2025-11-17T22:06:03-06:00 2024-12-31 990 2024-01-01 262525968 ADVOCATE CONDELL MEDICAL CENTER ADVO 4142991576 2025 WINDSOR DRIVE OAK BROOK IL 60523 JENNIFER BARBER VICE PRESIDENT TAX 4142991576 2025-11-17 0 2024 2025-03-06 01:10:19Z JENNIFER BARBER 2025 WINDSOR DRIVE OAK BROOK IL 60523 643172325 0 9395 X WWW.ADVOCATEHEALTH.COM X 2008 IL SERVE HEALTH NEEDS OF COMMUNITIES THROUGH WHOLISTIC PHILOSOPHY ROOTED IN FUNDAMENTAL UNDERSTANDING OF HUMANS AS CREATED IN THE IMAGE OF GOD. 13 11 2463 281 0 260159 -148313 538982 560718025 607079188 21302243 24138527 10107925 11322939 591979880 643079636 2000 0 0 0 156168050 182239374 0 0 0 366786488 400012322 522956538 582251696 69023342 60827940 639323280 697960268 88816817 86625865 550506463 611334403 X THE MISSION IS TO SERVE THE HEALTH NEEDS OF INDIVIDUALS, FAMILIES AND COMMUNITIES THROUGH A WHOLISTIC PHILOSOPHY ROOTED IN OUR FUNDAMENTAL UNDERSTANDING OF HUMAN BEINGS AS CREATED IN THE IMAGE OF GOD. 0 0 476645778 617782448 BUPRENORPHINE PROGRAM IN THE EMERGENCY ROOM (ED). IN JUNE 2020, ADVOCATE HEALTH CARE IMPLEMENTED A SYSTEMWIDE POLICY FOR THE USE OF BUPRENORPHINE IN THE EMERGENCY DEPARTMENT FOR THE MANAGEMENT OF OPIOID WITHDRAWAL DEPENDENCE. IN 2024, THIRTY-FIVE ADVOCATE CONDELL PATIENTS WERE PRESCRIBED BUPRENORPHINE UPON DISCHARGE TO HELP MANAGE WITHDRAWAL AS THEY TRANSITION INTO SUBSTANCE USE TREATMENT IN THE COMMUNITY.FOOD SECURITY. ACCESS TO FRESH, AFFORDABLE FOOD IS A KEY SOCIAL DRIVER OF HEALTH (SDOH), CRITICAL TO IMPROVING THE HEALTH OF THE COMMUNITY. ADVOCATE CONDELL IS INVOLVED WITH MULTIPLE LOCAL COMMUNITY PARTNERS TO DEVELOP SUSTAINABLE FOOD INITIATIVES TO ADDRESS FOOD INSECURITY.RX MOBILE PANTRY. ADVOCATE CONDELL LAUNCHED A RX MOBILE FOOD PANTRY IN PARTNERSHIP WITH THE NORTHERN ILLINOIS FOOD BANK TO SERVE FOOD INSECURE (FI) RESIDENTS OF THE ROUND LAKE AREA IN JULY 2019. THE MOBILE PANTRY IN ROUND LAKE AREA TRANSITIONED INTO AN RX MARKET IN A PERMANENT LOCATION AT CATHOLIC CHARITIES IN ROUND LAKE IN 2021. THE NEW LOCATION OFFERS LONG-TERM SUSTAINABILITY AND GREATER ACCESS TO HEALTHIER FOOD DURING THE WEEK. THE SAME MOBILE FOOD PANTRY MODEL WAS LAUNCHED AGAIN IN A NEW COMMUNITY IN 2022 LAKE VILLA, ILLINOIS, TO SERVE FOOD INSECURE RESIDENTS THERE. THE HOSPITAL CONTINUES TO PARTNER WITH THE NORTHERN ILLINOIS FOOD BANK AND THE PANTRY IS HOSTED AT THE HOLY FAMILY EPISCOPAL CHURCH. ANOTHER KEY PARTNER IS THE GRANT TOWNSHIP OFFICE. THE RX MOBILE PANTRY PROGRAM IN LAKE VILLA SERVES FAMILIES IN LAKE COUNTY ONCE PER MONTH. IN 2024, THE RX MOBILE FOOD PANTRY IN LAKE VILLA SERVED 7,172 INDIVIDUALS AND 2,274 HOUSEHOLDS.SCREENING FOR FOOD INSECURITY. FOR OBESITY PREVENTION, THE MEDICAL CENTER'S COMMUNITY HEALTH STAFF ARE IMPLEMENTING FOOD INSECURITY (FI) SCREENING. FI SCREENING IS PART OF THE INTEGRATED SDOH SCREENING WITHIN THE EPIC ELECTRONIC HEALTH RECORD, AND THE ADVOCATE CONDELL COMMUNITY HEALTH WORKER SCREENS PATIENTS SEEN IN THE ED. INDIVIDUALS WHO SCREEN POSITIVE FOR FOOD INSECURITY ARE DIRECTLY LINKED TO COMMUNITY RESOURCES, INCLUDING FOOD PANTRIES, CONGREGATE MEAL SITES, SOUP KITCHENS AND THE MEALS ON WHEELS PROGRAM. 476645778 1 1 0 1 0 0 0 0 0 0 1 0 0 0 1 0 0 0 0 0 0 0 0 0 0 0 1 1 1 0 1 0 0 0 0 0 0 1 0 0 0 0 0 0 1 0 0 0 1 94 0 1 2463 0 1 1 0 0 0 0 0 0 0 0 0 X 13 11 1 0 0 0 1 1 1 1 1 0 0 1 1 1 1 1 1 1 1 0 IL X ADVOCATE HEALTH INC 4142991576 2025 WINDSOR DRIVE OAK BROOK IL 60523 JAMES SKOGSBERGH DIRECTOR, EXECUTIVE VP, COO 1.00 55.00 X X 0 28850544 2012135 REV DR NATHANIEL EDMOND DIRECTOR, CHAIRPERSON 1.00 55.00 X X 0 18000 0 CLARENCE NIXON JR DIRECTOR, VICE CHAIRPERSON 1.00 55.00 X X 0 8000 0 WILLIAM SANTULLI DIRECTOR 1.00 0.00 X 0 7191882 674339 DIA NICHOLS DIRECTOR 1.00 0.00 X 0 1343023 252781 MICHELE BAKER RICHARDSON DIRECTOR 1.00 0.00 X 0 135767 0 RICHARD JAKLE DIRECTOR 1.00 0.00 X 0 19000 0 GAIL HASBROUCK DIRECTOR 1.00 0.00 X 0 8000 0 DAVID ANDERSON DIRECTOR 1.00 0.00 X 0 48000 415 JOHN TIMMER DIRECTOR 1.00 0.00 X 0 89100 0 LYNN CRUMP-CAINE DIRECTOR 1.00 0.00 X 0 89100 0 MARK HARRIS DIRECTOR 1.00 0.00 X 0 97100 0 REV KATHIE BENDER SCHWICH DIRECTOR 1.00 0.00 X 0 1025007 363049 NAN NELSON TREASURER 1.00 55.00 X 0 1472483 272483 MICHAEL VOLANTE ASSISTANT TREASURER 1.00 55.00 X 0 281891 40056 ROBIN STOEN ASSISTANT TREASURER 1.00 55.00 X 0 430609 30859 CARRIE DONOVAN ASSISTANT TREASURER 1.00 55.00 X 0 934802 212149 BRAD CLARK ASSISTANT TREASURER 1.00 55.00 X 0 2513703 419389 RACHEL HALVERSON ASSISTANT TREASURER 1.00 55.00 X 0 726813 64719 KEVIN FITCH ASSISTANT TREASURER 1.00 55.00 X 0 606126 144348 KARA RICHARDSON ASSISTANT TREASURER 1.00 55.00 X 0 0 0 RACHELLE HART SECRETARY 1.00 55.00 X 0 1101754 224620 MICHAEL KERNS ASSISTANT SECRETARY 1.00 55.00 X 0 834378 132619 JAMES SLINKMAN ASSISTANT SECRETARY 1.00 55.00 X 0 689283 174709 KATHERINE KETNER ASSISTANT SECRETARY 1.00 55.00 X 0 0 0 MATTHEW PRIMACK HOSPITAL PRESIDENT 55.00 1.00 X 837749 0 170889 MAYANK SHAH VICE PRESIDENT & CMO ACDMC 55.00 1.00 X 427150 0 37721 JEQUEATTA SMITH VP OPERATIONS HOSPITAL 55.00 1.00 X 287497 17925 61357 RACHEL LOBERG VP/CNO CONDELL 55.00 1.00 X 287850 0 33237 MICHAEL PEARLMAN DIRECTOR MEDICAL CARE MGMT/PHY ADVS 55.00 1.00 X 309898 0 37059 ILGAR ABIL-ZADA CHARGE NURSE OR 55.00 1.00 X 203157 0 53208 DOMINICA TALLARICO FORMER DIRECTOR 0.00 0.00 X 0 489709 438888 BARBARA BYRNE FORMER OFFICER 0.00 0.00 X 0 3178742 537282 KELLY JO GOLSON FORMER OFFICER 0.00 0.00 X 0 2805924 105740 KAREN HANSON FORMER OFFICER 0.00 0.00 X 0 341524 34019 LESLIE LENZO FORMER OFFICER 0.00 0.00 X 0 127097 0 DOMINIC NAKIS FORMER OFFICER 0.00 0.00 X 0 3375856 1231995 JAMES DOHENY FORMER OFFICER 0.00 0.00 X 0 531922 26867 STEVE HUSER FORMER OFFICER 0.00 0.00 X 0 561236 18835 MICHAEL GREBE FORMER OFFICER 0.00 0.00 X 0 1076461 64107 SCOTT POWDER FORMER KE 0.00 0.00 X 0 1408938 103561 GARY STUCK FORMER KE 0.00 0.00 X 0 4546690 485239 KEVIN BRADY FORMER HCE 0.00 0.00 X 0 1455861 622884 DARYA GORKOV DASHA GORKOV FORMER HCE 0.00 0.00 X 13345 223994 35114 SHEILA GRASSO FORMER HCE 0.00 0.00 X 238259 0 32473 MARIA ESTHER TALUSAN FORMER HCE 0.00 0.00 X 0 203847 29119 2604905 68860091 9178264 7 1 1 0 TRAVEL NURSE ACROSS AMERICA LLC 5020 NORTHSHORE DR STE 2 NORTH LITTLE ROCK AR 72118 STAFFING 3624806 POWER CONSTRUCTION COMPANY LLC 8750 W BRYN MAWR AVE STE 500 CHICAGO IL 60631 CONSTRUCTION SVCS 3528529 MIDWEST ANESTHESIA PARTNERS LLC 387 SHUMAN BLVD STE 240W NAPERVILLE IL 60563 MEDICAL SERVICES 2820038 PULMONARY MEDICINE ASSOCIATES SC 675 W NORTH AVE STE 505 MELROSE PARK IL 60160 HOSPITAL SERVICES 1803551 TOTAL RENAL CARE INC 2000 16TH ST DENVER CO 80202 MEDICAL SERVICES 1307965 24 486513 -37881 90350 538982 MEDICARE/MEDICAID 621110 224951730 224951730 BLUE CROSS/MGD CARE 621110 149436008 149436008 PATIENT SVC REVENUE 621110 114366051 114366051 PHARMACY 456110 54543849 54543849 LABORATORY 541380 52169766 52169766 11611784 11611784 607079188 24024220 24024220 619679 0 619679 619679 619679 206996 92689 114307 114307 114307 FITNESS & WELLNESS CLU 713940 6242958 6242958 CHILD CARE 624410 2572653 2572653 CAFETERIA REVENUE 722514 1611982 1611982 275667 275667 10703260 643079636 617782448 0 24758206 837748 837748 144987544 141607682 3379862 3596619 3566398 30221 22382351 21700937 681414 10435112 10272786 162326 9476 9476 31832 31832 52432 52432 17960668 17960668 32966 6138 26828 1667657 1525943 141714 187690 166529 21161 7669110 8087434 -418324 125608 122286 3322 74027 57830 16197 1142682 1142682 -27033 -25381 -1652 20787868 9466479 11321389 9847119 70942 9776177 OTHER INTERCOMPANY 132427829 132427653 176 MEDICAL SUPPLIES 78474473 78474473 0 OTHER 66414144 4003445 62410699 INCOME TAXES 177827 177827 0 62955947 62955947 582251696 476645778 105605918 0 1053 851 30541593 66146422 52680397 61694848 9113233 9562765 285488 102285 490142017 244085641 255008370 246056376 288542747 311231179 340000 3150399 2825542 639323280 697960268 30492351 32081454 305137 301464 15618842 12384026 42400487 41858921 88816817 86625865 X 550506463 611334403 550506463 611334403 639323280 697960268 60827940 0 X 0 0 0 X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED 0 0 0 0 0 0 0 0 1 52432 52432 0 52721356 52721356 300044990 142727547 157317443 39471521 31265121 8206400 87748367 69811969 17936398 10155783 281004 9874779 246056376 CURRENT PORTION OF OPERATING LEASE LIABILITIES 529631 OTHER ACCRUED EXPENSES 142491 DUE TO THIRD PARTY PAYORS 39173874 OPERATING LEASE LIABILITIES 1652016 OTHER NONCURRENT LIABILITIES 360909 41858921 1 1 X 1 X 300.000000000000 1 X 600.000000000000 1 1 1 0 1 1 5810308 0 5810308 0.01050 79853824 64072947 15780877 0.02860 85664132 64072947 21591185 0.03910 1193841 0 1193841 0.00220 1949649 0 1949649 0.00350 13605916 12472492 1133424 0.00210 388387 0 388387 0.00070 17137793 12472492 4665301 0.00850 102801925 76545439 26256486 0.04760 0 30022020 2900102 180424876 211140997 -30716121 X 1 1 1 1 ADVOCATE CONDELL MEDICAL CENTER 801 S MILWAUKEE AVENUE LIBERTYVILLE IL 60048 HTTP://WWW.ADVOCATEHEALTH.COM/CONDELL/ 0005579 X X X ADVOCATE CONDELL MEDICAL CENTER 1 0 0 1 X X X X X X X X X 22 1 1 1 1 X HTTP://WWW.ADVOCATEHEALTH.COM/CHNAREPORTS X X 1 23 1 HTTP://WWW.ADVOCATEHEALTH.COM/CHNAREPORTS 0 1 X 300.000000000000 600.000000000000 X X X X X 1 1 X X X 1 X HTTP://WWW.ADVOCATEHEALTH.COM/FINANCIALASSISTANCE X HTTP://WWW.ADVOCATEHEALTH.COM/FINANCIALASSISTANCE X HTTP://WWW.ADVOCATEHEALTH.COM/FINANCIALASSISTANCE X X X X X X 1 X 1 X X X X 1 X 0 0 ADVOCATE CONDELL MEDICAL CENTER PART V, SECTION B, LINE 5: ALL ADVOCATE HEALTH CARE HOSPITALS PARTICIPATE IN COMMUNITY HEALTH NEEDS ASSESSMENTS AND HEALTH IMPROVEMENT PLANNING WITHIN A COLLABORATIVE FRAMEWORK GUIDED BY A BELIEF THAT COMPLEX COMMUNITY NEEDS ARE BEST IMPACTED THROUGH A COLLECTIVE IMPACT MODEL. EACH ADVOCATE HEALTH CARE HOSPITAL CONDUCTS A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WITH THEIR LOCAL HEALTH DEPARTMENTS AND OTHER COMMUNITY PARTNERS THAT INCLUDES PRIMARY AND SECONDARY DATA. SOME OF THE PRIMARY DATA COLLECTION TOOLS UTILIZED TO GAIN COMMUNITY INPUT INCLUDE: - COMMUNITY SURVEYS IN PARTNERSHIP WITH THE ALLIANCE FOR HEALTH EQUITY - KEY COMMUNITY STAKEHOLDER INTERVIEWS IN PARTNERSHIP WITH THE ALLIANCE FOR HEALTH EQUITY - FOCUS GROUPS IN PARTNERSHIP WITH THE ALLIANCE FOR HEALTH EQUITYTHIS IMPORTANT WORK IS OVERSEEN BY A COMMUNITY HEALTH COUNCIL COMPRISED OF BOTH COMMUNITY AND HOSPITAL LEADERS AND IS APPROVED BY A GOVERNING COUNCIL REPRESENTING A BROAD ARRAY OF COMMUNITY SECTORS AND EXECUTIVE LEVEL HOSPITAL STAFF. THIS INFORMATION IS DESCRIBED IN MORE DETAIL WITHIN OUR MOST RECENT CHNA, WHICH CAN BE FOUND HERE, SEE PAGE 16: HTTPS://WWW.ADVOCATEHEALTH.COM/HOSPITAL-CHNA-REPORTS-IMPLEMENTATION-PLANS-PROGRESS-REPORTS/ILLINOIS-MASONIC-CHNA-REPORT-2022 LASTLY, ADVOCATE HEALTH CARE INVITES THE COMMUNITY TO PROVIDE WRITTEN COMMENTS ON ITS CURRENT CHNA REPORTS AND COMMUNITY HEALTH IMPLEMENTATION STRATEGIES (CHIS) VIA A ONE-CLICK PORTAL ON ITS WEBSITE AT HTTPS://WW.ADVOCATEHEALTH.COM/HOSPITAL-CHNA-REPORTS-IMPLEMENTATION-PLANS-PROGRESS-REPORTS/CONTACT-US-FORM OR THROUGH A FEEDBACK LINK: HTTPS://FORMS.OFFICE.COM/PAGES/RESPONSEPAGEIF COMMUNITY MEMBERS EXPERIENCE ANY ISSUES WITH THE LINK TO OUR FEEDBACK FORM OR HAVE ANY OTHER QUESTIONS, THEY ARE INVITED TO REACH OUT TO THE HOSPITAL'S COMMUNITY HEALTH DEPARTMENT. ADVOCATE CONDELL MEDICAL CENTER PART V, SECTION B, LINE 6A: RELATED: ADVOCATE GOOD SHEPHERD HOSPITAL (BARRINGTON, IL) THROUGH THE LAKE COUNTY HEALTH DEPARTMENTUNRELATED: THE CHNA WAS NOT CONDUCTED JOINTLY WITH OTHER HOSPITAL FACILITIES. HOWEVER, ALL HOSPITALS IN LAKE COUNTY PARTICIPATED IN THE LAKE COUNTY HEALTH DEPARTMENT MAPP PROCESS TO SUPPORT ITS STRATEGIC PLAN. PARTICIPATING UNRELATED HOSPITALS INCLUDED: VISTA MEDICAL CENTER EAST (WAUKEGAN, IL), NORTHWESTERN LAKE FOREST HOSPITAL (LAKE FOREST, IL), AND NORTHSHORE (NOW ENDEAVOR) HIGHLAND PARK HOSPITAL (HIGHLAND PARK, IL). ADVOCATE CONDELL MEDICAL CENTER COLLABORATED WITH NORTHWESTERN LAKE FOREST HOSPITAL TO CONTRACT AN OUTSIDE CONSULTANT, PRC, TO CONDUCT A RANDOM SAMPLE COMMUNITY SURVEY OF LAKE COUNTY RESIDENTS AND AN ONLINE KEY INFORMANT SURVEY. ADVOCATE CONDELL MEDICAL CENTER PART V, SECTION B, LINE 6B: - LAKE COUNTY HEALTH DEPARTMENT - AN OUTSIDE CONSULTANT, PRC, TO CONDUCT A RANDOM SAMPLE COMMUNITY SURVEY OF LAKE COUNTY RESIDENTS AND AN ONLINE KEY INFORMANT SURVEY ADVOCATE CONDELL MEDICAL CENTER PART V, SECTION B, LINE 7D: THE HOSPITAL ISSUED AN ANNOUNCEMENT AND A BRIEF SUMMARY OF THE 2022 CHNA RESULTS TO ADVOCATE CONDELL TEAM MEMBERS, WHICH ALSO INCLUDED A LINK TO THE FULL REPORT. COMMUNITY HEALTH STAFF ALSO PRESENTED THE CHNA RESULTS TO THE ADVOCATE CONDELL LEADERSHIP COUNCIL AND OTHER COMMUNITY ORGANIZATIONS, UPON REQUEST ADVOCATE CONDELL MEDICAL CENTER PART V, SECTION B, LINE 11: ADVOCATE HEALTH CARE COMMUNITY HEALTH TEAMMATES PRESENTED EXTENSIVE COMMUNITY DATA TO THE HOSPITAL'S COMMUNITY HEALTH COUNCIL (CHC) IN A SERIES OF SIX MEETINGS OVER A SIX-MONTH PERIOD. PRIMARY AND SECONDARY DATA WERE PRESENTED, INCLUDING COMMUNITY DEMOGRAPHIC, ECONOMIC, EDUCATION, EMPLOYMENT, SOCIAL DRIVERS OF HEALTH AND HEALTH STATUS AND BEHAVIORS INDICATORS. IN THE FINAL MEETING, THE CHC MEMBERS VOTED USING AN ONLINE RANKING POLL TO SELECT THE TWO HEALTH PRIORITIES TO FOCUS ON FOR THE UPCOMING IMPLEMENTATION STRATEGY CYCLE. AS A RESULT OF THE CHNA PROCESS, OUR HOSPITAL SELECTED TWO PRIORITIES FOR IMPLEMENTATION STRATEGY PLANNING. THOSE PRIORITIES ARE:1. OBESITY 2. BEHAVIORAL HEALTH AND SUBSTANCE USEDETAILS ON HOW WE ARE ADDRESSING THESE IDENTIFIED NEEDS CAN BE FOUND IN OUR HOSPITAL IMPLEMENTATION STRATEGY, WHICH CAN BE REVIEWED HERE: 2023-2025-COND-CHIS.PDF SHORTENED URL: HTTPS://BIT.LY/4MFVYVBTHERE ARE GENERAL REASONS OUR HOSPITAL DID NOT ADDRESS A NEED THAT HAS BEEN IDENTIFIED WITHIN THE CHNA PROCESS. SOME REASONS INCLUDE:1. OTHER ORGANIZATIONS IN THE COMMUNITY ARE ALREADY ADDRESSING THE NEED WITH STRONG PROGRAMMING AND THE ADDITION OF AN ADVOCATE HEALTH CARE PROGRAM OR SERVICE WOULD DUPLICATE SERVICES WITH LITTLE ADDITIONAL BENEFIT TO THE COMMUNITY;2. THE NEEDS ARE BEING ADDRESSED AS PART OF ADVOCATE HEALTH CARE'S CONTINUUM OF CARE, SUCH AS CHRONIC DISEASE, AND WE BELIEVE THE NEED WILL BE ADDRESSED THROUGH OUR HEAVY FOCUS ON ADDRESSING OTHER BARRIERS;3. RESOURCE CONSTRAINTS;4. A LACK OF IDENTIFIED EFFECTIVE INTERVENTIONS IS AVAILABLE TO ADDRESS THE NEED IN AN IMPACTFUL WAY.DETAILED EXPLANATIONS OF IDENTIFIED COMMUNITY NEEDS, HOW NEEDS WERE ADDRESSED AND PROGRESS MADE, AND REASONS NEEDS WERE NOT SELECTED FOR OUR MOST RECENT IMPLEMENTATION STRATEGY CAN BE FOUND IN OUR HOSPITAL'S CHNA REPORT POSTED AT HTTPS://WWW.ADVOCATEHEALTH.COM/HOSPITAL-CHNA-REPORTS-IMPLEMENTATION-PLANS-PROGRESS-REPORTS/CONDELL-CHNA-REPORT-2022 14 1 - ADVOCATE CONDELL MEDICAL CENTER - AMBI C 890 GARFIELD AVENUE LIBERTYVILLE IL 600484723 PATIENT CARE - OUT PATIENT 2 - ADVOCATE CONDELL MEDICAL CENTER - RADIAT 880 GARFIELD AVENUE LIBERTYVILLE IL 600483139 PATIENT CARE - OUT PATIENT 3 - ADVOCATE CONDELL MEDICAL CENTER - MUNGO 804 E PARK AVE STES 106 107 111 118 LIBERTYVILLE IL 600482981 PATIENT CARE - OUT PATIENT 4 - ADVOCATE CONDELL MEDICAL CENTER - OFFICE 1170 E BELVIDERE RD STES 103 107 108 GRAYSLAKE IL 600302034 PATIENT CARE - OUT PATIENT 5 - ADVOCATE CONDELL MEDICAL CENTER - OFFICE 755 S MILWAUKEE AVE STES 127 140 245 LIBERTYVILLE IL 600483267 PATIENT CARE - OUT PATIENT 6 - ADVOCATE CONDELL IMMEDIATE CARE BUILDING 150 W HALF DAY RD STE 207 BUFFALO GROVE IL 600896591 PATIENT CARE - OUT PATIENT 7 - ADVOCATE CONDELL MEDICAL CENTER - GURNEE 1435 N HUNT CLUB RD GURNEE IL 600312656 PATIENT CARE - OUT PATIENT 8 - ADVOCATE CONDELL MEDICAL CENTER - CENTRE 1405 N HUNT CLUB RD GURNEE IL 600312656 FITNESS CENTER 9 - ADVOCATE CONDELL MEDICAL CENTER - GURNEE 1445 N HUNT CLUB RD STES 100 103 203 GURNEE IL 600312603 PATIENT CARE - OUT PATIENT 10 - ADVOCATE CONDELL MEDICAL CENTER - OFFICE 1425 HUNT CLUB STE 102 103 203 304 GURNEE IL 600312646 PATIENT CARE - OUT PATIENT 11 - ADVOCATE CONDELL MEDICAL CENTER - INTER 700 GARFIELD AVENUE LIBERTYVILLE IL 600483135 PATIENT CARE - OUT PATIENT 12 - ADVOCATE CONDELL MEDICAL CENTER - CENTRE 200 W GOLF RD LIBERTYVILLE IL 600483234 FITNESS CENTER 13 - ADVOCATE CONDELL MEDICAL CENTER - OFFICE 2 E ROLLINS RD STES 101 105 106 ROUND LAKE BEACH IL 600733801 PATIENT CARE - OUT PATIENT 14 - ADVOCATE CONDELL MEDICAL CENTER - OFFICE 6 E PHILLIP RD STE 1109 VERNON HILLS IL 600611700 PATIENT CARE - OUT PATIENT PART I, LINE 7: A COST-TO-CHARGE RATIO, DERIVED FROM SCHEDULE H INSTRUCTIONS WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES, WAS USED TO CALCULATE THE AMOUNTS REPORTED IN THE TABLE FOR PART I, LINE 7A. SCHEDULE H INSTRUCTIONS WORKSHEET 3, UNREIMBURSED MEDICAID AND OTHER MEANS-TESTED GOVERNMENT PROGRAMS, WAS USED TO CALCULATE THE AMOUNTS REPORTED IN THE TABLE FOR PART I, LINE 7B. A COST ACCOUNTING SYSTEM WAS USED TO DETERMINE THE AMOUNTS REPORTED IN THE TABLE FOR PART I, LINES 7E, 7F, 7G, AND 7I. PART I, LN 7 COL(F): $30,022,020 OF BAD DEBT EXPENSE WAS INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT WAS REMOVED FROM THE DENOMINATOR FOR PURPOSES OF SCHEDULE H, PART I, LINE 7, COLUMN (F). PART II, COMMUNITY BUILDING ACTIVITIES: COMMUNITY BUILDING ACTIVITIESADVOCATE CONDELL DONATES STAFF TIME AND EXPERTISE TO SEVERAL LOCAL COUNCILS, BOARDS, COALITIONS AND COMMITTEES. THE ADVOCATE CONDELL PRESIDENT DEVOTES TIME TO THE GREATER CHICAGO LEADERSHIP COMMITTEE. THE DIRECTOR AND COORDINATOR OF COMMUNITY HEALTH REPRESENTS ADVOCATE CONDELL ON THE LAKE COUNTY OPIOID INITIATIVE TASK FORCE, WHICH FOCUSES ON SUBSTANCE USE PREVENTION AND TREATMENT IN THE SERVICE AREA. THE COMMUNITY HEALTH DIRECTOR ALSO SERVES ON THE LIVE WELL LAKE COUNTY STEERING COMMITTEE, WHICH PROVIDES OVERSIGHT FOR THE IMPLEMENTATION OF THE LAKE COUNTY HEALTH DEPARTMENT'S STRATEGIC PLAN. BOTH THE COMMUNITY HEALTH DIRECTOR AND COMMUNITY HEALTH COORDINATOR SERVE ON THREE LIVE WELL LAKE COUNTY ACTION TEAMS, FOCUSING ON EDUCATION, ACCESS TO CARE AND HOUSING. PART II COMMUNITY BUILDING ACTIVITIES - ENVIRONMENTAL IMPROVEMENTS ADVOCATE HEALTH CONTINUES TO LEAD THE HEALTH CARE SECTOR IN ENVIRONMENTAL STEWARDSHIP, ADVANCING SUSTAINABILITY INITIATIVES THAT REDUCE WASTE, CONSERVE ENERGY AND WATER, MINIMIZE TOXIC CHEMICALS, AND PROMOTE ECO-FRIENDLY BUILDING PRACTICES. THESE EFFORTS IMPROVE COMMUNITY HEALTH THROUGH CLEANER ENVIRONMENTS, REDUCED GREENHOUSE GAS EMISSIONS, AND PRESERVATION OF NATURAL RESOURCES.NATIONAL LEADERSHIP AND PARTNERSHIPSADVOCATE HEALTH PROVIDES NATIONAL LEADERSHIP IN SUSTAINABLE HEALTH CARE THROUGH ACTIVE PARTICIPATION IN KEY COUNCILS AND COLLABORATIVE GROUPS, INCLUDING: - HEALTHCARE ANCHOR NETWORK IMPACT PURCHASING COMMITTEE - HEALTH CARE CLIMATE COUNCIL - HEALTHCARE PLASTICS RECYCLING COALITION HEALTHCARE FACILITY ADVISORY BOARD - HEALTHY BUILDING NETWORK - PREMIER'S ENVIRONMENTAL ADVISORY COUNCIL - STEERING COUNCIL OVERSIGHT AND SIGNATORY OF THE CHEMICAL FOOTPRINT PROJECTPOLICY AND ADVOCACY HIGHLIGHTSADVOCATE HEALTH CONTINUES TO ADVOCATE FOR SYSTEMIC CHANGE THROUGH POLICY ENGAGEMENT AND LEGISLATIVE SUPPORT. RECENT HIGHLIGHTS INCLUDE: - SIGNED THE HHS PLEDGE TO ACHIEVE NET ZERO EMISSIONS BY 2050 - ADVANCED COMMENTS ON CMS CLIMATE-RELATED PROPOSED RULES - SUPPORTED FEDERAL CLIMATE INITIATIVES THROUGH THE HEALTH CARE CLIMATE COUNCIL.KEY 2024 SUSTAINABILITY ACHIEVEMENTS - ACHIEVED A 22% REDUCTION IN SCOPE 1 AND 2 GREENHOUSE GAS EMISSIONS FROM 2022 BASELINE, EQUIVALENT TO REMOVING 42,392 GASOLINE CARS FROM THE ROAD ANNUALLY IN 2024 - ELIMINATED DESFLURANE, REDUCING FUGITIVE GAS EMISSIONS BY 8% (1,610 MT COE AVOIDED) AND SAVING $167,000 ANNUALLY. - INVESTED OVER $8.2 MILLION IN LOCAL FOOD PROCUREMENT, REPRESENTING 12% OF TOTAL FOOD SPEND. - DEVELOPED AN ENTERPRISE ENERGY DECARBONIZATION STRATEGY TARGETING 25% ENERGY USE REDUCTION AND TRANSITION TO 100% RENEWABLE ELECTRICITY, SUPPORTED BY A $196M INVESTMENT PLAN PROJECTED TO SAVE $37 TO $40M ANNUALLY IN UTILITY COSTS. - CONTINUED NITROUS OXIDE DEACTIVATION PROJECTS ACROSS MULTIPLE FACILITIES, WITH ENTERPRISE-WIDE SCALE PLANNED FOR 2025-2026. - INCREASED ENVIRONMENTALLY PREFERABLE PURCHASING, INCLUDING 95% OF FURNITURE FREE FROM FIVE KEY CHEMICALS OF CONCERN AND 87% OF CLEANERS CERTIFIED GREEN ACROSS OUR HOSPITALS. PROJECT C.U.R.E. (COMMISSION ON URGENT RELIEF AND EQUIPMENT)ADVOCATE IS A MEDICAL EQUIPMENT AND SUPPLY DONATION PARTNER OF PROJECT C.U.R.E., THE WORLD'S LEADING MEDICAL SUPPLY DISTRIBUTION ORGANIZATION BENEFITING RESOURCE-LIMITED AREAS ACROSS THE GLOBE. IN 2024, ADVOCATE DONATED A ESTIMATED TOTAL OF 70 TONS OF MISCELLANEOUS MEDICAL SUPPLIES TO PROJECT C.U.R.E.SUSTAINABLE OPERATIONS AND BUILDINGSADVOCATE HEALTH PURSUES LEED CERTIFICATION FOR MAJOR PROJECTS AND APPLIES THE HEALTHY SPACES ROADMAP TO RENOVATIONS. ENTERPRISE GOALS INCLUDE CARBON NEUTRALITY BY 2030 AND NET ZERO BY 2050. RENEWABLE ENERGY PROJECTS IN MULTIPLE DIVISIONS ARE UNDERWAY, AND VIRTUAL POWER PURCHASE AGREEMENTS ARE BEING EXPLORED FOR IMPLEMENTATION BY END OF 2025.RECOGNITIONADVOCATE HEALTH HAS BEEN RECOGNIZED NATIONALLY FOR SUSTAINABILITY LEADERSHIP, EARNING THE PRACTICE GREENHEALTH SYSTEM FOR CHANGE AWARD FOR THE 16TH CONSECUTIVE YEAR AND CIRCLE OF EXCELLENCE HONORS IN CHEMICALS MANAGEMENT.EMPLOYEE ENGAGEMENTEVERY HOSPITAL MAINTAINS A GREEN TEAM LED BY SITE SUSTAINABILITY LEADERS AND EXECUTIVE CHAMPIONS. ENTERPRISE CAMPAIGNS INCLUDE BIKE TO WORK EVENTS, CHILDREN'S ENVIRONMENTAL HEALTH WEEK, BATTERY REUSE INITIATIVES, AND INTEGRATION OF ENVIRONMENTAL JUSTICE THROUGH THE RACIAL EQUITY CHALLENGE. PART III, LINE 4: FOR ACMC, IN 2024, THE ALLOWANCE FOR DOUBTFUL ACCOUNTS COVERED 28.02% OF NET PATIENT ACCOUNTS RECEIVABLE. PATIENT ACCOUNTS RECEIVABLE ARE STATED AT NET REALIZABLE VALUE. ANSHN EVALUATES THE COLLECTABILITY OF ITS ACCOUNTS RECEIVABLE BASED ON THE LENGTH OF TIME THE RECEIVABLE IS OUTSTANDING, PAYER CLASS, HISTORICAL COLLECTION EXPERIENCE, AND TRENDS IN HEALTH CARE INSURANCE PROGRAMS. ACCOUNTS RECEIVABLE ARE CHARGED TO THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS WHEN THEY ARE DEEMED UNCOLLECTIBLE.THE COSTING METHODOLOGY USED IN DETERMINING THE AMOUNTS REPORTED ON LINES 2 AND 3 IS BASED ON THE RATIO OF PATIENT CARE COST TO CHARGES. THE UNREIMBURSED COST OF BAD DEBT WAS CALCULATED BY APPLYING THE ORGANIZATION'S COST TO CHARGE RATIO FROM THE MEDICARE COST REPORTS (CMS 2252-96 WORKSHEET C, PART 1, PPS INPATIENT RATIOS) TO THE ORGANIZATION'S BAD DEBT PROVISION PER GENERALLY ACCEPTED ACCOUNTING PRINCIPLES, LESS ANY PATIENT OR THIRD PARTY PAYOR PAYMENTS RECEIVED. PART III, LINE 8: IN 2024, A SHORTFALL OF ($30,716,121) WAS REPORTED ON PART III, LINE 7.FOR ADVOCATE CONDELL'S OPERATIONS, THE UNREIMBURSED COST OF MEDICARE WAS CALCULATED BY APPLYING THE ORGANIZATION'S COST TO CHARGE RATIO FROM THE MEDICARE COST REPORTS (CMS 2252-96 WORKSHEET C, PART 1, PPS INPATIENT RATIOS) AND FOR NON-HOSPITAL OPERATIONS THE COST TO CHARGE RATIO CALCULATED ON WORKSHEET 2 RATIO OF PATIENT CARE COST TO CHARGES TO THE ORGANIZATION'S MEDICARE, LESS ANY PATIENT OR THIRD PARTY PAYOR PAYMENTS AND/OR CONTRIBUTIONS RECEIVED THAT WERE DESIGNATED FOR THE PAYMENT OF MEDICARE PATIENT BILLS. PART III, LINE 9B: ACMC MAINTAINS BOTH WRITTEN FINANCIAL ASSISTANCE AND BAD DEBT/COLLECTION POLICIES. THE BAD DEBT/COLLECTION POLICY DOES NOT APPLY TO THOSE PATIENTS KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE; THEREFORE SUCH PATIENTS ARE NOT SUBJECT TO COLLECTION PRACTICES. PART VI, LINE 2: NEEDS ASSESSMENT1. EVERY THREE YEARS, THE HOSPITAL COMPLETES A CHNA BY COLLECTING AND ANALYZING A VARIETY OF PRIMARY AND SECONDARY DATA AVAILABLE SINCE THE PREVIOUS COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). DATA COLLECTION METHODS INCLUDE A. FOCUS GROUPS IN PARTNERSHIP WITH THE ALLIANCE FOR HEALTH EQUITY B. A COMMUNITY HEALTH SURVEY IN PARTNERSHIP WITH THE ALLIANCE FOR HEALTH EQUITY C. KEY COMMUNITY STAKEHOLDER INTERVIEWS IN PARTNERSHIP WITH THE ALLIANCE FOR HEALTH EQUITY (AHE) D. A REVIEW OF SECONDARY DATA THROUGH SOURCES SUCH AS METOPIO ( AN ADVANCED DATA ANALYTICS PLATFORM). 2. A COMMUNITY HEALTH STAFF MEMBER THEN PRESENTS THE DATA TO THE HOSPITAL'S COMMUNITY HEALTH COUNCIL (CHC) OVER A SERIES OF MEETINGS. THE CHC THEN VOTES ON THE TOP HEALTH PRIORITIES FOR THE COMMUNITY HEALTH IMPLEMENTATION STRATEGY (CHIS) PLAN.3. FINALLY, THE HOSPITAL'S GOVERNING COUNCIL REVIEWS AND APPROVES THE CHNA REPORT AND CHIS PLAN.4. THESE REPORTS ARE THEN SHARED WITH THE COMMUNITY AT-LARGE AND POSTED TO THE ADVOCATE HEALTH CARE WEBSITE: HTTPS://WWW.ADVOCATEHEALTH.COM/HOSPITAL-CHNA-REPORTS-IMPLEMENTATION-PLANS-PROGRESS-REPORTSADDITIONAL DETAILS ABOUT OUR HOSPITAL'S CHNA AND CHIS PROCESS CAN BE FOUND WITHIN OUR REPORT, WHICH IS PUBLICLY AVAILABLE ON OUR WEBSITE, HERE: HTTPS://WWW.ADVOCATEHEALTH.COM/HOSPITAL-CHNA-REPORTS-IMPLEMENTATION-PLANS-PROGRESS-REPORTS/CONDELL-CHNA-REPORT-2022 PART VI, LINE 3: EDUCATION OF ELIGIBILITY FOR ASSISTANCEADVOCATE CONDELL MEDICAL CENTER ASSISTS PATIENTS WITH ENROLLMENT IN GOVERNMENT-SUPPORTED PROGRAMS FOR WHICH THEY ARE ELIGIBLE AND IN SECURING REIMBURSEMENT FROM AVAILABLE THIRD-PARTY RESOURCES. FINANCIAL ASSESSMENT IS PROVIDED TO HELP PATIENTS IDENTIFY AND OBTAIN PAYMENT FROM THIRD PARTIES, INCLUDING ILLINOIS MEDICAID, ILLINOIS CRIME VICTIMS FUND, ETC., AS WELL AS TO DETERMINE ELIGIBILITY UNDER ADVOCATE CONDELL MEDICAL CENTER'S FINANCIAL ASSISTANCE POLICY. ADVOCATE CONDELL MEDICAL CENTER UTILIZES A FINANCIAL SCREENING SOFTWARE PROGRAM TO HELP IDENTIFY PUBLIC ASSISTANCE PROGRAMS FOR WHICH THE PATIENT MAY BE ELIGIBLE FOR AT THE TIME OF REGISTRATION, OR AS SOON AS PRACTICABLE THEREAFTER. IN ADDITION, HEALTHADVISOR, ADVOCATE'S EDUCATION REGISTRATION AND PHYSICIAN REFERRAL TELEPHONE CENTER, SERVES AS A COMMUNITY RESOURCE PROVIDING REFERRALS TO GOVERNMENT-FUNDED AND OTHER PROGRAMS VIA TELEPHONE FROM 7 A.M. TO 7 P.M., MONDAY THROUGH FRIDAYADVOCATE CONDELL MEDICAL CENTER ASSISTS PATIENTS WITH APPLYING FOR FINANCIAL ASSISTANCE SERVICES IF PATIENTS ARE NOT ELIGIBLE FOR GOVERNMENT-SUPPORTED PROGRAMS. ADVOCATE CONDELL MEDICAL CENTER COMMUNICATES THE AVAILABILITY OF FINANCIAL ASSISTANCE IN THE APPLICABLE LANGUAGES OF THE HOSPITAL COMMUNITY. MEANS OF COMMUNICATION INCLUDE:- THE HEALTH CARE CONSENT THAT IS SIGNED UPON REGISTRATION FOR HOSPITAL SERVICES WHICH INCLUDES A STATEMENT THAT FINANCIAL ASSISTANCE CONSIDERATION IS AVAILABLE UPON REQUEST- SIGNS ARE CLEARLY AND CONSPICUOUSLY POSTED IN LOCATIONS THAT ARE VISIBLE TO THE PUBLIC, INCLUDING, BUT NOT LIMITED TO, HOSPITAL PATIENT ACCESS, REGISTRATION AND EMERGENCY DEPARTMENT LOCATIONS- A HANDOUT SUMMARIZING ADVOCATE'S FINANCIAL ASSISTANCE POLICY AND FINANCIAL ASSISTANCE APPLICATION IS GIVEN TO UNINSURED PATIENTS WHO RECEIVE MEDICALLY NECESSARY HOSPITAL SERVICES AT THE EARLIEST PRACTICAL TIME OF SERVICE, UPON REQUEST- ADVOCATE CONDELL MEDICAL CENTER'S WEBSITE POSTS A NOTICE IN A PROMINENT PLACE THAT FINANCIAL ASSISTANCE IS AVAILABLE, WITH AN EXPLANATION OF THE FINANCIAL ASSISTANCE APPLICATION AND THE PROCESS TO COMPLETE ITHOSPITAL BILLS TO UNINSURED PATIENTS INCLUDE A SUMMARY OF ADVOCATE'S FINANCIAL ASSISTANCE POLICY, A FINANCIAL ASSISTANCE APPLICATION, AND A TELEPHONE NUMBER TO REQUEST FINANCIAL ASSISTANCE PART VI, LINE 4: COMMUNITY INFORMATIONA DETAILED DESCRIPTION OF THE COMMUNITY SERVED BY OUR HOSPITAL CAN BE FOUND IN THE HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT REPORT, WHICH CAN BE VIEWED AT HTTPS://WWW.ADVOCATEHEALTH.COM/HOSPITAL-CHNA-REPORTS-IMPLEMENTATION-PLANS-PROGRESS-REPORTS/CONDELL-CHNA-REPORT-2022FOR THE PURPOSES OF THE 2020-2022 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), ADVOCATE CONDELL DEFINES THE COMMUNITY AS ITS PRIMARY SERVICE AREA (PSA), WHICH INCLUDES ALL OF LAKE COUNTY, ILLINOIS. THERE ARE 714,342 RESIDENTS IN LAKE COUNTY, AND THE THREE LARGEST COMMUNITIES ARE WAUKEGAN (60085) WITH A POPULATION OF 71,609 RESIDENTS, ROUND LAKE (60073) WITH 61,721 RESIDENTS AND LONG GROVE (60047) WITH 43,944 RESIDENTS. THE MEDIAN AGE OF RESIDENTS IN LAKE COUNTY IS 38.4 YEARS, WITH THE LARGEST POPULATION BEING THOSE AGES 40-64 YEARS (34.3%). LAKE COUNTY IS COMPRISED OF 50 PERCENT FEMALES AND 50 PERCENT MALES. A TOTAL OF 61.8 PERCENT OF THE LAKE COUNTY POPULATION IS NON-HISPANIC WHITE, 21.7 PERCENT HISPANIC OR LATINO, 7.7 PERCENT ASIAN OR PACIFIC ISLANDER, 6.6 PERCENT NON-HISPANIC BLACK, 2.1 PERCENT TWO OR MORE RACES AND 0.1 PERCENT NATIVE AMERICAN. THE MEDIAN HOUSEHOLD INCOME IN LAKE COUNTY IS $94,857, WHICH IS HIGHER THAN ILLINOIS ($69,886), THE U.S. ($66,659) AND MCHENRY COUNTY ($92,069). ASIAN OR PACIFIC ISLANDER HOUSEHOLDS HAVE THE HIGHEST MEDIAN INCOME AT $127,329, WHILE AFRICAN AMERICAN HOUSEHOLDS HAVE THE LOWEST AT $49,825. IN LAKE COUNTY, THE ZIP CODE WITH THE HIGHEST MEDIAN HOUSEHOLD INCOME IS LAKE FOREST (60045) AT $190,465 AND THE LOWEST MEDIAN HOUSEHOLD INCOME IS IN NORTH CHICAGO (60064) AT $38,651. A TOTAL OF 7.9 PERCENT OF RESIDENTS IN LAKE COUNTY ARE LIVING BELOW THE FEDERAL POVERTY LEVEL, WHICH IS LOWER THAN THE U.S (13.2 PERCENT) AND ILLINOIS (12.5 PERCENT). BY AGE GROUP, 9.9% OF CHILDREN AGES 0-4, 10.3% OF CHILDREN AGES 5-17 AND 6.1% OF SENIORS AGE 65 AND OLDER ARE LIVING IN POVERTY PART VI, LINE 5: PROMOTION OF COMMUNITY HEALTHEVERY ADVOCATE HEALTH CARE HOSPITAL PUBLISHES AN ANNUAL PROGRESS REPORT, WHICH IS PUBLICLY AVAILABLE AT ADVOCATE-CONDELL-MEDICAL-CENTER-2024-COMMUNITY-HEALTH-PROGRESS-REPORT.PDFOTHER WAYS ADVOCATE HEALTH CARE CONTINUE TO PROMOTE THE HEALTH OF THE COMMUNITY IN ILLINOIS INCLUDE: - GOVERNING COUNCIL: ADVOCATE CONDELL'S GOVERNING COUNCIL (GC) IS COMPRISED OF LOCAL COMMUNITY LEADERS AND PHYSICIANS. FIFTY-EIGHT PERCENT OF THE CURRENT GC MEMBERS REPRESENT THE COMMUNITY, INCLUDING THE FAITH COMMUNITY. IN ADDITION, THE ORGANIZATION EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY FOR SOME OR ALL ITS DEPARTMENTS AND SPECIALTIES - COMMUNITY HEALTH WORKER PROGRAM: A COMMUNITY HEALTH WORKER (CHW) IS AN EXPERT AT LOCAL RESOURCES, LINKING PATIENTS AND COMMUNITY RESIDENTS TO UTILITY ASSISTANCE, FOOD PANTRIES AND PRIMARY CARE HOMES. THE ADVOCATE CONDELL CHW SEES PATIENTS IN THE HOSPITAL EMERGENCY DEPARTMENT (ED) AND IN THE COMMUNITY, WORKING CLOSELY WITH THE INDIVIDUALS TO ASSESS HIS OR HER NEEDS. IN 2024, THE CHW SERVED 391 PATIENTS IN THE ED AND 88 PATIENTS IN THE COMMUNITY PROVIDING 566 REFERRALS. THE CHW MADE 44 PHYSICIAN REFERRALS AND 437 REFERRALS FOR PATIENTS WHO SCREENED POSITIVE FOR FOOD INSECURITY. - SEXUAL ASSAULT NURSE EXAMINER (SANE): ADVOCATE CONDELL HAS ONSITE REGISTERED NURSES WHO ARE SANE-CERTIFIED AND CAN PROVIDE COMPREHENSIVE HEALTH CARE TO SURVIVORS OF SEXUAL ASSAULT. THE SANE NURSES PROVIDE PEER-TO-PEER EDUCATION AND TRAINING FOR OTHER HEALTH PROFESSIONALS. FOURTEEN EDUCATIONAL TRAINING EVENTS WERE HELD IN 2024, AND THE SANE TEAMS TREATED 72 VICTIMS OF SEXUAL VIOLENCE AT ADVOCATE CONDELL, 14 OF WHICH WERE PEDIATRIC PATIENTS. - TRAUMA RECOVER CENTER (TRC): THE TRC PROVIDES QUALITY MENTAL HEALTH, SUPPORT SERVICES AND RESOURCES FOR SURVIVORS OF INTENTIONAL TRAUMA. THE TRC NORTH OFFICE OPENED IN GURNEE IN 2021, WITH A TEAM OF SPECIALISTS PROVIDING ACCESS TO TRAUMA-INFORMED CARE AT THE MEDICAL CENTER, AT AN OFFSITE TRC OFFICE LOCATION AND VIRTUALLY THROUGH TELEHEALTH. THE TRC SERVES LAKE, MCHENRY, KANE, AND KENDALL COUNTIES. SERVICES INCLUDE OUTPATIENT CLINICAL ASSESSMENT, CASE MANAGEMENT, INDIVIDUAL AND GROUP THERAPY, MEDICATION MANAGEMENT, SUPPORT GROUPS AND SAFETY AND SELF-CARE GUIDANCE. IN 2024, THE NORTH TRC PROVIDED CARE TO 468 PATIENTS. - PENANCES PROGRAM: ADVOCATE CONDELL PROVIDES AN EARLY OPPORTUNITY FOR HIGH SCHOOL JUNIOR AND SENIOR STUDENTS TO LEARN FIRSTHAND ABOUT HEALTH CAREER OPTIONS THROUGH THE EDUCATIONAL PROGRAM PENANCES HEALTH CAREERS. IN 2024, 51 INTERNS LEARNED ABOUT A VARIETY OF HEALTH CARE CAREERS THROUGH DIRECT PATIENT INTERACTIONS AND OBSERVATIONS IN THE ED, INTENSIVE CARE UNIT, OPERATING ROOM, OBSTETRICS, REHABILITATION UNIT AND MORE. - FLU VACCINATIONS AND VACCINE DONATION: ADVOCATE CONDELL PARTNERED WITH THE ROUND LAKE AREA PUBLIC LIBRARY TO PROVIDE NO COST FLU SHOTS TO COMMUNITY MEMBERS IN OCTOBER 2024. THE CLINIC WAS RUN BY THE ADVOCATE COMMUNITY HEALTH MOBILE HEALTH TEAM. A TOTAL OF 33 ADULTS RECEIVED FLU SHOTS AND EDUCATIONAL INFORMATION ON HOW TO PREVENT THE SPREAD OF RESPIRATORY VIRUSES PART VI, LINE 6: AFFILIATED HEALTH CARE SYSTEM DESCRIPTIONADVOCATE HEALTH CARE (ILLINOIS) AND AURORA HEALTH CARE (WISCONSIN) MERGED IN 2018 TO BECOME ADVOCATE AURORA HEALTH. ADVOCATE AURORA HEALTH'S ILLINOIS HOSPITALS (ADVOCATE) ARE NOT-FOR-PROFIT AND ARE RELATED TO BOTH THE EVANGELICAL LUTHERAN CHURCH IN AMERICA AND THE UNITED CHURCH OF CHRIST. THE ADVOCATE HEALTH CARE NETWORK BOARD MEMBERS, LEADERSHIP AND TEAM MEMBERS (STAFF/EMPLOYEES) ARE COMMITTED TO POSITIVELY AFFECTING THE HEALTH STATUS AND QUALITY OF LIFE OF INDIVIDUALS AND POPULATIONS IN COMMUNITIES SERVED BY THE ORGANIZATION THROUGH PROGRAMS AND PRACTICES THAT SUPPORT THE ADVOCATE AURORA VISION OF "WE HELP PEOPLE LIVE WELL." PRIOR TO 2016, THE COMMUNITY FACING FUNCTION WAS LED BY A TEAM OF ADVOCATE SYSTEM-LEVEL INDIVIDUALS WHOSE JOB RESPONSIBILITIES INCLUDED VARIOUS COMMUNITY ROLES MORE CLOSELY ALIGNED WITH COMMUNITY RELATIONS. IN AN ONGOING EFFORT TO SUPPORT ITS HOSPITALS IN ADDRESSING COMMUNITY HEALTH PRIORITIES, ADVOCATE AURORA'S SYSTEM LEADERSHIP DIRECTED THE FORMATION OF A COMMUNITY HEALTH DEPARTMENT IN 2016. THE DEPARTMENT IS LED BY A SYSTEM EXECUTIVE AND STAFFED WITH PUBLIC/COMMUNITY HEALTH SPECIALISTS WHO ARE RESPONSIBLE FOR COMMUNITY BENEFITS REPORTING, EXECUTING COMMUNITY NEEDS ASSESSMENTS, EVIDENCE-BASED PROGRAM DEVELOPMENT AND IMPLEMENTATION, AND COLLABORATIVE PARTNERSHIPS WITHIN THE COMMUNITIES SERVED BY ADVOCATE. THE COMMUNITY HEALTH TEAM HAS SINCE LED TWO CHNA CYCLES. THE MOST RECENT CHNA REPORTS WERE APPROVED BY THE ADVOCATE HEALTH CARE NETWORK BOARD AND POSTED IN DECEMBER 2019, FOLLOWED BY APPROVAL AND POSTING OF THE HOSPITALS' COMMUNITY HEALTH IMPLEMENTATION PLANS IN 2020. IN OCTOBER 2019, THE ADVOCATE AURORA BOARD APPROVED A COMMUNITY STRATEGY THAT WOULD SUPPORT ORGANIZATIONAL VALUES AND CONTINUE TO SUPPORT SYSTEM-WIDE PROGRAMS THAT ADDRESS THE HEALTH NEEDS OF PATIENTS, FAMILIES AND THE COMMUNITIES SERVED BY ADVOCATE AURORA. THROUGH THIS STRATEGY, WE WILL BUILD HEALTH EQUITY, ENSURE ACCESS AND IMPROVE HEALTH OUTCOMES IN OUR COMMUNITIES THROUGH EVIDENCE-INFORMED SERVICES AND INNOVATIVE PARTNERSHIPS BY ADDRESSING MEDICAL NEEDS AND SOCIAL DETERMINANTS. BASED ON NEED AND EFFECT ON HEALTH EQUITY, AS IDENTIFIED IN ADVOCATE AURORA'S 27 HOSPITAL CHNA REPORTS AND IN INDUSTRY LITERATURE, ADVOCATE AURORA PRIORITIZED THE FOLLOWING SIX FOCUS AREAS ON WHICH THE INDIVIDUAL HOSPITAL COMMUNITY HEALTH IMPLEMENTATION PLANS ARE BUILT AND SUPPORT, INCLUDING: 1) ACCESS/PRIMARY MEDICAL HOMES; 2) ACCESS/ BEHAVIORAL HEALTH SERVICES; 3) WORKFORCE DEVELOPMENT; 4) COMMUNITY SAFETY; 5) AFFORDABLE HOUSING; AND 6) FOOD SECURITY. GIVEN THAT ADVOCATE AND AURORA HAVE SEPARATE FEIN'S, THE NARRATIVE WITHIN THIS DOCUMENT PRIMARILY DESCRIBES PROGRAMS AND ACTIVITIES PERTAINING TO ADVOCATE (AAH ILLINOIS). ADVOCATE'S BOARD, SYSTEM LEADERSHIP AND TEAM MEMBERS ARE FULLY ENGAGED IN PROGRAMS AND ACTIVITIES THAT SUPPORT SYSTEM AND SITE EFFORTS IN ACHIEVING MILESTONES IN EACH OF THESE COMMUNITY STRATEGY FOCUS AREAS. EXAMPLES OF AFFILIATED SYSTEM PROGRAMS/SERVICES THAT ALIGN WITH THE ORGANIZATION'S COMMUNITY STRATEGY AND SUPPORT EFFORTS TO ADDRESS THESE KEY FOCUS AREAS ARE PROVIDED IN THE FOLLOWING NARRATIVE. 1. ACCESS/PRIMARY MEDICAL HOMES. THE FIRST OF SIX KEY AREAS TARGETED BY ADVOCATE'S COMMUNITY STRATEGY IS IMPROVING ACCESS/CONNECTING PATIENTS TO PRIMARY MEDICAL HOMES. ADVOCATE IS COMMITTED TO UNDERTAKING AND SUPPORTING INITIATIVES THAT ENHANCE ACCESS TO HEALTH CARE, INCLUDING FINANCIAL ASSISTANCE, CARE COORDINATION, LANGUAGE ASSISTANCE, CULTURALLY SENSITIVE PROVISION OF CARE, AND PREVENTION EDUCATION AND WELLNESS SERVICES ACROSS THE LIFESPAN AND WITHIN THE DIVERSE COMMUNITIES ADVOCATE SERVES. FINANCIAL ASSISTANCE. ADVOCATE OFFERS A VERY GENEROUS FINANCIAL ASSISTANCE PROGRAM, REQUIRING NO PAYMENTS FROM THE PATIENTS MOST IN NEED AND PROVIDING DISCOUNTS TO UNINSURED AND INSURED PATIENTS. PATIENTS EARNING UP TO SIX TIMES THE FEDERAL POVERTY LEVEL (FPL) AND INSURED PATIENTS EARNING UP TO TWO AND HALF TIMES THE FPL, MAY QUALIFY FOR A FULL OR PARTIAL FINANCIAL ASSISTANCE DISCOUNT. ADDITIONALLY, A CATASTROPHIC ASSISTANCE DISCOUNT IS AVAILABLE FOR UNINSURED AND INSURED PATIENTS WHOSE INCOMES EXCEED THE TRADITIONAL FINANCIAL ASSISTANCE INCOME GUIDELINES AND HAVE OUTSTANDING PATIENT BALANCES OF $25,000 OR MORE FOR A SINGLE DATE OF SERVICE OR SUM OF SEVERAL DATES OF SERVICE. THESE PATIENTS MAY QUALIFY TO RECEIVE A FINANCIAL ASSISTANCE DISCOUNT THAT REDUCES THEIR OUTSTANDING BALANCE TO 25% OF THEIR NET INCOME. FOR UNINSURED PATIENTS, ADVOCATE WILL PRESUMPTIVELY PROVIDE FINANCIAL ASSISTANCE IF THE FINANCIAL STATUS HAS BEEN VERIFIED BY A THIRD PARTY. IN THESE CASES, THE PATIENT IS NOT REQUIRED TO SUBMIT A SEPARATE CHARITY APPLICATION. IF PRESUMPTIVE CRITERIA ARE NOT AVAILABLE FOR UNINSURED PATIENTS, FINANCIAL ASSISTANCE ELIGIBILITY IS AVAILABLE USING AN INCOME-BASED SCREENING. ADVOCATE EXTENDS ITS INCOME-BASED FINANCIAL ASSISTANCE POLICY TO ITS INSURED PATIENTS AS WELL. ADVOCATE CONTINUES TO REVIEW AND REFINE ITS POLICY IN AN ONGOING EFFORT TO ENSURE THAT FINANCIAL ASSISTANCE IS AVAILABLE TO THOSE WHO NEED HELP. IN 2022, FINANCIAL ADVOCATES PROCESSED 14,111 ADVOCATE FINANCIAL ASSISTANCE APPLICATIONS, COMPLETED 1,188 MEDICAID APPLICATIONS, IDENTIFIED 693 PEOPLE FOR CO-PAY ASSISTANCE AND ASSISTED PEOPLE WITH COMPLETING 260 MARKETPLACE APPLICATIONS.FEDERALLY QUALIFIED HEALTH CENTERS (FQHCS). ALL ADVOCATE'S HOSPITALS CONTINUE TO HAVE RELATIONSHIPS WITH FQHC'S OR OTHER COMMUNITY CLINICS WITHIN THEIR SERVICE AREAS AND COLLABORATE WITH THOSE PARTNERS TO IMPROVE ACCESS TO CARE FOR MEDICAID AND UNINSURED PATIENTS. ADVOCATE SHERMAN CONTINUES TO WORK CLOSELY WITH GREATER FAMILY HEALTH (FQHC), VNA HEALTH CARE AND AUNT MARTHA'S (FQHC) TO COORDINATE CARE FOR LOW-INCOME PATIENTS IN THE ELGIN AREA. THE HOSPITAL PROVIDES COLONOSCOPIES AND MAMMOGRAMS TO GREATER FAMILY HEALTH PATIENTS, COORDINATED THROUGH GRANT-FUNDED PROGRAMS. ADVOCATE CONDELL WORKS COLLABORATIVELY WITH THE LAKE COUNTY HEALTH DEPARTMENT AND COMMUNITY HEALTH CENTER (FQHC) AND ERIE HEALTHREACH WAUKEGAN (FQHC), BY PROVIDING MAMMOGRAMS AND SOME SPECIALTY CARE TO UNINSURED AND LOW-INCOME PATIENTS AS THEY ARE REFERRED TO THE MEDICAL CENTER. ADVOCATE ILLINOIS MASONIC AND ADVOCATE LUTHERAN GENERAL ALSO PARTNER WITH HEARTLAND HEALTH CENTERS AND COMMUNITYHEALTH, ONE OF THE LARGEST FREE CLINICS IN THE NATION, TO PROVIDE SPECIALTY CARE TO UNINSURED PATIENTS AND REFERRALS TO FQHCS AND FREE CLINICS FOR PRIMARY CARE SERVICES. IN ADDITION, ADVOCATE ILLINOIS MASONIC PROVIDES OPERATIONS SPACE TO HEARTLAND HEALTH CENTERS ON ITS CAMPUS TO PROVIDE PRIMARY CARE FOR INDIVIDUALS AND FAMILIES THAT ARE UNINSURED. IN PARTNERSHIP WITH THE ACCESS TO CARE ORGANIZATION, ADVOCATE CHRIST CONTINUES TO PROVIDE FREE MAMMOGRAMS TO UNINSURED AND LOW-INCOME INDIVIDUALS THAT ARE REFERRED BY THEIR CLINIC TO THE HOSPITAL WHEN THIS SERVICE IS REQUIRED. ADVOCATE TRINITY WORKS WITH CHICAGO FAMILY HEALTH CENTER AND CHRISTIAN COMMUNITY HEALTH CENTER TO COORDINATE CARE FOR LOW-INCOME PATIENTS. ADVOCATE HOSPITAL IN COOK COUNTY WORK CLOSELY WITH COMMUNITYHEALTH TO CONNECT TREAT UNINSURED PATIENTS AND TO CONNECT INDIVIDUALS THAT NEED A PRIMARY CARE PROVIDER. PART VI, LINE 7, REPORTS FILED WITH STATES IL PART VI, 6. AFFILIATED HEALTH CARE SYSTEM CONT. TO MAINTAIN QUALITY CARE EXCELLENCE AND IMPROVE QUALITY OF LIFE FOR PEOPLE SEEKING CARE FROM ADVOCATE, WORKING TO FIND MEDICAL HOMES AND TO REDUCE EMERGENCY ROOM VISITS AND HOSPITAL ADMISSIONS IS ESSENTIAL. ADVOCATE HAS NUMEROUS PROGRAMS FOCUSED ON MANAGING THE PATIENT EXPERIENCE THROUGH THE CONTINUUM OF CAREIN INPATIENT AND OUTPATIENT SETTINGS, AND IN THE HOME. MEDICAID AND MEDICARE. ADVOCATE ACTIVELY WORKS TO IMPROVE THE PROVISION OF SERVICES TO INDIVIDUALS AND FAMILIES WHO ARE COVERED BY MEDICARE AND MEDICAID AND THAT SEEK SERVICES AT ANY OF ADVOCATE'S 400 SITES OF CARE. ADVOCATE COLLABORATES WITH VARIOUS COMMUNITY-BASED ORGANIZATIONS (CBOS) AND FEDERALLY QUALIFIED HEALTH CENTERS (FQHCS) IN INNOVATIVE WAYS TO ESTABLISH PRIMARY CARE RELATIONSHIPS FOR MEDICAID AND UNINSURED PATIENTS. ADVOCATE CARE ORGANIZATION (ACO). ADVOCATE COLLABORATES WITH MERIDIAN FAMILY HEALTH PLAN (FHP) OF ILLINOIS AS PART OF AN INTEGRATED CARE MODEL FOR PEOPLE ON MEDICAID. ADVOCATE HAS A STRONG HISTORY OF PROVIDING HIGH QUALITY CARE TO THE MEDICAID POPULATION WITHIN ITS NETWORK WITH KEY FOCUS AREAS, INCLUDING IMPROVED CARE COORDINATION, ACCESS AND QUALITY PERFORMANCE. THE RESULT HAS BEEN A REDUCTION IN ED UTILIZATION DUE TO SUCCESSFULLY CONNECTING INDIVIDUALS IN THE PLAN TO A MEDICAL HOME AND DUE TO CONNECTING PATIENTS WITH COMMUNITY RESOURCES FOR UNMET SOCIAL DETERMINANTS OF HEALTH NEEDS.COMMUNITY HEALTH WORKERS-CONNECTING AND NAVIGATING PEOPLE TO PRIMARY CARE AND SOCIAL SERVICES. THE PRIMARY CARE CONNECTION (PCC) PROGRAM, DEPLOYS COMMUNITY HEALTH WORKERS (CHWS) AS COMMUNITY RESOURCE NAVIGATORS TO SERVE PEOPLE IN THE ED. THE PURPOSE OF THE PROGRAM IS TO REDUCE UNNECESSARY ED VISITS AND TO CONNECT PEOPLE TO A PRIMARY CARE HOME. CHWS EDUCATE PEOPLE ABOUT ACCESSING THE APPROPRIATE LEVEL OF CARE AND PROVIDING FOLLOW-UP APPOINTMENTS TO A CONVENIENT CARE SITE FOR PEOPLE DURING THE ED VISIT. CHWS ALSO CONDUCT A COMMUNITY HEALTH ASSESSMENT TO IDENTIFY SOCIAL DETERMINANTS OF HEALTH AND LINK PEOPLE TO SOCIAL SERVICES AND COMMUNITY RESOURCES THAT CONTRIBUTE TO THE PERSONS' OVERALL WELLBEING. THE PCC PROGRAM HAS REACHED OVER 40,000 PEOPLE SINCE 2018. FROM JANUARY 2018 THROUGH DECEMBER 19, 2022, COMMUNITY HEALTH WORKERS HAVE SERVED A TOTAL OF 40,082 PEOPLE WITH A COMBINED 90-DAY READMISSION RATE FOR 2018-2022 OF 3.5 PERCENT.ADVOCATE ALSO PROVIDES LANGUAGE AND OTHER CULTURALLY APPROPRIATE SERVICES TO IMPROVE ACCESS TO A BROAD RANGE OF HEALTH-RELATED SERVICES. LANGUAGE SERVICES. OUR LANGUAGE SERVICES TEAM BRIDGES LANGUAGES AND CULTURES BY CONNECTING PATIENTS, FAMILY MEMBERS, AND COMPANIONS TO INFORMATION AND SERVICES AT THE DESIRED TIME, IN THE OPTIMAL PLACE, AND UTILIZING APPROPRIATE COMMUNICATION MODALITIES.INFOGRAPHIC: OUR JOURNEY OVER THE LAST FIVE YEARS HAS YIELDED SIGNIFICANT GROWTH, DEMONSTRATED BY A 124% INCREASE IN ENCOUNTERS, OVER 1.2 MILLION INTERACTIONS, AND 193 LANGUAGES FROM 2018 TO 2022.A FOCUS FOR LANGUAGE SERVICES IN 2022 WAS TO ENSURE PATIENTS, FAMILY MEMBERS, AND COMPANIONS HAVE AUXILIARY AIDS, DEVICES, OR SERVICES THAT ENABLE EFFECTIVE COMMUNICATION. WE EXPECT ALL ACCESS POINTS WITHIN THE SYSTEM WILL BE FULLY EQUIPPED WITH THESE AIDS. THESE AIDS INCLUDE BUT ARE NOT LIMITED TO CLEAR MASKS, VISUAL ALERT SYSTEMS, BABY SOUND ALERT, POCKET TALKERS, CAPTEL PHONES, TTY PHONES, PICTURE BOARD, WHITEBOARD, MAGNIFIER, AND SPECIAL COMMUNICATION NEEDS SIGNS. ENHANCING THE EXPERIENCE AND POSITIVE OUTCOMES OF OUR CONSUMERS WHO ARE DEAF, HARD OF HEARING, BLIND, LOW VISION, OR THOSE WITH LIMITED LITERACY REMAINS A CORE FOCUS FOR LANGUAGE SERVICES. PART VI, 6. AFFILIATED HEALTH CARE SYSTEM CONT. ADVOCATE'S LONG-TERM SUPPORT OF PROGRAMS AND SERVICES THAT PROMOTE HEALTH EQUITY HAVE RESULTED IN VARIOUS PROGRAMS/INITIATIVES THAT WORK TO IMPROVE THE HEALTH OF DIVERSE UNDERSERVED POPULATIONS IN THE COMMUNITIES IT SERVES. EXAMPLES OF THESE EFFORTS FOLLOW. LGBTQ (LESBIAN, GAY, BISEXUAL, TRANSGENDER AND QUEER) HEALTH EQUITY INDEX. ADVOCATE ILLINOIS MASONIC WAS THE FIRST ADVOCATE AURORA HOSPITAL TO ACHIEVE, SINCE ITS INCEPTION, "LEADER" STATUS DENOMINATION WITH THE HUMAN RIGHTS CAMPAIGN FOUNDATION'S HEALTH EQUALITY INDEX. THE HOSPITAL IS ONE OF 496 LEADERS OUT OF 906 PARTICIPANTS. AS THE LEADING LGBTQ SITE, IT HAS BEEN THE FOUNDATION FOR ADVOCATE AURORA HEALTH TO BE THE 4TH LARGEST HEALTH SYSTEM WITH ALL ITS SITES ACCREDITED IN 2022. LEADERS ARE RECOGNIZED FOR POLICIES AND SERVICES SUPPORTIVE OF LGBTQ RIGHTS, INCLUDING PATIENT VISITATION AND EMPLOYMENT NON-DISCRIMINATION, STAFF TRAINING IN LGBTQ PATIENT-CENTERED CARE AND EMPLOYMENT NON-DISCRIMINATION, LGBTQ PATIENT SERVICES AND SUPPORT, TRANSGENDER PATIENT SERVICES, EMPLOYEE BENEFITS, AND PATIENT AND COMMUNITY ENGAGEMENT. IN 2016, ADVOCATE ILLINOIS MASONIC CREATED A SITE LGBTQ WORK GROUP WORKING ON AFFINITY, ADVOCATING FOR POLICIES AND PROCESSES AFFIRMING TOWARD LGBTQ PATIENTS AND TEAM MEMBERS. THE MEDICAL CENTER HAS DEVELOPED PROCESSES FOR GENDER EXPANSIVE AFFIRMING IDENTIFICATION AND CAPABILITIES TO CAPTURE GENDER IDENTIFY AND SEXUAL ORIENTATION SOGI DATA. ADVOCATE ILLINOIS MASONIC'S EXPERIENCE SERVED AS THE MODEL FOR OTHER MEDICAL CENTERS WITHIN THE ADVOCATE AURORA HEALTH NETWORK TO PARTICIPATE IN THE HEALTH EQUALITY INDEX IN 2020, IMPACTING THOUSANDS OF TEAM MEMBERS AND MILLIONS OF PATIENTS ACROSS ILLINOIS AND WISCONSIN. THE HOSPITAL WAS FEATURED IN THE HEI 15 YEARS REPORT AS ONE OF 4 INITIAL SURVEY RESPONDENTS AND A MODEL FOR COMMUNITY HOSPITALS PARTICIPATION. DESPITE THE CIRCUMSTANCES AND CHALLENGES THAT THE COVID-19 PANDEMIC BROUGHT TO THE ENTIRE HEALTH CARE SYSTEM, ADVOCATE HOSPITALS CONTINUED THEIR COMMITMENT TO INCLUSIVE AND AFFIRMING CARE FOR LGBTQ PATIENTS IN 2022.CULTURAL HEALTH INITIATIVES. IN MARCH 2021, ADVOCATE LUTHERAN GENERAL HOSPITAL RESHAPED TWO PREVIOUS PATIENT NAVIGATOR POSITIONS PREVIOUSLY SERVING THE POLISH AND KOREAN POPULATIONS AND CREATED A MORE ROBUST CULTURAL AND COMMUNITY LIAISON ROLE. THIS POSITION CONTINUES THE MORE THAN DECADE LONG ADVOCATE LUTHERAN COMMITMENT AND DEDICATED RESPONSE TO THE MULTITUDE AND CONTINUALLY CHANGING DIVERSE CULTURES, LANGUAGES, HEALTH LITERACY AND DEMOGRAPHICS OF THE COMMUNITIES THAT WE SERVE. THIS POSITION'S PRIORITY IS TO CREATE AN ENVIRONMENT THAT IS CONDUCIVE TO DEVELOPING LIFELONG RELATIONSHIPS WITH MEMBERS OF THE COMMUNITY, TO INCREASE ACCESS TO HEALTH CARE SERVICES FOR MEMBERS OF THE COMMUNITY AND TO HELP OUR CURRENT PATIENTS ACHIEVE BEST HEALTH OUTCOMES. THE LIAISON ALSO WORKS IN COLLABORATION WITH THE CENTRAL CHICAGOLAND PRIMARY SERVICE AREA (PSA) AND THE COMMUNITY HEALTH AREA TO MEET THE HEALTH CARE, CULTURAL AND SPIRITUAL NEEDS OF OUR PATIENTS AND FAMILIES. THE LIAISON CONTINUES TO ASSIST PATIENTS WHO ARE LIMITED/NON-ENGLISH SPEAKING AND HELPS PATIENTS NAVIGATE THE HEALTH CARE FACILITY, PROVIDES LINGUISTICALLY COMPETENT AND CULTURALLY SENSITIVE PATIENT EDUCATION IN THE CONTEXT OF COMMUNITY OUTREACH, AND HELPS TO IDENTIFY POTENTIAL BARRIERS TO HEALTH CARE FOR THE COMMUNITY. THE CULTURAL AND COMMUNITY LIAISON COLLABORATES WITH EXTERNAL STAKEHOLDERS INCLUDING BUT NOT LIMITED TO, CHAMBERS OF COMMERCE, COMMUNITY AGENCIES AND EDUCATIONAL DISTRICTS TO PROMOTE OUR HEALTH CARE SERVICE LINES AND CONCURRENTLY EMBED AND INTEGRATE THE AHC MISSION OF DIVERSITY, EQUITY AND INCLUSION INTO THE SIX COMPONENTS OF THIS ROLE. THEY ARE PATIENT NAVIGATION, COMMUNITY RELATIONS/OUTREACH AND ENGAGEMENT, CULTURAL COMPETENCE, PHYSICIAN RELATIONS/RECRUITMENT AND COMMUNITY HEALTH. THE LIAISON PARTNERS WITH INTERNAL STAKEHOLDERS INCLUDING PHYSICIANS, TEAM MEMBERS, ADMINISTRATORS AND VOLUNTEERS TO PROVIDE GUIDANCE AROUND CULTURAL SENSITIVITIES OF THE PATIENT'S CARE PLAN AND POSSIBLE ALTERATIONS NEEDED TO FURTHER THE GOAL OF SERVICE EXCELLENCE FOR ALL, WHICH IN TURN PROMOTES AN ENVIRONMENT THAT MEETS THE UNEXPRESSED AND EXPRESSED NEEDS OF ALL THOSE IN THE FACILITY. THIS PROVIDES AN OPPORTUNITY TO ALSO IDENTIFY POTENTIAL BARRIERS AND TO ASSESS WHAT EDUCATIONAL MATERIALS AND HOSPITAL RESOURCES ARE NEEDED THAT SUPPORT CULTURAL SENSITIVITIES TO CONTINUE TO FOSTER GREATER COMMUNICATION BETWEEN THE PROVIDER AND PATIENT/FAMILY AROUND THE PATIENT'S CARE PLAN.2. ACCESS/BEHAVIORAL HEALTH SERVICESA SECOND ADVOCATE COMMUNITY STRATEGY FOCUS AREA IS ACCESS TO BEHAVIORAL HEALTH SERVICES. ADVOCATE HAS IMPLEMENTED MANY PROGRAMS/SERVICES FOCUSED ON IMPROVING THE CONTINUUM OF CARE FOR THE BENEFIT OF MENTAL HEALTH AND BEHAVIORAL HEALTH PATIENTS. SEVERAL EXAMPLES OF BEHAVIORAL HEALTH PROGRAMS THAT ADVOCATE HOSPITALS HAVE IMPLEMENTED AND IMPROVE ACCESS ARE PROVIDED BELOW. BEHAVIORAL HEALTH INTEGRATION. MANY STUDIES HAVE SHOWN THAT INTEGRATING BEHAVIORAL HEALTH INTO PRIMARY CARE PRACTICE CAN LEAD TO INCREASES IN A PERSON'S ADHERENCE TO TREATMENT, IMPROVES QUALITY OF LIFE, AND INCREASES A PERSON'S SATISFACTION WITH THEIR CARE. AT ADVOCATE HEALTH WE ARE INTEGRATING INTO PRIMARY CARE PRACTICES IN ILLINOIS AND WISCONSIN USING THE COLLABORATIVE CARE APPROACH AND EMBEDDING SOCIAL WORKER TO WORK ALONGSIDE THE PRIMARY CARE TEAM SEEING PEOPLE IN NEED WHEN THEY COME IN FOR THEIR PRIMARY CARE VISIT. IN ADDITION, PATIENTS HAVE ACCESS TO A VIRTUAL LICENSED CLINICIAN FOR BRIEF TARGETED SOLUTION FOCUSED THERAPY. THIRDLY, PRIMARY CARE PHYSICIANS HAVE ACCESS TO A CONSULTING PSYCHIATRIST FOR QUESTIONS REGARDING PRESCRIPTION MEDICATIONS TO TREAT MENTAL HEALTH CONDITIONS. THE GOAL OF THIS INITIATIVE IS TO ADDRESS LOWER-LEVEL BEHAVIORAL HEALTH ISSUES IN THE PRIMARY CARE SETTING WHERE PEOPLE FEEL MOST COMFORTABLE. BETWEEN JUNE 2021 THROUGH 2022, THE PROGRAM HAS SERVED 2,927 PEOPLE IN OUR NINETEEN BEHAVIORAL HEALTH INTEGRATION PROGRAMS ACROSS ILLINOIS AND WISCONSIN, INCLUDING 2,133 PEOPLE SERVED IN 2022 ALONE. THIS PROGRAM IS BASED ON AN EVIDENCE-BASED MODEL OF CARE, COLLABORATIVE CARE OUT OF UNIVERSITY OF WASHINGTON. WE USE EVIDENCE-BASED SCREENING TOOLS, PHQ-9 AND GAD-7. EARLY METRICS HAVE DEMONSTRATED AN INCREASED TIME TO FIRST APPOINTMENT BY 83% COMPARED TO REFERRAL TO USUAL OUTPATIENT BEHAVIORAL HEALTH PROVIDERS.BEHAVIORAL HEALTH ASSESSMENTS . BEHAVIORAL HEALTH ASSESSMENTS HELP PROVIDERS IDENTIFY WHEN A PERSON IS EXPERIENCING BEHAVIORAL HEALTH ISSUES AND ASSISTS IN EXPEDITING REFERRALS TO APPROPRIATE LEVELS OF CARE AND OTHER SUPPORTIVE RESOURCES. IN 2022, 10,637 ASSESSMENTS FOR PEOPLE PRESENTING IN AN ADVOCATE HEALTH IN IL HOSPITAL ED IN ACUTE MENTAL/BEHAVIORAL HEALTH CRISIS WERE COMPLETED BY A BEHAVIORAL-HEALTH SPECIALIST.MOBILE CRISIS RESPONSE TEAM (FORMERLY KNOWN AS MICCS). THE TEAM IS COMPRISED OF FOUR CLINICIANS AND A PEER SUPPORT SPECIALIST. THEY PROVIDE CRISIS INTERVENTIONS, THERAPY AND CASE MANAGEMENT TO ACUTELY ILL BEHAVIORAL HEALTH PATIENTS, OFFERING COMMUNITY-BASED ENCOUNTERS. IN 2022, 85 PEOPLE ENROLLED IN MOBILE CRISIS RECEIVED 1,917 SERVICES, OF WHICH ABOUT HALF WAS DELIVERED IN THE COMMUNITY. ADVOCATE ILLINOIS MASONIC'S BEHAVIORAL HEALTH SERVICES ALSO RAN AN INJECTION CLINIC DURING THE FIRST 2 MONTHS OF 2022 AND DURING THAT TIME, 62 PEOPLE RECEIVED 107 INJECTIONS.DEAF AND HARD OF HEARING PROGRAM. ADVOCATE ILLINOIS MASONIC'S DEAF AND HARD OF HEARING PROGRAM PROVIDES COMPREHENSIVE MENTAL HEALTH CARE IN AMERICAN SIGN LANGUAGE (ASL) TO DEAF AND HARD OF HEARING CHILDREN, ADOLESCENTS, AND ADULTS ACROSS ILLINOIS. THE PROGRAM OFFERS A CONTINUUM OF CARE THAT INCLUDES CLINICAL ASSESSMENTS; PRE-SCREENINGS AND LINKAGE; INDIVIDUAL AND FAMILY THERAPY; PSYCHIATRIC EVALUATIONS AND MEDICATION MONITORING; AS WELL AS CRISIS INTERVENTION WITH A 24-HOUR PHONE LINE. TELE-PSYCHIATRY IS AVAILABLE TO CLIENTS USING A VARIETY OF METHODS, INCLUDING VIDEOPHONE EQUIPMENT SUPPORTED BY THE FEDERAL COMMUNICATIONS COMMISSION (FCC) AND TEAMS/ZOOM, THAT SUIT THE INDIVIDUAL'S LINGUISTIC AND TECHNOLOGICAL NEEDS TO ENABLE THE PROVISION OF OTHERWISE SCARCE DEAF-FRIENDLY PSYCHIATRIC SERVICES IN THE HOMES OF DEAF PATIENTS. OVER THE YEARS, THE HOSPITAL HAS DISTRIBUTED SEVERAL THOUSAND FREE ASL DVDS ON HIV/AIDS, STDS, BREAST HEALTH, DIABETES, DEPRESSION, AND SMOKING CESSATION. IN 2022 , BHS PROVIDED 1537 SERVICES TO 84 DHOH PATIENTS, WITH 1380 OFFERED BY THE ASL-FLUENT STAFF AND 157 SERVICES USING ACCOMMODATION. 12 PATIENTS OF THOSE 84 ALSO HAVE VISUAL IMPAIRMENT; THEY RECEIVED 195 SERVICES OVER THE COURSE OF 2022. PART VI, 6. AFFILIATED HEALTH CARE SYSTEM CONT. FIRST ACCESS PROGRAM. GIVEN THE HIGH NUMBER OF ADMISSIONS AND ED VISITS FOR BEHAVIORAL HEALTH CONDITIONS AT ADVOCATE ILLINOIS MASONIC AND THE HIGH NUMBER OF DISCHARGED PATIENTS THAT WERE NOT KEEPING THEIR OUTPATIENT FOLLOW-UP APPOINTMENTS, THE HOSPITAL'S BEHAVIORAL HEALTH DEPARTMENT CREATED THE FIRST ACCESS PROGRAM IN 2013. THE GOAL OF FIRST ACCESS IS TO PROVIDE IMMEDIATE ACCESS TO FOLLOW-UP BEHAVIORAL HEALTH SERVICES TO SUPPORT RECOVERY AND PREVENT RELAPSES. THROUGH THIS PROGRAM, BEHAVIORAL HEALTH ED PATIENTS, AS WELL AS PATIENTS REFERRED BY THE HOSPITAL'S INPATIENT PSYCHIATRIC UNIT, MEDICAL FLOORS AND PHYSICIANS, ARE LINKED TO FOLLOW-UP FOR OUTPATIENT APPOINTMENTS WITH MINIMAL WAIT TIME. SINCE ITS IMPLEMENTATION, FIRST ACCESS CONSISTENTLY INCREASED BEHAVIORAL HEALTH PATIENTS' APPOINTMENT FOLLOW-THROUGH RATES FROM 40 PERCENT IN 2013 TO 100 PERCENT IN 2019. DISCHARGED PATIENTS RECEIVED WARM HAND-OFFS TO BEHAVIORAL HEALTH SERVICES AND LEFT WITH AN OUTPATIENT PLAN OF CARE. HAVING ACHIEVED THAT, FIRST ACCESS STARTED TO FOCUS ON PROVIDING ACCESS TO CARE TO ALL ADVOCATE PATIENTS AND ITS VOLUMES HAVE STEADILY GROWN, PROVIDING 1,828 INTAKES TO PATIENTS IN 2021. THESE VOLUMES WERE MAINTAINED AND IN 2022 FIRST ACCESS PROVIDED 1826 NEW-PATIENT INTAKES.COMMUNITY LINKAGE SPECIALIST (CLS). IN RESPONSE TO THE INCREASING RATES OF SUBSTANCE ABUSE AND MENTAL ILLNESS IN DUPAGE COUNTY, ADVOCATE GOOD SAMARITAN EMPLOYED A COMMUNITY LINKAGE SPECIALIST THAT WORKS WITH DETOX AND BEHAVIORAL HEALTH UNIT PATIENTS TO CONNECT THEM TO THE APPROPRIATE COMMUNITY SUPPORT SERVICES AND RESOURCES. THIS INDIVIDUAL ALSO CONDUCTS COMMUNITY AND HOME VISITS WITH DISCHARGED PATIENTS . MENTAL HEALTH FIRST AID (IMMC AND GSAM). MENTAL HEALTH FIRST AID TRAINING AIMS TO INCREASE AWARENESS AROUND MENTAL ILLNESS THROUGH HELPING PEOPLE IDENTIFY MENTAL HEALTH ISSUES/ILLNESS AND ADDRESS MENTAL HEALTH CRISES IN THE COMMUNITY. THE TEAM IMPLEMENTED TWO MENTAL HEALTH FIRST AID TRAININGS ACROSS CENTRAL CHICAGOLAND (GOOD SAMARITAN'S EMS/PARAMEDIC STUDENTS AND AVONDALE RESTORATIVE JUSTICE COMMUNITY COURT. TWENTY-EIGHT INDIVIDUALS COMPLETED THE TRAINING AND RECEIVED THEIR CERTIFICATION IN MENTAL HEALTH FIRST AID IN 2022.3. WORKFORCE DEVELOPMENT. ADVOCATE WORKS WITH NON-TRADITIONAL COMMUNITY PARTNERS, SUCH AS SCHOOL DISTRICTS, EMPLOYMENT AGENCIES, COLLEGES AND UNIVERSITIES, AND OTHER PUBLIC AND PRIVATE BUSINESS LEADERS TO ADDRESS BOTH THE HIGH UNEMPLOYMENT RATES AND ECONOMIC DISPARITIES IN SOME CHICAGO NEIGHBORHOODS AS WELL AS TO CONTRIBUTE TO SOLVING THE CITY'S HEALTHCARE SECTOR TALENT SHORTAGE. ADVOCATE WORKFORCE INITIATIVE (AWI). THE ADVOCATE AURORA HEALTH, WORKFORCE DEVELOPMENT TEAM ORIGINATED FROM A GENEROUS GRANT FROM JPMORGAN CHASE IN 2015 VIA A GRANT ENTITLED THE "ADVOCATE WORKFORCE INITIATIVE" (AWI). AWI WAS CREATED TO ADDRESS HIGH-UNEMPLOYMENT RATES AND EMPLOYMENT DISPARITIES IN THE CITY OF CHICAGO'S MOST UNDERSERVED AREAS. SINCE THE GRANT COMPLETION IN 2020, AAH HAS CONTINUED THIS WORK BY ESTABLISHING A SYSTEMWIDE WORKFORCE DEVELOPMENT TEAM ACROSS WISCONSIN AND ILLINOIS. THIS TEAM HAS CREATED AND CONTINUES TO SCALE PROGRAMS AIMED TO CREATE EQUITABLE WORKPLACE PROGRAMS, MEETING THE TALENT NEEDS OF THE ORGANIZATION AND BUILDING SUSTAINABLE WORKFORCE DEVELOPMENT PROGRAMMING. THESE PROGRAMS INCLUDE, BUT AREN'T LIMITED TO:REGISTERED APPRENTICESHIP. LAUNCHED IN 2019, ADVOCATE HEALTH HAS CREATED SEVERAL APPRENTICESHIP MODELS THROUGH THE WISCONSIN DEPARTMENT OF WORKFORCE DEVELOPMENT (DWD) AND THE US DEPARTMENT OF LABOR (DOL) TO ADDRESS URGENT TALENT NEEDS. THESE PROGRAMS INCLUDE A FACILITIES MAINTENANCE AND CULINARY ARTS APPRENTICESHIP IN PARTNERSHIP WITH LOCAL COLLEGES. DIVERSE ABILITIES. SINCE 2017, AAH HAS CREATED A FOCUSED EFFORT TO SOURCE AND EMPLOY INDIVIDUALS WITH DISABILITIES WHILE CREATING A MORE INCLUSIVE HIRING PROCESS. TO DATE, ADVOCATE HEALTH HAS EMPLOYED 35 INDIVIDUALS THROUGH THE PROGRAM . TEAMMATE SUCCESS COACHING. LAUNCHED IN 2022, THIS EFFORT ADDRESSES SOCIAL DETERMINANTS TO RETENTION BY PROVIDING COMPLEX CASE MANAGEMENT AND PROVIDE WRAPAROUND SUPPORT TO SELECT NEW TEAM MEMBERS FROM THE MOST VULNERABLE TALENT POPULATIONS. THIS EFFORT LAUNCHED WITH TWO "TEAMMATE SUCCESS COACHES" IN SOUTH CHICAGOLAND AT CHRIST MEDICAL CENTER IN JUNE 2022 AND CENTRAL CHICAGOLAND AT ILLINOIS MASONIC MEDICAL CENTER IN JANUARY 2023. CORPORATE INTERNSHIPS. EACH SUMMER, AAH EMPLOYS 20+ CORPORATE INTERNS FROM AROUND THE COUNTRY TO INTRODUCE COLLEGE STUDENTS TO CAREERS IN HR, FINANCE, IT AND OTHER CORPORATE FUNCTIONS.COMMUNITY SCHOLARSHIP. STARTING IN 2021, THE AAH COMMUNITY SCHOLARSHIP PROGRAM AWARDS $5,000 SCHOLARSHIPS TO 10 COMMUNITY MEMBERS AND 10 DEPENDENTS OF AAH TEAM MEMBERS. IN 2022, AAH AWARDED TWENTY, $5,000 SCHOLARSHIPS FOR STUDENTS ACROSS ILLINOIS AND WISCONSIN THAT ARE PURSUING STEM-RELATED CAREERS.HISTORICALLY BLACK COLLEGES AND UNIVERSITY (HBCU). STARTING IN 2021, AAH PARTNERED WITH SEVERAL HBCUS ACROSS THE NATION TO PROVIDE SPONSORSHIPS, SCHOLARSHIPS, INTERNSHIPS, AND MENTORING FOR STUDENTS ENROLLED IN COLLEGE PROGRAMS. PARTNER SCHOOLS INCLUDE FLORIDA A&M, CENTRAL STATE UNIVERSITY AND SPELMAN COLLEGE.HERZING UPSKILLING PROGRAMS. STARTING IN 2021, ADVOCATE HEALTH DEVELOPED AND LAUNCHED TWO UPSKILLING PROGRAMS WITH HERZING UNIVERSITY 'STERILE PROCESSING TO SURGICAL TECHNOLOGIST AND 'MEDICAL ASSISTANT'. ADVOCATE HEALTH TEAM MEMBERS IN ENTRY-LEVEL ROLES CAN ENROLL IN REGULARLY SCHEDULED COHORTS AS THEY WORK THROUGH ONLINE EDUCATION AND ON-SITE SKILLS TRAINING. TO DATE, OVER 80 TEAM MEMBERS HAVE ENROLLED ACROSS ILLINOIS AND WISCONSIN WITH MANY MORE ON THE WAY.MAAPET (MEDICAL ASSISTANT ACCELERATED PATH TO EMPLOYMENT TRAINING PROGRAM). THE MAAPET PROGRAM WAS A PAID TRAINING PROGRAM IN PARTNERSHIP WITH THE CENTER FOR HEALTHCARE CAREERS OF SE WI (CHCSEW) AND MADE POSSIBLE BY A $500K GRANT THROUGH THE MEDICAL COLLEGE OF WISCONSIN'S ADVANCING A HEALTHIER WISCONSIN ENDOWMENT (AHW). THIS PROGRAM, IN COLLABORATION WITH THE REGION'S FOUR LARGEST HEALTHCARE SYSTEMS, TRAINED OVER 100 NEW MEDICAL ASSISTANTS FROM UNDERSERVED COMMUNITIES BY THE END OF 2022. OVER THE COURSE OF THIS PAID, 14-WEEK, ACCELERATED TRAINING PROGRAM, EMPLOYEES OF ALL FOUR SYSTEMS TRAINED TO BECOME MAS AND SIT FOR A NATIONAL MA CERTIFICATION UPON COMPLETION . WORKFORCE DEVELOPMENT . IN 2021, ADVOCATE WORKFORCE INITIATIVE AND CENTRAL CHICAGOLAND COMMUNITY HEALTH PARTNERED WITH COMMUNITY COLLEGES AND ORGANIZATIONS TO PROVIDE PHLEBOTOMY AND MEDICAL ASSISTANT EXTERNSHIPS FOR INDIVIDUALS LIVING IN UNDERSERVED, DISENFRANCHISED COMMUNITIES. THE INITIATIVE PROVIDED HANDS-ON AND WORKFORCE DEVELOPMENT TRAINING TO 11 INDIVIDUALS FROM COMMUNITIES WITH HIGH RATES OF UNEMPLOYMENT. IN ADDITION, ADVOCATE LUTHERAN GENERAL HOSPITAL PARTNERS CLOSELY WITH MAINE EAST HIGH SCHOOL AND THEIR JUMPSTART PROGRAM. JUMPSTART IS A YOUTH EMPLOYMENT PROGRAM, FEDERALLY FUNDED THROUGH THE WORKFORCE INNOVATION AND OPPORTUNITY ACT BASED OUT OF MAIN TOWNSHIP HIGH SCHOOL DISTRICT 207. THE PROGRAM SERVES IN AND OUT OF SCHOOL YOUTH WITH EMPLOYMENT AND EDUCATION BARRIERS THROUGHOUT NORTHERN COOK COUNTY WITH AN EMPHASIS ON THE DES PLAINES, PARK RIDGES, NILES, MORTON GROVE AND GLENVIEW NEIGHBORHOODS. ADVOCATE LUTHERAN OFFERS WORKING OPPORTUNITIES IN VARIOUS ENTRY-LEVEL DEPARTMENT, SUCH AS FOOD AND NUTRITION SERVICES AND ENVIRONMENTAL SERVICES. THE COMMUNITY HEALTH DEPARTMENT OVERSEES THE ORIENTATION PROCESS AND WORKS WITH THE JUMPSTART TEAM AND HOSPITAL STAFF TO ENSURE THAT THE STUDENTS ARE EQUIPPED WITH THE PROPER TOOLS TO START THEIR PAID INTERNSHIP. FROM 2021 TO 2022, A TOTAL OF 27 JUMPSTART YOUTH HAS HAD WORK EXPERIENCES AT ADVOCATE LUTHERAN GENERAL AND SEVEN OF THOSE YOUTH HAVE BEEN HIRED INTO PERMANENT POSITIONS.SOUTH SHORE INTERNATIONAL COLLEGE PREPARATORY. SEVERAL ADVOCATE HOSPITALS PROVIDE EXPERIENTIAL LEARNING TO AREA HIGH SCHOOL STUDENTS THAT ARE ON AN EDUCATIONAL TRACK TO A HEALTH CARE CAREER. THESE STUDENTS RECEIVE CREDIT TOWARDS GRADUATION IN ADDITION TO HELPING THEM DISCERN IN WHICH HEALTH CARE AREA THEY WISH TO SPECIALIZE. TO GIVE CHICAGO SOUTHSIDE STUDENTS BETTER JOB OPPORTUNITIES, ADVOCATE TRINITY WORKS WITH STUDENTS FROM CHICAGO VOCATIONAL CAREER ACADEMY, AND SOUTH SHORE AND JULIAN HIGH SCHOOLS. THESE STUDENTS ARE ROTATED IN HOSPITAL UNITS TO LEARN MARKETABLE JOB SKILLS. PART VI, 6. AFFILIATED HEALTH CARE SYSTEM CONT. 4. COMMUNITY SAFETY: ADVOCATE ALSO WORKS WITH COMMUNITY PARTNERS TO ADDRESS COMMUNITY SAFETY/VIOLENCEANOTHER COMMUNITY STRATEGY FOCUS AREA. SOME EXAMPLES ARE PROVIDED BELOW.CENTER FOR FAITH AND COMMUNITY HEALTH TRANSFORMATION. THE CENTER FOR FAITH AND COMMUNITY HEALTH TRANSFORMATION WORKS TO ADVANCE HEALTH EQUITY BY PARTNERING WITH FAITH-BASED AND COMMUNITY ORGANIZATIONS TO BUILD COMMUNITY, NURTURE LEADERS AND CONNECT THE UNIQUE SPIRIT POWER OF FAITH COMMUNITIES TO PROMOTE SOCIAL JUSTICE AND ABUNDANT LIFE FOR INDIVIDUALS, FAMILIES AND COMMUNITIES. THE CENTER IS A PARTNERSHIP BETWEEN ADVOCATE AND THE OFFICE FOR COMMUNITY ENGAGEMENT AND NEIGHBORHOOD HEALTH PARTNERSHIPS AT THE UNIVERSITY OF ILLINOIS AT CHICAGO. CURRENTLY, THE CENTER IS CONVENING A TRAUMA INFORMED CONGREGATIONS NETWORK TO SUPPORT THE CAPACITY OF FAITH COMMUNITIES TO PREVENT TRAUMA AND TO BE PLACES OF HEALING FOR THOSE WHO HAVE EXPERIENCED ADVERSITY IN CHILDHOOD OR THROUGHOUT THEIR LIVES.ILLINOIS ADVOCATE HEALTH FORENSIC NURSE EXAMINERS (FNES). FNES, SPECIALLY TRAINED AND STATE CERTIFIED NURSE EXAMINERS LOCATED IN ADVOCATE HEALTH HOSPITALS IN BOTH ILLINOIS AND WISCONSIN, PROVIDE COMPASSIONATE, TRAUMA-INFORMED CARE TO SEXUAL ASSAULT AND DOMESTIC VIOLENCE SURVIVORS SEEKING CARE IN THE EMERGENCY DEPARTMENT. THESE HIGHLY TRAINED PRACTITIONERS PERFORM FORENSIC EXAMS PERTAINING TO SEXUAL ASSAULT/ABUSE, ADDRESS SEXUALLY TRANSMITTED INFECTION CONCERNS, COLLECT FORENSIC EVIDENCE, TESTIFY IN COURT AS EXPERT WITNESSES, AND PROVIDE ACCESS TO ADVOCACY AND AFTER-CARE RESOURCESSUPPORTING SURVIVORS THROUGH THE ENTIRE PROCESS. IN ILLINOIS, WE HAVE BEEN AGGRESSIVELY TRAINING AND RECRUITING SEXUAL ASSAULT NURSE EXAMINERS TO MEET THE REGULATORY MANDATE THAT GOES INTO EFFECT JANUARY 2023. IN 2022 WE TRAINED 11 RN TO SUPPORT COVERAGE AT ALL ADVOCATE HOSPITALS IN ILLINOIS. WE HAVE DEVELOPED A REGIONAL RESPONSE TO SEXUAL ASSAULT VICTIMS THAT WILL PROVIDE 24/7 COVERAGE WITHIN 90 MINUTES OF THE PATIENT'S ARRIVAL AT OUR FACILITIES. IN 2022 ACROSS OUR ILLINOIS MARKET, 294 ADULTS AND 234 CHILDREN <13 YEARS WERE TREATED FOR SEXUAL ASSAULT, WITH AN ADDITIONAL 91 CHILDREN REFERRED FOR FURTHER EVALUATION TO ADVOCATE CHILDREN'S HOSPITAL CHILD PROTECTION TEAM SEXUAL ABUSE CLINIC. SOUTHLAND RISE. SOUTHLAND RISE (RESILIENCE INITIATIVE TO STRENGTHEN AND EMPOWER) IS A COLLABORATIVE UNITING THE TRAUMA RECOVERY CENTER OF ADVOCATE CHRIST MEDICAL CENTER IN OAK LAWN AND THE VIOLENCE RECOVERY PROGRAM OF HYDE PARK-BASED UCHICAGO MEDICINE (UCM). INSPIRED BY U.S. SENATOR DICK DURBIN'S HEAL (HOSPITAL ENGAGEMENT, ACTION, LEADERSHIP) INITIATIVE, THE TWO HOSPITALS WORK TOGETHER AND ALONGSIDE COMMUNITY PARTNERS TO IMPROVE LONG-TERM TRAUMA RECOVERY CARE AND MITIGATE VIOLENCE-RELATED INJURY IN SOUTHLAND AND ON THE SOUTH SIDE OF CHICAGO. THROUGH ITS ACTIVE LEADERSHIP ROLE IN SOUTHLAND RISE, ADVOCATE HEALTH CHAMPIONS EFFORTS THAT INCREASE ACCESS TO QUALITY CARE FOR SURVIVORS OF INTENTIONAL VIOLENCE AND STRIVES TO BUILD STRONGER, MORE RESILIENT COMMUNITIES. ADVOCATE HEALTH'S LEADERSHIP ROLE IN SOUTHLAND RISE HAD A PROFOUNDLY POSITIVE IMPACT ON SOUTH SIDE COMMUNITIES IN 2022.THROUGH THE RAPID CYCLE VIOLENCE PREVENTION & COMMUNITY RESILIENCY GRANT PROGRAM, 18 SOUTH SIDE COMMUNITY GROUPS RECEIVED $150,000 TO STRENGTHEN THEIR GRASSROOTS WORK SUPPORTING YOUTH AND KEEPING THEM SAFE DURING THE SUMMER IN 2022. THE COLLABORATIVE HAS BEEN ABLE TO EXPAND THE COMMUNITY VIOLENCE PREVENTION INITIATIVE BY HIRING TWO STAFF MEMBERS IN 2022. ADDITIONAL FUNDS WERE RECEIVED TO IMPROVE THE DELIVERY OF TRAUMA-INFORMED CARE AND SUPPORT AWARENESS EFFORTS SUCH AS THE STRIDES FOR PEACE, RACE AGAINST GUN VIOLENCE EVENT. SOUTHLAND RISE HOSPITAL PARTNERS HAVE AGAIN RENEWED THEIR COMMITMENT TO FUND THE RAPID-CYCLE VIOLENCE PREVENTION & COMMUNITY RESILIENCY GRANT PROGRAM, WITH THE ADDED GOAL OF STRENGTHENING COLLABORATION BETWEEN GRANT RECEIVING ORGANIZATIONS. ALSO, A PRIORITY IS CONTINUING TO STRENGTHEN COMMUNITY PARTNERSHIPS, FOSTERING DEEPER COLLABORATION WITH KEY VIOLENCE PREVENTION STAKEHOLDERS, AND ENCOURAGING CONTINUED COLLABORATION BETWEEN THE TWO HOSPITALS THROUGH THE SOUTHLAND RISE STEERING COMMITTEE.ADVOCATE TRAUMA RECOVERY CENTER (TRC). THE TRC IS A HEALTH CARE-BASED VIOLENCE INTERVENTION PROGRAM THAT PROVIDES SOCIAL AND BEHAVIORAL HEALTH SERVICES, INDIVIDUAL AND GROUP THERAPEUTIC SERVICES, AND PSYCHIATRIC CONSULTATION TO SURVIVORS OF INTENTIONAL CRIME AND/OR TRAUMA. THE PURPOSE IS TO AID INDIVIDUALS WHO HAVE EXPERIENCED TRAUMA IN REBUILDING, RESTORING AND STRENGTHENING THEIR SENSE OF SAFETY BY ENDING THE CYCLE OF VIOLENCE. THE TRC PROVIDES ACCESS TO TRAUMA-INFORMED CARE BY ACKNOWLEDGING HOW PAST AND PRESENT TRAUMATIC EXPERIENCES AND STRESS MAY IMPACT THE INDIVIDUALS AND FAMILIES SERVEDRESPONDING TO THE UNIQUE NEEDS OF EACH SURVIVOR AND THEIR FAMILY. THE TRC PROGRAM BEGAN AT ADVOCATE CHRIST MEDICAL CENTER IN 2019. IN LATE 2022, THE TRC PROGRAM EXPANDED ITS SERVICES TO ADVOCATE CONDELL MEDICAL CENTER AND ADVOCATE ILLINOIS MASONIC THROUGH SUPPORT FROM THE ILLINOIS CRIMINAL JUSTICE INFORMATION AUTHORITY. THE TRC SERVICES HAVE EXPANDED FROM COOK COUNTY, WILL COUNTY, KANKAKEE COUNTY AND DUPAGE COUNTY TO ALSO SERVE LAKE COUNTY, KANE COUNTY, KENDALL COUNTY, MCHENRY COUNTY. THE PROGRAM NOW HAS TRAUMA OUTREACH WORKERS THAT ARE AVAILABLE 24 HOURS A DAY, 7 DAYS A WEEK. IN 2022, A TOTAL OF 1,556 PEOPLE WERE SERVED BY THE TRC PROGRAM. THE TOP THREE GROUPS SERVICED, BY RACE AND ETHNICITY, WERE BLACK OR AFRICAN AMERICAN (56.8%), HISPANIC OR LATINO (21.2%) AND WHITE NON-LATINO OR CAUCASIAN (17.7%).VIOLENCE REDUCTION. THE TRAUMA RECOVERY CENTER HAS PARTNERED WITH COMMUNITIES PARTNERING 4 PEACE (CP4P) TO BETTER SERVE OUR COMMUNITIES THAT ARE IMPACTED BY GUN VIOLENCE. CP4P IS PART OF METROPOLITAN FAMILY SERVICES; THEY WORK WITH STREET OUTREACH ORGANIZATIONS THAT COVER 28 COMMUNITIES IN THE CHICAGOLAND AREA. TRC TEAMMATES ARE TRAINED BY CP4P TO IDENTIFY HIGH RISK FOR RETALIATION SITUATIONS AND THEN TO PARTNER WITH THE STREET OUTREACH ORGANIZATION IN THE NEIGHBORHOOD IN WHICH THE INCIDENT OCCURRED. STREET OUTREACH WILL WORK WITHIN THE NEIGHBORHOOD TO PREVENT RETALIATION AND PARTNER WITH MEMBERS OF THE TRC TO HELP THE PATIENT IN THEIR HEALING PROCESS AND DO OUR BEST TO ENSURE SAFETY UPON DISCHARGE. TRAUMA-INFORMED CARE (TIC) TRAINING. THROUGH STAFF MEETINGS, STUDENT EDUCATION, AND SPECIALIZED TRAINING AS REQUESTED BY ADVOCATE HEALTH TEAMS, THE TRAUMA INFORMED CARE (TIC) MANAGER LOCATED AT AURORA SINAI MEDICAL CENTER IN MILWAUKEE PROVIDED A FUNDAMENTAL OVERVIEW OF TRAUMA-INFORMED CARE TO TEAMMATES IN VARIOUS ROLES ACROSS THE SYSTEM. THE TRAINING PROVIDES AN OVERVIEW OF THE FOUR RS OF TRAUMA-INFORMED CARE (REALIZE, RECOGNIZE, RESPOND, AND RESIST RE-TRAUMATIZATION) AND HISTORICAL TRAUMA AS A FACTOR IMPACTING A PERSON'S LIFETIME WELLNESS. THIS EXPANDED THE WORK WITH INITIATIVES TO ASSURE TEAM MEMBER AND PATIENT SAFETY BY INTEGRATING TRAUMA-INFORMED CARE PRACTICES TAILORED TO SERVICE AREAS AND EXPANDED IMPLEMENTATION OF THE FOUR R'S OF TRAUMA-INFORMED CARE. OUR TIC MANAGER TRAINED 1,100 AURORA TEAMMATES IN 2022. 5. AFFORDABLE HOUSING: ACCORDING TO HEALTHY PEOPLE 2020, DATA INDICATES THAT POOR-QUALITY HOUSING IS ASSOCIATED WITH VARIOUS NEGATIVE HEALTH OUTCOMES, INCLUDING CHRONIC DISEASE AND INJURY, AND POOR MENTAL HEALTH. IT IS FOR THIS REASON THAT ADVOCATE HAS VOWED AS A FIFTH COMMUNITY STRATEGY FOCUS AREA TO DECREASE THE NUMBER OF ED PATIENTS WHO ARE SCREENED POSITIVE FOR HOMELESSNESS BY 5% BY 2025. WHILE WORK TOWARDS THIS GOAL IS STILL EMERGING, SEVERAL ADVOCATE HOSPITALS ARE TAKING STEPS TO PROVIDE PATIENTS WITH A HEALTHY AND SAFE ENVIRONMENT IN WHICH TO HEAL. COOK COUNTY FLEXIBLE HOUSING POOL. THE COOK COUNTY FLEXIBLE HOUSING POOL IS A COLLABORATIVE PARTNERSHIP AMONG HEALTH SYSTEMS, MANAGED CARE ORGANIZATIONS, COOK COUNTY HEALTH AND HOSPITAL SYSTEM, CITY OF CHICAGO DEPARTMENT OF PUBLIC HEALTH AND THE CENTER FOR HEALTH AND HOUSING. THE PROGRAM ADDRESSES HOUSING INSECURITY AMONG HOMELESS PATIENTS BY PLACING INDIVIDUALS IN PERMANENT SUPPORTIVE HOUSING WHILE ALSO PROVIDING WRAP AROUND CARE, CASE MANAGEMENT AND BEHAVIORAL HEALTH SERVICES. THE MAIN GOAL OF THE PROGRAM IS TO ADDRESS HOMELESSNESS, ONE OF THE MOST SIGNIFICANT ROOT CAUSES OF POOR HEALTH. WHILE THIS PROGRAM SERVES A SMALL NUMBER OF PEOPLE, THE IMPACT IS DEEP AND LIFELONG. IN 2022, THE ADVOCATE HEALTH TEAMS IN COOK COUNTY PLACED 10 INDIVIDUALS AND FAMILIES INTO PERMANENT SUPPORTIVE HOUSING. PART VI, 6. AFFILIATED HEALTH CARE SYSTEM CONT. THE CAROL STREET APARTMENTS. THE ADVOCATE LUTHERAN GENERAL CARE MANAGEMENT DEPARTMENT PLANS SAFE DISCHARGES FOR PATIENTS RECOVERING FROM HOSPITALIZATION AND WHO HAVE NO HOUSING RESOURCES. THE DEPARTMENT MANAGES THE ADVOCATE LUTHERAN CAROL STREET APARTMENTS. LOCATED ON THE HOSPITAL'S CAMPUS, THESE APARTMENTS ARE AVAILABLE FOR RENT ON A DAILY, WEEKLY OR MONTHLY BASIS. THE APARTMENTS ARE USED BY PATIENTS THAT ARE ACTIVELY GETTING SERVICES ON CAMPUS, I.E., CHEMOTHERAPY, RADIATION, ETC., AND ARE ALSO AVAILABLE FOR FAMILY MEMBERS OF INPATIENTS THAT DO NOT LIVE NEAR THE HOSPITAL. FINANCIAL ASSISTANCE IS GRANTED TO PATIENTS AND FAMILIES THAT DEMONSTRATE FINANCIAL HARDSHIP. IN 2022, THE PROGRAM SERVED 11INDIVIDUALS. 6. FOOD SECURITY. ANOTHER KEY ADVOCATE COMMUNITY STRATEGY FOCUS AREA IS FOOD SECURITY. ACCESS TO FRESH, AFFORDABLE FOOD IS A KEY INGREDIENT IN THE RECIPE TO ADDRESS FOOD INSECURITYAND IN KEEPING THE COMMUNITY HEALTHY. ADVOCATE IS INVOLVED WITH MULTIPLE NON-TRADITIONAL COMMUNITY PARTNERS IN LOCAL AND SUSTAINABLE FOOD INITIATIVES TO ADDRESS FOOD INSECURITY. RX MOBILE PANTRY. IN 2019, ADVOCATE CONDELL LAUNCHED THE RX MOBILE FOOD PANTRY TO SERVE FOOD INSECURE (FI) RESIDENTS OF THE ROUND LAKE AREA. THE PROGRAM GREW FROM THE MEDICAL CENTER'S COMMUNITY HEALTH EFFORTS IN SCREENING AND REFERRAL FOR FOOD INSECURITY. IN DECEMBER OF 2021, ADVOCATE CONDELL'S RX MOBILE FOOD PANTRY PROGRAM TRANSITIONED INTO AN RX MARKET, WHICH WILL BE MANAGED BY CATHOLIC CHARITIES. THE PERMANENT LOCATION WILL CONTINUE ADDRESSING THE NEEDS OF THE COMMUNITY WHILE OFFERING THE SAME VARIETY OF HEALTHY FOODS DURING SEVERAL DAYS AND AT VARIOUS HOURS OF EACH WEEK. THE PROGRAM EVOLVED INTO A SUSTAINABLE MODEL THAT HAS SIGNIFICANTLY INCREASED ACCESS TO HEALTHY FOODS IN THAT AREA. IN 2022, ADVOCATE CONDELL LAUNCHED A SECOND RX MOBILE PROGRAM IN LAKE COUNTY, FOCUSING ON LAKE VILLA. IN 2022, THE PROGRAM SERVED 8,478 PEOPLE AND DISTRIBUTED OVER 100,000 POUNDS OF MEAT, DAIRY AND PRODUCE. HOSPITAL-BASED FOOD PANTRY PROGRAMS IN CENTRAL CHICAGOLAND. ADVOCATE ILLINOIS MASONIC MEDICAL CENTER HOSPITAL-BASED FOOD PANTRY PROGRAM SCREENS PATIENTS FOR FOOD INSECURITY. PATIENTS WHO SCREEN POSITIVE FOR FOOD INSECURITY ARE ELIGIBLE FOR A NON-PERISHABLE FOOD BAG AND FRESH PRODUCE BOX ONCE A MONTH. IN ADDITION, THE MEDICAL CENTER IMPLEMENTS POP UP FARMERS MARKETS IN LOW-INCOME AND VULNERABLE COMMUNITIES WITH HIGH FOOD INSECURITY RATES. IN 2022. THE PROGRAM SERVED 47 NEW PATIENTS AND 21 REPEAT PATIENTS, A TOTAL OF 68 PATIENTS. SIMILARLY, ADVOCATE LUTHERAN GENERAL HOSPITAL HAS AN ESTABLISHED HOSPITAL-BASED PANTRY PROGRAM THAT SERVED 98 PATIENT AND 3 REPEAT PATIENTS IN 2022. ADVOCATE GOOD SAMARITAN HOSPITAL SERVED 19 NEW PATIENTS AND 4 REPEAT PATIENTS IN 2022. THE CENTRAL CHICAGOLAND HOSPITAL-BASED PANTRY PROGRAM CONTINUE TO GROW AND WILL CONTINUE TO EVOLVE TO ADDRESS THE GROWING NEEDS OF THE COMMUNITY AND THE PATIENTS. HEALTHY LIVING FOOD FARMACY. ADVOCATE LAUNCHED AN INNOVATIVE PILOT PROGRAMHEALTHY LIVING FOOD FARMACYAT ADVOCATE TRINITY HOSPITAL TO MAKE A POSITIVE IMPACT ON PATIENTS FACING SOCIO-ECONOMIC BARRIERS TO BETTER HEALTH. PATIENTS ARE INVITED TO ATTEND THE BI-WEEKLY EVENTS FOR A FREE DOSE OF HEALTHY FOODMAKING THEIR SELECTIONS FROM TABLES OF ASSORTED FRESH PRODUCE AND LOW-SODIUM, SHELF-STABLE PROTEINS. THE PROGRAM IS FOCUSED ON IMPACTING THE HEALTH OF THE COMMUNITY BY PROVIDING ACCESS TO HEALTHY FOOD OPTIONS FOR FOOD INSECURE PATIENTS. THE HEALTHY LIVING FOOD FARMACY IS SUPPORTED BY A PARTNERSHIP WITH THE GREATER CHICAGO FOOD DEPOSITORY, ADVOCATE TRINITY'S LEADERSHIP, VOLUNTEERS AND COMMUNITY HEALTH DEPARTMENT. IN 2022, THE FOOD FARMACY DISTRIBUTE 48,917 POUNDS OF FOOD AND SERVED 2,065 PATIENTS.SHERMAN NATURAL PRAIRIE AND COMMUNITY GARDEN (SNPCG). ADVOCATE SHERMAN HOSPITAL IS ADDRESSING FOOD INSECURITY BY DONATING PRODUCE HARVESTED FROM THE MASTER GARDENERS (COLLABORATION WITH UNIVERSITY OF ILLINOIS EXTENSION OFFICE) AND EXCESS PRODUCE FROM COMMUNITY GARDEN BEDS THROUGH THE ON-CAMPUS COMMUNITY GARDEN. IN 2022, 315 POUNDS OF PRODUCE WAS HARVESTED AND DONATED TO THE ELGIN COMMUNITY COLLEGE SPARTAN STUDENT FOOD PANTRY AND FOOD FOR GREAT ELGIN FOOD PANTRY. OVERALL, ADVOCATE FUNDS MANY SYSTEM LEVEL PROGRAMS AND ACTIVITIES FOCUSED ON POSITIVELY AFFECTING THE HEALTH STATUS AND QUALITY OF LIFE OF INDIVIDUALS AND POPULATIONS IN COMMUNITIES SERVED BY ADVOCATE. IN ADDITION TO THE MANY PROGRAM EXAMPLES PROVIDED PREVIOUSLY, ANOTHER SYSTEM-LEVEL FUNDED PROGRAM IS PROVIDED BELOW.FAITH AND HEALTH PARTNERSHIPS. ADVOCATE AURORA HEALTH'S FAITH AND HEALTH PARTNERSHIPS PROGRAM WORKS SIDE BY SIDE WITH FAITH COMMUNITIES TO PROMOTE HEALTH EQUITY BY MOBILIZING THE TRANSFORMING POWER OF SOCIAL CONNECTEDNESS AND SPIRITUAL WISDOM. THE PROGRAM SUPPORTS A NEIGHBORHOOD MODEL THAT EMBEDS AAH TEAM MEMBERS IN SPECIFIC NEIGHBORHOODS IDENTIFIED AS PRIORITIES THROUGH THE AAH COMMUNITY STRATEGY. TEAM MEMBERS WORK WITH A COLLABORATIVE NETWORK OF FAITH COMMUNITIES AND COMMUNITY-BASED ORGANIZATIONS TO ADDRESS HEALTH ISSUES THAT HAVE BEEN IDENTIFIED BY COMMUNITY MEMBERS AS ISSUES THAT ARE IMPORTANT TO THEM. IN ILLINOIS WE HAVE NEIGHBORHOOD NETWORK PROGRAMS IN SOUTH CHICAGO AND AVONDALE AND ARE FOCUSED EFFORTS ON REDUCING STRESS AND INCREASING SOCIAL CONNECTEDNESS, MANAGING CHRONIC DISEASE, AND SUPPORTING FOOD ACCESS. FAITH AND HEALTH PARTNERSHIPS ALSO WORKS ACROSS OUR FOOTPRINT ON BUILDING CAPACITY OF FAITH LEADERS AND CONGREGATIONS TO PROMOTE THE WHOLISTIC HEALTH OF THEIR MEMBERS AND THE COMMUNITIES THEY SERVE, PARTICULARLY AROUND MENTAL HEALTH. AAH ALSO SUPPORTS A FAITH COMMUNITY NURSE NETWORK OF 27 NURSES THAT SERVE CONGREGATIONS ACROSS THE CHICAGOLAND REGION.AT BOTH THE SYSTEM AND SITE LEVELS, ADVOCATE IS WORKING TO EXAMINE AND ADDRESS THE ROOT CAUSES OF HEALTH INEQUITIES IN OUR COMMUNITIES. TO SUPPORT THE ADVOCATE HOSPITALS IN CONDUCTING CHNA'S, ADVOCATE PURCHASED ACCESS TO METOPIO, A CHNA DATA TOOL. METOPIO IS A SOFTWARE AND SERVICES COMPANY THAT IS GROUNDED IN THE PHILOSOPHY THAT COMMUNITIES ARE CONNECTED THROUGH PLACES AND PEOPLE. METOPIO'S TOOLS AND VISUALIZATIONS USE DATA TO REVEAL VALUABLE, INTERCONNECTED FACTORS THAT INFLUENCE HEALTH OUTCOMES IN DIFFERENT LOCATIONS. METOPIO OFFERS A DATA, TAILORED TO SUPPORT ALL ADVOCATE AURORA HEALTH HOSPITALS WITH IDENTIFYING HEALTH INEQUITIES IN COMMUNITIES. METOPIO USES THE MOST CURRENT DATA SOURCES AND CREATES TOOLS AND INDICES THAT FOCUS ON THE COMMUNITIES WITHIN THE AAH SERVICES AREAS. THE DATA CAN BE USED TO FOCUS ON SPECIFIC REGIONS, COMMUNITIES, AND HOSPITAL SERVICES AREAS. BELOW IS A DESCRIPTION OF TWO IMPORTANT INDICES FOUND IN METOPIO. HARDSHIP INDEX DESCRIPTION. THE HARDSHIP INDEX WAS ORIGINALLY DEVELOPED BY RICHARD P. NATHAN AND CHARLES F. ADAMS, JR. IN 1976 TO COMPARE SOCIOECONOMIC CONDITIONS BETWEEN COMMUNITIES. IT IS HIGHLY CORRELATED WITH OTHER MEASURES OF ECONOMIC HARDSHIP, SUCH AS LABOR FORCE STATISTICS, AND WITH POOR HEALTH OUTCOMES. THE INDEX COMBINES THE FOLLOWING TOPICS INTO A SINGLE COMPOSITE VALUE ON A SCALE OF 0-100: - CROWDED HOUSING (MORE THAN ONE PERSON PER ROOM) - POVERTY RATE FOR HOUSEHOLDS - UNEMPLOYMENT RATE - ADULTS WITH A HIGH SCHOOL DEGREE OR EQUIVALENT - AGE DEPENDENCY RATIO (% OF RESIDENTS WHO ARE <18 OR >65 YEARS OLD, COMPARED TO THOSE OF WORKING AGE) - PER-CAPITA INCOME HIGHER VALUES INDICATE GREATER HARDSHIP AND CORRELATE HIGHER WITH POOR HEALTH OUTCOMES. THE INDEX DOES NOT PRESERVE THE RATIO BETWEEN TWO PLACES, SO IF ONE PLACE HAS TWICE THE HARDSHIP INDEX OF ANOTHER, WE CANNOT SAY THAT IT EXPERIENCES "TWICE AS MUCH HARDSHIP" AS ANOTHER PLACE. INSTEAD, COMPARE DIFFERENT PLACES USING THE CONSTITUENT TOPICS. SOCIAL VULNERABILITY INDEX. THE SOCIAL VULNERABILITY INDEX (SVI) WAS DEVELOPED BY THE CENTER FOR DISEASE CONTROL AND PREVENTION (CDC) TO HELP PUBLIC HEALTH OFFICIALS AND EMERGENCY RESPONSE PLANNERS IDENTIFY AND MAP THE COMMUNITIES THAT WILL MOST LIKELY NEED SUPPORT BEFORE, DURING, AND AFTER A HAZARDOUS EVENT, SUCH AS A NATURAL DISASTER, DISEASE OUTBREAK, OR CHEMICAL SPILL. SVI INDICATES RELATIVE VULNERABILITY BY RANKING PLACES ON 15 SOCIAL FACTORS THAT CAN BE DIVIDED INTO 4 CATEGORIES: - SOCIOECONOMIC - HOUSEHOLD COMPOSITION & DISABILITY - MINORITY STATUS & LANGUAGE - HOUSING TYPE & TRANSPORTATION THE ORIGINAL SCORE IS ON A SCALE FROM 0-1, BUT IT IS MULTIPLIED BY 100 FOR READABILITY ON METOPIO. A HIGHER SCORE REPRESENTS A COMMUNITY MORE VULNERABLE TO A HAZARDOUS EVENT. PART VI, 6. AFFILIATED HEALTH CARE SYSTEM CONT. ADVOCATE CONTINUES TO WORK LOCALLY AND NATIONALLY WITH MANY PROMINENT COMMUNITY PARTNERS TO ADDRESS SOCIAL DETERMINANTS OF HEALTH. EXAMPLES OF THESE EFFORTS INCLUDE THE FOLLOWING. HEALTH CARE ANCHOR NETWORK (HAN). AAH IS A FOUNDING MEMBER OF THE HEALTHCARE ANCHOR NETWORK WHICH HAS EXPANDED TO INCLUDE 70 OTHER AREA HEALTH SYSTEM AND HOSPITAL PARTNERS. AAH HAS SIGNIFICANT ECONOMIC AND HUMAN RESOURCES ACROSS ITS SERVICE AREA AS THE LARGEST EMPLOYER IN THE MILWAUKEE AREA AND THE FOURTH LARGEST IN CHICAGO. TO LEVERAGE THESE RESOURCES, IN 2019, AAH ANNOUNCED A COMMITMENT TO INVEST $50 MILLION TO HELP ADDRESS THE ECONOMIC, RACIAL, AND ENVIRONMENTAL DISPARITIES THAT IMPACT COMMUNITY HEALTH OUTCOMES AND DECREASE HEALTH INEQUITY. ADDITIONALLY, AAH COMMITTED TO DRIVING COMMUNITY HEALTH AND WELL-BEING THROUGH ITS INCLUSIVE, LOCAL HIRING AND LOCAL PURCHASING STRATEGIES AND INITIATIVES.ADVOCATE AURORA $50M INVESTMENT PLEDGE. AAH IS AMONG THE FIRST HEALTH SYSTEMS IN THE COUNTRY TO MAKE A SIGNIFICANT COMMITMENT TO INVESTING IN TARGETED COMMUNITY DEVELOPMENT. THE ANCHOR STRATEGY INVESTMENTS ARE TARGETED TO ENHANCE CRITICAL SERVICES SUCH AS AFFORDABLE OR SUPPORTIVE HOUSING AND FOOD ACCESS IN COMMUNITIES THAT LEAD TO IMPROVED HEALTH AND DEMONSTRATED DOWNSTREAM BENEFITS TO OUR PATIENTS AND THE COMMUNITY. INITIALLY, THE INVESTMENT WORK WAS DONE IN PARTNERSHIP WITH COMMUNITY DEVELOPMENT FINANCING INSTITUTIONS (CDFIS) TO FUND PROJECTS. ALTHOUGH NOT A PROFIT MAXIMIZING ACTIVITY, THIS INVESTMENT COMMITMENT WILL RESULT IN A RETURN OF THE PRINCIPAL TO THE ORGANIZATION WITH INTEREST TO ENSURE A SUSTAINABLE INVESTMENT CAPACITY FOR REINVESTMENT OVER TIME. A COMMUNITY INVESTMENT STRATEGY TEAM WAS FORMED TO PLAN AND GUIDE THE WORKCONSISTING OF FINANCE AND TREASURY, COMMUNITY HEALTH AND OPERATIONS TEAMS TO DEVELOP THE SCOPE AND PROCESS. THE TEAM IS RESPONSIBLE FOR DEPLOYING $50 MILLION IN LOANS TO CDFIS ACROSS OUR FOOTPRINT BY THE END OF 2025. TO DATE, THE TEAM HAS COMPLETED 4 CONTRACTS WITH LOCAL CDFIS: $25M WITH LOCAL INITIATIVE SUPPORT CORPORATION (LISC) $5M WITH IFF $2.5M WITH CHICAGO COMMUNITY LOAN FUND (CCLF) $1M WITH WISCONSIN WOMEN'S BUSINESS INITIATIVE CORPORATION (WWBIC)ADVOCATE AURORA PURCHASING COMMITMENT. THIS ANCHOR STRATEGY BUILDS ON THE EXISTING DIVERSITY, EQUITY, AND INCLUSION PURCHASING STRATEGIES AND ESTABLISHES TARGETS RELATED TO INCREASING THE NUMBER OF LOCAL AND DIVERSE VENDORS WITH THE POSSIBILITY OF THE INVESTMENT STRATEGY ALSO FUNDING STRATEGIC BUSINESSES SUCH AS URBAN AGRICULTURE VENTURES TO QUALIFY MORE BUSINESS AS VENDORS. ON JUNE 9, 2021, AAH ANNOUNCED SIGNING THE "IMPACT PURCHASING COMMITMENT"DESIGNED BY THE HEALTH ANCHOR NETWORK (HAN)TO BUILD HEALTHY, EQUITABLE, AND CLIMATE-RESILIENT LOCAL ECONOMIES THROUGH SPENDING. THE COMMITMENT INCLUDES INCREASING SPENDING WITH MINORITY AND WOMEN OWNED BUSINESS ENTERPRISES (MWBES) AS WELL AS LOCAL AND EMPLOYEE-OWNED, COOPERATIVELY OWNED AND/OR NONPROFIT-OWNED ENTERPRISES, BY AT LEAST $1 BILLION OVER FIVE YEARS. AAH WILL ALSO WORK WITH AT LEAST TWO OF THEIR LARGE EXISTING VENDORS TO CREATE HIRING PIPELINES IN THE DISINVESTED COMMUNITIES THAT IT SERVES AND WILL COMMIT TO ADOPTING SUSTAINABLE PROCUREMENT GOALS. THERE ARE SEVERAL ADDITIONAL EXAMPLES OF EFFORTS TO STRENGTHEN CORPORATE OPTIONS THROUGH HUMAN RESOURCE, SUPPLY CHAIN, ENVIRONMENTAL STEWARDSHIP AND INVESTMENT POLICIES THAT IMPACT THE SOCIAL DETERMINANTS OF HEALTH IN THE COMMUNITIES SERVED BY ADVOCATE.ADVOCATE IS ALSO STRENGTHENING CORPORATE OPTIONS THROUGH HUMAN RESOURCE, SUPPLY CHAIN, ENVIRONMENTAL STEWARDSHIP AND INVESTMENT POLICIES TO IMPACT THE SOCIAL DETERMINANTS OF HEALTH IN THE COMMUNITIES IT SERVES.ENVIRONMENTAL LEADERSHIP. REDUCING WASTE, CONSERVING ENERGY AND WATER, MINIMIZING USE OF TOXIC CHEMICALS, AND CONSTRUCTING ECO-FRIENDLY BUILDINGS FOR TODAY AND TOMORROWALL THESE EFFORTS HAVE A DIRECT BENEFIT ON THE HEALTH OF LOCAL COMMUNITIES VIA CLEANER COMMUNITIES, HEALTHIER AIR QUALITY, REDUCED GREENHOUSE GASES, AND PRESERVATION OF NATURAL RESOURCES. AS ADVOCATE WORKS TO REDUCE THE ENVIRONMENTAL AND HEALTH IMPACTS OF HEALTH CARE, ITS ENVIRONMENTAL STEWARDSHIP PRACTICES EASE THE BURDEN OF HEALTH CARE COSTS BOTH DIRECTLY (LOWER ENERGY COSTS) AND INDIRECTLY (LOWER ENVIRONMENTALLY RELATED DISEASE BURDEN) AND HELP SAVE RESOURCES FOR FUTURE GENERATIONS. IN ADDITION TO CONTINUING TO REDUCE ADVOCATE'S OWN ENVIRONMENTAL IMPACTS AS A HEALTH CARE ORGANIZATION, ADVOCATE ALSO PROVIDES NATIONAL LEADERSHIP AND MENTORING IN SUSTAINABLE HEALTH CARE THROUGH THE MEMBERSHIP AND PARTICIPATION IN SEVERAL SUSTAINABILITY LEADERSHIP COUNCILS AND GROUPS. THESE COLLABORATIVE PARTNERSHIPS ADDRESS MULTIPLE SUSTAINABILITY ISSUES, INCLUDING ANTIBIOTIC OVERUSE IN AGRICULTURE, SAFER CHEMICALS IN FURNISHINGS AND MEDICAL PRODUCTS, CLIMATE CHANGE, CLINICAL PLASTICS RECYCLING, AND ENVIRONMENTALLY PREFERABLE AND LOCAL PURCHASING, SPURRING MOVEMENT TOWARD HEALTHIER AND MORE SUSTAINABLE PRACTICES THROUGHOUT THE HEALTH CARE SECTOR AND WIDER MARKETPLACE. THESE PARTNERSHIPS INCLUDE: - HEALTHCARE ANCHOR NETWORK -IMPACT PURCHASING COMMITTEE - HEALTH CARE CLIMATE COUNCIL - HEALTHCARE PLASTICS RECYCLING COALITION HEALTHCARE FACILITY ADVISORY BOARD - PRACTICE GREENHEALTH MARKET TRANSFORMATION GROUPSAFER CHEMICALS - HEALTHY BUILDING NETWORK - PREMIER'S ENVIRONMENTAL ADVISORY COUNCIL - STEERING COUNCIL OVERSIGHT AND SIGNATORY OF THE CHEMICAL FOOTPRINT PROJECTIT IS IMPORTANT TO HIGHLIGHT THAT WE ACCOMPLISHED MUCH, BUT DECARBONIZATION IS A MUCH LARGER ISSUE THAN ANY ONE BUSINESS CAN SOLVE ON ITS OWN. WE HAVE A LONG HISTORY OF ENVIRONMENTAL AND CLIMATE ADVOCACY BECAUSE WE UNDERSTAND THROUGH POLICY AND LEGISLATIVE CHANGES, WE ARE OPENING DOORS, GETTING PERMISSION, AND SUPPORTING COMPLIANCE IN THIS IMPACT WORK. BELOW ARE SOME HIGHLIGHTS OVER THE PAST FOUR YEARS. O THROUGH THE HEALTH CARE CLIMATE COUNCIL, A LETTER OF SUPPORT WAS SENT TO THE MEMBERS OF CONGRESS ABOUT THE BUILD BACK BETTER PACKAGE AND CERTAIN PROVISIONS (2022)O WE PROVIDED COMMENTS TO THE CURRENT ASSESSMENT OF CLIMATE CHANGE IMPACTS ON OUTCOMES, CARE, AND HEALTH EQUITYREQUEST FOR INFORMATION (RFI) IN THE MEDICARE PROGRAM: HOSPITAL INPATIENT PROSPECTIVE PAYMENT SYSTEMS (IPPS), ETC. PROPOSED RULE (SECTION IX.A) (2022) - IN THE SUMMER OF 2022, WE RESPONDED TO THE HOUSE WAYS & MEANS COMMITTEE HEARING AND RFI REPORT ON HEALTH CARE'S ROLE IN THE CLIMATE CRISIS (2022) - IN JUNE 2022, AS A SYSTEM WE SIGNED THE HHS PLEDGE TO BECOME A NET ZERO HEALTH SYSTEM BY 2050** (2022)PROJECT C.U.R.E. (COMMISSION ON URGENT RELIEF AND EQUIPMENT). ADVOCATE IS A MEDICAL EQUIPMENT AND SUPPLY DONATION PARTNER OF PROJECT C.U.R.E., THE WORLD'S LEADING MEDICAL SUPPLY DISTRIBUTION ORGANIZATION BENEFITING RESOURCE-LIMITED AREAS ACROSS THE GLOBE. IN 2022, ADVOCATE DONATED A TOTAL OF 182 PALLETS OF MISCELLANEOUS MEDICAL SUPPLIES TO PROJECT C.U.R.E.SUSTAINABLE BUILDINGS AND OPERATIONS. SUSTAINABILITY, SAFETY AND EFFICIENCY ARE CORE ELEMENTS OF ADVOCATE BUILDING AND OPERATIONS PROGRAMS. - ADVOCATE PURSUES LEADERSHIP IN ENERGY AND ENVIRONMENTAL DESIGN (LEED) CERTIFICATION FOR ALL NEW MAJOR BUILDINGS AND UTILIZES A RIGOROUS, INTERNAL TOOL CALLED THE HEALTHY SPACES ROADMAP TO ENSURE SUSTAINABILITY IN ALL ITS RENOVATIONS AND PROJECTS. TO DATE, ADVOCATE HAS COMPLETED SIX MAJOR PROJECTS THAT HAVE RECEIVED LEED SILVER OR GOLD CERTIFICATION. - IN 2008, ADVOCATE EMBARKED ON A JOURNEY TO REDUCE ITS CARBON FOOTPRINT AND TO BECOME THE MOST ENERGY EFFICIENT HEALTH SYSTEM IN THE COUNTRY. BY 2015, ADVOCATE HAD REDUCED ENERGY CONSUMPTION BY 23% FROM THE 2008 BASELINE. WHILE AGGRESSIVELY CONTINUING ENERGY EFFICIENCY PROJECTS, ADVOCATE NOW AIMS TO BE CARBON NEUTRAL BY 2030 AND NET ZERO BY 2050 AND HAS SIGNED ON THE US DEPARTMENT OF HEALTH AND HUMAN SERVICES CLIMATE PLEDGE. PART VI, 6. AFFILIATED HEALTH CARE SYSTEM CONT. ADVOCATE COMBINES SUSTAINABLE FACILITIES WITH ENVIRONMENTALLY FRIENDLY OPERATIONS AND PURCHASES. THIS INCLUDES WASTE MINIMIZATION AND RECYCLING, REDUCING CHEMICALS IN FURNITURE AND CLEANING PRODUCTS, PURCHASING MEAT RAISED WITHOUT ANTIBIOTICS, AND OTHER ECO-FRIENDLY PRODUCTS, ALL OF WHICH HAVE COMMUNITY HEALTH IMPACTS IN THEIR LIFE CYCLE. IN 2022, ADVOCATE ACHIEVED THE FOLLOWING: - AVOIDED 34 MTCO2E OF GREENHOUSE GASES (EQUIVALENT TO 82,000 MILES OF DRIVING) THROUGH ECO-FRIENDLY MANAGEMENT OF ANESTHETIC GASES. - 95% OF ADVOCATE'S FURNITURE PURCHASES AVOIDED FIVE KEY CHEMICALS OF CONCERN. - 87% OF FIVE MAIN CATEGORIES OF CLEANERS WERE ON THIRD PARTY CERTIFIED GREEN CLEANERS - OVER $1 MILLION OF ADVOCATE'S MEAT PURCHASES SUPPORTED PRODUCERS WHO RAISE THEIR ANIMALS WITHOUT THE USE OF ANTIBIOTICS (30% OF TOTAL). - COPY PAPER USED CONTAINS 30% POST-CONSUMER RECYCLED CONTENT AND IS FOREST STEWARDSHIP COUNCIL CERTIFIED. - RECYCLED 2,982 TONS OF WASTE FROM HOSPITAL OPERATIONS.ENVIRONMENTALLY RESPONSIBLE INVESTING. ADVOCATE INSTITUTES AN ENVIRONMENTALLY-BASED SOCIAL SCREEN FOR ITS MARKETABLE INVESTMENT PROGRAM. ALL COMPANIES IN SEPARATELY MANAGED ACCOUNTS ARE SCORED ON ENVIRONMENTAL PRACTICES, BEHAVIOR AND CONTROVERSIES. POOR-SCORING COMPANIES ARE SCREENED OUT OF THE INVESTMENT PROGRAM. RECOGNITION. ADVOCATE IS CONSISTENTLY RECOGNIZED FOR ITS COMMITMENT AND ACHIEVEMENTS IN SUSTAINABLE HEALTH CARE. - ALL ADVOCATE HOSPITALS RECEIVED INDIVIDUAL RECOGNITION FROM PRACTICE GREENHEALTH. - ADVOCATE AURORA HEALTH RECEIVED THE PRACTICE GREENHEALTH SYSTEM FOR CHANGE AWARD FOR THE 15TH CONSECUTIVE YEAR AND RECEIVED A CIRCLE OF EXCELLENCE IN CHEMICALS, TOP 25 PERFORMER - ADVOCATE AURORA HEALTH WAS NAMED A CLIMATE CHAMPION IN THE CATEGORY OF CLIMATE LEADERSHIP (SILVER) THROUGH THE HEALTH CARE CLIMATE CHALLENGEEMPLOYEE ENGAGEMENT. EVERY HOSPITAL HAS A GREEN TEAM, LED BY SITE SUSTAINABILITY LEADERS AND SPONSORED BY EXECUTIVE CHAMPIONS (OFTEN INCLUDING HOSPITAL PRESIDENTS). TOGETHER, OUR SSLS EACH YEAR HOST A MINIMUM OF TWO ENVIRONMENTAL SUSTAINABILITY CAMPAIGNS USED TO INFORM, INSPIRE, AND INVOLVE HOSPITAL TEAM MEMBERS IN OUR ES JOURNEY.SOME CAMPAIGNS TO HIGHLIGHT: - ANNUAL 'BIKE TO WORK' CELEBRATIONS (SUPPORTING ALTERNATIVE TRANSPORTATION) - CHILDREN'S HOSPITAL CELEBRATING CHILDREN'S ENVIRONMENTAL HEALTH WEEK FOR THREE CONSECUTIVE YEARS, SINCE 2019. - SITE SUSTAINABILITY LEADERS AND GREEN ADVOCATES COLLECTING AND GIVING AWAY FREE PARTIALLY USED (HALTER MONITOR) BATTERIES TO TEAM MEMBERS - RACIAL EQUITY CHALLENGE - IN 2022, THE SYSTEM ADOPTED ENVIRONMENTAL JUSTICE AS A LENS FOR WHICH TO IMPLEMENT ENVIRONMENTAL SUSTAINABILITY AND LAUNCHED THE FIRST-EVER RACIAL EQUITY CHALLENGE IN COLLABORATION WITH SSLS AND HOSTED A REFLECTION AND LEARNING CONVERSATION AS OUR FEATURED 2022 EARTH DAY EVENT ADVOCATE WORKS TO LEVERAGE RESOURCES AND MAXIMIZE COMMUNITY ENGAGEMENT BY BUILDING AND STRENGTHENING COMMUNITY PARTNERSHIPS WITH HEALTH DEPARTMENTS AND OTHER DIVERSE COMMUNITY ORGANIZATIONS. A PRIMARY VALUE OF ADVOCATE'S COMMUNITY HEALTH DEPARTMENT IS COLLABORATION WITH PARTNERS, PREFERABLY THROUGH A COLLECTIVE IMPACT MODEL. IN ORDER TO ALIGN INITIATIVES WITH LOCAL HEALTH DEPARTMENTS AND THEIR COMMUNITY HEALTH PRIORITIES, ALL ADVOCATE HOSPITALS COLLABORATE WITH THEIR RESPECTIVE HEALTH DEPARTMENTS DURING THE CHNA AND HEALTH IMPROVEMENT (IMPLEMENTATION PLAN) CYCLES. ONE SUCH NOTABLE COLLABORATION IN WHICH ADVOCATE SYSTEM LEADERSHIP PLAYED A VITAL ROLE IS AS FOLLOWS. THE ALLIANCE FOR HEALTH EQUITY. ADVOCATE HEALTH CARE, PRESENCE HEALTH (NOW KNOWN AS AMITA HEALTH) AND THE ILLINOIS PUBLIC HEALTH INSTITUTE (IPHI) WERE THE THREE FOUNDING ORGANIZATIONS OF THE HEALTH IMPACT COLLABORATIVE OF COOK COUNTY (HICCC). THESE ORGANIZATIONS INVITED HEALTH DEPARTMENTS AND ALL COOK COUNTY NONPROFIT HOSPITALS TO JOIN THEM IN CREATING WHAT IS NOW ONE OF THE LARGEST CHNA AND COMMUNITY HEALTH IMPROVEMENT COLLABORATIVES IN THE COUNTRY. THE INITIAL PARTICIPATING HOSPITALS AND HEALTH DEPARTMENTS WORKED TOGETHER TO DESIGN A SHARED LEADERSHIP MODEL AND COLLABORATIVE INFRASTRUCTURE TO SUPPORT COMMUNITY-ENGAGED PLANNING PARTNERSHIPS AND STRATEGIC ALIGNMENT OF IMPLEMENTATION PLANS TO FACILITATE MORE EFFECTIVE AND SUSTAINABLE COMMUNITY HEALTH IMPROVEMENT. IN LATE 2017, HICCC MERGED WITH THE HEALTHY CHICAGO HOSPITALS COLLABORATIVE TO CREATE THE ALLIANCE FOR HEALTH EQUITY (THE ALLIANCE). IPHI SERVES AS THE BACKBONE ORGANIZATION FOR THE COLLABORATIVE AND THE HOSPITALS PROVIDE FUNDING FOR THE SHARED ASSESSMENT AND COMMUNITY HEALTH IMPROVEMENT PLANNING WORK. IN 2019, THE ALLIANCE GREW TO INCLUDE 37 NONPROFIT AND PUBLIC HOSPITALS, SIX LOCAL HEALTH DEPARTMENTS AND MORE THAN 100 COMMUNITY ORGANIZATIONS. IN 2022, THE ALLIANCE COMPLETED A COLLABORATIVE COMMUNITY HEALTH NEEDS ASSESSMENTS (CHNA) FOR CHICAGO AND SUBURBAN COOK COUNTY. THE REPORT BUILDS ON THE PREVIOUS ASSESSMENTS AND ALLOWS PARTNERS TO IDENTIFY STRATEGIC PRIORITIES THAT THEY CAN COLLECTIVELY ADDRESS TO IMPROVE COMMUNITY HEALTH. A COPY OF THE REPORT AND THE APPENDICES CAN BE FOUND AT THIS LINK 2022 CHNA REPORT - ALLIANCE FOR HEALTH EQUITY (ALLHEALTHEQUITY.ORG)PRIMARY AND SECONDARY DATA FROM A DIVERSE RANGE OF SOURCES WERE UTILIZED FOR ROBUST DATA ANALYSIS AND TO IDENTIFY COMMUNITY HEALTH NEEDS IN CHICAGO AND SUBURBAN COOK COUNTY. FOR THE 2022 CHNA, THE ALLIANCE FOR HEALTH EQUITY BUILT ON THE PREVIOUS COLLABORATIVE CHNA WORK (2019). ADVOCATE CONTINUES TO BE ACTIVELY INVOLVED IN LEADERSHIP OF THE ALLIANCE PARTNERSHIP, SERVING ON THE STEERING COMMITTEE. ADVOCATE HOSPITALS, AS WELL AS THE OTHER MEMBER HOSPITALS, PROVIDE THE MONETARY SUPPORT FOR THE COLLABORATIVE'S WORK AND SUPPORT THE COST OF STAFF AND OVERSIGHT PROVIDED BY THE ILLINOIS PUBLIC HEALTH INSTITUTE. ADDITIONALLY, ADVOCATE HAS BEEN INVOLVED IN LEADING THIS ASSESSMENT WORK AS AN ACTIVE MEMBER OF THE STEERING COMMITTEE, PROVIDING FINANCIAL SUPPORT TO THE ALLIANCE IN 2022.THE PRIORITY AREAS SELECTED BY THE ALLIANCE INCLUDE SOCIAL AND STRUCTURAL DETERMINANTS OF HEALTH, ACCESS TO CARE, MENTAL HEALTH AND SUBSTANCE USE DISORDERS, CHRONIC HEALTH CONDITIONS, INJURY INCLUDING VIOLENCE, AND MATERNAL/FETAL HEALTH. ALL PARTICIPATING HOSPITALS SELECTED SOME OF THE PRIORITIES TO ADDRESS IN THE AREAS SERVED. THERE ARE MULTIPLE WORK GROUPS ADDRESSING THE PRIORITY AREAS AND ADVOCATE STAFF SERVE ON MOST OF THE WORK GROUPS.ADVOCATE PROMOTES ACCOUNTABILITY FOR SYSTEM AND SITE ALIGNMENT BY INCREASING PROGRAM COORDINATION AND DEVELOPING STRONG GOVERNANCE RELATIONSHIPS.SYSTEM OVERSIGHT OF COMMUNITY HEALTH. ADVOCATE HAS TAKEN SEVERAL STEPS TO ASSURE SYSTEM AND SITE ACCOUNTABILITY FOR AND ALIGNMENT OF COMMUNITY HEALTH IMPROVEMENT EFFORTS. THESE ACTIONS INCLUDE DEVELOPING A GOVERNANCE AND DEPARTMENTAL INFRASTRUCTURE AT THE SITES AND SYSTEM LEVELS TO LEAD AND SUPPORT EFFORTS, AND TO INCLUDE ADVOCATE'S AMPLE CLINICAL EXPERTISE IN DEVELOPING AND SUSTAINING EVIDENCE-BASED PROGRAMS THAT MEASURABLY IMPACT/IMPROVE COMMUNITY HEALTH.HOSPITAL GOVERNING COUNCILS. COMMUNITY HEALTH IS STRONGLY INTEGRATED INTO ADVOCATE'S GOVERNANCE STRUCTURES. COMMUNITY HEALTH COUNCILS, COMPRISED OF COMMUNITY EXPERTS AND HOSPITAL LEADERS, HAVE BEEN DEVELOPED AT EACH OF THE ADVOCATE HOSPITALS. THESE COUNCILS ARE CO-LED BY THE HOSPITAL COMMUNITY HEALTH LEADER AND A HOSPITAL GOVERNING COUNCIL MEMBER. A MINIMUM OF 50% OF THE COUNCIL MEMBERS FOR THE 2019 CHNA REPORT AND 2020-2022 COMMUNITY HEALTH IMPLEMENTATION PLAN CYCLES WERE COMMUNITY REPRESENTATIVES WITH A FOCUS ON PEOPLE WHO REPRESENTED UNDERSERVED AND VULNERABLE POPULATIONS. DEPENDENT ON THE HOSPITAL, THE COUNCILS MET THREE OR FOUR TIMES DURING THE YEAR.HOSPITAL COMMUNITY HEALTH STAFF ANALYZED AND PRESENTED PRIMARY AND SECONDARY COMMUNITY HEALTH DATA TO THE HOSPITALS' COMMUNITY HEALTH COUNCILS. THE COUNCIL MEMBERS IDENTIFIED THE HOSPITAL SERVICE AREAS' SIGNIFICANT HEALTH NEEDS, SUBSEQUENTLY EMPLOYING CONSENSUS-BASED, PRIORITY-SETTING PROCESSES TO DETERMINE THE NEEDS UPON WHICH TO FOCUS. AS PART OF THE PRIORITIZATION PROCESS, THE COUNCILS SCANNED HOSPITAL AND COMMUNITY CHALLENGES AND ASSETS, AS WELL AS POTENTIAL PARTNERSHIPS WITH OTHER ORGANIZATIONS THAT MIGHT RESULT IN LARGER HEALTH IMPROVEMENT IMPACT.TO LEARN MORE ABOUT THE 2017-2019 CHNA CYCLE DATA ASSESSMENT RESULTS FOR EACH HOSPITAL, VISIT HOSPITAL CHNA REPORTS IMPLEMENTATION PLANS PROGRESS REPORTS | ADVOCATE HEALTH CARE. PART VI, 6. AFFILIATED HEALTH CARE SYSTEM CONT. ENGAGING SYSTEM CLINICAL SERVICE LINES TO EXPAND THEIR FOCUS ON COMMUNITY HEALTH. ADVOCATE IS VIEWED AS A LEADER IN THE POPULATION HEALTH MANAGEMENT ARENA. AN EARLY ADOPTER OF MANAGING CARE ACROSS POPULATIONS, ADVOCATE HAS SIGNIFICANT SUCCESS IN IMPROVING HEALTH OUTCOMES WHILE DECREASING OR MAINTAINING COST OF CARE DELIVERY. ADVOCATE'S COMMUNITY HEALTH DEPARTMENT HAS INTENTIONALLY ALIGNED WITH ADVOCATE POPULATION HEALTH LEADERS AND ADVOCATE SERVICE LINES. THIS ALIGNMENT ASSURES THAT MEMBERS OF THE COMMUNITIES ADVOCATE SERVES AND OUR PATIENTS RECEIVE COMMUNITY-BASED INTERVENTIONS, AS WELL AS EDUCATION AND PROGRAMMING THAT ALIGNS WITH THEIR HEALTH NEEDS. COMMUNITY PROGRAMS ARE TAILORED TO MEET THE SPECIFIC HEALTH NEEDS IDENTIFIED IN A COMMUNITY OR A SPECIFIC POPULATION. MANY OF THE EXAMPLES OF EDUCATION AND PROGRAMMING ALIGNED WITH POPULATION HEALTH AND SERVICE LINE DEVELOPMENT HAVE ALREADY BEEN DISCUSSED IN OTHER SECTIONS OF THIS PLAN. ALL ADVOCATE HOSPITALS, FOR EXAMPLE, ARE PARTICIPATING IN LOCAL COMMUNITY BEHAVIORAL HEALTH AND SUBSTANCE ABUSE COLLABORATIVES, FOLLOWING ADVOCATE'S INTEGRATED APPROACH TO IMPLEMENTATION. SEVERAL EXAMPLES OF THE BEHAVIORAL HEALTH INITIATIVES ARE PROVIDED BELOW. WARM HANDOFF PROGRAM. THREE ADVOCATE HEALTH CARE HOSPITALS, ADVOCATE CONDELL MEDICAL CENTER, ADVOCATE GOOD SHEPHERD HOSPITAL AND ADVOCATE SHERMAN HOSPITAL WORK IN PARTNERSHIP WITH GATEWAY FOUNDATION, A COMMUNITY-BASED ADDICTION MEDICINE TREATMENT PROVIDER, TO IMPLEMENT AN EVIDENCE-BASED MODEL TO SCREEN AND ASSESS PATIENTS COMING TO THE HOSPITAL FOR SUBSTANCE USE. THE WARM HANDOFF PROGRAM INTEGRATES A FULL-TIME CREDENTIALED ENGAGEMENT SPECIALIST EMPLOYED BY GATEWAY FOUNDATION INTO THE HOSPITAL ED TEAM TO ASSESS AND COUNSEL PATIENTS WITH SUBSTANCE USE DISORDER, AND THEN ASSISTS WITH LINKING THEM TO TREATMENT. A GATEWAY FOUNDATION-EMPLOYED RECOVERY COACH ON THE TEAM ALSO PROVIDES SUPPORT TO PATIENTS AS THEY TRANSITION INTO TREATMENT. IN 2022, THE GATEWAY ENGAGEMENT SPECIALISTS AT THESE THREE HOSPITALS COMPLETED PATIENT ENCOUNTERS WITH 899 PATIENTS AND 392 (44 PERCENT) WERE CONNECTED AND PLACED IN SUBSTANCE USE TREATMENT. MEDICATION ASSISTED TREATMENT (MAT). IN JULY OF 2020, ADVOCATE GOOD SHEPHERD LAUNCHED A PROGRAM THAT PRESCRIBES BUPRENORPHINE UPON DISCHARGE FROM THE EMERGENCY DEPARTMENT (ED) FOR PATIENTS WITH SUBSTANCE USE DISORDER SEEKING MEDICATION ASSISTED TREATMENT. THE PROGRAM IS DESIGNED TO HELP INDIVIDUALS WITH WITHDRAWAL SYMPTOMS AND INCREASE THEIR CHANCES OF TREATMENT. IN 2022, ADVOCATE GOOD SHEPHERD HAD 12 PATIENTS THAT WERE DISCHARGED FROM THE ED ON BUPRENORPHINE PRESCRIPTION. ENDING THE SILENCE AND TEEN SUPPORT GROUP. ADVOCATE GOOD SAMARITAN PARTNERED WITH NAMI DUPAGE TO PROVIDE ENDING THE SILENCE TO MIDDLE AND HIGH SCHOOL STUDENTS. ENDING THE SILENCE IS A ONE-HOUR CLASS THAT AIMS TO DESTIGMATIZE MENTAL ILLNESS AND CREATE AWARENESS AROUND MENTAL HEALTH. IN 2022, ADVOCATE GOOD SAMARITAN SUPPORTED WESTMONT HIGH SCHOOL AND EISENHOWER JUNIOR HIGHSCHOOL, OFFERING 11 PRESENTATIONS IN TOTAL, SERVING 193 STUDENTS. IN ADDITION, ADVOCATE GOOD SAMARITAN HOSPITAL WORKED WITH NAMI BY PROVIDING A BEHAVIORAL HEALTH SPECIALIST TO FACILITATE A TEEN SUPPORT GROUP. THE SIX WEEK PROGRAM SERVED 6 STUDENTS IN THE SUMMER OF 2022. THE SUPPORT GROUP ADDRESSES CONCERNS AROUND ANXIETY, FEAR, SELF-ESTEEM AND MORE. ADVOCATE PHYSICIAN PARTNERS (APP). ADVOCATE POPULATION HEALTH LEADERS AND ADVOCATE COMMUNITY HEALTH LEADERS ARE ALSO PARTNERING TO DEVELOP NEW APPROACHES TO PATIENT SCREENING AND RESOURCING FOR SOCIAL DETERMINANTS OF HEALTH. ADVOCATE ALSO PROVIDES AN INFRASTRUCTURE TO ALLOW COMMUNITY MEMBERS WITH AN OPPORTUNITY TO VOLUNTEER AT VARIOUS ADVOCATE SITES OF CARE, AS WELL AS PROVIDING OPPORTUNITIES FOR ADVOCATE TEAM MEMBERS TO VOLUNTEER IN THE COMMUNITIES SERVED BY ADVOCATE.VOLUNTEERS FROM THE COMMUNITY. EACH YEAR, VOLUNTEERS FROM THE COMMUNITY SHARE THEIR TIME AND TALENTS THROUGH SERVICE AT ADVOCATE'S HOSPITALS, ADVOCATE MEDICAL GROUP AND ADVOCATE AT HOME, AND IN THEIR OWN WAY, FURTHER ADVOCATE'S COMMITMENT TO PROVIDING EXCELLENT HEALTH CARE. IN 2022, ADVOCATE HEALTH CARE MANAGED TO OPEN VOLUNTEER SERVICES AND WELCOMED A TOTAL OF 1,551 COMMUNITY VOLUNTEERS THAT ENGAGED PATIENTS, FAMILIES AND STAFF IN A VARIETY OF ACTIVITIES, SOME OF WHICH WERE: PROVIDING INFORMATION DESK SERVICES TO VISITORS; CLERICAL SUPPORT TO STAFF; SERVING CUSTOMERS IN HOSPITAL GIFT AND RESALE SHOPS; OFFERING COMPASSIONATE CONCERN TO PATIENTS AND THEIR LOVED ONES IN MULTIPLE HOSPITAL AREAS, SUCH AS THE EMERGENCY DEPARTMENT, INTENSIVE CARE UNIT, SURGERY WAITING ROOM, POST-ANESTHESIA CARE AND NURSERY INTENSIVE CARE UNITS; ASSISTING WITH COMMUNITY HEALTH SCREENINGS AND BLOOD DRIVE EVENTS; PROVIDING CHEERFUL SERVICE TO PATIENTS BY DELIVERING FLOWERS, MAIL AND NEWSPAPERS; AND PROVIDING SUPPORT SERVICES IN THE HOSPITAL THAT HAVE LIBRARIES AND/OR WELLNESS CENTERS. VOLUNTEERS FROM THE COMMUNITY ALSO GIVE THEIR TIME AND TALENTS TO VARIOUS OTHER PROGRAMS AND FUNDRAISING ACTIVITIES. MEMBERS OF ADVOCATE'S HOSPITAL AUXILIARIES PLAN AND ENGAGE IN FUNDRAISING EFFORTS TO SUPPORT NOT ONLY SERVICES IN THE HOSPITAL BUT ALSO COMMUNITY-FOCUSED PROGRAMS AND SERVICES. STUDENTS FROM THE COMMUNITY VOLUNTEER THEIR TIME TO TAKING CARE OF CHILDREN IN THE PEDIATRIC DEVELOPMENTAL CENTER LOCATED ON ADVOCATE ILLINOIS MASONIC'S CAMPUS SO THAT PARENTS CAN MEET WITH THE CENTER'S STAFF TO LEARN THE SKILLS NECESSARY TO WORK WITH THEIR CHILDREN WITH SPECIAL NEEDS SO THEY CAN REACH THEIR FULL POTENTIAL. THE HEARTS FOR HOPE GROUP AT ADVOCATE CHILDREN'SOAK LAWN IS COMPRISED OF GRATEFUL PARENTS, CONCERNED FAMILIES AND CARING COMMUNITY MEMBERS WHO SUPPORT THE MISSION OF THE HOSPITAL. THE VOLUNTEERS ENSURE THEY HAVE A PRESENCE IN THE HOSPITAL BY POSITIVELY IMPACTING FAMILY-CENTERED CARE, AS WELL AS WORKING TO RAISE FUNDS AND AWARENESS THROUGH PHILANTHROPIC EVENTS AND ACTIVITIES BENEFITING ADVOCATE CHILDREN'S.ADVOCATE TEAM MEMBERS VOLUNTEERING IN THE COMMUNITY. ADVOCATE TEAM MEMBERS (EMPLOYEES) AND PHYSICIANS ARE ENCOURAGED TO DONATE TO, VOLUNTEER AT AND HELP RAISE FUNDS FOR COMMUNITY INITIATIVES. ADVOCATE PROMOTES AND SUPPORTS TEAM MEMBER, PHYSICIAN AND HOSPITAL PARTICIPATION IN FOUR COMPANY-SPONSORED WALKS FOR MULTIPLE HEALTH-RELATED, NOT-FOR-PROFIT ORGANIZATIONS, INCLUDING THE AMERICAN HEART ASSOCIATION (AHA HEART WALK), AMERICAN CANCER SOCIETY (MAKING STRIDES AGAINST BREAST CANCER), ALZHEIMER'S ASSOCIATION (WALK TO END ALZHEIMER'S) AND THE MARCH OF DIMES (MARCH FOR BABIES IN 2022, 1,559 ADVOCATE TEAM MEMBERS REGISTERED TO PARTICIPATE IN THE ANNUAL LOCAL FUNDRAISERS AND $316,317 IN CHARITABLE CONTRIBUTIONS WERE RAISED TO SUPPORT THESE PARTNER ORGANIZATIONS, DEMONSTRATING OUR COMMITMENT TO HELPING OUR COMMUNITIES LIVE WELL. THIS YEAR, ADVOCATE WAS DESIGNATED BY THE AMERICAN HEART ASSOCIATION AS THE #1 HEALTH CARE COMPANY IN THE MIDWEST. IN ADDITION, ADVOCATE'S ASSOCIATES AND PHYSICIANS GENEROUSLY SUPPORT MULTIPLE COMMUNITY PARTNERS, PROGRAMS AND INITIATIVES, INCLUDING SOME OF ADVOCATE'S OWN SYSTEM-WIDE AND HOSPITAL-BASED COMMUNITY HEALTH PROGRAMS. FOR IL ONLY, ADVOCATE TEAM MEMBERS, NURSES AND PHYSICIANS CONTRIBUTED $1,061,451 THROUGH THE ANNUAL ADVOCATE TEAM MEMBER GIVING CAMPAIGN IN 2022. ADVOCATE ASSOCIATES DEVOTE WORK TIME VOLUNTEERING ON DOZENS OF COMMUNITY BOARDS, COMMITTEES, COUNCILS, TASK FORCES AND COALITIONS, USING THEIR TALENTS TO SUPPORT A VARIETY OF COMMUNITY-BASED ORGANIZATIONS. AN EXAMPLE OF ASSOCIATE VOLUNTEERISM IS ADVOCATE GOOD SAMARITAN'S VICE PRESIDENT OF SUPPORT OPERATIONS AND THE PRESIDENT OF MEDICAL STAFF DEVOTE TIME TO SERVE ON THE DUPAGE HEALTH COALITION'S BOARDDUPAGE HEALTH COALITION IS AN ORGANIZATION THAT LINKS UNINSURED AND UNDOCUMENTED INDIVIDUALS TO PRIMARY AND SPECIALTY HEALTHCARE AND INSURANCE. YET ANOTHER EXAMPLE OF ASSOCIATE VOLUNTEERISM IS ADVOCATE TRINITY HOSPITAL'S PRESIDENT AND AHC'S REGIONAL VICE PRESIDENT TIME DEVOTED TO THE SOUTH SIDE HEALTHY COMMUNITY ORGANIZATION, A COMMUNITY COALITION FOCUSED ON IMPROVING HEALTH EQUITY ON THIS SIDE OF CHICAGO. 1 LEADERSHIP GREATER CHICAGO 111 E WACKER DR STE 1220 CHICAGO IL 60601 363293207 501(C)(3) 8900 0 FAIR MARKET VALUE SUPPORT EXEMPT MISSION POWER AD COMPANY (MUNDELEIN HIGH SCHOOL) 259 INDUSTRIAL DRIVE FRANKLIN OH 45005 311580777 6200 0 FAIR MARKET VALUE SPONSOR EVENTS CRSM WORK STUDY INC 11 E ADAMS STREET 800 CHICAGO IL 60603 043730980 501(C)(3) 28433 0 FAIR MARKET VALUE SCHOLARSHIP FORM 990, SCHEDULE I, PART I, LINE 2; FORM 990, SCHEDULE I GRANTS AND OTHER ASSISTANCE TO DOMESTIC ORGANIZATIONS AND DOMESTIC GOVERNMENTS FOR AMOUNTS REPORTED ON SCHEDULE I, ADVOCATE CONDELL MEDICAL CENTER REPORTS ONLY NON PROFIT ORGANIZATIONS THAT ARE TAX-EXEMPT UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OR THAT ARE CONSISTENT WITH AND COMPLIMENTARY TO THE MISSION AND CHARITABLE, TAX-EXEMPT PURPOSES OF ADVOCATE CONDELL MEDICAL CENTER. THE PURPOSES OF THESE GRANTS IS TO SUPPORT COMMUNITY PROGRAMS. CASH CONTRIBUTIONS ARE NOT MADE TO INDIVIDUALS, FOR PROFIT BUSINESSES, OR PRIVATE PROVIDERS. X 1 0 X X X X X 1 1 0 0 0 0 0 1 0 JAMES SKOGSBERGH DIRECTOR, EXECUTIVE VP, COO 0 1753853 0 14440055 0 12656636 0 1991487 0 20648 0 30862679 0 793002 WILLIAM SANTULLI DIRECTOR 0 827709 0 3009211 0 3354962 0 642892 0 31447 0 7866221 0 324949 GARY STUCK FORMER KE 0 533932 0 1911215 0 2101543 0 462273 0 22966 0 5031929 0 200775 DOMINIC NAKIS FORMER OFFICER 0 0 0 0 0 3375856 0 1231323 0 672 0 4607851 0 121372 BARBARA BYRNE FORMER OFFICER 0 1078153 0 1771639 0 328950 0 519640 0 17642 0 3716024 0 189688 BRAD CLARK ASSISTANT TREASURER 0 1697429 0 713004 0 103270 0 390217 0 29172 0 2933092 0 80691 KELLY JO GOLSON FORMER OFFICER 0 0 0 638594 0 2167330 0 105740 0 0 0 2911664 0 138140 KEVIN BRADY FORMER HCE 0 0 0 0 0 1455861 0 601091 0 21793 0 2078745 0 35296 NAN NELSON TREASURER 0 777681 0 470058 0 224744 0 242042 0 30441 0 1744966 0 122557 DIA NICHOLS DIRECTOR 0 1000002 0 347262 0 -4241 0 216433 0 36348 0 1595804 0 95636 SCOTT POWDER FORMER KE 0 0 0 348242 0 1060696 0 78625 0 24936 0 1512499 0 88525 REV KATHIE BENDER SCHWICH DIRECTOR 0 141995 0 0 0 883012 0 362196 0 853 0 1388056 0 61171 RACHELLE HART SECRETARY 0 614765 0 357466 0 129523 0 197216 0 27404 0 1326374 0 103904 CARRIE DONOVAN ASSISTANT TREASURER 0 534986 0 323367 0 76449 0 175006 0 37143 0 1146951 0 92513 MICHAEL GREBE FORMER OFFICER 0 0 0 0 0 1076461 0 64107 0 0 0 1140568 0 96507 MATTHEW PRIMACK HOSPITAL PRESIDENT 538506 0 213593 0 85650 0 138822 0 32067 0 1008638 0 66769 0 MICHAEL KERNS ASSISTANT SECRETARY 0 124247 0 132984 0 577147 0 104387 0 28232 0 966997 0 80710 DOMINICA TALLARICO FORMER DIRECTOR 0 0 0 0 0 489709 0 438888 0 0 0 928597 0 32400 JAMES SLINKMAN ASSISTANT SECRETARY 0 452806 0 171108 0 65369 0 140592 0 34117 0 863992 0 80370 RACHEL HALVERSON ASSISTANT TREASURER 0 459421 0 261388 0 6004 0 33350 0 31369 0 791532 0 32400 KEVIN FITCH ASSISTANT TREASURER 0 420118 0 175987 0 10021 0 113303 0 31045 0 750474 0 56223 STEVE HUSER FORMER OFFICER 0 0 0 29530 0 531706 0 18835 0 0 0 580071 0 48323 JAMES DOHENY FORMER OFFICER 0 0 0 0 0 531922 0 17094 0 9773 0 558789 0 43643 MAYANK SHAH VICE PRESIDENT & CMO ACDMC 381774 0 51134 0 -5758 0 10350 0 27371 0 464871 0 10817 0 ROBIN STOEN ASSISTANT TREASURER 0 310929 0 119545 0 135 0 10350 0 20509 0 461468 0 9829 KAREN HANSON FORMER OFFICER 0 275881 0 65536 0 107 0 10243 0 23776 0 375543 0 9552 JEQUEATTA SMITH VP OPERATIONS HOSPITAL 240541 18810 56864 0 -9908 -885 32486 0 28871 0 348854 17925 0 0 MICHAEL PEARLMAN DIRECTOR MEDICAL CARE MGMT/PHY ADVS 320008 0 0 0 -10110 0 9600 0 27459 0 346957 0 9044 0 MICHAEL VOLANTE ASSISTANT TREASURER 0 228987 0 59373 0 -6469 0 10820 0 29236 0 321947 0 19175 RACHEL LOBERG VP/CNO CONDELL 238930 0 54616 0 -5696 0 8806 0 24431 0 321087 0 8204 0 DARYA GORKOV DASHA GORKOV FORMER HCE 14149 198966 0 31703 -804 -6675 7345 0 27769 0 48459 223994 6080 0 SHEILA GRASSO FORMER HCE 203342 0 36436 0 -1519 0 30193 0 2280 0 270732 0 7008 0 ILGAR ABIL-ZADA CHARGE NURSE OR 210915 0 0 0 -7758 0 23337 0 29871 0 256365 0 5813 0 MARIA ESTHER TALUSAN FORMER HCE 0 174013 0 28730 0 1104 0 29082 0 37 0 232966 27057 0 LESLIE LENZO FORMER OFFICER 0 0 0 0 0 127097 0 0 0 0 0 127097 0 1796 PART I, LINES 4A-B SCHEDULE J, PART III SUPPLEMENTAL INFORMATION LINE 4A THE FOLLOWING EMPLOYEES RECEIVED A SEVERANCE PAYMENT DURING 2024 THAT HAS BEEN PROPERLY RECORDED ON FORM 990, PART VII, SECTION A, LINE 1A: SCOTT POWDER - $989,543 DOMINIC NAKIS - $330,000 KEVIN BRADY - $330,000 JAMES DOHENY - $273,416 MICHAEL KERNS - $349,434 JAMES SKOGSBERGH - $8,119,365 STEVE HUSER - $291,941 MICHAEL GREBE - $330,000 WILLIAM SANTULLI - $1,723,585 KELLY GOLSON - $2,061,590 KATHIE BENDER SCHWICH - $330,000 GARY STUCK - $1,140,421 SCHEDULE J, PART III SUPPLEMENTAL INFORMATION LINE 4B ADVOCATE AURORA HEALTH, INC. PROVIDES A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (THE "PLAN") TO RETAIN AND ATTRACT KEY PERSONNEL BY PROVIDING THEM WITH ADDITIONAL RETIREMENT INCOME. THE FOLLOWING EMPLOYEES PARTICIPATED IN THE PLAN AND RECEIVED CONTRIBUTIONS IN 2024 AS FOLLOWS: NAN NELSON - $122,557 DOMINIC NAKIS - $121,372 RACHELLE HART - $103,904 MICHAEL GREBE - $96,507 MICHAEL KERNS - $80,710 STEVE HUSER - $48,323 JAMES DOHENY - $43,643 RACHEL HALVERSON - $32,400 JAMES SLINKMAN - $80,370 LESLIE LENZO - $1,796 WILLIAM SANTULLI - $324,949 DIA NICHOLS - $95,636 CARRIE DONOVAN - $92,513 MICHAEL VOLANTE - $19,175 ROBIN STOEN - $9,829 SCOTT POWDER - $88,525 DOMINICA TALLARICO - $32,400 KEVIN FITCH - $56,223 JAMES SKOGSBERGH - $793,002 VINCENT BUFALINO - $544,508 GARY STUCK - $200,775 BARBARA BYRNE - $189,688 KEVIN BRADY - $35,296 KAREN HANSON - $9,552 KELLY GOLSON - $138,140 KATHIE BENDER SCHWICH - $61,171 MATTHEW PRIMACK - $66,769 MARIA TALUSAN - $27,057 MAYANK SHAH - $10,817 MICHAEL PEARLMAN - $9,044 RACHEL LOBERG - $8,204 SHEILA GRASSO - $7,008 DARYA | DASHA GORKOV - $6,080 ILGAR ABIL-ZADA - $5,813 DIPUL PATADIA - $1,798 BRAD CLARK - $80,691 JACLYN GROSS FAMILY MEMBER - MARK GROSS 26445 EMPLOYMENT 0 FORM 990, PART VI, SECTION A, LINE 1A BOARD DELEGATING POWERS TO EXECUTIVE COMMITTEE THE ORGANIZATION'S BYLAWS PROVIDE THAT THE EXECUTIVE COMMITTEE HAS AUTHORITY TO ACT ON BEHALF OF THE BOARD. THE EXECUTIVE COMMITTEE HAS THE SAME COMPOSITION AND MEMBERS AS THE EXECUTIVE COMMITTEE OF THE CORPORATE MEMBER. THE CORPORATE MEMBER'S EXECUTIVE COMMITTEE HAS NINE MEMBERS, CONSISTING OF THE CHAIRPERSON, THE VICE CHAIRPERSON, THE PRESIDENT, THE CHAIRPERSONS OF THE FINANCE, PLANNING, HEALTH OUTCOMES AND MISSION AND SPIRITUAL CARE COMMITTEES, AND TWO OTHER DIRECTORS. THE PAST CHAIRPERSON OF THE BOARD OF DIRECTORS MAY SERVE AS AN EX-OFFICIO MEMBER OF THE COMMITTEE, WITH VOTE. EACH OF THE EXECUTIVE COMMITTEE'S MEMBERS IS ON THE BOARD. THE SCOPE OF THE EXECUTIVE COMMITTEE'S AUTHORITY INCLUDES: BE RESPONSIBLE FOR PLANNING EDUCATIONAL PROGRAMS FOR THE BOARD OF DIRECTORS; CONDUCT AN EVALUATION OF THE MEMBERS OF THE BOARD OF DIRECTORS; HAVE SUCH AUTHORITY AS SHALL BE DELEGATED BY THE BOARD OF DIRECTORS; AND ACT ON BEHALF OF THE BOARD OF DIRECTORS BETWEEN MEETINGS. THE EXECUTIVE COMMITTEE IS ACCOUNTABLE AS A BODY TO THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 2 DESCRIPTION OF BUSINESS RELATIONSHIPS THE EXECUTIVE LEADERSHIP TEAM IS COMPRISED OF EITHER DIRECTORS OR OFFICERS OF WHOLLY OWNED ADVOCATE ENTITIES. THEY ARE DEEMED TO HAVE A BUSINESS RELATIONSHIP PURSUANT TO THE INSTRUCTIONS FOR FORM 990. FORM 990, PART VI, SECTION A, LINE 6 DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERS BY-LAWS PROVIDE FOR CORPORATE MEMBERS. FORM 990, PART VI, SECTION A, LINE 7A DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS THE NOT FOR PROFIT CORPORATIONS OF ADVOCATE HEALTH CARE, WITH THE EXCEPTION OF ADVOCATE HEALTH CARE NETWORK, HAVE CORPORATE MEMBERS WHO ELECT DIRECTORS. ADVOCATE HEALTH CARE NETWORK DOES NOT HAVE ANY MEMBERS, THEREFORE, THE AHCN BOARD ELECTS ITS DIRECTORS. THE FOR-PROFIT ORGANIZATIONS HAVE A SOLE SHAREHOLDER WHO ELECTS DIRECTORS. FORM 990, PART VI, SECTION A, LINE 7B DESCR CLASSES OF PERSONS, DECISIONS REQUIRING APPR & TYPE OF VOTING RIGHTS THE FOLLOWING RESERVE POWERS IDENTIFIED IN THE BYLAWS REQUIRE THE APPROVAL OF THE CORPORATE MEMBER, ADVOCATE HEALTH CARE NETWORK: APPOINT OUTSIDE AUDITORS AND ESTABLISH AND REVISE ALL FINANCIAL CONTROL POLICIES, AND ANY CHANGES TO SUCH POLICIES, BEFORE SUCH POLICIES OR CHANGES BECOME EFFECTIVE; CAUSE THE CORPORATION TO PAY, LOAN OR OTHERWISE TRANSFER PROPERTY AND FUNDS TO OTHER ENTITIES AFFILIATED WITH THE CORPORATE MEMBER; AMEND THE BYLAWS WITHOUT ACTION OR APPROVAL BY THE BOARD OF DIRECTORS (AFTER TEN DAYS NOTICE) TO THE CORPORATION'S BOARD OF DIRECTORS OF THE PROPOSED AMENDMENT(S) WITH AN OPPORTUNITY FOR BOARD MEMBERS TO CONSULT WITH THE CORPORATE MEMBER REGARDING THE PROPOSED AMENDMENT; APPROVAL OF THE OVERALL MISSION, PHILOSOPHY AND VALUES STATEMENTS AND ANY AMENDMENTS OR SUPPLEMENTS TO SUCH STATEMENTS; APPROVAL OF THE OVERALL STRATEGIC PLANS; APPROVAL OF ALL OVERALL OPERATING AND CAPITAL BUDGETS BEFORE ANY EXPENDITURE, PURSUANT TO SUCH BUDGETS ARE MADE OR COMMITTED, AND APPROVAL OF ALL EXPENDITURES ABOVE ANY LIMIT THAT MAY BE ESTABLISHED BY THE BOARD OF THE CORPORATE MEMBER; APPROVAL OF THE INCURRENCE OR GUARANTEE OF ANY INDEBTEDNESS FOR BORROWED MONEY WHICH HAS NOT ALREADY BEEN APPROVED AS A PART OF THE BUDGET APPROVAL PROCESS OR WHICH IS ABOVE ANY LIMIT THAT MAY BE ESTABLISHED BY THE BOARD OF THE CORPORATE MEMBER; APPROVAL OF ALL TRANSFERS OF OWNERSHIP OR DONATIONS OF ASSETS ABOVE ANY LIMIT THAT MAY BE ESTABLISHED BY THE BOARD OF THE CORPORATE MEMBER; APPROVAL OF ALL AMENDMENTS TO THE ARTICLES OF INCORPORATION AND BYLAWS OF THE CORPORATION BEFORE THEY BECOME EFFECTIVE; APPROVAL OF ANY MERGER, CONSOLIDATION, OR DISSOLUTION; AND APPROVAL OF THE CREATION OF OR AFFILIATION WITH ANY SUBSIDIARY OR AFFILIATE, BEFORE SUCH ENTITY I CREATED OR THE ENTRANCE INTO ANY JOINT VENTURE IF THE CONTEMPLATED ACTIVITY WILL INVOLVE THE EXPENDITURE OF FUNDS OR THE ASSUMPTION OF OBLIGATIONS WHICH HAVE NOT ALREADY BEEN APPROVED AS A PART OF THE BUDGET APPROVAL PROCESS OR REQUIRE MEMBER APPROVAL UNDER THE FINANCIAL CONTROL POLICIES. FORM 990, PART VI, SECTION B, LINE 11B DESCRIPTION OF THE PROCESS USED BY MANAGEMENT AND/OR GOVERNING BODY TO REVIEW 990 THE FORM 990 WAS REVIEWED BY SENIOR LEADERSHIP OF ADVOCATE AURORA HEALTH, INC. AT THE NOVEMBER AUDIT COMMITTEE MEETING, THE VP OF FINANCE/CORPORATE CONTROLLER AND CHIEF FINANCIAL OFFICER COORDINATED A REVIEW OF THE FORM 990 WITH COMMITTEE MEMBERS, AS THE AUDIT COMMITTEE IS THE COMMITTEE OF THE BOARD OF DIRECTORS CHARGED WITH OVERSIGHT OF AUDIT AND TAX MATTERS. THE VP OF FINANCE/CORPORATE CONTROLLER AND CHIEF FINANCIAL OFFICER RESPONDED TO THE AUDIT COMMITTEE MEMBERS' QUESTIONS AND PROVIDED THE OPPORTUNITY FOR DETAILED DISCUSSION OF THE FORM 990. THE CHANGES IDENTIFIED WERE INCORPORATED, AND THEN A COMPLETE COPY OF THE FINAL FORM 990 WAS PROVIDED TO EACH MEMBER OF THE ORGANIZATION'S BOARD OF DIRECTORS BEFORE THE FORM 990 WAS FILED. FORM 990, PART VI, SECTION B, LINE 12C DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST THE ORGANIZATION'S CONFLICT OF INTEREST POLICY APPLIES TO VARIOUS PEOPLE, INCLUDING MEMBERS OF ADVOCATE'S BOARD OF DIRECTORS, GOVERNING COUNCILS, OFFICERS, ASSOCIATES, VOLUNTEERS, AND MEDICAL STAFF MEMBERS WITH ADMINISTRATIVE RESPONSIBILITIES. ANNUALLY, THE COMPLIANCE DEPARTMENT SENDS THIS POLICY AND THE ADVOCATE CODE OF BUSINESS CONDUCT TO A RANGE OF INDIVIDUALS WHO MAY BE IN A POSITION TO EXERCISE SUBSTANTIAL INTEREST OVER A PARTICULAR MATTER (DEFINED AS "INTERESTED PERSONS"). THEY ARE REQUIRED TO READ THE POLICIES AND PROVIDE A DISCLOSURE STATEMENT TO THE COMPLIANCE DEPARTMENT, WHICH IDENTIFIES ACTIVITIES AND RELATIONSHIPS THAT COULD POTENTIALLY GIVE RISE TO A CONFLICT OF INTEREST. THE CHIEF COMPLIANCE OFFICER REVIEWS THE DISCLOSURES AND PROVIDES A REPORT TO THE SYSTEM BUSINESS CONDUCT (COMPLIANCE) COMMITTEE, EXECUTIVE MANAGEMENT TEAM AND THE AUDIT COMMITTEE OF THE BOARD FOR REVIEW. THE REPORT IS THEN PROVIDED, IN RELEVANT PART, TO THE SITE CHIEF EXECUTIVE OFFICERS. POTENTIAL CONFLICTS ARE REVIEWED BY THE COMPLIANCE DEPARTMENT ON A CASE BY CASE BASIS. FOLLOW UP PROCEDURES CONDUCTED ARE UNIQUE TO THE GIVEN CIRCUMSTANCE, AND MAY INCLUDE REVIEWING THE POTENTIAL CONFLICT WITH THE INTERESTED PERSON, OR INVESTIGATING THE MATTER IN CONSULTATION WITH THE INTERESTED PERSON'S SUPERVISOR AND/OR SITE MANAGEMENT. IN CIRCUMSTANCES WHERE THE INTERESTED PERSON IS NOT A MEMBER OF THE BOARD, OR GOVERNING COUNCIL, OR A COMMITTEE THEREOF, OR A PERSON OF INTEREST, IF IT IS DETERMINED THAT THERE IS AN ACTUAL CONFLICT OF INTEREST, THE SUPERVISOR OF THE INDIVIDUAL IS RESPONSIBLE FOR MAKING AN APPROPRIATE RESPONSE, POTENTIALLY INCLUDING A RESTRICTION OF THE INDIVIDUAL'S JOB DUTIES WITH RESPECT TO THE MATTER GIVING RISE TO THE CONFLICT. FORM 990, PART VI, SECTION B, LINE 15 EXECUTIVE COMPENSATION AT THE ADVOCATE HEALTH CARE NETWORK AND SUBSIDIARIES IS BASED ON A BOARD OF DIRECTORS' APPROVED STRATEGY THAT GUIDES THE CORPORATION IN ESTABLISHING COMPENSATION OPPORTUNITIES FOR EXECUTIVES, MANAGERS, PROFESSIONALS, AND ALL EMPLOYEES. IN THIS STRATEGY, SPECIFIC MARKET COMPARISONS ARE IDENTIFIED AND THE DESIRED LEVEL OF COMPETITIVENESS IN THOSE MARKETS SPECIFIED. IN ADDITION, THE LINKAGE OF EXECUTIVE PAY TO PERFORMANCE IS ARTICULATED AND HOW THIS RELATIONSHIP IS TO BE MAINTAINED IS OUTLINED. TO SUPPORT AND IMPLEMENT THE COMPENSATION STRATEGY, FIVE BASIC ELEMENTS ARE UTILIZED. THESE ELEMENTS ARE: - A SOLID, RELIABLE AND TESTED JOB EVALUATION METHODOLOGY - ACCURATE, QUALITY AND RELEVANT COMPENSATION SURVEY INFORMATION - A CONSISTENT ANNUAL PROCESS FOR UPDATING THE COMPENSATION LEVELS - AN ACTIVE BOARD REVIEW PROCESS THAT ASSURES COMPLIANCE WITH THE COMPENSATION STRATEGY AND ON-GOING REVIEW OF THE PERFORMANCE OF THE ORGANIZATION, AND - ACTIVE, EXTERNAL REVIEW AND AUDITING OF COMPENSATION BY EXTERNAL INDEPENDENT CONSULTANTS. FORM 990, PART VI, SECTION C, LINE 19 AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY, & FIN STMTS TO GEN PUBLIC THE ORGANIZATION MAKES ITS FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC THROUGH THE FOLLOWING SITES: DACBOND.COM (DIGITAL ASSURANCE CERTIFICATION LLC) AND EMMA.MSRB.ORG (ELECTRONIC MUNICIPAL MARKET ACCESS). THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENT OR CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC. ADVOCATE HEALTH NETWORK 2025 WINDSOR DR OAK BROOK IL 60523 362167779 PARENT CORP IL 501(C)(3) LINE 12C, III-FI N/A 0 ADVOCATE NORTH SIDE HEALTH NETWORK 2025 WINDSOR DR OAK BROOK IL 60523 363166629 HEALTH CARE IL 501(C)(3) LINE 3 AHHC 0 ADVOCATE HEALTH & HOSPITALS CORPORATION 2025 WINDSOR DR OAK BROOK IL 60523 362169147 HEALTH CARE IL 501(C)(3) LINE 3 AHCN 0 ADVOCATE CHARITABLE FOUNDATION 2025 WINDSOR DR OAK BROOK IL 60523 363297360 FUNDRAISING IL 501(C)(3) LINE 7 AHCN 0 EHS HOME HEALTH CARE SERVICE INC 2025 WINDSOR DR OAK BROOK IL 60523 362913108 HOME CARE IL 501(C)(3) LINE 10 AHHC 0 MERIDIAN HOSPICE 2025 WINDSOR DR OAK BROOK IL 60523 363158667 HOSPICE CARE IL 501(C)(3) LINE 10 EHSHHCS 0 MASONIC FAMILY HEALTH FOUNDATION INC 2025 WINDSOR DR OAK BROOK IL 60523 364397387 FUNDRAISING IL 501(C)(3) LINE 12A, I MFHS 0 ADVOCATE SHERMAN HOSPITAL 2025 WINDSOR DR OAK BROOK IL 60523 362167920 HEALTH CARE IL 501(C)(3) LINE 3 AHCN 0 ADVOCATE AURORA HEALTH INC 2025 WINDSOR DR OAK BROOK IL 60523 824184596 SUPPORT ORG DE 501(C)(3) LINE 12C, III-FI N/A 0 ADVOCATE HOME CARE PRODUCTS INC 2025 WINDSOR DR OAK BROOK IL 60523 363315416 HEALTH SERVICES IL N/A C 0 EVANGELICAL SERVICES CORPORATION 2025 WINDSOR DR OAK BROOK IL 60523 363208101 MGMT SERVICES IL N/A C 0 HIGH TECHNOLOGY INC 2025 WINDSOR DR OAK BROOK IL 60523 363368224 MEDICAL SERVICES IL N/A C 0 DREYER CLINIC INC 2025 WINDSOR DR OAK BROOK IL 60523 362690329 MEDICAL SERVICES IL N/A C 0 PARKSIDE CENTER CONDO ASSOCIATION 1775 WEST DEMPSTER STREET PARK RIDGE IL 60068 363452486 PROPERTY MGMT IL N/A C 0 ADVOCATE INSURANCE SPC 878 W BAY ROAD PO BOX 1159 GRAND CAYMAN CJ KY1-1102 980422925 INSURANCE CJ N/A C 0 THE DELPHI GROUP IV INC 1425 N RANDALL ROAD ELGIN IL 60123 364017279 HEALTH COST M IL N/A C 0 ADVOCATE HPN NFP INC 2025 WINDSOR DR OAK BROOK IL 60523 810893878 HEALTH IMPRV IL N/A C 0 ADVOCATE HEALTH PARTNERS 1701 WEST GOLF ROAD ROLLING MEADOWS IL 60008 364032117 HEALTH CARE MGT IL N/A C 0 ADVOCATE PHYSICIAN PARTNERS ACCOUNTABLE 1701 WEST GOLF ROAD ROLLING MEADOWS IL 60008 455498384 HEALTH CARE MGT IL N/A C 0 ADVOCATE PHYSICIAN PTNRS RISK PURC GROUP 1701 WEST GOLF ROAD ROLLING MEADOWS IL 60008 383914173 GROUP MALPRACTICE IL N/A C 0 0 0 0 0 0 0 0 0 0 0 0 0 1 0 0 0 1 0 0 ADVOCATE HEALTH AND HOSPITALS CORPORATION S 6202501 COST ADVOCATE HEALTH AND HOSPITALS CORPORATION S 1139225 COST ADVOCATE HEALTH AND HOSPITALS CORPORATION S 8266442 COST ADVOCATE HEALTH AND HOSPITALS CORPORATION S 7080264 COST ADVOCATE HEALTH AND HOSPITALS CORPORATION R 23539943 COST ADVOCATE HEALTH AND HOSPITALS CORPORATION S 46228375 COST ADVOCATE HEALTH PARTNERS M 2687934 COST ADVOCATE HEALTH PARTNERS M 216100 COST DIVERSIFIED CARE INC M 7543 COST ADVOCATE HOME CARE PRODUCTS INC M 4997 COST ADVOCATE HOME CARE PRODUCTS INC M 1171 COST ADVOCATE INSURANCE SPC M 896856 COST ADVOCATE HEALTH AND HOSPITALS CORPORATION D 140000 COST ADVOCATE HEALTH PARTNERS D 380000 COST