2014-11-13T13:17:37-06:00 2013-12-31 ERNST & YOUNG US LLP 155 N Wacker Drive Chicago IL 60606 990 2013-01-01 262525968 Advocate Condell Medical Center % JAMES W DOHENY ADVO 6305729393 3075 HIGHLAND PARKWAY Suite 600 DOWNERS GROVE IL 60515 JAMES W DOHENY VP FIN & CONTROLLER 2014-11-11 ANGELA M MOORE P00244342 2013 2015-11-30 17:44:51Z JAMES W DOHENY 3075 HIGHLAND PKWY STE 600 DOWNERS GROVE IL 60515 362812415 false 9395 X WWW.ADVOCATEHEALTH.COM X 2008 IL SEE SCHEDULE O. 13 12 2421 539 1451285 1513302 738494 322570846 339357042 1078694 2080349 1987851 2071128 327150693 344247013 92060 27538 0 0 132969564 129270971 0 0 0 165404213 176791459 298465837 306089968 28684856 38157045 402401536 402217832 141333832 130418924 261067704 271798908 X The mission is to serve the health needs of individuals, families and communities through a wholistic philosophy rooted in our fundamental understanding of human beings as created in the image of God. false false 262957624 27538 306342790 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 CONDELL IS COMMITTED TO PROMOTING INITIATIVES THAT ENHANCE ACCESS TO HEALTH CARE FOR THE UNINSURED AND UNDERINSURED. AN EXAMPLE OF THIS IS ADVOCATE CONDELL'S PROVISION OF CHARITY CARE. ADVOCATE CONDELL 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 POVERTY LEVEL. A PATIENT'S EXTENUATING CIRCUMSTANCES ARE CONSIDERED WHEN QUALIFYING PATIENTS FOR CHARITY CARE AND IN CERTAIN CASES, ADVOCATE CONDELL MEDICAL CENTER USES ADVOCATE OR PUBLIC RECORDS TO DETERMINE A PATIENT'S ELIGIBILITY ("PRESUMPTIVE ELIGIBILITY"). ALTHOUGH ADVOCATE CONDELL'S CHARITY CARE POLICY IS VERY GENEROUS, ADVOCATE CONDELL MEDICAL CENTER CONTINUES TO REVIEW AND REFINE ITS POLICY IN AN ONGOING EFFORT TO ENSURE THAT FINANCIAL ASSISTANCE IS AVAILABLE TO THOSE WHO NEED HELP WHEN THEY NEED IT. 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 ADVOCATE CONDELL'S CHARITY CARE PROGRAM AND CHARITY APPLICATIONS IS PROVIDED TO ALL UNINSURED PATIENTS DURING REGISTRATION AND AS AN INSERT IN ALL UNINSURED PATIENTS' BILLS. IN THE AREA OF TRAUMA CARE - ADVOCATE CONDELL IS DEDICATED TO PROVIDING EXPERT EMERGENCY CARE - TODAY AND IN THE FUTURE. ADVOCATE CONDELL'S LEVEL I TRAUMA CENTER CARES FOR THE MOST SERIOUSLY INJURED PEOPLE IN ITS SERVICE AREA. AS IS THE CASE WITH ALL ILLINOIS LEVEL I TRAUMA CENTERS, ADVOCATE CONDELL'S TRAUMA CENTER IS STAFFED BY ON-SITE, 24-HOUR-A-DAY TRAUMA SURGEONS; FEATURES 24-HOUR SURGICAL AND NONSURGICAL SERVICES, SUCH AS RADIOLOGY AND ANESTHESIA; AND CAN ACCOMMODATE HELICOPTER TRANSPORTS. 7445621 4419019 HEALTH CARE AND FITNESS SERVICES PROVIDED BY PHYSICIANS, NURSES, CLINICIANS AND OTHER ASSOCIATES EMPLOYED BY ADVOCATE CONDELL. ADVOCATE CONDELL CLINICIANS PROVIDE CARE TO THE COMMUNITY FOR MINOR INJURIES AND ILLNESSES THROUGH ITS IMMEDIATE CARE CENTERS REGARDLESS OF THE PATIENTS' ABILITY TO PAY. EXERCISE PHYSIOLOGISTS AND PHYSICAL THERAPISTS ALSO PROVIDE SPORTS MEDICINE CONSULTATIONS AT LOCAL HIGH SCHOOLS AND COLLEGES. PHYSICIANS, NURSES AND OTHER CLINICIANS LEAD PRENATAL/CHILDBIRTH AND PARENTING EDUCATION CLASSES AND DIABETES EDUCATION CLASSES AS WELL AS SUPPORT GROUPS FOR DIABETES EDUCATION, HEART DISEASE, BREAST AND OTHER CANCERS, LACTATION/BREAST FEEDING, BEREAVEMENT/LOSS AND CAREGIVERS. ADVOCATE CONDELL PARTNERS WITH THE LAKE COUNTY HEALTH DEPARTMENT/COMMUNITY HEALTH CENTER TO PROVIDE IMAGING SERVICES AT RATES SIGNIFICANTLY BELOW COST. FITNESS AND WELLNESS CLASSES AND SERVICES ARE PROVIDED AT THE ADVOCATE CONDELL CENTRE CLUBS, WHICH PROVIDES SLIDING SCALE MEMBERSHIP RATES. 29870858 28595233 DESCRIPTION OF ADVOCATE CONDELL MEDICAL CENTER SERVING THE COMMUNITY SINCE 1928, ADVOCATE CONDELL MEDICAL CENTER IS A 273-BED NON-PROFIT ACUTE CARE HOSPITAL BASED IN LIBERTYVILLE, ILLINOIS. AS THE LARGEST HEALTH CARE PROVIDER IN LAKE COUNTY, ADVOCATE CONDELL PROVIDES A FULL SPECTRUM OF MEDICAL SERVICES - FROM OBSTETRICS, RADIOLOGY SERVICES AND REHABILITATION TO OPEN HEART SURGERY, NEUROSURGERY AND ONCOLOGY. ADVOCATE CONDELL MEDICAL CENTER'S EMERGENCY DEPARTMENT PROVIDES LEVEL I TRAUMA CARE AND HAS THE ABILITY TO ACCOMMODATE GROWING NUMBERS OF PATIENTS. IN 2013, THE HOSPITAL EXPERIENCED 1,849 TRAUMA CARE VISITS. ADVOCATE CONDELL ALSO PROVIDES A DEDICATED PEDIATRIC EMERGENCY DEPARTMENT - THE FIRST AND ONLY IN LAKE COUNTY - CONSISTING OF A TEAM OF DOCTORS AND NURSES DEDICATED TO AND SPECIALLY TRAINED IN PEDIATRIC EMERGENCY MEDICINE. IN ADDITION, CONDELL IS AN ACCREDITED CHEST PAIN CENTER AND OFFERS A CONTINUUM OF DIAGNOSTIC AND CARDIOLOGY TREATMENT SERVICES-INCLUDING OPEN HEART SURGERY. MORE THAN 650 PHYSICIANS AND 2,100 ASSOCIATES COMPRISE THE TEAM OF MEDICAL EXPERTS KNOWN FOR EXCELLENCE. IN ADDITION TO SERVICES LOCATED ON ITS LIBERTYVILLE CAMPUS, ADVOCATE CONDELL OPERATES THREE IMMEDIATE CARE CENTERS THROUGHOUT THE COUNTY AND TWO MEDICALLY BASED FITNESS CENTERS. ADVOCATE CONDELL IS THE RESOURCE HOSPITAL FOR REGION 10 EMERGENCY MEDICAL SERVICES, WHICH DEMONSTRATES THE COMMITMENT TO EFFICIENTLY AND EFFECTIVELY MANAGE EMERGENCY SERVICES IN A DISASTER. ADVOCATE CONDELL ALSO PROVIDES COMMUNITY OUTREACH THROUGH HEALTH FAIRS, WELLNESS PROGRAMS AND OTHER SERVICES IN SUPPORT OF ITS MVP (MISSION, VALUES AND PHILOSOPHY). THE MISSION OF ADVOCATE CONDELL MEDICAL CENTER IS TO SERVE THE HEALTH NEEDS OF INDIVIDUALS, FAMILIES AND COMMUNITIES THROUGH A WHOLISTIC PHILOSOPHY ROOTED IN THE FUNDAMENTAL UNDERSTANDING OF HUMAN BEINGS AS CREATED IN THE IMAGE OF GOD. THE VALUES OF ADVOCATE CONDELL MEDICAL CENTER SERVE AS AN INTERNAL COMPASS TO GUIDE RELATIONSHIPS AND ACTIONS. THEY INCLUDE EQUALITY, COMPASSION, EXCELLENCE, PARTNERSHIP, AND STEWARDSHIP. THE PHILOSOPHY OF ADVOCATE CONDELL MEDICAL CENTER IS GROUNDED IN THE PRINCIPLES OF HUMAN ECOLOGY, FAITH AND COMMUNITY-BASED HEALTH CARE. THESE PRINCIPLES ARISE FROM AN UNDERSTANDING OF HUMAN BEINGS AS WHOLE PERSONS IN LIGHT OF THEIR RELATIONSHIPS WITH GOD, THEMSELVES, THEIR FAMILIES AND THE SOCIETY IN WHICH THEY LIVE. THROUGH OUR ACTIONS WE AFFIRM THESE PRINCIPLES. POPULATION SERVED ADVOCATE CONDELL MEDICAL CENTER PROVIDES QUALITY HEALTH CARE TO INDIVIDUALS REGARDLESS OF RACE, CREED, NATIONAL ORIGIN, AGE OR ABILITY TO PAY. IN 2013, CONDELL SERVED 209,052 PATIENTS, INCLUDING 16,334 INPATIENT ADMISSIONS AND 192,718 OUTPATIENT VISITS, DELIVERING 2,294 BABIES. COMMITMENT TO THE COMMUNITY EVEN IN THE FACE OF LOW REIMBURSEMENTS, ADVOCATE CONDELL MEDICAL CENTER 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 2013, CONDELL REPORTED APPROXIMATELY $44.6 MILLION IN CHARITY CARE AND OTHER SERVICES. THESE SERVICES ARE COMPRISED OF MANY COMMUNITY HEALTH PROGRAMS FOCUSED ON IMPROVING ACCESS TO CARE, ADDRESSING SPECIAL NEEDS AND IMPROVING OVERALL COMMUNITY HEALTH. IN ADDITION TO MEDICARE/MEDICAID AND BAD DEBT LOSSES, ADVOCATE CONDELL TREATS MANY AIR FORCE MILITARY PERSONNEL AND VETERANS ADMINISTRATION PATIENTS AT A RATE BELOW COST. COMMUNITY BENEFITS PLAN, GOALS & EXAMPLES OF PROGRAM SERVICE ACCOMPLISHMENTS ADVOCATE CONDELL MEDICAL CENTER'S COMMUNITY BENEFITS EFFORTS ARE ALIGNED WITH ADVOCATE'S COMMUNITY BENEFITS PLAN. THE ADVOCATE HEALTH CARE PLAN WAS DEVELOPED TO ESTABLISH STRATEGIES FOR IMPROVING ACCESS TO CARE AND POSITIVELY AFFECTING THE HEALTH OF THE COMMUNITIES SERVED BY THE HOSPITAL. INCLUDED IN THE COMMUNITY BENEFITS PLAN ARE NOT ONLY PLANNED GOALS AND OBJECTIVES FOCUSED ON ADDRESSING NEEDS AS IDENTIFIED THROUGH A HOSPITAL-SPECIFIC COMMUNITY HEALTH NEEDS ASSESSMENT, BUT ALSO OTHER COMMUNITY BENEFITS SUCH AS CHARITY CARE, UNREIMBURSED MEDICAID AND MEDICARE, THAT ARE ONGOING COMMUNITY BENEFITS PROGRAMS. THE PLAN SETS THE COURSE FOR STRENGTHENING EXISTING PARTNERSHIPS AND BUILDING NEW ONES WITH INDIVIDUALS AND ORGANIZATIONS WITHIN CONDELL'S SERVICE AREA IN ORDER TO LEVERAGE AND MAXIMIZE THE IMPACT OF ITS PROGRAMS. ADVOCATE CONDELL MEDICAL CENTER HAS SET FOUR GOALS AND MULTIPLE OBJECTIVES TO ACCOMPLISH THIS STRATEGY. THE GOALS AND SOME CORRESPONDING EXAMPLES OF SERVICES CONDELL OFFERS ARE PROVIDED BELOW. GOAL 1: UNDERTAKE OR SUPPORT INITIATIVES THAT ENHANCE ACCESS TO HEALTH AND WELLNESS SERVICES WITHIN THE DIVERSE COMMUNITIES ADVOCATE SERVES. CHARITY CARE - ADVOCATE CONDELL MEDICAL CENTER 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 POVERTY LEVEL. A PATIENT'S EXTENUATING CIRCUMSTANCES ARE CONSIDERED WHEN QUALIFYING PATIENTS FOR CHARITY CARE AND IN CERTAIN CASES, ADVOCATE CONDELL MEDICAL CENTER USES ADVOCATE OR PUBLIC RECORDS TO DETERMINE A PATIENT'S ELIGIBILITY ("PRESUMPTIVE ELIGIBILITY"). ADVOCATE CONDELL SUPPORTS THE SERVICES OF THE LAKE COUNTY DEPARTMENT OF PUBLIC HEALTH BY PROVIDING RADIOLOGY SERVICES TO PATIENTS TREATED BY THE HEALTH DEPARTMENT. GOAL 2: POSITIVELY AFFECT THE HEALTH STATUS AND QUALITY OF LIFE OF INDIVIDUALS AND POPULATIONS IN COMMUNITIES SERVED BY ADVOCATE THROUGH PROGRAMS AND PRACTICES THAT REFLECT ADVOCATE'S WHOLISTIC PHILOSOPHY. SCHOOL-BASED HEALTH PROGRAMMING -- ADVOCATE CONDELL IS WORKING CLOSELY WITH SEVERAL AREA SCHOOL DISTRICTS ON WELLNESS INITIATIVES, INCLUDING HEALTH EDUCATION PROGRAMMING AND SPONSORSHIP OF FITNESS ACTIVITIES. ADVOCATE CONDELL IS POISED TO TAKE THIS EFFORT TO THE NEXT LEVEL BY OFFERING THE COORDINATED APPROACH TO CHILD HEALTH IN TWO AREA SCHOOL DISTRICTS. DIABETES EDUCATION -- DURING ADVOCATE CONDELL'S PURSUIT TO ESTABLISH A CERTIFIED DIABETES EDUCATION PROGRAM, MOST DIABETES EDUCATION CLASSES AND ONE-ON-ONE COUNSELING SESSIONS WERE OFFERED FREE OF CHARGE TO THE PUBLIC. PLANS INCLUDE EXPANDING THESE SERVICES VIA A DIABETES PREVENTION AND MANAGEMENT PROGRAM TO POTENTIALLY FOUR LOCATIONS: FREE CLINICS IN MUNDELEIN AND WAUKEGAN; A GROUP OF FAITH ORGANIZATIONS SERVING THE ANTIOCH AREA, AND AT ROUND LAKE HIGH SCHOOL AS PART OF A SCHOOL-BASED HEALTH CLINIC. FALLS PREVENTION -- FALLS AMONG SENIORS (65+) ARE A SIGNIFICANT HEALTH RISK AND A LEADING CAUSE OF EMERGENCY DEPARTMENT ADMISSIONS TO ADVOCATE CONDELL MEDICAL CENTER. IN 2013, THROUGH ITS MATTER OF BALANCE PROGRAM, THE HOSPITAL CONTINUED TO SEE SUCCESS IN KEY AREAS WHICH HAVE BEEN PROVEN TO CONTRIBUTE TO FALLS, INCLUDING LACK OF EXERCISE AND FEAR OF FALLING. LOOKING AHEAD, ADVOCATE CONDELL PLANS TO EXPAND THE PROGRAM BOTH ONSITE AND OFFSITE THROUGH A PARTNERSHIP WITH THE LIBERTYVILLE SENIOR CENTER AND PROVIDERS IN OUR POST-ACUTE CARE NETWORK. SEXUAL ASSAULT NURSE EXAMINER PROGRAM -- ADVOCATE CONDELL MEDICAL CENTER'S SEXUAL ASSAULT NURSE EXAMINER (SANE) PROGRAM OPENED IN 2011, AND REMAINS THE ONLY LAKE COUNTY PROGRAM WITH CERTIFIED SEXUAL ASSAULT NURSE EXAMINERS AVAILABLE 24 HOURS, 7 DAYS A WEEK. THESE HIGHLY TRAINED PRACTITIONERS NOT ONLY PROVIDE COMPASSIONATE CARE TO VICTIMS, BUT ALSO ARE ABLE TO COLLECT FORENSIC EVIDENCE, COUNSEL THE VICTIM, AND TESTIFY IN COURT-HELPING THE VICTIM THROUGH THE ENTIRE PROCESS. IN ADDITION, THE SANE PROGRAM COORDINATOR WORKS CLOSELY WITH LOCAL RAPE ADVOCATES, LAW ENFORCEMENT AND PROSECUTORS TO ASSURE VICTIMS OF SEXUAL ASSAULT IN LAKE COUNTY RECEIVE THE BEST CARE POSSIBLE. IN 2012, ADVOCATE CONDELL'S SANE COORDINATOR, JENNIFER SLOMINSKI, RECEIVED THE JUSTICE AWARD FROM LAKE COUNTY STATE'S ATTORNEY MICHAEL J. WALLER FOR HER ROLE IN HELPING THE PROSECUTION OF SEXUAL ASSAULT CASES. SHE ALSO WAS RECOGNIZED FOR HER ADVOCACY WORK IN THE COMMUNITY. JENNIFER AND HER TEAM HAVE TRAINED MORE THAN 350 LAW-ENFORCEMENT MEMBERS ABOUT SEXUAL ASSAULT, THE IMPORTANCE OF A SANE NURSE AND HOW TO USE MEDICAL EVIDENCE TO PROSECUTE A CASE. THEY ALSO HAVE EDUCATED EMERGENCY MEDICAL RESPONDERS ON HOW TO TALK TO VICTIMS. THE ILLINOIS COALITION AGAINST SEXUAL ASSAULT (ICASA) HAS CALLED THE HOSPITAL'S CENTER AN "EXEMPLARY EXAMPLE" OF HOW A HOSPITAL AND COMMUNITY CAN WORK TOGETHER TO RESPOND TO SEXUAL ASSAULTS. CONDELL DAY CENTER'S ADULT DAY CARE PROGRAM - ADVOCATE CONDELL DAY CENTER'S ADULT DAY CARE PROGRAM FILLS A GAP IN CONTINUITY OF CARE FOR CLIENTS WHO ARE UNABLE TO LIVE INDEPENDENTLY. CONDELL'S PROGRAM COMBINES ADULT DAY CARE WITH THERAPEUTIC AND PERSONAL CARE SERVICES. GIVEN THAT THE PROGRAM IS LOCATED ADJACENT TO OTHER HOSPITAL SERVICES, CLIENTS CAN RECEIVE PHYSICAL, SPEECH AND OCCUPATIONAL THERAPY FROM A LICENSED THERAPIST. IN ADDITION, BATHING ASSISTANCE, BEAUTICIAN/BARBER AND PODIATRY CARE ARE AVAILABLE AS A SERVICE TO THE CLIENT AND CAREGIVER. COMP 300274103 true true false true false false false false false false true false false false true false false true false false false false false false false false true true true false true false false false false false false false true false false false false false true true false false false true 157 0 true 2421 true true true false false false false false false false false true true X 13 12 true false false false true true true true true false false true true true true true true true true false IL X JAMES W DOHENY 6309295543 3075 HIGHLAND PKWY SUITE 600 DOWNERS GROVE IL 60515 James Skogsbergh EXEC VP, COO, DIRECTOR 1.0 43.0 X X 0 4844462 2167252 Mark Harris Chairperson, Director 1.0 3.0 X 0 0 0 Michele BAKER Richardson Vice Chairperson, Director 1.0 3.0 X 0 0 0 David Anderson Director 1.0 3.0 X 0 0 0 Alejandro Aparicio MD Director 1.0 5.0 X 0 0 0 Lynn Crump-Caine Director 1.0 3.0 X 0 0 0 Rev Dr Nathaniel Edmond Director 1.0 3.0 X 0 0 0 Ron Greene Director 1.0 3.0 X 0 0 0 Laurie Meyer Director 1.0 3.0 X 0 0 0 Clarence Nixon Jr PhD Director 1.0 3.0 X 0 0 0 Rick Jakle Director 1.0 3.0 X 0 0 0 Gary Stuck MD Director 1.0 3.0 X 0 0 0 John Timmer Director 1.0 3.0 X 0 0 0 William P Santulli President & CEO 1.0 42.0 X 0 2317674 800015 Lee B Sacks MD Exec VP, Chief Medical Officer 1.0 42.0 X 0 1800900 390714 James Dan MD Pres Physician & Amb Services 1.0 42.0 X 0 1317265 295691 James Doheny VP, Finance & Corp Controller 1.0 46.0 X 0 439005 55680 Kelly Jo Golson SVP, Public Affairs & Mktg 1.0 42.0 X 0 829501 135143 Kevin Brady SVP, Human Resources 1.0 42.0 X 0 1009341 285030 Susan Campbell SVP, PTNT CARE, CHIEF NUR OFF 1.0 43.0 X 0 264253 144987 Gail D Hasbrouck SVP, Gen Counsel, Corp Sec 1.0 45.0 X 0 1100893 214228 Dominic J Nakis SVP, CFO 1.0 42.0 X 0 1696068 391739 Scott Powder SVP, Strategic Plan & Growth 1.0 42.0 X 0 751941 191981 Bruce D Smith SVP, CIO 1.0 42.0 X 0 1089595 230365 Rev K Bender Schwich SVP, Mission & Spiritual Care 1.0 42.0 X 0 315093 276880 Dominica Tallarico President-Condell Medical Cntr 40.0 0.0 X 582188 0 190904 Debra Susie-Lattner VP, Medical Management 40.0 0.0 X 420616 0 43841 Mary Hillard VP, Patient Care 40.0 0.0 X 251354 0 43962 David Cartwright VP, Finance & Support Services 40.0 0.0 X 242775 0 48327 Matthew Primack VP, Clinical Institutes & Bus 40.0 0.0 X 230003 0 24920 Jason Spigner VP, Human Resources 40.0 0.0 X 223657 0 27141 Ben Grigaliunas SVP, Human Resources- Dec '11 0.0 0.0 X 0 736510 36066 Jose Elizondo MD Director - Dec '11 0.0 40.0 X 0 252520 39831 1950593 18765021 6034697 126 true true false Aramark Healthcare Support Services 25271 Network Place Chicago IL 606731252 Food Services 2405907 Crothall Laundry Service 45 W Hintz Road Wheeling IL 600906073 Laundry Services 1262807 Krause Construction LLC 3330 Edison Avenue Blue Island IL 60406 Construction Contr 892607 Harris Harris Ltd 111 W Jackson Blvd Suite 400 Chicago IL 60604 Collection Services 739910 MModal Services Ltd PO Box 102467 Atlanta GA 30368 Transcription Svcs 495465 11 0 527631 210863 0 738494 Program Services 622110 40090330 40090330 0 0 Medicare/Medicaid 622110 125948055 125948055 0 0 Blue Cross/Managed Care 622110 161866450 161866450 0 0 Membership Revenue 621990 4273134 4273134 0 0 Meaningful Use 622110 2804375 2804375 0 0 4374698 4374698 0 0 339357042 1195289 1195289 0 0 620368 0 0 0 620368 0 620368 525 619843 19357132 93330 17540068 1025334 1817064 -932004 885060 885060 0 0 0 Day Care Services 624410 1261794 0 1261794 0 Massage Services 812190 57638 0 57638 0 Physician Services 621110 106461 0 106461 0 24867 0 24867 0 1450760 344247013 339357042 1451285 2700192 27538 27538 0 0 0 0 0 0 773092 751768 21324 0 0 0 0 100516609 97744102 2772507 0 6749241 6563080 186161 0 13970058 13880658 89400 0 7261971 7114077 147894 0 0 0 0 0 2255 0 2255 0 66151 0 66151 0 74068 0 74068 0 0 0 177113 0 177113 0 21684624 21212761 471863 0 36419 30208 6211 0 2246460 1964348 282112 0 16624270 16560995 63275 0 0 0 0 0 1803 1803 0 148716 91860 56856 0 0 0 0 0 71000 32122 38878 0 2491065 2491065 0 0 0 0 0 0 16513373 15887232 626141 0 4878895 4878895 0 0 Medical Supplies 47094363 46893611 200752 0 Bad Debt Expense 19896551 19896551 0 0 Contracted Services 11485721 11437947 47774 0 Public Assessment Fee 15059706 15059706 0 0 18238906 17755579 483327 306089968 300274103 5815865 0 0 0 0 0 162392 44230008 37128157 0 0 0 31791395 29409028 0 0 0 0 0 0 4845908 4577834 1276775 1025995 347327385 73296359 282089694 274031026 37905320 41657801 0 0 0 0 0 0 7201895 7286140 402401536 402217832 41507662 39004421 0 0 0 0 0 0 0 0 0 0 31032903 30680429 0 0 68793267 60734074 141333832 130418924 X 261067704 271798908 0 0 0 0 261067704 271798908 402401536 402217832 X 38157045 978992 -28404833 X false true X true false X RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED RESTRICTED false false false 0 false 0 false 0 false 0 false 0 false 0 true 74068 74068 false false Schedule C Part II-B, Line 1I Supplemental Lobbying Information Advocate Condell Medical Center is a member of the American Hospital Association, the Illinois Hospital Association, and the Metropolitan Chicago Healthcare Council. These organizations, as part of their mission, advocate in the general assembly and in congress on legal and policy issues that affect healthcare including quality, affordability, patient access, and accreditation. A portion of the annual membership dues paid to these organizations is attributable to lobbying activities. Advocate Condell Medical Center also reimburses various associates for dues paid to various professional organizations and also for educational expenses provided by professional and membership organizations. Advocate Condell Medical Center endeavors to identify the portion of our dues or fees paid to these organizations are attributable to lobbying activities. 0 49200000 49200000 0 236606147 40926799 195679348 0 293052 111724 181328 0 52917395 31325237 21592158 0 8310791 932599 7378192 274031026 0 Third Party Settlements 36428040 Pension Plan Benefits 23736386 Remediation Cost Accrual 107559 IBNR Provision Insurance Loss 462089 60734074 true true X true X true X 600. true true true false true true 13917869 13917869 0.05070 56118534 37714483 18404051 0.06700 70036403 37714483 32321920 0.11770 899272 899272 0.00330 1238147 1238147 0.00450 10104503 8819943 1284560 0.00470 327049 327049 0.00120 12568971 8819943 3749028 0.01370 82605374 46534426 36070948 0.13140 false 19896551 1700219 95662807 100193914 -4531107 X true true NONE 1 1 CONDELL MEDICAL CENTER 801 S MILWAUKEE AVENUE LIBERTYVILLE IL 60048 http://www.advocatehealth.com/condell/ License No.0005579 X X X CONDELL MEDICAL CENTER 1 true X X X X X X X X X 13 true true true X www.advocatehealth.com/chnareports X X X X X X X X false false true true 200. true 600. true X X X X X X X X true true X X X X X X X true false X X X X X true X false false PART V, SECTION C - DESCRIPTION FOR PART V, SEC B, LINE 1J N/A PART V, SECTION C - DESCRIPTION FOR PART V, SEC B, LINE 3 IN SUPPORT OF THIS VISION AND IN ALIGNMENT WITH ADVOCATE HEALTH CARE'S STANDARDIZED APPROACH, CONDELL MEDICAL CENTER CONVENED A COMMUNITY HEALTH COUNCIL TO CONDUCT ITS COMPREHENSIVE CHNA. THIS COUNCIL WAS CHAIRED BY THE HOSPITAL'S COMMUNITY HEALTH LEADER AND COMPRISED OF REPRESENTATIVES FROM THE EXECUTIVE TEAM, PUBLIC AFFAIRS AND MARKETING, MISSION AND SPIRITUAL CARE, AND BUSINESS DEVELOPMENT AND STRATEGY. COMMUNITY MEMBERS SERVING ON THE HOSPITAL'S GOVERNING COUNCIL WERE ALSO RECRUITED AS ACTIVE PARTICIPANTS IN THE COUNCIL. ADDITIONAL HOSPITAL STAFF AND COMMUNITY REPRESENTATIVES WERE ADDED AS THE PROCESS EVOLVED TO FILL IN ANY COUNCIL GAPS IN EXPERTISE. THE TITLES/CREDENTIALS AND AFFILIATIONS OF REPRESENTATIVES ON THE COMMUNITY HEALTH COUNCIL ARE PROVIDED BELOW. ADVOCATE CONDELL MEDICAL CENTER COMMUNITY HEALTH COUNCIL MEMBERS - VICE PRESIDENT OF MISSION AND SPIRITUAL CARE, ADVOCATE CONDELL MEDICAL CENTER - DIRECTOR OF CARDIOVASCULAR AND ONCOLOGY INSTITUTE, ADVOCATE CONDELL MEDICAL CENTER - DIRECTOR, PUBLIC AFFAIRS & MARKETING, ADVOCATE CONDELL MEDICAL CENTER - DIRECTOR OF NURSING, ADVOCATE CONDELL MEDICAL CENTER - MANAGER OF PLANNING, ADVOCATE CONDELL MEDICAL CENTER - COORDINATOR, PUBLIC AFFAIRS & MARKETING, ADVOCATE CONDELL MEDICAL CENTER - RETIRED SCHOOL PRINCIPAL, LIBERTYVILLE ELEMENTARY DISTRICT 70; MEMBER OF ADVOCATE CONDELL MEDICAL CENTER GOVERNING COUNCIL - PASTOR, IVANHOE CONGREGATIONAL CHURCH; MEMBER OF ADVOCATE CONDELL MEDICAL CENTER GOVERNING COUNCIL - INTERNAL MEDICINE PHYSICIAN, ADVOCATE MEDICAL GROUP, ADVOCATE CONDELL MEDICAL CENTER - HEALTH INITIATIVES MANAGER, AMERICAN CANCER SOCIETY, LAKE COUNTY - CHAIRMAN, LAKE COUNTY BOARD OF DIRECTORS - DIRECTOR OF PRIMARY CARE SERVICES, LAKE COUNTY HEALTH DEPARTMENT - SUPERINTENDENT OF SCHOOLS, LIBERTYVILLE DISTRICT 70 - EXECUTIVE DIRECTOR, MANO A MANO FAMILY RESOURCE CENTER USING BOTH PRIMARY AND SECONDARY COMMUNITY HEALTH DATA, THE TEAM IDENTIFIED THE HOSPITAL 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 HOSPITAL'S AND THE COMMUNITY'S ISSUES/CHALLENGES AND ASSETS, AND DISCUSSIONS WITH EXTERNAL KEY INFORMANTS TO DETERMINE THE POTENTIAL FOR PARTNERSHIPS WITH OTHER ORGANIZATIONS AND FOR SHARING RESOURCES TO ADDRESS COMMUNITY NEED. PRIMARY DATA SOURCES INCLUDED HOSPITAL ADMISSION, DISCHARGE AND EMERGENCY DEPARTMENT DATA, WHICH ALLOWED THE COUNCIL TO CAPTURE DISEASE-SPECIFIC HEALTH INFORMATION ABOUT CONDELL PATIENTS. INFORMATIONAL INTERVIEWS WITH KEY INFORMANTS ALSO WERE CONDUCTED TO SUPPLEMENT OTHER PRIMARY AND SECONDARY DATA COLLECTION. KEY INFORMANTS INCLUDED: - DIRECTOR, POPULATION HEALTH, LAKE COUNTY HEALTH DEPARTMENT - ASSISTANT DIRECTOR, POPULATION HEALTH, LAKE COUNTY HEALTH DEPARTMENT - DIRECTOR, LIBERTYVILLE SENIOR CENTER - ADVOCATE HEALTHCARE PARISH NURSE, ANTIOCH - PASTOR, ST. STEPHEN CHURCH, ANTIOCH - FIRE CHIEF, VILLAGE OF MUNDELEIN, AND MEMBER AT -LARGE, LAKE COUNTY BOARD OF HEALTH - PEDIATRIC HOSPITALIST, ADVOCATE CONDELL MEDICAL CENTER - CHAIRMAN OF PEDIATRICS, ADVOCATE CONDELL MEDICAL CENTER - LACTATION COORDINATOR, ADVOCATE CONDELL MEDICAL CENTER - DISTRICT NURSE IN ROUND LAKE AREA SCHOOLS DISTRICT 116 - EXECUTIVE DIRECTOR, HEALTHREACH - VARIOUS AREA LEGISLATORS IN CONDUCTING ITS NEEDS ASSESSMENT, THE HOSPITAL WORKED CLOSELY WITH THE LAKE COUNTY HEALTH DEPARTMENT/COMMUNITY HEALTH CENTER, ANTIOCH AREA HEALTHCARE ACCESSIBILITY ALLIANCE, HEALTHCARE FOUNDATION OF NORTHERN LAKE COUNTY, ROUND LAKE SCHOOL DISTRICT 116 SCHOOL-BASED HEALTH CENTER STEERING COMMITTEE, AND MANO A MANO FAMILY RESOURCE CENTER. PART V, SECTION C - DESCRIPTION FOR PART V, SEC B, LINE 4 ADVOCATE GOOD SHEPHERD HOSPITAL, BARRINGTON, IL LOVELL FEDERAL HEALTHCARE CENTER, NORTH CHICAGO, IL NORTHWESTERN LAKE FOREST HOSPITAL, LAKE FOREST, IL VISTA HEALTH SYSTEMS, WAUKEGAN, IL PART V, SECTION C - DESCRIPTION FOR PART V, SEC B, LINE 6I N/A PART V, SECTION C - DESCRIPTION FOR PART V, SEC B, LINE 7 USING BOTH PRIMARY AND SECONDARY COMMUNITY HEALTH DATA, THE TEAM IDENTIFIED THE HOSPITAL 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 HOSPITAL'S AND THE COMMUNITY'S ISSUES/CHALLENGES AND ASSETS, AND DISCUSSIONS WITH EXTERNAL KEY INFORMANTS TO DETERMINE THE POTENTIAL FOR PARTNERSHIPS WITH OTHER ORGANIZATIONS AND FOR SHARING RESOURCES TO ADDRESS COMMUNITY NEED. BASED ON THE DATA ASSESSMENT, CONDELL'S COMMUNITY HEALTH COUNCIL IDENTIFIED THE FOLLOWING TOP HEALTH NEEDS FOR LAKE COUNTY: - CARDIOVASCULAR DISEASE - BEHAVIORAL HEALTH - OBESITY - CANCER - DIABETES THE COMMUNITY HEALTH COUNCIL CONSIDERED A NUMBER OF FACTORS IN DETERMINING WHICH HEALTH NEEDS THE HOSPITAL WOULD ADDRESS, INCLUDING: - EXPERTISE: TO WHAT EXTENT DOES CONDELL MEDICAL CENTER HAVE ACCESS TO THE NECESSARY EXPERTISE TO ADDRESS THE HEALTH NEED, WHETHER THROUGH INTERNAL RESOURCES, OR THROUGH EXISTING EXTERNAL SOURCES? - RESOURCES: TO WHAT EXTENT DOES CONDELL MEDICAL CENTER HAVE ACCESS TO PHYSICAL, FINANCIAL, AND HUMAN RESOURCES NECESSARY TO ADDRESS THE NEED THROUGH A COMMUNITY HEALTH PROGRAM? ARE THERE RESOURCES WITHIN THE COMMUNITY WHERE ASSISTANCE IS LIKELY? - IMPACT: IS THERE POTENTIAL TO IMPACT THE HEALTH OF A PERSON OR FAMILY, AND IMPROVE OVERALL HEALTH OR QUALITY OF LIVING? IS THERE POTENTIAL TO REDUCE EMERGENCY DEPARTMENT VISITS DUE TO POOR DISEASE MANAGEMENT OR OTHER PREVENTABLE CAUSES. IS THERE POTENTIAL TO REDUCE DEMAND FOR MEDICAL SERVICES WITHIN THE COMMUNITY? - MEASURABILITY: TO WHAT EXTENT WOULD IT BE POSSIBLE TO TRACK RESULTS OF COMMUNITY HEALTH EFFORTS IN ORDER TO DEMONSTRATE PROGRAM RESULTS? CAN DATA BE USED TO ASSESS OR ESTABLISH A DIRECT CORRELATION BETWEEN THE PROGRAM AND THE RESULTS? - PARTNERSHIP: ARE THERE OPPORTUNITIES TO PARTNER WITH AN ESTABLISHED COMMUNITY ORGANIZATION WITHIN THE DEFINED TARGET COMMUNITY IN ORDER TO REACH THE INTENDED AUDIENCE? ARE THE ORGANIZATIONS RECEPTIVE TO PARTNERING WITH CONDELL MEDICAL CENTER? BASED ON THE ALIGNMENT OF CONDELL MEDICAL CENTER'S CAPABILITIES AND EXPERTISE, AND ON ITS PARTNERSHIPS, THE COMMUNITY HEALTH COUNCIL HAS DECIDED TO BEGIN BY TARGETING DIABETES AND OBESITY. PART V, SECTION C - DESCRIPTION FOR PART V, SEC B, LINE 12I OTHER FACTORS USED IN DETERMINING AMOUNTS CHARGED TO PATIENTS INCLUDE: DECEASED PATIENTS WITH NO ESTATE; HOMELESS PATIENTS, OR PATIENTS WHO RECEIVE CARE IN A HOMELESS CLINIC; PATIENTS WHO QUALIFY FOR A STATE DEPARTMENT OF HUMAN SERVICES (DHS) ASSISTANCE PROGRAM, BUT HAVE NO MEDICAL COVERAGE (E.G., ILLINOIS AMI/GA, FOOD STAMP, PRESCRIPTION, WOMEN, INFANTS AND CHILDREN (WIC), WHY WAIT AND WISE WOMEN PROGRAMS); COUNTY HEALTH CLINIC PATIENTS, LEGAL ASSISTANCE FOUNDATION OF ILLINOIS REFERRALS; INDIVIDUALS WITH A VALID ADDRESS AT LOW-INCOME/SUBSIDIZED HOUSING; INCARCERATED INDIVIDUALS; INCOMPETENT INDIVIDUALS WITH COMPROMISED DIAGNOSES (E.G., SUBSTANCE ABUSE, PSYCHIATRIC); INDIVIDUALS MEETING DEFINED CREDIT REPORTING (OR OTHER EXTERNAL REPORTING) RESULT THRESHOLDS; PATIENTS WITH PRIOR HISTORY OF INABILITY TO MAKE PAYMENTS; PATIENTS WITH COURT FILED OR APPROVED BANKRUPTCY DETERMINATIONS. PART V, SECTION C - DESCRIPTION FOR PART V, SEC B, LINE 14G ACMC 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. SIGNAGE IS 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 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 A FINANCIAL ASSISTANCE APPLICATION ARE GIVEN TO ALL UNINSURED PATIENTS WHO RECEIVE MEDICALLY NECESSARY HOSPITAL SERVICES AT THE EARLIEST PRACTICAL TIME OF SERVICE. 5. ADVOCATE'S WEBSITE PROMINENTLY NOTES THAT FINANCIAL ASSISTANCE IS AVAILABLE, WITH AN EXPLANATION OF THE APPLICATION PROCESS, A SUMMARY OF THE FINANCIAL ASSISTANCE POLICY, AND THE FINANCIAL ASSISTANCE APPLICATION. 6. HOSPITAL BILLS TO ALL 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 16 Condell Medical Center - Mungo BLDG 804 E Park Ave STE 10610711111 Libertyville IL 60048 Patient Care - Out Patient Condell Medical Center - Office BLDG 2 East Rollins Rd Ste 101 105 1 Round Lake Beach IL 60073 Patient Care - Out Patient Condell Medical Center - Office BLDG 6 Phillips Road Suite 1109 Vernon Hills IL 60061 Patient Care - Out Patient Condell Immediate Care Building 150 Half Day Road Suite 207 Buffalo Grove IL 60089 Patient Care - Out Patient Condell Immediate Care Building 6440 Grand Ave Suite 105 Gurnee IL 60031 Patient Care - Out Patient Condell Medical Center - Office BLDG 1170 E Belvidere Rd Various Suite Grayslake IL 60030 Patient Care - Out Patient Condell Medical Center - Gurnee POB 1445 Hunt Club Suite 100 103 203 Gurnee IL 60031 Patient Care - Out Patient Condell Medical Center - Gurnee Imaging 1435 N Hunt Club Gurnee IL 60031 Patient Care - Out Patient Condell Medical Center - Office BLDG 1425 Hunt Club STE 102103203304 Gurnee IL 60031 Patient Care - Out Patient Condell Medical Center - Centre Club 200 West Golf Rd Libertyville IL 60048 Patient Care - Out Patient Condell Medical CTR - Inter Gen Center 700 S Garfield Libertyville IL 60048 Patient Care - Out Patient Condell Medical Center - AMBI Center 890 Garfield Libertyville IL 60048 Patient Care - Out Patient Condell Medical Center - Office BLDG 755 Milwaukee Ave Various STE Libertyville IL 60048 Patient Care - Out Patient Condell Med Ctr-Radiation Therapy 880 Garfield Ave Libertyville IL 60048 Patient Care - Out Patient CONDELL HOME HEALTH SVCS & HOSPICE 115 W CHURCH STREET LIBERTYVILLE IL 60048 PATIENT CARE - OUT PATIENT CONDELL MEDICAL CENTER - CENTRE CLUB 1405 HUNT CLUB ROAD Gurnee IL 60031 Patient Care - Out Patient PART VI, LINE 1 - DESCRIPTION FOR PART I, LINE 3C N/A PART VI, LINE 1 - DESCRIPTION FOR 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 VI, LINE 1 - DESCRIPTION FOR PART I, LINE 7 A COST-TO-CHARGE RATIO, DERIVED FROM SCHEDULE H INSTRUCTIONS WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES, WAS USED TO CALCULATE THE AMOUNTS REPORTED IN THE TABLE FOR PART I, LINE 7A. SCHEDULE H INSTRUCTIONS WORKSHEET 3, UNREIMBURSED MEDICAID AND OTHER MEANS-TESTED GOVERNMENT PROGRAMS, WAS USED TO CALCULATE THE AMOUNTS REPORTED IN THE TABLE FOR PART I, LINE 7B. A COST ACCOUNTING SYSTEM WAS USED TO DETERMINE THE AMOUNTS REPORTED IN THE TABLE FOR PART I, LINES 7E, 7F, 7G, AND 7I. PART VI, LINE 1 - 7E ACMC PROVIDES COMMUNITY HEALTH IMPROVEMENT SERVICES TO THE COMMUNITIES IN WHICH IT SERVES. ACMC 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. COLORECTAL CANCER SCREENING ARE ALSO PROVIDED; VARIOUS PROGRAMS REGARDING JOINT PAIN AND REPLACEMENT INCLUDING TREATMENT OPTIONS AND INFORMATION ON PAIN RELIEF; VARIOUS WOMEN AND BABY, BREASTFEEDING, MULTIPLES, 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 VI, LINE 1 - DESCRIPTION FOR PART I, LINE 7G ACMC PROVIDES SUBSIDIZED HEALTH SERVICES TO THE COMMUNITY. THESE SERVICES ARE PROVIDED DESPITE CREATING A FINANCIAL LOSS FOR ACMC. THESE SERVICES ARE PROVIDED BECAUSE THEY MEET AN IDENTIFIED COMMUNITY NEED. IF ACMC 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 CHEMICAL DEPENDENCY HEALTH SERVICES, ORTHOPEDIC AND HOSPICE SERVICES. PART VI, LINE 1 - DESCRIPTION FOR PART I, LINE 7H ACMC 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 2013 FORM 990, SCHEDULE H. PART VI, LINE 1 - DESCRIPTION FOR PART I, LINE 7, COLUMN (F) $19,896,551 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 VI, LINE 1 - DESCRIPTION FOR PART II N/A PART VI, LINE 1 - DESCRIPTION FOR PART III, LINES 2 - 4 THE FOOTNOTES TO ADVOCATE HEALTH CARE NETWORK AND SUBSIDIARIES' AUDITED FINANCIAL STATEMENTS DO NOT SPECIFICALLY ADDRESS BAD DEBT EXPENSE; RATHER, THE FOOTNOTE DESCRIBES ADVOCATE'S PATIENT ACCOUNTS RECEIVABLE POLICY AND THE PERCENTAGE OF ACCOUNTS RECEIVABLE THAT THE ALLOWANCE FOR DOUBTFUL ACCOUNTS COVERS (SEE PAGE 10 OF THE AUDITED FINANCIAL STATEMENTS). FOR 2013, FOR ADVOCATE CONDELL, THE ALLOWANCE FOR DOUBTFUL ACCOUNTS COVERED 39.42% OF NET PATIENT ACCOUNTS RECEIVABLE. PATIENT ACCOUNTS RECEIVABLE ARE STATED AT NET REALIZABLE VALUE. ACMC 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 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, AND CHARGES FOR PATIENTS WHO APPLIED FOR FINANCIAL ASSISTANCE AND WERE DENIED. 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 VI, LINE 1 - DESCRIPTION FOR PART III, LINE 8 THE SHORTFALL OF $4,531,107 ON PART III, LINE 7 IS THE UNREIMBURSED COST OF PROVIDING SERVICES FOR MEDICARE PATIENTS AND SHOULD BE TREATED AS COMMUNITY BENEFIT BECAUSE PROVIDING THESE SERVICES WITHOUT REIMBURSEMENT LESSENS THE BURDENS OF GOVERNMENT OR OTHER CHARITIES THAT WOULD OTHERWISE BE NEEDED TO SERVE THE COMMUNITY. FOR ACMC'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 VI, LINE 1 - DESCRIPTION FOR PART III, LINE 9B ACMC MAINTAINS BOTH WRITTEN FINANCIAL ASSISTANCE AND BAD DEBT/COLLECTION POLICIES. THE BAD DEBT/COLLECTION POLICY DOES NOT APPLY TO THOSE PATIENTS KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE, THEREFORE SUCH PATIENTS ARE NOT SUBJECT TO COLLECTION PRACTICES. PATIENTS ARE NOT SUBJECT TO COLLECTION PRACTICES. PART VI, LINE 2 - NEEDS ASSESSMENT NO ADDITIONAL METHODS WERE USED TO ASSESS THE HEALTH CARE NEEDS OF THE COMMUNITY. PART VI, LINE 3 - PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE ACMC 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 ACMC'S FINANCIAL ASSISTANCE POLICY. ADVOCATE UTILIZES A FINANCIAL SCREENING SOFTWARE PROGRAM TO HELP IDENTIFY PUBLIC ASSISTANCE PROGRAMS FOR WHICH THE PATIENT MAY BE ELIGIBLE OR ADVOCATE'S FINANCIAL ASSISTANCE AT THE TIME OF REGISTRATION OR AS SOON AS PRACTICABLE THEREAFTER. IN ADDITION, HEALTHADVISOR, ADVOCATE'S EDUCATION REGISTRATION AND PHYSICIAN REFERRAL TELEPHONE CENTER, SERVES AS A COMMUNITY RESOURCE PROVIDING REFERRALS TO GOVERNMENT-FUNDED AND OTHER PROGRAMS VIA TELEPHONE FROM 8 A.M. TO 6 P.M., MONDAY THROUGH FRIDAY. ACMC ASSISTS PATIENTS WITH APPLYING FOR ADVOCATE'S OWN FINANCIAL ASSISTANCE SERVICES, IF PATIENTS ARE NOT ELIGIBLE FOR GOVERNMENT-SUPPORTED PROGRAMS. ACMC 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. PART VI, LINE 4 COMMUNITY INFORMATION CONDELL'S COMMUNITY HEALTH COUNCIL WEIGHED SEVERAL OPTIONS TO DEFINE THE COMMUNITY. ONE WAS TO EVALUATE THE HEALTH NEEDS IN CONDELL MEDICAL CENTER'S TOTAL SERVICE AREA, WHICH CONSISTS OF RESIDENTS WITHIN 11 ZIP CODES WITH AN ESTIMATED POPULATION OF 394,577. BUT, FOR FOUR PRIMARY REASONS, WE ULTIMATELY DECIDED TO LOOK AT LAKE COUNTY AS A WHOLE WHEN ASSESSING NEEDS AND IMPLEMENTING INTERVENTIONS. 1. CONDELL MEDICAL CENTER PATIENTS ARE ADMITTED FROM ALL COMMUNITIES WITHIN LAKE COUNTY, ACCOUNTING FOR ABOUT 26 PERCENT OF ALL COUNTYWIDE INPATIENT HOSPITALIZATIONS. ADMISSIONS AT CONDELL MEDICAL CENTER HAVE RISEN IN THE FACE OF DECLINING INPATIENT NUMBERS COUNTYWIDE. CONDELL'S EMERGENCY DEPARTMENT (ED) VISITS ALSO CONTINUE TO RISE, TO ABOUT 56,775 IN 2012, ACCOUNTING FOR ABOUT 25 PERCENT OF ALL ED VISITS IN THE COUNTY, ACCORDING TO HOSPITAL AND COUNTY DATA. 2. AS THE ONLY LEVEL 1 TRAUMA CENTER IN LAKE COUNTY, THERE ARE SPECIALIZED SERVICES AND RESOURCES UNAVAILABLE FROM ANY OTHER PROVIDER. CONDELL MEDICAL CENTER ALSO OPERATES THE ONLY PEDIATRIC EMERGENCY DEPARTMENT IN THE COUNTY. 3. THERE HAS BEEN AN INCREASE IN PATIENTS COMING FROM PARTS OF LAKE COUNTY NOT TRADITIONALLY CONSIDERED PART OF CONDELL MEDICAL CENTER'S SERVICE AREA. INPATIENT VOLUMES FROM ZIP CODES INCLUDING WAUKEGAN, NORTH CHICAGO AND ZION ROSE FROM 18,956 IN 2009 TO 20,282 IN 2012. DURING THE SAME TIME PERIOD, EMERGENCY DEPARTMENT VISITS FROM THE SAME ZIP CODES ROSE FROM 40,808 TO 43,822. THE THREE COMMUNITIES WITH THE LOWEST MEDIAN ANNUAL HOUSEHOLD INCOMES IN THE COUNTY --- $36,896 IN NORTH CHICAGO, $41,403 IN WAUKEGAN AND $54,022 IN ZION, AS COMPARED TO $79,666 COUNTYWIDE --- ARE FOUND IN THIS AREA, SUGGESTING THE NEED FOR HEALTH SERVICES MIGHT BE GREATER. 4. WE ARE HOPING TO PARTNER ON MANY INITIATIVES WITH THE LAKE COUNTY HEALTH DEPARTMENT, WHICH SERVES THE ENTIRE COUNTY. IN SUMMARY, WHEN IT COMES TO ASSESSING AND ADDRESSING HEALTH NEEDS, THE COUNCIL DECIDED THE ENTIRE COUNTY SHOULD BE CONSIDERED THE COMMUNITY. LAKE COUNTY IS COMPRISED OF ALL OR PART OF 52 COMMUNITIES, WITH A TOTAL POPULATION OF 706,222, ACCORDING TO THE US CENSUS BUREAU. ABOUT 30.4% OF THE POPULATION IS 19 OR YOUNGER AND 10.4% IS 65 YEARS AND OLDER. BY RACE/ETHNICITY, THE COUNTY POPULATION IS 75.1% WHITE; 7% AFRICAN-AMERICAN; 6.3% ASIAN; LESS THAN 0.5% AMERICAN INDIAN AND ALASKA NATIVE OR NATIVE HAWAIIAN AND OTHER PACIFIC ISLANDER, AND 8% OTHER. ABOUT 19.9% OF THIS POPULATION IS HISPANIC, WHO MAY BE OF ANY RACIAL GROUP. THE MOST REMARKABLE PROPORTIONAL CHANGES RELATIVE TO THE 2000 CENSUS ARE A 4.5% DECREASE IN THE POPULATION PROPORTION OF NON-HISPANIC WHITE INDIVIDUALS AND A 5.5% INCREASE IN THE POPULATION PROPORTION OF HISPANIC INDIVIDUALS. AMONG THOSE FIVE YEARS OLD AND OLDER, 27% SPEAK LANGUAGES OTHER THAN ENGLISH AT HOME. OF THESE, 63% PERCENT SPEAK SPANISH AND 37% SOME OTHER LANGUAGE. ABOUT 41% REPORTED THAT THEY DID NOT SPEAK ENGLISH "VERY WELL." IN TERMS OF EDUCATIONAL ATTAINMENT IN THE GENERAL POPULATION, ROUGHLY 88% OF PEOPLE 25+ YEARS OF AGE HAD AT LEAST GRADUATED FROM HIGH SCHOOL AND 40% HAD EARNED A BACHELOR'S DEGREE OR HIGHER. ABOUT 12% REPORTED THEY HAD NOT GRADUATED FROM HIGH SCHOOL AND WERE NOT CURRENTLY ENROLLED IN SCHOOL. THE MEDIAN HOUSEHOLD INCOME WAS $76,322, WITH 85% OF HOUSEHOLDS RECEIVING EMPLOYMENT-RELATED OR OTHER EARNINGS AND 15% RECEIVING RETIREMENT INCOME OTHER THAN SOCIAL SECURITY. ABOUT 23% OF HOUSEHOLDS RECEIVE SOCIAL SECURITY BENEFITS WHICH, ON AVERAGE AMOUNTED TO ABOUT $17,338 ANNUALLY. IN 2009, APPROXIMATELY 7% OF THE COUNTY'S POPULATION WAS LIVING AT OR BELOW THE POVERTY LEVEL. ABOUT 5% OF ALL FAMILIES AND 20% OF FAMILIES WITH A FEMALE HEAD-OF-HOUSEHOLD HAD INCOMES BELOW THE POVERTY LEVEL. HEALTH RESOURCES IN DEFINED COMMUNITY LAKE COUNTY IS SERVED BY A VARIETY OF HEALTH RESOURCES, INCLUDING SIX HOSPITALS, TWO FREESTANDING EMERGENCY CENTERS, AND NUMEROUS IMMEDIATE CARE CENTERS AND PHYSICIAN OFFICE BUILDINGS. IN ADDITION, THE LAKE COUNTY HEALTH DEPARTMENT OPERATES SIX HEALTH CLINICS, WITH A SEVENTH SCHEDULED TO OPEN IN 2014 AT ROUND LAKE HIGH SCHOOL. RESIDENTS ALSO HAVE ACCESS TO CARE THROUGH HEALTHREACH, AN ORGANIZATION SERVING UNDER- AND UNINSURED RESIDENTS. HEALTHREACH WILL TRANSITION TO ERIE FAMILY HEALTH CENTER IN 2014, AND THE TWO CLINICS WILL OFFER EXPANDED HOURS AND SERVICES. FINALLY, THERE ARE NUMEROUS RETAIL STORES THAT HOUSE HEALTH CLINICS. PART VI, LINE 5 - PROMOTION OF COMMUNITY HEALTH ADVOCATE CONDELL MEDICAL CENTER SERVES THE COMMUNITY IN MANY WAYS. IN ADDITION TO AN OPEN MEDICAL STAFF AND A DIVERSE GOVERNING COUNCIL INCLUDING REPRESENTATIVES FROM THE COMMUNITY, CONDELL MEDICAL CENTER ENGAGES ITS COMMUNITY PARTNERS TO PROVIDE NO OR LOW-COST SCREENINGS AND EDUCATIONAL LECTURES. CONDELL ALSO DONATES STAFF TIME AND EXPERTISE TO A NUMBER OF LOCAL COUNCILS AND BOARDS. IN ADDITION, THE MEDICAL CENTER ROUTINELY MAKES CASH AND IN-KIND DONATIONS TO OUR PARTNERS TO FURTHER THE HEALTH OF THE COMMUNITY, INCLUDING BUT NOT LIMITED TO LAUNDRY SERVICE FOR PADS AND DONATION OF MEDICAL SUPPLIES, BOTH THROUGH COMMUNITY ORGANIZATIONS AND TO EMS PROVIDERS. NEW PROGRAMS IN 2013, ADVOCATE CONDELL LAUNCHED THREE EVIDENCE-BASED COMMUNITY HEALTH PROGRAMS TO ADDRESS THE NEEDS PRIORITIZED IN THE COMMUNITY HEALTH ASSESSMENT ONE ADDRESSED DIABETES PREVENTION AND MANAGEMENT AND TWO ADDRESSED PREVENTION OF OBESITY-COORDINATED APPROACH TO CHILD HEALTH (CATCH) AND BREASTFEEDING SUPPORT. DIABETES PREVENTION AND MANAGEMENT: CONDELL MEDICAL CENTER WILL PROVIDE A COMMUNITY-BASED DIABETES PREVENTION AND MANAGEMENT PROGRAM TO ADULTS ELIGIBLE FOR MEDICAID COVERAGE AND UNDER- OR UNINSURED INDIVIDUALS. OUR PARTNERS ARE HEALTHREACH AND THE TRI-PARISH WELLNESS MINISTRY OF THE ANTIOCH AREA HEALTHCARE ACCESSIBILITY ALLIANCE (AAHAA). CONDELL MEDICAL CENTER WILL MODIFY THE COMMUNITY-BASED PROGRAM TARGETING ADULTS FOR HIGH SCHOOL STUDENTS IN ROUND LAKE, AS PART OF THE ROUND LAKE SCHOOL BASED HEALTH CENTER. HEALTHREACH OPERATES FREE CLINICS IN WAUKEGAN AND MUNDELEIN, SERVING MORE THAN 4,100 LOW-INCOME ADULTS WHO DO NOT QUALIFY FOR MEDICAID. CONDELL MEDICAL CENTER HAS A LONG-STANDING RELATIONSHIP WITH HEALTHREACH, PROVIDING A RANGE OF IN-KIND SERVICES IN ADDITION TO GENERAL OPERATIONAL SUPPORT. IT IS ESTIMATED THAT ABOUT 900 HEALTHREACH CLIENTS HAVE POORLY MANAGED DIABETES. CONDELL MEDICAL CENTER WILL PROVIDE HEALTHREACH CLIENTS WITH ONE-ON-ONE COUNSELING SESSIONS WITH A DIABETES NURSE EDUCATOR AND DIABETES NUTRITIONIST. IN ADDITION, THE COMMUNITY-BASED DIABETES PREVENTION AND MANAGEMENT PROGRAM WILL BUILD ON THE PARISH NURSE PROGRAM SERVING THE ANTIOCH AREA. THERE ARE A NUMBER OF ISSUES THAT CONTRIBUTE TO THE NEED FOR COMMUNITY-BASED SERVICES IN ANTIOCH INCLUDING LACK OF TRANSPORTATION OPTIONS AND NEARBY SPECIALTY CARE. HERE ALSO THE SERVICES OF THE NURSE EDUCATOR AND THE NUTRITIONIST WILL ADDRESS AN IDENTIFIED NEED WITH ONE-ON-ONE COUNSELING. IN ADDITION, CONDELL MEDICAL CENTER WILL PROVIDE SMALL GROUP EDUCATION SESSIONS AS REQUESTED BY THE ANTIOCH PARTNERS. THE PROGRAM AT ROUND LAKE HIGH SCHOOL WILL FOLLOW THE SAME BASIC MODEL, WITH CURRICULUM AND OBJECTIVES TAILORED FOR TEENAGERS AND THEIR FAMILIES. DIABETES PREVENTION AND MANAGEMENT HAS BEEN IDENTIFIED AS A TOP NEED BY LEADERS IN ROUND LAKE AREA SCHOOLS DISTRICT 116, AND IS ONE OF THREE CHRONIC CONDITIONS CONDELL MEDICAL CENTER HOPES TO FOCUS ON WITH THE DISTRICT AS THE PROJECT MOVES FORWARD. COORDINATED APPROACH TO CHILD HEALTH CONDELL MEDICAL CENTER WILL PARTNER WITH AREA SCHOOL DISTRICTS TO OFFER THE COORDINATED APPROACH TO CHILD HEALTH PROGRAM. THIS IS A CURRICULUM ENHANCEMENT THAT TEACHES STUDENTS ABOUT HEALTHY BEHAVIORS, IN PHYSICAL EDUCATION CLASS, IN THE TRADITIONAL CLASSROOM, IN THE CAFETERIA AND AT HOME. THE GOAL IS TO PREVENT OBESITY AND THE CHRONIC CONDITIONS WITH WHICH IT IS ASSOCIATED. THE PROGRAM LAUNCHED IN LIBERTYVILLE ELEMENTARY DISTRICT 70 AND WOODLANDS DISTRICT 50 (GURNEE) IN THE FALL OF 2013, AND MAY EXPAND TO OTHER DISTRICTS IN OUR COMMUNITY IN SUBSEQUENT SCHOOL YEARS. BREASTFEEDING SUPPORT AND COMMUNITY-BASED PRENATAL EDUCATION CONDELL MEDICAL CENTER WILL PROVIDE TIMELY BREASTFEEDING SUPPORT AND EDUCATION TO MEDICAID-ELIGIBLE AND UNINSURED MOTHERS. THEN, NEW MOTHERS WILL BE LINKED TO THE LAKE COUNTY HEALTH DEPARTMENT'S NURSE FAMILY PARTNERSHIP PROGRAM TO ADDRESS BREASTFEEDING CONCERNS AFTER RETURNING HOME. BREASTFEEDING HAS MANY BENEFITS FOR MOTHERS AND BABIES. BABIES WHO ARE BREASTFED HAVE FEWER INFECTIONS, ARE LESS LIKELY TO DIE FROM SUDDEN INFANT DEATH SYNDROME (SIDS) AND HAVE A LOWER RISK OF OBESITY AND TYPE 2 DIABETES LATER IN LIFE. FOR MOTHERS, RESEARCH SHOWS A DECREASE IN TYPE 2 DIABETES AND DECREASED RISK OF OVARIAN AND BREAST CANCER. YET LOW-INCOME WOMEN ARE FAR LESS LIKELY TO MEET BREASTFEEDING RECOMMENDATIONS THAN THEIR MORE AFFLUENT COUNTERPARTS. A 2012 MICHIGAN STATE UNIVERSITY STUDY FOUND THAT LESS THAN 2 PERCENT OF LOW-INCOME MOTHERS MET BREASTFEEDING RECOMMENDATIONS, COMPARED TO 50 PERCENT OF OTHER MOMS. THIS PROGRAM HAS THE POTENTIAL TO IMPACT THE 1,400 MEDICAID-RELIANT AND LOW-INCOME, UNINSURED WOMEN THAT ANNUALLY RECEIVE LABOR AND DELIVERY CARE AT CONDELL MEDICAL CENTER. BREASTFEEDING AND OTHER PRENATAL EDUCATION ALSO WILL BE OFFERED TO ROUND LAKE HIGH SCHOOL STUDENTS THROUGH THE SCHOOL BASED HEALTH CENTER. PRENATAL EDUCATION WAS ANOTHER TOP NEED IDENTIFIED BY ROUND LAKE DISTRICT 116 LEADERS. USING A CURRICULUM DESIGNED FOR TEEN MOTHERS, CONDELL MEDICAL CENTER CLINICIANS WILL EDUCATE EXPECTANT MOTHERS ON ALL ASPECTS OF PREGNANCY AND CHILDBIRTH. THE GOAL WILL BE TO REDUCE THE NUMBER OF PRE-TERM BIRTHS, OFTEN A RESULT OF POOR OR NO PRENATAL CARE. PREGNANCY PREVENTION EDUCATION ALSO WILL BE OFFERED THROUGH OTHER PARTNERS AT THE SCHOOL BASED HEALTH CENTER. 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 2013, 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 2013, NEARLY 1,000, OR 20% OF THE NATION'S HOSPITALS ENROLLED IN THE HHI. OVER THE COURSE OF THREE YEARS, EACH ENROLLED HOSPITAL COMMITS TO ONE OR MORE OF THE SIX CHALLENGES. DATA COLLECTION FROM EACH HOSPITAL WILL SERVE TO MEASURE THE AGGREGATE ECONOMIC, ENVIRONMENTAL, AND HUMAN HEALTH BENEFITS OF IMPLEMENTING OPERATIONAL CHANGES UNDER EACH HHI CHALLENGE CATEGORY. ADVOCATE HEALTH CARE SYSTEM 2013 ENVIRONMENTAL INITIATIVES: - REDUCED CUMULATIVE (ELEVEN HOSPITALS) HOSPITAL ENERGY CONSUMPTION BY 1.9 PERCENT IN TWELVE MONTHS ENDING 12/31/13, AND 14.9 PERCENT SINCE 2008 - ENERGY REDUCTIONS EQUATE TO: -SAVED $15,000,000 IN ENERGY COSTS SINCE 2008 -REDUCING NEARLY 4,000 ILLINOIS HOUSEHOLDS OF ELECTRICITY USE FOR ONE YEAR -REDUCING CARBON EMISSIONS BY 13 PERCENT OR NEARLY 6,500 CARS OFF THE ROAD FOR ONE YEAR - RECYCLED OVER 3,100 TONS OF WASTE FROM HOSPITAL OPERATIONS - RECYCLED 97 PERCENT OF CONSTRUCTION AND DEMOLITION DEBRIS - SAVED 30 TONS OF WASTE FROM LANDFILL AND SAVED OVER $3 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 STAFF MEMBERS WITH ENVIRONMENTAL STEWARDSHIP AWARDS FOR DEMONSTRATING OUTSTANDING EFFORTS TO CARE FOR THE EARTH AND CONSERVE RESOURCES - 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 - PARTICIPATED IN A RESEARCH PROJECT AND CASE STUDY WITH THE LANDSCAPE ARCHITECTURE FOUNDATION TO EXAMINE THE BENEFITS OF ADVOCATE LUTHERAN GENERAL HOSPITALS' PATIENT TOWER LANDSCAPING IMPACT ON WATER CONSERVATION, STORM WATER MANAGEMENT, PUBLIC HEALTH AND SAFETY AND HUMAN SOCIAL/SPIRITUAL ASPECTS. - CONTINUED TO ENGAGE STAFF TO CONSERVE RES PART VI, LINE 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 COMMUNITY BENEFITS/COMMUNITY HEALTH PROGRAMS SUCH AS CHARITY CARE. 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, PURCHASED THE HEALTHY COMMUNITIES INSTITUTE'S CHNA TOOL IN LATE 2013 TO SUPPORT THE SITES IN CONDUCTING THEIR NEXT CHNA WHILE AT THE SAME TIME MONITORING OUTCOMES OF PLANNED INTERVENTIONS IMPLEMENTED AS A RESULT OF ADVOCATE'S FIRST (2011-2013) CHNA. 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. IN 2013, ADVOCATE HEALTHY STEPS SPECIALISTS TOUCHED THE LIVES OF 6,688 YOUNG CHILDREN THROUGH CHILDHOOD PROGRAMS WITHIN PEDIATRIC/FAMILY PRACTICE RESIDENCIES AT ADVOCATE ILLINOIS MASONIC MEDICAL CENTER, AND 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 2013, 9,749 DEVELOPMENTAL SCREENINGS WERE PROVIDED AND 445 FAMILIES WERE REFERRED TO COMMUNITY SERVICES FOR FOLLOW UP. IN ADDITION, HEALTHY STEPS HAS COMPLETED AN INITIATIVE, IN COLLABORATION WITH THE ILLINOIS CHAPTER OF THE AMERICAN ACADEMY OF PEDIATRICS, TO TRAIN PRIMARY CARE PROVIDERS ACROSS THE STATE TO IMPROVE PREVENTIVE PRACTICES IN THEIR SITE AROUND TOPICS SUCH AS USE OF VALIDATED TOOLS FOR DEVELOPMENTAL AND FAMILY RISK FACTOR SCREENINGS (SUCH AS POSTPARTUM DEPRESSION, DOMESTIC VIOLENCE, TRAUMA, AND PSYCHOSOCIAL ISSUES) AND TEACH PRIMARY CARE PROVIDERS AND THEIR STAFF HOW TO REFER TO LOCAL COMMUNITY RESOURCES FOR FOLLOW-UP CARE. DURING 2013, ADVOCATE HEALTHY STEPS CONSULTANTS PROVIDED 179 PRESENTATIONS IN 57 PRIMARY CARE SITES, TO 740 PHYSICIANS AND THEIR STAFFS THROUGHOUT THE STATE OF ILLINOIS. THESE PROVIDERS CARE FOR APPROXIMATELY 154,835 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 WORK WITH PEDIATRIC AND FAMILY MEDICINE RESIDENCY PROGRAMS, PEDIATRIC NURSE PRACTITIONERS AND PHYSICIAN ASSISTANT PROGRAMS THROUGHOUT THE STATE. THE ADVOCATE CHILDHOOD TRAUMA TREATMENT PROGRAM (CTTP), A SYSTEM LEVEL, SYSTEM-WIDE INITIATIVE, 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 THE STATE THAT SPECIALIZES IN MENTAL HEALTH FOR CHILDREN. IN 2013, CTTP SERVED 171 CHILDREN AND ADOLESCENTS, AS WELL AS 420 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, THE CTTP HAS LAUNCHED A MAJOR ADULT EDUCATION PROGRAM CALLED "STEWARDS OF CHILDREN/7 STEPS TO PROTECT A CHILD." THIS PROGRAM HAS EDUCATED OVER 1,400 ADULTS AT SCHOOLS, CHURCHES, LAW ENFORCEMENT AGENCIES, CHILD WELFARE AGENCIES AND CIVIC ORGANIZATIONS, THEREBY BETTER PROTECTING 14,000 CHILDREN. SINCE 1995, ADVOCATE HEALTH CARE'S OFFICE FOR MISSION AND SPIRITUAL CARE HAS PROVIDED CLINICAL CHAPLAINS AND ETHICISTS THROUGHOUT ADVOCATE WHO OFFER SUPPORT AND SERVICES TO INDIVIDUALS AND FAMILIES FACING MEDICAL CRISIS. ADVOCATE'S SPIRITUAL LEADERS ALSO OVERSEE A NATIONALLY ACCREDITED CLINICAL PASTORAL EDUCATION PROGRAM. TRAINING true American Cancer Society 100 Tri-St Int Pkwy Ste 125 Lincolnshire IL 60069 131788491 501(c)(3) 10250 0 RELAY FOR LIFE PROGRAM 1 Form 990, Schedule I Description of Organization's Procedures for Monitoring the Use of Grants ADVOCATE CONDELL MEDICAL CENTER SUPPORTS ONLY NONPROFIT ORGANIZATIONS THAT ARE TAX-EXEMPT UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE AND THAT ARE CONSISTENT WITH AND COMPLEMENTARY TO THE MISSION AND CHARITABLE, TAX-EXEMPT PURPOSES OF ADVOCATE CONDELL MEDICAL CENTER. CASH CONTRIBUTIONS ARE NOT MADE TO INDIVIDUALS, FOR PROFIT BUSINESSES OR PRIVATE PROVIDERS. X X X X true true false false false false false true false James Skogsbergh EXEC VP, COO, DIRECTOR 0 1357267 0 2431026 0 1056169 0 2134447 0 32805 0 7011714 0 740268 William P Santulli President & CEO 0 784668 0 1029442 0 503564 0 764946 0 35069 0 3117689 0 418229 Lee B Sacks MD Exec VP, Chief Medical Officer 0 651814 0 761656 0 387430 0 363033 0 27681 0 2191614 0 313103 James Dan MD Pres Physician & Amb Services 0 474818 0 553678 0 288769 0 268389 0 27302 0 1612956 0 225773 James Doheny VP, Finance & Corp Controller 0 294206 0 110340 0 34459 0 23567 0 32113 0 494685 0 0 Kelly Jo Golson SVP, Public Affairs & Mktg 0 336012 0 264262 0 229227 0 127566 0 7577 0 964644 0 95875 Kevin Brady SVP, Human Resources 0 400287 0 404425 0 204629 0 248062 0 36968 0 1294371 0 138025 Susan Campbell SVP, PTNT CARE, CHIEF NUR OFF 0 224654 0 0 0 39599 0 109790 0 35197 0 409240 0 0 Gail D Hasbrouck SVP, Gen Counsel, Corp Sec 0 435590 0 387547 0 277756 0 185821 0 28407 0 1315121 0 149653 Dominic J Nakis SVP, CFO 0 566690 0 761656 0 367722 0 363033 0 28706 0 2087807 0 313103 Scott Powder SVP, Strategic Plan & Growth 0 351969 0 243815 0 156157 0 156761 0 35220 0 943922 0 83881 Bruce D Smith SVP, CIO 0 444684 0 404035 0 240876 0 192728 0 37637 0 1319960 0 156003 Rev K Bender Schwich SVP, Mission & Spiritual Care 0 119054 0 156186 0 39853 0 185736 0 91144 0 591973 0 38019 Dominica Tallarico President-Condell Medical Cntr 348896 0 130377 0 102915 0 160626 0 30278 0 773092 0 20545 0 Debra Susie-Lattner VP, Medical Management 326318 0 75945 0 18353 0 23567 0 20274 0 464457 0 0 0 Mary Hillard VP, Patient Care 210807 0 39783 0 764 0 23567 0 20395 0 295316 0 0 0 David Cartwright VP, Finance & Support Services 197503 0 41798 0 3474 0 22755 0 25572 0 291102 0 0 0 Matthew Primack VP, Clinical Institutes & Bus 192126 0 24773 0 13104 0 20101 0 4819 0 254923 0 0 0 Jason Spigner VP, Human Resources 169955 0 46804 0 6898 0 18655 0 8486 0 250798 0 0 0 Ben Grigaliunas SVP, Human Resources- Dec '11 0 0 0 502194 0 234316 0 35424 0 642 0 772576 0 225123 Jose Elizondo MD Director - Dec '11 0 218914 0 29760 0 3846 0 23567 0 16264 0 292351 0 0 Supplemental Compensation Information PART I, LINE 4A SEVERANCE PAYMENTS BEN GRIGALIUNAS, SENIOR VICE PRESIDENT, HUMAN RESOURCES, TERMINATED HIS EMPLOYMENT WITH AHHC IN 2011 AND RECEIVED SEVERANCE OF $18,186 IN 2013. THIS AMOUNT WAS REPORTED ON A PRIOR FORM 990 AS DEFERRED COMPENSATION AND IS LISTED AS A COMPONENT OF COLUMN (F). PART I, LINE 4B SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN GAIL HASBROUCK, SENIOR VICE PRESIDENT-GENERAL COUNSEL AND CORPORATE SECRETARY, IS VESTED IN A NON-QUALIFIED RETIREMENT PLAN. AS SUCH ANY CONTRIBUTIONS ARE TAXED CURRENTLY. THERE IS NO DEFERRED COMPONENT. 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, BRUCE SMITH, DOMINIC NAKIS, GAIL HASBROUCK, LEE SACKS M.D., KEVIN BRADY, SCOTT POWDER, WILLIAM SANTULLI, JAMES DAN M.D ., KELLY JO GOLSON AND DOMINICA TALLARICO. THE FOLLOWING EMPLOYEES HAVE NOT YET VESTED AND THEREFORE THE CONTRIBUTIONS ARE REPORTED AS DEFERRED COMPENSATION: KATHIE BENDER SCHWICH AND SUSAN CAMPBELL. 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. 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. Evangelical Services CORP Shared Board Member 148630339 Expense Allocation false Evangelical Services CORP Shared Board Member 468531 Expense Reimbursement false FORM 990, PART I, LINE 1 ORGANIZATION'S MISSION 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. FORM 990, PART VI, SECTION A, LINE 1A DESCRIPTION OF BOARD DELEGATING POWERS TO EXECUTIVE COMMITTEE THE ORGANIZATION'S BYLAWS PROVIDE THAT THE EXECUTIVE COMMITTEE HAS AUTHORITY TO ACT ON BEHALF OF THE BOARD. THE EXECUTIVE COMMITTEE HAS THE SAME COMPOSITION AND MEMBERS AS THE EXECUTIVE COMMITTEE OF THE CORPORATE MEMBER. THE CORPORATE MEMBER'S EXECUTIVE COMMITTEE HAS NINE MEMBERS, CONSISTING OF THE CHAIRPERSON, THE VICE CHAIRPERSON, THE PRESIDENT, THE CHAIRPERSONS OF THE FINANCE, PLANNING, HEALTH OUTCOMES AND MISSION AND SPIRITUAL CARE COMMITTEES, AND TWO OTHER DIRECTORS. THE PAST CHAIRPERSON OF THE BOARD OF DIRECTORS MAY SERVE AS AN EX-OFFICIO MEMBER OF THE COMMITTEE, WITH VOTE. EACH OF THE EXECUTIVE COMMITTEE'S MEMBERS IS ON THE BOARD. THE SCOPE OF THE EXECUTIVE COMMITTEE'S AUTHORITY INCLUDES: BE RESPONSIBLE FOR PLANNING EDUCATIONAL PROGRAMS FOR THE BOARD OF DIRECTORS; CONDUCT AN EVALUATION OF THE MEMBERS OF THE BOARD OF DIRECTORS; HAVE SUCH AUTHORITY AS SHALL BE DELEGATED BY THE BOARD OF DIRECTORS; AND ACT ON BEHALF OF THE BOARD OF DIRECTORS BETWEEN MEETINGS. THE EXECUTIVE COMMITTEE IS ACCOUNTABLE AS A BODY TO THE BOARD OF DIRECTORS. FORM 990, PART VI, SECTION A, LINE 2 DESCRIPTION OF BUSINESS RELATIONSHIPS AS DR. JAMES DAN, GAIL HASBROUCK, JAMES DOHENY, AND DOMINIC NAKIS ARE EITHER DIRECTORS OR OFFICERS OF WHOLLY OWNED ADVOCATE ENTITIES, THEY ARE DEEMED TO HAVE A BUSINESS RELATIONSHIP PURSUANT TO THE INSTRUCTIONS FOR FORM 990. AS DR. JAMES DAN, GAIL HASBROUCK, JAMES DOHENY, AND SCOTT POWDER ARE EITHER DIRECTORS OR OFFICERS OF WHOLLY OWNED ADVOCATE ENTITIES, THEY ARE DEEMED TO HAVE A BUSINESS RELATIONSHIP PURSUANT TO THE INSTRUCTIONS FOR FORM 990. AS DR. JAMES DAN AND DR. LEE SACKS ARE EITHER DIRECTORS OR OFFICERS OF WHOLLY OWNED ADVOCATE ENTITIES, THEY ARE DEEMED TO HAVE A BUSINESS RELATIONSHIP PURSUANT TO THE INSTRUCTIONS FOR FORM 990. AS DR. JAMES DAN, GAIL HASBROUCK, JAMES DOHENY, SCOTT POWDER, AND WILLIAM SANTULLI ARE EITHER DIRECTORS OR OFFICERS OF WHOLLY OWNED ADVOCATE ENTITIES, THEY ARE DEEMED TO HAVE A BUSINESS RELATIONSHIP PURSUANT TO THE INSTRUCTIONS FOR FORM 990. FORM 990, PART VI, QUESTION 6 DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERS BY-LAWS PROVIDE FOR CORPORATE MEMBERS. FORM 990, PART VI, QUESTION 7A DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS THE NOT FOR PROFIT CORPORATIONS OF ADVOCATE HEALTH CARE, WITH THE EXCEPTION OF ADVOCATE HEALTH CARE NETWORK, HAVE CORPORATE MEMBERS WHO ELECT DIRECTORS. ADVOCATE HEALTH CARE NETWORK DOES NOT HAVE ANY MEMBERS, THEREFORE, THE AHCN BOARD ELECTS ITS DIRECTORS. THE FOR PROFIT ORGANIZATIONS HAVE A SOLE SHAREHOLDER WHO ELECTS DIRECTORS. FORM 990, PART VI, QUESTION 7B DESCR CLASSES OF PERSONS, DECISIONS REQUIRING APPR & TYPE OF VOTING RIGHTS THE FOLLOWING RESERVE POWERS IDENTIFIED IN THE BYLAWS REQUIRE THE APPROVAL OF THE CORPORATE MEMBER, ADVOCATE HEALTH CARE NETWORK: APPOINT OUTSIDE AUDITORS AND ESTABLISH AND REVISE ALL FINANCIAL CONTROL POLICIES, AND ANY CHANGES TO SUCH POLICIES, BEFORE SUCH POLICIES OR CHANGES BECOME EFFECTIVE; CAUSE THE CORPORATION TO PAY, LOAN OR OTHERWISE TRANSFER PROPERTY AND FUNDS TO OTHER ENTITIES AFFILIATED WITH THE CORPORATE MEMBER; AMEND THE BYLAWS WITHOUT ACTION OR APPROVAL BY THE BOARD OF DIRECTORS (AFTER TEN DAYS NOTICE TO THE CORPORATION'S BOARD OF DIRECTORS OF THE PROPOSED AMENDMENT(S) WITH AN OPPORTUNITY FOR BOARD MEMBERS TO CONSULT WITH THE CORPORATE MEMBER REGARDING THE PROPOSED AMENDMENT); APPROVAL OF THE OVERALL MISSION, PHILOSOPHY AND VALUES STATEMENTS AND ANY AMENDMENTS OR SUPPLEMENTS TO SUCH STATEMENTS; APPROVAL OF THE OVERALL STRATEGIC PLANS; APPROVAL OF ALL OVERALL OPERATING AND CAPITAL BUDGETS BEFORE ANY EXPENDITURE, PURSUANT TO SUCH BUDGETS ARE MADE OR COMMITTED, AND APPROVAL OF ALL EXPENDITURES ABOVE ANY LIMIT THAT MAY BE ESTABLISHED BY THE BOARD OF THE CORPORATE MEMBER; APPROVAL OF THE INCURRENCE OR GUARANTEE OF ANY INDEBTEDNESS FOR BORROWED MONEY WHICH HAS NOT ALREADY BEEN APPROVED AS A PART OF THE BUDGET APPROVAL PROCESS OR WHICH IS ABOVE ANY LIMIT THAT MAY BE ESTABLISHED BY THE BOARD OF THE CORPORATE MEMBER; APPROVAL OF ALL TRANSFERS OF OWNERSHIP OR DONATIONS OF ASSETS ABOVE ANY LIMIT THAT MAY BE ESTABLISHED BY THE BOARD OF THE CORPORATE MEMBER; APPROVAL OF ALL AMENDMENTS TO THE ARTICLES OF INCORPORATION AND BYLAWS OF THE CORPORATION BEFORE THEY BECOME EFFECTIVE; APPROVAL OF ANY MERGER, CONSOLIDATION, OR DISSOLUTION; AND APPROVAL OF THE CREATION OF OR AFFILIATION WITH ANY SUBSIDIARY OR AFFILIATE, BEFORE SUCH ENTITY IS CREATED OR THE ENTRANCE INTO ANY JOINT VENTURE IF THE CONTEMPLATED ACTIVITY WILL INVOLVE THE EXPENDITURE OF FUNDS OR THE ASSUMPTION OF OBLIGATIONS WHICH HAVE NOT ALREADY BEEN APPROVED AS A PART OF THE BUDGET APPROVAL PROCESS OR REQUIRE MEMBER APPROVAL UNDER THE FINANCIAL CONTROL POLICIES. FORM 990, PART VI, QUESTION 11B DESCRIBE THE PROCESS USED BY MANAGEMENT &/OR 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, QUESTION 12C DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST THE ORGANIZATION'S CONFLICT OF INTEREST POLICY APPLIES TO VARIOUS PEOPLE, INCLUDING MEMBERS OF ADVOCATE'S BOARD OF DIRECTORS, GOVERNING COUNCILS, OFFICERS, ASSOCIATES, VOLUNTEERS, AND MEDICAL STAFF MEMBERS WITH ADMINISTRATIVE RESPONSIBILITIES. ANNUALLY, THE COMPLIANCE DEPARTMENT SENDS THIS POLICY AND THE ADVOCATE CODE OF BUSINESS CONDUCT TO A RANGE OF INDIVIDUALS WHO MAY BE IN A POSITION TO EXERCISE SUBSTANTIAL INTEREST OVER A PARTICULAR MATTER (DEFINED AS "INTERESTED PERSONS"). THEY ARE REQUIRED TO READ THE POLICIES AND PROVIDE A DISCLOSURE STATEMENT TO THE COMPLIANCE DEPARTMENT, WHICH IDENTIFIES ACTIVITIES AND RELATIONSHIPS THAT COULD POTENTIALLY GIVE RISE TO A CONFLICT OF INTEREST. THE CHIEF COMPLIANCE OFFICER REVIEWS THE DISCLOSURES AND PROVIDES A REPORT TO THE SYSTEM BUSINESS CONDUCT (COMPLIANCE) COMMITTEE, EXECUTIVE MANAGEMENT TEAM AND THE AUDIT COMMITTEE OF THE BOARD FOR REVIEW. THE REPORT IS THEN PROVIDED, IN RELEVANT PART, TO THE SITE CHIEF EXECUTIVE OFFICERS. POTENTIAL CONFLICTS ARE REVIEWED BY THE COMPLIANCE DEPARTMENT ON A CASE BY CASE BASIS. FOLLOW UP PROCEDURES CONDUCTED ARE UNIQUE TO THE GIVEN CIRCUMSTANCE, AND MAY INCLUDE REVIEWING THE POTENTIAL CONFLICT WITH THE INTERESTED PERSON, OR INVESTIGATING THE MATTER IN CONSULTATION WITH THE INTERESTED PERSON'S SUPERVISOR AND/OR SITE MANAGEMENT. IN CIRCUMSTANCES WHERE THE INTERESTED PERSON IS NOT A MEMBER OF THE BOARD, OR GOVERNING COUNCIL, OR A COMMITTEE THEREOF, OR A PERSON OF INTEREST, IF IT IS DETERMINED THAT THERE IS AN ACTUAL CONFLICT OF INTEREST, THE SUPERVISOR OF THE INDIVIDUAL IS RESPONSIBLE FOR MAKING AN APPROPRIATE RESPONSE, POTENTIALLY INCLUDING A RESTRICTION OF THE INDIVIDUAL'S JOB DUTIES WITH RESPECT TO THE MATTER GIVING RISE TO THE CONFLICT. FORM 990, PART VI, QUESTIONS 15A & 15B OFFICES & POSITIONS FOR WHICH PROCESS WAS USED, & 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, QUESTION 19 AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY, & FIN STMTS TO GEN PUBLIC THE ORGANIZATION MAKES ITS FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC THROUGH THE FOLLOWING SITES: DACBOND.COM (DIGITAL ASSURANCE CERTIFICATION LLC) AND EMMA.MSRB.ORG (ELECTRONIC MUNICIPAL MARKET ACCESS). THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENT OR CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC. FORM 990, PART XI, LINE 9 OTHER CHANGES IN NET ASSETS OR FUND BALANCES DISTRIBUTION TO AHHC $(40,000,000) FASB 158 ADJUSTMENTS $ 11,595,167 ------------ TOTAL $(28,404,833) ADVOCATE HEALTH CARE NETWORK 3075 HIGHLAND PARKWAY STE 600 DOWNERS GROVE IL 60515 362167779 PARENT CORP IL 501(c)(3) 11-III-FI NA false ADVOCATE CHARITABLE FOUNDATION 3075 HIGHLAND PARKWAY STE 600 DOWNERS GROVE IL 60515 363297360 Fundraising IL 501(c)(3) 7 AHCN false ADVOCATE HEALTH & HOSPITALS CORPORATION 3075 HIGHLAND PARKWAY STE 600 DOWNERS GROVE IL 60515 362169147 HEALTH CARE IL 501(c)(3) 3 AHCN false EHS HOME HEALTH CARE SERVICE INC 3075 HIGHLAND PARKWAY STE 600 DOWNERS GROVE IL 60515 362913108 HOME CARE IL 501(c)(3) 9 AHHC false MERIDIAN HOSPICE 3075 HIGHLAND PARKWAY STE 600 DOWNERS GROVE IL 60515 363158667 HOSPICE CARE IL 501(c)(3) 9 EHSHHCS false HISPANOCARE INC 3075 HIGHLAND PARKWAY STE 600 DOWNERS GROVE IL 60515 363606486 HEALTH CARE IL 501(c)(3) 9 ANSHN false ADVOCATE SHERMAN HOSPITAL 3075 Highland Parkway Ste 600 DOWNERS GROVE IL 60515 362167920 HEALTH CARE IL 501(c)(3) 3 AHCN false SHERMAN WEST COURT 3075 Highland Parkway Ste 600 DOWNERS GROVE IL 60515 363725580 NURSING CARE IL 501(c)(3) 9 ASH false SHERMAN HOME HEALTH CARE CORPORATION 901 Center Street Suite 2001A Elgin IL 60120 363330085 HOME CARE IL 501(c)(3) 9 ASH false ADVOCATE NORTH SIDE HEALTH NETWORK 3075 HIGHLAND PARKWAY STE 600 DOWNERS GROVE IL 60515 363196629 HEALTH CARE IL 501(C)(3) 3 AHHC true DREYER MERCY AMB SURGERY CNTR 1221 N HIGHLAND AVE AURORA IL 60506 363890298 MEDICAL SERVICES IL NA false false ADVOCATE HEALTH CENTERS INC 3075 HIGHLAND PARKWAY STE 600 DOWNERS GROVE IL 60515 364217291 MEDICAL SERVICES IL NA C Corp EVANGELICAL SERVICES CORPORATION 3075 HIGHLAND PARKWAY STE 600 DOWNERS GROVE IL 60515 363208101 MANAGEMENT SVCS IL NA C Corp ADVOCATE INSURANCE SPC 878 WT BAY RD PO BOX 1159 GRAND CAYMAN CJ KY1-1102 980422925 INSURANCE CJ NA C Corp ADVOCATE HOME CARE PRODUCTS INC 3075 HIGHLAND PARKWAY STE 600 DOWNERS GROVE IL 60515 363315416 HEALTH SERVICES IL NA C Corp HIGH TECHNOLOGY INC 3075 HIGHLAND PARKWAY STE 600 DOWNERS GROVE IL 60515 363368224 MEDICAL SERVICES IL NA C Corp CENTER FOR ENDOSCOPY LLC 22285 Pepper Road Lake Barrington IL 60010 262387298 HEALTH SERVICES IL NA C Corp MIDWEST HEART SPECIALISTS LTD 3075 Highland Parkway Ste 600 Downers Grove IL 60515 362841923 MEDICAL SERVICES IL NA C Corp PARKSIDE CENTER CONDO ASSOCIATION 1775 West Dempster Street Park Ridge IL 60068 363452486 PROPERTY MGMT IL NA C Corp DREYER CLINIC INC 1877 W Downer Place Aurora IL 60506 362690329 MEDICAL SERVICES IL NA C Corp BROMENN PHYSICIAN MANAGEMENT CORPORATION 3075 Highland Parkway Ste 600 Downers Grove IL 60515 371313150 MEDICAL SERVICES IL NA C Corp SHERMAN HEALTH INSURANCE COMPANY LTD 878 W BAY RD PO BOX 1159 GRAND CAYMAN CJ KY1-1102 980703036 INSURANCE CJ NA C Corp HEALTH VISIONS INC 3075 HIGHLAND PARKWAY STE 600 DOWNERS GROVE IL 60515 363780082 MEDICAL SERVICES IL NA C Corp SHERMAN GROUP PRACTICE INC 3075 Highland Parkway Ste 600 Downers Grove IL 60515 262891035 MEDICAL SERVICES IL NA C Corp SHERMAN PHYSICIAN GROUP INC 3075 HIGHLAND PARKWAY STE 600 DOWNERS GROVE IL 60515 264800497 MEDICAL SERVICES IL NA C Corp SHERMANCHOICE INC 1425 N Randall Road Elgin IL 60123 364058392 PHYS-HOSP-ORGN IL NA C Corp THE DELPHI GROUP IV INC 1425 N Randall Road Elgin IL 60123 364017279 HEALTH COST MGT IL NA C Corp SHERMAN VENTURES INC 934 Center Street ELGIN IL 60123 364292309 HOLDING COMPANY IL NA C Corp false true true false false false false false false true true true true false false true true true true Advocate Health & Hospitals Corp b 40000000 Cost Advocate Health & Hospitals Corp k 148488 Cost Advocate Health & Hospitals Corp m 44742741 Cost Advocate Health & Hospitals Corp p 40878793 Cost Advocate Health & Hospitals Corp r 173313 Cost Advocate Health & Hospitals Corp l 1415223 Cost Advocate Health & Hospitals Corp q 12574327 Cost Advocate Health & Hospitals Corp s 3364077 Cost