Form990
Click to see attachment
Department of the Treasury
Internal Revenue Service
Return of Organization Exempt From Income Tax
Under section 501(c), 527, or 4947(a)(1) of the Internal Revenue Code (except private
foundations)
MediumBullet Do not enter social security numbers on this form as it may be made public.
MediumBullet Information about Form 990 and its instructions is at www.IRS.gov/form990.
OMB No. 1545-0047
2014
Open to Public Inspection
A For the 2014 calendar year, or tax year beginning 01-01-2014 , and ending 12-31-2014
BCheck if applicable:
CName of organization
Advocate Health And Hospitals Corp
 
Doing business as
 
 
Number and street (or P.O. box if mail is not delivered to street address)
3075 HIGHLAND PARKWAY SUITE 600
 
Room/suite
City or town, state or province, country, and ZIP or foreign postal code
DOWNERS GROVE, IL60515
D Employer identification number

36-2169147
E Telephone number

G Gross receipts $ 6,005,061,075
F Name and address of principal officer:
JAMES SKOGSBERGH
3075 HIGHLAND PARKWAY
DOWNERS GROVE,IL60515
I
Tax-exempt status: (   ) LeftBullet (insert no.) or
J
Website:MediumBullet
www.ADVOCATEHEALTH.COM
H(a)
Is this a group return for
subordinates?
H(b)
Are all subordinates
included?
If "No," attach a list. (see instructions)
H(c)
Group exemption number MediumBullet  
K Form of organization:
 
L Year of formation: 1906
M State of legal domicile: IL
Part I
Summary
Activities & Governance 1 Briefly describe the organization’s mission or most significant activities: SERVE HEALTH NEEDS OF COMMUNITIES THROUGH WHOLISTIC PHILOSOPHY ROOTED IN FUNDAMENTAL UNDERSTANDING OF HUMANS AS CREATED IN THE IMAGE OF GOD.
2 Check this box MediumBullet
3 Number of voting members of the governing body (Part VI, line 1a) ........ 3 12
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 7
5 Total number of individuals employed in calendar year 2014 (Part V, line 2a) ...... 5 29,151
6 Total number of volunteers (estimate if necessary) ............. 6 4,409
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 59,339,941
b Net unrelated business taxable income from Form 990-T, line 34 ......... 7b 0
Revenues Prior Year Current Year
8 Contributions and grants (Part VIII, line 1h) ......... 21,097,763 24,370,687
9 Program service revenue (Part VIII, line 2g) ......... 3,827,990,362 4,075,372,322
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 212,983,026 214,590,661
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 9,958,337 18,405,139
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)................... 4,072,029,488 4,332,738,809
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 4,673,470 5,301,251
14 Benefits paid to or for members (Part IX, column (A), line 4)..... 0 0
15 Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10) 1,892,609,682 2,005,401,718
16a Professional fundraising fees (Part IX, column (A), line 11e)..... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet402,831    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 1,782,045,318 1,967,277,840
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 3,679,328,470 3,977,980,809
19 Revenue less expenses. Subtract line 18 from line 12....... 392,701,018 354,758,000
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 6,707,693,122 7,251,361,082
21 Total liabilities (Part X, line 26)............. 3,145,090,464 3,509,146,769
22 Net assets or fund balances. Subtract line 21 from line 20..... 3,562,602,658 3,742,214,313
Part II
Signature Block
Under penalties of perjury, I declare that I have examined this return, including accompanying schedules and statements, and to the best of my knowledge and belief, it is true, correct, and complete. Declaration of preparer (other than officer) is based on all information of which preparer has any knowledge.
Sign Here
JumboBullet
Signature of officer Date
JumboBullet
Type or print name and title
Paid Preparer Use Only
Print/Type preparer's name
Preparer's signature
Date
PTIN
Firm's name MediumBullet
Firm's EIN MediumBullet
Firm's address MediumBullet



Phone no.
May the IRS discuss this return with the preparer shown above? (see instructions) ..........
For Paperwork Reduction Act Notice, see the separate instructions.
Cat. No. 11282Y Form 990 (2014)
Form 990 (2014)
Page 2
Part III
Statement of Program Service Accomplishments
Check if Schedule O contains a response or note to any line in this Part III ..............
1
Briefly describe the organization’s mission: THE MISSION OF ADVOCATE HEALTH AND HOSPITALS CORPORATION IS TO SERVE THE HEALTH NEEDS OF INDIVIDUALS, FAMILIES AND COMMUNITIES THROUGH A WHOLISTIC PHILOSOPHY ROOTED IN OUR FUNDAMENTAL UNDERSTANDING OF HUMAN BEINGS AS CREATED IN THE IMAGE OF GOD.
2
Did the organization undertake any significant program services during the year which were not listed on
the prior Form 990 or 990-EZ? ......................
If "Yes," describe these new services on Schedule O.
3
Did the organization cease conducting, or make significant changes in how it conducts, any program services? ............................
If "Yes," describe these changes on Schedule O.
4
Describe the organization’s program service accomplishments for each of its three largest program services, as measured by expenses. Section 501(c)(3) and 501(c)(4) organizations are required to report the amount of grants and allocations to others, the total expenses, and revenue, if any, for each program service reported.
4a (Code:   ) (Expenses $ 2,106,988,668 including grants of $ 5,301,251 ) (Revenue $ 2,803,275,108 )
SEE SCHEDULE O.
4b (Code:   ) (Expenses $ 784,638,334 including grants of $ 0 ) (Revenue $ 808,214,278 )
SEE SCHEDULE O.
4c (Code:   ) (Expenses $ 70,931,608 including grants of $ 0 ) (Revenue $ 21,679,329 )
SEE SCHEDULE O.
4d Other program services (Describe in Schedule O.)
(Expenses $ 390,189,254 including grants of $ 0 ) (Revenue $ 442,293,963 )
4e Total program service expensesMediumBullet3,352,747,864
Form 990 (2014)
Form 990 (2014)
Page 3
Part IV
Checklist of Required Schedules
Yes
No
1
Is the organization described in section 501(c)(3) or 4947(a)(1) (other than a private foundation)? If "Yes," complete Schedule AClick to see attachment........................
1
Yes
 
2
Is the organization required to complete Schedule B, Schedule of Contributors (see instructions)? Click to see attachment...
2
Yes
 
3
Did the organization engage in direct or indirect political campaign activities on behalf of or in opposition to candidates for public office? If "Yes," complete Schedule C, Part IClick to see attachment..........
3
 
No
4
Section 501(c)(3) organizations. Did the organization engage in lobbying activities, or have a section 501(h) election in effect during the tax year? If "Yes," complete Schedule C, Part IIClick to see attachment........
4
Yes
 
5
Is the organization a section 501(c)(4), 501(c)(5), or 501(c)(6) organization that receives membership dues, assessments, or similar amounts as defined in Revenue Procedure 98-19? If "Yes," complete Schedule C,
Part IIIClick to see attachment............................
5
 
No
6
Did the organization maintain any donor advised funds or any similar funds or accounts for which donors have the right to provide advice on the distribution or investment of amounts in such funds or accounts? If "Yes," complete Schedule D, Part IClick to see attachment........................
6
 
No
7
Did the organization receive or hold a conservation easement, including easements to preserve open space,
the environment, historic land areas, or historic structures? If "Yes," complete Schedule D, Part IIClick to see attachment...
7
 
No
8
Did the organization maintain collections of works of art, historical treasures, or other similar assets? If "Yes," complete Schedule D, Part III Click to see attachment....................
8
 
No
9
Did the organization report an amount in Part X, line 21 for escrow or custodial account liability; serve as a custodian for amounts not listed in Part X; or provide credit counseling, debt management, credit repair, or debt negotiation services? If "Yes," complete Schedule D, Part IVClick to see attachment..............
9
 
No
10
Did the organization, directly or through a related organization, hold assets in temporarily restricted endowments, permanent endowments, or quasi-endowments? If "Yes," complete Schedule D, Part VClick to see attachment......
10
 
No
11
If the organization’s answer to any of the following questions is "Yes," then complete Schedule D, Parts VI, VII, VIII, IX, or X as applicable.
a
Did the organization report an amount for land, buildings, and equipment in Part X, line 10?
If "Yes," complete Schedule D, Part VI.Click to see attachment...................
11a
Yes
 
b
Did the organization report an amount for investments—other securities in Part X, line 12 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIClick to see attachment.......
11b
Yes
 
c
Did the organization report an amount for investments—program related in Part X, line 13 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part VIIIClick to see attachment.......
11c
 
No
d
Did the organization report an amount for other assets in Part X, line 15 that is 5% or more of its total assets reported in Part X, line 16? If "Yes," complete Schedule D, Part IXClick to see attachment............
11d
 
No
e
Did the organization report an amount for other liabilities in Part X, line 25? If "Yes," complete Schedule D, Part XClick to see attachment
11e
Yes
 
f
Did the organization’s separate or consolidated financial statements for the tax year include a footnote that addresses the organization’s liability for uncertain tax positions under FIN 48 (ASC 740)? If "Yes," complete Schedule D, Part XClick to see attachment.........................
11f
 
No
12a
Did the organization obtain separate, independent audited financial statements for the tax year?
If "Yes," complete Schedule D, Parts XI and XII Click to see attachment.................
12a
 
No
b
Was the organization included in consolidated, independent audited financial statements for the tax year? If "Yes," and if the organization answered "No" to line 12a, then completing Schedule D, Parts XI and XII is optional Click to see attachment
12b
Yes
 
13
Is the organization a school described in section 170(b)(1)(A)(ii)? If "Yes," complete Schedule E....
13
 
No
14a
Did the organization maintain an office, employees, or agents outside of the United States?.....
14a
Yes
 
b
Did the organization have aggregate revenues or expenses of more than $10,000 from grantmaking, fundraising, business, investment, and program service activities outside the United States, or aggregate foreign investments valued at $100,000 or more? If "Yes," complete Schedule F, Parts I and IV......... Click to see attachment
14b
Yes
 
15
Did the organization report on Part IX, column (A), line 3, more than $5,000 of grants or other assistance to or for any foreign organization? If “Yes,” complete Schedule F, Parts II and IVClick to see attachment
15
 
No
16
Did the organization report on Part IX, column (A), line 3, more than $5,000 of aggregate grants or other assistance to or for foreign individuals? If “Yes,” complete Schedule F, Parts III and IV... Click to see attachment
16
 
No
17
Did the organization report a total of more than $15,000 of expenses for professional fundraising services on Part IX, column (A), lines 6 and 11e? If "Yes," complete Schedule G, Part I (see instructions) .... Click to see attachment
17
 
No
18
Did the organization report more than $15,000 total of fundraising event gross income and contributions on Part VIII, lines 1c and 8a? If "Yes," complete Schedule G, Part II............ Click to see attachment
18
Yes
 
19
Did the organization report more than $15,000 of gross income from gaming activities on Part VIII, line 9a? If "Yes," complete Schedule G, Part III................... Click to see attachment
19
 
No
20a
Did the organization operate one or more hospital facilities? If "Yes," complete Schedule H.... Click to see attachment
20a
Yes
 
b
If "Yes" to line 20a, did the organization attach a copy of its audited financial statements to this return? Click to see list of attachments
20b
Yes
 
Form 990 (2014)
Form 990 (2014)
Page 4
Part IV
Checklist of Required Schedules (continued)
21
Did the organization report more than $5,000 of grants or other assistance to any domestic organization or domestic government on Part IX, column (A), line 1? If “Yes,” complete Schedule I, Parts I and II.. Click to see attachment
21
Yes
 
22
Did the organization report more than $5,000 of grants or other assistance to or for domestic individuals on Part IX, column (A), line 2? If “Yes,” complete Schedule I, Parts I and III........ Click to see attachment
22
 
No
23
Did the organization answer "Yes" to Part VII, Section A, line 3, 4, or 5 about compensation of the organization’s current and former officers, directors, trustees, key employees, and highest compensated employees? If "Yes," complete Schedule J....................... Click to see attachment
23
Yes
 
24a
Did the organization have a tax-exempt bond issue with an outstanding principal amount of more than $100,000 as of the last day of the year, that was issued after December 31, 2002? If “Yes,” answer lines 24b through 24d and complete Schedule K. If “No,” go to line 25a................ Click to see list of attachments
24a
Yes
 
b
Did the organization invest any proceeds of tax-exempt bonds beyond a temporary period exception?...
24b
 
No
c
Did the organization maintain an escrow account other than a refunding escrow at any time during the year
to defease any tax-exempt bonds?......................
24c
 
No
d
Did the organization act as an "on behalf of" issuer for bonds outstanding at any time during the year?...
24d
 
No
25a
Section 501(c)(3), 501(c)(4), and 501(c)(29) organizations. Did the organization engage in an excess benefit transaction with a disqualified person during the year? If "Yes," complete Schedule L, Part I.... Click to see attachment
25a
 
No
b
Is the organization aware that it engaged in an excess benefit transaction with a disqualified person in a prior year, and that the transaction has not been reported on any of the organization’s prior Forms 990 or 990-EZ? If "Yes," complete Schedule L, Part I................... Click to see attachment
25b
 
No
26
Did the organization report any amount on Part X, line 5, 6, or 22 for receivables from or payables to any current or former officers, directors, trustees, key employees, highest compensated employees, or disqualified persons? If "Yes," complete Schedule L, Part II................ Click to see attachment
26
Yes
 
27
Did the organization provide a grant or other assistance to an officer, director, trustee, key employee, substantial contributor or employee thereof, a grant selection committee member, or to a 35% controlled entity or family member of any of these persons? If "Yes," complete Schedule L, Part III......... Click to see attachment
27
 
No
28
Was the organization a party to a business transaction with one of the following parties (see Schedule L, Part IV instructions for applicable filing thresholds, conditions, and exceptions):
a
A current or former officer, director, trustee, or key employee? If "Yes," complete Schedule L, Part IV .......................... Click to see attachment
28a
 
No
b
A family member of a current or former officer, director, trustee, or key employee? If "Yes,"
complete Schedule L, Part IV..................... Click to see attachment
28b
Yes
 
c
An entity of which a current or former officer, director, trustee, or key employee (or a family member thereof) was an officer, director, trustee, or direct or indirect owner? If "Yes," complete Schedule L, Part IV... Click to see attachment
28c
 
No
29
Did the organization receive more than $25,000 in non-cash contributions? If "Yes," complete Schedule M..
29
 
No
30
Did the organization receive contributions of art, historical treasures, or other similar assets, or qualified conservation contributions? If "Yes," complete Schedule M.............
30
 
No
31
Did the organization liquidate, terminate, or dissolve and cease operations? If "Yes," complete Schedule N,
Part I...........................
31
 
No
32
Did the organization sell, exchange, dispose of, or transfer more than 25% of its net assets? If "Yes," complete Schedule N, Part II......................
32
 
No
33
Did the organization own 100% of an entity disregarded as separate from the organization under Regulations sections 301.7701-2 and 301.7701-3? If "Yes," complete Schedule R, Part I........ Click to see attachment
33
 
No
34
Was the organization related to any tax-exempt or taxable entity? If "Yes," complete Schedule R, Part II, III, or IV, and Part V, line 1........................ Click to see attachment
34
Yes
 
35a
Did the organization have a controlled entity within the meaning of section 512(b)(13)?
35a
Yes
 
b
If ‘Yes’ to line 35a, did the organization receive any payment from or engage in any transaction with a controlled entity within the meaning of section 512(b)(13)? If "Yes," complete Schedule R, Part V, line 2... Click to see attachment
35b
Yes
 
36
Section 501(c)(3) organizations. Did the organization make any transfers to an exempt non-charitable related organization? If "Yes," complete Schedule R, Part V, line 2............. Click to see attachment
36
 
No
37
Did the organization conduct more than 5% of its activities through an entity that is not a related organization and that is treated as a partnership for federal income tax purposes? If "Yes," complete Schedule R, Part VIClick to see attachment
37
 
No
38
Did the organization complete Schedule O and provide explanations in Schedule O for Part VI, lines 11b and 19? Note. All Form 990 filers are required to complete Schedule O. ............
38
Yes
 
Form 990 (2014)
Form 990 (2014)
Page 5
Part V
Statements Regarding Other IRS Filings and Tax Compliance
Check if Schedule O contains a response or note to any line in this Part V ..............
Yes
No
1a
Enter the number reported in Box 3 of Form 1096 Enter -0- if not applicable ..
1a
2,876
b
Enter the number of Forms W-2G included in line 1a. Enter -0- if not applicable .
1b
0
c
Did the organization comply with backup withholding rules for reportable payments to vendors and reportable gaming (gambling) winnings to prize winners? ..................
1c
Yes
 
2a
Enter the number of employees reported on Form W-3, Transmittal of Wage and
Tax Statements, filed for the calendar year ending with or within the year covered by this return ..................
2a
29,151
b
If at least one is reported on line 2a, did the organization file all required federal employment tax returns?
Note. If the sum of lines 1a and 2a is greater than 250, you may be required to e-file (see instructions)
2b
Yes
 
3a
Did the organization have unrelated business gross income of $1,000 or more during the year?...
3a
Yes
 
b
If “Yes,” has it filed a Form 990-T for this year? If “No” to line 3b, provide an explanation in Schedule O...
3b
Yes
 
4a
At any time during the calendar year, did the organization have an interest in, or a signature or other authority over, a financial account in a foreign country (such as a bank account, securities account, or other financial account)?..........................
4a
Yes
 
b
If "Yes," enter the name of the foreign country: MediumBulletCJ
See instructions for filing requirements for FinCEN Form 114, Report of Foreign Bank and Financial Accounts (FBAR).
5a
Was the organization a party to a prohibited tax shelter transaction at any time during the tax year?..
5a
 
No
b
Did any taxable party notify the organization that it was or is a party to a prohibited tax shelter transaction?
5b
 
No
c
If "Yes," to line 5a or 5b, did the organization file Form 8886-T? ............
5c
 
 
6a
Does the organization have annual gross receipts that are normally greater than $100,000, and did the organization solicit any contributions that were not tax deductible as charitable contributions?...
6a
 
No
b
If "Yes," did the organization include with every solicitation an express statement that such contributions or gifts were not tax deductible?........................
6b
 
 
7
Organizations that may receive deductible contributions under section 170(c).
a
Did the organization receive a payment in excess of $75 made partly as a contribution and partly for goods and services provided to the payor?....................
7a
 
No
b
If "Yes," did the organization notify the donor of the value of the goods or services provided?.....
7b
 
 
c
Did the organization sell, exchange, or otherwise dispose of tangible personal property for which it was required to file Form 8282?...........................
7c
 
No
d
If "Yes," indicate the number of Forms 8282 filed during the year ....
7d
 
e
Did the organization receive any funds, directly or indirectly, to pay premiums on a personal benefit contract?............................
7e
 
No
f
Did the organization, during the year, pay premiums, directly or indirectly, on a personal benefit contract?..
7f
 
No
g
If the organization received a contribution of qualified intellectual property, did the organization file Form 8899 as required?............................
7g
 
 
h
If the organization received a contribution of cars, boats, airplanes, or other vehicles, did the organization file a Form 1098-C?..........................
7h
 
 
8
Sponsoring organizations maintaining donor advised funds.
Did a donor advised fund maintained by the sponsoring organization have excess business holdings at any time during the year?.........................
8
 
 
9a
Did the sponsoring organization make any taxable distributions under section 4966?...
9a
 
 
b
Did the sponsoring organization make a distribution to a donor, donor advisor, or related person?...
9b
 
 
10
Section 501(c)(7) organizations. Enter:
a
Initiation fees and capital contributions included on Part VIII, line 12 ...
10a
 
b
Gross receipts, included on Form 990, Part VIII, line 12, for public use of club facilities
10b
 
11
Section 501(c)(12) organizations. Enter:
a
Gross income from members or shareholders .........
11a
 
b
Gross income from other sources (Do not net amounts due or paid to other sources against amounts due or received from them.) ..........
11b
 
12a
Section 4947(a)(1) non-exempt charitable trusts. Is the organization filing Form 990 in lieu of Form 1041?
12a
 
 
b
If "Yes," enter the amount of tax-exempt interest received or accrued during the year. ....................
12b
 
13
Section 501(c)(29) qualified nonprofit health insurance issuers.
a
Is the organization licensed to issue qualified health plans in more than one state?
Note. See the instructions for additional information the organization must report on Schedule O.
13a
 
 
b
Enter the amount of reserves the organization is required to maintain by the states in which the organization is licensed to issue qualified health plans ....
13b
 
c
Enter the amount of reserves on hand ............
13c
 
14a
Did the organization receive any payments for indoor tanning services during the tax year?.....
14a
 
No
b
If "Yes," has it filed a Form 720 to report these payments? If "No," provide an explanation in Schedule O..
14b
 
 
Form 990 (2014)
Form 990 (2014)
Page 6
Part VI
Governance, Management, and Disclosure For each "Yes" response to lines 2 through 7b below, and for a "No" response to lines 8a, 8b, or 10b below, describe the circumstances, processes, or changes in Schedule O. See instructions.
Check if Schedule O contains a response or note to any line in this Part VI ..............
Section A. Governing Body and Management
Yes
No
1a
Enter the number of voting members of the governing body at the end of the tax year .....................
1a
12
If there are material differences in voting rights among members of the governing body, or if the governing body delegated broad authority to an executive committee or similar committee, explain in Schedule O.
b
Enter the number of voting members included in line 1a, above, who are independent ...................
1b
7
2
Did any officer, director, trustee, or key employee have a family relationship or a business relationship with any other officer, director, trustee, or key employee? .................
2
Yes
 
3
Did the organization delegate control over management duties customarily performed by or under the direct supervision of officers, directors or trustees, or key employees to a management company or other person? .
3
 
No
4
Did the organization make any significant changes to its governing documents since the prior Form 990 was filed? ...........................
4
 
No
5
Did the organization become aware during the year of a significant diversion of the organization’s assets? .
5
 
No
6
Did the organization have members or stockholders? ................
6
Yes
 
7a
Did the organization have members, stockholders, or other persons who had the power to elect or appoint one or more members of the governing body? ....................
7a
Yes
 
b
Are any governance decisions of the organization reserved to (or subject to approval by) members, stockholders, or persons other than the governing body? ...................
7b
Yes
 
8
Did the organization contemporaneously document the meetings held or written actions undertaken during the year by the following:
a
The governing body? .........................
8a
Yes
 
b
Each committee with authority to act on behalf of the governing body? ............
8b
Yes
 
9
Is there any officer, director, trustee, or key employee listed in Part VII, Section A, who cannot be reached at the organization’s mailing address? If "Yes," provide the names and addresses in Schedule O.......
9
 
No
Section B. Policies (This Section B requests information about policies not required by the Internal Revenue Code.)
Yes
No
10a
Did the organization have local chapters, branches, or affiliates? ............
10a
Yes
 
b
If "Yes," did the organization have written policies and procedures governing the activities of such chapters, affiliates, and branches to ensure their operations are consistent with the organization's exempt purposes?
10b
Yes
 
11a
Has the organization provided a complete copy of this Form 990 to all members of its governing body before filing the form? ............................
11a
Yes
 
b
Describe in Schedule O the process, if any, used by the organization to review this Form 990. .....
12a
Did the organization have a written conflict of interest policy? If "No," go to line 13.......
12a
Yes
 
b
Were officers, directors, or trustees, and key employees required to disclose annually interests that could give rise to conflicts? ..........................
12b
Yes
 
c
Did the organization regularly and consistently monitor and enforce compliance with the policy? If "Yes," describe in Schedule O how this was done.......................
12c
Yes
 
13
Did the organization have a written whistleblower policy? ...............
13
Yes
 
14
Did the organization have a written document retention and destruction policy? .........
14
Yes
 
15
Did the process for determining compensation of the following persons include a review and approval by independent persons, comparability data, and contemporaneous substantiation of the deliberation and decision?
a
The organization’s CEO, Executive Director, or top management official ...........
15a
Yes
 
b
Other officers or key employees of the organization ................
15b
Yes
 
If "Yes" to line 15a or 15b, describe the process in Schedule O (see instructions).
16a
Did the organization invest in, contribute assets to, or participate in a joint venture or similar arrangement with a taxable entity during the year? ......................
16a
Yes
 
b
If "Yes," did the organization follow a written policy or procedure requiring the organization to evaluate its participation in joint venture arrangements under applicable federal tax law, and take steps to safeguard the organization’s exempt status with respect to such arrangements? ............
16b
Yes
 
Section C. Disclosure
17
List the States with which a copy of this Form 990 is required to be filedMediumBullet
IL
18
Section 6104 requires an organization to make its Form 1023 (or 1024 if applicable), 990, and 990-T (501(c)(3)s only) available for public inspection. Indicate how you made these available. Check all that apply.
19
Describe in Schedule O whether (and if so, how) the organization made its governing documents, conflict of interest policy, and financial statements available to the public during the tax year.
20
State the name, address, and telephone number of the person who possesses the organization's books and records:
MediumBulletJAMES DOHENY
3075 HIGHLAND PARKWAY SUITE 600
DOWNERS GROVE,IL60515 (630) 929-5543
Form 990 (2014)
Form 990 (2014)
Page 7
Part VII
Compensation of Officers, Directors,Trustees, Key Employees, Highest Compensated Employees, and Independent Contractors
Check if Schedule O contains a response or note to any line in this Part VII ..............
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees
1a Complete this table for all persons required to be listed. Report compensation for the calendar year ending with or within the organization’s tax year.
RoundBullet List all of the organization’s current officers, directors, trustees (whether individuals or organizations), regardless of amount
of compensation. Enter -0- in columns (D), (E), and (F) if no compensation was paid.

RoundBullet List all of the organization’s current key employees, if any. See instructions for definition of "key employee."
RoundBullet List the organization’s five current highest compensated employees (other than an officer, director, trustee or key employee)
who received reportable compensation (Box 5 of Form W-2 and/or Box 7 of Form 1099-MISC) of more than $100,000 from the
organization and any related organizations.

RoundBullet List all of the organization’s former officers, key employees, or highest compensated employees who received more than $100,000
of reportable compensation from the organization and any related organizations.

RoundBullet List all of the organization’s former directors or trustees that received, in the capacity as a former director or trustee of the
organization, more than $10,000 of reportable compensation from the organization and any related organizations.

List persons in the following order: individual trustees or directors; institutional trustees; officers; key employees; highest
compensated employees; and former such persons.
Check this box if neither the organization nor any related organization compensated any current officer, director, or trustee.
(A)
Name and Title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(1) James Skogsbergh........................................................................
PRESIDENT & CEO, DIRECTOR
 40.0
.......................4.0 		X   X       5,592,968 0 2,089,788
(2) Michele Baker Richardson........................................................................
Chairperson, Director
 1.0
.......................3.0 		X           0 0 0
(3) John Timmer........................................................................
Vice Chairperson, Director
 1.0
.......................3.0 		X           0 0 0
(4) Gail D Hasbrouck........................................................................
SVP, Gen Counsel & Corp. Sec
 40.0
.......................9.0 		X   X       1,150,732 0 188,617
(5) David Anderson........................................................................
Director
 1.0
.......................3.0 		X           0 0 0
(6) Rev Dr Nathaniel Edmond........................................................................
Director
 1.0
.......................5.0 		X           0 0 0
(7) Ron Greene........................................................................
Director
 1.0
.......................3.0 		X           0 0 0
(8) Mark Harris........................................................................
Director
 1.0
.......................3.0 		X           0 0 0
(9) Laurie Meyer........................................................................
Director
 1.0
.......................3.0 		X           0 0 0
(10) Clarence Nixon Jr PhD........................................................................
Director
 1.0
.......................3.0 		X           0 0 0
(11) Rick Jakle........................................................................
Director
 1.0
.......................5.0 		X           0 0 0
(12) Gary Stuck MD........................................................................
Director
 1.0
.......................3.0 		X           0 0 0
(13) William P Santulli........................................................................
EXEC VP, COO
 40.0
.......................4.0 		    X       2,492,478 0 779,240
(14) Lee B Sacks MD........................................................................
EXEC VP, CHIEF MEDICAL OFFICER
 40.0
.......................3.0 		    X       1,890,745 0 347,784
(15) James Doheny........................................................................
VP, Sys Contr & Asst.Treasurer
 40.0
.......................10.0 		    X       454,164 0 54,251
(16) James Dan MD........................................................................
PRES PHYSICIAN/AMBULATORY SVCS
 40.0
.......................4.0 		    X       1,382,301 0 263,198
(17) Rev K Bender Schwich........................................................................
SVP, Mission & Spiritual Care
 40.0
.......................3.0 		    X       548,238 0 223,890
Form 990 (2014)
Form 990 (2014)
Page 8
Part VII
Section A. Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees (continued)
(A)
Name and Title 		(B)
Average hours per week (list any hours for related organizations below dotted line) 		(C)
Position (do not check more than one box, unless person is both an officer and a director/trustee) 		(D)
Reportable compensation from the organization (W- 2/1099-MISC) 		(E)
Reportable compensation from related organizations (W- 2/1099-MISC) 		(F)
Estimated amount of other compensation from the organization and related organizations
Individual Trustee or Director; Institutional Trustee; OfficerInd; Key Employee; Highest compensated employee; FormerOfcrDirectorTrusteeInd;
(18) Kevin Brady........................................................................
SVP, Chf Human Resources offc
 40.0
.......................3.0 		    X       1,199,503 0 252,728
(19) Vincent Bufalino........................................................................
SVP, CARDIO/SR MED DIR CARDIO
 40.0
.......................0.0 		    X       835,043 0 312,949
(20) Susan Campbell........................................................................
SVP OF PATIENT CR-CHF NRS OFFC
 40.0
.......................4.0 		    X       521,658 0 193,381
(21) Kelly Jo Golson........................................................................
SVP, Chief Marketing Officer
 40.0
.......................3.0 		    X       801,861 0 119,399
(22) Dominic J Nakis........................................................................
SVP, CFO & TREASURER
 40.0
.......................7.0 		    X       1,774,769 0 348,593
(23) Scott Powder........................................................................
SVP, Chief Strategy Officer
 40.0
.......................3.0 		    X       856,917 0 179,488
(24) Bruce D Smith........................................................................
SVP, Information Systems, CIO
 40.0
.......................3.0 		    X       1,136,939 0 206,153
(25) Jonathan Bruss........................................................................
President, Trinity Hosp Jan-14
 40.0
.......................0.0 		      X     391,256 0 47,076
(26) Michael Farrell........................................................................
PRESIDENT -ADV CHILDREN'S HOSP
 40.0
.......................0.0 		      X     1,250,097 0 481,400
(27) David Fox........................................................................
President, Good Samaritan Hosp
 40.0
.......................0.0 		      X     1,128,836 0 219,166
(28) Michelle Gaskill........................................................................
President, Trinity Hospital
 40.0
.......................0.0 		      X     397,261 0 109,428
(29) Richard Heim........................................................................
President, South Suburban Hosp
 40.0
.......................0.0 		      X     645,085 0 160,670
(30) Colleen Kannaday........................................................................
President, BroMenn Medical Ctr
 40.0
.......................0.0 		      X     747,888 0 265,387
(31) Karen Lambert........................................................................
President, Good Shepherd Hosp
 40.0
.......................1.0 		      X     981,093 0 191,084
(32) Kenneth Lukhard........................................................................
Mkt President, Christ Med Ctr
 40.0
.......................0.0 		      X     1,497,807 0 282,721
(33) Rick Floyd........................................................................
President, Lutheran Gen Hosp
 40.0
.......................1.0 		      X     831,711 32,639 253,557
(34) Thomas Grobelny........................................................................
Physician-Neuroint. Radiology
 40.0
.......................0.0 		        X   983,776 0 40,764
(35) Caleb Lippman........................................................................
Neurosurgeon
 40.0
.......................0.0 		        X   832,084 0 51,537
(36) Thom Lobe........................................................................
Physician - General Surgery
 40.0
.......................0.0 		        X   966,103 0 32,372
(37) Kenji Muro........................................................................
Neurosurgeon
 40.0
.......................0.0 		        X   938,929 0 48,879
(38) John Song........................................................................
Neurosurgeon
 40.0
.......................0.0 		        X   1,046,899 0 28,847
(39) Michael Englehart........................................................................
FMR PRES, SOUTH SUBURBAN HOSP
 0.0
.......................41.0 		          X 0 922,739 186,247
(40) Ben Grigaliunas........................................................................
Senior VP, Human Resources
 0.0
.......................0.0 		          X 215,578 0 0
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)............MediumBullet 33,492,719 955,378 7,958,594
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organizationMediumBullet2,834
Yes
No
3
Did the organization list any former officer, director or trustee, key employee, or highest compensated employee on line 1a? If "Yes," complete Schedule J for such individual ..............
3
Yes
 
4
For any individual listed on line 1a, is the sum of reportable compensation and other compensation from the organization and related organizations greater than $150,000? If "Yes," complete Schedule J for such individual...........................
4
Yes
 
5
Did any person listed on line 1a receive or accrue compensation from any unrelated organization or individual for services rendered to the organization? If "Yes," complete Schedule J for such person ........
5
 
No
Section B. Independent Contractors
1
Complete this table for your five highest compensated independent contractors that received more than $100,000 of compensation from the organization. Report compensation for the calendar year ending with or within the organization’s tax year.
(A)
Name and business address 		(B)
Description of services 		(C)
Compensation
POWER CONSTRUCTION COMPANY,
2360 N PALMER DR
SCHAUMBERG,IL601733818 		CONSTRUCTION CONTR 92,391,585
ARAMARK HEALTHCARE SUPPORT SERVICES,
25271 NETWORK PLACE
CHICAGO,IL606731252 		HOSPITAL SERVICES 19,173,131
XTEND HEALTHCARE LLC,
171 MADISON AVE
NEW YORK,NY10016 		BUSINESS OFFICE SVCS 6,784,669
ALLCRIPTS HEALTHCARE LLC,
24630 NETWORK PLACE
CHICAGO,IL606731246 		MEDICAL SOFTWARE 6,686,108
SUPERIOR HEALTH LINENS,
5005 S PACKARD AVENUE
CUDAHY,WI53110 		LAUNDRY SERVICES 5,648,292
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet127
Form 990 (2014)
Form 990 (2014)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII .............
(A)
Total revenue 		(B)
Related or
exempt
function
revenue 		(C)
Unrelated
business
revenue 		(D)
Revenue
excluded from
tax under sections
512-514
Contributions, Gifts, GrantAmt and OtherAmt Similar Amounts 1a Federated campaigns..1a  
b Membership dues....1b  
c Fundraising events....1c  
d Related organizations...1d 16,849,938
e Government grants (contributions)1e 4,255,772
f All other contributions, gifts, grants, and
similar amounts not included above1f 		3,264,977
g Noncash contributions included in lines
1a-1f:$ 		 
h Total. Add lines 1a-1f.......MediumBullet 24,370,687
Program Service RevenueAmt Business Code
2a BLUE CROSS/MANAGED CARE 622110 1,700,605,581 1,700,605,581    
b MEDICARE/MEDICAID 622110 956,925,292 956,925,292    
c PROGRAM SERVICE REVENUE 622110 715,031,150 701,012,284 14,018,866  
d PHARMACY 446110 382,832,024 382,351,029 480,995  
e LABORATORY 621511 319,978,275 269,106,889 50,871,386  
f All other program service revenue .        
g Total. Add lines 2a–2f........MediumBullet 4,075,372,322
OtherAmt RevenueAmt 3 Investment income (including dividends, interest, and other similar amounts).......MediumBullet 138,769,313   -6,031,306 144,800,619
4 Income from investment of tax-exempt bond proceeds..MediumBullet 0      
5 Royalties...........MediumBullet 0      
(i) Real (ii) Personal
6a Gross rents 10,281,357  
b Less: rental expenses 9,861,323  
c Rental income or (loss) 420,034 0
d Net rental income or (loss).......MediumBullet 420,034     420,034
(i) Securities (ii) Other
7a Gross amount from sales of assets other than inventory 1,733,173,696 5,098,295
b Less: cost or other basis and sales expenses 1,659,830,818 2,619,925
c Gain or (loss) 73,342,878 2,478,370
d Net gain or (loss)..........MediumBullet 75,821,348     75,821,348
8a Gross income from fundraising events (not including
$  
of contributions reported on line 1c). See Part IV, line 18 ..
a 18,421
b Less: direct expenses ...b 10,200
c Net income or (loss) from fundraising events..MediumBullet 8,221   8,221
9a Gross income from gaming activities.
See Part IV, line 19 ...
a  
b Less: direct expenses ...b  
c Net income or (loss) from gaming activities...MediumBullet 0      
10a Gross sales of inventory, less
returns and allowances .
a  
b Less: cost of goods sold ..b  
c Net income or (loss) from sales of inventory..MediumBullet 0      
Miscellaneous Revenue Business Code
11a CAFETERIA REVENUE 722212 9,999,817     9,999,817
b MISCELLANEOUS 621999 6,949,163 22,023   6,927,140
c GIFTSHOP REVENUE 812930 959,571     959,571
d All other revenue .... 68,333 68,333    
e Total. Add lines 11a–11d ...... MediumBullet 17,976,884
12 Total revenue. See Instructions......MediumBullet 4,332,738,809 4,010,091,431 59,339,941 238,936,750
Form 990 (2014)
Form 990 (2014)
Page 10
Part IX
Statement of Functional Expenses
Section 501(c)(3) and 501(c)(4) organizations must complete all columns. All other organizations must complete column (A).Check if Schedule O contains a response or note to any line in this Part IX ...............
Do not include amounts reported on lines 6b,
7b, 8b, 9b, and 10b of Part VIII. 		(A)
Total expenses 		(B)
Program service expenses 		(C)
Management and general expenses 		(D)
Fundraising expenses
1 Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 .... 5,301,251 5,301,251
2 Grants and other assistance to domestic individuals. See Part IV, line 22 .... 0  
3 Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16 ............ 0  
4 Benefits paid to or for members .... 0  
5 Compensation of current officers, directors, trustees, and key employees .... 36,079,299 2,064,650 34,010,163 4,486
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .... 831,993 831,887   106
7 Other salaries and wages .... 1,585,478,286 1,462,184,804 123,096,339 197,143
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 58,678,779 52,878,479 5,792,075 8,225
9 Other employee benefits ....... 218,716,408 205,412,223 13,277,132 27,053
10 Payroll taxes ........... 105,616,953 98,241,356 7,362,533 13,064
11 Fees for services (non-employees):        
a Management ...... 14,228,443   14,228,443  
b Legal ......... 3,724,074   3,724,074  
c Accounting ........... 362,910   362,910  
d Lobbying ........... 706,094   706,094  
e Professional fundraising services. See Part IV, line 17 0  
f Investment management fees ...... 10,330,396   10,330,396  
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) .... 336,688,633   336,688,633  
12 Advertising and promotion .... 14,273,506 1,941,665 12,331,841  
13 Office expenses ....... 43,639,018 40,566,353 3,072,665  
14 Information technology ...... 85,464,309 79,010,212 6,454,097  
15 Royalties .. 0      
16 Occupancy ........... 87,559,712 83,501,780 4,057,932  
17 Travel ............ 7,421,066 5,237,225 2,183,841  
18 Payments of travel or entertainment expenses for any federal, state, or local public officials ...... 0      
19 Conferences, conventions, and meetings .... 7,593,138 6,307,143 1,285,995  
20 Interest ........... 45,358,701 45,358,701    
21 Payments to affiliates ....... 0      
22 Depreciation, depletion, and amortization ..... 182,002,261 152,099,872 29,902,389  
23 Insurance .............. 107,391,400 106,496,769 894,631  
24 Other expenses. Itemize expenses not covered above (List miscellaneous expenses in line 24e. If line 24e amount exceeds 10% of line 25, column (A) amount, list line 24e expenses on Schedule O.)
a MEDICAL SUPPLIES 510,459,330 510,476,173 -16,843  
b BAD DEBT 212,681,858 212,681,858    
c PUBLIC ASSESSMENT FEE 101,694,413 101,694,413    
d REPAIR AND MAINTENANCE 68,917,039 63,515,754 5,401,285  
e All other expenses 126,781,539 116,945,296 9,683,489 152,754
25 Total functional expenses. Add lines 1 through 24e 3,977,980,809 3,352,747,864 624,830,114 402,831
26 Joint costs. Complete this line only if the organization reported in column (B) joint costs from a combined educational campaign and fundraising solicitation. Check here MediumBullet if following SOP 98-2 (ASC 958-720).        
Form 990 (2014)
Form 990 (2014)
Page 11
Part X Balance Sheet Check if Schedule O contains a response or note to any line in this Part X ..............
(A)
Beginning of year 		(B)
End of year
Assets 1 Cash–non-interest-bearing ............. 384,810,725 1 148,084,260
2 Savings and temporary cash investments ......... 0 2 396,140
3 Pledges and grants receivable, net ........... 1,598,115 3 1,540,021
4 Accounts receivable, net ............. 411,649,412 4 482,355,852
5 Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of
Schedule L ..................
0 5 102,368
6 Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), persons described in section 4958(c)(3)(B), and contributing employers and sponsoring organizations of section 501(c)(9) voluntary employees' beneficiary organizations (see instructions) Complete Part II of Schedule L
0 6 0
7 Notes and loans receivable, net ............. 251,804 7 161,414,318
8 Inventories for sale or use .............. 46,665,158 8 47,800,917
9 Prepaid expenses and deferred charges .......... 63,876,973 9 59,340,897
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 3,736,406,653
b Less: accumulated depreciation ..... 10b 2,002,100,782 1,505,675,186 10c 1,734,305,871
11 Investments—publicly traded securities .......... 3,056,388,335 11 2,220,620,864
12 Investments—other securities. See Part IV, line 11 ..... 951,608,302 12 2,144,112,484
13 Investments—program-related. See Part IV, line 11 ..... 3,164,280 13 38,487,901
14 Intangible assets ............... 25,222,144 14 24,860,715
15 Other assets. See Part IV, line 11 ........... 256,782,688 15 187,938,474
16 Total assets. Add lines 1 through 15 (must equal line 34)...... 6,707,693,122 16 7,251,361,082
Liabilities 17 Accounts payable and accrued expenses ......... 702,112,532 17 706,530,901
18 Grants payable ................. 0 18 0
19 Deferred revenue ................ 1,638,780 19 3,833,798
20 Tax-exempt bond liabilities ............. 1,390,347,612 20 1,572,310,991
21 Escrow or custodial account liability. Complete Part IV of Schedule D.. 0 21 0
22 Loans and other payables to current and former officers, directors, trustees, key employees, highest compensated employees, and disqualified
persons. Complete Part II of Schedule L.......... 0 22 0
23 Secured mortgages and notes payable to unrelated third parties .. 0 23 0
24 Unsecured notes and loans payable to unrelated third parties .... 0 24 0
25 Other liabilities (including federal income tax, payables to related third parties, and other liabilities not included on lines 17-24). Complete Part X of Schedule D.................... 1,050,991,540 25 1,226,471,079
26 Total liabilities. Add lines 17 through 25......... 3,145,090,464 26 3,509,146,769
Net Assets or Fund Balance Organizations that follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 27 through 29, and lines 33 and 34.
27 Unrestricted net assets .............. 3,561,522,143 27 3,711,636,595
28 Temporarily restricted net assets ........... 1,080,515 28 30,577,718
29 Permanently restricted net assets ........... 0 29 0
Organizations that do not follow SFAS 117 (ASC 958), check here MediumBullet and complete lines 30 through 34.
30 Capital stock or trust principal, or current funds ........   30  
31 Paid-in or capital surplus, or land, building or equipment fund .....   31  
32 Retained earnings, endowment, accumulated income, or other funds   32  
33 Total net assets or fund balances ........... 3,562,602,658 33 3,742,214,313
34 Total liabilities and net assets/fund balances ........ 6,707,693,122 34 7,251,361,082
Form 990 (2014)
Form 990 (2014)
Page 12
Part XI
Reconcilliation of Net Assets
Check if Schedule O contains a response or note to any line in this Part XI ..............
1
Total revenue (must equal Part VIII, column (A), line 12) ............
1
4,332,738,809
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
3,977,980,809
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
354,758,000
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) ..
4
3,562,602,658
5
Net unrealized gains (losses) on investments ...............
5
-119,197,593
6
Donated services and use of facilities .................
6
 
7
Investment expenses .....................
7
 
8
Prior period adjustments .....................
8
 
9
Other changes in net assets or fund balances (explain in Schedule O) ........
9
-55,948,752
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 33, column (B))
10
3,742,214,313
Part XII
Financial Statements and Reporting
Check if Schedule O contains a response or note to any line in this Part XII .............
Yes
No
1
Accounting method used to prepare the Form 990:  
If the organization changed its method of accounting from a prior year or checked "Other," explain in
Schedule O.
2a
Were the organization’s financial statements compiled or reviewed by an independent accountant?
2a
 
No
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were compiled or reviewed on a separate basis, consolidated basis, or both:
b
Were the organization’s financial statements audited by an independent accountant?
2b
Yes
 
If ‘Yes,’ check a box below to indicate whether the financial statements for the year were audited on a separate basis, consolidated basis, or both:
c
If "Yes," to line 2a or 2b, does the organization have a committee that assumes responsibility for oversight of the audit, review, or compilation of its financial statements and selection of an independent accountant?
2c
Yes
 
If the organization changed either its oversight process or selection process during the tax year, explain in Schedule O.
3a
As a result of a federal award, was the organization required to undergo an audit or audits as set forth in the Single Audit Act and OMB Circular A-133? .................
3a
Yes
 
b
If "Yes," did the organization undergo the required audit or audits? If the organization did not undergo the required audit or audits, explain why in Schedule O and describe any steps taken to undergo such audits.
3b
Yes
 
Form 990 (2014)
Form 990 (2014)
Page 13
Form 990, Special Condition Description:
Special Condition Description
Form 990 (2014)
Form 990 (2014)
Page 14
Additional Data


Software ID:  
Software Version:  
SCHEDULE A
(Form 990 or 990EZ)

Department of the Treasury
Internal Revenue Service
Public Charity Status and Public Support
Complete if the organization is a section 501(c)(3) organization or a section 4947(a)(1) nonexempt charitable trust.
right arrow Attach to Form 990 or Form 990-EZ.
right arrow Information about Schedule A (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
Open to Public
Inspection
Name of the organization
Advocate Health And Hospitals Corp
 
Employer identification number

36-2169147
Part I
Reason for Public Charity Status (All organizations must complete this part.) See instructions.
The organization is not a private foundation because it is: (For lines 1 through 11, check only one box.)
1
2
3
4
5
section 170(b)(1)(A)(iv). (Complete Part II.)
6
7
8
9
receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of
its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses
acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)
10
11
a
b
c
d
e
f
Enter the number of supported organizations .............................  
g
Provide the following information about the supported organization(s).
(i)Name of supported organization (ii) EIN (iii) Type of organization (described on lines 1- 9 above or IRC section (see instructions)) (iv) Is the organization listed in your governing document? (v) Amount of monetary support (see instructions) (vi) Amount of other support (see instructions)
Yes No
Total    

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2014
Schedule A (Form 990 or 990-EZ) 2014
Page 2
Part II
Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization fails to qualify under the tests listed below, please complete Part III.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2010 (b) 2011 (c) 2012 (d) 2013 (e) 2014 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") ....            
2 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf.......            
3 The value of services or facilities furnished by a governmental unit to the organization without charge..            
4 Total. Add lines 1 through 3            
5 The portion of total contributions by each person (other than a governmental unit or publicly supported organization) included on line 1 that exceeds 2% of the amount shown on line 11, column (f)..  
6 Public support. Subtract line 5 from line 4.  
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2010 (b) 2011 (c) 2012 (d) 2013 (e) 2014 (f) Total
7 Amounts from line 4..            
8 Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources...            
9 Net income from unrelated business activities, whether or not the business is regularly carried on..            
10 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.)..            
11 Total support Add lines 7 through 10.  
12
12
 
13
First five years. If the Form 990 is for the organization's first, second, third, fourth, or fifth tax year as a section 501(c)(3) organization, check this box and stop here........................................right arrow
Section C. Computation of Public Support Percentage
14
14
 
15
15
 
16a
b
17a
b
18
Private foundation. If the organization did not check a box on line 13, 16a, 16b, 17a, or 17b, check this box and see
instructions ..................................................... right arrow
Schedule A (Form 990 or 990-EZ) 2014
Schedule A (Form 990 or 990-EZ) 2014
Page 3
Part III
Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 9 of Part I or if the organization failed to qualify under Part II. If the organization fails to qualify under the tests listed below, please complete Part II.)
Section A. Public Support
Calendar year (or fiscal year beginning in) right arrow (a) 2010 (b) 2011 (c) 2012 (d) 2013 (e) 2014 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grants.") .            
2 Gross receipts from admissions, merchandise sold or services performed, or facilities furnished in any activity that is related to the organization's tax-exempt purpose......            
3 Gross receipts from activities that are not an unrelated trade or business under section 513..            
4 Tax revenues levied for the organization's benefit and either paid to or expended on its behalf...            
5 The value of services or facilities furnished by a governmental unit to the organization without charge..            
6 Total. Add lines 1 through 5.            
7a Amounts included on lines 1, 2, and 3 received from disqualified persons...            
b Amounts included on lines 2 and 3 received from other than disqualified persons that exceed the greater of $5,000 or 1% of the amount on line 13 for the year.            
c Add lines 7a and 7b..            
8 Public support (Subtract line 7c from line 6.)  
Section B. Total Support
Calendar year (or fiscal year beginning in) right arrow (a) 2010 (b) 2011 (c) 2012 (d) 2013 (e) 2014 (f) Total
9 Amounts from line 6...            
10a Gross income from interest, dividends, payments received on securities loans, rents, royalties and income from similar sources..            
b Unrelated business taxable income (less section 511 taxes) from businesses acquired after June 30, 1975.            
c Add lines 10a and 10b.            
11 Net income from unrelated business activities not included in line 10b, whether or not the business is regularly carried on.            
12 Other income. Do not include gain or loss from the sale of capital assets (Explain in Part VI.) ..            
13 Total support. (Add lines 9, 10c, 11, and 12.)..            
14
Section C. Computation of Public Support Percentage
15
15
 
16
16
 
Section D. Computation of Investment Income Percentage
17
17
 
18
18
 
19a
b
20
Schedule A (Form 990 or 990-EZ) 2014
Schedule A (Form 990 or 990-EZ) 2014
Page 4
Part IV
Supporting Organizations
(Complete only if you checked a box on line 11 of Part I. If you checked 11a of Part I, complete Sections A and B. If you checked 11b of Part I, complete Sections A and C. If you checked 11c of Part I, complete Sections A, D, and E. If you checked 11d of Part I, complete Sections A and D, and complete Part V.)
Section A. All Supporting Organizations
Yes
No
1
Are all of the organization’s supported organizations listed by name in the organization’s governing documents?
If "No," describe in Part VI how the supported organizations are designated. If designated by class or purpose,
describe the designation. If historic and continuing relationship, explain.
1
 
 
2
Did the organization have any supported organization that does not have an IRS determination of status under section 509(a)(1) or (2)? If "Yes," explain in Part VI how the organization determined that the supported organization was described in section 509(a)(1) or (2).
2
 
 
3a
Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.
3a
 
 
b
Did the organization confirm that each supported organization qualified under section 501(c)(4), (5), or (6) and satisfied the public support tests under section 509(a)(2)? If "Yes," describe in Part VI when and how the organization made the determination.
3b
 
 
c
Did the organization ensure that all support to such organizations was used exclusively for section 170(c)(2)(B) purposes? If "Yes," explain in Part VI what controls the organization put in place to ensure such use.
3c
 
 
4a
Was any supported organization not organized in the United States ("foreign supported organization")? If “Yes” and if you checked 11a or 11b in Part I, answer (b) and (c) below.
4a
 
 
b
Did the organization have ultimate control and discretion in deciding whether to make grants to the foreign supported organization? If “Yes,” describe in Part VI how the organization had such control and discretion despite being controlled or supervised by or in connection with its supported organizations....
4b
 
 
c
Did the organization support any foreign supported organization that does not have an IRS determination under sections 501(c)(3) and 509(a)(1) or (2)? If “Yes,” explain in Part VI what controls the organization used to ensure that all support to the foreign supported organization was used exclusively for section 170(c)(2)(B) purposes.
4c
 
 
5a
Did the organization add, substitute, or remove any supported organizations during the tax year? If “Yes,” answer (b) and (c) below (if applicable). Also, provide detail in Part VI, including (i) the names and EIN numbers of the supported organizations added, substituted, or removed, (ii) the reasons for each such action, (iii) the authority under the organization's organizing document authorizing such action, and (iv) how the action was accomplished (such as by amendment to the organizing document).
5a
 
 
b
Type I or Type II only. Was any added or substituted supported organization part of a class already designated in the organization's organizing document?
5b
 
 
c
Substitutions only. Was the substitution the result of an event beyond the organization's control?
5c
 
 
6
Did the organization provide support (whether in the form of grants or the provision of services or facilities) to anyone other than (a) its supported organizations; (b) individuals that are part of the charitable class benefited by one or more of its supported organizations; or (c) other supporting organizations that also support or benefit one or more of the filing organization’s supported organizations? If “Yes,” provide detail in Part VI.
6
 
 
7
Did the organization provide a grant, loan, compensation, or other similar payment to a substantial contributor (defined in IRC 4958(c)(3)(C)), a family member of a substantial contributor, or a 35-percent controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990) .
7
 
 
8
Did the organization make a loan to a disqualified person (as defined in section 4958) not described in line 7? If “Yes,” complete Part II of Schedule L (Form 990).
8
 
 
9a
Was the organization controlled directly or indirectly at any time during the tax year by one or more disqualified persons as defined in section 4946 (other than foundation managers and organizations described in section 509(a)(1) or (2))? If “Yes,” provide detail in Part VI.
9a
 
 
b
Did one or more disqualified persons (as defined in line 9(a)) hold a controlling interest in any entity in which the supporting organization had an interest? If “Yes,” provide detail in Part VI.
9b
 
 
c
Did a disqualified person (as defined in line 9(a)) have an ownership interest in, or derive any personal benefit from, assets in which the supporting organization also had an interest? If “Yes,” provide detail in Part VI.
9c
 
 
10a
Was the organization subject to the excess business holdings rules of IRC 4943 because of IRC 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer b below.
10a
 
 
b
Did the organization have any excess business holdings in the tax year? (Use Schedule C, Form 4720, to determine whether the organization had excess business holdings).
10b
 
 
11
Has the organization accepted a gift or contribution from any of the following persons?
a
A person who directly or indirectly controls, either alone or together with persons described in (b) and (c) below, the governing body of a supported organization?
11a
 
 
b
A family member of a person described in (a) above?
11b
 
 
c
A 35% controlled entity of a person described in (a) or (b) above? If “Yes” to a, b, or c, provide detail in Part VI.
11c
 
 
Schedule A (Form 990 or 990-EZ) 2014
Schedule A (Form 990 or 990-EZ) 2014
Page 5
Part IV
Supporting Organizations (continued)

Section B. Type I Supporting Organizations
Yes
No
1
Did the directors, trustees, or membership of one or more supported organizations have the power to regularly appoint or elect at least a majority of the organization’s directors or trustees at all times during the tax year? If “No,” describe in Part VI how the supported organization(s) effectively operated, supervised, or controlled the organization’s activities. If the organization had more than one supported organization, describe how the powers to appoint and/or remove directors or trustees were allocated among the supported organizations and what conditions or restrictions, if any, applied to such powers during the tax year.
1
 
 
2
Did the organization operate for the benefit of any supported organization other than the supported organization(s) that operated, supervised, or controlled the supporting organization? If “Yes,” explain in Part VI how providing such benefit carried out the purposes of the supported organization(s) that operated, supervised or controlled the supporting organization.
2
 
 
Section C. Type II Supporting Organizations
Yes
No
1
Were a majority of the organization’s directors or trustees during the tax year also a majority of the directors or trustees of each of the organization’s supported organization(s)? If “No,” describe in Part VI how control or management of the supporting organization was vested in the same persons that controlled or managed the supported organization(s).
1
 
 
Section D. All Type III Supporting Organizations
Yes
No
1
Did the organization provide to each of its supported organizations, by the last day of the fifth month of the organization’s tax year, (1) a written notice describing the type and amount of support provided during the prior tax year, (2) a copy of the Form 990 that was most recently filed as of the date of notification, and (3) copies of the organization’s governing documents in effect on the date of notification, to the extent not previously provided?
1
 
 
2
Were any of the organization’s officers, directors, or trustees either (i) appointed or elected by the supported organization(s) or (ii) serving on the governing body of a supported organization? If "No," explain in Part VI how the organization maintained a close and continuous working relationship with the supported organization(s).
2
 
 
3
By reason of the relationship described in (2), did the organization’s supported organizations have a significant voice in the organization’s investment policies and in directing the use of the organization’s income or assets at all times during the tax year? If "Yes," describe in Part VI the role the organization’s supported organizations played in this regard.
3
 
 
Section E. Type III Functionally-Integrated Supporting Organizations
1
Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):
a
b
c
2
Activities Test. Answer (a) and (b) below.
Yes
No
a
Did substantially all of the organization’s activities during the tax year directly further the exempt purposes of the supported organization(s) to which the organization was responsive? If "Yes," then in Part VI identify those supported organizations and explain how these activities directly furthered their exempt purposes, how the organization was responsive to those supported organizations, and how the organization determined that these activities constituted substantially all of its activities.
2a
 
 
b
Did the activities described in (a) constitute activities that, but for the organization’s involvement, one or more of the organization’s supported organization(s) would have been engaged in? If "Yes," explain in Part VI the reasons for the organization’s position that its supported organization(s) would have engaged in these activities but for the organization’s involvement.
2b
 
 
3
Parent of Supported Organizations. Answer (a) and (b) below.
a
Did the organization have the power to regularly appoint or elect a majority of the officers, directors, or trustees of each of the supported organizations? Provide details in Part VI.
3a
 
 
b
Did the organization exercise a substantial degree of direction over the policies, programs and activities of each of its supported organizations? If "Yes," describe in Part VI the role played by the organization in this regard.
3b
 
 
Schedule A (Form 990 or 990-EZ) 2014
Schedule A (Form 990 or 990-EZ) 2014
Page 6
Part V – Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

1.   Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970. See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.
Section A - Adjusted Net Income (A) Prior Year (B) Current Year
(optional)
1 Net short-term capital gain 1    
2 Recoveries of prior-year distributions 2    
3 Other gross income (see instructions) 3    
4 Add lines 1 through 3 4    
5 Depreciation and depletion 5    
6 Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions) 6    
7 Other expenses (see instructions) 7    
8 Adjusted Net Income (subtract lines 5, 6 and 7 from line 4) 8    

Section B - Minimum Asset Amount (A) Prior Year (B) Current Year
(optional)
1 Aggregate fair market value of all non-exempt-use assets (see instructions for short tax year or assets held for part of year): 1
a Average monthly value of securities 1a    
b Average monthly cash balances 1b    
c Fair market value of other non-exempt-use assets 1c    
d Total (add lines 1a, 1b, and 1c) 1d    
e Discount claimed for blockage or other factors (explain in detail in Part VI):  
2 Acquisition indebtedness applicable to non-exempt use assets 2    
3 Subtract line 2 from line 1d 3    
4 Cash deemed held for exempt use. Enter 1-1/2% of line 3 (for greater amount, see instructions). 4    
5 Net value of non-exempt-use assets (subtract line 4 from line 3) 5    
6 Multiply line 5 by .035 6    
7 Recoveries of prior-year distributions 7    
8 Minimum Asset Amount (add line 7 to line 6) 8    

Section C - Distributable Amount Current Year
1 Adjusted net income for prior year (from Section A, line 8, Column A) 1  
2 Enter 85% of line 1 2  
3 Minimum asset amount for prior year (from Section B, line 8, Column A) 3  
4 Enter greater of line 2 or line 3 4  
5 Income tax imposed in prior year 5  
6 Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions) 6  
7   Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)
Schedule A (Form 990 or 990-EZ) 2014
Schedule A (Form 990 or 990-EZ) 2014
Page 7
Section D - Distributions Current Year
1 Amounts paid to supported organizations to accomplish exempt purposes  
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in
excess of income from activity		  
3 Administrative expenses paid to accomplish exempt purposes of supported organizations  
4 Amounts paid to acquire exempt-use assets  
5 Qualified set-aside amounts (prior IRS approval required)  
6 Other distributions (describe in Part VI). See instructions  
7Total annual distributions. Add lines 1 through 6.  
8 Distributions to attentive supported organizations to which the organization is responsive (provide
details in Part VI). See instructions		  
9 Distributable amount for 2014 from Section C, line 6  
10 Line 8 amount divided by Line 9 amount  

Section E - Distribution Allocations (see instructions) (i)
Excess Distributions 		(ii)
Underdistributions
Pre-2014 		(iii)
Distributable
Amount for 2014
1 Distributable amount for 2014 from Section C, line
6 		 
2 Underdistributions, if any, for years prior to 2014
(reasonable cause required--see instructions)		  
3 Excess distributions carryover, if any, to 2014:
a From 2009.......X
b From 2010.......X
c From 2011.......X
d From 2012.......X
e From 2013.......  
fTotal of lines 3a through e  
g Applied to underdistributions of prior years  
h Applied to 2014 distributable amount  
i Carryover from 2009 not applied (see
instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.  
4Distributions for 2014 from Section D, line 7:
$  
a Applied to underdistributions of prior years  
b Applied to 2014 distributable amount  
c Remainder. Subtract lines 4a and 4b from 4.  
5 Remaining underdistributions for years prior to
2014, if any. Subtract lines 3g and 4a from line 2
(if amount greater than zero, see instructions)		  
6 Remaining underdistributions for 2014. Subtract
lines 3h and 4b from line 1 (if amount greater than
zero, see instructions)		  
7 Excess distributions carryover to 2015. Add lines
3j and 4c.		  
8 Breakdown of line 7:
a From 2010.......X
b From 2011.......X
c From 2012.......X
d From 2013.......  
e From 2014.......  
Schedule A (Form 990 or 990-EZ) (2014)
Schedule A (Form 990 or 990-EZ) 2014
Page 8
Part VI
Supplemental Information. Provide the explanations required by Part II, line 10; Part II, line 17a or 17b; Part III, line 12; Part IV, Section A, lines 1, 2, 3b, 3c, 4b, 4c, 5a, 6, 9a, 9b, 9c, 11a, 11b, and 11c; Part IV, Section B, lines 1 and 2; Part IV, Section C, line 1; Part IV, Section D, lines 2 and 3; Part IV, Section E, lines 1c, 2a, 2b, 3a and 3b; Part V, line 1; Part V, Section B, line 1e; Part V Section D, lines 5, 6, and 8; and Part V, Section E, lines 2, 5, and 6. Also complete this part for any additional information. (See instructions).
Facts And Circumstances Test
 
Return Reference Explanation
Schedule A (Form 990 or 990-EZ) 2014

Additional Data


Software ID:  
Software Version:  
Schedule B
(Form 990, 990-EZ,
or 990-PF)
Department of the Treasury
Internal Revenue Service
Schedule of Contributors
Arrow Bullet Attach to Form 990, 990-EZ, or 990-PF.
Arrow Bullet Information about Schedule B (Form 990, 990-EZ, or 990-PF) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
Name of the organization
Advocate Health And Hospitals Corp
 
Employer identification number

36-2169147
Organization type (check one):
Filers of:
Section:
Form 990 or 990-EZ





Form 990-PF




Check if your organization is covered by the General Rule or a Special Rule.  
Note. Only a section 501(c)(7), (8), or (10) organization can check boxes for both the General Rule and a Special Rule. See instructions.
General Rule
Special Rules
......... Arrow Bullet $  
Caution. An organization that is not covered by the General Rule and/or the Special Rules does not file Schedule B (Form 990,
990-EZ, or 990-PF), but it must answer “No” on Part IV, line 2, of its Form 990; or check the box on line H of its
Form 990-EZ or on its Form 990PF, Part I, line 2, to certify that it does not meet the filing requirements of Schedule B (Form 990,
990-EZ, or 990-PF).
For Paperwork Reduction Act Notice, see the Instructions
for Form 990, 990-EZ, or 990-PF.
Cat. No. 30613XSchedule B (Form 990, 990-EZ, or 990-PF) (2014)

Schedule B (Form 990, 990-EZ, or 990-PF) (2014)
Page 2
Name of organization
Advocate Health And Hospitals Corp
  		Employer identification number

36-2169147
Part I
Contributors (see instructions). Use duplicate copies of Part I if additional space is needed.
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
RESTRICTED
 
 

   
 
 
  ,    

$RESTRICTED


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
(a)
No.		 (b)
Name, address, and ZIP + 4		 (c)
Total contributions		 (d)
Type of contribution
 
 
 

   
 
 

$  


(Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Schedule B (Form 990, 990-EZ, or 990-PF) (2014)
Page 3
Name of organization
Advocate Health And Hospitals Corp
  		Employer identification number

36-2169147
Part II
Noncash Property (see instructions). Use duplicate copies of Part II if additional space is needed.
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
(a) No.
from
Part I		 (b)
Description of noncash property given		 (c)
FMV (or estimate)
(see instructions) 		(d)
Date received
 
$    
Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Schedule B (Form 990, 990-EZ, or 990-PF) (2014)
Page 4
Name of organization
Advocate Health And Hospitals Corp
  		Employer identification number

36-2169147
Part III
Exclusively religious, charitable, etc., contributions to organizations described in section 501(c)(7), (8), or (10)
that total more than $1,000 for the year from any one contributor. Complete columns (a) through (e) and the following line entry. For organizations completing Part III, enter the total of exclusively religious, charitable, etc., contributions of $1,000 or less for the year. (Enter this information once. See instructions.) Arrow Bullet$  
Use duplicate copies of Part III if additional space is needed.
(a) No.
from
Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a) No.
from
Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a) No.
from
Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
(a) No.
from
Part I		 (b) Purpose of gift (c) Use of gift (d) Description of how gift is held
 
(e) Transfer of gift
Transferee's name, address, and ZIP 4 Relationship of transferor to transferee
 
 
     
 
Schedule B (Form 990, 990-EZ, or 990-PF) (2014)

Additional Data


Software ID:  
Software Version:  
SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527
SchCMd Bullet Complete if the organization is described below.SchCMd Bullet Attach to Form 990 or Form 990-EZ.
SchCMd Bullet Information about Schedule C (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
Open to Public
Inspection
If the organization answered "Yes" to Form 990, Part IV, Line 3, or Form 990-EZ, Part V, line 46 (Political Campaign Activities), then
Round Bullet Section 501(c)(3) organizations: Complete Parts I-A and B. Do not complete Part I-C.
Round Bullet Section 501(c) (other than section 501(c)(3)) organizations: Complete Parts I-A and C below. Do not complete Part I-B.
Round Bullet Section 527 organizations: Complete Part I-A only.
If the organization answered "Yes" to Form 990, Part IV, Line 4, or Form 990-EZ, Part VI, line 47 (Lobbying Activities), then
Round Bullet Section 501(c)(3) organizations that have filed Form 5768 (election under section 501(h)): Complete Part II-A. Do not complete Part II-B.
Round Bullet Section 501(c)(3) organizations that have NOT filed Form 5768 (election under section 501(h)): Complete Part II-B. Do not complete Part II-A.
If the organization answered "Yes" to Form 990, Part IV, Line 5 (Proxy Tax) (see separate instructions) or Form 990-EZ, Part V, line 35c (Proxy Tax) (see separate instructions), then
Round Bullet Section 501(c)(4), (5), or (6) organizations: Complete Part III.
Name of the organization
Advocate Health And Hospitals Corp
 
Employer identification number

36-2169147
Part I-A
Complete if the organization is exempt under section 501(c) or is a section 527 organization.

1
Provide a description of the organization’s direct and indirect political campaign activities in Part IV.
2
Political expenditures ....................................SchCMd Bullet
$  
3
Volunteer hours ........................................
 

Part I-B
Complete if the organization is exempt under section 501(c)(3).
1
Enter the amount of any excise tax incurred by the organization under section 4955 .........SchCMd Bullet
$  
2
Enter the amount of any excise tax incurred by organization managers under section 4955 ......SchCMd Bullet
$  
3
If the organization incurred a section 4955 tax, did it file Form 4720 for this year? ..............
4a
Was a correction made? .........................................
b
If "Yes," describe in Part IV.
Part I-C
Complete if the organization is exempt under section 501(c), except section 501(c)(3).
1
Enter the amount directly expended by the filing organization for section 527 exempt function activities SchCMd Bullet
$  
2
Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ...................................SchCMd Bullet

$  
3
Total exempt function expenditures. Add lines 1 and 2. Enter here and on Form 1120-POL, line 17b..SchCMd Bullet

$  
4
Did the filing organization file Form 1120-POL for this year? ..........................
5
Enter the names, addresses and employer identification number (EIN) of all section 527 political organizations to which the filing
organization made payments. For each organization listed, enter the amount paid from the filing organization’s funds. Also enter the amount of political contributions received that were promptly and directly delivered to a separate political organization, such as a separate segregated fund or a political action committee (PAC). If additional space is needed, provide information in Part IV.
(a) Name (b) Address (c) EIN (d) Amount paid from filing organization's funds. If none, enter -0-. (e) Amount of political contributions received and promptly and directly delivered to a separate political organization. If none, enter -0-.










For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.
Cat. No. 50084S
Schedule C (Form 990 or 990-EZ) 2014

Schedule C (Form 990 or 990-EZ) 2014
Page 2
Part II-A
Complete if the organization is exempt under section 501(c)(3) and filed Form 5768 (election under section 501(h)).
A Check SchCMd Bulletexpenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet
Limits on Lobbying Expenditures
(The term "expenditures" means amounts paid or incurred.) 		(a) Filing
organization's
totals 		(b) Affiliated group
totals
1a Total lobbying expenditures to influence public opinion (grass roots lobbying) ......    
b Total lobbying expenditures to influence a legislative body (direct lobbying) .......    
c Total lobbying expenditures (add lines 1a and 1b) ...................    
d Other exempt purpose expenditures ........................    
e Total exempt purpose expenditures (add lines 1c and 1d) ...............    
f Lobbying nontaxable amount. Enter the amount from the following table in both
columns.		    
If the amount on line 1e, column (a) or (b) is:The lobbying nontaxable amount is:
Not over $500,00020% of the amount on line 1e.
Over $500,000 but not over $1,000,000$100,000 plus 15% of the excess over $500,000.
Over $1,000,000 but not over $1,500,000$175,000 plus 10% of the excess over $1,000,000.
Over $1,500,000 but not over $17,000,000$225,000 plus 5% of the excess over $1,500,000.
Over $17,000,000$1,000,000.
g Grassroots nontaxable amount (enter 25% of line 1f) .................    
h Subtract line 1g from line 1a. If zero or less, enter -0-. ................    
i Subtract line 1f from line 1c. If zero or less, enter -0-. ................    
j If there is an amount other than zero on either line 1h or line 1i, did the organization file Form 4720 reporting
section 4911 tax for this year? ......................................

4-Year Averaging Period Under section 501(h)
(Some organizations that made a section 501(h) election do not have to complete all of the five
columns below. See the separate instructions for lines 2a through 2f.)
Lobbying Expenditures During 4-Year Averaging Period
Calendar year (or fiscal year
beginning in) 		(a) 2011 (b) 2012 (c) 2013 (d) 2014 (e) Total
2a Lobbying nontaxable amount          
b Lobbying ceiling amount
(150% of line 2a, column(e)) 		 
c Total lobbying expenditures          
d Grassroots nontaxable amount          
e Grassroots ceiling amount
(150% of line 2d, column (e))		  
f Grassroots lobbying expenditures          
Schedule C (Form 990 or 990-EZ) 2014


Schedule C (Form 990 or 990-EZ) 2014
Page 3
Part II-B
Complete if the organization is exempt under section 501(c)(3) and has NOT filed Form 5768 (election under section 501(h)).
For each "Yes" response to lines 1a through 1i below, provide in Part IV a detailed description of the lobbying activity.
(a)
No
Yes
(b)
Amount
1
During the year, did the filing organization attempt to influence foreign, national, state or local legislation, including any attempt to influence public opinion on a legislative matter or referendum, through the use of:
a
Volunteers? .........................................
Yes
 
b
Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ....
Yes
 
c
Media advertisements? ....................................
 
No
 
d
Mailings to members, legislators, or the public? .........................
Yes
 
14,438
e
Publications, or published or broadcast statements? .......................
 
No
 
f
Grants to other organizations for lobbying purposes? .......................
 
No
 
g
Direct contact with legislators, their staffs, government officials, or a legislative body? ........
Yes
 
411,609
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ......
 
No
 
i
Other activities? ..........................
Yes
 
527,750
j
Total. Add lines 1c through 1i ...............................
953,797
2a
Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....
 
No
b
If "Yes," enter the amount of any tax incurred under section 4912 .................
 
c
If "Yes," enter the amount of any tax incurred by organization managers under section 4912 .....
 
d
If the filing organization incurred a section 4912 tax, did it file Form 4720 for this year? .......
 
 
Part III-A
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6).
Yes
No
1
Were substantially all (90% or more) dues received nondeductible by members? ................
1
 
 
2
Did the organization make only in-house lobbying expenditures of $2,000 or less? ................
2
 
 
3
Did the organization agree to carry over lobbying and political expenditures from the prior year? ..........
3
 
 
Part III-B
Complete if the organization is exempt under section 501(c)(4), section 501(c)(5), or section 501(c)(6) and if either (a) BOTH Part III-A, lines 1 and 2, are answered "No" OR (b) Part III-A, line 3, is answered “Yes."
1
Dues, assessments and similar amounts from members .....................
1
 
2
Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political
expenses for which the section 527(f) tax was paid).
a
Current year .........................................
2a
 
b
Carryover from last year ....................................
2b
 
c
Total ............................................
2c
 
3
Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .
3
 
4
If notices were sent and the amount on line 2c exceeds the amount on line 3, what portion of the excess does the organization agree to carryover to the reasonable estimate of nondeductible lobbying and political expenditure next year? ................................
4
 
5
Taxable amount of lobbying and political expenditures (see instructions) ..............
5
 
Part IV
Supplemental Information
Provide the descriptions required for Part l-A, line 1; Part l-B, line 4; Part l-C, line 5; Part II-A (affiliated group list); Part II-A, lines 1 and 2 (see instructions), and Part ll-B, line 1. Also, complete this part for any additional information.
Return Reference Explanation
Form 990, Schedule C, Part II-B, Lines 1A, B, D, G SUPPLEMENTAL LOBBYING INFORMATION ADVOCATE HEALTH AND HOSPITALS CORPORATION SPONSORS A NURSE ADVOCACY COUNCIL, COMPRISED OF NURSES EMPLOYED BY THE SYSTEM. THIS GROUP PROVIDES LEGISLATIVE FORUMS AND EDUCATION SUMMITS TO APPRISE AND EDUCATE LEGISLATORS OF THE ISSUES FACING THE NURSING PROFESSION AND HOW CHANGES IN LEGISLATION AFFECT PATIENT CARE. FORM 990, SCHEDULE C, PART II-B, LINE 1I ADVOCATE HEALTH AND HOSPITALS CORPORATION IS A MEMBER OF THE AMERICAN HOSPITAL ASSOCIATION, THE ILLINOIS HOSPITAL ASSOCIATION AND THE METROPOLITAN CHICAGO HEALTHCARE COUNCIL. THESE ORGANIZATIONS, AS PART OF THEIR MISSIONS, ADVOCATE IN THE GENERAL ASSEMBLY AND CONGRESS ON LEGAL AND POLICY ISSUES THAT AFFECT HEALTHCARE INCLUDING QUALITY, AFFORDABILITY, PATIENT ACCESS AND ACCREDITATION. A PORTION OF THE ANNUAL MEMBERSHIP DUES PAID TO THESE ORGANIZATIONS IS ATTRIBUTABLE TO THESE LOBBYING ACTIVITIES. ADVOCATE ALSO ENGAGES CERTAIN FIRMS TO LOBBY ON ITS BEHALF REGARDING ISSUES AND POLICIES THAT AFFECT HEALTHCARE SUCH AS QUALITY, AFFORDABILITY AND PATIENT ACCESS. ADVOCATE ALSO REIMBURSES VARIOUS ASSOCIATES FOR DUES PAID TO VARIOUS PROFESSIONAL ORGANIZATIONS AND ALSO FOR EDUCATIONAL EXPENSES PROVIDED BY PROFESSIONAL AND MEMBERSHIP ORGANIZATIONS. ADVOCATE ENDEAVORS TO IDENTIFY THE PORTION OF DUES OR FEES PAID TO THESE ORGANIZATIONS WHICH ARE ATTRIBUTABLE TO LOBBYING ACTIVITIES.
Schedule C (Form 990 or 990EZ) 2014

Additional Data


Software ID:  
Software Version:  

SCHEDULE D
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Financial Statements
SchDMd Bullet Complete if the organization answered "Yes," to Form 990,
Part IV, line 6, 7, 8, 9, 10, 11a, 11b, 11c, 11d, 11e, 11f, 12a, or 12b.
SchDMd Bullet Attach to Form 990.
Information about Schedule D (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
Open to Public Inspection
Name of the organization
Advocate Health And Hospitals Corp
 
Employer identification number

36-2169147
Part I
Organizations Maintaining Donor Advised Funds or Other Similar Funds or Accounts. Complete if the organization answered "Yes" to Form 990, Part IV, line 6.
(a) Donor advised funds (b) Funds and other accounts
1 Total number at end of year .........    
2 Aggregate value of contributions to (during year)    
3 Aggregate value of grants from (during year)    
4 Aggregate value at end of year ........    
5
Did the organization inform all donors and donor advisors in writing that the assets held in donor advised
funds are the organization's property, subject to the organization's exclusive legal control? ............
6
Did the organization inform all grantees, donors, and donor advisors in writing that grant funds can be
used only for charitable purposes and not for the benefit of the donor or donor advisor, or for any other purpose conferring impermissible private benefit? ...................................
Part II
Conservation Easements. Complete if the organization answered "Yes" to Form 990, Part IV, line 7.
1
Purpose(s) of conservation easements held by the organization (check all that apply).
2
Complete lines 2a through 2d if the organization held a qualified conservation contribution in the form of a conservation easement on the last day of the tax year.
Held at the End of the Year
a Total number of conservation easements ....................... 2a  
b Total acreage restricted by conservation easements .................. 2b  
c Number of conservation easements on a certified historic structure included in (a) ..... 2c  
d Number of conservation easements included in (c) acquired after 8/17/06, and not on a historic structure listed in the National Register .................... 2d  
3
Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during
the tax year SchDMd Bullet  
4
Number of states where property subject to conservation easement is located SchDMd Bullet  
5
Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and
enforcement of the conservation easements it holds? .............................
6
Staff and volunteer hours devoted to monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, and enforcing conservation easements during the year
SchDMd Bullet $  
8
Does each conservation easement reported on line 2(d) above satisfy the requirements of section 170(h)(4)(B)(i) and section 170(h)(4)(B)(ii)? .......................................
9
In Part XIII, describe how the organization reports conservation easements in its revenue and expense statement, and
balance sheet, and include, if applicable, the text of the footnote to the organization’s financial statements that describes
the organization’s accounting for conservation easements.
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets.
Complete if the organization answered "Yes" to Form 990, Part IV, line 8.
1a
If the organization elected, as permitted under SFAS 116 (ASC 958), not to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide, in Part XIII, the text of the footnote to its financial statements that describes these items.
b
If the organization elected, as permitted under SFAS 116 (ASC 958), to report in its revenue statement and balance sheet works of art, historical treasures, or other similar assets held for public exhibition, education, or research in furtherance of public service, provide the following amounts relating to these items:
(i)
Revenue included in Form 990, Part VIII, line 1 ........................SchDMd Bullet $  
(ii)
Assets included in Form 990, Part X ..............................SchDMd Bullet $  
2
If the organization received or held works of art, historical treasures, or other similar assets for financial gain, provide the
following amounts required to be reported under SFAS 116 (ASC 958) relating to these items:
a
Revenue included in Form 990, Part VIII, line 1 ..........................SchDMd Bullet $  
b
Assets included in Form 990, Part X ...............................SchDMd Bullet $  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 52283D
Schedule D (Form 990) 2014

Schedule D (Form 990) 2014
Page 2
Part III
Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)
3
Using the organization’s acquisition, accession, and other records, check any of the following that are a significant use of its collection items (check all that apply):
a
d
b
e
 
c
4
Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.
5
During the year, did the organization solicit or receive donations of art, historical treasures or other similar
assets to be sold to raise funds rather than to be maintained as part of the organization’s collection?........
Part IV
Escrow and Custodial Arrangements. Complete if the organization answered "Yes" to Form 990,
Part IV, line 9, or reported an amount on Form 990, Part X, line 21.
1a
Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................
b
If "Yes," explain the arrangement in Part XIII and complete the following table:
Amount
c Beginning balance ................................. 1c  
d Additions during the year .............................. 1d  
e Distributions during the year ............................. 1e  
f Ending balance ................................... 1f  
2a
Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability?
b
If "Yes," explain the arrangement in Part XIII. Check here if the explanation has been provided in Part XIII .......
Part V
Endowment Funds. Complete if the organization answered "Yes" to Form 990, Part IV, line 10.
(a)Current year (b)Prior year b (c)Two years back (d)Three years back (e)Four years back
1a Beginning of year balance ....          
b Contributions ........          
c Net investment earnings, gains, and losses          
d Grants or scholarships .....          
e Other expenditures for facilities
and programs ........ 		         
f Administrative expenses ....          
g End of year balance ......          
2
Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:
a
Board designated or quasi-endowment SchDMd Bullet  
b
Permanent endowment SchDMd Bullet  
c
Temporarily restricted endowment SchDMd Bullet  
The percentages in lines 2a, 2b, and 2c should equal 100%.
3a
Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes
No
(i) unrelated organizations ........................
3a(i)
 
 
(ii) related organizations ........................
3a(ii)
 
 
b
If "Yes" to 3a(ii), are the related organizations listed as required on Schedule R? .........
3b
 
 
4
Describe in Part XIII the intended uses of the organization's endowment funds.
Part VI
Land, Buildings, and Equipment. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11a. See Form 990, Part X, line 10.
Description of property (a) Cost or other basis (investment) (b)Cost or other basis (other) (c) Accumulated depreciation (d) Book value
1a Land ................. 35,776,804 112,768,880 148,545,684
b Buildings ................   1,942,575,302 1,047,543,554 895,031,748
c Leasehold improvements ............   80,044,730 45,176,787 34,867,943
d Equipment ................   1,234,419,424 908,915,979 325,503,445
e Other .................   330,821,513 464,462 330,357,051
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).).......SchDMdBullet 1,734,305,871
Schedule D (Form 990) 2014

Schedule D (Form 990) 2014
Page 3
Part VII
Investments—Other Securities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11b. See Form 990, Part X, line 12.
(a) Description of security or category
(including name of security)		 (b)Book value (c) Method of valuation:
Cost or end-of-year market value
(1)Financial derivatives    
(2)Closely-held equity interests 2,144,112,484 F
Other








Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)Small Bullet 2,144,112,484
Part VIII
Investments—Program Related. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11c. See Form 990, Part X, line 13.
(a) Description of investment (b) Book value (c) Method of valuation:
Cost or end-of-year market value








Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)Small Bullet  
Part IX
Other Assets. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11d. See Form 990, Part X, line 15.
(a) Description (b) Book value








Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........Small Bullet  
Part X
Other Liabilities. Complete if the organization answered 'Yes' to Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.
1.(a) Description of liability (b) Book value
Federal income taxes 0
SELF INSURANCE LIABILITY 764,923,786
3RD PARTY SETTLEMENTS 191,587,748
OBLIGATION TO RETURN COLLATERAL 19,768,372
PENSION PLAN BENEFITS 28,497,449
EXECUTIVE PENSION LIAB & DEF COMP 86,442,038
LONG TERM DISABILITY 19,970,000
INTEREST RATE SWAP MTM SERIES 86,245,808
REMEDIATION COST ACCRUAL 12,666,755
UNFUNDED HRA/DRA 15,910,051
DEACONESS RESIDENCE LIABILITY 459,072
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 1,226,471,079
2. Liability for uncertain tax positions. In Part XIII, provide the text of the footnote to the organization's financial statements that reports the organization's liability for uncertain tax positions under FIN 48 (ASC 740). Check here if the text of the footnote has been provided in Part XIII
Schedule D (Form 990) 2014

Schedule D (Form 990) 2014
Page 4
Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
1 Total revenue, gains, and other support per audited financial statements ....... 1  
2 Amounts included on line 1 but not on Form 990, Part VIII, line 12:
a Net unrealized gains (losses) on investments .... 2a  
b Donated services and use of facilities ......... 2b  
c Recoveries of prior year grants ........... 2c  
d Other (Describe in Part XIII.) ............ 2d  
e Add lines 2a through 2d ..................... 2e  
3 Subtract line 2e from line 1..................... 3  
4 Amounts included on Form 990, Part VIII, line 12, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b . 4a  
b Other (Describe in Part XIII.) ........... 4b  
c Add lines 4a and 4b....................... 4c  
5 Total revenue. Add lines 3 and 4c. (This must equal Form 990, Part I, line 12.) ...... 5  
Part XII Reconciliation of Expenses per Audited Financial Statements With Expenses per Return. Complete if the organization answered 'Yes' to Form 990, Part IV, line 12a.
1 Total expenses and losses per audited financial statements ........... 1  
2 Amounts included on line 1 but not on Form 990, Part IX, line 25:
a Donated services and use of facilities .......... 2a  
b Prior year adjustments .............. 2b  
c Other losses ................ 2c  
d Other (Describe in Part XIII.) ............ 2d  
e Add lines 2a through 2d...................... 2e  
3 Subtract line 2e from line 1..................... 3  
4 Amounts included on Form 990, Part IX, line 25, but not on line 1:
a Investment expenses not included on Form 990, Part VIII, line 7b .. 4a  
b Other (Describe in Part XIII.) ............ 4b  
c Add lines 4a and 4b....................... 4c  
5 Total expenses. Add lines 3 and 4c. (This must equal Form 990, Part I, line 18.) ...... 5  
Part XIII
Supplemental Information
Provide the descriptions required for Part II, lines 3, 5, and 9; Part III, lines 1a and 4; Part lV, lines 1b and 2b;
Part V, line 4; Part X, line 2; Part XI, lines 2d and 4b; and Part XII, lines 2d and 4b. Also complete this part to provide any additional information.
Return Reference Explanation
Schedule D (Form 990) 2014

Additional Data


Software ID:  
Software Version:  




SCHEDULE F(Form 990)
Department of the Treasury
Internal Revenue Service
Statement of Activities Outside the United States
Right pointing arrow large image Complete if the organization answered "Yes" to Form 990,Part IV, line 14b, 15, or 16.Right pointing arrow large image Attach to Form 990.Right pointing arrow large image Information about Schedule F (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
Open to Public Inspection
Name of the organization
Advocate Health And Hospitals Corp
 
Employer identification number

36-2169147
Part I
General Information on Activities Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 14b.
1
For grantmakers. Does the organization maintain records to substantiate the amount of its grants
and other assistance, the grantees’ eligibility for the grants or assistance, and the selection criteria
used to award the grants or assistance? ...........................
2
For grantmakers. Describe in Part V the organization’s procedures for monitoring the use of its grants and other assistance outside the United States.
3
Activites per Region. (The following Part I, line 3 table can be duplicated if additional space is needed.)
(a) Region (b) Number of offices in the region (c) Number of employees, agents, and independent contractors in region (d) Activities conducted in region (by type) (e.g., fundraising, program services, investments, grants to recipients located in the region) (e) If activity listed in (d) is a program service, describe specific type of
service(s) in region		 (f) Total expenditures
for and investments
in region
Central America and the Caribbean 1 1 Program Services Self-Insurance 22,082,370
East Asia and the Pacific 0 0 Program Services CONFERENCE 43,787
Europe (Including Iceland and Greenland) 0 0 Program Services CONFERENCE 1,668
North America 0 0 Program Services CONFERENCE 13,209
Central America and the Caribbean 0 0 Investments   1,201,109,528
East Asia and the Pacific 0 0 Investments   118,093,890
Europe (Including Iceland and Greenland) 0 0 Investments   440,574,276
Middle East and North Africa 0 0 Investments   2,526,407
North America 0 0 Investments   23,530,313
South America 0 0 Investments   7,948,814
South Asia 0 0 Investments   3,305,996
           
           
           
           
           
           
3a Sub-total ..... 1 1 1,819,230,258
b Total from continuation sheets to Part I ...      
c Totals (add lines 3a and 3b) 1 1 1,819,230,258
For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2014
Schedule F (Form 990) 2014
Page 2
Part II
Grants and Other Assistance to Organizations or Entities Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 15, for any recipient who received more than $5,000. Part II can be duplicated if additional space is needed.
1 (a) Name of organization (b) IRS code section
and EIN (if applicable)		 (a)(c) Region (b)(d) Purpose of
grant 		(e) Amount of
cash grant 		(f) Manner of
cash
disbursement 		(g) Amount
of non-cash
assistance 		(h) Description
of non-cash
assistance 		(i) Method of
valuation
(book, FMV,
appraisal, other)
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
             
2 Enter total number of recipient organizations listed above that are recognized as charities by the foreign country, recognized as tax-exempt by the IRS, or for which the grantee or counsel has provided a section 501(c)(3) equivalency letter ....MediumBullet
 
3
Enter total number of other organizations or entities .......................MediumBullet
 
Schedule F (Form 990) 2014
Schedule F (Form 990) 2014Page 3
Part III
Grants and Other Assistance to Individuals Outside the United States. Complete if the organization answered "Yes" to Form 990, Part IV, line 16.
Part III can be duplicated if additional space is needed.
(a) Type of grant or assistance (b) Region (c) Number of recipients (d) Amount of
cash grant 		(e) Manner of cash
disbursement 		(f) Amount of
non-cash
assistance 		(g) Description
of non-cash
assistance 		(h) Method of
valuation
(book, FMV,
appraisal, other)
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
               
Schedule F (Form 990) 2014
Schedule F (Form 990) 2014
Page 4
Part IV
Foreign Forms
1 Was the organization a U.S. transferor of property to a foreign corporation during the tax year? If "Yes,"the organization may be required to file Form 926, Return by a U.S. Transferor of Property to a Foreign Corporation (see Instructions for Form 926)......................................
2 Did the organization have an interest in a foreign trust during the tax year? If "Yes," the organization may be required to file Form 3520, Annual Return to Report Transactions with Foreign Trusts and Receipt of Certain Foreign Gifts, and/or Form 3520-A, Annual Information Return of Foreign Trust With a U.S. Owner (see Instructions for Forms 3520 and 3520-A; do not file with Form 990)............................
3 Did the organization have an ownership interest in a foreign corporation during the tax year? If "Yes," the organization may be required to file Form 5471, Information Return of U.S. Persons with Respect to Certain Foreign Corporations. (see Instructions for Form 5471)..............................
4 Was the organization a direct or indirect shareholder of a passive foreign investment company or a qualified electing fund during the tax year? If “Yes,” the organization may be required to file Form 8621, Information Return by a Shareholder of a Passive Foreign Investment Company or Qualified Electing Fund. (see Instructions for Form 8621)...............................................
5 Did the organization have an ownership interest in a foreign partnership during the tax year? If "Yes," the organization may be required to file Form 8865, Return of U.S. Persons with Respect to Certain Foreign Partnerships. (see Instructions for Form 8865)....................................
6 Did the organization have any operations in or related to any boycotting countries during the tax year? If "Yes," the organization may be required to file Form 5713, International Boycott Report (see Instructions for Form 5713; do not file with Form 990).....................................
Schedule F (Form 990) 2014
Schedule F (Form 990) 2014
Page 5
Part V
Supplemental Information
Provide the information required by Part I, line 2 (monitoring of funds); Part I, line 3, column (f) (accounting method; amounts of investments vs. expenditures per region); Part II, line 1 (accounting method); Part III (accounting method); and Part III, column (c) (estimated number of recipients), as applicable. Also complete this part to provide any additional information (see instructions).
ReturnReference Explanation
Form 990, Schedule F, Part I, Line 3 Total Expenditures The Expenditures reported in Part I, Line 3 are based on the cash paid for these activities.
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule F (Form 990) 2014
Additional Data


Software ID:  
Software Version:  



SCHEDULE G (Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Supplemental Information Regarding
Fundraising or Gaming Activities
Complete if the organization answered "Yes" to Form 990, Part IV, lines 17, 18, or 19, or if the organization entered more than $15,000 on Form 990-EZ, line 6a. right arrowAttach to Form 990 or Form 990-EZ.
right arrowInformation about Schedule G (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
Open to Public Inspection
Name of the organization
Advocate Health And Hospitals Corp
 
Employer identification number

36-2169147
Part I
Fundraising Activities. Complete if the organization answered "Yes" to Form 990, Part IV, line 17. Form 990-EZ
filers are not required to complete this part.
1
Indicate whether the organization raised funds through any of the following activities. Check all that apply.
a e
b f
c g
d
2a
Did the organization have a written or oral agreement with any individual (including officers, directors, trustees
or key employees listed in Form 990, Part VII) or entity in connection with professional fundraising services?
b
If "Yes," list the ten highest paid individuals or entities (fundraisers) pursuant to agreements under which the fundraiser is
to be compensated at least $5,000 by the organization.
(i) Name and address of individual
or entity (fundraiser) 		(ii) Activity (iii) Did fundraiser have custody or control of contributions? (iv) Gross receipts
from activity 		(v) Amount paid to
(or retained by)
fundraiser listed in
col. (i) 		(vi) Amount paid to
(or retained by)
organization
Yes No
             
             
             
             
             
             
             
             
             
             
Total .................right arrow      
3
List all states in which the organization is registered or licensed to solicit contributions or has been notified it is exempt from registration or licensing.
For Paperwork Reduction Act Notice, see the Instructions for Form 990or 990-EZ.
Cat. No. 50083H
Schedule G (Form 990 or 990-EZ) 2014
Schedule G (Form 990 or 990-EZ) 2014
Page 2
Part II
Fundraising Events. Complete if the organization answered "Yes" to Form 990, Part IV, line 18, or reported more than $15,000 of fundraising event contributions and gross income on Form 990-EZ, lines 1 and 6b. List events with gross receipts greater than $5,000.
(a) Event #1

BOWLING EVENT
(event type) 		(b) Event #2

 
(event type) 		(c) Other events

8
(total number) 		(d) Total events
(add col. (a) through col. (c))
VerticalRevenue 1 Gross receipts . . . 5,929   12,492 18,421
2 Less: Contributions . .        
3 Gross income (line 1
minus line 2) . . . 		5,929   12,492 18,421
VerticalDirectExpenses 4 Cash prizes . . .        
5 Noncash prizes . .        
6 Rent/facility costs . .        
7 Food and beverages .        
8 Entertainment . . .        
9 Other direct expenses . 1,988   8,212 10,200
10 Direct expense summary. Add lines 4 through 9 in column (d) ........... right arrow 10,200
11 Net income summary. Subtract line 10 from line 3, column (d)........... right arrow 8,221
Part III
Gaming. Complete if the organization answered "Yes" to Form 990, Part IV, line 19, or reported more than $15,000 on Form 990-EZ, line 6a.
VerticalRevenue (a) Bingo (b) Pull tabs/Instant
bingo/progressive bingo 		(c) Other gaming (d) Total gaming (add col.(a) through col.(c))
1 Gross revenue . . . .        
VerticalDirectExpenses 2 Cash prizes . . . .        
3 Non-cash prizes . . .        
4 Rent/facility costs . . .        
5 Other direct expenses . .        
6 Volunteer labor . . .
%
%
%
7 Direct expense summary. Add lines 2 through 5 in column (d) ........... right arrow  
8 Net gaming income summary. Subtract line 7 from line 1, column (d) ......... right arrow  
9
Enter the state(s) in which the organization conducts gaming activities:
a
Is the organization licensed to conduct gaming activities in each of these states? ............
b
If "No," explain:
 
10a
Were any of the organization's gaming licenses revoked, suspended or terminated during the tax year? .....
b
If "Yes," explain:
 
Schedule G (Form 990 or 990-EZ) 2014
Schedule G (Form 990 or 990-EZ) 2014
Page 3
11
Does the organization conduct gaming activities with nonmembers? .................
12
Is the organization a grantor, beneficiary or trustee of a trust or a member of a partnership or other entity
formed to administer charitable gaming? ..........................
13
Indicate the percentage of gaming activities conducted in:
a
The organization's facility ......................
13a
%
b
An outside facility ........................
13b
%
14
Enter the name and address of the person who prepares the organization's gaming/special events books and records:
Name right arrow
Address right arrow
15a
Does the organization have a contract with a third party from whom the organization receives gaming
revenue? ......................................
b
If "Yes," enter the amount of gaming revenue received by the organization right arrow $   and the
amount of gaming revenue retained by the third party right arrow $  
c
If "Yes," enter name and address of the third party:
Name right arrow
Address right arrow
 
 
16
Gaming manager information:
Name right arrow
Gaming manager compensation right arrow $  
Description of services provided right arrow
 
17
Mandatory distributions:
a
Is the organization required under state law to make charitable distributions from the gaming proceeds to
retain the state gaming license? ............................
b
Enter the amount of distributions required under state law distributed to other exempt organizations or spent
in the organization's own exempt activities during the tax year right arrow$  
Part IV
Supplemental Information. Provide the explanations required by Part I, line 2b, columns (iii) and (v), and Part III, lines 9, 9b, 10b, 15b, 15c, 16, and 17b, as applicable. Also provide any additional information (see instructions).
Return Reference Explanation
Schedule G (Form 990 or 990-EZ) 2014
Additional Data


Software ID:  
Software Version:  
SCHEDULE H (Form 990)
Department of the TreasuryInternal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, question 20.
MediumBullet Attach to Form 990.
MediumBullet Information about Schedule H (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
Open to Public Inspection
Name of the organization
Advocate Health And Hospitals Corp
 
Employer identification number

36-2169147
Part I
Financial Assistance and Certain Other Community Benefits at Cost
Yes
No
1a
Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a ...
1a
Yes
 
b
If "Yes," was it a written policy? .......................
1b
Yes
 
2
If the organization had multiple hospital facilities, indicate which of the following best describes application of the financial assistance policy to its various hospital facilities during the tax year.
3
Answer the following based on the financial assistance eligibility criteria that applied to the largest number of the organization's patients during the tax year.
a
Did the organization use Federal Poverty Guidelines (FPG) as a factor in determining eligibility for providing free care?
If "Yes," indicate which of the following was the FPG family income limit for eligibility for free care:
3a
Yes
 
%
b
Did the organization use FPG as a factor in determining eligibility for providing discounted care? If "Yes," indicate
which of the following was the family income limit for eligibility for discounted care: .........
3b
Yes
 
c
If the organization used factors other than FPG in determining eligibility, describe in Part VI the criteria used for determining eligibility for free or discounted care. Include in the description whether the organization used an asset test or other threshold, regardless of income, as a factor in determining eligibility for free or discounted care.
4
Did the organization's financial assistance policy that applied to the largest number of its patients during the tax year provide for free or discounted care to the "medically indigent"? ..............

4

Yes

 
5a
Did the organization budget amounts for free or discounted care provided under its financial assistance policy during the tax year? ............................

5a

Yes

 
b
If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? ......
5b
 
No
c
If "Yes" to line 5b, as a result of budget considerations, was the organization unable to provide free or discountedcare to a patient who was eligibile for free or discounted care? ..............
5c
 
 
6a
Did the organization prepare a community benefit report during the tax year? ..........
6a
Yes
 
b
If "Yes," did the organization make it available to the public? ..............
6b
Yes
 
Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.
7
Financial Assistance and Certain Other Community Benefits at Cost
Financial Assistance and
Means-Tested
Government Programs
 (a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community benefit expense (d) Direct offsetting revenue (e) Net community benefit expense (f) Percent of total expense
a Financial Assistance at cost
(from Worksheet 1) .. 		    40,567,877 53,523 40,514,354 1.080 %
b Medicaid (from Worksheet 3,
column a) .... 		    671,096,526 427,425,877 243,670,649 6.470 %
c Costs of other means-tested
government programs (from
Worksheet 3, column b) . 		           
d Total Financial Assistance
and Means-Tested
Government Programs . 		    711,664,403 427,479,400 284,185,003 7.550 %
Other Benefits
     8,237,787   8,237,787 0.220 %
e Community health
improvement services and
community benefit operations
(from Worksheet 4) ..
f Health professions education
(from Worksheet 5) .. 		    84,669,134 21,679,329 62,989,805 1.670 %
g Subsidized health services
(from Worksheet 6) .. 		    52,100,463 42,161,505 9,938,958 0.260 %
h Research (from Worksheet 7)            
i Cash and in-kind
contributions for community
benefit (from Worksheet 8) 		    3,839,907   3,839,907 0.100 %
j Total. Other Benefits ..     148,847,291 63,840,834 85,006,457 2.250 %
k Total. Add lines 7d and 7j .     860,511,694 491,320,234 369,191,460 9.800 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part II
Community Building Activities Complete this table if the organization conducted any community building activities during the tax year, and describe in Part VI how its community building activities promoted the health of the communities it serves.
(a) Number of activities or programs (optional) (b) Persons served (optional) (c) Total community building expense (d) Direct offsetting
revenue 		(e) Net community building expense (f) Percent of total expense
1 Physical improvements and housing            
2 Economic development            
3 Community support            
4 Environmental improvements            
5 Leadership development and training for community members            
6 Coalition building            
7 Community health improvement advocacy            
8 Workforce development            
9 Other            
10 Total            
Part III
Bad Debt, Medicare, & Collection Practices
Section A. Bad Debt Expense
Yes
No
1
Did the organization report bad debt expense in accordance with Heathcare Financial Management Association Statement No. 15? ..........................
1
 
No
2
Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......
2
212,681,858
3
Enter the estimated amount of the organization's bad debt expense attributable to patients eligible under the organization's financial assistance policy. Explain in Part VI the methodology used by the organization to estimate this amount and the rationale, if any, for including this portion of bad debt as community benefit. ......
3
14,963,555
4
Provide in Part VI the text of the footnote to the organization’s financial statements that describes bad debt expense or the page number on which this footnote is contained in the attached financial statements.
Section B. Medicare
5
Enter total revenue received from Medicare (including DSH and IME).....
5
761,965,518
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
906,107,326
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-144,141,808
8
Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:
Section C. Collection Practices
9a
Did the organization have a written debt collection policy during the tax year? ..........
9a
Yes
 
b
If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI.......................

9b

Yes

 
Part IV
Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)
(a) Name of entity (b) Description of primary
activity of entity 		(c) Organization's
profit % or stock
ownership % 		(d) Officers, directors,
trustees, or key
employees' profit %
or stock ownership % 		(e) Physicians'
profit % or stock
ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information
Section A. Hospital Facilities
(list in order of size from largest to smallest—see instructions)
How many hospital facilities did the organization operate during the tax year?8
Name, address, primary website address, and state license number (and if a group return, the name and EIN of the subordinate hospital organization that operates the hospital facility) 		Licensed Hospital General-Medical-Surgical Children's Hospital Teaching Hospital Critical Hospital ResearchGrp Facility ER-24Hours ER-Other Other (describe) Facility reporting group
1 CHRIST HOSP INCL HOPE CHILDREN'S HOSP
4440 WEST 95TH STREET
OAK LAWN,IL60453
http://www.advocatehealth.com/cmc/
0000315 		X X X X     X      
2 LUTHERAN GEN HOSP INCL LUTH GEN CHILD
1775 DEMPSTER STREET
PARK RIDGE,IL60068
http://www.advocatehealth.com/luth/
0004796 		X X X X     X      
3 GOOD SAMARITAN HOSPITAL
3815 HIGHLAND AVENUE
DOWNERS GROVE,IL60515
http://www.advocatehealth.com/gsam/
0003384 		X X         X      
4 GOOD SHEPHERD HOSPITAL
450 W HIGHWAY 22
BARRINGTON,IL60010
http://www.advocatehealth.com/gshp/
0003475 		X X         X      
5 SOUTH SUBURBAN HOSPITAL & ICU
17800 S KEDZIE
HAZEL CREST,IL60429
http://www.advocatehealth.com/ssub/
0004697 		X X         X      
6 BROMENN MEDICAL CENTER
1304 FRANKLIN AVENUE
NORMAL,IL61761
http://www.advocatehealth.com/BROMENN/
0005645 		X X         X      
7 TRINITY HOSPITAL
2320 EAST 93RD STREET
CHICAGO,IL60617
http://www.advocatehealth.com/TRIN/
0004176 		X X         X      
8 EUREKA HOSPITAL
101 S MAJOR STREET
EUREKA,IL61530
http://www.advocatehealth.com/eureka/
0005652 		X X     X   X      
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
CHRIST HOSP INCL HOPE CHILDREN'S HOSP
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		1
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a State as a hospital facility in the current tax year or the immediately preceding tax year?....................... 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C.......... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12.................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C................................ 6a   No
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public? .............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 14
10 Is the hospital facility's most recently adopted implementation strategy posted on a website? ........ 10 Yes  
a If "Yes" (list url): WWW.ADVOCATEHEALTH.COM/CHNAREPORTS
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b   No
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ........................... 12a   No
b If "Yes" to line 12a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 12b    
c If "Yes" to line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

CHRIST HOSP INCL HOPE CHILDREN'S HOSP
Name of hospital facility or letter of facility reporting group  
Yes No
Financial Assistance Policy (FAP)
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Included measures to publicize the policy within the community served by the hospital facility?....... 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
h
i
Billing and Collections
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon non-payment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

CHRIST HOSP INCL HOPE CHILDREN'S HOSP
Name of hospital facility or letter of facility reporting group  
Yes No
19 Did the hospital facility or other authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?......... 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 18. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?................ 21 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ................................ 23 Yes  
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
LUTHERAN GEN HOSP INCL LUTH GEN CHILD
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		2
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a State as a hospital facility in the current tax year or the immediately preceding tax year?....................... 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C.......... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12.................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C................................ 6a   No
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public? .............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 14
10 Is the hospital facility's most recently adopted implementation strategy posted on a website? ........ 10 Yes  
a If "Yes" (list url): WWW.ADVOCATEHEALTH.COM/CHNAREPORTS
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b   No
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ........................... 12a   No
b If "Yes" to line 12a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 12b    
c If "Yes" to line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

LUTHERAN GEN HOSP INCL LUTH GEN CHILD
Name of hospital facility or letter of facility reporting group  
Yes No
Financial Assistance Policy (FAP)
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Included measures to publicize the policy within the community served by the hospital facility?....... 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
h
i
Billing and Collections
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon non-payment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

LUTHERAN GEN HOSP INCL LUTH GEN CHILD
Name of hospital facility or letter of facility reporting group  
Yes No
19 Did the hospital facility or other authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?......... 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 18. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?................ 21 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ................................ 23 Yes  
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
GOOD SAMARITAN HOSPITAL
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		3
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a State as a hospital facility in the current tax year or the immediately preceding tax year?....................... 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C.......... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12.................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C................................ 6a   No
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public? .............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 14
10 Is the hospital facility's most recently adopted implementation strategy posted on a website? ........ 10 Yes  
a If "Yes" (list url): WWW.ADVOCATEHEALTH.COM/CHNAREPORTS
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b   No
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ........................... 12a   No
b If "Yes" to line 12a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 12b    
c If "Yes" to line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

GOOD SAMARITAN HOSPITAL
Name of hospital facility or letter of facility reporting group  
Yes No
Financial Assistance Policy (FAP)
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Included measures to publicize the policy within the community served by the hospital facility?....... 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
h
i
Billing and Collections
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon non-payment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

GOOD SAMARITAN HOSPITAL
Name of hospital facility or letter of facility reporting group  
Yes No
19 Did the hospital facility or other authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?......... 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 18. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?................ 21 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ................................ 23 Yes  
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
GOOD SHEPHERD HOSPITAL
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		4
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a State as a hospital facility in the current tax year or the immediately preceding tax year?....................... 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C.......... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12.................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C................................ 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public? .............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 14
10 Is the hospital facility's most recently adopted implementation strategy posted on a website? ........ 10 Yes  
a If "Yes" (list url): WWW.ADVOCATEHEALTH.COM/CHNAREPORTS
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b   No
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ........................... 12a   No
b If "Yes" to line 12a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 12b    
c If "Yes" to line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

GOOD SHEPHERD HOSPITAL
Name of hospital facility or letter of facility reporting group  
Yes No
Financial Assistance Policy (FAP)
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Included measures to publicize the policy within the community served by the hospital facility?....... 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
h
i
Billing and Collections
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon non-payment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

GOOD SHEPHERD HOSPITAL
Name of hospital facility or letter of facility reporting group  
Yes No
19 Did the hospital facility or other authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?......... 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 18. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?................ 21 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ................................ 23 Yes  
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
SOUTH SUBURBAN HOSPITAL & ICU
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		5
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a State as a hospital facility in the current tax year or the immediately preceding tax year?....................... 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C.......... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12.................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C................................ 6a   No
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public? .............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 14
10 Is the hospital facility's most recently adopted implementation strategy posted on a website? ........ 10 Yes  
a If "Yes" (list url): WWW.ADVOCATEHEALTH.COM/CHNAREPORTS
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b   No
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ........................... 12a   No
b If "Yes" to line 12a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 12b    
c If "Yes" to line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

SOUTH SUBURBAN HOSPITAL & ICU
Name of hospital facility or letter of facility reporting group  
Yes No
Financial Assistance Policy (FAP)
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Included measures to publicize the policy within the community served by the hospital facility?....... 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
h
i
Billing and Collections
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon non-payment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

SOUTH SUBURBAN HOSPITAL & ICU
Name of hospital facility or letter of facility reporting group  
Yes No
19 Did the hospital facility or other authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?......... 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 18. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?................ 21 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ................................ 23 Yes  
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
BROMENN MEDICAL CENTER
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		6
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a State as a hospital facility in the current tax year or the immediately preceding tax year?....................... 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C.......... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12.................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C................................ 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public? .............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 14
10 Is the hospital facility's most recently adopted implementation strategy posted on a website? ........ 10 Yes  
a If "Yes" (list url): WWW.ADVOCATEHEALTH.COM/CHNAREPORTS
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b   No
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ........................... 12a   No
b If "Yes" to line 12a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 12b    
c If "Yes" to line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

BROMENN MEDICAL CENTER
Name of hospital facility or letter of facility reporting group  
Yes No
Financial Assistance Policy (FAP)
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Included measures to publicize the policy within the community served by the hospital facility?....... 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
h
i
Billing and Collections
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon non-payment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

BROMENN MEDICAL CENTER
Name of hospital facility or letter of facility reporting group  
Yes No
19 Did the hospital facility or other authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?......... 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 18. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?................ 21 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ................................ 23 Yes  
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
TRINITY HOSPITAL
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		7
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a State as a hospital facility in the current tax year or the immediately preceding tax year?....................... 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C.......... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12.................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C................................ 6a   No
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public? .............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 14
10 Is the hospital facility's most recently adopted implementation strategy posted on a website? ........ 10 Yes  
a If "Yes" (list url): WWW.ADVOCATEHEALTH.COM/CHNAREPORTS
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b   No
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ........................... 12a   No
b If "Yes" to line 12a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 12b    
c If "Yes" to line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

TRINITY HOSPITAL
Name of hospital facility or letter of facility reporting group  
Yes No
Financial Assistance Policy (FAP)
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Included measures to publicize the policy within the community served by the hospital facility?....... 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
h
i
Billing and Collections
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon non-payment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

TRINITY HOSPITAL
Name of hospital facility or letter of facility reporting group  
Yes No
19 Did the hospital facility or other authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?......... 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 18. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?................ 21 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ................................ 23 Yes  
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

Section B. Facility Policies and Practices

(Complete a separate Section B for each of the hospital facilities or facility reporting groups listed in Part V, Section A)
EUREKA HOSPITAL
Name of hospital facility or letter of facility reporting group  
Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A): 		8
Yes No
Community Health Needs Assessment
1 Was the hospital facility first licensed, registered, or similarly recognized by a State as a hospital facility in the current tax year or the immediately preceding tax year?....................... 1   No
2 Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C.......... 2   No
3 During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12.................... 3 Yes  
If "Yes," indicate what the CHNA report describes (check all that apply):
a
b
c
d
e
f
g
h
i
j
4 Indicate the tax year the hospital facility last conducted a CHNA: 20 13
5 In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted ................. 5 Yes  
6a Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C................................ 6a Yes  
b Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................ 6b   No
7 Did the hospital facility make its CHNA report widely available to the public? .............. 7 Yes  
If "Yes," indicate how the CHNA report was made widely available (check all that apply):
a
b
c
d
8 Did the hospital facility adopt an implementation strategy to meet the significant community health needs
identified through its most recently conducted CHNA? If "No," skip to line 11. ............. 		8 Yes  
9 Indicate the tax year the hospital facility last adopted an implementation strategy: 20 14
10 Is the hospital facility's most recently adopted implementation strategy posted on a website? ........ 10 Yes  
a If "Yes" (list url): WWW.ADVOCATEHEALTH.COM/CHNAREPORTS
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b   No
11 Describe in Section C how the hospital facility is addressing the significant needs identified in its most recently conducted CHNA and any such needs that are not being addressed together with the reasons why such needs are not being addressed.
12a Did the organization incur an excise tax under section 4959 for the hospital facility's failure to conduct a CHNA as required by section 501(r)(3)? ........................... 12a   No
b If "Yes" to line 12a, did the organization file Form 4720 to report the section 4959 excise tax? ...... 12b    
c If "Yes" to line 12b, what is the total amount of section 4959 excise tax the organization reported on Form 4720 for all of its hospital facilities? $  

Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

EUREKA HOSPITAL
Name of hospital facility or letter of facility reporting group  
Yes No
Financial Assistance Policy (FAP)
Did the hospital facility have in place during the tax year a written financial assistance policy that:
13 Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care? 13 Yes  
If “Yes,” indicate the eligibility criteria explained in the FAP:
a
b
c
d
e
f
g
h
14 Explained the basis for calculating amounts charged to patients?................. 14 Yes  
15 Explained the method for applying for financial assistance?................... 15 Yes  
If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):
a
b
c
d
e
16 Included measures to publicize the policy within the community served by the hospital facility?....... 16 Yes  
If "Yes," indicate how the hospital facility publicized the policy (check all that apply):
a
b
c
d
e
f
g
h
i
Billing and Collections
17 Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon non-payment?.................................. 17 Yes  
18 Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:
a
b
c
d
e
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

EUREKA HOSPITAL
Name of hospital facility or letter of facility reporting group  
Yes No
19 Did the hospital facility or other authorized third party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?......... 19   No
If "Yes," check all actions in which the hospital facility or a third party engaged:
a
b
c
d
20 Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 18. (check all that apply):
a
b
c
d
e
f
Policy Relating to Emergency Medical Care
21 Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?................ 21 Yes  
If "No," indicate why:
a
b
c
d
Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
22 Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.
a
b
c
d
23 During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ................................ 23 Yes  
If "Yes," explain in Section C.
24 During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ........................... 24   No
If "Yes," explain in Section C.
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part V
Facility Information (continued)
Section C. Supplemental Information for Part V, Section B. Provide descriptions required for Part V, Section B, lines 2, 3j, 5, 6a, 6b, 7d, 11, 13b, 13h, 15e, 16i, 18d, 19d, 20e, 21c, 21d, 22d, 23, and 24. If applicable, provide separate descriptions for each hospital facility in a facility reporting group, designated by facility reporting group letter and hospital facility line number from Part V, Section A (“A, 1,” “A, 4,” “B, 2,” “B, 3,” etc.) and name of hospital facility.
Form and Line Reference Explanation
PART V, SEC B, LINE 2 N/A PART V, SEC B, LINE 3J N/A PART V, SEC B, LINE 5 ADVOCATE CHRIST MEDICAL CENTER COMMUNITY HEALTH COUNCILS REVIEW DATA & SET PRIORITIES IN SUPPORT OF THIS VISION AND IN ALIGNMENT WITH ADVOCATE HEALTH CARE'S STANDARDIZED APPROACH, ADVOCATE CHRIST MEDICAL CENTER (ACMC) CONVENED A COMMUNITY HEALTH COUNCIL TO CONDUCT ITS COMPREHENSIVE CHNA. THIS COUNCIL WAS CHAIRED BY THE MEDICAL CENTER'S COMMUNITY HEALTH LEADER AND COMPRISED OF REPRESENTATIVE(S) FROM THE EXECUTIVE TEAM, PUBLIC AFFAIRS AND MARKETING, MISSION AND SPIRITUAL CARE, AND BUSINESS DEVELOPMENT AND STRATEGY. COMMUNITY MEMBERS SERVING ON THE MEDICAL CENTER'S GOVERNING COUNCIL WERE ALSO RECRUITED AS ACTIVE PARTICIPANTS IN THE COMMUNITY HEALTH COUNCIL. ADDITIONAL MEDICAL CENTER STAFF AND COMMUNITY REPRESENTATIVES WERE ADDED AS THE PROCESS EVOLVED TO FILL IN ANY COMMUNITY HEALTH COUNCIL GAPS IN EXPERTISE. THE TITLES AND AFFILIATIONS OF THE COMMUNITY HEALTH COUNCIL'S MEMBERS ARE PROVIDED BELOW. CHRIST MEDICAL CENTER COMMUNITY HEALTH COUNCIL MEMBERS * VICE PRESIDENT, CLINICAL TRANSFORMATION, CHRIST MEDICAL CENTER * COORDINATOR, COMMUNITY RELATIONS, CANCER INSTITUTE, CHRIST MEDICAL CENTER * COORDINATOR, COMMUNITY RELATIONS, HEART AND VASCULAR INSTITUTE, CHRIST MEDICAL CENTER * COORDINATOR, COMMUNITY RELATIONS, ADVOCATE CHILDREN'S HOSPITAL * VICE PRESIDENT, PUBLIC AFFAIRS AND MARKETING, ADVOCATE CHILDREN'S HOSPITAL * PLANNING MANAGER, BUSINESS DEVELOPMENT, CHRIST MEDICAL CENTER * REGIONAL VICE PRESIDENT, BUSINESS DEVELOPMENT, CHRIST MEDICAL CENTER * FINANCIAL ADVISOR, COMMUNITY REPRESENTATIVE/MEMBER, CHRIST MEDICAL CENTER * GOVERNING COUNCIL HEALTH ADMINISTRATOR, COMMUNITY REPRESENTATIVE/MEMBER, CHRIST MEDICAL CENTER GOVERNING COUNCIL * VICE PRESIDENT, MISSION AND SPIRITUAL CARE, CHRIST MEDICAL CENTER * DIRECTOR, BUSINESS DEVELOPMENT, CHRIST MEDICAL CENTER USING BOTH PRIMARY AND SECONDARY COMMUNITY HEALTH DATA, THE COMMUNITY HEALTH COUNCIL IDENTIFIED THE MEDICAL CENTER SERVICE AREA'S KEY HEALTH NEEDS AND THEN EMPLOYED A PRIORITY-SETTING PROCESS TO DETERMINE THE KEY HEALTH NEEDS ON WHICH TO FOCUS. THIS PROCESS INCLUDED AN EXAMINATION OF BOTH THE MEDICAL CENTERS' AND THE COMMUNITY'S ISSUES/CHALLENGES AND ASSETS, AND DISCUSSIONS WITH EXTERNAL KEY INFORMANTS TO DETERMINE THE POTENTIAL FOR PARTNERSHIPS WITH OTHER ORGANIZATIONS AND FOR SHARING RESOURCES TO ADDRESS COMMUNITY NEED. THE ROLES AND AFFILIATIONS OF INDIVIDUALS WITH WHOM ACMC CONSULTED DURING ITS MOST RECENT CHNA AS WELL AS THE MEANS BY WHICH THEY WERE CONSULTED ARE AS FOLLOWS. * STUDENT HEALTH SPECIALIST, OFFICE OF STUDENT HEALTH AND WELLNESS, CHICAGO PUBLIC SCHOOLS (MEETINGS AND INTERVIEWS) * VICE PRESIDENT, HEALTH OPERATIONS, AUNT MARTHA'S HEALTH CENTER (MEETINGS) * VICE PRESIDENT, OPERATIONS, RONALD MCDONALD HOUSE CHARITIES OF CHICAGOLAND AND NORTHWEST INDIANA (MEETINGS) * CO-FOUNDER/EXECUTIVE DIRECTOR, ARAB AMERICAN FAMILY SERVICES (MEETINGS) * PASTORS/CONGREGATIONAL LEADERS, SOUTHWEST SUBURBAN CONGREGATION COLLABORATION (MEETINGS) ADVOCATE LUTHERAN GENERAL HOSPITAL IN SUPPORT OF THIS VISION AND IN ALIGNMENT WITH ADVOCATE HEALTH CARE'S STANDARDIZED APPROACH, LUTHERAN GENERAL HOSPITAL CONVENED A COMMUNITY HEALTH COUNCIL TO CONDUCT ITS COMPREHENSIVE CHNA. THIS COUNCIL WAS CHAIRED BY THE HOSPITAL'S COMMUNITY HEALTH LEADER AND COMPRISED OF REPRESENTATIVES FROM THE EXECUTIVE TEAM, PUBLIC AFFAIRS AND MARKETING, MISSION AND SPIRITUAL CARE, AND BUSINESS DEVELOPMENT AND STRATEGY. COMMUNITY MEMBERS SERVING ON THE HOSPITAL'S GOVERNING COUNCIL WERE ALSO RECRUITED AS ACTIVE PARTICIPANTS IN THE COMMUNITY HEALTH COUNCIL. ADDITIONAL HOSPITAL STAFF AND COMMUNITY REPRESENTATIVES WERE ADDED AS THE PROCESS EVOLVED TO FILL IN ANY COMMUNITY HEALTH COUNCIL GAPS IN EXPERTISE. THE TITLES OF THE COMMUNITY HEALTH COUNCIL'S MEMBERS AND THE NAMES OF THE ORGANIZATIONS REPRESENTED ARE PROVIDED BELOW. LUTHERAN GENERAL HOSPITAL COMMUNITY HEALTH COUNCIL MEMBERS LUTHERAN GENERAL HOSPITAL INTERNAL MEMBERS: * DIRECTOR, COMMUNITY AND HEALTH RELATIONS * VP, MISSION AND SPIRITUAL CARE * DIRECTOR, OLDER ADULT SERVICES * DIRECTOR, PUBLIC AFFAIRS AND MARKETING * STRATEGIC SPECIALIST, BUSINESS DEVELOPMENT * EXECUTIVE CLINICAL DIRECTOR, HEART/VASCULAR/CC/ED/TRAUMA DIRECTOR, OPERATIONS-REHAB/OUTPATIENT PSYCHOLOGY/NEUROLOGY * MANAGER, MENTAL HEALTH SERVICES * ADVOCATE MEDICAL GROUP COMMUNITY RELATIONS REPRESENTATIVE, BEHAVIORAL HEALTH AND ADVOCATE ADDICTION TREATMENT PROGRAM COMMUNITY MEMBERS: * SUPERINTENDENT, ROUNDOUT SCHOOL DISTRICT #72/MEMBER, GOVERNING COUNCIL, LUTHERAN GENERAL HOSPITAL * VP, US BANK/MEMBER, GOVERNING COUNCIL, LUTHERAN GENERAL HOSPITAL * DIRECTOR, CHRONIC DISEASE PREVENTION & HEALTH PROMOTION, COOK COUNTY DEPARTMENT OF HEALTH * PROGRAM DIRECTOR, NATIONAL ALLIANCE FOR MENTAL ILLNESS (NAMI) * ASSISTANT DIRECTOR, MAINE TOWNSHIP - MAINESTAY YOUTH AND FAMILY SERVICES * SENIOR DIRECTOR, COMMUNITY HEALTH, AMERICAN HEART ASSOCIATION * CHIEF OF POLICE, PARK RIDGE * ENVIRONMENTAL HEALTH OFFICER, PARK RIDGE * MENTAL HEALTH SERVICES DIRECTOR, LUTHERAN SOCIAL SERVICES (LSSI) * ASSISTANT PRINCIPAL, DISTRICT 207 * FACILITATOR OF SCHOOL HEALTH SERVICES, DISTRICT 64 * MEMBER, PARK RIDGE HEALTHY COMMUNITY PARTNERSHIP AND JOINT COMMUNITY RECOVERY RESPONSE TEAM * MEMBER, DES PLAINES HEALTHY COMMUNITY PARTNERSHIP IN ITS CHNA, ADVOCATE LUTHERAN GENERAL HOSPITAL ALSO CONSULTED WITH THE FOLLOWING COMMUNITY ORGANIZATIONS: * SCHOOL DISTRICT 64 * SCHOOL DISTRICT 207 * CHIEF OF POLICE, PARK RIDGE * POLICE CHIEF ADVISORY TASK FORCE, PARK RIDGE * REGION 9 EMS FIRE DEPARTMENT DATA * DES PLAINES, PARK RIDGE AND NILES POLICE DEPARTMENTS * DIRECTOR OF EPIDEMIOLOGY, COOK COUNTY DEPARTMENT OF HEALTH * LUTHERAN GENERAL HOSPITAL EMERGENCY MEDICAL SERVICES (EMS); LUTHERAN GENERAL EMS RESOURCE HOSPITAL FOR PARK RIDGE, NILES, MORTON GROVE, NORTH MAINE AND GLENVIEW * PARK RIDGE HEALTHY COMMUNITY PARTNERSHIP * DES PLAINES HEALTHY COMMUNITY PARTNERSHIP * VILLAGE OF NILES * VILLAGE OF GLENVIEW * VILLAGE OF MORTON GROVE * PARK RIDGE HEALTH COMMISSION * PARK RIDGE HUMAN NEEDS TASK FORCE * PARK RIDGE CHAMBER OF COMMERCE HEALTH CARE FORUM * JOINT COMMUNITY RECOVERY RESPONSE TEAM * PARK RIDGE COMMUNITY FUND * MEMBERS OF PARK RIDGE AND NILES MINISTERIAL ASSOCIATIONS * FAITH COMMUNITIES * DIRECTOR, COUNCIL OF ADVISORS, LUTHERAN GENERAL HOSPITAL * PATIENT ADVISORY COUNCILS, LUTHERAN GENERAL HOSPITAL * MEMBERS OF THE HEALTHIER PARK RIDGE PROJECT * COMMUNITY LEADERS, SOUTH ASIAN, KOREAN AND POLISH COMMUNITIES * FOCUS GROUP PARTICIPANTS ADVOCATE GOOD SAMARITAN HOSPITAL IN SUPPORT OF THIS VISION AND IN ALIGNMENT WITH ADVOCATE HEALTH CARE'S STANDARDIZED APPROACH, GOOD SAMARITAN HOSPITAL CONVENED A COMMUNITY HEALTH COUNCIL TO CONDUCT ITS COMPREHENSIVE CHNA. THIS COUNCIL WAS CHAIRED BY THE HOSPITAL'S COMMUNITY HEALTH LEADER AND COMPRISED OF REPRESENTATIVE(S) FROM THE EXECUTIVE TEAM, PUBLIC AFFAIRS AND MARKETING, MISSION AND SPIRITUAL CARE, AND BUSINESS DEVELOPMENT AND STRATEGY. COMMUNITY MEMBERS SERVING ON THE HOSPITAL'S GOVERNING COUNCIL WERE ALSO RECRUITED AS ACTIVE PARTICIPANTS IN THE COMMUNITY HEALTH COUNCIL. ADDITIONAL HOSPITAL STAFF AND COMMUNITY REPRESENTATIVES WERE ADDED AS THE PROCESS EVOLVED TO FILL IN ANY COMMUNITY HEALTH COUNCIL GAPS IN EXPERTISE. THE TITLES/CREDENTIALS AND AFFILIATIONS OF THE REPRESENTATIVES ON THE COMMUNITY HEALTH COUNCIL ARE PROVIDED BELOW. COMMUNITY HEALTH COUNCIL MEMBERS (VIA FACE-TO-FACE MEETINGS) * PRESIDENT & CEO, DOWNERS GROVE AREA CHAMBER OF COMMERCE & INDUSTRY * PUBLIC INFORMATION OFFICER, DOWNERS GROVE FIRE DEPARTMENT * LIEUTENANT FIREFIGHTER, EMT, PARAMEDIC, DOWNERS GROVE FIRE DEPARTMENT * PUBLIC EDUCATION MANAGER, DOWNERS GROVE POLICE DEPARTMENT * EXECUTIVE DIRECTOR, DUPAGE COUNTY HEALTH DEPARTMENT * EXECUTIVE DIRECTOR, DUPAGE SENIOR CITIZENS COUNCIL * EXECUTIVE DIRECTOR, INDIAN BOUNDARY YMCA * EXECUTIVE DIRECTOR, XILIN CENTER * EXECUTIVE DIRECTOR, ACCESS DUPAGE * ASSISTANT SUPERINTENDENT OF CURRICULUM AND INSTRUCTION, DOWNERS GROVE SCHOOL DISTRICT 58 * NURSE CARE MANAGER, CANTATA ADULT SERVICES * MANAGER, PEACE MEMORIAL MANOR * SENIOR SERVICES COORDINATOR, PEACE MEMORIAL MANOR * LARC PROGRAM DIRECTOR, DUPAGE FEDERATION ON HUMAN SERVICES * ASSISTANT DIRECTOR, ADULT HEALTH, DUPAGE COUNTY HEALTH DEPARTMENT * SUPERVISOR, SENIOR ADVOCATE, ADVOCATE GOOD SAMARITAN HOSPITAL * COORDINATOR, EMERGENCY MEDICAL SERVICES SYSTEM/CONTINUING EDUCATION, ADVOCATE GOOD SAMARITAN HOSPITAL THE PROCESS ENGAGED THE COMMUNITY HEALTH COUNCIL IN REGULAR FACE-TO-FACE MEETINGS TO REVIEW SECONDARY DATA, IDENTIFY THE COMMUNITY'S CHALLENGES AND ASSETS, AND SELECT PRIORITY NEEDS THAT THE HOSPITAL WOULD ADDRESS. ADVOCATE GOOD SHEPHERD HOSPITAL THE HOSPITAL PARTNERED WITH EACH OF THE NEIGHBORING PUBLIC HEALTH DEPARTMENTS, BOTH LAKE AND MCHENRY COUNTIES, TO PARTICIPATE IN A COMPREHENSIVE NEEDS ASSESSMENT PROCESS. EACH OF THE HEALTH DEPARTMENTS UTILIZED A VERSION OF THE MOBILIZING ACTION THROUGH PLANNING AND PARTNERSHIP (MAPP) PROCESS TO COMPLETE THE ASSESSMENT WHICH INCLUDED INTERVIEWS, FOCUS GRO
ADVOCATE SOUTH SUBURBAN HOSPITAL ADVOCATE SOUTH SUBURBAN HOSPITAL CONVENED A COMMUNITY HEALTH COUNCIL TO CONDUCT ITS COMPREHENSIVE CHNA. THIS COUNCIL WAS CHAIRED BY THE HOSPITAL'S VICE PRESIDENT OF MISSION AND SPIRITUAL CARE AND WAS COMPRISED OF HOSPITAL REPRESENTATIVES FROM BUSINESS DEVELOPMENT, COMMUNITY RELATIONS, VOLUNTEER SERVICES, PUBLIC AFFAIRS AND MARKETING, ONCOLOGY SERVICES AND RESPIRATORY CARE. ADDITIONALLY, COMMUNITY MEMBERS PARTICIPATED ON THE COMMUNITY HEALTH COUNCIL, INCLUDING REPRESENTATIVES FROM AUNT MARTHA'S COMMUNITY HEALTH CENTER, A FEDERALLY QUALIFIED HEALTH CENTER (FQHC) AND FAITH LEADERS WHO ARE ALSO MEMBERS OF SOUTH SUBURBAN HOSPITAL'S GOVERNING COUNCIL. THE TITLES AND AFFILIATIONS OF THE COMMUNITY HEALTH COUNCIL'S MEMBERS ARE PROVIDED BELOW. ADVOCATE SOUTH SUBURBAN HOSPITAL COMMUNITY HEALTH COUNCIL MEMBERS * DIRECTOR, NURSING, AUNT MARTHA'S COMMUNITY HEALTH CENTER, HAZEL CREST CAMPUS * DIRECTOR, COMMUNITY RELATIONS, AUNT MARTHA'S COMMUNITY HEALTH CENTER * ASSOCIATE PASTOR, COVENANT UNITED CHURCH OF CHRIST - SOUTH HOLLAND/MEMBER, SOUTH SUBURBAN HOSPITAL GOVERNING COUNCIL * LAY FAITH LEADER, PILGRIM FAITH UNITED CHURCH OF CHRIST - OAK LAWN/MEMBER, SOUTH SUBURBAN HOSPITAL GOVERNING COUNCIL * INTERN, GOVERNORS STATE UNIVERSITY * VP, MISSION AND SPIRITUAL CARE, SOUTH SUBURBAN HOSPITAL * VP, BUSINESS DEVELOPMENT, SOUTH SUBURBAN HOSPITAL * COMMUNITY RELATIONS COORDINATOR, SOUTH SUBURBAN HOSPITAL * MANAGER, VOLUNTEER SERVICES, SOUTH SUBURBAN HOSPITAL * BREAST HEALTH SPECIALIST, SOUTH SUBURBAN HOSPITAL * MANAGER, RESPIRATORY CARE, SOUTH SUBURBAN HOSPITAL THROUGH KEY INFORMANT INTERVIEWS, THE HOSPITAL ALSO CONSULTED WITH FQHC LEADERS, SCHOOL NURSES, PARISH NURSES AND FAITH LEADERS WITHIN THE PRIMARY SERVICE AREA (PSA). MUCH OF THE EXTERNAL QUANTITATIVE DATA WAS SUPPLIED BY THE COOK COUNTY DEPARTMENT OF PUBLIC HEALTH (CCDPH), ILLINOIS DEPARTMENT OF PUBLIC HEALTH (IDPH) AND UNIVERSITY OF WISCONSIN - COUNTY HEALTH RANKINGS. ADVOCATE BROMENN MEDICAL CENTER ADVOCATE BROMENN MEDICAL CENTER RECEIVED INPUT FROM AN ARRAY OF COMMUNITY MEMBERS THROUGH ITS COMMUNITY HEALTH COUNCIL. THE PRIMARY METHOD OF OBTAINING INPUT WAS THROUGH MEETINGS. INTERVIEWS WERE ALSO CONDUCTED TO OBTAIN INFORMATION. THE TITLES AND AFFILIATIONS OF THE COMMUNITY MEMBERS THAT PARTICIPATED IN ADVOCATE BROMENN'S COMMUNITY HEALTH NEEDS ASSESSMENT ARE LISTED BELOW: * ASSISTANT ADMINISTRATOR, MCLEAN COUNTY PUBLIC HEALTH DEPARTMENT/ADVOCATE BROMENN GOVERNING COUNCIL MEMBER * SUPERVISOR, MCLEAN COUNTY PUBLIC HEALTH DEPARTMENT * EXECUTIVE DIRECTOR, COMMUNITY HEALTH CARE CLINIC * SUPERINTENDENT OF SCHOOLS, MCLEAN COUNTY UNIT DISTRICT #5 * DIRECTOR, AMERICAN RED CROSS OF THE HEARTLAND/ADVOCATE BROMENN GOVERNING COUNCIL MEMBER * ASSOCIATE PASTOR, CALVARY UNITED METHODIST CHURCH * PROFESSOR, ILLINOIS STATE UNIVERSITY'S MENNONITE COLLEGE OF NURSING * PRESIDENT, MCLEAN COUNTY INDIA ASSOCIATION * VICE PRESIDENT, BUSINESS DEVELOPMENT, ADVOCATE BROMENN MEDICAL CENTER * ADMINISTRATOR, ADVOCATE EUREKA HOSPITAL * MANAGER OF WELLNESS SERVICES, ADVOCATE BROMENN MEDICAL CENTER * TRAUMA COORDINATOR, ADVOCATE BROMENN MEDICAL CENTER * SERVICE AREA ADMINISTRATOR FOR BEHAVIORAL HEALTH SERVICES, ADVOCATE BROMENN MEDICAL CENTER * DIRECTOR OF CRITICAL CARE SERVICES, MEDICAL AND ONCOLOGY SPECIALTY UNIT/PEDIATRICS/OUTPATIENT INFUSION, PROGRESSIVE CARE UNIT AND SURGICAL/ORTHO UNIT, ADVOCATE BROMENN MEDICAL CENTER * COORDINATOR OF CHURCH RELATIONS, ADVOCATE BROMENN MEDICAL CENTER * MANAGER, CASE MANAGEMENT, ADVOCATE BROMENN MEDICAL CENTER * CLIENT PROGRAM SPECIALIST, WOMEN'S CENTER, ADVOCATE BROMENN MEDICAL CENTER * DIETITIAN, ADVOCATE BROMENN MEDICAL CENTER * DIABETES EDUCATOR, ADVOCATE BROMENN MEDICAL CENTER * COORDINATOR, PUBLIC AFFAIRS AND MARKETING, ADVOCATE BROMENN MEDICAL CENTER ADVOCATE BROMENN MEDICAL CENTER COLLABORATED WITH THE MCLEAN COUNTY HEALTH DEPARTMENT IN CONDUCTING ITS COMMUNITY HEALTH NEEDS ASSESSMENT AND IN SELECTING ITS KEY HEALTH PRIORITIES. THE HOSPITAL'S COMMUNITY HEALTH LEADER IN CHARGE OF THE CHNA WAS A MEMBER OF THE MCLEAN COUNTY COMMUNITY HEALTH ADVISORY COMMITTEE AND ASSISTED IN THE DEVELOPMENT OF MCLEAN COUNTY'S 2012-2017 COMMUNITY HEALTH PLAN (CHP). ADVOCATE BROMENN MEDICAL CENTER'S CHNA AND MCLEAN COUNTY'S CHP ARE VERY CLOSELY ALIGNED AND THIS SYNERGY RESULTS IN HAVING MORE COLLECTIVE IMPACT IN ADDRESSING COMMUNITY NEEDS. THE ADVOCATE BROMENN AND ADVOCATE EUREKA HOSPITALS' DELEGATE CHURCH ASSOCIATION MEMBERS WERE CONSULTED AT A SPECIAL MEETING OF THE GROUP. THE DELEGATE CHURCH ASSOCIATION IS COMPRISED OF 80 CHURCHES THAT ASSIST THE HOSPITALS IN THEIR MISSION OF IMPROVING THE HEALTH OF THE COMMUNITY. ADVOCATE TRINITY HOSPITAL ADVOCATE TRINITY HOSPITAL CONVENED A COMMUNITY HEALTH COUNCIL TO CONDUCT ITS COMPREHENSIVE CHNA. THIS COUNCIL WAS CHAIRED BY THE HOSPITAL'S COMMUNITY HEALTH LEADER AND COMPRISED OF REPRESENTATIVES FROM THE EXECUTIVE TEAM, PUBLIC AFFAIRS AND MARKETING, MISSION AND SPIRITUAL CARE, AND BUSINESS DEVELOPMENT AND STRATEGY. COMMUNITY MEMBERS SERVING ON THE HOSPITAL'S GOVERNING COUNCIL WERE ALSO RECRUITED AS ACTIVE PARTICIPANTS IN THE COMMUNITY HEALTH COUNCIL. ADDITIONAL TRINITY HOSPITAL STAFF AND COMMUNITY REPRESENTATIVES WERE ADDED AS THE PROCESS EVOLVED TO FILL IN ANY COMMUNITY HEALTH COUNCIL GAPS IN EXPERTISE. THE TITLES AND AFFILIATIONS OF THE COMMUNITY HEALTH COUNCIL'S MEMBERS ARE PROVIDED BELOW. TRINITY HOSPITAL COMMUNITY HEALTH COUNCIL MEMBERS * STATE REPRESENTATIVE 33RD DISTRICT, ILLINOIS GENERAL ASSEMBLY * PROGRAM SUPERVISOR, METROPOLITAN FAMILY SERVICES * PUBLIC HEALTH ADMINISTRATOR, CHICAGO DEPARTMENT OF PUBLIC HEALTH * ADMINISTRATOR PROFESSIONAL SERVICES, SOUTH SHORE HOSPITAL * PHYSICIAN, ASSOCIATES IN NEPHROLOGY * RETIRED CHICAGO PUBLIC SCHOOLS EDUCATOR, COMMUNITY REPRESENTATIVE * RETIRED HEALTHCARE ADMINISTRATOR, CHICAGO DEPARTMENT OF PUBLIC HEALTH, COMMUNITY REPRESENTATIVE * COMMUNITY RELATIONS SPECIALIST, BLUE CROSS BLUE SHIELD OF ILLINOIS * MANAGER, COMMUNITY HEALTH PROMOTION, TRINITY HOSPITAL * MANAGER, FINANCE, TRINITY HOSPITAL * MANAGER, PLANNING, TRINITY HOSPITAL * VP, MISSION AND SPIRITUAL CARE, TRINITY HOSPITAL * ACCOUNT MANAGER, ACKERS PACKAGING/MEMBER, TRINITY HOSPITAL GOVERNING COUNCIL * OWNER, A-DESIGN STUDIO/MEMBER, TRINITY HOSPITAL GOVERNING COUNCIL * FOUNDER, TEECH FOUNDATION/MEMBER, TRINITY HOSPITAL GOVERNING COUNCIL * ADVANCED PRACTICE NURSE, SURGERY, TRINITY HOSPITAL * ADVANCED PRACTICE NURSE, MEDICAL, TRINITY HOSPITAL * COORDINATOR HEALTH EDUCATION, EMERGENCY DEPARTMENT, TRINITY HOSPITAL THE HOSPITAL'S COMMUNITY HEALTH COUNCIL MEMBERS ATTENDED TWO CHNA WORKSHOPS HOSTED BY THE ADVOCATE SYSTEM THAT WERE DESIGNED TO LAUNCH THE PROCESS BY EDUCATING THEM ON HOW TO CONDUCT AN ASSESSMENT AND HOW TO FIND RELIABLE DATA SOURCES. USING BOTH PRIMARY AND SECONDARY COMMUNITY HEALTH DATA, THE TEAM IDENTIFIED THE TOTAL SERVICE AREA'S KEY HEALTH NEEDS AND THEN EMPLOYED A PRIORITY-SETTING PROCESS TO DETERMINE KEY HEALTH NEEDS ON WHICH TO FOCUS. THIS PROCESS INCLUDED AN EXAMINATION OF BOTH TRINITY HOSPITAL'S AND THE COMMUNITY'S ISSUES/CHALLENGES AND ASSETS, AND DISCUSSIONS WITH EXTERNAL KEY INFORMANTS TO DETERMINE THE POTENTIAL FOR PARTNERSHIPS WITH OTHER ORGANIZATIONS AND FOR SHARING RESOURCES TO ADDRESS COMMUNITY NEED. THE HOSPITAL FACILITY ALSO CONSULTED WITH THE CHICAGO DEPARTMENT OF PUBLIC HEALTH TO OBTAIN DATA REPORTS FOR THE COMMUNITY AREAS SERVED BY THE HOSPITAL. ADVOCATE EUREKA HOSPITAL ADVOCATE EUREKA HOSPITAL WORKED WITH MEMBERS OF THE COMMUNITY THROUGH ITS PARTNERSHIP WITH THE WOODFORD COUNTY HEALTH DEPARTMENT TO REVIEW ITS CHNA FINDINGS. STAFF MEMBERS AT ADVOCATE BROMENN MEDICAL CENTER, LOCATED 30 MINUTES SOUTHEAST OF EUREKA IN NORMAL, WERE ALSO A PART OF THE HOSPITAL'S CHNA TEAM. BOTH HOSPITALS FALL UNDER THE ADMINISTRATION OF THE SAME PRESIDENT. THE PRIMARY METHOD OF OBTAINING INPUT WAS THROUGH MEETINGS. THE TITLES AND AFFILIATIONS OF THE REPRESENTATIVES ON THE COMMUNITY HEALTH COUNCIL ARE PROVIDED BELOW. ADVOCATE EUREKA HOSPITAL - BROMENN MEDICAL CENTER COMMUNITY HEALTH COUNCIL * ADMINISTRATOR, WOODFORD COUNTY HEALTH DEPARTMENT * DIRECTOR OF HEALTH EDUCATION AND SUPPORTIVE SERVICES, WOODFORD COUNTY HEALTH DEPARTMENT * SUPERINTENDENT OF MARSHALL, PUTNAM AND WOODFORD COUNTIES, REGIONAL OFFICE OF EDUCATION * RETIRED SUPERINTENDENT, SCHOOL DISTRICT 140 EUREKA - GOODFIELD - CONGERVILLE * REGIONAL DIRECTOR OF HEALTH INITIATIVES, AMERICAN CANCER SOCIETY * ASSISTANT DEAN/DIRECTOR OF RESIDENTIAL LIFE, EUREKA COLLEGE * MINISTER, DISCIPLES OF CHRIST CHURCH * ADMINISTRATOR, HERITAGE HEALTH NURSING HOME-SKILLED NURSING FACILITY - EL PASO * EXECUTIVE DIRECTOR, WOODFORD COUNTY HOUSING ASSOCIATION * NUTRITION AND WELLNESS EDUCATOR, UNIVERSITY OF ILLINOIS EXTENSION * EXECUTIVE DIRECTOR, TAZEWELL-WOODFORD HEAD START * EXECUTIVE DIRECTOR, HEART HOUSE/HEARTLINE SHELTER * PRINCIPAL, EL PASO-GRIDLEY HIGH SCHOOL * DIRECTOR, ENVIRONMENTAL HEALTH, WOODFORD COUNTY HEALTH DEPARTMENT * DIRECTOR, LIVINGSTON/MCLEAN/WOODFORD COUNTY COOPERATIVE EXTENSION SERVICE * IDOT INJ
PART V, SEC B, LINE 6A ADVOCATE GOOD SHEPHERD HOSPITAL'S CHNA WAS CONDUCTED WITH THE FOLLOWING OTHER HOSPITAL FACILITIES: - ADVOCATE CONDELL MEDICAL CENTER, LIBERTYVILLE, IL (THROUGH THE LAKE COUNTY HEALTH DEPARTMENT) - CENTEGRA HEALTH SYSTEMS, MCHENRY, IL - LOVELL FEDERAL HEALTHCARE CENTER, NORTH CHICAGO, IL (THROUGH THE LAKE COUNTY HEALTH DEPARTMENT) - NORTHWESTERN LAKE FOREST HOSPITAL, LAKE FOREST, IL (THROUGH THE LAKE COUNTY HEALTH DEPARTMENT) - VISTA HEALTH SYSTEMS, WAUKEGAN, IL (THROUGH THE LAKE COUNTY HEALTH DEPARTMENT) ADVOCATE BROMENN MEDICAL CENTER'S CHNA WAS CONDUCTED WITH ADVOCATE EUREKA HOSPITAL IN EUREKA, IL. ADVOCATE EUREKA HOSPITAL'S CHNA WAS CONDUCTED WITH ADVOCATE BROMENN MEDICAL CENTER IN NORMAL, IL PART V, SEC B, LINE 6B N/A PART V, SEC B, LINE 7D ADVOCATE BROMENN MEDICAL CENTER THE LINK FOR THE CHNA REPORT WAS EMAILED TO ADVOCATE BROMENN AND ADVOCATE EUREKA HOSPITALS' DELEGATE CHURCH ASSOCIATION MEMBERS WHO REPRESENT 80 CHURCHES. NUMEROUS COPIES OF THE REPORT AND THE LINK FOR THE REPORT HAVE ALSO BEEN DISTRIBUTED TO THE MCLEAN COUNTY COMMUNITY HEALTH ADVISORY COMMITTEE, THE ADVOCATE BROMENN MEDICAL CENTER COMMUNITY HEALTH COUNCIL, AND OTHER APPROPRIATE COMMUNITY PARTNERS, SUCH AS THE DIRECTOR OF THE COMMUNITY HEALTH CARE CLINIC. ADVOCATE EUREKA HOSPITAL THE LINK FOR THE CHNA REPORT WAS EMAILED TO ADVOCATE BROMENN MEDICAL CENTER'S AND ADVOCATE EUREKA HOSPITAL'S DELEGATE CHURCH ASSOCIATION MEMBERS, WHICH IS COMPRISED OF 80 CHURCHES. A COPY OF THE REPORT WAS ALSO GIVEN TO THE ADMINISTRATOR OF THE WOODFORD COUNTY HEALTH DEPARTMENT. PART V, SEC B, LINE 11 ADVOCATE CHRIST MEDICAL CENTER HEALTH NEEDS SELECTED TO ADDRESS THREE NEEDS WERE SELECTED AS KEY AREAS OF FOCUS, INCLUDING: 1) CHILDHOOD OBESITY; 2) VIOLENCE REDUCTION; AND 3) ACCESS TO PEDIATRIC PRIMARY MEDICAL CARE FOR LOW INCOME, UNINSURED/UNDER-INSURED, AT-RISK CHILDREN. CHILDHOOD OBESITY THE PROACTIVE KIDS (PAK) PROGRAM IS AN EIGHT WEEK WEIGHT LOSS AND FITNESS PROGRAM THAT TARGETS CHILDREN AGES 8-18 WHO ARE IN THE 85TH PERCENTILE AND ABOVE FOR BMI, RESIDING IN THE HOSPITALS' PRIMARY AND SECONDARY SERVICE AREAS AND REFERRED BY A PHYSICIAN. PAK IS OFFERED THREE TIMES EACH CALENDAR YEAR AND CAN ACCOMMODATE A MAXIMUM OF 30 CHILDREN AT EACH SESSION. IN 2014, THE PAK PROGRAM IN OAK LAWN HAD 66 REGISTERED PARTICIPANTS. THE PROGRAM IS DESIGNED TO INTRODUCE HEALTHIER LIFESTYLE OPTIONS TO CHILDREN AND THEIR FAMILIES THROUGH FITNESS, NUTRITION AND LIFESTYLE COACHING. THE GOAL IS TO IMPROVE CHILDRENS'S HEALTH BY PROVIDING TOOLS TO ACHIEVE AND MAINTAIN A HEALTHY WEIGHT, BMI AND FITNESS LEVEL. PAK TRAINERS FOLLOW A FITNESS PROGRAM ESTABLISHED BY RIGHT FIT SPORT WELLNESS THAT INCLUDES THREE 45-MINUTE SESSIONS EACH WEEK DESIGNED TO INCREASE MUSCULAR ENDURANCE AND STRENGTH, CARDIOVASCULAR ENDURANCE, FLEXIBILITY AND REDUCE BODY FAT/BMI. NUTRITIONAL HEALTH ACTIVITIES ARE LED BY LICENSED DIETICIANS AND A FAMILY-INCLUSIVE APPROACH IS USED TO PROMOTE MAKING LIFESTYLE CHANGES TOGETHER LEADING TO HEALTHIER EATING HABITS. EACH 40-MINUTE NUTRITION LESSON ENGAGES THE ENTIRE FAMILY TO DISCUSS PROPER NUTRITION AS WELL AS TOOLS FOR MAKING HEALTHY SNACKS AND MEAL PREPARATION. COUNSELORS FOLLOW A CURRICULUM DESIGNED BY MEIER CLINICS TO REINFORCE CONFIDENCE, ENCOURAGE COMMUNICATION AND TEACH VALUABLE COPING SKILLS TO EMPOWER KIDS TO TAKE CONTROL OF THEIR LIVES AND DECISIONS. PROGRAM DATA IS GATHERED BY THE FITNESS TEAM PRE-PAK ENROLLMENT, WEEK 1 AND WEEK 8 USING PROGRESSION SURVEYS AND BODY COMPOSITION MEASUREMENTS INCLUDING WEIGHT, BMI, BODY FAT, FAT MASS, FAT FREE MASS, AND HIP TO WAIST RATIO. THE PROGRAM OBJECTIVES WERE TO: * INCREASE MUSCLE AND DECREASE BODY FAT AND BMI FOR ATTENDEES - IN 2014, FOR ALL PARTICIPANTS, BODY FAT DECREASED AN AVERAGE OF 2.5%; BMI DECREASED BY 1.23 POINTS; AVERAGE WEIGHT DECREASED BY 3.08 POUNDS. SEVENTY ONE PERCENT OF PAK PARENTS REPORTED PERSONAL WEIGHT LOSS AS A RESULT OF THEIR CHILD'S PARTICIPATION IN PAK. * CREATE HEALTHIER FOOD SELECTION, COOKING AND EATING HABITS - NUTRITIONISTS PROVIDED WEEKLY EDUCATION TO CHILDREN AND THEIR PARENTS REGARDING HEALTHY CHOICES AND FOOD PREPARATION. ONE HUNDRED PERCENT OF FAMILY MEMBERS REPORTED AN IMPROVEMENT IN THEIR CHILD'S ATTITUDE TOWARD DIET AND NUTRITION IN THE PROGRESSION SURVEY COMPLETED AT THE END OF THE EIGHT-WEEK SESSION. * BUILD CONFIDENCE AND INCREASE COMMUNICATION AND COPING SKILLS - WEEKLY LESSONS WERE TAUGHT TO GIVE PARTICIPANTS NEW SKILLS. ONE HUNDRED PERCENT OF PAK PARENTS REPORTED THEIR CHILD'S CONFIDENCE, COMMUNICATION AND COPING SKILLS HAD IMPROVED IN THE PROGRESSION SURVEY COMPLETED AT THE END OF THE EIGHT-WEEK SESSION. VIOLENCE VIOLENCE IS A SIGNIFICANT PROBLEM IN MANY NEIGHBORHOODS IN CHRIST MEDICAL CENTER'S TOTAL SERVICE AREA. THE COMMUNITIES WITH THE HIGHEST RATES OF VIOLENCE ARE ROSELAND, ENGLEWOOD, CHICAGO LAWN/WEST LAWN, GRAND BOULEVARD AND WOODLAWN. GIVEN THAT CHRIST MEDICAL CENTER IS THE ONLY LEVEL 1 TRAUMA CENTER SERVING THESE COMMUNITIES, THE MEDICAL CENTER PROVIDES TRAUMA SERVICES TO A HIGH VOLUME OF GUNSHOT VICTIMS. TO ADDRESS GUN VIOLENCE IN CHRIST MEDICAL CENTER'S SERVICE AREA, THE MEDICAL CENTER HAS PARTNERED WITH CEASEFIRE WITH THE GOAL OF REDUCING VIOLENCE IN THESE FIVE COMMUNITIES. CEASEFIRE IS A LOCAL BRANCH OF THE CURE VIOLENCE ORGANIZATION WHOSE MISSION IS TO STOP TRANSMISSION OF VIOLENCE AT THE SOURCE, WHILE ATLERING NORMS AND BEHAVIOR SO THAT FEWER PEOPLE ARE AFFECTED. HIGHLY TRAINED VIOLENCE INTERRRUPTERS -FORMER PERPETRATORS - AIM TO DISPRUPT CONFLICTS BEFORE THEY HAPPEN AND EDUCATE THE COMMUNITY ABOUT THE CONSEQUENCES OF VIOLENT BEHAVIOR. THE CEASEFIRE COLLABORATION'S OBJECTIVE IS TO REDUCE RETALIATORY VIOLENCE IN THE COMMUNITY FOLLOWING A VIOLENT INCIDENT. CEASEFIRE HAS ONE VIOLENCE INTERRUPTER ASSIGNED EXCLUSIVELY TO CHRIST MEDICAL CENTER WITH OTHERS AVAILABLE AS NEEDED. WHEN A VICTIM OF VIOLENCE IS TRANSPORTED TO CHRIST'S EMERGENCY DEPARTMENT, THE VIOLENCE INTERRUPTER MEETS WITH THE VICTIM'S FAMILY MEMBERS AND FRIENDS, PROVIDING COUNSELING BEFORE RETALIATION CAN BE INITIATED TO QUELL THE LIKELIHOOD OF ANOTHER ACT OF VIOLENCE OCCURRING. IN 2014, THIS VIOLENCE INTERRUPTER MET WITH 617 PATIENTS WHO WERE VICTIMS OF VIOLENCE. NINETY PERCENT OF THESE PATIENTS WERE ASSESSED FOR FOLLOW-UP NEEDS AND 97.9% WERE CONNECTED TO LONG-TERM COMMUNITY SUPPORT. ACCESS TO CARE FOR LOW-INCOME/UNDERINSURED AT-RISK CHILDREN AS EVIDENT IN ACMC'S CHNA, ACCESS TO CARE IS DIFFICULT FOR LOW INCOME, UNINSURED/UNDER-INSURED, AT-RISK CHILDREN IN CHRIST'S PRIMARY SERVICE AREA. SEVERAL DATA SOURCES USED FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT CHNA) CONFIRM THE NEED FOR ACCESSIBLE, BASIC PEDIATRIC MEDICAL CARE IN CHRIST'S SERVICE AREA WHICH INCLUDES LARGE AREAS OF CHICAGO'S SOUTH SIDE WHERE STUDENTS ATTEND CHICAGO PUBLIC SCHOOLS (CPS). * 87% OF CPS STUDENTS ARE FROM LOW INCOME FAMILIES; 25% OF COOK COUNTY CHILDREN ARE LIVING IN POVERTY. * 37% OF CHILDREN IN COOK COUNTY COME FROM SINGLE PARENT FAMILIES. * 24% OF COOK COUNTY CHILDREN HAVE INADEQUATE SOCIAL SUPPORT. * AS OF THE FIRST DAY OF SCHOOL 2013, ONLY 40.92% OF CPS STUDENTS WERE IN COMPLIANCE WITH STATE MANDATED SCHOOL PHYSICALS AND IMMUNIZATIONS, LEAVING 158,000+ OUT OF COMPLIANCE. * THE OBESITY RATE FOR CHICAGO CHILDREN IS TWICE THE NATIONAL AVERAGE AND SIGNIFICANTLY HIGHER IN BLACK AND HISPANIC CHILDREN THAN IN WHITE CHILDREN. * THE RATE OF SEXUALLY TRANSMITTED DISEASES IN COOK COUNTY WAS 671 PER 100,000 POPULATION VERSUS 469 PER 100,000 FOR THE STATE OF ILLINOIS. * THE RATE OF TEEN BIRTHS (15-19 YEARS) WAS 49 PER 1,000 POPULATION VS 22 IN THE U.S. * THE NUMBER OF PRIMARY CARE PHYSICIANS AVAILABLE WAS 736:1 IN COOK COUNTY VERSUS 976:1 IN THE STATE OF ILLINOIS. * CHICAGO HAS THE HIGHEST HOMICIDE RATE IN CITIES WITH OVER 1 MILLION POPULATION, POTENTIALLY LIMITING SAFE TRAVEL AND ACCESSIBILITY DUE, IN PART, TO PARENTAL AND PROVIDER FEAR AND CONCERN. GIVEN THIS INITIAL DATA, ACMC FURTHER REVIEWED AND PRIORITIZED THE COMMUNITIES OF HIGHEST NEED BASED ON DEMOGRAPHIC DATA AND USING THE DIGNITY HEALTH COMMUNITY NEEDS INDEX (CNI) FOR THE CHNA. THE RESULTS GAVE ACMC THE ABILITY TO FOCUS ON COMMUNITIES IN ITS SERVICE AREA WITH SPECIFIC BARRIERS TO HEALTH CARE ACCESS - NAMELY INCOME, CULTURE/LANGUAGE, EDUCATION, INSURANCE AND HOUSING. AS A RESULT, ACMC REFOCUSED WHERE THE SERVICES OF THE RONALD MCDONALD CARE MOBILE (RMCM) ARE PROVIDED. THE RMCM PROVIDES FREE PHYSICALS, IMMUNIZATIONS AND REFERRALS TO SPECIALISTS, DENTAL AND EYE CARE PROVIDERS AND PRIMARY CARE PHYSICIANS TO LOW INCOME, UNINSURED CHILDREN. THE GOAL IS TO IMPROVE CHILDREN'S HEALTH BY PROVIDING PRIMARY HEALTH CARE SERVICES AND IMPROVING RELATIONSHIPS WITH AREA FEDERALLY QUALIFIED HEALTH CENTERS (FQHCS) AND OTHER HEALTH PARTNERS WHO CAN OFFER REFERRALS TO SPECIALTY CARE. THE FIRST OBJECTIVE WAS TO IMPROVE COMPLIANCE FOR SCHOOL PHYSICALS & IMMUNIZATIONS AT HIGH-NEED SCHOOLS. JANUARY - DECEMBER 2014, RMCM STAFF PROVIDED 3,448 VACCINES, 1,923 PHYSICALS AND 895 REFERRALS TO PRIMARY CARE PHYSICIANS, 84 REFERRALS TO DENTI
HEALTH NEEDS NOT SELECTED TO ADDRESS THE KEY HEALTH NEEDS IDENTIFIED THOUGH ACMC'S CHNA THAT WERE NOT SELECTED BY THE MEDICAL CENTER TO ADDRESS WERE HEART DISEASE, CANCER AND STROKE BECAUSE THEY HAVE PREVIOUSLY BEEN, AND CONTINUE TO BE, ADDRESSED THROUGH SPECIFICALLY DESIGNED CLINICAL PROGRAMS AND COMMUNITY OUTREACH ACTIVITIES. HEART DISEASE ACMC'S HEART AND VASCULAR INSTITUTE (HVI) IS A PREMIER CARDIAC CARE CENTER IN ILLINOIS, PROVIDING STATE-OF-THE-ART DIAGNOSTICS, INTERVENTION AND REHABILITATION TO ADULTS AND CHILDREN IN THE MEDICAL CENTER'S SERVICE AREA. HVI PERFORMS MORE OPEN HEART SURGERIES ANNUALLY THAN ANY HOSPITAL IN ILLINOIS. STUDIES SHOW THAT PERFORMING LARGE NUMBERS OF PROCEDURES PRODUCES THE BEST POSSIBLE CLINICAL OUTCOMES, ULTIMATELY BENEFITTING ALL THE PATIENTS SERVED IN ACMC'S COMMUNITY. THE MEDICAL CENTER HAS ONE OF THE NATION'S LEADING VENTRICULAR ASSIST DEVICE (VAD) PROGRAMS FOR HEART TRANSPLANT AND ASSIST DEVICE. THIS PROGRAM OFFERS A BRIDGE TO TRANSPLANT THERAPY OR DESTINATION THERAPY FOR PATIENTS WHO ARE NOT TRANSPLANT CANDIDATES. ACMC'S HEART INSTITUTE FOR CHILDREN PROVIDES OPEN AND CLOSED HEART SURGERY, AND ATRIAL FIBRILLATION ABLATION TO TREAT CONGENITAL HEART DISEASES. THE INSTITUTE IS THE LARGEST PEDIATRIC HEART CENTER IN ILLINOIS. THE CONGESTIVE HEART FAILURE CLINIC TREATS MORE THAN 1,000 PATIENTS PER YEAR AT ALL STAGES OF HEART FAILURE AND HAS EARNED DISEASE SPECIFIC CERTIFICATION FROM THE JOINT COMMISSION (TJC). THE COMPREHENSIVE CARDIAC REHABILITATION PROGRAM IS ALSO NATIONALLY CERTIFIED BY THE AMERICAN ASSOCIATION OF CARDIAC AND PULMONARY REHABILITATION. FREQUENT COMMUNITY LECTURES AND HEALTH SCREENINGS, INCLUDING BLOOD PRESSURE, BLOOD SUGAR, BODY MASS INDEX AND ANKLE BRACHIAL INDEX FOR PERIPHERAL VASCULAR DISEASE, ARE PROVIDED TO THE COMMUNITY. ACMC ALSO FINANCIALLY SUPPORTS AND PARTNERS WITH THE MUSEUM OF SCIENCE AND INDUSTRY TO PROVIDE "LIVE...FROM THE HEART," A VIDEOCONFERENCE-BASED CARDIOVASCULAR EDUCATION PROGRAM FOR HIGH SCHOOL STUDENTS FROM SUBURBAN AND CHICAGO PUBLIC SCHOOLS. THE PROGRAM'S "REAL TIME" VIEWING OF OPEN HEART SURGERY IN THE OPERATING ROOM IMPRESSES UPON STUDENTS THE IMPORTANCE OF MAINTAINING GOOD CARDIAC HEALTH, AS WELL AS EXPOSING STUDENTS TO POTENTIAL INTEREST IN HEALTH CARE CAREERS. CANCER CHRIST MEDICAL CENTER HAS AND WILL CONTINUE TO ADDRESS ADULT AND PEDIATRIC CANCER CARE NEEDS OF THE COMMUNITY THROUGH THE EXPERIENCE AND ADVANCED TECHNOLOGIES OF THE CANCER INSTITUTE. EACH YEAR, NEARLY 1,800 NEWLY DIAGNOSED CANCER PATIENTS SEEK CARE AT CHRIST MEDICAL CENTER. THESE VOLUMES HAVE MADE THE MEDICAL CENTER ONE OF THE MOST EXPERIENCED CANCER TREATMENT CENTERS IN ILLINOIS. ACMC IS ACCREDITED BY THE AMERICAN COLLEGE OF SURGEONS (ACS) AS A CANCER TEACHING MEDICAL CENTER, THE HIGHEST ACS DESIGNATION POSSIBLE FOR A NON-UNIVERSITY MEDICAL CENTER. CHRIST MEDICAL CENTER ALSO OFFERS LEADING-EDGE TECHNOLOGIES, INCLUDING MINIMALLY INVASIVE APPROACHES LIKE CYBERKNIFE RADIOSURGERY, VIDEO-ASSISTED THORACIC SURGERY (VATS) FOR LUNG TUMORS AND ENDOSCOPIC ULTRASOUND TO DETECT TUMORS TOO SMALL TO BE SEEN BY CT OR MRI SCANS. ALONG WITH THE FAMILY PHYSICIAN, ACMC ALSO COORDINATES SWIFT DIAGNOSTIC TESTING RESULTS TO HELP REDUCE PATIENT ANXIETY WHILE WAITING FOR RESULTS. COMMUNITY OUTREACH IS AN IMPORTANT COMPONENT TO CANCER CARE. CHRIST MEDICAL CENTER RECEIVED A RICE FOUNDATION GRANT, WHICH PROVIDES FOR DIRECTED EDUCATION AND SCREENING ON COLON CANCER AND COLONOSCOPY TO HIGH-RISK, LOW-INCOME POPULATIONS AS IDENTIFIED BY LOCAL RELIGIOUS CONGREGATIONS. REGULAR FREE SKIN CANCER SCREENINGS ARE ALSO PROVIDED AS WELL AS A VARIETY OF CANCER-RELATED EDUCATION PROGRAMS. GILDA'S CLUB OF CHICAGO HAS A SATELLITE SITE IN CHRIST MEDICAL CENTER'S OUTPATIENT PAVILION. THE CLUB OFFERS SUPPORT GROUPS AND SERVICES FOR PEOPLE OF ALL AGES DEALING WITH CANCER, WHETHER IT BE AS A SURVIVOR, A FAMILY MEMBER OR A FRIEND. THE ON-SITE RONALD MCDONALD HOUSE PROVIDES HOUSING AND OTHER SUPPORT PRIMARILY TO FAMILIES OF CHILDREN HOSPITALIZED FOR CANCER, HEART SURGERY OR HIGH RISK BIRTH. THE KEYSER FAMILY PEDIATRIC CANCER CENTER PROVIDES ONE OF THE LARGEST, MOST COMPREHENSIVE PROGRAMS IN THE MIDWEST TO TREAT CHILDHOOD CANCERS AND BLOOD DISORDERS INCLUDING LYMPHOMAS, LEUKEMIA, BRAIN TUMORS, KIDNEY TUMORS, SICKLE CELL DISEASE, APLASTIC ANEMIA, AND PLATELET AND WHITE CELL DISORDERS. THE KEYSER FAMILY PEDIATRIC CANCER CENTER IS AN ACTIVE MEMBER OF THE CHILDREN'S ONCOLOGY GROUP, AN INTERNATIONAL RESEARCH ORGANIZATION SPONSORED BY THE NATIONAL CANCER INSTITUTE, DEDICATED TO DEVELOPING STATE-OF-THE-ART TREATMENTS FOR CHILDHOOD CANCERS. STROKE COMMUNITY MEMBERS WHO SUFFER A STROKE ARE GUARANTEED THAT EXPERTS AT THE CHRIST MEDICAL CENTER NEUROSCIENCES INSTITUTE WILL APPLY INNOVATIVE SOLUTIONS, INCLUDING NEURO-ENDOVASCULAR AND NEURO-INTERVENTIONAL OPTIONS. CHRIST MEDICAL CENTER IS AN ACCREDITED COMPREHENSIVE STROKE CENTER, TREATING MORE STROKE PATIENTS THAN ANY OTHER HOSPITAL IN THE CHICAGO AREA, AND IS EXPERIENCED IN RESPONDING QUICKLY TO SAVE BRAIN CELLS AND PRESERVE QUALITY OF LIFE. THE MEDICAL CENTER WAS RATED BY U.S. NEWS & WORLD REPORT AS A HIGH PERFORMING MEDICAL CENTER IN THE CHICAGO METROPOLITAN REGION IN NEUROLOGY AND NEUROSURGERY, AND HAS A DEDICATED STROKE NAVIGATOR TO GUIDE PATIENTS THROUGH DIAGNOSIS AND TREATMENT. THE NEUROSCIENCES INSTITUTE ALSO PROVIDES SEVERAL MONTHLY STROKE SUPPORT GROUPS AND COMMUNITY EDUCATION OPPORTUNITIES. THE STROKE EDUCATORS REGULARLY PROVIDE EDUCATION REGARDING STROKE RISK FACTORS THROUGHOUT THE MEDICAL CENTER'S SERVICE AREA. ADVOCATE LUTHERAN GENERAL HOSPITAL ADVOCATE LUTHERAN GENERAL HOSPITAL (ALGH) ASSESSED AND IDENTIFIED FOUR NEEDS FROM ITS CHNA AS PRIORITIES FOR HOSPITAL ACTION: 1) REDUCE CARDIOVASCULAR RISK AND DISEASE IN THE SOUTH ASIAN COMMUNITY; 2) REDUCE FALLS IN SENIORS 65 AND OLDER IN HOSPITAL SERVICE AREA; 3) REDUCE PREVELANCE OF SMOKING IN THE HOSPITAL SERVICE AREA; AND 4) CREATE A PROGRAM TO ADDRESS OVERALL HEALTH AND STRESS MANAGEMENT FOR WOMEN. AS OF DECEMBER 2014, THE FOLLOWING ACCOMPLISHMENTS ADDRESSED THESE PRIORITIES: 1)SOUTH ASIAN CARDIOVASCULAR RISK AND DISEASE. THE SOUTH ASIAN CARDIOVASCULAR CENTER (SACC): a) OFFERED COMMUNITY LECTURES EDUCATING OVER 5,000 SOUTH ASIANS ON THEIR FOUR TIMES GREATER RISK OF CARDIOVASCULAR DISEASE; b) DEVELOPED A SACC SOCIAL MEDIA PRESENCE TO INCREASE AWARENESS; c) HOSTED RED SARI EVENT TO RAISE AWARENESS OF CARDIOVASCULAR DISEASE IN SOUTH ASIAN WOMEN; d) LAUNCHED SAHEB (SOUTH ASIAN HEALTHY EATING BENEFITS CHICAGO); e) DESIGNED AND WENT LIVE WITH YOUTUBE SOUTH ASIAN "HEALTHY COOKING SERIES" WITH MASTER CHEF SEASON 2 FINALIST AND SACC ADVISORY BOARD MEMBER, SUZY SINGH; f) ESTABLISHED A PRIMARY/SECONDARY PREVENTION PRACTICE TO PROVIDE ETHNICALLY APPROPRIATE CARE TO OUTPATIENT SOUTH ASIANS (APPROXIMATELY 15-20 A MONTH); g) PROVIDED SOUTH ASIAN SPECIFIC DIABETES EDUCATION; h) OFFERED VISITS BY ALGH SOUTH ASIAN NURSE NAVIGATOR TO SOUTH ASIAN INPATIENTS THREE TIMES A WEEK TO PROVIDE BEDSIDE EDUCATION AND PATIENT ADVOCACY; i) COMPLETED TWO PRESENTATIONS BY MEDICAL DIRECTOR OF THE SACC, DR. SHOEB SITAFWALLA, ON SOUTH ASIAN CARDIOVASCULAR DISEASE AT THE AMERICAN TAMIL ASSOCIATION NATIONAL CONFERENCE IN MAY 2014, AND THE NATIONAL LIPID ASSOCIATION MIDWEST CLINICAL UPDATE IN AUGUST 2014; j) PUBLISHED AN ARTICLE ON THE SOUTH ASIAN CARDIOVASCULAR EPIDEMIC IN LIPID SPIN, 6-9, SPRING 2014; k) CREATED RESEARCH COLLABORATION BETWEEN THE SACC AND LOYOLA UNIVERSITY, ENTITLED "A POLYMORPHIC MYBPC3 MUTATION AS A MAJOR RISK FACTOR OF HEART FAILURE IN SOUTH ASIAN POPULATION." 2) FALL PREVENTION - SENIOR POPULATION: a) OFFERED THREE MATTER OF BALANCE (MOB) CLASSES IN THE COMMUNITY (WITH 30 TOTAL PARTICIPANTS); b) MADE ADDITIONAL PRESENTATIONS TO ANOTHER 30 PEOPLE IN COMMUNITY TO INCREASE AWARENESS OF FALL RISK; c) PRE AND POST-SURVEY FROM MATTER OF BALANCE CLASSES INDICATED A 25% INCREASE IN PARTICIPANTS CONFIDENCE IN THEIR ABILITY TO PROTECT THEMSELVES IF THEY FALL (NATIONAL AVERAGE 30%); A 19.23% INCREASE IN PARTICIPANTS PERSONAL COMMITMENT TO EXERCISE (NATIONAL AVERAGE 15.88%); AND A 45.45% INCREASE IN PARTICIPANTS CONFIDENCE RELATED TO CONTROLLING THEIR ENVIRONMENT TO REDUCE FALL RISKS (NATIONAL AVERAGE 23.26%). 3)SMOKING CESSATION: a) ALGH BEHAVIORAL HEALTH/ADDICTION MEDICINE MADE A COMMITMENT TO DEVELOP A SMOKING CESSATION CLINIC AFTER ASSESSING THAT AN INITIAL 1:1 SMOKING CESSATION COUNSELING DESIGN WAS NOT MEETING OBJECTIVES; b) SELECTED AN EVIDENCE-BASED PROGRAM FOLLOWING LITERATURE REVIEW, "STANDARD FOR TRAINING IN SMOKING CESSATION AS OUTLINED IN THE MANUAL OF SMOKING CESSATION: A GUIDE FOR COUNSELORS AND PRACTITIONERS," ANDY MCEWEN AND ROBERT WEST; c) CREATED FINAL HOSPITAL PROGRAM BASED ON ABOVE PROGRAM BY COMBINING MEDICAL MANAGEMENT AND GROUP COUNSELING SESSIONS WITH THE FIRST SESSION SET FOR JANUARY 2015. 4) STRESS MANAGEMENT: a) PARTNERED WITH THE PARK RIDGE PARK DISTRICT TO PROVIDE THREE SESSIONS OF "HEALTHY WOMEN A-Z," A PROGRAM DESIGNED TO ENHANCE STRESS MANAGEMENT THROUGH FITNESS AND ST
4) OTHER SPECIFIC PROGRAMS ADDRESSING CULTURAL HEALTH DISPARITIES SINCE 2011, ADVOCATE LUTHERAN GENERAL HOSPITAL HAS BEEN ON A JOURNEY TO IDENTIFY NEEDS OF SPECIFIC CULTURAL GROUPS AND DESIGN PROGRAMS TO MEET THESE NEEDS. THIS INITIATIVE WILL CONTINUE ALTHOUGH THE NEED WAS NOT SELECTED AS A PRIORITY FROM THE CHNA. IN MAY 2011, A KOREAN NAVIGATOR, AN ADVANCED PRACTICE NURSE, WAS HIRED TO: (1) TRANSFORM THE DELIVERY OF CARE FOR THE ALGH KOREAN-AMERICAN POPULATION; (2) CREATE A KOREAN-AMERICAN HEALTH EDUCATION PROGRAM; (3) CREATE A KOREAN-AMERICAN HEALTH SCREENING PROGRAM; AND 4) BUILD A PROCESS TO CONTINUALLY ASSESS, IDENTIFY AND ADDRESS SPECIFIC HEALTH NEEDS IN THE KOREAN-AMERICAN COMMUNITY. A SEPARATE IN-DEPTH COMMUNITY HEALTH NEEDS ASSESSMENT OF THE KOREAN-AMERICAN COMMUNITY WAS COMPLETED IN DECEMBER 2014 WITH THE HANUL FAMILY ALLIANCE, A COMMUNITY PARTNER THAT WILL BE THE FOUNDATION FOR NEW PROGRAMMING MOVING FORWARD. IN DECEMBER 2012, A POLISH PATIENT NAVIGATOR WAS HIRED INITIALLY TO FOCUS ON BREAST HEALTH, BUT WILL BEGIN ADDRESSING COLORECTAL HEALTH AND COMPLETING A FULL HEALTH NEEDS ASSESSMENT FOR THE POLISH COMMUNITY IN THE 2014-2016 COMMUNITY HEALTH NEEDS ASSESSMENT CYCLE. WHILE THE ACCESS GENESIS CLINIC IN DES PLAINES (ORIGINALLY FOUNDED BY ADVOCATE LUTHERAN GENERAL HOSPITAL) CONTINUES TO ADDRESS THE NEEDS OF THE HISPANIC COMMUNITY IN LUTHERAN GENERAL'S PRIMARY SERVICE AREA (PSA), A MORE IN-DEPTH NEEDS ASSESSMENT WILL BE INCLUDED IN THE UPCOMING 2014-2016 CHNA CYCLE. 2014-2016 COMMUNITY HEALTH NEEDS ASSESSMENT AS PART OF ORGANIZING FOR THE 2014-2016 CHNA PROCESS, THE HOSPITAL MAINTAINED ITS REGULAR MEETING SCHEDULE FOR THE COMMUNITY HEALTH COUNCIL IN 2014 AND RECRUITED A SECOND KEY INDIVIDUAL FROM THE COOK COUNTY DEPARTMENT OF PUBLIC HEALTH TO SERVE ON THE COUNCIL. ADVOCATE GOOD SAMARITAN HOSPITAL THE TWO PRIORITY NEEDS SELECTED BY THE COMMUNITY HEALTH COUNCIL FOR THE HOSPITAL TO ADDRESS WERE CHILDHOOD OVERWEIGHT AND OBESITY, AND FALLS AMONG SENIORS. OVERWEIGHT AND OBESITY TO ADDRESS THE NEEDS OF OVERWEIGHT AND OBESE CHILDREN, GOOD SAMARITAN HEALTH AND WELLNESS CENTER AND ADVOCATE GOOD SAMARITAN HOSPITAL (AGSAM) ARE PARTNERING WITH THE PROACTIVE KIDS (PAK) FOUNDATION AND THE FORWARD INITIATIVE (FIGHTING OBESITY REACHING HEALTHY WEIGHT AMONG RESIDENTS OF DUPAGE). PROACTIVE KIDS (PAK) PROACTIVE KIDS TEACHES KIDS AND THEIR FAMILIES' FUN WAYS TO IMPROVE HEALTH AND DECREASE WEIGHT THROUGH A THREE PART PROGRAM: PAK FITNESS, PAK NUTRITION AND PAK LIFESTYLE COACHING. PAK IS OPEN TO CHILDREN 8-14 YEARS OLD WHO HAVE A BMI IN THE 85 PERCENTILE OR HIGHER. THIS FREE 8-WEEK PROGRAM INCLUDES PHYSICAL TRAINING, COUNSELING, NUTRITION AND GUIDED DISCUSSION. PARENTS ALSO PARTICIPATE IN THE PROGRAM WHICH EDUCATES FAMILIES TOGETHER IN ENGAGING AND SUSTAINABLE WAYS TO IMPROVE THEIR HEALTH THROUGH WEEKLY PHYSICAL EXERCISE, LESSONS AND ASSIGNMENTS. DATA IS COLLECTED AT THE BEGINNING AND END OF EACH 8-WEEK SESSION TO MEASURE WEIGHT, BMI, BODY FAT, FAT MASS AND FAT FREE MASS. OBJECTIVE #1: INCREASE COMMITMENT TO FITNESS AMONG PROGRAM PARTICIPANTS BY IMPLEMENTING THREE PROACTIVE KIDS (PAK) PLAN SESSIONS EACH YEAR FROM 2014-2016 FOR A TOTAL OF 9 EIGHT-WEEK SESSIONS. ACCOMPLISHMENTS: IN 2014, 3 EIGHT-WEEK SESSIONS OF PROACTIVE KIDS WERE OFFERED. (WINTER, SUMMER AND FALL) 1. IN WINTER OF 2014, 64% OF THE PARTICIPANTS (12 OF 19) ATTENDING DAY 1 COMPLETED THE 8-WEEK PROGRAM. 2. IN SUMMER OF 2014, 50% OF THE PARTICIPANTS (12 OF 24) ATTENDING DAY 1 COMPLETED THE 8-WEEK PROGRAM. 3. IN FALL OF 2014, 64% OF THE PARTICIPANTS (16 OF 25) ATTENDING DAY 1 COMPLETED THE 8-WEEK PROGRAM. 4. IN WINTER OF 2014, 100% OF THE PARTICIPANTS (12 OF 12) THAT COMPLETED SURVEY HAD AN IMPROVED COMMITMENT TO THEIR FITNESS. 5. IN SUMMER OF 2014, 89% OF THE PARTICIPANTS (8 OF 9) THAT COMPLETED SURVEY HAD AN IMPROVED COMMITMENT TO THEIR FITNESS. 6. IN FALL OF 2014, 100% OF THE PARTICIPANTS (14 OF 14) THAT COMPLETED SURVEY HAD AN IMPROVED COMMITMENT TO THEIR FITNESS. OBJECTIVE #2: CREATE HEALTHIER HABITS IN FOOD SELECTION, COOKING & EATING AND NUTRITION KNOWLEDGE AMONG PROGRAM PARTICIPANTS BY IMPLEMENTING THREE PROACTIVE KIDS (PAK) PLAN PROGRAMS EACH YEAR FROM 2014-2016 FOR A TOTAL OF 9 SESSIONS. ACCOMPLISHMENTS: 1. IN WINTER OF 2014, 100% OF THE PARTICIPANTS (12 OF 12) THAT COMPLETED SURVEY HAD A POSITIVE ATTITUDE CHANGE TOWARD THEIR DIET AND NUTRITION. 2. IN SUMMER OF 2014, 89% OF THE PARTICIPANTS (8 OF 9) THAT COMPLETED SURVEY HAD A POSITIVE ATTITUDE CHANGE TOWARD THEIR DIET AND NUTRITION. 3. IN FALL OF 2014, 93% OF THE PARTICIPANTS (14 OF 15) THAT COMPLETED SURVEY HAD A POSITIVE ATTITUDE CHANGE TOWARD THEIR DIET AND NUTRITION. OBJECTIVE #3: BUILD CONFIDENCE, INCREASE COMMUNICATION & TEACH COPING SKILLS AMONG PROGRAM PARTICIPANTS BY IMPLEMENTING THREE PROACTIVE KIDS (PAK) PLAN PROGRAMS EACH YEAR FROM 2014-2016 FOR A TOTAL OF 9 SESSIONS. ACCOMPLISHMENTS: 1. IN WINTER OF 2014, 58% OF THE PARTICIPANTS (7 OF 12) THAT COMPLETED SURVEY RECOGNIZED AN IMPROVEMENT IN SOCIAL ENGAGEMENT. 2. IN SUMMER OF 2014, 88% OF THE PARTICIPANTS (7 OF 8) THAT COMPLETED SURVEY RECOGNIZED AN IMPROVEMENT IN SOCIAL ENGAGEMENT. 3. IN FALL OF 2014, 86% OF THE PARTICIPANTS (12 OF 14) THAT COMPLETED SURVEY RECOGNIZED AN IMPROVEMENT IN SOCIAL ENGAGEMENT. FORWARD INITIATIVE THE FORWARD INITIATIVE IS A BROAD-BASED COMMUNITY COALITION IN DUPAGE COUNTY THAT COLLABORATES TO PROMOTE EFFECTIVE AND SUSTAINABLE POLICY, SYSTEM, AND ENVIRONMENTAL (PSE) STRATEGIES FOR CHILDREN AND FAMILIES TO ACHIEVE A HEALTHY WEIGHT. OBJECTIVE #1: IDENTIFY EVIDENCE-BASED INTERVENTIONS TO REDUCE OBESITY THROUGH EFFECTIVE AND SUSTAINABLE POLICY, SYSTEM AND ENVIRONMENTAL (PSE) CHANGE STRATEGIES TO REVERSE THE TREND OF OBESITY IN DUPAGE COUNTY. ACCOMPLISHMENTS: PSE CHANGES 1. IN 2014-2015, ACHIEVED 15 POLICY AND ENVIRONMENTAL CHANGES WITH 5 CHILD CARE CENTERS IN AGSAM'S SECONDARY SERVICE AREA. OBJECTIVE #2: REDUCE THE PREVALENCE OF OVERWEIGHT AND OBESITY AMONG DUPAGE COUNTY SCHOOL CHILDREN AND ADOLESCENTS (KINDERGARTEN, 6TH AND 9TH GRADES) FROM 2010-2011 BASELINE OF 31.1% (N=11,496). ACCOMPLISHMENTS: REDUCTION IN OVERWEIGHT AND OBESITY RATES 1. THE OVERALL OVERWEIGHT AND OBESITY RATES AS MEASURED BY THE 2013-2014 BMI RATES REMAINED STEADY (29.7%, N=30, 174) AFTER DUPAGE COUNTY EXPERIENCED A 1% STATISTICALLY SIGNIFICANT DECREASE, IN 2012-2013 FROM 31.1% TO 29.9% (N=27,914). 2. OVERALL OBESITY ONLY RATES WERE REDUCED FROM 15.1% IN THE 2010-2011 BASELINE YEARS, TO 14.4% BY 2013-2014, AFTER AN INCREASE IN OVERALL OBESITY OF 0.3% IN 2011-2012. SENIOR HEALTH DATA FROM THE HOSPITAL'S TRAUMA REGISTRY INDICATED FALLS AMONG SENIORS AS THE NUMBER ONE REASON FOR ADMISSION INTO THE EMERGENCY DEPARTMENT. A MATTER OF BALANCE (MOB) IS AN EVIDENCE-BASED, LAY LED MODEL, DEVELOPED BY BOSTON UNIVERSITY THAT IS APPROPRIATE FOR SENIORS LIVING IN PEACE MEMORIAL MANOR AND FOR SENIORS LIVING IN THE HOSPITAL'S BROADER PRIMARY SERVICE AREA (PSA). IT IS AN 8-SESSION PROGRAM THAT INCORPORATES PHYSICAL ACTIVITY, EDUCATION AND SMALL GROUP DISCUSSION. THE GOALS OF THE PROGRAM ARE TO IMPROVE ATTITUDES AND ALLEVIATE A FEAR OF FALLING THROUGH INCREASING PHYSICAL ACTIVITY AS MEASURED BY PRE- AND POST-CLASS SURVEYS. RESEARCH FROM BOSTON UNIVERSITY INDICATES THAT SENIORS WHO FEEL IN CONTROL OF THEIR FEAR OF FALLING ARE MORE ACTIVE AND THOSE SENIORS WHO ARE MORE ACTIVE ARE LESS LIKELY TO FALL. WHILE ONLY ONE CLASS SERIES WAS IMPLEMENTED DURING 2014, THE HOSPITAL ANTICIPATES EXPANSION OF THIS PROGRAM INTO ADDITIONAL INDEPENDENT AND ASSISTED LIVING FACILITIES AS WELL AS DEVELOPMENT OF PARTNERSHIPS WITH COMMUNITY GROUPS TO BRING MATTER OF BALANCE TO INDEPENDENT SENIORS AT RISK FOR FALLS IN THE PSA. OBJECTIVE #1: SENIORS PARTICIPATING IN MATTER OF BALANCE PROGRAM LEARN TO VIEW FALLS AND FEAR OF FALLING AS CONTROLLABLE. ACCOMPLISHMENTS: 1. IN MAY 2014, 100% OF THE 12 SENIORS WHO ATTENDED MATTER OF BALANCE (MOB) COMPLETED 5 OUT OF 8 CLASSES REQUIRED TO GRADUATE. 2. IN NOVEMBER 2014, 89% OF THE 9 SENIORS WHO ATTENDED MATTER OF BALANCE (MOB) COMPLETED 5 OUT OF 8 CLASSES REQUIRED TO GRADUATE. 3. IN MAY 2014, 100% OF THE PARTICIPANTS (12 OF 12) SELF-REPORTED FEELING MORE COMFORTABLE TALKING WITH OTHERS ABOUT HIS/HER FEAR OF FALLING. 4. IN NOVEMBER 2014, 83% OF THE PARTICIPANTS (5 OF 6) SELF-REPORTED FEELING MORE COMFORTABLE TALKING WITH OTHERS ABOUT HIS/HER FEAR OF FALLING. 5. MOB COACH TRAININGS WERE CONDUCTED ON MARCH 13 AND NOVEMBER 13, 2014, FOR 6 COACHES TO LEAD MOB CLASSES. OBJECTIVE #2: SENIORS PARTICIPATING IN MATTER OF BALANCE PROGRAM SET REALISTIC GOALS TO INCREASE ACTIVITY. ACCOMPLISHMENTS: 1. IN MAY 2014, 100% OF THE PARTICIPANTS (12 OF 12) REPORTED ON THE POST SURVEY THAT THEY PLAN TO CONTINUE EXERCISING. 2. IN NOVEMBER 2014, 100% OF THE PARTICIPANTS (6 OF 6) REPORTED ON THE POST SURVEY THAT THEY PLAN TO CONTINUE EXERCISING. OBJECTIVE #3: SENIORS PARTICIPATING IN MATTER OF BALANCE PROGRAM CHANGE THEIR ENVIRONMENT TO REDUCE FALL RISK FACTORS. ACCOMPLISHMENTS: 1. IN MAY 2014, ON THE POST SURVEY, 92% OF THE PARTICIPANTS (11 OF 12) INDICATED THEY
NEEDS NOT SELECTED TO ADDRESS THERE ARE FOUR AREAS OF NEED FOR WHICH THE COMMUNITY HEALTH COUNCIL DID NOT CHOOSE PRIORITY ACTION BECAUSE THEY HAVE PREVIOUSLY BEEN, AND CONTINUE TO BE ADDRESSED, THROUGH SPECIFICALLY DESIGNED CLINICAL PROGRAMS AND COMMUNITY OUTREACH ACTIVITIES. THESE AREAS COMPRISE MENTAL HEALTH SERVICES, ACCESS TO CARE, SUBSTANCE ABUSE AND INFECTIOUS DISEASE. MENTAL HEALTH SERVICES THE COMMUNITY HEALTH COUNCIL DECIDED NOT TO FOCUS ON MENTAL HEALTH SERVICES AT THIS TIME. WHILE GOOD SAMARITAN HOSPITAL PROVIDES SIGNIFICANT MENTAL HEALTH RESOURCES FOR ADULT AND GERIATRIC POPULATIONS, THE HOSPITAL DOES NOT HAVE EXPERTISE WITH CHILD AND ADOLESCENT BEHAVIORAL HEALTH PATIENTS. ADDITIONALLY, DUE TO A VARIETY OF REASONS, THE HOSPITAL IS CURRENTLY EXPERIENCING A SHORTAGE OF PSYCHIATRISTS AND DOES NOT HAVE THE STAFFING RESOURCES TO EXPAND COMMUNITY-BASED SERVICES AT THIS TIME. HOWEVER, GOOD SAMARITAN HOSPITAL DOES PARTNER WITH SEVERAL ORGANIZATIONS TO OFFER SUPPORT GROUPS AND PROGRAMMING DEDICATED TO PROVIDING ASSISTANCE AND ENCOURAGEMENT TO PATIENTS WITH BEHAVIORAL HEALTH CONCERNS. THESE INCLUDE: * NATIONAL ALLIANCE ON MENTAL ILLNESS (NAMI) CONNECTION, RECOVERY SUPPORT GROUP PROGRAM FOR ADULTS LIVING WITH MENTAL ILLNESS. * NAMI FAMILY SUPPORT GROUP * FAMILIES AND MENTAL ILLNESS...LEARNING, INSPIRING, EDUCATION AND SUPPORT (F.A.M.I.L.I.E.S) LED BY NAMI COUNSELORS AND HELD AT ADVOCATE GOOD SAMARITAN HOSPITAL * GOOD SAMARITAN'S DOMESTIC VIOLENCE SUPPORT GROUP * DEPRESSION AND BIPOLAR SUPPORT ALLIANCE * DEMENTIA SUPPORT GROUP ACCESS TO HEALTH CARE ACCORDING TO THE AGENCY FOR HEALTHCARE RESEARCH AND QUALITY, ACCESS TO HEALTH CARE IS THE THIRD MOST IMPORTANT FACTOR NEEDED FOR A HEALTHY COMMUNITY. HOWEVER, SINCE THE HOSPITAL IS ALREADY MAKING MAJOR FINANCIAL CONTRIBUTIONS (AND WILL CONTINUE TO DO SO) AND IS COLLABORATING WITH MULTIPLE COMMUNITY PARTNERS TO ADDRESS HEALTH ACCESS NEEDS, THE COMMUNITY HEALTH COUNCIL HAS CHOSEN NOT TO EXPAND FOCUS INTO THIS AREA DURING THE 2011-2013 THREE-YEAR CHNA CYCLE. ACCESS DUPAGE FOR MORE THAN TEN YEARS, GOOD SAMARITAN HOSPITAL HAS PARTNERED WITH ACCESS DUPAGE AND HAS PROVIDED CASH DONATIONS AND CHARITY CARE FOR ACCESS DUPAGE PARTICIPANTS. ACCESS DUPAGE REPRESENTS A UNIQUE PARTNERSHIP OF HOSPITALS, PHYSICIANS, LOCAL GOVERNMENT, HUMAN SERVICES AGENCIES AND COMMUNITY GROUPS WORKING TOGETHER LOCALLY TO ADDRESS THE LOCAL ACCESS TO HEALTH CARE NEEDS. QUALIFIED APPLICANTS ARE TYPICALLY ENROLLED IN THE ACCESS DUPAGE PROGRAM FOR A PERIOD OF ONE YEAR, AFTER WHICH THEY MUST RE-APPLY FOR MEMBERSHIP IN THE PROGRAM AND THEIR ELIGIBILITY MUST BE RE-VERIFIED. MEMBERSHIP IN THE ACCESS DUPAGE PROGRAM PROVIDES ACCESS TO MEDICAL SERVICES TO DUPAGE COUNTY'S LOW-INCOME, MEDICALLY UNINSURED RESIDENTS. IN ADDITION TO SUPPORTING ACCESS DUPAGE WITH DONATIONS, GOOD SAMARITAN HOSPITAL ACCEPTS QUALIFIED PARTICIPANTS AT ITS SITES OF CARE FOR DIAGNOSIS AND TREATMENT AT NO COST. THE HOSPITAL ALSO ENCOURAGES PHYSICIANS ON ITS MEDICAL STAFF TO TAKE THESE PATIENTS INTO THEIR MEDICAL PRACTICES AT NO COST. THESE PHYSICIANS THEN BECOME THE MEDICAL HOME FOR ACCESS DUPAGE MEMBERS. ELIGIBLE PARTICIPANTS MUST: * RESIDE IN DUPAGE COUNTY FOR AT LEAST 30 DAYS * BE UNDER AGE 65 * HAVE A HOUSEHOLD INCOME BELOW 200% OF THE FEDERAL POVERTY LEVEL * HAVE NO MEDICAL INSURANCE * BE INELIGIBLE FOR PRIVATE OR PUBLIC HEALTH COVERAGE PROGRAMS (E.G., MEDICAID, MEDICARE, VETERANS BENEFITS, ETC.). IN 2014, THE HOSPITAL CONTRIBUTED OVER $834,218 IN DIRECT CASH DONATIONS TO SUPPORT PROGRAM OPERATIONS AND $2,367,026 FOR SERVICES FOR ACCESS DUPAGE PARTICIPANTS. THE DECREASE OF CASH DONATIONS AND SERVICES OF $10,946,372 FROM 2013 REPORTED FIGURE OF $13,310,753 IS DUE TO THE MANY ACCESS DUPAGE PATIENTS NOW ELIGIBLE FOR THE EXPANDED MEDICAID SERVICES. WHY WAIT CLINIC A SECOND LONG-TERM COMMUNITY COLLABORATION IS THE "WHY WAIT CLINIC," IN COOPERATION WITH THE DUPAGE COUNTY HEALTH DEPARTMENT. THIS PROGRAM PROVIDES UNDERSERVED, UNINSURED, UNDERINSURED AND LOW-INCOME WOMEN ACCESS TO FREE SCREENING BREAST AND PELVIC EXAMS; PAP SMEARS; AND MAMMOGRAMS AS WELL AS DIAGNOSTIC BIOPSIES AND SURGERIES; AND TREATMENT WHEN NECESSARY. IN 2014, GOOD SAMARITAN HOSPITAL PROVIDED 239 SERVICES TO DUPAGE COUNTY WOMEN. USE OF GOOD SAMARITAN HOSPITAL'S DIAGNOSTIC IMAGING SUITES AND STAFF RESULTED IN A TOTAL COMMUNITY BENEFIT OF $477,367. ENGAGE DUPAGE ENGAGE DUPAGE IS A COLLABORATIVE INITIATIVE IMPLEMENTED IN OCTOBER OF 2014 BY THE DUPAGE COUNTY HEALTH DEPARTMENT AND ADVOCATE GOOD SAMARITAN HOSPITAL TO ADDRESS THE NEEDS OF SELF-PAY, MANG-PENDING AND MEDICAID PATIENTS WHO HAVE BEHAVIORAL/MENTAL HEALTH PROBLEMS, ARE CHEMICALLY DEPENDENT AND/OR ARE CONSIDERED TO BE "AT RISK" (I.E., PATIENTS WHO USE THE ED TO MANAGE THEIR CHRONIC CONDITIONS SUCH AS ASTHMA, COPD, HEART DISEASE DIABETES, HYPERTENSION, ETC.). A COMMUNITY RESOURCE LIAISON (CRL) FROM THE DUPAGE COUNTY HEALTH DEPARTMENT (DCHD) IS PLACED IN GSAM'S EMERGENCY ROOM DURING THE DAYS AND TIMES THAT CORRESPOND TO THE HEAVIEST ED TRAFFIC. THE GOALS OF THE PROGRAM INCLUDE: 1) IMPROVING THE HEALTH STATUS OF PATIENTS WHO ARE SELF-PAY, MANG-PENDING, AND MEDICAID BY ENROLLING PERSONS IN PROGRAMS FOR WHICH THEY ARE ELIGIBLE THROUGH A FOCUSED POPULATION-BASED HEALTH PARTNERSHIP; AND 2) CONNECTING FREQUENT ED USERS (DEFINED AS PATIENTS USING THE ED TWICE IN ONE MONTH OR MORE THAN 4 TIMES WITHIN A 6-MONTH ROLLING TIME FRAME) TO A MEDICAL HOME OR COMMUNITY PROGRAM TO HELP DECREASE THE NEED FOR UNNECESSARY ED VISITS. EXPECTED RESULTS OF THE PROGRAM INCLUDE: 1. HEALTH COVERAGE - FOR ALL PATIENTS THAT ATTEND A FOLLOW-UP APPOINTMENT, ACHIEVE A 50% ENROLLMENT INTO A FORM OF HEALTH COVERAGE. IN THE FOURTH QUARTER OF 2014, ACHIEVED 32% ENROLLMENT (24 APPROVED ENROLLMENTS OF 74 APPOINTMENTS). 2. FREQUENT USE - PATIENTS WHO ARE FREQUENT USERS WITH COMORBIDITIES RELATED TO BH/MENTAL HEALTH AND "AT-RISK" AND ARE SELF-PAY OR MEDICAID, ACHIEVE A 50% DECREASE IN ER VISITS. IN THE FOURTH QUARTER OF 2014, ACHIEVED 17.5% PATIENT DECREASE FROM BASELINE. 3. ENROLLMENT IN APPROPRIATE COMMUNITY PROGRAMS - PATIENTS WHO ARE BH/MENTAL HEALTH, CHEMICAL DEPENDENCY AND "AT-RISK" AND ATTEND A FOLLOW-UP APPOINTMENT, ACHIEVE A 40% ENROLLMENT RATE INTO A COMMUNITY PROGRAM (E.G., DUPAGE COUNTY BEHAVIORAL HEALTH SERVICES). IN THE FOURTH QUARTER OF 2014, 177 PATIENT CONTACTS WERE INITIATED WITH 110 BENEFITTING APPOINTMENTS SCHEDULED. OF THE 110 APPOINTMENTS SCHEDULED, 74 PATIENTS ATTENDED THEIR FOLLOW-UP APPOINTMENTS. 46 OF THE 74 PATIENTS WHO ATTENDED A FOLLOW-UP APPOINTMENT (OR 62%) COMPLETED APPLICATIONS AND WERE ENROLLED IN COMMUNITY PROGRAMS: 18 IN DCHD PROGRAMS, 6 IN SNAP, 1 IN ACCESS DUPAGE, AND 21 BETWEEN ADULT MEDICAID, ALL KIDS, AND MPE. IT SHOULD BE NOTED THAT THE RELATIONSHIP BETWEEN GSAM AND DCHD IN THE ENGAGE DUPAGE COLLABORATIVE IS A CONTRACTUAL ONE. AS PART OF THE AGREEMENT, THE CRL POSITION IS A PAID POSITION OF THE DUPAGE COUNTY HEALTH DEPARTMENT WHILE THE HOSPITAL PROVIDES THE WORKSPACE, ACCESS TO THE TECHNOLOGY NEEDED TO DO THE WORK (E.G., TELEPHONES, COMPUTER, EMR, ETC.) AND ORIENTATION TO THE WORK TEAM IN THE ED. GSAM IS ALSO RESPONSIBLE FOR GATHERING PERTINENT DATA AND PROVIDING IT TO THE PUBLIC HEALTH DEPARTMENT TO ASSIST THEM IN MONITORING AND REPORTING OUTCOMES. AN ADDITIONAL BARRIER TO ACCESSING HEALTH CARE IS LANGUAGE. COMMUNICATION IS CRITICAL TO A PATIENT'S UNDERSTANDING OF THEIR PLAN OF CARE. LACK OF COMMUNICATION DUE TO LANGUAGE BARRIERS OR DEAFNESS CAN IMPEDE THAT UNDERSTANDING. INTERPRETER SERVICES ARE PROVIDED BY THE HOSPITAL, AT NO COST, TO PATIENTS WHO NEED THEM. THE DUPAGE COUNTY COMMUNITY NEEDS ASSESSMENT INDICATES AN INCREASE IN ETHNIC AND CULTURAL DIVERSITY, ESPECIALLY IN THE HISPANIC POPULATION IN DUPAGE COUNTY. ACCESS TO HEALTH CARE CAN BE CHALLENGING FOR A VARIETY OF REASONS, BUT THESE DIFFICULTIES ARE MULTIPLIED FOR PEOPLE WITH DECREASED COMMUNICATION CAPACITY AND VARIED CULTURAL DIFFERENCES. DIFFICULTY COMMUNICATING CAN ALSO COMPOUND LOW HEALTH LITERACY. GOOD SAMARITAN HOSPITAL CONTINUES TO EXPAND ACCESS TO CARE WITH MEDICAL INTERPRETERS FOR LIMITED ENGLISH PROFICIENT PATIENTS WHO WOULD OTHERWISE NOT BE ABLE TO COMMUNICATE AND UNDERSTAND THEIR PLAN OF CARE. IN 2010, THREE FULL-TIME, ON-SITE, SPANISH INTERPRETERS, IN COMBINATION WITH OUTSIDE AGENCY INTERPRETERS, PROVIDED COMMUNICATION ASSISTANCE FOR 5,645 ENCOUNTERS. SERVICES WERE PROVIDED AT THE MAIN HOSPITAL AS WELL AS AT THE LEMONT, WOODRIDGE, AND DOWNERS GROVE OUTPATIENT CENTERS AND THE HEALTH AND WELLNESS CENTER AT A COST OF $468,379 TO THE HOSPITAL. BY 2012, THE NEED FOR INTERPRETERS HAD RISEN 29%, CLIMBING TO 7,292 ENCOUNTERS AT A COST OF $756,237 WITH REQUESTS FOR ASSISTANCE IN MORE THAN 40 DIFFERENT LANGUAGES AT THE MAIN HOSPITAL CAMPUS AND OFFSITE LOCATIONS. IN 2013, THE LANGUAGE ASSISTANCE COSTS FOR THE HOSPITAL INCREASED TO $888,077. IN 2014, THE LANGUAGE ASSISTANCE COST TO THE HOSPITAL DECREASED TO $528,943 DUE TO AN IMPROVED CONTRACTUAL AGREEMENT WITH THE HOSPITAL'S SERVICE PROVIDER BY USING INTERPRE
INFECTIOUS DISEASE THE COMMUNITY HEALTH COUNCIL RECOMMENDED NOT FOCUSING ON INFECTIOUS DISEASE AT THIS TIME AS THE NEED FOR SEASONAL FLU VACCINES AND PNEUMOCOCCAL VACCINES IN THE COMMUNITY ARE CURRENTLY BEING FILLED BY THE RETAIL SECTOR. ADVOCATE HEALTH CARE IMPLEMENTED A MANDATORY FLU VACCINE PROGRAM IN 2011 THAT INCLUDES GOOD SAMARITAN STAFF, PHYSICIANS AND VOLUNTEERS. STUDIES HAVE SHOWN THAT WHEN HEALTH CARE WORKERS GET FLU SHOTS, THE NUMBER OF PATIENTS WITH INFLUENZA-LIKE ILLNESS GREATLY DECREASES, AS DOES PATIENT MORTALITY. SINCE THE INCEPTION OF MANDATORY FLU VACCINATION, DEATHS FROM HOSPITAL-ACQUIRED INFLUENZA HAVE BEEN ELIMINATED FOR THE PERIODS 2011-2012 AND 2012-2013. IN ADDITION, THE NUMBER OF HOSPITAL-ACQUIRED INFLUENZA CASES HAS DECREASED FROM 3.2% TO 2% OF ALL FLU HOSPITALIZATIONS. ACCORDING TO THE DUPAGE COUNTY BEHAVIOR RISK FACTOR SURVEY (BRFS), THE CENTERS FOR DISEASE CONTROL'S ADVISORY COMMITTEE ON IMMUNIZATION PRACTICES RECOMMENDS THAT ADULTS OVER AGE 65 RECEIVE ONE DOSE OF THE PNEUMONIA VACCINE IN THEIR LIFETIME. THE PNEUMONIA VACCINE IS ONLY RECOMMENDED FOR INDIVIDUALS BETWEEN THE AGES OF 19 AND 64 WHO SUFFER FROM A CHRONIC CONDITION. FOR THIS YOUNGER POPULATION, A ONE-TIME REVACCINATION IS ADVISED 5 YEARS AFTER THE INITIAL VACCINATION. THE PERCENTAGE OF ADULTS IN DUPAGE COUNTY WHO HAD EVER RECEIVED A PNEUMONIA VACCINE WAS 26.0% IN 2010. THIS PERCENTAGE IS COMPARABLE TO THE 2010 ILLINOIS PERCENTAGE OF 26.2. ASSESSMENT DATA COMPILED BY PROFESSIONAL RESEARCH CONSULTANTS (PRC) FOR GOOD SAMARITAN HOSPITAL'S PSA INDICATES 59% OF RESPONDENTS DO NOT RECEIVE INFLUENZA VACCINES AND 77% OF RESPONDENTS DO NOT TAKE ADVANTAGE OF THE PNEUMOCOCCAL VACCINE. HOWEVER, OF ADULTS 65 YEARS OF AGE AND OLDER, 72.3% HAD A FLU VACCINE WITHIN THE PAST 12 MONTHS, A RATE HIGHER THAN THAT IN ILLINOIS IN 2010, AT 65.5%. LOCALLY, THE RETAIL SECTOR (OSCO DRUG, CVS PHARMACY AND WALGREENS IN DUPAGE COUNTY) PROMOTES THIS ENDEAVOR WITH TREMENDOUS ADVERTISING AND MAKES BOTH VACCINES READILY AVAILABLE TO THE PUBLIC FOR A LOW COST. NEW COLLABORATIONS IN 2014 TO IMPLEMENT FOR NEXT CHNA CYCLE IN 2014, ADVOCATE GOOD SAMARITAN HOSPITAL BEGAN PARTICIPATING IN IMPACT DUPAGE, A GROUP OF COMMUNITY LEADERS AND ORGANIZATIONS WORKING TOGETHER TO DETERMINE COMMUNITY NEEDS AND PRIORITIES THAT WILL IMPROVE THE WELL-BEING OF THE DUPAGE COUNTY COMMUNITY. IMPACT DUPAGE IS CO-LED BY THE DUPAGE COUNTY HEALTH DEPARTMENT AND DUPAGE FEDERATION ON HUMAN SERVICES REFORM, AND INCLUDES THE FOLLOWING ADDITIONAL PARTNERS: * ACCESS DUPAGE * ADVENTIST MIDWEST HEALTH * ADVOCATE GOOD SAMARITAN HOSPITAL * CADENCE HEALTH * DUPAGE COMMUNITY FOUNDATION * DUPAGE COUNTY COMMUNITY SERVICES * DUPAGE COUNTY REGIONAL OFFICE OF EDUCATION * DUPAGE HEALTH COALITION * DUPAGE MAYORS AND MANAGERS CONFERENCE * DUPAGE PADS * EDWARD-ELMHURST HEALTHCARE * HOPE FAIR HOUSING * LOVE CHRISTIAN CLEARINGHOUSE * METROPOLITAN FAMILY SERVICES DUPAGE * NORTHERN ILLINOIS UNIVERSITY * PEOPLE'S RESOURCE CENTER * POSITIVE PARENTING DUPAGE * UNITED WAY OF DUPAGE/WEST COOK * WEGO TOGETHER FOR KIDS * YWCA METROPOLITAN CHICAGO ADVOCATE GOOD SHEPHERD HOSPITAL THROUGH A PRIORITY SETTING PROCESS, ADVOCATE GOOD SHEPHERD HOSPITAL'S COMMUNITY HEALTH COUNCIL RECOMMENDED, AND THE HOSPITAL ADOPTED, FOCUSING ON THREE AREAS FOR PRIORITY ACTION, INCLUDING: FALLS AMONG SENIORS; CHILDHOOD OBESITY; AND CANCER PREVENTION AND DETECTION. ACCOMPLISHMENTS DURING 2014 IN THESE THREE AREAS ARE DESCRIBED BELOW. FALLS AMONG SENIORS FALLS AMONG SENIORS (65+) ARE A SIGNIFICANT HEALTH RISK AND THE NUMBER ONE CAUSE OF TRAUMA ADMISSIONS TO ADVOCATE GOOD SHEPHERD HOSPITAL. IN 2009, THE HOSPITAL'S COMMUNITY HEALTH COMMITTEE EMBARKED ON EFFORTS TO ADDRESS THIS RISK. SINCE THAT TIME, ADVOCATE GOOD SHEPHERD HAS CONDUCTED PROGRAMMING TO ADDRESS FALLS. IN 2012, FOUR GOOD SHEPHERD ASSOCIATES (EMPLOYEES) BECAME LICENSED MASTER TRAINERS UNDER THE MATTER OF BALANCE LAY LEAD MODEL WHICH UTILIZES COMMUNITY COACHES TO TEACH THE 8 SESSION CLASSES. AS A RESULT, THE HOSPITAL WAS ABLE TO CONDUCT 15 COMMUNITY CLASSES USING THE COACHING MODEL IN 2014. THE RESULTS FROM PARTICIPANTS SHOWED A 30 PERCENT IMPROVEMENT IN THEIR ABILITY TO REDUCE FALL RISK FACTORS IN THEIR LIVES. CHILDHOOD OBESITY IN THE 2013-14 ACADEMIC YEAR, OVER 10,000 (K-12) STUDENTS FROM 39 SCHOOLS PARTICIPATED IN ADVOCATE GOOD SHEPHERD HOSPITAL'S SCHOOL-BASED CHILDHOOD OBESITY PREVENTION PROGRAM KNOWN AS CATCH, THE COORDINATED APPROACH TO CHILD HEALTH. THIS PROGRAM ADDRESSES INTERVENTIONS TO IMPACT NUTRITION AND HEALTH. STUDENTS ARE TESTED FOR FITNESS LEVELS IN THE FALL AND SPRING AND THE RESULTS ARE COMPARED. RESULTS INDICATED A 4% IMPROVEMENT IN THE SAMPLE OF STUDENTS TESTED ACROSS 39 SCHOOLS. IN ADDITION, 44 ENVIRONMENTAL IMPROVEMENTS HAVE BEEN MADE IN SCHOOLS, SUCH AS IMPROVEMENTS IN NUTRITIONAL VALUE OF SNACKS IN VENDING MACHINES, LIMITATION ON SALE OF SUGARED BEVERAGES, AND SO FORTH. EXPANSION OF THE PROGRAM WILL CONTINUE THROUGHOUT THE HOSPITAL'S SERVICE AREA. CANCER (PREVENTION AND DETECTION) ADVOCATE GOOD SHEPHERD HOSPITAL HAS A CANCER COMMITTEE IN PLACE THAT IS DEDICATED TO CANCER PREVENTION AND EARLY DETECTION. IN 2014, SOME OF THE TACTICS INCLUDED CONNECTING PATIENTS AND FAMILIES TO 2-1-1 INFORMATION AND REFERRAL TO SOCIAL SERVICE RESOURCES, CONTINUING TO WORK WITH PATIENT NAVIGATORS TO IDENTIFY PATIENT NEEDS, AND HOSTING COMMUNITY LECTURES ON MULTIPLE TYPES OF CANCER TO ENCOURAGE CONVERSATIONS WITH HEALTH CARE PROVIDERS. GOOD SHEPHERD ALSO HAD COMMUNITY OUTREACH CAMPAIGNS ON COLON CANCER AWARENESS AND SCREENING, BREAST CANCER AWARENESS FOR UNDERSERVED POPULATIONS, AND E-CIGARETTES IN SCHOOLS. IN REGARDS TO COLON CANCER AWARENESS, LETTERS WERE SENT TO COMMUNITY MEMBERS REMINDING THEM TO GET THEIR BASELINE COLONOSCOPY AT AGE 50 AND NURSES ATTENDED COMMUNITY EXPOS FOR EDUCATION AND AWARENESS. IN ADDITION, MEETINGS WERE COORDINATED WITH AREA PHYSICIANS, BOTH GENERAL PRACTITIONERS AND SPECIALISTS, ABOUT PARTICIPATING IN SCREENING PROGRAMS AT THE HOSPITAL. E-CIGARETTE PREVENTION WAS ALSO ADDRESSED BY PARTNERING WITH AREA MIDDLE SCHOOLS AND HIGH SCHOOLS AND/OR ATTENDING COMMUNITY EVENTS WHERE THE TARGET AUDIENCE - YOUTHS - WERE PRESENT, NOT ONLY PROVIDING PREVENTION EDUCATION BUT ALSO TO CAPTURE FEEDBACK RELATED TO EDUCATIONAL MATERIALS. THERE WERE THREE OTHER IMPORTANT NEEDS THAT WERE NOT SELECTED AS PRIORITIES FOR NEW ACTIVITY BECAUSE THEY HAVE BEEN, AND CONTINUE TO BE ADDRESSED THROUGH EXISTING PROGRAMS OR PARTNERSHIPS. MENTAL HEALTH MENTAL HEALTH IS ADDRESSED BY MULTIPLE COMMUNITY ORGANIZATIONS THAT THE HOSPITAL SUPPORTS, SUCH AS SAMARITAN COUNSELING CENTER AND THE PIONEER CENTER FOR HUMAN SERVICES. THE HOSPITAL IS ALSO PROVIDING COMPLIMENTARY SPACE AT TWO ADVOCATE FACILITIES TO BEHAVIORAL HEALTH PROVIDERS IN THE COMMUNITY. THE COMMUNITY HEALTH COUNCIL SET TARGETS FOR COLLABORATION AND INTEGRATION WITH COMMUNITY GROUPS TO HELP ADDRESS BEHAVIORAL HEALTH NEEDS. THE HEALTHIER BARRINGTON COALITION DEVELOPED A MENTAL HEALTH TASK FORCE TO HELP DETERMINE THE MOST PRESSING NEEDS AND HOW THE COMMUNITY MIGHT BETTER COLLABORATE TO MEET THOSE NEEDS. DIABETES/CHOLESTEROL/CARDIOVASCULAR DISEASE WHEN GOOD SHEPHERD HOSPITAL'S CHNA REVEALED THAT TYPE II DIABETES WAS CONTINUING TO INCREASE IN THE HOSPITAL'S COMMUNITY, THE HOSPITAL RESPONDED BY DEVELOPING AFFORDABLE DIABETES SCREENINGS. THESE SCREENINGS WERE OFFERED TO INDIVIDUALS IN THE COMMUNITY WITH THE INTENTION OF IDENTIFYING PEOPLE WHO UNKNOWINGLY HAVE PRE-DIABETES OR DIABETES, AND TO ENCOURAGE THEM TO ADOPT LIFESTYLE CHANGES THAT HELP THEM MANAGE THEIR CONDITION. BECAUSE THE HISPANIC POPULATION IS AT A GREATER RISK FOR TYPE II DIABETES, PROMOTIONAL MATERIALS ARE AVAILABLE IN SPANISH AND THE STAFF INCLUDES BILINGUAL CLINICIANS. IN 2014, DIABETES SCREENINGS WERE OFFERED QUARTERLY TO MEMBERS OF THE COMMUNITY. NEARLY 72 PERCENT OF THOSE IDENTIFIED AS HIGH-RISK RETURNED FOR FOLLOW-UP CARE AND RE-TESTING. FOR HALF OF THESE INDIVIDUALS, THEIR A1C SCORES IMPROVED. MOTOR VEHICLE ACCIDENTS (TEEN) THE COUNCIL FELT THAT THE HOSPITAL IS ALREADY ADDRESSING THIS NEED BY BEING PART OF OPERATION CLICK. OPERATION CLICK IS A COMMUNITY PROGRAM THAT ADDRESSES THE RISK FOR YOUTH MOTOR VEHICLE FATALITIES. THE HOSPITAL HAS BEEN ACTIVE ON OPERATION CLICK'S BOARD OF DIRECTORS, PROVIDES FUNDING FOR ITS ANNUAL BANQUET AND RECENTLY PROVIDED FUNDING SO THE ORGANIZATION COULD HIRE A PART-TIME PROGRAM COORDINATOR FOR 24 MONTHS. THE SEED FUNDING WILL ALLOW THE COORDINATOR TO DEVELOP A FUNDING STREAM FOR SUSTAINMENT OF OPERATION CLICK IN THE FUTURE. OVERALL, OPERATION CLICK HAS BEEN IMPACTFUL AND HAS RESULTED IN IMPROVED SEAT BELT COMPLIANCE AS DOCUMENTED BY AN INCREASE IN AVERAGE COMPLIANCE RATES FROM 79% ON THE PRE-SURVEY TO 98% AS REPORTED BY PARTICIPANTS ON THE POST-PROGRAM SURVEY. NEEDS NOT SELECTED TO ADDRESS THERE WERE TWO REMAINING IMPORTANT NEEDS IDENTIFIED THAT THE HOSPITAL IS NOT ADDRESSING-DENTAL HEALTH AND BILINGUAL LITERACY. DENTAL HEALTH ADVOCATE GOOD SHEPHERD HOSPITAL DOES NOT HAVE ANY
ADVOCATE SOUTH SUBURBAN HOSPITAL HEALTH NEED SELECTED TO ADDRESS ASTHMA ASTHMA AND OTHER RESPIRATORY-RELATED DISEASES WITHIN SOUTH SUBURBAN HOSPITAL'S PSA WERE SELECTED AS THE TOP HEALTH NEED TO ADDRESS. AN EXAMINATION OF SOUTH SUBURBAN HOSPITAL'S INPATIENT ADMISSIONS AND EMERGENCY DEPARTMENT (ED) UTILIZATION DATA SHOWS THERE ARE A SIGNIFICANT NUMBER OF INDIVIDUALS THAT SEEK SERVICES FOR ASTHMA/RESPIRATORY HEALTH ISSUES FROM THE HOSPITAL. IN FACT, PULMONARY ADMISSIONS WERE THE SECOND MOST PREVALENT TYPE OF INPATIENT ADMISSION AND THE EIGHTH MOST PREVALENT REASON FOR ED VISITS. THE SEVERITY AND PREVALENCE OF ASTHMA IS MOST EVIDENT IN LOW INCOME, MINORITY COMMUNITIES, AND THE DISPARITIES IN HOSPITALIZATION RATES FOR AFRICAN AMERICAN CHILDREN ARE STAGGERING, MAKING THIS A PROMINENT COMMUNITY HEALTH ISSUE. NATIONALLY, ASTHMA AFFECTS APPROXIMATELY 7.1 MILLION CHILDREN. THE DISEASE IS ONE OF THE LEADING CAUSES OF SCHOOL ABSENTEEISM - ACCOUNTING FOR MORE THAN 14 MILLION MISSED SCHOOL DAYS ANNUALLY (COOK COUNTY DEPARTMENT OF PUBLIC HEALTH, 2010). CHILDREN WITH ASTHMA MISS AN AVERAGE OF TWICE AS MANY SCHOOL DAYS AS OTHER CHILDREN (CENTERS FOR DISEASE CONTROL AND PREVENTION). MISSED SCHOOL DAYS BY CHILDREN RESULT IN MISSED WORKED DAYS BY ADULTS - SO THERE ARE BOTH SIGNIFICANT FINANCIAL AND QUALITY OF LIFE IMPLICATIONS FOR CHILDREN WITH ASTHMA AND THEIR FAMILIES. THE BURDEN OF ASTHMA IN ILLINOIS MIRRORS NATIONAL TRENDS YET ILLINOIS HAS ONE OF THE HIGHEST ASTHMA MORTALITY AND MORBIDITY RATES IN THE NATION, AND IT CONTINUES TO INCREASE EACH YEAR (ILLINOIS DEPARTMENT OF PUBLIC HEALTH, 2006). THE MAJORITY OF THE STATE'S ASTHMA DEATHS OCCUR IN COOK COUNTY (CHICAGO AND SUBURBAN COOK COUNTY), THE COUNTY IN WHICH SOUTH SUBURBAN HOSPITAL IS LOCATED. SOUTH SUBURBAN HOSPITAL HAS BOTH THE RESOURCES AND CAPACITY TO PARTNER WITH OTHER ORGANIZATIONS ENGAGED IN ADDRESSING ASTHMA. HISTORICALLY, SOUTH SUBURBAN HOSPITAL HAS DEVELOPED COMMUNITY PROGRAMS IMPACTING ASTHMA. THE HOSPITAL IS CURRENTLY CONDUCTING OUTREACH ACTIVITIES AIMED AT SCHOOLS AND CHURCHES TO ADDRESS THIS DISEASE, INCLUDING THE MOST RECENT DEVELOPMENT OF THE KICKIN' ASTHMA PROGRAM, A SCHOOL-BASED CURRICULUM THAT ADDRESSES THE NEEDS OF CHILDREN AGES 11 TO 16 WITH ASTHMA. THE PROGRAM PROMOTES INDIVIDUAL RESPONSIBILITY, SELF-MANAGEMENT AND EARLY ACTION AMONG ADOLESCENTS. THE OVERALL GOAL OF KICKIN' ASTHMA IS TO IMPROVE ASTHMA MANAGEMENT AND DECREASE ACUTE CARE UTILIZATION AMONG CHILDREN AGES 11 TO 16. IN ADDITION TO THE SCHOOL-BASED CURRICULUM, CONTINUING MEDICAL EDUCATION FOR LOCAL SCHOOL NURSES, PEDIATRIC HEALTH FAIRS, SCHOOL PROGRAMS PROVIDING ASTHMA SCREENINGS, EDUCATIONAL MATERIALS AND PEAK FLOW METERS, AND ASTHMA RESOURCE PACKETS INCLUDING EDUCATIONAL MATERIALS AND A RESOURCE DIRECTORY FOR LOCAL FAITH COMMUNITIES CONTRIBUTE TO THE PROGRAM'S EFFECTIVENESS AND HAVE HELPED TO LAY THE FOUNDATION FOR THE HOSPITAL'S EXPANSION OF INTERVENTIONS TO ADDRESS ASTHMA IN THE COMMUNITY. ADVOCATE SOUTH SUBURBAN HOSPITAL DEVELOPED AN ASTHMA ACTION TASK FORCE TO ADDRESS THE FOLLOWING COMMUNITIES, GOALS AND OBJECTIVES: TARGET POPULATION: CHILDREN AGES 5-17 THAT RESIDE IN THE PRIMARY SERVICE AREA OF ADVOCATE SOUTH SUBURBAN HOSPITAL (ASSH) WHICH INCLUDES BUT IS NOT LIMITED TO THE FOLLOWING ZIP CODES: 60429 CALUMET CITY; 60411 CHICAGO HEIGHTS/FORD HEIGHTS; 60419 DOLTON; 60422 FLOSSMOOR; 60423 FRANKFORT; 60425 GLENWOOD; 60426 HARVEY; 60428 MARKHAM; 60429 HAZEL CREST; 60430 HOMEWOOD; 60438 LANSING; 60443 MATTESON; 60445 MIDLOTHIAN; 60452 OAK FOREST; 60461 OLYMPIA FIELDS; 60466 PARK FOREST; 60471 RICHTON PARK; AND 60473 SOUTH HOLLAND. GOAL: TO DECREASE ASTHMA RELATED EMERGENCY DEPARTMENT VISITS AND/OR HOSPITALIZATIONS OF CHILDREN AGES 5-17 THAT RESIDE WITHIN ADVOCATE SOUTH SUBURBAN HOSPITAL'S PRIMARY SERVICE AREA BY DEVELOPING AND IMPLEMENTING PROGRAMS TO INCREASE THE KNOWLEDGE BASE OF THE PEDIATRIC ASTHMA COMMUNITY TO INCLUDE ASTHMA MANAGEMENT SKILLS, TRIGGER IDENTIFICATION, AND THERAPEUTIC AND SOCIAL INTERVENTIONS THAT WILL REDUCE ASTHMA RELATED COMPLICATIONS WHILE ESTABLISHING SELF-ADVOCACY SKILLS AND ULTIMATELY CREATING A BETTER QUALITY OF LIFE FOR THOSE THE HOSPITAL SERVES. OBJECTIVES OF THE PROGRAM INCLUDE: 1. ADVOCATE SOUTH SUBURBAN HOSPITAL (ASSH) WILL INCREASE THE PROPORTION OF PEDIATRIC PERSONS WITH CURRENT ASTHMA WHO RECEIVE APPROPRIATE ASTHMA CARE ACCORDING TO NATIONAL ASTHMA EDUCATION AND PREVENTION PROGRAM (NAEPP) GUIDELINES WHILE AN INPATIENT OR DURING AN EMERGENCY DEPARTMENT VISIT TO 100%. ACCOMPLISHMENTS: INITIATED AN EVIDENCE-BASED PEDIATRIC EMERGENCY DEPARTMENT ASTHMA TREATMENT ALGORITHM IN APRIL 2014. THE ALGORITHM PROVIDED ED STAFF GUIDANCE ON IDENTIFICATION, TREATMENT AND FOLLOW-UP CARE FOR A PEDIATRIC ASTHMA PATIENT. * APRIL 2014 - DECEMBER 2014: 25% OF ED PEDIATRIC PATIENTS WERE DISCHARGED HOME WITH AN ASTHMA ACTION PLAN AND 34% WERE DISCHARGED WITH FORMAL ASTHMA EDUCATION. 100% OF ED PEDIATRIC PATIENTS DISCHARGED FROM THE ED RECEIVED A POST-DISCHARGE WELLNESS CALL. CURRENTLY IN THE PROCESS OF COLLABORATING WITH ED CASE MANAGEMENT, ED PHYSICIANS, ED STAFF, AND RESPIRATORY THERAPY TO INITIATE DISCHARGE PLANNING IN THE ED AND A PROGRAM FOR FOLLOW UP BY A RESPIRATORY THERAPIST ON ALL PATIENTS DISCHARGED WITHOUT AN ACTION PLAN. * APRIL 2014 - DECEMBER 2014: 96% OF ELIGIBLE PEDIATRIC PATIENTS WITH A DIAGNOSIS OF ASTHMA IN THE ED WERE DISCHARGED HOME WITH STEROIDS. * APRIL 2014 - DECEMBER 2014: 94% OF PATIENTS WITH A PRIMARY DIAGNOSIS OF ASTHMA IN THE ED FILLED PRESCRIPTIONS AS IDENTIFIED ON POST-WELLNESS DISCHARGE CALL. THIS IS INDICATIVE OF THE APPROPRIATE USE OF THE ASTHMA ED TREATMENT PLAN AND DISCHARGE EDUCATION. * JANUARY 2014 - DECEMBER 2014: DECREASED THE NUMBER OF ED PEDIATRIC ASTHMA READMISSIONS FROM 43% IN 1ST QUARTER 2014 TO 18% YEAR END. 2. ADVOCATE SOUTH SUBURBAN HOSPITAL (ASSH) WILL PARTNER WITH THE COMMUNITY TO PROVIDE RESOURCES WITHIN 100% OF THE MIDDLE SCHOOLS AND DEVELOP 5 COMMUNITY COACHES WITHIN OUR PRIMARY SERVICE AREA WITH ASTHMA EDUCATION, INCLUDING HOW TO RECOGNIZE WORSENING ASTHMA, ADMINISTER QUICK-RELIEF MEDICATIONS, AND KNOW HOW AND WHEN TO CALL FOR EMERGENCY SERVICES TO CREATE SUPPORTIVE AND SAFE ENVIRONMENTS IN THE SCHOOL AND THE COMMUNITY BY 6/30/2015. ACCOMPLISHMENTS: GOAL: TRAIN 5 COMMUNITY PARTNERS ON ASTHMA TRIGGERS AND RESOURCES. * JUNE 2014 - MAY 2015: TRAINED 6 COMMUNITY PARTNERS INCLUDING: VICTORY APOSTOLIC CHURCH, MATTESON, ILLINOIS; ST. MARK MISSIONARY BAPTIST CHURCH, HARVEY, IL; SOUTHWOOD JR. HIGH SCHOOL, COUNTRY CLUB HILLS, ILLINOIS; HAZEL CREST SCHOOL DISTRICT 152;, HAZEL CREST PARK DISTRICT; AND BROOKWOOD JR. HIGH SCHOOL. * JUNE 2014 - SEPTEMBER 2014: ASSH NON-CLINICAL ASSOCIATE WAS TRAINED TO RECOGNIZE SIGNS AND SYMPTOMS OF ASTHMA AND TO ASSIST IN HEALTH FAIRS AND COMMUNITY EVENTS. - WHILE AT A COMMUNITY EVENT, AN ASTHMATIC THAT WAS HAVING DIFFICULTY MANAGING ASTHMA WAS RECOGNIZED BY THE NON-CLINICAL ASSOCIATE. THE CLINICAL ASSOCIATE WAS NOTIFIED AND ON THE SPOT EDUCATION WAS CONDUCTED ALONG WITH PROVIDING A SPACER AND REFERRAL INFORMATION. * JANUARY 2014 - SEPTEMBER 2014: 6 RESPIRATORY CARE PRACTITIONERS WERE TRAINED BY THE AMERICAN LUNG ASSOCIATION TO IMPLEMENT THE KICKIN' ASTHMA PROGRAM. * JUNE 2014 - MAY 2015: COLLABORATED WITH HOMEWOOD FLOSSMOOR PARK DISTRICT AND HAZEL CREST PARK DISTRICT TO IDENTIFY A COMMUNITY PROGRAM EDUCATION PLAN. * HOMEWOOD FLOSSMOOR BASKETBALL PROGRAM ASTHMA EDUCATION IN PROGRESS. * HOMEWOOD FLOSSMOOR AFTER SCHOOL PROGRAM ASTHMA EDUCATION IN PROGRESS. * HAZEL CREST YOUTH BASEBALL PROGRAM ASTHMA EDUCATION TO PARENTS. GOAL: PROVIDE 16 HOURS OF COMMUNITY TRAINING/MEETINGS. * JANUARY 2014 - SEPTEMBER 2014: PROVIDED 6 HOURS OF COMMUNITY EDUCATION. * FEBRUARY 2015 - HOSTED SCHOOL NURSE EDUCATION PROGRAM: IDENTIFIED A COMMUNITY PROGRAM THROUGH THE RESPIRATORY HEALTH ASSOCIATION THAT IS APPROVED BY THE ILLINOIS STATE BOARD OF EDUCATION FOR ONE CERTIFIED PROFESSIONAL DEVELOPMENT CREDIT (CPDU) FOR LICENSED SCHOOL TEACHERS. ASTHMA MANAGEMENT TARGETS CAREGIVERS AND PROVIDES EDUCATION ABOUT ASTHMA, SYMPTOM SEVERITY AND RECOGNITION, TRIGGERS AND AVOIDANCE, AND WHAT TO DO IN THE CASE OF AN ASTHMA EPISODE. THE 1-HOUR SESSION IS ADAPTED TO THE AUDIENCE WHICH CAN INCLUDE TEACHERS, NURSES, HEALTH AIDES, SCHOOL SUPPORT STAFF, PARENTS AND COMMUNITY GROUPS. 3. ASSH WILL IMPLEMENT A SCHOOL-BASED ASTHMA EDUCATION PROGRAM TO BE PROVIDED TO 80% OF THE MIDDLE SCHOOLS WITHIN OUR PRIMARY SERVICE AREA TO TARGET AS MANY CHILDREN WHO HAVE ASTHMA AS POSSIBLE, TO PROVIDE AN OPPORTUNITY FOR THEM TO LEARN ASTHMA SELF-MANAGEMENT SKILLS AND TO HELP PROVIDE AN "ASTHMA-FRIENDLY" LEARNING ENVIRONMENT FOR STUDENTS WHO HAVE ASTHMA. ACCOMPLISHMENTS: GOAL: IMPLEMENT AMERICAN LUNG ASSOCIATION EVIDENCE-BASED KICKIN' ASTHMA SCHOOL-BASED PROGRAMS. * JANUARY 2014 - SEPTEMBER 2014: 6 RESPIRATORY CARE PRACTITIONERS WERE TRAINED BY THE AMERICAN LUNG ASSOCIATION TO IMPLEMENT THE KICKIN' ASTHMA PROGRAM. * IMPLEMENTED THE KICKIN' ASTHMA PROGRAM TO SCHOOLS WITHIN OUR PRIMARY SERVICE AREA INCLUDING: * 2013-2014
ACCOMPLISHMENTS: * SUB-COMMITTEE OF THE ASTHMA TASK FORCE ESTABLISHED. * JANUARY 2014 - SEPTEMBER 2014: VIRTUAL LEARNING CENTER CREATED VIA THE INTERNET. CAN BE FOUND ON WWW.ADVOCATEHEALTH.COM/SSUB/ASTHMA, "HELPING YOU BREATHE EASIER." * PROCESS DEVELOPED TO TRACK COMMUNITY ACCESS TO THE WEBSITE. FOR DETAILED DATA AND PROGRESS NOTES, PLEASE REFER TO: HTTP://WWW.ADVOCATEHEALTH.COM/DOCUMENTS/CHNA/2058_SSUB_CHILDHOOD_ASTHMA-IM PLE_PLAN-PROGRPT_F.PDF HEALTH NEEDS NOT SELECTED TO ADDRESS CARDIOVASCULAR DISEASE, CANCER, DIABETES AND TEEN PREGNANCY WERE NOT SELECTED FOR SPECIAL FOCUS BECAUSE, SOUTH SUBURBAN HOSPITAL REMAINS COMMITTED TO ADDRESSING THESE HEALTH ISSUES AS IT HAS DONE HISTORICALLY. EXISTING COMMUNITY PROGRAMS AND RESOURCES PROVIDED BY SOUTH SUBURBAN HOSPITAL INCLUDE A CARDIAC REHABILITATION PROGRAM; VARIOUS CARDIOVASCULAR EDUCATION AND PREVENTION PROGRAMS, INCLUDING PROVISION OF HEART RISK ASSESSMENTS; A DIABETES WELLNESS PROGRAM INCLUDING SELF-MANAGEMENT EDUCATION; SELECTED HEALTH SCREENINGS; CANCER HEALTH PREVENTION EDUCATION AND CANCER SUPPORT SERVICES. THERE ARE A NUMBER OF LOCAL NONPROFIT ORGANIZATIONS CURRENTLY OFFERING RESOURCES TO ADDRESS THE HEALTH ISSUES OF TEEN PREGNANCY AND SEXUALLY TRANSMITTED DISEASES IN SOUTH SUBURBAN HOSPITAL'S PRIMARY SERVICE AREA. THESE COMMUNITY-BASED HEALTHCARE CLINICS AND CENTERS OFFER PRIMARY CARE SERVICES, INCLUDING FAMILY MEDICINE AND OB/GYN PHYSICIANS, AS WELL AS COUNSELING AND EDUCATION AIMED AT CURBING RATES OF TEEN BIRTH AND STD INFECTION RATES WITHIN THE TARGETED COMMUNITIES. TO BEST SERVE THOSE PATIENTS MOST IN NEED OF THEIR SERVICES, THESE PROVIDERS OFFER FREE AND/OR DISCOUNTED ACCESS TO UNINSURED AND UNDERINSURED PATIENTS. THE PROVIDERS INCLUDE AUNT MARTHA'S FQHCS IN HAZEL CREST, CHICAGO HEIGHTS AND HARVEY; PREGNANCY AID SOUTH SUBURBS IN TINLEY PARK, LANSING AND SOUTH HOLLAND; ACCESS COMMUNITY HEALTH, CHICAGO HEIGHTS; FAMILY CHRISTIAN HEALTH CENTER IN HARVEY; AND BETHANY CHRISTIAN SERVICES IN PALOS HEIGHTS. ADVOCATE BROMENN MEDICAL CENTER SIGNIFICANT NEEDS BEING ADDRESSED BROMENN MEDICAL CENTER'S COMMUNITY HEALTH COUNCIL SELECTED MENTAL HEALTH AND OBESITY AS ITS TOP HEALTH PRIORITIES TO ADDRESS FOR THE 2011-2013 CHNA CYCLE. MENTAL HEALTH BROMENN MEDICAL CENTER MAKES SIGNIFICANT CONTRIBUTIONS TO ADDRESS THE ISSUE OF MENTAL HEALTH IN THE COMMUNITY. SINCE 2012, BROMENN MEDICAL CENTER HAS HAD TWO STAFF MEMBERS SERVING ON THE MCLEAN COUNTY PUBLIC HEALTH DEPARTMENT'S IPLAN MENTAL HEALTH TASK FORCE. HISTORICALLY, BROMENN MEDICAL CENTER DID NOT HAVE A CRISIS ADMISSIONS COUNSELOR IN THE EMERGENCY ROOM. IN RESPONSE TO CUTS IN STATE AND COMMUNITY FUNDING FOR MENTAL HEALTH, THE HOSPITAL IDENTIFIED AN INCREASED WAIT TIME FOR THE PSYCHIATRIC PATIENT TO BE SEEN BY THE ON-CALL COMMUNITY CRISIS SCREENING COUNSELOR. TO ADDRESS THIS ISSUE AND AT ITS OWN EXPENSE, BROMENN MEDICAL CENTER INVESTED IN HIRING A CRISIS ADMISSIONS COUNSELOR IN 2010. THIS STAFF MEMBER PROVIDES ASSESSMENTS IN THE EMERGENCY DEPARTMENT FROM 10:00 AM TO 6:30 PM, MONDAY THROUGH FRIDAY. ADDITIONALLY, THE INPATIENT MENTAL HEALTH UNIT AT BROMENN MEDICAL CENTER IS THE ONLY ONE OF ITS KIND IN MCLEAN COUNTY, PROVIDING CRITICAL SERVICES TO THOSE ADULTS NEEDING INPATIENT PSYCHIATRIC SERVICES. THE UNIT OPERATED AT AN ANNUAL LOSS OF $1,454,727, $1,786,254 AND $1,868,405 RESPECTIVELY IN 2012, 2013 AND 2014. BROMENN MEDICAL CENTER, IN PARTNERSHIP WITH ITS DELEGATE CHURCHES AND THE MCLEAN COUNTY MENTAL HEALTH COURT, ALSO PARTICIPATES IN A PROGRAM TITLED PARTNERS IN HELPING. THIS PROGRAM PROVIDES SUPPORT TO THE COURT FOR THEIR EFFORTS TOWARDS REHABILITATING INDIVIDUALS WITH MENTAL HEALTH CONDITIONS WHO ENTER THE CRIMINAL JUSTICE SYSTEM AS AN ALTERNATIVE TO INCARCERATION. DELEGATE CONGREGATIONS COLLECT INCENTIVE ITEMS, SUCH AS GIFT CARDS TO LOCAL RESTAURANTS, WHICH ARE DESIGNATED BY THE COURT FOR PARTICIPANTS IN THE PROGRAM. DONATIONS GIVEN TO THE COURT ARE USED TO INCENTIVIZE PROGRESS AND COMPLIANCE. IN ITS CONTINUED EFFORTS TO ADDRESS MENTAL HEALTH IN MCLEAN COUNTY, BROMENN MEDICAL CENTER'S SERVICE AREA ADMINISTRATOR FOR BEHAVIORAL HEALTH SERVICES SERVES AS VICE PRESIDENT OF THE BOARD FOR THE MCLEAN COUNTY MENTAL HEALTH COURT PROGRAM, WHICH IS AIMED AT KEEPING INDIVIDUALS WITH MENTAL HEALTH ISSUES OUT OF PRISON. THIS ADMINISTRATOR ALSO SERVED ON A COUNTY BOARD MENTAL HEALTH ADVISORY PANEL FOR SEVERAL MONTHS. THE ADVISORY PANEL WAS TASKED WITH: 1) COMPLETING A MENTAL HEALTH SERVICES NEEDS GAP ASSESSMENT; AND 2) IDENTIFYING THE BEST EVIDENCE-BASED PRACTICE FOR CARE OF THE MENTALLY ILL. THE ADMINISTRATOR ALSO SERVED AND CONTINUES TO SERVE ON A SECOND TASK FORCE/PANEL WHICH RECOMMENDED MCLEAN COUNTY OPEN A CRISIS STABILIZATION UNIT. THE UNIT IS NOW OPEN FOR COMMUNITY MEMBERS TO UTILIZE. AS OUTLINED IN THE CHNA IMPLEMENTATION PLAN FOR MENTAL HEALTH, IN JUNE OF 2014, THE HOSPITAL OFFERED AN EVIDENCE-BASED MENTAL HEALTH PROGRAM TO THE COMMUNITY ENTITLED MENTAL HEALTH FIRST AID. MENTAL HEALTH FIRST AID IS A NATIONALLY RECOGNIZED ADULT PUBLIC EDUCATION PROGRAM THAT TEACHES INDIVIDUALS HOW TO IDENTIFY, UNDERSTAND AND RESPOND TO THE SIGNS OF MENTAL ILLNESS AND SUBSTANCE ABUSE DISORDERS. CERTIFIED INSTRUCTORS TEACH PARTICIPANTS TO BECOME MENTAL HEALTH FIRST AIDERS. PARTICIPANTS LEARN ABOUT THE SIGNS AND SYMPTOMS OF ACUTE MENTAL HEALTH CRISES AND CHRONIC MENTAL HEALTH PROBLEMS, SUCH AS ANXIETY AND DEPRESSION. BROMENN MEDICAL CENTER HAS COLLABORATED WITH THE MCLEAN COUNTY CENTER FOR HUMAN SERVICES AND THE MCLEAN COUNTY HEALTH DEPARTMENT IN OFFERING THIS PROGRAM TO THE COMMUNITY. TO DATE, 370 COMMUNITY MEMBERS FROM MCLEAN AND WOODFORD COUNTY HAVE BEEN TRAINED IN MENTAL HEALTH FIRST AID. AS A RESULT OF THIS COLLABORATION, THE HEALTH DEPARTMENT HAS RECEIVED A GRANT FROM THE ILLINOIS PRAIRIE COMMUNITY FOUNDATION THAT ALLOWS THE COLLABORATIVE TO OFFER THE MENTAL HEALTH FIRST AID CLASSES TO THE COMMUNITY FOR $10, MAKING CLASSES AFFORDABLE TO ALL MEMBERS OF THE COMMUNITY.
OBESITY ADVOCATE BROMENN MEDICAL CENTER (ABMC) IS PARTNERING WITH RIDGEVIEW COMMUNITY UNIT SCHOOL DISTRICT (CUSD) #19 IN COLFAX, ILLINOIS, TO ADDRESS OBESITY THROUGH IMPLEMENTATION OF THE EVIDENCE-BASED PHYSICAL EDUCATION PROGRAM SPARK. APPROXIMATELY ONE HUNDRED 6TH AND 7TH GRADE STUDENTS WILL BE ENGAGED IN SPARK, WHICH HAS BEEN COUNTERING CHILDHOOD OBESITY IN SCHOOLS SINCE 1989. RIDGEVIEW P.E. TEACHERS RECEIVED PROFESSIONAL TRAINING, CURRICULUM AND EQUIPMENT FOR SPARK P.E. THROUGH THEIR PARTNERSHIP WITH THE MCLEAN COUNTY HEALTH DEPARTMENT AND THE ILLINOIS DEPARTMENT OF PUBLIC HEALTH'S WE CHOOSE HEALTH INITIATIVE (MADE POSSIBLE BY THE CENTERS FOR DISEASE CONTROL AND PREVENTION). TWO RIDGEVIEW PHYSICAL EDUCATION TEACHERS RECEIVED HANDS-ON TRAINING FOR SPARK P.E. AND BEGAN IMPLEMENTING THE CURRICULUM IN THE ELEMENTARY AND JUNIOR HIGH SCHOOL PHYSICAL EDUCATION CLASSES AT THE BEGINNING OF THE 2014-2015 SCHOOL YEAR. ABMC WILL ASSIST IN THE CONTINUATION OF THE COLLECTION OF BODY MASS INDEX (BMI) VALUES WHICH BEGAN FOR RIDGEVIEW LAST YEAR (2013-2014 SCHOOL YEAR) AS PART OF THE WE CHOOSE HEALTH INITIATIVE. THE WE CHOOSE HEALTH GRANT OFFICIALLY ENDED ON SEPTEMBER 29, 2014. POPULATION TREND BMI DATA WILL BE TRACKED AT THE 6TH AND 7TH GRADE LEVEL. ABMC WILL ALSO ASSIST WITH SPARK EDUCATIONAL EVENTS FOR THE CHILDREN AND THEIR FAMILIES. IN ADDITION, THE HOSPITAL DONATED FUNDS TO RIDGEVIEW CUSD #19 TOWARD THE PURCHASE OF 26 HEART RATE MONITORS FOR STUDENTS TO MEASURE THE INTENSITY OF CARDIOVASCULAR ACTIVITY DURING PHYSICAL EDUCATION CLASSES. THIS WILL ASSIST STUDENTS IN RECEIVING IMMEDIATE FEEDBACK ON EXERCISE AND THE HEALTH BENEFITS OF EXERCISING IN DIFFERENT HEART RATE ZONES. THE ADDITION OF THE HEART RATE MONITORS TO THE PHYSICAL EDUCATION CLASSES HAS BEEN VERY POPULAR AND MOTIVATING TO THE STUDENTS. DIRECTLY RELATED TO DECREASING OBESITY RATES IN THE COMMUNITY, THE COMMUNITY HEALTH LEADER FOR BROMENN MEDICAL CENTER SERVES ON THE MCLEAN COUNTY WELLNESS COALITION AND LEADERSHIP COMMITTEE, A GROUP COMPRISED OF CAMPUS AND COMMUNITY ORGANIZATIONS WORKING TO PROMOTE HEALTHY EATING AND ACTIVE LIVING. THE COALITION HAS BEEN IN PLACE SINCE 2011 AND PROMOTES THE ADOPTION OF HEALTHY LIFESTYLE POLICIES, SYSTEMS AND ENVIRONMENTAL (PSE) CHANGES. THE COALITION HAS HAD MANY SUCCESSES WITH 17 PSE'S DEVELOPED THROUGHOUT MCLEAN COUNTY IN 2013 AND 2014. SOME EXAMPLES INCLUDE COMMUNITY GARDENS AND THE ENHANCED P.E. PROGRAM, SPARK, MENTIONED ABOVE. BROMENN MEDICAL CENTER ALSO PARTNERED WITH THE YMCA ON THEIR YOUTH FITNESS INTERVENTION PROGRAM (Y-FI). Y-FI IS A PROGRAM TO HELP REDUCE THE NUMBER OF OVERWEIGHT AND OBESE CHILDREN THROUGH PHYSICAL ACTIVITY, EDUCATION AND NUTRITION. YOUTHS ARE REFERRED TO THE PROGRAM BY THEIR PHYSICIANS. PARENTS ARE ALSO INVOLVED IN THE PROGRAM AND EXERCISE ALONG WITH THEIR CHILD. SINCE THE INCEPTION OF THE Y-FI PROGRAM IN SEPTEMBER 2012, 153 CHILDREN/PARENT(S) HAVE BEEN REFERRED TO THE PROGRAM BY BOTH ADVOCATE MEDICAL GROUP AND OTHER PEDIATRIC PHYSICIANS IN MCLEAN COUNTY, AND 142 CHILDREN AND THEIR PARENT(S) HAVE PARTICIPATED IN THE 16-WEEK Y-FI PROGRAM. PARENTS AND CHILDREN SHOWED AN 85 PERCENT INCREASE IN PHYSICAL ACTIVITY AND AN 85 PERCENT INCREASE IN NUTRITION AND EXERCISE KNOWLEDGE ACCORDING TO THE PRE AND POST-PROGRAM SURVEY RESULTS. TWO HEALTH FAIRS WITH A HEALTH SCREENING WERE HELD AT THE YMCA INSTEAD OF AT BROMENN MEDICAL CENTER COMMUNITY WELLNESS TO MAKE THE EVENT MORE EASILY ACCESSIBLE BY THE Y-FI PARTICIPANTS. THE FIRST EVENT HELD ON MAY 29, 2014, WAS VERY SUCCESSFUL WITH 29 PARENTS AND CHILDREN PARTICIPATING. THE SECOND EVENT ON AUGUST 7, 2014, HAD 0 PEOPLE IN ATTENDANCE. THE YMCA FELT THIS MIGHT HAVE BEEN DUE TO SCHOOL REGISTRATIONS OCCURRING DURING THIS TIME. THE BROMENN MEDICAL CENTER AND YMCA PARTNERSHIP ENDED IN DECEMBER 2014. THIS ALLOWED ABMC TO COLLABORATE WITH RIDGEVIEW COMMUNITY UNIT SCHOOL DISTRICT (CUSD) #19, ON THE SPARK PROGRAM, THUS REACHING A LARGER NUMBER OF CHILDREN TO MORE BROADLY IMPACT CHILDHOOD OBESITY. IN THE FIGHT AGAINST OBESITY, BROMENN MEDICAL CENTER IS ALSO PARTNERING WITH THE COMMUNITY HEALTH CARE CLINIC. OBESITY INCREASES THE RISK OF DIABETES AND IMPACTS THE CONTROL OF IT. ACCORDING TO THE MCLEAN COUNTY IPLAN 2012-2017, 61.5 PERCENT OF THE COUNTY'S ADULTS ARE OVERWEIGHT OR OBESE. IN 2013 AND 2014, BROMENN MEDICAL CENTER OFFERED 3 EXCLUSIVE FOUR-WEEK GROUP DIABETES EDUCATION CLASSES TO COMMUNITY HEALTHCARE CLINIC DIABETES PATIENTS -- SPECIFICALLY PATIENTS WITH HBA1C'S GREATER THAN 9 AND BMI'S GREATER THAN 30. EIGHT CLINIC PATIENTS TOOK ADVANTAGE OF THIS OPPORTUNITY. A STAFF MEMBER OF THE CLINIC ATTENDED THE CLASS TO INCREASE COMPLIANCE AND ASSIST WITH SPANISH SPEAKING PATIENTS WHEN NEEDED. OUTCOMES MEASURED OVER TIME INCLUDE HBA1C VALUES, BODY MASS INDEX, AND A PRE AND POST-SURVEY OF KNOWLEDGE ASCERTAINED. AT THE SIX MONTH FOLLOW-UP APPOINTMENT, 33 PERCENT OF PATIENTS HBA1C DECREASED, 33 PERCENT OF PATIENTS HBA1C INCREASED AND 33 PERCENT OF PATIENTS OPTED NOT TO RETEST. THERE WAS NO CHANGE IN BMI FOR ANY OF THE PATIENTS. OF THE PATIENTS THAT TOOK BOTH THE PRE AND POST DIABETES SELF-MANAGEMENT CLASS SURVEY, THE AVERAGE IMPROVEMENT WAS 25 PERCENT. DUE TO LOW PARTICIPATION IN THE CLASSES, CLINIC PATIENTS ARE NOW PROVIDED WITH AN OPPORTUNITY TO MEET INDIVIDUALLY WITH DIABETES EDUCATORS AT BROMENN MEDICAL CENTER OR TO ATTEND ALREADY ESTABLISHED GROUP CLASSES AT THE HOSPITAL. BROMENN MEDICAL CENTER OFFERS EXERCISE CLASSES, SCREENINGS, HEALTH EDUCATION PRESENTATIONS AND EVENTS TO THE COMMUNITY ON A RANGE OF TOPICS PERTINENT TO OVERALL PHYSICAL AND MENTAL HEALTH, AND HEALTHY LIFESTYLE CHANGES. IN 2014, APPROXIMATELY 230 COMMUNITY MEMBERS PER WEEK PARTICIPATED IN THE 18 YOGA, ZUMBA, BONE BUILDERS AND PILATES CLASSES OFFERED AT THE HOSPITAL. NEEDS NOT BEING ADDRESSED ABMC DID NOT SELECT ORAL HEALTH, HEART DISEASE, CANCER OR LOW BIRTH WEIGHT AS KEY HEALTH ISSUES FOR THE REASONS IDENTIFIED BELOW. ORAL HEALTH ORAL HEALTH IS AN ISSUE FOR WHICH THE HOSPITAL HAS A LIMITED SPHERE OF INFLUENCE. BROMENN MEDICAL CENTER DOES NOT HAVE DENTAL RESIDENTS OR A MOBILE DENTAL VAN, BOTH OF WHICH COULD BE KEY COMPONENTS OF A SUCCESSFUL INTERVENTION. HOWEVER, THE EXISTING COLLABORATION WITH THE MCLEAN COUNTY PUBLIC HEALTH DEPARTMENT, THE HOSPITAL'S DELEGATE CHURCHES, LOCAL PRIMARY CARE PHYSICIANS, AREA DENTISTS AND THE COMMUNITY HEALTH CARE CLINIC MAY LESSEN THE ORAL HEALTH BURDEN IN THE COMMUNITY. ALTHOUGH ORAL HEALTH IS NOT ONE OF THE SELECTED KEY HEALTH PRIORITIES, BROMENN MEDICAL CENTER COLLABORATES WITH EIGHT OF ITS DELEGATE CHURCHES TO ASSIST THE COMMUNITY WITH ITS ORAL HEALTH NEEDS. A PROGRAM CALLED PARTNERS IN SMILING WAS CREATED IN 2012. THE PROGRAM CONSISTS OF DELEGATE CHURCHES COLLECTING DENTAL HYGIENE SUPPLIES. BROMENN MEDICAL CENTER DELIVERS THE SUPPLIES TO THE MCLEAN COUNTY PUBLIC HEALTH DEPARTMENT OR THE JOHN SCOTT HEALTH CLINIC WHERE THEY ARE GIVEN TO INDIVIDUALS IN NEED. SINCE ITS INCEPTION, APPROXIMATELY $4,350 IN DENTAL HYGIENE SUPPLIES HAVE BEEN COLLECTED AND DISTRIBUTED TO INDIVIDUALS IN NEED IN MCLEAN COUNTY. BROMENN MEDICAL CENTER'S LEADERSHIP HAS ALSO MET ON SEVERAL OCCASIONS WITH THE MCLEAN COUNTY PUBLIC HEALTH DEPARTMENT, AND LOCAL DENTISTS AND ORAL SURGEONS TO DISCUSS THE ISSUE OF ACCESS TO DENTAL CARE FOR UNINSURED ADULTS IN MCLEAN COUNTY. ADDITIONALLY, THE HOSPITAL HAS HAD TWO STAFF MEMBERS SERVING ON THE MCLEAN COUNTY PUBLIC HEALTH DEPARTMENT'S IPLAN ORAL HEALTH TASK FORCE SINCE 2012. IN 2014, ABMC'S FAMILY HEALTH CARE CLINIC BEGAN EXPLORING THE POSSIBILITY OF ADDING A DENTAL RESIDENCY PROGRAM IN CONJUNCTION WITH THE COMMUNITY HEALTH CARE CLINIC. HEART DISEASE AND CANCER DESPITE THEIR PERVASIVENESS, HEART DISEASE AND CANCER WERE NOT SELECTED AS KEY HEALTH ISSUES. BROMENN MEDICAL CENTER'S COMMUNITY HEALTH COUNCIL DETERMINED THAT SIGNIFICANT RESOURCES ARE ALREADY DEVOTED TO BOTH OF THESE ISSUES. IN PARTICULAR, THE COMMUNITY HAS EXCELLENT RESOURCES IN BOTH THE COMMUNITY CANCER CENTER, WHICH IS A JOINT VENTURE BETWEEN BROMENN MEDICAL CENTER AND OSF SAINT JOSEPH'S MEDICAL CENTER. IN THE AREA OF HEART DISEASE, BROMENN MEDICAL CENTER SCREENED APPROXIMATELY 1,475 COMMUNITY MEMBERS FOR CHOLESTEROL, BLOOD PRESSURE, PERIPHERAL ARTERY DISEASE AND/OR PERCENT OF BODY FAT IN 2013, AND 1,050 COMMUNITY MEMBERS IN 2014. IN ADDITION, APPROXIMATELY 2,275 HIGH SCHOOL STUDENTS WERE SCREENED THROUGH ADVOCATE FOR YOUNG HEARTS IN 2013 AND AN ADDITIONAL 482 IN 2014. ADVOCATE FOR YOUNG HEARTS PROGRAM SCREENS LOCAL HIGH SCHOOL STUDENTS AT NO COST FOR UNIDENTIFIED GENETIC DISORDERS THAT PLACE THEM AT HIGH RISK FOR SUDDEN CARDIAC DEATH. LOW BIRTH WEIGHT INFANTS ALTHOUGH, LOW BIRTH WEIGHT WAS IDENTIFIED AS A HEALTH ISSUE IN MCLEAN COUNTY DATA, ABMC DID NOT SELECT IT AS A SIGNIFICANT HEALTH NEED TO BE ADDRESSED. THE HOSPITAL HAS TAKEN STEPS TO ADDRESS THE ISSUE, HOWEVER, DUE TO THE FACT THAT THE PERCENT OF ELECTIVE INDUCTIONS WAS DEEMED TO BE HIGHER THAN WHAT WAS DEEMED ACCEPTABLE TO THE HOSPITAL. IN OCTOBER 2011, A COLLABORATIVE
2014-2016 CHNA COLLABORATIVE PARTNERSHIPS ADVOCATE BROMENN MEDICAL CENTER IS WORKING COLLABORATIVELY WITH THE MCLEAN COUNTY HEALTH DEPARTMENT, OSF SAINT JOSEPH'S MEDICAL CENTER AND THE UNITED WAY FOR ITS 2014-2016 CHNA. BOTH HOSPITALS HAVE SIMILAR TIMELINES FOR THEIR CHNA'S. IN ORDER TO BEST SUPPORT THE PRIORITIZATION OF THE COMMUNITY'S HEALTH NEEDS AND IMPLEMENTATION OF SUSTAINABLE PROGRAMS TO IMPROVE THE HEALTH OF THE COMMUNITY, THE HEALTH DEPARTMENT IS ADJUSTING THE ILLINOIS PROJECT FOR LOCAL ASSESSMENT OF NEED (IPLAN) COMMUNITY HEALTH PLAN AND NEEDS ASSESSMENT FOR MCLEAN COUNTY, 2012-2017, TIMELINE TO ALIGN WITH THAT OF THE HOSPITALS. THE GOAL OF THE COLLABORATIVE GROUP'S EFFORTS IS TO IDENTIFY AND SELECT KEY HEALTH NEEDS, COMPOSE A UNIFIED REPORT AND WORK ON IMPACTFUL IMPLEMENTATION PLANS COLLECTIVELY FOR MCLEAN COUNTY. IN ADDITION TO THIS NEWLY FORMED MCLEAN COUNTY COMMUNITY HEALTH COUNCIL, BROMENN MEDICAL CENTER'S COMMUNITY HEALTH LEADER ALSO SERVES ON THE UNITED WAY COLLECTIVE IMPACT STRATEGIC COUNCIL. UNITED WAY CONDUCTED A COMMUNITY ASSESSMENT IN 2014 AND SERVES AN IMPORTANT ROLE ON THIS MCLEAN COUNTY COMMUNITY HEALTH COUNCIL. ADVOCATE TRINITY HOSPITAL NEEDS SELECTED TO ADDRESS THE HOSPITAL PRIORITIZED SEVERAL KEY HEALTH NEEDS AS IDENTIFIED THROUGH THE 2013 ADVOCATE TRINITY HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT REPORT. IMPLEMENTATION PLANS WERE CREATED IN 2013 AND APPROVED AND POSTED IN 2014 TO ADDRESS THE PRIORITIZED NEEDS IN THE AREAS OF ASTHMA, HEART DISEASE AND STROKE. THE IMPLEMENTATION PLAN SET GOALS, PERFORMANCE MEASURES AND IDENTIFIED STRATEGIES FOR SUCCESSFUL PROGRAM IMPLEMENTATION. PROGRAM ACCOMPLISHMENTS INCLUDE THE FOLLOWING: ASTHMA * TRINITY'S ASTHMA OUTREACH PROGRAM SUCCESSFULLY ENGAGED TWO STAFF MEMBERS TO SERVE AS COMMUNITY HEALTH WORKER ASTHMA SUPPORT SPECIALISTS. * THE PROGRAM HAS IDENTIFIED A FAITH-BASED ORGANIZATION THAT WILL OFFER AN ASTHMA SUPPORT PROGRAM STARTING SEPTEMBER 2015. * THE ASTHMA OUTREACH PROGRAM, MANAGED AS PART OF THE PROJECT HEALTH PROGRAM, ENROLLS PATIENTS TO PARTICIPATE IN ASTHMA SELF-MANAGEMENT, TEACHES PATIENTS HOW TO IDENTIFY TRIGGERS AND CREATES AN ASTHMA ACTION PLAN FOR PATIENTS WHO ARE ENROLLED IN THE PROGRAM. * EACH ADMITTED ASTHMA PATIENT IS PROVIDED ASTHMA MANAGEMENT EDUCATION BY THE COMMUNITY HEALTH WORKERS DURING EACH HOSPITAL VISIT. * ASSESSMENT PROTOCOLS WERE ESTABLISHED TO CONDUCT HOME ENVIRONMENT ASSESSMENTS WITH IDENTIFIED ASTHMA PATIENTS. * SINCE 2014, 71 ASTHMATIC PATIENTS WERE ENROLLED IN THE PROJECT HEALTH PROGRAM DURING THEIR HOSPITAL STAY FROM FEBRUARY 2014 - MAY 2015. HEART DISEASE/STROKE * SINCE JANUARY 2014, THE HOSPITAL PARTNERED WITH SIX FAITH COMMUNITIES TO PROVIDE THE FIRST PLACE 4 HEALTH PROGRAM TO CONGREGANTS AND THE COMMUNITY AT LARGE. * THE PROGRAM ENGAGED 6 FAITH ORGANIZATIONS THAT OFFERED BEHAVIOR MODIFICATION CLASSES FOR PHYSICAL ACTIVITY AND NUTRITION. * TRINITY'S PROGRAM HAS SUCCESSFULLY ENGAGED THE COMMUNITY BY CONDUCTING WORKSHOPS AND HEALTH SCREENINGS REGARDING CARDIOVASCULAR DISEASE AND ITS RISK FACTORS. * THE HOSPITAL HAS ESTABLISHED A NETWORK OF FAITH AND COMMUNITY ORGANIZATIONS THAT SUPPORT AND OFFER HEALTH SCREENINGS AND HEALTH EDUCATION PROGRAMS TO THE COMMUNITY. THIS COLLABORATIVE IS NOW KNOWN AS THE PARTNERS FOR FAITH AND HEALTH NETWORK. * IN 2014, THE PROGRAM OFFERED 23 HEALTH EDUCATION WORKSHOPS AND COMMUNITY SCREENINGS ASSOCIATED WITH HEART DISEASE AND STROKE. NEEDS NOT SELECTED TO ADDRESS THE KEY HEALTH ISSUES THAT HAVE BEEN IDENTIFIED AND NOT SPECIFICALLY TARGETED IN TRINITY'S COMMUNITY HEALTH IMPROVEMENT PLAN ARE CANCER, ACCIDENTS AND HOMICIDE BECAUSE THEY HAVE PREVIOUSLY BEEN, AND CONTINUE TO BE ADDRESSED THROUGH SPECFICIALLY DESIGNED CLINICAL PROGRAMS AND COMMUNITY OUTREACH ACTIVITIES. CANCER TRINITY HOSPITAL IS ADDRESSING THE CANCER CARE NEEDS OF THE COMMUNITY THROUGH ITS ONCOLOGY CENTER AND ONGOING COMMUNITY OUTREACH PROGRAMS DEDICATED TO THE EARLY DETECTION OF CANCER. COMMUNITY OUTREACH PROGRAMS FOR THE EARLY DETECTION OF CANCER INCLUDE THE LADIES NIGHT THINK PINK EVENT FOR BREAST CANCER PREVENTION EDUCATION AND THE COLON CANCER SCREENING PROGRAM IN COLLABORATION WITH THE AMERICAN CANCER SOCIETY. THE ONCOLOGY CENTER'S PROGRAMS ARE STRUCTURED TO FACILITATE A MULTIDISCIPLINARY ENVIRONMENT WHILE PROVIDING MINIMALLY INVASIVE PROCEDURES AND ADVANCED SURGICAL INTERVENTION TO TREAT CANCER. THE ONCOLOGY CENTER INCLUDES ADVANCED DIAGNOSTICS, IMAGING SERVICES, INTERVENTIONAL RADIOLOGY AND AN INFUSION CENTER. ACCIDENTS TRINITY HOSPITAL IMPLEMENTS VARIOUS ACTIVITIES THAT AID IN EDUCATING THE COMMUNITY REGARDING SAFETY AND HOW TO PREVENT ACCIDENTS WITHIN THE SENIOR POPULATION SERVED BY THE HOSPITAL. THESE ACTIVITIES INCLUDE EDUCATION FOR SAFE DRIVING AND INJURY/FALLS PREVENTION. THE HOSPITAL PARTNERS WITH THE AMERICAN ASSOCIATION OF RETIRED PERSONS (AARP) TO PROVIDE QUARTERLY WORKSHOPS ON DRIVER SAFETY TO EDUCATE SENIORS ON SAFE AND DEFENSIVE DRIVING TECHNIQUES. ADDITIONALLY, THE HOSPITAL UTILIZES ADVANCE PRACTICE NURSES TO PROVIDE COMMUNITY EDUCATION TO PREVENT FALLS AND INJURY IN THE HOME. HOMICIDE TRINITY HOSPITAL CONTINUALLY ASSESSES WHETHER ADDITIONAL PREVENTION STRATEGIES ARE NEEDED WITHIN THE COMMUNITY AND WORKS IN SUPPORT OF ITS COMMUNITY PARTNERS TO ADDRESS NEEDS SUCH AS ACCIDENTS AND HOMICIDE. COMMUNITY PARTNERS SPECIFICALLY ADDRESSING THESE NEEDS INCLUDE ORGANIZATIONS SUCH AS THE NEIGHBORHOOD CHICAGO ALTERNATIVE POLICING STRATEGY (CAPS), CHICAGO POLICE DEPARTMENT. THE POLICE DEPARTMENT IS WORKING WITHIN THE COMMUNITY TO ADDRESS THESE NEEDS AND TRINITY HOSPITAL PARTNERS WITH THEM TO SUPPORT THEIR ACTIVITIES SUCH AS THE NATIONAL NIGHT OUT EVENT. THE NATIONAL NIGHT OUT EVENT IS DESIGNED TO INCREASE AWARENESS ABOUT POLICE AND COMMUNITY PARTNERSHIPS OR PROGRAMS THAT EDUCATE COMMUNITIES REGARDING VIOLENCE PREVENTION, DRUG PREVENTION, TOWN WATCH, NEIGHBORHOOD WATCH AND OTHER ANTI-CRIME EFFORTS. ADVOCATE EUREKA HOSPITAL SIGNIFICANT NEED BEING ADDRESSED MENTAL HEALTH MENTAL HEALTH WAS CHOSEN AS A KEY HEALTH PRIORITY BY EUREKA HOSPITAL FOR THE 2011-2013 CHNA FOR SEVERAL REASONS. FIRST, ACCESS TO MENTAL HEALTH SERVICES IN WOODFORD COUNTY IS SEVERELY LIMITED DUE TO THE CLOSURE OF THE TAZWOOD MENTAL HEALTH CENTER SATELLITE FACILITY IN EUREKA IN 2009, THUS CAUSING RESIDENTS TO LEAVE THE COUNTY TO FIND MENTAL HEALTH CARE. SECONDLY, A STRONG CONSIDERATION WAS THE PARTNERSHIP WITH THE WOODFORD COUNTY HEALTH DEPARTMENT AND THE TAZWOOD MENTAL HEALTH CENTER. FINALLY, THE RESULTS OF THE 2011 ILLINOIS PROJECT FOR LOCAL ASSESSMENT OF NEED (IPLAN) COMMUNITY HEALTH PLAN AND NEED ASSESSMENT FOR WOODFORD COUNTY SHOW A GROWING NEED FOR MENTAL HEALTH SERVICES IN WOODFORD COUNTY. AS OUTLINED IN THE CHNA IMPLEMENTATION PLAN FOR MENTAL HEALTH, IN JUNE OF 2014, ADVOCATE BROMENN MEDICAL CENTER, IN PARTNERSHIP WITH ADVOCATE EUREKA HOSPITAL, OFFERED AN EVIDENCE-BASED MENTAL HEALTH PROGRAM TO THE COMMUNITY ENTITLED MENTAL HEALTH FIRST AID. MENTAL HEALTH FIRST AID IS A NATIONALLY RECOGNIZED ADULT PUBLIC EDUCATION PROGRAM THAT TEACHES INDIVIDUALS HOW TO IDENTIFY, UNDERSTAND AND RESPOND TO THE SIGNS OF MENTAL ILLNESS AND SUBSTANCE ABUSE DISORDERS. CERTIFIED INSTRUCTORS TEACH PARTICIPANTS TO BECOME MENTAL HEALTH FIRST AIDERS. PARTICIPANTS LEARN ABOUT THE SIGNS AND SYMPTOMS OF ACUTE MENTAL HEALTH CRISES AND CHRONIC MENTAL HEALTH PROBLEMS, SUCH AS ANXIETY AND DEPRESSION. EUREKA HOSPITAL HAS COLLABORATED WITH BROMENN MEDICAL CENTER, THE WOODFORD COUNTY HEALTH DEPARTMENT, THE MCLEAN COUNTY CENTER FOR HUMAN SERVICES AND THE MCLEAN COUNTY HEALTH DEPARTMENT IN OFFERING THIS PROGRAM TO THE COMMUNITY. TO DATE, 370 COMMUNITY MEMBERS FROM MCLEAN AND WOODFORD COUNTIES HAVE BEEN TRAINED IN MENTAL HEALTH FIRST AID. THE OUTCOMES MEASURED FOR ACCESS TO MENTAL HEALTH SERVICES INCLUDE THE NUMBER OF PATIENTS VISITING THE EUREKA HOSPITAL EMERGENCY ROOM WITH A BEHAVIORAL HEALTH RELATED DIAGNOSIS. THIS NUMBER HAS STEADILY DECREASED FROM 2010 TO 2013, FROM 78 PATIENTS IN 2010 TO 49 PATIENTS IN 2013. IN 2014, THE NUMBER OF PATIENTS INCREASED TO 59; HOWEVER, THIS IS STILL LOWER THAN THE BASELINE OF 78 PATIENTS IN 2010. POSITIVELY CONTRIBUTING TO THIS DECREASE IS THE COLLABORATION BETWEEN EUREKA HOSPITAL, THE WOODFORD COUNTY HEALTH DEPARTMENT AND THE TAZWOOD WELLNESS CENTER. PARTICIPANTS FROM THESE ENTITIES AND OTHER COMMUNITY ORGANIZATIONS FORM THE WOODFORD COUNTY HEALTH DEPARTMENT IPLAN MENTAL HEALTH SUBCOMMITTEE. AS A RESULT OF THE SUBCOMMITTEE'S EFFORTS, BEGINNING IN JANUARY 2013, THE TAZWOOD WELLNESS CENTER STAFF OFFERED COUNSELING SERVICES ONE TIME PER WEEK AND PSYCHIATRIC SERVICES ONE TIME PER MONTH AT THE WOODFORD COUNTY HEALTH DEPARTMENT. TO ASSIST WITH REFERRALS TO THIS PROGRAM AND WITH EFFECTIVE COMMUNICATION, A EUREKA HOSPITAL SOCIAL WORKER COORDINATED EDUCATIONAL SESSIONS FOR LOCAL ADVOCATE MEDICAL GROUP PHYSICIANS AND THE MEDICAL STAFF SERVING EUREKA HOSPITAL'S EMERGENCY ROOM. THE HOSPITAL SOCIAL WORKER ALSO COORDINATED EDUCATIONAL SESSIONS FOR THE STAFF AT NURSING HOMES AND WITH WOODFORD COUNTY CLERGY AT DELEG
PART V, SEC B, LINE 18D N/A PART V, SEC B, LINE 19D ADVOCATE HEALTH AND HOSPITALS CORPORATION DOES NOT PERFORM ACTIONS SUCH AS THOSE LISTED IN LINES 19A-C UNTIL REASONABLE EFFORTS HAVE BEEN MADE TO DETERMINE A PATIENT'S FAP ELIGIBILITY. PART V, SEC B, LINE 20E ADVOCATE MAKES REASONABLE EFFORTS TO DETERMINE A PATIENT'S ELIGIBILITY UNDER ITS FAP, INCLUDING SENDING A SERIES OF LETTERS AND ATTEMPTING TO WORK WITH THE PATIENT THROUGH THE FINANCIAL COUNSELING PROCESS AND/OR PHONE CALLS. ALL CORRESPONDENCE ASKS THE PATIENT TO NOTIFY THE HOSPITAL IF HE/SHE IS EXPERIENCING "DIFFICULTY IN PAYING YOUR BILL". ADVOCATE ALSO USES EARLY OUT AND PRECOLLECTION VENDORS TO ASSIST IN OBTAINING PAYMENTS OR COLLECTING FINANCIAL ASSISTANCE ELIGIBILITY INFORMATION. THESE VENDORS HAVE THE FOLLOWING LANGUAGE IN THEIR CONTRACT: "VENDOR WILL COMMUNICATE THE ADVOCATE HEALTH CARE POLICY AND GUIDELINE TO ANY PATIENT EXPRESSING A DIFFICULTY IN PAYING THEIR BILL" AND, "VENDOR WILL MAIL THE ADVOCATE HEALTH CARE FINANCIAL ASSISTANCE APPLICATION TO ANY PATIENTS EXPRESSING A DIFFICULTY IN PAYING THEIR BILL". ADVOCATE'S BAD DEBT AGENCY CONTRACTS HAVE THE FOLLOWING LANGUAGE: "AGENCY SHALL EVALUATE EACH PATIENT WHOSE ACCOUNT IS REFERRED TO AGENCY, WHERE THE PATIENT EXPRESSES DIFFICULTY OR INABILITY TO PAY THEIR BILL, FOR ELIGIBILITY UNDER ADVOCATE'S FINANCIAL ASSISTANCE POLICY." VENDOR AND AGENCY CONTRACTS ARE STANDARD ACROSS ADVOCATE'S SYSTEM. PART V, SEC B, LINE 21C N/A PART V, SEC B, LINE 21D N/A PART V, SEC B, LINE 22D THE MAXIMUM AMOUNT THAT CAN BE CHARGED TO AN FAP-ELIGIBLE PATIENT FOR EMERGENCY OR OTHER MEDICALLY NECESSARY CARE IS BASED ON A SLIDING SCALE PERCENTAGE OF ANNUAL FAMILY INCOME WHICH IS TIED TO THE FPG FAMILY INCOME LIMIT APPLICABLE TO THE PATIENT. FOR A FAMILY WITH INCOME BETWEEN TWO AND THREE TIMES THE FEDERAL POVERTY LEVEL, THE MAXIMUM EXPECTED PAYMENT IS 5% OF ANNUAL FAMILY INCOME. FOR A FAMILY WITH INCOME BETWEEN THREE AND FOUR TIMES THE FEDERAL POVERTY LEVEL, THE MAXIMUM EXPECTED PAYMENT IS 10% OF ANNUAL FAMILY INCOME. FOR AN UNINSURED FAMILY WITH INCOME BETWEEN FOUR AND SIX TIMES THE FEDERAL POVERTY LEVEL, THE MAXIMUM EXPECTED PAYMENT IS 25% OF ANNUAL FAMILY INCOME. PART V, SEC B, LINE 23 FOR THE CURRENT TAX YEAR THERE WAS NO REQUIREMENT IN THE TAX LAW TO PROVIDE AN AGB DISCOUNT NOR DESCRIBED A METHOD CALCULATE IT. IN 2014, ADVOCATE UPDATED THE CHARITY CARE DISCOUNTS TO BE COMPLIANT WITH NEW STATE REGULATIONS ISSUED IN AUGUST 2013. THE ADVOCATE CHARITY CARE POLICY EXCEEDS THE STATE REQUIREMENTS IN TERMS OF THE AMOUNT OF CHARITY CARE PROVIDED TO UNINSURED PATIENTS, INSURED PATIENTS, AND PROVIDES FOR LOWER LIMITS ON THE ANNUAL MAXIMUM PAYMENTS FROM AN INDIVIDUAL OR FAMILY ALLOWED UNDER STATE REGULATIONS. AS WE PREPARED FOR IMPLEMENTATION OF 501R FOR THE 2016 TAX YEAR AND THE IRS DEFINED THE METHOD TO CALCULATE THE AGB WE HAVE LEARNED THAT IN SOME CASES PATIENTS WILL RECEIVE A MORE GENEROUS DISCOUNT USING THE AGB VS. THE IL STATE (COST TO CHARGE RATIO +35%) METHOD. PART V, SECTION B, LINE 24 N/A
   
   
   
   
   
   
   
   
   
   
   
   
   
   
   
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part VFacility Information (continued)

Section D. Other Health Care Facilities That Are Not Licensed, Registered, or Similarly Recognized as a Hospital Facility
(list in order of size, from largest to smallest)
How many non-hospital health care facilities did the organization operate during the tax year?194
Name and address Type of Facility (describe)
1 ABMC-BroMenn Outpatient Center
3024 E Empire Street
Bloomington,IL61704 		Patient Care - Out Patient
2 ABMCAEH-Communtiy Cancer Ctr-Cyberknife
407 E Vernon
Normal,IL61761 		Patient Care - Out Patient
3 ABMCAEH-HomeHospiceCommunity Health
407 E Vernon
Normal,IL61761 		Patient Care - Out Patient
4 ABMCAEH-IL Heart & Lung Cardiology Assc
1302 Franklin Ave MOB 4500
Normal,IL61761 		Patient Care - Out Patient
5 ABMCAEH-Materials Management
1011-1015 E Lafayette St
Bloomington,IL61701 		Office - No Patient Care
6 ABMCAEH-Mecherle Hall
VA at Franklin
Normal,IL61761 		Office - No Patient Care
7 ABMCAEH-Offc Building-Advocate Phys Ptr
3004 General Electric Road
Bloomington,IL61704 		Patient Care - Out Patient
8 ABMCAEH-Community Healthcare Clinic
902 Franklin Ave
Normal,IL61761 		Patient Care - Out Patient
9 ABMCAEH-Franklin Avenue Building
900 Franklin Ave
Normal,IL61761 		Patient Care - Out Patient
10 ABMCAEH-Land (was apartment building)
702 W Virginia
Normal,IL61761 		Residential
11 ABMCAEH-Medical Office Building
1302 Franklin
Normal,IL61761 		Patient Care - Out Patient
12 ABMCAEH-POB Building
1300 Franklin Ave
Normal,IL61761 		Patient Care - Out Patient
13 ABMCAEH Landmark Dr Location
207 Landmark
Normal,IL61761 		Office - Other
14 ABMG-ABMG Central Billing Office
306 Eldorado
Bloomington,IL61702 		Office - No Patient Care
15 ABMG-Crossroads Medical
128 W Main St
Lexington,IL61753 		Patient Care - Out Patient
16 ABMG-Crossroads Medical
307 W Main St
Lexington,IL61753 		Patient Care - Out Patient
17 ABMG-Crossroads Medical
385 S Orange St
El Paso,IL61738 		Patient Care - Out Patient
18 ABMG-Fairbury Medical Associates
115 E Walnut
Fairbury,IL61739 		Patient Care - Out Patient
19 ABMG-Healthpoint
1437 E College Ave
Normal,IL61761 		Patient Care - Out Patient
20 ABMG-IL Heart & Lung Assc Pulmonologists
1302 Franklin Ave
Normal,IL61761 		Patient Care - Out Patient
21 ABMG-Illinois Heart & Lung - Billing Off
1300 Franklin Ave
Normal,IL61761 		Patient Care - Out Patient
22 ABMG-Illinois Heart & Lung - Pontiac Off
1508 W Reynolds Suite A
Pontiac,IL61764 		Patient Care - Out Patient
23 ABMG-LeRoy Family Medicine
911 S Chestnut
Leroy,IL61752 		Patient Care - Out Patient
24 ABMG-Medical Hills Internists
1401 Eastland Dr
Bloomington,IL61701 		Patient Care - Out Patient
25 ABMG-Sugar Creek Medical I
1302 Franklin Ave Suite 1100
Normal,IL61761 		Patient Care - Out Patient
26 ABMG-Sugar Creek Medical II
1302 Franklin Ave Suite 2500
Normal,IL61761 		Patient Care - Out Patient
27 ABMG-Town & Country
105 S Major St
Eureka,IL61530 		Patient Care - Out Patient
28 ABMG-Town & Country
415 W Front
Roanoke,IL61561 		Patient Care - Out Patient
29 ABMG-Twin Cities Behavioral HealthEAP
303 N Hershey Rd Suite 2C
Bloomington,IL61761 		Patient Care - Out Patient
30 ABMG-Twin Cities Behavioral HealthEAP
403 Virginia Ave
Normal,IL61761 		Patient Care - Out Patient
31 ABMG-Twin Cities Behavioral HealthEAP
403 Virginia Ave 2nd Floor
Normal,IL61761 		Patient Care - Out Patient
32 ACL-Lab Service Center
1775 Ballard Road LL
Park Ridge,IL60068 		Patient Care - Out Patient
33 ACL-Lab Service Center
1870 West Galena Blvd
Aurora,IL60506 		Patient Care - Out Patient
34 ACL-Lab Service Center
3048 N Wilton Lab
Chicago,IL60657 		Patient Care - Out Patient
35 ACL-Lab Service Center - Parkside
1875 Dempster St Suite 504
Park Ridge,IL60068 		Patient Care - Out Patient
36 AHC-Beverly Health Facility-Walk-in-Care
9831 South Western Avenue
Chicago,IL60643 		Patient Care - Out Patient
37 AHC-Burbank Health Facility
4901 West 79th Street
Burbank,IL60459 		Patient Care - Out Patient
38 AHC- Evergreen Park Health Facility
1357 W 103rd Street Suites 100
Chicago,IL60643 		Patient Care - Out Patient
39 AHC-Evergreen Plaza - UM
9730 South Western Avenue Suite 73
Evergreen Park,IL60805 		Patient Care - Out Patient
40 AHC- Evergreen Peds
9730 South Western Avenue Suite 50
Evergreen Park,IL60805 		Patient Care - Out Patient
41 AHC-Frankfort AHC
328 N LaGrange Road
Frankfort,IL60423 		Patient Care - Out Patient
42 AHC-Halsted & Blackhawk Health Facility
1460 N Halsted Avenue
Chicago,IL60614 		Patient Care - Out Patient
43 AHC-Irving and Western
4025 North Western Avenue
Chicago,IL60618 		Patient Care - Out Patient
44 AHC-Logan Square Health Facility
2511 North Kedzie
Chicago,IL60647 		Patient Care - Out Patient
45 AHC-Oak Park - North Ave Health Facility
6434 West North Avenue
Oak Park,IL60639 		Patient Care - Out Patient
46 AHC-Orland Square Health Center WALK-IN
29 Orland Square Drive
Orland Park,IL60462 		Patient Care - Out Patient
47 AHC-Palos
7620 W 111th Street
Palos Hills,IL60465 		Patient Care - Out Patient
48 AHC-Six Corners AHC
4211 North Cicero Suite 308 306
Chicago,IL60641 		Patient Care - Out Patient
49 AHC-South Holland
100 West 162nd Street
South Holland,IL60473 		Patient Care - Out Patient
50 AHC-Southeast Health Facility
2301 East 93rd Street Suite 117 2
Chicago,IL60617 		Patient Care - Out Patient
51 AHC-Southwest Highway
11824 Southwest Highway Suites 135
Palos Heights,IL60463 		Patient Care - Out Patient
52 AHC-Sykes Health Center - WALK-IN CARE
2545-55 South Martin Luther King Dr
Chicago,IL60616 		Patient Care - Out Patient
53 AHC-West Suburban - UM Office
3 Erie Court
Oak Park,IL60439 		Patient Care - Out Patient
54 AIS-Advocate Imaging Specialists-Wilmett
114 Skokie Blvd
Wilmette,IL60091 		Patient Care - Out Patient
55 AMG-87th & Greenwood
1111 E 87th Street Suite 900A
Chicago,IL60619 		Patient Care - Out Patient
56 AMG- Des Plaines
701 Lee Street Suites LL 100 11
Des Plaines,IL60016 		Patient Care - Out Patient
57 AMG- Glenview
1255 Milwaukee Road
Glenview,IL60025 		Patient Care - Out Patient
58 AMG- Heart and Vascular of Illinois
3118 N Ashland Avenue
Chicago,IL60657 		Patient Care - Out Patient
59 AMG- Heart and Vascular of Illinois
5151 W 95th Street 2nd Floor
Oak Lawn,IL60453 		Patient Care - Out Patient
60 AMG- Hyde Park
1301 E 47th Street Unit 2
Chicago,IL60615 		Patient Care - Out Patient
61 AMG- Hyde Park
1515 E 52nd Place Unit 5
Chicago,IL60615 		Patient Care - Out Patient
62 AMG- Lockport Primary Care
1206 E 9th Street Suite 210
Lockport,IL60441 		Patient Care - Out Patient
63 AMG- Mundelein Internal Medicine
550 N Lake Street
Mundelein,IL60060 		Patient Care - Out Patient
64 AMG- Oak Lawn
4712 W 103rd Street
Oak Lawn,IL60453 		Patient Care - Out Patient
65 AMG- Parkside Center
1875 W Dempster Street Suite 525
Park Ridge,IL60068 		Patient Care - Out Patient
66 AMG- Posen
2590 W Walter Zimny Drive
Posen,IL60469 		Patient Care - Out Patient
67 AMG- Richton Park
4511 Sauk Trail
Richton Park,IL60471 		Patient Care - Out Patient
68 AMG- Southeast Location
2301 E 93rd Street Suite 213
Chicago,IL60617 		Patient Care - Out Patient
69 AMG- Wauconda
224 Brown Street
Wauconda,IL60522 		Patient Care - Out Patient
70 AMG- Metrodocs
431 Lakeview Court
Mount Prospect,IL60056 		Patient Care - Out Patient
71 AMG- Alexian Brothers
800 Biesterfield Road Suite 645
Elk Grove Village,IL60007 		Office - No Patient Care
72 AMG- Alpine Family Medicine
350 Surryse Road Suite 100
Lake Zurich,IL60047 		Patient Care - Out Patient
73 AMG- Bartlett
1054 Norwood Lane
Bartlett,IL60103 		Patient Care - Out Patient
74 AMG- Downers Grove
1341 Waren Avenue
Downers Grove,IL60515 		Patient Care - Out Patient
75 AMG- Glenbrook
2551 Compass Drive
Glenview,IL60026 		Patient Care - Out Patient
76 AMG- Hampshire
1000 S State Street
Hampshire,IL60140 		Patient Care - Out Patient
77 AMG- Huntley
12151-12199 Regency Center
Huntley,IL60142 		Patient Care - Out Patient
78 AMG- Island Lake
27979 Converse Road
Island Lake,IL60042 		Patient Care - Out Patient
79 AMG- Lemont
6319 S Fairview
Wesmont,IL60559 		Patient Care - Out Patient
80 AMG- Libertyville Winchester
1870 Winchester Road Suite 143
Libertyville,IL60048 		Patient Care - Out Patient
81 AMG-AMG Lincolwood
6540 N Lincoln Avenue
Lincolnwwod,IL60712 		Patient Care - Out Patient
82 AMG-AMG Primary Care Specialists
150 N River Road
Des Plaines,IL60016 		Patient Care - Out Patient
83 AMG-AMG Pulaski
10627 S Pulaski
Chicago,IL60655 		Patient Care - Out Patient
84 AMG-AMG Riverside
7234 W Ogden Avenue
Downers Grove,IL60515 		Patient Care - Out Patient
85 AMG-AMG Swedish Covenant
5140 N California Ave Suite 505
Chicago,IL60625 		Patient Care - Out Patient
86 AMG-AMG-Chicago-900 W Nelson
900 W Nelson 1st Floor
Chicago,IL60657 		Patient Care - Out Patient
87 AMG-Amundsen School Based Health Center
5110 N Damen Avenue Rm 307
Chicago,IL60625 		Patient Care - Out Patient
88 AMG-Center for Advanced Cardiology
1875 Dempster Suite 580 585 590
Park Ridge,IL60068 		Patient Care - Out Patient
89 AMG-Doctors of the North Shore
6131 W Dempster Street
Morton Grove,IL60053 		Patient Care - Out Patient
90 AMG-Doctors Office
3040 North Wilton
Chicago,IL60657 		Patient Care - Out Patient
91 AMG-Downers Grove Internists
3825 Highland Avenue Suite 5B
Downers Grove,IL60515 		Patient Care - Out Patient
92 AMG-Family Practice - Arlington Heights
825 East Golf Road
Arlington Heights,IL60005 		Patient Care - Out Patient
93 AMG-Family Practice at Ravenswood
4600 N Ravenswood Avenue
Chicago,IL60640 		Patient Care - Out Patient
94 AMG-Gartner Dentistry Building
811 West Wellington Avenue
Chicago,IL60657 		Patient Care - Out Patient
95 AMG-Grand Oaks Health Center Hollister
1800 Hollister Drive Suite G2
Libertyville,IL60048 		Patient Care - Out Patient
96 AMG-Great Lakes REIT (GLR) Int Medicine
27790 West Highway 22 Bldg 1 Sui
Barrington,IL60010 		Patient Care - Out Patient
97 AMG-Illinois Masonic Physician Group
4211 N Cicero Suite 300
Chicago,IL60641 		Patient Care - Out Patient
98 AMG-Internal Medicine - Buffalo Grove
214 McHenry Road Suites B19 B20
Buffalo Grove,IL60089 		Patient Care - Out Patient
99 AMG-Ivy Physicians Group
2437 N Southport Avenue 1st Floor
Chicago,IL60614 		Patient Care - Out Patient
100 AMG-Lakeview School Based Health Center
4015 N Ashland Avenue Rm 103
Chicago,IL60657 		Patient Care - Out Patient
101 AMG-Libertyville Office Building AMG
716 S Milwaukee Avenue
Libertyville,IL60048 		Patient Care - Out Patient
102 AMG-Medical Office Building
3000 North Halsted Street Suites 2
Chicago,IL60657 		Patient Care - Out Patient
103 AMG-MCCAMG Cicero
10837 S Cicero Ave Suite 200 110
Oak Lawn,IL60453 		Patient Care - Out Patient
104 AMG-MCCAMG Hickory Cardiac Care
3611 W 183rd Street
Hazel Crest,IL60429 		Patient Care - Out Patient
105 AMG-MCCAMG Ravinia
14741 Ravinia Drive
Orland Park,IL60467 		Patient Care - Out Patient
106 AMG-MCCAMG Ridgeland
9830 S Ridgeland Avenue
Chicago Ridge,IL60415 		Patient Care - Out Patient
107 AMG-MCCAMG South Suburban POB
17850 S Kedzie Ave Suite 3250
Hazel Crest,IL60429 		Patient Care - Out Patient
108 AMG-MCCAMG Trinity POB
2301/2315 E 93rd St Suite 222
Chicago,IL60617 		Patient Care - Out Patient
109 AMG-MCC St James POB
3800 Burke Drive Suite 201
Olympia Fields,IL60449 		Patient Care - Out Patient
110 AMG-Midwest Heart SpecialistsBarrington
27750 W Highway 22 Suite 240
Barrington,IL60010 		Patient Care - Out Patient
111 AMG-Midwest Heart SpecialistsDowners Gr
3825 Highland Ave Suite 400
Downers Grove,IL60515 		Patient Care - Out Patient
112 AMG-Midwest Heart Specialists Elmhurst
133 E Brush Hill Rd Suite 202
Elmhurst,IL60126 		Patient Care - Out Patient
113 AMG-Midwest Heart SpecialistsHoffman Es
1555 Barrington Rd Suite 3200
Hoffman Estates,IL60194 		Patient Care - Out Patient
114 AMG-Midwest Heart SpecialistsNaperville
801 S Washington 4th Floor
Naperville,IL60540 		Patient Care - Out Patient
115 AMG-Midwest Heart Specialists Winfield
25 N Winfield Rd Suite 301
Winfield,IL60190 		Patient Care - Out Patient
116 AMG-Midwest Pediatric Cardiolog Billing
621 Plainfield Road Suite 105
Willowbrook,IL60527 		Office - No Patient Care
117 AMG-Midwest Pediatric Cardiology Aurora
2020 Ogden Avenue Suite 400
Aurora,IL60504 		Patient Care - Out Patient
118 AMG-Midwest Pediatric Cardiology Christ
4440 W 95th Street Suite 108
Oak Lawn,IL60453 		Patient Care - Out Patient
119 AMG-Midwest Pediatric Cardiology Crest
16151 Weber Road Unit 107
Crest Hill,IL60403 		Patient Care - Out Patient
120 AMG-Midwest Pediatric Cardiology Hope
4440 W 95th St Suite 1100H
Oak Lawn,IL60453 		Patient Care - Out Patient
121 AMG-Midwest Pediatric CardiologyLockprt
1206 9thStreet Suite 310
Lockport,IL60441 		Patient Care - Out Patient
122 AMG-Midwest Pediatric Cardiology Merril
209 E 86th Place Suite D
Merrillville,IN46410 		Patient Care - Out Patient
123 AMG-Midwest Pediatric Cardiology MHS
1555 Barrington Rd Suite 3200
Hoffman Estates,IL60169 		Patient Care - Out Patient
124 AMG-Midwest Pediatric CardiologyMunster
800 MacArthur Blvd Suite 3
Munster,IN46321 		Patient Care - Out Patient
125 AMG-Midwest Pediatric CardiologyNapervl
1020 E Ogden Ave Suite 302
Naperville,IL60563 		Patient Care - Out Patient
126 AMG-Midwest Pediatric Cardiology Oak Ln
4700 W 95th Street Suite 205
Oak Lawn,IL60453 		Patient Care - Out Patient
127 AMG-Midwest Pediatric CardiologyRockfd
5701 Strathmoor Dr Suite 1 3
Rockford,IL61107 		Patient Care - Out Patient
128 AMG-Park Ridge Pediatric Nephrology
1480 Renaissance Dr Suite 211
Park Ridge,IL60068 		Patient Care - Out Patient
129 AMG-PEDS - Deerfield
720 Osterman Avenue 103
Deerfield,IL60015 		Patient Care - Out Patient
130 AMG-Ravenswood Medical Group
1945 W Wilson Avenue Ste 2100 4
Chicago,IL60640 		Patient Care - Out Patient
131 AMG-Tinley Park Medical Office
16750 South 80th Avenue Suite B
Tinley Park,IL60477 		Patient Care - Out Patient
132 AMG- Orland Park Clinic & Orland Park SC
9550 W 167th Street
Orland Park,IL60467 		Patient Care - Out Patient
133 AMG-Chicago (Medicine & Surgery) AMG
11250 S Western
Chicago,IL60643 		Patient Care - Out Patient
134 AMG-Olympia Fields AMG
4001 Vollmer Road
Olympia Fields,IL60461 		Patient Care - Out Patient
135 AMG-Olympia Fields Cancer Care Institute
3700 W 203rd Street
Olympia Fields,IL60461 		Patient Care - Out Patient
136 AMG-Olympia Fields Corporate & Physical
20110 Governors Highway
Olympia Fields,IL60461 		Patient Care - Out Patient
137 BH-POB Building
3410 West Van Buren
Chicago,IL60624 		Patient Care - Out Patient
138 BH-POB Building
414 South Homan
Chicago,IL60624 		Patient Care - Out Patient
139 CH-ACMC - Outpatient Center Lockport
1206 E 9th Street Suites 110 170
Lockport,IL60441 		Patient Care - Out Patient
140 CH-Advocate PTOT (Christ)
12340-50 S Harlem Avenue
Palos Heights,IL60463 		Patient Care - Out Patient
141 CH-Ambulatory Building
4440 West 95th Street
Oak Lawn,IL60453 		Patient Care - In Patient
142 CH-Breast Health Center
4545 W 103rd Street
Oak Lawn,IL60453 		Patient Care - Out Patient
143 CH-Christ POB
4400 West 95th Street Suites 101
Oak Lawn,IL60453 		Patient Care - Out Patient
144 CH-Christ Women's Health Center
18210 South LaGrange Road Suite 20
Tinley Park,IL60477 		Patient Care - Out Patient
145 CH-Development Center
4546 West 95th Street
Oak Lawn,IL60453 		Patient Care - Out Patient
146 CH-Family Practice
4140 West Southwest Highway
Hometown,IL60456 		Patient Care - Out Patient
147 CH-High Tech Offices - Hospital
11800 Southwest Highway
Palos Heights,IL60463 		Patient Care - Out Patient
148 CH-Physician's Offices
11745 Southwest Highway
Palos Heights,IL60463 		Patient Care - Out Patient
149 CH-Physician's Offices
4151 Naperville Road
Lisle,IL60532 		Patient Care - Out Patient
150 CH-Physician's Offices
9848 South Roberts Road
Palos Heights,IL60465 		Patient Care - Out Patient
151 CH-Rotunda Medical Building
4340 West 95th Street Suite 104
Oak Lawn,IL60453 		Patient Care - Out Patient
152 FCN-Bolingbrook Quadrangle Building C
391 Quadrangle Drive N-4
Bolingbrook,IL60440 		Patient Care - Out Patient
153 GSAM-ADVOCATE GOOD SAMARITAN HOSPITAL OP
6840 Main Street 1st Floor Suite
Downers Grove,IL60515 		Patient Care - Out Patient
154 GSAM-Good Samaritan Hospital Cancer Care
3745 Highland Avenue
Downers Grove,IL60515 		Patient Care - In Patient
155 GSAM-Good Samaritan POB Tower 1
3825 Highland Avenue Suites 2J 4H
Downers Grove,IL60515 		Patient Care - Out Patient
156 GSAM-Good Samaritan POB Tower 2
3825 Highland Avenue Suites 103 1
Downers Grove,IL60515 		Patient Care - Out Patient
157 GSAM-Lemont Walk In ClinicRadiology
15900 W 127th Street Suites 100
Lemont,IL60439 		Patient Care - Out Patient
158 GSAM-Midwest Center For Day Surgery
3811 Highland Avenue
Downers Grove,IL60515 		Patient Care - Out Patient
159 GSAM-North Pavilion
3743 Highland Avenue
Downers Grove,IL60515 		Patient Care - Out Patient
160 GSAM-Woodridge Imaging Center
7530 Woodward Avenue
Woodridge,IL60517 		Patient Care- Out Patient
161 GSAM-Good Samaritan Wellness Center
3551 Highland Avenue
Downers Grove,IL60515 		Patient Care - Out Patient
162 GSH-Advocate Adult & Pediatric Rehab Ctr
5150 Northwest Highway
Crystal Lake,IL60014 		Patient Care - Out Patient
163 GSH-Briarwood Building
2272 Countyline Road Suites 100 2
Algonquin,IL60102 		Patient Care - Out Patient
164 GSH-Good Shepherd OP Ctr & Imaging Ctr
525 Congress Parkway 1st Floor 2
Crystal Lake,IL60014 		Patient Care - Out Patient
165 GSH-Good Shepherd POB Building 1
27790 West Highway 22 Suite 2 5
Barrington,IL60010 		Patient Care - Out Patient
166 GSH-Good Shepherd POB Building 2
27750 West Highway 22 SuiteS G50
Barrington,IL60010 		Patient Care - Out Patient
167 GSH-Imaging Center
2284 W Countyline Road
Algonquin,IL60014 		Patient Care - Out Patient
168 GSH-LZ Breast Imaging CTR Pediatric CTR
350 Surryse Road Suites 140 150
Lake Zurich,IL60047 		Patient Care - Out Patient
169 GSH-North Suburban Clinic
2575 Algonquin Road
Algonquin,IL601029403 		Patient Care - Out Patient
170 GSH-Advocate GSH Health & Fitness Ctr
1301 South Barrington Road
Barrington,IL60005 		Patient Care - Out Patient
171 LGHS-Parkside Center
1875 Dempster Street
Park Ridge,IL60068 		Patient Care - Out Patient
172 LGHS-Nesset Health Center
1775 Ballard Road
Park Ridge,IL60068 		Patient Care - Out Patient
173 LGHS-Yacktman Children's Pavillion
1675 Dempster Street
Park Ridge,IL60068 		Patient Care - Out Patient
174 LGHS-CTR for Advanced Care
1700 Lutheran Lane
Park Ridge,IL60068 		Patient Care - Out Patient
175 LGHS-Adult Down Syndrome Clinic
1610 Luther Lane
Park Ridge,IL60068 		Patient Care - Out Patient
176 LGHS-Cardiac Risk
8820 Dempster Street
Park Ridge,IL60068 		Patient Care - Out Patient
177 LGHS-East Pavillion (Old Science Bldg)
1775 Western Avenue
Park Ridge,IL60068 		Patient Care - Out Patient
178 LGHS-Vacant
1999 Dempster Street
Park Ridge,IL60068 		Patient Care - Out Patient
179 LGHS-Golf Surgical Center
8901 Golf Road
Des Plaines,IL60016 		Patient Care - Out Patient
180 OHC-Downers Grove Center
3551 Highland Avenue Suite 200
Downers Grove,IL60515 		Patient Care - Out Patient
181 OHC-Elk Grove Center
1502 Elmhurst Road
Elk Grove Village,IL60007 		Patient Care - Out Patient
182 OHC-Hazel Crest Center
17850 South Kedzie Avenue Suite 11
Hazel Crest,IL60429 		Patient Care - Out Patient
183 OHC-Lake Zurich Center
350 Surryse Road
Lake Zurich,IL60047 		Patient Care- Out Patient
184 OHC-LGOHC-I
7255 Caldwell
Niles,IL60714 		Patient Care - Out Patient
185 OHC-Tinley Park Center - Occ Health
18210 South LaGrange Road Suite 21
Tinley Park,IL60477 		Patient Care - Out Patient
186 SSHS-Frankfort Medical Office
20325 South Graceland Lane
Frankfort,IL60423 		Patient Care - Out Patient
187 SSHS-South Suburban Hospital - Crete loc
1024-1036 E Steger Road 4 Suites
Crete,IL60417 		Patient Care- Out Patient
188 SSHS-South Suburban Hospital Cancer Ctr
17750 S Kedzie
Hazel Crest,IL60429 		Patient Care - Out Patient
189 SSHS-South Suburban Med Offc & Sleep Ctr
16532 Oak Park Avenue Suite LL1
Tinley Park,IL60477 		Patient Care - Out Patient
190 SSHS-South Suburban POB
17850 South Kedzie Suites LL 1 2
Hazel Crest,IL60429 		Patient Care - Out Patient
191 TH-Sleep Center
1111 E 87th Street Suite 500
Chicago,IL60617 		Patient Care- Out Patient
192 TH-Trinity POB
2301-2315 East 93rd StreetSuites 1
Chicago,IL60617 		Patient Care - Out Patient
193 TH-Wound Care Clinic
8751 S Greenwood Suite600 100
Chicago,IL60619 		Patient Care- Out Patient
194 Advanced MRI (AMRI)
2204 Eastland Drive Suite 200
Bloomington,IL61701 		Patient Care - Out Patient
Schedule H (Form 990) 2014
Schedule H (Form 990) 2014
Page
Part VI
Supplemental Information
Provide the following information.
1 Required descriptions. Provide the descriptions required for Part I, lines 3c, 6a, and 7; Part II and Part III, lines 2, 3, 4, 8 and 9b.
2 Needs assessment. Describe how the organization assesses the health care needs of the communities it serves, in addition to any CHNAs reported in Part V, Section B.
3 Patient education of eligibility for assistance. Describe how the organization informs and educates patients and persons who may be billed for patient care about their eligibility for assistance under federal, state, or local government programs or under the organization’s financial assistance policy.
4 Community information. Describe the community the organization serves, taking into account the geographic area and demographic constituents it serves.
5 Promotion of community health. Provide any other information important to describing how the organization’s hospital facilities or other health care facilities further its exempt purpose by promoting the health of the community (e.g., open medical staff, community board, use of surplus funds, etc.).
6 Affiliated health care system. If the organization is part of an affiliated health care system, describe the respective roles of the organization and its affiliates in promoting the health of the communities served.
7 State filing of community benefit report. If applicable, identify all states with which the organization, or a related organization, files a community benefit report.
Form and Line Reference Explanation
1. REQUIRED DESCRIPTIONS PART I, LINE 3C N/A PART I, LINE 6A A SYSTEM-WIDE COMMUNITY BENEFIT REPORT IS FILED BY: ADVOCATE HEALTH CARE NETWORK 3075 HIGHLAND PARKWAY, DOWNERS GROVE, IL 60515. EIN 36-2167779 PART I, LINE 7 A COST-TO-CHARGE RATIO, DERIVED FROM SCHEDULE H INSTRUCTIONS WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES, WAS USED TO CALCULATE THE AMOUNTS REPORTED IN THE TABLE FOR PART I, LINE 7A. SCHEDULE H INSTRUCTIONS WORKSHEET 3, UNREIMBURSED MEDICAID AND OTHER MEANS-TESTED GOVERNMENT PROGRAMS, WAS USED TO CALCULATE THE AMOUNTS REPORTED IN THE TABLE FOR PART I, LINE 7B. A COST ACCOUNTING SYSTEM WAS USED TO DETERMINE THE AMOUNTS REPORTED IN THE TABLE FOR PART I, LINES 7E, 7F, 7G, AND 7I. PART VI, LINE 1-7E ADVOCATE HEALTH & HOSPITALS CORPORATION PROVIDES COMMUNITY HEALTH IMPROVEMENT SERVICES TO THE COMMUNITIES IN WHICH IT SERVES. AHHC PROVIDES LANGUAGE SERVICES TO ALL THOSE IN NEED IN ORDER TO PROVIDE BETTER ACCESS TO CARE FOR ALL COMMUNITY MEMBERS. IN ADDITION, OTHER PROGRAMS ARE CARRIED OUT WITH THE EXPRESS PURPOSE OF IMPROVING COMMUNITY HEALTH, ACCESS TO HEALTH SERVICES AND GENERAL HEALTH KNOWLEDGE. THESE SERVICES DO NOT GENERATE PATIENT BILLS, HOWEVER, CERTAIN PROGRAMS OR SERVICES MAY HAVE NOMINAL FEES. THESE SERVICES AND PROGRAMS INCLUDE SENIOR BREAKFAST CLUBS WHICH INCLUDE EDUCATIONAL SPEAKERS FOCUSING ON HEALTH AND WELLNESS AND INCLUDE BLOOD PRESSURE SCREENINGS; CANCER SUPPORT GROUPS FOR VARIOUS TYPES OF CANCER INCLUDING, PROSTATE, BREAST AND SKIN CANCERS. THESE GROUPS FOCUS ON EDUCATING THE NEWLY DIAGNOSED AND PROVIDING INFORMATION ON BETTER LIVING FOR SURVIVORS. SKIN CANCER SCREENING ARE ALSO PROVIDED; VARIOUS PROGRAMS REGARDING JOINT PAIN AND REPLACEMENT INCLUDING TREATMENT OPTIONS AND INFORMATION ON PAIN RELIEF; VARIOUS WOMEN AND BABY, BREASTFEEDING, MULTIPLES AND CHILDBIRTH CLASSES; VARIOUS EDUCATIONAL PROGRAMS AND SUPPORT GROUPS TO RAISE AWARENESS OF HEART DISEASE RISK FACTORS AND TREATMENT OPTIONS AND EDUCATION FOR LIVING WITH THE DISEASE; THERE ARE VARIOUS PROGRAMS REGARDING HEALTH EATING AND THE RISKS OF BEING OVERWEIGHT FOR BOTH ADULTS AND ADOLESCENTS. THESE PROGRAMS INCLUDE SCREENING, EDUCATION AND OPTIONS FOR DEALING WITH THE ISSUE; PROGRAMS RELATED TO SPORTS MEDICINE AND ATHLETIC TRAINING AND INJURIES ARE ALSO OFFERED; CPR TRAINING IS OFFERED TO THE COMMUNITY AS WELL AS VARIOUS OTHER WELLNESS AND SCREENING PROGRAMS AND HEALTH FAIRS ARE OFFERED THROUGHOUT THE YEAR. CAREER COUNSELING, MENTORING AND JOB SHADOWING ARE ALSO OFFERED TO STUDENTS WHO EXPLORE CAREER POSSIBILITIES IN HEALTH CARE. CERTAIN OF THESE PROGRAMS ARE GEARED TO THE LOW INCOME AND DIVERSE STUDENT POPULATIONS. PART I, LINE 7G ADVOCATE HEALTH & HOSPITALS CORPORATION PROVIDES SUBSIDIZED HEALTH SERVICES TO THE COMMUNITY. THESE SERVICES ARE PROVIDED DESPITE CREATING A FINANCIAL LOSS FOR AHHC. THESE SERVICES ARE PROVIDED BECAUSE THEY MEET AN IDENTIFIED COMMUNITY NEED. IF AHHC DID NOT PROVIDE THE CLINICAL SERVICE, IT IS REASONABLE TO CONCLUDE THAT THESE SERVICES WOULD NOT BE AVAILABLE TO THE COMMUNITY. THE SERVICES INCLUDED ARE BOTH INPATIENT AND OUTPATIENT PROGRAMS FOR, MENTAL, BEHAVIORAL AND CHEMICAL DEPENDENCY HEALTH SERVICES, REHABILITATION SERVICES, CARDIAC SURGERY, ORTHOPEDIC AND HOSPICE SERVICES. PART I, LINE 7H AHHC CONDUCTS NUMEROUS RESEARCH ACTIVITIES FOR THE ADVANCEMENT OF MEDICAL AND HEALTH CARE SERVICES. HOWEVER, THE UNREIMBURSED COST OF SUCH RESEARCH ACTIVITIES IS NOT READILY DETERMINABLE AND NO AMOUNT IS BEING REPORTED FOR PURPOSES OF THE 2014 FORM 990, SCHEDULE H. PART I, LINE 7, COLUMN (F) $212,681,858 OF BAD DEBT EXPENSE WAS INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT WAS REMOVED FROM THE DENOMINATOR FOR PURPOSES OF SCHEDULE H, PART I, LINE 7, COLUMN (F). PART II N/A PART III, LINES 2, 3, AND 4 THE FOOTNOTES TO ADVOCATE HEALTH CARE NETWORK AND SUBSIDIARIES' AUDITED FINANCIAL STATEMENTS DO NOT SPECIFICALLY ADDRESS BAD DEBT EXPENSE; RATHER, THE FOOTNOTE DESCRIBES ADVOCATE'S PATIENT ACCOUNTS RECEIVABLE POLICY AND THE PERCENTAGE OF ACCOUNTS RECEIVABLE THAT THE ALLOWANCE FOR DOUBTFUL ACCOUNTS COVERS (SEE PAGE 11 OF THE AUDITED FINANCIAL STATEMENTS). FOR 2014, FOR AHHC, THE ALLOWANCE FOR DOUBTFUL ACCOUNTS COVERED 24.7% OF NET PATIENT ACCOUNTS RECEIVABLE. PATIENT ACCOUNTS RECEIVABLE ARE STATED AT NET REALIZABLE VALUE. AHHC EVALUATES THE COLLECTABILITY OF ITS ACCOUNTS RECEIVABLE BASED ON THE LENGTH OF TIME THE RECEIVABLE IS OUTSTANDING, PAYER CLASS, HISTORICAL COLLECTION EXPERIENCE, AND TRENDS IN HEALTH CARE INSURANCE PROGRAMS. ACCOUNTS RECEIVABLE ARE CHARGED TO THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS WHEN THEY ARE DEEMED UNCOLLECTIBLE. THE COSTING METHODOLOGY USED IN DETERMINING THE AMOUNTS REPORTED ON LINES 2 AND 3 IS BASED ON THE RATIO OF PATIENT CARE COST TO CHARGES. THE UNREIMBURSED COST OF BAD DEBT WAS CALCULATED BY APPLYING THE ORGANIZATION'S COST TO CHARGE RATIO FROM THE MEDICARE COST REPORTS (CMS 2252-96 WORKSHEET C, PART 1, PPS INPATIENT RATIOS) TO THE ORGANIZATION'S BAD DEBT PROVISION PER GENERALLY ACCEPTED ACCOUNTING PRINCIPLES, LESS ANY PATIENT OR THIRD PARTY PAYOR PAYMENTS RECEIVED. ADVOCATE MAKES EVERY EFFORT TO IDENTIFY THOSE PATIENTS WHO ARE ELIGIBLE FOR FINANCIAL ASSISTANCE BY STRICTLY ADHERING TO ITS FINANCIAL ASSISTANCE POLICY. WE BELIEVE THAT ADVOCATE HAS A POPULATION OF PATIENTS WHO ARE UNINSURED OR UNDERINSURED BUT WHO DO NOT COMPLETE THE FINANCIAL ASSISTANCE APPLICATION OR ARE NOT IDENTIFIED THROUGH OTHER MEANS AS PERMITTED IN THE POLICY. THE ESTIMATED AMOUNT OF BAD DEBT EXPENSE (AT COST) WHICH COULD BE REASONABLY ATTRIBUTABLE TO PATIENTS WHO WOULD LIKELY QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY, IF SUFFICIENT INFORMATION HAD BEEN AVAILABLE TO MAKE A DETERMINATION OF THEIR ELIGIBILITY, WAS BASED UPON SELF PAY PATIENT ACCOUNTS WHICH HAD AMOUNTS WRITTEN OFF TO BAD DEBTS. OUR METHOD WAS TO BEGIN WITH THE SELF-PAY PORTION OF BAD DEBT EXPENSE PROVISION. THE SELF-PAY PORTION EXCLUDES THOSE PATIENTS WHO HAD CHARITY APPLICATIONS PENDING AT THE TIME OF SERVICE. THIS COST WAS THEN REDUCED BY CHARGES IDENTIFIED AS TRUE BAD DEBT EXPENSE, INCLUDING COPAYS FOR PATIENTS WHO QUALIFIED FOR LESS THAN 100% FINANCIAL ASSISTANCE. THE COST TO CHARGE RATIO WAS THEN APPLIED TO THE REMAINING CHARGES, TO DETERMINE THE VALUE (AT COST) OF PATIENT ACCOUNTS THAT DID NOT COMPLETE FINANCIAL COUNSELING AND WERE ASSIGNED TO BAD DEBT. WE BELIEVE THIS PROCESS IS A REASONABLE BASIS FOR OUR ESTIMATE. AS WE ARE ONLY CONSIDERING SELF-PAY ACCOUNTS WRITTEN OFF TO BAD DEBT FOR THIS ESTIMATE, THIS ESTIMATE DOES NOT INCLUDE THE IMMEDIATE 20% DISCOUNT TO CHARGES WHICH IS APPLIED TO ALL SELF-PAY PATIENTS. IT ALSO DOES NOT INCLUDE ACCOUNT BALANCES OR CO-PAYS OF NON-SELF PAY ACCOUNTS WHICH ARE WRITTEN OFF TO BAD DEBT WHEN THE PATIENT HAS NO OTHER FINANCIAL RESOURCES TO PAY THESE AMOUNTS AND THE PATIENT DOES NOT APPLY FOR FINANCIAL ASSISTANCE. BAD DEBT AMOUNTS HAVE BEEN EXCLUDED FROM OTHER COMMUNITY BENEFIT AMOUNTS REPORTED THROUGHOUT SCHEDULE H. PART III, LINE 8 THE SHORTFALL OF $144,141,808 ON PART III, LINE 7 IS THE UNREIMBURSED COST OF PROVIDING SERVICES FOR MEDICARE PATIENTS AND SHOULD BE TREATED AS COMMUNITY BENEFIT BECAUSE PROVIDING THESE SERVICES WITHOUT REIMBURSEMENT LESSENS THE BURDENS OF GOVERNMENT OR OTHER CHARITIES THAT WOULD OTHERWISE BE NEEDED TO SERVE THE COMMUNITY. FOR ADVOCATE HEALTH AND HOSPITAL CORPORATION'S HOSPITAL OPERATIONS, THE UNREIMBURSED COST OF MEDICARE WAS CALCULATED BY APPLYING THE ORGANIZATION'S COST TO CHARGE RATIO FROM THE MEDICARE COST REPORTS (CMS 2252-96 WORKSHEET C, PART 1, PPS INPATIENT RATIOS) AND FOR NON-HOSPITAL OPERATIONS THE COST TO CHARGE RATIO CALCULATED ON WORKSHEET 2 RATIO OF PATIENT CARE COST TO CHARGES TO THE ORGANIZATION'S MEDICARE, LESS ANY PATIENT OR THIRD PARTY PAYOR PAYMENTS AND/OR CONTRIBUTIONS RECEIVED THAT WERE DESIGNATED FOR THE PAYMENT OF MEDICARE PATIENT BILLS.
PART III, LINE 9B ADVOCATE HEALTH AND HOSPITALS CORPORATION MAINTAINS BOTH WRITTEN FINANCIAL ASSISTANCE AND BAD DEBT/COLLECTION POLICIES. THE BAD DEBT/COLLECTION POLICY DOES NOT APPLY TO THOSE PATIENTS KNOWN TO QUALIFY FOR CHARITY CARE OR OTHER FINANCIAL ASSISTANCE, THEREFORE SUCH PATIENTS ARE NOT SUBJECT TO COLLECTION PRACTICES. 2. NEEDS ASSESSMENT ADVOCATE CHRIST MEDICAL CENTER IN ADDITION TO IDENTIFYING ITS COMMUNITY'S HEALTH CARE NEEDS THROUGH ITS CHNA, ACMC ALSO ASSESSES THE NEEDS OF ITS COMMUNITY THROUGH ONGOING COLLABORATIONS WITH: *LOCAL FAITH-BASED ORGANIZATIONS - PROVIDING SCREENINGS AND EDUCATIONAL OPPORTUNITIES DIRECTLY TO CONGREGATIONS AS REQUESTED; *SCHOOL SYSTEMS (CHICAGO AND SUBURBAN)- WORKING WITH CPS AND SUBURBAN SCHOOL DISTRICTS TO DETERMINE HEALTH NEEDS SEEN MOST OFTEN BY SCHOOL HEALTH PROVIDERS; PROVIDING HOSPITAL EXPERTS FOR COMMUNITY SPEAKING ENGAGEMENTS AND PROFESSIONAL EDUCATION OPPORTUNITIES; *SCHOOL NURSES - PROVIDING ANNUAL SCHOOL NURSES CONFERENCE TO UPDATE FRONT-LINE PROVIDERS ON LATEST TREATMENT OPTIONS AND HEALTH CONDITIONS AFFECTING THEIR STUDENTS. SUBSEQUENT YEAR'S CONFERENCE TOPICS ARE DETERMINED BY EVALUATIONS FROM PREVIOUS CONFERENCE ATTENDEES WHO REQUEST TOPICS BASED ON FREQUENCY OF ISSUES AFFECTING THEIR STUDENTS; *CIVIC GROUPS (ROTARY, OAK LAWN COMMUNITY PARTNERSHIP) -- THE HEALTHCARE ROTARY IS BASED AT CHRIST MEDICAL CENTER. MOST MEMBERS ARE ACMC ASSOCIATES (EMPLOYEES). THE GROUP LOOKS FOR OPPORTUNITIES FOR THE MEDICAL CENTER AND ITS ASSOCIATES TO PARTICIPATE IN HEALTH-FOCUSED COMMUNITY PROJECTS; *PATIENT-FAMILY ADVISORY COUNCILS - COMMUNITY MEMBERS HAVING FIRST-HAND EXPERIENCE WITH HOSPITAL SERVICES COMPRISE THE COUNCIL. AS PART OF THEIR PARTICIPATION, THEY ARE CONSULTED ON SERVICES PROVIDED AND THOSE TO BE CONSIDERED. ADVOCATE LUTHERAN GENERAL HOSPITAL ADVOCATE LUTHERAN GENERAL HOSPITAL ASSESSES THE NEEDS OF ITS COMMUNITIES IN MULTIPLE WAYS INCLUDING EVALUATION OF COMMUNITY HEALTH EVENTS, DELIBERATIONS OF THE HOSPITAL'S COUNCILS OF ADVISORS, PATIENT ROUNDING AND CAREGIVER INTERACTIONS, MIDAS PATIENT COMPLAINT REPORTING, ACCREDITATION SURVEY REPORTS, LEADERSHIP PARTICIPATION IN COMMUNITY ORGANIZATIONS, INPUT BY CARE MANAGERS WHO ARE HELPING PATIENTS AND FAMILIES TRANSITION FROM HOSPITAL TO HOME, AND COMMENTS RECEIVED THROUGH LETTERS, PHONE CALLS AND SOCIAL MEDIA POSTS. IN ADDITION, MORE FORMAL PRIMARY DATA COLLECTION HAS BEEN A PART OF BOTH THE HEALTHIER PARK RIDGE AND HEALTHIER NILES PROJECTS, AND THE KOREAN COMMUNITY ASSESSMENT NOTED IN PART V, QUESTION 11. HEALTHIER NILES PROJECT AS DONE WITH THE HEALTHIER PARK RIDGE PROJECT IN 2013, ADVOCATE LUTHERAN GENERAL HOSPITAL COLLABORATED WITH THE COMMUNITY BY CHAIRING THE HEALTHIER NILES PROJECT. RECOGNIZING THAT OVERALL FAMILY NEEDS, NEEDS OF SENIORS AND MENTAL/BEHAVIORAL HEALTH NEEDS ARE AMONG THE TOP SIGNIFICANT HEALTH NEEDS IMPACTING ALL OF ITS COMMUNITIES, ADVOCATE LUTHERAN GENERAL HOSPITAL'S DIRECTOR OF COMMUNITY AND HEALTH RELATIONS ENGAGED OTHER COMMUNITY PARTNERS TO BETTER UNDERSTAND AND DEVELOP INTERVENTIONS FOR IMPACTING THESE ISSUES. THE DIRECTOR, AS CHAIR OF THE NILES HEALTHY COMMUNITY PARTNERSHIP, INITIATED AND CHAIRED A COALITION OF OVER 27 LOCAL PARTNERS TO STUDY AND ADDRESS THE NEED COLLABORATIVELY. THE COALITION WAS COMPRISED OF MULTIPLE STAKEHOLDERS INCLUDING REPRESENTATIVES FROM LOCAL GOVERNMENT, POLICE/FIRE/PARAMEDICS, COMMUNITY-BASED AGENCIES, FAITH COMMUNITIES AND SCHOOLS. WITH INPUT FROM THE COALITION, A SURVEY WAS DESIGNED AND SENT OUT TO THE COMMUNITY IN LATE SUMMER 2014 WITH APPROXIMATELY 500 SURVEYS COMPLETED AND RETURNED. THE RESULTS WERE COMPILED AND A REPORT DRAFTED FOR PRESENTATION TO THE VILLAGE OF NILES AND OTHER VILLAGE ORGANIZATIONS IN 2015. ADVOCATE GOOD SAMARITAN HOSPITAL ADVOCATE GOOD SAMARITAN HOSPITAL NOW PARTICIPATES IN IMPACT DUPAGE AND CONTINUES PARTICIPATION IN FORWARD (AN OBESITY COALITION) TO EXPAND PARTNERSHIPS AND NEEDS ASSESSMENT ACTIVITIES IN THE COMMUNITY. ADVOCATE GOOD SHEPHERD HOSPITAL IN ADDITION TO THE FORMAL SURVEYS CONDUCTED FOR THE ASSESSMENT, THE HOSPITAL ALSO PARTNERS WITH LOCAL COMMUNITY GROUPS AND CONGREGATIONS TO HELP ASSESS AND PROVIDE RESOURCES TO IMPROVE THE HEALTH STATUS OF INDIVIDUALS WITHIN THESE GROUPS. THE MISSION AND SPIRITUAL CARE TEAM AT THE HOSPITAL WORKS CLOSELY WITH SEVERAL COMMUNITY CONGREGATIONS TO SURVEY AND RESPOND TO SPECIFIC NEEDS IDENTIFIED THROUGH THIS PROCESS. SOME CONGREGATIONS HAVE ASKED FOR SPECIFIC EDUCATION ON END OF LIFE ISSUES, OTHERS ON DIABETES MANAGEMENT, ETC. THE HOSPITAL WORKS WITH THESE CONGREGATIONS AND OTHER COMMUNITY GROUPS TO BRIDGE SERVICES TO CONGREGANTS. THE HOSPITAL ALSO ACTS AS A CATALYST BY PROVIDING LEADERSHIP AND RESOURCES TO COMMUNITY COALITIONS TO HELP ADDRESS ISSUES THAT MAY SURFACE, SUCH AS SUICIDE AND SUBSTANCE ABUSE CONCERNS. ADVOCATE SOUTH SUBURBAN HOSPITAL N/A ADVOCATE BROMENN MEDICAL CENTER ADVOCATE BROMENN MEDICAL CENTER'S COMMUNITY HEALTH LEADER AND ANOTHER MEMBER OF THE LEADERSHIP TEAM WERE A PART OF THE MCLEAN COUNTY COMMUNITY HEALTH ADVISORY COMMITTEE (CHAC) AND HELPED IN THE DEVELOPMENT OF THE 2012-2017 COMMUNITY HEALTH PLAN (CHP) FOR MCLEAN COUNTY. THE PLAN WAS CREATED USING THE HANLON METHOD. THE HANLON METHOD WAS UTILIZED TO ESTABLISH PRIORITIES BASED ON THE SIZE AND SERIOUSNESS OF THE HEALTH PROBLEM AS WELL AS THE EFFECTIVENESS OF THE AVAILABLE INTERVENTIONS. ON APRIL 19, 2012, THE CHAC APPROVED THE CHP. BROMENN MEDICAL CENTER'S COMMUNITY HEALTH LEADER ALSO PARTICIPATED IN OSF SAINT JOSEPH MEDICAL CENTER'S COLLABORATIVE CHNA TEAM IN FEBRUARY 2013. ADVOCATE TRINITY HOSPITAL IN ADDITION TO THE NEEDS ASSESSMENTS PREVIOUSLY REPORTED, IN 2014 THE HOSPITAL IMPLEMENTED THE CENTER FOR FAITH AND HEALTH TRANSFORMATION'S CONGREGATIONAL HEALTH SURVEY, WHICH ASSESSES THE COMMUNITY HEALTH NEEDS OF CONGREGATIONS AND SPECIFIC POPULATIONS SURROUNDING THEM. THE FOCUS GROUP SURVEYED INCLUDED FIVE FAITH ORGANIZATIONS THAT WERE MEMBERS OF THE PARTNERS FOR FAITH AND HEALTH NETWORK, A COLLABORATIVE WITHIN THE TRINITY HOSPITAL SERVICE AREA. THE SURVEYS RESULTED IN THE IDENTIFICATION OF SEVERAL HEALTH NEEDS INCLUDING THE TOP THREE HEALTH CONCERNS OF HYPERTENSION, OBESITY AND DIABETES. THE FINDINGS ARE CONSISTENT WITH THE FINDINGS OF THE COMMUNITY HEALTH NEEDS IDENTIFIED IN THE 2011-2013 TRINITY HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT. THE SURVEY ALSO PROVIDED INFORMATION REGARDING HEALTH EDUCATION NEEDS AND PROGRAMMATIC NEEDS TO ADDRESS CHRONIC HEALTH ISSUES. TRINITY HOSPITAL USES THIS VALUABLE INFORMATION TO DESIGN AND DEVELOP SPECIFIC COMMUNITY HEALTH OUTREACH EFFORTS TO IMPACT THE HEALTH OF THE COMMUNITY. ADVOCATE EUREKA HOSPITAL ADVOCATE EUREKA HOSPITAL HAS A STRONG PARTNERSHIP WITH THE WOODFORD COUNTY HEALTH DEPARTMENT. THE HOSPITAL'S ADMINISTRATOR PARTICIPATED IN THE IPLAN MEETINGS HELD ON 9/27/11, 11/16/11, 12/7/11, 1/11/12, 1/25/12 AND 8/8/12. AT THE 1/25/12 MEETING, THE IPLAN GROUP APPROVED THREE HEALTH PRIORITIES FOR WOODFORD COUNTY, INCLUDING: * ACCESS TO MENTAL HEALTH SERVICES * OBESITY * SUBSTANCE ABUSE IN THE OVER 18 POPULATION EUREKA HOSPITAL SELECTED ACCESS TO MENTAL HEALTH SERVICES AS ITS KEY HEALTH PRIORITY AS DETERMINED THROUGH THE HOSPITAL'S CHNA PROCESS. ACCESS TO MENTAL HEALTH SERVICES ALSO ALIGNS WITH THE HEALTH PRIORITIES SELECTED FOR THE WOODFORD COUNTY HEALTH DEPARTMENT. 3. PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCE AHHC ASSISTS PATIENTS WITH ENROLLMENT IN GOVERNMENT-SUPPORTED PROGRAMS FOR WHICH THEY ARE ELIGIBLE AND IN SECURING REIMBURSEMENT FROM AVAILABLE THIRD PARTY RESOURCES. FINANCIAL COUNSELING IS PROVIDED TO HELP PATIENTS IDENTIFY AND OBTAIN PAYMENT FROM THIRD PARTIES, INCLUDING ILLINOIS MEDICAID, ILLINOIS CRIME VICTIMS FUND, ETC., AS WELL AS TO DETERMINE ELIGIBILITY UNDER AHHC'S HOSPITAL FINANCIAL ASSISTANCE POLICY. ADVOCATE UTILIZES A FINANCIAL SCREENING SOFTWARE PROGRAM TO HELP IDENTIFY PUBLIC ASSISTANCE PROGRAMS FOR WHICH THE PATIENT MAY BE ELIGIBLE OR ADVOCATE'S FINANCIAL ASSISTANCE AT THE TIME OF REGISTRATION OR AS SOON AS PRACTICABLE THEREAFTER. IN ADDITION, HEALTHADVISOR, ADVOCATE'S EDUCATION REGISTRATION AND PHYSICIAN REFERRAL TELEPHONE CENTER, SERVES AS A COMMUNITY RESOURCE PROVIDING REFERRALS TO GOVERNMENT-FUNDED AND OTHER PROGRAMS VIA TELEPHONE FROM 8 A.M. TO 6 P.M., MONDAY THROUGH FRIDAY. AHHC ASSISTS PATIENTS WITH APPLYING FOR ADVOCATE'S OWN FINANCIAL ASSISTANCE SERVICES IF PATIENTS ARE NOT ELIGIBLE FOR GOVERNMENT-SUPPORTED PROGRAMS. ADVOCATE HEALTH AND HOSPITALS CORPORATION COMMUNICATES THE AVAILABILITY OF FINANCIAL ASSISTANCE IN THE APPLICABLE LANGUAGES OF THE HOSPITAL COMMUNITY. MEANS OF COMMUNICATION INCLUDE: 1. THE HEALTH CARE CONSENT THAT IS SIGNED UPON REGISTRATION FOR HOSPITAL SERVICES INCLUDES A STATEMENT THAT FINANCIAL COUNSELING, INCLUDING FINANCIAL ASSISTANCE CONSIDERATION, IS AVAILABLE UPON REQUEST. 2. SIGNS ARE CLEARLY AND CONSPICUOUSLY POSTED IN LOCATIONS THAT ARE VISIBLE TO THE PUBLIC, INCLUDING, BUT NOT LIMITED TO HOSPITAL PATIENT ACCESS, REGISTRATION, EMERGENCY DEPARTMENT, CASHIER, A
4. COMMUNITY INFORMATION ADVOCATE CHRIST MEDICAL CENTER DEFINITION OF COMMUNITY FOR ITS CHNA, ACMC'S COMMUNITY WAS DEFINED AS THE TOTAL SERVICE AREA (TSA), WHICH INCLUDES THE PRIMARY SERVICE AREA (PSA) AND SECONDARY SERVICE AREA (SSA) FOR CHRIST MEDICAL CENTER. THE PRIMARY SERVICE AREA (PSA) INCLUDES THE COMMUNITIES OF CHICAGO RIDGE, MIDLOTHIAN, OAK FOREST, OAK LAWN, BRIDGEVIEW, HOMETOWN, HICKORY HILLS, JUSTICE, BURBANK, ORLAND PARK, PALOS HEIGHTS, PALOS PARK, PALOS HILLS, ORLAND HILLS, TINLEY PARK, WORTH, TINLEY PARK, ALSIP, EVERGREEN PARK, AUBURN PARK, CHICAGO LAWN, ELSDON, OGDEN PARK, CLEARING, MORGAN PARK, ASHBURN AND MOUNT GREENWOOD. THE SECONDARY SERVICE AREA (SSA) INCLUDES THE COMMUNITIES OF BLUE ISLAND, FRANKFORT, HARVEY, MARKHAM, LEMONT, LOCKPORT, MOKENA, NEW LENOX, HOMER GLEN, NEW CITY, SOUTH CHICAGO, GRAND CROSSING, ENGLEWOOD, ROSELAND, SOUTH SHORE AND RIVERDALE. THE TSA IS 38.4% WHITE NON-HISPANIC, 35.6% BLACK NON-HISPANIC, 23.2% HISPANIC, 1.6% ASIAN AND PACIFIC ISLANDER NON-HISPANIC, WITH ALL OTHERS BEING 1.1%. AS REPORTED BY THE U.S. BUREAU OF LABOR IN JULY 2013, THERE IS A SIGNIFICANTLY HIGHER UNEMPLOYMENT RATE IN CHRIST MEDICAL CENTER'S TSA (9.7%) AS COMPARED TO THE U.S. UNEMPLOYMENT RATE (7.4%). THE AVERAGE HOUSEHOLD INCOME IS $63,630, WHICH IS SLIGHTLY LESS THAN THE U.S. AVERAGE OF $67,315. HEALTH RESOURCES IN DEFINED COMMUNITY THE TARGET COMMUNITY IS SERVED BY A VARIETY OF HEALTH RESOURCES, INCLUDING FULL-SERVICE COMMUNITY AND ACADEMIC HOSPITALS, AS WELL AS SAFETY NET PROVIDERS, SUCH AS PUBLIC HEALTH CLINICS, FEDERALLY QUALIFIED HEALTH CENTERS AND MOBILE HEALTH PROVIDERS. DESPITE WHAT APPEARS TO BE A LONG LIST OF PROVIDERS WITHIN CHRIST MEDICAL CENTER'S TSA, SUBSTANTIAL VARIATION EXISTS IN BOTH AVAILABILITY AND ACCESSIBILITY TO RESOURCES ACROSS COMMUNITIES. THE AREAS OF GREATEST NEED ARE FOUND MAINLY ON CHICAGO'S SOUTH SIDE WHERE CLINICS ARE SCATTERED AND THE RATIO OF PATIENTS TO FAMILY PHYSICIANS IS LOWER THAN IN MORE AFFLUENT AREAS. THERE ARE THIRTEEN HOSPITALS IN CHRIST MEDICAL CENTER'S TSA, INCLUDING: ADVOCATE CHRIST MEDICAL CENTER IN OAK LAWN, LITTLE COMPANY OF MARY HOSPITAL IN EVERGREEN PARK, PALOS COMMUNITY HOSPITAL IN PALOS HEIGHTS, HOLY CROSS HOSPITAL IN MARQUETTE PARK (CHICAGO), ADVOCATE TRINITY HOSPITAL IN CHICAGO, INGALLS MEMORIAL HOSPITAL IN HARVEY, ROSELAND COMMUNITY HOSPITAL IN ROSELAND (CHICAGO), SOUTH SHORE HOSPITAL IN SOUTH CHICAGO (CHICAGO), METRO SOUTH MEDICAL CENTER IN BLUE ISLAND, JACKSON PARK HOSPITAL IN SOUTH SHORE (CHICAGO), LA RABIDA CHILDREN'S HOSPITAL IN SOUTH SHORE (CHICAGO), ST. BERNARD HOSPITAL IN ENGLEWOOD (CHICAGO) AND SILVER CROSS HOSPITAL IN NEW LENOX. THERE ARE FOUR COOK COUNTY HEALTH CLINICS LOCATED IN ENGLEWOOD, OAK FOREST, ROSELAND AND HARVEY. IN ADDITION, THERE ARE FOUR CHICAGO DEPARTMENT OF HEALTH CENTERS IN CHICAGO LAWN, ROSELAND, SOUTH CHICAGO AND ENGLEWOOD. THERE ARE ALSO FOUR FEDERALLY QUALIFIED HEALTH CENTERS (FQHCS) INCLUDING MILES SQUARE HEALTH CENTER IN SOUTH SHORE, COMMUNITY HEALTH FREE CARE IN ENGLEWOOD, BELOVED COMMUNITY HEALTH CENTER IN ENGLEWOOD AND CHRISTIAN COMMUNITY HEALTH CENTER IN MORGAN PARK AND OAK FOREST. ADVOCATE LUTHERAN GENERAL HOSPITAL LUTHERAN GENERAL HOSPITAL'S COMMUNITY HEALTH COUNCIL ULTIMATELY SETS THE DIRECTION FOR THE HOSPITAL'S COMMUNITY HEALTH INITIATIVES. FOR THE PURPOSES OF THIS COMMUNITY ASSESSMENT, LUTHERAN GENERAL HOSPITAL'S COMMUNITY HEALTH COUNCIL DEFINED THE COMMUNITY AS ITS PRIMARY SERVICE AREA (PSA). THIS PSA IS COMPRISED OF THE FOLLOWING COMMUNITIES: PARK RIDGE (60068); DES PLAINES (60016 AND 60017); NILES (60714); MORTON GROVE (60053); GLENVIEW (60025 AND 60026); SKOKIE (60076 AND 60077); MOUNT PROSPECT (60056); ARLINGTON HEIGHTS (60004 AND 60005); DEERFIELD (60015); LAKE ZURICH (60047); NORTHBROOK (60062); PALATINE (60067 AND 60074); PROSPECT HEIGHTS (60070); BUFFALO GROVE (60089); WHEELING (60090); AND CHICAGO COMMUNITIES OF JEFFERSON PARK (60630); NORWOOD PARK (60631); DUNNING (60634); IRVING PARK (60641); FOREST GLEN (60646); HARWOOD HEIGHTS (60656 AND 60706); AND ELMWOOD PARK (60707). WHILE MOST OF THE DATA REVIEWED BY LUTHERAN GENERAL HOSPITAL'S COMMUNITY HEALTH COUNCIL WAS FOR ITS PRIMARY SERVICE AREA, THE COUNCIL REVIEWED SOME ADDITIONAL, MORE SPECIFIC DATA FOR PARTS OF ITS PSA, INCLUDING: (1) DATA FOR THE TOWNSHIP SURROUNDING THE HOSPITAL, MAINE TOWNSHIP; (2) THE HOSPITAL'S HOME CITY OF PARK RIDGE; AND (3) DATA FOR SPECIFIC ETHNIC POPULATIONS THAT THE COUNCIL RECOGNIZED AS GROWING POPULATIONS WITHIN THE HOSPITAL'S TOTAL SERVICE AREA. POPULATION LOCATED IN PARK RIDGE, ILLINOIS (2010 POP: 37,480) ADVOCATE LUTHERAN GENERAL HOSPITAL SERVES A MAJOR PORTION OF NORTHWEST COOK COUNTY WITH THE PRIMARY SERVICE AREA (PSA) ENCOMPASSING 28 ZIP CODES AND 1,052,855 PERSONS ACROSS 217 SQUARE MILES. LARGER COMMUNITIES INCLUDE ARLINGTON HEIGHTS (75,101), DES PLAINES (58,364), MOUNT PROSPECT (54,167), PALATINE (68,557) AND SKOKIE (64,784) AS WELL AS A PORTION OF THE CITY OF CHICAGO AND A VERY SMALL PORTION OF LAKE COUNTY. MOST HOUSEHOLDS IN THE PSA (68.6%) ARE FAMILY HOUSEHOLDS. MARRIED COUPLED FAMILIES ARE 53.9% OF HOUSEHOLDS WHILE 10.4% HAVE FEMALE HOUSEHOLDERS. THREE IN TEN HOUSEHOLDS (32.3%) INCLUDE CHILDREN. ABOUT ONE-FOURTH OF HOMES (26.5%) INCLUDE A PERSON WHO IS 65 OR OLDER, WHILE ONE OF NINE SENIOR CITIZENS (11.7%) LIVES ALONE. HOMEOWNERS CONSTITUTE 71.2% OF HOUSEHOLDS, WHILE 26.5% RENT. THE AVERAGE HOUSEHOLD SIZE IS 2.63 WHICH IS CONSISTENT WITH THE NATION'S AVERAGE HOUSEHOLD SIZE OF 2.58, AND THE STATE OF ILLINOIS AVERAGE AT 2.59. AGE AND GENDER ON THE WHOLE, THE POPULATION OF LUTHERAN GENERAL HOSPITAL'S PSA IS RELATIVELY OLDER. THE MEDIAN AGE IS 41.0 (U.S. 37.2) WITH A SENIOR 65+ POPULATION OF 165,714 (15.7%) AND A 62+ POPULATION OF 200,756 (19.1%) OR NEARLY ONE IN FIVE PERSONS. OF THE PSA POPULATION OF MORE THAN ONE MILLION, 511,641 (48.6%) ARE MALE AND 541,214 (51.4%) ARE FEMALE FOR A GENDER RATIO OF 94.5 MALES PER 100 FEMALES. THE "BABY BOOMER" GENERATION HAS EXPERIENCED THE LARGEST GROWTH FROM 2000-2010. MAINE TOWNSHIP HAS AN EVEN OLDER POPULATION THAN THE OVERALL PRIMARY SERVICE AREA; WITH PARK RIDGE HAVING AN EVEN OLDER POPULATION THAN MAINE TOWNSHIP. MAINE TOWNSHIP HAS A MEDIAN AGE OF 42.4 YEARS, WITH 17.5% OF ITS POPULATION 65+ AND A GENDER RATIO OF 92.1 MEN PER 100 WOMEN. PARK RIDGE HAS A MEDIAN AGE OF 44.8 WITH 18.4% OF ITS POPULATION AGE 65 OR OLDER. RACE AND ETHNICITY WHILE LUTHERAN GENERAL'S PRIMARY SERVICE AREA IS PREDOMINANTLY WHITE, NON-HISPANIC (66.0%), THE POPULACE ALSO INCLUDES 18.1% HISPANIC, 11.2% ASIAN AND 3.1% AFRICAN AMERICAN. THE HISPANIC POPULATION IS MOSTLY OF MEXICAN ORIGIN, WHILE THE LARGEST ASIAN GROUP IS SOUTH ASIAN. OVERALL, 37.5% OF THE RESIDENTS IN THE AREA ARE FOREIGN BORN. HALF OF THE FOREIGN BORN POPULATION HAS BECOME CITIZENS. NEARLY 15.6% REPORT SPEAKING SPANISH AT HOME WITH NEARLY HALF OF THOSE WHO DO SPEAK ENGLISH REPORTING THEY DO NOT SPEAK ENGLISH VERY WELL. HOWEVER, THERE IS A HIGHER MINORITY RATIO AMONG YOUTH THAN AMONG OLDER POPULATIONS. FOR EXAMPLE, IN MAINE TOWNSHIP, ONLY 58.1% OF CHILDREN 8 OR UNDER ARE WHITE, NON-HISPANIC COMPARED TO 87.1 % OF SENIOR CITIZENS (68.4% FOR THE TOTAL POPULATION). BECAUSE MINORITY GROUPS ARE YOUNG, WITH HIGHER BIRTH RATES, THEY WILL LIKELY BECOME A PROPORTIONATELY LARGER POPULATION IN THE FUTURE. ACCORDING TO THE US CENSUS BUREAU (2000 AND 2010), THE NUMBER OF SOUTH ASIANS IN THE UNITED STATES INCREASED 70%, FROM 1,678,765 TO 2,843,391 FROM 2000 TO 2010. SOUTH ASIANS ARE DEFINED BY THOSE WHO DERIVE THEIR ETHNIC ORIGINS FROM THE INDIAN SUBCONTINENT. NUMBERS FOR THE SAME ETHNIC POPULATION GROUP IN ILLINOIS INCREASED 50%, FROM 124,723 TO 188,328, IN THE SAME 2000 TO 2010 TIME PERIOD. THE GREATER CHICAGO AREA CURRENTLY SERVES AS ONE OF THE MAJOR CULTURAL CENTERS OF THE UNITED STATES' SOUTH ASIAN COMMUNITY. MORE THAN 50% OF THIS COMMUNITY IS BETWEEN THE AGES OF 25 AND 55 YEARS OLD. LUTHERAN GENERAL HOSPITAL'S TOTAL PRIMARY SERVICE AREA HAS MORE THAN 53,363 SOUTH ASIANS. WITHIN A 40 MINUTE DRIVE OF LUTHERAN GENERAL HOSPITAL, THERE ARE 26 SOUTH ASIAN PLACES OF WORSHIP, INCLUDING TEMPLES, MOSQUES AND CHURCHES. ACCORDING TO THE THOMSON REUTERS MARKET EXPERT (2011), THE U.S. CENSUS BUREAU (2000 AND 2010) AND THE AMERICAN COMMUNITY SURVEY (2007-2011), THE KOREAN-AMERICAN COMMUNITY INCREASED IN COOK COUNTY BY APPROXIMATELY 23% TO OVER 30,000 KOREAN AMERICANS FROM 2000 TO 2010. IN LUTHERAN GENERAL'S PRIMARY SERVICE AREA, THERE ARE OVER 13,000 KOREAN AMERICANS WITH THAT NUMBER EXPECTED TO INCREASE ACCORDING TO CENSUS DATA. ACCORDING TO THE THOMSON REUTERS MARKET EXPERT (2011), THE U.S. CENSUS BUREAU (2000 AND 2010) AND THE AMERICAN COMMUNITY SURVEY (2007-2011), THERE WERE 152,730 POLISH AMERICANS IN LUTHERAN GENERAL'S PRIMARY SERVICE WITH THAT NUMBER PROJECTED TO RISE. THE MAJORITY OF POLISH PATIENTS COME FROM THE FOLLOWING ZIP CODES IN DESCENDING ORDER: 60016 (DES PLAINES); 60714 (NILES); 60634 (CHICAGO); 60656 (CHICAGO); 60056 (MT. PROSPECT); AND 60068 (PARK RIDGE). EDUCATION AND I
HEALTH RESOURCES IN THE DEFINED COMMUNITY THERE ARE EIGHT HOSPITALS WITHIN THE LUTHERAN GENERAL PRIMARY SERVICE AREA. IN ADDITION TO LUTHERAN GENERAL HOSPITAL, THERE IS ALSO OUR LADY OF THE RESURRECTION MEDICAL CENTER, RESURRECTION MEDICAL CENTER, ALEXIAN BROTHERS MEDICAL CENTER, NORTHWEST COMMUNITY HOSPITAL, NORTHSHORE GLENBROOK HOSPITAL, HOLY FAMILY MEDICAL CENTER AND NORTHSHORE SKOKIE HOSPITAL. THERE ARE 582 PRIMARY CARE PHYSICIANS WITHIN THE MARKET AND 1,612 SPECIALISTS. THE SPECIALISTS INCLUDE 230 OBSTETRICS & GYNECOLOGY PHYSICIANS, 106 CARDIOLOGISTS, 69 OTOLARYNGOLOGISTS, 64 GASTROENTEROLOGISTS, AND 147 ORTHOPEDIC PHYSICIANS. THE PEDIATRIC PRIMARY SERVICE AREA IS SLIGHTLY LARGER AND INCLUDES 698 PEDIATRICIANS AND 281 PEDIATRIC SPECIALISTS. THERE IS ALSO THE ACCESS COMMUNITY HEALTH NETWORK GENESIS CLINIC FOR HEALTH AND EMPOWERMENT IN DES PLAINES, ILLINOIS, WHICH IS A FEDERALLY QUALIFIED HEALTH CENTER (FQHC) THAT PROVIDES HEALTH CARE PRIMARILY FOR LOW INCOME AND UNINSURED PATIENTS, MAINLY FOR THE HISPANIC COMMUNITY. ADVOCATE GOOD SAMARITAN HOSPITAL FOR PLANNING PURPOSES, THE COMMUNITY HEALTH COUNCIL DEFINES THE COMMUNITY AS THE PRIMARY SERVICE AREA FOR THE HOSPITAL. GOOD SAMARITAN HOSPITAL'S PRIMARY SERVICE AREA (PSA) CONSISTS OF 16 COMMUNITIES IN WESTERN SUBURBAN DUPAGE COUNTY OF METROPOLITAN CHICAGO. THE HOSPITAL SERVES AN ADDITIONAL 12 COMMUNITIES IN ITS SECONDARY SERVICE AREA (SSA). THE TOTAL SERVICE AREA (TSA) REFERS TO GOOD SAMARITAN HOSPITAL'S COMBINED PRIMARY AND SECONDARY SERVICE AREA. A REVIEW OF THE DEMOGRAPHIC DATA (2010) FOR THE HOSPITAL'S PSA SHOWED THE POPULATION TO BE PRIMARILY WHITE, NON-HISPANIC. THE HISPANIC POPULATION COMPRISED 9% OF THE PSA COMPARED TO 15.8% NATIONALLY. THE ASIAN AND PACIFIC ISLANDER POPULATION PERCENTAGE IS TWICE THAT OF THE NATIONAL AVERAGE OR 9.3% VERSUS 4.5%. COMBINED, THESE TWO GROUPS MAKE UP ALMOST 20% OF GOOD SAMARITAN'S PSA. BLACK NON-HISPANICS ACCOUNT FOR 6.3% OF THE POPULATION IN THE PSA COMPARED TO 12.1% NATIONALLY. NEARLY TWICE AS MANY ADULTS IN THE GOOD SAMARITAN HOSPITAL PSA HAVE A BACHELOR'S DEGREE OR HIGHER WHEN COMPARED TO THE NATIONAL AVERAGE. THERE ARE ALSO 1.5 TIMES THE NUMBER OF HOUSEHOLDS WITH INCOME OF $75K OR ABOVE IN THE GOOD SAMARITAN HOSPITAL PSA COMPARED TO THE NATIONAL AVERAGE. WHILE OVERALL POPULATION GROWTH IN THE PSA IS PRIMARILY FLAT AT 1.6%, IT IS EXPECTED THAT THE POPULATION OF ADULTS GREATER THAN 65 YEARS OF AGE WILL INCREASE BY 20% FROM 2010-2015. THE TOTAL POPULATION IN 2010 WAS 682,821. WITHIN GOOD SAMARITAN HOSPITAL'S PSA, THE 65 AND OLDER AGE GROUP IS PROJECTED TO GROW FROM 83,607 IN 2010 TO 100,460 IN 2015. FEMALES OF CHILD BEARING AGE (15-44) ARE PROJECTED TO DECLINE BY 2.8% FROM 129,640 IN 2010 TO 126,001 IN 2015. THE AVERAGE HOUSEHOLD INCOME IN THE PSA IS $104,232 COMPARED TO THE NATIONAL HOUSEHOLD INCOME OF $71,071. A WIDER VIEW OF DUPAGE COUNTY SHOWS THAT ALTHOUGH THE TOTAL POPULATION OF DUPAGE COUNTY HAS SEEN ONLY MODEST GROWTH SINCE 1990 COMPARED TO PREVIOUS DECADES (18% GROWTH), THE NUMBER OF PEOPLE IN POVERTY HAS GROWN BY 131%, AND THE NUMBER OF WORKING POOR (THOSE WITH INCOME BELOW 200% OF FEDERAL POVERTY LEVEL) HAS GROWN BY 102%. BY COMPARISON, CHICAGO'S POVERTY POPULATION DECREASED BY 2.7% DURING THIS SAME TIME PERIOD, AND ITS WORKING POOR NUMBERS INCREASED BY ONLY 1.9%. THIS SHIFT IN THE POVERTY POPULATION TOWARD THE SUBURBS IS CONSISTENT WITH OTHER SUBURBS IN THE REGION AND ACROSS THE COUNTRY AND IMPACTS GOOD SAMARITAN HOSPITAL'S PSA. HOSPITALS AND HEALTH RESOURCES THERE ARE FIVE HOSPITALS LOCATED WITHIN GOOD SAMARITAN HOSPITAL'S PSA: ADVOCATE GOOD SAMARITAN HOSPITAL IN DOWNERS GROVE, EDWARD HOSPITAL IN NAPERVILLE, ADVENTIST HINSDALE HOSPITAL IN HINSDALE, ADVENTIST BOLINGBROOK HOSPITAL IN BOLINGBROOK, AND ELMHURST MEMORIAL HOSPITAL IN ELMHURST. THERE ARE 1,237 PRIMARY CARE PHYSICIANS LOCATED WITHIN DUPAGE COUNTY, AS WELL AS 585 MENTAL HEALTH PROVIDERS AND 998 DENTISTS. THE NUMBER OF PROVIDERS PER TOTAL POPULATION IS ABOVE THE NATIONAL AND ILLINOIS STATE AVERAGE FOR ALL OF THE ABOVE PROVIDER TYPES. THERE ARE ALSO MANY SPECIALISTS INCLUDING 253 PEDIATRICIANS, 191 OBSTETRICIANS AND 115 GENERAL SURGEONS PRACTICING IN DUPAGE COUNTY, IN ADDITION TO 121 PHARMACIES OR DRUG STORES. THE DUPAGE COUNTY PUBLIC HEALTH DEPARTMENT, AS WELL AS THE ACCESS COMMUNITY HEALTH NETWORK FEDERALLY QUALIFIED HEALTH CENTER (FQHC) CLINICS, PROVIDE HEALTH CARE PRIMARILY FOR LOW INCOME AND UNINSURED PATIENTS. IN ADDITION, ACCESS DUPAGE, A COLLABORATIVE EFFORT BY HUNDREDS OF INDIVIDUALS AND ORGANIZATIONS IN DUPAGE COUNTY, ALSO PROVIDES A MOSAIC APPROACH TO PROVIDING ACCESS TO MEDICAL SERVICES FOR THE COUNTY'S LOW-INCOME AND MEDICALLY UNINSURED RESIDENTS. IT REPRESENTS A UNIQUE PARTNERSHIP OF COUNTY HOSPITALS (INCLUDING GOOD SAMARITAN), PHYSICIANS, LOCAL GOVERNMENT, HUMAN SERVICES AGENCIES, AND COMMUNITY GROUPS WORKING TOGETHER TO ADDRESS THIS FORMIDABLE ISSUE. ADVOCATE GOOD SHEPHERD HOSPITAL PRIMARY SERVICE AREA ADVOCATE GOOD SHEPHERD HOSPITAL'S PRIMARY SERVICE AREA (PSA) INCLUDES THE FOLLOWING COMMUNITIES: BARRINGTON (60010), LAKE ZURICH (60047), CARY (60013), FOX RIVER GROVE (60021), CRYSTAL LAKE (60014), ISLAND LAKE (60042), WAUCONDA (60084), MCHENRY (60050, 50051), PALATINE (60067), ALGONQUIN (60102), AND LAKE IN THE HILLS (60156). THE POPULATION GROWTH RATE IN THE HOSPITAL'S PSA HAS BEEN SLOWING IN THE PAST FEW YEARS AS EVIDENT WHEN COMPARING THE POPULATION TOTAL OF 361,762 IN 2010 TO THE POPULATION TOTAL OF 362,733 IN 2009. THE PSA HAS A HIGH OVERALL SOCIO-ECONOMIC LEVEL WITH A MEDIAN HOUSEHOLD INCOME OF $91,118, WHICH IS 39% GREATER THAN THE SIX COUNTY METROPOLITAN CHICAGO AREA. THE PERCENTAGE OF HOUSEHOLDS IN THE PSA WITH INCOMES <$25,000 IS 10.3% WITH THE RANGE FOR INDIVIDUAL COMMUNITIES FROM 6.6-16.8%. THE PSA POPULATION IS 4.2% UNINSURED AND 4.7% MEDICAID AS COMPARED TO 12.8% AND 14.7%, RESPECTIVELY, FOR THE SIX COUNTY AREA. THE COMMUNITY WITH THE HIGHEST PERCENT UNINSURED AND ON MEDICAID IS WAUCONDA WITH 7.7% AND 9.46%, RESPECTIVELY. GOOD SHEPHERD'S PSA IS ALSO VERY HOMOGENOUS WITH 86% OF THE POPULATION BEING CAUCASIAN. EIGHT PERCENT OF THE POPULATION IS HISPANIC AND 4% IS ASIAN. HOWEVER, HISPANICS COMPRISE 10% OF CRYSTAL LAKE'S POPULATION, 11% OF THE 60050 MCHENRY ZIP CODE, 13% OF ISLAND LAKE'S POPULATION AND 18% OF WAUCONDA'S POPULATION. WHILE INCREASES IN MINORITY POPULATIONS WILL ACCOUNT FOR ABOUT 33% OF THE TOTAL POPULATION GROWTH, THE OVERALL RACIAL MIX OF THE MARKET WILL REMAIN LARGELY UNCHANGED. SECONDARY SERVICE AREA GOOD SHEPHERD'S SECONDARY SERVICE AREA (SSA), CONSISTS OF THE FOLLOWING COMMUNITIES: CRYSTAL LAKE (60012), MUNDELEIN (60060), ROUND LAKE (60073), WOODSTOCK (60098), AND CARPENTERSVILLE (60110). THE SSA HAS A SIGNIFICANTLY LOWER OVERALL SOCIO-ECONOMIC LEVEL THAN THE PSA, WITH A MEDIAN HOUSEHOLD INCOME OF $70,933, WHICH IS 8.4% BELOW THE SIX COUNTY METROPOLITAN CHICAGO AREA. THE PERCENTAGE OF HOUSEHOLDS IN THE SSA WITH INCOMES <$25,000 IS 13.3% WITH THE RANGE FOR INDIVIDUAL COMMUNITIES FROM 8.0-17.9%. THE SSA POPULATION IS 6.7% UNINSURED AND 8.6% MEDICAID. WITHIN THE HOSPITAL'S SSA, WOODSTOCK HAS THE HIGHEST PROPORTION OF UNINSURED AT 8.6% AND CARPENTERSVILLE HAS THE HIGHEST MEDICAID AT 12.9%. ADVOCATE SOUTH SUBURBAN HOSPITAL DEFINITION OF COMMUNITY FOR THE PURPOSES OF THIS ASSESSMENT, THE COMMUNITY HEALTH COUNCIL HAS DEFINED "THE COMMUNITY" AS SOUTH SUBURBAN HOSPITAL'S PRIMARY SERVICE AREA (PSA), WHICH INCLUDES TWENTY-TWO ZIP CODES IN SOUTH COOK COUNTY WITH PARTS OF PARK FOREST AND FRANKFORT IN WILL COUNTY. SOUTH SUBURBAN HOSPITAL'S PSA IS PRIMARILY COMPRISED OF COOK COUNTY RESIDENTS. THE ACTUAL ZIP CODES AND CORRESPONDING CITIES, TOWNS OR VILLAGES ARE: 60409 - CALUMET CITY; 60411 - CHICAGO HEIGHTS AND FORD HEIGHTS; 60419 - DOLTON; 60422 - FLOSSMOOR; 60423 - FRANKFORT; 60425 - GLENWOOD; 60426 - HARVEY; 60428 - MARKHAM; 60429 - HAZEL CREST; 60430 - HOMEWOOD; 60438 - LANSING; 60443 - MATTESON; 60445 - MIDLOTHIAN; 60452 - OAK FOREST; 60461 - OLYMPIA FIELDS; 60466 - PARK FOREST; 60471 - RICHTON PARK; 60473 - SOUTH HOLLAND; 60476 - THORNTON; 60477 - TINLEY PARK; 60478 - COUNTRY CLUB HILLS AND 60487 - TINLEY PARK. RACE AND ETHNICITY ACCORDING TO THE 2010 U.S. CENSUS, SOUTH SUBURBAN HOSPITAL'S PRIMARY SERVICE AREA IS 47 PERCENT AFRICAN AMERICAN (N=235,365), 38 PERCENT CAUCASIAN (N=190,282) AND 12 PERCENT HISPANIC (N=57,986). OTHER ETHNICITIES INCLUDING AMERICAN INDIAN, ASIAN AND NATIVE HAWAIIAN COMPRISE 3.3 PERCENT OF THE TOTAL POPULATION. THE PRIMARY SERVICE AREA HAS A SIGNIFICANTLY HIGHER AFRICAN AMERICAN POPULATION THAN THE AVERAGE FOR COOK COUNTY (47 PERCENT COMPARED TO NEARLY 25 PERCENT, RESPECTIVELY). AGE & GENDER RESIDENTS' AGES WITHIN SOUTH SUBURBAN HOSPITAL'S PSA SPAN THE LIFE CYCLE, WITH 26 PERCENT OF THE POPULATION LESS THAN 18 YEARS OLD, 34 PERCENT 18-44 YEARS OLD, 27 PERCENT 45-64 YEARS OLD AND 13 PERCENT 65 YEARS AND OLDER. MIRRORING THE NATIONAL TREND, OLDER ADULTS ARE AMONG THE FASTEST GROWING AGE GROUPS. THE AREAS WITH THE LARGEST PERCENTAGE OF OLDER ADULTS IN TH
POVERTY ACCORDING TO COMMUNITY PROFILES, SOUTH DISTRICT, COOK COUNTY DEPARTMENT OF PUBLIC HEALTH 2006-2008, 8.5 PERCENT OF INDIVIDUALS IN SUBURBAN COOK COUNTY HAVE INCOMES THAT ARE BELOW 100 PERCENT OF THE POVERTY LEVEL WITH 23.1 PERCENT LIVING BELOW 200 PERCENT OF THE POVERTY LEVEL. THERE IS SIGNIFICANT DISPARITY RELATED TO POVERTY LEVELS AMONG THE COMMUNITIES WITHIN SOUTH SUBURBAN HOSPITAL'S PSA, RANGING FROM 1.3 PERCENT OF THE TOTAL POPULATION LIVING BELOW 100 PERCENT OF POVERTY LEVEL IN FLOSSMOOR TO 31.9 PERCENT IN HARVEY AND 47.7 PERCENT BELOW 100 PERCENT OF THE POVERTY LEVEL IN FORD HEIGHTS. NEARLY 62 PERCENT OF FORD HEIGHTS' RESIDENTS LIVE BELOW 200 PERCENT OF THE POVERTY LEVEL AS COMPARED TO 56.4 PERCENT IN HARVEY AND ONLY 7.7 PERCENT IN FLOSSMOOR. ON AVERAGE, 12.4 PERCENT OF INDIVIDUALS IN SOUTH SUBURBAN HOSPITAL'S PRIMARY SERVICE AREA ARE LIVING BELOW 100 PERCENT OF THE FEDERAL POVERTY LEVEL; WHILE 28.1 PERCENT OF INDIVIDUALS ARE LIVING 200 PERCENT BELOW THE FEDERAL POVERTY LEVEL. SOURCE: HTTP://WWW.COOKCOUNTYPUBLICHEALTH.ORG/FILES/PDF/DATA-AND-REPORTS/COMMUNITY -PROFILES-06-08/SOUTH-DISTRICT-0608R.PDF PUBLIC HEALTH LITERATURE HAS IDENTIFIED A LINK BETWEEN POVERTY AND DISEASE, AS COMMUNITIES CONSIDERED UNDERPRIVILEGED EXHIBIT HIGHER MORTALITY AND MORBIDITY RATES THAN WEALTHIER COUNTERPARTS. FOR EXAMPLE, THE BURDEN OF ASTHMA IS NOT BORNE EQUALLY THROUGHOUT THE U.S. NEARLY 5,000 PEOPLE DIE FROM ASTHMA EACH YEAR NATIONALLY AND THE RISK OF DEATH AMONG AFRICAN AMERICANS IS THREE TIMES GREATER THAN AMONG CAUCASIANS IN AMERICA, WHICH HAS BEEN ATTRIBUTED TO HIGHER RATES OF POVERTY. ADDITIONALLY, AS A SOCIAL DETERMINANT OF HEALTH, POVERTY HAS BEEN LINKED WITH LOWER ACCESS TO CARE, BEING UNINSURED AND A DECREASE IN LIKELIHOOD TO RECEIVE MEDICAL TREATMENT UNTIL DISEASE IS EXACERBATED. AREAS WITH INCREASED POVERTY OFTEN LACK POLICIES, SYSTEMS AND ENVIRONMENTS THAT PROMOTE HEALTHY LIVING AND MAKE CHOOSING HEALTHY LIFESTYLES DIFFICULT. WHILE RESIDENTS OF SOME COMMUNITIES WITHIN SOUTH SUBURBAN HOSPITAL'S PSA ARE AMONG THE POOREST IN THE NATION, OTHERS ARE AMONG SOME OF THE MOST AFFLUENT WITHIN COOK COUNTY, THE STATE OF ILLINOIS AND, IN SOME INSTANCES, THE U.S. FOR EXAMPLE, HARVEY HAS AN AVERAGE HOUSEHOLD INCOME OF $43,356, COMPARED TO FLOSSMOOR'S AVERAGE HOUSEHOLD INCOME OF $114,131. ADDITIONALLY, ALMOST 40 PERCENT OF HARVEY'S RESIDENTS MAKE LESS THAN $25,000 A YEAR, COMPARED TO THE 40 PERCENT OF FLOSSMOOR'S RESIDENTS THAT MAKE $100,000 OR MORE. WHEN COMPARING EDUCATIONAL ATTAINMENT, 10 PERCENT OF HARVEY'S RESIDENTS HAVE A BACHELOR'S DEGREE OR HIGHER, AND FLOSSMOOR'S PERCENTAGE IS SLIGHTLY MORE THAN 50 PERCENT. APPROXIMATELY 41 PERCENT OF THE PRIMARY SERVICE AREA POPULATION HAS A HIGH SCHOOL DEGREE OR BELOW (INCLUDING NEARLY 12 PERCENT THAT DO NOT HAVE A HIGH SCHOOL DEGREE). THE AVERAGE HOUSEHOLD INCOME IS $68,343, WHICH IS SLIGHTLY BELOW THAT OF THE U.S., AND 34 PERCENT OF THE POPULATION IS UNINSURED/UNDERINSURED. ADDITIONALLY, THE SOUTH DISTRICT OF COOK COUNTY, AS DEFINED BY THE COOK COUNTY DEPARTMENT OF PUBLIC HEALTH, AND INCLUDING SOUTH SUBURBAN HOSPITAL'S PSA, EXPERIENCES SOME OF THE HIGHEST RATES OF POOR HEALTH OUTCOMES WITHIN COOK COUNTY, INCLUDING CHRONIC DISEASES SUCH AS ASTHMA, CARDIOVASCULAR DISEASE AND CANCER. FOR EXAMPLE, ACCORDING TO THE COOK COUNTY DEPARTMENT OF PUBLIC HEALTH DURING THE COMBINED YEARS OF 2005-2007, CORONARY HEART DISEASE MORTALITY WAS HIGHEST AMONG THE AFRICAN AMERICAN POPULATION IN THE SOUTH DISTRICT AT OVER 250.0 PER 100,000 RESIDENTS, AS OPPOSED TO THE ILLINOIS RATE OF THE SAME GROUP AT SLIGHTLY LESS THAN 150.0 PER 100,000 RESIDENTS. WITHIN ADVOCATE SOUTH SUBURBAN HOSPITAL'S PSA, THERE ARE FOUR HOSPITALS, THREE FQHC FACILITIES AND ONE COUNTY CLINIC. ONE HOSPITAL RESIDES IN THE SSA. FOLLOWING ARE THE HEALTH FACILITIES/ORGANIZATIONS AND THE COMMUNITY WHERE EACH RESIDES: INGALLS MEMORIAL HOSPITAL, HARVEY, IL; ST. JAMES HOSPITAL OLYMPIA FIELDS, OLYMPIA FIELDS, IL; SILVER CROSS HOSPITAL, NEW LENOX, IL; ST. JAMES HOSPITAL CHICAGO HEIGHTS, CHICAGO HEIGHTS, IL; METRO SOUTH MEDICAL CENTER, BLUE ISLAND, IL; AUNT MARTHA'S COMMUNITY HEALTH CENTER, FQHC, SITES IN HARVEY, HAZEL CREST AND CHICAGO HEIGHTS, IL; ACCESS COMMUNITY HEALTH NETWORK, FQHC, CHICAGO HEIGHTS, IL; FAMILY CHRISTIAN HEALTH CENTER, FQHC, HARVEY, IL; AND OAK FOREST HEALTH CENTER, COOK COUNTY OUTPATIENT HEALTHCARE FACILITY, OAK FOREST, IL. ADVOCATE BROMENN MEDICAL CENTER COMMUNITY DEFINITION BROMENN MEDICAL CENTER'S COMMUNITY HEALTH COUNCIL DEFINED THE COMMUNITY AS MCLEAN COUNTY, THE PRIMARY SERVICE AREA (PSA) FOR BROMENN MEDICAL CENTER. THIS AREA INCLUDES THE FOLLOWING CITIES AND TOWNS: ANCHOR, ARROWSMITH, BELLFLOWER, BLOOMINGTON, CARLOCK, CHENOA, COLFAX, COOKSVILLE, DANVERS, DOWNS, ELLSWORTH, GRIDLEY, HEYWORTH, HUDSON, LE ROY, LEXINGTON, MCLEAN, MERNA, NORMAL, SAYBROOK, STANFORD AND TOWANDA. THE COMMUNITY CONSISTS OF A TOTAL POPULATION OF 169,572 ACCORDING TO THE 2010 US CENSUS BUREAU. BLOOMINGTON HAS THE LARGEST POPULATION IN THE COUNTY WITH 76,610 AND NORMAL HAS THE SECOND LARGEST POPULATION WITH 52,497. ACCORDING TO THE 2012 US CENSUS BUREAU, THE POPULATION IN MCLEAN COUNTY INCREASED BY 14.5 PERCENT FROM 2000 TO 2012, WITH A TOTAL POPULATION INCREASE FROM 150,433 TO 172,281, RESPECTIVELY. DEMOGRAPHICS AGE AND GENDER ACCORDING TO THE 2012 US CENSUS BUREAU, THE MEDIAN AGE IN MCLEAN COUNTY IS 32.4 YEARS OF AGE. TWENTY-FIVE AND A HALF PERCENT OF PERSONS IN MCLEAN COUNTY ARE 25 TO 44 YEARS OF AGE AND 23.6 PERCENT ARE 45 TO 64 YEARS OF AGE. TEN AND SEVEN TENTHS PERCENT OF PERSONS ARE OVER THE AGE OF 65. FORTY-EIGHT AND SIX TENTHS PERCENT OF THE POPULATION IN MCLEAN COUNTY IS MALE AND 51.4 PERCENT IS FEMALE. RACE AND ETHNICITY THE POPULATION OF MCLEAN COUNTY IS 85.2 PERCENT WHITE, 7.6 PERCENT BLACK OR AFRICAN AMERICAN, 4.8 PERCENT ASIAN, 4.6 PERCENT HISPANIC OR LATINO AND 0.3 PERCENT AMERICAN INDIAN AND ALASKA NATIVE. ECONOMICS THE PERCENT OF PERSONS LIVING BELOW THE POVERTY LEVEL IN MCLEAN COUNTY, ACCORDING TO THE AMERICAN COMMUNITY SURVEY 2007-2011 AND THE 2012 US CENSUS BUREAU, IS 13.4 PERCENT COMPARED TO A RATE OF 13.1 PERCENT FOR ILLINOIS. THE MEDIAN HOUSEHOLD INCOME FOR MCLEAN COUNTY IS $59,410. THIS IS SLIGHTLY HIGHER THAN THE MEDIAN HOUSEHOLD INCOME FOR ILLINOIS OF $56,576. THE PERCENT OF THE POPULATION RECEIVING MEDICAID IN MCLEAN COUNTY HAS RISEN STEADILY FROM 5.8 PERCENT IN 2004 TO 13.8 PERCENT IN 2010. IT IS ESTIMATED THAT MCLEAN COUNTY CURRENTLY HAS 10,000 TO 15,000 UNINSURED RESIDENTS. BASED ON THE 2012 CENSUS BUREAU POPULATION ESTIMATE OF 172,281, THIS EQUATES TO BETWEEN 5.8 AND 8.7 PERCENT OF MCLEAN COUNTY RESIDENTS BEING UNINSURED.
EDUCATION MCLEAN COUNTY IS ABOVE THE STATE AVERAGE IN TERMS OF EDUCATION. NINETY-THREE AND FOUR TENTHS PERCENT OF THE POPULATION OVER THE AGE OF 25 POSSESSES A HIGH SCHOOL DIPLOMA OR HIGHER AND 41.4 PERCENT HAVE A BACHELOR'S DEGREE OR HIGHER. THE STATE AVERAGE FOR A BACHELOR'S DEGREE OR HIGHER IS 30.7 PERCENT. ILLINOIS STATE UNIVERSITY, ILLINOIS WESLYAN UNIVERSITY, HEARTLAND COMMUNITY COLLEGE AND LINCOLN COLLEGE ARE ALL LOCATED IN MCLEAN COUNTY. HEALTH CARE RESOURCES IN THE DEFINED COMMUNITY THERE ARE NUMEROUS HEALTH CARE RESOURCES IN MCLEAN COUNTY. THERE ARE TWO HOSPITALS, INCLUDING ADVOCATE BROMENN MEDICAL CENTER LOCATED IN NORMAL AND OSF SAINT JOSEPH MEDICAL CENTER LOCATED IN BLOOMINGTON. THERE IS ALSO A FEDERALLY QUALIFIED HEALTH CENTER (FQHC), THE CHESTNUT FAMILY HEALTH CENTER, LOCATED IN BLOOMINGTON. IN ADDITION, THERE ARE FIVE COMMUNITY CLINICS. THE COMMUNITY HEALTH CARE CLINIC AND THE COMMUNITY CANCER CENTER ARE BOTH LOCATED IN NORMAL. THE JOHN M. SCOTT HEALTH RESOURCES CENTER, IMMANUEL HEALTH CENTER AND MCLEAN COUNTY FOR HUMAN SERVICES ARE ALL LOCATED IN BLOOMINGTON. TWO ADDITIONAL HEALTH CARE RESOURCES IN MCLEAN ARE THE MCLEAN COUNTY HEALTH DEPARTMENT, WHICH IS A CITY CLINIC, AND A NEWLY OPENED CRISIS STABILIZATION UNIT WHICH IS A PART OF CHESTNUT HEALTH SYSTEMS. ADVOCATE TRINITY HOSPITAL DESCRIPTION OF COMMUNITY THE COMMUNITY HEALTH COUNCIL (CHC) SETS THE DIRECTION FOR THE COMMUNITY HEALTH INITIATIVES WITHIN TRINITY HOSPITAL'S TOTAL SERVICE AREA. FOR PLANNING PURPOSES, THE COUNCIL DEFINES THE COMMUNITY AS THE HOSPITAL'S PRIMARY AND SECONDARY SERVICE AREAS CONSISTENT WITH THE FOLLOWING ZIP CODES: 60617, 60619, 60620, 60628, 60643, AND 60649 (PRIMARY), 60409, 60621, 60633, 60636, 60637, AND 60827 (SECONDARY). THE COMMUNITY CONSISTS OF A TOTAL POPULATION OF 586,271, SPANNING 12 ZIP CODES, INCLUDING 20 COMMUNITY AREAS AS DEFINED BY THE CITY OF CHICAGO DEPARTMENT OF PLANNING. TRINITY HOSPITAL'S COMMUNITY LIES WITHIN COOK COUNTY AND THE CHICAGO CITY LIMITS WITH THE EXCEPTION OF CALUMET CITY, ILLINOIS, ZIP CODE 60827, WHICH LIES JUST SOUTH OF THE CHICAGO CITY LIMIT. DEMOGRAPHICS AGE ACCORDING TO THE 2012 U.S. CENSUS, THE MEDIAN AGE IN TRINITY HOSPITAL'S PRIMARY SERVICE AREA IS 35 WITH THE LARGEST POPULATION BETWEEN THE AGES OF 18-44. THIS AGE GROUP, HOWEVER, IS EXPECTED TO DECLINE AND THE 65+ POPULATION IS EXPECTED TO INCREASE. THE COMMUNITIES WITH THE LARGEST POPULATION ARE CHATHAM, AVALON PARK, CALUMET HEIGHTS, ROSELAND, AND GREAT GRAND CROSSING. TRINITY HOSPITAL'S SECONDARY SERVICE AREA MIRRORS THE PRIMARY SERVICE AREA WITH A MEDIAN AGE OF 32.4. A DECLINE IS PROJECTED IN ALL AGE GROUPS WITH THE EXCEPTION OF THE 65+ AGE GROUP, WHICH IS EXPECTED TO INCREASE. THE COMMUNITIES WITHIN THE SECONDARY SERVICE AREA WITH THE LARGEST AGING POPULATIONS ARE WEST ENGLEWOOD, WASHINGTON HEIGHTS, MORGAN PARK, CALUMET CITY AND HEGEWISCH. EXPECTED GROWTH OF THE SENIOR POPULATION IN THESE COMMUNITIES MAY PRESENT OPPORTUNITIES FOR TRINITY TO ENGAGE IN SENIOR HEALTH PROMOTION AND PROGRAMS. RACE AND ETHNICITY THE POPULATION IN TRINITY HOSPITAL'S TOTAL SERVICE AREA IS 81 PERCENT AFRICAN AMERICAN, 10 PERCENT HISPANIC, 8 PERCENT WHITE AND 2 PERCENT ASIAN. ALTHOUGH THE OVERALL POPULATION HAS DECLINED BETWEEN 2000 AND 2012, THE HISPANIC POPULATION HAS INCREASED WITHIN THE PRIMARY SERVICE AREA. ACCORDING TO DATA REVIEWED BY COMMUNITY, THE HISPANIC POPULATION IS PRIMARILY LOCATED IN FOUR SPECIFIC COMMUNITIES INCLUDING EASTSIDE, SOUTH CHICAGO, SOUTH DEERING AND HEGEWISCH. POVERTY THE AVERAGE POVERTY RATE IN TRINITY HOSPITAL'S PRIMARY SERVICE AREA IS 20.4 PERCENT WHICH IS HIGHER THAN THE ILLINOIS STATE (13.1 PERCENT) AND NATIONAL POVERTY LEVELS (14.3 PERCENT). THE AVERAGE POVERTY LEVEL RATE IN TRINITY HOSPITAL'S SECONDARY SERVICE AREA IS 28.6 PERCENT - MORE THAN TWICE THE STATE AND NATIONAL POVERTY LEVEL RATES. IN TRINITY HOSPITAL'S TOTAL SERVICE AREA, POVERTY RATE TRENDS INCREASE AS THE AGE OF THE POPULATION DECREASES. RESEARCH HAS DEMONSTRATED THAT POVERTY AND DISEASE ARE LINKED. POORER COMMUNITIES EXHIBIT HIGHER MORTALITY AND MORBIDITY RATES, AND INCREASED HEALTH NEEDS THAN LESS POVERTY STRICKEN COMMUNITIES. THIS PRESENTS TRINITY HOSPITAL WITH MULTIPLE OPPORTUNITIES TO ENGAGE IN HEALTH PROMOTION ACTIVITIES THAT ADDRESS COMMUNITY HEALTH DISPARITIES PERTINENT TO IMPROVING THE POPULATION'S HEALTH STATUS. HEALTH RESOURCES TRINITY HOSPITAL'S TOTAL SERVICE AREA IS SERVED BY A VARIETY OF HEALTH RESOURCES. THESE RESOURCES, HOWEVER, ARE LIMITED AND DO NOT MEET THE TOTAL POPULATION'S DEMAND FOR HEALTH SERVICES. A LARGE NUMBER OF PEOPLE IN THE COMMUNITY SEEK HEALTH SERVICES OUTSIDE OF TRINITY HOSPITAL'S TOTAL SERVICE AREA. THIS IS DUE TO THE LACK OF PRIMARY CARE ACCESS POINTS AND THE LACK OF TERTIARY CARE, WHICH PROVIDES HIGHLY SPECIALIZED MEDICAL/ADVANCED LEVEL CARE, INCLUDING TRAUMA CARE AND COMPLEX SURGICAL PROCEDURES OR TREATMENTS. HEALTH RESOURCES IN THE AREA INCLUDE A VARIETY OF SAFETY NET PROVIDERS, SUCH AS 7 COMMUNITY HOSPITALS, 2 FREE COMMUNITY CLINICS, 8 FEDERALLY QUALIFIED HEALTH CENTERS, 1 SCHOOL-BASED HEALTH CENTER, 1 COUNTY-BASED HEALTH CENTER, 2 CITY-BASED HEALTH CENTERS, AS WELL AS PRIVATE PRIMARY CARE FACILITIES. ADVOCATE EUREKA HOSPITAL THE COMMUNITY IS DEFINED AS ADVOCATE EUREKA HOSPITAL'S PRIMARY SERVICE AREA WHICH IS WOODFORD COUNTY WITH SOME CROSSOVER INTO TAZEWELL COUNTY. WOODFORD COUNTY IS SITUATED IN RURAL CENTRAL ILLINOIS. FOR THE PURPOSES OF THE CHNA, THE FOCUS IS ON HEALTH NEEDS IN WOODFORD COUNTY. THE FOLLOWING TOWNS ARE IN WOODFORD COUNTY: BAY VIEW GARDENS, BENSON, CONGERVILLE, EL PASO, EUREKA, GERMANTOWN HILLS, GOODFIELD, KAPPA, LOWPOINT, METAMORA, MINONK, PANOLA, ROANOKE, SECOR, SPRING BAY AND WASHBURN. WOODFORD COUNTY CONSISTS OF A TOTAL POPULATION OF 38,971, WHICH IS NEARLY A 10 PERCENT INCREASE FROM 2000 ACCORDING TO THE 2012 US CENSUS BUREAU. DEMOGRAPHICS AGE AND GENDER ACCORDING TO THE US CENSUS BUREAU IN 2012, THE MEDIAN AGE FOR WOODFORD COUNTY IS 40 YEARS AND THE POPULATION IS EVENLY SPLIT BETWEEN MALE AND FEMALE WITH 50.5 PERCENT OF THE INDIVIDUALS IN WOODFORD COUNTY BEING FEMALE AND 49.5 PERCENT BEING MALE. TWENTY-TWO PERCENT OF WOODFORD COUNTY RESIDENTS ARE 25 TO 44 YEARS OF AGE, 28 PERCENT OF RESIDENTS ARE 45 TO 64 YEARS OF AGE AND 16 PERCENT OF RESIDENTS ARE OVER THE AGE OF 65. RACE AND ETHNICITY WOODFORD COUNTY IS 97.6 PERCENT WHITE, 1.6 PERCENT HISPANIC OR LATINO, 0.6 PERCENT BLACK OR AFRICAN AMERICAN AND 0.2 PERCENT AMERICAN INDIAN AND ALASKA NATIVE, ACCORDING TO THE US CENSUS BUREAU 2012. ECONOMICS ACCORDING TO THE AMERICAN COMMUNITY SURVEY 2007-2010, THE PERCENT OF RESIDENTS LIVING BELOW THE POVERTY LEVEL IN WOODFORD COUNTY IS 7.2 PERCENT COMPARED TO A RATE OF 13.1 PERCENT FOR ILLINOIS. THE MEDIAN HOUSEHOLD INCOME FOR WOODFORD COUNTY IS $66,198. THIS IS HIGHER THAN THE MEDIAN HOUSEHOLD INCOME FOR ILLINOIS OF $56,576. WOODFORD COUNTY ALSO HAS A SIGNIFICANTLY HIGHER PERCENT OF INDIVIDUALS WHO OWN THEIR OWN HOMES THAN THE AVERAGE IN ILLINOIS-WITH 83.8 PERCENT OF INDIVIDUALS BEING HOME OWNERS COMPARED TO THE STATE AVERAGE OF 68.7 PERCENT. EDUCATION NINETY-THREE PERCENT OF INDIVIDUALS IN WOODFORD COUNTY OVER THE AGE OF 25 POSSESS A HIGH SCHOOL DIPLOMA OR HIGHER AND 24.3 PERCENT HAVE A BACHELOR'S DEGREE OR HIGHER ACCORDING TO THE AMERICAN COMMUNITY SURVEY 2007-2010. EUREKA COLLEGE IS LOCATED IN WOODFORD COUNTY. HEALTH CARE RESOURCES IN THE DEFINED COMMUNITY THERE ARE A TOTAL OF THREE HEALTH CARE RESOURCES IN WOODFORD COUNTY, HOWEVER, ADVOCATE EUREKA HOSPITAL, A CRITICAL ACCESS HOSPITAL, IS THE ONLY HOSPITAL IN WOODFORD COUNTY. THERE IS ALSO A HEALTH CLINIC, THE WOODFORD COUNTY HEALTH DEPARTMENT AND A COMMUNITY ORGANIZATION FOR RESIDENTS CALLED HEART HOUSE/SHELTER. 5. PROMOTION OF COMMUNITY HEALTH ADVOCATE CHRIST MEDICAL CENTER ADVOCATE CHRIST MEDICAL CENTER CONSIDERS ITS COMMUNITY'S HEALTH A KEY PRIORITY. IN 2014, THE HOSPITAL PROVIDED OVER 26,000 COMMUNITY HEALTH SERVICES TO OVER 390,000 LOCAL RESIDENTS FOR A TOTAL EXPENSE OF OVER $1.3 MILLION. SOME OF THOSE SERVICES INCLUDED HEALTH AND DISEASE PREVENTION PROGRAMS AND SCREENINGS, NURSING CAMPS, HEALTH FAIR EXHIBITS, COMMUNITY LECTURES AND SUPPORT GROUPS. ALSO INCLUDED IS THE MEDICAL CENTER'S PARTNERSHIP WITH THE MUSEUM OF SCIENCE AND INDUSTRY TO PROVIDE "LIVE...FROM THE HEART" - A VIDEO CONFERENCE-BASED CARDIOVASCULAR EDUCATION PROGRAM FOR HIGH SCHOOL STUDENTS. NEARLY 80,000 STAFF AND VOLUNTEER HOURS WERE CONTRIBUTED TO COMMUNITY HEALTH ACTIVITIES TOTALING $1.2 MILLION IN COMMUNITY BENEFIT IN 2014. IN 2014, ACMC'S DESIRE TO TRAIN FUTURE HEALTH CARE PROFESSIONALS RESULTED IN TRAINING OVER 1,000 STUDENTS IN ACCREDITED PROGRAMS AND A RANGE OF SPECIALTIES TOTALING OVER 36,000 HOURS OF EDUCATION. TO ENSURE THAT ACMC'S DIVERSE PATIENT POPULATION FULLY UNDERSTANDS AND IS ENGAGED IN THEIR HEALTH CARE, THE HOSPITAL PROVIDED OVER $32,000 IN LANGUAGE ASSISTANCE SERVICES. IN-KIND DONATIONS, INCLUDING SUPPORT OF SOUTH SUBURBAN PUBLIC ACTION TO DELIVER SHELTER (PADS) TO ADDRESS THE NEEDS OF T
ADVOCATE GOOD SHEPHERD HOSPITAL ADVOCATE GOOD SHEPHERD HOSPITAL FURTHERS ITS EXEMPT PURPOSE BY PROMOTING HEALTH IN THE COMMUNITY IN OTHER WAYS, INCLUDING: * SUPPORTING LOCAL COMMUNITY COALITIONS THROUGH LEADERSHIP, PARTICIPATION AND/OR FINANCIAL CONTRIBUTIONS. THE HOSPITAL LEADS TWO COMMUNITY HEALTH COALITIONS AND PROVIDES SUPPORT TO SEVERAL AREA TASK FORCES SPECIFIC TO ADDRESSING HEALTH NEEDS. * PROVIDING IN-KIND MEETING SPACE AND FINANCIAL SUPPORT TO COMMUNITY GROUPS AND NOT FOR PROFIT GROUPS THAT ADDRESS IDENTIFIED COMMUNITY NEEDS -- FOR EXAMPLE, ORGANIZATIONS PROVIDING BEHAVIORAL HEALTH SERVICES OR SERVICES FOR SENIORS. * PROVIDING TRANSPORTATION AT A REDUCED RATE TO PATIENTS WHO ARE UNABLE TO DRIVE TO AND FROM MEDICAL APPOINTMENTS. FEES ARE WAIVED IF THE PATIENT IS UNABLE TO PAY. * PARTNERING WITH THE MCHENRY COUNTY HEALTH DEPARTMENT ON THE ENROLL MCHENRY GRANT TO GIVE HEALTHCARE ACCESS TO THOSE THAT ARE UNINSURED. ADVOCATE GOOD SHEPHERD HOSPITAL HIRED TWO IN-PERSON COUNSELORS DURING THE DURATION OF THE FIRST YEAR OF THE ENROLL MCHENRY GRANT THROUGH THE MCHENRY COUNTY HEALTH DEPARTMENT (OCTOBER 1, 2013 - MARCH 31, 2015). IN ORDER TO BE A CERTIFIED IN-PERSON COUNSELOR, THE NAVIGATORS WERE REQUIRED TO ATTEND A 2-DAY TRAINING IN CHICAGO AND COMPLETE A 40 HOUR ONLINE TRAINING. IN 2014, MORE THAN 619 APPLICATIONS WERE COMPLETED FOR CLIENTS ELIGIBLE FOR MARKETPLACE (260) OR MEDICAID (359). ADVOCATE SOUTH SUBURBAN HOSPITAL ADVOCATE SOUTH SUBURBAN HOSPITAL IS AN ACUTE-CARE FACILITY PROVIDING A WIDE RANGE OF COMPREHENSIVE INPATIENT, OUTPATIENT, DIAGNOSTIC AND AMBULATORY MEDICAL SERVICES. IN ADDITION TO OFFERING AN ARRAY OF HOSPITAL SERVICES, THIS NOT-FOR-PROFIT FACILITY PROVIDES FREE SCREENINGS AND A VARIETY OF OTHER OUTREACH SERVICES THROUGHOUT THE COMMUNITY, INCLUDING: SENIOR SERVICES: SOUTH SUBURBAN HOSPITAL SERVES A LARGE SENIOR POPULATION AND HOSTS A VARIETY OF PROGRAMS AND SCREENINGS IN THE COMMUNITY FOR SENIORS, INCLUDING: A SENIOR BREAKFAST CLUB PROGRAM THAT HOSTS A VARIETY OF HEALTH EDUCATION FOCUSED ON SENIORS; THE ANNUAL ACTIVE SENIOR EXPO, A PREMIER EVENT DESIGNED ESPECIALLY FOR SENIORS; AND PARTICIPATION IN A NUMBER OF SENIOR HEALTH FAIRS THROUGHOUT THE YEAR. SUPPORT GROUPS: THE HOSPITAL ALSO HOSTS A NUMBER OF SUPPORT GROUPS FOR THE COMMUNITY DESIGNED FOR INDIVIDUALS LIVING WITH A PARTICULAR ILLNESS. COMMUNITY MEMBERS CAN FIND SUPPORT GROUPS FOR DIABETES, PARKINSON'S, EASY BREATHERS, LUPUS AND STROKE AT THE HOSPITAL - ALL FREE OF CHARGE TO THE COMMUNITY. LIFESTYLE CLASSES: TO AID THE COMMUNITY WITH LIFESTYLE ADJUSTMENTS, SOUTH SUBURBAN HOSPITAL AND ITS TEAM OF HEALTH CARE PROFESSIONALS OFFER CLASSES ON CONGESTIVE HEART FAILURE, LIFE AFTER A STROKE, DIABETES LIFESTYLE CLASSES AND GROCERY STORE TOURS AIMED AT TEACHING DIABETICS HOW TO READ LABELS AND HEALTHY SHOPPING. THE HOSPITAL ALSO HAS STRONG PARTNERSHIPS WITH THE AMERICAN CANCER SOCIETY AND THE CANCER SUPPORT CENTER TO OFFER WELLNESS CLASSES FOR CANCER PATIENTS. SANE PROGRAM: SEXUAL ASSAULT NURSE EXAMINERS (SANES) ARE SPECIALISTS IN FORENSIC NURSING. SANES NOT ONLY ASSIST PATIENTS WHO HAVE BEEN SEXUALLY ASSAULTED, BUT THEY ALSO USE THEIR EDUCATION AND EXPERIENCE TO EXPAND THEIR CLINICAL PRACTICES TO ACCOMMODATE VICTIMS OF OTHER FORMS OF VIOLENCE. EXPERIENCED SANES EXTEND THEIR PRACTICE INTO THE CARE OF VICTIMS OF DOMESTIC VIOLENCE AS WELL. THESE SPECIALLY-EDUCATED NURSES CAN BE A VALUABLE RESOURCE TO PROSECUTORS, PARTICULARLY IN CASES WHERE THE VICTIM MAY BE UNWILLING OR UNABLE TO TESTIFY, AND ASSIST LAW ENFORCEMENT AND THE COURTS IN SENDING THOSE PERPETRATORS OF SEXUAL ASSAULT AND/OR DOMESTIC VIOLENCE TO JAIL. ADVOCATE SOUTH SUBURBAN HOSPITAL HAS A DIVERSE GOVERNING COUNCIL THAT INCLUDES SEVEN PHYSICIANS, TWO CLERGY AND NINE COMMUNITY MEMBERS FROM SURROUNDING AREAS AND BUSINESSES. THE HOSPITAL IS ALSO COMMITTED TO USING SURPLUS FUNDS TO REINVEST IN THE HOSPITAL'S HEALTH CARE MINISTRY. ADVOCATE BROMENN MEDICAL CENTER ADVOCATE BROMENN MEDICAL CENTER'S DEDICATION TO PROMOTING THE HEALTH OF THE COMMUNITY IS EXEMPLIFIED IN NUMEROUS WAYS. A VAST MAJORITY OF THE HOSPITAL'S EXECUTIVE TEAM SERVES ON MULTIPLE COMMUNITY BOARDS THAT HELP EITHER DIRECTLY OR INDIRECTLY IMPROVE THE HEALTH OF THE COMMUNITY, SUCH AS FOR EXAMPLE - EASTER SEALS, KIWANIS, THE COMMUNITY HEALTH CARE CLINIC, THE YWCA, THE AMERICAN RED CROSS AND THE IMMANUEL HEALTH CENTER. THE PRESIDENT OF ADVOCATE BROMENN MEDICAL CENTER IS ALSO INVOLVED IN MANY BOARDS THAT IMPACT THE COMMUNITY IN A POSITIVE MANNER SUCH AS THE ECONOMIC DEVELOPMENT COUNCIL AND THE GIRL SCOUTS OF CENTRAL ILLINOIS. THE PRESIDENT AND OTHER MEMBERS OF THE EXECUTIVE TEAM PROVIDE LEADERSHIP TRAINING IN THE COMMUNITY TO GROUPS SUCH AS THE MULTICULTURAL LEADERSHIP PROGRAM. IN ADDITION, EVERY YEAR SEVERAL BROMENN MEDICAL CENTER EMPLOYEES TRAIN STUDENTS FROM THE BLOOMINGTON AREA CAREER CENTER TO TAKE THE CERTIFIED NURSING ASSISTANT EXAM. THE HOSPITAL FURTHERS ITS EXEMPT PURPOSE BY HAVING AN OPEN MEDICAL STAFF AND BY ENSURING THAT A MAJORITY OF THE MEMBERS OF ITS GOVERNING COUNCIL ARE REPRESENTATIVES FROM THE COMMUNITY. THE TITLES AND AFFILIATIONS OF THE CURRENT MEMBERS ARE AS FOLLOWS: * RETIRED PRESIDENT OF ILLINOIS STATE UNIVERSITY * ASSISTANT ADMINISTRATOR, MCLEAN COUNTY HEALTH DEPARTMENT * DIRECTOR, AMERICAN RED CROSS OF THE HEARTLAND * BUSINESSMAN, RETIRED FROM GROWMARK * MD - INDEPENDENT PHYSICIAN * MD - INDEPENDENT PHYSICIAN * STATE REPRESENTATIVE * COMMUNITY MEMBER, RETIRED DISTRICT COURT JUDGE * ADVOCATE MEDICAL GROUP PHYSICIAN * ADVOCATE MEDICAL GROUP PHYSICIAN * MD - INDEPENDENT PHYSICIAN * MAYOR OF EL PASO * STATE FARM AGENT * BUSINESSMAN, COUNTRY FINANCIAL SERVICES * BUSINESSMAN, AFNI * PROVOST, ILLINOIS STATE UNIVERSITY * RETIRED DIRECTOR OF THE EUREKA LIBRARY * ATTORNEY ANOTHER KEY AREA IN WHICH THE HOSPITAL CONTRIBUTES SIGNIFICANTLY TO THE HEALTH OF THE COMMUNITY IS THE COMMUNITY HEALTH CARE CLINIC. IN 1993, ADVOCATE BROMENN MEDICAL CENTER PARTNERED WITH OSF ST. JOSEPH MEDICAL CENTER, ALSO LOCATED IN MCLEAN COUNTY, TO OPEN THE COMMUNITY HEALTH CARE CLINIC. THE COMMUNITY HEALTH CARE CLINIC PROVIDES SERVICES TO THE MEDICALLY UNDERSERVED POPULATION OF MCLEAN COUNTY TO ENSURE THAT ALL POPULATIONS IN THE COMMUNITY HAVE ACCESS TO HEALTHCARE. TO BE ELIGIBLE FOR CARE AT THE CLINIC, AN INDIVIDUAL MUST HAVE A TOTAL HOUSEHOLD INCOME LESS THAN 185 PERCENT OF FEDERAL POVERTY GUIDELINES, HAVE NO ACCESS TO THIRD PARTY INSURANCE (MEDICAID, MEDICARE, ALL KIDS, VETERAN'S BENEFITS, DISABILITY OR EMPLOYER-SPONSORED INSURANCE) AND RESIDE IN MCLEAN COUNTY. ALL EMERGENCY ROOM VISITS, DIAGNOSTIC TESTING AND HOSPITAL SERVICES ARE PROVIDED FREE OF CHARGE BY BROMENN MEDICAL CENTER AND OSF ST. JOSEPH MEDICAL CENTER. THE COMMUNITY HEALTH CARE CLINIC SAW 1,800 PATIENTS IN 2013 AND PROVIDED 4,572 CLINICAL EXAMS AND PRESCRIBED OVER 25,751 PRESCRIPTION MEDICATIONS AT NO CHARGE TO UNINSURED INDIVIDUALS. IN 2014, THE COMMUNITY HEALTH CARE CLINIC SAW 1,800 PATIENTS, PROVIDED 4,506 CLINICAL EXAMS AND PRESCRIBED OVER 21,267 MEDICATIONS AT NO CHARGE TO UNINSURED INDIVIDUALS. THE CLINIC RESIDES IN A BUILDING OWNED BY BROMENN MEDICAL CENTER, FOR WHICH THE HOSPITAL PAID $24,273 FOR THE MAINTENANCE AND UPKEEP OF THE FACILITY IN 2013, AND $24,095 IN 2014. ENVIRONMENTAL IMPROVEMENT EFFORTS ARE ANOTHER AVENUE IN WHICH ADVOCATE BROMENN MEDICAL CENTER FURTHERS ITS EXEMPT PURPOSE AND SIMULTANEOUSLY PROMOTES THE HEALTH OF THE COMMUNITY. SOME EXCELLENT EXAMPLES OF THIS INCLUDE THE DONATION OF USED FURNITURE TO ORGANIZATIONS, SUCH AS HABITAT FOR HUMANITY, THE HOSTING OF AN ELECTRONICS RECYCLING EVENT, BEING A MEMBER OF THE COMMUNITY SUSTAINABILITY FORUM, AND MAKING IMPROVEMENTS TO REDUCE THE HOSPITAL'S EXTERIOR HAZARDOUS WASTE STORAGE. THE HOSPITAL ALSO PARTICIPATES WITH ILLINOIS STATE UNIVERSITY IN A FOOD COMPOSTING PROGRAM THAT PROVIDES FREE COMPOST TO THE COMMUNITY FOR COMMUNITY GARDENS. IN ADDITION, ABMC UTILIZES LED BULBS TO REDUCE ITS CARBON FOOTPRINT. IN ADDITION TO THE ABOVE, ADVOCATE BROMENN MEDICAL CENTER SERVES AS AN EMS RESOURCE FOR EDUCATION AND TRAINING FOR MCLEAN COUNTY, PROVIDING A $340,000 BENEFIT TO THE COMMUNITY. THE HOSPITAL ALSO CONTRIBUTES TO THE HEALTH OF THE COMMUNITY BY MAINTAINING AND OFFERING COMMUNITY MEMBERS, NURSING STUDENTS, RESIDENTS, PHYSICIANS AND OTHER HEALTH CARE PROFESSIONALS ACCESS TO THE A.E. LIVINGSTON HEALTH SERVICES LIBRARY. THIS ACCESS IS PROVIDED FREE OF CHARGE TO THESE INDIVIDUALS EVEN THOUGH THE COST OF $191,254 IN 2014 WAS ABSORBED BY THE HOSPITAL. THE NUMEROUS OTHER WAYS BROMENN MEDICAL CENTER PROMOTES THE HEALTH OF THE COMMUNITY RANGE FROM PROVIDING PET THERAPY AND CLINICAL PASTORAL EDUCATION PROGRAMS TO OFFERING MEETING SPACE TO COMMUNITY NOT-FOR-PROFIT GROUPS AND BEING A TEACHING HOSPITAL FOR FAMILY PRACTICE, NEUROLOGY AND NEUROSURGERY RESIDENTS. ADVOCATE TRINITY HOSPITAL THE HOSPITAL'S SERVICES AND COMMUNITY HEALTH OUTREACH EFFORTS REFLECT A COMMITMENT TO RESPOND TO THE COMMUNITY'S MOST PRESSING HEALTH NEEDS WITH INNOVATIVE HEALTH OUTREACH PROGRAMS AND QUALITY CARE.
ADVOCATE EUREKA HOSPITAL EUREKA HOSPITAL IS A 25-BED FACILITY THAT HAS SERVED AND CARED FOR THE PEOPLE OF WOODFORD COUNTY AND THE SURROUNDING AREA SINCE 1901. EUREKA HOSPITAL IS THE ONLY HOSPITAL IN WOODFORD COUNTY AND IS A CRITICAL ACCESS HOSPITAL AS CERTIFIED BY THE CENTERS FOR MEDICARE AND MEDICAID SERVICES. BY FUNCTIONING IN THIS CAPACITY, EUREKA HOSPITAL PLAYS A VITAL ROLE IN SERVING THE HEALTH NEEDS OF A PRIMARILY RURAL AREA. COMMUNITY RESIDENTS BENEFIT FROM HAVING ACCESS TO CARE CLOSE TO HOME AS PROVIDED BY A DEDICATED GROUP OF PRIMARY CARE AND SPECIALTY PHYSICIANS. IF THE PATIENT'S CONDITION REQUIRES ADVANCED CARE, EUREKA HOSPITAL IS AVAILABLE TO STABILIZE THE CONDITION AND SEAMLESSLY TRANSITION THE PATIENT TO ANOTHER FACILITY. A CHERISHED COMMUNITY INSTITUTION, EUREKA HOSPITAL HAS SET NEW STANDARDS FOR WHAT A RURAL HOSPITAL CAN ACCOMPLISH. WHILE PATIENTS APPRECIATE THE SMALL-TOWN TOUCH OF ONE-ON-ONE CARE, THEY ALSO KNOW THAT IT'S BACKED BY SERVICES AND TECHNOLOGY TYPICALLY UNAVAILABLE AT A SMALL HOSPITAL. EMERGENCY CARE, INPATIENT AND OUTPATIENT SURGERIES, REHABILITATION AND ADVANCED RADIOLOGY ARE ONLY A FEW OF THE SERVICES OFFERED. THESE SERVICES ARE PROVIDED BY A SKILLED AND CARING STAFF THAT HAS WON NUMEROUS AWARDS FOR PATIENT SATISFACTION. IN ADDITION TO FILLING A VOID IN THE COUNTY BY SERVING AS A CRITICAL ACCESS HOSPITAL, ADVOCATE EUREKA HOSPITAL ALSO PROMOTES THE HEALTH OF THE COMMUNITY THROUGH ITS RECYCLING EFFORTS. THE RECYCLING PROGRAM DIRECTLY BENEFITS THE ADULTS WITH DEVELOPMENTAL DISABILITIES PROGRAM IN WOODFORD COUNTY. USED PRINTER CARTRIDGES ARE COLLECTED AND DONATED DIRECTLY TO SPECIAL OLYMPICS. THE HOSPITAL ALSO SPONSORS COMMUNITY RACES TO PROMOTE HEALTH AWARENESS AND ENGAGES IN FUNDRAISING EFFORTS TO IMPROVE THE HEALTH OF THE COMMUNITY. THE HOSPITAL FURTHERS ITS EXEMPT PURPOSE BY HAVING AN OPEN MEDICAL STAFF AND BY ENSURING THAT A MAJORITY OF ITS GOVERNING COUNCIL MEMBERS ARE REPRESENTATIVES OF AND FROM THE COMMUNITY. THE TITLES AND AFFILIATIONS OF THE GOVERNING COUNCIL'S CURRENT MEMBERS ARE AS FOLLOWS: * RETIRED PRESIDENT OF ILLINOIS STATE UNIVERSITY * ASSISTANT ADMINISTRATOR, MCLEAN COUNTY HEALTH DEPARTMENT * DIRECTOR, AMERICAN RED CROSS OF THE HEARTLAND * BUSINESSMAN, RETIRED FROM GROWMARK * MD - INDEPENDENT PHYSICIAN * MD - INDEPENDENT PHYSICIAN * STATE REPRESENTATIVE * COMMUNITY MEMBER, RETIRED DISTRICT COURT JUDGE * ADVOCATE MEDICAL GROUP PHYSICIAN * ADVOCATE MEDICAL GROUP PHYSICIAN * MD - INDEPENDENT PHYSICIAN * MAYOR OF EL PASO * STATE FARM AGENT * BUSINESSMAN, COUNTRY FINANCIAL BUSINESSMAN * BUSINESSMAN, AFNI * PROVOST, ILLINOIS STATE UNIVERSITY * RETIRED DIRECTOR OF THE EUREKA LIBRARY * ATTORNEY ANOTHER KEY AREA IN WHICH THE HOSPITAL CONTRIBUTES SIGNIFICANTLY TO THE HEALTH OF THE COMMUNITY IS THROUGH ITS COMMUNITY EDUCATION AND OUTREACH EFFORTS. THE HOSPITAL OFFERS ON-GOING HEALTH PROGRAMS, SUCH AS MONTHLY BLOOD PRESSURE SCREENINGS, IN THE HOSPITAL LOBBY. THE HOSPITAL ALSO HOSTS (AT LEAST QUARTERLY) COMMUNITY HEALTH EVENTS AT WHICH PHYSICIAN SPEAKERS EDUCATE THE COMMUNITY ON A VARIETY OF TOPICS, SUCH AS STROKE EDUCATION, VEIN AND LEG HEALTH, AND BREAST HEALTH. ENVIRONMENTAL IMPROVEMENTS 1. MENTORING AND EDUCATION ADVOCATE HEALTH CARE IS COMMITTED TO GREENING HEALTH CARE BECAUSE IT IS THE RIGHT THING TO DO. CARING FOR OUR EARTH IS STRONGLY CONNECTED TO OUR MISSION TO SERVE THE HEALTH NEEDS OF TODAY'S PATIENTS AND FAMILIES WITHOUT COMPROMISING THE NEEDS OF FUTURE GENERATIONS. BY CONSERVING RESOURCES, MINIMIZING EXPOSURE TO CHEMICALS AND CONSTRUCTING ECO-FRIENDLY BUILDINGS AND LANDSCAPES, ADVOCATE IS MAKING STRIDES TO REDUCE THE ENVIRONMENTAL IMPACT OF HEALTH CARE AND THE BURDEN OF HEALTH CARE COSTS. ADVOCATE HAS COMMITTED RESOURCES TO SHARING ITS BEST PRACTICES IN WASTE REDUCTION, AND ENERGY AND WATER MANAGEMENT. REDUCING WASTE AND CONSERVING ENERGY AND WATER USE HAS A DIRECT BENEFIT ON THE HEALTH OF LOCAL COMMUNITIES VIA CLEANER COMMUNITIES, HEALTHIER AIR QUALITY, REDUCED GREEN HOUSE GASES, AND PRESERVATION OF NATURAL RESOURCES. ADVOCATE SHARES BEST PRACTICES FOR WATER MANAGEMENT WITH OTHER NONPROFIT HOSPITALS LOCALLY AND NATIONALLY. IN 2014, ADVOCATE HEALTH CARE CONTINUED ITS LEADERSHIP ROLE AS ONE OF SEVERAL U.S. HEALTH SYSTEMS WHO FOUNDED AND SPONSOR A NATIONAL CAMPAIGN, THE HEALTHIER HOSPITALS INITIATIVE (HHI). HHI SERVES AS A GUIDE FOR HOSPITALS TO COMMIT TO IMPROVING THE HEALTH AND SAFETY OF PATIENTS, STAFF AND COMMUNITIES AND LOWERING COSTS THROUGH CONSERVATION PRACTICES BY USING FREE STEP-BY-STEP GUIDES AND HOSPITAL-TO-HOSPITAL MENTORING TO IMPLEMENT THE HHI CHALLENGES IN THE CATEGORIES OF LEADERSHIP, HEALTHIER FOODS, LESS WASTE, LEANER ENERGY, SAFER CHEMICALS AND SMARTER PURCHASING. AS OF DECEMBER 2014, NEARLY 1,100, OR OVER 20% OF THE NATION'S HOSPITALS ENROLLED IN THE HHI. 2014 MARKS THE FINAL YEAR OF THE THREE YEAR NATIONAL CAMPAIGN. OVER THE COURSE OF THREE YEARS, HHI HOSPITALS HAVE ACCOMPLISHED REDUCTIONS IN MEAT PURCHASING, INCREASED PURCHASING OF LOCAL AND SUSTAINABLE FOOD, REDUCED EXPOSURE TO TOXIC CHEMICALS THROUGH GREEN CLEANING PROGRAMS AND CONVERSION OF MEDICAL PRODUCTS FREE FROM PVC AND DEHP AND DECREASED ENERGY AND WASTE. ADVOCATE'S ANNUAL REPORT ON ENVIRONMENTAL STEWARDSHIP AND HEALTH AND WELLNESS PROGRAMS CAN BE FOUND AT: HTTP://STREAM.ADVOCATEHEALTH.COM/WEBFILES/2015/14SUPPORT2464/ ADVOCATE HEALTH CARE SYSTEM 2014 ENVIRONMENTAL INITIATIVES: * REDUCED CUMULATIVE (ELEVEN HOSPITALS) HOSPITAL ENERGY CONSUMPTION BY 3.5 PERCENT IN TWELVE MONTHS ENDING 12/30/14, AND 17.2 PERCENT SINCE 2008 * ENERGY REDUCTIONS EQUATE TO: - SAVED $15,000,000 IN ENERGY COSTS SINCE 2008 - REDUCING NEARLY 10,000 ILLINOIS HOUSEHOLDS OF ELECTRICITY USE FOR ONE YEAR - REDUCING CARBON EMISSIONS BY NEARLY 25,000 CARS OFF THE ROAD FOR ONE YEAR * RECYCLED OVER 3,300 TONS OF WASTE FROM HOSPITAL OPERATIONS * RECYCLED 94 PERCENT OF CONSTRUCTION AND DEMOLITION DEBRIS * SAVED 28 TONS OF WASTE FROM LANDFILL AND SAVED OVER $2.4 MILLION VIA MEDICAL DEVICE REPROCESSING * ENDORSED SYSTEM-WIDE HEALTHY AND SUSTAINABLE FOOD GUIDELINES TO IMPROVE THE HEALTH OF OUR PATIENTS, ASSOCIATES, VISITORS, COMMUNITIES AND THE ENVIRONMENT BY INCREASING ACCESS TO FRESH, HEALTHY FOOD IN AND AROUND ADVOCATE HEALTH CARE FACILITIES AND TO PROMOTE FOOD DELIVERY PRACTICES THAT ARE ECOLOGICALLY SOUND, ECONOMICALLY VIABLE AND SOCIALLY RESPONSIBLE IN THE WAY WE PURCHASE FOOD AND SUPPLIES. * RECOGNIZED TWENTY FIVE STAFF MEMBERS WITH ENVIRONMENTAL STEWARDSHIP AWARDS FOR DEMONSTRATING OUTSTANDING EFFORTS TO CARE FOR THE EARTH AND RESOURCE CONSERVATION * CONTRIBUTED TO OPENLANDS, ONE OF THE OLDEST METROPOLITAN CONSERVATION ORGANIZATIONS IN THE NATION AND THE ONLY SUCH GROUP WITH A REGIONAL SCOPE IN THE GREATER CHICAGO REGION * ANNOUNCED A NEW FURNITURE AND INTERIORS PURCHASING STANDARD THAT SPECIFIES ALL PRODUCTS TO BE FREE OF PERFLUORINATED COMPOUNDS, PVC (VINYL), DEHP, FORMALDEHYDE, AND HALOGENATED FLAME RETARDANTS (WHERE CODE PERMISSIBLE). * CONTINUED TO ENGAGE STAFF TO CONSERVE RESOURCES IN THEIR WORK ENVIRONMENTS THROUGH THE SUSTAINABLE WORK SPACE CERTIFICATION PROGRAM AT ALL ADVOCATE SITES. THE PROGRAM, LED BY DEPARTMENTAL GREEN ADVOCATES, REWARDS PATIENT CARE UNITS AND SUPPORT SERVICE WORK AREAS FOR ACTIVELY PARTICIPATING IN WASTE MINIMIZATION AND ENERGY REDUCTION THROUGH RECYCLING, PRINT MANAGEMENT AND ENERGY REDUCTION BEST PRACTICES. * 20 PERCENT REDUCTION SYSTEM-WIDE IN OFFICE PAPER USAGE SINCE 2008 2. HOSPITAL-BASED ENVIRONMENTAL IMPROVEMENTS ADVOCATE CHRIST MEDICAL CENTER * CONTINUED A PARTNERSHIP WITH GROWING POWER, A LOCAL COMMUNITY SUPPORTED AGRICULTURE ORGANIZATION, TO PROVIDE ADVOCATE CMC ASSOCIATES THE OPPORTUNITY TO PURCHASE FRESH FRUITS AND VEGETABLES DELIVERED TO THEIR WORK SITE * DISCOURAGE BOTTLED WATER USE BY PROMOTING FREE WATER AVAILABLE AT CAFETERIA SODA FOUNTAINS * PLANNING AND DESIGN FOR TWO MAJOR CONSTRUCTION PROJECTS - AN OUTPATIENT PAVILION AND A NEW PATIENT BED TOWER. THE OUTPATIENT PAVILION WAS AWARDED LEED GOLD CERTIFICATION BY THE US GREEN BUILDING COUNCIL. * RECYCLED OVER 80 PERCENT OF MAJOR CONSTRUCTION AND DEMOLITION DEBRIS * RECYCLED 20 PERCENT OF TOTAL SOLID WASTE * REDUCED HOSPITAL ENERGY CONSUMPTION BY 7.7 PERCENT IN TWELVE MONTHS ENDING 12/31/14 * LED THE SYSTEM WITH HIGHEST LEVEL OF SAVINGS - OVER $800,000 - FROM UTILIZATION OF MEDICAL DEVICE REPROCESSING ADVOCATE LUTHERAN GENERAL HOSPITAL * ACHIEVED A 21 PERCENT RECYCLING RATE OVERALL FOR PAPER, PLASTIC, GLASS AND ALUMINUM CANS * REDUCED HOSPITAL ENERGY CONSUMPTION BY 2 PERCENT IN TWELVE MONTHS ENDING 12/31/14 ADVOCATE GOOD SAMARITAN HOSPITAL * ONGOING PARTNERSHIP WITH DOWNERS GROVE HIGH SCHOOL FACULTY, KICKED OFF PLANNING AND DESIGN FOR A WETLANDS PROJECT ON THE HOSPITAL CAMPUS TO MITIGATE STORM WATER RUNOFF; THE HIGH SCHOOL PARTNERSHIP FEATURES EDUCATIONAL OPPORTUNITIES FOR STUDENT LEARNING INCLUDING WASTER TESTING TO DETECT CHEMICALS IN WATER RUNOFF IS PLANNED. * ACHIEVED A 37 PERCENT RECYCLING RATE OVERALL FOR PAPER, PLASTIC, GLASS AND ALUMINUM CANS * REDUCED HOSPITAL
ADVOCATE EUREKA HOSPITAL * REDUCED HOSPITAL ENERGY CONSUMPTION BY 5.2 PERCENT IN TWELVE MONTHS ENDING 12/31/14 * RECYCLED PRINTER CARTRIDGES AND CELL PHONES WITH PROCEEDS BENEFITTING THE SPECIAL OLYMPICS ADVOCATE SUPPORT CENTERS * HELD A SHREDDING EVENT FOR ASSOCIATES * MANAGED A 'RECYCLING CLOSET', WITH REGULAR CONTRIBUTIONS MADE TO LIONS CLUBS (EYE GLASSES AND CELL PHONES) AND BATTERIES FOR RECYCLING TO A LOCAL VENDOR * REDUCED WASTE BY COLLECTING USED WRITING INSTRUMENTS TO BE UP-CYCLED INTO NEW PRODUCTS * REDUCED PAPER AND ENERGY USAGE BY REDUCING THE NUMBER OF PRINTER DEVICES AND CONVERTING TO A 'PULL PRINT' PROCESS FOR PRINTING ADVOCATE MEDICAL GROUP * INTEGRATED A SUSTAINABILITY PLAN FOR DESIGN AND CONSTRUCTION AND OPERATIONS INTO A LONG TERM MASTER PLAN FOR ALL ADVOCATE AMBULATORY FACILITIES ADVOCATE DREYER SURGICAL CENTER * CONTINUED THEIR PARTNERSHIP WITH ASSOCIATION FOR INDIVIDUAL DEVELOPMENT (AID) TO PICK UP AND SORT RECYCLABLE MATERIALS AND SORT OFF SITE FOR RECYCLING. AID'S MISSION IS TO EMPOWER INDIVIDUALS WITH DISABILITIES, MENTAL ILLNESS AND SPECIAL NEEDS TO ACHIEVE INDEPENDENCE AND COMMUNITY INCLUSION. ADVOCATE CLINICAL LABORATORIES * RECYCLED, REUSED OR RECAPTURED ALL REAGENTS USED IN THE LABORATORY * RECEIVED CERTIFICATION FROM A THIRD PARTY THAT ALL LABORATORY WASTE DISPOSAL PROCESSES MEET REQUIREMENTS FOR SAFETY AND REGULATORY COMPLIANCE 6. AFFILIATED HEALTH CARE SYSTEM AS AN EXTENSION OF ITS MISSION, ADVOCATE HEALTH CARE SUPPORTS SYSTEM-WIDE PROGRAMS THAT MEET THE NEEDS OF BOTH ITS PATIENTS AS WELL AS THE COMMUNITIES SERVED. ADVOCATE HEALTH CARE'S BOARD OF DIRECTORS, SENIOR LEADERSHIP AND ASSOCIATES (EMPLOYEES) ARE COMMITTED TO POSITIVELY AFFECTING THE HEALTH STATUS AND QUALITY OF LIFE OF INDIVIDUALS AND POPULATIONS IN COMMUNITIES SERVED BY ADVOCATE THROUGH PROGRAMS AND PRACTICES THAT REFLECT ADVOCATE'S WHOLISTIC PHILOSOPHY. TO THAT END, THEY CONTINUE TO UNDERTAKE AND SUPPORT INITIATIVES THAT ENHANCE ACCESS TO HEALTH AND WELLNESS SERVICES WITHIN THE DIVERSE COMMUNITIES THAT ADVOCATE SERVES. SYSTEM LEADERSHIP IS BOTH DESIGNED TO DIRECT AND SUPPORT THE HOSPITALS IN THEIR EFFORTS TO ADDRESS IDENTIFIED COMMUNITY NEEDS. IN 2010, A MULTI-DISCIPLINARY TEAM OF INDIVIDUALS AT THE SYSTEM LEVEL HAVING OVERSIGHT RESPONSIBILITY FOR COMMUNITY BENEFITS REPORTING AND THE CHNA PROCESS WAS CONVENED TO LEAD THE HOSPITALS THROUGH THE CHNA PROCESS TO MEET STATE AND FEDERAL REGULATORY REQUIREMENTS. THIS TEAM, CALLED THE COMMUNITY HEALTH STEERING COMMITTEE, MET FREQUENTLY TO ASSURE THAT: THE HOSPITAL COMMUNITY HEALTH LEADERS ARE EDUCATED REGARDING HOW TO CONDUCT A CHNA; SITE COMMUNITY HEALTH COUNCILS ARE DEVELOPED AND MAINTAINED; THOSE CONDUCTING THE CHNA PROCESS PULL DATA FROM RELIABLE SOURCES; SOUND ASSUMPTIONS ARE MADE BASED ON THAT DATA; INTERNAL ADVOCATE AND COMMUNITY RESOURCES ARE MAPPED TO DETERMINE STRENGTHS AND WEAKNESSES; ACHIEVABLE NEEDS ARE SELECTED AS PRIORITIES; AND PLANNED INITIATIVES ARE GROUNDED IN EVIDENCE-BASED PROGRAMS THAT WILL YIELD RELIABLE OUTCOMES TO DETERMINE IMPACT. TO FOCUS THESE EFFORTS THROUGHOUT ADVOCATE HEALTH CARE, THE COMMUNITY BENEFITS PLAN WAS WRITTEN. THE PLAN'S BROAD GOALS AND OBJECTIVES WERE DESIGNED TO STRUCTURE SYSTEM-WIDE COMMUNITY BENEFITS ACTIVITIES WITHIN A STRATEGIC FRAMEWORK. INCLUDED IN THE COMMUNITY BENEFITS PLAN ARE NOT ONLY PLANNED GOALS AND OBJECTIVES FOCUSED ON ADDRESSING NEEDS AS IDENTIFIED THROUGH THE HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS, BUT ALSO OTHER SYSTEM-WIDE EFFORTS TO ADDRESS THE BROADER ISSUES OF DISPARITY AND ACCESS SUCH AS PROVIDING CHARITY CARE TO THE UNDER AND UNINSURED. ADVOCATE'S COMMUNITY BENEFITS PLAN WAS DEVELOPED TO ESTABLISH STRATEGIES FOR IMPROVING ACCESS TO CARE AND POSITIVELY AFFECTING THE HEALTH OF THE COMMUNITIES THAT ADVOCATE SERVES. THE PLAN SETS THE COURSE FOR STRENGTHENING EXISTING PARTNERSHIPS AND BUILDING NEW ONES WITH INDIVIDUALS AND ORGANIZATIONS WITHIN ADVOCATE'S SERVICE AREAS IN ORDER TO LEVERAGE AND MAXIMIZE THE IMPACT OF ITS PROGRAMS. ADVOCATE'S COMMUNITY BENEFITS PLAN GOALS ARE AS FOLLOWS: GOAL 1: OPTIMIZE ADVOCATE'S ABILITY TO LEVERAGE ITS COMMUNITY HEALTH RESOURCES AND CONTINUE PROGRAMS THAT BENEFIT THE COMMUNITY BY PROSPECTIVELY ALIGNING SYSTEM AND SITE PLANS AND ACTIVITIES. IN ORDER TO ASSURE ALIGNMENT BETWEEN SITE AND SYSTEM GOALS, QUALITY AND CONSISTENCY AMONGST THE HOSPITALS' CHNAS AND TO LEVERAGE THE HOSPITALS' STAFF TIME AND CHNA EFFORTS, THE SYSTEM LEVEL COMMUNITY HEALTH STEERING COMMITTEE PROVIDED A STANDARDIZED CHNA PROCESS, TOOLS, EDUCATION AND STRUCTURE. SPECIFIC EXAMPLES OF THE SUPPORT PROVIDED BY THE STEERING COMMITTEE TO ENABLE THE HOSPITALS TO REALIZE THEIR COMMUNITY HEALTH GOALS AND OBJECTIVES ARE AS FOLLOWS: * A STANDARDIZED CHNA PROCESS THAT INCLUDED DEVELOPMENT OF A COMMUNITY HEALTH COUNCIL AT EACH HOSPITAL WITH BOTH HOSPITAL AND COMMUNITY REPRESENTATION. THE COUNCILS WERE CHARGED WITH MANAGING THEIR SITE'S ASSESSMENT, EXAMINING DATA, SITE AND COMMUNITY RESOURCES, SELECTING KEY PRIORITIES TO ADDRESS AND DEVELOPING A COMMUNITY HEALTH PLAN. * PURCHASE OF AND INSTRUCTION ON HOW TO USE SURVEY RESULTS AND THE ASSESSMENT TOOL DEVELOPED BY PROFESSIONAL RESEARCH CONSULTANTS. * LED A SERIES OF WORKSHOPS OVER THREE YEARS WITH INTERNAL AND EXTERNAL SPEAKERS PROFICIENT IN CHNAS, IDENTIFYING RELIABLE DATA SOURCES, PRIORITY SETTING, AND SELECTING EVIDENCE-BASED INTERVENTIONS. * SET THE COMMUNITY HEALTH LEADERSHIP COUNCIL'S AGENDAS, A COUNCIL COMPRISED OF COMMUNITY HEALTH STAKEHOLDERS FROM ACROSS ADVOCATE, TO FOCUS ON CHNA OBJECTIVES. * MANAGED HOSPITAL PROGRESS AGAINST SYSTEM ANNUAL TIMELINES TO ACHIEVE THE THREE-YEAR VISION, REQUIRING ANNUAL CHNA PROGRESS REPORTS AND THEIR REVIEW AND ENDORSEMENT BY THE HOSPITAL GOVERNING COUNCILS EACH YEAR. * PROVIDED ONGOING CONSULTATION ON AN AS NEED BASIS THROUGHOUT THE PROCESS. * ENGAGED AND FUNDED AN OUTSIDE CHNA CONSULTANT TO MEET ONE-ON-ONE WITH THE SITE COMMUNITY HEALTH LEADERS AND REVIEW CHNA PROGRESS AND PROVIDE GUIDANCE IN AREAS OF DIFFICULTY OR UNCERTAINTY. * PROVIDED AN OVERVIEW OF THE CHNA RESULTS AND PLANNED INTERVENTIONS TO THE MISSION & SPIRITUAL COMMITTEE OF THE ADVOCATE HEALTH CARE BOARD OF DIRECTORS TO SECURE THE COMMITTEE'S ENDORSEMENT. * A STANDARDIZED FORMAT FOR HOSPITALS TO USE IN DRAFTING THEIR CHNAS AND IMPLEMENTATION PLANS, WHICH SYSTEM LEADERS THEN REVIEWED AND EDITED FOR CONSISTENCY, ACCURACY AND QUALITY OF CONTENT. * WORKED WITH SYSTEM LEVEL MEDIA CENTER AND WEB TEAM TO DEVELOP PLACEMENT AND POSTING OF CHNA REPORTS & IMPLEMENTATION PLANS TO MEET PPACA/IRS REGULATORY REPORTING REQUIREMENTS. * IN PREPARATION FOR THE NEXT CHNA CYCLE, ADVOCATE PURCHASED THE HEALTHY COMMUNITIES INSTITUTE'S CHNA TOOL IN LATE 2013 AND PAID THE ANNUAL FEE FOR ONGOING SUPPORT FOR TRAINING AND THE ADDITION OF 2013 AND 2014 UPDATES AT THE SYSTEM LEVEL. FOR 2015, THE TOOL IS EXPECTED TO ALSO SUPPORT THE WORK OF THE COUNTY CHNA COLLABORATIVES. WITH SUPPORT FROM THE SYSTEM LEVEL, ALL ADVOCATE'S HOSPITALS ARE PARTICIPATING IN THESE COLLABORATIVE ASSESSMENTS WITH OTHER ADVOCATE AND NON-ADVOCATE HOSPITALS AND THEIR COUNTY AND LOCAL PUBLIC HEALTH DEPARTMENTS. THESE COLLABORATIVES REMOVE DUPLICATION OF STAFF TIME AND EFFORT WHILE FORGING AND STRENGTHENING RELATIONSHIPS AMONG PARTICIPATING ORGANIZATIONS, LEVERAGING THEIR ABILITY TO POSITIVELY IMPACT KEY NEEDS AS IDENTIFIED THROUGH THE ASSESSMENT PROCESS. THROUGH ADVOCATE'S HOSPITAL-BASED SERVICES, AS WELL AS ITS PARTICIPATION IN PROVIDING PROGRAMS AND SERVICES IN THE COMMUNITY, ADVOCATE PROMOTES A SHARED APPROACH TO COMMUNITY BENEFITS. IN ADDITION TO HOSPITAL/COMMUNITY SPECIFIC PROGRAMS, THERE ARE ALSO PROGRAMS ADDRESSING NEEDS OF BROAD GEOGRAPHIC PORTIONS OF ADVOCATE'S SERVICE AREA WHICH ARE MANAGED AND FUNDED AT THE SYSTEM LEVEL. THESE PROGRAMS INCLUDE THE FOLLOWING: ADVOCATE'S HEALTHY STEPS PROGRAM SPECIALISTS TOUCHED THE LIVES OF 6,248 YOUNG CHILDREN IN 2014 THROUGH CHILDHOOD PROGRAMS WITHIN PEDIATRIC/FAMILY PRACTICE RESIDENCIES AT ADVOCATE ILLINOIS MASONIC MEDICAL CENTER, AND THE ADVOCATE CHILDREN'S HOSPITAL OAK LAWN AND PARK RIDGE CAMPUSES. THIS SYSTEM-WIDE PROGRAM USES A NATIONAL MODEL TO ENGAGE PARENTS AS PARTNERS WITH PHYSICIANS IN THEIR CHILDREN'S HEALTH. HEALTHY STEPS SPECIALISTS HELP BRIDGE THE TWO GROUPS BY PREPARING PARENTS TO TAKE AN ACTIVE ROLE IN, AND PHYSICIANS TO ASSESS AND MEET MORE EFFECTIVELY, A RANGE OF CHILD DEVELOPMENT NEEDS. IN 2014, 9,981 DEVELOPMENTAL SCREENINGS WERE PROVIDED AND 411 FAMILIES WERE REFERRED TO COMMUNITY SERVICES FOR FOLLOW UP. IN ADDITION, HEALTHY STEPS HAS TRAINED AND PROVIDED TECHNICAL ASSISTANCE TO PRIMARY CARE PROVIDERS ACROSS THE STATE TO IMPROVE PREVENTIVE PRACTICES IN THEIR SITE AROUND TOPICS SUCH AS USE OF VALIDATED TOOLS FOR DEVELOPMENTAL AND SOCIAL EMOTIONAL CONCERNS, AS WELL AS FAMILY RISK FACTOR SCREENINGS (SUCH AS POSTPARTUM DEPRESSION, DOMESTIC VIOLENCE, TRAUMA, AND PSYCHOSOCIAL ISSUES). PRIMARY CARE PROVIDERS AND THEIR STAFF ARE TAUGHT HOW TO WORK CLOSELY WITH LOCAL COMMUNITY RESOURCES FOR REFERRAL AND FO
GOAL 2: UNDERTAKE OR SUPPORT INITIATIVES THAT ENHANCE ACCESS TO HEALTH AND WELLNESS SERVICES WITHIN THE DIVERSE COMMUNITIES ADVOCATE SERVES. AS A NON-PROFIT HEALTH CARE SYSTEM, ADVOCATE PROVIDES CHARITY AND FINANCIAL ASSISTANCE TO PATIENTS IN NEED. WHILE EACH HOSPITAL HAS A CHARITY CARE COUNCIL TO REVIEW APPLICATIONS AND DETERMINE ELIGIBILITY, SYSTEM FINANCE LEADERS ARE RESPONSIBLE FOR ONGOING POLICY REVIEW AND REFINEMENTS TO ASSURE ADVOCATE CONTINUES TO PROVIDE FINANCIAL ASSISTANCE TO INDIVIDUALS WHO NEED HELP WHEN THEY NEED IT. IN ADDITION, ADVOCATE'S SYSTEM LEADERS ENCOURAGE AND SUPPORT ITS HOSPITALS' INITIATIVES TO PARTNER WITH FEDERALLY QUALIFIED HEALTH CENTERS (FQHC), PUBLIC HEALTH DEPARTMENTS AND COMMUNITY CLINICS IN ORDER TO ASSIST THE UNINSURED IN FINDING INSURANCE COVERAGE AND MEDICAL SERVICES. FOR EXAMPLE, ADVOCATE SOUTH SUBURBAN HOSPITAL HAS A PARTNERSHIP WITH AUNT MARTHA'S YOUTH SERVICE CENTER, AN FQHC, TO IMPROVE ACCESS TO PRIMARY CARE SERVICES FOR UNINSURED AND UNDERINSURED INDIVIDUALS IN ITS SERVICE AREA. ADVOCATE BROMENN MEDICAL CENTER MAINTAINS A COMMUNITY HEALTH CLINIC IN COLLABORATION WITH OSF ST. JOSEPH'S HOSPITAL, WHEREBY ADVOCATE BROMENN MEDICAL CENTER IS RESPONSIBLE FOR A PORTION OF THE HOSPITAL CARE FOR THE CLINIC'S PATIENTS THROUGHOUT THE YEAR. BROMENN IS ALSO THE SOLE PROVIDER OF THE CLINIC'S INFORMATION TECHNOLOGY (IT) SUPPORT AND THE SPACE OCCUPIED BY THE CLINIC. WORKING WITH OTHER AREA HOSPITALS, ADVOCATE GOOD SAMARITAN HOSPITAL PROVIDES SUPPORT THROUGH THE DUPAGE HEALTH COALITION TO SUSTAIN THE ACCESS DUPAGE COMMUNITY PROGRAM - A COMMUNITY COLLABORATION DESIGNED TO PROVIDE LOW-COST PRIMARY MEDICAL CARE SERVICES TO THE LOW-INCOME, MEDICALLY UNINSURED RESIDENTS OF DUPAGE COUNTY. GOAL 3: POSITIVELY AFFECT THE HEALTH STATUS AND QUALITY OF LIFE OF INDIVIDUALS AND POPULATIONS IN COMMUNITIES SERVED BY ADVOCATE THROUGH PROGRAMS AND PRACTICES THAT REFLECT ADVOCATE'S WHOLISTIC PHILOSOPHY. ADVOCATE HAS SEVERAL PROGRAMS AND PRACTICES MANAGED AND FUNDED AT THE SYSTEM LEVEL THAT REFLECT ADVOCATE'S WHOLISTIC PHILOSOPHY. THE OFFICE OF MISSION AND SPIRITUAL CARE, FOR EXAMPLE, HAS PROGRAMS THAT POSITIVELY AFFECT THE HEALTH STATUS AND QUALITY OF LIFE OF INDIVIDUALS, AND THAT ADDRESS DISPARITIES IN ACCESS TO HEALTH AND WELLNESS SERVICES IN THE COMMUNITY. THE CENTER FOR FAITH COMMUNITY HEALTH TRANSFORMATION, FOR EXAMPLE, FORMED FROM THE WORK OF ADVOCATE'S CONGREGATIONAL HEALTH PARTNERSHIPS (CHP) AND THE NEIGHBORHOODS INITIATIVE OF THE UNIVERSITY OF ILLINOIS AT CHICAGO, WAS SELECTED AS A CONTRACTOR FOR THE PARTNERSHIPS TO IMPROVE COMMUNITY HEALTH (PICH) INITIATIVE UNDER THE COOK COUNTY DEPARTMENT OF PUBLIC HEALTH. PICH IS A CDC FUNDED EFFORT TO INCREASE OPPORTUNITIES FOR HEALTHY EATING, PHYSICAL ACTIVITY AND SMOKE-FREE ENVIRONMENTS IN VULNERABLE POPULATIONS IN SUBURBAN COOK COUNTY THROUGH POLICY, SYSTEMS AND ENVIRONMENTAL CHANGE STRATEGIES. THE CENTER IS WORKING WITH FAITH-BASED NETWORKS IN THREE HIGH-RISK PRIORITY COMMUNITY AREAS TO PROVIDE LEADERSHIP IN CREATING A CULTURE OF HEALTH FOR CONGREGATIONAL MEMBERS AND FOR THE COMMUNITIES THEY SERVE. OF PARTICULAR INTEREST IS A PARTNERSHIP WITH THE FOREST PRESERVE OF COOK COUNTY (FPCC) TO CONNECT FAITH COMMUNITIES WITH FPCC RESOURCES THAT WILL ALLOW THEIR MEMBERS, ESPECIALLY CHILDREN AND YOUTH, TO BE PHYSICALLY ACTIVE IN NATURE. ADVOCATE PARISH NURSE MINISTRY - AS PART OF ADVOCATE'S MISSION AND SPIRITUAL CARE DEPARTMENT, PARISH NURSE MINISTY REALIZES THE VISION OF WHOLISTIC HEALING AND WELLNESS BY PARTNERING WITH DIVERSE FAITH COMMUNITIES IN AN EFFORT TO EMBRACE THE INTEGRATION OF FAITH AND HEALTH. THE PURPOSE OF ADVOCATE PARISH NURSE MINISTRY IS TO NURTURE THE HUMAN SPIRIT THROUGH HEALTH EDUCATION, SPIRITUAL SUPPORT, AND TO LINK THE NEEDS OF THE WHOLE PERSON TO RESOURCES WITHIN THE CONGREGATION, COMMUNITY, AND THE HEALTH CARE SYSTEM. AS PART OF ADVOCATE HEALTH CARE'S CONTINUUM OF CARE, THE PARISH NURSE MINISTRY IS WORKING IN OVER 30 DIVERSE CONGREGATIONS. THESE FAITH COMMUNITIES ARE WIDELY SCATTERED THROUGHOUT THE CHICAGOLAND AREA FROM ROSELAND AND CHICAGO UPTOWN NEIGHBORHOODS TO THE SUBURBAN SETTINGS OF ARLINGTON HEIGHTS AND NAPERVILLE. ADVOCATE PARISH NURSE MINISTRY CONTINUES TO SEEK HEALTH MINISTRY PARTNERSHIPS. BOTH PARTNERS, THE HEALTH CARE INSTITUTION AND THE CONGREGATION MUST ESPOUSE THE BELIEF THAT PHYSICAL, EMOTIONAL, INTELLECTUAL, AND SOCIAL WELL-BEING ARE VERY MUCH DEPENDENT ON A HEALTHY SPIRITUAL CORE OF BEING. ADVOCATE CONGREGATIONAL HEALTH PARTNERSHIPS (CHP) - CHP BUILDS ON THE LEGACY OF THOSE WHO HAVE GONE BEFORE BY WORKING WITH FAITH COMMUNITIES TO PROMOTE HEALTH AND WHOLENESS FOR THEIR MEMBERS AND COMMUNITIES. THE PROGRAMS AND SERVICES THAT CHP OFFERS INCLUDE: * BASIC AND ADVANCED TRAINING IN HEALTH MINISTRY DEVELOPMENT * CONSULTATION AROUND THE DEVELOPMENT OF CONGREGATIONAL HEALTH PROGRAMS * PRACTICAL TOOLS AND MATERIALS * BULLETIN INSERTS * RESOURCE LIBRARY * NEWSLETTER * CONGREGATIONAL HEALTH ASSESSMENT PROGRAM * MANUAL * PROGRAM COMPONENTS * THE CENTER FOR FAITH AND COMMUNITY HEALTH TRANSFORMATION (THE CENTER) IS THE JOINT WORK OF ADVOCATE'S CHP AND THE NEIGHBORHOODS INITIATIVE OF THE UNIVERSITY OF ILLINOIS AT CHICAGO. THE CENTER FORMED IN 2009 OUT OF A GROWING CONCERN IN CHICAGO'S FAITH AND HEALTH MOVEMENT ABOUT THE WAYS IN WHICH SOCIAL CONDITIONS-POVERTY, RACISM, UNEMPLOYMENT, LACK OF ACCESS TO CARE-IMPACT PEOPLE'S HEALTH. THE CENTER WAS CREATED TO MOBILIZE FAITH COMMUNITIES TO CHANGE THE SOCIAL CONDITIONS THAT AFFECT PEOPLE'S HEALTH. THE CENTER ALSO HOSTS A WEBSITE THAT SERVES AS A GATHERING PLACE FOR THE FAITH AND HEALTH MOVEMENT TO SHARE INFORMATION, POST EVENTS, SHARE INTERESTING PROJECTS, RESOURCES AND IDEAS, AND KEEP IN TOUCH WITH WHAT OTHERS ARE DOING. GO TO WWW.CHICAGOFAITHANDHEALTH.ORG FOR MORE INFORMATION. ADVOCATE ALSO PROVIDES A SYSTEM-WIDE TELEPHONE REFERRAL AND RESOURCE INFORMATION CENTER TO ASSIST PATIENTS AND COMMUNITY MEMBERS IN FINDING HEALTHCARE PROVIDERS AND OTHER HEALTH AND WELLNESS RESOURCES. THE CENTER'S STAFF SERVES AS A COMMUNITY RESOURCE, PROVIDING INDIVIDUALS FROM THE COMMUNITY WITH REFERRALS TO GOVERNMENT-FUNDED AND COMMUNITY-BASED NON-ADVOCATE PROGRAMS AND SERVICES, AS WELL AS ADVOCATE HEALTH CARE PHYSICIANS AND SERVICES. IN 2014, THE CENTER HANDLED 19,656 CALLS FROM THE COMMUNITY THAT WERE REDIRECTED TO NON-ADVOCATE COMMUNITY RESOURCES TO ASSIST THEM IN GETTING THE HELP THEY NEED.
GOAL 4: LEVERAGE RESOURCES AND MAXIMIZE COMMUNITY OUTREACH EFFORTS BY BUILDING AND STRENGTHENING COMMUNITY PARTNERSHIPS. ADVOCATE'S SYSTEM LEVEL LEADERS MAINTAIN AND CONTINUE TO ACTIVELY EXPAND SYSTEM PARTNERSHIPS AND RELATIONSHIPS WITH A WIDE VARIETY OF ORGANIZATIONS, INCLUDING RELIGIOUS ORGANIZATIONS, NEIGHBORHOOD GROUPS AND OUTREACH AND RESOURCE PROGRAMS. THESE RELATIONSHIPS SERVE TO LEVERAGE BOTH ADVOCATE'S AND ITS COMMUNITIES' RESOURCES TO MAXIMIZE COMMUNITY OUTREACH EFFORTS. ADVOCATE BUILDS ON RELATIONSHIPS THAT ASSOCIATES AND AFFILIATED PHYSICIANS HAVE WITH COMMUNITY HEALTH PARTNERS, AND TO EMPOWER THE DEVELOPMENT OF SUCH PARTNERSHIPS. AN EXAMPLE OF THIS IS ADVOCATE MEDICAL GROUP'S (ADVOCATE-EMPLOYED PHYSICIANS) ANNUAL COLLABORATION WITH SPECIAL OLYMPICS OF ILLINOIS. THIS EVENT, MEDFEST, PROVIDES PEOPLE WITH INTELLECTUAL DISABILITIES OPPORTUNITIES TO PARTICIPATE IN SPORTS TRAINING AND COMPETITIONS, CREATING AVENUES FOR INCLUSION AND ACCEPTANCE FOR THIS SPECIAL NEEDS UNDERSERVED POPULATION. IN ADDITION TO PROVIDING EASY ACCESS TO PHYSICALS FOR ATHLETES, THE FREE CLINICAL SERVICES RESULT IN ENHANCED PHYSICAL FITNESS AND COMFORT WITH THE MEDICAL COMMUNITY. AMG PROVIDED 1,651 FREE ATHLETIC PHYSICALS TO SPECIAL OLYMPIANS FOR THE 17TH YEAR IN 2014, THUS ALLOWING THESE SPECIAL ATHLETES OPPORTUNITIES TO PARTICIPATE IN COMPETITIONS THROUGHOUT THE YEAR. SYSTEM LEVEL MANAGEMENT ALSO OVERSEES ASSOCIATE AND PHYSICIAN FUNDRAISING AND VOLUNTEER ACTIVITIES RELATED TO COMMUNITY ORGANIZATIONS AND PARTNERSHIPS. LAST YEAR ADVOCATE PROMOTED AND SUPPORTED ASSOCIATE, PHYSICIAN AND HOSPITAL PARTICIPATION IN WALKS, RUNS AND BICYCLE RACES FOR THE AMERICAN HEART ASSOCIATION, AMERICAN CANCER SOCIETY, AMERICAN DIABETES ASSOCIATION, ALZHEIMER'S ASSOCIATION AND MARCH OF DIMES. IN 2014, $536,283 IN CHARITABLE CONTRIBUTIONS WAS RAISED TO SUPPORT THESE PARTNER ORGANIZATIONS. ADVOCATE ASSOCIATES' SUPPORT IS ALSO DEMONSTRATED THROUGH THEIR OWN, PERSONAL AND GENEROUS CONTRIBUTIONS DURING THE ASSOCIATE GIVING CAMPAIGN WHICH RESULTED IN OVER $2.3 MILLION BEING RAISED TO SUPPORT MULTIPLE LOCAL COMMUNITY ORGANIZATIONS, PROGRAMS AND INITIATIVES, INCLUDING SOME OF ADVOCATE'S OWN SYSTEM-WIDE AND HOSPITAL-BASED COMMUNITY HEALTH PROGRAMS. SYSTEM MANAGEMENT OF FUNDRAISING ACTIVITIES REDUCES DUPLICATION OF EFFORT AND ASSURES THAT FUNDRAISING IS CONDUCTED WITH ORGANIZATIONS THAT ALIGN WITH ADVOCATE'S MISSION AND ARE EFFECTIVE IN ADDRESSING ADVOCATE'S SERVICE AREA'S COMMUNITY HEALTH NEEDS. THE ADVOCATE CHARITABLE FOUNDATION (ACF) WORKS TO FIND INNOVATIVE WAYS TO FUND NOT ONLY CLINICAL ADVANCEMENTS BUT COMMUNITY PROGRAMS THAT ADDRESS IDENTIFIED COMMUNITY NEEDS. ONE EXAMPLE OF THIS IS ACF'S ADMINISTRATION OF THE ADVOCATE BETHANY COMMUNITY HEALTH FUND. IN 2006, ADVOCATE HEALTH CARE ESTABLISHED THE BETHANY FUND AS PART OF ADVOCATE'S ONGOING COMMITMENT TO SUPPORT LOCAL NONPROFIT ORGANIZATIONS AS THEY BUILD, PROMOTE AND SUSTAIN HEALTHY COMMUNITIES ON CHICAGO'S WEST SIDE. THE ADVOCATE BETHANY COMMUNITY HEALTH FUND BOARD, WHICH IS COMPRISED OF EIGHT COMMUNITY MEMBERS FROM THE TARGETED COMMUNITY AREAS AND SEVEN REPRESENTATIVES FROM ADVOCATE HEALTH CARE, AWARDED MORE THAN $715,000 IN GRANTS AND CAPACITY-BUILDING SERVICES TO 32 ORGANIZATIONS ACROSS ITS FUND COMMUNITIES IN 2014. SINCE THE BOARD'S INSTALLATION IN 2007, THE BETHANY COMMUNITY HEALTH FUND HAS AWARDED NEARLY $6 MILLION IN PROGRAM DOLLARS AND SERVICES TO ORGANIZATIONS THAT PROMOTE HEALTH AND WELLNESS WITH A FOCUS ON ADDRESSING HEALTH DISPARITIES FOR RESIDENTS OF CHICAGO'S WEST SIDE. ADVOCATE HEALTH CARE HAS ALSO BEEN A KEY PARTNER IN THE NATIONAL COLLABORATIVE, THE HEALTH SYSTEMS LEARNING GROUP (HSLG), NOW KNOWN AS THE STAKEHOLDER HEALTH GROUP. THIS GROUP IS A SELF-ORGANIZED COLLABORATIVE OF 43 ORGANIZATIONS (INCLUDING 36 NON-PROFIT HEALTH SYSTEMS) THAT HAVE ENGAGED IN A SERIES OF MEETINGS ACROSS THE COUNTRY OVER THE PAST FOUR YEARS. INSPIRED BY THE PASSAGE OF THE PATIENT PROTECTION AND AFFORDABLE CARE ACT, AND MOTIVATED BY THE RECOGNITION OF THE NEED TO TRANSFORM OUR ORGANIZATIONS AND OUR COMMUNITIES, THE GROUP MADE A COMMITMENT TO ACCELERATE THIS TRANSFORMATIONAL PROCESS THROUGH ONGOING SHARING OF INNOVATIVE PRACTICES THAT IMPROVE POPULATION HEALTH AND THE DEVELOPMENT OF COORDINATED STRATEGIES THAT TAKE INNOVATION TO SCALE. THE HEALTH SYSTEMS LEARNING GROUP ASPIRES TO IDENTIFY AND ACTIVATE A MENU OF PROVEN COMMUNITY HEALTH PRACTICES AND PARTNERSHIPS THAT WORK FROM THE TOP OF THE MISSION STATEMENT TO THE BOTTOM LINE. THE CREATION OF THIS LEARNING COLLABORATIVE WAS SPARKED BY A SERIES OF STAKEHOLDER MEETINGS AT THE WHITE HOUSE OFFICE AND DEPARTMENT OF HEALTH & HUMAN SERVICES CENTER FOR FAITH-BASED & NEIGHBORHOOD PARTNERSHIPS. THE HSLG PARTNERS HAVE CONTRIBUTED SUBSTANTIAL FINANCIAL AND IN-KIND RESOURCES TO SUPPORT THE 2 YEAR DEVELOPMENTAL PHASE. IN ADDITION, A GENEROUS GRANT WAS PROVIDED BY THE ROBERT WOOD JOHNSON FOUNDATION TO SUPPORT THE DISSEMINATION OF FINDINGS AND LESSONS LEARNED DURING THIS PERIOD. THE FIRST PHASE OF DEVELOPMENT FOR THE HSLG CULMINATED WITH A CONVENING ON APRIL 4, 2013, CO-HOSTED WITH THE WHITE HOUSE AND HHS CENTER FOR FAITH-BASED AND NEIGHBORHOOD PARTNERSHIPS, ALONG WITH THE CHIEF EXECUTIVE OFFICERS FROM MANY OF THE HEALTH SYSTEM PARTNERS. THE PURPOSE WAS TO REVIEW FINDINGS FROM THE PAST 18 MONTHS OF INQUIRY AND DIALOGUE AND TO CONSIDER A CALL TO ACTION ON A SPECIFIC SET OF RECOMMENDATIONS. SEE THE FOLLOWING LINK FOR THE MONOGRAPH PRESENTED AT THE MEETING. HTTP://WWW.METHODISTHEALTH.ORG/DOTASSET/9E6F77D8-DF4B-4545-B2F3-BC77B106F9 69.PDF ADVOCATE CONTINUED TO PARTICIPATE IN STAKEHOLDER HEALTH MEETINGS AND LEADERSHIP IN 2014. THIS INCLUDED A MONETARY CONTRIBUTION TO SUPPORT THE SHARED ADMINISTRATIVE AND WEBSITE COSTS OF THE COLLABORATIVE. IN THE FALL OF 2015, ADVOCATE WILL HOST THE GROUP IN CHICAGO FOR A THREE-DAY MEETING. GOAL 5: PROMOTE INTEGRATION OF AND ACCOUNTABILITY FOR SYSTEM AND SITE PLANS AND ACTIVITIES BY ENHANCING COORDINATION AND DEVELOPING GOVERNANCE RELATIONSHIPS. A CORE GROUP OF ADVOCATE SYSTEM-LEVEL LEADERS ACHIEVED INTEGRATION, ACCOUNTABILITY AND NEW GOVERNANCE RELATIONSHIPS THROUGH IMPLEMENTATION OF THE FOLLOWING: * STRENGTHENING THE ROLE/VISIBILITY OF THE COMMUNITY HEALTH LEADERSHIP COUNCIL - A KEY FOCUS FOR THE SYSTEM CORE TEAM WAS TO STRENGTHEN THE ABILITY OF THE COMMUNITY HEALTH LEADERSHIP COUNCIL (CHLC) TO SERVE AS A RESOURCE AND PROVIDE GUIDANCE IN DEVELOPING AND IMPLEMENTING SYSTEM AND SITE COMMUNITY HEALTH PLANS. THE FOLLOWING ACTIONS WERE TAKEN TO REALIZE THIS OBJECTIVE * THE CHLC ROLE WAS DEFINED, A CHARTER APPROVED AND THE ROLE WAS COMMUNICATED AS APPROPRIATE WITHIN ADVOCATE AND IN THE COMMUNITY. MEETINGS WERE SCHEDULED MONTHLY TO ASSURE CLOSE COMMUNICATION AND ADHERENCE TO THE AMBITIOUS TIMELINE. * AS DESCRIBED EARLIER, THE COMMUNITY HEALTH STEERING COMMITTEE WAS CONVENED TO PLAN THE CHLC'S ACTIVITIES, I.E., SET AGENDAS, PROVIDE WORKSHOPS, TIMELINES AND DEADLINES TO ASSURE THE HOSPITALS AND THE SYSTEM MET THEIR GOALS AND WOULD BE FULLY COMPLIANT WITH THE PPACA. * REPORTING COMMUNITY HEALTH/COMMUNITY BENEFITS PLANNING, PROGRESS, AND ACHIEVEMENTS TO THE MISSION AND SPIRITUAL CARE COMMITTEE OF THE ADVOCATE BOARD OF DIRECTORS IN TANDEM WITH REPORTING COMMUNITY BENEFITS EXPENDITURES TO THE FINANCE COMMITTEE OF THE BOARD. WHEN CONSIDERING WHICH GOVERNANCE BODY WOULD BE ACCOUNTABLE FOR REVIEWING AND ENDORSING THE HOSPITAL CHNA REPORTS AND IMPLEMENTATION PLANS, THE HOSPITAL GOVERNING COUNCILS WERE SELECTED GIVEN THEY ARE THE SENIOR GOVERNING BODY AT EACH HOSPITAL. ONE OR MORE MEMBERS OF THE HOSPITAL GOVERNING COUNCILS WERE ALSO RECRUITED TO PARTICIPATE ON THEIR SITE'S COMMUNITY HEALTH COUNCIL, SERVING AS BOTH A COMMUNITY REPRESENTATIVE HAVING INPUT INTO THE DECISIONS OF THE COMMUNITY HEALTH COUNCIL AND AS A GOVERNING COUNCIL MEMBER THAT COULD PROVIDE REPORTS ON COMMUNITY HEALTH PLAN PROGRESS BACK TO THE GOVERNING COUNCIL. THIS PROCESS WORKED WELL AND ADVOCATE POSTED ITS HOSPITALS' FIRST CHNA REPORT ON ITS WEBSITE IN DECEMBER 2013, AND THE POSTING OF THE HOSPITALS' IMPLEMENTATION PLANS OCCURRED BEFORE MAY 15, 2014, IN COMPLIANCE WITH THE PATIENT PROTECTION AND AFFORDABLE CARE ACT'S REQUIREMENTS AS OUTLINED IN THE PROPOSED RULE FOR TAX-EXEMPT HOSPITALS. ADDITIONALLY, IN ORDER TO PROVIDE A COMMUNITY BENEFITS COST REPORT TO THE FINANCE COMMITTEE OF THE ADVOCATE BOARD OF DIRECTORS AND IN COMPLIANCE WITH ILLINOIS' COMMUNITY BENEFITS ACT, ADVOCATE ANNUALLY TRACKS THE COSTS OF ITS COMMUNITY HEALTH EFFORTS USING AN ADVOCATE INTRANET-BASED COMMUNITY BENEFITS WORKSHEET REPORTING APPLICATION. THE SOFTWARE APPLICATION, WHICH WAS DEVELOPED AND IS MANAGED AT THE SYSTEM LEVEL, NOT ONLY TRACKS THE COSTS OF COMMUNITY-FOCUSED PROGRAMS AND SERVICES, BUT ALSO CAPTURES THE LIVES TOUCHED AND SERVICES ADMINISTERED IN THE CATEGORIES SPECIFIED IN ILLINOIS' COMMUNITY BENEFITS ACT. COMMUNITY BENEFITS EDUCATION AND SOFTWARE TRAINING CLASSES AND REFRESHER COURSES ARE PROVIDED BY THE SYSTEM AT ADVOCATE'S HOSPITALS AND OTHER KEY SITES AS NEEDED. THE TRACKING OF COMMUNITY BENEFIT
Schedule H (Form 990) 2014
Additional Data


Software ID:  
Software Version:  
Schedule I
(Form 990)
Department of the Treasury
Internal Revenue Service
Grants and Other Assistance to Organizations,
Governments and Individuals in the United States
Complete if the organization answered "Yes," to Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990.
lBullet Information about Schedule I (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
Open to Public
Inspection
Name of the organization
Advocate Health And Hospitals Corp
 
Employer identification number
36-2169147
Part I
General Information on Grants and Assistance
1
Does the organization maintain records to substantiate the amount of the grants or assistance, the grantees' eligibility for the grants or assistance, and
the selection criteria used to award the grants or assistance? ....................................
2
Describe in Part IV the organization's procedures for monitoring the use of grant funds in the United States.
Part II
Grants and Other Assistance to Domestic Organizations and Domestic Governments. Complete if the organization answered "Yes" to
Form 990, Part IV, line 21, for any recipient that received more than $5,000. Part II can be duplicated if additional space is needed.
(a) Name and address of organization
or government		 (b) EIN (c) IRC section
if applicable		 (d) Amount of cash grant (e) Amount of non-cash
assistance		 (f) Method of valuation
(book, FMV, appraisal,
other)		 (g) Description of
non-cash assistance		 (h) Purpose of grant
or assistance
(1) CAEL
55 E Monroe Suite 2710
Chicago,IL60603 		13-2890752 501c3 10,000       SUPPORT EXEMPT MISSION
(2) METROPOLITAN CHICAGO SYNOD
1420 West Dickens Avenue
SUITE 800
Chicago,IL60614 		41-1568278 501c3 19,000       SUPPORT EXEMPT MISSION
(3) NORTHWESTERN UNIVERSITY
2001 Sheridan Road Rm 453
Evanston,IL60208 		36-2167817 501c3 9,075       MARKETING CURRICULUM
(4) AMERICAN DIABETES ASSOCIATION
55 E Monroe Suite 3420
Chicago,IL60603 		13-1623888 501c3 25,650       SPONSOR EVENTS
(5) CHHSM-UCC
700 Prospect Ave
Cleveland,OH44115 		13-1957221 501c3 10,500       LEGACY FUND
(6) AMERICAN CANCER SOCIETY
225 North Michigan Avenue
Chicago,IL60601 		13-1788491 501c3 121,800       SPONSOR EVENTS
(7) NATIONAL KIDNEY FOUNDATION
215 West Illinois Suite 1C
Chicago,IL60654 		13-1673104 501c3 14,391       SPONSOR EVENTS
(8) AMERICAN HEART ASSOCIATION
PO Box 4002902
SUITE 1100
Des Moines,IA503402902 		13-5613797 501c3 98,430       SPONSOR EVENTS
(9) CRISIS CENTER SO SUBURBIA CORP
PO Box 39
Tinley Park,IL60477 		36-3039964 501c3 9,636       SPONSOR EVENTS
(10) ILLINOIS WESLEYAN UNIVERSITY
PO Box 2900
Bloomington,IL617029845 		37-0662594 501c3 20,000       EXPANSION PROJECT
(11) MARCH OF DIMES FOUNDATION
111 W Jackson Blvd
Chicago,IL60604 		13-1846366 501c3 68,780       MARCH FOR BABIES/LEADERSHIP AWARD
(12) IHREF
1151 E Warrenville Rd
Naperville,IL60563 		23-7421930 501c3 702,793       HOSPITAL MUTUAL ASSIST PROGRAM
(13) CHICAGO URBAN LEAGUE
4510 S Michigan Avenue
Chicago,IL60653 		36-2225483 501c3 5,250       SPONSOR EVENTS
(14) COMMUNITY HEALTH
2611 West Chicago Avenue
Chicago,IL60622 		36-3831793 501c3 23,824       SUPPORT EXEMPT MISSION
(15) NAMI OF GREATER CHICAGO
53 W Jackson BlvdSte 510
Chicago,IL60604 		36-3075407 501c3 6,256       SPONSOR EVENTS
(16) WELLNESS HOUSE
131 N County Line Rd
Hinsdale,IL60521 		36-3636933 501c3 9,485       SPONSOR EVENTS
(17) YMCA
801 North Dearborn Street
Chicago,IL60610 		36-2179782 501c3 6,980       SUPPORT EXEMPT MISSION
(18) IL CHAPTER OF AMERICAN ACAD OF PEDIATRICS
1400 W Hubbard STE 100
Chicago,IL60642 		51-0183494 501c3 92,551       SUPPORT EXEMPT MISSION
(19) UNIV OF ILL AT CHICAGO
MAB 3rd Fl M/C 511
Chicago,IL60612 		37-6000511 501c3 25,000       GRANT FOR CEASEFIRE
(20) OPERATION CLICK
427 W Virginia St
Crystal Lake,IL60014 		20-2208637 501c3 25,000       SUPPORT OPERATION CLICK
(21) SOUTH SUBURBAN PADS
414 W Lincoln Hwy
Chicago Hts,IL60430 		36-3744405 501c3 9,054       SPONSOR EVENTS
(22) FAMILY HEALTH PTR CLINIC
401 E Congress Pkwy
Crystal Lake,IL60014 		36-4277029 501c3 11,560       SUPPORT EXEMPT MISSION
(23) LUTHERAN SOCIAL SERVICES IL
1001 E Touhy Ave
Des Plaines,IL60018 		36-2584799 501c3 14,250       SUPPORT EXEMPT MISSION
(24) ACCESS DUPAGEDUPAGE HLTH COAL
511 Thornhill Drive
Carol Stream,IL60188 		36-4448208 501c3 610,400       SUPPORT EXEMPT MISSION
(25) IOMC
25 NW Point Blvd
Elk Grv Village,IL60007 		36-2217993 501c3 24,100       SPONSOR EVENTS
(26) ILLINOIS PERFORMANCE
1415 W Diehl Rd
Naperville,IL60563 		36-3952696 501c3 60,475       SPONSOR EVENTS
(27) ROTARY DISTRICT 6450 FDN
PO Box 256
Downers Grove,IL60515 		36-4219154 501c3 7,000       SPONSOR EVENTS
(28) GROVE FOUNDATION
2455 Warrenville Rd
Downers Grove,IL60515 		36-3755536 501c3 9,325       SPONSOR EVENTS
(29) ANIMA YOUNGGLEN ELLYN CHILDREN
501 Hill Ave Ste 207
Glen Ellyn,IL60137 		36-3159041 501c3 7,500       SUPPORT EXEMPT MISSION
(30) WORLD BUSINESS CHICAGO
177 N State St Ste 500
Chicago,IL60601 		36-4313685 501c3 25,000       SUPPORT EXEMPT MISSION
(31) CANCER SUPPORT CENTER
2028 Elm Rd
MS 514
Homewood,IL60430 		36-3880404 501c3 25,018       SPONSOR EVENTS
(32) BARRINGTON AREA UNITED WAY
200 S Hough Street
Barrington,IL60010 		23-7123024 501c3 7,165       SPONSOR EVENTS
(33) BARRINGTON AREA COUNCIL
6000 Garlands Lane
Barrington,IL60010 		36-3337705 501c3 9,610       SPONSOR EVENTS
(34) SOUTHSIDE PREGNANCY CENTER
5450 W 95th Street
Oak Lawn,IL60453 		36-3367445 501c3 20,000       SUPPORT EXEMPT MISISON
(35) ALZHEIMERS ASSOC-GREATER IL
8430 W Bryn Mawr Ave
Chicago,IL60631 		13-3039601 501c3 6,000       SPONSOR EVENTS
(36) PASS PREGNANCY CARE CENTER
17214 Oak Park Avenue
ROOM 3101
Tinley Park,IL60477 		36-3345840 501c3 20,000       SUPPORT EXEMPT MISSION
(37) ST BALDRICKS FOUNDATION
1333 S Mayflower Ave
Monrovia,CA91016 		20-1173824 501c3 15,000       SPONSOR EVENTS
(38) DUPAGE CHILDRENS MUSEUM
301 N Washington St
Naperville,IL60540 		36-3565001 501c3 10,000       SPONSOR EVENTS
(39) CONCORDIA PLACE
3300 N Whipple
STE 1C
Chicago,IL60618 		32-0033719 501c3 5,960       SPONSOR EVENTS
(40) FOX VALLEY VOLUNTEER HOSPICE
200 Whitfield Drive
Geneva,IL60134 		36-3111451 501c3 8,000       SUPPORT EXEMPT MISSION
(41) UCAN
3737 North Mozart Street
Chicago,IL60618 		36-2167937 501c3 9,000       SPONSOR EVENTS
(42) CRISTO REY WORK STUDY PROGRAM
1852 West 22nd Place
Chicago,IL60608 		04-3730980 501c3 58,220       SUPPORT EXEMPT MISSION
(43) SAMARITAN COUNSELING CENTER
1000 Hart Road
Barrington,IL60010 		26-3135503 501c3 14,625       SPONSOR EVENTS
(44) JDRF
1 North LaSalle St
Chicago,IL60602 		23-1907729 501c3 10,000       SPONSOR EVENTS
(45) BARRINGTON AREA COMMUNITY FND
421 N NW Hwy Ste 210
Barrington,IL60010 		36-4244673 501c3 6,375       SPONSOR EVENTS
(46) BETHANY CHRISTIAN SERVICES INC
6660 W College Dr
Palos Hts,IL60463 		38-1405282 501c3 7,500       SPONSOR EVENTS
(47) JOURNEY CARE FOUNDATION
405 Lake Zurich Road
Barrington,IL60010 		36-3820916 501c3 8,095       SPONSOR EVENTS
(48) MAKE A WISH FOUNDATION
640 N LaSalle Dr
Chicago,IL60654 		36-3422138 501c3 20,750       SPONSOR EVENTS
(49) MORAINE VALLEY COMMUNITY
9000 W College Pkwy
Palos Hills,IL60465 		36-3191202 501c3 5,938       SPONSOR EVENTS
(50) SSEEO
PO Box 855
Lombard,IL601480855 		27-1925734 501c3 10,000       SUPPORT EXEMPT MISSION
(51) SOUTHWEST CHICAGO PADS
414 W Lincoln Hwy
Chicago Heights,IL60430 		36-3744405 501c3 7,500       FOOD PANTRY
(52) TRINITY INTL UNIVERSITY
2065 Half Day Road
Deerfield,IL60015 		36-2216176 501c3 10,000       ANNUAL CONFERENCE
(53) MOSQUE FOUNDATION
7360 W 93rd Street
Bridgeview,IL60455 		36-2693172 501c3 7,500       FOOD PANTRY
(54) CARSON SCHOLARS FUND INC
305 W Chesapeake Ave
Towson,MD21204 		52-1851346 501c3 67,500       SUPPORT EXEMPT MISSION
(55) KELLY CARES FOUNDATION
1251 N Eddy St
South Bend,IN46617 		26-3591070 501c3 25,000       BREAST CANCER INITIATIVES
(56) CURE IT FOUNDATION
PO Box 4500
Oak Park,IL60304 		45-3824750 501c3 5,850       SPONSOR TO CURE
(57) BARBARA J TIMMER FAMILY FND
219 Austin Avenue
Park Ridge,IL60068 		36-7602887 501c3 5,500       SPONSOR EVENTS
(58) HEALTHY SCHOOLS CAMPAIGN
175 N Franklin Ste 300
Chicago,IL60606 		36-4308068 501c3 20,750       SUPPORT EXEMPT MISSION
(59) SALVATION ARMY
5040 North Pulaski Avenue
Chicago,IL60630 		36-2167910 501c3 29,500       SPONSOR EVENTS
(60) SILVER CRESCENT FOUNDATION
590 Ready Pond Road
Batesburg,SC29006 		57-1039538 501c3 24,650       SPONSOR EVENTS
(61) PROACTIVE KIDS FOUNDATION
1101 Belter Drive
Wheaton,IL60189 		37-1556796 501c3 68,648       SUPPORT EXEMPT MISSION
(62) BNAI BRITH INTERNATIONAL
4605 Lankershim Blvd
N Hollywood,CA91602 		53-0179971 501c3 25,000       SPONSOR EVENTS
(63) BRIDGE TEEN CENTER
15555 S 71st Court
Orland Park,IL60462 		20-3802111 501c3 9,500       SPONSOR EVENTS
(64) SYRIAN AMERICAN MEDICAL
PO Box 1015
Canfield,OH44406 		16-1717058 501c3 15,000       SUPPORT EXEMPT MISSION
(65) KISH HEALTH SYSTEM FOUNDATION
1 Kish Hospital Dr
DeKalb,IL60115 		36-3649077 501c3 7,600       SPONSOR EVENTS
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................ Bullet Image
65
3
Enter total number of other organizations listed in the line 1 table ........................ . Bullet Image
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50055P
Schedule I (Form 990) 2014

Schedule I (Form 990) 2014
Page 2
Part III
Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" to Form 990, Part IV, line 22.
Part III can be duplicated if additional space is needed.
(a)Type of grant or assistance (b)Number of
recipients		 (c)Amount of
cash grant		 (d)Amount of
non-cash assistance		 (e)Method of valuation (book,
FMV, appraisal, other)		 (f)Description of non-cash assistance












Part IV
Supplemental Information. Provide the information required in Part I, line 2, Part III, column (b), and any other additional information.
Return Reference Explanation
Grants and Other Assistance to Domestic Organizations and Domestic Governments Schedule I, Part I and II For amounts reported on Schedule I, Advocate Health and Hospitals Corporation reports only support provided to organizations that are tax-exempt under section 501(c)(3) of the Internal Revenue Code and that are consistent with and complimentary to the mission and charitable, tax-exempt purposes of Advocate Health and Hospitals Corporation. Cash contributions are not made to individuals, for profit businesses, or private providers. Grants made to non-501( c)(3) entities, such as schools and government, are not detailed on Schedule I but included on Form 990, Part IX, Line 1. The purpose of these grants is to support community programs.
Schedule I (Form 990) 2014


Additional Data


Software ID:  
Software Version:  


Schedule J
(Form 990)
Department of the Treasury
Internal Revenue Service
Compensation Information
For certain Officers, Directors, Trustees, Key Employees, and Highest
Compensated Employees
SchJMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 23.
SchJMediumBullet Attach to Form 990.
SchJMediumBullet Information about Schedule J (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
Open to Public Inspection
Name of the organization
Advocate Health And Hospitals Corp
 
Employer identification number

36-2169147
Part I
Questions Regarding Compensation
Yes
No
1a
Check the appropiate box(es) if the organization provided any of the following to or for a person listed in Form
990, Part VII, Section A, line 1a. Complete Part III to provide any relevant information regarding these items.
b
If any of the boxes in line 1a are checked, did the organization follow a written policy regarding payment or reimbursement or provision of all of the expenses described above? If "No," complete Part III to explain....
1b
Yes
 
2
Did the organization require substantiation prior to reimbursing or allowing expenses incurred by all
directors, trustees, officers, including the CEO/Executive Director, regarding the items checked in line 1a? ..
2
Yes
 
3
Indicate which, if any, of the following the filing organization used to establish the compensation of the
organization's CEO/Executive Director. Check all that apply. Do not check any boxes for methods
used by a related organization to establish compensation of the CEO/Executive Director, but explain in Part III.
4
During the year, did any person listed in Form 990, Part VII, Section A, line 1a with respect to the filing organization or a related organization:
a
Receive a severance payment or change-of-control payment? ................
4a
 
No
b
Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........
4b
Yes
 
c
Participate in, or receive payment from, an equity-based compensation arrangement? .........
4c
 
No
If "Yes" to any of lines 4a-c, list the persons and provide the applicable amounts for each item in Part III.
Only 501(c)(3), 501(c)(4), and 501(c)(29) organizations must complete lines 5-9.
5
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the revenues of:
a
The organization? ...........................
5a
 
No
b
Any related organization? .........................
5b
 
No
If "Yes," to line 5a or 5b, describe in Part III.
6
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization pay or accrue any
compensation contingent on the net earnings of:
a
The organization? ...........................
6a
 
No
b
Any related organization? .........................
6b
 
No
If "Yes," to line 6a or 6b, describe in Part III.
7
For persons listed in Form 990, Part VII, Section A, line 1a, did the organization provide any non-fixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
Yes
 
8
Were any amounts reported in Form 990, Part VII, paid or accured pursuant to a contract that was
subject to the initial contract exception described in Regulations section 53.4958-4(a)(3)? If "Yes," describe
in Part III .............................
8
 
No
9
If "Yes" to line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................
9
 
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50053T
Schedule J (Form 990) 2014

Schedule J (Form 990) 2014
Page 2
Part II
Officers, Directors, Trustees, Key Employees, and Highest Compensated Employees. Use duplicate copies if additional space is needed.
For each individual whose compensation must be reported in Schedule J, report compensation from the organization on row (i) and from related organizations, described in the
instructions, on row (ii). Do not list any individuals that are not listed on Form 990, Part VII.
Note. The sum of columns (B)(i)-(iii) for each listed individual must equal the total amount of Form 990, Part VII, Section A, line 1a, applicable column (D) and (E) amounts for that individual.
(A) Name and Title (B) Breakdown of W-2 and/or 1099-MISC compensation (C) Retirement and other deferred compensation (D) Nontaxable
benefits		 (E) Total of columns
(B)(i)-(D) 		(F) Compensation in column(B) reported as deferred in prior Form 990
(i) Base compensation (ii) Bonus & incentive compensation (iii) Other reportable compensation
1James SkogsberghPRESIDENT & CEO, DIRECTOR (i)
(ii)		 1,463,355
...............................
0 		2,891,534
...............................
0 		1,238,079
...............................
0 		2,060,036
...............................
0 		29,752
...............................
0 		7,682,756
...............................
0 		765,371
...............................
0
2Gail D HasbrouckSVP, Gen Counsel & Corp. Sec (i)
(ii)		 469,637
...............................
0 		392,669
...............................
0 		288,426
...............................
0 		166,445
...............................
0 		22,172
...............................
0 		1,339,349
...............................
0 		154,711
...............................
0
3William P SantulliEXEC VP, COO (i)
(ii)		 871,072
...............................
0 		1,090,000
...............................
0 		531,406
...............................
0 		748,459
...............................
0 		30,781
...............................
0 		3,271,718
...............................
0 		432,420
...............................
0
4Lee B Sacks MDEXEC VP, CHIEF MEDICAL OFFICER (i)
(ii)		 705,908
...............................
0 		773,328
...............................
0 		411,509
...............................
0 		325,841
...............................
0 		21,943
...............................
0 		2,238,529
...............................
0 		323,744
...............................
0
5James DohenyVP, Sys Contr & Asst.Treasurer (i)
(ii)		 315,161
...............................
0 		109,226
...............................
0 		29,777
...............................
0 		24,011
...............................
0 		30,240
...............................
0 		508,415
...............................
0 		0
...............................
0
6James Dan MDPRES PHYSICIAN/AMBULATORY SVCS (i)
(ii)		 516,652
...............................
0 		568,516
...............................
0 		297,133
...............................
0 		241,684
...............................
0 		21,514
...............................
0 		1,645,499
...............................
0 		233,483
...............................
0
7Rev K Bender SchwichSVP, Mission & Spiritual Care (i)
(ii)		 133,723
...............................
0 		195,777
...............................
0 		218,738
...............................
0 		122,408
...............................
0 		101,482
...............................
0 		772,128
...............................
0 		32,554
...............................
0
8Kevin BradySVP, Chf Human Resources offc (i)
(ii)		 439,537
...............................
0 		515,662
...............................
0 		244,304
...............................
0 		223,628
...............................
0 		29,100
...............................
0 		1,452,231
...............................
0 		214,125
...............................
0
9Vincent BufalinoSVP, CARDIO/SR MED DIR CARDIO (i)
(ii)		 405,908
...............................
0 		380,274
...............................
0 		48,861
...............................
0 		285,645
...............................
0 		27,304
...............................
0 		1,147,992
...............................
0 		51,828
...............................
0
10Susan CampbellSVP OF PATIENT CR-CHF NRS OFFC (i)
(ii)		 343,471
...............................
0 		133,933
...............................
0 		44,254
...............................
0 		173,422
...............................
0 		19,959
...............................
0 		715,039
...............................
0 		0
...............................
0
11Kelly Jo GolsonSVP, Chief Marketing Officer (i)
(ii)		 363,898
...............................
0 		267,317
...............................
0 		170,646
...............................
0 		116,479
...............................
0 		2,920
...............................
0 		921,260
...............................
0 		99,154
...............................
0
12Dominic J NakisSVP, CFO & TREASURER (i)
(ii)		 622,258
...............................
0 		773,328
...............................
0 		379,183
...............................
0 		325,841
...............................
0 		22,752
...............................
0 		2,123,362
...............................
0 		323,744
...............................
0
13Scott PowderSVP, Chief Strategy Officer (i)
(ii)		 380,269
...............................
0 		304,156
...............................
0 		172,492
...............................
0 		148,436
...............................
0 		31,052
...............................
0 		1,036,405
...............................
0 		86,720
...............................
0
14Bruce D SmithSVP, Information Systems, CIO (i)
(ii)		 481,588
...............................
0 		409,443
...............................
0 		245,908
...............................
0 		174,433
...............................
0 		31,720
...............................
0 		1,343,092
...............................
0 		161,321
...............................
0
15Jonathan BrussPresident, Trinity Hosp Jan-14 (i)
(ii)		 96,889
...............................
0 		239,114
...............................
0 		55,253
...............................
0 		43,918
...............................
0 		3,158
...............................
0 		438,332
...............................
0 		99,232
...............................
0
16Michael FarrellPRESIDENT -ADV CHILDREN'S HOSP (i)
(ii)		 666,095
...............................
0 		510,040
...............................
0 		73,962
...............................
0 		458,973
...............................
0 		22,427
...............................
0 		1,731,497
...............................
0 		81,738
...............................
0
17David FoxPresident, Good Samaritan Hosp (i)
(ii)		 453,676
...............................
0 		434,798
...............................
0 		240,362
...............................
0 		191,397
...............................
0 		27,769
...............................
0 		1,348,002
...............................
0 		179,499
...............................
0
18Michelle GaskillPresident, Trinity Hospital (i)
(ii)		 296,977
...............................
0 		31,929
...............................
0 		68,355
...............................
0 		99,381
...............................
0 		10,047
...............................
0 		506,689
...............................
0 		0
...............................
0
19Richard HeimPresident, South Suburban Hosp (i)
(ii)		 298,619
...............................
0 		219,897
...............................
0 		126,569
...............................
0 		133,648
...............................
0 		27,022
...............................
0 		805,755
...............................
0 		30,277
...............................
0
20Colleen KannadayPresident, BroMenn Medical Ctr (i)
(ii)		 396,707
...............................
0 		324,659
...............................
0 		26,522
...............................
0 		237,937
...............................
0 		27,450
...............................
0 		1,013,275
...............................
0 		124,142
...............................
0
21Karen LambertPresident, Good Shepherd Hosp (i)
(ii)		 408,808
...............................
0 		369,287
...............................
0 		202,998
...............................
0 		158,455
...............................
0 		32,629
...............................
0 		1,172,177
...............................
0 		144,166
...............................
0
22Kenneth LukhardMkt President, Christ Med Ctr (i)
(ii)		 569,724
...............................
0 		626,727
...............................
0 		301,356
...............................
0 		255,913
...............................
0 		26,808
...............................
0 		1,780,528
...............................
0 		281,880
...............................
0
23Rick FloydPresident, Lutheran Gen Hosp (i)
(ii)		 557,406
...............................
10,398 		138,628
...............................
0 		135,677
...............................
22,241 		222,961
...............................
0 		30,596
...............................
0 		1,085,268
...............................
32,639 		0
...............................
0
24Thomas GrobelnyPhysician-Neuroint. Radiology (i)
(ii)		 990,323
...............................
0 		370
...............................
0 		-6,917
...............................
0 		21,411
...............................
0 		19,353
...............................
0 		1,024,540
...............................
0 		0
...............................
0
25Caleb LippmanNeurosurgeon (i)
(ii)		 828,658
...............................
0 		11,306
...............................
0 		-7,880
...............................
0 		24,011
...............................
0 		27,526
...............................
0 		883,621
...............................
0 		0
...............................
0
26Thom LobePhysician - General Surgery (i)
(ii)		 965,769
...............................
0 		0
...............................
0 		334
...............................
0 		24,011
...............................
0 		8,361
...............................
0 		998,475
...............................
0 		0
...............................
0
27Kenji MuroNeurosurgeon (i)
(ii)		 914,779
...............................
0 		0
...............................
0 		24,150
...............................
0 		24,011
...............................
0 		24,868
...............................
0 		987,808
...............................
0 		0
...............................
0
28John SongNeurosurgeon (i)
(ii)		 1,006,004
...............................
0 		4,156
...............................
0 		36,739
...............................
0 		24,011
...............................
0 		4,836
...............................
0 		1,075,746
...............................
0 		0
...............................
0
29Michael EnglehartFMR PRES, SOUTH SUBURBAN HOSP (i)
(ii)		 0
...............................
385,609 		0
...............................
349,614 		0
...............................
187,516 		0
...............................
158,455 		0
...............................
27,792 		0
...............................
1,108,986 		0
...............................
125,300
30Ben GrigaliunasSenior VP, Human Resources (i)
(ii)		 0
...............................
0 		215,578
...............................
0 		0
...............................
0 		0
...............................
0 		0
...............................
0 		215,578
...............................
0 		178,794
...............................
0
Schedule J (Form 990) 2014

Schedule J (Form 990) 2014
Page 3
Part III
Supplemental Information
Provide the information, explanation, or descriptions required for Part I, lines 1a, 1b, 3, 4a, 4b, 4c, 5a, 5b, 6a, 6b, 7, and 8, and for Part II.
Also complete this part for any additional information.
Return Reference Explanation
Supplemental Compensation Information PART I, LINE 1A HOUSING ALLOWANCE/SOCIAL CLUB DUES/PERSONAL SERVICES REV. KATHIE BENDER SCHWICH, SENIOR VICE PRESIDENT-MISSION AND SPIRITUAL CARE, RECEIVED AN ANNUAL HOUSING ALLOWANCE OF $95,000 FROM ADVOCATE HEALTH AND HOSPITALS CORPORATION. JAMES SKOGSBERGH, PRESIDENT AND CHIEF EXECUTIVE OFFICER OF ADVOCATE HEALTH AND HOSPITALS CORPORATION, IS A MEMBER OF SEVERAL LUNCHEON CLUBS WHERE HE CONDUCTS BUSINESS MEETINGS ON BEHALF OF AHHC. JAMES SKOGSBERGH, PRESIDENT AND CHIEF EXECUTIVE OFFICER OF ADVOCATE HEALTH AND HOSPITALS CORPORATION, RECEIVES AS PART OF HIS BENEFITS PACKAGE FINANCIAL PLANNING SERVICES. JAMES SKOGSBERGH, PRESIDENT AND CHIEF EXECUTIVE OFFICER OF ADVOCATE HEALTH AND HOSPITALS CORPORATION, WAS PERMITTED TO USE FIRST CLASS TRAVEL IN ACCORDANCE WITH THE ORGANIZATION'S POLICY. PART I, LINE 4B SUPPLEMENTAL NON-QUALIFIED RETIREMENT PLAN GAIL HASBROUCK, SENIOR VICE PRESIDENT-GENERAL COUNSEL AND CORPORATE SECRETARY, IS VESTED IN A NON-QUALIFIED RETIREMENT PLAN. AS SUCH ANY CONTRIBUTIONS ARE TAXED CURRENTLY. THERE IS NO DEFERRED COMPONENT. THE CURRENT YEAR CONTRIBUTION AMOUNT IS $44,003. ADVOCATE PROVIDES A TARGET REPLACEMENT SENIOR EXECUTIVE RETIREMENT PLAN. THE CONTRIBUTIONS TO THIS PLAN ARE VESTED AND TAXABLE AFTER FIVE YEARS OF SERVICE. THE FOLLOWING EMPLOYEES ARE VESTED IN THE PLAN AND THEREFORE THE CONTRIBUTIONS ARE REPORTED AS COMPENSATION ON THE W-2: JAMES SKOGSBERGH $724,471, WILLIAM SANTULLI $301,001, GAIL HASBROUCK $134,329, LEE SACKS M.D. $229,403, DOMINIC NAKIS $216,494, BRUCE SMITH $138,871, KEVIN BRADY $142,002, SCOTT POWDER $103,372, JAMES DAN M.D. $168,324, KATHIE BENDER SCHWICH $162,245, KELLY JO GOLSON $98,317, RISHI SIKKA M.D. $52,005, DAVID FOX $137,892 , JONATHON BRUSS $45,540, KAREN LAMBERT $120,279, KENNETH LUKHARD $158,496, RICHARD HEIM $74,903, RICK FLOYD $74,847, MICHELLE GASKILL $32,348, AND MICHAEL ENGLEHART $112,398. THE FOLLOWING EMPLOYEES HAVE NOT YET VESTED AND THEREFORE THE CONTRIBUTIONS ARE REPORTED AS DEFERRED COMPENSATION: MICHAEL FARRELL $168,563, COLLEEN KANNADAY $79,482, VINCENT BUFALINO M.D. $117,377, AND SUSAN CAMPBELL $60,650. JAMES SKOGSBERGH AND WILLIAM SANTULLI ARE PARTICIPANTS IN SECTION 457(F) RETENTION INCENTIVE BENEFIT PLANS. THE PLANS ARE CURRENTLY NOT VESTED. THE PLANS ARE CONTINGENT ON EMPLOYMENT AND VEST WHEN THE PARTICPANT REACHES 60 YEARS OF AGE. THE CURRENT YEAR AMOUNTS EARNED ARE: JAMES SKOGSBERGH $747,465, WILLIAM SANTULLI $223,547. PART I, LINE 7 INCENTIVE PAYMENTS ARE BASED UPON A FORMULA. THE AMOUNTS ARE CALCULATED AFTER CERTAIN PERFORMANCE AND OPERATING GOALS ARE ACHIEVED. THE COMPENSATION COMMITTEE CAN EXERCISE DISCRETION OVER WHETHER INCENTIVE COMPENSATION IS PAID OUT ANNUALLY.
Schedule J (Form 990) 2014

Additional Data


Software ID:  
Software Version:  
Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet Attach to Form 990.
SchKMediumBulletInformation about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
Open to Public
Inspection
Name of the organization
Advocate Health And Hospitals Corp
 
Employer identification number
36-2169147
Part I
Bond Issues
(a) Issuer name (b) Issuer EIN (c) CUSIP # (d) Date issued (e) Issue price (f) Description of purpose (g) Defeased (h) On
behalf of
issuer 		(i) Pool
financing
Yes No Yes No Yes No
A ILLINOIS HEALTH FACILITIES AUTHORITY
  		36-2780046 45200PXH5 10-29-2003 115,000,000 SEE SCHEDULE K, PART VI   X   X   X
B ILLINOIS FINANCE AUTHORITY
  		86-1091967 45200FED7 01-24-2013 51,134,288 SEE SCHEDULE K, PART VI   X   X   X
C ILLINOIS FINANCE AUTHORITY
  		86-1091967 45200FEE5 02-01-2013 43,219,722 SEE SCHEDULE K, PART VI   X   X   X
D ILLINOIS FINANCE AUTHORITY
  		86-1091967 45200FEF2 05-01-2012 51,142,165 SEE SCHEDULE K, PART VI   X   X   X
ILLINOIS FINANCE AUTHORITY
  		86-1091967 45200FAZ2 10-10-2007 348,300,000 SEE SCHEDULE K, PART VI   X   X   X
ILLINOIS FINANCE AUTHORITY
  		86-1091967 45200FSB6 12-01-2008 175,920,559 SEE SCHEDULE K, PART VI X     X   X
ILLINOIS FINANCE AUTHORITY
  		86-1091967 45200FK65 01-06-2010 243,746,239 SEE SCHEDULE K, PART VI   X   X   X
ILLINOIS FINANCE AUTHORITY
  		86-1091967 45203HCA8 09-21-2011 201,774,238 SEE SCHEDULE K, PART VI   X   X   X
ILLINOIS FINANCE AUTHORITY
  		86-1091967 45203HNJ7 11-29-2012 150,003,863 SEE SCHEDULE K, PART VI   X   X   X
ILLINOIS FINANCE AUTHORITY
  		86-1091967 45203HUC4 08-08-2013 103,136,955 SEE SCHEDULE K, PART VI   X   X   X
ILLINOIS FINANCE AUTHORITY
  		86-1091967 45203HE40 12-18-2014 341,558,564 SEE SCHEDULE K, PART VI   X   X   X
ILLINOIS FINANCE AUTHORITY
  		86-1091967 45203HCM2 09-21-2011 12,453,367 SEE SCHEDULE K, PART VI   X   X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired . . . . . . . . . . . . . . 76,340,000 0 0 0
2 Amount of bonds legally defeased . . . . . . . . . . . 0 0 0 0
3 Total proceeds of issue . . . . . . . . . . . . . . 116,432,024 51,134,288 43,219,722 51,142,165
4 Gross proceeds in reserve funds . . . . . . . . . . . . 0 0 0 0
5 Capitalized interest from proceeds . . . . . . . . . . . 0 0 0 0
6 Proceeds in refunding escrows . . . . . . . . . . . . 0 0 0 0
7 Issuance costs from proceeds . . . . . . . . . . . . 1,034,454 0 0 0
8 Credit enhancement from proceeds . . . . . . . . . . . 0 0 0 0
9 Working capital expenditures from proceeds . . . . . . . . . 0 0 0 0
10 Capital expenditures from proceeds . . . . . . . . . . . 111,807,084 0 0 0
11 Other spent proceeds . . . . . . . . . . . . . . 0 51,134,288 43,219,722 51,142,165
12 Other unspent proceeds . . . . . . . . . . . . . . 0 0 0 0
13 Year of substantial completion . . . . . . . . . . . . 2005 2009 2009 2009
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? . . . . .   X X   X   X  
15 Were the bonds issued as part of an advance refunding issue? . . . . .   X   X   X   X
16 Has the final allocation of proceeds been made? . . . . . . . . X   X   X   X  
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . . X   X   X   X  
Part III
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . . . . . .   X   X   X   X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . . X   X   X   X  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2014
Schedule K (Form 990) 2014
Page 2
Part III
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use of bond-financed property? . . . . . . . . . . . . X   X   X   X  
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?   X   X   X   X
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . . . . . . . . . .   X   X   X   X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?                
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . . SchKMediumBullet 0.100 % 0.110 % 0.110 % 0.110 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . . . . . . . SchKMediumBullet 0 % 0 % 0 % 0 %
6 Total of lines 4 and 5 . . . . . . . . . . . . . 0.100 % 0.110 % 0.110 % 0.110 %
7 Does the bond issue meet the private security or payment test? . . . . .   X   X   X   X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . . X     X   X   X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. 0.600 % 0 % 0 % 0 %
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . . X     X   X   X
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2? . . . . . . . 		X   X   X   X  
Part IV
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? . .   X   X   X   X
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . .   X X   X   X  
b Exception to rebate? . . . . . . . .   X   X   X   X
c No rebate due? . . . . . . . . X     X   X   X
If "Yes" to line 2c, provide in Part VI the date the rebate
computation was performed . . . . . .
3 Is the bond issue a variable rate issue? . . . . X   X   X   X  
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?   X   X   X   X
b Name of provider . . . . . . . . . 0
  		0
  		0
  		 
 
c Term of hedge . . . . . . . . . . 26.8      
d Was the hedge superintegrated? . . . .   X            
e Was the hedge terminated? . . . . . .   X            
Schedule K (Form 990) 2014
Schedule K (Form 990) 2014
Page 3
Part IV
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . . . . .   X   X   X   X
b Name of provider . . . . . . . . . 0
  		0
  		0
  		0
 
c Term of GIC . . . . . . . . . . 2.1      
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . . X              
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . .   X   X   X   X
7 Has the organization established written procedures to monitor the requirements of section 148? . . . X   X   X   X  
Part V
Procedures To Undertake Corrective Action
A B C D
Yes No Yes No Yes No Yes No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations? X   X   X   X  
Part VI
Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).
Return Reference Explanation
Schedule K, Part II-13, Line 3 PURPOSE OF BOND SERIES 2003 ISSUED 10/29/2003 FORM 990, SCHEDULE K, PART 1(F) (CUSIP # 45200PXH5) THE PROCEEDS OF THE ILLINOIS HEALTH FACILITIES AUTHORITY REVENUE BONDS, SERIES 2003A, 2003B AND SERIES 2003C (ADVOCATE HEALTH CARE NETWORK) WERE USED FOR THE PURPOSE, TOGETHER WITH OTHER AVAILABLE FUNDS, OF FINANCING CERTAIN CAPITAL EXPENDITURES OF CERTAIN OF THE HEALTH CARE FACILITIES OF THE ORGANIZATION AND ADVOCATE NORTH SIDE HEALTH NETWORK. PURPOSE OF BOND SERIES 2008C ISSUED 10/10/2007 FORM 990, SCHEDULE K, PART I (F) (CUSIP #45200FAZ2) THE PROCEEDS OF THE ILLINOIS FINANCE AUTHORITY REVENUE BONDS, SERIES 2007B-1, SERIES 2007B-2 AND SERIES 2007B-3 (ADVOCATE HEALTH CARE NETWORK), WERE USED FOR THE PURPOSE, TOGETHER WITH OTHER AVAILABLE FUNDS, OF FINANCING CERTAIN CAPITAL EXPENDITURES OF CERTAIN OF HEALTH CARE FACILITIES OF THE ORGANIZATION AND ADVOCATE NORTH SIDE HEALTH NETWORK, AND OF REFUNDING ALL OR A PORTION OF THE ORGANIZATION'S SERIES 1997A BONDS, SERIES 1997B BONDS, SERIES 2003B BONDS AND SERIES 2005 BONDS WHICH WERE ISSUED ON JANUARY 9, 1997, OCTOBER 23, 2003, AND JULY 7, 2005, RESPECTIVELY. THE SERIES 2007B BONDS WERE EXCHANGED FOR THE ILLINOIS FINANCE AUTHORITY REVENUE BONDS, SERIES 2008C-1, SERIES 2008C-2A, SERIES 2008C-2B, SERIES 2008C-3A, AND SERIES 2008C-3B (ADVOCATE HEALTH CARE NETWORK) ON APRIL 25, 2008. BASED ON THE ADVICE OF BOND COUNSEL, THE ORGANIZATION IS TREATING THE SERIES 2008C BONDS AS THE SAME ISSUE AS THE SERIES 2007B BONDS FOR FEDERAL INCOME TAX PURPOSES. PURPOSE OF BOND SERIES 2008A-1 ISSUED 1/24/2013 FORM 990, SCHEDULE K, PART I (F) (CUSIP # 45200FED7) THE SERIES 2008A-1 BONDS WERE REISSUED FOR FEDERAL INCOME TAX PURPOSES ON JANUARY 24, 2013. PURPOSE OF BOND SERIES 2008A-2 ISSUED 2/1/2013 FORM 990, SCHEDULE K, PART I (F) (CUSIP # 45200FEE5) THE SERIES 2008A-2 BONDS WERE REISSUED FOR FEDERAL INCOME TAX PURPOSES ON FEBRUARY 1, 2013. PURPOSE OF BOND SERIES 2008A-3 ISSUED 5/1/2012 FORM 990, SCHEDULE K, PART I (F) (CUSIP # 45200FEF2) THE SERIES 2008A-3 BONDS WERE REISSUED FOR FEDERAL INCOME TAX PURPOSES ON MAY 1, 2012. PURPOSE OF BOND SERIES 2008D ISSUED 12/01/2008 FORM 990, SCHEDULE K, PART I (F) (CUSIP # 45200FSB6) THE PROCEEDS OF THE ILLINOIS FINANCE AUTHORITY REVENUE BONDS, SERIES 2008D (ADVOCATE HEALTH CARE NETWORK) WERE USED FOR THE PURPOSE, TOGETHER WITH OTHER AVAILABLE FUNDS, OF FINANCING THE COSTS OF PURCHASING ASSETS OF CONDELL MEDICAL CENTER AND THE COSTS OF CONSTRUCTING AND EQUIPPING A NEW PATIENT TOWER FOR ADVOCATE CONDELL MEDICAL CENTER. THE ACQUIRED ASSETS INCLUDE CONDELL MEDICAL CENTER, A 283-LICENSED BED ACUTE CARE HOSPITAL LOCATED IN LIBERTYVILLE, ILLINOIS. PURPOSE OF BOND SERIES 2010 ISSUED 1/06/2010 FORM 990, SCHEDULE K, PART I (F) (CUSIP # 45200FK65) THE PROCEEDS OF THE ILLINOIS FINANCE AUTHORITY REVENUE BONDS, SERIES 2010 (ADVOCATE HEALTH CARE NETWORK) WERE USED FOR THE PURPOSE, TOGETHER WITH OTHER AVAILABLE FUNDS, OF REFUNDING THE ORGANIZATION'S SERIES 2008B-1, SERIES 2008B-2, SERIES 2008B-3, SERIES 2008B-4 AND SERIES 2008B-5 BONDS, OF FINANCING THE COSTS RELATED TO THE MERGER WITH BROMENN HEALTHCARE SYSTEM AND THE COSTS RELATED TO THE CONSTRUCTING AND EQUIPPING A NEW PATIENT TOWER FOR ADVOCATE BROMENN MEDICAL CENTER AS WELL AS FINANCING CERTAIN CAPITAL EXPENDITURES AT OTHER HEALTH CARE FACILITIES OF THE ORGANIZATION. THE MERGED ASSETS INCLUDE BROMENN REGIONAL MEDICAL CENTER, A 221-LICENSED BED ACUTE CARE HOSPITAL LOCATED IN BLOOMINGTON, ILLINOIS AND EUREKA COMMUNITY HOSPITAL, A 25-LICENSED BED GENERAL ACUTE CARE HOSPITAL LOCATED IN EUREKA, ILLINOIS. PURPOSE OF BOND SERIES 2011 ISSUED 9/21/2011 FORM 990, SCHEDULE K, PART I (F) (CUSIP # 45203HCA8) THE PROCEEDS OF THE SERIES 2011A-2, SERIES 2011B, SERIES 2011C AND SERIES 2011D BONDS WERE USED FOR THE PURPOSE, TOGETHER WITH OTHER AVAILABLE FUNDS, OF FINANCING THE COST OF CONSTRUCTING, RENOVATING AND EQUIPPING A NINE STORY AMBULATORY CARE FACILITY AT ADVOCATE CHRIST MEDICAL CENTER AND CERTAIN OTHER CAPITAL PROJECTS AT THE HEALTH CARE FACILITIES OF THE ORGANIZATION, ADVOCATE NORTH SIDE HEALTH NETWORK AND ADVOCATE CONDELL MEDICAL CENTER. PURPOSE OF BOND SERIES 2012 ISSUED 11/29/2012 FORM 990, SCHEDULE K, PART I (F) (CUSIP # 45203HNJ7) THE PROCEEDS OF THE SERIES 2012 BONDS WERE USED FOR THE PURPOSE, TOGETHER WITH OTHER AVAILABLE FUNDS, OF FINANCING THE COST OF CONSTRUCTING, RENOVATING AND EQUIPPING AN OUTPATIENT CENTER AT ADVOCATE ILLINOIS MASONIC MEDICAL CENTER, AN AMBULATORY CARE FACILITY AT ADVOCATE CHRIST MEDICAL CENTER AND CERTAIN OTHER CAPITAL PROJECTS AT THE HEALTH CARE FACILITIES OF THE ORGANIZATION, ADVOCATE NORTH SIDE HEALTH NETWORK AND ADVOCATE CONDELL MEDICAL CENTER. PURPOSE OF BOND SERIES 2013A ISSUED 8/8/2013 FORM 990, SCHEDULE K, PART I (F) (CUSIP # 45203HUC4) THE PROCEEDS OF THE SERIES 2013A BONDS WERE USED FOR THE PURPOSE, TOGETHER WITH OTHER AVAILABLE FUNDS, OF FINANCING THE COST OF CONSTRUCTING, RENOVATING AND EQUIPPING AN ICU EXPANSION PROJECT AT ADVOCATE TRINITY HOSPITAL, A CAMPUS MODERNIZATION PROJECT AT ADVOCATE GOOD SHEPHERD HOSPITAL, AN EMERGENCY DEPARTMENT/SURGERY EXPANSION PROJECT AT ADVOCATE LUTHERAN GENERAL HOSPITAL, AND CERTAIN OTHER CAPITAL PROJECTS AT THE HEALTH CARE FACILITIES OF THE ORGANIZATION, ADVOCATE NORTH SIDE HEALTH NETWORK AND ADVOCATE CONDELL MEDICAL CENTER. PURPOSE OF BOND SERIES 2014 ISSUED 12/18/2014 FORM 990, SCHEDULE K, PART I (F) (CUSIP # 45203HE40) THE PROCEEDS OF THE SERIES 2014 BONDS WERE USED FOR THE PURPOSE, TOGETHER WITH OTHER AVAILABLE FUNDS, OF ADVANCE REFUNDING CERTAIN OF THE SERIES 2008D BONDS PREVIOUSLY ISSUED BY THE ILLINOIS FINANCE AUTHORITY FOR THE BENEFIT OF THE BORROWER AND ADVANCE REFUNDING THE SERIES 2007A BONDS PREVIOUSLY ISSED BY THE ILLINOIS FINANCE AUTHORITY FOR THE BENEFIT OF ADVOCATE SHERMAN HOSPITAL. PURPOSE OF BOND SERIES 2011A-1 ISSUED 9/21/2011 FORM 990, SCHEDULE K, PART I (F) (CUSIP # 45203HCM2) THE PROCEEDS OF THE SERIES 2011A-1 BONDS WERE USED FOR THE PURPOSE, TOGETHER WITH OTHER AVAILABLE FUNDS, OF REFUNDING ALL OF THE ORGANIZATION'S SERIES 1998A AND SERIES 1998B BONDS. FORM 990, SCHEDULE K, PART II, LINE 3 FOR THOSE BOND ISSUES WHERE THE TOTAL PROCEEDS LISTED IN PART II, LINE 3 ARE NOT IDENTICAL TO THE ISSUE PRICE FOR THE RELATED BOND ISSUE SHOWN IN PART I, COLUMN (E), THE DIFFERENCE REPRESENTS INVESTMENT EARNINGS. SERVICE CONTRACTS AND RESEARCH AGREEMENTS FORM 990, SCHEDULE K, PART III, LINE 3B, ALL BOND ISSUES INTERNAL COUNSEL REVIEWS ALL MANAGEMENT OR SERVICE CONTRACTS AND RESEARCH AGREEMENTS. THEREFORE, THE ORGANIZATION DOES NOT ROUTINELY ENGAGE OUTSIDE BOND COUNSEL TO REVIEW THE CONTRACTS. BOND COUNSEL DOES REVIEW CONTRACTS RELATED TO THE FINANCED PROPERTY DURING DUE DILIGENCE PRIOR TO A BOND TRANSACTION. PRIVATE BUSINESS USE PERCENTAGE FORM 990, SCHEDULE K, PART III, LINES 4-6, ALL BOND ISSUES PRIVATE BUSINESS USE PERCENTAGE WAS CALCULATED BASED ON NEW MONEY PORTION OF THE BOND ISSUE ONLY. PRIVATE SECURITY AND PAYMENT TEST FORM 990, SCHEDULE K, PART III, LINE 7, ALL BOND ISSUES ADVOCATE MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND THEREFORE, HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS. ARBITRAGE REBATE COMPUTATION FORM 990, SCHEDULE K, PART IV, LINE 2C (BOND SERIES 2003, CUSIP # 45200PXH5) THE REBATE COMPUTATION WAS PERFORMED AS OF OCTOBER 29, 2013. SCHEDULE K PART IV LINE 2C (BOND SERIES 2008C, CUSIP # 45200FAZ2) THE REBATE COMPUTATION WAS PERFORMED AS OF OCTOBER 10, 2012. SCHEDULE K PART IV LINE 2C (BOND SERIES 2008D, CUSIP # 45200FSB6) THE REBATE COMPUTATION WAS PERFORMED AS OF DECEMBER 1, 2013. SWAP PROVIDERS FORM 990, SCHEDULE K, PART IV, LINE 3B ON DECEMBER 28, 2011 THE ORIGINAL SWAP RELATING TO THESE BONDS WITH CITIBANK N.A. WAS SEPARATED INTO TWO TRANCHES AND NOVATED (ASSIGNED TO) TWO SEPARATE SWAP COUNTERPARTIES, WELLS FARGO BANK, N.A. AND PNC BANK, NATIONAL ASSOCIATION.
Schedule K (Form 990) 2014

Additional Data


Software ID:  
Software Version:  

Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet Attach to Form 990.
SchKMediumBulletInformation about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
Open to Public
Inspection
Name of the organization
Advocate Health And Hospitals Corp
 
Employer identification number
36-2169147
Part I
Bond Issues
(a) Issuer name (b) Issuer EIN (c) CUSIP # (d) Date issued (e) Issue price (f) Description of purpose (g) Defeased (h) On
behalf of
issuer 		(i) Pool
financing
Yes No Yes No Yes No
A ILLINOIS HEALTH FACILITIES AUTHORITY
  		36-2780046 45200PXH5 10-29-2003 115,000,000 SEE SCHEDULE K, PART VI   X   X   X
B ILLINOIS FINANCE AUTHORITY
  		86-1091967 45200FED7 01-24-2013 51,134,288 SEE SCHEDULE K, PART VI   X   X   X
C ILLINOIS FINANCE AUTHORITY
  		86-1091967 45200FEE5 02-01-2013 43,219,722 SEE SCHEDULE K, PART VI   X   X   X
D ILLINOIS FINANCE AUTHORITY
  		86-1091967 45200FEF2 05-01-2012 51,142,165 SEE SCHEDULE K, PART VI   X   X   X
ILLINOIS FINANCE AUTHORITY
  		86-1091967 45200FAZ2 10-10-2007 348,300,000 SEE SCHEDULE K, PART VI   X   X   X
ILLINOIS FINANCE AUTHORITY
  		86-1091967 45200FSB6 12-01-2008 175,920,559 SEE SCHEDULE K, PART VI X     X   X
ILLINOIS FINANCE AUTHORITY
  		86-1091967 45200FK65 01-06-2010 243,746,239 SEE SCHEDULE K, PART VI   X   X   X
ILLINOIS FINANCE AUTHORITY
  		86-1091967 45203HCA8 09-21-2011 201,774,238 SEE SCHEDULE K, PART VI   X   X   X
ILLINOIS FINANCE AUTHORITY
  		86-1091967 45203HNJ7 11-29-2012 150,003,863 SEE SCHEDULE K, PART VI   X   X   X
ILLINOIS FINANCE AUTHORITY
  		86-1091967 45203HUC4 08-08-2013 103,136,955 SEE SCHEDULE K, PART VI   X   X   X
ILLINOIS FINANCE AUTHORITY
  		86-1091967 45203HE40 12-18-2014 341,558,564 SEE SCHEDULE K, PART VI   X   X   X
ILLINOIS FINANCE AUTHORITY
  		86-1091967 45203HCM2 09-21-2011 12,453,367 SEE SCHEDULE K, PART VI   X   X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired . . . . . . . . . . . . . . 76,340,000 0 0 0
2 Amount of bonds legally defeased . . . . . . . . . . . 0 0 0 0
3 Total proceeds of issue . . . . . . . . . . . . . . 116,432,024 51,134,288 43,219,722 51,142,165
4 Gross proceeds in reserve funds . . . . . . . . . . . . 0 0 0 0
5 Capitalized interest from proceeds . . . . . . . . . . . 0 0 0 0
6 Proceeds in refunding escrows . . . . . . . . . . . . 0 0 0 0
7 Issuance costs from proceeds . . . . . . . . . . . . 1,034,454 0 0 0
8 Credit enhancement from proceeds . . . . . . . . . . . 0 0 0 0
9 Working capital expenditures from proceeds . . . . . . . . . 0 0 0 0
10 Capital expenditures from proceeds . . . . . . . . . . . 111,807,084 0 0 0
11 Other spent proceeds . . . . . . . . . . . . . . 0 51,134,288 43,219,722 51,142,165
12 Other unspent proceeds . . . . . . . . . . . . . . 0 0 0 0
13 Year of substantial completion . . . . . . . . . . . . 2005 2009 2009 2009
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? . . . . .   X X   X   X  
15 Were the bonds issued as part of an advance refunding issue? . . . . .   X   X   X   X
16 Has the final allocation of proceeds been made? . . . . . . . . X   X   X   X  
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . . X   X   X   X  
Part III
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . . . . . .   X   X   X   X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . . X   X   X   X  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2014
Schedule K (Form 990) 2014
Page 2
Part III
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use of bond-financed property? . . . . . . . . . . . . X   X   X   X  
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?   X   X   X   X
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . . . . . . . . . .   X   X   X   X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?                
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . . SchKMediumBullet 0.100 % 0.110 % 0.110 % 0.110 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . . . . . . . SchKMediumBullet 0 % 0 % 0 % 0 %
6 Total of lines 4 and 5 . . . . . . . . . . . . . 0.100 % 0.110 % 0.110 % 0.110 %
7 Does the bond issue meet the private security or payment test? . . . . .   X   X   X   X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . . X     X   X   X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. 0.600 % 0 % 0 % 0 %
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . . X     X   X   X
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2? . . . . . . . 		X   X   X   X  
Part IV
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? . .   X   X   X   X
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . .   X X   X   X  
b Exception to rebate? . . . . . . . .   X   X   X   X
c No rebate due? . . . . . . . . X     X   X   X
If "Yes" to line 2c, provide in Part VI the date the rebate
computation was performed . . . . . .
3 Is the bond issue a variable rate issue? . . . . X   X   X   X  
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?   X   X   X   X
b Name of provider . . . . . . . . . 0
  		0
  		0
  		 
 
c Term of hedge . . . . . . . . . . 26.8      
d Was the hedge superintegrated? . . . .   X            
e Was the hedge terminated? . . . . . .   X            
Schedule K (Form 990) 2014
Schedule K (Form 990) 2014
Page 3
Part IV
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . . . . .   X   X   X   X
b Name of provider . . . . . . . . . 0
  		0
  		0
  		0
 
c Term of GIC . . . . . . . . . . 2.1      
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . . X              
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . .   X   X   X   X
7 Has the organization established written procedures to monitor the requirements of section 148? . . . X   X   X   X  
Part V
Procedures To Undertake Corrective Action
A B C D
Yes No Yes No Yes No Yes No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations? X   X   X   X  
Part VI
Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).
Return Reference Explanation
Schedule K, Part II-13, Line 3 PURPOSE OF BOND SERIES 2003 ISSUED 10/29/2003 FORM 990, SCHEDULE K, PART 1(F) (CUSIP # 45200PXH5) THE PROCEEDS OF THE ILLINOIS HEALTH FACILITIES AUTHORITY REVENUE BONDS, SERIES 2003A, 2003B AND SERIES 2003C (ADVOCATE HEALTH CARE NETWORK) WERE USED FOR THE PURPOSE, TOGETHER WITH OTHER AVAILABLE FUNDS, OF FINANCING CERTAIN CAPITAL EXPENDITURES OF CERTAIN OF THE HEALTH CARE FACILITIES OF THE ORGANIZATION AND ADVOCATE NORTH SIDE HEALTH NETWORK. PURPOSE OF BOND SERIES 2008C ISSUED 10/10/2007 FORM 990, SCHEDULE K, PART I (F) (CUSIP #45200FAZ2) THE PROCEEDS OF THE ILLINOIS FINANCE AUTHORITY REVENUE BONDS, SERIES 2007B-1, SERIES 2007B-2 AND SERIES 2007B-3 (ADVOCATE HEALTH CARE NETWORK), WERE USED FOR THE PURPOSE, TOGETHER WITH OTHER AVAILABLE FUNDS, OF FINANCING CERTAIN CAPITAL EXPENDITURES OF CERTAIN OF HEALTH CARE FACILITIES OF THE ORGANIZATION AND ADVOCATE NORTH SIDE HEALTH NETWORK, AND OF REFUNDING ALL OR A PORTION OF THE ORGANIZATION'S SERIES 1997A BONDS, SERIES 1997B BONDS, SERIES 2003B BONDS AND SERIES 2005 BONDS WHICH WERE ISSUED ON JANUARY 9, 1997, OCTOBER 23, 2003, AND JULY 7, 2005, RESPECTIVELY. THE SERIES 2007B BONDS WERE EXCHANGED FOR THE ILLINOIS FINANCE AUTHORITY REVENUE BONDS, SERIES 2008C-1, SERIES 2008C-2A, SERIES 2008C-2B, SERIES 2008C-3A, AND SERIES 2008C-3B (ADVOCATE HEALTH CARE NETWORK) ON APRIL 25, 2008. BASED ON THE ADVICE OF BOND COUNSEL, THE ORGANIZATION IS TREATING THE SERIES 2008C BONDS AS THE SAME ISSUE AS THE SERIES 2007B BONDS FOR FEDERAL INCOME TAX PURPOSES. PURPOSE OF BOND SERIES 2008A-1 ISSUED 1/24/2013 FORM 990, SCHEDULE K, PART I (F) (CUSIP # 45200FED7) THE SERIES 2008A-1 BONDS WERE REISSUED FOR FEDERAL INCOME TAX PURPOSES ON JANUARY 24, 2013. PURPOSE OF BOND SERIES 2008A-2 ISSUED 2/1/2013 FORM 990, SCHEDULE K, PART I (F) (CUSIP # 45200FEE5) THE SERIES 2008A-2 BONDS WERE REISSUED FOR FEDERAL INCOME TAX PURPOSES ON FEBRUARY 1, 2013. PURPOSE OF BOND SERIES 2008A-3 ISSUED 5/1/2012 FORM 990, SCHEDULE K, PART I (F) (CUSIP # 45200FEF2) THE SERIES 2008A-3 BONDS WERE REISSUED FOR FEDERAL INCOME TAX PURPOSES ON MAY 1, 2012. PURPOSE OF BOND SERIES 2008D ISSUED 12/01/2008 FORM 990, SCHEDULE K, PART I (F) (CUSIP # 45200FSB6) THE PROCEEDS OF THE ILLINOIS FINANCE AUTHORITY REVENUE BONDS, SERIES 2008D (ADVOCATE HEALTH CARE NETWORK) WERE USED FOR THE PURPOSE, TOGETHER WITH OTHER AVAILABLE FUNDS, OF FINANCING THE COSTS OF PURCHASING ASSETS OF CONDELL MEDICAL CENTER AND THE COSTS OF CONSTRUCTING AND EQUIPPING A NEW PATIENT TOWER FOR ADVOCATE CONDELL MEDICAL CENTER. THE ACQUIRED ASSETS INCLUDE CONDELL MEDICAL CENTER, A 283-LICENSED BED ACUTE CARE HOSPITAL LOCATED IN LIBERTYVILLE, ILLINOIS. PURPOSE OF BOND SERIES 2010 ISSUED 1/06/2010 FORM 990, SCHEDULE K, PART I (F) (CUSIP # 45200FK65) THE PROCEEDS OF THE ILLINOIS FINANCE AUTHORITY REVENUE BONDS, SERIES 2010 (ADVOCATE HEALTH CARE NETWORK) WERE USED FOR THE PURPOSE, TOGETHER WITH OTHER AVAILABLE FUNDS, OF REFUNDING THE ORGANIZATION'S SERIES 2008B-1, SERIES 2008B-2, SERIES 2008B-3, SERIES 2008B-4 AND SERIES 2008B-5 BONDS, OF FINANCING THE COSTS RELATED TO THE MERGER WITH BROMENN HEALTHCARE SYSTEM AND THE COSTS RELATED TO THE CONSTRUCTING AND EQUIPPING A NEW PATIENT TOWER FOR ADVOCATE BROMENN MEDICAL CENTER AS WELL AS FINANCING CERTAIN CAPITAL EXPENDITURES AT OTHER HEALTH CARE FACILITIES OF THE ORGANIZATION. THE MERGED ASSETS INCLUDE BROMENN REGIONAL MEDICAL CENTER, A 221-LICENSED BED ACUTE CARE HOSPITAL LOCATED IN BLOOMINGTON, ILLINOIS AND EUREKA COMMUNITY HOSPITAL, A 25-LICENSED BED GENERAL ACUTE CARE HOSPITAL LOCATED IN EUREKA, ILLINOIS. PURPOSE OF BOND SERIES 2011 ISSUED 9/21/2011 FORM 990, SCHEDULE K, PART I (F) (CUSIP # 45203HCA8) THE PROCEEDS OF THE SERIES 2011A-2, SERIES 2011B, SERIES 2011C AND SERIES 2011D BONDS WERE USED FOR THE PURPOSE, TOGETHER WITH OTHER AVAILABLE FUNDS, OF FINANCING THE COST OF CONSTRUCTING, RENOVATING AND EQUIPPING A NINE STORY AMBULATORY CARE FACILITY AT ADVOCATE CHRIST MEDICAL CENTER AND CERTAIN OTHER CAPITAL PROJECTS AT THE HEALTH CARE FACILITIES OF THE ORGANIZATION, ADVOCATE NORTH SIDE HEALTH NETWORK AND ADVOCATE CONDELL MEDICAL CENTER. PURPOSE OF BOND SERIES 2012 ISSUED 11/29/2012 FORM 990, SCHEDULE K, PART I (F) (CUSIP # 45203HNJ7) THE PROCEEDS OF THE SERIES 2012 BONDS WERE USED FOR THE PURPOSE, TOGETHER WITH OTHER AVAILABLE FUNDS, OF FINANCING THE COST OF CONSTRUCTING, RENOVATING AND EQUIPPING AN OUTPATIENT CENTER AT ADVOCATE ILLINOIS MASONIC MEDICAL CENTER, AN AMBULATORY CARE FACILITY AT ADVOCATE CHRIST MEDICAL CENTER AND CERTAIN OTHER CAPITAL PROJECTS AT THE HEALTH CARE FACILITIES OF THE ORGANIZATION, ADVOCATE NORTH SIDE HEALTH NETWORK AND ADVOCATE CONDELL MEDICAL CENTER. PURPOSE OF BOND SERIES 2013A ISSUED 8/8/2013 FORM 990, SCHEDULE K, PART I (F) (CUSIP # 45203HUC4) THE PROCEEDS OF THE SERIES 2013A BONDS WERE USED FOR THE PURPOSE, TOGETHER WITH OTHER AVAILABLE FUNDS, OF FINANCING THE COST OF CONSTRUCTING, RENOVATING AND EQUIPPING AN ICU EXPANSION PROJECT AT ADVOCATE TRINITY HOSPITAL, A CAMPUS MODERNIZATION PROJECT AT ADVOCATE GOOD SHEPHERD HOSPITAL, AN EMERGENCY DEPARTMENT/SURGERY EXPANSION PROJECT AT ADVOCATE LUTHERAN GENERAL HOSPITAL, AND CERTAIN OTHER CAPITAL PROJECTS AT THE HEALTH CARE FACILITIES OF THE ORGANIZATION, ADVOCATE NORTH SIDE HEALTH NETWORK AND ADVOCATE CONDELL MEDICAL CENTER. PURPOSE OF BOND SERIES 2014 ISSUED 12/18/2014 FORM 990, SCHEDULE K, PART I (F) (CUSIP # 45203HE40) THE PROCEEDS OF THE SERIES 2014 BONDS WERE USED FOR THE PURPOSE, TOGETHER WITH OTHER AVAILABLE FUNDS, OF ADVANCE REFUNDING CERTAIN OF THE SERIES 2008D BONDS PREVIOUSLY ISSUED BY THE ILLINOIS FINANCE AUTHORITY FOR THE BENEFIT OF THE BORROWER AND ADVANCE REFUNDING THE SERIES 2007A BONDS PREVIOUSLY ISSED BY THE ILLINOIS FINANCE AUTHORITY FOR THE BENEFIT OF ADVOCATE SHERMAN HOSPITAL. PURPOSE OF BOND SERIES 2011A-1 ISSUED 9/21/2011 FORM 990, SCHEDULE K, PART I (F) (CUSIP # 45203HCM2) THE PROCEEDS OF THE SERIES 2011A-1 BONDS WERE USED FOR THE PURPOSE, TOGETHER WITH OTHER AVAILABLE FUNDS, OF REFUNDING ALL OF THE ORGANIZATION'S SERIES 1998A AND SERIES 1998B BONDS. FORM 990, SCHEDULE K, PART II, LINE 3 FOR THOSE BOND ISSUES WHERE THE TOTAL PROCEEDS LISTED IN PART II, LINE 3 ARE NOT IDENTICAL TO THE ISSUE PRICE FOR THE RELATED BOND ISSUE SHOWN IN PART I, COLUMN (E), THE DIFFERENCE REPRESENTS INVESTMENT EARNINGS. SERVICE CONTRACTS AND RESEARCH AGREEMENTS FORM 990, SCHEDULE K, PART III, LINE 3B, ALL BOND ISSUES INTERNAL COUNSEL REVIEWS ALL MANAGEMENT OR SERVICE CONTRACTS AND RESEARCH AGREEMENTS. THEREFORE, THE ORGANIZATION DOES NOT ROUTINELY ENGAGE OUTSIDE BOND COUNSEL TO REVIEW THE CONTRACTS. BOND COUNSEL DOES REVIEW CONTRACTS RELATED TO THE FINANCED PROPERTY DURING DUE DILIGENCE PRIOR TO A BOND TRANSACTION. PRIVATE BUSINESS USE PERCENTAGE FORM 990, SCHEDULE K, PART III, LINES 4-6, ALL BOND ISSUES PRIVATE BUSINESS USE PERCENTAGE WAS CALCULATED BASED ON NEW MONEY PORTION OF THE BOND ISSUE ONLY. PRIVATE SECURITY AND PAYMENT TEST FORM 990, SCHEDULE K, PART III, LINE 7, ALL BOND ISSUES ADVOCATE MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND THEREFORE, HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS. ARBITRAGE REBATE COMPUTATION FORM 990, SCHEDULE K, PART IV, LINE 2C (BOND SERIES 2003, CUSIP # 45200PXH5) THE REBATE COMPUTATION WAS PERFORMED AS OF OCTOBER 29, 2013. SCHEDULE K PART IV LINE 2C (BOND SERIES 2008C, CUSIP # 45200FAZ2) THE REBATE COMPUTATION WAS PERFORMED AS OF OCTOBER 10, 2012. SCHEDULE K PART IV LINE 2C (BOND SERIES 2008D, CUSIP # 45200FSB6) THE REBATE COMPUTATION WAS PERFORMED AS OF DECEMBER 1, 2013. SWAP PROVIDERS FORM 990, SCHEDULE K, PART IV, LINE 3B ON DECEMBER 28, 2011 THE ORIGINAL SWAP RELATING TO THESE BONDS WITH CITIBANK N.A. WAS SEPARATED INTO TWO TRANCHES AND NOVATED (ASSIGNED TO) TWO SEPARATE SWAP COUNTERPARTIES, WELLS FARGO BANK, N.A. AND PNC BANK, NATIONAL ASSOCIATION.
Schedule K (Form 990) 2014

Additional Data


Software ID:  
Software Version:  

Schedule K
(Form 990)
Department of the Treasury
Internal Revenue Service
Supplemental Information on Tax Exempt Bonds
SchKMediumBullet Complete if the organization answered "Yes" to Form 990, Part IV, line 24a. Provide descriptions,
explanations, and any additional information in Part VI.
SchKMediumBullet Attach to Form 990.
SchKMediumBulletInformation about Schedule K (Form 990) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
Open to Public
Inspection
Name of the organization
Advocate Health And Hospitals Corp
 
Employer identification number
36-2169147
Part I
Bond Issues
(a) Issuer name (b) Issuer EIN (c) CUSIP # (d) Date issued (e) Issue price (f) Description of purpose (g) Defeased (h) On
behalf of
issuer 		(i) Pool
financing
Yes No Yes No Yes No
A ILLINOIS HEALTH FACILITIES AUTHORITY
  		36-2780046 45200PXH5 10-29-2003 115,000,000 SEE SCHEDULE K, PART VI   X   X   X
B ILLINOIS FINANCE AUTHORITY
  		86-1091967 45200FED7 01-24-2013 51,134,288 SEE SCHEDULE K, PART VI   X   X   X
C ILLINOIS FINANCE AUTHORITY
  		86-1091967 45200FEE5 02-01-2013 43,219,722 SEE SCHEDULE K, PART VI   X   X   X
D ILLINOIS FINANCE AUTHORITY
  		86-1091967 45200FEF2 05-01-2012 51,142,165 SEE SCHEDULE K, PART VI   X   X   X
ILLINOIS FINANCE AUTHORITY
  		86-1091967 45200FAZ2 10-10-2007 348,300,000 SEE SCHEDULE K, PART VI   X   X   X
ILLINOIS FINANCE AUTHORITY
  		86-1091967 45200FSB6 12-01-2008 175,920,559 SEE SCHEDULE K, PART VI X     X   X
ILLINOIS FINANCE AUTHORITY
  		86-1091967 45200FK65 01-06-2010 243,746,239 SEE SCHEDULE K, PART VI   X   X   X
ILLINOIS FINANCE AUTHORITY
  		86-1091967 45203HCA8 09-21-2011 201,774,238 SEE SCHEDULE K, PART VI   X   X   X
ILLINOIS FINANCE AUTHORITY
  		86-1091967 45203HNJ7 11-29-2012 150,003,863 SEE SCHEDULE K, PART VI   X   X   X
ILLINOIS FINANCE AUTHORITY
  		86-1091967 45203HUC4 08-08-2013 103,136,955 SEE SCHEDULE K, PART VI   X   X   X
ILLINOIS FINANCE AUTHORITY
  		86-1091967 45203HE40 12-18-2014 341,558,564 SEE SCHEDULE K, PART VI   X   X   X
ILLINOIS FINANCE AUTHORITY
  		86-1091967 45203HCM2 09-21-2011 12,453,367 SEE SCHEDULE K, PART VI   X   X   X
Part II
Proceeds
A B C D
1 Amount of bonds retired . . . . . . . . . . . . . . 76,340,000 0 0 0
2 Amount of bonds legally defeased . . . . . . . . . . . 0 0 0 0
3 Total proceeds of issue . . . . . . . . . . . . . . 116,432,024 51,134,288 43,219,722 51,142,165
4 Gross proceeds in reserve funds . . . . . . . . . . . . 0 0 0 0
5 Capitalized interest from proceeds . . . . . . . . . . . 0 0 0 0
6 Proceeds in refunding escrows . . . . . . . . . . . . 0 0 0 0
7 Issuance costs from proceeds . . . . . . . . . . . . 1,034,454 0 0 0
8 Credit enhancement from proceeds . . . . . . . . . . . 0 0 0 0
9 Working capital expenditures from proceeds . . . . . . . . . 0 0 0 0
10 Capital expenditures from proceeds . . . . . . . . . . . 111,807,084 0 0 0
11 Other spent proceeds . . . . . . . . . . . . . . 0 51,134,288 43,219,722 51,142,165
12 Other unspent proceeds . . . . . . . . . . . . . . 0 0 0 0
13 Year of substantial completion . . . . . . . . . . . . 2005 2009 2009 2009
Yes No Yes No Yes No Yes No
14 Were the bonds issued as part of a current refunding issue? . . . . .   X X   X   X  
15 Were the bonds issued as part of an advance refunding issue? . . . . .   X   X   X   X
16 Has the final allocation of proceeds been made? . . . . . . . . X   X   X   X  
17 Does the organization maintain adequate books and records to support the final allocation of proceeds? . . . . . . . . . . . . . . X   X   X   X  
Part III
Private Business Use
A B C D
Yes No Yes No Yes No Yes No
1 Was the organization a partner in a partnership, or a member of an LLC, which owned property financed by tax-exempt bonds? . . . . . . .   X   X   X   X
2 Are there any lease arrangements that may result in private business use of bond-financed property? . . . . . . . . . X   X   X   X  
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50193E
Schedule K (Form 990) 2014
Schedule K (Form 990) 2014
Page 2
Part III
Private Business Use (Continued)
A B C D
Yes No Yes No Yes No Yes No
3a Are there any management or service contracts that may result in private business use of bond-financed property? . . . . . . . . . . . . X   X   X   X  
b If "Yes" to line 3a, does the organization routinely engage bond counsel or other outside counsel to review any management or service contracts relating to the financed property?   X   X   X   X
c Are there any research agreements that may result in private business use of bond-financed property? . . . . . . . . . . . . . . .   X   X   X   X
d If "Yes" to line 3c, does the organization routinely engage bond counsel or other outside counsel to review any research agreements relating to the financed property?                
4 Enter the percentage of financed property used in a private business use by entities other than a section 501(c)(3) organization or a state or local government . . SchKMediumBullet 0.100 % 0.110 % 0.110 % 0.110 %
5 Enter the percentage of financed property used in a private business use as a result of unrelated trade or business activity carried on by your organization, another section 501(c)(3) organization, or a state or local government . . . . . . . SchKMediumBullet 0 % 0 % 0 % 0 %
6 Total of lines 4 and 5 . . . . . . . . . . . . . 0.100 % 0.110 % 0.110 % 0.110 %
7 Does the bond issue meet the private security or payment test? . . . . .   X   X   X   X
8a Has there been a sale or disposition of any of the bond-financed property to a nongovernmental person other than a 501(c)(3) organization since the bonds were issued?. . . . . . . . . . . . . . . . . X     X   X   X
b If "Yes" to line 8a, enter the percentage of bond-financed property sold or disposed of. 0.600 % 0 % 0 % 0 %
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? . . . . . . . . . . . . . X     X   X   X
9 Has the organization established written procedures to ensure that all nonqualified bonds of the issue are remediated in accordance with the requirements under
Regulations sections 1.141-12 and 1.145-2? . . . . . . . 		X   X   X   X  
Part IV
Arbitrage
A B C D
Yes No Yes No Yes No Yes No
1 Has the issuer filed Form 8038-T, Arbitrage Rebate, Yield Reduction and Penalty in Lieu of Arbitrage Rebate? . .   X   X   X   X
2 If "No" to line 1, did the following apply? . . . .
a Rebate not due yet? . . . . . . . .   X X   X   X  
b Exception to rebate? . . . . . . . .   X   X   X   X
c No rebate due? . . . . . . . . X     X   X   X
If "Yes" to line 2c, provide in Part VI the date the rebate
computation was performed . . . . . .
3 Is the bond issue a variable rate issue? . . . . X   X   X   X  
4a Has the organization or the governmental issuer entered into a qualified hedge with respect to the bond issue?   X   X   X   X
b Name of provider . . . . . . . . . 0
  		0
  		0
  		 
 
c Term of hedge . . . . . . . . . . 26.8      
d Was the hedge superintegrated? . . . .   X            
e Was the hedge terminated? . . . . . .   X            
Schedule K (Form 990) 2014
Schedule K (Form 990) 2014
Page 3
Part IV
Arbitrage (Continued)
A B C D
Yes No Yes No Yes No Yes No
5a Were gross proceeds invested in a guaranteed investment contract (GIC)? . . . . . . . . .   X   X   X   X
b Name of provider . . . . . . . . . 0
  		0
  		0
  		0
 
c Term of GIC . . . . . . . . . . 2.1      
d Was the regulatory safe harbor for establishing the fair market value of the GIC satisfied? . . . . . X              
6 Were any gross proceeds invested beyond an available temporary period? . . . . . . . .   X   X   X   X
7 Has the organization established written procedures to monitor the requirements of section 148? . . . X   X   X   X  
Part V
Procedures To Undertake Corrective Action
A B C D
Yes No Yes No Yes No Yes No
Has the organization established written procedures to ensure that violations of federal tax requirements are timely identified and corrected through the voluntary closing agreement program if self-remediation is not available under applicable regulations? X   X   X   X  
Part VI
Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).
Return Reference Explanation
Schedule K, Part II-13, Line 3 PURPOSE OF BOND SERIES 2003 ISSUED 10/29/2003 FORM 990, SCHEDULE K, PART 1(F) (CUSIP # 45200PXH5) THE PROCEEDS OF THE ILLINOIS HEALTH FACILITIES AUTHORITY REVENUE BONDS, SERIES 2003A, 2003B AND SERIES 2003C (ADVOCATE HEALTH CARE NETWORK) WERE USED FOR THE PURPOSE, TOGETHER WITH OTHER AVAILABLE FUNDS, OF FINANCING CERTAIN CAPITAL EXPENDITURES OF CERTAIN OF THE HEALTH CARE FACILITIES OF THE ORGANIZATION AND ADVOCATE NORTH SIDE HEALTH NETWORK. PURPOSE OF BOND SERIES 2008C ISSUED 10/10/2007 FORM 990, SCHEDULE K, PART I (F) (CUSIP #45200FAZ2) THE PROCEEDS OF THE ILLINOIS FINANCE AUTHORITY REVENUE BONDS, SERIES 2007B-1, SERIES 2007B-2 AND SERIES 2007B-3 (ADVOCATE HEALTH CARE NETWORK), WERE USED FOR THE PURPOSE, TOGETHER WITH OTHER AVAILABLE FUNDS, OF FINANCING CERTAIN CAPITAL EXPENDITURES OF CERTAIN OF HEALTH CARE FACILITIES OF THE ORGANIZATION AND ADVOCATE NORTH SIDE HEALTH NETWORK, AND OF REFUNDING ALL OR A PORTION OF THE ORGANIZATION'S SERIES 1997A BONDS, SERIES 1997B BONDS, SERIES 2003B BONDS AND SERIES 2005 BONDS WHICH WERE ISSUED ON JANUARY 9, 1997, OCTOBER 23, 2003, AND JULY 7, 2005, RESPECTIVELY. THE SERIES 2007B BONDS WERE EXCHANGED FOR THE ILLINOIS FINANCE AUTHORITY REVENUE BONDS, SERIES 2008C-1, SERIES 2008C-2A, SERIES 2008C-2B, SERIES 2008C-3A, AND SERIES 2008C-3B (ADVOCATE HEALTH CARE NETWORK) ON APRIL 25, 2008. BASED ON THE ADVICE OF BOND COUNSEL, THE ORGANIZATION IS TREATING THE SERIES 2008C BONDS AS THE SAME ISSUE AS THE SERIES 2007B BONDS FOR FEDERAL INCOME TAX PURPOSES. PURPOSE OF BOND SERIES 2008A-1 ISSUED 1/24/2013 FORM 990, SCHEDULE K, PART I (F) (CUSIP # 45200FED7) THE SERIES 2008A-1 BONDS WERE REISSUED FOR FEDERAL INCOME TAX PURPOSES ON JANUARY 24, 2013. PURPOSE OF BOND SERIES 2008A-2 ISSUED 2/1/2013 FORM 990, SCHEDULE K, PART I (F) (CUSIP # 45200FEE5) THE SERIES 2008A-2 BONDS WERE REISSUED FOR FEDERAL INCOME TAX PURPOSES ON FEBRUARY 1, 2013. PURPOSE OF BOND SERIES 2008A-3 ISSUED 5/1/2012 FORM 990, SCHEDULE K, PART I (F) (CUSIP # 45200FEF2) THE SERIES 2008A-3 BONDS WERE REISSUED FOR FEDERAL INCOME TAX PURPOSES ON MAY 1, 2012. PURPOSE OF BOND SERIES 2008D ISSUED 12/01/2008 FORM 990, SCHEDULE K, PART I (F) (CUSIP # 45200FSB6) THE PROCEEDS OF THE ILLINOIS FINANCE AUTHORITY REVENUE BONDS, SERIES 2008D (ADVOCATE HEALTH CARE NETWORK) WERE USED FOR THE PURPOSE, TOGETHER WITH OTHER AVAILABLE FUNDS, OF FINANCING THE COSTS OF PURCHASING ASSETS OF CONDELL MEDICAL CENTER AND THE COSTS OF CONSTRUCTING AND EQUIPPING A NEW PATIENT TOWER FOR ADVOCATE CONDELL MEDICAL CENTER. THE ACQUIRED ASSETS INCLUDE CONDELL MEDICAL CENTER, A 283-LICENSED BED ACUTE CARE HOSPITAL LOCATED IN LIBERTYVILLE, ILLINOIS. PURPOSE OF BOND SERIES 2010 ISSUED 1/06/2010 FORM 990, SCHEDULE K, PART I (F) (CUSIP # 45200FK65) THE PROCEEDS OF THE ILLINOIS FINANCE AUTHORITY REVENUE BONDS, SERIES 2010 (ADVOCATE HEALTH CARE NETWORK) WERE USED FOR THE PURPOSE, TOGETHER WITH OTHER AVAILABLE FUNDS, OF REFUNDING THE ORGANIZATION'S SERIES 2008B-1, SERIES 2008B-2, SERIES 2008B-3, SERIES 2008B-4 AND SERIES 2008B-5 BONDS, OF FINANCING THE COSTS RELATED TO THE MERGER WITH BROMENN HEALTHCARE SYSTEM AND THE COSTS RELATED TO THE CONSTRUCTING AND EQUIPPING A NEW PATIENT TOWER FOR ADVOCATE BROMENN MEDICAL CENTER AS WELL AS FINANCING CERTAIN CAPITAL EXPENDITURES AT OTHER HEALTH CARE FACILITIES OF THE ORGANIZATION. THE MERGED ASSETS INCLUDE BROMENN REGIONAL MEDICAL CENTER, A 221-LICENSED BED ACUTE CARE HOSPITAL LOCATED IN BLOOMINGTON, ILLINOIS AND EUREKA COMMUNITY HOSPITAL, A 25-LICENSED BED GENERAL ACUTE CARE HOSPITAL LOCATED IN EUREKA, ILLINOIS. PURPOSE OF BOND SERIES 2011 ISSUED 9/21/2011 FORM 990, SCHEDULE K, PART I (F) (CUSIP # 45203HCA8) THE PROCEEDS OF THE SERIES 2011A-2, SERIES 2011B, SERIES 2011C AND SERIES 2011D BONDS WERE USED FOR THE PURPOSE, TOGETHER WITH OTHER AVAILABLE FUNDS, OF FINANCING THE COST OF CONSTRUCTING, RENOVATING AND EQUIPPING A NINE STORY AMBULATORY CARE FACILITY AT ADVOCATE CHRIST MEDICAL CENTER AND CERTAIN OTHER CAPITAL PROJECTS AT THE HEALTH CARE FACILITIES OF THE ORGANIZATION, ADVOCATE NORTH SIDE HEALTH NETWORK AND ADVOCATE CONDELL MEDICAL CENTER. PURPOSE OF BOND SERIES 2012 ISSUED 11/29/2012 FORM 990, SCHEDULE K, PART I (F) (CUSIP # 45203HNJ7) THE PROCEEDS OF THE SERIES 2012 BONDS WERE USED FOR THE PURPOSE, TOGETHER WITH OTHER AVAILABLE FUNDS, OF FINANCING THE COST OF CONSTRUCTING, RENOVATING AND EQUIPPING AN OUTPATIENT CENTER AT ADVOCATE ILLINOIS MASONIC MEDICAL CENTER, AN AMBULATORY CARE FACILITY AT ADVOCATE CHRIST MEDICAL CENTER AND CERTAIN OTHER CAPITAL PROJECTS AT THE HEALTH CARE FACILITIES OF THE ORGANIZATION, ADVOCATE NORTH SIDE HEALTH NETWORK AND ADVOCATE CONDELL MEDICAL CENTER. PURPOSE OF BOND SERIES 2013A ISSUED 8/8/2013 FORM 990, SCHEDULE K, PART I (F) (CUSIP # 45203HUC4) THE PROCEEDS OF THE SERIES 2013A BONDS WERE USED FOR THE PURPOSE, TOGETHER WITH OTHER AVAILABLE FUNDS, OF FINANCING THE COST OF CONSTRUCTING, RENOVATING AND EQUIPPING AN ICU EXPANSION PROJECT AT ADVOCATE TRINITY HOSPITAL, A CAMPUS MODERNIZATION PROJECT AT ADVOCATE GOOD SHEPHERD HOSPITAL, AN EMERGENCY DEPARTMENT/SURGERY EXPANSION PROJECT AT ADVOCATE LUTHERAN GENERAL HOSPITAL, AND CERTAIN OTHER CAPITAL PROJECTS AT THE HEALTH CARE FACILITIES OF THE ORGANIZATION, ADVOCATE NORTH SIDE HEALTH NETWORK AND ADVOCATE CONDELL MEDICAL CENTER. PURPOSE OF BOND SERIES 2014 ISSUED 12/18/2014 FORM 990, SCHEDULE K, PART I (F) (CUSIP # 45203HE40) THE PROCEEDS OF THE SERIES 2014 BONDS WERE USED FOR THE PURPOSE, TOGETHER WITH OTHER AVAILABLE FUNDS, OF ADVANCE REFUNDING CERTAIN OF THE SERIES 2008D BONDS PREVIOUSLY ISSUED BY THE ILLINOIS FINANCE AUTHORITY FOR THE BENEFIT OF THE BORROWER AND ADVANCE REFUNDING THE SERIES 2007A BONDS PREVIOUSLY ISSED BY THE ILLINOIS FINANCE AUTHORITY FOR THE BENEFIT OF ADVOCATE SHERMAN HOSPITAL. PURPOSE OF BOND SERIES 2011A-1 ISSUED 9/21/2011 FORM 990, SCHEDULE K, PART I (F) (CUSIP # 45203HCM2) THE PROCEEDS OF THE SERIES 2011A-1 BONDS WERE USED FOR THE PURPOSE, TOGETHER WITH OTHER AVAILABLE FUNDS, OF REFUNDING ALL OF THE ORGANIZATION'S SERIES 1998A AND SERIES 1998B BONDS. FORM 990, SCHEDULE K, PART II, LINE 3 FOR THOSE BOND ISSUES WHERE THE TOTAL PROCEEDS LISTED IN PART II, LINE 3 ARE NOT IDENTICAL TO THE ISSUE PRICE FOR THE RELATED BOND ISSUE SHOWN IN PART I, COLUMN (E), THE DIFFERENCE REPRESENTS INVESTMENT EARNINGS. SERVICE CONTRACTS AND RESEARCH AGREEMENTS FORM 990, SCHEDULE K, PART III, LINE 3B, ALL BOND ISSUES INTERNAL COUNSEL REVIEWS ALL MANAGEMENT OR SERVICE CONTRACTS AND RESEARCH AGREEMENTS. THEREFORE, THE ORGANIZATION DOES NOT ROUTINELY ENGAGE OUTSIDE BOND COUNSEL TO REVIEW THE CONTRACTS. BOND COUNSEL DOES REVIEW CONTRACTS RELATED TO THE FINANCED PROPERTY DURING DUE DILIGENCE PRIOR TO A BOND TRANSACTION. PRIVATE BUSINESS USE PERCENTAGE FORM 990, SCHEDULE K, PART III, LINES 4-6, ALL BOND ISSUES PRIVATE BUSINESS USE PERCENTAGE WAS CALCULATED BASED ON NEW MONEY PORTION OF THE BOND ISSUE ONLY. PRIVATE SECURITY AND PAYMENT TEST FORM 990, SCHEDULE K, PART III, LINE 7, ALL BOND ISSUES ADVOCATE MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND THEREFORE, HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS. ARBITRAGE REBATE COMPUTATION FORM 990, SCHEDULE K, PART IV, LINE 2C (BOND SERIES 2003, CUSIP # 45200PXH5) THE REBATE COMPUTATION WAS PERFORMED AS OF OCTOBER 29, 2013. SCHEDULE K PART IV LINE 2C (BOND SERIES 2008C, CUSIP # 45200FAZ2) THE REBATE COMPUTATION WAS PERFORMED AS OF OCTOBER 10, 2012. SCHEDULE K PART IV LINE 2C (BOND SERIES 2008D, CUSIP # 45200FSB6) THE REBATE COMPUTATION WAS PERFORMED AS OF DECEMBER 1, 2013. SWAP PROVIDERS FORM 990, SCHEDULE K, PART IV, LINE 3B ON DECEMBER 28, 2011 THE ORIGINAL SWAP RELATING TO THESE BONDS WITH CITIBANK N.A. WAS SEPARATED INTO TWO TRANCHES AND NOVATED (ASSIGNED TO) TWO SEPARATE SWAP COUNTERPARTIES, WELLS FARGO BANK, N.A. AND PNC BANK, NATIONAL ASSOCIATION.
Schedule K (Form 990) 2014

Additional Data


Software ID:  
Software Version:  

Schedule L
(Form 990 or 990-EZ)
Department of the Treasury
Internal Revenue Service
Transactions with Interested Persons
MediumBullet Complete if the organization answered
"Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c,
or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet Attach to Form 990 or Form 990-EZ.
MediumBulletInformation about Schedule L (Form 990 or 990-EZ) and its instructions is at www.irs.gov/form990.
OMB No. 1545-0047
2014
Open to Public Inspection
Name of the organization
Advocate Health And Hospitals Corp
 
Employer identification number

36-2169147
Part I
Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and 501(c)(29) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.
1(a) Name of disqualified person (b) Relationship between disqualified person and organization (c) Description of transaction (d) Corrected?
Yes No





2
Enter the amount of tax incurred by organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image$
 
3
Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ....... Bullet Image$
 

Part II
Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22
(a) Name of interested person (b) Relationship with organization (c) Purpose of loan (d) Loan to or from the organization? (e)Original principal amount (f)Balance due (g) In default? (h) Approved by board or committee? (i)Written agreement?
To From Yes No Yes No Yes No
(1) Lawn Medical Center SEE PART IV SEE PART IV   X 370,000 102,368   No Yes   Yes  
Total ......Small Bullet $ 102,368
Part III
Grants or Assistance Benefiting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of assistance (d) Type of assistance (e) Purpose of assistance
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 50056A
Schedule L (Form 990 or 990-EZ) 2014
Schedule L (Form 990 or 990-EZ) 2014
Page 2
Part IV
Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.
(a) Name of interested person (b) Relationship between interested person and the organization (c) Amount of transaction (d) Description of transaction (e) Sharing of organization's revenues?
Yes No
(1) Julie Nakis FAMILY MBR - D. NAKIS 63,947 EMPLOYMENT   No
(2) Michael Mahoney FAMILY MBR - D. NAKIS 54,583 EMPLOYMENT   No
(3) James Richardson FAMILY MBR - M.RICHARDSON 401,642 EMPLOYMENT   No
(4) BRIAN MCKENNY FAMILY MBR - JAMES DAN 16,168 EMPLOYMENT   No
(5) ANNE KATZ MD FAMILY MBR - LEE SACKS 279,560 EMPLOYMENT   No
(6) Emily Heim FAMILY MBR - RICHARD HEIM 16,093 EMPLOYMENT   No
Part V
Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).
Return Reference Explanation
FORM 990, SCHEDULE L, PART II, LINE 1(C) Relationship: Gary Stuck, Director of AHHC is an owner of Lawn Medical Center. PURPOSE OF LOAN: TO BRING NEW PHYSICIAN INTO PRACTICE
Schedule L (Form 990 or 990-EZ) 2014

Additional Data


Software ID:  
Software Version:  




SCHEDULE O
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service
Supplemental Information to Form 990 or 990-EZ

Complete to provide information for responses to specific questions on
Form 990 or 990-EZ or to provide any additional information.
MediumBullet Attach to Form 990 or 990-EZ.
MediumBullet Information about Schedule O (Form 990 or 990-EZ) and its instructions is at
www.irs.gov/form990.
OMB No. 1545-0047
2014
Open to Public
Inspection
Name of the organization
Advocate Health And Hospitals Corp
 
Employer identification number

36-2169147
Return Reference Explanation
FORM 990, PART III, LINE 4A PROVIDING INPATIENT AND OUTPATIENT HEALTHCARE SERVICES TO THE COMMUNITY REGARDLESS OF THE PATIENTS' ABILITY TO PAY. INCLUDED IN THESE HEALTH CARE SERVICES ARE THE PROVISION OF CHARITY CARE AND TRAUMA CARE. AS PART OF ITS COMMUNITY BENEFITS STRATEGY AND ITS MISSION, ADVOCATE IS COMMITTED TO PROMOTING INITIATIVES THAT ENHANCE ACCESS TO HEALTH CARE FOR THE UNINSURED, UNDERINSURED AND LOW INCOME. AN EXAMPLE OF THIS IS ADVOCATE'S PROVISION OF CHARITY CARE. ADVOCATE OFFERS A VERY GENEROUS CHARITY CARE PROGRAM - REQUIRING NO PAYMENTS FROM THE PATIENTS MOST IN NEED, AND PROVIDING DISCOUNTS TO UNINSURED PATIENTS EARNING UP TO SIX TIMES THE FEDERAL POVERTY LEVEL, AND TO INSURED PATIENTS EARNING UP TO FOUR TIMES THE FEDERAL POVERTY LEVEL. ADVOCATE ALSO CONSIDERS AN INDIVIDUAL'S EXTENUATING CIRCUMSTANCES TO QUALIFY PATIENTS FOR CHARITY CARE. FOR UNINSURED PATIENTS, ADVOCATE WILL PRESUMPTIVELY PROVIDE CHARITY CARE IF THE FINANCIAL STATUS HAS BEEN VERIFIED BY A THIRD PARTY AND, IN THESE CASES, THE PATIENT IS NOT REQUIRED TO SUBMIT A SEPARATE CHARITY APPLICATION. IF PRESUMPTIVE CRITERIA IS NOT AVAILABLE FOR UNINSURED PATIENTS, THEN FINANCIAL ASSISTANCE ELIGIBILITY IS AVAILABLE USING AN INCOME-BASED SCREENING. ADVOCATE EXTENDS ITS INCOME-BASED FINANCIAL ASSISTANCE POLICY TO ITS INSURED PATIENTS AS WELL, ALSO TAKING INTO CONSIDERATION THE INSURED INDIVIDUAL'S EXTENUATING CIRCUMSTANCES. ALTHOUGH ADVOCATE'S CHARITY CARE POLICY IS VERY GENEROUS, ADVOCATE CONTINUES TO REVIEW AND REFINE ITS POLICY IN AN ONGOING EFFORT TO ENSURE THAT FINANCIAL ASSISTANCE IS AVAILABLE WHEN THEY NEED IT TO THOSE WHO NEED HELP. ADVOCATE HOSPITALS MAINTAIN HIGHLY VISIBLE SIGNAGE AND BROCHURES IN MULTIPLE LANGUAGES TO INFORM PATIENTS OF THE AVAILABILITY OF FINANCIAL HELP AND FINANCIAL COUNSELORS. INFORMATION ABOUT ADVOCATE'S CHARITY CARE PROGRAM AND CHARITY APPLICATIONS IS PROVIDED TO ALL UNINSURED PATIENTS DURING REGISTRATION AND IS MAILED TO THEM IN ADVANCE OF THE FIRST PATIENT BILLING. AFTER THAT, EACH UNINSURED PATIENT BILL INCLUDES SUMMARY INFORMATION REGARDING THE CHARITY CARE PROGRAM. ADVOCATE IS ALSO ONE OF THE LARGEST PROVIDERS OF HEALTH CARE SERVICES TO MEDICAID AND MEDICARE PATIENTS IN CHICAGO AND THE SURROUNDING SUBURBS. IN THE AREA OF TRAUMA CARE, ADVOCATE HEALTH CARE IS DEDICATED TO PROVIDING EXPERT EMERGENCY CARE - TODAY AND IN THE FUTURE. ADVOCATE'S FIVE LEVEL I TRAUMA CENTERS, THE HIGHEST DESIGNATION LEVEL FOR TRAUMA CENTERS, CARE FOR THE MOST SERIOUSLY INJURED PEOPLE IN CHICAGOLAND. AS IS THE CASE WITH ALL ILLINOIS LEVEL I TRAUMA CENTERS, ADVOCATE'S TRAUMA CENTERS ARE STAFFED BY ON-SITE, 24-HOUR-A-DAY TRAUMA SURGEONS; FEATURE 24-HOUR SURGICAL AND NONSURGICAL SERVICES, SUCH AS RADIOLOGY AND ANESTHESIA; AND CAN ACCOMMODATE HELICOPTER TRANSPORTS. ADVOCATE OPERATES NEARLY ONE-QUARTER OF ALL LEVEL I TRAUMA CENTERS IN ILLINOIS AND IS THE LARGEST TRAUMA SYSTEM IN THE STATE OF ILLINOIS. TWENTY PERCENT OF TRAUMA PATIENTS IN METROPOLITAN CHICAGO ARE TREATED IN AN ADVOCATE TRAUMA CENTER ANNUALLY. FORM 990, PART III, LINE 4B HEALTH CARE SERVICES PROVIDED BY PHYSICIANS EMPLOYED BY THE ORGANIZATION. AS PART OF ADVOCATE'S BROAD ARRAY OF SERVICES AND PROGRAMS DESIGNED TO MEET COMMUNITY HEALTH NEEDS, ADVOCATE PHYSICIANS FOCUS ON ADDRESSING THE MOST SIGNIFICANT ISSUES IMPACTING PUBLIC HEALTH IN ADVOCATE'S SERVICE AREA. THROUGH THIS FOCUSED APPROACH, PHYSICIANS ALSO CONCENTRATE ON PROVIDING PROGRAMS AND SERVICES THAT TARGET UNIQUE HEALTH ACCESS NEEDS OF THE UNINSURED, UNDERINSURED, UNDERSERVED, LOW INCOME AND SPECIAL NEEDS INDIVIDUALS LIVING IN CHICAGOLAND AND CENTRAL ILLINOIS COMMUNITIES. DOWN SYNDROME CENTER - AT THE ADULT DOWN SYNDROME CENTER ON THE ADVOCATE LUTHERAN GENERAL HOSPITAL CAMPUS, FOR EXAMPLE, ADVOCATE PHYSICIANS PROVIDE CRUCIAL PSYCHOSOCIAL AND MEDICAL SERVICES TO ADOLESCENTS AND ADULTS WITH DOWN SYNDROME LIVING IN ALL AREAS OF ILLINOIS. MANY INDIVIDUALS IN THIS UNIQUE POPULATION RECEIVE PUBLIC ASSISTANCE AND, IN MOST INSTANCES, THERE ARE FEW SOURCES OF REIMBURSEMENT FOR THESE MUCH NEEDED SERVICES. IN 2014, THE CENTER HAD NEARLY 3,000 ACTIVE PATIENTS AND 7,000 PATIENT VISITS. SCHOOL-BASED HEALTH CENTER - A COMMUNITY PARTNERSHIP WITH MAINE TOWNSHIP DISTRICT 207 PLACES ADVOCATE PHYSICIANS AT THE MAINE EAST HIGH SCHOOL-BASED HEALTH CENTER TO PROVIDE UNINSURED AND UNDERINSURED STUDENTS FROM ALL MAINE TOWNSHIP HIGH SCHOOLS - EAST, WEST AND SOUTH - WITH FREE OR LOW-COST PHYSICALS, IMMUNIZATIONS, BEHAVIORAL HEALTH TREATMENT, NUTRITIONAL EDUCATION AND COUNSELING. THESE SERVICES HELP THE STUDENTS MEET STATE-MANDATED PHYSICAL AND IMMUNIZATION REQUIREMENTS. THE CENTER'S MEDICAL DIRECTOR AND STAFF HAVE HAD MORE THAN 22,000 STUDENT CONTACTS SINCE THE FACILITY'S INCEPTION IN 2003. IN 2014, FOR THE 17TH YEAR IN A ROW, ADVOCATE MEDICAL GROUP (AMG) SPONSORED MEDFEST - A COLLABORATIVE WITH SPECIAL OLYMPICS OF ILLINOIS. MEDFEST PROVIDES PEOPLE WITH INTELLECTUAL DISABILITIES OPPORTUNITIES TO PARTICIPATE IN SPORTS TRAINING AND COMPETITIONS, CREATING AVENUES FOR INCLUSION AND ACCEPTANCE FOR THIS UNDERSERVED POPULATION. AMG PROVIDED 1,651 FREE ATHLETIC PHYSICALS TO SPECIAL OLYMPIANS IN 2014, ALLOWING THEM OPPORTUNITIES TO PARTICIPATE IN COMPETITIONS THROUGHOUT THE YEAR. IN ADDITION TO THE EXAMPLES PROVIDED ABOVE, ADVOCATE PHYSICIANS ALSO PROVIDE YEAR ROUND HEALTH EDUCATION, LECTURES AND SCREENINGS AND CONSULTATIONS AT COMMUNITY HEALTH EVENTS THROUGHOUT THE METROPOLITAN CHICAGO AREA. FORM 990, PART III, LINE 4C GRADUATE MEDICAL EDUCATION. ADVOCATE IS COMMITTED TO TRAINING HEALTH CARE PROVIDERS IN A BROAD RANGE OF SPECIALTIES. NOTABLY, ADVOCATE HEALTH CARE IS THE LEADING TRAINER OF PRIMARY CARE PHYSICIANS IN ILLINOIS. ADVOCATE'S PRIMARY ACADEMIC AFFILIATIONS ARE WITH THE UNIVERSITY OF ILLINOIS COLLEGE OF MEDICINE IN CHICAGO, ROSALIND FRANKLIN UNIVERSITY OF HEALTH SCIENCES/CHICAGO MEDICAL SCHOOL AND MIDWESTERN UNIVERSITY/CHICAGO COLLEGE OF OSTEOPATHIC MEDICINE. PARTICIPATION IN MEDICAL EDUCATION OCCURS AT THE UNDERGRADUATE, GRADUATE AND FELLOWSHIP LEVELS. IN 2014, 2,464 MEDICAL STUDENTS COMPLETED ROTATIONS AND 632 RESIDENTS AND FELLOWS RECEIVED HANDS-ON TRAINING AT ADVOCATE'S FOUR TEACHING HOSPITALS - ADVOCATE BROMENN MEDICAL CENTER, ADVOCATE CHRIST MEDICAL CENTER, ADVOCATE ILLINOIS MASONIC MEDICAL CENTER AND ADVOCATE LUTHERAN GENERAL HOSPITAL. NOT INCLUDED IN THE ABOVE EXPENSE AND REVENUE AMOUNTS BUT IMPORTANT TO THE ORGANIZATION'S ROLE IN TRAINING HEALTH CARE PROFESSIONALS, IS THE NURSING RESIDENCY PROGRAM AT ADVOCATE GOOD SAMARITAN HOSPITAL, AS WELL AS PROGRAMS WHICH TRAIN OTHER UNDERGRADUATE STUDENTS IN NURSING, RESPIRATORY CARE, RADIOLOGIC TECHNOLOGY, PHYSICAL THERAPY, PHARMACEUTICAL SERVICES AND OTHER DISCIPLINES AT ADVOCATE SITES OF CARE. ADDITIONALLY, ADVOCATE'S SPIRITUAL LEADERS OVERSEE A NATIONALLY ACCREDITED CLINICAL PASTORAL EDUCATION PROGRAM. TRAINING OVER 175 STUDENTS EACH YEAR, THIS PROGRAM IS ONE OF THE LARGEST IN THE COUNTRY, PROVIDING OPPORTUNITIES FOR SEMINARY STUDENTS AND LOCAL HEALTH LEADERS TO GROW AND DEVELOP SPIRITUAL CARE MINISTRY SKILLS. FORM 990, PART III, LINE 4D OTHER PROGRAM SERVICES ADVOCATE HEALTH CARE IS RANKED ONE OF THE NATION'S TOP FIVE INTEGRATED DELIVERY NETWORKS BY IMS HEALTH AND HAS EARNED 100 TOP HOSPITALS RECOGNITION BY TRUVEN HEALTH ANALYTICS AT FIVE OF ITS HOSPITALS, INCLUDING ADVOCATE CHRIST MEDICAL CENTER, ADVOCATE CONDELL MEDICAL CENTER, ADVOCATE GOOD SAMARITAN HOSPITAL, ADVOCATE ILLINOIS MASONIC MEDICAL CENTER, AND ADVOCATE LUTHERAN GENERAL HOSPITAL. ADVOCATE IS THE LARGEST INTEGRATED HEALTH CARE SYSTEM IN ILLINOIS AND ONE OF THE LARGEST HEALTH CARE PROVIDERS IN THE MIDWEST. IN 2014, AS PART OF A NETWORK WITH OVER 250 SITES OF CARE, ITS MORE THAN 35,000 ASSOCIATES PROVIDED CARE AT ADVOCATE'S ELEVEN FULL-SERVICE ACUTE CARE HOSPITALS, AND A CHILDREN'S HOSPITAL LOCATED ON TWO CAMPUSES (OAK LAWN AND PARK RIDGE), FOR A TOTAL OF 3,300 BEDS. ADVOCATE'S HOSPITALS HAD A COMBINED TOTAL OF 168,077 INPATIENT ADMISSIONS, 1,878,528 OUTPATIENT VISITS AND 531,663 EMERGENCY DEPARTMENT VISITS IN 2014. ADVOCATE PROVIDES EXPERT EMERGENCY CARE TO THE CHICAGO AREA'S SERIOUSLY INJURED PEOPLE THROUGH ITS FIVE LEVEL I TRAUMA CENTERS (THE STATE'S HIGHEST DESIGNATION IN TRAUMA CARE), WHICH COMPRISE THE LARGEST EMERGENCY AND LEVEL 1 TRAUMA NETWORK IN ILLINOIS, AND THREE LEVEL II TRAUMA CENTERS. IN 2014, ADVOCATE'S LEVEL I TRAUMA CENTERS HANDLED 7,876 TRAUMA AND 307,326 EMERGENCY ROOM VISITS; AND THE LEVEL II TRAUMA CENTERS HANDLED 1,104 TRAUMA AND 129,447 EMERGENCY ROOM VISITS. IN ADDITION, FOUR OF ADVOCATE'S HOSPITALS ARE DESIGNATED LEVEL III (THE STATE'S HIGHEST LEVEL) NEONATAL INTENSIVE CARE UNITS (NICU) AND IN ADDITION TO HANDLING THE MOST ILL BABIES FROM OTHER ADVOCATE HOSPITALS, ALSO TAKE TRANSFERS FROM NON-ADVOCATE HOSPITALS IN AND AROUND THE CHICAGO AREA. ADVOCATE TREATS MORE PEDIATRIC PATIENTS THAN ANY OTHER HOSPITAL OR SYSTEM IN THE STATE, AND MORE PEOPLE TRUST THEIR HEARTS TO ADVOCATE THAN TO ANY OTHER HOSPITAL OR SYSTEM IN THE STATE. ADDITIONALLY, ADVOC
GOAL 1: OPTIMIZE ADVOCATE'S ABILITY TO LEVERAGE ITS COMMUNITY HEALTH RESOURCES AND CONTINUE PROGRAMS THAT BENEFIT THE COMMUNITY BY PROSPECTIVELY ALIGNING SYSTEM AND SITE PLANS AND ACTIVITIES. THROUGH ADVOCATE'S OWN PROGRAMS AND SERVICES, AS WELL AS ITS PARTICIPATION IN THE COMMUNITY, ADVOCATE PROMOTES A SHARED APPROACH TO COMMUNITY BENEFITS. EXAMPLES INCLUDE: HEALTHY STEPS PROGRAM-THROUGH ADVOCATE'S SYSTEM-LED HEALTHY STEPS PROGRAM IN 2014, HEALTHY STEPS SPECIALISTS TOUCHED THE LIVES OF 6,248 YOUNG CHILDREN THROUGH CHILDHOOD PROGRAMS WITHIN PEDIATRIC/FAMILY PRACTICE RESIDENCIES, AND ADVOCATE CHILDREN'S HOSPITAL - OAK LAWN AND ADVOCATE CHILDREN'S HOSPITAL - PARK RIDGE (AND ALSO AT ADVOCATE ILLINOIS MASONIC MEDICAL CENTER WHICH HAS ITS OWN FEIN NUMBER AND IS REPORTED SEPARATELY AS THE NORTHSIDE NETWORK ON IRS FORMS 990). THIS SYSTEM-WIDE PROGRAM USES A NATIONAL MODEL TO ENGAGE PARENTS AS PARTNERS WITH PHYSICIANS IN THEIR CHILDREN'S HEALTH. HEALTHY STEPS SPECIALISTS HELP BRIDGE THE TWO GROUPS BY PREPARING PARENTS TO TAKE AN ACTIVE ROLE IN, AND PHYSICIANS TO ASSESS AND MEET MORE EFFECTIVELY, A RANGE OF CHILD DEVELOPMENT NEEDS. IN 2014, 9,981 DEVELOPMENTAL SCREENINGS WERE PROVIDED AND 411 FAMILIES WERE REFERRED TO COMMUNITY SERVICES. IN ADDITION, HEALTHY STEPS HAS TRAINED AND PROVIDED TECHNICAL ASSISTANCE TO PRIMARY CARE PROVIDERS ACROSS THE STATE TO IMPROVE PREVENTIVE PRACTICES IN THEIR SITE AROUND TOPICS SUCH AS USE OF VALIDATED TOOLS FOR DEVELOPMENTAL AND SOCIAL EMOTIONAL CONCERNS, AS WELL AS FAMILY RISK FACTOR SCREENINGS (SUCH AS POSTPARTUM DEPRESSION, DOMESTIC VIOLENCE, TRAUMA, AND PSYCHOSOCIAL ISSUES). PRIMARY CARE PROVIDERS AND THEIR STAFF ARE TAUGHT HOW TO WORK CLOSELY WITH LOCAL COMMUNITY RESOURCES FOR REFERRAL AND FOLLOW-UP CARE. DURING 2014, ADVOCATE HEALTHY STEPS CONSULTANTS PROVIDED 91 PRESENTATIONS IN 42 PRIMARY CARE SITES TO 585 PHYSICIANS AND THEIR STAFFS THROUGHOUT THE STATE OF ILLINOIS. THESE PROVIDERS CARE FOR APPROXIMATELY 78,715 CHILDREN BETWEEN BIRTH AND AGE THREE. CURRENTLY, HEALTHY STEPS IS FOCUSING ON DEVELOPMENTAL BEHAVIORAL MENTAL HEALTH TRAINING FOR PRIMARY CARE PROVIDERS. THE STAFF ALSO MEETS REGULARLY WITH APPROXIMATELY 20 COMMUNITY ORGANIZATIONS, AND WORKS WITH PEDIATRIC AND FAMILY MEDICINE RESIDENCY PROGRAMS, PEDIATRIC NURSE PRACTITIONERS AND PHYSICIAN ASSISTANT PROGRAMS THROUGHOUT THE STATE. MISSION AND SPIRITUAL CARE-SINCE 1995, ADVOCATE HEALTH CARE'S OFFICE FOR MISSION AND SPIRITUAL CARE HAS PROVIDED PROFESSIONALLY TRAINED CLINICAL CHAPLAINS AND ETHICISTS WHO OFFER SUPPORT AND SERVICES TO INDIVIDUALS AND FAMILIES EXPERIENCING MEDICAL CHALLENGES. THE OFFICE ALSO DEVELOPS PARTNERSHIPS WITH COMMUNITIES AND CONGREGATIONS TO HELP ADDRESS LOCAL HEALTH CARE NEEDS. THROUGH ITS CONGREGATIONAL HEALTH PARTNERSHIPS AND PARISH NURSE MINISTRY PROGRAMS, ADVOCATE EXTENDS ITS REACH INTO THE COMMUNITY BY WORKING WITH CHURCHES, SOCIAL SERVICE ORGANIZATIONS, GOVERNMENTAL AGENCIES AND OTHER COMMUNITY PARTNERS TO ADDRESS SPIRITUAL NEEDS. ADVOCATE'S CO-SPONSORSHIP OF 18 ADVOCATE PARISH NURSES SERVING 24 CONGREGATIONS AND 13 NETWORK NURSES SERVING 13 CONGREGATIONS, SUPPORTS THEIR WORK TO PROVIDE HEALTH EDUCATION, WELLNESS PROMOTION, HEALTH SCREENINGS, ADVOCACY AND SPIRITUAL SUPPORT TO FAITH COMMUNITIES IN ADVOCATE'S CITY AND SUBURBAN HOSPITAL SERVICE AREAS. ADVOCATE'S SPIRITUAL LEADERS ALSO OVERSEE A NATIONALLY ACCREDITED CLINICAL PASTORAL EDUCATION PROGRAM. SUPERVISING OVER 180 STUDENT UNITS EACH YEAR, THE PROGRAM IS ONE OF THE LARGEST IN THE COUNTRY, PROVIDING OPPORTUNITIES FOR SEMINARY STUDENTS AND LOCAL HEALTH LEADERS TO GROW AND DEVELOP SPIRITUAL CARE MINISTRY SKILLS. GOAL 2: UNDERTAKE OR SUPPORT INITIATIVES THAT ENHANCE ACCESS TO HEALTH AND WELLNESS SERVICES WITHIN THE DIVERSE COMMUNITIES ADVOCATE SERVES. A FEW EXAMPLES OF ADVOCATE'S LEADERSHIP IN SERVING UNINSURED AND UNDERINSURED INDIVIDUALS AND FAMILIES ARE: CHARITY CARE-ADVOCATE OFFERS A VERY GENEROUS CHARITY CARE PROGRAM - REQUIRING NO PAYMENTS FROM THE PATIENTS MOST IN NEED, AND PROVIDING DISCOUNTS TO UNINSURED PATIENTS EARNING UP TO SIX TIMES THE FEDERAL POVERTY LEVEL, AND TO INSURED PATIENTS EARNING UP TO FOUR TIMES THE FEDERAL POVERTY LEVEL. ADVOCATE ALSO CONSIDERS AN INDIVIDUAL'S EXTENUATING CIRCUMSTANCES TO QUALIFY PATIENTS FOR CHARITY CARE. FOR UNINSURED PATIENTS, ADVOCATE WILL PRESUMPTIVELY PROVIDE CHARITY CARE IF THE FINANCIAL STATUS HAS BEEN VERIFIED BY A THIRD PARTY AND, IN THESE CASES, THE PATIENT IS NOT REQUIRED TO SUBMIT A SEPARATE CHARITY APPLICATION. IF PRESUMPTIVE CRITERIA IS NOT AVAILABLE FOR UNINSURED PATIENTS, THEN FINANCIAL ASSISTANCE ELIGIBILITY IS AVAILABLE USING AN INCOME-BASED SCREENING. ADVOCATE EXTENDS ITS INCOME-BASED FINANCIAL ASSISTANCE POLICY TO ITS INSURED PATIENTS AS WELL, ALSO TAKING INTO CONSIDERATION THE INSURED INDIVIDUAL'S EXTENUATING CIRCUMSTANCES. ADVOCATE HOSPITALS MAINTAIN HIGHLY VISIBLE SIGNAGE AND BROCHURES IN MULTIPLE LANGUAGES TO INFORM PATIENTS OF THE AVAILABILITY OF FINANCIAL HELP AND FINANCIAL COUNSELORS. INFORMATION ABOUT ADVOCATE'S CHARITY CARE PROGRAM AND CHARITY APPLICATIONS ARE PROVIDED TO ALL UNINSURED PATIENTS DURING REGISTRATION. IN ADDITION, THE FINANCIAL ASSISTANCE POLICY AND CHARITY APPLICATION IS MAILED TO THEM AT HOME PRIOR TO THE FIRST BILL. AFTER THAT, EACH UNINSURED PATIENT BILL INCLUDES SUMMARY INFORMATION REGARDING THE CHARITY CARE PROGRAM. INFORMATION IS ALSO PROMINENTLY DISPLAYED ON ADVOCATE'S WEBSITE. FOR INSURED PATIENTS, A SUMMARY OF THE FINANCIAL ASSISTANCE POLICY AND AN APPLICATION IS SENT WITH THE FIRST PATIENT BILLING. ADVOCATE ALSO OFFERS FREE INTERPRETIVE SERVICES IN MANY LANGUAGES AT ITS HOSPITALS AND OWNED PHYSICIAN PRACTICES THROUGH ON-SITE AGENCY MEDICAL INTERPRETERS OR TELEPHONIC INTERPRETATION. FEDERALLY QUALIFIED HEALTH CENTERS (FQHCS)-MANY OF ADVOCATE'S HOSPITALS HAVE RELATIONSHIPS WITH FEDERALLY QUALIFIED HEALTH CENTERS (FQHC) OR OTHER COMMUNITY CLINICS WITHIN THEIR SERVICE AREAS FOR THE PURPOSE OF PROVIDING UNINSURED OR UNDERINSURED INDIVIDUALS THE HEALTH CARE SERVICES THEY NEED. FOR EXAMPLE, ADVOCATE SOUTH SUBURBAN HOSPITAL HAS A PARTNERSHIP WITH AUNT MARTHA'S YOUTH SERVICE CENTER, A FQHC, TO IMPROVE ACCESS TO PRIMARY CARE SERVICES FOR UNINSURED AND UNDERINSURED INDIVIDUALS. ADVOCATE BROMENN MEDICAL CENTER, ON THE OTHER HAND, MAINTAINS A COMMUNITY HEALTH CLINIC IN COLLABORATION WITH OSF ST. JOSEPH'S HOSPITAL (ST. JOSEPH), WHEREBY BROMENN IS RESPONSIBLE FOR A PORTION OF THE HOSPITAL CARE FOR THE CLINIC'S PATIENTS THROUGHOUT THE YEAR. BROMENN IS ALSO THE SOLE PROVIDER OF THE CLINIC'S INFORMATION TECHNOLOGY (IT) SUPPORT AS WELL AS THE SPACE OCCUPIED BY THE CLINIC. AS PART OF THIS RELATIONSHIP, EACH PATIENT WHO IS SERVED BY THE CLINIC IS ASSIGNED TO A HOSPITAL - EITHER ST. JOSEPH OR BROMENN - AND SERVICES FROM LAB TESTS TO INPATIENT CARE ARE PROVIDED TO THESE PATIENTS WHEN THEY NEED IT. ANOTHER EXAMPLE IS ADVOCATE CHRIST MEDICAL CENTER'S PARTNERSHIP WITH THE ACCESS TO CARE ORGANIZATION WHEREBY THE HOSPITAL PROVIDES DIAGNOSTIC RADIOLOGY SERVICES, SUCH AS MAMMOGRAMS, TO AREA UNINSURED AND LOW-INCOME INDIVIDUALS. ACCESS DUPAGE COMMUNITY PROGRAM - WORKING WITH OTHER AREA HOSPITALS, ADVOCATE GOOD SAMARITAN HOSPITAL PROVIDES SUPPORT THROUGH THE DUPAGE HEALTH COALITION TO SUSTAIN THE ACCESS DUPAGE COMMUNITY PROGRAM - A COMMUNITY COLLABORATION DESIGNED TO PROVIDE LOW-COST PRIMARY MEDICAL CARE SERVICES TO THE LOW-INCOME, MEDICALLY UNINSURED RESIDENTS OF DUPAGE COUNTY. IN ADDITION, THE HOSPITAL PARTNERS WITH THE DUPAGE COUNTY HEALTH DEPARTMENT FOR INDIGENT PATIENT FINANCIAL ELIGIBILITY IN THE EMERGENCY ROOM AND TO ASSIST WITH OUTPLACEMENT SERVICES FOR THOSE PATIENTS WHO COULD BENEFIT FROM TREATMENT PROGRAMS, PLACEMENT WITH A PRIMARY CARE PROVIDER (PCP), DENTAL CARE, ETC. IN ADDITION AND IN PARTNERSHIP WITH THE DUPAGE COUNTY HEALTH DEPARTMENT, ADVOCATE GOOD SAMARITAN HOSPITAL PROVIDES UNDERPRIVILEGED WOMEN ACCESS TO BREAST AND PELVIC EXAMS, PAP SMEARS, ROUTINE AND DIAGNOSTIC MAMMOGRAMS, AND BIOPSIES/SURGERY WHEN INDICATED. IN 2014, 249 SERVICES WERE ADMINISTERED THROUGH THE HOSPITAL'S SUPPORT. FREE MAMMOGRAMS - ADVOCATE CHRIST'S BREAST CENTER PARTICIPATES IN THREE PROGRAMS FOR FREE MAMMOGRAMS TO PATIENTS INCLUDING: THE METROPOLITAN CHICAGO TASK FORCE "BEYOND OCTOBER" FOR WHICH FREE MAMMOGRAMS ARE PROVIDED TO 50 WOMEN; A SILVER LINING FOUNDATION "BUY YOUR MOM A MAMMOGRAM" PROVIDING UNINSURED AND UNDERINSURED WOMEN AND MEN WITH MAMMOGRAMS (SCREENING OR DIAGNOSTIC), ULTRASOUND, IMAGED GUIDED BIOPSIES AND MRIS (THE HOSPITAL RECEIVES REIMBURSEMENT FROM THE FUND); AND THE LOIS B. GASTEYER FUND WHICH PROVIDES SCREENING MAMMOGRAMS FOR UNINSURED WOMEN. THE HOSPITAL IS REIMBURSED BY FOUNDATION FUNDS FOR THE LATTER TWO SERVICES. COUNTY CHNA COLLABORATIVES - ADVOCATE GOOD SHEPHERD HOSPITAL PARTNERED WITH THE MCHENRY COUNTY HEALTH DEPARTMENT ON THE ENROLL MCHENRY GRANT TO GIVE HEALTHCARE ACCESS TO THOSE THAT ARE UNINSURED. ADVOCATE GOOD SHEPHERD HOSPITAL HIRED TWO IN-PERSON COUNSELORS DURING THE DURATION OF THE FIRST YEAR OF THE ENROLL MCHENRY GRANT THROUGH THE MCHENRY
EMERGENCY MEDICAL SERVICES SYSTEM DUPAGE COUNTY RESIDENTS WHO CALL 911 FOR EMERGENCY HELP CAN REST ASSURED SOME OF THE BEST TRAINED RESPONDERS WILL COME TO THEIR AID. FOR MORE THAN 30 YEARS, ADVOCATE GOOD SAMARITAN HOSPITAL'S EMERGENCY MEDICAL SERVICES SYSTEM HAS RUN THE COUNTY'S PARAMEDIC TRAINING PROGRAM. THE ILLINOIS DEPARTMENT OF PUBLIC HEALTH APPROVED PROGRAM PROVIDES YEAR-ROUND CONTINUING EDUCATION AND TESTING FOR 24 PROVIDERS AND FIRE SERVICES IN LOCAL COMMUNITIES, INCLUDING OVERSIGHT, QUALITY ASSURANCE AND RELICENSING FOR NEARLY 600 PARAMEDICS, 1,000 EMERGENCY MEDICAL TECHNICIANS AND 200 911 DISPATCHERS. GOAL 4: LEVERAGE RESOURCES AND MAXIMIZE COMMUNITY OUTREACH EFFORTS BY BUILDING AND STRENGTHENING COMMUNITY PARTNERSHIPS. ADVOCATE MAINTAINS AND CONTINUES TO ACTIVELY EXPAND ITS PARTNERSHIPS AND RELATIONSHIPS WITH A WIDE VARIETY OF ORGANIZATIONS, INCLUDING RELIGIOUS ORGANIZATIONS, NEIGHBORHOOD GROUPS AND OUTREACH AND RESOURCE PROGRAMS. EXAMPLES INCLUDE: ADULT DOWN SYNDROME CENTER - AN EXAMPLE OF BUILDING AND FOSTERING COMMUNITY PARTNERSHIPS TO MAXIMIZE RESOURCES IS ADVOCATE'S ADULT DOWN SYNDROME CENTER. ESTABLISHED IN THE EARLY 1990'S THROUGH A PARTNERSHIP BETWEEN ADVOCATE LUTHERAN GENERAL HOSPITAL AND THE NATIONAL ASSOCIATION FOR DOWN SYNDROME (NADS), IT IS ONE OF THE LARGEST CENTERS OF ITS KIND IN THE WORLD. THE CENTER PROVIDES CRUCIAL PSYCHOSOCIAL AND MEDICAL SERVICES TO ADOLESCENTS AND ADULTS WITH DOWN SYNDROME LIVING IN ALL AREAS OF ILLINOIS. MANY IN THIS UNIQUE POPULATION ARE ON PUBLIC ASSISTANCE AND FOR MOST OF THESE INDIVIDUALS THERE ARE FEW SOURCES OF REIMBURSEMENT FOR THESE MUCH-NEEDED SERVICES. THE CENTER'S MULTIDISCIPLINARY APPROACH TO COMPREHENSIVE MEDICAL CARE, WITH A STRONG EMPHASIS ON PREVENTIVE MEDICINE, PROVIDES PRACTICAL APPROACHES TO HEALTH EDUCATION AND HEALTH RISK REDUCTION INCLUDING SUPPORTING PEOPLE WITH DOWN SYNDROME IN THEIR OWN HEALTH PROMOTION EFFORTS. EACH YEAR, THE CENTER CONTINUES TO PROVIDE FOR APPROXIMATELY 3,000 INDIVIDUALS WITH DOWN SYNDROME. PATIENTS ARE TREATED AT THE CENTER, BUT CARE IS ALSO PROVIDED TO PATIENTS THAT ARE HOMEBOUND, AT RESIDENTIAL FACILITIES OR NURSING HOMES, OR ARE AT THE HOSPITAL. IN 2014, THE CENTER EXPERIENCED OVER 7,000 PATIENT VISITS. ACTIVE FOR YOUR HEALTH AND "FIRST PLACE 4 HEALTH - ADVOCATE TRINITY HOSPITAL'S DEDICATION TO EXPANDING ITS PARTNERSHIPS HAS RESULTED IN A NETWORK OF MORE THAN 80 COMMUNITY ORGANIZATIONS, KEY LEADERS, ELECTED OFFICIALS AND THE FAITH COMMUNITY TO IMPLEMENT AND ENHANCE COMMUNITY OUTREACH PROGRAMS. THE HOSPITAL IS WORKING WITH OVER 45 CHURCHES TO IMPLEMENT THE PARTNERS FOR FAITH AND HEALTH NETWORK PROGRAM WHICH INCLUDES HEALTH SCREENINGS, HEALTH FAIRS AND PROGRAMS, SUCH AS THE HEALTHY LIFESTYLE BEHAVIOR MODIFICATION PROGRAMS ACTIVE FOR YOUR HEALTH AND FIRST PLACE 4 HEALTH, THAT TEACH HEALTHY LIVING PRINCIPLES. THE HOSPITAL ALSO WORKS WITH GRASSROOTS COMMUNITY ORGANIZATIONS AND NEIGHBORHOOD GROUPS TO ADDRESS THE COMMUNITY'S HEALTH NEEDS AND CONCERNS. RONALD MCDONALD CARE MOBILE - THROUGH A PARTNERSHIP BETWEEN ADVOCATE CHILDREN'S HOSPITAL AND RONALD MCDONALD HOUSE CHARITIES OF CHICAGOLAND AND NORTHWEST INDIANA, THE RONALD MCDONALD CARE MOBILE (RMCM) DELIVERS FREE, HIGH LEVEL PRIMARY CARE SERVICES TO LOW-INCOME AND UNINSURED FAMILIES WITHIN THE CHICAGOLAND AREA. BY GOING INTO THE COMMUNITY, THE CARE MOBILE ELIMINATES FINANCIAL AND TRANSPORTATION CHALLENGES THAT OFTEN PROHIBIT PARENTS FROM ACCESSING CARE. AS A RESULT OF A RECENT COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), POCKETS OF LOW-INCOME, UNINSURED CHILDREN WERE DISCOVERED IN SEVERAL ZIP CODES WITHIN CLOSE PROXIMITY TO ADVOCATE CHILDREN'S HOSPITAL. AFTER REDIRECTING THE CARE MOBILE'S EFFORTS TO FOCUS ON REACHING THESE VULNERABLE CHILDREN, INCLUDING EXPANSION OF THE PROGRAM INTO THE NORTH SUBURBAN AREA, THE RMCM CLINICAL TEAM WAS ABLE TO INCREASE THEIR COMMUNITY IMPACT. IN 2014, THE TEAM SAW 2,537 PATIENTS, GAVE NEARLY 4,000 VACCINES AND PERFORMED CLOSE TO 3,000 PHYSICALS AT 161 GRAMMAR SCHOOLS, HIGH SCHOOLS, DAY CARE CENTERS AND COMMUNITY HEALTH FAIRS - ALL PROVIDED FREE OF CHARGE. CEASEFIRE - YET ANOTHER EXAMPLE IS THE UNIQUE PARTNERSHIP BETWEEN CEASEFIRE, A COMMUNITY OUTREACH ORGANIZATION SEEKING TO REDUCE THE INCIDENCE OF DEADLY STREET VIOLENCE IN CHICAGO NEIGHBORHOODS AND ADVOCATE CHRIST MEDICAL CENTER, A LEVEL I TRAUMA CENTER SERVING THE SOUTH AND SOUTHWEST PORTIONS OF CHICAGO AND THE SUBURBS. NEARLY ONE-THIRD OF THE 4,500 TRAUMAS AT THE HOSPITAL EACH YEAR ARE VICTIMS OF INTENTIONAL VIOLENCE, SUCH AS GUNSHOTS, STABBINGS AND/OR BATTERY. APPROXIMATELY 40 PERCENT OF PATIENTS TREATED FOR INTENTIONAL VIOLENCE IN THE EMERGENCY DEPARTMENT ARE NOT ADMITTED TO THE HOSPITAL - MAKING A STRONG CASE FOR EARLY INTERVENTION. VIOLENCE, LIKE OTHER EPIDEMICS, IS PREDICTABLE AND OFTEN ENGAGED IN AS AN ACT OF RETALIATION. IMMEDIATE INTERVENTION IS NECESSARY. WHEN VIOLENTLY INJURED PATIENTS ARE TRANSPORTED TO ADVOCATE CHRIST MEDICAL CENTER FROM THE CHICAGO AREA, CHAPLAINS IN THE TRAUMA CENTER NOTIFY CEASEFIRE WHILE THE PATIENT IS STILL IN THE EMERGENCY DEPARTMENT. CEASEFIRE HOSPITAL RESPONDERS PROVIDE COUNSELING TO THESE PATIENTS AND THEIR LOVED ONES AIMING TO REDUCE ONGOING CONFLICT IN THE COMMUNITY AND RISK OF RETALIATION. IN ADDITION, CEASEFIRE VIOLENCE INTERRUPTERS QUELL TENSION IN THE COMMUNITY IMMEDIATELY FOLLOWING A VIOLENT INCIDENT. CEASEFIRE'S CASE MANAGER SEES THESE PATIENTS IN THE TRAUMA CLINIC AFTER DISCHARGE ENSURING COMPREHENSIVE FOLLOW-UP CARE. IN 2014, CEASEFIRE RESPONDED TO 894 VIOLENTLY INJURED PATIENTS AND 1,000 ACCOMPANYING FAMILY MEMBERS AND FRIENDS IN ADVOCATE CHRIST MEDICAL CENTER'S EMERGENCY DEPARTMENT. COMMUNITY HEALTH NEEDS ASSESSMENT COLLABORATIVES - ADVOCATE'S HOSPITALS EITHER WERE WORKING AND CONTINUED TO DO SO OR BEGAN WORKING IN COUNTY CHNA COLLABORATIVES FOR THE 2014-2016 CHNA CYCLE. THESE COLLABORATIVES INCLUDE AREA PUBLIC HEALTH DEPARTMENTS, OTHER HOSPITALS AND OTHER COMMUNITY STAKEHOLDERS WHO ACKNOWLEDGE THAT ADDRESSING THEIR COMMUNITIES NEEDS IS BEST DONE IN PARTNERSHIP. THERE IS THE POTENTIAL FOR THESE ORGANIZATIONS TO NOT ONLY EXPERIENCE COST SAVINGS IN NOT DUPLICATING THEIR ASSESSMENT EFFORTS IN COLLECTING DATA FOR THEIR OVERLAPPING SERVICE AREAS BUT ALSO IN THEIR ABILITY TO HAVE MORE IMPACT COLLECTIVELY THAN THEY WOULD HAVE ALONE IN ADDRESSING KEY COMMUNITY HEALTH PRIORITIES. AS AN EXAMPLE, ADVOCATE GOOD SHEPHERD HOSPITAL HAS AVIDLY WORKED TO IMPROVE THE HEALTH OF ITS COMMUNITY WITH ITS FINANCIAL AND LEADERSHIP SUPPORT OF THE LAKE AND MCHENRY COUNTY MAPP ASSESSMENTS AND THE HEALTHIER BARRINGTON AND WAUCONDA HEALTH PARTNERSHIP COALITIONS. THE HOSPITAL USES THE DATA GATHERED THROUGH THESE ASSESSMENTS FOR ITS COMMUNITY HEALTH INITIATIVES, SOME OF WHICH INCLUDE: EXPANSION OF OBESITY PREVENTION, FALL PREVENTION AMONG SENIORS, EARLY DETECTION OF CANCER (ESPECIALLY BREAST AND THE UNDERSERVED POPULATION), TEEN HEALTH AND SAFETY, AND DIABETES DETECTION AND MANAGEMENT. COOK COUNTY COLLECTIVE IMPACT CHNA INITIATIVE - IN 2014, PLANNING WAS UNDERWAY TO MORE EFFECTIVELY ADDRESS THE NEEDS OF CHICAGO AND THE SURROUNDING COMMUNITIES THROUGH DEVELOPMENT OF A COOK COUNTY COLLECTIVE IMPACT CHNA INITIATIVE. REPRESENTATIVES FROM ADVOCATE HEALTH CARE, PRESENCE HEALTH, THE COOK COUNTY PUBLIC HEALTH DEPARTMENT AND THE ILLINOIS INSTITUTE OF PUBLIC HEALTH (IPHI) BEGAN LAYING THE GROUNDWORK TO CREATE A BEST-PRACTICE, HIGHLY COMMUNITY-ENGAGED COLLABORATIVE COMMUNITY HEALTH NEEDS ASSESSMENT. ITS FOCUS IS TO ACHIEVE COLLECTIVE IMPACT ON POPULATION HEALTH IMPROVEMENT ACROSS THE COUNTY, PARTICULARLY AMONG UNDERSERVED GROUPS. THE INITIATIVE AS PLANNED WOULD CONVENE INTERESTED NON-PROFIT HOSPITALS AND THE SIX HEALTH DEPARTMENTS WITHIN COOK COUNTY TO WORK ON COLLABORATIVE CHNAS AND IMPLEMENTATION PLANS AS REQUIRED BY THE IRS. PARTICIPATING HOSPITALS WOULD THEN BE DIVIDED INTO SEVERAL GEOGRAPHIC CLUSTERS TO UNDERTAKE A MODIFIED MAPP PROCESS LEVERAGING THE CURRENT PLANNING ACTIVITIES OF THE CDPH AND CCDPH. THIS WOULD INCLUDE FOLLOWING A COMMON TIMELINE AND PROCESS, USING COMMON INDICATORS AND COMMON COMMUNITY INPUT INSTRUMENTS, AND OTHER SHARED METHODS AND RESOURCES. WITH THE SUPPORT OF THE IPHI, THE HOSPITALS IN EACH CLUSTER, IN PARTNERSHIP WITH RELEVANT HEALTH DEPARTMENTS, WOULD COLLABORATIVELY ENGAGE COMMUNITY STAKEHOLDERS TO PRODUCE THE CHNA AND IMPLEMENTATION PLAN. THE PLANNING TEAM IDENTIFIED THREE GOALS OF THE INITIATIVE INCLUDING: 1. BETTER ENGAGEMENT WITH THE COMMUNITY - WITH OVERLAPPING SERVICE AREAS, HOSPITALS ARE DRAWING ON THE SAME COMMUITY PARTNERS TO UNDERTAKE MULTIPLE CHNA INITIATIVES. THIS CONFUSES STAKEHOLDERS, AND DOES NOT EFFECTIVELY USE THE TIME, TALENTS AND RESOURCES OF VOLUNTEER PARTNERS. 2. MORE EFFECTIVE SOLUTIONS - THE HOSPITALS' IMPACT MAY BE LIMITED BY WORKING IN ISOLATION. BY WORKING TOGETHER WITH OTHER HOSPTIALS AND THE HEALTH DEPARTMENTS TO ASSESS NEEDS, DETERMINE PRIORITIES AND COLLABORATE TO ADDRESS THOSE PRIORITIES, HOSPITALS CAN HAVE A MORE PROFOUND EFFECT ON THE HEALTH OF THEIR COMUNITIES. 3. STEWA
FORM 990, PART VI, SECTION A, LINE 1A BOARD DELEGATING POWERS TO EXECUTIVE COMMITTEE THE CORPORATE MEMBER'S EXECUTIVE COMMITTEE HAS NINE MEMBERS, CONSISTING OF THE CHAIRPERSON, THE VICE CHAIRPERSON, THE PRESIDENT, THE CHAIRPERSONS OF THE FINANCE, PLANNING, HEALTH OUTCOMES AND MISSION AND SPIRITUAL CARE COMMITTEES, AND TWO OTHER DIRECTORS. THE PAST CHAIRPERSON OF THE BOARD OF DIRECTORS MAY SERVE AS AN EX-OFFICIO MEMBER OF THE COMMITTEE, WITH VOTE. EACH OF THE EXECUTIVE COMMITTEE'S MEMBERS IS ON THE BOARD. THE SCOPE OF THE EXECUTIVE COMMITTEE'S AUTHORITY INCLUDES: BE RESPONSIBLE FOR PLANNING EDUCATIONAL PROGRAMS FOR THE BOARD OF DIRECTORS; CONDUCT AN EVALUATION OF THE MEMBERS OF THE BOARD OF DIRECTORS; HAVE SUCH AUTHORITY AS SHALL BE DELEGATED BY THE BOARD OF DIRECTORS; AND ACT ON BEHALF OF THE BOARD OF DIRECTORS BETWEEN MEETINGS. THE EXECUTIVE COMMITTEE IS ACCOUNTABLE AS A BODY TO THE BOARD OF DIRECTORS. FORM 990, PART VI, LINE 2 OFFICER BUSINESS RELATIONSHIP AS DR. JAMES DAN, GAIL HASBROUCK, JAMES DOHENY, AND DOMINIC NAKIS ARE EITHER DIRECTORS OR OFFICERS OF WHOLLY OWNED ADVOCATE ENTITIES, THEY ARE DEEMED TO HAVE A BUSINESS RELATIONSHIP PURSUANT TO THE INSTRUCTIONS FOR FORM 990. AS DR. JAMES DAN, GAIL HASBROUCK, JAMES DOHENY, AND SCOTT POWDER ARE EITHER DIRECTORS OR OFFICERS OF WHOLLY OWNED ADVOCATE ENTITIES, THEY ARE DEEMED TO HAVE A BUSINESS RELATIONSHIP PURSUANT TO THE INSTRUCTIONS FOR FORM 990. AS DR. JAMES DAN AND DR. LEE SACKS ARE EITHER DIRECTORS OR OFFICERS OF WHOLLY OWNED ADVOCATE ENTITIES, THEY ARE DEEMED TO HAVE A BUSINESS RELATIONSHIP PURSUANT TO THE INSTRUCTIONS FOR FORM 990. AS DR. JAMES DAN, GAIL HASBROUCK, JAMES DOHENY, SCOTT POWDER, AND WILLIAM SANTULLI ARE EITHER DIRECTORS OR OFFICERS OF WHOLLY OWNED ADVOCATE ENTITIES, THEY ARE DEEMED TO HAVE A BUSINESS RELATIONSHIP PURSUANT TO THE INSTRUCTIONS FOR FORM 990. FORM 990, PART VI, QUESTION 6 DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERS BYLAWS PROVIDE FOR CORPORATE MEMBERS. FORM 990, PART VI, QUESTION 7A DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS DIRECTORS OF THE BOARD ARE CORPORATE MEMBERS OF ADVOCATE HEALTH AND HOSPITAL BOARD, WHICH ELECTS THE BOARD OF DIRECTORS. FORM 990, PART VI, QUESTION 7B DESCR CLASSES OF PERSONS, DECISIONS REQUIRING APPR & TYPE OF VOTING RIGHTS THE FOLLOWING RESERVE POWERS IDENTIFIED IN THE BYLAWS REQUIRE THE APPROVAL OF THE CORPORATE MEMBER, ADVOCATE HEALTH CARE NETWORK: APPOINT OUTSIDE AUDITORS AND ESTABLISH AND REVISE ALL FINANCIAL CONTROL POLICIES, AND ANY CHANGES TO SUCH POLICIES, BEFORE SUCH POLICIES OR CHANGES BECOME EFFECTIVE; CAUSE THE CORPORATION TO PAY, LOAN OR OTHERWISE TRANSFER PROPERTY AND FUNDS TO OTHER ENTITIES AFFILIATED WITH THE CORPORATE MEMBER; AMEND THE BYLAWS WITHOUT ACTION OR APPROVAL BY THE BOARD OF DIRECTORS (AFTER TEN DAYS NOTICE TO THE CORPORATION'S BOARD OF DIRECTORS OF THE PROPOSED AMENDMENT(S) WITH AN OPPORTUNITY FOR BOARD MEMBERS TO CONSULT WITH THE CORPORATE MEMBER REGARDING THE PROPOSED AMENDMENT; APPROVAL OF THE OVERALL MISSION, PHILOSOPHY AND VALUES STATEMENTS AND ANY AMENDMENTS OR SUPPLEMENTS TO SUCH STATEMENTS; APPROVAL OF THE OVERALL STRATEGIC PLANS; APPROVAL OF ALL OVERALL OPERATING AND CAPITAL BUDGETS BEFORE ANY EXPENDITURE, PURSUANT TO SUCH BUDGETS ARE MADE OR COMMITTED, AND APPROVAL OF ALL EXPENDITURES ABOVE ANY LIMIT THAT MAY BE ESTABLISHED BY THE BOARD OF THE CORPORATE MEMBER; APPROVAL OF THE INCURRENCE OR GUARANTEE OF ANY INDEBTEDNESS FOR BORROWED MONEY WHICH HAS NOT ALREADY BEEN APPROVED AS A PART OF THE BUDGET APPROVAL PROCESS OR WHICH IS ABOVE ANY LIMIT THAT MAY BE ESTABLISHED BY THE BOARD OF THE CORPORATE MEMBER; APPROVAL OF ALL TRANSFERS OF OWNERSHIP OR DONATIONS OF ASSETS ABOVE ANY LIMIT THAT MAY BE ESTABLISHED BY THE BOARD OF THE CORPORATE MEMBER; APPROVAL OF ALL AMENDMENTS TO THE ARTICLES OF INCORPORATION AND BYLAWS OF THE CORPORATION BEFORE THEY BECOME EFFECTIVE; APPROVAL OF ANY MERGER, CONSOLIDATION, OR DISSOLUTION; AND APPROVAL OF THE CREATION OF OR AFFILIATION WITH ANY SUBSIDIARY OR AFFILIATE, BEFORE SUCH ENTITY IS CREATED OR THE ENTRANCE INTO ANY JOINT VENTURE IF THE CONTEMPLATED ACTIVITY WILL INVOLVE THE EXPENDITURE OF FUNDS OR THE ASSUMPTION OF OBLIGATIONS WHICH HAVE NOT ALREADY BEEN APPROVED AS A PART OF THE BUDGET APPROVAL PROCESS OR REQUIRE MEMBER APPROVAL UNDER THE FINANCIAL CONTROL POLICIES. FORM 990, PART VI, QUESTION 11B DESCRIBE THE PROCESS USED BY MANAGEMENT &/OR GOVENING BODY TO REVIEW 990 ADVOCATE'S TAX PREPARATION PROCESS INCLUDES ONGOING CONSULTATION WITH ITS OUTSIDE TAX CONSULTING FIRM AND TAX LEGAL COUNSEL, BOTH OF WHICH POSSESS EXPERTISE IN HEALTH CARE AND TAX-EXEMPT RETURN PREPARATION, TO ADVISE AND ASSIST WITH PREPARATION OF THE FORM 990. THESE ADVISORS WORKED CLOSELY WITH THE ORGANIZATION'S FINANCE, TAX, AND LEGAL ASSOCIATES AND OTHER MEMBERS OF THE ORGANIZATION'S TEAM ASSEMBLED TO PARTICIPATE IN THE PREPARATION OF THE FORM 990. THE FORM 990 IS REVIEWED BY FINANCE MANAGEMENT, THE TAX MANAGER, THE VP OF FINANCE / CORPORATE CONTROLLER, THE CHIEF FINANCIAL OFFICER, AND ADVOCATE'S OUTSIDE TAX CONSULTING FIRM AND TAX LEGAL COUNSEL. PRIOR TO PRESENTING THE FORM 990 TO THE BOARD OF DIRECTOR'S AUDIT COMMITTEE IN NOVEMBER, THE ORGANIZATION'S TEAM, INCLUDING ITS ADVISORS, MET FREQUENTLY TO DISCUSS AND REVIEW DRAFTS OF THE FORM 990. AT THE NOVEMBER AUDIT COMMITTEE MEETING, THE VP OF FINANCE / CORPORATE CONTROLLER AND CHIEF FINANCIAL OFFICER COORDINATED A REVIEW OF THE FORM 990 WITH COMMITTEE MEMBERS, AS THE AUDIT COMMITTEE IS THE COMMITTEE OF THE BOARD OF DIRECTORS CHARGED WITH OVERSIGHT OF AUDIT AND TAX MATTERS. THE VP OF FINANCE / CORPORATE CONTROLLER AND CHIEF FINANCIAL OFFICER RESPONDED TO THE AUDIT COMMITTEE MEMBERS' QUESTIONS AND PROVIDED THE OPPORTUNITY FOR DETAILED DISCUSSION OF THE FORM 990. THE CHANGES IDENTIFIED WERE INCORPORATED, AND THEN A COMPLETE COPY OF THE FINAL FORM 990 WAS PROVIDED TO EACH MEMBER OF THE ORGANIZATION'S BOARD OF DIRECTORS BEFORE THE FORM 990 WAS FILED. FORM 990, PART VI, QUESTION 12C DESCRIBE THE PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST THE ORGANIZATION'S CONFLICT OF INTEREST POLICY APPLIES TO VARIOUS PEOPLE, INCLUDING MEMBERS OF ADVOCATE'S BOARD OF DIRECTORS, GOVERNING COUNCILS, OFFICERS, ASSOCIATES, VOLUNTEERS, AND MEDICAL STAFF MEMBERS WITH ADMINISTRATIVE RESPONSIBILITIES. ANNUALLY, THE COMPLIANCE DEPARTMENT SENDS THIS POLICY AND THE ADVOCATE CODE OF BUSINESS CONDUCT TO A RANGE OF INDIVIDUALS WHO MAY BE IN A POSITION TO EXERCISE SUBSTANTIAL INTEREST OVER A PARTICULAR MATTER (DEFINED AS INTERESTED PERSONS). THEY ARE REQUIRED TO READ THE POLICIES AND PROVIDE A DISCLOSURE STATEMENT TO THE COMPLIANCE DEPARTMENT, WHICH IDENTIFIES ACTIVITIES AND RELATIONSHIPS THAT COULD POTENTIALLY GIVE RISE TO A CONFLICT OF INTEREST. THE CHIEF COMPLIANCE OFFICER REVIEWS THE DISCLOSURES AND PROVIDES A REPORT TO THE SYSTEM BUSINESS CONDUCT (COMPLIANCE) COMMITTEE, EXECUTIVE MANAGEMENT TEAM AND THE AUDIT COMMITTEE OF THE BOARD FOR REVIEW. THE REPORT IS THEN PROVIDED, IN RELEVANT PART, TO THE SITE CHIEF EXECUTIVE OFFICERS. POTENTIAL CONFLICTS ARE REVIEWED BY THE COMPLIANCE DEPARTMENT ON A CASE-BY-CASE BASIS. FOLLOW UP PROCEDURES CONDUCTED ARE UNIQUE TO THE GIVEN CIRCUMSTANCE, AND MAY INCLUDE REVIEWING THE POTENTIAL CONFLICT WITH THE INTERESTED PERSON, OR INVESTIGATING THE MATTER IN CONSULTATION WITH THE INTERESTED PERSON'S SUPERVISOR AND/OR SITE MANAGEMENT. IN CIRCUMSTANCES WHERE THE INTERESTED PERSON IS NOT A MEMBER OF THE BOARD, OR GOVERNING COUNCIL, OR A COMMITTEE THEREOF, OR A PERSON OF INTEREST, IF IT IS DETERMINED THAT THERE IS AN ACTUAL CONFLICT OF INTEREST, THE SUPERVISOR OF THE INDIVIDUAL IS RESPONSIBLE FOR MAKING AN APPROPRIATE RESPONSE, POTENTIALLY INCLUDING A RESTRICTION OF THE INDIVIDUAL'S JOB DUTIES WITH RESPECT TO THE MATTER GIVING RISE TO THE CONFLICT.
FORM 990, PART VI, QUESTIONS 15 A & B OFFICES & POSITIONS FOR WHICH PROCES WAS USED, & YEAR PROCESS WAS BEGUN EXECUTIVE COMPENSATION AT ADVOCATE HEALTH AND HOSPITAL CORPORATION IS BASED ON A BOARD OF DIRECTORS' APPROVED STRATEGY THAT GUIDES THE CORPORATION IN ESTABLISHING COMPENSATION OPPORTUNITIES FOR EXECUTIVES, MANAGERS, PROFESSIONALS AND ALL EMPLOYEES. IN THIS STRATEGY, SPECIFIC MARKET COMPARISONS ARE IDENTIFIED AND THE DESIRED LEVELS OF COMPETITIVENESS IN THOSE MARKETS SPECIFIED. IN ADDITION, THE LINKAGE OF EXECUTIVE PAY TO PERFORMANCE IS ARTICULATED AND HOW THIS RELATIONSHIP IS TO BE MAINTAINED IS OUTLINED. TO SUPPORT AND IMPLEMENT THE COMPENSATION STRATEGY, FIVE BASIC ELEMENTS ARE UTILIZED. THESE ELEMENTS ARE: -A SOLID, RELIABLE AND TESTED JOB EVALUATION METHODOLOGY. -ACCURATE, QUALITY AND RELEVANT COMPENSATION SURVEY INFORMATION. -A CONSISTENT ANNUAL PROCESS FOR UPDATING THE COMPENSATION LEVELS. -AN ACTIVE BOARD REVIEW PROCESS THAT ASSURES COMPLIANCE WITH THE COMPENSATION STRATEGY AND ON-GOING REVIEW OF THE PERFORMANCE OF THE ORGANIZATION, AND -ACTIVE, EXTERNAL REVIEW AND AUDITING OF COMPENSATION BY EXTERNAL INDEPENDENT CONSULTANTS FORM 990, PART VI, QUESTION 19 THE ORGANIZATION MAKES ITS FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC THROUGH THE FOLLOWING WEB SITES: DACBOND.COM (DIGITAL ASSURANCE CERTIFICATION LLC) EMMA.MSRB.ORG (ELECTRONIC MUNICIPAL MARKET ACCESS) THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS OR CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC. FORM 990, PART XI, LINE 9 FASB 158 ADJUSTMENTS ($55,948,752)
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2014

Additional Data


Software ID:  
Software Version:  
SCHEDULE R
(Form 990)
Department of the Treasury
Internal Revenue Service
Related Organizations and Unrelated Partnerships
MediumBulletComplete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBulletAttach to Form 990.
MediumBullet Information about Schedule R (Form 990) and its instructions is at www.irs.gov/form990.

OMB No. 1545-0047
2014
Open to Public Inspection
Name of the organization
Advocate Health And Hospitals Corp
 
Employer identification number

36-2169147
Part I
Identification of Disregarded Entities Complete if the organization answered "Yes" on Form 990, Part IV, line 33.
(a)
Name, address, and EIN (if applicable) of disregarded entity


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Total income


 		(e)
End-of-year assets


 		(f)
Direct controlling
entity










Part II
Identification of Related Tax-Exempt Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related tax-exempt organizations during the tax year.
(a)
Name, address, and EIN of related organization


(b)
Primary activity


 		(c)
Legal domicile (state
or foreign country)

 		(d)
Exempt Code section


 		(e)
Public charity status
(if section 501(c)(3))

 		(f)
Direct controlling
entity

 		(g)
Section 512(b)(13) controlled entity?
Yes No
(1) ADVOCATE HEALTH CARE NETWORK
3075 HIGHLAND PARKWAY STE 600

DOWNERS GROVE,IL60515
36-2167779 		PARENT CORP IL 501(c)(3) 11-III-FI NA
 
 
No
(2) ADVOCATE CHARITABLE FOUNDATION
3075 HIGHLAND PARKWAY STE 600

DOWNERS GROVE,IL60515
36-3297360 		Fundraising IL 501(c)(3) 7 AHCN
 
 
No
(3) ADVOCATE CONDELL MEDICAL CENTER
3075 HIGHLAND PARKWAY STE 600

DOWNERS GROVE,IL60515
26-2525968 		HEALTH CARE IL 501(c)(3) 3 AHHC
 
Yes
 
(4) EHS HOME HEALTH CARE SERVICE INC
3075 HIGHLAND PARKWAY STE 600

DOWNERS GROVE,IL60515
36-2913108 		HOME CARE IL 501(c)(3) 9 AHHC
 
Yes
 
(5) MERIDIAN HOSPICE
3075 HIGHLAND PARKWAY STE 600

DOWNERS GROVE,IL60515
36-3158667 		HOSPICE CARE IL 501(c)(3) 9 EHSHHCS
 
 
No
(6) HISPANOCARE INC
3075 HIGHLAND PARKWAY STE 600

DOWNERS GROVE,IL60515
36-3606486 		HEALTH CARE IL 501(c)(3) 9 ANSHN
 
 
No
(7) ADVOCATE SHERMAN HOSPITAL
3075 Highland Parkway Ste 600

DOWNERS GROVE,IL60515
36-2167920 		HEALTH CARE IL 501(c)(3) 3 AHCN
 
 
No
(8) SHERMAN WEST COURT
3075 Highland Parkway Ste 600

DOWNERS GROVE,IL60515
36-3725580 		NURSING CARE IL 501(c)(3) 9 ASH
 
 
No
(9) SHERMAN HOME HEALTH CARE CORPORATION
901 Center Street Suite 2001A

Elgin,IL60120
36-3330085 		HOME CARE IL 501(c)(3) 9 ASH
 
 
No
(10) ADVOCATE NORTH SIDE HEALTH NETWORK
3075 HIGHLAND PARKWAY STE 600

DOWNERS GROVE,IL60515
36-3196629 		HEALTH CARE IL 501(C)(3) 3 AHHC
 
Yes
 
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2014
Schedule R (Form 990) 2014
Page 2
Part III
Identification of Related Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a partnership during the tax year.
(a)
Name, address, and EIN of
related organization



 		(b)
Primary activity




 		(c)
Legal
domicile
(state or foreign
country)


 		(d)
Direct controlling
entity



 		(e)
Predominant income(related, unrelated, excluded from tax under sections 512-514)

(f)
Share of total income




 		(g)
Share of end-of-year
assets



 		(h)
Disproprtionate allocations?




 		(i)
Code V-UBI
amount in box 20 of
Schedule K-1
(Form 1065)
 		(j)
General or
managing
partner?



 		(k)
Percentage
ownership
Yes No Yes No
(1) DREYER MERCY AMBULATORY SURGRY CTR PSHP

1221 N HIGHLND
AURORA,IL60506
36-3890298 		MEDICAL SERVICES IL NA
  		        No     No  
(2) ADVOCATE SW AMB SUR CTR

18200 LA GRANGE RD
TINLEY PARK,IL60487
36-4437931 		MEDICAL SERVICES IL NA
  		        No     No  










Part IV
Identification of Related Organizations Taxable as a Corporation or Trust Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.
(a)
Name, address, and EIN of
related organization
 		(b)
Primary activity
 		(c)
Legal
domicile
(state or foreign
country)
 		(d)
Direct controlling
entity
 		(e)
Type of entity
(C corp, S corp,
or trust) 		(f)
Share of total income
 		(g)
Share of end-of-year
assets
 		(h)
Percentage
ownership
 		(i)
Section 512(b)(13) controlled entity?
Yes No
(1) ADVOCATE HEALTH CENTERS INC

3075 HIGHLAND PARKWAY STE 600
DOWNERS GROVE,IL60515
36-4217291 		MEDICAL SERVICES IL NA
  		C Corp         No
(2) EVANGELICAL SERVICES CORPORATION

3075 HIGHLAND PARKWAY STE 600
DOWNERS GROVE,IL60515
36-3208101 		MANAGEMENT SVCS IL NA
  		C Corp         No
(3) ADVOCATE INSURANCE SPC

878 West Bay Road PO Box 1159
GRAND CAYMAN   KY1-1102
CJ
98-0422925 		INSURANCE CJ NA
  		C Corp       Yes  
(4) ADVOCATE HOME CARE PRODUCTS INC

3075 HIGHLAND PARKWAY STE 600
DOWNERS GROVE,IL60515
36-3315416 		HEALTH SERVICES IL NA
  		C Corp         No
(5) HIGH TECHNOLOGY INC

3075 HIGHLAND PARKWAY STE 600
DOWNERS GROVE,IL60515
36-3368224 		MEDICAL SERVICES IL NA
  		C Corp         No
(6) MIDWEST HEART SPECIALISTS LTD

3075 HIGHLAND PARKWAY STE 600
DOWNERS GROVE,IL60515
36-2841923 		MEDICAL SERVICES IL NA
  		C Corp       Yes  
(7) PARKSIDE CENTER CONDO ASSOCIATION

1775 West Dempster Street
Park Ridge,IL60068
36-3452486 		PROPERTY MGMT IL NA
  		C Corp         No
(8) DREYER CLINIC INC

1877 W Downer Place
Aurora,IL60506
36-2690329 		MEDICAL SERVICES IL NA
  		C Corp         No
(9) BROMENN PHYSICIAN MANAGEMENT CORPORATION

3075 HIGHLAND PARKWAY STE 600
DOWNERS GROVE,IL60515
37-1313150 		MEDICAL SERVICES IL NA
  		C Corp         No
(10) SHERMAN HEALTH INSURANCE COMPANY LTD

878 West Bay Road PO Box 1159
GRAND CAYMAN   KY1-1102
CJ
98-0703036 		INSURANCE CJ NA
  		C Corp         No
(11) HEALTH VISIONS INC

3075 Highland Parkway Ste 600
Downers Grove,IL60515
36-3780082 		MEDICAL SERVICES IL NA
  		C Corp         No
(12) SHERMAN GROUP PRACTICE INC

3075 HIGHLAND PARKWAY STE 600
DOWNERS GROVE,IL60515
26-2891035 		MEDICAL SERVICES IL NA
  		C Corp         No
(13) SHERMAN PHYSICIAN GROUP INC

3075 HIGHLAND PARKWAY STE 600
DOWNERS GROVE,IL60515
26-4800497 		MEDICAL SERVICES IL NA
  		C Corp         No
(14) SHERMANCHOICE INC

1425 N Randall Road
Elgin,IL60123
36-4058392 		PHYS-HOSP-ORG IL NA
  		C Corp         No
(15) THE DELPHI GROUP IV INC

1425 N RANDALL ROAD
ELGIN,IL60123
36-4017279 		HEALTH COST MGT IL NA
  		C Corp         No
(16) SHERMAN VENTURES INC

934 Center Street
ELGIN,IL60123
36-4292309 		HOLDING COMPANY IL NA
  		C Corp         No
Schedule R (Form 990) 2014
Schedule R (Form 990) 2014
Page 3
Part V
Transactions With Related Organizations Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.
Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.
Yes
No
1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?
a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity . . . . . . . . . . . . . . . . . . . . . . .
1a
Yes
 
b Gift, grant, or capital contribution to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1b
 
No
c Gift, grant, or capital contribution from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1c
Yes
 
d Loans or loan guarantees to or for related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1d
 
No
e Loans or loan guarantees by related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1e
 
No
f Dividends from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1f
 
No
g Sale of assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1g
 
No
h Purchase of assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1h
 
No
i Exchange of assets with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1i
 
No
j Lease of facilities, equipment, or other assets to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1j
Yes
 
k Lease of facilities, equipment, or other assets from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . .
1k
Yes
 
l Performance of services or membership or fundraising solicitations for related organization(s) . . . . . . . . . . . . . . . . . . . .
1l
Yes
 
m Performance of services or membership or fundraising solicitations by related organization(s) . . . . . . . . . . . . . . . . . . . .
1m
Yes
 
n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) . . . . . . . . . . . . . . . . . . . . .
1n
 
No
o Sharing of paid employees with related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1o
 
No
p Reimbursement paid to related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1p
Yes
 
q Reimbursement paid by related organization(s) for expenses . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1q
Yes
 
r Other transfer of cash or property to related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1r
Yes
 
s Other transfer of cash or property from related organization(s) . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . . .
1s
Yes
 
2
If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.
(a)
Name of related organization 		(b)
Transaction
type (a-s) 		(c)
Amount involved 		(d)
Method of determining amount involved
(1) Advocate North Side Health Network

 1-K 1,156,750 Cost
(2) Advocate Condell Medical Center

 1-K 86,315 Cost
(3) Advocate North Side Health Network

 1-M 2,382,370 Cost
(4) Advocate Condell Medical Center

 1-M 1,539,689 Cost
(5) EHS Home Health Care Service Inc

 1-M 408,791 Cost
(6) Advocate North Side Health Network

 1-P 33,071,633 Cost
(7) Advocate Condell Medical Center

 1-P 10,745,111 Cost
(8) Midwest Heart Specialists Ltd

 1-P 1,054,035 Cost
(9) Advocate Insurance SPC

 1-P 2,567,969 Cost
(10) EHS Home Health Care Service Inc

 1-P 821,158 Cost
(11) Advocate North Side Health Network

 1-R 25,124,790 Cost
(12) Advocate Condell Medical Center

 1-R 3,792,867 Cost
(13) Advocate North Side Health Network

 1-A 96,118 Cost
(14) Advocate Condell Medical Center

 1-A 103,636 Cost
(15) EHS Home Health Care Service Inc

 1-A 17,237 Cost
(16) Advocate North Side Health Network

 1-J 145,587 Cost
(17) Advocate Condell Medical Center

 1-J 136,185 Cost
(18) Advocate North Side Health Network

 1-L 55,354,544 Cost
(19) Advocate Condell Medical Center

 1-L 52,814,989 Cost
(20) EHS Home Health Care Service Inc

 1-L 2,015,430 Cost
(21) Advocate North Side Health Network

 1-Q 81,190,498 Cost
(22) Advocate Condell Medical Center

 1-Q 42,347,933 Cost
(23) Midwest Heart Specialists Ltd

 1-Q 127,887 Cost
(24) Advocate Insurance SPC

 1-Q 2,736,900 Cost
(25) EHS Home Health Care Service Inc

 1-Q 9,253,295 Cost
(26) Advocate North Side Health Network

 1-S 9,415,839 Cost
(27) Advocate Condell Medical Center

 1-S 869,189 Cost
(28) Advocate Charitable Foundation

 1-C 16,849,938 Cost
Schedule R (Form 990) 2014
Schedule R (Form 990) 2014
Page 4
Part VI
Unrelated Organizations Taxable as a Partnership Complete if the organization answered "Yes" on Form 990, Part IV, line 37.
Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.
(a)
Name, address, and EIN of entity 		(b)
Primary activity 		(c)
Legal domicile
(state or foreign
country) 		(d)
Predominant income (related, unrelated, excluded from tax under sections 512-514)

(e)
Are all partners
section
501(c)(3)
organizations? 		(f)
Share of total income




 		(g)
Share of
end-of-year
assets 		(h)
Disproprtionate allocations? 		(i)
Code V-UBI
amount in box 20
of Schedule K-1
(Form 1065) 		(j)
General or
managing
partner? 		(k)
Percentage
ownership
Yes No Yes No Yes No






























Schedule R (Form 990) 2014
Schedule R (Form 990) 2014
Page 5
Part VII
Supplemental Information
Provide additional information for responses to questions on Schedule R (see instructions).
Return Reference Explanation
Schedule R (Form 990) 2014
Additional Data


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