2015-11-13T11:37:48-06:00 2014-12-31 ERNST & YOUNG US LLP 155 N Wacker Drive Chicago IL 60606 990 2014-01-01 362169147 Advocate Health And Hospitals Corp % JAMES DOHENY ADVO 6305729393 3075 HIGHLAND PARKWAY SUITE 600 DOWNERS GROVE IL 60515 JAMES W DOHENY VP FIN & CONTROLLER 2015-11-13 TAMARA TARAZI P01266026 3128792000 2014 2016-04-25 22:37:26Z JAMES SKOGSBERGH 3075 HIGHLAND PARKWAY DOWNERS GROVE IL 60515 6005061075 false X www.ADVOCATEHEALTH.COM X 1906 IL SERVE HEALTH NEEDS OF COMMUNITIES THROUGH WHOLISTIC PHILOSOPHY ROOTED IN FUNDAMENTAL UNDERSTANDING OF HUMANS AS CREATED IN THE IMAGE OF GOD. 12 7 29151 4409 59339941 0 21097763 24370687 3827990362 4075372322 212983026 214590661 9958337 18405139 4072029488 4332738809 4673470 5301251 0 0 1892609682 2005401718 0 0 402831 1782045318 1967277840 3679328470 3977980809 392701018 354758000 6707693122 7251361082 3145090464 3509146769 3562602658 3742214313 X THE MISSION OF ADVOCATE HEALTH AND HOSPITALS CORPORATION IS TO SERVE THE HEALTH NEEDS OF INDIVIDUALS, FAMILIES AND COMMUNITIES THROUGH A WHOLISTIC PHILOSOPHY ROOTED IN OUR FUNDAMENTAL UNDERSTANDING OF HUMAN BEINGS AS CREATED IN THE IMAGE OF GOD. false false 2106988668 5301251 2803275108 SEE SCHEDULE O. 784638334 0 808214278 SEE SCHEDULE O. 70931608 0 21679329 SEE SCHEDULE O. 390189254 0 442293963 3352747864 true true false true false false false false false false true true false false true false false true false true true false false false true false true true true false true true false false false false false true false false true false false false false false false true true true false false true 2876 0 true 29151 true true true true CJ false false false false false false false false X 12 7 true false false false true true true true true false true true true true true true true true true true true true IL X JAMES DOHENY 6309295543 3075 HIGHLAND PARKWAY SUITE 600 DOWNERS GROVE IL 60515 James Skogsbergh PRESIDENT & CEO, DIRECTOR 40.0 4.0 X X 5592968 0 2089788 Michele Baker Richardson Chairperson, Director 1.0 3.0 X 0 0 0 John Timmer Vice Chairperson, Director 1.0 3.0 X 0 0 0 Gail D Hasbrouck SVP, Gen Counsel & Corp. Sec 40.0 9.0 X X 1150732 0 188617 David Anderson Director 1.0 3.0 X 0 0 0 Rev Dr Nathaniel Edmond Director 1.0 5.0 X 0 0 0 Ron Greene Director 1.0 3.0 X 0 0 0 Mark Harris Director 1.0 3.0 X 0 0 0 Laurie Meyer Director 1.0 3.0 X 0 0 0 Clarence Nixon Jr PhD Director 1.0 3.0 X 0 0 0 Rick Jakle Director 1.0 5.0 X 0 0 0 Gary Stuck MD Director 1.0 3.0 X 0 0 0 William P Santulli EXEC VP, COO 40.0 4.0 X 2492478 0 779240 Lee B Sacks MD EXEC VP, CHIEF MEDICAL OFFICER 40.0 3.0 X 1890745 0 347784 James Doheny VP, Sys Contr & Asst.Treasurer 40.0 10.0 X 454164 0 54251 James Dan MD PRES PHYSICIAN/AMBULATORY SVCS 40.0 4.0 X 1382301 0 263198 Rev K Bender Schwich SVP, Mission & Spiritual Care 40.0 3.0 X 548238 0 223890 Kevin Brady SVP, Chf Human Resources offc 40.0 3.0 X 1199503 0 252728 Vincent Bufalino SVP, CARDIO/SR MED DIR CARDIO 40.0 0.0 X 835043 0 312949 Susan Campbell SVP OF PATIENT CR-CHF NRS OFFC 40.0 4.0 X 521658 0 193381 Kelly Jo Golson SVP, Chief Marketing Officer 40.0 3.0 X 801861 0 119399 Dominic J Nakis SVP, CFO & TREASURER 40.0 7.0 X 1774769 0 348593 Scott Powder SVP, Chief Strategy Officer 40.0 3.0 X 856917 0 179488 Bruce D Smith SVP, Information Systems, CIO 40.0 3.0 X 1136939 0 206153 Jonathan Bruss President, Trinity Hosp Jan-14 40.0 0.0 X 391256 0 47076 Michael Farrell PRESIDENT -ADV CHILDREN'S HOSP 40.0 0.0 X 1250097 0 481400 David Fox President, Good Samaritan Hosp 40.0 0.0 X 1128836 0 219166 Michelle Gaskill President, Trinity Hospital 40.0 0.0 X 397261 0 109428 Richard Heim President, South Suburban Hosp 40.0 0.0 X 645085 0 160670 Colleen Kannaday President, BroMenn Medical Ctr 40.0 0.0 X 747888 0 265387 Karen Lambert President, Good Shepherd Hosp 40.0 1.0 X 981093 0 191084 Kenneth Lukhard Mkt President, Christ Med Ctr 40.0 0.0 X 1497807 0 282721 Rick Floyd President, Lutheran Gen Hosp 40.0 1.0 X 831711 32639 253557 Thomas Grobelny Physician-Neuroint. Radiology 40.0 0.0 X 983776 0 40764 Caleb Lippman Neurosurgeon 40.0 0.0 X 832084 0 51537 Thom Lobe Physician - General Surgery 40.0 0.0 X 966103 0 32372 Kenji Muro Neurosurgeon 40.0 0.0 X 938929 0 48879 John Song Neurosurgeon 40.0 0.0 X 1046899 0 28847 Michael Englehart FMR PRES, SOUTH SUBURBAN HOSP 0.0 41.0 X 0 922739 186247 Ben Grigaliunas Senior VP, Human Resources 0.0 0.0 X 215578 0 0 33492719 955378 7958594 2834 true true false POWER CONSTRUCTION COMPANY 2360 N PALMER DR SCHAUMBERG IL 601733818 CONSTRUCTION CONTR 92391585 ARAMARK HEALTHCARE SUPPORT SERVICES 25271 NETWORK PLACE CHICAGO IL 606731252 HOSPITAL SERVICES 19173131 XTEND HEALTHCARE LLC 171 MADISON AVE NEW YORK NY 10016 BUSINESS OFFICE SVCS 6784669 ALLCRIPTS HEALTHCARE LLC 24630 NETWORK PLACE CHICAGO IL 606731246 MEDICAL SOFTWARE 6686108 SUPERIOR HEALTH LINENS 5005 S PACKARD AVENUE CUDAHY WI 53110 LAUNDRY SERVICES 5648292 127 16849938 4255772 3264977 24370687 BLUE CROSS/MANAGED CARE 622110 1700605581 1700605581 MEDICARE/MEDICAID 622110 956925292 956925292 PROGRAM SERVICE REVENUE 622110 715031150 701012284 14018866 PHARMACY 446110 382832024 382351029 480995 LABORATORY 621511 319978275 269106889 50871386 4075372322 138769313 -6031306 144800619 0 0 10281357 9861323 420034 0 420034 420034 1733173696 5098295 1659830818 2619925 73342878 2478370 75821348 75821348 18421 10200 8221 8221 0 0 CAFETERIA REVENUE 722212 9999817 9999817 MISCELLANEOUS 621999 6949163 22023 6927140 GIFTSHOP REVENUE 812930 959571 959571 68333 68333 17976884 4332738809 4010091431 59339941 238936750 5301251 5301251 0 0 0 36079299 2064650 34010163 4486 831993 831887 106 1585478286 1462184804 123096339 197143 58678779 52878479 5792075 8225 218716408 205412223 13277132 27053 105616953 98241356 7362533 13064 14228443 14228443 3724074 3724074 362910 362910 706094 706094 0 10330396 10330396 336688633 336688633 14273506 1941665 12331841 43639018 40566353 3072665 85464309 79010212 6454097 0 87559712 83501780 4057932 7421066 5237225 2183841 0 7593138 6307143 1285995 45358701 45358701 0 182002261 152099872 29902389 107391400 106496769 894631 MEDICAL SUPPLIES 510459330 510476173 -16843 BAD DEBT 212681858 212681858 PUBLIC ASSESSMENT FEE 101694413 101694413 REPAIR AND MAINTENANCE 68917039 63515754 5401285 126781539 116945296 9683489 152754 3977980809 3352747864 624830114 402831 384810725 148084260 0 396140 1598115 1540021 411649412 482355852 0 102368 0 0 251804 161414318 46665158 47800917 63876973 59340897 3736406653 2002100782 1505675186 1734305871 3056388335 2220620864 951608302 2144112484 3164280 38487901 25222144 24860715 256782688 187938474 6707693122 7251361082 702112532 706530901 0 0 1638780 3833798 1390347612 1572310991 0 0 0 0 0 0 0 0 1050991540 1226471079 3145090464 3509146769 X 3561522143 3711636595 1080515 30577718 0 0 3562602658 3742214313 6707693122 7251361082 X 354758000 -119197593 -55948752 X false true X true true true X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED true true false true 14438 false false true 411609 false true 527750 953797 false Form 990, Schedule C, Part II-B, Lines 1A, B, D, G SUPPLEMENTAL LOBBYING INFORMATION ADVOCATE HEALTH AND HOSPITALS CORPORATION SPONSORS A NURSE ADVOCACY COUNCIL, COMPRISED OF NURSES EMPLOYED BY THE SYSTEM. THIS GROUP PROVIDES LEGISLATIVE FORUMS AND EDUCATION SUMMITS TO APPRISE AND EDUCATE LEGISLATORS OF THE ISSUES FACING THE NURSING PROFESSION AND HOW CHANGES IN LEGISLATION AFFECT PATIENT CARE. FORM 990, SCHEDULE C, PART II-B, LINE 1I ADVOCATE HEALTH AND HOSPITALS CORPORATION IS A MEMBER OF THE AMERICAN HOSPITAL ASSOCIATION, THE ILLINOIS HOSPITAL ASSOCIATION AND THE METROPOLITAN CHICAGO HEALTHCARE COUNCIL. THESE ORGANIZATIONS, AS PART OF THEIR MISSIONS, ADVOCATE IN THE GENERAL ASSEMBLY AND CONGRESS ON LEGAL AND POLICY ISSUES THAT AFFECT HEALTHCARE INCLUDING QUALITY, AFFORDABILITY, PATIENT ACCESS AND ACCREDITATION. A PORTION OF THE ANNUAL MEMBERSHIP DUES PAID TO THESE ORGANIZATIONS IS ATTRIBUTABLE TO THESE LOBBYING ACTIVITIES. ADVOCATE ALSO ENGAGES CERTAIN FIRMS TO LOBBY ON ITS BEHALF REGARDING ISSUES AND POLICIES THAT AFFECT HEALTHCARE SUCH AS QUALITY, AFFORDABILITY AND PATIENT ACCESS. ADVOCATE ALSO REIMBURSES VARIOUS ASSOCIATES FOR DUES PAID TO VARIOUS PROFESSIONAL ORGANIZATIONS AND ALSO FOR EDUCATIONAL EXPENSES PROVIDED BY PROFESSIONAL AND MEMBERSHIP ORGANIZATIONS. ADVOCATE ENDEAVORS TO IDENTIFY THE PORTION OF DUES OR FEES PAID TO THESE ORGANIZATIONS WHICH ARE ATTRIBUTABLE TO LOBBYING ACTIVITIES. 35776804 112768880 148545684 1942575302 1047543554 895031748 80044730 45176787 34867943 1234419424 908915979 325503445 330821513 464462 330357051 1734305871 2144112484 F 2144112484 0 SELF INSURANCE LIABILITY 764923786 3RD PARTY SETTLEMENTS 191587748 OBLIGATION TO RETURN COLLATERAL 19768372 PENSION PLAN BENEFITS 28497449 EXECUTIVE PENSION LIAB & DEF COMP 86442038 LONG TERM DISABILITY 19970000 INTEREST RATE SWAP MTM SERIES 86245808 REMEDIATION COST ACCRUAL 12666755 UNFUNDED HRA/DRA 15910051 DEACONESS RESIDENCE LIABILITY 459072 1226471079 Central America and the Caribbean 1 1 Program Services Self-Insurance 22082370 East Asia and the Pacific 0 0 Program Services CONFERENCE 43787 Europe (Including Iceland and Greenland) 0 0 Program Services CONFERENCE 1668 North America 0 0 Program Services CONFERENCE 13209 Central America and the Caribbean 0 0 Investments 1201109528 East Asia and the Pacific 0 0 Investments 118093890 Europe (Including Iceland and Greenland) 0 0 Investments 440574276 Middle East and North Africa 0 0 Investments 2526407 North America 0 0 Investments 23530313 South America 0 0 Investments 7948814 South Asia 0 0 Investments 3305996 1 1 1 1 1819230258 1819230258 true false true true true false Form 990, Schedule F, Part I, Line 3 Total Expenditures The Expenditures reported in Part I, Line 3 are based on the cash paid for these activities. BOWLING EVENT 5929 5929 1988 8 12492 12492 8212 18421 18421 10200 10200 8221 true true X true X true X 600. true true false true true 40567877 53523 40514354 0.01080 671096526 427425877 243670649 0.06470 711664403 427479400 284185003 0.07550 8237787 8237787 0.00220 84669134 21679329 62989805 0.01670 52100463 42161505 9938958 0.00260 3839907 3839907 0.00100 148847291 63840834 85006457 0.02250 860511694 491320234 369191460 0.09800 false 212681858 14963555 761965518 906107326 -144141808 X true true 8 1 CHRIST HOSP INCL HOPE CHILDREN'S HOSP 4440 WEST 95TH STREET OAK LAWN IL 60453 http://www.advocatehealth.com/cmc/ 0000315 X X X X X 2 LUTHERAN GEN HOSP INCL LUTH GEN CHILD 1775 DEMPSTER STREET PARK RIDGE IL 60068 http://www.advocatehealth.com/luth/ 0004796 X X X X X 3 GOOD SAMARITAN HOSPITAL 3815 HIGHLAND AVENUE DOWNERS GROVE IL 60515 http://www.advocatehealth.com/gsam/ 0003384 X X X 4 GOOD SHEPHERD HOSPITAL 450 W HIGHWAY 22 BARRINGTON IL 60010 http://www.advocatehealth.com/gshp/ 0003475 X X X 5 SOUTH SUBURBAN HOSPITAL & ICU 17800 S KEDZIE HAZEL CREST IL 60429 http://www.advocatehealth.com/ssub/ 0004697 X X X 6 BROMENN MEDICAL CENTER 1304 FRANKLIN AVENUE NORMAL IL 61761 http://www.advocatehealth.com/BROMENN/ 0005645 X X X 7 TRINITY HOSPITAL 2320 EAST 93RD STREET CHICAGO IL 60617 http://www.advocatehealth.com/TRIN/ 0004176 X X X 8 EUREKA HOSPITAL 101 S MAJOR STREET EUREKA IL 61530 http://www.advocatehealth.com/eureka/ 0005652 X X X X CHRIST HOSP INCL HOPE CHILDREN'S HOSP 1 false false true X X X X X X X X X 13 true false false true X WWW.ADVOCATEHEALTH.COM/CHNAREPORTS X true 14 true WWW.ADVOCATEHEALTH.COM/CHNAREPORTS false false true X 200. 600. X X X X X X true true 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 LUTHERAN GEN HOSP INCL LUTH GEN CHILD 2 false false true X X X X X X X X X 13 true false false true X WWW.ADVOCATEHEALTH.COM/CHNAREPORTS X true 14 true WWW.ADVOCATEHEALTH.COM/CHNAREPORTS false false true X 200. 600. X X X X X X true true 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 GOOD SAMARITAN HOSPITAL 3 false false true X X X X X X X X X 13 true false false true X WWW.ADVOCATEHEALTH.COM/CHNAREPORTS X true 14 true WWW.ADVOCATEHEALTH.COM/CHNAREPORTS false false true X 200. 600. X X X X X X true true 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 GOOD SHEPHERD HOSPITAL 4 false false true X X X X X X X X X 13 true true false true X WWW.ADVOCATEHEALTH.COM/CHNAREPORTS X true 14 true WWW.ADVOCATEHEALTH.COM/CHNAREPORTS false false true X 200. 600. X X X X X X true true 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 SOUTH SUBURBAN HOSPITAL & ICU 5 false false true X X X X X X X X X 13 true false false true X WWW.ADVOCATEHEALTH.COM/CHNAREPORTS X true 14 true WWW.ADVOCATEHEALTH.COM/CHNAREPORTS false false true X 200. 600. X X X X X X true true 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 BROMENN MEDICAL CENTER 6 false false true X X X X X X X X 13 true true false true X WWW.ADVOCATEHEALTH.COM/CHNAREPORTS X X true 14 true WWW.ADVOCATEHEALTH.COM/CHNAREPORTS false false true X 200. 600. X X X X X X true true 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 TRINITY HOSPITAL 7 false false true X X X X X X X X X 13 true false false true X WWW.ADVOCATEHEALTH.COM/CHNAREPORTS X true 14 true WWW.ADVOCATEHEALTH.COM/CHNAREPORTS false false true X 200. 600. X X X X X X true true 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 EUREKA HOSPITAL 8 false false true X X X X X X X X X 13 true true false true X WWW.ADVOCATEHEALTH.COM/CHNAREPORTS X X true 14 true WWW.ADVOCATEHEALTH.COM/CHNAREPORTS false false true X 200. 600. X X X X X X true true 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 PART V, SEC B, LINE 2 N/A PART V, SEC B, LINE 3J N/A PART V, SEC B, LINE 5 ADVOCATE CHRIST MEDICAL CENTER COMMUNITY HEALTH COUNCILS REVIEW DATA & SET PRIORITIES IN SUPPORT OF THIS VISION AND IN ALIGNMENT WITH ADVOCATE HEALTH CARE'S STANDARDIZED APPROACH, ADVOCATE CHRIST MEDICAL CENTER (ACMC) CONVENED A COMMUNITY HEALTH COUNCIL TO CONDUCT ITS COMPREHENSIVE CHNA. THIS COUNCIL WAS CHAIRED BY THE MEDICAL CENTER'S COMMUNITY HEALTH LEADER AND COMPRISED OF REPRESENTATIVE(S) FROM THE EXECUTIVE TEAM, PUBLIC AFFAIRS AND MARKETING, MISSION AND SPIRITUAL CARE, AND BUSINESS DEVELOPMENT AND STRATEGY. COMMUNITY MEMBERS SERVING ON THE MEDICAL CENTER'S GOVERNING COUNCIL WERE ALSO RECRUITED AS ACTIVE PARTICIPANTS IN THE COMMUNITY HEALTH COUNCIL. ADDITIONAL MEDICAL CENTER STAFF AND COMMUNITY REPRESENTATIVES WERE ADDED AS THE PROCESS EVOLVED TO FILL IN ANY COMMUNITY HEALTH COUNCIL GAPS IN EXPERTISE. THE TITLES AND AFFILIATIONS OF THE COMMUNITY HEALTH COUNCIL'S MEMBERS ARE PROVIDED BELOW. CHRIST MEDICAL CENTER COMMUNITY HEALTH COUNCIL MEMBERS * VICE PRESIDENT, CLINICAL TRANSFORMATION, CHRIST MEDICAL CENTER * COORDINATOR, COMMUNITY RELATIONS, CANCER INSTITUTE, CHRIST MEDICAL CENTER * COORDINATOR, COMMUNITY RELATIONS, HEART AND VASCULAR INSTITUTE, CHRIST MEDICAL CENTER * COORDINATOR, COMMUNITY RELATIONS, ADVOCATE CHILDREN'S HOSPITAL * VICE PRESIDENT, PUBLIC AFFAIRS AND MARKETING, ADVOCATE CHILDREN'S HOSPITAL * PLANNING MANAGER, BUSINESS DEVELOPMENT, CHRIST MEDICAL CENTER * REGIONAL VICE PRESIDENT, BUSINESS DEVELOPMENT, CHRIST MEDICAL CENTER * FINANCIAL ADVISOR, COMMUNITY REPRESENTATIVE/MEMBER, CHRIST MEDICAL CENTER * GOVERNING COUNCIL HEALTH ADMINISTRATOR, COMMUNITY REPRESENTATIVE/MEMBER, CHRIST MEDICAL CENTER GOVERNING COUNCIL * VICE PRESIDENT, MISSION AND SPIRITUAL CARE, CHRIST MEDICAL CENTER * DIRECTOR, BUSINESS DEVELOPMENT, CHRIST MEDICAL CENTER USING BOTH PRIMARY AND SECONDARY COMMUNITY HEALTH DATA, THE COMMUNITY HEALTH COUNCIL IDENTIFIED THE MEDICAL CENTER SERVICE AREA'S KEY HEALTH NEEDS AND THEN EMPLOYED A PRIORITY-SETTING PROCESS TO DETERMINE THE KEY HEALTH NEEDS ON WHICH TO FOCUS. THIS PROCESS INCLUDED AN EXAMINATION OF BOTH THE MEDICAL CENTERS' AND THE COMMUNITY'S ISSUES/CHALLENGES AND ASSETS, AND DISCUSSIONS WITH EXTERNAL KEY INFORMANTS TO DETERMINE THE POTENTIAL FOR PARTNERSHIPS WITH OTHER ORGANIZATIONS AND FOR SHARING RESOURCES TO ADDRESS COMMUNITY NEED. THE ROLES AND AFFILIATIONS OF INDIVIDUALS WITH WHOM ACMC CONSULTED DURING ITS MOST RECENT CHNA AS WELL AS THE MEANS BY WHICH THEY WERE CONSULTED ARE AS FOLLOWS. * STUDENT HEALTH SPECIALIST, OFFICE OF STUDENT HEALTH AND WELLNESS, CHICAGO PUBLIC SCHOOLS (MEETINGS AND INTERVIEWS) * VICE PRESIDENT, HEALTH OPERATIONS, AUNT MARTHA'S HEALTH CENTER (MEETINGS) * VICE PRESIDENT, OPERATIONS, RONALD MCDONALD HOUSE CHARITIES OF CHICAGOLAND AND NORTHWEST INDIANA (MEETINGS) * CO-FOUNDER/EXECUTIVE DIRECTOR, ARAB AMERICAN FAMILY SERVICES (MEETINGS) * PASTORS/CONGREGATIONAL LEADERS, SOUTHWEST SUBURBAN CONGREGATION COLLABORATION (MEETINGS) ADVOCATE LUTHERAN GENERAL HOSPITAL IN SUPPORT OF THIS VISION AND IN ALIGNMENT WITH ADVOCATE HEALTH CARE'S STANDARDIZED APPROACH, LUTHERAN GENERAL HOSPITAL CONVENED A COMMUNITY HEALTH COUNCIL TO CONDUCT ITS COMPREHENSIVE CHNA. THIS COUNCIL WAS CHAIRED BY THE HOSPITAL'S COMMUNITY HEALTH LEADER AND COMPRISED OF REPRESENTATIVES FROM THE EXECUTIVE TEAM, PUBLIC AFFAIRS AND MARKETING, MISSION AND SPIRITUAL CARE, AND BUSINESS DEVELOPMENT AND STRATEGY. COMMUNITY MEMBERS SERVING ON THE HOSPITAL'S GOVERNING COUNCIL WERE ALSO RECRUITED AS ACTIVE PARTICIPANTS IN THE COMMUNITY HEALTH COUNCIL. ADDITIONAL HOSPITAL STAFF AND COMMUNITY REPRESENTATIVES WERE ADDED AS THE PROCESS EVOLVED TO FILL IN ANY COMMUNITY HEALTH COUNCIL GAPS IN EXPERTISE. THE TITLES OF THE COMMUNITY HEALTH COUNCIL'S MEMBERS AND THE NAMES OF THE ORGANIZATIONS REPRESENTED ARE PROVIDED BELOW. LUTHERAN GENERAL HOSPITAL COMMUNITY HEALTH COUNCIL MEMBERS LUTHERAN GENERAL HOSPITAL INTERNAL MEMBERS: * DIRECTOR, COMMUNITY AND HEALTH RELATIONS * VP, MISSION AND SPIRITUAL CARE * DIRECTOR, OLDER ADULT SERVICES * DIRECTOR, PUBLIC AFFAIRS AND MARKETING * STRATEGIC SPECIALIST, BUSINESS DEVELOPMENT * EXECUTIVE CLINICAL DIRECTOR, HEART/VASCULAR/CC/ED/TRAUMA DIRECTOR, OPERATIONS-REHAB/OUTPATIENT PSYCHOLOGY/NEUROLOGY * MANAGER, MENTAL HEALTH SERVICES * ADVOCATE MEDICAL GROUP COMMUNITY RELATIONS REPRESENTATIVE, BEHAVIORAL HEALTH AND ADVOCATE ADDICTION TREATMENT PROGRAM COMMUNITY MEMBERS: * SUPERINTENDENT, ROUNDOUT SCHOOL DISTRICT #72/MEMBER, GOVERNING COUNCIL, LUTHERAN GENERAL HOSPITAL * VP, US BANK/MEMBER, GOVERNING COUNCIL, LUTHERAN GENERAL HOSPITAL * DIRECTOR, CHRONIC DISEASE PREVENTION & HEALTH PROMOTION, COOK COUNTY DEPARTMENT OF HEALTH * PROGRAM DIRECTOR, NATIONAL ALLIANCE FOR MENTAL ILLNESS (NAMI) * ASSISTANT DIRECTOR, MAINE TOWNSHIP - MAINESTAY YOUTH AND FAMILY SERVICES * SENIOR DIRECTOR, COMMUNITY HEALTH, AMERICAN HEART ASSOCIATION * CHIEF OF POLICE, PARK RIDGE * ENVIRONMENTAL HEALTH OFFICER, PARK RIDGE * MENTAL HEALTH SERVICES DIRECTOR, LUTHERAN SOCIAL SERVICES (LSSI) * ASSISTANT PRINCIPAL, DISTRICT 207 * FACILITATOR OF SCHOOL HEALTH SERVICES, DISTRICT 64 * MEMBER, PARK RIDGE HEALTHY COMMUNITY PARTNERSHIP AND JOINT COMMUNITY RECOVERY RESPONSE TEAM * MEMBER, DES PLAINES HEALTHY COMMUNITY PARTNERSHIP IN ITS CHNA, ADVOCATE LUTHERAN GENERAL HOSPITAL ALSO CONSULTED WITH THE FOLLOWING COMMUNITY ORGANIZATIONS: * SCHOOL DISTRICT 64 * SCHOOL DISTRICT 207 * CHIEF OF POLICE, PARK RIDGE * POLICE CHIEF ADVISORY TASK FORCE, PARK RIDGE * REGION 9 EMS FIRE DEPARTMENT DATA * DES PLAINES, PARK RIDGE AND NILES POLICE DEPARTMENTS * DIRECTOR OF EPIDEMIOLOGY, COOK COUNTY DEPARTMENT OF HEALTH * LUTHERAN GENERAL HOSPITAL EMERGENCY MEDICAL SERVICES (EMS); LUTHERAN GENERAL EMS RESOURCE HOSPITAL FOR PARK RIDGE, NILES, MORTON GROVE, NORTH MAINE AND GLENVIEW * PARK RIDGE HEALTHY COMMUNITY PARTNERSHIP * DES PLAINES HEALTHY COMMUNITY PARTNERSHIP * VILLAGE OF NILES * VILLAGE OF GLENVIEW * VILLAGE OF MORTON GROVE * PARK RIDGE HEALTH COMMISSION * PARK RIDGE HUMAN NEEDS TASK FORCE * PARK RIDGE CHAMBER OF COMMERCE HEALTH CARE FORUM * JOINT COMMUNITY RECOVERY RESPONSE TEAM * PARK RIDGE COMMUNITY FUND * MEMBERS OF PARK RIDGE AND NILES MINISTERIAL ASSOCIATIONS * FAITH COMMUNITIES * DIRECTOR, COUNCIL OF ADVISORS, LUTHERAN GENERAL HOSPITAL * PATIENT ADVISORY COUNCILS, LUTHERAN GENERAL HOSPITAL * MEMBERS OF THE HEALTHIER PARK RIDGE PROJECT * COMMUNITY LEADERS, SOUTH ASIAN, KOREAN AND POLISH COMMUNITIES * FOCUS GROUP PARTICIPANTS ADVOCATE GOOD SAMARITAN HOSPITAL IN SUPPORT OF THIS VISION AND IN ALIGNMENT WITH ADVOCATE HEALTH CARE'S STANDARDIZED APPROACH, GOOD SAMARITAN HOSPITAL CONVENED A COMMUNITY HEALTH COUNCIL TO CONDUCT ITS COMPREHENSIVE CHNA. THIS COUNCIL WAS CHAIRED BY THE HOSPITAL'S COMMUNITY HEALTH LEADER AND COMPRISED OF REPRESENTATIVE(S) FROM THE EXECUTIVE TEAM, PUBLIC AFFAIRS AND MARKETING, MISSION AND SPIRITUAL CARE, AND BUSINESS DEVELOPMENT AND STRATEGY. COMMUNITY MEMBERS SERVING ON THE HOSPITAL'S GOVERNING COUNCIL WERE ALSO RECRUITED AS ACTIVE PARTICIPANTS IN THE COMMUNITY HEALTH COUNCIL. ADDITIONAL HOSPITAL STAFF AND COMMUNITY REPRESENTATIVES WERE ADDED AS THE PROCESS EVOLVED TO FILL IN ANY COMMUNITY HEALTH COUNCIL GAPS IN EXPERTISE. THE TITLES/CREDENTIALS AND AFFILIATIONS OF THE REPRESENTATIVES ON THE COMMUNITY HEALTH COUNCIL ARE PROVIDED BELOW. COMMUNITY HEALTH COUNCIL MEMBERS (VIA FACE-TO-FACE MEETINGS) * PRESIDENT & CEO, DOWNERS GROVE AREA CHAMBER OF COMMERCE & INDUSTRY * PUBLIC INFORMATION OFFICER, DOWNERS GROVE FIRE DEPARTMENT * LIEUTENANT FIREFIGHTER, EMT, PARAMEDIC, DOWNERS GROVE FIRE DEPARTMENT * PUBLIC EDUCATION MANAGER, DOWNERS GROVE POLICE DEPARTMENT * EXECUTIVE DIRECTOR, DUPAGE COUNTY HEALTH DEPARTMENT * EXECUTIVE DIRECTOR, DUPAGE SENIOR CITIZENS COUNCIL * EXECUTIVE DIRECTOR, INDIAN BOUNDARY YMCA * EXECUTIVE DIRECTOR, XILIN CENTER * EXECUTIVE DIRECTOR, ACCESS DUPAGE * ASSISTANT SUPERINTENDENT OF CURRICULUM AND INSTRUCTION, DOWNERS GROVE SCHOOL DISTRICT 58 * NURSE CARE MANAGER, CANTATA ADULT SERVICES * MANAGER, PEACE MEMORIAL MANOR * SENIOR SERVICES COORDINATOR, PEACE MEMORIAL MANOR * LARC PROGRAM DIRECTOR, DUPAGE FEDERATION ON HUMAN SERVICES * ASSISTANT DIRECTOR, ADULT HEALTH, DUPAGE COUNTY HEALTH DEPARTMENT * SUPERVISOR, SENIOR ADVOCATE, ADVOCATE GOOD SAMARITAN HOSPITAL * COORDINATOR, EMERGENCY MEDICAL SERVICES SYSTEM/CONTINUING EDUCATION, ADVOCATE GOOD SAMARITAN HOSPITAL THE PROCESS ENGAGED THE COMMUNITY HEALTH COUNCIL IN REGULAR FACE-TO-FACE MEETINGS TO REVIEW SECONDARY DATA, IDENTIFY THE COMMUNITY'S CHALLENGES AND ASSETS, AND SELECT PRIORITY NEEDS THAT THE HOSPITAL WOULD ADDRESS. ADVOCATE GOOD SHEPHERD HOSPITAL THE HOSPITAL PARTNERED WITH EACH OF THE NEIGHBORING PUBLIC HEALTH DEPARTMENTS, BOTH LAKE AND MCHENRY COUNTIES, TO PARTICIPATE IN A COMPREHENSIVE NEEDS ASSESSMENT PROCESS. EACH OF THE HEALTH DEPARTMENTS UTILIZED A VERSION OF THE MOBILIZING ACTION THROUGH PLANNING AND PARTNERSHIP (MAPP) PROCESS TO COMPLETE THE ASSESSMENT WHICH INCLUDED INTERVIEWS, FOCUS GRO ADVOCATE SOUTH SUBURBAN HOSPITAL ADVOCATE SOUTH SUBURBAN HOSPITAL CONVENED A COMMUNITY HEALTH COUNCIL TO CONDUCT ITS COMPREHENSIVE CHNA. THIS COUNCIL WAS CHAIRED BY THE HOSPITAL'S VICE PRESIDENT OF MISSION AND SPIRITUAL CARE AND WAS COMPRISED OF HOSPITAL REPRESENTATIVES FROM BUSINESS DEVELOPMENT, COMMUNITY RELATIONS, VOLUNTEER SERVICES, PUBLIC AFFAIRS AND MARKETING, ONCOLOGY SERVICES AND RESPIRATORY CARE. ADDITIONALLY, COMMUNITY MEMBERS PARTICIPATED ON THE COMMUNITY HEALTH COUNCIL, INCLUDING REPRESENTATIVES FROM AUNT MARTHA'S COMMUNITY HEALTH CENTER, A FEDERALLY QUALIFIED HEALTH CENTER (FQHC) AND FAITH LEADERS WHO ARE ALSO MEMBERS OF SOUTH SUBURBAN HOSPITAL'S GOVERNING COUNCIL. THE TITLES AND AFFILIATIONS OF THE COMMUNITY HEALTH COUNCIL'S MEMBERS ARE PROVIDED BELOW. ADVOCATE SOUTH SUBURBAN HOSPITAL COMMUNITY HEALTH COUNCIL MEMBERS * DIRECTOR, NURSING, AUNT MARTHA'S COMMUNITY HEALTH CENTER, HAZEL CREST CAMPUS * DIRECTOR, COMMUNITY RELATIONS, AUNT MARTHA'S COMMUNITY HEALTH CENTER * ASSOCIATE PASTOR, COVENANT UNITED CHURCH OF CHRIST - SOUTH HOLLAND/MEMBER, SOUTH SUBURBAN HOSPITAL GOVERNING COUNCIL * LAY FAITH LEADER, PILGRIM FAITH UNITED CHURCH OF CHRIST - OAK LAWN/MEMBER, SOUTH SUBURBAN HOSPITAL GOVERNING COUNCIL * INTERN, GOVERNORS STATE UNIVERSITY * VP, MISSION AND SPIRITUAL CARE, SOUTH SUBURBAN HOSPITAL * VP, BUSINESS DEVELOPMENT, SOUTH SUBURBAN HOSPITAL * COMMUNITY RELATIONS COORDINATOR, SOUTH SUBURBAN HOSPITAL * MANAGER, VOLUNTEER SERVICES, SOUTH SUBURBAN HOSPITAL * BREAST HEALTH SPECIALIST, SOUTH SUBURBAN HOSPITAL * MANAGER, RESPIRATORY CARE, SOUTH SUBURBAN HOSPITAL THROUGH KEY INFORMANT INTERVIEWS, THE HOSPITAL ALSO CONSULTED WITH FQHC LEADERS, SCHOOL NURSES, PARISH NURSES AND FAITH LEADERS WITHIN THE PRIMARY SERVICE AREA (PSA). MUCH OF THE EXTERNAL QUANTITATIVE DATA WAS SUPPLIED BY THE COOK COUNTY DEPARTMENT OF PUBLIC HEALTH (CCDPH), ILLINOIS DEPARTMENT OF PUBLIC HEALTH (IDPH) AND UNIVERSITY OF WISCONSIN - COUNTY HEALTH RANKINGS. ADVOCATE BROMENN MEDICAL CENTER ADVOCATE BROMENN MEDICAL CENTER RECEIVED INPUT FROM AN ARRAY OF COMMUNITY MEMBERS THROUGH ITS COMMUNITY HEALTH COUNCIL. THE PRIMARY METHOD OF OBTAINING INPUT WAS THROUGH MEETINGS. INTERVIEWS WERE ALSO CONDUCTED TO OBTAIN INFORMATION. THE TITLES AND AFFILIATIONS OF THE COMMUNITY MEMBERS THAT PARTICIPATED IN ADVOCATE BROMENN'S COMMUNITY HEALTH NEEDS ASSESSMENT ARE LISTED BELOW: * ASSISTANT ADMINISTRATOR, MCLEAN COUNTY PUBLIC HEALTH DEPARTMENT/ADVOCATE BROMENN GOVERNING COUNCIL MEMBER * SUPERVISOR, MCLEAN COUNTY PUBLIC HEALTH DEPARTMENT * EXECUTIVE DIRECTOR, COMMUNITY HEALTH CARE CLINIC * SUPERINTENDENT OF SCHOOLS, MCLEAN COUNTY UNIT DISTRICT #5 * DIRECTOR, AMERICAN RED CROSS OF THE HEARTLAND/ADVOCATE BROMENN GOVERNING COUNCIL MEMBER * ASSOCIATE PASTOR, CALVARY UNITED METHODIST CHURCH * PROFESSOR, ILLINOIS STATE UNIVERSITY'S MENNONITE COLLEGE OF NURSING * PRESIDENT, MCLEAN COUNTY INDIA ASSOCIATION * VICE PRESIDENT, BUSINESS DEVELOPMENT, ADVOCATE BROMENN MEDICAL CENTER * ADMINISTRATOR, ADVOCATE EUREKA HOSPITAL * MANAGER OF WELLNESS SERVICES, ADVOCATE BROMENN MEDICAL CENTER * TRAUMA COORDINATOR, ADVOCATE BROMENN MEDICAL CENTER * SERVICE AREA ADMINISTRATOR FOR BEHAVIORAL HEALTH SERVICES, ADVOCATE BROMENN MEDICAL CENTER * DIRECTOR OF CRITICAL CARE SERVICES, MEDICAL AND ONCOLOGY SPECIALTY UNIT/PEDIATRICS/OUTPATIENT INFUSION, PROGRESSIVE CARE UNIT AND SURGICAL/ORTHO UNIT, ADVOCATE BROMENN MEDICAL CENTER * COORDINATOR OF CHURCH RELATIONS, ADVOCATE BROMENN MEDICAL CENTER * MANAGER, CASE MANAGEMENT, ADVOCATE BROMENN MEDICAL CENTER * CLIENT PROGRAM SPECIALIST, WOMEN'S CENTER, ADVOCATE BROMENN MEDICAL CENTER * DIETITIAN, ADVOCATE BROMENN MEDICAL CENTER * DIABETES EDUCATOR, ADVOCATE BROMENN MEDICAL CENTER * COORDINATOR, PUBLIC AFFAIRS AND MARKETING, ADVOCATE BROMENN MEDICAL CENTER ADVOCATE BROMENN MEDICAL CENTER COLLABORATED WITH THE MCLEAN COUNTY HEALTH DEPARTMENT IN CONDUCTING ITS COMMUNITY HEALTH NEEDS ASSESSMENT AND IN SELECTING ITS KEY HEALTH PRIORITIES. THE HOSPITAL'S COMMUNITY HEALTH LEADER IN CHARGE OF THE CHNA WAS A MEMBER OF THE MCLEAN COUNTY COMMUNITY HEALTH ADVISORY COMMITTEE AND ASSISTED IN THE DEVELOPMENT OF MCLEAN COUNTY'S 2012-2017 COMMUNITY HEALTH PLAN (CHP). ADVOCATE BROMENN MEDICAL CENTER'S CHNA AND MCLEAN COUNTY'S CHP ARE VERY CLOSELY ALIGNED AND THIS SYNERGY RESULTS IN HAVING MORE COLLECTIVE IMPACT IN ADDRESSING COMMUNITY NEEDS. THE ADVOCATE BROMENN AND ADVOCATE EUREKA HOSPITALS' DELEGATE CHURCH ASSOCIATION MEMBERS WERE CONSULTED AT A SPECIAL MEETING OF THE GROUP. THE DELEGATE CHURCH ASSOCIATION IS COMPRISED OF 80 CHURCHES THAT ASSIST THE HOSPITALS IN THEIR MISSION OF IMPROVING THE HEALTH OF THE COMMUNITY. ADVOCATE TRINITY HOSPITAL ADVOCATE TRINITY HOSPITAL CONVENED A COMMUNITY HEALTH COUNCIL TO CONDUCT ITS COMPREHENSIVE CHNA. THIS COUNCIL WAS CHAIRED BY THE HOSPITAL'S COMMUNITY HEALTH LEADER AND COMPRISED OF REPRESENTATIVES FROM THE EXECUTIVE TEAM, PUBLIC AFFAIRS AND MARKETING, MISSION AND SPIRITUAL CARE, AND BUSINESS DEVELOPMENT AND STRATEGY. COMMUNITY MEMBERS SERVING ON THE HOSPITAL'S GOVERNING COUNCIL WERE ALSO RECRUITED AS ACTIVE PARTICIPANTS IN THE COMMUNITY HEALTH COUNCIL. ADDITIONAL TRINITY HOSPITAL STAFF AND COMMUNITY REPRESENTATIVES WERE ADDED AS THE PROCESS EVOLVED TO FILL IN ANY COMMUNITY HEALTH COUNCIL GAPS IN EXPERTISE. THE TITLES AND AFFILIATIONS OF THE COMMUNITY HEALTH COUNCIL'S MEMBERS ARE PROVIDED BELOW. TRINITY HOSPITAL COMMUNITY HEALTH COUNCIL MEMBERS * STATE REPRESENTATIVE 33RD DISTRICT, ILLINOIS GENERAL ASSEMBLY * PROGRAM SUPERVISOR, METROPOLITAN FAMILY SERVICES * PUBLIC HEALTH ADMINISTRATOR, CHICAGO DEPARTMENT OF PUBLIC HEALTH * ADMINISTRATOR PROFESSIONAL SERVICES, SOUTH SHORE HOSPITAL * PHYSICIAN, ASSOCIATES IN NEPHROLOGY * RETIRED CHICAGO PUBLIC SCHOOLS EDUCATOR, COMMUNITY REPRESENTATIVE * RETIRED HEALTHCARE ADMINISTRATOR, CHICAGO DEPARTMENT OF PUBLIC HEALTH, COMMUNITY REPRESENTATIVE * COMMUNITY RELATIONS SPECIALIST, BLUE CROSS BLUE SHIELD OF ILLINOIS * MANAGER, COMMUNITY HEALTH PROMOTION, TRINITY HOSPITAL * MANAGER, FINANCE, TRINITY HOSPITAL * MANAGER, PLANNING, TRINITY HOSPITAL * VP, MISSION AND SPIRITUAL CARE, TRINITY HOSPITAL * ACCOUNT MANAGER, ACKERS PACKAGING/MEMBER, TRINITY HOSPITAL GOVERNING COUNCIL * OWNER, A-DESIGN STUDIO/MEMBER, TRINITY HOSPITAL GOVERNING COUNCIL * FOUNDER, TEECH FOUNDATION/MEMBER, TRINITY HOSPITAL GOVERNING COUNCIL * ADVANCED PRACTICE NURSE, SURGERY, TRINITY HOSPITAL * ADVANCED PRACTICE NURSE, MEDICAL, TRINITY HOSPITAL * COORDINATOR HEALTH EDUCATION, EMERGENCY DEPARTMENT, TRINITY HOSPITAL THE HOSPITAL'S COMMUNITY HEALTH COUNCIL MEMBERS ATTENDED TWO CHNA WORKSHOPS HOSTED BY THE ADVOCATE SYSTEM THAT WERE DESIGNED TO LAUNCH THE PROCESS BY EDUCATING THEM ON HOW TO CONDUCT AN ASSESSMENT AND HOW TO FIND RELIABLE DATA SOURCES. USING BOTH PRIMARY AND SECONDARY COMMUNITY HEALTH DATA, THE TEAM IDENTIFIED THE TOTAL SERVICE AREA'S KEY HEALTH NEEDS AND THEN EMPLOYED A PRIORITY-SETTING PROCESS TO DETERMINE KEY HEALTH NEEDS ON WHICH TO FOCUS. THIS PROCESS INCLUDED AN EXAMINATION OF BOTH TRINITY HOSPITAL'S AND THE COMMUNITY'S ISSUES/CHALLENGES AND ASSETS, AND DISCUSSIONS WITH EXTERNAL KEY INFORMANTS TO DETERMINE THE POTENTIAL FOR PARTNERSHIPS WITH OTHER ORGANIZATIONS AND FOR SHARING RESOURCES TO ADDRESS COMMUNITY NEED. THE HOSPITAL FACILITY ALSO CONSULTED WITH THE CHICAGO DEPARTMENT OF PUBLIC HEALTH TO OBTAIN DATA REPORTS FOR THE COMMUNITY AREAS SERVED BY THE HOSPITAL. ADVOCATE EUREKA HOSPITAL ADVOCATE EUREKA HOSPITAL WORKED WITH MEMBERS OF THE COMMUNITY THROUGH ITS PARTNERSHIP WITH THE WOODFORD COUNTY HEALTH DEPARTMENT TO REVIEW ITS CHNA FINDINGS. STAFF MEMBERS AT ADVOCATE BROMENN MEDICAL CENTER, LOCATED 30 MINUTES SOUTHEAST OF EUREKA IN NORMAL, WERE ALSO A PART OF THE HOSPITAL'S CHNA TEAM. BOTH HOSPITALS FALL UNDER THE ADMINISTRATION OF THE SAME PRESIDENT. THE PRIMARY METHOD OF OBTAINING INPUT WAS THROUGH MEETINGS. THE TITLES AND AFFILIATIONS OF THE REPRESENTATIVES ON THE COMMUNITY HEALTH COUNCIL ARE PROVIDED BELOW. ADVOCATE EUREKA HOSPITAL - BROMENN MEDICAL CENTER COMMUNITY HEALTH COUNCIL * ADMINISTRATOR, WOODFORD COUNTY HEALTH DEPARTMENT * DIRECTOR OF HEALTH EDUCATION AND SUPPORTIVE SERVICES, WOODFORD COUNTY HEALTH DEPARTMENT * SUPERINTENDENT OF MARSHALL, PUTNAM AND WOODFORD COUNTIES, REGIONAL OFFICE OF EDUCATION * RETIRED SUPERINTENDENT, SCHOOL DISTRICT 140 EUREKA - GOODFIELD - CONGERVILLE * REGIONAL DIRECTOR OF HEALTH INITIATIVES, AMERICAN CANCER SOCIETY * ASSISTANT DEAN/DIRECTOR OF RESIDENTIAL LIFE, EUREKA COLLEGE * MINISTER, DISCIPLES OF CHRIST CHURCH * ADMINISTRATOR, HERITAGE HEALTH NURSING HOME-SKILLED NURSING FACILITY - EL PASO * EXECUTIVE DIRECTOR, WOODFORD COUNTY HOUSING ASSOCIATION * NUTRITION AND WELLNESS EDUCATOR, UNIVERSITY OF ILLINOIS EXTENSION * EXECUTIVE DIRECTOR, TAZEWELL-WOODFORD HEAD START * EXECUTIVE DIRECTOR, HEART HOUSE/HEARTLINE SHELTER * PRINCIPAL, EL PASO-GRIDLEY HIGH SCHOOL * DIRECTOR, ENVIRONMENTAL HEALTH, WOODFORD COUNTY HEALTH DEPARTMENT * DIRECTOR, LIVINGSTON/MCLEAN/WOODFORD COUNTY COOPERATIVE EXTENSION SERVICE * IDOT INJ PART V, SEC B, LINE 6A ADVOCATE GOOD SHEPHERD HOSPITAL'S CHNA WAS CONDUCTED WITH THE FOLLOWING OTHER HOSPITAL FACILITIES: - ADVOCATE CONDELL MEDICAL CENTER, LIBERTYVILLE, IL (THROUGH THE LAKE COUNTY HEALTH DEPARTMENT) - CENTEGRA HEALTH SYSTEMS, MCHENRY, IL - LOVELL FEDERAL HEALTHCARE CENTER, NORTH CHICAGO, IL (THROUGH THE LAKE COUNTY HEALTH DEPARTMENT) - NORTHWESTERN LAKE FOREST HOSPITAL, LAKE FOREST, IL (THROUGH THE LAKE COUNTY HEALTH DEPARTMENT) - VISTA HEALTH SYSTEMS, WAUKEGAN, IL (THROUGH THE LAKE COUNTY HEALTH DEPARTMENT) ADVOCATE BROMENN MEDICAL CENTER'S CHNA WAS CONDUCTED WITH ADVOCATE EUREKA HOSPITAL IN EUREKA, IL. ADVOCATE EUREKA HOSPITAL'S CHNA WAS CONDUCTED WITH ADVOCATE BROMENN MEDICAL CENTER IN NORMAL, IL PART V, SEC B, LINE 6B N/A PART V, SEC B, LINE 7D ADVOCATE BROMENN MEDICAL CENTER THE LINK FOR THE CHNA REPORT WAS EMAILED TO ADVOCATE BROMENN AND ADVOCATE EUREKA HOSPITALS' DELEGATE CHURCH ASSOCIATION MEMBERS WHO REPRESENT 80 CHURCHES. NUMEROUS COPIES OF THE REPORT AND THE LINK FOR THE REPORT HAVE ALSO BEEN DISTRIBUTED TO THE MCLEAN COUNTY COMMUNITY HEALTH ADVISORY COMMITTEE, THE ADVOCATE BROMENN MEDICAL CENTER COMMUNITY HEALTH COUNCIL, AND OTHER APPROPRIATE COMMUNITY PARTNERS, SUCH AS THE DIRECTOR OF THE COMMUNITY HEALTH CARE CLINIC. ADVOCATE EUREKA HOSPITAL THE LINK FOR THE CHNA REPORT WAS EMAILED TO ADVOCATE BROMENN MEDICAL CENTER'S AND ADVOCATE EUREKA HOSPITAL'S DELEGATE CHURCH ASSOCIATION MEMBERS, WHICH IS COMPRISED OF 80 CHURCHES. A COPY OF THE REPORT WAS ALSO GIVEN TO THE ADMINISTRATOR OF THE WOODFORD COUNTY HEALTH DEPARTMENT. PART V, SEC B, LINE 11 ADVOCATE CHRIST MEDICAL CENTER HEALTH NEEDS SELECTED TO ADDRESS THREE NEEDS WERE SELECTED AS KEY AREAS OF FOCUS, INCLUDING: 1) CHILDHOOD OBESITY; 2) VIOLENCE REDUCTION; AND 3) ACCESS TO PEDIATRIC PRIMARY MEDICAL CARE FOR LOW INCOME, UNINSURED/UNDER-INSURED, AT-RISK CHILDREN. CHILDHOOD OBESITY THE PROACTIVE KIDS (PAK) PROGRAM IS AN EIGHT WEEK WEIGHT LOSS AND FITNESS PROGRAM THAT TARGETS CHILDREN AGES 8-18 WHO ARE IN THE 85TH PERCENTILE AND ABOVE FOR BMI, RESIDING IN THE HOSPITALS' PRIMARY AND SECONDARY SERVICE AREAS AND REFERRED BY A PHYSICIAN. PAK IS OFFERED THREE TIMES EACH CALENDAR YEAR AND CAN ACCOMMODATE A MAXIMUM OF 30 CHILDREN AT EACH SESSION. IN 2014, THE PAK PROGRAM IN OAK LAWN HAD 66 REGISTERED PARTICIPANTS. THE PROGRAM IS DESIGNED TO INTRODUCE HEALTHIER LIFESTYLE OPTIONS TO CHILDREN AND THEIR FAMILIES THROUGH FITNESS, NUTRITION AND LIFESTYLE COACHING. THE GOAL IS TO IMPROVE CHILDRENS'S HEALTH BY PROVIDING TOOLS TO ACHIEVE AND MAINTAIN A HEALTHY WEIGHT, BMI AND FITNESS LEVEL. PAK TRAINERS FOLLOW A FITNESS PROGRAM ESTABLISHED BY RIGHT FIT SPORT WELLNESS THAT INCLUDES THREE 45-MINUTE SESSIONS EACH WEEK DESIGNED TO INCREASE MUSCULAR ENDURANCE AND STRENGTH, CARDIOVASCULAR ENDURANCE, FLEXIBILITY AND REDUCE BODY FAT/BMI. NUTRITIONAL HEALTH ACTIVITIES ARE LED BY LICENSED DIETICIANS AND A FAMILY-INCLUSIVE APPROACH IS USED TO PROMOTE MAKING LIFESTYLE CHANGES TOGETHER LEADING TO HEALTHIER EATING HABITS. EACH 40-MINUTE NUTRITION LESSON ENGAGES THE ENTIRE FAMILY TO DISCUSS PROPER NUTRITION AS WELL AS TOOLS FOR MAKING HEALTHY SNACKS AND MEAL PREPARATION. COUNSELORS FOLLOW A CURRICULUM DESIGNED BY MEIER CLINICS TO REINFORCE CONFIDENCE, ENCOURAGE COMMUNICATION AND TEACH VALUABLE COPING SKILLS TO EMPOWER KIDS TO TAKE CONTROL OF THEIR LIVES AND DECISIONS. PROGRAM DATA IS GATHERED BY THE FITNESS TEAM PRE-PAK ENROLLMENT, WEEK 1 AND WEEK 8 USING PROGRESSION SURVEYS AND BODY COMPOSITION MEASUREMENTS INCLUDING WEIGHT, BMI, BODY FAT, FAT MASS, FAT FREE MASS, AND HIP TO WAIST RATIO. THE PROGRAM OBJECTIVES WERE TO: * INCREASE MUSCLE AND DECREASE BODY FAT AND BMI FOR ATTENDEES - IN 2014, FOR ALL PARTICIPANTS, BODY FAT DECREASED AN AVERAGE OF 2.5%; BMI DECREASED BY 1.23 POINTS; AVERAGE WEIGHT DECREASED BY 3.08 POUNDS. SEVENTY ONE PERCENT OF PAK PARENTS REPORTED PERSONAL WEIGHT LOSS AS A RESULT OF THEIR CHILD'S PARTICIPATION IN PAK. * CREATE HEALTHIER FOOD SELECTION, COOKING AND EATING HABITS - NUTRITIONISTS PROVIDED WEEKLY EDUCATION TO CHILDREN AND THEIR PARENTS REGARDING HEALTHY CHOICES AND FOOD PREPARATION. ONE HUNDRED PERCENT OF FAMILY MEMBERS REPORTED AN IMPROVEMENT IN THEIR CHILD'S ATTITUDE TOWARD DIET AND NUTRITION IN THE PROGRESSION SURVEY COMPLETED AT THE END OF THE EIGHT-WEEK SESSION. * BUILD CONFIDENCE AND INCREASE COMMUNICATION AND COPING SKILLS - WEEKLY LESSONS WERE TAUGHT TO GIVE PARTICIPANTS NEW SKILLS. ONE HUNDRED PERCENT OF PAK PARENTS REPORTED THEIR CHILD'S CONFIDENCE, COMMUNICATION AND COPING SKILLS HAD IMPROVED IN THE PROGRESSION SURVEY COMPLETED AT THE END OF THE EIGHT-WEEK SESSION. VIOLENCE VIOLENCE IS A SIGNIFICANT PROBLEM IN MANY NEIGHBORHOODS IN CHRIST MEDICAL CENTER'S TOTAL SERVICE AREA. THE COMMUNITIES WITH THE HIGHEST RATES OF VIOLENCE ARE ROSELAND, ENGLEWOOD, CHICAGO LAWN/WEST LAWN, GRAND BOULEVARD AND WOODLAWN. GIVEN THAT CHRIST MEDICAL CENTER IS THE ONLY LEVEL 1 TRAUMA CENTER SERVING THESE COMMUNITIES, THE MEDICAL CENTER PROVIDES TRAUMA SERVICES TO A HIGH VOLUME OF GUNSHOT VICTIMS. TO ADDRESS GUN VIOLENCE IN CHRIST MEDICAL CENTER'S SERVICE AREA, THE MEDICAL CENTER HAS PARTNERED WITH CEASEFIRE WITH THE GOAL OF REDUCING VIOLENCE IN THESE FIVE COMMUNITIES. CEASEFIRE IS A LOCAL BRANCH OF THE CURE VIOLENCE ORGANIZATION WHOSE MISSION IS TO STOP TRANSMISSION OF VIOLENCE AT THE SOURCE, WHILE ATLERING NORMS AND BEHAVIOR SO THAT FEWER PEOPLE ARE AFFECTED. HIGHLY TRAINED VIOLENCE INTERRRUPTERS -FORMER PERPETRATORS - AIM TO DISPRUPT CONFLICTS BEFORE THEY HAPPEN AND EDUCATE THE COMMUNITY ABOUT THE CONSEQUENCES OF VIOLENT BEHAVIOR. THE CEASEFIRE COLLABORATION'S OBJECTIVE IS TO REDUCE RETALIATORY VIOLENCE IN THE COMMUNITY FOLLOWING A VIOLENT INCIDENT. CEASEFIRE HAS ONE VIOLENCE INTERRUPTER ASSIGNED EXCLUSIVELY TO CHRIST MEDICAL CENTER WITH OTHERS AVAILABLE AS NEEDED. WHEN A VICTIM OF VIOLENCE IS TRANSPORTED TO CHRIST'S EMERGENCY DEPARTMENT, THE VIOLENCE INTERRUPTER MEETS WITH THE VICTIM'S FAMILY MEMBERS AND FRIENDS, PROVIDING COUNSELING BEFORE RETALIATION CAN BE INITIATED TO QUELL THE LIKELIHOOD OF ANOTHER ACT OF VIOLENCE OCCURRING. IN 2014, THIS VIOLENCE INTERRUPTER MET WITH 617 PATIENTS WHO WERE VICTIMS OF VIOLENCE. NINETY PERCENT OF THESE PATIENTS WERE ASSESSED FOR FOLLOW-UP NEEDS AND 97.9% WERE CONNECTED TO LONG-TERM COMMUNITY SUPPORT. ACCESS TO CARE FOR LOW-INCOME/UNDERINSURED AT-RISK CHILDREN AS EVIDENT IN ACMC'S CHNA, ACCESS TO CARE IS DIFFICULT FOR LOW INCOME, UNINSURED/UNDER-INSURED, AT-RISK CHILDREN IN CHRIST'S PRIMARY SERVICE AREA. SEVERAL DATA SOURCES USED FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT CHNA) CONFIRM THE NEED FOR ACCESSIBLE, BASIC PEDIATRIC MEDICAL CARE IN CHRIST'S SERVICE AREA WHICH INCLUDES LARGE AREAS OF CHICAGO'S SOUTH SIDE WHERE STUDENTS ATTEND CHICAGO PUBLIC SCHOOLS (CPS). * 87% OF CPS STUDENTS ARE FROM LOW INCOME FAMILIES; 25% OF COOK COUNTY CHILDREN ARE LIVING IN POVERTY. * 37% OF CHILDREN IN COOK COUNTY COME FROM SINGLE PARENT FAMILIES. * 24% OF COOK COUNTY CHILDREN HAVE INADEQUATE SOCIAL SUPPORT. * AS OF THE FIRST DAY OF SCHOOL 2013, ONLY 40.92% OF CPS STUDENTS WERE IN COMPLIANCE WITH STATE MANDATED SCHOOL PHYSICALS AND IMMUNIZATIONS, LEAVING 158,000+ OUT OF COMPLIANCE. * THE OBESITY RATE FOR CHICAGO CHILDREN IS TWICE THE NATIONAL AVERAGE AND SIGNIFICANTLY HIGHER IN BLACK AND HISPANIC CHILDREN THAN IN WHITE CHILDREN. * THE RATE OF SEXUALLY TRANSMITTED DISEASES IN COOK COUNTY WAS 671 PER 100,000 POPULATION VERSUS 469 PER 100,000 FOR THE STATE OF ILLINOIS. * THE RATE OF TEEN BIRTHS (15-19 YEARS) WAS 49 PER 1,000 POPULATION VS 22 IN THE U.S. * THE NUMBER OF PRIMARY CARE PHYSICIANS AVAILABLE WAS 736:1 IN COOK COUNTY VERSUS 976:1 IN THE STATE OF ILLINOIS. * CHICAGO HAS THE HIGHEST HOMICIDE RATE IN CITIES WITH OVER 1 MILLION POPULATION, POTENTIALLY LIMITING SAFE TRAVEL AND ACCESSIBILITY DUE, IN PART, TO PARENTAL AND PROVIDER FEAR AND CONCERN. GIVEN THIS INITIAL DATA, ACMC FURTHER REVIEWED AND PRIORITIZED THE COMMUNITIES OF HIGHEST NEED BASED ON DEMOGRAPHIC DATA AND USING THE DIGNITY HEALTH COMMUNITY NEEDS INDEX (CNI) FOR THE CHNA. THE RESULTS GAVE ACMC THE ABILITY TO FOCUS ON COMMUNITIES IN ITS SERVICE AREA WITH SPECIFIC BARRIERS TO HEALTH CARE ACCESS - NAMELY INCOME, CULTURE/LANGUAGE, EDUCATION, INSURANCE AND HOUSING. AS A RESULT, ACMC REFOCUSED WHERE THE SERVICES OF THE RONALD MCDONALD CARE MOBILE (RMCM) ARE PROVIDED. THE RMCM PROVIDES FREE PHYSICALS, IMMUNIZATIONS AND REFERRALS TO SPECIALISTS, DENTAL AND EYE CARE PROVIDERS AND PRIMARY CARE PHYSICIANS TO LOW INCOME, UNINSURED CHILDREN. THE GOAL IS TO IMPROVE CHILDREN'S HEALTH BY PROVIDING PRIMARY HEALTH CARE SERVICES AND IMPROVING RELATIONSHIPS WITH AREA FEDERALLY QUALIFIED HEALTH CENTERS (FQHCS) AND OTHER HEALTH PARTNERS WHO CAN OFFER REFERRALS TO SPECIALTY CARE. THE FIRST OBJECTIVE WAS TO IMPROVE COMPLIANCE FOR SCHOOL PHYSICALS & IMMUNIZATIONS AT HIGH-NEED SCHOOLS. JANUARY - DECEMBER 2014, RMCM STAFF PROVIDED 3,448 VACCINES, 1,923 PHYSICALS AND 895 REFERRALS TO PRIMARY CARE PHYSICIANS, 84 REFERRALS TO DENTI HEALTH NEEDS NOT SELECTED TO ADDRESS THE KEY HEALTH NEEDS IDENTIFIED THOUGH ACMC'S CHNA THAT WERE NOT SELECTED BY THE MEDICAL CENTER TO ADDRESS WERE HEART DISEASE, CANCER AND STROKE BECAUSE THEY HAVE PREVIOUSLY BEEN, AND CONTINUE TO BE, ADDRESSED THROUGH SPECIFICALLY DESIGNED CLINICAL PROGRAMS AND COMMUNITY OUTREACH ACTIVITIES. HEART DISEASE ACMC'S HEART AND VASCULAR INSTITUTE (HVI) IS A PREMIER CARDIAC CARE CENTER IN ILLINOIS, PROVIDING STATE-OF-THE-ART DIAGNOSTICS, INTERVENTION AND REHABILITATION TO ADULTS AND CHILDREN IN THE MEDICAL CENTER'S SERVICE AREA. HVI PERFORMS MORE OPEN HEART SURGERIES ANNUALLY THAN ANY HOSPITAL IN ILLINOIS. STUDIES SHOW THAT PERFORMING LARGE NUMBERS OF PROCEDURES PRODUCES THE BEST POSSIBLE CLINICAL OUTCOMES, ULTIMATELY BENEFITTING ALL THE PATIENTS SERVED IN ACMC'S COMMUNITY. THE MEDICAL CENTER HAS ONE OF THE NATION'S LEADING VENTRICULAR ASSIST DEVICE (VAD) PROGRAMS FOR HEART TRANSPLANT AND ASSIST DEVICE. THIS PROGRAM OFFERS A BRIDGE TO TRANSPLANT THERAPY OR DESTINATION THERAPY FOR PATIENTS WHO ARE NOT TRANSPLANT CANDIDATES. ACMC'S HEART INSTITUTE FOR CHILDREN PROVIDES OPEN AND CLOSED HEART SURGERY, AND ATRIAL FIBRILLATION ABLATION TO TREAT CONGENITAL HEART DISEASES. THE INSTITUTE IS THE LARGEST PEDIATRIC HEART CENTER IN ILLINOIS. THE CONGESTIVE HEART FAILURE CLINIC TREATS MORE THAN 1,000 PATIENTS PER YEAR AT ALL STAGES OF HEART FAILURE AND HAS EARNED DISEASE SPECIFIC CERTIFICATION FROM THE JOINT COMMISSION (TJC). THE COMPREHENSIVE CARDIAC REHABILITATION PROGRAM IS ALSO NATIONALLY CERTIFIED BY THE AMERICAN ASSOCIATION OF CARDIAC AND PULMONARY REHABILITATION. FREQUENT COMMUNITY LECTURES AND HEALTH SCREENINGS, INCLUDING BLOOD PRESSURE, BLOOD SUGAR, BODY MASS INDEX AND ANKLE BRACHIAL INDEX FOR PERIPHERAL VASCULAR DISEASE, ARE PROVIDED TO THE COMMUNITY. ACMC ALSO FINANCIALLY SUPPORTS AND PARTNERS WITH THE MUSEUM OF SCIENCE AND INDUSTRY TO PROVIDE "LIVE...FROM THE HEART," A VIDEOCONFERENCE-BASED CARDIOVASCULAR EDUCATION PROGRAM FOR HIGH SCHOOL STUDENTS FROM SUBURBAN AND CHICAGO PUBLIC SCHOOLS. THE PROGRAM'S "REAL TIME" VIEWING OF OPEN HEART SURGERY IN THE OPERATING ROOM IMPRESSES UPON STUDENTS THE IMPORTANCE OF MAINTAINING GOOD CARDIAC HEALTH, AS WELL AS EXPOSING STUDENTS TO POTENTIAL INTEREST IN HEALTH CARE CAREERS. CANCER CHRIST MEDICAL CENTER HAS AND WILL CONTINUE TO ADDRESS ADULT AND PEDIATRIC CANCER CARE NEEDS OF THE COMMUNITY THROUGH THE EXPERIENCE AND ADVANCED TECHNOLOGIES OF THE CANCER INSTITUTE. EACH YEAR, NEARLY 1,800 NEWLY DIAGNOSED CANCER PATIENTS SEEK CARE AT CHRIST MEDICAL CENTER. THESE VOLUMES HAVE MADE THE MEDICAL CENTER ONE OF THE MOST EXPERIENCED CANCER TREATMENT CENTERS IN ILLINOIS. ACMC IS ACCREDITED BY THE AMERICAN COLLEGE OF SURGEONS (ACS) AS A CANCER TEACHING MEDICAL CENTER, THE HIGHEST ACS DESIGNATION POSSIBLE FOR A NON-UNIVERSITY MEDICAL CENTER. CHRIST MEDICAL CENTER ALSO OFFERS LEADING-EDGE TECHNOLOGIES, INCLUDING MINIMALLY INVASIVE APPROACHES LIKE CYBERKNIFE RADIOSURGERY, VIDEO-ASSISTED THORACIC SURGERY (VATS) FOR LUNG TUMORS AND ENDOSCOPIC ULTRASOUND TO DETECT TUMORS TOO SMALL TO BE SEEN BY CT OR MRI SCANS. ALONG WITH THE FAMILY PHYSICIAN, ACMC ALSO COORDINATES SWIFT DIAGNOSTIC TESTING RESULTS TO HELP REDUCE PATIENT ANXIETY WHILE WAITING FOR RESULTS. COMMUNITY OUTREACH IS AN IMPORTANT COMPONENT TO CANCER CARE. CHRIST MEDICAL CENTER RECEIVED A RICE FOUNDATION GRANT, WHICH PROVIDES FOR DIRECTED EDUCATION AND SCREENING ON COLON CANCER AND COLONOSCOPY TO HIGH-RISK, LOW-INCOME POPULATIONS AS IDENTIFIED BY LOCAL RELIGIOUS CONGREGATIONS. REGULAR FREE SKIN CANCER SCREENINGS ARE ALSO PROVIDED AS WELL AS A VARIETY OF CANCER-RELATED EDUCATION PROGRAMS. GILDA'S CLUB OF CHICAGO HAS A SATELLITE SITE IN CHRIST MEDICAL CENTER'S OUTPATIENT PAVILION. THE CLUB OFFERS SUPPORT GROUPS AND SERVICES FOR PEOPLE OF ALL AGES DEALING WITH CANCER, WHETHER IT BE AS A SURVIVOR, A FAMILY MEMBER OR A FRIEND. THE ON-SITE RONALD MCDONALD HOUSE PROVIDES HOUSING AND OTHER SUPPORT PRIMARILY TO FAMILIES OF CHILDREN HOSPITALIZED FOR CANCER, HEART SURGERY OR HIGH RISK BIRTH. THE KEYSER FAMILY PEDIATRIC CANCER CENTER PROVIDES ONE OF THE LARGEST, MOST COMPREHENSIVE PROGRAMS IN THE MIDWEST TO TREAT CHILDHOOD CANCERS AND BLOOD DISORDERS INCLUDING LYMPHOMAS, LEUKEMIA, BRAIN TUMORS, KIDNEY TUMORS, SICKLE CELL DISEASE, APLASTIC ANEMIA, AND PLATELET AND WHITE CELL DISORDERS. THE KEYSER FAMILY PEDIATRIC CANCER CENTER IS AN ACTIVE MEMBER OF THE CHILDREN'S ONCOLOGY GROUP, AN INTERNATIONAL RESEARCH ORGANIZATION SPONSORED BY THE NATIONAL CANCER INSTITUTE, DEDICATED TO DEVELOPING STATE-OF-THE-ART TREATMENTS FOR CHILDHOOD CANCERS. STROKE COMMUNITY MEMBERS WHO SUFFER A STROKE ARE GUARANTEED THAT EXPERTS AT THE CHRIST MEDICAL CENTER NEUROSCIENCES INSTITUTE WILL APPLY INNOVATIVE SOLUTIONS, INCLUDING NEURO-ENDOVASCULAR AND NEURO-INTERVENTIONAL OPTIONS. CHRIST MEDICAL CENTER IS AN ACCREDITED COMPREHENSIVE STROKE CENTER, TREATING MORE STROKE PATIENTS THAN ANY OTHER HOSPITAL IN THE CHICAGO AREA, AND IS EXPERIENCED IN RESPONDING QUICKLY TO SAVE BRAIN CELLS AND PRESERVE QUALITY OF LIFE. THE MEDICAL CENTER WAS RATED BY U.S. NEWS & WORLD REPORT AS A HIGH PERFORMING MEDICAL CENTER IN THE CHICAGO METROPOLITAN REGION IN NEUROLOGY AND NEUROSURGERY, AND HAS A DEDICATED STROKE NAVIGATOR TO GUIDE PATIENTS THROUGH DIAGNOSIS AND TREATMENT. THE NEUROSCIENCES INSTITUTE ALSO PROVIDES SEVERAL MONTHLY STROKE SUPPORT GROUPS AND COMMUNITY EDUCATION OPPORTUNITIES. THE STROKE EDUCATORS REGULARLY PROVIDE EDUCATION REGARDING STROKE RISK FACTORS THROUGHOUT THE MEDICAL CENTER'S SERVICE AREA. ADVOCATE LUTHERAN GENERAL HOSPITAL ADVOCATE LUTHERAN GENERAL HOSPITAL (ALGH) ASSESSED AND IDENTIFIED FOUR NEEDS FROM ITS CHNA AS PRIORITIES FOR HOSPITAL ACTION: 1) REDUCE CARDIOVASCULAR RISK AND DISEASE IN THE SOUTH ASIAN COMMUNITY; 2) REDUCE FALLS IN SENIORS 65 AND OLDER IN HOSPITAL SERVICE AREA; 3) REDUCE PREVELANCE OF SMOKING IN THE HOSPITAL SERVICE AREA; AND 4) CREATE A PROGRAM TO ADDRESS OVERALL HEALTH AND STRESS MANAGEMENT FOR WOMEN. AS OF DECEMBER 2014, THE FOLLOWING ACCOMPLISHMENTS ADDRESSED THESE PRIORITIES: 1)SOUTH ASIAN CARDIOVASCULAR RISK AND DISEASE. THE SOUTH ASIAN CARDIOVASCULAR CENTER (SACC): a) OFFERED COMMUNITY LECTURES EDUCATING OVER 5,000 SOUTH ASIANS ON THEIR FOUR TIMES GREATER RISK OF CARDIOVASCULAR DISEASE; b) DEVELOPED A SACC SOCIAL MEDIA PRESENCE TO INCREASE AWARENESS; c) HOSTED RED SARI EVENT TO RAISE AWARENESS OF CARDIOVASCULAR DISEASE IN SOUTH ASIAN WOMEN; d) LAUNCHED SAHEB (SOUTH ASIAN HEALTHY EATING BENEFITS CHICAGO); e) DESIGNED AND WENT LIVE WITH YOUTUBE SOUTH ASIAN "HEALTHY COOKING SERIES" WITH MASTER CHEF SEASON 2 FINALIST AND SACC ADVISORY BOARD MEMBER, SUZY SINGH; f) ESTABLISHED A PRIMARY/SECONDARY PREVENTION PRACTICE TO PROVIDE ETHNICALLY APPROPRIATE CARE TO OUTPATIENT SOUTH ASIANS (APPROXIMATELY 15-20 A MONTH); g) PROVIDED SOUTH ASIAN SPECIFIC DIABETES EDUCATION; h) OFFERED VISITS BY ALGH SOUTH ASIAN NURSE NAVIGATOR TO SOUTH ASIAN INPATIENTS THREE TIMES A WEEK TO PROVIDE BEDSIDE EDUCATION AND PATIENT ADVOCACY; i) COMPLETED TWO PRESENTATIONS BY MEDICAL DIRECTOR OF THE SACC, DR. SHOEB SITAFWALLA, ON SOUTH ASIAN CARDIOVASCULAR DISEASE AT THE AMERICAN TAMIL ASSOCIATION NATIONAL CONFERENCE IN MAY 2014, AND THE NATIONAL LIPID ASSOCIATION MIDWEST CLINICAL UPDATE IN AUGUST 2014; j) PUBLISHED AN ARTICLE ON THE SOUTH ASIAN CARDIOVASCULAR EPIDEMIC IN LIPID SPIN, 6-9, SPRING 2014; k) CREATED RESEARCH COLLABORATION BETWEEN THE SACC AND LOYOLA UNIVERSITY, ENTITLED "A POLYMORPHIC MYBPC3 MUTATION AS A MAJOR RISK FACTOR OF HEART FAILURE IN SOUTH ASIAN POPULATION." 2) FALL PREVENTION - SENIOR POPULATION: a) OFFERED THREE MATTER OF BALANCE (MOB) CLASSES IN THE COMMUNITY (WITH 30 TOTAL PARTICIPANTS); b) MADE ADDITIONAL PRESENTATIONS TO ANOTHER 30 PEOPLE IN COMMUNITY TO INCREASE AWARENESS OF FALL RISK; c) PRE AND POST-SURVEY FROM MATTER OF BALANCE CLASSES INDICATED A 25% INCREASE IN PARTICIPANTS CONFIDENCE IN THEIR ABILITY TO PROTECT THEMSELVES IF THEY FALL (NATIONAL AVERAGE 30%); A 19.23% INCREASE IN PARTICIPANTS PERSONAL COMMITMENT TO EXERCISE (NATIONAL AVERAGE 15.88%); AND A 45.45% INCREASE IN PARTICIPANTS CONFIDENCE RELATED TO CONTROLLING THEIR ENVIRONMENT TO REDUCE FALL RISKS (NATIONAL AVERAGE 23.26%). 3)SMOKING CESSATION: a) ALGH BEHAVIORAL HEALTH/ADDICTION MEDICINE MADE A COMMITMENT TO DEVELOP A SMOKING CESSATION CLINIC AFTER ASSESSING THAT AN INITIAL 1:1 SMOKING CESSATION COUNSELING DESIGN WAS NOT MEETING OBJECTIVES; b) SELECTED AN EVIDENCE-BASED PROGRAM FOLLOWING LITERATURE REVIEW, "STANDARD FOR TRAINING IN SMOKING CESSATION AS OUTLINED IN THE MANUAL OF SMOKING CESSATION: A GUIDE FOR COUNSELORS AND PRACTITIONERS," ANDY MCEWEN AND ROBERT WEST; c) CREATED FINAL HOSPITAL PROGRAM BASED ON ABOVE PROGRAM BY COMBINING MEDICAL MANAGEMENT AND GROUP COUNSELING SESSIONS WITH THE FIRST SESSION SET FOR JANUARY 2015. 4) STRESS MANAGEMENT: a) PARTNERED WITH THE PARK RIDGE PARK DISTRICT TO PROVIDE THREE SESSIONS OF "HEALTHY WOMEN A-Z," A PROGRAM DESIGNED TO ENHANCE STRESS MANAGEMENT THROUGH FITNESS AND ST 4) OTHER SPECIFIC PROGRAMS ADDRESSING CULTURAL HEALTH DISPARITIES SINCE 2011, ADVOCATE LUTHERAN GENERAL HOSPITAL HAS BEEN ON A JOURNEY TO IDENTIFY NEEDS OF SPECIFIC CULTURAL GROUPS AND DESIGN PROGRAMS TO MEET THESE NEEDS. THIS INITIATIVE WILL CONTINUE ALTHOUGH THE NEED WAS NOT SELECTED AS A PRIORITY FROM THE CHNA. IN MAY 2011, A KOREAN NAVIGATOR, AN ADVANCED PRACTICE NURSE, WAS HIRED TO: (1) TRANSFORM THE DELIVERY OF CARE FOR THE ALGH KOREAN-AMERICAN POPULATION; (2) CREATE A KOREAN-AMERICAN HEALTH EDUCATION PROGRAM; (3) CREATE A KOREAN-AMERICAN HEALTH SCREENING PROGRAM; AND 4) BUILD A PROCESS TO CONTINUALLY ASSESS, IDENTIFY AND ADDRESS SPECIFIC HEALTH NEEDS IN THE KOREAN-AMERICAN COMMUNITY. A SEPARATE IN-DEPTH COMMUNITY HEALTH NEEDS ASSESSMENT OF THE KOREAN-AMERICAN COMMUNITY WAS COMPLETED IN DECEMBER 2014 WITH THE HANUL FAMILY ALLIANCE, A COMMUNITY PARTNER THAT WILL BE THE FOUNDATION FOR NEW PROGRAMMING MOVING FORWARD. IN DECEMBER 2012, A POLISH PATIENT NAVIGATOR WAS HIRED INITIALLY TO FOCUS ON BREAST HEALTH, BUT WILL BEGIN ADDRESSING COLORECTAL HEALTH AND COMPLETING A FULL HEALTH NEEDS ASSESSMENT FOR THE POLISH COMMUNITY IN THE 2014-2016 COMMUNITY HEALTH NEEDS ASSESSMENT CYCLE. WHILE THE ACCESS GENESIS CLINIC IN DES PLAINES (ORIGINALLY FOUNDED BY ADVOCATE LUTHERAN GENERAL HOSPITAL) CONTINUES TO ADDRESS THE NEEDS OF THE HISPANIC COMMUNITY IN LUTHERAN GENERAL'S PRIMARY SERVICE AREA (PSA), A MORE IN-DEPTH NEEDS ASSESSMENT WILL BE INCLUDED IN THE UPCOMING 2014-2016 CHNA CYCLE. 2014-2016 COMMUNITY HEALTH NEEDS ASSESSMENT AS PART OF ORGANIZING FOR THE 2014-2016 CHNA PROCESS, THE HOSPITAL MAINTAINED ITS REGULAR MEETING SCHEDULE FOR THE COMMUNITY HEALTH COUNCIL IN 2014 AND RECRUITED A SECOND KEY INDIVIDUAL FROM THE COOK COUNTY DEPARTMENT OF PUBLIC HEALTH TO SERVE ON THE COUNCIL. ADVOCATE GOOD SAMARITAN HOSPITAL THE TWO PRIORITY NEEDS SELECTED BY THE COMMUNITY HEALTH COUNCIL FOR THE HOSPITAL TO ADDRESS WERE CHILDHOOD OVERWEIGHT AND OBESITY, AND FALLS AMONG SENIORS. OVERWEIGHT AND OBESITY TO ADDRESS THE NEEDS OF OVERWEIGHT AND OBESE CHILDREN, GOOD SAMARITAN HEALTH AND WELLNESS CENTER AND ADVOCATE GOOD SAMARITAN HOSPITAL (AGSAM) ARE PARTNERING WITH THE PROACTIVE KIDS (PAK) FOUNDATION AND THE FORWARD INITIATIVE (FIGHTING OBESITY REACHING HEALTHY WEIGHT AMONG RESIDENTS OF DUPAGE). PROACTIVE KIDS (PAK) PROACTIVE KIDS TEACHES KIDS AND THEIR FAMILIES' FUN WAYS TO IMPROVE HEALTH AND DECREASE WEIGHT THROUGH A THREE PART PROGRAM: PAK FITNESS, PAK NUTRITION AND PAK LIFESTYLE COACHING. PAK IS OPEN TO CHILDREN 8-14 YEARS OLD WHO HAVE A BMI IN THE 85 PERCENTILE OR HIGHER. THIS FREE 8-WEEK PROGRAM INCLUDES PHYSICAL TRAINING, COUNSELING, NUTRITION AND GUIDED DISCUSSION. PARENTS ALSO PARTICIPATE IN THE PROGRAM WHICH EDUCATES FAMILIES TOGETHER IN ENGAGING AND SUSTAINABLE WAYS TO IMPROVE THEIR HEALTH THROUGH WEEKLY PHYSICAL EXERCISE, LESSONS AND ASSIGNMENTS. DATA IS COLLECTED AT THE BEGINNING AND END OF EACH 8-WEEK SESSION TO MEASURE WEIGHT, BMI, BODY FAT, FAT MASS AND FAT FREE MASS. OBJECTIVE #1: INCREASE COMMITMENT TO FITNESS AMONG PROGRAM PARTICIPANTS BY IMPLEMENTING THREE PROACTIVE KIDS (PAK) PLAN SESSIONS EACH YEAR FROM 2014-2016 FOR A TOTAL OF 9 EIGHT-WEEK SESSIONS. ACCOMPLISHMENTS: IN 2014, 3 EIGHT-WEEK SESSIONS OF PROACTIVE KIDS WERE OFFERED. (WINTER, SUMMER AND FALL) 1. IN WINTER OF 2014, 64% OF THE PARTICIPANTS (12 OF 19) ATTENDING DAY 1 COMPLETED THE 8-WEEK PROGRAM. 2. IN SUMMER OF 2014, 50% OF THE PARTICIPANTS (12 OF 24) ATTENDING DAY 1 COMPLETED THE 8-WEEK PROGRAM. 3. IN FALL OF 2014, 64% OF THE PARTICIPANTS (16 OF 25) ATTENDING DAY 1 COMPLETED THE 8-WEEK PROGRAM. 4. IN WINTER OF 2014, 100% OF THE PARTICIPANTS (12 OF 12) THAT COMPLETED SURVEY HAD AN IMPROVED COMMITMENT TO THEIR FITNESS. 5. IN SUMMER OF 2014, 89% OF THE PARTICIPANTS (8 OF 9) THAT COMPLETED SURVEY HAD AN IMPROVED COMMITMENT TO THEIR FITNESS. 6. IN FALL OF 2014, 100% OF THE PARTICIPANTS (14 OF 14) THAT COMPLETED SURVEY HAD AN IMPROVED COMMITMENT TO THEIR FITNESS. OBJECTIVE #2: CREATE HEALTHIER HABITS IN FOOD SELECTION, COOKING & EATING AND NUTRITION KNOWLEDGE AMONG PROGRAM PARTICIPANTS BY IMPLEMENTING THREE PROACTIVE KIDS (PAK) PLAN PROGRAMS EACH YEAR FROM 2014-2016 FOR A TOTAL OF 9 SESSIONS. ACCOMPLISHMENTS: 1. IN WINTER OF 2014, 100% OF THE PARTICIPANTS (12 OF 12) THAT COMPLETED SURVEY HAD A POSITIVE ATTITUDE CHANGE TOWARD THEIR DIET AND NUTRITION. 2. IN SUMMER OF 2014, 89% OF THE PARTICIPANTS (8 OF 9) THAT COMPLETED SURVEY HAD A POSITIVE ATTITUDE CHANGE TOWARD THEIR DIET AND NUTRITION. 3. IN FALL OF 2014, 93% OF THE PARTICIPANTS (14 OF 15) THAT COMPLETED SURVEY HAD A POSITIVE ATTITUDE CHANGE TOWARD THEIR DIET AND NUTRITION. OBJECTIVE #3: BUILD CONFIDENCE, INCREASE COMMUNICATION & TEACH COPING SKILLS AMONG PROGRAM PARTICIPANTS BY IMPLEMENTING THREE PROACTIVE KIDS (PAK) PLAN PROGRAMS EACH YEAR FROM 2014-2016 FOR A TOTAL OF 9 SESSIONS. ACCOMPLISHMENTS: 1. IN WINTER OF 2014, 58% OF THE PARTICIPANTS (7 OF 12) THAT COMPLETED SURVEY RECOGNIZED AN IMPROVEMENT IN SOCIAL ENGAGEMENT. 2. IN SUMMER OF 2014, 88% OF THE PARTICIPANTS (7 OF 8) THAT COMPLETED SURVEY RECOGNIZED AN IMPROVEMENT IN SOCIAL ENGAGEMENT. 3. IN FALL OF 2014, 86% OF THE PARTICIPANTS (12 OF 14) THAT COMPLETED SURVEY RECOGNIZED AN IMPROVEMENT IN SOCIAL ENGAGEMENT. FORWARD INITIATIVE THE FORWARD INITIATIVE IS A BROAD-BASED COMMUNITY COALITION IN DUPAGE COUNTY THAT COLLABORATES TO PROMOTE EFFECTIVE AND SUSTAINABLE POLICY, SYSTEM, AND ENVIRONMENTAL (PSE) STRATEGIES FOR CHILDREN AND FAMILIES TO ACHIEVE A HEALTHY WEIGHT. OBJECTIVE #1: IDENTIFY EVIDENCE-BASED INTERVENTIONS TO REDUCE OBESITY THROUGH EFFECTIVE AND SUSTAINABLE POLICY, SYSTEM AND ENVIRONMENTAL (PSE) CHANGE STRATEGIES TO REVERSE THE TREND OF OBESITY IN DUPAGE COUNTY. ACCOMPLISHMENTS: PSE CHANGES 1. IN 2014-2015, ACHIEVED 15 POLICY AND ENVIRONMENTAL CHANGES WITH 5 CHILD CARE CENTERS IN AGSAM'S SECONDARY SERVICE AREA. OBJECTIVE #2: REDUCE THE PREVALENCE OF OVERWEIGHT AND OBESITY AMONG DUPAGE COUNTY SCHOOL CHILDREN AND ADOLESCENTS (KINDERGARTEN, 6TH AND 9TH GRADES) FROM 2010-2011 BASELINE OF 31.1% (N=11,496). ACCOMPLISHMENTS: REDUCTION IN OVERWEIGHT AND OBESITY RATES 1. THE OVERALL OVERWEIGHT AND OBESITY RATES AS MEASURED BY THE 2013-2014 BMI RATES REMAINED STEADY (29.7%, N=30, 174) AFTER DUPAGE COUNTY EXPERIENCED A 1% STATISTICALLY SIGNIFICANT DECREASE, IN 2012-2013 FROM 31.1% TO 29.9% (N=27,914). 2. OVERALL OBESITY ONLY RATES WERE REDUCED FROM 15.1% IN THE 2010-2011 BASELINE YEARS, TO 14.4% BY 2013-2014, AFTER AN INCREASE IN OVERALL OBESITY OF 0.3% IN 2011-2012. SENIOR HEALTH DATA FROM THE HOSPITAL'S TRAUMA REGISTRY INDICATED FALLS AMONG SENIORS AS THE NUMBER ONE REASON FOR ADMISSION INTO THE EMERGENCY DEPARTMENT. A MATTER OF BALANCE (MOB) IS AN EVIDENCE-BASED, LAY LED MODEL, DEVELOPED BY BOSTON UNIVERSITY THAT IS APPROPRIATE FOR SENIORS LIVING IN PEACE MEMORIAL MANOR AND FOR SENIORS LIVING IN THE HOSPITAL'S BROADER PRIMARY SERVICE AREA (PSA). IT IS AN 8-SESSION PROGRAM THAT INCORPORATES PHYSICAL ACTIVITY, EDUCATION AND SMALL GROUP DISCUSSION. THE GOALS OF THE PROGRAM ARE TO IMPROVE ATTITUDES AND ALLEVIATE A FEAR OF FALLING THROUGH INCREASING PHYSICAL ACTIVITY AS MEASURED BY PRE- AND POST-CLASS SURVEYS. RESEARCH FROM BOSTON UNIVERSITY INDICATES THAT SENIORS WHO FEEL IN CONTROL OF THEIR FEAR OF FALLING ARE MORE ACTIVE AND THOSE SENIORS WHO ARE MORE ACTIVE ARE LESS LIKELY TO FALL. WHILE ONLY ONE CLASS SERIES WAS IMPLEMENTED DURING 2014, THE HOSPITAL ANTICIPATES EXPANSION OF THIS PROGRAM INTO ADDITIONAL INDEPENDENT AND ASSISTED LIVING FACILITIES AS WELL AS DEVELOPMENT OF PARTNERSHIPS WITH COMMUNITY GROUPS TO BRING MATTER OF BALANCE TO INDEPENDENT SENIORS AT RISK FOR FALLS IN THE PSA. OBJECTIVE #1: SENIORS PARTICIPATING IN MATTER OF BALANCE PROGRAM LEARN TO VIEW FALLS AND FEAR OF FALLING AS CONTROLLABLE. ACCOMPLISHMENTS: 1. IN MAY 2014, 100% OF THE 12 SENIORS WHO ATTENDED MATTER OF BALANCE (MOB) COMPLETED 5 OUT OF 8 CLASSES REQUIRED TO GRADUATE. 2. IN NOVEMBER 2014, 89% OF THE 9 SENIORS WHO ATTENDED MATTER OF BALANCE (MOB) COMPLETED 5 OUT OF 8 CLASSES REQUIRED TO GRADUATE. 3. IN MAY 2014, 100% OF THE PARTICIPANTS (12 OF 12) SELF-REPORTED FEELING MORE COMFORTABLE TALKING WITH OTHERS ABOUT HIS/HER FEAR OF FALLING. 4. IN NOVEMBER 2014, 83% OF THE PARTICIPANTS (5 OF 6) SELF-REPORTED FEELING MORE COMFORTABLE TALKING WITH OTHERS ABOUT HIS/HER FEAR OF FALLING. 5. MOB COACH TRAININGS WERE CONDUCTED ON MARCH 13 AND NOVEMBER 13, 2014, FOR 6 COACHES TO LEAD MOB CLASSES. OBJECTIVE #2: SENIORS PARTICIPATING IN MATTER OF BALANCE PROGRAM SET REALISTIC GOALS TO INCREASE ACTIVITY. ACCOMPLISHMENTS: 1. IN MAY 2014, 100% OF THE PARTICIPANTS (12 OF 12) REPORTED ON THE POST SURVEY THAT THEY PLAN TO CONTINUE EXERCISING. 2. IN NOVEMBER 2014, 100% OF THE PARTICIPANTS (6 OF 6) REPORTED ON THE POST SURVEY THAT THEY PLAN TO CONTINUE EXERCISING. OBJECTIVE #3: SENIORS PARTICIPATING IN MATTER OF BALANCE PROGRAM CHANGE THEIR ENVIRONMENT TO REDUCE FALL RISK FACTORS. ACCOMPLISHMENTS: 1. IN MAY 2014, ON THE POST SURVEY, 92% OF THE PARTICIPANTS (11 OF 12) INDICATED THEY NEEDS NOT SELECTED TO ADDRESS THERE ARE FOUR AREAS OF NEED FOR WHICH THE COMMUNITY HEALTH COUNCIL DID NOT CHOOSE PRIORITY ACTION BECAUSE THEY HAVE PREVIOUSLY BEEN, AND CONTINUE TO BE ADDRESSED, THROUGH SPECIFICALLY DESIGNED CLINICAL PROGRAMS AND COMMUNITY OUTREACH ACTIVITIES. THESE AREAS COMPRISE MENTAL HEALTH SERVICES, ACCESS TO CARE, SUBSTANCE ABUSE AND INFECTIOUS DISEASE. MENTAL HEALTH SERVICES THE COMMUNITY HEALTH COUNCIL DECIDED NOT TO FOCUS ON MENTAL HEALTH SERVICES AT THIS TIME. WHILE GOOD SAMARITAN HOSPITAL PROVIDES SIGNIFICANT MENTAL HEALTH RESOURCES FOR ADULT AND GERIATRIC POPULATIONS, THE HOSPITAL DOES NOT HAVE EXPERTISE WITH CHILD AND ADOLESCENT BEHAVIORAL HEALTH PATIENTS. ADDITIONALLY, DUE TO A VARIETY OF REASONS, THE HOSPITAL IS CURRENTLY EXPERIENCING A SHORTAGE OF PSYCHIATRISTS AND DOES NOT HAVE THE STAFFING RESOURCES TO EXPAND COMMUNITY-BASED SERVICES AT THIS TIME. HOWEVER, GOOD SAMARITAN HOSPITAL DOES PARTNER WITH SEVERAL ORGANIZATIONS TO OFFER SUPPORT GROUPS AND PROGRAMMING DEDICATED TO PROVIDING ASSISTANCE AND ENCOURAGEMENT TO PATIENTS WITH BEHAVIORAL HEALTH CONCERNS. THESE INCLUDE: * NATIONAL ALLIANCE ON MENTAL ILLNESS (NAMI) CONNECTION, RECOVERY SUPPORT GROUP PROGRAM FOR ADULTS LIVING WITH MENTAL ILLNESS. * NAMI FAMILY SUPPORT GROUP * FAMILIES AND MENTAL ILLNESS...LEARNING, INSPIRING, EDUCATION AND SUPPORT (F.A.M.I.L.I.E.S) LED BY NAMI COUNSELORS AND HELD AT ADVOCATE GOOD SAMARITAN HOSPITAL * GOOD SAMARITAN'S DOMESTIC VIOLENCE SUPPORT GROUP * DEPRESSION AND BIPOLAR SUPPORT ALLIANCE * DEMENTIA SUPPORT GROUP ACCESS TO HEALTH CARE ACCORDING TO THE AGENCY FOR HEALTHCARE RESEARCH AND QUALITY, ACCESS TO HEALTH CARE IS THE THIRD MOST IMPORTANT FACTOR NEEDED FOR A HEALTHY COMMUNITY. HOWEVER, SINCE THE HOSPITAL IS ALREADY MAKING MAJOR FINANCIAL CONTRIBUTIONS (AND WILL CONTINUE TO DO SO) AND IS COLLABORATING WITH MULTIPLE COMMUNITY PARTNERS TO ADDRESS HEALTH ACCESS NEEDS, THE COMMUNITY HEALTH COUNCIL HAS CHOSEN NOT TO EXPAND FOCUS INTO THIS AREA DURING THE 2011-2013 THREE-YEAR CHNA CYCLE. ACCESS DUPAGE FOR MORE THAN TEN YEARS, GOOD SAMARITAN HOSPITAL HAS PARTNERED WITH ACCESS DUPAGE AND HAS PROVIDED CASH DONATIONS AND CHARITY CARE FOR ACCESS DUPAGE PARTICIPANTS. ACCESS DUPAGE REPRESENTS A UNIQUE PARTNERSHIP OF HOSPITALS, PHYSICIANS, LOCAL GOVERNMENT, HUMAN SERVICES AGENCIES AND COMMUNITY GROUPS WORKING TOGETHER LOCALLY TO ADDRESS THE LOCAL ACCESS TO HEALTH CARE NEEDS. QUALIFIED APPLICANTS ARE TYPICALLY ENROLLED IN THE ACCESS DUPAGE PROGRAM FOR A PERIOD OF ONE YEAR, AFTER WHICH THEY MUST RE-APPLY FOR MEMBERSHIP IN THE PROGRAM AND THEIR ELIGIBILITY MUST BE RE-VERIFIED. MEMBERSHIP IN THE ACCESS DUPAGE PROGRAM PROVIDES ACCESS TO MEDICAL SERVICES TO DUPAGE COUNTY'S LOW-INCOME, MEDICALLY UNINSURED RESIDENTS. IN ADDITION TO SUPPORTING ACCESS DUPAGE WITH DONATIONS, GOOD SAMARITAN HOSPITAL ACCEPTS QUALIFIED PARTICIPANTS AT ITS SITES OF CARE FOR DIAGNOSIS AND TREATMENT AT NO COST. THE HOSPITAL ALSO ENCOURAGES PHYSICIANS ON ITS MEDICAL STAFF TO TAKE THESE PATIENTS INTO THEIR MEDICAL PRACTICES AT NO COST. THESE PHYSICIANS THEN BECOME THE MEDICAL HOME FOR ACCESS DUPAGE MEMBERS. ELIGIBLE PARTICIPANTS MUST: * RESIDE IN DUPAGE COUNTY FOR AT LEAST 30 DAYS * BE UNDER AGE 65 * HAVE A HOUSEHOLD INCOME BELOW 200% OF THE FEDERAL POVERTY LEVEL * HAVE NO MEDICAL INSURANCE * BE INELIGIBLE FOR PRIVATE OR PUBLIC HEALTH COVERAGE PROGRAMS (E.G., MEDICAID, MEDICARE, VETERANS BENEFITS, ETC.). IN 2014, THE HOSPITAL CONTRIBUTED OVER $834,218 IN DIRECT CASH DONATIONS TO SUPPORT PROGRAM OPERATIONS AND $2,367,026 FOR SERVICES FOR ACCESS DUPAGE PARTICIPANTS. THE DECREASE OF CASH DONATIONS AND SERVICES OF $10,946,372 FROM 2013 REPORTED FIGURE OF $13,310,753 IS DUE TO THE MANY ACCESS DUPAGE PATIENTS NOW ELIGIBLE FOR THE EXPANDED MEDICAID SERVICES. WHY WAIT CLINIC A SECOND LONG-TERM COMMUNITY COLLABORATION IS THE "WHY WAIT CLINIC," IN COOPERATION WITH THE DUPAGE COUNTY HEALTH DEPARTMENT. THIS PROGRAM PROVIDES UNDERSERVED, UNINSURED, UNDERINSURED AND LOW-INCOME WOMEN ACCESS TO FREE SCREENING BREAST AND PELVIC EXAMS; PAP SMEARS; AND MAMMOGRAMS AS WELL AS DIAGNOSTIC BIOPSIES AND SURGERIES; AND TREATMENT WHEN NECESSARY. IN 2014, GOOD SAMARITAN HOSPITAL PROVIDED 239 SERVICES TO DUPAGE COUNTY WOMEN. USE OF GOOD SAMARITAN HOSPITAL'S DIAGNOSTIC IMAGING SUITES AND STAFF RESULTED IN A TOTAL COMMUNITY BENEFIT OF $477,367. ENGAGE DUPAGE ENGAGE DUPAGE IS A COLLABORATIVE INITIATIVE IMPLEMENTED IN OCTOBER OF 2014 BY THE DUPAGE COUNTY HEALTH DEPARTMENT AND ADVOCATE GOOD SAMARITAN HOSPITAL TO ADDRESS THE NEEDS OF SELF-PAY, MANG-PENDING AND MEDICAID PATIENTS WHO HAVE BEHAVIORAL/MENTAL HEALTH PROBLEMS, ARE CHEMICALLY DEPENDENT AND/OR ARE CONSIDERED TO BE "AT RISK" (I.E., PATIENTS WHO USE THE ED TO MANAGE THEIR CHRONIC CONDITIONS SUCH AS ASTHMA, COPD, HEART DISEASE DIABETES, HYPERTENSION, ETC.). A COMMUNITY RESOURCE LIAISON (CRL) FROM THE DUPAGE COUNTY HEALTH DEPARTMENT (DCHD) IS PLACED IN GSAM'S EMERGENCY ROOM DURING THE DAYS AND TIMES THAT CORRESPOND TO THE HEAVIEST ED TRAFFIC. THE GOALS OF THE PROGRAM INCLUDE: 1) IMPROVING THE HEALTH STATUS OF PATIENTS WHO ARE SELF-PAY, MANG-PENDING, AND MEDICAID BY ENROLLING PERSONS IN PROGRAMS FOR WHICH THEY ARE ELIGIBLE THROUGH A FOCUSED POPULATION-BASED HEALTH PARTNERSHIP; AND 2) CONNECTING FREQUENT ED USERS (DEFINED AS PATIENTS USING THE ED TWICE IN ONE MONTH OR MORE THAN 4 TIMES WITHIN A 6-MONTH ROLLING TIME FRAME) TO A MEDICAL HOME OR COMMUNITY PROGRAM TO HELP DECREASE THE NEED FOR UNNECESSARY ED VISITS. EXPECTED RESULTS OF THE PROGRAM INCLUDE: 1. HEALTH COVERAGE - FOR ALL PATIENTS THAT ATTEND A FOLLOW-UP APPOINTMENT, ACHIEVE A 50% ENROLLMENT INTO A FORM OF HEALTH COVERAGE. IN THE FOURTH QUARTER OF 2014, ACHIEVED 32% ENROLLMENT (24 APPROVED ENROLLMENTS OF 74 APPOINTMENTS). 2. FREQUENT USE - PATIENTS WHO ARE FREQUENT USERS WITH COMORBIDITIES RELATED TO BH/MENTAL HEALTH AND "AT-RISK" AND ARE SELF-PAY OR MEDICAID, ACHIEVE A 50% DECREASE IN ER VISITS. IN THE FOURTH QUARTER OF 2014, ACHIEVED 17.5% PATIENT DECREASE FROM BASELINE. 3. ENROLLMENT IN APPROPRIATE COMMUNITY PROGRAMS - PATIENTS WHO ARE BH/MENTAL HEALTH, CHEMICAL DEPENDENCY AND "AT-RISK" AND ATTEND A FOLLOW-UP APPOINTMENT, ACHIEVE A 40% ENROLLMENT RATE INTO A COMMUNITY PROGRAM (E.G., DUPAGE COUNTY BEHAVIORAL HEALTH SERVICES). IN THE FOURTH QUARTER OF 2014, 177 PATIENT CONTACTS WERE INITIATED WITH 110 BENEFITTING APPOINTMENTS SCHEDULED. OF THE 110 APPOINTMENTS SCHEDULED, 74 PATIENTS ATTENDED THEIR FOLLOW-UP APPOINTMENTS. 46 OF THE 74 PATIENTS WHO ATTENDED A FOLLOW-UP APPOINTMENT (OR 62%) COMPLETED APPLICATIONS AND WERE ENROLLED IN COMMUNITY PROGRAMS: 18 IN DCHD PROGRAMS, 6 IN SNAP, 1 IN ACCESS DUPAGE, AND 21 BETWEEN ADULT MEDICAID, ALL KIDS, AND MPE. IT SHOULD BE NOTED THAT THE RELATIONSHIP BETWEEN GSAM AND DCHD IN THE ENGAGE DUPAGE COLLABORATIVE IS A CONTRACTUAL ONE. AS PART OF THE AGREEMENT, THE CRL POSITION IS A PAID POSITION OF THE DUPAGE COUNTY HEALTH DEPARTMENT WHILE THE HOSPITAL PROVIDES THE WORKSPACE, ACCESS TO THE TECHNOLOGY NEEDED TO DO THE WORK (E.G., TELEPHONES, COMPUTER, EMR, ETC.) AND ORIENTATION TO THE WORK TEAM IN THE ED. GSAM IS ALSO RESPONSIBLE FOR GATHERING PERTINENT DATA AND PROVIDING IT TO THE PUBLIC HEALTH DEPARTMENT TO ASSIST THEM IN MONITORING AND REPORTING OUTCOMES. AN ADDITIONAL BARRIER TO ACCESSING HEALTH CARE IS LANGUAGE. COMMUNICATION IS CRITICAL TO A PATIENT'S UNDERSTANDING OF THEIR PLAN OF CARE. LACK OF COMMUNICATION DUE TO LANGUAGE BARRIERS OR DEAFNESS CAN IMPEDE THAT UNDERSTANDING. INTERPRETER SERVICES ARE PROVIDED BY THE HOSPITAL, AT NO COST, TO PATIENTS WHO NEED THEM. THE DUPAGE COUNTY COMMUNITY NEEDS ASSESSMENT INDICATES AN INCREASE IN ETHNIC AND CULTURAL DIVERSITY, ESPECIALLY IN THE HISPANIC POPULATION IN DUPAGE COUNTY. ACCESS TO HEALTH CARE CAN BE CHALLENGING FOR A VARIETY OF REASONS, BUT THESE DIFFICULTIES ARE MULTIPLIED FOR PEOPLE WITH DECREASED COMMUNICATION CAPACITY AND VARIED CULTURAL DIFFERENCES. DIFFICULTY COMMUNICATING CAN ALSO COMPOUND LOW HEALTH LITERACY. GOOD SAMARITAN HOSPITAL CONTINUES TO EXPAND ACCESS TO CARE WITH MEDICAL INTERPRETERS FOR LIMITED ENGLISH PROFICIENT PATIENTS WHO WOULD OTHERWISE NOT BE ABLE TO COMMUNICATE AND UNDERSTAND THEIR PLAN OF CARE. IN 2010, THREE FULL-TIME, ON-SITE, SPANISH INTERPRETERS, IN COMBINATION WITH OUTSIDE AGENCY INTERPRETERS, PROVIDED COMMUNICATION ASSISTANCE FOR 5,645 ENCOUNTERS. SERVICES WERE PROVIDED AT THE MAIN HOSPITAL AS WELL AS AT THE LEMONT, WOODRIDGE, AND DOWNERS GROVE OUTPATIENT CENTERS AND THE HEALTH AND WELLNESS CENTER AT A COST OF $468,379 TO THE HOSPITAL. BY 2012, THE NEED FOR INTERPRETERS HAD RISEN 29%, CLIMBING TO 7,292 ENCOUNTERS AT A COST OF $756,237 WITH REQUESTS FOR ASSISTANCE IN MORE THAN 40 DIFFERENT LANGUAGES AT THE MAIN HOSPITAL CAMPUS AND OFFSITE LOCATIONS. IN 2013, THE LANGUAGE ASSISTANCE COSTS FOR THE HOSPITAL INCREASED TO $888,077. IN 2014, THE LANGUAGE ASSISTANCE COST TO THE HOSPITAL DECREASED TO $528,943 DUE TO AN IMPROVED CONTRACTUAL AGREEMENT WITH THE HOSPITAL'S SERVICE PROVIDER BY USING INTERPRE INFECTIOUS DISEASE THE COMMUNITY HEALTH COUNCIL RECOMMENDED NOT FOCUSING ON INFECTIOUS DISEASE AT THIS TIME AS THE NEED FOR SEASONAL FLU VACCINES AND PNEUMOCOCCAL VACCINES IN THE COMMUNITY ARE CURRENTLY BEING FILLED BY THE RETAIL SECTOR. ADVOCATE HEALTH CARE IMPLEMENTED A MANDATORY FLU VACCINE PROGRAM IN 2011 THAT INCLUDES GOOD SAMARITAN STAFF, PHYSICIANS AND VOLUNTEERS. STUDIES HAVE SHOWN THAT WHEN HEALTH CARE WORKERS GET FLU SHOTS, THE NUMBER OF PATIENTS WITH INFLUENZA-LIKE ILLNESS GREATLY DECREASES, AS DOES PATIENT MORTALITY. SINCE THE INCEPTION OF MANDATORY FLU VACCINATION, DEATHS FROM HOSPITAL-ACQUIRED INFLUENZA HAVE BEEN ELIMINATED FOR THE PERIODS 2011-2012 AND 2012-2013. IN ADDITION, THE NUMBER OF HOSPITAL-ACQUIRED INFLUENZA CASES HAS DECREASED FROM 3.2% TO 2% OF ALL FLU HOSPITALIZATIONS. ACCORDING TO THE DUPAGE COUNTY BEHAVIOR RISK FACTOR SURVEY (BRFS), THE CENTERS FOR DISEASE CONTROL'S ADVISORY COMMITTEE ON IMMUNIZATION PRACTICES RECOMMENDS THAT ADULTS OVER AGE 65 RECEIVE ONE DOSE OF THE PNEUMONIA VACCINE IN THEIR LIFETIME. THE PNEUMONIA VACCINE IS ONLY RECOMMENDED FOR INDIVIDUALS BETWEEN THE AGES OF 19 AND 64 WHO SUFFER FROM A CHRONIC CONDITION. FOR THIS YOUNGER POPULATION, A ONE-TIME REVACCINATION IS ADVISED 5 YEARS AFTER THE INITIAL VACCINATION. THE PERCENTAGE OF ADULTS IN DUPAGE COUNTY WHO HAD EVER RECEIVED A PNEUMONIA VACCINE WAS 26.0% IN 2010. THIS PERCENTAGE IS COMPARABLE TO THE 2010 ILLINOIS PERCENTAGE OF 26.2. ASSESSMENT DATA COMPILED BY PROFESSIONAL RESEARCH CONSULTANTS (PRC) FOR GOOD SAMARITAN HOSPITAL'S PSA INDICATES 59% OF RESPONDENTS DO NOT RECEIVE INFLUENZA VACCINES AND 77% OF RESPONDENTS DO NOT TAKE ADVANTAGE OF THE PNEUMOCOCCAL VACCINE. HOWEVER, OF ADULTS 65 YEARS OF AGE AND OLDER, 72.3% HAD A FLU VACCINE WITHIN THE PAST 12 MONTHS, A RATE HIGHER THAN THAT IN ILLINOIS IN 2010, AT 65.5%. LOCALLY, THE RETAIL SECTOR (OSCO DRUG, CVS PHARMACY AND WALGREENS IN DUPAGE COUNTY) PROMOTES THIS ENDEAVOR WITH TREMENDOUS ADVERTISING AND MAKES BOTH VACCINES READILY AVAILABLE TO THE PUBLIC FOR A LOW COST. NEW COLLABORATIONS IN 2014 TO IMPLEMENT FOR NEXT CHNA CYCLE IN 2014, ADVOCATE GOOD SAMARITAN HOSPITAL BEGAN PARTICIPATING IN IMPACT DUPAGE, A GROUP OF COMMUNITY LEADERS AND ORGANIZATIONS WORKING TOGETHER TO DETERMINE COMMUNITY NEEDS AND PRIORITIES THAT WILL IMPROVE THE WELL-BEING OF THE DUPAGE COUNTY COMMUNITY. IMPACT DUPAGE IS CO-LED BY THE DUPAGE COUNTY HEALTH DEPARTMENT AND DUPAGE FEDERATION ON HUMAN SERVICES REFORM, AND INCLUDES THE FOLLOWING ADDITIONAL PARTNERS: * ACCESS DUPAGE * ADVENTIST MIDWEST HEALTH * ADVOCATE GOOD SAMARITAN HOSPITAL * CADENCE HEALTH * DUPAGE COMMUNITY FOUNDATION * DUPAGE COUNTY COMMUNITY SERVICES * DUPAGE COUNTY REGIONAL OFFICE OF EDUCATION * DUPAGE HEALTH COALITION * DUPAGE MAYORS AND MANAGERS CONFERENCE * DUPAGE PADS * EDWARD-ELMHURST HEALTHCARE * HOPE FAIR HOUSING * LOVE CHRISTIAN CLEARINGHOUSE * METROPOLITAN FAMILY SERVICES DUPAGE * NORTHERN ILLINOIS UNIVERSITY * PEOPLE'S RESOURCE CENTER * POSITIVE PARENTING DUPAGE * UNITED WAY OF DUPAGE/WEST COOK * WEGO TOGETHER FOR KIDS * YWCA METROPOLITAN CHICAGO ADVOCATE GOOD SHEPHERD HOSPITAL THROUGH A PRIORITY SETTING PROCESS, ADVOCATE GOOD SHEPHERD HOSPITAL'S COMMUNITY HEALTH COUNCIL RECOMMENDED, AND THE HOSPITAL ADOPTED, FOCUSING ON THREE AREAS FOR PRIORITY ACTION, INCLUDING: FALLS AMONG SENIORS; CHILDHOOD OBESITY; AND CANCER PREVENTION AND DETECTION. ACCOMPLISHMENTS DURING 2014 IN THESE THREE AREAS ARE DESCRIBED BELOW. FALLS AMONG SENIORS FALLS AMONG SENIORS (65+) ARE A SIGNIFICANT HEALTH RISK AND THE NUMBER ONE CAUSE OF TRAUMA ADMISSIONS TO ADVOCATE GOOD SHEPHERD HOSPITAL. IN 2009, THE HOSPITAL'S COMMUNITY HEALTH COMMITTEE EMBARKED ON EFFORTS TO ADDRESS THIS RISK. SINCE THAT TIME, ADVOCATE GOOD SHEPHERD HAS CONDUCTED PROGRAMMING TO ADDRESS FALLS. IN 2012, FOUR GOOD SHEPHERD ASSOCIATES (EMPLOYEES) BECAME LICENSED MASTER TRAINERS UNDER THE MATTER OF BALANCE LAY LEAD MODEL WHICH UTILIZES COMMUNITY COACHES TO TEACH THE 8 SESSION CLASSES. AS A RESULT, THE HOSPITAL WAS ABLE TO CONDUCT 15 COMMUNITY CLASSES USING THE COACHING MODEL IN 2014. THE RESULTS FROM PARTICIPANTS SHOWED A 30 PERCENT IMPROVEMENT IN THEIR ABILITY TO REDUCE FALL RISK FACTORS IN THEIR LIVES. CHILDHOOD OBESITY IN THE 2013-14 ACADEMIC YEAR, OVER 10,000 (K-12) STUDENTS FROM 39 SCHOOLS PARTICIPATED IN ADVOCATE GOOD SHEPHERD HOSPITAL'S SCHOOL-BASED CHILDHOOD OBESITY PREVENTION PROGRAM KNOWN AS CATCH, THE COORDINATED APPROACH TO CHILD HEALTH. THIS PROGRAM ADDRESSES INTERVENTIONS TO IMPACT NUTRITION AND HEALTH. STUDENTS ARE TESTED FOR FITNESS LEVELS IN THE FALL AND SPRING AND THE RESULTS ARE COMPARED. RESULTS INDICATED A 4% IMPROVEMENT IN THE SAMPLE OF STUDENTS TESTED ACROSS 39 SCHOOLS. IN ADDITION, 44 ENVIRONMENTAL IMPROVEMENTS HAVE BEEN MADE IN SCHOOLS, SUCH AS IMPROVEMENTS IN NUTRITIONAL VALUE OF SNACKS IN VENDING MACHINES, LIMITATION ON SALE OF SUGARED BEVERAGES, AND SO FORTH. EXPANSION OF THE PROGRAM WILL CONTINUE THROUGHOUT THE HOSPITAL'S SERVICE AREA. CANCER (PREVENTION AND DETECTION) ADVOCATE GOOD SHEPHERD HOSPITAL HAS A CANCER COMMITTEE IN PLACE THAT IS DEDICATED TO CANCER PREVENTION AND EARLY DETECTION. IN 2014, SOME OF THE TACTICS INCLUDED CONNECTING PATIENTS AND FAMILIES TO 2-1-1 INFORMATION AND REFERRAL TO SOCIAL SERVICE RESOURCES, CONTINUING TO WORK WITH PATIENT NAVIGATORS TO IDENTIFY PATIENT NEEDS, AND HOSTING COMMUNITY LECTURES ON MULTIPLE TYPES OF CANCER TO ENCOURAGE CONVERSATIONS WITH HEALTH CARE PROVIDERS. GOOD SHEPHERD ALSO HAD COMMUNITY OUTREACH CAMPAIGNS ON COLON CANCER AWARENESS AND SCREENING, BREAST CANCER AWARENESS FOR UNDERSERVED POPULATIONS, AND E-CIGARETTES IN SCHOOLS. IN REGARDS TO COLON CANCER AWARENESS, LETTERS WERE SENT TO COMMUNITY MEMBERS REMINDING THEM TO GET THEIR BASELINE COLONOSCOPY AT AGE 50 AND NURSES ATTENDED COMMUNITY EXPOS FOR EDUCATION AND AWARENESS. IN ADDITION, MEETINGS WERE COORDINATED WITH AREA PHYSICIANS, BOTH GENERAL PRACTITIONERS AND SPECIALISTS, ABOUT PARTICIPATING IN SCREENING PROGRAMS AT THE HOSPITAL. E-CIGARETTE PREVENTION WAS ALSO ADDRESSED BY PARTNERING WITH AREA MIDDLE SCHOOLS AND HIGH SCHOOLS AND/OR ATTENDING COMMUNITY EVENTS WHERE THE TARGET AUDIENCE - YOUTHS - WERE PRESENT, NOT ONLY PROVIDING PREVENTION EDUCATION BUT ALSO TO CAPTURE FEEDBACK RELATED TO EDUCATIONAL MATERIALS. THERE WERE THREE OTHER IMPORTANT NEEDS THAT WERE NOT SELECTED AS PRIORITIES FOR NEW ACTIVITY BECAUSE THEY HAVE BEEN, AND CONTINUE TO BE ADDRESSED THROUGH EXISTING PROGRAMS OR PARTNERSHIPS. MENTAL HEALTH MENTAL HEALTH IS ADDRESSED BY MULTIPLE COMMUNITY ORGANIZATIONS THAT THE HOSPITAL SUPPORTS, SUCH AS SAMARITAN COUNSELING CENTER AND THE PIONEER CENTER FOR HUMAN SERVICES. THE HOSPITAL IS ALSO PROVIDING COMPLIMENTARY SPACE AT TWO ADVOCATE FACILITIES TO BEHAVIORAL HEALTH PROVIDERS IN THE COMMUNITY. THE COMMUNITY HEALTH COUNCIL SET TARGETS FOR COLLABORATION AND INTEGRATION WITH COMMUNITY GROUPS TO HELP ADDRESS BEHAVIORAL HEALTH NEEDS. THE HEALTHIER BARRINGTON COALITION DEVELOPED A MENTAL HEALTH TASK FORCE TO HELP DETERMINE THE MOST PRESSING NEEDS AND HOW THE COMMUNITY MIGHT BETTER COLLABORATE TO MEET THOSE NEEDS. DIABETES/CHOLESTEROL/CARDIOVASCULAR DISEASE WHEN GOOD SHEPHERD HOSPITAL'S CHNA REVEALED THAT TYPE II DIABETES WAS CONTINUING TO INCREASE IN THE HOSPITAL'S COMMUNITY, THE HOSPITAL RESPONDED BY DEVELOPING AFFORDABLE DIABETES SCREENINGS. THESE SCREENINGS WERE OFFERED TO INDIVIDUALS IN THE COMMUNITY WITH THE INTENTION OF IDENTIFYING PEOPLE WHO UNKNOWINGLY HAVE PRE-DIABETES OR DIABETES, AND TO ENCOURAGE THEM TO ADOPT LIFESTYLE CHANGES THAT HELP THEM MANAGE THEIR CONDITION. BECAUSE THE HISPANIC POPULATION IS AT A GREATER RISK FOR TYPE II DIABETES, PROMOTIONAL MATERIALS ARE AVAILABLE IN SPANISH AND THE STAFF INCLUDES BILINGUAL CLINICIANS. IN 2014, DIABETES SCREENINGS WERE OFFERED QUARTERLY TO MEMBERS OF THE COMMUNITY. NEARLY 72 PERCENT OF THOSE IDENTIFIED AS HIGH-RISK RETURNED FOR FOLLOW-UP CARE AND RE-TESTING. FOR HALF OF THESE INDIVIDUALS, THEIR A1C SCORES IMPROVED. MOTOR VEHICLE ACCIDENTS (TEEN) THE COUNCIL FELT THAT THE HOSPITAL IS ALREADY ADDRESSING THIS NEED BY BEING PART OF OPERATION CLICK. OPERATION CLICK IS A COMMUNITY PROGRAM THAT ADDRESSES THE RISK FOR YOUTH MOTOR VEHICLE FATALITIES. THE HOSPITAL HAS BEEN ACTIVE ON OPERATION CLICK'S BOARD OF DIRECTORS, PROVIDES FUNDING FOR ITS ANNUAL BANQUET AND RECENTLY PROVIDED FUNDING SO THE ORGANIZATION COULD HIRE A PART-TIME PROGRAM COORDINATOR FOR 24 MONTHS. THE SEED FUNDING WILL ALLOW THE COORDINATOR TO DEVELOP A FUNDING STREAM FOR SUSTAINMENT OF OPERATION CLICK IN THE FUTURE. OVERALL, OPERATION CLICK HAS BEEN IMPACTFUL AND HAS RESULTED IN IMPROVED SEAT BELT COMPLIANCE AS DOCUMENTED BY AN INCREASE IN AVERAGE COMPLIANCE RATES FROM 79% ON THE PRE-SURVEY TO 98% AS REPORTED BY PARTICIPANTS ON THE POST-PROGRAM SURVEY. NEEDS NOT SELECTED TO ADDRESS THERE WERE TWO REMAINING IMPORTANT NEEDS IDENTIFIED THAT THE HOSPITAL IS NOT ADDRESSING-DENTAL HEALTH AND BILINGUAL LITERACY. DENTAL HEALTH ADVOCATE GOOD SHEPHERD HOSPITAL DOES NOT HAVE ANY ADVOCATE SOUTH SUBURBAN HOSPITAL HEALTH NEED SELECTED TO ADDRESS ASTHMA ASTHMA AND OTHER RESPIRATORY-RELATED DISEASES WITHIN SOUTH SUBURBAN HOSPITAL'S PSA WERE SELECTED AS THE TOP HEALTH NEED TO ADDRESS. AN EXAMINATION OF SOUTH SUBURBAN HOSPITAL'S INPATIENT ADMISSIONS AND EMERGENCY DEPARTMENT (ED) UTILIZATION DATA SHOWS THERE ARE A SIGNIFICANT NUMBER OF INDIVIDUALS THAT SEEK SERVICES FOR ASTHMA/RESPIRATORY HEALTH ISSUES FROM THE HOSPITAL. IN FACT, PULMONARY ADMISSIONS WERE THE SECOND MOST PREVALENT TYPE OF INPATIENT ADMISSION AND THE EIGHTH MOST PREVALENT REASON FOR ED VISITS. THE SEVERITY AND PREVALENCE OF ASTHMA IS MOST EVIDENT IN LOW INCOME, MINORITY COMMUNITIES, AND THE DISPARITIES IN HOSPITALIZATION RATES FOR AFRICAN AMERICAN CHILDREN ARE STAGGERING, MAKING THIS A PROMINENT COMMUNITY HEALTH ISSUE. NATIONALLY, ASTHMA AFFECTS APPROXIMATELY 7.1 MILLION CHILDREN. THE DISEASE IS ONE OF THE LEADING CAUSES OF SCHOOL ABSENTEEISM - ACCOUNTING FOR MORE THAN 14 MILLION MISSED SCHOOL DAYS ANNUALLY (COOK COUNTY DEPARTMENT OF PUBLIC HEALTH, 2010). CHILDREN WITH ASTHMA MISS AN AVERAGE OF TWICE AS MANY SCHOOL DAYS AS OTHER CHILDREN (CENTERS FOR DISEASE CONTROL AND PREVENTION). MISSED SCHOOL DAYS BY CHILDREN RESULT IN MISSED WORKED DAYS BY ADULTS - SO THERE ARE BOTH SIGNIFICANT FINANCIAL AND QUALITY OF LIFE IMPLICATIONS FOR CHILDREN WITH ASTHMA AND THEIR FAMILIES. THE BURDEN OF ASTHMA IN ILLINOIS MIRRORS NATIONAL TRENDS YET ILLINOIS HAS ONE OF THE HIGHEST ASTHMA MORTALITY AND MORBIDITY RATES IN THE NATION, AND IT CONTINUES TO INCREASE EACH YEAR (ILLINOIS DEPARTMENT OF PUBLIC HEALTH, 2006). THE MAJORITY OF THE STATE'S ASTHMA DEATHS OCCUR IN COOK COUNTY (CHICAGO AND SUBURBAN COOK COUNTY), THE COUNTY IN WHICH SOUTH SUBURBAN HOSPITAL IS LOCATED. SOUTH SUBURBAN HOSPITAL HAS BOTH THE RESOURCES AND CAPACITY TO PARTNER WITH OTHER ORGANIZATIONS ENGAGED IN ADDRESSING ASTHMA. HISTORICALLY, SOUTH SUBURBAN HOSPITAL HAS DEVELOPED COMMUNITY PROGRAMS IMPACTING ASTHMA. THE HOSPITAL IS CURRENTLY CONDUCTING OUTREACH ACTIVITIES AIMED AT SCHOOLS AND CHURCHES TO ADDRESS THIS DISEASE, INCLUDING THE MOST RECENT DEVELOPMENT OF THE KICKIN' ASTHMA PROGRAM, A SCHOOL-BASED CURRICULUM THAT ADDRESSES THE NEEDS OF CHILDREN AGES 11 TO 16 WITH ASTHMA. THE PROGRAM PROMOTES INDIVIDUAL RESPONSIBILITY, SELF-MANAGEMENT AND EARLY ACTION AMONG ADOLESCENTS. THE OVERALL GOAL OF KICKIN' ASTHMA IS TO IMPROVE ASTHMA MANAGEMENT AND DECREASE ACUTE CARE UTILIZATION AMONG CHILDREN AGES 11 TO 16. IN ADDITION TO THE SCHOOL-BASED CURRICULUM, CONTINUING MEDICAL EDUCATION FOR LOCAL SCHOOL NURSES, PEDIATRIC HEALTH FAIRS, SCHOOL PROGRAMS PROVIDING ASTHMA SCREENINGS, EDUCATIONAL MATERIALS AND PEAK FLOW METERS, AND ASTHMA RESOURCE PACKETS INCLUDING EDUCATIONAL MATERIALS AND A RESOURCE DIRECTORY FOR LOCAL FAITH COMMUNITIES CONTRIBUTE TO THE PROGRAM'S EFFECTIVENESS AND HAVE HELPED TO LAY THE FOUNDATION FOR THE HOSPITAL'S EXPANSION OF INTERVENTIONS TO ADDRESS ASTHMA IN THE COMMUNITY. ADVOCATE SOUTH SUBURBAN HOSPITAL DEVELOPED AN ASTHMA ACTION TASK FORCE TO ADDRESS THE FOLLOWING COMMUNITIES, GOALS AND OBJECTIVES: TARGET POPULATION: CHILDREN AGES 5-17 THAT RESIDE IN THE PRIMARY SERVICE AREA OF ADVOCATE SOUTH SUBURBAN HOSPITAL (ASSH) WHICH INCLUDES BUT IS NOT LIMITED TO THE FOLLOWING ZIP CODES: 60429 CALUMET CITY; 60411 CHICAGO HEIGHTS/FORD HEIGHTS; 60419 DOLTON; 60422 FLOSSMOOR; 60423 FRANKFORT; 60425 GLENWOOD; 60426 HARVEY; 60428 MARKHAM; 60429 HAZEL CREST; 60430 HOMEWOOD; 60438 LANSING; 60443 MATTESON; 60445 MIDLOTHIAN; 60452 OAK FOREST; 60461 OLYMPIA FIELDS; 60466 PARK FOREST; 60471 RICHTON PARK; AND 60473 SOUTH HOLLAND. GOAL: TO DECREASE ASTHMA RELATED EMERGENCY DEPARTMENT VISITS AND/OR HOSPITALIZATIONS OF CHILDREN AGES 5-17 THAT RESIDE WITHIN ADVOCATE SOUTH SUBURBAN HOSPITAL'S PRIMARY SERVICE AREA BY DEVELOPING AND IMPLEMENTING PROGRAMS TO INCREASE THE KNOWLEDGE BASE OF THE PEDIATRIC ASTHMA COMMUNITY TO INCLUDE ASTHMA MANAGEMENT SKILLS, TRIGGER IDENTIFICATION, AND THERAPEUTIC AND SOCIAL INTERVENTIONS THAT WILL REDUCE ASTHMA RELATED COMPLICATIONS WHILE ESTABLISHING SELF-ADVOCACY SKILLS AND ULTIMATELY CREATING A BETTER QUALITY OF LIFE FOR THOSE THE HOSPITAL SERVES. OBJECTIVES OF THE PROGRAM INCLUDE: 1. ADVOCATE SOUTH SUBURBAN HOSPITAL (ASSH) WILL INCREASE THE PROPORTION OF PEDIATRIC PERSONS WITH CURRENT ASTHMA WHO RECEIVE APPROPRIATE ASTHMA CARE ACCORDING TO NATIONAL ASTHMA EDUCATION AND PREVENTION PROGRAM (NAEPP) GUIDELINES WHILE AN INPATIENT OR DURING AN EMERGENCY DEPARTMENT VISIT TO 100%. ACCOMPLISHMENTS: INITIATED AN EVIDENCE-BASED PEDIATRIC EMERGENCY DEPARTMENT ASTHMA TREATMENT ALGORITHM IN APRIL 2014. THE ALGORITHM PROVIDED ED STAFF GUIDANCE ON IDENTIFICATION, TREATMENT AND FOLLOW-UP CARE FOR A PEDIATRIC ASTHMA PATIENT. * APRIL 2014 - DECEMBER 2014: 25% OF ED PEDIATRIC PATIENTS WERE DISCHARGED HOME WITH AN ASTHMA ACTION PLAN AND 34% WERE DISCHARGED WITH FORMAL ASTHMA EDUCATION. 100% OF ED PEDIATRIC PATIENTS DISCHARGED FROM THE ED RECEIVED A POST-DISCHARGE WELLNESS CALL. CURRENTLY IN THE PROCESS OF COLLABORATING WITH ED CASE MANAGEMENT, ED PHYSICIANS, ED STAFF, AND RESPIRATORY THERAPY TO INITIATE DISCHARGE PLANNING IN THE ED AND A PROGRAM FOR FOLLOW UP BY A RESPIRATORY THERAPIST ON ALL PATIENTS DISCHARGED WITHOUT AN ACTION PLAN. * APRIL 2014 - DECEMBER 2014: 96% OF ELIGIBLE PEDIATRIC PATIENTS WITH A DIAGNOSIS OF ASTHMA IN THE ED WERE DISCHARGED HOME WITH STEROIDS. * APRIL 2014 - DECEMBER 2014: 94% OF PATIENTS WITH A PRIMARY DIAGNOSIS OF ASTHMA IN THE ED FILLED PRESCRIPTIONS AS IDENTIFIED ON POST-WELLNESS DISCHARGE CALL. THIS IS INDICATIVE OF THE APPROPRIATE USE OF THE ASTHMA ED TREATMENT PLAN AND DISCHARGE EDUCATION. * JANUARY 2014 - DECEMBER 2014: DECREASED THE NUMBER OF ED PEDIATRIC ASTHMA READMISSIONS FROM 43% IN 1ST QUARTER 2014 TO 18% YEAR END. 2. ADVOCATE SOUTH SUBURBAN HOSPITAL (ASSH) WILL PARTNER WITH THE COMMUNITY TO PROVIDE RESOURCES WITHIN 100% OF THE MIDDLE SCHOOLS AND DEVELOP 5 COMMUNITY COACHES WITHIN OUR PRIMARY SERVICE AREA WITH ASTHMA EDUCATION, INCLUDING HOW TO RECOGNIZE WORSENING ASTHMA, ADMINISTER QUICK-RELIEF MEDICATIONS, AND KNOW HOW AND WHEN TO CALL FOR EMERGENCY SERVICES TO CREATE SUPPORTIVE AND SAFE ENVIRONMENTS IN THE SCHOOL AND THE COMMUNITY BY 6/30/2015. ACCOMPLISHMENTS: GOAL: TRAIN 5 COMMUNITY PARTNERS ON ASTHMA TRIGGERS AND RESOURCES. * JUNE 2014 - MAY 2015: TRAINED 6 COMMUNITY PARTNERS INCLUDING: VICTORY APOSTOLIC CHURCH, MATTESON, ILLINOIS; ST. MARK MISSIONARY BAPTIST CHURCH, HARVEY, IL; SOUTHWOOD JR. HIGH SCHOOL, COUNTRY CLUB HILLS, ILLINOIS; HAZEL CREST SCHOOL DISTRICT 152;, HAZEL CREST PARK DISTRICT; AND BROOKWOOD JR. HIGH SCHOOL. * JUNE 2014 - SEPTEMBER 2014: ASSH NON-CLINICAL ASSOCIATE WAS TRAINED TO RECOGNIZE SIGNS AND SYMPTOMS OF ASTHMA AND TO ASSIST IN HEALTH FAIRS AND COMMUNITY EVENTS. - WHILE AT A COMMUNITY EVENT, AN ASTHMATIC THAT WAS HAVING DIFFICULTY MANAGING ASTHMA WAS RECOGNIZED BY THE NON-CLINICAL ASSOCIATE. THE CLINICAL ASSOCIATE WAS NOTIFIED AND ON THE SPOT EDUCATION WAS CONDUCTED ALONG WITH PROVIDING A SPACER AND REFERRAL INFORMATION. * JANUARY 2014 - SEPTEMBER 2014: 6 RESPIRATORY CARE PRACTITIONERS WERE TRAINED BY THE AMERICAN LUNG ASSOCIATION TO IMPLEMENT THE KICKIN' ASTHMA PROGRAM. * JUNE 2014 - MAY 2015: COLLABORATED WITH HOMEWOOD FLOSSMOOR PARK DISTRICT AND HAZEL CREST PARK DISTRICT TO IDENTIFY A COMMUNITY PROGRAM EDUCATION PLAN. * HOMEWOOD FLOSSMOOR BASKETBALL PROGRAM ASTHMA EDUCATION IN PROGRESS. * HOMEWOOD FLOSSMOOR AFTER SCHOOL PROGRAM ASTHMA EDUCATION IN PROGRESS. * HAZEL CREST YOUTH BASEBALL PROGRAM ASTHMA EDUCATION TO PARENTS. GOAL: PROVIDE 16 HOURS OF COMMUNITY TRAINING/MEETINGS. * JANUARY 2014 - SEPTEMBER 2014: PROVIDED 6 HOURS OF COMMUNITY EDUCATION. * FEBRUARY 2015 - HOSTED SCHOOL NURSE EDUCATION PROGRAM: IDENTIFIED A COMMUNITY PROGRAM THROUGH THE RESPIRATORY HEALTH ASSOCIATION THAT IS APPROVED BY THE ILLINOIS STATE BOARD OF EDUCATION FOR ONE CERTIFIED PROFESSIONAL DEVELOPMENT CREDIT (CPDU) FOR LICENSED SCHOOL TEACHERS. ASTHMA MANAGEMENT TARGETS CAREGIVERS AND PROVIDES EDUCATION ABOUT ASTHMA, SYMPTOM SEVERITY AND RECOGNITION, TRIGGERS AND AVOIDANCE, AND WHAT TO DO IN THE CASE OF AN ASTHMA EPISODE. THE 1-HOUR SESSION IS ADAPTED TO THE AUDIENCE WHICH CAN INCLUDE TEACHERS, NURSES, HEALTH AIDES, SCHOOL SUPPORT STAFF, PARENTS AND COMMUNITY GROUPS. 3. ASSH WILL IMPLEMENT A SCHOOL-BASED ASTHMA EDUCATION PROGRAM TO BE PROVIDED TO 80% OF THE MIDDLE SCHOOLS WITHIN OUR PRIMARY SERVICE AREA TO TARGET AS MANY CHILDREN WHO HAVE ASTHMA AS POSSIBLE, TO PROVIDE AN OPPORTUNITY FOR THEM TO LEARN ASTHMA SELF-MANAGEMENT SKILLS AND TO HELP PROVIDE AN "ASTHMA-FRIENDLY" LEARNING ENVIRONMENT FOR STUDENTS WHO HAVE ASTHMA. ACCOMPLISHMENTS: GOAL: IMPLEMENT AMERICAN LUNG ASSOCIATION EVIDENCE-BASED KICKIN' ASTHMA SCHOOL-BASED PROGRAMS. * JANUARY 2014 - SEPTEMBER 2014: 6 RESPIRATORY CARE PRACTITIONERS WERE TRAINED BY THE AMERICAN LUNG ASSOCIATION TO IMPLEMENT THE KICKIN' ASTHMA PROGRAM. * IMPLEMENTED THE KICKIN' ASTHMA PROGRAM TO SCHOOLS WITHIN OUR PRIMARY SERVICE AREA INCLUDING: * 2013-2014 ACCOMPLISHMENTS: * SUB-COMMITTEE OF THE ASTHMA TASK FORCE ESTABLISHED. * JANUARY 2014 - SEPTEMBER 2014: VIRTUAL LEARNING CENTER CREATED VIA THE INTERNET. CAN BE FOUND ON WWW.ADVOCATEHEALTH.COM/SSUB/ASTHMA, "HELPING YOU BREATHE EASIER." * PROCESS DEVELOPED TO TRACK COMMUNITY ACCESS TO THE WEBSITE. FOR DETAILED DATA AND PROGRESS NOTES, PLEASE REFER TO: HTTP://WWW.ADVOCATEHEALTH.COM/DOCUMENTS/CHNA/2058_SSUB_CHILDHOOD_ASTHMA-IM PLE_PLAN-PROGRPT_F.PDF HEALTH NEEDS NOT SELECTED TO ADDRESS CARDIOVASCULAR DISEASE, CANCER, DIABETES AND TEEN PREGNANCY WERE NOT SELECTED FOR SPECIAL FOCUS BECAUSE, SOUTH SUBURBAN HOSPITAL REMAINS COMMITTED TO ADDRESSING THESE HEALTH ISSUES AS IT HAS DONE HISTORICALLY. EXISTING COMMUNITY PROGRAMS AND RESOURCES PROVIDED BY SOUTH SUBURBAN HOSPITAL INCLUDE A CARDIAC REHABILITATION PROGRAM; VARIOUS CARDIOVASCULAR EDUCATION AND PREVENTION PROGRAMS, INCLUDING PROVISION OF HEART RISK ASSESSMENTS; A DIABETES WELLNESS PROGRAM INCLUDING SELF-MANAGEMENT EDUCATION; SELECTED HEALTH SCREENINGS; CANCER HEALTH PREVENTION EDUCATION AND CANCER SUPPORT SERVICES. THERE ARE A NUMBER OF LOCAL NONPROFIT ORGANIZATIONS CURRENTLY OFFERING RESOURCES TO ADDRESS THE HEALTH ISSUES OF TEEN PREGNANCY AND SEXUALLY TRANSMITTED DISEASES IN SOUTH SUBURBAN HOSPITAL'S PRIMARY SERVICE AREA. THESE COMMUNITY-BASED HEALTHCARE CLINICS AND CENTERS OFFER PRIMARY CARE SERVICES, INCLUDING FAMILY MEDICINE AND OB/GYN PHYSICIANS, AS WELL AS COUNSELING AND EDUCATION AIMED AT CURBING RATES OF TEEN BIRTH AND STD INFECTION RATES WITHIN THE TARGETED COMMUNITIES. TO BEST SERVE THOSE PATIENTS MOST IN NEED OF THEIR SERVICES, THESE PROVIDERS OFFER FREE AND/OR DISCOUNTED ACCESS TO UNINSURED AND UNDERINSURED PATIENTS. THE PROVIDERS INCLUDE AUNT MARTHA'S FQHCS IN HAZEL CREST, CHICAGO HEIGHTS AND HARVEY; PREGNANCY AID SOUTH SUBURBS IN TINLEY PARK, LANSING AND SOUTH HOLLAND; ACCESS COMMUNITY HEALTH, CHICAGO HEIGHTS; FAMILY CHRISTIAN HEALTH CENTER IN HARVEY; AND BETHANY CHRISTIAN SERVICES IN PALOS HEIGHTS. ADVOCATE BROMENN MEDICAL CENTER SIGNIFICANT NEEDS BEING ADDRESSED BROMENN MEDICAL CENTER'S COMMUNITY HEALTH COUNCIL SELECTED MENTAL HEALTH AND OBESITY AS ITS TOP HEALTH PRIORITIES TO ADDRESS FOR THE 2011-2013 CHNA CYCLE. MENTAL HEALTH BROMENN MEDICAL CENTER MAKES SIGNIFICANT CONTRIBUTIONS TO ADDRESS THE ISSUE OF MENTAL HEALTH IN THE COMMUNITY. SINCE 2012, BROMENN MEDICAL CENTER HAS HAD TWO STAFF MEMBERS SERVING ON THE MCLEAN COUNTY PUBLIC HEALTH DEPARTMENT'S IPLAN MENTAL HEALTH TASK FORCE. HISTORICALLY, BROMENN MEDICAL CENTER DID NOT HAVE A CRISIS ADMISSIONS COUNSELOR IN THE EMERGENCY ROOM. IN RESPONSE TO CUTS IN STATE AND COMMUNITY FUNDING FOR MENTAL HEALTH, THE HOSPITAL IDENTIFIED AN INCREASED WAIT TIME FOR THE PSYCHIATRIC PATIENT TO BE SEEN BY THE ON-CALL COMMUNITY CRISIS SCREENING COUNSELOR. TO ADDRESS THIS ISSUE AND AT ITS OWN EXPENSE, BROMENN MEDICAL CENTER INVESTED IN HIRING A CRISIS ADMISSIONS COUNSELOR IN 2010. THIS STAFF MEMBER PROVIDES ASSESSMENTS IN THE EMERGENCY DEPARTMENT FROM 10:00 AM TO 6:30 PM, MONDAY THROUGH FRIDAY. ADDITIONALLY, THE INPATIENT MENTAL HEALTH UNIT AT BROMENN MEDICAL CENTER IS THE ONLY ONE OF ITS KIND IN MCLEAN COUNTY, PROVIDING CRITICAL SERVICES TO THOSE ADULTS NEEDING INPATIENT PSYCHIATRIC SERVICES. THE UNIT OPERATED AT AN ANNUAL LOSS OF $1,454,727, $1,786,254 AND $1,868,405 RESPECTIVELY IN 2012, 2013 AND 2014. BROMENN MEDICAL CENTER, IN PARTNERSHIP WITH ITS DELEGATE CHURCHES AND THE MCLEAN COUNTY MENTAL HEALTH COURT, ALSO PARTICIPATES IN A PROGRAM TITLED PARTNERS IN HELPING. THIS PROGRAM PROVIDES SUPPORT TO THE COURT FOR THEIR EFFORTS TOWARDS REHABILITATING INDIVIDUALS WITH MENTAL HEALTH CONDITIONS WHO ENTER THE CRIMINAL JUSTICE SYSTEM AS AN ALTERNATIVE TO INCARCERATION. DELEGATE CONGREGATIONS COLLECT INCENTIVE ITEMS, SUCH AS GIFT CARDS TO LOCAL RESTAURANTS, WHICH ARE DESIGNATED BY THE COURT FOR PARTICIPANTS IN THE PROGRAM. DONATIONS GIVEN TO THE COURT ARE USED TO INCENTIVIZE PROGRESS AND COMPLIANCE. IN ITS CONTINUED EFFORTS TO ADDRESS MENTAL HEALTH IN MCLEAN COUNTY, BROMENN MEDICAL CENTER'S SERVICE AREA ADMINISTRATOR FOR BEHAVIORAL HEALTH SERVICES SERVES AS VICE PRESIDENT OF THE BOARD FOR THE MCLEAN COUNTY MENTAL HEALTH COURT PROGRAM, WHICH IS AIMED AT KEEPING INDIVIDUALS WITH MENTAL HEALTH ISSUES OUT OF PRISON. THIS ADMINISTRATOR ALSO SERVED ON A COUNTY BOARD MENTAL HEALTH ADVISORY PANEL FOR SEVERAL MONTHS. THE ADVISORY PANEL WAS TASKED WITH: 1) COMPLETING A MENTAL HEALTH SERVICES NEEDS GAP ASSESSMENT; AND 2) IDENTIFYING THE BEST EVIDENCE-BASED PRACTICE FOR CARE OF THE MENTALLY ILL. THE ADMINISTRATOR ALSO SERVED AND CONTINUES TO SERVE ON A SECOND TASK FORCE/PANEL WHICH RECOMMENDED MCLEAN COUNTY OPEN A CRISIS STABILIZATION UNIT. THE UNIT IS NOW OPEN FOR COMMUNITY MEMBERS TO UTILIZE. AS OUTLINED IN THE CHNA IMPLEMENTATION PLAN FOR MENTAL HEALTH, IN JUNE OF 2014, THE HOSPITAL OFFERED AN EVIDENCE-BASED MENTAL HEALTH PROGRAM TO THE COMMUNITY ENTITLED MENTAL HEALTH FIRST AID. MENTAL HEALTH FIRST AID IS A NATIONALLY RECOGNIZED ADULT PUBLIC EDUCATION PROGRAM THAT TEACHES INDIVIDUALS HOW TO IDENTIFY, UNDERSTAND AND RESPOND TO THE SIGNS OF MENTAL ILLNESS AND SUBSTANCE ABUSE DISORDERS. CERTIFIED INSTRUCTORS TEACH PARTICIPANTS TO BECOME MENTAL HEALTH FIRST AIDERS. PARTICIPANTS LEARN ABOUT THE SIGNS AND SYMPTOMS OF ACUTE MENTAL HEALTH CRISES AND CHRONIC MENTAL HEALTH PROBLEMS, SUCH AS ANXIETY AND DEPRESSION. BROMENN MEDICAL CENTER HAS COLLABORATED WITH THE MCLEAN COUNTY CENTER FOR HUMAN SERVICES AND THE MCLEAN COUNTY HEALTH DEPARTMENT IN OFFERING THIS PROGRAM TO THE COMMUNITY. TO DATE, 370 COMMUNITY MEMBERS FROM MCLEAN AND WOODFORD COUNTY HAVE BEEN TRAINED IN MENTAL HEALTH FIRST AID. AS A RESULT OF THIS COLLABORATION, THE HEALTH DEPARTMENT HAS RECEIVED A GRANT FROM THE ILLINOIS PRAIRIE COMMUNITY FOUNDATION THAT ALLOWS THE COLLABORATIVE TO OFFER THE MENTAL HEALTH FIRST AID CLASSES TO THE COMMUNITY FOR $10, MAKING CLASSES AFFORDABLE TO ALL MEMBERS OF THE COMMUNITY. OBESITY ADVOCATE BROMENN MEDICAL CENTER (ABMC) IS PARTNERING WITH RIDGEVIEW COMMUNITY UNIT SCHOOL DISTRICT (CUSD) #19 IN COLFAX, ILLINOIS, TO ADDRESS OBESITY THROUGH IMPLEMENTATION OF THE EVIDENCE-BASED PHYSICAL EDUCATION PROGRAM SPARK. APPROXIMATELY ONE HUNDRED 6TH AND 7TH GRADE STUDENTS WILL BE ENGAGED IN SPARK, WHICH HAS BEEN COUNTERING CHILDHOOD OBESITY IN SCHOOLS SINCE 1989. RIDGEVIEW P.E. TEACHERS RECEIVED PROFESSIONAL TRAINING, CURRICULUM AND EQUIPMENT FOR SPARK P.E. THROUGH THEIR PARTNERSHIP WITH THE MCLEAN COUNTY HEALTH DEPARTMENT AND THE ILLINOIS DEPARTMENT OF PUBLIC HEALTH'S WE CHOOSE HEALTH INITIATIVE (MADE POSSIBLE BY THE CENTERS FOR DISEASE CONTROL AND PREVENTION). TWO RIDGEVIEW PHYSICAL EDUCATION TEACHERS RECEIVED HANDS-ON TRAINING FOR SPARK P.E. AND BEGAN IMPLEMENTING THE CURRICULUM IN THE ELEMENTARY AND JUNIOR HIGH SCHOOL PHYSICAL EDUCATION CLASSES AT THE BEGINNING OF THE 2014-2015 SCHOOL YEAR. ABMC WILL ASSIST IN THE CONTINUATION OF THE COLLECTION OF BODY MASS INDEX (BMI) VALUES WHICH BEGAN FOR RIDGEVIEW LAST YEAR (2013-2014 SCHOOL YEAR) AS PART OF THE WE CHOOSE HEALTH INITIATIVE. THE WE CHOOSE HEALTH GRANT OFFICIALLY ENDED ON SEPTEMBER 29, 2014. POPULATION TREND BMI DATA WILL BE TRACKED AT THE 6TH AND 7TH GRADE LEVEL. ABMC WILL ALSO ASSIST WITH SPARK EDUCATIONAL EVENTS FOR THE CHILDREN AND THEIR FAMILIES. IN ADDITION, THE HOSPITAL DONATED FUNDS TO RIDGEVIEW CUSD #19 TOWARD THE PURCHASE OF 26 HEART RATE MONITORS FOR STUDENTS TO MEASURE THE INTENSITY OF CARDIOVASCULAR ACTIVITY DURING PHYSICAL EDUCATION CLASSES. THIS WILL ASSIST STUDENTS IN RECEIVING IMMEDIATE FEEDBACK ON EXERCISE AND THE HEALTH BENEFITS OF EXERCISING IN DIFFERENT HEART RATE ZONES. THE ADDITION OF THE HEART RATE MONITORS TO THE PHYSICAL EDUCATION CLASSES HAS BEEN VERY POPULAR AND MOTIVATING TO THE STUDENTS. DIRECTLY RELATED TO DECREASING OBESITY RATES IN THE COMMUNITY, THE COMMUNITY HEALTH LEADER FOR BROMENN MEDICAL CENTER SERVES ON THE MCLEAN COUNTY WELLNESS COALITION AND LEADERSHIP COMMITTEE, A GROUP COMPRISED OF CAMPUS AND COMMUNITY ORGANIZATIONS WORKING TO PROMOTE HEALTHY EATING AND ACTIVE LIVING. THE COALITION HAS BEEN IN PLACE SINCE 2011 AND PROMOTES THE ADOPTION OF HEALTHY LIFESTYLE POLICIES, SYSTEMS AND ENVIRONMENTAL (PSE) CHANGES. THE COALITION HAS HAD MANY SUCCESSES WITH 17 PSE'S DEVELOPED THROUGHOUT MCLEAN COUNTY IN 2013 AND 2014. SOME EXAMPLES INCLUDE COMMUNITY GARDENS AND THE ENHANCED P.E. PROGRAM, SPARK, MENTIONED ABOVE. BROMENN MEDICAL CENTER ALSO PARTNERED WITH THE YMCA ON THEIR YOUTH FITNESS INTERVENTION PROGRAM (Y-FI). Y-FI IS A PROGRAM TO HELP REDUCE THE NUMBER OF OVERWEIGHT AND OBESE CHILDREN THROUGH PHYSICAL ACTIVITY, EDUCATION AND NUTRITION. YOUTHS ARE REFERRED TO THE PROGRAM BY THEIR PHYSICIANS. PARENTS ARE ALSO INVOLVED IN THE PROGRAM AND EXERCISE ALONG WITH THEIR CHILD. SINCE THE INCEPTION OF THE Y-FI PROGRAM IN SEPTEMBER 2012, 153 CHILDREN/PARENT(S) HAVE BEEN REFERRED TO THE PROGRAM BY BOTH ADVOCATE MEDICAL GROUP AND OTHER PEDIATRIC PHYSICIANS IN MCLEAN COUNTY, AND 142 CHILDREN AND THEIR PARENT(S) HAVE PARTICIPATED IN THE 16-WEEK Y-FI PROGRAM. PARENTS AND CHILDREN SHOWED AN 85 PERCENT INCREASE IN PHYSICAL ACTIVITY AND AN 85 PERCENT INCREASE IN NUTRITION AND EXERCISE KNOWLEDGE ACCORDING TO THE PRE AND POST-PROGRAM SURVEY RESULTS. TWO HEALTH FAIRS WITH A HEALTH SCREENING WERE HELD AT THE YMCA INSTEAD OF AT BROMENN MEDICAL CENTER COMMUNITY WELLNESS TO MAKE THE EVENT MORE EASILY ACCESSIBLE BY THE Y-FI PARTICIPANTS. THE FIRST EVENT HELD ON MAY 29, 2014, WAS VERY SUCCESSFUL WITH 29 PARENTS AND CHILDREN PARTICIPATING. THE SECOND EVENT ON AUGUST 7, 2014, HAD 0 PEOPLE IN ATTENDANCE. THE YMCA FELT THIS MIGHT HAVE BEEN DUE TO SCHOOL REGISTRATIONS OCCURRING DURING THIS TIME. THE BROMENN MEDICAL CENTER AND YMCA PARTNERSHIP ENDED IN DECEMBER 2014. THIS ALLOWED ABMC TO COLLABORATE WITH RIDGEVIEW COMMUNITY UNIT SCHOOL DISTRICT (CUSD) #19, ON THE SPARK PROGRAM, THUS REACHING A LARGER NUMBER OF CHILDREN TO MORE BROADLY IMPACT CHILDHOOD OBESITY. IN THE FIGHT AGAINST OBESITY, BROMENN MEDICAL CENTER IS ALSO PARTNERING WITH THE COMMUNITY HEALTH CARE CLINIC. OBESITY INCREASES THE RISK OF DIABETES AND IMPACTS THE CONTROL OF IT. ACCORDING TO THE MCLEAN COUNTY IPLAN 2012-2017, 61.5 PERCENT OF THE COUNTY'S ADULTS ARE OVERWEIGHT OR OBESE. IN 2013 AND 2014, BROMENN MEDICAL CENTER OFFERED 3 EXCLUSIVE FOUR-WEEK GROUP DIABETES EDUCATION CLASSES TO COMMUNITY HEALTHCARE CLINIC DIABETES PATIENTS -- SPECIFICALLY PATIENTS WITH HBA1C'S GREATER THAN 9 AND BMI'S GREATER THAN 30. EIGHT CLINIC PATIENTS TOOK ADVANTAGE OF THIS OPPORTUNITY. A STAFF MEMBER OF THE CLINIC ATTENDED THE CLASS TO INCREASE COMPLIANCE AND ASSIST WITH SPANISH SPEAKING PATIENTS WHEN NEEDED. OUTCOMES MEASURED OVER TIME INCLUDE HBA1C VALUES, BODY MASS INDEX, AND A PRE AND POST-SURVEY OF KNOWLEDGE ASCERTAINED. AT THE SIX MONTH FOLLOW-UP APPOINTMENT, 33 PERCENT OF PATIENTS HBA1C DECREASED, 33 PERCENT OF PATIENTS HBA1C INCREASED AND 33 PERCENT OF PATIENTS OPTED NOT TO RETEST. THERE WAS NO CHANGE IN BMI FOR ANY OF THE PATIENTS. OF THE PATIENTS THAT TOOK BOTH THE PRE AND POST DIABETES SELF-MANAGEMENT CLASS SURVEY, THE AVERAGE IMPROVEMENT WAS 25 PERCENT. DUE TO LOW PARTICIPATION IN THE CLASSES, CLINIC PATIENTS ARE NOW PROVIDED WITH AN OPPORTUNITY TO MEET INDIVIDUALLY WITH DIABETES EDUCATORS AT BROMENN MEDICAL CENTER OR TO ATTEND ALREADY ESTABLISHED GROUP CLASSES AT THE HOSPITAL. BROMENN MEDICAL CENTER OFFERS EXERCISE CLASSES, SCREENINGS, HEALTH EDUCATION PRESENTATIONS AND EVENTS TO THE COMMUNITY ON A RANGE OF TOPICS PERTINENT TO OVERALL PHYSICAL AND MENTAL HEALTH, AND HEALTHY LIFESTYLE CHANGES. IN 2014, APPROXIMATELY 230 COMMUNITY MEMBERS PER WEEK PARTICIPATED IN THE 18 YOGA, ZUMBA, BONE BUILDERS AND PILATES CLASSES OFFERED AT THE HOSPITAL. NEEDS NOT BEING ADDRESSED ABMC DID NOT SELECT ORAL HEALTH, HEART DISEASE, CANCER OR LOW BIRTH WEIGHT AS KEY HEALTH ISSUES FOR THE REASONS IDENTIFIED BELOW. ORAL HEALTH ORAL HEALTH IS AN ISSUE FOR WHICH THE HOSPITAL HAS A LIMITED SPHERE OF INFLUENCE. BROMENN MEDICAL CENTER DOES NOT HAVE DENTAL RESIDENTS OR A MOBILE DENTAL VAN, BOTH OF WHICH COULD BE KEY COMPONENTS OF A SUCCESSFUL INTERVENTION. HOWEVER, THE EXISTING COLLABORATION WITH THE MCLEAN COUNTY PUBLIC HEALTH DEPARTMENT, THE HOSPITAL'S DELEGATE CHURCHES, LOCAL PRIMARY CARE PHYSICIANS, AREA DENTISTS AND THE COMMUNITY HEALTH CARE CLINIC MAY LESSEN THE ORAL HEALTH BURDEN IN THE COMMUNITY. ALTHOUGH ORAL HEALTH IS NOT ONE OF THE SELECTED KEY HEALTH PRIORITIES, BROMENN MEDICAL CENTER COLLABORATES WITH EIGHT OF ITS DELEGATE CHURCHES TO ASSIST THE COMMUNITY WITH ITS ORAL HEALTH NEEDS. A PROGRAM CALLED PARTNERS IN SMILING WAS CREATED IN 2012. THE PROGRAM CONSISTS OF DELEGATE CHURCHES COLLECTING DENTAL HYGIENE SUPPLIES. BROMENN MEDICAL CENTER DELIVERS THE SUPPLIES TO THE MCLEAN COUNTY PUBLIC HEALTH DEPARTMENT OR THE JOHN SCOTT HEALTH CLINIC WHERE THEY ARE GIVEN TO INDIVIDUALS IN NEED. SINCE ITS INCEPTION, APPROXIMATELY $4,350 IN DENTAL HYGIENE SUPPLIES HAVE BEEN COLLECTED AND DISTRIBUTED TO INDIVIDUALS IN NEED IN MCLEAN COUNTY. BROMENN MEDICAL CENTER'S LEADERSHIP HAS ALSO MET ON SEVERAL OCCASIONS WITH THE MCLEAN COUNTY PUBLIC HEALTH DEPARTMENT, AND LOCAL DENTISTS AND ORAL SURGEONS TO DISCUSS THE ISSUE OF ACCESS TO DENTAL CARE FOR UNINSURED ADULTS IN MCLEAN COUNTY. ADDITIONALLY, THE HOSPITAL HAS HAD TWO STAFF MEMBERS SERVING ON THE MCLEAN COUNTY PUBLIC HEALTH DEPARTMENT'S IPLAN ORAL HEALTH TASK FORCE SINCE 2012. IN 2014, ABMC'S FAMILY HEALTH CARE CLINIC BEGAN EXPLORING THE POSSIBILITY OF ADDING A DENTAL RESIDENCY PROGRAM IN CONJUNCTION WITH THE COMMUNITY HEALTH CARE CLINIC. HEART DISEASE AND CANCER DESPITE THEIR PERVASIVENESS, HEART DISEASE AND CANCER WERE NOT SELECTED AS KEY HEALTH ISSUES. BROMENN MEDICAL CENTER'S COMMUNITY HEALTH COUNCIL DETERMINED THAT SIGNIFICANT RESOURCES ARE ALREADY DEVOTED TO BOTH OF THESE ISSUES. IN PARTICULAR, THE COMMUNITY HAS EXCELLENT RESOURCES IN BOTH THE COMMUNITY CANCER CENTER, WHICH IS A JOINT VENTURE BETWEEN BROMENN MEDICAL CENTER AND OSF SAINT JOSEPH'S MEDICAL CENTER. IN THE AREA OF HEART DISEASE, BROMENN MEDICAL CENTER SCREENED APPROXIMATELY 1,475 COMMUNITY MEMBERS FOR CHOLESTEROL, BLOOD PRESSURE, PERIPHERAL ARTERY DISEASE AND/OR PERCENT OF BODY FAT IN 2013, AND 1,050 COMMUNITY MEMBERS IN 2014. IN ADDITION, APPROXIMATELY 2,275 HIGH SCHOOL STUDENTS WERE SCREENED THROUGH ADVOCATE FOR YOUNG HEARTS IN 2013 AND AN ADDITIONAL 482 IN 2014. ADVOCATE FOR YOUNG HEARTS PROGRAM SCREENS LOCAL HIGH SCHOOL STUDENTS AT NO COST FOR UNIDENTIFIED GENETIC DISORDERS THAT PLACE THEM AT HIGH RISK FOR SUDDEN CARDIAC DEATH. LOW BIRTH WEIGHT INFANTS ALTHOUGH, LOW BIRTH WEIGHT WAS IDENTIFIED AS A HEALTH ISSUE IN MCLEAN COUNTY DATA, ABMC DID NOT SELECT IT AS A SIGNIFICANT HEALTH NEED TO BE ADDRESSED. THE HOSPITAL HAS TAKEN STEPS TO ADDRESS THE ISSUE, HOWEVER, DUE TO THE FACT THAT THE PERCENT OF ELECTIVE INDUCTIONS WAS DEEMED TO BE HIGHER THAN WHAT WAS DEEMED ACCEPTABLE TO THE HOSPITAL. IN OCTOBER 2011, A COLLABORATIVE 2014-2016 CHNA COLLABORATIVE PARTNERSHIPS ADVOCATE BROMENN MEDICAL CENTER IS WORKING COLLABORATIVELY WITH THE MCLEAN COUNTY HEALTH DEPARTMENT, OSF SAINT JOSEPH'S MEDICAL CENTER AND THE UNITED WAY FOR ITS 2014-2016 CHNA. BOTH HOSPITALS HAVE SIMILAR TIMELINES FOR THEIR CHNA'S. IN ORDER TO BEST SUPPORT THE PRIORITIZATION OF THE COMMUNITY'S HEALTH NEEDS AND IMPLEMENTATION OF SUSTAINABLE PROGRAMS TO IMPROVE THE HEALTH OF THE COMMUNITY, THE HEALTH DEPARTMENT IS ADJUSTING THE ILLINOIS PROJECT FOR LOCAL ASSESSMENT OF NEED (IPLAN) COMMUNITY HEALTH PLAN AND NEEDS ASSESSMENT FOR MCLEAN COUNTY, 2012-2017, TIMELINE TO ALIGN WITH THAT OF THE HOSPITALS. THE GOAL OF THE COLLABORATIVE GROUP'S EFFORTS IS TO IDENTIFY AND SELECT KEY HEALTH NEEDS, COMPOSE A UNIFIED REPORT AND WORK ON IMPACTFUL IMPLEMENTATION PLANS COLLECTIVELY FOR MCLEAN COUNTY. IN ADDITION TO THIS NEWLY FORMED MCLEAN COUNTY COMMUNITY HEALTH COUNCIL, BROMENN MEDICAL CENTER'S COMMUNITY HEALTH LEADER ALSO SERVES ON THE UNITED WAY COLLECTIVE IMPACT STRATEGIC COUNCIL. UNITED WAY CONDUCTED A COMMUNITY ASSESSMENT IN 2014 AND SERVES AN IMPORTANT ROLE ON THIS MCLEAN COUNTY COMMUNITY HEALTH COUNCIL. ADVOCATE TRINITY HOSPITAL NEEDS SELECTED TO ADDRESS THE HOSPITAL PRIORITIZED SEVERAL KEY HEALTH NEEDS AS IDENTIFIED THROUGH THE 2013 ADVOCATE TRINITY HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT REPORT. IMPLEMENTATION PLANS WERE CREATED IN 2013 AND APPROVED AND POSTED IN 2014 TO ADDRESS THE PRIORITIZED NEEDS IN THE AREAS OF ASTHMA, HEART DISEASE AND STROKE. THE IMPLEMENTATION PLAN SET GOALS, PERFORMANCE MEASURES AND IDENTIFIED STRATEGIES FOR SUCCESSFUL PROGRAM IMPLEMENTATION. PROGRAM ACCOMPLISHMENTS INCLUDE THE FOLLOWING: ASTHMA * TRINITY'S ASTHMA OUTREACH PROGRAM SUCCESSFULLY ENGAGED TWO STAFF MEMBERS TO SERVE AS COMMUNITY HEALTH WORKER ASTHMA SUPPORT SPECIALISTS. * THE PROGRAM HAS IDENTIFIED A FAITH-BASED ORGANIZATION THAT WILL OFFER AN ASTHMA SUPPORT PROGRAM STARTING SEPTEMBER 2015. * THE ASTHMA OUTREACH PROGRAM, MANAGED AS PART OF THE PROJECT HEALTH PROGRAM, ENROLLS PATIENTS TO PARTICIPATE IN ASTHMA SELF-MANAGEMENT, TEACHES PATIENTS HOW TO IDENTIFY TRIGGERS AND CREATES AN ASTHMA ACTION PLAN FOR PATIENTS WHO ARE ENROLLED IN THE PROGRAM. * EACH ADMITTED ASTHMA PATIENT IS PROVIDED ASTHMA MANAGEMENT EDUCATION BY THE COMMUNITY HEALTH WORKERS DURING EACH HOSPITAL VISIT. * ASSESSMENT PROTOCOLS WERE ESTABLISHED TO CONDUCT HOME ENVIRONMENT ASSESSMENTS WITH IDENTIFIED ASTHMA PATIENTS. * SINCE 2014, 71 ASTHMATIC PATIENTS WERE ENROLLED IN THE PROJECT HEALTH PROGRAM DURING THEIR HOSPITAL STAY FROM FEBRUARY 2014 - MAY 2015. HEART DISEASE/STROKE * SINCE JANUARY 2014, THE HOSPITAL PARTNERED WITH SIX FAITH COMMUNITIES TO PROVIDE THE FIRST PLACE 4 HEALTH PROGRAM TO CONGREGANTS AND THE COMMUNITY AT LARGE. * THE PROGRAM ENGAGED 6 FAITH ORGANIZATIONS THAT OFFERED BEHAVIOR MODIFICATION CLASSES FOR PHYSICAL ACTIVITY AND NUTRITION. * TRINITY'S PROGRAM HAS SUCCESSFULLY ENGAGED THE COMMUNITY BY CONDUCTING WORKSHOPS AND HEALTH SCREENINGS REGARDING CARDIOVASCULAR DISEASE AND ITS RISK FACTORS. * THE HOSPITAL HAS ESTABLISHED A NETWORK OF FAITH AND COMMUNITY ORGANIZATIONS THAT SUPPORT AND OFFER HEALTH SCREENINGS AND HEALTH EDUCATION PROGRAMS TO THE COMMUNITY. THIS COLLABORATIVE IS NOW KNOWN AS THE PARTNERS FOR FAITH AND HEALTH NETWORK. * IN 2014, THE PROGRAM OFFERED 23 HEALTH EDUCATION WORKSHOPS AND COMMUNITY SCREENINGS ASSOCIATED WITH HEART DISEASE AND STROKE. NEEDS NOT SELECTED TO ADDRESS THE KEY HEALTH ISSUES THAT HAVE BEEN IDENTIFIED AND NOT SPECIFICALLY TARGETED IN TRINITY'S COMMUNITY HEALTH IMPROVEMENT PLAN ARE CANCER, ACCIDENTS AND HOMICIDE BECAUSE THEY HAVE PREVIOUSLY BEEN, AND CONTINUE TO BE ADDRESSED THROUGH SPECFICIALLY DESIGNED CLINICAL PROGRAMS AND COMMUNITY OUTREACH ACTIVITIES. CANCER TRINITY HOSPITAL IS ADDRESSING THE CANCER CARE NEEDS OF THE COMMUNITY THROUGH ITS ONCOLOGY CENTER AND ONGOING COMMUNITY OUTREACH PROGRAMS DEDICATED TO THE EARLY DETECTION OF CANCER. COMMUNITY OUTREACH PROGRAMS FOR THE EARLY DETECTION OF CANCER INCLUDE THE LADIES NIGHT THINK PINK EVENT FOR BREAST CANCER PREVENTION EDUCATION AND THE COLON CANCER SCREENING PROGRAM IN COLLABORATION WITH THE AMERICAN CANCER SOCIETY. THE ONCOLOGY CENTER'S PROGRAMS ARE STRUCTURED TO FACILITATE A MULTIDISCIPLINARY ENVIRONMENT WHILE PROVIDING MINIMALLY INVASIVE PROCEDURES AND ADVANCED SURGICAL INTERVENTION TO TREAT CANCER. THE ONCOLOGY CENTER INCLUDES ADVANCED DIAGNOSTICS, IMAGING SERVICES, INTERVENTIONAL RADIOLOGY AND AN INFUSION CENTER. ACCIDENTS TRINITY HOSPITAL IMPLEMENTS VARIOUS ACTIVITIES THAT AID IN EDUCATING THE COMMUNITY REGARDING SAFETY AND HOW TO PREVENT ACCIDENTS WITHIN THE SENIOR POPULATION SERVED BY THE HOSPITAL. THESE ACTIVITIES INCLUDE EDUCATION FOR SAFE DRIVING AND INJURY/FALLS PREVENTION. THE HOSPITAL PARTNERS WITH THE AMERICAN ASSOCIATION OF RETIRED PERSONS (AARP) TO PROVIDE QUARTERLY WORKSHOPS ON DRIVER SAFETY TO EDUCATE SENIORS ON SAFE AND DEFENSIVE DRIVING TECHNIQUES. ADDITIONALLY, THE HOSPITAL UTILIZES ADVANCE PRACTICE NURSES TO PROVIDE COMMUNITY EDUCATION TO PREVENT FALLS AND INJURY IN THE HOME. HOMICIDE TRINITY HOSPITAL CONTINUALLY ASSESSES WHETHER ADDITIONAL PREVENTION STRATEGIES ARE NEEDED WITHIN THE COMMUNITY AND WORKS IN SUPPORT OF ITS COMMUNITY PARTNERS TO ADDRESS NEEDS SUCH AS ACCIDENTS AND HOMICIDE. COMMUNITY PARTNERS SPECIFICALLY ADDRESSING THESE NEEDS INCLUDE ORGANIZATIONS SUCH AS THE NEIGHBORHOOD CHICAGO ALTERNATIVE POLICING STRATEGY (CAPS), CHICAGO POLICE DEPARTMENT. THE POLICE DEPARTMENT IS WORKING WITHIN THE COMMUNITY TO ADDRESS THESE NEEDS AND TRINITY HOSPITAL PARTNERS WITH THEM TO SUPPORT THEIR ACTIVITIES SUCH AS THE NATIONAL NIGHT OUT EVENT. THE NATIONAL NIGHT OUT EVENT IS DESIGNED TO INCREASE AWARENESS ABOUT POLICE AND COMMUNITY PARTNERSHIPS OR PROGRAMS THAT EDUCATE COMMUNITIES REGARDING VIOLENCE PREVENTION, DRUG PREVENTION, TOWN WATCH, NEIGHBORHOOD WATCH AND OTHER ANTI-CRIME EFFORTS. ADVOCATE EUREKA HOSPITAL SIGNIFICANT NEED BEING ADDRESSED MENTAL HEALTH MENTAL HEALTH WAS CHOSEN AS A KEY HEALTH PRIORITY BY EUREKA HOSPITAL FOR THE 2011-2013 CHNA FOR SEVERAL REASONS. FIRST, ACCESS TO MENTAL HEALTH SERVICES IN WOODFORD COUNTY IS SEVERELY LIMITED DUE TO THE CLOSURE OF THE TAZWOOD MENTAL HEALTH CENTER SATELLITE FACILITY IN EUREKA IN 2009, THUS CAUSING RESIDENTS TO LEAVE THE COUNTY TO FIND MENTAL HEALTH CARE. SECONDLY, A STRONG CONSIDERATION WAS THE PARTNERSHIP WITH THE WOODFORD COUNTY HEALTH DEPARTMENT AND THE TAZWOOD MENTAL HEALTH CENTER. FINALLY, THE RESULTS OF THE 2011 ILLINOIS PROJECT FOR LOCAL ASSESSMENT OF NEED (IPLAN) COMMUNITY HEALTH PLAN AND NEED ASSESSMENT FOR WOODFORD COUNTY SHOW A GROWING NEED FOR MENTAL HEALTH SERVICES IN WOODFORD COUNTY. AS OUTLINED IN THE CHNA IMPLEMENTATION PLAN FOR MENTAL HEALTH, IN JUNE OF 2014, ADVOCATE BROMENN MEDICAL CENTER, IN PARTNERSHIP WITH ADVOCATE EUREKA HOSPITAL, OFFERED AN EVIDENCE-BASED MENTAL HEALTH PROGRAM TO THE COMMUNITY ENTITLED MENTAL HEALTH FIRST AID. MENTAL HEALTH FIRST AID IS A NATIONALLY RECOGNIZED ADULT PUBLIC EDUCATION PROGRAM THAT TEACHES INDIVIDUALS HOW TO IDENTIFY, UNDERSTAND AND RESPOND TO THE SIGNS OF MENTAL ILLNESS AND SUBSTANCE ABUSE DISORDERS. CERTIFIED INSTRUCTORS TEACH PARTICIPANTS TO BECOME MENTAL HEALTH FIRST AIDERS. PARTICIPANTS LEARN ABOUT THE SIGNS AND SYMPTOMS OF ACUTE MENTAL HEALTH CRISES AND CHRONIC MENTAL HEALTH PROBLEMS, SUCH AS ANXIETY AND DEPRESSION. EUREKA HOSPITAL HAS COLLABORATED WITH BROMENN MEDICAL CENTER, THE WOODFORD COUNTY HEALTH DEPARTMENT, THE MCLEAN COUNTY CENTER FOR HUMAN SERVICES AND THE MCLEAN COUNTY HEALTH DEPARTMENT IN OFFERING THIS PROGRAM TO THE COMMUNITY. TO DATE, 370 COMMUNITY MEMBERS FROM MCLEAN AND WOODFORD COUNTIES HAVE BEEN TRAINED IN MENTAL HEALTH FIRST AID. THE OUTCOMES MEASURED FOR ACCESS TO MENTAL HEALTH SERVICES INCLUDE THE NUMBER OF PATIENTS VISITING THE EUREKA HOSPITAL EMERGENCY ROOM WITH A BEHAVIORAL HEALTH RELATED DIAGNOSIS. THIS NUMBER HAS STEADILY DECREASED FROM 2010 TO 2013, FROM 78 PATIENTS IN 2010 TO 49 PATIENTS IN 2013. IN 2014, THE NUMBER OF PATIENTS INCREASED TO 59; HOWEVER, THIS IS STILL LOWER THAN THE BASELINE OF 78 PATIENTS IN 2010. POSITIVELY CONTRIBUTING TO THIS DECREASE IS THE COLLABORATION BETWEEN EUREKA HOSPITAL, THE WOODFORD COUNTY HEALTH DEPARTMENT AND THE TAZWOOD WELLNESS CENTER. PARTICIPANTS FROM THESE ENTITIES AND OTHER COMMUNITY ORGANIZATIONS FORM THE WOODFORD COUNTY HEALTH DEPARTMENT IPLAN MENTAL HEALTH SUBCOMMITTEE. AS A RESULT OF THE SUBCOMMITTEE'S EFFORTS, BEGINNING IN JANUARY 2013, THE TAZWOOD WELLNESS CENTER STAFF OFFERED COUNSELING SERVICES ONE TIME PER WEEK AND PSYCHIATRIC SERVICES ONE TIME PER MONTH AT THE WOODFORD COUNTY HEALTH DEPARTMENT. TO ASSIST WITH REFERRALS TO THIS PROGRAM AND WITH EFFECTIVE COMMUNICATION, A EUREKA HOSPITAL SOCIAL WORKER COORDINATED EDUCATIONAL SESSIONS FOR LOCAL ADVOCATE MEDICAL GROUP PHYSICIANS AND THE MEDICAL STAFF SERVING EUREKA HOSPITAL'S EMERGENCY ROOM. THE HOSPITAL SOCIAL WORKER ALSO COORDINATED EDUCATIONAL SESSIONS FOR THE STAFF AT NURSING HOMES AND WITH WOODFORD COUNTY CLERGY AT DELEG PART V, SEC B, LINE 18D N/A PART V, SEC B, LINE 19D ADVOCATE HEALTH AND HOSPITALS CORPORATION DOES NOT PERFORM ACTIONS SUCH AS THOSE LISTED IN LINES 19A-C UNTIL REASONABLE EFFORTS HAVE BEEN MADE TO DETERMINE A PATIENT'S FAP ELIGIBILITY. PART V, SEC B, LINE 20E ADVOCATE MAKES REASONABLE EFFORTS TO DETERMINE A PATIENT'S ELIGIBILITY UNDER ITS FAP, INCLUDING SENDING A SERIES OF LETTERS AND ATTEMPTING TO WORK WITH THE PATIENT THROUGH THE FINANCIAL COUNSELING PROCESS AND/OR PHONE CALLS. ALL CORRESPONDENCE ASKS THE PATIENT TO NOTIFY THE HOSPITAL IF HE/SHE IS EXPERIENCING "DIFFICULTY IN PAYING YOUR BILL". ADVOCATE ALSO USES EARLY OUT AND PRECOLLECTION VENDORS TO ASSIST IN OBTAINING PAYMENTS OR COLLECTING FINANCIAL ASSISTANCE ELIGIBILITY INFORMATION. THESE VENDORS HAVE THE FOLLOWING LANGUAGE IN THEIR CONTRACT: "VENDOR WILL COMMUNICATE THE ADVOCATE HEALTH CARE POLICY AND GUIDELINE TO ANY PATIENT EXPRESSING A DIFFICULTY IN PAYING THEIR BILL" AND, "VENDOR WILL MAIL THE ADVOCATE HEALTH CARE FINANCIAL ASSISTANCE APPLICATION TO ANY PATIENTS EXPRESSING A DIFFICULTY IN PAYING THEIR BILL". ADVOCATE'S BAD DEBT AGENCY CONTRACTS HAVE THE FOLLOWING LANGUAGE: "AGENCY SHALL EVALUATE EACH PATIENT WHOSE ACCOUNT IS REFERRED TO AGENCY, WHERE THE PATIENT EXPRESSES DIFFICULTY OR INABILITY TO PAY THEIR BILL, FOR ELIGIBILITY UNDER ADVOCATE'S FINANCIAL ASSISTANCE POLICY." VENDOR AND AGENCY CONTRACTS ARE STANDARD ACROSS ADVOCATE'S SYSTEM. PART V, SEC B, LINE 21C N/A PART V, SEC B, LINE 21D N/A PART V, SEC B, LINE 22D THE MAXIMUM AMOUNT THAT CAN BE CHARGED TO AN FAP-ELIGIBLE PATIENT FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE IS BASED ON A SLIDING SCALE PERCENTAGE OF ANNUAL FAMILY INCOME WHICH IS TIED TO THE FPG FAMILY INCOME LIMIT APPLICABLE TO THE PATIENT. FOR A FAMILY WITH INCOME BETWEEN TWO AND THREE TIMES THE FEDERAL POVERTY LEVEL, THE MAXIMUM EXPECTED PAYMENT IS 5% OF ANNUAL FAMILY INCOME. FOR A FAMILY WITH INCOME BETWEEN THREE AND FOUR TIMES THE FEDERAL POVERTY LEVEL, THE MAXIMUM EXPECTED PAYMENT IS 10% OF ANNUAL FAMILY INCOME. FOR AN UNINSURED FAMILY WITH INCOME BETWEEN FOUR AND SIX TIMES THE FEDERAL POVERTY LEVEL, THE MAXIMUM EXPECTED PAYMENT IS 25% OF ANNUAL FAMILY INCOME. PART V, SEC B, LINE 23 FOR THE CURRENT TAX YEAR THERE WAS NO REQUIREMENT IN THE TAX LAW TO PROVIDE AN AGB DISCOUNT NOR DESCRIBED A METHOD CALCULATE IT. IN 2014, ADVOCATE UPDATED THE CHARITY CARE DISCOUNTS TO BE COMPLIANT WITH NEW STATE REGULATIONS ISSUED IN AUGUST 2013. THE ADVOCATE CHARITY CARE POLICY EXCEEDS THE STATE REQUIREMENTS IN TERMS OF THE AMOUNT OF CHARITY CARE PROVIDED TO UNINSURED PATIENTS, INSURED PATIENTS, AND PROVIDES FOR LOWER LIMITS ON THE ANNUAL MAXIMUM PAYMENTS FROM AN INDIVIDUAL OR FAMILY ALLOWED UNDER STATE REGULATIONS. AS WE PREPARED FOR IMPLEMENTATION OF 501R FOR THE 2016 TAX YEAR AND THE IRS DEFINED THE METHOD TO CALCULATE THE AGB WE HAVE LEARNED THAT IN SOME CASES PATIENTS WILL RECEIVE A MORE GENEROUS DISCOUNT USING THE AGB VS. THE IL STATE (COST TO CHARGE RATIO +35%) METHOD. PART V, SECTION B, LINE 24 N/A 194 ABMC-BroMenn Outpatient Center 3024 E Empire Street Bloomington IL 61704 Patient Care - Out Patient ABMCAEH-Communtiy Cancer Ctr-Cyberknife 407 E Vernon Normal IL 61761 Patient Care - Out Patient ABMCAEH-HomeHospiceCommunity Health 407 E Vernon Normal IL 61761 Patient Care - Out Patient ABMCAEH-IL Heart & Lung Cardiology Assc 1302 Franklin Ave MOB 4500 Normal IL 61761 Patient Care - Out Patient ABMCAEH-Materials Management 1011-1015 E Lafayette St Bloomington IL 61701 Office - No Patient Care ABMCAEH-Mecherle Hall VA at Franklin Normal IL 61761 Office - No Patient Care ABMCAEH-Offc Building-Advocate Phys Ptr 3004 General Electric Road Bloomington IL 61704 Patient Care - Out Patient ABMCAEH-Community Healthcare Clinic 902 Franklin Ave Normal IL 61761 Patient Care - Out Patient ABMCAEH-Franklin Avenue Building 900 Franklin Ave Normal IL 61761 Patient Care - Out Patient ABMCAEH-Land (was apartment building) 702 W Virginia Normal IL 61761 Residential ABMCAEH-Medical Office Building 1302 Franklin Normal IL 61761 Patient Care - Out Patient ABMCAEH-POB Building 1300 Franklin Ave Normal IL 61761 Patient Care - Out Patient ABMCAEH Landmark Dr Location 207 Landmark Normal IL 61761 Office - Other ABMG-ABMG Central Billing Office 306 Eldorado Bloomington IL 61702 Office - No Patient Care ABMG-Crossroads Medical 128 W Main St Lexington IL 61753 Patient Care - Out Patient ABMG-Crossroads Medical 307 W Main St Lexington IL 61753 Patient Care - Out Patient ABMG-Crossroads Medical 385 S Orange St El Paso IL 61738 Patient Care - Out Patient ABMG-Fairbury Medical Associates 115 E Walnut Fairbury IL 61739 Patient Care - Out Patient ABMG-Healthpoint 1437 E College Ave Normal IL 61761 Patient Care - Out Patient ABMG-IL Heart & Lung Assc Pulmonologists 1302 Franklin Ave Normal IL 61761 Patient Care - Out Patient ABMG-Illinois Heart & Lung - Billing Off 1300 Franklin Ave Normal IL 61761 Patient Care - Out Patient ABMG-Illinois Heart & Lung - Pontiac Off 1508 W Reynolds Suite A Pontiac IL 61764 Patient Care - Out Patient ABMG-LeRoy Family Medicine 911 S Chestnut Leroy IL 61752 Patient Care - Out Patient ABMG-Medical Hills Internists 1401 Eastland Dr Bloomington IL 61701 Patient Care - Out Patient ABMG-Sugar Creek Medical I 1302 Franklin Ave Suite 1100 Normal IL 61761 Patient Care - Out Patient ABMG-Sugar Creek Medical II 1302 Franklin Ave Suite 2500 Normal IL 61761 Patient Care - Out Patient ABMG-Town & Country 105 S Major St Eureka IL 61530 Patient Care - Out Patient ABMG-Town & Country 415 W Front Roanoke IL 61561 Patient Care - Out Patient ABMG-Twin Cities Behavioral HealthEAP 303 N Hershey Rd Suite 2C Bloomington IL 61761 Patient Care - Out Patient ABMG-Twin Cities Behavioral HealthEAP 403 Virginia Ave Normal IL 61761 Patient Care - Out Patient ABMG-Twin Cities Behavioral HealthEAP 403 Virginia Ave 2nd Floor Normal IL 61761 Patient Care - Out Patient ACL-Lab Service Center 1775 Ballard Road LL Park Ridge IL 60068 Patient Care - Out Patient ACL-Lab Service Center 1870 West Galena Blvd Aurora IL 60506 Patient Care - Out Patient ACL-Lab Service Center 3048 N Wilton Lab Chicago IL 60657 Patient Care - Out Patient ACL-Lab Service Center - Parkside 1875 Dempster St Suite 504 Park Ridge IL 60068 Patient Care - Out Patient AHC-Beverly Health Facility-Walk-in-Care 9831 South Western Avenue Chicago IL 60643 Patient Care - Out Patient AHC-Burbank Health Facility 4901 West 79th Street Burbank IL 60459 Patient Care - Out Patient AHC- Evergreen Park Health Facility 1357 W 103rd Street Suites 100 Chicago IL 60643 Patient Care - Out Patient AHC-Evergreen Plaza - UM 9730 South Western Avenue Suite 73 Evergreen Park IL 60805 Patient Care - Out Patient AHC- Evergreen Peds 9730 South Western Avenue Suite 50 Evergreen Park IL 60805 Patient Care - Out Patient AHC-Frankfort AHC 328 N LaGrange Road Frankfort IL 60423 Patient Care - Out Patient AHC-Halsted & Blackhawk Health Facility 1460 N Halsted Avenue Chicago IL 60614 Patient Care - Out Patient AHC-Irving and Western 4025 North Western Avenue Chicago IL 60618 Patient Care - Out Patient AHC-Logan Square Health Facility 2511 North Kedzie Chicago IL 60647 Patient Care - Out Patient AHC-Oak Park - North Ave Health Facility 6434 West North Avenue Oak Park IL 60639 Patient Care - Out Patient AHC-Orland Square Health Center WALK-IN 29 Orland Square Drive Orland Park IL 60462 Patient Care - Out Patient AHC-Palos 7620 W 111th Street Palos Hills IL 60465 Patient Care - Out Patient AHC-Six Corners AHC 4211 North Cicero Suite 308 306 Chicago IL 60641 Patient Care - Out Patient AHC-South Holland 100 West 162nd Street South Holland IL 60473 Patient Care - Out Patient AHC-Southeast Health Facility 2301 East 93rd Street Suite 117 2 Chicago IL 60617 Patient Care - Out Patient AHC-Southwest Highway 11824 Southwest Highway Suites 135 Palos Heights IL 60463 Patient Care - Out Patient AHC-Sykes Health Center - WALK-IN CARE 2545-55 South Martin Luther King Dr Chicago IL 60616 Patient Care - Out Patient AHC-West Suburban - UM Office 3 Erie Court Oak Park IL 60439 Patient Care - Out Patient AIS-Advocate Imaging Specialists-Wilmett 114 Skokie Blvd Wilmette IL 60091 Patient Care - Out Patient AMG-87th & Greenwood 1111 E 87th Street Suite 900A Chicago IL 60619 Patient Care - Out Patient AMG- Des Plaines 701 Lee Street Suites LL 100 11 Des Plaines IL 60016 Patient Care - Out Patient AMG- Glenview 1255 Milwaukee Road Glenview IL 60025 Patient Care - Out Patient AMG- Heart and Vascular of Illinois 3118 N Ashland Avenue Chicago IL 60657 Patient Care - Out Patient AMG- Heart and Vascular of Illinois 5151 W 95th Street 2nd Floor Oak Lawn IL 60453 Patient Care - Out Patient AMG- Hyde Park 1301 E 47th Street Unit 2 Chicago IL 60615 Patient Care - Out Patient AMG- Hyde Park 1515 E 52nd Place Unit 5 Chicago IL 60615 Patient Care - Out Patient AMG- Lockport Primary Care 1206 E 9th Street Suite 210 Lockport IL 60441 Patient Care - Out Patient AMG- Mundelein Internal Medicine 550 N Lake Street Mundelein IL 60060 Patient Care - Out Patient AMG- Oak Lawn 4712 W 103rd Street Oak Lawn IL 60453 Patient Care - Out Patient AMG- Parkside Center 1875 W Dempster Street Suite 525 Park Ridge IL 60068 Patient Care - Out Patient AMG- Posen 2590 W Walter Zimny Drive Posen IL 60469 Patient Care - Out Patient AMG- Richton Park 4511 Sauk Trail Richton Park IL 60471 Patient Care - Out Patient AMG- Southeast Location 2301 E 93rd Street Suite 213 Chicago IL 60617 Patient Care - Out Patient AMG- Wauconda 224 Brown Street Wauconda IL 60522 Patient Care - Out Patient AMG- Metrodocs 431 Lakeview Court Mount Prospect IL 60056 Patient Care - Out Patient AMG- Alexian Brothers 800 Biesterfield Road Suite 645 Elk Grove Village IL 60007 Office - No Patient Care AMG- Alpine Family Medicine 350 Surryse Road Suite 100 Lake Zurich IL 60047 Patient Care - Out Patient AMG- Bartlett 1054 Norwood Lane Bartlett IL 60103 Patient Care - Out Patient AMG- Downers Grove 1341 Waren Avenue Downers Grove IL 60515 Patient Care - Out Patient AMG- Glenbrook 2551 Compass Drive Glenview IL 60026 Patient Care - Out Patient AMG- Hampshire 1000 S State Street Hampshire IL 60140 Patient Care - Out Patient AMG- Huntley 12151-12199 Regency Center Huntley IL 60142 Patient Care - Out Patient AMG- Island Lake 27979 Converse Road Island Lake IL 60042 Patient Care - Out Patient AMG- Lemont 6319 S Fairview Wesmont IL 60559 Patient Care - Out Patient AMG- Libertyville Winchester 1870 Winchester Road Suite 143 Libertyville IL 60048 Patient Care - Out Patient AMG-AMG Lincolwood 6540 N Lincoln Avenue Lincolnwwod IL 60712 Patient Care - Out Patient AMG-AMG Primary Care Specialists 150 N River Road Des Plaines IL 60016 Patient Care - Out Patient AMG-AMG Pulaski 10627 S Pulaski Chicago IL 60655 Patient Care - Out Patient AMG-AMG Riverside 7234 W Ogden Avenue Downers Grove IL 60515 Patient Care - Out Patient AMG-AMG Swedish Covenant 5140 N California Ave Suite 505 Chicago IL 60625 Patient Care - Out Patient AMG-AMG-Chicago-900 W Nelson 900 W Nelson 1st Floor Chicago IL 60657 Patient Care - Out Patient AMG-Amundsen School Based Health Center 5110 N Damen Avenue Rm 307 Chicago IL 60625 Patient Care - Out Patient AMG-Center for Advanced Cardiology 1875 Dempster Suite 580 585 590 Park Ridge IL 60068 Patient Care - Out Patient AMG-Doctors of the North Shore 6131 W Dempster Street Morton Grove IL 60053 Patient Care - Out Patient AMG-Doctors Office 3040 North Wilton Chicago IL 60657 Patient Care - Out Patient AMG-Downers Grove Internists 3825 Highland Avenue Suite 5B Downers Grove IL 60515 Patient Care - Out Patient AMG-Family Practice - Arlington Heights 825 East Golf Road Arlington Heights IL 60005 Patient Care - Out Patient AMG-Family Practice at Ravenswood 4600 N Ravenswood Avenue Chicago IL 60640 Patient Care - Out Patient AMG-Gartner Dentistry Building 811 West Wellington Avenue Chicago IL 60657 Patient Care - Out Patient AMG-Grand Oaks Health Center Hollister 1800 Hollister Drive Suite G2 Libertyville IL 60048 Patient Care - Out Patient AMG-Great Lakes REIT (GLR) Int Medicine 27790 West Highway 22 Bldg 1 Sui Barrington IL 60010 Patient Care - Out Patient AMG-Illinois Masonic Physician Group 4211 N Cicero Suite 300 Chicago IL 60641 Patient Care - Out Patient AMG-Internal Medicine - Buffalo Grove 214 McHenry Road Suites B19 B20 Buffalo Grove IL 60089 Patient Care - Out Patient AMG-Ivy Physicians Group 2437 N Southport Avenue 1st Floor Chicago IL 60614 Patient Care - Out Patient AMG-Lakeview School Based Health Center 4015 N Ashland Avenue Rm 103 Chicago IL 60657 Patient Care - Out Patient AMG-Libertyville Office Building AMG 716 S Milwaukee Avenue Libertyville IL 60048 Patient Care - Out Patient AMG-Medical Office Building 3000 North Halsted Street Suites 2 Chicago IL 60657 Patient Care - Out Patient AMG-MCCAMG Cicero 10837 S Cicero Ave Suite 200 110 Oak Lawn IL 60453 Patient Care - Out Patient AMG-MCCAMG Hickory Cardiac Care 3611 W 183rd Street Hazel Crest IL 60429 Patient Care - Out Patient AMG-MCCAMG Ravinia 14741 Ravinia Drive Orland Park IL 60467 Patient Care - Out Patient AMG-MCCAMG Ridgeland 9830 S Ridgeland Avenue Chicago Ridge IL 60415 Patient Care - Out Patient AMG-MCCAMG South Suburban POB 17850 S Kedzie Ave Suite 3250 Hazel Crest IL 60429 Patient Care - Out Patient AMG-MCCAMG Trinity POB 2301/2315 E 93rd St Suite 222 Chicago IL 60617 Patient Care - Out Patient AMG-MCC St James POB 3800 Burke Drive Suite 201 Olympia Fields IL 60449 Patient Care - Out Patient AMG-Midwest Heart SpecialistsBarrington 27750 W Highway 22 Suite 240 Barrington IL 60010 Patient Care - Out Patient AMG-Midwest Heart SpecialistsDowners Gr 3825 Highland Ave Suite 400 Downers Grove IL 60515 Patient Care - Out Patient AMG-Midwest Heart Specialists Elmhurst 133 E Brush Hill Rd Suite 202 Elmhurst IL 60126 Patient Care - Out Patient AMG-Midwest Heart SpecialistsHoffman Es 1555 Barrington Rd Suite 3200 Hoffman Estates IL 60194 Patient Care - Out Patient AMG-Midwest Heart SpecialistsNaperville 801 S Washington 4th Floor Naperville IL 60540 Patient Care - Out Patient AMG-Midwest Heart Specialists Winfield 25 N Winfield Rd Suite 301 Winfield IL 60190 Patient Care - Out Patient AMG-Midwest Pediatric Cardiolog Billing 621 Plainfield Road Suite 105 Willowbrook IL 60527 Office - No Patient Care AMG-Midwest Pediatric Cardiology Aurora 2020 Ogden Avenue Suite 400 Aurora IL 60504 Patient Care - Out Patient AMG-Midwest Pediatric Cardiology Christ 4440 W 95th Street Suite 108 Oak Lawn IL 60453 Patient Care - Out Patient AMG-Midwest Pediatric Cardiology Crest 16151 Weber Road Unit 107 Crest Hill IL 60403 Patient Care - Out Patient AMG-Midwest Pediatric Cardiology Hope 4440 W 95th St Suite 1100H Oak Lawn IL 60453 Patient Care - Out Patient AMG-Midwest Pediatric CardiologyLockprt 1206 9thStreet Suite 310 Lockport IL 60441 Patient Care - Out Patient AMG-Midwest Pediatric Cardiology Merril 209 E 86th Place Suite D Merrillville IN 46410 Patient Care - Out Patient AMG-Midwest Pediatric Cardiology MHS 1555 Barrington Rd Suite 3200 Hoffman Estates IL 60169 Patient Care - Out Patient AMG-Midwest Pediatric CardiologyMunster 800 MacArthur Blvd Suite 3 Munster IN 46321 Patient Care - Out Patient AMG-Midwest Pediatric CardiologyNapervl 1020 E Ogden Ave Suite 302 Naperville IL 60563 Patient Care - Out Patient AMG-Midwest Pediatric Cardiology Oak Ln 4700 W 95th Street Suite 205 Oak Lawn IL 60453 Patient Care - Out Patient AMG-Midwest Pediatric CardiologyRockfd 5701 Strathmoor Dr Suite 1 3 Rockford IL 61107 Patient Care - Out Patient AMG-Park Ridge Pediatric Nephrology 1480 Renaissance Dr Suite 211 Park Ridge IL 60068 Patient Care - Out Patient AMG-PEDS - Deerfield 720 Osterman Avenue 103 Deerfield IL 60015 Patient Care - Out Patient AMG-Ravenswood Medical Group 1945 W Wilson Avenue Ste 2100 4 Chicago IL 60640 Patient Care - Out Patient AMG-Tinley Park Medical Office 16750 South 80th Avenue Suite B Tinley Park IL 60477 Patient Care - Out Patient AMG- Orland Park Clinic & Orland Park SC 9550 W 167th Street Orland Park IL 60467 Patient Care - Out Patient AMG-Chicago (Medicine & Surgery) AMG 11250 S Western Chicago IL 60643 Patient Care - Out Patient AMG-Olympia Fields AMG 4001 Vollmer Road Olympia Fields IL 60461 Patient Care - Out Patient AMG-Olympia Fields Cancer Care Institute 3700 W 203rd Street Olympia Fields IL 60461 Patient Care - Out Patient AMG-Olympia Fields Corporate & Physical 20110 Governors Highway Olympia Fields IL 60461 Patient Care - Out Patient BH-POB Building 3410 West Van Buren Chicago IL 60624 Patient Care - Out Patient BH-POB Building 414 South Homan Chicago IL 60624 Patient Care - Out Patient CH-ACMC - Outpatient Center Lockport 1206 E 9th Street Suites 110 170 Lockport IL 60441 Patient Care - Out Patient CH-Advocate PTOT (Christ) 12340-50 S Harlem Avenue Palos Heights IL 60463 Patient Care - Out Patient CH-Ambulatory Building 4440 West 95th Street Oak Lawn IL 60453 Patient Care - In Patient CH-Breast Health Center 4545 W 103rd Street Oak Lawn IL 60453 Patient Care - Out Patient CH-Christ POB 4400 West 95th Street Suites 101 Oak Lawn IL 60453 Patient Care - Out Patient CH-Christ Women's Health Center 18210 South LaGrange Road Suite 20 Tinley Park IL 60477 Patient Care - Out Patient CH-Development Center 4546 West 95th Street Oak Lawn IL 60453 Patient Care - Out Patient CH-Family Practice 4140 West Southwest Highway Hometown IL 60456 Patient Care - Out Patient CH-High Tech Offices - Hospital 11800 Southwest Highway Palos Heights IL 60463 Patient Care - Out Patient CH-Physician's Offices 11745 Southwest Highway Palos Heights IL 60463 Patient Care - Out Patient CH-Physician's Offices 4151 Naperville Road Lisle IL 60532 Patient Care - Out Patient CH-Physician's Offices 9848 South Roberts Road Palos Heights IL 60465 Patient Care - Out Patient CH-Rotunda Medical Building 4340 West 95th Street Suite 104 Oak Lawn IL 60453 Patient Care - Out Patient FCN-Bolingbrook Quadrangle Building C 391 Quadrangle Drive N-4 Bolingbrook IL 60440 Patient Care - Out Patient GSAM-ADVOCATE GOOD SAMARITAN HOSPITAL OP 6840 Main Street 1st Floor Suite Downers Grove IL 60515 Patient Care - Out Patient GSAM-Good Samaritan Hospital Cancer Care 3745 Highland Avenue Downers Grove IL 60515 Patient Care - In Patient GSAM-Good Samaritan POB Tower 1 3825 Highland Avenue Suites 2J 4H Downers Grove IL 60515 Patient Care - Out Patient GSAM-Good Samaritan POB Tower 2 3825 Highland Avenue Suites 103 1 Downers Grove IL 60515 Patient Care - Out Patient GSAM-Lemont Walk In ClinicRadiology 15900 W 127th Street Suites 100 Lemont IL 60439 Patient Care - Out Patient GSAM-Midwest Center For Day Surgery 3811 Highland Avenue Downers Grove IL 60515 Patient Care - Out Patient GSAM-North Pavilion 3743 Highland Avenue Downers Grove IL 60515 Patient Care - Out Patient GSAM-Woodridge Imaging Center 7530 Woodward Avenue Woodridge IL 60517 Patient Care- Out Patient GSAM-Good Samaritan Wellness Center 3551 Highland Avenue Downers Grove IL 60515 Patient Care - Out Patient GSH-Advocate Adult & Pediatric Rehab Ctr 5150 Northwest Highway Crystal Lake IL 60014 Patient Care - Out Patient GSH-Briarwood Building 2272 Countyline Road Suites 100 2 Algonquin IL 60102 Patient Care - Out Patient GSH-Good Shepherd OP Ctr & Imaging Ctr 525 Congress Parkway 1st Floor 2 Crystal Lake IL 60014 Patient Care - Out Patient GSH-Good Shepherd POB Building 1 27790 West Highway 22 Suite 2 5 Barrington IL 60010 Patient Care - Out Patient GSH-Good Shepherd POB Building 2 27750 West Highway 22 SuiteS G50 Barrington IL 60010 Patient Care - Out Patient GSH-Imaging Center 2284 W Countyline Road Algonquin IL 60014 Patient Care - Out Patient GSH-LZ Breast Imaging CTR Pediatric CTR 350 Surryse Road Suites 140 150 Lake Zurich IL 60047 Patient Care - Out Patient GSH-North Suburban Clinic 2575 Algonquin Road Algonquin IL 601029403 Patient Care - Out Patient GSH-Advocate GSH Health & Fitness Ctr 1301 South Barrington Road Barrington IL 60005 Patient Care - Out Patient LGHS-Parkside Center 1875 Dempster Street Park Ridge IL 60068 Patient Care - Out Patient LGHS-Nesset Health Center 1775 Ballard Road Park Ridge IL 60068 Patient Care - Out Patient LGHS-Yacktman Children's Pavillion 1675 Dempster Street Park Ridge IL 60068 Patient Care - Out Patient LGHS-CTR for Advanced Care 1700 Lutheran Lane Park Ridge IL 60068 Patient Care - Out Patient LGHS-Adult Down Syndrome Clinic 1610 Luther Lane Park Ridge IL 60068 Patient Care - Out Patient LGHS-Cardiac Risk 8820 Dempster Street Park Ridge IL 60068 Patient Care - Out Patient LGHS-East Pavillion (Old Science Bldg) 1775 Western Avenue Park Ridge IL 60068 Patient Care - Out Patient LGHS-Vacant 1999 Dempster Street Park Ridge IL 60068 Patient Care - Out Patient LGHS-Golf Surgical Center 8901 Golf Road Des Plaines IL 60016 Patient Care - Out Patient OHC-Downers Grove Center 3551 Highland Avenue Suite 200 Downers Grove IL 60515 Patient Care - Out Patient OHC-Elk Grove Center 1502 Elmhurst Road Elk Grove Village IL 60007 Patient Care - Out Patient OHC-Hazel Crest Center 17850 South Kedzie Avenue Suite 11 Hazel Crest IL 60429 Patient Care - Out Patient OHC-Lake Zurich Center 350 Surryse Road Lake Zurich IL 60047 Patient Care- Out Patient OHC-LGOHC-I 7255 Caldwell Niles IL 60714 Patient Care - Out Patient OHC-Tinley Park Center - Occ Health 18210 South LaGrange Road Suite 21 Tinley Park IL 60477 Patient Care - Out Patient SSHS-Frankfort Medical Office 20325 South Graceland Lane Frankfort IL 60423 Patient Care - Out Patient SSHS-South Suburban Hospital - Crete loc 1024-1036 E Steger Road 4 Suites Crete IL 60417 Patient Care- Out Patient SSHS-South Suburban Hospital Cancer Ctr 17750 S Kedzie Hazel Crest IL 60429 Patient Care - Out Patient SSHS-South Suburban Med Offc & Sleep Ctr 16532 Oak Park Avenue Suite LL1 Tinley Park IL 60477 Patient Care - Out Patient SSHS-South Suburban POB 17850 South Kedzie Suites LL 1 2 Hazel Crest IL 60429 Patient Care - Out Patient TH-Sleep Center 1111 E 87th Street Suite 500 Chicago IL 60617 Patient Care- Out Patient TH-Trinity POB 2301-2315 East 93rd StreetSuites 1 Chicago IL 60617 Patient Care - Out Patient TH-Wound Care Clinic 8751 S Greenwood Suite600 100 Chicago IL 60619 Patient Care- Out Patient Advanced MRI (AMRI) 2204 Eastland Drive Suite 200 Bloomington IL 61701 Patient Care - Out Patient 1. REQUIRED DESCRIPTIONS PART I, LINE 3C N/A PART I, LINE 6A A SYSTEM-WIDE COMMUNITY BENEFIT REPORT IS FILED BY: ADVOCATE HEALTH CARE NETWORK 3075 HIGHLAND PARKWAY, DOWNERS GROVE, IL 60515. EIN 36-2167779 PART I, LINE 7 A COST-TO-CHARGE RATIO, DERIVED FROM SCHEDULE H INSTRUCTIONS WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES, WAS USED TO CALCULATE THE AMOUNTS REPORTED IN THE TABLE FOR PART I, LINE 7A. SCHEDULE H INSTRUCTIONS WORKSHEET 3, UNREIMBURSED MEDICAID AND OTHER MEANS-TESTED GOVERNMENT PROGRAMS, WAS USED TO CALCULATE THE AMOUNTS REPORTED IN THE TABLE FOR PART I, LINE 7B. A COST ACCOUNTING SYSTEM WAS USED TO DETERMINE THE AMOUNTS REPORTED IN THE TABLE FOR PART I, LINES 7E, 7F, 7G, AND 7I. PART VI, LINE 1-7E ADVOCATE HEALTH & HOSPITALS CORPORATION PROVIDES COMMUNITY HEALTH IMPROVEMENT SERVICES TO THE COMMUNITIES IN WHICH IT SERVES. AHHC PROVIDES LANGUAGE SERVICES TO ALL THOSE IN NEED IN ORDER TO PROVIDE BETTER ACCESS TO CARE FOR ALL COMMUNITY MEMBERS. IN ADDITION, OTHER PROGRAMS ARE CARRIED OUT WITH THE EXPRESS PURPOSE OF IMPROVING COMMUNITY HEALTH, ACCESS TO HEALTH SERVICES AND GENERAL HEALTH KNOWLEDGE. THESE SERVICES DO NOT GENERATE PATIENT BILLS, HOWEVER, CERTAIN PROGRAMS OR SERVICES MAY HAVE NOMINAL FEES. THESE SERVICES AND PROGRAMS INCLUDE SENIOR BREAKFAST CLUBS WHICH INCLUDE EDUCATIONAL SPEAKERS FOCUSING ON HEALTH AND WELLNESS AND INCLUDE BLOOD PRESSURE SCREENINGS; CANCER SUPPORT GROUPS FOR VARIOUS TYPES OF CANCER INCLUDING, PROSTATE, BREAST AND SKIN CANCERS. THESE GROUPS FOCUS ON EDUCATING THE NEWLY DIAGNOSED AND PROVIDING INFORMATION ON BETTER LIVING FOR SURVIVORS. SKIN CANCER SCREENING ARE ALSO PROVIDED; VARIOUS PROGRAMS REGARDING JOINT PAIN AND REPLACEMENT INCLUDING TREATMENT OPTIONS AND INFORMATION ON PAIN RELIEF; VARIOUS WOMEN AND BABY, BREASTFEEDING, MULTIPLES AND CHILDBIRTH CLASSES; VARIOUS EDUCATIONAL PROGRAMS AND SUPPORT GROUPS TO RAISE AWARENESS OF HEART DISEASE RISK FACTORS AND TREATMENT OPTIONS AND EDUCATION FOR LIVING WITH THE DISEASE; THERE ARE VARIOUS PROGRAMS REGARDING HEALTH EATING AND THE RISKS OF BEING OVERWEIGHT FOR BOTH ADULTS AND ADOLESCENTS. THESE PROGRAMS INCLUDE SCREENING, EDUCATION AND OPTIONS FOR DEALING WITH THE ISSUE; PROGRAMS RELATED TO SPORTS MEDICINE AND ATHLETIC TRAINING AND INJURIES ARE ALSO OFFERED; CPR TRAINING IS OFFERED TO THE COMMUNITY AS WELL AS VARIOUS OTHER WELLNESS AND SCREENING PROGRAMS AND HEALTH FAIRS ARE OFFERED THROUGHOUT THE YEAR. CAREER COUNSELING, MENTORING AND JOB SHADOWING ARE ALSO OFFERED TO STUDENTS WHO EXPLORE CAREER POSSIBILITIES IN HEALTH CARE. CERTAIN OF THESE PROGRAMS ARE GEARED TO THE LOW INCOME AND DIVERSE STUDENT POPULATIONS. PART I, LINE 7G ADVOCATE HEALTH & HOSPITALS CORPORATION PROVIDES SUBSIDIZED HEALTH SERVICES TO THE COMMUNITY. THESE SERVICES ARE PROVIDED DESPITE CREATING A FINANCIAL LOSS FOR AHHC. THESE SERVICES ARE PROVIDED BECAUSE THEY MEET AN IDENTIFIED COMMUNITY NEED. IF AHHC DID NOT PROVIDE THE CLINICAL SERVICE, IT IS REASONABLE TO CONCLUDE THAT THESE SERVICES WOULD NOT BE AVAILABLE TO THE COMMUNITY. THE SERVICES INCLUDED ARE BOTH INPATIENT AND OUTPATIENT PROGRAMS FOR, MENTAL, BEHAVIORAL AND CHEMICAL DEPENDENCY HEALTH SERVICES, REHABILITATION SERVICES, CARDIAC SURGERY, ORTHOPEDIC AND HOSPICE SERVICES. PART I, LINE 7H AHHC CONDUCTS NUMEROUS RESEARCH ACTIVITIES FOR THE ADVANCEMENT OF MEDICAL AND HEALTH CARE SERVICES. HOWEVER, THE UNREIMBURSED COST OF SUCH RESEARCH ACTIVITIES IS NOT READILY DETERMINABLE AND NO AMOUNT IS BEING REPORTED FOR PURPOSES OF THE 2014 FORM 990, SCHEDULE H. PART I, LINE 7, COLUMN (F) $212,681,858 OF BAD DEBT EXPENSE WAS INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT WAS REMOVED FROM THE DENOMINATOR FOR PURPOSES OF SCHEDULE H, PART I, LINE 7, COLUMN (F). PART II N/A PART III, LINES 2, 3, AND 4 THE FOOTNOTES TO ADVOCATE HEALTH CARE NETWORK AND SUBSIDIARIES' AUDITED FINANCIAL STATEMENTS DO NOT SPECIFICALLY ADDRESS BAD DEBT EXPENSE; RATHER, THE FOOTNOTE DESCRIBES ADVOCATE'S PATIENT ACCOUNTS RECEIVABLE POLICY AND THE PERCENTAGE OF ACCOUNTS RECEIVABLE THAT THE ALLOWANCE FOR DOUBTFUL ACCOUNTS COVERS (SEE PAGE 11 OF THE AUDITED FINANCIAL STATEMENTS). FOR 2014, FOR AHHC, THE ALLOWANCE FOR DOUBTFUL ACCOUNTS COVERED 24.7% OF NET PATIENT ACCOUNTS RECEIVABLE. PATIENT ACCOUNTS RECEIVABLE ARE STATED AT NET REALIZABLE VALUE. AHHC EVALUATES THE COLLECTABILITY OF ITS ACCOUNTS RECEIVABLE BASED ON THE LENGTH OF TIME THE RECEIVABLE IS OUTSTANDING, PAYER CLASS, HISTORICAL COLLECTION EXPERIENCE, AND TRENDS IN HEALTH CARE INSURANCE PROGRAMS. ACCOUNTS RECEIVABLE ARE CHARGED TO THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS WHEN THEY ARE DEEMED UNCOLLECTIBLE. THE COSTING METHODOLOGY USED IN DETERMINING THE AMOUNTS REPORTED ON LINES 2 AND 3 IS BASED ON THE RATIO OF PATIENT CARE COST TO CHARGES. THE UNREIMBURSED COST OF BAD DEBT WAS CALCULATED BY APPLYING THE ORGANIZATION'S COST TO CHARGE RATIO FROM THE MEDICARE COST REPORTS (CMS 2252-96 WORKSHEET C, PART 1, PPS INPATIENT RATIOS) TO THE ORGANIZATION'S BAD DEBT PROVISION PER GENERALLY ACCEPTED ACCOUNTING PRINCIPLES, LESS ANY PATIENT OR THIRD PARTY PAYOR PAYMENTS RECEIVED. ADVOCATE MAKES EVERY EFFORT TO IDENTIFY THOSE PATIENTS WHO ARE ELIGIBLE FOR FINANCIAL ASSISTANCE BY STRICTLY ADHERING TO ITS FINANCIAL ASSISTANCE POLICY. WE BELIEVE THAT ADVOCATE HAS A POPULATION OF PATIENTS WHO ARE UNINSURED OR UNDERINSURED BUT WHO DO NOT COMPLETE THE FINANCIAL ASSISTANCE APPLICATION 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 20% DISCOUNT TO CHARGES WHICH IS APPLIED TO ALL SELF-PAY PATIENTS. IT ALSO DOES NOT INCLUDE ACCOUNT BALANCES OR CO-PAYS OF NON-SELF PAY ACCOUNTS WHICH ARE WRITTEN OFF TO BAD DEBT WHEN THE PATIENT HAS NO OTHER FINANCIAL RESOURCES TO PAY THESE AMOUNTS AND THE PATIENT DOES NOT APPLY FOR FINANCIAL ASSISTANCE. BAD DEBT AMOUNTS HAVE BEEN EXCLUDED FROM OTHER COMMUNITY BENEFIT AMOUNTS REPORTED THROUGHOUT SCHEDULE H. PART III, LINE 8 THE SHORTFALL OF $144,141,808 ON PART III, LINE 7 IS THE UNREIMBURSED COST OF PROVIDING SERVICES FOR MEDICARE PATIENTS AND SHOULD BE TREATED AS COMMUNITY BENEFIT BECAUSE PROVIDING THESE SERVICES WITHOUT REIMBURSEMENT LESSENS THE BURDENS OF GOVERNMENT OR OTHER CHARITIES THAT WOULD OTHERWISE BE NEEDED TO SERVE THE COMMUNITY. FOR ADVOCATE HEALTH AND HOSPITAL CORPORATION'S HOSPITAL OPERATIONS, THE UNREIMBURSED COST OF MEDICARE WAS CALCULATED BY APPLYING THE ORGANIZATION'S COST TO CHARGE RATIO FROM THE MEDICARE COST REPORTS (CMS 2252-96 WORKSHEET C, PART 1, PPS INPATIENT RATIOS) AND FOR NON-HOSPITAL OPERATIONS THE COST TO CHARGE RATIO CALCULATED ON WORKSHEET 2 RATIO OF PATIENT CARE COST TO CHARGES TO THE ORGANIZATION'S MEDICARE, LESS ANY PATIENT OR THIRD PARTY PAYOR PAYMENTS AND/OR CONTRIBUTIONS RECEIVED THAT WERE DESIGNATED FOR THE PAYMENT OF MEDICARE PATIENT BILLS. PART III, LINE 9B ADVOCATE HEALTH AND HOSPITALS CORPORATION MAINTAINS BOTH WRITTEN FINANCIAL ASSISTANCE AND BAD DEBT/COLLECTION POLICIES. THE BAD DEBT/COLLECTION POLICY DOES NOT APPLY TO THOSE PATIENTS KNOWN TO QUALIFY FOR CHARITY CARE OR OTHER FINANCIAL ASSISTANCE, THEREFORE SUCH PATIENTS ARE NOT SUBJECT TO COLLECTION PRACTICES. 2. NEEDS ASSESSMENT ADVOCATE CHRIST MEDICAL CENTER IN ADDITION TO IDENTIFYING ITS COMMUNITY'S HEALTH CARE NEEDS THROUGH ITS CHNA, ACMC ALSO ASSESSES THE NEEDS OF ITS COMMUNITY THROUGH ONGOING COLLABORATIONS WITH: *LOCAL FAITH-BASED ORGANIZATIONS - PROVIDING SCREENINGS AND EDUCATIONAL OPPORTUNITIES DIRECTLY TO CONGREGATIONS AS REQUESTED; *SCHOOL SYSTEMS (CHICAGO AND SUBURBAN)- WORKING WITH CPS AND SUBURBAN SCHOOL DISTRICTS TO DETERMINE HEALTH NEEDS SEEN MOST OFTEN BY SCHOOL HEALTH PROVIDERS; PROVIDING HOSPITAL EXPERTS FOR COMMUNITY SPEAKING ENGAGEMENTS AND PROFESSIONAL EDUCATION OPPORTUNITIES; *SCHOOL NURSES - PROVIDING ANNUAL SCHOOL NURSES CONFERENCE TO UPDATE FRONT-LINE PROVIDERS ON LATEST TREATMENT OPTIONS AND HEALTH CONDITIONS AFFECTING THEIR STUDENTS. SUBSEQUENT YEAR'S CONFERENCE TOPICS ARE DETERMINED BY EVALUATIONS FROM PREVIOUS CONFERENCE ATTENDEES WHO REQUEST TOPICS BASED ON FREQUENCY OF ISSUES AFFECTING THEIR STUDENTS; *CIVIC GROUPS (ROTARY, OAK LAWN COMMUNITY PARTNERSHIP) -- THE HEALTHCARE ROTARY IS BASED AT CHRIST MEDICAL CENTER. MOST MEMBERS ARE ACMC ASSOCIATES (EMPLOYEES). THE GROUP LOOKS FOR OPPORTUNITIES FOR THE MEDICAL CENTER AND ITS ASSOCIATES TO PARTICIPATE IN HEALTH-FOCUSED COMMUNITY PROJECTS; *PATIENT-FAMILY ADVISORY COUNCILS - COMMUNITY MEMBERS HAVING FIRST-HAND EXPERIENCE WITH HOSPITAL SERVICES COMPRISE THE COUNCIL. AS PART OF THEIR PARTICIPATION, THEY ARE CONSULTED ON SERVICES PROVIDED AND THOSE TO BE CONSIDERED. ADVOCATE LUTHERAN GENERAL HOSPITAL ADVOCATE LUTHERAN GENERAL HOSPITAL ASSESSES THE NEEDS OF ITS COMMUNITIES IN MULTIPLE WAYS INCLUDING EVALUATION OF COMMUNITY HEALTH EVENTS, DELIBERATIONS OF THE HOSPITAL'S COUNCILS OF ADVISORS, PATIENT ROUNDING AND CAREGIVER INTERACTIONS, MIDAS PATIENT COMPLAINT REPORTING, ACCREDITATION SURVEY REPORTS, LEADERSHIP PARTICIPATION IN COMMUNITY ORGANIZATIONS, INPUT BY CARE MANAGERS WHO ARE HELPING PATIENTS AND FAMILIES TRANSITION FROM HOSPITAL TO HOME, AND COMMENTS RECEIVED THROUGH LETTERS, PHONE CALLS AND SOCIAL MEDIA POSTS. IN ADDITION, MORE FORMAL PRIMARY DATA COLLECTION HAS BEEN A PART OF BOTH THE HEALTHIER PARK RIDGE AND HEALTHIER NILES PROJECTS, AND THE KOREAN COMMUNITY ASSESSMENT NOTED IN PART V, QUESTION 11. HEALTHIER NILES PROJECT AS DONE WITH THE HEALTHIER PARK RIDGE PROJECT IN 2013, ADVOCATE LUTHERAN GENERAL HOSPITAL COLLABORATED WITH THE COMMUNITY BY CHAIRING THE HEALTHIER NILES PROJECT. RECOGNIZING THAT OVERALL FAMILY NEEDS, NEEDS OF SENIORS AND MENTAL/BEHAVIORAL HEALTH NEEDS ARE AMONG THE TOP SIGNIFICANT HEALTH NEEDS IMPACTING ALL OF ITS COMMUNITIES, ADVOCATE LUTHERAN GENERAL HOSPITAL'S DIRECTOR OF COMMUNITY AND HEALTH RELATIONS ENGAGED OTHER COMMUNITY PARTNERS TO BETTER UNDERSTAND AND DEVELOP INTERVENTIONS FOR IMPACTING THESE ISSUES. THE DIRECTOR, AS CHAIR OF THE NILES HEALTHY COMMUNITY PARTNERSHIP, INITIATED AND CHAIRED A COALITION OF OVER 27 LOCAL PARTNERS TO STUDY AND ADDRESS THE NEED COLLABORATIVELY. THE COALITION WAS COMPRISED OF MULTIPLE STAKEHOLDERS INCLUDING REPRESENTATIVES FROM LOCAL GOVERNMENT, POLICE/FIRE/PARAMEDICS, COMMUNITY-BASED AGENCIES, FAITH COMMUNITIES AND SCHOOLS. WITH INPUT FROM THE COALITION, A SURVEY WAS DESIGNED AND SENT OUT TO THE COMMUNITY IN LATE SUMMER 2014 WITH APPROXIMATELY 500 SURVEYS COMPLETED AND RETURNED. THE RESULTS WERE COMPILED AND A REPORT DRAFTED FOR PRESENTATION TO THE VILLAGE OF NILES AND OTHER VILLAGE ORGANIZATIONS IN 2015. ADVOCATE GOOD SAMARITAN HOSPITAL ADVOCATE GOOD SAMARITAN HOSPITAL NOW PARTICIPATES IN IMPACT DUPAGE AND CONTINUES PARTICIPATION IN FORWARD (AN OBESITY COALITION) TO EXPAND PARTNERSHIPS AND NEEDS ASSESSMENT ACTIVITIES IN THE COMMUNITY. ADVOCATE GOOD SHEPHERD HOSPITAL IN ADDITION TO THE FORMAL SURVEYS CONDUCTED FOR THE ASSESSMENT, THE HOSPITAL ALSO PARTNERS WITH LOCAL COMMUNITY GROUPS AND CONGREGATIONS TO HELP ASSESS AND PROVIDE RESOURCES TO IMPROVE THE HEALTH STATUS OF INDIVIDUALS WITHIN THESE GROUPS. THE MISSION AND SPIRITUAL CARE TEAM AT THE HOSPITAL WORKS CLOSELY WITH SEVERAL COMMUNITY CONGREGATIONS TO SURVEY AND RESPOND TO SPECIFIC NEEDS IDENTIFIED THROUGH THIS PROCESS. SOME CONGREGATIONS HAVE ASKED FOR SPECIFIC EDUCATION ON END OF LIFE ISSUES, OTHERS ON DIABETES MANAGEMENT, ETC. THE HOSPITAL WORKS WITH THESE CONGREGATIONS AND OTHER COMMUNITY GROUPS TO BRIDGE SERVICES TO CONGREGANTS. THE HOSPITAL ALSO ACTS AS A CATALYST BY PROVIDING LEADERSHIP AND RESOURCES TO COMMUNITY COALITIONS TO HELP ADDRESS ISSUES THAT MAY SURFACE, SUCH AS SUICIDE AND SUBSTANCE ABUSE CONCERNS. ADVOCATE SOUTH SUBURBAN HOSPITAL N/A ADVOCATE BROMENN MEDICAL CENTER ADVOCATE BROMENN MEDICAL CENTER'S COMMUNITY HEALTH LEADER AND ANOTHER MEMBER OF THE LEADERSHIP TEAM WERE A PART OF THE MCLEAN COUNTY COMMUNITY HEALTH ADVISORY COMMITTEE (CHAC) AND HELPED IN THE DEVELOPMENT OF THE 2012-2017 COMMUNITY HEALTH PLAN (CHP) FOR MCLEAN COUNTY. THE PLAN WAS CREATED USING THE HANLON METHOD. THE HANLON METHOD WAS UTILIZED TO ESTABLISH PRIORITIES BASED ON THE SIZE AND SERIOUSNESS OF THE HEALTH PROBLEM AS WELL AS THE EFFECTIVENESS OF THE AVAILABLE INTERVENTIONS. ON APRIL 19, 2012, THE CHAC APPROVED THE CHP. BROMENN MEDICAL CENTER'S COMMUNITY HEALTH LEADER ALSO PARTICIPATED IN OSF SAINT JOSEPH MEDICAL CENTER'S COLLABORATIVE CHNA TEAM IN FEBRUARY 2013. ADVOCATE TRINITY HOSPITAL IN ADDITION TO THE NEEDS ASSESSMENTS PREVIOUSLY REPORTED, IN 2014 THE HOSPITAL IMPLEMENTED THE CENTER FOR FAITH AND HEALTH TRANSFORMATION'S CONGREGATIONAL HEALTH SURVEY, WHICH ASSESSES THE COMMUNITY HEALTH NEEDS OF CONGREGATIONS AND SPECIFIC POPULATIONS SURROUNDING THEM. THE FOCUS GROUP SURVEYED INCLUDED FIVE FAITH ORGANIZATIONS THAT WERE MEMBERS OF THE PARTNERS FOR FAITH AND HEALTH NETWORK, A COLLABORATIVE WITHIN THE TRINITY HOSPITAL SERVICE AREA. THE SURVEYS RESULTED IN THE IDENTIFICATION OF SEVERAL HEALTH NEEDS INCLUDING THE TOP THREE HEALTH CONCERNS OF HYPERTENSION, OBESITY AND DIABETES. THE FINDINGS ARE CONSISTENT WITH THE FINDINGS OF THE COMMUNITY HEALTH NEEDS IDENTIFIED IN THE 2011-2013 TRINITY HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT. THE SURVEY ALSO PROVIDED INFORMATION REGARDING HEALTH EDUCATION NEEDS AND PROGRAMMATIC NEEDS TO ADDRESS CHRONIC HEALTH ISSUES. TRINITY HOSPITAL USES THIS VALUABLE INFORMATION TO DESIGN AND DEVELOP SPECIFIC COMMUNITY HEALTH OUTREACH EFFORTS TO IMPACT THE HEALTH OF THE COMMUNITY. ADVOCATE EUREKA HOSPITAL ADVOCATE EUREKA HOSPITAL HAS A STRONG PARTNERSHIP WITH THE WOODFORD COUNTY HEALTH DEPARTMENT. THE HOSPITAL'S ADMINISTRATOR PARTICIPATED IN THE IPLAN MEETINGS HELD ON 9/27/11, 11/16/11, 12/7/11, 1/11/12, 1/25/12 AND 8/8/12. AT THE 1/25/12 MEETING, THE IPLAN GROUP APPROVED THREE HEALTH PRIORITIES FOR WOODFORD COUNTY, INCLUDING: * ACCESS TO MENTAL HEALTH SERVICES * OBESITY * SUBSTANCE ABUSE IN THE OVER 18 POPULATION EUREKA HOSPITAL SELECTED ACCESS TO MENTAL HEALTH SERVICES AS ITS KEY HEALTH PRIORITY AS DETERMINED THROUGH THE HOSPITAL'S CHNA PROCESS. ACCESS TO MENTAL HEALTH SERVICES ALSO ALIGNS WITH THE HEALTH PRIORITIES SELECTED FOR THE WOODFORD COUNTY HEALTH DEPARTMENT. 3. PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE AHHC ASSISTS PATIENTS WITH ENROLLMENT IN GOVERNMENT-SUPPORTED PROGRAMS FOR WHICH THEY ARE ELIGIBLE AND IN SECURING REIMBURSEMENT FROM AVAILABLE THIRD PARTY RESOURCES. FINANCIAL COUNSELING IS PROVIDED TO HELP PATIENTS IDENTIFY AND OBTAIN PAYMENT FROM THIRD PARTIES, INCLUDING ILLINOIS MEDICAID, ILLINOIS CRIME VICTIMS FUND, ETC., AS WELL AS TO DETERMINE ELIGIBILITY UNDER AHHC'S HOSPITAL FINANCIAL ASSISTANCE POLICY. ADVOCATE UTILIZES A FINANCIAL SCREENING SOFTWARE PROGRAM TO HELP IDENTIFY PUBLIC ASSISTANCE PROGRAMS FOR WHICH THE PATIENT MAY BE ELIGIBLE OR ADVOCATE'S FINANCIAL ASSISTANCE AT THE TIME OF REGISTRATION OR AS SOON AS PRACTICABLE THEREAFTER. IN ADDITION, HEALTHADVISOR, ADVOCATE'S EDUCATION REGISTRATION AND PHYSICIAN REFERRAL TELEPHONE CENTER, SERVES AS A COMMUNITY RESOURCE PROVIDING REFERRALS TO GOVERNMENT-FUNDED AND OTHER PROGRAMS VIA TELEPHONE FROM 8 A.M. TO 6 P.M., MONDAY THROUGH FRIDAY. AHHC ASSISTS PATIENTS WITH APPLYING FOR ADVOCATE'S OWN FINANCIAL ASSISTANCE SERVICES IF PATIENTS ARE NOT ELIGIBLE FOR GOVERNMENT-SUPPORTED PROGRAMS. ADVOCATE HEALTH AND HOSPITALS CORPORATION COMMUNICATES THE AVAILABILITY OF FINANCIAL ASSISTANCE IN THE APPLICABLE LANGUAGES OF THE HOSPITAL COMMUNITY. MEANS OF COMMUNICATION INCLUDE: 1. THE HEALTH CARE CONSENT THAT IS SIGNED UPON REGISTRATION FOR HOSPITAL SERVICES INCLUDES A STATEMENT THAT FINANCIAL COUNSELING, INCLUDING FINANCIAL ASSISTANCE CONSIDERATION, IS AVAILABLE UPON REQUEST. 2. 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, A 4. COMMUNITY INFORMATION ADVOCATE CHRIST MEDICAL CENTER DEFINITION OF COMMUNITY FOR ITS CHNA, ACMC'S COMMUNITY WAS DEFINED AS THE TOTAL SERVICE AREA (TSA), WHICH INCLUDES THE PRIMARY SERVICE AREA (PSA) AND SECONDARY SERVICE AREA (SSA) FOR CHRIST MEDICAL CENTER. THE PRIMARY SERVICE AREA (PSA) INCLUDES THE COMMUNITIES OF CHICAGO RIDGE, MIDLOTHIAN, OAK FOREST, OAK LAWN, BRIDGEVIEW, HOMETOWN, HICKORY HILLS, JUSTICE, BURBANK, ORLAND PARK, PALOS HEIGHTS, PALOS PARK, PALOS HILLS, ORLAND HILLS, TINLEY PARK, WORTH, TINLEY PARK, ALSIP, EVERGREEN PARK, AUBURN PARK, CHICAGO LAWN, ELSDON, OGDEN PARK, CLEARING, MORGAN PARK, ASHBURN AND MOUNT GREENWOOD. THE SECONDARY SERVICE AREA (SSA) INCLUDES THE COMMUNITIES OF BLUE ISLAND, FRANKFORT, HARVEY, MARKHAM, LEMONT, LOCKPORT, MOKENA, NEW LENOX, HOMER GLEN, NEW CITY, SOUTH CHICAGO, GRAND CROSSING, ENGLEWOOD, ROSELAND, SOUTH SHORE AND RIVERDALE. THE TSA IS 38.4% WHITE NON-HISPANIC, 35.6% BLACK NON-HISPANIC, 23.2% HISPANIC, 1.6% ASIAN AND PACIFIC ISLANDER NON-HISPANIC, WITH ALL OTHERS BEING 1.1%. AS REPORTED BY THE U.S. BUREAU OF LABOR IN JULY 2013, THERE IS A SIGNIFICANTLY HIGHER UNEMPLOYMENT RATE IN CHRIST MEDICAL CENTER'S TSA (9.7%) AS COMPARED TO THE U.S. UNEMPLOYMENT RATE (7.4%). THE AVERAGE HOUSEHOLD INCOME IS $63,630, WHICH IS SLIGHTLY LESS THAN THE U.S. AVERAGE OF $67,315. HEALTH RESOURCES IN DEFINED COMMUNITY THE TARGET COMMUNITY IS SERVED BY A VARIETY OF HEALTH RESOURCES, INCLUDING FULL-SERVICE COMMUNITY AND ACADEMIC HOSPITALS, AS WELL AS SAFETY NET PROVIDERS, SUCH AS PUBLIC HEALTH CLINICS, FEDERALLY QUALIFIED HEALTH CENTERS AND MOBILE HEALTH PROVIDERS. DESPITE WHAT APPEARS TO BE A LONG LIST OF PROVIDERS WITHIN CHRIST MEDICAL CENTER'S TSA, SUBSTANTIAL VARIATION EXISTS IN BOTH AVAILABILITY AND ACCESSIBILITY TO RESOURCES ACROSS COMMUNITIES. THE AREAS OF GREATEST NEED ARE FOUND MAINLY ON CHICAGO'S SOUTH SIDE WHERE CLINICS ARE SCATTERED AND THE RATIO OF PATIENTS TO FAMILY PHYSICIANS IS LOWER THAN IN MORE AFFLUENT AREAS. THERE ARE THIRTEEN HOSPITALS IN CHRIST MEDICAL CENTER'S TSA, INCLUDING: ADVOCATE CHRIST MEDICAL CENTER IN OAK LAWN, LITTLE COMPANY OF MARY HOSPITAL IN EVERGREEN PARK, PALOS COMMUNITY HOSPITAL IN PALOS HEIGHTS, HOLY CROSS HOSPITAL IN MARQUETTE PARK (CHICAGO), ADVOCATE TRINITY HOSPITAL IN CHICAGO, INGALLS MEMORIAL HOSPITAL IN HARVEY, ROSELAND COMMUNITY HOSPITAL IN ROSELAND (CHICAGO), SOUTH SHORE HOSPITAL IN SOUTH CHICAGO (CHICAGO), METRO SOUTH MEDICAL CENTER IN BLUE ISLAND, JACKSON PARK HOSPITAL IN SOUTH SHORE (CHICAGO), LA RABIDA CHILDREN'S HOSPITAL IN SOUTH SHORE (CHICAGO), ST. BERNARD HOSPITAL IN ENGLEWOOD (CHICAGO) AND SILVER CROSS HOSPITAL IN NEW LENOX. THERE ARE FOUR COOK COUNTY HEALTH CLINICS LOCATED IN ENGLEWOOD, OAK FOREST, ROSELAND AND HARVEY. IN ADDITION, THERE ARE FOUR CHICAGO DEPARTMENT OF HEALTH CENTERS IN CHICAGO LAWN, ROSELAND, SOUTH CHICAGO AND ENGLEWOOD. THERE ARE ALSO FOUR FEDERALLY QUALIFIED HEALTH CENTERS (FQHCS) INCLUDING MILES SQUARE HEALTH CENTER IN SOUTH SHORE, COMMUNITY HEALTH FREE CARE IN ENGLEWOOD, BELOVED COMMUNITY HEALTH CENTER IN ENGLEWOOD AND CHRISTIAN COMMUNITY HEALTH CENTER IN MORGAN PARK AND OAK FOREST. ADVOCATE LUTHERAN GENERAL HOSPITAL LUTHERAN GENERAL HOSPITAL'S COMMUNITY HEALTH COUNCIL ULTIMATELY SETS THE DIRECTION FOR THE HOSPITAL'S COMMUNITY HEALTH INITIATIVES. FOR THE PURPOSES OF THIS COMMUNITY ASSESSMENT, LUTHERAN GENERAL HOSPITAL'S COMMUNITY HEALTH COUNCIL DEFINED THE COMMUNITY AS ITS PRIMARY SERVICE AREA (PSA). THIS PSA IS COMPRISED OF THE FOLLOWING COMMUNITIES: PARK RIDGE (60068); DES PLAINES (60016 AND 60017); NILES (60714); MORTON GROVE (60053); GLENVIEW (60025 AND 60026); SKOKIE (60076 AND 60077); MOUNT PROSPECT (60056); ARLINGTON HEIGHTS (60004 AND 60005); DEERFIELD (60015); LAKE ZURICH (60047); NORTHBROOK (60062); PALATINE (60067 AND 60074); PROSPECT HEIGHTS (60070); BUFFALO GROVE (60089); WHEELING (60090); AND CHICAGO COMMUNITIES OF JEFFERSON PARK (60630); NORWOOD PARK (60631); DUNNING (60634); IRVING PARK (60641); FOREST GLEN (60646); HARWOOD HEIGHTS (60656 AND 60706); AND ELMWOOD PARK (60707). WHILE MOST OF THE DATA REVIEWED BY LUTHERAN GENERAL HOSPITAL'S COMMUNITY HEALTH COUNCIL WAS FOR ITS PRIMARY SERVICE AREA, THE COUNCIL REVIEWED SOME ADDITIONAL, MORE SPECIFIC DATA FOR PARTS OF ITS PSA, INCLUDING: (1) DATA FOR THE TOWNSHIP SURROUNDING THE HOSPITAL, MAINE TOWNSHIP; (2) THE HOSPITAL'S HOME CITY OF PARK RIDGE; AND (3) DATA FOR SPECIFIC ETHNIC POPULATIONS THAT THE COUNCIL RECOGNIZED AS GROWING POPULATIONS WITHIN THE HOSPITAL'S TOTAL SERVICE AREA. POPULATION LOCATED IN PARK RIDGE, ILLINOIS (2010 POP: 37,480) ADVOCATE LUTHERAN GENERAL HOSPITAL SERVES A MAJOR PORTION OF NORTHWEST COOK COUNTY WITH THE PRIMARY SERVICE AREA (PSA) ENCOMPASSING 28 ZIP CODES AND 1,052,855 PERSONS ACROSS 217 SQUARE MILES. LARGER COMMUNITIES INCLUDE ARLINGTON HEIGHTS (75,101), DES PLAINES (58,364), MOUNT PROSPECT (54,167), PALATINE (68,557) AND SKOKIE (64,784) AS WELL AS A PORTION OF THE CITY OF CHICAGO AND A VERY SMALL PORTION OF LAKE COUNTY. MOST HOUSEHOLDS IN THE PSA (68.6%) ARE FAMILY HOUSEHOLDS. MARRIED COUPLED FAMILIES ARE 53.9% OF HOUSEHOLDS WHILE 10.4% HAVE FEMALE HOUSEHOLDERS. THREE IN TEN HOUSEHOLDS (32.3%) INCLUDE CHILDREN. ABOUT ONE-FOURTH OF HOMES (26.5%) INCLUDE A PERSON WHO IS 65 OR OLDER, WHILE ONE OF NINE SENIOR CITIZENS (11.7%) LIVES ALONE. HOMEOWNERS CONSTITUTE 71.2% OF HOUSEHOLDS, WHILE 26.5% RENT. THE AVERAGE HOUSEHOLD SIZE IS 2.63 WHICH IS CONSISTENT WITH THE NATION'S AVERAGE HOUSEHOLD SIZE OF 2.58, AND THE STATE OF ILLINOIS AVERAGE AT 2.59. AGE AND GENDER ON THE WHOLE, THE POPULATION OF LUTHERAN GENERAL HOSPITAL'S PSA IS RELATIVELY OLDER. THE MEDIAN AGE IS 41.0 (U.S. 37.2) WITH A SENIOR 65+ POPULATION OF 165,714 (15.7%) AND A 62+ POPULATION OF 200,756 (19.1%) OR NEARLY ONE IN FIVE PERSONS. OF THE PSA POPULATION OF MORE THAN ONE MILLION, 511,641 (48.6%) ARE MALE AND 541,214 (51.4%) ARE FEMALE FOR A GENDER RATIO OF 94.5 MALES PER 100 FEMALES. THE "BABY BOOMER" GENERATION HAS EXPERIENCED THE LARGEST GROWTH FROM 2000-2010. MAINE TOWNSHIP HAS AN EVEN OLDER POPULATION THAN THE OVERALL PRIMARY SERVICE AREA; WITH PARK RIDGE HAVING AN EVEN OLDER POPULATION THAN MAINE TOWNSHIP. MAINE TOWNSHIP HAS A MEDIAN AGE OF 42.4 YEARS, WITH 17.5% OF ITS POPULATION 65+ AND A GENDER RATIO OF 92.1 MEN PER 100 WOMEN. PARK RIDGE HAS A MEDIAN AGE OF 44.8 WITH 18.4% OF ITS POPULATION AGE 65 OR OLDER. RACE AND ETHNICITY WHILE LUTHERAN GENERAL'S PRIMARY SERVICE AREA IS PREDOMINANTLY WHITE, NON-HISPANIC (66.0%), THE POPULACE ALSO INCLUDES 18.1% HISPANIC, 11.2% ASIAN AND 3.1% AFRICAN AMERICAN. THE HISPANIC POPULATION IS MOSTLY OF MEXICAN ORIGIN, WHILE THE LARGEST ASIAN GROUP IS SOUTH ASIAN. OVERALL, 37.5% OF THE RESIDENTS IN THE AREA ARE FOREIGN BORN. HALF OF THE FOREIGN BORN POPULATION HAS BECOME CITIZENS. NEARLY 15.6% REPORT SPEAKING SPANISH AT HOME WITH NEARLY HALF OF THOSE WHO DO SPEAK ENGLISH REPORTING THEY DO NOT SPEAK ENGLISH VERY WELL. HOWEVER, THERE IS A HIGHER MINORITY RATIO AMONG YOUTH THAN AMONG OLDER POPULATIONS. FOR EXAMPLE, IN MAINE TOWNSHIP, ONLY 58.1% OF CHILDREN 8 OR UNDER ARE WHITE, NON-HISPANIC COMPARED TO 87.1 % OF SENIOR CITIZENS (68.4% FOR THE TOTAL POPULATION). BECAUSE MINORITY GROUPS ARE YOUNG, WITH HIGHER BIRTH RATES, THEY WILL LIKELY BECOME A PROPORTIONATELY LARGER POPULATION IN THE FUTURE. ACCORDING TO THE US CENSUS BUREAU (2000 AND 2010), THE NUMBER OF SOUTH ASIANS IN THE UNITED STATES INCREASED 70%, FROM 1,678,765 TO 2,843,391 FROM 2000 TO 2010. SOUTH ASIANS ARE DEFINED BY THOSE WHO DERIVE THEIR ETHNIC ORIGINS FROM THE INDIAN SUBCONTINENT. NUMBERS FOR THE SAME ETHNIC POPULATION GROUP IN ILLINOIS INCREASED 50%, FROM 124,723 TO 188,328, IN THE SAME 2000 TO 2010 TIME PERIOD. THE GREATER CHICAGO AREA CURRENTLY SERVES AS ONE OF THE MAJOR CULTURAL CENTERS OF THE UNITED STATES' SOUTH ASIAN COMMUNITY. MORE THAN 50% OF THIS COMMUNITY IS BETWEEN THE AGES OF 25 AND 55 YEARS OLD. LUTHERAN GENERAL HOSPITAL'S TOTAL PRIMARY SERVICE AREA HAS MORE THAN 53,363 SOUTH ASIANS. WITHIN A 40 MINUTE DRIVE OF LUTHERAN GENERAL HOSPITAL, THERE ARE 26 SOUTH ASIAN PLACES OF WORSHIP, INCLUDING TEMPLES, MOSQUES AND CHURCHES. ACCORDING TO THE THOMSON REUTERS MARKET EXPERT (2011), THE U.S. CENSUS BUREAU (2000 AND 2010) AND THE AMERICAN COMMUNITY SURVEY (2007-2011), THE KOREAN-AMERICAN COMMUNITY INCREASED IN COOK COUNTY BY APPROXIMATELY 23% TO OVER 30,000 KOREAN AMERICANS FROM 2000 TO 2010. IN LUTHERAN GENERAL'S PRIMARY SERVICE AREA, THERE ARE OVER 13,000 KOREAN AMERICANS WITH THAT NUMBER EXPECTED TO INCREASE ACCORDING TO CENSUS DATA. ACCORDING TO THE THOMSON REUTERS MARKET EXPERT (2011), THE U.S. CENSUS BUREAU (2000 AND 2010) AND THE AMERICAN COMMUNITY SURVEY (2007-2011), THERE WERE 152,730 POLISH AMERICANS IN LUTHERAN GENERAL'S PRIMARY SERVICE WITH THAT NUMBER PROJECTED TO RISE. THE MAJORITY OF POLISH PATIENTS COME FROM THE FOLLOWING ZIP CODES IN DESCENDING ORDER: 60016 (DES PLAINES); 60714 (NILES); 60634 (CHICAGO); 60656 (CHICAGO); 60056 (MT. PROSPECT); AND 60068 (PARK RIDGE). EDUCATION AND I HEALTH RESOURCES IN THE DEFINED COMMUNITY THERE ARE EIGHT HOSPITALS WITHIN THE LUTHERAN GENERAL PRIMARY SERVICE AREA. IN ADDITION TO LUTHERAN GENERAL HOSPITAL, THERE IS ALSO OUR LADY OF THE RESURRECTION MEDICAL CENTER, RESURRECTION MEDICAL CENTER, ALEXIAN BROTHERS MEDICAL CENTER, NORTHWEST COMMUNITY HOSPITAL, NORTHSHORE GLENBROOK HOSPITAL, HOLY FAMILY MEDICAL CENTER AND NORTHSHORE SKOKIE HOSPITAL. THERE ARE 582 PRIMARY CARE PHYSICIANS WITHIN THE MARKET AND 1,612 SPECIALISTS. THE SPECIALISTS INCLUDE 230 OBSTETRICS & GYNECOLOGY PHYSICIANS, 106 CARDIOLOGISTS, 69 OTOLARYNGOLOGISTS, 64 GASTROENTEROLOGISTS, AND 147 ORTHOPEDIC PHYSICIANS. THE PEDIATRIC PRIMARY SERVICE AREA IS SLIGHTLY LARGER AND INCLUDES 698 PEDIATRICIANS AND 281 PEDIATRIC SPECIALISTS. THERE IS ALSO THE ACCESS COMMUNITY HEALTH NETWORK GENESIS CLINIC FOR HEALTH AND EMPOWERMENT IN DES PLAINES, ILLINOIS, WHICH IS A FEDERALLY QUALIFIED HEALTH CENTER (FQHC) THAT PROVIDES HEALTH CARE PRIMARILY FOR LOW INCOME AND UNINSURED PATIENTS, MAINLY FOR THE HISPANIC COMMUNITY. ADVOCATE GOOD SAMARITAN HOSPITAL FOR PLANNING PURPOSES, THE COMMUNITY HEALTH COUNCIL DEFINES THE COMMUNITY AS THE PRIMARY SERVICE AREA FOR THE HOSPITAL. GOOD SAMARITAN HOSPITAL'S PRIMARY SERVICE AREA (PSA) CONSISTS OF 16 COMMUNITIES IN WESTERN SUBURBAN DUPAGE COUNTY OF METROPOLITAN CHICAGO. THE HOSPITAL SERVES AN ADDITIONAL 12 COMMUNITIES IN ITS SECONDARY SERVICE AREA (SSA). THE TOTAL SERVICE AREA (TSA) REFERS TO GOOD SAMARITAN HOSPITAL'S COMBINED PRIMARY AND SECONDARY SERVICE AREA. A REVIEW OF THE DEMOGRAPHIC DATA (2010) FOR THE HOSPITAL'S PSA SHOWED THE POPULATION TO BE PRIMARILY WHITE, NON-HISPANIC. THE HISPANIC POPULATION COMPRISED 9% OF THE PSA COMPARED TO 15.8% NATIONALLY. THE ASIAN AND PACIFIC ISLANDER POPULATION PERCENTAGE IS TWICE THAT OF THE NATIONAL AVERAGE OR 9.3% VERSUS 4.5%. COMBINED, THESE TWO GROUPS MAKE UP ALMOST 20% OF GOOD SAMARITAN'S PSA. BLACK NON-HISPANICS ACCOUNT FOR 6.3% OF THE POPULATION IN THE PSA COMPARED TO 12.1% NATIONALLY. NEARLY TWICE AS MANY ADULTS IN THE GOOD SAMARITAN HOSPITAL PSA HAVE A BACHELOR'S DEGREE OR HIGHER WHEN COMPARED TO THE NATIONAL AVERAGE. THERE ARE ALSO 1.5 TIMES THE NUMBER OF HOUSEHOLDS WITH INCOME OF $75K OR ABOVE IN THE GOOD SAMARITAN HOSPITAL PSA COMPARED TO THE NATIONAL AVERAGE. WHILE OVERALL POPULATION GROWTH IN THE PSA IS PRIMARILY FLAT AT 1.6%, IT IS EXPECTED THAT THE POPULATION OF ADULTS GREATER THAN 65 YEARS OF AGE WILL INCREASE BY 20% FROM 2010-2015. THE TOTAL POPULATION IN 2010 WAS 682,821. WITHIN GOOD SAMARITAN HOSPITAL'S PSA, THE 65 AND OLDER AGE GROUP IS PROJECTED TO GROW FROM 83,607 IN 2010 TO 100,460 IN 2015. FEMALES OF CHILD BEARING AGE (15-44) ARE PROJECTED TO DECLINE BY 2.8% FROM 129,640 IN 2010 TO 126,001 IN 2015. THE AVERAGE HOUSEHOLD INCOME IN THE PSA IS $104,232 COMPARED TO THE NATIONAL HOUSEHOLD INCOME OF $71,071. A WIDER VIEW OF DUPAGE COUNTY SHOWS THAT ALTHOUGH THE TOTAL POPULATION OF DUPAGE COUNTY HAS SEEN ONLY MODEST GROWTH SINCE 1990 COMPARED TO PREVIOUS DECADES (18% GROWTH), THE NUMBER OF PEOPLE IN POVERTY HAS GROWN BY 131%, AND THE NUMBER OF WORKING POOR (THOSE WITH INCOME BELOW 200% OF FEDERAL POVERTY LEVEL) HAS GROWN BY 102%. BY COMPARISON, CHICAGO'S POVERTY POPULATION DECREASED BY 2.7% DURING THIS SAME TIME PERIOD, AND ITS WORKING POOR NUMBERS INCREASED BY ONLY 1.9%. THIS SHIFT IN THE POVERTY POPULATION TOWARD THE SUBURBS IS CONSISTENT WITH OTHER SUBURBS IN THE REGION AND ACROSS THE COUNTRY AND IMPACTS GOOD SAMARITAN HOSPITAL'S PSA. HOSPITALS AND HEALTH RESOURCES THERE ARE FIVE HOSPITALS LOCATED WITHIN GOOD SAMARITAN HOSPITAL'S PSA: ADVOCATE GOOD SAMARITAN HOSPITAL IN DOWNERS GROVE, EDWARD HOSPITAL IN NAPERVILLE, ADVENTIST HINSDALE HOSPITAL IN HINSDALE, ADVENTIST BOLINGBROOK HOSPITAL IN BOLINGBROOK, AND ELMHURST MEMORIAL HOSPITAL IN ELMHURST. THERE ARE 1,237 PRIMARY CARE PHYSICIANS LOCATED WITHIN DUPAGE COUNTY, AS WELL AS 585 MENTAL HEALTH PROVIDERS AND 998 DENTISTS. THE NUMBER OF PROVIDERS PER TOTAL POPULATION IS ABOVE THE NATIONAL AND ILLINOIS STATE AVERAGE FOR ALL OF THE ABOVE PROVIDER TYPES. THERE ARE ALSO MANY SPECIALISTS INCLUDING 253 PEDIATRICIANS, 191 OBSTETRICIANS AND 115 GENERAL SURGEONS PRACTICING IN DUPAGE COUNTY, IN ADDITION TO 121 PHARMACIES OR DRUG STORES. THE DUPAGE COUNTY PUBLIC HEALTH DEPARTMENT, AS WELL AS THE ACCESS COMMUNITY HEALTH NETWORK FEDERALLY QUALIFIED HEALTH CENTER (FQHC) CLINICS, PROVIDE HEALTH CARE PRIMARILY FOR LOW INCOME AND UNINSURED PATIENTS. IN ADDITION, ACCESS DUPAGE, A COLLABORATIVE EFFORT BY HUNDREDS OF INDIVIDUALS AND ORGANIZATIONS IN DUPAGE COUNTY, ALSO PROVIDES A MOSAIC APPROACH TO PROVIDING ACCESS TO MEDICAL SERVICES FOR THE COUNTY'S LOW-INCOME AND MEDICALLY UNINSURED RESIDENTS. IT REPRESENTS A UNIQUE PARTNERSHIP OF COUNTY HOSPITALS (INCLUDING GOOD SAMARITAN), PHYSICIANS, LOCAL GOVERNMENT, HUMAN SERVICES AGENCIES, AND COMMUNITY GROUPS WORKING TOGETHER TO ADDRESS THIS FORMIDABLE ISSUE. ADVOCATE GOOD SHEPHERD HOSPITAL PRIMARY SERVICE AREA ADVOCATE GOOD SHEPHERD HOSPITAL'S PRIMARY SERVICE AREA (PSA) INCLUDES THE FOLLOWING COMMUNITIES: BARRINGTON (60010), LAKE ZURICH (60047), CARY (60013), FOX RIVER GROVE (60021), CRYSTAL LAKE (60014), ISLAND LAKE (60042), WAUCONDA (60084), MCHENRY (60050, 50051), PALATINE (60067), ALGONQUIN (60102), AND LAKE IN THE HILLS (60156). THE POPULATION GROWTH RATE IN THE HOSPITAL'S PSA HAS BEEN SLOWING IN THE PAST FEW YEARS AS EVIDENT WHEN COMPARING THE POPULATION TOTAL OF 361,762 IN 2010 TO THE POPULATION TOTAL OF 362,733 IN 2009. THE PSA HAS A HIGH OVERALL SOCIO-ECONOMIC LEVEL WITH A MEDIAN HOUSEHOLD INCOME OF $91,118, WHICH IS 39% GREATER THAN THE SIX COUNTY METROPOLITAN CHICAGO AREA. THE PERCENTAGE OF HOUSEHOLDS IN THE PSA WITH INCOMES <$25,000 IS 10.3% WITH THE RANGE FOR INDIVIDUAL COMMUNITIES FROM 6.6-16.8%. THE PSA POPULATION IS 4.2% UNINSURED AND 4.7% MEDICAID AS COMPARED TO 12.8% AND 14.7%, RESPECTIVELY, FOR THE SIX COUNTY AREA. THE COMMUNITY WITH THE HIGHEST PERCENT UNINSURED AND ON MEDICAID IS WAUCONDA WITH 7.7% AND 9.46%, RESPECTIVELY. GOOD SHEPHERD'S PSA IS ALSO VERY HOMOGENOUS WITH 86% OF THE POPULATION BEING CAUCASIAN. EIGHT PERCENT OF THE POPULATION IS HISPANIC AND 4% IS ASIAN. HOWEVER, HISPANICS COMPRISE 10% OF CRYSTAL LAKE'S POPULATION, 11% OF THE 60050 MCHENRY ZIP CODE, 13% OF ISLAND LAKE'S POPULATION AND 18% OF WAUCONDA'S POPULATION. WHILE INCREASES IN MINORITY POPULATIONS WILL ACCOUNT FOR ABOUT 33% OF THE TOTAL POPULATION GROWTH, THE OVERALL RACIAL MIX OF THE MARKET WILL REMAIN LARGELY UNCHANGED. SECONDARY SERVICE AREA GOOD SHEPHERD'S SECONDARY SERVICE AREA (SSA), CONSISTS OF THE FOLLOWING COMMUNITIES: CRYSTAL LAKE (60012), MUNDELEIN (60060), ROUND LAKE (60073), WOODSTOCK (60098), AND CARPENTERSVILLE (60110). THE SSA HAS A SIGNIFICANTLY LOWER OVERALL SOCIO-ECONOMIC LEVEL THAN THE PSA, WITH A MEDIAN HOUSEHOLD INCOME OF $70,933, WHICH IS 8.4% BELOW THE SIX COUNTY METROPOLITAN CHICAGO AREA. THE PERCENTAGE OF HOUSEHOLDS IN THE SSA WITH INCOMES <$25,000 IS 13.3% WITH THE RANGE FOR INDIVIDUAL COMMUNITIES FROM 8.0-17.9%. THE SSA POPULATION IS 6.7% UNINSURED AND 8.6% MEDICAID. WITHIN THE HOSPITAL'S SSA, WOODSTOCK HAS THE HIGHEST PROPORTION OF UNINSURED AT 8.6% AND CARPENTERSVILLE HAS THE HIGHEST MEDICAID AT 12.9%. ADVOCATE SOUTH SUBURBAN HOSPITAL DEFINITION OF COMMUNITY FOR THE PURPOSES OF THIS ASSESSMENT, THE COMMUNITY HEALTH COUNCIL HAS DEFINED "THE COMMUNITY" AS SOUTH SUBURBAN HOSPITAL'S PRIMARY SERVICE AREA (PSA), WHICH INCLUDES TWENTY-TWO ZIP CODES IN SOUTH COOK COUNTY WITH PARTS OF PARK FOREST AND FRANKFORT IN WILL COUNTY. SOUTH SUBURBAN HOSPITAL'S PSA IS PRIMARILY COMPRISED OF COOK COUNTY RESIDENTS. THE ACTUAL ZIP CODES AND CORRESPONDING CITIES, TOWNS OR VILLAGES ARE: 60409 - CALUMET CITY; 60411 - CHICAGO HEIGHTS AND FORD HEIGHTS; 60419 - DOLTON; 60422 - FLOSSMOOR; 60423 - FRANKFORT; 60425 - GLENWOOD; 60426 - HARVEY; 60428 - MARKHAM; 60429 - HAZEL CREST; 60430 - HOMEWOOD; 60438 - LANSING; 60443 - MATTESON; 60445 - MIDLOTHIAN; 60452 - OAK FOREST; 60461 - OLYMPIA FIELDS; 60466 - PARK FOREST; 60471 - RICHTON PARK; 60473 - SOUTH HOLLAND; 60476 - THORNTON; 60477 - TINLEY PARK; 60478 - COUNTRY CLUB HILLS AND 60487 - TINLEY PARK. RACE AND ETHNICITY ACCORDING TO THE 2010 U.S. CENSUS, SOUTH SUBURBAN HOSPITAL'S PRIMARY SERVICE AREA IS 47 PERCENT AFRICAN AMERICAN (N=235,365), 38 PERCENT CAUCASIAN (N=190,282) AND 12 PERCENT HISPANIC (N=57,986). OTHER ETHNICITIES INCLUDING AMERICAN INDIAN, ASIAN AND NATIVE HAWAIIAN COMPRISE 3.3 PERCENT OF THE TOTAL POPULATION. THE PRIMARY SERVICE AREA HAS A SIGNIFICANTLY HIGHER AFRICAN AMERICAN POPULATION THAN THE AVERAGE FOR COOK COUNTY (47 PERCENT COMPARED TO NEARLY 25 PERCENT, RESPECTIVELY). AGE & GENDER RESIDENTS' AGES WITHIN SOUTH SUBURBAN HOSPITAL'S PSA SPAN THE LIFE CYCLE, WITH 26 PERCENT OF THE POPULATION LESS THAN 18 YEARS OLD, 34 PERCENT 18-44 YEARS OLD, 27 PERCENT 45-64 YEARS OLD AND 13 PERCENT 65 YEARS AND OLDER. MIRRORING THE NATIONAL TREND, OLDER ADULTS ARE AMONG THE FASTEST GROWING AGE GROUPS. THE AREAS WITH THE LARGEST PERCENTAGE OF OLDER ADULTS IN TH POVERTY ACCORDING TO COMMUNITY PROFILES, SOUTH DISTRICT, COOK COUNTY DEPARTMENT OF PUBLIC HEALTH 2006-2008, 8.5 PERCENT OF INDIVIDUALS IN SUBURBAN COOK COUNTY HAVE INCOMES THAT ARE BELOW 100 PERCENT OF THE POVERTY LEVEL WITH 23.1 PERCENT LIVING BELOW 200 PERCENT OF THE POVERTY LEVEL. THERE IS SIGNIFICANT DISPARITY RELATED TO POVERTY LEVELS AMONG THE COMMUNITIES WITHIN SOUTH SUBURBAN HOSPITAL'S PSA, RANGING FROM 1.3 PERCENT OF THE TOTAL POPULATION LIVING BELOW 100 PERCENT OF POVERTY LEVEL IN FLOSSMOOR TO 31.9 PERCENT IN HARVEY AND 47.7 PERCENT BELOW 100 PERCENT OF THE POVERTY LEVEL IN FORD HEIGHTS. NEARLY 62 PERCENT OF FORD HEIGHTS' RESIDENTS LIVE BELOW 200 PERCENT OF THE POVERTY LEVEL AS COMPARED TO 56.4 PERCENT IN HARVEY AND ONLY 7.7 PERCENT IN FLOSSMOOR. ON AVERAGE, 12.4 PERCENT OF INDIVIDUALS IN SOUTH SUBURBAN HOSPITAL'S PRIMARY SERVICE AREA ARE LIVING BELOW 100 PERCENT OF THE FEDERAL POVERTY LEVEL; WHILE 28.1 PERCENT OF INDIVIDUALS ARE LIVING 200 PERCENT BELOW THE FEDERAL POVERTY LEVEL. SOURCE: HTTP://WWW.COOKCOUNTYPUBLICHEALTH.ORG/FILES/PDF/DATA-AND-REPORTS/COMMUNITY -PROFILES-06-08/SOUTH-DISTRICT-0608R.PDF PUBLIC HEALTH LITERATURE HAS IDENTIFIED A LINK BETWEEN POVERTY AND DISEASE, AS COMMUNITIES CONSIDERED UNDERPRIVILEGED EXHIBIT HIGHER MORTALITY AND MORBIDITY RATES THAN WEALTHIER COUNTERPARTS. FOR EXAMPLE, THE BURDEN OF ASTHMA IS NOT BORNE EQUALLY THROUGHOUT THE U.S. NEARLY 5,000 PEOPLE DIE FROM ASTHMA EACH YEAR NATIONALLY AND THE RISK OF DEATH AMONG AFRICAN AMERICANS IS THREE TIMES GREATER THAN AMONG CAUCASIANS IN AMERICA, WHICH HAS BEEN ATTRIBUTED TO HIGHER RATES OF POVERTY. ADDITIONALLY, AS A SOCIAL DETERMINANT OF HEALTH, POVERTY HAS BEEN LINKED WITH LOWER ACCESS TO CARE, BEING UNINSURED AND A DECREASE IN LIKELIHOOD TO RECEIVE MEDICAL TREATMENT UNTIL DISEASE IS EXACERBATED. AREAS WITH INCREASED POVERTY OFTEN LACK POLICIES, SYSTEMS AND ENVIRONMENTS THAT PROMOTE HEALTHY LIVING AND MAKE CHOOSING HEALTHY LIFESTYLES DIFFICULT. WHILE RESIDENTS OF SOME COMMUNITIES WITHIN SOUTH SUBURBAN HOSPITAL'S PSA ARE AMONG THE POOREST IN THE NATION, OTHERS ARE AMONG SOME OF THE MOST AFFLUENT WITHIN COOK COUNTY, THE STATE OF ILLINOIS AND, IN SOME INSTANCES, THE U.S. FOR EXAMPLE, HARVEY HAS AN AVERAGE HOUSEHOLD INCOME OF $43,356, COMPARED TO FLOSSMOOR'S AVERAGE HOUSEHOLD INCOME OF $114,131. ADDITIONALLY, ALMOST 40 PERCENT OF HARVEY'S RESIDENTS MAKE LESS THAN $25,000 A YEAR, COMPARED TO THE 40 PERCENT OF FLOSSMOOR'S RESIDENTS THAT MAKE $100,000 OR MORE. WHEN COMPARING EDUCATIONAL ATTAINMENT, 10 PERCENT OF HARVEY'S RESIDENTS HAVE A BACHELOR'S DEGREE OR HIGHER, AND FLOSSMOOR'S PERCENTAGE IS SLIGHTLY MORE THAN 50 PERCENT. APPROXIMATELY 41 PERCENT OF THE PRIMARY SERVICE AREA POPULATION HAS A HIGH SCHOOL DEGREE OR BELOW (INCLUDING NEARLY 12 PERCENT THAT DO NOT HAVE A HIGH SCHOOL DEGREE). THE AVERAGE HOUSEHOLD INCOME IS $68,343, WHICH IS SLIGHTLY BELOW THAT OF THE U.S., AND 34 PERCENT OF THE POPULATION IS UNINSURED/UNDERINSURED. ADDITIONALLY, THE SOUTH DISTRICT OF COOK COUNTY, AS DEFINED BY THE COOK COUNTY DEPARTMENT OF PUBLIC HEALTH, AND INCLUDING SOUTH SUBURBAN HOSPITAL'S PSA, EXPERIENCES SOME OF THE HIGHEST RATES OF POOR HEALTH OUTCOMES WITHIN COOK COUNTY, INCLUDING CHRONIC DISEASES SUCH AS ASTHMA, CARDIOVASCULAR DISEASE AND CANCER. FOR EXAMPLE, ACCORDING TO THE COOK COUNTY DEPARTMENT OF PUBLIC HEALTH DURING THE COMBINED YEARS OF 2005-2007, CORONARY HEART DISEASE MORTALITY WAS HIGHEST AMONG THE AFRICAN AMERICAN POPULATION IN THE SOUTH DISTRICT AT OVER 250.0 PER 100,000 RESIDENTS, AS OPPOSED TO THE ILLINOIS RATE OF THE SAME GROUP AT SLIGHTLY LESS THAN 150.0 PER 100,000 RESIDENTS. WITHIN ADVOCATE SOUTH SUBURBAN HOSPITAL'S PSA, THERE ARE FOUR HOSPITALS, THREE FQHC FACILITIES AND ONE COUNTY CLINIC. ONE HOSPITAL RESIDES IN THE SSA. FOLLOWING ARE THE HEALTH FACILITIES/ORGANIZATIONS AND THE COMMUNITY WHERE EACH RESIDES: INGALLS MEMORIAL HOSPITAL, HARVEY, IL; ST. JAMES HOSPITAL OLYMPIA FIELDS, OLYMPIA FIELDS, IL; SILVER CROSS HOSPITAL, NEW LENOX, IL; ST. JAMES HOSPITAL CHICAGO HEIGHTS, CHICAGO HEIGHTS, IL; METRO SOUTH MEDICAL CENTER, BLUE ISLAND, IL; AUNT MARTHA'S COMMUNITY HEALTH CENTER, FQHC, SITES IN HARVEY, HAZEL CREST AND CHICAGO HEIGHTS, IL; ACCESS COMMUNITY HEALTH NETWORK, FQHC, CHICAGO HEIGHTS, IL; FAMILY CHRISTIAN HEALTH CENTER, FQHC, HARVEY, IL; AND OAK FOREST HEALTH CENTER, COOK COUNTY OUTPATIENT HEALTHCARE FACILITY, OAK FOREST, IL. ADVOCATE BROMENN MEDICAL CENTER COMMUNITY DEFINITION BROMENN MEDICAL CENTER'S COMMUNITY HEALTH COUNCIL DEFINED THE COMMUNITY AS MCLEAN COUNTY, THE PRIMARY SERVICE AREA (PSA) FOR BROMENN MEDICAL CENTER. THIS AREA INCLUDES THE FOLLOWING CITIES AND TOWNS: ANCHOR, ARROWSMITH, BELLFLOWER, BLOOMINGTON, CARLOCK, CHENOA, COLFAX, COOKSVILLE, DANVERS, DOWNS, ELLSWORTH, GRIDLEY, HEYWORTH, HUDSON, LE ROY, LEXINGTON, MCLEAN, MERNA, NORMAL, SAYBROOK, STANFORD AND TOWANDA. THE COMMUNITY CONSISTS OF A TOTAL POPULATION OF 169,572 ACCORDING TO THE 2010 US CENSUS BUREAU. BLOOMINGTON HAS THE LARGEST POPULATION IN THE COUNTY WITH 76,610 AND NORMAL HAS THE SECOND LARGEST POPULATION WITH 52,497. ACCORDING TO THE 2012 US CENSUS BUREAU, THE POPULATION IN MCLEAN COUNTY INCREASED BY 14.5 PERCENT FROM 2000 TO 2012, WITH A TOTAL POPULATION INCREASE FROM 150,433 TO 172,281, RESPECTIVELY. DEMOGRAPHICS AGE AND GENDER ACCORDING TO THE 2012 US CENSUS BUREAU, THE MEDIAN AGE IN MCLEAN COUNTY IS 32.4 YEARS OF AGE. TWENTY-FIVE AND A HALF PERCENT OF PERSONS IN MCLEAN COUNTY ARE 25 TO 44 YEARS OF AGE AND 23.6 PERCENT ARE 45 TO 64 YEARS OF AGE. TEN AND SEVEN TENTHS PERCENT OF PERSONS ARE OVER THE AGE OF 65. FORTY-EIGHT AND SIX TENTHS PERCENT OF THE POPULATION IN MCLEAN COUNTY IS MALE AND 51.4 PERCENT IS FEMALE. RACE AND ETHNICITY THE POPULATION OF MCLEAN COUNTY IS 85.2 PERCENT WHITE, 7.6 PERCENT BLACK OR AFRICAN AMERICAN, 4.8 PERCENT ASIAN, 4.6 PERCENT HISPANIC OR LATINO AND 0.3 PERCENT AMERICAN INDIAN AND ALASKA NATIVE. ECONOMICS THE PERCENT OF PERSONS LIVING BELOW THE POVERTY LEVEL IN MCLEAN COUNTY, ACCORDING TO THE AMERICAN COMMUNITY SURVEY 2007-2011 AND THE 2012 US CENSUS BUREAU, IS 13.4 PERCENT COMPARED TO A RATE OF 13.1 PERCENT FOR ILLINOIS. THE MEDIAN HOUSEHOLD INCOME FOR MCLEAN COUNTY IS $59,410. THIS IS SLIGHTLY HIGHER THAN THE MEDIAN HOUSEHOLD INCOME FOR ILLINOIS OF $56,576. THE PERCENT OF THE POPULATION RECEIVING MEDICAID IN MCLEAN COUNTY HAS RISEN STEADILY FROM 5.8 PERCENT IN 2004 TO 13.8 PERCENT IN 2010. IT IS ESTIMATED THAT MCLEAN COUNTY CURRENTLY HAS 10,000 TO 15,000 UNINSURED RESIDENTS. BASED ON THE 2012 CENSUS BUREAU POPULATION ESTIMATE OF 172,281, THIS EQUATES TO BETWEEN 5.8 AND 8.7 PERCENT OF MCLEAN COUNTY RESIDENTS BEING UNINSURED. EDUCATION MCLEAN COUNTY IS ABOVE THE STATE AVERAGE IN TERMS OF EDUCATION. NINETY-THREE AND FOUR TENTHS PERCENT OF THE POPULATION OVER THE AGE OF 25 POSSESSES A HIGH SCHOOL DIPLOMA OR HIGHER AND 41.4 PERCENT HAVE A BACHELOR'S DEGREE OR HIGHER. THE STATE AVERAGE FOR A BACHELOR'S DEGREE OR HIGHER IS 30.7 PERCENT. ILLINOIS STATE UNIVERSITY, ILLINOIS WESLYAN UNIVERSITY, HEARTLAND COMMUNITY COLLEGE AND LINCOLN COLLEGE ARE ALL LOCATED IN MCLEAN COUNTY. HEALTH CARE RESOURCES IN THE DEFINED COMMUNITY THERE ARE NUMEROUS HEALTH CARE RESOURCES IN MCLEAN COUNTY. THERE ARE TWO HOSPITALS, INCLUDING ADVOCATE BROMENN MEDICAL CENTER LOCATED IN NORMAL AND OSF SAINT JOSEPH MEDICAL CENTER LOCATED IN BLOOMINGTON. THERE IS ALSO A FEDERALLY QUALIFIED HEALTH CENTER (FQHC), THE CHESTNUT FAMILY HEALTH CENTER, LOCATED IN BLOOMINGTON. IN ADDITION, THERE ARE FIVE COMMUNITY CLINICS. THE COMMUNITY HEALTH CARE CLINIC AND THE COMMUNITY CANCER CENTER ARE BOTH LOCATED IN NORMAL. THE JOHN M. SCOTT HEALTH RESOURCES CENTER, IMMANUEL HEALTH CENTER AND MCLEAN COUNTY FOR HUMAN SERVICES ARE ALL LOCATED IN BLOOMINGTON. TWO ADDITIONAL HEALTH CARE RESOURCES IN MCLEAN ARE THE MCLEAN COUNTY HEALTH DEPARTMENT, WHICH IS A CITY CLINIC, AND A NEWLY OPENED CRISIS STABILIZATION UNIT WHICH IS A PART OF CHESTNUT HEALTH SYSTEMS. ADVOCATE TRINITY HOSPITAL DESCRIPTION OF COMMUNITY THE COMMUNITY HEALTH COUNCIL (CHC) SETS THE DIRECTION FOR THE COMMUNITY HEALTH INITIATIVES WITHIN TRINITY HOSPITAL'S TOTAL SERVICE AREA. FOR PLANNING PURPOSES, THE COUNCIL DEFINES THE COMMUNITY AS THE HOSPITAL'S PRIMARY AND SECONDARY SERVICE AREAS CONSISTENT WITH THE FOLLOWING ZIP CODES: 60617, 60619, 60620, 60628, 60643, AND 60649 (PRIMARY), 60409, 60621, 60633, 60636, 60637, AND 60827 (SECONDARY). THE COMMUNITY CONSISTS OF A TOTAL POPULATION OF 586,271, SPANNING 12 ZIP CODES, INCLUDING 20 COMMUNITY AREAS AS DEFINED BY THE CITY OF CHICAGO DEPARTMENT OF PLANNING. TRINITY HOSPITAL'S COMMUNITY LIES WITHIN COOK COUNTY AND THE CHICAGO CITY LIMITS WITH THE EXCEPTION OF CALUMET CITY, ILLINOIS, ZIP CODE 60827, WHICH LIES JUST SOUTH OF THE CHICAGO CITY LIMIT. DEMOGRAPHICS AGE ACCORDING TO THE 2012 U.S. CENSUS, THE MEDIAN AGE IN TRINITY HOSPITAL'S PRIMARY SERVICE AREA IS 35 WITH THE LARGEST POPULATION BETWEEN THE AGES OF 18-44. THIS AGE GROUP, HOWEVER, IS EXPECTED TO DECLINE AND THE 65+ POPULATION IS EXPECTED TO INCREASE. THE COMMUNITIES WITH THE LARGEST POPULATION ARE CHATHAM, AVALON PARK, CALUMET HEIGHTS, ROSELAND, AND GREAT GRAND CROSSING. TRINITY HOSPITAL'S SECONDARY SERVICE AREA MIRRORS THE PRIMARY SERVICE AREA WITH A MEDIAN AGE OF 32.4. A DECLINE IS PROJECTED IN ALL AGE GROUPS WITH THE EXCEPTION OF THE 65+ AGE GROUP, WHICH IS EXPECTED TO INCREASE. THE COMMUNITIES WITHIN THE SECONDARY SERVICE AREA WITH THE LARGEST AGING POPULATIONS ARE WEST ENGLEWOOD, WASHINGTON HEIGHTS, MORGAN PARK, CALUMET CITY AND HEGEWISCH. EXPECTED GROWTH OF THE SENIOR POPULATION IN THESE COMMUNITIES MAY PRESENT OPPORTUNITIES FOR TRINITY TO ENGAGE IN SENIOR HEALTH PROMOTION AND PROGRAMS. RACE AND ETHNICITY THE POPULATION IN TRINITY HOSPITAL'S TOTAL SERVICE AREA IS 81 PERCENT AFRICAN AMERICAN, 10 PERCENT HISPANIC, 8 PERCENT WHITE AND 2 PERCENT ASIAN. ALTHOUGH THE OVERALL POPULATION HAS DECLINED BETWEEN 2000 AND 2012, THE HISPANIC POPULATION HAS INCREASED WITHIN THE PRIMARY SERVICE AREA. ACCORDING TO DATA REVIEWED BY COMMUNITY, THE HISPANIC POPULATION IS PRIMARILY LOCATED IN FOUR SPECIFIC COMMUNITIES INCLUDING EASTSIDE, SOUTH CHICAGO, SOUTH DEERING AND HEGEWISCH. POVERTY THE AVERAGE POVERTY RATE IN TRINITY HOSPITAL'S PRIMARY SERVICE AREA IS 20.4 PERCENT WHICH IS HIGHER THAN THE ILLINOIS STATE (13.1 PERCENT) AND NATIONAL POVERTY LEVELS (14.3 PERCENT). THE AVERAGE POVERTY LEVEL RATE IN TRINITY HOSPITAL'S SECONDARY SERVICE AREA IS 28.6 PERCENT - MORE THAN TWICE THE STATE AND NATIONAL POVERTY LEVEL RATES. IN TRINITY HOSPITAL'S TOTAL SERVICE AREA, POVERTY RATE TRENDS INCREASE AS THE AGE OF THE POPULATION DECREASES. RESEARCH HAS DEMONSTRATED THAT POVERTY AND DISEASE ARE LINKED. POORER COMMUNITIES EXHIBIT HIGHER MORTALITY AND MORBIDITY RATES, AND INCREASED HEALTH NEEDS THAN LESS POVERTY STRICKEN COMMUNITIES. THIS PRESENTS TRINITY HOSPITAL WITH MULTIPLE OPPORTUNITIES TO ENGAGE IN HEALTH PROMOTION ACTIVITIES THAT ADDRESS COMMUNITY HEALTH DISPARITIES PERTINENT TO IMPROVING THE POPULATION'S HEALTH STATUS. HEALTH RESOURCES TRINITY HOSPITAL'S TOTAL SERVICE AREA IS SERVED BY A VARIETY OF HEALTH RESOURCES. THESE RESOURCES, HOWEVER, ARE LIMITED AND DO NOT MEET THE TOTAL POPULATION'S DEMAND FOR HEALTH SERVICES. A LARGE NUMBER OF PEOPLE IN THE COMMUNITY SEEK HEALTH SERVICES OUTSIDE OF TRINITY HOSPITAL'S TOTAL SERVICE AREA. THIS IS DUE TO THE LACK OF PRIMARY CARE ACCESS POINTS AND THE LACK OF TERTIARY CARE, WHICH PROVIDES HIGHLY SPECIALIZED MEDICAL/ADVANCED LEVEL CARE, INCLUDING TRAUMA CARE AND COMPLEX SURGICAL PROCEDURES OR TREATMENTS. HEALTH RESOURCES IN THE AREA INCLUDE A VARIETY OF SAFETY NET PROVIDERS, SUCH AS 7 COMMUNITY HOSPITALS, 2 FREE COMMUNITY CLINICS, 8 FEDERALLY QUALIFIED HEALTH CENTERS, 1 SCHOOL-BASED HEALTH CENTER, 1 COUNTY-BASED HEALTH CENTER, 2 CITY-BASED HEALTH CENTERS, AS WELL AS PRIVATE PRIMARY CARE FACILITIES. ADVOCATE EUREKA HOSPITAL THE COMMUNITY IS DEFINED AS ADVOCATE EUREKA HOSPITAL'S PRIMARY SERVICE AREA WHICH IS WOODFORD COUNTY WITH SOME CROSSOVER INTO TAZEWELL COUNTY. WOODFORD COUNTY IS SITUATED IN RURAL CENTRAL ILLINOIS. FOR THE PURPOSES OF THE CHNA, THE FOCUS IS ON HEALTH NEEDS IN WOODFORD COUNTY. THE FOLLOWING TOWNS ARE IN WOODFORD COUNTY: BAY VIEW GARDENS, BENSON, CONGERVILLE, EL PASO, EUREKA, GERMANTOWN HILLS, GOODFIELD, KAPPA, LOWPOINT, METAMORA, MINONK, PANOLA, ROANOKE, SECOR, SPRING BAY AND WASHBURN. WOODFORD COUNTY CONSISTS OF A TOTAL POPULATION OF 38,971, WHICH IS NEARLY A 10 PERCENT INCREASE FROM 2000 ACCORDING TO THE 2012 US CENSUS BUREAU. DEMOGRAPHICS AGE AND GENDER ACCORDING TO THE US CENSUS BUREAU IN 2012, THE MEDIAN AGE FOR WOODFORD COUNTY IS 40 YEARS AND THE POPULATION IS EVENLY SPLIT BETWEEN MALE AND FEMALE WITH 50.5 PERCENT OF THE INDIVIDUALS IN WOODFORD COUNTY BEING FEMALE AND 49.5 PERCENT BEING MALE. TWENTY-TWO PERCENT OF WOODFORD COUNTY RESIDENTS ARE 25 TO 44 YEARS OF AGE, 28 PERCENT OF RESIDENTS ARE 45 TO 64 YEARS OF AGE AND 16 PERCENT OF RESIDENTS ARE OVER THE AGE OF 65. RACE AND ETHNICITY WOODFORD COUNTY IS 97.6 PERCENT WHITE, 1.6 PERCENT HISPANIC OR LATINO, 0.6 PERCENT BLACK OR AFRICAN AMERICAN AND 0.2 PERCENT AMERICAN INDIAN AND ALASKA NATIVE, ACCORDING TO THE US CENSUS BUREAU 2012. ECONOMICS ACCORDING TO THE AMERICAN COMMUNITY SURVEY 2007-2010, THE PERCENT OF RESIDENTS LIVING BELOW THE POVERTY LEVEL IN WOODFORD COUNTY IS 7.2 PERCENT COMPARED TO A RATE OF 13.1 PERCENT FOR ILLINOIS. THE MEDIAN HOUSEHOLD INCOME FOR WOODFORD COUNTY IS $66,198. THIS IS HIGHER THAN THE MEDIAN HOUSEHOLD INCOME FOR ILLINOIS OF $56,576. WOODFORD COUNTY ALSO HAS A SIGNIFICANTLY HIGHER PERCENT OF INDIVIDUALS WHO OWN THEIR OWN HOMES THAN THE AVERAGE IN ILLINOIS-WITH 83.8 PERCENT OF INDIVIDUALS BEING HOME OWNERS COMPARED TO THE STATE AVERAGE OF 68.7 PERCENT. EDUCATION NINETY-THREE PERCENT OF INDIVIDUALS IN WOODFORD COUNTY OVER THE AGE OF 25 POSSESS A HIGH SCHOOL DIPLOMA OR HIGHER AND 24.3 PERCENT HAVE A BACHELOR'S DEGREE OR HIGHER ACCORDING TO THE AMERICAN COMMUNITY SURVEY 2007-2010. EUREKA COLLEGE IS LOCATED IN WOODFORD COUNTY. HEALTH CARE RESOURCES IN THE DEFINED COMMUNITY THERE ARE A TOTAL OF THREE HEALTH CARE RESOURCES IN WOODFORD COUNTY, HOWEVER, ADVOCATE EUREKA HOSPITAL, A CRITICAL ACCESS HOSPITAL, IS THE ONLY HOSPITAL IN WOODFORD COUNTY. THERE IS ALSO A HEALTH CLINIC, THE WOODFORD COUNTY HEALTH DEPARTMENT AND A COMMUNITY ORGANIZATION FOR RESIDENTS CALLED HEART HOUSE/SHELTER. 5. PROMOTION OF COMMUNITY HEALTH ADVOCATE CHRIST MEDICAL CENTER ADVOCATE CHRIST MEDICAL CENTER CONSIDERS ITS COMMUNITY'S HEALTH A KEY PRIORITY. IN 2014, THE HOSPITAL PROVIDED OVER 26,000 COMMUNITY HEALTH SERVICES TO OVER 390,000 LOCAL RESIDENTS FOR A TOTAL EXPENSE OF OVER $1.3 MILLION. SOME OF THOSE SERVICES INCLUDED HEALTH AND DISEASE PREVENTION PROGRAMS AND SCREENINGS, NURSING CAMPS, HEALTH FAIR EXHIBITS, COMMUNITY LECTURES AND SUPPORT GROUPS. ALSO INCLUDED IS THE MEDICAL CENTER'S PARTNERSHIP WITH THE MUSEUM OF SCIENCE AND INDUSTRY TO PROVIDE "LIVE...FROM THE HEART" - A VIDEO CONFERENCE-BASED CARDIOVASCULAR EDUCATION PROGRAM FOR HIGH SCHOOL STUDENTS. NEARLY 80,000 STAFF AND VOLUNTEER HOURS WERE CONTRIBUTED TO COMMUNITY HEALTH ACTIVITIES TOTALING $1.2 MILLION IN COMMUNITY BENEFIT IN 2014. IN 2014, ACMC'S DESIRE TO TRAIN FUTURE HEALTH CARE PROFESSIONALS RESULTED IN TRAINING OVER 1,000 STUDENTS IN ACCREDITED PROGRAMS AND A RANGE OF SPECIALTIES TOTALING OVER 36,000 HOURS OF EDUCATION. TO ENSURE THAT ACMC'S DIVERSE PATIENT POPULATION FULLY UNDERSTANDS AND IS ENGAGED IN THEIR HEALTH CARE, THE HOSPITAL PROVIDED OVER $32,000 IN LANGUAGE ASSISTANCE SERVICES. IN-KIND DONATIONS, INCLUDING SUPPORT OF SOUTH SUBURBAN PUBLIC ACTION TO DELIVER SHELTER (PADS) TO ADDRESS THE NEEDS OF T ADVOCATE GOOD SHEPHERD HOSPITAL ADVOCATE GOOD SHEPHERD HOSPITAL FURTHERS ITS EXEMPT PURPOSE BY PROMOTING HEALTH IN THE COMMUNITY IN OTHER WAYS, INCLUDING: * SUPPORTING LOCAL COMMUNITY COALITIONS THROUGH LEADERSHIP, PARTICIPATION AND/OR FINANCIAL CONTRIBUTIONS. THE HOSPITAL LEADS TWO COMMUNITY HEALTH COALITIONS AND PROVIDES SUPPORT TO SEVERAL AREA TASK FORCES SPECIFIC TO ADDRESSING HEALTH NEEDS. * PROVIDING IN-KIND MEETING SPACE AND FINANCIAL SUPPORT TO COMMUNITY GROUPS AND NOT FOR PROFIT GROUPS THAT ADDRESS IDENTIFIED COMMUNITY NEEDS -- FOR EXAMPLE, ORGANIZATIONS PROVIDING BEHAVIORAL HEALTH SERVICES OR SERVICES FOR SENIORS. * PROVIDING TRANSPORTATION AT A REDUCED RATE TO PATIENTS WHO ARE UNABLE TO DRIVE TO AND FROM MEDICAL APPOINTMENTS. FEES ARE WAIVED IF THE PATIENT IS UNABLE TO PAY. * PARTNERING WITH THE MCHENRY COUNTY HEALTH DEPARTMENT ON THE ENROLL MCHENRY GRANT TO GIVE HEALTHCARE ACCESS TO THOSE THAT ARE UNINSURED. ADVOCATE GOOD SHEPHERD HOSPITAL HIRED TWO IN-PERSON COUNSELORS DURING THE DURATION OF THE FIRST YEAR OF THE ENROLL MCHENRY GRANT THROUGH THE MCHENRY COUNTY HEALTH DEPARTMENT (OCTOBER 1, 2013 - MARCH 31, 2015). IN ORDER TO BE A CERTIFIED IN-PERSON COUNSELOR, THE NAVIGATORS WERE REQUIRED TO ATTEND A 2-DAY TRAINING IN CHICAGO AND COMPLETE A 40 HOUR ONLINE TRAINING. IN 2014, MORE THAN 619 APPLICATIONS WERE COMPLETED FOR CLIENTS ELIGIBLE FOR MARKETPLACE (260) OR MEDICAID (359). ADVOCATE SOUTH SUBURBAN HOSPITAL ADVOCATE SOUTH SUBURBAN HOSPITAL IS AN ACUTE-CARE FACILITY PROVIDING A WIDE RANGE OF COMPREHENSIVE INPATIENT, OUTPATIENT, DIAGNOSTIC AND AMBULATORY MEDICAL SERVICES. IN ADDITION TO OFFERING AN ARRAY OF HOSPITAL SERVICES, THIS NOT-FOR-PROFIT FACILITY PROVIDES FREE SCREENINGS AND A VARIETY OF OTHER OUTREACH SERVICES THROUGHOUT THE COMMUNITY, INCLUDING: SENIOR SERVICES: SOUTH SUBURBAN HOSPITAL SERVES A LARGE SENIOR POPULATION AND HOSTS A VARIETY OF PROGRAMS AND SCREENINGS IN THE COMMUNITY FOR SENIORS, INCLUDING: A SENIOR BREAKFAST CLUB PROGRAM THAT HOSTS A VARIETY OF HEALTH EDUCATION FOCUSED ON SENIORS; THE ANNUAL ACTIVE SENIOR EXPO, A PREMIER EVENT DESIGNED ESPECIALLY FOR SENIORS; AND PARTICIPATION IN A NUMBER OF SENIOR HEALTH FAIRS THROUGHOUT THE YEAR. SUPPORT GROUPS: THE HOSPITAL ALSO HOSTS A NUMBER OF SUPPORT GROUPS FOR THE COMMUNITY DESIGNED FOR INDIVIDUALS LIVING WITH A PARTICULAR ILLNESS. COMMUNITY MEMBERS CAN FIND SUPPORT GROUPS FOR DIABETES, PARKINSON'S, EASY BREATHERS, LUPUS AND STROKE AT THE HOSPITAL - ALL FREE OF CHARGE TO THE COMMUNITY. LIFESTYLE CLASSES: TO AID THE COMMUNITY WITH LIFESTYLE ADJUSTMENTS, SOUTH SUBURBAN HOSPITAL AND ITS TEAM OF HEALTH CARE PROFESSIONALS OFFER CLASSES ON CONGESTIVE HEART FAILURE, LIFE AFTER A STROKE, DIABETES LIFESTYLE CLASSES AND GROCERY STORE TOURS AIMED AT TEACHING DIABETICS HOW TO READ LABELS AND HEALTHY SHOPPING. THE HOSPITAL ALSO HAS STRONG PARTNERSHIPS WITH THE AMERICAN CANCER SOCIETY AND THE CANCER SUPPORT CENTER TO OFFER WELLNESS CLASSES FOR CANCER PATIENTS. SANE PROGRAM: SEXUAL ASSAULT NURSE EXAMINERS (SANES) ARE SPECIALISTS IN FORENSIC NURSING. SANES NOT ONLY ASSIST PATIENTS WHO HAVE BEEN SEXUALLY ASSAULTED, BUT THEY ALSO USE THEIR EDUCATION AND EXPERIENCE TO EXPAND THEIR CLINICAL PRACTICES TO ACCOMMODATE VICTIMS OF OTHER FORMS OF VIOLENCE. EXPERIENCED SANES EXTEND THEIR PRACTICE INTO THE CARE OF VICTIMS OF DOMESTIC VIOLENCE AS WELL. THESE SPECIALLY-EDUCATED NURSES CAN BE A VALUABLE RESOURCE TO PROSECUTORS, PARTICULARLY IN CASES WHERE THE VICTIM MAY BE UNWILLING OR UNABLE TO TESTIFY, AND ASSIST LAW ENFORCEMENT AND THE COURTS IN SENDING THOSE PERPETRATORS OF SEXUAL ASSAULT AND/OR DOMESTIC VIOLENCE TO JAIL. ADVOCATE SOUTH SUBURBAN HOSPITAL HAS A DIVERSE GOVERNING COUNCIL THAT INCLUDES SEVEN PHYSICIANS, TWO CLERGY AND NINE COMMUNITY MEMBERS FROM SURROUNDING AREAS AND BUSINESSES. THE HOSPITAL IS ALSO COMMITTED TO USING SURPLUS FUNDS TO REINVEST IN THE HOSPITAL'S HEALTH CARE MINISTRY. ADVOCATE BROMENN MEDICAL CENTER ADVOCATE BROMENN MEDICAL CENTER'S DEDICATION TO PROMOTING THE HEALTH OF THE COMMUNITY IS EXEMPLIFIED IN NUMEROUS WAYS. A VAST MAJORITY OF THE HOSPITAL'S EXECUTIVE TEAM SERVES ON MULTIPLE COMMUNITY BOARDS THAT HELP EITHER DIRECTLY OR INDIRECTLY IMPROVE THE HEALTH OF THE COMMUNITY, SUCH AS FOR EXAMPLE - EASTER SEALS, KIWANIS, THE COMMUNITY HEALTH CARE CLINIC, THE YWCA, THE AMERICAN RED CROSS AND THE IMMANUEL HEALTH CENTER. THE PRESIDENT OF ADVOCATE BROMENN MEDICAL CENTER IS ALSO INVOLVED IN MANY BOARDS THAT IMPACT THE COMMUNITY IN A POSITIVE MANNER SUCH AS THE ECONOMIC DEVELOPMENT COUNCIL AND THE GIRL SCOUTS OF CENTRAL ILLINOIS. THE PRESIDENT AND OTHER MEMBERS OF THE EXECUTIVE TEAM PROVIDE LEADERSHIP TRAINING IN THE COMMUNITY TO GROUPS SUCH AS THE MULTICULTURAL LEADERSHIP PROGRAM. IN ADDITION, EVERY YEAR SEVERAL BROMENN MEDICAL CENTER EMPLOYEES TRAIN STUDENTS FROM THE BLOOMINGTON AREA CAREER CENTER TO TAKE THE CERTIFIED NURSING ASSISTANT EXAM. THE HOSPITAL FURTHERS ITS EXEMPT PURPOSE BY HAVING AN OPEN MEDICAL STAFF AND BY ENSURING THAT A MAJORITY OF THE MEMBERS OF ITS GOVERNING COUNCIL ARE REPRESENTATIVES FROM THE COMMUNITY. THE TITLES AND AFFILIATIONS OF THE CURRENT MEMBERS ARE AS FOLLOWS: * RETIRED PRESIDENT OF ILLINOIS STATE UNIVERSITY * ASSISTANT ADMINISTRATOR, MCLEAN COUNTY HEALTH DEPARTMENT * DIRECTOR, AMERICAN RED CROSS OF THE HEARTLAND * BUSINESSMAN, RETIRED FROM GROWMARK * MD - INDEPENDENT PHYSICIAN * MD - INDEPENDENT PHYSICIAN * STATE REPRESENTATIVE * COMMUNITY MEMBER, RETIRED DISTRICT COURT JUDGE * ADVOCATE MEDICAL GROUP PHYSICIAN * ADVOCATE MEDICAL GROUP PHYSICIAN * MD - INDEPENDENT PHYSICIAN * MAYOR OF EL PASO * STATE FARM AGENT * BUSINESSMAN, COUNTRY FINANCIAL SERVICES * BUSINESSMAN, AFNI * PROVOST, ILLINOIS STATE UNIVERSITY * RETIRED DIRECTOR OF THE EUREKA LIBRARY * ATTORNEY ANOTHER KEY AREA IN WHICH THE HOSPITAL CONTRIBUTES SIGNIFICANTLY TO THE HEALTH OF THE COMMUNITY IS THE COMMUNITY HEALTH CARE CLINIC. IN 1993, ADVOCATE BROMENN MEDICAL CENTER PARTNERED WITH OSF ST. JOSEPH MEDICAL CENTER, ALSO LOCATED IN MCLEAN COUNTY, TO OPEN THE COMMUNITY HEALTH CARE CLINIC. THE COMMUNITY HEALTH CARE CLINIC PROVIDES SERVICES TO THE MEDICALLY UNDERSERVED POPULATION OF MCLEAN COUNTY TO ENSURE THAT ALL POPULATIONS IN THE COMMUNITY HAVE ACCESS TO HEALTHCARE. TO BE ELIGIBLE FOR CARE AT THE CLINIC, AN INDIVIDUAL MUST HAVE A TOTAL HOUSEHOLD INCOME LESS THAN 185 PERCENT OF FEDERAL POVERTY GUIDELINES, HAVE NO ACCESS TO THIRD PARTY INSURANCE (MEDICAID, MEDICARE, ALL KIDS, VETERAN'S BENEFITS, DISABILITY OR EMPLOYER-SPONSORED INSURANCE) AND RESIDE IN MCLEAN COUNTY. ALL EMERGENCY ROOM VISITS, DIAGNOSTIC TESTING AND HOSPITAL SERVICES ARE PROVIDED FREE OF CHARGE BY BROMENN MEDICAL CENTER AND OSF ST. JOSEPH MEDICAL CENTER. THE COMMUNITY HEALTH CARE CLINIC SAW 1,800 PATIENTS IN 2013 AND PROVIDED 4,572 CLINICAL EXAMS AND PRESCRIBED OVER 25,751 PRESCRIPTION MEDICATIONS AT NO CHARGE TO UNINSURED INDIVIDUALS. IN 2014, THE COMMUNITY HEALTH CARE CLINIC SAW 1,800 PATIENTS, PROVIDED 4,506 CLINICAL EXAMS AND PRESCRIBED OVER 21,267 MEDICATIONS AT NO CHARGE TO UNINSURED INDIVIDUALS. THE CLINIC RESIDES IN A BUILDING OWNED BY BROMENN MEDICAL CENTER, FOR WHICH THE HOSPITAL PAID $24,273 FOR THE MAINTENANCE AND UPKEEP OF THE FACILITY IN 2013, AND $24,095 IN 2014. ENVIRONMENTAL IMPROVEMENT EFFORTS ARE ANOTHER AVENUE IN WHICH ADVOCATE BROMENN MEDICAL CENTER FURTHERS ITS EXEMPT PURPOSE AND SIMULTANEOUSLY PROMOTES THE HEALTH OF THE COMMUNITY. SOME EXCELLENT EXAMPLES OF THIS INCLUDE THE DONATION OF USED FURNITURE TO ORGANIZATIONS, SUCH AS HABITAT FOR HUMANITY, THE HOSTING OF AN ELECTRONICS RECYCLING EVENT, BEING A MEMBER OF THE COMMUNITY SUSTAINABILITY FORUM, AND MAKING IMPROVEMENTS TO REDUCE THE HOSPITAL'S EXTERIOR HAZARDOUS WASTE STORAGE. THE HOSPITAL ALSO PARTICIPATES WITH ILLINOIS STATE UNIVERSITY IN A FOOD COMPOSTING PROGRAM THAT PROVIDES FREE COMPOST TO THE COMMUNITY FOR COMMUNITY GARDENS. IN ADDITION, ABMC UTILIZES LED BULBS TO REDUCE ITS CARBON FOOTPRINT. IN ADDITION TO THE ABOVE, ADVOCATE BROMENN MEDICAL CENTER SERVES AS AN EMS RESOURCE FOR EDUCATION AND TRAINING FOR MCLEAN COUNTY, PROVIDING A $340,000 BENEFIT TO THE COMMUNITY. THE HOSPITAL ALSO CONTRIBUTES TO THE HEALTH OF THE COMMUNITY BY MAINTAINING AND OFFERING COMMUNITY MEMBERS, NURSING STUDENTS, RESIDENTS, PHYSICIANS AND OTHER HEALTH CARE PROFESSIONALS ACCESS TO THE A.E. LIVINGSTON HEALTH SERVICES LIBRARY. THIS ACCESS IS PROVIDED FREE OF CHARGE TO THESE INDIVIDUALS EVEN THOUGH THE COST OF $191,254 IN 2014 WAS ABSORBED BY THE HOSPITAL. THE NUMEROUS OTHER WAYS BROMENN MEDICAL CENTER PROMOTES THE HEALTH OF THE COMMUNITY RANGE FROM PROVIDING PET THERAPY AND CLINICAL PASTORAL EDUCATION PROGRAMS TO OFFERING MEETING SPACE TO COMMUNITY NOT-FOR-PROFIT GROUPS AND BEING A TEACHING HOSPITAL FOR FAMILY PRACTICE, NEUROLOGY AND NEUROSURGERY RESIDENTS. ADVOCATE TRINITY HOSPITAL THE HOSPITAL'S SERVICES AND COMMUNITY HEALTH OUTREACH EFFORTS REFLECT A COMMITMENT TO RESPOND TO THE COMMUNITY'S MOST PRESSING HEALTH NEEDS WITH INNOVATIVE HEALTH OUTREACH PROGRAMS AND QUALITY CARE. ADVOCATE EUREKA HOSPITAL EUREKA HOSPITAL IS A 25-BED FACILITY THAT HAS SERVED AND CARED FOR THE PEOPLE OF WOODFORD COUNTY AND THE SURROUNDING AREA SINCE 1901. EUREKA HOSPITAL IS THE ONLY HOSPITAL IN WOODFORD COUNTY AND IS A CRITICAL ACCESS HOSPITAL AS CERTIFIED BY THE CENTERS FOR MEDICARE AND MEDICAID SERVICES. BY FUNCTIONING IN THIS CAPACITY, EUREKA HOSPITAL PLAYS A VITAL ROLE IN SERVING THE HEALTH NEEDS OF A PRIMARILY RURAL AREA. COMMUNITY RESIDENTS BENEFIT FROM HAVING ACCESS TO CARE CLOSE TO HOME AS PROVIDED BY A DEDICATED GROUP OF PRIMARY CARE AND SPECIALTY PHYSICIANS. IF THE PATIENT'S CONDITION REQUIRES ADVANCED CARE, EUREKA HOSPITAL IS AVAILABLE TO STABILIZE THE CONDITION AND SEAMLESSLY TRANSITION THE PATIENT TO ANOTHER FACILITY. A CHERISHED COMMUNITY INSTITUTION, EUREKA HOSPITAL HAS SET NEW STANDARDS FOR WHAT A RURAL HOSPITAL CAN ACCOMPLISH. WHILE PATIENTS APPRECIATE THE SMALL-TOWN TOUCH OF ONE-ON-ONE CARE, THEY ALSO KNOW THAT IT'S BACKED BY SERVICES AND TECHNOLOGY TYPICALLY UNAVAILABLE AT A SMALL HOSPITAL. EMERGENCY CARE, INPATIENT AND OUTPATIENT SURGERIES, REHABILITATION AND ADVANCED RADIOLOGY ARE ONLY A FEW OF THE SERVICES OFFERED. THESE SERVICES ARE PROVIDED BY A SKILLED AND CARING STAFF THAT HAS WON NUMEROUS AWARDS FOR PATIENT SATISFACTION. IN ADDITION TO FILLING A VOID IN THE COUNTY BY SERVING AS A CRITICAL ACCESS HOSPITAL, ADVOCATE EUREKA HOSPITAL ALSO PROMOTES THE HEALTH OF THE COMMUNITY THROUGH ITS RECYCLING EFFORTS. THE RECYCLING PROGRAM DIRECTLY BENEFITS THE ADULTS WITH DEVELOPMENTAL DISABILITIES PROGRAM IN WOODFORD COUNTY. USED PRINTER CARTRIDGES ARE COLLECTED AND DONATED DIRECTLY TO SPECIAL OLYMPICS. THE HOSPITAL ALSO SPONSORS COMMUNITY RACES TO PROMOTE HEALTH AWARENESS AND ENGAGES IN FUNDRAISING EFFORTS TO IMPROVE THE HEALTH OF THE COMMUNITY. THE HOSPITAL FURTHERS ITS EXEMPT PURPOSE BY HAVING AN OPEN MEDICAL STAFF AND BY ENSURING THAT A MAJORITY OF ITS GOVERNING COUNCIL MEMBERS ARE REPRESENTATIVES OF AND FROM THE COMMUNITY. THE TITLES AND AFFILIATIONS OF THE GOVERNING COUNCIL'S CURRENT MEMBERS ARE AS FOLLOWS: * RETIRED PRESIDENT OF ILLINOIS STATE UNIVERSITY * ASSISTANT ADMINISTRATOR, MCLEAN COUNTY HEALTH DEPARTMENT * DIRECTOR, AMERICAN RED CROSS OF THE HEARTLAND * BUSINESSMAN, RETIRED FROM GROWMARK * MD - INDEPENDENT PHYSICIAN * MD - INDEPENDENT PHYSICIAN * STATE REPRESENTATIVE * COMMUNITY MEMBER, RETIRED DISTRICT COURT JUDGE * ADVOCATE MEDICAL GROUP PHYSICIAN * ADVOCATE MEDICAL GROUP PHYSICIAN * MD - INDEPENDENT PHYSICIAN * MAYOR OF EL PASO * STATE FARM AGENT * BUSINESSMAN, COUNTRY FINANCIAL BUSINESSMAN * BUSINESSMAN, AFNI * PROVOST, ILLINOIS STATE UNIVERSITY * RETIRED DIRECTOR OF THE EUREKA LIBRARY * ATTORNEY ANOTHER KEY AREA IN WHICH THE HOSPITAL CONTRIBUTES SIGNIFICANTLY TO THE HEALTH OF THE COMMUNITY IS THROUGH ITS COMMUNITY EDUCATION AND OUTREACH EFFORTS. THE HOSPITAL OFFERS ON-GOING HEALTH PROGRAMS, SUCH AS MONTHLY BLOOD PRESSURE SCREENINGS, IN THE HOSPITAL LOBBY. THE HOSPITAL ALSO HOSTS (AT LEAST QUARTERLY) COMMUNITY HEALTH EVENTS AT WHICH PHYSICIAN SPEAKERS EDUCATE THE COMMUNITY ON A VARIETY OF TOPICS, SUCH AS STROKE EDUCATION, VEIN AND LEG HEALTH, AND BREAST HEALTH. 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 2. HOSPITAL-BASED ENVIRONMENTAL IMPROVEMENTS ADVOCATE CHRIST MEDICAL CENTER * CONTINUED A PARTNERSHIP WITH GROWING POWER, A LOCAL COMMUNITY SUPPORTED AGRICULTURE ORGANIZATION, TO PROVIDE ADVOCATE CMC ASSOCIATES THE OPPORTUNITY TO PURCHASE FRESH FRUITS AND VEGETABLES DELIVERED TO THEIR WORK SITE * DISCOURAGE BOTTLED WATER USE BY PROMOTING FREE WATER AVAILABLE AT CAFETERIA SODA FOUNTAINS * PLANNING AND DESIGN FOR TWO MAJOR CONSTRUCTION PROJECTS - AN OUTPATIENT PAVILION AND A NEW PATIENT BED TOWER. THE OUTPATIENT PAVILION WAS AWARDED LEED GOLD CERTIFICATION BY THE US GREEN BUILDING COUNCIL. * RECYCLED OVER 80 PERCENT OF MAJOR CONSTRUCTION AND DEMOLITION DEBRIS * RECYCLED 20 PERCENT OF TOTAL SOLID WASTE * REDUCED HOSPITAL ENERGY CONSUMPTION BY 7.7 PERCENT IN TWELVE MONTHS ENDING 12/31/14 * LED THE SYSTEM WITH HIGHEST LEVEL OF SAVINGS - OVER $800,000 - FROM UTILIZATION OF MEDICAL DEVICE REPROCESSING ADVOCATE LUTHERAN GENERAL HOSPITAL * ACHIEVED A 21 PERCENT RECYCLING RATE OVERALL FOR PAPER, PLASTIC, GLASS AND ALUMINUM CANS * REDUCED HOSPITAL ENERGY CONSUMPTION BY 2 PERCENT IN TWELVE MONTHS ENDING 12/31/14 ADVOCATE GOOD SAMARITAN HOSPITAL * ONGOING PARTNERSHIP WITH DOWNERS GROVE HIGH SCHOOL FACULTY, KICKED OFF PLANNING AND DESIGN FOR A WETLANDS PROJECT ON THE HOSPITAL CAMPUS TO MITIGATE STORM WATER RUNOFF; THE HIGH SCHOOL PARTNERSHIP FEATURES EDUCATIONAL OPPORTUNITIES FOR STUDENT LEARNING INCLUDING WASTER TESTING TO DETECT CHEMICALS IN WATER RUNOFF IS PLANNED. * ACHIEVED A 37 PERCENT RECYCLING RATE OVERALL FOR PAPER, PLASTIC, GLASS AND ALUMINUM CANS * REDUCED HOSPITAL ADVOCATE EUREKA HOSPITAL * REDUCED HOSPITAL ENERGY CONSUMPTION BY 5.2 PERCENT IN TWELVE MONTHS ENDING 12/31/14 * RECYCLED PRINTER CARTRIDGES AND CELL PHONES WITH PROCEEDS BENEFITTING THE SPECIAL OLYMPICS ADVOCATE SUPPORT CENTERS * HELD A SHREDDING EVENT FOR ASSOCIATES * MANAGED A 'RECYCLING CLOSET', WITH REGULAR CONTRIBUTIONS MADE TO LIONS CLUBS (EYE GLASSES AND CELL PHONES) AND BATTERIES FOR RECYCLING TO A LOCAL VENDOR * REDUCED WASTE BY COLLECTING USED WRITING INSTRUMENTS TO BE UP-CYCLED INTO NEW PRODUCTS * REDUCED PAPER AND ENERGY USAGE BY REDUCING THE NUMBER OF PRINTER DEVICES AND CONVERTING TO A 'PULL PRINT' PROCESS FOR PRINTING ADVOCATE MEDICAL GROUP * INTEGRATED A SUSTAINABILITY PLAN FOR DESIGN AND CONSTRUCTION AND OPERATIONS INTO A LONG TERM MASTER PLAN FOR ALL ADVOCATE AMBULATORY FACILITIES ADVOCATE DREYER SURGICAL CENTER * CONTINUED THEIR PARTNERSHIP WITH ASSOCIATION FOR INDIVIDUAL DEVELOPMENT (AID) TO PICK UP AND SORT RECYCLABLE MATERIALS AND SORT OFF SITE FOR RECYCLING. AID'S MISSION IS TO EMPOWER INDIVIDUALS WITH DISABILITIES, MENTAL ILLNESS AND SPECIAL NEEDS TO ACHIEVE INDEPENDENCE AND COMMUNITY INCLUSION. ADVOCATE CLINICAL LABORATORIES * RECYCLED, REUSED OR RECAPTURED ALL REAGENTS USED IN THE LABORATORY * RECEIVED CERTIFICATION FROM A THIRD PARTY THAT ALL LABORATORY WASTE DISPOSAL PROCESSES MEET REQUIREMENTS FOR SAFETY AND REGULATORY COMPLIANCE 6. AFFILIATED HEALTH CARE SYSTEM AS AN EXTENSION OF ITS MISSION, ADVOCATE HEALTH CARE SUPPORTS SYSTEM-WIDE PROGRAMS THAT MEET THE NEEDS OF BOTH ITS PATIENTS AS WELL AS THE COMMUNITIES SERVED. ADVOCATE HEALTH 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 FO GOAL 2: UNDERTAKE OR SUPPORT INITIATIVES THAT ENHANCE ACCESS TO HEALTH AND WELLNESS SERVICES WITHIN THE DIVERSE COMMUNITIES ADVOCATE SERVES. AS A NON-PROFIT HEALTH CARE SYSTEM, ADVOCATE PROVIDES CHARITY AND FINANCIAL ASSISTANCE TO PATIENTS IN NEED. WHILE EACH HOSPITAL HAS A CHARITY CARE COUNCIL TO REVIEW APPLICATIONS AND DETERMINE ELIGIBILITY, SYSTEM FINANCE LEADERS ARE RESPONSIBLE FOR ONGOING POLICY REVIEW AND REFINEMENTS TO ASSURE ADVOCATE CONTINUES TO PROVIDE FINANCIAL ASSISTANCE TO INDIVIDUALS WHO NEED HELP WHEN THEY NEED IT. IN ADDITION, ADVOCATE'S SYSTEM LEADERS ENCOURAGE AND SUPPORT ITS HOSPITALS' INITIATIVES TO PARTNER WITH FEDERALLY QUALIFIED HEALTH CENTERS (FQHC), PUBLIC HEALTH DEPARTMENTS AND COMMUNITY CLINICS IN ORDER TO ASSIST THE UNINSURED IN FINDING INSURANCE COVERAGE AND MEDICAL SERVICES. FOR EXAMPLE, ADVOCATE SOUTH SUBURBAN HOSPITAL HAS A PARTNERSHIP WITH AUNT MARTHA'S YOUTH SERVICE CENTER, AN FQHC, TO IMPROVE ACCESS TO PRIMARY CARE SERVICES FOR UNINSURED AND UNDERINSURED INDIVIDUALS IN ITS SERVICE AREA. ADVOCATE BROMENN MEDICAL CENTER MAINTAINS A COMMUNITY HEALTH CLINIC IN COLLABORATION WITH OSF ST. JOSEPH'S HOSPITAL, WHEREBY ADVOCATE BROMENN MEDICAL CENTER IS RESPONSIBLE FOR A PORTION OF THE HOSPITAL CARE FOR THE CLINIC'S PATIENTS THROUGHOUT THE YEAR. BROMENN IS ALSO THE SOLE PROVIDER OF THE CLINIC'S INFORMATION TECHNOLOGY (IT) SUPPORT AND THE SPACE OCCUPIED BY THE CLINIC. WORKING WITH OTHER AREA HOSPITALS, ADVOCATE GOOD SAMARITAN HOSPITAL PROVIDES SUPPORT THROUGH THE DUPAGE HEALTH COALITION TO SUSTAIN THE ACCESS DUPAGE COMMUNITY PROGRAM - A COMMUNITY COLLABORATION DESIGNED TO PROVIDE LOW-COST PRIMARY MEDICAL CARE SERVICES TO THE LOW-INCOME, MEDICALLY UNINSURED RESIDENTS OF DUPAGE COUNTY. GOAL 3: POSITIVELY AFFECT THE HEALTH STATUS AND QUALITY OF LIFE OF INDIVIDUALS AND POPULATIONS IN COMMUNITIES SERVED BY ADVOCATE THROUGH PROGRAMS AND PRACTICES THAT REFLECT ADVOCATE'S WHOLISTIC PHILOSOPHY. ADVOCATE HAS SEVERAL PROGRAMS AND PRACTICES MANAGED AND FUNDED AT THE SYSTEM LEVEL THAT REFLECT ADVOCATE'S WHOLISTIC PHILOSOPHY. THE OFFICE OF MISSION AND SPIRITUAL CARE, FOR EXAMPLE, HAS PROGRAMS THAT POSITIVELY AFFECT THE HEALTH STATUS AND QUALITY OF LIFE OF INDIVIDUALS, AND THAT ADDRESS DISPARITIES IN ACCESS TO HEALTH AND WELLNESS SERVICES IN THE COMMUNITY. THE CENTER FOR FAITH COMMUNITY HEALTH TRANSFORMATION, FOR EXAMPLE, FORMED FROM THE WORK OF ADVOCATE'S CONGREGATIONAL HEALTH PARTNERSHIPS (CHP) AND THE NEIGHBORHOODS INITIATIVE OF THE UNIVERSITY OF ILLINOIS AT CHICAGO, WAS SELECTED AS A CONTRACTOR FOR THE PARTNERSHIPS TO IMPROVE COMMUNITY HEALTH (PICH) INITIATIVE UNDER THE COOK COUNTY DEPARTMENT OF PUBLIC HEALTH. PICH IS A CDC FUNDED EFFORT TO INCREASE OPPORTUNITIES FOR HEALTHY EATING, PHYSICAL ACTIVITY AND SMOKE-FREE ENVIRONMENTS IN VULNERABLE POPULATIONS IN SUBURBAN COOK COUNTY THROUGH POLICY, SYSTEMS AND ENVIRONMENTAL CHANGE STRATEGIES. THE CENTER IS WORKING WITH FAITH-BASED NETWORKS IN THREE HIGH-RISK PRIORITY COMMUNITY AREAS TO PROVIDE LEADERSHIP IN CREATING A CULTURE OF HEALTH FOR CONGREGATIONAL MEMBERS AND FOR THE COMMUNITIES THEY SERVE. OF PARTICULAR INTEREST IS A PARTNERSHIP WITH THE FOREST PRESERVE OF COOK COUNTY (FPCC) TO CONNECT FAITH COMMUNITIES WITH FPCC RESOURCES THAT WILL ALLOW THEIR MEMBERS, ESPECIALLY CHILDREN AND YOUTH, TO BE PHYSICALLY ACTIVE IN NATURE. ADVOCATE PARISH NURSE MINISTRY - AS PART OF ADVOCATE'S MISSION AND SPIRITUAL CARE DEPARTMENT, PARISH NURSE MINISTY REALIZES THE VISION OF WHOLISTIC HEALING AND WELLNESS BY PARTNERING WITH DIVERSE FAITH COMMUNITIES IN AN EFFORT TO EMBRACE THE INTEGRATION OF FAITH AND HEALTH. THE PURPOSE OF ADVOCATE PARISH NURSE MINISTRY IS TO NURTURE THE HUMAN SPIRIT THROUGH HEALTH EDUCATION, SPIRITUAL SUPPORT, AND TO LINK THE NEEDS OF THE WHOLE PERSON TO RESOURCES WITHIN THE CONGREGATION, COMMUNITY, AND THE HEALTH CARE SYSTEM. AS PART OF ADVOCATE HEALTH CARE'S CONTINUUM OF CARE, THE PARISH NURSE MINISTRY IS WORKING IN OVER 30 DIVERSE CONGREGATIONS. THESE FAITH COMMUNITIES ARE WIDELY SCATTERED THROUGHOUT THE CHICAGOLAND AREA FROM ROSELAND AND CHICAGO UPTOWN NEIGHBORHOODS TO THE SUBURBAN SETTINGS OF ARLINGTON HEIGHTS AND NAPERVILLE. ADVOCATE PARISH NURSE MINISTRY CONTINUES TO SEEK HEALTH MINISTRY PARTNERSHIPS. BOTH PARTNERS, THE HEALTH CARE INSTITUTION AND THE CONGREGATION MUST ESPOUSE THE BELIEF THAT PHYSICAL, EMOTIONAL, INTELLECTUAL, AND SOCIAL WELL-BEING ARE VERY MUCH DEPENDENT ON A HEALTHY SPIRITUAL CORE OF BEING. ADVOCATE CONGREGATIONAL HEALTH PARTNERSHIPS (CHP) - CHP BUILDS ON THE LEGACY OF THOSE WHO HAVE GONE BEFORE BY WORKING WITH FAITH COMMUNITIES TO PROMOTE HEALTH AND WHOLENESS FOR THEIR MEMBERS AND COMMUNITIES. THE PROGRAMS AND SERVICES THAT CHP OFFERS INCLUDE: * BASIC AND ADVANCED TRAINING IN HEALTH MINISTRY DEVELOPMENT * CONSULTATION AROUND THE DEVELOPMENT OF CONGREGATIONAL HEALTH PROGRAMS * PRACTICAL TOOLS AND MATERIALS * BULLETIN INSERTS * RESOURCE LIBRARY * NEWSLETTER * CONGREGATIONAL HEALTH ASSESSMENT PROGRAM * MANUAL * PROGRAM COMPONENTS * THE CENTER FOR FAITH AND COMMUNITY HEALTH TRANSFORMATION (THE CENTER) IS THE JOINT WORK OF ADVOCATE'S CHP AND THE NEIGHBORHOODS INITIATIVE OF THE UNIVERSITY OF ILLINOIS AT CHICAGO. THE CENTER FORMED IN 2009 OUT OF A GROWING CONCERN IN CHICAGO'S FAITH AND HEALTH MOVEMENT ABOUT THE WAYS IN WHICH SOCIAL CONDITIONS-POVERTY, RACISM, UNEMPLOYMENT, LACK OF ACCESS TO CARE-IMPACT PEOPLE'S HEALTH. THE CENTER WAS CREATED TO MOBILIZE FAITH COMMUNITIES TO CHANGE THE SOCIAL CONDITIONS THAT AFFECT PEOPLE'S HEALTH. THE CENTER ALSO HOSTS A WEBSITE THAT SERVES AS A GATHERING PLACE FOR THE FAITH AND HEALTH MOVEMENT TO SHARE INFORMATION, POST EVENTS, SHARE INTERESTING PROJECTS, RESOURCES AND IDEAS, AND KEEP IN TOUCH WITH WHAT OTHERS ARE DOING. GO TO WWW.CHICAGOFAITHANDHEALTH.ORG FOR MORE INFORMATION. ADVOCATE ALSO PROVIDES A SYSTEM-WIDE TELEPHONE REFERRAL AND RESOURCE INFORMATION CENTER TO ASSIST PATIENTS AND COMMUNITY MEMBERS IN FINDING HEALTHCARE PROVIDERS AND OTHER HEALTH AND WELLNESS RESOURCES. THE CENTER'S STAFF SERVES AS A COMMUNITY RESOURCE, PROVIDING INDIVIDUALS FROM THE COMMUNITY WITH REFERRALS TO GOVERNMENT-FUNDED AND COMMUNITY-BASED NON-ADVOCATE PROGRAMS AND SERVICES, AS WELL AS ADVOCATE HEALTH CARE PHYSICIANS AND SERVICES. IN 2014, THE CENTER HANDLED 19,656 CALLS FROM THE COMMUNITY THAT WERE REDIRECTED TO NON-ADVOCATE COMMUNITY RESOURCES TO ASSIST THEM IN GETTING THE HELP THEY NEED. GOAL 4: LEVERAGE RESOURCES AND MAXIMIZE COMMUNITY OUTREACH EFFORTS BY BUILDING AND STRENGTHENING COMMUNITY PARTNERSHIPS. ADVOCATE'S SYSTEM LEVEL LEADERS MAINTAIN AND CONTINUE TO ACTIVELY EXPAND SYSTEM PARTNERSHIPS AND RELATIONSHIPS WITH A WIDE VARIETY OF ORGANIZATIONS, INCLUDING RELIGIOUS ORGANIZATIONS, NEIGHBORHOOD GROUPS AND OUTREACH AND RESOURCE PROGRAMS. THESE RELATIONSHIPS SERVE TO LEVERAGE BOTH ADVOCATE'S AND ITS COMMUNITIES' RESOURCES TO MAXIMIZE COMMUNITY OUTREACH EFFORTS. ADVOCATE BUILDS ON RELATIONSHIPS THAT ASSOCIATES AND AFFILIATED PHYSICIANS HAVE WITH COMMUNITY HEALTH PARTNERS, AND TO EMPOWER THE DEVELOPMENT OF SUCH PARTNERSHIPS. AN EXAMPLE OF THIS IS ADVOCATE MEDICAL GROUP'S (ADVOCATE-EMPLOYED PHYSICIANS) ANNUAL COLLABORATION WITH SPECIAL OLYMPICS OF ILLINOIS. THIS EVENT, MEDFEST, PROVIDES PEOPLE WITH INTELLECTUAL DISABILITIES OPPORTUNITIES TO PARTICIPATE IN SPORTS TRAINING AND COMPETITIONS, CREATING AVENUES FOR INCLUSION AND ACCEPTANCE FOR THIS SPECIAL NEEDS UNDERSERVED POPULATION. IN ADDITION TO PROVIDING EASY ACCESS TO PHYSICALS FOR ATHLETES, THE FREE CLINICAL SERVICES RESULT IN ENHANCED PHYSICAL FITNESS AND COMFORT WITH THE MEDICAL COMMUNITY. AMG PROVIDED 1,651 FREE ATHLETIC PHYSICALS TO SPECIAL OLYMPIANS FOR THE 17TH YEAR IN 2014, THUS ALLOWING THESE SPECIAL ATHLETES OPPORTUNITIES TO PARTICIPATE IN COMPETITIONS THROUGHOUT THE YEAR. SYSTEM LEVEL MANAGEMENT ALSO OVERSEES ASSOCIATE AND PHYSICIAN FUNDRAISING AND VOLUNTEER ACTIVITIES RELATED TO COMMUNITY ORGANIZATIONS AND PARTNERSHIPS. LAST YEAR ADVOCATE PROMOTED AND SUPPORTED ASSOCIATE, PHYSICIAN AND HOSPITAL PARTICIPATION IN WALKS, RUNS AND BICYCLE RACES FOR THE AMERICAN HEART ASSOCIATION, AMERICAN CANCER SOCIETY, AMERICAN DIABETES ASSOCIATION, ALZHEIMER'S ASSOCIATION AND MARCH OF DIMES. IN 2014, $536,283 IN CHARITABLE CONTRIBUTIONS WAS RAISED TO SUPPORT THESE PARTNER ORGANIZATIONS. ADVOCATE ASSOCIATES' SUPPORT IS ALSO DEMONSTRATED THROUGH THEIR OWN, PERSONAL AND GENEROUS CONTRIBUTIONS DURING THE ASSOCIATE GIVING CAMPAIGN WHICH RESULTED IN OVER $2.3 MILLION BEING RAISED TO SUPPORT MULTIPLE LOCAL COMMUNITY ORGANIZATIONS, PROGRAMS AND INITIATIVES, INCLUDING SOME OF ADVOCATE'S OWN SYSTEM-WIDE AND HOSPITAL-BASED COMMUNITY HEALTH PROGRAMS. SYSTEM MANAGEMENT OF FUNDRAISING ACTIVITIES REDUCES DUPLICATION OF EFFORT AND ASSURES THAT FUNDRAISING IS CONDUCTED WITH ORGANIZATIONS THAT ALIGN WITH ADVOCATE'S MISSION AND ARE EFFECTIVE IN ADDRESSING ADVOCATE'S SERVICE AREA'S COMMUNITY HEALTH NEEDS. THE ADVOCATE CHARITABLE FOUNDATION (ACF) WORKS TO FIND INNOVATIVE WAYS TO FUND NOT ONLY CLINICAL ADVANCEMENTS BUT COMMUNITY PROGRAMS THAT ADDRESS IDENTIFIED COMMUNITY NEEDS. ONE EXAMPLE OF THIS IS ACF'S ADMINISTRATION OF THE ADVOCATE BETHANY COMMUNITY HEALTH FUND. IN 2006, ADVOCATE HEALTH CARE ESTABLISHED THE BETHANY FUND AS PART OF ADVOCATE'S ONGOING COMMITMENT TO SUPPORT LOCAL NONPROFIT ORGANIZATIONS AS THEY BUILD, PROMOTE AND SUSTAIN HEALTHY COMMUNITIES ON CHICAGO'S WEST SIDE. THE ADVOCATE BETHANY COMMUNITY HEALTH FUND BOARD, WHICH IS COMPRISED OF EIGHT COMMUNITY MEMBERS FROM THE TARGETED COMMUNITY AREAS AND SEVEN REPRESENTATIVES FROM ADVOCATE HEALTH CARE, AWARDED MORE THAN $715,000 IN GRANTS AND CAPACITY-BUILDING SERVICES TO 32 ORGANIZATIONS ACROSS ITS FUND COMMUNITIES IN 2014. SINCE THE BOARD'S INSTALLATION IN 2007, THE BETHANY COMMUNITY HEALTH FUND HAS AWARDED NEARLY $6 MILLION IN PROGRAM DOLLARS AND SERVICES TO ORGANIZATIONS THAT PROMOTE HEALTH AND WELLNESS WITH A FOCUS ON ADDRESSING HEALTH DISPARITIES FOR RESIDENTS OF CHICAGO'S WEST SIDE. ADVOCATE HEALTH CARE HAS ALSO BEEN A KEY PARTNER IN THE NATIONAL COLLABORATIVE, THE HEALTH SYSTEMS LEARNING GROUP (HSLG), NOW KNOWN AS THE STAKEHOLDER HEALTH GROUP. THIS GROUP IS A SELF-ORGANIZED COLLABORATIVE OF 43 ORGANIZATIONS (INCLUDING 36 NON-PROFIT HEALTH SYSTEMS) THAT HAVE ENGAGED IN A SERIES OF MEETINGS ACROSS THE COUNTRY OVER THE PAST FOUR YEARS. INSPIRED BY THE PASSAGE OF THE PATIENT PROTECTION AND AFFORDABLE CARE ACT, AND MOTIVATED BY THE RECOGNITION OF THE NEED TO TRANSFORM OUR ORGANIZATIONS AND OUR COMMUNITIES, THE GROUP MADE A COMMITMENT TO ACCELERATE THIS TRANSFORMATIONAL PROCESS THROUGH ONGOING SHARING OF INNOVATIVE PRACTICES THAT IMPROVE POPULATION HEALTH AND THE DEVELOPMENT OF COORDINATED STRATEGIES THAT TAKE INNOVATION TO SCALE. THE HEALTH SYSTEMS LEARNING GROUP ASPIRES TO IDENTIFY AND ACTIVATE A MENU OF PROVEN COMMUNITY HEALTH PRACTICES AND PARTNERSHIPS THAT WORK FROM THE TOP OF THE MISSION STATEMENT TO THE BOTTOM LINE. THE CREATION OF THIS LEARNING COLLABORATIVE WAS SPARKED BY A SERIES OF STAKEHOLDER MEETINGS AT THE WHITE HOUSE OFFICE AND DEPARTMENT OF HEALTH & HUMAN SERVICES CENTER FOR FAITH-BASED & NEIGHBORHOOD PARTNERSHIPS. THE HSLG PARTNERS HAVE CONTRIBUTED SUBSTANTIAL FINANCIAL AND IN-KIND RESOURCES TO SUPPORT THE 2 YEAR DEVELOPMENTAL PHASE. IN ADDITION, A GENEROUS GRANT WAS PROVIDED BY THE ROBERT WOOD JOHNSON FOUNDATION TO SUPPORT THE DISSEMINATION OF FINDINGS AND LESSONS LEARNED DURING THIS PERIOD. THE FIRST PHASE OF DEVELOPMENT FOR THE HSLG CULMINATED WITH A CONVENING ON APRIL 4, 2013, CO-HOSTED WITH THE WHITE HOUSE AND HHS CENTER FOR FAITH-BASED AND NEIGHBORHOOD PARTNERSHIPS, ALONG WITH THE CHIEF EXECUTIVE OFFICERS FROM MANY OF THE HEALTH SYSTEM PARTNERS. THE PURPOSE WAS TO REVIEW FINDINGS FROM THE PAST 18 MONTHS OF INQUIRY AND DIALOGUE AND TO CONSIDER A CALL TO ACTION ON A SPECIFIC SET OF RECOMMENDATIONS. SEE THE FOLLOWING LINK FOR THE MONOGRAPH PRESENTED AT THE MEETING. HTTP://WWW.METHODISTHEALTH.ORG/DOTASSET/9E6F77D8-DF4B-4545-B2F3-BC77B106F9 69.PDF ADVOCATE CONTINUED TO PARTICIPATE IN STAKEHOLDER HEALTH MEETINGS AND LEADERSHIP IN 2014. THIS INCLUDED A MONETARY CONTRIBUTION TO SUPPORT THE SHARED ADMINISTRATIVE AND WEBSITE COSTS OF THE COLLABORATIVE. IN THE FALL OF 2015, ADVOCATE WILL HOST THE GROUP IN CHICAGO FOR A THREE-DAY MEETING. GOAL 5: PROMOTE INTEGRATION OF AND ACCOUNTABILITY FOR SYSTEM AND SITE PLANS AND ACTIVITIES BY ENHANCING COORDINATION AND DEVELOPING GOVERNANCE RELATIONSHIPS. A CORE GROUP OF ADVOCATE SYSTEM-LEVEL LEADERS ACHIEVED INTEGRATION, ACCOUNTABILITY AND NEW GOVERNANCE RELATIONSHIPS THROUGH IMPLEMENTATION OF THE FOLLOWING: * STRENGTHENING THE ROLE/VISIBILITY OF THE COMMUNITY HEALTH LEADERSHIP COUNCIL - A KEY FOCUS FOR THE SYSTEM CORE TEAM WAS TO STRENGTHEN THE ABILITY OF THE COMMUNITY HEALTH LEADERSHIP COUNCIL (CHLC) TO SERVE AS A RESOURCE AND PROVIDE GUIDANCE IN DEVELOPING AND IMPLEMENTING SYSTEM AND SITE COMMUNITY HEALTH PLANS. THE FOLLOWING ACTIONS WERE TAKEN TO REALIZE THIS OBJECTIVE * THE CHLC ROLE WAS DEFINED, A CHARTER APPROVED AND THE ROLE WAS COMMUNICATED AS APPROPRIATE WITHIN ADVOCATE AND IN THE COMMUNITY. MEETINGS WERE SCHEDULED MONTHLY TO ASSURE CLOSE COMMUNICATION AND ADHERENCE TO THE AMBITIOUS TIMELINE. * AS DESCRIBED EARLIER, THE COMMUNITY HEALTH STEERING COMMITTEE WAS CONVENED TO PLAN THE CHLC'S ACTIVITIES, I.E., SET AGENDAS, PROVIDE WORKSHOPS, TIMELINES AND DEADLINES TO ASSURE THE HOSPITALS AND THE SYSTEM MET THEIR GOALS AND WOULD BE FULLY COMPLIANT WITH THE PPACA. * REPORTING COMMUNITY HEALTH/COMMUNITY BENEFITS PLANNING, PROGRESS, AND ACHIEVEMENTS TO THE MISSION AND SPIRITUAL CARE COMMITTEE OF THE ADVOCATE BOARD OF DIRECTORS IN TANDEM WITH REPORTING COMMUNITY BENEFITS EXPENDITURES TO THE FINANCE COMMITTEE OF THE BOARD. WHEN CONSIDERING WHICH GOVERNANCE BODY WOULD BE ACCOUNTABLE FOR REVIEWING AND ENDORSING THE HOSPITAL CHNA REPORTS AND IMPLEMENTATION PLANS, THE HOSPITAL GOVERNING COUNCILS WERE SELECTED GIVEN THEY ARE THE SENIOR GOVERNING BODY AT EACH HOSPITAL. ONE OR MORE MEMBERS OF THE HOSPITAL GOVERNING COUNCILS WERE ALSO RECRUITED TO PARTICIPATE ON THEIR SITE'S COMMUNITY HEALTH COUNCIL, SERVING AS BOTH A COMMUNITY REPRESENTATIVE HAVING INPUT INTO THE DECISIONS OF THE COMMUNITY HEALTH COUNCIL AND AS A GOVERNING COUNCIL MEMBER THAT COULD PROVIDE REPORTS ON COMMUNITY HEALTH PLAN PROGRESS BACK TO THE GOVERNING COUNCIL. THIS PROCESS WORKED WELL AND ADVOCATE POSTED ITS HOSPITALS' FIRST CHNA REPORT ON ITS WEBSITE IN DECEMBER 2013, AND THE POSTING OF THE HOSPITALS' IMPLEMENTATION PLANS OCCURRED BEFORE MAY 15, 2014, IN COMPLIANCE WITH THE PATIENT PROTECTION AND AFFORDABLE CARE ACT'S REQUIREMENTS AS OUTLINED IN THE PROPOSED RULE FOR TAX-EXEMPT HOSPITALS. ADDITIONALLY, IN ORDER TO PROVIDE A COMMUNITY BENEFITS COST REPORT TO THE FINANCE COMMITTEE OF THE ADVOCATE BOARD OF DIRECTORS AND IN COMPLIANCE WITH ILLINOIS' COMMUNITY BENEFITS ACT, ADVOCATE ANNUALLY TRACKS THE COSTS OF ITS COMMUNITY HEALTH EFFORTS USING AN ADVOCATE INTRANET-BASED COMMUNITY BENEFITS WORKSHEET REPORTING APPLICATION. THE SOFTWARE APPLICATION, WHICH WAS DEVELOPED AND IS MANAGED AT THE SYSTEM LEVEL, NOT ONLY TRACKS THE COSTS OF COMMUNITY-FOCUSED PROGRAMS AND SERVICES, BUT ALSO CAPTURES THE LIVES TOUCHED AND SERVICES ADMINISTERED IN THE CATEGORIES SPECIFIED IN ILLINOIS' COMMUNITY BENEFITS ACT. COMMUNITY BENEFITS EDUCATION AND SOFTWARE TRAINING CLASSES AND REFRESHER COURSES ARE PROVIDED BY THE SYSTEM AT ADVOCATE'S HOSPITALS AND OTHER KEY SITES AS NEEDED. THE TRACKING OF COMMUNITY BENEFIT true CAEL 55 E Monroe Suite 2710 Chicago IL 60603 132890752 501c3 10000 SUPPORT EXEMPT MISSION METROPOLITAN CHICAGO SYNOD 1420 West Dickens Avenue SUITE 800 Chicago IL 60614 411568278 501c3 19000 SUPPORT EXEMPT MISSION NORTHWESTERN UNIVERSITY 2001 Sheridan Road Rm 453 Evanston IL 60208 362167817 501c3 9075 MARKETING CURRICULUM AMERICAN DIABETES ASSOCIATION 55 E Monroe Suite 3420 Chicago IL 60603 131623888 501c3 25650 SPONSOR EVENTS CHHSM-UCC 700 Prospect Ave Cleveland OH 44115 131957221 501c3 10500 LEGACY FUND AMERICAN CANCER SOCIETY 225 North Michigan Avenue Chicago IL 60601 131788491 501c3 121800 SPONSOR EVENTS NATIONAL KIDNEY FOUNDATION 215 West Illinois Suite 1C Chicago IL 60654 131673104 501c3 14391 SPONSOR EVENTS AMERICAN HEART ASSOCIATION PO Box 4002902 SUITE 1100 Des Moines IA 503402902 135613797 501c3 98430 SPONSOR EVENTS CRISIS CENTER SO SUBURBIA CORP PO Box 39 Tinley Park IL 60477 363039964 501c3 9636 SPONSOR EVENTS ILLINOIS WESLEYAN UNIVERSITY PO Box 2900 Bloomington IL 617029845 370662594 501c3 20000 EXPANSION PROJECT MARCH OF DIMES FOUNDATION 111 W Jackson Blvd Chicago IL 60604 131846366 501c3 68780 MARCH FOR BABIES/LEADERSHIP AWARD IHREF 1151 E Warrenville Rd Naperville IL 60563 237421930 501c3 702793 HOSPITAL MUTUAL ASSIST PROGRAM CHICAGO URBAN LEAGUE 4510 S Michigan Avenue Chicago IL 60653 362225483 501c3 5250 SPONSOR EVENTS COMMUNITY HEALTH 2611 West Chicago Avenue Chicago IL 60622 363831793 501c3 23824 SUPPORT EXEMPT MISSION NAMI OF GREATER CHICAGO 53 W Jackson BlvdSte 510 Chicago IL 60604 363075407 501c3 6256 SPONSOR EVENTS WELLNESS HOUSE 131 N County Line Rd Hinsdale IL 60521 363636933 501c3 9485 SPONSOR EVENTS YMCA 801 North Dearborn Street Chicago IL 60610 362179782 501c3 6980 SUPPORT EXEMPT MISSION IL CHAPTER OF AMERICAN ACAD OF PEDIATRICS 1400 W Hubbard STE 100 Chicago IL 60642 510183494 501c3 92551 SUPPORT EXEMPT MISSION UNIV OF ILL AT CHICAGO MAB 3rd Fl M/C 511 Chicago IL 60612 376000511 501c3 25000 GRANT FOR CEASEFIRE OPERATION CLICK 427 W Virginia St Crystal Lake IL 60014 202208637 501c3 25000 SUPPORT OPERATION CLICK SOUTH SUBURBAN PADS 414 W Lincoln Hwy Chicago Hts IL 60430 363744405 501c3 9054 SPONSOR EVENTS FAMILY HEALTH PTR CLINIC 401 E Congress Pkwy Crystal Lake IL 60014 364277029 501c3 11560 SUPPORT EXEMPT MISSION LUTHERAN SOCIAL SERVICES IL 1001 E Touhy Ave Des Plaines IL 60018 362584799 501c3 14250 SUPPORT EXEMPT MISSION ACCESS DUPAGEDUPAGE HLTH COAL 511 Thornhill Drive Carol Stream IL 60188 364448208 501c3 610400 SUPPORT EXEMPT MISSION IOMC 25 NW Point Blvd Elk Grv Village IL 60007 362217993 501c3 24100 SPONSOR EVENTS ILLINOIS PERFORMANCE 1415 W Diehl Rd Naperville IL 60563 363952696 501c3 60475 SPONSOR EVENTS ROTARY DISTRICT 6450 FDN PO Box 256 Downers Grove IL 60515 364219154 501c3 7000 SPONSOR EVENTS GROVE FOUNDATION 2455 Warrenville Rd Downers Grove IL 60515 363755536 501c3 9325 SPONSOR EVENTS ANIMA YOUNGGLEN ELLYN CHILDREN 501 Hill Ave Ste 207 Glen Ellyn IL 60137 363159041 501c3 7500 SUPPORT EXEMPT MISSION WORLD BUSINESS CHICAGO 177 N State St Ste 500 Chicago IL 60601 364313685 501c3 25000 SUPPORT EXEMPT MISSION CANCER SUPPORT CENTER 2028 Elm Rd MS 514 Homewood IL 60430 363880404 501c3 25018 SPONSOR EVENTS BARRINGTON AREA UNITED WAY 200 S Hough Street Barrington IL 60010 237123024 501c3 7165 SPONSOR EVENTS BARRINGTON AREA COUNCIL 6000 Garlands Lane Barrington IL 60010 363337705 501c3 9610 SPONSOR EVENTS SOUTHSIDE PREGNANCY CENTER 5450 W 95th Street Oak Lawn IL 60453 363367445 501c3 20000 SUPPORT EXEMPT MISISON ALZHEIMERS ASSOC-GREATER IL 8430 W Bryn Mawr Ave Chicago IL 60631 133039601 501c3 6000 SPONSOR EVENTS PASS PREGNANCY CARE CENTER 17214 Oak Park Avenue ROOM 3101 Tinley Park IL 60477 363345840 501c3 20000 SUPPORT EXEMPT MISSION ST BALDRICKS FOUNDATION 1333 S Mayflower Ave Monrovia CA 91016 201173824 501c3 15000 SPONSOR EVENTS DUPAGE CHILDRENS MUSEUM 301 N Washington St Naperville IL 60540 363565001 501c3 10000 SPONSOR EVENTS CONCORDIA PLACE 3300 N Whipple STE 1C Chicago IL 60618 320033719 501c3 5960 SPONSOR EVENTS FOX VALLEY VOLUNTEER HOSPICE 200 Whitfield Drive Geneva IL 60134 363111451 501c3 8000 SUPPORT EXEMPT MISSION UCAN 3737 North Mozart Street Chicago IL 60618 362167937 501c3 9000 SPONSOR EVENTS CRISTO REY WORK STUDY PROGRAM 1852 West 22nd Place Chicago IL 60608 043730980 501c3 58220 SUPPORT EXEMPT MISSION SAMARITAN COUNSELING CENTER 1000 Hart Road Barrington IL 60010 263135503 501c3 14625 SPONSOR EVENTS JDRF 1 North LaSalle St Chicago IL 60602 231907729 501c3 10000 SPONSOR EVENTS BARRINGTON AREA COMMUNITY FND 421 N NW Hwy Ste 210 Barrington IL 60010 364244673 501c3 6375 SPONSOR EVENTS BETHANY CHRISTIAN SERVICES INC 6660 W College Dr Palos Hts IL 60463 381405282 501c3 7500 SPONSOR EVENTS JOURNEY CARE FOUNDATION 405 Lake Zurich Road Barrington IL 60010 363820916 501c3 8095 SPONSOR EVENTS MAKE A WISH FOUNDATION 640 N LaSalle Dr Chicago IL 60654 363422138 501c3 20750 SPONSOR EVENTS MORAINE VALLEY COMMUNITY 9000 W College Pkwy Palos Hills IL 60465 363191202 501c3 5938 SPONSOR EVENTS SSEEO PO Box 855 Lombard IL 601480855 271925734 501c3 10000 SUPPORT EXEMPT MISSION SOUTHWEST CHICAGO PADS 414 W Lincoln Hwy Chicago Heights IL 60430 363744405 501c3 7500 FOOD PANTRY TRINITY INTL UNIVERSITY 2065 Half Day Road Deerfield IL 60015 362216176 501c3 10000 ANNUAL CONFERENCE MOSQUE FOUNDATION 7360 W 93rd Street Bridgeview IL 60455 362693172 501c3 7500 FOOD PANTRY CARSON SCHOLARS FUND INC 305 W Chesapeake Ave Towson MD 21204 521851346 501c3 67500 SUPPORT EXEMPT MISSION KELLY CARES FOUNDATION 1251 N Eddy St South Bend IN 46617 263591070 501c3 25000 BREAST CANCER INITIATIVES CURE IT FOUNDATION PO Box 4500 Oak Park IL 60304 453824750 501c3 5850 SPONSOR TO CURE BARBARA J TIMMER FAMILY FND 219 Austin Avenue Park Ridge IL 60068 367602887 501c3 5500 SPONSOR EVENTS HEALTHY SCHOOLS CAMPAIGN 175 N Franklin Ste 300 Chicago IL 60606 364308068 501c3 20750 SUPPORT EXEMPT MISSION SALVATION ARMY 5040 North Pulaski Avenue Chicago IL 60630 362167910 501c3 29500 SPONSOR EVENTS SILVER CRESCENT FOUNDATION 590 Ready Pond Road Batesburg SC 29006 571039538 501c3 24650 SPONSOR EVENTS PROACTIVE KIDS FOUNDATION 1101 Belter Drive Wheaton IL 60189 371556796 501c3 68648 SUPPORT EXEMPT MISSION BNAI BRITH INTERNATIONAL 4605 Lankershim Blvd N Hollywood CA 91602 530179971 501c3 25000 SPONSOR EVENTS BRIDGE TEEN CENTER 15555 S 71st Court Orland Park IL 60462 203802111 501c3 9500 SPONSOR EVENTS SYRIAN AMERICAN MEDICAL PO Box 1015 Canfield OH 44406 161717058 501c3 15000 SUPPORT EXEMPT MISSION KISH HEALTH SYSTEM FOUNDATION 1 Kish Hospital Dr DeKalb IL 60115 363649077 501c3 7600 SPONSOR EVENTS 65 Grants and Other Assistance to Domestic Organizations and Domestic Governments Schedule I, Part I and II For amounts reported on Schedule I, Advocate Health and Hospitals Corporation reports only support provided to organizations that are tax-exempt under section 501(c)(3) of the Internal Revenue Code and that are consistent with and complimentary to the mission and charitable, tax-exempt purposes of Advocate Health and Hospitals Corporation. Cash contributions are not made to individuals, for profit businesses, or private providers. Grants made to non-501( c)(3) entities, such as schools and government, are not detailed on Schedule I but included on Form 990, Part IX, Line 1. The purpose of these grants is to support community programs. X X X X true true X X X X X false true false false false false false true false James Skogsbergh PRESIDENT & CEO, DIRECTOR 1463355 0 2891534 0 1238079 0 2060036 0 29752 0 7682756 0 765371 0 Gail D Hasbrouck SVP, Gen Counsel & Corp. Sec 469637 0 392669 0 288426 0 166445 0 22172 0 1339349 0 154711 0 William P Santulli EXEC VP, COO 871072 0 1090000 0 531406 0 748459 0 30781 0 3271718 0 432420 0 Lee B Sacks MD EXEC VP, CHIEF MEDICAL OFFICER 705908 0 773328 0 411509 0 325841 0 21943 0 2238529 0 323744 0 James Doheny VP, Sys Contr & Asst.Treasurer 315161 0 109226 0 29777 0 24011 0 30240 0 508415 0 0 0 James Dan MD PRES PHYSICIAN/AMBULATORY SVCS 516652 0 568516 0 297133 0 241684 0 21514 0 1645499 0 233483 0 Rev K Bender Schwich SVP, Mission & Spiritual Care 133723 0 195777 0 218738 0 122408 0 101482 0 772128 0 32554 0 Kevin Brady SVP, Chf Human Resources offc 439537 0 515662 0 244304 0 223628 0 29100 0 1452231 0 214125 0 Vincent Bufalino SVP, CARDIO/SR MED DIR CARDIO 405908 0 380274 0 48861 0 285645 0 27304 0 1147992 0 51828 0 Susan Campbell SVP OF PATIENT CR-CHF NRS OFFC 343471 0 133933 0 44254 0 173422 0 19959 0 715039 0 0 0 Kelly Jo Golson SVP, Chief Marketing Officer 363898 0 267317 0 170646 0 116479 0 2920 0 921260 0 99154 0 Dominic J Nakis SVP, CFO & TREASURER 622258 0 773328 0 379183 0 325841 0 22752 0 2123362 0 323744 0 Scott Powder SVP, Chief Strategy Officer 380269 0 304156 0 172492 0 148436 0 31052 0 1036405 0 86720 0 Bruce D Smith SVP, Information Systems, CIO 481588 0 409443 0 245908 0 174433 0 31720 0 1343092 0 161321 0 Jonathan Bruss President, Trinity Hosp Jan-14 96889 0 239114 0 55253 0 43918 0 3158 0 438332 0 99232 0 Michael Farrell PRESIDENT -ADV CHILDREN'S HOSP 666095 0 510040 0 73962 0 458973 0 22427 0 1731497 0 81738 0 David Fox President, Good Samaritan Hosp 453676 0 434798 0 240362 0 191397 0 27769 0 1348002 0 179499 0 Michelle Gaskill President, Trinity Hospital 296977 0 31929 0 68355 0 99381 0 10047 0 506689 0 0 0 Richard Heim President, South Suburban Hosp 298619 0 219897 0 126569 0 133648 0 27022 0 805755 0 30277 0 Colleen Kannaday President, BroMenn Medical Ctr 396707 0 324659 0 26522 0 237937 0 27450 0 1013275 0 124142 0 Karen Lambert President, Good Shepherd Hosp 408808 0 369287 0 202998 0 158455 0 32629 0 1172177 0 144166 0 Kenneth Lukhard Mkt President, Christ Med Ctr 569724 0 626727 0 301356 0 255913 0 26808 0 1780528 0 281880 0 Rick Floyd President, Lutheran Gen Hosp 557406 10398 138628 0 135677 22241 222961 0 30596 0 1085268 32639 0 0 Thomas Grobelny Physician-Neuroint. Radiology 990323 0 370 0 -6917 0 21411 0 19353 0 1024540 0 0 0 Caleb Lippman Neurosurgeon 828658 0 11306 0 -7880 0 24011 0 27526 0 883621 0 0 0 Thom Lobe Physician - General Surgery 965769 0 0 0 334 0 24011 0 8361 0 998475 0 0 0 Kenji Muro Neurosurgeon 914779 0 0 0 24150 0 24011 0 24868 0 987808 0 0 0 John Song Neurosurgeon 1006004 0 4156 0 36739 0 24011 0 4836 0 1075746 0 0 0 Michael Englehart FMR PRES, SOUTH SUBURBAN HOSP 0 385609 0 349614 0 187516 0 158455 0 27792 0 1108986 0 125300 Ben Grigaliunas Senior VP, Human Resources 0 0 215578 0 0 0 0 0 0 0 215578 0 178794 0 Supplemental Compensation Information PART I, LINE 1A HOUSING ALLOWANCE/SOCIAL CLUB DUES/PERSONAL SERVICES REV. KATHIE BENDER SCHWICH, SENIOR VICE PRESIDENT-MISSION AND SPIRITUAL CARE, RECEIVED AN ANNUAL HOUSING ALLOWANCE OF $95,000 FROM ADVOCATE HEALTH AND HOSPITALS CORPORATION. JAMES SKOGSBERGH, PRESIDENT AND CHIEF EXECUTIVE OFFICER OF ADVOCATE HEALTH AND HOSPITALS CORPORATION, IS A MEMBER OF SEVERAL LUNCHEON CLUBS WHERE HE CONDUCTS BUSINESS MEETINGS ON BEHALF OF AHHC. JAMES SKOGSBERGH, PRESIDENT AND CHIEF EXECUTIVE OFFICER OF ADVOCATE HEALTH AND HOSPITALS CORPORATION, RECEIVES AS PART OF HIS BENEFITS PACKAGE FINANCIAL PLANNING SERVICES. JAMES SKOGSBERGH, PRESIDENT AND CHIEF EXECUTIVE OFFICER OF ADVOCATE HEALTH AND HOSPITALS CORPORATION, WAS PERMITTED TO USE FIRST CLASS TRAVEL IN ACCORDANCE WITH THE ORGANIZATION'S POLICY. 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: JAMES SKOGSBERGH $724,471, WILLIAM SANTULLI $301,001, GAIL HASBROUCK $134,329, LEE SACKS M.D. $229,403, DOMINIC NAKIS $216,494, BRUCE SMITH $138,871, KEVIN BRADY $142,002, SCOTT POWDER $103,372, JAMES DAN M.D. $168,324, KATHIE BENDER SCHWICH $162,245, KELLY JO GOLSON $98,317, RISHI SIKKA M.D. $52,005, DAVID FOX $137,892 , JONATHON BRUSS $45,540, KAREN LAMBERT $120,279, KENNETH LUKHARD $158,496, RICHARD HEIM $74,903, RICK FLOYD $74,847, MICHELLE GASKILL $32,348, AND MICHAEL ENGLEHART $112,398. THE FOLLOWING EMPLOYEES HAVE NOT YET VESTED AND THEREFORE THE CONTRIBUTIONS ARE REPORTED AS DEFERRED COMPENSATION: MICHAEL FARRELL $168,563, COLLEEN KANNADAY $79,482, VINCENT BUFALINO M.D. $117,377, AND SUSAN CAMPBELL $60,650. JAMES SKOGSBERGH AND WILLIAM SANTULLI ARE PARTICIPANTS IN SECTION 457(F) RETENTION INCENTIVE BENEFIT PLANS. THE PLANS ARE CURRENTLY NOT VESTED. THE PLANS ARE CONTINGENT ON EMPLOYMENT AND VEST WHEN THE PARTICPANT REACHES 60 YEARS OF AGE. THE CURRENT YEAR AMOUNTS EARNED ARE: JAMES SKOGSBERGH $747,465, WILLIAM SANTULLI $223,547. PART I, LINE 7 INCENTIVE PAYMENTS ARE BASED UPON A FORMULA. THE AMOUNTS ARE CALCULATED AFTER CERTAIN PERFORMANCE AND OPERATING GOALS ARE ACHIEVED. THE COMPENSATION COMMITTEE CAN EXERCISE DISCRETION OVER WHETHER INCENTIVE COMPENSATION IS PAID OUT ANNUALLY. A ILLINOIS HEALTH FACILITIES AUTHORITY 362780046 45200PXH5 2003-10-29 115000000 SEE SCHEDULE K, PART VI false false false B ILLINOIS FINANCE AUTHORITY 861091967 45200FED7 2013-01-24 51134288 SEE SCHEDULE K, PART VI false false false C ILLINOIS FINANCE AUTHORITY 861091967 45200FEE5 2013-02-01 43219722 SEE SCHEDULE K, PART VI false false false D ILLINOIS FINANCE AUTHORITY 861091967 45200FEF2 2012-05-01 51142165 SEE SCHEDULE K, PART VI false false false A 76340000 0 116432024 0 0 0 1034454 0 0 111807084 0 0 2005 false false true true B 0 0 51134288 0 0 0 0 0 0 0 51134288 0 2009 true false true true C 0 0 43219722 0 0 0 0 0 0 0 43219722 0 2009 true false true true D 0 0 51142165 0 0 0 0 0 0 0 51142165 0 2009 true false true true A false true true false false 0.00100 0.00000 0.00100 false true 0.00600 true true B false true true false false 0.00110 0.00000 0.00110 false false 0.00000 false true C false true true false false 0.00110 0.00000 0.00110 false false 0.00000 false true D false true true false false 0.00110 0.00000 0.00110 false false false true A false false false true true false 0 false 0 false true B false true false false true false 0 false 0 false true C false true false false true false 0 false 0 false true D false true false false true false 0 false 0 false true A true B true C true D true Schedule K, Part II-13, Line 3 PURPOSE OF BOND SERIES 2003 ISSUED 10/29/2003 FORM 990, SCHEDULE K, PART 1(F) (CUSIP # 45200PXH5) THE PROCEEDS OF THE ILLINOIS HEALTH FACILITIES AUTHORITY REVENUE BONDS, SERIES 2003A, 2003B AND SERIES 2003C (ADVOCATE HEALTH CARE NETWORK) WERE USED FOR THE PURPOSE, TOGETHER WITH OTHER AVAILABLE FUNDS, OF FINANCING CERTAIN CAPITAL EXPENDITURES OF CERTAIN OF THE HEALTH CARE FACILITIES OF THE ORGANIZATION AND ADVOCATE NORTH SIDE HEALTH NETWORK. PURPOSE OF BOND SERIES 2008C ISSUED 10/10/2007 FORM 990, SCHEDULE K, PART I (F) (CUSIP #45200FAZ2) THE PROCEEDS OF THE ILLINOIS FINANCE AUTHORITY REVENUE BONDS, SERIES 2007B-1, SERIES 2007B-2 AND SERIES 2007B-3 (ADVOCATE HEALTH CARE NETWORK), WERE USED FOR THE PURPOSE, TOGETHER WITH OTHER AVAILABLE FUNDS, OF FINANCING CERTAIN CAPITAL EXPENDITURES OF CERTAIN OF HEALTH CARE FACILITIES OF THE ORGANIZATION AND ADVOCATE NORTH SIDE HEALTH NETWORK, AND OF REFUNDING ALL OR A PORTION OF THE ORGANIZATION'S SERIES 1997A BONDS, SERIES 1997B BONDS, SERIES 2003B BONDS AND SERIES 2005 BONDS WHICH WERE ISSUED ON JANUARY 9, 1997, OCTOBER 23, 2003, AND JULY 7, 2005, RESPECTIVELY. THE SERIES 2007B BONDS WERE EXCHANGED FOR THE ILLINOIS FINANCE AUTHORITY REVENUE BONDS, SERIES 2008C-1, SERIES 2008C-2A, SERIES 2008C-2B, SERIES 2008C-3A, AND SERIES 2008C-3B (ADVOCATE HEALTH CARE NETWORK) ON APRIL 25, 2008. BASED ON THE ADVICE OF BOND COUNSEL, THE ORGANIZATION IS TREATING THE SERIES 2008C BONDS AS THE SAME ISSUE AS THE SERIES 2007B BONDS FOR FEDERAL INCOME TAX PURPOSES. PURPOSE OF BOND SERIES 2008A-1 ISSUED 1/24/2013 FORM 990, SCHEDULE K, PART I (F) (CUSIP # 45200FED7) THE SERIES 2008A-1 BONDS WERE REISSUED FOR FEDERAL INCOME TAX PURPOSES ON JANUARY 24, 2013. PURPOSE OF BOND SERIES 2008A-2 ISSUED 2/1/2013 FORM 990, SCHEDULE K, PART I (F) (CUSIP # 45200FEE5) THE SERIES 2008A-2 BONDS WERE REISSUED FOR FEDERAL INCOME TAX PURPOSES ON FEBRUARY 1, 2013. PURPOSE OF BOND SERIES 2008A-3 ISSUED 5/1/2012 FORM 990, SCHEDULE K, PART I (F) (CUSIP # 45200FEF2) THE SERIES 2008A-3 BONDS WERE REISSUED FOR FEDERAL INCOME TAX PURPOSES ON MAY 1, 2012. PURPOSE OF BOND SERIES 2008D ISSUED 12/01/2008 FORM 990, SCHEDULE K, PART I (F) (CUSIP # 45200FSB6) THE PROCEEDS OF THE ILLINOIS FINANCE AUTHORITY REVENUE BONDS, SERIES 2008D (ADVOCATE HEALTH CARE NETWORK) WERE USED FOR THE PURPOSE, TOGETHER WITH OTHER AVAILABLE FUNDS, OF FINANCING THE COSTS OF PURCHASING ASSETS OF CONDELL MEDICAL CENTER AND THE COSTS OF CONSTRUCTING AND EQUIPPING A NEW PATIENT TOWER FOR ADVOCATE CONDELL MEDICAL CENTER. THE ACQUIRED ASSETS INCLUDE CONDELL MEDICAL CENTER, A 283-LICENSED BED ACUTE CARE HOSPITAL LOCATED IN LIBERTYVILLE, ILLINOIS. PURPOSE OF BOND SERIES 2010 ISSUED 1/06/2010 FORM 990, SCHEDULE K, PART I (F) (CUSIP # 45200FK65) THE PROCEEDS OF THE ILLINOIS FINANCE AUTHORITY REVENUE BONDS, SERIES 2010 (ADVOCATE HEALTH CARE NETWORK) WERE USED FOR THE PURPOSE, TOGETHER WITH OTHER AVAILABLE FUNDS, OF REFUNDING THE ORGANIZATION'S SERIES 2008B-1, SERIES 2008B-2, SERIES 2008B-3, SERIES 2008B-4 AND SERIES 2008B-5 BONDS, OF FINANCING THE COSTS RELATED TO THE MERGER WITH BROMENN HEALTHCARE SYSTEM AND THE COSTS RELATED TO THE CONSTRUCTING AND EQUIPPING A NEW PATIENT TOWER FOR ADVOCATE BROMENN MEDICAL CENTER AS WELL AS FINANCING CERTAIN CAPITAL EXPENDITURES AT OTHER HEALTH CARE FACILITIES OF THE ORGANIZATION. THE MERGED ASSETS INCLUDE BROMENN REGIONAL MEDICAL CENTER, A 221-LICENSED BED ACUTE CARE HOSPITAL LOCATED IN BLOOMINGTON, ILLINOIS AND EUREKA COMMUNITY HOSPITAL, A 25-LICENSED BED GENERAL ACUTE CARE HOSPITAL LOCATED IN EUREKA, ILLINOIS. PURPOSE OF BOND SERIES 2011 ISSUED 9/21/2011 FORM 990, SCHEDULE K, PART I (F) (CUSIP # 45203HCA8) THE PROCEEDS OF THE SERIES 2011A-2, SERIES 2011B, SERIES 2011C AND SERIES 2011D BONDS WERE USED FOR THE PURPOSE, TOGETHER WITH OTHER AVAILABLE FUNDS, OF FINANCING THE COST OF CONSTRUCTING, RENOVATING AND EQUIPPING A NINE STORY AMBULATORY CARE FACILITY AT ADVOCATE CHRIST MEDICAL CENTER AND CERTAIN OTHER CAPITAL PROJECTS AT THE HEALTH CARE FACILITIES OF THE ORGANIZATION, ADVOCATE NORTH SIDE HEALTH NETWORK AND ADVOCATE CONDELL MEDICAL CENTER. PURPOSE OF BOND SERIES 2012 ISSUED 11/29/2012 FORM 990, SCHEDULE K, PART I (F) (CUSIP # 45203HNJ7) THE PROCEEDS OF THE SERIES 2012 BONDS WERE USED FOR THE PURPOSE, TOGETHER WITH OTHER AVAILABLE FUNDS, OF FINANCING THE COST OF CONSTRUCTING, RENOVATING AND EQUIPPING AN OUTPATIENT CENTER AT ADVOCATE ILLINOIS MASONIC MEDICAL CENTER, AN AMBULATORY CARE FACILITY AT ADVOCATE CHRIST MEDICAL CENTER AND CERTAIN OTHER CAPITAL PROJECTS AT THE HEALTH CARE FACILITIES OF THE ORGANIZATION, ADVOCATE NORTH SIDE HEALTH NETWORK AND ADVOCATE CONDELL MEDICAL CENTER. PURPOSE OF BOND SERIES 2013A ISSUED 8/8/2013 FORM 990, SCHEDULE K, PART I (F) (CUSIP # 45203HUC4) THE PROCEEDS OF THE SERIES 2013A BONDS WERE USED FOR THE PURPOSE, TOGETHER WITH OTHER AVAILABLE FUNDS, OF FINANCING THE COST OF CONSTRUCTING, RENOVATING AND EQUIPPING AN ICU EXPANSION PROJECT AT ADVOCATE TRINITY HOSPITAL, A CAMPUS MODERNIZATION PROJECT AT ADVOCATE GOOD SHEPHERD HOSPITAL, AN EMERGENCY DEPARTMENT/SURGERY EXPANSION PROJECT AT ADVOCATE LUTHERAN GENERAL HOSPITAL, AND CERTAIN OTHER CAPITAL PROJECTS AT THE HEALTH CARE FACILITIES OF THE ORGANIZATION, ADVOCATE NORTH SIDE HEALTH NETWORK AND ADVOCATE CONDELL MEDICAL CENTER. PURPOSE OF BOND SERIES 2014 ISSUED 12/18/2014 FORM 990, SCHEDULE K, PART I (F) (CUSIP # 45203HE40) THE PROCEEDS OF THE SERIES 2014 BONDS WERE USED FOR THE PURPOSE, TOGETHER WITH OTHER AVAILABLE FUNDS, OF ADVANCE REFUNDING CERTAIN OF THE SERIES 2008D BONDS PREVIOUSLY ISSUED BY THE ILLINOIS FINANCE AUTHORITY FOR THE BENEFIT OF THE BORROWER AND ADVANCE REFUNDING THE SERIES 2007A BONDS PREVIOUSLY ISSED BY THE ILLINOIS FINANCE AUTHORITY FOR THE BENEFIT OF ADVOCATE SHERMAN HOSPITAL. PURPOSE OF BOND SERIES 2011A-1 ISSUED 9/21/2011 FORM 990, SCHEDULE K, PART I (F) (CUSIP # 45203HCM2) THE PROCEEDS OF THE SERIES 2011A-1 BONDS WERE USED FOR THE PURPOSE, TOGETHER WITH OTHER AVAILABLE FUNDS, OF REFUNDING ALL OF THE ORGANIZATION'S SERIES 1998A AND SERIES 1998B BONDS. FORM 990, SCHEDULE K, PART II, LINE 3 FOR THOSE BOND ISSUES WHERE THE TOTAL PROCEEDS LISTED IN PART II, LINE 3 ARE NOT IDENTICAL TO THE ISSUE PRICE FOR THE RELATED BOND ISSUE SHOWN IN PART I, COLUMN (E), THE DIFFERENCE REPRESENTS INVESTMENT EARNINGS. SERVICE CONTRACTS AND RESEARCH AGREEMENTS FORM 990, SCHEDULE K, PART III, LINE 3B, ALL BOND ISSUES INTERNAL COUNSEL REVIEWS ALL MANAGEMENT OR SERVICE CONTRACTS AND RESEARCH AGREEMENTS. THEREFORE, THE ORGANIZATION DOES NOT ROUTINELY ENGAGE OUTSIDE BOND COUNSEL TO REVIEW THE CONTRACTS. BOND COUNSEL DOES REVIEW CONTRACTS RELATED TO THE FINANCED PROPERTY DURING DUE DILIGENCE PRIOR TO A BOND TRANSACTION. PRIVATE BUSINESS USE PERCENTAGE FORM 990, SCHEDULE K, PART III, LINES 4-6, ALL BOND ISSUES PRIVATE BUSINESS USE PERCENTAGE WAS CALCULATED BASED ON NEW MONEY PORTION OF THE BOND ISSUE ONLY. PRIVATE SECURITY AND PAYMENT TEST FORM 990, SCHEDULE K, PART III, LINE 7, ALL BOND ISSUES ADVOCATE MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND THEREFORE, HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS. ARBITRAGE REBATE COMPUTATION FORM 990, SCHEDULE K, PART IV, LINE 2C (BOND SERIES 2003, CUSIP # 45200PXH5) THE REBATE COMPUTATION WAS PERFORMED AS OF OCTOBER 29, 2013. SCHEDULE K PART IV LINE 2C (BOND SERIES 2008C, CUSIP # 45200FAZ2) THE REBATE COMPUTATION WAS PERFORMED AS OF OCTOBER 10, 2012. SCHEDULE K PART IV LINE 2C (BOND SERIES 2008D, CUSIP # 45200FSB6) THE REBATE COMPUTATION WAS PERFORMED AS OF DECEMBER 1, 2013. SWAP PROVIDERS FORM 990, SCHEDULE K, PART IV, LINE 3B ON DECEMBER 28, 2011 THE ORIGINAL SWAP RELATING TO THESE BONDS WITH CITIBANK N.A. WAS SEPARATED INTO TWO TRANCHES AND NOVATED (ASSIGNED TO) TWO SEPARATE SWAP COUNTERPARTIES, WELLS FARGO BANK, N.A. AND PNC BANK, NATIONAL ASSOCIATION. A ILLINOIS FINANCE AUTHORITY 861091967 45200FAZ2 2007-10-10 348300000 SEE SCHEDULE K, PART VI false false false B ILLINOIS FINANCE AUTHORITY 861091967 45200FSB6 2008-12-01 175920559 SEE SCHEDULE K, PART VI true false false C ILLINOIS FINANCE AUTHORITY 861091967 45200FK65 2010-01-06 243746239 SEE SCHEDULE K, PART VI false false false D ILLINOIS FINANCE AUTHORITY 861091967 45203HCA8 2011-09-21 201774238 SEE SCHEDULE K, PART VI false false false A 5030000 0 352851959 0 0 0 2331125 3418607 0 154520722 192581505 0 2009 true false true true B 25220000 136010000 176137450 0 0 0 2640929 0 0 173462191 0 0 2010 false false true true C 24455000 0 243841007 0 0 0 2992121 0 0 62581188 127075000 0 2012 true false true true D 0 0 202235524 0 0 0 1649390 0 0 200461255 0 0 2013 false false false true A false true true false false 0.00090 0.00000 0.00090 false true 0.01500 true true B false true true false false 0.02420 0.00000 0.02420 false false 0.00000 false true C false true true false false 0.00000 0.00000 0.00000 false false 0.00000 false true D false true true false false 0.00000 0.00000 0.00000 false false 0.00000 false true A false false true true true true SEE PART VI 26.8 false false true TRINITY PLUS FUNDING 2.1 true false true B false false false true false false 0 false 0 false true C false true false false false false 0 false 0 false true D false true false false true false 0 false 0 false true A true B true C true D true A ILLINOIS FINANCE AUTHORITY 861091967 45203HNJ7 2012-11-29 150003863 SEE SCHEDULE K, PART VI false false false B ILLINOIS FINANCE AUTHORITY 861091967 45203HUC4 2013-08-08 103136955 SEE SCHEDULE K, PART VI false false false C ILLINOIS FINANCE AUTHORITY 861091967 45203HE40 2014-12-18 341558564 SEE SCHEDULE K, PART VI false false false D ILLINOIS FINANCE AUTHORITY 861091967 45203HCM2 2011-09-21 12453367 SEE SCHEDULE K, PART VI false false false A 0 0 150184694 0 0 0 1646514 0 0 148493974 0 0 2014 false false false true B 1155000 0 103146877 0 0 0 1285192 0 0 101849526 0 0 2015 false false false true C 0 0 341558564 0 0 338892855 2255551 0 0 0 0 410157 2015 false true true true D 5765000 0 12453367 0 0 0 130427 0 0 0 12360328 0 2011 true false true true A false true true false false 0.00000 0.00000 0.00000 false false 0.00000 false true B false true true false false 0.00000 0.00000 0.00000 false false 0.00000 false true C false true true false false 0.01400 0.00000 0.01400 false false 0.00000 false true D 0.00000 0.00000 0.00000 0.00000 A false true false false false false 0 false 0 false true B false true false false false false 0 false 0 false true C false true false false false false 0 false 0 false true D false true false false true false 0 false 0 false true A true B true C true D true Lawn Medical Center SEE PART IV SEE PART IV X 370000 102368 false true true 102368 Julie Nakis FAMILY MBR - D. NAKIS 63947 EMPLOYMENT false Michael Mahoney FAMILY MBR - D. NAKIS 54583 EMPLOYMENT false James Richardson FAMILY MBR - M.RICHARDSON 401642 EMPLOYMENT false BRIAN MCKENNY FAMILY MBR - JAMES DAN 16168 EMPLOYMENT false ANNE KATZ MD FAMILY MBR - LEE SACKS 279560 EMPLOYMENT false Emily Heim FAMILY MBR - RICHARD HEIM 16093 EMPLOYMENT false FORM 990, SCHEDULE L, PART II, LINE 1(C) Relationship: Gary Stuck, Director of AHHC is an owner of Lawn Medical Center. PURPOSE OF LOAN: TO BRING NEW PHYSICIAN INTO PRACTICE FORM 990, PART III, LINE 4A PROVIDING INPATIENT AND OUTPATIENT HEALTHCARE SERVICES TO THE COMMUNITY REGARDLESS OF THE PATIENTS' ABILITY TO PAY. INCLUDED IN THESE HEALTH CARE SERVICES ARE THE PROVISION OF CHARITY CARE AND TRAUMA CARE. AS PART OF ITS COMMUNITY BENEFITS STRATEGY AND ITS MISSION, ADVOCATE IS COMMITTED TO PROMOTING INITIATIVES THAT ENHANCE ACCESS TO HEALTH CARE FOR THE UNINSURED, UNDERINSURED AND LOW INCOME. AN EXAMPLE OF THIS IS ADVOCATE'S PROVISION OF CHARITY CARE. ADVOCATE OFFERS A VERY GENEROUS CHARITY CARE PROGRAM - REQUIRING NO PAYMENTS FROM THE PATIENTS MOST IN NEED, AND PROVIDING DISCOUNTS TO UNINSURED PATIENTS EARNING UP TO SIX TIMES THE FEDERAL POVERTY LEVEL, AND TO INSURED PATIENTS EARNING UP TO FOUR TIMES THE FEDERAL POVERTY LEVEL. ADVOCATE ALSO CONSIDERS AN INDIVIDUAL'S EXTENUATING CIRCUMSTANCES TO QUALIFY PATIENTS FOR CHARITY CARE. FOR UNINSURED PATIENTS, ADVOCATE WILL PRESUMPTIVELY PROVIDE CHARITY CARE IF THE FINANCIAL STATUS HAS BEEN VERIFIED BY A THIRD PARTY AND, IN THESE CASES, THE PATIENT IS NOT REQUIRED TO SUBMIT A SEPARATE CHARITY APPLICATION. IF PRESUMPTIVE CRITERIA IS NOT AVAILABLE FOR UNINSURED PATIENTS, THEN FINANCIAL ASSISTANCE ELIGIBILITY IS AVAILABLE USING AN INCOME-BASED SCREENING. ADVOCATE EXTENDS ITS INCOME-BASED FINANCIAL ASSISTANCE POLICY TO ITS INSURED PATIENTS AS WELL, ALSO TAKING INTO CONSIDERATION THE INSURED INDIVIDUAL'S EXTENUATING CIRCUMSTANCES. ALTHOUGH ADVOCATE'S CHARITY CARE POLICY IS VERY GENEROUS, ADVOCATE CONTINUES TO REVIEW AND REFINE ITS POLICY IN AN ONGOING EFFORT TO ENSURE THAT FINANCIAL ASSISTANCE IS AVAILABLE WHEN THEY NEED IT TO THOSE WHO NEED HELP. ADVOCATE HOSPITALS MAINTAIN HIGHLY VISIBLE SIGNAGE AND BROCHURES IN MULTIPLE LANGUAGES TO INFORM PATIENTS OF THE AVAILABILITY OF FINANCIAL HELP AND FINANCIAL COUNSELORS. INFORMATION ABOUT ADVOCATE'S CHARITY CARE PROGRAM AND CHARITY APPLICATIONS IS PROVIDED TO ALL UNINSURED PATIENTS DURING REGISTRATION AND IS MAILED TO THEM IN ADVANCE OF THE FIRST PATIENT BILLING. AFTER THAT, EACH UNINSURED PATIENT BILL INCLUDES SUMMARY INFORMATION REGARDING THE CHARITY CARE PROGRAM. ADVOCATE IS ALSO ONE OF THE LARGEST PROVIDERS OF HEALTH CARE SERVICES TO MEDICAID AND MEDICARE PATIENTS IN CHICAGO AND THE SURROUNDING SUBURBS. IN THE AREA OF TRAUMA CARE, ADVOCATE HEALTH CARE IS DEDICATED TO PROVIDING EXPERT EMERGENCY CARE - TODAY AND IN THE FUTURE. ADVOCATE'S FIVE LEVEL I TRAUMA CENTERS, THE HIGHEST DESIGNATION LEVEL FOR TRAUMA CENTERS, CARE FOR THE MOST SERIOUSLY INJURED PEOPLE IN CHICAGOLAND. AS IS THE CASE WITH ALL ILLINOIS LEVEL I TRAUMA CENTERS, ADVOCATE'S TRAUMA CENTERS ARE STAFFED BY ON-SITE, 24-HOUR-A-DAY TRAUMA SURGEONS; FEATURE 24-HOUR SURGICAL AND NONSURGICAL SERVICES, SUCH AS RADIOLOGY AND ANESTHESIA; AND CAN ACCOMMODATE HELICOPTER TRANSPORTS. ADVOCATE OPERATES NEARLY ONE-QUARTER OF ALL LEVEL I TRAUMA CENTERS IN ILLINOIS AND IS THE LARGEST TRAUMA SYSTEM IN THE STATE OF ILLINOIS. TWENTY PERCENT OF TRAUMA PATIENTS IN METROPOLITAN CHICAGO ARE TREATED IN AN ADVOCATE TRAUMA CENTER ANNUALLY. FORM 990, PART III, LINE 4B HEALTH CARE SERVICES PROVIDED BY PHYSICIANS EMPLOYED BY THE ORGANIZATION. AS PART OF ADVOCATE'S BROAD ARRAY OF SERVICES AND PROGRAMS DESIGNED TO MEET COMMUNITY HEALTH NEEDS, ADVOCATE PHYSICIANS FOCUS ON ADDRESSING THE MOST SIGNIFICANT ISSUES IMPACTING PUBLIC HEALTH IN ADVOCATE'S SERVICE AREA. THROUGH THIS FOCUSED APPROACH, PHYSICIANS ALSO CONCENTRATE ON PROVIDING PROGRAMS AND SERVICES THAT TARGET UNIQUE HEALTH ACCESS NEEDS OF THE UNINSURED, UNDERINSURED, UNDERSERVED, LOW INCOME AND SPECIAL NEEDS INDIVIDUALS LIVING IN CHICAGOLAND AND CENTRAL ILLINOIS COMMUNITIES. DOWN SYNDROME CENTER - AT THE ADULT DOWN SYNDROME CENTER ON THE ADVOCATE LUTHERAN GENERAL HOSPITAL CAMPUS, FOR EXAMPLE, ADVOCATE PHYSICIANS PROVIDE CRUCIAL PSYCHOSOCIAL AND MEDICAL SERVICES TO ADOLESCENTS AND ADULTS WITH DOWN SYNDROME LIVING IN ALL AREAS OF ILLINOIS. MANY INDIVIDUALS IN THIS UNIQUE POPULATION RECEIVE PUBLIC ASSISTANCE AND, IN MOST INSTANCES, THERE ARE FEW SOURCES OF REIMBURSEMENT FOR THESE MUCH NEEDED SERVICES. IN 2014, THE CENTER HAD NEARLY 3,000 ACTIVE PATIENTS AND 7,000 PATIENT VISITS. SCHOOL-BASED HEALTH CENTER - A COMMUNITY PARTNERSHIP WITH MAINE TOWNSHIP DISTRICT 207 PLACES ADVOCATE PHYSICIANS AT THE MAINE EAST HIGH SCHOOL-BASED HEALTH CENTER TO PROVIDE UNINSURED AND UNDERINSURED STUDENTS FROM ALL MAINE TOWNSHIP HIGH SCHOOLS - EAST, WEST AND SOUTH - WITH FREE OR LOW-COST PHYSICALS, IMMUNIZATIONS, BEHAVIORAL HEALTH TREATMENT, NUTRITIONAL EDUCATION AND COUNSELING. THESE SERVICES HELP THE STUDENTS MEET STATE-MANDATED PHYSICAL AND IMMUNIZATION REQUIREMENTS. THE CENTER'S MEDICAL DIRECTOR AND STAFF HAVE HAD MORE THAN 22,000 STUDENT CONTACTS SINCE THE FACILITY'S INCEPTION IN 2003. IN 2014, FOR THE 17TH YEAR IN A ROW, ADVOCATE MEDICAL GROUP (AMG) SPONSORED MEDFEST - A COLLABORATIVE WITH SPECIAL OLYMPICS OF ILLINOIS. MEDFEST PROVIDES PEOPLE WITH INTELLECTUAL DISABILITIES OPPORTUNITIES TO PARTICIPATE IN SPORTS TRAINING AND COMPETITIONS, CREATING AVENUES FOR INCLUSION AND ACCEPTANCE FOR THIS UNDERSERVED POPULATION. AMG PROVIDED 1,651 FREE ATHLETIC PHYSICALS TO SPECIAL OLYMPIANS IN 2014, ALLOWING THEM OPPORTUNITIES TO PARTICIPATE IN COMPETITIONS THROUGHOUT THE YEAR. IN ADDITION TO THE EXAMPLES PROVIDED ABOVE, ADVOCATE PHYSICIANS ALSO PROVIDE YEAR ROUND HEALTH EDUCATION, LECTURES AND SCREENINGS AND CONSULTATIONS AT COMMUNITY HEALTH EVENTS THROUGHOUT THE METROPOLITAN CHICAGO AREA. FORM 990, PART III, LINE 4C GRADUATE MEDICAL EDUCATION. ADVOCATE IS COMMITTED TO TRAINING HEALTH CARE PROVIDERS IN A BROAD RANGE OF SPECIALTIES. NOTABLY, ADVOCATE HEALTH CARE IS THE LEADING TRAINER OF PRIMARY CARE PHYSICIANS IN ILLINOIS. ADVOCATE'S PRIMARY ACADEMIC AFFILIATIONS ARE WITH THE UNIVERSITY OF ILLINOIS COLLEGE OF MEDICINE IN CHICAGO, ROSALIND FRANKLIN UNIVERSITY OF HEALTH SCIENCES/CHICAGO MEDICAL SCHOOL AND MIDWESTERN UNIVERSITY/CHICAGO COLLEGE OF OSTEOPATHIC MEDICINE. PARTICIPATION IN MEDICAL EDUCATION OCCURS AT THE UNDERGRADUATE, GRADUATE AND FELLOWSHIP LEVELS. IN 2014, 2,464 MEDICAL STUDENTS COMPLETED ROTATIONS AND 632 RESIDENTS AND FELLOWS RECEIVED HANDS-ON TRAINING AT ADVOCATE'S FOUR TEACHING HOSPITALS - ADVOCATE BROMENN MEDICAL CENTER, ADVOCATE CHRIST MEDICAL CENTER, ADVOCATE ILLINOIS MASONIC MEDICAL CENTER AND ADVOCATE LUTHERAN GENERAL HOSPITAL. NOT INCLUDED IN THE ABOVE EXPENSE AND REVENUE AMOUNTS BUT IMPORTANT TO THE ORGANIZATION'S ROLE IN TRAINING HEALTH CARE PROFESSIONALS, IS THE NURSING RESIDENCY PROGRAM AT ADVOCATE GOOD SAMARITAN HOSPITAL, AS WELL AS PROGRAMS WHICH TRAIN OTHER UNDERGRADUATE STUDENTS IN NURSING, RESPIRATORY CARE, RADIOLOGIC TECHNOLOGY, PHYSICAL THERAPY, PHARMACEUTICAL SERVICES AND OTHER DISCIPLINES AT ADVOCATE SITES OF CARE. ADDITIONALLY, ADVOCATE'S SPIRITUAL LEADERS OVERSEE A NATIONALLY ACCREDITED CLINICAL PASTORAL EDUCATION PROGRAM. TRAINING OVER 175 STUDENTS EACH YEAR, THIS PROGRAM IS ONE OF THE LARGEST IN THE COUNTRY, PROVIDING OPPORTUNITIES FOR SEMINARY STUDENTS AND LOCAL HEALTH LEADERS TO GROW AND DEVELOP SPIRITUAL CARE MINISTRY SKILLS. FORM 990, PART III, LINE 4D OTHER PROGRAM SERVICES ADVOCATE HEALTH CARE IS RANKED ONE OF THE NATION'S TOP FIVE INTEGRATED DELIVERY NETWORKS BY IMS HEALTH AND HAS EARNED 100 TOP HOSPITALS RECOGNITION BY TRUVEN HEALTH ANALYTICS AT FIVE OF ITS HOSPITALS, INCLUDING ADVOCATE CHRIST MEDICAL CENTER, ADVOCATE CONDELL MEDICAL CENTER, ADVOCATE GOOD SAMARITAN HOSPITAL, ADVOCATE ILLINOIS MASONIC MEDICAL CENTER, AND ADVOCATE LUTHERAN GENERAL HOSPITAL. ADVOCATE IS THE LARGEST INTEGRATED HEALTH CARE SYSTEM IN ILLINOIS AND ONE OF THE LARGEST HEALTH CARE PROVIDERS IN THE MIDWEST. IN 2014, AS PART OF A NETWORK WITH OVER 250 SITES OF CARE, ITS MORE THAN 35,000 ASSOCIATES PROVIDED CARE AT ADVOCATE'S ELEVEN FULL-SERVICE ACUTE CARE HOSPITALS, AND A CHILDREN'S HOSPITAL LOCATED ON TWO CAMPUSES (OAK LAWN AND PARK RIDGE), FOR A TOTAL OF 3,300 BEDS. ADVOCATE'S HOSPITALS HAD A COMBINED TOTAL OF 168,077 INPATIENT ADMISSIONS, 1,878,528 OUTPATIENT VISITS AND 531,663 EMERGENCY DEPARTMENT VISITS IN 2014. ADVOCATE PROVIDES EXPERT EMERGENCY CARE TO THE CHICAGO AREA'S SERIOUSLY INJURED PEOPLE THROUGH ITS FIVE LEVEL I TRAUMA CENTERS (THE STATE'S HIGHEST DESIGNATION IN TRAUMA CARE), WHICH COMPRISE THE LARGEST EMERGENCY AND LEVEL 1 TRAUMA NETWORK IN ILLINOIS, AND THREE LEVEL II TRAUMA CENTERS. IN 2014, ADVOCATE'S LEVEL I TRAUMA CENTERS HANDLED 7,876 TRAUMA AND 307,326 EMERGENCY ROOM VISITS; AND THE LEVEL II TRAUMA CENTERS HANDLED 1,104 TRAUMA AND 129,447 EMERGENCY ROOM VISITS. IN ADDITION, FOUR OF ADVOCATE'S HOSPITALS ARE DESIGNATED LEVEL III (THE STATE'S HIGHEST LEVEL) NEONATAL INTENSIVE CARE UNITS (NICU) AND IN ADDITION TO HANDLING THE MOST ILL BABIES FROM OTHER ADVOCATE HOSPITALS, ALSO TAKE TRANSFERS FROM NON-ADVOCATE HOSPITALS IN AND AROUND THE CHICAGO AREA. ADVOCATE TREATS MORE PEDIATRIC PATIENTS THAN ANY OTHER HOSPITAL OR SYSTEM IN THE STATE, AND MORE PEOPLE TRUST THEIR HEARTS TO ADVOCATE THAN TO ANY OTHER HOSPITAL OR SYSTEM IN THE STATE. ADDITIONALLY, ADVOC 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. THROUGH ADVOCATE'S OWN PROGRAMS AND SERVICES, AS WELL AS ITS PARTICIPATION IN THE COMMUNITY, ADVOCATE PROMOTES A SHARED APPROACH TO COMMUNITY BENEFITS. EXAMPLES INCLUDE: HEALTHY STEPS PROGRAM-THROUGH ADVOCATE'S SYSTEM-LED HEALTHY STEPS PROGRAM IN 2014, HEALTHY STEPS SPECIALISTS TOUCHED THE LIVES OF 6,248 YOUNG CHILDREN THROUGH CHILDHOOD PROGRAMS WITHIN PEDIATRIC/FAMILY PRACTICE RESIDENCIES, AND ADVOCATE CHILDREN'S HOSPITAL - OAK LAWN AND ADVOCATE CHILDREN'S HOSPITAL - PARK RIDGE (AND ALSO AT ADVOCATE ILLINOIS MASONIC MEDICAL CENTER WHICH HAS ITS OWN FEIN NUMBER AND IS REPORTED SEPARATELY AS THE NORTHSIDE NETWORK ON IRS FORMS 990). 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. 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. MISSION AND SPIRITUAL CARE-SINCE 1995, ADVOCATE HEALTH CARE'S OFFICE FOR MISSION AND SPIRITUAL CARE HAS PROVIDED PROFESSIONALLY TRAINED CLINICAL CHAPLAINS AND ETHICISTS WHO OFFER SUPPORT AND SERVICES TO INDIVIDUALS AND FAMILIES EXPERIENCING MEDICAL CHALLENGES. THE OFFICE ALSO DEVELOPS PARTNERSHIPS WITH COMMUNITIES AND CONGREGATIONS TO HELP ADDRESS LOCAL HEALTH CARE NEEDS. THROUGH ITS CONGREGATIONAL HEALTH PARTNERSHIPS AND PARISH NURSE MINISTRY PROGRAMS, ADVOCATE EXTENDS ITS REACH INTO THE COMMUNITY BY WORKING WITH CHURCHES, SOCIAL SERVICE ORGANIZATIONS, GOVERNMENTAL AGENCIES AND OTHER COMMUNITY PARTNERS TO ADDRESS SPIRITUAL NEEDS. ADVOCATE'S CO-SPONSORSHIP OF 18 ADVOCATE PARISH NURSES SERVING 24 CONGREGATIONS AND 13 NETWORK NURSES SERVING 13 CONGREGATIONS, SUPPORTS THEIR WORK TO PROVIDE HEALTH EDUCATION, WELLNESS PROMOTION, HEALTH SCREENINGS, ADVOCACY AND SPIRITUAL SUPPORT TO FAITH COMMUNITIES IN ADVOCATE'S CITY AND SUBURBAN HOSPITAL SERVICE AREAS. ADVOCATE'S SPIRITUAL LEADERS ALSO OVERSEE A NATIONALLY ACCREDITED CLINICAL PASTORAL EDUCATION PROGRAM. SUPERVISING OVER 180 STUDENT UNITS EACH YEAR, THE PROGRAM IS ONE OF THE LARGEST IN THE COUNTRY, PROVIDING OPPORTUNITIES FOR SEMINARY STUDENTS AND LOCAL HEALTH LEADERS TO GROW AND DEVELOP SPIRITUAL CARE MINISTRY SKILLS. GOAL 2: UNDERTAKE OR SUPPORT INITIATIVES THAT ENHANCE ACCESS TO HEALTH AND WELLNESS SERVICES WITHIN THE DIVERSE COMMUNITIES ADVOCATE SERVES. A FEW EXAMPLES OF ADVOCATE'S LEADERSHIP IN SERVING UNINSURED AND UNDERINSURED INDIVIDUALS AND FAMILIES ARE: CHARITY CARE-ADVOCATE OFFERS A VERY GENEROUS CHARITY CARE PROGRAM - REQUIRING NO PAYMENTS FROM THE PATIENTS MOST IN NEED, AND PROVIDING DISCOUNTS TO UNINSURED PATIENTS EARNING UP TO SIX TIMES THE FEDERAL POVERTY LEVEL, AND TO INSURED PATIENTS EARNING UP TO FOUR TIMES THE FEDERAL POVERTY LEVEL. ADVOCATE ALSO CONSIDERS AN INDIVIDUAL'S EXTENUATING CIRCUMSTANCES TO QUALIFY PATIENTS FOR CHARITY CARE. FOR UNINSURED PATIENTS, ADVOCATE WILL PRESUMPTIVELY PROVIDE CHARITY CARE IF THE FINANCIAL STATUS HAS BEEN VERIFIED BY A THIRD PARTY AND, IN THESE CASES, THE PATIENT IS NOT REQUIRED TO SUBMIT A SEPARATE CHARITY APPLICATION. IF PRESUMPTIVE CRITERIA IS NOT AVAILABLE FOR UNINSURED PATIENTS, THEN FINANCIAL ASSISTANCE ELIGIBILITY IS AVAILABLE USING AN INCOME-BASED SCREENING. ADVOCATE EXTENDS ITS INCOME-BASED FINANCIAL ASSISTANCE POLICY TO ITS INSURED PATIENTS AS WELL, ALSO TAKING INTO CONSIDERATION THE INSURED INDIVIDUAL'S EXTENUATING CIRCUMSTANCES. ADVOCATE HOSPITALS MAINTAIN HIGHLY VISIBLE SIGNAGE AND BROCHURES IN MULTIPLE LANGUAGES TO INFORM PATIENTS OF THE AVAILABILITY OF FINANCIAL HELP AND FINANCIAL COUNSELORS. INFORMATION ABOUT ADVOCATE'S CHARITY CARE PROGRAM AND CHARITY APPLICATIONS ARE PROVIDED TO ALL UNINSURED PATIENTS DURING REGISTRATION. IN ADDITION, THE FINANCIAL ASSISTANCE POLICY AND CHARITY APPLICATION IS MAILED TO THEM AT HOME PRIOR TO THE FIRST BILL. AFTER THAT, EACH UNINSURED PATIENT BILL INCLUDES SUMMARY INFORMATION REGARDING THE CHARITY CARE PROGRAM. INFORMATION IS ALSO PROMINENTLY DISPLAYED ON ADVOCATE'S WEBSITE. FOR INSURED PATIENTS, A SUMMARY OF THE FINANCIAL ASSISTANCE POLICY AND AN APPLICATION IS SENT WITH THE FIRST PATIENT BILLING. ADVOCATE ALSO OFFERS FREE INTERPRETIVE SERVICES IN MANY LANGUAGES AT ITS HOSPITALS AND OWNED PHYSICIAN PRACTICES THROUGH ON-SITE AGENCY MEDICAL INTERPRETERS OR TELEPHONIC INTERPRETATION. FEDERALLY QUALIFIED HEALTH CENTERS (FQHCS)-MANY OF ADVOCATE'S HOSPITALS HAVE RELATIONSHIPS WITH FEDERALLY QUALIFIED HEALTH CENTERS (FQHC) OR OTHER COMMUNITY CLINICS WITHIN THEIR SERVICE AREAS FOR THE PURPOSE OF PROVIDING UNINSURED OR UNDERINSURED INDIVIDUALS THE HEALTH CARE SERVICES THEY NEED. FOR EXAMPLE, ADVOCATE SOUTH SUBURBAN HOSPITAL HAS A PARTNERSHIP WITH AUNT MARTHA'S YOUTH SERVICE CENTER, A FQHC, TO IMPROVE ACCESS TO PRIMARY CARE SERVICES FOR UNINSURED AND UNDERINSURED INDIVIDUALS. ADVOCATE BROMENN MEDICAL CENTER, ON THE OTHER HAND, MAINTAINS A COMMUNITY HEALTH CLINIC IN COLLABORATION WITH OSF ST. JOSEPH'S HOSPITAL (ST. JOSEPH), WHEREBY BROMENN IS RESPONSIBLE FOR A PORTION OF THE HOSPITAL CARE FOR THE CLINIC'S PATIENTS THROUGHOUT THE YEAR. BROMENN IS ALSO THE SOLE PROVIDER OF THE CLINIC'S INFORMATION TECHNOLOGY (IT) SUPPORT AS WELL AS THE SPACE OCCUPIED BY THE CLINIC. AS PART OF THIS RELATIONSHIP, EACH PATIENT WHO IS SERVED BY THE CLINIC IS ASSIGNED TO A HOSPITAL - EITHER ST. JOSEPH OR BROMENN - AND SERVICES FROM LAB TESTS TO INPATIENT CARE ARE PROVIDED TO THESE PATIENTS WHEN THEY NEED IT. ANOTHER EXAMPLE IS ADVOCATE CHRIST MEDICAL CENTER'S PARTNERSHIP WITH THE ACCESS TO CARE ORGANIZATION WHEREBY THE HOSPITAL PROVIDES DIAGNOSTIC RADIOLOGY SERVICES, SUCH AS MAMMOGRAMS, TO AREA UNINSURED AND LOW-INCOME INDIVIDUALS. ACCESS DUPAGE COMMUNITY PROGRAM - WORKING WITH OTHER AREA HOSPITALS, ADVOCATE GOOD SAMARITAN HOSPITAL PROVIDES SUPPORT THROUGH THE DUPAGE HEALTH COALITION TO SUSTAIN THE ACCESS DUPAGE COMMUNITY PROGRAM - A COMMUNITY COLLABORATION DESIGNED TO PROVIDE LOW-COST PRIMARY MEDICAL CARE SERVICES TO THE LOW-INCOME, MEDICALLY UNINSURED RESIDENTS OF DUPAGE COUNTY. IN ADDITION, THE HOSPITAL PARTNERS WITH THE DUPAGE COUNTY HEALTH DEPARTMENT FOR INDIGENT PATIENT FINANCIAL ELIGIBILITY IN THE EMERGENCY ROOM AND TO ASSIST WITH OUTPLACEMENT SERVICES FOR THOSE PATIENTS WHO COULD BENEFIT FROM TREATMENT PROGRAMS, PLACEMENT WITH A PRIMARY CARE PROVIDER (PCP), DENTAL CARE, ETC. IN ADDITION AND IN PARTNERSHIP WITH THE DUPAGE COUNTY HEALTH DEPARTMENT, ADVOCATE GOOD SAMARITAN HOSPITAL PROVIDES UNDERPRIVILEGED WOMEN ACCESS TO BREAST AND PELVIC EXAMS, PAP SMEARS, ROUTINE AND DIAGNOSTIC MAMMOGRAMS, AND BIOPSIES/SURGERY WHEN INDICATED. IN 2014, 249 SERVICES WERE ADMINISTERED THROUGH THE HOSPITAL'S SUPPORT. FREE MAMMOGRAMS - ADVOCATE CHRIST'S BREAST CENTER PARTICIPATES IN THREE PROGRAMS FOR FREE MAMMOGRAMS TO PATIENTS INCLUDING: THE METROPOLITAN CHICAGO TASK FORCE "BEYOND OCTOBER" FOR WHICH FREE MAMMOGRAMS ARE PROVIDED TO 50 WOMEN; A SILVER LINING FOUNDATION "BUY YOUR MOM A MAMMOGRAM" PROVIDING UNINSURED AND UNDERINSURED WOMEN AND MEN WITH MAMMOGRAMS (SCREENING OR DIAGNOSTIC), ULTRASOUND, IMAGED GUIDED BIOPSIES AND MRIS (THE HOSPITAL RECEIVES REIMBURSEMENT FROM THE FUND); AND THE LOIS B. GASTEYER FUND WHICH PROVIDES SCREENING MAMMOGRAMS FOR UNINSURED WOMEN. THE HOSPITAL IS REIMBURSED BY FOUNDATION FUNDS FOR THE LATTER TWO SERVICES. COUNTY CHNA COLLABORATIVES - ADVOCATE GOOD SHEPHERD HOSPITAL PARTNERED WITH THE MCHENRY COUNTY HEALTH DEPARTMENT ON THE ENROLL MCHENRY GRANT TO GIVE HEALTHCARE ACCESS TO THOSE THAT ARE UNINSURED. ADVOCATE GOOD SHEPHERD HOSPITAL HIRED TWO IN-PERSON COUNSELORS DURING THE DURATION OF THE FIRST YEAR OF THE ENROLL MCHENRY GRANT THROUGH THE MCHENRY EMERGENCY MEDICAL SERVICES SYSTEM DUPAGE COUNTY RESIDENTS WHO CALL 911 FOR EMERGENCY HELP CAN REST ASSURED SOME OF THE BEST TRAINED RESPONDERS WILL COME TO THEIR AID. FOR MORE THAN 30 YEARS, ADVOCATE GOOD SAMARITAN HOSPITAL'S EMERGENCY MEDICAL SERVICES SYSTEM HAS RUN THE COUNTY'S PARAMEDIC TRAINING PROGRAM. THE ILLINOIS DEPARTMENT OF PUBLIC HEALTH APPROVED PROGRAM PROVIDES YEAR-ROUND CONTINUING EDUCATION AND TESTING FOR 24 PROVIDERS AND FIRE SERVICES IN LOCAL COMMUNITIES, INCLUDING OVERSIGHT, QUALITY ASSURANCE AND RELICENSING FOR NEARLY 600 PARAMEDICS, 1,000 EMERGENCY MEDICAL TECHNICIANS AND 200 911 DISPATCHERS. GOAL 4: LEVERAGE RESOURCES AND MAXIMIZE COMMUNITY OUTREACH EFFORTS BY BUILDING AND STRENGTHENING COMMUNITY PARTNERSHIPS. ADVOCATE MAINTAINS AND CONTINUES TO ACTIVELY EXPAND ITS PARTNERSHIPS AND RELATIONSHIPS WITH A WIDE VARIETY OF ORGANIZATIONS, INCLUDING RELIGIOUS ORGANIZATIONS, NEIGHBORHOOD GROUPS AND OUTREACH AND RESOURCE PROGRAMS. EXAMPLES INCLUDE: ADULT DOWN SYNDROME CENTER - AN EXAMPLE OF BUILDING AND FOSTERING COMMUNITY PARTNERSHIPS TO MAXIMIZE RESOURCES IS ADVOCATE'S ADULT DOWN SYNDROME CENTER. ESTABLISHED IN THE EARLY 1990'S THROUGH A PARTNERSHIP BETWEEN ADVOCATE LUTHERAN GENERAL HOSPITAL AND THE NATIONAL ASSOCIATION FOR DOWN SYNDROME (NADS), IT IS ONE OF THE LARGEST CENTERS OF ITS KIND IN THE WORLD. THE CENTER PROVIDES CRUCIAL PSYCHOSOCIAL AND MEDICAL SERVICES TO ADOLESCENTS AND ADULTS WITH DOWN SYNDROME LIVING IN ALL AREAS OF ILLINOIS. MANY IN THIS UNIQUE POPULATION ARE ON PUBLIC ASSISTANCE AND FOR MOST OF THESE INDIVIDUALS THERE ARE FEW SOURCES OF REIMBURSEMENT FOR THESE MUCH-NEEDED SERVICES. THE CENTER'S MULTIDISCIPLINARY APPROACH TO COMPREHENSIVE MEDICAL CARE, WITH A STRONG EMPHASIS ON PREVENTIVE MEDICINE, PROVIDES PRACTICAL APPROACHES TO HEALTH EDUCATION AND HEALTH RISK REDUCTION INCLUDING SUPPORTING PEOPLE WITH DOWN SYNDROME IN THEIR OWN HEALTH PROMOTION EFFORTS. EACH YEAR, THE CENTER CONTINUES TO PROVIDE FOR APPROXIMATELY 3,000 INDIVIDUALS WITH DOWN SYNDROME. PATIENTS ARE TREATED AT THE CENTER, BUT CARE IS ALSO PROVIDED TO PATIENTS THAT ARE HOMEBOUND, AT RESIDENTIAL FACILITIES OR NURSING HOMES, OR ARE AT THE HOSPITAL. IN 2014, THE CENTER EXPERIENCED OVER 7,000 PATIENT VISITS. ACTIVE FOR YOUR HEALTH AND "FIRST PLACE 4 HEALTH - ADVOCATE TRINITY HOSPITAL'S DEDICATION TO EXPANDING ITS PARTNERSHIPS HAS RESULTED IN A NETWORK OF MORE THAN 80 COMMUNITY ORGANIZATIONS, KEY LEADERS, ELECTED OFFICIALS AND THE FAITH COMMUNITY TO IMPLEMENT AND ENHANCE COMMUNITY OUTREACH PROGRAMS. THE HOSPITAL IS WORKING WITH OVER 45 CHURCHES TO IMPLEMENT THE PARTNERS FOR FAITH AND HEALTH NETWORK PROGRAM WHICH INCLUDES HEALTH SCREENINGS, HEALTH FAIRS AND PROGRAMS, SUCH AS THE HEALTHY LIFESTYLE BEHAVIOR MODIFICATION PROGRAMS ACTIVE FOR YOUR HEALTH AND FIRST PLACE 4 HEALTH, THAT TEACH HEALTHY LIVING PRINCIPLES. THE HOSPITAL ALSO WORKS WITH GRASSROOTS COMMUNITY ORGANIZATIONS AND NEIGHBORHOOD GROUPS TO ADDRESS THE COMMUNITY'S HEALTH NEEDS AND CONCERNS. RONALD MCDONALD CARE MOBILE - THROUGH A PARTNERSHIP BETWEEN ADVOCATE CHILDREN'S HOSPITAL AND RONALD MCDONALD HOUSE CHARITIES OF CHICAGOLAND AND NORTHWEST INDIANA, THE RONALD MCDONALD CARE MOBILE (RMCM) DELIVERS FREE, HIGH LEVEL PRIMARY CARE SERVICES TO LOW-INCOME AND UNINSURED FAMILIES WITHIN THE CHICAGOLAND AREA. BY GOING INTO THE COMMUNITY, THE CARE MOBILE ELIMINATES FINANCIAL AND TRANSPORTATION CHALLENGES THAT OFTEN PROHIBIT PARENTS FROM ACCESSING CARE. AS A RESULT OF A RECENT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), POCKETS OF LOW-INCOME, UNINSURED CHILDREN WERE DISCOVERED IN SEVERAL ZIP CODES WITHIN CLOSE PROXIMITY TO ADVOCATE CHILDREN'S HOSPITAL. AFTER REDIRECTING THE CARE MOBILE'S EFFORTS TO FOCUS ON REACHING THESE VULNERABLE CHILDREN, INCLUDING EXPANSION OF THE PROGRAM INTO THE NORTH SUBURBAN AREA, THE RMCM CLINICAL TEAM WAS ABLE TO INCREASE THEIR COMMUNITY IMPACT. IN 2014, THE TEAM SAW 2,537 PATIENTS, GAVE NEARLY 4,000 VACCINES AND PERFORMED CLOSE TO 3,000 PHYSICALS AT 161 GRAMMAR SCHOOLS, HIGH SCHOOLS, DAY CARE CENTERS AND COMMUNITY HEALTH FAIRS - ALL PROVIDED FREE OF CHARGE. CEASEFIRE - YET ANOTHER EXAMPLE IS THE UNIQUE PARTNERSHIP BETWEEN CEASEFIRE, A COMMUNITY OUTREACH ORGANIZATION SEEKING TO REDUCE THE INCIDENCE OF DEADLY STREET VIOLENCE IN CHICAGO NEIGHBORHOODS AND ADVOCATE CHRIST MEDICAL CENTER, A LEVEL I TRAUMA CENTER SERVING THE SOUTH AND SOUTHWEST PORTIONS OF CHICAGO AND THE SUBURBS. NEARLY ONE-THIRD OF THE 4,500 TRAUMAS AT THE HOSPITAL EACH YEAR ARE VICTIMS OF INTENTIONAL VIOLENCE, SUCH AS GUNSHOTS, STABBINGS AND/OR BATTERY. APPROXIMATELY 40 PERCENT OF PATIENTS TREATED FOR INTENTIONAL VIOLENCE IN THE EMERGENCY DEPARTMENT ARE NOT ADMITTED TO THE HOSPITAL - MAKING A STRONG CASE FOR EARLY INTERVENTION. VIOLENCE, LIKE OTHER EPIDEMICS, IS PREDICTABLE AND OFTEN ENGAGED IN AS AN ACT OF RETALIATION. IMMEDIATE INTERVENTION IS NECESSARY. WHEN VIOLENTLY INJURED PATIENTS ARE TRANSPORTED TO ADVOCATE CHRIST MEDICAL CENTER FROM THE CHICAGO AREA, CHAPLAINS IN THE TRAUMA CENTER NOTIFY CEASEFIRE WHILE THE PATIENT IS STILL IN THE EMERGENCY DEPARTMENT. CEASEFIRE HOSPITAL RESPONDERS PROVIDE COUNSELING TO THESE PATIENTS AND THEIR LOVED ONES AIMING TO REDUCE ONGOING CONFLICT IN THE COMMUNITY AND RISK OF RETALIATION. IN ADDITION, CEASEFIRE VIOLENCE INTERRUPTERS QUELL TENSION IN THE COMMUNITY IMMEDIATELY FOLLOWING A VIOLENT INCIDENT. CEASEFIRE'S CASE MANAGER SEES THESE PATIENTS IN THE TRAUMA CLINIC AFTER DISCHARGE ENSURING COMPREHENSIVE FOLLOW-UP CARE. IN 2014, CEASEFIRE RESPONDED TO 894 VIOLENTLY INJURED PATIENTS AND 1,000 ACCOMPANYING FAMILY MEMBERS AND FRIENDS IN ADVOCATE CHRIST MEDICAL CENTER'S EMERGENCY DEPARTMENT. COMMUNITY HEALTH NEEDS ASSESSMENT COLLABORATIVES - ADVOCATE'S HOSPITALS EITHER WERE WORKING AND CONTINUED TO DO SO OR BEGAN WORKING IN COUNTY CHNA COLLABORATIVES FOR THE 2014-2016 CHNA CYCLE. THESE COLLABORATIVES INCLUDE AREA PUBLIC HEALTH DEPARTMENTS, OTHER HOSPITALS AND OTHER COMMUNITY STAKEHOLDERS WHO ACKNOWLEDGE THAT ADDRESSING THEIR COMMUNITIES NEEDS IS BEST DONE IN PARTNERSHIP. THERE IS THE POTENTIAL FOR THESE ORGANIZATIONS TO NOT ONLY EXPERIENCE COST SAVINGS IN NOT DUPLICATING THEIR ASSESSMENT EFFORTS IN COLLECTING DATA FOR THEIR OVERLAPPING SERVICE AREAS BUT ALSO IN THEIR ABILITY TO HAVE MORE IMPACT COLLECTIVELY THAN THEY WOULD HAVE ALONE IN ADDRESSING KEY COMMUNITY HEALTH PRIORITIES. AS AN EXAMPLE, ADVOCATE GOOD SHEPHERD HOSPITAL HAS AVIDLY WORKED TO IMPROVE THE HEALTH OF ITS COMMUNITY WITH ITS FINANCIAL AND LEADERSHIP SUPPORT OF THE LAKE AND MCHENRY COUNTY MAPP ASSESSMENTS AND THE HEALTHIER BARRINGTON AND WAUCONDA HEALTH PARTNERSHIP COALITIONS. THE HOSPITAL USES THE DATA GATHERED THROUGH THESE ASSESSMENTS FOR ITS COMMUNITY HEALTH INITIATIVES, SOME OF WHICH INCLUDE: EXPANSION OF OBESITY PREVENTION, FALL PREVENTION AMONG SENIORS, EARLY DETECTION OF CANCER (ESPECIALLY BREAST AND THE UNDERSERVED POPULATION), TEEN HEALTH AND SAFETY, AND DIABETES DETECTION AND MANAGEMENT. COOK COUNTY COLLECTIVE IMPACT CHNA INITIATIVE - IN 2014, PLANNING WAS UNDERWAY TO MORE EFFECTIVELY ADDRESS THE NEEDS OF CHICAGO AND THE SURROUNDING COMMUNITIES THROUGH DEVELOPMENT OF A COOK COUNTY COLLECTIVE IMPACT CHNA INITIATIVE. REPRESENTATIVES FROM ADVOCATE HEALTH CARE, PRESENCE HEALTH, THE COOK COUNTY PUBLIC HEALTH DEPARTMENT AND THE ILLINOIS INSTITUTE OF PUBLIC HEALTH (IPHI) BEGAN LAYING THE GROUNDWORK TO CREATE A BEST-PRACTICE, HIGHLY COMMUNITY-ENGAGED COLLABORATIVE COMMUNITY HEALTH NEEDS ASSESSMENT. ITS FOCUS IS TO ACHIEVE COLLECTIVE IMPACT ON POPULATION HEALTH IMPROVEMENT ACROSS THE COUNTY, PARTICULARLY AMONG UNDERSERVED GROUPS. THE INITIATIVE AS PLANNED WOULD CONVENE INTERESTED NON-PROFIT HOSPITALS AND THE SIX HEALTH DEPARTMENTS WITHIN COOK COUNTY TO WORK ON COLLABORATIVE CHNAS AND IMPLEMENTATION PLANS AS REQUIRED BY THE IRS. PARTICIPATING HOSPITALS WOULD THEN BE DIVIDED INTO SEVERAL GEOGRAPHIC CLUSTERS TO UNDERTAKE A MODIFIED MAPP PROCESS LEVERAGING THE CURRENT PLANNING ACTIVITIES OF THE CDPH AND CCDPH. THIS WOULD INCLUDE FOLLOWING A COMMON TIMELINE AND PROCESS, USING COMMON INDICATORS AND COMMON COMMUNITY INPUT INSTRUMENTS, AND OTHER SHARED METHODS AND RESOURCES. WITH THE SUPPORT OF THE IPHI, THE HOSPITALS IN EACH CLUSTER, IN PARTNERSHIP WITH RELEVANT HEALTH DEPARTMENTS, WOULD COLLABORATIVELY ENGAGE COMMUNITY STAKEHOLDERS TO PRODUCE THE CHNA AND IMPLEMENTATION PLAN. THE PLANNING TEAM IDENTIFIED THREE GOALS OF THE INITIATIVE INCLUDING: 1. BETTER ENGAGEMENT WITH THE COMMUNITY - WITH OVERLAPPING SERVICE AREAS, HOSPITALS ARE DRAWING ON THE SAME COMMUITY PARTNERS TO UNDERTAKE MULTIPLE CHNA INITIATIVES. THIS CONFUSES STAKEHOLDERS, AND DOES NOT EFFECTIVELY USE THE TIME, TALENTS AND RESOURCES OF VOLUNTEER PARTNERS. 2. MORE EFFECTIVE SOLUTIONS - THE HOSPITALS' IMPACT MAY BE LIMITED BY WORKING IN ISOLATION. BY WORKING TOGETHER WITH OTHER HOSPTIALS AND THE HEALTH DEPARTMENTS TO ASSESS NEEDS, DETERMINE PRIORITIES AND COLLABORATE TO ADDRESS THOSE PRIORITIES, HOSPITALS CAN HAVE A MORE PROFOUND EFFECT ON THE HEALTH OF THEIR COMUNITIES. 3. STEWA FORM 990, PART VI, SECTION A, LINE 1A BOARD DELEGATING POWERS TO EXECUTIVE COMMITTEE THE CORPORATE MEMBER'S EXECUTIVE COMMITTEE HAS NINE MEMBERS, CONSISTING OF THE CHAIRPERSON, THE VICE CHAIRPERSON, THE PRESIDENT, THE CHAIRPERSONS OF THE FINANCE, PLANNING, HEALTH OUTCOMES AND MISSION AND SPIRITUAL CARE COMMITTEES, AND TWO OTHER DIRECTORS. THE PAST CHAIRPERSON OF THE BOARD OF DIRECTORS MAY SERVE AS AN EX-OFFICIO MEMBER OF THE COMMITTEE, WITH VOTE. EACH OF THE EXECUTIVE COMMITTEE'S MEMBERS IS ON THE BOARD. THE SCOPE OF THE EXECUTIVE COMMITTEE'S AUTHORITY INCLUDES: BE RESPONSIBLE FOR PLANNING EDUCATIONAL PROGRAMS FOR THE BOARD OF DIRECTORS; CONDUCT AN EVALUATION OF THE MEMBERS OF THE BOARD OF DIRECTORS; HAVE SUCH AUTHORITY AS SHALL BE DELEGATED BY THE BOARD OF DIRECTORS; AND ACT ON BEHALF OF THE BOARD OF DIRECTORS BETWEEN MEETINGS. THE EXECUTIVE COMMITTEE IS ACCOUNTABLE AS A BODY TO THE BOARD OF DIRECTORS. FORM 990, PART VI, LINE 2 OFFICER BUSINESS RELATIONSHIP AS DR. JAMES DAN, GAIL HASBROUCK, JAMES DOHENY, AND DOMINIC NAKIS ARE EITHER DIRECTORS OR OFFICERS OF WHOLLY OWNED ADVOCATE ENTITIES, THEY ARE DEEMED TO HAVE A BUSINESS RELATIONSHIP PURSUANT TO THE INSTRUCTIONS FOR FORM 990. AS DR. JAMES DAN, GAIL HASBROUCK, JAMES DOHENY, AND SCOTT POWDER ARE EITHER DIRECTORS OR OFFICERS OF WHOLLY OWNED ADVOCATE ENTITIES, THEY ARE DEEMED TO HAVE A BUSINESS RELATIONSHIP PURSUANT TO THE INSTRUCTIONS FOR FORM 990. AS DR. JAMES DAN AND DR. LEE SACKS ARE EITHER DIRECTORS OR OFFICERS OF WHOLLY OWNED ADVOCATE ENTITIES, THEY ARE DEEMED TO HAVE A BUSINESS RELATIONSHIP PURSUANT TO THE INSTRUCTIONS FOR FORM 990. AS DR. JAMES DAN, GAIL HASBROUCK, JAMES DOHENY, SCOTT POWDER, AND WILLIAM SANTULLI ARE EITHER DIRECTORS OR OFFICERS OF WHOLLY OWNED ADVOCATE ENTITIES, THEY ARE DEEMED TO HAVE A BUSINESS RELATIONSHIP PURSUANT TO THE INSTRUCTIONS FOR FORM 990. FORM 990, PART VI, QUESTION 6 DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERS BYLAWS PROVIDE FOR CORPORATE MEMBERS. FORM 990, PART VI, QUESTION 7A DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS DIRECTORS OF THE BOARD ARE CORPORATE MEMBERS OF ADVOCATE HEALTH AND HOSPITAL BOARD, WHICH ELECTS THE BOARD OF DIRECTORS. FORM 990, PART VI, QUESTION 7B DESCR CLASSES OF PERSONS, DECISIONS REQUIRING APPR & TYPE OF VOTING RIGHTS THE FOLLOWING RESERVE POWERS IDENTIFIED IN THE BYLAWS REQUIRE THE APPROVAL OF THE CORPORATE MEMBER, ADVOCATE HEALTH CARE NETWORK: APPOINT OUTSIDE AUDITORS AND ESTABLISH AND REVISE ALL FINANCIAL CONTROL POLICIES, AND ANY CHANGES TO SUCH POLICIES, BEFORE SUCH POLICIES OR CHANGES BECOME EFFECTIVE; CAUSE THE CORPORATION TO PAY, LOAN OR OTHERWISE TRANSFER PROPERTY AND FUNDS TO OTHER ENTITIES AFFILIATED WITH THE CORPORATE MEMBER; AMEND THE BYLAWS WITHOUT ACTION OR APPROVAL BY THE BOARD OF DIRECTORS (AFTER TEN DAYS NOTICE TO THE CORPORATION'S BOARD OF DIRECTORS OF THE PROPOSED AMENDMENT(S) WITH AN OPPORTUNITY FOR BOARD MEMBERS TO CONSULT WITH THE CORPORATE MEMBER REGARDING THE PROPOSED AMENDMENT; APPROVAL OF THE OVERALL MISSION, PHILOSOPHY AND VALUES STATEMENTS AND ANY AMENDMENTS OR SUPPLEMENTS TO SUCH STATEMENTS; APPROVAL OF THE OVERALL STRATEGIC PLANS; APPROVAL OF ALL OVERALL OPERATING AND CAPITAL BUDGETS BEFORE ANY EXPENDITURE, PURSUANT TO SUCH BUDGETS ARE MADE OR COMMITTED, AND APPROVAL OF ALL EXPENDITURES ABOVE ANY LIMIT THAT MAY BE ESTABLISHED BY THE BOARD OF THE CORPORATE MEMBER; APPROVAL OF THE INCURRENCE OR GUARANTEE OF ANY INDEBTEDNESS FOR BORROWED MONEY WHICH HAS NOT ALREADY BEEN APPROVED AS A PART OF THE BUDGET APPROVAL PROCESS OR WHICH IS ABOVE ANY LIMIT THAT MAY BE ESTABLISHED BY THE BOARD OF THE CORPORATE MEMBER; APPROVAL OF ALL TRANSFERS OF OWNERSHIP OR DONATIONS OF ASSETS ABOVE ANY LIMIT THAT MAY BE ESTABLISHED BY THE BOARD OF THE CORPORATE MEMBER; APPROVAL OF ALL AMENDMENTS TO THE ARTICLES OF INCORPORATION AND BYLAWS OF THE CORPORATION BEFORE THEY BECOME EFFECTIVE; APPROVAL OF ANY MERGER, CONSOLIDATION, OR DISSOLUTION; AND APPROVAL OF THE CREATION OF OR AFFILIATION WITH ANY SUBSIDIARY OR AFFILIATE, BEFORE SUCH ENTITY IS CREATED OR THE ENTRANCE INTO ANY JOINT VENTURE IF THE CONTEMPLATED ACTIVITY WILL INVOLVE THE EXPENDITURE OF FUNDS OR THE ASSUMPTION OF OBLIGATIONS WHICH HAVE NOT ALREADY BEEN APPROVED AS A PART OF THE BUDGET APPROVAL PROCESS OR REQUIRE MEMBER APPROVAL UNDER THE FINANCIAL CONTROL POLICIES. FORM 990, PART VI, QUESTION 11B DESCRIBE THE PROCESS USED BY MANAGEMENT &/OR GOVENING BODY TO REVIEW 990 ADVOCATE'S TAX PREPARATION PROCESS INCLUDES ONGOING CONSULTATION WITH ITS OUTSIDE TAX CONSULTING FIRM AND TAX LEGAL COUNSEL, BOTH OF WHICH POSSESS EXPERTISE IN HEALTH CARE AND TAX-EXEMPT RETURN PREPARATION, TO ADVISE AND ASSIST WITH PREPARATION OF THE FORM 990. THESE ADVISORS WORKED CLOSELY WITH THE ORGANIZATION'S FINANCE, TAX, AND LEGAL ASSOCIATES AND OTHER MEMBERS OF THE ORGANIZATION'S TEAM ASSEMBLED TO PARTICIPATE IN THE PREPARATION OF THE FORM 990. THE FORM 990 IS REVIEWED BY FINANCE MANAGEMENT, THE TAX MANAGER, THE VP OF FINANCE / CORPORATE CONTROLLER, THE CHIEF FINANCIAL OFFICER, AND ADVOCATE'S OUTSIDE TAX CONSULTING FIRM AND TAX LEGAL COUNSEL. PRIOR TO PRESENTING THE FORM 990 TO THE BOARD OF DIRECTOR'S AUDIT COMMITTEE IN NOVEMBER, THE ORGANIZATION'S TEAM, INCLUDING ITS ADVISORS, MET FREQUENTLY TO DISCUSS AND REVIEW DRAFTS OF THE FORM 990. AT THE NOVEMBER AUDIT COMMITTEE MEETING, THE VP OF FINANCE / CORPORATE CONTROLLER AND CHIEF FINANCIAL OFFICER COORDINATED A REVIEW OF THE FORM 990 WITH COMMITTEE MEMBERS, AS THE AUDIT COMMITTEE IS THE COMMITTEE OF THE BOARD OF DIRECTORS CHARGED WITH OVERSIGHT OF AUDIT AND TAX MATTERS. THE VP OF FINANCE / CORPORATE CONTROLLER AND CHIEF FINANCIAL OFFICER RESPONDED TO THE AUDIT COMMITTEE MEMBERS' QUESTIONS AND PROVIDED THE OPPORTUNITY FOR DETAILED DISCUSSION OF THE FORM 990. THE CHANGES IDENTIFIED WERE INCORPORATED, AND THEN A COMPLETE COPY OF THE FINAL FORM 990 WAS PROVIDED TO EACH MEMBER OF THE ORGANIZATION'S BOARD OF DIRECTORS BEFORE THE FORM 990 WAS FILED. FORM 990, PART VI, QUESTION 12C DESCRIBE THE PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST THE ORGANIZATION'S CONFLICT OF INTEREST POLICY APPLIES TO VARIOUS PEOPLE, INCLUDING MEMBERS OF ADVOCATE'S BOARD OF DIRECTORS, GOVERNING COUNCILS, OFFICERS, ASSOCIATES, VOLUNTEERS, AND MEDICAL STAFF MEMBERS WITH ADMINISTRATIVE RESPONSIBILITIES. ANNUALLY, THE COMPLIANCE DEPARTMENT SENDS THIS POLICY AND THE ADVOCATE CODE OF BUSINESS CONDUCT TO A RANGE OF INDIVIDUALS WHO MAY BE IN A POSITION TO EXERCISE SUBSTANTIAL INTEREST OVER A PARTICULAR MATTER (DEFINED AS INTERESTED PERSONS). THEY ARE REQUIRED TO READ THE POLICIES AND PROVIDE A DISCLOSURE STATEMENT TO THE COMPLIANCE DEPARTMENT, WHICH IDENTIFIES ACTIVITIES AND RELATIONSHIPS THAT COULD POTENTIALLY GIVE RISE TO A CONFLICT OF INTEREST. THE CHIEF COMPLIANCE OFFICER REVIEWS THE DISCLOSURES AND PROVIDES A REPORT TO THE SYSTEM BUSINESS CONDUCT (COMPLIANCE) COMMITTEE, EXECUTIVE MANAGEMENT TEAM AND THE AUDIT COMMITTEE OF THE BOARD FOR REVIEW. THE REPORT IS THEN PROVIDED, IN RELEVANT PART, TO THE SITE CHIEF EXECUTIVE OFFICERS. POTENTIAL CONFLICTS ARE REVIEWED BY THE COMPLIANCE DEPARTMENT ON A CASE-BY-CASE BASIS. FOLLOW UP PROCEDURES CONDUCTED ARE UNIQUE TO THE GIVEN CIRCUMSTANCE, AND MAY INCLUDE REVIEWING THE POTENTIAL CONFLICT WITH THE INTERESTED PERSON, OR INVESTIGATING THE MATTER IN CONSULTATION WITH THE INTERESTED PERSON'S SUPERVISOR AND/OR SITE MANAGEMENT. IN CIRCUMSTANCES WHERE THE INTERESTED PERSON IS NOT A MEMBER OF THE BOARD, OR GOVERNING COUNCIL, OR A COMMITTEE THEREOF, OR A PERSON OF INTEREST, IF IT IS DETERMINED THAT THERE IS AN ACTUAL CONFLICT OF INTEREST, THE SUPERVISOR OF THE INDIVIDUAL IS RESPONSIBLE FOR MAKING AN APPROPRIATE RESPONSE, POTENTIALLY INCLUDING A RESTRICTION OF THE INDIVIDUAL'S JOB DUTIES WITH RESPECT TO THE MATTER GIVING RISE TO THE CONFLICT. FORM 990, PART VI, QUESTIONS 15 A & B OFFICES & POSITIONS FOR WHICH PROCES WAS USED, & YEAR PROCESS WAS BEGUN EXECUTIVE COMPENSATION AT ADVOCATE HEALTH AND HOSPITAL CORPORATION IS BASED ON A BOARD OF DIRECTORS' APPROVED STRATEGY THAT GUIDES THE CORPORATION IN ESTABLISHING COMPENSATION OPPORTUNITIES FOR EXECUTIVES, MANAGERS, PROFESSIONALS AND ALL EMPLOYEES. IN THIS STRATEGY, SPECIFIC MARKET COMPARISONS ARE IDENTIFIED AND THE DESIRED LEVELS OF COMPETITIVENESS IN THOSE MARKETS SPECIFIED. IN ADDITION, THE LINKAGE OF EXECUTIVE PAY TO PERFORMANCE IS ARTICULATED AND HOW THIS RELATIONSHIP IS TO BE MAINTAINED IS OUTLINED. TO SUPPORT AND IMPLEMENT THE COMPENSATION STRATEGY, FIVE BASIC ELEMENTS ARE UTILIZED. THESE ELEMENTS ARE: -A SOLID, RELIABLE AND TESTED JOB EVALUATION METHODOLOGY. -ACCURATE, QUALITY AND RELEVANT COMPENSATION SURVEY INFORMATION. -A CONSISTENT ANNUAL PROCESS FOR UPDATING THE COMPENSATION LEVELS. -AN ACTIVE BOARD REVIEW PROCESS THAT ASSURES COMPLIANCE WITH THE COMPENSATION STRATEGY AND ON-GOING REVIEW OF THE PERFORMANCE OF THE ORGANIZATION, AND -ACTIVE, EXTERNAL REVIEW AND AUDITING OF COMPENSATION BY EXTERNAL INDEPENDENT CONSULTANTS FORM 990, PART VI, QUESTION 19 THE ORGANIZATION MAKES ITS FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC THROUGH THE FOLLOWING WEB SITES: DACBOND.COM (DIGITAL ASSURANCE CERTIFICATION LLC) EMMA.MSRB.ORG (ELECTRONIC MUNICIPAL MARKET ACCESS) THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS OR CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC. FORM 990, PART XI, LINE 9 FASB 158 ADJUSTMENTS ($55,948,752) 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 CHARITABLE FOUNDATION 3075 HIGHLAND PARKWAY STE 600 DOWNERS GROVE IL 60515 363297360 Fundraising IL 501(c)(3) 7 AHCN false ADVOCATE CONDELL MEDICAL CENTER 3075 HIGHLAND PARKWAY STE 600 DOWNERS GROVE IL 60515 262525968 HEALTH CARE IL 501(c)(3) 3 AHHC true EHS HOME HEALTH CARE SERVICE INC 3075 HIGHLAND PARKWAY STE 600 DOWNERS GROVE IL 60515 362913108 HOME CARE IL 501(c)(3) 9 AHHC true MERIDIAN HOSPICE 3075 HIGHLAND PARKWAY STE 600 DOWNERS GROVE IL 60515 363158667 HOSPICE CARE IL 501(c)(3) 9 EHSHHCS false HISPANOCARE INC 3075 HIGHLAND PARKWAY STE 600 DOWNERS GROVE IL 60515 363606486 HEALTH CARE IL 501(c)(3) 9 ANSHN false ADVOCATE SHERMAN HOSPITAL 3075 Highland Parkway Ste 600 DOWNERS GROVE IL 60515 362167920 HEALTH CARE IL 501(c)(3) 3 AHCN false SHERMAN WEST COURT 3075 Highland Parkway Ste 600 DOWNERS GROVE IL 60515 363725580 NURSING CARE IL 501(c)(3) 9 ASH false SHERMAN HOME HEALTH CARE CORPORATION 901 Center Street Suite 2001A Elgin IL 60120 363330085 HOME CARE IL 501(c)(3) 9 ASH false ADVOCATE NORTH SIDE HEALTH NETWORK 3075 HIGHLAND PARKWAY STE 600 DOWNERS GROVE IL 60515 363196629 HEALTH CARE IL 501(C)(3) 3 AHHC true DREYER MERCY AMBULATORY SURGRY CTR PSHP 1221 N HIGHLND AURORA IL 60506 363890298 MEDICAL SERVICES IL NA false false ADVOCATE SW AMB SUR CTR 18200 LA GRANGE RD TINLEY PARK IL 60487 364437931 MEDICAL SERVICES IL NA false false ADVOCATE HEALTH CENTERS INC 3075 HIGHLAND PARKWAY STE 600 DOWNERS GROVE IL 60515 364217291 MEDICAL SERVICES IL NA C Corp false EVANGELICAL SERVICES CORPORATION 3075 HIGHLAND PARKWAY STE 600 DOWNERS GROVE IL 60515 363208101 MANAGEMENT SVCS IL NA C Corp false ADVOCATE INSURANCE SPC 878 West Bay Road PO Box 1159 GRAND CAYMAN CJ KY1-1102 980422925 INSURANCE CJ NA C Corp true ADVOCATE HOME CARE PRODUCTS INC 3075 HIGHLAND PARKWAY STE 600 DOWNERS GROVE IL 60515 363315416 HEALTH SERVICES IL NA C Corp false HIGH TECHNOLOGY INC 3075 HIGHLAND PARKWAY STE 600 DOWNERS GROVE IL 60515 363368224 MEDICAL SERVICES IL NA C Corp false MIDWEST HEART SPECIALISTS LTD 3075 HIGHLAND PARKWAY STE 600 DOWNERS GROVE IL 60515 362841923 MEDICAL SERVICES IL NA C Corp true PARKSIDE CENTER CONDO ASSOCIATION 1775 West Dempster Street Park Ridge IL 60068 363452486 PROPERTY MGMT 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 STE 600 DOWNERS GROVE IL 60515 371313150 MEDICAL SERVICES IL NA C Corp false SHERMAN HEALTH INSURANCE COMPANY LTD 878 West Bay Road PO Box 1159 GRAND CAYMAN CJ KY1-1102 980703036 INSURANCE CJ NA C Corp false HEALTH VISIONS INC 3075 Highland Parkway Ste 600 Downers Grove IL 60515 363780082 MEDICAL SERVICES IL NA C Corp false SHERMAN GROUP PRACTICE INC 3075 HIGHLAND PARKWAY STE 600 DOWNERS GROVE IL 60515 262891035 MEDICAL SERVICES IL NA C Corp false SHERMAN PHYSICIAN GROUP INC 3075 HIGHLAND PARKWAY STE 600 DOWNERS GROVE IL 60515 264800497 MEDICAL SERVICES IL NA C Corp false SHERMANCHOICE INC 1425 N Randall Road Elgin IL 60123 364058392 PHYS-HOSP-ORG IL NA C Corp false THE DELPHI GROUP IV INC 1425 N RANDALL ROAD ELGIN IL 60123 364017279 HEALTH COST MGT IL NA C Corp false SHERMAN VENTURES INC 934 Center Street ELGIN IL 60123 364292309 HOLDING COMPANY IL NA C Corp false true false true false false false false false false true true true true false false true true true true Advocate North Side Health Network 1-K 1156750 Cost Advocate Condell Medical Center 1-K 86315 Cost Advocate North Side Health Network 1-M 2382370 Cost Advocate Condell Medical Center 1-M 1539689 Cost EHS Home Health Care Service Inc 1-M 408791 Cost Advocate North Side Health Network 1-P 33071633 Cost Advocate Condell Medical Center 1-P 10745111 Cost Midwest Heart Specialists Ltd 1-P 1054035 Cost Advocate Insurance SPC 1-P 2567969 Cost EHS Home Health Care Service Inc 1-P 821158 Cost Advocate North Side Health Network 1-R 25124790 Cost Advocate Condell Medical Center 1-R 3792867 Cost Advocate North Side Health Network 1-A 96118 Cost Advocate Condell Medical Center 1-A 103636 Cost EHS Home Health Care Service Inc 1-A 17237 Cost Advocate North Side Health Network 1-J 145587 Cost Advocate Condell Medical Center 1-J 136185 Cost Advocate North Side Health Network 1-L 55354544 Cost Advocate Condell Medical Center 1-L 52814989 Cost EHS Home Health Care Service Inc 1-L 2015430 Cost Advocate North Side Health Network 1-Q 81190498 Cost Advocate Condell Medical Center 1-Q 42347933 Cost Midwest Heart Specialists Ltd 1-Q 127887 Cost Advocate Insurance SPC 1-Q 2736900 Cost EHS Home Health Care Service Inc 1-Q 9253295 Cost Advocate North Side Health Network 1-S 9415839 Cost Advocate Condell Medical Center 1-S 869189 Cost Advocate Charitable Foundation 1-C 16849938 Cost