2015-11-13T07:19:21-06:00 2014-12-31 ERNST & YOUNG US LLP 111 MONUMENT CIRCLE STE 4000 INDIANAPOLIS IN 46204 990 2014-01-01 362167920 ADVOCATE SHERMAN HOSPITAL % JAMES DOHENY ADVO 6305729393 3075 Highland PkWY Suite 600 Downers Grove IL 60515 James W Doheny Assistant Treasurer 2015-11-12 angela m moore P00244342 3176817000 2014 2016-04-25 22:37:26Z Linda Deering 3075 Highland Pkwy Ste 600 Downers Grove IL 60515 394656600 false X www.advocatehealth.com X 1887 IL SERVE HEALTH NEEDS OF COMMUNITIES THROUGH WHOLISTIC PHILOSOPHY ROOTED IN FUNDAMENTAL UNDERSTANDING OF HUMANS AS CREATED IN THE IMAGE OF GOD. 19 14 2074 337 836194 924623 524906 200733883 298002422 10441434 6157457 2445462 2622358 214545402 307307143 47925 24217 0 0 85039392 125216912 0 0 0 113351472 188022715 198438789 313263844 16106613 -5956701 531510100 504091796 369107943 360266823 162402157 143824973 X THE MISSION OF ADVOCATE SHERMAN HOSPITAL IS TO SERVE THE HEALTH NEEDS OF INDIVIDUALS, FAMILIES AND COMMUNITIES THROUGH A WHOLISTIC PHILOSOPHY ROOTED IN OUR FUNDAMENTAL UNDERSTANDING OF HUMAN BEINGS AS CREATED IN THE IMAGE OF GOD. false false 216784969 24217 248398734 FORM 990, PART III, LINE 4A PROVIDING INPATIENT AND OUTPATIENT HEALTH CARE SERVICES TO THE COMMUNITY REGARDLESS OF THE PATIENTS' ABILITY TO PAY. AS PART OF ITS COMMUNITY BENEFITS STRATEGY AND ITS MISSION, ADVOCATE SHERMAN HOSPITAL (ASH) IS COMMITTED TO PROMOTING INITIATIVES THAT ENHANCE ACCESS TO HEALTH CARE FOR THE UNINSURED AND UNDERINSURED. AN EXAMPLE OF THIS IS THE HOSPITAL'S PROVISION OF CHARITY CARE. ASH OFFERS A VERY GENEROUS CHARITY CARE PROGRAM--REQUIRING NO PAYMENTS FROM THE PATIENTS MOST IN NEED, AND PROVIDING DISCOUNTS TO UNINSURED PATIENTS EARNING UP TO SIX TIMES THE FEDERAL POVERTY LEVEL AND TO INSURED PATIENTS EARNING UP TO FOUR TIMES THE FEDERAL POVERTY LEVEL. THE HOSPITAL ALSO CONSIDERS A PATIENT'S EXTENUATING CIRCUMSTANCES TO QUALIFY PATIENTS FOR CHARITY CARE. FOR UNINSURED PATIENTS, THE HOSPITAL WILL PRESUMPTIVELY PROVIDE CHARITY CARE IF THE FINANCIAL STATUS HAS BEEN VERIFIED BY A THIRD PARTY AND, IN SOME CASES, THE PATIENT IS NOT REQUIRED TO SUBMIT A SEPARATE CHARITY APPLICATION. IF PRESUMPTIVE CRITERIA IS NOT AVAILABLE FOR UNINSURED PATIENTS, THEN FINANCIAL ASSISTANCE ELIGIBILITY IS AVAILABLE USING AN INCOME-BASED SCREENING. ASH EXTENDS ITS INCOME-BASED FINANCIAL ASSISTANCE POLICY TO ITS INSURED PATIENTS AS WELL, ALSO TAKING INTO CONSIDERTION THE INSURED PATIENT'S EXTENUATING CIRCUMSTANCES. ALTHOUGH THE HOSPITAL'S CHARITY CARE POLICY IS VERY GENEROUS, ASH CONTINUES TO REVIEW AND REFINE ITS POLICY IN AN ONGOING EFFORT TO ENSURE THAT FINANCIAL ASSISTANCE IS AVAILABLE WHEN THEY NEED IT TO THOSE WHO NEED HELP. THE HOSPITAL MAINTAINS HIGHLY VISIBLE SIGNAGE AND BROCHURES IN MULTIPLE LANGUAGES TO INFORM PATIENTS OF THE AVAILABILITY OF FINANCIAL HELP AND FINANCIAL COUNSELORS. INFORMATION ABOUT THE CHARITY CARE PROGRAM AND CHARITY APPLICATIONS IS PROVIDED TO ALL UNINSURED PATIENTS DURING REGISTRATION AND IS MAILED TO THEM IN ADVANCE OF THE FIRST PATIENT BILLING. AFTER THAT, EACH UNINSURED PATIENT'S BILL INCLUDES SUMMARY INFORMATION REGARDING THE CHARITY CARE PROGRAM. ASH, AS A LEVEL II TRAUMA CENTER, IS DEDICATED TO PROVIDING EXPERT EMERGENCY CARE REGARDLESS OF THE PATIENTS' ABILITY TO PAY. THE HOSPITAL HAD 473 TRAUMA VISITS AND 64,241 EMERGENCY DEPARTMENT VISITS IN 2014. 29157266 26800672 FORM 990, PART III, LINE 4B HEALTH CARE SERVICES PROVIDED BY PHYSICIANS, NURSES, CLINICIANS AND OTHER ASSOCIATES EMPLOYED BY ADVOCATE SHERMAN HOSPITAL. ASH CLINICIANS PROVIDE CARE TO THE COMMUNITY BOTH AT THE HOSPITAL AND IN THE COMMUNITY. ADVOCATE SHERMAN HOSPITAL HAS MORE THAN 30 YEARS OF CARDIOVASCULAR EXCELLENCE FOCUSING ON PROACTIVELY PREVENTING, DIAGNOSING AND TREATING AN ARRAY OF HEART CONDITIONS. AS AN ACCREDITED CHEST PAIN CENTER THROUGH THE SOCIETY OF CARDIOVASCULAR PATIENT CARE, ADVOCATE SHERMAN HOSPITAL IS DEDICATED TO THE CARE OF ITS CARDIAC PATIENTS. THIS ACCREDITATION MEANS THAT ASH INTEGRATES THE INDUSTRY'S BEST PRACTICES TO PROVIDE THE BEST POSSIBLE OUTCOMES IN CARDIAC CARE. SHERMAN'S HEART FAILURE PROGRAM HAS ACHIEVED ADVANCED CERTIFICATION IN HEART FAILURE DESIGNATION FOR BEST PRACTICES IN CARING FOR HEART FAILURE PATIENTS. IN 2014, ASH EXPERIENCED 737 INPATIENT CARDIAC CATH CASES AND 653 INPATIENT CARDIOVASCULAR SURGERIES. ADVOCATE SHERMAN HOSPITAL IS RECOGNIZED AS A CENTER OF EXCELLENCE IN TREATING DISEASES AND INJURIES OF MUSCLES, BONES AND JOINTS AND IS A LEADER IN STATE-OF-THE-ART ORTHOPEDIC DIAGNOSTIC AND TREATMENT OPTIONS. DEPENDING ON THE INJURY OR ILLNESS, TREATMENT CAN RANGE FROM NON-SURGICAL OPTIONS SUCH AS CASTS, SPLINTS AND PHYSICAL THERAPY TO SURGICAL OPTIONS, FROM MINIMALLY INVASIVE ARTHROSCOPY TO TOTAL JOINT REPLACEMENT. IN 2014, ADVOCATE SHERMAN HOSPITAL PERFORMED 1,319 INPATIENT ORTHOPEDIC SURGERIES. ADVOCATE SHERMAN HOSPITAL'S CANCER CARE CENTER IS ACCREDITED THROUGH THE COMMISSION ON CANCER (CoC) AND THE NATIONAL ACCREDITATION PROGRAM FOR BREAST CENTERS (NAPBC). ASH IS LEADING HEALTH BY PROMOTING HEALTHY LIFESTYLES, FOCUSING ON PREVENTATIVE AND INNOVATIVE MEDICINE, ESTABLISHING A COMPREHENSIVE GENETIC PROGRAM, SECURING NURSE NAVIGATION, ENHANCING THE ONCOLOGY SERVICE LINE (INPATIENT, OUTPATIENT & COMMUNITY), PARTNERING WITH AMERICAN CANCER SOCIETY, LIVING WELL, AND JOURNEY CARE AND PARTICIPATING IN A COLEMAN GRANT FOR SUPPORTIVE ONCOLOGY AND NCI/YALE GRANT FOR DISTRESS SCREENING. THERE IS ALSO A FOCUS ON NEW EDUCATION AND PREVENTION PROGRAMS INCLUDING COLORECTAL CANCER OUTREACH & SCREENINGS, LUNG CANCER SCREENING, ENHANCEMENTS TO GENETIC COUNSELING, ADDITION OF ONCOLOGY NURSE NAVIGATION RESOURCE AND ONCOLOGY FINANCIAL NAVIGATOR, AND PARTNERSHIP WITH ADVOCATE LUTHERAN GENERAL HOSPITAL FOR RESEARCH/CLINICAL TRIALS. ADVOCATE SHERMAN HOSPITAL'S PRIMARY STROKE CENTER IS ACCREDITED THROUGH DNV HEALTHCARE (DNV). THE SCOPE OF THE PROGRAM ENCOMPASSES THE ADULT POPULATION ENTERING INTO THE HOSPITAL WITH HEMORRHAGIC/ISCHEMIC STROKE OR TIA DIAGNOSIS. DATA IS ABSTRACTED, SUBMITTED AND REPORTED THROUGH THE GET WITH THE GUIDELINES STROKE DATA REGISTRY AND ALSO THE CENTER FOR MEDICARE & MEDICAID SERVICES. OTHER IMPORTANT HOSPITAL-BASED SERVICES INCLUDE A COMPREHENSIVE DIABETES CENTER, A BIRTHING CENTER PROFICIENT IN HANDLING HIGH RISK DELIVERIES, AND AN EMERGENCY DEPARTMENT AND LEVEL II TRAUMA CENTER. HOSPITAL CLINICIANS ALSO PROVIDE CARE TO PATIENTS AT SEVERAL OFF-SITE LOCATIONS INCLUDING THREE IMMEDIATE CARE CENTERS FOR IMAGING, LABORATORY, PHYSICAL REHABILITATION AND PRIMARY CARE SERVICES, AS WELL AS SERVICES PROVIDED AT A NURSING/REHABILITATION CENTER AND A STAND ALONE IMAGING CENTER. ASH CLINICIANS LEAD PRENATAL/CHILDBIRTH AND PARENTING EDUCATION CLASSES, DIABETES EDUCATION CLASSES, AS WELL AS SUPPORT GROUPS FOCUSED ON INDIVIDUALS STRUGGLING WITH HEALTH ISSUES SUCH AS DIABETES, HEART DISEASE, BREAST AND OTHER CANCERS, OSTOMIES, AND BREAST FEEDING. AS PART OF THE HOSPITAL'S SPEAKER'S BUREAU, CLINICIANS ALSO PARTICIPATE IN COMMUNITY HEALTH EVENTS, PROVIDING EDUCATION ON VARIOUS TOPICS OF INTEREST TO THE COMMUNITY SUCH AS TRAUMA/INJURY PREVENTION, AND HEALTH AND WELLNESS CLASSES. 21794378 22803016 FORM 990, PART III, LINE 4C DESCRIPTION OF ADVOCATE SHERMAN HOSPITAL ADVOCATE SHERMAN HOSPITAL IS A 255-BED NOT-FOR-PROFIT HOSPITAL THAT PROVIDES ACUTE INPATIENT AND OUTPATIENT MEDICAL CARE TO INDIVIDUALS RESIDING IN THE GREATER ELGIN, ILLINOIS, AREA. FOUNDED IN 1888, THE HOSPITAL HAS EXPANDED ITS SERVICES TO SEVERAL OFF-SITE LOCATIONS, INCLUDING THREE IMMEDIATE CARE CENTERS, A NURSING/REHABILITATION CENTER AND A STAND ALONE IMAGING CENTER. AT ALL THESE SITES OF CARE, SHERMAN'S 650 PHYSICIANS AND 2,200 ASSOCIATES (EMPLOYEES) PROVIDE QUALITY AND COMPASSIONATE CARE TO INDIVIDUALS REGARDLESS OF THEIR ABILITY TO PAY FOR SERVICES RECEIVED. THE HOSPITAL MOVED TO ITS CURRENT LOCATION ON RANDALL ROAD FOLLOWING COMPLETION OF A NEW HOSPITAL BUILDING IN DECEMBER 2009. ASH JOINED THE ADVOCATE SYSTEM IN 2013 AND BECAME THE ELEVENTH HOSPITAL IN THE ADVOCATE HEALTH CARE NETWORK. ASH HAS BEEN RECOGNIZED FOR ITS COMMITMENT TO CONTInUALLY IMPROVING PERFORMANCE AND PATIENT CARE AS DEMONSTRATED THROUGH ITS ACHIEVEMENT OF SEVERAL AWARDS. CONSIDERED THE NATIONAL "GOLD STANDARD" FOR NURSING EXCELLENCE AMONG HOSPITALS, THE HOSPITAL HAS RECEIVED MAGNET RECOGNITION BY THE AMERICAN NURSES CREDENTIALING CENTER, AN AFFILIATE OF THE AMERICAN NURSES ASSOCIATION. MAGNET RECOGNITION IS GIVEN ONLY TO HOSPITALS THAT SATISFY A SET OF CRITERIA DESIGNED TO MEASURE STRENGTH AND QUALITY IN NURSING CARE--FOR WHICH LESS THAN SEVEN PERCENT OF HOSPITALS NATION-WIDE HAVE ACHIEVED THIS STATUS. IN ADDITION, ASH HAS RECEIVED A 2011 SILVER AWARD FROM THE LINCOLN FOUNDATION FOR PERFORMANCE EXCELLENCE FOR IMPROVING PERFORMANCE THROUGH BEST PRACTICES AND ITS CARE DELIVERY SYSTEM. THE CENTER FOR BREAST CARE AT ADVOCATE SHERMAN HOSPITAL IS DESIGNATED AS A BREAST IMAGING CENTER OF EXCELLENCE BY THE AMERICAN COLLEGE OF RADIOLOGY FOR ITS DEDICATION TO IMPROVING WOMEN'S HEALTH. THE HOSPITAL IS ALSO AN ACCREDITED CHEST PAIN CENTER, WHICH MEANS THE HOSPITAL INTEGRATES THE INDUSTRY'S BEST PRACTICES AND NEWEST PARADIGMS TO PROVIDE THE BEST POSSIBLE OUTCOMES IN CARDIAC CARE. THE HOSPITAL'S STROKE CENTER IS CERTIFIED BY THE JOINT COMMISSION. THE HOSPITAL HAS IMPLEMENTED CODE BAT (BRAIN ATTACK TEAM), A RAPID RESPONSE TEAM OF TRAINED CLINICIANS TO ENSURE STROKE PATIENTS RECEIVE TIMELY AND EXPERT CARE. EARLY MEDICAL INTERVENTION IS CRITICAL TO LIMITING BRAIN DAMAGE AND IMPROVES OUTCOMES FOR MANY STROKE VICTIMS. THE HOSPITAL'S HEART FAILURE PROGRAM RECEIVED GOLD LEVEL RECOGNITION FROM THE AMERICAN HEART ASSOCIATION'S "GET WITH THE GUIDELINES-HEART FAILURE PROGRAM" FOR COMMITMENT TO IMPROVING QUALITY CARE. THE HOSPITAL HAS ALSO RECEIVED PLATINUM RECOGNITION FROM THE AMERICAN COLLEGE OF CARDIOLOGY/AMERICAN HEART ASSOCIATION FOR ITS CARDIAC OUTCOMES OVER FOUR CONSECUTIVE QUARTERS. advocate SHERMAN HOSPITAL'S HEALTHCARE PROVIDERS ARE ENGAGED IN ONGOING EFFORTS FOCUSED ON QUALITY IMPROVEMENT INITIATIVES. THESE PROVIDERS USE EVIDENCE-BASED PRACTICES AS AN APPROACH TO IMPROVE QUALITY WHILE REDUCING UNNECESSARY VARIATION IN PRACTICE, UNNECESSARY COST AND UNNECESSARY HOSPITALIZATION. THESE EFFORTS ARE DESIGNED TO MAINTAIN AND ENHANCE PATIENT, STAFF AND VISITOR SAFETY AND TO IMPROVE THE ENVIRONMENT OF CARE. ASH WAS ONE OF THE FIRST COMMUNITY HOSPITALS TO PERFORM OPEN-HEART SURGERY-A SIGNFICIANT ACHIEVEMENT FOR A COMMUNITY HOSPITAL IN 1972. SINCE THEN, THE HOSPITAL HAS BECOME THE RECOGNIZED REGIONAL HEART CENTER FOR THE NORTHWEST SUBURBS, RANKING THIRD IN THE CHICAGOLAND AREA IN PATIENT VOLUMES FOR OPEN-HEART SURGERY. WITH A TEAM OF NEARLY 50 CARDIOLOGISTS, ASH HAS OVER 35 YEARS OF EXERIENCE WITH OPEN HEART PROCEDURES AND ALL FORMS OF CARDIAC CARE. IN ADDITION TO A WIDE RANGE OF CARDIOVASCULAR SERVICES, THE HOSPITAL IS ALSO AN ACCREDITED CHEST PAIN CENTER WITH DEDICATED INTERVENTIONAL CARDIOLOGISTS, AND CARDIOLOGY AND EMERGENCY PERSONNEL TRAINED IN RAPID RESPONSE AND TREATMENT OF HEART ATTACKS, WHICH HELPS ENSURE REDUCED HEART MUSCLE DAMAGE AND SAVES LIVES. THE HOSPITAL'S CENTER FOR CANCER CARE OFFERS THE LATEST CANCER TREATMENTS AND STATE-OF-THE-ART TECHNOLOGY IN AN ENVIRONMENT CUSTOM-DESIGNED FOR HEALING AND COMPASSIONATE CARE. THE CENTER FOR ADVANCED LIVER & PANCREATIC CARE PROVIDES PATIENTS WITH ACCESS TO SPECIALIZED CARE FOR THE TREATMENT OF A WIDE RANGE OF LIVER AND PANCREATIC DISEASES THAT TYPICALLY HAVE ONLY BEEN TREATED AT ACADEMIC MEDICAL CENTERS. ASH ALSO PROVIDES COMMUNITY OUTREACH THROUGH HEALTH FAIRS, WELLNESS PROGRAMS AND OTHER SERVICES IN SUPPORT OF ITS MVP (MISSION, VALUES AND PHILOSOPHY). THE MISSION OF ADVOCATE SHERMAN HOSPITAL IS TO SERVE THE HEALTH NEEDS OF INDIVIDUALS, FAMILIES AND COMMUNITIES THROUGH A WHOLISTIC PHILOSOPHY ROOTED IN THE FUNDAMENTAL UNDERSTANDING OF HUMAN BEINGS AS CREATED IN THE IMAGE OF GOD. THE VALUES OF ADVOCATE SHERMAN HOSPITAL INCLUDE EQUALITY, COMPASSION, EXCELLENCE, PARTNERSHIP, AND STEWARDSHIP. THE PHILOSOPHY OF ADVOCATE SHERMAN HOSPITAL IS GROUNDED IN THE PRINCIPLES OF HUMAN ECOLOGY, FAITH AND COMMUNITY-BASED HEALTH CARE. THESE PRINCIPLES ARISE FROM AN UNDERSTANDING OF HUMAN BEINGS AS WHOLE PERSONS IN LIGHT OF THEIR RELATIONSHIPS WITH GOD, THEMSELVES, THEIR FAMILIES AND THE SOCIETY IN WHICH THEY LIVE. POPULATION SERVED ADVOCATE SHERMAN HOSPITAL PROVIDES QUALITY HEALTH CARE TO INDIVIDUALS REGARDLESS OF RACE, CREED, NATIONAL ORIGIN, AGE OR ABILITY TO PAY. IN 2014, THE HOSPITAL'S 650 PHYSICIANS AND 2,200 ASSOCIATES (EMPLOYEES) TREATED 15,077 INPATIENT ADMISSIONS INCLUDING 2,740 DELIVERIES, AND HANDLED 193,423 OUTPATIENT VISITS ON THE HOSPITAL CAMPUS AND 104,111 TO OFFSITE IMMEDIATE CARE CENTSERS AND ONE IMAGING CENTER. AS A LEVEL II TRAUMA CENTER, ASH HAD 473 TRAUMA VISITS AND 64,261 EMERGENCY DEPARTMENT VISITS IN 2014. ADVOCATE SHERMAN HOSPITAL SERVES A PRIMARY SERVICE AREA (PSA) INCLUDING 295,700 PEOPLE WHO RESIDE IN THE COMMUNITIES OF ALGONQUIN, CARPENTERSVILLE, DUNDEE, ELGIN, GILBERTS, HUNTLEY, LAKE IN THE HILLS, AND SOUTH ELGIN. THE HOSPITAL SERVES A SECONDARY SERVICE AREA (SSA) INCLUDING 76,000 PEOPLE WHO RESIDE IN CRYSTAL LAKE, HAMPSHIRE AND MARENGO. THE PSA AND SSA COMMUNITIES ARE IN PRIMARILY SUBURBAN AREAS, LOCATED 45-60 MINUTES WEST OF DOWNTOWN CHICAGO. THE PERCENT OF THE POPULATION LIVING BELOW THE FEDERAL POVERTY LEVEL WAS 9.0 % FOR THE PSA AND 7.1% FOR THE SSA, COMPARED TO 13.7% FOR THE STATE IN 2014. THERE ARE SEVERAL COMMUNITIES IN THE SHERMAN PSA WHICH ARE FINANCIALLY CHALLENGED, WITH A HIGHER PERCENTAGE LIVING BELOW POVERTY THAN THE STATE, INCLUDING CARPENTERSVILLE WITH 16.1% OF THE POPULATION LIVING BELOW POVERTY, AND EAST ELGIN AT 15.1%. THE 2015 MEDIAN HOUSEHOLD INCOME IS $73,884 FOR THE PSA AND $79,144 FOR THE SSA. THE PSA HAS A HIGH PORTION OF THE POPULATION WITH LATINO ANCESTRY (28.9%) AS COMPARED TO THE SSA (12.8%) AND THE US (17.6%). BOTH THE PSA AND THE SSA HAVE LOW RATES OF POPULATION WITH AFRICAN AMERICAN ANCESTRY (4.6% AND 1.2%, RESPECTIVELY). COMMITMENT TO THE COMMUNITY EVEN IN THE FACE OF LOW REIMBURSEMENTS, ADVOCATE SHERMAN HOSPITAL IS DEDICATED TO MAINTAINING A STRONG PRESENCE WITHIN ITS COMMUNITY AND CONTINUES TO MONITOR EXPENDITURES TO MAKE CERTAIN THAT THE PROGRAMS AND SERVICES SUPPORTED ARE IN DIRECT RESPONSE TO COMMUNITY NEED. IN 2014, ASH PROVIDED OVER $50.2 MILLION IN COMMUNITY BENEFIT PROGRAMS AND SERVICES. THESE BENEFITS INCLUDED NOT ONLY THE COST OF CHARITY CARE AND UNREIMBURSED MEDICAID AND MEDICARE, FOR EXAMPLE, BUT ALSO THE COST FOR IMPLEMENTING AND SUSTAINING PROGRAMS SPECIFICALLY DESIGNED TO MEET THE HEALTH CARE NEEDS OF THE COMMUNITY. COMMUNITY BENEFITS PLAN, GOALS & EXAMPLES OF PROGRAM SERVICE ACCOMPLISHMENTS AS ONE OF ELEVEN ADVOCATE HEALTH CARE HOSPITALS, ADVOCATE SHERMAN HOSPITAL'S COMMUNITY BENEFITS EFFORTS ARE ALIGNED WITH ADVOCATE HEALTH CARE'S COMMUNITY BENEFITS PLAN. THE COMMUNITY BENEFITS PLAN WAS DEVELOPED TO ESTABLISH STRATEGIES FOR IMPROVING ACCESS TO CARE AND POSITIVELY AFFECTING THE HEALTH OF THE COMMUNITIES SERVED BY THE HOSPITAL. INCLUDED IN THE COMMUNITY BENEFITS PLAN ARE NOT ONLY PLANNED GOALS AND OBJECTIVES FOCUSED ON ADDRESSING NEEDS AS IDENTIFIED THROUGH A HOSPITAL-SPECIFIC COMMUNITY HEALTH NEEDS ASSESSMENT, BUT ALSO OTHER COMMUNITY BENEFITS SUCH AS CHARITY CARE, UNREIMBURSED MEDICAID AND MEDICARE. THE COMMUNITY BENEFITS PLAN SETS THE COURSE FOR STRENGTHENING EXISTING PARTNERSHIPS AND BUILDING NEW ONES WITH INDIVIDUALS AND ORGANIZATIONS WITHIN SHERMAN'S SERVICE AREA IN ORDER TO LEVERAGE AND MAXIMIZE THE IMPACT OF ITS PROGRAMS. ASH HAS SET GOALS AND OBJECTIVES TO ACCOMPLISH THIS STRATEGY. THE GOALS AND SOME CORRESPONDING EXAMPLES OF SERVICES ASH OFFERS ARE PROVIDED BELOW. GOAL 1: UNDERTAKE OR SUPPORT INITIATIVES THAT ENHANCE ACCESS TO HEALTH AND WELLNESS SERVICES WITHIN THE DIVERSE COMMUNITIES ADVOCATE HEALTH CARE SERVES. CHARITY CARE - ADVOCATE SHERMAN HOSPITAL OFFERS A VERY GENEROUS CHARITY CARE PROGRAM - REQUIRING NO PAYMENTS FROM THE PATIENTS MOST IN NEED, AND PROVIDING DISCOUNTS TO UNINSURED PATIENTS EARNING UP TO SIX TIMES THE FEDERAL POVERTY LEVEL AND TO INSURED PATIENTS EARNING UP TO 267736613 true true false true false false false false false false true false false false true false false true false true true false false false false false true true false false true false false false false false true true false false false false false false true true true false false true 222 0 true 2074 true true true false false false false false false false false false X 19 14 true false false false true true true true true false false true true true true true true true true true true IL X JAMES DOHENY 6309295543 3075 HIGHLAND PKWY SUITE 600 DOWNERS GROVE IL 60515 Linda Deering President, Director 40.0 2.0 X X 563718 0 185081 William Hoffer Chairperson, Director 1.0 1.0 X X 0 0 0 Rev Dr Nathaniel Edmond Vice Chairperson, Director 1.0 5.0 X X 0 0 0 Audrey Reed Assistant Secretary, Director 1.0 2.0 X X 0 0 0 David Bear Assistant Treasurer, Director 1.0 0.0 X X 0 0 0 Roger Bielinski MD Director 1.0 0.0 X 0 0 0 John Chapman Director 1.0 1.0 X 0 0 0 James Dan MD Director 1.0 43.0 X 0 1382300 263198 Tracy Ellis Director 1.0 0.0 X 0 0 0 Rick Jakle Director 1.0 5.0 X 0 0 0 Sharon Jakle Director 1.0 0.0 X 0 0 0 Kenneth Koehler Director 1.0 1.0 X 0 0 0 Lawrence Kosinski MD Director 1.0 0.0 X 0 0 0 Craig Lamp Director 1.0 0.0 X 0 0 0 Ashok Mehta MD Director 1.0 0.0 X 0 0 0 Scott Richmond Director 1.0 0.0 X 0 0 0 William P Santulli Director 1.0 43.0 X 0 2492478 779240 Solomon Secemsky MD Director 1.0 40.0 X 0 409706 40338 Michael Seigle MD Director 1.0 0.0 X 0 0 0 Linda Wallace Director 1.0 0.0 X 0 0 0 Shuja Valika MD Director-Nov 2014 1.0 0.0 X 0 0 0 Judith Balcitis VP, Chief Nursing officer 40.0 0.0 X 253162 0 45326 David Cartwright Interim VP, Finance 1.0 40.0 X 0 263316 48356 Trent Gordon VP, Strategy Planning 40.0 0.0 X 0 170548 42729 Bruce Hyman Vice President, Medical Mgmt 40.0 0.0 X 289824 0 49065 Kate Kovich Vice President, Patient Safety 40.0 0.0 X 0 220615 46473 Brian Liedlich Vice President, Development 40.0 0.0 X 0 147006 0 Mary Martini VP, Professional Services 40.0 0.0 X 239950 0 41218 Tom Nitz VP, Ancillary Services 40.0 1.0 X 233996 0 272485 Frederick Rajan VP, Mission & Spiritual care 40.0 0.0 X 0 110185 89909 Katie Bata VP, Human Resources-Feb 2014 40.0 0.0 X 33987 242903 40056 Melissa O'Neil VP, Human Resources 40.0 0.0 X 0 205199 27535 Dominic J Nakis Treasurer 1.0 46.0 X 0 1774769 348593 Gail D Hasbrouck Secretary 1.0 48.0 X 0 1150732 188617 James Doheny Assistant Treasurer 1.0 49.0 X 0 454164 54251 Ian Jones VP, Clinical Performance-Jan14 40.0 0.0 X 115124 0 14037 Eric Krueger VP, Finance-June 2014 40.0 0.0 X 524388 0 107872 Eva Price Chief Perfusionist 40.0 0.0 X 158387 0 7524 Patrick Uplegger Director Pharmacy 40.0 0.0 X 158286 0 24094 Rex Krieger Perfusionist 40.0 0.0 X 150864 0 17975 Paula Morton Director Perioperative Svcs 40.0 0.0 X 150035 0 29543 Kathy Cisco Dir ED/Inpatient/Critical care 40.0 0.0 X 148942 0 31530 3020663 9023921 2795045 117 false true false Aramark Healthcare Support Services 25271 Network Place Chicago IL 606731252 Hospital Services 2155814 Marberry Laundry LLC 315 E Main Sreet St Charles IL 60174 Laundry Services 607712 Ernst Young LLP 155 N Wacker Drive Suite 2000 Chicago IL 606066429 Professional Service 304705 Westside Mechanical Group Inc 2007 Corporate Lane Naperville IL 60563 Mechanical HVAC Serv 227814 Medical Recovery Specialists LLC 2250 E Devon Avenue Suite 352 Des Plaines IL 60018 Collection Services 218495 10 0 69381 455525 0 524906 Blue Cross / Managed Care 622110 141450354 141010092 440262 0 Medicare / Medicaid 622110 97813420 97691341 122079 0 Pharmacy 622110 31153362 31153362 0 0 Laboratory 621511 24974023 24974023 0 0 Program Service Revenue 622110 2611263 2368282 242981 0 298002422 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45527231 0 0 X 10450033 20474982 0 0 85141 0 35938557 49362675 0 0 0 0 4427360 4150199 4464511 4770666 2871485 2198375 323053970 32413986 305359620 290639984 129068180 107467004 0 0 0 3174961 641667 0 38203546 21852950 531510100 504091796 44383592 44340799 0 0 0 10258 176969843 0 0 0 0 0 0 0 1069192 0 146685316 315915766 369107943 360266823 X 162256825 143679641 145332 145332 0 0 162402157 143824973 531510100 504091796 X -5956701 -3240463 -9380020 X X false true X true true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false 0 false 0 false 0 false 0 false 0 false 0 true 18221 18221 false FORM 990, SCHEDULE C, PART II-B, LINE 1I LOBBYING ACTIVITIES ADVOCATE SHERMAN HOSPITAL IS A MEMBER OF THE AMERICAN HOSPITAL ASSOCIATION, THE ILLINOIS HOSPITAL ASSOCIATION, AND THE METROPOLITAN CHICAGO HEALTHCARE COUNCIL. THESE ORGANIZATIONS, AS PART OF THEIR MISSIONS, ADVOCATE IN THE GENERAL ASSEMBLY AND IN CONGRESS ON LEGAL AND POLICY ISSUES THAT AFFECT HEALTHCARE INCLUDING QUALITY, AFFORDABILITY, PATIENT ACCESS, AND ACCREDITATION. A PORTION OF THE ANNUAL MEMBERSHIP DUES PAID TO THESE ORGANIZATIONS IS ATTRIBUTABLE TO LOBBYING ACTIVITIES. THE HOSPITAL ALSO REIMBURSES ASSOCIATES FOR DUES AND EDUCATIONAL EXPENSES PAID TO VARIOUS PROFESSIONAL AND MEMBERSHIP ORGANIZATIONS. ADVOCATE SHERMAN HOSPITAL ENDEAVORS TO IDENTIFY THE PORTION OF THESE DUES OR FEES ATTRIBUTABLE TO LOBBYING ACTIVITIES. 32504177 32504177 237819280 16953794 220865486 2744480 536707 2207773 46394864 15264204 31130660 3591169 -340719 3931888 290639984 0 I/C NOTES PAYABLE-SHERMAN 261169422 BLUE CROSS TAKEBACKS 29233642 IBNR PROV INS LOSS 11613000 ACCR INS & CLAIMS COST 6513103 BLUE CROSS DUE-CURRENT YEAR 3362399 THIRD PARTY PAYOR TRANSFERS 3145367 EXECUTIVE SERP 870422 REMEDIATION COST ACCRUAL 8411 315915766 true Central America and the Caribbean 1 1 Program Services Self-Insurance 101497 1 1 1 1 101497 101497 true false false false false false true true X true X true X 600. true true true false true true 7857539 7857539 0.02660 49836783 34315760 15521022 0.05250 57694322 34315760 23378561 0.07910 429398 429398 0.00150 186325 186325 0.00060 26607 26607 0.00010 642330 642330 0.00220 58336652 34315760 24020891 0.08130 false 17490519 1305738 79819534 98159432 -18339898 X true true Algonquin Surg Ctr ancillary Surgery Center 0.25500 0.49000 1 1 ADVOCATE SHERMAN HOSPITAL 1425 N RANDALL ROAD ELGIN IL 601232300 HTTP://WWW.ADVOCATEHEALTH.COM/HOPE/ license no.0005884 X X X Advocate Sherman Hospital 1 false false true X X X X X X X X X 13 true true true true X www.advocatehealth.com/CHNAREPORTS X true 13 true www.advocatehealth.com/CHNAREPORTS false false true X 200. 600. X X X X X X true true X X X X X true X X X X X X X X X true X false X X X X X true X true false facility information PART V, SEC B, LINE 2 N/A PART V, SEC B, LINE 3J N/A PART V, SEC B, LINE 5 ADVOCATE SHERMAN HOSPITAL PARTICIPATED IN TWO COMMUNITY HEALTH NEEDS ASSESSMENTS BY WORKING COLLABORATIVELY WITH THE MCHENRY COUNTY HEALTH DEPARTMENT AND KANE COUNTY HEALTH DEPARTMENT AS WELL AS OTHER COMMUNITY-BASED ORGANIZATIONS. FOR PURPOSES OF THE CHNA, THE COMMUNITY WAS DEFINED AS THE PRIMARY AND SECONDARY SERVICE AREAS FOR ADVOCATE SHERMAN HOSPITAL, LOCATED IN BOTH KANE AND MCHENRY COUNTIES. THE MCHENRY COUNTY ASSESSMENT COLLABORATIVE INCLUDED REPRESENTATIVES FROM THE FOLLOWING ORGANIZATIONS: *ADVOCATE SHERMAN HOSPITAL, ELGIN, IL *ADVOCATE GOOD SHEPHERD HOSPITAL, BARRINGTON, IL *CENTEGRA HEALTH SYSTEM, MCHENRY, IL *CRYSTAL LAKE CHAMBER OF COMMERCE, CRYSTAL LAKE, IL *ENVIRONMENTAL DEFENDERS, CRYSTAL LAKE, IL *1ST CONGREGATIONAL CHURCH OF CRYSTAL LAKE, CRYSTAL LAKE, IL *LEADERSHIP GREATER MCHENRY COUNTY, MCHENRY, IL *MCHENRY COUNTY COLLEGE, CRYSTAL LAKE, IL *MCHENRY COUNTY COMMUNITY FOUNDATION, WOODSTOCK, IL *MCHENRY COUNTY CONSERVATION DISTRICT, WOODSTOCK, IL *MCHENRY COUNTY DEPARTMENT OF HEALTH, WOODSTOCK, IL *LEAGUE OF UNITED LATIN AMERICAN CITIZENS, CRYSTAL LAKE, IL *MCHENRY COUNTY MENTAL HEALTH BOARD, CRYSTAL LAKE, IL *PIONEER CENTER (HUMAN SERVICES ORGANIZATION), MCHENRY, IL *SENIOR SERVICES ASSOCIATES, INC., WOODSTOCK, IL *UNITED WAY OF GREATER MCHENRY COUNTY, MCHENRY, IL *WOODSTOCK CHRISTIAN LIFE (HEARTHSTONE), WOODSTOCK, IL *WOODSTOCK COMMUNITY UNIT SCHOOL DISTRICT 200, WOODSTOCK, IL *VILLAGE OF PRAIRIE GROVE, PINGREE GROVE, IL THE MCHENRY COUNTY SURVEY CONSISTED OF A RANDOM DISTRIBUTION HOUSEHOLD SURVEY SENT TO 8,000 HOMES PROPORTIONAL TO ZIP CODES WITHIN THE COUNTY. 1,128 SURVEYS WERE RETURNED (14.1% RESPONSE RATE). FOCUS GROUPS WERE CONDUCTED WITH 11 GROUPS OF WHICH WERE: AT-RISK YOUTH, HOMELESS PERSONS, LATINO ADULTS, LOW-INCOME ADULTS, PARENTS OF YOUTH/ CHILDREN WITH MENTAL ILLNESS, PERSONS WITH A DEVELOPMENTAL DISABILITY, PERSONS WITH MENTAL ILLNESS, SENIORS, UNEMPLOYED AND DISLOCATED WORKERS, VETERANS, AND YOUNG ADULTS AGES 18-24. IN ADDITION, KEY INFORMANT INTERVIEWS WERE CONDUCTED WITH 34 COMMUNITY LEADERS. A COMMUNITY ANALYSIS WAS ALSO PROVIDED. THE KANE COUNTY SURVEY COLLABORATIVE INCLUDED REPRESENTATIVES FROM THE FOLLOWING ORGANIZATIONS: *ADVOCATE SHERMAN HOSPITAL, ELGIN, IL *KANE COUNTY HEALTH DEPARTMENT, AURORA, IL *DELNOR COMMUNITY HOSPITAL, GENEVA, IL *PROVENA ST. JOSEPH HOSPITAL, ELGIN, IL *PROVENA MERCY HOSPITAL, AURORA, IL *INC BOARD NFP (COMMUNITY MENTAL HEALTH FUNDING ALLIANCE), AURORA, IL *RUSH COPLEY MEDICAL CENTER, AURORA, IL THE KANE COUNTY SURVEY CONSISTED OF A PHONE SURVEY TO RESIDENTS OF THE COUNTY WITH A RANDOM DIGIT-DIAL SAMPLE. THERE WERE 2,008 COMPLETED SURVEYS WITH A RESPONSE RATE OF 35.2%. THE NUMBER OF HOUSEHOLDS THAT COMPLETED BOTH THE ADULT AND CHILD SURVEYS WAS 79.5%. THE SURVEY WAS CONDUCTED IN BOTH ENGLISH AND SPANISH BY THE NORTHERN ILLINOIS UNIVERSITY PUBLIC OPINION LAB. THE SURVEY'S FOCUS WAS ON PHYSICAL HEALTH, MENTAL HEALTH, MEDICAL HISTORY, CURRENT HEALTH PRACTICES, DEMOGRAPHICS AND HEALTH OF CHILD LIVING IN HOUSEHOLD. PART V, SEC B, LINE 6A ADVOCATE GOOD SHEPHERD HOSPITAL, BARRINGTON, IL CENTEGRA HEALTH SYSTEMS, MCHENRY, IL PROVENA ST. JOSEPH'S HOSPITAL, ELGIN, IL PROVENA MERCY MEDICAL CENTER, AURORA, IL RUSH COPLEY HOSPITAL, AURORA, IL DELNOR COMMUNITY HOSPITAL, GENEVA, IL PART V, SEC B, LINE 6B MCHENRY COUNTY COLLABORATIVE ASSESSMENT *CRYSTAL LAKE CHAMBER OF COMMERCE, CRYSTAL LAKE, IL *ENVIRONMENTAL DEFENDERS, CRYSTAL LAKE, IL *1ST CONGREGATIONAL CHURCH OF CRYSTAL LAKE, CRYSTAL LAKE, IL *LEADERSHIP GREATER MCHENRY COUNTY, MCHENRY, IL *MCHENRY COUNTY COLLEGE, CRYSTAL LAKE, IL *MCHENRY COUNTY COMMUNITY FOUNDATION, WOODSTOCK, IL *MCHENRY COUNTY CONSERVATION DISTRICT, WOODSTOCK, IL *MCHENRY COUNTY DEPARTMENT OF HEALTH, WOODSTOCK, IL *LEAGUE OF UNITED LATIN AMERICAN CITIZENS, CRYSTAL LAKE, IL *MCHENRY COUNTY MENTAL HEALTH BOARD, CRYSTAL LAKE, IL *PIONEER CENTER (HUMAN SERVICES ORGANIZATION), MCHENRY, IL *SENIOR SERVICES ASSOCIATES, INC., WOODSTOCK, IL *UNITED WAY OF GREATER MCHENRY COUNTY, MCHENRY, IL *WOODSTOCK CHRISTIAN LIFE (HEARTHSTONE), WOODSTOCK, IL *WOODSTOCK COMMUNITY UNIT SCHOOL DISTRICT 200, WOODSTOCK, IL *VILLAGE OF PRAIRIE GROVE, PINGREE GROVE, IL KANE COUNTY COLLABORATIVE ASSESSMENT *KANE COUNTY HEALTH DEPARTMENT, AURORA, IL *INC BOARD NFP (COMMUNITY MENTAL HEALTH FUNDING ALLIANCE), AURORA, IL PART V, SEC B, LINE 7D N/A PART V, SEC B, LINE 11 ADVOCATE SHERMAN HOSPITAL HAS BEEN WORKING COLLABORATIVELY WITH THE MCHENRY COUNTY DEPARTMENT OF HEALTH AND THE KANE COUNTY HEALTH DEPARTMENT TO ASSESS THE HEALTH NEEDS OF THE COMMUNITY. IN THE PROCESS, SHERMAN HAS BEEN CONTRIBUTING THROUGH A VARIETY OF RESOURCES, MONEY AND TIME. SHERMAN ASSOCIATES SERVE IN KEY LEADERSHIP ROLES IN THE OVERSIGHT COMMITTEES OF BOTH COUNTIES AS WELL AS MANY SUBCOMMITTEES. THE COMMUNITY HEALTH NEEDS ASSESSMENT RESULTS FOR BOTH COUNTIES IDENTIFIED THE FOLLOWING PRIORITY AREAS: (1) INFORMATION & REFERRAL SYSTEM; (2) ACCESS TO DENTAL CARE FOR LOW INCOME POPULATION; (3) ACCESS TO MENTAL HEALTH AND SUBSTANCE ABUSE SERVICES (KANE COUNTY DEFINED THIS AREA AS POOR SOCIAL AND EMOTIONAL HEALTH); (4) OBESITY; (5) CANCER; (6) CHRONIC DISEASE; (7) INFANT MORTALITY; AND (8) CHILDHOOD LEAD POISONING. THESE PRIORITIES WERE IDENTIFIED IN BOTH COUNTIES THROUGH THE MAPP PROCESS WHICH INCLUDED ALL MEMBERS OF THE COLLABORATIVE. PRIORITIES ADDRESSED SHERMAN HOSPITAL'S LEADERSHIP CONSIDERED THE HEALTH NEEDS OF THE COMMUNITY THAT WERE IDENTIFIED THROUGH THE ASSESSMENT PROCESS AND SELECTED THREE PRIORITIES BASED ON AVAILABILITY OF RESOURCES AND OPPORTUNTIES FOR INTERVENTION, INCLUDING: (1) BREAST CANCER; (2) OBESITY/ NUTRITION; AND (3) INFORMATION AND REFERRAL. BREAST CANCER THE GOAL WAS TO INCREASE ACCESS TO BREAST CANCER SCREENINGS FOR THE LOW INCOME FEMALE HISPANIC POPULATION. THE PERFORMANCE MEASURE WAS TO INCREASE THE NUMBER OF REFERRALS MADE FOR SCREENING MAMMOGRAMS AS COMPARED TO THE ACTUAL NUMBER OF MAMMOGRAMS COMPLETED. * ADVOCATE SHERMAN HOSPITAL AUXILIARY HAS BEEN PROVIDING ANNUAL FUNDING TO THE WOMEN'S ORGANIZATION FOR WELLNESS (WOW) TO PAY FOR WOMEN TO RECEIVE FREE MAMMOGRAMS. WOW DISTRIBUTES A VOUCHER TO THE PATIENT AT HEALTH EVENTS OR THROUGH GREATER ELGIN FAMILY CARE CENTER OR THE VISITING NURSES ASSOCIATION. IN 2014, NEARLY 90 VOUCHERS FOR SCREENING MAMMOGRAMS WERE PROVIDED TO HISPANIC FEMALES FOR SERVICES AT SHERMAN OF WHICH 80 PATIENTS WERE SCREENED. * THE HOSPITAL WORKED WITH WOW TO PROVIDE EDUCATIONAL INFORMATION TO LOW INCOME HISPANIC FEMALES DURING TWO OUTREACH PROGRAMS IN THE COMMUNITY. NO PRE OR POST EVALUATIONS WERE PROVIDED AT THESE EVENTS. SHERMAN HOSTED ITS ANNUAL PAMPERING AND PREVENTION BREAST CANCER EDUCATION PROGRAM IN OCTOBER 2014. THE GOAL OF THIS PROGRAM WAS TO CONNECT WOMEN TO SERVICES IN THE COMMUNITY RELATED TO SURVIVORSHIP, HEALTH EDUCATION RESOURCES AND SCREENINGS. IN ADDITION TO SEVERAL PHYSICIANS AND INSPIRATIONAL SPEAKERS, THERE WAS REPRESENTATION FROM SEVERAL ORGANIZATIONS INCLUDING THE AMERICAN CANCER SOCIETY (EDUCATIONAL RESOURCES), WOW (BREAST SELF-EXAM, INFORMATION AND SCREENING MAMMOGRAM VOUCHERS), ELGIN COMMUNITY COLLEGE NURSING PROGRAM (BLOOD PRESSURE SCREENING), BRA FITTING, PARAFFIN WAX TREATMENTS FOR HANDS, SHERMAN CANCER CARE CENTER (RESOURCES ON SERVICES). THERE WERE 50 PEOPLE THAT ATTENDED THIS EVENT AND THERE WAS ONE REFERRAL TO WOW FOR A SCREENING MAMMOGRAM. OBESITY THE HOSPITAL'S GOAL WAS TO DECREASE OBESITY FOR LOW INCOME COMMUNITY MEMBERS. THE KEY PERFORMANCE MEASURE IDENTIFIED WAS THE TOTAL NUMBER OF POUNDS OF PRODUCE DONATED FROM THE HOSPITAL'S GARDEN TO FOOD FOR GREATER ELGIN. * SHERMAN NATURAL PRAIRIE & COMMUNITY GARDEN MASTER GARDENS (PARTNERSHIP WITH THE UNIVERSITY OF ILLINOIS MASTER GARDEN PROGRAM) AND COMMUNITY GARDENERS PROVIDED OVER 340 POUNDS OF PRODUCE WHICH WAS DONATED TO THE FOOD FOR GREATER ELGIN FOOD PANTRY IN 2014. * IN ADDITION, THE HOSPITAL'S COMMUNITY GARDEN COMMITTEE PARTNERED WITH FOOD FOR GREATER ELGIN TO HAVE THEIR OWN GARDEN BED AT SHERMAN. VOLUNTEERS AND STAFF FROM THE FOOD PANTRY MANNED THE GARDEN AND HARVESTED ALL CROPS FOR THEIR CLIENTS. * HOSPITAL DIETITIANS PROVIDED HEALTHY SEASONAL RECIPES ON A MONTHLY BASIS TO FOOD PANTRY CLIENTS. THE RECIPES WERE AVAILABLE FOR ALL CLIENTS IN ENGLISH AND SPANISH AND PROVIDED NUTRITIONAL INFORMATION USING ITEMS COLLECTED AT THE PANTRY. INFORMATION & REFERRAL THE GOAL WAS TO INCREASE HEALTH SCREENINGS AND FOLLOW-UP CARE FOR THE COMMUNITY MEMBERS WHO USE THE FOOD PANTRY. THE HOSPITAL PROVIDES FREE BLOOD PRESSURE AND GLUCOSE SCREENINGS TO THE FOOD PANTRY CLIENTS ON A MONTHLY BASIS AND TRACKS THE NUMBER OF PATIENTS SERVED. IF A PATIENT IS SCREENED AND FALLS INTO A HIGH RISK CATEGORY, HOSPITAL STAFF PARTNER WITH GREATER ELGIN FAMILY CARE CENTER (AN FQHC) TO TALK WITH THE PATIENT ON SITE, AND IF NEEDED, TO SCHEDULE AN APPOINTMENT AT THEIR CLINIC FOR FOLLOW-UP CARE. EDUCATION IS PROVIDED TO THESE PATIENTS AS NEEDED. * NUMBE 17 Sherman MOB - Elgin 1435 Randall Elgin IL 60120 Patient Care - OUT Patient Sherman MOB - Crystal Lake 4900 S Route 31 Crystal Lake IL 60014 Patient Care - Out Patient Sherman MOB - Elgin Chicago 999-1019 E Chicago Street Elgin IL 60120 Patient Care - Out Patient Sherman Immediate Care 2320 Royal Boulevard Elgin IL 60120 Patient Care - Out Patient Sherman Immediate Care - Algonquin 600 Randall Road Suite 210/230 Algonquin IL 60102 Patient Care - Out Patient Sherman Immediate Care - Streamwood 550 South Boulevard Streamwood IL 60107 Patient Care - Out Patient Sherman Immediate Care - Barlett 1052-54 Norwood Lane Barlett IL 60103 Patient Care - Out Patient Sherman West Court - Larkin 1950 Larkin Avenue Elgin IL 60120 Patient Care - Out Patient Sherman West Court - 826 Prospect 826 Prospect Boulevard Elgin IL 60120 Patient Care - Out Patient The Centre of Elgin - Symphony 100 Symphony Way Elgin IL 60120 Patient Care - Out Patient The Centre of Elgin - Fletcher 745 Fletcher Drive Elgin IL 60120 Patient Care - Out Patient The Centre of Elgin - Penny 201 Penny Avenue Suite 100 East Dundee IL 60118 Patient Care - Out Patient Sherman Immediate Care - South Elgin 2000 McDonald Road South Elgin IL 60177 Patient Care - Out Patient Sherman Immediate Care - Hampshire 1000 S State Street Hampshire IL 60140 Patient Care - Out Patient Sherman Immediate Care - Bartlett 864 Sterns Road Suite 103 Bartlett IL 60103 Patient Care - Out Patient Sherman Immediate Care - Elgin 1140 N Mclean Blvd Suite E F Elgin IL 60120 Patient Care - Out Patient Sherman Immediate Care - Crystal Lake 741 McHenry Avenue Crystal Lake IL 60014 Patient Care - Out Patient Form 990, Schedule H, Part I, Line 3C N/A Form 990, Schedule H, Part I, Line 6A A SYSTEM-WIDE COMMUNITY BENEFIT REPORT IS FILED BY: ADVOCATE HEALTH CARE NETWORK 3075 HIGHLAND PARKWAY, DOWNERS GROVE, IL 60515. EIN 36-2167779 Form 990, Schedule H, 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. Form 990, Schedule H, Part I, Line 7E ADVOCATE SHERMAN HOSPITAL PROVIDES COMMUNITY HEALTH IMPROVEMENT SERVICES TO THE COMMUNITIES IN WHICH IT SERVES. ADVOCATE SHERMAN HOSPITAL PROVIDES LANGUAGE SERVICES TO ALL THOSE IN NEED IN ORDER TO PROVIDE BETTER ACCESS TO CARE FOR ALL COMMUNITY MEMBERS. IN ADDITION, OTHER PROGRAMS ARE CARRIED OUT WITH THE EXPRESS PURPOSE OF IMPROVING COMMUNITY HEALTH, ACCESS TO HEALTH SERVICES AND GENERAL HEALTH KNOWLEDGE. THESE SERVICES DO NOT GENERATE PATIENT BILLS, HOWEVER, CERTAIN PROGRAMS OR SERVICES MAY HAVE NOMINAL FEES. Form 990, Schedule H, Part I, Line 7G ADVOCATE SHERMAN HOSPITAL PROVIDES SUBSIDIZED HEALTH SERVICES TO THE COMMUNITY. THESE SERVICES ARE PROVIDED DESPITE CREATING A FINANCIAL LOSS FOR ADVOCATE SHERMAN HOSPITAL. THESE SERVICES ARE PROVIDED BECAUSE THEY MEET AN IDENTIFIED COMMUNITY NEED. IF ADVOCATE SHERMAN HOSPITAL DID NOT PROVIDE THE CLINICAL SERVICE, IT IS REASONABLE TO CONCLUDE THAT THESE SERVICES WOULD NOT BE AVAILABLE TO THE COMMUNITY. Form 990, Schedule H, Part I, Line 7H ADVOCATE SHERMAN HOSPITAL CONDUCTS NUMEROUS RESEARCH ACTIVITIES FOR THE ADVANCEMENT OF MEDICAL AND HEALTH CARE SERVICES. HOWEVER, THE UNREIMBURSED COST OF SUCH RESEARCH ACTIVITIES IS NOT READILY DETERMINABLE AND NO AMOUNT IS BEING REPORTED FOR PURPOSES OF THE 2014 FORM 990, SCHEDULE H. Form 990, Schedule H, Part I, Line 7, Column (F) $17,490,519 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). Form 990, Schedule H, Part II N/A Form 990, Schedule H, Part III, Line 2-4 THE FOOTNOTES TO ADVOCATE HEALTH CARE NETWORK AND SUBSIDIARIES' AUDITED FINANCIAL STATEMENTS DO NOT SPECIFICALLY ADDRESS BAD DEBT EXPENSE; RATHER, THE FOOTNOTE DESCRIBES ADVOCATE'S PATIENT ACCOUNTS RECEIVABLE POLICY AND THE PERCENTAGE OF ACCOUNTS RECEIVABLE THAT THE ALLOWANCE FOR DOUBTFUL ACCOUNTS COVERS (SEE PAGE 11 OF THE AUDITED FINANCIAL STATEMENTS). FOR 2014, FOR ADVOCATE SHERMAN HOSPITAL, THE ALLOWANCE FOR DOUBTFUL ACCOUNTS COVERED 13.7% OF NET PATIENT ACCOUNTS RECEIVABLE. PATIENT ACCOUNTS RECEIVABLE ARE STATED AT NET REALIZABLE VALUE. ADVOCATE SHERMAN HOSPITAL EVALUATES THE COLLECTABILITY OF ITS ACCOUNTS RECEIVABLE BASED ON THE LENGTH OF TIME THE RECEIVABLE IS OUTSTANDING, PAYER CLASS, HISTORICAL COLLECTION EXPERIENCE, AND TRENDS IN HEALTH CARE INSURANCE PROGRAMS. ACCOUNTS RECEIVABLE ARE CHARGED TO THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS WHEN THEY ARE DEEMED UNCOLLECTIBLE. THE COSTING METHODOLOGY USED IN DETERMINING THE AMOUNTS REPORTED ON LINES 2 AND 3 IS BASED ON THE RATIO OF PATIENT CARE COST TO CHARGES. THE UNREIMBURSED COST OF BAD DEBT WAS CALCULATED BY APPLYING THE ORGANIZATION'S COST TO CHARGE RATIO FROM THE MEDICARE COST REPORTS (CMS 2252-96 WORKSHEET C, PART 1, PPS INPATIENT RATIOS) TO THE ORGANIZATION'S BAD DEBT PROVISION PER GENERALLY ACCEPTED ACCOUNTING PRINCIPLES, LESS ANY PATIENT OR THIRD PARTY PAYOR PAYMENTS RECEIVED. ADVOCATE MAKES EVERY EFFORT TO IDENTIFY THOSE PATIENTS WHO ARE ELIGIBLE FOR FINANCIAL ASSISTANCE BY STRICTLY ADHERING TO ITS FINANCIAL ASSISTANCE POLICY. WE BELIEVE THAT ADVOCATE HAS A POPULATION OF PATIENTS WHO ARE UNINSURED OR UNDERINSURED BUT WHO DO NOT COMPLETE THE FINANCIAL ASSISTANCE APPLICATION OR ARE NOT IDENTIFIED THROUGH OTHER MEANS AS PERMITTED IN THE POLICY. THE ESTIMATED AMOUNT OF BAD DEBT EXPENSE (AT COST) WHICH COULD BE REASONABLY ATTRIBUTABLE TO PATIENTS WHO WOULD LIKELY QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY, IF SUFFICIENT INFORMATION HAD BEEN AVAILABLE TO MAKE A DETERMINATION OF THEIR ELIGIBILITY, WAS BASED UPON SELF PAY PATIENT ACCOUNTS WHICH HAD AMOUNTS WRITTEN OFF TO BAD DEBTS. OUR METHOD WAS TO BEGIN WITH THE SELF-PAY PORTION OF BAD DEBT EXPENSE PROVISION. THE SELF PAY PORTION EXCLUDES THOSE PATIENTS WHO HAD CHARITY APPLICATIONS PENDING AT THE TIME OF SERVICE. THIS COST WAS THEN REDUCED BY CHARGES IDENTIFIED AS TRUE BAD DEBT EXPENSE, INCLUDING COPAYS FOR PATIENTS WHO QUALIFIED FOR LESS THAN 100% FINANCIAL ASSISTANCE. THE COST TO CHARGE RATIO WAS THEN APPLIED TO THE REMAINING CHARGES, TO DETERMINE THE VALUE (AT COST) OF PATIENT ACCOUNTS THAT DID NOT COMPLETE FINANCIAL COUNSELING AND WERE ASSIGNED TO BAD DEBT. WE BELIEVE THIS PROCESS IS A REASONABLE BASIS FOR OUR ESTIMATE. AS WE ARE ONLY CONSIDERING SELF-PAY ACCOUNTS WRITTEN OFF TO BAD DEBT FOR THIS ESTIMATE, THIS ESTIMATE DOES NOT INCLUDE THE IMMEDIATE 30% DISCOUNT TO CHARGES WHICH IS APPLIED TO ALL SELF-PAY PATIENTS. IT ALSO DOES NOT INCLUDE ACCOUNT BALANCES OR CO-PAYS OF NON-SELF PAY ACCOUNTS WHICH ARE WRITTEN OFF TO BAD DEBT WHEN THE PATIENT HAS NO OTHER FINANCIAL RESOURCES TO PAY THESE AMOUNTS AND THE PATIENT DOES NOT APPLY FOR FINANCIAL ASSISTANCE. BAD DEBT AMOUNTS HAVE BEEN EXCLUDED FROM OTHER COMMUNITY BENEFIT AMOUNTS REPORTED THROUGHOUT SCHEDULE H. Form 990, Schedule H, Part III, Line 8 THE SHORTFALL OF $18,339,898 ON PART III, LINE 7 IS THE UNREIMBURSED COST OF PROVIDING SERVICES FOR MEDICARE PATIENTS AND SHOULD BE TREATED AS COMMUNITY BENEFIT BECAUSE PROVIDING THESE SERVICES WITHOUT REIMBURSEMENT LESSENS THE BURDENS OF GOVERNMENT OR OTHER CHARITIES THAT WOULD OTHERWISE BE NEEDED TO SERVE THE COMMUNITY. FOR ADVOCATE SHERMAN HOSPITAL'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. Form 990, Schedule H, Part III, Line 9B ADVOCATE SHERMAN HOSPITAL MAINTAINS BOTH WRITTEN FINANCIAL ASSISTANCE AND BAD DEBT/COLLECTION POLICIES. THE BAD DEBT/COLLECTION POLICY DOES NOT APPLY TO THOSE PATIENTS KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE, THEREFORE SUCH PATIENTS ARE NOT SUBJECT TO COLLECTION PRACTICES. Form 990, Schedule H, Part VI, Line 2 NEEDS ASSESSMENT ADVOCATE SHERMAN HOSPITAL DID NOT ENGAGE IN OTHER ASSESSMENTS. Form 990, Schedule H, Part VI, Line 3 PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE ADVOCATE SHERMAN HOSPITAL ASSISTS PATIENTS WITH ENROLLMENT IN GOVERNMENT-SUPPORTED PROGRAMS FOR WHICH THEY ARE ELIGIBLE AND IN SECURING REIMBURSEMENT FROM AVAILABLE THIRD PARTY RESOURCES. FINANCIAL COUNSELING IS PROVIDED TO HELP PATIENTS IDENTIFY AND OBTAIN PAYMENT FROM THIRD PARTIES, INCLUDING ILLINOIS MEDICAID, ILLINOIS CRIME VICTIMS FUND, ETC., AS WELL AS TO DETERMINE ELIGIBILITY UNDER ADVOCATE SHERMAN HOSPITAL'S FINANCIAL ASSISTANCE POLICY. ADVOCATE UTILIZES A FINANCIAL SCREENING SOFTWARE PROGRAM TO HELP IDENTIFY PUBLIC ASSISTANCE PROGRAMS FOR WHICH THE PATIENT MAY BE ELIGIBLE OR ADVOCATE'S FINANCIAL ASSISTANCE AT THE TIME OF REGISTRATION OR AS SOON AS PRACTICABLE THEREAFTER. IN ADDITION, HEALTHADVISOR, ADVOCATE'S EDUCATION REGISTRATION AND PHYSICIAN REFERRAL TELEPHONE CENTER, SERVES AS A COMMUNITY RESOURCE PROVIDING REFERRALS TO GOVERNMENT-FUNDED AND OTHER PROGRAMS VIA TELEPHONE FROM 8 A.M. TO 6 P.M., MONDAY THROUGH FRIDAY. ADVOCATE SHERMAN HOSPITAL ASSISTS PATIENTS WITH APPLYING FOR ADVOCATE'S OWN FINANCIAL ASSISTANCE/CHARITY CARE SERVICES, IF PATIENTS ARE NOT ELIGIBLE FOR GOVERNMENT-SUPPORTED PROGRAMS. ADVOCATE SHERMAN HOSPITAL COMMUNICATES THE AVAILABILITY OF FINANCIAL ASSISTANCE IN THE APPLICABLE LANGUAGES OF THE HOSPITAL COMMUNITY. MEANS OF COMMUNICATION INCLUDE: 1. THE HEALTH CARE CONSENT THAT IS SIGNED UPON REGISTRATION FOR HOSPITAL SERVICES INCLUDES A STATEMENT THAT FINANCIAL COUNSELING, INCLUDING FINANCIAL ASSISTANCE CONSIDERATION, IS AVAILABLE UPON REQUEST. 2. SIGNS ARE CLEARLY AND CONSPICUOUSLY POSTED IN LOCATIONS THAT ARE VISIBLE TO THE PUBLIC, INCLUDING, BUT NOT LIMITED TO HOSPITAL PATIENT ACCESS, REGISTRATION, EMERGENCY DEPARTMENT, CASHIER, AND BUSINESS OFFICE LOCATIONS. 3. BROCHURES ARE PLACED IN HOSPITAL PATIENT ACCESS, REGISTRATION, EMERGENCY DEPARTMENT, CASHIER, AND BUSINESS OFFICE LOCATIONS, AND WILL INCLUDE GUIDANCE ON HOW A PATIENT MAY APPLY FOR MEDICARE, MEDICAID, ALL KIDS, FAMILY CARE ETC., AND THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM. A HOSPITAL CONTACT AND TELEPHONE NUMBER FOR FINANCIAL ASSISTANCE IS INCLUDED. 4. A HANDOUT SUMMARIZING ADVOCATE'S FINANCIAL ASSISTANCE POLICY AND FINANCIAL ASSISTANCE APPLICATION IS GIVEN TO UNINSURED PATIENTS WHO RECEIVE MEDICALLY NECESSARY HOSPITAL SERVICES AT THE EARLIEST PRACTICAL TIME OF SERVICE. 5. ADVOCATE'S WEBSITE POSTS NOTICE IN A PROMINENT PLACE THAT FINANCIAL ASSISTANCE IS AVAILABLE, WITH AN EXPLANATION OF THE FINANCIAL ASSISTANCE APPLICATION PROCESS, AND ENABLE PRINTING OF THE FINANCIAL ASSISTANCE APPLICATION. 6. HOSPITAL BILLS TO UNINSURED PATIENTS INCLUDE A REQUEST THAT THE PATIENT INFORM THE HOSPITAL OF ANY AVAILABLE HEALTH INSURANCE COVERAGE, AND INCLUDE A SUMMARY OF ADVOCATE'S FINANCIAL ASSISTANCE POLICY, A FINANCIAL ASSISTANCE APPLICATION, AND A TELEPHONE NUMBER TO REQUEST FINANCIAL ASSISTANCE. Form 990, Schedule H, Part VI, Line 4 COMMUNITY INFORMATION ADVOCATE SHERMAN HOSPITAL SERVES A PRIMARY SERVICE AREA (PSA) INCLUDING 295,700 PEOPLE WHO RESIDE IN THE COMMUNITIES OF ALGONQUIN, CARPENTERSVILLE, DUNDEE, ELGIN, GILBERTS, HUNTLEY, LAKE IN THE HILLS AND SOUTH ELGIN. THE HOSPITAL SERVES A SECONDARY SERVICE AREA (SSA) INCLUDING 76,000 PEOPLE WHO RESIDE IN CRYSTAL LAKE, HAMPSHIRE AND MARENGO. THE PSA AND SSA COMMUNITIES ARE IN PRIMARILY SUBURBAN AREAS, LOCATED 45-60 MINUTES WEST OF DOWNTOWN CHICAGO. THE PERCENT OF THE POPULATION LIVING BELOW THE FEDERAL POVERTY LEVEL WAS 9.0 % FOR THE PSA AND 7.1% FOR THE SSA, COMPARED TO 13.7% FOR ILLINOIS STATE-WIDE IN 2014. THERE ARE SEVERAL COMMUNITIES IN THE SHERMAN PSA WHICH ARE FINANCIALLY CHALLENGED, WITH A HIGHER PERCENTAGE LIVING BELOW POVERTY THAN THE STATE, INCLUDING CARPENTERSVILLE WITH 16.1% OF THE POPULATION LIVING BELOW POVERTY, AND EAST ELGIN AT 15.1%. THE 2015 MEDIAN HOUSEHOLD INCOME IS $73,884 FOR THE PSA AND $79,144 FOR THE SSA. THE POPULATION RESIDING IN THE SHERMAN PSA IS PRIMARILY COVERED BY MEDICARE AND COMMERCIAL INSURANCE WITH 14.7% COVERED BY MEDICAID AND 4.8% UNINSURED IN 2014. THE RESIDENTS OF THE SHERMAN SSA HAD SLIGHTLY LOWER RATES OF MEDICAID AND NO INSURANCE, WITH 10.8 % COVERED BY MEDICAID AND 4.2% OF THE POPULATING BEING UNINSURED. CARPENTERSVILLE AND EAST ELGIN EXPERIENCE HIGHER RATES. CARPENTERSVILLE HAD 19.8% OF THE POPULATION COVERED BY MEDICAID AND 5.7% UNINSURED; AND EAST ELGIN HAS 22.8% OF THE POPULATION COVERED BY MEDICAID AND 6.4% UNINSURED IN 2014. UNEMPLOYMENT RATES AMONG RESIDENTS 16+ YEARS OLD FOR THE SHERMAN PSA AND SSA WERE 6.9% AND 7.0%, RESPECTIVELY, WHICH IS SLIGHTLY HIGHER THAN THE STATE RATE OF 6.6% IN 2014. THERE WERE COMMUNITIES WITH PARTICULARLY HIGH UNEMPLOYMENT RATES, INCLUDING CARPENTERSVILLE (8.9%) AND LAKE IN THE HILLS (8.0%). EDUCATIONAL ATTAINMENT, A KEY DEMOGRAPHIC INDICATOR FOR HEALTH CARE, IS LOW FOR THE POPULATION OF THE SHERMAN PSA COMPARED TO THE STATE OF ILLINOIS. THE PERCENT OF RESIDENTS OVER 25 YEARS OLD WITHOUT A HIGH SCHOOL DIPLOMA IS 14.7% FOR THE PSA AND 8.6% FOR THE SSA, AS COMPARED TO 13.0 % FOR THE STATE OF ILLINOIS. BOTH THE PSA AND THE SSA ARE YOUNG WITH 27.8% AND 25.3% OF THE POPULATION LESS THAN 18 YEARS OLD, RESPECTIVELY, AS COMPARED TO 23.4% FOR THE US IN 2014. CORRESPONDINGLY, THE PSA AND THE SSA HAVE A LOW PERCENT OF ELDERLY, WITH ONLY 6.9% AND 7.6% OVER THE AGE OF 70, AS RESPECTIVELY COMPARED TO 9.5% FOR THE US OVERALL IN 2014. THE PSA HAS A HIGH PORTION OF THE POPULATION WITH LATINO ANCESTRY (28.9%) AS COMPARED TO THE SSA (12.8%) AND THE US (17.6%). BOTH THE PSA AND THE SSA HAVE LOW RATES OF POPULATION WITH AFRICAN AMERICAN ANCESTRY (4.6% AND 1.2%, RESPECTIVELY). THE SHERMAN HOSPITAL SERVICE AREA IS SERVED BY SEVERAL OTHER HOSPITALS, INCLUDING: ST. JOSEPH (ELGIN), ST. ALEXIUS (HOFFMAN ESTATES), CENTEGRA-WOODSTOCK, GOOD SHEPHERD (BARRINGTON), AND DELNOR (GENEVA). ADDITIONALLY, THERE ARE SEVERAL FEDERALLY QUALIFIED HEALTH CENTERS INCLUDING GREATER ELGIN FAMILY CARE CENTER IN ELGIN AND CARPENTERSVILLE, AUNT MARTHA'S IN CARPENTERSVILLE AND VISITING NURSES ASSOCIATION (VNA) IN ELGIN. Form 990, Schedule H, Part VI, Line 5 PROMOTION OF COMMUNITY HEALTH SHERMAN HOSPITAL'S BOARD OF DIRECTORS IS COMPRISED OF PERSONS REPRESENTING THE COMMUNITY WHO ARE NOT ASSOCIATES. THE HOSPITAL ALSO PROVIDES COMMUNITY EDUCATION VIA A SPEAKERS BUREAU THAT INCLUDES PHYSICIANS, NURSES AND HOSPITAL LEADERS. VARIOUS SUPPORT GROUPS ARE ALSO PROVIDED BY THE HOSPITAL FOR THE COMMUNITY AT-LARGE INCLUDING COLOSTOMY, MENDED HEARTS, HEART FAILURE RECOVERY, MOM TO MOM, BREASTFEEDING, BRAINWORKS, ETC. OTHER COMMUNITY INITIATIVES THAT SHERMAN HOSPITAL IS INVOLVED IN ARE: * ALIGNMENT COLLABORATIVE EDUCATION (ACE)-ACE IS LED BY THE PRESIDENT OF SHERMAN HOSPITAL AS AN OUTREACH OPPORTUNITY TO INCREASE EDUCATION FOR THE RESIDENTS OF THE GREATER ELGIN AREA. THE MISSION OF ACE IS TO ALIGN COMMUNITY RESOURCES IN SUPPORT OF PUBLIC SCHOOL STRATEGIES TO RAISE STUDENT ACHIEVEMENT, IMPROVE THE HEALTH AND HAPPINESS OF ELGIN AREA CHILDREN, CREATE RESPONSIBLE, PRODUCTIVE AND CONTRIBUTING MEMBERS OF SOCIETY, AND ADVANCE THE ECONOMIC AND SOCIAL WELL-BEING OF THE ELGIN COMMUNITY. ACE ENVISIONS THAT ALL STUDENTS STARTING KINDERGARTEN ARE PREPARED TO LEARN, READING AT GRADE LEVEL BY 3RD GRADE, GRADUATING FROM HIGH SCHOOL WITH MARKETABLE EMPLOYMENT SKILLS AND/OR ENROLLING IN POST-SECONDARY EDUCATION. THESE STUDENTS WILL LEAVE HIGH SCHOOL PREPARED TO BE CONTRIBUTING ADULTS EAGER TO LIVE AND WORK IN THEIR COMMUNITY. * THE HISPANIC HEALTH TASK FORCE-CREATED BY SHERMAN HOSPITAL, THE HISPANIC HEALTH TASK FORCE HAS BEEN INSTRUMENTAL IN COLLABORATING WITH COMMUNITY ORGANIZATIONS WHO SERVE THE HISPANIC POPULATION REGARDING HEATH NEEDS/BARRIERS. THIS TEAM IDENTIFIED THREE AREAS OF FOCUS (1) BARRIERS TO ACCESSING HEALTHCARE; (2) CULTURAL/ECONOMIC BARRIERS; AND (3) HEALTH BEHAVIORS. SHERMAN HOSPITAL PROVIDED A HEALTHY FAMILY FUN FAIR IN SEPTEMBER 2014 WHICH FOCUSED ON PROVIDING EDUCATION IN ENGLISH AND SPANISH ON HEALTHY EATING, EXERCISE AND MORE TO OVER 165 PARTICIPANTS, 80% OF WHICH WERE HISPANIC. * ACTIVATE ELGIN-ACTIVATE ELGIN IS A CITY-WIDE INITIATIVE TO ENGAGE ALL SECTORS OF THE COMMUNITY TO WORK IN HARMONY, PROVIDING ALL RESIDENTS WITH OPPORTUNITIES TO IMPROVE THEIR HEALTH, WELL-BEING AND OVERALL QUALITY OF LIFE. ACTIVATE ELGIN, FOR WHICH SHERMAN HOSPITAL IS A FOUNDING MEMBER, BEGAN IN 2006. THE HOSPITAL PARTNERS WITH COMMUNITY GROUPS TO IMPLEMENT A WIDE VARIETY OF HEALTH PROMOTION ACTIVITIES INCLUDING THE CREATION OF HEALTH EDUCATION MATERIALS, WELLNESS PROJECTS WITHIN ELGIN SCHOOLS, HEALTHY KID'S DAY, AND A WALK WITH THE MAYOR. ANOTHER INITIATIVE WAS TO PROVIDE SUPPORT FOR 35 MINI-GRANTS TO VARIOUS COMMUNITY ORGANIZATIONS AND BUSINESSES TO HELP CREATE PROGRAMS AND SERVICES TO MAKE ELGIN A HEALTHIER COMMUNITY. ACTIVATE ELGIN'S SIGNATURE EVENT IS MARCH INTO HEALTH, A MONTH-LONG OFFERING OF EVENTS, ACTIVITIES AND EDUCATIONAL SESSIONS ORGANIZED AND HELD BY SHERMAN HOSPITAL'S PARTNER ORGANIZATIONS - ALL FOCUSED ON HELPING LOCAL RESIDENTS ADOPT HEALTHIER LIFESTYLES. * KANE COUNTY SAFE KIDS COALITION-THIS COALITION IS FOCUSED ON HEALTH AND SAFETY FOR CHILDREN (CAR SEAT CHECKS, BIKE HELMETS, TIP OVERS, ETC). SHERMAN HOSPITAL PROVIDES LEADERSHIP ON THE GOVERNING BOARD AS WELL AS CONTRIBUTES THE TIME OF ASSOCIATES TRAINED TO ASSIST AT COMMUNITY EVENTS. ENVIRONMENTAL IMPROVEMENTS 1. MENTORING AND EDUCATION ADVOCATE HEALTH CARE IS COMMITTED TO GREENING HEALTH CARE BECAUSE IT IS THE RIGHT THING TO DO. CARING FOR OUR EARTH IS STRONGLY CONNECTED TO OUR MISSION TO SERVE THE HEALTH NEEDS OF TODAY'S PATIENTS AND FAMILIES WITHOUT COMPROMISING THE NEEDS OF FUTURE GENERATIONS. BY CONSERVING RESOURCES, MINIMIZING EXPOSURE TO CHEMICALS AND CONSTRUCTING ECO-FRIENDLY BUILDINGS AND LANDSCAPES, ADVOCATE IS MAKING STRIDES TO REDUCE THE ENVIRONMENTAL IMPACT OF HEALTH CARE AND THE BURDEN OF HEALTH CARE COSTS. ADVOCATE HAS COMMITTED RESOURCES TO SHARING ITS BEST PRACTICES IN WASTE REDUCTION, AND ENERGY AND WATER MANAGEMENT. REDUCING WASTE AND CONSERVING ENERGY AND WATER USE HAS A DIRECT BENEFIT ON THE HEALTH OF LOCAL COMMUNITIES VIA CLEANER COMMUNITIES, HEALTHIER AIR QUALITY, REDUCED GREEN HOUSE GASES, AND PRESERVATION OF NATURAL RESOURCES. ADVOCATE SHARES BEST PRACTICES FOR WATER MANAGEMENT WITH OTHER NONPROFIT HOSPITALS LOCALLY AND NATIONALLY. IN 2014, ADVOCATE HEALTH CARE CONTINUED ITS LEADERSHIP ROLE AS ONE OF SEVERAL U.S. HEALTH SYSTEMS WHO FOUNDED AND SPONSOR A NATIONAL CAMPAIGN, THE HEALTHIER HOSPITALS INITIATIVE (HHI). HHI SERVES AS A GUIDE FOR HOSPITALS TO COMMIT TO IMPROVING THE HEALTH AND SAFETY OF PATIENTS, STAFF AND COMMUNITIES AND LOWERING COSTS THROUGH CONSERVATION PRACTICES BY USING FREE STEP-BY-STEP GUIDES AND HOSPITAL-TO-HOSPITAL MENTORING TO IMPLEMENT THE HHI CHALLENGES IN THE CATEGORIES OF LEADERSHIP, HEALTHIER FOODS, LESS WASTE, LEANER ENERGY, SAFER CHEMICALS AND SMARTER PURCHASING. AS OF DECEMBER 2014, NEARLY 1,100, OR OVER 20% OF THE NATION'S HOSPITALS ENROLLED IN THE HHI. 2014 MARKS THE FINAL YEAR OF THE THREE YEAR NATIONAL CAMPAIGN. OVER THE COURSE OF THREE YEARS, HHI HOSPITALS HAVE ACCOMPLISHED REDUCTIONS IN MEAT PURCHASING, INCREASED PURCHASING OF LOCAL AND SUSTAINABLE FOOD, REDUCED EXPOSURE TO TOXIC CHEMICALS THROUGH GREEN CLEANING PROGRAMS AND CONVERSION OF MEDICAL PRODUCTS FREE FROM PVC AND DEHP AND DECREASED ENERGY AND WASTE. ADVOCATE'S ANNUAL REPORT ON ENVIRONMENTAL STEWARDSHIP AND HEALTH AND WELLNESS PROGRAMS CAN BE FOUND AT: HTTP://STREAM.ADVOCATEHEALTH.COM/WEBFILES/2015/14SUPPORT2464/ ADVOCATE HEALTH CARE SYSTEM 2014 ENVIRONMENTAL INITIATIVES: *REDUCED CUMULATIVE (ELEVEN HOSPITALS) HOSPITAL ENERGY CONSUMPTION BY 3.5 PERCENT IN TWELVE MONTHS ENDING 12/30/14, AND 17.2 PERCENT SINCE 2008 * ENERGY REDUCTIONS EQUATE TO: * SAVED $15,000,000 IN ENERGY COSTS SINCE 2008 * REDUCING NEARLY 10,000 ILLINOIS HOUSEHOLDS OF ELECTRICITY USE FOR ONE YEAR * REDUCING CARBON EMISSIONS BY NEARLY 25,000 CARS OFF THE ROAD FOR ONE YEAR * RECYCLED OVER 3,300 TONS OF WASTE FROM HOSPITAL OPERATIONS * RECYCLED 94 PERCENT OF CONSTRUCTION AND DEMOLITION DEBRIS * SAVED 28 TONS OF WASTE FROM LANDFILL AND SAVED OVER $2.4 MILLION VIA MEDICAL DEVICE REPROCESSING * ENDORSED SYSTEM-WIDE HEALTHY AND SUSTAINABLE FOOD GUIDELINES TO IMPROVE THE HEALTH OF OUR PATIENTS, ASSOCIATES, VISITORS, COMMUNITIES AND THE ENVIRONMENT BY INCREASING ACCESS TO FRESH, HEALTHY FOOD IN AND AROUND ADVOCATE HEALTH CARE FACILITIES AND TO PROMOTE FOOD DELIVERY PRACTICES THAT ARE ECOLOGICALLY SOUND, ECONOMICALLY VIABLE AND SOCIALLY RESPONSIBLE IN THE WAY WE PURCHASE FOOD AND SUPPLIES. * RECOGNIZED TWENTY FIVE STAFF MEMBERS WITH ENVIRONMENTAL STEWARDSHIP AWARDS FOR DEMONSTRATING OUTSTANDING EFFORTS TO CARE FOR THE EARTH AND RESOURCE CONSERVATION * CONTRIBUTED TO OPENLANDS, ONE OF THE OLDEST METROPOLITAN CONSERVATION ORGANIZATIONS IN THE NATION AND THE ONLY SUCH GROUP WITH A REGIONAL SCOPE IN THE GREATER CHICAGO REGION * ANNOUNCED A NEW FURNITURE AND INTERIORS PURCHASING STANDARD THAT SPECIFIES ALL PRODUCTS TO BE FREE OF PERFLUORINATED COMPOUNDS, PVC (VINYL), DEHP, FORMALDEHYDE, AND HALOGENATED FLAME RETARDANTS (WHERE CODE PERMISSIBLE). * CONTINUED TO ENGAGE STAFF TO CONSERVE RESOURCES IN THEIR WORK ENVIRONMENTS THROUGH THE SUSTAINABLE WORK SPACE CERTIFICATION PROGRAM AT ALL ADVOCATE SITES. THE PROGRAM, LED BY DEPARTMENTAL GREEN ADVOCATES, REWARDS PATIENT CARE UNITS AND SUPPORT SERVICE WORK AREAS FOR ACTIVELY PARTICIPATING IN WASTE MINIMIZATION AND ENERGY REDUCTION THROUGH RECYCLING, PRINT MANAGEMENT AND ENERGY REDUCTION BEST PRACTICES. * 20 PERCENT REDUCTION SYSTEM-WIDE IN OFFICE PAPER USAGE SINCE 2008 Form 990, Schedule H, Part VI, Line 6 AFFILIATED HEALTH CARE SYSTEM. IF THE ORGANIZATION IS PART OF AN AFFILIATED HEALTH CARE SYSTEM, DESCRIBE THE RESPECTIVE ROLES OF THE ORGANIZATION AND ITS AFFILIATES IN PROMOTING THE HEALTH OF THE COMMUNITIES SERVED. AS AN EXTENSION OF ITS MISSION, ADVOCATE HEALTH CARE SUPPORTS SYSTEM-WIDE PROGRAMS THAT MEET THE NEEDS OF BOTH ITS PATIENTS AS WELL AS THE COMMUNITIES SERVED. ADVOCATE HEALTH CARE'S BOARD OF DIRECTORS, SENIOR LEADERSHIP AND ASSOCIATES (EMPLOYEES) ARE COMMITTED TO POSITIVELY AFFECTING THE HEALTH STATUS AND QUALITY OF LIFE OF INDIVIDUALS AND POPULATIONS IN COMMUNITIES SERVED BY ADVOCATE THROUGH PROGRAMS AND PRACTICES THAT REFLECT ADVOCATE'S WHOLISTIC PHILOSOPHY. TO THAT END, THEY CONTINUE TO UNDERTAKE AND SUPPORT INITIATIVES THAT ENHANCE ACCESS TO HEALTH AND WELLNESS SERVICES WITHIN THE DIVERSE COMMUNITIES THAT ADVOCATE SERVES. SYSTEM LEADERSHIP IS BOTH DESIGNED TO DIRECT AND SUPPORT THE HOSPITALS IN THEIR EFFORTS TO ADDRESS IDENTIFIED COMMUNITY NEEDS. IN 2010, A MULTI-DISCIPLINARY TEAM OF INDIVIDUALS AT THE SYSTEM LEVEL HAVING OVERSIGHT RESPONSIBILITY FOR COMMUNITY BENEFITS REPORTING AND THE CHNA PROCESS WAS CONVENED TO LEAD THE HOSPITALS THROUGH THE CHNA PROCESS TO MEET STATE AND FEDERAL REGULATORY REQUIREMENTS. THIS TEAM, CALLED THE COMMUNITY HEALTH STEERING COMMITTEE, MET FREQUENTLY TO ASSURE THAT: THE HOSPITAL COMMUNITY HEALTH LEADERS ARE EDUCATED REGARDING HOW TO CONDUCT A CHNA; SITE COMMUNITY HEALTH COUNCILS ARE DEVELOPED AND MAINTAINED; THOSE CONDUCTING THE CHNA PROCESS PULL DATA FROM RELIABLE SOURCES; SOUND ASSUMPTIONS ARE MADE BASED ON THAT DATA; INTERNAL ADVOCATE AND COMMUNITY RESOURCES ARE MAPPED TO DETERMINE STRENGTHS AND WEAKNESSES; ACHIEVABLE NEEDS ARE SELECTED AS PRIORITIES; AND PLANNED INITIATIVES ARE GROUNDED IN EVIDENCE-BASED PROGRAMS THAT WILL YIELD RELIABLE OUTCOMES TO DETERMINE IMPACT. TO FOCUS THESE EFFORTS THROUGHOUT ADVOCATE HEALTH CARE, THE COMMUNITY BENEFITS PLAN WAS WRITTEN. THE PLAN'S BROAD GOALS AND OBJECTIVES WERE DESIGNED TO STRUCTURE SYSTEM-WIDE COMMUNITY BENEFITS ACTIVITIES WITHIN A STRATEGIC FRAMEWORK. INCLUDED IN THE COMMUNITY BENEFITS PLAN ARE NOT ONLY PLANNED GOALS AND OBJECTIVES FOCUSED ON ADDRESSING NEEDS AS IDENTIFIED THROUGH THE HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS, BUT ALSO OTHER SYSTEM-WIDE EFFORTS TO ADDRESS THE BROADER ISSUES OF DISPARITY AND ACCESS SUCH AS PROVIDING CHARITY CARE TO THE UNDER AND UNINSURED. ADVOCATE'S COMMUNITY BENEFITS PLAN WAS DEVELOPED TO ESTABLISH STRATEGIES FOR IMPROVING ACCESS TO CARE AND POSITIVELY AFFECTING THE HEALTH OF THE COMMUNITIES THAT ADVOCATE SERVES. THE PLAN SETS THE COURSE FOR STRENGTHENING EXISTING PARTNERSHIPS AND BUILDING NEW ONES WITH INDIVIDUALS AND ORGANIZATIONS WITHIN ADVOCATE'S SERVICE AREAS IN ORDER TO LEVERAGE AND MAXIMIZE THE IMPACT OF ITS PROGRAMS. ADVOCATE'S COMMUNITY BENEFITS PLAN GOALS ARE AS FOLLOWS. GOAL 1: OPTIMIZE ADVOCATE'S ABILITY TO LEVERAGE ITS COMMUNITY HEALTH RESOURCES AND CONTINUE PROGRAMS THAT BENEFIT THE COMMUNITY BY PROSPECTIVELY ALIGNING SYSTEM AND SITE PLANS AND ACTIVITIES. IN ORDER TO ASSURE ALIGNMENT BETWEEN SITE AND SYSTEM GOALS, QUALITY AND CONSISTENCY AMONGST THE HOSPITALS' CHNAS AND TO LEVERAGE THE HOSPITALS' STAFF TIME AND CHNA EFFORTS, THE SYSTEM LEVEL COMMUNITY HEALTH STEERING COMMITTEE PROVIDED A STANDARDIZED CHNA PROCESS, TOOLS, EDUCATION AND STRUCTURE. SPECIFIC EXAMPLES OF THE SUPPORT PROVIDED BY THE STEERING COMMITTEE TO ENABLE THE HOSPITALS TO REALIZE THEIR COMMUNITY HEALTH GOALS AND OBJECTIVES ARE AS FOLLOWS. * A STANDARDIZED CHNA PROCESS THAT INCLUDED DEVELOPMENT OF A COMMUNITY HEALTH COUNCIL AT EACH HOSPITAL WITH BOTH HOSPITAL AND COMMUNITY REPRESENTATION. THE COUNCILS WERE CHARGED WITH MANAGING THEIR SITE'S ASSESSMENT, EXAMINING DATA, SITE AND COMMUNITY RESOURCES, SELECTING KEY PRIORITIES TO ADDRESS AND DEVELOPING A COMMUNITY HEALTH PLAN. * PURCHASE OF AND INSTRUCTION ON HOW TO USE SURVEY RESULTS AND THE ASSESSMENT TOOL DEVELOPED BY PROFESSIONAL RESEARCH CONSULTANTS. * LED A SERIES OF WORKSHOPS OVER THREE YEARS WITH INTERNAL AND EXTERNAL SPEAKERS PROFICIENT IN CHNAS, IDENTIFYING RELIABLE DATA SOURCES, PRIORITY SETTING, AND SELECTING EVIDENCE-BASED INTERVENTIONS. * SET THE COMMUNITY HEALTH LEADERSHIP COUNCIL'S AGENDAS, A COUNCIL COMPRISED OF COMMUNITY HEALTH STAKEHOLDERS FROM ACROSS ADVOCATE, TO FOCUS ON CHNA OBJECTIVES. * MANAGED HOSPITAL PROGRESS AGAINST SYSTEM ANNUAL TIMELINES TO ACHIEVE THE THREE-YEAR VISION, REQUIRING ANNUAL CHNA PROGRESS REPORTS AND THEIR REVIEW AND ENDORSEMENT BY THE HOSPITAL GOVERNING COUNCILS EACH YEAR. * PROVIDED ONGOING CONSULTATION ON AN AS NEED BASIS THROUGHOUT THE PROCESS. * ENGAGED AND FUNDED AN OUTSIDE CHNA CONSULTANT TO MEET ONE-ON-ONE WITH THE SITE COMMUNITY HEALTH LEADERS AND REVIEW CHNA PROGRESS AND PROVIDE GUIDANCE IN AREAS OF DIFFICULTY OR UNCERTAINTY. * PROVIDED AN OVERVIEW OF THE CHNA RESULTS AND PLANNED INTERVENTIONS TO THE MISSION & SPIRITUAL COMMITTEE OF THE ADVOCATE HEALTH CARE BOARD OF DIRECTORS TO SECURE THE COMMITTEE'S ENDORSEMENT. * A STANDARDIZED FORMAT FOR HOSPITALS TO USE IN DRAFTING THEIR CHNAS AND IMPLEMENTATION PLANS, WHICH SYSTEM LEADERS THEN REVIEWED AND EDITED FOR CONSISTENCY, ACCURACY AND QUALITY OF CONTENT. * WORKED WITH SYSTEM LEVEL MEDIA CENTER AND WEB TEAM TO DEVELOP PLACEMENT AND POSTING OF CHNA REPORTS & IMPLEMENTATION PLANS TO MEET PPACA/IRS REGULATORY REPORTING REQUIREMENTS. * IN PREPARATION FOR THE NEXT CHNA CYCLE, ADVOCATE PURCHASED THE HEALTHY COMMUNITIES INSTITUTE'S CHNA TOOL IN LATE 2013 AND PAID THE ANNUAL FEE FOR ONGOING SUPPORT FOR TRAINING AND THE ADDITION OF 2013 AND 2014 UPDATES AT THE SYSTEM LEVEL. FOR 2015, THE TOOL IS EXPECTED TO ALSO SUPPORT THE WORK OF THE COUNTY CHNA COLLABORATIVES. WITH SUPPORT FROM THE SYSTEM LEVEL, ALL ADVOCATE'S HOSPITALS ARE PARTICIPATING IN THESE COLLABORATIVE ASSESSMENTS WITH OTHER ADVOCATE AND NON-ADVOCATE HOSPITALS AND THEIR COUNTY AND LOCAL PUBLIC HEALTH DEPARTMENTS. THESE COLLABORATIVES REMOVE DUPLICATION OF STAFF TIME AND EFFORT WHILE FORGING AND STRENGTHENING RELATIONSHIPS AMONG PARTICIPATING ORGANIZATIONS, LEVERAGING THEIR ABILITY TO POSITIVELY IMPACT KEY NEEDS AS IDENTIFIED THROUGH THE ASSESSMENT PROCESS. THROUGH ADVOCATE'S HOSPITAL-BASED SERVICES, AS WELL AS ITS PARTICIPATION IN PROVIDING PROGRAMS AND SERVICES IN THE COMMUNITY, ADVOCATE PROMOTES A SHARED APPROACH TO COMMUNITY BENEFITS. IN ADDITION TO HOSPITAL/COMMUNITY SPECIFIC PROGRAMS, THERE ARE ALSO PROGRAMS ADDRESSING NEEDS OF BROAD GEOGRAPHIC PORTIONS OF ADVOCATE'S SERVICE AREA WHICH ARE MANAGED AND FUNDED AT THE SYSTEM LEVEL. THESE PROGRAMS INCLUDE THE FOLLOWING. ADVOCATE'S HEALTHY STEPS PROGRAM SPECIALISTS TOUCHED THE LIVES OF 6,248 YOUNG CHILDREN IN 2014 THROUGH CHILDHOOD PROGRAMS WITHIN PEDIATRIC/FAMILY PRACTICE RESIDENCIES AT ADVOCATE ILLINOIS MASONIC MEDICAL CENTER, AND THE ADVOCATE CHILDREN'S HOSPITAL OAK LAWN AND PARK RIDGE CAMPUSES. THIS SYSTEM-WIDE PROGRAM USES A NATIONAL MODEL TO ENGAGE PARENTS AS PARTNERS WITH PHYSICIANS IN THEIR CHILDREN'S HEALTH. HEALTHY STEPS SPECIALISTS HELP BRIDGE THE TWO GROUPS BY PREPARING PARENTS TO TAKE AN ACTIVE ROLE IN, AND PHYSICIANS TO ASSESS AND MEET MORE EFFECTIVELY, A RANGE OF CHILD DEVELOPMENT NEEDS. IN 2014, 9,981 DEVELOPMENTAL SCREENINGS WERE PROVIDED AND 411 FAMILIES WERE REFERRED TO COMMUNITY SERVICES FOR FOLLOW UP. IN ADDITION, HEALTHY STEPS HAS TRAINED AND PROVIDED TECHNICAL ASSISTANCE TO PRIMARY CARE PROVIDERS ACROSS THE STATE TO IMPROVE PREVENTIVE PRACTICES IN THEIR SITE AROUND TOPICS SUCH AS USE OF VALIDATED TOOLS FOR DEVELOPMENTAL AND SOCIAL EMOTIONAL CONCERNS, AS WELL AS FAMILY RISK FACTOR SCREENINGS (SUCH AS POSTPARTUM DEPRESSION, DOMESTIC VIOLENCE, TRAUMA, AND PSYCHOSOCIAL ISSUES). PRIMARY CARE PROVIDERS AND THEIR STAFF ARE TAUGHT HOW TO WORK CLOSELY WITH LOCAL COMMUNITY RESOURCES FOR REFERRAL AND FOLLOW-UP CARE. DURING 2014, ADVOCATE HEALTHY STEPS CONSULTANTS PROVIDED 91 PRESENTATIONS IN 42 PRIMARY CARE SITES TO 585 PHYSICIANS AND THEIR STAFFS THROUGHOUT THE STATE OF ILLINOIS. THESE PROVIDERS CARE FOR APPROXIMATELY 78,715 CHILDREN BETWEEN BIRTH AND AGE THREE. CURRENTLY, HEALTHY STEPS IS FOCUSING ON DEVELOPMENTAL BEHAVIORAL MENTAL HEALTH TRAINING FOR PRIMARY CARE PROVIDERS. THE STAFF ALSO MEETS REGULARLY WITH APPROXIMATELY 20 COMMUNITY ORGANIZATIONS, AND WORKS WITH PEDIATRIC AND FAMILY MEDICINE RESIDENCY PROGRAMS, PEDIATRIC NURSE PRACTITIONERS AND PHYSICIAN ASSISTANT PROGRAMS THROUGHOUT THE STATE. THE ADVOCATE CHILDHOOD TRAUMA TREATMENT PROGRAM (CTTP) OFFERS HOPE AND HEALING TO CHILDREN WHO HAVE EXPERIENCED MALTREATMENT, PSYCHOLOGICAL TRAUMA AND SEXUAL ABUSE. CLINICIANS WORK WITH A CHILD'S ENTIRE SUPPORT NETWORK - PARENTS, THE SCHOOL AND MORE - TO HELP FOSTER A SAFE ENVIRONMENT FOR THE CHILD. CTTP IS ONE OF JUST A HANDFUL OF PROGRAMS IN ILLINOIS THAT SPECIALIZES IN THE SEXUAL ABUSE OF CHILDREN. IN 2014, CTTP SERVED 168 CHILDREN AND ADOLESCENTS, AS WELL AS 415 ADULTS, CAREGIVERS, PARENTS AND OTHERS. IN ADDITION, THE PROGRAM HAS PARTNERED WITH "DARKNESS Form 990, Schedule H, Part VI, Line 7 STATE FILING OF COMMUNITY BENEFIT REPORT IL X X X X true true false false false false false true false Linda Deering President, Director 428325 0 37324 0 98069 0 164125 0 20956 748799 0 0 Judith Balcitis VP, Chief Nursing officer 230266 0 19883 0 3013 0 26569 0 18757 298488 0 0 David Cartwright Interim VP, Finance 0 223408 0 39033 0 875 0 24011 0 24345 0 311672 0 Trent Gordon VP, Strategy Planning 0 155588 0 18982 0 -4022 0 15446 0 27283 0 213277 0 Bruce Hyman Vice President, Medical Mgmt 276090 0 13186 0 548 0 24011 0 25054 338889 0 0 Kate Kovich Vice President, Patient Safety 0 183872 0 25677 0 11066 0 19317 0 27156 0 267088 0 Mary Martini VP, Professional Services 222134 0 17814 0 2 0 25486 0 15732 281168 0 0 Tom Nitz VP, Ancillary Services 205104 0 25314 0 3578 0 254005 0 18480 506481 0 0 Frederick Rajan VP, Mission & Spiritual care 0 85181 0 17274 0 7730 0 12556 0 77353 0 200094 0 Katie Bata VP, Human Resources-Feb 2014 30194 226953 0 18337 3793 -2387 21411 18645 33987 282959 0 0 Melissa O'Neil VP, Human Resources 0 174785 0 20092 0 10322 0 17838 0 9697 0 232734 0 Dominic J Nakis Treasurer 0 622258 0 773328 0 379183 0 325841 0 22752 0 2123362 0 323744 Gail D Hasbrouck Secretary 0 469637 0 392669 0 288426 0 166445 0 22172 0 1339349 0 154711 James Doheny Assistant Treasurer 0 315161 0 109226 0 29777 0 24011 0 30240 0 508415 0 Eric Krueger VP, Finance-June 2014 162220 0 120506 0 241662 0 88786 0 19086 632260 0 0 James Dan MD Director 0 516652 0 568516 0 297132 0 241684 0 21514 0 1645498 0 233483 William P Santulli Director 0 871072 0 1090000 0 531406 0 748459 0 30781 0 3271718 0 432420 Solomon Secemsky MD Director 0 350000 0 40311 0 19395 0 21411 0 18927 0 450044 0 Eva Price Chief Perfusionist 101262 0 0 0 57125 0 6058 0 1466 165911 0 0 Patrick Uplegger Director Pharmacy 158420 0 0 0 -134 0 14959 0 9135 182380 0 0 Rex Krieger Perfusionist 97928 0 0 0 52936 0 10955 0 7020 168839 0 0 Paula Morton Director Perioperative Svcs 131598 0 0 0 18437 0 14113 0 15430 179578 0 0 Kathy Cisco Dir ED/Inpatient/Critical care 152760 0 0 0 -3818 0 14413 0 17117 180472 0 0 Form 990, Schedule J, Part I, Line 4a SEVERANCE PAYMENTS ERIC KRUEGER, VICE PRESIDENT, FINANCE, TERMINATED HIS EMPLOYMENT WITH ADVOCATE SHERMAN HOSPITAL IN 2014 AND WILL RECEIVE SEVERANCE IN 2015 AND BEYOND WHICH IS INCLUDED IN COLUMN (C). THOMAS NITZ, VICE PRESIDENT, ANCILLARY SERVICES, TERMINATED HIS EMPLOYMENT WITH ADVOCATE SHERMAN HOSPITAL IN 2014 AND WILL RECEIVE SEVERANCE IN 2015 AND BEYOND WHICH IS INCLUDED IN COLUMN (C). Form 990, Schedule J, Part I, Line 4b SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN GAIL HASBROUCK, SENIOR VICE PRESIDENT-GENERAL COUNSEL AND CORPORATE SECRETARY, IS VESTED IN A NON-QUALIFIED RETIREMENT PLAN. AS SUCH ANY CONTRIBUTIONS ARE TAXED CURRENTLY. THERE IS NO DEFERRED COMPONENT. THE CURRENT YEAR CONTRIBUTION AMOUNT IS $44,003. ADVOCATE PROVIDES A TARGET REPLACEMENT SENIOR EXECUTIVE RETIREMENT PLAN. THE CONTRIBUTIONS TO THIS PLAN ARE VESTED AND TAXABLE AFTER FIVE YEARS OF SERVICE. THE FOLLOWING EMPLOYEES ARE VESTED IN THE PLAN AND THEREFORE THE CONTRIBUTIONS ARE REPORTED AS COMPENSATION ON THE W-2: WILLIAM SANTULLI $301,001, DOMINIC NAKIS $216,494, GAIL HASBROUCK $134,329, JAMES DAN M.D. $168,324 and LINDA DEERING $45,821. WILLIAM SANTULLI IS A PARTICIPANT IN A SECTION 457(F) RETENTION INCENTIVE BENEFIT PLAN. THE PLAN IS CURRENTLY NOT VESTED. THE PLAN IS CONTINGENT ON EMPLOYMENT AND VESTS WHEN THE PARTICPANT REACHES 60 YEARS OF AGE. THE CURRENT YEAR AMOUNT EARNED IS $223,547. Form 990, Schedule J, Part I, Line 7 INCENTIVE PAYMENTS ARE BASED UPON A FORMULA. THE AMOUNTS ARE CALCULATED AFTER CERTAIN PERFORMANCE AND OPERATING GOALS ARE ACHIEVED. THE COMPENSATION COMMITTEE CAN EXERCISE DISCRETION OVER WHETHER INCENTIVE COMPENSATION IS PAID OUT ANNUALLY. Juliet Dunning Family Member - Dunning 33069 Employment bridget deering Family Member - Deering 17647 Employment kelly deering Family Member - Deering 48812 Employment craig lamp general contractor 123749 construction services PART VI, SECTION A, LINE 6 corporate member THE BYLAWS PROVIDE FOR ADVOCATE HEALTH CARE NETWORK AS THE SOLE CORPORATE MEMBER. PART VI, SECTION A, LINE 7A power to elect other members ADVOCATE SHERMAN HOSPITAL HAS A SOLE CORPORATE MEMBER, ADVOCATE HEALTH CARE NETWORK WHO ELECTS ITS DIRECTORS. PART VI, SECTION A, LINE 7B governance decisions THE FOLLOWING REQUIRE A RECOMMENDATION INITIATED BY THE BOARD OF DIRECTORS AND THE SUBSEQUENT APPROVAL BY THE CORPORATE MEMBER, ADVOCATE HEALTH CARE NETWORK, TO BE VALID: A) APPOINTMENT OF THE MEMBERS OF THE BOARD OR ITS AFFILIATES, OTHER THAN THE EX OFFICIO DIRECTORS; B) AMENDMENT OF THE ARTICLES OF INCORPORATION OF THE CORPORATION OR ITS AFFILIATES; C) AMENDMENT OF THE BYLAWS OF THE CORPORATION OR ITS AFFILIATES; D) IMPLEMENTATION OF ANY CHANGE TO THE STRUCTURE OR OPERATION OF THE CORPORATION OR ITS AFFILIATES THAT COULD AFFECT THE CORPORATION'S OR ANY AFFILIATE'S TAX-EXEMPT STATUS; E) ADOPTION OF A STRATEGIC PLAN; F) APPROVAL OF THE CORPORATION'S OR ANY AFFILIATE'S ANNUAL CAPITAL PLAN; G) APPROVAL OF THE CORPORATION'S OR ANY AFFILIATE'S ANNUAL OPERATING BUDGET; H) TRANSFER OR ENCUMBRANCE OF ANY OF THE CORPORATION'S OR ANY AFFILIATE'S ASSETS BY PURCHASE, SALE, CAPITAL LEASE, MORTGAGE, DISPOSITION OR HYPOTHECATION IN EXCESS OF LIMITS ESTABLISHED BY THE CORPORATE MEMBER'S FINANCIAL APPROVAL POLICY; I) FILING OF A CERTIFICATE OF NEED OR EXEMPTION APPLICATION (OR ANY AMENDMENT THERETO) BY THE CORPORATION OR ANY AFFILIATE; J) DISSOLVING OR WINDING-UP THE CORPORATION, OR AN AFFILIATE, OR ABANDONING AN ENTIRE BUSINESS ENTERPRISE THEREOF; K) FILING ANY ACTION IN BANKRUPTCY OR RECEIVERSHIP REGARDING THE CORPORATION OR ANY AFFILIATE; L) THE SALE OR TRANSFER OF ANY MEMBER INTEREST, STOCK, OR OTHER OWNERSHIP INTEREST IN ANY AFFILIATE OF THE CORPORATION; M) THE MERGER OR CONSOLIDATION OF THE CORPORATION OR ANY AFFILIATE, OR THE FORMATION OF ANY PARTNERSHIP, CO-SPONSORSHIP ARRANGEMENT OR JOINT VENTURE BETWEEN OR AMONG THE CORPORATION OR ANY AFFILIATE AND ANY THIRD PARTY; N) ADOPTION OR AMENDMENT OF ANY POLICY, PROTOCOL OR PROCEDURE THAT IS INCONSISTENT WITH ONE OR MORE OF THE CORPORATE MEMBER'S SYSTEM-WIDE POLICIES, PROTOCOLS OR PROCEDURES OR THE CORPORATE MEMBER'S ARTICLES OF INCORPORATION AND/OR BYLAWS; PROVIDED, HOWEVER, THAT THIS COLLABORATIVE AUTHORITY DOES NOT ABROGATE THE POWER OF THE BOARD TO ADOPT POLICIES, PROTOCOLS AND/OR PROCEDURES FOR WHICH NO SYSTEM-WIDE POLICY, PROTOCOL OR PROCEDURE EXISTS AND THAT ARE RELATED SOLELY TO THE INTERNAL OPERATIONS OF THE CORPORATION AND/OR ANY OF ITS AFFILIATES; AND O) APPOINTMENT OF THE CORPORATION'S OFFICERS IDENTIFIED IN SECTION 6.2 OF THE CORPORATION'S BYLAWS. THE CORPORATE MEMBER MAY TAKE THE FOLLOWING ACTIONS WITHOUT THE APPROVAL OR RECOMMENDATION OF THE BOARD OF DIRECTORS: A)REMOVAL OF ANY OF THE MEMBERS OF THE BOARD "FOR CAUSE" IN ACCORDANCE WITH SECTION 3.15 OF THE CORPORATION'S BYLAWS; B)THE INCURRENCE OR MODIFICATION OF SHORT OR LONG-TERM DEBT AND LEASE OBLIGATIONS; C)APPOINTMENT OR REMOVAL OF THE CORPORATION'S PRESIDENT OR CHIEF FINANCIAL OFFICER ("CFO"); D)ADOPTION OF AN ANNUAL CAPITAL PLAN FOR THE CORPORATION, BUT ONLY AFTER THE CORPORATE MEMBER HAS MADE A GOOD FAITH DETERMINATION THAT THE BOARD HAS NOT RECOMMENDED AN ACCEPTABLE ANNUAL CAPITAL PLAN IN A TIMELY MANNER; AND E)ADOPTION OF AN ANNUAL OPERATING BUDGET FOR THE CORPORATION, BUT ONLY AFTER THE CORPORATE MEMBER HAS MADE A GOOD FAITH DETERMINATION THAT THE BOARD HAS NOT RECOMMENDED AN ACCEPTABLE ANNUAL OPERATING BUDGET IN A TIMELY MANNER. PART VI, SECTION B, LINE 11B tax preparation and review process ADVOCATE'S TAX PREPARATION PROCESS INCLUDES ONGOING CONSULTATION WITH ITS OUTSIDE TAX CONSULTING FIRM AND TAX LEGAL COUNSEL, BOTH OF WHICH POSSESS EXPERTISE IN HEALTH CARE AND TAX-EXEMPT RETURN PREPARATION. THESE ADVISORS WORKED CLOSELY WITH THE ORGANIZATION'S FINANCE, TAX, AND LEGAL ASSOCIATES AND OTHER MEMBERS OF THE ORGANIZATION'S TEAM ASSEMBLED TO PARTICIPATE IN THE PREPARATION OF THE FORM 990. THE FORM 990 IS REVIEWED BY FINANCE MANAGEMENT, THE TAX MANAGER, THE VP OF FINANCE/CORPORATE CONTROLLER, THE CHIEF FINANCIAL OFFICER, AND ADVOCATE'S OUTSIDE TAX CONSULTING FIRM AND TAX LEGAL COUNSEL. PRIOR TO PRESENTING THE FORM 990 TO THE BOARD OF DIRECTOR'S AUDIT COMMITTEE IN NOVEMBER, THE ORGANIZATION'S TEAM--INCLUDING ITS ADVISORS--MET FREQUENTLY TO DISCUSS AND REVIEW DRAFTS OF THE FORM 990. AT THE NOVEMBER AUDIT COMMITTEE MEETING, THE VP OF FINANCE/CORPORATE CONTROLLER AND CHIEF FINANCIAL OFFICER COORDINATED A REVIEW OF THE FORM 990 WITH COMMITTEE MEMBERS, AS THE AUDIT COMMITTEE IS THE COMMITTEE OF THE BOARD OF DIRECTORS CHARGED WITH OVERSIGHT OF AUDIT AND TAX MATTERS. THE VP OF FINANCE/CORPORATE CONTROLLER AND CHIEF FINANCIAL OFFICER RESPONDED TO THE AUDIT COMMITTEE MEMBERS' QUESTIONS AND PROVIDED THE OPPORTUNITY FOR DETAILED DISCUSSION OF THE FORM 990. THE CHANGES IDENTIFIED WERE INCORPORATED, AND THEN A COMPLETE COPY OF THE FINAL FORM 990 WAS PROVIDED TO EACH MEMBER OF THE ORGANIZATION'S BOARD OF DIRECTORS BEFORE THE FORM 990 WAS FILED. PART VI, SECTION B, LINE 12C conflict of interest policy THE ORGANIZATION'S CONFLICT OF INTEREST POLICY APPLIES TO VARIOUS PEOPLE, INCLUDING MEMBERS OF ADVOCATE'S BOARD OF DIRECTORS, GOVERNING COUNCILS, OFFICERS, ASSOCIATES, VOLUNTEERS, AND MEDICAL STAFF MEMBERS WITH ADMINISTRATIVE RESPONSIBILITIES. ANNUALLY, THE COMPLIANCE DEPARTMENT SENDS THIS POLICY AND THE ADVOCATE CODE OF BUSINESS CONDUCT TO A RANGE OF INDIVIDUALS WHO MAY BE IN A POSITION TO EXERCISE SUBSTANTIAL INTEREST OVER A PARTICULAR MATTER (DEFINED AS "INTERESTED PERSONS"). THEY ARE REQUIRED TO READ THE POLICIES AND PROVIDE THE COMPLIANCE DEPARTMENT WITH A DISCLOSURE STATEMENT, WHICH IDENTIFIES ACTIVITIES AND RELATIONSHIPS THAT COULD POTENTIALLY GIVE RISE TO A CONFLICT OF INTEREST. THE CHIEF COMPLIANCE OFFICER REVIEWS THE DISCLOSURES AND PROVIDES A REPORT TO THE SYSTEM BUSINESS CONDUCT (COMPLIANCE) COMMITTEE, EXECUTIVE MANAGEMENT TEAM AND THE AUDIT COMMITTEE OF THE BOARD FOR REVIEW. THE REPORT IS THEN PROVIDED, IN RELEVANT PART, TO THE SITE CHIEF EXECUTIVE OFFICERS. POTENTIAL CONFLICTS ARE REVIEWED BY THE COMPLIANCE DEPARTMENT ON A CASE BY CASE BASIS. FOLLOW-UP PROCEDURES CONDUCTED ARE UNIQUE TO THE GIVEN CIRCUMSTANCE AND MAY INCLUDE REVIEWING THE POTENTIAL CONFLICT WITH THE INTERESTED PERSON OR INVESTIGATING THE MATTER IN CONSULTATION WITH THE INTERESTED PERSON'S SUPERVISOR AND/OR SITE MANAGEMENT. IN CIRCUMSTANCES WHERE THE INTERESTED PERSON IS NOT A MEMBER OF THE BOARD OR GOVERNING COUNCIL OR A COMMITTEE THEREOF OR A PERSON OF INTEREST, AND IT IS DETERMINED THAT THERE IS AN ACTUAL CONFLICT OF INTEREST, THE SUPERVISOR OF THE INDIVIDUAL IS RESPONSIBLE FOR MAKING AN APPROPRIATE RESPONSE--POTENTIALLY INCLUDING A RESTRICTION OF THE INDIVIDUAL'S JOB DUTIES WITH RESPECT TO THE MATTER GIVING RISE TO THE CONFLICT. Form 990, Part VI, Line 15A & 15B executive compensation EXECUTIVE COMPENSATION AT ADVOCATE HEALTH CARE NETWORK AND SUBSIDIARIES IS BASED ON A BOARD-APPROVED STRATEGY THAT GUIDES THE CORPORATION IN ESTABLISHING COMPENSATION OPPORTUNITIES FOR EXECUTIVES, MANAGERS, PROFESSIONALS AND EMPLOYEES. IN THIS STRATEGY, SPECIFIC MARKET COMPENSATIONS ARE IDENTIFIED AND THE DESIRED LEVEL OF COMPETITIVENESS IN THOSE MARKETS SPECIFIED. IN ADDITION, THE LINKAGE OF EXECUTIVE PAY TO PERFORMANCE IS ARTICULATED AND HOW THIS RELATIONSHIP IS TO BE MAINTAINED IS OUTLINED. TO SUPPORT AND IMPLEMENT THE COMPENSATION STRATEGY, FIVE BASIC ELEMENTS ARE UTILIZED. THESE ELEMENTS ARE: -A SOLID, RELIABLE AND TESTED JOB EVALUATION METHODOLOGY, -ACCURATE, QUALITY AND RELEVANT COMPENSATION SURVEY INFORMATION, -A CONSISTENT ANNUAL PROCESS FOR UPDATING THE COMPENSATION LEVELS, -AN ACTIVE BOARD REVIEW PROCESS THAT ASSURES COMPLIANCE WITH THE COMPENSATION STRATEGY AND ONGOING REVIEW OF THE PERFORMANCE OF THE ORGANIZATION, AND -ACTIVE REVIEW AND AUDITING OF COMPENSATION BY EXTERNAL INDEPENDENT CONSULTANTS. Form 990, Part VI, Line 19 availability of documents, conflict of interest policy & financial statements THE ORGANIZATION MAKES ITS FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC THROUGH THE FOLLOWING WEBSITES: DACBOND.COM (DIGITAL ASSURANCE CERTIFICATION LLC) EMMA.MSRB.ORG (ELECTRONIC MUNICIPAL MARKET ACCESS) THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS OR CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC. Form 990, Part XI, Line 9 Other changes in the assets or fund balances merger of health visions into advocate sherman hospital (9,423,272) capital transfer - grant adjustment (5,560) book/tax difference related to joint ventures 48,812 Total (9,380,020) Form 990, Part XII, Line 3B A-133 AUDIT ADVOCATE'S 2014 A-133 AUDIT, WHICH COVERS ADVOCATE SHERMAN HOSPITAL'S ACTIVITIES, IS NOT DUE UNTIL SEPTEMBER 30, 2015. Advocate Health Care Network 3075 Highland Parkway Ste 600 Downers Grove IL 60515 362167779 Parent Corp IL 501(c)(3) 11-III-FI NA false Advocate Condell Medical Center 3075 Highland Parkway Ste 600 Downers Grove IL 60515 262525968 Health Care IL 501(c)(3) 3 AHHC false Advocate North Side Health Network 3075 Highland Parkway Ste 600 Downers Grove IL 60515 363196629 Health Care IL 501(c)(3) 3 AHHC false Advocate Health & Hospitals Corporation 3075 Highland Parkway Ste 600 Downers Grove IL 60515 362169147 Health Care IL 501(c)(3) 3 AHCN false Advocate Charitable Foundation 3075 Highland Parkway Ste 600 Downers Grove IL 60515 363297360 Fundraising IL 501(c)(3) 7 AHCN false EHS Home Health Care Service Inc 3075 Highland Parkway Ste 600 Downers Grove IL 60515 362913108 Home Care IL 501(c)(3) 9 AHHC false Meridian Hospice 3075 Highland Parkway Ste 600 Downers Grove IL 60515 363158667 Hospice Care IL 501(c)(3) 9 EHSHHCS false Hispano Care Inc 3075 Highland Parkway Ste 600 Downers Grove IL 60515 363606486 Health Care IL 501(c)(3) 9 ANSHN false Sherman West Court 3075 Highland Parkway Ste 600 Downers Grove IL 60515 363725580 Nursing Care IL 501(c)(3) 9 ASH true Sherman Home Health Care Corporation 901 Center Street Ste 2001A Elgin IL 60120 363330085 Home care IL 501(c)(3) 9 ASH true Dreyer Mercy Ambulatory Surg Ctr Pshp 1221 N Hiland Ave Aurora IL 60506 363890298 Medical Services IL NA ADVOCATE SW AMB SUR CTR 18200 la grande tinley park IL 60487 364437931 medical services IL NA Advocate Home Care Products 3075 Highland Parkway Suite 600 Downers Grove IL 60515 363315416 Health Services IL NA C Corp false Advocate Health Centers Inc 3075 Highland Parkway Suite 600 Downers Grove IL 60515 364217291 Medical Services IL NA C Corp false Evangelical Services Corporation 3075 Highland Parkway Suite 600 Downers Grove IL 60515 363208101 Mgmt Services IL NA C Corp false High Technology Inc 3075 Highland Parkway Suite 600 Downers Grove IL 60515 363368224 Medical Services IL NA C Corp false Dreyer Clinic Inc 1877 W Downer Place Aurora IL 60506 362690329 Medical Services IL NA C Corp false BroMenn Physician Management Corporation 3075 Highland Parkway Suite 600 Downers Grove IL 60515 371313150 Medical Services IL NA C Corp false Parkside Center Condo Association 1775 West Dempster Street Park Ridge IL 60068 363452486 Property Mgmt IL NA C Corp false Advocate Insurance SPC 878 Wt Bay Rd PO Box 1159 Grand Cayman CJ KY1-1102 980422925 Insurance CJ NA C Corp false Midwest Heart Specialists Ltd 3075 Highland Parkway Suite 600 Downers Grove IL 60515 362841923 Medical Services IL NA C Corp false Sherman Health Insurance Company Ltd 878 Wt Bay Rd PO Box 1159 Grand Cayman CJ KY1-1102 980703036 Insurance CJ NA C Corp false Health Visions Inc 3075 Highland Parkway Suite 600 Downers Grove IL 60515 363780082 Medical Services IL NA C Corp true Sherman Group Practice Inc 3075 Highland Parkway Suite 600 Downers Grove IL 60515 262891035 Medical Services IL NA C Corp false Sherman Physician Group Inc 3075 Highland Parkway Suite 600 Downers Grove IL 60515 264800497 Medical Services IL NA C Corp false ShermanChoice Inc 1425 N Randall Road Elgin IL 60123 364058392 Phys-Hospital org IL NA C Corp true The Delphi Group IV Inc 1425 N Randall Road Elgin IL 60123 364017279 Health Cost Mgmt IL NA C Corp true Sherman Ventures Inc 934 Center Street Elgin IL 60120 364292309 Holding Company IL NA C Corp true true false true true false false false false false false true true false false true true true false advocate health care network 1-D 6015000 cost advocate health care network 1-R 2622018 cost advocate sherman west court 1-a 86238 cost advocate sherman west court 1-l 291882 cost advocate sherman west court 1-q 96892 cost Sherman Health Insurance Company 1-r 101497 cost ADVOCATE CHARITABLE FOUNDATION 1-C 69381 COST