TY 2019 Form 990

(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)	(E) Reportable compensation from related organizations (W-2/1099-MISC)
(1) CLARENCE NIXON JR PHD...................................................................... DIRECTOR	1.00 ................. 3.00	X		14,000	0
(2) DAVID ANDERSON...................................................................... DIRECTOR	1.00 ................. 3.00	X		107,333	0
(3) GAIL D HASBROUCK...................................................................... DIRECTOR	1.00 ................. 3.00	X		14,000	38
(4) JAMES SKOGSBERGH...................................................................... EXECUTIVE VICE PRESIDENT & COO, DIRECTOR	1.00 ................. 55.00	X	X	5,917,505	46,577
(5) LYNN CRUMP-CAINE...................................................................... DIRECTOR	1.00 ................. 3.00	X		80,000	0
(6) MARK HARRIS...................................................................... DIRECTOR	1.00 ................. 3.00	X		69,000	0
(7) MICHELE BAKER RICHARDSON...................................................................... CHAIRPERSON, DIRECTOR	1.00 ................. 3.00	X	X	132,165	0
(8) REV DR NATHANIEL EDMOND...................................................................... DIRECTOR	1.00 ................. 4.00	X		18,100	0
(9) K RICHARD JAKLE...................................................................... VICE CHAIRPERSON OF BOARD/DIRECTOR	1.00 ................. 4.00	X	X	119,433	0
(10) RONALD GREENE...................................................................... DIRECTOR	1.00 ................. 3.00	X		13,000	0
(11) JOHN TIMMER...................................................................... DIRECTOR	1.00 ................. 3.00	X		103,333	0
(12) EMELIE ILARDE MD...................................................................... DIRECTOR	1.00 ................. 3.00	X		8,000	0
(13) GARY STUCK DO...................................................................... CHIEF MEDICAL OFFICER	1.00 ................. 55.00		X	696,475	45,531
(14) BARBARA BYRNE MD...................................................................... CHIEF INFORMATION OFFICER	1.00 ................. 55.00		X	1,426,356	86,252
(15) DOMINIC J NAKIS...................................................................... CFO, & TREASURER	1.00 ................. 55.00		X	2,542,698	53,130
(16) JAMES DOHENY...................................................................... ASSISTANT TREASURER	1.00 ................. 55.00		X	575,517	54,577
(17) JAMES SLINKMAN...................................................................... ASSISTANT SECRETARY	1.00 ................. 55.00		X	434,355	60,616

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(E) Reportable compensation from related organizations (W-2/1099-MISC)	(F) Estimated amount of other compensation from the organization and related organizations
(18) KELLY JO GOLSON........................................................................ CHIEF MARKETING OFFICER	1.00 .......................55.00	X				0	1,316,033	28,503
(19) KEVIN BRADY........................................................................ CHIEF HUMAN RESOURCES OFFICER	1.00 .......................55.00	X				0	1,645,013	64,204
(20) LESLIE LENZO........................................................................ ASSISTANT TREASURER	1.00 .......................55.00	X				0	875,800	45,201
(21) MICHAEL GREBE........................................................................ CHIEF LEGAL OFFICER, ASSISTANT SECRETARY	1.00 .......................55.00	X				0	1,358,493	201,665
(22) MICHAEL KERNS........................................................................ ASSISTANT SECRETARY	1.00 .......................55.00	X				0	490,282	60,284
(23) MIKE LAPPIN........................................................................ SECRETARY	1.00 .......................55.00	X				0	1,964,257	331,811
(24) NAN NELSON........................................................................ ASSISTANT TREASURER	1.00 .......................55.00	X				0	1,072,348	167,410
(25) SHELLY HART........................................................................ ASSISTANT SECRETARY	1.00 .......................55.00	X				0	702,837	132,786
(26) REV KATHIE BENDER SCHWICH........................................................................ CHIEF SPIRITUAL OFFICER	1.00 .......................55.00	X				0	872,287	105,846
(27) SCOTT POWDER........................................................................ CHIEF STRATEGY OFFICER	1.00 .......................55.00	X				0	1,488,375	50,716
(28) STEVE HUSER........................................................................ ASSISTANT TREASURER	1.00 .......................55.00	X				0	437,105	85,462
(29) VINCENT BUFALINO MD........................................................................ CHIEF ADVOCATE MEDICAL GROUP OFFICER	1.00 .......................55.00	X				0	1,689,703	53,312
(30) WILLIAM P SANTULLI........................................................................ PRESIDENT OF THE CORPORATION	1.00 .......................55.00	X				0	3,389,096	49,894
(31) MATTHEW PRIMACK........................................................................ HOSPITAL PRESIDENT	55.00 .......................		X			0	526,010	46,771
(32) MICHAEL PLOSZEK........................................................................ PRESIDENT OF CONDELL MEDICAL CENTER	55.00 .......................			X		459,749	0	35,128
(33) DEBRA SUSIE-LATTNER........................................................................ VP, CHIEF MEDICAL OFFICER CONDELL	55.00 .......................			X		497,614	0	38,229
(34) KAREN HANSON........................................................................ VP, CHIEF NURSING OFFICER CONDELL	55.00 .......................			X		243,821	0	47,762
(35) LANIS KUYZIN........................................................................ DIRECTOR MEDICAL CARE MANAGEMENT	55.00 .......................			X		318,228	0	25,479
(36) CHRISTIAN WALLIS........................................................................ VP CLIN SERV LINES & SUPP SRVS	55.00 .......................			X		228,808	0	20,038
(37) EARL J BARNES II........................................................................ FORMER OFFICER, KEY EMPLOYEE-SR VICE PRESIDENT, GE	0.00 .......................				X	0	445,619	30,660
(38) LEE B SACKS MD........................................................................ FORMER OFFICER	0.00 .......................				X	0	625,633	972
(39) SUSAN CAMPBELL........................................................................ FORMER OFFICER	0.00 .......................				X	0	407,708	7,069
(40) KAREN LAMBERT........................................................................ FORMER KEY EMPLOYEE-PRESIDENT-GOOD SHEPHERD & PRES	0.00 .......................				X	0	1,132,308	64,402
(41) DOMINICA TALLARICO........................................................................ FORMER KEY EMPLOYEE-PRESIDENT-CONDELL	0.00 .......................				X	0	1,086,210	50,918
(42) DAVID CARTWRIGHT........................................................................ FORMER HCE-VP, FINANCE & SUPPORT SERVICES UNTIL J	0.00 .......................				X	0	334,484	47,462
(43) MARY HILLARD........................................................................ FORMER HCE-VP, PATIENT CARE/CLINICAL OPERATIONS/CN	0.00 .......................				X	207,539	0	16,848

(A) Name and business address	(B) Description of services	(C) Compensation
EDWARD W MCNABOLA 161 N CLARK STREET SUITE 2550 CHICAGO,IL60601	LEGAL SERVICES	1,843,693
EMERGENCY SURGICAL SERVICES OF LAKE COUN 1870 W WINCHESTOR RD STE 112 LIBERTYVILLE,IL60048	EMERGENCY SERVICES	1,449,240
PULMONARY MEDICINE ASSOCIATES SC 675 W NORTH AVENUE 505 MELROSE PARK,IL60160	HOSPITAL SERVICES	1,307,127
TOTAL RENAL CARE INC PO BOX 402946 ATLANTA,GA30384	MEDICAL SERVICES	1,080,473
SUPERIOR HEALTH LINENS LLC 5005 S PACKARD AVENUE CUDAHY,WI53110	LAUNDRY SERVICES	1,050,110
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 25

- TIN:

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.
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Attach to Form 990 or Form 990-EZ.
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Go to www.irs.gov/Form990 for instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public
Inspection

Name of the organization

ADVOCATE CONDELL MEDICAL CENTER

Employer identification number

26-2525968

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.)

A church, convention of churches, or association of churches described in section 170(b)(1)(A)(i).

A school described in section 170(b)(1)(A)(ii). (Attach Schedule E (Form 990 or 990-EZ).)

A hospital or a cooperative hospital service organization described in section 170(b)(1)(A)(iii).

A medical research organization operated in conjunction with a hospital described in section 170(b)(1)(A)(iii). Enter the hospital's name, city, and state:

An organization operated for the benefit of a college or university owned or operated by a governmental unit described in section 170(b)(1)(A)(iv). (Complete Part II.)

A federal, state, or local government or governmental unit described in section 170(b)(1)(A)(v).

An organization that normally receives a substantial part of its support from a governmental unit or from the general public described in section 170(b)(1)(A)(vi). (Complete Part II.)

A community trust described in section 170(b)(1)(A)(vi). (Complete Part II.)

An agricultural research organization described in 170(b)(1)(A)(ix) operated in conjunction with a land-grant college or university or a non-land grant college of agriculture. See instructions. Enter the name, city, and state of the college or university:

An organization that normally receives: (1) more than 331/3% of its support from contributions, membership fees, and gross receipts from activities related to its exempt functions—subject to certain exceptions, and (2) no more than 331/3% of its support from gross investment income and unrelated business taxable income (less section 511 tax) from businesses acquired by the organization after June 30, 1975. See section 509(a)(2). (Complete Part III.)

An organization organized and operated exclusively to test for public safety. See section 509(a)(4).

An organization organized and operated exclusively for the benefit of, to perform the functions of, or to carry out the purposes of one or more publicly supported organizations described in section 509(a)(1) or section 509(a)(2). See section 509(a)(3). Check the box in lines 12a through 12d that describes the type of supporting organization and complete lines 12e, 12f, and 12g.

Type I. A supporting organization operated, supervised, or controlled by its supported organization(s), typically by giving the supported organization(s) the power to regularly appoint or elect a majority of the directors or trustees of the supporting organization. You must complete Part IV, Sections A and B.

Type II. A supporting organization supervised or controlled in connection with its supported organization(s), by having control or management of the supporting organization vested in the same persons that control or manage the supported organization(s). You must complete Part IV, Sections A and C.

Type III functionally integrated. A supporting organization operated in connection with, and functionally integrated with, its supported organization(s) (see instructions). You must complete Part IV, Sections A, D, and E.

Type III non-functionally integrated. A supporting organization operated in connection with its supported organization(s) that is not functionally integrated. The organization generally must satisfy a distribution requirement and an attentiveness requirement (see instructions). You must complete Part IV, Sections A and D, and Part V.

Check this box if the organization received a written determination from the IRS that it is a Type I, Type II, Type III functionally integrated, or Type III non-functionally integrated supporting organization.

Enter the number of supported organizations ...............................

Provide the following information about the supported organization(s).

(i) Name of supported organization	(ii) EIN	(iv) Is the organization listed in your governing document?		(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)
(i) Name of supported organization	(ii) EIN	Yes	No	(v) Amount of monetary support (see instructions)	(vi) Amount of other support (see instructions)


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) 2019

Page 2

Part II

Support Schedule for Organizations Described in Sections 170(b)(1)(A)(iv) and 170(b)(1)(A)(vi)
(Complete only if you checked the box on line 5, 7, or 8 of Part I or if the organization failed to qualify under Part III. If the organization failed to qualify under the tests listed below, please complete Part III.)

Section A. Public Support

Calendar year (or fiscal year beginning in)		(a) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(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)		(a) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(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

Gross receipts from related activities, etc. (see instructions) ..................

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

Public support percentage for 2019 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2018 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2019. If the organization did not check the box on line 13, and line 14 is 33 1/3% or more, check this box
and stop here. The organization qualifies as a publicly supported organization ....................... right arrow

33 1/3% support test—2018. If the organization did not check a box on line 13 or 16a, and line 15 is 33 1/3% or more, check this
box and stop here. The organization qualifies as a publicly supported organization ..................... right arrow

17a

10%-facts-and-circumstances test—2019. If the organization did not check a box on line 13, 16a, or 16b, and line 14
is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here. Explain
in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly supported
organization ..................................................... right arrow

10%-facts-and-circumstances test—2018. If the organization did not check a box on line 13, 16a, 16b, or 17a, and line
15 is 10% or more, and if the organization meets the "facts-and-circumstances" test, check this box and stop here.
Explain in Part VI how the organization meets the "facts-and-circumstances" test. The organization qualifies as a publicly
supported organization ................................................ right arrow

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) 2019

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)		(a) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(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)		(a) 2015	(b) 2016	(c) 2017	(d) 2018	(e) 2019	(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.)..

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

Public support percentage for 2019 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2018 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2019 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2018 Schedule A, Part III, line 17 .............

19a

331/3% support tests—2019. If the organization did not check the box on line 14, and line 15 is more than 33 1/3%, and line 17 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization ....... right arrow

33 1/3% support tests—2018. If the organization did not check a box on line 14 or line 19a, and line 16 is more than 33 1/3% and line 18 is not more than 33 1/3%, check this box and stop here. The organization qualifies as a publicly supported organization .... right arrow

Private foundation. If the organization did not check a box on line 14, 19a, or 19b, check this box and see instructions .... right arrow

Schedule A (Form 990 or 990-EZ) 2019

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

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.

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).

Did the organization have a supported organization described in section 501(c)(4), (5), or (6)? If "Yes," answer (b) and (c) below.

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.

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.

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.

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.

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.

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).

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?

Substitutions only. Was the substitution the result of an event beyond the organization's control?

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.

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) .

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).

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.

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.

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.

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

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) 2019

Page 5

Part IV

Supporting Organizations (continued)

Yes

Has the organization accepted a gift or contribution from any of the following persons?

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

A family member of a person described in (a) above?

11b

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

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.

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.

Section C. Type II Supporting Organizations

Yes

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).

Section D. All Type III Supporting Organizations

Yes

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?

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).

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.

Section E. Type III Functionally-Integrated Supporting Organizations

Check the box next to the method that the organization used to satisfy the Integral Part Test during the year (see instructions):

The organization satisfied the Activities Test. Complete line 2 below.

The organization is the parent of each of its supported organizations. Complete line 3 below.

The organization supported a governmental entity. Describe in Part VI how you supported a government entity (see instructions)

Activities Test. Answer (a) and (b) below.

Yes

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.

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.

Parent of Supported Organizations. Answer (a) and (b) below.

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.

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.

Schedule A (Form 990 or 990-EZ) 2019

Page 6

Part V

Type III Non-Functionally Integrated 509(a)(3) Supporting Organizations

Check here if the organization satisfied the Integral Part Test as a qualifying trust on Nov. 20, 1970 (explain in Part VI). See instructions. All other Type III non-functionally integrated supporting organizations must complete Sections A through E.

	Section A - Adjusted Net Income		(A) Prior Year	(B) Current Year (optional)
1	Net short-term capital gain	1
2	Recoveries of prior-year distributions	2
3	Other gross income (see instructions)	3
4	Add lines 1 through 3	4
5	Depreciation and depletion	5
6	Portion of operating expenses paid or incurred for production or collection of gross income or for management, conservation, or maintenance of property held for production of income (see instructions)	6
7	Other expenses (see instructions)	7
8	Adjusted Net Income (subtract lines 5, 6 and 7 from line 4)	8

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

	Section C - Distributable Amount		Current Year
1	Adjusted net income for prior year (from Section A, line 8, Column A)	1
2	Enter 85% of line 1	2
3	Minimum asset amount for prior year (from Section B, line 8, Column A)	3
4	Enter greater of line 2 or line 3	4
5	Income tax imposed in prior year	5
6	Distributable Amount. Subtract line 5 from line 4, unless subject to emergency temporary reduction (see instructions)	6

Check here if the current year is the organization's first as a non-functionally-integrated Type III supporting organization (see instructions)

Schedule A (Form 990 or 990-EZ) 2019

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 2019 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-2019	(iii) Distributable Amount for 2019
1 Distributable amount for 2019 from Section C, line 6
2 Underdistributions, if any, for years prior to 2019 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2019:
a From 2014.......
b From 2015.......
c From 2016.......
d From 2017.......
e From 2018.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2019 distributable amount
i Carryover from 2014 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from 3f.
4Distributions for 2019 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2019 distributable amount
c Remainder. Subtract lines 4a and 4b from 4.
5 Remaining underdistributions for years prior to 2019, 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 2019. 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 2020. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2015.....
b Excess from 2016.....
c Excess from 2017.....
d Excess from 2018.....
e Excess from 2019.....

Schedule A (Form 990 or 990-EZ) (2019)

Schedule A (Form 990 or 990-EZ) 2019

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) 2019

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990, 990-EZ,
or 990-PF)

Department of the Treasury
Internal Revenue Service

Schedule of Contributors

Attach to Form 990, 990-EZ, or 990-PF.

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

OMB No. 1545-0047

2019

Name of the organization

ADVOCATE CONDELL MEDICAL CENTER

Employer identification number

26-2525968

Organization type (check one):

Filers of:

Section:

Form 990 or 990-EZ

501(c)( ) (enter number) organization

4947(a)(1) nonexempt charitable trust not treated as a private foundation

527 political organization

Form 990-PF

501(c)(3) exempt private foundation

4947(a)(1) nonexempt charitable trust treated as a private foundation

501(c)(3) taxable private foundation

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

For an organization filing Form 990, 990-EZ, or 990-PF that received, during the year, contributions totaling $5,000 or more (in money or other property) from any one contributor. Complete Parts I and II. See instructions for determining a contributor's total contributions.

Special Rules

For an organization described in section 501(c)(3) filing Form 990 or 990-EZ that met the 33¹/3% support test of the regulations
under sections 509(a)(1) and 170(b)(1)(A)(vi), that checked Schedule A (Form 990 or 990-EZ), Part II, line 13, 16a, or 16b, and that received from any one contributor, during the year, total contributions of the greater of (1) $5,000 or (2) 2% of the amount on (i) Form 990, Part VIII, line 1h, or (ii) Form 990-EZ, line 1. Complete Parts I and II.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, total contributions of more than $1,000 exclusively for religious, charitable, scientific, literary, or educational purposes, or for the prevention of cruelty to children or animals. Complete Parts I, II, and III.

For an organization described in section 501(c)(7), (8), or (10) filing Form 990 or 990-EZ that received from any one contributor,
during the year, contributions exclusively for religious, charitable, etc., purposes, but no such contributions totaled more than $1,000. If this box is checked, enter here the total contributions that were received during the year for an exclusively religious, charitable, etc., purpose. Don't complete any of the parts unless the General Rule applies to this organization because it received nonexclusively religious, charitable, etc., contributions totaling $5,000 or more during the year ......... 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) (2019)

Schedule B (Form 990, 990-EZ, or 990-PF) (2019) Page 2

Name of organization ADVOCATE CONDELL MEDICAL CENTER

Part I Contributors	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	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
(a) No.	(b) Name, address, and ZIP + 4	(c) Total contributions	(d) Type of contribution
		$	Person Payroll Noncash (Complete Part II for noncash contributions.)
Schedule B (Form 990, 990-EZ, or 990-PF) (2019)

Schedule B (Form 990, 990-EZ, or 990-PF) (2019)

Page 3

Name of organization ADVOCATE CONDELL MEDICAL CENTER		Employer identification number 26-2525968

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) (2019)

Schedule B (Form 990, 990-EZ, or 990-PF) (2019)

Page 4


Name of organization ADVOCATE CONDELL MEDICAL CENTER			Employer identification number 26-2525968
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.) $ Use duplicate copies of Part III if additional space is needed.

(a)
No. from Part I

(b) Purpose 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

(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

(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

(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) (2019)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Political Campaign and Lobbying Activities

For Organizations Exempt From Income Tax Under section 501(c) and section 527

SchCMd Bullet

Complete if the organization is described below. SchCMd Bullet

Attach to Form 990 or Form 990-EZ.
SchCMd Bullet

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

OMB No. 1545-0047

2019

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 CONDELL MEDICAL CENTER

Employer identification number

26-2525968

Part I-A

Complete if the organization is exempt under section 501(c) or is a section 527 organization.

Provide a description of the organization’s direct and indirect political campaign activities in Part IV (see instructions for definition of “political campaign activities")

Political campaign activity expenditures (see instructions) .................................................................... SchCMd Bullet

Volunteer hours for political campaign activities (see instructions) ..................................................................

Part I-B

Complete if the organization is exempt under section 501(c)(3).

Enter the amount of any excise tax incurred by the organization under section 4955 ................................ SchCMd Bullet

Enter the amount of any excise tax incurred by organization managers under section 4955 ....................... SchCMd Bullet

If the organization incurred a section 4955 tax, did it file Form 4720 for this year? .........................................

Yes No

Was a correction made? ......................................................................................................................

Yes No

If "Yes," describe in Part IV.

Part I-C

Complete if the organization is exempt under section 501(c), except section 501(c)(3).

Enter the amount directly expended by the filing organization for section 527 exempt function activities ..... SchCMd Bullet

Enter the amount of the filing organization's funds contributed to other organizations for section 527 exempt function activities ............................................................................................................................ SchCMd Bullet

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

Did the filing organization file Form 1120-POL for this year? ...................................................................

Yes No

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) 2019

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 Bullet

if the filing organization belongs to an affiliated group (and list in Part IV each affiliated group member's name, address, EIN, expenses, and share of excess lobbying expenditures).
B Check SchCMd Bullet

if the filing organization checked box A and "limited control" provisions apply.

Limits on Lobbying Expenditures (The term "expenditures" means amounts paid or incurred.)		(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? ...................................................................................................................	Yes No

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) 2016	(b) 2017	(c) 2018	(d) 2019	(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) 2019

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)

Yes|No

(b)

Amount

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:

Volunteers? ...........................................................................................................

Paid staff or management (include compensation in expenses reported on lines 1c through 1i)? ........

Media advertisements? ...................................................................................................

Mailings to members, legislators, or the public? .............................................................................

Publications, or published or broadcast statements? ...........................................................

Grants to other organizations for lobbying purposes? ..........................................................

Direct contact with legislators, their staffs, government officials, or a legislative body? .......................

Rallies, demonstrations, seminars, conventions, speeches, lectures, or any similar means? ..................

Other activities? ...................................................................................................................

Yes

42,130

Total. Add lines 1c through 1i ....................................................................................................

42,130

Did the activities in line 1 cause the organization to be not described in section 501(c)(3)? .....

If "Yes," enter the amount of any tax incurred under section 4912 ...........................................

If "Yes," enter the amount of any tax incurred by organization managers under section 4912 ...................

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

Were substantially all (90% or more) dues received nondeductible by members? ...............................................

Did the organization make only in-house lobbying expenditures of $2,000 or less? ............................................

Did the organization agree to carry over lobbying and political expenditures from the prior year? .................................

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."

Dues, assessments and similar amounts from members ......................................................................

Section 162(e) nondeductible lobbying and political expenditures (do not include amounts of political expenses for which the section 527(f) tax was paid).

Current year .............................................................................................................................

Carryover from last year ............................................................................................................

Total ...........................................................................................................................................

Aggregate amount reported in section 6033(e)(1)(A) notices of nondeductible section 162(e) dues .

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? ......................................................................................................................

Taxable amount of lobbying and political expenditures (see instructions) .........................................

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
PART II-B, LINE 1:	SUPPLEMENTAL LOBBYING INFORMATION ADVOCATE CONDELL MEDICAL CENTER IS A MEMBER OF THE AMERICAN HOSPITAL ASSOCIATION AND THE ILLINOIS HEALTH AND HOSPITAL ASSOCIATION. THESE ORGANIZATIONS, AS PART OF THEIR MISSION, ADVOCATE IN THE GENERAL ASSEMBLY AND IN CONGRESS ON LEGAL AND POLICY ISSUES THAT AFFECT HEALTHCARE INCLUDING QUALITY, AFFORDABILITY, PATIENT ACCESS, AND ACCREDITATION. A PORTION OF THE ANNUAL MEMBERSHIP DUES PAID TO THESE ORGANIZATIONS IS ATTRIBUTABLE TO LOBBYING ACTIVITIES. ADVOCATE CONDELL MEDICAL CENTER ALSO REIMBURSES VARIOUS ASSOCIATES FOR DUES PAID TO VARIOUS PROFESSIONAL ORGANIZATIONS AND ALSO FOR EDUCATIONAL EXPENSES PROVIDED BY PROFESSIONAL AND MEMBERSHIP ORGANIZATIONS. ADVOCATE CONDELL MEDICAL CENTER ENDEAVORS TO IDENTIFY THE PORTION OF DUES OR FEES PAID TO THESE ORGANIZATIONS WHICH ARE ATTRIBUTABLE TO LOBBYING ACTIVITIES.

Return Reference

Explanation

PART II-B, LINE 1:

SUPPLEMENTAL LOBBYING INFORMATION ADVOCATE CONDELL MEDICAL CENTER IS A MEMBER OF THE AMERICAN HOSPITAL ASSOCIATION AND THE ILLINOIS HEALTH AND HOSPITAL ASSOCIATION. THESE ORGANIZATIONS, AS PART OF THEIR MISSION, ADVOCATE IN THE GENERAL ASSEMBLY AND IN CONGRESS ON LEGAL AND POLICY ISSUES THAT AFFECT HEALTHCARE INCLUDING QUALITY, AFFORDABILITY, PATIENT ACCESS, AND ACCREDITATION. A PORTION OF THE ANNUAL MEMBERSHIP DUES PAID TO THESE ORGANIZATIONS IS ATTRIBUTABLE TO LOBBYING ACTIVITIES. ADVOCATE CONDELL MEDICAL CENTER ALSO REIMBURSES VARIOUS ASSOCIATES FOR DUES PAID TO VARIOUS PROFESSIONAL ORGANIZATIONS AND ALSO FOR EDUCATIONAL EXPENSES PROVIDED BY PROFESSIONAL AND MEMBERSHIP ORGANIZATIONS. ADVOCATE CONDELL MEDICAL CENTER ENDEAVORS TO IDENTIFY THE PORTION OF DUES OR FEES PAID TO THESE ORGANIZATIONS WHICH ARE ATTRIBUTABLE TO LOBBYING ACTIVITIES.

Schedule C (Form 990 or 990EZ) 2019

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE D
(Form 990)

Department of the Treasury
Internal Revenue Service

Supplemental Financial Statements

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 instructions and the latest information.

OMB No. 1545-0047

2019

Open to Public Inspection

Name of the organization

ADVOCATE CONDELL MEDICAL CENTER

Employer identification number

26-2525968

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 ........

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? ............

Yes No

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? ...................................

Yes No

Part II

Conservation Easements.
Complete if the organization answered "Yes" on Form 990, Part IV, line 7.

Purpose(s) of conservation easements held by the organization (check all that apply).

Preservation of land for public use (e.g., recreation or education) Preservation of an historically important land area

Protection of natural habitat Preservation of a certified historic structure

Preservation of open space

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.


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

Number of conservation easements modified, transferred, released, extinguished, or terminated by the organization during the
tax year SchDMd Bullet

Number of states where property subject to conservation easement is located SchDMd Bullet

Does the organization have a written policy regarding the periodic monitoring, inspection, handling of violations, and enforcement of the conservation easements it holds? ............

Yes No

Staff and volunteer hours devoted to monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

Amount of expenses incurred in monitoring, inspecting, handling of violations, and enforcing conservation easements during the year
SchDMd Bullet

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)? .............................

Yes No

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.

If the organization elected, as permitted under FASB 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.

If the organization elected, as permitted under FASB 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

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 FASB ASC 958 relating to these items:

Revenue included on Form 990, Part VIII, line 1 .......................... SchDMd Bullet

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) 2019

Page 2

Part III

Organizations Maintaining Collections of Art, Historical Treasures, or Other Similar Assets (continued)

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):

Public exhibition

Loan or exchange programs

Scholarly research

Other

Preservation for future generations

Provide a description of the organization’s collections and explain how they further the organization’s exempt purpose in
Part XIII.

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?...

Yes No

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.

Is the organization an agent, trustee, custodian or other intermediary for contributions or other assets not
included on Form 990, Part X? ....................................

Yes No


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

Did the organization include an amount on Form 990, Part X, line 21, for escrow or custodial account liability? ...

Yes No

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 ......

Provide the estimated percentage of the current year end balance (line 1g, column (a)) held as:

Board designated or quasi-endowment SchDMd Bullet

Permanent endowment SchDMd Bullet

Term endowment SchDMd Bullet

The percentages on lines 2a, 2b, and 2c should equal 100%.

Are there endowment funds not in the possession of the organization that are held and administered for the
organization by:

Yes

(i) Unrelated organizations .................

3a(i)

(ii) Related organizations .................

3a(ii)

If "Yes" on 3a(ii), are the related organizations listed as required on Schedule R? .........

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 .....	55,412,252		55,412,252
b	Buildings ....	274,675,319	106,374,232	168,301,087
c	Leasehold improvements	810,050	308,672	501,378
d	Equipment ....	85,997,939	55,401,705	30,596,234
e	Other .....	5,958,864		5,958,864
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				260,769,815

Schedule D (Form 990) 2019

Page 3

Part VII

InvestmentsOther 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)Other
(B)
(C)
(D)
(E)
(F)
(G)
(H)
(I)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

InvestmentsProgram 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

(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)

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

(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
(10)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........

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
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	34,957,189
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) 2019

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) 2019

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE H
(Form 990)

Department of the Treasury
Internal Revenue Service

Hospitals

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

2019

Open to Public Inspection

Name of the organization

ADVOCATE CONDELL MEDICAL CENTER

Employer identification number

26-2525968

Part I

Financial Assistance and Certain Other Community Benefits at Cost

Yes

Did the organization have a financial assistance policy during the tax year? If "No," skip to question 6a . . . .

Yes

If "Yes," was it a written policy? ......................

Yes

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.

Applied uniformly to all hospital facilities Applied uniformly to most hospital facilities Generally tailored to individual hospital facilities

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.

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:

Yes

100% 150% 200% Other 25000.0000000000 %

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: . . . . . . . .

Yes

200% 250% 300% 350% 400% Other 60000.0000000000 %

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.

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"? . . . . . . . . . . . . .

Yes

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

Yes

If "Yes," did the organization's financial assistance expenses exceed the budgeted amount? . . . . . .

Yes

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? . . . . . . . . . . . . .

Did the organization prepare a community benefit report during the tax year? . . . . . . . . .

Yes

If "Yes," did the organization make it available to the public? . . . . . . . . . . . . .

Yes

Complete the following table using the worksheets provided in the Schedule H instructions. Do not submit these worksheets with the Schedule H.

Financial Assistance and Certain Other Community Benefits at Cost

Financial Assistance and Means-Tested Government Programs		(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) . . .	10,363,620	0	10,363,620	2.490 %
b	Medicaid (from Worksheet 3, column a) . . . . .	40,785,770	48,965,703		0 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	51,149,390	48,965,703	10,363,620	2.490 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	966,907	0	966,907	0.230 %
f	Health professions education (from Worksheet 5) . . .	2,436,682	0	2,436,682	0.580 %
g	Subsidized health services (from Worksheet 6) . . . .	12,209,263	10,536,571	1,672,692	0.400 %
h	Research (from Worksheet 7) .
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	69,509	0	69,509	0.020 %
j	Total. Other Benefits . .	15,682,361	10,536,571	5,145,790	1.230 %
k	Total. Add lines 7d and 7j .	66,831,751	59,502,274	15,509,410	3.720 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2019

Schedule H (Form 990) 2019

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

Did the organization report bad debt expense in accordance with Healthcare Financial Management Association Statement No. 15? ..........................

Enter the amount of the organization's bad debt expense. Explain in Part VI the methodology used by the organization to estimate this amount. ......

15,224,071

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. ......

293,982

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

Enter total revenue received from Medicare (including DSH and IME).....

136,672,105

Enter Medicare allowable costs of care relating to payments on line 5.....

142,333,551

Subtract line 6 from line 5. This is the surplus (or shortfall)........

-5,661,446

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:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

Did the organization have a written debt collection policy during the tax year? ..........

Yes

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 .........................

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) 2019

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?1Name, 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)
1	ADVOCATE CONDELL MEDICAL CENTER 801 S MILWAUKEE AVENUE LIBERTYVILLE,IL60048 HTTP://WWW.ADVOCATEHEALTH.COM/CONDELL/ 0005579	X	X	X

Schedule H (Form 990) 2019

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 CONDELL 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):

Yes

Community Health Needs Assessment

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?........................

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...............

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......................

Yes

If "Yes," indicate what the CHNA report describes (check all that apply):

A definition of the community served by the hospital facility

Demographics of the community

Existing health care facilities and resources within the community that are available to respond to the health needs of the community

How data was obtained

The significant health needs of the community

Primary and chronic disease needs and other health issues of uninsured persons, low-income persons, and minority groups

The process for identifying and prioritizing community health needs and services to meet the community health needs

The process for consulting with persons representing the community’s interests

The impact of any actions taken to address the significant health needs identified in the hospital facility's prior CHNA(s)

Other (describe in Section C)

Indicate the tax year the hospital facility last conducted a CHNA: 20 19

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 .................

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..................................

Yes

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. ............................

Did the hospital facility make its CHNA report widely available to the public?..............

Yes

If "Yes," indicate how the CHNA report was made widely available (check all that apply):

Hospital facility’s website (list url): HTTP://WWW.ADVOCATEHEALTH.COM/CHNAREPORTS

Other website (list url):

Made a paper copy available for public inspection without charge at the hospital facility

Other (describe in Section C)

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. ..............

Yes

Indicate the tax year the hospital facility last adopted an implementation strategy: 20 17

Is the hospital facility's most recently adopted implementation strategy posted on a website?.........

Yes

If "Yes" (list url): HTTP://WWW.ADVOCATEHEALTH.COM/CHNAREPORTS

If "No," is the hospital facility’s most recently adopted implementation strategy attached to this return? ......

10b

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

If "Yes" on line 12a, did the organization file Form 4720 to report the section 4959 excise tax?........

12b

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) 2019

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	ADVOCATE CONDELL MEDICAL CENTER
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a written financial assistance policy that:

Explained eligibility criteria for financial assistance, and whether such assistance included free or discounted care?

Yes

If “Yes,” indicate the eligibility criteria explained in the FAP:

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 200.000000000000%
and FPG family income limit for eligibility for discounted care of 600.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

Explained the basis for calculating amounts charged to patients?.................

Yes

Explained the method for applying for financial assistance?...................

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):

Described the information the hospital facility may require an individual to provide as part of his or her application

Described the supporting documentation the hospital facility may require an individual to submit as part of his or
her application

Provided the contact information of hospital facility staff who can provide an individual with information about the
FAP and FAP application process

Provided the contact information of nonprofit organizations or government agencies that may be sources of
assistance with FAP applications

Other (describe in Section C)

Was widely publicized within the community served by the hospital facility?........

Yes

If "Yes," indicate how the hospital facility publicized the policy (check all that apply):

The FAP was widely available on a website (list url):

HTTP://WWW.ADVOCATEHEALTH.COM/FINANCIALASSISTANCE

The FAP application form was widely available on a website (list url):

HTTP://WWW.ADVOCATEHEALTH.COM/FINANCIALASSISTANCE

A plain language summary of the FAP was widely available on a website (list url):
HTTP://WWW.ADVOCATEHEALTH.COM/FINANCIALASSISTANCE

The FAP was available upon request and without charge (in public locations in the hospital facility and by mail)

The FAP application form was available upon request and without charge (in public locations in the hospital facility
and by mail)

A plain language summary of the FAP was available upon request and without charge (in public locations in the
hospital facility and by mail)

Individuals were notified about the FAP by being offered a paper copy of the plain language summary of the FAP, by
receiving a conspicuous written notice about the FAP on their billing statements, and via conspicuous public displays or
other measures reasonably calculated to attract patients' attention

Notified members of the community who are most likely to require financial assistance about availability of the FAP

The FAP, FAP application form, and plain language summary of the FAP were translated into the primary language(s)
spoken by LEP populations

Other (describe in Section C)

Schedule H (Form 990) 2019

Page 6

Part VFacility Information (continued)

Billing and Collections

	ADVOCATE CONDELL MEDICAL CENTER
Name of hospital facility or letter of facility reporting group

Yes

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?..................................

Yes

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:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring, denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

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?............

Yes

If "Yes," check all actions in which the hospital facility or a third party engaged:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

Deferring , denying, or requiring a payment before providing medically necessary care due to nonpayment of a previous
bill for care covered under the hospital facility's FAP

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

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):

Provided a written notice about upcoming ECAs (Extraordinary Collection Action) and a plain language summary of the
FAP at least 30 days before initiating those ECAs (if not, describe in Section C)

Made a reasonable effort to orally notify individuals about the FAP and FAP application process (if not, describe in
Section C)

Processed incomplete and complete FAP applications (if not, describe in Section C)

Made presumptive eligibility determinations (if not, describe in Section C)

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

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?..................

Yes

If "No," indicate why:

The hospital facility did not provide care for any emergency medical conditions

The hospital facility’s policy was not in writing

The hospital facility limited who was eligible to receive care for emergency medical conditions (describe in Section C)

Other (describe in Section C)

Schedule H (Form 990) 2019

Page 7

Part VFacility Information (continued)

Charges to Individuals Eligible for Assistance Under the FAP (FAP-Eligible Individuals)

	ADVOCATE CONDELL MEDICAL CENTER
Name of hospital facility or letter of facility reporting group

Yes

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.

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month period

The hospital facility used a look-back method based on claims allowed by Medicaid, either alone or in combination with
Medicare fee-for-service and all private health insurers that pay claims to the hospital facility during a prior 12-month
period

The hospital facility used a prospective Medicare or Medicaid method

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? ...............................

If "Yes," explain in Section C.

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? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2019

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, 20a, 20b, 20c, 20d, 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 CONDELL MEDICAL CENTER	PART V, SECTION B, LINE 5: COMMUNITY HEALTH COUNCIL. ADVOCATE CONDELL MEDICAL CENTER (ADVOCATE CONDELL) CONVENED A COMMUNITY HEALTH COUNCIL (CHC) IN JANUARY 2019. THE CHC'S RESPONSIBILITIES ARE TO OVERSEE COMMUNITY HEALTH STRATEGY FOR THE HOSPITAL, REVIEW DATA AND PRIORITIZE HEALTH NEEDS IDENTIFIED FOR THE 2017-2019 CHNA, AND TO OVERSEE THE DEVELOPMENT AND IMPLEMENTATION OF THE HOSPITAL'S COMMUNITY HEALTH STRATEGIES. CO-CHAIRED BY TWO COMMUNITY REPRESENTATIVES, ONE OF WHICH SERVES AS A MEMBER OF ADVOCATE CONDELL'S GOVERNING COUNCIL, THE CHC IS MANAGED BY THE REGIONAL DIRECTOR OF COMMUNITY HEALTH. 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. THE CHC IS COMPRISED OF FOURTEEN COMMUNITY MEMBERS, REPRESENTING 74 PERCENT OF THE TOTAL MEMBERSHIP. NON-ADVOCATE-AFFILIATED MEMBERS REPRESENT THE LAKE COUNTY HEALTH DEPARTMENT, A FEDERALLY QUALIFIED HEALTH CENTER, A FAITH-BASED ORGANIZATION, AREA SCHOOL DISTRICTS, THE AMERICAN CANCER SOCIETY, SOCIAL SERVICE AGENCIES, THE LAKE COUNTY DRUG AND ALCOHOL PREVENTION TASK FORCE AND LAW ENFORCEMENT. ADVOCATE CONDELL STAFF SERVING ON THE CHC REPRESENT THE EXECUTIVE TEAM, DIABETES, CARDIAC CENTER AND BUSINESS DEVELOPMENT AND STRATEGY. THE AFFILIATIONS AND TITLES OF THE HOSPITAL'S COMMUNITY HEALTH COUNCIL MEMBERS ARE PROVIDED BELOW. CHC MEMBERS WITH AN ASTERISK () SERVE MEDICALLY UNDERSERVED, LOW-INCOME AND/OR MINORITY POPULATIONS.MEMBERS FROM THE COMMUNITY- LIBERTYVILLE SCHOOL DISTRICT, RETIRED SCHOOL PRINCIPAL, AND ADVOCATE CONDELL GOVERNING COUNCIL MEMBER (CO-CHAIR)- AMERICAN CANCER SOCIETY, SENIOR MARKET MANAGER, COMMUNITY ENGAGEMENT- MUNDELEIN IVANHOE CONGREGATIONAL CHURCH, LEAD PASTOR, (CO-CHAIR)- LIBERTYVILLE SCHOOL DISTRICT 70, SUPERINTENDENT- VILLAGE OF LIBERTYVILLE, ECONOMIC DEVELOPMENT COORDINATOR- VILLAGE OF MUNDELEIN, CHIEF OF POLICE- MUNDELEIN PARK DISTRICT, SUPERINTENDENT OF RECREATION- COMMUNITY RESIDENT OF LAKE COUNTY- MANO A MANO FAMILY RESOURCE CENTER, PROJECT COORDINATOR- WAUKEGAN PUBLIC LIBRARY, FUNCTIONAL HEALTH LITERACY PROGRAM COORDINATOR- LAKE COUNTY HOUSING AUTHORITY, EXECUTIVE DIRECTOR- YOUTH FAMILY COUNSELING, EXECUTIVE DIRECTOR- LAKE COUNTY HEALTH DEPARTMENT, DIRECTOR OF PREVENTION - ERIE FAMILY HEALTH CENTER, DIRECTOR HCO WAUKEGAN* ADVOCATE CONDELL/ADVOCATE AURORA STAFF MEMBERS - ADVOCATE AURORA, DIRECTOR OF COMMUNITY HEALTH, NORTH REGION- ADVOCATE CONDELL, VICE PRESIDENT FOR CLINICAL EXCELLENCE- ADVOCATE CONDELL, COMMUNITY HEALTH COORDINATOR- ADVOCATE CONDELL, VICE PRESIDENT CLINICAL SERVICE LINES AND SUPPORT SERVICES- ADVOCATE CONDELL, CARDIOVASCULAR SERVICES, DIRECTOR- ADVOCATE CONDELL, DIRECTOR OF NURSING AND CLINICAL OPERATIONS- ADVOCATE CONDELL, DIETITIAN FOR DIABETES CARE CENTERADVOCATE CONDELL CONSULTED WITH A NUMBER OF ADDITIONAL PARTNER ORGANIZATIONS ON THE HOSPITAL'S CHNA. THESE INCLUDED PARTNERS FROM FEDERALLY QUALIFIED HEALTH CENTERS (LAKE COUNTY HEALTH DEPARTMENT AND ERIE HEALTHREACH WAUKEGAN), THE LAKE COUNTY OPIOID TASK FORCE AND THE HEALTHCARE FOUNDATION OF NORTHERN LAKE COUNTY. EACH OF THE ORGANIZATIONS HAVE A FOCUS ON MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS.GOVERNING COUNCIL. AS INDICATED EARLIER, ALL ACTIVITIES AND DECISIONS MADE BY THE CHC REGARDING THE CHNA ARE SUBMITTED FOR APPROVAL BY ADVOCATE CONDELL'S FULL GOVERNING COUNCIL AND ONE MEMBER OF THE GOVERNING COUNCIL SERVES AS CO-CHAIR OF THE CHC TO ENSURE COORDINATION OF INFORMATION. THE GOVERNING COUNCIL IS COMPRISED OF 15 MEMBERS, REPRESENTING A BROAD ARRAY OF COMMUNITY SECTORS. MEMBERS COME FROM THE FIELDS OF EDUCATION, MANUFACTURING, PHILANTHROPY, FAITH COMMUNITIES, MARKETING, FINANCIAL INDUSTRY, PRIMARY CARE AND SUBSPECIALTY HEALTH CARE. THE GOVERNING COUNCIL REVIEWED AND APPROVED THE CHC'S RECOMMENDED HEALTH NEED PRIORITIES ON JUNE 26, 2019, AND LATER APPROVED THE 2019 CHNA REPORT ON OCTOBER 23, 2019. THE ADVOCATE HEALTH CARE NETWORK BOARD OF DIRECTORS APPROVED ADVOCATE CONDELL'S 2019 CHNA REPORT AT THE SYSTEM LEVEL ON DECEMBER 16, 2019.ADVOCATE CONDELL'S 2017-2019 CHNA REPORT WAS POSTED ON THE ADVOCATE HEALTH CARE WEBPAGE IN DECEMBER 2019, AND INCLUDED A LINK TO A FORM AND AN EMAIL FOR THE COMMUNITY TO USE FOR INQUIRIES AND IN PROVIDING FEEDBACK. AS OF DECEMBER 31, 2019, NO QUESTIONS OR FEEDBACK WERE RECEIVED FROM THE COMMUNITY REGARDING THE 2017-2019 CHNA REPORT, OR THE PREVIOUS 2014-2016 CHNA REPORT AND/OR ITS ACCOMPANYING 2017-2019 IMPLEMENTATION PLAN.
ADVOCATE CONDELL MEDICAL CENTER	PART V, SECTION B, LINE 6A: - ADVOCATE GOOD SHEPHERD HOSPITAL (THROUGH THE LAKE COUNTY HEALTH DEPARTMENT)UNRELATED?THE CHNA WAS NOT CONDUCTED WITH OTHER HOSPITAL FACILITIES, HOWEVER, ALL HOSPITALS IN LAKE COUNTY PARTICIPATED IN THE LAKE COUNTY HEALTH DEPARTMENT MAPP PROCESS FOR THE DEVELOPMENT OF THE HEALTH DEPARTMENT'S STRATEGIC PLAN. THE UNRELATED HOSPITALS THAT PARTICIPATED WERE: - VISTA HOSPITAL, WAUKEGAN, ILLINOIS- NORTHWESTERN LAKE FOREST HOSPITAL, LAKE FOREST, ILLINOIS- NORTHSHORE UNIVERSITY HEALTH SYSTEM HIGHLAND PARK HOSPITAL, HIGHLAND PARK, ILLINOIS
ADVOCATE CONDELL MEDICAL CENTER	PART V, SECTION B, LINE 6B: AS INDICATED IN 6A, THE CHNA WAS NOT CONDUCTED WITH OTHER ORGANIZATIONS, HOWEVER, ADVOCATE CONDELL DID PARTICIPATE IN THE LAKE COUNTY HEALTH DEPARTMENT'S MAPP PROCESS FOR THE DEVELOPMENT OF THE HEALTH DEPARTMENT'S STRATEGIC PLANSO ADVOCATE CONDELL WORKED WITH THE LAKE COUNTY HEALTH DEPARTMENT AND SERVED ON THE LIVE WELL LAKE COUNTY STEERING COMMITTEE.
ADVOCATE CONDELL MEDICAL CENTER	PART V, SECTION B, LINE 7D: ADVOCATE CONDELL SENIOR LEADERSHIP SENT AN ANNOUNCEMENT AND BRIEF DESCRIPTION OF THE CHNA RESULTS TO ALL EMPLOYEES, WHICH INCLUDED A LINK TO THE FULL REPORT. PRESENTATIONS TO ADVOCATE CONDELL LEADERS AND EXTERNAL COMMUNITY ORGANIZATIONS IS BEING SCHEDULED FOR 2020.
ADVOCATE CONDELL MEDICAL CENTER	PART V, SECTION B, LINE 11: 2014-2016 CHNA(NOTE: THE FOLLOWING NARRATIVE REVIEWS THE PREVIOUS 2014-2016 CHNA'S SELECTED PRIORITIES AND THE 2017-2019 IMPLEMENTED STRATEGIES AND OUTCOMES GIVEN 2019 WAS THE THIRD AND FINAL YEAR OF THE 2017-2019 IMPLEMENTATION PLAN.) AFTER CONSIDERING PRIMARY AND SECONDARY DATA AND FINDINGS FROM OTHER LOCAL HEALTH NEEDS ASSESSMENT PROCESSES FOR THE 2014-2016 CHNA REPORT, THE ADVOCATE CONDELL COMMUNITY HEALTH COUNCIL (CHC) RECOMMENDED, AND THE GOVERNING COUNCIL APPROVED, THE FOLLOWING TWO HEALTH AREAS FOR PRIORITY ACTION: 1) MENTAL HEALTH; AND 2) OBESITY.HEALTH NEEDS SELECTED MENTAL HEALTH. MENTAL HEALTH WAS SELECTED AS ONE OF THE TOP HEALTH PRIORITIES BY THE COMMUNITY HEALTH COUNCIL (CHC). MENTAL HEALTH WAS RANKED THE HIGHEST OF THE FORCES IDENTIFIED IN THE LAKE COUNTY FORCES OF CHANGE ASSESSMENT (FOCA), CONDUCTED AS PART OF THE MAPP PROCESS. THE 2014 NORTHERN LAKE COUNTY BEHAVIORAL HEALTH NEEDS ASSESSMENT IDENTIFIED THAT THERE IS LIMITED CAPACITY FOR BEHAVIORAL HEALTH SERVICES IN LAKE COUNTY. THE TOP LAKE COUNTY ZIP CODES WITH THE HIGHEST EMERGENCY ROOM RATES DUE TO PEDIATRIC MENTAL HEALTH ARE FOX LAKE AND WAUKEGAN. FINALLY, MENTAL HEALTH IS A CURRENT PRIORITY OF THE LAKE COUNTY HEALTH DEPARTMENT AND ONE OF THE HEALTH PRIORITIES FOR THE COUNTY'S COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP). ACCOMPLISHMENTS IN 2019 FOR MENTAL HEALTH INCLUDE ONE ADULT MENTAL HEALTH FIRST AID TRAINING (MHFA) AND ONE YOUTH MENTAL HEALTH FIRST AID TRAINING. THE YOUTH MHFA TRAINING WAS PROVIDED TO GRAYSLAKE MIDDLE SCHOOL STAFF WITH 21 PARTICIPANTS. AS MEASURED THROUGH THE PRE- AND POST-TESTS, 42 PERCENT OF PARTICIPANTS DEMONSTRATED AN INCREASE IN THEIR ABILITY TO RECOGNIZE AND CORRECT MISCONCEPTIONS ABOUT MENTAL HEALTH ILLNESS IN YOUTH. FIFTY-ONE PERCENT SHOWED AN INCREASE IN THEIR ABILITY TO RECOGNIZE SOMEONE AT RISK FOR SUICIDE; 33 PERCENT HAD AN INCREASE IN THEIR ABILITY TO INTERVENE WITH THOSE AT RISK FOR SUICIDE; 26 PERCENT SHOWED AN INCREASE IN THEIR ABILITY TO REFER INDIVIDUALS; AND PARTICIPANTS SHOWED A 35 PERCENT INCREASE IN CONFIDENCE TO DE-ESCALATE A SITUATION INVOLVING SOMEONE HAVING A MENTAL HEALTH CRISIS. ADDITIONALLY, 12 STAFF MEMBERS FROM SCHOOL DISTRICT 214 HIGH SCHOOL WERE TRAINED; A 46 PERCENT INCREASE IN KNOWLEDGE WAS REPORTED IN THE PRE- AND POST-EVALUATIONS. ADVOCATE CONDELL ALSO SPONSORED TWO SPANISH-SPEAKING INDIVIDUALS WHO WERE ADULT MENTAL HEALTH FIRST AID TRAINERS TO COMPLETE ADDITIONAL TRAINING TO BECOME CERTIFIED YOUTH MHFA TRAINERS IN LAKE COUNTY. IN 2019, THE DIRECTOR OF COMMUNITY HEALTH CONTINUED TO SERVE ON THE LAKE COUNTY HEALTH DEPARTMENT (LCHD) COUNTY-WIDE MHFA TASK FORCE, ASSISTING TO DEVELOP AND IMPLEMENT THE STRATEGY FOR TRAINING 90 INDIVIDUALS TO BECOME MHFA INSTRUCTORS. THE INSTRUCTOR TRAINING WAS FUNDED BY A THREE-YEAR GRANT TO THE LAKE COUNTY HEALTH DEPARTMENT FROM THE SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION (SAMHSA). ALL CLASS PARTICIPANTS IN MHFA CLASSES SPONSORED BY ADVOCATE CONDELL ARE REPORTED TO THE MHFA TASK FORCE, SO THAT THE TOTAL IMPACT OF MHFA CAN BE TRACKED AND REPORTED COLLECTIVELY. OBESITY. OBESITY WAS SELECTED AS THE OTHER TOP PRIORITY HEALTH ISSUE. AS OF 2014, PREVALENCE RATES FOR OBESITY IN ILLINOIS REMAIN BETWEEN TWENTY-FIVE PERCENT AND THIRTY PERCENT. THE RATES ARE EVEN HIGHER FOR ILLINOIS HISPANIC ADULTS AND NON-HISPANIC AFRICAN AMERICAN ADULTS. MORE THAN ELEVEN PERCENT OF ILLINOIS ADOLESCENTS ARE OBESE AND FOURTEEN PERCENT ARE OVERWEIGHT. SIXTEEN PERCENT OF ILLINOIS WIC PRESCHOOLERS, AGE TWO TO FOUR, ARE OVERWEIGHT AND SIXTEEN PERCENT ARE OBESE. IN LAKE COUNTY, TWENTY-NINE PERCENT OF ADULTS ARE OBESE AND THIRTY-SIX PERCENT ARE OVERWEIGHT. EIGHTEEN PERCENT OF LAKE COUNTY PRESCHOOL CHILDREN ARE OBESE. THE LAKE COUNTY HEALTH DEPARTMENT HAS IDENTIFIED OBESITY AS ONE OF THE PRIORITIES IN THE COMMUNITY HEALTH IMPROVEMENT PLAN (CHIP). ACCOMPLISHMENTS IN 2019 FOR OBESITY INCLUDE ASSISTING TWO CHILDCARE PROVIDERS IN LAKE COUNTY TO COMPLETE THE GO NAP SACC ASSESSMENT AND PROVIDING TRAININGS FOR CHILDCARE PROVIDERS IN LAKE COUNTY ON IMPLEMENTING STRATEGIES TO REDUCE CHILD RISK FOR OBESITY. A TOTAL OF 14 CHILDCARE PROVIDERS WERE TRAINED IN SPANISH AND SIX WERE TRAINED IN ENGLISH. SECONDLY, ADVOCATE CONDELL CONTINUED ITS PARTNERSHIP WITH THE LAKE COUNTY HEALTH DEPARTMENT, THE MUNDELEIN PARK DISTRICT AND THE ROUND LAKE PARK DISTRICT FOR THE GO LAKE COUNTY WALKING INITIATIVE. AS A RESULT, 19 GO LAKE COUNTY WALKS WERE ORGANIZED, 13 WALKS OCCURRED IN MUNDELEIN AND SIX IN THE ROUND LAKE AREA. A TOTAL OF 150 PARTICIPANTS WERE REPORTED FOR GO MUNDELEIN, 98 PERCENT OF SURVEY PARTICIPANTS SAID GO MUNDELEIN WALKING EVENTS INCREASED THEIR OPPORTUNITIES FOR PHYSICAL ACTIVITY. IN ROUND LAKE, 46 PARTICIPANTS WERE REPORTED, 69 PERCENT OF SURVEY PARTICIPANTS SAID THE WALKING EVENTS INCREASED THEIR OPPORTUNITIES FOR PHYSICAL ACTIVITY. LASTLY, ADVOCATE CONDELL PARTNERED WITH THE YWCA OF LAKE COUNTY, THE ROUND LAKE AREA LIBRARY, AVON CARES FOOD PANTRY, MANO A MANO FAMILY RESOURCE CENTER AND THE NORTHERN ILLINOIS FOOD BANK TO ADDRESS OBESITY THROUGH FOOD INSECURITY (FI) IN THE ROUND LAKE AREA. IN 2019, 1,127 INDIVIDUALS AND 5,009 HOUSEHOLD MEMBERS RECEIVED FRESH PRODUCE, DAIRY AND MEAT THROUGH THE RX MOBILE PANTRY PROGRAM. SIXTY-SEVEN PERCENT OF THESE COMMUNITY MEMBERS WERE SCREENED FOR FOOD INSECURITY BY A PARTNER AGENCY AND REFERRED TO THE PROGRAM; 33 PERCENT OF PARTICIPANTS WERE SCREENED ONSITE DURING RX MOBILE PANTRY REGISTRATION. DETAILED IMPLEMENTATION PLANS FOR OBESITY AND MENTAL HEALTH FOR THE 2014-2016 CHNA REPORT CAN BE FOUND AT HTTPS://WWW.ADVOCATEHEALTH.COM/2016CHNA&IMPLEMENTATIONPLANSHEALTH NEEDS NOT SELECTED DIABETES. DIABETES WAS IDENTIFIED AS ONE OF THE KEY HEALTH NEEDS FOR LAKE COUNTY. DIABETES PREVALENCE IS INCREASING OVER TIME BOTH LOCALLY AND NATIONALLY. EMERGENCY ROOM VISIT RATES FOR DIABETES HAVE ALSO CONTINUED TO INCREASE OVER TIME. IN THE PREVIOUS 2014-2016 IMPLEMENTATION PLAN PERIOD, ADVOCATE CONDELL SELECTED DIABETES AS A HEALTH PRIORITY. PREVENTION EDUCATION AND DIABETES SCREENING ACTIVITIES WERE COMPLETED IN ANTIOCH. THOUGH A SIGNIFICANT NEED, THE CHC MADE THE DECISION TO FOCUS ON OBESITY AS A PRIORITY GIVEN ITS IMPACT ON THE RISK FOR PREDIABETES AND DIABETES. THE ADVOCATE CONDELL COMMUNITY HEALTH COORDINATOR CONTINUES TO SERVE AS CO-CHAIR OF THE LAKE COUNTY DIABETES ACTION TEAM, ENSURING COLLECTIVE WORK IN THE COMMUNITY ON THIS HEALTH CONCERN. CARDIOVASCULAR DISEASE. CARDIOVASCULAR DISEASE WAS CONSIDERED, BUT NOT SELECTED AS A HEALTH PRIORITY IN THE 2014-2016 CHNA. ALTHOUGH HEART DISEASE WAS THE SECOND HIGHEST CAUSE OF DEATH IN LAKE COUNTY FROM 2010-2014, THE PREVALENCE RATE OF HEART DISEASE WITHIN LAKE COUNTY WAS LOWER THAN THE RATES FOR ILLINOIS AND THE U.S. FURTHERMORE, THE AGE-ADJUSTED DEATH RATE FOR LAKE COUNTY DUE TO CORONARY HEART DISEASE HAS DECLINED SINCE THE 2010-2012 PERIOD. IN ADDITION, THE MEDICAL CENTER'S HEART INSTITUTE INITIATES A VARIETY OF ANNUAL HEART DISEASE PREVENTION AND TREATMENT PROGRAMS TO DECREASE CARDIOVASCULAR DISEASE. THE CHC DETERMINED IT WAS MORE BENEFICIAL TO PRIORITIZE OBESITY BECAUSE OF ITS UNDERLYING RELATIONSHIP TO HEART DISEASE.SUBSTANCE ABUSE. SUBSTANCE ABUSE WAS IDENTIFIED AS A HEALTH NEED WITHIN LAKE COUNTY, BUT NOT SELECTED AS A PRIORITY BY ADVOCATE CONDELL'S CHC. HEALTH BEHAVIORS IDENTIFIED INCLUDED EXCESSIVE ALCOHOL USE IN ADULTS AND THE HIGH 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 CHC DECIDED TO SELECT MENTAL HEALTH AS THE PRIORITY. IN 2019, ADVOCATE CONDELL CONTINUED ITS COLLABORATION WITH GATEWAY FOUNDATION FOR THE IMPLEMENTATION OF THE WARM HANDOFF PROGRAM IN THE EMERGENCY DEPARTMENT (ED). A GATEWAY FOUNDATION PATIENT ENGAGEMENT SPECIALIST MEETS WITH PATIENTS IN THE ADVOCATE CONDELL ED WHO HAVE SUBSTANCE USE DISORDER OR OPIOID USE DISORDER AND ASSISTS THEM IN NAVIGATING TO SUBSTANCE USE TREATMENT. IN 2019, THE PROGRAM SERVED 160 INDIVIDUALS; 94 PERCENT OF THE INDIVIDUALS ASSESSED IN THE ED BY THE GATEWAY ENGAGEMENT SPECIALIST WERE REFERRED FOR TREATMENT. SEVENTY PERCENT OF THOSE REFERRED FOR TREATMENT KEPT THEIR APPOINTMENT AND 30 PERCENT DID NOT. THE DIRECTOR OF COMMUNITY HEALTH SITS ON THE LAKE COUNTY OPIOID INITIATIVE TASK FORCE, A COALITION OF AGENCIES WHICH FOCUSES ON PREVENTION OF SUBSTANCE USE AND PROVIDING ACCESS TO SUBSTANCE USE TREATMENT. CANCER. CANCER WAS IDENTIFIED AS A HEALTH NEED IN LAKE COUNTY, AND CANCER INCIDENCE, PREVALENCE AND MORTALITY DATA WAS PROVIDED TO THE CHC. THE CANCER MORTALITY RATE IS HIGHEST IN LAKE COUNTY FOR LUNG CANCER, FOLLOWED BY BREAST CANCER, PROSTATE CANCER AND THEN COLORECTAL CANCER. APPROXIMATELY NINE PERCENT OF THE
ADVOCATE CONDELL MEDICAL CENTER	PART V, SECTION B, LINE 13H: OTHER FACTORS USED IN DETERMINING AMOUNTS CHARGED TO PATIENTS INCLUDE: DECEASED PATIENTS WITH NO ESTATE; HOMELESS PATIENTS, OR PATIENTS WHO RECEIVE CARE IN A HOMELESS CLINIC; PATIENTS 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 CONDELL MEDICAL CENTER	PART V, SECTION B, LINE 16J: ADVOCATE CONDELL 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 EXPLANATION OF THE APPLICATION PROCESS, A SUMMARY OF THE FINANCIAL ASSISTANCE POLICY, AND THE FINANCIAL ASSISTANCE APPLICATION.
ADVOCATE CONDELL MEDICAL CENTER	PART V, SECTION B, LINE 19E: ADVOCATE CONDELL 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 CONDELL MEDICAL CENTER	PART V, SECTION B, LINE 20E: ADVOCATE MAKES REASONABLE EFFORTS TO DETERMINE A PATIENT'S ELIGIBILITY UNDER ITS FAP, INCLUDING SENDING A SERIES OF LETTERS AND ATTEMPTING TO WORK WITH THE PATIENT THROUGH THE FINANCIAL COUNSELING PROCESS AND/OR PHONE CALLS. ALL CORRESPONDENCE ASKS THE PATIENT TO NOTIFY THE HOSPITAL IF HE/SHE IS EXPERIENCING "DIFFICULTY IN PAYING YOUR BILL". ADVOCATE ALSO USES EARLY OUT AND PRECOLLECTION VENDORS TO ASSIST IN OBTAINING PAYMENTS OR COLLECTING FINANCIAL ASSISTANCE ELIGIBILITY INFORMATION. THESE VENDORS HAVE THE FOLLOWING LANGUAGE IN THEIR CONTRACT: "VENDOR WILL COMMUNICATE THE ADVOCATE HEALTH CARE POLICY AND GUIDELINE TO ANY PATIENT EXPRESSING A DIFFICULTY IN PAYING THEIR BILL AND, "VENDOR WILL MAIL THE ADVOCATE HEALTH CARE FINANCIAL ASSISTANCE APPLICATION TO ANY PATIENTS EXPRESSING A DIFFICULTY IN PAYING THEIR BILL". ADVOCATE'S BAD DEBT AGENCY CONTRACTS HAVE THE FOLLOWING LANGUAGE: "AGENCY SHALL EVALUATE EACH PATIENT WHOSE ACCOUNT IS REFERRED TO AGENCY, WHERE THE PATIENT EXPRESSES DIFFICULTY OR INABILITY TO PAY THEIR BILL, FOR ELIGIBILITY UNDER ADVOCATE'S FINANCIAL ASSISTANCE POLICY." VENDOR AND AGENCY CONTRACTS ARE STANDARD ACROSS ADVOCATE'S SYSTEM.

Schedule H (Form 990) 2019

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?14
Name and address		Type of Facility (describe)
1	1 - CONDELL MEDICAL CENTER - OFFICE BLDG 1170 E BELVIDERE RD VARIOUS SUITES GRAYSLAKE,IL60030	PATIENT CARE - OUT PATIENT
2	2 - CONDELL IMMEDIATE CARE BLDG 150 HALF DAY ROAD STE 207 BUFFALO GROVE,IL60089	PATIENT CARE - OUT PATIENT
3	3 - CONDELL MEDICAL CENTER - AMBI CENTER 890 GARFIELD LIBERTYVILLE,IL60048	PATIENT CARE - OUT PATIENT
4	4 - CONDELL MEDICAL CENTER - CENTRE CLUB 1405 HUNT CLUB ROAD GURNEE,IL60031	FITNESS CENTER
5	5 - CONDELL MEDICAL CENTER - CENTRE CLUB 200 W GOLF ROAD LIBERTYVILLE,IL60048	FITNESS CENTER
6	6 - CONDELL MEDICAL CENTER-GURNEE IMAGING 1435 N HUNT CLUB GURNEE,IL60031	PATIENT CARE - OUT PATIENT
7	7 - CONDELL MEDICAL CENTER - GURNEE POB 1445 HUNT CLUB STE 100 103 203 GURNEE,IL60031	PATIENT CARE - OUT PATIENT
8	8 - CONDELL MEDICAL CENTER - INTER GEN CENT 700 S GARFIELD LIBERTYVILLE,IL60048	PATIENT CARE - OUT PATIENT
9	9 - CONDELL MEDICAL CENTER - MUNGO BLDG 804 E PARK AVENUE VARIOUS SUITES LIBERTYVILLE,IL60048	PATIENT CARE - OUT PATIENT
10	10 - CONDELL MEDICAL CENTER - OFFICE BLDG 2 E ROLLINS ROAD STE 101 105 106 ROAD LAKE BEACH,IL60073	PATIENT CARE - OUT PATIENT
11	11 - CONDELL MEDICAL CENTER - OFFICE BLDG 1425 HUNT CLUB STE XXX-XX-XXXX 304 GURNEE,IL60031	PATIENT CARE - OUT PATIENT
12	12 - CONDELL MEDICAL CENTER - OFFICE BLDG 755 MILWAUKEE AVENUE VARIOUS SUITES LIBERTYVILLE,IL60048	PATIENT CARE - OUT PATIENT
13	13 - CONDELL MEDICAL CENTER - OFFICES 6 PHILLIPS ROAD STE 1109 VERNON HILLS,IL60061	PATIENT CARE - OUT PATIENT
14	14 - CONDELL MEDICAL CENTER-RADIATION THERAPY 880 GARFIELD AVENUE LIBERTYVILLE,IL60048	PATIENT CARE - OUT PATIENT

Schedule H (Form 990) 2019

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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 6A:	A SYSTEM-WIDE COMMUNITY BENEFIT REPORT IS FILED BY:ADVOCATE HEALTH CARE NETWORK 3075 HIGHLAND PARKWAY, DOWNERS GROVE, IL 60515. EIN 36-2167779
PART I, LINE 7:	A COST-TO-CHARGE RATIO, DERIVED FROM SCHEDULE H INSTRUCTIONS WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES, WAS USED TO CALCULATE THE AMOUNTS REPORTED IN THE TABLE FOR PART I, LINE 7A. SCHEDULE H INSTRUCTIONS WORKSHEET 3, UNREIMBURSED MEDICAID AND OTHER MEANS-TESTED GOVERNMENT PROGRAMS, WAS USED TO CALCULATE THE AMOUNTS REPORTED IN THE TABLE FOR PART I, LINE 7B. A COST ACCOUNTING SYSTEM WAS USED TO DETERMINE THE AMOUNTS REPORTED IN THE TABLE FOR PART I, LINES 7E, 7F, 7G, AND 7I.
PART I, LINE 7G:	ACMC PROVIDES COMMUNITY HEALTH IMPROVEMENT SERVICES TO THE COMMUNITIES IN WHICH IT SERVES. ACMC PROVIDES LANGUAGE SERVICES TO ALL THOSE IN NEED IN ORDER TO PROVIDE BETTER ACCESS TO CARE FOR ALL COMMUNITY MEMBERS. IN ADDITION, OTHER PROGRAMS ARE CARRIED OUT WITH THE EXPRESS PURPOSE OF IMPROVING COMMUNITY HEALTH, ACCESS TO HEALTH SERVICES AND GENERAL HEALTH KNOWLEDGE. THESE SERVICES DO NOT GENERATE PATIENT BILLS, HOWEVER, CERTAIN PROGRAMS OR SERVICES MAY HAVE NOMINAL FEES. THESE SERVICES AND PROGRAMS INCLUDE CANCER SUPPORT GROUPS. THESE GROUPS FOCUS ON EDUCATING THE NEWLY DIAGNOSED AND PROVIDING INFORMATION ON BETTER LIVING FOR SURVIVORS. COLORECTAL CANCER SCREENING ARE ALSO PROVIDED; VARIOUS PROGRAMS REGARDING JOINT PAIN AND REPLACEMENT INCLUDING TREATMENT OPTIONS AND INFORMATION ON PAIN RELIEF; VARIOUS WOMEN AND BABY, BREASTFEEDING, MULTIPLES, CHILDBIRTH AND PARENTING AND SIBLING CLASSES; VARIOUS EDUCATIONAL PROGRAMS AND SUPPORT GROUPS TO RAISE AWARENESS OF HEART DISEASE. DIABETES AND STROKE RISK FACTORS AND TREATMENT OPTIONS AND EDUCATION FOR LIVING WITH THE DISEASE; THERE ARE VARIOUS PROGRAMS REGARDING HEALTH EATING; CPR TRAINING IS OFFERED TO THE COMMUNITY AS WELL AS VARIOUS OTHER WELLNESS AND SCREENING PROGRAMS AND HEALTH FAIRS ARE OFFERED THROUGHOUT THE YEAR. ADULT DAY CARE IS PROVIDED TO THE COMMUNITY AS WELL.
PART I, LN 7 COL(F):	$18,724,071 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 I, LINE 7E:	ACMC PROVIDES COMMUNITY HEALTH IMPROVEMENT SERVICES TO THE COMMUNITIES IN WHICH IT SERVES. ACMC PROVIDES LANGUAGE SERVICES TO ALL THOSE IN NEED IN ORDER TO PROVIDE BETTER ACCESS TO CARE FOR ALL COMMUNITY MEMBERS. IN ADDITION, OTHER PROGRAMS ARE CARRIED OUT WITH THE EXPRESS PURPOSE OF IMPROVING COMMUNITY HEALTH, ACCESS TO HEALTH SERVICES AND GENERAL HEALTH KNOWLEDGE. THESE SERVICES DO NOT GENERATE PATIENT BILLS, HOWEVER, CERTAIN PROGRAMS OR SERVICES MAY HAVE NOMINAL FEES. THESE SERVICES AND PROGRAMS INCLUDE CANCER SUPPORT GROUPS. THESE GROUPS FOCUS ON EDUCATING THE NEWLY DIAGNOSED AND PROVIDING INFORMATION ON BETTER LIVING FOR SURVIVORS. COLORECTAL CANCER SCREENING ARE ALSO PROVIDED; VARIOUS PROGRAMS REGARDING JOINT PAIN AND REPLACEMENT INCLUDING TREATMENT OPTIONS AND INFORMATION ON PAIN RELIEF; VARIOUS WOMEN AND BABY, BREASTFEEDING, MULTIPLES, CHILDBIRTH AND PARENTING AND SIBLING CLASSES; VARIOUS EDUCATIONAL PROGRAMS AND SUPPORT GROUPS TO RAISE AWARENESS OF HEART DISEASE. DIABETES AND STROKE RISK FACTORS AND TREATMENT OPTIONS AND EDUCATION FOR LIVING WITH THE DISEASE; THERE ARE VARIOUS PROGRAMS REGARDING HEALTH EATING; CPR TRAINING IS OFFERED TO THE COMMUNITY AS WELL AS VARIOUS OTHER WELLNESS AND SCREENING PROGRAMS AND HEALTH FAIRS ARE OFFERED THROUGHOUT THE YEAR. ADULT DAY CARE IS PROVIDED TO THE COMMUNITY AS WELL.
PART I, LINE 7H:	ACMC CONDUCTS NUMEROUS RESEARCH ACTIVITIES FOR THE ADVANCEMENT OF MEDICAL AND HEALTH CARE SERVICES. HOWEVER, THE UNREIMBURSED COST OF SUCH RESEARCH ACTIVITIES IS NOT READILY DETERMINABLE AND NO AMOUNT IS BEING REPORTED FOR PURPOSES OF THE 2019 FORM 990, SCHEDULE H.
PART III, LINE 4:	FOR 2019, FOR ADVOCATE CONDELL, THE ALLOWANCE FOR DOUBTFUL ACCOUNTS COVERED 26.64% OF NET PATIENT ACCOUNTS RECEIVABLE. PATIENT ACCOUNTS RECEIVABLE ARE STATED AT NET REALIZABLE VALUE. ACMC EVALUATES THE COLLECTABILITY OF ITS ACCOUNTS RECEIVABLE BASED ON THE LENGTH OF TIME THE RECEIVABLE IS OUTSTANDING, PAYER CLASS, HISTORICAL COLLECTION EXPERIENCE, AND TRENDS IN HEALTH CARE INSURANCE PROGRAMS. ACCOUNTS RECEIVABLE ARE CHARGED TO THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS WHEN THEY ARE DEEMED UNCOLLECTIBLE.THE COSTING METHODOLOGY USED IN DETERMINING THE AMOUNTS REPORTED ON LINES 2 AND 3 IS BASED ON THE RATIO OF PATIENT CARE COST TO CHARGES. THE UNREIMBURSED COST OF BAD DEBT WAS CALCULATED BY APPLYING THE ORGANIZATION'S COST TO CHARGE RATIO FROM THE MEDICARE COST REPORTS (CMS 2252-96 WORKSHEET C, PART 1, PPS INPATIENT RATIOS) TO THE ORGANIZATION'S BAD DEBT PROVISION PER GENERALLY ACCEPTED ACCOUNTING PRINCIPLES, LESS ANY PATIENT OR THIRD PARTY PAYOR PAYMENTS RECEIVED.ADVOCATE MAKES EVERY EFFORT TO IDENTIFY THOSE PATIENTS WHO ARE ELIGIBLE FOR FINANCIAL ASSISTANCE BY STRICTLY ADHERING TO ITS FINANCIAL ASSISTANCE POLICY. WE BELIEVE THAT ADVOCATE HAS A POPULATION OF PATIENTS WHO ARE UNINSURED OR UNDERINSURED BUT WHO DO NOT COMPLETE THE FINANCIAL ASSISTANCE APPLICATION. THE ESTIMATED AMOUNT OF BAD DEBT EXPENSE (AT COST) WHICH COULD BE REASONABLY ATTRIBUTABLE TO PATIENTS WHO WOULD LIKELY QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY, IF SUFFICIENT INFORMATION HAD BEEN AVAILABLE TO MAKE A DETERMINATION OF THEIR ELIGIBILITY, WAS BASED UPON SELF PAY PATIENT ACCOUNTS WHICH HAD AMOUNTS WRITTEN OFF TO BAD DEBTS. OUR METHOD WAS TO BEGIN WITH THE SELF-PAY PORTION OF BAD DEBT EXPENSE PROVISION. THE SELF-PAY PORTION EXCLUDES THOSE PATIENTS WHO HAD 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, AND CHARGES FOR PATIENTS WHO APPLIED FOR FINANCIAL ASSISTANCE AND WERE DENIED. THE COST TO CHARGE RATIO WAS THEN APPLIED TO THE REMAINING CHARGES, TO DETERMINE THE VALUE (AT COST) OF PATIENT ACCOUNTS THAT DID NOT COMPLETE FINANCIAL COUNSELING AND WERE ASSIGNED TO BAD DEBT. WE BELIEVE THIS PROCESS IS A REASONABLE BASIS FOR OUR ESTIMATE. AS WE ARE ONLY CONSIDERING SELF-PAY ACCOUNTS WRITTEN OFF TO BAD DEBT FOR THIS ESTIMATE, THIS ESTIMATE DOES NOT INCLUDE THE IMMEDIATE 25% DISCOUNT TO CHARGES WHICH IS APPLIED TO ALL SELF-PAY PATIENTS. IT ALSO DOES NOT INCLUDE ACCOUNT BALANCES OR CO-PAYS OF NON-SELF PAY ACCOUNTS WHICH ARE WRITTEN OFF TO BAD DEBT WHEN THE PATIENT HAS NO OTHER FINANCIAL RESOURCES TO PAY THESE AMOUNTS AND THE PATIENT DOES NOT APPLY FOR FINANCIAL ASSISTANCE.BAD DEBT AMOUNTS HAVE BEEN EXCLUDED FROM OTHER COMMUNITY BENEFIT AMOUNTS REPORTED THROUGHOUT SCHEDULE H.
PART III, LINE 8:	THE SHORTFALL OF $5,661,446 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 CONDELL'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:	ACMC MAINTAINS BOTH WRITTEN FINANCIAL ASSISTANCE AND BAD DEBT/COLLECTION POLICIES. THE BAD DEBT/COLLECTION POLICY DOES NOT APPLY TO THOSE PATIENTS KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE; THEREFORE, SUCH PATIENTS ARE NOT SUBJECT TO COLLECTION PRACTICES.
PART VI, LINE 3:	ACMC ASSISTS PATIENTS WITH ENROLLMENT IN GOVERNMENT-SUPPORTED PROGRAMS FOR WHICH THEY ARE ELIGIBLE AND IN SECURING REIMBURSEMENT FROM AVAILABLE THIRD-PARTY RESOURCES. FINANCIAL COUNSELING IS PROVIDED TO HELP PATIENTS IDENTIFY AND OBTAIN PAYMENT FROM THIRD PARTIES, INCLUDING ILLINOIS MEDICAID, ILLINOIS CRIME VICTIMS FUND, ETC., AS WELL AS TO DETERMINE ELIGIBILITY UNDER ACMC'S FINANCIAL ASSISTANCE POLICY. ADVOCATE UTILIZES A FINANCIAL SCREENING SOFTWARE PROGRAM TO HELP IDENTIFY PUBLIC ASSISTANCE PROGRAMS FOR WHICH THE PATIENT MAY BE ELIGIBLE OR ADVOCATE'S FINANCIAL ASSISTANCE AT THE TIME OF REGISTRATION OR AS SOON AS PRACTICABLE THEREAFTER. IN ADDITION, HEALTHADVISOR, ADVOCATE'S EDUCATION REGISTRATION AND PHYSICIAN REFERRAL TELEPHONE CENTER, SERVES AS A COMMUNITY RESOURCE PROVIDING REFERRALS TO GOVERNMENT-FUNDED AND OTHER PROGRAMS VIA TELEPHONE FROM 7 A.M. TO 7 P.M., MONDAY THROUGH FRIDAY AND SATURDAYS 9 A.M. TO 2 P.M. ACMC ASSISTS PATIENTS WITH APPLYING FOR ADVOCATE'S OWN FINANCIAL ASSISTANCE SERVICES, IF PATIENTS ARE NOT ELIGIBLE FOR GOVERNMENT-SUPPORTED PROGRAMS. ACMC COMMUNICATES THE AVAILABILITY OF FINANCIAL ASSISTANCE IN THE APPLICABLE LANGUAGES OF THE HOSPITAL COMMUNITY. MEANS OF COMMUNICATION INCLUDE:1. THE HEALTH CARE CONSENT THAT IS SIGNED UPON REGISTRATION FOR HOSPITAL SERVICES INCLUDES A STATEMENT THAT FINANCIAL COUNSELING, INCLUDING FINANCIAL ASSISTANCE CONSIDERATION, IS AVAILABLE UPON REQUEST.2. SIGNS ARE CLEARLY AND CONSPICUOUSLY POSTED IN LOCATIONS THAT ARE VISIBLE TO THE PUBLIC, INCLUDING, BUT NOT LIMITED TO HOSPITAL PATIENT ACCESS, REGISTRATION, EMERGENCY DEPARTMENT, CASHIER, AND BUSINESS OFFICE LOCATIONS.3. BROCHURES ARE PLACED IN HOSPITAL PATIENT ACCESS, REGISTRATION, EMERGENCY DEPARTMENT, CASHIER, AND BUSINESS OFFICE LOCATIONS, AND WILL INCLUDE GUIDANCE ON HOW A PATIENT MAY APPLY FOR MEDICARE, MEDICAID, ALL KIDS, FAMILY CARE ETC., AND THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM. A HOSPITAL CONTACT AND TELEPHONE NUMBER FOR FINANCIAL ASSISTANCE IS INCLUDED.4. A HANDOUT SUMMARIZING ADVOCATE'S FINANCIAL ASSISTANCE POLICY AND FINANCIAL ASSISTANCE APPLICATION IS GIVEN TO UNINSURED PATIENTS WHO RECEIVE MEDICALLY NECESSARY HOSPITAL SERVICES AT THE EARLIEST PRACTICAL TIME OF SERVICE.5. ADVOCATE'S WEBSITE POSTS NOTICE IN A PROMINENT PLACE THAT FINANCIAL ASSISTANCE IS AVAILABLE, WITH AN EXPLANATION OF THE FINANCIAL ASSISTANCE APPLICATION PROCESS, AND ENABLE PRINTING OF THE FINANCIAL ASSISTANCE APPLICATION.6. HOSPITAL BILLS TO UNINSURED PATIENTS INCLUDE A REQUEST THAT THE PATIENT INFORM THE HOSPITAL OF ANY AVAILABLE HEALTH INSURANCE COVERAGE, AND INCLUDE A SUMMARY OF ADVOCATE'S FINANCIAL ASSISTANCE POLICY, A FINANCIAL ASSISTANCE APPLICATION, AND A TELEPHONE NUMBER TO REQUEST FINANCIAL ASSISTANCE.
PART VI, LINE 4:	DESCRIPTION OF THE COMMUNITY/POPULATION. FOR THE 2017-2019 CHNA CYCLE, ADVOCATE CONDELL DEFINED THE COMMUNITY AS LAKE COUNTY, ENCOMPASSING ALL 27 ZIP CODES. THE COMBINED POPULATION OF THE ADVOCATE CONDELL PRIMARY SERVICE AREA (PSA) AND SECONDARY SERVICE AREA (SSA) EQUALS 79.6 PERCENT OF THE TOTAL POPULATION OF LAKE COUNTY. GENERALLY, ABOUT 75 PERCENT OF THE ADVOCATE CONDELL INPATIENT ADMISSIONS LIVE IN PSA COMMUNITIES AND 25 PERCENT LIVE IN SSA COMMUNITIES. BECAUSE ADVOCATE CONDELL HAS ADMISSIONS FROM APPROXIMATELY 80 PERCENT OF THE COMMUNITIES WITHIN LAKE COUNTY, DATA WAS UTILIZED FOR THE ENTIRE COUNTY FOR PURPOSES OF THE 2017-2019 CHNA. AS OF 2019, THE TOTAL POPULATION IN LAKE COUNTY IS 703,068 PERSONS. FROM 2010 THROUGH 2019, LAKE COUNTY HAS HAD A 0.06 PERCENT DECREASE IN POPULATION, SLOWER THAN THE 0.46 PERCENT DECREASE IN THE STATE OF ILLINOISSOCIAL DETERMINANTS OF HEALTH (SDOH). SOCIAL DETERMINANTS OF HEALTH ARE CONDITIONS IN THE PLACES WHERE PEOPLE LIVE, LEARN, WORK AND PLAY. THESE CONDITIONS AFFECT A WIDE RANGE OF HEALTH RISKS AND OUTCOMES (CENTERS FOR DISEASE CONTROL AND PREVENTION, 2018). THE SOCIONEEDS INDEX IS A CONDUENT HEALTHY COMMUNITIES INSTITUTE (CONDUENT HCI) INDICATOR THAT IS A MEASURE OF SOCIOECONOMIC NEED, CORRELATED WITH POOR HEALTH OUTCOMES. THE INDEX IS CALCULATED FROM SIX INDICATORS, ONE EACH FROM THE FOLLOWING TOPICS: POVERTY, INCOME, UNEMPLOYMENT, OCCUPATION, EDUCATION AND LANGUAGEALL SOCIAL DETERMINANTS OF HEALTH. TO HELP IDENTIFY THE AREAS OF HIGHEST NEED WITHIN A DEFINED GEOGRAPHIC AREA, THE SELECTED ZIP CODES ARE RANKED FROM 1 (LOW NEED) TO 5 (HIGH NEED) BASED ON THEIR INDEX RATE. THESE RATES ARE SORTED FROM LOW TO HIGH AND DIVIDED INTO FIVE RANKS USING NATURAL BREAKS. THESE RANKS ARE THEN USED TO COLOR THE ZIP CODES WITH THE HIGHEST SOCIONEEDS INDICES WITH THE DARKER COLORS. THE HOSPITAL HAS SEVERAL COMMUNITIES WITHIN THE PSA THAT HAVE GREATER SOCIOECONOMIC NEEDS COMPARED TO OTHER COMMUNITIES IN THE PRIMARY SERVICE AREA. THE COMMUNITIES OF NORTH CHICAGO (ZIP CODE 60064), WAUKEGAN (ZIP CODE 60085), ZION (ZIP CODE 60099) AND WAUKEGAN (ZIP CODE 60087) ARE THE HIGHEST NEED COMMUNITIES IN LAKE COUNTY. THIS MEANS GENERALLY THAT THE RESIDENTS OF THESE COMMUNITIES HAVE HIGHER RATES OF POVERTY AND UNEMPLOYMENT, LOWER EDUCATION LEVELS AND A HIGHER PERCENTAGE WHO SPEAK A LANGUAGE OTHER THAN ENGLISH AT HOME.MEDICALLY UNDERSERVED AREAS AND MEDICALLY UNDERSERVED POPULATIONS. IN LAKE COUNTY, THERE ARE FOUR DESIGNATED MEDICALLY UNDERSERVED AREAS (MUAS)ONE FOR THE NORTH CHICAGO SERVICE AREA, ONE FOR THE WAUKEGAN SERVICE AREA, ONE FOR THE ZION SERVICE AREA AND ONE FOR THE HIGHLAND PARK/HIGHWOOD SERVICE AREA. THERE ARE NO DESIGNATED MEDICALLY UNDERSERVED POPULATIONS (MUPS). DEMOGRAPHICSAGE/GENDER. THE MEDIAN AGE IN LAKE COUNTY IS 38.5 YEARS OF AGE. WHEN COMPARED TO THE MEDIAN AGE OF WOMEN (40.1 YEARS), THE MEDIAN AGE FOR LAKE COUNTY MEN (36.9 YEARS) IS LOWER. APPROXIMATELY 24 PERCENT OF THE LAKE COUNTY POPULATION IS UNDER 18 YEARS OF AGE AND 16 PERCENT OF THE POPULATION IS 65 YEARS AND OLDER. BY GENDER, WOMEN ACCOUNT FOR 50.1 PERCENT OF THE LAKE COUNTY POPULATION AND MEN ACCOUNT FOR 49.9 PERCENT OF THE POPULATION. RACE/ETHNICITY. BY RACE, THE LARGEST GROUP IN LAKE COUNTY IS THE WHITE POPULATION (71.9 PERCENT). THE SECOND LARGEST GROUP ARE THOSE THAT IDENTIFY AS SOME OTHER RACE (9.5 PERCENT). HOWEVER, LAKE COUNTY IS ALSO COMPRISED OF 7.9 PERCENT ASIAN; 7.1 PERCENT BLACK/AFRICAN AMERICAN; 0.5 PERCENT AMERICAN INDIAN/ALASKAN NATIVE; 3.0 PERCENT TWO RACES OR MORE RACES AND 0.1 PERCENT NATIVE HAWAIIAN/PACIFIC ISLANDER. BY ETHNICITY, 22.2 PERCENT OF THE LAKE COUNTY POPULATION IS HISPANIC/LATINO AND 77.8 PERCENT IS NON-HISPANIC/LATINO.LANGUAGE. ENGLISH IS THE PREDOMINANT LANGUAGE SPOKEN BY INDIVIDUALS IN LAKE COUNTY, AGES 5 AND OLDER (72.1 PERCENT), FOLLOWED BY SPANISH (16.7 PERCENT), INDO-EUROPEAN LANGUAGES (6.3 PERCENT), ASIAN/PACIFIC ISLANDER LANGUAGES (4.3 PERCENT) AND OTHER LANGUAGES (0.55 PERCENT) (CONDUENT HEALTHY COMMUNITIES INSTITUTE, CLARITAS, 2019).ECONOMICS AND EMPLOYMENT. IN LAKE COUNTY, THE MEDIAN HOUSEHOLD INCOME IS $90,795. THE LAKE COUNTY MEDIAN HOUSEHOLD INCOME VARIES GREATLY BY RACE AND ETHNICITY. THE MEDIAN HOUSEHOLD INCOME IS HIGHEST AMONG THE ASIAN ($122,261), WHITE ($96,688) AND NATIVE HAWAIIAN/PACIFIC ISLANDER ($92,006). THE RACIAL AND ETHNIC GROUPS WITH THE LOWEST MEDIAN HOUSEHOLD INCOME ARE HISPANICS ($58,505), AMERICAN INDIANS/ALASKAN NATIVES ($53,894) AND BLACK/AFRICAN AMERICANS ($47,145) (CONDUENT HEALTHY COMMUNITIES INSTITUTE, CLARITAS, 2019).THE PERCENT OF THE TOTAL LABOR FORCE THAT IS UNEMPLOYED IN LAKE COUNTY IS 5.6 PERCENT, LOWER THAN THE UNEMPLOYMENT RATE FOR ILLINOIS OF 6.7 PERCENT. FOR LAKE COUNTY, THE COMMUNITIES WITH THE HIGHEST UNEMPLOYMENT RATES ARE NORTH CHICAGO (30.3 PERCENT), ZION (8.9 PERCENT) AND FOX LAKE (8.7 PERCENT). THE UNEMPLOYMENT RATE DOES NOT VARY GREATLY BY GENDER; 5.8 PERCENT OF MEN ARE UNEMPLOYED AND 5.3 PERCENT OF WOMEN ARE UNEMPLOYED IN LAKE COUNTY (CONDUENT HEALTHY COMMUNITIES INSTITUTE, CLARITAS, 2019). THE TOP THREE INDUSTRIES FOR EMPLOYMENT IN LAKE COUNTY ARE TOTAL MANUFACTURING (16 PERCENT), RETAIL TRADE (11.9 PERCENT) AND HEALTH CARE OR SOCIAL ASSISTANCE (10.8 PERCENT). POVERTY. ACCORDING TO THE 2013-2017 AMERICAN COMMUNITY SURVEY, 8.5 PERCENT OF PEOPLE IN LAKE COUNTY ARE LIVING BELOW THE FEDERAL POVERTY LEVEL; THE PRIOR RATE WAS 8.9 PERCENT. WHEN COMPARED TO THE ILLINOIS RATE (13.5 PERCENT) AND THE U.S. RATE (14.6 PERCENT), LAKE COUNTY IS IN THE BEST 0-50TH PERCENTILE. THE 2018 FEDERAL POVERTY LEVEL (FPL) GUIDELINE IS $25,400 FOR A FAMILY OF FOUR. THE FEMALE POVERTY RATE (9.2 PERCENT) IS HIGHER THAN THE MALE POVERTY RATE (7.8 PERCENT). IN LAKE COUNTY, 23.6 PERCENT OF THE BLACK OR AFRICAN AMERICAN POPULATION IS LIVING BELOW POVERTY, THE HIGHEST IN THE COUNTY, FOLLOWED BY 15.2 PERCENT OF HISPANIC OR LATINO POPULATION. THE HIGHEST PERCENTAGE RATES FOR PEOPLE LIVING IN POVERTY ARE IN NORTH CHICAGO (27 PERCENT), WAUKEGAN (60085) AT 20.4 PERCENT AND ZION AT 17.9 PERCENT (CONDUENT HEALTHY COMMUNITIES INSTITUTE, AMERICAN COMMUNITY SURVEY, 2013-2017). ADDITIONALLY, THE PERCENTAGE OF INDIVIDUALS AGES 20 TO 64 YEARS WITH ANY DISABILITY LIVING IN POVERTY IS 13.8 PERCENT AND 11.5 PERCENT OF CHILDREN ARE LIVING BELOW THE POVERTY LEVEL IN LAKE COUNTY (CONDUENT HEALTHY COMMUNITIES INSTITUTE, AMERICAN COMMUNITY SURVEY, 2017). UNINSURED AND MEDICAID. IN LAKE COUNTY, IT IS ESTIMATED THAT 91.7 PERCENT OF ADULTS, AGES 19 TO 64, HAVE HEALTH INSURANCE COVERAGE (8.3 PERCENT UNINSURED). IN COMPARISON TO OTHER RACES AND ETHNICITIES, HISPANIC/LATINO ADULTS (76.6 PERCENT) AND ADULTS CLASSIFIED AS "OTHER" RACE (69.2 PERCENT) HAVE RATES OF HEALTH INSURANCE THAT ARE LOWER THAN THE COUNTY RATE AND ARE LOWEST AMONG ALL RACES. ACCORDING TO THE ILLINOIS DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES, AS OF JUNE 30, 2018, THERE WERE 123,469 TOTAL MEDICAID ENROLLEES IN LAKE COUNTY. IN 2019, IN BOTH INPATIENT AND OUTPATIENT SETTINGS, ADVOCATE CONDELL PROVIDED CARE TO 35,635 MEDICAID/MANAGED CARE PATIENTS AND 9,365 SELF-PAY AND CHARITY PATIENTS. EDUCATION. FORTY-FOUR PERCENT OF PEOPLE AGES 25 AND OLDER IN LAKE COUNTY HAVE A BACHELOR'S DEGREE OR HIGHER. ON THE OTHER END OF THE SPECTRUM, NINE PERCENT OF THE COUNTY'S POPULATION HAS LESS THAN A HIGH SCHOOL DIPLOMA. THE COMMUNITIES WITH THE LOWEST PERCENTAGE OF RESIDENTS, AGES 25 AND OLDER, WITH A BACHELOR'S DEGREE OR HIGHER ARE NORTH CHICAGO AT 11.4 PERCENT, WAUKEGAN (60085) AT 14.4 PERCENT, AND ZION AT 17.3 PERCENT. IN LAKE COUNTY, 89.7 PERCENT OF STUDENTS GRADUATE HIGH SCHOOL WITHIN FOUR YEARS OF THEIR FIRST ENROLLMENT IN 9TH GRADE. THE LAKE COUNTY HIGH SCHOOL GRADUATION RATE IS IN THE BEST 050TH PERCENTILE COMPARED TO ILLINOIS COUNTIES. THE LAKE COUNTY GRADUATION RATE IS HIGHER THAN THE STATE (85.6 PERCENT) AND U.S. RATES (83.2 PERCENT) (CONDUENT HEALTHY COMMUNITIES, COUNTY HEALTH RANKINGS, 2014-2015).OTHER HEALTH CARE RESOURCES. THERE ARE A TOTAL OF FOUR HOSPITALS SERVING ALL OR SPECIFIC PARTS OF LAKE COUNTY, INCLUDING NORTHWESTERN LAKE FOREST HOSPITAL, VISTA HEALTH SYSTEM, NORTHSHORE UNIVERSITY HEALTH SYSTEM HIGHLAND PARK HOSPITAL AND ADVOCATE GOOD SHEPHERD HOSPITAL.
PART VI, LINE 5:	THE GOVERNING COUNCIL AT ADVOCATE CONDELL 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. ENTER NUMBER 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.THE ADVOCATE CONDELL GOVERNING COUNCIL IS COMPRISED OF 15 MEMBERS, REPRESENTING A BROAD ARRAY OF COMMUNITY SECTORS. MEMBERS COME FROM THE FIELDS OF EDUCATION, MANUFACTURING, PHILANTHROPY, FAITH COMMUNITIES, MARKETING, FINANCIAL INDUSTRY, PRIMARY CARE AND SUBSPECIALTY HEALTH CARE. ONE MEMBER OF THE GOVERNING COUNCIL SERVES AS CO-CHAIR OF THE CHC TO ENSURE COORDINATION OF INFORMATION. GOVERNING COUNCIL MEMBERS SUPPORT THE MEDICAL CENTER LEADERSHIP IN THEIR PURSUIT OF THE ESTABLISHED GOALS, REPRESENT THE COMMUNITY'S INTEREST, AND SERVE AS AMBASSADORS IN THE COMMUNITY. SEVENTY-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 OF ITS DEPARTMENTS AND SPECIALTIES.THE MEDICAL CENTER ALSO DONATES STAFF TIME AND EXPERTISE TO SEVERAL LOCAL COUNCILS, BOARDS, COALITIONS AND COMMITTEES. THE ADVOCATE CONDELL DIRECTOR OF COMMUNITY HEALTH SERVES ON THE BOARD OF THE LAKE COUNTY COMMUNITY FOUNDATION. THE DIRECTOR OF COMMUNITY HEALTH AND AN EMERGENCY DEPARTMENT SOCIAL WORKER REPRESENT ADVOCATE CONDELL ON THE LAKE COUNTY OPIOID INITIATIVE TASK FORCE, WHICH FOCUSES 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 SERVE ON THREE LIVE WELL LAKE COUNTY ACTION TEAMS, FOCUSING ON DIABETES, NUTRITION AND FOOD INSECURITY, AND BEHAVIORAL HEALTH. IN ADDITION, ADVOCATE CONDELL ROUTINELY MAKES CASH AND IN-KIND DONATIONS TO PARTNERS, SUCH AS THE LAKE COUNTY YWCA, MANO A MANO RESOURCE CENTER AND THE PARTNERSHIP FOR A SAFER LAKE COUNTY TO FURTHER THE HEALTH OF THE COMMUNITY, INCLUDING THE DONATION OF MEDICAL SUPPLIES. IN JANUARY 2019, ADVOCATE CONDELL LAUNCHED A NEW ACCESS TO CARE PROGRAM TO LINK PATIENTS TO A PRIMARY CARE PROVIDER. A FULL-TIME COMMUNITY HEALTH WORKER (CHW) WAS HIRED WHO WORKS IN THE EMERGENCY DEPARTMENT TO MEET WITH PATIENTS COMING IN FOR LOW-ACUITY REASONS AND WORKS IN THE COMMUNITY TO LINK PATIENTS TO SOCIAL SUPPORT SERVICES. THE CHW EDUCATES PATIENTS AND THEIR FAMILIES ON OTHER OPTIONS FOR CARE, SUCH AS THE ADVOCATE IMMEDIATE CARE CENTERS, WALGREENS CLINICS AND OTHER RETAIL-BASED CLINICS. THE CHW EDUCATES PATIENTS ON THEIR INSURANCE AND IF THEY DO NOT HAVE A MEDICAL HOME, LINKS THEM TO A PRIMARY CARE PHYSICIAN (PCP) OR FEDERALLY QUALIFIED HEALTH CENTER (FQHC) FOR ONGOING CARE. ADDITIONALLY, THE CHW COMPLETES AN ASSESSMENT OF SOCIAL NEEDS THAT THE PATIENT MAY HAVE, USING A SOCIAL DETERMINANTS OF HEALTH SCREENING TOOL. IN 2019, THE CHW MET WITH 403 PATIENTS, PROVIDING 1,229 REFERRALS TO A PHYSICIAN, BEHAVIORAL HEALTH CARE, HOUSING, FOOD RESOURCES OR OTHER SUPPORT SERVICES. TWENTY-SIX PERCENT OF THE PATIENTS SEEN BY THE CHW SCREENED POSITIVE FOR FOOD INSECURITYMUCH HIGHER THAN THE GENERAL POPULATION LEVEL OF SIX PERCENT. TWENTY-ONE PERCENT OF THE TOTAL REFERRALS WERE FOR A PHYSICIAN; 11 PERCENT OF THE DIRECT REFERRALS WERE FOR FOOD RESOURCES AND 27 PERCENT OF THE REFERRALS WERE FOR HEALTH INSURANCE SUPPORT. ENVIRONMENTAL IMPROVEMENTSADVOCATE HEALTH CARE IS COMMITTED TO GREENING HEALTH CARE BECAUSE IT IS DEEPLY CONNECTED TO THE PURPOSE OF OUR ORGANIZATION 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 GREENHOUSE 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- PREMIER 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 2019 ENVIRONMENTAL INITIATIVES:- REDUCED CUMULATIVE HOSPITAL ENERGY CONSUMPTION BY 1.7 PERCENT IN TWELVE MONTHS ENDING 11/30/19. OUR 2019 ENERGY REDUCTIONS SAVED ADVOCATE $1 MILLION IN ENERGY COSTS, AND AVOIDED THE RELEASE OF 5,647 MTCO2E OF GREENHOUSE GAS EMISSIONS. - PLEDGED TO POWER ITS FACILITIES WITH 100% RENEWABLE ELECTRICITY BY 2030.- AVOIDED 1,124 MTCO2E OF GREENHOUSE GASES (EQUIVALENT TO 2.7 MILLION MILES OF DRIVING) THROUGH ECO-FRIENDLY MANAGEMENT OF ANESTHETIC GASES.- RECYCLED 3,437 TONS OF WASTE FROM HOSPITAL OPERATIONS.- RECYCLED 86 PERCENT, OR 3,166 TONS, OF CONSTRUCTION AND DEMOLITION DEBRIS.- SAVED 49 TONS OF WASTE FROM LANDFILL AND SAVED OVER $1.1 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 154 PALLETS OF MISCELLANEOUS MEDICAL SUPPLIES AND 65 PIECES OF MEDICAL EQUIPMENT TO PROJECT CURE IN 2019, ALL OF WHICH MAY HAVE OTHERWISE BEEN LANDFILLED.- PURCHASED OVER 25,000 FEWER REAMS OF PAPER IN 2019 VERSUS 2018 EVEN THOUGH PATIENT VOLUMES ROSE - TRANSLATING INTO AN OVER 5% YEAR-OVER-YEAR REDUCTION IN PAPER USAGE.- SPENT 77% 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 89% OF TOTAL PURCHASES.
PART VI, LINE 6:	ADVOCATE HEALTH CARE (ILLINOIS) AND AURORA HEALTH CARE (WISCONSIN) MERGED IN 2018 TO BECOME ADVOCATE AURORA HEALTH. SOON THEREAFTER WORK BEGAN TO ALIGN THE COMMUNITY STRATEGIES OF BOTH PREDECESSOR ORGANIZATIONS. IN OCTOBER 2019, THE ADVOCATE AURORA BOARD APPROVED A COMMUNITY STRATEGY THAT WOULD SUPPORT ORGANIZATIONAL VALUES AND CONTINUE TO SUPPORT SYSTEM-WIDE PROGRAMS THAT ADDRESS THE HEALTH NEEDS OF PATIENTS, FAMILIES AND THE COMMUNITIES SERVED BY ADVOCATE AURORA. GIVEN THAT ADVOCATE AND AURORA HAVE SEPARATE FEIN'S, THE NARRATIVE THAT FOLLOWS PRIMARILY DESCRIBES PROGRAMS AND ACTIVITIES PERTAINING TO ADVOCATE (AAH ILLINOIS). AS BACKGROUND, ADVOCATE AURORA HEALTH'S ILLINOIS HOSPITALS (ADVOCATE) ARE NOT-FOR-PROFIT AND ARE RELATED TO BOTH THE EVANGELICAL LUTHERAN CHURCH IN AMERICA AND THE UNITED CHURCH OF CHRIST. 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 THE ORGANIZATION THROUGH PROGRAMS AND PRACTICES THAT SUPPORT THE ADVOCATE AURORA VISION OF "WE HELP PEOPLE LIVE WELL." ADVOCATE AURORA'S SYSTEM LEADERSHIP HAS HISTORICALLY AND CURRENTLY DIRECTS AND SUPPORTS THE HOSPITALS IN THEIR EFFORTS TO ADDRESS IDENTIFIED COMMUNITY HEALTH NEEDS. IN 2016, A COMMUNITY HEALTH DEPARTMENT WAS DEVELOPED BY ADVOCATE, 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 ADVOCATE SYSTEM-LEVEL INDIVIDUALS WHOSE JOB RESPONSIBILITIES INCLUDED VARIOUS COMMUNITY ROLES MORE CLOSELY ALIGNED WITH COMMUNITY RELATIONS. DURING THE INITIAL 2011-2013 CHNA CYCLE, ADVOCATE'S 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 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. FOLLOWING THE MERGER OF ADVOCATE HEALTH CARE AND AURORA HEALTH CARE IN 2018 AND BOARD APPROVAL OF THE NEW COMMUNITY STRATEGY IN 2019, ALL ADVOCATE HOSPITALS' COMMUNITY HEALTH IMPLEMENTATION PLANS ARE GUIDED BY THE AAH COMMUNITY STRATEGY. THROUGH THIS STRATEGY, WE WILL BUILD HEALTH EQUITY, ENSURE ACCESS AND IMPROVE HEALTH OUTCOMES IN OUR COMMUNITIES THROUGH EVIDENCE-INFORMED SERVICES AND INNOVATIVE PARTNERSHIPS BY ADDRESSING MEDICAL NEEDS AND SOCIAL DETERMINANTS. BASED ON NEED AND EFFECT ON HEALTH EQUITY, AS IDENTIFIED IN ADVOCATE AURORA'S 27 HOSPITAL CHNA REPORTS AND IN INDUSTRY LITERATURE, ADVOCATE PRIORITIZED THE FOLLOWING SIX FOCUS AREAS ON WHICH THE INDIVIDUAL HOSPITAL COMMUNITY HEALTH IMPLEMENTATION PLANS ARE BUILT AND SUPPORT, INCLUDING: 1) ACCESS/PRIMARY MEDICAL HOMES; 2) ACCESS/ BEHAVIORAL HEALTH SERVICES; 3) COMMUNITY SAFETY; 4) WORKFORCE DEVELOPMENT; 5) AFFORDABLE HOUSING; AND 6) FOOD SECURITY.ADVOCATE'S BOARD, SYSTEM LEADERSHIP AND TEAM MEMBERS ARE FULLY ENGAGED IN PROGRAMS AND ACTIVITIES THAT SUPPORT SYSTEM AND SITE EFFORTS IN ACHIEVING MILESTONES IN EACH OF THESE COMMUNITY STRATEGY FOCUS AREAS. EXAMPLES OF AFFILIATED SYSTEM PROGRAMS/SERVICES THAT ALIGN WITH THE ORGANIZATION'S COMMUNITY STRATEGY AND SUPPORT EFFORTS TO ADDRESS THESE KEY FOCUS AREAS ARE PROVIDED IN THE FOLLOWING NARRATIVE.1. ACCESS/PRIMARY MEDICAL HOMES. THE FIRST OF SIX KEY AREAS TARGETED BY ADVOCATE'S COMMUNITY STRATEGY IS IMPROVING ACCESS/CONNECTING PATIENTS TO PRIMARY MEDICAL HOMES. ADVOCATE IS COMMITTED TO UNDERTAKING AND SUPPORTING INITIATIVES THAT ENHANCE ACCESS TO HEALTH CARE, INCLUDING FINANCIAL ASSISTANCE, CARE COORDINATION, LANGUAGE ASSISTANCE, CULTURALLY SENSITIVE PROVISION OF CARE, AND PREVENTION EDUCATION AND WELLNESS SERVICES ACROSS THE LIFESPAN AND WITHIN THE DIVERSE COMMUNITIES ADVOCATE SERVES. FINANCIAL ASSISTANCE. ADVOCATE OFFERS A VERY GENEROUS FINANCIAL ASSISTANCE PROGRAM, REQUIRING NO PAYMENTS FROM THE PATIENTS MOST IN NEED, AND PROVIDING DISCOUNTS TO UNINSURED AND INSURED PATIENTS. FROM JANUARY 2019 TO MAY 2019, UNINSURED PATIENTS EARNING UP TO SIX TIMES THE FEDERAL POVERTY LEVEL (FPL), AND INSURED PATIENTS EARNING UP TO FOUR TIMES THE FPL WERE ELIGIBLE TO BE CONSIDERED FOR A FULL OR PARTIAL FINANCIAL ASSISTANCE DISCOUNT. AS OF JUNE 2019, PATIENTS EARNING UP TO SIX TIMES THE FPL, AND INSURED PATIENTS EARNING UP TO TWO AND HALF TIMES THE FPL MAY QUALIFY FOR A FULL OR PARTIAL FINANCIAL ASSISTANCE DISCOUNT. ADDITIONALLY, A CATASTROPHIC ASSISTANCE DISCOUNT WAS ADDED FOR UNINSURED AND INSURED PATIENTS WHOSE INCOMES EXCEED THE TRADITIONAL FINANCIAL ASSISTANCE INCOME GUIDELINES AND HAVE OUTSTANDING PATIENT BALANCES OF $25,000 OR MORE FOR A SINGLE DATE OF SERVICE OR SUM OF SEVERAL DATES OF SERVICE. THESE PATIENTS MAY QUALIFY TO RECEIVE A FINANCIAL ASSISTANCE DISCOUNT THAT REDUCES THEIR OUTSTANDING BALANCE TO 25% OF THEIR NET INCOME. FOR UNINSURED PATIENTS, ADVOCATE WILL PRESUMPTIVELY PROVIDE FINANCIAL ASSISTANCE IF THE FINANCIAL STATUS HAS BEEN VERIFIED BY A THIRD PARTY. IN THESE CASES, THE PATIENT IS NOT REQUIRED TO SUBMIT A SEPARATE CHARITY APPLICATION. IF PRESUMPTIVE CRITERIA ARE NOT AVAILABLE FOR UNINSURED PATIENTS, FINANCIAL ASSISTANCE ELIGIBILITY IS AVAILABLE USING AN INCOME-BASED SCREENING. ADVOCATE EXTENDS ITS INCOME-BASED FINANCIAL ASSISTANCE POLICY TO ITS INSURED PATIENTS AS WELL. BOTH UNINSURED AND INSURED REQUESTS ARE GIVEN CONSIDERATION BASED ON THE INDIVIDUAL'S EXTENUATING CIRCUMSTANCES. ADVOCATE CONTINUES TO REVIEW AND REFINE ITS POLICY IN AN ONGOING EFFORT TO ENSURE THAT FINANCIAL ASSISTANCE IS AVAILABLE TO THOSE WHO NEED HELP.FEDERALLY QUALIFIED HEALTH CENTERS (FQHCS). ALL ADVOCATE'S HOSPITALS HAVE RELATIONSHIPS WITH FEDERALLY QUALIFIED HEALTH CENTERS OR OTHER COMMUNITY CLINICS WITHIN THEIR SERVICE AREAS FOR PROVIDING CARE FOR MEDICAID AND UNINSURED PATIENTS. ADVOCATE SHERMAN WORKS CLOSELY WITH THE GREATER ELGIN FAMILY CARE CENTER (FQHC), THE VISITING NURSES ASSOCIATION AND AUNT MARTHA'S (FQHC) TO COORDINATE CARE FOR LOW-INCOME PATIENTS IN THE ELGIN AREA. ADVOCATE BROMENN MAINTAINS A COMMUNITY HEALTH CLINIC, IN COLLABORATION WITH OSF ST. JOSEPH'S HOSPITAL, WHEREBY BOTH HOSPITALS ARE RESPONSIBLE FOR DESIGNATED CLINIC PATIENTS' HOSPITAL CARE THROUGHOUT THE YEAR. ADVOCATE BROMENN ALSO PROVIDES SPACE AND INFORMATION TECHNOLOGY SUPPORT TO THE CLINIC. IN ADDITION, ADVOCATE BROMENN, THROUGH AN INFORMAL REFERRAL AGREEMENT DATING BACK TO 2010, COLLABORATES WITH CHESTNUT HEALTH SYSTEMS. CHESTNUT HEALTH SYSTEMS OWNS AND OPERATES A FQHC IN BLOOMINGTON AND PATIENTS ARE SOMETIMES REFERRED TO ADVOCATE BROMENN FOR SERVICES. IN A PARTNERSHIP WITH THE ACCESS TO CARE ORGANIZATION, ADVOCATE CHRIST PROVIDES MAMMOGRAMS TO AREA UNINSURED AND LOW-INCOME INDIVIDUALS THAT ARE REFERRED BY THE CLINIC TO THE HOSPITAL WHEN THIS SERVICE IS REQUIRED.TO MAINTAIN QUALITY CARE EXCELLENCE AND IMPROVE QUALITY OF LIFE FOR PEOPLE SEEKING CARE FROM ADVOCATE, WORKING TO FIND MEDICAL HOMES AND TO REDUCE EMERGENCY ROOM VISITS AND HOSPITAL ADMISSIONS IS ESSENTIAL. ADVOCATE HAS NUMEROUS PROGRAMS FOCUSED ON MANAGING THE PATIENT EXPERIENCE THROUGH THE CONTINUUM OF CAREIN INPATIENT AND OUTPATIENT SETTINGS, AND IN THE HOME. MEDICAID AND MEDICARE. ADVOCATE ACTIVELY WORKS TO IMPROVE THE PROVISION OF SERVICES TO INDIVIDUALS AND FAMILIES WHO ARE COVERED BY MEDICARE AND MEDICAID AND THAT SEEK SERVICES AT ANY OF ADVOCATE'S 400 SITES OF CARE. ADVOCATE COLLABORATES WITH VARIOUS COMMUNITY-BASED ORGANIZATIONS (CBOS) AND FEDERALLY QUALIFIED HEALTH CENTERS (FQHCS) IN INNOVATIVE WAYS TO ESTABLISH PRIMARY CARE RELATIONSHIPS FOR MEDICAID AND UNINSURED PATIENTS. ADVOCATE CARE ORGANIZATION (ACO). ADVOCATE COLLABORATES WITH MERIDIAN FAMILY HEALTH PLAN (FHP) OF ILLINOIS AS PART OF AN INTEGRATED CARE MODEL FOR PEOPLE ON MEDICAID. ADVOCATE HAS A STRONG HISTORY OF PROVIDING HIGH QUALITY CARE TO THE MEDICAID POPULATION WITHIN ITS NETWORK WITH KEY FOCUS AREAS, INCLUDING IMPROVED CARE COORDINATION, ACCESS AND QUALITY PERFORMANCE. THE RESULT HAS BEEN A REDUCTION IN ED UTILIZATION DUE TO SUCCESSFULLY CONNECTING INDIVIDUALS IN THE PLAN TO A MEDICAL HOME.PRIMARY CARE CONNECTION-COMMUNITY HEALTH WORKERS (CHWS) IS A QUALITY IMPROVEMENT PROJECT TO ENGAGE AND EDUCATE MEDICAID BENEFICIARIES SEEN IN THE ED ON APPROPRIATE LEVEL OF CARE OPTIONS AVAILABLE TO THEM USING COMMUNITY HEALTH WORKERS. THE MAIN OBJECTIVES OF THE PRIMARY CARE CONNECTIONS INTERVENTION ARE TO: EDUCATE AND SCHEDULE LOW ACUITY PATIENTS WHO VISIT THE ED REGARDING ALTERNATIVE CARE OPTIONS AVAILABLE TO THEM; HELP THEM ESTABLISH A PRIMARY CARE MEDICAL HOME; IMPROVE CARE COORDINATION TO PREVENT INAPPROPRIATE ED UTILIZATION; AND HELP THEM NAVIGATE SPECIFIC SOCIAL DETERMINANTS OF HEALTH TO IMPROVE HEALTH OUTCOMES. THE
PART VI, LINE 7, REPORTS FILED WITH STATES	IL

Schedule H (Form 990) 2019

Additional Data

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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

2019

Open to Public
Inspection

Name of the organization
ADVOCATE CONDELL MEDICAL CENTER

Employer identification number
26-2525968

Part I

General Information on Grants and Assistance

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? ........................

Yes No

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) CRISTO REY ST MARTIN COLLEGE PREP 3106 BELVIDERE ROAD WAUKEGAN,IL60085	56-2372659	N/A	36,301				COMMUNITY SUPPORT
(2) LIBERTYVILLE HIGH SCHOOL 708 W PARK AVE LIBERTYVILLE,IL60048	36-2527753	N/A	6,000				SPONSOR EVENTS

Enter total number of section 501(c)(3) and government organizations listed in the line 1 table ................. Bullet Image

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) 2019

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

FORM 990, SCHEDULE I, PART I, LINE 2;

FORM 990, SCHEDULE I GRANTS AND OTHER ASSISTANCE TO DOMESTIC ORGANIZATIONS AND DOMESTIC GOVERNMENTS FOR AMOUNTS REPORTED ON SCHEDULE I, ADVOCATE CONDELL MEDICAL CENTER REPORTS ONLY NON PROFIT ORGANIZATIONS THAT ARE TAX-EXEMPT UNDER SECTION 501(C)(3) OF THE INTERNAL REVENUE CODE OR THAT ARE CONSISTENT WITH AND COMPLIMENTARY TO THE MISSION AND CHARITABLE, TAX-EXEMPT PURPOSES OF ADVOCATE CONDELL MEDICAL CENTER. THE PURPOSES OF THESE GRANTS IS TO SUPPORT COMMUNITY PROGRAMS. CASH CONTRIBUTIONS ARE NOT MADE TO INDIVIDUALS, FOR PROFIT BUSINESSES, OR PRIVATE PROVIDERS.

Schedule I (Form 990) 2019

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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

2019

Open to Public Inspection

Name of the organization

ADVOCATE CONDELL MEDICAL CENTER

Employer identification number

26-2525968

Part I

Questions Regarding Compensation

Yes

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.

First-class or charter travel Housing allowance or residence for personal use

Travel for companions Payments for business use of personal residence

Tax idemnification and gross-up payments Health or social club dues or initiation fees

Discretionary spending account Personal services (e.g., maid, chauffeur, chef)

If any of the boxes on 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 .........

Yes

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 on Line 1a? ..

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.

Compensation committee Written employment contract

Independent compensation consultant Compensation survey or study

Form 990 of other organizations Approval by the board or compensation committee

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:

Receive a severance payment or change-of-control payment? .............

Yes

Participate in, or receive payment from, a supplemental nonqualified retirement plan? .........

Yes

Participate in, or receive payment from, an equity-based compensation arrangement? .........

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.

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:

The organization? ....................

Any related organization? .......................

If "Yes," on line 5a or 5b, describe in Part III.

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:

The organization? ..................

Any related organization? ......................

If "Yes," on line 6a or 6b, describe in Part III.

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 ............

Yes

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 ..........................

If "Yes" on line 8, did the organization also follow the rebuttable presumption procedure described in Regulations section 53.4958-6(c)? .........................

For Paperwork Reduction Act Notice, see the Instructions for Form 990.

Cat. No. 50053T

Schedule J (Form 990) 2019

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
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1JAMES SKOGSBERGH EXECUTIVE VICE PRESIDENT & COO, DIRE	(i) (ii)	0 ------------- 1,871,319	0 ------------- 3,142,919	0 ------------- 903,267	0 ------------- 25,591	0 ------------- 20,986	0 ------------- 5,964,082	0 ------------- 0
2GARY STUCK DO CHIEF MEDICAL OFFICER	(i) (ii)	0 ------------- 507,693	0 ------------- 136,954	0 ------------- 51,828	0 ------------- 26,929	0 ------------- 18,602	0 ------------- 742,006	0 ------------- 0
3BARBARA BYRNE MD CHIEF INFORMATION OFFICER	(i) (ii)	0 ------------- 568,075	0 ------------- 823,416	0 ------------- 34,865	0 ------------- 70,585	0 ------------- 15,667	0 ------------- 1,512,608	0 ------------- 0
4DOMINIC J NAKIS CFO, & TREASURER	(i) (ii)	0 ------------- 835,262	0 ------------- 1,353,554	0 ------------- 353,882	0 ------------- 25,591	0 ------------- 27,539	0 ------------- 2,595,828	0 ------------- 0
5JAMES DOHENY ASSISTANT TREASURER	(i) (ii)	0 ------------- 400,433	0 ------------- 128,131	0 ------------- 46,953	0 ------------- 25,591	0 ------------- 28,986	0 ------------- 630,094	0 ------------- 0
6JAMES SLINKMAN ASSISTANT SECRETARY	(i) (ii)	0 ------------- 310,935	0 ------------- 95,713	0 ------------- 27,707	0 ------------- 25,591	0 ------------- 35,025	0 ------------- 494,971	0 ------------- 0
7KELLY JO GOLSON CHIEF MARKETING OFFICER	(i) (ii)	0 ------------- 470,708	0 ------------- 669,503	0 ------------- 175,822	0 ------------- 25,591	0 ------------- 2,912	0 ------------- 1,344,536	0 ------------- 0
8KEVIN BRADY CHIEF HUMAN RESOURCES OFFICER	(i) (ii)	0 ------------- 580,174	0 ------------- 843,930	0 ------------- 220,909	0 ------------- 25,591	0 ------------- 38,613	0 ------------- 1,709,217	0 ------------- 0
9LESLIE LENZO ASSISTANT TREASURER	(i) (ii)	0 ------------- 579,092	0 ------------- 206,746	0 ------------- 89,962	0 ------------- 22,791	0 ------------- 22,410	0 ------------- 921,001	0 ------------- 0
10MICHAEL GREBE CHIEF LEGAL OFFICER, ASSISTANT SECRE	(i) (ii)	0 ------------- 562,400	0 ------------- 403,812	0 ------------- 392,281	0 ------------- 201,665	0 ------------- 0	0 ------------- 1,560,158	0 ------------- 70,195
11MICHAEL KERNS ASSISTANT SECRETARY	(i) (ii)	0 ------------- 347,199	0 ------------- 104,437	0 ------------- 38,646	0 ------------- 25,591	0 ------------- 34,693	0 ------------- 550,566	0 ------------- 0
12MIKE LAPPIN SECRETARY	(i) (ii)	0 ------------- 746,368	0 ------------- 569,981	0 ------------- 647,908	0 ------------- 311,307	0 ------------- 20,504	0 ------------- 2,296,068	0 ------------- 104,917
13NAN NELSON ASSISTANT TREASURER	(i) (ii)	0 ------------- 481,008	0 ------------- 227,115	0 ------------- 364,225	0 ------------- 166,423	0 ------------- 987	0 ------------- 1,239,758	0 ------------- 63,304
14SHELLY HART ASSISTANT SECRETARY	(i) (ii)	0 ------------- 498,921	0 ------------- 177,092	0 ------------- 26,824	0 ------------- 112,282	0 ------------- 20,504	0 ------------- 835,623	0 ------------- 0
15REV KATHIE BENDER SCHWICH CHIEF SPIRITUAL OFFICER	(i) (ii)	0 ------------- 279,247	0 ------------- 467,856	0 ------------- 125,184	0 ------------- 25,591	0 ------------- 80,255	0 ------------- 978,133	0 ------------- 0
16SCOTT POWDER CHIEF STRATEGY OFFICER	(i) (ii)	0 ------------- 533,517	0 ------------- 762,625	0 ------------- 192,233	0 ------------- 25,591	0 ------------- 25,125	0 ------------- 1,539,091	0 ------------- 0
17STEVE HUSER ASSISTANT TREASURER	(i) (ii)	0 ------------- 308,464	0 ------------- 105,266	0 ------------- 23,375	0 ------------- 71,558	0 ------------- 13,904	0 ------------- 522,567	0 ------------- 0
18VINCENT BUFALINO MD CHIEF ADVOCATE MEDICAL GROUP OFFICER	(i) (ii)	0 ------------- 589,736	0 ------------- 861,159	0 ------------- 238,808	0 ------------- 25,591	0 ------------- 27,721	0 ------------- 1,743,015	0 ------------- 0
19WILLIAM P SANTULLI PRESIDENT OF THE CORPORATION	(i) (ii)	0 ------------- 1,144,124	0 ------------- 1,762,601	0 ------------- 482,371	0 ------------- 25,591	0 ------------- 24,303	0 ------------- 3,438,990	0 ------------- 0
20MATTHEW PRIMACK HOSPITAL PRESIDENT	(i) (ii)	0 ------------- 382,427	0 ------------- 101,756	0 ------------- 41,827	0 ------------- 25,591	0 ------------- 21,180	0 ------------- 572,781	0 ------------- 0
21MICHAEL PLOSZEK PRESIDENT OF CONDELL MEDICAL CENTER	(i) (ii)	332,049 ------------- 0	79,489 ------------- 0	48,211 ------------- 0	25,591 ------------- 0	9,537 ------------- 0	494,877 ------------- 0	0 ------------- 0
22DEBRA SUSIE-LATTNER VP, CHIEF MEDICAL OFFICER CONDELL	(i) (ii)	396,786 ------------- 0	74,792 ------------- 0	26,036 ------------- 0	25,591 ------------- 0	12,638 ------------- 0	535,843 ------------- 0	0 ------------- 0
23KAREN HANSON VP, CHIEF NURSING OFFICER CONDELL	(i) (ii)	229,301 ------------- 0	17,105 ------------- 0	-2,585 ------------- 0	22,008 ------------- 0	25,754 ------------- 0	291,583 ------------- 0	0 ------------- 0
24LANIS KUYZIN DIRECTOR MEDICAL CARE MANAGEMENT	(i) (ii)	312,102 ------------- 0	0 ------------- 0	6,126 ------------- 0	22,791 ------------- 0	2,688 ------------- 0	343,707 ------------- 0	0 ------------- 0
25CHRISTIAN WALLIS VP CLIN SERV LINES & SUPP SRVS	(i) (ii)	199,214 ------------- 0	28,729 ------------- 0	865 ------------- 0	17,774 ------------- 0	2,264 ------------- 0	248,846 ------------- 0	0 ------------- 0
26EARL J BARNES II FORMER OFFICER, KEY EMPLOYEE-SR VICE	(i) (ii)	0 ------------- 0	0 ------------- 181,123	0 ------------- 264,496	0 ------------- 0	0 ------------- 30,660	0 ------------- 476,279	0 ------------- 0
27LEE B SACKS MD FORMER OFFICER	(i) (ii)	0 ------------- 0	0 ------------- 351,160	0 ------------- 274,473	0 ------------- 0	0 ------------- 972	0 ------------- 626,605	0 ------------- 0
28SUSAN CAMPBELL FORMER OFFICER	(i) (ii)	0 ------------- 0	0 ------------- 135,087	0 ------------- 272,621	0 ------------- 0	0 ------------- 7,069	0 ------------- 414,777	0 ------------- 0
29KAREN LAMBERT FORMER KEY EMPLOYEE-PRESIDENT-GOOD S	(i) (ii)	0 ------------- 624,814	0 ------------- 310,092	0 ------------- 197,402	0 ------------- 25,591	0 ------------- 38,811	0 ------------- 1,196,710	0 ------------- 0
30DOMINICA TALLARICO FORMER KEY EMPLOYEE-PRESIDENT-CONDEL	(i) (ii)	0 ------------- 683,406	0 ------------- 264,421	0 ------------- 138,383	0 ------------- 25,591	0 ------------- 25,327	0 ------------- 1,137,128	0 ------------- 0
31DAVID CARTWRIGHT FORMER HCE-VP, FINANCE & SUPPORT SE	(i) (ii)	0 ------------- 286,215	0 ------------- 44,335	0 ------------- 3,934	0 ------------- 25,591	0 ------------- 21,871	0 ------------- 381,946	0 ------------- 0
32MARY HILLARD FORMER HCE-VP, PATIENT CARE/CLINICAL	(i) (ii)	29,445 ------------- 0	33,833 ------------- 0	144,261 ------------- 0	12,099 ------------- 0	4,749 ------------- 0	224,387 ------------- 0	0 ------------- 0

Schedule J (Form 990) 2019

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 $55,000.
SCHEDULE J, PART I, LINE 4A	EARL J. BARNES II, FORMER SENIOR VICE PRESIDENT, GENERAL COUNSEL, AND SECRETARY, RECEIVED A SEVERANCE PAYMENT IN THE AMOUNT OF $275,000. SUSAN CAMPBELL, FORMER SENIOR VICE PRESIDENT OF PATIENT CARE AND CHIEF NURSING OFFICER, RECEIVED A SEVERANCE PAYMENT IN THE AMOUNT OF $275,000. MARY HILLARD, FORMER VICE PRESIDENT OF PATIENT CARE AND CLINICAL OPERATIONS, RECEIVED A SEVERANCE PAYMENT IN THE AMOUNT OF $145,286. LEE B. SACKS, M.D., FORMER EXECUTIVE VICE PRESIDENT AND CHEIF MEDICAL OFFICER, RECEIVED A SEVERANCE PAYMENT IN THE AMOUNT OF $275,002. 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: KATHIE S. BENDER SCHWICH $35,933, KEVIN R. BRADY $73,558, VINCENT J. BUFALINO $76,789, KELLY JO GOLSON $48,406, KAREN A. LAMBERT $62,745, DOMINIC NAKIS $107,256, SCOTT A. POWDER $56,585, WILLIAM P. SANTULLI $160,864, JAMES H. SKOGSBERGH $338,248, AND MICHAEL A. PLOSZEK $6,386. THE FOLLOWING EMPLOYEES HAVE NOT YET VESTED AND THEREFORE THE CONTRIBUTIONS ARE REPORTED AS DEFERRED COMPENSATION: BARBARA P. BYRNE $47,794, AND GARY D. STUCK $12,388.
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) 2019

Additional Data

Software ID:
Software Version:

- TIN:

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

2019

Open to Public
Inspection

Name of the organization

ADVOCATE CONDELL MEDICAL CENTER

Employer identification number

26-2525968

Return Reference	Explanation
PART III, LINE 4C	COMMUNITY HEALTH WORKER. IN JANUARY 2019, ADVOCATE CONDELL LAUNCHED A NEW ACCESS TO CARE PROGRAM TO LINK PATIENTS TO A PRIMARY CARE PROVIDER. A FULL-TIME COMMUNITY HEALTH WORKER (CHW) WAS HIRED WHO WORKS IN THE EMERGENCY DEPARTMENT TO MEET WITH PATIENTS COMING IN FOR LOW-ACUITY REASONS AND WORKS IN THE COMMUNITY TO LINK PATIENTS TO SOCIAL SUPPORT SERVICES. THE CHW EDUCATES PATIENTS AND THEIR FAMILIES ON OTHER OPTIONS FOR CARE, SUCH AS THE ADVOCATE IMMEDIATE CARE CENTERS, WALGREENS CLINICS AND OTHER RETAIL-BASED CLINICS. THE CHW EDUCATES PATIENTS ON THEIR INSURANCE AND IF THEY DO NOT HAVE A MEDICAL HOME, LINKS THEM TO A PRIMARY CARE PHYSICIAN (PCP) OR FEDERALLY QUALIFIED HEALTH CENTER (FQHC) FOR ONGOING CARE. ADDITIONALLY, THE CHW COMPLETES AN ASSESSMENT OF SOCIAL NEEDS THAT THE PATIENT MAY HAVE, USING A SOCIAL DETERMINANTS OF HEALTH SCREENING TOOL. IN 2019, THE COMMUNITY HEALTH WORKER MET WITH 403 PATIENTS, PROVIDING 1,229 REFERRALS TO A PHYSICIAN, BEHAVIORAL HEALTH CARE, HOUSING, FOOD RESOURCES OR OTHER SUPPORT SERVICES. TWENTY-SIX PERCENT OF THE PATIENTS SEEN BY THE CHW SCREENED POSITIVE FOR FOOD INSECURITYMUCH HIGHER THAN THE GENERAL POPULATION LEVEL OF SIX PERCENT. TWENTY-ONE PERCENT OF THE TOTAL REFERRALS WERE FOR A PHYSICIAN; 11 PERCENT OF THE DIRECT REFERRALS WERE FOR FOOD RESOURCES AND 27 PERCENT OF THE REFERRALS WERE FOR HEALTH INSURANCE SUPPORT. FINANCIAL AND LEADERSHIP SUPPORT OF LAKE COUNTY HEALTH DEPARTMENT. THE MEDICAL CENTER ACTIVELY WORKS TO IMPROVE COMMUNITY HEALTH WITH ITS FINANCIAL AND LEADERSHIP SUPPORT OF THE LAKE COUNTY HEALTH DEPARTMENT'S STRATEGIC PLANNING PROCESS. THE ADVOCATE REGIONAL DIRECTOR OF COMMUNITY HEALTH SERVES ON THE HEALTH DEPARTMENT'S STRATEGIC PLAN STEERING COMMITTEE. THE MEDICAL CENTER ALSO WORKS WITH THE LAKE COUNTY HEALTH DEPARTMENT TOBACCO FREE LAKE COUNTY PROGRAM, THE WOMEN'S HEALTH PROGRAM AND WIC PROGRAM. MEDICAL CENTER REPRESENTATIVES ALSO SERVE ON THE LAKE COUNTY OPIOID INITIATIVE TASK FORCE, THE LAKE COUNTY COMMUNITY FOUNDATION BOARD, THE ERIE FAMILY HEALTH CENTER ADVISORY COMMITTEE AND WORKS CLOSELY WITH THE ANTIOCH AREA HEALTHCARE ACCESSIBILITY ALLIANCE. THE COMMUNITY HEALTH COORDINATOR SERVES AS CO-CHAIR FOR THE LIVE WELL LAKE COUNTY DIABETES ACTION TEAM, LEVERAGING RESOURCES AND DEPLOYING DIABETES PROGRAMS IN COMMUNITIES OF HIGH RISK. WOMEN, INFANT AND CHILDRENS' (WIC) SUPPORT/PROMOTION. ADVOCATE CONDELL IS CONTINUING TO WORK WITH THE LAKE COUNTY SUPPLEMENTAL NUTRITION EDUCATION FOR WOMEN, INFANTS AND CHILDREN (WIC) PROGRAM THROUGH THE LOOK WHAT WE CAN DO GROUP. WIC ATTENDS THE GROUP'S SESSIONS AT ADVOCATE CONDELL AND EDUCATES THE PARTICIPANTS ABOUT WIC SERVICES TO INCREASE WIC ENROLLMENT FOR CLIENTS WHO QUALIFY. 2. ACCESS/BEHAVIORAL HEALTH SERVICES. ADVOCATE ILLINOIS MASONIC HAS ALSO IMPLEMENTED SEVERAL PROGRAMS FOCUSED ON IMPROVING THE CONTINUUM OF CARE FOR THE BENEFIT OF MENTAL HEALTH AND BEHAVIORAL HEALTH PATIENTS. WARM HANDOFF PROGRAM. IN 2019, ADVOCATE CONDELL CONTINUED ITS COLLABORATION WITH GATEWAY FOUNDATION FOR THE IMPLEMENTATION OF THE WARM HANDOFF PROGRAM IN THE EMERGENCY DEPARTMENT (ED). A GATEWAY FOUNDATION PATIENT ENGAGEMENT SPECIALIST MEETS WITH PATIENTS IN THE ADVOCATE CONDELL ED WHO HAVE SUBSTANCE USE DISORDER OR OPIOID USE DISORDER AND ASSISTS THEM IN NAVIGATING TO SUBSTANCE USE TREATMENT. IN 2019, THE PROGRAM SERVED 160 INDIVIDUALS; 94 PERCENT OF THE INDIVIDUALS ASSESSED IN THE ED BY THE GATEWAY ENGAGEMENT SPECIALIST WERE REFERRED FOR TREATMENT. SEVENTY PERCENT OF THOSE REFERRED FOR TREATMENT KEPT THEIR APPOINTMENT AND 30 PERCENT DID NOT. THE DIRECTOR OF COMMUNITY HEALTH SITS ON THE LAKE COUNTY OPIOID INITIATIVE TASK FORCE, A COALITION OF AGENCIES WHICH FOCUSES ON PREVENTION OF SUBSTANCE USE AND PROVIDING ACCESS TO SUBSTANCE USE TREATMENT. MENTAL HEALTH FIRST AID (MHFA) TRAINING. THE MEDICAL CENTER CONTINUED TO OFFER MHFA TRAINING IN 2019. MHFA IS AN EVIDENCE-BASED PROGRAM DESIGNED TO INCREASE PARTICIPANTS' KNOWLEDGE OF SIGNS, SYMPTOMS AND RISK FACTORS OF MENTAL ILLNESSES AND ADDICTIONS, AND INCREASE THEIR CONFIDENCE IN AND LIKELIHOOD TO HELP AN INDIVIDUAL IN DISTRESS. THE YOUTH MHFA TRAINING WAS PROVIDED TO GRAYSLAKE MIDDLE SCHOOL STAFF WITH 21 PARTICIPANTS. AS MEASURED THROUGH THE PRE- AND POST-TESTS, 42 PERCENT OF PARTICIPANTS DEMONSTRATED AN INCREASE IN THEIR ABILITY TO RECOGNIZE AND CORRECT MISCONCEPTIONS ABOUT MENTAL HEALTH ILLNESS IN YOUTH. FIFTY-ONE PERCENT SHOWED AN INCREASE IN THEIR ABILITY TO RECOGNIZE SOMEONE AT RISK FOR SUICIDE; 33 PERCENT HAD AN INCREASE IN THEIR ABILITY TO INTERVENE WITH THOSE AT RISK FOR SUICIDE; 26 PERCENT SHOWED AN INCREASE IN THEIR ABILITY TO REFER INDIVIDUALS; AND PARTICIPANTS SHOWED A 35 PERCENT INCREASE IN CONFIDENCE TO DE-ESCALATE A SITUATION INVOLVING SOMEONE HAVING A MENTAL HEALTH CRISIS. ADDITIONALLY, 12 STAFF MEMBERS FROM SCHOOL DISTRICT 214 HIGH SCHOOL WERE TRAINED; A 46 PERCENT INCREASE IN KNOWLEDGE WAS REPORTED IN THE PRE- AND POST-EVALUATIONS. ADVOCATE CONDELL MEDICAL CENTER ALSO SPONSORED TWO SPANISH-SPEAKING INDIVIDUALS WHO WERE ADULT MENTAL HEALTH FIRST AID TRAINERS TO COMPLETE ADDITIONAL TRAINING TO BECOME CERTIFIED YOUTH MHFA TRAINERS IN LAKE COUNTY. IN 2019, THE DIRECTOR OF COMMUNITY HEALTH CONTINUED TO SERVE ON THE LAKE COUNTY HEALTH DEPARTMENT (LCHD) COUNTY-WIDE MHFA TASK FORCE, ASSISTING TO DEVELOP AND IMPLEMENT THE STRATEGY FOR TRAINING 90 INDIVIDUALS TO BECOME MHFA INSTRUCTORS. THE INSTRUCTOR TRAINING WAS FUNDED BY A THREE-YEAR GRANT TO THE LAKE COUNTY HEALTH DEPARTMENT FROM THE SUBSTANCE ABUSE AND MENTAL HEALTH SERVICES ADMINISTRATION (SAMHSA). ALL CLASS PARTICIPANTS IN MHFA CLASSES SPONSORED BY ADVOCATE CONDELL ARE REPORTED TO THE MHFA TASK FORCE, SO THAT THE TOTAL IMPACT OF MHFA CAN BE TRACKED AND REPORTED COLLECTIVELY. DEPRESSION SCREENING IN THE ED. ADDITIONAL INITIATIVES ARE BEING IMPLEMENTED TO ADDRESS MENTAL HEALTH. THE MEDICAL CENTER HAS INITIATED DEPRESSION SCREENING IN THE EMERGENCY ROOM USING THE PHQ9 DEPRESSION SCREENING TOOL. COMMUNITY HEALTH STAFF ARE ALSO WORKING TO STREAMLINE THE PROCESS OF REFERRALS FROM THE MEDICAL CENTER TO COMMUNITY-BASED MENTAL HEALTH PROVIDERS. 3. WORKFORCE DEVELOPMENT. BELIEVING THAT MANY COMMUNITY HEALTH ISSUES ARE DRIVEN BY SOCIAL DETERMINANTS OF HEALTH, THE MEDICAL CENTER HAS FORMED NON-TRADITIONAL PARTNERSHIPS WITH KEY STAKEHOLDERS, SUCH AS EMPLOYMENT AGENCIES, TO PROVIDE MEDICAL EDUCATION EMPLOYMENT OPPORTUNITIES TO LOW-INCOME AND/OR MINORITY INDIVIDUALS. ALSO, IN ADDITION TO THE GRADUATE MEDICAL EDUCATION DESCRIBED IN 4.C, THE MEDICAL CENTER ALSO PROMOTES THE TRAINING OF FUTURE HEALTH CARE PROFESSIONALS WORKING TOWARDS DEGREES IN MANY OTHER DISCIPLINES. SEVERAL EXAMPLES OF THESE EDUCATION PROGRAMS ARE PROVIDED BELOW. TRAINING OF NURSES AND OTHER HEALTH PROFESSIONALS. ADVOCATE CONDELL DEVOTES RESOURCES TO TRAINING STUDENT NURSES FROM CHAMBERLAIN, DEPAUL, GEORGETOWN, INDIANA STATE, NORTHERN MICHIGAN, OLIVET NAZARENE, LOYOLA AND RUSH UNIVERSITIES, AS WELL AS OAKTON COMMUNITY COLLEGE AND THE COLLEGE OF LAKE COUNTY. IN 2019, THE MEDICAL CENTER PROVIDED TRAINING IN A CLINICAL ENVIRONMENT TO 293 NURSING STUDENTS AT A COST OF OVER $1.7M IN STAFF TIME DEVOTED TO THIS ENDEAVOR. THE MEDICAL CENTER ALSO TRAINS STUDENTS IN PHYSICAL, OCCUPATIONAL AND SPEECH THERAPY. EMERGENCY MEDICAL SERVICES EDUCATION. AS MORE EXTENSIVELY DESCRIBED UNDER 4. COMMUNITY SAFETY, ADVOCATE CONDELL IS A RESOURCE HOSPITAL FOR THE ILLINOIS EMERGENCY MANAGEMENT SERVICES REGION 10. AS PART OF ADVOCATE CONDELL'S COMMITMENT TO SERVING IN THIS CAPACITY, THE MEDICAL CENTER OFFERS EDUCATIONAL TRAINING COURSES TO PREPARE INDIVIDUALS TO EARN EMERGENCY MEDICAL TECHNICIAN (EMT) AND EMERGENCY COMMUNICATIONS REGISTERED NURSE (ECRN) CERTIFICATION. IN 2019, THE MEDICAL CENTER PROVIDED TRAINING TO 510 INDIVIDUALS. CLINICAL PASTORAL EDUCATION (CPE). AS AN AAH HOSPITAL, ADVOCATE CONDELL SPIRITUAL LEADERS OVERSEE A NATIONALLY ACCREDITED CPE PROGRAM THAT WHEN COMBINED WITH THE THAT OF THE OTHER AAH HOSPITALS, IS THE LARGEST IN THE COUNTRY. THE MEDICAL CENTER PROVIDES OPPORTUNITIES FOR SEMINARY STUDENTS, CHAPLAINS AND LOCAL FAITH LEADERS TO GROW AND DEVELOP SELF-AWARENESS AND SPIRITUAL CARE MINISTRY SKILLS. IN 2019, MEDICAL CENTER SPIRITUAL LEADERS TAUGHT 4 CPE STUDENTS.
PART III, LINE 4C	4. COMMUNITY SAFETY. THE MEDICAL CENTER ALSO WORKS WITH COMMUNITY PARTNERS TO ADDRESS COMMUNITY SAFETY-A SOCIAL DETERMINANT OF HEALTH. SOME EXAMPLES ARE PROVIDED BELOW. REGION 10 EMERGENCY MEDICAL SERVICES. THE MEDICAL CENTER IS A RESOURCE HOSPITAL FOR ILLINOIS EMERGENCY MANAGEMENT SERVICES (EMS) REGION 10, WHICH REQUIRES ADVOCATE CONDELL TO COORDINATE THE REGION'S ONGOING TRAINING IN EMERGENCY RESPONSE TO A MASS CASUALTY SITUATION OR OTHER DISASTER. THESE EDUCATION PROGRAMS AND TRAINING EXERCISES INVOLVE EVERY EMERGENCY PROVIDER IN THE REGION AS WELL AS THE LAKE COUNTY HEALTH DEPARTMENT AND OTHER REGIONAL ORGANIZATIONS AS APPROPRIATE. ADVOCATE CONDELL COLLABORATES WITH EMERGENCY MEDICAL SERVICE PROVIDERS TO SHARE BEST-PRACTICE INFORMATION THROUGHOUT ILLINOIS DEPARTMENT OF PUBLIC HEALTH (IDPH) DESIGNATED REGION 10. IN ADDITION, AS MENTIONED UNDER STRATEGY 3, THE MEDICAL CENTER OFFERS EDUCATIONAL TRAINING COURSES TO PREPARE INDIVIDUALS TO EARN EMERGENCY MEDICAL TECHNICIAN (EMT) AND EMERGENCY COMMUNICATIONS REGISTERED NURSE (ECRN) CERTIFICATION. SEXUAL ASSAULT NURSE EXAMINER (SANE) PROGRAM. ADVOCATE CONDELL'S SANE PROGRAM OPENED IN 2011 AND REMAINS THE ONLY LAKE COUNTY PROGRAM WITH CERTIFIED SEXUAL ASSAULT NURSE EXAMINERS AVAILABLE 24 HOURS A DAY, 7 DAYS A WEEK. THESE HIGHLY TRAINED PRACTITIONERS NOT ONLY PROVIDE COMPASSIONATE CARE TO VICTIMS, BUT ARE ALSO ABLE TO COLLECT FORENSIC EVIDENCE, COUNSEL THE VICTIM AND TESTIFY IN COURT-ASSISTING THE VICTIM THROUGH THE ENTIRE PROCESS. IN ADDITION, THE SANE PROGRAM COORDINATOR WORKS CLOSELY WITH LOCAL ADVOCATES, LAW ENFORCEMENT AND PROSECUTORS TO ASSURE VICTIMS OF SEXUAL ASSAULT IN LAKE COUNTY RECEIVE THE BEST CARE POSSIBLE. IN 2019, THE MEDICAL CENTER'S SANE TEAM TRAINED OVER 200 PROFESSIONALS ON SEXUAL ASSAULT, THE IMPORTANCE OF A SANE NURSE, HOW TO USE MEDICAL EVIDENCE TO PROSECUTE A CASE AND HOW TO TALK TO VICTIMS. IN 2019, THE ADVOCATE CONDELL HIGHLY SKILLED SANE TEAM TREATED 95 VICTIMS OF SEXUAL VIOLENCE, 24 OF THOSE VICTIMS WERE PEDIATRIC SEXUAL ASSULT PATIENTS (<13 YEARS). ADDITIONALLY, SANE STAFF DEVOTED 384 HOURS WORKING WITH PROSECUTION ATTORNEYS AND ATTENDING HEARINGS TO TESTIFY ON BEHALF OF VICTIMS OF SEXUAL ASSAULT IN 2019. FRIENDS AND FAMILY CARDIOPULMONARY RESUSCITATION (CPR) CLASSES. ADVOCATE CONDELL STAFF ALSO TEACH COMMUNITY MEMBERS HOW TO RESPOND TO A LIFE TREATENING EMERGENCY THROUGH ITS FRIENDS AND FAMILY CPR CLASSES. FRIENDS AND FAMILY CPR ALLOWS INDIVIDUALS THAT WILL BE CARING FOR A NEWBORN OR CHILD TO LEARN INITIAL STEPS TO A LIFE SAVING EMERGENCY. AS AN EMERGENCY LIFESAVING PROCEDURE PERFORMED WHEN THE HEART STOPS BEATING, IMMEDIATE PERFORMANCE OF CPR CAN DOUBLE OR TRIPLE CHANCES OF SURVIVAL AFTER CARDIAC ARREST. ACCORDING TO 2014 DATA, NEARLY 45 PERCENT OF OUT-OF-HOSPITAL CARDIAC ARREST VICTIMS SURVIVED WHEN BYSTANDER CPR WAS ADMINISTERED. IN 2019, ADVOCATE CONDELL OFFERED THIS EDUCATION TO 97 INDIVIDUALS IN THE 10 CLASSES HELD DURING THE YEAR. 5. HOUSING. DATA INDICATES THAT POOR QUALITY HOUSING IS ASSOCIATED WITH VARIOUS NEGATIVE HEALTH COUTCOMES, INCLUDING CHRONIC DISEASE AND INJURY, AND POOR MENTAL HEALTH. ADVOCATE ILLINOIS MASONIC IS WORKING WITH COMMUNITY PARTNERS TO ADDRESS HOUSING WITH THE GOAL OF PROVIDING A SAFE AND HEALTHY PLACE TO LIVE AND TO CONVALESCE. THIS SUPPORTS THE AAH SYSTEMWIDE GOAL TO DECREASE THE NUMBER OF ED PATIENTS WHO ARE SCREENED POSITIVE FOR HOMELESSNESS BY 5% BY 2025. THE FOLLOWING IS AN EXAMPLE OF THE MEDICAL CENTER'S EFFORTS TO ADDRESS THIS SDOH. MERCY HOUSING PARTNERSHIP BOARD. THE DIRECTOR OF COMMUNITY HEALTH SERVES ON THE LAKE COUNTY PARTNERSHIP BOARD FOR MERCY HOUSING LAKEFRONT, WHICH IS A GROUP OF COMMUNITY STAKEHOLDERS WHO ADVISE MERCY HOUSING ON STRATEGY TO DEVELOP AFFORDABLE HOUSING IN LAKE COUNTY. AT THIS TIME, NO NEW MERCY HOUSING AFFORDABLE HOUSING DEVELOPMENTS ARE IN PROCESS. 6. FOOD SECURITY. ACCESS TO FRESH, AFFORDABLE FOOD IS A KEY INGREDIENT IN THE RECIPE TO ADDRESS SOCIAL DETERMINANTS OF HEALTHAND IN KEEPING THE COMMUNITY HEALTHY. ADVOCATE CONDELL IS INVOLVED WITH MULTIPLE LOCAL COMMUNITY PARTNERS TO DEVELOP SUSTAINABLE FOOD INITIATIVES TO ADDRESS FOOD INSECURITY. EXAMPLES OF THESE INITIATIVES ARE PROVIDED BELOW. RX MOBILE PANTRY. ADVOCATE CONDELL LAUNCHED A RX MOBILE PANTRY TO SERVE FOOD INSECURE (FI) RESIDENTS OF THE ROUND LAKE AREA. THE PROGRAM GREW FROM THE MEDICAL CENTER'S COMMUNITY HEALTH EFFORTS IN SCREENING AND REFERRAL FOR FOOD INSECURITY. IN 2018, A TOTAL OF 733 INDIVIDUALS WERE SCREENED FOR FOOD INSECURITY BY COMMUNITY AGENCIES AND ADVOCATE CONDELL. BASED ON THE SCREENING RESULTS OF THIS ONE YEAR, FOOD INSECURITY RATES RANGED FROM MORE THAN FIVE TO NINE TIMES THE RATE FOR THE GENERAL LAKE COUNTY POPULATION. AFTER SEVERAL MONTHS OF PLANNING ADVOCATE CONDELL LAUNCHED THE RX MOBILE FOOD PANTRY IN JULY 2019 WITH FOUR COLLABORATING AGENCIES SERVING THE ROUND LAKE AREA AND THE NORTHERN ILLINOIS FOOD BANK. THE RX MOBILE PANTRY IS BASED AT THE ROUND LAKE PUBLIC LIBRARY TWO TIMES PER MONTH. THE SCREENING AGENCIES ALSO RECEIVE ASSIGNED VOUCHERS FROM THE ADVOCATE CONDELL COMMUNITY HEALTH COORDINATOR, WHO SERVES AS THE PROJECT MANAGER. THE VOUCHERS ARE PROVIDED TO CLIENTS VISITING THE PARTNER AGENCIES WHO SCREEN POSITIVE FOR FOOD INSECURITY. FROM JULY THROUGH DECEMBER 2019, THE RX MOBILE PANTRY SERVED 1,626 INDIVIDUALS AND 5,009 HOUSEHOLD MEMBERS. SCREENING FOR FOOD INSECURITY. FOR OBESITY PREVENTION, THE MEDICAL CENTER'S COMMUNITY HEALTH STAFF ARE IMPLEMENTING TWO EVIDENCE-BASED INITIATIVES IN THE COMMUNITY NUTRITION AND PHYSICAL ACTIVITIY SELF-ASSESSMENT FOR CHILD CARE (NAP SACC) AND FOOD INSECURITY SCREENING USING THE HUNGER VITAL SIGN SCREENING TOOL. ADDITIONALLY, THE MEDICAL CENTER IS WORKING WITH AREA PARTNERS TO INITIATE WALKING INITIATIVES IN TARGETED COMMUNITIES IDENTIFIED WITH HIGHER RATES OF OBESITY, DIABETES AND CARDIOVASCULAR DISEASE.
FORM 990, PART VI, SECTION A, LINE 1	BOARD DELEGATING POWERS TO EXECUTIVE COMMITTEE THE ORGANIZATION'S BYLAWS PROVIDE THAT THE EXECUTIVE COMMITTEE HAS AUTHORITY TO ACT ON BEHALF OF THE BOARD. THE EXECUTIVE COMMITTEE HAS THE SAME COMPOSITION AND MEMBERS AS THE EXECUTIVE COMMITTEE OF THE CORPORATE MEMBER. THE CORPORATE MEMBER'S EXECUTIVE COMMITTEE HAS NINE MEMBERS, CONSISTING OF THE CHAIRPERSON, THE VICE CHAIRPERSON, THE PRESIDENT, THE CHAIRPERSONS OF THE FINANCE, PLANNING, HEALTH OUTCOMES AND MISSION AND SPIRITUAL CARE COMMITTEES, AND TWO OTHER DIRECTORS. THE PAST CHAIRPERSON OF THE BOARD OF DIRECTORS MAY SERVE AS AN EX-OFFICIO MEMBER OF THE COMMITTEE, WITH VOTE. EACH OF THE EXECUTIVE COMMITTEE'S MEMBERS IS ON THE BOARD. THE SCOPE OF THE EXECUTIVE COMMITTEE'S AUTHORITY INCLUDES: BE RESPONSIBLE FOR PLANNING EDUCATIONAL PROGRAMS FOR THE BOARD OF DIRECTORS; CONDUCT AN EVALUATION OF THE MEMBERS OF THE BOARD OF DIRECTORS; HAVE SUCH AUTHORITY AS SHALL BE DELEGATED BY THE BOARD OF DIRECTORS; AND ACT ON BEHALF OF THE BOARD OF DIRECTORS BETWEEN MEETINGS. THE EXECUTIVE COMMITTEE IS ACCOUNTABLE AS A BODY TO THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 2	OFFICER BUSINESS RELATIONSHIP AS DR. JAMES DAN, DR. VINCENT BUFALINO, GAIL HASBROUCK, EARL BARNES II, JAMES DOHENY, AND DOMINIC NAKIS ARE EITHER DIRECTORS OR OFFICERS OF WHOLLY OWNED ADVOCATE ENTITIES, THEY ARE DEEMED TO HAVE A BUSINESS RELATIONSHIP PURSUANT TO THE INSTRUCTIONS FOR FORM 990. AS DR. JAMES DAN, DR. VINCENT BUFALINO, GAIL HASBROUCK, EARL BARNES II, JAMES DOHENY, AND SCOTT POWDER ARE EITHER DIRECTORS OR OFFICERS OF WHOLLY OWNED ADVOCATE ENTITIES, THEY ARE DEEMED TO HAVE A BUSINESS RELATIONSHIP PURSUANT TO THE INSTRUCTIONS FOR FORM 990. AS DR. JAMES DAN, DR. VINCENT BUFALINO, GAIL HASBROUCK, EARL BARNES II, JAMES DOHENY, SCOTT POWDER, AND WILLIAM SANTULLI ARE EITHER DIRECTORS OR OFFICERS OF WHOLLY OWNED ADVOCATE ENTITIES, THEY ARE DEEMED TO HAVE A BUSINESS RELATIONSHIP PURSUANT TO THE INSTRUCTIONS FOR FORM 990.
FORM 990, PART VI, SECTION A, LINE 6	DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERS BY-LAWS PROVIDE FOR CORPORATE MEMBERS.
FORM 990, PART VI, SECTION A, LINE 7A	DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS THE NOT FOR PROFIT CORPORATIONS OF ADVOCATE HEALTH CARE, WITH THE EXCEPTION OF ADVOCATE HEALTH CARE NETWORK, HAVE CORPORATE MEMBERS WHO ELECT DIRECTORS. ADVOCATE HEALTH CARE NETWORK DOES NOT HAVE ANY MEMBERS, THEREFORE, THE AHCN BOARD ELECTS ITS DIRECTORS. THE FOR-PROFIT ORGANIZATIONS HAVE A SOLE SHAREHOLDER WHO ELECTS 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 I 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	DESCRIPTION OF PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST THE ORGANIZATION'S CONFLICT OF INTEREST POLICY APPLIES TO VARIOUS PEOPLE, INCLUDING MEMBERS OF ADVOCATE'S BOARD OF DIRECTORS, GOVERNING COUNCILS, OFFICERS, ASSOCIATES, VOLUNTEERS, AND MEDICAL STAFF MEMBERS WITH ADMINISTRATIVE RESPONSIBILITIES. ANNUALLY, THE COMPLIANCE DEPARTMENT SENDS THIS POLICY AND THE ADVOCATE CODE OF BUSINESS CONDUCT TO A RANGE OF INDIVIDUALS WHO MAY BE IN A POSITION TO EXERCISE SUBSTANTIAL INTEREST OVER A PARTICULAR MATTER (DEFINED AS "INTERESTED PERSONS"). THEY ARE REQUIRED TO READ THE POLICIES AND PROVIDE A DISCLOSURE STATEMENT TO THE COMPLIANCE DEPARTMENT, WHICH IDENTIFIES ACTIVITIES AND RELATIONSHIPS THAT COULD POTENTIALLY GIVE RISE TO A CONFLICT OF INTEREST. THE CHIEF COMPLIANCE OFFICER REVIEWS THE DISCLOSURES AND PROVIDES A REPORT TO THE SYSTEM BUSINESS CONDUCT (COMPLIANCE) COMMITTEE, EXECUTIVE MANAGEMENT TEAM AND THE AUDIT COMMITTEE OF THE BOARD FOR REVIEW. THE REPORT IS THEN PROVIDED, IN RELEVANT PART, TO THE SITE CHIEF EXECUTIVE OFFICERS. POTENTIAL CONFLICTS ARE REVIEWED BY THE COMPLIANCE DEPARTMENT ON A CASE BY CASE BASIS. FOLLOW UP PROCEDURES CONDUCTED ARE UNIQUE TO THE GIVEN CIRCUMSTANCE, AND MAY INCLUDE REVIEWING THE POTENTIAL CONFLICT WITH THE INTERESTED PERSON, OR INVESTIGATING THE MATTER IN CONSULTATION WITH THE INTERESTED PERSON'S SUPERVISOR AND/OR SITE MANAGEMENT. IN CIRCUMSTANCES WHERE THE INTERESTED PERSON IS NOT A MEMBER OF THE BOARD, OR GOVERNING COUNCIL, OR A COMMITTEE THEREOF, OR A PERSON OF INTEREST, IF IT IS DETERMINED THAT THERE IS AN ACTUAL CONFLICT OF INTEREST, THE SUPERVISOR OF THE INDIVIDUAL IS RESPONSIBLE FOR MAKING AN APPROPRIATE RESPONSE, POTENTIALLY INCLUDING A RESTRICTION OF THE INDIVIDUAL'S JOB DUTIES WITH RESPECT TO THE MATTER GIVING RISE TO THE CONFLICT.
FORM 990, PART VI, SECTION B, LINE 15	OFFICES & POSITIONS FOR WHICH PROCESS WAS USED, & YEAR PROCESS WAS BEGUN EXECUTIVE COMPENSATION AT THE ADVOCATE HEALTH CARE NETWORK AND SUBSIDIARIES IS BASED ON A BOARD OF DIRECTORS' APPROVED STRATEGY THAT GUIDES THE CORPORATION IN ESTABLISHING COMPENSATION OPPORTUNITIES FOR EXECUTIVES, MANAGERS, PROFESSIONALS, AND ALL EMPLOYEES. IN THIS STRATEGY, SPECIFIC MARKET COMPARISONS ARE IDENTIFIED AND THE DESIRED LEVEL OF COMPETITIVENESS IN THOSE MARKETS SPECIFIED. IN ADDITION, THE LINKAGE OF EXECUTIVE PAY TO PERFORMANCE IS ARTICULATED AND HOW THIS RELATIONSHIP IS TO BE MAINTAINED IS OUTLINED. TO SUPPORT AND IMPLEMENT THE COMPENSATION STRATEGY, FIVE BASIC ELEMENTS ARE UTILIZED. THESE ELEMENTS ARE: - A SOLID, RELIABLE AND TESTED JOB EVALUATION METHODOLOGY - ACCURATE, QUALITY AND RELEVANT COMPENSATION SURVEY INFORMATION - A CONSISTENT ANNUAL PROCESS FOR UPDATING THE COMPENSATION LEVELS - AN ACTIVE BOARD REVIEW PROCESS THAT ASSURES COMPLIANCE WITH THE COMPENSATION STRATEGY AND ON-GOING REVIEW OF THE PERFORMANCE OF THE ORGANIZATION, AND - ACTIVE, EXTERNAL REVIEW AND AUDITING OF COMPENSATION BY EXTERNAL INDEPENDENT CONSULTANTS.
FORM 990, PART VI, SECTION C, LINE 19	AVAIL OF GOV DOCS, CONFLICT OF INTEREST POLICY, & FIN STMTS TO GEN PUBLIC THE ORGANIZATION MAKES ITS FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC THROUGH THE FOLLOWING SITES: DACBOND.COM (DIGITAL ASSURANCE CERTIFICATION LLC) AND EMMA.MSRB.ORG (ELECTRONIC MUNICIPAL MARKET ACCESS). THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENT OR CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC.
FORM 990, PART XI, LINE 9:	FASB 158 ADJUSTMENT -2,584,021. CONTR TO ADVOCATE HEALTH & HOSPITALS CORPORATION

For Paperwork Reduction Act Notice, see the Instructions for Form 990 or 990-EZ.

Cat. No. 51056K

Schedule O (Form 990 or 990-EZ) 2019

Additional Data

Software ID:
Software Version:

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
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	12
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	10
5	Total number of individuals employed in calendar year 2019 (Part V, line 2a) ......	5	2,355
6	Total number of volunteers (estimate if necessary) .............	6	590
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	323,904
b	Net unrelated business taxable income from Form 990-T, line 39 .........	7b	290,514

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	319,189	534,638
9	Program service revenue (Part VIII, line 2g) .........	459,771,756	451,279,292
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	4,116,493	22,577,886
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	10,225,474	11,092,373
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	474,432,912	485,484,189
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	8,996	23,461
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)	141,353,643	145,358,301
16a	Professional fundraising fees (Part IX, column (A), line 11e) .....	0	0
b	Total fundraising expenses (Part IX, column (D), line 25) 0
17	Other expenses (Part IX, column (A), lines 11a–11d, 11f–24e)....	293,437,426	289,950,765
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	434,800,065	435,332,527
19	Revenue less expenses. Subtract line 18 from line 12.......	39,632,847	50,151,662
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	487,010,948	538,621,208
21	Total liabilities (Part X, line 26).............	97,957,758	102,000,377
22	Net assets or fund balances. Subtract line 21 from line 20.....	389,053,190	436,620,831

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	Signature of officer	Date

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4a	(Code: ) (Expenses $ 368,725,732 including grants of $ 23,461 ) (Revenue $ 445,136,487 )
	FINANCIAL ASSISTANCE (CHARITY CARE) AND TRAUMA CARE. PROVIDING INPATIENT AND OUTPATIENT HEALTH CARE SERVICES TO THE COMMUNITY REGARDLESS OF THE PATIENTS' ABILITY TO PAY.AS PART OF ADVOCATE CONDELL MEDICAL CENTER'S (ADVOCATE CONDELL) COMMUNITY HEALTH STRATEGY, THE MEDICAL CENTER IS COMMITTED TO PROMOTING INITIATIVES THAT ENAHANCE ACCESS TO HEALTH CARE FOR THE UNINSURED AND UNDERINSURED. AN EXAMPLE OF THIS IS THE PROVISION OF FINANCIAL ASSISTANCE. ADVOCATE CONDELL OFFERS A VERY GENEROUS FINANCIAL ASSISTANCE PROGRAM, REQUIRING NO PAYMENTS FROM THE PATIENTS MOST IN NEED, AND PROVIDING DISCOUNTS TO UNINSURED AND INSURED PATIENTS. FROM JANUARY 2019 TO MAY 2019, UNINSURED PATIENTS EARNING UP TO SIX TIMES THE FEDERAL POVERTY LEVEL (FPL), AND INSURED PATIENTS EARNING UP TO FOUR TIMES THE FPL WERE ELIGIBLE TO BE CONSIDERED FOR A FULL OR PARTIAL FINANCIAL ASSISTANCE DISCOUNT. AS OF JUNE 2019, PATIENTS EARNING UP TO SIX TIMES THE FPL, AND INSURED PATIENTS EARNING UP TO TWO AND HALF TIMES THE FPL MAY QUALIFY FOR A FULL OR PARTIAL FINANCIAL ASSISTANCE DISCOUNT. ADDITIONALLY, A CATASTROPHIC ASSISTANCE DISCOUNT WAS ADDED FOR UNINSURED AND INSURED PATIENTS WHOSE INCOMES EXCEED THE TRADITIONAL FINANCIAL ASSISTANCE INCOME GUIDELINES AND HAVE OUTSTANDING PATIENT BALANCES OF $25,000 OR MORE FOR A SINGLE DATE OF SERVICE OR SUM OF SEVERAL DATES OF SERVICE. THESE PATIENTS MAY QUALIFY TO RECEIVE A FINANCIAL ASSISTANCE DISCOUNT THAT REDUCES THEIR OUTSTANDING BALANCE TO 25% OF THEIR NET INCOME. FOR UNINSURED PATIENTS, ADVOCATE CONDELL WILL PRESUMPTIVELY PROVIDE FINANCIAL ASSISTANCE IF THE FINANCIAL STATUS HAS BEEN VERIFIED BY A THIRD PARTY. IN THESE CASES, THE PATIENT IS NOT REQUIRED TO SUBMIT A SEPARATE FINANCIAL ASSISTANCE APPLICATION. IF PRESUMPTIVE CRITERIA ARE NOT AVAILABLE FOR UNINSURED PATIENTS, FINANCIAL ASSISTANCE ELIGIBILITY IS AVAILABLE USING AN INCOME-BASED SCREENING. THE MEDICAL CENTER EXTENDS ITS INCOME-BASED FINANCIAL ASSISTANCE POLICY TO ITS INSURED PATIENTS AS WELL. BOTH UNINSURED AND INSURED REQUESTS ARE GIVEN CONSIDERATION BASED ON THE INDIVIDUAL'S EXTENUATING CIRCUMSTANCES. ADVOCATE AURORA HEALTH CONTINUES TO REVIEW AND REFINE ITS POLICY IN AN ONGOING EFFORT TO ENSURE THAT FINANCIAL ASSISTANCE IS AVAILABLE TO THOSE WHO NEED HELP AT ADVOCATE CONDELL AND ALL OTHER AAH HOSPITALS. THE MEDICAL CENTER MAINTAINS HIGHLY VISIBLE SIGNAGE AND BROCHURES IN MULTIPLE LANGUAGES TO INFORM PATIENTS OF THE AVAILABILITY OF FINANCIAL HELP AND FINANCIAL COUNSELORS. INFORMATION ABOUT THE FINANCIAL ASSISTANCE PROGRAM AND AN APPLICATION IS PROVIDED TO ALL UNINSURED PATIENTS DURING REGISTRATION AND IS MAILED TO THEM IN ADVANCE OF THE FIRST PATIENT BILLING. AFTER THAT, EACH UNINSURED PATIENT'S BILL INCLUDES SUMMARY INFORMATION REGARDING THE FINANCIAL ASSISTANCE PROGRAM. IN THE AREA OF TRAUMA CARE, ADVOCATE CONDELL PROVIDES EXPERT EMERGENCY CARE. THE MEDICAL CENTER'S LEVEL I TRAUMA CENTER, THE HIGHEST TRAUMA DESIGNATION IN ILLINOIS, CARES FOR THE MOST SERIOUSLY INJURED PEOPLE IN ITS SERVICE AREA. ADVOCATE CONDELL IS THE ONLY LEVEL I TRAUMA CENTER IN LAKE COUNTY. AS IS THE CASE WITH ALL ILLINOIS LEVEL I TRAUMA CENTERS, ADVOCATE CONDELL IS STAFFED BY ON-SITE, 24-HOUR-A-DAY TRAUMA SURGEONS, FEATURES 24-HOUR SURGICAL AND NONSURGICAL SERVICES, SUCH AS RADIOLOGY AND ANESTHESIA, AND CAN ACCOMMODATE HELICOPTER TRANSPORTS. IN 2019, THE MEDICAL CENTER HAD 1,948 TRAUMA VISITS.

4b	(Code: ) (Expenses $ 9,611,854 including grants of $ ) (Revenue $ 8,117,424 )
	HEALTH CARE SERVICES PROVIDED BY PHYSICIANS EMPLOYED BY THE ORGANIZATION. HEALTH CARE AND FITNESS SERVICES ARE PROVIDED BY PHYSICIANS, NURSES, CLINICIANS AND OTHER ASSOCIATES EMPLOYED BY AND AFFILIATED WITH ADVOCATE CONDELL. CLINICIANS PROVIDE CARE TO THE COMMUNITY FOR MINOR INJURIES AND ILLNESSES THROUGH ITS IMMEDIATE CARE CENTERS, REGARDLESS OF THE PATIENTS' ABILITY TO PAY. PHYSICIANS, NURSES AND OTHER CLINICIANS LEAD PRENATAL/CHILDBIRTH AND PARENTING EDUCATION CLASSES, DIABETES EDUCATION CLASSES, AS WELL AS SUPPORT GROUPS FOR DIABETES EDUCATION, HEART DISEASE, BREAST AND OTHER CANCERS, LACTATION/BREASTFEEDING, BEREAVEMENT/LOSS AND CAREGIVER SUPPORT. ADVOCATE CONDELL PARTNERS WITH THE LAKE COUNTY HEALTH DEPARTMENT TO PROVIDE IMAGING SERVICES TO QUALIFIED INDIVIDUALS AT RATES SIGNIFICANTLY BELOW COST. FITNESS AND WELLNESS CLASSES AND SERVICES ARE PROVIDED AT THE ADVOCATE CONDELL FITNESS CENTERS, WHICH PROVIDE INCOME-BASED SLIDING SCALE MEMBERSHIP RATES.

4c	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )
	DESCRIPTION OF ADVOCATE CONDELL. ADVOCATE HEALTH CARE BASED IN ILLINOIS AND AURORA HEALTH CARE BASED IN WISCONSIN MERGED TO BECOME ADVOCATE AURORA HEALTH IN APRIL 2018. HAVING SERVED THE COMMUNITY SINCE 1928, ADVOCATE CONDELL IS A 273-BED NON-PROFIT ACUTE CARE MEDICAL CENTER LOCATED IN LIBERTYVILLE, ILLINOIS, AND IS ONE OF THE 27 ACUTE CARE HOSPITALS IN THE ADVOCATE AURORA HEALTH SYSTEM. AS THE LARGEST HEALTH CARE PROVIDER IN LAKE COUNTY, THE MEDICAL CENTER PROVIDES A FULL SPECTRUM OF MEDICAL SERVICESFROM OBSTETRICS, RADIOLOGY SERVICES AND REHABILITATION TO OPEN HEART SURGERY, NEUROSURGERY AND ONCOLOGY.ADVOCATE CONDELL'S EMERGENCY DEPARTMENT PROVIDES LEVEL I TRAUMA CARE AND HAS THE CAPACITY TO ACCOMMODATE GROWING NUMBERS OF PATIENTS. IN 2019, THE MEDICAL CENTER PROVIDED 1,948 TRAUMA CARE VISITS OUT OF 57,422 EMERGENCY ROOM VISITS. THE MEDICAL CENTER ALSO OFFERS AN EMERGENCY DEPARTMENT APPROVED FOR PEDIATRICS (EDAP) AND IS ACCREDITED AS A PRIMARY STROKE CENTER. MORE THAN 620 PHYSICIANS AND 1,800 ASSOCIATES COMPRISE THE TEAM OF MEDICAL EXPERTS. NOTABLY, ADVOCATE CONDELL IS ONE OF EIGHT ADVOCATE HOSPITALS THAT HAVE EARNED MAGNET RECOGNITION FROM THE AMERICAN NURSE CREDENTIALING CENTER (ANCC). 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.IN ADDITION TO SERVICES LOCATED ON ITS LIBERTYVILLE CAMPUS, ADVOCATE CONDELL OPERATES THREE IMMEDIATE CARE CENTERS AND TWO FITNESS CENTERS THROUGHOUT LAKE COUNTY. ADVOCATE CONDELL ALSO OPERATES AN OUTPATIENT IMAGING CENTER AND IS IN A JOINT VENTURE AGREEMENT FOR AN AMBULATORY SURGERY CENTER. ADVOCATE CONDELL IS THE RESOURCE HOSPITAL FOR REGION 10 EMERGENCY MEDICAL SERVICES, WHICH DEMONSTRATES THE COMMITMENT TO EFFICIENTLY AND EFFECTIVELY MANAGE EMERGENCY SERVICES IN A DISASTER. THE MEDICAL CENTER ALSO PROVIDES COMMUNITY HEALTH DATA-DRIVEN HEALTH AND WELLNESS PROGRAMS, EVIDENCE-BASED STRATEGIES TO ADDRESS HEALTH ISSUES, AND COMMUNITY EDUCATION. AS AN ADVOCATE AURORA MEDICAL CENTER, ADVOCATE CONDELL SUPPORTS THE ORGANIZATION'S VISION OF "WE HELP PEOPLE LIVE WELL AND TO FULFILL ITS VALUE OF: EXCELLENCEWE ARE A TOP PERFORMER IN ALL THAT WE DO; COMPASSIONWE UNSELFISHLY CARE FOR OTHERS; AND RESPECTWE VALUE THE UNIQUE NEEDS AND PREFERENCES OF ALL PEOPLE. POPULATION SERVED. ADVOCATE CONDELL PROVIDES QUALITY HEALTH CARE TO INDIVIDUALS REGARDLESS OF RACE, RELIGION, CREED, NATIONAL ORIGIN, AGE OR ABILITY TO PAY. IN 2019, THE MEDICAL CENTER RECORDED 15,638 INPATIENT ADMISSIONS, 220,147 OUTPATIENT VISITS AND 1,113 DELIVERIES.COMMITMENT TO THE COMMUNITY. EVEN IN THE FACE OF LOW REIMBURSEMENTS, ADVOCATE CONDELL IS DEDICATED TO MAINTAINING A STRONG PRESENCE WITHIN ITS COMMUNITY AND CONTINUES TO MONITOR THESE EXPENDITURES TO MAKE CERTAIN THAT THE PROGRAMS AND SERVICES SUPPORTED ARE IN DIRECT RESPONSE TO COMMUNITY NEED. IN 2019, THE MEDICAL CENTER REPORTED OVER $24 MILLION IN COMMUNITY BENEFIT PROGRAMS AND SERVICES. THESE SERVICES ARE COMPRISED OF MANY COMMUNITY HEALTH PROGRAMS FOCUSED ON IMPROVING ACCESS TO CARE, ADDRESSING SPECIAL NEEDS AND IMPROVING OVERALL COMMUNITY HEALTH. PARTNERING TO ASSESS COMMUNITY NEEDS. ADVOCATE CONDELL COLLABORATED WITH THE LAKE COUNTY HEALTH DEPARTMENT IN THE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) COMPLETED IN 2019. IN PARTNERSHIP WITH THE MEDICAL CENTER, THE HEALTH DEPARTMENT CONDUCTED TWO ADDITIONAL SURVEYS OF UNDERSVERVED COMMUNITIES WITHIN THE ADVOCATE CONDELL SERVICE AREAGURNEE AND WESTERN LAKE COUNTY, ILLINOIS. THE MEDICAL CENTER USED THE RESULTS OF THE HEALTH DEPARTMENT'S EXTENSIVE COMMUNITY HEALTH ASSESSMENT, WHICH USED THE MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP) PROCESS, AND THE HEALTH DEPARTMENT COMMUNITY HEALTH IMPROVEMENT PLAN TO INFORM THE CHNA. STAFF FROM ADVOCATE CONDELL ARE ACTIVE MEMBERS OF THE LIVE WELL LAKE COUNTY INITIATIVE, FOCUSED ON IMPROVING THE OVERALL HEALTH OF LAKE COUNTY THROUGH STRATEGIES OUTLINED IN THE LAKE COUNTY HEALTH DEPARTMENT IMPROVEMENT PLAN (CHIP). AS OF 2019, ADVOCATE CONDELL CONTINUES TO WORK COLLABORATIVELY WITH THE HEALTH DEPARTMENT, PARTICIPATING IN ACTION TEAMS ADDRESSING OBESITY (NUTRITION AND PHYSICAL ACTIVITY ACTION TEAMS) AND CO- CHAIRING THE DIABETES ACTION TEAM. THE LIVE WELL LAKE COUNTY STEERING COMMITTEE MONITORS THE IMPACT OF THE FOCUSED HEALTH EQUITY WORK. THE FOCUS IS TO STRATEGICALLY ALIGN WITH LAKE COUNTY PARTNERS AND ADDRESS HEALTH DISPARITIES IN THE COMMUNTY. ADVOCATE CONDELL ALSO TAPS THE MEDICAL CENTER'S INTERNAL CLINICAL SERVICE LINE EXPERTISE TO ASSESS COMMUNITY NEEDS AND TO ASSIST IN GUIDING PROGRAM DEVELOPMENT. AS AN EXAMPLE, COMMUNITY HEALTH STAFF WORKING WITH THE ADVOCATE CONDELL CANCER COMMITTEE REVIEWED CHNA FINDINGS AND UP-TO-DATE DATA IN 2019. CHNA RESULTS SHOWED THAT THE COLORECTAL CANCER INCIDENCE RATE IS SHOWING A STATISTICALLY SIGNIFICANT DECREASE. HOWEVER, COLORECTAL SCREENING WAS IDENTIFIED AS A HEALTH ISSUE OF FOCUS BECAUSE THE DEATH RATE FROM COLORECTAL CANCER IN LAKE COUNTY IS HIGHER IN AFRICAN AMERICANS THAN THE GENERAL POPULATION. AS A STEP TO ADDRESS THIS ISSUE, ADVOCATE CONDELL HELD A BLACK EXPO IN 2019, WHICH INCLUDED EDUCATION ON COLORECTAL CANCER PREVENTION, ALONG WITH THE PROVISION OF COLORECTAL CANCER FIT KITS FECAL IMMUNOCHEMICAL TESTS. THE YEAR 2019 MARKED THE END OF A THREE YEAR CHNA CYCLE FOR ADVOCATE HOSPITALS IN ILLINOIS AND BY THE END OF THE YEAR, ADVOCATE CONDELL HAD COMPLETED A NEW, COMPREHENISIVE CHNA. THE MEDICAL CENTER IDENTIFIED OBESTIY AS A PRIORITY TO CONTINUE AND IDENTIFIED SUBSTANCE ABUSE AS A NEED TO ADDRESS THROUGH ITS 2020-2022 IMPLEMENTATION PLAN. COMMUNITY STRATEGY AND EXAMPLES OF PROGRAMS AND SERVICE ACCOMPLISHMENTS. AS A MEDICAL CENTER WITHIN THE ADVOCATE AURORA HEALTH SYSTEM, ADVOCATE CONDELL'S IMPLEMENTATION PLANS AND STRATEGIES ALIGN WITH THE AAH SYSTEM STRATEGY. THROUGH THIS COMMUNITY STRATEGY, THE MEDICAL CENTER WILL BUILD HEALTH EQUITY, ENSURE ACCESS AND IMPROVE HEALTH OUCOMES IN ITS COMMUNITY THROUGH EVIDENCE-INFORMED SERVICES AND INNOVATIVE PARTHERSHIPS BY ADDRESSING MEDICAL NEEDS AND SOCIAL DETERMINANTS OF HEALTH. BASED ON NEED AND EFFECT ON HEALTH EQUITY AS IDENTIFIED IN THE AAH HOSPITALS CHNA REPORTS AND ON INDUSTRY LITERATURE, THE FOLLOWING SIX FOCUS AREAS HAVE BEEN PRIORITIZED AND IS THE FOUNDATION ON WHICH THE HOSPITAL-SPECIFIC IMPLEMENATION PLANS ARE BUILT. THE FOCUS AREAS ARE: 1) ACCESS TO PRIMARY MEDICAL HOMES; 2) ACCESS TO BEHAVIORAL HEALTH SERVICES; 3) WORKFORCE DEVELOPMENT; 4) COMMUNITY SAFETY; 5) AFFORDABLE HOUSING; AND 6) WORKFORCE DEVELOPMENT. EACH STRATEGY FOCUS AREA AND EXAMPLES OF ADVOCATE CONDELL PROGRAMS AND ACTIVITIES ADDRESSING THAT STRATEGY ARE PROVIDED BELOW.1. ACCESS/PRIMARY MEDICAL HOMES. ADVOCATE CONDELL IS COMMITTED TO UNDERTAKING AND SUPPORTING INITIATIVES THAT ENHANCE ACCESS TO HEALTH CARE, INCLUDING NOT ONLY ITS FINANCIAL ASSISTANCE AS INDICATED EARLIER FOR ITEM 4.A, BUT ALSO CARE COORDINATION, LANGUAGE ASSISTANCE, CULTURALLY SENSITIVE PROVISION OF CARE, AND PREVENTION EDUCATION AND WELLNESS SERVICES ACROSS THE LIFESPAN AND WITHIN THE DIVERSE COMMUNITIES THE MEDICAL CENTER SERVES. SOME OF EXAMPLES OF SUCH PROGRAMS PROVIDED BY THE MEDICAL CENTER INCLUDE THE FOLLOWING.MEDICAL IMAGING SERVICES. THE MEDICAL CENTER PARTNERS WITH THE LAKE COUNTY HEALTH DEPARTMENT TO PROVIDE MEDICAL IMAGING (RADIOLOGY) SERVICES TO UNINSURED LAKE COUNTY HEALTH DEPARTMENT PATIENTS THROUGH ITS ILLINOIS BREAST AND CERVICAL CANCER PROGRAM (IBCCP). THE IBCCP HELPS PROVIDE FINANCIAL ASSISTANCE FOR MAMMOGRAMS AND DIAGNOSTIC SCREENINGS. THESE RADIOLOGY SERVICES, AS WELL AS WOMEN'S HEALTH AND OTHER SERVICES, ARE PROVIDED ON A HEAVILY DISCOUNTED, BELOW COST BASIS TO PATIENTS SERVED BY THE PUBLIC HEALTH DEPARTMENT. ADVOCATE CONDELL ALSO PARTNERS WITH THE LAKE COUNTY YWCA TO PROVIDE FREE AND DISCOUNTED BREAST SCREENINGS. THE PARTNERSHIP WITH THE YWCA OFFERS 300 FREE AND DISCOUNTED MAMMOGRAMS PER YEAR.

	(Code: ) (Expenses $ 11,924,082 including grants of $ ) (Revenue $ 7,753,921 )


4d	Other program services (Describe in Schedule O.)
	(Expenses $ 11,924,082 including grants of $ ) (Revenue $ 7,753,921 )
4e	Total program service expenses390,261,668

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	1,955,759	34,130,871	2,155,553

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	534,638
e	Government grants (contributions)		1e

f	All other contributions, gifts, grants, and similar amounts not included above		1f

g	Noncash contributions included in lines 1a - 1f:$		1g

h Total. Add lines 1a-1f.......		534,638

		Business Code
2a	MEDICARE/MEDICAID	622110	155,617,522	155,617,522
b	BLUE CROSS/MGD CARE	622110	121,513,530	121,513,530
c	PATIENT SVC REVENUE	622110	72,380,874	72,380,874
d	PHARMACY	446110	40,742,060	40,742,060
e	LABORATORY	621511	32,292,901	32,292,901
f	All other program service revenue.		28,732,405	28,408,501	323,904
g	Total. Add lines 2a–2f .....		451,279,292

3 Investment income (including dividends, interest, and othersimilar amounts) ......			22,704,299			22,704,299
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents		1,039,929	6a
b	Less: rental expenses		0	6b
c	Rental income or (loss)		1,039,929	6c
d	Net rental income or (loss).......			1,039,929			1,039,929
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory	42,024		7a
b	Less: cost or other basis and sales expenses	168,437		7b
c	Gain or (loss)	-126,413		7c
d	Net gain or (loss).........			-126,413			-126,413
8a	Gross income from fundraising events (not including $ of contributions reported on line 1c). See Part IV, line 18 ....
			8a
b	Less: direct expenses ...		8b
c	Net income or (loss) from fundraising events..
9a	Gross income from gaming activities. See Part IV, line 19 ...
			9a
b	Less: direct expenses ...		9b
c	Net income or (loss) from gaming activities..
10a	Gross sales of inventory, less returns and allowances ..
			10a
b	Less: cost of goods sold ..		10b
c	Net income or (loss) from sales of inventory..
Business Code			Miscellaneous Revenue
11a	FITNESS & WELLNESS CLU		713940	6,544,810	6,544,810
b	CHILD CARE		624410	1,944,633	1,944,633
c	CAFETERIA REVENUE		722514	1,219,726	1,219,726
d	All other revenue ....			343,275	343,275
e	Total. Add lines 11a–11d ......			10,052,444
12	Total revenue. See instructions.....			485,484,189	461,007,832	323,904	23,617,815

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	23,461	23,461
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, lines 15 and 16. .............
4	Benefits paid to or for members .......
5	Compensation of current officers, directors, trustees, and key employees ...........
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........
7	Other salaries and wages........	116,502,088	114,962,141	1,539,947
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	5,087,105	5,087,105
9	Other employee benefits .......	15,851,106	15,799,090	52,016
10	Payroll taxes ...........	7,918,002	7,846,087	71,915
11	Fees for services (non-employees):
a	Management ......
b	Legal .........
c	Accounting ...........	80,004		80,004
d	Lobbying ...........	42,130		42,130
e	Professional fundraising services. See Part IV, line 17
f	Investment management fees ......
g	Other (If line 11g amount exceeds 10% of line 25, column (A) amount, list line 11g expenses on Schedule O)	13,602,330		13,602,330
12	Advertising and promotion ....	21,840	11,583	10,257
13	Office expenses .......	1,854,845	1,732,435	122,410
14	Information technology ......	13,126,368	152,066	12,974,302
15	Royalties ..
16	Occupancy ...........	4,753,616	4,753,616
17	Travel ............	97,514	88,758	8,756
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	179,849	178,254	1,595
20	Interest ...........	2,069,734	2,069,734
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	20,670,505	20,430,006	240,499
23	Insurance ...	2,305,713	2,305,713
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	OTHER INTERCOMPANY	109,644,669	109,644,112	557
b	MEDICAL SUPPLIES	59,024,681	59,022,791	1,890
c	BAD DEBT	18,724,071	18,724,071
d	INCOME TAXES	75,391	75,391
e	All other expenses	43,677,505	27,355,254	16,322,251
25	Total functional expenses. Add lines 1 through 24e	435,332,527	390,261,668	45,070,859	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 if following SOP 98-2 (ASC 958-720).

1	Cash–non-interest-bearing ........			33,087,782	1	13,658,136
2	Savings and temporary cash investments .........				2
3	Pledges and grants receivable, net ......				3
4	Accounts receivable, net .............			44,087,852	4	46,531,616
5	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .......
					5
6	Loans and other receivables from other disqualified persons (as defined under section 4958(f)(1)), and persons described in section 4958(c)(3)(B) ...
					6
7	Notes and loans receivable, net ...........			11,166	7
8	Inventories for sale or use ............			4,931,866	8	6,223,524
9	Prepaid expenses and deferred charges ......			2,109,964	9	596,575
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	422,854,424
b	Less: accumulated depreciation	10b	162,084,609	260,932,726	10c	260,769,815
11	Investments—publicly traded securities .			131,897,887	11	201,924,514
12	Investments—other securities. See Part IV, line 11 .....				12
13	Investments—program-related. See Part IV, line 11 ..				13
14	Intangible assets ...............				14
15	Other assets. See Part IV, line 11 ...........			9,951,705	15	8,917,028
16	Total assets. Add lines 1 through 15 (must equal line 33)...			487,010,948	16	538,621,208

17	Accounts payable and accrued expenses .....	36,361,673	17	42,201,976
18	Grants payable ...		18
19	Deferred revenue .........	35,756	19	30,693
20	Tax-exempt bond liabilities .........		20
21	Escrow or custodial account liability. Complete Part IV of Schedule D		21
22	Loans and other payables to any current or former officer, director, trustee, key employee, creator or founder, substantial contributor, or 35% controlled entity or family member of any of these persons .........
			22
23	Secured mortgages and notes payable to unrelated third parties ..	26,338,770	23	24,810,519
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	35,221,559	25	34,957,189
26	Total liabilities. Add lines 17 through 25..	97,957,758	26	102,000,377

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	389,053,190	27	436,620,831
28	Net assets with donor restrictions ...........		28
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....		29
30	Paid-in or capital surplus, or land, building or equipment fund ...		30
31	Retained earnings, endowment, accumulated income, or other funds		31
32	Total net assets or fund balances ...........	389,053,190	32	436,620,831
33	Total liabilities and net assets/fund balances ........	487,010,948	33	538,621,208

(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?
(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	Yes	No
(1)ADVOCATE HEALTH 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 NORTH SIDE HEALTH NETWORK 3075 HIGHLAND PARKWAY STE 600 DOWNERS GROVE,IL60515 36-3166629	HEALTH CARE	IL	501(C)(3)	LINE 3	AHHC		No
(3)ADVOCATE HEALTH & HOSPITALS CORPORATION 3075 HIGHLAND PARKWAY STE 600 DOWNERS GROVE,IL60515 36-2169147	HEALTH CARE	IL	501(C)(3)	LINE 3	AHCN		No
(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		No
(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	AHSHN		No
(8)RAVENSWOOD HEALTH CARE FOUNDATION 3075 HIGHLAND PARKWAY STE 600 DOWNERS GROVE,IL60515 36-3196629	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

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(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?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No
(1) DMA SURGERY CENTER 2357 SEQUOIA DRIVE AURORA,IL60506 36-3890298	MEDICAL SERVICES	IL	N/A				No			No

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) ADVOCATE HEALTH & HOSPITALS CORP	A	64,424	COST
(2) ADVOCATE CHARITABLE FOUNDATION	C	534,639	COST
(3) ADVOCATE HEALTH & HOSPITALS CORP	K	246,932	COST
(4) ADVOCATE HEALTH & HOSPITALS CORP	L	54,367,622	COST
(5) ADVOCATE HEALTH & HOSPITALS CORP	M	1,251,210	COST
(6) ADVOCATE HEALTH & HOSPITALS CORP	P	26,643,502	COST
(7) ADVOCATE HEALTH & HOSPITALS CORP	Q	70,584,890	COST
(8) ADVOCATE HEALTH & HOSPITALS CORP	R	110,180	COST
(9) ADVOCATE HEALTH & HOSPITALS CORP	S	26,836,542	COST

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(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?
(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	Yes	No	(f) Share of total income	(g) Share of end-of-year assets	Yes	No	(i) Code V-UBI amount in box 20 of Schedule K-1 (Form 1065)	Yes	No