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ADVOCATE SHERMAN HOSPITAL: Form 990, tax year 2024

View the entire original 990 at ProPublica ↗

Organization
ADVOCATE SHERMAN HOSPITAL (EIN 36-2167920)
Tax period
2024-01-01 to 2024-12-31
Filed
2025-11-17
IRS object ID
202513219349328706
Schema version
2024v5.2
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2025-11-17T22:06:03-06:00ReturnTs
Tax Period End2024-12-31TaxPeriodEndDt
Return Type990ReturnTypeCd
Tax Period Begin2024-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN362167920EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ADVOCATE SHERMAN HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Business Name ControlADVOBusinessNameControlTxt
Phone4142991576PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12025 WINDSOR DRIVEAddressLine1Txt
CityOAK BROOKCityNm
State AbbreviationILStateAbbreviationCd
ZIP60523ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJENNIFER BARBERPersonNm
Person TitleVICE PRESIDENT TAXPersonTitleTxt
Phone4142991576PhoneNum
Signature2025-11-17SignatureDt
FieldValueIRS element (for citing)
IRS Responsible Prty Info Curr0IRSResponsiblePrtyInfoCurrInd
Tax2024TaxYr
Build TS2025-03-06 01:10:19ZBuildTS

Form 990 IRS990

US Address USAddress

FieldValueIRS element (for citing)
Address Line12025 WINDSOR DRIVEAddressLine1Txt
CityOAK BROOKCityNm
State AbbreviationILStateAbbreviationCd
ZIP60523ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$562,094,860GrossReceiptsAmt
Group Return For Affiliates0GroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website AddressWWW.ADVOCATEHEALTH.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1887FormationYr
Legal Domicile StateILLegalDomicileStateCd
Activity Or MissionSERVE HEALTH NEEDS OF COMMUNITIES THROUGH WHOLISTIC PHILOSOPHY ROOTED IN FUNDAMENTAL UNDERSTANDING OF HUMANS AS CREATED IN THE IMAGE OF GOD.ActivityOrMissionDesc
Voting Members Governing Body25VotingMembersGoverningBodyCnt
Voting Members Independent25VotingMembersIndependentCnt
Total Employee1835TotalEmployeeCnt
Total Volunteers190TotalVolunteersCnt
Total Gross UBI$0TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$423,145PYContributionsGrantsAmt
CY Contributions Grants$629,008CYContributionsGrantsAmt
PY Program Service Revenue$510,412,821PYProgramServiceRevenueAmt
CY Program Service Revenue$546,531,808CYProgramServiceRevenueAmt
PY Investment Income$14,344,855PYInvestmentIncomeAmt
CY Investment Income$13,553,253CYInvestmentIncomeAmt
PY Other Revenue$884,474PYOtherRevenueAmt
CY Other Revenue$1,017,951CYOtherRevenueAmt
PY Total Revenue$526,065,295PYTotalRevenueAmt
CY Total Revenue$561,732,020CYTotalRevenueAmt
PY Grants And Similar Paid$0PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$0CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$125,960,395PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$144,600,512CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$0CYTotalFundraisingExpenseAmt
PY Other Expenses$370,444,476PYOtherExpensesAmt
CY Other Expenses$370,735,735CYOtherExpensesAmt
PY Total Expenses$496,404,871PYTotalExpensesAmt
CY Total Expenses$515,336,247CYTotalExpensesAmt
PY Revenues Less Expenses$29,660,424PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$46,395,773CYRevenuesLessExpensesAmt
Total Assets BOY$439,941,881TotalAssetsBOYAmt
Total Assets EOY$477,700,583TotalAssetsEOYAmt
Total Liabilities BOY$243,339,640TotalLiabilitiesBOYAmt
Total Liabilities EOY$234,702,570TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$196,602,241NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$242,998,013NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE MISSION OF ADVOCATE SHERMAN HOSPITAL IS TO SERVE THE HEALTH NEEDS OF INDIVIDUALS, FAMILIES AND COMMUNITIES THROUGH A WHOLISTIC PHILOSOPHY ROOTED IN OUR FUNDAMENTAL UNDERSTANDING OF HUMAN BEINGS AS CREATED IN THE IMAGE OF GOD.MissionDesc
Significant New Program Srvc0SignificantNewProgramSrvcInd
Significant Change0SignificantChangeInd
Expense$404,198,634ExpenseAmt
Revenue$547,278,139RevenueAmt
DescTHE ADVOCATE HEALTH CARE LIVEWELL MOBILE HEALTH VAN TEAM'S MISSION IS TO REDUCE HEALTH INEQUITIES WITHIN THE ADVOCATE HEALTH CARE FOOTPRINT BY BRINING CRITICAL SERVICES TO COMMUNITIES EXPERIENCING THE LARGEST GAPS IN HEALTH OUTCOMES. SERVICES ON THE MOBILE HEALTH VAN INCLUDE SCREENING FOR CHOLESTEROL, BMI, RAPID GLUCOSE, BLOOD PRESSURE AS WELL AS HEALTH EDUCATION AND RESOURCES. IN 2024, THE MOBILE HEALTH TEAM VISITED FOOD FOR GREATER ELGIN MONTHLY TO PROVIDE SCREENINGS, EDUCATION AND RESOURCES TO THE FOOD PANTRY PATRONS. THE MOBILE HEALTH TEAM PROVIDED TEN CLINICS AND PROVIDED CARE TO 137 INDIVIDUALS. THE TEAM ALSO HELD CLINICS FOR THE UNHOUSED POPULATION IN DOWNTOWN ELGIN AT THE GAIL BORDEN PUBLIC LIBRARY IN PARTNERSHIP WITH THE ASSOCIATION FOR INDIVIDUAL DEVELOPMENT (AID). THE TEAM HELD FOUR CLINICS AND PROVIDED CARE TO TWENTY UNHOUSED INDIVIDUALS.Desc
Total Program Service Expenses$404,198,634TotalProgramServiceExpensesAmt
Described In Section501c3Yes (1)DescribedInSection501c3Ind
Schedule B RequiredYes (1)ScheduleBRequiredInd
Political Campaign Acty0PoliticalCampaignActyInd
Lobbying ActivitiesYes (1)LobbyingActivitiesInd
Subject To Proxy Tax0SubjectToProxyTaxInd
Donor Advised Fund0DonorAdvisedFundInd
Conservation Easements0ConservationEasementsInd
Collections Of Art0CollectionsOfArtInd
Credit Counseling0CreditCounselingInd
Donor Rstr Or Quasi Endowments0DonorRstrOrQuasiEndowmentsInd
Report Land Building EquipmentYes (1)ReportLandBuildingEquipmentInd
Report Investments Other Sec0ReportInvestmentsOtherSecInd
Report Program Related Invst0ReportProgramRelatedInvstInd
Report Other Assets0ReportOtherAssetsInd
Report Other LiabilitiesYes (1)ReportOtherLiabilitiesInd
Include FIN48 Footnote0IncludeFIN48FootnoteInd
Independent Audit Fincl Stmt0IndependentAuditFinclStmtInd
Consolidated Audit Fincl Stmt0ConsolidatedAuditFinclStmtInd
School Operating0SchoolOperatingInd
Foreign Office0ForeignOfficeInd
Foreign Activities0ForeignActivitiesInd
More Than5000 K To Org0MoreThan5000KToOrgInd
More Than5000 K To Individuals0MoreThan5000KToIndividualsInd
Professional Fundraising0ProfessionalFundraisingInd
Fundraising Activities0FundraisingActivitiesInd
Gaming Activities0GamingActivitiesInd
Operate HospitalYes (1)OperateHospitalInd
Audited Financial Stmt AttYes (1)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (1)GrantsToOrganizationsInd
Grants To Individuals0GrantsToIndividualsInd
Schedule J RequiredYes (1)ScheduleJRequiredInd
Tax Exempt Bonds0TaxExemptBondsInd
Engaged In Excess Benefit Trans0EngagedInExcessBenefitTransInd
PY Excess Benefit Trans0PYExcessBenefitTransInd
Loan Outstanding0LoanOutstandingInd
Grant To Related Person0GrantToRelatedPersonInd
Business Rln With Org Mem0BusinessRlnWithOrgMemInd
Business Rln With Fam Mem0BusinessRlnWithFamMemInd
Business Rln With35 Ctrl Ent0BusinessRlnWith35CtrlEntInd
Deductible Non Cash Contri0DeductibleNonCashContriInd
Deductible Art Contribution0DeductibleArtContributionInd
Terminate Operations0TerminateOperationsInd
Partial Liquidation0PartialLiquidationInd
Disregarded Entity0DisregardedEntityInd
Related EntityYes (1)RelatedEntityInd
Related Organization Ctrl EntYes (1)RelatedOrganizationCtrlEntInd
Transaction With Control Ent0TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd Org0TrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted Prtshp0ActivitiesConductedPrtshpInd
Schedule O RequiredYes (1)ScheduleORequiredInd
IRP Document115IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee1835EmployeeCnt
Employment Tax Returns Filed0EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over Limit0UnrelatedBusIncmOverLimitInd
Foreign Financial Account0ForeignFinancialAccountInd
Prohibited Tax Shelter Trans0ProhibitedTaxShelterTransInd
Taxable Party Notification0TaxablePartyNotificationInd
Nondeductible Contributions0NondeductibleContributionsInd
Quid Pro Quo Contributions0QuidProQuoContributionsInd
Form8282 Property Disposed Of0Form8282PropertyDisposedOfInd
Indoor Tanning Services0IndoorTanningServicesInd
Subj To Tax Rmnrtn Ex Prcht Pymt0SubjToTaxRmnrtnExPrchtPymtInd
Subject To Excs Tax Net Invst Inc0SubjectToExcsTaxNetInvstIncInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members25GoverningBodyVotingMembersCnt
Independent Voting Member25IndependentVotingMemberCnt
Family Or Business RlnYes (1)FamilyOrBusinessRlnInd
Delegation Of Mgmt Duties0DelegationOfMgmtDutiesInd
Change To Org Documents0ChangeToOrgDocumentsInd
Material Diversion Or Misuse0MaterialDiversionOrMisuseInd
Members Or StockholdersYes (1)MembersOrStockholdersInd
Election Of Board MembersYes (1)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (1)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (1)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (1)MinutesOfCommitteesInd
Officer Mailing Address0OfficerMailingAddressInd
Local Chapters0LocalChaptersInd
Form990 Provided To Gvrn BodyYes (1)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (1)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (1)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (1)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (1)WhistleblowerPolicyInd
Document Retention PolicyYes (1)DocumentRetentionPolicyInd
Compensation Process CEOYes (1)CompensationProcessCEOInd
Compensation Process OtherYes (1)CompensationProcessOtherInd
Investment In Joint Venture0InvestmentInJointVentureInd
States Where Copy Of Return Is FldILStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ADVOCATE HEALTH INCBusinessNameLine1Txt
FieldValueIRS element (for citing)
Phone4142991576PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line12025 WINDSOR DRIVEAddressLine1Txt
CityOAK BROOKCityNm
State AbbreviationILStateAbbreviationCd
ZIP60523ZIPCd

Form990 Part VII Section A Form990PartVIISectionAGrp (54 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
REV DR NATHANIEL EDMOND
DIRECTOR, CHAIRPERSON55.001.00Yes (X)Yes (X)$5,000$13,000$0
CRAIG LAMP
DIRECTOR, VICE CHAIRPERSON55.001.00Yes (X)Yes (X)$3,000$0$0
JANELLE DIXON
DIRECTOR, ASSISTANT SECRETARY55.001.00Yes (X)Yes (X)$3,000$0$0
SHERI DE SHAZO
DIRECTOR1.000.00Yes (X)$714,013$0$158,217
KAREN LAMBERT
DIRECTOR1.000.00Yes (X)$0$1,562,748$259,185
MEELI PATEL
DIRECTOR1.000.00Yes (X)$0$583,099$145,148
AZMEY MATARIEH
DIRECTOR1.000.00Yes (X)$0$1,279,282$36,400
RICHARD JAKLE
DIRECTOR1.000.00Yes (X)$3,000$16,000$0
KENNETH KOEHLER
DIRECTOR1.000.00Yes (X)$0$0$0
KURT SCHNEIDER
DIRECTOR1.000.00Yes (X)$3,000$0$0
MICHAEL KENYON
DIRECTOR1.000.00Yes (X)$0$0$0
THOMAS CRAWFORD AKA PAT CRAWFORD
DIRECTOR1.000.00Yes (X)$3,000$0$0
RITA CORBETT
DIRECTOR1.000.00Yes (X)$0$0$0
SCOTT RICHMOND
DIRECTOR1.000.00Yes (X)$3,000$0$0
SHARON JAKLE
DIRECTOR1.000.00Yes (X)$3,000$0$0
TERRY DUNNING
DIRECTOR1.000.00Yes (X)$0$0$0
WILLIAM HOFFER
DIRECTOR1.000.00Yes (X)$0$0$0
RAVI DAMARAJU
DIRECTOR1.000.00Yes (X)$3,000$0$0
SUNIL JOSEPH
DIRECTOR1.000.00Yes (X)$3,000$0$0
YANETH MEDINA
DIRECTOR1.000.00Yes (X)$3,000$0$0
BRAD EPSTEIN
DIRECTOR1.000.00Yes (X)$178,601$0$0
RACHEL BAER
DIRECTOR1.000.00Yes (X)$0$344,468$58,909
CYNTHIA MALDONADO
DIRECTOR1.000.00Yes (X)$0$106,082$13,185
NANCY COLEMAN
DIRECTOR1.000.00Yes (X)$3,000$0$0
TIFFANY HENDERSON
DIRECTOR1.000.00Yes (X)$3,000$0$0
WILLIAM SANTULLI
VICE PRESIDENT1.0055.00Yes (X)$0$7,191,882$674,339
DIA NICHOLS
VICE PRESIDENT1.0055.00Yes (X)$0$1,343,023$252,781
NAN NELSON
TREASURER1.0055.00Yes (X)$0$1,472,483$272,483
CARRIE DONOVAN
ASSISTANT TREASURER1.0055.00Yes (X)$0$934,802$212,149
RACHELLE HART
SECRETARY1.0055.00Yes (X)$0$1,101,754$224,620
MICHAEL VOLANTE
ASSISTANT TREASURER1.0055.00Yes (X)$0$281,891$40,056
ROBIN STOEN
ASSISTANT TREASURER1.0055.00Yes (X)$0$430,609$30,859
RACHEL HALVERSON
ASSISTANT TREASURER1.0055.00Yes (X)$0$726,813$64,719
BRAD CLARK
ASSISTANT TREASURER1.0055.00Yes (X)$0$2,513,703$419,389
KEVIN FITCH
ASSISTANT TREASURER1.0055.00Yes (X)$0$606,126$144,348
MICHAEL KERNS
ASSISTANT SECRETARY1.0055.00Yes (X)$0$834,378$132,619
JAMES SLINKMAN
ASSISTANT SECRETARY1.0055.00Yes (X)$0$689,283$174,709
KATHERINE KETNER
ASSISTANT SECRETARY1.0055.00Yes (X)$0$0$0
MICHAEL ROSENBERG
DIRECTOR MED EM & CLINICAL DECISION55.001.00$371,103$0$11,022Yes (X)
JUSTIN MACARIOLA-COAD
VP & CMO55.001.00$510,712$0$60,125Yes (X)
SUSAN MORBY
VP & CNO55.001.00$318,748$0$40,679Yes (X)
DARREN SMITH
DIR ED ICU & NURSING OPS55.001.00$229,349$0$17,727Yes (X)
SHAWN ARMSTRONG
VP OPERATIONS HOSPITAL55.001.00$222,852$0$32,173Yes (X)
RAJA CHATTERJI
FORMER DIRECTOR0.000.00$0$612,620$52,628Yes (X)
RAMINDER SINGH
FORMER DIRECTOR0.000.00$0$1,155,549$49,175Yes (X)
LESLIE LENZO
FORMER OFFICER0.000.00$0$127,097$0Yes (X)
DOMINICA TALLARICO
FORMER OFFICER0.000.00$0$489,709$438,888Yes (X)
DOMINIC NAKIS
FORMER OFFICER0.000.00$0$3,375,856$1,231,995Yes (X)
JAMES DOHENY
FORMER OFFICER0.000.00$0$531,922$26,867Yes (X)
STEVE HUSER
FORMER OFFICER0.000.00$0$561,236$18,835Yes (X)
MICHAEL GREBE
FORMER OFFICER0.000.00$0$1,076,461$64,107Yes (X)
SHARON MCGREGOR
FORMER HCE0.000.00$205,919$0$30,612Yes (X)
JOAN KANUTE
FORMER HCE0.000.00$203,554$0$36,977Yes (X)
BYRON ATKINSON
FORMER HCE0.000.00$106,863$0$20,062Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$3,102,714TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$29,961,876TotReportableCompRltdOrgAmt
Total Other Compensation$5,445,987TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K10IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (1)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (1)TotalCompGreaterThan150KInd
Compensation From Other Srcs0CompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
TOTAL RENAL CARE INC
2000 16TH STDENVERCO80202MEDICAL SERVICES$1,086,945
VASCULAR AND INTERVENTIONAL
911 N ELM STREET 128HINSDALEIL60521MEDICAL SERVICES$970,012
TRAVEL NURSE ACROSS AMERICA LLC
5020 NORTHSHORE DR STE 2NORTH LITTLE ROCKAR72118STAFFING$873,402
CARDIOTHORACIC & VASCULAR SURGICAL ASSOC
1901 S MEYERS RD STE 158OAKBROOK TERRACEIL60181MEDICAL SERVICES$599,000
PERFUSION TECHNOLOGISTS OF GREATER CHICA
PO BOX 713OAK FORESTIL60452MEDICAL SERVICES$320,025
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K19CntrctRcvdGreaterThan100KCnt
Related Organizations$105,462RelatedOrganizationsAmt
Government Grants$517,909GovernmentGrantsAmt
All Other Contributions$5,637AllOtherContributionsAmt
Total Contributions$629,008TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
MEDICARE/MEDICAID622110$178,872,827$178,872,827
BLUE CROSS/MGD CARE622110$136,872,568$136,872,568
PATIENT SVC REVENUE622110$127,365,175$127,365,175
LABORATORY541380$47,907,831$47,907,831
PHARMACY456110$44,810,592$44,810,592

Total Oth Program Service Rev TotalOthProgramServiceRevGrp

FieldValueIRS element (for citing)
Total Revenue Column$10,702,815TotalRevenueColumnAmt
Related Or Exempt Func Income$10,702,815RelatedOrExemptFuncIncomeAmt
FieldValueIRS element (for citing)
Total Program Service Revenue$546,531,808TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$13,228,490TotalRevenueColumnAmt
Exclusion$13,228,490ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$271,620RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$0RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$271,620RealAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$271,620TotalRevenueColumnAmt
Exclusion$271,620ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Other$687,603OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Other$362,840OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Other$324,763OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$324,763TotalRevenueColumnAmt
Exclusion$324,763ExclusionAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmt
CAFETERIA REVENUE722514$742,290$742,290
ALL OTHER REVENUE900099$2,580$2,580
MISCELLANEOUS900099$1,461$1,461
FieldValueIRS element (for citing)
Other Revenue Total$746,331OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$561,732,020TotalRevenueColumnAmt
Related Or Exempt Func Income$547,278,139RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$0UnrelatedBusinessRevenueAmt
Exclusion$13,824,873ExclusionAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$933,614TotalAmt
Program Services$933,614ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$113,546,905TotalAmt
Program Services$111,994,117ProgramServicesAmt
Management And General$1,552,788ManagementAndGeneralAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$3,028,485TotalAmt
Program Services$3,028,485ProgramServicesAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$18,882,301TotalAmt
Program Services$18,259,146ProgramServicesAmt
Management And General$623,155ManagementAndGeneralAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$8,209,207TotalAmt
Program Services$8,125,521ProgramServicesAmt
Management And General$83,686ManagementAndGeneralAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$33,295TotalAmt
Management And General$33,295ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$14,423TotalAmt
Management And General$14,423ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$50,679TotalAmt
Management And General$50,679ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$9,882,050TotalAmt
Management And General$9,882,050ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$29,106TotalAmt
Program Services$5,580ProgramServicesAmt
Management And General$23,526ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$1,794,047TotalAmt
Program Services$1,754,181ProgramServicesAmt
Management And General$39,866ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$372,349TotalAmt
Program Services$367,663ProgramServicesAmt
Management And General$4,686ManagementAndGeneralAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$6,453,880TotalAmt
Program Services$6,741,980ProgramServicesAmt
Management And General-$288,100ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$57,590TotalAmt
Program Services$54,132ProgramServicesAmt
Management And General$3,458ManagementAndGeneralAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$65,842TotalAmt
Program Services$24,232ProgramServicesAmt
Management And General$41,610ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$6,837,389TotalAmt
Program Services-$332,332ProgramServicesAmt
Management And General$7,169,721ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total-$28,776TotalAmt
Program Services-$28,776ProgramServicesAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$14,746,241TotalAmt
Program Services$4,684,668ProgramServicesAmt
Management And General$10,061,573ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$13,531,671TotalAmt
Program Services$1,918,673ProgramServicesAmt
Management And General$11,612,998ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
OTHER INTERCOMPANY$143,488,242$140,706,426$2,781,816
MEDICAL SUPPLIES$66,178,841$66,178,841
OTHER$55,102,138-$12,344,245$67,446,383
INCOME TAXES$5,513$5,513

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$52,121,215TotalAmt
Program Services$52,121,215ProgramServicesAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$515,336,247TotalAmt
Program Services$404,198,634ProgramServicesAmt
Management And General$111,137,613ManagementAndGeneralAmt
Fundraising$0FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$8,001BOYAmt
EOY$8,000EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$9,064,580BOYAmt
EOY$51,794,981EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$47,136,740BOYAmt
EOY$48,157,916EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$9,634,915BOYAmt
EOY$8,323,201EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$76,734BOYAmt
EOY$7,650EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$387,976,462LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$192,734,945LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$195,655,399BOYAmt
EOY$195,241,517EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$171,469,770BOYAmt
EOY$167,237,136EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$5,037,969BOYAmt
EOY$4,977,873EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$1,857,773BOYAmt
EOY$1,952,309EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$439,941,881BOYAmt
EOY$477,700,583EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$31,498,075BOYAmt
EOY$32,670,199EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$206,866BOYAmt
EOY$220,686EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$211,634,699BOYAmt
EOY$201,811,685EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$243,339,640BOYAmt
EOY$234,702,570EOYAmt
FieldValueIRS element (for citing)
Organization Follows FASB117Yes (X)OrganizationFollowsFASB117Ind

No Donor Restriction Net Assets NoDonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$196,481,036BOYAmt
EOY$242,876,808EOYAmt

Donor Restriction Net Assets DonorRestrictionNetAssetsGrp

FieldValueIRS element (for citing)
BOY$121,205BOYAmt
EOY$121,205EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$196,602,241BOYAmt
EOY$242,998,013EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$439,941,881BOYAmt
EOY$477,700,583EOYAmt
FieldValueIRS element (for citing)
Reconcilation Revenue Expnss$46,395,773ReconcilationRevenueExpnssAmt
Other Changes In Net Assets$0OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or Review0AccountantCompileOrReviewInd
FS Audited0FSAuditedInd
Federal Grant Audit Required0FederalGrantAuditRequiredInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Contributor Information ContributorInformationGrp

FieldValueIRS element (for citing)
ContributorRESTRICTEDContributorNum

Contributor Business Name ContributorBusinessName

FieldValueIRS element (for citing)
Business Name Line1RESTRICTEDBusinessNameLine1

Contributor US Address ContributorUSAddress

FieldValueIRS element (for citing)
Address Line1RESTRICTEDAddressLine1
Address Line2RESTRICTEDAddressLine2
CityRESTRICTEDCity
StateRESTRICTEDState
ZIP CodeRESTRICTEDZIPCode
FieldValueIRS element (for citing)
Total ContributionsRESTRICTEDTotalContributionsAmt

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Volunteers0VolunteersInd
Paid Staff Or Management0PaidStaffOrManagementInd
Media Advertisements0MediaAdvertisementsInd
Mailings Members0MailingsMembersInd
Publications Or Broadcast0PublicationsOrBroadcastInd
Grants Other Organizations0GrantsOtherOrganizationsInd
Direct Contact Legislators0DirectContactLegislatorsInd
Rallies Demonstrations0RalliesDemonstrationsInd
Other ActivitiesYes (1)OtherActivitiesInd
Other Activities$50,679OtherActivitiesAmt
Total Lobbying Expenditures$50,679TotalLobbyingExpendituresAmt
Not Described Section501c30NotDescribedSection501c3Ind

Schedule D IRS990ScheduleD

Land LandGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$24,531,385OtherCostOrOtherBasisAmt
Book Value$24,531,385BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$252,861,369OtherCostOrOtherBasisAmt
Depreciation$115,197,125DepreciationAmt
Book Value$137,664,244BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$9,815,963OtherCostOrOtherBasisAmt
Depreciation$2,958,188DepreciationAmt
Book Value$6,857,775BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$87,173,001OtherCostOrOtherBasisAmt
Depreciation$73,608,201DepreciationAmt
Book Value$13,564,800BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$13,594,744OtherCostOrOtherBasisAmt
Depreciation$971,431DepreciationAmt
Book Value$12,623,313BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$195,241,517TotalBookValueLandBuildingsAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (7 entries)

DescDescAmtAmt
I/C NOTES PAYABLES NONCURRENT-SHERMAN$170,931,538
OTHER THIRD PARTY PAYABLE$37,826,765
LEASE LIABILITY OPERATING - NO$1,666,473
CURRENT PORTION - BUILDING$437,566
OTHER ACCRUED EXPENSES-$7,657
I/C NOTES PAYABLE CURRENT PORTION CONTRA-$9,245,000
OTHER NONCURRENT LIABILITIES$202,000
FieldValueIRS element (for citing)
Total Liability$201,811,685TotalLiabilityAmt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (1)FinancialAssistancePolicyInd
Written PolicyYes (1)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (1)FPGReferenceFreeCareInd

Free Care Oth Percentage FreeCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Free Care Other300.000000000000FreeCareOtherPct
FieldValueIRS element (for citing)
FPG Reference Discounted CareYes (1)FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Discounted Care Other600.000000000000DiscountedCareOtherPct
FieldValueIRS element (for citing)
Free Care Medically IndigentYes (1)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (1)FinancialAssistanceBudgetInd
Expenses Exceed BudgetYes (1)ExpensesExceedBudgetInd
Unable To Provide Care0UnableToProvideCareInd
Annual Community Bnft ReportYes (1)AnnualCommunityBnftReportInd
Report Publically AvailableYes (1)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$6,134,767TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$6,134,767NetCommunityBenefitExpnsAmt
Total Expense0.01250TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$68,233,004TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$47,798,529DirectOffsettingRevenueAmt
Net Community Benefit Expns$20,434,475NetCommunityBenefitExpnsAmt
Total Expense0.04180TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$74,367,771TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$47,798,529DirectOffsettingRevenueAmt
Net Community Benefit Expns$26,569,242NetCommunityBenefitExpnsAmt
Total Expense0.05430TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$1,341,946TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,341,946NetCommunityBenefitExpnsAmt
Total Expense0.00270TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$2,863,552TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$2,863,552NetCommunityBenefitExpnsAmt
Total Expense0.00590TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$8,304,710TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$6,483,185DirectOffsettingRevenueAmt
Net Community Benefit Expns$1,821,525NetCommunityBenefitExpnsAmt
Total Expense0.00370TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$22,010TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$0DirectOffsettingRevenueAmt
Net Community Benefit Expns$22,010NetCommunityBenefitExpnsAmt
Total Expense0.00000TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$12,532,218TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$6,483,185DirectOffsettingRevenueAmt
Net Community Benefit Expns$6,049,033NetCommunityBenefitExpnsAmt
Total Expense0.01230TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$86,899,989TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$54,281,714DirectOffsettingRevenueAmt
Net Community Benefit Expns$32,618,275NetCommunityBenefitExpnsAmt
Total Expense0.06660TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense Reported0BadDebtExpenseReportedInd
Bad Debt Expense$26,392,642BadDebtExpenseAmt
Bad Debt Expense Attributable$2,244,923BadDebtExpenseAttributableAmt
Reimbursed By Medicare$146,146,325ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$158,867,820CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$12,721,495MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (1)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (1)FinancialAssistancePrvsnInd

Management Co And Jnt Ventures ManagementCoAndJntVenturesGrp (2 entries)

Primary ActivitiesPrimaryActivitiesTxtOrg Profit Or OwnershipOrgProfitOrOwnershipPctOfcr Etc Profit Or OwnershipOfcrEtcProfitOrOwnershipPctPhysicians Profit Or OwnershipPhysiciansProfitOrOwnershipPct
1 ALGONQUIN ROAD SURGERY CENTER LLC
ANCILLARY SURGERY CENTER0.260000.000000.49000
2 ARSC RE HOLDINGS LLC
REAL ESTATE LEASING0.500000.000000.00000
FieldValueIRS element (for citing)
Hospital Facilities1HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp

FieldValueIRS element (for citing)
Facility1FacilityNum

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1ADVOCATE SHERMAN HOSPITALBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line11425 N RANDALL ROADAddressLine1Txt
CityELGINCityNm
State AbbreviationILStateAbbreviationCd
ZIP601232300ZIPCd
FieldValueIRS element (for citing)
Website AddressHTTP://WWW.ADVOCATEHEALTH.COM/HOPE/WebsiteAddressTxt
State License0005884StateLicenseNum
Licensed HospitalYes (X)LicensedHospitalInd
General Medical And SurgicalYes (X)GeneralMedicalAndSurgicalInd
Emergency Room24 HrsYes (X)EmergencyRoom24HrsInd

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp

Hospital Facility Name HospitalFacilityName

FieldValueIRS element (for citing)
Business Name Line1ADVOCATE SHERMAN HOSPITALBusinessNameLine1Txt
FieldValueIRS element (for citing)
Facility1FacilityNum
First Licensed CY Or PY0FirstLicensedCYOrPYInd
Tax Exempt Hospital CY Or PY0TaxExemptHospitalCYOrPYInd
CHNA ConductedYes (1)CHNAConductedInd
Community DefinitionYes (X)CommunityDefinitionInd
Community DemographicsYes (X)CommunityDemographicsInd
Existing ResourcesYes (X)ExistingResourcesInd
How Data ObtainedYes (X)HowDataObtainedInd
Community Health NeedsYes (X)CommunityHealthNeedsInd
Other Health IssuesYes (X)OtherHealthIssuesInd
Community Hlth Needs Id ProcessYes (X)CommunityHlthNeedsIdProcessInd
Consulting ProcessYes (X)ConsultingProcessInd
Prior CHNA ImpactYes (X)PriorCHNAImpactInd
CHNA Conducted22CHNAConductedYr
Take Into Account Others InputYes (1)TakeIntoAccountOthersInputInd
CHNA Conducted With Other FcltsYes (1)CHNAConductedWithOtherFcltsInd
CHNA Conducted With Non FcltsYes (1)CHNAConductedWithNonFcltsInd
CHNA Report Widely AvailableYes (1)CHNAReportWidelyAvailableInd
Rpt Available On Own WebsiteYes (X)RptAvailableOnOwnWebsiteInd
Own Website URLHTTP://WWW.ADVOCATEHEALTH.COM/CHNAREPORTSOwnWebsiteURLTxt
Paper Copy Public InspectionYes (X)PaperCopyPublicInspectionInd
Rpt Available Thru Other MethodYes (X)RptAvailableThruOtherMethodInd
Implementation Strategy AdoptYes (1)ImplementationStrategyAdoptInd
Implementation Strategy Adpt23ImplementationStrategyAdptYr
Strategy Posted WebsiteYes (1)StrategyPostedWebsiteInd
Strategy Website URLHTTP://WWW.ADVOCATEHEALTH.COM/CHNAREPORTSStrategyWebsiteURLTxt
Organization Incur Excise Tax0OrganizationIncurExciseTaxInd
Elig Criteria ExplainedYes (1)EligCriteriaExplainedInd
FPG Family Incm Lmt Free DscntYes (X)FPGFamilyIncmLmtFreeDscntInd
FPG Family Incm Lmt Free Care300.000000000000FPGFamilyIncmLmtFreeCarePct
FPG Family Incm Lmt Dscnt Care600.000000000000FPGFamilyIncmLmtDscntCarePct
Medical Indigency CriteriaYes (X)MedicalIndigencyCriteriaInd
Insurance Status CriteriaYes (X)InsuranceStatusCriteriaInd
Underinsurance Stat CriteriaYes (X)UnderinsuranceStatCriteriaInd
Residency CriteriaYes (X)ResidencyCriteriaInd
Other CriteriaYes (X)OtherCriteriaInd
Explained BasisYes (1)ExplainedBasisInd
App Financial Asst ExplnYes (1)AppFinancialAsstExplnInd
Described InfoYes (X)DescribedInfoInd
Described Suprt DocYes (X)DescribedSuprtDocInd
Provided Hospital ContactYes (X)ProvidedHospitalContactInd
Includes Publicity MeasuresYes (1)IncludesPublicityMeasuresInd
FAP Available On WebsiteYes (X)FAPAvailableOnWebsiteInd
FAP Available On Website URLWWW.ADVOCATEHEALTH.COM/FINANCIALASSISTANCEFAPAvailableOnWebsiteURLTxt
FAP App Available On WebsiteYes (X)FAPAppAvailableOnWebsiteInd
FAP App Available On Website URLWWW.ADVOCATEHEALTH.COM/FINANCIALASSISTANCEFAPAppAvailableOnWebsiteURLTxt
FAP Summary On WebsiteYes (X)FAPSummaryOnWebsiteInd
FAP Summary On Website URLWWW.ADVOCATEHEALTH.COM/FINANCIALASSISTANCEFAPSummaryOnWebsiteURLTxt
FAP Avlbl On Request No ChargeYes (X)FAPAvlblOnRequestNoChargeInd
FAP App Avlbl On Request No ChrgYes (X)FAPAppAvlblOnRequestNoChrgInd
FAP Sum Avlbl On Request No ChrgYes (X)FAPSumAvlblOnRequestNoChrgInd
Notified FAP Copy Bill DisplayYes (X)NotifiedFAPCopyBillDisplayInd
FAP TranslatedYes (X)FAPTranslatedInd
Other PublicityYes (X)OtherPublicityInd
FAP Actions On NonpaymentYes (1)FAPActionsOnNonpaymentInd
Permit Report To Credit AgencyYes (X)PermitReportToCreditAgencyInd
Collection ActivitiesYes (1)CollectionActivitiesInd
Reporting To Credit AgencyYes (X)ReportingToCreditAgencyInd
Made Effort Orally NotifyYes (X)MadeEffortOrallyNotifyInd
Processed FAP ApplicationYes (X)ProcessedFAPApplicationInd
Made Presumptive Elig DetermYes (X)MadePresumptiveEligDetermInd
Other Actions TakenYes (X)OtherActionsTakenInd
Nondis Emergency Care PolicyYes (1)NondisEmergencyCarePolicyInd
Look Back Medicare PrivateYes (X)LookBackMedicarePrivateInd
Amounts Generally Billed0AmountsGenerallyBilledInd
Gross Charges0GrossChargesInd

Supplemental Information SupplementalInformationGrp (6 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
ADVOCATE SHERMAN HOSPITALPART V, SECTION B, LINE 5: ALL ADVOCATE HEALTH CARE HOSPITALS PARTICIPATE IN COMMUNITY HEALTH NEEDS ASSESSMENTS AND HEALTH IMPROVEMENT PLANNING WITHIN A COLLABORATIVE FRAMEWORK GUIDED BY A BELIEF THAT COMPLEX COMMUNITY NEEDS ARE BEST IMPACTED THROUGH A COLLECTIVE IMPACT MODEL. EACH ADVOCATE HEALTH CARE HOSPITAL CONDUCTS A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WITH THEIR LOCAL HEALTH DEPARTMENTS AND OTHER COMMUNITY PARTNERS THAT INCLUDES PRIMARY AND SECONDARY DATA. SOME OF THE PRIMARY DATA COLLECTION TOOLS UTILIZED TO GAIN COMMUNITY INPUT INCLUDE: COMMUNITY SURVEYS; KEY COMMUNITY STAKEHOLDER INTERVIEWS; FOCUS GROUPS.ADVOCATE SHERMAN HOSPITAL (ADVOCATE SHERMAN) COLLABORATED WITH THE KANE COUNTY AND MCHENRY COUNTY HEALTH DEPARTMENTS TO CONDUCT A COMPREHENSIVE CHNA. ADVOCATE SHERMAN ALSO CONSULTED WITH A NUMBER OF ADDITIONAL PARTNER ORGANIZATIONS INCLUDING SEVERAL FEDERALLY QUALIFIED HEALTH CENTERS (GREATER FAMILY HEALTH, VNA HEALTH CARE, AUNT MARTHA'S), THE KANE COUNTY SUBSTANCE ABUSE COALITION, MCHENRY COUNTY SUBSTANCE ABUSE COALITION, AND THE MENTAL HEALTH 708 INC BOARD. EACH OF THESE ORGANIZATIONS HAVE A FOCUS ON MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS, INCLUDING AFRICAN AMERICAN AND HISPANIC RESIDENTS. IN MCHENRY COUNTY, A COMMUNITY SURVEY, FOCUS GROUPS AND KEY INFORMANT INTERVIEWS WERE CONDUCTED TO GATHER INPUT FROM COMMUNITY RESIDENTS ON KEY HEALTH ISSUES AS PART OF THE HEALTH DEPARTMENT'S COMMUNITY HEALTH ASSESSMENT (CHA). IN ADDITION, A BROAD DATA REVIEW OF MCHENRY COUNTY USING SECONDARY SOURCES WAS CONDUCTED, WHICH INCLUDED DEMOGRAPHICS, HOUSING, INCOME AND POVERTY, EDUCATION, EMPLOYMENT, CRIME AND SAFETY, BIRTH AND DEATH RATES, HEALTH STATUS AND BEHAVIORS AND HEALTH UTILIZATION. A VARIETY OF SECONDARY DATA SOURCES WERE CONSULTED FOR KANE COUNTY-LEVEL DATA IN THE AREAS OF DEMOGRAPHICS, PUBLIC HEALTH, MENTAL HEALTH, SUBSTANCE ABUSE, EDUCATION, DISEASE INCIDENCE AND PREVALENCE, ECONOMICS, AND PUBLIC SAFETY. THIS IMPORTANT WORK IS OVERSEEN BY A COMMUNITY HEALTH COUNCIL COMPRISED OF BOTH COMMUNITY AND HOSPITAL LEADERS AND IS APPROVED BY A GOVERNING COUNCIL REPRESENTING A BROAD ARRAY OF COMMUNITY SECTORS AND EXECUTIVE LEVEL HOSPITAL STAFF. THIS INFORMATION IS DESCRIBED IN MORE DETAIL WITHIN OUR MOST RECENT CHNA, WHICH CAN BE FOUND HERE: HTTPS://WWW.ADVOCATEHEALTH.COM/HOSPITAL-CHNA-REPORTS-IMPLEMENTATION-PLANS-PROGRESS-REPORTS/SHERMAN-CHNA-REPORT-2022LASTLY, ADVOCATE HEALTH CARE INVITES THE COMMUNITY TO PROVIDE WRITTEN COMMENTS ON ITS CURRENT CHNA REPORTS AND COMMUNITY HEALTH IMPLEMENTATION STRATEGIES (CHIS) VIA A ONE-CLICK PORTAL ON ITS WEBSITE AT HTTPS://WWW.ADVOCATEHEALTH.COM/HOSPITAL-CHNA-REPORTS-IMPLEMENTATION-PLANS-PROGRESS-REPORTS/CONTACT-US-FORM OR THROUGH A FEEDBACK LINK: HTTPS://FORMS.OFFICE.COM/PAGES/RESPONSEPAGE.ASPX?ID=6QIBMQSDTKCM8Z-Y94P9XTZNCEMGJTFAPGTMX2ACQTVUOUDYVFRMRETVVVLJOFO3QLRJTTJFUEZRUYQLQCN0PWCUIF COMMUNITY MEMBERS EXPERIENCE ANY ISSUES WITH THE LINK TO OUR FEEDBACK FORM OR HAVE ANY OTHER QUESTIONS, THEY ARE INVITED TO REACH OUT TO THE HOSPITAL'S COMMUNITY HEALTH DEPARTMENT.
ADVOCATE SHERMAN HOSPITALPART V, SECTION B, LINE 6A: RELATED: ADVOCATE GOOD SHEPHERD HOSPITAL (BARRINGTON, IL)UNRELATED: AMITA ST. JOSEPH'S HOSPITAL (ELGIN, IL); AMITA MERCY MEDICAL CENTER (AURORA, IL); NORTHWESTERN MEDICINE MCHENRY (MCHENRY, IL); RUSH-COPLEY MEDICAL CENTER (AURORA, IL)
ADVOCATE SHERMAN HOSPITALPART V, SECTION B, LINE 6B: OTHER NON-HOSPITAL FACILITIES THAT PARTICIPATED IN THE CHNA INCLUDED FAMILY ALLIANCE, INC., MCHENRY COUNTY COLLEGE, MCHENRY COUNTY DEPARTMENT OF HEALTH, MCHENRY COUNTY MENTAL HEALTH BOARD, MCHENRY COUNTY SUBSTANCE ABUSE COALITION, UNITED WAY OF GREATER MCHENRY COUNTY, KANE COUNTY HEALTH DEPARTMENT, AND THE 708 INC BOARD NFP.
ADVOCATE SHERMAN HOSPITALPART V, SECTION B, LINE 7D: THE HOSPITAL ISSUED AN ANNOUNCEMENT AND A SUMMARY OF THE 2022 CHNA RESULTS TO ADVOCATE SHERMAN TEAM MEMBERS, WHICH ALSO INCLUDED A LINK TO THE FULL REPORT.
ADVOCATE SHERMAN HOSPITALPART V, SECTION B, LINE 11: ADVOCATE HEALTH CARE COMMUNITY HEALTH LEADERS PRESENTED EXTENSIVE COMMUNITY DATA TO THE HOSPITAL'S COMMUNITY HEALTH COUNCIL (CHC) IN A SERIES OF SIX MEETINGS OVER A SIX-MONTH PERIOD. PRIMARY AND SECONDARY DATA WERE PRESENTED, INCLUDING COMMUNITY DEMOGRAPHIC, ECONOMIC, EDUCATION, EMPLOYMENT, SOCIAL DRIVERS OF HEALTH, AND HEALTH STATUS AND BEHAVIORS INDICATORS. IN THE FINAL MEETING, THE CHC MEMBERS VOTED USING AN ONLINE RANKING POLL TO SELECT THE TWO HEALTH PRIORITIES FOR THE UPCOMING CHIS CYCLE.AS A RESULT OF THE CHNA PROCESS, OUR HOSPITAL SELECTED TWO PRIORITIES FOR IMPLEMENTATION STRATEGY PLANNING. THOSE PRIORITIES ARE:1. OBESITY2. BEHAVIORAL HEALTHDETAILS ON HOW WE ARE ADDRESSING THESE IDENTIFIED NEEDS CAN BE FOUND IN OUR HOSPITAL IMPLEMENTATION STRATEGY, WHICH CAN BE REVIEWED HERE: 2023-2025-SHERMAN-CHIS.PDFSHORTENED URL: HTTPS://BIT.LY/4LU5OLTTHERE ARE GENERAL REASONS THE HOSPITAL DID NOT ADDRESS A NEED THAT WAS IDENTIFIED WITHIN THE CHNA PROCESS. SOME REASONS INCLUDE:1. OTHER ORGANIZATIONS IN THE COMMUNITY ARE ADDRESSING THE NEED WITH STRONG PROGRAMMING AND ADVOCATE HEALTH CARE CREATING A NEW PROGRAM OR SERVICE WOULD DUPLICATE SERVICES WITH LITTLE ADDITIONAL BENEFIT TO THE COMMUNITY.2. THE NEEDS ARE BEING ADDRESSED AS PART OF ADVOCATE HEALTH CARE'S CONTINUUM OF CARE, SUCH AS CHRONIC DISEASE, AND WE BELIEVE THE NEED WILL BETTER BE ADDRESSED THROUGH THE HEALTH SYSTEM'S HEAVY FOCUS ON ADDRESSING OTHER BARRIERS.3. RESOURCE CONSTRAINTS.4. A LACK OF IDENTIFIED EFFECTIVE INTERVENTIONS IS AVAILABLE TO ADDRESS THE NEED IN AN IMPACTFUL WAY.DETAILED EXPLANATIONS OF IDENTIFIED COMMUNITY NEEDS, THE PROGRESS MADE, AND HOW THEY WERE ADDRESSED, AND REASONS NEEDS WERE NOT SELECTED FOR OUR MOST RECENT IMPLEMENTATION STRATEGY CAN BE FOUND IN OUR HOSPITAL'S CHNA REPORT POSTED AT HTTPS://WWW.ADVOCATEHEALTH.COM/HOSPITAL-CHNA-REPORTS-IMPLEMENTATION-PLANS-PROGRESS-REPORTS/SHERMAN-CHNA-REPORT-2022
ADVOCATE SHERMAN HOSPITALPART V, SECTION B, LINE 19E: ADVOCATE SHERMAN DOES NOT PERFORM ACTIONS SUCH AS THOSE LISTED IN LINES 19A-D UNTIL REASONABLE EFFORTS HAVE BEEN MADE TO DETERMINE A PATIENT'S FAP ELIGIBILITY.
FieldValueIRS element (for citing)
Facility12FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (12 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxtAddress Line2USAddress/AddressLine2Txt
1 - SHERMAN IMMEDIATE CARE - ALGONQUIN
600 S RANDALL RD STE 210 230ALGONQUINIL601025937PATIENT CARE - OUT PATIENT
2 - SHERMAN IMMEDIATE CARE
2320 ROYAL BOULEVARDELGINIL601234717PATIENT CARE - OUT PATIENT
3 - SHERMAN WEST COURT - 826 PROSPECT
826 PROSPECT STELGINIL601202920PATIENT CARE - OUT PATIENT
4 - SHERMAN IMMEDIATE CARE - BARTLETT
864 W STEARNS RD STE 103BARTLETTIL601034800PATIENT CARE - OUT PATIENT
5 - SHERMAN IMMEDIATE CARE - BARTLETT
1052-1054 NORWOOD LANEBARTLETTIL601034556PATIENT CARE - OUT PATIENT
6 - SHERMAN IMMEDIATE CARE - CRYSTAL LAKE
741 S MCHENRY AVENUECRYSTAL LAKEIL600147445PATIENT CARE - OUT PATIENT
7 - THE CENTRE OF ELGIN - PENNY
201 PENNY AVENUE STE 100EAST DUNDEEIL601181431PATIENT CARE - OUT PATIENT
8 - SHERMAN MOB
1435 N RANDALL RD STES 106 107 108ELGINIL601205660PATIENT CARE IN PATIENT20
9 - THE CENTRE OF ELGIN
100 SYMPHONY WAYELGINIL601205589PATIENT CARE - OUT PATIENT
10 - THE CENTRE OF ELGIN - FLETCHER
745 FLETCHER DRIVEELGINIL601234747PATIENT CARE - OUT PATIENT
11 - SHERMAN IMMEDIATE CARE - HAMPSHIRE
1000 S STATE STHAMPSHIREIL601409688PATIENT CARE - OUT PATIENT
12 - SHERMAN IMMEDIATE CARE - SOUTH ELGIN
2000 MCDONALD RDSOUTH ELGINIL601773323PATIENT CARE - OUT PATIENT

Supplemental Information Detail SupplementalInformationDetail (23 entries)

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PART I, LINE 6A:A SYSTEM-WIDE COMMUNITY BENEFIT REPORT IS FILED BY:ADVOCATE HEALTH CARE NETWORK 3075 HIGHLAND PARKWAY, DOWNERS GROVE, IL 60515. EIN 36-2167779
PART I, LINE 7:A COST-TO-CHARGE RATIO, DERIVED FROM SCHEDULE H INSTRUCTIONS WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES, WAS USED TO CALCULATE THE AMOUNTS REPORTED IN THE TABLE FOR PART I, LINE 7A. SCHEDULE H INSTRUCTIONS WORKSHEET 3, UNREIMBURSED MEDICAID AND OTHER MEANS-TESTED GOVERNMENT PROGRAMS, WAS USED TO CALCULATE THE AMOUNTS REPORTED IN THE TABLE FOR PART I, LINE 7B. A COST ACCOUNTING SYSTEM WAS USED TO DETERMINE THE AMOUNTS REPORTED IN THE TABLE FOR PART I, LINES 7E, 7F, 7G, AND 7I.
PART I, LINE 7G:ADVOCATE SHERMAN HOSPITAL PROVIDES SUBSIDIZED HEALTH SERVICES TO THE COMMUNITY. THESE SERVICES ARE PROVIDED DESPITE CREATING A FINANCIAL LOSS FOR ADVOCATE SHERMAN HOSPITAL. THESE SERVICES ARE PROVIDED BECAUSE THEY MEET AN IDENTIFIED COMMUNITY NEED. IF ADVOCATE SHERMAN HOSPITAL DID NOT PROVIDE THE CLINICAL SERVICE, IT IS REASONABLE TO CONCLUDE THAT THESE SERVICES WOULD NOT BE AVAILABLE TO THE COMMUNITY.
PART I, LN 7 COL(F):$26,392,642 OF BAD DEBT EXPENSE WAS INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT WAS REMOVED FROM THE DENOMINATOR FOR PURPOSES OF SCHEDULE H, PART I, LINE 7, COLUMN (F).
PART II, COMMUNITY BUILDING ACTIVITIES:PART VI Q5 COMMUNITY BUILDING ACTIVITIESADVOCATE SHERMAN HOSPITAL HAS REPRESENTATION ON SEVERAL COMMUNITY ORGANIZATIONS' BOARDS, COUNCILS, TASK FORCES AND COALITIONS, WHICH INCLUDE, BUT ARE NOT LIMITED TO: - WELL CHILD CENTER; - ELGIN HISPANIC NETWORK; - KANE COUNTY OPIOID TASK FORCE; - KANE COUNTY BEHAVIORAL HEALTH COUNCIL; - COALITION FOR A SAFE AND HEALTHY ELGIN (CSHE); - VHA HEALTHCARE ADVISORY BOARD; - ELGIN CARE FOR THE UNDERSERVED.GEOTHERMAL LAKE. ADVOCATE SHERMAN'S ONSITE GEOTHERMAL LAKE PROVIDES ENERGY-EFFICIENT HEATING, COOLING AND VENTILATION, RESULTING IN INCREASED PATIENT COMFORT AND SAFETY. THE LAKE ALLOWS ADVOCATE SHERMAN TO BE ONE OF THE MOST ENERGY-EFFICIENT HEALTH CARE FACILITIES IN THE COUNTRY. IT ALSO HELPS THE HOSPITAL TO SIGNIFICANTLY REDUCE OPERATING COSTS. ADVOCATE SHERMAN WAS THE FIRST HOSPITAL IN ILLINOIS TO BUILD A GEOTHERMAL LAKE AND HAS THE LARGEST GEOTHERMAL SYSTEM IN ILLINOIS.
PART II COMMUNITY BUILDING ACTIVITIES - ENVIRONMENTAL IMPROVEMENTSADVOCATE HEALTH CONTINUES TO LEAD THE HEALTH CARE SECTOR IN ENVIRONMENTAL STEWARDSHIP, ADVANCING SUSTAINABILITY INITIATIVES THAT REDUCE WASTE, CONSERVE ENERGY AND WATER, MINIMIZE TOXIC CHEMICALS, AND PROMOTE ECO-FRIENDLY BUILDING PRACTICES. THESE EFFORTS IMPROVE COMMUNITY HEALTH THROUGH CLEANER ENVIRONMENTS, REDUCED GREENHOUSE GAS EMISSIONS, AND PRESERVATION OF NATURAL RESOURCES.NATIONAL LEADERSHIP AND PARTNERSHIPSADVOCATE HEALTH PROVIDES NATIONAL LEADERSHIP IN SUSTAINABLE HEALTH CARE THROUGH ACTIVE PARTICIPATION IN KEY COUNCILS AND COLLABORATIVE GROUPS, INCLUDING: - HEALTHCARE ANCHOR NETWORK IMPACT PURCHASING COMMITTEE - HEALTH CARE CLIMATE COUNCIL - HEALTHCARE PLASTICS RECYCLING COALITION HEALTHCARE FACILITY ADVISORY BOARD - HEALTHY BUILDING NETWORK - PREMIER'S ENVIRONMENTAL ADVISORY COUNCIL - STEERING COUNCIL OVERSIGHT AND SIGNATORY OF THE CHEMICAL FOOTPRINT PROJECTPOLICY AND ADVOCACY HIGHLIGHTSADVOCATE HEALTH CONTINUES TO ADVOCATE FOR SYSTEMIC CHANGE THROUGH POLICY ENGAGEMENT AND LEGISLATIVE SUPPORT. RECENT HIGHLIGHTS INCLUDE: - SIGNED THE HHS PLEDGE TO ACHIEVE NET ZERO EMISSIONS BY 2050 - ADVANCED COMMENTS ON CMS CLIMATE-RELATED PROPOSED RULES - SUPPORTED FEDERAL CLIMATE INITIATIVES THROUGH THE HEALTH CARE CLIMATE COUNCIL.KEY 2024 SUSTAINABILITY ACHIEVEMENTS - ACHIEVED A 22% REDUCTION IN SCOPE 1 AND 2 GREENHOUSE GAS EMISSIONS FROM 2022 BASELINE, EQUIVALENT TO REMOVING 42,392 GASOLINE CARS FROM THE ROAD ANNUALLY IN 2024 - ELIMINATED DESFLURANE, REDUCING FUGITIVE GAS EMISSIONS BY 8% (1,610 MT COE AVOIDED) AND SAVING $167,000 ANNUALLY. - INVESTED OVER $8.2 MILLION IN LOCAL FOOD PROCUREMENT, REPRESENTING 12% OF TOTAL FOOD SPEND. - DEVELOPED AN ENTERPRISE ENERGY DECARBONIZATION STRATEGY TARGETING 25% ENERGY USE REDUCTION AND TRANSITION TO 100% RENEWABLE ELECTRICITY, SUPPORTED BY A $196M INVESTMENT PLAN PROJECTED TO SAVE $37$40M ANNUALLY IN UTILITY COSTS. - CONTINUED NITROUS OXIDE DEACTIVATION PROJECTS ACROSS MULTIPLE FACILITIES, WITH ENTERPRISE-WIDE SCALE PLANNED FOR 2025-2026. - INCREASED ENVIRONMENTALLY PREFERABLE PURCHASING, INCLUDING 95% OF FURNITURE FREE FROM FIVE KEY CHEMICALS OF CONCERN AND 87% OF CLEANERS CERTIFIED GREEN ACROSS OUR HOSPITALS. PROJECT C.U.R.E. (COMMISSION ON URGENT RELIEF AND EQUIPMENT)ADVOCATE IS A MEDICAL EQUIPMENT AND SUPPLY DONATION PARTNER OF PROJECT C.U.R.E., THE WORLD'S LEADING MEDICAL SUPPLY DISTRIBUTION ORGANIZATION BENEFITING RESOURCE-LIMITED AREAS ACROSS THE GLOBE. IN 2024, ADVOCATE DONATED A ESTIMATED TOTAL OF 70 TONS OF MISCELLANEOUS MEDICAL SUPPLIES TO PROJECT C.U.R.E.SUSTAINABLE OPERATIONS AND BUILDINGSADVOCATE HEALTH PURSUES LEED CERTIFICATION FOR MAJOR PROJECTS AND APPLIES THE HEALTHY SPACES ROADMAP TO RENOVATIONS. ENTERPRISE GOALS INCLUDE CARBON NEUTRALITY BY 2030 AND NET ZERO BY 2050. RENEWABLE ENERGY PROJECTS IN MULTIPLE DIVISIONS ARE UNDERWAY, AND VIRTUAL POWER PURCHASE AGREEMENTS ARE BEING EXPLORED FOR IMPLEMENTATION BY END OF 2025.RECOGNITIONADVOCATE HEALTH HAS BEEN RECOGNIZED NATIONALLY FOR SUSTAINABILITY LEADERSHIP, EARNING THE PRACTICE GREENHEALTH SYSTEM FOR CHANGE AWARD FOR THE 16TH CONSECUTIVE YEAR AND CIRCLE OF EXCELLENCE HONORS IN CHEMICALS MANAGEMENT.EMPLOYEE ENGAGEMENTEVERY HOSPITAL MAINTAINS A GREEN TEAM LED BY SITE SUSTAINABILITY LEADERS AND EXECUTIVE CHAMPIONS. ENTERPRISE CAMPAIGNS INCLUDE BIKE TO WORK EVENTS, CHILDREN'S ENVIRONMENTAL HEALTH WEEK, BATTERY REUSE INITIATIVES, AND INTEGRATION OF ENVIRONMENTAL JUSTICE THROUGH THE RACIAL EQUITY CHALLENGE.
PART III, LINE 4:FOR ASH, IN 2024, THE ALLOWANCE FOR DOUBTFUL ACCOUNTS COVERED 30.96% OF NET PATIENT ACCOUNTS RECEIVABLE. PATIENT ACCOUNTS RECEIVABLE ARE STATED AT NET REALIZABLE VALUE. ANSHN EVALUATES THE COLLECTABILITY OF ITS ACCOUNTS RECEIVABLE BASED ON THE LENGTH OF TIME THE RECEIVABLE IS OUTSTANDING, PAYER CLASS, HISTORICAL COLLECTION EXPERIENCE, AND TRENDS IN HEALTH CARE INSURANCE PROGRAMS. ACCOUNTS RECEIVABLE ARE CHARGED TO THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS WHEN THEY ARE DEEMED UNCOLLECTIBLE.THE COSTING METHODOLOGY USED IN DETERMINING THE AMOUNTS REPORTED ON LINES 2 AND 3 IS BASED ON THE RATIO OF PATIENT CARE COST TO CHARGES. THE UNREIMBURSED COST OF BAD DEBT WAS CALCULATED BY APPLYING THE ORGANIZATION'S COST TO CHARGE RATIO FROM THE MEDICARE COST REPORTS (CMS 2252-96 WORKSHEET C, PART 1, PPS INPATIENT RATIOS) TO THE ORGANIZATION'S BAD DEBT PROVISION PER GENERALLY ACCEPTED ACCOUNTING PRINCIPLES, LESS ANY PATIENT OR THIRD PARTY PAYOR PAYMENTS RECEIVED.ADVOCATE MAKES EVERY EFFORT TO IDENTIFY THOSE PATIENTS WHO ARE ELIGIBLE FOR FINANCIAL ASSISTANCE BY STRICTLY ADHERING TO ITS FINANCIAL ASSISTANCE POLICY. WE BELIEVE THAT ADVOCATE HAS A POPULATION OF PATIENTS WHO ARE UNINSURED OR UNDERINSURED BUT WHO DO NOT COMPLETE THE FINANCIAL ASSISTANCE APPLICATION. THE ESTIMATED AMOUNT OF BAD DEBT EXPENSE (AT COST) WHICH COULD BE REASONABLY ATTRIBUTABLE TO PATIENTS WHO WOULD LIKELY QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY, IF SUFFICIENT INFORMATION HAD BEEN AVAILABLE TO MAKE A DETERMINATION OF THEIR ELIGIBILITY, WAS BASED UPON SELF PAY PATIENT ACCOUNTS WHICH HAD AMOUNTS WRITTEN OFF TO BAD DEBTS. OUR METHOD WAS TO BEGIN WITH THE SELF-PAY PORTION OF BAD DEBT EXPENSE PROVISION. THE SELF PAY PORTION EXCLUDES THOSE PATIENTS WHO HAD FINANCIAL ASSISTANCE 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 25% 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:IN 2024, A SHORTFALL OF ($12,721,495) WAS REPORTED ON PART III, LINE 7.FOR ADVOCATE SHERMAN'S OPERATIONS, THE UNREIMBURSED COST OF MEDICARE WAS CALCULATED BY APPLYING THE ORGANIZATION'S COST TO CHARGE RATIO FROM THE MEDICARE COST REPORTS (CMS 2252-96 WORKSHEET C, PART 1, PPS INPATIENT RATIOS) AND FOR NON-HOSPITAL OPERATIONS THE COST TO CHARGE RATIO CALCULATED ON WORKSHEET 2 RATIO OF PATIENT CARE COST TO CHARGES TO THE ORGANIZATION'S MEDICARE, LESS ANY PATIENT OR THIRD PARTY PAYOR PAYMENTS AND/OR CONTRIBUTIONS RECEIVED THAT WERE DESIGNATED FOR THE PAYMENT OF MEDICARE PATIENT BILLS.
PART III, LINE 9B:ADVOCATE SHERMAN HOSPITAL MAINTAINS BOTH WRITTEN FINANCIAL ASSISTANCE AND BAD DEBT/COLLECTION POLICIES. THE BAD DEBT/COLLECTION POLICY DOES NOT APPLY TO THOSE PATIENTS KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE; THEREFORE, SUCH PATIENTS ARE NOT SUBJECT TO COLLECTION PRACTICES.
PART VI, LINE 2:PART VI Q5 NEEDS ASSESSMENT1. EVERY THREE YEARS, THE HOSPITAL COMPLETES A CHNA BY COLLECTING AND ANALYZING A VARIETY OF PRIMARY AND SECONDARY DATA AVAILABLE SINCE THE PREVIOUS COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA). DATA COLLECTION METHODS INCLUDE A. FOCUS GROUPS IN PARTNERSHIP WITH THE ALLIANCE FOR HEALTH EQUITY B. A COMMUNITY HEALTH SURVEY IN PARTNERSHIP WITH THE ALLIANCE FOR HEALTH EQUITY C. KEY COMMUNITY STAKEHOLDER INTERVIEWS IN PARTNERSHIP WITH THE ALLIANCE FOR HEALTH EQUITY (AHE) D. A REVIEW OF SECONDARY DATA THROUGH SOURCES SUCH AS METOPIO ( AN ADVANCED DATA ANALYTICS PLATFORM). 2. A COMMUNITY HEALTH STAFF MEMBER THEN PRESENTS THE DATA TO THE HOSPITAL'S COMMUNITY HEALTH COUNCIL (CHC) OVER A SERIES OF MEETINGS. THE CHC THEN VOTES ON THE TOP HEALTH PRIORITIES FOR THE COMMUNITY HEALTH IMPLEMENTATION STRATEGY (CHIS) PLAN.3. FINALLY, THE HOSPITAL'S GOVERNING COUNCIL REVIEWS AND APPROVES THE CHNA REPORT AND CHIS PLAN.4. THESE REPORTS ARE THEN SHARED WITH THE COMMUNITY AT-LARGE AND POSTED TO THE ADVOCATE HEALTH CARE WEBSITE: HTTPS://WWW.ADVOCATEHEALTH.COM/HOSPITAL-CHNA-REPORTS-IMPLEMENTATION-PLANS-PROGRESS-REPORTS ADDITIONAL DETAILS ABOUT OUR HOSPITAL'S CHNA AND CHIS PROCESS CAN BE FOUND WITHIN OUR REPORT, WHICH IS PUBLICLY AVAILABLE ON OUR WEBSITE, HERE: HTTPS://WWW.ADVOCATEHEALTH.COM/HOSPITAL-CHNA-REPORTS-IMPLEMENTATION-PLANS-PROGRESS-REPORTS/ILLINOIS-MASONIC-CHNA-REPORT-2022
PART VI, LINE 3:PART VI Q5 NEEDS ASSESSMENTADVOCATE SHERMAN HOSPITAL ASSISTS PATIENTS WITH ENROLLMENT IN GOVERNMENT-SUPPORTED PROGRAMS FOR WHICH THEY ARE ELIGIBLE AND IN SECURING REIMBURSEMENT FROM AVAILABLE THIRD-PARTY RESOURCES. FINANCIAL ASSESSMENT IS PROVIDED TO HELP PATIENTS IDENTIFY AND OBTAIN PAYMENT FROM THIRD PARTIES, INCLUDING ILLINOIS MEDICAID, ILLINOIS CRIME VICTIMS FUND, ETC., AS WELL AS TO DETERMINE ELIGIBILITY UNDER ADVOCATE CONDELL MEDICAL CENTER'S FINANCIAL ASSISTANCE POLICY. ADVOCATE SHERMAN HOSPITAL UTILIZES A FINANCIAL SCREENING SOFTWARE PROGRAM TO HELP IDENTIFY PUBLIC ASSISTANCE PROGRAMS FOR WHICH THE PATIENT MAY BE ELIGIBLE FOR AT THE TIME OF REGISTRATION, OR AS SOON AS PRACTICABLE THEREAFTER. IN ADDITION, HEALTHADVISOR, ADVOCATE'S EDUCATION REGISTRATION AND PHYSICIAN REFERRAL TELEPHONE CENTER, SERVES AS A COMMUNITY RESOURCE PROVIDING REFERRALS TO GOVERNMENT-FUNDED AND OTHER PROGRAMS VIA TELEPHONE FROM 7 A.M. TO 7 P.M., MONDAY THROUGH FRIDAYADVOCATE SHERMAN HOSPITAL ASSISTS PATIENTS WITH APPLYING FOR FINANCIAL ASSISTANCE SERVICES IF PATIENTS ARE NOT ELIGIBLE FOR GOVERNMENT-SUPPORTED PROGRAMS. ADVOCATE SHERMAN HOSPITALCOMMUNICATES THE AVAILABILITY OF FINANCIAL ASSISTANCE IN THE APPLICABLE LANGUAGES OF THE HOSPITAL COMMUNITY. MEANS OF COMMUNICATION INCLUDE:- THE HEALTH CARE CONSENT THAT IS SIGNED UPON REGISTRATION FOR HOSPITAL SERVICES WHICH INCLUDES A STATEMENT THAT FINANCIAL ASSISTANCE CONSIDERATION IS AVAILABLE UPON REQUEST- SIGNS ARE CLEARLY AND CONSPICUOUSLY POSTED IN LOCATIONS THAT ARE VISIBLE TO THE PUBLIC, INCLUDING, BUT NOT LIMITED TO, HOSPITAL PATIENT ACCESS, REGISTRATION AND EMERGENCY DEPARTMENT LOCATIONS- A HANDOUT SUMMARIZING ADVOCATE'S FINANCIAL ASSISTANCE POLICY AND FINANCIAL ASSISTANCE APPLICATION IS GIVEN TO UNINSURED PATIENTS WHO RECEIVE MEDICALLY NECESSARY HOSPITAL SERVICES AT THE EARLIEST PRACTICAL TIME OF SERVICE, UPON REQUEST- ADVOCATE CONDELL MEDICAL CENTER'S WEBSITE POSTS A NOTICE IN A PROMINENT PLACE THAT FINANCIAL ASSISTANCE IS AVAILABLE, WITH AN EXPLANATION OF THE FINANCIAL ASSISTANCE APPLICATION AND THE PROCESS TO COMPLETE ITHOSPITAL BILLS TO UNINSURED PATIENTS INCLUDE A SUMMARY OF ADVOCATE'S FINANCIAL ASSISTANCE POLICY, A FINANCIAL ASSISTANCE APPLICATION, AND A TELEPHONE NUMBER TO REQUEST FINANCIAL ASSISTANCE
PART VI, LINE 4:PART VI Q4 COMMUNITY INFORMATIONA DETAILED DESCRIPTION OF THE COMMUNITY SERVED BY ADVVOCATE SHERMAN HOSPITAL CAN BE FOUND IN THE HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT REPORTS, WHICH CAN BE VIEWED AT 2022-OFFICIAL-ADVOCATE-SHERMAN-CHNA-REPORT.PDF.SHORTENED URL: HTTPS://BIT.LY/4LU5OLTFOR THE PURPOSES OF THE 2022 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), ADVOCATE SHERMAN DEFINES THE COMMUNITY AS ITS PRIMARY SERVICE AREA (PSA), WHICH INCLUDES 10 ZIP CODES IN KANE COUNTY AND MCHENRY COUNTY. THOSE ZIP CODES INCLUDE ALGONQUIN (60102), CARPENTERSVILLE (60110), ELGIN (60120), ELGIN (60123), ELGIN (60124), GILBERTS (60136), HUNTLEY (60142), LAKE IN THE HILLS (60156), SOUTH ELGIN (60177) AND WEST DUNDEE (60118).THERE ARE 298,893 RESIDENTS WITHIN THE PSA, AND THE THREE LARGEST COMMUNITIES ARE ELGIN (60120) WITH A POPULATION OF 50,319 RESIDENTS, ELGIN (60123) WITH 49,765 RESIDENTS AND CARPENTERSVILLE (60110) WITH 39,094 RESIDENTS. THE MEDIAN AGE OF THE PSA IS 38.4 YEARS OLD, WITH THE LARGEST POPULATION BEING THOSE AGES 40-64 YEARS (32.8 PERCENT). THE PSA IS COMPRISED OF 50.0 PERCENT FEMALES AND 50.0 PERCENT MALES. FIFTY-SEVEN PERCENT OF THE PSA POPULATION IS NON-HISPANIC WHITE, 30.7 PERCENT HISPANIC OR LATINO, 5.7 PERCENT ASIAN OR PACIFIC ISLANDER, 4.2 PERCENT NON-HISPANIC BLACK, 2.1 PERCENT TWO OR MORE RACES AND 0.02 PERCENT NATIVE AMERICAN. THE MEDIAN HOUSEHOLD INCOME FOR THE PSA POPULATION IS $90,927 WHICH IS HIGHER THAN U.S., ILLINOIS, AND KANE COUNTY RATES, BUT LOWER THAN MCHENRY COUNTY. WITHIN THE PSA, THE ZIP CODE WITH THE HIGHEST MEDIAN HOUSEHOLD INCOME IS ELGIN (60124) AT $123,003 AND THE LOWEST MEDIAN HOUSEHOLD INCOME IS ELGIN (60120) AT $71,434. 7.8 PERCENT OF RESIDENTS WITHIN THE PSA ARE LIVING BELOW THE FEDERAL POVERTY LEVEL, WHICH IS LOWER THAN THE U.S., ILLINOIS, AND KANE COUNTY RATE, BUT HIGHER THAN THE RATE IN MCHENRY COUNTY
PART VI, LINE 5:PART VI Q5 COMMUNITY BUILDING ACTIVITIESEVERY ADVOCATE HEALTH CARE HOSPITAL PUBLISHES AN ANNUAL PROGRESS REPORT, WHICH IS PUBLICLY AVAILABLE AT: HTTPS://WWW.ADVOCATEHEALTH.COM/HOSPITAL-CHNA-REPORTS-IMPLEMENTATION-PLANS-PROGRESS-REPORTSOTHER WAYS ADVOCATE HEALTH CARE CONTINUE TO PROMOTE THE HEALTH OF THE COMMUNITY IN ILLINOIS INCLUDE: - GOVERNING COUNCIL: THE ADVOCATE SHERMAN GOVERNING COUNCIL (GC) IS COMPRISED OF 21 MEMBERS, REPRESENTING A BROAD ARRAY OF COMMUNITY SECTORS AND EXECUTIVE LEVEL HOSPITAL STAFF. COMMUNITY MEMBERS COME FROM THE FIELDS OF EDUCATION, MANUFACTURING, PHILANTHROPY, FAITH COMMUNITIES, MARKETING, FINANCIAL INDUSTRY AND HEALTH CARE. - MOBILE INTEGRATED HEALTH. THE MOBILE INTEGRATED HEALTHCARE (MIH) COMMUNITY PARAMEDICINE PROGRAM PROVIDES HOME VISITS BY A LICENSED PARAMEDIC TO PATIENTS WITH CHRONIC HEALTH CONDITIONS IN ORDER TO IMPROVE HEALTH OUTCOMES. THE PARAMEDIC PROVIDES EDUCATION TO THE PATIENT ABOUT HIS OR HER CHRONIC HEALTH CONDITION, ASSESSES THE HOME FOR FALL RISK AND COMPLETES MEDICATION RECONCILIATION. ADDITIONALLY, THE PARAMEDIC ENSURES THE PATIENT IS COMPLETING RECOMMENDED MEDICAL APPOINTMENTS POST-HOSPITAL DISCHARGE AND MAY ASSIST WITH ADDRESSING SOCIAL NEEDS SUCH AS TRANSPORTATION OR ACCESS TO HEALTHY FOOD. IN 2024, 42 PATIENTS WERE SEEN FOR 107 VISITS. ENROLLED PATIENTS HAD THE FOLLOWING HEALTH CONDITIONS: HEART FAILURE; CHRONIC OBSTRUCTIVE PULMONARY DISEASE (COPD); DIABETES; POST-MYOCARDIAL INFARCTION AND PNEUMONIA. ONE PATIENT WAS UNDERGOING CANCER CARE. - COMMUNITY HEALTH WORKER (CHW). A CHW IS AN EXPERT IN SOCIAL SUPPORT RESOURCES IN A LOCAL COMMUNITY. THE CHW OFTEN IS A MEMBER OF THE COMMUNITY HE OR SHE SERVES AND EDUCATES PATIENTS ON WHERE TO GET ASSISTANCE IN HOUSING, UTILITY ASSISTANCE OR MEDICAID ENROLLMENT. ADDITIONALLY, HE HELPS THE PATIENT TO FIND A PRIMARY CARE PHYSICIAN FOR ONGOING CARE. A FULL-TIME CHW IS EMBEDDED IN THE ADVOCATE SHERMAN EMERGENCY DEPARTMENT (ED). HE MEETS WITH PATIENTS AND ASSESSES THEIR SOCIAL DRIVERS OF HEALTH (SDOH) TO IDENTIFY BARRIERS AND NEEDS. IN 2024, THE CHW WORKED WITH 327 PATIENTS WITH REFERRALS TO COMMUNITY ORGANIZATIONS, REFERRALS TO PHYSICIANS AND FQHC'S. - NARCAN TRAINING CREW. TO DECREASE OPIOID-RELATED DEATHS WITHIN THE SERVICE AREA, ADVOCATE SHERMAN HOSPITAL LAUNCHED THE NARCAN TRAINING CREWAN INITIATIVE TO EDUCATE THE PUBLIC ON OPIOIDS AND TRAIN AND DISTRIBUTE NASAL NARCAN SPRAY AT HOSPITAL POP-UPS AND COMMUNITY EVENTS. THE FIRST PROGRAM OF ITS KIND IN NORTHERN ILLINOIS, THE HOSPITAL PARTNERED WITH THE KANE AND MCHENRY COUNTY HEALTH DEPARTMENTS TO EXPAND ACCESS TO THIS LIFE-SAVING RESOURCE. IN 2024, 12 TEAMMATES COMPLETED THE TRAINING, WHICH INCLUDED THREE IN-PERSON SESSIONS, ONE VIRTUAL SESSION, AND A TWO-HOUR SHADOWING REQUIREMENT AT A COMMUNITY OUTREACH EVENT. PRE- AND POST-SURVEYS SHOWED A 44% INCREASE IN PARTICIPANTS' CONFIDENCE TO RECOGNIZE AND RESPOND TO AN OPIOID OVERDOSE. IN PARTNERSHIP WITH MCHENRY AND KANE COUNTY HEALTH DEPARTMENTS, THE NARCAN TRAINING CREW ATTENDED 19 COMMUNITY EVENTS AND HOSTED NINE POP-UP BOOTHS AT SHERMAN HOSPITAL. ALONG WITH EDUCATING ABOUT OPIOIDS, SHOWING HOW TO USE NARCAN SPRAY AND HANDING OUT FREE NASAL SPRAY, CREW MEMBERS OFFER HARM REDUCTION AND RECOVERY RESOURCE FLYERS AND ANSWER COMMON QUESTIONS, MYTHS, OR CONCERNS ABOUT OPIOIDS. THE CREW ALSO HOSTED A TRAINING FOR ALL 35 STAFF MEMBERS AT THE BOYS AND GIRLS CLUB OF ELGIN AND DISTURBED NARCAN FOR THEIR FUTURE EVENTS. ADDITIONALLY, IN 2025 A NARCAN DISPENSER WILL BE INSTALLED IN THE SHERMAN EMERGENCY DEPARTMENT LOBBY TO PROVIDE EASY ACCESS TO FREE NARCAN TO THE PUBLIC. THE DISPENSER WILL BE MANAGED BY THE KANE COUNTY HEALTH DEPARTMENT.
PART VI, LINE 6:AFFILIATED HEALTH CARE SYSTEM DESCRIPTIONADVOCATE HEALTH CARE (ILLINOIS) AND AURORA HEALTH CARE (WISCONSIN) MERGED IN 2018 TO BECOME ADVOCATE AURORA HEALTH. ADVOCATE AURORA HEALTH'S ILLINOIS HOSPITALS (ADVOCATE) ARE NOT-FOR-PROFIT AND ARE RELATED TO BOTH THE EVANGELICAL LUTHERAN CHURCH IN AMERICA AND THE UNITED CHURCH OF CHRIST. THE ADVOCATE HEALTH CARE NETWORK BOARD MEMBERS, LEADERSHIP AND TEAM MEMBERS (STAFF/EMPLOYEES) ARE COMMITTED TO POSITIVELY AFFECTING THE HEALTH STATUS AND QUALITY OF LIFE OF INDIVIDUALS AND POPULATIONS IN COMMUNITIES SERVED BY THE ORGANIZATION THROUGH PROGRAMS AND PRACTICES THAT SUPPORT THE ADVOCATE AURORA VISION OF "WE HELP PEOPLE LIVE WELL." PRIOR TO 2016, THE COMMUNITY FACING FUNCTION WAS LED BY A TEAM OF ADVOCATE SYSTEM-LEVEL INDIVIDUALS WHOSE JOB RESPONSIBILITIES INCLUDED VARIOUS COMMUNITY ROLES MORE CLOSELY ALIGNED WITH COMMUNITY RELATIONS. IN AN ONGOING EFFORT TO SUPPORT ITS HOSPITALS IN ADDRESSING COMMUNITY HEALTH PRIORITIES, ADVOCATE AURORA'S SYSTEM LEADERSHIP DIRECTED THE FORMATION OF A COMMUNITY HEALTH DEPARTMENT IN 2016. THE DEPARTMENT IS LED BY A SYSTEM EXECUTIVE AND STAFFED WITH PUBLIC/COMMUNITY HEALTH SPECIALISTS WHO ARE RESPONSIBLE FOR COMMUNITY BENEFITS REPORTING, EXECUTING COMMUNITY NEEDS ASSESSMENTS, EVIDENCE-BASED PROGRAM DEVELOPMENT AND IMPLEMENTATION, AND COLLABORATIVE PARTNERSHIPS WITHIN THE COMMUNITIES SERVED BY ADVOCATE. THE COMMUNITY HEALTH TEAM HAS SINCE LED TWO CHNA CYCLES. THE MOST RECENT CHNA REPORTS WERE APPROVED BY THE ADVOCATE HEALTH CARE NETWORK BOARD AND POSTED IN DECEMBER 2019, FOLLOWED BY APPROVAL AND POSTING OF THE HOSPITALS' COMMUNITY HEALTH IMPLEMENTATION PLANS IN 2020. IN OCTOBER 2019, THE ADVOCATE AURORA BOARD APPROVED A COMMUNITY STRATEGY THAT WOULD SUPPORT ORGANIZATIONAL VALUES AND CONTINUE TO SUPPORT SYSTEM-WIDE PROGRAMS THAT ADDRESS THE HEALTH NEEDS OF PATIENTS, FAMILIES AND THE COMMUNITIES SERVED BY ADVOCATE AURORA. THROUGH THIS STRATEGY, WE WILL BUILD HEALTH EQUITY, ENSURE ACCESS AND IMPROVE HEALTH OUTCOMES IN OUR COMMUNITIES THROUGH EVIDENCE-INFORMED SERVICES AND INNOVATIVE PARTNERSHIPS BY ADDRESSING MEDICAL NEEDS AND SOCIAL DETERMINANTS. BASED ON NEED AND EFFECT ON HEALTH EQUITY, AS IDENTIFIED IN ADVOCATE AURORA'S 27 HOSPITAL CHNA REPORTS AND IN INDUSTRY LITERATURE, ADVOCATE AURORA PRIORITIZED THE FOLLOWING SIX FOCUS AREAS ON WHICH THE INDIVIDUAL HOSPITAL COMMUNITY HEALTH IMPLEMENTATION PLANS ARE BUILT AND SUPPORT, INCLUDING: 1) ACCESS/PRIMARY MEDICAL HOMES; 2) ACCESS/ BEHAVIORAL HEALTH SERVICES; 3) WORKFORCE DEVELOPMENT; 4) COMMUNITY SAFETY; 5) AFFORDABLE HOUSING; AND 6) FOOD SECURITY. GIVEN THAT ADVOCATE AND AURORA HAVE SEPARATE FEIN'S, THE NARRATIVE WITHIN THIS DOCUMENT PRIMARILY DESCRIBES PROGRAMS AND ACTIVITIES PERTAINING TO ADVOCATE (AAH ILLINOIS). ADVOCATE'S BOARD, SYSTEM LEADERSHIP AND TEAM MEMBERS ARE FULLY ENGAGED IN PROGRAMS AND ACTIVITIES THAT SUPPORT SYSTEM AND SITE EFFORTS IN ACHIEVING MILESTONES IN EACH OF THESE COMMUNITY STRATEGY FOCUS AREAS. EXAMPLES OF AFFILIATED SYSTEM PROGRAMS/SERVICES THAT ALIGN WITH THE ORGANIZATION'S COMMUNITY STRATEGY AND SUPPORT EFFORTS TO ADDRESS THESE KEY FOCUS AREAS ARE PROVIDED IN THE FOLLOWING NARRATIVE. 1. ACCESS/PRIMARY MEDICAL HOMES. THE FIRST OF SIX KEY AREAS TARGETED BY ADVOCATE'S COMMUNITY STRATEGY IS IMPROVING ACCESS/CONNECTING PATIENTS TO PRIMARY MEDICAL HOMES. ADVOCATE IS COMMITTED TO UNDERTAKING AND SUPPORTING INITIATIVES THAT ENHANCE ACCESS TO HEALTH CARE, INCLUDING FINANCIAL ASSISTANCE, CARE COORDINATION, LANGUAGE ASSISTANCE, CULTURALLY SENSITIVE PROVISION OF CARE, AND PREVENTION EDUCATION AND WELLNESS SERVICES ACROSS THE LIFESPAN AND WITHIN THE DIVERSE COMMUNITIES ADVOCATE SERVES. FINANCIAL ASSISTANCE. ADVOCATE OFFERS A VERY GENEROUS FINANCIAL ASSISTANCE PROGRAM, REQUIRING NO PAYMENTS FROM THE PATIENTS MOST IN NEED AND PROVIDING DISCOUNTS TO UNINSURED AND INSURED PATIENTS. PATIENTS EARNING UP TO SIX TIMES THE FEDERAL POVERTY LEVEL (FPL) AND INSURED PATIENTS EARNING UP TO TWO AND HALF TIMES THE FPL, MAY QUALIFY FOR A FULL OR PARTIAL FINANCIAL ASSISTANCE DISCOUNT. ADDITIONALLY, A CATASTROPHIC ASSISTANCE DISCOUNT IS AVAILABLE FOR UNINSURED AND INSURED PATIENTS WHOSE INCOMES EXCEED THE TRADITIONAL FINANCIAL ASSISTANCE INCOME GUIDELINES AND HAVE OUTSTANDING PATIENT BALANCES OF $25,000 OR MORE FOR A SINGLE DATE OF SERVICE OR SUM OF SEVERAL DATES OF SERVICE. THESE PATIENTS MAY QUALIFY TO RECEIVE A FINANCIAL ASSISTANCE DISCOUNT THAT REDUCES THEIR OUTSTANDING BALANCE TO 25% OF THEIR NET INCOME. FOR UNINSURED PATIENTS, ADVOCATE WILL PRESUMPTIVELY PROVIDE FINANCIAL ASSISTANCE IF THE FINANCIAL STATUS HAS BEEN VERIFIED BY A THIRD PARTY. IN THESE CASES, THE PATIENT IS NOT REQUIRED TO SUBMIT A SEPARATE CHARITY APPLICATION. IF PRESUMPTIVE CRITERIA ARE NOT AVAILABLE FOR UNINSURED PATIENTS, FINANCIAL ASSISTANCE ELIGIBILITY IS AVAILABLE USING AN INCOME-BASED SCREENING. ADVOCATE EXTENDS ITS INCOME-BASED FINANCIAL ASSISTANCE POLICY TO ITS INSURED PATIENTS AS WELL. ADVOCATE CONTINUES TO REVIEW AND REFINE ITS POLICY IN AN ONGOING EFFORT TO ENSURE THAT FINANCIAL ASSISTANCE IS AVAILABLE TO THOSE WHO NEED HELP. IN 2022, FINANCIAL ADVOCATES PROCESSED 14,111 ADVOCATE FINANCIAL ASSISTANCE APPLICATIONS, COMPLETED 1,188 MEDICAID APPLICATIONS, IDENTIFIED 693 PEOPLE FOR CO-PAY ASSISTANCE AND ASSISTED PEOPLE WITH COMPLETING 260 MARKETPLACE APPLICATIONS.FEDERALLY QUALIFIED HEALTH CENTERS (FQHCS). ALL ADVOCATE'S HOSPITALS CONTINUE TO HAVE RELATIONSHIPS WITH FQHC'S OR OTHER COMMUNITY CLINICS WITHIN THEIR SERVICE AREAS AND COLLABORATE WITH THOSE PARTNERS TO IMPROVE ACCESS TO CARE FOR MEDICAID AND UNINSURED PATIENTS. ADVOCATE SHERMAN CONTINUES TO WORK CLOSELY WITH GREATER FAMILY HEALTH (FQHC), VNA HEALTH CARE AND AUNT MARTHA'S (FQHC) TO COORDINATE CARE FOR LOW-INCOME PATIENTS IN THE ELGIN AREA. THE HOSPITAL PROVIDES COLONOSCOPIES AND MAMMOGRAMS TO GREATER FAMILY HEALTH PATIENTS, COORDINATED THROUGH GRANT-FUNDED PROGRAMS. ADVOCATE CONDELL WORKS COLLABORATIVELY WITH THE LAKE COUNTY HEALTH DEPARTMENT AND COMMUNITY HEALTH CENTER (FQHC) AND ERIE HEALTHREACH WAUKEGAN (FQHC), BY PROVIDING MAMMOGRAMS AND SOME SPECIALTY CARE TO UNINSURED AND LOW-INCOME PATIENTS AS THEY ARE REFERRED TO THE MEDICAL CENTER. ADVOCATE ILLINOIS MASONIC AND ADVOCATE LUTHERAN GENERAL ALSO PARTNER WITH HEARTLAND HEALTH CENTERS AND COMMUNITYHEALTH, ONE OF THE LARGEST FREE CLINICS IN THE NATION, TO PROVIDE SPECIALTY CARE TO UNINSURED PATIENTS AND REFERRALS TO FQHCS AND FREE CLINICS FOR PRIMARY CARE SERVICES. IN ADDITION, ADVOCATE ILLINOIS MASONIC PROVIDES OPERATIONS SPACE TO HEARTLAND HEALTH CENTERS ON ITS CAMPUS TO PROVIDE PRIMARY CARE FOR INDIVIDUALS AND FAMILIES THAT ARE UNINSURED. IN PARTNERSHIP WITH THE ACCESS TO CARE ORGANIZATION, ADVOCATE CHRIST CONTINUES TO PROVIDE FREE MAMMOGRAMS TO UNINSURED AND LOW-INCOME INDIVIDUALS THAT ARE REFERRED BY THEIR CLINIC TO THE HOSPITAL WHEN THIS SERVICE IS REQUIRED. ADVOCATE TRINITY WORKS WITH CHICAGO FAMILY HEALTH CENTER AND CHRISTIAN COMMUNITY HEALTH CENTER TO COORDINATE CARE FOR LOW-INCOME PATIENTS. ADVOCATE HOSPITAL IN COOK COUNTY WORK CLOSELY WITH COMMUNITYHEALTH TO CONNECT TREAT UNINSURED PATIENTS AND TO CONNECT INDIVIDUALS THAT NEED A PRIMARY CARE PROVIDER.
PART VI, LINE 7, REPORTS FILED WITH STATESIL
PART VI, 6. AFFILIATED HEALTH CARE SYSTEMTO MAINTAIN QUALITY CARE EXCELLENCE AND IMPROVE QUALITY OF LIFE FOR PEOPLE SEEKING CARE FROM ADVOCATE, WORKING TO FIND MEDICAL HOMES AND TO REDUCE EMERGENCY ROOM VISITS AND HOSPITAL ADMISSIONS IS ESSENTIAL. ADVOCATE HAS NUMEROUS PROGRAMS FOCUSED ON MANAGING THE PATIENT EXPERIENCE THROUGH THE CONTINUUM OF CAREIN INPATIENT AND OUTPATIENT SETTINGS, AND IN THE HOME. MEDICAID AND MEDICARE. ADVOCATE ACTIVELY WORKS TO IMPROVE THE PROVISION OF SERVICES TO INDIVIDUALS AND FAMILIES WHO ARE COVERED BY MEDICARE AND MEDICAID AND THAT SEEK SERVICES AT ANY OF ADVOCATE'S 400 SITES OF CARE. ADVOCATE COLLABORATES WITH VARIOUS COMMUNITY-BASED ORGANIZATIONS (CBOS) AND FEDERALLY QUALIFIED HEALTH CENTERS (FQHCS) IN INNOVATIVE WAYS TO ESTABLISH PRIMARY CARE RELATIONSHIPS FOR MEDICAID AND UNINSURED PATIENTS. ADVOCATE CARE ORGANIZATION (ACO). ADVOCATE COLLABORATES WITH MERIDIAN FAMILY HEALTH PLAN (FHP) OF ILLINOIS AS PART OF AN INTEGRATED CARE MODEL FOR PEOPLE ON MEDICAID. ADVOCATE HAS A STRONG HISTORY OF PROVIDING HIGH QUALITY CARE TO THE MEDICAID POPULATION WITHIN ITS NETWORK WITH KEY FOCUS AREAS, INCLUDING IMPROVED CARE COORDINATION, ACCESS AND QUALITY PERFORMANCE. THE RESULT HAS BEEN A REDUCTION IN ED UTILIZATION DUE TO SUCCESSFULLY CONNECTING INDIVIDUALS IN THE PLAN TO A MEDICAL HOME AND DUE TO CONNECTING PATIENTS WITH COMMUNITY RESOURCES FOR UNMET SOCIAL DETERMINANTS OF HEALTH NEEDS.COMMUNITY HEALTH WORKERS-CONNECTING AND NAVIGATING PEOPLE TO PRIMARY CARE AND SOCIAL SERVICES. THE PRIMARY CARE CONNECTION (PCC) PROGRAM, DEPLOYS COMMUNITY HEALTH WORKERS (CHWS) AS COMMUNITY RESOURCE NAVIGATORS TO SERVE PEOPLE IN THE ED. THE PURPOSE OF THE PROGRAM IS TO REDUCE UNNECESSARY ED VISITS AND TO CONNECT PEOPLE TO A PRIMARY CARE HOME. CHWS EDUCATE PEOPLE ABOUT ACCESSING THE APPROPRIATE LEVEL OF CARE AND PROVIDING FOLLOW-UP APPOINTMENTS TO A CONVENIENT CARE SITE FOR PEOPLE DURING THE ED VISIT. CHWS ALSO CONDUCT A COMMUNITY HEALTH ASSESSMENT TO IDENTIFY SOCIAL DETERMINANTS OF HEALTH AND LINK PEOPLE TO SOCIAL SERVICES AND COMMUNITY RESOURCES THAT CONTRIBUTE TO THE PERSONS' OVERALL WELLBEING. THE PCC PROGRAM HAS REACHED OVER 40,000 PEOPLE SINCE 2018. FROM JANUARY 2018 THROUGH DECEMBER 19, 2022, COMMUNITY HEALTH WORKERS HAVE SERVED A TOTAL OF 40,082 PEOPLE WITH A COMBINED 90-DAY READMISSION RATE FOR 2018-2022 OF 3.5 PERCENT.ADVOCATE ALSO PROVIDES LANGUAGE AND OTHER CULTURALLY APPROPRIATE SERVICES TO IMPROVE ACCESS TO A BROAD RANGE OF HEALTH-RELATED SERVICES. LANGUAGE SERVICES. OUR LANGUAGE SERVICES TEAM BRIDGES LANGUAGES AND CULTURES BY CONNECTING PATIENTS, FAMILY MEMBERS, AND COMPANIONS TO INFORMATION AND SERVICES AT THE DESIRED TIME, IN THE OPTIMAL PLACE, AND UTILIZING APPROPRIATE COMMUNICATION MODALITIES.INFOGRAPHIC: OUR JOURNEY OVER THE LAST FIVE YEARS HAS YIELDED SIGNIFICANT GROWTH, DEMONSTRATED BY A 124% INCREASE IN ENCOUNTERS, OVER 1.2 MILLION INTERACTIONS, AND 193 LANGUAGES FROM 2018 TO 2022.A FOCUS FOR LANGUAGE SERVICES IN 2022 WAS TO ENSURE PATIENTS, FAMILY MEMBERS, AND COMPANIONS HAVE AUXILIARY AIDS, DEVICES, OR SERVICES THAT ENABLE EFFECTIVE COMMUNICATION. WE EXPECT ALL ACCESS POINTS WITHIN THE SYSTEM WILL BE FULLY EQUIPPED WITH THESE AIDS. THESE AIDS INCLUDE BUT ARE NOT LIMITED TO CLEAR MASKS, VISUAL ALERT SYSTEMS, BABY SOUND ALERT, POCKET TALKERS, CAPTEL PHONES, TTY PHONES, PICTURE BOARD, WHITEBOARD, MAGNIFIER, AND SPECIAL COMMUNICATION NEEDS SIGNS. ENHANCING THE EXPERIENCE AND POSITIVE OUTCOMES OF OUR CONSUMERS WHO ARE DEAF, HARD OF HEARING, BLIND, LOW VISION, OR THOSE WITH LIMITED LITERACY REMAINS A CORE FOCUS FOR LANGUAGE SERVICES.
PART VI, 6. AFFILIATED HEALTH CARE SYSTEMADVOCATE'S LONG-TERM SUPPORT OF PROGRAMS AND SERVICES THAT PROMOTE HEALTH EQUITY HAVE RESULTED IN VARIOUS PROGRAMS/INITIATIVES THAT WORK TO IMPROVE THE HEALTH OF DIVERSE UNDERSERVED POPULATIONS IN THE COMMUNITIES IT SERVES. EXAMPLES OF THESE EFFORTS FOLLOW. LGBTQ (LESBIAN, GAY, BISEXUAL, TRANSGENDER AND QUEER) HEALTH EQUITY INDEX. ADVOCATE ILLINOIS MASONIC WAS THE FIRST ADVOCATE AURORA HOSPITAL TO ACHIEVE, SINCE ITS INCEPTION, "LEADER" STATUS DENOMINATION WITH THE HUMAN RIGHTS CAMPAIGN FOUNDATION'S HEALTH EQUALITY INDEX. THE HOSPITAL IS ONE OF 496 LEADERS OUT OF 906 PARTICIPANTS. AS THE LEADING LGBTQ SITE, IT HAS BEEN THE FOUNDATION FOR ADVOCATE AURORA HEALTH TO BE THE 4TH LARGEST HEALTH SYSTEM WITH ALL ITS SITES ACCREDITED IN 2022. LEADERS ARE RECOGNIZED FOR POLICIES AND SERVICES SUPPORTIVE OF LGBTQ RIGHTS, INCLUDING PATIENT VISITATION AND EMPLOYMENT NON-DISCRIMINATION, STAFF TRAINING IN LGBTQ PATIENT-CENTERED CARE AND EMPLOYMENT NON-DISCRIMINATION, LGBTQ PATIENT SERVICES AND SUPPORT, TRANSGENDER PATIENT SERVICES, EMPLOYEE BENEFITS, AND PATIENT AND COMMUNITY ENGAGEMENT. IN 2016, ADVOCATE ILLINOIS MASONIC CREATED A SITE LGBTQ WORK GROUP WORKING ON AFFINITY, ADVOCATING FOR POLICIES AND PROCESSES AFFIRMING TOWARD LGBTQ PATIENTS AND TEAM MEMBERS. THE MEDICAL CENTER HAS DEVELOPED PROCESSES FOR GENDER EXPANSIVE AFFIRMING IDENTIFICATION AND CAPABILITIES TO CAPTURE GENDER IDENTIFY AND SEXUAL ORIENTATION SOGI DATA. ADVOCATE ILLINOIS MASONIC'S EXPERIENCE SERVED AS THE MODEL FOR OTHER MEDICAL CENTERS WITHIN THE ADVOCATE AURORA HEALTH NETWORK TO PARTICIPATE IN THE HEALTH EQUALITY INDEX IN 2020, IMPACTING THOUSANDS OF TEAM MEMBERS AND MILLIONS OF PATIENTS ACROSS ILLINOIS AND WISCONSIN. THE HOSPITAL WAS FEATURED IN THE HEI 15 YEARS REPORT AS ONE OF 4 INITIAL SURVEY RESPONDENTS AND A MODEL FOR COMMUNITY HOSPITALS PARTICIPATION. DESPITE THE CIRCUMSTANCES AND CHALLENGES THAT THE COVID-19 PANDEMIC BROUGHT TO THE ENTIRE HEALTH CARE SYSTEM, ADVOCATE HOSPITALS CONTINUED THEIR COMMITMENT TO INCLUSIVE AND AFFIRMING CARE FOR LGBTQ PATIENTS IN 2022.CULTURAL HEALTH INITIATIVES. IN MARCH 2021, ADVOCATE LUTHERAN GENERAL HOSPITAL RESHAPED TWO PREVIOUS PATIENT NAVIGATOR POSITIONS PREVIOUSLY SERVING THE POLISH AND KOREAN POPULATIONS AND CREATED A MORE ROBUST CULTURAL AND COMMUNITY LIAISON ROLE. THIS POSITION CONTINUES THE MORE THAN DECADE LONG ADVOCATE LUTHERAN COMMITMENT AND DEDICATED RESPONSE TO THE MULTITUDE AND CONTINUALLY CHANGING DIVERSE CULTURES, LANGUAGES, HEALTH LITERACY AND DEMOGRAPHICS OF THE COMMUNITIES THAT WE SERVE. THIS POSITION'S PRIORITY IS TO CREATE AN ENVIRONMENT THAT IS CONDUCIVE TO DEVELOPING LIFELONG RELATIONSHIPS WITH MEMBERS OF THE COMMUNITY, TO INCREASE ACCESS TO HEALTH CARE SERVICES FOR MEMBERS OF THE COMMUNITY AND TO HELP OUR CURRENT PATIENTS ACHIEVE BEST HEALTH OUTCOMES. THE LIAISON ALSO WORKS IN COLLABORATION WITH THE CENTRAL CHICAGOLAND PRIMARY SERVICE AREA (PSA) AND THE COMMUNITY HEALTH AREA TO MEET THE HEALTH CARE, CULTURAL AND SPIRITUAL NEEDS OF OUR PATIENTS AND FAMILIES. THE LIAISON CONTINUES TO ASSIST PATIENTS WHO ARE LIMITED/NON-ENGLISH SPEAKING AND HELPS PATIENTS NAVIGATE THE HEALTH CARE FACILITY, PROVIDES LINGUISTICALLY COMPETENT AND CULTURALLY SENSITIVE PATIENT EDUCATION IN THE CONTEXT OF COMMUNITY OUTREACH, AND HELPS TO IDENTIFY POTENTIAL BARRIERS TO HEALTH CARE FOR THE COMMUNITY. THE CULTURAL AND COMMUNITY LIAISON COLLABORATES WITH EXTERNAL STAKEHOLDERS INCLUDING BUT NOT LIMITED TO, CHAMBERS OF COMMERCE, COMMUNITY AGENCIES AND EDUCATIONAL DISTRICTS TO PROMOTE OUR HEALTH CARE SERVICE LINES AND CONCURRENTLY EMBED AND INTEGRATE THE AHC MISSION OF DIVERSITY, EQUITY AND INCLUSION INTO THE SIX COMPONENTS OF THIS ROLE. THEY ARE PATIENT NAVIGATION, COMMUNITY RELATIONS/OUTREACH AND ENGAGEMENT, CULTURAL COMPETENCE, PHYSICIAN RELATIONS/RECRUITMENT AND COMMUNITY HEALTH. THE LIAISON PARTNERS WITH INTERNAL STAKEHOLDERS INCLUDING PHYSICIANS, TEAM MEMBERS, ADMINISTRATORS AND VOLUNTEERS TO PROVIDE GUIDANCE AROUND CULTURAL SENSITIVITIES OF THE PATIENT'S CARE PLAN AND POSSIBLE ALTERATIONS NEEDED TO FURTHER THE GOAL OF SERVICE EXCELLENCE FOR ALL, WHICH IN TURN PROMOTES AN ENVIRONMENT THAT MEETS THE UNEXPRESSED AND EXPRESSED NEEDS OF ALL THOSE IN THE FACILITY. THIS PROVIDES AN OPPORTUNITY TO ALSO IDENTIFY POTENTIAL BARRIERS AND TO ASSESS WHAT EDUCATIONAL MATERIALS AND HOSPITAL RESOURCES ARE NEEDED THAT SUPPORT CULTURAL SENSITIVITIES TO CONTINUE TO FOSTER GREATER COMMUNICATION BETWEEN THE PROVIDER AND PATIENT/FAMILY AROUND THE PATIENT'S CARE PLAN.2. ACCESS/BEHAVIORAL HEALTH SERVICESA SECOND ADVOCATE COMMUNITY STRATEGY FOCUS AREA IS ACCESS TO BEHAVIORAL HEALTH SERVICES. ADVOCATE HAS IMPLEMENTED MANY PROGRAMS/SERVICES FOCUSED ON IMPROVING THE CONTINUUM OF CARE FOR THE BENEFIT OF MENTAL HEALTH AND BEHAVIORAL HEALTH PATIENTS. SEVERAL EXAMPLES OF BEHAVIORAL HEALTH PROGRAMS THAT ADVOCATE HOSPITALS HAVE IMPLEMENTED AND IMPROVE ACCESS ARE PROVIDED BELOW. BEHAVIORAL HEALTH INTEGRATION. MANY STUDIES HAVE SHOWN THAT INTEGRATING BEHAVIORAL HEALTH INTO PRIMARY CARE PRACTICE CAN LEAD TO INCREASES IN A PERSON'S ADHERENCE TO TREATMENT, IMPROVES QUALITY OF LIFE, AND INCREASES A PERSON'S SATISFACTION WITH THEIR CARE. AT ADVOCATE HEALTH WE ARE INTEGRATING INTO PRIMARY CARE PRACTICES IN ILLINOIS AND WISCONSIN USING THE COLLABORATIVE CARE APPROACH AND EMBEDDING SOCIAL WORKER TO WORK ALONGSIDE THE PRIMARY CARE TEAM SEEING PEOPLE IN NEED WHEN THEY COME IN FOR THEIR PRIMARY CARE VISIT. IN ADDITION, PATIENTS HAVE ACCESS TO A VIRTUAL LICENSED CLINICIAN FOR BRIEF TARGETED SOLUTION FOCUSED THERAPY. THIRDLY, PRIMARY CARE PHYSICIANS HAVE ACCESS TO A CONSULTING PSYCHIATRIST FOR QUESTIONS REGARDING PRESCRIPTION MEDICATIONS TO TREAT MENTAL HEALTH CONDITIONS. THE GOAL OF THIS INITIATIVE IS TO ADDRESS LOWER-LEVEL BEHAVIORAL HEALTH ISSUES IN THE PRIMARY CARE SETTING WHERE PEOPLE FEEL MOST COMFORTABLE. BETWEEN JUNE 2021 THROUGH 2022, THE PROGRAM HAS SERVED 2,927 PEOPLE IN OUR NINETEEN BEHAVIORAL HEALTH INTEGRATION PROGRAMS ACROSS ILLINOIS AND WISCONSIN, INCLUDING 2,133 PEOPLE SERVED IN 2022 ALONE. THIS PROGRAM IS BASED ON AN EVIDENCE-BASED MODEL OF CARE, COLLABORATIVE CARE OUT OF UNIVERSITY OF WASHINGTON. WE USE EVIDENCE-BASED SCREENING TOOLS, PHQ-9 AND GAD-7. EARLY METRICS HAVE DEMONSTRATED AN INCREASED TIME TO FIRST APPOINTMENT BY 83% COMPARED TO REFERRAL TO USUAL OUTPATIENT BEHAVIORAL HEALTH PROVIDERS.BEHAVIORAL HEALTH ASSESSMENTS . BEHAVIORAL HEALTH ASSESSMENTS HELP PROVIDERS IDENTIFY WHEN A PERSON IS EXPERIENCING BEHAVIORAL HEALTH ISSUES AND ASSISTS IN EXPEDITING REFERRALS TO APPROPRIATE LEVELS OF CARE AND OTHER SUPPORTIVE RESOURCES. IN 2022, 10,637 ASSESSMENTS FOR PEOPLE PRESENTING IN AN ADVOCATE HEALTH IN IL HOSPITAL ED IN ACUTE MENTAL/BEHAVIORAL HEALTH CRISIS WERE COMPLETED BY A BEHAVIORAL-HEALTH SPECIALIST.MOBILE CRISIS RESPONSE TEAM (FORMERLY KNOWN AS MICCS). THE TEAM IS COMPRISED OF FOUR CLINICIANS AND A PEER SUPPORT SPECIALIST. THEY PROVIDE CRISIS INTERVENTIONS, THERAPY AND CASE MANAGEMENT TO ACUTELY ILL BEHAVIORAL HEALTH PATIENTS, OFFERING COMMUNITY-BASED ENCOUNTERS. IN 2022, 85 PEOPLE ENROLLED IN MOBILE CRISIS RECEIVED 1,917 SERVICES, OF WHICH ABOUT HALF WAS DELIVERED IN THE COMMUNITY. ADVOCATE ILLINOIS MASONIC'S BEHAVIORAL HEALTH SERVICES ALSO RAN AN INJECTION CLINIC DURING THE FIRST 2 MONTHS OF 2022 AND DURING THAT TIME, 62 PEOPLE RECEIVED 107 INJECTIONS.DEAF AND HARD OF HEARING PROGRAM. ADVOCATE ILLINOIS MASONIC'S DEAF AND HARD OF HEARING PROGRAM PROVIDES COMPREHENSIVE MENTAL HEALTH CARE IN AMERICAN SIGN LANGUAGE (ASL) TO DEAF AND HARD OF HEARING CHILDREN, ADOLESCENTS, AND ADULTS ACROSS ILLINOIS. THE PROGRAM OFFERS A CONTINUUM OF CARE THAT INCLUDES CLINICAL ASSESSMENTS; PRE-SCREENINGS AND LINKAGE; INDIVIDUAL AND FAMILY THERAPY; PSYCHIATRIC EVALUATIONS AND MEDICATION MONITORING; AS WELL AS CRISIS INTERVENTION WITH A 24-HOUR PHONE LINE. TELE-PSYCHIATRY IS AVAILABLE TO CLIENTS USING A VARIETY OF METHODS, INCLUDING VIDEOPHONE EQUIPMENT SUPPORTED BY THE FEDERAL COMMUNICATIONS COMMISSION (FCC) AND TEAMS/ZOOM, THAT SUIT THE INDIVIDUAL'S LINGUISTIC AND TECHNOLOGICAL NEEDS TO ENABLE THE PROVISION OF OTHERWISE SCARCE DEAF-FRIENDLY PSYCHIATRIC SERVICES IN THE HOMES OF DEAF PATIENTS. OVER THE YEARS, THE HOSPITAL HAS DISTRIBUTED SEVERAL THOUSAND FREE ASL DVDS ON HIV/AIDS, STDS, BREAST HEALTH, DIABETES, DEPRESSION, AND SMOKING CESSATION. IN 2022 , BHS PROVIDED 1537 SERVICES TO 84 DHOH PATIENTS, WITH 1380 OFFERED BY THE ASL-FLUENT STAFF AND 157 SERVICES USING ACCOMMODATION. 12 PATIENTS OF THOSE 84 ALSO HAVE VISUAL IMPAIRMENT; THEY RECEIVED 195 SERVICES OVER THE COURSE OF 2022.
PART VI, 6. AFFILIATED HEALTH CARE SYSTEMFIRST ACCESS PROGRAM. GIVEN THE HIGH NUMBER OF ADMISSIONS AND ED VISITS FOR BEHAVIORAL HEALTH CONDITIONS AT ADVOCATE ILLINOIS MASONIC AND THE HIGH NUMBER OF DISCHARGED PATIENTS THAT WERE NOT KEEPING THEIR OUTPATIENT FOLLOW-UP APPOINTMENTS, THE HOSPITAL'S BEHAVIORAL HEALTH DEPARTMENT CREATED THE FIRST ACCESS PROGRAM IN 2013. THE GOAL OF FIRST ACCESS IS TO PROVIDE IMMEDIATE ACCESS TO FOLLOW-UP BEHAVIORAL HEALTH SERVICES TO SUPPORT RECOVERY AND PREVENT RELAPSES. THROUGH THIS PROGRAM, BEHAVIORAL HEALTH ED PATIENTS, AS WELL AS PATIENTS REFERRED BY THE HOSPITAL'S INPATIENT PSYCHIATRIC UNIT, MEDICAL FLOORS AND PHYSICIANS, ARE LINKED TO FOLLOW-UP FOR OUTPATIENT APPOINTMENTS WITH MINIMAL WAIT TIME. SINCE ITS IMPLEMENTATION, FIRST ACCESS CONSISTENTLY INCREASED BEHAVIORAL HEALTH PATIENTS' APPOINTMENT FOLLOW-THROUGH RATES FROM 40 PERCENT IN 2013 TO 100 PERCENT IN 2019. DISCHARGED PATIENTS RECEIVED WARM HAND-OFFS TO BEHAVIORAL HEALTH SERVICES AND LEFT WITH AN OUTPATIENT PLAN OF CARE. HAVING ACHIEVED THAT, FIRST ACCESS STARTED TO FOCUS ON PROVIDING ACCESS TO CARE TO ALL ADVOCATE PATIENTS AND ITS VOLUMES HAVE STEADILY GROWN, PROVIDING 1,828 INTAKES TO PATIENTS IN 2021. THESE VOLUMES WERE MAINTAINED AND IN 2022 FIRST ACCESS PROVIDED 1826 NEW-PATIENT INTAKES.COMMUNITY LINKAGE SPECIALIST (CLS). IN RESPONSE TO THE INCREASING RATES OF SUBSTANCE ABUSE AND MENTAL ILLNESS IN DUPAGE COUNTY, ADVOCATE GOOD SAMARITAN EMPLOYED A COMMUNITY LINKAGE SPECIALIST THAT WORKS WITH DETOX AND BEHAVIORAL HEALTH UNIT PATIENTS TO CONNECT THEM TO THE APPROPRIATE COMMUNITY SUPPORT SERVICES AND RESOURCES. THIS INDIVIDUAL ALSO CONDUCTS COMMUNITY AND HOME VISITS WITH DISCHARGED PATIENTS . MENTAL HEALTH FIRST AID (IMMC AND GSAM). MENTAL HEALTH FIRST AID TRAINING AIMS TO INCREASE AWARENESS AROUND MENTAL ILLNESS THROUGH HELPING PEOPLE IDENTIFY MENTAL HEALTH ISSUES/ILLNESS AND ADDRESS MENTAL HEALTH CRISES IN THE COMMUNITY. THE TEAM IMPLEMENTED TWO MENTAL HEALTH FIRST AID TRAININGS ACROSS CENTRAL CHICAGOLAND (GOOD SAMARITAN'S EMS/PARAMEDIC STUDENTS AND AVONDALE RESTORATIVE JUSTICE COMMUNITY COURT. TWENTY-EIGHT INDIVIDUALS COMPLETED THE TRAINING AND RECEIVED THEIR CERTIFICATION IN MENTAL HEALTH FIRST AID IN 2022.3. WORKFORCE DEVELOPMENT. ADVOCATE WORKS WITH NON-TRADITIONAL COMMUNITY PARTNERS, SUCH AS SCHOOL DISTRICTS, EMPLOYMENT AGENCIES, COLLEGES AND UNIVERSITIES, AND OTHER PUBLIC AND PRIVATE BUSINESS LEADERS TO ADDRESS BOTH THE HIGH UNEMPLOYMENT RATES AND ECONOMIC DISPARITIES IN SOME CHICAGO NEIGHBORHOODS AS WELL AS TO CONTRIBUTE TO SOLVING THE CITY'S HEALTHCARE SECTOR TALENT SHORTAGE. ADVOCATE WORKFORCE INITIATIVE (AWI). THE ADVOCATE AURORA HEALTH, WORKFORCE DEVELOPMENT TEAM ORIGINATED FROM A GENEROUS GRANT FROM JPMORGAN CHASE IN 2015 VIA A GRANT ENTITLED THE "ADVOCATE WORKFORCE INITIATIVE" (AWI). AWI WAS CREATED TO ADDRESS HIGH-UNEMPLOYMENT RATES AND EMPLOYMENT DISPARITIES IN THE CITY OF CHICAGO'S MOST UNDERSERVED AREAS. SINCE THE GRANT COMPLETION IN 2020, AAH HAS CONTINUED THIS WORK BY ESTABLISHING A SYSTEMWIDE WORKFORCE DEVELOPMENT TEAM ACROSS WISCONSIN AND ILLINOIS. THIS TEAM HAS CREATED AND CONTINUES TO SCALE PROGRAMS AIMED TO CREATE EQUITABLE WORKPLACE PROGRAMS, MEETING THE TALENT NEEDS OF THE ORGANIZATION AND BUILDING SUSTAINABLE WORKFORCE DEVELOPMENT PROGRAMMING. THESE PROGRAMS INCLUDE, BUT AREN'T LIMITED TO:REGISTERED APPRENTICESHIP. LAUNCHED IN 2019, ADVOCATE HEALTH HAS CREATED SEVERAL APPRENTICESHIP MODELS THROUGH THE WISCONSIN DEPARTMENT OF WORKFORCE DEVELOPMENT (DWD) AND THE US DEPARTMENT OF LABOR (DOL) TO ADDRESS URGENT TALENT NEEDS. THESE PROGRAMS INCLUDE A FACILITIES MAINTENANCE AND CULINARY ARTS APPRENTICESHIP IN PARTNERSHIP WITH LOCAL COLLEGES. DIVERSE ABILITIES. SINCE 2017, AAH HAS CREATED A FOCUSED EFFORT TO SOURCE AND EMPLOY INDIVIDUALS WITH DISABILITIES WHILE CREATING A MORE INCLUSIVE HIRING PROCESS. TO DATE, ADVOCATE HEALTH HAS EMPLOYED 35 INDIVIDUALS THROUGH THE PROGRAM . TEAMMATE SUCCESS COACHING. LAUNCHED IN 2022, THIS EFFORT ADDRESSES SOCIAL DETERMINANTS TO RETENTION BY PROVIDING COMPLEX CASE MANAGEMENT AND PROVIDE WRAPAROUND SUPPORT TO SELECT NEW TEAM MEMBERS FROM THE MOST VULNERABLE TALENT POPULATIONS. THIS EFFORT LAUNCHED WITH TWO "TEAMMATE SUCCESS COACHES" IN SOUTH CHICAGOLAND AT CHRIST MEDICAL CENTER IN JUNE 2022 AND CENTRAL CHICAGOLAND AT ILLINOIS MASONIC MEDICAL CENTER IN JANUARY 2023. CORPORATE INTERNSHIPS. EACH SUMMER, AAH EMPLOYS 20+ CORPORATE INTERNS FROM AROUND THE COUNTRY TO INTRODUCE COLLEGE STUDENTS TO CAREERS IN HR, FINANCE, IT AND OTHER CORPORATE FUNCTIONS.COMMUNITY SCHOLARSHIP. STARTING IN 2021, THE AAH COMMUNITY SCHOLARSHIP PROGRAM AWARDS $5,000 SCHOLARSHIPS TO 10 COMMUNITY MEMBERS AND 10 DEPENDENTS OF AAH TEAM MEMBERS. IN 2022, AAH AWARDED TWENTY, $5,000 SCHOLARSHIPS FOR STUDENTS ACROSS ILLINOIS AND WISCONSIN THAT ARE PURSUING STEM-RELATED CAREERS.HISTORICALLY BLACK COLLEGES AND UNIVERSITY (HBCU). STARTING IN 2021, AAH PARTNERED WITH SEVERAL HBCUS ACROSS THE NATION TO PROVIDE SPONSORSHIPS, SCHOLARSHIPS, INTERNSHIPS, AND MENTORING FOR STUDENTS ENROLLED IN COLLEGE PROGRAMS. PARTNER SCHOOLS INCLUDE FLORIDA A&M, CENTRAL STATE UNIVERSITY AND SPELMAN COLLEGE.HERZING UPSKILLING PROGRAMS. STARTING IN 2021, ADVOCATE HEALTH DEVELOPED AND LAUNCHED TWO UPSKILLING PROGRAMS WITH HERZING UNIVERSITY 'STERILE PROCESSING TO SURGICAL TECHNOLOGIST AND 'MEDICAL ASSISTANT'. ADVOCATE HEALTH TEAM MEMBERS IN ENTRY-LEVEL ROLES CAN ENROLL IN REGULARLY SCHEDULED COHORTS AS THEY WORK THROUGH ONLINE EDUCATION AND ON-SITE SKILLS TRAINING. TO DATE, OVER 80 TEAM MEMBERS HAVE ENROLLED ACROSS ILLINOIS AND WISCONSIN WITH MANY MORE ON THE WAY.MAAPET (MEDICAL ASSISTANT ACCELERATED PATH TO EMPLOYMENT TRAINING PROGRAM). THE MAAPET PROGRAM WAS A PAID TRAINING PROGRAM IN PARTNERSHIP WITH THE CENTER FOR HEALTHCARE CAREERS OF SE WI (CHCSEW) AND MADE POSSIBLE BY A $500K GRANT THROUGH THE MEDICAL COLLEGE OF WISCONSIN'S ADVANCING A HEALTHIER WISCONSIN ENDOWMENT (AHW). THIS PROGRAM, IN COLLABORATION WITH THE REGION'S FOUR LARGEST HEALTHCARE SYSTEMS, TRAINED OVER 100 NEW MEDICAL ASSISTANTS FROM UNDERSERVED COMMUNITIES BY THE END OF 2022. OVER THE COURSE OF THIS PAID, 14-WEEK, ACCELERATED TRAINING PROGRAM, EMPLOYEES OF ALL FOUR SYSTEMS TRAINED TO BECOME MAS AND SIT FOR A NATIONAL MA CERTIFICATION UPON COMPLETION . WORKFORCE DEVELOPMENT . IN 2021, ADVOCATE WORKFORCE INITIATIVE AND CENTRAL CHICAGOLAND COMMUNITY HEALTH PARTNERED WITH COMMUNITY COLLEGES AND ORGANIZATIONS TO PROVIDE PHLEBOTOMY AND MEDICAL ASSISTANT EXTERNSHIPS FOR INDIVIDUALS LIVING IN UNDERSERVED, DISENFRANCHISED COMMUNITIES. THE INITIATIVE PROVIDED HANDS-ON AND WORKFORCE DEVELOPMENT TRAINING TO 11 INDIVIDUALS FROM COMMUNITIES WITH HIGH RATES OF UNEMPLOYMENT. IN ADDITION, ADVOCATE LUTHERAN GENERAL HOSPITAL PARTNERS CLOSELY WITH MAINE EAST HIGH SCHOOL AND THEIR JUMPSTART PROGRAM. JUMPSTART IS A YOUTH EMPLOYMENT PROGRAM, FEDERALLY FUNDED THROUGH THE WORKFORCE INNOVATION AND OPPORTUNITY ACT BASED OUT OF MAIN TOWNSHIP HIGH SCHOOL DISTRICT 207. THE PROGRAM SERVES IN AND OUT OF SCHOOL YOUTH WITH EMPLOYMENT AND EDUCATION BARRIERS THROUGHOUT NORTHERN COOK COUNTY WITH AN EMPHASIS ON THE DES PLAINES, PARK RIDGES, NILES, MORTON GROVE AND GLENVIEW NEIGHBORHOODS. ADVOCATE LUTHERAN OFFERS WORKING OPPORTUNITIES IN VARIOUS ENTRY-LEVEL DEPARTMENT, SUCH AS FOOD AND NUTRITION SERVICES AND ENVIRONMENTAL SERVICES. THE COMMUNITY HEALTH DEPARTMENT OVERSEES THE ORIENTATION PROCESS AND WORKS WITH THE JUMPSTART TEAM AND HOSPITAL STAFF TO ENSURE THAT THE STUDENTS ARE EQUIPPED WITH THE PROPER TOOLS TO START THEIR PAID INTERNSHIP. FROM 2021 TO 2022, A TOTAL OF 27 JUMPSTART YOUTH HAS HAD WORK EXPERIENCES AT ADVOCATE LUTHERAN GENERAL AND SEVEN OF THOSE YOUTH HAVE BEEN HIRED INTO PERMANENT POSITIONS.SOUTH SHORE INTERNATIONAL COLLEGE PREPARATORY. SEVERAL ADVOCATE HOSPITALS PROVIDE EXPERIENTIAL LEARNING TO AREA HIGH SCHOOL STUDENTS THAT ARE ON AN EDUCATIONAL TRACK TO A HEALTH CARE CAREER. THESE STUDENTS RECEIVE CREDIT TOWARDS GRADUATION IN ADDITION TO HELPING THEM DISCERN IN WHICH HEALTH CARE AREA THEY WISH TO SPECIALIZE. TO GIVE CHICAGO SOUTHSIDE STUDENTS BETTER JOB OPPORTUNITIES, ADVOCATE TRINITY WORKS WITH STUDENTS FROM CHICAGO VOCATIONAL CAREER ACADEMY, AND SOUTH SHORE AND JULIAN HIGH SCHOOLS. THESE STUDENTS ARE ROTATED IN HOSPITAL UNITS TO LEARN MARKETABLE JOB SKILLS.
PART VI, 6. AFFILIATED HEALTH CARE SYSTEM4. COMMUNITY SAFETY: ADVOCATE ALSO WORKS WITH COMMUNITY PARTNERS TO ADDRESS COMMUNITY SAFETY/VIOLENCEANOTHER COMMUNITY STRATEGY FOCUS AREA. SOME EXAMPLES ARE PROVIDED BELOW.CENTER FOR FAITH AND COMMUNITY HEALTH TRANSFORMATION. THE CENTER FOR FAITH AND COMMUNITY HEALTH TRANSFORMATION WORKS TO ADVANCE HEALTH EQUITY BY PARTNERING WITH FAITH-BASED AND COMMUNITY ORGANIZATIONS TO BUILD COMMUNITY, NURTURE LEADERS AND CONNECT THE UNIQUE SPIRIT POWER OF FAITH COMMUNITIES TO PROMOTE SOCIAL JUSTICE AND ABUNDANT LIFE FOR INDIVIDUALS, FAMILIES AND COMMUNITIES. THE CENTER IS A PARTNERSHIP BETWEEN ADVOCATE AND THE OFFICE FOR COMMUNITY ENGAGEMENT AND NEIGHBORHOOD HEALTH PARTNERSHIPS AT THE UNIVERSITY OF ILLINOIS AT CHICAGO. CURRENTLY, THE CENTER IS CONVENING A TRAUMA INFORMED CONGREGATIONS NETWORK TO SUPPORT THE CAPACITY OF FAITH COMMUNITIES TO PREVENT TRAUMA AND TO BE PLACES OF HEALING FOR THOSE WHO HAVE EXPERIENCED ADVERSITY IN CHILDHOOD OR THROUGHOUT THEIR LIVES.ILLINOIS ADVOCATE HEALTH FORENSIC NURSE EXAMINERS (FNES). FNES, SPECIALLY TRAINED AND STATE CERTIFIED NURSE EXAMINERS LOCATED IN ADVOCATE HEALTH HOSPITALS IN BOTH ILLINOIS AND WISCONSIN, PROVIDE COMPASSIONATE, TRAUMA-INFORMED CARE TO SEXUAL ASSAULT AND DOMESTIC VIOLENCE SURVIVORS SEEKING CARE IN THE EMERGENCY DEPARTMENT. THESE HIGHLY TRAINED PRACTITIONERS PERFORM FORENSIC EXAMS PERTAINING TO SEXUAL ASSAULT/ABUSE, ADDRESS SEXUALLY TRANSMITTED INFECTION CONCERNS, COLLECT FORENSIC EVIDENCE, TESTIFY IN COURT AS EXPERT WITNESSES, AND PROVIDE ACCESS TO ADVOCACY AND AFTER-CARE RESOURCESSUPPORTING SURVIVORS THROUGH THE ENTIRE PROCESS. IN ILLINOIS, WE HAVE BEEN AGGRESSIVELY TRAINING AND RECRUITING SEXUAL ASSAULT NURSE EXAMINERS TO MEET THE REGULATORY MANDATE THAT GOES INTO EFFECT JANUARY 2023. IN 2022 WE TRAINED 11 RN TO SUPPORT COVERAGE AT ALL ADVOCATE HOSPITALS IN ILLINOIS. WE HAVE DEVELOPED A REGIONAL RESPONSE TO SEXUAL ASSAULT VICTIMS THAT WILL PROVIDE 24/7 COVERAGE WITHIN 90 MINUTES OF THE PATIENT'S ARRIVAL AT OUR FACILITIES. IN 2022 ACROSS OUR ILLINOIS MARKET, 294 ADULTS AND 234 CHILDREN <13 YEARS WERE TREATED FOR SEXUAL ASSAULT, WITH AN ADDITIONAL 91 CHILDREN REFERRED FOR FURTHER EVALUATION TO ADVOCATE CHILDREN'S HOSPITAL CHILD PROTECTION TEAM SEXUAL ABUSE CLINIC. SOUTHLAND RISE. SOUTHLAND RISE (RESILIENCE INITIATIVE TO STRENGTHEN AND EMPOWER) IS A COLLABORATIVE UNITING THE TRAUMA RECOVERY CENTER OF ADVOCATE CHRIST MEDICAL CENTER IN OAK LAWN AND THE VIOLENCE RECOVERY PROGRAM OF HYDE PARK-BASED UCHICAGO MEDICINE (UCM). INSPIRED BY U.S. SENATOR DICK DURBIN'S HEAL (HOSPITAL ENGAGEMENT, ACTION, LEADERSHIP) INITIATIVE, THE TWO HOSPITALS WORK TOGETHER AND ALONGSIDE COMMUNITY PARTNERS TO IMPROVE LONG-TERM TRAUMA RECOVERY CARE AND MITIGATE VIOLENCE-RELATED INJURY IN SOUTHLAND AND ON THE SOUTH SIDE OF CHICAGO. THROUGH ITS ACTIVE LEADERSHIP ROLE IN SOUTHLAND RISE, ADVOCATE HEALTH CHAMPIONS EFFORTS THAT INCREASE ACCESS TO QUALITY CARE FOR SURVIVORS OF INTENTIONAL VIOLENCE AND STRIVES TO BUILD STRONGER, MORE RESILIENT COMMUNITIES. ADVOCATE HEALTH'S LEADERSHIP ROLE IN SOUTHLAND RISE HAD A PROFOUNDLY POSITIVE IMPACT ON SOUTH SIDE COMMUNITIES IN 2022.THROUGH THE RAPID CYCLE VIOLENCE PREVENTION & COMMUNITY RESILIENCY GRANT PROGRAM, 18 SOUTH SIDE COMMUNITY GROUPS RECEIVED $150,000 TO STRENGTHEN THEIR GRASSROOTS WORK SUPPORTING YOUTH AND KEEPING THEM SAFE DURING THE SUMMER IN 2022. THE COLLABORATIVE HAS BEEN ABLE TO EXPAND THE COMMUNITY VIOLENCE PREVENTION INITIATIVE BY HIRING TWO STAFF MEMBERS IN 2022. ADDITIONAL FUNDS WERE RECEIVED TO IMPROVE THE DELIVERY OF TRAUMA-INFORMED CARE AND SUPPORT AWARENESS EFFORTS SUCH AS THE STRIDES FOR PEACE, RACE AGAINST GUN VIOLENCE EVENT. SOUTHLAND RISE HOSPITAL PARTNERS HAVE AGAIN RENEWED THEIR COMMITMENT TO FUND THE RAPID-CYCLE VIOLENCE PREVENTION & COMMUNITY RESILIENCY GRANT PROGRAM, WITH THE ADDED GOAL OF STRENGTHENING COLLABORATION BETWEEN GRANT RECEIVING ORGANIZATIONS. ALSO, A PRIORITY IS CONTINUING TO STRENGTHEN COMMUNITY PARTNERSHIPS, FOSTERING DEEPER COLLABORATION WITH KEY VIOLENCE PREVENTION STAKEHOLDERS, AND ENCOURAGING CONTINUED COLLABORATION BETWEEN THE TWO HOSPITALS THROUGH THE SOUTHLAND RISE STEERING COMMITTEE.ADVOCATE TRAUMA RECOVERY CENTER (TRC). THE TRC IS A HEALTH CARE-BASED VIOLENCE INTERVENTION PROGRAM THAT PROVIDES SOCIAL AND BEHAVIORAL HEALTH SERVICES, INDIVIDUAL AND GROUP THERAPEUTIC SERVICES, AND PSYCHIATRIC CONSULTATION TO SURVIVORS OF INTENTIONAL CRIME AND/OR TRAUMA. THE PURPOSE IS TO AID INDIVIDUALS WHO HAVE EXPERIENCED TRAUMA IN REBUILDING, RESTORING AND STRENGTHENING THEIR SENSE OF SAFETY BY ENDING THE CYCLE OF VIOLENCE. THE TRC PROVIDES ACCESS TO TRAUMA-INFORMED CARE BY ACKNOWLEDGING HOW PAST AND PRESENT TRAUMATIC EXPERIENCES AND STRESS MAY IMPACT THE INDIVIDUALS AND FAMILIES SERVEDRESPONDING TO THE UNIQUE NEEDS OF EACH SURVIVOR AND THEIR FAMILY. THE TRC PROGRAM BEGAN AT ADVOCATE CHRIST MEDICAL CENTER IN 2019. IN LATE 2022, THE TRC PROGRAM EXPANDED ITS SERVICES TO ADVOCATE CONDELL MEDICAL CENTER AND ADVOCATE ILLINOIS MASONIC THROUGH SUPPORT FROM THE ILLINOIS CRIMINAL JUSTICE INFORMATION AUTHORITY. THE TRC SERVICES HAVE EXPANDED FROM COOK COUNTY, WILL COUNTY, KANKAKEE COUNTY AND DUPAGE COUNTY TO ALSO SERVE LAKE COUNTY, KANE COUNTY, KENDALL COUNTY, MCHENRY COUNTY. THE PROGRAM NOW HAS TRAUMA OUTREACH WORKERS THAT ARE AVAILABLE 24 HOURS A DAY, 7 DAYS A WEEK. IN 2022, A TOTAL OF 1,556 PEOPLE WERE SERVED BY THE TRC PROGRAM. THE TOP THREE GROUPS SERVICED, BY RACE AND ETHNICITY, WERE BLACK OR AFRICAN AMERICAN (56.8%), HISPANIC OR LATINO (21.2%) AND WHITE NON-LATINO OR CAUCASIAN (17.7%).VIOLENCE REDUCTION. THE TRAUMA RECOVERY CENTER HAS PARTNERED WITH COMMUNITIES PARTNERING 4 PEACE (CP4P) TO BETTER SERVE OUR COMMUNITIES THAT ARE IMPACTED BY GUN VIOLENCE. CP4P IS PART OF METROPOLITAN FAMILY SERVICES; THEY WORK WITH STREET OUTREACH ORGANIZATIONS THAT COVER 28 COMMUNITIES IN THE CHICAGOLAND AREA. TRC TEAMMATES ARE TRAINED BY CP4P TO IDENTIFY HIGH RISK FOR RETALIATION SITUATIONS AND THEN TO PARTNER WITH THE STREET OUTREACH ORGANIZATION IN THE NEIGHBORHOOD IN WHICH THE INCIDENT OCCURRED. STREET OUTREACH WILL WORK WITHIN THE NEIGHBORHOOD TO PREVENT RETALIATION AND PARTNER WITH MEMBERS OF THE TRC TO HELP THE PATIENT IN THEIR HEALING PROCESS AND DO OUR BEST TO ENSURE SAFETY UPON DISCHARGE. TRAUMA-INFORMED CARE (TIC) TRAINING. THROUGH STAFF MEETINGS, STUDENT EDUCATION, AND SPECIALIZED TRAINING AS REQUESTED BY ADVOCATE HEALTH TEAMS, THE TRAUMA INFORMED CARE (TIC) MANAGER LOCATED AT AURORA SINAI MEDICAL CENTER IN MILWAUKEE PROVIDED A FUNDAMENTAL OVERVIEW OF TRAUMA-INFORMED CARE TO TEAMMATES IN VARIOUS ROLES ACROSS THE SYSTEM. THE TRAINING PROVIDES AN OVERVIEW OF THE FOUR RS OF TRAUMA-INFORMED CARE (REALIZE, RECOGNIZE, RESPOND, AND RESIST RE-TRAUMATIZATION) AND HISTORICAL TRAUMA AS A FACTOR IMPACTING A PERSON'S LIFETIME WELLNESS. THIS EXPANDED THE WORK WITH INITIATIVES TO ASSURE TEAM MEMBER AND PATIENT SAFETY BY INTEGRATING TRAUMA-INFORMED CARE PRACTICES TAILORED TO SERVICE AREAS AND EXPANDED IMPLEMENTATION OF THE FOUR R'S OF TRAUMA-INFORMED CARE. OUR TIC MANAGER TRAINED 1,100 AURORA TEAMMATES IN 2022. 5. AFFORDABLE HOUSING: ACCORDING TO HEALTHY PEOPLE 2020, DATA INDICATES THAT POOR-QUALITY HOUSING IS ASSOCIATED WITH VARIOUS NEGATIVE HEALTH OUTCOMES, INCLUDING CHRONIC DISEASE AND INJURY, AND POOR MENTAL HEALTH. IT IS FOR THIS REASON THAT ADVOCATE HAS VOWED AS A FIFTH COMMUNITY STRATEGY FOCUS AREA TO DECREASE THE NUMBER OF ED PATIENTS WHO ARE SCREENED POSITIVE FOR HOMELESSNESS BY 5% BY 2025. WHILE WORK TOWARDS THIS GOAL IS STILL EMERGING, SEVERAL ADVOCATE HOSPITALS ARE TAKING STEPS TO PROVIDE PATIENTS WITH A HEALTHY AND SAFE ENVIRONMENT IN WHICH TO HEAL. COOK COUNTY FLEXIBLE HOUSING POOL. THE COOK COUNTY FLEXIBLE HOUSING POOL IS A COLLABORATIVE PARTNERSHIP AMONG HEALTH SYSTEMS, MANAGED CARE ORGANIZATIONS, COOK COUNTY HEALTH AND HOSPITAL SYSTEM, CITY OF CHICAGO DEPARTMENT OF PUBLIC HEALTH AND THE CENTER FOR HEALTH AND HOUSING. THE PROGRAM ADDRESSES HOUSING INSECURITY AMONG HOMELESS PATIENTS BY PLACING INDIVIDUALS IN PERMANENT SUPPORTIVE HOUSING WHILE ALSO PROVIDING WRAP AROUND CARE, CASE MANAGEMENT AND BEHAVIORAL HEALTH SERVICES. THE MAIN GOAL OF THE PROGRAM IS TO ADDRESS HOMELESSNESS, ONE OF THE MOST SIGNIFICANT ROOT CAUSES OF POOR HEALTH. WHILE THIS PROGRAM SERVES A SMALL NUMBER OF PEOPLE, THE IMPACT IS DEEP AND LIFELONG. IN 2022, THE ADVOCATE HEALTH TEAMS IN COOK COUNTY PLACED 10 INDIVIDUALS AND FAMILIES INTO PERMANENT SUPPORTIVE HOUSING.
PART VI, 6. AFFILIATED HEALTH CARE SYSTEMTHE CAROL STREET APARTMENTS. THE ADVOCATE LUTHERAN GENERAL CARE MANAGEMENT DEPARTMENT PLANS SAFE DISCHARGES FOR PATIENTS RECOVERING FROM HOSPITALIZATION AND WHO HAVE NO HOUSING RESOURCES. THE DEPARTMENT MANAGES THE ADVOCATE LUTHERAN CAROL STREET APARTMENTS. LOCATED ON THE HOSPITAL'S CAMPUS, THESE APARTMENTS ARE AVAILABLE FOR RENT ON A DAILY, WEEKLY OR MONTHLY BASIS. THE APARTMENTS ARE USED BY PATIENTS THAT ARE ACTIVELY GETTING SERVICES ON CAMPUS, I.E., CHEMOTHERAPY, RADIATION, ETC., AND ARE ALSO AVAILABLE FOR FAMILY MEMBERS OF INPATIENTS THAT DO NOT LIVE NEAR THE HOSPITAL. FINANCIAL ASSISTANCE IS GRANTED TO PATIENTS AND FAMILIES THAT DEMONSTRATE FINANCIAL HARDSHIP. IN 2022, THE PROGRAM SERVED 11INDIVIDUALS. 6. FOOD SECURITY. ANOTHER KEY ADVOCATE COMMUNITY STRATEGY FOCUS AREA IS FOOD SECURITY. ACCESS TO FRESH, AFFORDABLE FOOD IS A KEY INGREDIENT IN THE RECIPE TO ADDRESS FOOD INSECURITYAND IN KEEPING THE COMMUNITY HEALTHY. ADVOCATE IS INVOLVED WITH MULTIPLE NON-TRADITIONAL COMMUNITY PARTNERS IN LOCAL AND SUSTAINABLE FOOD INITIATIVES TO ADDRESS FOOD INSECURITY. RX MOBILE PANTRY. IN 2019, ADVOCATE CONDELL LAUNCHED THE RX MOBILE FOOD PANTRY TO SERVE FOOD INSECURE (FI) RESIDENTS OF THE ROUND LAKE AREA. THE PROGRAM GREW FROM THE MEDICAL CENTER'S COMMUNITY HEALTH EFFORTS IN SCREENING AND REFERRAL FOR FOOD INSECURITY. IN DECEMBER OF 2021, ADVOCATE CONDELL'S RX MOBILE FOOD PANTRY PROGRAM TRANSITIONED INTO AN RX MARKET, WHICH WILL BE MANAGED BY CATHOLIC CHARITIES. THE PERMANENT LOCATION WILL CONTINUE ADDRESSING THE NEEDS OF THE COMMUNITY WHILE OFFERING THE SAME VARIETY OF HEALTHY FOODS DURING SEVERAL DAYS AND AT VARIOUS HOURS OF EACH WEEK. THE PROGRAM EVOLVED INTO A SUSTAINABLE MODEL THAT HAS SIGNIFICANTLY INCREASED ACCESS TO HEALTHY FOODS IN THAT AREA. IN 2022, ADVOCATE CONDELL LAUNCHED A SECOND RX MOBILE PROGRAM IN LAKE COUNTY, FOCUSING ON LAKE VILLA. IN 2022, THE PROGRAM SERVED 8,478 PEOPLE AND DISTRIBUTED OVER 100,000 POUNDS OF MEAT, DAIRY AND PRODUCE. HOSPITAL-BASED FOOD PANTRY PROGRAMS IN CENTRAL CHICAGOLAND. ADVOCATE ILLINOIS MASONIC MEDICAL CENTER HOSPITAL-BASED FOOD PANTRY PROGRAM SCREENS PATIENTS FOR FOOD INSECURITY. PATIENTS WHO SCREEN POSITIVE FOR FOOD INSECURITY ARE ELIGIBLE FOR A NON-PERISHABLE FOOD BAG AND FRESH PRODUCE BOX ONCE A MONTH. IN ADDITION, THE MEDICAL CENTER IMPLEMENTS POP UP FARMERS MARKETS IN LOW-INCOME AND VULNERABLE COMMUNITIES WITH HIGH FOOD INSECURITY RATES. IN 2022. THE PROGRAM SERVED 47 NEW PATIENTS AND 21 REPEAT PATIENTS, A TOTAL OF 68 PATIENTS. SIMILARLY, ADVOCATE LUTHERAN GENERAL HOSPITAL HAS AN ESTABLISHED HOSPITAL-BASED PANTRY PROGRAM THAT SERVED 98 PATIENT AND 3 REPEAT PATIENTS IN 2022. ADVOCATE GOOD SAMARITAN HOSPITAL SERVED 19 NEW PATIENTS AND 4 REPEAT PATIENTS IN 2022. THE CENTRAL CHICAGOLAND HOSPITAL-BASED PANTRY PROGRAM CONTINUE TO GROW AND WILL CONTINUE TO EVOLVE TO ADDRESS THE GROWING NEEDS OF THE COMMUNITY AND THE PATIENTS. HEALTHY LIVING FOOD FARMACY. ADVOCATE LAUNCHED AN INNOVATIVE PILOT PROGRAMHEALTHY LIVING FOOD FARMACYAT ADVOCATE TRINITY HOSPITAL TO MAKE A POSITIVE IMPACT ON PATIENTS FACING SOCIO-ECONOMIC BARRIERS TO BETTER HEALTH. PATIENTS ARE INVITED TO ATTEND THE BI-WEEKLY EVENTS FOR A FREE DOSE OF HEALTHY FOODMAKING THEIR SELECTIONS FROM TABLES OF ASSORTED FRESH PRODUCE AND LOW-SODIUM, SHELF-STABLE PROTEINS. THE PROGRAM IS FOCUSED ON IMPACTING THE HEALTH OF THE COMMUNITY BY PROVIDING ACCESS TO HEALTHY FOOD OPTIONS FOR FOOD INSECURE PATIENTS. THE HEALTHY LIVING FOOD FARMACY IS SUPPORTED BY A PARTNERSHIP WITH THE GREATER CHICAGO FOOD DEPOSITORY, ADVOCATE TRINITY'S LEADERSHIP, VOLUNTEERS AND COMMUNITY HEALTH DEPARTMENT. IN 2022, THE FOOD FARMACY DISTRIBUTE 48,917 POUNDS OF FOOD AND SERVED 2,065 PATIENTS.SHERMAN NATURAL PRAIRIE AND COMMUNITY GARDEN (SNPCG). ADVOCATE SHERMAN HOSPITAL IS ADDRESSING FOOD INSECURITY BY DONATING PRODUCE HARVESTED FROM THE MASTER GARDENERS (COLLABORATION WITH UNIVERSITY OF ILLINOIS EXTENSION OFFICE) AND EXCESS PRODUCE FROM COMMUNITY GARDEN BEDS THROUGH THE ON-CAMPUS COMMUNITY GARDEN. IN 2022, 315 POUNDS OF PRODUCE WAS HARVESTED AND DONATED TO THE ELGIN COMMUNITY COLLEGE SPARTAN STUDENT FOOD PANTRY AND FOOD FOR GREAT ELGIN FOOD PANTRY. OVERALL, ADVOCATE FUNDS MANY SYSTEM LEVEL PROGRAMS AND ACTIVITIES FOCUSED ON POSITIVELY AFFECTING THE HEALTH STATUS AND QUALITY OF LIFE OF INDIVIDUALS AND POPULATIONS IN COMMUNITIES SERVED BY ADVOCATE. IN ADDITION TO THE MANY PROGRAM EXAMPLES PROVIDED PREVIOUSLY, ANOTHER SYSTEM-LEVEL FUNDED PROGRAM IS PROVIDED BELOW.FAITH AND HEALTH PARTNERSHIPS. ADVOCATE AURORA HEALTH'S FAITH AND HEALTH PARTNERSHIPS PROGRAM WORKS SIDE BY SIDE WITH FAITH COMMUNITIES TO PROMOTE HEALTH EQUITY BY MOBILIZING THE TRANSFORMING POWER OF SOCIAL CONNECTEDNESS AND SPIRITUAL WISDOM. THE PROGRAM SUPPORTS A NEIGHBORHOOD MODEL THAT EMBEDS AAH TEAM MEMBERS IN SPECIFIC NEIGHBORHOODS IDENTIFIED AS PRIORITIES THROUGH THE AAH COMMUNITY STRATEGY. TEAM MEMBERS WORK WITH A COLLABORATIVE NETWORK OF FAITH COMMUNITIES AND COMMUNITY-BASED ORGANIZATIONS TO ADDRESS HEALTH ISSUES THAT HAVE BEEN IDENTIFIED BY COMMUNITY MEMBERS AS ISSUES THAT ARE IMPORTANT TO THEM. IN ILLINOIS WE HAVE NEIGHBORHOOD NETWORK PROGRAMS IN SOUTH CHICAGO AND AVONDALE AND ARE FOCUSED EFFORTS ON REDUCING STRESS AND INCREASING SOCIAL CONNECTEDNESS, MANAGING CHRONIC DISEASE, AND SUPPORTING FOOD ACCESS. FAITH AND HEALTH PARTNERSHIPS ALSO WORKS ACROSS OUR FOOTPRINT ON BUILDING CAPACITY OF FAITH LEADERS AND CONGREGATIONS TO PROMOTE THE WHOLISTIC HEALTH OF THEIR MEMBERS AND THE COMMUNITIES THEY SERVE, PARTICULARLY AROUND MENTAL HEALTH. AAH ALSO SUPPORTS A FAITH COMMUNITY NURSE NETWORK OF 27 NURSES THAT SERVE CONGREGATIONS ACROSS THE CHICAGOLAND REGION.AT BOTH THE SYSTEM AND SITE LEVELS, ADVOCATE IS WORKING TO EXAMINE AND ADDRESS THE ROOT CAUSES OF HEALTH INEQUITIES IN OUR COMMUNITIES. TO SUPPORT THE ADVOCATE HOSPITALS IN CONDUCTING CHNA'S, ADVOCATE PURCHASED ACCESS TO METOPIO, A CHNA DATA TOOL. METOPIO IS A SOFTWARE AND SERVICES COMPANY THAT IS GROUNDED IN THE PHILOSOPHY THAT COMMUNITIES ARE CONNECTED THROUGH PLACES AND PEOPLE. METOPIO'S TOOLS AND VISUALIZATIONS USE DATA TO REVEAL VALUABLE, INTERCONNECTED FACTORS THAT INFLUENCE HEALTH OUTCOMES IN DIFFERENT LOCATIONS. METOPIO OFFERS A DATA, TAILORED TO SUPPORT ALL ADVOCATE AURORA HEALTH HOSPITALS WITH IDENTIFYING HEALTH INEQUITIES IN COMMUNITIES. METOPIO USES THE MOST CURRENT DATA SOURCES AND CREATES TOOLS AND INDICES THAT FOCUS ON THE COMMUNITIES WITHIN THE AAH SERVICES AREAS. THE DATA CAN BE USED TO FOCUS ON SPECIFIC REGIONS, COMMUNITIES, AND HOSPITAL SERVICES AREAS. BELOW IS A DESCRIPTION OF TWO IMPORTANT INDICES FOUND IN METOPIO. HARDSHIP INDEX DESCRIPTION. THE HARDSHIP INDEX WAS ORIGINALLY DEVELOPED BY RICHARD P. NATHAN AND CHARLES F. ADAMS, JR. IN 1976 TO COMPARE SOCIOECONOMIC CONDITIONS BETWEEN COMMUNITIES. IT IS HIGHLY CORRELATED WITH OTHER MEASURES OF ECONOMIC HARDSHIP, SUCH AS LABOR FORCE STATISTICS, AND WITH POOR HEALTH OUTCOMES. THE INDEX COMBINES THE FOLLOWING TOPICS INTO A SINGLE COMPOSITE VALUE ON A SCALE OF 0-100: - CROWDED HOUSING (MORE THAN ONE PERSON PER ROOM) - POVERTY RATE FOR HOUSEHOLDS - UNEMPLOYMENT RATE - ADULTS WITH A HIGH SCHOOL DEGREE OR EQUIVALENT - AGE DEPENDENCY RATIO (% OF RESIDENTS WHO ARE <18 OR >65 YEARS OLD, COMPARED TO THOSE OF WORKING AGE) - PER-CAPITA INCOME HIGHER VALUES INDICATE GREATER HARDSHIP AND CORRELATE HIGHER WITH POOR HEALTH OUTCOMES. THE INDEX DOES NOT PRESERVE THE RATIO BETWEEN TWO PLACES, SO IF ONE PLACE HAS TWICE THE HARDSHIP INDEX OF ANOTHER, WE CANNOT SAY THAT IT EXPERIENCES "TWICE AS MUCH HARDSHIP" AS ANOTHER PLACE. INSTEAD, COMPARE DIFFERENT PLACES USING THE CONSTITUENT TOPICS. SOCIAL VULNERABILITY INDEX. THE SOCIAL VULNERABILITY INDEX (SVI) WAS DEVELOPED BY THE CENTER FOR DISEASE CONTROL AND PREVENTION (CDC) TO HELP PUBLIC HEALTH OFFICIALS AND EMERGENCY RESPONSE PLANNERS IDENTIFY AND MAP THE COMMUNITIES THAT WILL MOST LIKELY NEED SUPPORT BEFORE, DURING, AND AFTER A HAZARDOUS EVENT, SUCH AS A NATURAL DISASTER, DISEASE OUTBREAK, OR CHEMICAL SPILL. SVI INDICATES RELATIVE VULNERABILITY BY RANKING PLACES ON 15 SOCIAL FACTORS THAT CAN BE DIVIDED INTO 4 CATEGORIES: - SOCIOECONOMIC - HOUSEHOLD COMPOSITION & DISABILITY - MINORITY STATUS & LANGUAGE - HOUSING TYPE & TRANSPORTATION THE ORIGINAL SCORE IS ON A SCALE FROM 0-1, BUT IT IS MULTIPLIED BY 100 FOR READABILITY ON METOPIO. A HIGHER SCORE REPRESENTS A COMMUNITY MORE VULNERABLE TO A HAZARDOUS EVENT.
PART VI, 6. AFFILIATED HEALTH CARE SYSTEMADVOCATE CONTINUES TO WORK LOCALLY AND NATIONALLY WITH MANY PROMINENT COMMUNITY PARTNERS TO ADDRESS SOCIAL DETERMINANTS OF HEALTH. EXAMPLES OF THESE EFFORTS INCLUDE THE FOLLOWING. HEALTH CARE ANCHOR NETWORK (HAN). AAH IS A FOUNDING MEMBER OF THE HEALTHCARE ANCHOR NETWORK WHICH HAS EXPANDED TO INCLUDE 70 OTHER AREA HEALTH SYSTEM AND HOSPITAL PARTNERS. AAH HAS SIGNIFICANT ECONOMIC AND HUMAN RESOURCES ACROSS ITS SERVICE AREA AS THE LARGEST EMPLOYER IN THE MILWAUKEE AREA AND THE FOURTH LARGEST IN CHICAGO. TO LEVERAGE THESE RESOURCES, IN 2019, AAH ANNOUNCED A COMMITMENT TO INVEST $50 MILLION TO HELP ADDRESS THE ECONOMIC, RACIAL, AND ENVIRONMENTAL DISPARITIES THAT IMPACT COMMUNITY HEALTH OUTCOMES AND DECREASE HEALTH INEQUITY. ADDITIONALLY, AAH COMMITTED TO DRIVING COMMUNITY HEALTH AND WELL-BEING THROUGH ITS INCLUSIVE, LOCAL HIRING AND LOCAL PURCHASING STRATEGIES AND INITIATIVES.ADVOCATE AURORA $50M INVESTMENT PLEDGE. AAH IS AMONG THE FIRST HEALTH SYSTEMS IN THE COUNTRY TO MAKE A SIGNIFICANT COMMITMENT TO INVESTING IN TARGETED COMMUNITY DEVELOPMENT. THE ANCHOR STRATEGY INVESTMENTS ARE TARGETED TO ENHANCE CRITICAL SERVICES SUCH AS AFFORDABLE OR SUPPORTIVE HOUSING AND FOOD ACCESS IN COMMUNITIES THAT LEAD TO IMPROVED HEALTH AND DEMONSTRATED DOWNSTREAM BENEFITS TO OUR PATIENTS AND THE COMMUNITY. INITIALLY, THE INVESTMENT WORK WAS DONE IN PARTNERSHIP WITH COMMUNITY DEVELOPMENT FINANCING INSTITUTIONS (CDFIS) TO FUND PROJECTS. ALTHOUGH NOT A PROFIT MAXIMIZING ACTIVITY, THIS INVESTMENT COMMITMENT WILL RESULT IN A RETURN OF THE PRINCIPAL TO THE ORGANIZATION WITH INTEREST TO ENSURE A SUSTAINABLE INVESTMENT CAPACITY FOR REINVESTMENT OVER TIME. A COMMUNITY INVESTMENT STRATEGY TEAM WAS FORMED TO PLAN AND GUIDE THE WORKCONSISTING OF FINANCE AND TREASURY, COMMUNITY HEALTH AND OPERATIONS TEAMS TO DEVELOP THE SCOPE AND PROCESS. THE TEAM IS RESPONSIBLE FOR DEPLOYING $50 MILLION IN LOANS TO CDFIS ACROSS OUR FOOTPRINT BY THE END OF 2025. TO DATE, THE TEAM HAS COMPLETED 4 CONTRACTS WITH LOCAL CDFIS: $25M WITH LOCAL INITIATIVE SUPPORT CORPORATION (LISC) $5M WITH IFF $2.5M WITH CHICAGO COMMUNITY LOAN FUND (CCLF) $1M WITH WISCONSIN WOMEN'S BUSINESS INITIATIVE CORPORATION (WWBIC)ADVOCATE AURORA PURCHASING COMMITMENT. THIS ANCHOR STRATEGY BUILDS ON THE EXISTING DIVERSITY, EQUITY, AND INCLUSION PURCHASING STRATEGIES AND ESTABLISHES TARGETS RELATED TO INCREASING THE NUMBER OF LOCAL AND DIVERSE VENDORS WITH THE POSSIBILITY OF THE INVESTMENT STRATEGY ALSO FUNDING STRATEGIC BUSINESSES SUCH AS URBAN AGRICULTURE VENTURES TO QUALIFY MORE BUSINESS AS VENDORS. ON JUNE 9, 2021, AAH ANNOUNCED SIGNING THE "IMPACT PURCHASING COMMITMENT"DESIGNED BY THE HEALTH ANCHOR NETWORK (HAN)TO BUILD HEALTHY, EQUITABLE, AND CLIMATE-RESILIENT LOCAL ECONOMIES THROUGH SPENDING. THE COMMITMENT INCLUDES INCREASING SPENDING WITH MINORITY AND WOMEN OWNED BUSINESS ENTERPRISES (MWBES) AS WELL AS LOCAL AND EMPLOYEE-OWNED, COOPERATIVELY OWNED AND/OR NONPROFIT-OWNED ENTERPRISES, BY AT LEAST $1 BILLION OVER FIVE YEARS. AAH WILL ALSO WORK WITH AT LEAST TWO OF THEIR LARGE EXISTING VENDORS TO CREATE HIRING PIPELINES IN THE DISINVESTED COMMUNITIES THAT IT SERVES AND WILL COMMIT TO ADOPTING SUSTAINABLE PROCUREMENT GOALS. THERE ARE SEVERAL ADDITIONAL EXAMPLES OF EFFORTS TO STRENGTHEN CORPORATE OPTIONS THROUGH HUMAN RESOURCE, SUPPLY CHAIN, ENVIRONMENTAL STEWARDSHIP AND INVESTMENT POLICIES THAT IMPACT THE SOCIAL DETERMINANTS OF HEALTH IN THE COMMUNITIES SERVED BY ADVOCATE.ADVOCATE IS ALSO STRENGTHENING CORPORATE OPTIONS THROUGH HUMAN RESOURCE, SUPPLY CHAIN, ENVIRONMENTAL STEWARDSHIP AND INVESTMENT POLICIES TO IMPACT THE SOCIAL DETERMINANTS OF HEALTH IN THE COMMUNITIES IT SERVES.ENVIRONMENTAL LEADERSHIP. REDUCING WASTE, CONSERVING ENERGY AND WATER, MINIMIZING USE OF TOXIC CHEMICALS, AND CONSTRUCTING ECO-FRIENDLY BUILDINGS FOR TODAY AND TOMORROWALL THESE EFFORTS HAVE A DIRECT BENEFIT ON THE HEALTH OF LOCAL COMMUNITIES VIA CLEANER COMMUNITIES, HEALTHIER AIR QUALITY, REDUCED GREENHOUSE GASES, AND PRESERVATION OF NATURAL RESOURCES. AS ADVOCATE WORKS TO REDUCE THE ENVIRONMENTAL AND HEALTH IMPACTS OF HEALTH CARE, ITS ENVIRONMENTAL STEWARDSHIP PRACTICES EASE THE BURDEN OF HEALTH CARE COSTS BOTH DIRECTLY (LOWER ENERGY COSTS) AND INDIRECTLY (LOWER ENVIRONMENTALLY RELATED DISEASE BURDEN) AND HELP SAVE RESOURCES FOR FUTURE GENERATIONS. IN ADDITION TO CONTINUING TO REDUCE ADVOCATE'S OWN ENVIRONMENTAL IMPACTS AS A HEALTH CARE ORGANIZATION, ADVOCATE ALSO PROVIDES NATIONAL LEADERSHIP AND MENTORING IN SUSTAINABLE HEALTH CARE THROUGH THE MEMBERSHIP AND PARTICIPATION IN SEVERAL SUSTAINABILITY LEADERSHIP COUNCILS AND GROUPS. THESE COLLABORATIVE PARTNERSHIPS ADDRESS MULTIPLE SUSTAINABILITY ISSUES, INCLUDING ANTIBIOTIC OVERUSE IN AGRICULTURE, SAFER CHEMICALS IN FURNISHINGS AND MEDICAL PRODUCTS, CLIMATE CHANGE, CLINICAL PLASTICS RECYCLING, AND ENVIRONMENTALLY PREFERABLE AND LOCAL PURCHASING, SPURRING MOVEMENT TOWARD HEALTHIER AND MORE SUSTAINABLE PRACTICES THROUGHOUT THE HEALTH CARE SECTOR AND WIDER MARKETPLACE. THESE PARTNERSHIPS INCLUDE: - HEALTHCARE ANCHOR NETWORK -IMPACT PURCHASING COMMITTEE - HEALTH CARE CLIMATE COUNCIL - HEALTHCARE PLASTICS RECYCLING COALITION HEALTHCARE FACILITY ADVISORY BOARD - PRACTICE GREENHEALTH MARKET TRANSFORMATION GROUPSAFER CHEMICALS - HEALTHY BUILDING NETWORK - PREMIER'S ENVIRONMENTAL ADVISORY COUNCIL - STEERING COUNCIL OVERSIGHT AND SIGNATORY OF THE CHEMICAL FOOTPRINT PROJECTIT IS IMPORTANT TO HIGHLIGHT THAT WE ACCOMPLISHED MUCH, BUT DECARBONIZATION IS A MUCH LARGER ISSUE THAN ANY ONE BUSINESS CAN SOLVE ON ITS OWN. WE HAVE A LONG HISTORY OF ENVIRONMENTAL AND CLIMATE ADVOCACY BECAUSE WE UNDERSTAND THROUGH POLICY AND LEGISLATIVE CHANGES, WE ARE OPENING DOORS, GETTING PERMISSION, AND SUPPORTING COMPLIANCE IN THIS IMPACT WORK. BELOW ARE SOME HIGHLIGHTS OVER THE PAST FOUR YEARS. O THROUGH THE HEALTH CARE CLIMATE COUNCIL, A LETTER OF SUPPORT WAS SENT TO THE MEMBERS OF CONGRESS ABOUT THE BUILD BACK BETTER PACKAGE AND CERTAIN PROVISIONS (2022)O WE PROVIDED COMMENTS TO THE CURRENT ASSESSMENT OF CLIMATE CHANGE IMPACTS ON OUTCOMES, CARE, AND HEALTH EQUITYREQUEST FOR INFORMATION (RFI) IN THE MEDICARE PROGRAM: HOSPITAL INPATIENT PROSPECTIVE PAYMENT SYSTEMS (IPPS), ETC. PROPOSED RULE (SECTION IX.A) (2022) - IN THE SUMMER OF 2022, WE RESPONDED TO THE HOUSE WAYS & MEANS COMMITTEE HEARING AND RFI REPORT ON HEALTH CARE'S ROLE IN THE CLIMATE CRISIS (2022) - IN JUNE 2022, AS A SYSTEM WE SIGNED THE HHS PLEDGE TO BECOME A NET ZERO HEALTH SYSTEM BY 2050** (2022)PROJECT C.U.R.E. (COMMISSION ON URGENT RELIEF AND EQUIPMENT). ADVOCATE IS A MEDICAL EQUIPMENT AND SUPPLY DONATION PARTNER OF PROJECT C.U.R.E., THE WORLD'S LEADING MEDICAL SUPPLY DISTRIBUTION ORGANIZATION BENEFITING RESOURCE-LIMITED AREAS ACROSS THE GLOBE. IN 2022, ADVOCATE DONATED A TOTAL OF 182 PALLETS OF MISCELLANEOUS MEDICAL SUPPLIES TO PROJECT C.U.R.E.SUSTAINABLE BUILDINGS AND OPERATIONS. SUSTAINABILITY, SAFETY AND EFFICIENCY ARE CORE ELEMENTS OF ADVOCATE BUILDING AND OPERATIONS PROGRAMS. - ADVOCATE PURSUES LEADERSHIP IN ENERGY AND ENVIRONMENTAL DESIGN (LEED) CERTIFICATION FOR ALL NEW MAJOR BUILDINGS AND UTILIZES A RIGOROUS, INTERNAL TOOL CALLED THE HEALTHY SPACES ROADMAP TO ENSURE SUSTAINABILITY IN ALL ITS RENOVATIONS AND PROJECTS. TO DATE, ADVOCATE HAS COMPLETED SIX MAJOR PROJECTS THAT HAVE RECEIVED LEED SILVER OR GOLD CERTIFICATION. - IN 2008, ADVOCATE EMBARKED ON A JOURNEY TO REDUCE ITS CARBON FOOTPRINT AND TO BECOME THE MOST ENERGY EFFICIENT HEALTH SYSTEM IN THE COUNTRY. BY 2015, ADVOCATE HAD REDUCED ENERGY CONSUMPTION BY 23% FROM THE 2008 BASELINE. WHILE AGGRESSIVELY CONTINUING ENERGY EFFICIENCY PROJECTS, ADVOCATE NOW AIMS TO BE CARBON NEUTRAL BY 2030 AND NET ZERO BY 2050 AND HAS SIGNED ON THE US DEPARTMENT OF HEALTH AND HUMAN SERVICES CLIMATE PLEDGE.
PART VI, 6. AFFILIATED HEALTH CARE SYSTEMADVOCATE COMBINES SUSTAINABLE FACILITIES WITH ENVIRONMENTALLY FRIENDLY OPERATIONS AND PURCHASES. THIS INCLUDES WASTE MINIMIZATION AND RECYCLING, REDUCING CHEMICALS IN FURNITURE AND CLEANING PRODUCTS, PURCHASING MEAT RAISED WITHOUT ANTIBIOTICS, AND OTHER ECO-FRIENDLY PRODUCTS, ALL OF WHICH HAVE COMMUNITY HEALTH IMPACTS IN THEIR LIFE CYCLE. IN 2022, ADVOCATE ACHIEVED THE FOLLOWING: - AVOIDED 34 MTCO2E OF GREENHOUSE GASES (EQUIVALENT TO 82,000 MILES OF DRIVING) THROUGH ECO-FRIENDLY MANAGEMENT OF ANESTHETIC GASES. - 95% OF ADVOCATE'S FURNITURE PURCHASES AVOIDED FIVE KEY CHEMICALS OF CONCERN. - 87% OF FIVE MAIN CATEGORIES OF CLEANERS WERE ON THIRD PARTY CERTIFIED GREEN CLEANERS - OVER $1 MILLION OF ADVOCATE'S MEAT PURCHASES SUPPORTED PRODUCERS WHO RAISE THEIR ANIMALS WITHOUT THE USE OF ANTIBIOTICS (30% OF TOTAL). - COPY PAPER USED CONTAINS 30% POST-CONSUMER RECYCLED CONTENT AND IS FOREST STEWARDSHIP COUNCIL CERTIFIED. - RECYCLED 2,982 TONS OF WASTE FROM HOSPITAL OPERATIONS.ENVIRONMENTALLY RESPONSIBLE INVESTING. ADVOCATE INSTITUTES AN ENVIRONMENTALLY-BASED SOCIAL SCREEN FOR ITS MARKETABLE INVESTMENT PROGRAM. ALL COMPANIES IN SEPARATELY MANAGED ACCOUNTS ARE SCORED ON ENVIRONMENTAL PRACTICES, BEHAVIOR AND CONTROVERSIES. POOR-SCORING COMPANIES ARE SCREENED OUT OF THE INVESTMENT PROGRAM. RECOGNITION. ADVOCATE IS CONSISTENTLY RECOGNIZED FOR ITS COMMITMENT AND ACHIEVEMENTS IN SUSTAINABLE HEALTH CARE. - ALL ADVOCATE HOSPITALS RECEIVED INDIVIDUAL RECOGNITION FROM PRACTICE GREENHEALTH. - ADVOCATE AURORA HEALTH RECEIVED THE PRACTICE GREENHEALTH SYSTEM FOR CHANGE AWARD FOR THE 15TH CONSECUTIVE YEAR AND RECEIVED A CIRCLE OF EXCELLENCE IN CHEMICALS, TOP 25 PERFORMER - ADVOCATE AURORA HEALTH WAS NAMED A CLIMATE CHAMPION IN THE CATEGORY OF CLIMATE LEADERSHIP (SILVER) THROUGH THE HEALTH CARE CLIMATE CHALLENGEEMPLOYEE ENGAGEMENT. EVERY HOSPITAL HAS A GREEN TEAM, LED BY SITE SUSTAINABILITY LEADERS AND SPONSORED BY EXECUTIVE CHAMPIONS (OFTEN INCLUDING HOSPITAL PRESIDENTS). TOGETHER, OUR SSLS EACH YEAR HOST A MINIMUM OF TWO ENVIRONMENTAL SUSTAINABILITY CAMPAIGNS USED TO INFORM, INSPIRE, AND INVOLVE HOSPITAL TEAM MEMBERS IN OUR ES JOURNEY.SOME CAMPAIGNS TO HIGHLIGHT: - ANNUAL 'BIKE TO WORK' CELEBRATIONS (SUPPORTING ALTERNATIVE TRANSPORTATION) - CHILDREN'S HOSPITAL CELEBRATING CHILDREN'S ENVIRONMENTAL HEALTH WEEK FOR THREE CONSECUTIVE YEARS, SINCE 2019. - SITE SUSTAINABILITY LEADERS AND GREEN ADVOCATES COLLECTING AND GIVING AWAY FREE PARTIALLY USED (HALTER MONITOR) BATTERIES TO TEAM MEMBERS - RACIAL EQUITY CHALLENGE - IN 2022, THE SYSTEM ADOPTED ENVIRONMENTAL JUSTICE AS A LENS FOR WHICH TO IMPLEMENT ENVIRONMENTAL SUSTAINABILITY AND LAUNCHED THE FIRST-EVER RACIAL EQUITY CHALLENGE IN COLLABORATION WITH SSLS AND HOSTED A REFLECTION AND LEARNING CONVERSATION AS OUR FEATURED 2022 EARTH DAY EVENT ADVOCATE WORKS TO LEVERAGE RESOURCES AND MAXIMIZE COMMUNITY ENGAGEMENT BY BUILDING AND STRENGTHENING COMMUNITY PARTNERSHIPS WITH HEALTH DEPARTMENTS AND OTHER DIVERSE COMMUNITY ORGANIZATIONS. A PRIMARY VALUE OF ADVOCATE'S COMMUNITY HEALTH DEPARTMENT IS COLLABORATION WITH PARTNERS, PREFERABLY THROUGH A COLLECTIVE IMPACT MODEL. IN ORDER TO ALIGN INITIATIVES WITH LOCAL HEALTH DEPARTMENTS AND THEIR COMMUNITY HEALTH PRIORITIES, ALL ADVOCATE HOSPITALS COLLABORATE WITH THEIR RESPECTIVE HEALTH DEPARTMENTS DURING THE CHNA AND HEALTH IMPROVEMENT (IMPLEMENTATION PLAN) CYCLES. ONE SUCH NOTABLE COLLABORATION IN WHICH ADVOCATE SYSTEM LEADERSHIP PLAYED A VITAL ROLE IS AS FOLLOWS. THE ALLIANCE FOR HEALTH EQUITY. ADVOCATE HEALTH CARE, PRESENCE HEALTH (NOW KNOWN AS AMITA HEALTH) AND THE ILLINOIS PUBLIC HEALTH INSTITUTE (IPHI) WERE THE THREE FOUNDING ORGANIZATIONS OF THE HEALTH IMPACT COLLABORATIVE OF COOK COUNTY (HICCC). THESE ORGANIZATIONS INVITED HEALTH DEPARTMENTS AND ALL COOK COUNTY NONPROFIT HOSPITALS TO JOIN THEM IN CREATING WHAT IS NOW ONE OF THE LARGEST CHNA AND COMMUNITY HEALTH IMPROVEMENT COLLABORATIVES IN THE COUNTRY. THE INITIAL PARTICIPATING HOSPITALS AND HEALTH DEPARTMENTS WORKED TOGETHER TO DESIGN A SHARED LEADERSHIP MODEL AND COLLABORATIVE INFRASTRUCTURE TO SUPPORT COMMUNITY-ENGAGED PLANNING PARTNERSHIPS AND STRATEGIC ALIGNMENT OF IMPLEMENTATION PLANS TO FACILITATE MORE EFFECTIVE AND SUSTAINABLE COMMUNITY HEALTH IMPROVEMENT. IN LATE 2017, HICCC MERGED WITH THE HEALTHY CHICAGO HOSPITALS COLLABORATIVE TO CREATE THE ALLIANCE FOR HEALTH EQUITY (THE ALLIANCE). IPHI SERVES AS THE BACKBONE ORGANIZATION FOR THE COLLABORATIVE AND THE HOSPITALS PROVIDE FUNDING FOR THE SHARED ASSESSMENT AND COMMUNITY HEALTH IMPROVEMENT PLANNING WORK. IN 2019, THE ALLIANCE GREW TO INCLUDE 37 NONPROFIT AND PUBLIC HOSPITALS, SIX LOCAL HEALTH DEPARTMENTS AND MORE THAN 100 COMMUNITY ORGANIZATIONS. IN 2022, THE ALLIANCE COMPLETED A COLLABORATIVE COMMUNITY HEALTH NEEDS ASSESSMENTS (CHNA) FOR CHICAGO AND SUBURBAN COOK COUNTY. THE REPORT BUILDS ON THE PREVIOUS ASSESSMENTS AND ALLOWS PARTNERS TO IDENTIFY STRATEGIC PRIORITIES THAT THEY CAN COLLECTIVELY ADDRESS TO IMPROVE COMMUNITY HEALTH. A COPY OF THE REPORT AND THE APPENDICES CAN BE FOUND AT THIS LINK 2022 CHNA REPORT - ALLIANCE FOR HEALTH EQUITY (ALLHEALTHEQUITY.ORG)PRIMARY AND SECONDARY DATA FROM A DIVERSE RANGE OF SOURCES WERE UTILIZED FOR ROBUST DATA ANALYSIS AND TO IDENTIFY COMMUNITY HEALTH NEEDS IN CHICAGO AND SUBURBAN COOK COUNTY. FOR THE 2022 CHNA, THE ALLIANCE FOR HEALTH EQUITY BUILT ON THE PREVIOUS COLLABORATIVE CHNA WORK (2019). ADVOCATE CONTINUES TO BE ACTIVELY INVOLVED IN LEADERSHIP OF THE ALLIANCE PARTNERSHIP, SERVING ON THE STEERING COMMITTEE. ADVOCATE HOSPITALS, AS WELL AS THE OTHER MEMBER HOSPITALS, PROVIDE THE MONETARY SUPPORT FOR THE COLLABORATIVE'S WORK AND SUPPORT THE COST OF STAFF AND OVERSIGHT PROVIDED BY THE ILLINOIS PUBLIC HEALTH INSTITUTE. ADDITIONALLY, ADVOCATE HAS BEEN INVOLVED IN LEADING THIS ASSESSMENT WORK AS AN ACTIVE MEMBER OF THE STEERING COMMITTEE, PROVIDING FINANCIAL SUPPORT TO THE ALLIANCE IN 2022.THE PRIORITY AREAS SELECTED BY THE ALLIANCE INCLUDE SOCIAL AND STRUCTURAL DETERMINANTS OF HEALTH, ACCESS TO CARE, MENTAL HEALTH AND SUBSTANCE USE DISORDERS, CHRONIC HEALTH CONDITIONS, INJURY INCLUDING VIOLENCE, AND MATERNAL/FETAL HEALTH. ALL PARTICIPATING HOSPITALS SELECTED SOME OF THE PRIORITIES TO ADDRESS IN THE AREAS SERVED. THERE ARE MULTIPLE WORK GROUPS ADDRESSING THE PRIORITY AREAS AND ADVOCATE STAFF SERVE ON MOST OF THE WORK GROUPS.ADVOCATE PROMOTES ACCOUNTABILITY FOR SYSTEM AND SITE ALIGNMENT BY INCREASING PROGRAM COORDINATION AND DEVELOPING STRONG GOVERNANCE RELATIONSHIPS.SYSTEM OVERSIGHT OF COMMUNITY HEALTH. ADVOCATE HAS TAKEN SEVERAL STEPS TO ASSURE SYSTEM AND SITE ACCOUNTABILITY FOR AND ALIGNMENT OF COMMUNITY HEALTH IMPROVEMENT EFFORTS. THESE ACTIONS INCLUDE DEVELOPING A GOVERNANCE AND DEPARTMENTAL INFRASTRUCTURE AT THE SITES AND SYSTEM LEVELS TO LEAD AND SUPPORT EFFORTS, AND TO INCLUDE ADVOCATE'S AMPLE CLINICAL EXPERTISE IN DEVELOPING AND SUSTAINING EVIDENCE-BASED PROGRAMS THAT MEASURABLY IMPACT/IMPROVE COMMUNITY HEALTH.HOSPITAL GOVERNING COUNCILS. COMMUNITY HEALTH IS STRONGLY INTEGRATED INTO ADVOCATE'S GOVERNANCE STRUCTURES. COMMUNITY HEALTH COUNCILS, COMPRISED OF COMMUNITY EXPERTS AND HOSPITAL LEADERS, HAVE BEEN DEVELOPED AT EACH OF THE ADVOCATE HOSPITALS. THESE COUNCILS ARE CO-LED BY THE HOSPITAL COMMUNITY HEALTH LEADER AND A HOSPITAL GOVERNING COUNCIL MEMBER. A MINIMUM OF 50% OF THE COUNCIL MEMBERS FOR THE 2019 CHNA REPORT AND 2020-2022 COMMUNITY HEALTH IMPLEMENTATION PLAN CYCLES WERE COMMUNITY REPRESENTATIVES WITH A FOCUS ON PEOPLE WHO REPRESENTED UNDERSERVED AND VULNERABLE POPULATIONS. DEPENDENT ON THE HOSPITAL, THE COUNCILS MET THREE OR FOUR TIMES DURING THE YEAR.HOSPITAL COMMUNITY HEALTH STAFF ANALYZED AND PRESENTED PRIMARY AND SECONDARY COMMUNITY HEALTH DATA TO THE HOSPITALS' COMMUNITY HEALTH COUNCILS. THE COUNCIL MEMBERS IDENTIFIED THE HOSPITAL SERVICE AREAS' SIGNIFICANT HEALTH NEEDS, SUBSEQUENTLY EMPLOYING CONSENSUS-BASED, PRIORITY-SETTING PROCESSES TO DETERMINE THE NEEDS UPON WHICH TO FOCUS. AS PART OF THE PRIORITIZATION PROCESS, THE COUNCILS SCANNED HOSPITAL AND COMMUNITY CHALLENGES AND ASSETS, AS WELL AS POTENTIAL PARTNERSHIPS WITH OTHER ORGANIZATIONS THAT MIGHT RESULT IN LARGER HEALTH IMPROVEMENT IMPACT.TO LEARN MORE ABOUT THE 2017-2019 CHNA CYCLE DATA ASSESSMENT RESULTS FOR EACH HOSPITAL, VISIT HOSPITAL CHNA REPORTS IMPLEMENTATION PLANS PROGRESS REPORTS | ADVOCATE HEALTH CARE.
PART VI, 6. AFFILIATED HEALTH CARE SYSTEM ENDENGAGING SYSTEM CLINICAL SERVICE LINES TO EXPAND THEIR FOCUS ON COMMUNITY HEALTH. ADVOCATE IS VIEWED AS A LEADER IN THE POPULATION HEALTH MANAGEMENT ARENA. AN EARLY ADOPTER OF MANAGING CARE ACROSS POPULATIONS, ADVOCATE HAS SIGNIFICANT SUCCESS IN IMPROVING HEALTH OUTCOMES WHILE DECREASING OR MAINTAINING COST OF CARE DELIVERY. ADVOCATE'S COMMUNITY HEALTH DEPARTMENT HAS INTENTIONALLY ALIGNED WITH ADVOCATE POPULATION HEALTH LEADERS AND ADVOCATE SERVICE LINES. THIS ALIGNMENT ASSURES THAT MEMBERS OF THE COMMUNITIES ADVOCATE SERVES AND OUR PATIENTS RECEIVE COMMUNITY-BASED INTERVENTIONS, AS WELL AS EDUCATION AND PROGRAMMING THAT ALIGNS WITH THEIR HEALTH NEEDS. COMMUNITY PROGRAMS ARE TAILORED TO MEET THE SPECIFIC HEALTH NEEDS IDENTIFIED IN A COMMUNITY OR A SPECIFIC POPULATION. MANY OF THE EXAMPLES OF EDUCATION AND PROGRAMMING ALIGNED WITH POPULATION HEALTH AND SERVICE LINE DEVELOPMENT HAVE ALREADY BEEN DISCUSSED IN OTHER SECTIONS OF THIS PLAN. ALL ADVOCATE HOSPITALS, FOR EXAMPLE, ARE PARTICIPATING IN LOCAL COMMUNITY BEHAVIORAL HEALTH AND SUBSTANCE ABUSE COLLABORATIVES, FOLLOWING ADVOCATE'S INTEGRATED APPROACH TO IMPLEMENTATION. SEVERAL EXAMPLES OF THE BEHAVIORAL HEALTH INITIATIVES ARE PROVIDED BELOW. WARM HANDOFF PROGRAM. THREE ADVOCATE HEALTH CARE HOSPITALS, ADVOCATE CONDELL MEDICAL CENTER, ADVOCATE GOOD SHEPHERD HOSPITAL AND ADVOCATE SHERMAN HOSPITAL WORK IN PARTNERSHIP WITH GATEWAY FOUNDATION, A COMMUNITY-BASED ADDICTION MEDICINE TREATMENT PROVIDER, TO IMPLEMENT AN EVIDENCE-BASED MODEL TO SCREEN AND ASSESS PATIENTS COMING TO THE HOSPITAL FOR SUBSTANCE USE. THE WARM HANDOFF PROGRAM INTEGRATES A FULL-TIME CREDENTIALED ENGAGEMENT SPECIALIST EMPLOYED BY GATEWAY FOUNDATION INTO THE HOSPITAL ED TEAM TO ASSESS AND COUNSEL PATIENTS WITH SUBSTANCE USE DISORDER, AND THEN ASSISTS WITH LINKING THEM TO TREATMENT. A GATEWAY FOUNDATION-EMPLOYED RECOVERY COACH ON THE TEAM ALSO PROVIDES SUPPORT TO PATIENTS AS THEY TRANSITION INTO TREATMENT. IN 2022, THE GATEWAY ENGAGEMENT SPECIALISTS AT THESE THREE HOSPITALS COMPLETED PATIENT ENCOUNTERS WITH 899 PATIENTS AND 392 (44 PERCENT) WERE CONNECTED AND PLACED IN SUBSTANCE USE TREATMENT. MEDICATION ASSISTED TREATMENT (MAT). IN JULY OF 2020, ADVOCATE GOOD SHEPHERD LAUNCHED A PROGRAM THAT PRESCRIBES BUPRENORPHINE UPON DISCHARGE FROM THE EMERGENCY DEPARTMENT (ED) FOR PATIENTS WITH SUBSTANCE USE DISORDER SEEKING MEDICATION ASSISTED TREATMENT. THE PROGRAM IS DESIGNED TO HELP INDIVIDUALS WITH WITHDRAWAL SYMPTOMS AND INCREASE THEIR CHANCES OF TREATMENT. IN 2022, ADVOCATE GOOD SHEPHERD HAD 12 PATIENTS THAT WERE DISCHARGED FROM THE ED ON BUPRENORPHINE PRESCRIPTION. ENDING THE SILENCE AND TEEN SUPPORT GROUP. ADVOCATE GOOD SAMARITAN PARTNERED WITH NAMI DUPAGE TO PROVIDE ENDING THE SILENCE TO MIDDLE AND HIGH SCHOOL STUDENTS. ENDING THE SILENCE IS A ONE-HOUR CLASS THAT AIMS TO DESTIGMATIZE MENTAL ILLNESS AND CREATE AWARENESS AROUND MENTAL HEALTH. IN 2022, ADVOCATE GOOD SAMARITAN SUPPORTED WESTMONT HIGH SCHOOL AND EISENHOWER JUNIOR HIGHSCHOOL, OFFERING 11 PRESENTATIONS IN TOTAL, SERVING 193 STUDENTS. IN ADDITION, ADVOCATE GOOD SAMARITAN HOSPITAL WORKED WITH NAMI BY PROVIDING A BEHAVIORAL HEALTH SPECIALIST TO FACILITATE A TEEN SUPPORT GROUP. THE SIX WEEK PROGRAM SERVED 6 STUDENTS IN THE SUMMER OF 2022. THE SUPPORT GROUP ADDRESSES CONCERNS AROUND ANXIETY, FEAR, SELF-ESTEEM AND MORE. ADVOCATE PHYSICIAN PARTNERS (APP). ADVOCATE POPULATION HEALTH LEADERS AND ADVOCATE COMMUNITY HEALTH LEADERS ARE ALSO PARTNERING TO DEVELOP NEW APPROACHES TO PATIENT SCREENING AND RESOURCING FOR SOCIAL DETERMINANTS OF HEALTH. ADVOCATE ALSO PROVIDES AN INFRASTRUCTURE TO ALLOW COMMUNITY MEMBERS WITH AN OPPORTUNITY TO VOLUNTEER AT VARIOUS ADVOCATE SITES OF CARE, AS WELL AS PROVIDING OPPORTUNITIES FOR ADVOCATE TEAM MEMBERS TO VOLUNTEER IN THE COMMUNITIES SERVED BY ADVOCATE.VOLUNTEERS FROM THE COMMUNITY. EACH YEAR, VOLUNTEERS FROM THE COMMUNITY SHARE THEIR TIME AND TALENTS THROUGH SERVICE AT ADVOCATE'S HOSPITALS, ADVOCATE MEDICAL GROUP AND ADVOCATE AT HOME, AND IN THEIR OWN WAY, FURTHER ADVOCATE'S COMMITMENT TO PROVIDING EXCELLENT HEALTH CARE. IN 2022, ADVOCATE HEALTH CARE MANAGED TO OPEN VOLUNTEER SERVICES AND WELCOMED A TOTAL OF 1,551 COMMUNITY VOLUNTEERS THAT ENGAGED PATIENTS, FAMILIES AND STAFF IN A VARIETY OF ACTIVITIES, SOME OF WHICH WERE: PROVIDING INFORMATION DESK SERVICES TO VISITORS; CLERICAL SUPPORT TO STAFF; SERVING CUSTOMERS IN HOSPITAL GIFT AND RESALE SHOPS; OFFERING COMPASSIONATE CONCERN TO PATIENTS AND THEIR LOVED ONES IN MULTIPLE HOSPITAL AREAS, SUCH AS THE EMERGENCY DEPARTMENT, INTENSIVE CARE UNIT, SURGERY WAITING ROOM, POST-ANESTHESIA CARE AND NURSERY INTENSIVE CARE UNITS; ASSISTING WITH COMMUNITY HEALTH SCREENINGS AND BLOOD DRIVE EVENTS; PROVIDING CHEERFUL SERVICE TO PATIENTS BY DELIVERING FLOWERS, MAIL AND NEWSPAPERS; AND PROVIDING SUPPORT SERVICES IN THE HOSPITAL THAT HAVE LIBRARIES AND/OR WELLNESS CENTERS. VOLUNTEERS FROM THE COMMUNITY ALSO GIVE THEIR TIME AND TALENTS TO VARIOUS OTHER PROGRAMS AND FUNDRAISING ACTIVITIES. MEMBERS OF ADVOCATE'S HOSPITAL AUXILIARIES PLAN AND ENGAGE IN FUNDRAISING EFFORTS TO SUPPORT NOT ONLY SERVICES IN THE HOSPITAL BUT ALSO COMMUNITY-FOCUSED PROGRAMS AND SERVICES. STUDENTS FROM THE COMMUNITY VOLUNTEER THEIR TIME TO TAKING CARE OF CHILDREN IN THE PEDIATRIC DEVELOPMENTAL CENTER LOCATED ON ADVOCATE ILLINOIS MASONIC'S CAMPUS SO THAT PARENTS CAN MEET WITH THE CENTER'S STAFF TO LEARN THE SKILLS NECESSARY TO WORK WITH THEIR CHILDREN WITH SPECIAL NEEDS SO THEY CAN REACH THEIR FULL POTENTIAL. THE HEARTS FOR HOPE GROUP AT ADVOCATE CHILDREN'SOAK LAWN IS COMPRISED OF GRATEFUL PARENTS, CONCERNED FAMILIES AND CARING COMMUNITY MEMBERS WHO SUPPORT THE MISSION OF THE HOSPITAL. THE VOLUNTEERS ENSURE THEY HAVE A PRESENCE IN THE HOSPITAL BY POSITIVELY IMPACTING FAMILY-CENTERED CARE, AS WELL AS WORKING TO RAISE FUNDS AND AWARENESS THROUGH PHILANTHROPIC EVENTS AND ACTIVITIES BENEFITING ADVOCATE CHILDREN'S.ADVOCATE TEAM MEMBERS VOLUNTEERING IN THE COMMUNITY. ADVOCATE TEAM MEMBERS (EMPLOYEES) AND PHYSICIANS ARE ENCOURAGED TO DONATE TO, VOLUNTEER AT AND HELP RAISE FUNDS FOR COMMUNITY INITIATIVES. ADVOCATE PROMOTES AND SUPPORTS TEAM MEMBER, PHYSICIAN AND HOSPITAL PARTICIPATION IN FOUR COMPANY-SPONSORED WALKS FOR MULTIPLE HEALTH-RELATED, NOT-FOR-PROFIT ORGANIZATIONS, INCLUDING THE AMERICAN HEART ASSOCIATION (AHA HEART WALK), AMERICAN CANCER SOCIETY (MAKING STRIDES AGAINST BREAST CANCER), ALZHEIMER'S ASSOCIATION (WALK TO END ALZHEIMER'S) AND THE MARCH OF DIMES (MARCH FOR BABIES IN 2022, 1,559 ADVOCATE TEAM MEMBERS REGISTERED TO PARTICIPATE IN THE ANNUAL LOCAL FUNDRAISERS AND $316,317 IN CHARITABLE CONTRIBUTIONS WERE RAISED TO SUPPORT THESE PARTNER ORGANIZATIONS, DEMONSTRATING OUR COMMITMENT TO HELPING OUR COMMUNITIES LIVE WELL. THIS YEAR, ADVOCATE WAS DESIGNATED BY THE AMERICAN HEART ASSOCIATION AS THE #1 HEALTH CARE COMPANY IN THE MIDWEST. IN ADDITION, ADVOCATE'S ASSOCIATES AND PHYSICIANS GENEROUSLY SUPPORT MULTIPLE COMMUNITY PARTNERS, PROGRAMS AND INITIATIVES, INCLUDING SOME OF ADVOCATE'S OWN SYSTEM-WIDE AND HOSPITAL-BASED COMMUNITY HEALTH PROGRAMS. FOR IL ONLY, ADVOCATE TEAM MEMBERS, NURSES AND PHYSICIANS CONTRIBUTED $1,061,451 THROUGH THE ANNUAL ADVOCATE TEAM MEMBER GIVING CAMPAIGN IN 2022. ADVOCATE ASSOCIATES DEVOTE WORK TIME VOLUNTEERING ON DOZENS OF COMMUNITY BOARDS, COMMITTEES, COUNCILS, TASK FORCES AND COALITIONS, USING THEIR TALENTS TO SUPPORT A VARIETY OF COMMUNITY-BASED ORGANIZATIONS. AN EXAMPLE OF ASSOCIATE VOLUNTEERISM IS ADVOCATE GOOD SAMARITAN'S VICE PRESIDENT OF SUPPORT OPERATIONS AND THE PRESIDENT OF MEDICAL STAFF DEVOTE TIME TO SERVE ON THE DUPAGE HEALTH COALITION'S BOARDDUPAGE HEALTH COALITION IS AN ORGANIZATION THAT LINKS UNINSURED AND UNDOCUMENTED INDIVIDUALS TO PRIMARY AND SPECIALTY HEALTHCARE AND INSURANCE. YET ANOTHER EXAMPLE OF ASSOCIATE VOLUNTEERISM IS ADVOCATE TRINITY HOSPITAL'S PRESIDENT AND AHC'S REGIONAL VICE PRESIDENT TIME DEVOTED TO THE SOUTH SIDE HEALTHY COMMUNITY ORGANIZATION, A COMMUNITY COALITION FOCUSED ON IMPROVING HEALTH EQUITY ON THIS SIDE OF CHICAGO.

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (1)GrantRecordsMaintainedInd

Recipient Table RecipientTable (2 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtNon Cash AssistanceNonCashAssistanceAmtValuation Method UsedValuationMethodUsedDescPurpose Of GrantPurposeOfGrantTxt
LOYOLA UNIVERSITY CHICAGO
1032 W SHERIDAN RD SUITE 190CHICAGOIL60660361408475501(C)(3)$8,000$0FAIR MARKET VALUESCHOLARSHIP
UNIVERSITY OF ILLINOIS
809 SOUTH MARSHFIELD AVE M/C 551CHICAGOIL60612376000511501(C)(3)$8,000$0FAIR MARKET VALUESCHOLARSHIP

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
Housing Allowance Or ResidenceYes (X)HousingAllowanceOrResidenceInd
Written Policy Ref T And E ExpnssYes (1)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (1)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (1)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (1)SupplementalNonqualRtrPlanInd
Equity Based Comp Arrngm0EquityBasedCompArrngmInd
Comp Based On Revenue Of Flng Org0CompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related Orgs0CompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng Org0CompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd Orgs0CompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (1)AnyNonFixedPaymentsInd
Initial Contract Exception0InitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (34 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
WILLIAM SANTULLI
VICE PRESIDENT$0$827,709$0$3,009,211$0$3,354,962$0$642,892$0$31,447$0$7,866,221$0$324,949
DOMINIC NAKIS
FORMER OFFICER$0$0$0$0$0$3,375,856$0$1,231,323$0$672$0$4,607,851$0$121,372
BRAD CLARK
ASSISTANT TREASURER$0$1,697,429$0$713,004$0$103,270$0$390,217$0$29,172$0$2,933,092$0$80,691
KAREN LAMBERT
DIRECTOR$0$837,307$0$243,447$0$481,994$0$223,000$0$36,185$0$1,821,933$0$119,203
NAN NELSON
TREASURER$0$777,681$0$470,058$0$224,744$0$242,042$0$30,441$0$1,744,966$0$122,557
DIA NICHOLS
VICE PRESIDENT$0$1,000,002$0$347,262$0-$4,241$0$216,433$0$36,348$0$1,595,804$0$95,636
RACHELLE HART
SECRETARY$0$614,765$0$357,466$0$129,523$0$197,216$0$27,404$0$1,326,374$0$103,904
AZMEY MATARIEH
DIRECTOR$0$879,382$0$52,000$0$347,900$0$33,350$0$3,050$0$1,315,682$0$32,400
RAMINDER SINGH
FORMER DIRECTOR$0$905,382$0$18,000$0$232,167$0$33,350$0$15,825$0$1,204,724$0$32,400
CARRIE DONOVAN
ASSISTANT TREASURER$0$534,986$0$323,367$0$76,449$0$175,006$0$37,143$0$1,146,951$0$92,513
MICHAEL GREBE
FORMER OFFICER$0$0$0$0$0$1,076,461$0$64,107$0$0$0$1,140,568$0$96,507
MICHAEL KERNS
ASSISTANT SECRETARY$0$124,247$0$132,984$0$577,147$0$104,387$0$28,232$0$966,997$0$80,710
DOMINICA TALLARICO
FORMER OFFICER$0$0$0$0$0$489,709$0$438,888$0$0$0$928,597$0$32,400
SHERI DE SHAZO
DIRECTOR$532,840$0$137,254$0$43,919$0$120,151$0$38,066$0$872,230$0$59,989$0
JAMES SLINKMAN
ASSISTANT SECRETARY$0$452,806$0$171,108$0$65,369$0$140,592$0$34,117$0$863,992$0$80,370
RACHEL HALVERSON
ASSISTANT TREASURER$0$459,421$0$261,388$0$6,004$0$33,350$0$31,369$0$791,532$0$32,400
KEVIN FITCH
ASSISTANT TREASURER$0$420,118$0$175,987$0$10,021$0$113,303$0$31,045$0$750,474$0$56,223
MEELI PATEL
DIRECTOR$0$360,786$0$181,260$0$41,053$0$124,497$0$20,651$0$728,247$0$70,009
RAJA CHATTERJI
FORMER DIRECTOR$0$458,848$0$40,500$0$113,272$0$33,350$0$19,278$0$665,248$0$25,290
STEVE HUSER
FORMER OFFICER$0$0$0$29,530$0$531,706$0$18,835$0$0$0$580,071$0$48,323
JUSTIN MACARIOLA-COAD
VP & CMO$410,082$0$98,739$0$1,891$0$25,465$0$34,660$0$570,837$0$23,979$0
JAMES DOHENY
FORMER OFFICER$0$0$0$0$0$531,922$0$17,094$0$9,773$0$558,789$0$43,643
ROBIN STOEN
ASSISTANT TREASURER$0$310,929$0$119,545$0$135$0$10,350$0$20,509$0$461,468$0$9,829
RACHEL BAER
DIRECTOR$0$278,025$0$14,581$0$51,862$0$33,350$0$25,559$0$403,377$0$32,034
MICHAEL ROSENBERG
DIRECTOR MED EM & CLINICAL DECISION$366,725$0$0$0$4,378$0$10,350$0$672$0$382,125$0$9,900$0
SUSAN MORBY
VP & CNO$265,117$0$60,537$0-$6,906$0$9,770$0$30,909$0$359,427$0$9,093$0
MICHAEL VOLANTE
ASSISTANT TREASURER$0$228,987$0$59,373$0-$6,469$0$10,820$0$29,236$0$321,947$0$19,175
SHAWN ARMSTRONG
VP OPERATIONS HOSPITAL$201,305$0$29,148$0-$7,601$0$6,914$0$25,259$0$255,025$0$0$0
DARREN SMITH
DIR ED ICU & NURSING OPS$196,154$0$33,706$0-$511$0$16,090$0$1,637$0$247,076$0$15,133$0
JOAN KANUTE
FORMER HCE$175,022$0$30,341$0-$1,809$0$28,101$0$8,876$0$240,531$0$25,456$0
SHARON MCGREGOR
FORMER HCE$211,473$0$0$0-$5,554$0$6,353$0$24,259$0$236,531$0$6,334$0
BRAD EPSTEIN
DIRECTOR$178,601$0$0$0$0$0$0$0$0$0$178,601$0$0$0
LESLIE LENZO
FORMER OFFICER$0$0$0$0$0$127,097$0$0$0$0$0$127,097$0$1,796
BYRON ATKINSON
FORMER HCE$72,960$0$33,158$0$745$0$20,062$0$0$0$126,925$0$14,589$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePART I, LINES 4A-BFormAndLineReferenceDesc
ExplanationSCHEDULE J, PART III SUPPLEMENTAL INFORMATION LINE 4A THE FOLLOWING EMPLOYEES RECEIVED A SEVERANCE PAYMENT DURING 2024 THAT HAS BEEN PROPERLY RECORDED ON FORM 990, PART VII, SECTION A, LINE 1A: DOMINIC NAKIS - $330,000 JAMES DOHENY - $273,416 MICHAEL KERNS - $349,434 STEVE HUSER - $291,941 MICHAEL GREBE - $330,000 WILLIAM SANTULLI - $1,723,585 SCHEDULE J, PART III SUPPLEMENTAL INFORMATION LINE 4B ADVOCATE AURORA HEALTH, INC. PROVIDES A SUPPLEMENTAL EXECUTIVE RETIREMENT PLAN (THE "PLAN") TO RETAIN AND ATTRACT KEY PERSONNEL BY PROVIDING THEM WITH ADDITIONAL RETIREMENT INCOME. THE FOLLOWING EMPLOYEES PARTICIPATED IN THE PLAN AND RECEIVED CONTRIBUTIONS IN 2024 AS FOLLOWS: NAN NELSON - $122,557 DOMINIC NAKIS - $121,372 RACHELLE HART - $103,904 MICHAEL GREBE - $96,507 MICHAEL KERNS - $80,710 STEVE HUSER - $48,323 JAMES DOHENY - $43,643 RACHEL HALVERSON - $32,400 JAMES SLINKMAN - $80,370 LESLIE LENZO - $1,796 WILLIAM SANTULLI - $324,949 DIA NICHOLS - $95,636 CARRIE DONOVAN - $92,513 MICHAEL VOLANTE - $19,175 ROBIN STOEN - $9,829 DOMINICA TALLARICO - $32,400 KEVIN FITCH - $56,223 KAREN LAMBERT - $119,203 MEELI PATEL - $70,009 AZMEY MATARIEH - $32,400 RAMINDER SINGH - $32,400 RACHEL BAER - $32,034 RAJA CHATTERJI - $25,290 SHERI DE SHAZO - $59,989 JOAN KANUTE - $25,456 JUSTIN MACARIOLA-COAD - $23,979 DARREN SMITH - $15,133 BYRON ATKINSON - $14,589 MICHAEL ROSENBERG - $9,900 SUSAN MORBY - $9,093 SHARON MCGREGOR - $6,334 BRAD CLARK - $80,691ExplanationTxt

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (8 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART VI, SECTION A, LINE 2DESCRIPTION OF BUSINESS RELATIONSHIPS THE EXECUTIVE LEADERSHIP TEAM IS COMPRISED OF EITHER DIRECTORS OR OFFICERS OF WHOLLY OWNED ADVOCATE ENTITIES. THEY ARE DEEMED TO HAVE A BUSINESS RELATIONSHIP PURSUANT TO THE INSTRUCTIONS FOR FORM 990.
FORM 990, PART VI, SECTION A, LINE 6CORPORATE MEMBER THE BYLAWS PROVIDE FOR ADVOCATE HEALTH CARE NETWORK AS THE SOLE CORPORATE MEMBER.
FORM 990, PART VI, SECTION A, LINE 7APOWER TO ELECT OTHER MEMBERS ADVOCATE SHERMAN HOSPITAL HAS A SOLE CORPORATE MEMBER, ADVOCATE HEALTH CARE NETWORK, WHO ELECTS ITS DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 7BGOVERNANCE DECISIONS THE FOLLOWING REQUIRE A RECOMMENDATION INITIATED BY THE BOARD OF DIRECTORS AND THE SUBSEQUENT APPROVAL BY THE CORPORATE MEMBER, ADVOCATE HEALTH CARE NETWORK, TO BE VALID: A) APPOINTMENT OF THE MEMBERS OF THE BOARD OR ITS AFFILIATES, OTHER THAN THE EX OFFICIO DIRECTORS; B) AMENDMENT OF THE ARTICLES OF INCORPORATION OF THE CORPORATION OR ITS AFFILIATES; C) AMENDMENT OF THE BYLAWS OF THE CORPORATION OR ITS AFFILIATES; D) IMPLEMENTATION OF ANY CHANGE TO THE STRUCTURE OR OPERATION OF THE CORPORATION OR ITS AFFILIATES THAT COULD AFFECT THE CORPORATION'S OR ANY AFFILIATE'S TAX-EXEMPT STATUS; E) ADOPTION OF A STRATEGIC PLAN; F) APPROVAL OF THE CORPORATION'S OR ANY AFFILIATE'S ANNUAL CAPITAL PLAN; G) APPROVAL OF THE CORPORATION'S OR ANY AFFILIATE'S ANNUAL OPERATING BUDGET; H) TRANSFER OR ENCUMBRANCE OF ANY OF THE CORPORATION'S OR ANY AFFILIATE'S ASSETS BY PURCHASE, SALE, CAPITAL LEASE, MORTGAGE, DISPOSITION OR HYPOTHECATION IN EXCESS OF LIMITS ESTABLISHED BY THE CORPORATE MEMBER'S FINANCIAL APPROVAL POLICY; I) FILING OF A CERTIFICATE OF NEED OR EXEMPTION APPLICATION (OR ANY AMENDMENT THERETO) BY THE CORPORATION OR ANY AFFILIATE; J) DISSOLVING OR WINDING-UP THE CORPORATION, OR AN AFFILIATE, OR ABANDONING AN ENTIRE BUSINESS ENTERPRISE THEREOF; K) FILING ANY ACTION IN BANKRUPTCY OR RECEIVERSHIP REGARDING THE CORPORATION OR ANY AFFILIATE; L) THE SALE OR TRANSFER OF ANY MEMBER INTEREST, STOCK, OR OTHER OWNERSHIP INTEREST IN ANY AFFILIATE OF THE CORPORATION; M) THE MERGER OR CONSOLIDATION OF THE CORPORATION OR ANY AFFILIATE, OR THE FORMATION OF ANY PARTNERSHIP, CO-SPONSORSHIP ARRANGEMENT OR JOINT VENTURE BETWEEN OR AMONG THE CORPORATION OR ANY AFFILIATE AND ANY THIRD PARTY; N) ADOPTION OR AMENDMENT OF ANY POLICY, PROTOCOL OR PROCEDURE THAT IS INCONSISTENT WITH ONE OR MORE OF THE CORPORATE MEMBER'S SYSTEM-WIDE POLICIES, PROTOCOLS OR PROCEDURES OR THE CORPORATE MEMBER'S ARTICLES OF INCORPORATION AND/OR BYLAWS; PROVIDED, HOWEVER, THAT THIS COLLABORATIVE AUTHORITY DOES NOT ABROGATE THE POWER OF THE BOARD TO ADOPT POLICIES, PROTOCOLS AND/OR PROCEDURES FOR WHICH NO SYSTEM-WIDE POLICY, PROTOCOL OR PROCEDURE EXISTS AND THAT ARE RELATED SOLELY TO THE INTERNAL OPERATIONS OF THE CORPORATION AND/OR ANY OF ITS AFFILIATES; AND O) APPOINTMENT OF THE CORPORATION'S OFFICERS IDENTIFIED IN SECTION 6.2 OF THE CORPORATION'S BYLAWS. THE CORPORATE MEMBER MAY TAKE THE FOLLOWING ACTIONS WITHOUT THE APPROVAL OR RECOMMENDATION OF THE BOARD OF DIRECTORS: A) REMOVAL OF ANY OF THE MEMBERS OF THE BOARD "FOR CAUSE" IN ACCORDANCE WITH SECTION 3.15 OF THE CORPORATION'S BYLAWS; B) THE INCURRENCE OR MODIFICATION OF SHORT OR LONG-TERM DEBT AND LEASE OBLIGATIONS; C) APPOINTMENT OR REMOVAL OF THE CORPORATION'S PRESIDENT OR CHIEF FINANCIAL OFFICER ("CFO"); D) ADOPTION OF AN ANNUAL CAPITAL PLAN FOR THE CORPORATION, BUT ONLY AFTER THE CORPORATE MEMBER HAS MADE A GOOD FAITH DETERMINATION THAT THE BOARD HAS NOT RECOMMENDED AN ACCEPTABLE ANNUAL CAPITAL PLAN IN A TIMELY MANNER; AND E) ADOPTION OF AN ANNUAL OPERATING BUDGET FOR THE CORPORATION, BUT ONLY AFTER THE CORPORATE MEMBER HAS MADE A GOOD FAITH DETERMINATION THAT THE BOARD HAS NOT RECOMMENDED AN ACCEPTABLE ANNUAL OPERATING BUDGET IN A TIMELY MANNER.
FORM 990, PART VI, SECTION B, LINE 11BDESCRIPTION OF THE PROCESS USED BY MANAGEMENT AND/OR GOVERNING BODY TO REVIEW 990 THE FORM 990 WAS REVIEWED BY SENIOR LEADERSHIP OF ADVOCATE AURORA HEALTH, INC. AT THE NOVEMBER AUDIT COMMITTEE MEETING, THE VP OF FINANCE/CORPORATE CONTROLLER AND CHIEF FINANCIAL OFFICER COORDINATED A REVIEW OF THE FORM 990 WITH COMMITTEE MEMBERS, AS THE AUDIT COMMITTEE IS THE COMMITTEE OF THE BOARD OF DIRECTORS CHARGED WITH OVERSIGHT OF AUDIT AND TAX MATTERS. THE VP OF FINANCE/CORPORATE CONTROLLER AND CHIEF FINANCIAL OFFICER RESPONDED TO THE AUDIT COMMITTEE MEMBERS' QUESTIONS AND PROVIDED THE OPPORTUNITY FOR DETAILED DISCUSSION OF THE FORM 990. THE CHANGES IDENTIFIED WERE INCORPORATED, AND THEN A COMPLETE COPY OF THE FINAL FORM 990 WAS PROVIDED TO EACH MEMBER OF THE ORGANIZATION'S BOARD OF DIRECTORS BEFORE THE FORM 990 WAS FILED.
FORM 990, PART VI, SECTION B, LINE 12CCONFLICT OF INTEREST POLICY THE ORGANIZATION'S CONFLICT OF INTEREST POLICY APPLIES TO VARIOUS PEOPLE, INCLUDING MEMBERS OF ADVOCATE'S BOARD OF DIRECTORS, GOVERNING COUNCILS, OFFICERS, ASSOCIATES, VOLUNTEERS, AND MEDICAL STAFF MEMBERS WITH ADMINISTRATIVE RESPONSIBILITIES. ANNUALLY, THE COMPLIANCE DEPARTMENT SENDS THIS POLICY AND THE ADVOCATE CODE OF BUSINESS CONDUCT TO A RANGE OF INDIVIDUALS WHO MAY BE IN A POSITION TO EXERCISE SUBSTANTIAL INTEREST OVER A PARTICULAR MATTER (DEFINED AS "INTERESTED PERSONS"). THEY ARE REQUIRED TO READ THE POLICIES AND PROVIDE THE COMPLIANCE DEPARTMENT WITH A DISCLOSURE STATEMENT, WHICH IDENTIFIES ACTIVITIES AND RELATIONSHIPS THAT COULD POTENTIALLY GIVE RISE TO A CONFLICT OF INTEREST. THE CHIEF COMPLIANCE OFFICER REVIEWS THE DISCLOSURES AND PROVIDES A REPORT TO THE SYSTEM BUSINESS CONDUCT (COMPLIANCE) COMMITTEE, EXECUTIVE MANAGEMENT TEAM AND THE AUDIT COMMITTEE OF THE BOARD FOR REVIEW. THE REPORT IS THEN PROVIDED, IN RELEVANT PART, TO THE SITE CHIEF EXECUTIVE OFFICERS. POTENTIAL CONFLICTS ARE REVIEWED BY THE COMPLIANCE DEPARTMENT ON A CASE BY CASE BASIS. FOLLOW-UP PROCEDURES CONDUCTED ARE UNIQUE TO THE GIVEN CIRCUMSTANCE AND MAY INCLUDE REVIEWING THE POTENTIAL CONFLICT WITH THE INTERESTED PERSON OR INVESTIGATING THE MATTER IN CONSULTATION WITH THE INTERESTED PERSON'S SUPERVISOR AND/OR SITE MANAGEMENT. IN CIRCUMSTANCES WHERE THE INTERESTED PERSON IS NOT A MEMBER OF THE BOARD OR GOVERNING COUNCIL OR A COMMITTEE THEREOF OR A PERSON OF INTEREST, AND IT IS DETERMINED THAT THERE IS AN ACTUAL CONFLICT OF INTEREST, THE SUPERVISOR OF THE INDIVIDUAL IS RESPONSIBLE FOR MAKING AN APPROPRIATE RESPONSE--POTENTIALLY INCLUDING A RESTRICTION OF THE INDIVIDUAL'S JOB DUTIES WITH RESPECT TO THE MATTER GIVING RISE TO THE CONFLICT.
FORM 990, PART VI, SECTION B, LINE 15EXECUTIVE COMPENSATION AT THE ADVOCATE HEALTH CARE NETWORK AND SUBSIDIARIES IS BASED ON A BOARD OF DIRECTORS' APPROVED STRATEGY THAT GUIDES THE CORPORATION IN ESTABLISHING COMPENSATION OPPORTUNITIES FOR EXECUTIVES, MANAGERS, PROFESSIONALS, AND ALL EMPLOYEES. IN THIS STRATEGY, SPECIFIC MARKET COMPARISONS ARE IDENTIFIED AND THE DESIRED LEVEL OF COMPETITIVENESS IN THOSE MARKETS SPECIFIED. IN ADDITION, THE LINKAGE OF EXECUTIVE PAY TO PERFORMANCE IS ARTICULATED AND HOW THIS RELATIONSHIP IS TO BE MAINTAINED IS OUTLINED. TO SUPPORT AND IMPLEMENT THE COMPENSATION STRATEGY, FIVE BASIC ELEMENTS ARE UTILIZED. THESE ELEMENTS ARE: - A SOLID, RELIABLE AND TESTED JOB EVALUATION METHODOLOGY - ACCURATE, QUALITY AND RELEVANT COMPENSATION SURVEY INFORMATION - A CONSISTENT ANNUAL PROCESS FOR UPDATING THE COMPENSATION LEVELS - AN ACTIVE BOARD REVIEW PROCESS THAT ASSURES COMPLIANCE WITH THE COMPENSATION STRATEGY AND ON-GOING REVIEW OF THE PERFORMANCE OF THE ORGANIZATION, AND - ACTIVE, EXTERNAL REVIEW AND AUDITING OF COMPENSATION BY EXTERNAL INDEPENDENT CONSULTANTS.
FORM 990, PART VI, SECTION C, LINE 19AVAILABILITY OF DOCUMENTS, CONFLICT OF INTEREST POLICY & FINANCIAL STATEMENTS THE ORGANIZATION MAKES ITS FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC THROUGH THE FOLLOWING WEBSITES: - DACBOND.COM (DIGITAL ASSURANCE CERTIFICATION LLC) - EMMA.MSRB.ORG (ELECTRONIC MUNICIPAL MARKET ACCESS) THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS OR CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC.

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (9 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtDirect Controlling NADirectControllingNACdControlled OrganizationControlledOrganizationIndBusiness Name Line1DirectControllingEntityName/BusinessNameLine1Txt
ADVOCATE HEALTH CARE NETWORK
2025 WINDSOR DROAK BROOKIL60523362167779PARENT CORPIL501(C)(3)LINE 12C, III-FIN/A0
ADVOCATE CONDELL MEDICAL CENTER
2025 WINDSOR DROAK BROOKIL60523262525968HEALTH CAREIL501(C)(3)LINE 30AHHC
ADVOCATE NORTH SIDE HEALTH NETWORK
2025 WINDSOR DROAK BROOKIL60523363196629HEALTH CAREIL501(C)(3)LINE 30AHHC
ADVOCATE HEALTH & HOSPITALS CORPORATION
2025 WINDSOR DROAK BROOKIL60523362169147HEALTH CAREIL501(C)(3)LINE 30AHCN
ADVOCATE CHARITABLE FOUNDATION
2025 WINDSOR DROAK BROOKIL60523363297360FUNDRAISINGIL501(C)(3)LINE 70AHCN
EHS HOME HEALTH CARE SERVICE INC
2025 WINDSOR DROAK BROOKIL60523362913108HOME CAREIL501(C)(3)LINE 100AHHC
MERIDIAN HOSPICE
2025 WINDSOR DROAK BROOKIL60523363158667HOSPICE CAREIL501(C)(3)LINE 100EHSHHCS
MASONIC FAMILY HEALTH FOUNDATION INC
2025 WINDSOR DROAK BROOKIL60523364397387FUNDRAISINGIL501(C)(3)LINE 12A, I0MFHS
ADVOCATE AURORA HEALTH INC
2025 WINDSOR DROAK BROOKIL60523824184596SUPPORT ORGDE501(C)(3)LINE 12D, III-ON/AYes (1)

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (11 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdDirect Controlling NADirectControllingNACdEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndAddress Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmCountryForeignAddress/CountryCdForeign PostalForeignAddress/ForeignPostalCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCd
ADVOCATE HOME CARE PRODUCTS
2025 WINDSOR DROAK BROOKIL60523363315416HEALTH SERVICESILN/AC0
EVANGELICAL SERVICES CORPORATION
2025 WINDSOR DROAK BROOKIL60523363208101MGMT SERVICESILN/AC0
HIGH TECHNOLOGY INC
2025 WINDSOR DROAK BROOKIL60523363368224MEDICAL SERVICESILN/AC0
DREYER CLINIC INC
2025 WINDSOR DROAK BROOKIL60523362690329MEDICAL SERVICESILN/AC0
PARKSIDE CENTER CONDO ASSOCIATION
1775 WEST DEMPSTER STREETPARK RIDGEIL60068363452486PROPERTY MGMTILN/AC0
THE DELPHI GROUP IV INC
1425 N RANDALL ROADELGINIL60123364017279HEALTH COST MGTILN/AC0
ADVOCATE HPN NFP
2025 WINDSOR DROAK BROOKIL60523810893878HEALTH IMPRVILN/AC0
ADVOCATE INSURANCE SPC
980422925INSURANCEN/AC0878 W BAY RD PO BOX 1159GRAND CAYMANCJKY1-1102CJ
ADVOCATE HEALTH PARTNERS
1701 WEST GOLF ROADROLLING MEADOWSIL60008364032117HEALTH CARE MGTILN/AC0
ADVOCATE PHYSICIAN PARTNERS ACCTBLE CARE
1701 WEST GOLF ROADROLLING MEADOWSIL60008455498384HEALTH CARE MGTILN/AC0
ADVOCATE PHYSICIAN PTNRS RISK PURC GROUP
1701 WEST GOLF ROADROLLING MEADOWSIL60008383914173GROUP MALPRACTICEILN/AC0
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts Rylts0ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth Org0GiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth Org0GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other Org0LoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgYes (1)LoansOrGuaranteesFromOthOrgInd
Div Related Organization0DivRelatedOrganizationInd
Asset Sale To Other Org0AssetSaleToOtherOrgInd
Asset Purchase From Other Org0AssetPurchaseFromOtherOrgInd
Asset Exchange0AssetExchangeInd
Rental Of Facilities To Oth Org0RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth Org0RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth Org0PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (1)PerformOfServicesByOtherOrgInd
Sharing Of Facilities0SharingOfFacilitiesInd
Paid Employees Sharing0PaidEmployeesSharingInd
Reimbursement Paid To Other Org0ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (1)ReimbursementPaidByOtherOrgInd
Transfer To Other Org0TransferToOtherOrgInd
Transfer From Other OrgYes (1)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (24 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
ADVOCATE HEALTH AND HOSPITALS CORPORATION
S$3,586,329COST
ADVOCATE HEALTH AND HOSPITALS CORPORATION
S$34,830COST
ADVOCATE HEALTH AND HOSPITALS CORPORATION
S$611,568COST
ADVOCATE HEALTH AND HOSPITALS CORPORATION
S$6,374,456COST
ADVOCATE HEALTH AND HOSPITALS CORPORATION
S$2,214,534COST
ADVOCATE HEALTH AND HOSPITALS CORPORATION
R$29,049,306COST
ADVOCATE HEALTH AND HOSPITALS CORPORATION
S$24,816,672COST
ADVOCATE HEALTH AND HOSPITALS CORPORATION
E$360,000COST
ADVOCATE HEALTH CARE NETWORK
E$250,000COST
ADVOCATE HEALTH AND HOSPITALS CORPORATION
E$360,000COST
ADVOCATE HEALTH CARE NETWORK
E$250,000COST
ADVOCATE HEALTH AND HOSPITALS CORPORATION
E$1,805,000COST
ADVOCATE HEALTH AND HOSPITALS CORPORATION
E$718,341COST
ADVOCATE HEALTH CARE NETWORK
E$7,550,000COST
ADVOCATE HEALTH AND HOSPITALS CORPORATION
S$5,819,805COST
ADVOCATE HEALTH PARTNERS
M$2,889,016COST
ADVOCATE HEALTH PARTNERS
M$179,425COST
ADVOCATE HOME CARE PRODUCTS INC
M$38,656COST
ADVOCATE INSURANCE SPC
M$1,258,668COST
ADVOCATE HEALTH CARE NETWORK
S$1,017,585COST
ADVOCATE HEALTH AND HOSPITALS CORPORATION
D$191,000COST
ADVOCATE HEALTH PARTNERS
D$126,000COST
ADVOCATE HEALTH AND HOSPITALS CORPORATION
D$360,000COST
ADVOCATE HEALTH CARE NETWORK
D$250,000COST