Form990
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Department of the TreasuryInternal 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)
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OMB No. 1545-0047
2018
Open to Public Inspection
A For the 2019 calendar year, or tax year beginning 01-01-2018 , and ending 12-31-2018
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 $ 7,316,434,464
F Name and address of principal officer:
JAMES SKOGSBERGH
3075 HIGHLAND PARKWAY SUITE 600
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 11
4 Number of independent voting members of the governing body (Part VI, line 1b) ..... 4 8
5 Total number of individuals employed in calendar year 2018 (Part V, line 2a) ...... 5 34,942
6 Total number of volunteers (estimate if necessary) ............. 6 3,534
7a Total unrelated business revenue from Part VIII, column (C), line 12 ........ 7a 0
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) ......... 29,433,256 19,509,158
9 Program service revenue (Part VIII, line 2g) ......... 5,059,452,926 5,263,509,696
10 Investment income (Part VIII, column (A), lines 3, 4, and 7d ) .... 210,205,569 249,690,605
11 Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e) 11,302,981 11,035,721
12 Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12) 5,310,394,732 5,543,745,180
Expenses; 13 Grants and similar amounts paid (Part IX, column (A), lines 1–3 )... 4,367,511 6,241,300
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) 2,414,123,879 2,470,970,651
16a Professional fundraising fees (Part IX, column (A), line 11e) ..... 0 0
b Total fundraising expenses (Part IX, column (D), line 25) MediumBullet0    
17 Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e).... 2,648,770,097 2,829,347,560
18 Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25) 5,067,261,487 5,306,559,511
19 Revenue less expenses. Subtract line 18 from line 12....... 243,133,245 237,185,669
Net Assets or Fund Balances; Beginning of Current Year End of Year
20 Total assets (Part X, line 16)............. 8,519,791,827 12,356,458,273
21 Total liabilities (Part X, line 26)............. 3,505,024,878 7,461,070,736
22 Net assets or fund balances. Subtract line 21 from line 20..... 5,014,766,949 4,895,387,537
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.
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Date
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Firm's name MediumBullet

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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 (2018)
Form 990 (2018)
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 SERVETHE HEALTH NEEDS OF INDIVIDUALS, FAMILIES AND COMMUNITIES THOUGH AWHOLISTIC PHILOSOPY ROOTED IN OUR FUNDAMENTAL UNDERSTANDING OF HUMANBEINGS 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 $ 2,574,864,407 including grants of $ 6,241,300 ) (Revenue $ 3,289,890,567 )
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 VISION AND VALUES, ADVOCATE IS COMMITTED TO PROMOTING INITIATIVES THAT ENHANCE ACCESS TO HEALTH CARE FOR PEOPLE WHO ARE 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 CARE 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 TO THOSE WHO NEED HELP IN A TIMELY MANNER. 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. ADVOCATE HEALTH CARE IS DEDICATED TO PROVIDING EXPERT EMERGENCY CARE-TODAY AND INTO THE FUTURE. IN THE AREA OF TRAUMA CARE, LEVEL 1 DESIGNATION IS THE HIGHEST LEVEL FOR TRAUMA CENTERS. AS LEVEL 1 TRAUMA CENTERS, FIVE ADVOCATE HOSPITALS-ADVOCATE CHRIST, ADVOCATE CONDELL, ADVOCATE GOOD SAMARITAN, ADVOCATE ILLINOIS MASONIC AND ADVOCATE LUTHERAN GENERAL-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. TWENTY PERCENT OF TRAUMA PATIENTS IN METROPOLITAN CHICAGO ARE TREATED ANNUALLY IN AN ADVOCATE TRAUMA CENTER. IN 2018, ADVOCATE'S LEVEL I TRAUMA HOSPITALS TREATED 10,371 TRAUMA PATIENTS. AN ADDITIONAL 2,044 TRAUMA PATIENTS WERE TREATED AT ADVOCATE'S LEVEL II DESIGNATED TRAUMA HOSPITALS-ADVOCATE BROMENN, ADVOCATE GOOD SHEPHERD AND ADVOCATE SHERMAN-IN ADDITION TO A TOTAL OF 529,133 NON-TRAUMA EMERGENCY ROOM VISITS FOR ALL ADVOCATE'S HOSPITALS.
4b (Code:   ) (Expenses $ 1,170,551,212 including grants of $   ) (Revenue $ 1,087,034,323 )
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 TARGET UNIQUE HEALTH ACCESS NEEDS OF THE UNINSURED, UNDERINSURED, UNDERSERVED, LOW INCOME AND SPECIAL NEEDS INDIVIDUALS LIVING IN CHICAGOLAND AND CENTRAL ILLINOIS COMMUNITIES. EXAMPLES OF THESE PROGRAMS INCLUDE:ADVOCATE ADULT DOWN SYNDROME CENTER. ESTABLISHED IN 1992 THROUGH A PARTNERSHIP BETWEEN ADVOCATE LUTHERAN GENERAL AND THE NATIONAL ASSOCIATION FOR DOWN SYNDROME (NADS), THE ADVOCATE MEDICAL GROUP ADULT DOWN SYNDROME CENTER PROVIDES CRUCIAL PSYCHOSOCIAL AND MEDICAL SERVICES TO ADOLESCENTS AND ADULTS WITH DOWN SYNDROME LIVING IN ALL AREAS OF ILLINOIS. EACH YEAR APPROXIMATELY 3,000 INDIVIDUALS ARE SERVED THROUGH OVER 7,000 VISITS, INCLUDING CARE IN THE OFFICE, THE PATIENT'S HOME, AT RESIDENTIAL FACILITIES, NURSING HOMES AND IN THE HOSPITAL. 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. REIMBURSEMENT IS REDUCED GIVEN MORE TIME IS PROVIDED TO EACH PATIENT VISIT TO ALLOW INDIVIDUALS WITH DOWN SYNDROME TO PARTICIPATE IN THEIR OWN HEALTH CARE. FURTHER, ONLY ONE-THIRD OF THE COST OF THE CLINIC IS REIMBURSED THROUGH BILLING INSURANCE DUE TO THE PAYOR MIX. ADVOCATE, THEREFORE, GENEROUSLY PROVIDES SOME SERVICES AT THE CENTER THAT ARE KEY TO HEALTH PROMOTION BUT THAT ARE NOT REIMBURSABLE OR BILLABLE. THE CENTER CONTINUES TO FOCUS ON EXPANDING ITS RESEARCH AND PATIENT EDUCATION IN COMING YEARS. MAINE TOWNSHIP DISTRICT 207 SCHOOL-BASED HEALTH CENTERS (SBHC). MAINE TOWNSHIP DISTRICT 207 WAS FACED WITH APPROXIMATELY 30 PERCENT OF ITS STUDENTS NOT BEING ABLE TO MEET, OR EXPERIENCING SIGNIFICANT DIFFICULTY MEETING, THE STATE-MANDATED PHYSICAL AND IMMUNIZATION REQUIREMENTS DUE TO BEING UNINSURED OR UNDERINSURED. FOLLOWING SEVERAL YEARS OF PLANNING AND IN COLLABORATION WITH ADVOCATE MEDICAL GROUP AND ADVOCATE LUTHERAN GENERAL HOSPITAL, THE DISTRICT OPENED A SCHOOL-BASED HEALTH CENTER (D207 SBHC) IN MAINE EAST HIGH SCHOOL IN MARCH 2003 TO PROVIDE THESE STUDENTS WITH ACCESS TO VITAL HEALTH CARE SERVICES. ADVOCATE EMPLOYEES SERVE AS MEDICAL DIRECTOR, PEDIATRICIAN, NURSE PRACTITIONER AND MENTAL HEALTH WORKER FOR THE GRANT-FUNDED CLINIC. THE CLINIC HAS A SMALL PHARMACY THAT PROVIDES LIMITED MEDICATIONS FOR STUDENTS IN NEED AND ADVOCATE KEEPS THE CLINIC EQUIPPED WITH OFFICE SUPPLIES AND OTHER EQUIPMENT. THE CENTER ALSO SERVES AS A TRAINING SITE FOR PEDIATRIC AND FAMILY MEDICINE RESIDENTS. OPEN TO ALL HIGH SCHOOL STUDENTS IN MAINE TOWNSHIP HIGH SCHOOL DISTRICT 207, THE D207 SBHC HAS HELPED TO PROVIDE MANY STUDENTS WITH PHYSICALS AND IMMUNIZATIONS WHICH HAS ALLOWED THE DISTRICT TO MAINTAIN ITS 99% IL STATE COMPLIANCE RATE FOR THE 2018-19 SCHOOL YEAR. THE D207 SBHC CONTINUES TO PROVIDE FREE OR LOW-COST SERVICES INCLUDING PHYSICALS, IMMUNIZATIONS, EMERGENT CARE, BEHAVIORAL HEALTH TREATMENT, NUTRITIONAL COUNSELING AND EDUCATIONAL PROGRAMS. THE CENTER'S MEDICAL DIRECTOR AND STAFF HAVE HAD 1,676 CONTACTS DURING THE 2018/2019 SCHOOL YEAR AND MORE THAN 29,000 STUDENT CONTACTS SINCE THE FACILITY'S INCEPTION. MEDFEST. IN 2018, ADVOCATE MEDICAL GROUP SPONSORED MEDFEST, A COLLABORATIVE WITH SPECIAL OLYMPICS OF ILLINOIS, FOR THE 20TH YEAR IN A ROW. MEDFEST IS ANNUALLY HELD AT VARIOUS LOCATIONS IN THE STATE. THE EVENT PROVIDES PEOPLE WITH INTELLECTUAL DISABILITIES OPPORTUNITIES TO PARTICIPATE IN SPORTS TRAINING AND COMPETITIONS, CREATING AVENUES FOR INCLUSION AND ACCEPTANCE FOR THIS UNDERSERVED POPULATION THROUGHOUT ILLINOIS. THE FREE CLINICAL SERVICES RESULT IN PARTICIPANTS' ENHANCED PHYSICAL FITNESS AND COMFORT WITH THE MEDICAL COMMUNITY. AMG PROVIDED 1,557 FREE ATHLETIC PHYSICALS TO SPECIAL OLYMPIANS AT CHICAGO'S UNITED CENTER IN 2018, ALLOWING THEM OPPORTUNITIES TO PARTICIPATE IN COMPETITIONS THROUGHOUT THE YEAR. ADVOCATE MEDICAL GROUP HAS ALSO PROVIDED FREE PHYSICALS TO SPECIAL OLYMPIANS IN BLOOMINGTON FOR THE PAST 6 YEARS AND IN ORLAND PARK FOR OVER TEN YEARS, PROVIDING 35 AND 204 PHYSICAL EXAMS, RESPECTIVELY, IN 2018.
4c (Code:   ) (Expenses $ 80,229,513 including grants of $   ) (Revenue $ 24,438,416 )
GRADUATE MEDICAL EDUCATION (GME) AND POST-GRADUATE (CME)/MEDICAL STUDENTS/OTHER HEALTH PROFESSIONALS' EDUCATION. ADVOCATE IS COMMITTED TO TRAINING HEALTH CARE PROVIDERS IN A BROAD RANGE OF MEDICAL SPECIALTIES. AS ONE OF THE LARGEST PROVIDERS OF TRAINING IN PRIMARY CARE MEDICINE IN ILLINOIS, THERE WERE 2,270 MEDICAL STUDENT ROTATIONS COMPLETED AND 580 RESIDENTS AND FELLOWS WHO RECEIVED HANDS-ON TRAINING IN 2018 AT ADVOCATE'S FOUR ACADEMIC MEDICAL CENTERS - ADVOCATE BROMENN, ADVOCATE CHRIST, ADVOCATE ILLINOIS MASONIC AND ADVOCATE LUTHERAN GENERAL. ADVOCATE IS ALSO ACCREDITED BY THE ACCREDITATION COUNCIL FOR CONTINUING MEDICAL EDUCATION (ACCME) TO PROVIDE CONTINUING MEDICAL EDUCATION (CME) FOR PHYSICIANS. ADVOCATE'S CME PROGRAM PROVIDES PROFESSIONAL DEVELOPMENT THROUGH YEAR-ROUND SCHEDULING AND PLANNING OF ACCREDITED COURSES, SEMINARS AND MEETINGS FOR NON-ADVOCATE PHYSICIANS AND HEALTH CARE PROFESSIONALS IN THE REGION, AS WELL AS FOR ADVOCATE'S OWN PHYSICIANS. ADVOCATE'S MEDICAL STAFF SHARE THEIR EXPERTISE THROUGH GROUND ROUNDS, MORTALITY AND MORBIDITY CONFERENCES, AND JOURNAL CLUBS-AS WELL AS SINGLE ACTIVITIES ADDRESSING A VARIETY OF CLINICAL AND RESEARCH TOPICS. IN 2018, ADVOCATE HOSTED 2,879 CME EVENTS AT 13 ADVOCATE SITES FOR A TOTAL OF 3,942 CME CREDIT HOURS. OF THE 54,277 EVENT PARTICIPANTS, 41,642 WERE PHYSICIANS. IN ADDITION TO TEACHING GME AND CME STUDENTS, ADVOCATE MEDICAL GROUP (AMG) PHYSICIANS ALSO DEVOTE ONE-ON-ONE TIME TO TEACHING PHYSICIAN ASSISTANTS (PA) AND NURSE PRACTITIONER (NP) STUDENTS FROM MULTIPLE AREA UNIVERSITIES. IN 2018, AMG PHYSICIANS ALONE DEVOTED 9,090 HOURS TO TEACHING NP STUDENTS AND 4,576 HOURS TO TEACHING PA STUDENTS. THE VALUE OF THEIR TIME TEACHING THESE STUDENTS IN A CLINICAL SETTING TOTALED NEARLY $2M.DEPENDENT ON EACH HOSPITAL'S OR ADVOCATE'S SYSTEM-LEVEL ACADEMIC AFFILIATIONS, THE TRAINING OF UNDERGRADUATE AND GRADUATE STUDENT NURSES, AND STUDENTS IN OTHER ALLIED HEALTH PROFESSIONS, SUCH AS RESPIRATORY CARE, RADIOLOGIC TECHNOLOGY, PHYSICAL AND SPEECH THERAPY, PHARMACEUTICAL SERVICES, ETC., ALSO OCCURS THROUGHOUT ADVOCATE'S MULTIPLE SITES. ADVOCATE'S SPIRITUAL LEADERS OVERSEE A NATIONALLY ACCREDITED CLINICAL PASTORAL EDUCATION PROGRAM. SUPERVISING OVER 200 STUDENT UNITS EACH YEAR, THIS PROGRAM IS THE LARGEST IN THE COUNTRY, PROVIDING OPPORTUNITIES FOR SEMINARY STUDENTS AND LOCAL FAITH LEADERS TO GROW AND DEVELOP SPIRITUAL CARE MINISTRY SKILLS.NOT INCLUDED IN THE EXPENSE AND REVENUE AMOUNTS BUT IMPORTANT TO THE ORGANIZATION'S ROLE IN TRAINING HEALTH CARE PROFESSIONALS, ARE THE NURSING RESIDENCY PROGRAMS AT TWO OF ITS HOSPITALS-ADVOCATE GOOD SAMARITAN AND ADVOCATE ILLINOIS MASONIC. RESIDENCY PROGRAMS OCCUR IN OTHER DISCIPLINES AS WELL, SUCH AS THE PHARMACY RESIDENCY PROGRAM FOR EXAMPLE, AT MULTIPLE ADVOCATE SITES.
(Code:   ) (Expenses $ 768,804,805 including grants of $   ) (Revenue $ 862,146,390 )
DESCRIPTION OF ADVOCATE AURORA HEALTH IN APRIL 2018, ADVOCATE HEALTH CARE OF ILLINOIS AND AURORA HEALTH CARE OF WISCONSIN MERGED. ADVOCATE AURORA HEALTH IS AMONG THE 10 LARGEST NOT-FOR-PROFIT, INTEGRATED HEALTH SYSTEMS IN THE UNITED STATES AND A LEADING EMPLOYER IN THE MIDWEST WITH MORE THAN 70,000 TEAM MEMBERS, INCLUDING MORE THAN 22,000 NURSES, AND HAS ONE OF THE LARGEST EMPLOYED MEDICAL STAFF IN THE REGION AND A HOME HEALTH ORGANIZATION. A NATIONAL LEADER IN CLINICAL INNOVATION, HEALTH OUTCOMES, CONSUMER EXPERIENCE AND VALUE-BASED CARE, THE SYSTEM SERVES NEARLY 3 MILLION PATIENTS ANNUALLY IN ILLINOIS AND WISCONSIN ACROSS MORE THAN 500 SITES OF CARE. ADVOCATE AURORA IS ENGAGED IN HUNDREDS OF CLINICAL TRIALS AND RESEARCH STUDIES, AND IS NATIONALLY RECOGNIZED FOR ITS EXPERTISE IN CARDIOLOGY, NEUROSCIENCES, ONCOLOGY AND PEDIATRICS. AS A MERGED ENTITY, ADVOCATE AURORA HEALTH (ILLINOIS AND WISCONSIN) CONTRIBUTED NEARLY $2.1 BILLION IN CHARITABLE CARE AND COMMUNITY HEALTH SERVICES TO ITS COMMUNITIES IN 2018. DESCRIPTION OF ADVOCATE HEALTH CARE (ILLINOIS)WHILE ADVOCATE IS ONE OF TWO ORGANIZATIONS THAT MERGED TO BECOME ADVOCATE AURORA HEALTH IN APRIL 2018, ADVOCATE IN ILLINOIS MAINTAINS A SEPARATE FEIN# AND THEREFORE THE NARRATIVE THAT FOLLOWS PERTAINS TO ADVOCATE HEALTH CARE (ILLINOIS) ONLY. ADVOCATE IS ONE OF THE LARGEST FULLY INTEGRATED HEALTH CARE SYSTEMS IN ILLINOIS AND ONE OF THE LARGEST HEALTH CARE PROVIDERS IN THE MIDWEST. IN 2018, AS PART OF A NETWORK OF NEARLY 400 SITES OF CARE IN ILLINOIS, ADVOCATE'S MORE THAN 37,500 ASSOCIATES PROVIDED CARE AT TWELVE HOSPITALS, INCLUDING A CHILDREN'S HOSPITAL LOCATED ON TWO CAMPUSES (OAK LAWN AND PARK RIDGE, ILLINOIS), TOTALING MORE THAN 3,500 BEDS. ADVOCATE HAD A COMBINED TOTAL OF 170,442 INPATIENT ADMISSIONS, 1,990,363 OUTPATIENT VISITS AND 541,548 EMERGENCY DEPARTMENT VISITS IN 2018. TEN ADVOCATE HOSPITALS HAVE BEEN RECOGNIZED FOR DELIVERING EXCEPTIONAL PATIENT CARE FOR 2018-19 BY U.S. NEWS & WORLD REPORT, INCLUDING ADVOCATE'S BROMENN, CHRIST, GOOD SAMARITAN, CONDELL, GOOD SHEPHERD, ILLINOIS MASONIC, LUTHERAN, SHERMAN, TRINITY AND CHILDREN'S HOSPITAL ON BOTH CAMPUSES. THREE ADVOCATE HOSPITALS-ADVOCATE CONDELL, ILLINOIS MASONIC AND SHERMAN-HAVE ALSO EARNED 100 TOP HOSPITALS RECOGNITION IN 2018 FROM IBM WATSON (FORMERLY TRUVEN HEALTH ANALYTICS) FOR PERFORMANCE ON PATIENT SAFETY, QUALITY OF CARE, FINANCIAL STABILITY AND OTHER METRICS. IN ADDITION, EIGHT ADVOCATE HOSPITALS-ADVOCATE'S BROMENN, CHRIST, CONDELL, GOOD SAMARITAN, GOOD SHEPHERD, ILLINOIS MASONIC, LUTHERAN GENERAL AND SHERMAN-HAVE BEEN AWARDED THE AMERICAN NURSES CREDENTIALING CENTER'S MAGNET DESIGNATION-THE HIGHEST HONOR FOR NURSING EXCELLENCE. IN 2018, THE CHICAGO TRIBUNE RANKED ADVOCATE AS ONE OF THE BEST PLACES TO WORK FOR THE SEVENTH TIME. ADVOCATE HAS ALSO BEEN RECOGNIZED BY DIVERSITY MBA AS A BEST COMPANY FOR WOMEN AND DIVERSE MANAGERS TO WORK. THIS AWARD RECOGNIZES ADVOCATE'S ONGOING STRATEGIC EFFORT TO IMPLEMENT INTENTIONAL STRATEGIES FOR WOMEN AND MANAGERS OF DIVERSE BACKGROUNDS TO ADVANCE TO LEADERSHIP ROLES IN THE ORGANIZATION. DIVERSITY MBA EMPHASIZES HOW COMPANIES ARE CHAMPIONING RECRUITMENT EFFORTS THAT RESULT IN A DIVERSE AND TARGETED TALENT SELECTION PROCESS. 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). THE LEVEL 1 TRAUMA CENTERS-LOCATED AT ADVOCATE CHRIST, ADVOCATE CONDELL, ADVOCATE GOOD SAMARITAN, ADVOCATE ILLINOIS MASONIC AND ADVOCATE LUTHERAN-COMPRISE THE LARGEST EMERGENCY AND LEVEL 1 TRAUMA NETWORK IN ILLINOIS. IN 2018, ADVOCATE'S LEVEL I TRAUMA CENTERS HANDLED 10,371 TRAUMA VISITS AND ITS LEVEL II TRAUMA CENTERS-LOCATED AT ADVOCATE BROMENN, ADVOCATE GOOD SHEPHERD AND ADVOCATE SHERMAN-HANDLED 2,044 TRAUMA VISITS. THERE WAS A TOTAL OF 529,133 NON-TRAUMA VISITS AT ADVOCATE'S THREE NON-TRAUMA HOSPITALS FOR A COMBINED TOTAL TRAUMA AND EMERGENCY ROOM VISITS FOR ALL ADVOCATE HOSPITALS OF 541,548. (NOTE: THE CHILDREN'S HOSPITAL EMERGENCY VISITS FOR BOTH CAMPUSES-OAK LAWN AND PARK RIDGE-ARE INCLUDED IN THE MAIN HOSPITALS' TOTALS.) TWO ADVOCATE HOSPITALS ALSO SERVE AS POINT OF DISPENSING HOSPITALS FOR COORDINATION OF DISASTER COMMUNICATION-ADVOCATE ILLINOIS MASONIC FOR THE CITY OF CHICAGO AND ADVOCATE CHRIST FOR A 5-COUNTY GEOGRAPHIC AREA. LEADERSHIP OF THE METROPOLITAN CHICAGO AND COLLAR COUNTY DISASTER AND COMMUNICATION COORDINATION EFFORTS REQUIRE SIGNIFICANT INVOLVEMENT IN BOTH NATIONAL AND LOCAL BIOTERRORISM AND DISASTER PREPAREDNESS ACTIVITIES.ADVOCATE TREATS MORE PEDIATRIC PATIENTS THAN ANY OTHER HOSPITAL OR SYSTEM IN THE STATE. NAMED AS ONE OF THE NATION'S BEST CHILDREN'S HOSPITALS FOR CARDIOLOGY AND HEART SURGERY AS WELL AS NEONATOLOGY BY U.S. NEWS & WORLD REPORT, ADVOCATE CHILDREN'S WAS THE FIRST CHILDREN'S HOSPITAL IN THE COUNTRY TO RECEIVE CONGENITAL HEART DISEASE ACCREDITATION FROM ACE (ACCREDITATION FOR CARDIOVASCULAR EXCELLENCE) FOR SETTING THE HIGHEST STANDARDS OF QUALITY CARE FOR CHILDREN. THE HOSPITAL IS DESCRIBED AS ONE OF 12 "WORLD CLASS" NEWBORN INTENSIVE CARE UNITS BY THE NATIONAL VERMONT OXFORD "YOUR IDEAL NICU" PROJECT. IN ADDITION, ADVOCATE CHILDREN'S PROVIDES SERVICES FOR COMPLEX SURGERIES DURING PREGNANCY AND NEONATAL PERIODS. THE ADVOCATE CHILDREN'S CENTER FOR FETAL CARE IS ONE OF THE FIRST IN CHICAGOLAND, AND ONE OF ONLY 34 SUCH MEDICAL CENTERS IN NORTH AMERICA. IN FACT, ADVOCATE CHILDREN'S IS ONE OF LESS THAN 30 HOSPITALS NATIONWIDE THAT PERFORM ADVANCED IN-UTERO FETAL THERAPY PROCEDURES. FOUR OF ADVOCATE'S HOSPITALS ARE DESIGNATED LEVEL III (THE STATE'S HIGHEST LEVEL) NEONATAL INTENSIVE CARE UNITS (NICUS). THESE HOSPITALS-ADVOCATE CHRIST, ADVOCATE GOOD SAMARITAN, ADVOCATE ILLINOIS MASONIC AND ADVOCATE LUTHERAN GENERAL-HANDLE THE MOST ILL BABIES FROM OTHER ADVOCATE HOSPITALS AND THROUGH TRANSFERS FROM NON-ADVOCATE HOSPITALS IN THE CHICAGOLAND AREA. IN 2018, THERE WERE 2,609 NICU ADMISSIONS TO ADVOCATE'S NICU-DESIGNATED HOSPITALS. MORE PEOPLE TRUST THEIR HEARTS (CARDIAC CARE) TO ADVOCATE THAN ANY OTHER HEALTH SYSTEM OR HOSPITAL IN THE STATE OF ILLINOIS. ADVOCATE'S 350 HEART SPECIALISTS PERFORM MORE THAN 20,000 HEART PROCEDURES EACH YEAR-MORE THAN THE FIVE CHICAGO ACADEMIC HOSPITALS COMBINED. ADVOCATE ALSO DIAGNOSES AND TREATS MORE CANCER THAN ANY HEALTH SYSTEM IN ILLINOIS. THIS IS IMPORTANT BECAUSE HEALTH RESEARCH SHOWS THERE IS A POSITIVE RELATIONSHIP BETWEEN THE NUMBER OF PROCEDURES PERFORMED AND QUALITY OUTCOMES. THROUGH LEADING-EDGE RESEARCH AND A STRONG TEAM OF SPECIALISTS THAT PROVIDE COMPASSIONATE AND PERSONALIZED CARE, ADVOCATE HELPS MORE CANCER PATIENTS IN ILLINOIS BECOME CANCER SURVIVORS. IN ADDITION, THE ORGANIZATION IS RECOGNIZED AS HAVING ONE OF THE LARGEST HOME HEALTH CARE COMPANIES IN THE STATE. ADVOCATE HAS ONE OF THE LARGEST PHYSICIAN NETWORKS OF PRIMARY CARE PHYSICIANS, SPECIALISTS AND SUB-SPECIALISTS IN ILLINOIS. OF THE 6,300 PHYSICIANS AFFILIATED WITH ADVOCATE, 5,000 OF THEM ARE MEMBERS OF ADVOCATE PHYSICIAN PARTNERS, THE SYSTEM'S CARE MANAGEMENT ORGANIZATION, WITH 1,500 EMPLOYED THROUGH ADVOCATE MEDICAL GROUP. ADVOCATE HAS ACADEMIC AND TEACHING AFFILIATIONS WITH MOST MAJOR UNIVERSITIES IN THE CHICAGO METROPOLITAN AREA. AT ITS FOUR TEACHING HOSPITALS, ADVOCATE TRAINS MORE PRIMARY CARE PHYSICIANS AND RESIDENTS THAN ANY OTHER HEALTH CARE SYSTEM IN THE STATE. AS ONE OF THE NATION'S LARGEST ACCOUNTABLE CARE ORGANIZATIONS (ACOS), ADVOCATE IS NATIONALLY RECOGNIZED FOR IT'S ABILITY TO POSITIVELY AFFECT RISING HEALTHCARE COSTS. WHILE MEDICARE HEALTH CARE COSTS ROSE NATIONALLY BY 3.6% IN 2015 AND 1.24% IN 2016, FOR EXAMPLE, ADVOCATE DECREASED MEDICARE COSTS IN ITS MEDICARE SHARED SAVINGS PROGRAM BY 0.81% AND 2.08%, RESPECTIVELY. ADVOCATE CONTINUES TO BE THE MARKET LEADER IN WORKING WITH PAYERS TO OFFER NEW SOLUTIONS THAT ALIGN INCENTIVES AND LEAD TO IMPROVED QUALITY WITH REDUCED COSTS TO PAYERS, EMPLOYERS AND PATIENTS. IN ADDITION, ADVOCATE COLLABORATES WITH MERIDIAN FAMILY HEALTH PLAN (FHP) OF ILLINOIS AS PART OF AN INTEGRATED CARE MODEL FOR PEOPLE ON MEDICAID. ADVOCATE HAS A STRONG HISTORY OF PROVIDING HIGH QUALITY CARE TO THE MEDICAID POPULATION WITHIN ITS NETWORK, FOCUSING ON THE KEY AREAS OF IMPROVED CARE COORDINATION, ACCESS AND QUALITY PERFORMANCE. THE RESULT HAS BEEN A REDUCTION IN EMERGENCY DEPARTMENT UTILIZATION DUE TO SUCCESSFULLY CONNECTING INDIVIDUALS IN THE PLAN TO A MEDICAL HOME.
(Code:   ) (Expenses $   including grants of $   ) (Revenue $   )
ADVOCATE RECEIVED THE PRACTICE GREENHEALTH SYSTEM FOR CHANGE AWARD FOR THE 10TH TIME IN 2018. AS THE LONGEST RUNNING RECIPIENT OF THIS AWARD IN THE COUNTRY, THE SYSTEM FOR CHANGE AWARD IS GIVEN TO HEALTH SYSTEMS THAT WORK COHESIVELY AND ACROSS HOSPITALS AND FACILITIES TO SET AND MEET GOALS RELATED TO SUSTAINABILITY-FROM REDUCING ENERGY USE, TO INCREASING RECYCLING, TO ESTABLISHING GREEN BUILDING SPACES, ETC. IN RECOGNITION OF SUPERIOR ENERGY PERFORMANCE, THREE ADVOCATE HOSPITALS-BROMENN, EUREKA AND ILLINOIS MASONIC-EARNED THE U.S. ENVIRONMENTAL PROTECTION AGENCY'S (EPA) ENERGY STAR CERTIFICATION IN 2018. THIS WAS THE 9TH YEAR THAT ADVOCATE ILLINOIS MASONIC AND THE 2ND YEAR THAT ADVOCATE BROMENN AND EUREKA HAVE BEEN RECOGNIZED FOR THEIR LEGACIES OF CONTINUED ENERGY SAVINGS.ADVOCATE CONTRIBUTED $714.8 MILLION IN CHARITABLE CARE AND SERVICES TO COMMUNITIES ACROSS CHICAGOLAND AND CENTRAL ILLINOIS IN 2018.MISSIONADVOCATE IS A FAITH-BASED, NOT-FOR-PROFIT HEALTH SYSTEM RELATED TO BOTH THE EVANGELICAL LUTHERAN CHURCH IN AMERICA AND THE UNITED CHURCH OF CHRIST. ADVOCATE'S MISSION IS TO SERVE THE HEALTH NEEDS OF INDIVIDUALS, FAMILIES AND COMMUNITIES THROUGH A WHOLISTIC PHILOSOPHY ROOTED IN THE FUNDAMENTAL UNDERSTANDING OF HUMAN BEINGS AS CREATED IN THE IMAGE OF GOD. THIS WHOLISTIC APPROACH PROVIDES QUALITY CARE AND SERVICE, AND TREATS EACH PATIENT WITH DIGNITY, RESPECT AND INTEGRITY. TO GUIDE ITS RELATIONSHIPS AND ACTIONS, ADVOCATE EMBRACES THE FIVE VALUES OF COMPASSION, EQUALITY, EXCELLENCE, PARTNERSHIP AND STEWARDSHIP. THE MISSION, VALUES AND WHOLISTIC PHILOSOPHY (MVP) PERMEATE ALL AREAS OF ADVOCATE'S HEALING MINISTRY AND ARE INTEGRATED INTO EVERY ASPECT OF THE ORGANIZATION; BUILDING A CULTURAL FOUNDATION. THE MVP CALLS ADVOCATE TO EXTEND ITS SERVICES INTO THE COMMUNITY TO ADDRESS ACCESS TO CARE ISSUES AND TO IMPROVE THE HEALTH AND WELL-BEING OF THE PEOPLE IN THE COMMUNITIES ADVOCATE SERVES. POPULATION SERVED ADVOCATE HEALTH CARE PROVIDES QUALITY HEALTH CARE TO VARIOUS COMMUNITIES IN THE CHICAGOLAND AREA AND CENTRAL ILLINOIS REGARDLESS OF RACE, CREED, NATIONAL ORIGIN, AGE OR ABILITY TO PAY. IN 2018, ADVOCATE EXPERIENCED 170,442 TOTAL INPATIENT ADMISSIONS, 1,990,363 OUTPATIENT VISITS (INCLUDING ADVOCATE MEDICAL GROUP OUTPATIENT VISITS OF 608,280), 541,548 EMERGENCY DEPARTMENT VISITS AND 19,417 DELIVERIES. IN ADDITION, ADVOCATE HOME HEALTH SERVICES HAD A TOTAL OF 28,685 ADMISSIONS IN 2018, A SUBSTANTIAL INCREASE FROM THE 26,987 ADMISSIONS REPORTED THE PREVIOUS YEAR, AND ADVOCATE HOSPICE REPORTED A TOTAL OF 147,557 ADULT PATIENT DAYS IN 2018, WHICH ALSO SUBSTANTIALLY INCREASED FROM THE 134,914 ADULT PATIENT DAYS REPORTED IN 2017.
4d Other program services (Describe in Schedule O.)
(Expenses $ 768,804,805 including grants of $   ) (Revenue $ 862,146,390 )
4e Total program service expensesMediumBullet4,594,449,937
Form 990 (2018)
Form 990 (2018)
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 IIIClick 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 IV.....Click 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) ....
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............
18
 
No
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...................
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 attachment
20b
Yes
 
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
Form 990 (2018)
Form 990 (2018)
Page 4
Part IV
Checklist of Required Schedules (continued)
Yes
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
 
No
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
 
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
5,849
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
 
 
Form 990 (2018)
Form 990 (2018)
Page 5
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
34,942
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
 
 
15
Is the organization subject to the section 4960 tax on payment(s) of more than $1,000,000 in remuneration or excess parachute payment(s) during the year? If "Yes," see instructions and file Form 4720, Schedule N .....
15
Yes
 
16
Is the organization an educational institution subject to the section 4968 excise tax on net investment income?
If "Yes," complete Form 4720, Schedule O ................
16
 
No
Form 990 (2018)
Form 990 (2018)
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
11
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
8
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-A 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:
MediumBulletADVOCATE AURORA HEALTH INC3075 HIGHLAND PARKWAY SUITE 600   DOWNERS GROVE,IL60515 (630) 929-6057
Form 990 (2018)
Form 990 (2018)
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
1.00
.................
55.00
X   X       0 8,463,174 48,481
(2) MICHELE BAKER RICHARDSON......................................................................
CHAIRPERSON, DIRECTOR
1.00
.................
1.00
X   X       0 90,966 0
(3) JOHN TIMMER......................................................................
DIRECTOR
1.00
.................
1.00
X           0 74,966 0
(4) GAIL D HASBROUCK......................................................................
DIRECTOR
1.00
.................
1.00
X           420,963 10,000 46
(5) DAVID ANDERSON......................................................................
DIRECTOR
1.00
.................
1.00
X           0 84,966 0
(6) REV DR NATHANIEL EDMOND......................................................................
DIRECTOR
1.00
.................
1.00
X           0 4,000 0
(7) RON GREENE......................................................................
DIRECTOR
1.00
.................
1.00
X           0 11,500 0
(8) MARK HARRIS JD......................................................................
DIRECTOR
1.00
.................
1.00
X           0 42,700 0
(9) LYNN CRUMP-CAINE......................................................................
DIRECTOR
1.00
.................
1.00
X           0 62,300 0
(10) CLARENCE NIXON JR PHD......................................................................
DIRECTOR
1.00
.................
1.00
X           0 10,000 0
(11) K RICHARD JAKLE......................................................................
VICE CHAIRPERSON, DIRECTOR
1.00
.................
1.00
X   X       0 78,966 0
(12) GARY STUCK DO......................................................................
EVP, CHIEF MEDICAL OFFICER, DIRECTOR
55.00
.................
1.00
X   X       218,973 0 21,996
(13) WILLIAM P SANTULLI......................................................................
EVP, CHIEF OPERATING OFFICER
1.00
.................
55.00
    X       0 3,965,389 50,170
(14) LEE B SACKS MD......................................................................
EVP, CHIEF MEDICAL OFFICER
1.00
.................
55.00
    X       0 3,488,609 50,288
(15) JAMES DOHENY......................................................................
VP, CONTROLLER & ASST. TREASURER
55.00
.................
1.00
    X       518,656 0 53,917
(16) REV KATHIE BENDER SCHWICH......................................................................
SVP, MISSION & SPIRITUAL CARE
1.00
.................
55.00
    X       0 824,646 101,437
(17) KEVIN BRADY......................................................................
SVP, CHIEF HUMAN RESOURCES OFFICER
1.00
.................
55.00
    X       0 1,795,883 63,605
Form 990 (2018)
Form 990 (2018)
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) VINCENT BUFALINO MD........................................................................
PRESIDENT OF PHYS & AMB SVCS/ AMG
1.00
.......................55.00
    X       0 1,886,580 52,227
(19) SUSAN CAMPBELL........................................................................
SVP OF PATIENT CARE, CHIEF NURSING OFFICER
55.00
.......................1.00
    X       2,064,210 0 83,508
(20) KELLY JO GOLSON........................................................................
SVP, CHIEF MARKETING OFFICER
1.00
.......................55.00
    X       0 1,186,912 28,087
(21) DOMINIC J NAKIS........................................................................
SVP, CFO & TREASURER
1.00
.......................55.00
    X       0 2,635,976 53,865
(22) SCOTT POWDER........................................................................
SVP, CHIEF STRATEGY OFFICER
1.00
.......................55.00
    X       0 1,379,724 50,432
(23) EARL J BARNES II........................................................................
SVP, GENERAL COUNSEL & SECRETART
1.00
.......................25.00
    X       0 1,960,426 152,541
(24) BARBARA BYRNE MD........................................................................
SVP, CHIEF INFORMATION OFFICER
1.00
.......................55.00
    X       0 971,920 120,421
(25) JAMES SLINKMAN........................................................................
ASSISTANT SECRETARY
1.00
.......................55.00
    X       0 393,448 59,213
(26) LESLIE LENZO........................................................................
ASSISTANT TREASURER
55.00
.......................1.00
    X       646,273 0 41,758
(27) MICHAEL GREBE........................................................................
ASSISTANT SECRETARY
1.00
.......................55.00
    X       0 995,402 90,670
(28) MICHAEL KERNS........................................................................
ASSISTANT SECRETARY
1.00
.......................55.00
    X       0 420,969 60,895
(29) MICHAEL LAPPIN........................................................................
SECRETARY
1.00
.......................55.00
    X       0 1,927,178 143,340
(30) NAN NELSON........................................................................
ASSISTANT TREASURER
1.00
.......................55.00
    X       0 920,042 84,115
(31) RACHELLE HART........................................................................
ASSISTANT SECRETARY
1.00
.......................55.00
    X       0 626,395 40,485
(32) STEVE HUSER........................................................................
ASSISTANT TREASURER
1.00
.......................55.00
    X       0 337,534 44,422
(33) MICHAEL FARRELL........................................................................
PRESIDENT OF ADVOCATE CHILDREN'S HOSPITAL
55.00
.......................0.00
      X     2,250,426 0 48,543
(34) DAVID FOX JR........................................................................
PRESIDENT OF GOOD SAMARITAN
25.00
.......................0.00
      X     1,146,967 0 55,330
(35) DOMINICA TALLARICO........................................................................
PRESIDENT OF LUTHERAN GENERAL (UNTIL MAY 2018)
55.00
.......................1.00
      X     1,481,074 0 49,939
(36) TERIKA R MBANU........................................................................
PRESIDENT OF LUTHERAN GENERAL, TRINITY & SS
55.00
.......................0.00
      X     797,504 0 134,774
(37) RICHARD HEIM........................................................................
PSA OF S. CHICAGO & SS, PRESIDENT OF CHRIST
55.00
.......................0.00
      X     1,281,165 0 48,029
(38) COLLEEN KANNADAY........................................................................
PRESIDENT OF BROMENN
55.00
.......................1.00
      X     1,234,891 0 49,474
(39) KAREN LAMBERT........................................................................
PRESIDENT OF GOOD SHEPHERD & CONDELL
55.00
.......................1.00
      X     1,432,738 0 64,475
(40) MATTHEW PRIMACK........................................................................
PRESIDENT OF CHRIST MEDICAL CENTER
55.00
.......................0.00
      X     473,774 0 44,505
(41) NANCY M TINSLEY........................................................................
PRESIDENT OF GOOD SAMARITAN
55.00
.......................0.00
      X     194,569 0 16,235
(42) HAMAD FARHAT MD........................................................................
NEUROSURGEON
55.00
.......................0.00
        X   1,740,761 0 55,208
(43) MICHEL ILBAWI MD........................................................................
PEDIATRIC CV SURGERY
55.00
.......................0.00
        X   1,237,080 0 48,058
(44) DEAN KARAHALIOS MD........................................................................
NEUROSURGEON
55.00
.......................0.00
        X   1,186,278 0 56,787
(45) EGON DOPPENBERG MD........................................................................
NEUROSURGEON
55.00
.......................0.00
        X   1,188,843 0 55,041
(46) ERIC TOWER........................................................................
VP, ASSOCIATE GENERAL COUNSEL
0.00
.......................25.00
        X   0 1,372,677 49,961
(47) BRUCE D SMITH........................................................................
SVP, FORMER CHIEF INFORMATION OFFICER
0.00
.......................1.00
          X 508,520 0 46
(48) JAMES DAN MD........................................................................
FORMER PRES PHYS & AMB SVCS/ AMG
0.00
.......................0.00
          X 246,725 0 654
(49) KENNETH LUKHARD........................................................................
FORMER PRESIDENT OF CHRIST MEDICAL CENTER
0.00
.......................0.00
          X 1,887,701 0 67,482
(50) RICK FLOYD........................................................................
FORMER PRESIDENT OF LUTHERAN GENERAL
0.00
.......................0.00
          X 881,840 0 24,270
(51) RYAN TROMBLY MD........................................................................
FORMER NEUROSURGEON
0.00
.......................0.00
          X 1,045,335 0 35,120
1b Sub-Total................MediumBullet
c Total from continuation sheets to Part VII, Section A....MediumBullet
d Total (add lines 1b and 1c)...........MediumBullet 24,085,266 36,023,248 2,399,850
2
Total number of individuals (including but not limited to those listed above) who received more than $100,000 of reportable compensation from the organization MediumBullet24
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
CLIFFORD LAW OFFICES PC

120 N LASALLE ST 31ST FLOOR
CHICAGO,IL60602
LEGAL SERVICES 76,249,054
WINTERS SALZETTA O'BRIEN & RICHARDSON LL

111 W WASHINGTON ST 1200
CHICAGO,IL60602
LEGAL SERVICES 66,000,000
MCNABOLA & ASSOCIATES LLC

161 N CLARK ST 2550-B
CHICAGO,IL60601
LEGAL SERVICES 42,000,000
UNIVERSITY OF CHICAGO

5801 S ELLIS AVE
CHICAGO,IL60637
UNIVERSITY 40,668,215
UNIVERSITY OF IL AT CHICAGO

1200 W HARRISON ST
CHICAGO,IL60607
UNIVERSITY 27,377,950
2
Total number of independent contractors (including but not limited to those listed above) who received more than $100,000 of compensation from the organization MediumBullet448
Form 990 (2018)
Form 990 (2018)
Page 9
Part VIII
Statement of Revenue
Check if Schedule O contains a response or note to any line in this Part VIII.............
(A)
Total revenue
(B)
Related or
exempt
function
revenue
(C)
Unrelated
business
revenue
(D)
Revenue
excluded from
tax under sections
512 - 514
Contributions, Gifts, GrantAmt and OtherAmt Similar Amounts 1a Federated campaigns..1a  
b Membership dues..1b  
c Fundraising events..1c  
d Related organizations1d 11,592,126
e Government grants (contributions)1e 3,109,884
f All other contributions, gifts, grants, and similar amounts not included above1f 4,807,148
g Noncash contributions included in lines 1a - 1f:$  
h Total. Add lines 1a-1f.......MediumBullet 19,509,158
 Program Service RevenueAmt Business Code
2a MEDICARE/MEDICAID 622110 1,510,284,196 1,510,284,196    
b PATIENT SVC REVENUE 622110 1,432,038,743 1,432,038,743    
c BLUE CROSS/MGD CARE 622110 1,228,634,487 1,228,634,487    
d PHARMACY 446110 637,753,678 637,753,678    
e LABORATORY 621511 454,798,592 454,798,592    
f All other program service revenue.        
g Total. Add lines 2a–2f ....MediumBullet 5,263,509,696
 OtherAmtRevenueAmt 3 Investment income (including dividends, interest, and othersimilar amounts) ......MediumBullet 183,565,425     183,565,425
4 Income from investment of tax-exempt bond proceedsMediumBullet        
5 Royalties...........MediumBullet 200,919     200,919
(ii) Personal (i) Real
6a Gross rents   7,729,850
b Less: rental expenses   7,760,593
c Rental income or (loss)   -30,743
d Net rental income or (loss)......MediumBullet -30,743     -30,743
(ii) Other (i) Securities
7a Gross amount from sales of assets other than inventory 6,505,061 1,824,548,810
b Less: cost or other basis and sales expenses 7,663,981 1,757,264,710
c Gain or (loss) -1,158,920 67,284,100
d Net gain or (loss).....MediumBullet 66,125,180     66,125,180
8a Gross income from fundraising events (not including $   of contributions reported on line 1c). See Part IV, line 18 ....
a 675
b Less: direct expenses ...b 0
c Net income or (loss) from fundraising events..MediumBullet 675   675
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        
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        
Business Code Miscellaneous Revenue
11a CAFETERIA REVENUE 722514 9,370,714     9,370,714
b GIFT SHOP 812930 751,903     751,903
c MISCELLANEOUS 621999 729,042     729,042
d All other revenue .... 13,211     13,211
e Total. Add lines 11a–11d ...... MediumBullet 10,864,870
12 Total revenue. See Instructions......MediumBullet 5,543,745,180 5,263,509,696 0 260,726,326
Form 990 (2018)
Form 990 (2018)
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 6,241,300 6,241,300
2 Grants and other assistance to domestic individuals. See Part IV, line 22    
3 Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, line 15 and 16.    
4 Benefits paid to or for members    
5 Compensation of current officers, directors, trustees, and key employees .... 14,940,600 14,940,600    
6 Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .... 1,445,704 1,445,704    
7 Other salaries and wages 2,023,140,835 1,867,758,606 155,382,229  
8 Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) .... 64,450,162 55,985,468 8,464,694  
9 Other employee benefits ....... 234,096,937 220,530,170 13,566,767  
10 Payroll taxes ........... 132,896,413 122,315,871 10,580,542  
11 Fees for services (non-employees):        
a Management ...... 28,562,386   28,562,386  
b Legal ......... 6,135,975   6,135,975  
c Accounting ........... 149,412   149,412  
d Lobbying ........... 1,172,497   1,172,497  
e Professional fundraising services. See Part IV, line 17    
f Investment management fees ...... 7,109,498   7,109,498  
g Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O) 400,305,942   400,305,942  
12 Advertising and promotion .... 14,899,711 1,333,683 13,566,028  
13 Office expenses ....... 39,597,717 36,464,866 3,132,851  
14 Information technology ...... 114,219,780 108,140,165 6,079,615  
15 Royalties ..        
16 Occupancy ........... 89,939,771 83,942,513 5,997,258  
17 Travel ............ 8,298,313 5,882,613 2,415,700  
18 Payments of travel or entertainment expenses for any federal, state, or local public officials .        
19 Conferences, conventions, and meetings .... 8,843,967 7,182,401 1,661,566  
20 Interest ........... 72,084,746 72,084,663 83  
21 Payments to affiliates .......        
22 Depreciation, depletion, and amortization .. 235,603,101 200,526,100 35,077,001  
23 Insurance ... 61,112,571 60,586,496 526,075  
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 664,339,141 666,780,310 -2,441,169  
b OTHER INTERCOMPANY 591,704,087 586,279,997 5,424,090  
c BAD DEBT 171,998,153 171,998,153    
d INCOME TAXES 848,327 848,327    
e All other expenses 312,422,465 303,181,931 9,240,534  
25 Total functional expenses. Add lines 1 through 24e 5,306,559,511 4,594,449,937 712,109,574 0
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 (2018)
Form 990 (2018)
Page 11
Part X
Balance Sheet
Check if Schedule O contains a response or note to any line in this Part IX..............
(A)
Beginning of year
(B)
End of year
Assets 1 Cash–non-interest-bearing ........ 229,765,090 1 73,587,897
2 Savings and temporary cash investments ......... 164,106 2 134,180
3 Pledges and grants receivable, net ...... 2,756,131 3 2,351,374
4 Accounts receivable, net ............. 599,997,888 4 648,853,725
5 Loans and other receivables from current and former officers, directors, trustees, key employees, and highest compensated employees. Complete Part II of Schedule L .............
  5  
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 ..............
  6  
7 Notes and loans receivable, net .... 168,687,589 7 1,393,083,953
8 Inventories for sale or use ........ 59,834,765 8 63,443,578
9 Prepaid expenses and deferred charges ...... 92,523,973 9 50,806,199
10a Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D 10a 4,920,850,454
b Less: accumulated depreciation 10b 2,699,202,148 2,146,411,873 10c 2,221,648,306
11 Investments—publicly traded securities . 1,337,403,342 11 4,062,323,134
12 Investments—other securities. See Part IV, line 11 ..... 3,542,859,311 12 3,385,868,614
13 Investments—program-related. See Part IV, line 11 .. 38,293,498 13 96,883,078
14 Intangible assets ............... 39,952,082 14 41,651,441
15 Other assets. See Part IV, line 11 ........... 261,142,179 15 315,822,794
16 Total assets. Add lines 1 through 15 (must equal line 34)... 8,519,791,827 16 12,356,458,273
Liabilities 17 Accounts payable and accrued expenses ..... 745,286,217 17 838,505,971
18 Grants payable ...   18  
19 Deferred revenue ......... 832,965 19 8,917,433
20 Tax-exempt bond liabilities ......... 1,480,667,737 20 1,942,947,870
21 Escrow or custodial account liability. Complete Part IV of Schedule D   21  
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..   22  
23 Secured mortgages and notes payable to unrelated third parties .. 16,040,619 23 30,060,974
24 Unsecured notes and loans payable to unrelated third parties ..   24  
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 1,262,197,340 25 4,640,638,488
26 Total liabilities. Add lines 17 through 25.. 3,505,024,878 26 7,461,070,736
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 4,984,078,293 27 4,864,793,545
28 Temporarily restricted net assets ........... 30,688,656 28 30,593,992
29 Permanently restricted net assets   29  
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 ........... 5,014,766,949 33 4,895,387,537
34 Total liabilities and net assets/fund balances ........ 8,519,791,827 34 12,356,458,273
Form 990 (2018)
Form 990 (2018)
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
5,543,745,180
2
Total expenses (must equal Part IX, column (A), line 25) ............
2
5,306,559,511
3
Revenue less expenses. Subtract line 2 from line 1 ..............
3
237,185,669
4
Net assets or fund balances at beginning of year (must equal Part X, line 33, column (A)) ..
4
5,014,766,949
5
Net unrealized gains (losses) on investments ...............
5
-386,063,569
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
29,498,488
10
Net assets or fund balances at end of year. Combine lines 3 through 9 (must equal Part X, line 33, column (B))
10
4,895,387,537
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 (2018)
Form 990 (2018)
Additional Data


Software ID:  
Software Version:  
Form 990, Special Condition Description:
Special Condition Description
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 Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2018
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 12, check only one box.)
1
2
3
4
5
6
7
8
9

10
11
12
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- 10 above (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 990-EZ.
Cat. No. 11285F
Schedule A (Form 990 or 990-EZ) 2018

Schedule A (Form 990 or 990-EZ) 2018
Page 2
Part II
Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv), 170(b)(1)(A)(vi), and 170(b)(1)(A)(ix)
(Complete only if you checked the box on line 5, 7, 8, or 9 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) 2014 (b) 2015 (c) 2016 (d) 2017 (e) 2018 (f) Total
1 Gifts, grants, contributions, and membership fees received. (Do not include any "unusual grant.") ..            
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) 2014 (b) 2015 (c) 2016 (d) 2017 (e) 2018 (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) 2018

Schedule A (Form 990 or 990-EZ) 2018
Page 3
Part III
Support Schedule for Organizations Described in Section 509(a)(2)
(Complete only if you checked the box on line 10 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) 2014 (b) 2015 (c) 2016 (d) 2017 (e) 2018 (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) 2014 (b) 2015 (c) 2016 (d) 2017 (e) 2018 (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) 2018

Schedule A (Form 990 or 990-EZ) 2018
Page 4
Part IV
Supporting Organizations
(Complete only if you checked a box on line 12 of Part I. If you checked 12a of Part I, complete Sections A and B. If you checked 12b of Part I, complete Sections A and C. If you checked 12c of Part I, complete Sections A, D, and E. If you checked 12d 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 12a or 12b 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 (i) its supported organizations, (ii) individuals that are part of the charitable class benefited by one or more of its supported organizations, or (iii) 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 section 4958(c)(3)(C)), a family member of a substantial contributor, or a 35% controlled entity with regard to a substantial contributor? If “Yes,” complete Part I of Schedule L (Form 990 or 990-EZ) .
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 I of Schedule L (Form 990 or 990-EZ).
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 9a) 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 9a) 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 section 4943 because of section 4943(f) (regarding certain Type II supporting organizations, and all Type III non-functionally integrated supporting organizations)? If “Yes,” answer line 10b 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
 
 
Schedule A (Form 990 or 990-EZ) 2018

Schedule A (Form 990 or 990-EZ) 2018
Page 5
Part IV
Supporting Organizations (continued)
Yes
No
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
 
 
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, (i) a written notice describing the type and amount of support provided during the prior tax year, (ii) a copy of the Form 990 that was most recently filed as of the date of notification, and (iii) 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) 2018

Schedule A (Form 990 or 990-EZ) 2018
Page 6
Part V
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations
1
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
Schedule A (Form 990 or 990-EZ) 2018

Schedule A (Form 990 or 990-EZ) 2018
Page 7
Part V
Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations (continued)
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 2018 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-2018
(iii)
Distributable
Amount for 2018
1 Distributable amount for 2018 from Section C, line
6
 
2 Underdistributions, if any, for years prior to 2018 (reasonable cause required-- explain in Part VI).
See instructions.
 
3 Excess distributions carryover, if any, to 2018:
a From 2013.......  
b From 2014.......  
c From 2015.......  
d From 2016.......  
e From 2017.......  
fTotal of lines 3a through e  
g Applied to underdistributions of prior years  
h Applied to 2018 distributable amount  
i Carryover from 2013 not applied (see
instructions)
 
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.  
4Distributions for 2018 from Section D, line 7:
$  
a Applied to underdistributions of prior years  
b Applied to 2018 distributable amount  
c Remainder. Subtract lines 4a and 4b from 4.  
5 Remaining underdistributions for years prior to
2018, if any. Subtract lines 3g and 4a from line 2.
If the amount is greater than zero, explain in Part VI.
See instructions.
 
6 Remaining underdistributions for 2018. Subtract
lines 3h and 4b from line 1. If the amount is greater
than zero, explain in Part VI. See instructions.
 
7 Excess distributions carryover to 2019. Add lines
3j and 4c.
 
8 Breakdown of line 7:
a Excess from 2014......  
b Excess from 2015.....  
c Excess from 2016.....  
d Excess from 2017.....  
e Excess from 2018.....  
Schedule A (Form 990 or 990-EZ) (2018)

Schedule A (Form 990 or 990-EZ) 2018
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) 2018


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 Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2018
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 isn't covered by the General Rule and/or the Special Rules doesn't 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 doesn't 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) (2018)
Schedule B (Form 990, 990-EZ, or 990-PF) (2018) 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) (2018)
Schedule B (Form 990, 990-EZ, or 990-PF) (2018)
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) (2018)
Schedule B (Form 990, 990-EZ, or 990-PF) (2018)
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) (2018)

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 BulletGo to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2018
Open to Public
Inspection
If the organization answered "Yes" on 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" on 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" on 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 (see instructions for definition of “political campaign activities")

2
Political campaign activity expenditures (see instructions) ....................................................................SchCMd Bullet
$  
3
Volunteer hours for political campaign activities (see instructions) ..................................................................
 

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-.
1
2
3
4
5
6
For Paperwork Reduction Act Notice, see the instructions for Form 990 or 990-EZ.
Cat. No. 50084S
Schedule C (Form 990 or 990-EZ) 2018

Schedule C (Form 990 or 990-EZ) 2018
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) 2015 (b) 2016 (c) 2017 (d) 2018 (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) 2018


Schedule C (Form 990 or 990-EZ) 2018
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 on 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
 
5,812
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
 
331,198
h
Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................
 
No
 
i
Other activities? ...................................................................................................................
Yes
 
835,487
j
Total. Add lines 1c through 1i ....................................................................................................
1,172,497
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 AND THE ILLINOIS HEALTH AND HOSPITAL ASSOCIATION. 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) 2018


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," on 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.
SchDMd Bullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2018
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" on 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" on 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 7/25/06, 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, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet  
7
Amount of expenses incurred in monitoring, inspecting, handling of violations, 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" on 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 on 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 on 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) 2018

Schedule D (Form 990) 2018
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" on 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" on Form 990, Part IV, line 10.
(a)Current year (b)Prior year (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 on 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" on 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" on 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 ..... 12,815,456 166,690,337 179,505,793
b Buildings ....   2,865,803,135 1,411,223,546 1,454,579,589
c Leasehold improvements   164,418,063 72,258,486 92,159,577
d Equipment ....   1,570,800,303 1,215,721,169 355,079,134
e Other .....   140,323,160 -1,053 140,324,213
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..SchDMdBullet 2,221,648,306
Schedule D (Form 990) 2018

Schedule D (Form 990) 2018
Page 3
Part VII
Investments—Other Securities. Complete if the organization answered "Yes" on 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........ 3,385,868,614 F
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)Small Bullet 3,385,868,614
Part VIII
Investments—Program Related. Complete if the organization answered 'Yes' on 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
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
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' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.
(a) Description (b) Book value
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
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' on Form 990, Part IV, line 11e or 11f. See Form 990, Part X, line 25.
1.(a) Description of liability (b) Book value
(1) Federal income taxes  
SELF INSURANCE LIABILITY 627,149,095
3RD PARTY SETTLEMENTS 175,979,329
EXECUTIVE PENSION LIABILITY & DEF C 167,060,873
TAXABLE TERM LOAN 824,232,508
INTEREST RATE SWAP MTM SERIES 65,376,337
UNFUNDED HRA/DRA 29,543,791
OBLIGATION TO RETURN COLLATERAL 18,869,016
LONG TERM DISABILITY 20,044,300
REMEDIATION COST ACCRUAL 16,812,202
DEFERRED CONTRACTS 2,882,512
DEACONESS RESIDENCE LIABILITY 306,000
OTHER NONCURRENT LIABILITIES 36,417,580
DUE TO INVESTMENT POOL 2,655,964,945
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)Small Bullet 4,640,638,488
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) 2018

Schedule D (Form 990) 2018
Page 4
Part XI Reconciliation of Revenue per Audited Financial Statements With Revenue per Return Complete if the organization answered 'Yes' on 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' on 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) 2018


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 Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2018
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 INVESTMENTS   2,059,082,138
CENTRAL AMERICA AND THE CARIBBEAN     PROGRAM SERVICES SELF-INSURANCE 15,104,393
EAST ASIA AND THE PACIFIC     INVESTMENTS   359,513,441
EAST ASIA AND THE PACIFIC     PROGRAM SERVICES CONFERENCE 18,042
EUROPE (INCLUDING ICELAND & GREENLAND)     INVESTMENTS   938,901,764
EUROPE (INCLUDING ICELAND & GREENLAND)     PROGRAM SERVICES CONFERENCE 2,235
MIDDLE EAST AND NORTH AFRICA     INVESTMENTS   5,489,572
MIDDLE EAST AND NORTH AFRICA     PROGRAM SERVICES CONFERENCE 12,205
NORTH AMERICA     INVESTMENTS   61,650,252
NORTH AMERICA     PROGRAM SERVICES CONFERENCE 801
SOUTH AMERICA     INVESTMENTS   2,460,977
SOUTH ASIA     INVESTMENTS   6,543,670
           
           
           
           
           
3a Sub-total ..... 1 1 3,378,123,790
b Total from continuation sheets to Part I ...     70,655,700
c Totals (add lines 3a and 3b) 1 1 3,448,779,490
For Paperwork Reduction Act Notice, see the Instructions for Form 990.Cat. No. 50082W Schedule F (Form 990) 2018
Schedule F (Form 990) 2018
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)
(c) Region (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) 2018
Schedule F (Form 990) 2018Page 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) 2018
Schedule F (Form 990) 2018
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 separately 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; don't 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 separately file Form 5713, International Boycott Report (see Instructions for Form 5713; don't file with Form 990).. . . . . . . . . . . . . . . . . . . . . . . . . . . .
Schedule F (Form 990) 2018
Schedule F (Form 990) 2018
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) 2018
Additional Data


Software ID:  
Software Version:  



SCHEDULE H
(Form 990)
Department of the Treasury
Internal Revenue Service
Hospitals
MediumBullet Complete if the organization answered "Yes" on Form 990, Part IV, question 20.
MediumBullet Attach to Form 990.
MediumBullet Go to www.irs.gov/Form990EZ for instructions and the latest information.
OMB No. 1545-0047
2018
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
Yes
 
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
 
No
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) . . .
    55,694,294 246,551 55,447,743 1.080 %
b Medicaid (from Worksheet 3, column a) . . . . .     727,670,255 557,900,125 169,770,130 3.310 %
c Costs of other means-tested government programs (from Worksheet 3, column b) . .            
d Total Financial Assistance and Means-Tested Government Programs . . . . .     783,364,549 558,146,676 225,217,873 4.390 %
Other Benefits
e Community health improvement services and community benefit operations (from Worksheet 4).     8,947,025   8,947,025 0.170 %
f Health professions education (from Worksheet 5) . . .     113,229,279 24,438,416 88,790,863 1.730 %
g Subsidized health services (from Worksheet 6) . . . .     52,223,716 39,265,604 12,958,112 0.250 %
h Research (from Worksheet 7) .            
i Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .     5,160,413   5,160,413 0.100 %
j Total. Other Benefits . .     179,560,433 63,704,020 115,856,413 2.250 %
k Total. Add lines 7d and 7j .     962,924,982 621,850,696 341,074,286 6.640 %
For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
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
171,998,153
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
18,778,225
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
1,209,382,255
6
Enter Medicare allowable costs of care relating to payments on line 5.....
6
1,370,619,997
7
Subtract line 6 from line 5. This is the surplus (or shortfall)........
7
-161,237,742
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) 2018
Schedule H (Form 990) 2018
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?8Name, 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 W 95TH ST
OAK LAWN,IL60453
HTTP://WWW.ADVOCATEHEALTH.COM/CMC/
0000315
X X X X     X      
2 LUTHERAN GEN HOSP INCL LUTH GEN CHILD
1775 DEMPSTER ST
PARK RIDGE,IL60068
HTTP://WWW.ADVOCATEHEALTH.COM/LUTH/
0004796
X X X X     X      
3 GOOD SAMARITAN HOSPITAL
3815 HIGHLAND AVE
DOWNERS GROVE,IL60515
HTTP://WWW.ADVOCATEHEALTH.COM/GSAM/
0003384
X X         X      
4 GOOD SHEPHERD HOSPITAL
450 W HWY 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 AVE
NORMAL,IL61761
HTTP://WWW.ADVOCATEHEALTH.COM/BROMENN/
0005645
X X         X      
7 TRINITY HOSPITAL
2320 E 93RD ST
CHICAGO,IL60617
HTTP://WWW.ADVOCATEHEALTH.COM/TRIN/
0004176
X X         X      
8 EUREKA HOSPITAL
101-109 R101 S MAJOR
EUREKA,IL61530
HTTP://WWW.ADVOCATEHEALTH.COM/EUREKA/
0005652
X X     X   X      
Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page 4
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)
ADVOCATE 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 16
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  
6 a 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 Yes  
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 17
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): HTTP://WWW.ADVOCATEHEALTH.COM/CHNAREPORTS
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
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" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on 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) 2018
Schedule H (Form 990) 2018
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
ADVOCATE BROMENN MEDICAL CENTER
Name of hospital facility or letter of facility reporting group  
Yes No
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 Was widely publicized 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
WWW.ADVOCATEHEALTH.COM/FINANCIALASSISTANCE
b
WWW.ADVOCATEHEALTH.COM/FINANCIALASSISTANCE
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page 6
Part VFacility Information (continued)

Billing and Collections
ADVOCATE BROMENN MEDICAL CENTER
Name of hospital facility or letter of facility reporting group  
Yes No
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 nonpayment?.................................. 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
f
19 Did the hospital facility or other authorized 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
e
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 19. (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
Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
ADVOCATE BROMENN MEDICAL CENTER
Name of hospital facility or letter of facility reporting group  
Yes No
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   No
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) 2018
Schedule H (Form 990) 2018
Page 4
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 16
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  
6 a 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 Yes  
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 17
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): HTTPS://WWW.ADVOCATEHEALTH.COM/HOSPITAL-CHNA-REPORTS-IMPLEMENTATION-PLANS-P
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
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" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on 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) 2018
Schedule H (Form 990) 2018
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
CHRIST HOSP INCL HOPE CHILDREN'S HOSP
Name of hospital facility or letter of facility reporting group  
Yes No
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 Was widely publicized 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
WWW.ADVOCATEHEALTH.COM/FINANCIALASSISTANCE
b
WWW.ADVOCATEHEALTH.COM/FINANCIALASSISTANCE
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page 6
Part VFacility Information (continued)

Billing and Collections
CHRIST HOSP INCL HOPE CHILDREN'S HOSP
Name of hospital facility or letter of facility reporting group  
Yes No
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 nonpayment?.................................. 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
f
19 Did the hospital facility or other authorized 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
e
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 19. (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
Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
CHRIST HOSP INCL HOPE CHILDREN'S HOSP
Name of hospital facility or letter of facility reporting group  
Yes No
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   No
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) 2018
Schedule H (Form 990) 2018
Page 4
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)
ADVOCATE 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 16
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  
6 a 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 Yes  
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 17
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): HTTP://WWW.ADVOCATEHEALTH.COM/CHNAREPORTS
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
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" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on 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) 2018
Schedule H (Form 990) 2018
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
ADVOCATE EUREKA HOSPITAL
Name of hospital facility or letter of facility reporting group  
Yes No
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 Was widely publicized 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
WWW.ADVOCATEHEALTH.COM/FINANCIALASSISTANCE
b
WWW.ADVOCATEHEALTH.COM/FINANCIALASSISTANCE
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page 6
Part VFacility Information (continued)

Billing and Collections
ADVOCATE EUREKA HOSPITAL
Name of hospital facility or letter of facility reporting group  
Yes No
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 nonpayment?.................................. 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
f
19 Did the hospital facility or other authorized 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
e
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 19. (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
Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
ADVOCATE EUREKA HOSPITAL
Name of hospital facility or letter of facility reporting group  
Yes No
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   No
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) 2018
Schedule H (Form 990) 2018
Page 4
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)
ADVOCATE 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 16
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  
6 a 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 17
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): HTTP://WWW.ADVOCATEHEALTH.COM/CHNAREPORTS
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
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" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on 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) 2018
Schedule H (Form 990) 2018
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
ADVOCATE GOOD SHEPHERD HOSPITAL
Name of hospital facility or letter of facility reporting group  
Yes No
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 Was widely publicized 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
WWW.ADVOCATEHEALTH.COM/FINANCIALASSISTANCE
b
WWW.ADVOCATEHEALTH.COM/FINANCIALASSISTANCE
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page 6
Part VFacility Information (continued)

Billing and Collections
ADVOCATE GOOD SHEPHERD HOSPITAL
Name of hospital facility or letter of facility reporting group  
Yes No
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 nonpayment?.................................. 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
f
19 Did the hospital facility or other authorized 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
e
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 19. (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
Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
ADVOCATE GOOD SHEPHERD HOSPITAL
Name of hospital facility or letter of facility reporting group  
Yes No
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   No
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) 2018
Schedule H (Form 990) 2018
Page 4
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)
ADVOCATE 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 16
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  
6 a 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 17
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): HTTP://WWW.ADVOCATEHEALTH.COM/CHNAREPORTS
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
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" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on 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) 2018
Schedule H (Form 990) 2018
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
ADVOCATE GOOD SAMARITAN HOSPITAL
Name of hospital facility or letter of facility reporting group  
Yes No
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 Was widely publicized 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
WWW.ADVOCATEHEALTH.COM/FINANCIALASSISTANCE
b
WWW.ADVOCATEHEALTH.COM/FINANCIALASSISTANCE
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page 6
Part VFacility Information (continued)

Billing and Collections
ADVOCATE GOOD SAMARITAN HOSPITAL
Name of hospital facility or letter of facility reporting group  
Yes No
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 nonpayment?.................................. 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
f
19 Did the hospital facility or other authorized 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
e
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 19. (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
Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
ADVOCATE GOOD SAMARITAN HOSPITAL
Name of hospital facility or letter of facility reporting group  
Yes No
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   No
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) 2018
Schedule H (Form 990) 2018
Page 4
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 16
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  
6 a 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 Yes  
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 17
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): HTTP://WWW.ADVOCATEHEALTH.COM/CHNAREPORTS
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
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" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on 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) 2018
Schedule H (Form 990) 2018
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
LUTHERAN GEN HOSP INCL LUTH GEN CHILD
Name of hospital facility or letter of facility reporting group  
Yes No
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 Was widely publicized 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
WWW.ADVOCATEHEALTH.COM/FINANCIALASSISTANCE
b
WWW.ADVOCATEHEALTH.COM/FINANCIALASSISTANCE
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page 6
Part VFacility Information (continued)

Billing and Collections
LUTHERAN GEN HOSP INCL LUTH GEN CHILD
Name of hospital facility or letter of facility reporting group  
Yes No
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 nonpayment?.................................. 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
f
19 Did the hospital facility or other authorized 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
e
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 19. (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
Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
LUTHERAN GEN HOSP INCL LUTH GEN CHILD
Name of hospital facility or letter of facility reporting group  
Yes No
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   No
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) 2018
Schedule H (Form 990) 2018
Page 4
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)
ADVOCATE SOUTH SUBURBAN 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):
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 16
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  
6 a 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 Yes  
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 17
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): HTTPS://WWW.ADVOCATEHEALTH.COM/HOSPITAL-CHNA-REPORTS-IMPLEMENTATION-PLANS-
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
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" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on 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) 2018
Schedule H (Form 990) 2018
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
ADVOCATE SOUTH SUBURBAN HOSPITAL
Name of hospital facility or letter of facility reporting group  
Yes No
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 Was widely publicized 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
WWW.ADVOCATEHEALTH.COM/FINANCIALASSISTANCE
b
WWW.ADVOCATEHEALTH.COM/FINANCIALASSISTANCE
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page 6
Part VFacility Information (continued)

Billing and Collections
ADVOCATE SOUTH SUBURBAN HOSPITAL
Name of hospital facility or letter of facility reporting group  
Yes No
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 nonpayment?.................................. 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
f
19 Did the hospital facility or other authorized 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
e
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 19. (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
Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
ADVOCATE SOUTH SUBURBAN HOSPITAL
Name of hospital facility or letter of facility reporting group  
Yes No
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   No
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) 2018
Schedule H (Form 990) 2018
Page 4
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)
ADVOCATE 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 16
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  
6 a 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 Yes  
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 17
10 Is the hospital facility's most recently adopted implementation strategy posted on a website?......... 10 Yes  
a If "Yes" (list url): HTTPS://WWW.ADVOCATEHEALTH.COM/HOSPITAL-CHNA-REPORTS-IMPLEMENTATION-PLANS-P
b If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ...... 10b    
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" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........ 12b    
c If "Yes" on 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) 2018
Schedule H (Form 990) 2018
Page 5
Part VFacility Information (continued)

Financial Assistance Policy (FAP)
ADVOCATE TRINITY HOSPITAL
Name of hospital facility or letter of facility reporting group  
Yes No
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 Was widely publicized 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
WWW.ADVOCATEHEALTH.COM/FINANCIALASSISTANCE
b
WWW.ADVOCATEHEALTH.COM/FINANCIALASSISTANCE
c
d
e
f
g
h
i
j
Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page 6
Part VFacility Information (continued)

Billing and Collections
ADVOCATE TRINITY HOSPITAL
Name of hospital facility or letter of facility reporting group  
Yes No
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 nonpayment?.................................. 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
f
19 Did the hospital facility or other authorized 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
e
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 19. (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
Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page 7
Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)
ADVOCATE TRINITY HOSPITAL
Name of hospital facility or letter of facility reporting group  
Yes No
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   No
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) 2018
Schedule H (Form 990) 2018
Page 8
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, 16j, 18e, 19e, 20e, 21c, 21d, 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
ADVOCATE BROMENN MEDICAL CENTER PART V, SECTION B, LINE 5: ADVOCATE BROMENN MEDICAL CENTER (ADVOCATE BROMENN), THE MCLEAN COUNTY HEALTH DEPARTMENT, OSF HEALTHCARE ST. JOSEPH MEDICAL CENTER AND UNITED WAY OF MCLEAN COUNTY COLLABORATED FOR THE FIRST TIME FOR THE 2016 MCLEAN COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT. THIS EXCITING AND UNIQUE OPPORTUNITY WAS POSSIBLE, ACCORDING TO THE FINAL RULES OF THE PATIENT PROTECTION AND AFFORDABLE CARE ACT, AS ALL FOUR ENTITIES DEFINE THEIR SERVICE AREA AS MCLEAN COUNTY. THE GOALS OF THE COLLABORATIVE ARE AS FOLLOWS:- ESTABLISH THE MCLEAN COUNTY COMMUNITY HEALTH COUNCIL- ANALYZE DATA COLLECTIVELY- PRIORITIZE AND SELECT THE TOP THREE HEALTH NEEDS FOR MCLEAN COUNTY- GENERATE ONE COMMUNITY HEALTH NEEDS ASSESSMENT FOR MCLEAN COUNTY- WORK COLLABORATIVELY ON A COMMUNITY HEALTH IMPLEMENTATION PLAN ADDRESSING EACH OF THE TOP THREE HEALTH PRIORITIES WITH OTHER KEY COMMUNITY STAKEHOLDERSAT LEAST ONE MEMBER FROM EACH OF THE FOUR ORGANIZATIONS MADE UP THE EXECUTIVE STEERING COMMITTEE. THE STEERING COMMITTEE ANALYZED AN EXTENSIVE QUANTITY OF BOTH PRIMARY AND SECONDARY DATA FROM JULY 2015 TO FEBRUARY 2016. DUE TO THE AVAILABILITY OF NEW DATASETS, THE STEERING COMMITTEE ANALYZED DATA AT A MORE DETAILED LEVEL AND IDENTIFIED HEALTH DISPARITIES FOR GENDER, AGE, RACE/ETHNICITY, AND ZIP CODE FOR A VARIETY OF HEALTH OUTCOMES.IN FEBRUARY 2016, THE EXECUTIVE STEERING COMMITTEE PRESENTED 13 HEALTH ISSUES THAT THE DATA SUGGESTED WERE HEALTH PROBLEMS TO THE MCLEAN COUNTY COMMUNITY HEALTH COUNCIL. THE MCLEAN COUNTY COMMUNITY HEALTH COUNCIL CONSISTS OF 33 INDIVIDUALS FROM 15 ORGANIZATIONS IN MCLEAN COUNTY REPRESENTING PUBLIC ENTITIES, FAITH-BASED AND PRIVATE ORGANIZATIONS, SOCIAL SERVICE ORGANIZATIONS, HEALTHCARE FACILITIES, AND CITY AND REGIONAL PLANNING. SEVERAL OF THE INDIVIDUALS FROM THE VARIOUS ORGANIZATIONS LISTED BELOW REPRESENT THE UNDERSERVED, UNINSURED, MINORITY OR LOW-INCOME POPULATIONS.MCLEAN COUNTY COMMUNITY HEALTH COUNCIL- ADVOCATE HEALTH CARE (HEALTH)- BLOOMINGTON SCHOOL DISTRICT 87 (YOUTH AND SCHOOLS)- BLOOMINGTON TOWNSHIP; JOHN M. SCOTT HEALTH COMMISSION (UNDERSERVED)- CHESTNUT HEALTH SYSTEMS (MENTAL HEALTH, FEDERALLY QUALIFIED HEALTH CENTER)- CITY OF BLOOMINGTON (CITY PLANNING)- COMMUNITY HEALTH CARE CLINIC (UNDERSERVED, UNINSURED)- IMMANUEL HEALTH CENTER (UNDERSERVED, UNINSURED)- ILLINOIS STATE UNIVERSITY SCHOOL OF SOCIAL WORK (SOCIAL WORK AND HEALTH RESEARCH)- MCLEAN COUNTY HEALTH DEPARTMENT (PUBLIC HEALTH)- MCLEAN COUNTY CENTER FOR HUMAN SERVICES (MENTAL HEALTH, UNDERSERVED)- MCLEAN COUNTY REGIONAL PLANNING COMMISSION (PLANNING)- MARCFIRST SPICE (DEVELOPMENTAL DISABILITIES, EARLY CHILDHOOD)- OSF HEALTHCARE SYSTEM (HEALTH)- REGIONAL OFFICE OF EDUCATION (SCHOOLS, YOUTH)- UNITED WAY (CONVENER, FUNDER)IN ADDITION TO EXISTING SECONDARY DATA SOURCES SHARED AND COLLECTED THROUGH THE MCLEAN COUNTY HEALTH COUNCIL, IT WAS ALSO IMPORTANT TO UTILIZE PRIMARY SURVEY DATA TO COLLECT CURRENT INFORMATION AND ASK QUESTIONS NOT ASKED ELSEWHERE, SUCH AS RATINGS OF HEALTH ISSUES IN THE COMMUNITY. A COMMUNITY HEALTH SURVEY CONSISTING OF 36 DEMOGRAPHIC AND HEALTH-RELATED QUESTIONS WAS ADMINISTERED IN MCLEAN COUNTY FROM JULY THROUGH SEPTEMBER 2015 AND YIELDED A TOTAL OF 834 RESPONSES FROM MCLEAN COUNTY RESIDENTS. APPROXIMATELY 300 OF THE SURVEYS WERE FROM THE LOW-INCOME POPULATION.ADVOCATE BROMENN'S 2014-2016 AND PREVIOUS 2011-2013 CHNA REPORTS AND IMPLEMENTATION PLANS ARE POSTED ON THE ADVOCATE HEALTH CARE WEBPAGE WITH A MECHANISM FOR COMMUNITY FEEDBACK IN COMPLIANCE WITH THE AFFORDABLE CARE ACT. AS OF DECEMBER 31, 2018, THERE HAVE BEEN NO COMMENTS OR INQUIRIES RECEIVED FROM THE COMMUNITY.
CHRIST HOSP INCL HOPE CHILDREN'S HOSP PART V, SECTION B, LINE 5: ADVOCATE CHRIST MEDICAL CENTER (ADVOCATE CHRIST) CONTINUES TO DEMONSTRATE STRONG COMMITMENT TO BUILDING LIFELONG RELATIONSHIPS TO IMPROVE THE HEALTH OF INDIVIDUALS, FAMILIES AND COMMUNITIES. IN 2015, ALL FIVE ADVOCATE HOSPITALS PRINCIPALLY SERVING COOK COUNTY, INCLUDING ADVOCATE CHRIST, WERE FOUNDING MEMBERS OF THE HEALTH IMPACT COLLABORATIVE OF COOK COUNTY (HICCC). HICCC MERGED WITH THE HEALTHY CHICAGO HOSPITAL COLLABORATIVE. THE MERGER ALLOWED PARTNERS TO FURTHER ALIGN THEIR EFFORTS AND ACHIEVE GREATER COLLECTIVE IMPACT IN CHICAGO AND COOK COUNTY. ON JUNE 30, 2017, HOSPITAL PARTNERS FROM BOTH COLLABORATIVES MET TO KICK OFF THE START OF A FULLY MERGED INITIATIVE. THE NAME SELECTED FOR THE MERGER WAS THE ALLIANCE FOR HEALTH EQUITY (AFHE). THE ALLIANCE FOR HEALTH EQUITY IS A PARTNERSHIP BETWEEN THE ILLINOIS PUBLIC HEALTH INSTITUTE (IPHI), HOSPITALS, HEALTH DEPARTMENTS AND COMMUNITY ORGANIZATIONS ACROSS CHICAGO AND COOK COUNTY. THIS INITIATIVE IS ONE OF THE LARGEST COLLABORATIVE HOSPITAL-COMMUNITY PARTNERSHIPS IN THE COUNTRY WITH THE CURRENT INVOLVEMENT OF 30+ NONPROFIT AND PUBLIC HOSPITALS, SEVEN LOCAL HEALTH DEPARTMENTS, AND REPRESENTATIVES OF MORE THAN 100 COMMUNITY ORGANIZATIONS SERVING ON ACTION TEAMS. PARTNERS ARE COMING TOGETHER WITH THE GOAL OF WORKING ON STRATEGIES TO ADDRESS THE PRESSING ISSUES IN OUR COMMUNITIES TO ACHIEVE GREATER COLLECTIVE IMPACT.GIVEN THE SIZE AND DIVERSITY OF COOK COUNTY, THE COLLABORATIVE CREATED THREE REGIONS-NORTH, CENTRAL AND SOUTH-FOR PURPOSES OF ORGANIZING THE ASSESSMENT PROCESS. ADVOCATE CHRIST WAS APPROPRIATELY ASSIGNED TO THE SOUTH REGION CONSISTING OF BOTH THE SOUTH SIDE OF CHICAGO AND THE SOUTH SUBURBS OF COOK COUNTY. A REGIONAL LEADERSHIP TEAM WAS FORMED INCLUDING REPRESENTATIVES FROM THE HOSPITALS AND HEALTH DEPARTMENTS IN THE REGION. A REGIONAL STAKEHOLDER GROUP WAS ALSO ORGANIZED INCLUDING MEMBERS OF COMMUNITY ORGANIZATIONS REPRESENTING VARIOUS SECTORS. FROM FEBRUARY 2015 THROUGH JUNE OF 2016, THE COLLABORATIVE COMPLETED AN EXTENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS WITHIN EACH OF THE THREE REGIONS USING THE PUBLIC HEALTH PROCESS-MAPP-MOBILIZING FOR ACTION THROUGH PARTNERSHIPS AND PLANNING. ADDITIONALLY, FOR PURPOSES OF THE 2014-2016 CHNA CYCLE, THE HOSPITAL FORMED A COMMUNITY HEALTH COUNCIL (COUNCIL) CONSISTING OF 25 COMMUNITY AND MEDICAL CENTER LEADERS. THIS COUNCIL, IN PARTNERSHIP WITH THE COMMUNITY HEALTH DEPARTMENT, WAS CONVENED TO OVERSEE THE ASSESSMENT. DATA FROM THE HEALTH IMPACT COLLABORATIVE OF COOK COUNTY WAS PRESENTED TO THE COUNCIL INCLUDING THE PRIORITY-SETTING PROCESS THAT IDENTIFIED SOCIAL DETERMINANTS OF HEALTH, MENTAL HEALTH AND SUBSTANCE ABUSE, ACCESS TO CARE AND CHRONIC DISEASE AS THE FOUR COUNTY-WIDE PRIORITIES. ALL HOSPITALS THAT PARTICIPATED IN THE COLLABORATIVE AGREED TO ADDRESS SOCIAL DETERMINANTS AS ONE OF THEIR PRIORITIES, WITH ADVOCATE CHRIST IDENTIFYING THAT VIOLENCE PREVENTION WAS ONE OF THEIR PRIORITY AREAS.IN ADDITION, MULTIPLE INDICATORS FROM THE HEALTHY COMMUNITIES INSTITUTE (HCI) DATA PLATFORM WERE SHARED WITH THE ADVOCATE CHRIST'S COMMUNITY HEALTH COUNCIL. MANY OF THESE INDICATORS WERE PARTICULARLY USEFUL TO THE ASSESSMENT BECAUSE THE HOSPITALIZATION AND EMERGENCY ROOM VISIT RATES WERE AVAILABLE BY ZIP CODE, THUS PERMITTING A DEEPER LOOK INTO THE HEALTH STATUS OF THE MEDICAL CENTER'S PRIMARY SERVICE AREA (PSA). A CONSENSUS VOTING PROCESS WAS USED BY THE COUNCIL TO SELECT THE SECOND AND THIRD PRIORITIES FOR THE 2014-2016 CHNA CYCLE-ASTHMA AND DIABETES. CANCER, HEART DISEASE AND HYPERTENSION (STROKE) WERE NOT SELECTED PRIMARILY BECAUSE THE MEDICAL CENTER ALREADY HAS INSTITUTES ADDRESSING EACH OF THESE IMPORTANT HEALTH NEEDS. THE THREE PRIORITIES SELECTED BY ADVOCATE CHRIST WERE VIOLENCE PREVENTION, ASTHMA AND DIABETES.ADVOCATE CHRIST DEVELOPED AN IMPLEMENTATION PLAN FOR EACH OF THE SELECTED PRIORITIES. COMMUNITY HEALTH STAFF ALSO PARTICIPATED IN THE ACTION PLANNING TEAMS ON COMMUNITY SAFETY AND CHRONIC DISEASE PREVENTION WORK GROUPS CONVENED AS PART OF THE AFHE. FOR VIOLENCE PREVENTION, THE MEDICAL CENTER CONTINUED ITS WORK WITH CEASEFIRE AND COLLABORATED WITH COMMUNITY ORGANIZATIONS TO INVESTIGATE HOW RESTORATIVE JUSTICE PRACTICES CAN IMPACT THE VIOLENCE ON CHILDREN. INTERNAL AND EXTERNAL STAKEHOLDERS COLLABORATED TO DEVELOP STRATEGIES TO ADDRESS ASTHMA AND DIABETES HEALTH DISPARITIES.IN 2014, ADVOCATE HEALTH CARE BEGAN ORGANIZING RESOURCES TO IMPLEMENT THE 2014-2016 CHNA CYCLE. THE SYSTEM SIGNED A THREE-YEAR CONTRACT WITH THE HEALTHY COMMUNITIES INSTITUTE (HCI), NOW A XEROX COMPANY, TO PROVIDE AN INTERNET-BASED DATA RESOURCE FOR THEIR ELEVEN HOSPITALS DURING THE 2014-2016 CHNA CYCLE. THIS ROBUST PLATFORM OFFERED THE HOSPITALS 171 HEALTH AND DEMOGRAPHIC INDICATORS INCLUDING THIRTY-ONE (31) HOSPITALIZATION AND EMERGENCY DEPARTMENT (ED) VISIT INDICATORS AT THE SERVICE AREA AND ZIP CODE LEVELS. IN ADDITION, SYSTEM LEADERS COLLABORATED WITH THE STRATEGIC PLANNING DEPARTMENT TO CREATE SUITES OF DEMOGRAPHIC, MORTALITY AND UTILIZATION DATA FOR EACH HOSPITAL SITE. THIS COLLABORATION WITH STRATEGIC PLANNING CONTINUED DURING THE THREE-YEAR CYCLE ENSURING THAT EACH HOSPITAL SITE HAD DETAILED INPATIENT, OUTPATIENT AND EMERGENCY DEPARTMENT DATA.COMMUNITY HEALTH COUNCILADVOCATE CHRIST, IN COLLABORATION WITH ADVOCATE CHILDREN'S HOSPITAL (ADVOCATE CHILDREN'S), CONVENED A COMMUNITY HEALTH COUNCIL TO OVERSEE ITS COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT. THIS COUNCIL WAS CHAIRED BY A MEMBER OF THE ADVOCATE CHRIST'S GOVERNING COUNCIL AND COMPRISED OF REPRESENTATIVES FROM THE MEDICAL CENTER'S COMMUNITY HEALTH TEAM, PATIENT ADVOCACY, COMMUNITY HEALTH RELATIONS AND BUSINESS DEVELOPMENT DEPARTMENTS. COMMUNITY MEMBERS ON THE COUNCIL INCLUDED REPRESENTATION FROM SCHOOL DISTRICTS, YOUTH SERVICES AND FAITH COMMUNITIES, AS WELL AS OTHER COMMUNITY ORGANIZATIONS. THE AFFILIATIONS AND TITLES OF THE ADVOCATE CHRIST COMMUNITY HEALTH COUNCIL MEMBERS ARE PROVIDED BELOW. ASTERISKS HAVE BEEN USED TO INDICATE INDIVIDUALS WHO REPRESENT MEDICALLY UNDERSERVED, LOW-INCOME AND/OR MINORITY POPULATIONS.MEMBERS FROM THE COMMUNITY- ARAB AMERICAN FAMILY SERVICES, DIRECTOR*- AUBURN GRESHAM COMMUNITY DEVELOPMENT CORPORATION, EXECUTIVE DIRECTOR*- AUBURN GRESHAM COMMUNITY DEVELOPMENT CORPORATION/SOUTHWEST SMART COMMUNITIES, PROGRAM MANAGER AND TECHNOLOGIST*- BETHLEHEM EVANGELICAL LUTHERAN CHURCH, PASTOR; ADVOCATE CHRIST GOVERNING COUNCIL MEMBER (COMMUNITY HEALTH COUNCIL CHAIR)- CHICAGO PUBLIC SCHOOLS, COMMUNITY ENGAGEMENT MANAGER- CHICAGO PUBLIC SCHOOLS, PROJECT MANAGER, STUDENT HEALTH AND WELLNESS PROJECT HOOD (HELPING OTHERS OBTAIN DESTINY), DIRECTOR OF COMMUNITY ENGAGEMENT; ADVOCATE CHRIST COMMUNITY HEALTH COUNCIL MEMBER (COMMUNITY HEALTH COUNCIL CO-CHAIR)- CHILDREN'S HOME AND AID, DIRECTOR, YOUTH SERVICES- CHRISTIAN COMMUNITY HEALTH CENTER, DIRECTOR, QUALITY ASSURANCE- METROPOLITAN FAMILY SERVICES, PROGRAM SUPERVISOR- OAK LAWN-HOMETOWN SCHOOL DISTRICT 123, SUPERINTENDENT- OAK LAWN CHILDREN'S MUSEUM, EXECUTIVE DIRECTOR- OAK LAWN LIBRARY, INTERLIBRARY LOAN COORDINATOR AND YOUTH SERVICES OUTREACH LIBRARIAN- SUPERIOR AIR-GROUND AMBULANCE SERVICES, REGIONAL SALES MANAGERMEMBERS FROM ADVOCATE CHRIST/ADVOCATE CHILDREN'S- ADVOCATE, DIRECTOR, COMMUNITY HEALTH, SOUTH REGION - ADVOCATE CHILDREN'S, DIRECTOR, COMMUNITY & HEALTH RELATIONS- ADVOCATE CHRIST, CARE MANAGER AND OAK LAWN HEALTH CARE ROTARY- ADVOCATE CHRIST, COORDINATOR, COMMUNITY HEALTH- ADVOCATE CHRIST, COORDINATOR, COMMUNITY HEALTH AND WELLNESS- ADVOCATE CHRIST, MANAGER, INPATIENT CARE - ADVOCATE CHRIST, MANAGER, PATIENT AND GUEST RELATIONS- ADVOCATE CHILDREN'S, RONALD MCDONALD CARE MOBILE, NURSE PRACTITIONER- ADVOCATE CHRIST, VICE PRESIDENT, MISSION AND SPIRITUAL CARE GOVERNING COUNCILTHE GOVERNING COUNCIL AT ADVOCATE CHRIST IS MADE UP OF LOCAL COMMUNITY LEADERS AND PHYSICIANS. GOVERNING COUNCIL MEMBERS SUPPORT MEDICAL CENTER LEADERSHIP IN THEIR PURSUIT OF THE MEDICAL CENTER'S GOALS, REPRESENT THE COMMUNITY'S INTEREST TO THE MEDICAL CENTER AND SERVE AS AMBASSADORS IN THE COMMUNITY. A GOVERNING COUNCIL MEMBER SERVES AS THE COMMUNITY HEALTH COUNCIL'S CHAIR. ADVOCATE CHRIST'S GOVERNING COUNCIL RECEIVED A WRITTEN EXECUTIVE SUMMARY AS WELL AS A PRESENTATION OF FINDINGS AND RECOMMENDATIONS FOR PRIORITY HEALTH NEEDS AT THE OCTOBER 27, 2016, GOVERNING COUNCIL MEETING. THE GOVERNING COUNCIL WAS SENT A LINK TO THE FULL CHNA REPORT ON NOVEMBER 14, 2016, ALONG WITH AN ELECTRONIC BALLOT. AFTER REVIEWING THE DOCUMENT, EACH MEMBER RETURNED A BALLOT INDICATING FORMAL APPROVAL OF THE CHNA REPORT. ADVOCATE CHRIST'S CHNA REPORT WAS FORMALLY APPROVED BY THE GOVERNING COUNCIL ON NOVEMBER 21, 2016.
ADVOCATE EUREKA HOSPITAL PART V, SECTION B, LINE 5: ADVOCATE EUREKA AND COLLABORATIONSTRI-COUNTY HEALTH DEPARTMENT COLLABORATIONADVOCATE EUREKA HOSPITAL (ADVOCATE EUREKA) HAS DEFINED "COMMUNITY" AS WOODFORD COUNTY, ILLINOIS. MULTIPLE COMMUNITY BASED AGENCIES PROVIDE SOCIAL SERVICES TO THE TRI-COUNTY REGION, WHICH INCLUDES WOODFORD, PEORIA AND TAZEWELL COUNTIES. BASED UPON OVERLAPPING SERVICE AREAS, THE THREE COUNTY HEALTH DEPARTMENTS AND SIX HOSPITALS LOCATED IN THIS REGION CHOSE TO FORM A TRI-COUNTY COLLABORATIVE. THIS COLLABORATIVE IS LED BY THE WOODFORD COUNTY HEALTH DEPARTMENT, THE PEORIA CITY/COUNTY HEALTH DEPARTMENT AND THE TAZEWELL HEALTH DEPARTMENT. FOR THE 2016 ADVOCATE EUREKA COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), THE HOSPITAL'S PRIMARY PARTNER WAS THE WOODFORD COUNTY HEALTH DEPARTMENT. STARTING IN THE WINTER OF 2015 AND THROUGHOUT 2016, ADVOCATE EUREKA WAS A PARTNER IN BOTH THE COLLABORATIVE ASSESSMENT PROCESSES OUTLINED BELOW.MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIP (MAPP) PROCESSTHE TRI-COUNTY COLLABORATIVE UTILIZED THE MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIP (MAPP) PROCESS TO CONDUCT ITS COMMUNITY HEALTH NEEDS ASSESSMENT. THIS IS THE FIRST TIME IN ILLINOIS THAT THREE COUNTY HEALTH DEPARTMENTS HAVE UTILIZED A SHARED ASSESSMENT FOR THEIR CERTIFICATION PROCESS. THE PROCESS IS COMMUNITY-DRIVEN AND ASSISTS IN DEVELOPMENT AND IMPLEMENTATION EFFORTS AROUND IDENTIFYING AND PRIORITIZING HEALTH ISSUES. THE MAPP PROCESS CONSISTS OF THE FOLLOWING FOUR ASSESSMENTS.- COMMUNITY HEALTH STATUS ASSESSMENT- COMMUNITY THEMES AND STRENGTHS ASSESSMENT- FORCES OF CHANGE ASSESSMENT- LOCAL PUBLIC HEALTH SYSTEMS ASSESSMENTTRI-COUNTY MAPP STEERING COUNCIL THE DIRECTOR OF COMMUNITY HEALTH FOR ADVOCATE EUREKA SERVED ON THE MAPP STEERING COUNCIL WHICH WAS LED BY THE TRI-COUNTY HEALTH DEPARTMENTS. FIVE INDIVIDUALS FROM EACH OF THE THREE COUNTIES OF PEORIA, WOODFORD AND TAZEWELL COMPRISE THE MAPP STEERING COUNCIL FOR THE TRI-COUNTY REGION. THEY ARE AS FOLLOWS:TITLE/ORGANIZATIONDIRECTOR OF COMMUNITY HEALTH POLICY AND PLANNING - PEORIA CITY/COUNTY HEALTH DEPARTMENT: WOODFORD COUNTY HEALTH ADMINISTRATOR/DEPARTMENT BOARD MEMBER, SECRETARY - WOODFORD COUNTY BOARD OF HEALTHCOMMUNITY HEALTH COORDINATOR - HOPEDALE MEDICAL COMPLEXREGIONAL SUPERINTENDENT - REGIONAL OFFICE OF EDUCATIONEXECUTIVE DIRECTOR - YWCA, PEKINASSISTANT DEAN OF STUDENTS/DIRECTOR OF RESIDENCE LIFE - EUREKA COLLEGEADMINISTRATOR - TAZEWELL COUNTY HEALTH DEPARTMENTGRANTS COORDINATOR - CITY OF PEORIADIRECTOR OF COMMUNITY HEALTH - ADVOCATE EUREKACO-CHAIR PERSON, SECRETARY - GIFTS IN THE MOMENT: TRI-COUNTY FRESH FOOD HUBPRESIDENT AND CEO - HUMAN SERVICE CENTERDIRECTOR OF CLINICAL SERVICES - TAZWOOD CENTER FOR WELLNESSPASTOR - ROANOKE MENNONITE CHURCHEXECUTIVE VICE PRESIDENT STRATEGIC INITIATIVES, GOVERNMENTAL AFFAIRS & GRANTS - EASTER SEALS, IL PARTNERS FOR HUMAN SERVICES CHAIRPERSON - GIFTS IN THE MOMENT, TRI-COUNTY FRESH FOOD HUBCENTRAL ILLINOIS COMMUNITY HEALTH COLLABORATIVEFOR THE TRI-COUNTY REGION CONSISTING OF PEORIA, WOODFORD AND TAZEWELL COUNTIES, THERE WAS A SECOND COLLABORATIVE CREATED BY A TEAM OF HEALTHCARE PROFESSIONALS FROM OSF HEALTHCARE SAINT FRANCIS MEDICAL CENTER AND UNITYPOINT CALLED THE CENTRAL ILLINOIS COMMUNITY HEALTH COLLABORATIVE. THIS COLLABORATIVE WAS CREATED TO ENGAGE THE ENTIRE COMMUNITY IN IMPROVING POPULATION HEALTH AS A PART OF THE COMMUNITY HEALTH ASSESSMENT PROCESS. MEMBERS OF THE CENTRAL ILLINOIS COMMUNITY HEALTH COLLABORATIVE INCLUDE: PEORIA CITY/COUNTY HEALTH DEPARTMENT, TAZEWELL COUNTY HEALTH DEPARTMENT, WOODFORD COUNTY HEALTH DEPARTMENT, KINDRED HOSPITAL, ADVOCATE EUREKA, HOPEDALE MEDICAL COMPLEX, PEKIN HOSPITAL, HEART OF ILLINOIS UNITED WAY, HEARTLAND COMMUNITY HEALTH CLINIC AND BRADLEY UNIVERSITY, AS WELL AS OSF HEALTHCARE SAINT FRANCIS MEDICAL CENTER AND UNITYPOINT. THE DIRECTOR OF COMMUNITY HEALTH FOR ADVOCATE EUREKA SERVED ON THE CENTRAL ILLINOIS COMMUNITY HEALTH COUNCIL. THE COUNCIL MEMBERS AND ORGANIZATIONS THEY REPRESENT ARE PROVIDED BELOW.TITLE/ORGANIZATIONSENIOR VICE PRESIDENT AND CEO - OSF HEALTHCARE SAINT FRANCIS MEDICAL CENTERVICE PRESIDENT OF AMBULATORY CARE - OSF HEALTHCARE SAINT FRANCIS MEDICAL CENTERDIRECTOR OF BUSINESS AND COMMUNITY HEALTH IN AMBULATORY ADMINISTRATION - OSF HEALTHCARE SAINT FRANCIS MEDICAL CENTERVICE PRESIDENT OF STRATEGY AND DEVELOPMENT - UNITYPOINT HEALTH - METHODIST, PROCTOR COMMUNITY HEALTH COORDINATOR - HOPEDALE MEDICAL COMPLEXCONTROLLER - PEKIN HOSPITALEPIDEMIOLOGIST - PEORIA CITY/COUNTY HEALTH DEPARTMENTEPIDEMIOLOGIST - TAZEWELL COUNTY HEALTH DEPARTMENTADMINISTRATOR - TAZEWELL COUNTY HEALTH DEPARTMENTADMINISTRATOR - WOODFORD COUNTY HEALTH DEPARTMENTCHIEF MEDICAL OFFICER - HEARTLAND HEALTH SERVICESDIRECTOR OF COMMUNITY HEALTH - ADVOCATE EUREKAPRESIDENT - HEART OF ILLINOIS UNITED WAYSEVERAL OF THE INDIVIDUALS FROM THE VARIOUS ORGANIZATIONS LISTED ABOVE REPRESENT THE UNDERSERVED, UNINSURED, MINORITY OR LOW-INCOME POPULATIONS. IN ADDITION TO COLLECTING INPUT FROM THE ABOVE COLLABORATIONS, A TRI-COUNTY COMMUNITY HEALTH SURVEY WAS ADMINISTERED FROM JULY THROUGH SEPTEMBER 2015 TO EXAMINE PERCEPTIONS OF COMMUNITY HEALTH ISSUES, UNHEALTHY BEHAVIORS, ISSUES WITH QUALITY OF LIFE, HEALTHY BEHAVIORS AND ACCESS TO HEALTHCARE. WOODFORD COUNTY RESULTS INDICATED THAT 535 RESIDENTS RESPONDED TO THE SURVEY.ADVOCATE EUREKA'S 2014-2016 AND PREVIOUS 2011-2013 CHNA REPORTS AND IMPLEMENTATION PLANS ARE POSTED ON THE ADVOCATE HEALTH CARE WEBPAGE WITH A MECHANISM FOR COMMUNITY FEEDBACK AS REQUIRED BY THE AFFORDABLE CARE ACT. AS OF DECEMBER 31, 2018, THERE HAVE BEEN NO COMMENTS OR INQUIRIES RECEIVED FROM THE COMMUNITY.
ADVOCATE GOOD SHEPHERD HOSPITAL PART V, SECTION B, LINE 5: ADVOCATE GOOD SHEPHERD HOSPITAL (ADVOCATE GOOD SHEPHERD) COMPLETED A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN 2016 WHICH INCORPORATED DATA FROM THE LAKE COUNTY AND MCHENRY COUNTY HEALTH DEPARTMENT ASSESSMENT PROCESSES. BOTH OF THE HEALTH DEPARTMENTS UTILIZED A VERSION OF THE MOBILIZING ACTION THROUGH PLANNING AND PARTNERSHIP (MAPP) PROCESS TO COMPLETE THEIR ASSESSMENTS WHICH INCLUDED INTERVIEWS, FOCUS GROUPS AND SURVEYS. THE HOSPITAL PARTICIPATED IN BOTH COUNTY ASSESSMENT PROCESSES AS A KEY PARTNER. IN TOTAL, THE HOSPITAL CONSIDERED DATA, FINDINGS AND INFORMATION FROM FOUR COMPREHENSIVE COMMUNITY ASSESSMENTS: LAKE COUNTY COMMUNITY HEALTH ASSESSMENT, 2016-2021; MCHENRY COUNTY HEALTHY COMMUNITY STUDY, 2017; HEALTHIER BARRINGTON NEEDS SURVEY, 2017 AND THE WAUCONDA SURVEY, 2015.A KEY SOURCE FOR SECONDARY DATA FOR THE ADVOCATE GOOD SHEPHERD CHNA WAS HEALTHY COMMUNITIES INSTITUTE (HCI), A CENTRALIZED DATA PLATFORM PURCHASED BY ADVOCATE HEALTH CARE. IN EARLY 2014, ADVOCATE HEALTH CARE SIGNED A THREE-YEAR CONTRACT WITH HCI, NOW A XEROX COMPANY, TO PROVIDE AN INTERNET-BASED DATA RESOURCE FOR THEIR ELEVEN HOSPITALS DURING THE 2014-2016 CHNA CYCLE. IN PREPARATION FOR THE SELECTION OF PRIORITIES, THE ADVOCATE GOOD SHEPHERD COMMUNITY HEALTH STAFF PRESENTED TO THE COMMUNITY HEALTH COUNCIL (CHC) A COMPREHENSIVE SUMMARY OF FINDINGS FROM THE ABOVE-MENTIONED REPORTS, A DEMOGRAPHIC PROFILE, PROFILES OF THE TOP HEALTH ISSUES AS WELL AS SOCIAL DETERMINANT FACTORS IMPACTING HEALTH IN THE PRIMARY SERVICE AREA. STAFF ASKED CHC MEMBERS TO CONSIDER A DEFINED LIST OF CRITERIA WHEN MAKING THE HEALTH PRIORITY SELECTIONS. IN ALIGNMENT WITH ADVOCATE HEALTH CARE'S STANDARDIZED APPROACH, ADVOCATE GOOD SHEPHERD CONVENED ITS CHC EVERY THREE MONTHS, FROM FEBRUARY THROUGH NOVEMBER 2016, TO REVIEW THE RESULTS OF THE COMMUNITY HEALTH NEEDS ASSESSMENT. THE CHC WAS CHAIRED BY A REPRESENTATIVE OF THE COMMUNITY WHO ALSO SERVES ON THE HOSPITAL'S GOVERNING COUNCIL. COMMUNITY MEMBERS ON THE CHC REPRESENT A VARIETY OF EXPERTISE AREAS, INCLUDING A FREE MEDICAL CLINIC, AREA BUSINESSES, SCHOOL DISTRICTS, ENVIRONMENTAL ORGANIZATIONS AND THE FAITH COMMUNITY. THE REMAINING MEMBERS OF THE CHC ARE REPRESENTATIVES FROM THE HOSPITAL'S EXECUTIVE TEAM, MISSION AND SPIRITUAL CARE DEPARTMENT, TRAUMA DEPARTMENT, THE CARDIAC CENTER AND THE BUSINESS DEVELOPMENT AND STRATEGY DEPARTMENT. THE AFFIDAVITS OF THESE COUNCIL REPRESENTATIVES AND THE NAMES OF THE ORGANIZATIONS THEY REPRESENT ARE PROVIDED BELOW. COUNCIL MEMBERS FROM THE COMMUNITY REPRESENTING AN ORGANIZATION THAT SERVES MEDICALLY UNDERSERVED, LOW-INCOME OR MINORITY POPULATIONS ARE ALSO INDICATED BELOW.ADVOCATE GOOD SHEPHERD COMMUNITY HEALTH COUNCIL MEMBERS MEMBERS FROM THE COMMUNITY- AMERICAN CANCER SOCIETY, HEALTH SYSTEMS MANAGER (MEDICALLY UNDERSERVED AND LOW-INCOME)- BARRINGTON SCHOOL DISTRICT 220, DIRECTOR OF COMMUNICATIONS- BARRINGTON VENTURES, OWNER; ADVOCATE GOOD SHEPHERD GOVERNING COUNCIL MEMBER- CITIZENS FOR CONSERVATION, PRESIDENT- FAMILY HEALTH PARTNERSHIP CLINIC, EXECUTIVE DIRECTOR (MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS)- HARVARD SENIOR CENTER, EXECUTIVE DIRECTOR (MEDICALLY UNDERSERVED, LOW INCOME AND MINORITY SENIOR POPULATIONS)- INFINITY MEDICAL PARTNERS INC., ASSOCIATE DIRECTOR PROJECT MANAGEMENT/OPERATIONS- LAKE COUNTY HEALTH DEPARTMENT, DIRECTOR OF PREVENTION (MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS)- MCHENRY COUNTY HEALTH DEPARTMENT, COMMUNITY HEALTH COORDINATOR (MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS)- MCHENRY COUNTY SUBSTANCE ABUSE COALITION, DRUG FREE COORDINATOR (MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS)- PEACE LUTHERAN CHURCH, PASTOR (MEDICALLY UNDERSERVED AND LOW-INCOME)- ST. PAUL'S UNITED CHURCH OF CHRIST, PASTOR (MEDICALLY UNDERSERVED AND LOW-INCOME)- WAUCONDA MESSIAH LUTHERAN CHURCH, PASTOR (MEDICALLY UNDERSERVED AND LOW-INCOME)- WAUCONDA SCHOOL DISTRICT 118, SUPERINTENDENT- WAUCONDA SCHOOL DISTRICT 118, SUPERINTENDENT (RETIRED); ADVOCATE GOOD SHEPHERD COMMUNITY HEALTH COUNCIL CHAIRMEMBERS FROM ADVOCATE GOOD SHEPHERD - ADVOCATE NORTHERN REGION COMMUNITY HEALTH DIRECTOR- ADVOCATE GOOD SHEPHERD, COMMUNITY HEALTH COORDINATOR- ADVOCATE GOOD SHEPHERD, COMMUNITY AND GUEST RELATIONS DIRECTOR- ADVOCATE GOOD SHEPHERD, HEALTH MANAGEMENT CENTER MANAGER- ADVOCATE GOOD SHEPHERD, MAGNET & SPECIAL PROJECTS MANAGER- ADVOCATE GOOD SHEPHERD, TRAUMA & PARAMEDICS COORDINATORADVOCATE GOOD SHEPHERD ALSO CONSULTED WITH THE HEALTHIER BARRINGTON COALITION, THE MCHENRY COUNTY HEALTH COALITION, THE LIVE WELL LAKE COUNTY STEERING COMMITTEE AND THE WAUCONDA UNITED HEALTH PARTNERSHIP IN THE DEVELOPMENT OF THE COMMUNITY HEALTH NEEDS ASSESSMENT. THE WAUCONDA UNITED HEALTH PARTNERSHIP HAS A HISPANIC OUTREACH SUBCOMMITTEE THAT MEETS MONTHLY. EACH OF THESE ORGANIZATIONS WERE SELECTED FOR THEIR EXPERTISE IN SERVING THE MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS. ADVOCATE GOOD SHEPHERD'S 2014-2016 AND PREVIOUS CYCLE'S 2011-2013 CHNA REPORTS AND IMPLEMENTATION PLANS ARE POSTED ON ADVOCATE HEALTH CARE'S WEBPAGE AND INCLUDE A LINK TO A FORM AND AN EMAIL FOR THE COMMUNITY TO USE IN PROVIDING FEEDBACK IN COMPLIANCE WITH THE AFFORDABLE CARE ACT. ANY QUESTIONS SUBMITTED WILL BE ADDRESSED WITHIN THIRTY DAYS. AS OF DECEMBER 31, 2018, THERE HAVE BEEN NO INQUIRIES OR FEEDBACK FROM THE COMMUNITY.
ADVOCATE GOOD SAMARITAN HOSPITAL PART V, SECTION B, LINE 5: ADVOCATE GOOD SAMARITAN HOSPITAL (ADVOCATE GOOD SAMARITAN) COMPLETED A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS IN 2016, UNDER THE SUPERVISION OF THE ADVOCATE GOOD SAMARITAN COMMUNITY HEALTH COUNCIL (CHC) AND THE HOSPITAL'S COMMUNITY HEALTH LEADER. THE CHC IS A DIVERSE COUNCIL COMPRISED OF ADVOCATE GOOD SAMARITAN LEADERSHIP AND COMMUNITY REPRESENTATIVES FROM COMMUNITY-BASED ORGANIZATIONS AND IS LED BY THE HOSPITAL'S COMMUNITY HEALTH MANAGER. THE CHC IS COMPRISED OF A TOTAL OF 13 MEMBERS OF WHICH SIX ARE HOSPITAL REPRESENTATIVES AND SEVEN ARE COMMUNITY ORGANIZATION REPRESENTATIVES. THE CHC SERVES AS AN ADVISORY COUNCIL FOR THE HOSPITAL'S COMMUNITY HEALTH WORK AND HELPS TO DRIVE THE WORK OF THE HOSPITAL'S CHNA THROUGH SUPPORTING DATA COLLECTION, DATA REVIEW, PRIORITIZING IDENTIFIED HEALTH NEEDS, AND IDENTIFYING COMMUNITY PARTNERS TO SUPPORT THE CREATION AND DEVELOPMENT OF THE CHNA IMPLEMENTATION PLAN. THE CHC CONVENED FOR FIVE TWO-HOUR IN-PERSON MEETINGS THROUGHOUT 2016 TO COMPLETE EACH PHASE OF THE CHNA. IN ADDITION TO IN-PERSON MEETINGS, CHC MEMBERS SHARED THEIR FEEDBACK, COMMENTS AND RECOMMENDATIONS ELECTRONICALLY. COMMUNITY REPRESENTATIVE COUNCIL MEMBERS PROVIDED CRITICAL FEEDBACK AND INSIGHT REGARDING NEEDS AND COMMUNITY-BASED PROGRAMS, WHILE HOSPITAL REPRESENTATIVE COUNCIL MEMBERS PROVIDED ESSENTIAL FEEDBACK AND INSIGHT RELATED TO THE HOSPITAL'S AREAS OF EXPERTISE, CAPACITY AND CURRENT RESOURCES AVAILABLE TO THE COMMUNITY. IN ADDITION, COMMUNITY REPRESENTATIVES PROVIDED PERSPECTIVES FROM VARIOUS HEALTH AND SOCIAL DISCIPLINES INCLUDING KNOWLEDGE ABOUT SOCIAL DETERMINANTS OF HEALTH, SUCH AS HOUSING AND EMPLOYMENT. COMMUNITY REPRESENTATIVES ALSO SHARED SPECIFIC KNOWLEDGE REGARDING THE CORRELATION BETWEEN SOCIAL CONDITIONS AND POOR HEALTH OUTCOMES. THESE SOCIAL INDICATORS WERE CRITICAL IN SUCCESSFULLY IDENTIFYING THE HOSPITAL'S CHNA PRIORITIES. THE AFFILIATIONS AND TITLES OF ADVOCATE GOOD SAMARITAN'S CHC MEMBERS ARE LISTED BELOW.2016-2017 ADVOCATE GOOD SAMARITAN COMMUNITY HEALTH COUNCIL MEMBERSMEMBERS FROM THE COMMUNITY- DUPAGE HEALTH COALITION, PRESIDENT- DUPAGE COUNTY HEALTH DEPARTMENT, ASSISTANT DIRECTOR, CLIENT ACCESS- DUPAGE COUNTY HEALTH DEPARTMENT, COORDINATOR, POPULATION HEALTH- DUPAGE PADS, PRESIDENT, CHIEF EXECUTIVE OFFICER- DUPAGE SENIOR CITIZENS COUNCIL, EXECUTIVE DIRECTOR - PEOPLES RESOURCE CENTER, EXECUTIVE DIRECTOR- SAMARITAN INTERFAITH COUNSELING, CLINICAL DIRECTOR, ADULT SERVICESMEMBERS FROM ADVOCATE GOOD SAMARITAN STAFF- ADVOCATE GOOD SAMARITAN, DIRECTOR, BUSINESS DEVELOPMENT- ADVOCATE GOOD SAMARITAN, DIRECTOR, PUBLIC AFFAIRS AND MARKETING- ADVOCATE GOOD SAMARITAN, OP, ADVANCED PRACTICE NURSE, PSYCHOLOGY- ADVOCATE GOOD SAMARITAN, VICE PRESIDENT, MISSION AND SPIRITUAL CARE- DUPAGE EMERGENCY PHYSICIANS, EMERGENCY DEPARTMENT PHYSICIAN; ADVOCATE GOOD SAMARITAN GOVERNING COUNCIL MEMBER SEVERAL ORGANIZATIONS THAT WERE REPRESENTED ON THE 2014-2016 CHNA COMMUNITY HEALTH COUNCIL PROVIDED SERVICES TO THE LOW-INCOME, MINORITY AND/OR UNDERSERVED POPULATIONS WITHIN DUPAGE COUNTY. THESE ORGANIZATIONS IMPLEMENTED PROGRAMMING AND PROVIDED SERVICES THAT IMPACTED ONE OR MORE OF THE VULNERABLE POPULATIONS LISTED ABOVE. BELOW IS A LIST OF THE ORGANIZATIONS AND THE VULNERABLE POPULATIONS THEY REPRESENTED DURING THE 2014-2016 CHNA PROCESS.- DUPAGE COUNTY HEALTH DEPARTMENT PROVIDES SERVICES TO LOW-INCOME, MINORITY AND MEDICALLY-UNDERSERVED POPULATIONS THROUGH VARIOUS COMMUNITY PROGRAMMING AND HEALTH SERVICES.- DUPAGE HEALTH COALITION IS AN ORGANIZATION THAT FOCUSES ON PROVIDING ACCESS TO HEALTH SERVICES FOR THOSE WHO ARE LOW-INCOME AND MEDICALLY UNDERSERVED. MOST CLIENTS RECEIVING SERVICES THROUGH THIS ORGANIZATION ARE FROM A MINORITY POPULATION AND FOREIGN BORN.- DUPAGE PADS PROVIDES SUPPORTIVE SERVICES AND TEMPORARY HOUSING TO LOW-INCOME HOMELESS INDIVIDUALS AND FAMILIES IN DUPAGE COUNTY. THE ORGANIZATION ALSO CONNECTS LOW-INCOME INDIVIDUALS AND FAMILIES TO SOCIAL AND HEALTH SERVICES.- PEOPLE'S RESOURCE CENTER IS AN ORGANIZATION THAT FOCUSES ON HUNGER AND POVERTY IN DUPAGE COUNTY. THE ORGANIZATION RUNS A FOOD PANTRY, EMPLOYMENT AND TRAINING, AND PROVIDES ENGLISH AS A SECOND LANGUAGE (ESL) PROGRAMS FOR LOW-INCOME AND/OR FOREIGN-BORN INDIVIDUALS TO IMPROVE STUDENTS' LEVEL OF ENGLISH.BOTH ADVOCATE GOOD SAMARITAN'S 2014-2016 CHNA REPORT AND THE PREVIOUS 2011-2013 CHNA REPORT AND IMPLEMENTATION PLANS ARE POSTED ON ADVOCATE HEALTH CARE'S WEBPAGE AND CONTAIN A LINK TO A FORM AND AN EMAIL FOR THE COMMUNITY TO USE IN PROVIDING FEEDBACK. AS OF DECEMBER 31, 2018, THERE WAS NO COMMUNITY FEEDBACK ON EITHER CHNA REPORT.
LUTHERAN GEN HOSP INCL LUTH GEN CHILD PART V, SECTION B, LINE 5: ADVOCATE LUTHERAN GENERAL HOSPITAL (ADVOCATE LUTHERAN GENERAL) CONDUCTED A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) FROM 2014-2016. THE HOSPITAL CONVENED ITS COMMUNITY HEALTH COUNCIL (COUNCIL) TO OVERSEE AND ADVISE THE PROCESS, WHICH IDENTIFIED AND PRIORITIZED HEALTH NEEDS. THE COUNCIL MET QUARTERLY PER ITS HISTORICAL FORMAT. THE MEETINGS INCLUDED HEALTH EDUCATION ON KEY HEALTH ISSUES, COMMUNITY PROGRAM UPDATES, DATA REVIEW, AND ANALYSIS PRIORITIZATION OF HEALTH NEEDS AND DEVELOPMENT OF HEALTH IMPROVEMENT STRATEGIES. THE COUNCIL WAS CHAIRED BY THE HOSPITAL'S COMMUNITY HEALTH LEADER AND COMPRISED OF REPRESENTATIVES FROM THE EXECUTIVE TEAM, MISSION AND SPIRITUAL CARE, AND HOSPITAL SERVICE LINE LEADERS. TWO COMMUNITY MEMBERS SERVING ON THE HOSPITAL'S GOVERNING COUNCIL WERE ACTIVE PARTICIPANTS IN THE COMMUNITY HEALTH COUNCIL. ADDITIONAL HOSPITAL STAFF AND COMMUNITY REPRESENTATIVES WERE ADDED AS THE PROCESS EVOLVED TO ADDRESS ANY GAPS IN EXPERTISE. THE COMMUNITY HEALTH COUNCIL MEMBERS' TITLES AND THE NAMES OF THE ORGANIZATIONS THEY REPRESENTED IN 2016 ARE PROVIDED BELOW (MEMBERS WITH AN ASTERISK REPRESENT LOW-INCOME, UNDERSERVED OR MINORITY POPULATIONS).ADVOCATE LUTHERAN GENERAL COMMUNITY HEALTH COUNCILMEMBERS FROM THE COMMUNITY- ASSISTANT DIRECTOR, MAINE TOWNSHIP MAINSTAY YOUTH AND FAMILY SERVICES - ASSISTANT PRINCIPAL, DISTRICT 207 - CHIEF OF POLICE, PARK RIDGE - SOCIAL WORKER, PARK RIDGE*- NURSE, CITY OF DES PLAINES- SOCIAL WORKER, CITY OF DES PLAINES*- COMMUNITY LEADER AND GOVERNING COUNCIL MEMBER, ADVOCATE LUTHERAN GENERAL- DIRECTOR, CHRONIC DISEASE PREVENTION & HEALTH PROMOTION, COOK COUNTY DEPARTMENT OF HEALTH- ENVIRONMENTAL HEALTH OFFICER, PARK RIDGE* - MANAGER, CENTER FOR HEALTH PROFESSIONALS, TRITON COLLEGE- MEMBER, DES PLAINES HEALTHY COMMUNITY PARTNERSHIP- MEMBER, PARK RIDGE HEALTHY COMMUNITY PARTNERSHIP AND JOINT COMMUNITY RECOVERY RESPONSE TEAM- MENTAL HEALTH SERVICES DIRECTOR, LUTHERAN SOCIAL SERVICES (LSSI) - PROGRAM DIRECTOR, NATIONAL ALLIANCE FOR MENTAL ILLNESS (NAMI)*- TOWNSHIP SUPERVISOR, SCHAUMBURG*- SENIOR DIRECTOR OF COMMUNITY HEALTH, AMERICAN HEART ASSOCIATION - SUPERINTENDENT, ROUNDOUT SCHOOL DISTRICT #72/GOVERNING COUNCIL CHAIR, ADVOCATE LUTHERAN GENERAL- DIRECTOR OF FAMILY SERVICES, VILLAGE OF NILES- FITNESS CENTER DIRECTOR, VILLAGE OF NILES- NURSE, VILLAGE OF NILES*ADVOCATE LUTHERAN GENERAL/ADVOCATE CHILDREN'S STAFF MEMBERS - COORDINATOR, COMMUNITY AND HEALTH RELATIONS- DIRECTOR, COMMUNITY AND HEALTH RELATIONS- DIRECTOR, COMMUNITY AND HEALTH RELATIONS, ADVOCATE CHILDREN'S- DIRECTOR, OLDER ADULT SERVICES- EXECUTIVE CLINICAL DIRECTOR, HEART/VASCULAR/CC/ED/TRAUMA DIRECTOR, OPERATIONS-REHAB/OUT PATIENT PSYCHOLOGY/NEUROLOGY - EXECUTIVE DIRECTOR, WOMEN'S HEALTH AND PROFESSIONAL PRACTICE - KOREAN CONCIERGE/PATIENT NAVIGATOR*- MANAGER, MENTAL HEALTH SERVICES - NURSE PRACTITIONER, RONALD MCDONALD CARE MOBILE/STUDENT HEALTH SERVICES PROGRAM- POLISH PATIENT NAVIGATOR*- VICE PRESIDENT, MISSION AND SPIRITUAL CAREAS PART OF THE 2014-2016 CHNA PROCESS, ADVOCATE LUTHERAN GENERAL AND ADVOCATE CHILDREN'S ALSO CONSULTED WITH THE FOLLOWING COMMUNITY ORGANIZATIONS: - CHICAGO DEPARTMENT OF PUBLIC HEALTH- CHICAGO PUBLIC SCHOOLS DEPARTMENT OF STUDENT HEALTH- COMMUNITY LEADERS OF SOUTH ASIAN, KOREAN AND POLISH COMMUNITIES- DES PLAINES HEALTHY COMMUNITY PARTNERSHIP - DES PLAINES, PARK RIDGE AND NILES POLICE DEPARTMENTS - FAITH COMMUNITIES - HANUL FAMILY ALLIANCE (KOREAN COMMUNITY PARTNER)- HEALTH AND MEDICINE POLICY RESEARCH GROUP- HEALTHIER PARK RIDGE COALITION (NAME CHANGE)- HEALTHY SCHOOLS CAMPAIGN- ILLINOIS PUBLIC HEALTH INSTITUTE- ILLINOIS STATE BOARD OF EDUCATION, SCHOOL NURSING/HEALTH SPECIAL EDUCATION SERVICES- HEALTHIER DES PLAINES PROJECT - HEALTHIER NILES PROJECT- HEALTHIER PARK RIDGE PROJECT- PARK RIDGE, NILES AND DES PLAINES MINISTERIAL ASSOCIATIONS- PARK RIDGE CHAMBER OF COMMERCE HEALTH CARE FORUM - PARK RIDGE COMMUNITY FUND- PARK RIDGE HEALTH COMMISSION- PARK RIDGE HUMAN NEEDS TASK FORCE - POLICE CHIEF ADVISORY TASK FORCE, PARK RIDGE- SCHAUMBURG TOWNSHIP SUPERVISOR AND TRUSTEE- SCHOOL DISTRICT 63- SCHOOL DISTRICT 64- SCHOOL DISTRICT 207 - VILLAGE OF GLENVIEW- VILLAGE OF MORTON GROVE - VILLAGE OF NILESTHE HOSPITAL CONSIDERED INPUT FROM UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS IN IDENTIFIED HIGH RISK ZIP CODES IN DES PLAINES AND NILES FOR ASSESSING AND DEVELOPING IMPROVEMENT INTERVENTIONS IN THE 2014-2016 CHNA. ADVOCATE CHILDREN'S, LOCATED ON TWO CAMPUSES IN THE CHICAGOLAND AREA, SERVES CHILDREN AGES 0-17. THE NORTH CAMPUS IS LOCATED ON THE GROUNDS OF ADVOCATE LUTHERAN GENERAL IN PARK RIDGE, ILLINOIS, (ADVOCATE CHILDREN'S-PARK RIDGE) WITH WHICH IT SHARES THE SAME TAX ID NUMBER. THE SOUTH CAMPUS IS LOCATED ON THE GROUNDS OF ADVOCATE CHRIST IN OAK LAWN, ILLINOIS, (ADVOCATE CHILDREN'S-OAK LAWN) WITH WHICH IT SHARES THE SAME TAX ID NUMBER. AN ADVOCATE CHILDREN'S COMMUNITY PROFILE WAS COMPLETED TO SUPPLEMENT THE COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PROCESS OF THE RESPECTIVE ADVOCATE HOSPITALS. WHILE AN IMPORTANT PART OF THE ADVOCATE LUTHERAN GENERAL CAMPUS, ADMINISTRATIVELY AND OPERATIONALLY, ALL PEDIATRIC SERVICES REPORT TO THE ADVOCATE CHILDREN'S LEADERSHIP TEAM.THE ADVOCATE CHILDREN'S SERVICE AREA INCLUDES COMMUNITIES SERVED BY ADVOCATE LUTHERAN GENERAL AS WELL AS AREAS FARTHER NORTH, WEST AND EAST. THE HOSPITAL WORKS WITH UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS THROUGHOUT THE NORTH SUBURBS AND CHICAGO AS IDENTIFIED THROUGH ADVOCATE-SPONSORED MEDICAID MANAGED CARE PROGRAM UTILIZATION AND THE CHICAGO PUBLIC HEALTH DEPARTMENT'S HEALTHY CHICAGO 2.0 HEALTH PLAN. HIGH-RISK AREAS INCLUDE DES PLAINES, ROUND LAKE, WHEELING, WAUKEGAN AND ELGIN, AS WELL AS AVALON PARK AND AVONDALE ON THE NORTH SIDE OF CHICAGO. PARTICULARLY HELPFUL TO ASSESSING COMMUNITY HEALTH NEEDS FOR THE UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS WERE THE CHICAGO'S HEALTHY SCHOOL CAMPAIGN, CHICAGO PUBLIC HEALTH DEPARTMENT, AND SCHOOL DISTRICTS 63 AND 64, AS WELL AS UTILIZATION DATA FROM THE ADVOCATE MEDICAID MANAGED CARE PROGRAM.ADVOCATE LUTHERAN GENERAL'S 2014-2016 AND PREVIOUS 2011-2013 CHNA REPORTS AND IMPLEMENTATION PLANS ARE POSTED ON THE ADVOCATE HEALTH CARE WEBSITE WITH A MECHANISM FOR THE COMMUNITY TO PROVIDE FEEDBACK OR ASK QUESTIONS IN COMPLIANCE WITH REQUIREMENTS OF THE AFFORDABLE CARE ACT. AS OF DECEMBER 31, 2018, THE HOSPITAL HAD NOT RECEIVED ANY COMMENTS OR INQUIRIES FROM THE COMMUNITY.
ADVOCATE SOUTH SUBURBAN HOSPITAL PART V, SECTION B, LINE 5: COMMUNITY HEALTH COUNCILIN DEVELOPING THE 2014-2016 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), ADVOCATE SOUTH SUBURBAN HOSPITAL (ADVOCATE SOUTH SUBURBAN) CONSULTED WITH VARIOUS INTERNAL AND EXTERNAL STAKEHOLDERS THAT REPRESENTED THE BROAD INTERESTS OF THE COMMUNITY. THE HOSPITAL CONVENED A COMMUNITY HEALTH COUNCIL (CHC) ON FEBRUARY 24, 2016. THE CHC'S RESPONSIBILITIES WERE TO: 1) OVERSEE COMMUNITY HEALTH WORK FOR THE HOSPITAL; 2) REVIEW DATA AND PRIORITIZE HEALTH NEEDS IDENTIFIED FOR THE 2014-2016 COMMUNITY HEALTH NEEDS ASSESSMENT; AND 3) CONTRIBUTE TO THE DEVELOPMENT OF AN IMPLEMENTATION PLAN TO ADDRESS COMMUNITY HEALTH NEEDS. CHAIRED BY A MEMBER OF ADVOCATE SOUTH SUBURBAN'S GOVERNING COUNCIL AND MANAGED BY THE REGIONAL DIRECTOR OF COMMUNITY HEALTH, THE CHC IS COMPRISED OF A VARIETY OF REPRESENTATIVES FROM THE COMMUNITY, INCLUDING MULTIPLE COMMUNITY MEMBERS REPRESENTING MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS. A LIST OF THE COMMUNITY HEALTH COUNCIL MEMBERS' TITLES AND AFFILIATIONS ARE PROVIDED BELOW. ASTERISKS HAVE BEEN USED TO INDICATE INDIVIDUALS WHO REPRESENT MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS.2016 ADVOCATE SOUTH SUBURBAN COMMUNITY HEALTH COUNCIL MEMBERSMEMBERS REPRESENTING THE COMMUNITY- COUNTRY CLUB HILLS SCHOOL DISTRICT 160, SCHOOL NURSE 1*- COUNTRY CLUB HILLS SCHOOL DISTRICT 160, SCHOOL NURSE 2*- FAITH LUTHERAN CHURCH OF HOMEWOOD, PASTOR; ADVOCATE SOUTH SUBURBAN GOVERNING COUNCIL MEMBER; COMMUNITY HEALTH COUNCIL, CHAIR- GOVERNORS STATE UNIVERSITY, ASSISTANT PROFESSOR 1- GOVERNORS STATE UNIVERSITY, ASSISTANT PROFESSOR 2- HAZEL CREST COMMUNITY RESIDENT 1*- HAZEL CREST COMMUNITY RESIDENT 2*- HAZEL CREST COMMUNITY RESIDENT 3*- SOUTH SUBURBAN FAMILY HEALTH, SC, FAMILY MEDICINE PHYSICIAN- SOUTH SUBURBAN MAYORS AND MANAGERS ASSOCIATION, COMMUNITY DEVELOPMENT PLANNERADVOCATE SOUTH SUBURBAN STAFF- ADVOCATE HEALTH CARE, REGIONAL DIRECTOR, COMMUNITY HEALTH- ADVOCATE MEDICAL GROUP, GENERAL SURGEON; ADVOCATE SOUTH SUBURBAN GOVERNING COUNCIL MEMBER- ADVOCATE SOUTH SUBURBAN, COORDINATOR, COMMUNITY HEATH- ADVOCATE SOUTH SUBURBAN, MARKETING SPECIALIST, PUBLIC AFFAIRS AND MARKETING- ADVOCATE SOUTH SUBURBAN, VICE PRESIDENT, OPERATIONS; COMMUNITY HEALTH EXECUTIVE SPONSOR THE CHC FUNCTIONS AS A SUBSET OF THE HOSPITAL'S GOVERNING COUNCIL AND ALL ACTIVITIES AND DECISIONS MADE BY THE CHC REGARDING THE CHNA ARE SUBMITTED FOR APPROVAL BY THE FULL GOVERNING COUNCIL.GOVERNING COUNCILAS MENTIONED EARLIER, A MEMBER OF THE ADVOCATE SOUTH SUBURBAN GOVERNING COUNCIL CHAIRS THE COMMUNITY HEALTH COUNCIL, PROVIDING PERIOD FEEDBACK TO THE GOVERNING COUNCIL ON CHC PROGRESS. A MAJORITY OF MEMBERS SERVING ON THE HOSPITAL'S GOVERNING COUNCIL (59%) REPRESENT THE COMMUNITY. THE PRINCIPAL ROLES OF GOVERNING COUNCIL MEMBERS ARE TO: 1) SUPPORT THE HOSPITAL LEADERSHIP IN THEIR PURSUIT OF THE HOSPITAL'S GOALS; 2) REPRESENT THE COMMUNITY'S INTERESTS TO THE HOSPITAL; AND 3) SERVE AS AN AMBASSADOR OF THE HOSPITAL IN THE COMMUNITY. FOR THE CHNA, THE ROLE OF THE GOVERNING COUNCIL IS TO PROVIDE INPUT, AND TO REVIEW AND APPROVE THE RECOMMENDATIONS OF THE CHC. THE GOVERNING COUNCIL APPROVED SOUTH SUBURBAN'S 2016 COMMUNITY HEALTH NEEDS ASSESSMENT REPORT, INCLUDING IDENTIFIED PRIORITIES FOR ACTION AND IMPLEMENTATION STRATEGY, ON DECEMBER 1, 2016.HEALTH IMPACT COLLABORATIVE OF COOK COUNTYIN 2015, ALL FIVE ADVOCATE HEALTH CARE HOSPITALS PRINCIPALLY SERVING COOK COUNTY, INCLUDING ADVOCATE SOUTH SUBURBAN, WERE FOUNDING MEMBERS OF THE HEALTH IMPACT COLLABORATIVE OF COOK COUNTY (HICCC). HICCC IS A BEST PRACTICE COMMUNITY HEALTH INITIATIVE INVOLVING 26 HOSPITALS, 7 HEALTH DEPARTMENTS AND NEARLY 100 COMMUNITY-BASED ORGANIZATIONS. THE GOAL OF THIS COLLABORATIVE IS TO WORK TOGETHER ON A COUNTY-WIDE HEALTH ASSESSMENT AND COMMON HEALTH IMPROVEMENT STRATEGIES ONCE PRIORITIES ARE IDENTIFIED. THE ILLINOIS PUBLIC HEALTH INSTITUTE (IPHI) SERVED AS THE BACKBONE ORGANIZATION FOR THE COLLABORATIVE-PROVIDING FACILITATION, DATA COORDINATION AND REPORT PREPARATION ACTIVITIES. GIVEN THE SIZE AND DIVERSITY OF COOK COUNTY, THE COLLABORATIVE CREATED THREE REGIONS-NORTH, CENTRAL AND SOUTH-FOR PURPOSES OF ORGANIZING THE ASSESSMENT PROCESS. ADVOCATE SOUTH SUBURBAN WAS APPROPRIATELY ASSIGNED TO THE SOUTH REGION CONSISTING OF BOTH THE SOUTH SIDE OF CHICAGO AND THE SOUTH SUBURBS OF COOK COUNTY, WHERE THE HOSPITAL IS LOCATED. COMMUNITY HEALTH STAFF PARTICIPATE IN THE ACTION PLANNING TEAMS FOR CHRONIC DISEASE PREVENTION AND SOCIAL DETERMINANTS OF HEALTH CONVENED AS PART OF THE HICCC. FOR THE ASTHMA AND DIABETES PRIORITIES, TEAMS DEVELOPED EDUCATIONAL, OUTREACH AND ENVIRONMENTAL STRATEGIES IN COLLABORATION WITH COMMUNITY PARTNERS TO IMPROVE THE MANAGEMENT OF THESE DISEASES.IN 2017, HICCC MERGED WITH THE HEALTH CHICAGO HOSPITAL COLLABORATIVE. THE MERGER ALLOWED PARTNERS TO FURTHER ALIGN THEIR EFFORTS AND ACHIEVE GREATER COLLECTIVE IMPACT IN CHICAGO AND COOK COUNTY. ON JUNE 30, 2017, HOSPITAL PARTNERS FROM BOTH COLLABORATIVES MET TO KICK OFF THE START OF A FULLY MERGED ENTITY. THE NAME SELECTED FOR THE MERGER WAS THE ALLIANCE FOR HEALTH EQUITY (AFHE). THE ALLIANCE FOR HEALTH EQUITY IS A PARTNERSHIP BETWEEN THE ILLINOIS PUBLIC HEALTH INSTITUTE (IPHI), HOSPITALS, HEALTH DEPARTMENTS, AND COMMUNITY ORGANIZATIONS ACROSS CHICAGO AND COOK COUNTY.BOTH ADVOCATE SOUTH SUBURBAN'S 2014-2016 CHNA REPORT, THE PREVIOUS 2011-2013 CHNA REPORT AND IMPLEMENTATION PLANS AS APPROVED BY THE HOSPITAL'S GOVERNING COUNCIL ARE POSTED ON THE ADVOCATE HEALTH CARE WEBPAGE WITH A MECHANISM FOR COMMUNITY FEEDBACK AS REQUIRED BY THE AFFORDABLE CARE ACT. AS OF DECEMBER 31, 2018, THERE HAVE BEEN NO COMMENTS OR INQUIRIES RECEIVED FROM THE COMMUNITY.
ADVOCATE TRINITY HOSPITAL PART V, SECTION B, LINE 5: COMMUNITY HEALTH COUNCIL ADVOCATE TRINITY HOSPITAL (ADVOCATE TRINITY) COMPLETED A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) IN 2016. AS AN IMPORTANT COMPONENT OF THIS WORK, DURING THE LAST QUARTER OF 2015, ADVOCATE TRINITY RECONVENED ITS COMMUNITY HEALTH COUNCIL (CHC), WHICH HAD BEEN FORMED IN 2011 TO OVERSEE THE HOSPITAL'S PREVIOUS CHNA. THE CHC WAS CHAIRED BY ONE OF ADVOCATE TRINITY'S GOVERNING COUNCIL MEMBERS AND CO-CHAIRED BY A COMMUNITY LEADER. THE CHC WAS COMPRISED OF REPRESENTATIVES FROM COMMUNITY-BASED ORGANIZATIONS (CBOS), SOCIAL SERVICE AGENCIES AND FEDERALLY QUALIFIED HEALTH CENTERS (FQHCS), FAITH LEADERS AND MEMBERS OF ADVOCATE TRINITY'S GOVERNING COUNCIL. OF THE 22 MEMBERS, 11 MEMBERS (50 PERCENT) REPRESENT THE COMMUNITY, 5 (23 PERCENT) REPRESENT THE HOSPITAL'S GOVERNING COUNCIL AND 6 (27 PERCENT) REPRESENT HOSPITAL LEADERS. EMPHASIS WAS PLACED ON RECRUITING CHC MEMBERS THAT REPRESENTED MINORITY AND/OR UNDERSERVED POPULATIONS WITHIN THE HOSPITAL'S SURROUNDING COMMUNITY. THE CHC PROVIDED ADVOCATE TRINITY WITH THE OPPORTUNITY TO GATHER VALUABLE INPUT FROM COMMUNITY MEMBERS AND THE ORGANIZATIONS PROVIDING SERVICES TO THE COMMUNITY. THE HOSPITAL'S CHC MEMBERS ATTENDED FIVE CHNA MEETINGS HOSTED AT A HOSPITAL SITE. A KICK-OFF MEETING WAS CONDUCTED IN THE LAST QUARTER OF 2015 TO UPDATE THE CHC MEMBERS ON STRATEGIES FROM THE PRECEDING CHNA AND THE PROCESS FOR THE CURRENT CHNA. IN 2016, THE CHC MET FOUR TIMES BETWEEN JANUARY AND NOVEMBER. THE CHC MEMBERS WERE INSTRUMENTAL IN BOTH THE DEVELOPMENT OF THE CHNA PROCESS AND THE IMPLEMENTATION PLAN. THEY PLAYED A CRUCIAL ROLE IN DATA REVIEW AND IDENTIFYING THE HEALTH PRIORITIES SET FORTH. THE TITLES AND ORGANIZATIONS OF CURRENT MEMBERS OF ADVOCATE TRINITY'S CHC ARE BELOW. THE INDIVIDUALS REPRESENTING MINORITY AND/OR UNDERSERVED POPULATIONS ARE INDICATED WITH AN ASTERISK.2016 ADVOCATE TRINITY COMMUNITY HEALTH COUNCIL MEMBERSMEMBERS FROM THE COMMUNITY - A-DESIGN STUDIO, OWNER; ADVOCATE TRINITY GOVERNING COUNCIL MEMBER - CALUMET HEIGHT HOMEOWNERS ASSOCIATION, COMMUNITY MEMBER (COMMUNITY HEALTH COUNCIL CO-CHAIR) - CHICAGO FAMILY HEALTH CENTER, ASSISTANT CEO - CLARETIAN ASSOCIATES, PROGRAM DIRECTOR - COMMUNITY MEMBER* - COMMUNITY MEMBER* - COMMUNITY MEMBER* - COMMUNITY RESIDENT; ADVOCATE TRINITY GOVERNING COUNCIL MEMBER - COMMUNITY RESIDENT; ADVOCATE TRINITY GOVERNING COUNCIL MEMBER (COMMUNITY HEALTH COUNCIL CHAIR) - METROPOLITAN FAMILY SERVICES, PROGRAM SUPERVISOR* - RETIRED CHICAGO PUBLIC SCHOOLS EDUCATOR, COMMUNITY REPRESENTATIVE - ROSELAND COMMUNITY MEMBER, DEACON*- THE WASHINGTON GROUP, OWNER; ADVOCATE TRINITY GOVERNING COUNCIL MEMBER - TRINITY UNITED CHURCH OF CHRIST, PARISH NURSE* - WIMP CORPORATION, CHIEF EXECUTIVE OFFICER; ADVOCATE TRINITY GOVERNING COUNCIL MEMBER ADVOCATE TRINITY STAFF MEMBERS- ADVOCATE HEALTH CARE, SOUTH REGION DIRECTOR, COMMUNITY HEALTH - ADVOCATE TRINITY, COORDINATOR, COMMUNITY HEALTH - ADVOCATE TRINITY, MANAGER, COMMUNITY HEALTH - ADVOCATE TRINITY, PRESIDENT - ADVOCATE TRINITY, STAFF CHAPLAIN, MISSION AND SPIRITUAL CARE - ADVOCATE TRINITY, VICE PRESIDENT, MISSION AND SPIRITUAL CAREGOVERNING COUNCIL ADVOCATE TRINITY'S GOVERNING COUNCIL MEMBERS ALSO HAD INPUT INTO THE CHNA. THE PRINCIPAL ROLES OF EACH GOVERNING COUNCIL MEMBER ARE: 1) TO SUPPORT HOSPITAL LEADERSHIP IN THEIR PURSUIT OF THE HOSPITAL'S GOALS; AND 2) TO REPRESENT THE COMMUNITY'S INTERESTS TO THE HOSPITAL AND TO SERVE AS AN AMBASSADOR IN THE COMMUNITY. THE ROLE OF THE GOVERNING COUNCIL FOR THE COMMUNITY HEALTH NEEDS ASSESSMENT, SPECIFICALLY, IS TO REVIEW AND APPROVE THE RECOMMENDATIONS OF THE CHC. IN ADDITION, FIVE GOVERNING COUNCIL MEMBERS SERVE ON THE CHC AND ONE CO-CHAIRS THE CHC. THE GOVERNING COUNCIL ALSO REPRESENTS LEADERSHIP FROM BOTH THE HOSPITAL AND THE COMMUNITY. ADVOCATE TRINITY'S GOVERNING COUNCIL FULLY APPROVED THE 2014-2016 COMMUNITY HEALTH NEEDS ASSESSMENT REPORT, INCLUDING IDENTIFIED PRIORITIES FOR FUTURE ACTION, ON NOVEMBER 22, 2016.HEALTH IMPACT COLLABORATIVE OF COOK COUNTYIN 2015, ALL FIVE ADVOCATE HEALTH CARE HOSPITALS PRINCIPALLY SERVING COOK COUNTY, INCLUDING ADVOCATE TRINITY, WERE FOUNDING MEMBERS OF THE HEALTH IMPACT COLLABORATIVE OF COOK COUNTY (HICCC). HICCC IS A BEST PRACTICE COMMUNITY HEALTH INITIATIVE INVOLVING 26 HOSPITALS, SEVEN HEALTH DEPARTMENTS AND NEARLY 100 COMMUNITY-BASED ORGANIZATIONS. THE GOAL OF THIS COLLABORATIVE IS TO WORK TOGETHER ON A COUNTY-WIDE HEALTH ASSESSMENT AND COMMON HEALTH IMPROVEMENT STRATEGIES ONCE PRIORITIES ARE IDENTIFIED. THE ILLINOIS PUBLIC HEALTH INSTITUTE (IPHI) SERVED AS THE BACKBONE ORGANIZATION FOR THE COLLABORATIVE-PROVIDING FACILITATION, DATA COORDINATION AND REPORT PREPARATION ACTIVITIES.GIVEN THE SIZE AND DIVERSITY OF COOK COUNTY, THE COLLABORATIVE CREATED THREE REGIONS-NORTH, CENTRAL AND SOUTH-FOR PURPOSES OF ORGANIZING THE ASSESSMENT PROCESS. ADVOCATE TRINITY WAS APPROPRIATELY ASSIGNED TO THE SOUTH REGION CONSISTING OF BOTH THE SOUTH SIDE OF CHICAGO AND THE SOUTH SUBURBS OF COOK COUNTY. COMMUNITY HEALTH STAFF WILL BE PARTICIPATING IN THE ACTION PLANNING TEAMS FOR CHRONIC DISEASE PREVENTION AND SOCIAL DETERMINANTS CONVENED AS PART OF THE HICCC. FOR THE ASTHMA AND DIABETES PRIORITIES, TEAMS DEVELOPED EDUCATIONAL, OUTREACH AND ENVIRONMENTAL STRATEGIES IN COLLABORATION WITH COMMUNITY PARTNERS TO IMPROVE THE MANAGEMENT OF THESE DISEASES.IN 2017, HICCC MERGED WITH THE HEALTHY CHICAGO HOSPITAL COLLABORATIVE. THE MERGER ALLOWED PARTNERS TO FURTHER ALIGN THEIR EFFORTS AND ACHIEVE GREATER COLLECTIVE IMPACT IN CHICAGO AND COOK COUNTY. ON JUNE 30, 2017, HOSPITAL PARTNERS FROM BOTH COLLABORATIVES MET TO KICK OFF THE START OF A FULLY MERGED INITIATIVE. THE NAME SELECTED FOR THE MERGER WAS THE ALLIANCE FOR HEALTH EQUITY (AFHE). THE ALLIANCE FOR HEALTH EQUITY IS A PARTNERSHIP BETWEEN IPHI, HOSPITALS, HEALTH DEPARTMENTS, AND COMMUNITY ORGANIZATIONS ACROSS CHICAGO AND COOK COUNTY.ADVOCATE TRINITY'S 2014-2016 AND PREVIOUS 2011-2013 CHNA REPORTS AND IMPLEMENTATION PLANS ARE POSTED ON THE ADVOCATE HEALTH CARE WEBPAGE WITH A MECHANISM FOR COMMUNITY FEEDBACK AS REQUIRED BY THE AFFORDABLE CARE ACT. AS OF DECEMBER 31, 2018, THERE HAVE BEEN NO COMMENTS OR INQUIRIES RECEIVED FROM THE COMMUNITY.
ADVOCATE BROMENN MEDICAL CENTER PART V, SECTION B, LINE 6A: - RELATED? N/A- UNRELATED? OSF HEALTHCARE ST. JOSEPH MEDICAL CENTER, BLOOMINGTON, ILLINOIS
CHRIST HOSP INCL HOPE CHILDREN'S HOSP PART V, SECTION B, LINE 6A: RELATED? ADVOCATE CHILDREN'S (OAK LAWN, IL)ADVOCATE SOUTH SUBURBAN (HAZEL CREST, IL)ADVOCATE TRINITY (CHICAGO, IL)UNRELATED? MERCY HOSPITAL AND MEDICAL CENTER (CHICAGO, IL)PROVIDENT HOSPITAL (CHICAGO, IL) ROSELAND HOSPITAL (CHICAGO, IL)ADVOCATE CHRIST AND ADVOCATE CHILDREN'S PARTICIPATED IN THE HEALTH IMPACT COLLABORATIVE OF COOK COUNTY (NOW KNOWN AS THE ALLIANCE FOR HEALTH EQUITY), LED BY THE ILLINOIS PUBLIC HEALTH INSTITUTE, THAT INCLUDED OVER 30 HOSPITALS, AS WELL AS 7 HEALTH DEPARTMENTS, AND OVER 100 COMMUNITY ORGANIZATIONS. THIS COLLABORATIVE COMPLETED A COMMUNITY HEALTH NEEDS ASSESSMENT FOR THE NORTH, CENTRAL AND SOUTH REGIONS OF COOK COUNTY. ADVOCATE CHRIST WAS AN ACTIVE MEMBER OF THE COLLABORATIVE AND PARTICIPATED FULLY IN THE SOUTH REGION SURVEY. FOR FULL DETAILS ON THE COLLABORATIVE, PLEASE REFER TO THE FOLLOWING WEBSITE. HTTP://ALLHEALTHEQUITY.ORG/
ADVOCATE EUREKA HOSPITAL PART V, SECTION B, LINE 6A: RELATED? N/AUNRELATED?- OSF SAINT FRANCIS MEDICAL CENTER, PEORIA, ILLINOIS- UNITYPOINT HEALTH-METHODIST, PEORIA, ILLINOIS- KINDRED HOSPITAL, PEORIA, ILLINOIS- HOPEDALE MEDICAL COMPLEX, HOPEDALE, ILLINOIS- PEKIN HOSPITAL, PEKIN, ILLINOIS
ADVOCATE GOOD SHEPHERD HOSPITAL PART V, SECTION B, LINE 6A: RELATED?- ADVOCATE CONDELL MEDICAL CENTER, LIBERTYVILLE, IL (THROUGH THE LAKE COUNTY HEALTH DEPARTMENT)- ADVOCATE SHERMAN HOSPITAL, ELGIN, IL (THROUGH THE MCHENRY COUNTY HEALTH DEPARTMENT)UNRELATED?- CENTEGRA HEALTH SYSTEMS, MCHENRY, IL (THROUGH THE MCHENRY COUNTY HEALTH DEPARTMENT)- 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)
LUTHERAN GEN HOSP INCL LUTH GEN CHILD PART V, SECTION B, LINE 6A: ADVOCATE LUTHERAN GENERAL AND ADVOCATE CHILDREN'S PARTICIPATED IN THE HEALTH IMPACT COLLABORATIVE OF COOK COUNTY (HICCC), LED BY THE ILLINOIS PUBLIC HEALTH INSTITUTE. THE COLLABORATIVE INCLUDED TWENTY-SIX HOSPITALS, SEVEN HEALTH DEPARTMENTS, AND OVER ONE HUNDRED COMMUNITY ORGANIZATIONS. HICCC COMPLETED A CHNA FOR THE NORTH, CENTRAL AND SOUTH REGIONS OF COOK COUNTY. FOR FULL DETAILS ON THE COLLABORATIVE, PLEASE REFER TO FOLLOWING WEB SITE: HTTP://HEALTHIMPACTCC.ORGADVOCATE CHILDREN'S ALSO PARTICIPATED IN THE CHICAGO HOSPITAL COLLABORATIVE LED BY HEALTH AND DISABILITY ADVOCATES, WHICH INCLUDED TWENTY-FIVE HOSPITALS SERVING THE METROPOLITAN CHICAGO AREA. FOR FULL DETAILS ON SELECTED ACTION PRIORITY AREAS, PLEASE REFER TO: WWW.HEALTHYCHIHOSPITALS.ORGADVOCATE LUTHERAN GENERAL CO-LED THE NORTH REGION HICCC GROUP WITH PRESENCE RESURRECTION MEDICAL CENTER. THERE WERE NINE HOSPITALS, FOUR HEALTH DEPARTMENTS AND THIRTY COMMUNITY ORGANIZATIONS INVOLVED IN THE NORTH REGION. THE NINE PARTICIPATING NORTH REGION ILLINOIS HOSPITALS INCLUDED: ADVOCATE LUTHERAN GENERAL (PARK RIDGE); ADVOCATE ILLINOIS MASONIC (CHICAGO); NORTHSHORE EVANSTON HOSPITAL (EVANSTON); NORTHSHORE GLENBROOK HOSPITAL (GLENVIEW); NORTHSHORE SKOKIE HOSPITAL (SKOKIE); PRESENCE HOLY FAMILY MEDICAL CENTER (DES PLAINES); PRESENCE RESURRECTION MEDICAL CENTER (CHICAGO); PRESENCE SAINT FRANCIS HOSPITAL (EVANSTON); AND PRESENCE SAINT JOSEPH HOSPITAL (CHICAGO). ADVOCATE LUTHERAN GENERAL UTILIZED THE HICCC NORTH REGION ASSESSMENT AS A FOUNDATION FOR THE HOSPITAL-SPECIFIC COMMUNITY HEALTH NEEDS ASSESSMENT.IN LATE 2017, HICCC MERGED WITH THE HEALTHY CHICAGO HOSPITALS COLLABORATIVE TO CREATE THE ALLIANCE FOR HEALTH EQUITY. THE ALLIANCE FOR HEALTH EQUITY IS A PARTNERSHIP BETWEEN THE ILLINOIS PUBLIC HEALTH INSTITUTE, HOSPITALS, HEALTH DEPARTMENTS, AND COMMUNITY ORGANIZATIONS ACROSS CHICAGO AND COOK COUNTY. ADVOCATE, AS A FOUNDING MEMBER OF THE PREDECESSOR HICCC, CONTINUES TO BE ACTIVELY INVOLVED IN LEADERSHIP OF THE ALLIANCE FOR HEALTH EQUITY PARTNERSHIP, SERVING ON THE STEERING COMMITTEE. ADVOCATE HOSPITALS AS WELL AS THE OTHER MEMBER HOSPITALS PROVIDE THE MONETARY SUPPORT FOR THE COLLABORATIVE'S WORK AND SUPPORT THE COST OF STAFF AND OVERSIGHT PROVIDED BY THE ILLINOIS PUBLIC HEALTH INSTITUTE.THIS INITIATIVE IS ONE OF THE LARGEST COLLABORATIVE HOSPITAL-COMMUNITY PARTNERSHIPS IN THE COUNTRY WITH THE CURRENT INVOLVEMENT OF OVER 30 NONPROFIT AND PUBLIC HOSPITALS, SEVEN LOCAL HEALTH DEPARTMENTS, AND REPRESENTATIVES OF MORE THAN 100 COMMUNITY ORGANIZATIONS SERVING ON ACTION TEAMS. PARTNERS ARE COMING TOGETHER WITH THE GOAL OF WORKING ON STRATEGIES TO ADDRESS THE PRESSING ISSUES IN OUR COMMUNITIES TO ACHIEVE GREATER COLLECTIVE IMPACT.WEB SITE: HTTP://ALLHEALTHEQUITY.ORG/
ADVOCATE SOUTH SUBURBAN HOSPITAL PART V, SECTION B, LINE 6A: ADVOCATE SOUTH SUBURBAN PARTICIPATED IN THE HEALTH IMPACT COLLABORATIVE OF COOK COUNTY (NOW KNOWN AS THE ALLIANCE FOR HEALTH EQUITY), LED BY THE ILLINOIS PUBLIC HEALTH INSTITUTE, THAT INCLUDED OVER 30 HOSPITALS, AS WELL AS 7 HEALTH DEPARTMENTS, AND OVER 100 COMMUNITY ORGANIZATIONS. THIS COLLABORATIVE COMPLETED A COMMUNITY HEALTH NEEDS ASSESSMENT FOR THE NORTH, CENTRAL AND SOUTH REGIONS OF COOK COUNTY. ADVOCATE SOUTH SUBURBAN WAS AN ACTIVE MEMBER OF THE COLLABORATIVE AND PARTICIPATED FULLY IN THE SOUTH REGION SURVEY. THE PARTICIPATING HOSPITALS IN THE SOUTH REGION INCLUDED: RELATED:- ADVOCATE CHILDREN'S (OAK LAWN, IL)- ADVOCATE CHRIST MEDICAL CENTER (OAK LAWN, IL) - ADVOCATE TRINITY HOSPITAL (CHICAGO, IL)UNRELATED:- MERCY HOSPITAL AND MEDICAL CENTER (CHICAGO, IL)- PROVIDENT HOSPITAL (CHICAGO, IL) - ROSELAND HOSPITAL (CHICAGO, IL)FOR FULL DETAILS ON THE COLLABORATIVE, PLEASE REFER TO THE FOLLOWING WEBSITE. HTTP://ALLHEALTHEQUITY.ORG/
ADVOCATE TRINITY HOSPITAL PART V, SECTION B, LINE 6A: ADVOCATE TRINITY PARTICIPATED IN THE HEALTH IMPACT COLLABORATIVE OF COOK COUNTY (NOW KNOWN AS THE ALLIANCE FOR HEALTH EQUITY), LED BY THE ILLINOIS PUBLIC HEALTH INSTITUTE, THAT INCLUDED OVER 30 HOSPITALS, AS WELL AS 7 HEALTH DEPARTMENTS, AND OVER 100 COMMUNITY ORGANIZATIONS. THIS COLLABORATIVE COMPLETED A COMMUNITY HEALTH NEEDS ASSESSMENT FOR THE NORTH, CENTRAL AND SOUTH REGIONS OF COOK COUNTY. ADVOCATE TRINITY WAS AN ACTIVE MEMBER OF THE COLLABORATIVE AND PARTICIPATED FULLY IN THE SOUTH REGION SURVEY. THE PARTICIPATING HOSPITALS IN THE SOUTH REGION INCLUDED: RELATED:- ADVOCATE CHILDREN'S, OAK LAWN, IL- ADVOCATE CHRIST MEDICAL CENTER, OAK LAWN, IL- ADVOCATE SOUTH SUBURBAN HOSPITAL, HAZEL CREST, IL UNRELATED:- MERCY HOSPITAL AND MEDICAL CENTER, CHICAGO, IL- PROVIDENT HOSPITAL, CHICAGO, IL - ROSELAND HOSPITAL, CHICAGO, ILFOR FULL DETAILS ON THE COLLABORATIVE, PLEASE REFER TO THE FOLLOWING WEBSITE. HTTP://ALLHEALTHEQUITY.ORG/
ADVOCATE BROMENN MEDICAL CENTER PART V, SECTION B, LINE 6B: - UNITED WAY OF MCLEAN COUNTY, BLOOMINGTON, ILLINOIS- MCLEAN COUNTY HEALTH DEPARTMENT, BLOOMINGTON, ILLINOIS
CHRIST HOSP INCL HOPE CHILDREN'S HOSP PART V, SECTION B, LINE 6B: - ILLINOIS PUBLIC HEALTH INSTITUTE (IPHI), CHICAGO, IL- CHICAGO DEPARTMENT OF PUBLIC HEALTH, CHICAGO, IL- COOK COUNTY HEALTH DEPARTMENT, CHICAGO, IL- PARK FOREST HEALTH DEPARTMENT, PARK FOREST, IL- STICKNEY HEALTH DEPARTMENT, STICKNEY, IL- OVER 30 ADDITIONAL COMMUNITY-BASED ORGANIZATIONS PARTICIPATED IN THE SOUTH REGION ASSESSMENT PROCESS. FOR A COMPLETE LIST OF THE STAKEHOLDER ORGANIZATIONS PARTICIPATING IN THE SOUTH REGION ASSESSMENT, PLEASE ACCESS THE FOLLOWING LINK: HTTPS://WWW.ADVOCATEHEALTH.COM/ASSETS/DOCUMENTS/HICCC-SOUTH-REGION-CHNA-REPORT-WITH-APPENDICES-12-2-16.PDF
ADVOCATE EUREKA HOSPITAL PART V, SECTION B, LINE 6B: WOODFORD COUNTY HEALTH DEPARTMENT - PEORIA CITY/COUNTY HEALTH DEPARTMENT- TAZEWELL COUNTY HEALTH DEPARTMENT- HEART OF ILLINOIS UNITED WAY- HEARTLAND COMMUNITY HEALTH CARE CLINIC, PEORIA, ILLINOIS- BRADLEY UNIVERSITY, PEORIA, ILLINOIS
LUTHERAN GEN HOSP INCL LUTH GEN CHILD PART V, SECTION B, LINE 6B: AS NOTED ABOVE, ADVOCATE LUTHERAN GENERAL AND ADVOCATE CHILDREN'S WERE BOTH ACTIVE MEMBERS OF THE HEALTH IMPACT COLLABORATIVE OF COOK COUNTY (HICCC), WHICH INCLUDED THE ILLINOIS PUBLIC HEALTH INSTITUTE, TWENTY-SIX HOSPITALS, AS WELL AS SEVEN HEALTH DEPARTMENTS AND OVER ONE HUNDRED COMMUNITY ORGANIZATIONS. IN THE NORTH REGION, THERE WERE NINE HOSPITALS, FOUR HEALTH DEPARTMENTS AND THIRTY COMMUNITY ORGANIZATIONS INVOLVED. THE FOUR PARTICIPATING NORTH REGION HEALTH DEPARTMENTS INCLUDED: COOK COUNTY DEPARTMENT OF HEALTH, CHICAGO DEPARTMENT OF HEALTH, EVANSTON HEALTH DEPARTMENT AND SKOKIE HEALTH DEPARTMENT. A COMPLETE LIST OF COMMUNITY ORGANIZATIONS INVOLVED IN THE HICCC NORTH REGION ASSESSMENT CAN BE VIEWED ON THEIR NEW ONLINE PLATFORM AT: HTTP://ALLHEALTHEQUITY.ORG/PROJECTS/2016-CHNA-REPORTS/ADDITIONALLY, ADVOCATE CHILDREN'S PARTICIPATED IN THE CHICAGO HOSPITAL COLLABORATIVE LED BY THE HEALTH AND DISABILITY ADVOCATES, WHICH INCLUDED TWENTY-FIVE HOSPITALS SERVING THE METROPOLITAN CHICAGO AREA. FOR FULL DETAILS ON SELECTED ACTION PRIORITY AREAS, PLEASE REFER TO: HTTP://ALLHEALTHEQUITY.ORG/
ADVOCATE SOUTH SUBURBAN HOSPITAL PART V, SECTION B, LINE 6B: - ILLINOIS PUBLIC HEALTH INSTITUTE (IPHI), CHICAGO, IL- CHICAGO DEPARTMENT OF PUBLIC HEALTH, CHICAGO, IL- COOK COUNTY HEALTH DEPARTMENT, CHICAGO, IL- PARK FOREST HEALTH DEPARTMENT, PARK FOREST, IL- STICKNEY HEALTH DEPARTMENT, STICKNEY, IL- OVER 30 ADDITIONAL COMMUNITY-BASED ORGANIZATIONS PARTICIPATED IN THE SOUTH REGION ASSESSMENT PROCESS. FOR A COMPLETE LIST OF THE STAKEHOLDER ORGANIZATIONS PARTICIPATING IN THE SOUTH REGION, PLEASE ACCESS THE FOLLOWING LINK: HTTPS://WWW.ADVOCATEHEALTH.COM/ASSETS/DOCUMENTS/HICCC-SOUTH-REGION-CHNA-REPORT-WITH-APPENDICES-12-2-16.PDF
ADVOCATE TRINITY HOSPITAL PART V, SECTION B, LINE 6B: - ILLINOIS PUBLIC HEALTH INSTITUTE (IPHI), CHICAGO, IL- CHICAGO DEPARTMENT OF PUBLIC HEALTH, CHICAGO, IL- COOK COUNTY HEALTH DEPARTMENT, CHICAGO, IL- PARK FOREST HEALTH DEPARTMENT, PARK FOREST, IL- STICKNEY HEALTH DEPARTMENT, STICKNEY, IL- OVER 30 ADDITIONAL COMMUNITY-BASED ORGANIZATIONS PARTICIPATED IN THE SOUTH REGION ASSESSMENT PROCESS. FOR A COMPLETE LIST OF THE STAKEHOLDER ORGANIZATIONS PARTICIPATING IN THE SOUTH REGION, PLEASE ACCESS THE FOLLOWING LINK: HTTPS://WWW.ADVOCATEHEALTH.COM/ASSETS/DOCUMENTS/HICCC-SOUTH-REGION-CHNA-REPORT-WITH-APPENDICES-12-2-16.PDF
ADVOCATE BROMENN MEDICAL CENTER PART V, SECTION B, LINE 7D: AN OVERVIEW OF THE PROCESS AND RESULTS OF THE 2016 MCLEAN COUNTY COMMUNITY HEALTH NEEDS ASSESSMENTS WERE GIVEN TO THE FOLLOWING GROUPS:- MCLEAN COUNTY REGIONAL PLANNING COMMISSION BOARD- ADVOCATE BROMENN DELEGATE CHURCH ASSOCIATION- ADVOCATE BROMENN FOUNDATION BOARD- CITY OF BLOOMINGTON COUNCIL - ADVOCATE BROMENN AND ADVOCATE EUREKA GOVERNING COUNCIL- UNITED WAY OF MCLEAN COUNTY BOARD OF DIRECTORS- OSF HEALTHCARE SYSTEMS BOARD OF DIRECTORS- MCLEAN COUNTY BOARD OF HEALTH - LEADERSHIP MCLEAN COUNTYSEVERAL INTERVIEWS WERE ALSO CONDUCTED BY THE LOCAL MEDIA SUMMARIZING THE 2016 MCLEAN COUNTY COMMUNITY HEALTH ASSESSMENT. AN ARTICLE ALSO APPEARED IN THE AREA NEWSPAPER.
CHRIST HOSP INCL HOPE CHILDREN'S HOSP PART V, SECTION B, LINE 7D: IN ADDITION TO PRESENTATIONS DELIVERED TO THE OAK LAWN HEALTH CARE ROTARY AND THE ADVOCATE CHRIST MISSION AND SPIRITUAL CARE CHAPLAINS IN 2017, A PRESENTATION WAS DELIVERED TO THE AFRICAN METHODIST EPISCOPAL (AME) 4TH DISTRICT MINISTERS ON JUNE 12, 2018.
ADVOCATE EUREKA HOSPITAL PART V, SECTION B, LINE 7D: THE RESULTS OF THE 2016 ADVOCATE EUREKA CHNA WERE PRESENTED TO THE ADVOCATE BROMENN AND ADVOCATE EUREKA DELEGATE CHURCH ASSOCIATION, AS WELL AS THE ADVOCATE BROMENN AND ADVOCATE EUREKA GOVERNING COUNCIL.
ADVOCATE GOOD SHEPHERD HOSPITAL PART V, SECTION B, LINE 7D: ADVOCATE GOOD SHEPHERD'S COMMUNITY HEALTH STAFF PRESENTED THE CHNA RESULTS TO THE GENERAL COMMUNITY AT THE FOLLOWING EVENTS: A NATIONAL ALLIANCE ON MENTAL ILLNESS (NAMI) BARRINGTON EVENT; NAMI LAKE COUNTY EVENT IN FOX LAKE, IL; BARRINGTON AREA MAYORS AT A MAYORS FORUM MEETING AT ADVOCATE GOOD SHEPHERD; ADVOCATE GOOD SHEPHERD AUXILIARY. COMMUNITY HEALTH STAFF ALSO PRESENTED THE RESULTS INTERNALLY TO THE SENIOR LEADERSHIP TEAM, CANCER COMMITTEE AND THE GOVERNING COUNCIL. IN ADDITION, THE HOSPITAL SENT AN ANNOUNCEMENT OF THE CHNA RESULTS TO EACH ADVOCATE GOOD SHEPHERD EMPLOYEE, WHICH INCLUDED A BRIEF DESCRIPTION OF THE CHNA RESULTS AND THE LINK TO THE FULL REPORT.
ADVOCATE GOOD SAMARITAN HOSPITAL PART V, SECTION B, LINE 7D: ADVOCATE HEALTH CARE PARISH NURSES - THE ADVOCATE GOOD SAMARITAN COMMUNITY HEALTH MANAGER PRESENTED THE CHNA TO ADVOCATE HEALTH CARE PARISH NURSES THAT SERVE CONGREGATIONS IN ADVOCATE GOOD SAMARITAN'S PRIMARY AND SECONDARY SERVICE AREAS. KEY DATA RESULTS AND COMMUNITY HEALTH PRIORITIES WERE OUTLINED IN DETAIL AND EACH PARISH NURSE RECEIVED THE WEBSITE LINK OR HARD-COPY OF THE CHNA.ADVOCATE GOOD SAMARITAN CANCER CARE TEAM - THE ADVOCATE GOOD SAMARITAN COMMUNITY HEALTH MANAGER PRESENTED THE CHNA TO THE HOSPITAL'S CANCER CARE COMMUNITY ENGAGEMENT COORDINATOR AND NURSE NAVIGATOR. THE PRESENTATION INCLUDED KEY DATA RESULTS AND HEALTH PRIORITIES. THE CHNA SUPPORTS THE DEVELOPMENT AND COMPLETION OF THE CANCER CARE CENTER'S MINI CHNA. IN ADDITION, ALL MEMBERS OF THE COMMUNITY HEALTH COUNCIL AND ADVOCATE GOOD SAMARITAN GOVERNING COUNCIL RECEIVED A COPY OF THE FINAL REPORT, AND A COPY OF THE CHNA WAS MAILED TO THE AMERICAN CANCER SOCIETY (DUPAGE COUNTY OFFICE) AND THE COMMUNITY MEMORIAL FOUNDATION TO SHARE WITH THEIR COMMUNITY PARTNERS AND STAKEHOLDERS.
LUTHERAN GEN HOSP INCL LUTH GEN CHILD PART V, SECTION B, LINE 7D: THE 2016 CHNA REPORT WAS PRESENTED TO THE HEALTHIER PARK RIDGE COALITION AND HEALTHIER DES PLAINES PROJECT. THE REPORT WAS ALSO PRESENTED TO THE COMMUNITY HEALTH COUNCIL ON FEBRUARY 15, 2017.
ADVOCATE SOUTH SUBURBAN HOSPITAL PART V, SECTION B, LINE 7D: THERE WERE NO PRESENTATIONS PROVIDED TO THE PUBLIC IN 2018, HOWEVER, THE CHNA WAS PRESENTED TO THE HARVEY PUBLIC SCHOOLS NURSE IN SEPTEMBER 2017. THE COMMUNITY HEALTH COODINATOR DISCUSSED THE PREVALENCE OF ASTHMA AS A HEALTH DETERRENT IN THE HARVEY COMMUNITY AS A RESULT OF THE NEEDS ASSESSMENT AND HOW IT AFFECTS CHILDREN IN THE COMMUNITY. A COPY WAS ALSO LEFT TO SHARE WITH THE SCHOOL BOARD.
ADVOCATE BROMENN MEDICAL CENTER PART V, SECTION B, LINE 11: 2014-2016 CHNAHEALTH NEEDS SELECTED THE MCLEAN COUNTY COMMUNITY HEALTH COUNCIL SELECTED ACCESS TO APPROPRIATE HEALTHCARE FOR THE UNDERSERVED AND AREAS OF HIGH SOCIOECONOMIC NEEDS, BEHAVIORAL HEALTH, AND OBESITY AS THE THREE HEALTH PRIORITIES FOR THE 2016 MCLEAN COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT. IN ADDITION TO COMPLETING A JOINT COMMUNITY HEALTH NEEDS ASSESSMENT FOR MCLEAN COUNTY, ADVOCATE BROMENN, THE MCLEAN COUNTY HEALTH DEPARTMENT, OSF HEALTHCARE ST. JOSEPH MEDICAL CENTER AND UNITED WAY OF MCLEAN COUNTY COMPLETED THE JOINT MCLEAN COUNTY 2017-2019 COMMUNITY HEALTH IMPROVEMENT PLAN. TO DEVELOP THE 2017-2019 COMMUNITY HEALTH IMPROVEMENT PLAN, A SUBCOMMITTEE COMPRISED OF KEY STAKEHOLDERS FOR EACH OF THE HEALTH PRIORITIES LISTED BELOW WAS FORMED. THE SUBCOMMITTEES PLAYED AN INTEGRAL ROLE IN THE DEVELOPMENT OF THE INTERVENTION STRATEGIES AND ASSOCIATED PROCESS AND OUTCOME INDICATORS.ACCESS TO APPROPRIATE CARE FOR THE UNDERSERVED AND AREAS OF HIGH SOCIOECONOMIC NEEDACCESS TO APPROPRIATE CARE FOR THE UNDERSERVED AND AREAS OF HIGH SOCIOECONOMIC NEED WAS SELECTED AS A HEALTH PRIORITY BY THE MCLEAN COUNTY COMMUNITY HEALTH COUNCIL NOT ONLY BECAUSE OF ITS HIGH PRIORITY SCORE (158.6) DERIVED FROM THE HANLON METHOD, BUT FOR SEVERAL OTHER REASONS. ACCESS TO APPROPRIATE CARE IS AN IMPORTANT ISSUE THAT AFFECTS MANY HEALTH OUTCOMES. IMPROVING ACCESS IN SPECIFIC AREAS AND FOR TARGETED POPULATIONS CAN HAVE A WIDESPREAD IMPACT ON A VARIETY OF HEALTH OUTCOMES RANGING FROM ORAL HEALTH TO BEHAVIORAL HEALTH. DATA PRESENTED TO THE COUNCIL ALSO INDICATED THAT THERE ARE SIGNIFICANT GEOGRAPHIC AND RACIAL/ETHNIC DISPARITIES IN MCLEAN COUNTY THAT MAY BE RELATED TO ACCESS TO CARE. RESEARCH AND SUBJECT MATTER EXPERTISE SUGGESTED THAT THERE ARE A VARIETY OF FACTORS THAT CAN IMPROVE ACCESS TO APPROPRIATE CARE RANGING FROM INCREASED CAPACITY FOR URGENT CARE CLINICS AND PRIMARY CARE OFFICES, TRANSPORTATION, AND PROVIDER AND CONSUMER EDUCATION. HIGHLIGHTS FOR STEPS TAKEN IN 2018, AS A PART OF THE 2017-2019 MCLEAN COUNTY COMMUNITY HEALTH IMPROVEMENT PLAN TO ADDRESS ACCESS TO APPROPRIATE CARE FOR THE UNDERSERVED, ARE LISTED BELOW:- ADVOCATE BROMENN AND OSF HEALTHCARE ST. JOSEPH MEDICAL CENTER COLLABORATED WITH THE COMMUNITY HEALTH CARE CLINIC FOR COORDINATING APPROPRIATE ACCESS TO COMPREHENSIVE CARE (CAATCH). CAATCH IS AN EMERGENCY ROOM NAVIGATION PROGRAM FOR NAVIGATORS AND/OR CARE COORDINATORS TO ENGAGE THOSE WITHOUT A PRIMARY CARE HOME. DURING THE PILOT YEAR, JULY 1, 2017 TO JUNE 30, 2018, 257 PEOPLE WERE SERVED WHICH RESULTED IN A 50 PERCENT REDUCTION IN USE OF EMERGENCY ROOMS.- IN 2018, ADVOCATE BROMENN PROVIDED AN IN-KIND DONATION OF $10,000 TO THE COMMUNITY HEALTH CARE CLINIC TO HELP FURTHER THE EFFORTS WITH THE CAATCH PROGRAM NOTED ABOVE.- THE PARTNERSHIP FOR HEALTH PILOT PROGRAM BEGAN IN APRIL 2017. THE PROGRAM IS A PRIVATE-PUBLIC PARTNERSHIP TO IMPROVE THE HEALTH AND FITNESS OF PEOPLE WITH DEVELOPMENTAL AND INTELLECTUAL DISABILITIES AND THEIR SUPPORT WORKERS. PARTNERS INCLUDE ADVOCATE BROMENN HEALTH AND FITNESS CENTER, MARCFIRST, ADVOCATE BROMENN CHARITABLE FOUNDATION, THE MCLEAN COUNTY HEALTH DEPARTMENT AND THE MCLEAN COUNTY BOARD FOR THE CARE AND TREATMENT OF PERSONS WITH A DEVELOPMENTAL DISABILITY (377 BOARD). THE PROGRAM INITIALLY SERVED 22 INDIVIDUALS FROM MARCFIRST. IN 2018, THE PROGRAM WAS EXPANDED TO SEVERAL COMMUNITY MEMBERS WITH A TOTAL OF 31 INDIVIDUALS BEING SERVED. OUTCOMES FROM YEAR ONE OF THE PROGRAM ARE POSITIVE RANGING FROM DECREASED BLOOD PRESSURE, BODY MASS INDEX AND CHOLESTEROL TO REDUCED USAGE OF THE EMERGENCY ROOM.- BECAUSE OF A PARTNERSHIP BETWEEN ADVOCATE MEDICAL GROUP (AMG) BEHAVIORAL HEALTH, TRI-COUNTY SPECIAL EDUCATION ASSOCIATION AND ILLINOIS STATE UNIVERSITY'S PSYCHOLOGICAL SERVICES CENTER, DOCTORAL PSYCHOLOGY INTERNS ARE PROVIDED FOUR DAYS OF INTEGRATED BEHAVIORAL HEALTH SERVICES ACROSS THREE AMG SETTINGS, ADVOCATE BROMENN OUTPATIENT CENTER, ADVOCATE MEDICAL GROUP EL PASO AND ADVOCATE EUREKA.- IN FEBRUARY 2018, ADVOCATE BROMENN HEALTH AND FITNESS CENTER OFFERED FREE HEALTH SCREENINGS AT A COMMUNITY OUTREACH EVENT HELD AT THE BOY'S AND GIRL'S CLUB.ADDITIONAL ACCESS TO APPROPRIATE CARE INTERVENTIONS ARE LISTED IN THE 2017-2019 MCLEAN COUNTY COMMUNITY HEALTH IMPROVEMENT PLAN AT HTTP://WWW.ADVOCATEHEALTH.COM/CHNAREPORTS.BEHAVIORAL HEALTH (MENTAL HEALTH AND SUBSTANCE USE)BEHAVIORAL HEALTH WAS SELECTED AS A HEALTH PRIORITY BY THE MCLEAN COUNTY COMMUNITY HEALTH COUNCIL FOR SEVERAL REASONS. BEHAVIORAL HEALTH RECEIVED THE HIGHEST PRIORITY SCORE (175.7) FROM THE HANLON METHOD, CLEARLY INDICATING THE NEED FOR FURTHER IMPROVEMENTS IN THIS AREA IN MCLEAN COUNTY. IN ADDITION, THERE ARE NUMEROUS HEALTH DISPARITIES IN BLOOMINGTON ZIP CODE 61701 AND NORMAL ZIP CODE 61761 FOR BOTH MENTAL HEALTH AND SUBSTANCE ABUSE. THERE IS ALSO A GREAT DEAL OF PUBLIC SUPPORT AND MOMENTUM TO IMPROVE MENTAL HEALTH IN MCLEAN COUNTY AS HAS BEEN THE CASE FOR THE LAST FEW YEARS. MCLEAN COUNTY IS WELL SITUATED TO COLLABORATE ON MENTAL HEALTH DUE TO THE ON-GOING EFFORTS OF NUMEROUS ORGANIZATIONS. MENTAL HEALTH WAS ALSO PREVIOUSLY SELECTED AS A KEY HEALTH PRIORITY BY BOTH HOSPITALS AND THE HEALTH DEPARTMENT DURING THE PREVIOUS COMMUNITY HEALTH NEEDS ASSESSMENTS, GIVING FURTHER MOMENTUM TO THE EFFORTS OF IMPROVING MENTAL HEALTH FOR COUNTY RESIDENTS.HIGHLIGHTS FOR STEPS TAKEN OR PROGRAMS OFFERED IN 2018, AS A PART OF THE 2017-2019 MCLEAN COUNTY COMMUNITY HEALTH IMPROVEMENT PLAN TO ADDRESS BEHAVIORAL HEALTH, ARE LISTED BELOW: - IN 2018, 54 MENTAL HEALTH FIRST AID (MHFA) COURSES WERE OFFERED IN MCLEAN COUNTY WITH 736 INDIVIDUALS TRAINED. THE COURSES WERE OFFERED IN COLLABORATION WITH THE MCLEAN COUNTY MHFA COLLABORATIVE WITH THREE COURSES HOSTED BY ADVOCATE BROMENN. MENTAL HEALTH FIRST AID IS AN EVIDENCE-BASED PROGRAM DESIGNED TO INCREASE AWARENESS OF MENTAL HEALTH ISSUES AND DECREASE THE STIGMA RELATED TO MENTAL HEALTH.- CHESTNUT HEALTH SYSTEMS, IN PARTNERSHIP WITH ADVOCATE BROMENN, THE MCLEAN COUNTY HEALTH DEPARTMENT AND OSF HEALTHCARE ST. JOSEPH MEDICAL CENTER, WAS AWARDED A GRANT BY THE ILLINOIS DIVISION OF MENTAL HEALTH, DEPARTMENT OF HEALTH AND HUMAN SERVICES TO HOST A TWO-DAY ADVERSE CHILDHOOD EXPERIENCES (ACES) MASTER TRAINING FOR 25 INDIVIDUALS IN OCTOBER 2017. ADVOCATE BROMENN WAS ONE OF THE ORGANIZATIONS THAT SENT A STAFF MEMBER TO BE TRAINED. THE NUMBER OF ACE'S/TRAUMA PRESENTATIONS OFFERED IN MCLEAN COUNTY DOUBLED FROM 21 TO 42 PRESENTATIONS FOR A TOTAL OF 580 INDIVIDUALS TRAINED IN 2017 AND 954 IN 2018. - IN 2018, THE DIRECTOR OF COMMUNITY HEALTH FOR ADVOCATE BROMENN LED A COMMITTEE TO WORK ON A COLLABORATIVE BEHAVIORAL HEALTH SOCIAL MEDIA CAMPAIGN FOR MCLEAN COUNTY. THE SOCIAL MEDIA CAMPAIGN LAUNCHED IN FEBRUARY 2018. EIGHT-MONTH CAMPAIGN OUTCOMES INCLUDE 24,700 PEOPLE REACHED VIA FACEBOOK AND 9,500 TWITTER IMPRESSIONS.- IN 2018 THE MCLEAN COUNTY BOARD HOSTED THE SECOND ANNUAL COMMUNITY BEHAVIORAL HEALTH FORUM. MEMBERS OF ADVOCATE BROMENN'S LEADERSHIP TEAM WERE A PART OF COORDINATING THE EVENT. - IN APRIL 2018, CHESTNUT HEALTH SYSTEMS IN PARTNERSHIP WITH ADVOCATE BROMENN, MCLEAN COUNTY HEALTH DEPARTMENT AND OSF HEALTHCARE ST. JOSEPH MEDICAL CENTER HELD A COUNTY WIDE EVENT ON TRAUMA FOR KEY STAKEHOLDERS IN THE COMMUNITY. THIS WAS POSSIBLE DUE TO AN AWARD FROM THE SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION (SAMHSA) TECHNICAL ASSISTANCE AWARD FROM THE NATIONAL CENTER ON TRAUMA-INFORMED CARE.- THE EXECUTIVE DIRECTOR OF THE ADVOCATE SYSTEM BEHAVIORAL HEALTH SERVICE LINE BEGAN SERVING ON THE MCLEAN COUNTY RECOVERY ORIENTED SYSTEM OF CARE COUNCIL IN 2018.- IN AUGUST 2018, THE MCLEAN COUNTY OPIOID INITIATIVE ANNOUNCED THE SAFE PASSAGE PROGRAM. THE INITIATIVE BRINGS TOGETHER LAW ENFORCEMENT, TREATMENT PROVIDERS AND MCLEAN COUNTY RESIDENTS TO INCREASE ACCESS AND TREATMENT. THE CHIEF NURSING OFFICER FOR ADVOCATE BROMENN IS A PART OF THE OPIOID INITIATIVE.IN ADDITION TO THE ABOVE COLLABORATIVE EFFORTS, ADVOCATE BROMENN OPERATES THE ONLY INPATIENT MENTAL HEALTH UNIT IN MCLEAN COUNTY, PROVIDING CRITICAL SERVICES TO THOSE ADULTS NEEDING INPATIENT PSYCHIATRIC TREATMENT. THE UNIT OPERATES AT A LOSS EVERY YEAR. THE LOSS IN 2018 WAS $985,654.ADDITIONAL BEHAVIORAL HEALTH INTERVENTIONS ARE LISTED IN THE 2017-2019 MCLEAN COUNTY COMMUNITY HEALTH IMPROVEMENT PLAN AT HTTP://WWW.ADVOCATEHEALTH.COM/CHNAREPORTS.
CHRIST HOSP INCL HOPE CHILDREN'S HOSP PART V, SECTION B, LINE 11: 2014-2016 CHNAADVOCATE CHRIST AND ADVOCATE CHILDREN'S PARTICIPATED IN THE HEALTH IMPACT COLLABORATIVE OF COOK COUNTY. THROUGH A DATA-DRIVEN COLLABORATIVE ASSESSMENT AND PRIORITIZATION PROCESS, THE HICCC IDENTIFIED FOUR PRIORITY FOCUS AREAS. THE FOUR FOCUS AREAS FOR HICCC INCLUDE THE FOLLOWING:- IMPROVING SOCIAL, ECONOMIC, AND STRUCTURAL DETERMINANTS OF HEALTH/REDUCING SOCIAL AND ECONOMIC INEQUITIES;- IMPROVING MENTAL AND BEHAVIORAL HEALTH;- PREVENTING AND REDUCING CHRONIC DISEASE (FOCUS ON RISK FACTORS-NUTRITION, PHYSICAL ACTIVITY AND TOBACCO); AND- INCREASING ACCESS TO CARE AND COMMUNITY RESOURCES.ALL HOSPITALS WITHIN THE COLLABORATIVE INCLUDED THE FIRST FOCUS AREA-IMPROVING SOCIAL, ECONOMIC, AND STRUCTURAL DETERMINANTS OF HEALTH-AS A PRIORITY IN THEIR CHNA AND IMPLEMENTATION PLAN. EACH HOSPITAL SELECTED AT LEAST ONE OF THE OTHER FOCUS AREAS AS A PRIORITY.NEEDS SELECTED TO ADDRESS BY ADVOCATE CHRISTTHROUGH THE PROCESS OF UTILIZING ADVOCATE CHRIST'S COMMUNITY HEALTH COUNCIL (CHC) AND ANALYZING ZIP CODE LEVEL DATA, CHC MEMBERS SELECTED ASTHMA AND DIABETES AS ADDITIONAL PRIOIRITIES. AS A RESULT OF THE 2014-2016 CHNA PROCESS, ADVOCATE CHRIST HAD THREE PRIORITIES FOR IMPLEMENTION PLANNING AS FOLLOW:- ASTHMA- DIABETES- SOCIAL DETERMINANTS OF HEALTH - VIOLENCE PREVENTIONVIOLENCE PREVENTIONADVOCATE CHRIST'S GOAL WAS TO REDUCE VIOLENCE AND INCREASE AWARENESS OF VIOLENCE PREVENTION IN THE PRIMARY SERVICE AREA. THE STRATEGIES INCLUDED EXPANDING THE PARTNERSHIP WITH CEASEFIRE TO IMPLEMENT AN EVIDENCE-BASED MODEL THAT ADDRESSES VIOLENCE PREVENTION. AN ADDITIONAL VIOLENCE RESPONDER WAS HIRED TO COMPLEMENT THE EXISTING RESPONDERS ALREADY WORKING AT THE MEDICAL CENTER. ADVOCATE CHRIST AND ADVOCATE CHILDREN'S CONTINUED TO ACTIVELY PARTICIPATE IN THE THE ALLIANCE FOR HEALTH EQUITY (FORMERLY KNOWN AS HEALTH IMPACT COLLABORATIVE OF COOK COUNTY) TO IDENTIFY ADDITIONAL INTERVENTIONS AND RESOURCES TO SUPPORT VIOLENCE PREVENTION STRATEGIES. PROGRAM RESULTS FOR JANUARY 2018 TO NOVEMBER 2018 WERE AS FOLLOWS:- NINETY-FOUR PERCENT OF ALL VIOLENT INJURY PATIENTS ADMITTED TO THE INPATIENT UNIT WERE ASSESSED BY THE HOSPITAL CASE MANAGER.- NINETY-FIVE PERCENT OF INDIVIDUALS ASSESSED WERE LINKED TO LONG-TERM SUPPORT BY BEING CONNECTED WITH EXISTING COMMUNITY RESOURCES.- SEVENTY-SIX PERCENT OF INDIVIDUALS ASSESSED WERE LINKED TO LONG-TERM SUPPORT BY BEING CONNECTED WITH A COMMUNITY-BASED OUTREACH WORKER.- A TOTAL OF 563 PATIENTS RECEIVED CEASEFIRE INTERVENTION SERVICES.- A TOTAL OF 547 VIOLENT INJURY PATIENTS FROM THE HOSPITAL'S PSA AND SSA WERE TREATED AT ADVOCATE CHRIST.ASTHMAADVOCATE CHRIST'S GOAL WAS TO REDUCE THE INCIDENCE OF UNCONTROLLED ASTHMA AMONG ADULTS AND CHILDREN WITHIN THE PRIMARY SERVICE AREA-STRATEGIES INCLUDED PARTNERING WITH THE METROPOLITAN TENANT ORGANIZATION ON THE HEALTHY HOMES INITIATIVE FOR CHILDREN WITH ASTHMA. COMMUNITY HEALTH STAFF COLLABORATED WITH CLINICAL STAFF IN INPATIENT MEDICAL CENTER UNITS AS WELL AS THE EMERGENCY DEPARTMENT (ED) TO IMPROVE DISEASE SELF-MANAGEMENT SKILLS FOR PATIENTS AND FAMILIES WITH ASTHMA. ADVOCATE CHRIST COLLABORATED WITH ADVOCATE CHILDREN'S-OAK LAWN TO PROVIDE "KICKIN' ASTHMA," AN EVIDENCE-BASED EDUCATION/DISEASE SELF-MANAGEMENT PROGRAM IN HIGH RISK SCHOOLS IN THE PRIMARY SERVICE AREA.PROGRAM RESULTS FOR 2018 WERE AS FOLLOWS:- A CONTRACT WITH METROPOLITAN TENANT ORGANIZATION (MTO) WAS EXCUTED IN DECEMBER 2017. AS A RESULT, THERE WERE FIVE STAFF TRAINED AND TWO HEALTHY HOME WORKSHOPS OFFERED IN 2018.- THE AMERICAN LUNG ASSOCIATION'S BREATHE WELL LIVE WELL PROGRAM WAS SELECTED AS THE ASTHMA SELF MANAGEMENT PROGRAM TO IMPLEMENT FOR ADULTS. A TOTAL OF TWO COMMUNITY ORGANIZATIONS HOSTED THE PROGRAM AND EIGHT COMMUNITY PARTICIPANTS ATTENDED THE FOUR SESSION SELF-MANAGEMENT SERIES.- ADVOCATE CHILDREN'S HEALTH EDUCATOR ENGAGED THREE SCHOOLS IN 2018. A TOTAL OF 22 STUDENTS WERE ENROLLED IN THE KICKIN' ASTHMA PROGRAM AND 15 STUDENTS COMPLETED ALL FOUR SESSIONS OF THE PROGRAM. DIABETESTHE OVERALL GOAL IS REDUCE THE INCIDENCE OF DIABETES IN PSA COMMUNITIES THAT HAVE THE HIGHEST SOCIONEEDS INDEX - AUBURN GRESHAM, CHICAGO LAWN, BRIGTHON PARK, AND WEST ENGLEWOOD. CREATED BY THE HEALTHY COMMUNITIES INSTITUTE, THE SOCIONEEDS INDEX IS A MEASURE OF SOCIOECONOMIC NEED THAT IS CORRELATED WITH POOR HEALTH OUTCOMES. INDICATORS FOR THE INDEX ARE WEIGHTED TO MAXIMIZE THE CORRELATION OF THE INDEX WITH PREMATURE DEATH RATES AND PREVENTABLE HOSPITALIZATION RATES. THIS INDEX COMBINES MULTIPLE SOCIOECONOMIC INDICATORS INTO A SINGLE COMPOSITE VALUE. AS A SINGLE INDICATOR, THE INDEX CAN SERVE AS A CONCISE WAY TO EXPLAIN WHICH AREAS ARE OF HIGHEST NEED. THE SCORES CAN RANGE FROM 1 TO 100. A SCORE OF 100 REPRESENTS THE HIGHEST SOCIOECONOMIC NEED. HOSPITALIZATION AND EMERGENCY DEPARTMENT (ED) VISITS ARE INDICATIVE OF POORLY CONTROLLED CHRONIC DISEASES AND A LACK OF ACCESS TO ROUTINE PREVENTIVE CARE. POORLY CONTROLLED DIABETES CAN LEAD TO SEVERE OR LIFE-THREATENING COMPLICATIONS SUCH AS HEART AND BLOOD VESSEL DISEASE, NERVE DAMAGE, KIDNEY DAMAGE, EYE DAMAGE AND BLINDNESS, FOOT DAMAGE AND LOWER EXTREMITY AMPUTATION, HEARING IMPAIRMENT, SKIN CONDITIONS, AND ALZHEIMER'S DISEASE.ADVOCATE CHRIST IMPLEMENTATION STRATEGIES INCLUDED:1. IMPLEMENTATION OF THE CENTERS OF DISEASE CONTROL (CDC) NATIONAL DIABETES PREVENTION PROGRAM'S (DPP) IN TARGETED COMMUNITY AREAS IN PARTNERSHIP WITH COMMUNITY-BASED ORGANIZATIONS AND FAITH COMMUNITIES; 2. ESTABLISHMENT OF ADVOCATE CHRIST AS A RECOGNIZED DIABETES PREVENTION PROGRAM SITE BY ACHEIVING FULL RECOGNITION STATUS BY THE CDC; AND 3. INCREASING COMMUNITY EDUCATIONAL OPPORTUNITIES TO SUPPORT DIABETES SELF-MANAGEMENT SKILLS.PROGRAM RESULTS FOR JANUARY 2018 TO DECEMBER 2018 WERE AS FOLLOWS:- ONE FULL SESSION OF 22 CLASSES WAS COMPLETED IN AUGUST 2018.- THREE NEW COHORTS BEGAN IN 2018, INCLUDING ONE SESSION WITH TRINITY UNITED CHURCH OF CHRIST. TO INCREASE PARTICIPANT RETENTION, EIGHT ADDITIONAL CLASS SESSIONS WERE ADDED TO EACH COHORT.- THERE WERE 45 PARTICIPANTS ENROLLED IN THE DPP PROGRAM IN 2018. - NINETY-TWO PERCENT OF PARTICIPANTS COMPLETED NINE OF THE 16 SESSIONS WITHIN THE FIRST SIX MONTHS.NEEDS NOT SELECTED TO ADDRESS BY ADVOCATE CHRIST THE NEEDS ADVOCATE CHRIST DID NOT SELECT AS PRIORITIES TO ADDRESS INCLUDE CANCER, HEART DISEASE AND HYPERTENSION. WHILE THESE WERE IMPORTANT HEALTH NEEDS, THE COUNCIL FELT ADVOCATE CHRIST'S CLINICAL INSTITUTES (CARDIOVASCULAR, NEUROSCIENCE AND ONCOLOGY) WERE ADDRESSING CANCER, HEART DISEASE AND STROKE. CANCERADVOCATE CHRIST'S CANCER PROGRAM HAS BEEN CERTIFIED BY THE AMERICAN COLLEGE OF SURGEONS, COMMISSION ON CANCER AND INCLUDES BOTH INPATIENT AND OUTPATIENT UNITS, A RADIATION ONCOLOGY UNIT, CYBERKNIFE TREATMENT, INTRAOPERATIVE ELECTRON RADIATION THERAPY (IOERT), A HOME HEALTH/HOSPICE PROGRAM, A BREAST HEALTH PROGRAM AND A COMMUNITY EDUCATION PROGRAM. NUTRITIONAL SERVICES, SOCIAL SERVICES, SPIRITUAL CARE AND AN ONCOLOGY CERTIFIED PHARMACIST ARE AVAILABLE ON SITE TO WORK WITH PATIENTS AND THEIR FAMILIES. CLINICAL RESEARCH TRIALS ARE ALSO AVAILABLE THROUGH THE ADVOCATE CHILDREN'S ONCOLOGY GROUP (COG).ADVOCATE CHRIST OFFERS CANCER-FOCUSED HOSPICE CARE AND FREE SEMINARS OPEN TO THE PUBLIC. A SPECIALLY TRAINED ONCOLOGY NUTRITIONIST SEES PATIENTS IN THE MEDICAL CENTER AND THOSE UNDERGOING OUTPATIENT TREATMENT. THE PALLIATIVE CARE TEAM WORKS CLOSELY WITH PHYSICIANS AND PATIENTS TO PROVIDE COMFORT, COMMUNICATION ASSISTANCE AND TO ASSESS PATIENTS' PHYSICAL NEEDS TO ENHANCE THEIR QUALITY OF LIFE AT ALL STAGES OF ILLNESS. IN ADDITION, THERE IS AN ON-SITE AMERICAN CANCER SOCIETY PATIENT REPRESENTATIVE AND A GILDA'S CLUB SATELLITE LOCATION.HEART DISEASEADVOCATE HEART INSTITUTE AT ADVOCATE CHRIST IS ILLINOIS' MOST COMPREHENSIVE CENTER FOR HEART CARE. THE HEART INSTITUTE OFFERS A FULL RANGE OF TREATMENTS AND PROGRAMS INCLUDING PREVENTATIVE, DIAGNOSTICS, CLINICAL TRIALS, HEART TRANSPLANTS AND REHABILITATION SERVICES. REHABILITATION PLAYS A KEY ROLE IN RECOVERY FROM A HEART ATTACK OR HEART SURGERY. THE GOAL OF THE COMPREHENSIVE CARDIAC REHABILITATION PROGRAM IS TO HELP PATIENTS REGAIN STRENGTH AND IMPROVE THEIR HEALTH AND QUALITY OF LIFE AFTER A HEART ATTACK OR HEART SURGERY. THE HEART INSTITUTE HAS BEEN CERTIFIED BY THE AMERICAN ASSOCIATION OF CARDIAC AND PULMONARY REHABILITATION.
ADVOCATE EUREKA HOSPITAL PART V, SECTION B, LINE 11: 2014-2016 CHNAADVOCATE EUREKA PARTICIPATED IN THE PRIORITY SETTING PROCESS AS OUTLINED IN APPENDIX 7, PAGE 102, IN THE TRI-COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT 2016 REPORT. THE LINK FOR THE ASSESSMENT CAN BE FOUND AT: HTTP://HEALTHYHOI.ORG. IN BRIEF, THE FOLLOWING STEPS OCCURRED DURING THE PRIORITIZATION PROCESS WITH THE CENTRAL ILLINOIS COMMUNITY HEALTH COLLABORATIVE.- DATA WAS PRESENTED FOR HEALTH CONCERNS FOR THE TRI-COUNTY REGION- DISCUSSION OCCURRED REGARDING THE ISSUES AND POTENTIAL GROUPING OF ISSUES- THE PEARL TEST WAS APPLIED FROM THE HANLON METHOD- THE COLLABORATIVE COUNCIL VOTED TO NARROW ISSUES- THE COLLABORATIVE COUNCIL VOTED A SECOND TIME BASED ON MAGNITUDE, SEVERITY AND ABILITY TO IMPACT THROUGH COLLABORATION- CONSENSUS WAS AGREED UPON FOR TWO HEALTH PRIORITIES FOR THE TRI-COUNTY REGIONTHE TWO NEEDS IDENTIFIED DURING THE PRIORITIZATION PROCESS WERE:- HEALTHY EATING/ACTIVE LIVING; AND- MENTAL HEALTH HEALTH NEED SELECTED MENTAL HEALTH THE COMMUNITY HEALTH NEEDS ASSESSMENT TEAM AT ADVOCATE EUREKA SELECTED MENTAL HEALTH AS A HEALTH PRIORITY FOR SEVERAL REASONS. IN ADDITION TO MENTAL HEALTH BEING IDENTIFIED AS A TOP HEALTH PRIORITY FOR THE CENTRAL ILLINOIS COMMUNITY HEALTH COLLABORATIVE, BEHAVIORAL HEALTH WAS ALSO IDENTIFIED AS ONE OF THREE HEALTH PRIORITIES FOR THE TRI-COUNTY HEALTH DEPARTMENT COLLABORATION. THE HEALTH DEPARTMENTS UTILIZED THE MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP) PROCESS TO DETERMINE THE HEALTH PRIORITIES. SPECIFIC TO WOODFORD COUNTY, ON DECEMBER 3, 2015, SEVERAL STAFF MEMBERS FROM ADVOCATE EUREKA, INCLUDING THE ADMINISTRATOR OF ADVOCATE EUREKA, PARTICIPATED IN THE LOCAL FORCES OF CHANGE ASSESSMENT CONDUCTED BY THE WOODFORD COUNTY HEALTH DEPARTMENT AS A PART OF THE TRI-COUNTY MAPP PROCESS. MENTAL HEALTH WAS IDENTIFIED AS ONE OF THE TOP THREE FORCES OF CHANGE BY THE 30 INDIVIDUALS THAT PARTICIPATED IN THE ASSESSMENT. FORCES OF CHANGE ARE DEFINED AS THOSE THINGS THAT INFLUENCE THE HEALTH AND QUALITY OF LIFE FOR WOODFORD COUNTY RESIDENTS. A SECOND REASON MENTAL HEALTH WAS SELECTED AS A KEY HEALTH PRIORITY IS THAT WOODFORD COUNTY RESIDENTS THAT PARTICIPATED IN THE 2016 TRI-COUNTY COMMUNITY HEALTH SURVEY PERCEIVED MENTAL HEALTH AS THE SECOND MOST IMPORTANT HEALTH ISSUE IN THE COMMUNITY.IN ADDITION TO THE ABOVE SURVEY DATA AND LOCAL FORCES OF CHANGE ASSESSMENT RESULTS, THE NUMBER OF SUICIDE ATTEMPTS IN WOODFORD COUNTY FOR THE FIRST HALF OF 2016 HAD EXCEEDED THE NUMBER OF ATTEMPTS FOR THE ENTIRE YEAR IN BOTH 2014 AND 2015. THE NUMBER OF DEATHS DUE TO SUICIDE ALSO INCREASED FROM 2014-2015. AS STATED ABOVE, MENTAL HEALTH WAS ALSO PREVIOUSLY SELECTED AS A KEY HEALTH PRIORITY FOR THE 2011-2013 COMMUNITY HEALTH NEEDS ASSESSMENT BY BOTH ADVOCATE EUREKA AND THE WOODFORD COUNTY HEALTH DEPARTMENT. IT IS CLEAR FROM COMMUNITY INPUT AND CURRENT DATA THAT CONTINUED EFFORTS ARE NEEDED TO REDUCE THE STIGMA ASSOCIATED WITH MENTAL HEALTH AND GIVE FURTHER MOMENTUM TO THE EFFORTS OF IMPROVING MENTAL HEALTH FOR COUNTY RESIDENTS.HIGHLIGHTS FOR STEPS TAKEN IN 2018 TO ADDRESS MENTAL HEALTH ARE LISTED BELOW:- FOUR MENTAL HEALTH FIRST AID (MHFA) COURSES WERE HOSTED AT ADVOCATE EUREKA.- TWO SESSIONS WERE TAUGHT ON DEPRESSION AND ANXIETY FOR APPROXIMATELY 50 FRESHMAN FROM EUREKA HIGH SCHOOL AT EUREKA COLLEGE BY THE ADVOCATE EUREKA SOCIAL WORKER AND MHFA INSTRUCTOR.- A MHFA COURSE WAS HELD FOR 22 RESIDENTIAL ASSISTANTS AT EUREKA COLLEGE.- THE COMMUNITY HEALTH DIRECTOR FOR CENTRAL ILLINOIS SERVED AS A BOARD MEMBER ON THE PARTNERSHIP FOR A HEALTHY COMMUNITY. THE BEHAVIORAL HEALTH PRIORITY ACTION TEAM FOR IMPLEMENTATION IS A SUB-COMMITTEE OF THE BOARD.- ONE HUNDRED AND SIXTEEN COUNSELING AND PSYCHIATRIC SERVICES WERE OFFERED ON-SITE AT ADVOCATE EUREKA. THE SERVICES WERE PROVIDED BY THE TAZWOOD CENTER FOR WELLNESS AT THE HOSPITAL AND ALLOWED RESIDENTS TO RECEIVE CARE LOCALLY VERSUS TRAVELING OUTSIDE OF THE COUNTY FOR CARE.- AS A RESULT OF A PARTNERSHIP BETWEEN ADVOCATE MEDICAL GROUP (AMG) BEHAVIORAL HEALTH, TRI-COUNTY SPECIAL EDUCATION ASSOCIATION AND ILLINOIS STATE UNIVERSITY'S PSYCHOLOGICAL SERVICES CENTER, DOCTORAL PSYCHOLOGY INTERNS ARE PROVIDED FOUR DAYS OF INTEGRATED BEHAVIORAL HEALTH SERVICES ACROSS THREE AMG SETTINGS, ADVOCATE BROMENN OUTPATIENT CENTER, ADVOCATE MEDICAL GROUP EL PASO AND ADVOCATE EUREKA.- TELEPSYCHIATRY CONSULTS WERE AVAILABLE AT ADVOCATE EUREKA BEGINNING IN AUGUST 2017, THUS EXPANDING ACCESS TO PSYCHIATRIC CARE. THERE WERE NO CONSULTS IN 2018.HEALTH NEED NOT SELECTED HEALTHY BEHAVIORSADVOCATE EUREKA DID NOT SELECT HEALTHY BEHAVIORS AS A PRIORITY HEALTH NEED FOR THE HOSPITAL'S 2014-2016 COMMUNITY HEALTH NEEDS ASSESSMENT. THE HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT TEAM WANTED TO FOCUS ITS EFFORTS ON ONE MAJOR INITIATIVE AS ITS RESOURCES ARE LIMITED AS A CRITICAL ACCESS HOSPITAL. THE HOSPITAL WILL, HOWEVER, CONTINUE TO SUPPORT THE EFFORTS OF THE TRI-COUNTY HEALTHY EATING/ACTIVE LIVING IMPLEMENTATION SUBCOMMITTEE. A STAFF MEMBER FROM THE HOSPITAL HAS SERVED ON THIS COMMITTEE, WHEN AVAILABLE, TO ASSIST IN PROMOTING HEALTHY EATING AND ACTIVE LIVING IN THE TRI-COUNTY REGION. THE HOSPITAL ALSO EMPLOYS NURSES IN MOST OF THE PUBLIC SCHOOLS IN WOODFORD COUNTY WHO CAN REINFORCE HEALTHIER EATING HABITS AND INCREASED EXERCISE AMONG STUDENTS.
ADVOCATE GOOD SHEPHERD HOSPITAL PART V, SECTION B, LINE 11: 2014-2016 CHNAADVOCATE GOOD SHEPHERD CONDUCTED A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT WHICH INCLUDED THE SELECTION OF HEALTH PRIORITIES THROUGH A CONSENSUS PRIORITIZATION PROCESS BY THE COMMUNITY HEALTH COUNCIL. THE COUNCIL RECOMMENDED, AND THE HOSPITAL GOVERNING COUNCIL APPROVED, TWO HEALTH AREAS FOR PRIORITY ACTION: 1) OBESITY; AND 2) MENTAL HEALTH. STEPS BEING TAKEN TO ADDRESS THE TWO PRIORITIES ARE PROVIDED BELOW.NEEDS SELECTED TO ADDRESSOBESITYADVOCATE GOOD SHEPHERD IS ADDRESSING OBESITY IN THE SERVICE AREA THROUGH THREE EVIDENCE- BASED PROGRAMS. THE FIRST PROGRAM IS THE NUTRITION AND PHYSICAL ACTIVITY SELF-ASSESSMENT FOR CHILD CARE (GO NAP SACC) PROGRAM. THE GO NAPP SACC PROGRAM IS AN EVIDENCE-BASED EARLY INTERVENTION PROGRAM TARGETING INFANTS THROUGH PRE-KINDERGARTEN WHICH AIMS TO ADVANCE THE CHILDCARE ENVIRONMENT BY IMPROVING NUTRITION, PHYSICAL ACTIVITY AND POLICIES IN THE CHILD CARE CENTER. THE HOSPITAL IS LEADING THE GO NAP SACC ASSESSMENT PROCESS WITH CHILDCARE CENTERS IN COMMUNITIES WITH HIGH SOCIONEEDS INDEX SCORES WITHIN THE HOSPITAL'S SERVICE AREA. SOCIOECONOMIC NEED WAS DETERMINED BY THE HEALTHY COMMUNITIES INSTITUTE'S (HCI) CALCULATIONS TO CREATE AN INDEX USING SIX MAJOR SOCIO-NEEDS INDICATORS THAT ARE CORRELATED WITH POOR HEALTH OUTCOMES. THE INDICATORS INCLUDE INCOME, UNEMPLOYMENT, OCCUPATION, EDUCATION, LANGUAGE AND POVERTY. ADVOCATE GOOD SHEPHERD HAS PARTNERED WITH ADVOCATE CONDELL AND ADVOCATE SHERMAN TO MAKE THIS PROGRAM A REGIONAL INITIATIVE. IN 2018, ADVOCATE HEALTH CARE LED THE LAUNCH OF A MULTI-STAKEHOLDER CHICAGOLAND COALITION TO RAISE FUNDS TO BRING THE WEB-BASED GO NAP SACC PROGRAM TO THE STATE OF ILLINOIS. THE UNIVERSITY OF NORTH CAROLINA PROVIDED ON-LINE TRAINING OF GO NAP SACC TO THE ADVOCATE GOOD SHEPHERD COMMUNITY HEALTH STAFF, RESULTING IN GO NAP SACC TECHNICAL ASSISTANT CONSULTANT CERTIFICATION. IN 2018, FOUR CHILDCARE CENTERS COMPLETED THE GO NAP SACC ASSESSMENT: FRIENDSHIP HOUSE IN CRYSTAL LAKE, SAGE YMCA IN CRYSTAL LAKE, BUEHLER YMCA IN PALATINE AND FOGLIA YMCA IN LAKE ZURICH. AT THE TIME THE CHILDCARE CENTERS COMPLETED THE GO NAP SACC ASSESSMENT, THE ONLINE VERSION WAS NOT AVAILABLE. ONCE THE ONLINE VERSION BECAME AVAILABLE, COMMUNITY HEALTH STAFF MIGRATED THE ASSESSMENTS TO THE ONLINE PORTAL, MAKING IT EASIER TO VIEW THE RESULTS AND CREATE ACTION PLANS. A TOTAL OF 438 CHILDREN ARE ENROLLED IN THE CENTERS WHO HAVE COMPLETED ASSESSMENTS. EACH OF THE CHILDCARE CENTERS IS IN THE PROCESS OF DEVELOPING ACTION PLANS THAT WILL BE IMPLEMENTED IN 2019. COMMUNITY HEALTH STAFF ALSO MET WITH SEVERAL PARK DISTRICTS TO STRATEGIZE THE TIMING OF COMPLETING THE NAP SACC ASSESSMENT AND TO ENGAGE THEIR STAFF IN THE PROGRAM. THE SECOND OBESITY-PREVENTION PROGRAM IS THE CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC) WORKSITE WELLNESS PROGRAM WHICH TARGETS ADULTS IN THE WORKPLACE. THE PROGRAM FOLLOWS THE CDC FOUR-STEP WORKPLACE HEALTH MODEL AND INVOLVES USING THE CDC WORKSITE HEALTH SCORECARD. WORKSITE NUTRITION AND PHYSICAL ACTIVITY PROGRAMS ARE DESIGNED TO IMPROVE HEALTH-RELATED BEHAVIORS AND HEALTH OUTCOMES. ADVOCATE GOOD SHEPHERD COMMUNITY HEALTH STAFF WORKED WITH THE HOSPITAL'S COMMUNITY RELATIONS DIRECTOR TO PROVIDE WORKSITE HEALTH TRAINING AND PROGRAMS TO CHAMBERS OF COMMERCE AND SMALL BUSINESSES WITHIN THE SERVICE AREA. IN 2018, COMMUNITY HEALTH STAFF SUSPENDED THE WORKSITE WELLNESS PROGRAM. THE DECISION WAS BASED ON VERY LOW INTEREST FROM ALL LOCAL CHAMBERS OF COMMERCE AND LOCAL WORKPLACES. THROUGHOUT 2018, THE COMMUNITY RELATIONS DIRECTOR AND COMMUNITY HEALTH STAFF MET WITH SEVERAL CHAMBERS OF COMMERCE IN MCHENRY, ALGONQUIN/LAKE IN THE HILLS, LAKE ZURICH, CRYSTAL LAKE, BARRINGTON AND WAUCONDA. EACH OF THE CHAMBERS OF COMMERCE REACHED OUT TO THEIR SMALL BUSINESSES BUT FOUND THERE WAS A LACK OF INTEREST IN WORKSITE WELLNESS AT THIS TIME. BUSINESSES INDICATED THAT THEY HAVE VERY LIMITED STAFF AND ARE UNABLE TO DIRECT EMPLOYEE TIME AND FOCUS TOWARD A WORKSITE WELLNESS PROGRAM. THE COORDINATOR OF COMMUNITY HEALTH HAD SEVERAL WORKSITE WELLNESS MEETINGS CANCELLED BY SMALL BUSINESS OWNERS DUE TO LAST MINUTE TIME CONSTRAINTS AND UNEXCEPTED ABSENT STAFF MEMBERS. IN 2017, CASA (COURT APPOINTED SPECIAL ADVOCATE) OF MCHENRY COUNTY COMPLETED THE WORKSITE WELLNESS CDC SCORECARD WITH PLANS FOR DEVELOPING IMPLEMENTATION PLANS IN EARLY 2018. THE STAFF HAD ALREADY BEGUN TO WORK ON NEW POLICIES DIRECTED TOWARD BREASTFEEDING AND A WALKING PROGRAM. IN JANUARY OF 2018, CASA HIRED A NEW EXECUTIVE DIRECTOR, WHO DECIDED THE NEW POLICIES WERE NOT NEEDED AT THIS TIME. IT WAS THEN DETERMINED THAT RESOURCES AND TIME WOULD BE BETTER SPENT ON OTHER OBESITY PREVENTION PROGRAMS. COMMUNITY HEALTH STAFF DECIDED TO REPLACE THE CDC WORKSITE WELLNESS PROGRAM WITH THE GO LAKE COUNTY CAMPAIGN. GO LAKE COUNTY IS A WALKING INITIATIVE THAT PROMOTES HEALTHY AND ACTIVE LIVING THROUGH WALKING EVENTS WITHIN LAKE COUNTY COMMUNITIES. GO LAKE COUNTY ENABLES EVERYONE TO INCREASE THEIR LEVEL OF DAILY PHYSICAL ACTIVITY AND FOSTER COMMUNITY ENGAGEMENT. IN 2018, ADVOCATE GOOD SHEPHERD BEGAN PARTNERING WITH THE WAUCONDA PARK DISTRICT AND WILL BE SPONSORING THE GO WAUCONDA CAMPAIGN. THE WAUCONDA PARK DISTRICT AND COMMUNITY HEALTH STAFF HELD PLANNING SESSIONS FOR THE GO WAUCONDA PROGRAM IN 2018 AND PLANS TO LAUNCH THE PROGRAM IN SUMMER OF 2019. THE THIRD OBESITY PREVENTION INITIATIVE IS FOOD INSECURITY (FI) SCREENING AND RESOURCE REFERRAL. THE FI SCREEN RAPIDLY IDENTIFIES HOUSEHOLDS AT RISK FOR FOOD INSECURITY, ENABLING PROVIDERS TO TARGET SERVICES THAT AMELIORATE THE ASSOCIATED HEALTH AND DEVELOPMENTAL CONSEQUENCES. THE TWO-ITEM EVIDENCE-BASED FI SCREEN TOOL WAS ORIGINALLY DESIGNED TO BE SENSITIVE, SPECIFIC AND VALID AMONG LOW-INCOME FAMILIES WITH YOUNG CHILDREN. THE HOSPITAL IS COLLABORATING WITH SENIOR SERVICE ORGANIZATIONS IN THE ADVOCATE GOOD SHEPHERD SERVICE AREA TO SCREEN SENIORS FOR FOOD INSECURITY, USING THE HUNGER VITAL SIGN FI QUESTIONNAIRE. INDIVIDUALS WHO ARE IDENTIFIED AS FOOD INSECURE ARE REFERRED TO COMMUNITY RESOURCES (FOOD PANTRIES, SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP), MEALS ON WHEELS, CONGREGATE MEAL PROGRAMS, FARMERS MARKETS AND COMMUNITY GARDENS. IN 2018, ADVOCATE GOOD SHEPHERD STAFF ADDED TO THE ADVOCATE GOOD SHEPHERD FOOD AND NUTRITION RESOURCE GUIDE, WHICH NOW INCLUDES 72 FOOD RESOURCES THROUGHOUT THE COMMUNITY. THIS GUIDE IS AVAILABLE TO ANY COMMUNITY MEMBER AND IS PROVIDED TO ALL SENIORS SCREENING POSITIVE FOR FOOD INSECURITY AT THE LOCAL SENIOR SERVICES PARTNER LOCATIONS. IN 2018, COMMUNITY HEALTH STAFF RECRUITED AND TRAINED FIVE MORE SENIOR SERVICE AGENCIES: THE MCHENRY SENIOR CENTER, ELA TOWNSHIP SENIOR CENTER, CRYSTAL LAKE SENIOR SERVICES, HARVARD SENIOR CENTER AND ADVOCATE GOOD SHEPHERD DIABETES CENTER. THERE ARE NOW SEVEN AGENCIES IMPLEMENTING THE SCREENING, INCLUDING THE TWO THAT STARTED IN 2017-THE ADVOCATE GOOD SHEPHERD SENIOR SERVICES DEPARTMENT AND THE BARRINGTON AREA COUNCIL ON AGING (BACOA). EACH OF THESE AGENCIES INCORPORATED THE HUNGER VITAL SIGN FI SCREENING INTO THEIR COUNSELING APPOINTMENTS WITH SENIORS. IN 2018, 997 SENIORS COMPLETED THE HUNGER VITAL SIGN SCREENING AND 111 SENIORS SCREENED POSITIVE FOR FOOD INSECURITY (ELEVEN PERCENT). ON SEPTEMBER 5, 2018, COMMUNITY HEALTH STAFF HOSTED A FOOD INSECURITY AMONG SENIORS PRESENTATION AT ADVOCATE GOOD SHEPHERD, PRESENTED BY THE NORTHERN ILLINOIS FOOD BANK. TWENTY-SIX LOCAL AGENCIES WERE REPRESENTED. MENTAL HEALTHTHE HOSPITAL IS ADDRESSING MENTAL HEALTH IN THE ADVOCATE GOOD SHEPHERD SERVICE AREA THROUGH THREE STRATEGIES. THE FIRST STRATEGY UTILIZES MENTAL HEALTH FIRST AID TRAINING. MENTAL HEALTH FIRST AID IS AN INTERNATIONAL EVIDENCE-BASED PROGRAM, DESIGNED TO HELP PEOPLE RECOGNIZE INDIVIDUALS WITH MENTAL HEALTH PROBLEMS AND PROVIDE SKILLS TO HELP THOSE WHO ARE HAVING A MENTAL HEALTH CRISIS TO ACCESS HELP. USING THE MENTAL HEALTH YOUTH FIRST AID CURRICULUM, THE HOSPITAL IS TARGETING TEACHERS, PHYSICAL EDUCATION (PE) INSTRUCTORS AND COACHES. THE HOSPITAL ALSO PLANS TO HOLD MENTAL HEALTH FIRST AID SESSIONS FOR ADVOCATE GOOD SHEPHERD CARE MANAGERS, SOCIAL WORKERS AND ONCOLOGY NURSE NAVIGATORS. FINALLY, THE HOSPITAL WILL ENSURE THE TRAINING OF TWO INDIVIDUALS TO BECOME MENTAL HEALTH FIRST AID INSTRUCTORS, WHICH REQUIRES COMPLETING A 40-HOUR TRAINING COURSE.
ADVOCATE GOOD SAMARITAN HOSPITAL PART V, SECTION B, LINE 11: 2014-2016 CHNA HEALTH NEEDS SELECTED TO ADDRESSHEALTHY LIFESTYLESOBESITY AND POOR NUTRITION ARE THE MAIN CAUSES OF MANY CHRONIC DISEASES AND HEALTH ISSUES INCLUDING HEART DISEASE, STROKE, SOME CANCERS AND DIABETES. TAKING THIS INTO CONSIDERATION, THE CHC SELECTED HEALTHY LIFESTYLES AS ONE OF THE TWO HEALTH PRIORITIES TO ADDRESS, DUE TO THE LARGE IMPACT IT HAS ON QUALITY OF LIFE AND OVERALL HEALTH STATUS. THE PREVENTION OF OBESITY, PROPER NUTRITION AND PHYSICAL ACTIVITY HAVE THE POTENTIAL TO DECREASE THE RATE OF CHRONIC DISEASE THUS INCREASING LIFE EXPECTANCY AND QUALITY OF LIFE. THE TERM HEALTHY LIFESTYLES IS USED TO ENCOMPASS MULTIPLE FACTORS THAT CAUSE OBESITY AND IMPACT QUALITY. DATA ALSO REVEALED THAT LOW-INCOME POPULATIONS WITHIN DUPAGE COUNTY HAVE HIGHER RATES OF OBESITY INDICATING OBESITY PREVENTION AND NUTRITION EDUCATION IS AN ESSENTIAL NEED IN THE MORE VULNERABLE COMMUNITIES WITHIN THE HOSPITAL'S PRIMARY SERVICE AREA (PSA). BELOW, ARE STRATEGIES THAT THE HOSPITAL WILL IMPLEMENT TO ADDRESS THE HEALTHY LIFESTYLES PRIORITY IN THE HOSPITAL'S DEFINED COMMUNITY.FOOD PANTRY WORKSHOPS-STRATEGY ONEPARTNER WITH UNIVERSITY OF ILLINOIS EXTENSION, NORTHERN ILLINOIS FOOD BANK AND LOCAL FOOD PANTRIES TO IMPLEMENT HEALTHY LIFESTYLE WORKSHOPS IN FOOD PANTRIES WITHIN ADVOCATE GOOD SAMARITAN'S PSA.2017 FOOD PANTRY WORKSHOP-STRATEGY ONE UPDATES/PROGRESSA SERIES OF 4 WORKSHOPS PER PANTRY WERE IMPLEMENTED IN 2018.PEOPLE'S RESOURCE CENTER (WESTMONT) AND WEST SUBURBAN COMMUNITY FOOD PANTRY BOTH HAD AN AVERAGE WORKSHOP CLASS OF 15 PARTICIPANTS AT EACH SESSION.THERE WERE TWO FOOD PANTRIES THAT PARTICIPATED-PEOPLE'S RESOURCE CENTER (WESTMONT) AND WEST SUBURBAN COMMUNITY FOOD PANTRY.AN AVERAGE OF 65 PERCENT OF WORKSHOP SERIES PARTICIPANTS REPORTED THAT THEY PLANNED ON MAKING AT LEAST ONE HEALTHY CHANGE IN THEIR LIFESTYLE AS A RESULT OF THE WORKSHOP(S).AN AVERAGE OF 84 PERCENT OF WORKSHOP PARTICIPANTS REPORTED A HEALTHY BEHAVIOR CHANGE (CONSUMPTION OF MORE FRUITS, WHOLE GRAINS, VEGETABLES, ETC.) OR INTENT TO CHANGE AS A RESULT OF THE WORKSHOPS. THE ADVOCATE GOOD SAMARITAN COMMUNITY HEALTH DEPARTMENT ALSO CONDUCTED FOLLOW-UP CALLS 90 DAYS AFTER THE LAST WORKSHOP TO MEASURE SUSTAINED BEHAVIOR CHANGES. SEVENTY-FIVE PERCENT OF SURVEY RESPONDENTS REPORTED MAINTAINING A HEALTHY BEHAVIOR CHANGE AND ONE RESPONDENT REPORTED LOSING 20 POUNDS SINCE THE BEGINNING OF THE WORKSHOP SERIES. AN UNEXPECTED ADDITIONAL POSITIVE OUTCOME OF THE WORKSHOP SERIES HAS BEEN THE PARTICIPANTS SHARING RECIPES AND IDEAS ABOUT IMPROVING THEIR LIFESTYLES WITH EACH OTHER AND CREATING AN INFORMAL PEER SUPPORT GROUP.HEALTHY SCHOOLS PROGRAM-STRATEGY TWOPARTNER WITH ACTION FOR HEALTHY KIDS TO SUPPORT SCHOOLS IN ADVOCATE GOOD SAMARITAN'S PSA TO CREATE A HEALTHY SCHOOL ENVIRONMENT AND BECOME RECOGNIZED AS A CERTIFIED HEALTHY SCHOOL UNDER THE USDA'S HEALTHIER US SCHOOLS CHALLENGE.2018 HEALTHY SCHOOLS PROGRAM-STRATEGY TWO UPDATES/PROGRESSADVOCATE GOOD SAMARITAN AND ACTION FOR HEALTHY KIDS (AFHK) ARE COLLABORATING WITH TWO SCHOOLS IN THE HOSPITAL'S PSA. BOTH SCHAFER AND SIPLEY ELEMENTARY SCHOOLS HAVE 50 PERCENT OF STUDENTS WHO ARE LOW-INCOME AND ELIGIBLE FOR FREE/REDUCED LUNCH.BOTH PARTNER SCHOOLS HAVE ACTIVE SCHOOL WELLNESS TEAMS THAT ARE ENGAGED IN THE IMPLEMENTATION OF ACTION PLAN STRATEGIES.IN 2018, ACTION FOR HEALTHY KIDS PROVIDED TECHNICAL SUPPORT TO EACH SCHOOL TWO TO THREE TIMES PER MONTH. IN 2018, THE AVERAGE SCHOOL HEALTH INDEX SCORE WAS 86.92%, WHICH WAS AN IMPROVEMENT FROM 2017.BOTH SCHOOLS IMPLEMENTED AT LEAST ONE PHYSICAL ACTIVITY IMPROVEMENT STRATEGY INCLUDING A YOGA CLASS FOR STUDENTS, WHICH WAS PROVIDED BY THE HOSPITAL'S HEALTH AND WELLNESS CENTER YOGA INSTRUCTOR.BOTH SCHOOLS SHARED INFORMATION ON PHYSICAL ACTIVITY AND NUTRITION WITH PARENTS THROUGH THE SCHOOL NEWSLETTER.PROACTIVE KIDS-STRATEGY THREEADVOCATE GOOD SAMARITAN, IN PARTNERSHIP WITH PROACTIVE KIDS, WILL IMPLEMENT AN EIGHT-WEEK HEALTHY LIFESTYLE PROGRAM FOR OBESE AND OVERWEIGHT CHILDREN LIVING IN THE HOSPITAL'S PSA.2018 PROACTIVE KIDS-STRATEGY THREE UPDATES/PROGRESSADVOCATE GOOD SAMARITAN OFFERED ONE PAK SESSION AT THE LOMBARD PARK DISTRICT. ELEVEN KIDS WERE IN ATTENDANCE FOR THE FIRST PAK SESSION AT THE LOMBARD PARK DISTRICT.FIFTY-TWO PERCENT OF PAK REGISTRANTS ATTENDED THE FIRST CLASS OF THE SESSION.FIFTY-THREE PERCENT OF PAK PARTICIPANTS GRADUATED FROM THE PROGRAM.THIRTY-EIGHT PERCENT OF PARTICIPANTS RECOGNIZED A SIGNIFICANT TO SOLID IMPROVEMENT IN THEIR COMMITMENT TO FITNESS AT THE CONCLUSION OF THE 8-WEEK PROGRAM.83 PERCENT OF PROGRAM PARTICIPANTS REPORTED RECOGNIZING A SIGNIFICANT TO SOLID IMPROVEMENT IN THEIR DIET AND NUTRITION AT THE CONCLUSION OF THE 8-WEEK PROGRAM.29 PERCENT OF PAK PARTICIPANTS DECREASED BMI AT THE CONCLUSION OF THE PROGRAM.TO ENSURE PROGRAM GOALS AND PARTICIPATION RATES ARE MET, ADVOCATE GOOD SAMARITAN IS WORKING ALONGSIDE THE HOSPITAL'S COMMUNITY HEALTH COUNCIL TO EVALUATE PAK'S COMMUNITY IMPACT AND OUTCOMES. IT IS THE HOSPITAL'S TOP PRIORITY TO ACHIEVE PROGRAM GOALS THAT POSITIVELY IMPACT AND IMPROVE THE HEALTH OF THE COMMUNITIES SERVED. THE HOSPITAL WILL WORK WITH PAK TO MAKE PROGRAM MODIFICATIONS IN EFFORTS TO IMPROVE PROGRAM IMPACT AND PARTICIPATION RATES. CARDIOVASCULAR WORKSHOPS-STRATEGY FOURTHE ADVOCATE GOOD SAMARITAN CARDIOVASCULAR (CV) SERVICE LINE WILL CREATE AND IMPLEMENT 2-3 HEALTHY LIFESTYLE WORKSHOPS IN THE HOSPITAL'S PSA.2018 CARDIOVASCULAR WORKSHOPS-STRATEGY FOUR UPDATES/PROGRESSADVOCATE GOOD SAMARITAN'S CV SERVICE LINE IMPLEMENTED 13 WORKSHOPS IN 2018. FOUR WORKSHOPS WERE FOR THE GENERAL COMMUNITY AND NINE WERE FOR LOCAL EMERGENCY MEDICAL SERVICES (EMS) PROVIDERS.TWO-HUNDRED AND SIXTY-THREE PEOPLE PARTICIPATED IN HEALTHY LIFESTYLE WORKSHOPS IN 2018.NINETY-NINE PERCENT OF PARTICIPANTS WERE ABLE TO IDENTIFY AT LEAST TWO RISK FACTORS FOR HEART AND BRAIN ATTACKS AT THE CONCLUSION OF THE WORKSHOP.SEVERAL COMMUNITY ORGANIZATIONS AND INSTITUTIONS HOSTED THE WORKSHOPS IN 2018 INCLUDING, THE DOWNERS GROVE FIRE DEPARTMENT, ILLINOIS TOLLWAY AND VILLA ST. BENEDICT.MENTAL HEALTHTHE CHC SELECTED MENTAL HEALTH AS THE SECOND HEALTH NEED PRIORITY. DATA TRENDS INDICATED THAT MENTAL HEALTH ISSUES ARE INCREASING AND THE NEED FOR MENTAL HEALTH SERVICES AND PROGRAMMING IS CONTINUING TO GROW. THIS IS A HEALTH NEED THAT IS ALSO CORRELATED WITH SUBSTANCE ABUSE AS MANY SUBSTANCE USERS/ABUSERS ALSO EXPERIENCE MENTAL HEALTH ISSUES AND MANY INDIVIDUALS WITH MENTAL HEALTH DISORDERS EXPERIENCE SUBSTANCE ABUSE ISSUES. THE NATIONAL ALLIANCE FOR MENTAL ILLNESS (NAMI), ONE OF THE LEADING MENTAL HEALTH AGENCIES IN DUPAGE COUNTY, PROVIDED MENTAL HEALTH DATA THAT ALSO INDICATED THE NEED FOR RESILIENCE AND MENTAL HEALTH CRISIS TRAINING AMONG ADOLESCENTS AND YOUNG ADULTS. THE HIGH RATES OF ED VISITS AND HOSPITALIZATION DUE TO MENTAL HEALTH ISSUES ARE PREVENTABLE THROUGH EMPLOYING COPING MECHANISMS AND RESILIENCE TRAINING. THE CHC IS SPECIFICALLY INTERESTED IN PROGRAMS THAT PREVENT MENTAL HEALTH EMERGENCIES AND DECREASE ED VISITS AND HOSPITALIZATION DUE TO MENTAL HEALTH ISSUES. BELOW, ARE STRATEGIES THAT THE HOSPITAL WILL IMPLEMENT TO ADDRESS MENTAL HEALTH IN THE HOSPITAL'S PSA.ENDING THE SILENCE-STRATEGY ONEPARTNER WITH NATIONAL ALLIANCE ON MENTAL ILLNESS (NAMI DUPAGE) TO IMPLEMENT THE ENDING THE SILENCE (ETS) PROGRAM IN MIDDLE AND HIGH SCHOOLS WITHIN ADVOCATE GOOD SAMARITAN'S PSA.2018 ENDING THE SILENCE- STRATEGY ONE UPDATES/PROGRESSDURING THE 2017/18 SCHOOL YEAR, NINE ETS CLASSES WERE HELD AT WESTMONT HIGH AND EISENHOWER MIDDLE SCHOOLS.OVER 240 STUDENTS PARTICIPATED AND COMPLETED THE ETS PROGRAM.TWO SCHOOLS HOSTED THE ETS PROGRAM IN 2017/18-WESTMONT HIGH SCHOOL AND EISENHOWER MIDDLE SCHOOL.EIGHTY-SEVEN PERCENT OF WESTMONT HIGH SCHOOL STUDENTS REPORTED THEY KNEW THE SIGNS OF MENTAL ILLNESS IN THE POST EVALUATION SURVEY.SIXTY-THREE PERCENT OF WESTMONT HIGH SCHOOL STUDENTS REPORTED FEELING MORE COMFORTABLE TALKING ABOUT MENTAL ILLNESS ON THE POST EVALUATION SURVEY.SIXTY-NINE PERCENT OF WESTMONT HIGH SCHOOL STUDENTS REPORTED LEARNING NEW INFORMATION ABOUT MENTAL ILLNESS ON THE POST EVALUATION SURVEY.MENTAL HEALTH FIRST AID-STRATEGY TWOPROVIDE MENTAL HEALTH FIRST AID (MHFA) TO HOSPITAL ASSOCIATES AND STAFF AND COMMUNITY ORGANIZATIONS/BUSINESSES SERVING THE ADVOCATE GOOD SAMARITAN PSA.2018 MENTAL HEALTH FIRST AID- STRATEGY TWO UPDATES/PROGRESSIN PARTNERSHIP WITH NAMI DUPAGE, ADVOCATE GOOD SAMARITAN IMPLEMENTED TWO MHFA TRAININGS. THE FIRST MHFA TRAINING WAS OPEN TO THE COMMUNITY AND THE SECOND WAS FOR THE HOSPITAL'S STAFF AND ASSOCIATES.THIRTEEN COMMUNITY PARTNERS ATTENDED THE MHFA TRAININGS IN 2018.FOURTEEN ADVOCATE GOOD SAMARITAN ASSOCIATES AND EMPLOYEES ATTENDED THE TRAINING IN 2018.
LUTHERAN GEN HOSP INCL LUTH GEN CHILD PART V, SECTION B, LINE 11: 2014-2016 CHNAIN 2016, ADVOCATE LUTHERAN GENERAL COMPLETED A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WITH INPUT FROM THE COMMUNITY HEALTH COUNCIL. THE COUNCIL IS COMPOSED OF VARIOUS KEY STAKEHOLDERS FROM COMMUNITIES WITHIN ADVOCATE LUTHERAN GENERAL'S SERVICE AREA. AFTER REVIEWING PRIMARY AND SECONDARY DATA, THE COUNCIL SELECTED THREE HEALTH NEEDS AS PRIORITIES FOR HOSPITAL ACTION: HEART DISEASE, HEALTH LITERACY AND WORKFORCE DEVELOPMENT. THE HOSPITAL'S COMMUNITY HEALTH COUNCIL MET QUARTERLY DURING THE 2014-2016 CHNA PROCESS. THERE WERE TWO ADDITIONAL MEETINGS IN 2016 FOR DATA REVIEW AND PRIORITIZATION OF HEALTH NEEDS. OUTLINED BELOW ARE THE THREE SELECTED PRIORITIES AND 2018 UPDATES FOR EACH PRIORITY. ADVOCATE LUTHERAN GENERAL'S SELECTED HEALTH NEEDS TO ADDRESSHEALTH LITERACY NAVIGATING THE HEALTH CARE SYSTEM PROGRAM-STRATEGY ONEPARTNER WITH ADVOCATE CHILDREN'S- PARK RIDGE TO ENGAGE AND SUPPORT LOCAL SCHOOL DISTRICTS IN IMPLEMENTING THE NAVIGATING THE HEALTH CARE SYSTEM, A HEALTH LITERACY CURRICULUM.2018 NAVIGATING THE HEALTH CARE SYSTEM-STRATEGY ONE UPDATES/PROGRESSIN 2018, THE PROGRAM WAS IMPLEMENTED AT DISTRICT 207 MAINE EAST HIGH SCHOOL (D207) IN PARTNERSHIP WITH THE TRANSITION PROGRAM. A WORKSHOP WAS ALSO IMPLEMENTED AT THE CENTER OF CONCERN IN DES PLAINES. EIGHT CLASSES WERE FACILITATED IN 2018-FOUR CLASSES WERE AT D207 AND FOUR CLASSES WERE HELD AT THE CENTER OF CONCERN. THE COHORT AT THE D207 TRANSITION PROGRAM IN PARK RIDGE AVERAGED 46 PERCENT IN PRE-ASSESSMENT AND 50 PERCENT ON POST-ASSESSMENT, WHICH WAS A 4 PERCENT INCREASE IN KNOWLEDGE GAIN. THE COHORT AT THE CENTER OF CONCERN IN DES PLAINES AVERAGED 82 PERCENT IN PRE-ASSESSMENT AND 83 PERCENT IN POST-ASSESSMENT, WHICH IS A 1 PERCENT INCREASE IN KNOWLEDGE GAIN. AGENCY FOR HEALTHCARE RESEARCH AND QUALITY-STRATEGY TWOPARTNER WITH ADVOCATE LUTHERAN GENERAL PHYSICIANS TO IMPLEMENT THE AGENCY FOR HEALTHCARE RESEARCH AND QUALITY (AHRQ) HEALTH LITERACY ASSESSMENT AND RECOMMENDATIONS WITHIN THE PRIMARY CARE SETTING.2018 AGENCY FOR HEALTHCARE RESEARCH AND QUALITY PROGRAM-STRATEGY TWO UPDATES/PROGRESSIN 2018, A TRAINING ON THE IMPORTANCE OF HEALTH LITERACY WAS OFFERED TO PHYSICIANS AND RESIDENTS OF ADVOCATE LUTHERAN GENERAL. HOSPITAL RESIDENTS COMPLETED A TOTAL OF EIGHTEEN AHRQ ASSESSMENTS, WHICH WERE COLLECTED AND EVALUATED BY THE HOSPITAL'S COMMUNITY HEALTH DEPARTMENT. EIGHTY-TWO PERCENT OF RESIDENT PARTICIPANTS, ANSWERED, "DOING WELL" IN THE AREA OF UNDERSTANDING THAT LIMITED HEALTH LITERACY AFFECTS ALL INDIVIDUALS. THIRTY-FIVE PERCENT, ANSWERED "DOING WELL" IN THAT ALL STAFF MEMBERS HAVE RECEIVED HEALTH LITERACY EDUCATION. IN EFFORTS TO TURN THE ASSESSMENTS INTO ACTIONABLE STRATEGIES, THE COMMUNITY HEALTH DEPARTMENT PREPARED A COMPREHENSIVE FOLLOW-UP PRESENTATION, SHARING OPPORTUNITIES FOR HEALTH LITERACY IMPROVEMENT IN ALL FIVE CATEGORIES OF THE ASSESSMENT.CARDIOVASCULAR DISEASEEMPOWER TO SERVE (ETS) PROGRAM-STRATEGY ONEPARTNER WITH PRESENCE RESURRECTION MEDICAL CENTER (PRMC) TO TRAIN IRVING PARK COMMUNITY LEADERS ON THE EMPOWERED TO SERVE CURRICULUM (ETS), A HEART HEALTH CURRICULUM.2018 EMPOWER TO SERVE PROGRAM-STRATEGY ONE UPDATES/PROGRESSIN 2018, THREE COMPLETE SERIES OF ETS WERE OFFERED TO THE IRVING PARK COMMUNITY AT THE FOLLOWING LOCATIONS: IRVING PARK FOOD PANTRY, OAK STREET HEALTH AND BELDING ELEMENTARY SCHOOL. ADVOCATE LUTHERAN GENERAL COLLABORATED WITH DOMINICAN UNIVERSITY TO COORDINATE A SIX-WEEK COOKING SERIES, PRECEDING THE ETS CLASSES AT THE IRVING PARK FOOD PANTRY. COOKING CLASSES WERE INTEGRATED INTO THE ETS CURRICULUM, CREATING ONE HEALTHY LIFESTYLE CLASS. AS A RESULT OF THE CLASSES, 17 PERCENT OF PARTICIPANTS BETTER UNDERSTOOD WHY CHECKING BLOOD PRESSURE WAS IMPORTANT. THERE WAS A 41 PERCENT INCREASE IN KNOWLEDGE AMONG ALL PARTICIPANTS WHO WERE ABLE TO IDENTIFY THE SYMPTOMS OF A STROKE USING F.A.S.T.IN ADDITION, ADVOCATE LUTHERAN GENERAL'S SOUTH ASIAN CARDIOVASCULAR CENTER COLLABORATED WITH THE ADVOCATE LUTHERAN GENERAL COMMUNITY HEALTH WORKER TO FACILITATE A SIX-WEEK ETS PROGRAM AT THE DES PLAINES FRISBEE CENTER FOR SENIORS. THE COMMUNITY HEALTH WORKER (CHW) ALSO FACILITATED THE ETS PROGRAM IN SPANISH TO ST. STEPHENS CATHOLIC CHURCH IN DES PLAINES. BLOOD PRESSURE CHECKS-STRATEGY TWOTRACK THE BLOOD PRESSURE OF ADULTS WHO UTILIZE THE IRVING PARK FOOD PANTRY IN THE 60641 ZIP CODE.2018 BLOOD PRESSURE CHECKS-STRATEGY TWO UPDATES/PROGRESSSIX SCREENINGS WERE PROVIDED IN PARTNERSHIP WITH PRESENCE RESURRECTION MEDICAL CENTER (PRMC) DURING VARIOUS TIMES THROUGHOUT THE ETS PROGRAM IN 2018. A TOTAL OF 34 INDIVIDUALS HAD BLOOD PRESSURE (BP) SCREENINGS. DURING THE SCREENINGS, NO IMMEDIATE REFERRALS OR APPOINTMENTS WERE SCHEDULED WITH HEALTH CARE PROVIDERS. POST ASSESSMENTS INDICATED A 59 PERCENT KNOWLEDGE INCREASE REGARDING UNDERSTANDING THE IMPORTANCE OF BLOOD PRESSURE SCREENINGS AND RISK FACTORS FOR HEART DISEASE. WORKSITE WELLNESS-STRATEGY THREEDEVELOP PARTNERSHIPS WITH LOCAL BUSINESSES, EMPLOYERS AND COMMUNITY-BASED ORGANIZATIONS IN IRVING PARK (60641) WHO HAVE VENDING MACHINES TO ENGAGE/SUPPORT THEM IN IMPLEMENTING AT LEAST 1/2 VENDING POLICY CHANGES AS SUGGESTED BY THE AMERICAN HEART ASSOCIATION.2018 WORKSITE WELLNESS-STRATEGY TWO UPDATES/PROGRESSADVOCATE LUTHERAN GENERAL REACHED OUT TO SEVERAL LOCAL BUSINESSES AND CHURCHES. THERE WAS NO INTEREST IN INTEGRATING/PURCHASING HEALTHY VENDING FOR BUSINESS/CHURCH EMPLOYEES. THE HOSPITAL DID NOT RECEIVE ANY INTEREST IN HEALTHY VENDING FROM IRVING PARK BUSINESSES, THE COMMUNITY HEALTH DEPARTMENT WAS ABLE TO WORK WITH CHICAGO TABERNACLE, A CHURCH IN HERMOSA, TO ADDRESS MENTAL HEALTH AND HEALTHY LIFESTYLES. THE CENTRAL REGION COMMUNITY HEALTH COORDINATOR IS WORKING WITH THE CHURCH TO PROVIDE TRAUMA-INFORMED TRAININGS AND COMMUNITY RESOURCES/WORKSHOPS.SOCIAL DETERMINANTS OF HEALTHJUMPSTART PROGRAM-STRATEGY ONEADVOCATE LUTHERAN GENERAL WILL PARTNER WITH ADVOCATE CHILDREN'S-PARK RIDGE TO EXPAND JOB OPPORTUNITIES AND CAREER READINESS FOR LOW-INCOME STUDENTS OF DISTRICT 207 BY EXPANDING THE JUMPSTART PROGRAM, A WORKFORCE DEVELOPMENT PROGRAM, AT THE HOSPITALS.2018 JUMPSTART PROGRAM-STRATEGY ONE UPDATES/PROGRESSIN 2018, THERE WERE 12 JUMPSTART INTERNS PLACED AT ADVOCATE LUTHERAN GENERAL. EIGHTY-ONE PERCENT OF STUDENTS WHO STARTED THE INTERNSHIP PROGRAM COMPLETED THE FULL 120 HOURS. ALL JUMPSTART PROGRAM PARTICIPANTS COMPLETED FOUR CAREER-READINESS WORKSHOPS. TWENTY-THREE PERCENT OF JUMPSTART PARTICIPANTS AT THE HOSPITALS OBTAINED THEIR HIGH SCHOOL DIPLOMA WITHIN ONE YEAR OF BEGINNING THE PROGRAM. CHAMBER OF COMMERCE PARTNERSHIP-STRATEGY TWOCOLLABORATE WITH PARK RIDGE, NILES, DES PLAINES AND GLENVIEW CHAMBERS OF COMMERCE TO INCREASE THE NUMBER OF BUSINESSES/ORGANIZATIONS IN THE COMMUNITY THAT OFFER MINI INTERNSHIPS OR HIRING OPPORTUNITIES TO JUMPSTART PARTICIPANTS.2018 CHAMBER OF COMMERCE PARTNERSHIP-STRATEGY TWO UPDATES/PROGRESSEIGHTEEN PARTICIPANTS WERE PLACED WITH PARK RIDGE, NILES, DES PLAINES, MORTON GROVE OR GLENVIEW ORGANIZATIONS/BUSINESSES. FIFTY-ONE PERCENT OF JUMPSTART PARTICIPANTS WERE HIRED BY NEW PARTNER ORGANIZATIONS. THIRTY-EIGHT PERCENT OF 2018 JUMPSTART PARTICIPANTS OBTAINED INTERNSHIPS WITH NEW ORGANIZATIONS.ALLIANCE FOR HEALTH EQUITY COLLABORATIVE-STRATEGY THREECOLLABORATE WITH OTHER HOSPITALS AND COMMUNITY ORGANIZATIONS WITHIN THE ALLIANCE FOR HEALTH EQUITY TO DEVELOP INTERVENTIONS THAT WILL IMPACT THE SOCIAL DETERMINANTS OF HEALTH (SDOH).2018 ALLIANCE FOR HEALTH EQUITY-STRATEGY THREE UPDATES/PROGRESSADVOCATE LUTHERAN GENERAL IS A DEDICATED MEMBER OF THE ALLIANCE FOR HEALTH EQUITY AND PARTICIPATES IN THE MONTHLY SDOH AND VIOLENCE PREVENTION WORKGROUP MEETINGS. THE WORKGROUPS CONVENE HOSPITALS AND ORGANIZATIONS ACROSS VARIOUS SECTORS TO ADDRESS COMMUNITY NEEDS AROUND SOCIAL DETERMINANTS OF HEALTH. THE GOAL OF THE WORKGROUPS IS TO CREATE AND IMPLEMENT STRATEGIES THAT WILL COLLECTIVELY IMPROVE THE HEALTH OF VULNERABLE AND UNDERSERVED COMMUNITIES IN COOK COUNTY THROUGH ADDRESSING SOCIAL DETERMINANTS OF HEALTH. ADVOCATE CHILDREN'S SELECTED HEALTH NEEDS TO ADDRESSIN THE 2014-2016 CHNA, ADVOCATE CHILDREN'S IDENTIFIED THREE COMMUNITY HEALTH NEEDS AS OUTLINED BELOW.ACCESS TO CARE: IMPROVE CHILDREN'S ACCESS TO PRIMARY HEALTH CARE IN ADVOCATE CHILDREN'S PSA AND SSA.
ADVOCATE SOUTH SUBURBAN HOSPITAL PART V, SECTION B, LINE 11: 2014-2016 CHNA AS AN IMPORTANT PART OF THE CHNA PROCESS, ADVOCATE SOUTH SUBURBAN'S COMMUNITY HEALTH TEAM REVIEWED HICCC DATA AS WELL AS ADDITIONAL SERVICE AREA SPECIFIC DATA FROM PRIMARY AND SECONDARY SOURCES. THIS DATA HIGHLIGHTED THE PREVALENT HEALTH ISSUES WITHIN THE HOSPITAL'S PRIMARY AND SECONDARY SERVICE AREA. AFTER REVIEW OF EXTENSIVE DATA, THE LEADING CAUSES OF DEATH, HOSPITALIZATIONS AND OVERARCHING HEALTH ISSUES WERE SUMMARIZED AND PRESENTED TO THE HOSPITAL'S COMMUNITY HEALTH COUNCIL FOR PRIORITIZATION. DATA PRESENTED TO THE CHC TARGETED THE FOLLOWING HEALTH CONDITIONS IDENTIFIED AS IMPORTANT IN ADVOCATE SOUTH SUBURBAN'S PRIMARY AND SECONDARY SERVICE AREA: ASTHMA, CANCER, DIABETES, HEART DISEASE, HYPERTENSION AND STROKE. THE FOLLOWING CRITERIA WERE ALSO CONSIDERED IN DETERMINING PRIORITIES:- DEGREE TO WHICH COMMUNITY PARTNERS ARE INVOLVED IN SOLVING/ADDRESSING THE HEALTH ISSUE;- HOSPITAL AND COMMUNITY RESOURCES AVAILABLE TO ADDRESS THE HEALTH ISSUE;- HOSPITAL'S CAPACITY TO ADDRESS THE HEALTH ISSUES;- IMPORTANCE OF THE HEALTH PROBLEM TO THE COMMUNITY; AND- DEGREE TO WHICH EFFECTIVE PROGRAMS ARE AVAILABLE TO THE COMMUNITY. AFTER DISCUSSION AND REVIEW OF SIGNIFICANT DATA FINDINGS, THE CHC MEMBERS WERE INSTRUCTED TO RANK THE SEVEN HEALTH CONDITIONS BY VOTING ON THOSE THAT THEY PERCEIVED TO BE THE MOST IMPORTANT TO ADDRESS FOR THE COMMUNITIES WITHIN THE HOSPITAL'S PRIMARY SERVICE AREA. THE MULTI-VOTING STRATEGY RESULTED IN ASTHMA AND DIABETES RECEIVING THE HIGHEST NUMBER OF VOTES. HOUSING WAS SELECTED AS A FOCUS AREA BY CHC MEMBERS AS THE SOCIAL, ECONOMIC OR STRUCTURAL DETERMINANT OF HEALTH RELATED TO THE HICCC PRIORITY. THEREFORE, FOR THE 2014-2016 CHNA, ADVOCATE SOUTH SUBURBAN SELECTED THREE PRIORITIES FOR IMPLEMENTATION PLANNING: 1) ASTHMA; 2) DIABETES; AND 3) HOUSING AS A SOCIAL DETERMINANT OF HEALTH (SDOH).NEEDS SELECTED AS PRIORITIES TO ADDRESSASTHMA ASTHMA AND OTHER RESPIRATORY-RELATED DISEASES WITHIN ADVOCATE SOUTH SUBURBAN'S PSA WERE SELECTED AS A TOP HEALTH NEED TO ADDRESS. AN EXAMINATION OF ADVOCATE SOUTH SUBURBAN'S INPATIENT ADMISSIONS AND EMERGENCY DEPARTMENT UTILIZATION DATA SHOWED THERE WERE 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 EMERGENCY DEPARTMENT VISITS. THE SEVERITY AND PREVALENCE OF ASTHMA IS MOST EVIDENT IN LOW-INCOME, MINORITY COMMUNITIES. TO ADDRESS ASTHMA IN THE HIGH-RISK COMMUNITIES THE HOSPITAL SERVES, THE HOSPITAL HAS DIRECTED ITS KICKIN' ASTHMA PROGRAM TOWARD THE MOST VULNERABLE COMMUNITIES IN ITS SERVICE AREA. KICKIN' ASTHMA IS AN ASTHMA MANAGEMENT PROGRAM FOR KIDS AGES 11-16 (GRADES 6-10) THAT EDUCATES AND EMPOWERS THEM THROUGH A FUN AND INTERACTIVE APPROACH TO ASTHMA SELF-MANAGEMENT. THE PROGRAM INCLUDES DIFFERENT LEARNING TECHNIQUES SUITABLE FOR CHILDREN AND HIGHLIGHTS SELF-MANAGEMENT PRACTICES, SUCH AS RECOGNIZING TRIGGERS AND PROPER MEDICATION USE. THESE COMMUNITIES INCLUDE: CHICAGO HEIGHTS, 60411; HARVEY, 60426; MARKHAM, 60428; HAZEL CREST, 60429; AND COUNTRY CLUB HILLS, 60478. THE FOLLOWING OUTCOMES WERE ACHIEVED DURING 2018:STRATEGY 1: EXPAND THE KICKIN' ASTHMA PROGRAM TO SCHOOLS IN THE FOLLOWING ZIP CODES: 60411, 60426, 60428, 60429 AND 60478.- TWO PARTNER SCHOOLS HOSTED THE KICKIN' ASTHMA PROGRAM IN 2018.- EIGHTEEN STUDENTS PARTICIPATED IN THE PROGRAM.- NONE OF THE 18 STUDENTS WHO ATTENDED THE KICKIN' ASTHMA CLASS HAD AN ED VISIT WITHIN THREE MONTHS POST PROGRAM.STRATEGY 2: PROVIDE ASTHMA EDUCATION THROUGH PARTNERSHIPS WITH COMMUNITY ORGANIZATIONS THAT TEACH PARTICIPANTS WHAT ADULTS SHOULD DO IN CASE A CHILD EXPERIENCES AN ASTHMA ATTACK.- ADVOCATE SOUTH SUBURBAN PARTNERED WITH TWO SCHOOLS, IN UNDERSERVED COMMUNITIES TO CONDUCT THE KICKIN' ASTHMA PROGRAM. THE HOSPITAL CONTINUED TO PARTNER WITH COMMUNITY ORGANIZATIONS TO PROVIDE INFORMATION ON THE KICKIN' ASTHMA PROGRAM AND TO PROVIDE ASTHMA EDUCATION IN COMMUNITY SETTINGS TO PARENTS, COACHES, ETC. IN 2018, 25 COMMUNITY MEMBERS WERE TRAINED IN ASTHMA EDUCATION.DIABETESACCORDING TO THE ILLINOIS DEPARTMENT OF PUBLIC HEALTH, MORE THAN 29 MILLION PEOPLE IN THE UNITED STATES HAVE DIABETES MELLITUS. ABOUT ONE-THIRD OF THESE PEOPLE ARE UNAWARE THAT THEY HAVE DIABETES AND ARE NOT UNDER MEDICAL CARE. EACH YEAR, 1.9 MILLION NEW CASES OF DIABETES ARE DIAGNOSED IN PEOPLE AGE 20 YEARS AND OLDER. IN ILLINOIS, APPROXIMATELY 800,000 PEOPLE 18 YEARS OF AGE AND OLDER HAVE DIAGNOSED DIABETES, WITH ANOTHER 500,000 PEOPLE UNAWARE THEY HAVE THE DISEASE. INDIVIDUALS WITH DIABETES ARE AT INCREASED RISK FOR HEART DISEASE, BLINDNESS, KIDNEY FAILURE, AND LOWER EXTREMITY AMPUTATIONS (NOT RELATED TO INJURIES). DIABETES AND ITS COMPLICATIONS OCCUR AMONG ALL AGE, RACIAL AND ETHNIC GROUPS.TO ADDRESS DIABETES IN THE HIGH-RISK COMMUNITIES WITHIN ADVOCATE SOUTH SUBURBAN'S SERVICE AREA, A CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC) EVIDENCE-BASED INTERVENTION NAMED THE NATIONAL DIABETES PREVENTION PROGRAM (DPP) WAS IMPLEMENTED. THE HOSPITAL IS SEEKING TO BECOME A CDC RECOGNIZED FACILITY TO IMPLEMENT THE DPP. THE HOSPITAL PARTNERED WITH LOCAL CHURCHES AND COMMUNITY PARTNERS TO HOST THE PROGRAM. THE PROGRAM IS DESIGNED TO EDUCATE INDIVIDUALS WHO HAVE BEEN DIAGNOSED WITH PRE-DIABETES TO PREVENT OR DELAY THE ONSET OF TYPE 2 DIABETES THROUGH EDUCATION, DIET AND EXERCISE. RESEARCH HAS SHOWN THAT A 5-7 PERCENT WEIGHT LOSS CAN PREVENT DEVELOPMENT OF TYPE 2 DIABETES.THE FOLLOWING OUTCOMES WERE ACHIEVED DURING 2018: STRATEGY 1: HIRE A LIFESTYLE COACH TO IMPLEMENT THE NATIONAL DIABETES PREVENTION PROGRAM (DPP), PREVENT T2, IN MARKHAM (60428) AND CHICAGO HEIGHTS (60411) IN COLLABORATION WITH COMMUNITY ORGANIZATIONS.- ADVOCATE SOUTH SUBURBAN PARTNERED WITH ABUNDANT LIVING CHRISTIAN CENTER IN DOLTON, ILLINOIS, TO HOST THE INAUGURAL SESSION IN 2017. THE CHURCH PROGRAM CONCLUDED IN JUNE 2018, LEAVING THE REMAINING CLASSES TO BE HOSTED AT THE DOLTON LIBRARY.- IN 2018, ADVOCATE SOUTH SUBURBAN WAS THE HOST SITE FOR THREE COHORTS WITH 24 TOTAL PARTICIPANTS.- SEVENTY-FIVE PERCENT OF THE PARTICIPANTS WERE ELIGIBLE TO PARTICIPATE IN THE DPP PROGRAM BASED ON BLOOD-BASED TEST; 25 PERCENT OF THE PARTICIPANTS WERE ELIGIBLE BASED ON A RISK ASSESSMENT.- THIRTY-EIGHT PERCENT OF PARTICIPANTS MET THE WEIGHT LOSS GOAL FROM THE BASELINE.STRATEGY 2: ESTABLISH ADVOCATE SOUTH SUBURBAN AS A CDC DESIGNATED DIABETES PREVENTION PROGRAM APPROVED SITE.- THE HOSPITAL IS CURRENTLY IN THE PENDING STAGE FOR THE CDCS PREVENT T2 PROGRAM DUE TO THE TOTAL NUMBER OF PARTICIPANTS DURING THE EVALUATION CYCLE. THE ADVOCATE SOUTH SUBURBAN COMMUNITY HEALTH TEAM LOOKS FORWARD TO POTENTIALLY BEING MOVED TO PRELIMINARY OR FULL RECOGNITION STATUS FROM THE CDC IN 2019 BECAUSE OF MULTIPLE COHORTS THAT ARE CURRENTLY IN SESSION. STRATEGY 3: RAISE AWARENESS OF PREDIABETES THROUGH EDUCATION PROGRAMS IN FAITH-BASED ORGANIZATIONS IN MARKHAM (60428) AND CHICAGO HEIGHTS (60411).- THREE HUNDRED FORTY-ONE INDIVIDUALS RECEIVED EDUCATIONAL INFORMATION AT COMMUNITY PARTNER SITES REGARDING PREDIABETES. COMMUNITY PARTNERS INCLUDED CHURCHES, PARK DISTRICTS AND A LOCAL SHELTER.- THE COMMUNITY HEALTH DEPARTMENT SHARED A PRESENTATION REGARDING THE DPP PROGRAM WITH DEPARTMENT OF FAMILY MEDICINE TO GARNER ELIGIBLE PARTICIPANTS INTO THE PROGRAM IN AUGUST 2018. THERE WERE 13 PHYSICIANS AND 7 NON-PHYSICIANS WHO ATTENDED THE MEETING. PHYSICIANS ASKED QUESTIONS FOR CLARITY AND SOME BEGAN REFERRING THEIR PATIENTS TO THE PROGRAM.SOCIAL DETERMINANT OF HEALTH-HOUSINGACCORDING TO THE AMERICAN LUNG ASSOCIATION, HOMES MAY BE THE MOST CRITICAL ENVIRONMENT FOR MANAGING ASTHMA. HOMES OFTEN CONTAIN KNOWN ASTHMA TRIGGERS, INCLUDING SECONDHAND SMOKE, DAMPNESS AND MOLD, COCKROACHES AND DUST MITES. "HOMES" INCLUDE APARTMENTS AND OTHER MULTI-UNIT HOUSING, GROUP HOMES, SHELTERS AND INSTITUTIONALIZED SETTINGS, AS WELL AS SINGLE-FAMILY HOUSES. INDIVIDUALS SUFFERING FROM ASTHMA AND OTHER LUNG DISEASES CAN BE HELPED BY ADOPTING POLICIES THAT CREATE SAFE HOME ENVIRONMENTS.
ADVOCATE TRINITY HOSPITAL PART V, SECTION B, LINE 11: 2014-2016 CHNAAS AN IMPORTANT PART OF THE CHNA PROCESS, ADVOCATE TRINITY'S COMMUNITY HEALTH TEAM REVIEWED HICCC DATA AS WELL AS ADDITIONAL SERVICE AREA SPECIFIC DATA FROM PRIMARY AND SECONDARY SOURCES. THIS DATA HIGHLIGHTED THE PREVALENT HEALTH ISSUES WITHIN THE HOSPITAL'S PRIMARY AND SECONDARY SERVICE AREA. AFTER REVIEW OF EXTENSIVE DATA, THE LEADING CAUSES OF DEATH, HOSPITALIZATIONS AND OVERARCHING HEALTH ISSUES WERE SUMMARIZED AND PRESENTED TO THE HOSPITAL'S COMMUNITY HEALTH COUNCIL (CHC) FOR PRIORITIZATION. DATA PRESENTED TO THE COUNCIL TARGETED THE FOLLOWING HEALTH CONDITIONS IDENTIFIED AS IMPORTANT IN ADVOCATE TRINITY'S PRIMARY AND SECONDARY SERVICE AREA: ASTHMA, CANCER, DIABETES, HEART DISEASE, HYPERTENSION, STROKE, MENTAL HEALTH AND VIOLENCE.THE FOLLOWING CRITERIA WERE ALSO CONSIDERED IN DETERMINING PRIORITIES:- THE ALIGNMENT OF THE HOSPITAL'S MISSION, AND EXISTING PROGRAMS; - THE ABILITY TO MAKE AN IMPACT WITHIN A REASONABLE TIME FRAME; - HOSPITAL AND COMMUNITY RESOURCES TO ADDRESS THE HEALTH ISSUE; - THE IMPORTANCE OF THE HEALTH PROBLEM TO THE COMMUNITY; AND - AVAILABILITY OF EVIDENCE-BASED PROGRAMS WITH PROVEN MEASURABLE OUTCOMES TO ADDRESS IDENTIFIED COMMUNITY NEEDS. AFTER DISCUSSION AND REVIEW OF SIGNIFICANT DATA FINDINGS, THE CHC MEMBERS WERE INSTRUCTED TO RANK THE SEVEN HEALTH CONDITIONS BY VOTING ON THOSE THAT THEY PERCEIVED TO BE THE MOST IMPORTANT TO ADDRESS FOR THE COMMUNITIES WITHIN THE HOSPITAL'S PRIMARY SERVICE AREA. THE MULTI-VOTING STRATEGY RESULTED IN ASTHMA AND DIABETES RECEIVING THE HIGHEST NUMBER OF VOTES. WORKFORCE DEVELOPMENT WAS SELECTED AS A FOCUS AREA BY CHC MEMBERS AS THE SOCIAL, ECONOMIC OR STRUCTURAL DETERMINANT OF HEALTH RELATED TO THE HICCC PRIORITY. THEREFORE, FOR THE 2014-2016 CHNA, ADVOCATE TRINITY SELECTED THREE PRIORITIES FOR IMPLEMENTATION PLANNING: ASTHMA, DIABETES, AND WORKFORCE DEVELOPMENT (SOCIAL DETERMINANT OF HEALTH).HEALTH NEEDS SELECTED TO ADDRESSSOCIAL DETERMINANTS OF HEALTH-HEALTHCARE WORKFORCE DEVELOPMENT WITH UNEMPLOYMENT RATES AS HIGH AS 32 PERCENT IN SOME OF THE NEIGHBORHOODS IN CHICAGO, EFFECTIVE WORKFORCE DEVELOPMENT PROGRAMS PLAY A CRUCIAL ROLE IN PREPARING INDIVIDUALS FOR ENTRY-MIDDLE SKILL OPPORTUNITIES WITHIN THE HEALTHCARE SECTOR. THE HEALTHCARE WORKFORCE COLLABORATIVE (NEWLY NAMED ADVOCATE WORKFORCE INITIATIVE) IS A PARTNERSHIP BETWEEN ADVOCATE HEALTH CARE AND JP MORGAN CHASE BANK TO ESTABLISH AN INTENTIONAL SERIES OF PARTNERSHIPS, AIMED AT ENHANCING THE ALIGNMENT BETWEEN ADDRESSING AVAILABLE HEALTHCARE JOBS AND THE SKILLS OF CURRENT JOB SEEKERS IN THE GREATER CHICAGOLAND AREA. THE PROGRAM AIMS TO DEVELOP AND IMPLEMENT "BEST PRACTICES" TO BE ADOPTED BY OTHER METROPOLITAN AREAS AND HEALTHCARE ORGANIZATIONS. THE COLLABORATIVE WILL SERVE MORE THAN 1,000 INDIVIDUALS BY 2020, ALL OF WHOM WILL RECEIVE SUPPORTIVE SERVICES AND GUARANTEED POST-PROGRAM INTERVIEWS WITH ADVOCATE OR OTHER REGIONAL HEALTH CARE PROVIDERS. ADVOCATE TRINITY WILL SERVE AS AN INTERNSHIP SITE FOR EDUCATIONAL INSTITUTIONS IN OUR SERVICE AREA. HTTPS://ADVOCATEGIVING.ORG/HOW-YOURE-HELPING/ADVOCATE-WORKFORCE-INITIATIVE/PROGRAM RESULTS FOR 2018 WERE AS FOLLOWS:- A TOTAL OF 64 PARTICIPANTS WERE ENROLLED IN CLINICAL AND NON-CLINICAL EDUCATION FOR ENTRY TO MID-LEVEL HEALTH CARE POSITIONS.- TWENTY-FIVE PERCENT OF PARTICIPANTS ENROLLED IN THE PROGRAM COMPLETED CLINICAL AND NON-CLINICAL ROTATIONS AT ADVOCATE TRINITY.- THIRTY-EIGHT PERCENT OF PARTICIPANTS WERE INTERVIEWED FOR EMPLOYMENT FOR ENTRY LEVEL TO MIDDLE SKILLS POSITIONS.- THIRTY PERCENT OF PARTICIPANTS WERE EMPLOYED BY ADVOCATE HEALTH CARE.- EIGHTEEN PERCENT OF PARTICIPANTS WERE EMPLOYED BY OTHER HEALTH CARE ORGANIZATIONS.- THIRTY-FOUR PARTICIPANTS WERE ACCEPTED AS INTERNS. A TOTAL OF 20 CAREER DEVELOPMENT CLASSES WERE PROVIDED AND 6,413 HOURS OF SERVICE WERE COMPLETED AT ADVOCATE TRINITY. ASTHMAASTHMA IS A CONDITION IN WHICH A PERSON'S AIR PASSAGES BECOME INFLAMED, AND THE NARROWING OF THE RESPIRATORY PASSAGES MAKES IT DIFFICULT TO BREATHE. ASTHMA IS ONE OF THE MOST COMMON LONG-TERM DISEASES OF CHILDREN. ADDITIONALLY, IT AFFECTS 15.7 MILLION NON-INSTITUTIONALIZED ADULTS NATIONWIDE. ADVOCATE TRINITY'S GOAL IS TO DECREASE THE AGE-ADJUSTED EMERGENCY ROOM/HOSPITALIZATION RATE DUE TO ADULT ASTHMA IN PRIMARY SERVICE AREA (PSA) COMMUNITIES: 60617 AND 60619. THE KEY STRATEGY IS TO EXPAND THE PROJECT HEALTH PROGRAM UTILIZING COMMUNITY HEALTH WORKERS TO ENGAGE PATIENTS AND CONDUCT HOME VISTS TO IDENTIFY TRIGGERS AND BARRIERS TO ASTHMA MANAGEMENT. ADVOCATE TRINITY WILL ALSO PARTNER WITH THE METROPOLITAN TENANTS ORGANIZATION TO DELIVER THE HEALTHY HOMES INITIATIVE TO COMMUNITY MEMBERS. THE HEALTHY HOMES INITIATIVE WORKS WITH COMMUNITY MEMBERS TO REMEDIATE ANY ISSUES IN THEIR HOME THAT MAY IMPACT THEIR ASTHMA.PROGRAM RESULTS FOR 2018 WERE AS FOLLOWS:- ESTABLISHED A NEW PROCESS TO CONDUCT ASTHMA CONTROL TESTS (ACT) WITH HOSPITAL INPATIENTS AND ER PATIENTS AS PART OF THE PROJECT HEALTH PROGRAM.- FORTY-SIX ASTHMA CONTROL TESTS WERE PROVIDED TO ADVOCATE TRINITY INPATIENTS PRESENTING WITH ASTHMA SYMPTOMS. - ONE HUNDRED FORTEEN ASTHMA CONTROL TESTS WERE PROVIDED TO ADVOCATE TRINITY ER PATIENTS PRESENTING WITH ASTHMA SYMPTOMS.- FORTY-FOUR ASTHMA ACTION PLANS WERE COMPLETED FOR ADVOCATE TRINITY ER AND INPATIENT PATIENTS IDENTIFED BY HOSPITAL STAFF AS HAVING AN ASTHMA DIAGNOSIS. - A TOTAL OF 10 HOME VISITS WERE COMPLETED. - A TOTAL OF FIVE COMMUNITY HEALTH WORKERS FROM THE PROJECT HEALTH TEAM AND PRIMARY CARE CONNECTION TEAM RECEIVED HEALTHY HOMES TRAINING IN 2018. NO REFERRALS WERE PROVIDED BY COMMUNITY ORGANIZATIONS. THE COMMUNITY HEALTH TEAM WILL RE-EVALUATE AND DEVELOP A PLAN OF ACTION FOR THE FOCUS AREA IN 2019. DIABETESACCORDING TO THE AMERICAN DIABETES ASSOCIATION, 29.1 MILLION AMERICANS (9.3 PERCENT) HAVE DIABETES. AMONG THE INDIVIDUALS WITH DIABETES, 1.25 MILLION HAVE TYPE 1 DIABETES. AS OF 2010, DIABETES REMAINED THE 7TH LEADING CAUSE OF DEATH IN THE US AS RECORDED BY VITAL STATISTICS RECORDS. FURTHER, DIABETES IS LISTED ON A TOTAL OF 234,051 DEATH CERTIFICATES AS AN UNDERLYING OR CONTRIBUTING CAUSE OF DEATH (AMERICAN DIABETES ASSOCIATION, 2016). THE PERCENTAGE OF AMERICANS AGE 65+ WITH BOTH DIAGNOSED AND UNDIAGNOSED DIABETES REMAINS HIGH AT 25.9 PERCENT, OR 11.8 MILLION SENIORS. TO REDUCE THE INCIDENCE OF DIABETES, ADVOCATE TRINITY WILL IMPLEMENT THE CENTERS FOR DISEASE CONTROL AND PREVENTION'S DIABETES PREVENTION PROGRAM (DPP) PREVENT T2 IN PRIMARY SERVICE AREA COMMUNITIES: ZIP CODES 60617 AND 60619. ADVOCATE TRINITY WILL ALSO SEEK DESIGNATION AS A NATIONAL DIABETES PREVENTION SITE IN COLLABORATION WITH THE CLINICAL DIABETES EDUCATION TEAM. ADDITIONALLY, ADVOCATE TRINITY WILL INCREASE COMMUNITY EDUCATION OPPORTUNITIES TO SUPPORT DIABETES SELF-MANAGEMENT SKILLS.PROGRAM RESULTS FOR 2018 WERE AS FOLLOWS:NATIONAL DIABETES PREVENTION PROGRAM (DPP)- FIRST COHORT CLASS SUCCESSFULLY COMPLETED ONE-YEAR PROGRAM IN SEPTEMBER 2018 WITH 12 ACTIVE PARTICIPANTS.- COMMUNITY HEALTH TEAM DEVELOPED A NEW PARTNERSHIP WITH ANOINTED HEALTH PARTNERS TO IMPLEMENT A DPP PROGRAM IN APRIL 2018.- PROGRAM STAFF SUCCESSFULLY STARTED THE SECOND COHORT CLASS WITH 13 ACTIVE PARTICIPANTS IN APRIL 2018.- A TOTAL OF 29 PARTICIPANTS WERE ENROLLED IN THE DPP PROGRAM IN 2018. TWENTY-FIVE ACTIVE PARTICIPANTS REMAINED IN THE PROGRAM. - SIXTY-EIGHT PERCENT OF PARTICIPANTS WERE ELIGIBLE FOR THE PROGRAM BASED ON THEIR A1C LEVEL. - THIRTY-THREE ACHIEVED FIVE PERCENT BODY WEIGHT LOSS.- EIGHTY-EIGHT PERCENT OF PARTICIPANTS COMPLETED NINE OF 16 CLASSES WITHIN THE FIRST SIX MONTHS.- NINETY-FOUR PERCENT OF PARTICIPANTS REPORTED AT LEAST 150 MINUTES OF MODERATE PHYSICAL ACTIVITY IN SIX MONTHS.PRE-DIABETES COMMUNITY WORKSHOPS- THREE FAITH PARTNERS WERE ENGAGED TO OFFER PRE-DIABETES AWARENESS WORKSHOPS.- SIX SESSIONS OF PRE-DIABETES EDUCATION WORKSHOPS WERE CONDUCTED.- TWENTY-TWO PARTICIPANTS WERE REFERRED FOR ADDITIONAL FOLLOW-UP TO THE DPP PROGRAM.- NINETY-FIVE PERCENT OF PARTICIPANTS INCREASED THEIR KNOWLEDGE OF HOW NUTRITION IMPACTS DIABETES.- NINETY-FIVE PERCENT OF PARTICIPANTS DEMONSTRATED TWO WAYS TO PREVENT DIABETES.
ADVOCATE TRINITY HOSPITAL PART V, SECTION B, LINE 13B: PART V, SECTION C - DESCRIPTION FOR PART V, SEC B, LINE 13BALL HOSPITAL FACILITIESN/A
ADVOCATE TRINITY HOSPITAL PART V, SECTION B, LINE 13H: PART V, SECTION C - DESCRIPTION FOR PART V, SEC B, LINE 13HALL HOSPITAL FACILITIESOTHER FACTORS USED IN DETERMINING AMOUNTS CHARGED TO PATIENTS INCLUDE: DECEASED PATIENTS WITH NO ESTATE; HOMELESS PATIENTS, OR PATIENTS WHO RECEIVE CARE IN A HOMELESS CLINIC; PATIENTS WITH RELIGIOUS AFFILATION WITH A VOW OF POVERTY, PATIENTS WHO QUALIFY FOR A STATE DEPARTMENT OF HUMAN SERVICES (DHS) ASSISTANCE PROGRAM, BUT HAVE NO MEDICAL COVERAGE (E.G., ILLINOIS AMI/GA, FOOD STAMP, PRESCRIPTION, WOMEN, FREE LUNCH AND BREAKFAST PROGRAM, TEMPORARY ASSISTANCE FOR NEEDY FAMILIES (TANF), INFANTS AND CHILDREN (WIC), MEDICAID ELIGIBLE PATIENTS BUT NOT ON THE DATE OF SERVICE, WHY WAIT AND WISE WOMEN PROGRAMS; COUNTY HEALTH CLINIC PATIENTS; LEGAL ASSSISTANCE FOUNDATION OF ILLINOIS REFERRALS; INDIVIDUALS WITH A VALID ADDRESS AT LOW-INCOME/SUSIDIZED HOUSING; QUALIFIED INDIVIDUALS OF LOW INCOME HOME ENERGY ASSISTANCE PROGRAM, INCARCERATED INDIVIIDUALS; INCOMPETENT INDIVIDUALS WITH COMPROMISED DIAGNOSES (E.G., PSYCHIATRIC); INDIVIDUALS MEETING DEFINED CREDIT REPORTING (OR OTHER EXTERNAL REPORTING) RESULT THRESHOLDS; PATIENTS WITH PRIOR HISTORY OF INABILITY TO MAKE PAYMENTS; PATIENTS WITH COURT FILED OR APPROVED BANKRUPTCY DETERMINATIONS.
ADVOCATE TRINITY HOSPITAL PART V, SECTION B, LINE 15E: PART V, SECTION C - DESCRIPTION FOR PART V, SEC B, LINE 15EALL HOSPITAL FACILITIESN/A
ADVOCATE TRINITY HOSPITAL PART V, SECTION B, LINE 16J: PART V, SECTION C- DESCRIPTION FOR PART V, SEC B, LINES 16A, 16B AND 16CALL HOSPITAL FACILITIESHTTP://WWW.ADVOCATEHEALTH.COM/FINANCIALASSISTANCEPART V, SECTION C - DESCRIPTION FOR PART V, SEC B, LINE 16JALL HOSPITAL FACILITIESADVOCATE 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. SIGNAGE IS CLEARLY AND CONSPICUOUSLY POSTED IN LOCATIONS THAT ARE VISIBLE TO THE PUBLIC, INCLUDING, BUT NOT LIMITED TO HOSPITAL RESGISTRATION AREAS (I.E., PATIENT ACCESS, EMERGENCY DEPARTMENT).3. BROCHURES ARE PLACED IN HOSPITAL RESGISTRATION AREAS (I.E., PATIENT ACCESS, EMERGENCY DEPARTMENT) AND INCLUDE GUIDANCE ON HOW A PATIENTS MAY APPLY FOR MEDICARE, MEDICAID, ALL KIDS, FAMILY CARE ETC., AND THE HOSPTIAL'S FINANCIAL ASSISTANCE PROGRAM. A HOSPITAL CONTACT AND TELEPHONE NUMBER FOR FINANCIAL ASSISTANCE IS INCLUDED. 4. A HANDOUT SUMMARIZING ADVOCATE'S FINANCIAL ASSISTANCE POLICY AND FINANCIAL ASSISTANCE APPLICATION ARE GIVEN TO ALL UNINSURED PATIENTS WHO RECEIVE MEDICALLY NECESSARY HOSPITAL SERVICES AT THE EARLIEST PRACTICAL TIME OF SERVICE.5. ADVOCATE'S WEBSITE PROMINENTLY NOTES THAT FINANCIAL ASSISTANCE IS AVAILABLE, WITH AN EXPLAINATION OF THE APPLICATION PROCESS, A SUMMARY OF THE FINANCIAL ASSISTANCE POLICY, AND THE FINANCIAL ASSISTANCE APPLICATION.
ADVOCATE TRINITY HOSPITAL PART V, SECTION B, LINE 18E: PART V, SECTION C - DESCRIPTION FOR PART V, SEC B, LINE 18EALL HOSPITAL FACILITIESN/A
ADVOCATE TRINITY HOSPITAL PART V, SECTION B, LINE 19E: PART V, SECTION C - DESCRIPTION FOR PART V, SEC B, LINE 19EALL HOSPITAL FACILITIESADVOCATE HEALTH AND HOSPITALS CORPORATION DOES NOT PERFORM ACTIONS SUCH AS THOSE LISTED IN LINES 19A-D UNTIL REASONABLE EFFORTS HAVE BEEN MADE TO DETERMINE A PATIENT'S FAP ELIGIBILITY.
ADVOCATE TRINITY HOSPITAL PART V, SECTION B, LINE 20E: PART V, SECTION C - DESCRIPTION FOR PART V, SEC B, LINE 20AALL HOSPITAL FACILITIESADVOCATE DOES NOT ENGAGE IN EXTRAORDINARY COLLECTION ACTIONS (ECAS) AND AS DESCRIBED BELOW USES ALL OPPORTUNITIES TO INFORM INDIVIDUALS OF THE FAP PROCESS. IF ADVOCATE EVER WERE TO USE AN ECA IT WOULD PROVIDE THE INDIVIDUAL WITH ALL REQUIRED INFORMATION INCLUDING PROVIDING THE FAP AT LEAST 30 DAYS BEFORE INITIATING AN ECA.PART V, SECTION C - DESCRIPTION FOR PART V, SEC B, LINE 20EALL HOSPITAL FACILITIESADVOCATE 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.
ADVOCATE TRINITY HOSPITAL PART V, SECTION B, LINE 21C: PART V, SECTION C - DESCRIPTION FOR PART V, SEC B, LINE 21C ALL HOSPITAL FACILITIESN/A
ADVOCATE TRINITY HOSPITAL PART V, SECTION B, LINE 21D: PART V, SECTION C - DESCRIPTION FOR PART V, SEC B, LINE 21D ALL HOSPITAL FACILITIESN/A
ADVOCATE TRINITY HOSPITAL PART V, SECTION B, LINE 23: PART V, SECTION C - DESCRIPTION FOR PART V, SEC B, LINE 23ALL HOSPITAL FACILITIESN/A
ADVOCATE TRINITY HOSPITAL PART V, SECTION B, LINE 24: PART V, SECTION C - DESCRIPTION FOR PART V, SEC B, LINE 24ALL HOSPITAL FACILITIESN/A
ADVOCATE CHRIST MEDICAL CENTER: PART V, SECTION B, LINE 5 - CONTINUED ADVOCATE CHILDREN'SADVOCATE CHILDREN'S, LOCATED ON TWO CAMPUSES IN THE CHICAGOLAND AREA, SERVES CHILDREN AGES 0-17. THE NORTH CAMPUS IS LOCATED ON THE GROUNDS OF ADVOCATE LUTHERAN GENERAL HOSPITAL IN PARK RIDGE, ILLINOIS (ADVOCATE CHILDREN'S-PARK RIDGE), WITH WHICH IT SHARES THE SAME TAX ID NUMBER. THE SOUTH CAMPUS IS LOCATED ON THE GROUNDS OF ADVOCATE CHRIST IN OAK LAWN, ILLINOIS (ADVOCATE CHILDREN'S-OAK LAWN), WITH WHICH IT SHARES THE SAME TAX ID NUMBER. AN ADVOCATE CHILDREN'S COMMUNITY PROFILE WAS COMPLETED TO SUPPLEMENT THE COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PROCESS OF THE RESPECTIVE ADVOCATE HOSPITALS. WHILE AN IMPORTANT PART OF THE ADVOCATE CHRIST CAMPUS, ADMINISTRATIVELY AND OPERATIONALLY, ALL PEDIATRIC SERVICES REPORT TO THE ADVOCATE CHILDREN'S LEADERSHIP TEAM.ADVOCATE CHILDREN'S TOTAL SERVICE AREA INCLUDES COMMUNITIES SERVED BY ADVOCATE CHRIST, AS WELL AS GEOGRAPHIC AREAS OR COMMUNITIES SERVED BY ADVOCATE TRINITY HOSPITAL ON CHICAGO'S SOUTH AND SOUTHEAST SIDES, ADVOCATE SOUTH SUBURBAN HOSPITAL IN CHICAGO'S SOUTH SUBURBS AND ADVOCATE GOOD SAMARITAN HOSPITAL IN THE WEST AND SOUTHWEST SUBURBAN CHICAGO AREA. THE HOSPITAL WORKS WITH UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS THROUGHOUT THE SOUTH SUBURBS AND CHICAGO AS IDENTIFIED THROUGH ADVOCATE-SPONSORED MEDICAID MANAGED CARE PROGRAM UTILIZATION AND THE CHICAGO PUBLIC HEALTH DEPARTMENTS' HEALTHY CHICAGO 2.0 HEALTH PLAN. HIGH-RISK AREAS BASED ON THIS DATA INCLUDE SOUTH SUBURBAN OAK LAWN, BLUE ISLAND, BURNHAM, CALUMET PARK, DIXMOOR, FORD HEIGHTS, HARVEY AND HAZEL CREST. CHICAGO'S HIGH-RISK AREAS INCLUDE CHICAGO LAWN, WEST LAWN, MARQUETTE PARK, ENGLEWOOD, AUBURN-GRESHAM, GAGE PARK AND HEGEWISCH. PARTICULARLY HELPFUL TO ASSESSING COMMUNITY HEALTH NEEDS WAS CHICAGO'S HEALTHY SCHOOLS CAMPAIGN, CHICAGO PUBLIC HEALTH DEPARTMENT AND OAK LAWN-HOMETOWN SCHOOL DISTRICT 123, AS WELL AS UTILIZATION DATA FROM ADVOCATE'S MEDICAID MANAGED CARE PROGRAM.ADVOCATE CHRIST'S 2014-2016 AND THE PREVIOUS 2011-2013 CHNA REPORTS AND IMPLEMENTATION PLANS ARE POSTED ON THE ADVOCATE HEALTH CARE WEBPAGE WITH A MECHANISM FOR COMMUNITY FEEDBACK AS REQUIRED BY THE AFFORDABLE CARE ACT. AS OF DECEMBER 31, 2018, THERE HAVE BEEN NO COMMENTS OR INQUIRIES RECEIVED FROM THE COMMUNITY.
PART V, SECTION C - DESCRIPTION FOR PART V, SEC B, LINE 2 & 3J PART V, SECTION C - DESCRIPTION FOR PART V, SEC B, LINE 2N/APART V, SECTION C - DESCRIPTION FOR PART V, SEC B, LINE 3JN/A
ADVOCATE BROMENN MEDICAL CENTER: PART V, SECTION B, LINE 11 - CONTINUED OBESITYOBESITY WAS SELECTED AS ONE OF THE THREE TOP HEALTH PRIORITIES BY THE MCLEAN COUNTY COMMUNITY HEALTH COUNCIL BECAUSE IT RANKED AS NUMBER THREE ACCORDING TO ITS PRIORITY SCORE OF 153.8 FROM THE HANLON METHOD. ADDITIONALLY, THE COUNCIL FELT THAT BY IMPROVING OBESITY, MANY OTHER HEALTH OUTCOMES, SUCH AS HEART DISEASE, CANCER AND DIABETES MAY ALSO BE POSITIVELY IMPACTED. IT WAS ALSO SELECTED BECAUSE OBESITY IS A WIDESPREAD ISSUE AFFECTING MANY PEOPLE ACROSS ALL SOCIAL AND ECONOMIC SECTORS. THERE ARE MANY SIGNIFICANT EFFORTS UNDERWAY IN THE COMMUNITY RELATED TO OBESITY THROUGH THE MCLEAN COUNTY WELLNESS COALITION. THE HEALTH DEPARTMENT AND BOTH HOSPITALS ARE A PART OF THE MCLEAN COUNTY WELLNESS COALITION AS ARE 28 OTHER COMMUNITY ORGANIZATIONS IN MCLEAN COUNTY. THE MCLEAN COUNTY WELLNESS COALITION IS THE PRIMARY GROUP WORKING ON THE INTERVENTIONS OUTLINED IN THE 2017-2019 MCLEAN COUNTY COMMUNITY HEALTH IMPROVEMENT PLAN. HIGHLIGHTS FOR STEPS TAKEN OR PROGRAMS OFFERED IN 2018 AS A PART OF THE 2017-2019 MCLEAN COUNTY COMMUNITY HEALTH IMPROVEMENT PLAN TO ADDRESS OBESITY ARE LISTED BELOW: - THE PARTNERSHIP FOR HEALTH PILOT PROGRAM BEGAN IN APRIL 2017. THE PROGRAM IS A PRIVATE-PUBLIC PARTNERSHIP TO IMPROVE THE HEALTH AND FITNESS OF PEOPLE WITH DEVELOPMENTAL AND INTELLECTUAL DISABILITIES AND THEIR SUPPORT WORKERS. PARTNERS INCLUDE ADVOCATE BROMENN HEALTH AND FITNESS CENTER, MARCFIRST, ADVOCATE BROMENN CHARITABLE FOUNDATION, THE MCLEAN COUNTY HEALTH DEPARTMENT AND THE MCLEAN COUNTY BOARD FOR THE CARE AND TREATMENT OF PERSONS WITH A DEVELOPMENTAL DISABILITY (377 BOARD). THE PROGRAM INITIALLY SERVED 22 INDIVIDUALS FROM MARCFIRST. IN 2018, THE PROGRAM WAS EXPANDED TO SEVERAL COMMUNITY MEMBERS WITH A TOTAL OF 31 INDIVIDUALS BEING SERVED. OUTCOMES FROM YEAR ONE OF THE PROGRAM ARE POSITIVE RANGING FROM DECREASED BLOOD PRESSURE AND CHOLESTEROL TO INCREASED STRENGTH, STAMINA AND ENDURANCE.- IN MAY 2017, ADVOCATE BROMENN PLANTED THE ADVOCATE BROMENN VEGETABLE GARDEN AND ORCHARD ON LAND OWNED BY THE HOSPITAL. THE COMMUNITY HEALTH CARE CLINIC IS LOCATED ON THIS LAND. ONE-HUNDRED POUNDS OF PRODUCE GROWN WAS DONATED TO PATIENTS OF THE CLINIC IN BOTH 2017 AND 2018. THE PURPOSE OF THE GARDEN IS TO INCREASE ACCESS TO HEALTHY FOODS FOR THE LOW-INCOME POPULATION IN MCLEAN COUNTY.- IN 2018, THE COMMUNITY HEALTH DIRECTOR FOR CENTRAL ILLINOIS ATTENDED THE FEEDING THE CITIES SUMMIT WHICH IS FOCUSING ON DECREASING FOOD INSECURITY AND INCREASING ACCESS TO HEALTHY FOOD FOR MCLEAN COUNTY RESIDENTS. - THE COMMUNITY HEALTH CARE CLINIC AND HOME SWEET HOME MINISTRIES LAUNCHED A FOOD FARMACY PILOT PROGRAM IN AUGUST 2017. THE PROGRAM PROVIDES A PRESCRIPTION PASS TO PATIENTS AT THE CLINIC WHO HAVE DIABETES OR HEART DISEASE. THE PASS CAN BE USED TO OBTAIN FREE FRESH PRODUCE AND OTHER FOOD FROM THE BREAD FOR LIFE CO-OP FOR 12 WEEKS. ADVOCATE BROMENN AND OSF HEALTHCARE ST. JOSEPH MEDICAL CENTER SUPPORT THE COMMUNITY HEALTH CARE CLINIC. FROM AUGUST 2017 UNTIL DECEMBER 2018, 51 PATIENTS OF THE COMMUNITY HEALTH CARE CLINIC TOOK ADVANTAGE OF THE 12-WEEK PRESCRIPTION PASS FOR A TOTAL OF 196 SHOPPING TRIPS. AS A DIRECT RESULT OF THIS PROGRAM, THERE WAS AN INCREASE IN THE NUMBER OF HISPANICS SHOPPING AT THE BREAD FOR LIFE CO-OP. ADDITIONAL INTERVENTIONS ARE LISTED IN THE 2017-2019 MCLEAN COUNTY COMMUNITY HEALTH IMPROVEMENT PLAN AT HTTP://WWW.ADVOCATEHEALTH.COM/CHNAREPORTS.HEALTH NEEDS NOT SELECTED BIRTH OUTCOMESBIRTH OUTCOMES WAS NOT SELECTED AS A HEALTH PRIORITY SINCE IT WAS RATED SIXTH ACCORDING TO ITS PRIORITY SCORE. ALTHOUGH THE SERIOUSNESS OF THE PROBLEM AND THE LONG-TERM CONSEQUENCES WERE TAKEN INTO CONSIDERATION BY THE MCLEAN COUNTY COMMUNITY HEALTH COUNCIL, IT WAS AGREED THAT THE THREE HEALTH ISSUES SELECTED WERE GREATER IN BOTH SIZE AND SERIOUSNESS IN MCLEAN COUNTY. THE COUNCIL ALSO FELT THAT THERE ARE SEVERAL POSITIVE EFFORTS CURRENTLY UNDERWAY TO IMPROVE BIRTH OUTCOMES. FOR EXAMPLE, THERE IS A NO ELECTIVE INDUCTIONS LESS THAN 39 WEEKS INITIATIVE WITH THE MARCH OF DIMES AND BOTH HOSPITALS. ADDITIONALLY, ON OCTOBER 18, 2016, ADVOCATE BROMENN BEGAN PROVIDING NEONATOLOGY SERVICES IN PARTNERSHIP WITH ADVOCATE CHILDREN'S HOSPITAL. THIS IS A NEW SERVICE FOR THE MCLEAN COUNTY COMMUNITY. COVERAGE IS BEING PROVIDED BY THE NEONATOLOGISTS FROM ADVOCATE CHILDREN'S HOSPITAL. AS AN INTERMEDIATE CARE NURSERY WITH THIS ENHANCED LEVEL OF PHYSICIAN COVERAGE, THE HOSPITAL CAN KEEP BABIES AS YOUNG AS 32 WEEKS GESTATION. THIS ALLOWS NEW MOMS AND BABIES TO STAY TOGETHER, PROVIDING EXCELLENT OUTCOMES FOR FAMILIES.IN ADDITION, THE MCLEAN COUNTY HEALTH DEPARTMENT HAS THREE PROGRAMS AVAILABLE WHICH PROMOTE HEALTHY PREGNANCIES AND CONNECT PREGNANT WOMEN TO HEALTH AND WELLNESS SERVICES: ALL OUR KIDS EARLY CHILDHOOD NETWORK, FAMILY CASE MANAGEMENT, AND WOMEN, INFANTS AND CHILDREN. ORAL HEALTHTHERE WAS SOME DISCUSSION IN THE PRIORITIZATION MEETING ABOUT SELECTING ORAL HEALTH AS ONE OF THE THREE HEALTH PRIORITIES IN PLACE OF ONE OF THE THREE HIGHEST PRIORITY SCORING HEALTH CONCERNS. ORAL HEALTH RANKED CLOSELY BEHIND OBESITY (153.8) WITH A PRIORITY SCORE OF 148.4. ALTHOUGH ORAL HEALTH IS DEEMED AS AN EXTREMELY IMPORTANT ISSUE IN MCLEAN COUNTY, THE MCLEAN COUNTY COMMUNITY HEALTH COUNCIL AGREED TO PROCEED WITH THE THREE ISSUES THAT RECEIVED THE HIGHEST PRIORITY SCORES. THIS IS PARTIALLY DUE TO THE EFFORTS CURRENTLY IN PLACE TO ASSIST INDIVIDUALS WITHOUT DENTAL INSURANCE OR MEDICAID TO RECEIVE CARE. SOME EXAMPLES OF STEPS TAKEN TO ADDRESS ORAL HEALTH INCLUDE THE FOLLOWING. ADVOCATE BROMENN'S PRESIDENT AND/OR THE DIRECTOR OF COMMUNITY HEALTH ATTENDED SEVERAL ORAL HEALTH COLLABORATIVE MEETINGS WITH THE MCLEAN COUNTY PUBLIC HEALTH DEPARTMENT, OSF HEALTHCARE ST. JOSEPH MEDICAL CENTER, THE COMMUNITY HEALTH CARE CLINIC AND CHESTNUT HEALTH SYSTEMS TO DISCUSS THE ISSUE OF ACCESS TO DENTAL CARE FOR UNINSURED ADULTS IN MCLEAN COUNTY. FURTHERMORE, AN ADVOCATE MEDICAL GROUP PEDIATRICIAN'S OFFICE LOCATED IN NORMAL, ILLINOIS, HAS ALSO BEEN PARTICIPATING FOR SEVERAL YEARS IN THE BRIGHT SMILES FROM BIRTH PROGRAM THROUGH THE ILLINOIS CHAPTER OF THE AMERICAN ACADEMY OF PEDIATRICS AND THE ADVOCATE BROMENN FAMILY HEALTH CARE CLINIC BEGAN THE PROGRAM IN 2017. AFTER COMPLETING A COURSE, THE OFFICE CAN BILL MEDICAID FOR THE APPLICATION OF FLUORIDE VARNISH ON FULLY ERUPTED TEETH OF CHILDREN UNDER THREE YEARS OF AGE. EACH APPLICATION CAN BE DONE THREE TIMES PER YEAR. THE FLUORIDE SERVES TO PROTECT THE BABY TEETH RESULTING IN FEWER CAVITIES. THE MCLEAN COUNTY HEALTH DEPARTMENT ALSO PROVIDES A DENTAL CLINIC WITH INTERVENTION CARE FOR ADULTS (NO PREGNANT WOMEN), AND PREVENTIVE CARE AND INTERVENTION FOR KIDS. HEARTLAND HEAD START COORDINATES REFERRALS TO DENTAL CARE FOR KIDS SIX WEEKS TO FIVE YEARS AS WELL AS PREGNANT WOMEN. EXTRACTION CLINICS ARE HELD TWICE PER YEAR AT A LOCAL ORAL SURGEON'S OFFICE. RESPIRATORY DISEASEONE OF THE REASONS RESPIRATORY DISEASE WAS NOT SELECTED AS ONE OF THE TOP THREE HEALTH PRIORITIES FOR MCLEAN COUNTY WAS THAT IT RANKED FIFTH ACCORDING TO ITS PRIORITY SCORE OF 121 AND THE MCLEAN COUNTY COMMUNITY HEALTH COUNCIL DID NOT FEEL THAT THERE WAS A COMPELLING REASON TO ELIMINATE ONE OF THE HEALTH CONCERNS THAT RANKED IN THE TOP THREE. THE COUNCIL DID DISCUSS THAT IMPROVING ACCESS TO APPROPRIATE HEALTHCARE MAY POSSIBLY ALSO IMPROVE HEALTH OUTCOMES FOR RESPIRATORY DISEASE, PARTICULARLY IN AREAS OF HIGH SOCIOECONOMIC NEEDS.
ADVOCATE CHRIST MEDICAL CENTER: PART V, SECTION B, LINE 11 - CONTINUED ADVOCATE CHRIST OFFERS A SERIES OF COMMUNITY HEALTH CLASSES THAT INCREASE AWARENESS OF HEART DISEASE AND SUPPORT INDIVIDUALS IN THEIR JOURNEY TO BETTER HEART HEALTH. A VARIETY OF SUPPORT GROUPS ARE ALSO PROVIDED THAT ENCOURAGE HEALTHY HEART CARE IN THE COMMUNITY. THE "LIVE FROM THE HEART" PROGRAM, A PARTNERSHIP BETWEEN CHICAGO'S MUSEUM OF SCIENCE AND INDUSTRY AND ADVOCATE CHRIST, EDUCATES HIGH SCHOOL STUDENTS ABOUT HEART HEALTH THROUGH LIVE INTERACTIVE HEART SURGERIES THAT ARE PROVIDED VIA VIDEO MONITORING IN A CLASSROOM. THE INTERACTIVE PROGRAM ALSO HELPS TO FOSTER INTEREST IN THE HEALTH SCIENCES.HYPERTENSION AND CEREBROVASCULAR DISEASEHYPERTENSION IS A KNOWN RISK FACTOR FOR CEREBROVASCULAR DISEASE (STROKE). THE ADVOCATE CHRIST NEUROSCIENCES INSTITUTE IS A COMPREHENSIVE STROKE CENTER ACCREDITED BY DET NORSKE VERITAS (DNV) HEALTHCARE, INC. AS ONE OF THE BUSIEST STROKE CENTERS IN THE CHICAGOLAND AREA, THE MEDICAL CENTER TREATS MORE THAN 900 NEW STROKE PATIENTS EACH YEAR. BECAUSE THE STROKE TEAM SEES SUCH A LARGE VOLUME AND VARIETY OF STROKE CASES, THE PHYSICIANS HAVE THE SKILLS AND EXPERIENCE TO TREAT ALL LEVELS OF STROKE CASES, ESPECIALLY IN MANAGING POST-STROKE RECOVERY AND REHABILITATION. THE NEUROSCIENCES INSTITUTES'S COMMUNITY EDUCATION PROGRAMS INCLUDE HEALTH FAIRS, COMMUNITY LECTURES AND EDUCATIONAL PARTNERSHIPS WITH LOCAL SCHOOLS. THE INSTITUTE ALSO HOSTS MONTHLY COMMUNITY STROKE SUPPORT GROUPS.HEALTH NEEDS SELECTED TO ADDRESS BY ADVOCATE CHILDREN'SIN THE 2014-2016 CHNA, ADVOCATE CHILDREN'S IDENTIFIED THREE PRIORITY COMMUNITY HEALTH NEEDS FOR ACTION: 1. BECOME A TRAUMA-INFORMED CHILDREN'S HOSPITAL; 2. PROVIDE SCHOOL-BASED HEALTH CARE SERVICES TO HIGH RISK, LOW-INCOME CHILDREN IN THE SOUTH REGION MEDICAID MANAGED CARE PROGRAM; AND 3. REDUCE THE INCIDENCE OF UNCONTROLLED ASTHMA IN CHILDREN.BECOME A TRAUMA-INFORMED CHILDREN'S HOSPITALPLANS INCLUDED BECOMING THE FIRST TRAUMA-INFORMED CHILDREN'S HOSPITAL IN THE METROPOLITAN CHICAGO AREA, AS WELL AS FURTHERING THE PARTNERSHIP WITH THE ADVERSE CHILDHOOD EXPERIENCES (ACE) PROGRAM OF THE HEALTH AND MEDICINE POLICY RESEARCH GROUP TO DETERMINE BEST PRACTICES FOR TRAINING THE HOSPITAL'S CLINICAL TEAM ON ACES AND THEIR IMPACT ON IMPROVING CHILDREN'S HEALTH OUTCOMES. ADVOCATE CHILDREN'S WORKED CLOSELY WITH THE CHICAGO DEPARTMENT OF PUBLIC HEALTH TO ASSIST IN REACHING ITS HEALTHY CHICAGO 2.0 GOAL OF BECOMING A TRAUMA-INFORMED CITY AND WITH ILLINOIS SENATOR DICK DURBIN TO SUPPORT LEGISLATION TO FURTHER TRAUMA-INFORMED CARE FOR CHILDREN.PROGRAM RESULTS IN 2018 WERE AS FOLLOWS.- SPONSORED AN ACADEMIC CONFERENCE TITLED "VIOLENCE IN COMMUNITIES: PROVIDING TRAUMA INFORMED CARE TO PEDIATRIC PATIENTS." A TOTAL OF 224 PHYSICIANS AND CLINICIANS WERE IN ATTENDANCE.- PROVIDED INTENSE TRAINING TO RONALD MCDONALD CARE MOBILE (RMCM) TEAMS IN TRAUMA INFORMED CARE.- LAUNCHED SCREENING OF SOCIAL DETERMINANTS OF HEALTH (SDOH) AND MAKING COMMMUNITY REFERRALS THROUGH NOWPOW COMMUNITY RESOURCE REFERRAL TOOL.- WORKED WITH ILLINOIS ACE (ADVERSE CHILDHOOD EXPERIENCES) RESPONSE COLLABORATION TO DEVELOP COMPUTER-BASED TRAINING MODULE.- DEVELOPED A STAFF NEEDS FUND TO PROVIDE RESOURCES TO STAFF EXPERIENCING TRAUMATIC EVENTS.- POLICY INTERVENTION-REVISED THE SEXUAL ABUSE POLICY TO INCLUDE TRAUMA INFORMED APPROACHES.- STARTED A CENTERING PREVENTION PROGRAM AT FOUR CLINICAL SITES.- TRAINED ALL CARE MANAGERS IN TRAUMA INFORMED APPROACH.PROVIDE SCHOOL-BASED HEALTH CARE SERVICES TO HIGH RISK, LOW-INCOME CHILDREN IN THE SOUTH REGION MEDICAID MANAGED CARE PROGRAM STRATEGIES INCLUDE OFFERING TARGETED, SCHOOL-BASED HEALTH SERVICES TO HIGH RISK, LOW INCOME CHILDREN WHO ARE UNINSURED OR ARE RECEIVING MEDICAID. SERVICES INCLUDED PRIMARY MEDICAL CARE, IMMUNIZATIONS, ASTHMA AND WEIGHT MANAGEMENT, WELLNESS AND HEALTH EDUCATION. ADVOCATE CHILDREN'S AIMED TO IMPROVE ACCESS TO PRIMARY HEALTH SERVICES THROUGH A MOBILE HEALTH CLINIC-THE RONALD MCDONALD CARE MOBILE, IMPROVE COMPLIANCE FOR PHYSICALS AND IMMUNIZATIONS AT TARGETED SCHOOLS, ESTABLISH MEDICAL AND SOCIAL REFERRAL NETWORKS AND IMPROVE ASTHMA EDUCATION AND COMPLIANCE FOR PATIENTS SEEN ON THE CARE MOBILE.PROGRAM RESULTS FOR 2018 WERE AS FOLLOWS: - ADVOCATE CHILDREN'S TREATED 1,301 PATIENTS IN OAK LAWN PSA/SSA. - FROM JANUARY TO OCTOBER 2018, THE CARE MOBILE TEAM PROVIDED SERVICES TO 1,155 CHILDREN, INCLUDING 1,067 PHYSICALS.- IN SEPTEMBER 2018, ADVOCATE CHILDREN'S IMPLEMENTED FOOD INSECURITY SCREENING WHICH RESULTED IN 21 PERCENT OF THE PATIENT POPULATION SCREENING POSITIVE FOR FOOD INSECURITY AT THE END OF DECEMBER 2018. - A TOTAL OF 2,109 VACCINES WERE GIVEN IN ADVOCATE CHILDREN'S-OAK LAWN PSA/SSA.- OVER 200 ONE-TO-ONE PATIENT EDUCATION SESSIONS WERE PROVIDED FOR NUTRITION, DENTAL HEALTH, IMMUNIZATIONS, ASTHMA AND SEXUAL HEALTH.REDUCE INCIDENCE OF UNCONTROLLED ASTHMA IN CHILDRENSTRATEGIES INCLUDED TARGETING ASTHMA SELF-MANAGEMENT SERVICES TO LOW-INCOME CHILDREN TREATED ON THE RONALD MCDONALD CARE MOBILE. ADVOCATE CHILDREN'S RESPIRATORY CARE SPECIALISTS AND HEALTH EDUCATORS ALSO OFFERED THE NATIONAL LUNG ASSOCIATION'S KICKIN' ASTHMA SCHOOL-BASED ASTHMA EDUCATION PROGRAM TO TARGETED MIDDLE AND HIGH SCHOOL AGED STUDENTS.PROGRAM RESULTS FOR 2018 WERE AS FOLLOWS:- THE KICKIN' ASTHMA EDUCATION PROGRAM WAS OFFERED IN THREE SCHOOLS.- A TOTAL OF 22 STUDENTS FROM THE THREE SCHOOLS PARTICIPATED IN THE PROGRAM.HEALTH NEEDS NOT SELECTED TO ADDRESS BY ADVOCATE CHILDREN'SCHILDHOOD OBESITY WHILE NOT AN IDENTIFIED AREA FOR ACTION, CHILDHOOD OBESITY IS BEING ADDRESSED THROUGH THE HOSPITAL-SPONSORED PROACTIVE KIDS PROGRAM FOR WEIGHT LOSS AND WEIGHT MANAGEMENT. ALSO, THE HOSPITAL'S NEW HEALTHY ACTIVE LIVING PROGRAM, WHICH IS A WEIGHT MANAGEMENT PROGRAM FOR OVERWEIGHT AND OBESE CHILDREN, WILL BE OFFERED TO CHILDREN LARGELY INSURED THROUGH MEDICAID. ORAL HEALTHADVOCATE CHILDREN'S IS COLLABORATING WITH MOBILE CARE CHICAGO, AN ORGANIZATION PROVIDING MOBILE DENTAL CARE TO THE AREA'S UNDERSERVED. WHERE APPROPRIATE, PATIENTS SEEN THROUGH THE ADVOCATE CHILDREN'S RONALD MCDONALD CARE MOBILE PROGRAM ARE REFERRED TO MOBILE CARE CHICAGO AND AREA DENTISTS ACCEPTING MEDICAID.
ADVOCATE GOOD SHEPHERD HOSPITAL: PART V, SECTION B, LINE 11 - CONTINUED IN 2018, ADVOCATE GOOD SHEPHERD HOSTED FOUR YOUTH MENTAL HEALTH FIRST AID TRAININGS-CASA (COURT APPOINTED SPECIAL ADVOCATE) OF MCHENRY COUNTY, WAUCONDA HIGH SCHOOL ADMINISTRATORS AND FACULTY, BE STRONG BARRINGTON BOARD MEMBERS AND A COMMUNITY TRAINING OPEN TO ANY INDIVIDUAL WHO WORKS WITH YOUTH. FROM THE ADVOCATE GOOD SHEPHERD SERVICE AREA, 78 INDIVIDUALS IN YOUTH SERVICES COMPLETED THE TRAINING. POST-SURVEY RESULTS SHOWED ONE-HUNDRED PERCENT OF PARTICIPANTS HAD AN INCREASED KNOWLEDGE OF DE-ESCALATION TECHNIQUES AND WERE MORE CONFIDENT ABOUT RECOGNIZING AND CORRECTING MISCONCEPTIONS ABOUT MENTAL HEALTH AND MENTAL ILLNESSES. COMMUNITY HEALTH STAFF HAVE FOUND THAT IT IS EXTREMELY DIFFICULT FOR HOSPITAL CLINICAL STAFF TO ATTEND THE EIGHT-HOUR MENTAL HEALTH FIRST AID TRAINING. CLINICAL STAFF HAVE A NUMBER OF REQUIRED TRAININGS TO COMPLETE EACH YEAR TO MAINTAIN LICENSURE, AND THEY RARELY HAVE EXTRA DAYS AVAILABLE TO ATTEND NON-CLINICAL TRAINING. BECAUSE OF THIS, COMMUNITY HEALTH STAFF HAVE SHIFTED TO PRIMARILY TARGET COMMUNITY RESIDENTS WHO WORK WITH YOUTH TO ATTEND THE MENTAL HEALTH FIRST AID TRAINING. IN 2018, COMMUNITY HEALTH STAFF ALSO COLLABORATED WITH THE MCHENRY COUNTY MENTAL HEALTH BOARD, NAMI (NATIONAL ALLIANCE ON MENTAL ILLNESS) OF MCHENRY COUNTY AND CRYSTAL LAKE SCHOOL DISTRICT 47 TO HOLD A YOUTH MENTAL HEALTH FIRST AID MASTER INSTRUCTOR TRAINING FOR ALL SCHOOL DISTRICTS IN MCHENRY COUNTY. EACH SCHOOL DISTRICT WILL SEND TWO REPRESENTATIVES TO BECOME MASTER INSTRUCTORS, WHO WILL THEN HOLD YOUTH MENTAL HEALTH FIRST AID TRAINING AT THEIR SCHOOL DISTRICT. THE MASTER TRAINING SESSION IS PLANNED TO TAKE PLACE IN 2019. ALSO IN 2018, THROUGH COLLABORATION WITH ADVOCATE CONDELL, THE HOSPITAL SPONSORED TWO INDIVIDUALS WHO ARE CERTIFIED IN ADULT MENTAL HEALTH FIRST AID TO RECEIVE THE YOUTH MENTAL HEALTH FIRST AID CERTIFICATION. THE TWO INSTRUCTORS ARE SPANISH-SPEAKING AND WILL HOLD TRAINING SESSIONS IN LAKE AND MCHENRY COUNTIES IN SPANISH, WHICH IS A NEED IN BOTH COUNTIES.THE SECOND STRATEGY TO ADDRESS MENTAL HEALTH IS TO INCREASE THE NUMBER OF ADULTS WHO ARE SCREENED FOR DEPRESSION AND, IF POSITIVE, REFERRED TO SUPPORTIVE SERVICES BY HEALTH CARE PROFESSIONALS. COLLABORATIVE CARE FOR THE MANAGEMENT OF DEPRESSIVE DISORDERS IS A MULTICOMPONENT, HEALTHCARE SYSTEM-LEVEL INTERVENTION THAT USES CASE MANAGERS TO LINK PRIMARY CARE PROVIDERS, PATIENTS AND MENTAL HEALTH SPECIALISTS. THIS COLLABORATION IS DESIGNED TO IMPROVE THE ROUTINE SCREENING AND DIAGNOSIS OF DEPRESSIVE DISORDERS, INCREASE PROVIDER USES OF EVIDENCE-BASED PROTOCOLS FOR THE PROACTIVE MANAGEMENT OF DIAGNOSED DEPRESSIVE DISORDERS, AND IMPROVE CLINICAL AND COMMUNITY SUPPORT FOR ACTIVE PATIENT ENGAGEMENT IN TREATMENT GOAL SETTING AND SELF-MANAGEMENT. ADVOCATE GOOD SHEPHERD IS SCREENING HOSPITAL PATIENTS AGE 65 AND OLDER, OBSTETRIC PATIENTS AND CARDIOLOGY PATIENTS. HOSPITAL HEALTH CARE PROFESSIONALS REFER INDIVIDUALS WHO SCREEN POSITIVE TO COMMUNITY AND MENTAL HEALTH SUPPORT SERVICES. IN 2018, ADVOCATE GOOD SHEPHERD CONTINUED TO STRENGTHEN RELATIONSHIPS WITH THE LAKE COUNTY HEALTH DEPARTMENT AND THE MCHENRY COUNTY MENTAL HEALTH BOARD WITH THE GOAL OF IMPROVING THE REFERRAL PROCESS. COMMUNITY HEALTH STAFF COMPLETED VERIFICATION THAT DEPRESSION SCREENINGS USING THE PHQ-9 SCREENING TOOL ARE OCCURRING AT ADVOCATE GOOD SHEPHERD. REFERRALS TO MENTAL HEALTH PROVIDERS ARE BEING COMPLETED BY PHYSICIANS. HOWEVER, CURRENTLY THERE IS NO AGGREGATE DATA REPORT AVAILABLE OF PATIENTS WHO HAVE COMPLETED DEPRESSION SCREENING. THE DATA IS ONLY AVAILABLE WITHIN THE PATIENT REGISTRY. COMMUNITY HEALTH STAFF CONSULTED WITH THE ADVOCATE BEHAVIORAL HEALTH SERVICE LINE TO DETERMINE IF AGGREGATE DATA CAN BE GENERATED FROM THE REGISTRY DATA, AND NO SUCH REPORT CAN BE DEVELOPED. IN 2018, COMMUNITY HEALTH STAFF ALSO BEGAN EXPLORING A NEW PARTNERSHIP WITH THE HARVARD SENIOR CENTER AND THE PEARLS PROGRAM. THE PROGRAM TO ENCOURAGE ACTIVE, REWARDING LIVES (PEARLS) IS A NATIONAL EVIDENCE-BASED PROGRAM FOR LATE-LIFE DEPRESSION. PEARLS BRINGS HIGH QUALITY MENTAL HEALTH CARE INTO COMMUNITY-BASED SETTINGS THAT REACH VULNERABLE OLDER ADULTS. ADVOCATE GOOD SHEPHERD AND THE HARVARD SENIOR CENTER WILL COLLABORATE TO HOLD A TWO-DAY PEARLS PROGRAM MASTER TRAINING FOR PROFESSIONALS WHO WORK WITH THE SENIOR POPULATION. THE PEARLS PROGRAM WILL REPLACE THE COLLABORATIVE CARE FOR THE MANAGEMENT OF DEPRESSIVE DISORDERS INTERVENTION.COMMUNITY HEALTH STAFF EXAMINED THE RATES OF DEPRESSION FOR MEDICARE BENEFICIARIES AND THE HOSPITALIZATION RATES FOR SUICIDE AND SELF-INJURY IN THE ADVOCATE GOOD SHEPHERD SERVICE AREA AND DISCOVERED BOTH RATES WERE HIGH. DUE TO THIS, THE HOSPITAL ARRANGED TWO ONE-HOUR QUESTION, PERSUADE AND REFER (QPR) AND STRESS MANAGEMENT TRAININGS FOR THE WAUCONDA TOWNSHIP CENTER AND THE SENIOR BREAKFAST CLUB AT ADVOCATE GOOD SHEPHERD. QPR IS AN EVIDENCE-BASED SUICIDE PREVENTION TRAINING DESIGNED TO EMPOWER A PERSON WITH THE TOOLS TO IDENTIFY IF SOMEONE IS SUICIDAL AND REFER THEM TO PROFESSIONAL RESOURCES. A TOTAL OF 49 PEOPLE ATTENDED THE QPR SESSIONS. THE THIRD STRATEGY TO ADDRESS MENTAL HEALTH IS TO STRENGTHEN ADVOCATE GOOD SHEPHERD'S LINKAGES TO COMMUNITY MENTAL HEALTH AGENCIES WITHIN THE SERVICE AREA. ON MAY 12, 2018, THE HOSPITAL SPONSORED A MENTAL HEALTH RESOURCE FAIR TO INTRODUCE COMMUNITY MENTAL HEALTH AGENCIES AND PROVIDERS TO ADVOCATE GOOD SHEPHERD STAFF (PROVIDERS, NURSES, SOCIAL WORKERS, CARE MANAGERS). RESOURCE FAIR ATTENDEES LEARNED ABOUT SERVICES PROVIDED AND INSURANCE COVERAGE ACCEPTED BY THE MENTAL HEALTH AGENCIES TO INCREASE THE KNOWLEDGE THAT ADVOCATE GOOD SHEPHERD STAFF HAVE ABOUT MENTAL HEALTH RESOURCES AVAILABLE FOR HOSPITAL PATIENTS. THE RESOURCE FAIR WAS HELD JOINTLY WITH ADVOCATE CONDELL. A TOTAL OF 13 PEOPLE ATTENDED THE RESOURCE FAIR. BASED ON PRE-TEST AND POST-TEST RESULTS THERE WAS A FORTY-SIX PERCENT INCREASE OF KNOWLEDGE OF RESOURCES IN THE COMMUNITY FOR ATTENDEES. LOW ATTENDANCE WAS LIKELY DUE TO THE FACT THAT IT WAS HELD ON A SATURDAY, WHEN STAFFING LEVELS ARE LOWER AT THE HOSPITAL. ADDITIONALLY, RESOURCE FAIRS OVERALL ARE GARNERING MUCH LOWER ATTENDANCE THAN IN PREVIOUS YEARS DUE TO THE EASE AND AVAILABILITY OF INFORMATION NOW BEING AVAILABLE ONLINE. TO ADDRESS THE MENTAL HEALTH NEEDS OF THE BARRINGTON AREA, IN 2017-2018, ADVOCATE GOOD SHEPHERD ALSO OVERSAW THE DEVELOPMENT AND LAUNCH OF A MENTAL HEALTH RESOURCE WEBSITE NAMED HEALTHY BARRINGTON. HTTPS://HEALTHYBARRINGTON.ORG/LOCAL-MENTAL-HEALTH-PROVIDERS/COMMUNITY HEALTH STAFF PARTNERED WITH BARRINGTON YOUTH AND FAMILY SERVICES TO APPLY FOR A $15,000 GRANT FROM THE BARRINGTON AREA COMMUNITY FOUNDATION TO PARTIALLY FUND THE WEBSITE DEVELOPMENT. ADVOCATE GOOD SHEPHERD FUNDED THE REMAINING COST. COMMUNITY HEALTH STAFF WORKED FOR SEVERAL MONTHS WITH A CONTRACTED WEBSITE DEVELOPER AND A SUBCOMMITTEE OF THE HEALTHIER BARRINGTON COALITION TO DEVELOP THE WEBSITE, WHICH PROVIDES A WIDE ARRAY OF RESOURCES TO BARRINGTON AREA RESIDENTS, INCLUDING MENTAL HEALTH COUNSELING, SUBSTANCE USE TREATMENT AND OTHER SUPPORTIVE SERVICES WITHIN THE GREATER CHICAGOLAND AREA. THE WEBSITE OFFICIALLY LAUNCHED IN AUGUST 2018.MENTAL HEALTH AND SUBSTANCE USE ARE COMMON CO-OCCURRING CONDITIONS. THOUGH NOT SPECIFICALLY SELECTED AS A PRIORITY, THE HOSPITAL SAW THE NEED TO IMPLEMENT A PROGRAM TO SPECIFICALLY ADDRESS COMMUNITY RESIDENTS STRUGGLING WITH OPIOID USE DISORDER. FOR THE ADVOCATE GOOD SHEPHERD PSA, THE AGE-ADJUSTED ER RATE DUE TO SUBSTANCE ABUSE CONSISTENTLY CLIMBED FROM 10 ED VISITS PER 10,000 POPULATION IN 2010-2012, TO 12 ED VISITS PER 10,000 POPULATION IN 2012-2014. IN 2018, ADVOCATE GOOD SHEPHERD ENTERED INTO AN AGREEMENT WITH GATEWAY FOUNDATION ALCOHOL AND DRUG TREATMENT, A NON-PROFIT ORGANIZATION WITH TREATMENT CENTERS LOCATED THROUGHOUT ILLINOIS, TO SPECIFICALLY ADDRESS THE OPIOID CRISIS IN LAKE COUNTY AND MCHENRY COUNTY. IN COORDINATION WITH HOSPITAL EMERGENCY DEPARTMENT (ED) STAFF, GATEWAY FOUNDATION HAS PLACED A FULL-TIME CREDENTIALED ENGAGEMENT SPECIALIST WITHIN THE ADVOCATE GOOD SHEPHERD ED TO WORK WITH PATIENTS PRESENTING WITH A MEDICAL ISSUE RELATED TO OPIOID USE DISORDER. THE GATEWAY ENGAGEMENT SPECIALIST WORKS CLOSELY WITH ED SOCIAL WORKERS AND CARE MANAGERS TO COMPLETE A CLINICAL ASSESSMENT AND CONTINUING CARE PLAN WITH THE PATIENT. THE GOAL IS TO COORDINATE A DIRECT TRANSFER OR REFERRAL INTO SUBSTANCE USE TREATMENT FOR PATIENTS COMING INTO THE ED FOR OPIOIDS. GATEWAY FOUNDATION ALSO EMPLOYS A RECOVERY COACH TO PROVIDE SUPPORT AND COMMUNITY OUTREACH TO INDIVIDUALS SEEKING TREATMENT OR IN RECOVERY. THE PROGRAM LAUNCHED IN JANUARY 2018 AND 59 PATIENTS WERE SEEN BY THE ENGAGEMENT SPECIALIST IN 2018. THIRTY-FIVE PATIENTS (FIFTY-NINE PERCENT) WERE REFERRED FOR SUBSTANCE USE TREATMENT, AND OF THESE, 12 PATIENTS (THIRTY-FOUR PERCENT) KEPT THE APPOINTMENT WITH THE TREATMENT FACILITY.
ADVOCATE GOOD SHEPHERD HOSPITAL: PART V, SECTION B, LINE 11 - CONTINUED NEEDS NOT SELECTED TO ADDRESSDIABETESDIABETES WAS IDENTIFIED AS A HEALTH NEED WITHIN THE ADVOCATE GOOD SHEPHERD SERVICE AREA. DIABETES PREVALENCE IS INCREASING OVER TIME IN THE NATION AND LOCALLY. EMERGENCY ROOM AND HOSPITALIZATION RATES FOR DIABETES HAVE ALSO CONTINUED TO INCREASE OVER TIME. THOUGH A SIGNIFICANT NEED, THE COMMUNITY HEALTH COUNCIL MADE THE DECISION TO FOCUS ON OBESITY AS A PRIORITY, GIVEN ITS IMPACT ON THE RISK FOR PRE-DIABETES AND DIABETES. ADVOCATE GOOD SHEPHERD HAS A DIABETES ADVISORY COMMITTEE THAT IS COMMITTED TO DIABETES PREVENTION AND TREATMENT IN THE COMMUNITY THROUGH EDUCATION, PROGRAMMING AND SCREENINGS. CARDIOVASCULAR DISEASEIN MCHENRY COUNTY, THERE HAS BEEN A DECLINE IN MORTALITY RATES FOR HEART DISEASE AND STROKE. OVER THE PAST DECADE, MCHENRY COUNTY'S HEART DISEASE DEATH RATE HAS DROPPED BY NINETEEN PERCENT, WHILE THE STROKE DEATH RATE HAS FALLEN BY TWENTY-FIVE PERCENT. THE MOST RECENT DEATH RATE DATA FOR STROKE AND HEART DISEASE SHOWS THIS CONTINUING DOWNWARD TREND. THE PREVALENCE RATE OF HEART DISEASE IS SLIGHTLY HIGHER IN MCHENRY COUNTY THAN LAKE COUNTY; HOWEVER, THE MORTALITY RATE FROM HEART DISEASE IS HIGHER IN LAKE COUNTY THAN MCHENRY COUNTY. THE COMMUNITY HEALTH COUNCIL DECIDED IT WAS MORE BENEFICIAL TO PRIORITIZE OBESITY BECAUSE OF ITS IMPACT ON THE RISK FACTORS FOR HEART DISEASE. THE HOSPITAL IS COMMITTED TO DECREASING THE RATE OF HEART DISEASE THROUGH MANY OF THE ADVOCATE HEART INSTITUTE PROGRAMS. THE HOSPITAL CONTINUES TO BE A MEMBER OF THE CARDIOVASCULAR MAPP (MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS) ACTION TEAM IN MCHENRY COUNTY AND PARTNERS WITH THE MCHENRY COUNTY HEALTH DEPARTMENT TO ADMINISTER THE HEART AGE SCREENING TOOL THROUGHOUT THE COMMUNITY.SUBSTANCE ABUSESUBSTANCE ABUSE WAS IDENTIFIED AS A NEED WITHIN THE ADVOCATE GOOD SHEPHERD SERVICE AREA. CONTRIBUTING HEALTH BEHAVIORS IDENTIFIED INCLUDED EXCESSIVE ALCOHOL USE IN ADULTS AND THE PERCENTAGE OF TEENS USING MARIJUANA. THOSE WHO ARE MENTALLY ILL ARE MORE LIKELY TO ABUSE DRUGS OR ALCOHOL. ACCORDING TO THE SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION (SAMHSA), TWENTY-SEVEN PERCENT OF PEOPLE WITH MENTAL HEALTH ISSUES ABUSED ILLICIT DRUGS IN 2012. BECAUSE OF THE UNDERLYING MENTAL HEALTH ISSUES AFFECTING THE USE OF SUBSTANCES, THE COMMUNITY HEALTH COUNCIL DECIDED TO SELECT MENTAL HEALTH AS THE PRIORITY. ADVOCATE GOOD SHEPHERD COMMUNITY HEALTH STAFF ARE ACTIVE MEMBERS OF THE MCHENRY COUNTY SUBSTANCE ABUSE COALITION AND THE LAKE COUNTY OPIOID INITIATIVE.
ADVOCATE GOOD SAMARITAN HOSPITAL: PART V, SECTION B, LINE 11 - CONTINUED NINETY-SIX PERCENT OF MHFA PARTICIPANTS REPORTED THAT THEY RECOGNIZE THE SIGNS THAT SOMEONE MAY BE DEALING WITH A MENTAL HEALTH PROBLEM/CRISIS.ONE-HUNDRED PERCENT OF MHFA PARTICIPANTS REPORTED THAT THEY AGREED OR STRONGLY AGREED TO FEELING MORE COMFORTABLE LISTENING TO SOMEONE IN DISTRESS.ONE-HUNDRED PERCENT OF MHFA PARTICIPANTS AGREED OR STRONGLY AGREED THAT THEY ARE AWARE OF THEIR OWN VIEWS OR FEELINGS ABOUT MENTAL HEALTH PROBLEMS AND DISORDERS.DUPAGE COUNTY MENTAL HEALTH COLLABORATIVE-STRATEGY THREECOLLABORATE IN A COLLECTIVE IMPACT MODEL WITH DUPAGE COUNTY HEALTH DEPARTMENT, DUPAGE FEDERATION ON HUMAN SERVICES, DUPAGE HEALTH COALITION AND OTHER DUPAGE COUNTY HOSPITALS TO EXPLORE EFFECTIVE METHODS OF ADDRESSING MENTAL HEALTH CRISES IN DUPAGE COUNTY.2018 DUPAGE COUNTY MENTAL HEALTH COLLABORATIVE-STRATEGY THREE UPDATES/PROGRESSTHE DUPAGE COUNTY HEALTH DEPARTMENT ALONG WITH THE DUPAGE HEALTH COALITION CONVENED MULTIPLE STAKEHOLDER AND COMMUNITY LISTENING SESSIONS TO GAIN INSIGHT ON MENTAL HEALTH NEEDS AND ISSUES WITHIN THE COMMUNITY. EMERGENCY MEDICAL SERVICES (EMS), HOSPITALS, SOCIAL SERVICE AGENCIES, MENTAL HEALTH GROUPS AND OTHER COMMUNITY ORGANIZATIONS ATTENDED THESE LISTENING SESSIONS TO PROVIDE CRITICAL FEEDBACK AND IDENTIFY MENTAL HEALTH NEEDS/FOCUS AREAS. POST-INCARCERATION SUPPORT FOR THOSE WITH A MENTAL ILLNESS WAS IDENTIFIED AS A SERIOUS HEALTH NEED IN THE COMMUNITY. A POST-INCARCERATION SUB-GROUP, WHICH THE HOSPITAL WAS ENGAGED IN, WAS FORMED AND MET IN NOVEMBER OF 2017. THE SUB-GROUP FOCUSED ON ADDRESSING POST-INCARCERATION SUPPORT FOR THE MENTALLY ILL AND BRAINSTORMED WAYS TO ADDRESS THE NEED. IN 2018, THE DUPAGE COUNTY HEALTH DEPARTMENT RECEIVED A GRANT TO EMPLOY A RE-ENTRY SPECIALIST WHO WORKS WITH RECENTLY RELEASED OFFENDERS TO PROVIDE COMMUNITY SUPPORT AND RESOURCES FOR THEIR MENTAL NEEDS. ADVOCATE GOOD SAMARITAN IS ENGAGED IN THIS WORK THROUGH ITS MEMBERSHIP ON THE IMPACT DUPAGE STEERING COMMITTEE, A COMMITTEE THAT OVERSEES THE COUNTY'S COMMUNITY HEALTH NEEDS ASSESSMENT AND STRATEGIES, INCLUDING THE RE-ENTRY SPECIALIST PROGRAM.THE COLLABORATIVE IDENTIFIED THE RE-ENTRY SPECIALIST PROGRAM AS THE MENTAL HEALTH BEST PRACTICE THAT WOULD MOST EFFECTIVELY ADDRESS THE MENTAL HEALTH NEEDS IN DUPAGE COUNTY. 2018 WAS DEDICATED TO THE PLANNING AND STRUCTURING OF THE RE-ENTRY SPECIALIST PROGRAM. THE PROGRAM WILL BE IMPLEMENTED IN 2019 AT WHICH TIME THE HOSPITAL WILL REACH OUT TO IDENTIFY ANY OPPORTUNITIES TO PARTNER AND/OR SUPPORT THE PROGRAM.90-MINUTE MENTAL HEALTH TRAINING-STRATEGY FOURPROVIDE A 90-MINUTE MENTAL HEALTH TRAINING FOR EMERGENCY DEPARTMENT (ED) STAFF AND PHYSICIANS.2018 90-MINUTE MENTAL HEALTH TRAINING- STRATEGY FOUR UPDATES/PROGRESSADVOCATE GOOD SAMARITAN DID NOT HAVE ANY MENTAL HEALTH TRAININGS FOR ED STAFF IN 2018 DUE TO STAFF TURN-OVER AND ORGANIZATIONAL RE-STRUCTURING. THE HOSPITAL PLANS TO WORK WITH THE ED LEADERSHIP TEAM TO IMPLEMENT THIS TRAINING IN 2019.TEEN RECOVERY SUPPORT GROUP-STRATEGY FIVE-FIVE SUPPORT NAMI'S TEEN RECOVERY SUPPORT GROUP THROUGH PROVIDING ADVOCATE GOOD SAMARITAN MENTAL HEALTH COUNSELORS TO FACILITATE GROUP DISCUSSIONS.2018 TEEN RECOVERY SUPPORT GROUP- STRATEGY UPDATES/PROGRESSTHERE WERE THREE ADVOCATE GOOD SAMARITAN MENTAL HEALTH COUNSELORS APPROVED TO FACILITATE THE YOUTH PEER SUPPORT GROUP.HOSPITAL MENTAL HEALTH COUNSELORS WORKED WITH THE NAMI DUPAGE YOUTH DIRECTOR TO PILOT THE FIRST ROUND OF SUPPORT GROUPS. THE MENTAL HEALTH COUNSELORS FACILITATED A TOTAL OF EIGHT GROUPS IN 2018.IN 2018, THERE WERE SIX GROUP PARTICIPANTS (MAXIMUM GROUP SIZE IS TEN).ONE-HUNDRED PERCENT OF GROUP PARTICIPANTS ATTENDED AT LEAST ONE-HALF OF GROUP SESSIONS.COMMUNITY HEALTH NEEDS NOT SELECTEDSUBSTANCE ABUSESUBSTANCE ABUSE WAS INCLUDED IN THE TOP THREE HEALTH NEEDS FOR THE 2014-2016 CHNA BUT WAS NOT SELECTED AS A PRIORITY AT THIS TIME. ADVOCATE GOOD SAMARITAN RECOGNIZES THE NEED TO ADDRESS SUBSTANCE ABUSE IN THE COMMUNITY AND HAS DEDICATED MULTIPLE RESOURCES TO ADDRESSING THE ISSUE. THE HOSPITAL'S DETOX CENTER SERVES PATIENTS WITH ADDICTION ISSUES AND PROVIDES A SAFE ENVIRONMENT FOR SUBSTANCE ABUSE WITHDRAWAL. IN ADDITION, THE HOSPITAL RECEIVED A GRANT TO IMPLEMENT A LINKAGE TO CARE PROGRAM, WHICH EMPLOYS A COMMUNITY LINKAGE SPECIALIST TO LINK DISCHARGED DETOX UNIT PATIENTS TO COMMUNITY SUPPORT SERVICES AND TO FOLLOW-UP WITH PATIENTS AT 30, 60, 90 AND 180 DAYS POST-DISCHARGE TO CHECK-IN ON PROGRESS AND PROVIDE ADDITIONAL SUPPORT IF NEEDED. THE HOSPITAL ALSO PROVIDES RESOURCES FOR COMMUNITY PARTNERS SUCH AS ALCOHOLICS ANONYMOUS (AA) AND NARCOTICS ANONYMOUS (NA). BOTH AA AND NA SUPPORT GROUPS HOLD REGULAR MEETINGS AT ADVOCATE GOOD SAMARITAN.ASTHMAASTHMA WAS IDENTIFIED AS A HEALTH NEED IN THE 2014-2016 CHNA BUT WAS NOT SELECTED AS A PRIORITY TO ADDRESS DUE TO THE LACK OF COMMUNITY PARTNERS AND THE AVAILABILITY OF ASTHMA PREVENTION PROGRAMS. THE MAJORITY OF ASTHMA PROGRAMS WITHIN THE COUNTY ARE FOCUSED ON ASTHMA ATTACK PREVENTION AND TREATMENT. THE CHC ALSO IDENTIFIED HOSPITALIZATION AND ED VISIT RATES DUE TO ASTHMA AS A POTENTIAL ACCESS TO HEALTH CARE ISSUE. TAKING THIS INTO CONSIDERATION, THE COMMUNITY HEALTH MANAGER ALONG WITH THE CHC IDENTIFIED SEVERAL HOSPITAL PROGRAMS THAT ADDRESSED ACCESS TO HEALTH CARE, INCLUDING SUPPORT SERVICES FOR ED OVERUTILIZATION DUE TO LACK OF PRIMARY CARE FOR CHRONIC CONDITIONS LIKE ASTHMA. THROUGH HOSPITAL PARTNERSHIPS, SUCH AS ADVOCATE GOOD SAMARITAN'S PARTNERSHIP WITH ENGAGE DUPAGE, ASTHMATIC PATIENTS WHO ARE IN NEED OF PRIMARY CARE WILL RECEIVE SUPPORT FROM PROGRAM STAFF THAT PROVIDE LINKAGES TO PRIMARY CARE AND INSURANCE COVERAGE.ACCESS TO HEALTH CARE SERVICESTHE CHC ACKNOWLEDGES ACCESS TO HEALTH CARE SERVICES AS A CRITICAL NEED FOR THE HOSPITAL'S PSA. THIS NEED WAS NOT PRIORITIZED DUE TO SEVERAL PROGRAMS AND PARTNERSHIPS THAT ARE CURRENTLY BEING IMPLEMENTED TO ADDRESS ACCESS TO HEALTH CARE IN THE HOSPITAL SERVICE AREA. THE HOSPITAL HAS A FINANCIALLY SIGNIFICANT LONG STANDING PARTNERSHIP WITH DUPAGE HEALTH COALITION (FORMERLY KNOWN AS ACCESS DUPAGE), WHICH WORKS WITH UNINSURED AND UNDERINSURED PATIENTS TO CONNECT THEM TO HEALTH CARE COVERAGE AND PRIMARY CARE SERVICES. THE HOSPITAL SERVES MANY DUPAGE HEALTH COALITION/ACCESS DUPAGE CLIENTS AND WILL CONTINUE TO WORK WITH THE ORGANIZATION TO LINK VULNERABLE POPULATIONS TO EFFECTIVE HEALTH CARE COVERAGE AND SERVICES. IN 2018, ADVOCATE GOOD SAMARITAN CONTRIBUTED $414,884 DIRECTLY TO DUPAGE HEALTH COALITION TO SERVE PATIENT NEEDS. IN ADDITION, THE HOSPITAL PROVIDES FREE INPATIENT AND OUTPATIENT CARE SERVICES TO PATIENTS REFERRED TO THE HOSPITAL FROM THE DUPAGE HEALTH COALITION.THE HOSPITAL'S MEDICAL MODEL WELLNESS CENTER ALSO PROVDES FREE OR LOW COST MEMBERSHIPS TO LOW-INCOME PATIENTS DIAGNOSED WITH A CHRONIC DISEASE WHO WOULD BENEFIT FROM THE SERVICES AT THE WELLNESS CENTER.THE HOSPITAL IS ENGAGING IN STRONG PARTNERSHIPS WITH VARIOUS COMMUNITY ORGANIZATIONS INCLUDING DUPAGE HEALTH COALTIONS TO IMPROVE HEALTH OUTCOMES IN THE PSA AND ED UTILIZATION WITHIN THE HOSPITAL. THE COMMUNITY HEALTH MANAGER WILL CONTINUE TO TRACK PROGRESS OF BOTH PROGRAMS AND REPORT PROGRAM OUTCOMES TO THE CHC.CANCERCANCER WAS IDENTIFIED AS A HEALTH NEED FOR THE HOSPITAL'S PRIMARY SERVICE AREA DUE TO HIGH INCIDENCE AND PREVALENCE RATES OF THE DISEASE. THE CHC DID NOT SELECT THIS NEED AS A PRIORITY DUE TO THE MYRIAD OF CANCER SERVICES AND SUPPORT GROUPS THE HOSPITAL CURRENTLY OFFERS TO PATIENTS WITHIN THE PSA. AN ARRAY OF CANCER TREATMENTS AND SUPPORT SERVICES ARE OFFERED THROUGH THE HOSPITAL'S BHORADE CANCER CENTER. THE CANCER CENTER STAFF ALSO CONDUCT A COMMUNITY NEEDS ASSESSMENT, WHICH INCLUDES COLLECTION AND ANALYSIS OF DEMOGRAPHIC AND CANCER DATA FOR THE HOSPITAL'S PSA. BHORADE CANCER CENTER STAFF UTILIZE THIS DATA TO DEVELOP THE SERVICE LINE'S STRATEGIC PLAN AND EVALUATE THE IMPACT OF CANCER TREATMENTS AND SERVICES. IN ADDITION, THE HOSPITAL'S BHORADE CANCER CENTER PARTNERS WITH MANY COMMUNITY ORGANIZATIONS THAT OFFER SUPPORT SERVICES FOR CANCER PATIENTS AND SURVIVORS. ORGANIZATIONS SUCH AS WELLNESS HOUSE OFFER SUPPORT GROUPS FREE OF CHARGE TO CANCER PATIENTS AT ADVOCATE GOOD SAMARITAN.THE HOSPITAL HAS ALSO PARTNERED WITH THE AMERICAN CANCER SOCIETY TO SIGN THE 80 BY 2018 PLEDGE, WHICH AIMS TO SCREEN 80 PERCENT OF INDIVIDUALS AGED 50 AND OLDER IN THE PSA FOR COLORECTAL CANCER BY THE YEAR 2018. THE HOSPITAL'S BHORADE CANCER CENTER, IN PARTNERSHIP WITH THE COMMUNITY HEALTH DEPARTMENT, IS WORKING TO INCREASE SCREENINGS THROUGH EDUCATION AND AWARENESS IN THE COMMUNITY.IN ADDITION, THE HOSPITAL'S BHORADE CANCER CENTER IS PARTNERING WITH LOCAL COMMUNITY ORGANIZATIONS AND CHURCHES TO IMPLEMENT HEALTHY LIFESTYLE AND POST MENOPAUSAL CANCER PREVENTION WORKSHOPS. THE HOSPITAL'S COMMUNITY HEALTH DIRECTOR WILL SUPPORT THIS EFFORT THROUGH IDENTIFYING COMMUNITY ORGANIZATIONS THAT SERVE THE TARGET POPULATION.
ADVOCATE GOOD SAMARITAN HOSPITAL: PART V, SECTION B, LINE 11 - CONTINUED THE HOSPITAL ALSO HAS A WHY WAIT CLINIC THAT PROVIDES MAMMOGRAMS AND FOLLOW-UP SERVICES RELATED TO BREAST HEALTH TO LOW-INCOME WOMEN. IN 2018, $295,000 WAS SPENT ON BREAST HEALTH SERVICES FOR LOW-INCOME WOMEN. IMMUNIZATION-PREVENTABLE PNEUMONIA AND INFLUENZA THE CHC RECOMMENDED THAT IMMUNIZATION-PREVENTABLE DISEASE NOT BE SELECTED AS A PRIORITY HEALTH NEED AT THIS TIME DUE TO CURRENT EFFORTS BEING IMPLEMENTED TO ADDRESS THIS NEED. THROUGHOUT DUPAGE COUNTY, THE RETAIL AND NONPROFIT SECTORS ARE EFFECTIVELY ADDRESSING THE NEED FOR VACCINATIONS. THE RETAIL SECTOR (WALGREENS, CVS, OSCO DRUG) DOES SIGNIFICANT ADVERTISEMENT OF VACCINATION SERVICES, WHICH THEY OFFER FOR A LOW COST TO THE COMMUNITY. IN ADDITION, THE DUPAGE COUNTY HEALTH DEPARTMENT OFFERS VACCINATIONS TO CHILDREN AND ADULTS WITH NO HEALTH INSURANCE FOR A MINIMAL FEE. VACCINES ARE READILY AVAILABLE TO ALL DUPAGE COUNTY RESIDENTS THEREFORE THE CHC COULD NOT IDENTIFY A GAP IN SERVICES. SENIOR HEALTHTHE HOSPITAL RECOGNIZES THE IMPORTANCE OF SENIOR HEALTH; THEREFORE, THE CHC CHOSE TO CONTINUE THE IMPLEMENTATION OF THE MATTER OF BALANCE (MOB) PROGRAM, BUT DID NOT SELECT THIS NEED AS A PRIORITY FOR THE 2016 CHNA. FALL RATES WERE NOT SIGNIFICANTLY HIGH BUT THE SERIOUSNESS OF FALLS FOR SENIORS IS NOTEWORTHY HENCE THE CONTINUATION OF THE MOB PROGRAM. IN ADDITION TO THE MOB PROGRAM, THE HOSPITAL ALSO OFFERS AN ARRAY OF SENIOR SERVICES AND PROGRAMS INCLUDING AN ANNUAL SENIOR HEALTH FAIR. DOMESTIC VIOLENCETHE CHC ACKNOWLEDGES THE SERIOUSNESS OF DOMESTIC VIOLENCE; HOWEVER, DUE TO A LACK OF DETAILED DATA, THE COUNCIL WAS NOT ABLE TO UNDERSTAND THE FULL SCOPE AND MAGNITUDE OF THIS HEALTH NEED RESULTING IN THE DECISION TO NOT SELECT DOMESTIC VIOLENCE AS A PRIORITY. ALTHOUGH PREVALENCE RATES OF DOMESTIC VIOLENCE WERE HIGH, THE DETAILS OF THE TYPE OF DOMESTIC VIOLENCE AND AFFECTED POPULATIONS WERE NOT AVAILABLE FOR THE CHC TO REVIEW. ADVOCATE GOOD SAMARITAN CURRENTLY ADDRESSES THIS HEALTH NEED INCLUDING: DOMESTIC VIOLENCE TRAINING FOR ED NURSES, COMMUNITY PHYSICIANS AND PARISH NURSES, AND PROVISION OF SUPPORT GROUPS AND INDIVIDUAL THERAPY FOR VICTIMS OF DOMESTIC VIOLENCE. IN ADDITION, THE HOSPITAL IS A MEMBER OF THE 18TH JUDICIAL COURT DOMESTIC VIOLENCE COORDINATING COUNCIL. THE PURPOSE OF THE 18TH JUDICIAL CIRCUIT FAMILY VIOLENCE COORDINATING COUNCIL IS TO ESTABLISH A FORUM TO: IMPROVE THE INSTITUTIONAL, PROFESSIONAL AND COMMUNITY RESPONSE TO FAMILY VIOLENCE INCLUDING CHILD ABUSE, DOMESTIC ABUSE, AND ELDER ABUSE; ENGAGE IN EDUCATION AND PREVENTION; COORDINATE INTERVENTION AND SERVICES FOR VICTIMS AND PERPETRATORS; AND CONTRIBUTE TO THE IMPROVEMENT OF THE LEGAL SYSTEM AND THE ADMINISTRATION OF JUSTICE.HEART DISEASE AND STROKETHE CDC REPORTS THAT AT LEAST 200,000 DEATHS FROM HEART DISEASE AND STROKE ARE PREVENTABLE EACH YEAR. OBESITY INCREASES THE RISK OF HEART DISEASE AND IS A MAJOR RISK FACTOR FOR HIGH BLOOD PRESSURE, WHICH IS ALSO A SYMPTOM OF HEART DISEASE. AFTER CAREFUL ANALYSIS OF DATA, THE CHC DECIDED NOT TO PRIORITIZE HEART DISEASE AND STROKE BECAUSE OF THE IMPACT OBESITY PREVENTION HAS ON HEART DISEASE. THE CHC WILL ADDRESS HEART DISEASE AND STROKE THROUGH THE HEALTHY LIFESTYLES PRIORITY. AS A RESULT OF THE HEALTHY LIFESTYLES IMPLEMENTATION PLAN, THE HOSPITAL WILL ADDRESS ONE OF THE MAIN CAUSES OF HEART DISEASE.
ADVOCATE LUTHERAN GENERAL HOSPITAL: PART V, SECTION B, LINE 11 - CONTINUED SCHOOL-BASED AND MOBILE HEALTH SERVICES-STRATEGY ONEADVOCATE CHILDREN'S WILL OFFER TARGETED, SCHOOL-BASED HEALTH SERVICES TO HIGH RISK, LOW-INCOME CHILDREN WHO ARE UNINSURED OR ARE RECEIVING MEDICAID. SERVICES ARE TO INCLUDE PRIMARY MEDICAL CARE, IMMUNIZATIONS, ASTHMA, WEIGHT MANAGEMENT, AND WELLNESS AND HEALTH EDUCATION. ADVOCATE CHILDREN'S WILL IMPROVE ACCESS THROUGH THE RONALD MCDONALD CARE MOBILE, A MOBILE HEALTH CLINIC. THE CARE MOBILE ALSO AIMS TO IMPROVE COMPLIANCE FOR PHYSICALS AND IMMUNIZATIONS AT TARGETED SCHOOLS, ESTABLISH MEDICAL AND SOCIAL REFERRAL NETWORKS, AND IMPROVE ASTHMA EDUCATION AND COMPLIANCE FOR PATIENTS SEEN ON THE CARE MOBILE.2018 SCHOOL-BASED AND MOBILE HEALTH SERVICES-STRATEGY ONE UPDATES/PROGRESSTHE CARE MOBILE TEAM PROVIDED A TOTAL OF 3,319 PHYSICALS IN BOTH THE NORTH AND SOUTH REGIONS. IN 2018, ACH PROVIDED 4,349 VACCINATIONS IN PARK RIDGE PSA/SSA, ACHIEVING A 95-98% COMPLIANCE RATE FOR SELECT SCHOOLS IN THE NORTHERN REGION SERVICE AREA. REFERRAL PARTNERSHIPS EXIST WITH ADVOCATE, MOBILE CARE CHICAGO FOR DENTAL AND ASTHMA, AND LAKE COUNTY PUBLIC HEALTH DEPARTMENT FOR FOLLOW-UP PRIMARY AND SPECIALTY SERVICE REFERRALS. STUDENTS WERE ALSO GIVEN LOCAL REFERRAL LISTS FOR FEDERALLY QUALIFIED HEALTH CENTERS AND PROVIDERS WHO ACCEPT MEDICAID IN EFFORTS TO ESTABLISH A MEDICAL HOME. REDUCE INCIDENCE OF UNCONTROLLED ASTHMA IN CHILDRENASTHMA EDUCATION-STRATEGY TWOADVOCATE CHILDREN'S WILL PROVIDE DIRECT 1:1 EDUCATION TO ASSIST PATIENTS IN RECOGNIZING TRIGGERS AND MANAGING MEDICATION. THE PATIENT POPULATION WILL BE ASSESSED TO IDENTIFY SCHOOLS WITH THE HIGHEST CONCENTRATION OF CHILDREN WITH ASTHMA. THE NATIONAL LUNG ASSOCIATION'S SCHOOL-BASED ASTHMA EDUCATION PROGRAM CALLED KICKIN' ASTHMA WILL BE PROVIDED TO PARTNER SCHOOLS.2018 ASTHMA EDUCATION-STRATEGY TWO UPDATES/PROGRESSIN 2018, ADVOCATE CHILDREN'S DID NOT HAVE AN AMERICORPS MEMBER IN THE NORTH REGION TO OFFER THE KICKIN' ASTHMA PROGRAM. THE KICKIN' ASTHMA PROGRAM WAS OFFERED IN THE SOUTH REGION BECAUSE THERE WAS AN AMERICORPS MEMBER TO IMPLEMENT THE PROGRAM. BECOME A TRAUMA-INFORMED CHILDREN'S HOSPITALTRAUMA-INFORMED HOSPITAL-STRATEGY ONEADVOCATE CHILDREN'S HAS A GOAL OF BECOMING THE FIRST TRAUMA-INFORMED CHILDREN'S HOSPITAL IN THE METROPOLITAN CHICAGO AREA. THE HOSPITAL WOULD ALSO LIKE TO PARTNER WITH THE ADVERSE CHILDHOOD EXPERIENCES (ACE) PROGRAM OF THE HEALTH AND MEDICINE POLICY RESEARCH GROUP TO DETERMINE BEST PRACTICES FOR TRAINING THE HOSPITAL'S CLINICAL TEAM ON ACES AND THEIR IMPACT ON IMPROVING CHILDREN'S HEALTH OUTCOMES. ADVOCATE CHILDREN'S WILL ALSO WORK CLOSELY WITH THE CHICAGO DEPARTMENT OF PUBLIC HEALTH TO ASSIST IN REACHING ITS HEALTHY CHICAGO 2.0 GOAL OF BECOMING A TRAUMA-INFORMED CITY.2018 TRAUMA-INFORMED HOSPITAL STRATEGY ONE UPDATES/PROGRESSADVOCATE CHILDREN'S RESEARCHED APPROPRIATE COMPUTER-BASED INSTRUCTION MODULES ON TRAUMA-INFORMED CARE TO BE ROLLED OUT TO PHYSICIANS AND TEAM MEMBERS. THE HOSPITAL IS WORKING WITH THE PROCESS IMPROVEMENT TEAM AND INSTRUCTIONAL DESIGN TO DEVELOP MODULE CONTENT. PATIENT SCREENING AND ASSESSMENT TOOLS WERE REVIEWED AND STAFF TRAINING MODULES WERE DEVELOPED. RESILIENCY TRAINING THROUGH THE VITAL HEARTS PROGRAM, WHICH IS AN EVIDENCE-BASED BEST PRACTICE MODEL OF FOSTERING RESILIENCY AND SELF-CARE FOR CLINICIANS, WAS USED TO TRAIN OVER 200 CLINICIANS.ADVOCATE LUTHERAN GENERAL'S HEALTH NEEDS NOT SELECTED TO ADDRESS DIABETES DIABETES WAS IDENTIFIED AS A HEALTH NEED IN ADVOCATE LUTHERAN GENERAL'S PSA. THIS HEALTH NEED WAS NOT PRIORITIZED DUE TO PROGRAMS AND RESEARCH THAT ARE ALREADY IN PLACE TO ADDRESS THIS HEALTH ISSUE. IN PARTNERSHIP WITH THE HOSPITAL'S FAMILY RESIDENCY PROGRAM, THE COMMUNITY HEALTH DEPARTMENT WAS AWARDED GRANT FUNDS FOR A PART-TIME COMMUNITY HEALTH WORKER (CHW) FOCUSED SPECIFICALLY ON DIABETES. THE CHW WAS BI-LINGUAL AND PROVIDED EDUCATION AND NAVIGATION TO HISPANIC/LATINO PATIENTS AND OFFERED MULTIPLE CHRONIC DISEASE MANAGEMENT WORKSHOPS TO THE BROADER COMMUNITY. CANCERCANCER WAS ALSO IDENTIFIED AS A MAJOR HEALTH ISSUE BUT WAS NOT PRIORITIZED BECAUSE ADVOCATE LUTHERAN GENERAL HAD AN EXISTING COMPREHENSIVE ONCOLOGY PROGRAM. THE HOSPITAL CANCER COMMITTEE WORKS WITH COMMUNITY HEALTH DEPARTMENT STAFF TO CONDUCT AN ANNUAL COMMUNITY NEEDS ASSESSMENT SPECIFIC TO CANCER. THE HOSPITAL ALSO WORKS CLOSELY WITH THE AMERICAN CANCER SOCIETY TO DEVELOP EDUCATION, PREVENTION AND SCREENING PROGRAMS. RECOGNIZING THAT 70 PERCENT OF CANCER PATIENTS NOW LIVE FIVE YEARS OR MORE, THE HOSPITAL OPENED A HOSPITAL-BASED, FREE-STANDING CANCER SURVIVORSHIP CENTER IN 2013. IN ADDITION TO OFFERING DAILY WELLNESS CLASSES FOR CANCER PATIENTS AND THOSE WHO SUPPORT THEM, THE CENTER SERVES AS A RESOURCE WHERE PATIENTS AND THEIR SUPPORT PERSON(S) CAN ACCESS INFORMATION AND COMMUNITY RESOURCES TO ASSIST THEM IN MAKING DECISIONS THROUGHOUT THEIR CANCER JOURNEY. DUE TO THE ON-GOING WORK AROUND CANCER PREVENTION, SCREENING AND TREATMENT THROUGH THE HOSPITAL'S CANCER COMMITTEE, THE COMMUNITY HEALTH COUNCIL DECIDED NOT TO IDENTIFY THIS ISSUE AS A PRIORITY HEALTH NEED. MENTAL HEALTH AS IN THE 2011-2013 CHNA, MENTAL HEALTH WAS RECOGNIZED AS AN IMPORTANT HEALTH NEED. ADVOCATE LUTHERAN GENERAL CONTINUES TO WORK WITH THE HEALTHIER PARK RIDGE, NILES AND DES PLAINES COALITIONS TO ADDRESS MENTAL HEALTH IN THESE COMMUNITIES. THE COALITIONS INCLUDE NUMEROUS MENTAL HEALTH PROFESSIONALS AND ORGANIZATIONS SUCH AS THE NATIONAL ALLIANCE ON MENTAL ILLNESS (NAMI). DUE TO EXISTING PROGRAMMING AND PARTNERSHIPS WORKING TO ADDRESS MENTAL HEALTH AS OUTLINED ABOVE, MENTAL HEALTH WAS NOT CHOSEN AS A HEALTH PRIORITY. CULTURAL HEALTH DISPARITIES AS INDICATED IN THE 2011-2013 CHNA, CULTURAL HEALTH DISPARITIES STILL EXIST, BUT THIS AREA WAS NOT CHOSEN AS A PRIORITY FOR THE 2014-2016 CHNA. AS STATED IN AN EARLIER SECTION, ADVOCATE LUTHERAN GENERAL HAS CONTINUED TO EXPAND AND ENHANCE ITS CULTURAL INITIATIVES TO ADDRESS HEALTH EQUITY. THESE INITIATIVES INCLUDE THE SOUTH ASIAN CARDIOVASCULAR CENTER AND PROGRAMS FOR THE KOREAN, POLISH AND HISPANIC COMMUNITIES. ADVOCATE CHILDREN'S HEALTH NEEDS NOT SELECTED TO ADDRESS CHILDHOOD OBESITYADVOCATE CHILDREN'S DID NOT SELECT CHILDHOOD OBESITY AS A HEALTH NEED. THE HOSPITAL IS, HOWEVER, ADDRESSING CHILDHOOD OBESITY THROUGH THE HOSPITAL'S HEALTHY ACTIVE LIVING PROGRAM-A WEIGHT MANAGEMENT PROGRAM FOR OVERWEIGHT AND OBESE CHILDREN LARGELY INSURED THROUGH MEDICAID. COMPONENTS OF THE PROGRAM ARE OFFERED TO STUDENTS IN THE EXPANDED LEARNING PROGRAM OF EAST MAINE SCHOOL DISTRICT 63.ASTHMAHOSPITAL UTILIZATION DATA SHOWS THAT DES PLAINES AND WHEELING-AREAS WITH LARGE VOLUMES OF MEDICAID MANAGED CARE PARTICIPANTS-ARE TWO OF THE TOP NINE COMMUNITIES ACCOUNTING FOR SIXTY-ONE PERCENT OF ALL ASTHMA DISCHARGES. DATA ALSO SHOWS THAT THE EMERGENCY ROOM (ER) RATE DUE TO PEDIATRIC ASTHMA HAS STEADILY RISEN SINCE 2009. WHILE ASTHMA WAS NOT SPECIFICALLY SELECTED AS A HEALTH NEED, ASTHMA EDUCATION AND TREATMENT ARE A FOCUS OF PRIMARY CARE SERVICES BEING PROVIDED AS PART OF THE SCHOOL-BASED MODEL DESCRIBED ABOVE. SELECT SCHOOLS WITH LARGE CONCENTRATIONS OF CHILDREN WHO EXPERIENCE ASTHMA, AS IDENTIFIED BY STAFF OF THE RONALD MCDONALD CARE MOBILE, WILL RECEIVE THE AMERICAN LUNG ASSOCIATION'S KICKIN' ASTHMA PROGRAM. THIS PROGRAM OFFERS SMALL GROUP EDUCATION REGARDING TRIGGERS, SYMPTOMS AND PROPER MANAGEMENT OF THE DISEASE.
ADVOCATE SOUTH SUBURBAN HOSPITAL: PART V, SECTION B, LINE 11 - CONTINUED STRATEGY 1: INCORPORATE THE METROPOLITAN TENANTS ORGANIZATION'S (MTO) HEALTHY HOMES INITIATIVE INTO THE KICKIN' ASTHMA PROGRAM WITHIN THE FOLLOWING ZIP CODES: 60411, 60426, 60428, 60429 AND 60478.- TO ADDRESS THIS SOCIAL DISPARITY, THE HOSPITAL PARTNERED WITH THE METROPOLITAN TENANTS ORGANIZATION (MTO), AN ADVOCACY ORGANIZATION FOR TENANTS' RIGHTS, TO EDUCATE, ORGANIZE AND EMPOWER TENANTS TO EXERCISE THEIR HUMAN RIGHT TO AFFORDABLE AND SAFE HOUSING. AS PART OF THIS PARTNERSHIP, THE HOSPITAL CHOSE TO IMPLEMENT THE ORGANIZATION'S HEALTHY HOMES AWARENESS PROGRAM TO IMPROVE HEALTH OUTCOMES FOR ASTHMA PATIENTS IN THE HOSPITAL'S PRIMARY SERVICE AREA. THE HEALTHY HOMES PROGRAM IS INTENDED TO HELP TENANTS LEARN ABOUT HIDDEN AND VISIBLE HEALTH HAZARDS IN THE HOME, HOW TO PREVENT EXPOSURE AND CONNECTS TENANTS WITH VITAL RESOURCES FOR IMPROVING HOUSING CONDITIONS.STRATEGY 2: PARTNER WITH METROPOLITAN TENANTS ORGANIZATION (MTO) TO PROVIDE HEALTHY HOMES EDUCATION TO DECREASE ASTHMA TRIGGERS IN HOMES IN PSA COMMUNITIES.- IN 2018, MTO PROVIDED TRAINING FOR HEALTHCARE PROFESSIONALS TO ADDRESS HOME ASSESSMENTS. A TOTAL OF THREE HEALTH PROFESSIONALS PARTICIPATED IN HEALTHY HOMES TRAINING.STRATEGY 3: WORK WITH THE HEALTH IMPACT COLLABORATIVE OF COOK COUNTY TO IDENTIFY ADDITIONAL RESOURCES TO SUPPORT THE HEALTHY HOMES INITIATIVE.- THE HEALTH IMPACT COLLABORATIVE AND THE CHICAGO HOSPITAL COLLABORATIVE JOINED TO CREATE THE ALLIANCE FOR HEALTH EQUITY. POOR HOUSING CONDITIONS CAN LEAD TO POOR HEALTH SUCH AS ASTHMA. THE COLLABORATIVE IS WORKING ON POLICIES TO SUPPORT AFFORDABLE HEALTHY HOUSING AND TO CREATE JOBS THROUGH HOUSING INITIATIVES, WHICH ARE OPPORTUNITIES TO IMPROVE THE HEALTH OF THE SOUTHLAND COMMUNITY. ENVIRONMENTAL HAZARDS INCLUDE LEAD EXPOSURE AND WATER AND AIR QUALITY. THESE HAZARDS INDICATE ONE OR MORE PROBLEMS WITH HOMES THAT COULD HAVE A NEGATIVE IMPACT ON HEALTH, I.E. ASTHMA. THE COMMUNITY HEALTH TEAM CONTINUES TO ATTEND MEETINGS AND WORK WITH OTHER MEMBERS OF THE ALLIANCE FOR HEALTH EQUITY ON PROJECTS AS IDENTIFIED THROUGH THE COLLABORATIVE.NEEDS NOT SELECTEDALTHOUGH CANCER, HEART DISEASE, AND HYPERTENSION AND STROKE WERE NOT SELECTED TO ADDRESS DURING THE CHNA PROCESS, ADVOCATE SOUTH SUBURBAN REMAINS COMMITTED TO SERVING THE HEALTH NEEDS OF INDIVIDUALS IN THE COMMUNITY WITH THESE HEALTH CONDITIONS. CANCERADVOCATE SOUTH SUBURBAN'S CANCER CENTER OFFERS AN ARRAY OF SERVICES, INCLUDING RADIATION THERAPY, BRACHYTHERAPY, IMAGE GUIDED RADIATION THERAPY, INTENSITY MODULATED RADIATION THERAPY, AND MINIMALLY INVASIVE APPROACHES TO CANCER TREATMENT. THE BREAST HEALTH CENTER OFFERS EARLY DETECTION SERVICES AS WELL AS ADVANCED PROCEDURES INCLUDING SENTINEL LYMPH NODE BIOPSY FOR BREAST CANCER TREATMENT FOR CANCER DIAGNOSIS AND STAGING. ADDITIONALLY, ADVOCATE SOUTH SUBURBAN HAS AN INTEGRATED CANCER COMMITTEE AND CANCER CARE TEAM THAT ARE DEDICATED TO DEVELOPING A COMPREHENSIVE, MULTIDISCIPLINARY APPROACH THROUGHOUT THE YEAR. VARIOUS EDUCATION AND SCREENING PROGRAMS ARE ALSO HELD IN THE COMMUNITY AND AT THE HOSPITAL THAT FOCUS ON BREAST, LUNG AND PROSTATE CANCERS. SOME SERVICES INCLUDE GENETIC COUNSELING, PATIENT NAVIGATION, CLINICAL TRIALS AND RESEARCH-ALL DESIGNED TO IMPROVE QUALITY OF LIFE FOR PATIENTS AND THEIR FAMILIES. ADVOCATE SOUTH SUBURBAN ALSO HAS A STRONG PARTNERSHIP WITH THE CANCER SUPPORT CENTER AND THE AMERICAN CANCER SOCIETY THAT PROMOTES HEALTH AND WELL-BEING FOR INDIVIDUALS LIVING WITH CANCER.HEART DISEASETHROUGH THE ADVOCATE HEART INSTITUTE, ADVOCATE SOUTH SUBURBAN OFFERS A CONTINUUM OF SERVICES FROM SCREENING TO DIAGNOSIS AND TREATMENT. ADVANCED TREATMENT AND SERVICES INCLUDE COMPREHENSIVE DIAGNOSTIC SERVICES, INCLUDING MINIMALLY-INVASIVE ENDOVASCULAR PROCEDURES, ELECTROPHYSIOLOGICAL PROCEDURES, COMPUTED TOMOGRAPHY SCANNING, THREE-PHASE CARDIAC REHABILITATION AND A CONGESTIVE HEART FAILURE PROGRAM. THE HOSPITAL COMMITS TO COMMUNITY PREVENTION PROGRAMS BY CONDUCTING HEART HEALTH EDUCATION CLASSES, AND FREE AND REDUCED HEART RISK SCREENINGS FOR CARDIOVASCULAR HEALTH. THE CONGESTIVE HEART FAILURE PROGRAM IS A COMPREHENSIVE INPATIENT AND OUTPATIENT PROGRAM DESIGNED TO STRENGTHEN THE HEART, IMPROVE HEALTH AND MONITOR CHANGE. THE OVERALL GOAL IS TO RESTORE CARDIAC HEALTH AND REDUCE HOSPITALIZATION THROUGH THERAPY, DIET AND OTHER SERVICES. THE CARDIAC REHABILITATION PROGRAM IS FOR INDIVIDUALS REQUIRING REHABILITATION SERVICES FOLLOWING A CARDIOVASCULAR INCIDENT. THIS INDIVIDUALIZED PROGRAM IS DESIGNED TO REDUCE BLOOD PRESSURE, BODY MASS INDEX AND STRESS LEVELS THOUGH CUSTOMIZED EXERCISE PROGRAMS, YOGA AND STRENGTHENING TECHNIQUES. HYPERTENSION AND STROKE ADVOCATE SOUTH SUBURBAN IS AN ILLINOIS DEPARTMENT OF PUBLIC HEALTH (IDPH)-DESIGNATED PRIMARY STROKE CENTER AND HAS EARNED THE AMERICAN HEART ASSOCIATION'S GET WITH THE GUIDELINES-STROKE GOLD-PLUS QUALITY ACHIEVEMENT AWARD. THE IDPH DESIGNATION SIGNIFIES THAT THE HOSPITAL DELIVERS THE CRITICAL STROKE CARE ELEMENTS REQUIRED TO ACHIEVE LONG-TERM SUCCESS IN IMPROVING OUTCOMES. ACHIEVING STROKE CERTIFICATION ENSURES THAT THE HOSPITAL OFFERS THE HIGHEST LEVEL OF CARE FOR THOSE WHO ARE EXPERIENCING AND RECOVERING FROM A STROKE. THE HOSPITAL ALSO OFFERS COMMUNITY EDUCATION EVENTS AND A STROKE SUPPORT GROUP FOR INDIVIDUALS AND THEIR CAREGIVERS THAT IS HELD MONTHLY AT THE HOSPITAL.
ADVOCATE TRINITY HOSPITAL: PART V, SECTION B, LINE 11 - CONTINUED HEALTH NEEDS NOT SELECTED TO ADDRESS IN 2014-2016 CHNAHEART DISEASEONE OF THE KEY HEALTH ISSUES IDENTIFIED BUT NOT SPECIFICALLY TARGETED IN ADVOCATE TRINITY'S COMMUNITY HEALTH IMPLEMENTATION PLAN WAS HEART DISEASE. ADVOCATE TRINITY IS ADDRESSING THE HEART DISEASE NEEDS OF THE COMMUNITY THROUGH THE NEWLY INTEGRATED ADVOCATE HEART INSTITUTE. THE HEART INSTITUTE'S SERVICES ARE COMPREHENSIVE AND RANGE FROM CARDIOVASCULAR DIAGNOSTICS AND DETECTION TO TREATMENT AND SURGERY, USING THE MOST ADVANCED DIAGNOSTIC AND THERAPEUTIC TOOLS AVAILABLE. THE INSTITUTE ALSO OFFERS CPR TRAINING, A FREE HEART RISK ASSESSMENT AND AN AFFORDABLE HEART CT SCAN. IN 2015, ADVOCATE TRINITY OPENED A NEW CARDIAC CATHETERIZATION LAB WHICH OFFERS PROCEDURES USED TO DIAGNOSE CARDIOVASCULAR CONDITIONS. IN ADDITION TO THE NEW CATHETERIZATION LAB, THE HOSPITAL DEVELOPED A NEW STATE-OF-THE-ART CARDIAC REHABILITATION FACILITY OFFERING PHASE I AND II CARDIAC REHABILITATION EXERCISE AND LIFESTYLE EDUCATION PROGRAMS TO THE COMMUNITY. THE HOSPITAL OFFERS SEVERAL COMMUNITY EDUCATION PROGRAMS BOTH AT THE HOSPITAL AND THROUGHOUT THE COMMUNITY. THESE EDUCATIONAL PROGRAMS INCLUDE LECTURES, SEMINARS AND SUPPORT GROUP MEETINGS FOR CONGESTIVE HEART FAILURE, DIABETES EDUCATION, HEART RISK ASSESSMENTS, AND SENIOR BREAKFAST CLUB LECTURES COVERING A RANGE OF TOPICS PERTINENT TO SENIOR HEART HEALTH. IN ADDITION TO THESE SERVICES, ADVOCATE TRINITY'S COMMUNITIES HAVE ACCESS TO HEALTH EDUCATION AND CHOLESTEROL, GLUCOSE AND BLOOD PRESSURE SCREENINGS. HYPERTENSION/STROKE ADVOCATE TRINITY IS A CERTIFIED STROKE READY FACILITY WHICH OFFERS IMMEDIATE CARE TO PATIENTS EXPERIENCING ACUTE STROKES. THE HOSPITAL OFFERS ADVANCED DIAGNOSTIC TECHNOLOGIES THAT FEATURE MORE THAN TEN BOARD CERTIFIED RADIOLOGISTS TO HELP DIAGNOSE NEUROLOGICAL CONDITIONS. IN ADDITION, THE HOSPITAL OFFERS COMPREHENSIVE REHABILITATION SERVICES TO PATIENTS RECOVERING FROM STROKE. ADVOCATE TRINITY'S STROKE TEAM, A GROUP OF STROKE CHAMPIONS, ENGAGE THE COMMUNITY BY PROVIDING STROKE AWARENESS AND PREVENTION EDUCATION AT HEALTH FAIRS, PARADES, SCHOOLS AND CHURCHES IN THE COMMUNITY. THE HOSPITAL COLLABORATES WITH OTHER COMMUNITY HOSPITALS AND MEDICAL HOMES TO ENGAGE THE COMMUNITY IN RESPONDING TO STROKE CARE. THE INITIATIVE TITLED "COMMUNITY ENGAGEMENT FOR EARLY RECOGNITION AND IMMEDIATE ACTION IN STROKE (CEERIAS)" IS A RESEARCH INITIATIVE THAT AIMS TO EXAMINE PERSONAL, COMMUNITY AND CULTURAL BARRIERS TO CALLING 911 AFTER STROKE ONSET. IN COLLABORATION WITH LOCAL ACADEMIC MEDICAL CENTERS, ADVOCATE TRINITY HAS CONDUCTED TRAINING FOR COMMUNITY LEADERS IN THE HOSPITAL SERVICE AREA SO THEY CAN TEACH OTHERS HOW TO IDENTIFY STROKE AND REMOVE BARRIERS TO TIMELY STROKE CARE. CANCER ADVOCATE TRINITY'S ONCOLOGY CENTER PROGRAMS ARE STRUCTURED TO FACILITATE A MULTIDISCIPLINARY ENVIRONMENT THAT PROVIDES MINIMALLY INVASIVE PROCEDURES AND ADVANCED SURGICAL INTERVENTION TO TREAT CANCER. THE ONCOLOGY CENTER INCLUDES ADVANCED DIAGNOSTICS, IMAGING SERVICES, INTERVENTIONAL RADIOLOGY AND AN INFUSION CENTER. THE HOSPITAL HAS A CANCER COMMITTEE TO DEVELOP, APPROVE AND IMPLEMENT THE STRATEGIC PLANS, GOALS AND OBJECTIVES OF ADVOCATE TRINITY'S CANCER PROGRAMS AND TO PROVIDE OVERSIGHT FOR ONGOING PROGRAMS AND OUTREACH SERVICES. THE CANCER COMMITTEE ENSURES THAT COMMUNITY OUTREACH PLANS REFLECT THE CANCER EXPERIENCE AT ADVOCATE TRINITY AND THAT THE DEFINED COMMUNITY NEEDS ARE ADDRESSED. ADVOCATE TRINITY'S ONCOLOGY NURSE NAVIGATOR, IN COLLABORATION WITH THE COMMUNITY HEALTH DEPARTMENT, WORK TO IMPLEMENT OUTREACH SERVICES IN THE COMMUNITY. OUTREACH ACTIVITIES INCLUDE COMMUNITY EDUCATION FOR BREAST CANCER PREVENTION, PROSTATE CANCER PREVENTION AND OTHER COMMUNITY HEALTH EDUCATION, SUCH AS HEALTHY LIFESTYLE EDUCATION FOR CANCER PREVENTION. MENTAL HEALTHADVOCATE TRINITY IS A COMMUNITY HOSPITAL THAT DOES NOT HAVE A PSYCHIATRIC UNIT AND DOES NOT PROVIDE ONGOING TREATMENT FOR MENTAL HEALTH CONDITIONS AND SUBSTANCE ABUSE. HOWEVER, TO MEET THE IMMEDIATE NEEDS OF ITS EMERGENCY DEPARTMENT (ED) PATIENTS AND INPATIENTS, AND TO PROVIDE FOR CONTINUITY OF CARE, THE HOSPITAL UTILIZES TWO MAJOR STRATEGIES. FIRST, THERE IS AN ON-SITE BEHAVIORAL HEALTH CLINICIAN 8 HOURS-A-DAY WHO EVALUATES PATIENTS WITH MENTAL HEALTH AND SUBSTANCE ABUSE CONDITIONS, PROVIDES REFERRALS TO OUTPATIENT MENTAL HEALTH PROVIDERS AND COMPLETES TRANSFERS TO INPATIENT PSYCHIATRIC OR DETOX FACILITIES WHEN APPROPRIATE. THIS CLINICIAN ALSO SERVES AS A CONSULTING RESOURCE ON PATIENTS WITH THESE CONDITIONS, PROVIDES EDUCATION AND TRAINING TO HOSPITAL STAFF, AND CAN OFFER GUIDANCE AND EDUCATION TO PATIENTS, FAMILIES AND COMMUNITY REPRESENTATIVES. SECOND, THE HOSPITAL COORDINATES PATIENT SERVICES THROUGH THE ADVOCATE BEHAVIORAL HEALTH TELEMEDICINE HUB AT ADVOCATE CHRIST MEDICAL CENTER. PATIENTS INTERACT THROUGH TELEMEDICINE TECHNOLOGY WITH SPECIALIZED CLINICIANS-PSYCHIATRISTS, CLINICAL PSYCHOLOGISTS AND APNS-FOR MEDICATION MANAGEMENT, RISK ASSESSMENT, COMPETENCY DETERMINATION, RECOMMENDATIONS REGARDING LEVEL OF CARE AND ONGOING TREATMENT WHILE THEY ARE PATIENTS. BOTH THE ON-SITE AND HUB CLINICIANS CONNECT WITH PATIENTS' PRIMARY CARE PROVIDERS, WHEN AVAILABLE, TO PROMOTE CONTINUITY OF CARE. IN ADDITION, THE COMMUNITY HEALTH DEPARTMENT SPONSORS MENTAL HEALTH FIRST AID TRAININGS FOR CONGREGATIONS, COMMUNITY ORGANIZATIONS AND OTHER HEALTH CARE ORGANIZATIONS TO REDUCE STIGMA AND HELP COMMUNITY MEMBERS GAIN SKILLS IN ADDRESSING AND RESOURCING INDIVIDUALS EXPERIENCING MENTAL HEALTH AND SUBSTANCE ABUSE ISSUES. VIOLENCE AND HOMICIDE ADVOCATE TRINITY CONTINUALLY ASSESSES WHETHER ADDITIONAL PREVENTION STRATEGIES ARE NEEDED WITHIN THE COMMUNITY AND WORKS IN SUPPORT OF ITS PARTNERS TO ADDRESS COMMUNITY NEEDS SUCH AS VIOLENCE AND HOMICIDE. COMMUNITY PARTNERS SPECIFICALLY ADDRESSING THESE NEEDS INCLUDE THE CLARETIAN ASSOCIATES, THE NEIGHBORHOOD CHICAGO ALTERNATIVE POLICING STRATEGY (CAPS) AND THE CHICAGO POLICE DEPARTMENT. CLARETIAN ASSOCIATES CONDUCTED A SURVEY IN 2016 TO BETTER UNDERSTAND THE RANGE OF EXPOSURE TO VIOLENCE WHICH CAN CAUSE TRAUMATIC REACTIONS. THE SURVEY RESULTS PROMPTED THE ORGANIZATION TO EMBARK ON THE JOURNEY TO BE A "TRAUMA INFORMED COMMUNITY." WITH ADVOCATE TRINITY IN SUCH PROXIMITY TO CLARETIAN ASSOCIATES, THE HOSPITAL ESTABLISHED A PARTNERSHIP WITH THEM TO DELIVER INFORMATION TO FAITH ORGANIZATIONS WITHIN THE HOSPITAL'S SERVICE AREA. THE POLICE DEPARTMENT WORKS WITHIN THE COMMUNITY TO ADDRESS THESE NEEDS AND ADVOCATE TRINITY 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, AND PROGRAMS THAT EDUCATE COMMUNITIES REGARDING VIOLENCE PREVENTION, DRUG PREVENTION, TOWN WATCH, NEIGHBORHOOD WATCH AND OTHER ANTI-CRIME EVENTS.
Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page 9
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?399
Name and address Type of Facility (describe)
1 1 - ABMC LANDMARK DR LOCATION - FULL BUILDI
207 LANDMARK
NORMAL,IL61761
OFFICE - OTHER
2 2 - ACC 95TH ST
2210 W 95TH ST
CHICAGO,IL60643
PATIENT CARE - OUT PATIENT
3 3 - ACL LAB SERVICE CENTER
3048 N WILTON LAB
CHICAGO,IL60657
PATIENT CARE - OUT PATIENT
4 4 - ACL LAB SERVICE CENTER
1775 BALLARD RD LL
PARK RIDGE,IL60068
PATIENT CARE - OUT PATIENT
5 5 - ACL LAB SERVICE CENTER - PARKSIDE CTR
1875 DEMPSTER ST STE 504
PARK RIDGE,IL60068
PATIENT CARE - OUT PATIENT
6 6 - ACMG OAK LAWN 95 ST 210
4220 W 95TH ST
OAK LAWN,IL60453
PATIENT CARE - OUT PATIENT
7 7 - ADULT DOWN SYNDROME CLINIC
1610 LUTHER LN
PARK RIDGE,IL60068
PATIENT CARE - OUT PATIENT
8 8 - ADVANCED MRI (AMRI)
2204 EASTLAND DR STE 200
BLOOMINGTON,IL61701
PATIENT CARE - OUT PATIENT
9 9 - ADVOCATE ADULT & PEDIATRIC REHABILITATIO
5150 NORTHWEST HWY
CRYSTAL LAKE,IL60014
PATIENT CARE - OUT PATIENT
10 10 - ADVOCATE CHRIST MEDICAL CENTER - OUTPATI
1206 E 9TH ST STES 110 170 250
LOCKPORT,IL60441
PATIENT CARE - OUT PATIENT
11 11 - ADVOCATE GOOD SAMARITAN HOSPITAL OUT PAT
6840 MAIN ST 1ST FL STE 202
DOWNERS GROVE,IL60515
PATIENT CARE - OUT PATIENT
12 12 - ADVOCATE GOOD SHEPHERD HEALTH & FITNESS
1301 S BARRINGTON RD
BARRINGTON,IL60005
PATIENT CARE - OUT PATIENT
13 13 - ADVOCATE HEALTH & HOSPITALS CORPORATION
114 SKOKIE BLVD
WILMETTE,IL60091
PATIENT CARE - OUT PATIENT
14 14 - ADVOCATE MEDICAL GROUP - DES PLAINES
701 LEE ST STES LL 100 110 300
DES PLAINES,IL60016
PATIENT CARE - OUT PATIENT
15 15 - ADVOCATE MEDICAL GROUP - GLENVIEW
1255 MILWAUKEE RD
GLENVIEW,IL60025
PATIENT CARE - OUT PATIENT
16 16 - ADVOCATE MEDICAL GROUP - HEART AND VASCU
3118 N ASHLAND AVE
CHICAGO,IL60657
PATIENT CARE - OUT PATIENT
17 17 - ADVOCATE MEDICAL GROUP - HEART AND VASCU
5151 W 95TH ST 2ND FL
OAK LAWN,IL60453
PATIENT CARE - OUT PATIENT
18 18 - ADVOCATE MEDICAL GROUP - HYDE PARK
1301 E 47TH ST UNIT 2
CHICAGO,IL60615
PATIENT CARE - OUT PATIENT
19 19 - ADVOCATE MEDICAL GROUP - LOCKPORT PRIMAR
1206 E 9TH ST STE 210
LOCKPORT,IL60441
PATIENT CARE - OUT PATIENT
20 20 - ADVOCATE MEDICAL GROUP - LOCKPORT PRIMAR
1206 E 9TH ST STE 100
LOCKPORT,IL60441
PATIENT CARE - OUT PATIENT
21 21 - ADVOCATE MEDICAL GROUP - LOCKPORT PRIMAR
1206 E 9TH ST STE 250
LOCKPORT,IL60441
PATIENT CARE - OUT PATIENT
22 22 - ADVOCATE MEDICAL GROUP - MUNDELEIN INTER
550 N LAKE ST
MUNDELEIN,IL60060
PATIENT CARE - OUT PATIENT
23 23 - ADVOCATE MEDICAL GROUP - OAK LAWN
4712 W 103RD ST
OAK LAWN,IL60453
PATIENT CARE - OUT PATIENT
24 24 - ADVOCATE MEDICAL GROUP - PARKSIDE CENTER
1875 W DEMPSTER ST STE 525 110 66
PARK RIDGE,IL60068
PATIENT CARE - OUT PATIENT
25 25 - ADVOCATE MEDICAL GROUP - POSEN
2590 W WALTER ZIMNY DR
POSEN,IL60469
PATIENT CARE - OUT PATIENT
26 26 - ADVOCATE MEDICAL GROUP - RICHTON PARK
4511 SAUK TRAIL
RICHTON PARK,IL60471
PATIENT CARE - OUT PATIENT
27 27 - ADVOCATE MEDICAL GROUP - SOUTHEAST LOCAT
2301 E 93RD ST STE 213
CHICAGO,IL60617
PATIENT CARE - OUT PATIENT
28 28 - ADVOCATE MEDICAL GROUP - WAUCONDA
224 BROWN ST
WAUCONDA,IL60522
PATIENT CARE - OUT PATIENT
29 29 - ADVOCATE MEDICAL GROUP- METRODOCS
431 LAKEVIEW CT
MOUNT PROSPECT,IL60056
PATIENT CARE - OUT PATIENT
30 30 - ADVOCATE PHARMACY
15-17 W COLLEGE DR
ARLINGTON HEIGHTS,IL60005
PHARMACY
31 31 - ADVOCATE PTOT (CHRIST)
12340-50 S HARLEM AVE
PALOS HEIGHTS,IL60463
PATIENT CARE - OUT PATIENT
32 32 - AHHC - FAMILY CARE NETWORK
440 QUADRANGLE DR STE K
BOLINGBROOK,IL60440
PATIENT CARE - OUT PATIENT
33 33 - ALGONQUIN COUNTY LINE RD
2284 COUNTYLINE RD
ALGONQUIN,IL60201
PATIENT CARE - OUT PATIENT
34 34 - ALGONQUIN MERCHANT DR
1486 MERCHANT DR
ALGONQUIN,IL60102
PATIENT CARE - OUT PATIENT
35 35 - ALGONQUIN RANDALL RD
600 S RANDALL RD
ALGONQUIN,IL60102
PATIENT CARE - OUT PATIENT
36 36 - ALGONQUIN RYAN PARKWAY
1345 RYAN PKWY
ALGONQUIN,IL60102
PATIENT CARE - OUT PATIENT
37 37 - AMBULATORY BUILDING
4440 W 95TH ST
OAK LAWN,IL60453
PATIENT CARE - IN PATIENT
38 38 - AMG
151 E DUNDEE AVE STE C
EAST DUNDEE,IL60118
PATIENT CARE - OUT PATIENT
39 39 - AMG
7900 N MILWAUKEE AVE STE 2-34
NILES,IL60714
PATIENT CARE - OUT PATIENT
40 40 - AMG
7900 N MILWAUKEE AVE STE 16
NILES,IL60714
PATIENT CARE - OUT PATIENT
41 41 - AMG
890 GARFIELD AVE STE 200
LIBERTYVILLE,IL60098
PATIENT CARE - OUT PATIENT
42 42 - AMG
7432 HANCOCK DR
WONDER LAKE,IL60098
PATIENT CARE - OUT PATIENT
43 43 - AMG
214 WASHINGTON ST
INGLESIDE,IL60098
PATIENT CARE - OUT PATIENT
44 44 - AMG
1050 NORWOOD LN
BARTLETT,IL60103
PATIENT CARE - OUT PATIENT
45 45 - AMG
4400 W 95TH ST STE 106
OAK LAWN,IL60453
PATIENT CARE - OUT PATIENT
46 46 - AMG
1273 MILWAUKEE AVE
CHICAGO,IL60622
PATIENT CARE - OUT PATIENT
47 47 - AMG
2622 W 83RD ST
DARIEN,IL60561
PATIENT CARE - OUT PATIENT
48 48 - AMG
100 SPALDING AVE
NAPERVILLE,IL60540
PATIENT CARE - OUT PATIENT
49 49 - AMG
214 WASHINGTON ST
INGLESIDE,IL60041
PATIENT CARE - OUT PATIENT
50 50 - AMG
7432 HANCOCK DR
WONDER LAKE,IL60097
PATIENT CARE - OUT PATIENT
51 51 - AMG - LIBERTYVILLE AMBULATORY BUILDING
825 S MILWAUKEE AVE
LIBERTYVILLE,IL60048
PATIENT CARE - OUT PATIENT
52 52 - AMG ALPINE FAMILY MEDICINE
350 SURRYSE RD STE 100
LAKE ZURICH,IL60047
PATIENT CARE - OUT PATIENT
53 53 - AMG BARTLETT
1054 NORWOOD LN
BARTLETT,IL60103
PATIENT CARE - OUT PATIENT
54 54 - AMG DOWNERS GROVE
1341 WARREN AVE
DOWNERS GROVE,IL60515
PATIENT CARE - OUT PATIENT
55 55 - AMG DUNDEE
979 W MAIN ST
DUNDEE,IL60118
PATIENT CARE - OUT PATIENT
56 56 - AMG EAST DUNDEE
151 E DUNDEE AVE
EAST DUNDEE,IL60118
PATIENT CARE - OUT PATIENT
57 57 - AMG ELGIN 1710 RANDALL RD
1710 RANDALL RD STES 200 250 380
ELGIN,IL60123
PATIENT CARE - OUT PATIENT
58 58 - AMG ELGIN 750 FLETCHER DR
750 FLETCHER DR STE 206
ELGIN,IL60123
PATIENT CARE - OUT PATIENT
59 59 - AMG GLENBROOK
2551 COMPASS DR
GLENVIEW,IL60026
PATIENT CARE - OUT PATIENT
60 60 - AMG HAMPSHIRE
1000 S STATE ST
HAMPSHIRE,IL60140
PATIENT CARE - OUT PATIENT
61 61 - AMG HOMETOWN
4140 SOUTHWEST HWY
HOMETOWN,IL60456
PATIENT CARE - OUT PATIENT
62 62 - AMG HUNTLEY
12151-12199 REGENCY CENTER
HUNTLEY,IL60142
PATIENT CARE - OUT PATIENT
63 63 - AMG ICC MONTROSE
918 W MONTROSE
CHICAGO,IL60613
PATIENT CARE - OUT PATIENT
64 64 - AMG ISLAND LAKE
27979 CONVERSE RD
ISLAND LAKE,IL60042
PATIENT CARE - OUT PATIENT
65 65 - AMG LEMONT
6319 S FAIRVIEW
WESTMONT,IL60559
PATIENT CARE - OUT PATIENT
66 66 - AMG LEMONT
15900 W 127TH ST
LEMONT,IL60439
PATIENT CARE - OUT PATIENT
67 67 - AMG LEROY
911 S CHESTNUT
LE ROY,IL61752
PATIENT CARE - OUT PATIENT
68 68 - AMG LEXINGTON
307 W MAIN
LEXINGTON,IL61753
PATIENT CARE - OUT PATIENT
69 69 - AMG LIBERTYVILLE 801 S MILWAUKEE
801 S MILWAUKEE RD
LIBERTYVILLE,IL60048
PATIENT CARE - OUT PATIENT
70 70 - AMG LIBERTYVILLE WINCHESTER
1870 WINCHESTER RD STE 143
LIBERTYVILLE,IL60048
PATIENT CARE - OUT PATIENT
71 71 - AMG LINCOLNSHIRE
100 VILLAGE GREEN DR STE 120
LINCOLNSHIRE,IL60069
PATIENT CARE - OUT PATIENT
72 72 - AMG LINCOLNSHIRE
100 VILLAGE GREEN DR STE 210
LINCOLNSHIRE,IL60069
PATIENT CARE - OUT PATIENT
73 73 - AMG LINCOLNWOOD
6540 N LINCOLN AVE
LINCOLNWOOD,IL60712
PATIENT CARE - OUT PATIENT
74 74 - AMG LOMBARD
454 W ROOSEVELT RD
LOMBARD,IL60148
PATIENT CARE - OUT PATIENT
75 75 - AMG LOMBARD AND AMG LEMONT 15900 W 127TH
500 EAST 22ND ST STE A
LOMBARD,IL60148
PATIENT CARE - OUT PATIENT
76 76 - AMG MCHENRY 5403 BULL VALLEY ROAD
5403 BULL VALLEY RD
MCHENRY,IL60050
PATIENT CARE - OUT PATIENT
77 77 - AMG MERRIONETTE PARK
11600 S KEDZIE
MERRIONETTE PARK,IL60803
PATIENT CARE - OUT PATIENT
78 78 - AMG MUNDELEIN 560 N MIDLOTHIAN
560 N MIDLOTHIAN STE 400
MUNDELEIN,IL60060
PATIENT CARE - OUT PATIENT
79 79 - AMG OAK LAWN 4400 W 95TH STE 101
4400 W 95TH ST
OAK LAWN,IL60453
PATIENT CARE - OUT PATIENT
80 80 - AMG OAK LAWN 4400 W 95TH STE 102
4400 W 95TH ST
OAK LAWN,IL60453
PATIENT CARE - OUT PATIENT
81 81 - AMG OAK LAWN 4400 W 95TH STE 108
4400 W 95TH ST
OAK LAWN,IL60453
PATIENT CARE - OUT PATIENT
82 82 - AMG OAK LAWN 4400 W 95TH STE 109 111
4400 W 95TH ST
OAK LAWN,IL60453
PATIENT CARE - OUT PATIENT
83 83 - AMG OAK LAWN 4400 W 95TH STE 207
4400 W 95TH ST
OAK LAWN,IL60453
PATIENT CARE - OUT PATIENT
84 84 - AMG OAK LAWN 4400 W 95TH STE 301
4400 W 95TH ST
OAK LAWN,IL60453
PATIENT CARE - OUT PATIENT
85 85 - AMG OAK LAWN 4400 W 95TH STE 403
4400 W 95TH ST
OAK LAWN,IL60453
PATIENT CARE - OUT PATIENT
86 86 - AMG OAK LAWN 4400 W 95TH STE 404
4400 W 95TH ST
OAK LAWN,IL60453
PATIENT CARE - OUT PATIENT
87 87 - AMG OAK LAWN 4400 W 95TH STE 407
4400 W 95TH ST
OAK LAWN,IL60453
PATIENT CARE - OUT PATIENT
88 88 - AMG OAK LAWN 4400 W 95TH STE 408
4400 W 95TH ST
OAK LAWN,IL60453
PATIENT CARE - OUT PATIENT
89 89 - AMG OAK LAWN 4400 W 95TH STE 413
4400 W 95TH ST
OAK LAWN,IL60453
PATIENT CARE - OUT PATIENT
90 90 - AMG OAK LAWN 4700 W 95TH STE 308
4400 W 95TH ST
OAK LAWN,IL60453
PATIENT CARE - OUT PATIENT
91 91 - AMG OAK LAWN 95 ST 200
4220 W 95TH ST
OAK LAWN,IL60453
PATIENT CARE - OUT PATIENT
92 92 - AMG ORLAND PARK 165TH
10745 W 165TH ST
ORLAND PARK,IL60467
PATIENT CARE - OUT PATIENT
93 93 - AMG ORLAND PARK CLINIC & ORLAND PARK SUR
9550 W 167TH ST
ORLAND PARK,IL60467
PATIENT CARE - OUT PATIENT
94 94 - AMG ORLAND PARK RAVINIA
14741 RAVINIA DR
ORLAND PARK,IL60467
PATIENT CARE - OUT PATIENT
95 95 - AMG PALOS HEIGHTS HARLEM AVE
12332 S HARLEM AVE
PALOS HEIGHTS,IL60463
PATIENT CARE - OUT PATIENT
96 96 - AMG PALOS HEIGHTS HARLEM AVE
12400 S HARLEM AVE
PALOS HEIGHTS,IL60463
PATIENT CARE - OUT PATIENT
97 97 - AMG PALOS HEIGHTS SW HWY
11800 SOUTHWEST HWY
PALOS HEIGHTS,IL60463
PATIENT CARE - OUT PATIENT
98 98 - AMG PALOS HILLS
7620 W 111TH ST
PALOS HILLS,IL60465
PATIENT CARE - OUT PATIENT
99 99 - AMG PARK RIDGE BUSSE HIGHWAY
850 BUSSE HWY
PARK RIDGE,IL60068
PATIENT CARE - OUT PATIENT
100 100 - AMG PRIMARY CARE SPECIALISTS
150 N RIVER RD
DES PLAINES,IL60016
PATIENT CARE - OUT PATIENT
101 101 - AMG PULASKI
10627 S PULASKI
CHICAGO,IL60655
PATIENT CARE - OUT PATIENT
102 102 - AMG RIVERSIDE
7234 W OGDEN AVE
DOWNERS GROVE,IL60515
PATIENT CARE - OUT PATIENT
103 103 - AMG SWEDISH COVENANT
5140 N CALIFORNIA AVE STE 505
CHICAGO,IL60625
PATIENT CARE - OUT PATIENT
104 104 - AMG SYKES OUTPATIENT CENTER
2535 S MARTIN LUTHER KING DR
CHICAGO,IL60616
PATIENT CARE - OUT PATIENT
105 105 - AMG WINFIELD
25 N WINFIELD
WINFIELD,IL60527
PATIENT CARE - OUT PATIENT
106 106 - AMG WOODSTOCK 3703 DOTY ROAD
3703 DOTY RD BLDG1 STE 4
WOODSTOCK,IL60098
PATIENT CARE - OUT PATIENT
107 107 - AMG-CHICAGO-900 W NELSON
900 W NELSON 1ST FL
CHICAGO,IL60657
PATIENT CARE - OUT PATIENT
108 108 - AMUNDSEN SCHOOL BASED HEALTH CENTER
5110 N DAMEN AVE RM 307
CHICAGO,IL60625
PATIENT CARE - OUT PATIENT
109 109 - AURORA CARDIOLOGY
4100 HEALTHWAY DR
AURORA,IL60504
PATIENT CARE - OUT PATIENT
110 110 - AURORA PEDS SPECIALISTS
2020 OGDEN AVE
AURORA,IL60504
PATIENT CARE - OUT PATIENT
111 111 - BARRINGTON GARLANDS
6000 GARLANDS LN
BARRINGTON,IL60010
PATIENT CARE - OUT PATIENT
112 112 - BARRINGTON GSHP OCC HLTH
27790 W HWY 22 STE 19
BARRINGTON,IL60010
PATIENT CARE - OUT PATIENT
113 113 - BARRINGTON GSHP OCC HLTH
27790 W HWY 22 STE 20
BARRINGTON,IL60010
PATIENT CARE - OUT PATIENT
114 114 - BARRINGTON GSHP SLEEP
27790 W HWY 22 STE 20
BARRINGTON,IL60010
PATIENT CARE - OUT PATIENT
115 115 - BARRINGTON PEPPER RD
22285 PEPPER RD
BARRINGTON,IL60010
PATIENT CARE - OUT PATIENT
116 116 - BEVERLY HEALTH FACILITY - WALK-IN CARE
9831 S WESTERN AVE
CHICAGO,IL60643
PATIENT CARE - OUT PATIENT
117 117 - BLOOMINGTON 1401 EASTLAND DR
1401 EASTLAND DR
BLOOMINGTON,IL61701
PATIENT CARE - OUT PATIENT
118 118 - BLOOMINGTON 2204 EASTLAND DR
2204 EASTLAND DR
BLOOMINGTON,IL61704
PATIENT CARE - OUT PATIENT
119 119 - BLOOMINGTON 2406 E EMPIRE
2406 E EMPIRE
BLOOMINGTON,IL61704
PATIENT CARE - OUT PATIENT
120 120 - BLOOMINGTON 3024 E EMPIRE IMMCARE
3024 E EMPIRE
BLOOMINGTON,IL61704
PATIENT CARE - OUT PATIENT
121 121 - BLOOMINGTON 3024 E EMPIRE OCCHLTH
3024 E EMPIRE
BLOOMINGTON,IL61704
PATIENT CARE - OUT PATIENT
122 122 - BLOOMINGTON 3024 E EMPIRE SURGERY
3024 E EMPIRE
BLOOMINGTON,IL61704
PATIENT CARE - OUT PATIENT
123 123 - BLOOMINGTON 3024 E EMPIRE 3A
3024 E EMPIRE
BLOOMINGTON,IL61704
PATIENT CARE - OUT PATIENT
124 124 - BLOOMINGTON 3024 E EMPIRE 3D
3024 E EMPIRE
BLOOMINGTON,IL61704
PATIENT CARE - OUT PATIENT
125 125 - BLOOMINGTON 3024 E EMPIRE 3E-3F
3024 E EMPIRE
BLOOMINGTON,IL61704
PATIENT CARE - OUT PATIENT
126 126 - BLOOMINGTON HERSHEY
303 N HERSHEY
BLOOMINGTON,IL61704
PATIENT CARE - OUT PATIENT
127 127 - BOLINGBROOK QUADRANGLE BUILDING C
391 QUADRANGLE DR N-4
BOLINGBROOK,IL60440
PATIENT CARE - OUT PATIENT
128 128 - BOLINGBROOK WEBER DR
130 WEBER DR
BOLINGBROOK,IL60440
PATIENT CARE - OUT PATIENT
129 129 - BREAST HEALTH CENTER
4545 W 103RD ST
OAK LAWN,IL60453
PATIENT CARE - OUT PATIENT
130 130 - BRIARWOOD BUILDING
2272 COUNTYLINE RD STES 100 200 300
ALGONQUIN,IL60102
PATIENT CARE - OUT PATIENT
131 131 - BROMENN
1609 NORTHTOWN RD UNIT 8
NORMAL,IL61761
PATIENT CARE - OUT PATIENT
132 132 - BROMENN
1111 TRINITY LN UNIT E
BLOOMINGTON,IL61704
PATIENT CARE - OUT PATIENT
133 133 - BROMENN OUTPATIENT CENTER
3024 E EMPIRE ST
BLOOMINGTON,IL61704
PATIENT CARE - OUT PATIENT
134 134 - BURBANK
4901 W 79TH ST
BURBANK,IL60459
PATIENT CARE - OUT PATIENT
135 135 - BURBANK HEALTH FACILITY
4901 W 79TH ST
BURBANK,IL60459
PATIENT CARE - OUT PATIENT
136 136 - CARDIAC RISK
8820 DEMPSTER ST
PARK RIDGE,IL60068
PATIENT CARE - OUT PATIENT
137 137 - CENTER FOR ADVANCED CARDIOLOGY
1875 DEMPSTER STES 580 585 590 595
PARK RIDGE,IL60068
PATIENT CARE - OUT PATIENT
138 138 - CENTER FOR ADVANCED CARE - (OLD W PAVIL
1700 LUTHER LN
PARK RIDGE,IL60068
PATIENT CARE - OUT PATIENT
139 139 - CHICAGO (MEDICINE & SURGERY) AMG (WAS MP
11250 S WESTERN
CHICAGO,IL60643
PATIENT CARE - OUT PATIENT
140 140 - CHICAGO 3040 N WILTON 2ND FL
3040 N WILTON
CHICAGO,IL60657
PATIENT CARE - OUT PATIENT
141 141 - CHICAGO 3048 N WILTON 1ST FL
3040 N WILTON
CHICAGO,IL60657
PATIENT CARE - OUT PATIENT
142 142 - CHICAGO 3048 N WILTON 3RD FL OB MIDWIFE
3040 N WILTON
CHICAGO,IL60657
PATIENT CARE - OUT PATIENT
143 143 - CHICAGO 3048 N WILTON 3RD FL RESIDENCY
3040 N WILTON
CHICAGO,IL60657
PATIENT CARE - OUT PATIENT
144 144 - CHICAGO 9831 S WESTERN
9831 S WESTERN AVE
CHICAGO,IL60643
PATIENT CARE - OUT PATIENT
145 145 - CHICAGO CRETICOS CANCER CENTER
901 WELLINGTON AVE
CHICAGO,IL60657
PATIENT CARE - OUT PATIENT
146 146 - CHICAGO DOTY (PULLMAN)
10834 S DOTY AVE
CHICAGO,IL60628
PATIENT CARE - OUT PATIENT
147 147 - CHICAGO E 118TH ST
3550 E 118TH ST
CHICAGO,IL60625
PATIENT CARE - OUT PATIENT
148 148 - CHICAGO E 93RD STE 117-213
2301 E 93RD ST
CHICAGO,IL60617
PATIENT CARE - OUT PATIENT
149 149 - CHICAGO E 93RD STE 222
2315 E 93RD ST
CHICAGO,IL60617
PATIENT CARE - OUT PATIENT
150 150 - CHICAGO E 93RD STE 322
2301 E 93RD ST
CHICAGO,IL60617
PATIENT CARE - OUT PATIENT
151 151 - CHICAGO E 93RD STE 440
2301 E 93RD ST
CHICAGO,IL60617
PATIENT CARE - OUT PATIENT
152 152 - CHICAGO EVERGREEN
1357 W 103RD ST
CHICAGO,IL60643
PATIENT CARE - OUT PATIENT
153 153 - CHICAGO GREENWOOD
1111 E 87TH ST STE 900A
CHICAGO,IL60619
PATIENT CARE - OUT PATIENT
154 154 - CHICAGO GREENWOOD SLEEP
1111 E 87TH ST STE 500
CHICAGO,IL60619
PATIENT CARE - OUT PATIENT
155 155 - CHICAGO HALSTEDBLACKHAWK
1460 N HALSTED AVE
CHICAGO,IL60622
PATIENT CARE - OUT PATIENT
156 156 - CHICAGO IRV & WESTERN
4025 N WESTERN AVE
CHICAGO,IL60634
PATIENT CARE - OUT PATIENT
157 157 - CHICAGO MARINE DR
4646 N MARINE DR
CHICAGO,IL60640
PATIENT CARE - OUT PATIENT
158 158 - CHICAGO N BROADWAY
5304 N BROADWAY AVE
CHICAGO,IL60640
PATIENT CARE - OUT PATIENT
159 159 - CHICAGO N CENTRAL AVE
3942 N CENTRAL AVE
CHICAGO,IL60617
PATIENT CARE - OUT PATIENT
160 160 - CHICAGO N CICERO
4211 N CICERO
CHICAGO,IL60641
PATIENT CARE - OUT PATIENT
161 161 - CHICAGO N KEDZIE
AMG CHICAGO LOGAN SQUARE
CHICAGO,IL60647
PATIENT CARE - OUT PATIENT
162 162 - CHICAGO NORTH AVE
6434 W NORTH AVE
CHICAGO,IL60302
PATIENT CARE - OUT PATIENT
163 163 - CHICAGO SYKES
AMG SYKES
CHICAGO,IL60616
PATIENT CARE - OUT PATIENT
164 164 - CHICAGO W BRYN MAWR STE 350
8550 W BRYN MAWR
CHICAGO,IL60631
PATIENT CARE - OUT PATIENT
165 165 - CHICAGO W BRYN MAWR STE 650
8550 W BRYN MAWR
CHICAGO,IL60631
PATIENT CARE - OUT PATIENT
166 166 - CHICAGO W BRYN MAWR STE 700
8550 W BRYN MAWR
CHICAGO,IL60631
PATIENT CARE - OUT PATIENT
167 167 - CHICAGO W BRYN MAWR STE 800
8550 W BRYN MAWR
CHICAGO,IL60631
PATIENT CARE - OUT PATIENT
168 168 - CHICAGO W FOSTER
AMG CHICAGO FOSTER
CHICAGO,IL60610
PATIENT CARE - OUT PATIENT
169 169 - CHICAGO WELLINGTON DENTISTRY
811 WELLINGTON AVE
CHICAGO,IL60657
PATIENT CARE - OUT PATIENT
170 170 - CHRIST POB
4400 W 95TH ST STES 101 102 107 1
OAK LAWN,IL60453
PATIENT CARE - OUT PATIENT
171 171 - CHRIST WOMEN'S HEALTH CENTER
18210 S LAGRANGE RD STE 200
TINLEY PARK,IL60477
PATIENT CARE - OUT PATIENT
172 172 - COMMUNITY CANCER CENTER (CYBERKNIFE)
407 E VERNON
NORMAL,IL61761
PATIENT CARE - OUT PATIENT
173 173 - CROSSROADS MEDICAL
128 W MAIN ST
LEXINGTON,IL61753
PATIENT CARE - OUT PATIENT
174 174 - CROSSROADS MEDICAL
385 S ORANGE ST
EL PASO,IL61738
PATIENT CARE - OUT PATIENT
175 175 - CROSSROADS MEDICAL
307 W MAIN ST
LEXINGTON,IL61753
PATIENT CARE - OUT PATIENT
176 176 - CRYSTAL LAKE CONGRESS PARKWAY
525 CONGRESS PKWY
CRYSTAL LAKE,IL60014
PATIENT CARE - OUT PATIENT
177 177 - CRYSTAL LAKE MEMORIAL COURT
284 MEMORIAL CT
CRYSTAL LAKE,IL60014
PATIENT CARE - OUT PATIENT
178 178 - DES PLAINES ACMG
8901 GOLF RD
DES PLAINES,IL60016
PATIENT CARE - OUT PATIENT
179 179 - DES PLAINES LEE ST STE 003
701 LEE ST
DES PLAINES,IL60016
PATIENT CARE - OUT PATIENT
180 180 - DES PLAINES LEE ST STE 100 ILL HEALTH P
701 LEE ST
DES PLAINES,IL60016
PATIENT CARE - OUT PATIENT
181 181 - DES PLAINES LEE ST STE 800
701 LEE ST
DES PLAINES,IL60016
PATIENT CARE - OUT PATIENT
182 182 - DES PLAINES RAND RD
77 RAND RD
DES PLAINES,IL60016
PATIENT CARE - OUT PATIENT
183 183 - DEVELOPMENT CENTER
4546 W 95TH ST
OAK LAWN,IL60453
PATIENT CARE - OUT PATIENT
184 184 - DOCTORS OF THE NORTH SHORE
6131 W DEMPSTER ST
MORTON GROVE,IL60053
PATIENT CARE - OUT PATIENT
185 185 - DOCTORS OFFICE
3040 N WILTON
CHICAGO,IL60657
PATIENT CARE - OUT PATIENT
186 186 - DOWNERS GROVE 4900 MAIN ST 1ST FL
4900 MAIN ST
DOWNERS GROVE,IL60515
PATIENT CARE - OUT PATIENT
187 187 - DOWNERS GROVE 4900 MAIN ST BSMNT
4900 MAIN ST
DOWNERS GROVE,IL60515
PATIENT CARE - OUT PATIENT
188 188 - DOWNERS GROVE CENTER
3551 HIGHLAND AVE STE 200
DOWNERS GROVE,IL60515
PATIENT CARE - OUT PATIENT
189 189 - DOWNERS GROVE GSAM SLEEP
3815 HIGHLAND AVE
DOWNERS GROVE,IL60515
PATIENT CARE - OUT PATIENT
190 190 - DOWNERS GROVE GSAM STE 103
3825 HIGHLAND AVE
DOWNERS GROVE,IL60515
PATIENT CARE - OUT PATIENT
191 191 - DOWNERS GROVE GSAM STE 107
3825 HIGHLAND AVE
DOWNERS GROVE,IL60515
PATIENT CARE - OUT PATIENT
192 192 - DOWNERS GROVE GSAM STE 200
3551 HIGHLAND AVE
DOWNERS GROVE,IL60515
PATIENT CARE - OUT PATIENT
193 193 - DOWNERS GROVE GSAM STE 306
3825 HIGHLAND AVE
DOWNERS GROVE,IL60515
PATIENT CARE - OUT PATIENT
194 194 - DOWNERS GROVE GSAM STE 400
3825 HIGHLAND AVE
DOWNERS GROVE,IL60515
PATIENT CARE - OUT PATIENT
195 195 - DOWNERS GROVE GSAM STE 4H4K
3825 HIGHLAND AVE
DOWNERS GROVE,IL60515
PATIENT CARE - OUT PATIENT
196 196 - DOWNERS GROVE GSAM STE 5B
3825 HIGHLAND AVE
DOWNERS GROVE,IL60515
PATIENT CARE - OUT PATIENT
197 197 - DOWNERS GROVE INTERNISTS
3825 HIGHLAND AVE STE 5B
DOWNERS GROVE,IL60515
PATIENT CARE - OUT PATIENT
198 198 - DOWNERS GROVE S MAIN STE 101
6840 S MAIN ST
DOWNERS GROVE,IL60515
PATIENT CARE - OUT PATIENT
199 199 - DOWNERS GROVE S MAIN STE 202
6840 S MAIN ST
DOWNERS GROVE,IL60515
PATIENT CARE - OUT PATIENT
200 200 - DOWNERS GROVE S MAIN STE 2ND FL
6840 S MAIN ST
DOWNERS GROVE,IL60515
PATIENT CARE - OUT PATIENT
201 201 - EAST PAVILION (OLD SCIENCE BUILDING)
1775 WESTERN AVE
PARK RIDGE,IL60068
PATIENT CARE - OUT PATIENT
202 202 - EL PASO
385 S ORANGE
EL PASO,IL61738
PATIENT CARE - OUT PATIENT
203 203 - ELDORADO
306 ELDORADO
BLOOMINGTON,IL61704
SUPPORT
204 204 - ELGIN FLETCHER STE 101
745 FLETCHER RD
ELGIN,IL60123
PATIENT CARE - OUT PATIENT
205 205 - ELGIN FLETCHER STE 302
745 FLETCHER RD
ELGIN,IL60123
PATIENT CARE - OUT PATIENT
206 206 - ELGIN RANDALL STE 107
1710 RANDALL RD STE 107
ELGIN,IL60123
PATIENT CARE - OUT PATIENT
207 207 - ELGIN RANDALL STE 201 (EFFECTIVE 41
1710 RANDALL RD STE 201
ELGIN,IL60123
PATIENT CARE - OUT PATIENT
208 208 - ELGIN RANDALL STE 340
1710 RANDALL RD
ELGIN,IL60123
PATIENT CARE - OUT PATIENT
209 209 - ELK GROVE CENTER
1502 ELMHURST RD
ELK GROVE VILLAGE,IL60007
PATIENT CARE - OUT PATIENT
210 210 - EUREKA
105 S MAJOR
EUREKA,IL61530
PATIENT CARE - OUT PATIENT
211 211 - EVERGREEN HEALTH FACILITY I - NAME CHANG
1357 W 103RD ST STES 100 200
CHICAGO,IL60643
PATIENT CARE - OUT PATIENT
212 212 - EVERGREEN PARK S WESTERN AVE PARKING LOT
9730 S WESTERN AVE
EVERGREEN PARK,IL60805
PATIENT CARE - OUT PATIENT
213 213 - EVERGREEN PARK S WESTERN AVE STE 500
9730 S WESTERN AVE
EVERGREEN PARK,IL60805
PATIENT CARE - OUT PATIENT
214 214 - EVERGREEN PARK S WESTERN AVE STE 733
9730 S WESTERN AVE
EVERGREEN PARK,IL60805
PATIENT CARE - OUT PATIENT
215 215 - EVERGREEN PLAZA - UM
9730 S WESTERN AVE STE 733
EVERGREEN PARK,IL60805
PATIENT CARE - OUT PATIENT
216 216 - EVERGREENEVERGREEN PEDS - NAME CHANGED
9730 S WESTERN AVE STE 500
EVERGREEN PARK,IL60805
PATIENT CARE - OUT PATIENT
217 217 - FAIRBURY
115 E WALNUT
FAIRBURY,IL61739
PATIENT CARE - OUT PATIENT
218 218 - FAIRBURY MEDICAL ASSOCIATES
115 E WALNUT
FAIRBURY,IL61739
PATIENT CARE - OUT PATIENT
219 219 - FAMILY PRACTICE
4140 W SOUTHWEST HWY
HOMETOWN,IL60456
PATIENT CARE - OUT PATIENT
220 220 - FAMILY PRACTICE - ARLINGTON HEIGHTS
825 E GOLF RD
ARLINGTON HEIGHTS,IL60005
PATIENT CARE - OUT PATIENT
221 221 - FAMILY PRACTICE AT RAVENSWOOD
4600 N RAVENSWOOD AVE
CHICAGO,IL60640
PATIENT CARE - OUT PATIENT
222 222 - FOX RIVER GROVE
912 NORTHWEST HWY
FOX RIVER GROVE,IL60010
PATIENT CARE - OUT PATIENT
223 223 - FRANKFORT AHC
328 N LAGRANGE RD
FRANKFORT,IL60423
PATIENT CARE - OUT PATIENT
224 224 - FRANKFORT GRACELAND
20325 S GRACELAND
FRANKFORT,IL60423
PATIENT CARE - OUT PATIENT
225 225 - FRANKFORT LAGRANGE
21160 S LAGRANGE AVE
FRANKFORT,IL60423
PATIENT CARE - OUT PATIENT
226 226 - FRANKFORT MEDICAL OFFICE
20325 S GRACELAND LN
FRANKFORT,IL60423
PATIENT CARE - OUT PATIENT
227 227 - FRANKLIN AVE BUILDING
900 FRANKLIN AVE
NORMAL,IL61761
PATIENT CARE - OUT PATIENT
228 228 - GARTNER DENTISTRY BUILDING
811 W WELLINGTON AVE
CHICAGO,IL60657
PATIENT CARE - OUT PATIENT
229 229 - GLENVIEW MILWAUKEE
1255 MILWAUKEE
GLENVIEW,IL60025
PATIENT CARE - OUT PATIENT
230 230 - GLENVIEW WAUKEGAN
1412 WAUKEGAN RD
GLENVIEW,IL60025
PATIENT CARE - OUT PATIENT
231 231 - GOOD SAMARITAN HOSPITAL CANCER CARE CENT
3745 HIGHLAND AVE
DOWNERS GROVE,IL60515
PATIENT CARE - IN PATIENT
232 232 - GOOD SAMARITAN POB TOWER 1
3825 HIGHLAND AVE STES 2J 4H 4K GR
DOWNERS GROVE,IL60515
PATIENT CARE - OUT PATIENT
233 233 - GOOD SAMARITAN POB TOWER 2
3825 HIGHLAND AVE STES 103 107 110
DOWNERS GROVE,IL60515
PATIENT CARE - OUT PATIENT
234 234 - GOOD SAMARITAN WELLNESS CENTER
3551 HIGHLAND AVE
DOWNERS GROVE,IL60515
PATIENT CARE - OUT PATIENT
235 235 - GOOD SHEPHERD OUTPATIENT CENTER & IMAGIN
525 CONGRESS PKWY 1ST FL 225
CRYSTAL LAKE,IL60014
PATIENT CARE - OUT PATIENT
236 236 - GOOD SHEPHERD POB BUILDING 1
27790 W HWY 22 STE 2 5 13 14 16
BARRINGTON,IL60010
PATIENT CARE - OUT PATIENT
237 237 - GOOD SHEPHERD POB BUILDING 2
27750 W HWY 22 STES G50 G60 140 2
BARRINGTON,IL60010
PATIENT CARE - OUT PATIENT
238 238 - GRAND OAKS HEALTH CENTER HOLLISTER GROV
1800 HOLLISTER DR STE G2
LIBERTYVILLE,IL60048
PATIENT CARE - OUT PATIENT
239 239 - GREAT LAKES REIT (GLR) INTERNAL MEDICINE
27790 W HWY 22 BLDG 1 STE 16
BARRINGTON,IL60010
PATIENT CARE - OUT PATIENT
240 240 - GURNEE HUNT CLUB RD IMM CARE
1445 HUNT CLUB RD
GURNEE,IL60031
PATIENT CARE - OUT PATIENT
241 241 - GURNEE HUNT CLUB RD SLEEP
1445 HUNT CLUB RD
GURNEE,IL60031
PATIENT CARE - OUT PATIENT
242 242 - GURNEE HUNT CLUB RD STE 301
1425 HUNT CLUB RD
GURNEE,IL60031
PATIENT CARE - OUT PATIENT
243 243 - GURNEE HUNT CLUB RD STE 304
1445 HUNT CLUB RD
GURNEE,IL60031
PATIENT CARE - OUT PATIENT
244 244 - HALSTED & BLACKHAWK HEALTH FACILITY
1460 N HALSTED AVE
CHICAGO,IL60614
PATIENT CARE - OUT PATIENT
245 245 - HAZEL CREST W 177TH ST
3330 W 177TH ST
HAZEL CREST,IL60429
PATIENT CARE - OUT PATIENT
246 246 - HAZEL CREST CENTER
17850 S KEDZIE AVE STE 1100
HAZEL CREST,IL60429
PATIENT CARE - OUT PATIENT
247 247 - HAZEL CREST S KEDZIE (SANE)
17680 S KEDZIE
HAZEL CREST,IL60429
PATIENT CARE - OUT PATIENT
248 248 - HAZEL CREST S KEDZIE (SHAH)
17680 S KEDZIE
HAZEL CREST,IL60429
PATIENT CARE - OUT PATIENT
249 249 - HAZEL CREST SSUB EMP HLTH
17850 S KEDZIE
HAZEL CREST,IL60429
PATIENT CARE - OUT PATIENT
250 250 - HAZEL CREST SSUB STE 2100
17850 S KEDZIE
HAZEL CREST,IL60429
PATIENT CARE - OUT PATIENT
251 251 - HAZEL CREST SSUB STE 2300
17850 S KEDZIE
HAZEL CREST,IL60429
PATIENT CARE - OUT PATIENT
252 252 - HAZEL CREST SSUB STE 3100 3500
17850 S KEDZIE
HAZEL CREST,IL60429
PATIENT CARE - OUT PATIENT
253 253 - HEALTHPOINT
1437 E COLLEGE AVE
NORMAL,IL61761
PATIENT CARE - OUT PATIENT
254 254 - HIGH TECH OFFICES - HOSPITAL
11800 SOUTHWEST HWY
PALOS HEIGHTS,IL60463
PATIENT CARE - OUT PATIENT
255 255 - HOME HEALTHHOSPICECOMMUNITY HEALTH
407 E VERNON
NORMAL,IL61761
PATIENT CARE - OUT PATIENT
256 256 - ILLINOIS HEART & LUNG - BILLING OFFICE
1300 FRANKLIN AVE
NORMAL,IL61761
PATIENT CARE - OUT PATIENT
257 257 - ILLINOIS HEART & LUNG - PONTIAC OFFICE
1508 W REYNOLDS STE A
PONTIAC,IL61764
PATIENT CARE - OUT PATIENT
258 258 - ILLINOIS HEART & LUNG ASSOCIATES PULMONO
1302 FRANKLIN AVE
NORMAL,IL61761
PATIENT CARE - OUT PATIENT
259 259 - ILLINOIS HEART & LUNG CARDIOLOGY ASSOCIA
1302 FRANKLIN AVE MOB 4500
NORMAL,IL61761
PATIENT CARE - OUT PATIENT
260 260 - ILLINOIS MASONIC PHYSICIAN GROUP
4211 N CICERO STE 300
CHICAGO,IL60641
PATIENT CARE - OUT PATIENT
261 261 - IMAGING CENTER
2284 W COUNTYLINE RD
ALGONQUIN,IL60014
PATIENT CARE - OUT PATIENT
262 262 - INTERNAL MEDICINE - BUFFALO GROVE
214 MCHENRY RD STES B19 B20
BUFFALO GROVE,IL60089
PATIENT CARE - OUT PATIENT
263 263 - IRVING AND WESTERN
4025 N WESTERN AVE
CHICAGO,IL60618
PATIENT CARE - OUT PATIENT
264 264 - IVY PHYSICIANS GROUP
2437 N SOUTHPORT AVE 1ST FL
CHICAGO,IL60614
PATIENT CARE - OUT PATIENT
265 265 - LAKE ZURICH BREAST IMAGING CENTER PEDIA
350 SURRYSE RD STES 140 150 250
LAKE ZURICH,IL60047
PATIENT CARE - OUT PATIENT
266 266 - LAKE ZURICH CENTER
350 SURRYSE RD
LAKE ZURICH,IL60047
PATIENT CARE - OUT PATIENT
267 267 - LAKE ZURICH STE 110
350 SURRYSE RD STE 110
LAKE ZURICH,IL60047
PATIENT CARE - OUT PATIENT
268 268 - LAKEVIEW SCHOOL BASED HEALTH CENTER
4015 N ASHLAND AVE RM 103
CHICAGO,IL60657
PATIENT CARE - OUT PATIENT
269 269 - LEMONT WALK IN CLINICRADIOLOGY
15900 W 127TH ST STES 100 131 20
LEMONT,IL60439
PATIENT CARE - OUT PATIENT
270 270 - LEROY FAMILY MEDICINE
911 S CHESTNUT
LEROY,IL61752
PATIENT CARE - OUT PATIENT
271 271 - LGOHC-I
7255 CALDWELL
NILES,IL60714
PATIENT CARE - OUT PATIENT
272 272 - LIBERTYVILLE 755 S MILWAUKEE
755 S MILWAUKEE AVE
LIBERTYVILLE,IL60048
PATIENT CARE - OUT PATIENT
273 273 - LIBERTYVILLE GARFIELD STE 200
890 GARFIELD
LIBERTYVILLE,IL60048
PATIENT CARE - OUT PATIENT
274 274 - LIBERTYVILLE GARFIELD STE 202
890 GARFIELD
LIBERTYVILLE,IL60048
PATIENT CARE - OUT PATIENT
275 275 - LIBERTYVILLE OFFICE BUILDING AMG (WAS CO
716 S MILWAUKEE AVE
LIBERTYVILLE,IL60048
PATIENT CARE - OUT PATIENT
276 276 - LOGAN SQUARE HEALTH FACILITY
2511 N KEDZIE
CHICAGO,IL60647
PATIENT CARE - OUT PATIENT
277 277 - MCHENRY
633 RIDGEVIEW DR
MCHENRY,IL60050
PATIENT CARE - OUT PATIENT
278 278 - MEDICAL HILLS INTERNISTS
1401 EASTLAND DR
BLOOMINGTON,IL61701
PATIENT CARE - OUT PATIENT
279 279 - MEDICAL OFFICE BUILDING
1302 FRANKLIN
NORMAL,IL61761
PATIENT CARE - OUT PATIENT
280 280 - MEDICAL OFFICE BUILDING
3000 N HALSTED ST STES 209 209B 30
CHICAGO,IL60657
PATIENT CARE - OUT PATIENT
281 281 - MIDAMERICA CARDIOVASCULAR CONSULTANTS A
10837 S CICERO AVE STES 200 110
OAK LAWN,IL60453
PATIENT CARE - OUT PATIENT
282 282 - MIDAMERICA CARDIOVASCULAR CONSULTANTS A
3611 W 183RD ST
HAZEL CREST,IL60429
PATIENT CARE - OUT PATIENT
283 283 - MIDAMERICA CARDIOVASCULAR CONSULTANTS A
14741 RAVINIA DR
ORLAND PARK,IL60467
PATIENT CARE - OUT PATIENT
284 284 - MIDAMERICA CARDIOVASCULAR CONSULTANTS A
9830 S RIDGELAND AVE
CHICAGO RIDGE,IL60415
PATIENT CARE - OUT PATIENT
285 285 - MIDAMERICA CARDIOVASCULAR CONSULTANTS A
17850 S KEDZIE AVE STE 3250
HAZEL CREST,IL60429
PATIENT CARE - OUT PATIENT
286 286 - MIDAMERICA CARDIOVASCULAR CONSULTANTS A
2301/2315 E 93RD ST STE 222
CHICAGO,IL60617
PATIENT CARE - OUT PATIENT
287 287 - MIDAMERICA CARDIOVASCULAR CONSULTANTS S
3800 BURKE DR STE 201
OLYMPIA FIELDS,IL60449
PATIENT CARE - OUT PATIENT
288 288 - MIDW HEART SPECIALISTSADVOCATE MEDICAL
27750 W HWY 22 STE 240
BARRINGTON,IL60010
PATIENT CARE - OUT PATIENT
289 289 - MIDW HEART SPECIALISTSADVOCATE MEDICAL
3825 HIGHLAND AVE STE 400
DOWNERS GROVE,IL60515
PATIENT CARE - OUT PATIENT
290 290 - MIDW HEART SPECIALISTSADVOCATE MEDICAL
133 E BRUSH HILL RD STE 202
ELMHURST,IL60126
PATIENT CARE - OUT PATIENT
291 291 - MIDW HEART SPECIALISTSADVOCATE MEDICAL
1555 BARRINGTON RD STE 3200
HOFFMAN ESTATES,IL60194
PATIENT CARE - OUT PATIENT
292 292 - MIDW HEART SPECIALISTSADVOCATE MEDICAL
801 S WASHINGTON 4TH FL
NAPERVILLE,IL60540
PATIENT CARE - OUT PATIENT
293 293 - MIDW HEART SPECIALISTSADVOCATE MEDICAL
25 N WINFIELD RD STE 301
WINFIELD,IL60190
PATIENT CARE - OUT PATIENT
294 294 - MIDW PEDIATRIC CARDIOLOGY ADVOCATE MED
2020 OGDEN AVE STE 400
AURORA,IL60504
PATIENT CARE - OUT PATIENT
295 295 - MIDW PEDIATRIC CARDIOLOGY ADVOCATE MED
4440 W 95TH ST STE 108
OAK LAWN,IL60453
PATIENT CARE - OUT PATIENT
296 296 - MIDW PEDIATRIC CARDIOLOGY ADVOCATE MED
16151 WEBER RD UNIT 107
CREST HILL,IL60403
PATIENT CARE - OUT PATIENT
297 297 - MIDW PEDIATRIC CARDIOLOGY ADVOCATE MED
4440 W 95TH ST STE 1100H
OAK LAWN,IL60453
PATIENT CARE - OUT PATIENT
298 298 - MIDW PEDIATRIC CARDIOLOGY ADVOCATE MED
1206 9TH ST STE 310
LOCKPORT,IL60441
PATIENT CARE - OUT PATIENT
299 299 - MIDW PEDIATRIC CARDIOLOGY ADVOCATE MED
209 E 86TH PLACE STE D
MERRILLVILLE,IN46410
PATIENT CARE - OUT PATIENT
300 300 - MIDW PEDIATRIC CARDIOLOGY ADVOCATE MED
1555 BARRINGTON RD STE 3200
HOFFMAN ESTATES,IL60169
PATIENT CARE - OUT PATIENT
301 301 - MIDW PEDIATRIC CARDIOLOGY ADVOCATE MED
800 MACARTHUR BLVD STE 3
MUNSTER,IN46321
PATIENT CARE - OUT PATIENT
302 302 - MIDW PEDIATRIC CARDIOLOGY ADVOCATE MED
1020 E OGDEN AVE STE 302
NAPERVILLE,IL60563
PATIENT CARE - OUT PATIENT
303 303 - MIDW PEDIATRIC CARDIOLOGY ADVOCATE MED
4700 W 95TH ST STE 205
OAK LAWN,IL60453
PATIENT CARE - OUT PATIENT
304 304 - MIDW PEDIATRIC CARDIOLOGY ADVOCATE MED
5701 STRATHMOOR DR STE 1 3
ROCKFORD,IL61107
PATIENT CARE - OUT PATIENT
305 305 - MIDWEST CENTER FOR DAY SURGERY
3811 HIGHLAND AVE
DOWNERS GROVE,IL60515
PATIENT CARE - OUT PATIENT
306 306 - NESSET HEALTH CENTER
1775 BALLARD RD
PARK RIDGE,IL60068
PATIENT CARE - OUT PATIENT
307 307 - NILES CALDWELL
7255 N CALDWELL
NILES,IL60714
PATIENT CARE - OUT PATIENT
308 308 - NILES MILWAUKEE
7900 MILWAUKEE AVE
NILES,IL60714
PATIENT CARE - OUT PATIENT
309 309 - NORMAL BEHAVIORAL HEALTH
403 W VIRGINIA AVE
NORMAL,IL61761
PATIENT CARE - OUT PATIENT
310 310 - NORMAL BILLING OFFICE
1304 FRANKLIN AVE
NORMAL,IL61761
PATIENT CARE - OUT PATIENT
311 311 - NORMAL ENDOCRINOLOGY
1302 FRANKLIN AVE
NORMAL,IL61761
PATIENT CARE - OUT PATIENT
312 312 - NORMAL ENY SURGICAL ASSOCIATES
207 LANDMARK
NORMAL,IL61761
PATIENT CARE - OUT PATIENT
313 313 - NORMAL GENERAL & COLORECTAL SURGERY
1300 FRANKLIN AVE
NORMAL,IL61761
PATIENT CARE - OUT PATIENT
314 314 - NORMAL ILL HEART AND LUNG CARDIOLOGY
1302 FRANKLIN AVE
NORMAL,IL61761
PATIENT CARE - OUT PATIENT
315 315 - NORMAL ILL HEART AND LUNG PULMONOLOGY
1302 FRANKLIN AVE
NORMAL,IL61761
PATIENT CARE - OUT PATIENT
316 316 - NORMAL NEUROLOGY
1300 FRANKLIN AVE
NORMAL,IL61761
PATIENT CARE - OUT PATIENT
317 317 - NORMAL PEDIATRICS
1302 FRANKLIN AVE
NORMAL,IL61761
PATIENT CARE - OUT PATIENT
318 318 - NORMAL PRIMARY CARE & IMMEDIATE CARE
1302 FRANKLIN AVE
NORMAL,IL61761
PATIENT CARE - OUT PATIENT
319 319 - NORTH PAVILION
3743 HIGHLAND AVE
DOWNERS GROVE,IL60515
PATIENT CARE - OUT PATIENT
320 320 - NORTH SUBURBAN CLINIC
2575 ALGONQUIN RD
ALGONQUIN,IL60102
PATIENT CARE - OUT PATIENT
321 321 - NORTHSIDE-SUBURBAN PEDIATRICS
4801 W PETERSON 506
CHICAGO,IL60646
PATIENT CARE - OUT PATIENT
322 322 - OAK PARK - NORTH AVE HEALTH FACILITY
6434 W NORTH AVE
OAK PARK,IL60639
PATIENT CARE - OUT PATIENT
323 323 - OFFICE BUILDING-ADVOCATE PHYSICIAN PARTN
3004 GENERAL ELECTRIC RD STE
BLOOMINGTON,IL61704
PATIENT CARE - OUT PATIENT
324 324 - OLYMPIA FIELDS AMG (WAS MPG)
4001 VOLLMER RD
OLYMPIA FIELDS,IL60461
PATIENT CARE - OUT PATIENT
325 325 - OLYMPIA FIELDS CANCER CARE INSTITUTE AMG
3700 W 203RD ST
OLYMPIA FIELDS,IL60461
PATIENT CARE - OUT PATIENT
326 326 - OLYMPIA FIELDS CORPORATE & PHYSICAL THE
20110 GOVERNORS HWY
OLYMPIA FIELDS,IL60461
PATIENT CARE - OUT PATIENT
327 327 - ORLAND SQUARE HEALTH CENTER WALK-IN CARE
29 ORLAND SQUARE DR
ORLAND PARK,IL60462
PATIENT CARE - OUT PATIENT
328 328 - ORLAND SQUARE ORLAND DR
29 ORLAND PARK DR
ORLAND PARK,IL60467
PATIENT CARE - OUT PATIENT
329 329 - PALOS
7620 W 111TH ST
PALOS HILLS,IL60465
PATIENT CARE - OUT PATIENT
330 330 - PARK RIDE YACKTMAN
1675 DEMPSTER
PARK RIDGE,IL60068
PATIENT CARE - OUT PATIENT
331 331 - PARK RIDGE ADULT DOWN SYNDROME
1610 LUTHER LN
PARK RIDGE,IL60068
PATIENT CARE - OUT PATIENT
332 332 - PARK RIDGE CAC GYNONC ONCOLOGY
1700 LUTHER LN
PARK RIDGE,IL60068
PATIENT CARE - OUT PATIENT
333 333 - PARK RIDGE CARDIO VASCULAR
1700 LUTHER LN
PARK RIDGE,IL60068
PATIENT CARE - OUT PATIENT
334 334 - PARK RIDGE LGH SLEEP CENTER
1775 DEMPSTER
PARK RIDGE,IL60068
PATIENT CARE - OUT PATIENT
335 335 - PARK RIDGE NESSET
1775 BALLARD RD
PARK RIDGE,IL60068
PATIENT CARE - OUT PATIENT
336 336 - PARK RIDGE PARKSIDE STE 270
1875 W DEMPSTER
PARK RIDGE,IL60068
PATIENT CARE - OUT PATIENT
337 337 - PARK RIDGE PARKSIDE STE 285
1875 W DEMPSTER
PARK RIDGE,IL60068
PATIENT CARE - OUT PATIENT
338 338 - PARK RIDGE PARKSIDE STE 310
1875 W DEMPSTER
PARK RIDGE,IL60068
PATIENT CARE - OUT PATIENT
339 339 - PARK RIDGE PARKSIDE STE 325
1875 W DEMPSTER
PARK RIDGE,IL60068
PATIENT CARE - OUT PATIENT
340 340 - PARK RIDGE PARKSIDE STE 340
1875 W DEMPSTER
PARK RIDGE,IL60068
PATIENT CARE - OUT PATIENT
341 341 - PARK RIDGE PARKSIDE STE 360
1875 W DEMPSTER
PARK RIDGE,IL60068
PATIENT CARE - OUT PATIENT
342 342 - PARK RIDGE PARKSIDE STE 470
1875 W DEMPSTER
PARK RIDGE,IL60068
PATIENT CARE - OUT PATIENT
343 343 - PARK RIDGE PARKSIDE STE 490
1875 W DEMPSTER
PARK RIDGE,IL60068
PATIENT CARE - OUT PATIENT
344 344 - PARK RIDGE PARKSIDE STE 520
1875 W DEMPSTER
PARK RIDGE,IL60068
PATIENT CARE - OUT PATIENT
345 345 - PARK RIDGE PARKSIDE STE 550
1875 W DEMPSTER
PARK RIDGE,IL60068
PATIENT CARE - OUT PATIENT
346 346 - PARK RIDGE PARKSIDE STE 555-556
1875 W DEMPSTER
PARK RIDGE,IL60068
PATIENT CARE - OUT PATIENT
347 347 - PARK RIDGE PARKSIDE STE 640
1875 W DEMPSTER
PARK RIDGE,IL60068
PATIENT CARE - OUT PATIENT
348 348 - PARK RIDGE PEDIATRIC NEPHROLOGY
1480 RENAISSANCE DR STE 211
PARK RIDGE,IL60068
PATIENT CARE - OUT PATIENT
349 349 - PARK RIDGE RENAISSANCE DR
1480 RENAISSANCE DR
PARK RIDGE,IL60068
PATIENT CARE - OUT PATIENT
350 350 - PARK RIDGE YACKTMAN OB
1675 DEMPSTER
PARK RIDGE,IL60068
PATIENT CARE - OUT PATIENT
351 351 - PARKSIDE CENTER
1875 DEMPSTER ST
PARK RIDGE,IL60068
PATIENT CARE - OUT PATIENT
352 352 - PEDS - DEERFIELD
720 OSTERMAN AVE 103
DEERFIELD,IL60015
PATIENT CARE - OUT PATIENT
353 353 - PHYSICIAN'S OFFICES
11745 SOUTHWEST HWY
PALOS HEIGHTS,IL60463
PATIENT CARE - OUT PATIENT
354 354 - PHYSICIAN'S OFFICES
4151 NAPERVILLE RD
LISLE,IL60532
PATIENT CARE - OUT PATIENT
355 355 - PHYSICIAN'S OFFICES
9848 S ROBERTS RD
PALOS HEIGHTS,IL60465
PATIENT CARE - OUT PATIENT
356 356 - PLAINFIELD
24600 W 127TH ST BLDG B
PLAINFIELD,IL60544
PATIENT CARE - OUT PATIENT
357 357 - POB BUILDING
414 S HOMAN
CHICAGO,IL60624
PATIENT CARE - OUT PATIENT
358 358 - POB BUILDING
3410 W VAN BUREN
CHICAGO,IL60624
PATIENT CARE - OUT PATIENT
359 359 - POB BUILDING
1300 FRANKLIN AVE
NORMAL,IL61761
PATIENT CARE - OUT PATIENT
360 360 - PONTIAC ILLINOIS HEART AND LUNG
1508 W REYNOLDS
PONTIAC,IL61764
PATIENT CARE - OUT PATIENT
361 361 - RAVENSWOOD MEDICAL GROUP
1945 W WILSON AVE STE 2100 4TH FL
CHICAGO,IL60640
PATIENT CARE - OUT PATIENT
362 362 - RIVERSIDE
7234 W OGDEN AVE
RIVERSIDE,IL60546
PATIENT CARE - OUT PATIENT
363 363 - ROANOKE
415 W FRONT
ROANOKE,IL61561
PATIENT CARE - OUT PATIENT
364 364 - ROTUNDA MEDICAL BUILDING
4340 W 95TH ST STE 104 105 106 AN
OAK LAWN,IL60453
PATIENT CARE - OUT PATIENT
365 365 - SIX CORNERS AHC
4211 N CICERO STES 308 306 304
CHICAGO,IL60641
PATIENT CARE - OUT PATIENT
366 366 - SLEEP CENTER
1111 E 87TH ST STE 500
CHICAGO,IL60617
PATIENT CARE - OUT PATIENT
367 367 - SOUTH ELGIN
2000 MCDONALD RD
SOUTH ELGIN,IL60177
PATIENT CARE - OUT PATIENT
368 368 - SOUTH ELGIN
2000 MCDONALD RD
SOUTH ELGIN,IL60177
PATIENT CARE - OUT PATIENT
369 369 - SOUTH HOLLAND
100 W 162ND ST
SOUTH HOLLAND,IL60473
PATIENT CARE - OUT PATIENT
370 370 - SOUTH HOLLAND
100 W 162ND ST
SOUTH HOLLAND,IL60473
PATIENT CARE - OUT PATIENT
371 371 - SOUTH SUBURBAN HOSPITAL - CRETE LOCATION
1024-1036 E STEGER RD 4 STES
CRETE,IL60417
PATIENT CARE - OUT PATIENT
372 372 - SOUTH SUBURBAN HOSPITAL CANCER CENTER
17750 S KEDZIE
HAZEL CREST,IL60429
PATIENT CARE - OUT PATIENT
373 373 - SOUTH SUBURBAN MEDICAL OFFICE AND SLEEP
16532 OAK PARK AVE STE LL1
TINLEY PARK,IL60477
PATIENT CARE - OUT PATIENT
374 374 - SOUTH SUBURBAN POB
17850 S KEDZIE STES LL 1 2 LL STO
HAZEL CREST,IL60429
PATIENT CARE - OUT PATIENT
375 375 - SOUTHEAST HEALTH FACILITY
2301 EAST 93RD ST STES 117 2ND AND
3
CHICAGO,IL60617
PATIENT CARE - OUT PATIENT
376 376 - SOUTHWEST HIGHWAY
11824 SOUTHWEST HWY STES 135 140 1
PALOS HEIGHTS,IL60463
PATIENT CARE - OUT PATIENT
377 377 - SUGAR CREEK MEDICAL I
1302 FRANKLIN AVE STE 1100
NORMAL,IL61761
PATIENT CARE - OUT PATIENT
378 378 - SUGAR CREEK MEDICAL II
1302 FRANKLIN AVE STE 2500
NORMAL,IL61761
PATIENT CARE - OUT PATIENT
379 379 - TINLEY PARK - CMC 8TH AVE STE E
16750 S 80TH AVE
TINLEY PARK,IL60477
PATIENT CARE - OUT PATIENT
380 380 - TINLEY PARK CENTER - OCC HEALTH
18210 S LAGRANGE RD STE 211
TINLEY PARK,IL60477
PATIENT CARE - OUT PATIENT
381 381 - TINLEY PARK HIGH TECH
18210 S LAGRANGE AVE
TINLEY PARK,IL60477
PATIENT CARE - OUT PATIENT
382 382 - TINLEY PARK LA GRANGE AVE STE 105
18210 S LAGRANGE AVE
TINLEY PARK,IL60477
PATIENT CARE - OUT PATIENT
383 383 - TINLEY PARK LA GRANGE AVE STE 200
18210 S LAGRANGE AVE
TINLEY PARK,IL60477
PATIENT CARE - OUT PATIENT
384 384 - TINLEY PARK LA GRANGE AVE STE 209
18210 S LAGRANGE AVE
TINLEY PARK,IL60477
PATIENT CARE - OUT PATIENT
385 385 - TINLEY PARK MEDICAL OFFICE
16750 S 80TH AVE STE B
TINLEY PARK,IL60477
PATIENT CARE - OUT PATIENT
386 386 - TINLEY PARK SLEEP CENTER
16532 OAK PARK AVE
TINLEY PARK,IL60477
PATIENT CARE - OUT PATIENT
387 387 - TOWN & COUNTRY
105 S MAJOR ST
EUREKA,IL61530
PATIENT CARE - OUT PATIENT
388 388 - TOWN & COUNTRY
415 W FRONT
ROANOKE,IL61561
PATIENT CARE - OUT PATIENT
389 389 - TRINITY POB
2301-2315 E 93RD ST STES 117 213 3
CHICAGO,IL60617
PATIENT CARE - OUT PATIENT
390 390 - TWIN CITIES BEHAVIORAL HEALTHEAP
403 VIRGINIA AVE
NORMAL,IL61761
PATIENT CARE - OUT PATIENT
391 391 - TWIN CITIES BEHAVIORAL HEALTHEAP
403 VIRGINIA AVE 2ND FL
NORMAL,IL61761
PATIENT CARE - OUT PATIENT
392 392 - TWIN CITIES BEHAVIORAL HEALTHEAP
303 N HERSHEY RD STE 2C
BLOOMINGTON,IL61761
PATIENT CARE - OUT PATIENT
393 393 - VACANT
1999 DEMPSTER ST
PARK RIDGE,IL60068
PATIENT CARE - OUT PATIENT
394 394 - VERNON HILLS OB
565 LAKEVIEW DR
VERNON HILLS,IL60061
PATIENT CARE - OUT PATIENT
395 395 - WEST SUBURBAN - UM OFFICE
3 ERIE CT
OAK PARK,IL60439
PATIENT CARE - OUT PATIENT
396 396 - WOODRIDGE IMAGING CENTER
7530 WOODWARD AVE
WOODRIDGE,IL60517
PATIENT CARE - OUT PATIENT
397 397 - WOUND CARE CLINIC
8751 S GREENWOOD STE600 100
CHICAGO,IL60619
PATIENT CARE - OUT PATIENT
398 398 - WRIGLEY FIELD
1060 W ADDISON
CHICAGO,IL60613
PATIENT CARE - OUT PATIENT
399 399 - YACKTMAN CHILDREN'S PAVILION
1675 DEMPSTER ST
PARK RIDGE,IL60068
PATIENT CARE - OUT PATIENT
Schedule H (Form 990) 2018
Schedule H (Form 990) 2018
Page 10
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
PART I, LINE 7: PART VI, LINE 1 - DESCRIPTION FOR PART I, LINE 7A COST-TO-CHARGE RATIO, DERIVED FROM SCHEDULE H INSTRUCTIONS WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES, WAS USED TO CALCULATE THE AMOUNTS REPORTED IN THE TABLE FOR PART I, LINE 7A. SCHEDULE H INSTRUCTIONS WORKSHEET 3, UNREIMBURSED MEDICAID AND OTHER MEANS-TESTED GOVERNMENT PROGRAMS, WAS USED TO CALCULATE THE AMOUNTS REPORTED IN THE TABLE FOR PART I, LINE 7B. A COST ACCOUNTING SYSTEM WAS USED TO DETERMINE THE AMOUNTS REPORTED IN THE TABLE FOR PART I, LINES 7E, 7F, 7G, AND 7I.
PART I, LINE 7G: PART VI, LINE 1 - DESCRIPTION FOR PART I, LINE 7GADVOCATE 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, LN 7 COL(F): PART VI, LINE 1 - DESCRIPTION FOR PART I, LINE 7, COLUMN (F)$171,998,153 OF BAD DEBT EXPENSE WAS INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT WAS REMOVED FROM THE DENOMINATOR FOR PURPOSES OF SCHEDULE H, PART I, LINE 7, COLUMN (F).
PART II, COMMUNITY BUILDING ACTIVITIES: COMMUNITY BUILDING ACTIVITIES REPORT - ENVIRONMENTAL IMPROVEMENTSADVOCATE HEALTH CARE IS COMMITTED TO GREENING HEALTH CARE BECAUSE IT IS DEEPLY CONNECTED TO OUR CORE MISSION - HEALTH AND HEALING. WE UNDERSTAND THAT THE HEALTH OF THE ENVIRONMENT AND THE HEALTH OF THE PATIENTS AND COMMUNITIES WE SERVE IS INEXTRICABLY LINKED - AND THAT A HEALTHY PLANET SUPPORTS HEALTHY PEOPLE. REDUCING WASTE, CONSERVING ENERGY AND WATER, MINIMIZING USE OF TOXIC CHEMICALS, AND CONSTRUCTING ECO-FRIENDLY BUILDINGS FOR TODAY AND TOMORROW - ALL OF THESE EFFORTS HAVE A DIRECT BENEFIT ON THE HEALTH OF LOCAL COMMUNITIES VIA CLEANER COMMUNITIES, HEALTHIER AIR QUALITY, REDUCED GREEN HOUSE GASES, AND PRESERVATION OF NATURAL RESOURCES. AS WE WORK TO REDUCE THE ENVIRONMENTAL AND HEALTH IMPACT OF HEALTH CARE, OUR ENVIRONMENTAL STEWARDSHIP PRACTICES HELP EASE THE BURDEN OF HEALTH CARE COSTS BOTH DIRECTLY (LOWER ENERGY COSTS) AND INDIRECTLY (LOWER ENVIRONMENTALLY-RELATED DISEASE BURDEN). 1. MENTORING AND EDUCATIONAS WE WORK TO SERVE THE HEALTH NEEDS OF TODAY'S PATIENTS AND FAMILIES WITHOUT COMPROMISING THE NEEDS OF FUTURE GENERATIONS, ADVOCATE HAS COMMITTED RESOURCES TO SHARING LESSONS LEARNED AND BEST PRACTICES WITH OTHER HOSPITALS AND HEALTH SYSTEMS, BOTH LOCALLY AND NATIONALLY, AND WE DO SO IN A VARIETY OF WAYS. ADVOCATE HEALTH CARE WAS ONE OF 12 FOUNDING AND SPONSORING HEALTH SYSTEMS OF THE NATIONAL HEALTHIER HOSPITALS INITIATIVE, WHICH HAS NOW BECOME A PERMANENT PROGRAM OF PRACTICE GREENHEALTH. THE HEALTHIER HOSPITALS PROGRAM ENGAGES OVER 1,300 HOSPITALS IN SIX KEY CATEGORIES OF HEALTH CARE SUSTAINABILITY: ENGAGED LEADERSHIP, HEALTHIER FOODS, LESS WASTE, LEANER ENERGY, SAFER CHEMICALS, AND SMARTER PURCHASING. ENROLLED 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 IS PROUD TO JOURNEY WITH THIS GROWING MASS OF HOSPITALS THROUGH ITS OWN INVOLVEMENT AND LEADERSHIP IN THE HEALTHIER HOSPITALS CHALLENGES. ADVOCATE CONTINUES ITS LEADERSHIP, ADVOCACY AND MENTORING ROLE NATIONALLY THROUGH PARTICIPATION IN SEVERAL HEALTHCARE SUSTAINABILITY LEADERSHIP GROUPS AND ADVISORY BOARDS, ADDRESSING ANTIBIOTIC OVERUSE IN AGRICULTURE, SAFER CHEMICALS IN FURNISHING AND MEDICAL PRODUCTS, CLIMATE CHANGE, PLASTICS RECYCLING, AND ENVIRONMENTALLY-PREFERABLE PURCHASING:" PRACTICE GREENHEALTH MARKET TRANSFORMATION GROUP - LESS MEAT, BETTER MEAT" PRACTICE GREENHEALTH MARKET TRANSFORMATION GROUP - SAFER CHEMICALS" HEALTH CARE CLIMATE COUNCIL " HEALTHCARE PLASTICS RECYCLING COALITION - HEALTHCARE FACILITY ADVISORY BOARD" VIZIENT ENVIRONMENTAL ADVISORY COUNCIL " SIGNATORY OF THE CHEMICAL FOOTPRINT PROJECTADVOCATE ALSO COMMONLY PROVIDES MENTORING TO HEALTH CARE COMMUNITY ON SUSTAINABILITY BEST PRACTICES THROUGH PRESENTATIONS AND WEBINARS, AS WELL AS TO INDIVIDUAL HEALTH CARE INSTITUTIONS ON A CASE-BY-CASE BASIS.2. ADVOCATE HEALTH CARE SYSTEM - 2018 ENVIRONMENTAL INITIATIVES:" REDUCED CUMULATIVE (ELEVEN HOSPITALS) HOSPITAL ENERGY CONSUMPTION BY 0.5 PERCENT IN TWELVE MONTHS ENDING 11/30/18. OUR 2018 ENERGY REDUCTIONS SAVED ADVOCATE $490,000 IN ENERGY COSTS" AVOIDED 2,811 MTCO2E OF GREENHOUSE GASES (EQUIVALENT TO 6.8 MILLION MILES OF DRIVING) THROUGH ECO-FRIENDLY MANAGEMENT OF ANESTHETIC GASES." RECYCLED 2,760 TONS OF WASTE FROM HOSPITAL OPERATIONS." RECYCLED 74 PERCENT, OR 1,370 TONS, OF CONSTRUCTION AND DEMOLITION DEBRIS." SAVED 56 TONS OF WASTE FROM LANDFILL AND SAVED OVER $2 MILLION VIA OUR SURGICAL AND MEDICAL DEVICE REPROCESSING PROGRAMS." CONTINUED OUR DONATION PROGRAM WITH PROJECT C.U.R.E., A NON-PROFIT ORGANIZATION THAT WILL RESPONSIBLY REDISTRIBUTE DONATED MEDICAL SUPPLIES AND EQUIPMENT TO UNDER-RESOURCED AREAS AROUND THE GLOBE, FOR ALL ADVOCATE HEALTH CARE FACILITIES. ADVOCATE DONATED A TOTAL OF 91 PALLETS OF MISCELLANEOUS MEDICAL SUPPLIES AND 13PIECES OF MEDICAL EQUIPMENT TO PROJECT CURE IN 2018, ALL OF WHICH MAY HAVE OTHERWISE BEEN LANDFILLED." PURCHASED 7,134 FEWER REAMS OF PAPER IN 2018 VERSUS 2017 EVEN THOUGH PATIENT VOLUMES ROSE - TRANSLATING INTO AN OVER 3% YEAR-OVER-YEAR REDUCTION IN PAPER USAGE." SPENT 78% OF ADVOCATE'S EXPENSES IN SELECT CLEANING PRODUCT CATEGORIES (WINDOW, FLOOR, CARPET, BATHROOM, AND GENERAL-PURPOSE CLEANERS) ON THIRD-PARTY CERTIFIED "GREEN" CLEANERS." INCREASED THE PURCHASE OF HEALTHIER HOSPITALS-APPROVED FURNITURE, MADE WITHOUT SELECT CHEMICALS OF CONCERN, INCLUDING PERFLUORINATED COMPOUNDS, PVC (VINYL), FORMALDEHYDE, FLAME RETARDANTS (WHERE CODE PERMISSIBLE) AND ANTIMICROBIALS, TO 78% OF TOTAL PURCHASES." PURCHASED 24% OF TOTAL MEAT PRODUCTS FROM LIVESTOCK AND POULTRY RAISED WITHOUT THE ROUTINE USE OF ANTIBIOTICS, SUPPORTING THE JUDICIOUS AND RESPONSIBLE USE OF ANTIBIOTICS IN AGRICULTURE WHICH CAN HELP SLOW THE EMERGENCE OF ANTIBIOTIC-RESISTANT BACTERIA." PLEASE SEE ADVOCATE HEALTH CARE'S PUBLICLY-FACING SUSTAINABILITY & WELLNESS WEBSITE FOR MORE INFORMATION.3. HOSPITAL-BASED ENVIRONMENTAL IMPROVEMENTS IN 2018ADVOCATE BROMENN MEDICAL CENTER" DIVERTED OVER 310,000 POUNDS OF WASTE FROM THE LANDFILL THROUGH ITS VARIOUS RECYCLING PROGRAMS." AVOIDED 7,800 POUNDS OF MEDICAL AND SOLID WASTE THROUGH ITS DEVICE REPROCESSING PROGRAMS." PARTNERED WITH ILLINOIS STATE UNIVERSITY TO COMPOST OVER 32,000 POUNDS OF FOOD WASTE, REDUCING ITS VOLUME OF WASTE TO LOCAL LANDFILLS." REUSED AND DONATED CLEAN, USED LINENS TO LOCAL ORGANIZATIONS INCLUDING ANIMAL AND HOMELESS SHELTERS, AMBULANCE SERVICE COMPANY OR REUSED AS CLEANING CLOTHS WITHIN THE HOSPITAL." PURCHASED 100% THIRD-PARTY CERTIFIED GREEN CLEANERS FOR SELECT CLEANING PRODUCT CATEGORIES (WINDOW, FLOOR, CARPET, BATHROOM, AND GENERAL PURPOSE CLEANERS)." 83% OF FURNITURE PURCHASES WERE FREE OF FIVE KEY CHEMICALS OF CONCERN." DONATED 4 PALLETS OF VARIOUS MEDICAL SUPPLIES AND 9 PIECES OF MEDICAL EQUIPMENT TO PROJECT CURE FOR USE IN RESOURCE-LIMITED AREAS AROUND THE WORLD IN 2018. " IN PARTNERSHIP WITH THE COMMUNITY, HOSTED A VEGETABLE GARDEN ON CAMPUS, PROVIDING GARDENING EDUCATION AND HEALTHY PRODUCE TO PATIENTS AND COMMUNITY MEMBERS. ADVOCATE CHRIST MEDICAL CENTER" DIVERTED OVER 778,000 POUNDS OF WASTE FROM THE LANDFILL THROUGH ITS VARIOUS RECYCLING PROGRAMS." AVOIDED 18,100 POUNDS OF MEDICAL AND SOLID WASTE THROUGH ITS MEDICAL AND SURGICAL DEVICE REPROCESSING PROGRAMS" PURCHASED 4,670 FEWER REAMS OF PAPER IN 2018 VERSUS 2017, TRANSLATING INTO AN 8.4% YEAR OVER YEAR REDUCTION IN PAPER USAGE." 86% OF CLEANING PRODUCTS PURCHASED FOR FIVE KEY CATEGORIES (WINDOW, FLOOR, CARPET, BATHROOM, AND GENERAL PURPOSE CLEANERS) WERE THIRD-PARTY GREEN CERTIFIED. " DONATED 13 PALLETS OF VARIOUS MEDICAL SUPPLIES TO PROJECT CURE FOR USE IN RESOURCE-LIMITED AREAS AROUND THE WORLD IN 2018. ADVOCATE EUREKA HOSPITAL" RECEIVED THE U.S. ENVIRONMENTAL PROTECTION AGENCY'S ENERGY STAR CERTIFICATION IN 2018 - ONE OF ONLY THREE HOSPITALS IN ILLINOIS TO DO SO." USED 3% LESS ENERGY PER SQUARE FOOT IN 2018 THAN IN 2017 (WEATHER NORMALIZED)." DIVERTED OVER 22,300 POUNDS OF OPERATING WASTE FROM THE LANDFILL THROUGH ITS VARIOUS RECYCLING PROGRAMS. " HAS THE LOWEST WASTE PRODUCTION RATE IN THE ADVOCATE SYSTEM, CREATING LESS THAN 5.5 POUNDS OF SOLID AND MEDICAL WASTE PER ADJUSTED PATIENT DAY." PURCHASED 130 FEWER REAMS OF PAPER IN 2018 VERSUS 2017, TRANSLATING INTO A 17% YEAR OVER YEAR REDUCTION IN PAPER USAGEADVOCATE GOOD SAMARITAN HOSPITAL" DIVERTED OVER 744,000 POUNDS OF OPERATING WASTE FROM THE LANDFILL THROUGH ITS VARIOUS RECYCLING PROGRAMS. " AVOIDED 14,900 POUNDS OF MEDICAL AND SOLID WASTE IN 2018 THROUGH ITS MEDICAL AND SURGICAL DEVICE REPROCESSING PROGRAMS" PURCHASED 100% THIRD-PARTY CERTIFIED GREEN CLEANERS FOR SELECT CLEANING PRODUCT CATEGORIES (WINDOW, FLOOR, CARPET, BATHROOM, AND GENERAL PURPOSE CLEANERS)." IN 2017, GOOD SAMARITAN DONATED 12 PALLETS OF VARIOUS MEDICAL SUPPLIES AND TO PROJECT CURE FOR USE IN RESOURCE-LIMITED AREAS AROUND THE WORLD.ADVOCATE GOOD SHEPHERD HOSPITAL" DONATED LAND TO AND PARTNERED WITH A LOCAL NON-PROFIT ORGANIZATION, SMART FARM, TO GROW VEGETABLES AND TEACH THE COMMUNITY HOW TO GROW ORGANIC FOOD AND EAT HEALTHY. THE SMART FARM DONATED OVER 14,000 POUNDS OF FRESH PRODUCE TO LOCAL FOOD PANTRIES IN 2018." DIVERTED OVER 405,000 POUNDS OF OPERATING WASTE FROM THE LANDFILL THROUGH ITS VARIOUS RECYCLING PROGRAMS. " AVOIDED ALMOST 10,000 POUNDS OF MEDICAL AND SOLID WASTE THROUGH ITS DEVICE REPROCESSING PROGRAMS" 78% OF FURNITURE PURCHASES WERE FREE OF FIVE KEY CHEMICALS OF CONCERN." PURCHASED 100% THIRD-PARTY CERTIFIED GREEN CLEANERS FOR SELECT CLEANING PRODUCT CATEGORIES (WINDOW, FLOOR, CARPET, BATHROOM, AND GENERAL-PURPOSE CLEANERS). " PURCHASED 1,072 FEWER REAMS OF PAPER IN 2018 VERSUS 2017, TRANSLATING INTO A 7.1% YEAR OVER YEAR REDUCTION IN PAPER USAGE.
PART II, COMMUNITY BUILDING ACTIVITIES: COMMUNITY BUILDING ACTIVITIES REPORT - ENVIRONMENTAL IMPROVEMENTS- CONTINUED" IN 2018, GOOD SHEPHERD DONATED 37 PALLETS OF VARIOUS MEDICAL SUPPLIES TO PROJECT CURE FOR USE IN RESOURCE-LIMITED AREAS AROUND THE WORLD. ADVOCATE LUTHERAN GENERAL HOSPITAL" LUTHERAN GENERAL HOSPITAL DIVERTED OVER ONE MILLION POUNDS OF OPERATING WASTE FROM THE LANDFILL THROUGH ITS VARIOUS RECYCLING PROGRAMS. " AVOIDED 18,000 POUNDS OF MEDICAL AND SOLID WASTE THROUGH ITS MEDICAL AND SURGICAL DEVICE REPROCESSING PROGRAMS" 72% OF FURNITURE PURCHASES WERE FREE OF FIVE KEY CHEMICALS OF CONCERN." PURCHASED 33% OF TOTAL MEAT PRODUCTS FROM LIVESTOCK AND POULTRY RAISED WITHOUT THE ROUTINE USE OF ANTIBIOTICS, SUPPORTING THE JUDICIOUS AND RESPONSIBLE USE OF ANTIBIOTICS IN AGRICULTURE WHICH CAN HELP SLOW THE EMERGENCE OF ANTIBIOTIC-RESISTANT BACTERIA." IN 2018, LUTHERAN GENERAL DONATED 6 PALLETS OF VARIOUS MEDICAL SUPPLIES TO PROJECT CURE FOR USE IN RESOURCE-LIMITED AREAS AROUND THE WORLD.ADVOCATE SOUTH SUBURBAN HOSPITAL" DIVERTED OVER 405,000 POUNDS OF OPERATING WASTE FROM THE LANDFILL THROUGH ITS VARIOUS RECYCLING PROGRAMS. " USED 5.5% LESS ENERGY PER SQUARE FOOT IN 2017 THAN IN 2016 (WEATHER NORMALIZED)." AVOIDED 6,600 POUNDS OF MEDICAL AND SOLID WASTE THROUGH ITS MEDICAL AND SURGICAL DEVICE REPROCESSING PROGRAMS." 81% OF FURNITURE PURCHASES WERE FREE OF FIVE KEY CHEMICALS OF CONCERN." THROUGH A PARTNERSHIP WITH ITS PRODUCE VENDOR, SOUTH SUBURBAN HOSTED A FARMERS MARKETS ON CAMPUS IN 2018; LEFTOVER PRODUCE WAS DONATED TO LOCAL FOOD PANTRIES FOR REDISTRIBUTION TO THE COMMUNITY.ADVOCATE TRINITY HOSPITAL" DIVERTED OVER 222,000 POUNDS OF OPERATING WASTE FROM THE LANDFILL THROUGH ITS VARIOUS RECYCLING PROGRAMS. " AVOIDED 3,700 POUNDS OF MEDICAL AND SOLID WASTE THROUGH ITS MEDICAL AND SURGICAL DEVICE REPROCESSING PROGRAMS." 96% OF TRINITY'S FURNITURE PURCHASES WERE FREE OF FIVE KEY CHEMICALS OF CONCERN." PURCHASED 94% THIRD-PARTY CERTIFIED GREEN CLEANERS FOR SELECT CLEANING PRODUCT CATEGORIES (WINDOW, FLOOR, CARPET, BATHROOM, AND GENERAL-PURPOSE CLEANERS)." THROUGH A PARTNERSHIP WITH ITS PRODUCE VENDOR, TRINITY HOSTED TWO FARMERS MARKETS ON CAMPUS IN 2018; LEFTOVER PRODUCE WAS DONATED TO LOCAL FOOD PANTRIES FOR REDISTRIBUTION TO THE COMMUNITY.ADVOCATE SUPPORT CENTERS" HELD A SHREDDING EVENT FOR ASSOCIATES" HELD A SHOE DONATION RECYCLING EVENT, COLLECTING OVER 180 PAIRS FOR REUSE OR RECYCLING" UTILIZED A 'PULL PRINT' PROCESS FOR PRINTING AND REDUCED PAPER USAGE 17.4% FROM 2017 TO 2018.
PART III, LINE 4: PART VI, LINE 1 - DESCRIPTION FOR 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 10-11 OF THE AUDITED FINANCIAL STATEMENTS). FOR 2018, FOR AHHC, THE ALLOWANCE FOR DOUBTFUL ACCOUNTS COVERED 19.98% 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. THE ESTIMATED AMOUNT OF BAD DEBT EXPENSE (AT COST) WHICH COULD BE REASONABLY ATTRIBUTABLE TO PATIENTS WHO WOULD LIKELY QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY, IF SUFFICIENT INFORMATION HAD BEEN AVAILABLE TO MAKE A DETERMINATION OF THEIR ELIGIBILITY, WAS BASED UPON SELF PAY PATIENT ACCOUNTS WHICH HAD AMOUNTS WRITTEN OFF TO BAD DEBTS. OUR METHOD WAS TO BEGIN WITH THE SELF-PAY PORTION OF BAD DEBT EXPENSE PROVISION. THE SELF-PAY PORTION EXCLUDES THOSE PATIENTS WHO HAD FINANCIAL ASSISTANCE APPLICATIONS PENDING AT THE TIME OF SERVICE. THIS COST WAS THEN REDUCED BY CHARGES IDENTIFIED AS TRUE BAD DEBT EXPENSE, INCLUDING COPAYS FOR PATIENTS WHO QUALIFIED FOR LESS THAN 100% FINANCIAL ASSISTANCE. THE COST TO CHARGE RATIO WAS THEN APPLIED TO THE REMAINING CHARGES, TO DETERMINE THE VALUE (AT COST) OF PATIENT ACCOUNTS THAT DID NOT COMPLETE FINANCIAL COUNSELING AND WERE ASSIGNED TO BAD DEBT. WE BELIEVE THIS PROCESS IS A REASONABLE BASIS FOR OUR ESTIMATE. AS WE ARE ONLY CONSIDERING SELF-PAY ACCOUNTS WRITTEN OFF TO BAD DEBT FOR THIS ESTIMATE, THIS ESTIMATE DOES NOT INCLUDE THE IMMEDIATE 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: PART VI, LINE 1 - DESCRIPTION FOR PART III, LINE 8THE SHORTFALL OF $161,237,742 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 HOSPITALS CORPORATION'S OPERATIONS, THE UNREIMBURSED COST OF MEDICARE WAS CALCULATED BY APPLYING THE ORGANIZATION'S COST TO CHARGE RATIO FROM THE MEDICARE COST REPORTS (CMS 2252-96 WORKSHEET C, PART 1, PPS INPATIENT RATIOS) AND FOR NON-HOSPITAL OPERATIONS THE COST TO CHARGE RATIO CALCULATED ON WORKSHEET 2 RATIO OF PATIENT CARE COST TO CHARGES TO THE ORGANIZATION'S MEDICARE, LESS ANY PATIENT OR THIRD PARTY PAYOR PAYMENTS AND/OR CONTRIBUTIONS RECEIVED THAT WERE DESIGNATED FOR THE PAYMENT OF MEDICARE PATIENT BILLS.
PART III, LINE 9B: PART VI, LINE 1 - DESCRIPTION FOR PART III, LINE 9BADVOCATE 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 FINANCIAL ASSISTANCE; THEREFORE SUCH PATIENTS ARE NOT SUBJECT TO COLLECTION PRACTICES.
PART VI, LINE 3: PART VI, LINE 3. PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCEAHHC 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 7 A.M. TO 7 P.M., MONDAY THROUGH FRIDAY AND SATURDAYS 9 A.M. TO 2 P.M. 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, AND BUSINESS OFFICE LOCATIONS.3. BROCHURES ARE PLACED IN HOSPITAL PATIENT ACCESS, REGISTRATION, EMERGENCY DEPARTMENT, CASHIER, AND BUSINESS OFFICE LOCATIONS, AND WILL INCLUDE GUIDANCE ON HOW A PATIENT MAY APPLY FOR MEDICARE, MEDICAID, ALL KIDS, FAMILY CARE ETC., AND THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM. A HOSPITAL CONTACT AND TELEPHONE NUMBER FOR FINANCIAL ASSISTANCE IS INCLUDED.4. A HANDOUT SUMMARIZING ADVOCATE'S FINANCIAL ASSISTANCE POLICY AND FINANCIAL ASSISTANCE APPLICATION IS GIVEN TO UNINSURED PATIENTS WHO RECEIVE MEDICALLY NECESSARY HOSPITAL SERVICES AT THE EARLIEST PRACTICAL TIME OF SERVICE.5. ADVOCATE'S WEBSITE POSTS NOTICE IN A PROMINENT PLACE THAT FINANCIAL ASSISTANCE IS AVAILABLE, WITH AN EXPLANATION OF THE FINANCIAL ASSISTANCE APPLICATION PROCESS, AND ENABLE PRINTING OF THE FINANCIAL ASSISTANCE APPLICATION.6. HOSPITAL BILLS TO UNINSURED PATIENTS INCLUDE A REQUEST THAT THE PATIENT INFORM THE HOSPITAL OF ANY AVAILABLE HEALTH INSURANCE COVERAGE, AND INCLUDE A SUMMARY OF ADVOCATE'S FINANCIAL ASSISTANCE POLICY, A FINANCIAL ASSISTANCE APPLICATION, AND A TELEPHONE NUMBER TO REQUEST FINANCIAL ASSISTANCE.
PART VI, LINE 4: THE MCLEAN COUNTY COMMUNITY HEALTH COUNCIL DEFINED THE COMMUNITY AS MCLEAN COUNTY, THE PRIMARY SERVICE AREA FOR ADVOCATE BROMENN, THE MCLEAN COUNTY HEALTH DEPARTMENT, ST. JOSEPH MEDICAL CENTER AND UNITED WAY OF MCLEAN COUNTY. 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. ADVOCATE BROMENN AND OSF HEALTHCARE ST. JOSEPH MEDICAL CENTER ARE THE ONLY TWO HOSPITALS LOCATED IN MCLEAN COUNTY ILLINOIS AND THERE IS ONE FEDERALLY-DESIGNATED UNDERSERVED AREA IN MCLEAN COUNTY. POPULATIONMCLEAN COUNTY CONSISTS OF A TOTAL POPULATION OF 174,879 (HEALTHY COMMUNITIES INSTITUTE, CLARITAS, 2016). ACCORDING TO THE 2014 UNITED STATES CENSUS BUREAU, BLOOMINGTON HAS THE LARGEST POPULATION IN THE COUNTY WITH 78,730 AND NORMAL HAS THE SECOND LARGEST POPULATION WITH 54,594. THE POPULATION IN MCLEAN COUNTY INCREASED BY 3.1 PERCENT FROM 2010 TO 2016 (HEALTHY COMMUNITIES INSTITUTE, CLARITAS, 2016). AGE AND GENDERTHE MEDIAN AGE IN MCLEAN COUNTY IS 33.2 YEARS OF AGE, WHICH IS YOUNGER THAN THE NATIONAL MEDIAN AGE OF 37.2. TWENTY-TWO PERCENT OF PERSONS IN MCLEAN COUNTY ARE LESS THAN 18 YEARS OF AGE AND 23.6 PERCENT ARE 45 TO 64 YEARS OF AGE. TWELVE PERCENT OF PERSONS ARE OVER THE AGE OF 65. FORTY-NINE PERCENT OF THE POPULATION IN MCLEAN COUNTY IS MALE AND 51 PERCENT IS FEMALE. RACE AND ETHNICITYTHE POPULATION OF MCLEAN COUNTY IS 82 PERCENT WHITE, 7.7 PERCENT BLACK OR AFRICAN AMERICAN, 5.7 PERCENT ASIAN, FIVE PERCENT HISPANIC OR LATINO, 0.26 PERCENT AMERICAN INDIAN AND ALASKA NATIVE, AND .04 PERCENT NATIVE HAWAIIAN OR PACIFIC ISLANDER (HEALTHY COMMUNITIES INSTITUTE, CLARITAS, 2016). ECONOMICSINCOMETHE MEDIAN HOUSEHOLD INCOME IN MCLEAN COUNTY IS $66,355. THE PERCENT OF PEOPLE LIVING BELOW THE POVERTY LEVEL IN MCLEAN COUNTY IS 14.7 PERCENT.HEALTH CARE COVERAGETHE TOTAL NUMBER OF MEDICAID BENEFICIARIES IN MCLEAN COUNTY HAS INCREASED BY 50.2 PERCENT FROM 2007 TO 2014. THERE WERE 4,499 INDIVIDUALS WHO GAINED MEDICAID COVERAGE IN 2014 DUE TO THE AFFORDABLE CARE ACT (ILLINOIS DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES, 2014). ADDITIONALLY, 12.7 PERCENT OF MCLEAN COUNTY RESIDENTS ARE ENROLLED IN MEDICARE (CENTERS FOR MEDICARE AND MEDICAID, 2014). IN 2017, 18 PERCENT OF PATIENTS SEEN AT ADVOCATE BROMENN WERE UNINSURED PATIENTS OR WERE MEDICAID RECIPIENTS.NINETY-ONE PERCENT OF RESPONDENTS OF THE 2015 MCLEAN COUNTY COMMUNITY HEALTH SURVEY REPORTED HAVING EITHER PRIVATE INSURANCE, MEDICAID OR MEDICARE, WHILE EIGHT PERCENT REPORTED HAVING NO INSURANCE. NO INSURANCE WAS SELECTED AS A RESPONSE TO TYPE OF INSURANCE MORE FREQUENTLY BY PEOPLE WITH THE FOLLOWING CHARACTERISTICS: YOUNGER AGE, HISPANIC OR LATINO, AND HOMELESSNESS. EMPLOYMENTTHE PERCENT OF THE CIVILIAN LABOR FORCE THAT IS UNEMPLOYED IN MCLEAN COUNTY IS 5.5 PERCENT, LOWER THAN ILLINOIS AT 9.9 PERCENT. THE THREE COMMON INDUSTRIES OF EMPLOYMENT ARE THE FINANCIAL OR INSURANCE INDUSTRY AT 21.6 PERCENT, EDUCATIONAL SERVICES AT 13.2 PERCENT AND HEALTH CARE AT 10.8 PERCENT (HEALTHY COMMUNITIES INSTITUTE, CLARITAS, 2016).EDUCATIONEDUCATIONAL LEVELNINETY-FIVE PERCENT OF THE POPULATION OVER THE AGE OF 25 IN MCLEAN COUNTY POSSESSES A HIGH SCHOOL DIPLOMA OR HIGHER, AND 43.4 PERCENT HAVE A BACHELOR'S DEGREE OR HIGHER (HEALTHY COMMUNITIES INSTITUTE, AMERICAN COMMUNITY SURVEY, 2010-2014). THE STATE AVERAGE FOR A BACHELOR'S DEGREE OR HIGHER IS 32 PERCENT (TOWN CHARTS, 2016). ILLINOIS STATE UNIVERSITY, ILLINOIS WESLEYAN UNIVERSITY, HEARTLAND COMMUNITY COLLEGE AND LINCOLN COLLEGE ARE ALL LOCATED IN MCLEAN COUNTY.HIGH SCHOOL GRADUATION RATESTHE 2015 FOUR-YEAR HIGH SCHOOL GRADUATION RATE FOR MCLEAN COUNTY IS 88 PERCENT (ILLINOIS STATE BOARD OF EDUCATION, 2015). THIS IS HIGHER THAN THE GRADUATION RATE FOR ILLINOIS OF 86 PERCENT. THE GRADUATION RATE FOR LOW-INCOME STUDENTS AT VARIOUS HIGH SCHOOLS IN MCLEAN COUNTY, HOWEVER, IS LOWER THAN THE COUNTY GRADUATION RATE WITH PERCENTAGES RANGING FROM A LOW OF 61 PERCENT TO A HIGH OF 83 PERCENT. TRUANCY RATETHE 2015 TRUANCY RATE FOR MCLEAN COUNTY IS 2.5 PERCENT COMPARED TO THE TRUANCY RATE IN ILLINOIS OF 8.7 PERCENT (ILLINOIS STATE BOARD OF EDUCATION, 2015). STUDENT-TO-TEACHER RATIOTHIS INDICATOR SHOWS THE AVERAGE NUMBER OF PUBLIC-SCHOOL STUDENTS PER TEACHER IN THE REGION. IT DOES NOT MEASURE CLASS SIZE. ACCORDING TO THE NATIONAL CENTER FOR EDUCATION STATISTICS, LARGER SCHOOLS TEND TO HAVE HIGHER STUDENT-TEACHER RATIOS. THERE ARE 16.7 STUDENTS PER TEACHER IN MCLEAN COUNTY (HEALTHY COMMUNITIES INSTITUTE, NATIONAL CENTER FOR EDUCATION STATISTICS, 2013-2014). THIS HAS INCREASED SLIGHTLY FROM 15.4 STUDENTS PER TEACHER SINCE 2011-2012.HEALTH CARE RESOURCES IN THE DEFINED COMMUNITYTHERE ARE NUMEROUS HEALTH CARE RESOURCES IN MCLEAN COUNTY. THERE ARE TWO HOSPITALS, ADVOCATE BROMENN LOCATED IN NORMAL AND OSF HEALTHCARE ST. 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 CENTER FOR HUMAN SERVICES ARE ALL LOCATED IN BLOOMINGTON. TWO ADDITIONAL HEALTH CARE RESOURCES IN MCLEAN COUNTY ARE THE CLINIC WITHIN THE MCLEAN COUNTY HEALTH DEPARTMENT AND A CRISIS STABILIZATION UNIT WHICH IS A PART OF CHESTNUT HEALTH SYSTEMS.
PART VI, LINE 5: ADVOCATE BROMENN'S DEDICATION TO PROMOTING THE HEALTH OF THE COMMUNITY IS EXEMPLIFIED IN NUMEROUS WAYS. THE GOVERNING COUNCIL AT ADVOCATE BROMENN IS COMPRISED OF LOCAL COMMUNITY LEADERS AND PHYSICIANS. GOVERNING COUNCIL MEMBERS SUPPORT HOSPITAL LEADERSHIP IN THEIR PURSUIT OF THE HOSPITAL'S GOALS, REPRESENT THE COMMUNITY'S INTEREST TO THE HOSPITAL AND SERVE AS AMBASSADORS IN THE COMMUNITY. SEVENTY-EIGHT PERCENT OF THE CURRENT GOVERNING COUNCIL MEMBERS REPRESENT THE COMMUNITY. IN ADDITION, THE ORGANIZATION EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY FOR SOME OR ALL OF ITS DEPARTMENTS AND SPECIALTIES.A VAST MAJORITY OF THE HOSPITAL'S EXECUTIVE OR LEADERSHIP TEAM ALSO SERVE ON MULTIPLE COMMUNITY BOARDS THAT HELP EITHER DIRECTLY OR INDIRECTLY IMPROVE THE HEALTH OF THE COMMUNITY, INCLUDING, BUT NOT LIMITED TO - UNITED WAY, MCLEAN COUNTY GOVERNMENT BEHAVIORAL HEALTH COORDINATING COUNCIL, HABITAT FOR HUMANITY, FAITH IN ACTION, KIWANIS, COMMUNITY HEALTH CARE CLINIC, JOHN M. SCOTT HEALTH COMMISSION, AMERICAN RED CROSS, BOYS AND GIRLS CLUB, MCLEAN COUNTY CHAMBER OF COMMERCE, MCLEAN COUNTY BOARD OF HEALTH, RECOVERY COURT, PROMISE COUNCIL OF MCLEAN COUNTY, HEARTLAND COMMUNITY COLLEGE FOUNDATION, MCLEAN COUNTY'S TRANSPORTATION ADVISORY COUNCIL, MCLEAN COUNTY SENIOR SERVICES COALITION AND THE ECONOMIC DEVELOPMENT COUNCIL. THE PRESIDENT OF ADVOCATE BROMENN IS ALSO INVOLVED IN MANY BOARDS THAT IMPACT THE COMMUNITY IN A POSITIVE MANNER, SUCH AS THE BN ADVANTAGE LEADERSHIP COUNCIL, CENTRAL ILLINOIS REGIONAL AIRPORT AUTHORITY, ILLINOIS STATE UNIVERSITY FOUNDATION BOARD OF DIRECTORS, THE COMMUNITY CANCER CENTER, COMMERCE BANK ADVISORY BOARD AND ILLINOIS WESLEYAN UNIVERSITY BOARD. THE PRESIDENT AND OTHER MEMBERS OF THE EXECUTIVE TEAM PROVIDE LEADERSHIP TRAINING IN THE COMMUNITY TO GROUPS SUCH AS THE MULTICULTURAL LEADERSHIP PROGRAM AND LEADERSHIP MCLEAN COUNTY. IN ADDITION, A MEMBER OF ADVOCATE BROMENN'S LEADERSHIP TEAM TRAINS STUDENTS FROM THE BLOOMINGTON AREA CAREER CENTER AND ILLINOIS WESLEYAN UNIVERSITY ON THE HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT TO HELP PREPARE THE STUDENTS TO TAKE THE CERTIFIED NURSING ASSISTANT EXAM.ANOTHER KEY AREA IN WHICH THE HOSPITAL CONTRIBUTES SIGNIFICANTLY TO THE HEALTH OF THE COMMUNITY AND FURTHERS ITS EXEMPT STATUS IS THE COMMUNITY HEALTH CARE CLINIC. IN 1993, ADVOCATE BROMENN PARTNERED WITH OSF HEALTHCARE 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 ADVOCATE BROMENN AND OSF HEALTHCARE ST. JOSEPH MEDICAL CENTER. THE COMMUNITY HEALTH CARE CLINIC SAW 1,110 PATIENTS IN 2018, PROVIDED 3,279 PATIENT VISITS AND PRESCRIBED OVER 24,065 PRESCRIPTION MEDICATIONS AT NO CHARGE TO UNINSURED INDIVIDUALS. THE CLINIC IS IN A BUILDING OWNED BY ADVOCATE BROMENN, FOR WHICH THE HOSPITAL PAID $82,638 FOR THE MAINTENANCE AND UPKEEP OF THE FACILITY IN 2018. IN ADDITION TO THE ABOVE, ADVOCATE BROMENN SERVES AS AN EMERGENCY MEDICAL SERVICES (EMS) RESOURCE FOR EDUCATION AND TRAINING FOR MCLEAN COUNTY, PROVIDING A $226,026 BENEFIT TO THE COMMUNITY IN 2018. 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. THE COST OF $72,909 FOR THIS SERVICE, IN 2018, WAS ABSORBED BY THE HOSPITAL. ADVOCATE BROMENN IS ALSO AN AMERICAN HEART ASSOCIATION TRAINING CENTER FOR THE COMMUNITY. THE COST OF PROVIDING THIS SERVICE IS $73,796. THE NUMEROUS OTHER WAYS ADVOCATE BROMENN 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 BOTH FAMILY PRACTICE, NEUROLOGY AND NEUROSURGERY RESIDENTS.ADVOCATE BROMENN HAD A FEW SIGNIFICANT CAPITAL PROJECTS THAT BEGAN OR WERE COMPLETED IN 2018 THAT IMPROVED PATIENT CARE OR CONTRIBUTED TO A HEALTHIER COMMUNITY ENVIRONMENT. IN 2018, THE BIOFIRE ANALYZER, THAT IS NOW IN PLACE IN ADVOCATE BROMENN'S MICROBIOLOGY DEPARTMENT, ENABLES THE LAB TO DECREASE TURNAROUND TIMES FOR THE IDENTIFICATION OF PATHOGENS CAUSING BLOOD STREAM INFECTIONS. THIS ANALYZER CAN PROVIDE A DEFINITIVE IDENTIFICATION OF THE ORGANISM(S) CAUSING SUCH INFECTIONS IN ONE HOUR FROM THE START OF THE TEST. WITH CONVENTIONAL TESTING, PLATING A POSITIVE BLOOD CULTURE SPECIMEN TO SPECIFIC AGAR PLATES, WOULD TAKE FROM 15 TO 36 HOURS TO GET THE SAME RESULT. WITH THIS NEW TECHNOLOGY, THE FASTER IDENTIFICATION OF THE ORGANISM ALLOWS FOR COST SAVINGS TO THE PATIENT AND ADVOCATE AURORA HEALTH BY STREAMLINING ANTIMICROBIAL THERAPY FASTER. THIS HAS ALSO SHOWN TO INCREASE POSITIVE PATIENT OUTCOMES, DECREASE DAYS OF ANTIMICROBIAL THERAPY, ALL OF WHICH CAN ULTIMATELY LEAD TO DECREASED LENGTH OF STAY. ADDITIONALLY, IF THE ORGANISM IDENTIFIED IS ONE THAT CONTAINS AN ANTIMICROBIAL RESISTANT GENE, THIS WILL BE IDENTIFIED AS WELL, AGAIN LEADING TO FASTER AND MORE APPROPRIATE THERAPY. IN 2018, THE LAB ALSO ADDED CEREBRAL SPINAL FLUID (CSF) PATHOGEN TESTING. BEING ABLE TO QUICKLY IDENTIFY A POSSIBLE PATHOGEN QUICKLY IN CSF SPECIMENS ALSO ENHANCES TREATMENT TO IMPROVE PATIENT OUTCOMES. ANOTHER CAPITAL PROJECT COMPLETED IN 2018 THAT IMPROVES PATIENT CARE IS MERCI (MEDICAL EMERGENCY RADIO COMMUNICATIONS FOR ILLINOIS). MERCI IS A VITAL TWO-WAY COMMUNICATION TOOL USED BY EMERGENCY MEDICAL SERVICE (EMS) AGENCIES AND HOSPITALS. INCOMING EMS AGENCIES TRANSMIT PATIENT INFORMATION TO THE HOSPITAL PRIOR TO THEIR ARRIVAL INCLUDING PATIENT CONDITION, CURRENT VITAL SIGNS AND CHIEF COMPLAINT. THE EMERGENCY DEPARTMENT'S RADIO REGISTERED NURSE THEN HAS AN OPPORTUNITY TO ASK CLARIFYING QUESTIONS AND/OR TO GIVE MEDICAL DIRECTION/ORDERS FOR ADDITIONAL TREATMENT OR INTERVENTIONS BEFORE THE PATIENT ARRIVES. EARLY NOTIFICATION FOR PATIENTS THAT HAVE TIME-SENSITIVE CONDITIONS (STROKE, HEART ATTACK) ALLOWS THE EMERGENCY DEPARTMENT TO HAVE VITAL SERVICES AVAILABLE TO MEET THE PATIENT UPON ARRIVAL WHICH LEADS TO BETTER PATIENT OUTCOMES. A THIRD CAPITAL PROJECT COMPLETED IN 2018 THAT IMPROVES PATIENT CARE IS THE RENOVATION OF THE ACUTE REHABILITATION UNITY THERAPY GYM AT ADVOCATE BROMENN. THE GYM HAS BEEN REBUILT INTO A SIMULATED LIVING ENVIRONMENT IN A $450,000 PROJECT. THE SIMULATED LIVING OR HOME ENVIRONMENT HELPS PATIENTS AND PATIENT OUTCOMES BECAUSE IT IS DESIGNED TO BETTER PREPARE REHABILITATION PATIENTS FOR THEIR TRANSITION TO HOME. THE RENOVATION ALSO ALLOWS FOR PHYSICAL, OCCUPATIONAL AND SPEECH THERAPY TO BE WORKED ON TOGETHER RATHER THAN IN SEGMENTED SESSIONS. THE SIMULATED ENVIRONMENT INCLUDES A FUNCTIONING KITCHEN WITH A TABLE AND ADAPTIVE UTENSILS, A LOWER COUNTER, A LIVING ROOM, A LAUNDRY ROOM, STAIRS, A FRONT PORCH AND A BEDROOM. ADVOCATE BROMENN ALSO PROMOTES THE ENVIRONMENTAL HEALTH OF THE COMMUNITY. IN 2018, THE MEDICAL CENTER EARNED THE GREENHEALTH EMERALD AWARD. THE AWARD IS EARNED BY HOSPITALS THAT HAVE DEMONSTRATED A STRONG COMMITMENT TO SUSTAINABILITY AND SHOWN LEADERSHIP IN THE LOCAL COMMUNITY AND IN THE HEALTH CARE SECTOR. AWARD WINNERS ARE SETTING THE STANDARD IN ELIMINATING MERCURY, REDUCING AND RECYCLING WASTE, SUSTAINABLE SOURCING AND OTHER AREAS. IN 2018, ADVOCATE BROMENN ALSO RECEIVED A CIRCLE OF EXCELLENCE AWARD FOR CHEMICALS. THIS AWARD RECOGNIZES THE HOSPITAL AS ONE OF THE TOP TEN PERFORMERS OF THE HIGHEST PERFORMING HOSPITALS NATIONWIDE IN THIS AREA OF SUSTAINABILITY EXPERTISE.LASTLY, ADVOCATE BROMENN IS INVOLVED IN COMMUNITY BUILDING ACTIVITIES. NOT IN OUR TOWN AND UNITED WAY OF MCLEAN COUNTY, WITH SUPPORT FROM THE CITY OF BLOOMINGTON, TOWN OF NORMAL AND ADVOCATE BROMENN, HOSTED A COMMUNITY EVENT, "BUILDING OPPORTUNITIES FOR OUR COMMUNITY'S YOUNG PEOPLE" IN RESPONSE TO THE RISE IN YOUTH VIOLENCE IN BLOOMINGTON AND NORMAL. TWO MEMBERS OF ADVOCATE BROMENN'S EXECUTIVE LEADERSHIP TEAM ALSO PRESENTED AT UNITED WAY'S "BREAKFAST CLUB" TO AT-RISK YOUTH ABOUT EMPLOYMENT OPPORTUNITIES IN HEALTHCARE. IN PARTNERSHIP WITH AN AT-RISK YOUTH EMPLOYMENT PROGRAM WITH PROJECT OZ, ADVOCATE BROMENN HAS SCREENED SEVERAL CANDIDATES FOR EMPLOYMENT AND HAS HIRED A NURSING TECH.
PART VI, LINE 6: 6. AFFILIATED HEALTH CARE SYSTEM. ALTHOUGH ADVOCATE HEALTH CARE (ILLINOIS) AND AURORA HEALTH CARE (WISCONSIN) MERGED IN 2018 TO BECOME ADVOCATE AURORA HEALTH AND WORK CONTINUES TO ALIGN THE COMMUNITY STRATEGY OF BOTH PREDECESSOR ORGANIZATIONS, ADVOCATE HEALTH CARE (ADVOCATE), IN SERVICE OF ITS MISSION, CONTINUES TO SUPPORT SYSTEM-WIDE PROGRAMS THAT ADDRESS THE HEALTH NEEDS OF PATIENTS, FAMILIES AND THE COMMUNITIES IT SERVES. ADVOCATE'S BOARD, LEADERSHIP AND TEAM MEMBERS (STAFF/EMPLOYEES) ARE COMMITTED TO POSITIVELY AFFECTING THE HEALTH STATUS AND QUALITY OF LIFE OF INDIVIDUALS AND POPULATIONS IN COMMUNITIES SERVED BY ADVOCATE THROUGH PROGRAMS AND PRACTICES THAT REFLECT THIS MISSION. THE ORGANIZATION CONTINUES TO DEVELOP AND SUPPORT INITIATIVES THAT ENHANCE ACCESS TO HEALTH AND WELLNESS SERVICES. AS SUCH, SYSTEM LEADERSHIP DIRECTS AND SUPPORTS THE HOSPITALS IN THEIR EFFORTS TO ADDRESS IDENTIFIED COMMUNITY HEALTH NEEDS.IN 2016, ADVOCATE CREATED A COMMUNITY HEALTH DEPARTMENT THAT IS LED BY A SYSTEM EXECUTIVE AND STAFFED WITH PUBLIC/COMMUNITY HEALTH SPECIALISTS TO EXECUTE COMMUNITY NEEDS ASSESSMENTS, EVIDENCE-BASED PROGRAM DEVELOPMENT AND COLLABORATIVE PARTNERSHIPS WITHIN THE COMMUNITIES SERVED BY ADVOCATE. PRIOR TO THIS TIME, THE COMMUNITY FACING FUNCTION WAS LED BY A TEAM OF SYSTEM-LEVEL INDIVIDUALS WHOSE JOB RESPONSIBILITIES INCLUDED VARIOUS COMMUNITY ROLES MORE CLOSELY ALIGNED WITH COMMUNITY RELATIONS. DURING THE INITIAL 2011-2013 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) CYCLE, THE SYSTEM LEADERS PROVIDED OVERSIGHT AND SUPPORT TO THE HOSPITALS FOR DEVELOPING THEIR CHNAS AND SUBSEQUENT PROGRAMMING. IN 2016, ADVOCATE'S NEW COMMUNITY HEALTH TEAM CONDUCTED THEIR HOSPITAL'S COMPREHENSIVE CHNAS (2014-2016) AND POSTED GOVERNANCE-APPROVED CHNA REPORTS AND CHNA IMPLEMENTATION PLANS ON ADVOCATE'S WEBPAGE IN COMPLIANCE WITH THE AFFORDABLE CARE ACT.AT THE DIRECTION OF THE SYSTEM LEVEL, COMMUNITY HEALTH DEPARTMENT LEADERSHIP ALSO MET MONTHLY IN LATE 2016 THROUGH FIRST QUARTER 2017 TO SIGNIFICANTLY REVISE ADVOCATE HEALTH CARE'S COMMUNITY BENEFITS PLAN. THE PLANS GOALS AND OBJECTIVES WERE CRAFTED AND EXPANDED TO BUILD ON RECENT LEARNINGS AND INCREASED FOCUS ON COMMUNITY HEALTH. 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 GOALS FOCUSED ON SYSTEM-WIDE EFFORTS TO ADDRESS THE BROADER ISSUES OF DISPARITY AND ACCESS, AND TO ALIGN HOSPITAL COMMUNITY HEALTH PLANS WITH SYSTEM STRATEGY AS COMMUNITY HEALTH PLANS AND IMPLEMENTATION STRATEGIES EVOLVE. ADVOCATE'S COMMUNITY BENEFITS PLAN ALSO SETS THE COURSE FOR STRENGTHENING EXISTING PARTNERSHIPS AND BUILDING NEW ONES TO LEVERAGE AND MAXIMIZE THE IMPACT OF ADVOCATE'S PROGRAMS IN ITS SERVICE AREAS. ADVOCATE'S COMMUNITY BENEFITS PLAN GOALS AND SPECIFIC EXAMPLES OF PROGRAMS AND SERVICES THAT ARE DIRECTED AND MANAGED AT THE SYSTEM LEVEL ARE PROVIDED BELOW.GOAL A: OPTIMIZE ADVOCATE'S CAPACITY TO MANAGE AN EFFECTIVE COMMUNITY HEALTH STRATEGY BY IMPLEMENTING REGULAR COMMUNITY HEALTH ASSESSMENTS (CHNAS) AND USING DATA FROM THESE ASSESSMENTS TO GUIDE PROGRAM DEVELOPMENT.DURING 2016, ALL ELEVEN ADVOCATE HEALTH CARE HOSPITALS COMPLETED COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENTS IN COLLABORATION WITH HEALTH DEPARTMENTS, OTHER HOSPITALS, AND COMMUNITY ORGANIZATIONS. ADVOCATE CHILDREN'S HOSPITAL, WITH INTEGRATED SITES AT BOTH ADVOCATE LUTHERAN GENERAL HOSPITAL (ADVOCATE LUTHERAN GENERAL) AND ADVOCATE CHRIST MEDICAL CENTER (ADVOCATE CHRIST), CONTRIBUTED TO ASSESSMENTS AT THOSE TWO HOSPITALS. ALL THE ADVOCATE HOSPITAL ASSESSMENTS ARE AVAILABLE THROUGH THE ADVOCATE WEBSITE AT: HTTP://WWW.ADVOCATEHEALTH.COM/CHNAREPORTSAS A FIRST STEP TOWARD DEVELOPING A 2017-2019 IMPLEMENTATION PLAN, THE SYSTEM DIRECTED THE HOSPITAL COMMUNITY HEALTH LEADERS AND STAFF TO IDENTIFY THE STRENGTHS AND OPPORTUNITIES FOR IMPROVEMENT WITHIN THE JUST COMPLETED CYCLE (2014-2016), AS WELL AS IDEAS FOR NEW DATA SOURCES, AND NEEDS FOR PROFESSIONAL DEVELOPMENT RELATED TO THE OVERALL CHNA PROCESS. A NUMBER OF STRENGTHS WERE IDENTIFIED INCLUDING DEVELOPMENT OF LOCAL COMMUNITY HEALTH COUNCILS (CHC), INVOLVEMENT OF HOSPITAL GOVERNING COUNCIL MEMBERS IN THE CHCS, PARTNERSHIPS WITH HEALTH DEPARTMENTS, DATA FROM CONDUENT-HEALTHY COMMUNITIES INSTITUTE, ESPECIALLY THE ZIP CODE LEVEL HOSPITALIZATION AND EMERGENCY ROOM UTILIZATION DATA, AND THE SHARING OF TEMPLATES AND APPROACHES ACROSS HOSPITAL SITES. ADDITIONAL PROFESSIONAL DEVELOPMENT REGARDING DATA RETRIEVAL, ANALYSIS AND SUMMARIZATION, AS WELL AS PROGRAM DEVELOPMENT, WERE IDENTIFIED. A PROFESSIONAL DEVELOPMENT PLAN WAS IMPLEMENTED FOR ALL INTERNAL COMMUNITY HEALTH STAFF IN 2017. CHNA DATA TRAINING WAS CONDUCTED USING THE HEALTHY COMMUNITIES INSTITUTE (HCI) PLATFORM WITH THE TEAM RECEIVING TRAINING REGARDING RUNNING VARIOUS TYPES OF REPORTS AND CROSS COMPARING DATA IN HCI. UPDATE PRESENTATIONS WERE HELD AT SELECTED MONTHLY STAFF MEETINGS REGARDING NEW CAPACITIES OF THE HCI PLATFORM FOR REPORTS AND DATA PRESENTATION. ADDITIONALLY, ALL STAFF PROVIDED INPUT REGARDING TRAINING NEEDS RESULTING IN THE ESTABLISHMENT OF A SET OF MINIMUM STANDARD DATA REQUIREMENTS ADVOCATE IS NOW USING FOR THE NEXT CHNA CYCLE. COMMUNITY HEALTH STAFF PULLED DATA AS PART OF LEARNING EXERCISES AND SHARED FINDINGS FROM THEIR UNIQUE SERVICE AREAS WITH PEERS IN A PEER REVIEW MODEL. IN 2018, TRAINING FOCUSED ON DATA ANALYSIS, DATA INTERPRETATION AND PROGRAM DEVELOPMENT AND EVALUATION. GOAL B: UNDERTAKE OR SUPPORT INITIATIVES THAT ENHANCE ACCESS TO HEALTH CARE, PREVENTION AND WELLNESS SERVICES ACROSS THE LIFESPAN AND WITHIN THE DIVERSE COMMUNITIES ADVOCATE SERVES.CHARITY CARE. AS A NON-PROFIT HEALTH CARE SYSTEM, ADVOCATE PROVIDES CHARITY AND FINANCIAL ASSISTANCE TO PATIENTS IN NEED. ALTHOUGH ADVOCATE'S SYSTEM-WIDE 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 TO THOSE IN NEED IN A TIMELY MANNER. 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 THAT ADVOCATE CONTINUES TO PROVIDE FINANCIAL ASSISTANCE TO INDIVIDUALS WHO NEED HELP, WHEN THEY NEED IT. FEDERALLY QUALIFIED HEALTH CENTERS (FQHC). IN ADDITION, ADVOCATE'S SYSTEM LEADERS ENCOURAGE AND SUPPORT ITS HOSPITALS' INITIATIVES TO PARTNER WITH FQHC'S, 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 (ADVOCATE SOUTH SUBURBAN) 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 (ADVOCATE BROMENN) MAINTAINS A COMMUNITY HEALTH CLINIC IN COLLABORATION WITH OSF ST. JOSEPH'S HOSPITAL, WHEREBY ADVOCATE BROMENN IS RESPONSIBLE FOR A PORTION OF THE HOSPITAL CARE FOR THE CLINIC PATIENTS' HOSPITAL CARE THROUGHOUT THE YEAR. ADVOCATE BROMENN IS ALSO THE SOLE PROVIDER OF THE CLINIC'S INFORMATION TECHNOLOGY (IT) SUPPORT AND PROVIDES THE SPACE OCCUPIED BY THE CLINIC. IN ADDITION, ADVOCATE BROMENN, THROUGH AN INFORMAL REFERRAL AGREEMENT IN PLACE SINCE 2010, COLLABORATES WITH CHESTNUT HEALTH SYSTEMS. CHESTNUT HEALTH SYSTEMS OWNS AND OPERATES AN FQHC IN BLOOMINGTON AND PATIENTS ARE SOMETIMES REFERRED TO ADVOCATE BROMENN FOR SERVICES. WORKING WITH OTHER AREA HOSPITALS, ADVOCATE GOOD SAMARITAN HOSPITAL (ADVOCATE GOOD SAMARITAN) 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'S ENGAGE DUPAGE INITIATIVE 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.ADVOCATE ALSO WORKS TO IMPROVE THE PROVISION OF SERVICES TO INDIVIDUALS AND FAMILIES WHO ARE COVERED BY MEDICARE AND MEDICAID AND SEEK SERVICES FROM ADVOCATE'S OVER 400 SITES OF CARE. ADVOCATE COLLABORATES WITH VARIOUS COMMUNITY-BASED ORGANIZATIONS (CBO'S) AND FQHC'S IN INNOVATIVE WAYS TO ESTABLISH PRIMARY CARE RELATIONSHIPS FOR MEDICAID AND UNINSURED PATIENTS.
PART VI, LINE 6: 6. AFFILIATED HEALTH CARE SYSTEM- CONTINUEDADVOCATE CARE ORGANIZATION (ACO). AS ONE OF THE LARGEST PROVIDERS OF HEALTH CARE SERVICES TO MEDICARE AND MEDICAID PATIENTS IN CHICAGO AND THE SURROUNDING SUBURBS, ADVOCATE'S MEDICAID ACCOUNTABLE CARE ORGANIZATION (ACO), ALSO KNOWN AS THE ADVOCATE ACCOUNTABLE CARE ENTITY (ACE), TRANSITIONED TO MERIDIAN FAMILY HEALTH PLAN (FHP) OF ILLINOIS AS PART OF AN INTEGRATED CARE MODEL ON APRIL 1, 2016. THE ADVOCATE/MERIDIAN FHP PARTNERSHIP AND COLLABORATION WAS DRIVEN LARGELY BY CHANGES TO THE MEDICAID PROGRAM IN ILLINOIS AND WAS DESIGNED TO ENSURE CURRENT MEDICAID MEMBERS CONTINUE TO RECEIVE HIGH-QUALITY AND WELL-COORDINATED CARE DELIVERED IN AN APPROPRIATE SETTING. ADVOCATE HAS A STRONG HISTORY OF PROVIDING HIGH QUALITY CARE FOR THE MEDICAID POPULATION WITHIN OUR NETWORK WITH KEY FOCUS AREAS, INCLUDING IMPROVED CARE COORDINATION, ACCESS AND QUALITY PERFORMANCE. ADVOCATE HAS AND WILL CONTINUE TO APPLY ITS ACHIEVEMENTS AND LESSONS LEARNED FROM ITS MEDICARE AND COMMERCIAL ACOS TO THE ADVOCATE/MERIDIAN FHP PARTNERSHIP.COMMUNITY HEALTH WORKERS (CHWS). IN 2016, ADVOCATE EMBARKED ON A QUALITY IMPROVEMENT PROJECT TO ENGAGE AND EDUCATE MEDICAID BENEFICIARIES SEEN IN THE ADVOCATE CHRIST EMERGENCY DEPARTMENT ON APPROPRIATE LEVEL OF CARE OPTIONS AVAILABLE TO THEM USING COMMUNITY HEALTH WORKERS. THE MAIN OBJECTIVES OF THE PRIMARY CARE CONNECTIONS INTERVENTION WERE: 1) TO EDUCATE AND SCHEDULE LOW ACUITY PATIENTS WHO VISIT THE ADVOCATE CHRIST EMERGENCY DEPARTMENT REGARDING ALTERNATIVE CARE OPTIONS AVAILABLE TO THEM WITHIN THEIR COMMUNITIES; AND 2) EDUCATE AND SCHEDULE LOW ACUITY MEDICAID PATIENTS FOR FOLLOW-UP APPOINTMENTS WITH THEIR ADVOCATE PRIMARY CARE PHYSICIAN (PCP) OR AN FQHC WHEN THE BENEFICIARY DOES NOT HAVE AN ESTABLISHED PRIMARY CARE MEDICAL HOME.FQHC'S AND COMMUNITY-BASED RESOURCES PROVIDE SERVICES FOR MEDICAID BENEFICIARIES WITH SPECIFIC SOCIAL DETERMINANTS OF HEALTH BARRIERS TO CARE, INCLUDING HOUSING INSECURITY, UTILITY NEEDS AND INTERPERSONAL VIOLENCE, WHICH ARE IMPORTANT TO ADDRESS FOR IMPROVING OUTCOMES FOR VULNERABLE POPULATIONS. IN 2018, THE PROGRAM WAS EXPANDED TO THREE ADDITIONAL ILLINOIS HOSPITALS-ADVOCATE TRINITY HOSPITAL (ADVOCATE TRINITY), ADVOCATE CONDELL MEDICAL CENTER (ADVOCATE CONDELL) AND ADVOCATE SHERMAN HOSPITAL (ADVOCATE SHERMAN). AS OF DEC. 2018, MORE THAN 20,560 PATIENTS WERE ENGAGED, OF WHICH 30% (OVER 6,100 PATIENTS) WERE SCHEDULED FOR A FOLLOW-UP APPOINTMENT WITH AN ADVOCATE PCP OR FQHC. AS A RESULT, 98% OF THESE PATIENTS WHO WERE ENGAGED WITH THE PRIMARY CARE CONNECTION INTERVENTION DID NOT RETURN TO THE EMERGENCY ROOM FOR A LOW ACUITY VISIT.ADVOCATE CONTINUES TO PURSUE QUALITY AND UTILIZATION IMPROVEMENT ACTIVITIES LIKE THE PRIMARY CARE CONNECTIONS INTERVENTION TO ACTIVELY MANAGE AND ENGAGE THE ADVOCATE/MERIDIAN FHP MEMBERS IN ORDER TO ACHIEVE THE QUADRUPLE AIM OF IMPROVED PHYSICIAN AND PATIENT EXPERIENCE, BETTER PATIENT OUTCOMES, AND REDUCTIONS IN THE TOTAL COSTS OF CARE.LANGUAGE SERVICES. ADVOCATE IS ALSO COMMITTED TO PROVIDING ITS PATIENTS AND FAMILIES WITH LANGUAGE AND OTHER CULTURALLY APPROPRIATE SERVICES TO IMPROVE ACCESS TO CARE. A SYSTEM-LEVEL DIRECTOR HAS OVERSIGHT OF LANGUAGE SERVICES THROUGHOUT ADVOCATE. ADVOCATE'S PATIENT ACCESS DEPARTMENT MONITORS AND REFINES ASSOCIATE SCRIPTING TO ENSURE THAT LANGUAGE NEED IS CORRECTLY IDENTIFIED DURING THE REGISTRATION PROCESS. THIS ASSISTS WITH CORRECTLY ROUNDING ON PATIENTS AND ENSURING INTERPRETERS ARE AVAILABLE WHEN NEEDED. IN 2018, ADVOCATE PROVIDED INTERPRETING SERVICES FOR OVER 250,000 PATIENT/FAMILY MEMBER/COMPANION ENCOUNTERS-UP FROM 220,000 ENCOUNTERS THE PREVIOUS YEAR. AS THE NEED FOR THESE SERVICES INCREASES, ADVOCATE CONTINUES TO ANTICIPATE AND IMPLEMENT CHANGES TO MEET THE UNIQUE INTERPRETATION NEEDS OF PATIENTS. ONE SUCH CHANGE, WHICH CONTINUES TO INCREASE THE VOLUME OF INTERPRETER SERVICES EACH YEAR, IS THE USE OF VIDEO REMOTE INTERPRETING (VRI). SIMILAR TO SKYPE TECHNOLOGY, WHEN A TEAM MEMBER (EMPLOYEE/STAFF) CLICKS OR TOUCHES THE SCREEN FOR A NEEDED LANGUAGE, AN INTERPRETER APPEARS ON THE COMPUTER OR IPAD SCREEN TO INTERPRET IN ONE OF 32 AVAILABLE LANGUAGES. IN ADDITION TO VRI, OVER 200 LANGUAGES ARE OFFERED VIA TELEPHONIC INTERPRETING. WHEN TELEPHONIC OR VRI ARE NOT APPROPRIATE FOR THE PATIENT ENCOUNTER, ONSITE AGENCY INTERPRETERS ARE PROVIDED. FIVE (5) ADVOCATE HOSPITALS EMPLOY SPANISH AND POLISH INTERPRETERS DUE TO THE HIGH VOLUME OF PATIENTS SPEAKING THESE LANGUAGES. ADVOCATE TYPICALLY ACCESSES OVER 150 DIFFERENT LANGUAGES PER YEAR TO MEET PATIENTS' NEEDS.IN 2018, A NEW FORM WAS ADDED TO CARE CONNECTION FOR THE NURSING ADMISSION PROCESS. THERE IS ALSO A FORM FOR LANGUAGE SERVICES TO INPUT ANY CHANGES NEEDED-CALLED AN AD HOC FORM. THE FORM SUPPORTS THE NURSE IN IDENTIFYING LANGUAGE ASSISTANCE NEEDS OF THE PATIENT AND FAMILY MEMBERS/COMPANION. VITAL DOCUMENTS CONTINUE TO BE TRANSLATED. SIGNAGE IS POSTED INDICATING THAT INTERPRETING SERVICES ARE AVAILABLE. SEVERAL HOSPITALS CONTINUE TO HAVE PATIENT WHITE BOARDS TRANSLATED INTO SPANISH AND POLISH WITH ENGLISH SUBTITLES SO THAT PATIENTS ARE AWARE OF THEIR PLAN FOR THE DAY IN THEIR LANGUAGE.TO EVALUATE HOW WELL THE SITES ARE DOING WITH PROVIDING INTERPRETING SERVICES, A RESPONSE TO THE STATEMENT, "IF ENGLISH IS NOT YOUR PRIMARY LANGUAGE, THE DEGREE TO WHICH YOUR COMMUNICATION NEEDS WERE MET," IS REQUESTED ON NON-ENGLISH PRESS GANEY SURVEYS. THE PATIENT IS ASKED TO RATE THE SERVICES RECEIVED BETWEEN 1 AND 5, WITH 5 BEING THE HIGHEST SCORE. CURRENTLY THREE HOSPITALS-ADVOCATE CHRIST, ADVOCATE ILLINOIS MASONIC MEDICAL CENTER (ADVOCATE ILLINOIS MASONIC) AND ADVOCATE LUTHERAN GENERAL-PARTICIPATE. THE AVERAGE SCORE FOR 2018 REMAINED AT 89% FAVORABLE. GIVEN THE LOW RATE OF RETURN, THIS NUMBER IS NOT CONSIDERED TO BE STATISTICALLY SIGNIFICANT.THE READMISSION RATE OF NON-ENGLISH SPEAKING PATIENTS IS ALSO TRACKED AND COMPARED TO THE READMISSION RATE OF ENGLISH-SPEAKING PATIENTS. THE NON-ENGLISH READMISSION RATE CONTINUES TO BE CLOSE TO THE ENGLISH-SPEAKING PATIENT READMISSION RATE.ONE QUALITY AUDIT WAS CONDUCTED IN 2018 THAT FOCUSED ON THE KNOWLEDGE OF CLINICAL CARE PROVIDERS. THE OVERALL RESULT WAS "COMPETENT." RESULTS WERE CONVEYED AND CORRECTIVE ACTION PLANS COMPLETED AT TWO SITES. LANGUAGE SERVICES CONTINUES TO PARTICIPATE IN PATIENT SAFETY HUDDLES AND REPORTS THE NUMBER OF INDIVIDUALS NEEDING INTERPRETING SERVICES AS WELL AS LANGUAGE SERVICES EVENTS. PATIENT SAFETY EVENTS ARE ALSO REPORTED AT THE SYSTEM SAFETY HUDDLE. THIS ASSISTS WITH IDENTIFYING LANGUAGE SERVICE ISSUES THAT MAY BE OCCURRING ACROSS THE SYSTEM.PARISH NURSE MINISTRY. ADVOCATE FULLY FUNDS THREE FAITH COMMUNITY NURSE POSITIONS SERVING THREE CONGREGATIONS IN LOW-INCOME, HIGH NEED COMMUNITIES. THESE FAITH COMMUNITY NURSES PROVIDE HEALTH EDUCATION, WELLNESS PROMOTION, NAVIGATION AND CARE MANAGEMENT, HEALTH SCREENINGS, ADVOCACY AND SPIRITUAL SUPPORT TO THE MEMBERS OF THEIR CONGREGATIONS AND TO THE WIDER COMMUNITIES THAT THEY SERVE. MANY OF THE PEOPLE SERVED ARE HOMELESS, MARGINALIZED OR CHRONICALLY ILL INDIVIDUALS. IN ADDITION, ADVOCATE SUPPORTS A FAITH COMMUNITY NURSE SUPPORT NETWORK OF 37 NURSES THAT SERVE CONGREGATIONS ACROSS THE CHICAGOLAND REGION. ADVOCATE ALSO FUNDS SYSTEM LEVEL PROGRAMS AND ACTIVITIES FOCUSED ON POSITIVELY AFFECTING THE HEALTH STATUS AND QUALITY OF LIFE OF INDIVIDUALS AND POPULATIONS IN COMMUNITIES SERVED BY ADVOCATE. TWO EXAMPLES OF SUCH PROGRAMS FOLLOW.ADVOCATE BETHANY COMMUNITY HEALTH FUND (BETHANY FUND). ESTABLISHED IN 2006 BY ADVOCATE HEALTH CARE AS PART OF AN ONGOING COMMITMENT TO HELP BUILD, PROMOTE AND SUSTAIN HEALTHY COMMUNITIES ON CHICAGO'S WEST SIDE, THE BETHANY FUND SUPPORTS NONPROFIT ORGANIZATIONS THAT ARE IN THE COMMUNITIES HISTORICALLY SERVED BY ADVOCATE BETHANY HOSPITAL (NOW RML CHICAGO)-AUSTIN, GARFIELD PARK, HUMBOLDT PARK AND NORTH LAWNDALE. THE FUND DOES THIS THROUGH PROGRAM GRANTS, ORGANIZATIONAL CAPACITY BUILDING EVENTS AND PARTNERSHIPS TO BUILD ON THE ASSETS OF THESE VULNERABLE COMMUNITIES. IN 2018, THE BETHANY FUND AWARDED $815,000 IN PROGRAM GRANTS ADDRESSING ITS PRIORITY AREAS OF DIABETES, SCHOOL DROPOUT PREVENTION, VIOLENCE PREVENTION AND WORKFORCE DEVELOPMENT.CENTER FOR FAITH AND COMMUNITY HEALTH TRANSFORMATION. THE CENTER FOR FAITH AND COMMUNITY HEALTH TRANSFORMATION WORKS TO ADVANCE HEALTH EQUITY BY PARTNERING WITH FAITH-BASED AND COMMUNITY ORGANIZATIONS TO BUILD COMMUNITY, NURTURE LEADERS AND CONNECT THE UNIQUE SPIRIT POWER OF FAITH COMMUNITIES TO PROMOTE SOCIAL JUSTICE AND ABUNDANT LIFE FOR INDIVIDUALS, FAMILIES AND COMMUNITIES. THE CENTER IS A PARTNERSHIP BETWEEN ADVOCATE AND THE OFFICE FOR COMMUNITY ENGAGEMENT AND NEIGHBORHOOD HEALTH PARTNERSHIPS AT THE UNIVERSITY OF ILLINOIS AT CHICAGO. CURRENTLY, THE CENTER IS CONVENING A TRAUMA INFORMED CONGREGATIONS NETWORK TO SUPPORT THE CAPACITY OF FAITH COMMUNITIES TO
PART VI, LINE 6: 6. AFFILIATED HEALTH CARE SYSTEM- CONTINUEDPREVENT TRAUMA AND TO BE PLACES OF HEALING FOR THOSE WHO HAVE EXPERIENCED ADVERSITY IN CHILDHOOD OR THROUGHOUT THEIR LIVES.THE CENTER ALSO CONVENES THE COURAGE TO LOVE COLLABORATIVE (CTLC), A PARTNERSHIP COMMITTED TO REDUCING PRE-TERM BIRTH AND INFANT MORTALITY IN THE VULNERABLE AUBURN GRESHAM NEIGHBORHOOD OF CHICAGO. THE COURAGE TO LOVE APPROACH IS ROOTED IN A REPORT BY THE COMMISSION ON INFANT MORTALITY OF THE HEALTH POLICY INSTITUTE OF THE JOINT CENTER FOR POLITICAL AND ECONOMIC STUDIES THAT MAINTAINS THAT SOCIAL COHESION IS THE NECESSARY STRATEGY FOR IMPROVING BIRTH OUTCOMES. THE CTLC HAS INTERVIEWED OR GATHERED INPUT FROM ALMOST 150 COMMUNITY RESIDENTS DOCUMENTING THEIR EXPERIENCES OF STRESS, AND OF LOVE AND CARE IN THEIR COMMUNITIES. ECONOMIC PRESSURES AND COMMUNITY VIOLENCE WERE IDENTIFIED AS MOST STRESSFUL, AND FAMILY, CHURCH AND NEIGHBORS EMERGED AS THE CORE DRIVERS OF SOCIAL CONNECTION. THE COLLABORATIVE CONTINUES TO WORK WITH TEAMS OF COMMUNITY MEMBERS TO DESIGN AN APPROACH TO EXPAND EXISTING NETWORKS OF SOCIAL CONNECTION TO PROVIDE INTENTIONAL SUPPORT FOR PARENTS AND FAMILIES.GOAL C. **NOT USED** GOAL D. EXAMINE AND ADDRESS IN PARTNERSHIP WITH OTHERS THE ROOT CAUSES OF HEALTH INEQUITIES IN ADVOCATE COMMUNITIES INCLUDING, BUT NOT LIMITED TO, UNEMPLOYMENT, LACK OF EDUCATION, POVERTY, ENVIRONMENTAL INJUSTICE AND RACISM.SOCIONEEDS INDEX. IN PREPARATION FOR THE 2014-2016 CHNA, ADVOCATE PURCHASED ACCESS TO A TOOL THAT COULD BE USED BY ALL OF ITS HOSPITALS TO IDENTIFY PRIORITY OPPORTUNITIES TO IMPACT THE SOCIAL DETERMINANTS OF HEALTH IN THE COMMUNITIES SERVED BY ADVOCATE. INCLUDED IN THIS TOOL, DEVELOPED BY THE HEALTHY COMMUNITIES INSTITUTE, IS THE SOCIONEEDS INDEX. THE SOCIONEEDS INDEX IS A MEASURE OF SOCIOECONOMIC NEED THAT IS CORRELATED WITH POOR HEALTH OUTCOMES. INDICATORS FOR THE INDEX ARE WEIGHTED TO MAXIMIZE THE CORRELATION OF THE INDEX WITH PREMATURE DEATH RATES AND PREVENTABLE HOSPITALIZATION RATES. THIS INDEX COMBINES MULTIPLE SOCIOECONOMIC INDICATORS INTO A SINGLE COMPOSITE VALUE. AS A SINGLE INDICATOR, THE INDEX CAN SERVE AS A CONCISE WAY TO EXPLAIN WHICH AREAS ARE OF HIGHEST NEED. A MAP WAS THEN PREPARED FOR EACH HOSPITAL SERVICE AREA ENABLING THE COMMUNITY HEALTH COUNCILS TO FOCUS PRIORITY SETTING AND PROGRAM PLANNING ON COMMUNITIES AT HIGHER LEVELS OF SOCIOECONOMIC NEED. THE INDEX IS ALSO BEING USED FOR THE 2017-2019 CHNA PROCESS.ALLIANCE FOR HEALTH EQUITY (FORMERLY KNOWN AS THE HEALTH IMPACT COLLABORATIVE OF COOK COUNTY). IN 2015, COMMUNITY HEALTH LEADERS FROM ADVOCATE, PRESENCE HEALTH, THE ILLINOIS PUBLIC HEALTH INSTITUTE (IPHA), THE CHICAGO DEPARTMENT OF HEALTH (CDPH) AND THE COOK COUNTY DEPARTMENT OF PUBLIC HEALTH (CCDPH) CAME TOGETHER TO FORM THE HEALTH IMPACT COLLABORATIVE OF COOK COUNTY (HICCC). EVENTUALLY THIS COLLABORATIVE INCLUDED 26 HOSPITALS, INCLUDING FIVE FROM ADVOCATE, SEVEN HEALTH DEPARTMENTS AND NEARLY 100 COMMUNITY ORGANIZATIONS FROM ACROSS CHICAGO AND COOK COUNTY. THE PURPOSE OF HICCC WAS TO CREATE A MORE EFFECTIVE WAY TO ASSESS HEALTH NEEDS ACROSS CHICAGO AND COOK COUNTY AND THEN IMPLEMENT A SHARED ACTION PLAN TO MAXIMIZE HEALTH EQUITY AND WELLNESS. DURING 2016, THE COLLABORATIVE COMPLETED THREE COMPREHENSIVE ASSESSMENTS - ONE EACH FOR THE NORTH, CENTRAL AND SOUTH REGIONS OF COOK COUNTY, INCLUDING CHICAGO. SEE: HTTP://HEALTHIMPACTCC.ORG/REPORTS2016/ THROUGH COLLABORATIVE PRIORITIZATION PROCESSES INVOLVING ALL HOSPITAL AND HEALTH DEPARTMENT MEMBERS OF THE COLLABORATIVE, AS WELL AS STAKEHOLDER ADVISORY GROUPS COMPRISED OF COMMUNITY REPRESENTATIVES, HICCC IDENTIFIED FOUR OVERARCHING FOCUS AREAS INCLUDING:" IMPROVING SOCIAL, ECONOMIC, AND STRUCTURAL DETERMINANTS OF HEALTH WHILE REDUCING SOCIAL AND ECONOMIC INEQUALITIES;" IMPROVING MENTAL HEALTH AND DECREASING SUBSTANCE ABUSE;" PREVENTING AND REDUCING CHRONIC DISEASE, WITH A FOCUS ON RISK FACTORS-NUTRITION, PHYSICAL ACTIVITY AND TOBACCO; AND" INCREASING ACCESS TO CARE AND COMMUNITY RESOURCES.ALL OF THE HOSPITALS IN THE COLLABORATIVE AGREED TO INCLUDE THE FIRST FOCUS AREA-IMPROVING SOCIAL, ECONOMIC, AND STRUCTURAL DETERMINANTS OF HEALTH-AS A PRIORITY AREA FOR THEIR CHNA AND IMPLEMENTATION PLAN. OF THE FIVE ADVOCATE HOSPITALS IN COOK COUNTY, ADVOCATE ILLINOIS MASONIC AND ADVOCATE TRINITY CHOSE WORKFORCE DEVELOPMENT, ADVOCATE CHRIST SELECTED VIOLENCE PREVENTION, ADVOCATE SOUTH SUBURBAN CHOSE HOUSING AND ADVOCATE LUTHERAN GENERAL SELECTED YOUTH EMPLOYMENT. ACTION TEAMS BEGAN MEETING IN 2017 AND CONTINUED TO MEET THROUGHOUT 2018. WORK TO DEVELOP COMMUNITY HEALTH IMPROVEMENT PLANS FOCUSED ON ALIGNED ACTIONS AND DATA COLLECTION CONTINUES.IN LATE 2017, HICCC MERGED WITH THE HEALTHY CHICAGO HOSPITALS COLLABORATIVE TO CREATE THE ALLIANCE FOR HEALTH EQUITY. THE ALLIANCE FOR HEALTH EQUITY IS A PARTNERSHIP BETWEEN THE ILLINOIS PUBLIC HEALTH INSTITUTE, HOSPITALS, HEALTH DEPARTMENTS AND COMMUNITY ORGANIZATIONS ACROSS CHICAGO AND COOK COUNTY. ADVOCATE, AS A FOUNDING MEMBER OF THE PREDECESSOR HICCC, CONTINUES TO BE ACTIVELY INVOLVED IN LEADERSHIP OF THE ALLIANCE FOR HEALTH EQUITY PARTNERSHIP, SERVING ON THE STEERING COMMITTEE. ADVOCATE'S HOSPITALS AS WELL AS THE OTHER MEMBER HOSPITALS PROVIDE THE MONETARY SUPPORT FOR THE COLLABORATIVE'S WORK AND SUPPORT THE COST OF STAFF AND OVERSIGHT PROVIDED BY THE ILLINOIS PUBLIC HEALTH INSTITUTE.THIS INITIATIVE IS ONE OF THE LARGEST COLLABORATIVE HOSPITAL-COMMUNITY PARTNERSHIPS IN THE COUNTRY WITH THE CURRENT INVOLVEMENT OF OVER 30 NONPROFIT AND PUBLIC HOSPITALS, SEVEN LOCAL HEALTH DEPARTMENTS, AND REPRESENTATIVES OF MORE THAN 100 COMMUNITY ORGANIZATIONS SERVING ON ACTION TEAMS. PARTNERS ARE COMING TOGETHER WITH THE GOAL OF WORKING ON STRATEGIES TO ADDRESS THE PRESSING ISSUES IN OUR COMMUNITIES TO ACHIEVE GREATER COLLECTIVE IMPACT.ORGANIZATIONS WHOSE REPRESENTATIVES SERVE ON THE ALLIANCE'S STEERING COMMITTEE INCLUDE: ADVOCATE, LOYOLA UNIVERSITY HEALTH SYSTEM, LURIE CHILDREN'S HOSPITAL, NORTHWESTERN MEMORIAL HOSPITAL, NORWEGIAN AMERICAN HOSPITAL, PRESENCE HEALTH, RUSH, SINAI HEALTH SYSTEM, SWEDISH COVENANT, UNIVERSITY OF CHICAGO MEDICINE. HEALTH CARE ANCHOR NETWORK. IN DECEMBER 2016, ADVOCATE JOINED LEADERS FROM HEALTH SYSTEMS IN WASHINGTON, DC, TO EXPLORE WHAT IT WOULD MEAN TO HARNESS THEIR SHARED ECONOMIC AND INTELLECTUAL POWER TO TRULY BENEFIT THEIR COMMUNITIES. "THE DISCUSSION CENTERED ON IDENTIFYING HOW ALL OF THESE ECONOMIC ASSETS (THE COMBINED PURCHASES OF $65 BILLION IN PURCHASED GOODS AND SERVICES, 1.4 MILLION EMPLOYEES AND $200 BILLION IN INVESTMENT AND ENDOWMENT PORTFOLIOS), COMBINED WITH CIVIC LEADERSHIP COULD BE DEPLOYED TO CREATE INCLUSIVE, EQUITABLE, HEALTHY AND ENVIRONMENTALLY SUSTAINABLE COMMUNITIES." (ADVANCING THE ANCHOR MISSION OF HEALTHCARE, DEMOCRACY COLLABORATIVE, 2017)ADVOCATE OFFICIALLY JOINED THE HEALTH CARE ANCHOR NETWORK IN 2016 AS A FOUNDING PARTNER AND HAS CONTINUED TO PROVIDE MONETARY SUPPORT, LEADERSHIP AND ACTIVE ENGAGEMENT TO THE NETWORK. IN 2018, ADVOCATE STAFF ATTENDED TWO IN PERSON MEETINGS HELD IN SAN FRANCISCO, CALIFORNIA AND RICHMOND, VIRGINIA AND PARTICIPATED AS ACTIVE MEMBERS OF WORKGROUPS ADDRESSING NETWORK PROJECTS. BY THE END OF 2018, THE NETWORK HAD A MEMBERSHIP OF NEARLY 40 NATIONAL HEALTH SYSTEMS. THE WORK OF THE NETWORK IS SUPPORTED BY HEALTH SYSTEM DOLLARS AND FUNDING FROM THE ROBERT WOOD JOHNSON FOUNDATION. FACILITATION AND BACKBONE SUPPORT ARE PROVIDED BY THE DEMOCRACY COLLABORATIVE, WASHINGTON, DC. THE HEALTH CARE ANCHOR NETWORK AIMS TO ADDRESS UPSTREAM SOCIAL DETERMINANTS OF HEALTH IN COMMUNITIES THROUGH LOCAL HIRING, LOCAL PURCHASING AND LOCAL INVESTMENT.CHICAGO ANCHORS FOR A STRONG ECONOMY (CASE). ADVOCATE IS ONE OF 16 ANCHOR INSTITUTIONS COMPRISING CASE. THE CENTRAL WORK OF THE COLLABORATIVE IS FOSTERING STRATEGIC RELATIONSHIPS BETWEEN ANCHOR INSTITUTIONS AND SMALL BUSINESSES THAT CAN SUPPLY THE NEEDS OF THESE INSTITUTIONS IN AN EFFORT TO BUILD ECONOMIC VITALITY ACROSS CHICAGO'S NEIGHBORHOODS. HTTP://WWW.CHICAGOANCHORS.COM/. CASE IS FOCUSING ON FOUR MAJOR AREAS:" INCREASING LOCAL SPENDING BY PARTNERING WITH ANCHOR INSTITUTIONS TO INFUSE NEW REVENUE INTO THE REGIONAL ECONOMY; " FACILITATING NEW CONTRACTS BETWEEN LOCAL BUSINESSES AND ANCHOR INSTITUTIONS; " GROWING THE NETWORK BETWEEN SMALL BUSINESSES AND ANCHOR INSTITUTIONS; AND " FACILITATING TRAINING TO BUILD CAPACITY AMONG SMALL BUSINESSES IN CHICAGO COMMUNITIES.THE HEALTHCARE INSTITUTIONS IN CASE ARE FOCUSING ON SUPPLY CHAIN INITIATIVES ENGAGING LOCAL SUPPLIERS AND POSSIBLE DEVELOPMENT OF NEW SMALL BUSINESSES IN UNDERSERVED COMMUNITIES THAT CAN SUPPLY HEALTH CARE PRODUCT NEEDS. RESULTS FOR THE OVERALL GROUP OF ANCHOR INSTITUTIONS INCLUDE 476 BUSINESSES ASSISTED RESULTING IN NEW CONTRACTS BETWEEN SMALL BUSINESSES AND ANCHORS; 230 JOBS RETAINED; $58.9 MILLION IN REVENUE COMMITTED; AND 57 CONTRACTS SIGNED WITH SMALL BUSINESSES THROUGH MULTIYEAR ANCHOR CONTRACTS.
PART VI, LINE 6: 6. AFFILIATED HEALTH CARE SYSTEM- CONTINUEDADVOCATE IS ALSO WORKING TO STRENGTHEN CORPORATE OPTIONS THROUGH HUMAN RESOURCE, SUPPLY CHAIN, ENVIRONMENTAL STEWARDSHIP AND INVESTMENT POLICIES TO IMPACT THE SOCIAL DETERMINANTS OF HEALTH IN THE COMMUNITIES SERVED BY ADVOCATE. SEVERAL EXAMPLES OF THE ORGANIZATION'S WORK IN THESE AREAS FOLLOW.ENVIRONMENTAL STEWARDSHIP. ADVOCATE BELIEVES THAT ENVIRONMENTAL HEALTH DEEPLY IMPACTS PERSONAL HEALTH AND THE HEALTH OF COMMUNITIES. GROUNDED IN OUR FAITH BELIEFS THAT GUIDE OUR HEALTH MINISTRY, WE ARE CALLED TO CARE FOR THE EARTH AND WORK DILIGENTLY TO MINIMIZE OUR ENVIRONMENTAL IMPACT AND CONTRIBUTE POSITIVELY TO EFFORTS THAT PRESERVE HEALTHY ENVIRONMENTS FOR GENERATIONS TO COME.ADVOCATE IS INVOLVED AS A LEADER IN THE HEALTH CARE SUSTAINABILITY ARENA AS AN ACTIVE MEMBER OF PRACTICE GREENHEALTH, HEALTH CARE CLIMATE COUNCIL, HEALTHCARE PLASTICS RECYCLING COALITION (HEALTH FACILITY ADVISORY BOARD) AND THE MIDWEST BUSINESS GROUP ON HEALTH, AS WELL AS HEALTH CARE ANCHORS (FOCUSED ON ENVIRONMENTAL STEWARDSHIP, SUSTAINABILITY, EQUITABLE PROCUREMENT AND WORK FORCE DEVELOPMENT). IN 2010, ADVOCATE BECAME A FOUNDING SPONSOR OF THE HEALTHIER HOSPITALS INITIATIVE, A THREE-YEAR NATIONAL CAMPAIGN TO IMPLEMENT BEST PRACTICES FOCUSED ON IMPROVING SUSTAINABILITY IN THE HEALTH CARE SECTOR. HEALTHIER HOSPITALS IS NOW A PERMANENT PROGRAM OF PRACTICE GREENHEALTH. THE PROGRAM ENGAGES OVER 1,300 HOSPITALS IN CHALLENGES IN SIX CATEGORIES: ENGAGED LEADERSHIP, HEALTHIER FOODS, LESS WASTE, LEANER ENERGY, SAFER CHEMICALS AND SMARTER PURCHASING.IN 2008, ADVOCATE EMBARKED ON A JOURNEY TO REDUCE ITS CARBON FOOTPRINT AND TO BECOME AS EFFICIENT AS POSSIBLE. BY 2015, ADVOCATE HAD REDUCED ENERGY CONSUMPTION BY 23% FROM THE 2008 BASELINE. BY THE END OF 2018, ADVOCATE ACHIEVED AN ADDITIONAL 4.5% REDUCTION FROM ITS NEW 2015 BASELINE. PROJECT C.U.R.E. (COMMISSION ON URGENT RELIEF AND EQUIPMENT). ADVOCATE IS AN OFFICIAL DONATION PARTNER OF PROJECT C.U.R.E., THE WORLD'S LEADING MEDICAL SUPPLY DISTRIBUTION ORGANIZATION BENEFITING RESOURCE-LIMITED AREAS ACROSS THE GLOBE. SURPLUS MEDICAL SUPPLIES AND DECOMMISSIONED EQUIPMENT ARE DONATED TO PROJECT C.U.R.E. AND MANY ADVOCATE TEAM MEMBERS ALSO VOLUNTEER TIME AT ITS WAREHOUSE-SORTING AND PACKAGING SUPPLIES FOR DISTRIBUTION OVERSEAS. IN 2018, ADVOCATE DONATED A TOTAL OF 91 PALLETS OF MISCELLANEOUS MEDICAL SUPPLIES AND 13 PIECES OF MEDICAL EQUIPMENT TO PROJECT CURE.STAKEHOLDER HEALTH. ADVOCATE IS A FOUNDING MEMBER AND INVESTING PARTNER OF STAKEHOLDER HEALTH, FORMERLY KNOWN AS HEALTH SYSTEMS LEARNING GROUP. MEMBERS OF ADVOCATE STAFF SERVE ON THE ADVISORY COUNCIL AND HAVE BEEN ACTIVELY INVOLVED IN OFFERING THOUGHT LEADERSHIP AS WELL AS CONTRIBUTING TO THE WRITING OF TWO SEMINAL DOCUMENTS-A 2013 HEALTH SYSTEMS LEARNING GROUP MONOGRAPH HTTPS://STAKEHOLDERHEALTH.ORG/PDF/ AND A 2016 BOOK, STAKEHOLDER HEALTH: INSIGHTS FROM NEW SYSTEMS OF HEALTH HTTPS://STAKEHOLDERHEALTH.ORG/STAKEHOLDER-HEALTH-CHAPTER-1/. THE LATTER PUBLICATION, DEVELOPED AND PUBLISHED WITH THE SUPPORT OF THE ROBERT WOOD JOHNSON FOUNDATION, IS A RICH AND DETAILED REVIEW OF SOME OF THE BEST PRACTICES IN THE AREAS OF COMMUNITY HEALTH IMPROVEMENT, AND CLINICAL AND COMMUNITY PARTNERSHIPS. THE FIRST RELEASE OF THE BOOK OCCURRED AT AN EVENT AT CHICAGO THEOLOGICAL SEMINARY AND WAS PLANNED AND EXECUTED BY ADVOCATE STAFF AND STAFF OF THE CENTER FOR FAITH AND COMMUNITY HEALTH TRANSFORMATION. STAKEHOLDER HEALTH 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. ADVOCATE AURORA HEALTH CONTINUES TO BE AN ACTIVE MEMBER AND LEADER OF STAKEHOLDER HEALTH.SUSTAINABLE BUILDING. SUSTAINABILITY, SAFETY AND EFFICIENCY ARE CORE ELEMENTS OF ALL ADVOCATE CONSTRUCTION PROJECTS. IN 2018, 74% OR 1,370 TONS OF ADVOCATE CONSTRUCTION WASTE WAS RECYCLED. ADVOCATE IS PURSUING LEADERSHIP IN ENERGY AND ENVIRONMENTAL DESIGN (LEED) CERTIFICATION ON ALL NEW MAJOR BUILDINGS AND HAS DEVELOPED A NEW TOOL, THE HEALTHY SPACES ROADMAP, TO ENSURE SUSTAINABILITY IN ALL RENOVATIONS AND PROJECTS THROUGHOUT ADVOCATE. AS REPORTED FOR 2017, ADVOCATE CHRIST'S EAST TOWER WAS LEED GOLD HEALTHCARE CERTIFIED. IN 2018, HOWEVER, TWO MORE HOSPITALS-ADVOCATE GOOD SAMARITAN FOR ITS WEST TOWER AND ADVOCATE GOOD SHEPHERD FOR ITS MODERNIZATION PROJECT-ACHIEVED LEED FOR HEALTHCARE-SILVER CERTIFICATION IN 2018. SUSTAINABLE WORK SPACES. BEING GREEN AT WORK IS EASIER WHEN THE WORK ENVIRONMENT IS CONDUCIVE TO SUSTAINABLE PRACTICES. AT ADVOCATE, INDOOR AIR QUALITY IS INCREASED AND EXPOSURE TO TOXIC CHEMICALS DECREASED THROUGH ENVIRONMENTALLY-PREFERABLE PURCHASING, INCLUDING FURNITURE, CLEANING PRODUCTS AND MEDICAL SUPPLIES. ADVOCATE'S TEAM MEMBERS ARE EMPOWERED TO CREATE SUSTAINABLE WORK SPACES THROUGH THE GREEN ADVOCATE AND SUSTAINABLE WORK SPACE CERTIFICATION PROGRAMS. ALL TEAM MEMBERS AND VOLUNTEERS ARE ENCOURAGED TO REDUCE WASTE, RECYCLE AND UTILIZE ELECTRICITY EFFECTIVELY. BEING GREEN IS A TEAM EFFORT AND MANY METRICS ARE TRACKED AND REPORTED AT ADVOCATE SITES.BETHANY COMMUNITY HEALTH FUND ("BETHANY FUND"). AS INTRODUCED EARLIER, THE BETHANY FUND ADDRESSES THE UNIQUE HEALTH NEEDS OF FOUR TARGETED UNDERSERVED COMMUNITIES ON CHICAGO'S WEST SIDE [AUSTIN, GARFIELD PARK, HUMBOLDT PARK AND NORTH LAWNDALE] BY AWARDING GRANTS TO PROGRAMS THAT PROMOTE HEALTH AND WELLNESS AND REDUCE HEALTH DISPARITIES AND THEIR DETERMINANTS. PRIORITY AREAS INCLUDE DIABETES, SCHOOL DROPOUT PREVENTION, WORKFORCE DEVELOPMENT, AND VIOLENCE PREVENTION. SINCE THE BOARD WAS ESTABLISHED IN 2007, THE BETHANY FUND HAS AWARDED OVER $9 MILLION THROUGH 381 GRANTS TO SUPPORT ORGANIZATIONS IN ITS FUND COMMUNITIES. IN 2018, THE FUND AWARDED $815,000 TO GRANTEES. THE ADVOCATE BETHANY FUND HAS SUPPORTED A WIDE VARIETY OF PROGRAMS THAT ADDRESS THE SOCIAL DETERMINANTS OF HEALTH, INCLUDING THE FOLLOWING EXAMPLES OF PROGRAMS FUNDED DURING 2018: NEW MOMS (AUSTIN), FOR THEIR WORKFORCE DEVELOPMENT PROGRAM THAT WORKS WITH YOUNG MOMS EXPERIENCING POVERTY AND UTILIZES CANDLE MAKING TO TEACH JOB-READINESS SKILLS; FREE SPIRIT MEDIA (NORTH LAWNDALE) FOR THEIR INDUSTRY AND CAREER PATHWAYS PROGRAM WHICH SERVES YOUTH AND YOUNG ADULTS SEEKING TO BREAK INTO CHICAGO'S ROBUST FILM AND MEDIA INDUSTRIES; MARILLAC ST. VINCENT FAMILY SERVICES (GARFIELD PARK) TO SUPPORT PROJECT HOPE, A PROGRAM FOR PREGNANT AND PARENTING TEENS AND YOUNG ADULTS; AND GREATER WEST TOWN COMMUNITY DEVELOPMENT PROJECT (HUMBOLDT PARK), TO ENRICH THEIR EXISTING VOCATIONAL TRAINING PROGRAM. IN ADDITION TO ITS GRANT MAKING ROLE, THE ADVOCATE BETHANY FUND INVESTS SUBSTANTIAL STAFF TIME AND FINANCIAL RESOURCES IN ORGANIZATIONAL CAPACITY BUILDING. THE ORGANIZATIONS FUNDED ARE PHYSICALLY LOCATED IN ONE OR MORE OF THE PRIORITY WEST-SIDE COMMUNITIES. EACH YEAR, THE FUND SUPPORTS CAPACITY-BUILDING IDEAS DETERMINED FROM RECOMMENDATIONS FROM ITS GRANTEE ORGANIZATIONS AND ITS BOARD MEMBERS (SOME OF WHOM ARE LEADERS AT GRANTEE ORGANIZATIONS). THE FUND HAS OFFERED OVER 80 FORMAL CAPACITY BUILDING/PROFESSIONAL DEVELOPMENT SESSIONS THAT HAVE ENGAGED MORE THAN 1,150 STAFF FROM GRANTEE AND COMMUNITY-BASED ORGANIZATIONS. GOAL E: LEVERAGE RESOURCES AND MAXIMIZE COMMUNITY ENGAGEMENT BY BUILDING AND STRENGTHENING COMMUNITY PARTNERSHIPS WITH HEALTH DEPARTMENTS AND OTHER DIVERSE COMMUNITY ORGANIZATIONS.A KEY OBJECTIVE UNDER THIS GOAL IS ALIGNING INITIATIVES WITH LOCAL HEALTH DEPARTMENTS AND THEIR COMMUNITY HEALTH PRIORITIES. ALL ADVOCATE HOSPITALS COLLABORATED WITH THEIR RESPECTIVE HEALTH DEPARTMENTS DURING THE 2014-2016 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) CYCLE. ONE OF THE PRIMARY VALUES OF ADVOCATE'S COMMUNITY HEALTH DEPARTMENT IS COLLABORATION WITH PARTNERS, PREFERABLY THROUGH A COLLECTIVE IMPACT MODEL. ONE OF THE PRINCIPAL PARTNERS IN PROVIDING FOR COMMUNITY NEEDS IS THE LOCAL HEALTH DEPARTMENT. WHILE AT THE DIRECTION OF THE SYSTEM, ALL HOSPITALS ACTIVELY PARTICIPATED IN COLLABORATIVE ASSESSMENTS AND HEALTH IMPROVEMENT PLANNING WITH THEIR LOCAL HEALTH DEPARTMENTS FOR THE 2014-2016 CHNA PROCESS AND ARE DOING SO AGAIN FOR THE 2017-2019 PROCESS. THERE IS ONE NOTABLE COLLABORATION IN PARTICULAR IN WHICH ADVOCATE SYSTEM LEVEL LEADERSHIP PLAYED A VITAL ROLE. ALLIANCE FOR HEALTH EQUITY (FORMERLY THE HEALTH IMPACT COLLABORATIVE OF COOK COUNTY [HICCC]. AS INTRODUCED EARLIER, ADVOCATE HEALTH CARE, PRESENCE HEALTH AND THE ILLINOIS PUBLIC HEALTH INSTITUTE (IPHI) WERE THE THREE FOUNDING ORGANIZATIONS OF THE HEALTH IMPACT COLLABORATIVE OF COOK COUNTY. THESE ORGANIZATIONS INVITED HEALTH DEPARTMENTS AND ALL COOK COUNTY NONPROFIT HOSPITALS TO JOIN THEM IN CREATING ONE OF THE LARGEST CHNA AND COMMUNITY HEALTH IMPROVEMENT COLLABORATIVES IN THE COUNTRY. IPHI SERVES AS THE BACKBONE ORGANIZATION FOR THE COLLABORATIVE AND THE HOSPITALS PROVIDE FUNDING FOR THE SHARED ASSESSMENT AND COMMUNITY HEALTH IMPROVEMENT PLANNING FACILITATION WORK. IN ADDITION TO 27
PART VI, LINE 6: 6. AFFILIATED HEALTH CARE SYSTEM- CONTINUEDNONPROFIT AND PUBLIC HOSPITALS, SEVEN LOCAL HEALTH DEPARTMENTS AND MORE THAN 100 COMMUNITY ORGANIZATIONS PARTICIPATED IN THE ASSESSMENT AND ACTION TEAMS.DURING 2015 AND 2016, IPHI, THE PARTICIPATING HOSPITALS AND HEALTH DEPARTMENTS WORKED TOGETHER TO DESIGN A SHARED LEADERSHIP MODEL AND COLLABORATIVE INFRASTRUCTURE TO SUPPORT COMMUNITY-ENGAGED PLANNING PARTNERSHIPS AND STRATEGIC ALIGNMENT OF IMPLEMENTATION PLANS, WHICH WILL FACILITATE MORE EFFECTIVE AND SUSTAINABLE COMMUNITY HEALTH IMPROVEMENT IN THE FUTURE. SURVEYS WERE DISTRIBUTED THROUGHOUT COOK COUNTY WITH A FOCUS ON UNDERSERVED COMMUNITIES. OVER 5,000 SURVEYS WERE COMPLETED PROVIDING A GOOD PICTURE OF THE HEALTH NEEDS OF THE COUNTY. PRIMARY DATA ALSO INCLUDED MULTIPLE FOCUS GROUPS AND HOSPITAL UTILIZATION DATA. A DATA TEAM ANALYZED MULTIPLE SECONDARY DATA SOURCES AS WELL. THIS COLLABORATIVE WORK RESULTED IN THREE REGIONAL CHNA REPORTS.AS A RESULT OF THE ASSESSMENT WORK, ALL PARTNERS DETERMINED FOUR FOCUS AREAS FOR IMPLEMENTATION. ACTION TEAMS HAVE BEEN FORMED AND COMMUNITY HEALTH IMPROVEMENT PLANS ARE BEING DEVELOPED WITH A FOCUS ON ALIGNED ACTIONS AND DATA COLLECTION. IN LATE 2017 AND FOLLOWING HICCC'S MERGER WITH THE HEALTH CHICAGO HOSPITALS COLLABORATE TO CREATE THE ALLIANCE FOR HEALTH EQUITY (AFHE), ADVOCATE HAS CONTINUED TO BE AN ACTIVE MEMBER INVOLVED IN LEADERSHIP AND SERVING ON THE AFHE STEERING COMMITTEE. ANOTHER OBJECTIVE TO STRENGTHEN COMMUNITY PARTNERSHIPS IS FOR ADVOCATE TO EXPLORE NON-TRADITIONAL RELATIONSHIPS, SUCH AS WITH SCHOOL DISTRICTS, EMPLOYMENT AGENCIES, HOUSING GROUPS, FOOD PANTRIES, SHELTERS, ETC. WHILE THERE ARE MANY EXISTING ADVOCATE COMMUNITY PARTNERSHIPS MENTIONED THROUGHOUT THIS DOCUMENT AND EVEN SOME THAT RESULTED FROM OR BEGAN PRIOR TO ADVOCATE'S 2011-2013 CHNA PROCESS, THIS OBJECTIVE IS FOCUSED PRIMARILY ON THE INNOVATIVE NON-TRADITIONAL PARTNERSHIPS THAT HAVE BEGUN AS A RESULT OF THE 2014-2016 CHNA.ADDRESSING FOOD INSECURITY. ONE SUCH EXAMPLE OF A NON-TRADITIONAL COMMUNITY PARTNERSHIP IS ADVOCATE GOOD SAMARITAN'S PARTNERSHIP WITH LOCAL FOOD PANTRIES AND THE UNIVERSITY OF ILLINOIS EXTENSION TO DEVELOP A PROGRAM THAT OFFERS HEALTHY FRESH FOOD, NUTRITION AND COOKING CLASSES TO CLIENTS OF THE FOOD PANTRIES. ANOTHER EXAMPLE IS ADVOCATE GOOD SHEPHERD'S WORK WITH VARIOUS COMMUNITY-BASED ORGANIZATIONS AND LOCAL MUNICIPAL ENTITIES THAT SERVE SENIORS TO IMPLEMENT FOOD SECURITY SCREENING FOR SENIORS. A SCREENING TOOL AND COMPREHENSIVE RESOURCE GUIDE HAVE BEEN DEVELOPED FOR SENIORS THAT SCREEN AS FOOD INSECURE. ADVOCATE GOOD SHEPHERD AND SEVERAL OTHER ADVOCATE HOSPITALS ARE GROWING VEGETABLES ON THEIR CAMPUSES OR IN THE COMMUNITY. ADVOCATE GOOD SHEPHERD HAS PARTNERED WITH A LOCAL NON-PROFIT ORGANIZATION, SMARTFARM, WHOSE MISSION IS TO BE AN EDUCATIONAL RESOURCE ON SUSTAINABLE GARDENING AND HEALTHY EATING. SMART FARM MANAGES THE ON-SITE GARDEN ON OVER 10 ACRES OF LAND OWNED BY ADVOCATE AND THE HARVESTED FRESH VEGETABLES ARE DONATED TO LOCAL FOOD PANTRIES. SIMILAR PARTNERSHIPS EXIST AT ADVOCATE SHERMAN AND ADVOCATE BROMENN. IN 2018, ADVOCATE ILLINOIS MASONIC ESTABLISHED A HOSPITAL-BASED FOOD PANTRY TO ADDRESS THE NEEDS OF FOOD INSECURE ONCOLOGY PATIENTS. IN PARTNERSHIP WITH THE LAKEVIEW FOOD PANTRY, THE MEDICAL CENTER PROVIDES DRY GOOD FOOD BAGS, RE-USABLE WHEELIE GROCERY BAGS AND GIFT CARDS TO LOW-INCOME AND FOOD INSECURE PATIENTS. TWO HOSPITALS, ADVOCATE SOUTH SUBURBAN AND ADVOCATE TRINITY HAVE PARTNERED WITH ADVOCATE'S PRODUCE VENDOR, CRISTINA FOODS, TO HOST THREE PUBLIC FARMERS MARKETS WHERE FRESH PRODUCE WAS PROVIDED TO PATIENTS, SURROUNDING COMMUNITIES AND ADVOCATE TEAM MEMBERS, WITH LEFTOVER FOOD DONATED TO LOCAL FOOD PANTRIES IN 2018.ADVOCATE WORKFORCE INITIATIVE (AWI). IN 2015, JPMORGAN CHASE MADE A GENEROUS DONATION TO THE ADVOCATE CHARITABLE FOUNDATION, THE CHARITABLE ARM OF ADVOCATE, TO DEVELOP THE HEALTHCARE WORKFORCE COLLABORATIVE, A CREATIVE AND MODERN SOLUTION TO THE CITY'S TALENT SHORTAGE AND ECONOMIC DISPARITIES. LED BY ADVOCATE, THIS HEALTH CARE SECTOR SKILLS-BASED TRAINING INITIATIVE CONNECTS CHICAGOLAND'S UNDEREMPLOYED AND UNEMPLOYED RESIDENTS WITH HIGH-QUALITY, IN-DEMAND JOBS IN THE RAPIDLY GROWING HEALTH CARE INDUSTRY. UNEMPLOYMENT RATES ARE AS HIGH AS 31.9% IN SOME NEIGHBORHOODS IN THE METROPOLITAN AREA AS COMPARED TO CHICAGO'S OVERALL UNEMPLOYMENT RATE OF 8.2%. ILLINOIS HAS THE NATION'S HIGHEST UNEMPLOYMENT RATE AMONG AFRICAN-AMERICANS. THE UNEMPLOYMENT RATE OF AFRICAN-AMERICANS AND HISPANICS IN CHICAGO IS THREE TIMES THAT OF THEIR WHITE COUNTERPARTS. THE HEALTH CARE SECTOR IS EXPECTED TO GENERATE 14,000 NEW WELL-PAYING MIDDLE-SKILL JOBS ANNUALLY IN THE CHICAGO REGION THROUGH 2019, BUT LACKS THE SKILLED TALENT NEEDED TO FILL THESE ROLES. ADVOCATE ALSO HELPED LAUNCH THE CHICAGOLAND HEALTHCARE WORKFORCE COLLABORATIVE (CHWC). THE CHWC IS A CONSORTIUM OF LEADING HEALTHCARE EMPLOYERS AND INDUSTRY PARTNERS THAT BELIEVE IN THE NECESSITY OF A STRONG AND DIVERSE LOCAL HEALTHCARE WORKFORCE. BY LEVERAGING RESOURCES AND BEST PRACTICES, THE COLLABORATIVE AIMS TO SUPPORT AN INCLUSIVE HEALTHCARE WORKFORCE, PROVIDE ACCESSIBILITY FOR THE UNEMPLOYED AND UNDEREMPLOYED POPULATIONS, AND DEVELOP INNOVATIVE RESPONSES TO THE EVOLVING NEEDS OF THE HEALTHCARE INDUSTRY. THIS IS ACHIEVED BY IDENTIFYING AND IMPLEMENTING IMPACTFUL, DATA-DRIVEN AND ACTION-ORIENTED SOLUTIONS, WITH A SPECIFIC FOCUS ON POPULATIONS THAT ARE UNDERREPRESENTED IN THE HEALTH CARE WORKFORCE.THIS WORKFORCE DEVELOPMENT PROGRAM:" ALIGNS TRAINING CURRICULUM TO CURRENT AND EMERGING JOB NEEDS;" CONNECTS JOB SEEKERS TO EMPLOYMENT OPPORTUNITIES WITHIN ADVOCATE;" INCREASES DIVERSITY WITHIN THE HEALTHCARE SECTOR;" PROVIDES CAREER PATHWAYS TO ADVANCED TRAINING OR CAREER OPPORTUNITIES IN HEALTHCARE;" SUPPORTS ECONOMIC DEVELOPMENT IN VULNERABLE COMMUNITIES;" ESTABLISHES BEST PRACTICES, CREATING A REGIONAL/NATIONAL MODEL; AND" PROVIDES SUPPORTIVE SERVICES TO REMOVE BARRIERS TO EMPLOYMENT.TO ENSURE THE INITIATIVE IS BROAD-REACHING AND COMPREHENSIVE, ADVOCATE HAS ESTABLISHED STRATEGIC ALLIANCES WITH THE CITY COLLEGES OF CHICAGO, PRAIRIE STATE COLLEGE, CHICAGO STATE UNIVERSITY, UNIVERSITY OF CHICAGO (URBAN LABS) AND OTHER COMMUNITY-BASED ORGANIZATIONS, SUCH AS PHALANX FAMILY SERVICES, JEWISH VOCATION SERVICES, INSTITUTO DEL PROGRESO LATINO, POLISH AMERICAN ASSOCIATION, NATIONAL LATINO EDUCATION INSTITUTE, KINZIE INDUSTRIAL DEVELOPMENT CORPORATION AND CHICAGO CENTER FOR ARTS AND TECHNOLOGY, TO RECRUIT, TRAIN AND SUPPORT POTENTIAL CANDIDATES. AFTER SUCCESSFUL COMPLETION OF THE TRAINING AND LICENSING EXAM, ALL PARTICIPANTS ARE GUARANTEED AN INTERVIEW WITH ADVOCATE AND RECEIVE JOB PLACEMENT ASSISTANCE. SINCE INCEPTION, THE INITIATIVE HAS TRAINED MORE THAN 800 PARTICIPANTS AND HAS OVER AN 80% GRADUATION RATE. NEARLY 300 GRADUATES FROM THE INITIATIVE ARE NOW EMPLOYED IN THE HEALTH CARE INDUSTRY WITH ABOUT 162 STILL ENROLLED PENDING NEW EMPLOYMENT OPPORTUNITIES. OF THOSE EMPLOYED, 98% HAVE MAINTAINED EMPLOYMENT FOR AT LEAST 90 DAYS. ADVOCATE HAS ALSO LAUNCHED AN INCUMBENT WORKER STRATEGY FOR FRONTLINE TEAM MEMBERS, THE NAVIGATE PROGRAM. NAVIGATE AIMS TO CREATE A MORE INCLUSIVE WORKFORCE, ONE THAT PROVIDES TEAM MEMBERS WITH OPPORTUNITIES TO DEVELOP NEW SKILLS, DETERMINE A CAREER PATHWAY AND CONNECT WITH TOOLS AND RESOURCES. ADVOCATE IS INVESTED IN TEAM MEMBERS' SUCCESS THROUGH LEVERAGING THESE TYPES OF PROGRAMS TO ENSURE ADVOCATE IS A GREAT PLACE FOR TEAM MEMBERS WORK, PATIENTS TO HEAL AND PHYSICIANS TO PRACTICE. THE PROGRAM WAS INITIATED AT ADVOCATE TRINITY IN 2016 AND AS OF YEAR-END 2018, HAS EXPANDED TO ADVOCATE ILLINOIS MASONIC, ADVOCATE CHRIST AND ADVOCATE MEDICAL GROUP, WITH PLANS TO ACTIVATE AT ADVOCATE SOUTH SUBURBAN IN 2019. THE PROGRAM HAS ENROLLED AND SUPPORTED 182 INCUMBENT WORKERS, GUIDED MORE THAN 100 TO IDENTIFY A CAREER PATHWAY AND HAS NEARLY AN 80% GRADUATION RATE. OF THOSE THAT HAVE MOVED INTO AN ADVANCED CAREER PATHWAY, THE AVERAGE WAGE INCREASE IS 24%. VOLUNTEERS FROM THE COMMUNITY. ANOTHER ASPECT OF COMMUNITY ENGAGEMENT IS PROVIDING COMMUNITY MEMBERS WITH AN OPPORTUNITY TO DONATE THEIR TIME SERVING THROUGH A MYRIAD OF VOLUNTEER SERVICE OPPORTUNITIES. EACH YEAR, VOLUNTEERS FROM THE COMMUNITY SHARE THEIR TIME AND TALENTS THROUGH SERVICE AT ADVOCATE'S HOSPITALS, ADVOCATE MEDICAL GROUP AND ADVOCATE AT HOME, AND IN THEIR OWN WAY, FURTHER ADVOCATE'S COMMITMENT TO PROVIDING EXCELLENT HEALTH CARE. IN 2018, ADVOCATE STAFF MANAGED 5,018 ACTIVE COMMUNITY VOLUNTEERS THAT ENGAGED PATIENTS, FAMILIES AND STAFF IN A VARIETY OF ACTIVITIES, SOME OF WHICH WERE: PROVIDING INFORMATION DESK SERVICES TO VISITORS; CLERICAL SUPPORT TO STAFF; SERVING CUSTOMERS IN HOSPITAL GIFT AND RESALE SHOPS; OFFERING COMPASSIONATE CONCERN TO PATIENTS AND THEIR LOVED ONES IN MULTIPLE HOSPITAL AREAS SUCH AS THE EMERGENCY DEPARTMENT, INTENSIVE CARE UNIT,
PART VI, LINE 6: 6. AFFILIATED HEALTH CARE SYSTEM- CONTINUEDSURGERY WAITING ROOM, POST-ANESTHESIA CARE AND NURSERY INTENSIVE CARE UNITS; ASSISTING WITH COMMUNITY HEALTH SCREENINGS AND BLOOD DRIVE EVENTS; PROVIDING CHEERFUL SERVICE TO PATIENTS BY DELIVERING FLOWERS, MAIL AND NEWSPAPERS; AND PROVIDING SUPPORT SERVICES IN THE HOSPITAL THAT HAVE LIBRARIES AND/OR WELLNESS CENTERS. ADVOCATE TEAM MEMBERS VOLUNTEERING IN THE COMMUNITY. ADVOCATE'S SYSTEM LEADERSHIP ALSO ENCOURAGES AND PROVIDES OPPORTUNITIES FOR TEAM MEMBERS AND PHYSICIANS TO DONATE TO, VOLUNTEER AT AND HELP RAISE FUNDS FOR COMMUNITY INITIATIVES. IN 2018, ADVOCATE PROMOTED AND SUPPORTED ASSOCIATE, PHYSICIAN AND HOSPITAL PARTICIPATION IN WALKS, RUNS AND RACES, INCLUDING DEVELOPING OFFICIAL ADVOCATE TEAMS FOR THE AMERICAN HEART ASSOCIATION (HEAR WALK), AMERICAN CANCER SOCIETY (MAKING STRIDES AGAINST BREAST CANCER EVENTS AND HEAD FOR THE CURE 5K), ALZHEIMER'S ASSOCIATION (WALK TO END ALZHEIMER'S) AND MARCH OF DIMES (MARCH FOR BABIES). IN 2018, 5,583 ADVOCATE TEAM MEMBERS WALKED IN THESE FUNDRAISERS AND $633,792 IN CHARITABLE CONTRIBUTIONS WAS RAISED TO SUPPORT THESE NONPROFIT PARTNER ORGANIZATIONS THROUGH SUCH EFFORTS. ADVOCATE ALSO HAD THE HONOR OF BEING DESIGNATED THE #1 HEART WALK FUNDRAISING HEALTH CARE COMPANY IN THE NATION BY THE AMERICAN HEART ASSOCIATION IN 2018. IN ADDITION, ADVOCATE'S TEAM MEMBERS AND PHYSICIANS GENEROUSLY SUPPORT MULTIPLE LOCAL COMMUNITY ORGANIZATIONS, PROGRAMS AND INITIATIVES, INCLUDING SOME OF ADVOCATE'S OWN SYSTEM-WIDE AND HOSPITAL-BASED COMMUNITY HEALTH PROGRAMS. IN 2018, ADVOCATE TEAM MEMBERS CONTRIBUTED MORE THAN $2.1 MILLION THROUGH THE ADVOCATE AURORA GIVING CAMPAIGN. IN ADDITION, SYSTEM LEVEL LEADERS ARE SUPPORTIVE OF TEAM MEMBERS VOLUNTEERING DURING WORKTIME ON NONPROFIT COMMUNITY BOARDS, COMMITTEES, COUNCILS, TASK FORCES AND COALITIONS, USING THEIR TALENTS TO SUPPORT A VARIETY OF COMMUNITY-BASED ORGANIZATIONS. GOAL F: PROMOTE ACCOUNTABILITY FOR SYSTEM AND SITE ALIGNMENT BY INCREASING PROGRAM COORDINATION AND DEVELOPING STRONG GOVERNANCE RELATIONSHIPS.KEY TO DEVELOPING STRONG GOVERNANCE RELATIONSHIPS WAS ESTABLISHING SYSTEM BOARD ENGAGEMENT IN SUPPORT OF ADVOCATE'S COMMUNITY HEALTH VISION. AS THE FUNCTION ACCOUNTABLE FOR ADVOCATE'S SYSTEM-WIDE CHNA PROCESS AND BOTH CHNA AND STATE COMMUNITY BENEFITS REGULATORY REPORTING IN ILLINOIS, THE COMMUNITY HEALTH DEPARTMENT PROVIDES PROGRESS UPDATES AT LEAST ANNUALLY TO HOSPITAL AND SYSTEM LEADERSHIP. WHEREAS PRIOR TO THE APRIL 2018MERGER, THE MISSION AND SPIRITUAL CARE COMMITTEE OF THE BOARD OF DIRECTORS WAS RESPONSIBLE FOR THE ADOPTION OF COMMUNITY HEALTH STRATEGY, POST-MERGER THE ADVOCATE HEALTH CARE NETWORK BOARD IS NOW CHARGED WITH THIS RESPONSIBILITY. AS INDICATED EARLIER, ADVOCATE HEALTH CARE ESTABLISHED A COMMUNITY HEALTH DEPARTMENT IN LATE 2015 AND THE DEPARTMENT WAS FULLY STAFFED AND OPERATING BY JANUARY 2016. THE DEPARTMENT'S FIRST ORDER OF BUSINESS WAS TO DEVELOP A MISSION, VALUES AND VISION (MVV) TO GUIDE ITS ACTIONS. THE DEPARTMENT'S MISSION IS "TO TRANSFORM THE HEALTH AND WELL-BEING OF THE COMMUNITIES WE SERVE BY PROMOTING PREVENTION AND ENSURING HEALTH EQUITY, THROUGH COLLABORATIVE PARTNERSHIPS AND EVIDENCE-BASED PRACTICES." THE DEPARTMENT'S VALUES ENCOMPASS BEING "ACCOUNTABLE, COLLABORATIVE, EQUITABLE, INCLUSIVE, RESILIENT, SUSTAINABLE, TRANSFORMATIVE AND TRANSPARENT." THROUGH THESE ATTRIBUTES, THE VISION - "TO WORK COLLABORATIVELY TO TRANSFORM OUR ENVIRONMENT INTO COMMUNITIES WHERE HEALTH SERVICES ARE ACCESSIBLE AND INTEGRATED; PEOPLE ARE SUPPORTED; HEALTH EQUITY IS ACHIEVED AND RESULTS ARE MEASURABLE" - WILL BE ACHIEVED. DURING 2016 AND TO SUPPORT ADVOCATE HOSPITALS' PLANS TO IMPLEMENT PROGRAM STRATEGIES AS OUTLINED IN THEIR CHNA REPORTS DURING 2017, SITE-SPECIFIC COMMUNITY HEALTH DEPARTMENT BUDGETS WERE PUT IN PLACE AT ALL ADVOCATE HOSPITALS BY THE SYSTEM VICE PRESIDENT OF COMMUNITY HEALTH AND FAITH OUTREACH. HOSPITAL COMMUNITY HEALTH BUDGETS, INCLUDING ONGOING PROGRAM IMPLEMENTATION COSTS, STAFF SALARIES, ANNUAL CONTRACTED DATA ACCESS COSTS TO THE CONDUENT-HEALTHY COMMUNITIES INSTITUTE'S CHNA TOOL, FEE TO PARTICIPATE IN THE ALLIANCE FOR HEALTH EQUITY (AHFE) AND FOR ANNUAL SUPPORT FOR AND USE OF THE LYON SOFTWARE CBISA (COMMUNITY BENEFITS INVENTORY OF SOCIAL RESPONSIBILITY) REPORTING TOOL WERE INCLUDED IN THE 2017 AND 2018 BUDGET CYCLE IN PREPARATION FOR YEAR 2019. SYSTEM LEVEL MONITORING OF BUDGETS SUPPORTS APPROPRIATE FUNDING TO SUSTAIN EXISTING AND IMPLEMENT NEW PROGRAMS THAT TARGET SELECTED COMMUNITY HEALTH PRIORITIES. HOSPITAL GOVERNING COUNCILS. ALSO KEY TO PROMOTING ACCOUNTABILITY FOR COMMUNITY HEALTH THROUGHOUT ADVOCATE WAS A SYSTEM LEVEL IMPLEMENTED PROCESS FOR ESTABLISHING HOSPITAL-BASED GOVERNANCE OVERSIGHT FOR EACH HOSPITAL'S CHNA PROCESS, INCLUDING REVIEW AND APPROVAL OF THE HOSPITAL CHNA REPORT AND HIGH LEVEL STRATEGIES TO ADDRESS KEY SELECTED NEEDS THAT RESULTED FROM THE PRIORITY-SETTING PROCESS. TO THAT END, THE SYSTEM EXPANDED THE ROLE OF THE HOSPITAL GOVERNING COUNCILS TO INCLUDE OVERSIGHT OF THE CHNA PROCESS AND APPROVAL OF THE HOSPITAL CHNA REPORTS AND IMPLEMENTATION STRATEGIES. THIS HAS RESULTED IN COMMUNITY HEALTH BEING STRONGLY INTEGRATED INTO ADVOCATE GOVERNANCE STRUCTURES. COMMUNITY HEALTH COUNCILS COMPRISED OF COMMUNITY EXPERTS AND HOSPITAL LEADERS HAVE BEEN DEVELOPED AT EACH HOSPITAL. THESE COUNCILS ARE CO-LED BY THE HOSPITAL COMMUNITY HEALTH LEADER AND A HOSPITAL GOVERNING COUNCIL MEMBER. A MINIMUM OF 50% OF THE COUNCIL MEMBERS FOR THE 2016 CHNA REPORT CYCLE WERE COMMUNITY REPRESENTATIVES WITH A FOCUS ON PEOPLE WHO REPRESENTED UNDERSERVED AND VULNERABLE POPULATIONS. THE COUNCILS MET AT LEAST FOUR TIMES DURING THE YEAR. HOSPITAL COMMUNITY HEALTH STAFF ANALYZED AND PRESENTED PRIMARY AND SECONDARY COMMUNITY HEALTH DATA TO THE HOSPITALS' COMMUNITY HEALTH COUNCILS. THE COUNCIL MEMBERS IDENTIFIED THE HOSPITAL SERVICE AREAS' SIGNIFICANT HEALTH NEEDS, SUBSEQUENTLY EMPLOYING A CONSENSUS BASED PRIORITY-SETTING PROCESS TO DETERMINE THE NEEDS UPON WHICH TO FOCUS. AS PART OF THE PRIORITIZATION PROCESS, THE COUNCILS SCANNED HOSPITAL AND COMMUNITY CHALLENGES AND ASSETS, AS WELL AS POTENTIAL PARTNERSHIPS WITH OTHER ORGANIZATIONS THAT MIGHT RESULT IN A LARGER HEALTH IMPROVEMENT IMPACT.CHNA DATA ASSESSMENT RESULTS AND RECOMMENDATIONS FOR HEALTH IMPROVEMENT PRIORITIES WERE PRESENTED TO THE FULL HOSPITAL GOVERNING COUNCILS FOR ENDORSEMENT. ONCE THE HEALTH IMPROVEMENT PRIORITIES AND STRATEGIES WERE APPROVED BY THE HOSPITAL GOVERNING COUNCILS, THE RESULTS WERE PRESENTED TO THE MISSION AND SPIRITUAL CARE COMMITTEE OF THE ADVOCATE HEALTH CARE BOARD OF DIRECTORS, CHARGED WITH SYSTEM OVERSIGHT OF COMMUNITY HEALTH PLANNING AT THAT TIME, FOR FINAL APPROVAL. AS INDICATED EARLIER, AS A RESULT OF THE MERGER, THIS RESPONSIBILITY MOVED TO THE ADVOCATE HEALTH CARE NETWORK BOARD IN 2018. SERVICE LINE AND POPULATION HEALTH ENGAGEMENT. TO SUPPORT FURTHER ALIGNMENT WITHIN ADVOCATE, THE SYSTEM COMMUNITY HEALTH DEPARTMENT HAS ALSO WORKED TO ENGAGE SYSTEM DEFINED CLINICAL SERVICE LINES IN EXPANDING THEIR FOCUS ON COMMUNITY HEALTH. ADVOCATE IS VIEWED AS A LEADER IN THE POPULATION HEALTH MANAGEMENT ARENA. AN EARLY ADOPTER OF MANAGING CARE ACROSS POPULATIONS, ADVOCATE HAS SIGNIFICANT SUCCESS IMPROVING HEALTH OUTCOMES WHILE DECREASING OR MAINTAINING COST OF CARE DELIVERY. ADVOCATE'S COMMUNITY HEALTH DEPARTMENT HAS INTENTIONALLY ALIGNED WITH ADVOCATE POPULATION HEALTH LEADERS AND ADVOCATE SERVICE LINES. THIS ALIGNMENT ASSURES THAT MEMBERS OF THE COMMUNITIES ADVOCATE SERVES AND OUR PATIENTS RECEIVE COMMUNITY-BASED INTERVENTIONS, AS WELL AS EDUCATION AND PROGRAMMING THAT ALIGNS WITH THEIR HEALTH NEEDS. THE FOLLOWING ARE EXAMPLES OF EDUCATION AND PROGRAMMING ALIGNED WITH POPULATION HEALTH AND SERVICE LINE DEVELOPMENT THAT REFLECT THIS INTEGRATED APPROACH. BEHAVIORAL HEALTH. BEHAVIORAL HEALTH COUNCIL INTEGRATION STRATEGIES HAVE INCLUDED COMMUNITY HEALTH STAFF OFFERING MENTAL HEALTH FIRST AID TO TARGETED COMMUNITY MEMBERS FOR THE PURPOSE OF REDUCING STIGMA, AND TRAINING COMMUNITY MEMBERS TO RECOGNIZE MENTAL HEALTH ISSUES AND UNDERSTAND APPROPRIATE INTERVENTIONS. IN 2018, OVER 1,047 COMMUNITY MEMBERS WERE TRAINED IN THE EIGHT-HOUR EVIDENCE-BASED PROGRAM. ADDITIONALLY, ALL HOSPITALS PARTICIPATE IN LOCAL BEHAVIORAL HEALTH AND SUBSTANCE ABUSE COLLABORATIVES.ADVOCATE PHYSICIAN PARTNERS (APP). ADVOCATE POPULATION HEALTH LEADERS AND ADVOCATE COMMUNITY HEALTH LEADERS ARE PARTNERING TO DEVELOP NEW APPROACHES TO PATIENT SCREENING AND RESOURCING FOR SOCIAL DETERMINANTS OF HEALTH. GOAL G: PROMOTE THE TRAINING OF FUTURE HEALTH PROFESSIONALS. TO FURTHER THE TRADITION OF PROVIDING MEDICAL EDUCATION TO UNDERGRADUATE AND GRADUATE MEDICAL STUDENTS AND NURSING STUDENTS, ADVOCATE'S SYSTEM LEVEL CLINICAL EDUCATION DEPARTMENT HAS DEVELOPED LONG-TERM ACADEMIC AFFILIATIONS WITH ALL MAJOR UNIVERSITIES IN THE CHICAGO METROPOLITAN AREA FOR THE
PART VI, LINE 6: 6. AFFILIATED HEALTH CARE SYSTEM- CONTINUEDEDUCATION AND TRAINING OF STUDENTS IN UNDERGRADUATE MEDICAL EDUCATION (UME), GRADUATE MEDICAL EDUCATION (GME), NURSING UNDERGRADUATE AND GRADUATE EDUCATION, AND IN NUMEROUS OTHER ALLIED HEALTH PROFESSIONAL FIELDS. ADVOCATE MEDICAL EDUCATION DEPARTMENT'S MISSION IS TO TRAIN THE NEXT GENERATION OF PHYSICIANS THROUGH UNDERGRADUATE (UME) AND GRADUATE MEDICAL EDUCATION (GME), AND TO CONTINUE THE DEVELOPMENT OF ADVOCATE PHYSICIANS THROUGH CONTINUING MEDICAL EDUCATION (CME). AS ONE OF THE LARGEST PROVIDERS OF PRIMARY MEDICAL EDUCATION IN ILLINOIS, THERE WERE 2,270 MEDICAL STUDENT ROTATIONS COMPLETED AND 580 RESIDENTS AND FELLOWS WHO RECEIVED HANDS-ON TRAINING IN 2018 AT ADVOCATE'S FOUR ACADEMIC MEDICAL CENTERS, INCLUDING ADVOCATE BROMENN, ADVOCATE CHRIST, ADVOCATE ILLINOIS MASONIC AND ADVOCATE LUTHERAN GENERAL. POST-GRADUATE MEDICAL EDUCATION (CME). ADVOCATE HEALTH CARE IS ACCREDITED BY ACCREDITATION COUNCIL FOR CONTINUING MEDICAL EDUCATION (ACCME) TO PROVIDE CONTINUING MEDICAL EDUCATION (CME) FOR PHYSICIANS. ADVOCATE'S CME PROGRAM PROVIDES PROFESSIONAL DEVELOPMENT THROUGH YEAR-ROUND SCHEDULING AND PLANNING OF ACCREDITED COURSES, SEMINARS AND MEETINGS FOR ADVOCATE AND NON-ADVOCATE PHYSICIANS AND HEALTH CARE PROFESSIONALS IN THE REGION. ADVOCATE'S MEDICAL STAFF SHARE THEIR EXPERTISE THROUGH GRAND ROUNDS, MORTALITY AND MORBIDITY CONFERENCES, AND JOURNAL CLUBS-AS WELL AS SINGLE ACTIVITIES ADDRESSING A VARIETY OF CLINICAL AND RESEARCH TOPICS. IN 2018, ADVOCATE HOSTED 2,879 CME EVENTS TOTALING 3,942 CME CREDIT HOURS TO 54,277 PARTICIPANTS-OF WHICH 41,642 WERE PHYSICIANS. THIS IS A SIGNIFICANT INCREASE AS COMPARED TO THE 2,581 EVENTS, 2513 CREDIT HOURS AND 48,592 PARTICIPANTS (PHYSICIAN AND NON-PHYSICIAN) IN 2017.NURSING EDUCATION. UNDERGRADUATE AND GRADUATE (APN/NP/MANAGEMENT) NURSING EDUCATION OCCURS AT TEN ADVOCATE HOSPITALS AND AT MANY ADVOCATE MEDICAL GROUP SITES. NOTABLY, EIGHT ADVOCATE HOSPITALS HAVE EARNED MAGNET RECOGNITION FROM THE AMERICAN NURSE CREDENTIALING CENTER (ANCC), INCLUDING ADVOCATE BROMENN, ADVOCATE CHRIST, ADVOCATE CONDELL, ADVOCATE GOOD SAMARITAN, ADVOCATE GOOD SHEPHERD, ADVOCATE ILLINOIS MASONIC, ADVOCATE LUTHERAN GENERAL AND ADVOCATE SHERMAN. MAGNET STATUS REPRESENTS HOSPITAL-WIDE TEAMWORK AND DEDICATION TO CREATING A POSITIVE ENVIRONMENT, WHICH HELPS ATTRACT THE BEST PHYSICIANS AND NURSES, RESULTING IN BETTER OVERALL PATIENT CARE. EMERGENCY MEDICAL TECHNICIAN (EMT) EDUCATION. ADVOCATE ALSO TAKES A LEADERSHIP ROLE IN THE TRAINING OF EMTS TO TAKE THEIR PLACE IN PROVIDING CARE IN THE COMMUNITY. A MAJORITY OF ADVOCATE'S HOSPITALS PROVIDE EMT EDUCATION FROM BASIC THROUGH PARAMEDIC LEVEL. IN FACT, SEVERAL ADVOCATE HOSPITALS SERVE AS THE LEAD HOSPITAL IN THEIR COUNTIES/SERVICE AREAS, PROVIDING EDUCATION, STANDARDIZATION OF PROTOCOLS OF CARE AMONG ALL HOSPITALS (NON-ADVOCATE INCLUDED) AND EMS RESPONDERS, AND DIRECTION OF COUNTY-WIDE EMERGENCY MEDICAL SERVICES IN RESPONSE TO COMMUNITY-BASED, MASS INJURY/CASUALTY DISASTERS. ALLIED HEALTH EDUCATION. ADVOCATE IS COMMITTED TO TEACHING STUDENTS IN A BROAD RANGE OF SPECIALTIES. THESE STUDENTS COME FROM LOCAL UNIVERSITIES AND COLLEGES WITH WHOM ADVOCATE HAS CONTRACTED TO PROVIDE THESE SERVICES. STUDENTS ARE PROVIDED A CLINICAL ENVIRONMENT IN WHICH TO LEARN IN OVER TWENTY HEALTH CARE DISCIPLINES/FIELDS, INCLUDING, BUT NOT LIMITED TO: PHARMACEUTICAL; CARDIO DIAGNOSTICS; CARDIAC REHABILITATION; RADIOLOGY, NUCLEAR MEDICINE, MRI AND X-RAY; RADIATION THERAPY; EXERCISE PHYSIOLOGY; PHYSICAL, OCCUPATIONAL, SPEECH AND RECREATIONAL THERAPY; PSYCHIATRY; BEHAVIORAL HEALTH; RESPIRATORY; AUDIOLOGY; PATHOLOGY; PODIATRY; PHLEBOTOMY; NUTRITION/DIETARY; AND DENTISTRY (DENTISTRY IS ONLY AVAILABLE THROUGH ADVOCATE ILLINOIS MASONIC). CLINICAL PASTORAL EDUCATION. ADVOCATE'S SPIRITUAL LEADERS OVERSEE A NATIONALLY ACCREDITED CLINICAL PASTORAL EDUCATION (CPE) PROGRAM WITH OVERSIGHT BY THE SYSTEM DIRECTOR OF CLINICAL PASTORAL EDUCATION. SUPERVISING OVER 200 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. OTHER EDUCATION. MULTIPLE ADVOCATE SYSTEM AND HOSPITAL DEPARTMENTS ALSO PROVIDE LEARNING ENVIRONMENTS FOR UNDERGRADUATE AND GRADUATE STUDENTS IN PUBLIC HEALTH, HEALTH ADMINISTRATION AND HEALTH INFORMATION MANAGEMENT. IN ADDITION, SEVERAL ADVOCATE HOSPITALS PROVIDE EXPERIENTIAL LEARNING TO AREA HIGH SCHOOL STUDENTS THAT ARE ON AN EDUCATIONAL TRACK TO A HEALTH CARE CAREER. THESE STUDENTS RECEIVE CREDIT TOWARDS GRADUATION IN ADDITION TO HELPING THEM DECIDE WHICH AREA OF HEALTH CARE THEY WISH TO PURSUE. FOR EXAMPLE, IN ORDER TO GIVE CHICAGO SOUTHSIDE STUDENTS BETTER JOB OPPORTUNITIES, ADVOCATE TRINITY WORKS WITH STUDENTS FROM CHICAGO VOCATIONAL CAREER ACADEMY, AND SOUTH SHORE AND JULIAN HIGH SCHOOLS, ROTATING STUDENTS IN THE HOSPITAL'S UNITS TO LEARN MARKETABLE JOB SKILLS. CONCLUSIONADVOCATE'S LEADERSHIP RECOGNIZES THAT COMMUNITY HEALTH AND COMMUNITY BENEFIT ARE BY DESIGN AN ELEMENT WITHIN ITS STRUCTURE AND ITS STRATEGIC DIRECTION. ADVOCATE HEALTH CARE, THEREFORE, IS COMMITTED TO CONTINUING ITS SUPPORT OF SYSTEM AND SITE PROGRAMS AND ACTIVITIES THAT SUPPORT ADVOCATE'S MISSION TO SERVE THE HEALTH NEEDS OF INDIVIDUALS, FAMILIES AND COMMUNITIES THROUGH A WHOLISTIC PHILOSOPHY ROOTED IN THE FUNDAMENTAL UNDERSTANDING OF HUMAN BEINGS AS CREATED IN THE IMAGE OF GOD.
PART VI, LINE 7, REPORTS FILED WITH STATES IL
ADVOCATE CHRIST MEDICAL CENTER: PART VI, LINE 2 ADVOCATE CHILDREN'S WORKED CLOSELY WITH LOCAL PARTNER SCHOOL DISTRICTS, SCHOOL NURSES, THE HOSPITAL'S FAMILY ADVISORY COUNCIL, THE PARTNERSHIP FOR RESILIENCE, HEALTHY SCHOOLS CAMPAIGN AND THE CHICAGO PUBLIC SCHOOL'S OFFICE OF STUDENT WELLNESS TO IDENTIFY HEALTH ISSUES AFFECTING CHILDREN.
ADVOCATE CHRIST MEDICAL CENTER: PART VI, LINE 4 LOCATED IN OAK LAWN, ILLINOIS, ADVOCATE CHRIST SERVES AN AREA THAT LIES PRIMARILY WITHIN COOK COUNTY AND THE CHICAGO CITY LIMITS. IN ADDITION TO PARTICIPATING IN THE HEALTH IMPACT COLLABORATIVE OF COOK COUNTY SOUTH REGION CHNA, ADVOCATE CHRIST CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT TARGETING ITS DEFINED COMMUNITY-THE HOSPITAL'S PRIMARY SERVICE AREA (PSA). THIS AREA INCLUDES APPROXIMATELY 924,370 INDIVIDUALS WITHIN 27 ZIP CODES IN CHICAGO AND SUBURBAN COOK COUNTY. THE DIVERSE POPULATION SERVED IS 58 PERCENT WHITE, 23 PERCENT AFRICAN-AMERICAN, 2 PERCENT ASIAN AND 17 PERCENT OTHER. BY ETHNICITY, THE PSA IS 31 PERCENT HISPANIC. NEARLY 7.5 PERCENT OF THE PSA POPULATION OVER THE AGE OF 25 DOES NOT HAVE A HIGH SCHOOL DIPLOMA AS COMPARED TO 6.26 PERCENT FOR ILLINOIS, WHILE ALMOST 11 PERCENT OF ALL FAMILIES LIVE BELOW THE FEDERAL POVERTY LEVEL COMPARED TO 10 PERCENT FOR ILLINOIS. THE MEDIAN AGE FOR THE PSA IS 37.87 YEARS. ADVOCATE CHRIST HAS FOUR ZIP CODES IN ITS PRIMARY SERVICE AREA WITH A RANKING OF FIVE FOR THE SOCIONEEDS INDEX-ALL WITHIN CHICAGO--WHICH REPRESENT THE AREAS WITH THE HIGHEST SOCIOECONOMIC NEEDS: WEST ENGLEWOOD (99.2), BRIGHTON PARK (96.5), CHICAGO LAWN (96.1), AND AUBURN GRESHAM (93.7). INDEX VALUES FOR EACH OF THESE ZIP CODES ARE OVER 90/100, THUS REPRESENTING SOME OF THE HIGHEST AREAS OF NEED IN THE COUNTRY.ADVOCATE CHILDREN'S, WHICH IS INTEGRATED AS PART OF ADVOCATE CHRIST HOSPITAL IN OAK LAWN, HAS A TOTAL SERVICE AREA (TSA) THAT INCLUDES COMMUNITIES SERVED BY ADVOCATE CHRIST, AS WELL AS GEOGRAPHIC AREAS OR COMMUNITIES SERVED BY OTHER ADVOCATE HOSPITALS, INCLUDING ADVOCATE TRINITY ON CHICAGO'S SOUTH AND SOUTHEAST SIDES, ADVOCATE SOUTH SUBURBAN IN CHICAGO'S SOUTH SUBURBS, AND ADVOCATE GOOD SAMARITAN IN THE WEST AND SOUTHWEST SUBURBAN CHICAGO AREA. THE TOTAL PEDIATRIC POPULATION, AGES 0-17 YEARS, WITHIN THE ADVOCATE CHILDREN'S-OAK LAWN TSA IS 561,905 CHILDREN IN 77 COMMUNITIES OR 24 PERCENT OF THE TOTAL POPULATION WITHIN THE SAME AREA. THE HOSPITAL'S DIVERSE SERVICE AREA IS 37 PERCENT BLACK/NON-HISPANIC, 34 PERCENT WHITE/NON-HISPANIC AND 25 PERCENT HISPANIC. WITHIN THE TSA, 61 PERCENT OF ADVOCATE CHILDREN'S PATIENTS (CHILDREN AGES 0-17) RECEIVE MEDICAID, 38 PERCENT ARE COVERED BY MANAGED CARE HEALTH INSURANCE AND 1.4 PERCENT HAVE OTHER PAYMENT PLANS. HOUSEHOLD INCOME STATISTICS SHOW THAT 23 PERCENT OF HOUSEHOLDS IN THE TSA EARN LESS THAN $25,000/YEAR AND 45 PERCENT HAVE A HIGH SCHOOL EDUCATION OR LESS. THERE ARE 20 HOSPITALS PROVIDING PEDIATRIC MEDICAL SERVICES IN ADVOCATE CHILDREN'S SERVICE AREA. IN ADDITION TO ADVOCATE, THERE IS ALSO ADVENTIST BOLINGBROOK HOSPITAL, ADVOCATE SOUTH SUBURBAN HOSPITAL, FRANCISCAN ST. JAMES HEALTH - CHICAGO HEIGHTS AND OLYMPIA FIELDS, HOLY CROSS HOSPITAL, INGALLS MEMORIAL HOSPITAL, JACKSON PARK HOSPITAL, LARABIDA CHILDREN'S HOSPITAL, LITTLE COMPANY OF MARY HOSPITAL, MERCY HOSPITAL AND MEDICAL CENTER, METROSOUTH MEDICAL CENTER, PALOS COMMUNITY HOSPITAL, PRESENCE ST. JOSEPH MEDICAL CENTER, ROSELAND COMMUNITY HOSPITAL, SILVER CROSS HOSPITAL, SOUTH SHORE HOSPITAL, ST. ANTHONY HOSPITAL, ST. BERNARD HOSPITAL AND UNIVERSITY OF CHICAGO MEDICAL CENTER.HIGH RISK AREAS AND COMMUNITIES OF HIGH NEED WERE FURTHER DETERMINED BY USE OF THE SOCIAL VULNERABILITY INDEX, WHICH IS AN AGGREGATE MEASURE OF THE CAPACITY OF COMMUNITIES TO PREPARE FOR AND RESPOND TO EXTERNAL STRESSORS ON HUMAN HEALTH, SUCH AS NATURAL OR HUMAN-CAUSED DISASTERS, OR DISEASE OUTBREAKS. THE SOCIAL VULNERABILITY INDEX RANKS EACH CENSUS TRACT ON 14 SOCIAL FACTORS, INCLUDING POVERTY, LACK OF VEHICLE ACCESS AND CROWDED HOUSING. COMMUNITIES WITH HIGH SOCIAL VULNERABILITY INDEX SCORES HAVE LESS CAPACITY TO DEAL WITH OR PREPARE FOR EXTERNAL STRESSORS AND, AS A RESULT, ARE MORE VULNERABLE TO THREATS ON HUMAN HEALTH. MANY COMMUNITIES IN ADVOCATE CHILDREN'S TSA RANK HIGH IN SOCIAL VULNERABILITY WHICH CAN HAVE A NEGATIVE IMPACT ON CHILDREN'S HEALTH. SUCH COMMUNITIES INCLUDE BLUE ISLAND, CALUMET PARK, DIXMOOR, FORD HEIGHTS AND HARVEY IN THE SOUTH SUBURBS, ALONG WITH THE CHICAGO LAWN, ENGLEWOOD AND GAGE PARK NEIGHBORHOODS IN CHICAGO.ANOTHER MEASURE IN DETERMINING NEED WAS THE CHILDHOOD OPPORTUNITY INDEX WHICH IS BASED ON SEVERAL INDICATORS IN EACH OF THE FOLLOWING CATEGORIES: DEMOGRAPHICS AND DIVERSITY; EARLY CHILDHOOD EDUCATION; RESIDENTIAL AND SCHOOL SEGREGATION; MATERNAL AND CHILD HEALTH; NEIGHBORHOOD CHARACTERISTICS OF CHILDREN; AND CHILD POVERTY. CHILDREN WHO LIVE IN AREAS OF LOW OPPORTUNITY HAVE AN INCREASED RISK FOR A VARIETY OF NEGATIVE HEALTH INDICATORS, SUCH AS PREMATURE MORTALITY, ARE MORE LIKELY TO BE EXPOSED TO SERIOUS PSYCHOLOGICAL DISTRESS AND ARE MORE LIKELY TO HAVE POOR SCHOOL PERFORMANCE. COMMUNITIES IN ADVOCATE CHILDREN'S TSA INCLUDE FORD HEIGHTS, DIXMOOR, DOLTON AND HARVEY IN THE SOUTH SUBURBS, AS WELL AS THE ARCHER HEIGHTS, AUBURN-GRESHAM, BRIGHTON PARK AND CHICAGO LAWN NEIGHBORHOODS IN CHICAGO.
ADVOCATE CHRIST MEDICAL CENTER: PART VI, LINE 5 THE GOVERNING COUNCIL AT ADVOCATE CHRIST IS COMPRISED OF LOCAL COMMUNITY LEADERS AND PHYSICIANS. GOVERNING COUNCIL MEMBERS SUPPORT HOSPITAL LEADERSHIP IN THEIR PURSUIT OF THE HOSPITAL'S GOALS, REPRESENT THE COMMUNITY'S INTEREST TO THE HOSPITAL AND SERVE AS AMBASSADORS IN THE COMMUNITY. SIXTY-EIGHT PERCENT OF THE CURRENT GOVERNING COUNCIL MEMBERS REPRESENT THE COMMUNITY, INCLUDING THE FAITH COMMUNITY. IN ADDITION, THE ORGANIZATION EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY FOR SOME OR ALL OF ITS DEPARTMENTS AND SPECIALTIES.SIGNIFICANT PROGRAMS/INITIATIVES CONTRIBUTING TO A HEALTHIER COMMUNITY IN 2018 INCLUDE:- ADVOCATE CHRIST WAS AWARDED THE THREE-YEAR DNV-GL DISEASE-SPECIFIC CERTIFICATION FOR VENTRICULAR ASSIST DEVICE (VAD) PROGRAM. THE VAD CREDENTIALING SURVEY PROCESS AUDITS AN ORGANIZATION'S VAD PROGRAM IN THE FOLLOWING AREAS: QUALITY MANAGEMENT SYSTEM, PROGRAM MANAGEMENT, STAFFING MANAGEMENT, INFECTION PREVENTION AND CONTROL, AND VAD PROGRAM SERVICE DELIVERY.- ADVOCATE CHRIST'S PULMONARY REHAB PROGRAM AND HIGH-TECH MEDICAL PARK'S CARDIAC REHAB PROGRAM WERE RECERTIFIED BY THE AMERICAN ASSOCIATION OF CARDIOVASCULAR AND PULMONARY REHABILITATION. - ADVOCATE CHRIST ADULT ECHOCARDIOGRAPHY LAB RECEIVED RE-ACCREDITATION IN ADULT TRANSTHORACIC ECHOCARDIOGRAPHY BY THE INTER-SOCIETAL ACCREDITATION COMMISSION (IAC).- ADVOCATE CHRIST WAS THE ONLY MEDICAL ICU IN ILLINOIS TO RECEIVE THE THREE-YEAR SILVER BEACON AWARD FOR EXCELLENCE BY THE AMERICAN ASSOCIATION OF CRITICAL CARE NURSES FOR OPTIMAL OUTCOMES AND EXCEPTIONAL PATIENT CARE IN THE MEDICAL INTENSIVE CARE UNIT.- ADVOCATE CHRIST WAS AWARDED THE PRACTICE GREENHEALTH'S CIRCLE OF EXCELLENCE IN GREEN BUILDING AWARD BECAUSE OF THE DEMONSTRATION OF LEED AND OTHER GREEN BUILDING ACHIEVEMENTS FOR THE PAST FIVE YEARS.- ADVOCATE CHRIST'S STERILE PROCESSING DEPARTMENT WAS RECOGNIZED BY THE HEALTHCARE PURCHASING NEWS AS 2018 STERILE PROCESSING DEPARTMENT OF THE YEAR.- ADVOCATE CHRIST WAS AWARDED THE 2018 MISSION: LIFELINE RECEIVING CENTER GOLD RECOGNITION AWARD BY THE AMERICAN HEART ASSOCIATION FOR ITS CONTINUED SUCCESS IN USING THE MISSION LIFELINE-STEMI PROGRAM.- ADVOCATE CHRIST AND ADVOCATE CHILDREN'S-OAK LAWN RECEIVED A MANAGEMENT SYSTEM CERTIFICATE FROM DNV-GL FOR CONFORMING TO THE QUALITY MANAGEMENT SYSTEM STANDARD: ISO 9001:2015.THE HOSPITAL HAS CREATED, COLLABORATED WITH OR SUPPORTED NUMEROUS ADDITIONAL PROGRAMS NOT INCLUDED IN EARLIER SECTIONS OF SCHEDULE H, SUCH AS:- RONALD MCDONALD HOUSE- ILLINOIS MOBILE HEALTH COALITION- CONTINUING EDUCATION SYMPOSIUM AND WORKSHOPS FOR SCHOOL NURSES- CHILDHOOD INJURY PREVENTION AND CHILD SAFETY SEAT PROGRAM- ADVOCATE CHILDREN'S HEALTH RESOURCE CENTER WHICH PROVIDES RELIABLE HEALTH INFORMATION TO PARENTS AND MATERIALS ON THE MOST COMMON DIAGNOSES/CONDITIONS/TREATMENTS ARE ALSO TRANSLATED INTO SPANISH, POLISH AND ARABIC- LOCAL FOOD PANTRIES
ADVOCATE EUREKA HOSPITAL: PART VI, LINE 4 FOR THE PURPOSES OF THIS ASSESSMENT, "COMMUNITY" IS DEFINED AS WOODFORD COUNTY, ILLINOIS. ADVOCATE EUREKA IS THE ONLY HOSPITAL IN WOODFORD COUNTY, WHICH IS LOCATED IN RURAL CENTRAL ILLINOIS AND THERE ARE NOT ANY FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED AREAS OR POPULATIONS IN THE COUNTY. ALTHOUGH THE HOSPITAL PARTICIPATED IN A TRI-COUNTY COLLABORATIVE EXPLAINED EARLIER IN THE DOCUMENT, FOR THIS COMMUNITY HEALTH NEEDS ASSESSMENT, THE FOCUS OF THIS REPORT WILL BE ON 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. POPULATIONWOODFORD COUNTY CONSISTS OF A TOTAL POPULATION OF 39,334 (HEALTHY COMMUNITIES INSTITUTE (HCI), CLARITAS, 2016). EUREKA HAS THE LARGEST POPULATION IN THE COUNTY WITH 6,861 RESIDENTS. THE POPULATION IN WOODFORD COUNTY INCREASED BY 1.73 PERCENT FROM 2010 TO 2016 (HCI, CLARITAS, 2016).DEMOGRAPHICSAGE AND GENDERTHE MEDIAN AGE IN WOODFORD COUNTY IS 40.0, WHICH IS OLDER THAN THE MEDIAN AGE FOR ILLINOIS AT 37.8 YEARS OF AGE (HCI, CLARITAS, 2016).RACE AND ETHNICITYTHE POPULATION OF WOODFORD COUNTY IS 96.6 PERCENT WHITE, 0.7 PERCENT BLACK OR AFRICAN AMERICAN, .63 PERCENT ASIAN, .25 PERCENT AMERICAN INDIAN AND ALASKA NATIVE, AND .03 PERCENT NATIVE HAWAIIAN OR PACIFIC ISLANDER (HCI, CLARITAS, 2016).HOUSEHOLD/FAMILYTHE AVERAGE HOUSEHOLD SIZE IN WOODFORD COUNTY IS 2.62 WITH 14,636 RESIDENTS LIVING AS A PART OF A HOUSEHOLD. THIRTY-FIVE PERCENT OF PEOPLE IN A HOUSEHOLD ARE UNDER 18 YEARS OF AGE (HCI, CLARITAS, 2016). TWENTY-ONE PERCENT OF THE HOUSEHOLDS IN WOODFORD COUNTY ARE SINGLE PARENT HOUSEHOLDS. ECONOMICSINCOMETHE MEDIAN HOUSEHOLD INCOME IN WOODFORD COUNTY IS $69,760 WHICH IS HIGHER THAN THE ILLINOIS MEDIAN HOUSEHOLD INCOME OF $59,608 (HCI, CLARITAS, 2016). THE PERCENT OF PEOPLE LIVING BELOW THE FEDERAL POVERTY LINE IS 8.1 PERCENT (HCI, AMERICAN COMMUNITY SURVEY, 2010-2014). HEALTH CARE COVERAGEIN WOODFORD COUNTY, THE NUMBER OF INDIVIDUALS WHO RECEIVED MEDICAID COVERAGE INCREASED FROM 2,749 IN FISCAL YEAR 2014 TO 4,838 IN FISCAL YEAR 2015 DUE TO THE AFFORDABLE CARE ACT (ILLINOIS DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES, 2015). IN 2017, 16% PERCENT OF PATIENTS SEEN AT ADVOCATE EUREKA WERE UNINSURED PATIENTS OR MEDICAID RECIPIENTS. EIGHTY-SEVEN PERCENT OF WOODFORD COUNTY SURVEY RESPONDENTS REPORTED HAVING ACCESS TO MEDICAL CARE WHILE 13 PERCENT REPORTED THAT THEY DO NOT HAVE ACCESS TO MEDICAL CARE. FORTY-ONE PERCENT OF THOSE WHO REPORTED THAT THEY DO NOT HAVE ACCESS TO MEDICAL CARE SAID THEY WERE NOT ABLE TO GET MEDICAL CARE BECAUSE THEY COULD NOT AFFORD THE CO-PAY, 26 PERCENT SAID THEY DID NOT HAVE INSURANCE, 26 PERCENT THAT THERE WAS TOO LONG OF A WAIT AND 14 PERCENT SAID THEY DID NOT HAVE A WAY TO GET TO THE DOCTOR. RESPONDENTS WERE INSTRUCTED TO SELECT ALL ANSWERS THAT APPLIED IF THEY REPORTED THAT THEY DID NOT HAVE ACCESS TO MEDICAL CARE (TRI-COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT, 2016).EMPLOYMENTTHE PERCENT OF THE CIVILIAN LABOR FORCE THAT IS UNEMPLOYED IN WOODFORD COUNTY IS 6.9 PERCENT, LOWER THAN ILLINOIS AT 9.9 PERCENT. THE THREE COMMON INDUSTRIES OF EMPLOYMENT ARE MANUFACTURING AT 17.8 PERCENT, HEALTHCARE AT 14.6 PERCENT AND RETAIL TRADE AT 11.5 PERCENT (HCI, CLARITAS, 2016).EDUCATIONEDUCATIONAL LEVELNINETY-FOUR PERCENT OF THE POPULATION OVER THE AGE OF 25 IN WOODFORD COUNTY POSSESSES A HIGH SCHOOL DIPLOMA OR HIGHER AND 28 PERCENT HAVE A BACHELOR'S DEGREE OR HIGHER (HCI, AMERICAN COMMUNITY SURVEY, 2010-2014). EUREKA COLLEGE IS A SMALL LIBERAL ARTS COLLEGE LOCATED IN WOODFORD COUNTY.STUDENT-TO-TEACHER RATIOTHIS INDICATOR SHOWS THE AVERAGE NUMBER OF PUBLIC SCHOOL STUDENTS PER TEACHER IN THE REGION. IT DOES NOT MEASURE CLASS SIZE. ACCORDING TO THE NATIONAL CENTER FOR EDUCATION STATISTICS, LARGER SCHOOLS TEND TO HAVE HIGHER STUDENT-TEACHER RATIOS. THERE ARE 16.8 STUDENTS PER TEACHER IN WOODFORD COUNTY (HCI, NATIONAL CENTER FOR EDUCATION STATISTICS, 2013-2014).HEALTH CARE RESOURCES IN THE DEFINED COMMUNITYNAME OF FACILITY/TYPE OF FACILITYADVOCATE EUREKA - CRITICAL ACCESS HOSPITALWOODFORD COUNTY PUBLIC HEALTH DEPARTMENT - HEALTH CLINICHEART HOUSE/SHELTER - COMMUNITY ORGANIZATION
ADVOCATE EUREKA HOSPITAL: PART VI, LINE 5 ADVOCATE EUREKA'S DEDICATION TO PROMOTING THE HEALTH OF THE COMMUNITY IS EXEMPLIFIED IN NUMEROUS WAYS. THE ADVOCATE BROMENN AND ADVOCATE EUREKA GOVERNING COUNCIL IS COMPRISED OF LOCAL COMMUNITY LEADERS AND PHYSICIANS. GOVERNING COUNCIL MEMBERS SUPPORT HOSPITAL LEADERSHIP IN THEIR PURSUIT OF THE HOSPITAL'S GOALS, REPRESENT THE COMMUNITY'S INTEREST TO THE HOSPITAL AND SERVE AS AMBASSADORS IN THE COMMUNITY. SEVENTY-EIGHT PERCENT OF THE CURRENT GOVERNING COUNCIL MEMBERS REPRESENT THE COMMUNITY. IN ADDITION, THE ORGANIZATION EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY FOR SOME OR ALL OF ITS DEPARTMENTS AND SPECIALTIES.ADVOCATE EUREKA IS A 25-BED FACILITY THAT HAS SERVED AND CARED FOR THE PEOPLE OF WOODFORD COUNTY AND THE SURROUNDING AREA SINCE 1901. ADVOCATE EUREKA 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, THE 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, ADVOCATE EUREKA IS AVAILABLE TO STABILIZE THE CONDITION AND SEAMLESSLY TRANSITION THE PATIENT TO ANOTHER FACILITY. A CHERISHED COMMUNITY INSTITUTION, ADVOCATE EUREKA 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.ANOTHER KEY AREA IN WHICH THE HOSPITAL CONTRIBUTES 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. IN 2018, THE HOSPITAL ALSO PARTICIPATED IN FIRST AID TRAINING AT A 4-H SUMMER CAMP. IN ADDITION TO FILLING A VOID IN THE COUNTY BY SERVING AS A CRITICAL ACCESS HOSPITAL, ADVOCATE EUREKA PROMOTES THE HEALTH OF THE COMMUNITY THROUGH ITS RECYCLING EFFORTS. USED PRINTER CARTRIDGES ARE COLLECTED AND DONATED DIRECTLY TO SPECIAL OLYMPICS. IN ADDITION, THE HOSPITAL DONATES USED MEDICAL EQUIPMENT AND FURNITURE AND HAS MADE IMPROVEMENTS TO REDUCE ENERGY, SOLID AND MEDICAL WASTE USAGE. THE HOSPITAL ALSO SPONSORS COMMUNITY RACES TO PROMOTE HEALTH AWARENESS AND ENGAGES IN FUNDRAISING EFFORTS TO IMPROVE THE HEALTH OF THE COMMUNITY. IN 2018, ADVOCATE EUREKA ALSO EARNED THE PARTNER FOR CHANGE AWARD. THE AWARD IS PRESENTED TO HOSPITALS THAT CONTINUOUSLY IMPROVE WASTE REDUCTION AND RECYCLING PROGRAMS. MEMBERS OF THE HOSPITAL'S EXECUTIVE OR LEADERSHIP TEAM ALSO SERVE ON MULTIPLE COMMUNITY BOARDS THAT WILL HELP EITHER DIRECTLY OR INDIRECTLY IMPROVE THE HEALTH OF THE COMMUNITY, SUCH AS KIWANIS, WOODFORD COUNTY FOOD PANTRY, EUREKA BUSINESS ASSOCIATION AND THE ROTARY CLUB.
ADVOCATE GOOD SHEPHERD HOSPITAL: PART VI, LINE 4 THE COMMUNITY HEALTH COUNCIL DEFINED THE COMMUNITY AS THE TOTAL SERVICE AREA (TSA) OF THE HOSPITAL. THE TSA INCLUDES COMMUNITIES IN MCHENRY COUNTY, LAKE COUNTY AND A SMALL PORTION OF BARRINGTON WHICH LIES IN COOK COUNTY. THE TSA IS DIVIDED BETWEEN THE PRIMARY SERVICE AREA (PSA) AND THE SECONDARY SERVICE AREA (SSA). GENERALLY, SEVENTY-FIVE PERCENT OF ALL PATIENTS SERVED COME FROM THE PSA, AND TWENTY-FIVE PERCENT OF ALL PATIENTS SERVED COME FROM THE SSA. ADVOCATE GOOD SHEPHERD'S 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, 60051), PALATINE (60067), ALGONQUIN (60102), AND LAKE IN THE HILLS (60156). THE HOSPITAL'S SSA CONSISTS OF THE FOLLOWING COMMUNITIES: CRYSTAL LAKE (60012), MUNDELEIN (60060), ROUND LAKE (60073), WOODSTOCK (60098), AND CARPENTERSVILLE (60110). THE HOSPITAL'S TSA POPULATION IS 489,512. THE POPULATION OF THE PSA IS 308,906 AND THE SSA POPULATION IS 180,606. THE GROWTH RATE OF THE PSA IS QUITE SLOW, WITH ONLY A LESS THAN ONE PERCENT GROWTH FROM 2010 TO 2016. THE GROWTH RATE OF THE SSA IS HIGHER, INCREASING TWO PERCENT SINCE 2010. FIFTY PERCENT OF PSA RESIDENTS ARE MALE AND FIFTY PERCENT FEMALE. THE SAME GENDER PERCENTAGES HOLD TRUE FOR THE SSA. THE PSA MEDIAN AGE IS 40.98 AND 35.42 FOR THE SSA. THE POPULATION OF THE PSA IS EIGHTY-EIGHT PERCENT WHITE, ONE PERCENT AFRICAN AMERICAN AND FIVE PERCENT ASIAN. NINETY PERCENT OF RESIDENTS ARE NON-HISPANIC AND TEN PERCENT ARE HISPANIC. THE POPULATION FOR THE SSA IS SEVENTY-TWO PERCENT WHITE, FOUR PERCENT AFRICAN AMERICAN AND SIX PERCENT ASIAN. SIXTY-FIVE PERCENT OF THE POPULATION IS NON-HISPANIC AND THIRTY-FIVE PERCENT IS HISPANIC.THE PSA HAS A HIGH OVERALL SOCIO-ECONOMIC LEVEL WITH A MEDIAN HOUSEHOLD INCOME OF $91,500. IN THE PSA, ONLY FOUR PERCENT OF FAMILIES ARE LIVING BELOW ONE HUNDRED PERCENT OF THE FEDERAL POVERTY LEVEL (FPL), WHICH IS $24,300 FOR A FAMILY OF FOUR. THE COMMUNITIES WITH THE HIGHEST NUMBER OF FAMILIES LIVING BELOW ONE HUNDRED PERCENT OF THE FPL ARE ISLAND LAKE (ZIP CODE 60042) AT SEVEN PERCENT AND MCHENRY (ZIP CODE 60050) AT SIX PERCENT. IN THE PSA, ONE PERCENT OF HOUSEHOLDS ARE RECEIVING PUBLIC ASSISTANCE, SUCH AS TEMPORARY ASSISTANCE TO NEEDY FAMILIES (TANF). THE SSA HAS AN OVERALL LOWER SOCIO-ECONOMIC STATUS. THE MEDIAN HOUSEHOLD INCOME FOR THE SSA IS $70,162. A TOTAL OF TEN PERCENT OF THE FAMILIES IN THE SSA ARE LIVING BELOW ONE HUNDRED PERCENT OF THE FPL. THE SSA COMMUNITIES WITH THE HIGHEST NUMBER OF FAMILIES LIVING BELOW ONE HUNDRED PERCENT OF THE FPL ARE CARPENTERSVILLE (ZIP CODE 60110) AT THIRTEEN PERCENT, ROUND LAKE (ZIP CODE 60073) AT ELEVEN PERCENT AND WOODSTOCK (ZIP CODE 60098) AT TEN PERCENT.THIRTEEN PERCENT OF PSA RESIDENTS AND THIRTEEN PERCENT OF SSA RESIDENTS ARE MEDICARE RECIPIENTS. IN THE PSA, FOUR PERCENT OF THE RESIDENTS AGE 65 AND OVER ARE LIVING BELOW ONE HUNDRED PERCENT OF THE FPL. THE AFFORDABLE CARE ACT HAS HAD A SUBSTANTIAL IMPACT ON THE INSURANCE STATUS FOR LOW-INCOME RESIDENTS. AS OF 2016, THE PSA POPULATION IS THREE PERCENT UNINSURED AND ELEVEN PERCENT HAVE MEDICAID INSURANCE. A TOTAL OF FOUR PERCENT OF THE POPULATION IN THE SSA ARE UNINSURED AND SEVENTEEN PERCENT HAVE MEDICAID. THE COMMUNITIES IN THE TSA WITH THE HIGHEST MEDICAID ENROLLMENT ARE CARPENTERSVILLE (13,158), WOODSTOCK (7,089) AND CRYSTAL LAKE (6,711). THERE ARE SOME COMMUNITIES LOCATED WITHIN THE ADVOCATE GOOD SHEPHERD SSA WHICH ARE ALSO SERVED WITHIN THE ADVOCATE CONDELL PSA. ADDITIONALLY, CENTEGRA HEALTH SYSTEM HAS HOSPITALS LOCATED IN WOODSTOCK, MCHENRY AND HUNTLEY WHICH ALSO SERVE SOME OF THE SAME COMMUNITIES SERVED BY ADVOCATE GOOD SHEPHERD. WITHIN MCHENRY COUNTY, THERE IS ONLY ONE MEDICALLY UNDERSERVED POPULATION (MUP). THE CENSUS TRACTS OF 8702, 8709.02 AND 8715 WITHIN WOODSTOCK ARE DESIGNATED AS A MUP. WITHIN LAKE COUNTY, THERE ARE FIVE MEDICALLY UNDERSERVED AREAS (MUA). CENSUS TRACTS WITHIN NORTH CHICAGO, WAUKEGAN, ZION, HIGHLAND PARK AND HIGHWOOD ARE DESIGNATED MUAS.
ADVOCATE GOOD SHEPHERD HOSPITAL: PART VI, LINE 5 THE GOVERNING COUNCIL AT ADVOCATE GOOD SHEPHERD IS COMPRISED OF LOCAL COMMUNITY LEADERS AND PHYSICIANS. GOVERNING COUNCIL MEMBERS SUPPORT HOSPITAL LEADERSHIP IN THEIR PURSUIT OF THE HOSPITAL'S GOALS, REPRESENT THE COMMUNITY'S INTEREST TO THE HOSPITAL AND SERVE AS AMBASSADORS IN THE COMMUNITY. FIFTY PERCENT OF THE CURRENT GOVERNING COUNCIL MEMBERS REPRESENT THE COMMUNITY, INCLUDING THE FAITH COMMUNITY. IN ADDITION, THE ORGANIZATION EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY FOR SOME OR ALL OF ITS DEPARTMENTS AND SPECIALTIES.ADVOCATE GOOD SHEPHERD DONATES STAFF TIME AND EXPERTISE TO SEVERAL LOCAL COUNCILS, BOARDS, COALITIONS AND COMMITTEES. THE ADVOCATE GOOD SHEPHERD PRESIDENT SERVES ON THE BOARD OF THE BARRINGTON AREA COMMUNITY FOUNDATION, AND THE VICE PRESIDENT OF PHYSICIAN STRATEGY AND CLINICAL OPERATIONS SERVES ON THE BOARD OF THE FAMILY HEALTH PARTNERSHIP CLINIC, A FREE CLINIC SERVING UNINSURED RESIDENTS OF THE SERVICE AREA. THE DIRECTOR OF COMMUNITY HEALTH REPRESENTS THE HOSPITAL ON THE MCHENRY COUNTY SUBSTANCE ABUSE COALITION AND THE LAKE COUNTY OPIOID INITIATIVE TASK FORCE, WHICH FOCUS ON ISSUES OF SUBSTANCE ABUSE PREVENTION AND TREATMENT IN THE SERVICE AREA. THE COMMUNITY HEALTH DIRECTOR ALSO SERVES ON THE LIVE WELL LAKE COUNTY STEERING COMMITTEE, WHICH PROVIDES OVERSIGHT TO THE IMPLEMENTATION OF THE LAKE COUNTY HEALTH DEPARTMENT STRATEGIC PLAN. BOTH THE COMMUNITY HEALTH DIRECTOR AND COMMUNITY HEALTH COORDINATOR SIT ON THE MCHENRY COUNTY HEALTH COALITION, ALONG WITH REPRESENTATIVES FROM CENTEGRA HOSPITAL AND THE MCHENRY COUNTY MENTAL HEALTH BOARD, TO PROVIDE OVERSIGHT OF THE MCHENRY COUNTY HEALTH DEPARTMENT'S STRATEGIC PLAN. THE ADVOCATE GOOD SHEPHERD COMMUNITY HEALTH DIRECTOR, COMMUNITY HEALTH COORDINATOR AND THE DIRECTOR OF COMMUNITY RELATIONS SIT ON THE HEALTHIER BARRINGTON COALITION, A COMMITTEE OF ELECTED OFFICIALS, BUSINESS LEADERS, SOCIAL SERVICE, MENTAL HEALTH AND MEDICAL PROVIDERS FOCUSED ON IMPROVING THE HEALTH OF THE BARRINGTON AREA. THE COMMUNITY HEALTH COORDINATOR SITS ON THE WAUCONDA UNITED HEALTH PARTNERSHIP, A COALITION ADDRESSING THE HEALTH AND COMMUNITY DEVELOPMENT NEEDS OF THE WAUCONDA AREA. IN ADDITION, THE HOSPITAL ROUTINELY MAKES CASH AND IN-KIND DONATIONS TO PARTNERS, SUCH AS THE PIONEER CENTER AND FAMILY HEALTH PARTNERSHIP CLINIC, TO FURTHER THE HEALTH OF THE COMMUNITY, INCLUDING THE DONATION OF MEDICAL SUPPLIES, THROUGH COMMUNITY ORGANIZATIONS.
ADVOCATE GOOD SAMARITAN HOSPITAL: PART VI, LINE 2 ADVOCATE GOOD SAMARITAN HAS BEEN ACTIVELY ENGAGED IN THE IMPACT DUPAGE STEERING COMMITTEE, WHICH IDENTIFIES AND ADDRESSES THE COUNTY'S HEALTH NEEDS THROUGH VARIOUS PARTNERSHIPS AND PROGRAMS. IMPACT DUPAGE'S TARGET COMMUNITIES OVERLAP WITH THE HOSPITAL'S PRIMARY SERVICE AREA, THEREFORE THE HEALTH NEEDS AND PRIORITIES ADDRESSED THROUGH IMPACT DUPAGE ALSO ADDRESS SOME OF THE HEALTH NEEDS OUTLINED IN THE HOSPITAL'S 2013-2016 CHNA.ADVOCATE GOOD SAMARITAN ALSO CONTINUES TO PARTICIPATE IN THE FIGHTING OBESITY REACHING A HEALTHY WEIGHT AMONG RESIDENTS OF DUPAGE (FORWARD) COALITION, WHICH ADDRESSES OBESITY AND HEALTHY LIFESTYLES AMONG RESIDENTS LIVING IN DUPAGE COUNTY. THE HOSPITAL IS A MEMBER OF FORWARD'S HEALTHY HOSPITAL COALITION, WHICH IS A GROUP OF DUPAGE COUNTY HOSPITALS WORKING TO IMPROVE THE HEALTH AND WELLNESS OF EMPLOYEES, PATIENTS AND THEIR FAMILIES THROUGH CREATING A HEALTHY HOSPITAL ENVIRONMENT. IN 2016, THE HOSPITAL COMPLETED A CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC) WORKSITE WELLNESS ASSESSMENT, WHICH SUPPORTED THE DEVELOPMENT OF THE HOSPITAL'S SODIUM REDUCTION ACTION PLAN. TO SUPPORT THE IMPLEMENTATION OF STRATEGIES, THE HOSPITAL WAS AWARDED A SODIUM REDUCTION MINI GRANT BY THE DUPAGE COUNTY HEALTH DEPARTMENT AND FORWARD. WITH GREAT TEAM EFFORT, THE ADVOCATE GOOD SAMARITAN BETTER FOR US COMMITTEE (THE HOSPITAL'S WORKSITE WELLNESS COMMITTEE) AND SODIUM REDUCTION SUB-COMMITTEE WERE ABLE TO SUCCESSFULLY IMPLEMENT ALL OF THE SODIUM REDUCTION ACTION PLAN STRATEGIES.AFFORDABLE HOUSING WAS IDENTIFIED AS A NEED FOR DUPAGE COUNTY BY THE IMPACT DUPAGE STEERING COMMITTEE. HOUSING CAN HAVE A MAJOR IMPACT ON HEALTH AND IS CONSIDERED A SOCIAL DETERMINANT OF HEALTH. THE HOSPITAL'S COMMUNITY HEALTH MANAGER IS A MEMBER OF THE IMPACT DUPAGE AFFORDABLE HOUSING SUBCOMMITTEE AND HAS BEEN VERY ENGAGED IN THE ASSESSMENT AND PLAN DEVELOPMENT PROCESS. AS A PART OF THE ASSESSMENT AND PLANNING PROCESS, THE SUBCOMMITTEE WORKED WITH THE CHICAGO METROPOLITAN AGENCY FOR PLANNING TO COMPLETE THE DUPAGE COUNTY AFFORDABLE HOUSING ASSESSMENT AND PLAN. THE HOSPITAL RECOGNIZES THE IMPORTANCE AND IMPACT OF SOCIAL DETERMINANTS OF HEALTH AND WILL CONTINUE TO PARTICIPATE AND BE ENGAGED IN THE DEVELOPMENT AND IMPLEMENTATION OF THE AFFORDABLE HOUSING PLAN.
ADVOCATE GOOD SAMARITAN HOSPITAL: PART VI, LINE 4 FOR THE PURPOSES OF COMMUNITY HEALTH NEEDS ASSESSMENT, ADVOCATE GOOD SAMARITAN DEFINES THE COMMUNITY AS ITS PRIMARY SERVICE AREA (PSA). THE PSA FOR THE HOSPITAL CONSISTS OF 15 COMMUNITIES REPRESENTING 21 ZIP CODES IN DUPAGE COUNTY AND 3 COMMUNITIES REPRESENTING 3 ZIP CODES IN WILL AND COOK COUNTIES. THE PSA COMMUNITIES INCLUDE LOMBARD (60148), DOWNERS GROVE (60515, 60516), WESTMONT (60559), WOODRIDGE (60517), DARIEN (60561), GLEN ELLYN (60137), LISLE (60532), VILLA PARK (60181), OAK BROOK (60523), WILLOWBROOK (60527), BOLINGBROOK (60440), LEMONT (60439), WHEATON (60189, 60187), ELMHURST (60126), NAPERVILLE (60563, 60540), CLARENDON HILLS (60514), ROMEOVILLE (60446) AND HINSDALE (60521). THE TOTAL POPULATION FOR THE PSA IS 653,410 (2016). THE DEMOGRAPHIC DATA SHOWS THAT THE HOSPITAL'S PSA IS 78.65 PERCENT WHITE, 9.45 PERCENT ASIAN, 6 PERCENT AFRICAN AMERICAN, 3.44 PERCENT OTHER, 2.4 PERCENT NATIVE HAWAIIAN/PACIFIC ISLANDER AND .03 PERCENT AMERICAN INDIAN/ALASKAN NATIVE. THE PSA IS 10.32 PERCENT HISPANIC AND 89.68 PERCENT NON-HISPANIC.OVER 20 PERCENT OF THE PSA IS UNDER THE AGE OF 18 WHILE 9 PERCENT IS BETWEEN THE AGES OF 18-24 (2015). THE LARGEST AGE GROUP IS 25-64 YEAR OLDS WITH 52.9 PERCENT OF THE POPULATION BELONGING IN THIS AGE BRACKET (2015). THE SENIOR POPULATION WAS THE THIRD LARGEST GROUP, WITH 15.3 PERCENT OF THE PSA ABOVE THE AGE OF 65 (2015). THE PRIMARY SERVICE AREA IS 49 PERCENT MALE AND 51 PERCENT FEMALE.THE AVERAGE ANNUAL HOUSEHOLD INCOME IN 2015 FOR THE HOSPITAL'S PSA IS $110,956, WHICH IS SIGNIFICANTLY HIGHER THAN THE STATE'S AVERAGE HOUSEHOLD INCOME AT $81,390 (2016). THE NUMBER OF FAMILIES LIVING BELOW THE FEDERAL POVERTY LEVEL IS 7,526, WHICH ACCOUNTS FOR 4.4 PERCENT OF THE PSA POPULATION. THE ASIAN, NATIVE HAWAIIAN/PACIFIC ISLANDER AND WHITE RACIAL GROUPS HAVE THE HIGHEST AVERAGE HOUSEHOLD INCOME, WHILE THE BLACK AND AMERICAN INDIAN/ALASKAN NATIVES SUBGROUPS HAD THE LOWEST AVERAGE HOUSEHOLD INCOMES. INCOME DISPARITY ALSO EXISTS BETWEEN HISPANIC AND NON-HISPANIC ETHNICITY. THE HISPANIC POPULATION'S AVERAGE HOUSEHOLD INCOME FOR THE PSA IS $82,294 WHILE THE AVERAGE HOUSEHOLD INCOME FOR NON-HISPANICS IS $113,285.THE HOSPITAL'S PSA HAS A DIVERSE PAYOR MIX WITH 14 PERCENT COVERED BY MEDICAID, 3 PERCENT UNINSURED AND ANOTHER 14 PERCENT COVERED BY MEDICARE. HOSPITALS AND HEALTH RESOURCESTHERE ARE FIVE HOSPITALS LOCATED WITHIN ADVOCATE GOOD SAMARITAN'S PSA: ADVOCATE GOOD SAMARITAN IN DOWNERS GROVE, EDWARD HOSPITAL IN NAPERVILLE, ADVENTIST HINSDALE HOSPITAL IN HINSDALE, ADVENTIST BOLINGBROOK HOSPITAL IN BOLINGBROOK, AND ELMHURST MEMORIAL HOSPITAL IN ELMHURST. THE DUPAGE COUNTY 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, THE DUPAGE HEALTH COALITION/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 ADVOCATE GOOD SAMARITAN), PHYSICIANS, LOCAL GOVERNMENT, HUMAN SERVICE AGENCIES, AND COMMUNITY GROUPS WORKING TOGETHER TO ADDRESS THIS FORMIDABLE ISSUE.
ADVOCATE GOOD SAMARITAN HOSPITAL: PART VI, LINE 5 THE ADVOCATE GOOD SAMARITAN GOVERNING COUNCIL IS COMPRISED OF LOCAL COMMUNITY LEADERS AND PHYSICIANS. GOVERNING COUNCIL MEMBERS SUPPORT HOSPITAL LEADERSHIP IN THEIR PURSUIT OF THE HOSPITAL'S GOALS, REPRESENT THE COMMUNITY'S INTEREST TO THE HOSPITAL AND SERVE AS AMBASSADORS IN THE COMMUNITY. FIFTY-SIX PERCENT OF THE CURRENT GOVERNING COUNCIL MEMBERS REPRESENT THE COMMUNITY, INCLUDING THE FAITH COMMUNITY. IN ADDITION, THE ORGANIZATION EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY FOR SOME OR ALL OF ITS DEPARTMENTS AND SPECIALTIES.ADVOCATE GOOD SAMARITAN IS ONE OF FOUR RESOURCE HOSPITALS WITHIN EMERGENCY MEDICAL SERVICES (EMS) REGION 8. THE HOSPITAL PROVIDES KEY LEADERSHIP TO THE REGION EMS PROGRAM THROUGH EXECUTING TABLETOP, FUNCTIONAL AND FULL-SCALE EXERCISES TO ADDRESS THE RISKS IN THE AGENCY SPECIFIC HAZARD VULNERABILITY ANALYSIS (HVA). THESE EXERCISES ARE DONE IN CONJUNCTION WITH STATE, COUNTY AND COMMUNITY PARTNERS, WHICH MAKE THE EMERGENCY PREPAREDNESS PLAN MORE EFFECTIVE AND THOROUGH.CRIMINAL JUSTICE/MENTAL HEALTH COMMITTEETHE HOSPITAL'S BEHAVIORAL HEALTH DEPARTMENT IS A MEMBER OF THE DUPAGE COUNTY CRIMINAL JUSTICE/MENTAL HEALTH COMMITTEE. THIS COMMITTEE IS A COALITION OF MENTAL HEALTH SERVICE PROVIDERS, HOSPITALS AND DUPAGE COUNTY MUNICIPAL SECTORS. THE VARIOUS INSTITUTIONS AND ORGANIZATIONS IDENTIFY ISSUES AROUND MENTAL HEALTH AND ASSESS MENTAL HEALTH SERVICES AND INTERVENTIONS THAT INVOLVE COMMUNITY ORGANIZATIONS AND LOCAL POLICE DEPARTMENTS. THE MANAGER OF ADVOCATE GOOD SAMARITAN'S BEHAVIORAL HEALTH SERVICES IS ACTIVELY ENGAGED IN THE COMMITTEE AND REPRESENTS THE HOSPITAL AT COMMITTEE MEETINGS.SUBSTANCE USE DISORDERADVOCATE GOOD SAMARITAN RECEIVED A GRANT FROM THE COMMUNITY MEMORIAL FOUNDATION TO EMPLOY A COMMUNITY LINKAGE SPECIALIST (CLS) IN THE HOSPITAL'S BEHAVIORAL HEALTH DEPARTMENT. THE CLS WORKS WITH PSYCHIATRIC AND DETOX UNIT PATIENTS BEING DISCHARGED TO CONNECT THEM TO VARIOUS COMMUNITY RESOURCES IN EFFORTS TO INCREASE THEIR CHANCES OF A SUCCESSFUL RECOVERY IN THE COMMUNITY. IN 2018, THE CLS HAD OVER 521 PATIENT CONTACTS AND CONDUCTED OVER 139 HOME VISITS. MENTAL HEALTH ADVOCATE GOOD SAMARITAN PARTNERS WITH THE NATIONAL ALLIANCE ON MENTAL ILLNESS (NAMI DUPAGE) TO PLACE PEER COUNSELORS IN THE HOSPITAL'S EMERGENCY DEPARTMENT (ED). THE PEER COUNSELORS PROVIDE CRITICAL MENTAL HEALTH SERVICES TO ED PATIENTS WITH BEHAVIORAL HEALTH ISSUES. THE GOAL OF THE PROGRAM IS TO PROVIDE SUPPORT AND SERVICE REFERRALS TO PATIENTS AND THEIR FAMILIES STRUGGLING WITH MENTAL ILLNESS. COMMUNITY SERVICES AND PROGRAMS ARE PROMOTED AS ALTERNATIVES TO THE ED AND COMMUNITY FOLLOW-UP IS OFFERED TO DISCHARGED PATIENTS TO ENSURE THEY ARE CONNECTED TO AND RECEIVE ALL THE NECESSARY SERVICES. THE GOAL IS TO PROVIDE A MINIMUM OF 200 CLIENTS/PATIENTS WITH SUPPORT SERVICES AND SERVICE REFERRALS.
ADVOCATE LUTHERAN GENERAL HOSPITAL: PART VI, LINE 2 ADVOCATE LUTHERAN GENERAL AND ADVOCATE CHILDREN'S ASSESS THE NEEDS OF THEIR COMMUNITIES IN MULTIPLE WAYS RANGING FROM PATIENT ROUNDING AND CAREGIVER INTERACTIONS, TO LEADERSHIP PARTICIPATION IN COMMUNITY ORGANIZATIONS. ADVOCATE LUTHERAN GENERAL ALSO COLLECTED PRIMARY DATA FROM THE FOLLOWING TO ASSESS COMMUNITY NEEDS: THE HEALTHIER PARK RIDGE SURVEY AND PROJECT (2013), THE HEALTHIER NILES SURVEY AND PROJECT (2014), AND THE HEALTHIER DES PLAINES AREA SURVEY AND PROJECT (2015-2016). THE KOREAN COMMUNITY ASSESSMENT, DESCRIBED EARLIER, WAS AN ADDITIONAL WAY OF ASSESSING THE NEEDS OF THE KOREAN COMMUNITY. ADVOCATE CHILDREN'S WORKS CLOSELY WITH LOCAL SCHOOL DISTRICTS, SCHOOL NURSES, THE HOSPITAL'S FAMILY ADVISORY COUNCIL, THE PARTNERSHIP FOR RESILIENCE, THE HEALTHY SCHOOLS CAMPAIGN AND THE CHICAGO PUBLIC SCHOOLS' OFFICE OF STUDENT WELLNESS TO IDENTIFY HEALTH ISSUES AFFECTING CHILDREN.HEALTHIER DES PLAINES AREA SURVEY AND PROJECTADVOCATE LUTHERAN GENERAL LED THE HEALTHIER DES PLAINES AREA SURVEY AND PROJECT, MENTIONED ABOVE, IN 2015 AND IN 2016. THE COALITION WAS COMPRISED OF OVER 30 ORGANIZATIONS INCLUDING REPRESENTATIVES FROM LOCAL GOVERNMENT, POLICE/FIRE/PARAMEDICS, COMMUNITY-BASED AGENCIES, FAITH COMMUNITIES AND SCHOOLS. IN 2016, THE SURVEY WAS DISTRIBUTED TO 7,000 RANDOMIZED HOUSEHOLDS WITH 500 SURVEYS RETURNED. THE RESULTS WERE PRESENTED TO THE COMMUNITY THROUGH VARIOUS PRESENTATIONS TO COMMUNITY LEADERS AND ORGANIZATIONS, WITH THE MAYOR AND CITY COUNCIL INCLUDED.HEALTH IMPACT COLLABORATIVE OF COOK COUNTY (HICCC) SURVEYSAS PART OF THE HICCC CHNA, THE COLLABORATIVE COLLECTED APPROXIMATELY 5,200 RESIDENT SURVEYS, WHICH REFLECTED THE DIVERSITY OF COOK COUNTY. THE NORTH REGION HAD 1,700 SURVEYS RETURNED. OF THESE, 19 PERCENT IDENTIFIED AS HISPANIC/LATINO, THE SAME PERCENTAGE OF HISPANIC/LATINO IN ADVOCATE LUTHERAN GENERAL'S PRIMARY SERVICE AREA, MAKING THIS POPULATION THE HOSPITAL'S MOST DIVERSE. APPROXIMATELY EIGHT PERCENT OF THE NORTH REGION SURVEY RESPONDENTS IDENTIFIED AS POLISH AND SIX PERCENT AS KOREAN. HICCC ALSO CONDUCTED EIGHT FOCUS GROUPS IN THE NORTH REGION FOR CHNA INPUT FROM FALL 2015 THROUGH SPRING 2016. THE COLLABORATIVE ENSURED THAT THE FOCUS GROUPS INCLUDED POPULATIONS WHO ARE TYPICALLY UNDER-REPRESENTED IN COMMUNITY HEALTH NEEDS ASSESSMENTS. SOME EXAMPLES OF THE POPULATIONS INCLUDED ARE RACIAL AND ETHNIC MINORITIES, IMMIGRANTS, THE LGBQIA AND TRANSGENDER COMMUNITY, FORMERLY INCARCERATED INDIVIDUALS, VETERANS AND SENIORS.
ADVOCATE LUTHERAN GENERAL HOSPITAL: PART VI, LINE 4 ADVOCATE LUTHERAN GENERAL FOR THE 2014-2016 CHNA CYCLE, ADVOCATE LUTHERAN GENERAL'S COMMUNITY HEALTH COUNCIL DEFINED COMMUNITY AS THE HOSPITAL'S PRIMARY SERVICE AREA (PSA). THIS AREA INCLUDES 1,069,146 INDIVIDUALS WITHIN 28 ZIP CODES-25 OF WHICH ARE IN COOK COUNTY AND THREE IN LAKE COUNTY. THE PRIMARY SERVICE AREA (PSA) DESIGNATION IS DETERMINED BY THE ADVOCATE STRATEGIC PLANNING DEPARTMENT, GENERALLY NOTED AS THE GEOGRAPHIC AREA WHERE 75 PERCENT OF PATIENTS RESIDE. ALL 25 ADVOCATE LUTHERAN GENERAL PSA ZIP CODE COMMUNITIES IN COOK COUNTY WERE PART OF THE GEOGRAPHIC AREA WITHIN THE NORTH REGION OF HICCC. SOCIOECONOMIC NEED WAS DETERMINED BY THE HEALTHY COMMUNITIES INSTITUTE'S (HCI) CALCULATIONS TO CREATE AN INDEX USING SIX MAJOR SOCIONEEDS INDICATORS THAT ARE CORRELATED WITH POOR HEALTH OUTCOMES. THE INDICATORS INCLUDE INCOME, UNEMPLOYMENT, OCCUPATION, EDUCATION, LANGUAGE AND POVERTY. ADVOCATE LUTHERAN GENERAL'S PSA INCLUDES THE FOLLOWING COMMUNITIES, LISTED IN ORDER FROM GREATEST NEED TO LOWEST NEED COMMUNITIES: IRVING PARK/PORTAGE (60641), DUNNING (60634), DES PLAINES (60018), ELMWOOD PARK (60707), HARWOOD HEIGHTS (60706), JEFFERSON PARK (60630), PALATINE (60074), MOUNT PROSPECT (60656), NILES (60714), SKOKIE (60077), PROSPECT HEIGHTS (60070), WHEELING (60090), DES PLAINES (60016), SKOKIE (60076), MORTON GROVE (60053), HARWOOD HEIGHTS (60056), NORWOOD PARK (60631), ARLINGTON HEIGHTS (60005), FOREST GLEN (60646), ARLINGTON HEIGHTS (60004), GLENVIEW (60025), PARK RIDGE (60068), BUFFALO GROVES (60089), PALATINE (60067), NORTHBROOK (60062), GLENVIEW (60026), LAKE ZURICH (60047) AND DEERFIELD (60015). THE THREE LARGEST COMMUNITIES WITHIN ADVOCATE LUTHERAN GENERAL'S PSA, AND THE THREE WITH THE HIGHEST SOCIOECONOMIC NEEDS, ARE DUNNING (60634) WITH A POPULATION OF 75,196, IRVING PARK (60641) WITH A POPULATION OF 70,970, AND DES PLAINES (60016) WITH A POPULATION OF 61,060 (2016). THE CITY OF DES PLAINES HAS TWO ZIP CODES WITH DES PLAINES (60018) ACCOUNTING FOR AN ADDITIONAL POPULATION OF 30,788 INDIVIDUALS. ADDITIONAL COMMUNITIES WITH DUAL ZIP CODES ARE ARLINGTON HEIGHTS, SKOKIE, GLENVIEW AND HARWOOD HEIGHTS. FROM 2010 TO 2016, THE AVERAGE POPULATION GROWTH WITHIN ADVOCATE LUTHERAN GENERAL'S PSA WAS 1.25 PERCENT, WHICH WAS HIGHER WHEN COMPARED TO THE ILLINOIS RATE OF 0.43 PERCENT. THE THREE COMMUNITIES WITH THE HIGHEST PERCENT POPULATION GROWTH FROM 2010 TO 2016 WERE GLENVIEW (60026) AT 9.71 PERCENT, MOUNT PROSPECT (60656) AT 5.42 PERCENT AND PALATINE (60074) AT 4.3 PERCENT. THE TWO COMMUNITIES THAT DECREASED IN POPULATION SIZE FROM 2010 TO 2016 WERE DEERFIELD (60015) BY 1.28 PERCENT AND BUFFALO GROVE (60089) BY 1.19 PERCENT. ADVOCATE CHILDREN'STHE COMBINED PRIMARY AND SECONDARY SERVICE AREAS OF ADVOCATE CHILDREN'S-PARK RIDGE ARE KNOWN AS THE HOSPITAL'S TOTAL SERVICE AREA (TSA). THE TSA OF ADVOCATE CHILDREN'S-PARK RIDGE SERVES PATIENTS IN THE ADVOCATE LUTHERAN GENERAL SERVICE AREA, BUT ALSO INCLUDES GEOGRAPHIC AREAS OR COMMUNITIES SERVED BY ADVOCATE GOOD SHEPHERD IN THE NORTHWEST SUBURBS, ADVOCATE CONDELL IN THE NORTH SUBURBS AND PORTIONS OF ADVOCATE ILLINOIS MASONIC ON THE NORTH SIDE OF CHICAGO. THE TOTAL PEDIATRIC POPULATION AGES 0-17 YEARS WITHIN THE ADVOCATE CHILDREN'S-PARK RIDGE TSA IS 841,812 CHILDREN IN 109 COMMUNITIES OR 27 PERCENT OF THE TOTAL POPULATION WITHIN THE SAME AREA. HIGH RISK AREAS AND COMMUNITIES OF HIGH NEED ARE FURTHER DETERMINED FOR ADVOCATE CHILDREN'S BY USE OF THE SOCIAL VULNERABILITY INDEX, WHICH IS AN AGGREGATE MEASURE OF THE CAPACITY OF COMMUNITIES TO PREPARE FOR AND RESPOND TO EXTERNAL STRESSORS ON HUMAN HEALTH, SUCH AS NATURAL OR HUMAN-CAUSED DISASTERS OR DISEASE OUTBREAKS. THE SOCIAL VULNERABILITY INDEX RANKS EACH CENSUS TRACT ON 14 SOCIAL FACTORS INCLUDING POVERTY, LACK OF VEHICLE ACCESS AND CROWDED HOUSING. COMMUNITIES WITH HIGH SOCIAL VULNERABILITY INDEX SCORES HAVE LESS CAPACITY TO DEAL WITH OR PREPARE FOR EXTERNAL STRESSORS AND, AS A RESULT, ARE MORE VULNERABLE TO THREATS ON HUMAN HEALTH. MANY COMMUNITIES IN ADVOCATE CHILDREN'S TSA RANK HIGH IN SOCIAL VULNERABILITY WHICH CAN HAVE A NEGATIVE IMPACT ON CHILDREN'S HEALTH. SUCH COMMUNITIES INCLUDE DES PLAINES AND WHEELING IN THE NORTH SUBURBS, AND ALBANY PARK, AVONDALE, LOGAN SQUARE, PORTAGE PARK, ROGERS PARK AND UPTOWN, WHICH ARE ALL ON THE NORTH SIDE OF CHICAGO.ANOTHER MEASURE IN DETERMINING NEED OR DEFINING THE COMMUNITY FOR THE CHNA IS THE CHILDHOOD OPPORTUNITY INDEX, WHICH IS BASED ON SEVERAL INDICATORS IN EACH OF THE FOLLOWING CATEGORIES: DEMOGRAPHICS AND DIVERSITY; EARLY CHILDHOOD EDUCATION; RESIDENTIAL AND SCHOOL SEGREGATION; MATERNAL AND CHILD HEALTH; NEIGHBORHOOD CHARACTERISTICS OF CHILDREN; AND CHILD POVERTY. CHILDREN WHO LIVE IN AREAS OF LOW OPPORTUNITY HAVE AN INCREASED RISK FOR A VARIETY OF NEGATIVE HEALTH INDICATORS, SUCH AS PREMATURE MORTALITY, ARE MORE LIKELY TO BE EXPOSED TO SERIOUS PSYCHOLOGICAL DISTRESS AND ARE MORE LIKELY TO HAVE POOR SCHOOL PERFORMANCE. COMMUNITIES IN THE ADVOCATE CHILDREN'S TSA WHICH ARE LOW ON THE CHILDHOOD OPPORTUNITY INDEX INCLUDE WHEELING IN THE NORTH SUBURBS, AS WELL AS ALBANY PARK, DUNNING, PORTAGE PARK, ROGERS PARK AND IRVING PARK NEIGHBORHOODS IN CHICAGO.RACE, ETHNICITY AND LANGUAGEADVOCATE LUTHERAN GENERAL ADVOCATE LUTHERAN GENERAL SERVES A PREDOMINANTLY WHITE, NON-HISPANIC POPULATION (74.6 PERCENT). THE TWO COMMUNITIES WITH THE HIGHEST PERCENTAGES "SPEAKING ENGLISH ONLY AT HOME" IN THE HOSPITAL'S PSA ARE DEERFIELD (83 PERCENT) AND LAKE ZURICH (79 PERCENT). BOTH OF THESE COMMUNITIES ARE IN LAKE COUNTY. WITHIN COOK COUNTY, NORWOOD PARK AT 79 PERCENT, ARLINGTON HEIGHTS (60004) AT 76 PERCENT, PALATINE (60067) AT 76 PERCENT AND PARK RIDGE (60068) AT 74 PERCENT WERE IDENTIFIED AS THE HIGHEST "SPEAKING ENGLISH ONLY AT HOME" COMMUNITIES IN THE PSA.HISPANIC IS THE FASTEST GROWING MINORITY POPULATION (19.5 PERCENT) IN ADVOCATE LUTHERAN GENERAL'S PSA. THE COMMUNITIES WITH THE HIGHEST HISPANIC/LATINO POPULATION WITHIN THE HOSPITAL'S PSA ARE IRVING PARK WITH 58 PERCENT, DUNNING WITH 39 PERCENT AND DES PLAINES (60018) WITH 38 PERCENT. ADDITIONALLY, 46 PERCENT OF THE POPULATION LIVING IN IRVING PARK SPEAKS SPANISH, FOLLOWED BY 33 PERCENT IN DES PLAINES (60018) AND 29 PERCENT IN DUNNING.FOR ADVOCATE LUTHERAN GENERAL'S PSA, 7.3 PERCENT OF THE POPULATION 5 YEARS OF AGE AND OLDER SPEAK POLISH AT HOME, WHICH TRANSLATES TO 75,232 POLISH-SPEAKING INDIVIDUALS IN THE PSA. THE ZIP CODES REPORTING THE HIGHEST PERCENTAGE OF THE POPULATION 5 YEARS OF AGE AND OLDER SPEAKING POLISH AT HOME WERE: HARWOOD HEIGHTS (60706) WITH 25 PERCENT, DUNNING WITH 18 PERCENT, HARWOOD HEIGHTS (60656) WITH 14 PERCENT AND NILES WITH 11 PERCENT. ADVOCATE LUTHERAN GENERAL ALSO SERVES A GROWING ASIAN POPULATION (11.9 PERCENT) THAT, WHEN COMPARED TO ILLINOIS (5.3 PERCENT), IS MUCH LARGER. THE DATA INDICATES THAT MORTON GROVE AT 31 PERCENT, SKOKIE (60077) AT 31 PERCENT AND SKOKIE (60076) AT 28 PERCENT HAVE THE HIGHEST ASIAN POPULATION FOR ADVOCATE LUTHERAN GENERAL'S PSA. BY LANGUAGE, 1.6 PERCENT OF THE POPULATION 5 YEARS OF AGE AND OLDER SPEAKS KOREAN AT HOME, WHICH IS THE EQUIVALENT TO 16,398 INDIVIDUALS FOR THE PSA. GLENVIEW (60025), NORTHBROOK AND MORTON GROVE REPORTED HAVING THE HIGHEST PERCENTAGES FOR SPEAKING KOREAN AT HOME IN COOK COUNTY. BUFFALO GROVE, THE FOURTH HIGHEST PERCENTAGE FOR SPEAKING KOREAN AT HOME, IS PART OF LAKE COUNTY BUT STILL WITHIN ADVOCATE LUTHERAN GENERAL'S PSA (AMERICAN COMMUNITY SURVEY, 2010-2014).SOUTH ASIANS COMPRISE 4.3 PERCENT OF ADVOCATE LUTHERAN GENERAL'S PSA. DES PLAINES (60016), MOUNT PROSPECT (60056) AND WHEELING ARE THE TOP-THREE ASIAN INDIAN COMMUNITIES. IN ADVOCATE LUTHERAN GENERAL'S PSA, 46,315 RESIDENTS OR 4.35 PERCENT MARKED A SOUTH ASIAN RACIAL CATEGORY, INCLUDING ASIAN INDIAN AT 39,685 (3.7 PERCENT), PAKISTANI AT 19,977 (1.9 PERCENT), BANGLADESHI AT 273 (LESS THAN 1.0 PERCENT) AND SRI LANKAN AT 81 (LESS THAN 1.0 PERCENT). THE NUMBER OF INDIVIDUALS SPEAKING A SOUTH ASIAN LANGUAGE AT HOME IS 28,595 (2.8 PERCENT), OF WHICH THE LARGEST LINGUISTIC GROUPS ARE GUJARATI, 9,287 (0.9 PERCENT), URDU, 8,700 (0.8 PERCENT) AND HINDI, 6,750 (0.7 PERCENT). OF ADVOCATE LUTHERAN GENERAL'S PSA, 34,778 (3.3 PERCENT) SPECIFIED THAT THEY WERE BORN IN SOUTH ASIA, THE MAJORITY OF WHICH AT 28,695 (2.7 PERCENT) INDICATED THEY WERE BORN IN INDIA, AND 5,126 (0.5 PERCENT) INDICATED BEING BORN IN PAKISTAN. ADVOCATE CHILDREN'S ADVOCATE CHILDREN'S TSA IS 5 PERCENT BLACK/NON-HISPANIC, 59 PERCENT WHITE/NON-HISPANIC, 25 PERCENT HISPANIC AND 9 PERCENT ASIAN/PACIFIC ISLANDER. WITHIN THE TSA, 43.2 PERCENT OF PATIENTS (CHILDREN AGES 0-17) ARE COVERED BY MEDICAID, 51 PERCENT ARE COVERED BY MANAGED CARE HEALTH INSURANCE, .5 PERCENT ARE ON MEDICARE AND 5.3 PERCENT HAVE OTHER PAYMENT PLANS.
ADVOCATE LUTHERAN GENERAL HOSPITAL: PART VI, LINE 4 - CONTINUED AGETHE MEDIAN AGE FOR MALES WITHIN ADVOCATE LUTHERAN GENERAL'S PSA IS 40.19 AND THE MEDIAN AGE FOR FEMALES IS 43.56. THE MEDIAN AGE FOR THE ENTIRE POPULATION IS 41.94. THE HOSPITAL'S POPULATION IS OLDER WHEN COMPARED TO THE MEDIAN AGE FOR ILLINOIS, WHICH IS 37.80, WITH 17 PERCENT OF THE HOSPITAL'S PSA POPULATION OVER THE AGE OF 65. THE TWO COMMUNITIES IN ADVOCATE LUTHERAN GENERAL'S PSA WITH THE HIGHEST POPULATION OVER THE AGE OF 65 ARE NILES (60714) AT 27 PERCENT AND NORTHBROOK (60062) AT 25 PERCENT. THE POPULATION BETWEEN 18 AND 65 YEARS OF AGE COMPRISES 62 PERCENT OF THE POPULATION WITHIN THE PSA. TWENTY-ONE PERCENT OF THE POPULATION WITHIN ADVOCATE LUTHERAN GENERAL'S PSA IS UNDER 18 YEARS OF AGE (HCI, 2016).IN ADDITION, 17 PERCENT OF THE POPULATION ARE OVER THE AGE OF 65. THE TWO HIGHEST COMMUNITIES WITH SENIOR POPULATIONS ARE NILES (60714) WITH A 27 PERCENT AND NORTHBROOK (60062) WITH A 25 PERCENT POPULATION OVER 65 YEARS OF AGE. OUT OF 1,066,146 PERSONS, APPROXIMATELY 840,624 PERSONS ARE BETWEEN 18 AND 65 YEARS OF AGE, ACCOUNTING FOR 79 PERCENT OF THE POPULATION WITHIN THE PRIMARY SERVICE AREA. IN ADDITION, 21 PERCENT OF THE POPULATION SERVED IN ADVOCATE LUTHERAN GENERAL'S PRIMARY SERVICE AREA ARE UNDER 18 YEARS OF AGE.THE TOTAL PEDIATRIC POPULATION, AGES 0-17 YEARS, WITHIN THE ADVOCATE CHILDREN'S PARK RIDGE TSA IS 841,812 CHILDREN IN 109 COMMUNITIES, OR 27 PERCENT OF THE TOTAL POPULATION WITHIN THE SAME AREA. EDUCATIONWITHIN ADVOCATE LUTHERAN GENERAL'S PSA, 89.2 PERCENT OF PEOPLE 25+ YEARS POSSESS A HIGH SCHOOL DEGREE OR HIGHER, AND 41.7 PERCENT HAVE A BACHELOR'S DEGREE OR HIGHER (2016). THE THREE COMMUNITIES WITH THE HIGHEST PERCENTAGE OF POPULATION AGED 25 YEARS AND OLDER THAT HAVE LESS THAN A HIGH SCHOOL EDUCATION ARE IRVING PARK-PORTAGE (60641) AT 23.6 PERCENT, DES PLAINES (60018) AT 20.5 PERCENT, AND DUNNING (60634) AT 17.6 PERCENT (HCI, 2016). POVERTYADVOCATE LUTHERAN GENERAL FOR ADVOCATE LUTHERAN GENERAL'S PSA, THE COMMUNITIES WITH THE HIGHEST POVERTY RATES ARE SKOKIE (60077), IRVING PARK/PORTAGE, AND PALATINE (60070). IN THE HOSPITAL'S PSA, ZIP CODES THAT REPORTED HIGHER PERCENTAGES FOR SPEAKING ENGLISH AT HOME ALSO HAD LOWER POVERTY RATES. THE FEDERAL POVERTY GUIDELINES DEFINE POVERTY BASED ON HOUSEHOLD SIZE, RANGING FROM $11,880 FOR A ONE-PERSON HOUSEHOLD TO $24,300 FOR A FOUR PERSON-HOUSEHOLD AND $40,890 FOR AN EIGHT-PERSON HOUSEHOLD (U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES, POVERTY GUIDELINES, 2016, HTTPS://ASPE.HHS.GOV/POVERTY-GUIDELINES). ADVOCATE CHILDREN'SNEARLY HALF OF ALL CHILDREN LIVING IN CHICAGO AND COOK COUNTY LIVE AT OR BELOW 200% OF THE FEDERAL POVERTY LEVEL. THE PERCENTAGE OF CHILDREN IN POVERTY IS HIGHER FOR COOK COUNTY THAN IT IS FOR ILLINOIS AND THE U.S., AND AFRICAN AMERICAN AND LATINO CHILDREN HAVE MUCH HIGHER POVERTY RATES THAN NON-HISPANIC WHITE CHILDREN. ALTHOUGH THE NUMBER OF CHILDREN LIVING IN POVERTY DECREASED OVERALL IN CHICAGO BETWEEN 2009 AND 2013, THE NUMBER OF CHILDREN LIVING IN POVERTY DOUBLED IN SUBURBAN COOK COUNTY. INSURANCEADVOCATE LUTHERAN GENERAL WITHIN ILLINOIS, APPROXIMATELY 5.9 PERCENT OF THE POPULATION IS UNINSURED, WITH ADVOCATE LUTHERAN GENERAL'S PSA UNINSURED RATE AT 4.5 PERCENT. THE HOSPITAL SERVES A LARGE SENIOR POPULATION, AGE 65 AND OVER, MOST OF WHOM ARE COVERED BY MEDICARE. NILES AT 26.1 PERCENT, NORTHBROOK AT 24.3 PERCENT AND HARWOOD HEIGHTS (60706) AT 21.8 PERCENT REPORTED HAVING THE HIGHEST PERCENTAGES OF MEDICARE BENEFICIARIES. WHILE SKOKIE (60077) WAS NOT RANKED HIGHEST FOR OVERALL SOCIOECONOMIC NEED, IT HAS THE HIGHEST UNINSURED RATE WITHIN ADVOCATE LUTHERAN GENERAL'S PSA.ADVOCATE CHILDREN'SWITHIN ADVOCATE CHILDREN'S TSA, 43.2 PERCENT OF PATIENTS (CHILDREN AGES 0-17) ARE COVERED BY MEDICAID, 51 PERCENT ARE COVERED BY MANAGED CARE HEALTH INSURANCE, .5 PERCENT ARE ON MEDICARE AND 5.3 PERCENT HAVE OTHER PAYMENT PLANS.UNEMPLOYMENTUNEMPLOYMENT RATES WITHIN ADVOCATE LUTHERAN GENERAL'S PSA HAVE DECREASED AS COMPARED TO 2014. IN 2014, 9.4 PERCENT OF THE HOSPITAL'S PSA WAS UNEMPLOYED, WITH THE CURRENT UNEMPLOYMENT RATE DECREASING TO 8.1 PERCENT. THE CURRENT HOSPITAL PSA UNEMPLOYMENT RATE OF 8.1 PERCENT IS LOWER THAN THE CURRENT ILLINOIS RATE OF 9.8 PERCENT (TRUVEN, 2016). IRVING PARK/PORTAGE PARK (12.5 PERCENT), ELMWOOD PARK (11.6 PERCENT), DUNNING (11.2 PERCENT) AND JEFFERSON PARK (10.9 PERCENT) HAVE HIGHER UNEMPLOYMENT RATES THAN OTHER COMMUNITIES IN THE HOSPITAL'S PSA AND ARE MUCH HIGHER THAN THE RATES FOR ILLINOIS. EMPLOYMENT IS AN IMPORTANT DETERMINANT OF HEALTH AND IT HAS ADVERSE EFFECTS IN HIGH NEED COMMUNITIES. HEALTH RESOURCES IN THE DEFINED COMMUNITYADVOCATE LUTHERAN GENERALTHERE ARE SEVEN HOSPITALS WITHIN ADVOCATE LUTHERAN GENERAL'S PRIMARY SERVICE AREA. IN ADDITION TO ADVOCATE LUTHERAN GENERAL, THERE IS ALSO COMMUNITY FIRST MEDICAL CENTER, RESURRECTION MEDICAL CENTER, NORTHWEST COMMUNITY HOSPITAL, NORTHSHORE GLENBROOK HOSPITAL, HOLY FAMILY MEDICAL CENTER AND NORTHSHORE SKOKIE HOSPITAL. THERE ARE 973 PRIMARY CARE PHYSICIANS WITHIN THE MARKET AND 1,377 SPECIALISTS. THE SPECIALISTS INCLUDE 184 OBSTETRICS & GYNECOLOGY PHYSICIANS, 88 CARDIOLOGISTS, 33 OTOLARYNGOLOGISTS, 49 GASTROENTEROLOGISTS, AND 108 ORTHOPEDIC PHYSICIANS. 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 PREDOMINANTLY FOR LOW-INCOME AND UNINSURED PATIENTS, PRIMARILY FOR THE HISPANIC COMMUNITY. THERE IS ALSO ONE FEDERALLY DESIGNATED UNDERSERVED AREA IN ADVOCATE LUTHERAN GENERAL'S PSA.ADVOCATE CHILDREN'STHERE ARE 20 HOSPITALS AND 572 PEDIATRICIANS PROVIDING PEDIATRIC MEDICAL SERVICES IN ADVOCATE CHILDREN'S SERVICE AREA. IN ADDITION TO ADVOCATE CHILDREN'S, THERE IS ALSO ADVOCATE CONDELL, ADVOCATE SHERMAN, ALEXIAN BROTHERS MEDICAL CENTER, CENTEGRA HOSPITALS IN MCHENRY AND WOODSTOCK, COMMUNITY FIRST MEDICAL CENTER, ELMHURST HOSPITAL, EVANSTON HOSPITAL, HIGHLAND PARK HOSPITAL, NORTHWEST COMMUNITY HOSPITAL, NORTHWESTERN LAKE FOREST HOSPITAL, PRESENCE MERCY MEDICAL CENTER, PRESENCE RESURRECTION MEDICAL CENTER, PRESENCE ST. JOSEPH HOSPITAL, SHRINER'S HOSPITAL FOR CHILDREN-CHICAGO, ST. ALEXIUS MEDICAL CENTER, SWEDISH COVENANT MEDICAL CENTER AND VISTA MEDICAL CENTER EAST.
ADVOCATE LUTHERAN GENERAL HOSPITAL: PART VI, LINE 5 THE ADVOCATE LUTHERAN GENERAL GOVERNING COUNCIL IS COMPRISED OF LOCAL COMMUNITY LEADERS AND PHYSICIANS. GOVERNING COUNCIL MEMBERS SUPPORT HOSPITAL LEADERSHIP IN THEIR PURSUIT OF THE HOSPITAL'S GOALS, REPRESENT THE COMMUNITY'S INTEREST TO THE HOSPITAL AND SERVE AS AMBASSADORS IN THE COMMUNITY. SIXTY-FIVE PERCENT OF THE CURRENT GOVERNING COUNCIL MEMBERS REPRESENT THE COMMUNITY, INCLUDING THE FAITH COMMUNITY. IN ADDITION, THE ORGANIZATION EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY FOR SOME OR ALL OF ITS DEPARTMENTS AND SPECIALTIES.ADVOCATE LUTHERAN GENERAL AND ADVOCATE CHILDREN'S, THROUGH THE OFFICE OF MEDICAL EDUCATION, THE GRADUATE MEDICAL EDUCATION COMMITTEE AND THE CENTER FOR RESEARCH EDUCATION AND DEVELOPMENT, SUPPORT A SUBSTANTIAL ARRAY OF MEDICAL AND HEALTH PROFESSIONS EDUCATION. IN ADDITION, THE HOSPITAL PROVIDES CARE TO UNDERINSURED AND UNINSURED POPULATIONS IN THE COMMUNITY THROUGH ITS PROVISION OF CHARITY CARE. ADVOCATE LUTHERAN GENERAL ALSO ASSURES ENVIRONMENTAL RESPONSIVENESS, RESOURCE EFFICIENCY AND COMMUNITY SENSITIVITY THROUGH LEADERSHIP IN ENERGY AND ENVIRONMENTAL DESIGN (LEED) DESIGNATION FOR THE HOSPITAL'S NEW BED TOWER AND ONGOING EDUCATIONAL ACTIVITIES. ADVOCATE LUTHERAN GENERAL AND ADVOCATE CHILDREN'S LEADERS ARE ALSO ACTIVELY INVOLVED IN THE COMMUNITY THROUGH REPRESENTATION AND/OR PARTICIPATION IN MANY COMMUNITY ORGANIZATIONS, SUCH AS KIWANIS, ROTARY AND LOCAL CHAMBERS OF COMMERCE. HOSPITAL LEADERS SERVE ON MULTIPLE BOARDS INCLUDING THE NATIONAL ALLIANCE FOR MENTAL ILLNESS (NAMI), HAVE DREAMS (AUTISM), MARCH OF DIMES, HEALTHY SCHOOLS CAMPAIGN, PARTNERSHIP FOR RESILIENCE AND MAINE TOWNSHIP HIGH SCHOOL DISTRICT 207.IN 2018, ADVOCATE CHILDREN'S OFFERED ONE-ON-ONE CAR SEAT EDUCATION DETAILING THE IMPORTANCE OF PROPER CAR SEAT SAFETY. CAR SEAT EDUCATION ALSO INCLUDED ONE-ON-ONE CAR SEAT INSTALLATION EDUCATION WITH REQUIRED TEACH BACK BY THE FAMILY. THE CHILD REQUIRING A CAR SEAT IS EVALUATED FOR PROPER FIT IN THE CURRENT CAR SEAT. THE CAR SEAT IS ALSO INSPECTED FOR ANY DEFECTS AND IS THEN EVALUATED FOR COMPATIBILITY IN THE VEHICLE. IN ADDITION TO ALL PROGRAMS AND SERVICES LISTED PREVIOUSLY IN THIS DOCUMENT, ADVOCATE LUTHERAN GENERAL AND ADVOCATE CHILDREN'S HAVE CREATED, COLLABORATED WITH OR SUPPORTED NUMEROUS ADDITIONAL PROGRAMS INCLUDING THE FOLLOWING.- MAINE TOWNSHIP HIGH SCHOOL DISTRICT 207 SCHOOL-BASED HEALTH CENTER - OLDER ADULT SERVICES (INCLUDING ADULT DAY CARE, ALZHEIMER'S CLASSES, HOME DELIVERED MEALS)- DIABETES EDUCATION - INTIMATE PARTNER VIOLENCE TASK FORCE (IN PARTNERSHIP WITH COMMUNITY ORGANIZATIONS)- MELANOMA SKIN SCREENINGS - PEDIATRIC CELIAC PROGRAM (FOCUSING ON CLINICAL SERVICES SUPPORT, EDUCATION AND COMMUNITY OUTREACH) - DEVELOPMENTAL PEDIATRICS PROGRAM - ADULT DOWN SYNDROME CENTER- POLISH EARLY ALZHEIMER'S PROGRAM- PROACTIVE KIDS WEIGHT MANAGEMENT PROGRAM- CONTINUING EDUCATION SYMPOSIUM AND WORKSHOPS FOR SCHOOL NURSES- PARENT WORKSHOPS, HEALTHY COOKING DEMONSTRATIONS AND CHILDREN'S HEALTHY EATING PROGRAMS PROVIDED AT PARTNER SCHOOLS.- CHILDHOOD INJURY PREVENTION AND CHILD SAFETY SEAT PROGRAM- CHILDREN'S HEALTH RESOURCE CENTER PROVIDING RELIABLE HEALTH INFO TO PARENTS; MATERIALS ON THE MOST COMMON DIAGNOSES /CONDITIONS/TREATMENTS ARE ALSO TRANSLATED INTO SPANISH, POLISH AND ARABIC.
ADVOCATE SOUTH SUBURBAN HOSPITAL: PART VI, LINE 2 HEALTH IMPACT COLLABORATIVE OF COOK COUNTY (NOW NAMED THE ALLIANCE FOR HEALTH EQUITY)AS MENTIONED EARLIER, ADVOCATE SOUTH SUBURBAN IS A MEMBER OF THE HEALTH IMPACT COLLABORATIVE OF COOK COUNTY (HICCC). HICCC IS A PARTNERSHIP OF HOSPITALS, HEALTH DEPARTMENTS AND COMMUNITY ORGANIZATIONS WORKING TO ASSESS COMMUNITY HEALTH NEEDS AND ASSETS, AND TO IMPLEMENT A SHARED PLAN TO MAXIMIZE HEALTH EQUITY AND WELLNESS IN CHICAGO AND COOK COUNTY. THIS COLLABORATIVE WAS DEVELOPED SO THAT PARTICIPATING ORGANIZATIONS COULD EFFICIENTLY SHARE RESOURCES AND WORK TOGETHER ON DATA COLLECTION, PRIORITY SETTING AND IMPLEMENTATION PLANNING. COOK COUNTY WAS DIVIDED INTO NORTH, CENTRAL AND SOUTH REGIONS TO ENABLE THE INVOLVEMENT OF OTHER LOCAL STAKEHOLDERS AND IDENTIFY THE LOCAL NEEDS OF THIS DIVERSE COUNTY. ADVOCATE SOUTH SUBURBAN PARTICIPATED IN THE HICCC SOUTH REGION ASSESSMENT. THE METHODOLOGY FOR THE CHNA HAD THREE COMPONENTS: 1) THE MAPP PROCESS USED BY THE HEALTH IMPACT COLLABORATIVE OF COOK COUNTY (2/2015-6/2016); 2) USE OF THE HEALTHY COMMUNITIES INSTITUTE (HCI) PLATFORM TO REVIEW COUNTY, SERVICE AREA AND ZIP CODE DATA (3/2014-8/2016); AND 3) REVIEW OF OTHER AVAILABLE NATIONAL AND LOCAL DATA (1/2016-8/2016). MAPP PROCESSTHE HEALTH IMPACT COLLABORATIVE OF COOK COUNTY (HICCC) CONDUCTED A COLLABORATIVE CHNA BETWEEN FEBRUARY 2015 AND JUNE 2016. THE ILLINOIS PUBLIC HEALTH INSTITUTE (IPHI) DESIGNED AND FACILITATED A COLLABORATIVE, COMMUNITY-ENGAGED ASSESSMENT BASED ON THE MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP) FRAMEWORK. MAPP IS A COMMUNITY-DRIVEN STRATEGIC PLANNING FRAMEWORK THAT WAS DEVELOPED BY THE NATIONAL ASSOCIATION FOR COUNTY AND CITY HEALTH OFFICIALS (NACCHO) AND THE CDC. BOTH THE CHICAGO AND COOK COUNTY DEPARTMENTS OF PUBLIC HEALTH USE THE MAPP FRAMEWORK FOR COMMUNITY HEALTH ASSESSMENT AND PLANNING. THE MAPP FRAMEWORK PROMOTES A SYSTEM FOCUS, EMPHASIZING THE IMPORTANCE OF COMMUNITY ENGAGEMENT, PARTNERSHIP DEVELOPMENT AND THE DYNAMIC INTERPLAY OF FACTORS AND FORCES WITHIN THE PUBLIC HEALTH SYSTEM. THE HEALTH IMPACT COLLABORATIVE OF COOK COUNTY CHOSE THIS INCLUSIVE, COMMUNITY-DRIVEN PROCESS SO THAT THE ASSESSMENT AND IDENTIFICATION OF PRIORITY HEALTH ISSUES WOULD BE INFORMED BY THE DIRECT PARTICIPATION OF STAKEHOLDERS AND COMMUNITY RESIDENTS. THE MAPP FRAMEWORK EMPHASIZES PARTNERSHIPS AND COLLABORATION TO UNDERSCORE THE CRITICAL IMPORTANCE OF SHARED RESOURCES AND RESPONSIBILITY TO MAKE THE VISION FOR A HEALTHY FUTURE A REALITY.HICCC USED THE COUNTY HEALTH RANKINGS MODEL TO GUIDE THE SELECTION OF ASSESSMENT INDICATORS. IPHI WORKED WITH THE HEALTH DEPARTMENTS, HOSPITALS, AND COMMUNITY STAKEHOLDERS TO IDENTIFY AVAILABLE DATA RELATED TO HEALTH OUTCOMES, HEALTH BEHAVIORS, CLINICAL CARE, PHYSICAL ENVIRONMENT, AND SOCIAL AND ECONOMIC FACTORS. THE COLLABORATIVE DECIDED TO ADD MENTAL HEALTH AS AN ADDITIONAL CATEGORY OF DATA INDICATORS. AS PART OF CONTINUING EFFORTS TO ALIGN AND INTEGRATE COMMUNITY HEALTH ASSESSMENT ACROSS CHICAGO AND COOK COUNTY, HICCC LEVERAGED RECENT ASSESSMENT DATA FROM LOCAL HEALTH DEPARTMENTS WHERE POSSIBLE FOR THIS CHNA. BOTH THE CHICAGO AND COOK COUNTY DEPARTMENTS OF PUBLIC HEALTH COMPLETED COMMUNITY HEALTH ASSESSMENTS USING THE MAPP MODEL BETWEEN 2014 AND 2015. AS A RESULT, IPHI WAS ABLE TO COMPILE DATA FROM THE TWO HEALTH DEPARTMENTS' RESPECTIVE FORCES OF CHANGE AND LOCAL PUBLIC HEALTH SYSTEM ASSESSMENTS FOR DISCUSSION WITH THE SOUTH STAKEHOLDER ADVISORY TEAM, AND DATA FROM THE COMMUNITY HEALTH STATUS ASSESSMENTS WAS ALSO INCORPORATED INTO THE DATA PRESENTATION FOR THIS CHNA. THE COMMUNITY THEMES AND STRENGTHS ASSESSMENT INCLUDED BOTH FOCUS GROUPS AND COMMUNITY RESIDENT SURVEYS. THE PURPOSE OF COLLECTING THIS COMMUNITY INPUT DATA WAS TO IDENTIFY ISSUES OF IMPORTANCE TO COMMUNITY RESIDENTS, GATHER FEEDBACK ON QUALITY OF LIFE IN THE COMMUNITY AND IDENTIFY COMMUNITY ASSETS THAT CAN BE USED TO IMPROVE COMMUNITIES. COMMUNITY SURVEY BY LEVERAGING ITS PARTNERS AND NETWORKS, THE COLLABORATIVE COLLECTED APPROXIMATELY 5,200 RESIDENT SURVEYS BETWEEN OCTOBER 2015 AND JANUARY 2016, INCLUDING 2,288 IN THE SOUTH REGION. THE SURVEY WAS AVAILABLE ON PAPER AND ONLINE AND WAS DISSEMINATED IN FIVE LANGUAGES - ENGLISH, SPANISH, POLISH, KOREAN, AND ARABIC. THE MAJORITY OF THE RESPONSES WERE PAPER-BASED (ABOUT 75 PERCENT) AND ABOUT A QUARTER WERE SUBMITTED ONLINE.THE COMMUNITY RESIDENT SURVEY WAS A CONVENIENCE SAMPLE SURVEY, DISTRIBUTED BY HOSPITALS AND COMMUNITY-BASED ORGANIZATIONS THROUGH TARGETED OUTREACH TO DIVERSE COMMUNITIES IN CHICAGO AND COOK COUNTY, WITH A FOCUS ON REACHING LOW-INCOME COMMUNITIES AND DIVERSE RACIAL AND ETHNIC GROUPS TO HEAR THEIR INPUT INTO THIS COMMUNITY HEALTH NEEDS ASSESSMENT. THE COMMUNITY RESIDENT SURVEY WAS INTENDED TO COMPLEMENT EXISTING COMMUNITY HEALTH SURVEYS THAT ARE CONDUCTED BY LOCAL HEALTH DEPARTMENTS FOR THEIR IPLAN COMMUNITY HEALTH ASSESSMENT PROCESSES. IPHI REVIEWED APPROXIMATELY 12 EXISTING SURVEYS TO IDENTIFY POSSIBLE QUESTIONS, AND WORKED ITERATIVELY WITH HOSPITALS, HEALTH DEPARTMENTS, AND STAKEHOLDERS FROM THE THREE REGIONS TO HONE IN ON THE MOST IMPORTANT SURVEY QUESTIONS. IPHI CONSULTED WITH THE UIC SURVEY RESEARCH LABORATORY TO REFINE THE SURVEY DESIGN. THE DATA FROM PAPER SURVEYS WAS ENTERED INTO THE ONLINE SURVEYMONKEY SYSTEM SO THAT ELECTRONIC AND PAPER SURVEY DATA COULD BE ANALYZED TOGETHER. SURVEY DATA ANALYSIS WAS CONDUCTED USING STATISTICAL ANALYSIS SOFTWARE, AND MICROSOFT EXCEL WAS USED TO CREATE SURVEY DATA TABLES AND CHARTS. THE MAJORITY OF SURVEY RESPONDENTS FROM THE SOUTH REGION IDENTIFIED AS HETEROSEXUAL (91 PERCENT, N=2146) AND AFRICAN AMERICAN/BLACK (57 PERCENT, N=2146). TWENTY-SEVEN PERCENT OF SURVEY RESPONDENTS IDENTIFIED AS WHITE, 2 PERCENT ASIAN/PACIFIC ISLANDER, AND 2 PERCENT NATIVE AMERICAN/AMERICAN INDIAN. APPROXIMATELY 25 PERCENT (N=1651) OF SURVEY RESPONDENTS IN THE SOUTH REGION IDENTIFIED AS HISPANIC/LATINO AND APPROXIMATELY 10 PERCENT IDENTIFIED AS MIDDLE EASTERN (N=1651). TWO-PERCENT OF SURVEY RESPONDENTS FROM THE SOUTH REGION INDICATED THAT THEY WERE LIVING IN A SHELTER AND 1 PERCENT INDICATED THAT THEY WERE HOMELESS (N=2257). THE SOUTH REGION HAD THE HIGHEST PERCENTAGE OF INDIVIDUALS WITH LESS THAN A HIGH SCHOOL EDUCATION (12 PERCENT, N=2027) COMPARED TO THE NORTH AND CENTRAL REGIONS OF COOK COUNTY, AND THE MAJORITY OF RESPONDENTS FROM THE SOUTH REGION (68 PERCENT, N=1824) REPORTED AN ANNUAL HOUSEHOLD INCOME OF LESS THAN $40,000.FOCUS GROUPS IN SOUTH REGIONIPHI CONDUCTED EIGHT FOCUS GROUPS IN THE SOUTH REGION BETWEEN OCTOBER 2015 AND MARCH 2016. THE COLLABORATIVE ENSURED THAT THE FOCUS GROUPS INCLUDED POPULATIONS WHO ARE TYPICALLY UNDERREPRESENTED IN COMMUNITY HEALTH ASSESSMENTS, INCLUDING RACIAL AND ETHNO-CULTURAL GROUPS, IMMIGRANTS, LIMITED ENGLISH SPEAKERS, LOW-INCOME COMMUNITIES, FAMILIES WITH CHILDREN, LGBQIA AND TRANSGENDER INDIVIDUALS AND SERVICE PROVIDERS, INDIVIDUALS WITH DISABILITIES AND THEIR FAMILY MEMBERS, INDIVIDUALS WITH MENTAL HEALTH ISSUES, FORMERLY INCARCERATED INDIVIDUALS, VETERANS, SENIORS, AND YOUNG ADULTS. THE MAIN GOALS OF THE FOCUS GROUPS WERE TO: - UNDERSTAND NEEDS, ASSETS, AND POTENTIAL RESOURCES IN THE DIFFERENT COMMUNITIES OF CHICAGO AND SUBURBAN COOK COUNTY.- START TO GATHER IDEAS ABOUT HOW HOSPITALS CAN PARTNER WITH COMMUNITIES TO IMPROVE HEALTH. EACH OF THE FOCUS GROUPS WERE HOSTED BY A HOSPITAL OR COMMUNITY-BASED ORGANIZATION, AND THE HOST ORGANIZATION RECRUITED PARTICIPANTS. IPHI FACILITATED THE FOCUS GROUPS, MOST OF WHICH WERE IMPLEMENTED IN 90-MINUTE SESSIONS WITH APPROXIMATELY 8 TO10 PARTICIPANTS. IPHI ADJUSTED THE LENGTH OF SOME SESSIONS TO BE AS SHORT AS 45 MINUTES AND AS LONG AS TWO HOURS TO ACCOMMODATE THE NEEDS OF THE PARTICIPANTS, AND SOME GROUPS INCLUDED AS MANY AS 25 PARTICIPANTS.
ADVOCATE SOUTH SUBURBAN HOSPITAL: PART VI, LINE 4 ADVOCATE SOUTH SUBURBAN CONTINUES TO DEMONSTRATE STRONG COMMITMENT TO BUILDING LIFELONG RELATIONSHIPS TO IMPROVE THE HEALTH OF INDIVIDUALS, FAMILIES AND COMMUNITIES. ADVOCATE SOUTH SUBURBAN CONDUCTED A COMMUNITY HEALTH ASSESSMENT TARGETING ITS DEFINED COMMUNITY--THE HOSPITAL'S PRIMARY SERVICE AREA (PSA). THIS AREA CONSISTS OF 22 ZIP CODES IN SOUTH SUBURBAN COOK COUNTY WITH PARTS OF PARK FOREST AND FRANKFORT IN WILL COUNTY. WITH A POPULATION OF 496,633, THE PSA IS A DIVERSE COMMUNITY WITH 12.5 PERCENT OF ITS RESIDENTS OF HISPANIC ETHNICITY AND A RACIAL DISTRIBUTION THAT IS 43 PERCENT WHITE, 47 PERCENT BLACK/AFRICAN AMERICAN AND 10 PERCENT OTHER. THE MEDIAN AGE OF RESIDENTS IN THE HOSPITAL PSA IS 38 YEARS AND SENIORS AGE 65 AND OLDER REPRESENT 14 PERCENT OF THE POPULATION-VERY SIMILAR TO PERCENTAGES FOR THE COUNTY AND STATE. THERE ARE DISPARITIES THAT EXIST AMONG THE COMMUNITIES IN THE HOSPITAL'S PSA IN RELATION TO EDUCATION AND INCOME. THE PERCENT OF THE POPULATION WITH NO HIGH SCHOOL DIPLOMA RANGES FROM 2.6 PERCENT FOR FLOSSMOOR TO 23.3 PERCENT FOR HARVEY. WHILE THE PSA HAS 22 PERCENT OF RESIDENTS INSURED BY MEDICAID, THAT PERCENTAGE RANGES FROM 52.3 PERCENT IN HARVEY TO 7.5 PERCENT IN TINLEY PARK. WHILE THE MEDIAN HOUSEHOLD INCOME FOR THE PSA IS $61,147, THIS FIGURE RANGES FROM $99,098 IN FRANKFORT TO $42,479 IN MARKHAM TO $27,939 IN HARVEY.IN ADDITION, THERE ARE SEVERAL OTHER HOSPITALS AND FEDERALLY QUALIFIED HEALTH CENTERS (FQHCS), AND A COUNTY HEALTH DEPARTMENT CLINIC WHICH SERVE THE AREA. THE OTHER HOSPITALS INCLUDE: INGALLS, HARVEY; FRANCISCAN ALLIANCE, CHICAGO HEIGHTS AND OLYMPIA FIELDS; AND METRO SOUTH MEDICAL CENTER, BLUE ISLAND. THE FQHCS INCLUDE: ACCESS COMMUNITY HEALTH NETWORK, BLUE ISLAND AND CHICAGO HEIGHTS; AUNT MARTHA'S COMMUNITY HEALTH CENTER, CHICAGO HEIGHTS, HARVEY AND HAZEL CREST; AND FAMILY CHRISTIAN HEALTH CENTER, HARVEY. ONE COUNTY CLINIC IS THE COOK COUNTY HEALTH CENTER IN OAK FOREST.
ADVOCATE SOUTH SUBURBAN HOSPITAL: PART VI, LINE 5 THE GOVERNING COUNCIL AT ADVOCATE SOUTH SUBURBAN IS COMPRISED OF LOCAL COMMUNITY LEADERS AND PHYSICIANS. GOVERNING COUNCIL MEMBERS SUPPORT HOSPITAL LEADERSHIP IN THEIR PURSUIT OF THE HOSPITAL'S GOALS, REPRESENT THE COMMUNITY'S INTEREST TO THE HOSPITAL AND SERVE AS AMBASSADORS IN THE COMMUNITY. FIFTY-NINE PERCENT OF THE CURRENT GOVERNING COUNCIL MEMBERS REPRESENT THE COMMUNITY, INCLUDING THE FAITH COMMUNITY. IN ADDITION, THE ORGANIZATION EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY FOR SOME OR ALL OF ITS DEPARTMENTS AND SPECIALTIES.ADVOCATE SOUTH SUBURBAN 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: ADVOCATE SOUTH SUBURBAN 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 VARIETY OF COMMUNITY HEALTH EVENTS THROUGHOUT THE YEAR.SUPPORT GROUPS: THE HOSPITAL ALSO HOSTS SUPPORT GROUPS FOR THE COMMUNITY DESIGNED FOR INDIVIDUALS LIVING WITH A SPECIFIC ILLNESS. COMMUNITY MEMBERS CAN FIND SUPPORT GROUPS FOR: ALZHEIMER'S, DIABETES, PARKINSON'S, EASY BREATHERS, LUPUS, NAMI, CONGESTIVE HEART FAILURE, OSTOMY, PLATELET, AND STROKE AT THE HOSPITAL-ALL FREE OF CHARGE TO THE COMMUNITY.LIFESTYLE CLASSES: TO AID THE COMMUNITY WITH LIFESTYLE ADJUSTMENTS, ADVOCATE SOUTH SUBURBAN AND ITS TEAM OF HEALTH CARE PROFESSIONALS OFFER CLASSES ON CONGESTIVE HEART FAILURE, LIFE AFTER A STROKE, AND DIABETES. 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.WOMEN AND INFANTS CENTER: IN 2017, ADVOCATE SOUTH SUBURBAN UNDERTOOK MEASURES TO ENHANCE IT WOMEN'S HEALTH AND OB SERVICES BY INVESTING IN THE UNIT'S REDESIGN. THE REDESIGN INCLUDED CONSTRUCTION THAT ENHANCES PATIENT PRIVACY AND PROMOTES THE BEST ENVIRONMENT IN WHICH TO HEAL. THE UNIT INCLUDES 16 PRIVATE AND STATE-OF-THE-ART SUITES, 4 SEMI-PRIVATE TRIAGE ROOMS FOR OUTPATIENT TESTING, 2 SURGICAL SUITES, 2 RECOVERY SUITES AND COMPREHENSIVE CLASSES AND SUPPORT. THE PROJECT WAS COMPLETED, AND THE UNIT OPENED IN OCTOBER 2018.SURGICAL SERVICES EXPANSION: IN OCTOBER 2018, ADVOCATE SOUTH SUBURBAN UNDERTOOK MEASURES TO EXPAND AND MODERNIZE THE SURGICAL AND PROCEDURE SUITES. THE PROJECT INCLUDES ENLARGING AND UPDATING SURGICAL SUITES, ADDING NINE OPERATING ROOMS, THREE CARDIAC CATHETERIZATION LABS AND NEW PREPARATION AND RECOVERY SPACES. THESE ENHANCEMENTS PROVIDE THE HOSPITAL THE OPPORTUNITY TO TAKE ADVANTAGE OF EFFICIENCIES AND NEW TECHNOLOGY AND DELIVER HIGH-QUALITY CARE FOR THE PATIENTS IT SERVES.THE HOSPITAL'S VICE PRESIDENT FOR MISSION AND SPIRITUAL CARE SERVES ON THE BOARD OF THE UNITED WAY OF METROPOLITAN CHICAGO SOUTH-SOUTHWEST SUBURBAN CHAPTER. THE UNITED WAY OF METROPOLITAN CHICAGO IS A 501(C)(3) NON-PROFIT ORGANIZATION AND A BRANCH OF THE UNITED WAY OF AMERICA. THE UNITED WAY SERVES THE CITY OF CHICAGO AND ITS SURROUNDING SUBURBS, ALLOCATING FUNDING TO OTHER CHARITABLE ORGANIZATIONS, ESPECIALLY THOSE THAT PROVIDE NEEDED HEALTHCARE, EDUCATION AND INCOME SERVICES. THE UNITED WAY PROVIDES CRITICAL RESOURCES TO INDIVIDUALS WHO NEED THEM MOST IN THE SOUTH-SOUTHWEST SUBURBS-SOME OF THE SAME COMMUNITIES SERVED BY ADVOCATE SOUTH SUBURBAN.
ADVOCATE TRINITY HOSPITAL: PART VI, LINE 2 HEALTH IMPACT COLLABORATIVE OF COOK COUNTYADVOCATE TRINITY IS A MEMBER OF THE HEALTH IMPACT COLLABORATIVE OF COOK COUNTY (HICCC). HICCC IS A PARTNERSHIP OF HOSPITALS, HEALTH DEPARTMENTS AND COMMUNITY ORGANIZATIONS WORKING TO ASSESS COMMUNITY HEALTH NEEDS AND ASSETS, AND TO IMPLEMENT A SHARED PLAN TO MAXIMIZE HEALTH EQUITY AND WELLNESS IN CHICAGO AND COOK COUNTY. THIS COLLABORATIVE WAS DEVELOPED SO THAT PARTICIPATING ORGANIZATIONS COULD EFFICIENTLY SHARE RESOURCES AND WORK TOGETHER ON DATA COLLECTION, PRIORITY SETTING AND IMPLEMENTATION PLANNING. COOK COUNTY WAS DIVIDED INTO NORTH, CENTRAL AND SOUTH REGIONS TO ENABLE THE INVOLVEMENT OF OTHER LOCAL STAKEHOLDERS AND IDENTIFY THE LOCAL NEEDS OF THIS DIVERSE COUNTY. ADVOCATE TRINITY PARTICIPATED IN THE HICCC SOUTH REGION ASSESSMENT.THE METHODOLOGY FOR THE CHNA HAD THREE COMPONENTS: 1) THE MAPP PROCESS USED BY THE HEALTH IMPACT COLLABORATIVE OF COOK COUNTY (2/2015-6/2016); 2) USE OF THE HEALTHY COMMUNITIES INSTITUTE'S PLATFORM TO REVIEW COUNTY, SERVICE AREA AND ZIP CODE DATA (3/2014-8/2016); AND 3) REVIEW OF OTHER AVAILABLE NATIONAL AND LOCAL DATA (1/2016-8/2016).MAPP PROCESS THE HICCC CONDUCTED A COLLABORATIVE CHNA BETWEEN FEBRUARY 2015 AND JUNE 2016. THE ILLINOIS PUBLIC HEALTH INSTITUTE (IPHI) DESIGNED AND FACILITATED A COLLABORATIVE, COMMUNITY-ENGAGED ASSESSMENT BASED ON THE MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP) FRAMEWORK. MAPP IS A COMMUNITY-DRIVEN STRATEGIC PLANNING FRAMEWORK THAT WAS DEVELOPED BY THE NATIONAL ASSOCIATION FOR COUNTY AND CITY HEALTH OFFICIALS (NACCHO) AND THE CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC). BOTH THE CHICAGO AND COOK COUNTY DEPARTMENTS OF PUBLIC HEALTH USE THE MAPP FRAMEWORK FOR COMMUNITY HEALTH ASSESSMENT AND PLANNING. THE MAPP FRAMEWORK PROMOTES A SYSTEM FOCUS, EMPHASIZING THE IMPORTANCE OF COMMUNITY ENGAGEMENT, PARTNERSHIP DEVELOPMENT AND THE DYNAMIC INTERPLAY OF FACTORS AND FORCES WITHIN THE PUBLIC HEALTH SYSTEM. THE HEALTH IMPACT COLLABORATIVE OF COOK COUNTY CHOSE THIS INCLUSIVE, COMMUNITY-DRIVEN PROCESS SO THAT THE ASSESSMENT AND IDENTIFICATION OF PRIORITY HEALTH ISSUES WOULD BE INFORMED BY THE DIRECT PARTICIPATION OF STAKEHOLDERS AND COMMUNITY RESIDENTS. THE MAPP FRAMEWORK EMPHASIZES PARTNERSHIPS AND COLLABORATION TO UNDERSCORE THE CRITICAL IMPORTANCE OF SHARED RESOURCES AND RESPONSIBILITY TO MAKE THE VISION FOR A HEALTHY FUTURE A REALITY.THE KEY PHASES OF THE MAPP PROCESS INCLUDE:- ORGANIZING FOR SUCCESS AND DEVELOPING PARTNERSHIPS - VISIONING - CONDUCTING THE FOUR MAPP ASSESSMENTS - IDENTIFYING STRATEGIC ISSUES - FORMULATING GOALS AND STRATEGIES - TAKING ACTION - PLANNING, IMPLEMENTING, EVALUATING THE FOUR MAPP ASSESSMENTS WERE:- COMMUNITY THEMES AND STRENGTHS ASSESSMENT (CTSA) - FORCES OF CHANGE ASSESSMENT (FOCA) - COMMUNITY HEALTH STATUS ASSESSMENT (CHSA) - LOCAL PUBLIC HEALTH SYSTEM ASSESSMENT (LPHSA) HICCC USED THE COUNTY HEALTH RANKINGS MODEL TO GUIDE THE SELECTION OF ASSESSMENT INDICATORS. IPHI WORKED WITH THE HEALTH DEPARTMENTS, HOSPITALS AND COMMUNITY STAKEHOLDERS TO IDENTIFY AVAILABLE DATA RELATED TO HEALTH OUTCOMES, HEALTH BEHAVIORS, CLINICAL CARE, PHYSICAL ENVIRONMENT, AND SOCIAL AND ECONOMIC FACTORS. THE COLLABORATIVE DECIDED TO ADD MENTAL HEALTH AS AN ADDITIONAL CATEGORY OF DATA INDICATORS. AS PART OF CONTINUING EFFORTS TO ALIGN AND INTEGRATE COMMUNITY HEALTH ASSESSMENT ACROSS CHICAGO AND COOK COUNTY, HICCC LEVERAGED RECENT ASSESSMENT DATA FROM LOCAL HEALTH DEPARTMENTS WHERE POSSIBLE FOR THIS CHNA. BOTH THE CHICAGO AND COOK COUNTY DEPARTMENTS OF PUBLIC HEALTH COMPLETED COMMUNITY HEALTH ASSESSMENTS USING THE MAPP MODEL BETWEEN 2014 AND 2015. AS A RESULT, IPHI WAS ABLE TO COMPILE DATA FROM THE TWO HEALTH DEPARTMENTS' RESPECTIVE FORCES OF CHANGE AND LOCAL PUBLIC HEALTH SYSTEM ASSESSMENTS FOR DISCUSSION WITH THE SOUTH STAKEHOLDER ADVISORY TEAM, AND DATA FROM THE COMMUNITY HEALTH STATUS ASSESSMENTS WAS ALSO INCORPORATED INTO THE DATA PRESENTATION FOR THIS CHNA. THE COMMUNITY THEMES AND STRENGTHS ASSESSMENT INCLUDED BOTH FOCUS GROUPS AND COMMUNITY RESIDENT SURVEYS. THE PURPOSE OF COLLECTING THIS COMMUNITY INPUT DATA WAS TO IDENTIFY ISSUES OF IMPORTANCE TO COMMUNITY RESIDENTS, GATHER FEEDBACK ON QUALITY OF LIFE IN THE COMMUNITY AND IDENTIFY COMMUNITY ASSETS THAT CAN BE USED TO IMPROVE COMMUNITIES.COMMUNITY SURVEYBY LEVERAGING ITS PARTNERS AND NETWORKS, THE COLLABORATIVE COLLECTED APPROXIMATELY 5,200 RESIDENT SURVEYS BETWEEN OCTOBER 2015 AND JANUARY 2016, INCLUDING 2,288 IN THE SOUTH REGION. THE SURVEY WAS AVAILABLE ON PAPER AND ONLINE AND WAS DISSEMINATED IN FIVE LANGUAGES - ENGLISH, SPANISH, POLISH, KOREAN AND ARABIC. THE MAJORITY OF THE RESPONSES WERE PAPER-BASED (ABOUT 75 PERCENT) AND ABOUT A QUARTER WERE SUBMITTED ONLINE. THE COMMUNITY RESIDENT SURVEY WAS A CONVENIENCE SAMPLE SURVEY, DISTRIBUTED BY HOSPITALS AND COMMUNITY-BASED ORGANIZATIONS THROUGH TARGETED OUTREACH TO DIVERSE COMMUNITIES IN CHICAGO AND COOK COUNTY, WITH A PARTICULAR INTEREST IN REACHING LOW-INCOME COMMUNITIES AND DIVERSE RACIAL AND ETHNIC GROUPS TO HEAR THEIR INPUT INTO THIS COMMUNITY HEALTH NEEDS ASSESSMENT. THE COMMUNITY RESIDENT SURVEY WAS INTENDED TO COMPLEMENT EXISTING COMMUNITY HEALTH SURVEYS THAT ARE CONDUCTED BY LOCAL HEALTH DEPARTMENTS FOR THEIR IPLAN COMMUNITY HEALTH ASSESSMENT PROCESSES. IPHI REVIEWED APPROXIMATELY 12 EXISTING SURVEYS TO IDENTIFY POSSIBLE QUESTIONS, AND WORKED ITERATIVELY WITH HOSPITALS, HEALTH DEPARTMENTS AND STAKEHOLDERS FROM THE THREE REGIONS TO HONE IN ON THE MOST IMPORTANT SURVEY QUESTIONS. IPHI CONSULTED WITH THE UIC SURVEY RESEARCH LABORATORY TO REFINE THE SURVEY DESIGN. THE DATA FROM PAPER SURVEYS WAS ENTERED INTO THE ONLINE SURVEYMONKEY SYSTEM SO THAT ELECTRONIC AND PAPER SURVEY DATA COULD BE ANALYZED TOGETHER. SURVEY DATA ANALYSIS WAS CONDUCTED USING SAS STATISTICAL ANALYSIS SOFTWARE, AND MICROSOFT EXCEL WAS USED TO CREATE SURVEY DATA TABLES AND CHARTS. THE MAJORITY OF SURVEY RESPONDENTS FROM THE SOUTH REGION IDENTIFIED AS HETEROSEXUAL (91 PERCENT, N=2146) AND AFRICAN AMERICAN/BLACK (57 PERCENT, N=2146). TWENTY-SEVEN PERCENT (27 PERCENT) OF SURVEY RESPONDENTS IDENTIFIED AS WHITE, 2 PERCENT ASIAN/PACIFIC ISLANDER, AND 2 PERCENT NATIVE AMERICAN/AMERICAN INDIAN. APPROXIMATELY 25 PERCENT (N=1651) OF SURVEY RESPONDENTS IN THE SOUTH REGION IDENTIFIED AS HISPANIC/LATINO AND APPROXIMATELY 10 PERCENT IDENTIFIED AS MIDDLE EASTERN (N=1651). TWO-PERCENT OF SURVEY RESPONDENTS FROM THE SOUTH REGION INDICATED THAT THEY WERE LIVING IN A SHELTER AND ONE PERCENT INDICATED THAT THEY WERE HOMELESS (N=2257). THE SOUTH REGION HAD THE HIGHEST PERCENTAGE OF INDIVIDUALS WITH LESS THAN A HIGH SCHOOL EDUCATION (12 PERCENT, N=2027) COMPARED TO THE NORTH AND CENTRAL REGIONS OF COOK COUNTY, AND THE MAJORITY OF RESPONDENTS FROM THE SOUTH REGION (68 PERCENT, N=1824) REPORTED AN ANNUAL HOUSEHOLD INCOME OF LESS THAN $40,000.FOCUS GROUPS IN SOUTH REGIONIPHI CONDUCTED EIGHT FOCUS GROUPS IN THE SOUTH REGION BETWEEN OCTOBER 2015 AND MARCH 2016. THE COLLABORATIVE ENSURED THAT THE FOCUS GROUPS INCLUDED POPULATIONS WHO ARE TYPICALLY UNDERREPRESENTED IN COMMUNITY HEALTH ASSESSMENTS, INCLUDING RACIAL AND ETHNO-CULTURAL GROUPS, IMMIGRANTS, LIMITED ENGLISH SPEAKERS, LOW-INCOME COMMUNITIES, FAMILIES WITH CHILDREN, LGBQIA AND TRANSGENDER INDIVIDUALS AND SERVICE PROVIDERS, INDIVIDUALS WITH DISABILITIES AND THEIR FAMILY MEMBERS, INDIVIDUALS WITH MENTAL HEALTH ISSUES, FORMERLY INCARCERATED INDIVIDUALS, VETERANS, SENIORS AND YOUNG ADULTS. THE MAIN GOALS OF THE FOCUS GROUPS WERE TO: 1. UNDERSTAND NEEDS, ASSETS AND POTENTIAL RESOURCES IN THE DIFFERENT COMMUNITIES OF CHICAGO AND SUBURBAN COOK COUNTY; AND 2. START TO GATHER IDEAS ABOUT HOW HOSPITALS CAN PARTNER WITH COMMUNITIES TO IMPROVE HEALTH. EACH OF THE FOCUS GROUPS WERE HOSTED BY A HOSPITAL OR COMMUNITY-BASED ORGANIZATION, AND THE HOST ORGANIZATION RECRUITED PARTICIPANTS. IPHI FACILITATED THE FOCUS GROUPS, MOST OF WHICH WERE IMPLEMENTED IN 90-MINUTE SESSIONS WITH APPROXIMATELY EIGHT TO 10 PARTICIPANTS. IPHI ADJUSTED THE LENGTH OF SOME SESSIONS TO BE AS SHORT AS 45 MINUTES AND AS LONG AS TWO HOURS TO ACCOMMODATE THE NEEDS OF THE PARTICIPANTS, AND SOME GROUPS INCLUDED AS MANY AS 25 PARTICIPANTS.
ADVOCATE TRINITY HOSPITAL: PART VI, LINE 4 IN 2016, THE TOTAL POPULATION OF ADVOCATE TRINITY'S TOTAL SERVICE AREA (TSA) WAS ESTIMATED AT 578,551, WITH A PRIMARY SERVICE AREA (PSA) POPULATION OF 380,375 AND A SECONDARY SERVICE AREA (SSA) POPULATION OF 198,176. BOTH PRIMARY (-2.27 PERCENT) AND SECONDARY (-2.77 PERCENT) SERVICE AREAS EXPERIENCED A DECLINE IN POPULATION FROM 2010 TO 2016. THE RACE AND ETHNICITY DISTRIBUTION IN THE TOTAL SERVICE AREA IS PREDOMINANTLY AFRICAN AMERICAN (83.0 PERCENT) FOLLOWED BY THE WHITE POPULATION (10.0 PERCENT). APPROXIMATELY NINE PERCENT OF THE POPULATION IDENTIFIED AS BEING OF HISPANIC OR LATINO ETHNICITY. THE HISPANIC POPULATION IS PRIMARILY LOCATED IN FOUR COMMUNITY AREAS: EASTSIDE, SOUTH CHICAGO, SOUTH DEERING AND HEGEWISCH. THE RACIAL AND ETHNIC BREAKDOWN OF ADVOCATE TRINITY'S TOTAL SERVICE AREA IS SUBSTANTIALLY DIFFERENT THAN THAT OF COOK COUNTY AND THE STATE OF ILLINOIS. THE MEDIAN HOUSEHOLD INCOME IN ADVOCATE TRINITY'S PSA IS $38,029 AND $30,660 IN THE HOSPITAL'S SECONDARY SERVICE AREA. BOTH ARE CONSIDERABLY LOWER AMOUNTS WHEN COMPARED TO THE ILLINOIS MEDIAN HOUSEHOLD INCOME OF $59,608 AND THE COOK COUNTY MEDIAN HOUSEHOLD INCOME OF $56,747. EXAMINING RACE AND INCOME, THE COMMUNITY HEALTH DATA SHOWED THAT THE AFRICAN AMERICAN POPULATION HAS ONE OF THE LOWEST MEDIAN HOUSEHOLD INCOMES ($35,677 IN THE PSA AND $27,830 IN THE SSA) IN COMPARISON TO OTHER RACES.IN ADVOCATE TRINITY'S PSA, THE PERCENT OF FAMILIES LIVING BELOW THE FPL IS 22.85 PERCENT, WHICH IS HIGHER THAN BOTH STATE (10.79 PERCENT) AND COUNTY (13.83 PERCENT) PERCENTAGES. THE PERCENT OF FAMILIES LIVING BELOW THE FPL IN ADVOCATE TRINITY'S SECONDARY SERVICE AREA IS 31.84 PERCENT, WHICH IS NEARLY THREE TIMES THE ILLINOIS PERCENTAGE. IN THE PSA, 10.47 PERCENT OF THE POPULATION AND 13.62 PERCENT OF THE SSA POPULATION HAVE SOME HIGH SCHOOL EDUCATION BUT NO DIPLOMA. THIS PERCENTAGE IS HIGHER IN COMPARISON TO THE ILLINOIS RATE OF 6.75 PERCENT AND THE COUNTY RATE OF 7.44 PERCENT; HOWEVER, WHEN "LESS THAN 9TH GRADE AND "SOME HIGH SCHOOL" ARE ADDED TOGETHER, THE DIFFERENCES BETWEEN THE PSA AND THE COUNTY AND STATE NARROW. TWENTY-NINE PERCENT OF THE PSA POPULATION HAVE A HIGH SCHOOL DIPLOMA AND 28 PERCENT HAVE TAKEN SOME COLLEGE CLASSES. ONLY 12.18 PERCENT OF THE PSA AND 9.16 PERCENT OF THE SSA RESIDENTS HAVE A BACHELOR'S DEGREE COMPARED TO THE 20.99 PERCENT OF COOK COUNTY RESIDENTS WITH SUCH A DEGREE. IN ADVOCATE TRINITY'S PSA, 38.2 PERCENT OF THE POPULATION IS INSURED BY MEDICAID AND 15.9 PERCENT BY MEDICARE, WHILE 10.7 PERCENT HAVE NO INSURANCE. IN THE SSA, 48.3 PERCENT OF THE POPULATION IS INSURED BY MEDICAID, 11.6 PERCENT BY MEDICARE AND 13.4 PERCENT HAVE NO INSURANCE.
ADVOCATE TRINITY HOSPITAL: PART VI, LINE 5 THE GOVERNING COUNCIL AT ADVOCATE TRINITY IS COMPRISED OF LOCAL COMMUNITY LEADERS AND PHYSICIANS. GOVERNING COUNCIL MEMBERS SUPPORT HOSPITAL LEADERSHIP IN THEIR PURSUIT OF THE HOSPITAL'S GOALS, REPRESENT THE COMMUNITY'S INTEREST TO THE HOSPITAL AND SERVE AS AMBASSADORS IN THE COMMUNITY. SIXTY-ONE PERCENT OF THE CURRENT GOVERNING COUNCIL MEMBERS REPRESENT THE COMMUNITY, INCLUDING THE FAITH COMMUNITY. IN ADDITION, THE ORGANIZATION EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY FOR SOME OR ALL ITS DEPARTMENTS AND SPECIALTIES.IN ADDITION TO OFFERING AN ARRAY OF HOSPITAL SERVICES, ADVOCATE TRINITY PROVIDES FREE SCREENINGS AND A VARIETY OF OTHER OUTREACH SERVICES THROUGHOUT THE COMMUNITY, INCLUDING:- WALK WITH A DOC: A MONTHLY WALKING, WELLNESS AND PATIENTS/COMMUNITY EDUCATION ACTIVITY. - MEN'S HEALTH EVENTS: THE PURPOSE OF THE MEN'S HEALTH EVENT IS TO RAISE AWARENESS ABOUT SEVERAL HEALTH ISSUES AFFECTING MEN'S HEALTH, SOME OF WHICH INCLUDE DIABETES, HYPERTENSION, HIGH CHOLESTEROL, KIDNEY DISEASE, PROSTATE CANCER AND HIV/AIDS. MANY MEN AND THEIR FAMILIES WERE ENCOURAGED TO PARTICIPATE IN SCREENINGS TO DETECT HIGH BLOOD PRESSURE, HIGH CHOLESTEROL, DIABETES, HIV/AIDS, PROSTATE CANCER AND EARLY SIGNS OF KIDNEY DISEASE.- LADIES NIGHT EVENTS: THE PURPOSE OF THE LADIES NIGHT HEALTH SEMINARS IS TO INCREASE AWARENESS REGARDING WOMEN'S HEALTH ISSUES SUCH AS DIABETES, HEART DISEASE, STROKE, BREAST CANCER AND GENERAL WOMEN'S HEALTH. THE PROGRAM PROVIDES LECTURES FROM PHYSICIANS AND OTHER HEALTHCARE PROFESSIONALS WHO PROVIDE INFORMATION AND ANSWER PERTINENT QUESTIONS ABOUT WOMEN'S HEALTH CONDITIONS.- SENIOR SUPPORT: ADVOCATE TRINITY HOSTS A MONTHLY SENIOR BREAKFAST CLUB PROGRAM BY OFFERING A VARIETY OF HEALTH EDUCATION TOPICS PERTINENT TO SENIORS.- SUPPORT GROUPS: THE HOSPITAL ALSO HOSTS SEVERAL SUPPORT GROUPS FOR THE COMMUNITY DESIGNED FOR INDIVIDUALS LIVING WITH A SPECIFIC ILLNESS. COMMUNITY MEMBERS CAN FIND SUPPORT GROUPS FOR BREAST CANCER, DIABETES AND STROKE AT THE HOSPITAL - ALL FREE OF CHARGE TO THE COMMUNITY.
Schedule H (Form 990) 2018
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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," on Form 990, Part IV, line 21 or 22.
lBullet Attach to Form 990.
lBullet Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2018
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" on 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
noncash assistance
(h) Purpose of grant
or assistance
(1) ACCESS LIVING
115 WEST CHICAGO AVENUE
CHICAGO,IL60654
36-3310774 501(C)(3) 10,000       SPONSOR EVENTS
(2) ALZHEIMERS ASSOCIATION
850 ESSINGTON ROAD SUITE 200
JOLIET,IL60435
13-3039601 501(C)(3) 6,000       SPONSOR EVENTS
(3) AMERICAN CANCER SOCIETY
225 N MICHIGAN AVE SUITE 1200
CHICAGO,IL60601
13-1788491 501(C)(3) 109,500       SPONSOR EVENTS
(4) AMERICAN DIABETES ASSOCIATION
55 W MONROE ST SUITE 3420
CHICAGO,IL60603
13-1623888 501(C)(3) 5,075       SPONSOR EVENTS
(5) AMERICAN HEART ASSOCIATION
PO BOX 50035
PRESCOTT,AZ863045035
13-5613797 501(C)(3) 194,678       SPONSOR EVENTS
(6) ASSOCIATION HOUSE OF CHICAGO
1116 N KEDZIE AVENUE
CHICAGO,IL60651
36-2166961 501(C)(3) 25,000       SUPPORT EXEMPT MISSION
(7) BARRINGTON AREA COUNCIL ON AGING
6000 GARLANDS LANE SUITE 100
BARRINGTON,IL60010
36-3337705 501(C)(3) 8,192       SUPPORT EXEMPT MISSION
(8) BARRINGTON HIGH SCHOOL
616 WEST MAIN STREET
BARRINGTON,IL60010
36-2780596 N/A 10,000       COMMUNITY SUPPORT
(9) BLOCKS TOGETHER
3711 WEST CHICAGO AVENUE
CHICAGO,IL60651
36-3983087 501(C)(3) 20,000       SUPPORT EXEMPT MISSION
(10) B'NAI B'RITH INTERNATIONAL
1120 20TH STREET NW STE 300 NORTH
WASHINGTON,DC20036
53-0179971 501(C)(3) 15,000       SPONSOR EVENTS
(11) BREAKTHROUGH URBAN MINISTRIES
402 N ST LOUIS AVE
CHICAGO,IL60624
36-3810926 501(C)(3) 35,000       SUPPORT EXEMPT MISSION
(12) BSTRONG TOGETHER NFP
110 SOUTH HAGER AVENUE SUITE 202
BARRINGTON,IL60010
46-5117099 501(C)(3) 13,000       SUPPORT EXEMPT MISSION
(13) BUILD INC
5100 W HARRISON ST
CHICAGO,IL60644
23-7022085 501(C)(3) 40,000       SUPPORT EXEMPT MISSION
(14) CANCER SUPPORT CENTER
2028 ELM ROAD
HOMEWOOD,IL60430
36-3880404 501(C)(3) 14,324       SUPPORT EXEMPT MISSION
(15) CHICAGO AMACHI MENTORING PROGRAM
3508 W OGDEN AVE
CHICAGO,IL60623
26-0907131 501(C)(3) 35,000       SUPPORT EXEMPT MISSION
(16) CHICAGO JESUIT ACADEMY
5058 W JACKSON BLVD
CHICAGO,IL60644
20-2091040 501(C)(3) 35,000       SUPPORT EXEMPT MISSION
(17) CHICAGO URBAN LEAGUE
4510 SOUTH MICHIGAN AVENUE
CHICAGO,IL60653
36-2225483 501(C)(3) 8,250       SPONSOR EVENTS
(18) CHILDRENS HEART FOUNDATION
PO BOX 2844
GLENVIEW,IL60026
36-4077528 501(C)(3) 9,600       SPONSOR EVENTS
(19) CHOOSE DUPAGE
2525 CABOT DRIVE SUITE 303
LISLE,IL60532
32-0177792 501(C)(3) 10,000       COMMUNITY SUPPORT
(20) CIRCLE URBAN MINISTRIES
118 N CENTRAL AVE
CHICAGO,IL60644
36-3136997 501(C)(3) 25,000       SUPPORT EXEMPT MISSION
(21) COLLEGE MENTORING EXPERIENCE
5800 W ADAMS ST
CHICAGO,IL60644
46-5578549 501(C)(3) 15,000       SUPPORT EXEMPT MISSION
(22) COMMUNITY DEVELOPMENT CORP OF THE BN AREA
200 W COLLEGE AVE SUITE 402
NORMAL,IL61761
26-1436471 501(C)(3) 21,000       SUPPORT EXEMPT MISSION
(23) COMMUNITY HEALTH
2611 W CHICAGO AVE
CHICAGO,IL60622
36-3831793 501(C)(3) 38,939       SUPPORT EXEMPT MISSION
(24) CONNECTIONS FOR ABUSED WOMEN AND CHILDREN
1116 N KEDZIE AVENUE
CHICAGO,IL60651
36-2950380 501(C)(3) 25,000       SUPPORT EXEMPT MISSION
(25) CRISTO REY JESUIT HIGH SCHOOL
1852 WEST 22ND PLACE
CHICAGO,IL60608
04-3730980 501(C)(3) 71,448       SUPPORT EXEMPT MISSION
(26) DEMOCRACY COLLABORATIVE FOUNDATION
1422 EUCLID AVE SUITE 1652
CLEVELAND,OH44115
20-0387511 501(C)(3) 30,000       SUPPORT EXEMPT MISSION
(27) DOWNERS GROVE ECONOMIC
5159 MOCHEL
DOWNERS GROVE,IL60515
87-0772222 501(C)(3) 7,500       COMMUNITY SUPPORT
(28) DUPAGE HEALTH COALITION
511 THORNHILL DRIVE SUITE M
CAROL STREAM,IL60188
36-4448208 501(C)(3) 212,953       SUPPORT EXEMPT MISSION
(29) ECONOMIC DEVELOPMENT COUNCIL
200 W COLLEGE AVE SUITE 402
NORMAL,IL61761
37-1169886 501(C)(3) 15,000       COMMUNITY SUPPORT
(30) ERIE ELEMENTARY CHARTER SCHOOL
1405 N WASHTENAW
CHICAGO,IL60622
37-1504399 501(C)(3) 10,000       SUPPORT EXEMPT MISSION
(31) FAITH LUTHERAN CHURCH
431 S ARLINGTON HEIGHTS RD
ARLINGTON HEIGHTS,IL60005
43-0658188 501(C)(3) 10,023       SUPPORT EXEMPT MISSION
(32) FIRST CONGREGATIONAL UCC OF WESTERN SPRINGS
1106 CHESTNUT
WESTERN SPRINGS,IL60558
53-0196617 501(C)(3) 20,476       SUPPORT EXEMPT MISSION
(33) FIRST PRESBYTERIAN SOCIETY
1427 CHICAGO AVE
EVANSTON,IL60201
23-6393377 501(C)(3) 9,826       SUPPORT EXEMPT MISSION
(34) FOUNDATION FOR ANGELMAN
PO BOX 608
DOWNERS GROVE,IL60515
26-3160079 501(C)(3) 9,250       SPONSOR EVENTS
(35) FREE SPIRIT MEDIA
906 S HOMAN AVE FLOOR 5
CHICAGO,IL60624
36-4456215 501(C)(3) 30,000       SUPPORT EXEMPT MISSION
(36) GARDENERS
3414 W ROOSEVELT RD
CHICAGO,IL60624
46-4651665 501(C)(3) 15,000       SUPPORT EXEMPT MISSION
(37) GILDA'S CLUB CHICAGO
205 WEST WACKER DRIVE SUITE 1400
CHICAGO,IL60606
36-4115144 501(C)(3) 23,900       SPONSOR EVENTS
(38) GIRLS IN THE GAME
1401 S SACRAMENTO DRIVE
CHICAGO,IL60623
36-4024533 501(C)(3) 20,000       SUPPORT EXEMPT MISSION
(39) GLORIA DEI LUTHERAN CHURCH
4501 MAIN ST
DOWNERS GROVE,IL60515
41-1568278 501(C)(3) 8,970       SUPPORT EXEMPT MISSION
(40) GRACE LUTHERAN CHURCH
200 N CATHERINE
LAGRANGE,IL60525
36-2182031 501(C)(3) 14,728       SUPPORT EXEMPT MISSION
(41) GREATER WEST TOWN COMMUNITY DEVELOPMENT PROJECT
500 N SACRAMENTO BLVD
CHICAGO,IL60612
36-3657734 501(C)(3) 35,000       SUPPORT EXEMPT MISSION
(42) HARPER COLLEGE EDUCATIONAL FOUNDATION
1200 WEST ALGONQUIN ROAD
PALATINE,IL60067
23-7348228 501(C)(3) 16,000       SUPPORT EXEMPT MISSION
(43) HEAD FOR THE CURE FOUNDATION
2020 BALTIMORE SUITE 201
KANSAS CITY,MO64108
20-8345719 501(C)(3) 5,750       SPONSOR EVENTS
(44) HEALTHY SCHOOLS CAMPAIGN
175 N FRANKLIN SUITE 300
CHICAGO,IL60606
36-4308068 501(C)(3) 24,470       SPONSOR EVENTS
(45) I AM ABLE CENTER FOR FAMILY DEVELOPMENT INC
3408 W ROOSEVELT RD
CHICAGO,IL60624
36-3861251 501(C)(3) 15,000       SUPPORT EXEMPT MISSION
(46) IHREF
24676 NETWORK PLACE
CHICAGO,IL606731246
23-7421930 501(C)(3) 2,058,728       SUPPORT EXEMPT MISSION
(47) ILLINOIS CHAMBER OF COMMERCE
PO BOX 19258
SPRINGFIELD,IL627949258
36-1254650 501(C)(3) 13,908       SPONSOR EVENTS
(48) ILLINOIS MANUFACTURING EXCELLENCE CENTER
1501 W BRADLEY AVE 428 JOBST HALL
PEORIA,IL61625
37-1368934 501(C)(3) 15,000       SUPPORT EXEMPT MISSION
(49) ILLINOIS STATE UNIV FOUNDATION
CAMPUS BOX 5810
NORMAL,IL617905810
37-6014070 501(C)(3) 9,500       SPONSOR EVENTS
(50) ILLINOIS WESLEYAN UNIVERSITY
PO BOX 2900
BLOOMINGTON,IL617029845
37-0662594 501(C)(3) 40,000       SUPPORT EXEMPT MISSION
(51) IMMANUEL EVANGELICAL LUTHERAN
1500 W ELMDALE AVE
CHICAGO,IL60660
41-1568278 501(C)(3) 29,720       SUPPORT EXEMPT MISSION
(52) INST FOR DIVERSITY IN HLTHMGMT
155 N WACKER DR SUITE 400
CHICAGO,IL60606
58-2094118 501(C)(3) 9,575       SUPPORT EXEMPT MISSION
(53) INSTITUTE FOR NONVIOLENCE CHICAGO
4926 WEST CHICAGO AVENUE
CHICAGO,IL60651
81-1098722 501(C)(3) 20,000       SUPPORT EXEMPT MISSION
(54) JOHN MARSHALL METROPOLITAN HIGH SCHOOL
3250 W ADAMS STREET
CHICAGO,IL60624
36-4263664 501(C)(3) 35,000       SUPPORT EXEMPT MISSION
(55) KIPP CHICAGO
2007 SOUTH HALSTED STREET
CHICAGO,IL60608
30-0135927 501(C)(3) 25,000       SUPPORT EXEMPT MISSION
(56) KOHL CHILDRENS MUSEUM
2100 PATRIOT BOULEVARD
GLENVIEW,IL60026
36-3706878 501(C)(3) 5,384       SUPPORT EXEMPT MISSION
(57) LAKE VIEW PRESBYTERIAN CHURCH
716 W ADDISON
CHICAGO,IL60613
23-6393377 501(C)(3) 12,495       SUPPORT EXEMPT MISSION
(58) LEGAL PREP CHARTER ACADEMIES
4319 W WASHINGTON BLVD
CHICAGO,IL60647
27-1071296 501(C)(3) 25,000       SUPPORT EXEMPT MISSION
(59) LUTHERAN SCHOOL OF THEOLOGY
1100 E 55TH STREET
CHICAGO,IL60615
36-2246704 501(C)(3) 5,151       SUPPORT EXEMPT MISSION
(60) LUTHERAN SOCIAL SERVICES IL
1001 E TOUHY AVE
DES PLAINES,IL60018
36-2584799 501(C)(3) 17,000       SUPPORT EXEMPT MISSION
(61) MAKE-A-WISH FOUNDATION
640 NORTH LASALLE STREET STE 280
CHICAGO,IL60654
36-3422138 501(C)(3) 15,000       SPONSOR EVENTS
(62) MARCH OF DIMES FOUNDATION
111 W JACKSON BLVD SUITE 1650
CHICAGO,IL60604
13-1846366 501(C)(3) 123,750       SPONSOR EVENTS
(63) MARILLAC ST VINCENT FAMILY SERVICES
212 S FRANCISCO AVE
CHICAGO,IL60612
36-2109717 501(C)(3) 25,000       SUPPORT EXEMPT MISSION
(64) MIKVA CHALLENGE
322 S MICHIGAN AVE SUITE 400
CHICAGO,IL60626
52-2033353 501(C)(3) 10,000       SUPPORT EXEMPT MISSION
(65) MUSEUM OF SCIENCE & INDUSTRY
57TH STREET AND LAKE SHORE DRIVE
CHICAGO,IL60637
36-2167797 501(C)(3) 48,200       SUPPORT EXEMPT MISSION
(66) NATL KIDNEY FOUNDATION OF IL
215 WEST ILLINOIS SUITE 1C
CHICAGO,IL60654
36-6009226 501(C)(3) 8,582       SPONSOR EVENTS
(67) NEW MOMS INC
5317 W CHICAGO AVE
CHICAGO,IL60651
36-3265804 501(C)(3) 40,000       SUPPORT EXEMPT MISSION
(68) NORTH LAWNDALE EMPLOYMENT NETWORK
3726 W FLOURNOY
CHICAGO,IL60624
36-4295189 501(C)(3) 40,000       SUPPORT EXEMPT MISSION
(69) OUR LADY OF THE WAYSIDE
434 W PARK AVE
ARLINGTON HEIGHTS,IL60005
36-2275598 501(C)(3) 9,970       SUPPORT EXEMPT MISSION
(70) OUR SAVIOUR'S LUTHERAN CHURCH
815 S WASHINGTON
NAPERVILLE,IL60540
36-2684454 501(C)(3) 19,666       SUPPORT EXEMPT MISSION
(71) PROACTIVE KIDS FOUNDATION
1101 BELTER DRIVE
WHEATON,IL60189
37-1556796 501(C)(3) 11,200       SUPPORT EXEMPT MISSION
(72) PURDUE RESEARCH FOUNDATION
403 W STATE ST ROOM 134
WEST LAFAYETTE,IN47907
35-1052049 501(C)(3) 60,000       SUPPORT EXEMPT MISSION
(73) RONALD MCDONALD HOUSE CHARITY
1301 W 22ND STREET SUITE 905
OAK BROOK,IL60523
36-3532553 501(C)(3) 7,916       SPONSOR EVENTS
(74) SINAI HEALTH SYSTEMS
1500 S FAIRFIELD AVE F-125
CHICAGO,IL60608
36-3166895 501(C)(3) 37,500       SUPPORT EXEMPT MISSION
(75) SPECIAL OLYMPICS ILLINOIS
500 WATERS EDGE SUITE 100
LOMBARD,IL60148
36-2922811 501(C)(3) 30,700       SPONSOR EVENTS
(76) ST AGATHA PARISH
3147 WEST DOUGLAS BLVD
CHICAGO,IL60623
36-2170923 501(C)(3) 15,000       SUPPORT EXEMPT MISSION
(77) STROKE SURVIVORS EMPOWERING
PO BOX 855
LOMBARD,IL601480855
27-1925734 501(C)(3) 12,500       SUPPORT EXEMPT MISSION
(78) SYRIAN AMERICAN MEDICAL SOCIETY FOUNDATION
PO BOX 34115
WASHINGTON,DC20043
16-1717058 501(C)(3) 25,000       SUPPORT EXEMPT MISSION
(79) THE BOULEVARD OF CHICAGO
3456 WEST FRANKLIN BOULEVARD
CHICAGO,IL60624
36-4075641 501(C)(3) 30,000       SUPPORT EXEMPT MISSION
(80) THE LEVERAGE NETWORK INC
200 SOUTH WACKER DRIVE SUITE 3100
CHICAGO,IL60606
47-3517179 501(C)(3) 9,510       SPONSOR EVENTS
(81) TRINITY UNITED CHURCH OF CHRIST
400 WEST 95TH STREET
CHICAGO,IL60628
36-2879787 501(C)(3) 9,146       SUPPORT EXEMPT MISSION
(82) TURNING THE PAGE
906 SOUTH HOMAN AVENUE 6TH FLOOR
CHICAGO,IL60624
52-2081934 501(C)(3) 20,000       SUPPORT EXEMPT MISSION
(83) UCAN
3605 W FILLMORE ST
CHICAGO,IL60624
36-2167937 501(C)(3) 30,000       SUPPORT EXEMPT MISSION
(84) UNIV OF ILL AT CHICAGO
1603 WEST TAYLOR ST M/C 923
CHICAGO,IL60612
37-6000511 501(C)(3) 69,859       GRANT FOR CURE VIOLENCE
(85) VILLAGE OF OAK LAWN
6451 WEST 93RD PLACE
OAK LAWN,IL60453
36-6006024 501(C)(3) 700,900       COMMUNITY SUPPORT
(86) WEST TOWN BIKES
2459 W DIVISION
CHICAGO,IL60622
20-4767185 501(C)(3) 45,000       SUPPORT EXEMPT MISSION
(87) WORLD BUSINESS CHICAGO
177 N STATE STREET SUITE 500
CHICAGO,IL60601
36-4313685 501(C)(3) 50,000       SUPPORT EXEMPT MISSION
(88) YOUNG MEN'S EDUCATIONAL NETWORK (YMEN)
1241 S PULASKI ROAD
CHICAGO,IL60623
36-4124098 501(C)(3) 35,000       SUPPORT EXEMPT MISSION
2
Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image
88
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) 2018

Schedule I (Form 990) 2018
Page 2
Part III
Grants and Other Assistance to Domestic Individuals. Complete if the organization answered "Yes" on 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
noncash assistance
(e) Method of valuation (book,
FMV, appraisal, other)
(f) Description of noncash assistance
(1)
(2)
(3)
(4)
(5)
(6)
(7)
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
Schedule I (Form 990) 2018



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" on Form 990, Part IV, line 23.
SchJMediumBullet Attach to Form 990.
SchJMediumBullet Go to www.irs.gov/Form990 for instructions and the latest information.
OMB No. 1545-0047
2018
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 on 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 on 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
Yes
 
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 on 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," on line 5a or 5b, describe in Part III.
6
For persons listed on 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," on line 6a or 6b, describe in Part III.
7
For persons listed on Form 990, Part VII, Section A, line 1a, did the organization provide any nonfixed
payments not described in lines 5 and 6? If "Yes," describe in Part III ............
7
Yes
 
8
Were any amounts reported on 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" on 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) 2018

Schedule J (Form 990) 2018
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 on 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 on prior Form 990
(i) Base
compensation
(ii) Bonus & incentive
compensation
(iii) Other reportable compensation
1JAMES SKOGSBERGH
PRESIDENT & CEO, DIRECTOR
(i)

(ii)
0
-------------
1,755,408
0
-------------
4,987,464
0
-------------
1,720,302
0
-------------
25,167
0
-------------
23,314
0
-------------
8,511,655
0
-------------
0
2GAIL D HASBROUCK
DIRECTOR
(i)

(ii)
0
-------------
0
420,963
-------------
0
0
-------------
10,000
0
-------------
0
46
-------------
0
421,009
-------------
10,000
0
-------------
0
3GARY STUCK DO
EVP, CHIEF MEDICAL OFFICER, DIRECTOR
(i)

(ii)
201,923
-------------
0
0
-------------
0
17,050
-------------
0
18,342
-------------
0
3,654
-------------
0
240,969
-------------
0
0
-------------
0
4WILLIAM P SANTULLI
EVP, CHIEF OPERATING OFFICER
(i)

(ii)
0
-------------
1,073,245
0
-------------
2,114,312
0
-------------
777,832
0
-------------
25,167
0
-------------
25,003
0
-------------
4,015,559
0
-------------
0
5LEE B SACKS MD
EVP, CHIEF MEDICAL OFFICER
(i)

(ii)
0
-------------
536,909
0
-------------
1,344,960
0
-------------
1,606,740
0
-------------
33,417
0
-------------
16,871
0
-------------
3,538,897
0
-------------
0
6JAMES DOHENY
VP, CONTROLLER & ASST. TREASURER
(i)

(ii)
376,465
-------------
0
105,297
-------------
0
36,894
-------------
0
25,167
-------------
0
28,750
-------------
0
572,573
-------------
0
0
-------------
0
7REV KATHIE BENDER SCHWICH
SVP, MISSION & SPIRITUAL CARE
(i)

(ii)
0
-------------
265,612
0
-------------
390,634
0
-------------
168,400
0
-------------
25,167
0
-------------
76,270
0
-------------
926,083
0
-------------
0
8KEVIN BRADY
SVP, CHIEF HUMAN RESOURCES OFFICER
(i)

(ii)
0
-------------
557,230
0
-------------
893,542
0
-------------
345,111
0
-------------
25,167
0
-------------
38,438
0
-------------
1,859,488
0
-------------
0
9VINCENT BUFALINO MD
PRESIDENT OF PHYS & AMB SVCS/ AMG
(i)

(ii)
0
-------------
581,015
0
-------------
931,954
0
-------------
373,611
0
-------------
25,167
0
-------------
27,060
0
-------------
1,938,807
0
-------------
0
10SUSAN CAMPBELL
SVP OF PATIENT CARE, CHIEF NURSING O
(i)

(ii)
202,493
-------------
0
803,366
-------------
0
1,058,351
-------------
0
67,400
-------------
0
16,108
-------------
0
2,147,718
-------------
0
0
-------------
0
11KELLY JO GOLSON
SVP, CHIEF MARKETING OFFICER
(i)

(ii)
0
-------------
453,198
0
-------------
498,224
0
-------------
235,490
0
-------------
25,167
0
-------------
2,920
0
-------------
1,214,999
0
-------------
0
12DOMINIC J NAKIS
SVP, CFO & TREASURER
(i)

(ii)
0
-------------
786,099
0
-------------
1,330,444
0
-------------
519,433
0
-------------
25,167
0
-------------
28,698
0
-------------
2,689,841
0
-------------
0
13SCOTT POWDER
SVP, CHIEF STRATEGY OFFICER
(i)

(ii)
0
-------------
503,510
0
-------------
610,805
0
-------------
265,409
0
-------------
25,167
0
-------------
25,265
0
-------------
1,430,156
0
-------------
0
14EARL J BARNES II
SVP, GENERAL COUNSEL & SECRETART
(i)

(ii)
0
-------------
222,375
0
-------------
921,732
0
-------------
816,319
0
-------------
116,930
0
-------------
35,611
0
-------------
2,112,967
0
-------------
0
15BARBARA BYRNE MD
SVP, CHIEF INFORMATION OFFICER
(i)

(ii)
0
-------------
543,138
0
-------------
392,739
0
-------------
36,043
0
-------------
104,100
0
-------------
16,321
0
-------------
1,092,341
0
-------------
0
16JAMES SLINKMAN
ASSISTANT SECRETARY
(i)

(ii)
0
-------------
292,415
0
-------------
49,932
0
-------------
51,101
0
-------------
25,167
0
-------------
34,046
0
-------------
452,661
0
-------------
0
17LESLIE LENZO
ASSISTANT TREASURER
(i)

(ii)
525,002
-------------
0
105,297
-------------
0
15,974
-------------
0
22,417
-------------
0
19,341
-------------
0
688,031
-------------
0
0
-------------
0
18MICHAEL GREBE
ASSISTANT SECRETARY
(i)

(ii)
0
-------------
534,832
0
-------------
279,350
0
-------------
181,220
0
-------------
90,670
0
-------------
0
0
-------------
1,086,072
0
-------------
39,171
19MICHAEL KERNS
ASSISTANT SECRETARY
(i)

(ii)
0
-------------
324,582
0
-------------
70,419
0
-------------
25,968
0
-------------
25,167
0
-------------
35,728
0
-------------
481,864
0
-------------
0
20MICHAEL LAPPIN
SECRETARY
(i)

(ii)
0
-------------
724,919
0
-------------
856,997
0
-------------
345,262
0
-------------
123,330
0
-------------
20,010
0
-------------
2,070,518
0
-------------
106,199
21NAN NELSON
ASSISTANT TREASURER
(i)

(ii)
0
-------------
456,961
0
-------------
346,675
0
-------------
116,406
0
-------------
83,023
0
-------------
1,092
0
-------------
1,004,157
0
-------------
62,829
22RACHELLE HART
ASSISTANT SECRETARY
(i)

(ii)
0
-------------
475,246
0
-------------
147,547
0
-------------
3,602
0
-------------
20,475
0
-------------
20,010
0
-------------
666,880
0
-------------
0
23STEVE HUSER
ASSISTANT TREASURER
(i)

(ii)
0
-------------
289,104
0
-------------
45,426
0
-------------
3,004
0
-------------
31,275
0
-------------
13,147
0
-------------
381,956
0
-------------
0
24MICHAEL FARRELL
PRESIDENT OF ADVOCATE CHILDREN'S HOS
(i)

(ii)
768,889
-------------
0
1,022,211
-------------
0
459,326
-------------
0
25,167
-------------
0
23,376
-------------
0
2,298,969
-------------
0
0
-------------
0
25DAVID FOX JR
PRESIDENT OF GOOD SAMARITAN
(i)

(ii)
259,983
-------------
0
651,637
-------------
0
235,347
-------------
0
33,417
-------------
0
21,913
-------------
0
1,202,297
-------------
0
0
-------------
0
26DOMINICA TALLARICO
PRESIDENT OF LUTHERAN GENERAL (UNTIL
(i)

(ii)
607,986
-------------
0
592,502
-------------
0
280,586
-------------
0
25,167
-------------
0
24,772
-------------
0
1,531,013
-------------
0
0
-------------
0
27TERIKA R MBANU
PRESIDENT OF LUTHERAN GENERAL, TRINI
(i)

(ii)
412,649
-------------
0
330,803
-------------
0
54,052
-------------
0
111,890
-------------
0
22,884
-------------
0
932,278
-------------
0
0
-------------
0
28RICHARD HEIM
PSA OF S. CHICAGO & SS, PRESIDENT OF
(i)

(ii)
519,007
-------------
0
510,825
-------------
0
251,333
-------------
0
25,167
-------------
0
22,862
-------------
0
1,329,194
-------------
0
0
-------------
0
29COLLEEN KANNADAY
PRESIDENT OF BROMENN
(i)

(ii)
461,354
-------------
0
531,128
-------------
0
242,409
-------------
0
25,167
-------------
0
24,307
-------------
0
1,284,365
-------------
0
0
-------------
0
30KAREN LAMBERT
PRESIDENT OF GOOD SHEPHERD & CONDELL
(i)

(ii)
590,226
-------------
0
564,123
-------------
0
278,389
-------------
0
25,167
-------------
0
39,308
-------------
0
1,497,213
-------------
0
0
-------------
0
31MATTHEW PRIMACK
PRESIDENT OF CHRIST MEDICAL CENTER
(i)

(ii)
348,012
-------------
0
75,204
-------------
0
50,558
-------------
0
25,167
-------------
0
19,338
-------------
0
518,279
-------------
0
0
-------------
0
32NANCY M TINSLEY
PRESIDENT OF GOOD SAMARITAN
(i)

(ii)
118,753
-------------
0
0
-------------
0
75,816
-------------
0
12,184
-------------
0
4,051
-------------
0
210,804
-------------
0
0
-------------
0
33HAMAD FARHAT MD
NEUROSURGEON
(i)

(ii)
1,751,750
-------------
0
0
-------------
0
-10,989
-------------
0
22,417
-------------
0
32,791
-------------
0
1,795,969
-------------
0
0
-------------
0
34MICHEL ILBAWI MD
PEDIATRIC CV SURGERY
(i)

(ii)
1,090,000
-------------
0
153,440
-------------
0
-6,360
-------------
0
22,417
-------------
0
25,641
-------------
0
1,285,138
-------------
0
0
-------------
0
35DEAN KARAHALIOS MD
NEUROSURGEON
(i)

(ii)
1,200,000
-------------
0
0
-------------
0
-13,722
-------------
0
22,417
-------------
0
34,370
-------------
0
1,243,065
-------------
0
0
-------------
0
36EGON DOPPENBERG MD
NEUROSURGEON
(i)

(ii)
1,200,000
-------------
0
0
-------------
0
-11,157
-------------
0
22,417
-------------
0
32,624
-------------
0
1,243,884
-------------
0
0
-------------
0
37ERIC TOWER
VP, ASSOCIATE GENERAL COUNSEL
(i)

(ii)
0
-------------
124,175
0
-------------
79,386
0
-------------
1,169,116
0
-------------
25,167
0
-------------
24,794
0
-------------
1,422,638
0
-------------
0
38BRUCE D SMITH
SVP, FORMER CHIEF INFORMATION OFFICE
(i)

(ii)
0
-------------
0
508,520
-------------
0
0
-------------
0
0
-------------
0
46
-------------
0
508,566
-------------
0
0
-------------
0
39JAMES DAN MD
FORMER PRES PHYS & AMB SVCS/ AMG
(i)

(ii)
0
-------------
0
246,725
-------------
0
0
-------------
0
608
-------------
0
46
-------------
0
247,379
-------------
0
0
-------------
0
40KENNETH LUKHARD
FORMER PRESIDENT OF CHRIST MEDICAL C
(i)

(ii)
22,729
-------------
0
812,198
-------------
0
1,052,774
-------------
0
33,417
-------------
0
34,065
-------------
0
1,955,183
-------------
0
0
-------------
0
41RICK FLOYD
FORMER PRESIDENT OF LUTHERAN GENERAL
(i)

(ii)
0
-------------
0
619,548
-------------
0
262,292
-------------
0
0
-------------
0
24,270
-------------
0
906,110
-------------
0
0
-------------
0
42RYAN TROMBLY MD
FORMER NEUROSURGEON
(i)

(ii)
869,750
-------------
0
184,798
-------------
0
-9,213
-------------
0
0
-------------
0
35,120
-------------
0
1,080,455
-------------
0
0
-------------
0
Schedule J (Form 990) 2018

Schedule J (Form 990) 2018
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
SCHEDULE J, PART I, LINE 1A KATHIE S. BENDER SCHWICH RECEIVED A HOUSING ALLOWANCE IN THE AMOUNT OF $50,000.
SCHEDULE J, PART I, LINE 4A EARL J. BARNES II, FORMER ASSISTANT SECRETARY, RECEIVED A SERVERANCE PAYMENT IN THE AMOUNT OF $116,346 AND A LUMP SUM SEVERANCE PAYMENT OF $507,308. SUSAN CAMPBELL, FORMER DIRECTOR, RECEIVED A SEVERANCE PAYMENT IN THE AMOUNT OF $95,192 AND A LUMP SUM SEVERANCE PAYMENT OF $273,658. RICHARD B. FLOYD, FORMER PRESIDENT, RECEIVED A SEVERANCE PAYMENT IN THE AMOUNT OF $270,000. KENNETH W. LUKHARD, FORMER PRESIDENT, RECEIVED A SEVERANCE PAYMENT IN THE AMOUNT OF $218,077 AND A LUMP SUM SEVERANCE PAYMENT OF $683,456. LEE B. SACKS, FORMER CHIEF MEDICAL OFFICER, RECEIVED A SEVERANCE PAYMENT IN THE AMOUNT OF $52,885 AND A LUMP SUM SEVERANCE PAYMENT OF $1,037,706. THESE PAYMENTS HAVE ALL BEEN REPORTED IN SCHEDULE J, PART II, COLUMN (B)(III).
SCHEDULE J, PART I, LINE 4B 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: EARL J. BARNES II $161,281, KATHIE S. BENDER SCHWICH $96,607, KEVIN R. BRADY $193,428, VINCENT J. BUFALINO $201,425, SUSAN CAMPBELL 524,114, MICHAEL J. FARRELL $249,468, DAVID S. FOX JR $137,622, KELLY JO GOLSON $129,294, RICHARD HEIM $137,063, COLLEEN L. KANNADAY $139,882, KAREN A. LAMBERT $152,769, KENNETH W. LUKHARD $125,119, DOMINIC NAKIS $281,176, SCOTT A. POWDER $149,513, MATTHEW PRIMACK $23,478, LEE B. SACKS $266,143, WILLIAM P. SANTULLI $417,996, JAMES H. SKOGSBERGH $888,730, AND DOMINICA M. TALLARICO $151,451. THE FOLLOWING EMPLOYEES HAVE NOT YET VESTED AND THEREFORE THE CONTRIBUTIONS ARE REPORTED AS DEFERRED COMPENSATION: EARL J. BARNES II $108,830, BARBARA P. BYRNE $104,100, SUSAN CAMPBELL $36,733, TERIKA R. MBANU $89,472, GARY D. STUCK $18,342, AND NANCY M. TINSLEY $12,184.
SCHEDULE J, PART I, LINE 7 INCENTIVE PAYMENTS ARE BASED UPON A FORMULA. THE AMOUNTS ARE CALCULATED AFTER CERTAIN PERFORMANCE AND OPERATING GOALS ARE ACHIEVED. THE COMPENSATION COMMITTEE CAN EXERCISE DISCRETION OVER WHETHER INCENTIVE COMPENSATION IS PAID OUT ANNUALLY.
Schedule J (Form 990) 2018
Additional Data


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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 , line 24a. Provide descriptions,
explanations, and any additional information in Part .
SchKMediumBullet Attach to Form 990.

SchKMediumBulletGo to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2018
Open to Public
Inspection
Name of the organization
ADVOCATE HEALTH AND HOSPITALS CORP
 
Employer identification number
36-2169147
Part
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 45200FK65 01-06-2010 243,746,239 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
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 45203H4J8 09-24-2015 104,517,375 SEE SCHEDULE K PART VI   X   X   X
ILLINOIS FINANCE AUTHORITY
 
86-1091967 45203H6T4 10-22-2015 73,276,988 SEE SCHEDULE K PART VI   X   X   X
WISCONSIN HEALTH & ED FACILI
 
39-1337855 97712DP34 08-16-2018 520,918,343 SEE SCHEDULE K PART VI   X   X   X
Part
Proceeds
A B C D
1 Amount of bonds retired .................. 94,525,000 54,255,000 10,805,000  
2 Amount of bonds legally defeased ..............   169,025,000    
3 Total proceeds of issue .................. 352,851,959 243,841,007 12,453,367 202,235,524
4 Gross proceeds in reserve funds ............. 116,432,024 51,134,288 43,219,722 51,142,165
5 Capitalized interest from proceeds .............        
6 Proceeds in refunding escrows ............... 65,840,510      
7 Issuance costs from proceeds ............... 1,034,454 2,992,121 130,427 1,649,390
8 Credit enhancement from proceeds .............        
9 Working capital expenditures from proceeds .............        
10 Capital expenditures from proceeds ............. 111,807,084 118,008,697   200,461,255
11 Other spent proceeds ............. 3,590,486 51,134,288 43,219,722 51,142,165
12 Other unspent proceeds .............        
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
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) 2018

Schedule K (Form 990) 2018
Page 2
Part
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?       X        
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        
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 %      
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? ............. 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
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 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 .......... SEE PART VI
 
 
 
 
 
 
 
c Term of hedge ......... 2680.0000000000 %      
d Was the hedge superintegrated? ......   X            
e Was the hedge terminated? ........   X            
Schedule K (Form 990) 2018

Schedule K (Form 990) 2018
Page 3
Part
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 .......... TRINITY PLUS
FUNDING
 
 
 
 
 
 
c Term of GIC ......... 210.0000000000 %      
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
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
Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).
Return Reference Explanation
SCHEDULE K, PART 1(F) (CUSIP # 45200PXH5) PURPOSE OF BOND SERIES 2003 ISSUED 10/29/2003 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.
FORM SCHEDULE K, PART I (F) (CUSIP #45200FAZ2) PURPOSE OF BOND SERIES 2008C ISSUED 10/10/2007 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 THE HEALTH CARE FACILITIES OF THE ORGANIZATION AND ADVOCATE NORTH SIDE HEALTH NETWORK, AND OF REFUNDING ALL OR A PORTION OF THE ORGANIZATION'S SERIES 1997ABONDS, 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.
FORM SCHEDULE K, PART I (F) (CUSIP # 45200FED7) PURPOSE OF BOND SERIES 2008A-1 ISSUED 1/24/2013 THE SERIES 2008A-1 BONDS WERE REISSUED FOR FEDERAL INCOME TAX PURPOSES ON JANUARY 24, 2013.
FORM SCHEDULE K, PART I (F) (CUSIP # 45200FEE5) PURPOSE OF BOND SERIES 2008A-2 ISSUED 2/1/2013 THE SERIES 2008A-2 BONDS WERE REISSUED FOR FEDERAL INCOME TAX PURPOSES ON FEBRUARY 1, 2013.
FORM SCHEDULE K, PART I (F) (CUSIP # 45200FEF2) PURPOSE OF BOND SERIES 2008A-3 ISSUED 5/1/2012 THE SERIES 2008A-3 BONDS WERE REISSUED FOR FEDERAL INCOME TAX PURPOSES ON MAY 1, 2012.
FORM SCHEDULE K PART I (F) (CUSIP # 45200FK65), PURPOSE OF BOND SERIES 2010 ISSUED 1/06/2010 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.
FORM SCHEDULE K, PART I (F) (CUSIP # 45203HCA8) PURPOSE OF BOND SERIES 2011 ISSUED 9/21/2011 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.
FORM SCHEDULE K, PART I (F) (CUSIP # 45203HNJ7) PURPOSE OF BOND SERIES 2012 ISSUED 11/29/2012 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.
FORM SCHEDULE K, PART I (F) (CUSIP # 45203HUC4) PURPOSE OF BOND SERIES 2013A ISSUED 8/8/2013 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.
FORM SCHEDULE K, PART I (F) (CUSIP # 45203HE40) PURPOSE OF BOND SERIES 2014 ISSUED 12/18/2014 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.
FORM SCHEDULE K, PART I (F) (CUSIP # 45203H4J8) PURPOSE OF BOND SERIES 2015 ISSUED 9/24/2015 THE PROCEEDS OF THE SERIES 2015 BONDS WERE USED FOR THE PURPOSE OF FINANCING THE COST OF CONSTRUCTING, RENOVATING AND EQUIPPING CERTAIN CAPITAL PROJECTS AT THE HEALTH CARE FACILITIES OF THE MEMBERS OF THE OBLIGATED GROUP INCLUDING WITHOUT LIMITATION A BED TOWER AT ADVOCATE GOOD SAMARITAN HOSPITAL AND RENOVATIONS AT ADVOCATE CHRIST MEDICAL CENTER.
FORM SCHEDULE K, PART I (F) (CUSIP # 45203H6T4) PURPOSE OF BOND SERIES 2015B ISSUED 10/22/2015 THE PROCEEDS OF THE SERIES 2015B BONDS WERE USED FOR THE PURPOSE, TOGETHER WITH OTHER AVAILABLE FUNDS, OF ADVANCE REFUNDING A PORTION OF THE SERIES 2010A, SERIES 2010B, SERIES 2010C AND SERIES 2010D BONDS PREVIOUSLY ISSUED BY THE ILLINOIS FINANCE AUTHORITY FOR THE BENEFIT OF THE BORROWER.
FORM SCHEDULE K, PART 1 (F) (CUSIP # 97712DP34) PURPOSE OF BOND SERIES 2018ABC ISSUED 8/16/2018 THE PROCEEDS OF THE SERIES 2018ABC BONDS WERE USED FOR THE PURPOSE, TOGETHER WITH OTHER AVAILABLE FUNDS, OF REFINANCING ALL OR A PORTION OF THE SERIES 2008A, SERIES 2008B, SERIES 2009A, SERIES 2010A, SERIES 2010B, SERIES 2012A, SERIES 2012B, SERIES 2012C, SERIES 2012D, SERIES 2013A AND SERIES 2015A BONDS PREVIOUSLY ISSUED BY THE WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY FOR THE BENEFIT OF AURORA HEALTH CARE, INC.
FORM SCHEDULE K, PART I (F) (CUSIP # 45203HCM2) PURPOSE OF BOND SERIES 2011A-1 ISSUED 9/21/2011 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 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.
SCHEDULE K, PART III, LINE 3B, ALL BOND ISSUES SERVICE CONTRACTS AND RESEARCH AGREEMENTS 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.
SCHEDULE K, PART III, LINES 4-6, CERTAIN BOND ISSUES PRIVATE BUSINESS USE PERCENTAGE PRIVATE BUSINESS USE PERCENTAGE WAS CALCULATED BASED ON NEW MONEY PORTION OF THE BOND ISSUE ONLY.
SCHEDULE K, PART III, LINE 7, ALL BOND ISSUES PRIVATE SECURITY AND PAYMENT TEST ADVOCATE MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND THEREFORE, HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS.
SCHEDULE K, PART IV, LINE 2C ARBITRAGE REBATE COMPUTATION BOND SERIES 2003, CUSIP # 45200PXH5 THE REBATE COMPUTATION WAS PERFORMED AS OF OCTOBER 29, 2018. BOND SERIES 2008A-1, CUSIP # 45200FED7 THE REBATE COMPUTATION WAS PERFORMED AS OF JANUARY 24, 2018. BOND SERIES 2008A-2, CUSIP # 45200FEE5 THE REBATE COMPUTATION WAS PERFORMED AS OF JANUARY 24, 2018. BOND SERIES 2008A-3, CUSIP # 45200FEF2 THE REBATE COMPUTATION WAS PERFORMED AS OF MAY 1, 2017. BOND SERIES 2008C, CUSIP # 45200FAZ2 THE REBATE COMPUTATION WAS PERFORMED AS OF OCTOBER 10, 2017. BOND SERIES 2010, CUSIP # 45200FK65 THE REBATE COMPUTATION WAS PERFORMED AS OF JANUARY 6, 2015. BOND SERIES 2011A-1, CUSIP # 45203HCM2 THE REBATE COMPUTATION WAS PERFORMED AS OF SEPTEMBER 21, 2016. BOND SERIES 2011A-2, 2011BCD CUSIP # 45203HCA8 THE REBATE COMPUTATION WAS PERFORMED AS OF SEPTEMBER 21, 2016. BOND SERIES 2012, CUSIP # 45203HNJ7 THE REBATE COMPUTATION WAS PERFORMED AS OF NOVEMBER 29, 2017. BOND SERIES 2013A, CUSIP # 45203HUC4 THE REBATE COMPUTATION WAS PERFORMED AS OF AUGUST 8, 2018.
SCHEDULE K, PART IV, LINE 4B SWAP PROVIDERS 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) 2018

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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 , line 24a. Provide descriptions,
explanations, and any additional information in Part .
SchKMediumBullet Attach to Form 990.

SchKMediumBulletGo to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2018
Open to Public
Inspection
Name of the organization
ADVOCATE HEALTH AND HOSPITALS CORP
 
Employer identification number
36-2169147
Part
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 45200FK65 01-06-2010 243,746,239 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
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 45203H4J8 09-24-2015 104,517,375 SEE SCHEDULE K PART VI   X   X   X
ILLINOIS FINANCE AUTHORITY
 
86-1091967 45203H6T4 10-22-2015 73,276,988 SEE SCHEDULE K PART VI   X   X   X
WISCONSIN HEALTH & ED FACILI
 
39-1337855 97712DP34 08-16-2018 520,918,343 SEE SCHEDULE K PART VI   X   X   X
Part
Proceeds
A B C D
1 Amount of bonds retired .................. 94,525,000 54,255,000 10,805,000  
2 Amount of bonds legally defeased ..............   169,025,000    
3 Total proceeds of issue .................. 352,851,959 243,841,007 12,453,367 202,235,524
4 Gross proceeds in reserve funds ............. 116,432,024 51,134,288 43,219,722 51,142,165
5 Capitalized interest from proceeds .............        
6 Proceeds in refunding escrows ............... 65,840,510      
7 Issuance costs from proceeds ............... 1,034,454 2,992,121 130,427 1,649,390
8 Credit enhancement from proceeds .............        
9 Working capital expenditures from proceeds .............        
10 Capital expenditures from proceeds ............. 111,807,084 118,008,697   200,461,255
11 Other spent proceeds ............. 3,590,486 51,134,288 43,219,722 51,142,165
12 Other unspent proceeds .............        
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
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) 2018

Schedule K (Form 990) 2018
Page 2
Part
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?       X        
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        
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 %      
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? ............. 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
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 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 .......... SEE PART VI
 
 
 
 
 
 
 
c Term of hedge ......... 2680.0000000000 %      
d Was the hedge superintegrated? ......   X            
e Was the hedge terminated? ........   X            
Schedule K (Form 990) 2018

Schedule K (Form 990) 2018
Page 3
Part
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 .......... TRINITY PLUS
FUNDING
 
 
 
 
 
 
c Term of GIC ......... 210.0000000000 %      
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
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
Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).
Return Reference Explanation
SCHEDULE K, PART 1(F) (CUSIP # 45200PXH5) PURPOSE OF BOND SERIES 2003 ISSUED 10/29/2003 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.
FORM SCHEDULE K, PART I (F) (CUSIP #45200FAZ2) PURPOSE OF BOND SERIES 2008C ISSUED 10/10/2007 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 THE HEALTH CARE FACILITIES OF THE ORGANIZATION AND ADVOCATE NORTH SIDE HEALTH NETWORK, AND OF REFUNDING ALL OR A PORTION OF THE ORGANIZATION'S SERIES 1997ABONDS, 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.
FORM SCHEDULE K, PART I (F) (CUSIP # 45200FED7) PURPOSE OF BOND SERIES 2008A-1 ISSUED 1/24/2013 THE SERIES 2008A-1 BONDS WERE REISSUED FOR FEDERAL INCOME TAX PURPOSES ON JANUARY 24, 2013.
FORM SCHEDULE K, PART I (F) (CUSIP # 45200FEE5) PURPOSE OF BOND SERIES 2008A-2 ISSUED 2/1/2013 THE SERIES 2008A-2 BONDS WERE REISSUED FOR FEDERAL INCOME TAX PURPOSES ON FEBRUARY 1, 2013.
FORM SCHEDULE K, PART I (F) (CUSIP # 45200FEF2) PURPOSE OF BOND SERIES 2008A-3 ISSUED 5/1/2012 THE SERIES 2008A-3 BONDS WERE REISSUED FOR FEDERAL INCOME TAX PURPOSES ON MAY 1, 2012.
FORM SCHEDULE K PART I (F) (CUSIP # 45200FK65), PURPOSE OF BOND SERIES 2010 ISSUED 1/06/2010 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.
FORM SCHEDULE K, PART I (F) (CUSIP # 45203HCA8) PURPOSE OF BOND SERIES 2011 ISSUED 9/21/2011 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.
FORM SCHEDULE K, PART I (F) (CUSIP # 45203HNJ7) PURPOSE OF BOND SERIES 2012 ISSUED 11/29/2012 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.
FORM SCHEDULE K, PART I (F) (CUSIP # 45203HUC4) PURPOSE OF BOND SERIES 2013A ISSUED 8/8/2013 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.
FORM SCHEDULE K, PART I (F) (CUSIP # 45203HE40) PURPOSE OF BOND SERIES 2014 ISSUED 12/18/2014 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.
FORM SCHEDULE K, PART I (F) (CUSIP # 45203H4J8) PURPOSE OF BOND SERIES 2015 ISSUED 9/24/2015 THE PROCEEDS OF THE SERIES 2015 BONDS WERE USED FOR THE PURPOSE OF FINANCING THE COST OF CONSTRUCTING, RENOVATING AND EQUIPPING CERTAIN CAPITAL PROJECTS AT THE HEALTH CARE FACILITIES OF THE MEMBERS OF THE OBLIGATED GROUP INCLUDING WITHOUT LIMITATION A BED TOWER AT ADVOCATE GOOD SAMARITAN HOSPITAL AND RENOVATIONS AT ADVOCATE CHRIST MEDICAL CENTER.
FORM SCHEDULE K, PART I (F) (CUSIP # 45203H6T4) PURPOSE OF BOND SERIES 2015B ISSUED 10/22/2015 THE PROCEEDS OF THE SERIES 2015B BONDS WERE USED FOR THE PURPOSE, TOGETHER WITH OTHER AVAILABLE FUNDS, OF ADVANCE REFUNDING A PORTION OF THE SERIES 2010A, SERIES 2010B, SERIES 2010C AND SERIES 2010D BONDS PREVIOUSLY ISSUED BY THE ILLINOIS FINANCE AUTHORITY FOR THE BENEFIT OF THE BORROWER.
FORM SCHEDULE K, PART 1 (F) (CUSIP # 97712DP34) PURPOSE OF BOND SERIES 2018ABC ISSUED 8/16/2018 THE PROCEEDS OF THE SERIES 2018ABC BONDS WERE USED FOR THE PURPOSE, TOGETHER WITH OTHER AVAILABLE FUNDS, OF REFINANCING ALL OR A PORTION OF THE SERIES 2008A, SERIES 2008B, SERIES 2009A, SERIES 2010A, SERIES 2010B, SERIES 2012A, SERIES 2012B, SERIES 2012C, SERIES 2012D, SERIES 2013A AND SERIES 2015A BONDS PREVIOUSLY ISSUED BY THE WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY FOR THE BENEFIT OF AURORA HEALTH CARE, INC.
FORM SCHEDULE K, PART I (F) (CUSIP # 45203HCM2) PURPOSE OF BOND SERIES 2011A-1 ISSUED 9/21/2011 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 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.
SCHEDULE K, PART III, LINE 3B, ALL BOND ISSUES SERVICE CONTRACTS AND RESEARCH AGREEMENTS 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.
SCHEDULE K, PART III, LINES 4-6, CERTAIN BOND ISSUES PRIVATE BUSINESS USE PERCENTAGE PRIVATE BUSINESS USE PERCENTAGE WAS CALCULATED BASED ON NEW MONEY PORTION OF THE BOND ISSUE ONLY.
SCHEDULE K, PART III, LINE 7, ALL BOND ISSUES PRIVATE SECURITY AND PAYMENT TEST ADVOCATE MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND THEREFORE, HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS.
SCHEDULE K, PART IV, LINE 2C ARBITRAGE REBATE COMPUTATION BOND SERIES 2003, CUSIP # 45200PXH5 THE REBATE COMPUTATION WAS PERFORMED AS OF OCTOBER 29, 2018. BOND SERIES 2008A-1, CUSIP # 45200FED7 THE REBATE COMPUTATION WAS PERFORMED AS OF JANUARY 24, 2018. BOND SERIES 2008A-2, CUSIP # 45200FEE5 THE REBATE COMPUTATION WAS PERFORMED AS OF JANUARY 24, 2018. BOND SERIES 2008A-3, CUSIP # 45200FEF2 THE REBATE COMPUTATION WAS PERFORMED AS OF MAY 1, 2017. BOND SERIES 2008C, CUSIP # 45200FAZ2 THE REBATE COMPUTATION WAS PERFORMED AS OF OCTOBER 10, 2017. BOND SERIES 2010, CUSIP # 45200FK65 THE REBATE COMPUTATION WAS PERFORMED AS OF JANUARY 6, 2015. BOND SERIES 2011A-1, CUSIP # 45203HCM2 THE REBATE COMPUTATION WAS PERFORMED AS OF SEPTEMBER 21, 2016. BOND SERIES 2011A-2, 2011BCD CUSIP # 45203HCA8 THE REBATE COMPUTATION WAS PERFORMED AS OF SEPTEMBER 21, 2016. BOND SERIES 2012, CUSIP # 45203HNJ7 THE REBATE COMPUTATION WAS PERFORMED AS OF NOVEMBER 29, 2017. BOND SERIES 2013A, CUSIP # 45203HUC4 THE REBATE COMPUTATION WAS PERFORMED AS OF AUGUST 8, 2018.
SCHEDULE K, PART IV, LINE 4B SWAP PROVIDERS 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) 2018

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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 , line 24a. Provide descriptions,
explanations, and any additional information in Part .
SchKMediumBullet Attach to Form 990.

SchKMediumBulletGo to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2018
Open to Public
Inspection
Name of the organization
ADVOCATE HEALTH AND HOSPITALS CORP
 
Employer identification number
36-2169147
Part
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 45200FK65 01-06-2010 243,746,239 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
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 45203H4J8 09-24-2015 104,517,375 SEE SCHEDULE K PART VI   X   X   X
ILLINOIS FINANCE AUTHORITY
 
86-1091967 45203H6T4 10-22-2015 73,276,988 SEE SCHEDULE K PART VI   X   X   X
WISCONSIN HEALTH & ED FACILI
 
39-1337855 97712DP34 08-16-2018 520,918,343 SEE SCHEDULE K PART VI   X   X   X
Part
Proceeds
A B C D
1 Amount of bonds retired .................. 94,525,000 54,255,000 10,805,000  
2 Amount of bonds legally defeased ..............   169,025,000    
3 Total proceeds of issue .................. 352,851,959 243,841,007 12,453,367 202,235,524
4 Gross proceeds in reserve funds ............. 116,432,024 51,134,288 43,219,722 51,142,165
5 Capitalized interest from proceeds .............        
6 Proceeds in refunding escrows ............... 65,840,510      
7 Issuance costs from proceeds ............... 1,034,454 2,992,121 130,427 1,649,390
8 Credit enhancement from proceeds .............        
9 Working capital expenditures from proceeds .............        
10 Capital expenditures from proceeds ............. 111,807,084 118,008,697   200,461,255
11 Other spent proceeds ............. 3,590,486 51,134,288 43,219,722 51,142,165
12 Other unspent proceeds .............        
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
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) 2018

Schedule K (Form 990) 2018
Page 2
Part
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?       X        
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        
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 %      
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? ............. 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
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 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 .......... SEE PART VI
 
 
 
 
 
 
 
c Term of hedge ......... 2680.0000000000 %      
d Was the hedge superintegrated? ......   X            
e Was the hedge terminated? ........   X            
Schedule K (Form 990) 2018

Schedule K (Form 990) 2018
Page 3
Part
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 .......... TRINITY PLUS
FUNDING
 
 
 
 
 
 
c Term of GIC ......... 210.0000000000 %      
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
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
Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).
Return Reference Explanation
SCHEDULE K, PART 1(F) (CUSIP # 45200PXH5) PURPOSE OF BOND SERIES 2003 ISSUED 10/29/2003 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.
FORM SCHEDULE K, PART I (F) (CUSIP #45200FAZ2) PURPOSE OF BOND SERIES 2008C ISSUED 10/10/2007 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 THE HEALTH CARE FACILITIES OF THE ORGANIZATION AND ADVOCATE NORTH SIDE HEALTH NETWORK, AND OF REFUNDING ALL OR A PORTION OF THE ORGANIZATION'S SERIES 1997ABONDS, 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.
FORM SCHEDULE K, PART I (F) (CUSIP # 45200FED7) PURPOSE OF BOND SERIES 2008A-1 ISSUED 1/24/2013 THE SERIES 2008A-1 BONDS WERE REISSUED FOR FEDERAL INCOME TAX PURPOSES ON JANUARY 24, 2013.
FORM SCHEDULE K, PART I (F) (CUSIP # 45200FEE5) PURPOSE OF BOND SERIES 2008A-2 ISSUED 2/1/2013 THE SERIES 2008A-2 BONDS WERE REISSUED FOR FEDERAL INCOME TAX PURPOSES ON FEBRUARY 1, 2013.
FORM SCHEDULE K, PART I (F) (CUSIP # 45200FEF2) PURPOSE OF BOND SERIES 2008A-3 ISSUED 5/1/2012 THE SERIES 2008A-3 BONDS WERE REISSUED FOR FEDERAL INCOME TAX PURPOSES ON MAY 1, 2012.
FORM SCHEDULE K PART I (F) (CUSIP # 45200FK65), PURPOSE OF BOND SERIES 2010 ISSUED 1/06/2010 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.
FORM SCHEDULE K, PART I (F) (CUSIP # 45203HCA8) PURPOSE OF BOND SERIES 2011 ISSUED 9/21/2011 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.
FORM SCHEDULE K, PART I (F) (CUSIP # 45203HNJ7) PURPOSE OF BOND SERIES 2012 ISSUED 11/29/2012 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.
FORM SCHEDULE K, PART I (F) (CUSIP # 45203HUC4) PURPOSE OF BOND SERIES 2013A ISSUED 8/8/2013 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.
FORM SCHEDULE K, PART I (F) (CUSIP # 45203HE40) PURPOSE OF BOND SERIES 2014 ISSUED 12/18/2014 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.
FORM SCHEDULE K, PART I (F) (CUSIP # 45203H4J8) PURPOSE OF BOND SERIES 2015 ISSUED 9/24/2015 THE PROCEEDS OF THE SERIES 2015 BONDS WERE USED FOR THE PURPOSE OF FINANCING THE COST OF CONSTRUCTING, RENOVATING AND EQUIPPING CERTAIN CAPITAL PROJECTS AT THE HEALTH CARE FACILITIES OF THE MEMBERS OF THE OBLIGATED GROUP INCLUDING WITHOUT LIMITATION A BED TOWER AT ADVOCATE GOOD SAMARITAN HOSPITAL AND RENOVATIONS AT ADVOCATE CHRIST MEDICAL CENTER.
FORM SCHEDULE K, PART I (F) (CUSIP # 45203H6T4) PURPOSE OF BOND SERIES 2015B ISSUED 10/22/2015 THE PROCEEDS OF THE SERIES 2015B BONDS WERE USED FOR THE PURPOSE, TOGETHER WITH OTHER AVAILABLE FUNDS, OF ADVANCE REFUNDING A PORTION OF THE SERIES 2010A, SERIES 2010B, SERIES 2010C AND SERIES 2010D BONDS PREVIOUSLY ISSUED BY THE ILLINOIS FINANCE AUTHORITY FOR THE BENEFIT OF THE BORROWER.
FORM SCHEDULE K, PART 1 (F) (CUSIP # 97712DP34) PURPOSE OF BOND SERIES 2018ABC ISSUED 8/16/2018 THE PROCEEDS OF THE SERIES 2018ABC BONDS WERE USED FOR THE PURPOSE, TOGETHER WITH OTHER AVAILABLE FUNDS, OF REFINANCING ALL OR A PORTION OF THE SERIES 2008A, SERIES 2008B, SERIES 2009A, SERIES 2010A, SERIES 2010B, SERIES 2012A, SERIES 2012B, SERIES 2012C, SERIES 2012D, SERIES 2013A AND SERIES 2015A BONDS PREVIOUSLY ISSUED BY THE WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY FOR THE BENEFIT OF AURORA HEALTH CARE, INC.
FORM SCHEDULE K, PART I (F) (CUSIP # 45203HCM2) PURPOSE OF BOND SERIES 2011A-1 ISSUED 9/21/2011 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 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.
SCHEDULE K, PART III, LINE 3B, ALL BOND ISSUES SERVICE CONTRACTS AND RESEARCH AGREEMENTS 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.
SCHEDULE K, PART III, LINES 4-6, CERTAIN BOND ISSUES PRIVATE BUSINESS USE PERCENTAGE PRIVATE BUSINESS USE PERCENTAGE WAS CALCULATED BASED ON NEW MONEY PORTION OF THE BOND ISSUE ONLY.
SCHEDULE K, PART III, LINE 7, ALL BOND ISSUES PRIVATE SECURITY AND PAYMENT TEST ADVOCATE MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND THEREFORE, HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS.
SCHEDULE K, PART IV, LINE 2C ARBITRAGE REBATE COMPUTATION BOND SERIES 2003, CUSIP # 45200PXH5 THE REBATE COMPUTATION WAS PERFORMED AS OF OCTOBER 29, 2018. BOND SERIES 2008A-1, CUSIP # 45200FED7 THE REBATE COMPUTATION WAS PERFORMED AS OF JANUARY 24, 2018. BOND SERIES 2008A-2, CUSIP # 45200FEE5 THE REBATE COMPUTATION WAS PERFORMED AS OF JANUARY 24, 2018. BOND SERIES 2008A-3, CUSIP # 45200FEF2 THE REBATE COMPUTATION WAS PERFORMED AS OF MAY 1, 2017. BOND SERIES 2008C, CUSIP # 45200FAZ2 THE REBATE COMPUTATION WAS PERFORMED AS OF OCTOBER 10, 2017. BOND SERIES 2010, CUSIP # 45200FK65 THE REBATE COMPUTATION WAS PERFORMED AS OF JANUARY 6, 2015. BOND SERIES 2011A-1, CUSIP # 45203HCM2 THE REBATE COMPUTATION WAS PERFORMED AS OF SEPTEMBER 21, 2016. BOND SERIES 2011A-2, 2011BCD CUSIP # 45203HCA8 THE REBATE COMPUTATION WAS PERFORMED AS OF SEPTEMBER 21, 2016. BOND SERIES 2012, CUSIP # 45203HNJ7 THE REBATE COMPUTATION WAS PERFORMED AS OF NOVEMBER 29, 2017. BOND SERIES 2013A, CUSIP # 45203HUC4 THE REBATE COMPUTATION WAS PERFORMED AS OF AUGUST 8, 2018.
SCHEDULE K, PART IV, LINE 4B SWAP PROVIDERS 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) 2018

Additional Data


Software ID:  
Software Version:  


Note: To capture the full content of this document, please select landscape mode (11" x 8.5") when printing.

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 , line 24a. Provide descriptions,
explanations, and any additional information in Part .
SchKMediumBullet Attach to Form 990.

SchKMediumBulletGo to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2018
Open to Public
Inspection
Name of the organization
ADVOCATE HEALTH AND HOSPITALS CORP
 
Employer identification number
36-2169147
Part
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 45200FK65 01-06-2010 243,746,239 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
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 45203H4J8 09-24-2015 104,517,375 SEE SCHEDULE K PART VI   X   X   X
ILLINOIS FINANCE AUTHORITY
 
86-1091967 45203H6T4 10-22-2015 73,276,988 SEE SCHEDULE K PART VI   X   X   X
WISCONSIN HEALTH & ED FACILI
 
39-1337855 97712DP34 08-16-2018 520,918,343 SEE SCHEDULE K PART VI   X   X   X
Part
Proceeds
A B C D
1 Amount of bonds retired .................. 94,525,000 54,255,000 10,805,000  
2 Amount of bonds legally defeased ..............   169,025,000    
3 Total proceeds of issue .................. 352,851,959 243,841,007 12,453,367 202,235,524
4 Gross proceeds in reserve funds ............. 116,432,024 51,134,288 43,219,722 51,142,165
5 Capitalized interest from proceeds .............        
6 Proceeds in refunding escrows ............... 65,840,510      
7 Issuance costs from proceeds ............... 1,034,454 2,992,121 130,427 1,649,390
8 Credit enhancement from proceeds .............        
9 Working capital expenditures from proceeds .............        
10 Capital expenditures from proceeds ............. 111,807,084 118,008,697   200,461,255
11 Other spent proceeds ............. 3,590,486 51,134,288 43,219,722 51,142,165
12 Other unspent proceeds .............        
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
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) 2018

Schedule K (Form 990) 2018
Page 2
Part
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?       X        
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        
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 %      
c If "Yes" to line 8a, was any remedial action taken pursuant to Regulations sections 1.141-12 and 1.145-2? ............. 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
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 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 .......... SEE PART VI
 
 
 
 
 
 
 
c Term of hedge ......... 2680.0000000000 %      
d Was the hedge superintegrated? ......   X            
e Was the hedge terminated? ........   X            
Schedule K (Form 990) 2018

Schedule K (Form 990) 2018
Page 3
Part
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 .......... TRINITY PLUS
FUNDING
 
 
 
 
 
 
c Term of GIC ......... 210.0000000000 %      
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
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
Supplemental Information. Provide additional information for responses to questions on Schedule K (see instructions).
Return Reference Explanation
SCHEDULE K, PART 1(F) (CUSIP # 45200PXH5) PURPOSE OF BOND SERIES 2003 ISSUED 10/29/2003 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.
FORM SCHEDULE K, PART I (F) (CUSIP #45200FAZ2) PURPOSE OF BOND SERIES 2008C ISSUED 10/10/2007 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 THE HEALTH CARE FACILITIES OF THE ORGANIZATION AND ADVOCATE NORTH SIDE HEALTH NETWORK, AND OF REFUNDING ALL OR A PORTION OF THE ORGANIZATION'S SERIES 1997ABONDS, 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.
FORM SCHEDULE K, PART I (F) (CUSIP # 45200FED7) PURPOSE OF BOND SERIES 2008A-1 ISSUED 1/24/2013 THE SERIES 2008A-1 BONDS WERE REISSUED FOR FEDERAL INCOME TAX PURPOSES ON JANUARY 24, 2013.
FORM SCHEDULE K, PART I (F) (CUSIP # 45200FEE5) PURPOSE OF BOND SERIES 2008A-2 ISSUED 2/1/2013 THE SERIES 2008A-2 BONDS WERE REISSUED FOR FEDERAL INCOME TAX PURPOSES ON FEBRUARY 1, 2013.
FORM SCHEDULE K, PART I (F) (CUSIP # 45200FEF2) PURPOSE OF BOND SERIES 2008A-3 ISSUED 5/1/2012 THE SERIES 2008A-3 BONDS WERE REISSUED FOR FEDERAL INCOME TAX PURPOSES ON MAY 1, 2012.
FORM SCHEDULE K PART I (F) (CUSIP # 45200FK65), PURPOSE OF BOND SERIES 2010 ISSUED 1/06/2010 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.
FORM SCHEDULE K, PART I (F) (CUSIP # 45203HCA8) PURPOSE OF BOND SERIES 2011 ISSUED 9/21/2011 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.
FORM SCHEDULE K, PART I (F) (CUSIP # 45203HNJ7) PURPOSE OF BOND SERIES 2012 ISSUED 11/29/2012 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.
FORM SCHEDULE K, PART I (F) (CUSIP # 45203HUC4) PURPOSE OF BOND SERIES 2013A ISSUED 8/8/2013 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.
FORM SCHEDULE K, PART I (F) (CUSIP # 45203HE40) PURPOSE OF BOND SERIES 2014 ISSUED 12/18/2014 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.
FORM SCHEDULE K, PART I (F) (CUSIP # 45203H4J8) PURPOSE OF BOND SERIES 2015 ISSUED 9/24/2015 THE PROCEEDS OF THE SERIES 2015 BONDS WERE USED FOR THE PURPOSE OF FINANCING THE COST OF CONSTRUCTING, RENOVATING AND EQUIPPING CERTAIN CAPITAL PROJECTS AT THE HEALTH CARE FACILITIES OF THE MEMBERS OF THE OBLIGATED GROUP INCLUDING WITHOUT LIMITATION A BED TOWER AT ADVOCATE GOOD SAMARITAN HOSPITAL AND RENOVATIONS AT ADVOCATE CHRIST MEDICAL CENTER.
FORM SCHEDULE K, PART I (F) (CUSIP # 45203H6T4) PURPOSE OF BOND SERIES 2015B ISSUED 10/22/2015 THE PROCEEDS OF THE SERIES 2015B BONDS WERE USED FOR THE PURPOSE, TOGETHER WITH OTHER AVAILABLE FUNDS, OF ADVANCE REFUNDING A PORTION OF THE SERIES 2010A, SERIES 2010B, SERIES 2010C AND SERIES 2010D BONDS PREVIOUSLY ISSUED BY THE ILLINOIS FINANCE AUTHORITY FOR THE BENEFIT OF THE BORROWER.
FORM SCHEDULE K, PART 1 (F) (CUSIP # 97712DP34) PURPOSE OF BOND SERIES 2018ABC ISSUED 8/16/2018 THE PROCEEDS OF THE SERIES 2018ABC BONDS WERE USED FOR THE PURPOSE, TOGETHER WITH OTHER AVAILABLE FUNDS, OF REFINANCING ALL OR A PORTION OF THE SERIES 2008A, SERIES 2008B, SERIES 2009A, SERIES 2010A, SERIES 2010B, SERIES 2012A, SERIES 2012B, SERIES 2012C, SERIES 2012D, SERIES 2013A AND SERIES 2015A BONDS PREVIOUSLY ISSUED BY THE WISCONSIN HEALTH AND EDUCATIONAL FACILITIES AUTHORITY FOR THE BENEFIT OF AURORA HEALTH CARE, INC.
FORM SCHEDULE K, PART I (F) (CUSIP # 45203HCM2) PURPOSE OF BOND SERIES 2011A-1 ISSUED 9/21/2011 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 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.
SCHEDULE K, PART III, LINE 3B, ALL BOND ISSUES SERVICE CONTRACTS AND RESEARCH AGREEMENTS 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.
SCHEDULE K, PART III, LINES 4-6, CERTAIN BOND ISSUES PRIVATE BUSINESS USE PERCENTAGE PRIVATE BUSINESS USE PERCENTAGE WAS CALCULATED BASED ON NEW MONEY PORTION OF THE BOND ISSUE ONLY.
SCHEDULE K, PART III, LINE 7, ALL BOND ISSUES PRIVATE SECURITY AND PAYMENT TEST ADVOCATE MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND THEREFORE, HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS.
SCHEDULE K, PART IV, LINE 2C ARBITRAGE REBATE COMPUTATION BOND SERIES 2003, CUSIP # 45200PXH5 THE REBATE COMPUTATION WAS PERFORMED AS OF OCTOBER 29, 2018. BOND SERIES 2008A-1, CUSIP # 45200FED7 THE REBATE COMPUTATION WAS PERFORMED AS OF JANUARY 24, 2018. BOND SERIES 2008A-2, CUSIP # 45200FEE5 THE REBATE COMPUTATION WAS PERFORMED AS OF JANUARY 24, 2018. BOND SERIES 2008A-3, CUSIP # 45200FEF2 THE REBATE COMPUTATION WAS PERFORMED AS OF MAY 1, 2017. BOND SERIES 2008C, CUSIP # 45200FAZ2 THE REBATE COMPUTATION WAS PERFORMED AS OF OCTOBER 10, 2017. BOND SERIES 2010, CUSIP # 45200FK65 THE REBATE COMPUTATION WAS PERFORMED AS OF JANUARY 6, 2015. BOND SERIES 2011A-1, CUSIP # 45203HCM2 THE REBATE COMPUTATION WAS PERFORMED AS OF SEPTEMBER 21, 2016. BOND SERIES 2011A-2, 2011BCD CUSIP # 45203HCA8 THE REBATE COMPUTATION WAS PERFORMED AS OF SEPTEMBER 21, 2016. BOND SERIES 2012, CUSIP # 45203HNJ7 THE REBATE COMPUTATION WAS PERFORMED AS OF NOVEMBER 29, 2017. BOND SERIES 2013A, CUSIP # 45203HUC4 THE REBATE COMPUTATION WAS PERFORMED AS OF AUGUST 8, 2018.
SCHEDULE K, PART IV, LINE 4B SWAP PROVIDERS 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) 2018

Additional Data


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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.
MediumBulletGo to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2018
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
Total ...............Small Bullet $  
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) 2018
Schedule L (Form 990 or 990-EZ) 2018
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 MEMBER - DOMINIC J. NAKIS 107,926 EMPLOYMENT   No
(2) MICHAEL MAHONEY FAMILY MEMBER - DOMINIC J. NAKIS 87,302 EMPLOYMENT   No
(3) ANNA KATZ FAMILY MEMBER - LEE SACKS 370,146 EMPLOYMENT   No
(4) JAMES RICHARDSON FAMILY MEMBER - MICHELE BAKER-RICHARDSON 40,000 EMPLOYMENT   No
(5) DANIEL DOHERTY FAMILY MEMBER - JAMES DAN, FORMER OFFICER 237,071 EMPLOYMENT   No
(6) IBEAWUCHI MBANU FAMILY MEMBER - TERIKA RICHARDSON 448,380 EMPLOYMENT   No
(7) KRISTINE ARIAS FAMILY MEMBER - JOHN TIMMER 13,435 EMPLOYMENT   No
(8) RAFAEL ARIAS FAMILY MEMBER - JOHN TIMMER 141,443 EMPLOYMENT   No
Part V
Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).
Return Reference Explanation
Schedule L (Form 990 or 990-EZ) 2018


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 Go to www.irs.gov/Form990 for the latest information.
OMB No. 1545-0047
2018
Open to Public
Inspection
Name of the organization
ADVOCATE HEALTH AND HOSPITALS CORP
 
Employer identification number

36-2169147
Return Reference Explanation
FORM 990, PART VI, SECTION A, LINE 1 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 COMMITTEES' AUTHORITY INCLUDES: BE RESPONSIBLE FOR PLANNING EDUCATIONAL PROGRAMS FOR THE BOARD OF DIRECTORS; CONDUCT AN EVALUATION OF THE MEMBERS OF THE BOARD OF DIRECTORS; HAVE SUCH AUTHORITY AS SHALL BE DELEGATED BY THE BOARD OF DIRECTORS; AND ACT ON BEHALF OF THE BOARD OF DIRECTORS BETWEEN MEETINGS. THE EXECUTIVE COMMITTEE IS ACCOUNTABLE AS A BODY TO THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 2 OFFICER BUSINESS RELATIONSHIP AS JAMES DAN, M.D., VINCENT BUFALINO, M.D., GAIL D. HASBROUCK, EARL BARNES II, JAMES DOHENY, AND DOMINIC J. 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.
FORM 990, PART VI, SECTION A, LINE 6 DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERS BYLAWS PROVIDE FOR CORPORATE MEMBERS.
FORM 990, PART VI, SECTION A, LINE 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, SECTION A, LINE 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, SECTION B, LINE 11B DESCRIBE THE PROCESS USED BY MANAGEMENT &/OR GOVERNING BODY TO REVIEW 990 ADVOCATE'S TAX PREPARATION PROCESS INCLUDES ONGOING CONSULTATION WITH ITS OUTSIDE TAX CONSULTING FIRM AND TAX LEGAL COUNSEL, BOTH OF WHICH POSSESS EXPERTISE IN HEALTH CARE AND TAX-EXEMPT RETURN PREPARATION, TO ADVISE AND ASSIST WITH PREPARATION OF THE FORM 990. THESE ADVISORS WORKED CLOSELY WITH THE ORGANIZATION'S FINANCE, TAX, AND LEGAL ASSOCIATES AND OTHER MEMBERS OF THE ORGANIZATION'S TEAM ASSEMBLED TO PARTICIPATE IN THE PREPARATION OF THE FORM 990. THE FORM 990 IS REVIEWED BY FINANCE MANAGEMENT, THE TAX MANAGER, THE VP OF FINANCE/CORPORATE CONTROLLER, THE CHIEF FINANCIAL OFFICER, AND ADVOCATE'S OUTSIDE TAX CONSULTING FIRM AND TAX LEGAL COUNSEL. PRIOR TO PRESENTING THE FORM 990 TO THE BOARD OF DIRECTOR'S AUDIT COMMITTEE IN NOVEMBER, THE ORGANIZATION'S TEAM, INCLUDING ITS ADVISORS, MET FREQUENTLY TO DISCUSS AND REVIEW DRAFTS OF THE FORM 990. AT THE NOVEMBER AUDIT COMMITTEE MEETING, THE VP OF FINANCE/CORPORATE CONTROLLER AND CHIEF FINANCIAL OFFICER COORDINATED A REVIEW OF THE FORM 990 WITH COMMITTEE MEMBERS, AS THE AUDIT COMMITTEE IS THE COMMITTEE OF THE BOARD OF DIRECTORS CHARGED WITH OVERSIGHT OF AUDIT AND TAX MATTERS. THE VP OF FINANCE/CORPORATE CONTROLLER AND CHIEF FINANCIAL OFFICER RESPONDED TO THE AUDIT COMMITTEE MEMBERS' QUESTIONS AND PROVIDED THE OPPORTUNITY FOR DETAILED DISCUSSION OF THE FORM 990. THE CHANGES IDENTIFIED WERE INCORPORATED, AND THEN A COMPLETE COPY OF THE FINAL FORM 990 WAS PROVIDED TO EACH MEMBER OF THE ORGANIZATION'S BOARD OF DIRECTORS BEFORE THE FORM 990 WAS FILED.
FORM 990, PART VI, SECTION B, LINE 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, SECTION B, LINE 15 OFFICES & POSITIONS FOR WHICH PROCESS 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, SECTION C, LINE 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: CONTRIBUTIONS FROM SUBSIDIARIES 110,214,121. CONTRIBUTION FROM PARENT FASB 158 ADJUSTMENTS -75,497,807. ACL FIXED ASSET WRITEOFF -5,217,826.
For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.
Cat. No. 51056K
Schedule O (Form 990 or 990-EZ) 2018


Additional Data


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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 Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047
2018
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) LINE 12C, III-FI N/A
 
No
(2)ADVOCATE CONDELL MEDICAL CENTER
3075 HIGHLAND PARKWAY STE 600

DOWNERS GROVE,IL60515
26-2525968
HEALTH CARE IL 501(C)(3) LINE 3 AHHC
 
Yes
 
(3)ADVOCATE NORTH SIDE HEALTH NETWORK
3075 HIGHLAND PARKWAY STE 600

DOWNERS GROVE,IL60515
36-3196629
HEALTH CARE IL 501(C)(3) LINE 3 AHHC
 
Yes
 
(4)ADVOCATE CHARITABLE FOUNDATION
3075 HIGHLAND PARKWAY STE 600

DOWNERS GROVE,IL60515
36-3297360
FUNDRAISING IL 501(C)(3) LINE 7 AHCN
 
 
No
(5)EHS HOME HEALTH CARE SERVICE INC
3075 HIGHLAND PARKWAY STE 600

DOWNERS GROVE,IL60515
36-2913108
HOME CARE IL 501(C)(3) LINE 10 AHHC
 
Yes
 
(6)MERIDIAN HOSPICE
3075 HIGHLAND PARKWAY STE 600

DOWNERS GROVE,IL60515
36-3158667
HOSPICE CARE IL 501(C)(3) LINE 10 EHSHHCS
 
 
No
(7)HISPANOCARE INC
3075 HIGHLAND PARKWAY STE 600

DOWNERS GROVE,IL60515
36-3606486
HEALTH CARE IL 501(C)(3) LINE 10 ANSHN
 
 
No
(8)RAVENSWOOD HEALTH CARE FOUNDATION
3075 HIGHLAND PARKWAY STE 600

DOWNERS GROVE,IL60515
36-3196628
FUNDRAISING IL 501(C)(3) LINE 12B, II N/A
 
No
(9)MASONIC FAMILY HEALTH FOUNDATION INC
3075 HIGHLAND PARKWAY STE 600

DOWNERS GROVE,IL60515
36-4397387
FUNDRAISING IL 501(C)(3) LINE 12A, I MFHS
 
 
No
(10)ADVOCATE SHERMAN HOSPITAL
3075 HIGHLAND PARKWAY STE 600

DOWNERS GROVE,IL60515
36-2167920
HEALTH CARE IL 501(C)(3) LINE 3 AHCN
 
 
No
(11)SHERMAN WEST COURT
3075 HIGHLAND PARKWAY STE 600

DOWNERS GROVE,IL60515
36-3725580
NURSING CARE IL 501(C)(3) LINE 10 ASH
 
 
No
(12)ADVOCATE AURORA HEALTH INC
3075 HIGHLAND PARKWAY STE 600

DOWNERS GROVE,IL60515
82-4184596
SUPPORT ORG DE 501(C)(3) LINE 12C, III-FI N/A
 
No
For Paperwork Reduction Act Notice, see the Instructions for Form 990.
Cat. No. 50135Y
Schedule R (Form 990) 2018
Schedule R (Form 990) 2018
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) DMA SURGERY CENTER

2357 SEQUOIA DRIVE
AURORA,IL60506
36-3890298
MEDICAL SERVICES IL N/A
        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 HOME CARE PRODUCTS

3075 HIGHLAND PARKWAY SUITE 600
DOWNERS GROVE,IL60515
36-3315416
HEALTH SERVICES IL N/A
C         No
(2) EVANGELICAL SERVICES CORPORATION

3075 HIGHLAND PARKWAY SUITE 600
DOWNERS GROVE,IL60515
36-3208101
MGMT SERVICES IL N/A
C         No
(3) HIGH TECHNOLOGY INC

3075 HIGHLAND PARKWAY SUITE 600
DOWNERS GROVE,IL60515
36-3368224
MEDICAL SERVICES IL N/A
C         No
(4) DREYER CLINIC INC

3075 HIGHLAND PARKWAY SUITE 600
DOWNERS GROVE,IL60515
36-2690329
MEDICAL SERVICES IL N/A
C         No
(5) BROMENN PHYSICIAN MANAGEMENT CORPORATION

3075 HIGHLAND PARKWAY SUITE 600
DOWNERS GROVE,IL60515
37-1313150
MEDICAL SERVICES IL N/A
C         No
(6) PARKSIDE CENTER CONDO ASSOCIATION

1775 WEST DEMPSTER STREET
PARK RIDGE,IL60068
36-3452486
PROPERTY MGMT IL N/A
C         No
(7) THE DELPHI GROUP IV INC

1425 N RANDALL ROAD
ELGIN,IL60123
36-4017279
HEALTH COST MGT IL N/A
C         No
(8) SHERMAN VENTURES INC

3075 HIGHLAND PARKWAY SUITE 600
DOWNERS GROVE,IL60515
36-4292309
HOLDING COMPANY IL N/A
C         No
(9) ADVOCATE HPN NFP

3075 HIGHLAND PARKWAY SUITE 600
DOWNERS GROVE,IL60515
81-0893878
HEALTH IMPRV MGMT IL N/A
C         No
(10) ADVOCATE INSURANCE SPC

878 WEST BAY ROAD PO BOX 1159
GRAND CAYMAN   KY1-1102
CJ
98-0422925
INSURANCE CJ N/A
C 25,170,000 197,633,000 100.000 % Yes  
(11) ADVOCATE HEALTH PARTNERS

1701 WEST GOLF ROAD
ROLLING MEADOWS,IL60008
36-4032117
HEALTH CARE MGT IL N/A
C         No
(12) ADVOCATE PHYSICIAN PARTNERS ACCOUNTABLE

1701 WEST GOLF ROAD
ROLLING MEADOWS,IL60008
45-5498384
HEALTH CARE MGT IL N/A
C         No
(13) ADVOCATE PHYSICIAN PTNRS RISK PURCHASE

1701 WEST GOLF ROAD
ROLLING MEADOWS,IL60008
38-3914173
GROUP MALPRACTICE IL N/A
C         No
Schedule R (Form 990) 2018
Schedule R (Form 990) 2018
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
 
No
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

A 43,047 COST
(2) ADVOCATE CONDELL MEDICAL CENTER

A 54,209 COST
(3) EHS HOME HEALTH CARE SERVICE INC

A 14,297 COST
(4) ADVOCATE CHARITABLE FOUNDATION

C 11,592,125 COST
(5) ADVOCATE NORTH SIDE HEALTH NETWORK

K 887,757 COST
(6) ADVOCATE CONDELL MEDICAL CENTER

K 267,638 COST
(7) EHS HOME HEALTH CARE SERVICE INC

K 118,989 COST
(8) ADVOCATE NORTH SIDE HEALTH NETWORK

L 70,059,756 COST
(9) ADVOCATE CONDELL MEDICAL CENTER

L 58,493,249 COST
(10) EHS HOME HEALTH CARE SERVICE INC

L 2,057,570 COST
(11) ADVOCATE NORTH SIDE HEALTH NETWORK

M 1,053,612 COST
(12) ADVOCATE CONDELL MEDICAL CENTER

M 1,038,861 COST
(13) EHS HOME HEALTH CARE SERVICE INC

M 185,689 COST
(14) ADVOCATE NORTH SIDE HEALTH NETWORK

P 43,728,028 COST
(15) ADVOCATE CONDELL MEDICAL CENTER

P 22,222,799 COST
(16) EHS HOME HEALTH CARE SERVICE INC

P 1,920,285 COST
(17) ADVOCATE NORTH SIDE HEALTH NETWORK

Q 73,158,723 COST
(18) ADVOCATE CONDELL MEDICAL CENTER

Q 54,150,889 COST
(19) ADVOCATE INSURANCE SPC

Q 1,122,487 COST
(20) EHS HOME HEALTH CARE SERVICE INC

Q 10,462,115 COST
(21) ADVOCATE HEALTH CARE NETWORK

Q 128,482 COST
(22) ADVOCATE NORTH SIDE HEALTH NETWORK

R 9,594,324 COST
(23) ADVOCATE CONDELL MEDICAL CENTER

R 3,283,346 COST
(24) ADVOCATE NORTH SIDE HEALTH NETWORK

S 11,791,426 COST
(25) ADVOCATE CONDELL MEDICAL CENTER

S 3,630,214 COST
Schedule R (Form 990) 2018
Schedule R (Form 990) 2018
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) 2018
Schedule R (Form 990) 2018
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) 2018

Additional Data


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