COMMUNITIES OF HIGHEST NEED BASED ON DEMOGRAPHIC DATA AND USING THE DIGNITY HEALTH COMMUNITY NEEDS INDEX (CNI) FOR THE C HEALTH NEEDS NOT SELECTED TO ADDRESS THE KEY HEALTH NEEDS IDENTIFIED THOUGH ACMCS CHNA THAT WERE NOT SELECTED BY THE MEDICAL CENTER TO ADDRESS WERE HEART DISEASE, CANCER AND STROKE. ACMC DOES, HOWEVER, CONTINUE TO ADDRESS THESE HEALTH CONDITIONS THROUGH SPECIFICALLY DESIGNED CLINICAL PROGRAMS AND COMMUNITY OUTREACH ACTIVITIES. HEART DISEASE ACMCS HEART AND VASCULAR INSTITUTE (HVI) IS A PREMIER CARDIAC CARE CENTER IN ILLINOIS, PROVIDING STATE-OF-THE-ART DIAGNOSTICS, INTERVENTION AND REHABILITATION TO ADULTS AND CHILDREN IN THE MEDICAL CENTERS SERVICE AREA. HVI PERFORMS MORE OPEN HEART SURGERIES ANNUALLY THAN ANY HOSPITAL IN ILLINOIS. STUDIES SHOW THAT PERFORMING LARGE NUMBERS OF PROCEDURES PRODUCES THE BEST POSSIBLE CLINICAL OUTCOMES, ULTIMATELY BENEFITTING ALL THE PATIENTS SERVED IN ACMCS COMMUNITY. THE MEDICAL CENTER HAS ONE OF THE NATIONS LEADING VENTRICULAR ASSIST DEVICE (VAD) PROGRAMS FOR HEART TRANSPLANT AND ASSIST DEVICE. THIS PROGRAM OFFERS A BRIDGE TO TRANSPLANT THERAPY OR DESTINATION THERAPY FOR PATIENTS WHO ARE NOT TRANSPLANT CANDIDATES. ACMCS HEART INSTITUTE FOR CHILDREN PROVIDES OPEN AND CLOSED HEART SURGERY, AND ATRIAL FIBRILLATION ABLATION TO TREAT CONGENITAL HEART DISEASES. THE INSTITUTE IS THE LARGEST PEDIATRIC HEART CENTER IN ILLINOIS. THE CONGESTIVE HEART FAILURE CLINIC TREATS MORE THAN 1,000 PATIENTS PER YEAR AT ALL STAGES OF HEART FAILURE AND HAS EARNED DISEASE SPECIFIC CERTIFICATION FROM THE JOINT COMMISSION (TJC). THE AMERICAN ASSOCIATION OF CARDIAC AND PULMONARY REHABILITATION HAS NATIONALLY CERTIFIED THE COMPREHENSIVE CARDIAC REHABILITATION PROGRAM. FREQUENT COMMUNITY LECTURES AND HEALTH SCREENINGS, INCLUDING BLOOD PRESSURE, BLOOD SUGAR, BODY MASS INDEX AND ANKLE BRACHIAL INDEX FOR PERIPHERAL VASCULAR DISEASE, ARE PROVIDED TO THE COMMUNITY. ACMC ALSO FINANCIALLY SUPPORTS AND PARTNERS WITH THE MUSEUM OF SCIENCE AND INDUSTRY TO PROVIDE "LIVE...FROM THE HEART," A VIDEOCONFERENCE-BASED CARDIOVASCULAR EDUCATION PROGRAM FOR HIGH SCHOOL STUDENTS FROM SUBURBAN AND CHICAGO PUBLIC SCHOOLS. THE PROGRAM'S "REAL TIME" VIEWING OF OPEN-HEART SURGERY IN THE OPERATING ROOM IMPRESSES UPON STUDENTS THE IMPORTANCE OF MAINTAINING GOOD CARDIAC HEALTH, AS WELL AS EXPOSING STUDENTS TO POTENTIAL INTEREST IN HEALTH CARE CAREERS. CANCER CHRIST MEDICAL CENTER HAS AND WILL CONTINUE TO ADDRESS ADULT AND PEDIATRIC CANCER CARE NEEDS OF THE COMMUNITY THROUGH THE EXPERIENCE AND ADVANCED TECHNOLOGIES OF THE CANCER INSTITUTE. EACH YEAR, NEARLY 1,800 NEWLY DIAGNOSED CANCER PATIENTS SEEK CARE AT CHRIST MEDICAL CENTER. THESE VOLUMES HAVE MADE THE MEDICAL CENTER ONE OF THE MOST EXPERIENCED CANCER TREATMENT CENTERS IN ILLINOIS. THE CANCER PROGRAM AT ADVOCATE CHRIST MEDICAL CENTER HAS BEEN ACCREDITED BY THE AMERICAN COLLEGE OF SURGEONS (ACOS) AS AN APPROVED TEACHING HOSPITAL CANCER PROGRAM. CHRIST MEDICAL CENTER ALSO OFFERS LEADING-EDGE TECHNOLOGIES, INCLUDING MINIMALLY INVASIVE APPROACHES LIKE CYBERKNIFE RADIOSURGERY, VIDEO-ASSISTED THORACIC SURGERY (VATS) FOR LUNG TUMORS AND ENDOSCOPIC ULTRASOUND TO DETECT TUMORS TOO SMALL TO BE SEEN BY CT OR MRI SCANS. ALONG WITH THE FAMILY PHYSICIAN, ACMC ALSO COORDINATES SWIFT DIAGNOSTIC TESTING RESULTS TO HELP REDUCE PATIENT ANXIETY WHILE WAITING FOR RESULTS. COMMUNITY OUTREACH IS AN IMPORTANT COMPONENT TO CANCER CARE. CHRIST MEDICAL CENTER RECEIVED A RICE FOUNDATION GRANT, WHICH PROVIDES FOR DIRECTED EDUCATION AND SCREENING ON COLON CANCER AND COLONOSCOPY TO HIGH-RISK, LOW-INCOME POPULATIONS AS IDENTIFIED BY LOCAL RELIGIOUS CONGREGATIONS. REGULAR FREE SKIN CANCER SCREENINGS ARE ALSO PROVIDED AS WELL AS A VARIETY OF CANCERRELATED EDUCATION PROGRAMS. GILDA'S CLUB OF CHICAGO HAS A SATELLITE SITE IN CHRIST MEDICAL CENTER'S OUTPATIENT PAVILION-SPACE PROVIDED BY THE MEDICAL CENTER AT NO CHARGE TO GILDA'S CLUB. THE CLUB OFFERS SUPPORT GROUPS AND SERVICES FOR PEOPLE OF ALL AGES DEALING WITH CANCER, WHETHER IT BE AS A SURVIVOR, A FAMILY MEMBER OR A FRIEND. THE ON-SITE RONALD MCDONALD HOUSE PROVIDES HOUSING AND OTHER SUPPORT PRIMARILY TO FAMILIES OF CHILDREN HOSPITALIZED FOR CANCER, HEART SURGERY OR HIGH-RISK BIRTH. THE KEYSER FAMILY PEDIATRIC CANCER CENTER PROVIDES ONE OF THE LARGEST, MOST COMPREHENSIVE PROGRAMS IN THE MIDWEST TO TREAT CHILDHOOD CANCERS AND BLOOD DISORDERS INCLUDING LYMPHOMAS, LEUKEMIA, BRAIN TUMORS, KIDNEY TUMORS, SICKLE CELL DISEASE, APLASTIC ANEMIA, AND PLATELET AND WHITE CELL DISORDERS. THE KEYSER FAMILY PEDIATRIC CANCER CENTER IS AN ACTIVE MEMBER OF THE CHILDRENS ONCOLOGY GROUP, AN INTERNATIONAL RESEARCH ORGANIZATION SPONSORED BY THE NATIONAL CANCER INSTITUTE, DEDICATED TO DEVELOPING STATE-OF-THE-ART TREATMENTS FOR CHILDHOOD CANCERS. STROKE COMMUNITY MEMBERS WHO SUFFER A STROKE ARE GUARANTEED THAT EXPERTS AT THE CHRIST MEDICAL CENTER NEUROSCIENCES INSTITUTE WILL APPLY INNOVATIVE SOLUTIONS, INCLUDING NEURO-ENDOVASCULAR AND NEURO-INTERVENTIONAL OPTIONS. CHRIST MEDICAL CENTER IS AN ACCREDITED COMPREHENSIVE STROKE CENTER, TREATING MORE STROKE PATIENTS THAN ANY OTHER HOSPITAL IN THE CHICAGO AREA, AND EXPERIENCED IN RESPONDING QUICKLY TO SAVE BRAIN CELLS AND PRESERVE QUALITY OF LIFE. THE MEDICAL CENTER WAS RATED BY U.S. NEWS & WORLD REPORT AS A HIGH PERFORMING MEDICAL CENTER IN THE CHICAGO METROPOLITAN REGION IN NEUROLOGY AND NEUROSURGERY, AND HAS A DEDICATED STROKE NAVIGATOR TO GUIDE PATIENTS THROUGH DIAGNOSIS AND TREATMENT. THE NEUROSCIENCES INSTITUTE ALSO PROVIDES SEVERAL MONTHLY STROKE SUPPORT GROUPS AND COMMUNITY EDUCATION OPPORTUNITIES. THE STROKE EDUCATORS REGULARLY PROVIDE EDUCATION REGARDING STROKE RISK FACTORS THROUGHOUT THE MEDICAL CENTERS SERVICE AREA. ADVOCATE CHRIST MEDICAL CENTER ALSO BEGAN PARTICIPATION IN THE HEALTH IMPACT COLLABORATIVE OF COOK COUNTY IN 2015. THE HEALTH IMPACT COLLABORATIVE OF COOK COUNTY IS A PARTNERSHIP BETWEEN THE ILLINOIS PUBLIC HEALTH INSTITUTE, HOSPITALS, HEALTH DEPARTMENTS AND COMMUNITY ORGANIZATIONS ACROSS CHICAGO AND COOK COUNTY. THIS INITIATIVE ENGAGES THESE ENTITIES IN CONDUCTING COLLABORATIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), ACTION PLANNING AND IMPLEMENTATION ACTIVITIES ACROSS THREE COOK COUNTY REGIONS SOUTH, CENTRAL, AND NORTH. ADVOCATE LUTHERAN GENERAL HOSPITAL ADVOCATE LUTHERAN GENERAL HOSPITAL IDENTIFIED FOUR NEEDS FROM ITS 2011-2013 CHNA AS PRIORITIES FOR HOSPITAL ACTION: 1) REDUCE CARDIOVASCULAR RISK AND DISEASE IN THE SOUTH ASIAN COMMUNITY; 2) REDUCE FALLS IN SENIORS 65 AND OLDER IN THE HOSPITAL SERVICE AREA; 3) REDUCE PREVELANCE OF SMOKING IN THE HOSPITAL SERVICE AREA; AND 4) CREATE A PROGRAM TO ADDRESS OVERALL HEALTH AND STRESS MANAGEMENT FOR WOMEN. AS OF DECEMBER 2015, THE FOLLOWING ACCOMPLISHMENTS ADDRESSED THESE PRIORITIES: 1) SOUTH ASIAN CARDIOVASCULAR RISK AND DISEASE. THE SOUTH ASIAN CARDIOVASCULAR CENTER (SACC): a) HELD 2ND ANNUAL RED SARI EVENT ON MARCH 5, 2015, WITH HEALTH CARE LEADERS, GOVERNMENT OFFICIALS AND THOUGHT LEADERS WITHIN SOUTH ASIAN COMMUNITY TO RAISE AWARENESS AND PROVIDE EDUCATION ON THE ISSUE OF HEART DISEASE AMONG SOUTH ASIANS. 235 PEOPLE ATTENDED INCLUDING DISTINGUISHED COMMUNITY LEADERS AND GOVERNMENT OFFICIALS. (ATTENDANCE ALMOST DOUBLED FROM THE 2014 RED SARI EVENT.) b) DEVELOPED AND STRENGTHENED A SOCIAL MEDIAL PRESENCE TO INCREASE AWARENESS OF SOUTH ASIAN EPIDEMIC AND PROVIDE CONSISTENT HEALTH EDUCATION ON PREVENTION. AS OF DECEMBER 2015, THE HOSPITAL HAS HELD 8 COMMUNITY LECTURES WITH OVER 1,500 ATTENDEES, AND HAS HAD 811 SOCIAL MEDIA FOLLOWERS (576 ON FACEBOOK AND 235 ON TWITTER). c) PARTNERED WITH THE LARGEST SOUTH ASIAN GROCERY ENTERPRISE IN THE U.S., PATEL BROTHERS, TO PROVIDE CARDIOVASCULAR EDUCATIONAL MATERIALS THROUGHOUT ITS FLAGSHIP STORE, AS WELL AS PROVIDE MULTI-LINGUAL FLIERS AT CHECKOUT COUNTERS. d) CONTINUED YOUTUBE SOUTH ASIAN, "HEALTHY COOKING SERIES," WITH MASTER CHEF SEASON 2 FINALIST, SUZY SINGH. e) CATALYZED REDUCTION IN SODIUM CONTENT IN THE MENUS OF 4 PARTNERING SOUTH ASIAN RESTAURANTS BY OVER 22% (GOAL WAS 10%). f) DEVELOPED AND IMPLEMENTED PROGRAM TO CONSULT AND SUPPORT SOUTH ASIAN FAITH-BASED COMMUNITIES TO REDUCE THEIR SODIUM CONTENT AND LOWER THEIR FAT CONTENT IN THEIR HOME DELIVERED MEALS. COMPLETED ASSESSMENT AND BEGAN IMPLEMENTATION WITH ONE FAITH COMMUNITY, INCLUDING DISTRIBUTION OF 800 MEALS A DAY. (THE PRE-EVALUATION, ASSESSMENT AND IMPLEMENTATION WITH A SECOND SOUTH ASIAN COMMUNITY HAS ALREADY BEGUN.) g) CREATED AND CONTINUED TO IMPROVE AN ETHNICITY FIELD IN ADVOCATE HEALTH CARE INPATIENT REGISTRATION SYSTEMS TO ALLOW FOR COMPLETE TRACKING OF CLINICAL PERFORMANCE MEASURES TO FACILITATE CREATING A BASELINE AND TRACKING MEASURABLE HEALTH CHANGES IN SOUTH ASIANS (I.E., LDL AND HDL). THIS ALSO LAYS THE FOUNDATION TO DEVELOP A RISK FACTOR REGISTRY TO TRACK MEASURABLE IMPROVEMENT IN THE CARDIOVASCULAR HEALTH OF THE SOUTH ASIAN COMMUNITY. h) APPLIED FOR AND RECEIVED A GRANT FOR A SACC COMMUNITY OUTREACH COORDINATOR AND HIRED SAME IN MARCH 2015. THE COORDINATORS RESPONSIBILITIES INCLUDE: (1) EXPANDING THE COMMUNITY/ORGANIZATIONAL NETWORK OF THE SACC; (2) PROVIDING SYSTEMATIC/TARGETED COMMUNICATIONS TO THE SOUTH ASI 5) OTHER SPECIFIC PROGRAMS ADDRESSING CULTURAL HEALTH DISPARITIES SINCE 2011, ADVOCATE LUTHERAN GENERAL HOSPITAL HAS BEEN ON A JOURNEY TO IDENTIFY NEEDS OF SPECIFIC CULTURAL GROUPS AND DESIGN PROGRAMS TO MEET THESE NEEDS. THIS INITIATIVE WILL CONTINUE ALTHOUGH THE NEED WAS NOT SELECTED AS A PRIORITY FROM THE CHNA. IN MAY 2011, A KOREAN NAVIGATOR, AN ADVANCED PRACTICE NURSE, WAS HIRED TO: (1) TRANSFORM THE DELIVERY OF CARE FOR THE ALGH KOREAN AMERICAN POPULATION; (2) CREATE A KOREAN AMERICAN HEALTH EDUCATION PROGRAM; (3) CREATE A KOREAN AMERICAN HEALTH SCREENING PROGRAM; AND 4) BUILD A PROCESS TO CONTINUALLY ASSESS, IDENTIFY AND ADDRESS SPECIFIC HEALTH NEEDS IN THE KOREAN AMERICAN COMMUNITY. A SEPARATE IN-DEPTH COMMUNITY HEALTH NEEDS ASSESSMENT OF THE KOREAN AMERICAN COMMUNITY WAS COMPLETED IN DECEMBER 2014 WITH THE HANUL FAMILY ALLIANCE, A COMMUNITY PARTNER. IN 2015, A SERIES OF EDUCATIONAL LECTURES IN RESPONSE TO THE KOREAN CHNA WERE DESIGNED AND IMPLEMENTED, AS WELL AS A DIABETES PREVENTION PROGRAM THAT WAS DESIGNED TO TAKE PLACE OVER 6 WEEKS IN 2016. IN DECEMBER 2012, A POLISH PATIENT NAVIGATOR WAS HIRED INITIALLY TO FOCUS ON BREAST HEALTH, BUT IN 2015 BEGAN A HEALTH NEEDS ASSESSMENT FOR THE POLISH COMMUNITY IN THE 2014-2016 COMMUNITY HEALTH NEEDS ASSESSMENT CYCLE WITH THE HEALTH IMPACT COLLABORATIVE OF COOK COUNTY (HICC). WHILE THE ACCESS GENESIS CLINIC IN DES PLAINES (ORIGINALLY FOUNDED BY ADVOCATE LUTHERAN GENERAL HOSPITAL) CONTINUES TO ADDRESS THE NEEDS OF THE HISPANIC COMMUNITY IN LUTHERAN GENERALS PRIMARY SERVICE AREA (PSA), A MORE IN-DEPTH NEEDS ASSESSMENT WILL BE INCLUDED IN THE UPCOMING 2014-2016 CHNA CYCLE. 2014-1016 COMMUNITY HEALTH NEEDS ASSESSMENT AS PART OF ORGANIZING FOR THE 2014-2016 CHNA PROCESS, THE HOSPITAL MAINTAINED ITS REGULAR QUARTERLY MEETING SCHEDULE FOR THE COMMUNITY HEALTH COUNCIL IN 2015 AND CONTINUED TO ADD AND ADAPT THE COUNCIL MEMBER ROSTER AS NEEDED. IN 2015, THE HOSPITAL BEGAN PARTICIPATING IN THE HEALTH IMPACT COLLABORATIVE OF COOK COUNTY (HICC), A PROJECT INVOLVING 26 HOSPITALS, 7 HEALTH DEPARTMENTS AND NEARLY 100 COMMUNITY-BASED ORGANIZATIONS. THE GOAL OF THIS INITIATIVE IS TO IMPLEMENT A COLLABORATIVE CHNA (2014-2016 CYCLE) AND FOR THE PARTICIPATING PARTNERS TO WORK TOGETHER ON "STRATEGIES TO ADDRESS THE PRESSING ISSUES IN OUR COMMUNITIES TO ACHIEVE GREATER COLLECTIVE IMPACT." ADVOCATE LUTHERAN GENERAL HOSPITAL IS A CO-LEADER OF THE NORTH REGION OF THE COLLABORATIVE AND ALSO SERVES ON THE COLLABORATIVES OVERALL STEERING COMMITTEE. THE FINAL CHNA REPORT WILL BE COMPLETED IN 2016. ADVOCATE GOOD SAMARITAN HOSPITAL NEEDS SELECTED TO ADDRESS THE ADVOCATE GOOD SAMARITAN HOSPITAL COMMUNTIY HEALTH COUNCIL SELECTED CHILDHOOD OBESITY AND SENIOR HEALTH AS THE 2013 COMMUNITY HEALTH NEEDS ASSESSMENT PRIORITIES. CHILDHOOD OBESITY GOOD SAMARITAN HOSPITAL IS PARTNERING WITH PROACTIVE KIDS (PAK) TO ADDRESS THE HEALTH ISSUE OF CHILDHOOD OBESITY. PAK IS A 501 (C)(3) ORGANIZATION THAT WORKS WITH CHILDREN AGES 8-14 WHO ARE EITHER CURRENTLY OR AT-RISK OF BECOMING OVERWEIGHT OR OBESE. THE PROGRAM IS 8 WEEKS WITH 3 CLASSES EACH WEEK AND FREE OF CHARGE TO ALL MEMBERS OF THE COMMUNITY. THE PARTICIPATING CHILDREN RECEIVE NUTRITION EDUCATION, PHYSICAL ACTIVITY CLASSES AND HEALTHY LIFESTYLE COACHING. THE PARENTS OF PARTICIPANTS ARE ALSO INCLUDED EACH FRIDAY TO ENCOURAGE HEALTHY EATING AND EXERCISE AT HOME. THE OVERALL GOAL OF THE PAK PROGRAM IS TO REDUCE OVERWEIGHT AND OBESITY IN CHILDREN WITH HIGHER BMI PRECENTILES. CHILDHOOD OBESITY - PAK 2015 PROGRAM UPDATES: 1. DURING THE 2015 SPRING AND FALL SESSIONS, A TOTAL OF 48 CHILDREN ATTENDED THE FIRST DAY AND 40 CHILDREN COMPLETED THE 8-WEEK SESSION. 2. 83% OF 2015 PROGRAM PARTICIPANTS COMPLETED THE 8-WEEK TRAINING. 3. 59% OF 2015 PROGRAM PARTICIPANTS RECOGNIZED A SIGNIFICANT TO SOLID IMPROVEMENT IN THEIR COMMITMENT TO FITNESS AT THE CONCLUSION OF THE 8-WEEK SESSION. 4. 70% OF 2015 PROGRAM PARTICIPANTS RECOGNIZED A SIGNIFICANT TO SOLID IMPROVEMENT IN THEIR POSITIVE ATTITUDE CHANGE TOWARD THEIR DIET AND NUTRITION AT THE CONCLUSION OF THE SESSION. 5. 25% OF 2015 PROGRAM PARTICIPANTS RECOGNIZED A SIGNIFICANT TO SOLID IMPROVEMENT IN SOCIAL ENGAGEMENT AT THE CONCLUSION OF THE SESSION. IN ADDITION TO PAK, GOOD SAMARITAN HOSPITAL ALSO ADDRESSED OBESITY THROUGH THE GOOD HEALTH FOR GOOD LIFE INITIATIVE, WHICH IS A WORKSITE WELLNESS INITIATVE THAT IMPLEMENTS VARIOUS HEALTH AND WELLNESS PROGRAMS THROUGOUT THE YEAR. IN 2015, GOOD HEALTH FOR GOOD LIFE OFFERED A HEALTHY LIFESTYLE CHALLENGE FOR ALL HOSPITAL EMPLOYEES. THE CHALLENGE WAS 12 WEEKS LONG AND FOCUSED ON WEIGHT LOSS. WEIGH-INS WERE CONDUCTED WEEKLY AND THE WINNERS WERE CHOSEN BY THE HIGHEST TOTAL PERCENT WEIGHT LOSS PER HOSPITAL UNIT/DEPARTMENT. EMPLOYEES WHO PARTICIPATED IN THE CHALLENGE WERE ALSO OFFERED WEEKLY RECIPES, MOTIVATIONAL E-MAILS AND EXERCISE TECHNIQUES. OVER 200 EMPLOYEES REGISTERED FOR THE CHALLENGE AND 178 COMPLETED THE CHALLENGE WITH A WEIGHT LOSS TOTALING MORE THAN 2,000 POUNDS. SENIOR HEALTH DATA FROM THE HOSPITALS TRAUMA REGISTRY INDICATED FALLS AMONG SENIORS AS THE NUMBER ONE REASON FOR ADMISSION TO THE EMERGENCY DEPARTMENT. AFTER CONSIDERATION OF THE TRAUMA REGISTRY DATA, THE GOOD SAMARITAN HOSPITAL COMMUNITY HEALTH COUNCIL SELECTED SENIOR HEALTH AS THE SECOND 2013 COMMUNITY HEALTH NEEDS ASSESSMENT PRIORITY. TO ADDRESS THIS HEALTH NEED IN THE COMMUNITY, THE HOSPITAL HAS IMPLEMENTED THE MATTER OF BALANCE (MOB) PROGRAM FOR SENIORS. THIS PROGRAM FOCUSES ON FALL PREVENTION AND SAFE PHYSICAL ACTIVITY. THE MOB PROGRAM IS A 4-WEEK SESSION WITH TWO CLASSES PER WEEK. THE PROGRAM IS OPEN TO ALL MEMBERS OF THE COMMUNITY AND IS FREE OF CHARGE. THE OVERALL GOAL OF THE MOB PROGRAM IS TO REDUCE THE FEAR AND RISK OF FALLING. SENIOR HEALTH - MOB 2015 PROGRAM UPDATES: 1. IN 2015, 6 MOB CLASSES WERE IMPLEMENTED AND A TOTAL OF 52 PARTICIPANTS COMPLETED AT LEAST 5 OUT OF THE 8 CLASSES. 2. 86% OF THE 2015 PROGRAM PARTICIPANTS THAT ATTENDED DAY 1 COMPLETED A MINIMUM OF 5 OF THE 8 MOB CLASSES (10 OF 16 HOURS). 3. 76% OF THE PROGRAM PARTICIPANTS THAT COMPLETED THE CLASS EVALUATION SURVEY FELT MORE COMFORTABLE TALKING WITH OTHERS ABOUT HIS/HER FEAR OF FALLING. 4. 79% OF THE PROGRAM PARTICIPANTS THAT COMPLETED THE CLASS EVALUATION SURVEY AGREED THAT HE/SHE PLANS TO CONTINUE EXERCISING AFTER COMPLETION OF THE MOB CLASSES. 5. 71% OF THE 2015 PROGRAM PARTICIPANTS THAT COMPLETED THE CLASS EVALUATION SURVEY MADE CHANGES TO HIS/HER ENVIRONMENT TO ELIMINATE POTENTIAL FALL HAZARDS. DUPAGE COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT (IPLAN 2020) IMPACT DUPAGE WAS CREATED IN 2013 AND CONDUCTED A COUNTY-WIDE NEEDS ASSESSMENT USING THE MAPP PROCCESS IN 2014. GOOD SAMARITAN HOSPITAL WAS A MEMBER OF THE IMPACT DUPAGE STEERING COMMITTEE AND PARTICIPATED IN ONE OF THE ASSESSMENT ACTIVITIES A DAY LONG EVENT WHERE THE COMMITTEE EVALUATED THE LOCAL PUBLIC HEALTH SYSTEM (OCTOBER 2014). IN ADDITION, GOOD SAMARITAN HOSPITAL PARTICIPATED WHEN THE STEERING COMMITTEE IDENTIFIED IMPACT DUPAGES FIVE PRIORITY AREAS, USING THE RESULTS OF THE ASSESSMENT, IN JANUARY 2015. THE HOSPITAL WILL CONTINUE TO PARTICIPATE IN THE COUNTY IPLAN 2020 THROUGH IMPLEMENTATION PLANNING AND COLLABORATION ON COMMON PRIORITY AREAS. COMMUNITY HEALTH NEEDS NOT SELECTED THERE WERE FOUR AREAS OF NEED THAT THE COMMUNITY HEALTH COUNCIL DID NOT PRIORITIZE FOR PROGRAM DEVELOPMENT. THESE FOUR HEALTH NEEDS INCLUDED MENTAL HEALTH, ACCESS TO HEALTH CARE, SUBTANCE ABUSE AND INFECTIOUS DISEASE. ALTHOUGH THESE FOUR AREAS WERE NOT SELECTED AS PRIORITY HEALTH NEEDS, THE HOSPITAL IS ADDRESSING THESE NEEDS IN THE VARIOUS WAYS DESCRIBED BELOW. MENTAL HEALTH GOOD SAMARITAN HOSPITAL PROVIDES SIGNIFICANT MENTAL HEALTH RESOURCES FOR ADULTS AND GERIATRIC POPULATIONS. THESE SERVICES INCLUDE: PSYCHIATRIC CARE, MEDICATION MANAGEMENT, INDIVIDUAL THERAPY, BARIATRIC PYSCHIATRIC ASSESSMENTS, INTENSIVE OUTPATIENT PROGRAM, DOMESTIC VIOLENCE COUNSELING AND CRISIS BEHAVIORAL HEALTH ASSESSMENTS. WHILE NOT ABLE TO EXPAND THESE SERVICES AT THIS TIME, GOOD SAMARITAN HOSPITAL HAS SUPPORTED PARTNER ORGANIZATIONS INCLUDING NATIONAL ALLIANCE ON MENTAL ILLNESS AND THE DEPRESSION AND BIPLOAR SUPPORT ALLIANCE. THESE ORGANIZATIONS PROVIDE DIRECT COMMUNTIY PROGRAMMING IN MENTAL HEALTH. ACCESS TO HEALTH CARE ACCESS TO HEALTH CARE SERVICES WAS ALSO IDENTIFIED AS A NEED FOR THE HOSPITALS PRIMARY SERVICE AREA. FOREIGN BORN AND IMMIGRANT POPULATIONS ARE PARTICULARLY AT RISK FOR THIS HEALTH NEED AND EXPERIENCE MANY BARRIERS TO HEALTH CARE INCLUDING LINGUISTIC, FINANCIAL AND HEALTH LITERACY BARRIERS. ALTHOUGH ACCESS TO HEALTH CARE WAS NOT IDENTIFIED AS A PRIORITY, GOOD SAMARITAN HOSPITAL IS ADDRESSING THIS NEED THROUGH PARTNERSHIPS WITH ACCESS DUPAGE, ENGAGE DUPAGE AND THE WHY WAIT CLINIC. * ACCESS DUPAGE: FOR OVER TEN YEARS, GOOD SAMARITAN HOSPITAL HAS PARTNERED WITH ACCESS DUPAGE AND HAS PROVIDED CHARITY CARE FOR ACCESS DUPAGE PARTICIPANTS. ACCESS DUPAGE IS AN ORGANIZATION THAT REPRESENTS A UNIQUE PARTNERSHIP OF HOSPITALS, PHYSICIANS, LOCAL GOVERNMENT, HUMAN SERVICE AGENCIES AND COMMUNITY GROUPS WORKING TOGETHER TO ADDRESS ACCESS TO HEALTH CARE NEEDS. MEMBERSHIP IN THE ACCESS DUPAGE PROGRAM PROVIDES ACCESS TO MEDICAL SERVICES FOR DUPAGE COUNTYS LOW-INCOME, MEDICALLY UNINSURED RESIDENTS. GOOD SAMARITAN HOSPITAL ALSO ACCEPTS QUALIFIED ACCESS DUPAGE PARTICIPANTS AT ITS SITES OF CARE FOR DIAGNOSIS AND TREATMENT AT NO COST. ELGIBLE PARTICIPANTS MUST: 1) RESIDE IN DUPAGE COUNTY FOR AT LEAST 30 DAYS; 2)BE UNDER THE AGE OF 65; 3) HAVE A HOUSEHOLD INCOME BELOW 200% OF THE FEDERAL POVERTY LEVEL; 4)HAVE NO MEDICAL INSURANCE; 5) BE INELIGIBLE FOR PRIVATE OR PUBLIC HEALTH COVERAGE PROGRAMS (E.G. MEDICAID, MEDICARE, ETC.) * ENGAGE DUPAGE: ENGAGE DUPAGE IS A DUPAGE COUNTY HEALTH DEPARTMENT INITIATIVE THAT ADDRESSES ACCESS TO HEALTH CARE THROUGH PROVIDING AT-RISK PATIENTS IN THE EMERGENCY DEPARTMENT (ED) WITH COMMUNITY RESOURCE NAVIGATORS. ED PATIENTS CLASSIFIED AS SELF-PAY, MANG-PENDING AND MEDICAID THAT ARE FREQUENT USERS (TWICE IN ONE MONTH OR 4 TIMES WITHIN SIX MONTHS) OF THE ED ARE LINKED WITH A COMMUNITY RESOURCE NAVIGATOR WHO ASSISTS THE PERSON IN IDENTIFYING A MEDICAL HOME, INSURANCE AND COMMUNITY PROGRAMS TO HELP DECREASE THE NEED FOR UNECESSARY ED VISITS. GOOD SAMARITAN HOSPITAL FURTHER SUPPORTS THE INITIATIVE THROUGH PROVIDING WORK SPACE AND DATA FOR THE COMMUNITY RESOURCE NAVIGATORS. RESULTS FROM THE 2015 ENGAGE DUPAGE INITIATIVE INCLUDE: -296 GOOD SAMARITAN HOSPITAL PATIENTS MET PROGRAM ELIGIBILITY -94 HEALTH COVERAGE APPLICATIONS WERE FILED -84% OF GOOD SAMARITAN HOSPITAL PATIENT HEALTH COVERAGE APPLICATIONS WERE APPROVED -19 GOOD SAMARITAN HOSPITAL PATIENTS WERE CONNECTED TO THE HOSPITALS CHARITY CARE -43 GOOD SAMARITAN HOSPITAL PATIENTS WERE CONNECTED TO BEHAVIORAL/MENTAL HEALTH SERVICES -22 GOOD SAMARITAN PATIENTS WERE CONNECTED TO PRIMARY CARE SERVICES * WHY WAIT CLINIC: IN COLLABORATION WITH THE DUPAGE COUNTY HEALTH DEPARTMENT, GOOD SAMARITAN HOSPITAL ALSO ADDRESSES ACCESS TO HEALTH CARE THROUGH OPERATING THE WHY WAIT CLINIC. THIS CLINIC PROVIDES UNDERSERVED, UNINSURED AND UNDERINSURED WOMEN ACCESS TO FREE BREAST AND PELVIC EXAMS, PAP SMEARS, MAMMOGRAMS AND DIAGNOSTIC BIOPSIES AND SURGERIES. IN 2015, 162 SERVICES WERE ADMINISTERED THROUGH THE HOSPITALS SUPPORT PROVIDING A TOTAL OF $250,183 IN COMMUNITY BENEFIT. * LANGUAGE AS A BARRIER TO HEALTH CARE: ONE OF THE MAJOR BARRIERS TO HEALTH CARE IS LANGUAGE. CULTURE AND LANGUAGE HAVE A LARGE IMPACT ON ONES ABILITY TO COMPREHEND HEALTH CARE SERVICES INCLUDING MEDICAL INSURANCE AND MEDICATIONS. GOOD SAMARITAN HOSPITALS PRIMARY SERVICE AREA HAS SIGNIFICANTLY INCREASED IN DIVERSITY. THE HOSPITAL HAS ADDRESSED THIS DIVERSITY THROUGH EXPANDING LANGUAGE SERVICES COVERING UP TO 200 LANGUAGES. STRATEGIES INCLUDE USE OF ON-SITE INTERPRETERS, VIDEO REMOTE INTERPRETING (VRI), A LANGUAGE LINE TELEPHONE SERVICE AND OTHER AIDS SUCH AS IPADS TO MAKE SURE THAT THE LANGUAGE NEEDS OF PATIENTS ARE MET. IN 2015, GOOD SAMARITAN HOSPITAL REPORTED 17,355 ENCOUNTERS WITH PATIENTS IN NEED OF LANGUAGE SERVICES AND PROVIDED $169,462 IN LANGUAGE ASSISTANCE SERVICES. THE MOST COMMON LANGUAGE REQUESTED IS SPANISH AND SPANISH SPEAKING PATIENTS ARE THE FASTEST GROWING ETHNICITY IN DUPAGE COUNTY. SUBSTANCE ABUSE ALTHOUGH SUBSTANCE ABUSE WAS NOT ONE OF THE PRIORITIZED HEALTH ISSUES, THE HOSPITAL STILL ADDRESSES THE NEED THROUGH ITS INPATIENT MEDICAL DETOX UNIT. THIS UNIT ALLOWS SPECIALTY TRAINED STAFF WHO ARE EXPERTS IN SUBSTANCE ABUSE AND ADDICTION TO MORE EFFECTIVELY TREAT THESE PATIENTS UNTIL THEY ARE DISCHARGED OR TRANSFERRED TO ANOTHER SITE FOR ADDITIONAL CARE. GOOD SAMARITAN HOSPITAL ALSO PROVIDES MEETING SPACE FOR ALCOHOLICS ANONYMOUS AND NARCOTICS ANONYMOUS, WHICH ARE SUPPORT GROUPS FOR THOSE WHO ARE RECOVERING FROM SUBSTANCE ABUSE OR ADDICTION. INFECTIOUS DISEASE INFECTIOUS DISEASE WAS ANOTHER HEALTH NEED INDENTIFIED THAT WAS NOT SELECTED AS A PRIORITY BECAUSE THE NEED FOR VACCINATIONS IS EFFECTIVLEY BEING ADDRESSED THROUGH THE RETAIL SECTOR. RETAIL STORES SUCH AS JEWEL OSCO DRUG, CVS PHARAMACY AND WALGREENS PHARMACY PROVIDE VACCINATIONS TO THE DUPAGE COMMUNITY FOR A LOW COST. IN ADDITION, THERE ARE MANY VACCINATION RESOURCES IN DUPAGE COUNTY FOR THOSE FAMILIES WHO ARE LOW-INCOME AND CANNOT AFFORD THE COST OF CHILDHOOD VACCINATIONS. ADVOCATE HEALTH CARE ALSO IMPLEMENTED A MANDATORY FLU VACCINATION PROGRAM IN 2011 THAT INLCUDES MANDATORY VACCINATION FOR ALL GOOD SAMARITAN STAFF, PHYSICIANS AND VOLUNTEERS. THIS IS DONE IN EFFORTS TO PREVENT THE SPREAD OF INFECTIOUS DISEASE WITHIN THE HOSPITAL AND CLINCAL SETTINGS. COLLABORATIVE COMMUNITY PARTNER AS INDICATED IN PREVIOUS SECTIONS, GOOD SAMARITAN HOSPITAL CONTINUES ITS PARTNERSHIP WITH THE IMPACT DUPAGE STEERING COMMITTEE. THIS IS A COMMITTEE THAT WAS CREATED FROM THE DUPAGE COUNTY HEALTH DEPARTMENTS IPLAN 2020. THE IMPACT DUPAGE STEERING COMMITTEE IS COMPRISED OF MULTIPLE NONPROFIT ORGANIZATIONS, HOSPITALS, MEDICAL GROUPS, LOCAL LAW ENFORCEMENT AND LOCAL HEALTH DEPARTMENT RESPRESENTATIVES. BELOW IS A LIST OF THE STEERING COMMITTEE MEMBERS. * ADVOCATE GOOD SAMARITAN HOSPITAL * DUPAGE PADS * PEOPLES RESOURCE CENTER * NORTHWESTERN MEDICINE * DUPAGE FEDERATION ON HUMAN SERVICES REFORM * DUPAGE COUNTY HEALTH DEPARTMENT * UNITED WAY OF DUPAGE/WEST COOK * AMITA HEALTH * EDWARD-ELMHURST HEALTHCARE * DUPAGE HEALTH COALITION * METROPOLITAN FAMILY SERVICES * DUPAGE FOUNDATION * DUPAGE MEDICAL GROUP IN ADDITION TO THE HOSPITALS MEMBERSHIP TO IMPACT DUPAGE, GOOD SAMARITAN HOSPITAL WAS A PARTNER IN THE COMMUNITY MEMORIAL FOUNDATIONS COMMUNITY HEALTH NEEDS ASSESSMENT. THIS ASSESSMENT TOOK PLACE IN 2015 AND INVOLVED A NUMBER OF NONPROFIT ORGANIZATIONS THAT IDENTIFIED THE HEALTH NEEDS FOR DUPAGE AND WESTERN COOK COUNTIES. ADVOCATE GOOD SHEPHERD HOSPITAL THROUGH A PRIORITY SETTING PROCESS, ADVOCATE GOOD SHEPHERD HOSPITALS COMMUNITY HEALTH COUNCIL RECOMMENDED AND THE HOSPITAL ADOPTED FOCUSING ON THREE AREAS FOR PRIORITY ACTION, INCLUDING: FALLS AMONG SENIORS; CHILDHOOD OBESITY; AND CANCER PREVENTION AND DETECTION. ACCOMPLISHMENTS DURING 2015 IN THESE THREE AREAS ARE DESCRIBED BELOW. FALLS AMONG SENIORS FALLS AMONG SENIORS (65+) ARE A SIGNIFICANT HEALTH RISK AND THE NUMBER ONE CAUSE OF TRAUMA ADMISSIONS TO ADVOCATE GOOD SHEPHERD HOSPITAL. IN 2009, THE HOSPITALS COMMUNITY HEALTH COMMITTEE EMBARKED ON EFFORTS TO ADDRESS THIS RISK. SINCE THAT TIME, ADVOCATE GOOD SHEPHERD HAS CONDUCTED PROGRAMMING TO ADDRESS FALLS. IN 2012, FOUR GOOD SHEPHERD ASSOCIATES (EMPLOYEES) BECAME LICENSED MASTER TRAINERS UNDER THE MATTER OF BALANCE LAY LEAD MODEL WHICH UTILIZES COMMUNITY COACHES TO TEACH THE EIGHT-SESSION CLASSES. AS A RESULT, THE HOSPITAL WAS ABLE TO CONDUCT 15 COMMUNITY CLASSES REACHING 139 INDIVIDUALS USING THE COACHING MODEL IN 2015. THE RESULTS FROM PARTICIPANTS SHOWED A 23% IMPROVEMENT IN THEIR ABILITY TO REDUCE FALL RISK FACTORS IN THEIR LIVES. CHILDHOOD OBESITY IN THE 2014-15 ACADEMIC YEAR, OVER 10,000 (K-12) STUDENTS FROM 39 SCHOOLS PARTICIPATED IN ADVOCATE GOOD SHEPHERD HOSPITALS SCHOOL-BASED CHILDHOOD OBESITY PREVENTION PROGRAM KNOWN AS CATCH, THE COORDINATED APPROACH TO CHILD HEALTH. THIS PROGRAM ADDRESSES INTERVENTIONS TO IMPACT NUTRITION AND HEALTH. STUDENTS ARE TESTED FOR FITNESS LEVELS IN THE FALL AND SPRING AND THE RESULTS ARE COMPARED. RESULTS INDICATED A 4% IMPROVEMENT IN THE SAMPLE OF STUDENTS TESTED ACROSS 39 SCHOOLS. EXPANSION OF THE PROGRAM WILL CONTINUE THROUGHOUT THE HOSPITALS SERVICE AREA BY OFFERING CATCH BOOSTER TRAININGS. CATCH BOOSTER TRAININGS ARE CATCH REFRESHER COURSES FOR INDIVIDUALS WHO HAVE ALREADY BEEN CATCH TRAINED BEFORE, BUT WILL BENEFIT FROM REMINDERS. THE FRUITS AND VEGGIES TO THE RESCUE IS A PROGRAM THAT HAS THE GOAL FOR CHILDREN TO LEARN ABOUT THE IMPORTANCE OF FRUITS AND VEGETABLES FOR THEIR BODIES AND WANT TO EAT AND TRY MORE OF THEM EVERY DAY. STARTING EXPOSURE TO FRESH FRUITS AND VEGETABLES WHILE CHILDREN ARE YOUNG, INCREASES THE ABILITY TO DEVELOP HEALTHY EATING HABITS INTO ADULTHOOD. IN 2015, THE FRUITS AND VEGGIES TO THE RESCUE PROGRAM WAS FEATURED IN FIVE ELEMENTARY SCHOOLS AND THE TEACHERS PROGRAM WAS FEATURED IN TWO ELEMENTARY SCHOOLS IN THE GOOD SHEPHERD SERVICE AREA. CANCER (PREVENTION AND DETECTION) ADVOCATE GOOD SHEPHERD HOSPITAL HAS A CANCER COMMITTEE IN PLACE THAT IS DEDICATED TO CANCER PREVENTION AND EARLY DETECTION. IN 2015, SOME OF THE TACTICS INCLUDED CONNECTING PATIENTS AND FAMILIES TO 2-1-1 INFORMATION AND REFERRAL TO SOCIAL SERVICE RESOURCES, CONTINUING TO WORK WITH PATIENT NAVIGATORS TO IDENTIFY PATIENT NEEDS, AND HOSTING COMMUNITY LECTURES ON MULTIPLE TYPES OF CANCER TO ENCOURAGE CONVERSATIONS WITH HEALTH CARE PROVIDERS. GOOD SHEPHERD ALSO HAD COMMUNITY OUTREACH CAMPAIGNS ON COLON CANCER AWARENESS AND SCREENING, BREAST CANCER AWARENESS FOR UNDERSERVED POPULATIONS, AND E-CIGARETTES IN LOCAL SCHOOLS. E-CIGARETTE PREVENTION WAS ADDRESSED BY PARTNERING WITH AREA MIDDLE SCHOOLS AND HIGH SCHOOLS AND/OR ATTENDING COMMUNITY EVENTS WHERE THE TARGET AUDIENCE YOUTH WERE PRESENT, NOT ONLY PROVIDING PREVENTION EDUCATION BUT ALSO TO CAPTURE FEEDBACK RELATED TO EDUCATIONAL MATERIALS. THERE WERE THREE OTHER IMPORTANT NEEDS THAT WERE NOT SELECTED AS PRIORITIES FOR NEW ACTIVITY BUT WERE AREAS WHERE THE HOSPITAL HAS BUILT EXISTING PROGRAMS OR PARTNERSHIPS. MENTAL HEALTH MENTAL HEALTH IS ADDRESSED THROUGH THE HOSPITALS SUPPORT OF MULTIPLE COMMUNITY ORGANIZATIONS, SUCH AS SAMARITAN COUNSELING CENTER AND THE PIONEER CENTER FOR HUMAN SERVICES. THE HOSPITAL IS ALSO PROVIDING COMPLIMENTARY SPACE AT TWO ADVOCATE FACILITIES TO BEHAVIORAL HEALTH PROVIDERS IN THE COMMUNITY. THE COMMUNITY HEALTH COUNCIL SET TARGETS FOR COLLABORATION AND INTEGRATION WITH COMMUNITY GROUPS TO HELP ADDRESS BEHAVIORAL HEALTH NEEDS. THE HEALTHIER BARRINGTON COALITION DEVELOPED A MENTAL HEALTH TASK FORCE TO HELP DETERMINE THE MOST PRESSING NEEDS AND HOW THE COMMUNITY MIGHT BETTER COLLABORATE TO MEET THOSE NEEDS. IN 2015, THE HEALTHIER BARRINGTON COALITION VOTED TO HAVE MENTAL HEALTH AS THEIR ONLY FOCUS FOR 2015 AND MOVING FORWARD INTO 2016. THE HOSPITAL LED THESE CONVERSATIONS AND MEETINGS ON MENTAL HEALTH, PROVIDING COMMUNITY HEALTH DATA AND LEADERSHIP. DIABETES/CHOLESTEROL/CARDIOVASCULAR DISEASE WHEN GOOD SHEPHERD HOSPITALS CHNA REVEALED THAT TYPE II DIABETES WAS CONTINUING TO INCREASE IN THE HOSPITALS COMMUNITY, THE HOSPITAL RESPONDED BY DEVELOPING AFFORDABLE DIABETES SCREENINGS. IN 2015, THESE SCREENINGS WERE OFFERED TO MEMBERS OF THE BILINGUAL PARENT ADVISORY COMMITTEE IN THE WAUCONDA SCHOOL DISTRICT WITH THE INTENTION OF IDENTIFYING PEOPLE WHO UNKNOWINGLY HAVE PRE-DIABETES OR DIABETES, AND TO ENCOURAGE THEM TO ADOPT LIFESTYLE CHANGES THAT HELP THEM MANAGE THEIR CONDITION. BECAUSE THE HISPANIC POPULATION IS AT A GREATER RISK FOR TYPE II DIABETES, PROMOTIONAL MATERIALS ARE AVAILABLE IN SPANISH AND THE STAFF INCLUDES BILINGUAL CLINICIANS. THERE WAS A PRE-DIABETES SCREENING AND ONE FOLLOW-UP SCREENING THAT WAS OFFERED FIVE MONTHS LATER. THE PARTICIPANTS IN THE SCREENING IDENTIFIED AS HIGH-RISK WENT FROM 23 PERCENT TO 20 PERCENT OVER THE COURSE OF THE TWO SCREENINGS. MOTOR VEHICLE ACCIDENTS (TEEN) THE COUNCIL FELT THAT THE HOSPITAL WAS ALREADY ADDRESSING THIS NEED BY BEING PART OF OPERATION CLICK. OPERATION CLICK IS A COMMUNITY PROGRAM THAT ADDRESSES THE RISK FOR YOUTH MOTOR VEHICLE FATALITIES. THE HOSPITAL HAS BEEN ACTIVE ON OPERATION CLICKS BOARD OF DIRECTORS, PROVIDES FUNDING FOR ITS ANNUAL BANQUET AND RECENTLY PROVIDED FUNDING SO THE ORGANIZATION COULD HIRE A PART-TIME PROGRAM COORDINATOR FOR 24 MONTHS. THE SEED FUNDING ALLOWED THE COORDINATOR TO DEVELOP A FUNDING STREAM FOR SUSTAINMENT OF OPERATION CLICK. IN 2015, GOOD SHEPHERD CONTINUED TO FUND THE PROGRAM. OVERALL, OPERATION CLICK HAS BEEN IMPACTFUL AND HAS RESULTED IN IMPROVED SEAT BELT COMPLIANCE AS DOCUMENTED BY AN INCREASE IN AVERAGE COMPLIANCE RATES FROM 79% ON THE PRE-SURVEY IN 2013 TO 98% AS REPORTED BY PARTICIPANTS ON THE POST-PROGRAM SURVEY IN 2015. NEEDS NOT SELECTED TO ADDRESS THERE WERE TWO REMAINING IMPORTANT NEEDS IDENTIFIED THAT THE HOSPITAL IS NOT ADDRESSING-DENTAL HEALTH AND BILINGUAL LITERACY. DENTAL HEALTH ADVOCATE GOOD SHEPHERD HOSPITAL HAS SEVEN DENTISTS AND SIX ORAL SURGEONS ON-STAFF TO HELP ADDRESS THE GROWING DENTAL NEEDS IN THE COMMUNITY. IN 2015, GOOD SHEPHERD COMPLETED 24 ORAL SURGERY CASES FOR AREA RESIDENTS. BILINGUAL LITERACY THE HOSPITAL IS ALWAYS WILLING TO CONTRIBUTE TO A COMMUNITY WIDE PROJECT IN COLLABORATION WITH THE UNITED WAY, THE LOCAL CAREER CENTER OR ONE OF THE MANY COALITIONS, SUCH AS THE HEALTHIER BARRINGTON COALITION OF WHICH THE HOSPITAL IS AN ACTIVE MEMBER. THE HOSPITAL HAS SUPPORTED ASSOCIATES PURSUING MEDICAL SPANISH TRAINING AT THE AREA COMMUNITY COLLEGE. GOOD SHEPHERD HOSPITAL ALSO HAS A ROBUST INTERPRETIVE SERVICES PROGRAM TO PROVIDE LANGUAGE ASSIST ADVOCATE SOUTH SUBURBAN HOSPITAL HEALTH NEED SELECTED TO ADDRESS ASTHMA ASTHMA AND OTHER RESPIRATORY-RELATED DISEASES WITHIN SOUTH SUBURBAN HOSPITALS PSA WERE SELECTED AS THE TOP HEALTH NEED TO ADDRESS. AN EXAMINATION OF SOUTH SUBURBAN HOSPITALS INPATIENT ADMISSIONS AND EMERGENCY DEPARTMENT UTILIZATION DATA SHOWED THERE WERE A SIGNIFICANT NUMBER OF INDIVIDUALS THAT SOUGHT SERVICES FOR ASTHMA/RESPIRATORY HEALTH ISSUES FROM THE HOSPITAL. IN FACT, PULMONARY ADMISSIONS WERE THE SECOND MOST PREVALENT TYPE OF INPATIENT ADMISSION AND THE EIGHTH MOST PREVALENT REASON FOR EMERGENCY DEPARTMENT VISITS. THE SEVERITY AND PREVALENCE OF ASTHMA WERE MOST EVIDENT IN LOW INCOME, MINORITY COMMUNITIES, AND THE DISPARITIES IN HOSPITALIZATION RATES FOR AFRICAN AMERICAN CHILDREN WERE STAGGERING, MAKING THIS A PROMINENT COMMUNITY HEALTH ISSUE. SOUTH SUBURBAN HOSPITAL HAS BOTH THE RESOURCES AND CAPACITY TO PARTNER WITH OTHER ORGANIZATIONS ENGAGED IN ADDRESSING ASTHMA. HISTORICALLY, SOUTH SUBURBAN HOSPITAL HAS DEVELOPED COMMUNITY PROGRAMS IMPACTING ASTHMA. THE HOSPITAL IS CURRENTLY CONDUCTING OUTREACH ACTIVITIES AIMED AT SCHOOLS AND CHURCHES TO ADDRESS THIS DISEASE, INCLUDING THE MOST RECENT DEVELOPMENT OF THE KICKIN ASTHMA PROGRAM, A SCHOOL-BASED CURRICULUM THAT ADDRESSES THE NEEDS OF CHILDREN AGES 11 TO 16 WITH ASTHMA. THE PROGRAM PROMOTES INDIVIDUAL RESPONSIBILITY, SELF-MANAGEMENT AND EARLY ACTION AMONG ADOLESCENTS. THE OVERALL GOAL OF KICKIN ASTHMA IS TO IMPROVE ASTHMA MANAGEMENT AND DECREASE ACUTE CARE UTILIZATION AMONG CHILDREN AGES 11 TO 16. IN ADDITION TO THE SCHOOL-BASED CURRICULUM, CONTINUING MEDICAL EDUCATION FOR LOCAL SCHOOL NURSES, PEDIATRIC HEALTH FAIRS, SCHOOL PROGRAMS PROVIDING ASTHMA SCREENINGS, EDUCATIONAL MATERIALS AND PEAK FLOW METERS, AND ASTHMA RESOURCE PACKETS INCLUDING A RESOURCE DIRECTORY FOR LOCAL FAITH COMMUNITIES CONTRIBUTE TO THE PROGRAMS EFFECTIVENESS AND HAVE HELPED TO LAY THE FOUNDATION FOR THE HOSPITALS EXPANSION OF INTERVENTIONS TO ADDRESS ASTHMA IN THE COMMUNITY. 2015 IMPLEMENTATION PLAN DATA AND/OR UPDATES * 48% OF PEDIATRIC PATIENTS WITH A DIAGNOSIS OF ASTHMA IN THE ED WERE DISCHARGED HOME WITH AN ASTHMA ACTION PLAN, REPRESENTING AN INCREASE OF 23% AS COMPARED TO 2014. 50% OF PEDIATRIC PATIENTS WITH A DIAGNOSIS OF ASTHMA IN THE ED WERE DISCHARGED HOME WITH FORMAL ASTHMA EDUCATION, A 16% INCREASE WHEN COMPARED TO 2014. 95% OF PEDIATRIC PATIENTS DISCHARGED FROM THE ED RECEIVED A POST-DISCHARGE CALL FROM A RESPIRATORY CARE PRACTITIONER TO DISCUSS AN ASTHMA ACTION PLAN, MEDICATIONS AND TO IDENTIFY IF THERE ARE ANY OTHER OPPORTUNITIES FOR ASTHMA EDUCATION. THE TASK FORCE IDENTIFIED THAT PEDIATRIC PATIENTS WERE BEING TRIAGED AND TREATED BY THE RESPIRATORY CARE PRACTITIONER FOR AN INITIAL COMPLAINT OF COUGH, SHORTNESS OF BREATH OR UPPER RESPIRATORY TRACT INFECTION, BUT WERE LATER CODED AS AN ASTHMATIC PATIENT THUS THE DECREASE IN INITIAL ASTHMA EDUCATION IN THE ED NUMBERS. * 90% OF ELIGIBLE PEDIATRIC PATIENTS WITH A DIAGNOSIS OF ASTHMA IN THE ED WERE DISCHARGED HOME WITH STEROIDS. * 95% OF PATIENTS WITH A PRIMARY DIAGNOSIS OF ASTHMA IN THE ED FILLED PRESCRIPTIONS AS IDENTIFIED ON THE POST-WELLNESS DISCHARGE CALL. THIS IS INDICATIVE OF THE APPROPRIATE USE OF THE ASTHMA ED TREATMENT PLAN AND DISCHARGE EDUCATION. * ED PEDIATRIC READMISSIONS FROM JANUARY 2015 DECEMBER 2015 WERE 26% IN COMPARISON TO THE READMISSION DATA FOR THE SAME TIME PERIOD IN 2014 OF 18%. IT SHOULD BE NOTED THAT THERE WERE ALSO 121 FEWER PEDIATRIC ASTHMA VISITS TO THE ED IN 2015 WHICH IS A 33% DECREASE. * THERE WERE NO READMISSIONS OF INPATIENT PEDIATRIC PATIENTS WITHIN A 12-MONTH TIMEFRAME. THE GOAL WAS TO REDUCE INPATIENT PEDIATRIC PATIENT READMISSIONS BY 10%. * 100% OF STUDENTS WHO COMPLETED THE KICKIN ASTHMA PROGRAM WERE ABLE TO UNDERSTAND THEIR ASTHMA AND RECOGNIZE SIGNS, SYMPTOMS AND TRIGGERS. * 100% OF THESE STUDENTS CREATED AN ASTHMA ACTION PLAN FOR INTERVENTION AND MAINTENANCE WHICH HAS RESULTED IN IMPROVED OUTCOMES THUS FAR. * CONDUCTED SURVEY OF PARENTS OF STUDENTS WHO COMPLETED THE KICKIN ASTHMA PROGRAM. 71 STUDENTS PARTICIPATED AND THERE WERE 30 RESPONDENTS, INDICATING A 42% RESPONSE RATE. OF THE 71 STUDENTS, 3 HAD VISITS TO THE ED. PARENTS WERE ASKED IF THEIR CHILD HAD ANY SUBSEQUENT ASTHMA-RELATED ABSENCES FROM SCHOOL AFTER THE EDUCATION AND SIX PARENTS INDICATED THEIR CHILD HAD AT LEAST A ONE DAY ABSENCE. 28 OF 30 PARENTS FELT THAT THEIR CHILD WAS ABLE TO MANAGE THEIR ASTHMA WITH LIMITED RESTRICTIONS. 2015 IMPLEMENTATION PLAN ACCOMPLISHMENTS * 12 COMMUNITY PARTNERS WERE TRAINED ON AVAILABLE RESOURCES AND ASTHMA TRIGGERS IN THE ASSH PRIMARY SERVICE AREA. * ASSH CONDUCTED 27 EDUCATION HOURS FOR COMMUNITY PARTNERS AT VARIOUS COMMUNITY EVENTS FROM JANUARY THROUGH SEPTEMBER 2015. EVENT VENUES INCLUDED PARK DISTRICTS, SCHOOL PROGRAMS, COMMUNITY HEALTH FAIRS AND CHURCHES. * SCHOOL NURSE EDUCATION IN-SERVICE EDUCATION AT ASSH--IDENTIFIED A COMMUNITY PROGRAM THROUGH THE RESPIRATORY HEALTH ASSOCIATION THAT IS APPROVED BY THE ILLINOIS STATE BOARD OF EDUCATION FOR ONE CERTIFIED PROFESSIONAL DEVELOPMENT CREDIT (CPDU) FOR LICENSED SCHOOL TEACHERS. * SCHOOLS WITHIN THE HOSPITALS SERVICE AREA HAVE BEEN EXTENDED THE OPPORTUNITY TO PARTNER WITH ASSH AND THE KICKIN ASTHMA PROGRAM. ASSH PROVIDED THE SCHOOL-BASED ASTHMA PROGRAM TO 26% OF THE SCHOOLS WITHIN THE HOSPITALS PRIMARY SERVICE AREA, INCLUDING: - 2015 SCHOOL YEAR ROOSEVELT, DOLTON* - 2015 SCHOOL YEAR MEADOWVIEW, COUNTRY CLUB HILLS* - 2015 SCHOOL YEAR PRAIRIE HILLS JR. HIGH, MARKHAM* - 2015 SCHOOL YEAR SOUTHWOOD JR. HIGH, COUNTRY CLUB HILLS - 2015 SCHOOL YEAR BROOKWOOD SCHOOL DISTRICT 167, GLENWOOD * NEW SCHOOL PARTNERSHIP IN 2015 NEW DURING 2015 * IN AN EFFORT TO MAKE THE COMMUNITY MORE AWARE OF THE HOSPITALS KICKIN ASTHMA PROGRAM, A PREMIER VIDEO FEATURING STUDENTS AND A NURSE FROM SOUTHWOOD JR. HIGH SCHOOL WAS FILMED IN FEBRUARY 2015 AND IS CURRENTLY POSTED ON THE 2014 COMMUNITY ALBUM FOR ADVOCATE HEALTH CARE. THE VIDEO CAN BE VIEWED AT: HTTP://STREAM.ADVOCATEHEALTH.COM/WEBFILES/2014/CA/PROGRAMS.HTML#ASTHMA * VIRTUAL LEARNING CENTER CREATED VIA THE INTERNET. CAN BE FOUND ONHTTP://WWW.ADVOCATEHEALTH.COM/SSUB/ASTHMA , "HELPING YOU BREATHE EASIER." * FOR 2015, THERE HAVE BEEN 125 ASTHMA PAGE VIEWS AND 62 PAGE VIEWS RELATED TO ASTHMA TRIGGERS, TOTALING 187 PAGE VIEWS. * ASSH COMMUNITY ASTHMA TASK FORCE CONTINUED TO MEET EVERY OTHER MONTH DURING 2015. * CALL BACK PROCESS BY A RESPIRATORY THERAPIST IMPLEMENTED FOR PEDIATRIC ASTHMA ED PATIENTS. HEALTH NEEDS NOT SELECTED TO ADDRESS ALTHOUGH CARDIOVASCULAR DISEASE, CANCER, DIABETES AND TEEN PREGNANCY WERE NOT SELECTED FOR SPECIAL FOCUS, SOUTH SUBURBAN HOSPITAL REMAINS COMMITTED TO ADDRESSING THESE HEALTH ISSUES AS IT HAS DONE HISTORICALLY. EXISTING COMMUNITY PROGRAMS AND RESOURCES PROVIDED BY SOUTH SUBURBAN HOSPITAL INCLUDE A CARDIAC REHABILITATION PROGRAM; VARIOUS CARDIOVASCULAR EDUCATION AND PREVENTION PROGRAMS, INCLUDING PROVISION OF HEART RISK ASSESSMENTS; A DIABETES WELLNESS PROGRAM INCLUDING SELF-MANAGEMENT EDUCATION; SELECTED HEALTH SCREENINGS; CANCER HEALTH PREVENTION EDUCATION AND CANCER SUPPORT SERVICES. THERE ARE A NUMBER OF LOCAL NONPROFIT ORGANIZATIONS CURRENTLY OFFERING RESOURCES TO ADDRESS THE HEALTH ISSUES OF TEEN PREGNANCY AND SEXUALLY TRANSMITTED DISEASES IN SOUTH SUBURBAN HOSPITALS PRIMARY SERVICE AREA. THESE COMMUNITY-BASED HEALTHCARE CLINICS AND CENTERS OFFER PRIMARY CARE SERVICES, INCLUDING FAMILY MEDICINE AND OB/GYN PHYSICIANS, AS WELL AS COUNSELING AND EDUCATION AIMED AT CURBING RATES OF TEEN BIRTH AND STD INFECTIONS WITHIN THE TARGETED COMMUNITIES. TO BEST SERVE THOSE PATIENTS MOST IN NEED OF THEIR SERVICES, THESE PROVIDERS OFFER FREE AND/OR DISCOUNTED ACCESS TO UNINSURED AND UNDERINSURED PATIENTS. THE PROVIDERS INCLUDE AUNT MARTHAS FQHCS IN HAZEL CREST, CHICAGO HEIGHTS AND HARVEY; PREGNANCY AID SOUTH SUBURBS IN TINLEY PARK, LANSING AND SOUTH HOLLAND; ACCESS COMMUNITY HEALTH, CHICAGO HEIGHTS; FAMILY CHRISTIAN HEALTH CENTER IN HARVEY; AND BETHANY CHRISTIAN SERVICES IN PALOS HEIGHTS. IN 2015, ADVOCATE HEALTH CARE PARTNERED WITH THE ILLINOIS PUBLIC HEALTH INSTITUTE AND OTHER HOSPITALS AND HEALTH DEPARTMENTS LOCATED IN COOK COUNTY. TOGETHER THESE ORGANIZATIONS FORMED THE HEALTH IMPACT COLLABORATIVE OF COOK COUNTY. THE HEALTH IMPACT COLLABORATIVE OF COOK COUNTY IS A PARTNERSHIP OF HOSPITALS, HEALTH DEPARTMENTS AND COMMUNITY ORGANIZATIONS WORKING TO ASSESS COMMUNITY HEALTH NEEDS AND ASSETS, AND TO IMPLEMENT A SHARED PLAN TO MAXIMIZE HEALTH EQUITY AND WELLNESS IN CHICAGO AND COOK COUNTY. THE HEALTH IMPACT COLLABORATIVE WAS DEVELOPED SO THAT PARTICIPATING ORGANIZATIONS CAN EFFICIENTLY SHARE RESOURCES AND WORK TOGETHER ON COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) AND IMPLEMENTATION PLANNING TO ADDRESS COMMUNITY HEALTH NEEDS - ACTIVITIES THAT EVERY NONPROFIT HOSPITAL IS NOW REQUIRED TO CONDUCT UNDER THE AFFORDABLE CARE ACT (ACA). CURRENTLY, 26 HOSPITALS (INCLUDING SOUTH SUBURBAN HOSPITAL), SEVEN HEALTH DEPARTMENTS, AND MORE THAN 100 COMMUNITY ORGANIZATIONS ARE PARTNERS IN THE HEAL OBESITY BROMENN MEDICAL CENTER PARTNERED WITH RIDGEVIEW COMMUNITY UNIT SCHOOL DISTRICT (CUSD) #19 IN COLFAX, ILLINOIS, TO ADDRESS OBESITY THROUGH IMPLEMENTATION OF THE EVIDENCE-BASED PHYSICAL EDUCATION PROGRAM SPARK. APPROXIMATELY ONE HUNDRED 6TH AND 7TH GRADE STUDENTS ARE ENGAGED IN SPARK, WHICH HAS BEEN COUNTERING CHILDHOOD OBESITY IN SCHOOLS SINCE 1989. RIDGEVIEW P.E. TEACHERS RECEIVED PROFESSIONAL TRAINING, CURRICULUM AND EQUIPMENT FOR SPARK P.E. THROUGH THEIR PARTNERSHIP WITH THE MCLEAN COUNTY HEALTH DEPARTMENT AND THE ILLINOIS DEPARTMENT OF PUBLIC HEALTHS WE CHOOSE HEALTH INITIATIVE (MADE POSSIBLE BY THE CENTERS FOR DISEASE CONTROL AND PREVENTION). TWO RIDGEVIEW PHYSICAL EDUCATION TEACHERS RECEIVED HANDS-ON TRAINING FOR SPARK P.E. AND BEGAN IMPLEMENTING THE CURRICULUM IN THE ELEMENTARY AND JUNIOR HIGH SCHOOL PHYSICAL EDUCATION CLASSES AT THE BEGINNING OF THE 2014-2015 SCHOOL YEAR. IN JANUARY 2015, CUSD #19 PURCHASED 26 POLAR ACTIVE HEART RATE MONITORS DUE TO AN IN-KIND DONATION BY BROMENN MEDICAL CENTER. THE HEART RATE MONITORS ARE BEING UTILIZED IN CONJUNCTION WITH THE SPARK PROGRAM TO HELP INCREASE THE NUMBER OF MINUTES STUDENTS ARE ENGAGING IN MODERATE TO VIGOROUS PHYSICAL ACTIVITY DURING PHYSICAL EDUCATION CLASS. IN ADDITION, BODY MASS INDEX VALUES (BMI) ARE COLLECTED AT THREE DIFFERENT POINTS DURING THE SCHOOL YEAR FOR 6TH AND 7TH GRADERS. DATA COLLECTED AS OF THE FALL OF 2015 ARE LISTED BELOW. * THE PERCENT OF 6TH GRADE STUDENTS FALLING IN THE UNDERWEIGHT CATEGORY ACCORDING TO BMI DECREASED FROM 11% TO 4% DURING THE 20142015 SCHOOL YEAR. THE PERCENT OF 6TH GRADE STUDENTS WITH A NORMAL BMI INCREASED FROM 56% IN THE FALL OF 2014 TO 63% IN THE SPRING OF 2015. THE PERCENT OF 6TH GRADE STUDENTS FALLING INTO THE OVERWEIGHT CATEGORY ACCORDING TO BMI VALUES DECREASED FROM 13% TO 12% DURING THE SAME TIME PERIOD. THE PERCENT OF STUDENTS FALLING INTO THE OBESE CATEGORY INCREASED FROM 20% TO 21% FROM THE FALL OF 2014 TO THE SPRING OF 2015. * THE PERCENT OF 7TH GRADE STUDENTS FALLING IN THE UNDERWEIGHT CATEGORY ACCORDING TO BMI REMAINED STEADY DURING THE 2014-2015 SCHOOL YEAR AT 0%. THE PERCENT OF 7TH GRADE STUDENTS WITH A NORMAL BMI DECREASED FROM 55% TO 46% FROM THE FALL OF 2014 TO THE SPRING OF 2015. THE PERCENT OF 7TH GRADE STUDENTS FALLING INTO THE OVERWEIGHT CATEGORY ACCORDING TO BMI VALUES DECREASED FROM 24% TO 18% DURING THE SAME TIME PERIOD. THE PERCENT OF STUDENTS FALLING INTO THE OBESE CATEGORY INCREASED FROM 21% TO 36% FROM THE FALL OF 2014 TO THE SPRING OF 2015. THE COMMUNITY HEALTH MANAGER FOR BROMENN MEDICAL CENTER ALSO SERVES ON THE MCLEAN COUNTY WELLNESS COALITION AND LEADERSHIP COMMITTEE, A GROUP COMPRISED OF CAMPUS AND COMMUNITY ORGANIZATIONS WORKING TO PROMOTE HEALTHY EATING AND ACTIVE LIVING AND TO DECREASE OBESITY RATES. THE COALITION HAS BEEN IN PLACE SINCE 2011 AND PROMOTES THE ADOPTION OF HEALTHY LIFESTYLE POLICIES, SYSTEMS AND ENVIRONMENTAL (PSE) CHANGES. THE COALITION HAS HAD MANY SUCCESSES WITH FOUR NEW COMMUNITY GARDENS ESTABLISHED IN 2015, A WALK/BIKE TO SCHOOL DAY WITH 600 PARTICIPANTS AND A VEGGIE OASIS WHICH PROVIDES LOCALLY-GROWN PRODUCE DONATED BY THE FARMERS FROM THE DOWNTOWN BLOOMINGTON ASSOCIATE FARMERS MARKET TO LOW-INCOME NEIGHBORHOODS IN BLOOMINGTON. APPROXIMATELY 4,200 POUNDS OF PRODUCE WERE DISTRIBUTED TO 697 PEOPLE IN 2015. BROMENN MEDICAL CENTER OFFERS EXERCISE CLASSES, SCREENINGS, HEALTH EDUCATION PRESENTATIONS AND EVENTS TO THE COMMUNITY ON A RANGE OF TOPICS PERTINENT TO OVERALL PHYSICAL AND MENTAL HEALTH, AND HEALTHY LIFESTYLE CHANGES. IN 2015, APPROXIMATELY 166 COMMUNITY MEMBERS PER WEEK PARTICIPATED IN THE 15 YOGA, ZUMBA, BONE BUILDERS AND PILATES CLASSES OFFERED AT THE HOSPITAL. AS STATED IN THE 2014 IMPLEMENTATION PLAN PROGRESS REPORT, SEPARATE GROUP DIABETES SELF-MANAGEMENT EDUCATION CLASSES FOR PATIENTS OF THE COMMUNITY HEALTH CARE CLINIC (CHCC) WERE DISCONTINUED DUE TO LOW PARTICIPATION. IN 2015, APPROPRIATE PATIENTS OF THE CHCC WERE PROVIDED WITH THE OPPORTUNITY TO MEET INDIVIDUALLY WITH A BROMENN MEDICAL CENTER DIABETES EDUCATOR OR ATTEND A DIABETES EDUCATION CLASS AT THE HOSPITAL. TWO PATIENTS TOOK ADVANTAGE OF THE GROUP CLASS. NEEDS NOT SELECTED TO ADDRESS BROMENN MEDICAL CENTER DID NOT SELECT ORAL HEALTH, HEART DISEASE, CANCER OR LOW BIRTH WEIGHT AS KEY HEALTH ISSUES FOR THE REASONS IDENTIFIED BELOW. ORAL HEALTH ORAL HEALTH IS AN ISSUE FOR WHICH THE HOSPITAL HAS A LIMITED SPHERE OF INFLUENCE. BROMENN MEDICAL CENTER DOES NOT HAVE DENTAL RESIDENTS OR A MOBILE DENTAL VAN, BOTH OF WHICH COULD BE KEY COMPONENTS OF A SUCCESSFUL INTERVENTION. HOWEVER, THE EXISTING COLLABORATION WITH THE MCLEAN COUNTY PUBLIC HEALTH DEPARTMENT, THE HOSPITALS DELEGATE CHURCHES, LOCAL PRIMARY CARE PHYSICIANS, AREA DENTISTS AND THE COMMUNITY HEALTH CARE CLINIC MAY LESSEN THE ORAL HEALTH BURDEN IN THE COMMUNITY. ALTHOUGH ORAL HEALTH IS NOT ONE OF THE SELECTED KEY HEALTH PRIORITIES, BROMENN MEDICAL CENTER COLLABORATES WITH EIGHT OF ITS DELEGATE CHURCHES TO ASSIST THE COMMUNITY WITH ITS ORAL HEALTH NEEDS. A PROGRAM CALLED PARTNERS IN SMILING WAS CREATED IN 2012. THE PROGRAM CONSISTS OF DELEGATE CHURCHES COLLECTING DENTAL HYGIENE SUPPLIES. BROMENN MEDICAL CENTER DELIVERS THE SUPPLIES TO THE MCLEAN COUNTY PUBLIC HEALTH DEPARTMENT OR THE JOHN SCOTT HEALTH CLINIC WHERE THEY ARE GIVEN TO INDIVIDUALS IN NEED. SINCE ITS INCEPTION, APPROXIMATELY $5,234 IN DENTAL HYGIENE SUPPLIES HAVE BEEN COLLECTED AND DISTRIBUTED TO INDIVIDUALS IN NEED IN MCLEAN COUNTY. BROMENN MEDICAL CENTERS LEADERSHIP HAS ALSO MET ON SEVERAL OCCASIONS WITH THE MCLEAN COUNTY PUBLIC HEALTH DEPARTMENT, AND LOCAL DENTISTS AND ORAL SURGEONS TO DISCUSS THE ISSUE OF ACCESS TO DENTAL CARE FOR UNINSURED ADULTS IN MCLEAN COUNTY. ADDITIONALLY, THE HOSPITAL HAS HAD TWO STAFF MEMBERS SERVING ON THE MCLEAN COUNTY PUBLIC HEALTH DEPARTMENTS IPLAN ORAL HEALTH TASK FORCE SINCE 2012. IN 2015, BROMENN MEDICAL CENTERS COMMUNITY HEALTH MANAGER ALSO BEGAN ATTENDING MCLEAN COUNTYS UNITED WAY ORAL HEALTH STAKEHOLDERS MEETINGS. HEART DISEASE AND CANCER DESPITE THEIR PERVASIVENESS, HEART DISEASE AND CANCER WERE NOT SELECTED AS KEY HEALTH ISSUES. BROMENN MEDICAL CENTERS COMMUNITY HEALTH COUNCIL DETERMINED THAT SIGNIFICANT RESOURCES ARE ALREADY DEVOTED TO BOTH OF THESE ISSUES. IN PARTICULAR, THE COMMUNITY HAS AN EXCELLENT RESOURCE IN THE COMMUNITY CANCER CENTER, WHICH IS A JOINT VENTURE BETWEEN BROMENN MEDICAL CENTER AND OSF SAINT JOSEPHS MEDICAL CENTER. IN THE AREA OF HEART DISEASE, BROMENN MEDICAL CENTER SCREENED APPROXIMATELY 2,226 COMMUNITY MEMBERS FOR CHOLESTEROL, BLOOD PRESSURE AND/OR PERCENT OF BODY FAT IN 2015. IN ADDITION, APPROXIMATELY 2,736 HIGH SCHOOL STUDENTS WERE SCREENED THROUGH ADVOCATE FOR YOUNG HEARTS IN 2015. ADVOCATE FOR YOUNG HEARTS PROGRAM SCREENS LOCAL HIGH SCHOOL STUDENTS AT NO COST FOR UNIDENTIFIED GENETIC DISORDERS THAT PLACE THEM AT HIGH RISK FOR SUDDEN CARDIAC DEATH. LOW BIRTH WEIGHT INFANTS ALTHOUGH, LOW BIRTH WEIGHT WAS IDENTIFIED AS A HEALTH ISSUE IN MCLEAN COUNTY DATA, BROMENN MEDICAL CENTER DID NOT SELECT IT AS A SIGNIFICANT HEALTH NEED TO BE ADDRESSED. THE HOSPITAL HAS TAKEN STEPS TO ADDRESS THE ISSUE, HOWEVER, DUE TO THE FACT THAT THE PERCENT OF ELECTIVE INDUCTIONS WAS DEEMED TO BE HIGHER THAN WHAT WAS ACCEPTABLE TO THE HOSPITAL. IN OCTOBER 2011, A COLLABORATIVE EFFORT BEGAN BETWEEN BROMENN MEDICAL CENTER, OSF SAINT JOSEPHS MEDICAL CENTER, THE MARCH OF DIMES AND LOCAL PHYSICIANS. THE MARCH OF DIMES INITIATIVE OF NO ELECTIVE INDUCTIONS PRIOR TO 39 WEEKS WITHOUT MEDICAL NECESSITY BEGAN. IN 2012, BROMENN MEDICAL CENTER HAD ZERO ELECTIVE INDUCTIONS AT LESS THAN 39 WEEKS. A REVIEW OF LOW BIRTH WEIGHT DATA SHOWED THAT WOMEN HAVE SUFFICIENT ACCESS TO PRENATAL CARE IN BROMENNS PRIMARY SERVICE AREA AND THAT THIS INFORMATION IS BEING ENTERED INTO THE SYSTEM IN A TIMELY FASHION. THE ISSUE SEEMED TO BE THAT WOMEN WERE CHOOSING TO HAVE ELECTIVE INDUCTIONS OR ELECTIVE CAESAREAN-SECTIONS. IT WAS HYPOTHESIZED THAT THE MARCH OF DIMES INITIATIVE WOULD HAVE A POSITIVE IMPACT ON DECREASING THE NUMBER OF VERY LOW BIRTH WEIGHT (VLBW) BABIES. THE HOSPITAL SAW A 50 PERCENT REDUCTION IN THE NUMBER OF VLBW BABIES AT THE END OF THE FIRST REPORTING PERIOD FOLLOWING IMPLEMENTATION OF THE ELECTIVE INDUCTION INITIATIVE (FROM OCTOBER 2011 THROUGH SEPTEMBER 2012), AND ANOTHER 50 PERCENT REDUCTION FROM OCTOBER 2012 THROUGH SEPTEMBER 2013. THE HOSPITAL CURRENTLY REPORTS ON A CALENDAR YEAR FOR VLBW BABIES. THERE WERE FOUR VLBW BABIES IN 2013 OUT OF 1,576 LIVE BIRTHS. THIS EQUATES TO .21 PERCENT. IN 2014, THERE WERE SIX VLBW BABIES OUT OF 1,565 LIVE BIRTHS EQUATING TO .38 PERCENT. FOR BOTH 2013 AND 2014, THE PERCENTAGE OF VLBW BABIES IS WELL BELOW THE HEALTHY PEOPLE 2020 RECOMMENDATION OF <1.4 PERCENT. 2014-2016 CHNA COLLABORATIVE PARTNERSHIPS BROMENN MEDICAL CENTER IS WORKING COLLABORATIVELY WITH THE MCLEAN COUNTY HEALTH DEPARTMENT, OSF SAINT JOSEPHS MEDICAL CENTER AND THE UNITED WAY FOR ITS 2014-2016 CHNA. BOTH HOSPITALS HAVE SIMILAR TIMELINES FOR THEIR CHNAS. IN ORDER TO BEST SUPPORT THE PRIORITIZATION OF THE COMMUNITYS HEALTH NEEDS AND IMPLEMENTATION OF SUSTAINABLE PROGRAMS TO IMPROVE THE HEALTH OF THE COMMUNITY, THE HEALTH DEPARTMENT IS ADJUSTING THE ILLINOIS PROJECT FOR LOCAL ASSESSMENT OF NEED (IPLAN) COMMUNITY HEALTH PLAN AND NEEDS ASSESSMENT FOR MCLEAN COUNTYS 2012-2017 TIMELINE TO ALIGN WITH THAT OF THE HOSPITALS. THE GOAL OF THE COLLABORATIVE GROUPS EFFORTS IS TO ANALYZE DATA TOGETHER, IDENTIFY AND SELECT KEY HEALTH NEEDS, COMPOSE A JOINT REPORT AND WORK ON IMPACTFUL IMPLEMENTATION PLANS COLLECTIVELY FOR MCLEAN COUNTY. IN ADDITION TO THE MCLEAN COUNTY COMMUNITY HEALTH COUNCIL FORMED IN APRIL OF 2015, BROMENN MEDICAL CENTERS COMMUNITY HEALTH MANAGER ALSO SERVES ON THE UNITED WAY COLLECTIVE IMPACT STRATEGIC COUNCIL. UNITED WAY CONDUCTED A COMMUNITY ASSESSMENT IN 2014 AND SERVES AN IMPORTANT ROLE ON THIS MCLEAN COUNTY COMMUNITY HEALTH COUNCIL. ADVOCATE EUREKA HOSPITAL SIGNIFICANT NEED BEING ADDRESSED MENTAL HEALTH MENTAL HEALTH WAS CHOSEN AS A KEY HEALTH PRIORITY BY EUREKA HOSPITAL FOR THE 2011-2013 CHNA FOR SEVERAL REASONS. FIRST, ACCESS TO MENTAL HEALTH SERVICES IN WOODFORD COUNTY IS SEVERELY LIMITED DUE TO THE 2009 CLOSURE OF THE TAZWOOD WELLNESS CENTER SATELLITE FACILITY IN EUREKA, THUS CAUSING RESIDENTS TO LEAVE THE COUNTY TO FIND MENTAL HEALTH CARE. SECONDLY, THE RESULTS OF THE 2011 ILLINOIS PROJECT FOR LOCAL ASSESSMENT OF NEED (IPLAN) COMMUNITY HEALTH PLAN AND NEED ASSESSMENT FOR WOODFORD COUNTY SHOW A GROWING NEED FOR MENTAL HEALTH SERVICES IN WOODFORD COUNTY. FINALLY, PARTNERSHIPS WITH THE WOODFORD COUNTY HEALTH DEPARTMENT AND THE TAZWOOD WELLNESS CENTER STRONGLY SUPPORTED THE DECISION. AS OUTLINED IN THE CHNA IMPLEMENTATION PLAN FOR MENTAL HEALTH, IN JUNE OF 2014, ADVOCATE BROMENN MEDICAL CENTER, IN PARTNERSHIP WITH ADVOCATE EUREKA HOSPITAL, OFFERED AN EVIDENCE-BASED MENTAL HEALTH PROGRAM TO THE COMMUNITY ENTITLED MENTAL HEALTH FIRST AID. MENTAL HEALTH FIRST AID IS A NATIONALLY RECOGNIZED ADULT PUBLIC EDUCATION PROGRAM THAT TEACHES INDIVIDUALS HOW TO IDENTIFY, UNDERSTAND AND RESPOND TO THE SIGNS OF MENTAL ILLNESS AND SUBSTANCE ABUSE DISORDERS. CERTIFIED INSTRUCTORS TEACH PARTICIPANTS TO BECOME MENTAL HEALTH FIRST AIDERS. PARTICIPANTS LEARN ABOUT THE SIGNS AND SYMPTOMS OF ACUTE MENTAL HEALTH CRISES AND CHRONIC MENTAL HEALTH PROBLEMS, SUCH AS ANXIETY AND DEPRESSION. EUREKA HOSPITAL HAS COLLABORATED WITH BROMENN MEDICAL CENTER, WOODFORD COUNTY HEALTH DEPARTMENT, MCLEAN COUNTY CENTER FOR HUMAN SERVICES, CENTRAL ILLINOIS AREA HEALTH EDUCATION CENTER AND THE MCLEAN COUNTY HEALTH DEPARTMENT IN OFFERING THIS PROGRAM TO THE COMMUNITY. IN 2015, 380 COMMUNITY MEMBERS FROM MCLEAN AND WOODFORD COUNTIES WERE TRAINED IN MENTAL HEALTH FIRST AID. IN JANUARY 2015, THE FIRST EVER MENTAL HEALTH FIRST AID COURSE WAS HELD IN WOODFORD COUNTY AT THE ROANOKE MENNONITE CHURCH, WHICH IS PART OF THE DELEGATE CHURCH ASSOCIATION FOR ADVOCATE BROMENN MEDICAL CENTER AND ADVOCATE EUREKA HOSPITAL. IN APRIL 2015, A SECOND COURSE WAS HELD AT EUREKA COLLEGE WHICH IS A PARTNER OF EUREKA HOSPITAL. THE OUTCOMES MEASURED FOR ACCESS TO MENTAL HEALTH SERVICES INCLUDE THE NUMBER OF PATIENTS VISITING THE EUREKA HOSPITAL EMERGENCY ROOM WITH A BEHAVIORAL HEALTH RELATED DIAGNOSIS. THIS NUMBER HAS STEADILY DECREASED BY 24% FROM 2010 TO 2014, FROM 78 PATIENTS IN 2010 TO 59 PATIENTS IN 2014. POSITIVELY CONTRIBUTING TO THIS DECREASE IS THE COLLABORATION BETWEEN EUREKA HOSPITAL, THE WOODFORD COUNTY HEALTH DEPARTMENT AND THE TAZWOOD WELLNESS CENTER. PARTICIPANTS FROM THESE ENTITIES AND OTHER COMMUNITY ORGANIZATIONS FORM THE WOODFORD COUNTY HEALTH DEPARTMENT IPLAN MENTAL HEALTH SUBCOMMITTEE. AS A RESULT OF THE SUBCOMMITTEES EFFORTS, BEGINNING IN JANUARY 2013, THE TAZWOOD WELLNESS CENTER STAFF BEGAN OFFERING COUNSELING SERVICES ONE TIME PER WEEK AND PSYCHIATRIC SERVICES ONE TIME PER MONTH AT THE WOODFORD COUNTY HEALTH DEPARTMENT. TO ASSIST WITH REFERRALS TO THIS PROGRAM AND WITH EFFECTIVE COMMUNICATION, A EUREKA HOSPITAL SOCIAL WORKER COORDINATED EDUCATIONAL SESSIONS FOR LOCAL ADVOCATE MEDICAL GROUP PHYSICIANS AND THE MEDICAL STAFF SERVING EUREKA HOSPITALS EMERGENCY ROOM. THE HOSPITAL SOCIAL WORKER ALSO COORDINATED EDUCATIONAL SESSIONS FOR THE STAFF AT NURSING HOMES AND WITH WOODFORD COUNTY CLERGY AT DELEGATE CHURCHES. PROVIDING COUNSELING AND PSYCHIATRIC SERVICES AT THE WOODFORD COUNTY HEALTH DEPARTMENT HAS IMPROVED ACCESS TO MENTAL HEALTH SERVICES IN WOODFORD COUNTY. IN 2014, 106 RESIDENTS WERE ABLE TO ACCESS COUNSELING AND PSYCHIATRIC SERVICES WITHIN WOODFORD COUNTY, NO LONGER REQUIRING THEM TO TRAVEL OUTSIDE OF THE COUNTY TO RECEIVE TREATMENT. THIS NUMBER INCREASED TO 143 RESIDENTS IN 2015. SIGNIFICANT NEEDS NOT SELECTED TO ADDRESS OBESITY ADVOCATE EUREKA HOSPITAL DID NOT SELECT OBESITY AS A PRIORITY HEALTH NEED FOR THE HOSPITAL. THE CHNA TEAM DETERMINED THAT OBESITY IS BEING ADDRESSED BY THE WOODFORD COUNTY HEALTH DEPARTMENT AND ELECTED TO FOCUS ITS EFFORTS ON ONE MAJOR INITIATIVE GIVEN ITS RESOURCES ARE LIMITED AS A CRITICAL ACCESS HOSPITAL. THE HOSPITAL, HOWEVER, EMPLOYS NURSES IN ALL OF THE PUBLIC SCHOOLS IN WOODFORD COUNTY THAT CAN REINFORCE HEALTHIER EATING HABITS AND EXERCISE AMONG STUDENTS. ADDITIONALLY IN 2015, NUTRITION DAY WAS HELD BY HOSPITAL STAFF AT GOODFIELD AND CONGERVILLE ELEMENTARY SCHOOLS IN WOODFORD COUNTY. THE EVENT FOCUSED ON PROVIDING EDUCATION AND STATIONS ON HEALTHY SNACKS, MAKING A NUTRITIONAL MEAL, THE IMPORTANCE OF PHYSICAL ACTIVITY AND HAND HYGIENE. THERE WERE 300 STUDENTS IN ATTENDANCE. ORAL HEALTH ORAL HEALTH WAS THE SECOND HEALTH PRIORITY ISSUE THAT THE HOSPITALS COMMUNITY HEALTH COUNCIL DECIDED NOT TO ADDRESS. ORAL HEALTH IS A HEALTH NEED FOR WHICH THE HOSPITAL HAS LIMITED INFLUENCE. EUREKA HOSPITAL DOES NOT HAVE DENTAL RESIDENTS OR A MOBILE DENTAL VAN, BOTH OF WHICH COULD BE KEY COMPONENTS OF A SUCCESSFUL INTERVENTION. 2014-2016 CHNA COLLABORATIVE PARTNERSHIPS ADVOCATE EUREKA HOSPITAL IS WORKING COLLABORATIVELY WITH THREE HEALTH DEPARTMENTS FOR THE TRI-COUNTY MOBILIZING ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP) PROCESS; THE WOODFORD COUNTY HEALTH DEPARTMENT, PEORIA CITY/COUNTY HEALTH DEPARTMENT AND THE TAZEWELL COUNTY HEALTH DEPARTMENT. THE GOAL OF THE COLLABORATIVE IS TO IDENTIFY AND SELECT KEY HEALTH NEEDS, COMPOSE A TRI-COUNTY REPORT AND WORK ON IMPACTFUL IMPLEMENTATION PLANS COLLECTIVELY FOR THE TRI-COUNTY REGION. EUREKA HOSPITAL ALSO IS A MEMBER OF THE TRI-COUNTY COMMUNITY HEALTH COLLABORATIVE LED BY OSF ST. FRANCIS MEDICAL CENTER, WHICH CONSISTS OF THE FOLLOWING PARTNERS: OSF ST. FRANCIS MEDICAL CENTER, UNITY POINT METHODIST AND PROCTOR HOSPITALS, PEORIA CITY/COUNTY HEALTH DEPARTMENT, TAZEWELL COUNTY HEALTH DEPARTMENT, WOODFORD COUNTY HEALTH DEPARTMENT, HEART OF ILLINOIS UNITED WAY, HOPEDALE MEDICAL CENTER, PEKIN HOSPITAL AND HEARTLAND COMMUNITY HEALTH CENTER. THE REPORT FROM THIS COLLABORATIVE WILL SERVE AS ONE OF THE FOUR ASSESSMENTS REQUIRED FOR THE MAPP PROCESS. EUREKA HOSPITAL WILL BE DEVELOPING A SEPARATE REPORT FOCUSING ON WOODFORD COUNTY AND THE HEALTH PRIORITY OR PRIORITIES THE HOSPITAL WILL BE SELECTING FOR THE 2014-2016 CHNA. PART V, SEC B, LINE 13B N/A PART V, SEC 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. PART V, SEC B, LINE 15E N/A PART V, SEC B, LINE 16B AND 16C http://www.advocatehealth.com/financialassistance PART V, SEC B, LINE 16I ADVOCATE HEALTH AND HOSPITALS CORPORATION COMMUNICATES THE AVAILABILITY OF FINANCIAL ASSISTANCE IN THE APPLICABLE LANGUAGES OF THE HOSPITAL COMMUNITY. MEANS OF COMMUNICATION INCLUDE: 1. THE HEALTH CARE CONSENT THAT IS SIGNED UPON REGISTRATION FOR HOSPITAL SERVICES INCLUDES A STATEMENT THAT FINANCIAL COUNSELING, INCLUDIN PART V, SEC B, LINE 18D N/A PART V, SEC B, LINE 19D ADVOCATE HEALTH AND HOSPITALS CORPORATION DOES NOT PERFORM ACTIONS SUCH AS THOSE LISTED IN LINES 19A-C UNTIL REASONABLE EFFORTS HAVE BEEN MADE TO DETERMINE A PATIENT'S FAP ELIGIBILITY. PART V, SEC 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 "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. PART V, SEC B, LINE 21C N/A PART V, SEC B, LINE 21D N/A PART V, SEC B, LINE 22D THE MAXIMUM AMOUNT THAT CAN BE CHARGED TO AN FAP-ELIGIBLE PATIENT FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE IS BASED ON A SLIDING SCALE PERCENTAGE OF ANNUAL FAMILY INCOME WHICH IS TIED TO THE FPG FAMILY INCOME LIMIT APPLICABLE TO THE PATIENT. FOR A FAMILY WITH INCOME BETWEEN TWO AND THREE TIMES THE FEDERAL POVERTY LEVEL, THE MAXIMUM EXPECTED PAYMENT IS 5% OF ANNUAL FAMILY INCOME. FOR A FAMILY WITH INCOME BETWEEN THREE AND FOUR TIMES THE FEDERAL POVERTY LEVEL, THE MAXIMUM EXPECTED PAYMENT IS 10% OF ANNUAL FAMILY INCOME. FOR AN UNINSURED FAMILY WITH INCOME BETWEEN FOUR AND SIX TIMES THE FEDERAL POVERTY LEVEL, THE MAXIMUM EXPECTED PAYMENT IS 25% OF ANNUAL FAMILY INCOME. PART V, SEC B, LINE 23 FOR THE CURRENT TAX YEAR THERE WAS NO REQUIREMENT IN THE TAX LAW TO PROVIDE AN AGB DISCOUNT NOR TO DESCRIBE A METHOD TO CALCULATE IT. IN 2014, ADVOCATE UPDATED THE CHARITY CARE DISCOUNTS TO BE COMPLIANT WITH NEW STATE REGULATIONS ISSUED IN AUGUST 2013. THE ADVOCATE CHARITY CARE POLICY EXCEEDS THE STATE REQUIREMENTS IN TERMS OF THE AMOUNT OF CHARITY CARE PROVIDED TO UNINSURED PATIENTS, INSURED PATIENTS, AND PROVIDES FOR LOWER LIMITS ON THE ANNUAL MAXIMUM PAYMENTS FROM AN INDIVIDUAL OR FAMILY ALLOWED UNDER STATE REGULATIONS. FOR FY 2015, ADVOCATE FOLLOWED THIS POLICY UNTIL DECEMBER 1, 2015. AT THIS TIME, WE IMPLEMENTED THE 501(R)(5) POLICY AND THE IRS DEFINED METHOD TO CALCULATE THE AGB. WE HAVE LEARNED THAT IN SOME CASES PATIENTS WILL RECEIVE A MORE GENEROUS DISCOUNT USING THE AGB VERSUS THE IL STATE (COST TO CHARGE RATIO +35%) METHOD. PART V, SEC B, LINE 24 N/A 195 ABMC-BroMenn Outpatient Center 3024 E Empire Street Bloomington IL 61704 Patient Care - Out Patient ABMCAEH-HomeHospiceCommunity Health 407 E Vernon Normal IL 61761 Patient Care - Out Patient ABMCAEH-IL Heart & Lung Cardiology Assc 1302 Franklin Ave MOB 4500 Normal IL 61761 Patient Care - Out Patient ABMCAEH-Materials Management 1011-1015 E Lafayette St Bloomington IL 61701 Office - No Patient Care ABMCAEH-Mecherle Hall VA at Franklin Normal IL 61761 Office - No Patient Care ABMCAEH-Offc Building-Advocate Phys Ptr 3004 General Electric Road Bloomington IL 61704 Patient Care - Out Patient ABMCAEH-Community Healthcare Clinic 902 Franklin Ave Normal IL 61761 Patient Care - Out Patient ABMCAEH-Franklin Avenue Building 900 Franklin Ave Normal IL 61761 Patient Care - Out Patient ABMCAEH-Land (was apartment building) 702 W Virginia Normal IL 61761 Residential ABMCAEH-Medical Office Building 1302 Franklin Normal IL 61761 Patient Care - Out Patient ABMCAEH-POB Building 1300 Franklin Ave Normal IL 61761 Patient Care - Out Patient ABMCAEH Landmark Dr Location 207 Landmark Normal IL 61761 Office - Other ABMG-ABMG Central Billing Office 306 Eldorado Bloomington IL 61702 Office - No Patient Care ABMG-Crossroads Medical 128 W Main St Lexington IL 61753 Patient Care - Out Patient ABMG-Crossroads Medical 307 W Main St Lexington IL 61753 Patient Care - Out Patient ABMG-Crossroads Medical 385 S Orange St El Paso IL 61738 Patient Care - Out Patient ABMG-Fairbury Medical Associates 115 E Walnut Fairbury IL 61739 Patient Care - Out Patient ABMG-Healthpoint 1437 E College Ave Normal IL 61761 Patient Care - Out Patient ABMG-IL Heart & Lung Assc Pulmonologists 1302 Franklin Ave Normal IL 61761 Patient Care - Out Patient ABMG-Illinois Heart & Lung - Billing Off 1300 Franklin Ave Normal IL 61761 Patient Care - Out Patient ABMG-Illinois Heart & Lung - Pontiac Off 1508 W Reynolds Suite A Pontiac IL 61764 Patient Care - Out Patient ABMG-LeRoy Family Medicine 911 S Chestnut Leroy IL 61752 Patient Care - Out Patient ABMG-Medical Hills Internists 1401 Eastland Dr Bloomington IL 61701 Patient Care - Out Patient ABMG-Sugar Creek Medical I 1302 Franklin Ave Suite 1100 Normal IL 61761 Patient Care - Out Patient ABMG-Sugar Creek Medical II 1302 Franklin Ave Suite 2500 Normal IL 61761 Patient Care - Out Patient ABMG-Town & Country 105 S Major St Eureka IL 61530 Patient Care - Out Patient ABMG-Town & Country 415 W Front Roanoke IL 61561 Patient Care - Out Patient ABMG-Twin Cities Behavioral HealthEAP 303 N Hershey Rd Suite 2C Bloomington IL 61761 Patient Care - Out Patient ABMG-Twin Cities Behavioral HealthEAP 403 Virginia Ave Normal IL 61761 Patient Care - Out Patient ABMG-Twin Cities Behavioral HealthEAP 403 Virginia Ave 2nd Floor Normal IL 61761 Patient Care - Out Patient ACL-Lab Service Center 1775 Ballard Road LL Park Ridge IL 60068 Patient Care - Out Patient ACL-Lab Service Center 1870 West Galena Blvd Aurora IL 60506 Patient Care - Out Patient ACL-Lab Service Center 3048 N Wilton Lab Chicago IL 60657 Patient Care - Out Patient ACL-Lab Service Center - Parkside 1875 Dempster St Suite 504 Park Ridge IL 60068 Patient Care - Out Patient AHC-Beverly Health Facility-Walk-in-Care 9831 South Western Avenue Chicago IL 60643 Patient Care - Out Patient AHC-Burbank Health Facility 4901 West 79th Street Burbank IL 60459 Patient Care - Out Patient AHC- Evergreen Park Health Facility 1357 W 103rd Street Suites 100 Chicago IL 60643 Patient Care - Out Patient AHC-Evergreen Plaza - UM 9730 South Western Avenue Suite 73 Evergreen Park IL 60805 Patient Care - Out Patient AHC- Evergreen Peds 9730 South Western Avenue Suite 50 Evergreen Park IL 60805 Patient Care - Out Patient AHC-Frankfort AHC 328 N LaGrange Road Frankfort IL 60423 Patient Care - Out Patient AHC-Halsted & Blackhawk Health Facility 1460 N Halsted Avenue Chicago IL 60614 Patient Care - Out Patient AHC-Irving and Western 4025 North Western Avenue Chicago IL 60618 Patient Care - Out Patient AHC-Logan Square Health Facility 2511 North Kedzie Chicago IL 60647 Patient Care - Out Patient AHC-Oak Park - North Ave Health Facility 6434 West North Avenue Oak Park IL 60639 Patient Care - Out Patient AHC-Orland Square Health Center WALK-IN 29 Orland Square Drive Orland Park IL 60462 Patient Care - Out Patient AHC-Palos 7620 W 111th Street Palos Hills IL 60465 Patient Care - Out Patient AHC-Six Corners AHC 4211 North Cicero Suite 308 306 Chicago IL 60641 Patient Care - Out Patient AHC-South Holland 100 West 162nd Street South Holland IL 60473 Patient Care - Out Patient AHC-Southeast Health Facility 2301 East 93rd Street Suite 117 2 Chicago IL 60617 Patient Care - Out Patient AHC-Southwest Highway 11824 Southwest Highway Suites 135 Palos Heights IL 60463 Patient Care - Out Patient AHC-Sykes Health Center - WALK-IN CARE 2545-55 South Martin Luther King Dr Chicago IL 60616 Patient Care - Out Patient AHC-West Suburban - UM Office 3 Erie Court Oak Park IL 60439 Patient Care - Out Patient AIS-Advocate Imaging Specialists-Wilmett 114 Skokie Blvd Wilmette IL 60091 Patient Care - Out Patient AMG-87th & Greenwood 1111 E 87th Street Suite 900A Chicago IL 60619 Patient Care - Out Patient AMG- Des Plaines 701 Lee Street Suites LL 100 11 Des Plaines IL 60016 Patient Care - Out Patient AMG- Glenview 1255 Milwaukee Road Glenview IL 60025 Patient Care - Out Patient AMG- Heart and Vascular of Illinois 3118 N Ashland Avenue Chicago IL 60657 Patient Care - Out Patient AMG- Heart and Vascular of Illinois 5151 W 95th Street 2nd Floor Oak Lawn IL 60453 Patient Care - Out Patient AMG- Hyde Park 1301 E 47th Street Unit 2 Chicago IL 60615 Patient Care - Out Patient AMG- Hyde Park 1515 E 52nd Place Unit 5 Chicago IL 60615 Patient Care - Out Patient AMG- Lockport Primary Care 1206 E 9th Street Suite 210 Lockport IL 60441 Patient Care - Out Patient AMG- Mundelein Internal Medicine 550 N Lake Street Mundelein IL 60060 Patient Care - Out Patient AMG- Oak Lawn 4712 W 103rd Street Oak Lawn IL 60453 Patient Care - Out Patient AMG- Parkside Center 1875 W Dempster Street Suite 525 Park Ridge IL 60068 Patient Care - Out Patient AMG- Posen 2590 W Walter Zimny Drive Posen IL 60469 Patient Care - Out Patient AMG- Richton Park 4511 Sauk Trail Richton Park IL 60471 Patient Care - Out Patient AMG- Southeast Location 2301 E 93rd Street Suite 213 Chicago IL 60617 Patient Care - Out Patient AMG- Wauconda 224 Brown Street Wauconda IL 60522 Patient Care - Out Patient AMG- Metrodocs 431 Lakeview Court Mount Prospect IL 60056 Patient Care - Out Patient AMG- Alexian Brothers 800 Biesterfield Road Suite 645 Elk Grove Village IL 60007 Office - No Patient Care AMG- Alpine Family Medicine 350 Surryse Road Suite 100 Lake Zurich IL 60047 Patient Care - Out Patient AMG- Bartlett 1054 Norwood Lane Bartlett IL 60103 Patient Care - Out Patient AMG- Downers Grove 1341 Waren Avenue Downers Grove IL 60515 Patient Care - Out Patient AMG- Glenbrook 2551 Compass Drive Glenview IL 60026 Patient Care - Out Patient AMG- Hampshire 1000 S State Street Hampshire IL 60140 Patient Care - Out Patient AMG- Huntley 12151-12199 Regency Center Huntley IL 60142 Patient Care - Out Patient AMG- Island Lake 27979 Converse Road Island Lake IL 60042 Patient Care - Out Patient AMG- Lemont 6319 S Fairview Wesmont IL 60559 Patient Care - Out Patient AMG- Libertyville Winchester 1870 Winchester Road Suite 143 Libertyville IL 60048 Patient Care - Out Patient AMG-AMG Lincolwood 6540 N Lincoln Avenue Lincolnwwod IL 60712 Patient Care - Out Patient AMG-AMG Primary Care Specialists 150 N River Road Des Plaines IL 60016 Patient Care - Out Patient AMG-AMG Pulaski 10627 S Pulaski Chicago IL 60655 Patient Care - Out Patient AMG-AMG Riverside 7234 W Ogden Avenue Downers Grove IL 60515 Patient Care - Out Patient AMG-AMG Swedish Covenant 5140 N California Ave Suite 505 Chicago IL 60625 Patient Care - Out Patient AMG-AMG-Chicago-900 W Nelson 900 W Nelson 1st Floor Chicago IL 60657 Patient Care - Out Patient AMG-Amundsen School Based Health Center 5110 N Damen Avenue Rm 307 Chicago IL 60625 Patient Care - Out Patient AMG-Center for Advanced Cardiology 1875 Dempster Suite 580 585 590 Park Ridge IL 60068 Patient Care - Out Patient AMG-Doctors of the North Shore 6131 W Dempster Street Morton Grove IL 60053 Patient Care - Out Patient AMG-Doctors Office 3040 North Wilton Chicago IL 60657 Patient Care - Out Patient AMG-Downers Grove Internists 3825 Highland Avenue Suite 5B Downers Grove IL 60515 Patient Care - Out Patient AMG-Family Practice - Arlington Heights 825 East Golf Road Arlington Heights IL 60005 Patient Care - Out Patient AMG-Family Practice at Ravenswood 4600 N Ravenswood Avenue Chicago IL 60640 Patient Care - Out Patient AMG-Gartner Dentistry Building 811 West Wellington Avenue Chicago IL 60657 Patient Care - Out Patient AMG-Grand Oaks Health Center Hollister 1800 Hollister Drive Suite G2 Libertyville IL 60048 Patient Care - Out Patient AMG-Great Lakes REIT (GLR) Int Medicine 27790 West Highway 22 Bldg 1 Sui Barrington IL 60010 Patient Care - Out Patient AMG-Illinois Masonic Physician Group 4211 N Cicero Suite 300 Chicago IL 60641 Patient Care - Out Patient AMG-Internal Medicine - Buffalo Grove 214 McHenry Road Suites B19 B20 Buffalo Grove IL 60089 Patient Care - Out Patient AMG-Ivy Physicians Group 2437 N Southport Avenue 1st Floor Chicago IL 60614 Patient Care - Out Patient AMG-Lakeview School Based Health Center 4015 N Ashland Avenue Rm 103 Chicago IL 60657 Patient Care - Out Patient AMG-Libertyville Office Building AMG 716 S Milwaukee Avenue Libertyville IL 60048 Patient Care - Out Patient AMG-Medical Office Building 3000 North Halsted Street Suites 2 Chicago IL 60657 Patient Care - Out Patient AMG-MCCAMG Cicero 10837 S Cicero Ave Suite 200 110 Oak Lawn IL 60453 Patient Care - Out Patient AMG-MCCAMG Hickory Cardiac Care 3611 W 183rd Street Hazel Crest IL 60429 Patient Care - Out Patient AMG-MCCAMG Ravinia 14741 Ravinia Drive Orland Park IL 60467 Patient Care - Out Patient AMG-MCCAMG Ridgeland 9830 S Ridgeland Avenue Chicago Ridge IL 60415 Patient Care - Out Patient AMG-MCCAMG South Suburban POB 17850 S Kedzie Ave Suite 3250 Hazel Crest IL 60429 Patient Care - Out Patient AMG-MCCAMG Trinity POB 2301/2315 E 93rd St Suite 222 Chicago IL 60617 Patient Care - Out Patient AMG-MCC St James POB 3800 Burke Drive Suite 201 Olympia Fields IL 60449 Patient Care - Out Patient AMG-Midwest Heart SpecialistsBarrington 27750 W Highway 22 Suite 240 Barrington IL 60010 Patient Care - Out Patient AMG-Midwest Heart SpecialistsDowners Gr 3825 Highland Ave Suite 400 Downers Grove IL 60515 Patient Care - Out Patient AMG-Midwest Heart Specialists Elmhurst 133 E Brush Hill Rd Suite 202 Elmhurst IL 60126 Patient Care - Out Patient AMG-Midwest Heart SpecialistsHoffman Es 1555 Barrington Rd Suite 3200 Hoffman Estates IL 60194 Patient Care - Out Patient AMG-Midwest Heart SpecialistsNaperville 801 S Washington 4th Floor Naperville IL 60540 Patient Care - Out Patient AMG-Midwest Heart Specialists Winfield 25 N Winfield Rd Suite 301 Winfield IL 60190 Patient Care - Out Patient AMG-Midwest Pediatric Cardiolog Billing 621 Plainfield Road Suite 105 Willowbrook IL 60527 Office - No Patient Care AMG-Midwest Pediatric Cardiology Aurora 2020 Ogden Avenue Suite 400 Aurora IL 60504 Patient Care - Out Patient AMG-Midwest Pediatric Cardiology Christ 4440 W 95th Street Suite 108 Oak Lawn IL 60453 Patient Care - Out Patient AMG-Midwest Pediatric Cardiology Crest 16151 Weber Road Unit 107 Crest Hill IL 60403 Patient Care - Out Patient AMG-Midwest Pediatric Cardiology Hope 4440 W 95th St Suite 1100H Oak Lawn IL 60453 Patient Care - Out Patient AMG-Midwest Pediatric CardiologyLockprt 1206 9thStreet Suite 310 Lockport IL 60441 Patient Care - Out Patient AMG-Midwest Pediatric Cardiology Merril 209 E 86th Place Suite D Merrillville IN 46410 Patient Care - Out Patient AMG-Midwest Pediatric Cardiology MHS 1555 Barrington Rd Suite 3200 Hoffman Estates IL 60169 Patient Care - Out Patient AMG-Midwest Pediatric CardiologyMunster 800 MacArthur Blvd Suite 3 Munster IN 46321 Patient Care - Out Patient AMG-Midwest Pediatric CardiologyNapervl 1020 E Ogden Ave Suite 302 Naperville IL 60563 Patient Care - Out Patient AMG-Midwest Pediatric Cardiology Oak Ln 4700 W 95th Street Suite 205 Oak Lawn IL 60453 Patient Care - Out Patient AMG-Midwest Pediatric CardiologyRockfd 5701 Strathmoor Dr Suite 1 3 Rockford IL 61107 Patient Care - Out Patient AMG-Park Ridge Pediatric Nephrology 1480 Renaissance Dr Suite 211 Park Ridge IL 60068 Patient Care - Out Patient AMG-PEDS - Deerfield 720 Osterman Avenue 103 Deerfield IL 60015 Patient Care - Out Patient AMG-Ravenswood Medical Group 1945 W Wilson Avenue Ste 2100 4 Chicago IL 60640 Patient Care - Out Patient AMG-Tinley Park Medical Office 16750 South 80th Avenue Suite B Tinley Park IL 60477 Patient Care - Out Patient AMG- Orland Park Clinic & Orland Park SC 9550 W 167th Street Orland Park IL 60467 Patient Care - Out Patient AMG-Chicago (Medicine & Surgery) AMG 11250 S Western Chicago IL 60643 Patient Care - Out Patient AMG-Olympia Fields AMG 4001 Vollmer Road Olympia Fields IL 60461 Patient Care - Out Patient AMG-Olympia Fields Cancer Care Institute 3700 W 203rd Street Olympia Fields IL 60461 Patient Care - Out Patient AMG-Olympia Fields Corporate & Physical 20110 Governors Highway Olympia Fields IL 60461 Patient Care - Out Patient BH-POB Building 3410 West Van Buren Chicago IL 60624 Patient Care - Out Patient BH-POB Building 414 South Homan Chicago IL 60624 Patient Care - Out Patient CH-ACMC - Outpatient Center Lockport 1206 E 9th Street Suites 110 170 Lockport IL 60441 Patient Care - Out Patient CH-Advocate PTOT (Christ) 12340-50 S Harlem Avenue Palos Heights IL 60463 Patient Care - Out Patient CH-Ambulatory Building 4440 West 95th Street Oak Lawn IL 60453 Patient Care - In Patient CH-Breast Health Center 4545 W 103rd Street Oak Lawn IL 60453 Patient Care - Out Patient CH-Christ POB 4400 West 95th Street Suites 101 Oak Lawn IL 60453 Patient Care - Out Patient CH-Christ Women's Health Center 18210 South LaGrange Road Suite 20 Tinley Park IL 60477 Patient Care - Out Patient CH-Development Center 4546 West 95th Street Oak Lawn IL 60453 Patient Care - Out Patient CH-Family Practice 4140 West Southwest Highway Hometown IL 60456 Patient Care - Out Patient CH-High Tech Offices - Hospital 11800 Southwest Highway Palos Heights IL 60463 Patient Care - Out Patient CH-Physician's Offices 11745 Southwest Highway Palos Heights IL 60463 Patient Care - Out Patient CH-Physician's Offices 4151 Naperville Road Lisle IL 60532 Patient Care - Out Patient CH-Physician's Offices 9848 South Roberts Road Palos Heights IL 60465 Patient Care - Out Patient CH-Rotunda Medical Building 4340 West 95th Street Suite 104 Oak Lawn IL 60453 Patient Care - Out Patient FCN-Bolingbrook Quadrangle Building C 391 Quadrangle Drive N-4 Bolingbrook IL 60440 Patient Care - Out Patient GSAM-ADVOCATE GOOD SAMARITAN HOSPITAL OP 6840 Main Street 1st Floor Suite Downers Grove IL 60515 Patient Care - Out Patient GSAM-Good Samaritan Hospital Cancer Care 3745 Highland Avenue Downers Grove IL 60515 Patient Care - In Patient GSAM-Good Samaritan POB Tower 1 3825 Highland Avenue Suites 2J 4H Downers Grove IL 60515 Patient Care - Out Patient GSAM-Good Samaritan POB Tower 2 3825 Highland Avenue Suites 103 1 Downers Grove IL 60515 Patient Care - Out Patient GSAM-Lemont Walk In ClinicRadiology 15900 W 127th Street Suites 100 Lemont IL 60439 Patient Care - Out Patient GSAM-Midwest Center For Day Surgery 3811 Highland Avenue Downers Grove IL 60515 Patient Care - Out Patient GSAM-North Pavilion 3743 Highland Avenue Downers Grove IL 60515 Patient Care - Out Patient GSAM-Woodridge Imaging Center 7530 Woodward Avenue Woodridge IL 60517 Patient Care- Out Patient GSAM-Good Samaritan Wellness Center 3551 Highland Avenue Downers Grove IL 60515 Patient Care - Out Patient GSH-Advocate Adult & Pediatric Rehab Ctr 5150 Northwest Highway Crystal Lake IL 60014 Patient Care - Out Patient GSH-Briarwood Building 2272 Countyline Road Suites 100 2 Algonquin IL 60102 Patient Care - Out Patient GSH-Good Shepherd OP Ctr & Imaging Ctr 525 Congress Parkway 1st Floor 2 Crystal Lake IL 60014 Patient Care - Out Patient GSH-Good Shepherd POB Building 1 27790 West Highway 22 Suite 2 5 Barrington IL 60010 Patient Care - Out Patient GSH-Good Shepherd POB Building 2 27750 West Highway 22 SuiteS G50 Barrington IL 60010 Patient Care - Out Patient GSH-Imaging Center 2284 W Countyline Road Algonquin IL 60014 Patient Care - Out Patient GSH-LZ Breast Imaging CTR Pediatric CTR 350 Surryse Road Suites 140 150 Lake Zurich IL 60047 Patient Care - Out Patient GSH-North Suburban Clinic 2575 Algonquin Road Algonquin IL 601029403 Patient Care - Out Patient GSH-Advocate GSH Health & Fitness Ctr 1301 South Barrington Road Barrington IL 60005 Patient Care - Out Patient LGHS-Parkside Center 1875 Dempster Street Park Ridge IL 60068 Patient Care - Out Patient LGHS-Nesset Health Center 1775 Ballard Road Park Ridge IL 60068 Patient Care - Out Patient LGHS-Yacktman Children's Pavillion 1675 Dempster Street Park Ridge IL 60068 Patient Care - Out Patient LGHS-CTR for Advanced Care 1700 Lutheran Lane Park Ridge IL 60068 Patient Care - Out Patient LGHS-Adult Down Syndrome Clinic 1610 Luther Lane Park Ridge IL 60068 Patient Care - Out Patient LGHS-Cardiac Risk 8820 Dempster Street Park Ridge IL 60068 Patient Care - Out Patient LGHS-East Pavillion (Old Science Bldg) 1775 Western Avenue Park Ridge IL 60068 Patient Care - Out Patient LGHS-Vacant 1999 Dempster Street Park Ridge IL 60068 Patient Care - Out Patient LGHS-Golf Surgical Center 8901 Golf Road Des Plaines IL 60016 Patient Care - Out Patient OHC-Downers Grove Center 3551 Highland Avenue Suite 200 Downers Grove IL 60515 Patient Care - Out Patient OHC-Elk Grove Center 1502 Elmhurst Road Elk Grove Village IL 60007 Patient Care - Out Patient OHC-Hazel Crest Center 17850 South Kedzie Avenue Suite 11 Hazel Crest IL 60429 Patient Care - Out Patient OHC-Lake Zurich Center 350 Surryse Road Lake Zurich IL 60047 Patient Care- Out Patient OHC-LGOHC-I 7255 Caldwell Niles IL 60714 Patient Care - Out Patient OHC-Tinley Park Center - Occ Health 18210 South LaGrange Road Suite 21 Tinley Park IL 60477 Patient Care - Out Patient SSHS-Frankfort Medical Office 20325 South Graceland Lane Frankfort IL 60423 Patient Care - Out Patient SSHS-South Suburban Hospital - Crete loc 1024-1036 E Steger Road 4 Suites Crete IL 60417 Patient Care- Out Patient SSHS-South Suburban Hospital Cancer Ctr 17750 S Kedzie Hazel Crest IL 60429 Patient Care - Out Patient SSHS-South Suburban Med Offc & Sleep Ctr 16532 Oak Park Avenue Suite LL1 Tinley Park IL 60477 Patient Care - Out Patient SSHS-South Suburban POB 17850 South Kedzie Suites LL 1 2 Hazel Crest IL 60429 Patient Care - Out Patient TH-Sleep Center 1111 E 87th Street Suite 500 Chicago IL 60617 Patient Care- Out Patient TH-Trinity POB 2301-2315 East 93rd StreetSuites 1 Chicago IL 60617 Patient Care - Out Patient TH-Wound Care Clinic 8751 S Greenwood Suite600 100 Chicago IL 60619 Patient Care- Out Patient Advanced MRI (AMRI) 2204 Eastland Drive Suite 200 Bloomington IL 61701 Patient Care - Out Patient AMG ELGIN 1710 RANDALL RD 1710 RANDALL RD SUITE 200 ELGIN IL 60123 PATIENT CARE - OUT PATIENT ABMC-AEH-COMMUNITY CANCER CTR-CYBERKNIFE 407 E VERNON NORMAL IL 61761 PATIENT CARE - OUT PATIENT 1. REQUIRED DESCRIPTIONS PART I, LINE 3C N/A 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 VI, LINE 1 - 7E ADVOCATE HEALTH & HOSPITALS CORPORATION PROVIDES COMMUNITY HEALTH IMPROVEMENT SERVICES TO THE COMMUNITIES IN WHICH IT SERVES. AHHC PROVIDES LANGUAGE SERVICES TO ALL THOSE IN NEED IN ORDER TO PROVIDE BETTER ACCESS TO CARE FOR ALL COMMUNITY MEMBERS. IN ADDITION, OTHER PROGRAMS ARE CARRIED OUT WITH THE EXPRESS PURPOSE OF IMPROVING COMMUNITY HEALTH, ACCESS TO HEALTH SERVICES AND GENERAL HEALTH KNOWLEDGE. THESE SERVICES DO NOT GENERATE PATIENT BILLS, HOWEVER, CERTAIN PROGRAMS OR SERVICES MAY HAVE NOMINAL FEES. THESE SERVICES AND PROGRAMS INCLUDE SENIOR BREAKFAST CLUBS WHICH INCLUDE EDUCATIONAL SPEAKERS FOCUSING ON HEALTH AND WELLNESS AND INCLUDE BLOOD PRESSURE SCREENINGS; CANCER SUPPORT GROUPS FOR VARIOUS TYPES OF CANCER, INCLUDING PROSTATE, BREAST AND SKIN CANCERS. THESE GROUPS FOCUS ON EDUCATING THE NEWLY DIAGNOSED AND PROVIDING INFORMATION ON BETTER LIVING FOR SURVIVORS. SKIN CANCER SCREENING ARE ALSO PROVIDED; VARIOUS PROGRAMS REGARDING JOINT PAIN AND REPLACEMENT INCLUDING TREATMENT OPTIONS AND INFORMATION ON PAIN RELIEF; VARIOUS WOMEN AND BABY, BREASTFEEDING, MULTIPLES AND CHILDBIRTH CLASSES; VARIOUS EDUCATIONAL PROGRAMS AND SUPPORT GROUPS TO RAISE AWARENESS OF HEART DISEASE RISK FACTORS AND TREATMENT OPTIONS AND EDUCATION FOR LIVING WITH THE DISEASE; THERE ARE VARIOUS PROGRAMS REGARDING HEALTH EATING AND THE RISKS OF BEING OVERWEIGHT FOR BOTH ADULTS AND ADOLESCENTS. THESE PROGRAMS INCLUDE SCREENING, EDUCATION AND OPTIONS FOR DEALING WITH THE ISSUE; PROGRAMS RELATED TO SPORTS MEDICINE AND ATHLETIC TRAINING AND INJURIES ARE ALSO OFFERED; CPR TRAINING IS OFFERED TO THE COMMUNITY AS WELL AS VARIOUS OTHER WELLNESS AND SCREENING PROGRAMS AND HEALTH FAIRS ARE OFFERED THROUGHOUT THE YEAR. CAREER COUNSELING, MENTORING AND JOB SHADOWING ARE ALSO OFFERED TO STUDENTS WHO EXPLORE CAREER POSSIBILITIES IN HEALTH CARE. CERTAIN OF THESE PROGRAMS ARE GEARED TO THE LOW INCOME AND DIVERSE STUDENT POPULATIONS. PART I, LINE 7G ADVOCATE HEALTH & HOSPITALS CORPORATION PROVIDES SUBSIDIZED HEALTH SERVICES TO THE COMMUNITY. THESE SERVICES ARE PROVIDED DESPITE CREATING A FINANCIAL LOSS FOR AHHC. THESE SERVICES ARE PROVIDED BECAUSE THEY MEET AN IDENTIFIED COMMUNITY NEED. IF AHHC DID NOT PROVIDE THE CLINICAL SERVICE, IT IS REASONABLE TO CONCLUDE THAT THESE SERVICES WOULD NOT BE AVAILABLE TO THE COMMUNITY. THE SERVICES INCLUDED ARE BOTH INPATIENT AND OUTPATIENT PROGRAMS FOR, MENTAL, BEHAVIORAL AND CHEMICAL DEPENDENCY HEALTH SERVICES, REHABILITATION SERVICES, CARDIAC SURGERY, ORTHOPEDIC AND HOSPICE SERVICES. PART I, LINE 7H AHHC CONDUCTS NUMEROUS RESEARCH ACTIVITIES FOR THE ADVANCEMENT OF MEDICAL AND HEALTH CARE SERVICES. HOWEVER, THE UNREIMBURSED COST OF SUCH RESEARCH ACTIVITIES IS NOT READILY DETERMINABLE AND NO AMOUNT IS BEING REPORTED FOR PURPOSES OF THE 2015 FORM 990, SCHEDULE H. PART I, LINE 7, COLUMN (F) $148,548,619 OF BAD DEBT EXPENSE WAS INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT WAS REMOVED FROM THE DENOMINATOR FOR PURPOSES OF SCHEDULE H, PART I, LINE 7, COLUMN (F). PART II N/A PART III, LINES 2, 3, AND 4 THE FOOTNOTES TO ADVOCATE HEALTH CARE NETWORK AND SUBSIDIARIES' AUDITED FINANCIAL STATEMENTS DO NOT SPECIFICALLY ADDRESS BAD DEBT EXPENSE; RATHER, THE FOOTNOTE DESCRIBES ADVOCATE'S PATIENT ACCOUNTS RECEIVABLE POLICY AND THE PERCENTAGE OF ACCOUNTS RECEIVABLE THAT THE ALLOWANCE FOR DOUBTFUL ACCOUNTS COVERS (SEE PAGE 11 OF THE AUDITED FINANCIAL STATEMENTS). FOR 2015, FOR AHHC, THE ALLOWANCE FOR DOUBTFUL ACCOUNTS COVERED 24.78% OF NET PATIENT ACCOUNTS RECEIVABLE. PATIENT ACCOUNTS RECEIVABLE ARE STATED AT NET REALIZABLE VALUE. AHHC EVALUATES THE COLLECTABILITY OF ITS ACCOUNTS RECEIVABLE BASED ON THE LENGTH OF TIME THE RECEIVABLE IS OUTSTANDING, PAYER CLASS, HISTORICAL COLLECTION EXPERIENCE, AND TRENDS IN HEALTH CARE INSURANCE PROGRAMS. ACCOUNTS RECEIVABLE ARE CHARGED TO THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS WHEN THEY ARE DEEMED UNCOLLECTIBLE. THE COSTING METHODOLOGY USED IN DETERMINING THE AMOUNTS REPORTED ON LINES 2 AND 3 IS BASED ON THE RATIO OF PATIENT CARE COST TO CHARGES. THE UNREIMBURSED COST OF BAD DEBT WAS CALCULATED BY APPLYING THE ORGANIZATION'S COST TO CHARGE RATIO FROM THE MEDICARE COST REPORTS (CMS 2252-96 WORKSHEET C, PART 1, PPS INPATIENT RATIOS) TO THE ORGANIZATION'S BAD DEBT PROVISION PER GENERALLY ACCEPTED ACCOUNTING PRINCIPLES, LESS ANY PATIENT OR THIRD PARTY PAYOR PAYMENTS RECEIVED. ADVOCATE MAKES EVERY EFFORT TO IDENTIFY THOSE PATIENTS WHO ARE ELIGIBLE FOR FINANCIAL ASSISTANCE BY STRICTLY ADHERING TO ITS FINANCIAL ASSISTANCE POLICY. WE BELIEVE THAT ADVOCATE HAS A POPULATION OF PATIENTS WHO ARE UNINSURED OR UNDERINSURED BUT WHO DO NOT COMPLETE THE FINANCIAL ASSISTANCE APPLICATION. THE ESTIMATED AMOUNT OF BAD DEBT EXPENSE (AT COST) WHICH COULD BE REASONABLY ATTRIBUTABLE TO PATIENTS WHO WOULD LIKELY QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY, IF SUFFICIENT INFORMATION HAD BEEN AVAILABLE TO MAKE A DETERMINATION OF THEIR ELIGIBILITY, WAS BASED UPON SELF PAY PATIENT ACCOUNTS WHICH HAD AMOUNTS WRITTEN OFF TO BAD DEBTS. OUR METHOD WAS TO BEGIN WITH THE SELF-PAY PORTION OF BAD DEBT EXPENSE PROVISION. THE SELF-PAY PORTION EXCLUDES THOSE PATIENTS WHO HAD 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 20% DISCOUNT TO CHARGES WHICH IS APPLIED TO ALL SELF-PAY PATIENTS. IT ALSO DOES NOT INCLUDE ACCOUNT BALANCES OR CO-PAYS OF NON-SELF PAY ACCOUNTS WHICH ARE WRITTEN OFF TO BAD DEBT WHEN THE PATIENT HAS NO OTHER FINANCIAL RESOURCES TO PAY THESE AMOUNTS AND THE PATIENT DOES NOT APPLY FOR FINANCIAL ASSISTANCE. BAD DEBT AMOUNTS HAVE BEEN EXCLUDED FROM OTHER COMMUNITY BENEFIT AMOUNTS REPORTED THROUGHOUT SCHEDULE H. PART III, LINE 8 THE SHORTFALL OF $144,397,737 ON PART III, LINE 7 IS THE UNREIMBURSED COST OF PROVIDING SERVICES FOR MEDICARE PATIENTS AND SHOULD BE TREATED AS COMMUNITY BENEFIT BECAUSE PROVIDING THESE SERVICES WITHOUT REIMBURSEMENT LESSENS THE BURDENS OF GOVERNMENT OR OTHER CHARITIES THAT WOULD OTHERWISE BE NEEDED TO SERVE THE COMMUNITY. FOR ADVOCATE HEALTH AND HOSPITALS CORPORATIONS OPERATIONS, THE UNREIMBURSED COST OF MEDICARE WAS CALCULATED BY APPLYING THE ORGANIZATIONS 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 ORGANIZATIONS MEDICARE, LESS ANY PATIENT OR THIRD PARTY PAYOR PAYMENTS AND/OR CONTRIBUTIONS RECEIVED THAT WERE DESIGNATED FOR THE PAYMENT OF MEDICARE PATIENT BILLS. PART III, LINE 9B ADVOCATE HEALTH AND HOSPITALS CORPORATION MAINTAINS BOTH WRITTEN FINANCIAL ASSISTANCE AND BAD DEBT/COLLECTION POLICIES. THE BAD DEBT/COLLECTION POLICY DOES NOT APPLY TO THOSE PATIENTS KNOWN TO QUALIFY FOR CHARITY CARE OR OTHER FINANCIAL ASSISTANCE, THEREFORE SUCH PATIENTS ARE NOT SUBJECT TO COLLECTION PRACTICES. 2. NEEDS ASSESSMENT ADVOCATE CHRIST MEDICAL CENTER IN ADDITION TO IDENTIFYING ITS COMMUNITYS HEALTH CARE NEEDS THROUGH ITS CHNA, ACMC ALSO ASSESSES THE NEEDS OF ITS COMMUNITY THROUGH ONGOING COLLABORATIONS WITH: * LOCAL FAITH-BASED ORGANIZATIONS-PROVIDING SCREENINGS AND EDUCATIONAL OPPORTUNITIES DIRECTLY TO CONGREGATIONS AS REQUESTED; * SCHOOL SYSTEMS (CHICAGO AND SUBURBAN)-WORKING WITH CPS AND SUBURBAN SCHOOL DISTRICTS TO DETERMINE HEALTH NEEDS SEEN MOST OFTEN BY SCHOOL HEALTH PROVIDERS; PROVIDING HOSPITAL EXPERTS FOR COMMUNITY SPEAKING ENGAGEMENTS AND PROFESSIONAL EDUCATION OPPORTUNITIES; * SCHOOL NURSES-PROVIDING ANNUAL SCHOOL NURSES CONFERENCE TO UPDATE FRONT-LINE PROVIDERS ON LATEST TREATMENT OPTIONS AND HEALTH CONDITIONS AFFECTING THEIR STUDENTS. SUBSEQUENT YEARS CONFERENCE TOPICS ARE DETERMINED BY EVALUATIONS FROM PREVIOUS CONFERENCE ATTENDEES WHO REQUEST TOPICS BASED ON FREQUENCY OF ISSUES AFFECTING THEIR STUDENTS; * CIVIC GROUPS (ROTARY, OAK LAWN COMMUNITY PARTNERSHIP)-THE HEALTHCARE ROTARY IS BASED AT CHRIST MEDICAL CENTER. MOST MEMBERS ARE ACMC ASSOCIATES (EMPLOYEES). THE GROUP LOOKS FOR OPPORTUNITIES FOR THE MEDICAL CENTER AND ITS ASSOCIATES TO PARTICIPATE IN HEALTH-FOCUSED COMMUNITY PROJECTS; * PATIENT-FAMILY ADVISORY COUNCILS-COMMUNITY MEMBERS HAVING FIRST-HAND EXPERIENCE WITH HOSPITAL SERVICES COMPRISE THE COUNCIL. AS PART OF THEIR PARTICIPATION, THEY ARE CONSULTED ON SERVICES PROVIDED AND THOSE TO BE CONSIDERED. ADVOCATE LUTHERAN GENERAL HOSPITAL ADVOCATE LUTHERAN GENERAL HOSPITAL ASSESSES THE NEEDS OF ITS COMMUNITIES IN MULTIPLE WAYS INCLUDING EVALUATION OF COMMUNITY HEALTH EVENTS, PATIENT ROUNDING AND CAREGIVER INTERACTIONS, MIDAS PATIENT COMPLAINT REPORTING, ACCREDITATION SURVEY REPORTS, PATIENT SURVEYS, LEADERSHIP PARTICIPATION IN COMMUNITY ORGANIZATIONS, INPUT BY CARE MANAGERS WHO ARE HELPING PATIENTS AND FAMILIES TRANSITION FROM HOSPITAL TO HOME, DELIBERATIONS OF THE HOSPITALS COUNCILS OF ADVISORS, AND COMMENTS RECEIVED THROUGH LETTERS, PHONE CALLS AND SOCIAL MEDIA POSTS. IN ADDITION, MORE FORMAL PRIMARY DATA COLLECTION HAS BEEN A PART OF THE HEALTHIER PARK RIDGE SURVEY AND PROJECT AND HEALTHIER NILES SURVEY AND PROJECT (2014), THE KOREAN COMMUNITY ASSESSMENT NOTED UNDER #11 ABOVE, AND IN 2015, THE HEALTHIER DES PLAINES AREA SURVEY AND PROJECT. HEALTHIER DES PLAINES AREA SURVEY AND PROJECT AS NOTED, SIMILAR TO THE HEALTHIER PARK RIDGE AND NILES SURVEYS AND PROJECTS IN 2013 AND 2014 RESPECTIVELY, ADVOCATE LUTHERAN GENERAL HOSPITAL CHAIRED THE HEALTHIER DES PLAINES AREA SURVEY AND PROJECT IN 2015. WITH OVER 30 PARTICIPATING ORGANIZATIONS, THIS COALITION MET CONSISTENTLY THROUGHOUT 2015 TO ADAPT THE SURVEY TO THE UNIQUE NEEDS OF THE DES PLAINES AREA. THE COALITION WAS COMPRISED OF MULTIPLE STAKEHOLDERS INCLUDING REPRESENTATIVES FROM LOCAL GOVERNMENT, POLICE/FIRE/PARAMEDICS, COMMUNITY-BASED AGENCIES, FAITH COMMUNITIES AND SCHOOLS. THE SURVEY WAS COMPLETED IN 2015 WITH DISTRIBUTION AND ANALYSIS TO TAKE PLACE IN 2016. ADVOCATE GOOD SAMARITAN HOSPITAL GOOD SAMARITAN HOSPITAL HAS BEEN ACTIVELY PARTICIPATING IN THE IMPACT DUPAGE STEERING COMMITTEE, WHICH IDENTIFIES AND ADDRESSES THE COUNTYS HEALTH NEEDS THROUGH VARIOUS PARTNERSHIPS AND PROGRAMS. IMPACT DUPAGES TARGET COMMUNITIES OVERLAP WITH THE HOSPITALS PRIMARY SERVICE AREA, THEREFORE THE HEALTH NEEDS AND PRIORITIES ADDRESSED THROUGH IMPACT DUPAGE ALSO ADDRESS SOME OF THE HEALTH NEEDS OUTLINED IN THE HOSPITALS CHNA. ADVOCATE GOOD SAMARITAN HOSPITAL ALSO CONTINUES TO PARTICIPATE IN THE FORWARD (FIGHTING OBESITY REACHING HEALTHY WEIGHT AMONG RESIDENTS OF DUPAGE) COALITION, WHICH ADDRESSES OBESITY AND HEALTHY LIFESTYLES AMONG RESIDENTS LIVING IN DUPAGE COUNTY. THE HOSPITAL IS A MEMBER OF FORWARDS HEALTHY HOSPITALS COALITION, WHICH IS A GROUP OF DUPAGE COUNTY HOSPITALS WORKING TO IMPROVE THE HEALTH AND WELLNESS OF EMPLOYEES, PATIENTS AND THEIR FAMILIES THROUGH CREATION OF A HEALTHIER HOSPITAL ENVIRONMENT. LASTLY, GOOD SAMARITAN HOSPITAL WAS AT THE TABLE FOR COMMUNITY MEMORIAL FOUNDATIONS 2015 COMMUNITY HEALTH NEEDS ASSESSMENT. THIS PROVIDED SOME VALUABLE INTELLIGENCE ON THE HOSPITALS SERVICE AREA HEALTH NEEDS CONSIDERING THE ASSESSMENT FOCUSED ON DUPAGE AND WEST COOK COUNTIES. AS IMPLEMENTATION OF COMMUNITY PROGRAMMING FROM THE 2013 COMMUNITY HEALTH NEEDS ASSESSMENT CONTINUES, GOOD SAMARITAN HOSPITAL WILL BE WORKING TO IMPROVE PROGRAM IMPLEMENTATION AND EFFECTIVENESS WHILE LEARNING MORE ABOUT ITS COMMUNITIES SOCIAL AND ECONOMIC BARRIERS IN ADDITION TO ITS HEALTH NEEDS. ADVOCATE GOOD SHEPHERD HOSPITAL IN ADDITION TO THE FORMAL SURVEYS CONDUCTED FOR THE ASSESSMENT, THE HOSPITAL ALSO PARTNERS WITH LOCAL COMMUNITY GROUPS AND CONGREGATIONS TO HELP ASSESS AND PROVIDE RESOURCES TO IMPROVE THE HEALTH STATUS OF INDIVIDUALS WITHIN THESE GROUPS. THE MISSION AND SPIRITUAL CARE TEAM AT THE HOSPITAL WORKS CLOSELY WITH SEVERAL COMMUNITY CONGREGATIONS TO SURVEY AND RESPOND TO SPECIFIC NEEDS IDENTIFIED THROUGH THIS PROCESS. SOME CONGREGATIONS HAVE ASKED FOR SPECIFIC EDUCATION ON END OF LIFE ISSUES, DIABETES MANAGEMENT OR OTHER HEALTH ISSUES. THE HOSPITAL WORKS WITH THESE CONGREGATIONS AND OTHER COMMUNITY GROUPS TO COORDINATE SERVICES TO CONGREGANTS. THE HOSPITAL ALSO ACTS AS A CATALYST BY PROVIDING LEADERSHIP AND RESOURCES TO COMMUNITY COALITIONS TO HELP ADDRESS ISSUES THAT MAY SURFACE, SUCH AS SUICIDE AND SUBSTANCE ABUSE CONCERNS. ADVOCATE SOUTH SUBURBAN HOSPITAL N/A ADVOCATE TRINITY HOSPITAL IN ADDITION TO THE NEEDS ASSESSMENTS PREVIOUSLY REPORTED, IN 2014 THE HOSPITAL IMPLEMENTED ADVOCATES CENTER FOR FAITH AND HEALTH TRANSFORMATIONS CONGREGATIONAL HEALTH SURVEY, WHICH ASSESSES THE COMMUNITY HEALTH NEEDS OF CONGREGATIONS AND SPECIFIC POPULATIONS SURROUNDING THEM. THE SURVEY WAS CONDUCTED AT FIVE FAITH ORGANIZATIONS THAT WERE MEMBERS OF THE PARTNERS FOR FAITH AND HEALTH NETWORK, A COLLABORATIVE WITHIN THE TRINITY HOSPITAL SERVICE AREA. THE SURVEYS RESULTED IN THE IDENTIFICATION OF SEVERAL HEALTH NEEDS INCLUDING THE TOP THREE HEALTH CONCERNS OF HYPERTENSION, OBESITY AND DIABETES. THE FINDINGS ARE CONSISTENT WITH THE FINDINGS OF THE COMMUNITY HEALTH NEEDS IDENTIFIED IN THE 2011-2013 TRINITY HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT. THE SURVEY ALSO PROVIDED INFORMATION REGARDING HEALTH EDUCATION NEEDS AND PROGRAMMATIC NEEDS TO ADDRESS CHRONIC HEALTH ISSUES. TRINITY HOSPITAL USES THIS VALUABLE INFORMATION TO DESIGN AND DEVELOP SPECIFIC COMMUNITY HEALTH OUTREACH EFFORTS TO IMPACT THE HEALTH OF THE COMMUNITY. ADVOCATE BROMENN MEDICAL CENTER BROMENN MEDICAL CENTERS COMMUNITY HEALTH LEADER AND ANOTHER MEMBER OF THE LEADERSHIP TEAM WERE A PART OF THE MCLEAN COUNTY COMMUNITY HEALTH ADVISORY COMMITTEE (CHAC) AND HELPED IN THE DEVELOPMENT OF THE 2012-2017 COMMUNITY HEALTH PLAN (CHP) FOR MCLEAN COUNTY. THE PLAN WAS CREATED USING THE HANLON METHOD. THE HANLON METHOD WAS UTILIZED TO ESTABLISH PRIORITIES BASED ON THE SIZE AND SERIOUSNESS OF THE HEALTH PROBLEM AS WELL AS THE EFFECTIVENESS OF THE AVAILABLE INTERVENTIONS. ON APRIL 19, 2012, THE CHAC APPROVED THE CHP. BROMENN MEDICAL CENTERS COMMUNITY HEALTH LEADER ALSO PARTICIPATED IN OSF SAINT JOSEPH MEDICAL CENTERS COLLABORATIVE CHNA TEAM IN FEBRUARY 2013. ADVOCATE EUREKA HOSPITAL ADVOCATE EUREKA HOSPITAL HAS A STRONG PARTNERSHIP WITH THE WOODFORD COUNTY HEALTH DEPARTMENT. THE ADMINISTRATOR OF THE HOSPITAL PARTICIPATED IN THE IPLAN MEETINGS WHICH WERE HELD ON 9/27/11, 11/16/11, 12/7/11, 1/11/12, 1/25/12 AND 8/8/12. AT THE 1/25/12 MEETING, THE GROUP APPROVED THREE HEALTH PRIORITIES FOR WOODFORD COUNTY: 1. ACCESS TO MENTAL HEALTH SERVICES 2. OBESITY 3. SUBSTANCE ABUSE IN THE OVER AGE 18 POPULATION EUREKA HOSPITAL SELECTED ACCESS TO MENTAL HEALTH SERVICES AS THE PRIMARY HEALTH NEED AS DETERMINED THROUGH ITS CHNA. MENTAL HEALTH ALIGNS WITH THE HEALTH PRIORITIES SELECTED FOR THE WOODFORD COUNTY HEALTH DEPARTMENT. 3. PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE AHHC 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 AHHCS HOSPITAL FINANCIAL ASSISTANCE POLICY. ADVOCATE UTILIZES A FINANCIAL SCREENING SOFTWARE PROGRAM TO HELP IDENTIFY PUBLIC ASSISTANCE PROGRAMS FOR WHICH THE PATIENT MAY BE ELIGIBLE OR ADVOCATE'S FINANCIAL ASSISTANCE AT THE TIME OF REGISTRATION OR AS SOON AS PRACTICABLE THEREAFTER. IN ADDITION, HEALTHADVISOR, ADVOCATE'S EDUCATION REGISTRATION AND PHYSICIAN REFERRAL TELEPHONE CENTER, SERVES AS A COMMUNITY RESOURCE PROVIDIN 4. COMMUNITY INFORMATION ADVOCATE CHRIST MEDICAL CENTER DEFINITION OF COMMUNITY FOR ITS CHNA, ACMCS COMMUNITY WAS DEFINED AS ITS TOTAL SERVICE AREA (TSA), WHICH INCLUDES THE PRIMARY SERVICE AREA (PSA) AND SECONDARY SERVICE AREA (SSA). THE PRIMARY SERVICE AREA (PSA) INCLUDES THE COMMUNITIES OF CHICAGO RIDGE, MIDLOTHIAN, OAK FOREST, OAK LAWN, BRIDGEVIEW, HOMETOWN, HICKORY HILLS, JUSTICE, BURBANK, ORLAND PARK, PALOS HEIGHTS, PALOS PARK, PALOS HILLS, ORLAND HILLS, TINLEY PARK, WORTH, TINLEY PARK, ALSIP, EVERGREEN PARK, AUBURN PARK, CHICAGO LAWN, ELSDON, OGDEN PARK, CLEARING, MORGAN PARK, ASHBURN AND MOUNT GREENWOOD. THE SECONDARY SERVICE AREA (SSA) INCLUDES THE COMMUNITIES OF BLUE ISLAND, FRANKFORT, HARVEY, MARKHAM, LEMONT, LOCKPORT, MOKENA, NEW LENOX, HOMER GLEN, NEW CITY, SOUTH CHICAGO, GRAND CROSSING, ENGLEWOOD, ROSELAND, SOUTH SHORE AND RIVERDALE. THE TSA IS 38.4% WHITE NON-HISPANIC, 35.6% BLACK NON-HISPANIC, 23.2% HISPANIC, 1.6% ASIAN AND PACIFIC ISLANDER NON-HISPANIC, WITH ALL OTHERS BEING 1.1%. AS REPORTED BY THE U.S. BUREAU OF LABOR IN JULY 2013, THERE IS A SIGNIFICANTLY HIGHER UNEMPLOYMENT RATE IN CHRIST MEDICAL CENTERS TSA (9.7%) AS COMPARED TO THE U.S. UNEMPLOYMENT RATE (7.4%). THE AVERAGE HOUSEHOLD INCOME IS $63,630, WHICH IS SLIGHTLY LESS THAN THE U.S. AVERAGE OF $67,315. HEALTH RESOURCES IN DEFINED COMMUNITY THE TARGET COMMUNITY IS SERVED BY A VARIETY OF HEALTH RESOURCES, INCLUDING FULL-SERVICE COMMUNITY AND ACADEMIC HOSPITALS, AS WELL AS SAFETY NET PROVIDERS, SUCH AS PUBLIC HEALTH CLINICS, FEDERALLY QUALIFIED HEALTH CENTERS AND MOBILE HEALTH PROVIDERS. DESPITE WHAT APPEARS TO BE A LONG LIST OF PROVIDERS WITHIN CHRIST MEDICAL CENTERS TSA, SUBSTANTIAL VARIATION EXISTS IN BOTH AVAILABILITY AND ACCESSIBILITY TO RESOURCES ACROSS COMMUNITIES. THE AREAS OF GREATEST NEED ARE FOUND MAINLY ON CHICAGOS SOUTH SIDE WHERE CLINICS ARE SCATTERED AND THE RATIO OF PATIENTS TO FAMILY PHYSICIANS IS LOWER THAN IN MORE AFFLUENT AREAS. THERE ARE THIRTEEN HOSPITALS IN CHRIST MEDICAL CENTERS TSA, INCLUDING: ADVOCATE CHRIST MEDICAL CENTER IN OAK LAWN, LITTLE COMPANY OF MARY HOSPITAL IN EVERGREEN PARK, PALOS COMMUNITY HOSPITAL IN PALOS HEIGHTS, HOLY CROSS HOSPITAL IN MARQUETTE PARK (CHICAGO), ADVOCATE TRINITY HOSPITAL IN CHICAGO, INGALLS MEMORIAL HOSPITAL IN HARVEY, ROSELAND COMMUNITY HOSPITAL IN ROSELAND (CHICAGO), SOUTH SHORE HOSPITAL IN SOUTH CHICAGO (CHICAGO), METRO SOUTH MEDICAL CENTER IN BLUE ISLAND, JACKSON PARK HOSPITAL IN SOUTH SHORE (CHICAGO), LA RABIDA CHILDRENS HOSPITAL IN SOUTH SHORE (CHICAGO), ST. BERNARD HOSPITAL IN ENGLEWOOD (CHICAGO) AND SILVER CROSS HOSPITAL IN NEW LENOX. THERE ARE FOUR COOK COUNTY HEALTH CLINICS LOCATED IN ENGLEWOOD, OAK FOREST, ROSELAND AND HARVEY. IN ADDITION, THERE ARE FOUR CHICAGO DEPARTMENT OF HEALTH CENTERS IN CHICAGO LAWN, ROSELAND, SOUTH CHICAGO AND ENGLEWOOD. THERE ARE ALSO FOUR FEDERALLY QUALIFIED HEALTH CENTERS (FQHCS) INCLUDING MILES SQUARE HEALTH CENTER IN SOUTH SHORE, COMMUNITY HEALTH FREE CARE IN ENGLEWOOD, BELOVED COMMUNITY HEALTH CENTER IN ENGLEWOOD AND CHRISTIAN COMMUNITY HEALTH CENTER IN MORGAN PARK AND OAK FOREST. ADVOCATE LUTHERAN GENERAL HOSPITAL COMMUNITY DEFINITION LUTHERAN GENERAL HOSPITALS COMMUNITY HEALTH COUNCIL ULTIMATELY SETS THE DIRECTION FOR THE HOSPITALS COMMUNITY HEALTH INITIATIVES. FOR THE PURPOSES OF THIS COMMUNITY ASSESSMENT, LUTHERAN GENERAL HOSPITALS COMMUNITY HEALTH COUNCIL DEFINED THE COMMUNITY FOR ITS LAST CHNA CYCLE, 2011-2013, AS ITS PRIMARY SERVICE AREA (PSA). THIS PSA IS COMPRISED OF THE FOLLOWING COMMUNITIES: PARK RIDGE (60068); DES PLAINES (60016 AND 60017); NILES (60714); MORTON GROVE (60053); GLENVIEW (60025 AND 60026); SKOKIE (60076 AND 60077); MOUNT PROSPECT (60056); ARLINGTON HEIGHTS (60004 AND 60005); DEERFIELD (60015); LAKE ZURICH (60047); NORTHBROOK (60062); PALATINE (60067 AND 60074); PROSPECT HEIGHTS (60070); BUFFALO GROVE (60089); WHEELING (60090); AND CHICAGO COMMUNITIES OF JEFFERSON PARK (60630); NORWOOD PARK (60631); DUNNING (60634); IRVING PARK (60641); FOREST GLEN (60646); HARWOOD HEIGHTS (60656 AND 60706); AND ELMWOOD PARK (60707). WHILE MOST OF THE DATA REVIEWED BY LUTHERAN GENERAL HOSPITALS COMMUNITY HEALTH COUNCIL WAS FOR ITS PRIMARY SERVICE AREA, THE COUNCIL REVIEWED SOME ADDITIONAL, MORE SPECIFIC DATA FOR PARTS OF ITS PSA, INCLUDING: (1) DATA FOR THE TOWNSHIP SURROUNDING THE HOSPITAL, MAINE TOWNSHIP; (2) THE HOSPITALS HOME CITY OF PARK RIDGE; AND (3) DATA FOR SPECIFIC ETHNIC POPULATIONS THAT THE COUNCIL RECOGNIZED AS GROWING POPULATIONS WITHIN THE HOSPITALS TOTAL SERVICE AREA. POPULATION LOCATED IN PARK RIDGE, ILLINOIS (2010 POP: 37,480) ADVOCATE LUTHERAN GENERAL HOSPITAL SERVES A MAJOR PORTION OF NORTHWEST COOK COUNTY WITH THE PRIMARY SERVICE AREA (PSA) ENCOMPASSING 28 ZIP CODES AND 1,052,855 PERSONS ACROSS 217 SQUARE MILES. LARGER COMMUNITIES INCLUDE ARLINGTON HEIGHTS (75,101), DES PLAINES (58,364), MOUNT PROSPECT (54,167), PALATINE (68,557) AND SKOKIE (64,784), AS WELL AS A PORTION OF THE CITY OF CHICAGO AND A VERY SMALL PORTION OF LAKE COUNTY. MOST HOUSEHOLDS IN THE PSA (68.6%) ARE FAMILY HOUSEHOLDS. MARRIED COUPLED FAMILIES ARE 53.9% OF HOUSEHOLDS WHILE 10.4% HAVE FEMALE HOUSEHOLDERS. THREE IN TEN HOUSEHOLDS (32.3%) INCLUDE CHILDREN. ABOUT ONE-FOURTH OF HOMES (26.5%) INCLUDE A PERSON WHO IS 65 OR OLDER, WHILE ONE OF NINE SENIOR CITIZENS (11.7%) LIVES ALONE. HOMEOWNERS CONSTITUTE 71.2% OF HOUSEHOLDS, WHILE 26.5% RENT. THE AVERAGE HOUSEHOLD SIZE IS 2.63 WHICH IS CONSISTENT WITH THE NATIONS AVERAGE HOUSEHOLD SIZE OF 2.58, AND THE STATE OF ILLINOIS AVERAGE AT 2.59. AGE AND GENDER ON THE WHOLE, THE POPULATION OF LUTHERAN GENERAL HOSPITALS PSA IS RELATIVELY OLDER. THE MEDIAN AGE IS 41.0 (U.S. 37.2) WITH A SENIOR 65+ POPULATION OF 165,714 (15.7%) AND A 62+ POPULATION OF 200,756 (19.1%) OR NEARLY ONE IN FIVE PERSONS. OF THE PSA POPULATION OF MORE THAN ONE MILLION, 511,641 (48.6%) ARE MALE AND 541,214 (51.4%) ARE FEMALE FOR A GENDER RATIO OF 94.5 MALES PER 100 FEMALES. THE "BABY BOOMER" GENERATION HAS EXPERIENCED THE LARGEST GROWTH FROM 2000-2010. MAINE TOWNSHIP HAS AN OLDER POPULATION THAN THE OVERALL PRIMARY SERVICE AREA, WITH PARK RIDGE HAVING AN EVEN OLDER POPULATION THAN MAINE TOWNSHIP. MAINE TOWNSHIP HAS A MEDIAN AGE OF 42.4 YEARS, WITH 17.5% OF ITS POPULATION 65+ AND A GENDER RATIO OF 92.1 MEN PER 100 WOMEN. PARK RIDGE HAS A MEDIAN AGE OF 44.8 WITH 18.4% OF ITS POPULATION AGE 65 OR OLDER. RACE AND ETHNICITY WHILE LUTHERAN GENERALS PRIMARY SERVICE AREA IS PREDOMINANTLY WHITE, NON-HISPANIC (66.0%), THE POPULACE ALSO INCLUDES 18.1% HISPANIC, 11.2% ASIAN AND 3.1% AFRICAN AMERICAN. THE HISPANIC POPULATION IS MOSTLY OF MEXICAN ORIGIN, WHILE THE LARGEST ASIAN GROUP IS SOUTH ASIAN. OVERALL, 37.5% OF THE RESIDENTS IN THE AREA ARE FOREIGN BORN. HALF OF THE FOREIGN BORN POPULATION HAS BECOME CITIZENS. NEARLY 15.6% REPORT SPEAKING SPANISH AT HOME WITH NEARLY HALF OF THOSE WHO DO SPEAK ENGLISH REPORTING THEY DO NOT SPEAK ENGLISH VERY WELL. THERE IS A HIGHER MINORITY RATIO AMONG YOUTH THAN AMONG OLDER POPULATIONS. FOR EXAMPLE, IN MAINE TOWNSHIP, ONLY 58.1% OF CHILDREN 8 OR UNDER ARE WHITE, NON-HISPANIC COMPARED TO 87.1% OF SENIOR CITIZENS (68.4% FOR THE TOTAL POPULATION). SINCE THESE MINORITY GROUPS ARE YOUNG, WITH HIGHER BIRTH RATES, THEY WILL LIKELY BECOME A PROPORTIONATELY LARGER POPULATION IN THE FUTURE. ACCORDING TO THE US CENSUS BUREAU (2000 AND 2010), THE NUMBER OF SOUTH ASIANS IN THE UNITED STATES INCREASED 70%, FROM 1,678,765 TO 2,843,391 FROM 2000 TO 2010. SOUTH ASIANS ARE DEFINED BY THOSE WHO DERIVE THEIR ETHNIC ORIGINS FROM THE INDIAN SUBCONTINENT. NUMBERS FOR THE SAME ETHNIC POPULATION GROUP IN ILLINOIS INCREASED 50%, FROM 124,723 TO 188,328, IN THE SAME 2000 TO 2010 TIME PERIOD. THE GREATER CHICAGO AREA CURRENTLY SERVES AS ONE OF THE MAJOR CULTURAL CENTERS OF THE UNITED STATES SOUTH ASIAN COMMUNITY. MORE THAN 50% OF THIS COMMUNITY IS BETWEEN THE AGES OF 25 AND 55 YEARS OLD. LUTHERAN GENERAL HOSPITALS TOTAL PRIMARY SERVICE AREA HAS MORE THAN 53,363 SOUTH ASIANS. WITHIN A 40 MINUTE DRIVE OF LUTHERAN GENERAL HOSPITAL, THERE ARE 26 SOUTH ASIAN PLACES OF WORSHIP, INCLUDING TEMPLES, MOSQUES AND CHURCHES. ACCORDING TO THE THOMSON REUTERS MARKET EXPERT (2011), THE U.S. CENSUS BUREAU (2000 AND 2010) AND THE AMERICAN COMMUNITY SURVEY (2007-2011), THE KOREAN AMERICAN COMMUNITY INCREASED IN COOK COUNTY BY APPROXIMATELY 23% TO OVER 30,000 KOREAN AMERICANS FROM 2000 TO 2010. IN LUTHERAN GENERALS PRIMARY SERVICE AREA, THERE ARE OVER 13,000 KOREAN AMERICANS WITH THAT NUMBER EXPECTED TO INCREASE ACCORDING TO CENSUS DATA. ACCORDING TO THE THOMSON REUTERS MARKET EXPERT (2011), THE U.S. CENSUS BUREAU (2000 AND 2010) AND THE AMERICAN COMMUNITY SURVEY (2007-2011), THERE WERE 152,730 POLISH AMERICANS IN LUTHERAN GENERALS PRIMARY SERVICE AREA WITH THAT NUMBER PROJECTED TO RISE. THE MAJORITY OF POLISH PATIENTS COME FROM THE FOLLOWING ZIP CODES IN DESCENDING ORDER: 60016 (DES PLAINES); 60714 (NILES); 60634 (CHICAGO); 60656 (CHICAGO); 60056 (MT. PROSPECT); AND 60068 (PARK RIDGE). EDUCATIO HEALTH RESOURCES IN THE DEFINED COMMUNITY THERE ARE EIGHT HOSPITALS WITHIN THE LUTHERAN GENERAL PRIMARY SERVICE AREA. IN ADDITION TO LUTHERAN GENERAL HOSPITAL, THERE IS ALSO COMMUNITY FIRST MEDICAL CENTER, RESURRECTION MEDICAL CENTER, ALEXIAN BROTHERS MEDICAL CENTER, NORTHWEST COMMUNITY HOSPITAL, NORTHSHORE GLENBROOK HOSPITAL, HOLY FAMILY MEDICAL CENTER AND NORTHSHORE SKOKIE HOSPITAL. THERE ARE 582 PRIMARY CARE PHYSICIANS WITHIN THE MARKET AND 1,612 SPECIALISTS. THE SPECIALISTS INCLUDE 230 OBSTETRICS & GYNECOLOGY PHYSICIANS, 106 CARDIOLOGISTS, 69 OTOLARYNGOLOGISTS, 64 GASTROENTEROLOGISTS, AND 147 ORTHOPEDIC PHYSICIANS. THE PEDIATRIC PRIMARY SERVICE AREA IS SLIGHTLY LARGER AND INCLUDES 698 PEDIATRICIANS AND 281 PEDIATRIC SPECIALISTS. THERE IS ALSO THE ACCESS COMMUNITY HEALTH NETWORK GENESIS CLINIC FOR HEALTH AND EMPOWERMENT IN DES PLAINES, ILLINOIS, WHICH IS A FEDERALLY QUALIFIED HEALTH CENTER (FQHC) THAT PROVIDES HEALTH CARE PRIMARILY FOR LOW INCOME AND UNINSURED PATIENTS, MAINLY FOR THE HISPANIC COMMUNITY. ADVOCATE GOOD SAMARITAN HOSPITAL FOR PLANNING PURPOSES, THE COMMUNITY HEALTH COUNCIL DEFINES THE COMMUNITY AS THE PRIMARY SERVICE AREA FOR THE HOSPITAL. GOOD SAMARITAN HOSPITALS PRIMARY SERVICE AREA (PSA) CONSISTS OF 15 COMMUNITIES IN WESTERN SUBURBAN DUPAGE COUNTY, 2 COMMUNITIES IN WILL COUNTY AND 1 COMMUNITY IN SUBURBAN COOK COUNTY. THE HOSPITAL SERVES AN ADDITIONAL 13 COMMUNITIES IN ITS SECONDARY SERVICE AREA (SSA). THE TOTAL SERVICE AREA (TSA) REFERS TO GOOD SAMARITAN HOSPITALS COMBINED PRIMARY AND SECONDARY SERVICE AREA. A REVIEW OF THE DEMOGRAPHIC DATA (2010) FOR THE HOSPITALS PSA SHOWED THE POPULATION TO BE PRIMARILY WHITE, NON-HISPANIC. THE HISPANIC POPULATION COMPRISED 9% OF THE PSA COMPARED TO 15.8% NATIONALLY. THE ASIAN AND PACIFIC ISLANDER POPULATION PERCENTAGE IS TWICE THAT OF THE NATIONAL AVERAGE OR 9.3% VERSUS 4.5%. COMBINED, THESE TWO GROUPS MAKE UP ALMOST 20% OF GOOD SAMARITANS PSA. BLACK NON-HISPANICS ACCOUNT FOR 6.3% OF THE POPULATION IN THE PSA COMPARED TO 12.1% NATIONALLY. NEARLY TWICE AS MANY ADULTS IN THE GOOD SAMARITAN HOSPITAL PSA HAVE A BACHELORS DEGREE OR HIGHER WHEN COMPARED TO THE NATIONAL AVERAGE. THERE ARE ALSO 1.5 TIMES THE NUMBER OF HOUSEHOLDS WITH INCOME OF $75K OR ABOVE IN THE GOOD SAMARITAN HOSPITAL PSA COMPARED TO THE NATIONAL AVERAGE. WHILE OVERALL POPULATION GROWTH IN THE PSA IS PRIMARILY FLAT AT 1.6%, IT IS EXPECTED THAT THE POPULATION OF ADULTS GREATER THAN 65 YEARS OF AGE WILL INCREASE BY 20% FROM 2010-2015. THE TOTAL POPULATION IN 2010 WAS 682,821. WITHIN GOOD SAMARITAN HOSPITALS PSA, THE 65 AND OLDER AGE GROUP IS PROJECTED TO GROW FROM 83,607 IN 2010 TO 100,460 IN 2015. FEMALES OF CHILD BEARING AGE (15-44) ARE PROJECTED TO DECLINE BY 2.8% FROM 129,640 IN 2010 TO 126,001 IN 2015. THE AVERAGE HOUSEHOLD INCOME IN THE PSA IS $104,232 COMPARED TO THE NATIONAL HOUSEHOLD INCOME OF $71,071. A WIDER VIEW OF DUPAGE COUNTY SHOWS THAT ALTHOUGH THE TOTAL POPULATION OF DUPAGE COUNTY HAS SEEN ONLY MODEST GROWTH SINCE 1990 COMPARED TO PREVIOUS DECADES (18% GROWTH), THE NUMBER OF PEOPLE IN POVERTY HAS GROWN BY 131%, AND THE NUMBER OF WORKING POOR (THOSE WITH INCOME BELOW 200% OF FEDERAL POVERTY LEVEL) HAS GROWN BY 102%. BY COMPARISON, CHICAGOS POVERTY POPULATION DECREASED BY 2.7% DURING THIS SAME TIME PERIOD, AND ITS WORKING POOR NUMBERS INCREASED BY ONLY 1.9%. THIS SHIFT IN THE POVERTY POPULATION TOWARD THE SUBURBS IS CONSISTENT WITH OTHER SUBURBS IN THE REGION AND ACROSS THE COUNTRY AND IMPACTS GOOD SAMARITAN HOSPITALS PSA. HOSPITALS AND HEALTH RESOURCES THERE ARE FIVE HOSPITALS LOCATED WITHIN GOOD SAMARITAN HOSPITALS PSA: ADVOCATE GOOD SAMARITAN HOSPITAL IN DOWNERS GROVE, EDWARD HOSPITAL IN NAPERVILLE, ADVENTIST HINSDALE HOSPITAL IN HINSDALE, ADVENTIST BOLINGBROOK HOSPITAL IN BOLINGBROOK, AND ELMHURST MEMORIAL HOSPITAL IN ELMHURST. THERE ARE 1,237 PRIMARY CARE PHYSICIANS LOCATED WITHIN DUPAGE COUNTY, AS WELL AS 585 MENTAL HEALTH PROVIDERS AND 998 DENTISTS. THE NUMBER OF PROVIDERS PER TOTAL POPULATION IS ABOVE THE NATIONAL AND ILLINOIS STATE AVERAGE FOR ALL OF THE ABOVE PROVIDER TYPES. THERE ARE ALSO MANY SPECIALISTS INCLUDING 253 PEDIATRICIANS, 191 OBSTETRICIANS AND 115 GENERAL SURGEONS PRACTICING IN DUPAGE COUNTY, IN ADDITION TO 121 PHARMACIES OR DRUG STORES. THE DUPAGE COUNTY HEALTH DEPARTMENT, AS WELL AS THE ACCESS COMMUNITY HEALTH NETWORK FEDERALLY QUALIFIED HEALTH CENTER (FQHC) CLINICS, PROVIDE HEALTH CARE PRIMARILY FOR LOW INCOME AND UNINSURED PATIENTS. IN ADDITION, ACCESS DUPAGE, A COLLABORATIVE EFFORT BY HUNDREDS OF INDIVIDUALS AND ORGANIZATIONS IN DUPAGE COUNTY, ALSO PROVIDES A MOSAIC APPROACH TO PROVIDING ACCESS TO MEDICAL SERVICES FOR THE COUNTYS LOW-INCOME AND MEDICALLY UNINSURED RESIDENTS. IT REPRESENTS A UNIQUE PARTNERSHIP OF COUNTY HOSPITALS (INCLUDING GOOD SAMARITAN), PHYSICIANS, LOCAL GOVERNMENT, HUMAN SERVICES AGENCIES, AND COMMUNITY GROUPS WORKING TOGETHER TO ADDRESS THIS FORMIDABLE ISSUE. ADVOCATE GOOD SHEPHERD HOSPITAL PRIMARY SERVICE AREA ADVOCATE GOOD SHEPHERD HOSPITALS PRIMARY SERVICE AREA (PSA) INCLUDES THE FOLLOWING COMMUNITIES: BARRINGTON (60010), LAKE ZURICH (60047), CARY (60013), FOX RIVER GROVE (60021), CRYSTAL LAKE (60014), ISLAND LAKE (60042), WAUCONDA (60084), MCHENRY (60050, 50051), PALATINE (60067), ALGONQUIN (60102), AND LAKE IN THE HILLS (60156). THE POPULATION GROWTH RATE IN THE HOSPITALS PSA HAS BEEN SLOWING IN THE PAST FEW YEARS AS EVIDENT WHEN COMPARING THE POPULATION TOTAL OF 361,762 IN 2010 TO THE POPULATION TOTAL OF 362,733 IN 2009. THE PSA HAS A HIGH OVERALL SOCIO-ECONOMIC LEVEL WITH A MEDIAN HOUSEHOLD INCOME OF $91,118, WHICH IS 39% GREATER THAN THE SIX COUNTY METROPOLITAN CHICAGO AREA. THE PERCENTAGE OF HOUSEHOLDS IN THE PSA WITH INCOMES <$25,000 IS 10.3% WITH THE RANGE FOR INDIVIDUAL COMMUNITIES FROM 6.6-16.8%. THE PSA POPULATION IS 4.2% UNINSURED AND 4.7% MEDICAID AS COMPARED TO 12.8% AND 14.7%, RESPECTIVELY, FOR THE SIX COUNTY AREA. THE COMMUNITY WITH THE HIGHEST PERCENT UNINSURED AND ON MEDICAID IS WAUCONDA WITH 7.7% AND 9.46%, RESPECTIVELY. GOOD SHEPHERDS PSA IS ALSO VERY HOMOGENOUS WITH 86% OF THE POPULATION BEING CAUCASIAN. EIGHT PERCENT OF THE POPULATION IS HISPANIC AND 4% IS ASIAN. HOWEVER, HISPANICS COMPRISE 10% OF CRYSTAL LAKES POPULATION, 11% OF THE 60050 MCHENRY ZIP CODE, 13% OF ISLAND LAKES POPULATION AND 18% OF WAUCONDAS POPULATION. WHILE INCREASES IN MINORITY POPULATIONS WILL ACCOUNT FOR ABOUT 33% OF THE TOTAL POPULATION GROWTH, THE OVERALL RACIAL MIX OF THE MARKET WILL REMAIN LARGELY UNCHANGED. SECONDARY SERVICE AREA GOOD SHEPHERDS SECONDARY SERVICE AREA (SSA) CONSISTS OF THE FOLLOWING COMMUNITIES: CRYSTAL LAKE (60012), MUNDELEIN (60060), ROUND LAKE (60073), WOODSTOCK (60098), AND CARPENTERSVILLE (60110). THE SSA HAS A SIGNIFICANTLY LOWER OVERALL SOCIO-ECONOMIC LEVEL THAN THE PSA, WITH A MEDIAN HOUSEHOLD INCOME OF $70,933, WHICH IS 8.4% BELOW THE SIX COUNTY METROPOLITAN CHICAGO AREA. THE PERCENTAGE OF HOUSEHOLDS IN THE SSA WITH INCOMES <$25,000 IS 13.3% WITH THE RANGE FOR INDIVIDUAL COMMUNITIES FROM 8.0-17.9%. THE SSA POPULATION IS 6.7% UNINSURED AND 8.6% MEDICAID. WITHIN THE HOSPITALS SSA, WOODSTOCK HAS THE HIGHEST PROPORTION OF UNINSURED AT 8.6% AND CARPENTERSVILLE HAS THE HIGHEST MEDICAID AT 12.9%. ADVOCATE SOUTH SUBURBAN HOSPITAL FOR THE PURPOSES OF THIS ASSESSMENT, THE COMMUNITY HEALTH COUNCIL HAS DEFINED "THE COMMUNITY" AS SOUTH SUBURBAN HOSPITALS PRIMARY SERVICE AREA (PSA), WHICH INCLUDES TWENTY-TWO ZIP CODES IN SOUTH COOK COUNTY WITH PARTS OF PARK FOREST AND FRANKFORT IN WILL COUNTY. SOUTH SUBURBAN HOSPITALS PSA IS PRIMARILY COMPRISED OF COOK COUNTY RESIDENTS. THE ACTUAL ZIP CODES AND CORRESPONDING CITIES, TOWNS OR VILLAGES ARE: 60409-CALUMET CITY; 60411-CHICAGO HEIGHTS AND FORD HEIGHTS; 60419-DOLTON; 60422-FLOSSMOOR; 60423-FRANKFORT; 60425-GLENWOOD; 60426-HARVEY; 60428-MARKHAM; 60429-HAZEL CREST; 60430-HOMEWOOD; 60438-LANSING; 60443-MATTESON; 60445-MIDLOTHIAN; 60452-OAK FOREST; 60461-OLYMPIA FIELDS; 60466-PARK FOREST; 60471-RICHTON PARK; 60473-SOUTH HOLLAND; 60476 THORNTON; 60477-TINLEY PARK; 60478-COUNTRY CLUB HILLS AND 60487-TINLEY PARK. RACE AND ETHNICITY ACCORDING TO THE 2010 U.S. CENSUS, SOUTH SUBURBAN HOSPITALS PRIMARY SERVICE AREA IS 47 PERCENT AFRICAN AMERICAN (N=235,365), 38 PERCENT CAUCASIAN (N=190,282) AND 12 PERCENT HISPANIC (N=57,986). OTHER ETHNICITIES INCLUDING AMERICAN INDIAN, ASIAN AND NATIVE HAWAIIAN COMPRISE 3.3 PERCENT OF THE TOTAL POPULATION. THE PRIMARY SERVICE AREA HAS A SIGNIFICANTLY HIGHER AFRICAN AMERICAN POPULATION THAN THE AVERAGE FOR COOK COUNTY (47 PERCENT COMPARED TO NEARLY 25 PERCENT, RESPECTIVELY). AGE & GENDER RESIDENTS AGES WITHIN SOUTH SUBURBAN HOSPITALS PSA SPAN THE LIFE CYCLE, WITH 26 PERCENT OF THE POPULATION LESS THAN 18 YEARS OLD, 34 PERCENT 18-44 YEARS OLD, 27 PERCENT 45-64 YEARS OLD AND 13 PERCENT 65 YEARS AND OLDER. MIRRORING THE NATIONAL TREND, OLDER ADULTS ARE AMONG THE FASTEST GROWING AGE GROUPS. THE AREAS WITH THE LARGEST PERCENTAGE OF OLDER ADULTS IN THE PRIMARY SERVICE AREA ARE TINLEY PARK, CHICAGO HEIGHTS, MIDLOTHIA POVERTY ACCORDING TO COMMUNITY PROFILES, SOUTH DISTRICT, COOK COUNTY DEPARTMENT OF PUBLIC HEALTH, 2006-2008, 8.5 PERCENT OF INDIVIDUALS IN SUBURBAN COOK COUNTY HAVE INCOMES THAT ARE BELOW 100 PERCENT OF THE POVERTY LEVEL WITH 23.1 PERCENT LIVING BELOW 200 PERCENT OF THE POVERTY LEVEL. THERE IS SIGNIFICANT DISPARITY RELATED TO POVERTY LEVELS AMONG THE COMMUNITIES WITHIN SOUTH SUBURBAN HOSPITALS PSA, RANGING FROM 1.3 PERCENT OF THE TOTAL POPULATION LIVING BELOW 100 PERCENT OF POVERTY LEVEL IN FLOSSMOOR TO 31.9 PERCENT IN HARVEY AND 47.7 PERCENT BELOW 100 PERCENT OF THE POVERTY LEVEL IN FORD HEIGHTS. NEARLY 62 PERCENT OF FORD HEIGHTS RESIDENTS LIVE BELOW 200 PERCENT OF THE POVERTY LEVEL AS COMPARED TO 56.4 PERCENT IN HARVEY AND ONLY 7.7 PERCENT IN FLOSSMOOR. ON AVERAGE, 12.4 PERCENT OF INDIVIDUALS IN SOUTH SUBURBAN HOSPITALS PSA ARE LIVING BELOW 100 PERCENT OF THE FEDERAL POVERTY LEVEL; WHILE 28.1 PERCENT OF INDIVIDUALS ARE LIVING 200 PERCENT BELOW THE FEDERAL POVERTY LEVEL. SOURCE: HTTP://WWW.COOKCOUNTYPUBLICHEALTH.ORG/FILES/PDF/DATA-AND-REPORTS/COMMUNITY -PROFILES-06-08/SOUTH-DISTRICT-0608R.PDF PUBLIC HEALTH LITERATURE HAS IDENTIFIED A LINK BETWEEN POVERTY AND DISEASE, AS COMMUNITIES CONSIDERED UNDERPRIVILEGED EXHIBIT HIGHER MORTALITY AND MORBIDITY RATES THAN WEALTHIER COUNTERPARTS. FOR EXAMPLE, THE BURDEN OF ASTHMA IS NOT BORNE EQUALLY THROUGHOUT THE U.S. NEARLY 5,000 PEOPLE DIE FROM ASTHMA EACH YEAR NATIONALLY AND THE RISK OF DEATH AMONG AFRICAN AMERICANS IS THREE TIMES GREATER THAN AMONG CAUCASIANS IN AMERICA, WHICH HAS BEEN ATTRIBUTED TO HIGHER RATES OF POVERTY. ADDITIONALLY, AS A SOCIAL DETERMINANT OF HEALTH, POVERTY HAS BEEN LINKED WITH LOWER ACCESS TO CARE, BEING UNINSURED AND A DECREASE IN LIKELIHOOD TO RECEIVE MEDICAL TREATMENT UNTIL DISEASE IS EXACERBATED. AREAS WITH INCREASED POVERTY OFTEN LACK POLICIES, SYSTEMS AND ENVIRONMENTS THAT PROMOTE HEALTHY LIVING AND MAKE CHOOSING HEALTHY LIFESTYLES DIFFICULT. WHILE RESIDENTS OF SOME COMMUNITIES WITHIN SOUTH SUBURBAN HOSPITALS PSA ARE AMONG THE POOREST IN THE NATION, OTHERS ARE AMONG SOME OF THE MOST AFFLUENT WITHIN COOK COUNTY, THE STATE OF ILLINOIS AND, IN SOME INSTANCES, THE U.S. FOR EXAMPLE, HARVEY HAS AN AVERAGE HOUSEHOLD INCOME OF $43,356, COMPARED TO FLOSSMOORS AVERAGE HOUSEHOLD INCOME OF $114,131. ADDITIONALLY, ALMOST 40 PERCENT OF HARVEYS RESIDENTS MAKE LESS THAN $25,000 A YEAR, COMPARED TO THE 40 PERCENT OF FLOSSMOORS RESIDENTS THAT MAKE $100,000 OR MORE. WHEN COMPARING EDUCATIONAL ATTAINMENT, 10 PERCENT OF HARVEYS RESIDENTS HAVE A BACHELORS DEGREE OR HIGHER, AND FLOSSMOORS PERCENTAGE IS SLIGHTLY MORE THAN 50 PERCENT. APPROXIMATELY 41 PERCENT OF THE PRIMARY SERVICE AREA POPULATION HAS A HIGH SCHOOL DEGREE OR BELOW (INCLUDING NEARLY 12 PERCENT THAT DO NOT HAVE A HIGH SCHOOL DEGREE). THE AVERAGE HOUSEHOLD INCOME IS $68,343, WHICH IS SLIGHTLY BELOW THAT OF THE U.S., AND 34 PERCENT OF THE POPULATION IS UNINSURED/UNDERINSURED. ADDITIONALLY, THE SOUTH DISTRICT OF COOK COUNTY, AS DEFINED BY THE COOK COUNTY DEPARTMENT OF PUBLIC HEALTH, AND INCLUDING SOUTH SUBURBAN HOSPITALS PSA, EXPERIENCES SOME OF THE HIGHEST RATES OF POOR HEALTH OUTCOMES WITHIN COOK COUNTY, INCLUDING CHRONIC DISEASES SUCH AS ASTHMA, CARDIOVASCULAR DISEASE AND CANCER. FOR EXAMPLE, ACCORDING TO THE COOK COUNTY DEPARTMENT OF PUBLIC HEALTH DURING THE COMBINED YEARS OF 2005-2007, CORONARY HEART DISEASE MORTALITY WAS HIGHEST AMONG THE AFRICAN AMERICAN POPULATION IN THE SOUTH DISTRICT AT OVER 250.0 PER 100,000 RESIDENTS, AS COMPARED TO THE ILLINOIS RATE OF THE SAME GROUP AT SLIGHTLY LESS THAN 150.0 PER 100,000 RESIDENTS. WITHIN ADVOCATE SOUTH SUBURBAN HOSPITALS PSA, THERE ARE FOUR HOSPITALS, THREE FQHC FACILITIES AND ONE COUNTY CLINIC. FOLLOWING ARE THE HEALTH FACILITIES/ORGANIZATIONS AND THE COMMUNITY WHERE EACH RESIDES: INGALLS MEMORIAL HOSPITAL, HARVEY, IL; ST. JAMES HOSPITAL OLYMPIA FIELDS, OLYMPIA FIELDS, IL; ST. JAMES HOSPITAL CHICAGO HEIGHTS, CHICAGO HEIGHTS, IL; METRO SOUTH MEDICAL CENTER, BLUE ISLAND, IL; AUNT MARTHAS COMMUNITY HEALTH CENTER, FQHC, SITES IN HARVEY, HAZEL CREST AND CHICAGO HEIGHTS, IL; ACCESS COMMUNITY HEALTH NETWORK, FQHC, CHICAGO HEIGHTS, IL; FAMILY CHRISTIAN HEALTH CENTER, FQHC, HARVEY, IL; AND OAK FOREST HEALTH CENTER, COOK COUNTY OUTPATIENT HEALTHCARE FACILITY, OAK FOREST, IL. ADVOCATE TRINITY HOSPITAL DESCRIPTION OF COMMUNITY THE COMMUNITY HEALTH COUNCIL (CHC) SETS THE DIRECTION FOR THE COMMUNITY HEALTH INITIATIVES WITHIN TRINITY HOSPITALS TOTAL SERVICE AREA. FOR PLANNING PURPOSES, THE COUNCIL DEFINES THE COMMUNITY AS THE HOSPITALS PRIMARY AND SECONDARY SERVICE AREAS CONSISTENT WITH THE FOLLOWING ZIP CODES: 60617, 60619, 60620, 60628, 60643, AND 60649 (PRIMARY); AND 60409, 60621, 60633, 60636, 60637, AND 60827 (SECONDARY). THE COMMUNITY CONSISTS OF A TOTAL POPULATION OF 586,271, SPANNING 12 ZIP CODES, INCLUDING 20 COMMUNITY AREAS AS DEFINED BY THE CITY OF CHICAGO DEPARTMENT OF PLANNING. TRINITY HOSPITALS COMMUNITY LIES WITHIN COOK COUNTY AND THE CHICAGO CITY LIMITS WITH THE EXCEPTION OF CALUMET CITY, ILLINOIS, ZIP CODE 60827, WHICH LIES JUST SOUTH OF THE CHICAGO CITY LIMIT. DEMOGRAPHICS AGE ACCORDING TO THE 2012 U.S. CENSUS, THE MEDIAN AGE IN TRINITY HOSPITALS PRIMARY SERVICE AREA IS 35 WITH THE LARGEST POPULATION BETWEEN THE AGES OF 18-44. THIS AGE GROUP, HOWEVER, IS EXPECTED TO DECLINE AND THE 65+ POPULATION IS EXPECTED TO INCREASE. THE COMMUNITIES WITH THE LARGEST POPULATION ARE CHATHAM, AVALON PARK, CALUMET HEIGHTS, ROSELAND, AND GREAT GRAND CROSSING. TRINITY HOSPITALS SECONDARY SERVICE AREA MIRRORS THE PRIMARY SERVICE AREA WITH A MEDIAN AGE OF 32.4. A DECLINE IS PROJECTED IN ALL AGE GROUPS WITH THE EXCEPTION OF THE 65+ AGE GROUP, WHICH IS EXPECTED TO INCREASE. THE COMMUNITIES WITHIN THE SECONDARY SERVICE AREA WITH THE LARGEST AGING POPULATIONS ARE WEST ENGLEWOOD, WASHINGTON HEIGHTS, MORGAN PARK, CALUMET CITY AND HEGEWISCH. EXPECTED GROWTH OF THE SENIOR POPULATION IN THESE COMMUNITIES MAY PRESENT OPPORTUNITIES FOR TRINITY TO PROVIDE IN SENIOR HEALTH PROMOTION PROGRAMS. RACE AND ETHNICITY THE POPULATION IN TRINITY HOSPITALS TOTAL SERVICE AREA IS 81 PERCENT AFRICAN AMERICAN, 10 PERCENT HISPANIC, 8 PERCENT WHITE AND 2 PERCENT ASIAN. ALTHOUGH THE OVERALL POPULATION HAS DECLINED BETWEEN 2000 AND 2012, THE HISPANIC POPULATION HAS INCREASED WITHIN THE PRIMARY SERVICE AREA. ACCORDING TO DATA REVIEWED BY COMMUNITY, THE HISPANIC POPULATION IS PRIMARILY LOCATED IN FOUR SPECIFIC COMMUNITIES INCLUDING EASTSIDE, SOUTH CHICAGO, SOUTH DEERING AND HEGEWISCH. POVERTY THE AVERAGE POVERTY RATE IN TRINITY HOSPITALS PRIMARY SERVICE AREA INDICATED THAT 20.4 PERCENT ARE LIVING BELOW 100 PERCENT OF THE FEDERAL POVERTY LEVEL WHICH IS HIGHER THAN THE ILLINOIS RATE OF (13.1 PERCENT) AND NATIONAL RATE (14.3 PERCENT). THE AVERAGE POVERTY LEVEL RATE IN TRINITY HOSPITALS SECONDARY SERVICE AREA IS 28.6 PERCENT - MORE THAN TWICE THE STATE AND NATIONAL POVERTY LEVEL RATES. IN TRINITY HOSPITALS TOTAL SERVICE AREA, POVERTY RATE TRENDS INCREASE AS THE AGE OF THE POPULATION DECREASES. RESEARCH HAS DEMONSTRATED THAT POVERTY AND DISEASE ARE LINKED. POORER COMMUNITIES EXHIBIT HIGHER MORTALITY AND MORBIDITY RATES, AND INCREASED HEALTH NEEDS THAN LESS POVERTY STRICKEN COMMUNITIES. THIS PRESENTS TRINITY HOSPITAL WITH MULTIPLE OPPORTUNITIES TO ENGAGE IN HEALTH PROMOTION ACTIVITIES THAT ADDRESS COMMUNITY HEALTH DISPARITIES PERTINENT TO IMPROVING THE POPULATIONS HEALTH STATUS. HEALTH RESOURCES TRINITY HOSPITALS TOTAL SERVICE AREA IS SERVED BY A VARIETY OF HEALTH RESOURCES. THESE RESOURCES, HOWEVER, ARE LIMITED AND DO NOT MEET THE TOTAL POPULATIONS DEMAND FOR HEALTH SERVICES. A LARGE NUMBER OF PEOPLE IN THE COMMUNITY SEEK HEALTH SERVICES OUTSIDE OF TRINITY HOSPITALS TOTAL SERVICE AREA. THIS IS DUE TO THE LACK OF PRIMARY CARE ACCESS POINTS AND THE LACK OF TERTIARY CARE, WHICH PROVIDES HIGHLY SPECIALIZED MEDICAL/ADVANCED LEVEL CARE, INCLUDING TRAUMA CARE AND COMPLEX SURGICAL PROCEDURES OR TREATMENTS. HEALTH RESOURCES IN THE AREA INCLUDE A VARIETY OF SAFETY NET PROVIDERS, INCLUDING 7 COMMUNITY HOSPITALS, 2 FREE COMMUNITY CLINICS, 8 FEDERALLY QUALIFIED HEALTH CENTERS, 1 SCHOOL-BASED HEALTH CENTER, 1 COUNTY-BASED HEALTH CENTER, 2 CITY-BASED HEALTH CENTERS, AS WELL AS PRIVATE PRIMARY CARE FACILITIES. ADVOCATE BROMENN MEDICAL CENTER COMMUNITY DEFINITION BROMENN MEDICAL CENTERS COMMUNITY HEALTH COUNCIL DEFINED THE COMMUNITY AS MCLEAN COUNTY, THE PRIMARY SERVICE AREA (PSA) FOR BROMENN MEDICAL CENTER. THIS AREA INCLUDES THE FOLLOWING CITIES AND TOWNS: ANCHOR, ARROWSMITH, BELLFLOWER, BLOOMINGTON, CARLOCK, CHENOA, COLFAX, COOKSVILLE, DANVERS, DOWNS, ELLSWORTH, GRIDLEY, HEYWORTH, HUDSON, LE ROY, LEXINGTON, MCLEAN, MERNA, NORMAL, SAYBROOK, STANFORD AND TOWANDA. THE COMMUNITY CONSISTS OF A TOTAL POPULATION OF 169,572 ACCORDING TO THE 2010 US CENSUS BUREAU. BLOOMINGTON HAS THE LARGEST POPULATION IN THE COUNTY WITH 76,610 AND NORMAL HAS THE SECOND LARGEST POPULATION WITH 52,497. ACCORDING TO THE 2012 US CENSUS BUREAU, THE POPULATION IN MCLEAN COUNTY EDUCATION MCLEAN COUNTY IS ABOVE THE STATE AVERAGE IN TERMS OF EDUCATION. NINETY-THREE AND FOUR TENTHS PERCENT OF THE POPULATION OVER THE AGE OF 25 POSSESSES A HIGH SCHOOL DIPLOMA OR HIGHER AND 41.4 PERCENT HAVE A BACHELORS DEGREE OR HIGHER. THE STATE AVERAGE FOR A BACHELORS DEGREE OR HIGHER IS 30.7 PERCENT. ILLINOIS STATE UNIVERSITY, ILLINOIS WESLYAN UNIVERSITY, HEARTLAND COMMUNITY COLLEGE AND LINCOLN COLLEGE ARE ALL LOCATED IN MCLEAN COUNTY. HEALTH CARE RESOURCES IN THE DEFINED COMMUNITY THERE ARE NUMEROUS HEALTH CARE RESOURCES IN MCLEAN COUNTY. THERE ARE TWO HOSPITALS, INCLUDING ADVOCATE BROMENN MEDICAL CENTER LOCATED IN NORMAL AND OSF SAINT JOSEPH MEDICAL CENTER LOCATED IN BLOOMINGTON. THERE IS ALSO A FEDERALLY QUALIFIED HEALTH CENTER (FQHC), THE CHESTNUT FAMILY HEALTH CENTER, LOCATED IN BLOOMINGTON. IN ADDITION, THERE ARE FIVE COMMUNITY CLINICS. THE COMMUNITY HEALTH CARE CLINIC AND THE COMMUNITY CANCER CENTER ARE BOTH LOCATED IN NORMAL. THE JOHN M. SCOTT HEALTH RESOURCES CENTER, IMMANUEL HEALTH CENTER AND MCLEAN COUNTY FOR HUMAN SERVICES ARE ALL LOCATED IN BLOOMINGTON. TWO ADDITIONAL HEALTH CARE RESOURCES IN MCLEAN ARE THE CLINIC WITHIN THE MCLEAN COUNTY HEALTH DEPARTMENT AND A NEWLY OPENED CRISIS STABILIZATION UNIT WHICH IS A PART OF CHESTNUT HEALTH SYSTEMS. ADVOCATE EUREKA HOSPITAL THE COMMUNITY IS DEFINED AS ADVOCATE EUREKA HOSPITALS PRIMARY SERVICE AREA WHICH IS RURAL WOODFORD COUNTY IN CENTRAL ILLINOIS. THE FOLLOWING TOWNS ARE IN WOODFORD COUNTY: BAY VIEW GARDENS, BENSON, CONGERVILLE, EL PASO, EUREKA, GERMANTOWN HILLS, GOODFIELD, KAPPA, LOWPOINT, METAMORA, MINONK, PANOLA, ROANOKE, SECOR, SPRING BAY AND WASHBURN. WOODFORD COUNTY CONSISTS OF A TOTAL POPULATION OF 38,971, REPRESENTING NEARLY A 10 PERCENT INCREASE FROM 2000 ACCORDING TO THE 2012 US CENSUS BUREAU. DEMOGRAPHICS AGE AND GENDER ACCORDING TO THE US CENSUS BUREAU IN 2012, THE MEDIAN AGE FOR WOODFORD COUNTY IS 40 YEARS AND THE POPULATION IS EVENLY SPLIT BETWEEN MALE AND FEMALE WITH 50.5 PERCENT OF THE INDIVIDUALS IN WOODFORD COUNTY BEING FEMALE AND 49.5 PERCENT BEING MALE. TWENTY-TWO PERCENT OF WOODFORD COUNTY RESIDENTS ARE 25 TO 44 YEARS OF AGE, 28 PERCENT OF RESIDENTS ARE 45 TO 64 YEARS OF AGE AND 16 PERCENT OF RESIDENTS ARE 65 YEARS AND OLDER. RACE AND ETHNICITY WOODFORD COUNTY IS 97.6 PERCENT WHITE, 1.6 PERCENT HISPANIC OR LATINO, 0.6 PERCENT BLACK OR AFRICAN AMERICAN AND 0.2 PERCENT AMERICAN INDIAN AND ALASKA NATIVE, ACCORDING TO THE US CENSUS BUREAU 2012. ECONOMICS ACCORDING TO THE AMERICAN COMMUNITY SURVEY 20072010, THE PERCENT OF RESIDENTS LIVING BELOW THE FEDERAL POVERTY LEVEL IN WOODFORD COUNTY IS 7.2 PERCENT COMPARED TO A RATE OF 13.1 PERCENT FOR ILLINOIS. THE MEDIAN HOUSEHOLD INCOME FOR WOODFORD COUNTY IS $66,198. THIS IS HIGHER THAN THE MEDIAN HOUSEHOLD INCOME FOR ILLINOIS OF $56,576. WOODFORD COUNTY ALSO HAS A SIGNIFICANTLY HIGHER PERCENT OF INDIVIDUALS WHO OWN THEIR OWN HOMES THAN THE AVERAGE IN ILLINOIS-WITH 83.8 PERCENT OF INDIVIDUALS BEING HOME OWNERS COMPARED TO THE STATE AVERAGE OF 68.7 PERCENT. EDUCATION NINETY-THREE PERCENT OF INDIVIDUALS IN WOODFORD COUNTY OVER THE AGE OF 25 POSSESS A HIGH SCHOOL DIPLOMA OR HIGHER AND 24.3 PERCENT HAVE A BACHELORS DEGREE OR HIGHER ACCORDING TO THE AMERICAN COMMUNITY SURVEY 20072010. EUREKA COLLEGE IS LOCATED IN WOODFORD COUNTY. HEALTH CARE RESOURCES IN THE DEFINED COMMUNITY THERE ARE A TOTAL OF THREE HEALTH CARE RESOURCES IN WOODFORD COUNTY, HOWEVER, ADVOCATE EUREKA HOSPITAL, A CRITICAL ACCESS HOSPITAL, IS THE ONLY HOSPITAL IN WOODFORD COUNTY. THERE IS ALSO A HEALTH CLINIC AT THE WOODFORD COUNTY HEALTH DEPARTMENT AND A COMMUNITY ORGANIZATION FOR RESIDENTS CALLED HEART HOUSE/SHELTER. 5. PROMOTION OF COMMUNITY HEALTH ADVOCATE CHRIST MEDICAL CENTER ADVOCATE CHRIST MEDICAL CENTER CONSIDERS ITS COMMUNITYS HEALTH A KEY PRIORITY. IN 2015, THE HOSPITAL PROVIDED OVER 26,000 COMMUNITY HEALTH SERVICES TO OVER 400,000 LOCAL RESIDENTS FOR A TOTAL EXPENSE OF OVER $1.2 MILLION. SOME OF THOSE SERVICES INCLUDED HEALTH AND DISEASE PREVENTION PROGRAMS AND SCREENINGS, NURSING CAMPS, HEALTH FAIR EXHIBITS, COMMUNITY LECTURES AND SUPPORT GROUPS. ALSO INCLUDED IS THE MEDICAL CENTERS PARTNERSHIP WITH THE MUSEUM OF SCIENCE AND INDUSTRY TO PROVIDE "LIVE...FROM THE HEART" - A VIDEO CONFERENCE-BASED CARDIOVASCULAR EDUCATION PROGRAM FOR HIGH SCHOOL STUDENTS. IN 2015 OVER 1,200 STUDENTS WERE TRAINED IN THE ACCREDITED MEDICAL AND OTHER HEALTH PROFESSIONS PROGRAMS AND A RANGE OF SPECIALTIES TOTALING OVER 36,000 HOURS OF EDUCATION. TO ENSURE THAT ACMCS DIVERSE PATIENT POPULATION FULLY UNDERSTANDS AND IS ENGAGED IN THEIR HEALTH CARE, THE HOSPITAL PROVIDED OVER $678,506 IN LANGUAGE ASSISTANCE SERVICES. CHRIST MEDICAL CENTER HAS ALSO PARTNERED WITH THE BEN CARSON FOUNDATION TO PROMOTE HIGHER LEARNING IN ELEMENTARY AND HIGH SCHOOLS, INCLUDING AN OAK LAWN SCHOOL DISTRICT PROJECT TO IMPROVE READING SCORES AND PROMOTE READING FOR PLEASURE. ACMC HAS ONE OF THE BUSIEST LEVEL I TRAUMA CENTERS IN ILLINOIS PROVIDING EMERGENCY CARE TO MORE THAN 95,000 PATIENTS ANNUALLY. ACMC IS ALSO THE REGIONAL HEALTHCARE COORDINATION CENTER HOSPITAL FOR DISASTER COMMUNICATION/MEDICAL RESOURCES FOR A SEVEN-COUNTY AREA AND IS INVOLVED IN EMERGENCY PREPAREDNESS ACTIVITIES BOTH NATIONALLY AND LOCALLY. ACMC TRAINS MORE THAN 2,500 EMERGENCY MEDICAL TECHNICIANS, PARAMEDICS AND OTHER EMERGENCY CARE PROVIDERS THROUGH THE EMERGENCY MEDICAL SERVICES (EMS) ACADEMY, WHICH IS ONE OF THE LARGEST EMS TRAINING PROGRAMS IN ILLINOIS. FAMILY PRACTICE MEDICAL STUDENTS PARTICIPATED WITH THE "SHADOW THE CHAPLAIN PROGRAM" ON FRIDAYS. THE PROGRAMS EDUCATION INVOLVED EXPOSING MEDICAL STUDENTS TO MISSION AND SPIRITUAL CARE ISSUES RELATED TO THE ROLE OF CHAPLAINS AND THEIR ROLE AS DOCTORS. THIS EXPERIENCE IS ALSO MEANT TO DEEPEN THE MEDICAL STUDENT'S APPRECIATION FOR THE CHALLENGES AND NEEDS OF PATIENTS, FAMILIES AND MEDICAL STAFF, AND HOW THE CHAPLAIN OFFERS MEANINGFUL PASTORAL/SPIRITUAL SUPPORT IN A MANNER THAT ENHANCES THE MEDICAL STUDENT'S PERSPECTIVE AS A DOCTOR. THE 20 STUDENTS THAT PARTICIPATED IN 2015 REPORTED THIS ACTIVITY TO BE A MEANINGFUL EXPERIENCE IN THEIR DEVELOPMENT AS DOCTORS. THE MISSION AND SPIRITUAL CARE DEPARTMENT PRESENTED - "THE ART OF PASTORAL/SPIRITUAL CARE DURING GRIEF AND LOSS" PROGRAM. THIS IS AN IN-SERVICE PROGRAM PRESENTED TO 200 HIGH SCHOOL EDUCATORS AND COUNSELORS AT ST. LAURENCE HIGH SCHOOL. THE MISSION OF THE ART OF PASTORAL CARE PROGRAM IS TO INTRODUCE PEOPLE TO THE HEALING PRESENCE WITHIN THEM SO THAT THEY MIGHT EXTEND IT TO OTHERS WITH COMPETENCE AND COMPASSION. IN THE ART OF PASTORAL CARE COURSE, PARTICIPANTS WERE TAUGHT HOW TO MINISTER TO THE WHOLE PERSON, RECOGNIZING A PERSON'S PHYSICAL, EDUCATIONAL, SPIRITUAL AND RELIGIOUS NEEDS, AND HOW TO RESPOND WITH HELP THAT HELPS. PATIENT CARE IS A VERY IMPORTANT PART OF CHRIST MEDICAL CENTERS MISSION. TWO MAJOR INVESTMENTS WERE CONDUCTED IN 2015 IN TO IMPROVE PATIENT CARE. 1. CHRIST MEDICAL CENTER IS DESIGNATED AT THE HIGHEST LEVEL OF PERINATAL CARE IN ILLINOIS. IN ORDER TO ENHANCE A FAMILY-CENTERED CARE CONCEPT, CHRIST MEDICAL CENTER BUILT A STATE OF THE ART BIRTHING CENTER IN 2013. THIS CENTER ENABLES CHRIST MEDICAL CENTER TO OFFER AN OVERALL ENHANCEMENT OF THE CHILDBIRTH EXPERIENCE FOR BOTH LOW-RISK MOTHERS AND THOSE MOMS WHO MAY EXPERIENCE HIGH-RICK PREGNANCY. THIS ENHANCEMENT IS EXPECTED TO LEAD TO OTHER RELATED SERVICES, INCLUDING EXPANSION OF THE MEDICAL CENTERS NEONATAL INTENSIVE CARE UNIT (NICU). 2. CHRIST MEDICAL CENTER IS THE ONLY LEVEL I TRAUMA CENTER THAT SERVES THE SOUTHLAND, THE SOUTH AND SOUTHEAST SIDES OF CHICAGO AND NORTHWEST INDIANA. IN ORDER TO TREAT THE SEVEREST INJURIES, CHRIST MEDICAL CENTER IS EXPANDING THE PHYSICAL SPACE OF THE CURRENT EMERGENCY ROOM IN ORDER TO IMPROVE PATIENT ACCESS TO EMERGENCY SERVICES, HELP REDUCE THE NUMBER OF HOURS CHRIST HOSPITAL MAY BE ON BYPASS, ENHANCE PATIENT PRIVACY AND PROVIDE SEGREGATED SPACE TO ADDRESS THE SPECIAL, EMERGENT NEEDS OF SPECIFIC PATIENT POPULATIONS. THE GOVERNING COUNCIL AT ADVOCATE CHRIST MEDICAL CENTER IS COMPRISED OF LOCAL COMMUNITY LEADERS AND PHYSICIANS. GOVERNING COUNCIL MEMBERS SUPPORT HOSPITAL LEADERSHIP IN THEIR PURSUIT OF THE HOSPITALS GOALS, REPRESENT THE COMMUNITYS INTEREST TO THE HOSPITAL AND SERVE AS AMBASSADORS IN THE COMMUNITY. 68 PERCENT OF THE CURRENT GOVERNING COUNCIL MEMBERS REPRESENT THE COMMUNITY, INCLUDING THE FAITH COMMUNITY. IN ADDITION, THE ORGANIZATION EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY FOR SOME OR ALL OF ITS DEPARTMENTS AND SPECIALTIES. ADVOCATE LUTHERAN GENERAL HOSPITAL ADVOCATE LUTHERAN GENERAL HOSPITAL PROMOTES THE HEALTH OF THE COMMUNITY IN A VARIETY OF ADDITIONAL WAYS. THE HOSPITALS GOVERNING COUNCIL WITH 18 MEMBERS INCLUDES 67% OF MEMBERS WHO REPRESENT COMMUNITY ORGANIZATIONS BEYOND THE HOSPITAL, INCLUDING MEMBERS THAT ARE FROM FAITH COMMUNITIES, SCHOOL DISTRICTS, THE STATE LEGISLATURE, OTHER BRANCHES OF STATE GOVERNMENT AS WELL AS FROM THE BANKING AND LEGAL SECTORS OF THE COMMUN ADVOCATE GOOD SHEPHERD HOSPITAL THE ADVOCATE GOOD SHEPHERD HOSPITAL COMMUNITY HEALTH COUNCIL IS COMPRISED OF 11 COMMUNITY MEMBERS, REPRESENTING 50% OF THE COUNCILS TOTAL MEMBERSHIP. NON-ADVOCATE-AFFILIATED MEMBERS REPRESENT THE MCHENRY COUNTY AND LAKE COUNTY HEALTH DEPARTMENTS, A FREE CLINIC IN MCHENRY COUNTY, FAITH-BASED ORGANIZATIONS, AREA SCHOOL DISTRICTS, THE AMERICAN CANCER SOCIETY AND SOCIAL SERVICE AGENCIES. THE HOSPITAL ALSO EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY FOR SOME OR ALL OF ITS DEPARTMENTS AND SPECIALTIES. ADVOCATE GOOD SHEPHERD HOSPITAL ALSO DONATES STAFF TIME AND EXPERTISE TO A NUMBER OF LOCAL COUNCILS AND BOARDS. IN ADDITION, THE HOSPITAL ROUTINELY MAKES CASH AND IN-KIND DONATIONS TO PARTNERS, SUCH AS THE PIONEER CENTER, TO FURTHER THE HEALTH OF THE COMMUNITY INCLUDING AND THE DONATION OF MEDICAL SUPPLIES, THROUGH COMMUNITY ORGANIZATIONS. DETAILED INFORMATION ON KEY COMMUNITY HEALTH INITIATIVES IMPLEMENTED BY ADVOCATE GOOD SHEPHERD HOSPITAL ARE DESCRIBED ABOVE IN PART V, SECTION B, LINE 11. ADVOCATE SOUTH SUBURBAN HOSPITAL ADVOCATE SOUTH SUBURBAN HOSPITAL IS AN ACUTE-CARE FACILITY PROVIDING A WIDE RANGE OF COMPREHENSIVE INPATIENT, OUTPATIENT, DIAGNOSTIC AND AMBULATORY MEDICAL SERVICES. IN ADDITION TO OFFERING AN ARRAY OF HOSPITAL SERVICES, THIS NOT-FOR-PROFIT FACILITY PROVIDES FREE SCREENINGS AND A VARIETY OF OTHER OUTREACH SERVICES THROUGHOUT THE COMMUNITY, INCLUDING: SENIOR SERVICES: SOUTH SUBURBAN HOSPITAL SERVES A LARGE SENIOR POPULATION AND HOSTS A VARIETY OF PROGRAMS AND SCREENINGS IN THE COMMUNITY FOR SENIORS, INCLUDING: A SENIOR BREAKFAST CLUB PROGRAM THAT HOSTS A VARIETY OF HEALTH EDUCATION PROGRAMS; THE ANNUAL ACTIVE SENIOR EXPO, A PREMIER EVENT DESIGNED ESPECIALLY FOR SENIORS; AND PARTICIPATION IN A NUMBER OF SENIOR HEALTH FAIRS THROUGHOUT THE YEAR. SUPPORT GROUPS: THE HOSPITAL ALSO HOSTS A NUMBER OF SUPPORT GROUPS FOR THE COMMUNITY DESIGNED FOR INDIVIDUALS LIVING WITH A PARTICULAR ILLNESS. THE HOSPITAL PROVIDES COMPLIMENTARY MEETING SPACE WHEREBY COMMUNITY MEMBERS CAN FIND SUPPORT GROUPS FOR: ALZHEIMERS DISEASE, DIABETES, PARKINSONS DISEASE, EASY BREATHERS, LUPUS, NATIONAL ALLIANCE FOR MENTAL ILLNESS (NAMI) AND STROKE AT THE HOSPITAL ALL FREE OF CHARGE TO THE COMMUNITY. LIFESTYLE CLASSES: TO AID THE COMMUNITY WITH LIFESTYLE CHANGES, SOUTH SUBURBAN HOSPITAL AND ITS TEAM OF HEALTH CARE PROFESSIONALS OFFER CLASSES ON CONGESTIVE HEART FAILURE, LIFE AFTER A STROKE, DIABETES LIFESTYLE CLASSES AND GROCERY STORE TOURS AIMED AT TEACHING DIABETICS HOW TO READ LABELS AND HEALTHY SHOPPING. THE HOSPITAL ALSO HAS STRONG PARTNERSHIPS WITH THE AMERICAN CANCER SOCIETY AND THE CANCER SUPPORT CENTER TO OFFER WELLNESS CLASSES FOR CANCER PATIENTS. SANE PROGRAM: SEXUAL ASSAULT NURSE EXAMINERS (SANES) ARE SPECIALISTS IN FORENSIC NURSING. SANES NOT ONLY ASSIST PATIENTS WHO HAVE BEEN SEXUALLY ASSAULTED, BUT THEY ALSO USE THEIR EDUCATION AND EXPERIENCE TO EXPAND THEIR CLINICAL PRACTICES TO ACCOMMODATE VICTIMS OF OTHER FORMS OF VIOLENCE. EXPERIENCED SANES EXTEND THEIR PRACTICE INTO THE CARE OF VICTIMS OF DOMESTIC VIOLENCE AS WELL. THESE SPECIALLY-EDUCATED NURSES CAN BE A VALUABLE RESOURCE TO PROSECUTORS, PARTICULARLY IN CASES WHERE THE VICTIM MAY BE UNWILLING OR UNABLE TO TESTIFY, AND ASSIST LAW ENFORCEMENT AND THE COURTS IN SENDING THOSE PERPETRATORS OF SEXUAL ASSAULT AND/OR DOMESTIC VIOLENCE TO JAIL. ADVOCATE SOUTH SUBURBAN HOSPITAL HAS A DIVERSE GOVERNING COUNCIL THAT INCLUDES SEVEN PHYSICIANS, TWO CLERGY AND NINE COMMUNITY MEMBERS FROM SURROUNDING AREAS AND BUSINESSES. TWO-THIRDS OF THE 2015 GOVERNING COUNCIL MEMBERS ARE REPRESENTATIVES OF THE COMMUNITY. THE ORGANIZATION ALSO EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY FOR SOME OR ALL OF ITS DEPARTMENTS AND SPECIALTIES. IN ADDITION, THE HOSPITAL CONTINUES TO REINVEST IN ITS FACILITIES AND PROGRAMS EVERY YEAR. IN 2015 THERE WERE RENOVATIONS AND UPGRADES TO THE PATIENT CARE UNITS AND A REPLACEMENT OF THE HVAC AIR HANDLING/VENTILATION SYSTEM OF THE NORTH/SOUTH BUILDINGS ON THE SECOND, THIRD AND FOURTH FLOORS OF THE HOSPITAL. ADVOCATE TRINITY HOSPITAL THE HOSPITAL'S SERVICES AND COMMUNITY HEALTH OUTREACH EFFORTS REFLECT A COMMITMENT TO RESPOND TO THE COMMUNITY'S MOST PRESSING HEALTH NEEDS WITH INNOVATIVE HEALTH OUTREACH PROGRAMS AND QUALITY CARE. INITIATIVES INCLUDE EDUCATION AND MANAGEMENT PROGRAMS FOR ASTHMA AND DIABETES, STROKE PREVENTION AND TREATMENT, AND A CHRONIC DISEASE MANAGEMENT PROGRAM INVOLVING THE USE OF COMMUNITY HEALTH WORKERS. THE HOSPITAL'S STRENGTHS IN CLINICAL CARE AND HEALTH EDUCATION ARE COMPLEMENTED BY AN ACTIVE MISSION AND SPIRITUAL CARE OFFICE THAT WORKS WITH OVER 35 CHURCHES TO IDENTIFY COMMUNITY HEALTH NEEDS AND CONNECT PARISHIONERS WITH THE RESOURCES OF ADVOCATE HEALTH CARE AND OTHER COMMUNITY-BASED PROVIDERS. ADVOCATE TRINITY HOSPITAL HAS A DIVERSE GOVERNING COUNCIL WITH MEMBERSHIP THAT IS 66% COMMUNITY MEMBERS AND 33 PERCENT ADVOCATE ASSOCIATES AND PHYSICIANS. THE HOSPITAL IS ALSO COMMITTED TO REINVESTMENT IN THE HOSPITALS HEALTH CARE MINISTRY. EXAMPLES INCLUDE RENOVATIONS TO PATIENT CARE UNITS SUCH AS THE NEW 12 BED INTENSIVE CARE UNIT AND NEW INFUSION CENTER. ADVOCATE BROMENN MEDICAL CENTER ADVOCATE BROMENN MEDICAL CENTERS DEDICATION TO PROMOTING THE HEALTH OF THE COMMUNITY IS EXEMPLIFIED IN NUMEROUS WAYS. A VAST MAJORITY OF THE HOSPITALS EXECUTIVE TEAM SERVES ON MULTIPLE COMMUNITY BOARDS THAT HELP EITHER DIRECTLY OR INDIRECTLY IMPROVE THE HEALTH OF THE COMMUNITY, SUCH AS FOR EXAMPLE - EASTER SEALS, KIWANIS, COMMUNITY HEALTH CARE CLINIC, FOUR SEASONS, YWCA, AMERICAN RED CROSS, MCLEAN COUNTY CHAMBER OF COMMERCE AND THE IMMANUEL HEALTH CENTER. THE PRESIDENT OF ADVOCATE BROMENN MEDICAL CENTER IS ALSO INVOLVED IN MANY BOARDS THAT IMPACT THE COMMUNITY IN A POSITIVE MANNER SUCH AS THE BN ADVANTAGE LEADERSHIP COUNCIL, CIRA AIRPORT AUTHORITY, HEARTLAND COMMUNITY COLLEGE FOUNDATION BOARD OF DIRECTORS, THE GIRL SCOUTS OF CENTRAL ILLINOIS AND THE COMMUNITY CANCER CENTER. THE PRESIDENT AND OTHER MEMBERS OF THE EXECUTIVE TEAM PROVIDE LEADERSHIP TRAINING IN THE COMMUNITY TO GROUPS SUCH AS THE MULTICULTURAL LEADERSHIP PROGRAM AND LEADERSHIP MCLEAN COUNTY. IN ADDITION, A MEMBER OF BROMENN MEDICAL CENTERS LEADERSHIP TEAM TRAIN STUDENTS FROM THE BLOOMINGTON AREA CAREER CENTER TO TAKE THE CERTIFIED NURSING ASSISTANT EXAM. THE HOSPITAL FURTHERS ITS EXEMPT PURPOSE BY EXTENDING MEDICAL PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY FOR SOME OR ALL OF ITS DEPARTMENTS AND SPECIALTIES. THE HOSPITAL ALSO ENSURES THAT A MAJORITY OF THE MEMBERS OF ITS GOVERNING COUNCIL ARE REPRESENTATIVES FROM THE COMMUNITY. THE GOVERNING COUNCIL IS COMPRISED OF EIGHTEEN MEMBERS, SIXTEEN OF WHICH ARE COMMUNITY MEMBERS REPRESENTING THE INTERESTS OF THE COMMUNITY. THE TITLES AND AFFILIATIONS OF THE CURRENT MEMBERS ARE AS FOLLOWS: * RETIRED PRESIDENT OF ILLINOIS STATE UNIVERSITY * ASSISTANT ADMINISTRATOR, MCLEAN COUNTY HEALTH DEPARTMENT * DIRECTOR, AMERICAN RED CROSS OF THE HEARTLAND * EXECUTIVE DIRECTOR, MCLEAN COUNTY REGIONAL PLANNING COMMISSION * MD - INDEPENDENT PHYSICIAN * MD - INDEPENDENT PHYSICIAN * FINANCIAL ADVISOR, MERRILL LYNCH * COMMUNITY MEMBER, RETIRED DISTRICT COURT JUDGE * ADVOCATE MEDICAL GROUP PHYSICIAN * ADVOCATE MEDICAL GROUP PHYSICIAN * MD - INDEPENDENT PHYSICIAN * MAYOR OF EL PASO * STATE FARM AGENT * BUSINESSMAN, COUNTRY FINANCIAL SERVICES * BUSINESSMAN, AFNI * PROVOST, ILLINOIS STATE UNIVERSITY * RETIRED DIRECTOR OF THE EUREKA LIBRARY * ATTORNEY ANOTHER KEY AREA IN WHICH THE HOSPITAL CONTRIBUTES SIGNIFICANTLY TO THE HEALTH OF THE COMMUNITY IS THE COMMUNITY HEALTH CARE CLINIC. IN 1993, ADVOCATE BROMENN MEDICAL CENTER PARTNERED WITH OSF ST. JOSEPH MEDICAL CENTER, ALSO LOCATED IN MCLEAN COUNTY, TO OPEN THE COMMUNITY HEALTH CARE CLINIC. THE COMMUNITY HEALTH CARE CLINIC PROVIDES SERVICES TO THE MEDICALLY UNDERSERVED POPULATION OF MCLEAN COUNTY TO ENSURE THAT ALL POPULATIONS IN THE COMMUNITY HAVE ACCESS TO HEALTHCARE. TO BE ELIGIBLE FOR CARE AT THE CLINIC, AN INDIVIDUAL MUST HAVE A TOTAL HOUSEHOLD INCOME LESS THAN 185 PERCENT OF FEDERAL POVERTY GUIDELINES, HAVE NO ACCESS TO THIRD PARTY INSURANCE (MEDICAID, MEDICARE, ALL KIDS, VETERANS BENEFITS, DISABILITY OR EMPLOYER-SPONSORED INSURANCE) AND RESIDE IN MCLEAN COUNTY. ALL EMERGENCY ROOM VISITS, DIAGNOSTIC TESTING AND HOSPITAL SERVICES ARE PROVIDED FREE OF CHARGE BY BROMENN MEDICAL CENTER AND OSF ST. JOSEPH MEDICAL CENTER. THE COMMUNITY HEALTH CARE CLINIC SAW 1100 PATIENTS IN 2015, PROVIDED 8163 PATIENT VISITS AND PRESCRIBED OVER 19,647 PRESCRIPTION MEDICATIONS AT NO CHARGE TO UNINSURED INDIVIDUALS. THE CLINIC IS IN A BUILDING OWNED BY BROMENN MEDICAL CENTER, FOR WHICH THE HOSPITAL PAID $10,948 FOR THE MAINTENANCE AND UPKEEP OF THE FACILITY IN 2015. ENVIRONMENTAL IMPROVEMENT EFFORTS ARE ANOTHER AVENUE IN WHICH ADVOCATE BROMENN MEDICAL CENTER FURTHERS ITS EXEMPT PURPOSE AND SIMULTANEOUSLY PROMOTES THE HEALTH OF THE COMMUNITY. SOME EXCELLENT EXAMPLES OF THIS INCLUDE THE DONATION ADVOCATE EUREKA HOSPITAL EUREKA HOSPITAL IS A 25-BED FACILITY THAT HAS SERVED AND CARED FOR THE PEOPLE OF WOODFORD COUNTY AND THE SURROUNDING AREA SINCE 1901. EUREKA HOSPITAL IS THE ONLY HOSPITAL IN WOODFORD COUNTY AND IS A CRITICAL ACCESS HOSPITAL AS CERTIFIED BY THE CENTERS FOR MEDICARE AND MEDICAID SERVICES. BY FUNCTIONING IN THIS CAPACITY, EUREKA HOSPITAL PLAYS A VITAL ROLE IN SERVING THE HEALTH NEEDS OF A PRIMARILY RURAL AREA. COMMUNITY RESIDENTS BENEFIT FROM HAVING ACCESS TO CARE CLOSE TO HOME AS PROVIDED BY A DEDICATED GROUP OF PRIMARY CARE AND SPECIALTY PHYSICIANS. IF THE PATIENTS CONDITION REQUIRES ADVANCED CARE, EUREKA HOSPITAL IS AVAILABLE TO STABILIZE THE CONDITION AND SEAMLESSLY TRANSITION THE PATIENT TO ANOTHER FACILITY. IN EARLY 2016, THE HOSPITAL COMPLETED A 28,000 SQUARE FOOT ADDITION TO THE HOSPITAL. THE EXPANSION INCLUDED TWO STATE-OF-THE-ART OPERATING ROOMS, AS WELL AS 11 MODERN, PRIVATE PATIENT ROOMS. THE BUILDING WAS CONSTRUCTED WITH ENVIRONMENTAL STEWARDSHIP IN MIND. THIS INCLUDED PLACEMENT OF WHITE REFLECTIVE ETHYLENE PROPYLENE DIENE TERPOLYMER (EDPM) ROOF WITH HIGH SRI VALUE, ENERGY EFFICIENT LED LIGHTING THROUGHOUT THE BUILDING CONTROLLED BY OCCUPANCY/DAYLIGHT SENSORS AND AIR HANDLING UNITS OUTFITTED WITH ENERGY RECOVERY WHEELS. A CHERISHED COMMUNITY INSTITUTION, EUREKA HOSPITAL HAS SET NEW STANDARDS FOR WHAT A RURAL HOSPITAL CAN ACCOMPLISH. WHILE PATIENTS APPRECIATE THE SMALL-TOWN TOUCH OF ONE-ON-ONE CARE, THEY ALSO KNOW THAT ITS BACKED BY SERVICES AND TECHNOLOGY TYPICALLY UNAVAILABLE AT A SMALL HOSPITAL. EMERGENCY CARE, INPATIENT AND OUTPATIENT SURGERIES, REHABILITATION AND ADVANCED RADIOLOGY ARE ONLY A FEW OF THE SERVICES OFFERED. THESE SERVICES ARE PROVIDED BY A SKILLED AND CARING STAFF THAT HAS WON NUMEROUS AWARDS FOR PATIENT SATISFACTION. IN ADDITION TO FILLING A VOID IN THE COUNTY BY SERVING AS A CRITICAL ACCESS HOSPITAL, ADVOCATE EUREKA HOSPITAL PROMOTES THE HEALTH OF THE COMMUNITY THROUGH ITS RECYCLING EFFORTS. USED PRINTER CARTRIDGES ARE COLLECTED AND DONATED DIRECTLY TO SPECIAL OLYMPICS. IN ADDITION, THE HOSPITAL DONATES USED MEDICAL EQUIPMENT AND FURNITURE AND HAS MADE IMPROVEMENTS TO REDUCE ENERGY, SOLID AND MEDICAL WASTE USAGE. THE HOSPITAL ALSO SPONSORS COMMUNITY RACES TO PROMOTE HEALTH AWARENESS AND ENGAGES IN FUNDRAISING EFFORTS TO IMPROVE THE HEALTH OF THE COMMUNITY. AT THE END OF 2015, THE HOSPITAL BEGAN SERVING ANTIBIOTIC FREE MEATS IN PATIENT MEALS. THE HOSPITAL FURTHERS ITS EXEMPT PURPOSE BY EXTENDING MEDICAL PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY FOR SOME OR ALL OF ITS DEPARTMENTS AND SPECIALTIES. THE HOSPITAL ALSO ENSURES THAT A MAJORITY OF THE MEMBERS OF ITS GOVERNING COUNCIL ARE REPRESENTATIVES FROM THE COMMUNITY. THE GOVERNING COUNCIL IS COMPRISED OF EIGHTEEN MEMBERS, SIXTEEN OF WHICH ARE COMMUNITY MEMBERS REPRESENTING THE INTERESTS OF THE COMMUNITY. THE TITLES AND AFFILIATIONS OF THE CURRENT MEMBERS ARE AS FOLLOWS: * RETIRED PRESIDENT OF ILLINOIS STATE UNIVERSITY * ASSISTANT ADMINISTRATOR, MCLEAN COUNTY HEALTH DEPARTMENT * DIRECTOR, AMERICAN RED CROSS OF THE HEARTLAND * EXECUTIVE DIRECTOR, MCLEAN COUNTY REGIONAL PLANNING COMMISSION * MD - INDEPENDENT PHYSICIAN * MD - INDEPENDENT PHYSICIAN * FINANCIAL ADVISOR, MERRILL LYNCH * COMMUNITY MEMBER, RETIRED DISTRICT COURT JUDGE * ADVOCATE MEDICAL GROUP PHYSICIAN * ADVOCATE MEDICAL GROUP PHYSICIAN * MD - INDEPENDENT PHYSICIAN * MAYOR OF EL PASO * STATE FARM AGENT * BUSINESSMAN, COUNTRY FINANCIAL SERVICES * BUSINESSMAN, AFNI * PROVOST, ILLINOIS STATE UNIVERSITY * RETIRED DIRECTOR OF THE EUREKA LIBRARY * ATTORNEY ANOTHER KEY AREA IN WHICH THE HOSPITAL CONTRIBUTES SIGNIFICANTLY TO THE HEALTH OF THE COMMUNITY IS THROUGH ITS COMMUNITY EDUCATION AND OUTREACH EFFORTS. THE HOSPITAL OFFERS ON-GOING HEALTH PROGRAMS, SUCH AS MONTHLY BLOOD PRESSURE SCREENINGS, IN THE HOSPITAL LOBBY. THE HOSPITAL ALSO HOSTS (AT LEAST QUARTERLY) COMMUNITY HEALTH EVENTS AT WHICH PHYSICIAN SPEAKERS EDUCATE THE COMMUNITY ON A VARIETY OF TOPICS, SUCH AS SUPER FOODS AND CARDIAC BENEFITS, ADVANCED CARE PLANNING AND PAIN. ENVIRONMENTAL IMPROVEMENTS ADVOCATE HEALTH CARE IS COMMITTED TO GREENING HEALTH CARE BECAUSE IT IS DEEPLY CONNECTED TO OUR CORE MISSION 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 GREEN HOUSE GASES, AND PRESERVATION OF NATURAL RESOURCES. AS WE WORK TO REDUCING 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 EDUCATION AS WE WORK TO SERVE THE HEALTH NEEDS OF TODAYS 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 DO SO IN A VARIETY OF WAYS. IN 2011, ADVOCATE BECAME ONE OF 12 FOUNDING AND SPONSORING HEALTH SYSTEMS PARTNERING WITH THREE ENVIRONMENTAL NON-GOVERNMENT ORGANIZATIONS (HEALTH CARE WITHOUT HARM, PRACTICE GREENHEALTH, AND THE CENTER FOR HEALTH DESIGN) TO SPONSOR THE HEALTHIER HOSPITALS INITIATIVE, A 3-YEAR NATIONAL CAMPAIGN TO IMPLEMENT BEST PRACTICES FOCUSED ON IMPROVING ENVIRONMENTAL HEALTH AND SUSTAINABILITY IN THE HEALTH CARE SECTOR. HEALTHIER HOSPITALS HAS NOW BECOME A PERMANENT PROGRAM OF PRACTICE GREENHEALTH, ENGAGING OVER 1300 HOSPITALS IN CHALLENGES SIX CATEGORIES: 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 CONTINUES A LEADERSHIP AND MENTORING ROLE NATIONALLY THROUGH PARTICIPATION IN SEVERAL MARKET TRANSFORMATION GROUPS ADDRESSING SAFER CHEMICALS AND HEALTHIER FOOD, AS WELL AS THE HEALTH CARE CLIMATE COUNCIL GROUPS OF HEALTH CARE ORGANIZATIONS ON THE LEADING EDGE OF THESE ISSUES THAT WORK TO PAVE THE WAY FOR SUSTAINABLE PRACTICES FOR THE WIDER HEALTH CARE SECTOR TO ADOPT. ADVOCATE COMMONLY PROVIDES MENTORING TO HEALTH CARE COMMUNITY ON SUSTAINABILITY BEST PRACTICES THROUGH PRESENTATIONS AND WEBINARS, AS WELL AS ON AN INDIVIDUAL BASIS. 2. ADVOCATE HEALTH CARE SYSTEM-BASED 2015 ENVIRONMENTAL INITIATIVES: * REDUCED CUMULATIVE (ELEVEN HOSPITALS) HOSPITAL ENERGY CONSUMPTION BY 5.3 PERCENT IN TWELVE MONTHS ENDING 11/30/15, AND 23.3 PERCENT SINCE 2008. THESE ENERGY REDUCTIONS: - HAVE SAVED ADVOCATE $23,000,000 IN ENERGY COSTS SINCE 2008 - EQUATE TO ELIMINATING THE ENERGY USE OF APPROXIMATELY 18,600 AVERAGE AMERICAN HOMES OR REMOVING THE ANNUAL CARBON EMISSIONS FROM NEARLY 43,000 PASSENGER VEHICLES * RECYCLED OVER 3,535 TONS OF WASTE FROM HOSPITAL OPERATIONS * RECYCLED 88 PERCENT OF CONSTRUCTION AND DEMOLITION DEBRIS * SAVED NEARLY 30 TONS OF WASTE FROM LANDFILL AND SAVED OVER $2.2 MILLION VIA OUR SURGICAL DEVICE REPROCESSING PROGRAM * INITIATED A RELATIONSHIP WITH PROJECT C.U.R.E., A NON-PROFIT ORGANIZATION THAT WILL RESPONSIBLY REDISTRIBUTE DONATED MEDICAL SUPPLIES AND EQUIPMENT TO UNDER-RESOURCED AREAS AROUND THE GLOBE, WITH THE INTENT TO FORMALIZE A DONATION PROGRAM FROM ALL ADVOCATE HEALTH CARE FACILITIES. * 91% OF ADVOCATES SPEND ON SELECT CLEANING PRODUCT CATEGORIES (WINDOW, FLOOR, CARPET, BATHROOM, AND GENERAL PURPOSE CLEANERS) WERE THIRD-PARTY CERTIFIED "GREEN" CLEANERS. * PURCHASED APPROXIMATELY 35% OF OUR OFFICE FURNITURE THAT WERE MADE WITHOUT SELECT CHEMICALS OF CONCERN, INCLUDING PERFLUORINATED COMPOUNDS, PVC (VINYL), FORMALDEHYDE, AND HALOGENATED FLAME RETARDANTS (WHERE CODE PERMISSIBLE) * BECAME A SIGNATORY OF THE CHEMICAL FOOTPRINT PROJECT, AN INITIATIVE AIMING TO MEASURE INDUSTRIAL PROGRESS TOWARD SAFER CHEMICAL USE IN MANUFACTURING PRODUCTS THE HEALTH CARE SECTOR PURCHASES * BEGAN PURCHASING SELECT MEAT PRODUCTS (GROUND BEEF AND BEEF PATTIES) PRODUCED WITHOUT THE ROUTINE USE OF ANTIBIOTICS, SUPPORTING THE JUDICIOUS AND RESPONSIBLE USE OF ANTIBIOTICS IN AGRICULTURE WHICH CAN HELP SLOW THE EMERGENCE OF ANTIBIOTIC-RESISTANT BACTERIA * RECOGNIZED TWENTY-FIVE STAFF MEMBERS WITH HEALTHY ENVIRONMENT AWARDS FOR DEMONSTRATING OUTSTANDING EFFORTS TOWARD PERSONAL HEALTH OR ENVIRONMENTAL STEWARDSHIP * CONTRIBUTED TO OPENLANDS, ONE OF THE OLDEST METROPOLITAN CONSERVATION ORGANIZATIONS IN THE NATION AND THE ONLY SUCH GROUP WITH A REGIONAL SCOPE IN THE GREATER CHICAGO REGION * CONTINUED TO ENGAGE STAFF TO CONSER ADVOCATE TRINITY HOSPITAL * REDUCED PAPER PURCHASING BY 3 PERCENT IN TWELVE MONTHS ENDING 12/31/15 * REDUCED HOSPITAL ENERGY CONSUMPTION BY 7.7 PERCENT IN TWELVE MONTHS ENDING 11/30/15 * SURPASSED ITS 2015 SURGICAL DEVICE REPROCESSING GOAL BY 144% ADVOCATE SUPPORT CENTERS * HELD A SHREDDING EVENT FOR ASSOCIATES * HELD A SHOE DONATION RECYCLING EVENT, COLLECTING ALMOST 300 PAIRS FOR REUSE OR RECYCLING * MANAGED A 'RECYCLING CLOSET', WITH REGULAR CONTRIBUTIONS MADE TO LIONS CLUBS (EYE GLASSES AND CELL PHONES) AND BATTERIES FOR RECYCLING TO A LOCAL VENDOR * REDUCED WASTE BY COLLECTING USED WRITING INSTRUMENTS TO BE UP-CYCLED INTO NEW PRODUCTS * UTILIZED A 'PULL PRINT' PROCESS FOR PRINTING TO REDUCE PAPER USAGE * RECYCLED 86% OF MAJOR CONSTRUCTION AND DEMOLITION DEBRIS ADVOCATE MEDICAL GROUP * PILOTED A NEW INTERNAL SUSTAINABLE BUILDING RATING SYSTEM, CALLED THE "HEALTHY SPACES ROADMAP" FOR TWO NEW AMG BUILDINGS OPENING IN 2016 * DONATED CONSIDERABLE MEDICAL SUPPLIES AND OLD EQUIPMENT TO PROJECT CURE * HELD A SHOE DONATION DRIVE TO BENEFIT HAITI ADVOCATE DREYER SURGICAL CENTER * CONTINUED THEIR PARTNERSHIP WITH ASSOCIATION FOR INDIVIDUAL DEVELOPMENT (AID) TO PICK UP AND SORT RECYCLABLE MATERIALS AND SORT OFF SITE FOR RECYCLING. AIDS MISSION IS TO EMPOWER INDIVIDUALS WITH DISABILITIES, MENTAL ILLNESS AND SPECIAL NEEDS TO ACHIEVE INDEPENDENCE AND COMMUNITY INCLUSION. * RECYCLED 81% OF MAJOR CONSTRUCTION AND DEMOLITION DEBRIS ADVOCATE CLINICAL LABORATORIES * RECYCLED, REUSED OR RECAPTURED ALL REAGENTS USED IN THE LABORATORY * REDUCED PAPER PURCHASING BY 19 PERCENT IN TWELVE MONTHS ENDING 12/31/15 6. AFFILIATED HEALTH CARE SYSTEM. AS AN EXTENSION OF ITS MISSION, ADVOCATE HEALTH CARE SUPPORTS SYSTEM-WIDE PROGRAMS THAT MEET THE NEEDS OF BOTH ITS PATIENTS AS WELL AS THE COMMUNITIES SERVED. ADVOCATE HEALTH CARES BOARD OF DIRECTORS, SENIOR LEADERSHIP AND ASSOCIATES (EMPLOYEES) ARE COMMITTED TO POSITIVELY AFFECTING THE HEALTH STATUS AND QUALITY OF LIFE OF INDIVIDUALS AND POPULATIONS IN COMMUNITIES SERVED BY ADVOCATE THROUGH PROGRAMS AND PRACTICES THAT REFLECT ADVOCATES WHOLISTIC PHILOSOPHY. TO THAT END, THEY CONTINUE TO UNDERTAKE AND SUPPORT INITIATIVES THAT ENHANCE ACCESS TO HEALTH AND WELLNESS SERVICES WITHIN THE DIVERSE COMMUNITIES THAT ADVOCATE SERVES. SYSTEM LEADERSHIP IS BOTH DESIGNED TO DIRECT AND SUPPORT THE HOSPITALS IN THEIR EFFORTS TO ADDRESS IDENTIFIED COMMUNITY NEEDS. IN 2010, A MULTI-DISCIPLINARY TEAM OF INDIVIDUALS AT THE SYSTEM LEVEL HAVING OVERSIGHT RESPONSIBILITY FOR COMMUNITY BENEFITS REPORTING AND THE CHNA PROCESS WAS CONVENED TO LEAD THE HOSPITALS THROUGH THE CHNA PROCESS TO MEET STATE AND FEDERAL REGULATORY REQUIREMENTS. THIS TEAM, CALLED THE COMMUNITY HEALTH STEERING COMMITTEE, MET FREQUENTLY TO ASSURE THAT: THE HOSPITAL COMMUNITY HEALTH LEADERS ARE EDUCATED REGARDING HOW TO CONDUCT A CHNA; SITE COMMUNITY HEALTH COUNCILS ARE DEVELOPED AND MAINTAINED; THOSE CONDUCTING THE CHNA PROCESS PULL DATA FROM RELIABLE SOURCES; SOUND ASSUMPTIONS ARE MADE BASED ON THAT DATA; INTERNAL ADVOCATE AND COMMUNITY RESOURCES ARE MAPPED TO DETERMINE STRENGTHS AND WEAKNESSES; ACHIEVABLE NEEDS ARE SELECTED AS PRIORITIES; AND PLANNED INITIATIVES ARE GROUNDED IN EVIDENCE-BASED PROGRAMS THAT WILL YIELD RELIABLE OUTCOMES TO DETERMINE IMPACT. TO FOCUS THESE EFFORTS THROUGHOUT ADVOCATE HEALTH CARE, THE COMMUNITY BENEFITS PLAN WAS WRITTEN. THE PLANS BROAD GOALS AND OBJECTIVES WERE DESIGNED TO STRUCTURE SYSTEM-WIDE COMMUNITY BENEFITS ACTIVITIES WITHIN A STRATEGIC FRAMEWORK. INCLUDED IN THE COMMUNITY BENEFITS PLAN ARE GOALS FOCUSED ON SYSTEM-WIDE EFFORTS TO ADDRESS THE BROADER ISSUES OF DISPARITY AND ACCESS, SUCH AS PROVIDING CHARITY CARE AND PRESCRIPTION ASSISTANCE TO THE UNDER AND UNINSURED, AND LANGUAGE ASSISTANCE SERVICES TO NON-OR LIMITED-ENGLISH SPEAKING PATIENTS AND FAMILIES. ADVOCATES HOSPITALS ALSO LOOK TO ALIGN THEIR PROGRAMS AND SERVICES WITH SYSTEM STRATEGY WHEN DEVELOPING THEIR OWN COMMUNITY HEALTH PLANS AS THEY WORK TO IMPLEMENT PROGRAMS THAT POSITIVELY AFFECT THE HEALTH OF THE COMMUNITIES THEY SERVE. ADVOCATES COMMUNITY BENEFITS PLAN SETS THE COURSE FOR STRENGTHENING EXISTING PARTNERSHIPS AND BUILDING NEW ONES TO LEVERAGE AND MAXIMIZE THE IMPACT OF ADVOCATES PROGRAMS IN ITS SERVICE AREAS. ADVOCATES COMMUNITY BENEFITS PLAN GOALS ARE AS FOLLOWS. GOAL 1: OPTIMIZE ADVOCATES ABILITY TO LEVERAGE ITS COMMUNITY HEALTH RESOURCES AND CONTINUE PROGRAMS THAT BENEFIT THE COMMUNITY BY PROSPECTIVELY ALIGNING SYSTEM AND SITE PLANS AND ACTIVITIES. IN ORDER TO ASSURE ALIGNMENT BETWEEN SITE AND SYSTEM GOALS, QUALITY AND CONSISTENCY AMONGST THE HOSPITALS CHNAS AND TO LEVERAGE THE HOSPITALS STAFF TIME AND CHNA EFFORTS, THE SYSTEM LEVEL COMMUNITY HEALTH STEERING COMMITTEE PROVIDED A STANDARDIZED CHNA PROCESS, TOOLS, EDUCATION AND STRUCTURE FOR THE ADVOCATE HOSPITALS FIRST CHNA (2011-2013). SOME SPECIFIC EXAMPLES OF THE SUPPORT PROVIDED BY THE STEERING COMMITTEE TO ENABLE THE HOSPITALS TO REALIZE THEIR COMMUNITY HEALTH GOALS AND OBJECTIVES ARE AS FOLLOWS. * DEVELOPED A STANDARDIZED CHNA PROCESS THAT INCLUDED DEVELOPMENT OF A COMMUNITY HEALTH COUNCIL AT EACH HOSPITAL WITH BOTH HOSPITAL AND COMMUNITY REPRESENTATION, CHARGED WITH OVERSIGHT OF THEIR SITES ASSESSMENT AND SELECTION OF KEY PRIORITIES TO ADDRESS. * PURCHASED OF SURVEY RESULTS AND AN ASSESSMENT TOOL DEVELOPED BY PROFESSIONAL RESEARCH CONSULTANTS. * PROVIDED A SERIES OF WORKSHOPS TO BUILD HOSPITAL LEADERS SKILLS IN CONDUCTING A CHNA, IDENTIFYING RELIABLE DATA SOURCES, PRIORITY SETTING, AND SELECTING EVIDENCE-BASED INTERVENTIONS. * SET THE COMMUNITY HEALTH LEADERSHIP COUNCILS AGENDAS A COUNCIL COMPRISED OF COMMUNITY HEALTH STAKEHOLDERS FROM ACROSS ADVOCATE - TO FOCUS ON CHNA OBJECTIVES. * MANAGED HOSPITAL PROGRESS AGAINST SYSTEM ANNUAL TIMELINES THROUGH CHNA PROGRESS REPORTS EACH YEAR. * PROVIDED ONGOING CONSULTATION ON AN AS NEED BASIS THROUGHOUT THE PROCESS AND ENGAGED AN OUTSIDE CHNA CONSULTANT TO REVIEW CHNA PROGRESS AND PROVIDE ONE-ON-ONE GUIDANCE TO HOSPITAL STAFF ENGAGED IN THIS WORK. * DRAFTED A STANDARDIZED FORMAT FOR HOSPITALS TO USE IN DRAFTING THEIR CHNAS AND IMPLEMENTATION PLANS, WHICH SYSTEM LEADERS THEN REVIEWED AND EDITED FOR CONSISTENCY, ACCURACY AND QUALITY OF CONTENT. * WORKED WITH SYSTEM LEVEL MEDIA CENTER AND WEB TEAM TO DEVELOP PLACEMENT AND POSTING OF CHNA REPORTS & IMPLEMENTATION PLANS TO MEET PPACA/IRS REGULATORY REPORTING REQUIREMENTS. IN PREPARATION FOR THE 2014-2016 CHNA CYCLE, SYSTEM-LEVEL COMMUNITY HEALTH STAKEHOLDERS GARNERED SYSTEM SENIOR MANAGEMENTS SUPPORT TO PURCHASE THE HEALTHY COMMUNITIES INSTITUTES (HCI) CHNA TOOL, FOR WHICH THE ANNUAL FEES ARE PAID AT THE SYSTEM LEVEL EACH YEAR OF THE 3-YEAR CONTRACT. PURCHASE OF THE TOOL HAS PROVEN TO BE IMPORTANT TO THE ADVOCATE HOSPITALS INVOLVEMENT IN COUNTY CHNA COLLABORATIVES. AS ENCOURAGED AND SUPPORTED AT THE SYSTEM LEVEL, ALL ADVOCATES HOSPITALS ARE PARTICIPATING IN COLLABORATIVE ASSESSMENTS WITH OTHER ADVOCATE AND NON-ADVOCATE HOSPITALS, THEIR COUNTY AND LOCAL PUBLIC HEALTH DEPARTMENTS, AND OTHER HEALTH ORGANIZATIONS. THESE COLLABORATIVES REMOVE DUPLICATION OF STAFF TIME AND EFFORT WHILE FORGING AND STRENGTHENING RELATIONSHIPS AMONG PARTICIPATING ORGANIZATIONS, LEVERAGING THEIR ABILITY TO POSITIVELY IMPACT KEY NEEDS AS IDENTIFIED THROUGH THE ASSESSMENT PROCESS. AN EXAMPLE OF ONE SUCH COUNTY COLLABORATIVE IS THE HEALTH IMPACT COLLABORATIVE OF COOK COUNTY. CONVENING THIS GROUP WAS INITIATED BY KEY LEADERS FROM ADVOCATE HEALTH CARE, PRESENCE HEALTH, THE ILLINOIS PUBLIC HEALTH INSTITUTE, THE COOK COUNTY DEPARTMENT OF PUBLIC HEALTH AND THE CHICAGO DEPARTMENT OF PUBLIC HEALTH. ALTOGETHER, 26 HOSPITALS WHOSE SERVICE AREAS ARE IN OR OVERLAP COOK COUNTY HAVE JOINED THE COLLABORATIVE, INCLUDING 5 ADVOCATE HOSPITALS LOCATED IN COOK COUNTY. GIVEN COOK COUNTYS DIVERSE POPULATION, COMMUNITY NEEDS CAN DRASTICALLY VARY FROM ONE SERVICE AREA TO THE NEXT. THE COLLABORATIVE HAS SPLIT INTO THREE GROUPS NORTH, CENTRAL AND SOUTH - TO MORE SPECIFICALLY IDENTIFY THE NEEDS OF COMMUNITIES SERVED BY THE HOSPITALS. ADVOCATE IS ABLE TO PROVIDE DATA TO SUPPORT THE COLLABORATIVES WORK USING THE HCI CHNA TOOL PURCHASED BY ADVOCATE. WHILE A JOINT REPORT WILL BE PRODUCED FROM PARTICIPATION IN EACH COLLABORATIVE, EACH ADVOCATE HOSPITAL WILL BE RESPONSIBLE FOR DRAFTING A CHAPTER SUMMARIZING THEIR ASSESSMENT OF THEIR "DEFINED COMMUNITY" AREA. THROUGH ADVOCATES HOSPITAL-BASED SERVICES, AS WELL AS ITS PARTICIPATION IN PROVIDING PROGRAMS AND SERVICES IN THE COMMUNITY, ADVOCATE PROMOTES A SHARED APPROACH TO COMMUNITY BENEFITS. IN ADDITION TO HOSPITAL/COMMUNITY-SPECIFIC PROGRAMS, THERE ARE ALSO PROGRAMS ADDRESSING NEEDS OF BROAD GEOGRAPHIC PORTIONS OF ADVOCATES SERVICE AREA WHICH ARE MANAGED AND FUNDED AT THE SYSTEM LEVEL. THESE PROGRAMS INCLUDE THE FOLLOWING. ADVOCATES HEALTHY STEPS PROGRAM SPECIALISTS TOUCHED THE LIVES OF 2,963 YOUNG CHILDREN IN 2015 THROUGH CHILDHOOD PROGRAMS WITHIN PEDIATRIC/FAMILY PRACTICE RESIDENCIES AT ADVOCATE ILLINOIS MASONIC MEDICAL CENTER, AND THE ADVOCATE CHILDR GOAL 2: UNDERTAKE OR SUPPORT INITIATIVES THAT ENHANCE ACCESS TO HEALTH AND WELLNESS SERVICES WITHIN THE DIVERSE COMMUNITIES ADVOCATE SERVES. AS A NON-PROFIT HEALTH CARE SYSTEM, ADVOCATE PROVIDES CHARITY AND FINANCIAL ASSISTANCE TO PATIENTS IN NEED. WHILE EACH HOSPITAL HAS A CHARITY CARE COUNCIL TO REVIEW APPLICATIONS AND DETERMINE ELIGIBILITY, SYSTEM FINANCE LEADERS ARE RESPONSIBLE FOR ONGOING POLICY REVIEW AND REFINEMENTS TO ASSURE THAT ADVOCATE CONTINUES TO PROVIDE FINANCIAL ASSISTANCE TO INDIVIDUALS WHO NEED HELP, WHEN THEY NEED IT. IN ADDITION, ADVOCATES SYSTEM LEADERS ENCOURAGE AND SUPPORT ITS HOSPITALS INITIATIVES TO PARTNER WITH FEDERALLY QUALIFIED HEALTH CENTERS (FQHC), PUBLIC HEALTH DEPARTMENTS AND COMMUNITY CLINICS IN ORDER TO ASSIST THE UNINSURED IN FINDING INSURANCE COVERAGE AND MEDICAL SERVICES. FOR EXAMPLE, ADVOCATE SOUTH SUBURBAN HOSPITAL HAS A PARTNERSHIP WITH AUNT MARTHAS YOUTH SERVICE CENTER, A FQHC, TO IMPROVE ACCESS TO PRIMARY CARE SERVICES FOR UNINSURED AND UNDERINSURED INDIVIDUALS IN ITS SERVICE AREA. ADVOCATE BROMENN MEDICAL CENTER MAINTAINS A COMMUNITY HEALTH CLINIC IN COLLABORATION WITH OSF ST. JOSEPHS HOSPITAL, WHEREBY ADVOCATE BROMENN MEDICAL CENTER IS RESPONSIBLE FOR A PORTION OF THE HOSPITAL CARE FOR THE CLINIC PATIENTS HOSPITAL CARE THROUGHOUT THE YEAR. BROMENN IS ALSO THE SOLE PROVIDER OF THE CLINICS INFORMATION TECHNOLOGY (IT) SUPPORT AND PROVIDES THE SPACE OCCUPIED BY THE CLINIC. WORKING WITH OTHER AREA HOSPITALS, ADVOCATE GOOD SAMARITAN HOSPITAL PROVIDES SUPPORT THROUGH THE DUPAGE HEALTH COALITION TO SUSTAIN THE ACCESS DUPAGE COMMUNITY PROGRAM A COMMUNITY COLLABORATION DESIGNED TO PROVIDE LOW-COST PRIMARY MEDICAL CARE SERVICES TO THE LOW-INCOME, MEDICALLY UNINSURED RESIDENTS OF DUPAGE COUNTY. IN ADDITION, THE HOSPITAL PARTNERS WITH THE DUPAGE COUNTY HEALTH DEPARTMENTS ENGAGE DUPAGE INITIATIVE FOR INDIGENT PATIENT FINANCIAL ELIGIBILITY IN THE EMERGENCY ROOM AND TO ASSIST WITH OUTPLACEMENT SERVICES FOR THOSE PATIENTS WHO COULD BENEFIT FROM TREATMENT PROGRAMS, PLACEMENT WITH A PRIMARY CARE PROVIDER (PCP), DENTAL CARE, ETC. GOAL 3: POSITIVELY AFFECT THE HEALTH STATUS AND QUALITY OF LIFE OF INDIVIDUALS AND POPULATIONS IN COMMUNITIES SERVED BY ADVOCATE THROUGH PROGRAMS AND PRACTICES THAT REFLECT ADVOCATES WHOLISTIC PHILOSOPHY. ADVOCATE HAS SEVERAL PROGRAMS AND PRACTICES MANAGED AND FUNDED AT THE SYSTEM LEVEL THAT REFLECT ADVOCATES WHOLISTIC PHILOSOPHY. THE OFFICE OF MISSION AND SPIRITUAL CARE, FOR EXAMPLE, HAS PROGRAMS THAT POSITIVELY AFFECT THE HEALTH STATUS AND QUALITY OF LIFE OF INDIVIDUALS, AND THAT ADDRESS DISPARITIES IN ACCESS TO HEALTH AND WELLNESS SERVICES IN THE COMMUNITY. ADVOCATE PARISH NURSE MINISTRY - AS PART OF ADVOCATE'S MISSION AND SPIRITUAL CARE DEPARTMENT, PARISH NURSE MINISTY REALIZES THE VISION OF WHOLISTIC HEALING AND WELLNESS BY PARTNERING WITH DIVERSE FAITH COMMUNITIES IN AN EFFORT TO EMBRACE THE INTEGRATION OF FAITH AND HEALTH. THE PURPOSE OF ADVOCATE PARISH NURSE MINISTRY IS TO NURTURE THE HUMAN SPIRIT THROUGH HEALTH EDUCATION, SPIRITUAL SUPPORT, AND TO LINK THE NEEDS OF THE WHOLE PERSON TO RESOURCES WITHIN THE CONGREGATION, COMMUNITY AND THE HEALTH CARE SYSTEM. AS PART OF ADVOCATE HEALTH CARE'S CONTINUUM OF CARE, THE PARISH NURSE MINISTRY IS WORKING IN OVER 40 DIVERSE CONGREGATIONS. THESE FAITH COMMUNITIES ARE WIDELY SCATTERED THROUGHOUT THE CHICAGOLAND AREA FROM ROSELAND AND CHICAGO UPTOWN NEIGHBORHOODS TO THE SUBURBAN SETTINGS OF ARLINGTON HEIGHTS AND NAPERVILLE. ADVOCATE PARISH NURSE MINISTRY CONTINUES TO SEEK HEALTH MINISTRY PARTNERSHIPS. BOTH PARTNERS, THE HEALTH CARE INSTITUTION AND THE CONGREGATION MUST ESPOUSE THE BELIEF THAT PHYSICAL, EMOTIONAL, INTELLECTUAL AND SOCIAL WELL-BEING ARE VERY MUCH DEPENDENT ON A HEALTHY SPIRITUAL CORE OF BEING. ADVOCATE CONGREGATIONAL HEALTH PARTNERSHIPS (CHP) CHP BUILDS ON THE LEGACY OF THOSE WHO HAVE GONE BEFORE BY WORKING WITH FAITH COMMUNITIES TO PROMOTE HEALTH AND WHOLENESS FOR THEIR MEMBERS AND COMMUNITIES. THE PROGRAMS AND SERVICES THAT CHP OFFERS INCLUDE: * BASIC AND ADVANCED TRAINING IN HEALTH MINISTRY DEVELOPMENT * CONSULTATION AROUND THE DEVELOPMENT OF CONGREGATIONAL HEALTH PROGRAMS * PRACTICAL TOOLS AND MATERIALS - BULLETIN INSERTS / NEWSLETTERS - A RESOURCE LIBRARY * CONGREGATIONAL HEALTH ASSESSMENT PROGRAM - MANUAL - PROGRAM COMPONENTS THE CENTER FOR FAITH AND COMMUNITY HEALTH TRANSFORMATION (THE CENTER) IS THE JOINT WORK OF ADVOCATE'S CHP AND THE NEIGHBORHOODS INITIATIVE OF THE UNIVERSITY OF ILLINOIS AT CHICAGO. ADVOCATES DIRECTOR OF CONGREGATIONAL HEALTH PARTNERSHIPS IS CO-DIRECTOR OF THE CENTER. THE CENTER FORMED IN 2009 OUT OF A GROWING CONCERN IN CHICAGO'S FAITH AND HEALTH MOVEMENT ABOUT THE WAYS IN WHICH SOCIAL CONDITIONS-POVERTY, RACISM, UNEMPLOYMENT, LACK OF ACCESS TO CARE-IMPACT PEOPLE'S HEALTH. THE CENTER WAS CREATED TO MOBILIZE FAITH COMMUNITIES TO CHANGE THE SOCIAL CONDITIONS THAT AFFECT PEOPLE'S HEALTH. THE CENTER ALSO HOSTS A WEBSITE THAT SERVES AS A GATHERING PLACE FOR THE FAITH AND HEALTH MOVEMENT TO SHARE INFORMATION, POST EVENTS, SHARE INTERESTING PROJECTS, RESOURCES AND IDEAS, AND KEEP IN TOUCH WITH WHAT OTHERS ARE DOING. GO TO WWW.CHICAGOFAITHANDHEALTH.ORG FOR MORE INFORMATION. THE CENTER WAS HONORED TO BE SELECTED AS A CONTRACTOR FOR THE PARTNERSHIPS TO IMPROVE COMMUNITY HEALTH (PICH) INITIATIVE UNDER THE COOK COUNTY DEPARTMENT OF PUBLIC HEALTH. PICH IS A CDC FUNDED EFFORT TO INCREASE OPPORTUNITIES FOR HEALTHY EATING, PHYSICAL ACTIVITY AND SMOKE-FREE ENVIRONMENTS IN VULNERABLE POPULATIONS IN SUBURBAN COOK COUNTY THROUGH POLICY, SYSTEMS AND ENVIRONMENTAL CHANGE STRATEGIES. THE CENTER IS WORKING WITH FAITH-BASED NETWORKS IN THREE HIGH-RISK PRIORITY COMMUNITY AREAS TO PROVIDE LEADERSHIP IN CREATING A CULTURE OF HEALTH FOR CONGREGATIONAL MEMBERS AND FOR THE COMMUNITIES THEY SERVE. OF PARTICULAR INTEREST IS A PARTNERSHIP WITH THE FOREST PRESERVE OF COOK COUNTY (FPCC) TO CONNECT FAITH COMMUNITIES WITH FPCC RESOURCES THAT WILL ALLOW THEIR MEMBERS, ESPECIALLY CHILDREN AND YOUTH, TO BE PHYSICALLY ACTIVE IN NATURE. ADVOCATE ALSO CONTRIBUTES LEADERSHIP TO A KEY PARTNERSHIP UNDER THE AUSPICES OF THE CHICAGO DEPARTMENT OF PUBLIC HEALTH (CDPH). ADVOCATES DIRECTOR OF CONGREGATIONAL PARTNERSHIPS AT THE SYSTEM LEVEL CO-CHAIRS THE PARTNERSHIP FOR HEALTHY CHICAGO. THE PARTNERSHIP BRINGS TOGETHER REPRESENTATIVES FROM MULTIPLE SECTORS TO CONDUCT COMMUNITY HEALTH NEEDS ASSESSMENT AND TO PLAN ONGOING COMMUNITY ENGAGEMENT STRATEGIES FOR CDPH. HEALTHADVISOR - ADVOCATE PROVIDES A SYSTEM-WIDE TELEPHONE REFERRAL AND RESOURCE INFORMATION CENTER, HEALTHADVISOR, TO ASSIST PATIENTS AND COMMUNITY MEMBERS IN FINDING HEALTHCARE PROVIDERS AND OTHER HEALTH AND WELLNESS RESOURCES. HEALTHADVISOR REPRESENTATIVES ARE AVAILABLE BY PHONE FROM 7 A.M. TO 7 P.M., MONDAY THROUGH FRIDAY, TO PROVIDE INDIVIDUALS FROM THE COMMUNITY WITH REFERRALS TO GOVERNMENT-FUNDED AND COMMUNITY-BASED NON-ADVOCATE PROGRAMS AND SERVICES, AS WELL AS ADVOCATE HEALTH CARE PHYSICIANS AND SERVICES. IN 2015, HEALTHADVISOR HANDLED 17,394 CALLS FROM THE COMMUNITY THAT WERE REDIRECTED TO NON-ADVOCATE COMMUNITY RESOURCES TO ASSIST THEM IN GETTING THE HELP THEY NEED. GOAL 4: LEVERAGE RESOURCES AND MAXIMIZE COMMUNITY OUTREACH EFFORTS BY BUILDING AND STRENGTHENING COMMUNITY PARTNERSHIPS. ADVOCATES SYSTEM LEVEL LEADERS MAINTAIN AND CONTINUE TO ACTIVELY EXPAND SYSTEM PARTNERSHIPS AND RELATIONSHIPS WITH A WIDE VARIETY OF ORGANIZATIONS, INCLUDING RELIGIOUS ORGANIZATIONS, NEIGHBORHOOD GROUPS AND OUTREACH AND RESOURCE PROGRAMS. THESE RELATIONSHIPS SERVE TO LEVERAGE BOTH ADVOCATES AND ITS COMMUNITIES RESOURCES TO MAXIMIZE COMMUNITY OUTREACH EFFORTS. ADVOCATE BUILDS ON RELATIONSHIPS THAT ASSOCIATES AND AFFILIATED PHYSICIANS HAVE WITH COMMUNITY HEALTH PARTNERS, AND TO EMPOWER THE DEVELOPMENT OF SUCH PARTNERSHIPS. AN EXAMPLE OF THIS IS ADVOCATE MEDICAL GROUPS (ADVOCATE-EMPLOYED PHYSICIANS) ANNUAL COLLABORATION WITH SPECIAL OLYMPICS OF ILLINOIS. THIS EVENT, MEDFEST, PROVIDES PEOPLE WITH INTELLECTUAL DISABILITIES OPPORTUNITIES TO PARTICIPATE IN SPORTS TRAINING AND COMPETITIONS, CREATING AVENUES FOR INCLUSION AND ACCEPTANCE FOR THIS SPECIAL NEEDS UNDERSERVED POPULATION. IN ADDITION TO PROVIDING EASY ACCESS TO PHYSICALS FOR ATHLETES, THE FREE CLINICAL SERVICES RESULT IN ENHANCED PHYSICAL FITNESS AND COMFORT WITH THE MEDICAL COMMUNITY. AMG PROVIDED 1,500 FREE ATHLETIC PHYSICALS TO SPECIAL OLYMPIANS FOR THE 17TH YEAR IN 2015, THUS ALLOWING THESE ATHLETES OPPORTUNITIES TO PARTICIPATE IN COMPETITIONS THROUGHOUT THE YEAR. SYSTEM LEVEL MANAGEMENT ALSO OVERSEES ASSOCIATE AND PHYSICIAN FUNDRAISING AND VOLUNTEER ACTIVITIES RELATED TO COMMUNITY ORGANIZATIONS AND PARTNERSHIPS. LAST YEAR ADVOCATE PROMOTED AND SUPPORTED ASSOCIATE, PHYSICIAN AND HOSPITAL PARTICIPATION IN WALK AND RUN EVENTS TO RAISE MONEY TO SUPPORT THE AMERICAN HEART ASSOCIATION (AHA), AMERICAN CANCER SOCIETY, ALZHEIMERS ASSOCIATION AND MARCH OF DIMES. IN 2015, $601,557 IN CHARITABLE CONTRIBUTIONS WAS RAISED TO SUPPORT THESE PARTNER ORGANIZATIONS. ADVOCATE ALSO HAD THE HONOR OF BEING DESIGNATED THE #1 HEALTH CARE SYSTEM AND THE #4 COMPANY TEAM IN THE NATION BY THE AHA. ADVOCATE ASSOCIATES SUPPORT IS ALSO DEMONSTRATED THROUGH THEIR OWN, PERSONAL AND GENEROUS CONTRIBUTIONS DURING THE ASSOCIATE GIVING CAMPAIGN. OVERALL, ADVOCATE ASSOCIATES AND PHYSICIANS CONTRIBUTED MORE THAN $2.6 MILLION IN 2015 - $1.5 MILLION OF WHICH WAS DONATED BY ASSOCIATES THROUGH THE ASSOCIATE GIVING CAMPAIGN. THEIR CONTRIBUTIONS SUPPORT MULTIPLE LOCAL COMMUNITY ORGANIZATIONS, PROGRAMS AND INITIATIVES, INCLUDING SOME OF ADVOCATES OWN SYSTEM-WIDE AND HOSPITAL-BASED COMMUNITY HEALTH PROGRAMS. SYSTEM-LEVEL MANAGEMENT OF THESE FUNDRAISING ACTIVITIES REDUCES DUPLICATION OF EFFORT AND ASSURES THAT FUNDRAISING IS CONDUCTED WITH ORGANIZATIONS THAT ALIGN WITH ADVOCATES MISSION AND THAT ARE EFFECTIVE IN ADDRESSING ADVOCATES SERVICE AREAS COMMUNITY HEALTH NEEDS. THE ADVOCATE CHARITABLE FOUNDATION (ACF) WORKS TO FIND INNOVATIVE WAYS TO FUND NOT ONLY CLINICAL ADVANCEMENTS BUT COMMUNITY PROGRAMS THAT ADDRESS IDENTIFIED COMMUNITY NEEDS. ONE EXAMPLE OF THIS IS ACFS ADMINISTRATION OF THE ADVOCATE BETHANY COMMUNITY HEALTH FUND. IN 2006, ADVOCATE HEALTH CARE ESTABLISHED THE BETHANY FUND AS PART OF ADVOCATES ONGOING COMMITMENT TO SUPPORT LOCAL NONPROFIT ORGANIZATIONS AS THEY BUILD, PROMOTE AND SUSTAIN HEALTHY COMMUNITIES ON CHICAGOS WEST SIDE. THE ADVOCATE BETHANY COMMUNITY HEALTH FUND BOARD, WHICH IS COMPRISED OF EIGHT COMMUNITY MEMBERS FROM THE TARGETED COMMUNITY AREAS AND SEVEN REPRESENTATIVES FROM ADVOCATE HEALTH CARE, AWARDED MORE THAN $750,000 IN GRANTS AND CAPACITY-BUILDING SERVICES TO 31 ORGANIZATIONS ACROSS ITS FUND COMMUNITIES IN 2015. SINCE THE BOARDS INSTALLATION IN 2007, THE BETHANY COMMUNITY HEALTH FUND HAS AWARDED NEARLY $6.8 MILLION IN PROGRAM DOLLARS AND SERVICES TO ORGANIZATIONS THAT PROMOTE HEALTH AND WELLNESS WITH A FOCUS ON ADDRESSING HEALTH DISPARITIES FOR RESIDENTS OF CHICAGOS WEST SIDE. NEW MOMS. INC. IS ONE OF MANY GRANTEES THAT RECEIVE BETHANY FUND SUPPORT. THE ORGANIZATION AIMS TO EQUIP STRUGGLING PARENTS AND THEIR CHILDREN WITH TOOLS TO ACHIEVE ECONOMIC INDEPENDENCE AND FAMILY STABILITY. NEW MOMS WORKFORCE DEVELOPMENT PROGRAM SERVES HOMELESS AND HIGH-RISK TEEN AND YOUNG ADULT PARENTS. THE PROGRAM INCLUDES CAREER PLANNING, EDUCATION SERVICES AND INTENSIVE CLASSROOM-BASED JOB SKILLS TRAINING. IT CULMINATES WITH AN 8-WEEK PAID, HANDS-ON TRANSITIONAL JOB AT BRIGHT ENDEAVORS, THE ORGANIZATIONS SOCIAL ENTERPRISE THAT CREATES CANDLES AND BATH PRODUCTS. PARTICIPANTS ALSO RECEIVE JOB PLACEMENT SERVICES AND COUNSELING FOCUSED ON ELIMINATING BARRIERS TO EMPLOYMENT. IN 2015, WITH BETHANY FUND SUPPORT, NEW MOMS WAS ABLE TO EMPLOY OVER 90% OF PARTICIPANTS AT JOBS PAYING MORE THAN MINIMUM WAGE. ADVOCATE HEALTH CARE HAS ALSO BEEN A FOUNDING PARTNER AND LEADER IN THE NATIONAL LEARNING COLLABORATIVE, THE HEALTH SYSTEMS LEARNING GROUP (HSLG), NOW KNOWN AS THE STAKEHOLDER HEALTH GROUP. THE CREATION OF THIS LEARNING COLLABORATIVE WAS SPARKED BY A SERIES OF STAKEHOLDER MEETINGS AT THE WHITE HOUSE OFFICE AND DEPARTMENT OF HEALTH & HUMAN SERVICES CENTER FOR FAITH-BASED & NEIGHBORHOOD PARTNERSHIPS. THIS SELF-ORGANIZED COLLABORATIVE OF MORE THAN 50 ORGANIZATIONS HAS ENGAGED IN A SERIES OF MEETINGS ACROSS THE COUNTRY OVER THE PAST FOUR YEARS. INSPIRED BY THE PASSAGE OF THE PATIENT PROTECTION AND AFFORDABLE CARE ACT, AND MOTIVATED BY THE RECOGNITION OF THE NEED TO TRANSFORM OUR ORGANIZATIONS AND OUR COMMUNITIES, THESE ORGANIZATIONS DESIRE TO ACCELERATE THIS TRANSFORMATIONAL PROCESS THROUGH ONGOING SHARING OF INNOVATIVE PRACTICES THAT IMPROVE POPULATION HEALTH AND TO DEVELOP COORDINATED STRATEGIES THAT TAKE INNOVATION TO SCALE. THE GROUP ASPIRES TO IDENTIFY AND ACTIVATE A MENU OF PROVEN COMMUNITY HEALTH PRACTICES AND PARTNERSHIPS THAT WORK FROM THE TOP OF THE MISSION STATEMENT TO THE BOTTOM LINE. AS PARTNERS, THEY CONTRIBUTED SUBSTANTIAL FINANCIAL AND IN-KIND RESOURCES TO SUPPORT THE TWO-YEAR DEVELOPMENTAL PHASE. IN ADDITION, A GENEROUS GRANT WAS PROVIDED BY THE ROBERT WOOD JOHNSON FOUNDATION TO SUPPORT THE DISSEMINATION OF FINDINGS AND LESSONS LEARNED DURING THIS PERIOD. THE FIRST PHASE OF THE GROUPS DEVELOPMENT CULMINATED WITH THE CONVENING OF THE STAKEHOLDER HEALTH GROUP (THEN KNOWN BY ITS FORMER NAME, HEALTH SYSTEMS LEARNING GROUP) ON APRIL 4, 2013, CO-HOSTED WITH THE WHITE HOUSE AND HHS CENTER FOR FAITH-BASED AND NEIGHBORHOOD PARTNERSHIPS, ALONG WITH THE CHIEF EXECUTIVE OFFICERS FROM MANY OF THE HEALTH SYSTEM PARTNERS. THE PURPOSE WAS TO REVIEW FINDINGS FROM THE PAST 18 MONTHS OF INQUIRY AND DIALOGUE AND TO CONSIDER A CALL TO ACTION ON A SPECIFIC SET OF RECOMMENDATIONS. SEE THE FOLLOWING LINK FOR THE MONOGRAPH PRESENTED AT THE APRIL MEETING. HTTP://WWW.METHODISTHEALTH.ORG/DOTASSET/9E6F77D8-DF4B-4545-B2F3-BC77B106F9 69.PDF ADVOCATE CONTINUED TO PARTICIPATE IN STAKEHOLDER HEALTH GROUP MEETINGS AND LEADERSHIP IN 2014 AND 2015, AND IN THE FALL OF 2015, ADVOCATE HOSTED THE GROUP IN CHICAGO FOR A THREE-DAY MEETING. GOAL 5: PROMOTE INTEGRATION OF AND ACCOUNTABILITY FOR SYSTEM AND SITE PLANS AND ACTIVITIES BY ENHANCING COORDINATION AND DEVELOPING GOVERNANCE RELATIONSHIPS. A CORE GROUP OF ADVOCATE SYSTEM-LEVEL LEADERS HAVE ACHIEVED INTEGRATION, ACCOUNTABILITY AND NEW GOVERNANCE RELATIONSHIPS THROUGH IMPLEMENTATION OF THE FOLLOWING. * STRENGTHENING THE ROLE/VISIBILITY OF THE COMMUNITY HEALTH COUNCIL - A KEY FOCUS FOR THE SYSTEM CORE TEAM WAS TO STRENGTHEN THE ABILITY OF THE COMMUNITY HEALTH COUNCIL (CHLC) TO SERVE AS A RESOURCE AND PROVIDE GUIDANCE IN DEVELOPING AND IMPLEMENTING SYSTEM AND SITE COMMUNITY HEALTH PLANS. THE FOLLOWING ACTIONS WERE TAKEN TO REALIZE THIS OBJECTIVE - THE CHC ROLE WAS DEFINED, A CHARTER APPROVED AND THE ROLE WAS COMMUNICATED AS APPROPRIATE WITHIN ADVOCATE AND IN THE COMMUNITY. MEETINGS WERE SCHEDULED MONTHLY TO ASSURE CLOSE COMMUNICATION AND ADHERENCE TO THE AMBITIOUS TIMELINE. - AS DESCRIBED EARLIER, THE COMMUNITY HEALTH STEERING COMMITTEE WAS CONVENED TO PLAN THE CHLCS ACTIVITIES, I.E., SET AGENDAS, PROVIDE WORKSHOPS, TIMELINES AND DEADLINES TO ASSURE THE HOSPITALS AND THE SYSTEM MET THEIR GOALS AND WOULD BE FULLY COMPLIANT WITH THE PPACA. * DEVELOPMENT OF A COMMUNITY HEALTH DEPARTMENT FOLLOWING COMPLETION OF ADVOCATES FIRST COMPREHENSIVE HOSPITAL-SPECIFIC CHNA PROCESS, THE COMMUNITY HEALTH STEERING COMMITTEE WAS DISBANDED AND A SMALL CORE TEAM OF LEADERS AT THE SYSTEM LEVEL ASSUMED RESPONSIBILITY FOR GUIDING COMMUNITY HEALTH PLANNING ACROSS ADVOCATE IN 2015. THE TEAM PLANNED COMMUNITY HEALTH COUNCIL MEETING AGENDAS AND ACTIVITIES AGAINST A TIMELINE TO ASSURE ANNUAL REPORTING OF IMPLEMENTATION PLAN PROGRESS, COMPLETION OF IRS 990S SCHEDULE H AND ILLINOIS STATE COMMUNITY BENEFITS REPORTING OCCURRED ON TIME TO FULFILL REGULATORY REQUIREMENTS. IN LATE 2014, THE SYSTEM LEVEL CORE TEAM SHIFTED ITS FOCUS TO GARNERING SUPPORT FOR DEVELOPMENT OF A COMMUNITY HEALTH DEPARTMENT WITHIN ADVOCATE. WHILE THIS GROUPS LEADERSHIP RESULTED IN ADVOCATE SUCCESSFULLY CONDUCTING STANDARDIZED ASSESSMENTS AT ALL OF ITS HOSPITALS, INCLUDING IMPLEMENTING AND MONITORING PROGRAMS TO ADDRESS HOSPITAL-SPECIFIC COMMUNITY NEEDS, THERE WERE CHALLENGES EXPERIENCED ALONG THE WAY THAT true ACCESS DUPAGEDUPAGE HLTH COAL 511 Thornhill Dr Carol Stream IL 60188 364448208 501(C)(3) 343350 SUPPORT EXEMPT MISSION ALZHEIMERS ASSOC-GREATER IL 850 Essington Rd STE 200 Joliet IL 60435 133039601 501(C)(3) 6000 SUPPORT EXEMPT MISSION AMERICAN BRAIN TUMOR ASSOCIATION 8550 W Bryn Mawr Ave Chicago IL 60631 237286648 501(C)(3) 7500 SUPPORT EXEMPT MISSION AMERICAN CANCER SOCIETY 225 N Michigan Ave STE 1200 Chicago IL 60601 131788491 501(C)(3) 368600 SPONSOR EVENTS AMERICAN DIABETES ASSOCIATION 55 E Monroe St3420 Chicago IL 60603 131623888 501(C)(3) 10000 SPONSOR EVENTS AMERICAN HEART ASSOCIATION PO Box 50035 Prescott AZ 863045035 135613797 501(C)(3) 104756 SPONSOR EVENTS AMERICAN MEDICAL GROUP FOUNDATION One Prince Street Alexandria VA 22314 546059304 501(C)(3) 8333 SUPPORT EXEMPT MISSION AMERICAN RED CROSS One Westport Court SUITE 1100 Bloomington IL 60714 530196605 501(C)(3) 5750 SUPPORT EXEMPT MISSION BARBARA J TIMMER FAMILY FOUNDATION 219 Austin Avenue Park Ridge IL 60068 367602887 501(C)(3) 6000 SUPPORT EXEMPT MISSION BARRINGTON AREA COUNCIL 6000 Garlands Ln Ste 100 Barrington IL 60010 363337705 501(C)(3) 9600 SUPPORT EXEMPT MISSION BARRINGTON HIGH SCHOOL 310 East James Street Barrington IL 60010 362780596 n/a 9500 COMMUNITY SUPPORT BETHANY CHRISTIAN SERVICES INC 12416 S Harlem Ave Ste 305 Palos Heights IL 60463 381405282 501(C)(3) 7500 SPONSOR EVENTS BNAI BRITH INTERNATIONAL 4605 Lankershim Blvd Ste 710 N Hollywood CA 91602 530179971 501(C)(3) 10000 SPONSOR EVENTS CANCER SUPPORT CENTER 2028 Elm Rd Homewood IL 60430 363880404 501(C)(3) 21500 SUPPORT EXEMPT MISSION CARSON SCHOLARS FUND INC 305 W Chesapeake Ave310 Towson MD 21204 521851346 501(C)(3) 67500 SUPPORT EXEMPT MISSION CHHSM-UCC 700 Prospect Avenue Cleveland OH 44115 131957221 501(C)(3) 10000 SUPPORT EXEMPT MISSION CHICAGO URBAN LEAGUE 4510 S Michigan Ave Chicago IL 60653 362225483 501(C)(3) 5250 SPONSOR EVENTS CHILDRENS HEART FOUNDATION PO Box 2844 Glenview IL 60026 364077528 501(C)(3) 17600 SPONSOR EVENTS CHOOSE DUPAGE 2525 Cabot Dr Ste 303 Lisle IL 60532 320177792 501(c)(6) 10000 COMMUNITY SUPPORT COMMUNITY HEALTH 2611 W Chicago Ave Chicago IL 60622 363831793 501(C)(3) 19683 SUPPORT EXEMPT MISSION CONCORDIA PLACE 3300 N Whipple Chicago IL 60618 320033719 501(C)(3) 6530 SUPPORT EXEMPT MISSION CRISIS CENTER SO SUBURBIA CORP PO Box 39 Tinley Park IL 60477 363039964 501(C)(3) 9588 SPONSOR EVENTS CRISTO REY WORK STUDY PROGRAM 1852 West 22nd Place Chicago IL 60608 043730980 501(C)(3) 66360 SUPPORT EXEMPT MISSION DOWNERS GROVE ECONOMIC 5159 Mochel Downers Grove IL 60515 870772222 n/a 5810 COMMUNITY SUPPORT ECONOMIC DEVELOPMENT COUNCIL 200 W College Ave 402 Ste 402 Normal IL 61761 371169886 n/a 15000 COMMUNITY SUPPORT FAMILY HEALTH PTR CLINIC 401 E Congress Pkwy Crystal Lake IL 60014 364277029 501(C)(3) 12983 SUPPORT EXEMPT MISSION FOX VALLEY VOLUNTEER HOSPICE 200 Whitfield Drive Geneva IL 60134 363111451 501(C)(3) 8000 SUPPORT EXEMPT MISSION FRIENDS OF MCHENRY COUNTY 8900 US Highway 14 Crystal Lake IL 60014 237418071 501(C)(3) 7000 SUPPORT EXEMPT MISSION GILDAS CLUB CHICAGO 205 W Wacker Dr Ste 1400 Chicago IL 60606 364115144 501(C)(3) 19296 SPONSOR EVENTS GROVE FOUNDATION 2455 Warrenville Rd Downers Grove IL 60515 363755536 501(C)(3) 8620 SUPPORT EXEMPT MISSION HABILITATIVE SYSTEMS INC 415 S Kilpatrick Ave MS 514 Chicago IL 60644 362969062 501(C)(3) 13500 SUPPORT EXEMPT MISSION HAVE DREAMS 515 Busse Hwy 150 Park Ridge IL 60068 364078008 501(C)(3) 6240 SUPPORT EXEMPT MISSION HEALTHY SCHOOLS CAMPAIGN 175 N Franklin Ste 300 Chicago IL 60606 364308068 501(C)(3) 25520 SUPPORT EXEMPT MISSION IHREF 24676 Network Place Chicago IL 606731246 237421930 501(C)(3) 400615 SUPPORT EXEMPT MISSION ILLINOIS STATE UNIVERSITY Campus Box 2660 Normal IL 617902660 376014070 501(C)(3) 50350 SUPPORT EXEMPT MISSION ILLINOIS TRANSPLANT FUND 425 Spring Lake Drive ROOM 3101 Itasca IL 60143 474167931 501(C)(3) 100000 SUPPORT EXEMPT MISSION ILLINOIS WESLEYAN UNIVERSITY PO Box 2900 Bloomington IL 61702 370662594 501(C)(3) 20015 EXPANSION PROJECT JOURNEY CARE FOUNDATION 405 Lake Zurich Road Barrington IL 60010 363820916 501(C)(3) 5100 SUPPORT EXEMPT MISSION KELLY CARES FOUNDATION 1251 N Eddy St 200 STE 1C South Bend IN 46617 263591070 501(C)(3) 10000 SUPPORT EXEMPT MISSION LUTHERAN SOCIAL SERVICES IL 1001 E Touhy Ave Des Plaines IL 60018 362584799 501(C)(3) 20676 SUPPORT EXEMPT MISSION MAKE A WISH FOUNDATION 640 N LaSalle Dr 280 Chicago IL 60654 363422138 501(C)(3) 22000 SPONSOR EVENTS MARCH OF DIMES FOUNDATION 111 W Jackson Blvd 1650 Chicago IL 60604 131846366 501(C)(3) 70339 SPONSOR EVENTS MCHENRY COUNTY PADS 4100 Veterans Parkway McHenry IL 60050 362480845 501(C)(3) 12150 SUPPORT EXEMPT MISSION MISERICORDIA HOME PO Box 454 Western Springs IL 60553 362170153 501(C)(3) 9068 SUPPORT EXEMPT MISSION MORAINE VALLEY COMMUNITY 9000 W College Pkwy Palos Hills IL 60465 363191202 501(C)(3) 5775 SPONSOR EVENTS MUSEUM OF SCIENCE & INDUSTRY 57th St Lake Shore Dr Chicago IL 60637 362167797 501(C)(3) 87333 SUPPORT EXEMPT MISSION NAHSE 1050 Connecticut Av NW 10th Floor Washington DC 20036 621312239 501(C)(3) 10579 SPONSOR EVENTS NATIONAL CENTER FOR HEALTHCARE 1700 W Van Buren St 1268 Chicago IL 60612 364483505 501(C)(3) 7084 SPONSOR EVENTS NATIONAL KIDNEY FOUNDATION 215 West Illinois Ste 1C Chicago IL 60654 131673104 501(C)(3) 25485 SPONSOR EVENTS PASS PREGNANCY CARE CENTER 17214 Oak Park Avenue Tinley Park IL 60477 363345840 501(C)(3) 10000 SUPPORT EXEMPT MISSION PROACTIVE KIDS FOUNDATION 1101 Belter Drive Wheaton IL 60189 371556796 501(C)(3) 53540 SUPPORT EXEMPT MISSION PROVENA HOSPITALS 1325 N Highland Ave Aurora IL 60506 530196617 501(C)(3) 7500 SUPPORT EXEMPT MISSION ROTARY DISTRICT 6450 FOUNDATION PO Box 256 Downers Grove IL 60515 364219154 501(C)(3) 6125 SPONSOR EVENTS SALVATION ARMY 5040 N Pulaski Avenue Chicago IL 60630 362167910 501(C)(3) 24060 SPONSOR EVENTS SAMARITAN COUNSELING CENTER 1000 Hart Rd STE 201 Barrington IL 60010 263135503 501(C)(3) 20000 SPONSOR EVENTS SOUTH SUBURBAN PADS 414 W Lincoln HWY Chicago Heights IL 60430 363744405 501(C)(3) 5900 SUPPORT EXEMPT MISSION SOUTHSIDE PREGNANCY CENTER 9115 S Cicero Ave Oak Lawn IL 60453 363367445 501(C)(3) 10000 SPONSOR EVENTS SPECIAL OLYMPICS ILLINOIS 500 Waters Edge Ste 100 Lombard IL 60148 362922811 501(C)(3) 8250 SPONSOR EVENTS SSEEO PO Box 855 Lombard IL 601480855 271925734 501(C)(3) 10000 SPONSOR EVENTS SYRIAN AMERICAN MEDICAL 234 Hood Drive Canfield OH 44406 161717058 501(C)(3) 7500 SUPPORT EXEMPT MISSION UNIV OF ILL AT CHICAGO 1603 W Taylor St M/C 923 Chicago IL 60612 376000511 501(C)(3) 90000 GRANT FOR CEASEFIRE URBAN INITIATIVES INC 650 W Lake St Chicago IL 60661 830367521 501(C)(3) 5050 SUPPORT EXEMPT MISSION VILLAGE OF BARRINGTON 200 So Hough Street Barrington IL 60010 366005782 n/a 11050 COMMUNITY SUPPORT VILLAGE OF OAK LAWN 9446 W 95th St Oak Lawn IL 60453 366006024 n/a 500000 FINANCIAL ASSISTANCE AGREEMENT WORLD BUSINESS CHICAGO 177 N State St Ste 500 Chicago IL 60601 364313685 501(C)(3) 25000 SUPPORT EXEMPT MISSION YMCA 701 Manor Road Crystal Lake IL 60014 362179782 501(C)(3) 8750 SUPPORT EXEMPT MISSION A SAFE HAVEN FOUNDATION 2750 W Roosevelt Rd Chicago IL 606081048 364444200 501(C)(3) 20000 SUPPORT EXEMPT MISSION ACADEMY OF SCHOLASTIC ACHIEVEMENT 4651 W Madison St Chicago IL 60644 363738243 501(C)(3) 15000 SUPPORT EXEMPT MISSION AL RABY SCHOOL FOR COMMUNITY & ENVIRONMENT 3545 W Fulton Blvd Chicago IL 60624 366005821 n/a 10000 COMMUNITY SUPPORT ALLIANCE OF LOCAL SERVICE ORGANIZATIONS 2401 West North Ave Chicago IL 60647 364207887 501(C)(3) 15000 SUPPORT EXEMPT MISSION ASSOCIATION HOUSE OF CHICAGO 1116 North Kedzie Avenue Chicago IL 60651 362166961 501(C)(3) 17500 SUPPORT EXEMPT MISSION BETHEL NEW LIFE 4950 W Thomas Street Chicago IL 60651 363013241 501(C)(3) 30000 SUPPORT EXEMPT MISSION BETTER BOYS FOUNDATION-BBF FAMILY SERVICES 1512 S Pulaski Chicago IL 60623 362484473 501(C)(3) 20000 SUPPORT EXEMPT MISSION BOBBY E WRIGHT COMPREHENSIVE HEALTH CENTER 9 South Kedzie Avenue Chicago IL 60612 362775103 501(C)(3) 10000 SUPPORT EXEMPT MISSION BUILD INC 5100 West Harrison St Chicago IL 60644 237022085 501(C)(3) 25000 SUPPORT EXEMPT MISSION BY THE HAND CLUB FOR KIDS 415 N Laramie Ave Chicago IL 60644 203144284 501(C)(3) 10000 SUPPORT EXEMPT MISSION CASA CENTRAL 1343 N California Ave Chicago IL 60622 362728618 501(C)(3) 10000 SUPPORT EXEMPT MISSION CHICAGO JESUIT ACADEMY 5058 W Jackson Blvd Chicago IL 60644 530196617 501(C)(3) 24000 SUPPORT EXEMPT MISSION CHICAGO LAWNDALE AMACHI MENTORING PROGRAM 3508 West Ogden Avenue Chicago IL 60623 260907131 501(C)(3) 25000 SUPPORT EXEMPT MISSION CHRIST THE KING JESUIT COLLEGE PREP 5088 West Jackson Blvd Chicago IL 60644 260556958 501(C)(3) 12500 SUPPORT EXEMPT MISSION CLUSTER TUTORING PROGRAM 5460 W Augusta Blvd Chicago IL 60651 363835179 501(C)(3) 10000 SUPPORT EXEMPT MISSION COMMUNITY CHRISTIAN ALTERNATIVE ACADEMY 1231 S Pulaski Road Chicago IL 60623 363001358 501(C)(3) 15000 SUPPORT EXEMPT MISSION COMMUNITYHEALTH 2611 West Chicago Ave Chicago IL 60622 363831793 501(C)(3) 25000 SUPPORT EXEMPT MISSION CONNECTIONS FOR ABUSED WOMEN & THEIR CHILDRN 1116 N Kedzie Ave 5th Fl Chicago IL 60651 362950380 501(C)(3) 20000 SUPPORT EXEMPT MISSION DEBORAH'S PLACE 2822 W Jackson Blvd Chicago IL 60612 363382973 501(C)(3) 7500 SUPPORT EXEMPT MISSION ERIE ELEMENTARY CHARTER SCHOOL 1405 N Washtenaw Ave Chicago IL 60622 371504399 501(C)(3) 7500 SUPPORT EXEMPT MISSION GARFIELD PARK CONSERVATORY ALLIANCE 300 N Central Park Ave Chicago IL 60624 364200490 501(C)(3) 10000 SUPPORT EXEMPT MISSION GENEVA FOUNDATION 3800 West Grand Avenue Chicago IL 60651 363985589 501(C)(3) 12500 SUPPORT EXEMPT MISSION GREATER WEST TOWN COMM DEVELOPMENT PROJECT 500 N Sacramento Blvd Chicago IL 60612 363657734 501(C)(3) 17500 SUPPORT EXEMPT MISSION HOLY FAMILY MINISTRIES 3415 W Arthington Chicago IL 60624 364320533 501(C)(3) 20000 SUPPORT EXEMPT MISSION INTERFAITH HOUSE 3456 W Franklin Blvd Chicago IL 60624 364075641 501(C)(3) 7500 SUPPORT EXEMPT MISSION KIPP CHICAGO 1945 S Halsted St Ste 101 Chicago IL 60608 300075271 501(C)(3) 25000 SUPPORT EXEMPT MISSION LAWNDALE CHRISTIAN HEALTH CENTER 3860 West Ogden Avenue Chicago IL 60623 363308953 501(C)(3) 20000 SUPPORT EXEMPT MISSION LAWNDALE CHRISTIAN LEGAL CENTER 1530 South Hamlin Ave Chicago IL 60623 272285007 501(C)(3) 22500 SUPPORT EXEMPT MISSION MARILLAC SOCIAL CENTER 212 S Francisco Ave Chicago IL 60612 362109717 501(C)(3) 12500 SUPPORT EXEMPT MISSION NEIGHBORSPACE 445 N Sacramento Ste 204 Chicago IL 60612 364105593 501(C)(3) 10000 SUPPORT EXEMPT MISSION NEOPOLITAN LIGHTHOUSE PO Box 24709 Chicago IL 60624 363309888 501(C)(3) 10000 SUPPORT EXEMPT MISSION NEW AGE SERVICES CORPORATION 1330 S Kostner Ave Chicago IL 60623 363307455 501(C)(3) 10000 SUPPORT EXEMPT MISSION NEW MOMS INC 5317 W Chicago Avenue Chicago IL 60651 363265804 501(C)(3) 25000 SUPPORT EXEMPT MISSION NORTH LAWNDALE COLLEGE PREP CHARTER HS POBox 23400 Chicago IL 60623 364229548 501(C)(3) 30000 SUPPORT EXEMPT MISSION NORTH LAWNDALE EMPLOYMENT NETWORK 3726 W Flournoy St Chicago IL 60624 364295189 501(C)(3) 40000 SUPPORT EXEMPT MISSION PUERTO RICAN CULTURAL CENTER 2739 W Division Street Chicago IL 60622 367347778 501(C)(3) 15000 SUPPORT EXEMPT MISSION RINCON FAMILY SERVICES 3710 N Kedzie Avenue Chicago IL 60618 362739477 501(C)(3) 10000 SUPPORT EXEMPT MISSION SANKOFA SAFE CHILD INITIATIVE 4041 W Roosevelt Road Chicago IL 60624 364535455 501(C)(3) 7500 SUPPORT EXEMPT MISSION SCHWAB REHABILITATION HOSPITAL 1401 S California Avenue Chicago IL 60608 362179802 501(C)(3) 12500 SUPPORT EXEMPT MISSION TAPROOTS INC 2718 W Adams St 2nd fl Chicago IL 60612 363041825 501(C)(3) 15000 SUPPORT EXEMPT MISSION THE PEACE CORNER YOUTH CENTER 5022 West Madison Chicago IL 60644 202940156 501(C)(3) 25000 SUPPORT EXEMPT MISSION WEST TOWN BIKES 2459 W Division Chicago IL 60622 204767185 501(C)(3) 40000 SUPPORT EXEMPT MISSION WESTLAWN YOUTH NETWORK 2117 S Saint Louis Ave Chicago IL 60623 364243440 501(C)(3) 7500 SUPPORT EXEMPT MISSION 103 7 Form 990, Schedule I, Part I and II Grants and Other Assistance to Domestic Organizations and Domestic Governments For amounts reported on Schedule I, Advocate Health and Hospitals Corporation reports only support provided to organizations that are tax-exempt under section 501(c)(3) of the Internal Revenue Code, and that are consistent with and complimentary to the mission and charitable, tax-exempt purposes of Advocate Health and Hospitals Corporation. Cash contributions are not made to individuals, for profit businesses, or private providers. The purpose of these grants is to support community programs. X X X X true true X X X X X false true false false false false false true false James Skogsbergh PRESIDENT & CEO, DIRECTOR 1437831 0 3172550 0 1328366 0 1517537 0 32403 0 7488687 0 940702 0 Gail D Hasbrouck SVP, Gen Counsel & Corp. Sec 461446 0 380254 0 290799 0 111275 0 23653 0 1267427 0 132749 0 William P Santulli Exec VP, COO 860046 0 1119197 0 547912 0 547035 0 32942 0 3107132 0 402041 0 Lee B Sacks MD EXEC VP, CHIEF MEDICAL OFFICER 693596 0 748022 0 413180 0 206125 0 19322 0 2080245 0 277758 0 James Doheny VP, Sys Contr & Asst.Treasurer 310893 0 104454 0 29191 0 24486 0 32586 0 501610 0 0 0 James Dan MD PRES PHYSICIAN/AMBULATORY SVCS 510112 0 528851 0 293124 0 155485 0 19875 0 1507447 0 200337 0 Rev K Bender Schwich SVP, Mission & Spiritual Care 163083 0 212178 0 135801 0 93852 0 85035 0 689949 0 69357 0 Kevin Brady SVP, Chf Human Resources offc 436056 0 498823 0 248545 0 144617 0 33911 0 1361952 0 183686 0 Vincent Bufalino MD SVP, CARDIO/SR MED DIR CARDIO 398829 0 428503 0 54373 0 239481 0 22753 0 1143939 0 132749 0 Susan Campbell SVP OF PATIENT CR-CHF NRS OFFC 337480 0 211048 0 40624 0 165185 0 18464 0 772801 0 32309 0 Kelly Jo Golson SVP, Chief Marketing Officer 357551 0 259145 0 170086 0 80123 0 2920 0 869825 0 85091 0 Dominic J Nakis SVP, CFO & TREASURER 617330 0 748022 0 379991 0 206125 0 24233 0 1975701 0 277758 0 Scott Powder SVP, Chief Strategy Officer 375456 0 315038 0 182594 0 99371 0 23563 0 996022 0 91789 0 Bruce D Smith SVP, Information Systems, CIO 473189 0 396438 0 246635 0 114997 0 29469 0 1260728 0 138387 0 Don Calcagno SVP, Oper Integration/Optim 363522 0 319531 0 170401 0 105383 0 29738 0 988575 0 102836 0 Rishi Sikka MD SVP, Clinical Operations 496531 0 194038 0 169529 0 111692 0 32855 0 1004645 0 0 0 Michael Farrell PRESIDENT -ADV CHILDREN'S HOSP 657663 0 600538 0 81138 0 378886 0 19748 0 1737973 0 218042 0 David Fox President, Good Samaritan Hosp 445763 0 415820 0 222891 0 125209 0 26690 0 1236373 0 153989 0 Michelle Gaskill-Hames President, Trinity Hospital 295800 0 143118 0 98493 0 80181 0 10745 0 628337 0 0 0 Richard Heim President, South Suburban Hosp 296254 0 266785 0 139042 0 90473 0 24336 0 816890 0 83871 0 Colleen Kannaday President, BroMenn Medical Ctr 391686 0 357769 0 461390 0 105383 0 22611 0 1338839 0 556863 0 Karen Lambert President, Good Shepherd Hosp 405571 0 357134 0 204731 0 105383 0 34730 0 1107549 0 123703 0 Kenneth Lukhard Mkt President, Christ Med Ctr 557035 0 553767 0 254455 0 157122 0 22979 0 1545358 0 241833 0 Rick Floyd President, Lutheran Gen Hosp 563174 0 791684 0 315778 0 152835 0 34116 0 1857587 0 49115 0 Hamad Farhat Neurosurgeon 1700000 0 16570 0 -10913 0 7950 0 30689 0 1744296 0 0 0 Egon Doppenberg Neurosurgeon 1100000 0 10721 0 -10300 0 7950 0 28377 0 1136748 0 0 0 Dean Karahalios Neurosurgeon 1098000 0 10721 0 -12595 0 7950 0 34648 0 1138724 0 0 0 Thomas Grobelny Physician-Neuroint. Radiology 953074 0 0 0 93895 0 21836 0 21958 0 1090763 0 0 0 Michel Ilbawi Pediatric CV Surgery 901346 0 0 0 269 0 7950 0 4042 0 913607 0 0 0 Michael Englehart Fmr. President S Suburban Hosp 0 295693 0 348274 0 158564 0 16536 0 23841 0 842908 0 119855 SCHEDULE J, PART I, LINE 1A HOUSING ALLOWANCE/SOCIAL CLUB DUES/PERSONAL SERVICES REV. K. BENDER SCHWICH, SENIOR VICE PRESIDENT-MISSION AND SPIRITUAL CARE, RECEIVED AN ANNUAL HOUSING ALLOWANCE OF $65,000 FROM ADVOCATE HEALTH AND HOSPITALS CORPORATION. JAMES SKOGSBERGH, PRESIDENT AND CHIEF EXECUTIVE OFFICER OF ADVOCATE HEALTH AND HOSPITALS CORPORATION, IS A MEMBER OF SEVERAL LUNCHEON CLUBS WHERE HE CONDUCTS BUSINESS MEETINGS ON BEHALF OF AHHC. JAMES SKOGSBERGH, PRESIDENT AND CHIEF EXECUTIVE OFFICER OF ADVOCATE HEALTH AND HOSPITALS CORPORATION, RECEIVES AS PART OF HIS BENEFITS PACKAGE FINANCIAL PLANNING SERVICES. JAMES SKOGSBERGH, PRESIDENT AND CHIEF EXECUTIVE OFFICER OF ADVOCATE HEALTH AND HOSPITALS CORPORATION, WAS PERMITTED TO USE FIRST CLASS TRAVEL IN ACCORDANCE WITH THE ORGANIZATIONS POLICY. SCHEDULE J, PART I, LINE 4B SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN GAIL D. HASBROUCK, SENIOR VICE PRESIDENT-GENERAL COUNSEL AND CORPORATE SECRETARY, IS VESTED IN A NON-QUALIFIED RETIREMENT PLAN. AS SUCH ANY CONTRIBUTIONS ARE TAXED CURRENTLY. THERE IS NO DEFERRED COMPONENT. THE CURRENT YEAR CONTRIBUTION AMOUNT IS $43,008. 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: JAMES SKOGSBERGH $708,061, WILLIAM P. SANTULLI $310,926, GAIL D. HASBROUCK $134,518, LEE B. SACKS, M.D. $229,944, DOMINIC J. NAKIS $217,187, BRUCE D. SMITH $138,967, KEVIN BRADY $166,916, SCOTT POWDER $108,947, JAMES DAN, M.D. $148,770, REV. K. BENDER SCHWICH $72,473, KELLY JO GOLSON $98,643, RISHI SIKKA, M.D. $100,032, DON CALCAGNO $101,669, DAVID FOX $119,769 , KAREN LAMBERT $121,602, KENNETH LUKHARD $118,606, RICHARD HEIM $81,629, RICK FLOYD $174,558, MICHELLE GASKILL-HAMES $53,036, COLLEEN KANNADAY $433,160, AND MICHAEL ENGLEHART $107,610. THE FOLLOWING EMPLOYEES HAVE NOT YET FULLY VESTED AND THEREFORE THE CONTRIBUTIONS ARE REPORTED AS DEFERRED COMPENSATION: MICHAEL FARRELL $194,100, VINCENT BUFALINO, M.D. $128,203, SUSAN CAMPBELL $82,816. JAMES SKOGSBERGH AND WILLIAM P. SANTULLI ARE PARTICIPANTS IN SECTION 457(F) RETENTION INCENTIVE BENEFIT PLANS. THE PLANS ARE CURRENTLY NOT VESTED. THE PLANS ARE CONTINGENT ON EMPLOYMENT AND VEST WHEN THE PARTICPANT REACHES 60 YEARS OF AGE. THE CURRENT YEAR AMOUNTS EARNED ARE: JAMES SKOGSBERGH $722,512, WILLIAM P. SANTULLI $216,082. 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. A ILLINOIS HEALTH FACILITIES AUTHORITY 362780046 45200PXHS 2003-10-29 115000000 SEE SCHEDULE K, PART VI false false false B ILLINOIS FINANCE AUTHORITY 861091967 45200FED7 2013-01-24 51134288 SEE SCHEDULE K, PART VI false false false C ILLINOIS FINANCE AUTHORITY 861091967 45200FEE5 2013-02-01 43219722 SEE SCHEDULE K, PART VI false false false D ILLINOIS FINANCE AUTHORITY 861091967 45200FEF2 2012-05-01 51142165 SEE SCHEDULE K, PART VI false false false A 80930000 0 116432024 0 0 0 1034454 0 0 111807084 0 0 2005 false false true true B 0 0 51134288 0 0 0 0 0 0 0 51134288 0 2009 true false true true C 0 0 43219722 0 0 0 0 0 0 0 43219722 0 2009 true false true true D 0 0 51142165 0 0 0 0 0 0 0 51142165 0 2009 true false true true A false true true false false 0.00100 0.00000 0.00100 false true 0.00600 true true B false true true false false 0.00110 0.00000 0.00110 false false 0.00000 false true C false true true false false 0.00110 0.00000 0.00110 false false 0.00000 false true D false true true false false 0.00110 0.00000 0.00110 false false 0.00000 false true A false false false true true false 0 false 0 false true B false true false false true false 0 false 0 false true C false true false false true false 0 false 0 false true D false true false false true false 0 false 0 false true A true B true C true D true . PURPOSE OF BOND SERIES 2003 ISSUED 10/29/2003 FORM 990, SCHEDULE K, PART 1(F) (CUSIP # 45200PXH5) THE PROCEEDS OF THE ILLINOIS HEALTH FACILITIES AUTHORITY REVENUE BONDS, SERIES 2003A, 2003B AND SERIES 2003C (ADVOCATE HEALTH CARE NETWORK) WERE USED FOR THE PURPOSE, TOGETHER WITH OTHER AVAILABLE FUNDS, OF FINANCING CERTAIN CAPITAL EXPENDITURES OF CERTAIN OF THE HEALTH CARE FACILITIES OF THE ORGANIZATION AND ADVOCATE NORTH SIDE HEALTH NETWORK. PURPOSE OF BOND SERIES 2008C ISSUED 10/10/2007 FORM 990, SCHEDULE K, PART I (F) (CUSIP #45200FAZ2) THE PROCEEDS OF THE ILLINOIS FINANCE AUTHORITY REVENUE BONDS, SERIES 2007B-1, SERIES 2007B-2 AND SERIES 2007B-3 (ADVOCATE HEALTH CARE NETWORK), WERE USED FOR THE PURPOSE, TOGETHER WITH OTHER AVAILABLE FUNDS, OF FINANCING CERTAIN CAPITAL EXPENDITURES OF CERTAIN OF THE HEALTH CARE FACILITIES OF THE ORGANIZATION AND ADVOCATE NORTH SIDE HEALTH NETWORK, AND OF REFUNDING ALL OR A PORTION OF THE ORGANIZATION'S SERIES 1997ABONDS, SERIES 1997B BONDS, SERIES 2003B BONDS AND SERIES 2005 BONDS WHICH WERE ISSUED ON JANUARY 9, 1997, OCTOBER 23, 2003, AND JULY 7, 2005, RESPECTIVELY. THE SERIES 2007B BONDS WERE EXCHANGED FOR THE ILLINOIS FINANCE AUTHORITY REVENUE BONDS, SERIES 2008C-1, SERIES 2008C-2A, SERIES 2008C-2B, SERIES 2008C-3A, AND SERIES 2008C-3B (ADVOCATE HEALTH CARE NETWORK) ON APRIL 25, 2008. BASED ON THE ADVICE OF BOND COUNSEL, THE ORGANIZATION IS TREATING THE SERIES 2008C BONDS AS THE SAME ISSUE AS THE SERIES 2007B BONDS FOR FEDERAL INCOME TAX PURPOSES. PURPOSE OF BOND SERIES 2008A-1 ISSUED 1/24/2013 FORM 990, SCHEDULE K, PART I (F) (CUSIP # 45200FED7) THE SERIES 2008A-1 BONDS WERE REISSUED FOR FEDERAL INCOME TAX PURPOSES ON JANUARY 24, 2013. PURPOSE OF BOND SERIES 2008A-2 ISSUED 2/1/2013 FORM 990, SCHEDULE K, PART I (F) (CUSIP # 45200FEE5) THE SERIES 2008A-2 BONDS WERE REISSUED FOR FEDERAL INCOME TAX PURPOSES ON FEBRUARY 1, 2013. PURPOSE OF BOND SERIES 2008A-3 ISSUED 5/1/2012 FORM 990, SCHEDULE K, PART I (F) (CUSIP # 45200FEF2) THE SERIES 2008A-3 BONDS WERE REISSUED FOR FEDERAL INCOME TAX PURPOSES ON MAY 1, 2012. PURPOSE OF BOND SERIES 2008D ISSUED 12/01/2008 FORM 990, SCHEDULE K, PART I (F) (CUSIP # 45200FSB6) THE PROCEEDS OF THE ILLINOIS FINANCE AUTHORITY REVENUE BONDS, SERIES 2008D (ADVOCATE HEALTH CARE NETWORK) WERE USED FOR THE PURPOSE, TOGETHER WITH OTHER AVAILABLE FUNDS, OF FINANCING THE COSTS OF PURCHASING ASSETS OF CONDELL MEDICAL CENTER AND THE COSTS OF CONSTRUCTING AND EQUIPPING A NEW PATIENT TOWER FOR ADVOCATE CONDELL MEDICAL CENTER. THE ACQUIRED ASSETS INCLUDE CONDELL MEDICAL CENTER, A 283-LICENSED BED ACUTE CARE HOSPITAL LOCATED IN LIBERTYVILLE, ILLINOIS. PURPOSE OF BOND SERIES 2010 ISSUED 1/06/2010 FORM 990, SCHEDULE K, PART I (F) (CUSIP # 45200FK65) THE PROCEEDS OF THE ILLINOIS FINANCE AUTHORITY REVENUE BONDS, SERIES 2010 (ADVOCATE HEALTH CARE NETWORK) WERE USED FOR THE PURPOSE, TOGETHER WITH OTHER AVAILABLE FUNDS, OF REFUNDING THE ORGANIZATIONS SERIES 2008B-1, SERIES 2008B-2, SERIES 2008B-3, SERIES 2008B-4 AND SERIES 2008B-5 BONDS, OF FINANCING THE COSTS RELATED TO THE MERGER WITH BROMENN HEALTHCARE SYSTEM AND THE COSTS RELATED TO THE CONSTRUCTING AND EQUIPPING A NEW PATIENT TOWER FOR ADVOCATE BROMENN MEDICAL CENTER AS WELL AS FINANCING CERTAIN CAPITAL EXPENDITURES AT OTHER HEALTH CARE FACILITIES OF THE ORGANIZATION. THE MERGED ASSETS INCLUDE BROMENN REGIONAL MEDICAL CENTER, A 221-LICENSED BED ACUTE CARE HOSPITAL LOCATED IN BLOOMINGTON, ILLINOIS AND EUREKA COMMUNITY HOSPITAL, A 25-LICENSED BED GENERAL ACUTE CARE HOSPITAL LOCATED IN EUREKA, ILLINOIS. PURPOSE OF BOND SERIES 2011 ISSUED 9/21/2011 FORM 990, SCHEDULE K, PART I (F) (CUSIP # 45203HCA8) THE PROCEEDS OF THE SERIES 2011A-2, SERIES 2011B, SERIES 2011C AND SERIES 2011D BONDS WERE USED FOR THE PURPOSE, TOGETHER WITH OTHER AVAILABLE FUNDS, OF FINANCING THE COST OF CONSTRUCTING, RENOVATING AND EQUIPPING A NINE STORY AMBULATORY CARE FACILITY AT ADVOCATE CHRIST MEDICAL CENTER AND CERTAIN OTHER CAPITAL PROJECTS AT THE HEALTH CARE FACILITIES OF THE ORGANIZATION, ADVOCATE NORTH SIDE HEALTH NETWORK AND ADVOCATE CONDELL MEDICAL CENTER. PURPOSE OF BOND SERIES 2012 ISSUED 11/29/2012 FORM 990, SCHEDULE K, PART I (F) (CUSIP # 45203HNJ7) THE PROCEEDS OF THE SERIES 2012 BONDS WERE USED FOR THE PURPOSE, TOGETHER WITH OTHER AVAILABLE FUNDS, OF FINANCING THE COST OF CONSTRUCTING, RENOVATING AND EQUIPPING AN OUTPATIENT CENTER AT ADVOCATE ILLINOIS MASONIC MEDICAL CENTER, AN AMBULATORY CARE FACILITY AT ADVOCATE CHRIST MEDICAL CENTER AND CERTAIN OTHER CAPITAL PROJECTS AT THE HEALTH CARE FACILITIES OF THE ORGANIZATION, ADVOCATE NORTH SIDE HEALTH NETWORK AND ADVOCATE CONDELL MEDICAL CENTER. PURPOSE OF BOND SERIES 2013A ISSUED 8/8/2013 FORM 990, SCHEDULE K, PART I (F) (CUSIP # 45203HUC4) THE PROCEEDS OF THE SERIES 2013A BONDS WERE USED FOR THE PURPOSE, TOGETHER WITH OTHER AVAILABLE FUNDS, OF FINANCING THE COST OF CONSTRUCTING, RENOVATING AND EQUIPPING AN ICU EXPANSION PROJECT AT ADVOCATE TRINITY HOSPITAL, A CAMPUS MODERNIZATION PROJECT AT ADVOCATE GOOD SHEPHERD HOSPITAL, AN EMERGENCY DEPARTMENT/SURGERY EXPANSION PROJECT AT ADVOCATE LUTHERAN GENERAL HOSPITAL, AND CERTAIN OTHER CAPITAL PROJECTS AT THE HEALTH CARE FACILITIES OF THE ORGANIZATION, ADVOCATE NORTH SIDE HEALTH NETWORK AND ADVOCATE CONDELL MEDICAL CENTER. PURPOSE OF BOND SERIES 2014 ISSUED 12/18/2014 FORM 990, SCHEDULE K, PART I (F) (CUSIP # 45203HE40) THE PROCEEDS OF THE SERIES 2014 BONDS WERE USED FOR THE PURPOSE, TOGETHER WITH OTHER AVAILABLE FUNDS, OF ADVANCE REFUNDING CERTAIN OF THE SERIES 2008D BONDS PREVIOUSLY ISSUED BY THE ILLINOIS FINANCE AUTHORITY FOR THE BENEFIT OF THE BORROWER AND ADVANCE REFUNDING THE SERIES 2007A BONDS PREVIOUSLY ISSED BY THE ILLINOIS FINANCE AUTHORITY FOR THE BENEFIT OF ADVOCATE SHERMAN HOSPITAL. PURPOSE OF BOND SERIES 2015 ISSUED 9/24/2015 FORM 990, SCHEDULE K, PART I (F) (CUSIP # 45203H4J8) THE PROCEEDS OF THE SERIES 2015 BONDS WERE USED FOR THE PURPOSE OF FINANCING THE COST OF CONSTRUCTING, RENOVATING AND EQUIPPING CERTAIN CAPITAL PROJECTS AT THE HEALTH CARE FACILITIES OF THE MEMBERS OF THE OBLIGATED GROUP INCLUDING WITHOUT LIMITATION A BED TOWER AT ADVOCATE GOOD SAMARITAN HOSPITAL AND RENOVATIONS AT ADVOCATE CHRIST MEDICAL CENTER. PURPOSE OF BOND SERIES 2015B ISSUED 10/22/2015 FORM 990, SCHEDULE K, PART I (F) (CUSIP # 45203H6T4) THE PROCEEDS OF THE SERIES 2015B BONDS WERE USED FOR THE PURPOSE, TOGETHER WITH OTHER AVAILABLE FUNDS, OF ADVANCE REFUNDING A PORTION OF THE SERIES 2010A, SERIES 2010B, SERIES 2010C AND SERIES 2010D BONDS PREVIOUSLY ISSUED BY THE ILLINOIS FINANCE AUTHORITY FOR THE BENEFIT OF THE BORROWER. PURPOSE OF BOND SERIES 2011A-1 ISSUED 9/21/2011 FORM 990, SCHEDULE K, PART I (F) (CUSIP # 45203HCM2) THE PROCEEDS OF THE SERIES 2011A-1 BONDS WERE USED FOR THE PURPOSE, TOGETHER WITH OTHER AVAILABLE FUNDS, OF REFUNDING ALL OF THE ORGANIZATIONS SERIES 1998A AND SERIES 1998B BONDS. FORM 990, SCHEDULE K, PART II LINE 3 FOR THOSE BOND ISSUES WHERE THE TOTAL PROCEEDS LISTED IN PART II, LINE 3 ARE NOT IDENTICAL TO THE ISSUE PRICE FOR THE RELATED BOND ISSUE SHOWN IN PART I, COLUMN (E), THE DIFFERENCE REPRESENTS INVESTMENT EARNINGS. SERVICE CONTRACTS AND RESEARCH AGREEMENTS FORM 990, SCHEDULE K, PART III LINE 3B, ALL BOND ISSUES INTERNAL COUNSEL REVIEWS ALL MANAGEMENT OR SERVICE CONTRACTS AND RESEARCH AGREEMENTS. THEREFORE, THE ORGANIZATION DOES NOT ROUTINELY ENGAGE OUTSIDE BOND COUNSEL TO REVIEW THE CONTRACTS. BOND COUNSEL DOES REVIEW CONTRACTS RELATED TO THE FINANCED PROPERTY DURING DUE DILIGENCE PRIOR TO A BOND TRANSACTION. PRIVATE BUSINESS USE PERCENTAGE FORM 990, SCHEDULE K, PART III LINES 4-6, ALL BOND ISSUES PRIVATE BUSINESS USE PERCENTAGE WAS CALCULATED BASED ON NEW MONEY PORTION OF THE BOND ISSUE ONLY. PRIVATE SECURITY AND PAYMENT TEST FORM 990, SCHEDULE K, PART III LINE 7, ALL BOND ISSUES ADVOCATE MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND THEREFORE, HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS. ARBITRAGE REBATE COMPUTATION FORM 990, SCHEDULE K, PART IV LINE 2C (BOND SERIES 2003, CUSIP # 45200PXH5) THE REBATE COMPUTATION WAS PERFORMED AS OF OCTOBER 29, 2013. SCHEDULE K PART IV LINE 2C (BOND SERIES 2008C, CUSIP # 45200FAZ2) THE REBATE COMPUTATION WAS PERFORMED AS OF OCTOBER 10, 2012. SCHEDULE K PART IV LINE 2C (BOND SERIES 2008D, CUSIP # 45200FSB6) THE REBATE COMPUTATION WAS PERFORMED AS OF DECEMBER 1, 2013. SCHEDULE K PART IV LINE 2C (BOND SERIES 2010, CUSIP # 45200FK65) THE REBATE COMPUTATION WAS PERFORMED AS OF JANUARY 6, 2015. SWAP PROVIDERS FORM 990, SCHEDULE K, PART IV LINE 3B ON DECEMBER 28, 2011 THE ORIGINAL SWAP RELATING TO THESE BONDS WITH CITIBANK N.A. WAS SEPARATED INTO TWO TRANCHES AND NOVATED (ASSIGNED TO) TWO SEPARATE SWAP COUNTERPARTIES, WELLS FARGO BANK, N.A. AND PNC BANK, NATIONAL ASSOCIATION. A ILLINOIS FINANCE AUTHORITY 861091967 54200FAZ2 2007-10-10 348300000 SEE SCHEDULE K, PART VI false false false B ILLINOIS FINANCE AUTHORITY 861091967 45200FSB6 2008-12-01 175920559 SEE SCHEDULE K, PART VI true false false C ILLINOIS FINANCE AUTHORITY 861091967 45200FK65 2010-01-06 243746239 SEE SCHEDULE K, PART VI true false false D ILLINOIS FINANCE AUTHORITY 861091967 45203HCA8 2011-09-21 201774238 SEE SCHEDULE K, PART VI false false false A 5030000 0 352851959 0 0 0 2331125 3418607 0 154520722 192581505 0 2009 true false true true B 29725000 136010000 176137450 0 0 0 2640929 0 0 173462191 0 0 2010 false false true true C 33235000 63040000 243841007 0 0 0 2992121 0 0 62581188 127075000 0 2012 true false true true D 0 0 202235524 0 0 0 1649390 0 0 200461255 0 0 2013 false false false true A false true true false false 0.00090 0.00000 0.00090 false true 0.01500 true true B false true true false false 0.02420 0.00000 0.02420 false false 0.00000 false true C false true true false false 0.00000 0.00000 0.00000 false false 0.00000 false true D false true true false false 0.00000 0.00000 0.00000 false false 0.00000 false true A false false true true true true SEE PART VI 26.8 false false true TRINITY PLUS FUNDING 2.1 true false true B false false false true false false 0 false 0 false true C false false false true false false 0 false 0 false true D false true false false true false 0 false 0 false true A true B true C true D true A ILLINOIS FINANCE AUTHORITY 861091967 45203HNJ7 2012-11-29 150003863 SEE SCHEDULE K, PART VI false false false B ILLINOIS FINANCE AUTHORITY 861091967 45203HUC4 2013-08-08 103136955 SEE SCHEDULE K, PART VI false false false C ILLINOIS FINANCE AUTHORITY 861091967 45203HE40 2014-12-18 341558564 SEE SCHEDULE K, PART VI false false false D ILLINOIS FINANCE AUTHORITY 861091967 45203H4J8 2015-09-24 104517375 SEE SCHEDULE K, PART VI false false false A 0 0 150184694 0 0 0 1646514 0 0 148493974 0 0 2014 false false false true B 2355000 0 103146877 0 0 0 1285192 0 0 101849526 0 0 2015 false false false true C 0 0 347141756 0 0 344476038 2627651 0 0 0 0 38067 2015 false true true true D 0 0 104518269 0 0 0 1436749 0 0 71210614 0 31870906 2016 false false false true A false true true false false 0.00000 0.00000 0.00000 false false 0.00000 false true B false true true false false 0.00000 0.00000 0.00000 false false 0.00000 false true C false true true false false 0.01400 0.00000 0.01400 false false 0.00000 false true D false true true false false 0.00100 0.00000 0.00100 false false 0.00000 false true A false true false false false false 0 false 0 false true B false true false false false false 0 false 0 false true C false true false false false false 0 false 0 false true D false true false false false false 0 false 0 false true A true B true C true D true A ILLINOIS FINANCE AUTHORITY 861091967 45203H6T4 2015-10-22 73276988 SEE SCHEDULE K, PART VI false false false B ILLINOIS FINANCE AUTHORITY 861091967 45203HCM2 2011-09-21 12453367 SEE SCHEDULE K, PART VI false false false A 0 0 73489692 0 0 72768215 715867 0 0 0 0 5610 2019 false true true true B 6120000 0 12453367 0 0 0 130427 0 0 0 12360328 0 2011 true false true true A false true true false false 0.00000 0.00000 0.00000 false false 0.00000 false true B 0 A false true false false false false 0 false 0 false true B false true false false true false 0 false 0 false true A true B true Lawn Medical Center SEE PART V SEE PART V X 655684 581262 false true true 581262 Allison Lukhard Family Mbr - Kenneth Lukh 20466 Employment false Anna Katz Family Mbr - Lee B. Sacks 287792 Employment false Emily Heim Family Mbr - Richard Heim 49081 Employment false James Richardson Family Mbr- M. Richardson 514181 Employment false Julie Nakis Family Mbr- Dominic Nakis 71767 Employment false Michael Mahoney Family Mbr- Dominic Nakis 67451 Employment false FORM 990, SCHEDULE L, PART II, LINE 1(B) & 1(C) RELATIONSHIP: GARY STUCK, DIRECTOR OF AHHC IS AN OWNER OF LAWN MEDICAL CENTER. PURPOSE OF LOAN: TO BRING NEW PHYSICIANS INTO PRACTICE FORM 990, PART III, LINE 4A PROVIDING INPATIENT AND OUTPATIENT HEALTHCARE SERVICES TO THE COMMUNITY REGARDLESS OF THE PATIENTS' ABILITY TO PAY. INCLUDED IN THESE HEALTH CARE SERVICES ARE THE PROVISION OF CHARITY CARE AND TRAUMA CARE. AS PART OF ITS COMMUNITY BENEFITS STRATEGY AND ITS MISSION, ADVOCATE IS COMMITTED TO PROMOTING INITIATIVES THAT ENHANCE ACCESS TO HEALTH CARE FOR THE UNINSURED, UNDERINSURED AND LOW INCOME. AN EXAMPLE OF THIS IS ADVOCATE'S PROVISION OF CHARITY CARE. ADVOCATE OFFERS A VERY GENEROUS CHARITY CARE PROGRAM - REQUIRING NO PAYMENTS FROM THE PATIENTS MOST IN NEED, AND PROVIDING DISCOUNTS TO UNINSURED PATIENTS EARNING UP TO SIX TIMES THE FEDERAL POVERTY LEVEL , AND TO INSURED PATIENTS EARNING UP TO FOUR TIMES THE FEDERAL POVERTY LEVEL. ADVOCATE ALSO CONSIDERS AN INDIVIDUAL'S EXTENUATING CIRCUMSTANCES TO QUALIFY PATIENTS FOR CHARITY CARE. FOR UNINSURED PATIENTS, ADVOCATE WILL PRESUMPTIVELY PROVIDE CHARITY CARE IF THE FINANCIAL STATUS HAS BEEN VERIFIED BY A THIRD PARTY AND, IN THESE CASES, THE PATIENT IS NOT REQUIRED TO SUBMIT A SEPARATE CHARITY APPLICATION. IF PRESUMPTIVE CRITERIA IS NOT AVAILABLE FOR UNINSURED PATIENTS, THEN FINANCIAL ASSISTANCE ELIGIBILITY IS AVAILABLE USING AN INCOME-BASED SCREENING. ADVOCATE EXTENDS ITS INCOME-BASED FINANCIAL ASSISTANCE POLICY TO ITS INSURED PATIENTS AS WELL, ALSO TAKING INTO CONSIDERATION THE INSURED INDIVIDUALS EXTENUATING CIRCUMSTANCES. ALTHOUGH ADVOCATE'S CHARITY CARE POLICY IS VERY GENEROUS, ADVOCATE CONTINUES TO REVIEW AND REFINE ITS POLICY IN AN ONGOING EFFORT TO ENSURE THAT FINANCIAL ASSISTANCE IS AVAILABLE TO THOSE WHO NEED HELP IN A TIMELY MANNER. ADVOCATE HOSPITALS MAINTAIN HIGHLY VISIBLE SIGNAGE AND BROCHURES IN MULTIPLE LANGUAGES TO INFORM PATIENTS OF THE AVAILABILITY OF FINANCIAL HELP AND FINANCIAL COUNSELORS. INFORMATION ABOUT ADVOCATE'S CHARITY CARE PROGRAM AND CHARITY APPLICATIONS 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 BILL INCLUDES SUMMARY INFORMATION REGARDING THE CHARITY CARE PROGRAM. ADVOCATE IS ALSO ONE OF THE LARGEST PROVIDERS OF HEALTH CARE SERVICES TO MEDICAID AND MEDICARE PATIENTS IN CHICAGO AND THE SURROUNDING SUBURBS. IN THE AREA OF TRAUMA CARE, ADVOCATE HEALTH CARE IS DEDICATED TO PROVIDING EXPERT EMERGENCY CARE - TODAY AND IN THE FUTURE. ADVOCATE'S FIVE LEVEL I TRAUMA CENTERS, THE HIGHEST DESIGNATION LEVEL FOR TRAUMA CENTERS, CARE FOR THE MOST SERIOUSLY INJURED PEOPLE IN CHICAGOLAND. AS IS THE CASE WITH ALL ILLINOIS LEVEL I TRAUMA CENTERS, ADVOCATE'S TRAUMA CENTERS ARE STAFFED BY ON-SITE, 24-HOUR-A-DAY TRAUMA SURGEONS; FEATURE 24-HOUR SURGICAL AND NONSURGICAL SERVICES, SUCH AS RADIOLOGY AND ANESTHESIA; AND CAN ACCOMMODATE HELICOPTER TRANSPORTS. ADVOCATE OPERATES NEARLY ONE-QUARTER OF ALL LEVEL I TRAUMA CENTERS IN ILLINOIS AND IS THE LARGEST TRAUMA SYSTEM IN THE STATE OF ILLINOIS. TWENTY PERCENT OF TRAUMA PATIENTS IN METROPOLITAN CHICAGO ARE TREATED IN AN ADVOCATE TRAUMA CENTER ANNUALLY. FORM 990, PART III, 4B HEALTH CARE SERVICES PROVIDED BY PHYSICIANS EMPLOYED BY THE ORGANIZATION. AS PART OF ADVOCATE'S BROAD ARRAY OF SERVICES AND PROGRAMS DESIGNED TO MEET COMMUNITY HEALTH NEEDS, ADVOCATE PHYSICIANS TARGET UNIQUE HEALTH ACCESS NEEDS OF THE UNINSURED, UNDERINSURED, UNDERSERVED, LOW INCOME AND SPECIAL NEEDS INDIVIDUALS LIVING IN CHICAGOLAND AND CENTRAL ILLINOIS COMMUNITIES. DOWN SYNDROME CENTER AT THE ADULT DOWN SYNDROME CENTER ON THE ADVOCATE LUTHERAN GENERAL HOSPITAL CAMPUS, FOR EXAMPLE, ADVOCATE PHYSICIANS LEAD A TEAM THAT PROVIDES CRUCIAL PSYCHOSOCIAL AND MEDICAL SERVICES TO ADOLESCENTS AND ADULTS WITH DOWN SYNDROME LIVING IN ALL AREAS OF ILLINOIS. MANY INDIVIDUALS IN THIS UNIQUE POPULATION RECEIVE PUBLIC ASSISTANCE AND, IN MOST INSTANCES, THERE ARE FEW SOURCES OF REIMBURSEMENT FOR THE MANY SUPPORT SERVICES PROVIDED BY THE CENTER. IN 2015, THE CENTER HAD APPROXIMATELY 3,000 ACTIVE PATIENTS AND 7,000 PATIENT VISITS IN THE OFFICE, AT PATIENTS HOMES, RESIDENTIAL FACILITIES, NURSING HOMES AND HOSPITALS. SCHOOL-BASED HEALTH CENTER A COMMUNITY PARTNERSHIP BETWEEN MAINE TOWNSHIP DISTRICT 207 AT THE MAINE EAST HIGH SCHOOL-BASED HEALTH CENTER (PARK RIDGE) AND ADVOCATE MEDICAL GROUP PROVIDES UNINSURED AND UNDERINSURED STUDENTS FROM ALL MAINE TOWNSHIP HIGH SCHOOLS - EAST, WEST AND SOUTH - WITH FREE OR LOW-COST PHYSICALS, IMMUNIZATIONS, BEHAVIORAL HEALTH TREATMENT, NUTRITIONAL EDUCATION AND COUNSELING. THESE SERVICES HELP THE STUDENTS MEET STATE-MANDATED PHYSICAL AND IMMUNIZATION REQUIREMENTS. SINCE THE FACILTYS INCEPTION IN 2003, THE STAFF HAS HAD MORE THAN 23,000 STUDENT CONTACTS. IN 2015, FOR THE 17TH YEAR IN A ROW, ADVOCATE MEDICAL GROUP (AMG) SPONSORED MEDFEST A COLLABORATIVE WITH SPECIAL OLYMPICS OF ILLINOIS. MEDFEST PROVIDES PEOPLE WITH INTELLECTUAL DISABILITIES OPPORTUNITIES TO PARTICIPATE IN SPORTS TRAINING AND COMPETITIONS, CREATING AVENUES FOR INCLUSION AND ACCEPTANCE FOR THIS UNDERSERVED POPULATION. AMG PROVIDED 1,500 FREE ATHLETIC PHYSICALS TO SPECIAL OLYMPIANS IN 2015, ALLOWING THEM OPPORTUNITIES TO PARTICIPATE IN COMPETITIONS THROUGHOUT THE YEAR. IN ADDITION TO THE EXAMPLES PROVIDED ABOVE, ADVOCATE PHYSICIANS ALSO PROVIDE YEAR ROUND HEALTH EDUCATION, LECTURES AND SCREENINGS AND CONSULTATIONS AT COMMUNITY HEALTH EVENTS THROUGHOUT THE METROPOLITAN CHICAGO AREA. FORM 990, PART III, 4C GRADUATE MEDICAL EDUCATION. ADVOCATE IS COMMITTED TO TRAINING HEALTH CARE PROVIDERS IN A BROAD RANGE OF SPECIALTIES. ADVOCATE IS ONE OF THE LEADING NON-UNIVERSITY PROVIDERS OF EDUCATION TO PRIMARY CARE PHYSICIANS IN ILLINOIS. ITS PRIMARY ACADEMIC AFFILIATIONS ARE WITH THE UNIVERSITY OF ILLINOIS COLLEGE OF MEDICINE IN CHICAGO, ROSALIND FRANKLIN UNIVERSITY OF HEALTH SCIENCES, CHICAGO MEDICAL SCHOOL AND MIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF OSTEOPATHIC MEDICINE. PARTICIPATION IN MEDICAL EDUCATION OCCURS AT THE UNDERGRADUATE, GRADUATE AND FELLOWSHIP LEVELS. IN 2015, 2,368 MEDICAL STUDENTS COMPLETED ROTATIONS AND 657 RESIDENTS AND FELLOWS RECEIVED HANDS-ON TRAINING AT ADVOCATE'S FOUR TEACHING HOSPITALS - ADVOCATE BROMENN MEDICAL CENTER, ADVOCATE CHRIST MEDICAL CENTER, ADVOCATE ILLINOIS MASONIC MEDICAL CENTER AND ADVOCATE LUTHERAN GENERAL HOSPITAL. NOT INCLUDED IN THE ABOVE EXPENSE AND REVENUE AMOUNTS BUT IMPORTANT TO THE ORGANIZATION'S ROLE IN TRAINING HEALTH CARE PROFESSIONALS, IS THE NURSING RESIDENCY PROGRAM AT ADVOCATE GOOD SAMARITAN HOSPITAL, AS WELL AS PROGRAMS WHICH TRAIN OTHER UNDERGRADUATE STUDENTS IN NURSING, RESPIRATORY CARE, RADIOLOGIC TECHNOLOGY, PHYSICAL THERAPY, PHARMACEUTICAL SERVICES AND OTHER DISCIPLINES AT ADVOCATE SITES OF CARE. ADDITIONALLY, ADVOCATE'S SPIRITUAL LEADERS OVERSEE A NATIONALLY ACCREDITED CLINICAL PASTORAL EDUCATION PROGRAM. SUPERVISING OVER 180 STUDENT UNITS EACH YEAR, THIS PROGRAM IS ONE OF THE LARGEST IN THE COUNTRY, PROVIDING OPPORTUNITIES FOR SEMINARY STUDENTS AND LOCAL HEALTH LEADERS TO GROW AND DEVELOP SPIRITUAL CARE MINISTRY SKILLS. FORM 990 PART III LINE 4D DESCRIPTION OF ADVOCATE HEALTH CARE ADVOCATE IS THE LARGEST INTEGRATED HEALTH CARE SYSTEM IN ILLINOIS AND ONE OF THE LARGEST HEALTH CARE PROVIDERS IN THE MIDWEST. IN 2015, AS PART OF A NETWORK WITH OVER 400 SITES OF CARE , ADVOCATES MORE THAN 35,000 ASSOCIATES PROVIDED CARE AT ELEVEN FULL-SERVICE ACUTE CARE HOSPITALS AND A CHILDREN'S HOSPITAL LOCATED ON TWO CAMPUSES (OAK LAWN AND PARK RIDGE), TOTALING MORE THAN 3,300 BEDS. ADVOCATES HOSPITALS HAD A COMBINED TOTAL OF 106,413 INPATIENT ADMISSIONS, 2,181,209 OUTPATIENT VISITS AND 545,414 EMERGENCY DEPARTMENT VISITS IN 2015. ADVOCATE HAS BEEN RANKED AS THE NATION'S SECOND LARGEST ACCOUNTABLE CARE ORGANIZATION BY MODERN HEALTHCARE. IN 2015, ADVOCATE HEALTH CARE EARNED 100 TOP HOSPITALS RECOGNITION BY TRUVEN HEALTH ANALYTICS AT TWO OF ITS HOSPITALS, INCLUDING ADVOCATE GOOD SAMARITAN HOSPITAL AND ADVOCATE LUTHERAN GENERAL HOSPITAL. SIX ADVOCATE HOSPITALS - ADVOCATE CHRIST MEDICAL CENTER, ADVOCATE GOOD SAMARITAN HOSPITAL, ADVOCATE GOOD SHEPHERD HOSPITAL, ADVOCATE ILLINOIS MASONIC MEDICAL CENTER, ADVOCATE LUTHERAN GENERAL HOSPITAL AND ADVOCATE SHERMAN HOSPITAL - HAVE BEEN AWARDED THE AMERCIAN NURSES CREDENTIALING CENTER'S MAGNET DESIGNATION - THE HIGHEST HONOR FOR NURSING EXCELLENCE. ADVOCATE HAS ALSO BEEN RECOGNIZED WITH THE SYSTEM FOR CHANGE AWARD BY PRACTICE GREENHEALTH FOR THE 8TH CONSECUTIVE YEAR. ADVOCATE PROVIDES EXPERT EMERGENCY CARE TO THE CHICAGO AREA'S SERIOUSLY INJURED PEOPLE THROUGH ITS FIVE LEVEL I TRAUMA CENTERS (THE STATE'S HIGHEST DESIGNATION IN TRAUMA CARE), WHICH COMPRISE THE LARGEST EMERGENCY AND LEVEL 1 TRAUMA NETWORK IN ILLINOIS, AND THREE LEVEL II TRAUMA CENTERS. IN 2015, ADVOCATES LEVEL I TRAUMA CENTERS HANDLED 8,970 TRAUMA VISITS OUT OF A TOTAL OF 307,875 EMERGENCY ROOM VISITS; AND THE LEVEL II TRAUMA CENTERS HANDLED A COMBINED TOTAL OF 1,634 TRAUMA VISITS OUT OF A TOTAL OF 132,705 EMERGENCY ROOM VISITS. THE THREE ADVOCATE HOSPITALS THAT ARE NOT LEVEL I OR LEVEL II TRAUMA CENTERS HANDLED A COMBINED TOTAL OF 100,119 EMEREGENCY ROOM VISITS. IN ADDITION, FOUR OF ADVOCATES HOSPITALS ARE DESIGNATED LEVEL III (THE STATE'S HIGHEST LEVEL) NEONATAL INTENSIVE CARE UNITS (NICU) AND IN ADDITION TO HANDLING THE MOST ILL BABIES FROM OTHER ADVOCATE HOSPITALS, THESE HOSPITALS TAKE TRANSFERS FROM NON-ADVOCATE HOSPITALS IN AND AROUND THE CHICAGO AREA. ADVOCATE TREATS MORE PEDIATRIC PATIENTS THAN ANY OTHER HOSPITAL OR SYSTEM IN THE STATE, AND MORE PEOPLE TRUST THEIR HEARTS TO ADVOCATE THAN TO ANY OTHER HOSPITAL OR SYSTEM IN THE STATE. ADDITIONALLY, ADVOCATE DIAGNOSES AND TREATS MORE CANCER THAN ANY OTHER HOSPITAL OR SYSTEM IN ILLINOIS. THESE NUMBERS ARE IMPORTANT BECAUSE HEALTH RESEARCH SHOWS THERE IS A POSITIVE RELATIONSHIP BETWEEN THE NUMBER OF PROCEDURES PERFORMED AND QUALITY OUTCOMES. IN ADDITION, THE ORGANIZATION IS ALSO RECOGNIZED AS HAVING ONE OF THE LARGEST HOME HEALTH COMPANIES IN THE STATE. ADVOCATE HAS THE STATE OF ILLINOIS' LARGEST PHYSICIAN NETWORK OF PRIMARY CARE PHYSICIANS, SPECIALISTS AND SUB-SPECIALISTS. OF THE 6,300 PHYSICIANS AFFILIATED WITH ADVOCATE, 4,900 OF THEM BELONG TO ADVOCATE PHYSICIAN PARTNERS, THE SYSTEM'S CARE MANAGEMENT AND MANAGED CONTRACTING ORGANIZATION, AND 1,400 BELONG TO THE SYSTEM'S AFFILIATED MEDICAL GROUPS. ADVOCATE HAS ACADEMIC AND TEACHING AFFILIATIONS WITH MOST MAJOR UNIVERSITIES IN THE CHICAGO METROPOLITAN AREA. AT ITS FOUR TEACHING HOSPITALS, ADVOCATE TRAINS MORE PRIMARY CARE PHYSICIANS AND RESIDENTS THAN ANY OTHER HEALTH CARE SYSTEM IN THE STATE. IN ADDITION, THE TEACHING OF OTHER HEALTH CARE PROFESSIONALS OCCURS AT ALL ADVOCATE HOSPITALS. ADVOCATE HEALTH CARE CONTINUED TRANSFORMING THE WAY HEALTH CARE IS DELIVERED IN 2015. AS CONSUMERS DEMAND LOWER COST ALTERNATIVES TO TRADITIONAL INSURANCE PRODUCTS, ADVOCATE CONTINUES TO BE THE MARKET LEADER IN WORKING WITH PAYERS TO OFFER NEW SOLUTIONS THAT ALIGN INCENTIVES AND LEAD TO IMPROVED QUALITY WITH REDUCED COSTS TO PATIENTS. IN 2015, ADVOCATE PHYSICIAN PARTNERS (APP) PARTNERED WITH TWO MANAGED CARE ORGANIZATIONS TO PROVIDE EXCHANGE-BASED PRODUCTS: AETNA WHOLE HEALTH AND BLUECARE DIRECT. THESE PRODUCTS ARE OFFERED TO BOTH INDIVIDUAL CONSUMERS AND SMALL BUSINESSES IN THE CHICAGOLAND AREA. MORE THAN 60,000 MEMBERS SELECTED THESE OPTIONS DURING THE OPEN ENROLLMENT PERIOD FOR 2016 COVERAGE, WITH APPROXIMATELY HALF BEING NEW TO ADVOCATE. THE DATA CLEARLY DEMONSTRATES PATIENTS DESIRE FOR ACCESS TO HIGH-PERFORMING NETWORKS AT MORE AFFORDABLE RATES. MISSION INCORPORATED AS ADVOCATE HEALTH CARE IN JANUARY 1995, THE SYSTEM HAS A LONG TRADITION OF HEALTH CARE DATING BACK MORE THAN 100 YEARS TO HOSPITALS FOUNDED BY PREDECESSOR CHURCHES OF THE EVANGELICAL LUTHERAN CHURCH IN AMERICA AND THE UNITED CHURCH OF CHRIST. ADVOCATE'S COMMON MISSION, VALUES, AND PHILOSOPHY (MVP) WAS DEVELOPED FROM THE SIMILAR MISSION-ORIENTED HISTORIES OF BOTH ORGANIZATIONS. THE MISSION OF ADVOCATE HEALTH CARE 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. THE VALUES OF ADVOCATE SERVE AS AN INTERNAL COMPASS TO GUIDE RELATIONSHIPS AND ACTIONS. THEY INCLUDE EQUALITY, COMPASSION, EXCELLENCE, PARTNERSHIP AND STEWARDSHIP. THE PHILOSOPHY OF ADVOCATE IS GROUNDED IN THE PRINCIPLES OF HUMAN ECOLOGY, FAITH, AND COMMUNITY-BASED HEALTH CARE. THESE PRINCIPLES ARISE FROM AN UNDERSTANDING OF HUMAN BEINGS AS WHOLE PERSONS IN LIGHT OF THEIR RELATIONSHIPS WITH GOD, THEMSELVES, THEIR FAMILIES AND SOCIETY IN WHICH THEY LIVE. THROUGH ITS ACTIONS, ADVOCATE HEALTH CARE AFFIRMS THESE PRINCIPLES. POPULATION SERVED ADVOCATE HEALTH CARE PROVIDES QUALITY HEALTH CARE TO VARIOUS COMMUNITIES IN THE CHICAGOLAND AREA REGARDLESS OF RACE, CREED, NATIONAL ORIGIN, AGE OR ABILITY TO PAY. IN 2015, ADVOCATE EXPERIENCED 106,413 TOTAL INPATIENT ADMISSIONS, 2,181,209 OUTPATIENT VISITS, 545,414 EMERGENCY DEPARTMENT VISITS AND 22,928 DELIVERIES. ADVOCATE HOME HEALTH SERVICES HAD A TOTAL OF 26,530 ADMISSIONS AND ADVOCATE HOSPICE REPORTED A TOTAL OF 127,517 ADULT PATIENT DAYS. FORM 990, PART VI, SECTION A, LINE 1A BOARD DELEGATING POWERS TO EXECUTIVE COMMITTEE THE CORPORATE MEMBER'S EXECUTIVE COMMITTEE HAS NINE MEMBERS, CONSISTING OF THE CHAIRPERSON, THE VICE CHAIRPERSON, THE PRESIDENT, THE CHAIRPERSONS OF THE FINANCE, PLANNING, HEALTH OUTCOMES AND MISSION AND SPIRITUAL CARE COMMITTEES, AND TWO OTHER DIRECTORS. THE PAST CHAIRPERSON OF THE BOARD OF DIRECTORS MAY SERVE AS AN EX-OFFICIO MEMBER OF THE COMMITTEE, WITH VOTE. EACH OF THE EXECUTIVE COMMITTEE'S MEMBERS IS ON THE BOARD. THE SCOPE OF THE EXECUTIVE COMMITTEE'S AUTHORITY INCLUDES: BE RESPONSIBLE FOR PLANNING EDUCATIONAL PROGRAMS FOR THE BOARD OF DIRECTORS; CONDUCT AN EVALUATION OF THE MEMBERS OF THE BOARD OF DIRECTORS; HAVE SUCH AUTHORITY AS SHALL BE DELEGATED BY THE BOARD OF DIRECTORS; AND ACT ON BEHALF OF THE BOARD OF DIRECTORS BETWEEN MEETINGS. THE EXECUTIVE COMMITTEE IS ACCOUNTABLE AS A BODY TO THE BOARD OF DIRECTORS. FORM 990, PART VI, LINE 2 OFFICER BUSINESS RELATIONSHIP AS JAMES DAN, M.D., GAIL D. HASBROUCK, JAMES DOHENY, AND DOMINIC J. NAKIS ARE EITHER DIRECTORS OR OFFICERS OF WHOLLY OWNED ADVOCATE ENTITIES, THEY ARE DEEMED TO HAVE A BUSINESS RELATIONSHIP PURSUANT TO THE INSTRUCTIONS FOR FORM 990. AS JAMES DAN, M.D., GAIL D. HASBROUCK, JAMES DOHENY, AND SCOTT POWDER ARE EITHER DIRECTORS OR OFFICERS OF WHOLLY OWNED ADVOCATE ENTITIES, THEY ARE DEEMED TO HAVE A BUSINESS RELATIONSHIP PURSUANT TO THE INSTRUCTIONS FOR FORM 990. AS JAMES DAN, M.D., AND LEE B. SACKS, M.D., ARE EITHER DIRECTORS OR OFFICERS OF WHOLLY OWNED ADVOCATE ENTITIES, THEY ARE DEEMED TO HAVE A BUSINESS RELATIONSHIP PURSUANT TO THE INSTRUCTIONS FOR FORM 990. AS JAMES DAN, M.D., GAIL D. HASBROUCK, JAMES DOHENY, SCOTT POWDER, AND WILLIAM P. SANTULLI ARE EITHER DIRECTORS OR OFFICERS OF WHOLLY OWNED ADVOCATE ENTITIES, THEY ARE DEEMED TO HAVE A BUSINESS RELATIONSHIP PURSUANT TO THE INSTRUCTIONS FOR FORM 990. FORM 990, PART VI, QUESTION 6 DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERS BYLAWS PROVIDE FOR CORPORATE MEMBERS. FORM 990, PART VI, QUESTION 7A DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS DIRECTORS OF THE BOARD ARE CORPORATE MEMBERS OF ADVOCATE HEALTH AND HOSPITAL BOARD, WHICH ELECTS THE BOARD OF DIRECTORS. FORM 990, PART VI, QUESTION 7B DESCR CLASSES OF PERSONS, DECISIONS REQUIRING APPR & TYPE OF VOTING RIGHTS THE FOLLOWING RESERVE POWERS IDENTIFIED IN THE BYLAWS REQUIRE THE APPROVAL OF THE CORPORATE MEMBER, ADVOCATE HEALTH CARE NETWORK: APPOINT OUTSIDE AUDITORS AND ESTABLISH AND REVISE ALL FINANCIAL CONTROL POLICIES, AND ANY CHANGES TO SUCH POLICIES, BEFORE SUCH POLICIES OR CHANGES BECOME EFFECTIVE; CAUSE THE CORPORATION TO PAY, LOAN OR OTHERWISE TRANSFER PROPERTY AND FUNDS TO OTHER ENTITIES AFFILIATED WITH THE CORPORATE MEMBER; AMEND THE BYLAWS WITHOUT ACTION OR APPROVAL BY THE BOARD OF DIRECTORS (AFTER TEN DAYS NOTICE) TO THE CORPORATION'S BOARD OF DIRECTORS OF THE PROPOSED AMENDMENT(S) WITH AN OPPORTUNITY FOR BOARD MEMBERS TO CONSULT WITH THE CORPORATE MEMBER REGARDING THE PROPOSED AMENDMENT; APPROVAL OF THE OVERALL MISSION, PHILOSOPHY AND VALUES STATEMENTS AND ANY AMENDMENTS OR SUPPLEMENTS TO SUCH STATEMENTS; APPROVAL OF THE OVERALL STRATEGIC PLANS; APPROVAL OF ALL OVERALL OPERATING AND CAPITAL BUDGETS BEFORE ANY EXPENDITURE, PURSUANT TO SUCH BUDGETS ARE MADE OR COMMITTED, AND APPROVAL OF ALL EXPENDITURES ABOVE ANY LIMIT THAT MAY BE ESTABLISHED BY THE BOARD OF THE CORPORATE MEMBER; APPROVAL OF THE INCURRENCE OR GUARANTEE OF ANY INDEBTEDNESS FOR BORROWED MONEY WHICH HAS NOT ALREADY BEEN APPROVED AS A PART OF THE BUDGET APPROVAL PROCESS OR WHICH IS ABOVE ANY LIMIT THAT MAY BE ESTABLISHED BY THE BOARD OF THE CORPORATE MEMBER; APPROVAL OF ALL TRANSFERS OF OWNERSHIP OR DONATIONS OF ASSETS ABOVE ANY LIMIT THAT MAY BE ESTABLISHED BY THE BOARD OF THE CORPORATE MEMBER; APPROVAL OF ALL AMENDMENTS TO THE ARTICLES OF INCORPORATION AND BYLAWS OF THE CORPORATION BEFORE THEY BECOME EFFECTIVE; APPROVAL OF ANY MERGER, CONSOLIDATION, OR DISSOLUTION; AND APPROVAL OF THE CREATION OF OR AFFILIATION WITH ANY SUBSIDIARY OR AFFILIATE, BEFORE SUCH ENTITY IS CREATED OR THE ENTRANCE INTO ANY JOINT VENTURE IF THE CONTEMPLATED ACTIVITY WILL INVOLVE THE EXPENDITURE OF FUNDS OR THE ASSUMPTION OF OBLIGATIONS WHICH HAVE NOT ALREADY BEEN APPROVED AS A PART OF THE BUDGET APPROVAL PROCESS OR REQUIRE MEMBER APPROVAL UNDER THE FINANCIAL CONTROL POLICIES. FORM 990, PART VI, QUESTION 11B DESCRIBE THE PROCESS USED BY MANAGEMENT &/OR GOVENING BODY TO REVIEW 990 ADVOCATE'S TAX PREPARATION PROCESS INCLUDES ONGOING CONSULTATION WITH ITS OUTSIDE TAX CONSULTING FIRM AND TAX LEGAL COUNSEL, BOTH OF WHICH POSSESS EXPERTISE IN HEALTH CARE AND TAX-EXEMPT RETURN PREPARATION, TO ADVISE AND ASSIST WITH PREPARATION OF THE FORM 990. THESE ADVISORS WORKED CLOSELY WITH THE ORGANIZATION'S FINANCE, TAX, AND LEGAL ASSOCIATES AND OTHER MEMBERS OF THE ORGANIZATION'S TEAM ASSEMBLED TO PARTICIPATE IN THE PREPARATION OF THE FORM 990. THE FORM 990 IS REVIEWED BY FINANCE MANAGEMENT, THE TAX MANAGER, THE VP OF FINANCE/CORPORATE CONTROLLER, THE CHIEF FINANCIAL OFFICER, AND ADVOCATE'S OUTSIDE TAX CONSULTING FIRM AND TAX LEGAL COUNSEL. PRIOR TO PRESENTING THE FORM 990 TO THE BOARD OF DIRECTOR'S AUDIT COMMITTEE IN NOVEMBER, THE ORGANIZATION'S TEAM, INCLUDING ITS ADVISORS, MET FREQUENTLY TO DISCUSS AND REVIEW DRAFTS OF THE FORM 990. AT THE NOVEMBER AUDIT COMMITTEE MEETING, THE VP OF FINANCE/CORPORATE CONTROLLER AND CHIEF FINANCIAL OFFICER COORDINATED A REVIEW OF THE FORM 990 WITH COMMITTEE MEMBERS, AS THE AUDIT COMMITTEE IS THE COMMITTEE OF THE BOARD OF DIRECTORS CHARGED WITH OVERSIGHT OF AUDIT AND TAX MATTERS. THE VP OF FINANCE/CORPORATE CONTROLLER AND CHIEF FINANCIAL OFFICER RESPONDED TO THE AUDIT COMMITTEE MEMBERS' QUESTIONS AND PROVIDED THE OPPORTUNITY FOR DETAILED DISCUSSION OF THE FORM 990. THE CHANGES IDENTIFIED WERE INCORPORATED, AND THEN A COMPLETE COPY OF THE FINAL FORM 990 WAS PROVIDED TO EACH MEMBER OF THE ORGANIZATION'S BOARD OF DIRECTORS BEFORE THE FORM 990 WAS FILED. FORM 990, PART VI, QUESTION 12C DESCRIBE THE PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST THE ORGANIZATION'S CONFLICT OF INTEREST POLICY APPLIES TO VARIOUS PEOPLE, INCLUDING MEMBERS OF ADVOCATE'S BOARD OF DIRECTORS, GOVERNING COUNCILS, OFFICERS, ASSOCIATES, VOLUNTEERS, AND MEDICAL STAFF MEMBERS WITH ADMINISTRATIVE RESPONSIBILITIES. ANNUALLY, THE COMPLIANCE DEPARTMENT SENDS THIS POLICY AND THE ADVOCATE CODE OF BUSINESS CONDUCT TO A RANGE OF INDIVIDUALS WHO MAY BE IN A POSITION TO EXERCISE SUBSTANTIAL INTEREST OVER A PARTICULAR MATTER (DEFINED AS INTERESTED PERSONS). THEY ARE REQUIRED TO READ THE POLICIES AND PROVIDE A DISCLOSURE STATEMENT TO THE COMPLIANCE DEPARTMENT, WHICH IDENTIFIES ACTIVITIES AND RELATIONSHIPS THAT COULD POTENTIALLY GIVE RISE TO A CONFLICT OF INTEREST. THE CHIEF COMPLIANCE OFFICER REVIEWS THE DISCLOSURES AND PROVIDES A REPORT TO THE SYSTEM BUSINESS CONDUCT (COMPLIANCE) COMMITTEE, EXECUTIVE MANAGEMENT TEAM AND THE AUDIT COMMITTEE OF THE BOARD FOR REVIEW. THE REPORT IS THEN PROVIDED, IN RELEVANT PART, TO THE SITE CHIEF EXECUTIVE OFFICERS. POTENTIAL CONFLICTS ARE REVIEWED BY THE COMPLIANCE DEPARTMENT ON A CASE BY CASE BASIS. FOLLOW UP PROCEDURES CONDUCTED ARE UNIQUE TO THE GIVEN CIRCUMSTANCE, AND MAY INCLUDE REVIEWING THE POTENTIAL CONFLICT WITH THE INTERESTED PERSON, OR INVESTIGATING THE MATTER IN CONSULTATION WITH THE INTERESTED PERSON'S SUPERVISOR AND/OR SITE MANAGEMENT. IN CIRCUMSTANCES WHERE THE INTERESTED PERSON IS NOT A MEMBER OF THE BOARD, OR GOVERNING COUNCIL, OR A COMMITTEE THEREOF, OR A PERSON OF INTEREST, IF IT IS DETERMINED THAT THERE IS AN ACTUAL CONFLICT OF INTEREST, THE SUPERVISOR OF THE INDIVIDUAL IS RESPONSIBLE FOR MAKING AN APPROPRIATE RESPONSE, POTENTIALLY INCLUDING A RESTRICTION OF THE INDIVIDUAL'S JOB DUTIES WITH RESPECT TO THE MATTER GIVING RISE TO THE CONFLICT. FORM 990, PART VI, QUESTIONS 15A & 15B OFFICES & POSITIONS FOR WHICH PROCES WAS USED, & YEAR PROCESS WAS BEGUN EXECUTIVE COMPENSATION AT ADVOCATE HEALTH AND HOSPITAL CORPORATION IS BASED ON A BOARD OF DIRECTORS' APPROVED STRATEGY THAT GUIDES THE CORPORATION IN ESTABLISHING COMPENSATION OPPORTUNITIES FOR EXECUTIVES, MANAGERS, PROFESSIONALS AND ALL EMPLOYEES. IN THIS STRATEGY, SPECIFIC MARKET COMPARISONS ARE IDENTIFIED AND THE DESIRED LEVELS OF COMPETITIVENESS IN THOSE MARKETS SPECIFIED. IN ADDITION, THE LINKAGE OF EXECUTIVE PAY TO PERFORMANCE IS ARTICULATED AND HOW THIS RELATIONSHIP IS TO BE MAINTAINED IS OUTLINED. TO SUPPORT AND IMPLEMENT THE COMPENSATION STRATEGY, FIVE BASIC ELEMENTS ARE UTILIZED. THESE ELEMENTS ARE: -A SOLID, RELIABLE AND TESTED JOB EVALUATION METHODOLOGY. -ACCURATE, QUALITY AND RELEVANT COMPENSATION SURVEY INFORMATION. -A CONSISTENT ANNUAL PROCESS FOR UPDATING THE COMPENSATION LEVELS. -AN ACTIVE BOARD REVIEW PROCESS THAT ASSURES COMPLIANCE WITH THE COMPENSATION STRATEGY AND ON-GOING REVIEW OF THE PERFORMANCE OF THE ORGANIZATION, AND -ACTIVE, EXTERNAL REVIEW AND AUDITING OF COMPENSATION BY EXTERNAL INDEPENDENT CONSULTANTS AVAIL OF GOV DOC, CONFLICT OF INTEREST POLICY, & FIN STMTS TO GEN PUBLIC FORM 990, PART VI, QUESTION 19 THE ORGANIZATION MAKES ITS FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC THROUGH THE FOLLOWING WEB SITES: DACBOND.COM (DIGITAL ASSURANCE CERTIFICATION LLC) EMMA.MSRB.ORG (ELECTRONIC MUNICIPAL MARKET ACCESS) THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS OR CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC. FORM 990, PART X1, LINE 9a FASB 158 ADJUSTMENTS ($27,390,408) MERGER OF MIDWEST HEART SPECIALISTS INTO AHHC ($6,279,600) -------------- ($33,670,008) -------------- Advocate Health Care Network 3075 Highland Parkway STE 600 Downers Grove IL 60515 362167779 Parent Corp IL 501(c)(3) 11-III-FI NA false Advocate Condell Medical Center 3075 Highland Parkway STE 600 Downers Grove IL 60515 262525968 Health Care IL 501(c)(3) 3 AHHC true Advocate North Side Health Network 3075 Highland Parkway STE 600 Downers Grove IL 60515 363196629 Health Care IL 501(c)(3) 3 AHHC true Advocate Charitable Foundation 3075 Highland Parkway STE 600 Downers Grove IL 60515 363297360 Fundraising IL 501(c)(3) 7 AHCN false EHS Home Health Care Service Inc 3075 Highland Parkway STE 600 Downers Grove IL 60515 362913108 Home Care IL 501(c)(3) 9 AHHC true Meridian Hospice 3075 Highland Parkway STE 600 Downers Grove IL 60515 363158667 Hospice Care IL 501(c)(3) 9 EHSHHCS false Hispano Care Inc 3075 Highland Parkway STE 600 Downers Grove IL 60515 363606486 Health Care IL 501(c)(3) 9 ANSHN false Ravenswood Health Care Foundation 3075 Highland Parkway STE 600 Downers Grove IL 60515 363196628 Fundraising IL 501(c)(3) 11-II NA false Masonic Family Health Foundation Inc 3075 Highland Parkway STE 600 Downers Grove IL 60515 364397387 Fundraising IL 501(c)(3) 11-I MFHS false Advocate Sherman Hospital 3075 Highland Parkway STE 600 Downers Grove IL 60515 362167920 Health Care IL 501(c)(3) 3 AHCN false Sherman West Court 3075 Highland Parkway STE 600 Downers Grove IL 60515 363725580 Nursing Care IL 501(c)(3) 9 ASH false Sherman Home Health Care Corporation 901 Center Street STE 2001A Elgin IL 60120 363330085 Home Care IL 501(c)(3) 9 ASH false DREYER MERCY AMBULATORY SURGRY CTR PSHP 2357 Sequoia Drive AURORA IL 60506 363890298 MEDICAL SERVICES IL NA Advocate Home Care Products 3075 Highland Parkway Suite 600 Downers Grove IL 60515 363315416 Health Services IL NA C Corp false Advocate Health Centers Inc 3075 Highland Parkway Suite 600 Downers Grove IL 60515 364217291 Medical Services IL NA C Corp false Evangelical Services Corporation 3075 Highland Parkway Suite 600 Downers Grove IL 60515 363208101 Mgmt Services IL NA C Corp false High Technology Inc 3075 Highland Parkway Suite 600 Downers Grove IL 60515 363368224 Medical Services IL NA C Corp false Dreyer Clinic Inc 3075 Highland Parkway Suite 600 Aurora IL 60515 362690329 Medical Services IL NA C Corp false BroMenn Physician Management Corporation 3075 Highland Parkway Suite 600 Downers Grove IL 60515 371313150 Medical Services IL NA C Corp false Parkside Center Condo Association 1775 West Dempster Street Park Ridge IL 60068 363452486 Property Mgmt IL NA C Corp false Midwest Heart Specialists Ltd 3075 HIGHLAND PARKWAY STE 600 DOWNERS GROVE IL 60515 362841923 Medical Services IL NA C Corp false ShermanChoice Inc 1425 N RANDALL ROAD ELGIN IL 60123 364058392 Phys-Hosp-Orgn IL NA C Corp false The Delphi Group IV Inc 1425 N Randall Road Elgin IL 60123 364017279 Health Cost Mgmt IL NA C Corp false Sherman Ventures Inc 3075 HIGHLAND PARKWAY SUITE 600 DOWNERS GROVE IL 60515 364292309 Holding Company IL NA C Corp false Advocate HPN NFP 3075 Highland Parkway Suite 600 Downers Grove IL 60515 810893878 Health Imprv Mgmt IL NA C Corp false Advocate Community Network 3075 Highland Parkway Suite 600 Downers Grove IL 60515 474402517 Health Imprv Mgmt IL NA C Corp false ADVOCATE INSURANCE SPC 878 West Bay Road PO Box 1159 GRAND CAYMAN CJ KY1-1102 980422925 INSURANCE CJ NA C CORP false true false true false false false false false false true true true true false false true true true true Advocate North Side Health Network Q 79887353 COST Advocate North Side Health Network L 63188271 COST Advocate Condell Medical Center L 54096389 COST Advocate Condell Medical Center Q 44946347 COST Advocate North Side Health Network P 33469068 COST Advocate Charitable Foundation C 21989060 COST Advocate Condell Medical Center P 16498012 COST Advocate North Side Health Network R 13492813 COST EHS Home Health Care Service Inc Q 10661057 COST Advocate North Side Health Network S 10345251 COST Advocate Insurance SPC Q 5280209 COST Advocate Condell Medical Center R 3214825 COST Advocate Health Care Network P 2521585 COST Advocate North Side Health Network M 1962976 COST EHS Home Health Care Service Inc L 1834077 COST Advocate Condell Medical Center S 1807545 COST EHS Home Health Care Service Inc P 1289525 COST Advocate Condell Medical Center M 1230291 COST Advocate Insurance SPC P 1091341 COST Advocate North Side Health Network K 1064910 COST EHS Home Health Care Service Inc M 359480 COST Advocate Condell Medical Center K 215761 COST Advocate Condell Medical Center A 195158 COST Advocate North Side Health Network J 189685 COST Advocate Condell Medical Center J 165295 COST Midwest Heart Specialists Ltd S 152849 COST Advocate North Side Health Network A 22330 COST EHS Home Health Care Service Inc A 17237 COST