2015-11-13T07:19:21-06:00 2014-12-31 ERNST & YOUNG US LLP 155 N Wacker Drive Chicago IL 60606 990 2014-01-01 363196629 ADVOCATE NORTH SIDE HEALTH NETWORK % James Doheny ADVO 6309295543 3075 HIGHLAND PARKWAY DOWNERS GROVE IL 60515 James W Doheny VP FIN & CONTROLLER 2015-11-12 TAMARA TARAZI P01266026 3128792000 2014 2016-04-25 22:37:26Z Susan Nordstrom Lopez 3075 Highland Parkway Downers Grove IL 60515 514215091 false X WWW.ADVOCATEHEALTH.COM X 1983 IL SERVE HEALTH NEEDS OF COMMUNITIES THROUGH WHOLISTIC PHILOSOPHY ROOTED IN FUNDAMENTAL UNDERSTANDING OF HUMANS AS CREATED IN THE IMAGE OF GOD. 12 7 2908 345 395691 5623234 5991871 479394750 437513852 7656723 11475644 7433555 7222139 500108262 462203506 193590 141600 0 0 214603003 174547879 0 0 0 220875365 207377305 435671958 382066784 64436304 80136722 459708706 509162926 126605400 102496525 333103306 406666401 X THE MISSION OF ADVOCATE HEALTH CARE IS TO SERVE THE HEALTH NEEDS OF INDIVIDUALS, FAMILIES AND COMMUNITIES THROUGH A WHOLISTIC PHILOSOPHY ROOTED IN OUR FUNDAMENTAL UNDERSTANDING OF HUMAN BEINGS AS CREATED IN THE IMAGE of god. false false 303116176 141600 423976747 PROVIDING INPATIENT AND OUTPATIENT HEALTHCARE SERVICES TO THE COMMUNITY REGARDLESS OF THE PATIENTS' ABILITY TO PAY. INCLUDED IN THIS PROGRAM SERVICE ARE THE PROVISION OF CHARITY CARE AND TRAUMA CARE. AS PART OF ITS COMMUNITY BENEFITS STRATEGY AND ITS MISSION, ADVOCATE NORTH SIDE HEALTH NETWORK (ANSHN), FOR WHICH ADVOCATE ILLINOIS MASONIC MEDICAL CENTER (AIMMC) IS THE ONLY HOSPITAL, IS COMMITTED TO PROMOTING INITIATIVES THAT ENHANCE ACCESS TO HEALTH CARE FOR THE UNINSURED AND UNDERINSURED. AN EXAMPLE OF THIS IS AIMMC'S PROVISION OF CHARITY CARE WHICH PROVIDES INPATIENT AND OUTPATIENT HEALTHCARE SERVICES TO THE COMMUNITY REGARDLESS OF THE PATIENTS' ABILITY TO PAY. AS PART OF ITS COMMUNITY BENEFITS STRATEGY AND ITS MISSION, AIMMC IS COMMITTED TO PROMOTING INITIATIVES THAT ENHANCE ACCESS TO HEALTH CARE FOR THE UNINSURED AND UNDERINSURED. AIMMC OFFERS A VERY GENEROUS CHARITY CARE PROGRAM - REQUIRING NO PAYMENTS FROM THE PATIENTS MOST IN NEED, AND PROVIDING DISCOUNTS TO UNINSURED PATIENTS EARNING UP TO SIX TIMES THE FEDERAL POVERTY LEVEL AND TO INSURED PATIENTS EARNING UP TO FOUR TIMES THE FEDERAL POVERTY LEVEL. THE MEDICAL CENTER ALSO CONSIDERS A PATIENT'S EXTENUATING CIRCUMSTANCES TO QUALIFY PATIENTS FOR CHARITY CARE. FOR UNINSURED PATIENTS, AIMMC WILL PRESUMPTIVELY PROVIDE CHARITY CARE IF THE FINANCIAL STATUS HAS BEEN VERIFIED BY A THIRD PARTY AND, IN SOME CASES, THE PATIENT IS NOT REQUIRED TO SUBMIT A SEPARATE CHARITY APPLICATION. IF PRESUMPTIVE CRITERIA IS NOT AVAILABLE FOR UNINSURED PATIENTS, THEN FINANCIAL ASSISTANCE ELIGIBILITY IS AVAILABLE USING AN INCOME-BASED SCREENING. AIMMC EXTENDS ITS INCOME-BASED FINANCIAL ASSISTANCE POLICY TO ITS INSURED PATIENTS AS WELL, ALSO TAKING INTO CONSIDERTION THE INSURED PATIENT'S EXTENUATING CIRCUMSTANCES. ALTHOUGH ITS CHARITY CARE POLICY IS VERY GENEROUS, AIMMC CONTINUES TO REVIEW AND REFINE ITS POLICY IN AN ONGOING EFFORT TO ENSURE THAT FINANCIAL ASSISTANCE IS AVAILABLE WHEN THEY NEED IT TO THOSE WHO NEED HELP. THE MEDICAL CENTER MAINTAINS HIGHLY VISIBLE SIGNAGE AND BROCHURES IN MULTIPLE LANGUAGES TO INFORM PATIENTS OF THE AVAILABILITY OF FINANCIAL HELP AND FINANCIAL COUNSELORS. INFORMATION ABOUT ITS CHARITY CARE PROGRAM AND CHARITY APPLICATIONS IS PROVIDED TO ALL UNINSURED PATIENTS DURING REGISTRATION AND IS MAILED TO THEM IN ADVANCE OF THE FIRST PATIENT BILLING. AFTER THAT, EACH UNINSURED PATIENT'S BILL INCLUDES SUMMARY INFORMATION REGARDING THE CHARITY CARE PROGRAM. IN THE AREA OF TRAUMA CARE, AIMMC IS DEDICATED TO PROVIDING EXPERT EMERGENCY CARE - TODAY AND IN THE FUTURE. THE MEDICAL CENTER'S LEVEL I TRAUMA CENTER CARES FOR THE MOST SERIOUSLY INJURED PEOPLE IN ITS SERVICE AREA. IN 2014, AIMMC EXPERIENCED 924 TRAUMA VISITS. THE TRAUMA CENTER IS STAFFED BY ON-SITE, 24-HOUR-A-DAY TRAUMA SURGEONS, AND FEATURES 24-HOUR SURGICAL AND NONSURGICAL SERVICES, SUCH AS RADIOLOGY AND ANESTHESIA. -1012909 -858375 HEALTH CARE SERVICES PROVIDED BY PHYSICIANS EMPLOYED BY THE ORGANIZATION. AS PART OF AIMMC'S BROAD ARRAY OF SERVICES AND PROGRAMS DESIGNED TO MEET COMMUNITY HEALTH NEEDS, ITS PHYSICIANS FOCUS ON ADDRESSING THE MOST SIGNIFICANT ISSUES IMPACTING PUBLIC HEALTH IN AIMMC'S SERVICE AREA. THROUGH THIS FOCUSED APPROACH, PHYSICIANS ALSO CONCENTRATE ON PROVIDING PROGRAMS AND SERVICES THAT TARGET THE UNIQUE NEEDS FOR HEALTH CARE ACCESS OF UNINSURED, UNDERINSURED, UNDERSERVED AND SPECIAL NEEDS INDIVIDUALS LIVING IN THE COMMUNITIES SERVED BY THE MEDICAL CENTER. ONE SUCH PROGRAM IS THE PEDIATRIC DEVELOPMENT CENTER (PDC) LOCATED ON AIMMC'S CAMPUS. MORE THAN HALF OF THE FAMILIES SERVED IN THE PDC ARE LOW INCOME. THE PROGRAM SERVES CHILDREN WITH AUTISM AND THEIR FAMILIES, AND PROVIDES A 12-MONTH COURSE OF INTENSIVE, HOME-BASED INTERVENTION FOR CHILDREN WITH AUTISM BETWEEN AGES 2 TO 6 YEARS OLD. INTEGRATING A VARIETY OF TREATMENT APPROACHES, THE PROGRAM GOALS INCLUDE ORGANIZING THE HOME ENVIRONMENT FOR SUCCESSFUL PARENTING, DEVELOPING A FUNCTIONAL COMMUNICATION SYSTEM FOR THE CHILD, TEACHING PARENTS HOW TO HELP THEIR YOUNG CHILD WITH AUTISM TO GROW AND LEARN, AND PREPARING THE CHILD TO TAKE FULL ADVANTAGE OF SPECIAL EDUCATION. THE AUTISM TREATMENT CENTER IS THE LARGEST IN THE STATE. WHILE THIS IS JUST ONE EXAMPLE, AIMMC HAS SEVERAL KEY PROGRAMS PROVIDED BY PHYSICIANS EMPLOYED BY THE MEDICAL CENTER. BOTH THE MEDICAL CENTER'S PHYSICIANS AND STAFF ALSO PROVIDE YEAR ROUND HEALTH EDUCATION, LECTURES AND SCREENINGS AT COMMUNITY HEALTH EVENTS THROUGHOUT ANSHN'S SERVICE AREA. 24525235 6134323 GRADUATE MEDICAL EDUCATION - AIMMC IS COMMITTED TO TRAINING HEALTH CARE PROVIDERS IN A BROAD RANGE OF SPECIALTIES. IN 2014, 602 MEDICAL STUDENTS COMPLETED ROTATIONS AND 250 MEDICAL RESIDENTS AND FELLOWS RECEIVED HANDS-ON TRAINING AT THE MEDICAL CENTER. ALSO AN IMPORTANT COMPONENT IS ITS COMMITMENT TO TRAINING OTHER HEALTH CARE PROFESSIONALS; SUCH AS PHARMACY, NURSING, PSYCHOLOGY REHAB, AND SOCIAL WORK STUDENTS. AIMMC'S SPIRITUAL CARE LEADER ALSO OVERSEES A CLINICAL PASTORAL EDUCATION PROGRAM, PROVIDING OPPORTUNITIES FOR SEMINARY STUDENTS AND LOCAL HEALTH LEADERS TO GROW AND DEVELOP SPIRITUAL CARE MINISTRY SKILLS. 10654792 8322650 337283294 true true false true false false false false false false true false true false true false false true false false false false false false false false true true true false true false false false false false false true false false false false false false true true true false false true 216 0 true 2908 true true true false false false false false false false false false X 12 7 true false false false true true true true true false false true true true true true true true true true true IL X James Doheny 6309295543 3075 Highland Parkway Ste 600 Downers Grove IL 60515 James Skogsbergh Exec VP, COO, director 1.0 43.0 X X 0 5592968 2089788 Michele Baker Richardson Chairperson, Director 1.0 3.0 X 0 0 0 John Timmer Vice Chairperson, Director 1.0 3.0 X 0 0 0 Gail D 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II-B, LINE 1I SUPPLEMENTAL LOBBYING INFORMATION ADVOCATE NORTH SIDE HEALTH NETWORK IS A MEMBER OF THE AMERICAN HOSPITAL ASSOCIATION, THE ILLINOIS HOSPITAL ASSOCIATION AND THE METROPOLITAN CHICAGO HEALTHCARE COUNCIL. THESE ORGANIZATIONS, AS PART OF THEIR MISSIONS, ADVOCATE IN THE GENERAL ASSEMBLY AND CONGRESS ON LEGAL AND POLICY ISSUES THAT AFFECT HEALTHCARE INCLUDING QUALITY, AFFORDABILITY, PATIENT ACCESS AND ACCREDITATION. A PORTION OF THE ANNUAL MEMBERSHIP DUES PAID TO THESE ORGANIZATIONS IS ATTRIBUTABLE TO THESE LOBBYING ACTIVITIES. ADVOCATE NORTH SIDE HEALTH NETWORK ALSO REIMBURSES VARIOUS ASSOCIATES FOR DUES PAID TO VARIOUS PROFESSIONAL ORGANIZATIONS AND ALSO FOR EDUCATIONAL EXPENSES PROVIDED BY PROFESSIONAL AND MEMBERSHIP ORGANIZATIONS. ADVOCATE NORTH SIDE HEALTH NETWORK ENDEAVORS TO IDENTIFY THE PORTION OF DUES OR FEES PAID TO THESE ORGANIZATIONS WHICH ARE ATTRIBUTABLE TO LOBBYING ACTIVITIES. 41430313 41430313 140978192 75746112 65232080 1722758 1449804 272954 65578642 41616446 23962196 102216262 102216262 233113805 Masonic Family Health Fdn 88205000 F Chicago Northside MRI 950858 F Rehab Institute of Chicago 99567 F 89255425 130345 Third Party Settlements 35209473 Ravenswood Community Committment 2530204 Remediation Cost Liability 1127811 38997833 true true X true X true X 600. true true false true true 7677603 145996 7531608 0.02140 97402032 94970442 2431590 0.00690 105079635 95116438 9963198 0.02830 1599208 1599208 0.00450 28872400 6134323 22738077 0.06450 7781853 7053401 728452 0.00210 439368 439368 0.00120 38692829 13187724 25505105 0.07230 143772464 108304162 35468303 0.10060 false 29497212 370530 67443103 64949174 2493929 X true true 1 1 ILLINOIS MASONIC MEDICAL CENTER 836 WEST WELLINGTON AVENUE CHICAGO IL 60657 http://www.advocatehealth.com/immc/ license no 0005165 X X X X ILLINOIS MASONIC MEDICAL CENTER 1 false false true X X X X X X X X 13 true false false true X www.advocatehealth.com/chnareports X true 14 true www.advocatehealth.com/chnareports false false true X 200. 600. X X X X X X true true X X X X true X X X X X X X X X true X false X X X X X true X true false PART V, SEC B, LINE 2 N/A PART V, SEC B, LINE 3J N/A PART V, SEC B, LINE 5 COMMUNITY HEALTH COUNCILS REVIEW DATA & SET PRIORITIES IN SUPPORT OF THIS VISION AND IN ALIGNMENT WITH ADVOCATE HEALTH CARE'S STANDARDIZED APPROACH, ILLINOIS MASONIC MEDICAL CENTER CONVENED A COMMUNITY HEALTH COUNCIL TO CONDUCT ITS COMPREHENSIVE CHNA. THIS COUNCIL WAS CO-CHAIRED BY THE MEDICAL CENTER'S VICE-PRESIDENT OF MISSION & SPIRITUAL CARE AND COMMUNITY RELATIONS, AND THE DIRECTOR OF COMMUNITY HEALTH. THE COMMUNITY HEALTH COUNCIL WAS COMPRISED OF REPRESENTATIVES FROM THE EXECUTIVE TEAM, PUBLIC AFFAIRS AND MARKETING, MISSION AND SPIRITUAL CARE, AND BUSINESS DEVELOPMENT AND STRATEGY. COMMUNITY MEMBERS SERVING ON THE HOSPITAL'S GOVERNING COUNCIL WERE ALSO RECRUITED AS ACTIVE PARTICIPANTS IN THE COMMUNITY HEALTH COUNCIL. ADDITIONAL HOSPITAL STAFF AND COMMUNITY REPRESENTATIVES WERE ADDED AS THE PROCESS EVOLVED TO FILL IN ANY COMMUNITY HEALTH COUNCIL GAPS IN EXPERTISE. THE TITLES AND AFFILIATIONS OF THE COMMUNITY HEALTH COUNCIL'S MEMBERS ARE PROVIDED BELOW. ILLINOIS MASONIC MEDICAL CENTER COMMUNITY HEALTH COUNCIL MEMBERS: * ASSOCIATE PASTOR, ST. PAUL'S UNITED CHURCH OF CHRIST/MEMBER, GOVERNING COUNCIL, ILLINOIS MASONIC MEDICAL CENTER * PASTOR, SPANISH CHRISTIAN CHURCH/MEMBER, GOVERNING COUNCIL, ILLINOIS MASONIC MEDICAL CENTER * PASTOR, ST. LUKE'S LUTHERAN CHURCH/MEMBER, GOVERNING COUNCIL, ILLINOIS MASONIC MEDICAL CENTER * CHAIRMAN, FAMILY PRACTICE, ILLINOIS MASONIC MEDICAL CENTER/MEMBER, GOVERNING COUNCIL, ILLINOIS MASONIC MEDICAL CENTER * REGISTERED NURSE AND COMMUNITY HEALTH CONSULTANT * VICE PRESIDENT, CLINICAL OPERATIONS AND CHIEF NURSING OFFICER, ILLINOIS MASONIC MEDICAL CENTER * VICE PRESIDENT, BUSINESS DEVELOPMENT, ILLINOIS MASONIC MEDICAL CENTER * VICE PRESIDENT, MISSION & SPIRITUAL CARE AND COMMUNITY RELATIONS, ILLINOIS MASONIC MEDICAL CENTER * ASSOCIATE GENERAL COUNSEL, LEGAL AFFAIRS DEPARTMENT, ADVOCATE HEALTH CARE * ADMINISTRATOR, FINANCE, ILLINOIS MASONIC MEDICAL CENTER * CEO, HISPANOCARE AND DIRECTOR OF COMMUNITY HEALTH & EDUCATION, ILLINOIS MASONIC MEDICAL CENTER * DIRECTOR, PUBLIC AFFAIRS & MARKETING, ILLINOIS MASONIC MEDICAL CENTER * DIRECTOR, CLINICAL TRANSFORMATION, ILLINOIS MASONIC MEDICAL CENTER * DIRECTOR, MEDICAL EDUCATION & MEDICAL RESEARCH, ILLINOIS MASONIC MEDICAL CENTER * MANAGER, PUBLIC AFFAIRS, ILLINOIS MASONIC MEDICAL CENTER * PLANNING MANAGER, BUSINESS DEVELOPMENT AND STRATEGY, ILLINOIS MASONIC MEDICAL CENTER * SENIOR BUDGET ANALYST, ILLINOIS MASONIC MEDICAL CENTER * COORDINATOR, HISPANOCARE, ILLINOIS MASONIC MEDICAL CENTER SELECTED MEMBERS OF THE MEDICAL CENTER'S COMMUNITY HEALTH COUNCIL ATTENDED TWO CHNA WORKSHOPS HOSTED BY THE ADVOCATE SYSTEM, WHICH WERE DESIGNED TO LAUNCH THE PROCESS BY EDUCATING THEM ON HOW TO CONDUCT AN ASSESSMENT AND HOW TO FIND RELIABLE DATA SOURCES. USING BOTH PRIMARY AND SECONDARY COMMUNITY HEALTH DATA, THE TEAM IDENTIFIED THE MEDICAL CENTER SERVICE AREA'S KEY HEALTH NEEDS AND THEN EMPLOYED A PRIORITY-SETTING PROCESS TO DETERMINE KEY HEALTH NEEDS ON WHICH TO FOCUS. THIS PROCESS INCLUDED AN EXAMINATION OF BOTH THE MEDICAL CENTER'S AND THE COMMUNITY'S ISSUES/CHALLENGES AND ASSETS, AND DISCUSSIONS WITH EXTERNAL AND INTERNAL KEY INFORMANTS TO DETERMINE THE POTENTIAL FOR PARTNERSHIPS WITH OTHER ORGANIZATIONS AND FOR SHARING RESOURCES TO ADDRESS COMMUNITY NEED. ILLINOIS MASONIC MEDICAL CENTER'S CHNA RESULTS AND SELECTED PRIORITIES WERE SHARED WITH THE MEDICAL CENTER'S GOVERNING COUNCIL DURING EACH OF THE FIRST TWO YEARS OF THE THREE-YEAR PROCESS, WITH FULL ENDORSEMENT OF THE MEDICAL CENTER'S COMMUNITY HEALTH PLAN BY ITS GOVERNING COUNCIL ON DECEMBER 17, 2014. OTHER KEY INFORMANTS ARE LISTED BELOW: ADVOCATE ILLINOIS MASONIC MEDICAL CENTER CONSULTED WITH THE CHICAGO DEPARTMENT OF PUBLIC HEALTH TO PROCURE HEALTH ASSESSMENTS FOR THE COMMUNITY SERVED BY ADVOCATE ILLINOIS MASONIC MEDICAL CENTER. PART V, SEC B, LINE 6A N/A PART V, SEC B, LINE 6B N/A PART V, SEC B, LINE 7D N/A PART V, SEC B, LINE 11 ILLINOIS MASONIC MEDICAL CENTER'S COMMUNITY HEALTH COUNCIL IDENTIFIED SEVERAL KEY HEALTH NEEDS WITHIN THE COMMUNITY INCLUDING CANCER, HEART DISEASE, BEHAVIORAL HEALTH SERVICES, DENTAL SERVICES, AND CHILDHOOD AND ADOLESCENT OBESITY. THE TWO HEALTH ISSUES IDENTIFIED AS PRIORITIES TO BE ADDRESSED WERE: 1. BEHAVIORAL HEALTH SERVICES/MENTAL HEALTH 2. DENTAL SERVICES PRIORITY AREA: MENTAL HEALTH TARGET POPULATION: CHRONICALLY AND PERSISTENTLY MENTALLY ILL INDIVIDUALS IN ACUTE CRISIS. GOAL: DECREASE EMERGENCY AND HOSPITAL VISITS FOR PSYCHIATRIC CARE; IMPROVE HEALTH STATUS AND PERCEPTION OF PHYSICAL AND EMOTIONAL WELLBEING. PERFORMANCE MEASURES: * PERCENT OF KEPT APPOINTMENTS FOR INITIAL OUTPATIENT BEHAVIORAL HEALTH CARE POST HOSPITAL INPATIENT PSYCHIATRIC DISCHARGE (GOAL IS 90%). * PERCENT OF PATIENTS SERVED BY FIRST ACCESS WHO HAVE AT LEAST ONE CONTACT PER MONTH WITH BEHAVIORAL HEALTH STAFF (GOAL IS 80%). OBJECTIVE #1: INCREASE ACCESS TO BEHAVIORAL HEALTH ASSESSMENT AND CRISIS STABILIZATION SERVICES. ACCOMPLISHMENTS: * BEHAVIORAL HEALTH SERVICES (BHS) HIRED TWO CLINICIANS TO STAFF THE FIRST ACCESS INITIATIVE; HIRE DATE: MARCH 17, 2014. * FIRST ACCESS CLINICIANS WERE ORIENTED TO PERFORMANCE IMPROVEMENT, AND REGULATORY AND PAYER GUIDELINES THAT SUPPORT FIRST ACCESS. * CLINICIANS WERE TRAINED IN MOTIVATIONAL INTERVIEWING ON JUNE 17, 2014, BY MANAGER, BEHAVIORAL HEALTH SERVICES. ONGOING SUPERVISION PROVIDED CONTINUES TO PURPOSEFULLY EMBED THESE PRINCIPLES INTO THE CARE MODEL. * FIRST ACCESS SERVICES EXPANDED HOURS EFFECTIVE MAY 30, 2014, TO 8 HOURS PER DAY MONDAY THROUGH FRIDAY AND FOUR HOURS ON SATURDAYS. * DIRECTOR OF BEHAVIORAL HEALTH SERVICES AND MANAGER OF BEHAVIORAL HEALTH SERVICES PROVIDED ORIENTATION AND PATIENT REFERRAL CARDS TO STAFF IN THE ED AND INPATIENT PSYCHIATRY FROM JUNE 2-6, 2014. * DIRECTOR OF BEHAVIORAL HEALTH SERVICES ENGAGED FOUR ADVOCATE MEDICAL GROUP (AMG) OFFICES (HALSTED & BLACKHAWK; IRVING & WESTERN; INTERNAL MEDICINE CLINIC - MASONIC; OB-GYN CLINIC - MASONIC), TO EXPLAIN THE EXPEDITED ACCESS INTO BEHAVIORAL HEALTH CARE FOR PATIENTS IN CRISIS THROUGH FIRST ACCESS. MARKETING MATERIALS WERE DEVELOPED; REFERRAL CARDS, PATIENT AND REFERENT HANDOUTS AND MAPS WERE PROVIDED. * PROTOCOLS ESTABLISHED FOR RUNNING DATA REPORTS AT THE BHS MANAGERS MEETING, JUNE 23, 2014. * PERFORMANCE MEASURES REVIEWED QUARTERLY: SEPTEMBER 2014 AND DECEMBER 2014. MEASURE 1: * PATIENTS REFERRED: FROM JUNE 2014 THROUGH LATE NOVEMBER, 102 PATIENTS HAVE BEEN REFERRED TO FIRST ACCESS FROM MASONIC'S INPATIENT PSYCHIATRIC UNIT. 94 PATIENTS FOLLOWED UP WITH FIRST ACCESS. THIS IS A 92% LINKAGE RATE. OBJECTIVE #2: MAINTAIN ENGAGEMENT IN LONGER-TERM THERAPEUTIC SERVICES. ACCOMPLISHMENTS: * ADDITIONAL CLINICIAN TRAINING HAS BEEN PROVIDED INCLUDING: THE "SMART RECOVERY MODEL OF ADDICTIONS" (16 HOUR MODULE) AND "TREATMENT AND BEHAVIOR MODIFICATION: MAKING THE MOST OF INCENTIVES AND SANCTIONS FOR PATIENTS IN SUBSTANCE USE CRISIS" (8 HOUR MODULE). * "WARM HANDOFF" IMPLEMENTED AS THE "BEST PRACTICE" FOR PATIENTS BEING DISCHARGED FROM THE PSYCHIATRIC UNIT EFFECTIVE MAY 2014. MEASURE 2: * FOR JUNE 2014 THROUGH LATE NOVEMBER, THERE HAVE BEEN 358 FIRST ACCESS INTAKES. 65% OF THESE PATIENTS HAVE BECOME ENGAGED IN SERVICES AS MEASURED BY KEEPING AN AVERAGE OF AT LEAST ONE APPOINTMENT PER MONTH. NEXT STEPS: * CONTINUE OPERATION OF FIRST ACCESS SIX DAYS PER WEEK. * TRAIN STAFF ON BEST PRACTICE PROTOCOLS FOR MINDFULNESS, EXPOSURE RESPONSE PREVENTION AND PROLONGED EXPOSURE THERAPIES. * DEVELOP MOTIVATIONAL INTERVIEWING FOUR SESSION GROUP CURRICULUMS FOR HARD TO ENGAGE PATIENTS. * DEVELOP INDIVIDUAL SESSION ENGAGEMENT STRATEGIES FOR HARD TO ENGAGE PATIENTS. * SOME OF THE COMPLIANCE TARGETS ARE IMPACTED BY THE EVOLVING NETWORKS OF CARE. THIS IMPACTS THE INITIAL TARGET. AN ADDITIONAL NEXT STEP IS TO MEASURE PATIENTS SCREENED IN FIRST ACCESS (FA) BUT LINKED TO THE CORRECT CARE PROVIDER. DATE RANGE OF DATA: JUNE 1, 2014 THROUGH NOVEMBER 26, 2014 PRIORITY AREA: DENTAL CARE - MOBILE DENTAL VAN TARGET POPULATION: LOW INCOME CHILDREN, HOMELESS INDIVIDUALS, OLDER ADULTS, PERSONS WITH DISABILITIES, LOW INCOME FAMILIES. GOAL: TO IMPROVE THE ORAL HEALTH OF VULNERABLE POPULATIONS. PERFORMANCE MEASURES: * PERCENTAGE OF MISSED APPOINTMENTS WILL DECREASE/PRODUCTION WILL INCREASE. * PERCENTAGE OF CLIENTS WHO REPORT USING VAN AS THEIR DENTAL HOME WILL INCREASE. * PERCENTAGE OF CLIENTS WHO COMPLETE PLAN OF CARE (0 DISEASED TEETH) WILL INCREASE. * DENTAL RESIDENTS REPORT SATISFACTION WITH MOBILE DENTAL PROGRAM. * REDUCE NUMBER OF DISEASED TEETH (A TOOTH WITH DECAY AND/OR SIGNIFICANT PERIODONTAL DISEASES DEFINED AS POCKETS OF 5MM). * IMPROVE ORAL HEALTH QUALITY OF LIFE. OBJECTIVE #1: OPERATE THE MOBILE DENTAL VAN ON A FULL FIVE-DAY A WEEK SCHEDULE. ACCOMPLISHMENTS: * THE MOBILE DENTAL VAN WAS STAFFED TO WORK ON A FIVE-DAY A WEEK SCHEDULE ALL YEAR EXCEPT DURING JAN-MARCH 2014 WHEN SUB-ZERO TEMPERATURES AND SNOW CAUSED SCHOOL AND OTHER ORGANIZATIONAL CLOSINGS. SUMMER IS ALSO SLOWER BECAUSE THE SCHOOLS 5 IMMC CANCER CENTER 901 WEST WELLINGTON AVE CHICAGO IL 60657 PATIENT CARE - OUT PATIENT IMMC PRIMARY CARE CENTER 3048 NORTH WILTON CHICAGO IL 60657 PATIENT CARE - OUT PATIENT IMMC EDUCATION CENTER 814 WEST NELSON STREET CHICAGO IL 60657 PATIENT EDUCATION IMMC OFFICE BUILDING 836 WEST NELSON STREET CHICAGO IL 60657 PATIENT CARE - OUT PATIENT IMMC MEDICAL OFFICE BUILDING 3000 NORTH HALSTED ST VARIOUS SUIT CHICAGO IL 60657 PATIENT CARE - OUT PATIENT 1. REQUIRED DESCRIPTIONS PART I, LINE 3C N/A PART I, LINE 6A A SYSTEM-WIDE COMMUNITY BENEFIT REPORT IS FILED BY: ADVOCATE HEALTH CARE NETWORK 3075 HIGHLAND PARKWAY, DOWNERS GROVE, IL 60515. EIN 36-2167779 PART I, LINE 7 A COST-TO-CHARGE RATIO, DERIVED FROM SCHEDULE H INSTRUCTIONS WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES, WAS USED TO CALCULATE THE AMOUNTS REPORTED IN THE TABLE FOR PART I, LINE 7A. SCHEDULE H INSTRUCTIONS WORKSHEET 3, UNREIMBURSED MEDICAID AND OTHER MEANS-TESTED GOVERNMENT PROGRAMS, WAS USED TO CALCULATE THE AMOUNTS REPORTED IN THE TABLE FOR PART I, LINE 7B. A COST ACCOUNTING SYSTEM WAS USED TO DETERMINE THE AMOUNTS REPORTED IN THE TABLE FOR PART I, LINES 7E, 7F, 7G, AND 7I. PART I, LINE 1 - 7E ADVOCATE NORTHSIDE HEALTH NETWORK (ANSHN) PROVIDES COMMUNITY HEALTH IMPROVEMENT SERVICES TO THE COMMUNITIES IN WHICH IT SERVES. ANSHN PROVIDES LANGUAGE SERVICES TO ALL THOSE IN NEED IN ORDER TO PROVIDE BETTER ACCESS TO CARE FOR ALL COMMUNITY MEMBERS. IN ADDITION, OTHER PROGRAMS ARE CARRIED OUT WITH THE EXPRESS PURPOSE OF IMPROVING COMMUNITY HEALTH, ACCESS TO HEALTH SERVICES AND GENERAL HEALTH KNOWLEDGE. THESE SERVICES DO NOT GENERATE PATIENT BILLS; HOWEVER, CERTAIN PROGRAMS OR SERVICES MAY HAVE NOMINAL FEES. THESE SERVICES AND PROGRAMS INCLUDE CANCER SUPPORT GROUPS. THESE GROUPS FOCUS ON EDUCATING THE NEWLY DIAGNOSED AND PROVIDING INFORMATION ON BETTER LIVING FOR SURVIVORS. VARIOUS WOMEN AND BABY, BREASTFEEDING, MULTIPLES, CHILDBIRTH AND PARENTING AND SIBLING CLASSES; VARIOUS EDUCATIONAL PROGRAMS AND SUPPORT GROUPS TO RAISE AWARENESS OF HEART DISEASE, DIABETES AND STROKE RISK FACTORS AND TREATMENT OPTIONS AND EDUCATION FOR LIVING WITH THE DISEASE; THERE ARE VARIOUS PROGRAMS REGARDING HEALTH EATING; CPR TRAINING IS OFFERED TO THE COMMUNITY AS WELL AS VARIOUS OTHER WELLNESS AND SCREENING PROGRAMS AND HEALTH FAIRS ARE OFFERED THROUGHOUT THE YEAR. ADULT DAY CARE IS PROVIDED TO THE COMMUNITY AS WELL. PART I, LINE 7G ANSHN PROVIDES SUBSIDIZED HEALTH SERVICES TO THE COMMUNITY. THESE SERVICES ARE PROVIDED DESPITE CREATING A FINANCIAL LOSS FOR ANSHN. THESE SERVICES ARE PROVIDED BECAUSE THEY MEET AN IDENTIFIED COMMUNITY NEED. IF ANSHN DID NOT PROVIDE THE CLINICAL SERVICE, IT IS REASONABLE TO CONCLUDE THAT THESE SERVICES WOULD NOT BE AVAILABLE TO THE COMMUNITY. THE SERVICES INCLUDED ARE BOTH INPATIENT AND OUTPATIENT PROGRAMS FOR MENTAL AND BEHAVIORAL HEALTH AND HOSPICE SERVICES. PART I, LINE 7H ANSHN CONDUCTS NUMEROUS RESEARCH ACTIVITIES FOR THE ADVANCEMENT OF MEDICAL AND HEALTH CARE SERVICES. HOWEVER, THE UNREIMBURSED COST OF SUCH RESEARCH ACTIVITIES IS NOT READILY DETERMINABLE AND NO AMOUNT IS BEING REPORTED FOR PURPOSES OF THE 2014 FORM 990, SCHEDULE H. PART I, LINE 7, COLUMN (F) $29,497,212 OF BAD DEBT EXPENSE WAS INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT WAS REMOVED FROM THE DENOMINATOR FOR PURPOSES OF SCHEDULE H, PART I, LINE 7, COLUMN (F). PART II N/A PART III, LINES 2, 3, AND 4 THE FOOTNOTES TO ANSHN AND SUBSIDIARIES' AUDITED FINANCIAL STATEMENTS DO NOT SPECIFICALLY ADDRESS BAD DEBT EXPENSE; RATHER, THE FOOTNOTE DESCRIBES ADVOCATE'S PATIENT ACCOUNTS RECEIVABLE POLICY AND THE PERCENTAGE OF ACCOUNTS RECEIVABLE THAT THE ALLOWANCE FOR DOUBTFUL ACCOUNTS COVERS (SEE PAGE 11 OF THE AUDITED FINANCIAL STATEMENTS). FOR 2014, FOR ANSHN, THE ALLOWANCE FOR DOUBTFUL ACCOUNTS COVERED 28.9% 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 OR ARE NOT IDENTIFIED THROUGH OTHER MEANS AS PERMITTED IN THE POLICY. THE ESTIMATED AMOUNT OF BAD DEBT EXPENSE (AT COST) WHICH COULD BE REASONABLY ATTRIBUTABLE TO PATIENTS WHO WOULD LIKELY QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY, IF SUFFICIENT INFORMATION HAD BEEN AVAILABLE TO MAKE A DETERMINATION OF THEIR ELIGIBILITY, WAS BASED UPON SELF PAY PATIENT ACCOUNTS WHICH HAD AMOUNTS WRITTEN OFF TO BAD DEBTS. OUR METHOD WAS TO BEGIN WITH THE SELF-PAY PORTION OF BAD DEBT EXPENSE PROVISION. THE SELF PAY PORTION EXCLUDES THOSE PATIENTS WHO HAD CHARITY APPLICATIONS PENDING AT THE TIME OF SERVICE. THIS COST WAS THEN REDUCED BY CHARGES IDENTIFIED AS TRUE BAD DEBT EXPENSE, INCLUDING COPAYS FOR PATIENTS WHO QUALIFIED FOR LESS THAN 100% FINANCIAL ASSISTANCE. THE COST TO CHARGE RATIO WAS THEN APPLIED TO THE REMAINING CHARGES, TO DETERMINE THE VALUE (AT COST) OF PATIENT ACCOUNTS THAT DID NOT COMPLETE FINANCIAL COUNSELING AND WERE ASSIGNED TO BAD DEBT. WE BELIEVE THIS PROCESS IS A REASONABLE BASIS FOR OUR ESTIMATE. AS WE ARE ONLY CONSIDERING SELF-PAY ACCOUNTS WRITTEN OFF TO BAD DEBT FOR THIS ESTIMATE, THIS ESTIMATE DOES NOT INCLUDE THE IMMEDIATE 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 2014, NO SHORTFALL WAS REPORTED ON PART III, LINE 7. FOR ANSHN'S HOSPITAL OPERATIONS, THE UNREIMBURSED COST OF MEDICARE WAS CALCULATED BY APPLYING THE ORGANIZATION'S COST TO CHARGE RATIO FROM THE MEDICARE COST REPORTS (CMS 2252-96 WORKSHEET C, PART 1, PPS INPATIENT RATIOS) AND FOR NON-HOSPITAL OPERATIONS THE COST TO CHARGE RATIO CALCULATED ON WORKSHEET 2 RATIO OF PATIENT CARE COST TO CHARGES TO THE ORGANIZATION'S MEDICARE, LESS ANY PATIENT OR THIRD PARTY PAYOR PAYMENTS AND/OR CONTRIBUTIONS RECEIVED THAT WERE DESIGNATED FOR THE PAYMENT OF MEDICARE PATIENT BILLS. PART III, LINE 9B ANSHN 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. 2. NEEDS ASSESSMENT THE CHICAGO COMMUNITY TRUST LGBT COMMUNITY NEEDS ASSESSMENT DATA SUMMARY HAS BEEN USED TO HELP IMMC ADDRESS THE NEEDS OF THE LESBIAN, GAY, BISEXUAL AND TRANSGENDER COMMUNITY THAT IMMC SERVES. FOR THE LAST SIX CONSECUTIVE YEARS, ADVOCATE ILLINOIS MASONIC MEDICAL CENTER HAS BEEN NAMED A LEADER IN PROVIDING EQUAL HEALTH CARE SERVICES FOR THE LGBT COMMUNITY BY THE HUMAN RIGHTS CAMPAIGN (HRC) FOUNDATION'S HEALTH CARE EQUALITY INDEX (HEI) REPORT. AS A HEALTHCARE EQUALITY LEADER, IMMC MAKES USE OF THE DATA PROVIDED BY THE HEALTH EQUALITY INDEX. 3. PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE ANSHN ASSISTS PATIENTS WITH ENROLLMENT IN GOVERNMENT-SUPPORTED PROGRAMS FOR WHICH THEY ARE ELIGIBLE AND IN SECURING REIMBURSEMENT FROM AVAILABLE THIRD PARTY RESOURCES. FINANCIAL COUNSELING IS PROVIDED TO HELP PATIENTS IDENTIFY AND OBTAIN PAYMENT FROM THIRD PARTIES, INCLUDING ILLINOIS MEDICAID, ILLINOIS CRIME VICTIMS FUND, ETC., AS WELL AS TO DETERMINE ELIGIBILITY UNDER ANSHN'S HOSPITAL FINANCIAL ASSISTANCE POLICY. ADVOCATE UTILIZES A FINANCIAL SCREENING SOFTWARE PROGRAM TO HELP IDENTIFY PUBLIC ASSISTANCE PROGRAMS FOR WHICH THE PATIENT MAY BE ELIGIBLE OR ADVOCATE'S FINANCIAL ASSISTANCE AT THE TIME OF REGISTRATION OR AS SOON AS PRACTICABLE THEREAFTER. IN ADDITION, HEALTHADVISOR, ADVOCATE'S EDUCATION REGISTRATION AND PHYSICIAN REFERRAL TELEPHONE CENTER, SERVES AS A COMMUNITY RESOURCE PROVIDING REFERRALS TO GOVERNMENT-FUNDED AND OTHER PROGRAMS VIA TELEPHONE FROM 8 A.M. TO 6 P.M., MONDAY THROUGH FRIDAY. ANSHN ASSISTS PATIENTS WITH APPLYING FOR ADVOCATE'S OWN FINANCIAL ASSISTANCE/CHARITY CARE SERVICES, IF PATIENTS ARE NOT ELIGIBLE FOR GOVERNMENT-SUPPORTED PROGRAMS. ANSHN COMMUNICATES THE AVAILABILITY OF FINANCIAL ASSISTANCE IN THE APPLICABLE LANGUAGES OF THE HOSPITAL COMMUNITY. MEANS OF COMMUNICATION INCLUDE: 1. THE HEALTH CARE CONSENT THAT IS SIGNED UPON REGISTRATION FOR HOSPITAL SERVICES INCLUDES A STATEMENT THAT FINANCIAL COUNSELING, INCLUDING FINANCIAL ASSISTANCE CONSIDERATION, IS AVAILABLE UPON REQUEST. 2. SIGNS ARE CLEARLY AND CONSPICUOUSLY POSTED IN LOCATIONS THAT ARE VISIBLE TO THE PUBLIC, INCLUDING, BUT NOT LIMITED TO HOSPITAL PATIENT ACCESS, REGISTRATION, EMERGENCY DEPARTMENT, CASHIER, AND BUSINESS OFFICE LOCATIONS. 3. BROCHURES ARE PLACED IN HOSPITAL PATIENT ACCESS, REGISTRATION, EMERGENCY DEPARTMENT, CASHIER, AND BUSINESS OFFICE LOCATIONS, AND WILL INCLUDE GUIDANCE ON HOW A PATIENT MAY APPLY FOR MEDICARE, MEDICAID, ALL KIDS, FAMILY CARE ETC., AND THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM. A HOSPITAL CONTACT AND TELEPHONE NUMBER FOR FINANCIAL ASSISTANCE IS INCLUDED. 4. A HANDOUT SUMMARIZING ADVOCATE'S FINANCIAL ASSISTANCE POLICY AND FINANCIAL ASSISTANCE APPLICATION IS GIVEN TO UNINSURED PATIENTS WHO RECEIVE MEDICALLY NECESSARY HOSPITAL SERVICES AT THE EARLIEST PRACTICAL TIME OF SERVICE. 5. ADVOCATE'S WEBSITE POSTS NOTICE IN A PROMINENT PLACE THAT FINANCIAL ASSISTANCE IS AVAILABLE, WITH AN EXPLANATION OF THE FINANCIAL ASSISTANCE APPLICATION PROCESS, AND ENABLE PRINTING OF THE FINANCIAL ASSISTANCE APPLICATION. 6. HOSPITAL BILLS TO UNINSURED PATIENTS INCLUDE A REQUEST THAT THE PATIENT INFORM THE HOSPITAL OF ANY AVAILABLE HEALTH INSURANCE COVERAGE, AND INCLUDE A SUMMARY OF ADVOCATE'S FINANCIAL ASSISTANCE POLICY, A FINANCIAL ASSISTANCE APPLICATION, AND A TELEPHONE NUMBER TO REQUEST FINANCIAL ASSISTANCE. 4. COMMUNITY INFORMATION DEMOGRAPHICS FOR PLANNING PURPOSES, THE COMMUNITY HEALTH COUNCIL DEFINED THE COMMUNITY AS THE PRIMARY SERVICE AREA FOR THE HOSPITAL. ILLINOIS MASONIC MEDICAL CENTER'S PRIMARY SERVICE AREA (PSA) CONSISTS OF 17 ZIP CODES IN NORTHEAST CHICAGO. THESE ZIP CODES CORRESPOND PARTIALLY TO COMMUNITY AREAS THAT WERE DEFINED BY THE CHICAGO DEPARTMENT OF PLANNING. PRIMARY SERVICE AREA: 60610 - NEAR NORTH SIDE, NEAR WEST SIDE 60613 - LAKEVIEW, NORTH CENTER, UPTOWN 60657 - LAKEVIEW, NORTH CENTER 60614 - LINCOLN PARK, LOGAN SQUARE 60618 - AVONDALE, IRVING PARK, NORTH CENTER 60622 - HUMBOLDT PARK, LOGAN SQUARE, NEAR NORTH SIDE, WEST TOWN 60625 - ALBANY PARK, LINCOLN SQUARE, NORTH PARK 60626 - ROGERS PARK 60630 - ALBANY PARK, FOREST GLEN, IRVING PARK, JEFFERSON PARK, PORTAGE PARK 60634 - BELMONT CRAGIN, DUNNING, MONTCLARE, PORTAGE PARK 60635 - AUSTIN, BELMONT CRAGIN, DUNNING, MONTCLARE 60639 - AUSTIN, BELMONT CRAGIN, HERMOSA, HUMBOLDT PARK, LOGAN SQUARE 60640 - EDGEWATER, LINCOLN SQUARE, UPTOWN 60641 - AVONDALE, BELMONT CRAGIN, HERMOSA, IRVING PARK, PORTAGE PARK 60645 - WEST RIDGE 60647 - HERMOSA, HUMBOLDT PARK, LOGAN SQUARE, WEST TOWN THE HOSPITAL'S PRIMARY SERVICE AREA CONSISTS OF 1.2 MILLION PEOPLE. THE WHITE NON-HISPANIC POPULATION COMPRISED 48.3% OF THE PSA COMPARED TO 62.3% NATIONALLY. THE HISPANIC POPULATION COMPRISED 32.3% OF THE PSA COMPARED TO 17.3% NATIONALLY. BLACK NON-HISPANICS ACCOUNTED FOR 10.5% OF THE POPULATION IN THE PSA COMPARED TO 12.3% NATIONALLY. ASIAN & PACIFIC ISLANDERS NON-HISPANIC ACCOUNTED FOR 6.9% IN THE PSA COMPARED TO 5.1% NATIONALLY. WITHIN ILLINOIS MASONIC MEDICAL CENTER'S PRIMARY SERVICE AREA, ONE-QUARTER OF HOUSEHOLDS REPORT AN INCOME OF $25K-$50K, WHICH MIRRORS THE PERCENT TOTAL FOR THE UNITED STATES. HOUSEHOLD INCOME OF $25K OR LESS IS 26.6%, WHICH IS SLIGHTLY HIGHER THAN THE PERCENT TOTAL FOR THE UNITED STATES. ACCORDING TO THIS DATA, 63% OF THE SERVICE AREA'S POPULATION HAS A POST-HIGH SCHOOL EDUCATION, INCLUDING 42% WITH A BACHELOR'S DEGREE OR HIGHER WHILE 16.6% REPORT NO HIGH SCHOOL DIPLOMA OR EQUIVALENT. THE PSA POPULATION IS 51.1% MALE AND 48.9% FEMALE. OF THE TOTAL POPULATION, 31.7% ARE AGES 18 TO 34, 28.1% ARE AGES 35 TO 54, 20.4% ARE UNDER 18 YEARS OF AGE AND 19.7% ARE 55 YEARS OF AGE AND OLDER. HEALTH RESOURCES WITHIN ILLINOIS MASONIC MEDICAL CENTER'S PRIMARY SERVICE AREA, THERE ARE SIXTEEN HOSPITALS: ILLINOIS MASONIC MEDICAL CENTER; CHICAGO LAKESHORE HOSPITAL; CHICAGO-READ MENTAL HEALTH CENTER; KINDRED CHICAGO CENTRAL HOSPITAL; KINDRED CHICAGO LAKESHORE; KINDRED HOSPITAL CHICAGO - NORTH; LOUIS A. WEISS MEMORIAL HOSPITAL; METHODIST HOSPITAL OF CHICAGO; NORWEGIAN AMERICAN HOSPITAL; PRESENCE OUR LADY OF THE RESURRECTION MEDICAL CENTER; PRESENCE ST. JOSEPH HOSPITAL; PRESENCE ST. MARY AND ELIZABETH MEMORIAL CENTER (2 CAMPUSES); SHRINERS HOSPITAL FOR CHILDREN; SWEDISH COVENANT HOSPITAL; AND THOREK MEMORIAL HOSPITAL. IN ADDITION TO THE HOSPITALS, THERE ARE TWO COUNTY CLINICS AND 33 FEDERALLY QUALIFIED HEALTH CENTER (FQHC) SITES, INCLUDING EIGHT SCHOOL-BASED CLINICS. THESE CENTERS PROVIDE A SUBSTANTIAL SAFETY NET FOR LOW-INCOME RESIDENTS IN THE PRIMARY SERVICE AREA AND ARE ALSO POTENTIAL PARTNERS FOR COMMUNITY INITIATIVES. 5. PROMOTION OF COMMUNITY HEALTH IN ADDITION TO ALL THE COMMUNITY PROGRAMS ALREADY DESCRIBED IN PREVIOUS SECTIONS, ADVOCATE ILLINOIS MASONIC MEDICAL CENTER ALSO PROVIDES THE FOLLOWING PROGRAMS: * THE MEDICATION ASSISTANCE PROGRAM IS DESIGNED TO MATCH UP UNINSURED AND UNDERINSURED PATIENTS WITH PHARMACEUTICAL PROGRAMS THAT CAN PROVIDE NECESSARY MEDICATION AT A REDUCED COST OR NO COST. STAFF ALSO COORDINATES ANY SERVICES NEEDED FOR THESE PATIENTS TO RECEIVE THEIR MEDICATION. * THE HOSPITAL SPONSORS A MENTAL HEALTH INITIATIVE IN COLLABORATION WITH ERIE FAMILY HEALTH CENTER WITHIN TWO SCHOOL-BASED HEALTH CENTERS AT AMUNDSEN AND LAKEVIEW HIGH SCHOOLS. CLINICAL PSYCHOLOGISTS PROVIDE ON-SITE THERAPY SERVICES AS WELL AS CRISIS INTERVENTION, MENTAL HEALTH PREVENTION INITIATIVES AND CLASSROOM EDUCATION ON SUBSTANCE ABUSE, SUICIDE PREVENTION CONFLICT MANAGEMENT, AND OTHER RELATED TOPICS. THEY ALSO WORK COLLABORATIVELY WITH SCHOOL COUNSELORS, CLASSROOM TEACHERS, AND ADMINISTRATION TO ADDRESS A RANGE OF PSYCHOSOCIAL ISSUES SCHOOL-WIDE. MANY OF THE STUDENTS AT THESE HIGH SCHOOLS ARE FROM LOW INCOME FAMILIES. * THE MEDICALLY INTEGRATED CRISIS COMMUNITY SUPPORT (MICCS) IS A SERVICE WHICH FOLLOWS SERIOUSLY MENTALLY ILL PATIENTS WHO OFTEN HAVE A COMORBID PHYSICAL ILLNESS OR ADDICTION, AND A PATTERN OF GETTING THEIR PRIMARY AND BEHAVIORAL HEALTH CARE IN THE ED, INPATIENT PSYCHIATRIC UNIT OR MEDICAL UNIT OF COMMUNITY HOSPITALS. THE TEAM WORKING WITH THE CLIENTS INCLUDES 9 CLINICIANS, INCLUDING A PEER SUPPORT SPECIALIST, CLERGY, AND OTHER ASSOCIATES, WHO ARE IN DAILY CONTACT WITH THE CLIENTS. THIS PROGRAM WAS LAUNCHED IN APRIL OF 2014 AND HAS BEEN SUCCESSFUL IN REDUCING RETURN VISITS TO THE HOSPITAL. * BEHAVIORAL HEALTH ALSO SUPPORTS SERVICES FOR THE HEARING IMPAIRED THROUGH THERAPISTS WHO ARE FLUENT IN AMERICAN SIGN LANGUAGE (ASL). THE DEPARTMENT HAS ALSO HOSTED A WEBSITE WITH ENGLISH CAPTIONED HEALTH EDUCATION VIDEOS PRESENTED IN ASL. * THE PEDIATRIC DEVELOPMENTAL CENTER AT ILLINOIS MASONIC IS THE MOST COMPREHENSIVE OUTPATIENT DIAGNOSTIC AND TREATMENT CENTER FOR CHILDREN WITH SPECIAL NEEDS IN THE CHICAGO AREA. SERVICES INCLUDE: 1) MEDICAL DIAGNOSTIC AND INTERVENTION SERVICES FOR INFANTS AND TODDLERS; 2) COMPREHENSIVE TREATMENT FOR CHILDREN WITH AUTISM; 3) CHICAGO'S ONLY HOME-BASED BEHAVIORAL PSYCHOLOGY PROGRAM; 4) PEDIATRIC REHABILITATION SERVICES; AND 5) FAMILY AND SIBLING SUPPORT. * FROM FEBRUARY THROUGH NOVEMBER 2014, A SPANISH BIWEEKLY ARTICLE DISCUSSING VARIOUS HEALTH TOPICS WAS WRITTEN FOR A SPANISH NEWSPAPER PUBLICATION, LARAZA. TOPICS INCLUDED RHEUMATOID ARTHRITIS, OSTEOPOROSIS, STROKE, HEART DISEASE, DIABETES, CHILD SAFETY IDENTIFICATION PROGRAMS, COMMUNITY HEALTH FAIRS AND BREAST AND PROSTATE CANCER. * SENIOR HEALTH FAIRS HELD IN COLLABORATION WITH THE ALDERMAN'S OFFICE PROVIDE HEALTH SCREENINGS ALONG WITH EDUCATION ABOUT CANCER, HEART DISEASE, DIABETES, ETC. NUMEROUS OTHER HEALTH FAIRS IN COLLABORATION WITH CONGREGATIONS AND OTHER COMMUNITY AGENCIES ALSO PROVIDE HEALTH SCREENINGS ALONG WITH HEALTH EDUCATION ON SIMILAR TOPICS. * AIMMC'S EMERGENCY DEPARTMENT TRAINS CITY AND PRIVATE AMBULANCE AND FIRE DEPARTMENT EMPLOYEES, AS ONE OF ONLY 11 HOSPITALS IN ILLINOIS DESIGNATED AS A RESOURCE HOSPITAL COORDINATING CENTER (RHCC). AIMMC IS RESPONSIBLE FOR COORDINATING MEDICAL RESPONSE EFFORTS AT MAJOR EVENTS SUCH AS THE CHICAGO MARATHON, CONCERTS AND SPORTING EVENTS. WHEN THE EMERGENCY MEDICAL DISASTER PLAN IS ACTIVATED, THE HOSPITAL ALSO SERVES AS THE LEAD HOSPITAL FOR DISASTERS OCCURRING IN CHICAGO - INCLUDING O'HARE AIRPORT. AS A DESIGNATED LEVEL I TRAUMA CENTER, THE HOSPITAL IS POSITIONED TO PARTICIPATE AND LEAD COORDINATION OF DISASTER RESPONSE ACTIVITIES FOR THE PARTICIPATING HOSPITALS AND EMS PROVIDERS IN CHICAGO AND MAINTAINS AN ESTABLISHED TWO-WAY COMMUNICATION SYSTEM WITH THIRTY-SIX PARTICIPATING HOSPITALS. * EVERY YEAR DURING PASTORAL CARE WEEK, THE MISSION AND SPIRITUAL CARE DEPARTMENT CONDUCTS A SEMINAR TO HELP THE PASTORAL CARE COMMUNITIES (CLERGY, DEACONS, HEALTH MINISTRY MEMBERS, PARISH AND FAITH NURSES AND OTHER LAY PEOPLE). THE TITLE FOR 2014 WAS "THE STATE OF BEHAVIORAL HEALTH; WHERE WE ARE NOW AND WHERE ARE WE GOING?" THE WORKSHOPS ALLOWED THE 60 PARTICIPANTS FROM VARIOUS PASTORAL CARE COMMUNITIES TO BE ABLE TO HELP THEIR PARISHIONERS REGARDING BEHAVIORAL HEALTH. SUBJECTS COVERED DURING THE WORKSHOPS INCLUDED: TRENDS IN BEHAVIORAL HEALTH (NATIONAL AND STATE); NEW PROGRAMS ON THE HORIZON; RECOVERY SUPPORT SPECIALISTS; CRISIS TRIAGE ROLE; CASE PRESENTATIONS; AND OPEN PANEL DISCUSSION. * THROUGH PURPOSEFUL GRANT MAKING AND THOUGHTFUL PARTNERSHIP, THE RAVENSWOOD HEALTH CARE FOUNDATION SERVES AS THE LIVING LEGACY OF THE FORMER RAVENSWOOD HOSPITAL MEDICAL CENTER. REMAINING FAITHFUL TO THE VALUES AND MISSION OF THE FORMER HOSPITAL, DIRECTORS CAREFULLY INVEST $1 MILLION EACH YEAR IN SUPPORT OF COMMUNITY-FOCUSED HEALTH CARE, EDUCATION, OUTREACH AND PREVENTION. IN EFFECT, THEY EMPOWER COMMUNITY AGENCIES TO CONTINUE THE HEALING AND SERVICE THAT ONCE TOOK PLACE AT WILSON AND DAMEN. THE MISSION OF THE RAVENSWOOD HEALTH CARE FOUNDATION IS TO AWARD GRANTS THAT FOSTER, PROMOTE, SUPPORT, DEVELOP AND ENCOURAGE COMMUNITY HEALTH AND WELLNESS IN THE GREATER RAVENSWOOD AREA OF CHICAGO. ENVIRONMENTAL IMPROVEMENTS 1. MENTORING AND EDUCATION ADVOCATE HEALTH CARE IS COMMITTED TO GREENING HEALTH CARE BECAUSE IT IS THE RIGHT THING TO DO. CARING FOR OUR EARTH IS STRONGLY CONNECTED TO OUR MISSION TO SERVE THE HEALTH NEEDS OF TODAY'S PATIENTS AND FAMILIES WITHOUT COMPROMISING THE NEEDS OF FUTURE GENERATIONS. BY CONSERVING RESOURCES, MINIMIZING EXPOSURE TO CHEMICALS AND CONSTRUCTING ECO-FRIENDLY BUILDINGS AND LANDSCAPES, ADVOCATE IS MAKING STRIDES TO REDUCE THE ENVIRONMENTAL IMPACT OF HEALTH CARE AND THE BURDEN OF HEALTH CARE COSTS. ADVOCATE HAS COMMITTED RESOURCES TO SHARING ITS BEST PRACTICES IN WASTE REDUCTION, AND ENERGY AND WATER MANAGEMENT. REDUCING WASTE AND CONSERVING ENERGY AND WATER USE HAS A DIRECT BENEFIT ON THE HEALTH OF LOCAL COMMUNITIES VIA CLEANER COMMUNITIES, HEALTHIER AIR QUALITY, REDUCED GREEN HOUSE GASES, AND PRESERVATION OF NATURAL RESOURCES. ADVOCATE SHARES BEST PRACTICES FOR WATER MANAGEMENT WITH OTHER NONPROFIT HOSPITALS LOCALLY AND NATIONALLY. IN 2014, ADVOCATE HEALTH CARE CONTINUED ITS LEADERSHIP ROLE AS ONE OF SEVERAL U.S. HEALTH SYSTEMS WHO FOUNDED AND SPONSOR A NATIONAL CAMPAIGN, THE HEALTHIER HOSPITALS INITIATIVE (HHI). HHI SERVES AS A GUIDE FOR HOSPITALS TO COMMIT TO IMPROVING THE HEALTH AND SAFETY OF PATIENTS, STAFF AND COMMUNITIES AND LOWERING COSTS THROUGH CONSERVATION PRACTICES BY USING FREE STEP-BY-STEP GUIDES AND HOSPITAL-TO-HOSPITAL MENTORING TO IMPLEMENT THE HHI CHALLENGES IN THE CATEGORIES OF LEADERSHIP, HEALTHIER FOODS, LESS WASTE, LEANER ENERGY, SAFER CHEMICALS AND SMARTER PURCHASING. AS OF DECEMBER 2014, NEARLY 1,100, OR OVER 20% OF THE NATION'S HOSPITALS ENROLLED IN THE HHI. 2014 MARKS THE FINAL YEAR OF THE THREE YEAR NATIONAL CAMPAIGN. OVER THE COURSE OF THREE YEARS, HHI HOSPITALS HAVE ACCOMPLISHED REDUCTIONS IN MEAT PURCHASING, INCREASED PURCHASING OF LOCAL AND SUSTAINABLE FOOD, REDUCED EXPOSURE TO TOXIC CHEMICALS THROUGH GREEN CLEANING PROGRAMS AND CONVERSION OF MEDICAL PRODUCTS FREE FROM PVC AND DEHP AND DECREASED ENERGY AND WASTE. ADVOCATE'S ANNUAL REPORT ON ENVIRONMENTAL STEWARDSHIP AND HEALTH AND WELLNESS PROGRAMS CAN BE FOUND AT: HTTP://STREAM.ADVOCATEHEALTH.COM/WEBFILES/2015/14SUPPORT2464/ ADVOCATE HEALTH CARE SYSTEM 2014 ENVIRONMENTAL INITIATIVES: * REDUCED CUMULATIVE (ELEVEN HOSPITALS) HOSPITAL ENERGY CONSUMPTION BY 3.5 PERCENT IN TWELVE MONTHS ENDING 12/30/14, AND 17.2 PERCENT SINCE 2008 * ENERGY REDUCTIONS EQUATE TO: - SAVED $15,000,000 IN ENERGY COSTS SINCE 2008 - REDUCING NEARLY 10,000 ILLINOIS HOUSEHOLDS OF ELECTRICITY USE FOR ONE YEAR - REDUCING CARBON EMISSIONS BY NEARLY 25,000 CARS OFF THE ROAD FOR ONE YEAR * RECYCLED OVER 3,300 TONS OF WASTE FROM HOSPITAL OPERATIONS * RECYCLED 94 PERCENT OF CONSTRUCTION AND DEMOLITION DEBRIS * SAVED 28 TONS OF WASTE FROM LANDFILL AND SAVED OVER $2.4 MILLION VIA MEDICAL DEVICE REPROCESSING * ENDORSED SYSTEM-WIDE HEALTHY AND SUSTAINABLE FOOD GUIDELINES TO IMPROVE THE HEALTH OF OUR PATIENTS, ASSOCIATES, VISITORS, COMMUNITIES AND THE ENVIRONMENT BY INCREASING ACCESS TO FRESH, HEALTHY FOOD IN AND AROUND ADVOCATE HEALTH CARE FACILITIES AND TO PROMOTE FOOD DELIVERY PRACTICES THAT ARE ECOLOGICALLY SOUND, ECONOMICALLY VIABLE AND SOCIALLY RESPONSIBLE IN THE WAY WE PURCHASE FOOD AND SUPPLIES * RECOGNIZED TWENTY-FIVE STAFF MEMBERS WITH ENVIRONMENTAL STEWARDSHIP AWARDS FOR DEMONSTRATING OUTSTANDING EFFORTS TO CARE FOR THE EARTH AND RESOURCE CONSERVATION * CONTRIBUTED TO OPENLANDS, ONE OF THE OLDEST METROPOLITAN CONSERVATION ORGANIZATIONS IN THE NATION AND THE ONLY SUCH GROUP WITH A REGIONAL SCOPE IN THE GREATER CHICAGO REGION * ANNOUNCED A NEW FURNITURE AND INTERIORS PURCHASING STANDARD THAT SPECIFIES ALL PRODUCTS TO BE FREE OF PERFLUORINATED COMPOUNDS, PVC (VINYL), DEHP, FORMALDEHYDE, AND HALOGENATED FLAME 6. AFFILIATED HEALTH CARE SYSTEM AS AN EXTENSION OF ITS MISSION, ADVOCATE HEALTH CARE SUPPORTS SYSTEM-WIDE PROGRAMS THAT MEET THE NEEDS OF BOTH ITS PATIENTS AS WELL AS THE COMMUNITIES SERVED. ADVOCATE HEALTH CARE'S BOARD OF DIRECTORS, SENIOR LEADERSHIP AND ASSOCIATES (EMPLOYEES) ARE COMMITTED TO POSITIVELY AFFECTING THE HEALTH STATUS AND QUALITY OF LIFE OF INDIVIDUALS AND POPULATIONS IN COMMUNITIES SERVED BY ADVOCATE THROUGH PROGRAMS AND PRACTICES THAT REFLECT ADVOCATE'S WHOLISTIC PHILOSOPHY. TO THAT END, THEY CONTINUE TO UNDERTAKE AND SUPPORT INITIATIVES THAT ENHANCE ACCESS TO HEALTH AND WELLNESS SERVICES WITHIN THE DIVERSE COMMUNITIES THAT ADVOCATE SERVES. SYSTEM LEADERSHIP IS BOTH DESIGNED TO DIRECT AND SUPPORT THE HOSPITALS IN THEIR EFFORTS TO ADDRESS IDENTIFIED COMMUNITY NEEDS. IN 2010, A MULTI-DISCIPLINARY TEAM OF INDIVIDUALS AT THE SYSTEM LEVEL HAVING OVERSIGHT RESPONSIBILITY FOR COMMUNITY BENEFITS REPORTING AND THE CHNA PROCESS WAS CONVENED TO LEAD THE HOSPITALS THROUGH THE CHNA PROCESS TO MEET STATE AND FEDERAL REGULATORY REQUIREMENTS. THIS TEAM, CALLED THE COMMUNITY HEALTH STEERING COMMITTEE, MET FREQUENTLY TO ASSURE THAT: THE HOSPITAL COMMUNITY HEALTH LEADERS ARE EDUCATED REGARDING HOW TO CONDUCT A CHNA; SITE COMMUNITY HEALTH COUNCILS ARE DEVELOPED AND MAINTAINED; THOSE CONDUCTING THE CHNA PROCESS PULL DATA FROM RELIABLE SOURCES; SOUND ASSUMPTIONS ARE MADE BASED ON THAT DATA; INTERNAL ADVOCATE AND COMMUNITY RESOURCES ARE MAPPED TO DETERMINE STRENGTHS AND WEAKNESSES; ACHIEVABLE NEEDS ARE SELECTED AS PRIORITIES; AND PLANNED INITIATIVES ARE GROUNDED IN EVIDENCE-BASED PROGRAMS THAT WILL YIELD RELIABLE OUTCOMES TO DETERMINE IMPACT. TO FOCUS THESE EFFORTS THROUGHOUT ADVOCATE HEALTH CARE, THE COMMUNITY BENEFITS PLAN WAS WRITTEN. THE PLAN'S BROAD GOALS AND OBJECTIVES WERE DESIGNED TO STRUCTURE SYSTEM-WIDE COMMUNITY BENEFITS ACTIVITIES WITHIN A STRATEGIC FRAMEWORK. INCLUDED IN THE COMMUNITY BENEFITS PLAN ARE NOT ONLY PLANNED GOALS AND OBJECTIVES FOCUSED ON ADDRESSING NEEDS AS IDENTIFIED THROUGH THE HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS, BUT ALSO OTHER SYSTEM-WIDE EFFORTS TO ADDRESS THE BROADER ISSUES OF DISPARITY AND ACCESS SUCH AS PROVIDING CHARITY CARE TO THE UNDER AND UNINSURED. ADVOCATE'S COMMUNITY BENEFITS PLAN WAS DEVELOPED TO ESTABLISH STRATEGIES FOR IMPROVING ACCESS TO CARE AND POSITIVELY AFFECTING THE HEALTH OF THE COMMUNITIES THAT ADVOCATE SERVES. THE PLAN SETS THE COURSE FOR STRENGTHENING EXISTING PARTNERSHIPS AND BUILDING NEW ONES WITH INDIVIDUALS AND ORGANIZATIONS WITHIN ADVOCATE'S SERVICE AREAS IN ORDER TO LEVERAGE AND MAXIMIZE THE IMPACT OF ITS PROGRAMS. ADVOCATE'S COMMUNITY BENEFITS PLAN GOALS ARE AS FOLLOWS: GOAL 1: OPTIMIZE ADVOCATE'S ABILITY TO LEVERAGE ITS COMMUNITY HEALTH RESOURCES AND CONTINUE PROGRAMS THAT BENEFIT THE COMMUNITY BY PROSPECTIVELY ALIGNING SYSTEM AND SITE PLANS AND ACTIVITIES. IN ORDER TO ASSURE ALIGNMENT BETWEEN SITE AND SYSTEM GOALS, QUALITY AND CONSISTENCY AMONGST THE HOSPITALS' CHNAS AND TO LEVERAGE THE HOSPITALS' STAFF TIME AND CHNA EFFORTS, THE SYSTEM LEVEL COMMUNITY HEALTH STEERING COMMITTEE PROVIDED A STANDARDIZED CHNA PROCESS, TOOLS, EDUCATION AND STRUCTURE. SPECIFIC EXAMPLES OF THE SUPPORT PROVIDED BY THE STEERING COMMITTEE TO ENABLE THE HOSPITALS TO REALIZE THEIR COMMUNITY HEALTH GOALS AND OBJECTIVES ARE AS FOLLOWS: * A STANDARDIZED CHNA PROCESS THAT INCLUDED DEVELOPMENT OF A COMMUNITY HEALTH COUNCIL AT EACH HOSPITAL WITH BOTH HOSPITAL AND COMMUNITY REPRESENTATION. THE COUNCILS WERE CHARGED WITH MANAGING THEIR SITE'S ASSESSMENT, EXAMINING DATA, SITE AND COMMUNITY RESOURCES, SELECTING KEY PRIORITIES TO ADDRESS AND DEVELOPING A COMMUNITY HEALTH PLAN. * PURCHASE OF AND INSTRUCTION ON HOW TO USE SURVEY RESULTS AND THE ASSESSMENT TOOL DEVELOPED BY PROFESSIONAL RESEARCH CONSULTANTS. * LED A SERIES OF WORKSHOPS OVER THREE YEARS WITH INTERNAL AND EXTERNAL SPEAKERS PROFICIENT IN CHNAS, IDENTIFYING RELIABLE DATA SOURCES, PRIORITY SETTING, AND SELECTING EVIDENCE-BASED INTERVENTIONS. * SET THE COMMUNITY HEALTH LEADERSHIP COUNCIL'S AGENDAS, A COUNCIL COMPRISED OF COMMUNITY HEALTH STAKEHOLDERS FROM ACROSS ADVOCATE, TO FOCUS ON CHNA OBJECTIVES. * MANAGED HOSPITAL PROGRESS AGAINST SYSTEM ANNUAL TIMELINES TO ACHIEVE THE THREE-YEAR VISION, REQUIRING ANNUAL CHNA PROGRESS REPORTS AND THEIR REVIEW AND ENDORSEMENT BY THE HOSPITAL GOVERNING COUNCILS EACH YEAR. * PROVIDED ONGOING CONSULTATION ON AN AS NEED BASIS THROUGHOUT THE PROCESS. * ENGAGED AND FUNDED AN OUTSIDE CHNA CONSULTANT TO MEET ONE-ON-ONE WITH THE SITE COMMUNITY HEALTH LEADERS AND REVIEW CHNA PROGRESS AND PROVIDE GUIDANCE IN AREAS OF DIFFICULTY OR UNCERTAINTY. * PROVIDED AN OVERVIEW OF THE CHNA RESULTS AND PLANNED INTERVENTIONS TO THE MISSION & SPIRITUAL COMMITTEE OF THE ADVOCATE HEALTH CARE BOARD OF DIRECTORS TO SECURE THE COMMITTEE'S ENDORSEMENT. * A STANDARDIZED FORMAT FOR HOSPITALS TO USE IN DRAFTING THEIR CHNAS AND IMPLEMENTATION PLANS, WHICH SYSTEM LEADERS THEN REVIEWED AND EDITED FOR CONSISTENCY, ACCURACY AND QUALITY OF CONTENT. * WORKED WITH SYSTEM LEVEL MEDIA CENTER AND WEB TEAM TO DEVELOP PLACEMENT AND POSTING OF CHNA REPORTS & IMPLEMENTATION PLANS TO MEET PPACA/IRS REGULATORY REPORTING REQUIREMENTS. * IN PREPARATION FOR THE NEXT CHNA CYCLE, ADVOCATE PURCHASED THE HEALTHY COMMUNITIES INSTITUTE'S CHNA TOOL IN LATE 2013 AND PAID THE ANNUAL FEE FOR ONGOING SUPPORT FOR TRAINING AND THE ADDITION OF 2013 AND 2014 UPDATES AT THE SYSTEM LEVEL. FOR 2015, THE TOOL IS EXPECTED TO ALSO SUPPORT THE WORK OF THE COUNTY CHNA COLLABORATIVES. WITH SUPPORT FROM THE SYSTEM LEVEL, ALL ADVOCATE'S HOSPITALS ARE PARTICIPATING IN THESE COLLABORATIVE ASSESSMENTS WITH OTHER ADVOCATE AND NON-ADVOCATE HOSPITALS AND THEIR COUNTY AND LOCAL PUBLIC HEALTH DEPARTMENTS. THESE COLLABORATIVES REMOVE DUPLICATION OF STAFF TIME AND EFFORT WHILE FORGING AND STRENGTHENING RELATIONSHIPS AMONG PARTICIPATING ORGANIZATIONS, LEVERAGING THEIR ABILITY TO POSITIVELY IMPACT KEY NEEDS AS IDENTIFIED THROUGH THE ASSESSMENT PROCESS. THROUGH ADVOCATE'S HOSPITAL-BASED SERVICES, AS WELL AS ITS PARTICIPATION IN PROVIDING PROGRAMS AND SERVICES IN THE COMMUNITY, ADVOCATE PROMOTES A SHARED APPROACH TO COMMUNITY BENEFITS. IN ADDITION TO HOSPITAL/COMMUNITY SPECIFIC PROGRAMS, THERE ARE ALSO PROGRAMS ADDRESSING NEEDS OF BROAD GEOGRAPHIC PORTIONS OF ADVOCATE'S SERVICE AREA WHICH ARE MANAGED AND FUNDED AT THE SYSTEM LEVEL. THESE PROGRAMS INCLUDE THE FOLLOWING: ADVOCATE'S HEALTHY STEPS PROGRAM SPECIALISTS TOUCHED THE LIVES OF 6,248 YOUNG CHILDREN IN 2014 THROUGH CHILDHOOD PROGRAMS WITHIN PEDIATRIC/FAMILY PRACTICE RESIDENCIES AT ADVOCATE ILLINOIS MASONIC MEDICAL CENTER, AND THE ADVOCATE CHILDREN'S HOSPITAL OAK LAWN AND PARK RIDGE CAMPUSES. THIS SYSTEM-WIDE PROGRAM USES A NATIONAL MODEL TO ENGAGE PARENTS AS PARTNERS WITH PHYSICIANS IN THEIR CHILDREN'S HEALTH. HEALTHY STEPS SPECIALISTS HELP BRIDGE THE TWO GROUPS BY PREPARING PARENTS TO TAKE AN ACTIVE ROLE IN, AND PHYSICIANS TO ASSESS AND MEET MORE EFFECTIVELY, A RANGE OF CHILD DEVELOPMENT NEEDS. IN 2014, 9,981 DEVELOPMENTAL SCREENINGS WERE PROVIDED AND 411 FAMILIES WERE REFERRED TO COMMUNITY SERVICES FOR FOLLOW UP. IN ADDITION, HEALTHY STEPS HAS TRAINED AND PROVIDED TECHNICAL ASSISTANCE TO PRIMARY CARE PROVIDERS ACROSS THE STATE TO IMPROVE PREVENTIVE PRACTICES IN THEIR SITE AROUND TOPICS SUCH AS USE OF VALIDATED TOOLS FOR DEVELOPMENTAL AND SOCIAL EMOTIONAL CONCERNS, AS WELL AS FAMILY RISK FACTOR SCREENINGS (SUCH AS POSTPARTUM DEPRESSION, DOMESTIC VIOLENCE, TRAUMA, AND PSYCHOSOCIAL ISSUES). PRIMARY CARE PROVIDERS AND THEIR STAFF ARE TAUGHT HOW TO WORK CLOSELY WITH LOCAL COMMUNITY RESOURCES FOR REFERRAL AND FOLLOW-UP CARE. DURING 2014, ADVOCATE HEALTHY STEPS CONSULTANTS PROVIDED 91 PRESENTATIONS IN 42 PRIMARY CARE SITES TO 585 PHYSICIANS AND THEIR STAFFS THROUGHOUT THE STATE OF ILLINOIS. THESE PROVIDERS CARE FOR APPROXIMATELY 78,715 CHILDREN BETWEEN BIRTH AND AGE THREE. CURRENTLY, HEALTHY STEPS IS FOCUSING ON DEVELOPMENTAL BEHAVIORAL MENTAL HEALTH TRAINING FOR PRIMARY CARE PROVIDERS. THE STAFF ALSO MEETS REGULARLY WITH APPROXIMATELY 20 COMMUNITY ORGANIZATIONS, AND WORKS WITH PEDIATRIC AND FAMILY MEDICINE RESIDENCY PROGRAMS, PEDIATRIC NURSE PRACTITIONERS AND PHYSICIAN ASSISTANT PROGRAMS THROUGHOUT THE STATE. THE ADVOCATE CHILDHOOD TRAUMA TREATMENT PROGRAM (CTTP) OFFERS HOPE AND HEALING TO CHILDREN WHO HAVE EXPERIENCED MALTREATMENT, PSYCHOLOGICAL TRAUMA AND SEXUAL ABUSE. CLINICIANS WORK WITH A CHILD'S ENTIRE SUPPORT NETWORK - PARENTS, THE SCHOOL AND MORE - TO HELP FOSTER A SAFE ENVIRONMENT FOR THE CHILD. CTTP IS ONE OF JUST A HANDFUL OF PROGRAMS IN ILLINOIS THAT SPECIALIZES IN THE SEXUAL ABUSE OF CHILDREN. IN 2014, CTTP SERVED 168 CHILDREN AND ADOLESCENTS, AS WELL AS 415 ADULTS, CAREGIVERS, PARENTS AND OTHERS. IN ADDITION, THE PROGRAM HAS PARTNERED WITH "DARKNESS TO LIGHT," A NATIONALLY RECOGNIZED CHILD SEXUAL ABUSE PREVENTION LEADER. AS A RESULT OF THIS PARTNERSHIP, CTTP HAS LAUNCHED A MAJOR ADULT EDUCATION PROGRAM CALLED "STEWARDS OF CHILDREN/7 STEPS TO PROTECT A CHILD." T 7. state filing of community benefit report il true URBAN ALLIANCE 29 S LaSalle St Chicago IL 60603 521938443 501(c)(3) 25000 FMV supprt exemp purpose Hispano Care Inc 3075 Highland Pkwy Downers Grove IL 60515 363606486 501(c)(3) 100000 0 FMV general support 2 0 Description of Organization's Procedures for Monitoring the Use of Grants Form 990, Schedule I AdvocaTe North Side Health Network supports only non-profit organizations that are tax-exempt under Section 501(c)(3) of the Internal Revenue Code and are consistent with and complementary to the mission and charitable, tax-exempt purposes of Advocate North Side Health Network. Cash contributions are not made to individuals, for profit businesses or private providers. X X X X X false true false false false false false true false James Skogsbergh Exec VP, COO, director 0 1463355 0 2891534 0 1238079 0 2060036 0 29752 0 7682756 0 765371 Gail D Hasbrouck SVP, Gen Counsel & Corp sec 0 469637 0 392669 0 288426 0 166445 0 22172 0 1339349 0 154711 William P Santulli President 0 871072 0 1090000 0 531406 0 748459 0 30781 0 3271718 0 432420 Lee B Sacks MD Exec VP, Chief Medical officer 0 705908 0 773328 0 411509 0 325841 0 21943 0 2238529 0 323744 James Doheny VP, Finan & Corp Controller 0 315161 0 109226 0 29777 0 24011 0 30240 0 508415 0 0 James Dan MD Pres Phys & Ambulatory Svcs 0 516652 0 568516 0 297133 0 241684 0 21514 0 1645499 0 233483 Rev Kathie Bender Schwich SVP, Mission & Spiritual care 0 133723 0 195777 0 218738 0 122408 0 101482 0 772128 0 32554 Kevin Brady SVP, Human Resources 0 439537 0 515662 0 244304 0 223628 0 29100 0 1452231 0 214125 Susan Campbell SVP of Patient Cr Chf nur ofcr 0 343471 0 133933 0 44254 0 173422 0 19959 0 715039 0 0 Kelly Jo Golson SVP, MarkETING 0 363898 0 267317 0 170646 0 116479 0 2920 0 921260 0 99154 Dominic J Nakis SVP, CFO & TREASURER 0 622258 0 773328 0 379183 0 325841 0 22752 0 2123362 0 323744 Scott Powder SVP/CHIEF STRATEGY OFFICER 0 380269 0 304156 0 172492 0 148436 0 31052 0 1036405 0 86720 Bruce D Smith SVP, cio 0 481588 0 409443 0 245908 0 174433 0 31720 0 1343092 0 161321 Susan Nordstrom Lopez President of Advocate IMMC 447485 0 487652 0 248767 0 216477 0 33074 0 1433455 0 206413 0 Stephen Locher Chair Obstetrics/Gynecology 402692 0 97590 0 16624 0 24011 0 24868 0 565785 0 0 0 Vijay Maker Chair Surgery Department 461074 0 54366 0 24013 0 24011 0 17353 0 580817 0 0 0 James Malow Chair Dept Internal MedicinE 285577 0 68862 0 24462 0 24011 0 19170 0 422082 0 0 0 Donna King VP Clinical Ops/CNE 280806 0 69122 0 22524 0 24011 0 12325 0 408788 0 0 0 Robert Zadylak VP Medical Management 364743 0 92351 0 34830 0 24011 0 15648 0 531583 0 0 0 Ben Grigaliunas SVP, Human RESOURCES 0 0 0 215578 0 0 0 0 0 0 0 215578 0 178794 SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN SCHEDULE J, PART I, LINE 4B GAIL HASBROUCK, SENIOR VICE PRESIDENT-GENERAL COUNSEL AND CORPORATE SECRETARY, IS VESTED IN A NON-QUALIFIED RETIREMENT PLAN. AS SUCH ANY CONTRIBUTIONS ARE TAXED CURRENTLY. THERE IS NO DEFERRED COMPONENT. THE CURRENT YEAR CONTRIBUTION AMOUNT IS $44,003. ADVOCATE PROVIDES A TARGET REPLACEMENT SENIOR EXECUTIVE RETIREMENT PLAN. THE CONTRIBUTIONS TO THIS PLAN ARE VESTED AND TAXABLE AFTER FIVE YEARS OF SERVICE. THE FOLLOWING EMPLOYEES ARE VESTED IN THE PLAN AND THEREFORE THE CONTRIBUTIONS ARE REPORTED AS COMPENSATION ON THE W-2: JAMES SKOGSBERGH $724,471, BRUCE SMITH $138,871, DOMINIC NAKIS $216,494, GAIL HASBROUCK $134,329, LEE SACKS M.D. $229,403, KEVIN BRADY $142,002, SCOTT POWDER $103,372, WILLIAM SANTULLI $301,001, JAMES DAN M.D. $168,324, KELLY JO GOLSON $98,317, SUSAN LOPEZ $143,946 AND KATHIE BENDER SCHWICH $162,245. THE FOLLOWING EMPLOYEE HAS NOT YET VESTED AND THEREFORE THE CONTRIBUTIONS ARE REPORTED AS DEFERRED COMPENSATION: SUSAN CAMPBELL $60,650. JAMES SKOGSBERGH AND WILLIAM SANTULLI ARE PARTICIPANTS IN SECTION 457(F) RETENTION INCENTIVE BENEFIT PLANS. THE PLANS ARE CURRENTLY NOT VESTED. THE PLANS ARE CONTINGENT ON EMPLOYMENT AND VEST WHEN THE PARTICPANT REACHES 60 YEARS OF AGE. THE CURRENT YEAR AMOUNTS EARNED ARE: JAMES SKOGSBERGH $747,465, WILLIAM SANTULLI $223,547. Schedule J, Part I, Line 7 INCENTIVE PAYMENTS ARE BASED UPON A FORMULA. THE AMOUNTS ARE CALCULATED AFTER CERTAIN PERFORMANCE AND OPERATING GOALS ARE ACHIEVED. THE COMPENSATION COMMITTEE CAN EXERCISE DISCRETION OVER WHETHER INCENTIVE COMPENSATION IS PAID OUT ANNUALLY. Osvaldo Lopez MD Family Mbr- Susan N Lopez 151654 Employment false Rebecca Green family mbr- Ron Greene 64337 employment false FORM 990, PART III, LINE 4D OTHER PROGRAM SERVICES ADVOCATE ILLINOIS MASONIC MEDICAL CENTER (AIMMC), THE ONLY HOSPITAL IN THE ADVOCATE NORTH SIDE HEALTH NETWORK, WAS AGAIN NAMED ONE OF THE NATION'S 100 TOP HOSPITALS BY TRUVEN HEALTH ANALYTICS IN 2014. AIMMC IS ALSO RANKED ONE OF CHICAGO'S BEST HOSPITALS BY U.S. NEWS AND WORLD REPORT FOR THE PAST FOUR YEARS. AIMMC IS ONE OF ONLY 200 HOSPITALS TO ACHIEVE HIMSS ANALYTICS STAGE 7 FOR ADOPTION OF ELECTRONIC MEDICAL RECORDS. THE MEDICAL CENTER IS ONE OF THE STATE'S LARGEST, MOST COMPREHENSIVE NONPROFIT MEDICAL CENTERS. IT HAS MORE THAN 900 ACTIVE PHYSICIANS REPRESENTING 43 MEDICAL SPECIALITIES. AIMMC IS DESIGNATED AS A LEVEL I TRAUMA CENTER AND AS A LEVEL III NEONATAL INTENSIVE CARE UNIT (NICU) - THE HIGHEST DESIGNATION IN EACH AWARDED BY THE STATE. AIMMC'S LEVEL I TRAUMA CENTER IS ONE OF ONLY FOUR TRAUMA CENTERS IN CHICAGO. IN 2014, AIMMC HAD 924 TRAUMA VISITS AND 43,359 EMERGENCY DEPARTMENT VISITS. THE HOSPITAL IS NATIONALLY RECOGNIZED FOR EXPERTISE IN CARDIAC CARE AND USE OF THE MOST INNOVATIVE TECHNOLOGIES AVAILABLE TO PROVIDE ADVANCED CARE WITH ATTENTION TO PATIENT SAFETY, QUALITY AND EXCELLENCE. AIMMC IS A CERTIFIED STROKE CENTER AND HAS TWICE RECEIVED MAGNET RECOGNITION STATUS FOR EXCELLENCE IN NURSING SERVICES BY THE AMERICAN NURSES CREDENTIALING CENTER. AS ONE OF ILLINOIS' LARGEST NON-UNIVERSITY MEDICAL TEACHING HOSPITALS, AIMMC TRAINED 250 MEDICAL RESIDENTS AND 502 MEDICAL STUDENTS IN 2014 THROUGH ITS AFFILIATIONS WITH THE UNIVERSITY OF ILLINOIS AT CHICAGO HEALTH SCIENCES CENTER, ROSALIND FRANKLIN UNIVERSITY, MIDWESTERN UNIVERSITY AND OTHER MEDICAL SCHOOLS. IN ADDITION TO SERVING INDIVIDUALS IN THE ACUTE CARE SETTING, AIMMC ALSO PROVIDES COMMUNITY OUTREACH THROUGH HEALTH FAIRS, WELLNESS PROGRAMS AND OTHER OUTREACH SERVICES IN SUPPORT OF ITS MVP (MISSION, VALUES AND PHILOSOPHY). THE MISSION OF AIMMC IS TO SERVE THE HEALTH NEEDS OF INDIVIDUALS, FAMILIES, AND COMMUNITIES THROUGH A WHOLISTIC PHILOSOPHY ROOTED IN THE FUNDAMENTAL UNDERSTANDING OF HUMAN BEINGS AS CREATED IN THE IMAGE OF GOD. THE VALUES OF AIMMC SERVE AS AN INTERNAL COMPASS TO GUIDE RELATIONSHIPS AND ACTIONS. THEY INCLUDE EQUALITY, COMPASSION, EXCELLENCE, PARTNERSHIP, AND STEWARDSHIP. THE PHILOSOPHY OF AIMMC IS GROUNDED IN PRINCIPLES OF HUMAN ECOLOGY, FAITH, AND COMMUNITY-BASED HEALTH CARE. THESE PRINCIPLES ARISE FROM AN UNDERSTANDING OF HUMAN BEINGS AS WHOLE PERSONS IN LIGHT OF THEIR RELATIONSHIP WITH GOD, THEMSELVES, THEIR FAMILIES, AND THE SOCIETY IN WHICH THEY LIVE. THROUGH OUR ACTIONS WE AFFIRM THESE PRINCIPLES. AIMMC PROVIDES QUALITY HEALTH CARE TO INDIVIDUALS REGARDLESS OF RACE, CREED, NATIONAL ORIGIN, AGE, SEXUAL ORIENTATION/IDENTITY, OR ABILITY TO PAY. IN 2014, THE HOSPITAL SERVED 174,005 PATIENTS, INCLUDING 16,147 INPATIENT ADMISSIONS AND 157,898 OUTPATIENT VISITS AND A TOTAL OF 2,508 DELIVERIES. THE NUMBER OF PATIENTS SERVED INCREASES TO 362,412 WHEN ADDING INDIVIDUALS SERVED BY THE PHYSICIAN GROUP AND BEHAVIORAL HEALTH SERVICES. NEARLY 40% OF THE POPULATION IN AIMMC'S SERVICE AREA IS HISPANIC RESULTING IN A HEIGHTENED EMPHASIS ON PROVIDING BILINGUAL AND BICULTURAL HEALTH CARE SERVICES. EVEN IN THE FACE OF LOW REIMBURSEMENTS, AIMMC IS DEDICATED TO MAINTAINING A STRONG PRESENCE WITHIN ITS COMMUNITY AND CONTINUES TO MONITOR THESE EXPENDITURES TO MAKE CERTAIN THAT THE PROGRAMS AND SERVICES SUPPORTED ARE IN DIRECT RESPONSE TO COMMUNITY NEED. IN 2014, THE ADVOCATE NORTH SIDE NETWORK, ALSO KNOWN AS ADVOCATE ILLINOIS MASONIC MEDICAL CENTER (AIMMC) REPORTED OVER $46.3 MILLION IN CHARITABLE CARE AND SERVICES. THESE SERVICES ARE COMPRISED OF MANY COMMUNITY HEALTH PROGRAMS FOCUSED ON IMPROVING ACCESS TO CARE, ADDRESSING SPECIAL NEEDS AND IMPROVING OVERALL COMMUNITY HEALTH. ADVOCATE ILLINOIS MASONIC MEDICAL CENTER'S COMMUNITY BENEFITS PLAN WAS DEVELOPED TO ESTABLISH STRATEGIES FOR IMPROVING ACCESS TO CARE AND POSITIVELY AFFECTING THE HEALTH OF THE COMMUNITIES THAT IT SERVES. INCLUDED IN THE COMMUNITY BENEFITS PLAN ARE NOT ONLY PLANNED GOALS AND OBJECTIVES FOCUSED ON ADDRESSING NEEDS AS IDENTIFIED THROUGH THE HOSPITAL'S COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS, BUT ALSO OTHER COMMUNITY BENEFITS SUCH AS CHARITY CARE AND UNREIMBURSED MEDICAID AND MEDICARE. THE PLAN SETS THE COURSE FOR STRENGTHENING EXISTING PARTNERSHIPS AND BUILDING NEW ONES WITH INDIVIDUALS AND ORGANIZATIONS WITHIN ITS SERVICE AREA IN ORDER TO LEVERAGE AND MAXIMIZE THE IMPACT OF ITS PROGRAMS. AIMMC HAS SET FORTH FOUR GOALS AND MULTIPLE OBJECTIVES TO ACCOMPLISH THIS STRATEGY. THE GOALS AND CORRESPONDING EXAMPLES ARE PROVIDED BELOW. GOAL 1: UNDERTAKE OR SUPPORT INITIATIVES THAT ENHANCE ACCESS TO HEALTH AND WELLNESS SERVICES WITHIN THE DIVERSE COMMUNITIES AIMMC SERVES. CHARITY CARE - AIMMC OFFERS A VERY GENEROUS CHARITY CARE PROGRAM REQUIRING NO PAYMENT FROM PATIENTS MOST IN NEED, AND PROVIDING DISCOUNTS TO UNINSURED PATIENTS EARNING UP TO SIX TIMES THE FEDERAL POVERTY LEVEL AND TO INSURED PATIENTS EARNING UP TO FOUR TIMES THE POVERTY LEVEL FOR A FAMILY OF FOUR. A PATIENT'S EXTENUATING CIRCUMSTANCES ARE ALSO CONSIDERED WHEN QUALIFYING PATIENTS FOR CHARITY CARE. AIMMC PROVIDES HEALTH CARE SERVICES TO MEDICAID AND MEDICARE PATIENTS AND SUBSIDIZES THE COSTS OF THESE GOVERNMENT PROGRAM SERVICES THAT ARE NOT FULLY REIMBURSED. HISPANOCARE - MORE THAN 36,000 MEMBERS OF CHICAGO'S LATINO & NON LATINO COMMUNITY BENEFIT FROM HISPANOCARE, A NETWORK OF 100 BILINGUAL AND BICULTURAL HEALTH CARE PROVIDERS REPRESENTING OVER 100 OFFICE LOCATIONS. THE GOAL OF HISPANOCARE IS TO PROVIDE QUALITY, COST-EFFECTIVE HEALTH CARE TO CHICAGO'S LATINO COMMUNITY IN A BILINGUAL AND BICULTURAL SENSITIVE MANNER. TO EASE THE FINANCIAL BURDEN, HISPANOCARE PROVIDERS AGREE TO GIVE ENROLLEES A 20-80 PERCENT DISCOUNT ON ALL OUT-OF-POCKET EXPENSES DEPENDING ON THE SERVICE PROVIDED. MOBILE DENTAL VAN - THE MOBILE DENTAL VAN OFFERS ACCESS TO ORAL HEALTH SERVICES TO OVER 450 UNDERSERVED AND UNINSURED INDIVIDUALS, WITH A TOTAL OF 1,359 VISITS IN 2014. PROVIDING DENTAL SCREENINGS, TREATMENT AND EDUCATION, THE MOBILE VAN REGULARLY TRAVELS ACROSS THE CITY OF CHICAGO MAKING STOPS AT SENIOR RESIDENCES, SCHOOLS AND PRIMARY CARE CLINICS TO PROVIDE CARE TO HARD-TO-REACH AND UNDERSERVED POPULATIONS, INCLUDING ELDERLY PEOPLE WITH LIMITED MOBILITY, CHILDREN FROM LOW-INCOME FAMILIES, DISABLED PERSONS, IMMIGRANTS AND THE HOMELESS. ACCORDING TO A ONE-YEAR ANNIVERSARY SURVEY BETWEEN JANUARY 1, 2013 AND JUNE 30, 2014, RESULTS SHOWED THAT THE NUMBER OF DISEASED TEETH FELL BY 86%, FROM 303 TO 42. IN ADDITION, THE NUMBER OF CLIENTS THAT REPORTED THE OVERALL HEALTH OF THEIR TEETH AND GUMS WAS VERY GOOD OR EXCELLENT NEARLY DOUBLED, FROM 29 TO 53 INDIVIDUALS; AND THE NUMBER OF INDIVIDUALS REPORTING THE OVERALL HEALTH OF THEIR TEETH AND GUMS WAS POOR FELL BY 33%, FROM 54 TO 36. LGBTQ COMMUNITY - AIMMC IS LOCATED NEAR ONE OF THE LARGEST LESBIAN GAY BISEXUAL TRANSGENDER QUESTIONING (LGBTQ) COMMUNITIES IN THE MIDWEST. IN 2014, ADVOCATE ILLINOIS MASONIC MEDICAL CENTER WAS NAMED A LEADER IN PROVIDING EQUAL HEALTH CARE SERVICES FOR THE LGBTQ COMMUNITY BY THE HUMAN RIGHTS CAMPAIGN FOUNDATION'S HEALTH CARE EQUALITY INDEX (HEI) REPORT FOR A SIXTH CONSECUTIVE YEAR. AIMMC WAS THE FIRST ONE IN ILLINOIS AND ONE OF ONLY SIXTEEN (FIVE ARE VA) FACILITIES IN ILLINOIS TO HAVE BEEN RECOGNIZED AS A LEADER, DEMONSTRATING PATIENT NON-DISCRIMINATION, EQUAL VISITATION, EMPLOYMENT NON-DISCRIMINATION, AND TRAINING IN LGBT PATIENT-CENTERED CARE. AIMMC WORKS DIRECTLY WITH THE CENTER ON HALSTED, THE MIDWEST'S MOST COMPREHENSIVE COMMUNITY CENTER DEDICATED TO BUILDING AND STRENGTHENING THE LGBTQ COMMUNITY AND THEIR FRIENDS, BY PRESENTING DIFFERENT HEALTH LECTURES AND INFORMATION TO THE VARIOUS GROUPS USING THE CENTER. LOCATED IN THE HEART OF CHICAGO'S LAKEVIEW NEIGHBORHOOD, MORE THAN 1,000 COMMUNITY MEMBERS VARYING IN AGE FROM SENIORS TO YOUTH VISIT THE CENTER EVERY DAY. FIRST ACCESS PROGRAM -- GIVEN THE HIGH NUMBER OF ADMISSIONS AND EMERGENCY DEPARTMENT VISITS FOR BEHAVIORAL HEALTH CONDITIONS AND THE LIKELIHOOD THAT DISCHARGED PATIENTS WOULD NOT KEEP FOLLOW-UP APPOINTMENTS, AIMMC'S BEHAVIORAL HEALTH SERVICES INTRODUCED A LIMITED SAME-DAY ACCESS-TO-TREATMENT MODEL CALLED FIRST ACCESS IN MAY 2013. FIRST ACCESS OFFERS SAME DAY INTAKE AND ACCESS TO TREATMENT FOR PATIENTS REFERRED BY THE MEDICAL CENTER'S INPATIENT PSYCHIATRIC UNIT, CL SERVICE (MEDICAL FLOORS), EMERGENCY DEPARTMENT, AND ADVOCATE PHYSICIANS. THE GOAL IS TO ENCOURAGE SUCCESS BY PROVIDING IMMEDIATE ACCESS, STRONG ENGAGEMENT, INCREASED CONSUMER SATISFACTION AND CLOSE FOLLOW-UP FOR RELAPSE PREVENTION. SINCE ITS IMPLEMENTATION, FIRST ACCESS HAS INCREASED BEHAVIORAL HEALTH PATIENTS' APPOINTMENT FOLLOW-THROUGH RATE FROM 40 PERCENT IN 2013 TO 100 PERCENT IN 2014. LANGUAGE ASSISTANCE / INTERPRETER SERVICES - AS A LEVEL 1 TRAUMA CENTER AND A CENTRALLY LOCATED MEDICAL CENTER IN CHICAGO, AIMMC RECEIVES PATIENTS FROM MANY DIFFERENT COUNTRIES AND CULTURAL BACKGROUNDS. AS SUCH, A PROFICIENT UNDERSTANDING OF MEDICAL TERMINOLOGY AND IN Form 990, part vi, line 1a DESCRIPTION OF BOARD DELEGATING POWERS TO EXECUTIVE COMMITTEE The organization's by-laws provide that the executive committee has the authority to act on behalf of the board. The executive committee has the same composition and members as the executive committee of the corporate member. The corporate member's executive committee has nine members, consisting of the chairperson, the vice chairperson, the president, the chairpersons of the finance, planning health outcomes and mission and spiritual care committees, and two other directors. The past chairperson of the board of directors may serve as an ex-officio member of the committee, with vote. Each of the executive committee's members is on the board. The scope of the executive committee's authority includes: be responsible for planning educational programs for the board of directors; conduct an evaluation of the members of the board of directors; have such authority as shall be delegated by the board of directors; and act on behalf of the board of directors between meetings. The executive committee is accountable as a body to the board of directors. form 990, part vi, line 2 DESCRIPTION OF BUSINESS RELATIONSHIPS As Dr. James Dan, Dr. Lee Sacks, Gail Hasbrouck, James Doheny, Dominic Nakis, Scott Powder and William Santulli are either directors or officers of wholly owned Advocate entities, they are deemed to have a business relationship pursuant to the instructions for Form 990. form 990, part vi, line 6 Members or stockholders The by-laws provide for corporate members. form 990, part vi, line 7a DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS The not-for-profit corporations of Advocate Health Care, with the exception of Advocate Health Care Network, have corporate members who elect directors. Advocate Health Care Network does not have any members, therefore, the AHCN board elects its directors. The for-profit organizations have a sole shareholder who elects the directors. Form 990, Part VI, Line 7B DESCRIPTION OF CLASSES OF PERSONS, DECISIONS REQUIRING APPROVAL AND TYPE OF VOTING RIGHTS The following reserve powers identified in the bylaws require the approval of the corporate member, Advocate Health Care Network: appoint outside auditors and establish and revise all financial control policies, and any changes to such policies, before such policies or changes become effective; cause the corporation to pay, loan or otherwise transfer property and funds to other entities affiliated with the corporate member; amend the bylaws without action or approval by the board of directors after ten days' notice to the corporation's board of directors of the proposed amendment(s) with an opportunity for board members to consult with the corporate member regarding the proposed amendment; approval of the overall mission, philosophy and values statements and any amendments or supplements to such statements; approval of the overall strategic plans; approval of all overall operating and capital budgets before any expenditure, pursuant to such budgets are made or committed, and approval of all expenditures above any limit that may be established by the board of the corporate member; approval of the incurrence or guarantee of any indebtedness for borrowed money which has not already been approved as part of the budget approval process or which is above any limit that may be established by the board of the corporate member; approval of all transfers of ownership or donations of assets above any limit that may be established by the board of the corporate member; approval of all amendments to the articles of incorporation and bylaws of the corporation before they become effective; approval of any merger, consolidation, or dissolution; and approval of the creation of or affiliation with any subsidiary or affiliate, before such entity is created or the entrance into any joint venture if the contemplated activity will involve the expenditure of funds or the assumption of obligations which have not already been approved as a part of the budget approval process or require member approval under the financial control policies. form 990, part vi, line 11b DESCRIPTION OF THE PROCESS USED BY MANAGEMENT AND/OR GOVERNING BODY TO REVIEW 990 Advocate's tax preparation process includes ongoing consultation with its outside tax consulting firm and tax legal counsel, both of which possess expertise in health care and tax-exempt return preparation, to advise and assist with preparation of the Form 990. These advisors worked closely with the organization's finance, tax and legal associates and other members of the organization's team assembled to participate in the preparation of the Form 990. The Form 990 is reviewed by finance management, the tax manager, the VP of finance/corporate controller, the chief financial officer and Advocate's outside tax consulting firm and tax legal counsel. Prior to presenting the Form 990 to the board of director's audit committee in November, the organization's team, including its advisors, met frequently to discuss and review drafts of the Form 990. At the November audit committee meeting, the VP of finance/corporate controller and chief financial officer coordinated a review of the Form 990 with committee members, as the audit committee is the committee of the board of directors charged with oversight of audit and tax matters. The VP of finance/corporate controller and chief financial officer responded to the audit committee members' questions and provided the opportunity for detailed discussion of the Form 990. The changes identified were incorporated, and then a complete copy of the final Form 990 was provided to each member of the organization's board of directors before the Form 990 was filed. Form 990, Part VI, Line 12C DESCRIPTION OF THE PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST The organization's conflict of interest policy applies to various people, including members of Advocate's board of directors, governing councils, officers, associates, volunteers, and medical staff members with administrative responsibilities. Annually, the compliance department sends this policy and the Advocate code of business conduct to a range of individuals who may be in a position to exercise substantial interest over a particular matter (defined as "interested persons"). They are required to read the policies and provide a disclosure statement to the compliance department, which identifies activities and relationships that could potentially give rise to a conflict of interest. The chief compliance officer reviews the disclosure 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 committee thereof, or a person of interest, if it is determined that there is an actual conflict of interest, the supervisor of the individual is responsible for making an appropriate response, potentially including a restriction of the individual's job duties with respect to the matter giving rise to the conflict. form 990, part vi, lines 15a & 15b OFFICES AND POSTIONS FOR WHICH PROCESS WAS USED AND YEAR PROCESS WAS BEGUN Executive compensation at the Advocate Health Care Network and subsidiaries is based on a board of directors' approved strategy that guides the corporation in establishing compensation opportunities for executives, managers, professionals, and all employees. In this strategy, specific market comparisons are identified and the desired level of competitiveness in those markets specified. In addition, the linkage of executive pay to performance is articulated and how this relationship is to be maintained is outlined. To support and implement the compensation strategy, five basic elements are utilized. These elements are: - A solid, reliable and tested job evaluation methodology - Accurate, quality and relevant compensation survey information - A consistent annual process for updating the compensation levels - An active board review process that assures compliance with the compensation strategy and on-going review of the performance of the organization, and - Active, external review and auditing of compensation by external independent consultants. Form 990, Part VI, Line 19 AVAILABILITY OF GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS TO THE GENERAL PUBLIC The organization makes its financial statements available to the public through the following sites: - DACBOND.COM (Digital Assurance Certification, LLC) - EMMA.MSRB.ORG (Electronic Municipal Market Access) The organization does not make its governing document or conflict of interest policy available to the public. Advocate Health Care Network 3075 Highland Pkwy Ste 600 Downers Grove IL 60515 362167779 Parent Corp IL 501(c)(3) 11-III-FI NA false Advocate Condell Medical Center 3075 Highland Pkwy Ste 600 Downers Grove IL 60515 262525968 Health Care IL 501(c)(3) 3 AHHC true Advocate Health & Hospitals Corporation 3075 Highland Pkwy Ste 600 Downers Grove IL 60515 362169147 Health Care IL 501(c)(3) 3 AHCN false Advocate Charitable Foundation 3075 Highland Pkwy Ste 600 Downers Grove IL 60515 363297360 Fundraising IL 501(c)(3) 7 AHCN false EHS Home Health Care Service Inc 3075 Highland Pkwy Ste 600 Downers Grove IL 60515 362913108 Home Care IL 501(c)(3) 9 AHHC false Meridian Hospice 3075 Highland Pkwy Ste 600 Downers Grove IL 60515 363158667 Hospice Care IL 501(c)(3) 9 EHSHHCS false Hispanocare Inc 3075 Highland Pkwy Ste 600 Downers Grove IL 60515 363606486 Health Care IL 501(c)(3) 9 ANSHN true Ravenswood Health Care Foundation 3075 Highland Pkwy Ste 600 Downers Grove IL 60515 363196628 Fundraising IL 501(c)(3) 11-II NA false Masonic Family Health Foundation Inc 3075 Highland Pkwy Ste 600 Downers Grove IL 60515 364397387 Fundraising IL 501(c)(3) 11-I MFHS false Advocate Sherman Hospital 3075 Highland Pkwy Ste 600 Downers Grove IL 60515 362167920 Health Care IL 501(c)(3) 3 AHCN false Sherman West Court 3075 Highland Pkwy Ste 600 Downers Grove IL 60515 363725580 Nursing Care IL 501(c)(3) 9 ASH false Sherman Home Health Care Corporation 901 Center Street Suite 2001A Elgin IL 60120 363330085 Home Care IL 501(c)(3) 9 ASH false DREYER MERcy AMBulatory SURgery center 1221 HIGHLAND AURORA IL 60506 363890298 MEDICAL SERVIces IL NA true 0.60000 ADVOCATE SW AMB SUR CTR 18200 LA GRANGE ROAD TINLEY PARK IL 60487 344437931 MEDICAL SERVICES IL NA false Advocate Home Care Products 3075 Highland Parkway Suite 600 Downers Grove IL 60515 363315416 Health Services IL NA C Corp false Advocate Health Centers Inc 3075 Highland Parkway Suite 600 Downers Grove IL 60515 364217291 Medical Services IL NA C Corp false Evangelical Services Corporation 3075 Highland Parkway Suite 600 Downers Grove IL 60515 363208101 Mgmt Services IL NA C Corp false High Technology Inc 3075 Highland Parkway Suite 600 Downers Grove IL 60515 363368224 Medical Services IL NA C Corp false Dreyer Clinic Inc 1877 W Downer Place Aurora IL 60506 362690329 Medical Services IL NA C Corp false BroMenn Physician Management Corporation 3075 Highland Parkway Suite 600 Downers Grove IL 60515 371313150 Medical Services IL NA C Corp false Parkside Center Condo Association 1775 West Dempster Street Park Ridge IL 60068 363452486 Property Mgmt IL NA C Corp false Advocate Insurance SPC 878 Wt Bay Rd PO Box 1159 Grand Cayman CJ KY1-1102 980422925 Insurance CJ NA C Corp false Midwest Heart Specialists Ltd 3075 Highland Parkway Suite 600 Downers Grove IL 60515 362841923 Medical Services IL NA C Corp false Sherman Health Insurance Company Ltd 878 W Bay Rd PO Box 1159 Grand Cayman CJ KY1-1102 980703036 Insurance CJ NA C Corp false Health Visions Inc 3075 Highland Parkway Suite 600 Downers Grove IL 60515 363780082 Medical Services IL NA C Corp false Sherman Group Practice Inc 3075 Highland Parkway Suite 600 Downers Grove IL 60515 262891035 Medical Services IL NA C Corp false Sherman Physician Group Inc 3075 Highland Parkway Suite 600 Downers Grove IL 60515 264800497 Medical Services IL NA C Corp false ShermanChoice Inc 1425 N Randall Road Elgin IL 60123 364058392 Phys-Hospital org IL NA C Corp false The Delphi Group IV Inc 1425 N Randall Road Elgin IL 60123 364017279 Health Cost Mgmt IL NA C Corp false Sherman Ventures Inc 934 Center Street Elgin IL 60120 364292309 Holding Company IL NA C Corp false false true true false false false false false false true true true true false false true true true true Advocate Health and Hospitals Corp k 241706 Cost HispanoCare Inc b 100000 Cost Advocate Health and Hospitals Corp j 1156750 Cost Advocate Health and Hospitals Corp m 55354544 Cost Advocate Health and Hospitals Corp p 81190498 Cost Advocate Health and Hospitals Corp r 9415839 Cost Advocate Health and Hospitals Corp l 2382370 Cost Advocate Health and Hospitals Corp q 33071633 Cost Advocate Health and Hospitals Corp s 25124790 Cost Advocate Charitable Contribution c 3436743 Cost