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) AZMEY MATARIEH...................................................................... DIRECTOR	1.00 ................. 55.00	X		0	732,636	28,461
(2) CRAIG LAMP...................................................................... DIRECTOR	1.00 .................	X		8,100	0	0
(3) JOHN CHAPMAN...................................................................... DIRECTOR	1.00 ................. 1.00	X		8,100	0	0
(4) JOSE TORRES...................................................................... DIRECTOR	1.00 .................	X		7,750	0	0
(5) JOY JENSEN...................................................................... DIRECTOR (NONVOTING)	1.00 .................	X		0	0	38
(6) KAREN LAMBERT...................................................................... INTERIM PRESIDENT, DIRECTOR (START 9/2019)	1.00 ................. 55.00	X	X	0	1,132,308	64,402
(7) KENNETH KOEHLER...................................................................... DIRECTOR	1.00 ................. 1.00	X		7,750	0	0
(8) LINDA DEERING DEAN...................................................................... PRESIDENT, DIRECTOR (END 9/2019)	55.00 ................. 1.00	X	X	1,692,033	0	34,145
(9) LINDA WALLACE...................................................................... ASSISTANT SECRETARY, DIRECTOR	1.00 .................	X	X	0	0	0
(10) NICOLE PAULK...................................................................... DIRECTOR	1.00 ................. 55.00	X		0	473,411	57,395
(11) PATRICK CRAWFORD...................................................................... DIRECTOR	1.00 ................. 1.00	X		8,100	0	0
(12) RACHEL BAER MD...................................................................... DIRECTOR	1.00 ................. 55.00	X		0	368,754	55,166
(13) RAVI DAMARAJU MD...................................................................... DIRECTOR	1.00 .................	X		7,750	0	0
(14) REV DR NATHANIEL EDMOND...................................................................... VICE CHAIRPERSON, DIRECTOR	1.00 ................. 4.00	X	X	10,100	8,000	0
(15) K RICHARD JAKLE...................................................................... DIRECTOR	1.00 ................. 4.00	X		8,100	111,333	0
(16) SCOTT RICHMOND...................................................................... DIRECTOR	1.00 .................	X		7,750	0	0
(17) SHARON JAKLE...................................................................... DIRECTOR	1.00 .................	X		8,100	0	0

(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)
(18) STAN NABRINSKY........................................................................ DIRECTOR	1.00 .......................	X				44,625	0	0
(19) TRACY ELLIS........................................................................ DIRECTOR	1.00 .......................	X				4,400	0	0
(20) WILLIAM HOFFER........................................................................ CHAIRPERSON, DIRECTOR	1.00 .......................	X	X			7,100	0	0
(21) RAJA CHATTERJI MD........................................................................ DIRECTOR	1.00 .......................55.00	X				0	417,427	59,536
(22) TERRY DUNNING........................................................................ DIRECTOR	1.00 .......................	X				0	0	0
(23) DOMINIC J NAKIS........................................................................ TREASURER	1.00 .......................55.00		X			0	2,542,698	53,130
(24) JAMES DOHENY........................................................................ ASSISTANT TREASURER	1.00 .......................55.00		X			0	575,517	54,577
(25) MICHAEL KERNS........................................................................ ASSISTANT SECRETARY	1.00 .......................55.00		X			0	490,282	60,284
(26) MIKE LAPPIN........................................................................ SECRETARY	1.00 .......................55.00		X			0	1,964,257	331,811
(27) MICHAEL GREBE........................................................................ ASSISTANT SECRETARY	1.00 .......................55.00		X			0	1,358,493	201,665
(28) SHELLY HART........................................................................ ASSISTANT SECRETARY	1.00 .......................55.00		X			0	702,837	132,786
(29) JAMES SLINKMAN........................................................................ ASSISTANT SECRETARY	1.00 .......................55.00		X			0	434,355	60,616
(30) STEVE HUSER........................................................................ ASSISTANT TREASURER	1.00 .......................55.00		X			0	437,105	85,462
(31) LESLIE LENZO........................................................................ ASSISTANT TREASURER	1.00 .......................55.00		X			0	875,800	45,201
(32) NAN NELSON........................................................................ ASSISTANT TREASURER	1.00 .......................55.00		X			0	1,072,348	167,410
(33) BRUCE HYMAN........................................................................ VP, CMO	55.00 .......................			X		502,149	0	45,077
(34) CHERI GOLL........................................................................ VP, CHIEF NURSING EXECUTIVE	55.00 .......................			X		291,367	0	50,057
(35) MARY MARTINI........................................................................ VP, OPERATIONS	55.00 .......................1.00			X		269,772	0	41,011
(36) MICHAEL ROSENBERG........................................................................ DIRECTOR MED EM & CLINICAL DECISION	55.00 .......................			X		328,298	0	23,644
(37) PATRICK UPLEGGER........................................................................ DIRECTOR PHARMACY	55.00 .......................			X		208,935	0	25,276
(38) MICHAEL SEIGLE MD........................................................................ FORMER DIRECTOR	0.00 .......................				X	18,500	0	0
(39) SUSAN CAMPBELL........................................................................ FORMER DIRECTOR	0.00 .......................				X	0	407,708	7,069
(40) WILLIAM P SANTULLI........................................................................ FORMER DIRECTOR	0.00 .......................				X	0	3,389,096	49,894
(41) DAMON HAVILL........................................................................ FORMER OFFICER	0.00 .......................				X	0	354,227	50,665
(42) EARL J BARNES II........................................................................ FORMER OFFICER	0.00 .......................				X	0	445,619	30,660
(43) JO AMICK........................................................................ FORMER OFFICER	0.00 .......................				X	0	225,032	26,387
(44) KEVIN FITCH........................................................................ FORMER OFFICER	0.00 .......................				X	0	326,754	45,243
(45) MARY KANE........................................................................ FORMER OFFICER	0.00 .......................				X	0	490,630	58,116
(46) MELISSA O'NEIL........................................................................ FORMER OFFICER	0.00 .......................				X	0	282,393	34,670
(47) PEG STONE........................................................................ FORMER OFFICER	0.00 .......................				X	0	219,781	21,920
(48) JOAN KANUTE........................................................................ FORMER HCE-DIRECTOR SERVICE EXCEL & POP HEALTH	0.00 .......................				X	182,853	0	25,450
(49) KARA AALFS........................................................................ FOREMER HCE-DIRECTOR PERIOP & CV SVCS	0.00 .......................				X	204,608	0	14,183
(50) PAUL DRAHOS........................................................................ FORMER HCE-MGR PHARMACY	0.00 .......................				X	184,080	0	27,438

(A) Name and business address	(B) Description of services	(C) Compensation
CUSTOM CONTRACTING LTD 21020 N RAND RD UNIT D LAKE ZURICH,IL60047	CONTRACTING SERVICES	1,838,335
WISE MORRISSEY KAVENY LLC 161 N CLARK ST SUITE 3250 CHICAGO,IL60601	LEGAL SERVICES	1,250,000
SUPERIOR HEALTH LINENS LLC 5005 S PACKARD AVENUE CUDAHY,WI53110	LAUNDRY SERVICES	1,104,327
A2CL SERVICES LLC 750 W VIRGINIA STREET MILWAUKEE,WI53234	MEDICAL SERVICES	949,865
VASCULAR AND INTERVENTIONAL PROF 911 N ELM STREET 128 HINSDALE,IL60521	MEDICAL SERVICES	856,419
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 40

- 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 SHERMAN HOSPITAL

Employer identification number

36-2167920

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 SHERMAN HOSPITAL

Employer identification number

36-2167920

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 SHERMAN HOSPITAL

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 SHERMAN HOSPITAL		Employer identification number 36-2167920

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 SHERMAN HOSPITAL			Employer identification number 36-2167920
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 SHERMAN HOSPITAL

Employer identification number

36-2167920

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

39,268

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

39,268

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 SHERMAN HOSPITAL IS A MEMBER OF THE AMERICAN HOSPITAL ASSOCIATION AND THE ILLINOIS HEALTH AND HOSPITAL ASSOCIATION. THESE ORGANIZATIONS, AS PART OF THEIR MISSIONS, ADVOCATE IN THE GENERAL ASSEMBLY AND 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 THIS ORGANIZATION IS ATTRIBUTABLE TO LOBBYING ACTIVITIES. THE HOSPITAL ALSO REIMBURSES ASSOCIATES FOR DUES AND EDUCATIONAL EXPENSES PAID TO VARIOUS PROFESSIONAL AND MEMBERSHIP ORGANIZATIONS. ADVOCATE SHERMAN HOSPITAL ENDEAVORS TO IDENTIFY THE PORTION OF THESE DUES OR FEES ATTRIBUTABLE TO LOBBYING ACTIVITIES.

Return Reference

Explanation

PART II-B, LINE 1:

SUPPLEMENTAL LOBBYING INFORMATION ADVOCATE SHERMAN HOSPITAL IS A MEMBER OF THE AMERICAN HOSPITAL ASSOCIATION AND THE ILLINOIS HEALTH AND HOSPITAL ASSOCIATION. THESE ORGANIZATIONS, AS PART OF THEIR MISSIONS, ADVOCATE IN THE GENERAL ASSEMBLY AND 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 THIS ORGANIZATION IS ATTRIBUTABLE TO LOBBYING ACTIVITIES. THE HOSPITAL ALSO REIMBURSES ASSOCIATES FOR DUES AND EDUCATIONAL EXPENSES PAID TO VARIOUS PROFESSIONAL AND MEMBERSHIP ORGANIZATIONS. ADVOCATE SHERMAN HOSPITAL ENDEAVORS TO IDENTIFY THE PORTION OF THESE DUES OR FEES 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 SHERMAN HOSPITAL

Employer identification number

36-2167920

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 .....	26,987,641		26,987,641
b	Buildings ....	260,187,682	66,202,238	193,985,444
c	Leasehold improvements	5,084,048	2,461,495	2,622,553
d	Equipment ....	94,350,675	59,461,064	34,889,611
e	Other .....	2,169,326		2,169,326
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				260,654,575

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
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	256,521,727
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 SHERMAN HOSPITAL

Employer identification number

36-2167920

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) . . .	9,881,012	9,887	9,871,125	2.380 %
b	Medicaid (from Worksheet 3, column a) . . . . .	60,874,296	46,008,864	14,865,432	3.590 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	70,755,308	46,018,751	24,736,557	5.970 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	1,369,535	0	1,369,535	0.330 %
f	Health professions education (from Worksheet 5) . . .	3,108,406	0	3,108,406	0.750 %
g	Subsidized health services (from Worksheet 6) . . . .	1,526,027	1,363,337	162,690	0.040 %
h	Research (from Worksheet 7) .
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	73,282	0	73,282	0.020 %
j	Total. Other Benefits . .	6,077,250	1,363,337	4,713,913	1.140 %
k	Total. Add lines 7d and 7j .	76,832,558	47,382,088	29,450,470	7.110 %

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. ......

17,115,928

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. ......

196,144

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).....

125,535,831

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

134,601,839

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

-9,066,008

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 %
11 ALGONQUIN ROAD SURGERY CENTER LLC	ANCILLARY SURGERY CENTER	26.000 %	0 %	49.000 %
22 ARSC RE HOLDINGS LLC	REAL ESTATE LEASING	50.000 %	0 %	0 %
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 SHERMAN HOSPITAL 1425 N RANDALL ROAD ELGIN,IL601232300 HTTP://WWW.ADVOCATEHEALTH.COM/HOPE/ 0005884	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 SHERMAN HOSPITAL
Name of hospital facility or letter of facility reporting group

Line number of hospital facility, or line numbers of hospital facilities in a facility
reporting group (from Part V, Section A):

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

Yes

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 SHERMAN HOSPITAL
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):

WWW.ADVOCATEHEALTH.COM/FINANCIALASSISTANCE

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

WWW.ADVOCATEHEALTH.COM/FINANCIALASSISTANCE

A plain language summary of the FAP was widely available on a website (list url):
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 SHERMAN HOSPITAL
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 SHERMAN HOSPITAL
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 SHERMAN HOSPITAL	PART V, SECTION B, LINE 5: ADVOCATE SHERMAN HOSPITAL (ADVOCATE SHERMAN) COLLABORATED WITH THE MCHENRY COUNTY AND KANE COUNTY HEALTH DEPARTMENTS TO CONDUCT A COMPREHENSIVE CHNA. ADVOCATE SHERMAN ALSO CONSULTED WITH A NUMBER OF ADDITIONAL PARTNER ORGANIZATIONS INCLUDING SEVERAL FEDERALLY QUALIFIED HEALTH CENTERS (GREATER ELGIN FAMILY CARE CENTER, VNA HEALTH CENTER, AUNT MARTHA'S), THE KANE COUNTY SUBSTANCE ABUSE COALITION, MCHENRY COUNTY SUBSTANCE ABUSE COALITION AND THE MENTAL HEALTH 708 INC BOARD. EACH OF THESE ORGANIZATIONS HAVE A FOCUS ON MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS. THE ADVOCATE SHERMAN COMMUNITY HEALTH STAFF GATHERED AND ANALYZED A VARIETY OF PRIMARY AND SECONDARY DATA FROM 2017 THROUGH 2019. THIS DATA WAS PRESENTED TO THE COMMUNITY HEALTH COUNCIL (CHC). COMMUNITY HEALTH COUNCIL. ADVOCATE SHERMAN 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. THE CHC IS CHAIRED BY A MEMBER OF THE HOSPITAL'S GOVERNING COUNCIL IN ORDER TO FACILITATE ONGOING COMMUNICATION. 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 EIGHT COMMUNITY MEMBERS, REPRESENTING 67 PERCENT OF THE TOTAL MEMBERSHIP. NON-ADVOCATE AURORA-AFFILIATED MEMBERS REPRESENT THE MCHENRY COUNTY AND KANE COUNTY HEALTH DEPARTMENTS, THE AMERICAN CANCER SOCIETY AND A VARIETY OF SOCIAL SERVICE AGENCIES. ADVOCATE SHERMAN REPRESENTATIVES INCLUDE EXECUTIVE TEAM MEMBERS, A PHYSICIAN CHAMPION AND A BUSINESS DEVELOPMENT LEADER. THE AFFILIATIONS AND TITLES OF THE HOSPITAL'S COMMUNITY HEALTH COUNCIL MEMBERS ARE PROVIDED BELOW. UNLESS OTHERWISE INDICATED, CHC MEMBERS WITH AN ASTERISK () REPRESENT MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS.- AMERICAN CANCER SOCIETY, HOSPITAL SYSTEMS MANAGER- ELGIN COMMUNITY MEMBER, ADVOCATE SHERMAN BOARD MEMBER (MINORITY POPULATIONS)- GREATER ELGIN FAMILY CARE CENTER, CHIEF OPERATING OFFICER - KANE COUNTY HEALTH DEPARTMENT, EXECUTIVE DIRECTOR - MCHENRY COUNTY DEPARTMENT OF HEALTH, ADMINISTRATIVE MANAGER - SECOND BAPTIST CHURCH OF ELGIN, PASTOR; ADVOCATE SHERMAN BOARD MEMBER AND CHC CHAIR (LOW-INCOME AND MINORITY POPULATIONS)- UNITED WAY OF ELGIN, PRESIDENT/CEO (LOW-INCOME AND MINORITY POPULATIONS) - COALITION FOR A SAFE AND HEALTHY ELGIN, PROGRAM COORDINATOR *ADVOCATE AURORA/ADVOCATE SHERMAN STAFF MEMBERS- ADVOCATE AURORA, DIRECTOR OF COMMUNITY HEALTH, NORTH REGION- ADVOCATE SHERMAN, DIRECTOR OF SERVICE EXCELLENCE AND POPULATION HEALTH- ADVOCATE SHERMAN, MANAGER, COMMUNITY OUTREACH- ADVOCATE SHERMAN, PHYSICIAN, FAMILY PRACTICEDATA WAS PRESENTED TO THE COUNCIL FROM JANUARY THROUGH MARCH 2019. INDICATORS PRESENTED INCLUDED DEMOGRAPHIC, ECONOMIC, EDUCATION, EMPLOYMENT, SOCIAL DETERMINANTS, HEALTH STATUS AND HEALTH BEHAVIOR. THE EIGHT MOST SIGNIFICANT HEALTH ISSUES IDENTIFIED WERE: SUBSTANCE ABUSE, MENTAL HEALTH, HEALTHY EATING/NUTRITION (EXERCISE, NUTRITION, OBESITY, AND FOOD ACCESS/FOOD INSECURITY), HEART DISEASE, DIABETES, RESPIRATORY DISEASES, SEXUALLY TRANSMITTED DISEASES AND ADULT VACCINATIONS. A PROFILE OF CANCER WAS PROVIDED TO THE COUNCIL, BUT BECAUSE CANCER IS ALREADY BEING ADDRESSED AS A HEALTH PRIORITY THROUGH THE HOSPITAL REQUIREMENTS FOR THE COMMISSION ON CANCER, IT WAS NOT PRESENTED AS A SEPARATE HEALTH NEED FOR VOTING. USING A MODIFIED HANLON METHOD, CHC MEMBERS WERE ASKED TO PRIORITIZE SCORES BASED ON THE SIZE AND SERIOUSNESS OF THE HEALTH PROBLEM, THE COST OF THE HEALTH PROBLEM TO SOCIETY AND THE EFFECTIVENESS OF AVAILABLE INTERVENTIONS. THE HEALTH ISSUES WITH THE HIGHEST VOTES WERE: OBESITY (DIABETES, HEART DISEASE, NUTRITION AND EXERCISE) AND BEHAVIORAL HEALTH (SUBSTANCE ABUSE AND MENTAL HEALTH). THESE PRIORITIES WERE PRESENTED TO THE ADVOCATE SHERMAN GOVERNING COUNCIL.GOVERNING COUNCIL. AS INDICATED EARLIER, ALL ACTIVITIES AND DECISIONS MADE BY THE CHC REGARDING THE CHNA ARE SUBMITTED TO ADVOCATE SHERMAN'S FULL GOVERNING COUNCIL (REFERRED TO AS THE ADVOCATE SHERMAN BOARD OF DIRECTORS) FOR APPROVAL AND ONE MEMBER OF THE GOVERNING COUNCIL SERVES AS CHAIR OF THE CHC TO ENSURE COORDINATION OF INFORMATION. THE ADVOCATE SHERMAN GOVERNING COUNCIL IS COMPRISED OF 25 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 RECOMMENDED HEALTH NEED PRIORITIES FROM THE CHC ON MAY 20, 2019 AND LATER APPROVED THE 2019 CHNA REPORT ON SEPTEMBER 23, 2019.THE ADVOCATE HEALTH CARE NETWORK BOARD OF DIRECTORS APPROVED THE ADVOCATE SHERMAN 2019 CHNA REPORT AT THE SYSTEM LEVEL ON DECEMBER 16, 2019. THE ADVOCATE SHERMAN 2017-2019 CHNA REPORT WAS POSTED ON THE ADVOCATE HEALTH CARE WEBPAGE THE FOLLOWING DAY AND INCLUDED A LINK TO A FORM AND AN EMAIL FOR THE COMMUNITY TO USE FOR INQUIRIES AND PROVIDING FEEDBACK. AS OF DECEMBER 31, 2019, NO FEEDBACK OR QUESTIONS WERE RECEIVED FROM THE COMMUNITY REGARDING THE 2019 CHNA REPORT, OR THE PREVIOUS 2014-2016 CHNA REPORT AND/OR ITS ACCOMPANYING 2017-2019 IMPLEMENTATION PLAN.
ADVOCATE SHERMAN HOSPITAL	PART V, SECTION B, LINE 6A: - ADVOCATE GOOD SHEPHERD HOSPITALUNRELATED? - NORTHWESTERN MEDICINE (CENTEGRA HEALTH SYSTEMS) MCHENRY, IL - AMITA ST. JOSEPH'S HOSPITAL, ELGIN, IL - AMITA MERCY MEDICAL CENTER, AURORA, IL- NORTHWESTERN MEDICINE DELNOR COMMUNITY HOSPITAL, GENEVA, IL - RUSH-COPLEY MEDICAL CENTER, AURORA, IL
ADVOCATE SHERMAN HOSPITAL	PART V, SECTION B, LINE 6B: - FAMILY ALLIANCE, INC., CRYSTAL LAKE, IL - MCHENRY COUNTY COLLEGE, CRYSTAL LAKE, IL- MCHENRY COUNTY DEPARTMENT OF HEALTH, WOODSTOCK, IL- MCHENRY COUNTY MENTAL HEALTH BOARD, CRYSTAL LAKE, IL- MCHENRY COUNTY SUBSTANCE ABUSE COALITION, WOODSTOCK, IL- UNITED WAY OF GREATER MCHENRY COUNTY, MCHENRY, IL- KANE COUNTY HEALTH DEPARTMENT, AURORA, IL- 708 INC BOARD NFP (COMMUNITY MENTAL HEALTH FUNDING ALLIANCE), AURORA, IL
ADVOCATE SHERMAN HOSPITAL	PART V, SECTION B, LINE 7D: ADVOCATE SHERMAN ISSUED AN ANNOUNCEMENT AND A BRIEF SUMMARY OF THE 2019 CHNA RESULTS TO ADVOCATE SHERMAN TEAM MEMBERS, WHICH ALSO INCLUDED A LINK TO THE FULL REPORT. THE HOSPITAL'S COMMUNITY HEALTH STAFF HAVE PRESENTED THE CHNA RESULTS TO THE ADVOCATE SHERMAN EXECUTIVE AND SENIOR LEADERSHIP TEAMS AS WELL.
ADVOCATE SHERMAN HOSPITAL	PART V, SECTION B, LINE 11: 2014-2016 CHNA (NOTE: THE FOLLOWING NARRATIVE REVIEWS THE PREVIOUS ADVOCATE SHERMAN 2014-2016 CHNA'S SELECTED PRIORITIES AND THE 2017-2019 IMPLEMENTATION STRATEGIES AND OUTCOMES GIVEN 2019 WAS THE THIRD AND FINAL YEAR OF THE 2017-2019 IMPLEMENTATION PLAN CYCLE.)HEALTH NEEDS SELECTED THE COMPREHENSIVE CHNA PROVIDED THE ADVOCATE SHERMAN COMMUNITY HEALTH COUNCIL THE DATA AND FEEDBACK NEEDED TO SELECT AND APPROVE THE TOP TWO HEALTH AREAS FOR PRIORITY ACTION. THE TWO HEALTH PRIORITIES WERE: 1) OBESITY/NUTRITION/PHYSICAL ACTIVITY; AND 2) DIABETES/KIDNEY DISEASE.OBESITY/NUTRITION/PHYSICAL ACTIVITY. OBESITY/NUTRITION/PHYSICAL ACTIVITY IS BEING ADDRESSED THROUGH AN ADVOCATE AURORA HEALTH-LED, MULTI-STAKEHOLDER CHICAGOLAND COALITION THAT RAISED AND SECURED FUNDS TO LAUNCH THE WEB-BASED GO NAP SACC PROGRAM TO THE STATE OF ILLINOIS IN 2018. THE WEB-BASED PROGRAM WENT LIVE STATEWIDE IN 2019. ALL CHILDCARE CENTERS THAT WERE ACTIVE WITH THE GO NAP SACC PROGRAM WERE ADDED TO THE WEBSITE FOR TRACKING. THE YWCA COMPLETED THEIR GO NAP SACC ACTION PLANS IN 2019 AND MOVED FORWARD WITH THEIR WORK TO PREVENT OBESITY ON THEIR OWN. ADVOCATE SHERMAN'S DIABETES CENTER AND MOBILE INTEGRATED HEALTH PROGRAM (MIH) ADDRESSED OBESITY BY IDENTIFYING INDIVIDUALS LIVING WITHIN ELGIN AND CARPENTERSVILLE WHO ARE FOOD INSECURE IMPLEMENTING SCREENING USING THE HUNGER VITAL SIGN TOOL. THOSE IDENTIFIED AS BEING FOOD INSECURE WERE PROVIDED WITH A FOOD RESOURCE GUIDEBOOK IN ENGLISH AND SPANISH. A TOTAL OF 284 INDIVIDUALS WERE SCREENED FOR FOOD INSECURITY IN 2019, AND 28 PERCENT OF THOSE SCREENED WERE IDENTIFIED AS BEING FOOD INSECURE, MUCH HIGHER THAN THE 7 PERCENT OVERALL RATE FOR KANE COUNTY. DIABETES/KIDNEY DISEASE. DIABETES/KIDNEY DISEASE IS BEING ADDRESSED THROUGH ADVOCATE SHERMAN'S DIABETES IN THE LATINO COMMUNITY PROGRAM, WHICH IMPLEMENTED BLOOD GLUCOSE SCREENINGS IN ELGIN AND CARPENTERSVILLE LATINO COMMUNITIES. PARTNERSHIPS INCLUDED THE ELGIN FLEA MARKET, ELGIN LAUNDROMATS, CARPENTERSVILLE FISH FOOD PANTRY AND THE GRAND VICTORIA CASINO. THE SCREENINGS PROVIDED AN OPPORTUNITY TO CONNECT PATIENTS TO A HEALTH CARE PROVIDER FOR FOLLOW-UP. A TOTAL OF 18 EVENTS OCCURRED IN ELGIN AND CARPENTERSVILLE IN 2019, WITH 466 DIABETES SCREENINGS COMPLETED. IN ADDITION, THE DIABETES SELF-MANAGEMENT PROGRAM (DSMP) CONTINUED IN 2019, IN PARTNERSHIP WITH THE GAIL BORDEN PUBLIC LIBRARY, YWCA AND CENTRO DE INFORMACIN, FOR THE PURPOSE OF EDUCATING AND EMPOWERING INDIVIDUALS WITH DIABETES TO BETTER MANAGE THEIR CONDITION. EIGHTEEN GLUCOSE SCREENING EVENTS WERE HELD IN ELGIN AND CARPENTERSVILLE IN 2019 AND 466 GLUCOSE SCREENINGS WERE COMPLETED. IN ADDITION, THE ADVOCATE SHERMAN COMMUNITY GARDEN PRODUCED 376 POUNDS OF PRODUCE IN 2019, OF WHICH 110 POUNDS OF PRODUCE WAS PROVIDED TO FOOD INSECURE PATIENTS FROM THE DIABETES CENTER. ELGIN COMMUNITY COLLEGE FOOD INSECURE STUDENTS WERE ALSO PROVIDED 266 POUNDS OF PRODUCE FROM THE GARDEN.HEALTH NEEDS NOT SELECTED HEART DISEASE AND STROKE. HEART DISEASE AND STROKE WERE NOT SELECTED AS A HEALTH NEED BASED ON THE CHNA RESULTS INDICATING A DECLINE IN DEATH RATES, AS WELL AS POSITIVE PERFORMANCE AGAINST THE HEALTHY PEOPLE 2020 TARGETS, DEMONSTRATING THAT PROGRESS IS BEING MADE TO DECREASE HEART DISEASE AND STROKE RATES. ADDITIONALLY, ADVOCATE SHERMAN IS PART OF THE ADVOCATE HEART INSTITUTE WHICH PROVIDES ADVANCED DIAGNOSTICS AND TREATMENT WITH STATE-OF-THE-ART TECHNOLOGY TO PROVIDE PATIENTS WITH THE BEST POSSIBLE OUTCOMES. MENTAL HEALTH. MENTAL HEALTH WAS NOT SELECTED AS A HEALTH NEED BASED ON CURRENT PARTNERSHIPS WITH ECKER CENTER FOR MENTAL HEALTH, A NON-PROFIT OUTPATIENT MENTAL HEALTH AGENCY, WITH AN ONSITE OFFICE IN THE EMERGENCY DEPARTMENT (ED) AT ADVOCATE SHERMAN. IN ADDITION, THE HOSPITAL WORKS WITH A WIDE ARRAY OF MENTAL HEALTH PROVIDERS IN THE PRIMARY SERVICE AREA TO ENSURE CONTINUUM OF CARE FOR PATIENTS. ADVOCATE SHERMAN IS A COLLABORATIVE PARTNER WITH THE KANE COUNTY BEHAVIORAL HEALTH COUNCIL, A COALITION OF MENTAL HEALTH AND SUBSTANCE USE TREATMENT PROVIDERS WORKING TO IMPROVE THE CONTINUUM OF CARE FOR KANE COUNTY RESIDENTS. SUBSTANCE ABUSE. SUBSTANCE ABUSE ALSO WAS NOT SELECTED AS A HEALTH NEED DUE TO CURRENT COLLABORATIONS WITH COALITIONS ADDRESSING SUBSTANCE ABUSE IN BOTH KANE AND MCHENRY COUNTIES. 2017-2019 CHNAHEALTH NEEDS SELECTED OBESITY. OBESITY WAS SELECTED AS A HEALTH PRIORITY GIVEN A CONSISTENT RISE IN OBESITY RATES IN BOTH KANE COUNTY AND MCHENRY COUNTY AND THE DEMONSTRATED LINK BETWEEN CHRONIC CONDITIONS (DIABETES, HEART DISEASE, CANCER) AND OBESITY. IN THE KANE COUNTY KEY INFORMANT INTERVIEWS, 40.7 PERCENT OF PARTICIPANTS CONSIDERED NUTRITION, PHYSICAL ACTIVITY AND WEIGHT AS A "MAJOR PROBLEM AND 43.6 PERCENT CONSIDERED IT TO BE A "MODERATE PROBLEM." IN THE MCHENRY COUNTY HEALTHY COMMUNITY STUDY, 44.4 PERCENT OF COMMUNITY LEADERS INTERVIEWED STATED THAT OBESITY IS CONSIDERED A MAJOR PROBLEM IN THE COUNTY. IN 2018, THE ILLINOIS YOUTH SURVEY CONDUCTED IN MCHENRY AND KANE COUNTIES, INDICATED THAT 25 PERCENT OF 10TH AND 12TH GRADE STUDENTS WHO PARTICIPATED IN THE SURVEY WERE CONSIDERED TO BE OVERWEIGHT/OBESE. BOTH THE KANE AND MCHENRY COUNTY HEALTH DEPARTMENTS HAVE IDENTIFIED OBESITY AS A PRIORITY IN THEIR RESPECTIVE COMMUNITY HEALTH IMPROVEMENT PLANS. ADVOCATE SHERMAN SELECTED OBESITY AS A PRIORITY IN THE LAST CHNA CYCLE AND WILL CONTINUE WITH THIS PRIORITY DUE TO THE ONGOING RISE IN OBESITY RATES AND DEMONSTRATED LINK BETWEEN CHRONIC CONDITIONS AND OBESITY.BEHAVIORAL HEALTH. BEHAVIORAL HEALTH WAS SELECTED AS A HEALTH PRIORITY AND IS COMPRISED OF BOTH SUBSTANCE ABUSE AND MENTAL HEALTH. COUNCIL MEMBERS EMPHASIZED THAT BECAUSE MENTAL HEALTH AND SUBSTANCE USE FREQUENTLY CO-OCCUR, BOTH SHOULD BE ADDRESSED. IN THE ADVOCATE SHERMAN PSA, THE HIGHEST AGE-ADJUSTED EMERGENCY ROOM (ER) RATES DUE TO MENTAL HEALTH ARE FOR AFRICAN AMERICANS, THOSE AGES 18-24 YEARS, AGES 25-34 YEARS AND FEMALES. THE HIGHEST PSA PEDIATRIC MENTAL HEALTH ER RATES ARE IN ELGIN (60123 AND 60120) AND CARPENTERSVILLE (60110). ADDITIONALLY, THE ER RATE DUE TO PEDIATRIC MENTAL HEALTH FOR THOSE AGES 15-17 YEARS, 10-14 YEARS AND AFRICAN AMERICANS ARE SIGNIFICANTLY ABOVE THE RATE FOR THE PSA. ADDITIONALLY, ER RATES DUE TO ADOLESCENT SUICIDE AND INTENTIONAL SELF-INFLICTED INJURY FOR THE PSA HAS BEEN INCREASING OVER TIME. TWELVE PERCENT OF ADULTS IN THE CITY OF ELGIN INDICATED THAT THEIR MENTAL HEALTH WAS NOT GOOD FOR 14 OR MORE DAYS IN THE PAST MONTH, HIGHER THAN THE U.S. RATE OF 11.4 PERCENT. SIXTEEN PERCENT OF BOTH KANE AND MCHENRY COUNTIES MEDICARE BENEFICIARIES WERE TREATED FOR DEPRESSION IN 2017, AND THIS RATE IS INCREASING AT A STATISTICALLY SIGNIFICANT RATE. IN THE KANE COUNTY KEY INFORMANT INTERVIEWS, 61 PERCENT OF PARTICIPANTS INDICATED THAT MENTAL HEALTH WAS A "MAJOR PROBLEM AND 44.7 PERCENT INDICATED THAT SUBSTANCE ABUSE WAS A "MAJOR PROBLEM."HEALTH NEEDS NOT SELECTED HEART DISEASE. HEART DISEASE WAS NOT SELECTED AS A HEALTH PRIORITY AS BOTH KANE AND MCHENRY COUNTY DEATH RATES DUE TO CORONARY HEART DISEASE ARE BETTER THAN THE ILLINOIS AND U.S. RATES, AND MEET THE HEALTHY PEOPLE 2020 TARGET. ADDITIONALLY, AGE-ADJUSTED ER AND HOSPITALIZATION RATES FOR HEART FAILURE AND HYPERTENSION FOR THE ADVOCATE SHERMAN PSA ARE ALL WITHIN THE BEST 0-50TH PERCENTILE COMPARED TO OTHER COUNTIES IN ILLINOIS. THE KANE AND MCHENRY COUNTY PERCENTAGE OF MEDICARE BENEFICIARIES BEING TREATED FOR HYPERTENSION IS BETTER THAN THE ILLINOIS AND U.S. RATES AND CONTINUES TO BE ON A DOWNWARD TREND. BECAUSE THESE RATES ARE IMPROVING IN THE PSA, THE COUNCIL SELECTED TO CONTINUE FOCUSING ON OBESITY AS A HEALTH PRIORITY, WHICH HAS A DIRECT CORRELATION TO HEART DISEASE.DIABETES. DIABETES WAS NOT SELECTED GIVEN THE ADVOCATE SHERMAN PSA RATE FOR ER UTILIZATION DUE TO ADULT DIABETES IS BETTER THAN THE ILLINOIS RATE. THE ER RATE DUE TO UNCONTROLLED DIABETES REMAINS HIGHEST IN THE PSA FOR HISPANICS AND AFRICAN AMERICANS. ADVOCATE SHERMAN CHOSE DIABETES AS A PRIORITY IN THE LAST CHNA AND HAS IMPLEMENTED A COMPREHENSIVE DIABETES IN THE LATINO COMMUNITY PROGRAM FOR THE HISPANIC COMMUNITY IN ELGIN AND CARPENTERSVILLE, INCLUDING GLUCOSE SCREENINGS, THE EVIDENCE-BASED DIABETES SELF-MANAGEMENT PROGRAM AND FOOD INSECURITY SCREENING AND LINKAGES TO HEALTHY FOOD RESOURCES. WHILE IT WAS NOT SELECTED AS A PRIORITY FOR THE IMPLEMENTATION PLAN, THE CURRENT DIABETES IN THE LATINO COMMUNITY PROGRAM WILL CONTINUE DURING THE 2020-2022 IMPLEMENTATION PLAN CYCLE. RESPIRATORY DISEASES. RESPIRATORY DISEASES WAS NOT SELECTED AS A HEALTH PRIORITY, ALTHOUGH THE ER RATE DUE TO ASTHMA IN THE ADVOCATE SHERMAN PSA IS IN THE WORST 50TH-75TH PERCENTILE COMPARED TO OTHER COUNTIES IN ILLINOIS, AND THE HOSPITALIZATION RATE DUE TO ASTHMA IS IN THE WORST 25TH PERCENTILE COMPARED TO OTHER COUNTIES IN ILLINOIS. THE SAME COMMUNITIES WITH THE HIGHEST ADULT ASTHMA ER RATES ALSO HAVE THE HIGHEST PEDIATRIC ASTHMA ER RATESCARPENTERSVILLE (60110) AND ELGIN (60123 AND 60120). MALES AND
ADVOCATE SHERMAN HOSPITAL	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 SHERMAN HOSPITAL	PART V, SECTION B, LINE 16J: ADVOCATE SHERMAN COMMUNICATES THE AVAILABILITY OF FINANCIAL ASSISTANCE IN THE APPLICABLE LANGUAGES OF THE HOSPITAL COMMUNITY. MEANS OF COMMUNICATION INCLUDE:1. THE HEALTH CARE CONSENT THAT IS SIGNED UPON REGISTRATION FOR HOSPITAL SERVICES INCLUDES A STATEMENT THAT FINANCIAL COUNSELING, INCLUDING FINANCIAL ASSISTANCE CONSIDERATION, IS AVAILABLE UPON REQUEST.2. SIGNAGE IS CLEARLY AND CONSPICUOUSLY POSTED IN LOCATIONS THAT ARE VISIBLE TO THE PUBLIC, INCLUDING, BUT NOT LIMITED TO HOSPITAL RESGISTRATION AREAS (I.E., PATIENT ACCESS, EMERGENCY DEPARTMENT).3. BROCHURES ARE PLACED IN HOSPITAL RESGISTRATION AREAS (I.E., PATIENT ACCESS, EMERGENCY DEPARTMENT) AND INCLUDE GUIDANCE ON HOW A PATIENTS MAY APPLY FOR MEDICARE, MEDICAID, ALL KIDS, FAMILY CARE ETC., AND THE HOSPTIAL'S FINANCIAL ASSISTANCE PROGRAM. A HOSPITAL CONTACT AND TELEPHONE NUMBER FOR FINANCIAL ASSISTANCE IS INCLUDED. 4. A HANDOUT SUMMARIZING ADVOCATE'S FINANCIAL ASSISTANCE POLICY AND FINANCIAL ASSISTANCE APPLICATION ARE GIVEN TO ALL UNINSURED PATIENTS WHO RECEIVE MEDICALLY NECESSARY HOSPITAL SERVICES AT THE EARLIEST PRACTICAL TIME OF SERVICE.5. ADVOCATE'S WEBSITE PROMINENTLY NOTES THAT FINANCIAL ASSISTANCE IS AVAILABLE, WITH AN EXPLAINATION OF THE APPLICATION PROCESS, A SUMMARY OF THE FINANCIAL ASSISTANCE POLICY, AND THE FINANCIAL ASSISTANCE APPLICATION.
ADVOCATE SHERMAN HOSPITAL	PART V, SECTION B, LINE 19E: ADVOCATE SHERMAN 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 SHERMAN HOSPITAL	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

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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?16
Name and address		Type of Facility (describe)
1	1 - SHERMAN MOB 1435 N RANDALL RD ELGIN,IL60120	PATIENT CARE - IN PATIENT
2	2 - AMG 1140 N MCLEAN BLVD STE E F ELGIN,IL60120	PATIENT CARE - OUT PATIENT
3	3 - SHERMAN IMMEDIATE CARE 2320 ROYAL BLVD ELGIN,IL60120	PATIENT CARE - OUT PATIENT
4	4 - SHERMAN IMMEDIATE CARE - ALGONQUIN 600 RANDALL RD STE 210 230 ALGONQUIN,IL60102	PATIENT CARE - OUT PATIENT
5	5 - SHERMAN IMMEDIATE CARE - SOUTH ELGIN 2000 MCDONALD RD SOUTH ELGIN,IL60177	PATIENT CARE - OUT PATIENT
6	6 - THE CENTRE OF ELGIN 100 SYMPHONY WAY ELGIN,IL60120	PATIENT CARE - OUT PATIENT
7	7 - SHERMAN IMMEDIATE CARE - BARTLETT 1052-54 NORWOOD LN BARTLETT,IL60103	PATIENT CARE - OUT PATIENT
8	8 - SHERMAN WEST COURT - 826 PROSPECT 826 PROSPECT BLVD ELGIN,IL60120	PATIENT CARE - OUT PATIENT
9	9 - THE CENTRE OF ELGIN - FLETCHER 745 FLETCHER DR ELGIN,IL60120	PATIENT CARE - OUT PATIENT
10	10 - THE CENTRE OF ELGIN - PENNY 201 PENNY AVE STE 100 EAST DUNDEE,IL60118	PATIENT CARE - OUT PATIENT
11	11 - SHERMAN IMMEDIATE CARE - HAMPSHIRE 1000 S STATE ST HAMPSHIRE,IL60140	PATIENT CARE - OUT PATIENT
12	12 - SHERMAN IMMEDIATE CARE - BARTLETT 864 STERNS RD STE 103 BARTLETT,IL60103	PATIENT CARE - OUT PATIENT
13	13 - SHERMAN IMMEDIATE CARE - CRYSTAL LAKE 741 MCHENRY AVE CRYSTAL LAKE,IL60014	PATIENT CARE - OUT PATIENT
14	14 - SHERMAN MOB - CRYSTAL LAKE 4900 S ROUTE 31 CRYSTAL LAKE,IL60014	PATIENT CARE - OUT PATIENT
15	15 - SHERMAN MOB - ELGIN CHICAGO 999-1019 E CHICAGO ST ELGIN,IL60120	PATIENT CARE - OUT PATIENT
16	16 - SHERMAN IMMEDIATE CARE - STREAMWOOD 550 S BLVD STREAMWOOD,IL60107	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:	ADVOCATE SHERMAN HOSPITAL PROVIDES SUBSIDIZED HEALTH SERVICES TO THE COMMUNITY. THESE SERVICES ARE PROVIDED DESPITE CREATING A FINANCIAL LOSS FOR ADVOCATE SHERMAN HOSPITAL. THESE SERVICES ARE PROVIDED BECAUSE THEY MEET AN IDENTIFIED COMMUNITY NEED. IF ADVOCATE SHERMAN HOSPITAL DID NOT PROVIDE THE CLINICAL SERVICE, IT IS REASONABLE TO CONCLUDE THAT THESE SERVICES WOULD NOT BE AVAILABLE TO THE COMMUNITY.
PART I, LN 7 COL(F):	$17,115,928 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:	ADVOCATE SHERMAN HOSPITAL PROVIDES COMMUNITY HEALTH IMPROVEMENT SERVICES TO THE COMMUNITIES IN WHICH IT SERVES. ADVOCATE SHERMAN HOSPITAL 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.
PART I, LINE 7H:	ADVOCATE SHERMAN HOSPITAL 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 SHERMAN HOSPITAL, THE ALLOWANCE FOR DOUBTFUL ACCOUNTS COVERED 32.13% OF NET PATIENT ACCOUNTS RECEIVABLE. PATIENT ACCOUNTS RECEIVABLE ARE STATED AT NET REALIZABLE VALUE. ADVOCATE SHERMAN HOSPITAL EVALUATES THE COLLECTABILITY OF ITS ACCOUNTS RECEIVABLE BASED ON THE LENGTH OF TIME THE RECEIVABLE IS OUTSTANDING, PAYER CLASS, HISTORICAL COLLECTION EXPERIENCE, AND TRENDS IN HEALTH CARE INSURANCE PROGRAMS. ACCOUNTS RECEIVABLE ARE CHARGED TO THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS WHEN THEY ARE DEEMED UNCOLLECTIBLE.THE COSTING METHODOLOGY USED IN DETERMINING THE AMOUNTS REPORTED ON LINES 2 AND 3 IS BASED ON THE RATIO OF PATIENT CARE COST TO CHARGES. THE UNREIMBURSED COST OF BAD DEBT WAS CALCULATED BY APPLYING THE ORGANIZATION'S COST TO CHARGE RATIO FROM THE MEDICARE COST REPORTS (CMS 2252-96 WORKSHEET C, PART 1, PPS INPATIENT RATIOS) TO THE ORGANIZATION'S BAD DEBT PROVISION PER GENERALLY ACCEPTED ACCOUNTING PRINCIPLES, LESS ANY PATIENT OR THIRD PARTY PAYOR PAYMENTS RECEIVED.ADVOCATE MAKES EVERY EFFORT TO IDENTIFY THOSE PATIENTS WHO ARE ELIGIBLE FOR FINANCIAL ASSISTANCE BY STRICTLY ADHERING TO ITS FINANCIAL ASSISTANCE POLICY. WE BELIEVE THAT ADVOCATE HAS A POPULATION OF PATIENTS WHO ARE UNINSURED OR UNDERINSURED BUT WHO DO NOT COMPLETE THE FINANCIAL ASSISTANCE APPLICATION. THE ESTIMATED AMOUNT OF BAD DEBT EXPENSE (AT COST) WHICH COULD BE REASONABLY ATTRIBUTABLE TO PATIENTS WHO WOULD LIKELY QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY, IF SUFFICIENT INFORMATION HAD BEEN AVAILABLE TO MAKE A DETERMINATION OF THEIR ELIGIBILITY, WAS BASED UPON SELF PAY PATIENT ACCOUNTS WHICH HAD AMOUNTS WRITTEN OFF TO BAD DEBTS. OUR METHOD WAS TO BEGIN WITH THE SELF-PAY PORTION OF BAD DEBT EXPENSE PROVISION. THE SELF PAY PORTION EXCLUDES THOSE PATIENTS WHO HAD CHARITY APPLICATIONS PENDING AT THE TIME OF SERVICE. THIS COST WAS THEN REDUCED BY CHARGES IDENTIFIED AS TRUE BAD DEBT EXPENSE, INCLUDING COPAYS FOR PATIENTS WHO QUALIFIED FOR LESS THAN 100% FINANCIAL ASSISTANCE. 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 30% 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 $9,066,008 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 SHERMAN'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:	ADVOCATE SHERMAN HOSPITAL 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:	ADVOCATE SHERMAN HOSPITAL 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 ADVOCATE SHERMAN HOSPITAL'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. ADVOCATE SHERMAN HOSPITAL ASSISTS PATIENTS WITH APPLYING FOR ADVOCATE'S OWN FINANCIAL ASSISTANCE SERVICES, IF PATIENTS ARE NOT ELIGIBLE FOR GOVERNMENT-SUPPORTED PROGRAMS. ADVOCATE SHERMAN HOSPITAL 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. ADVOCATE SHERMAN DEFINED THE COMMUNITY AS ITS PRIMARY SERVICE AREA (PSA), WHICH INCLUDES COMMUNITIES IN MCHENRY COUNTY AND KANE COUNTY, ILLINOIS. THE PSA INCLUDES THE FOLLOWING COMMUNITIES: ELGIN, LAKE IN THE HILLS, CARPENTERSVILLE, DUNDEE, GILBERTS, SOUTH ELGIN, ALGONQUIN AND HUNTLEY. THE TOTAL POPULATION OF THE ADVOCATE SHERMAN PSA IS 301,055 WHICH IS A 4.75 PERCENT INCREASE FROM 2010 TO 2019. THE THREE LARGEST COMMUNITIES WITHIN THE PSA ARE ELGIN (60120) WITH A POPULATION OF 52,712, ELGIN (60123) WITH A POPULATION OF 47,906 AND CARPENTERSVILLE (60110) WITH A POPULATION OF 39,634. SOCIAL DETERMINANTS OF HEALTH (SDOH). ADVOCATE HEALTH CARE CONTRACTED WITH CONDUENT HEALTH COMMUNITIES INSTITUTE TO USE ITS DATA TOOL FOR THE HOSPITAL'S 2017-2019 CHNA. THE SOCIONEEDS INDEX IS A CONDUENT HEALTHY COMMUNITIES INSTITUTE 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 LANGUAGE, ALL OF WHICH ARE SOCIAL DETERMINANTS OF HEALTH. THE INDICTORS ARE WEIGHTED TO MAXIMIZE THE CORRELATION OF THE INDEX WITH PREMATURE DEATH RATES AND PREVENTABLE HOSPITALIZATION RATES. ALL ZIP CODES, COUNTIES AND COUNTY EQUIVALENTS IN THE U.S. ARE GIVEN AN INDEX VALUE FROM 0 (LOW NEED) TO 100 (HIGH NEED). ADVOCATE SHERMAN HAS SEVERAL COMMUNITIES THAT HAVE GREATER SOCIOECONOMIC NEEDS COMPARED TO OTHER COMMUNITIES IN THE PSA, INCLUDING CARPENTERSVILLE (60110), ELGIN (60120) AND ELGIN (60123).DEMOGRAPHICSAGE/GENDER. THE MEDIAN AGE IN ADVOCATE SHERMAN'S PSA IS 38.34 YEARS OLD. IN THE PSA, 25.61 PERCENT OF THE POPULATION IS AGES 17 YEARS AND YOUNGER, AND 13.68 PERCENT IS AGES 65 YEARS AND OVER. THE LARGEST AGE POPULATION IN THE PSA CONSISTS OF INDIVIDUALS AGES 35-64 YEARS AT 40.35 PERCENT. THE GENDER OF THE PSA POPULATION IS 50.46 PERCENT MALES AND 49.54 PERCENT FEMALES. RACE/ETHNICITY/HOUSEHOLDS. THE RACE/ETHNICITY OF THE PSA IS 73 PERCENT WHITE, 7.51 PERCENT ASIAN, 4.79 PERCENT BLACK/AFRICAN AMERICAN, 3.16 PERCENT TWO OR MORE RACES, 0.77 PERCENT AMERICAN INDIAN/ALASKAN NATIVE, 0.04 PERCENT NATIVE HAWAIIAN/PACIFIC ISLANDER AND 10.26 PERCENT SOME OTHER RACE. TWENTY-NINE PERCENT OF THE POPULATION IS OF HISPANIC ETHNICITY, WITH THE LARGEST HISPANIC POPULATION IN ZIP CODES 60120 (ELGIN) AT 54.65 PERCENT AND 60110 (CARPENTERSVILLE) AT 50.75 PERCENT. THERE ARE 100,869 HOUSEHOLDS IN THE PSA WITH THE AVERAGE HOUSEHOLD SIZE OF 2.96 PERSONS. TWENTY-TWO PERCENT OF CHILDREN IN THE PSA ARE LIVING IN A SINGLE PARENT FAMILY HOUSEHOLD, WHICH IS LOWER THAN THE STATE VALUE OF 32.4 PERCENT AND THE U.S. VALUE OF 33.3 PERCENT. ECONOMICS. THE MEDIAN HOUSEHOLD INCOME FOR THE PSA POPULATION IS $83,604. HOUSEHOLDS WITH THE HIGHEST MEDIAN HOUSEHOLD INCOME IS ASIAN AT $115,310 AND THE LOWEST MEDIAN HOUSEHOLD INCOME IS AFRICAN AMERICAN HOUSEHOLDS AT $48,584. IN THE ADVOCATE SHERMAN PSA, 9.4 PERCENT OF THE POPULATION IS LIVING BELOW THE FEDERAL POVERTY LEVEL (FPL), WHICH IS LESS THAN THE ILLINOIS RATE OF 13.5 PERCENT AND THE U.S. RATE OF 14.6 PERCENT. THERE IS A TOTAL OF 5,608 FAMILIES IN THE PSA (7.3 PERCENT OF TOTAL FAMILIES) LIVING BELOW THE FPL. THE COMMUNITIES WITH THE LARGEST PERCENTAGE OF FAMILIES LIVING BELOW THE FPL ARE CARPENTERSVILLE (60110) AT 14.55 PERCENT, ELGIN (60120) AT 12.01 PERCENT AND ELGIN (60123) AT 10.97 PERCENT. UNINSURED AND MEDICAID FOR COMMUNITY AND ADVOCATE SHERMAN. IN THE COMMUNITIES WITHIN THE ADVOCATE SHERMAN PSA, 4,559 HOUSEHOLDS ARE ESTIMATED TO BE UNINSURED, WHICH IS 4.1 PERCENT OF ALL HOUSEHOLDS IN THE PSA. IN THE PSA, 6.1 PERCENT OF HOUSEHOLDS ARE ESTIMATED TO BE COVERED BY MEDICAID. IN 2019, ADVOCATE SHERMAN HOSPITAL SAW 51,676 MEDICAID/MANAGED CARE PATIENTS AND 10,214 SELF-PAY AND CHARITY PATIENTS. EMPLOYMENT. THE PERCENTAGE OF POPULATION IN THE PSA, AGES 16 AND OLDER, THAT IS UNEMPLOYED IS 5.35 PERCENT, WHICH IS LOWER THAN THE ILLINOIS UNEMPLOYMENT RATE OF 6.7 PERCENT. THE TOP THREE INDUSTRIES THAT EMPLOY PSA RESIDENTS, AGES 16 AND OLDER, ARE MANUFACTURING (18 PERCENT), RETAIL TRADE (12 PERCENT) AND HEALTH CARE/SOCIAL SERVICES (11 PERCENT). EDUCATIONAL ATTAINMENT. OF THE PSA POPULATION, 23.54 PERCENT AGES 25 AND OLDER ARE HIGH SCHOOL GRADUATES, 8.53 PERCENT HAVE AN ASSOCIATE DEGREE, 22.02 PERCENT HAVE A BACHELOR'S DEGREE, 8.62 PERCENT HAVE A MASTER'S DEGREE, 1.13 PERCENT HAVE A PROFESSIONAL DEGREE AND 0.84 PERCENT HAVE A DOCTORATE DEGREE. THE HIGH SCHOOL GRADUATION RATE FOR KANE COUNTY IS 85.1 PERCENT AND THE RATE FOR MCHENRY COUNTY IS 91.5 PERCENT, AS COMPARED TO THE HEALTHY PEOPLE 2020 TARGET OF 87 PERCENT. HEALTHCARE RESOURCES IN THE DEFINED COMMUNITY. THERE ARE THREE HOSPITALS IN THE ADVOCATE SHERMAN PSA ADVOCATE SHERMAN; AMITA SAINT JOSEPH'S HOSPITAL IN ELGIN AND NORTHWESTERN MEDICINE-HUNTLEY HOSPITAL IN HUNTLEY. THE FEDERALLY QUALIFIED HEALTH CENTERS (FQHCS) IN THE PSA ARE THE GREATER ELGIN FAMILY CARE CENTER (GEFCC), VISITING NURSES ASSOCIATION (VNA) AND AUNT MARTHA'S CLINIC (AM).MEDICALLY UNDERSERVED AREAS AND MEDICALLY UNDERSERVED POPULATION. IN KANE COUNTY, THERE ARE THREE MEDICALLY UNDERSERVED AREAS (MUAS)ONE FOR THE INNER-CITY AURORA SERVICE AREA, ONE FOR THE KANE COUNTY SERVICE AREA AND ONE FOR THE CENTRAL CARPENTERSVILLE SERVICE AREA. IN MCHENRY COUNTY, THERE IS ONE MEDICALLY UNDERSERVED POPULATION (MUP) FOR THE LOW-INCOME POPULATION OF WOODSTOCK.
PART VI, LINE 5:	THE GOVERNING COUNCIL AT ADVOCATE SHERMAN HOSPITAL 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 BOARD OF DIRECTORS (SAME AS THE GOVERNING COUNCILS AT OTHER ADVOCATE SITES) AT ADVOCATE SHERMAN IS COMPRISED OF LOCAL COMMUNITY LEADERS AND PHYSICIANS. THE MEMBERS SUPPORT HOSPITAL LEADERSHIP IN THEIR PURSUIT OF THE HOSPITAL'S GOALS, REPRESENT THE COMMUNITY'S INTEREST TO THE HOSPITAL AND SERVE AS AMBASSADORS IN THE COMMUNITY. SEVENTY-ONE PERCENT OF THE CURRENT BOARD MEMBERS REPRESENT THE COMMUNITY, INCLUDING THE FAITH COMMUNITY. IN ADDITION, THE ORGANIZATION EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY FOR SOME OR ALL OF ITS DEPARTMENTS AND SPECIALTIES. ADVOCATE SHERMAN ALSO DONATES STAFF TIME AND EXPERTISE TO SEVERAL LOCAL COUNCILS, BOARDS, COALITIONS AND COMMITTEES. THE ALIGNMENT COLLABORATIVE FOR EDUCATION (ACE) IS A COLLECTIVE IMPACT ORGANIZATION WHOSE MISSION IS TO ALIGN COMMUNITY RESOURCES IN SUPPORT OF PUBLIC-SCHOOL STRATEGIES TO RAISE STUDENT ACHIEVEMENT, IMPROVE THE HEALTH AND HAPPINESS OF CHILDREN, CREATE RESPONSIBLE, PRODUCTIVE AND CONTRIBUTING MEMBERS OF SOCIETY AND ADVANCE THE ECONOMIC AND SOCIAL WELL-BEING OF COMMUNITIES SERVED BY DISTRICT U-46. THE ACE GOVERNING BOARD IS CHAIRED BY THE PRESIDENT OF ADVOCATE SHERMAN AND FOCUSES ON THE MISSION OF THE ORGANIZATION. THE ACE OPERATING BOARD IS CHAIRED BY ADVOCATE SHERMAN'S VICE PRESIDENT OF OPERATIONS AND CO-CHAIRED BY THE ASSISTANT SUPERINTENDENT OF EDUCATION SUPPORT PROGRAMS AND ALIGNMENT FOR DISTRICT U-46. ALIGNMENT TEAMS (A-TEAMS) WERE CREATED TO FIND SOLUTIONS TO NEEDS IDENTIFIED BY THE PUBLIC SCHOOLS. THE DIRECTOR OF COMMUNITY HEALTH IS A MEMBER OF THE TRAUMA INFORMED CARE A-TEAM. ADVOCATE SHERMAN'S DIRECTOR OF SERVICE EXCELLENCE, POPULATION HEALTH AND PATIENT RELATIONS SERVES ON THE VNA HEALTHCARE BOARD OF DIRECTORS (AN FQHC). THE HOSPITAL'S DIRECTOR OF COMMUNITY HEALTH SERVES ON THE KANE COUNTY BEHAVIORAL HEALTH COUNCIL, A COMMITTEE OF MENTAL HEALTH PROVIDERS, SUBSTANCE ABUSE TREATMENT PROVIDERS, MEDICAL PROVIDERS AND THE KANE COUNTY HEALTH DEPARTMENT FOCUSED ON IMPROVING BEHAVIORAL HEALTH SERVICES IN KANE COUNTY. THE ADVOCATE SHERMAN COMMUNITY HEALTH DIRECTOR ALSO SERVES ON THE KANE COUNTY OPIOID TASK FORCE, A COALITION OF COMMUNITY ORGANIZATIONS AND STAKEHOLDERS WORKING TO PREVENT OPIOID USE AND INCREASE ACCESS TO SUBSTANCE USE TREATMENT. THE HOSPITAL'S MANAGER OF COMMUNITY OUTREACH SERVES ON BOTH THE KANE COUNTY HEALTH DEPARTMENT EXECUTIVE COMMITTEE AND MCHENRY COUNTY HEALTH DEPARTMENT CORE TEAM, WHICH OVERSEES THE IMPLEMENTATION OF STRATEGIES TO ADDRESS THE IDENTIFIED COMMUNITY HEALTH NEEDS FROM THE KANE AND MCHENRY COUNTY COMMUNITY HEALTH ASSESSMENTS (CHA). THE MANAGER OF COMMUNITY OUTREACH ALSO SERVES ON THE ACTIVATE ELGIN COALITION, WHICH FOCUSES ON DECREASING CHILDHOOD OBESITY RATES AND INCREASING PHYSICAL ACTIVITY IN THE ELGIN AREA, AND IS ALSO ON THE EXECUTIVE TEAM FOR THE COALITION FOR A SAFE AND HEALTHY ELGIN (CSHE), WHICH FOCUSES ON THE ISSUES OF YOUTH COMMUNITY VIOLENCE AND SUBSTANCE USE. IN JANUARY 2018, ADVOCATE SHERMAN IMPLEMENTED A NEW ACCESS TO CARE COMMUNITY HEALTH WORKER (CHW) PROGRAM TO LINK PATIENTS TO A PRIMARY CARE PROVIDER. THE CHW WORKS FULL-TIME IN THE EMERGENCY DEPARTMENT TO MEET WITH PATIENTS COMING IN FOR LOW-ACUITY CARE AND EDUCATES THEM ON OTHER OPTIONS FOR CARE, SUCH AS THE ADVOCATE IMMEDIATE CARE CENTERS, WALGREENS CLINICS AND OTHER RETAIL-BASED CLINICS. THE CHW ALSO EDUCATES PATIENTS ON THEIR INSURANCE ENROLLMENT AND LINKS THEM TO A PCP OR FQHC FOR ONGOING CARE IF THEY DO NOT HAVE A MEDICAL HOME. IN 2019, THE CHW SAW 636 PATIENTS IN THE ADVOCATE SHERMAN ED. A TOTAL OF 8 (TWO PERCENT) OF THE 466 PATIENTS SCREENED FOR FOOD INSECURITY WERE FOOD INSECURE AND RECEIVED INFORMATION ABOUT COMMUNITY FOOD RESOURCES. THE CHW MADE 202 APPOINTMENTS WITH A PRIMARY CARE PROVIDER FOR PATIENTS. ADDITIONALLY, THE CHW PROVIDED 1,329 REFERRALS FOR SUPPORT SERVICES, INCLUDING 140 REFERRALS FOR HEALTH INSURANCE SUPPORT. ANOTHER ADVOCATE SHERMAN PROGRAM THAT PROVIDES CARE TO PATIENTS WITH CHRONIC CONDITIONS WITHIN THE COMMUNITY IS THE MOBILE INTEGRATED HEALTH (MIH) PROGRAM. THE PROGRAM GOAL IS TO IMPROVE CARE COORDINATION AND REDUCE READMISSIONS OF PATIENTS WITH CHRONIC CONDITIONS AS THEY TRANSITION FROM THE HOSPITAL TO HOME. THE MIH PARTNERSHIP BETWEEN A PHYSICIAN AND AN ON-STAFF PARAMEDIC ALLOWS OUTREACH TO PATIENTS IN THEIR HOMES WHEN THEY ARE UNABLE TO MAKE A SCHEDULED CLINIC VISIT OR WHEN SYMPTOMS ARISE THAT WOULD BENEFIT FROM AN IN-PERSON HOME ASSESSMENT. IN 2019, THERE WERE 288 PATIENTS ENROLLED IN THE MIH PROGRAM AND 180 PATIENTS SEEN. OF THE 288 PATIENTS ENROLLED IN THE MIH PROGRAM, ONLY 13 PATIENTS (SEVEN PERCENT) WERE READMITTED TO THE HOSPITAL WITHIN 30 DAYS. THE MIH PROGRAM RECEIVED THE ILLINOIS HOSPITAL ASSOCIATION QUALITY AWARD FOR INNOVATIONS IN CARE AND QUALITY IN 2019.ENVIRONMENTAL IMPROVEMENTS ADVOCATE 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:
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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Software Version:

- TIN:

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

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 SHERMAN HOSPITAL

Employer identification number
36-2167920

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) ALIGNMENT COLLABORATIVE FOR EDUCATION 1750 GRANDSTAND PLACE SUITE 5 ELGIN,IL60123	47-4377813	501(C)(3)	6,000				COMMUNITY SUPPORT
(2) UNITED WAY OF ELGIN 1750 GRANDSTAND PLACE SUITE 5 ELGIN,IL60123	36-2167052	501(C)(3)	6,000				COMMUNITY SUPPORT

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

Schedule I (Form 990) 2019

Additional Data

Software ID:
Software Version:

- TIN:

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 SHERMAN HOSPITAL

Employer identification number

36-2167920

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? ..

Yes

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)
1AZMEY MATARIEH DIRECTOR	(i) (ii)	0 ------------- 500,000	0 ------------- 232,617	0 ------------- 19	0 ------------- 22,791	0 ------------- 5,670	0 ------------- 761,097	0 ------------- 0
2KAREN LAMBERT INTERIM PRESIDENT, DIRECTOR (START 9	(i) (ii)	0 ------------- 624,814	0 ------------- 310,092	0 ------------- 197,402	0 ------------- 25,591	0 ------------- 38,811	0 ------------- 1,196,710	0 ------------- 0
3LINDA DEERING DEAN PRESIDENT, DIRECTOR (END 9/2019)	(i) (ii)	390,639 ------------- 0	254,464 ------------- 0	1,046,930 ------------- 0	31,191 ------------- 0	2,954 ------------- 0	1,726,178 ------------- 0	0 ------------- 0
4NICOLE PAULK DIRECTOR	(i) (ii)	0 ------------- 327,680	0 ------------- 98,925	0 ------------- 46,806	0 ------------- 22,791	0 ------------- 34,604	0 ------------- 530,806	0 ------------- 0
5RACHEL BAER MD DIRECTOR	(i) (ii)	0 ------------- 336,524	0 ------------- 27,079	0 ------------- 5,151	0 ------------- 22,791	0 ------------- 32,375	0 ------------- 423,920	0 ------------- 0
6RAJA CHATTERJI MD DIRECTOR	(i) (ii)	0 ------------- 369,300	0 ------------- 59,600	0 ------------- -11,473	0 ------------- 22,791	0 ------------- 36,745	0 ------------- 476,963	0 ------------- 0
7DOMINIC J NAKIS 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
8JAMES 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
9MICHAEL 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
10MIKE 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
11MICHAEL GREBE ASSISTANT SECRETARY	(i) (ii)	0 ------------- 562,400	0 ------------- 403,812	0 ------------- 392,281	0 ------------- 201,665	0 ------------- 0	0 ------------- 1,560,158	0 ------------- 70,195
12SHELLY 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
13JAMES 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
14STEVE 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
15LESLIE 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
16NAN 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
17BRUCE HYMAN VP, CMO	(i) (ii)	394,250 ------------- 0	87,687 ------------- 0	20,212 ------------- 0	25,591 ------------- 0	19,486 ------------- 0	547,226 ------------- 0	0 ------------- 0
18CHERI GOLL VP, CHIEF NURSING EXECUTIVE	(i) (ii)	251,650 ------------- 0	39,666 ------------- 0	51 ------------- 0	22,791 ------------- 0	27,266 ------------- 0	341,424 ------------- 0	0 ------------- 0
19MARY MARTINI VP, OPERATIONS	(i) (ii)	195,655 ------------- 0	34,747 ------------- 0	39,370 ------------- 0	19,758 ------------- 0	21,253 ------------- 0	310,783 ------------- 0	0 ------------- 0
20MICHAEL ROSENBERG DIRECTOR MED EM & CLINICAL DECISION	(i) (ii)	315,240 ------------- 0	0 ------------- 0	13,058 ------------- 0	22,791 ------------- 0	853 ------------- 0	351,942 ------------- 0	0 ------------- 0
21PATRICK UPLEGGER DIRECTOR PHARMACY	(i) (ii)	186,583 ------------- 0	22,032 ------------- 0	320 ------------- 0	16,677 ------------- 0	8,599 ------------- 0	234,211 ------------- 0	0 ------------- 0
22SUSAN CAMPBELL FORMER DIRECTOR	(i) (ii)	0 ------------- 0	0 ------------- 135,087	0 ------------- 272,621	0 ------------- 0	0 ------------- 7,069	0 ------------- 414,777	0 ------------- 0
23WILLIAM P SANTULLI FORMER DIRECTOR	(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
24DAMON HAVILL FORMER OFFICER	(i) (ii)	0 ------------- 288,454	0 ------------- 53,038	0 ------------- 12,735	0 ------------- 25,591	0 ------------- 25,074	0 ------------- 404,892	0 ------------- 0
25EARL J BARNES II FORMER OFFICER	(i) (ii)	0 ------------- 0	0 ------------- 181,123	0 ------------- 264,496	0 ------------- 0	0 ------------- 30,660	0 ------------- 476,279	0 ------------- 0
26JO AMICK FORMER OFFICER	(i) (ii)	0 ------------- 189,623	0 ------------- 31,113	0 ------------- 4,296	0 ------------- 19,292	0 ------------- 7,095	0 ------------- 251,419	0 ------------- 0
27KEVIN FITCH FORMER OFFICER	(i) (ii)	0 ------------- 261,281	0 ------------- 54,555	0 ------------- 10,918	0 ------------- 25,487	0 ------------- 19,756	0 ------------- 371,997	0 ------------- 0
28MARY KANE FORMER OFFICER	(i) (ii)	0 ------------- 232,976	0 ------------- 96,069	0 ------------- 161,585	0 ------------- 22,543	0 ------------- 35,573	0 ------------- 548,746	0 ------------- 0
29MELISSA O'NEIL FORMER OFFICER	(i) (ii)	0 ------------- 234,788	0 ------------- 40,494	0 ------------- 7,111	0 ------------- 24,898	0 ------------- 9,772	0 ------------- 317,063	0 ------------- 0
30PEG STONE FORMER OFFICER	(i) (ii)	0 ------------- 181,450	0 ------------- 36,340	0 ------------- 1,991	0 ------------- 14,539	0 ------------- 7,381	0 ------------- 241,701	0 ------------- 0
31JOAN KANUTE FORMER HCE-DIRECTOR SERVICE EXCEL &	(i) (ii)	164,080 ------------- 0	16,466 ------------- 0	2,307 ------------- 0	14,111 ------------- 0	11,339 ------------- 0	208,303 ------------- 0	0 ------------- 0
32KARA AALFS FOREMER HCE-DIRECTOR PERIOP & CV SVC	(i) (ii)	184,336 ------------- 0	18,294 ------------- 0	1,978 ------------- 0	13,145 ------------- 0	1,038 ------------- 0	218,791 ------------- 0	0 ------------- 0
33PAUL DRAHOS FORMER HCE-MGR PHARMACY	(i) (ii)	171,235 ------------- 0	13,280 ------------- 0	-435 ------------- 0	14,397 ------------- 0	13,041 ------------- 0	211,518 ------------- 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	FREDERICK E. RAJAN RECEIVED A HOUSING ALLOWANCE IN THE AMOUNT OF $60,000.
SCHEDULE J, PART I, LINE 4A	EARL J. BARNES II, FORMER ASSISTANT SECRETARY, RECEIVED A SERVERANCE PAYMENT IN THE AMOUNT OF $275,000. SUSAN CAMPBELL, FORMER DIRECTOR, RECEIVED A SEVERANCE PAYMENT IN THE AMOUNT OF $275,000. MARY B. KANE, FORMER VICE PRESIDENT, NURSING FORMATICS RECEIVED A SEVERANCE PAYMENT IN THE AMOUNT OF $87,347. MARY M. MARTINI, FORMER VICE PRESIDENT, OPERATIONS RECEIVED A SEVERANCE PAYMENT IN THE AMOUNT OF $44,547. 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: LINDA J. DEERING DEAN $69,608, KAREN A. LAMBERT $62,745, DOMINIC NAKIS $107,256, AND WILLIAM P. SANTULLI $160,864.
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:
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Schedule L
(Form 990 or 990-EZ)

Department of the Treasury
Internal Revenue Service

Transactions with Interested Persons

Complete if the organization answered "Yes" on Form 990, Part IV, lines 25a, 25b, 26, 27, 28a, 28b, or 28c, or Form 990-EZ, Part V, line 38a or 40b.
MediumBullet

Attach to Form 990 or Form 990-EZ.
MediumBullet

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 SHERMAN HOSPITAL

Employer identification number

36-2167920

Part I

Excess Benefit Transactions (section 501(c)(3), section 501(c)(4), and section 501(c)(29) organizations only).
Complete if the organization answered "Yes" on Form 990, Part IV, line 25a or 25b, or Form 990-EZ, Part V, line 40b.

1(a) Name of disqualified person	(c) Description of transaction	(d) Corrected?
1(a) Name of disqualified person	(c) Description of transaction	Yes	No

Enter the amount of tax incurred by the organization managers or disqualified persons during the year under section 4958. ........................... Bullet Image

Enter the amount of tax, if any, on line 2, above, reimbursed by the organization ........ Bullet Image

Part II

Loans to and/or From Interested Persons.
Complete if the organization answered "Yes" on Form 990-EZ, Part V, line 38a, or Form 990, Part IV, line 26; or if the organization reported an amount on Form 990, Part X, line 5, 6, or 22

(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	(d) Loan to or from the organization?		(e) Original principal amount	(f) Balance due	(g) In default?		(h) Approved by board or committee?		(i) Written agreement?
(a) Name of interested person	(b) Relationship with organization	(c) Purpose of loan	To	From	(e) Original principal amount	(f) Balance due	Yes	No	Yes	No	Yes	No






Total ............... $

Part III

Grants or Assistance Benefiting Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 27.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of assistance	(d) Type of assistance	(e) Purpose of assistance

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

Cat. No. 50056A

Schedule L (Form 990 or 990-EZ) 2019

Page 2

Part IV

Business Transactions Involving Interested Persons.
Complete if the organization answered "Yes" on Form 990, Part IV, line 28a, 28b, or 28c.

(a) Name of interested person	(b) Relationship between interested person and the organization	(c) Amount of transaction	(d) Description of transaction	(e) Sharing of organization's revenues?
(a) Name of interested person		(c) Amount of transaction	(d) Description of transaction	Yes	No
(1) KELLY DEERING	FAMILY MEMBER - LINDA DEERING	68,944	EMPLOYMENT		No

Part V

Supplemental Information
Provide additional information for responses to questions on Schedule L (see instructions).

Return Reference	Explanation

Schedule L (Form 990 or 990-EZ) 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 SHERMAN HOSPITAL

Employer identification number

36-2167920

Return Reference	Explanation
FORM 990, PART III, LINE 4D, PROGRAM SERVICE ACCOMPLISHMENTS CONTINUED:	1. ACCESS/PRIMARY MEDICAL HOMES. ADVOCATE SHERMAN 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 HOSPITAL SERVES. SOME EXAMPLES OF SUCH PROGRAMS PROVIDED BY ADVOCATE SHERMAN INCLUDE THE FOLLOWING. MOBILE INTEGRATED HEALTH (MIH). TO IMPROVE THE CARE COORDINATION AND REDUCE READMISSIONS OF THE CHRONICALLY ILL PATIENTS AT ADVOCATE SHERMAN AS THEY TRANSITION FROM HOSPITAL TO HOME, A HOSPITAL-BASED MIH SYSTEM HAS BEEN CREATED. NATIONAL DATA SHOWS THAT MOBILE CARE HELPS PREVENT HOSPITAL READMISSIONS, ESPECIALLY IN AREAS WHERE PEOPLE HAVE LIMITED ACCESS TO HEALTH CARE AND TRADITIONAL HOME HEALTH SERVICES ARE RESTRICTED DUE TO A VARIETY OF REASONS. THE MIH PARTNERSHIP BETWEEN A PHYSICIAN AND AN ON-STAFF PARAMEDIC, ALLOWS OUTREACH TO PATIENTS IN THEIR HOMES WHEN THE PATIENT IS UNABLE TO MAKE A SCHEDULED CLINIC VISIT OR WHEN SYMPTOMS/CONDITIONS ARISE THAT WOULD BENEFIT FROM AN IN-PERSON HOME ASSESSMENT WITH COMMUNICATION BACK TO THE PHYSICIAN TO DETERMINE THE PLAN OF CARE. ADDITIONALLY IN 2018, THE STATE OF ILLINOIS APPROVED THE ADDITION OF PROVIDING IV MEDICATIONS FOR HEART FAILURE PATIENTS THAT HAVE FLUID RETENTION. ANOTHER ADDITION WAS THE ABILITY TO SEE CANCER CARE PATIENTS FOR SYMPTOM MANAGEMENT. IN 2019, THERE WERE 288 PATIENTS ENROLLED IN THE PROGRAM (72 HEART FAILURE, 68 CHRONIC OBSTRUCTIVE PULMONARY DISEASECOPD, 52 DIABETES, 10 ASTHMA, 13 POST MI, 32 PNEUMONIA AND 41 CANCER CARE). OF THE 196 PATIENTS ENROLLED, THERE WERE ONLY 13 PATIENTS THAT WERE READMITTED TO THE HOSPITAL WITHIN 30 DAYS. IN 2019, THERE WAS A REDUCTION OF FIFTY-EIGHT PERCENT IN HOSPITAL ADMISSIONS AND A REDUCTION OF THIRTY-FIVE PERCENT IN EMERGENCY DEPARTMENT VISITS FOR THESE ENROLLED MIH PATIENTS, WITH A TOTAL OF $3,848,918 IN ESTIMATED COST AVOIDANCE. COMMUNITY HEALTH WORKERS (CHW) PROGRAM. IN JANUARY 2018, ADVOCATE SHERMAN IMPLEMENTED A NEW ACCESS TO C ARE COMMUNITY HEALTH WORKER (CHW) PROGRAM TO LINK PATIENTS TO A PRIMARY CARE PROVIDER. THE CHW WORKS FULL-TIME IN THE EMERGENCY DEPARTMENT TO MEET WITH PATIENTS C OMING IN FOR CARE FOR LOW-ACUITY REASONS AND EDUCATES THEM ON OTHER OPERTIONS FOR CARE, SUCH AS THE ADVOCATE IMMEDIATE CARE CENTERS, WALGREENS CLINICS AND OTHER RETAIL-BASED CLINICS. THE CHW ALSO EDUCATES PATIENTS ON THEIR INSURANCE ENROLLMENT AND LINKS THEM TO A PCP OR A FQHC FOR ONGOING CARE IF THEY DO NOT HAVE A MEDICAL HOME. IN 2019, THE CHW SAW 636 PATIENTS IN THE ADVOCATE SHERMAN ED. A TOTAL OF 8 PATIENTS (TWO PERCENT) OF THE 466 PATIENTS SCREENED FOR FOOD INSECURITY WERE FOOD INSECURE AND RECEIVED INFORMATION ABOUT COMMUNITY FOOD RESOURCES. THE CHW MADE 202 APPOINTMENTS WITH A PRIMARY CARE PROVIDER FOR PATIENTS. ADDITIONALLY, THE CHW PROVIDED 1,329 REFERRALS FOR SUPPORT SERVICES, INCLUDING 140 REFERRALS FOR HEALTH INSURANCE SUPPORT. BREAST CANCER PREVENTION FOCUSED ON LOW-INCOME HISPANIC WOMEN. TO DECREASE THE ELEVATED INCIDENCE OF BREAST CANCER IN ELGIN'S LOW-INCOME HISPANIC FEMALE POPULATION, THE HOSPITAL HAS PARTNERED WITH THE WOMEN'S ORGANIZATION FOR WELLNESS (WOW) TO PROVIDE BREAST CANCER SCREENINGS, PREVENTION EDUCATION AND OUTREACH. THE HOSPITAL'S AUXILIARY HAS BEEN PROVIDING ANNUAL FUNDING TO WOW TO PAY FOR WOMEN TO RECEIVE FREE MAMMOGRAMS. WOW DISTRIBUTES A VOUCHER TO THE PATIENT AT HEALTH EVENTS, PHYSICIAN OFFICES, OR THROUGH THE GREATER ELGIN FAMILY CARE CENTER OR VNA HEALTH CARE, BOTH OF WHICH ARE A FQHC. IN 2019, WOW PROCESSED 57 SCREENING MAMMOGRAMS, 3 DIAGNOSTIC MAMMOGRAMS AND 2 ULTRASOUNDS, FOR A TOTAL OF 61 MAMMOGRAMS COMPLETED. DURING THIS TIME, NO CANCERS WERE DETECTED. COMMUNITY-BASED HISPANIC COUNCIL. DIABETES IS ONE OF THE MOST COSTLY AND HIGHLY PREVALENT CHRONIC DISEASES IN THE U.S.AFFECTING NEARLY 20 PERCENT OF LATINO MEN AND WOMEN. THIS IS EVIDENT IN THE HIGH RATES OF ER AND HOSPITALIZATIONS FOR DIABETES-RELATED COMPLICATIONS IN ADVOCATE SHERMAN'S SERVICE AREA. TO COMBAT THIS EPIDEMIC, ADVOCATE SHERMAN HAS ESTABLISHED A CROSS-SECTOR, COMMUNITY-BASED HISPANIC COUNCIL TO ADVISE ON THE DEVELOPMENT OF A DIABETES PROGRAM FOR THE LATINO COMMUNITY. IN 2019, THE PROGRAM SCREENED 466 INDIVIDUALS AT 18 EVENTS THROUGHOUT ELGIN AND CARPENTERSVILLE. TWO HEMOGLOBIN A1C MACHINES WERE PURCHASED FOR USE IN SCREENING FOR DIABETES IN THE COMMUNITY. TRAINING AND IMPLEMENTATION OF THE A1C MACHINES IS PLANNED FOR EARLY 2020. 2. ACCESS/BEHAVIORAL HEALTH SERVICESADVOCATE SHERMAN IS ALSO FOCUSED ON IMPROVING THE CONTINUUM OF CARE FOR THE BENEFIT OF MENTAL HEALTH AND BEHAVIORAL HEALTH PATIENTS. AN EXAMPLE FOR THIS FOCUS AREA FOLLOWS. IN 2019, ADVOCATE SHERMAN BEGAN PLANNING WITH GATEWAY FOUNDATION, A SUBSTANCE USE TREATEMENT PROVIDER, TO IMPLEMENT THE WARM HANDOFF PROGRAM IN THE EMERGENCY DEPARTMENT. THE PROGRAM WILL INTEGRATE AN ENGAGEMENT SPECIALIST EMPLOYED BY GATEWAY INTO THE ED TEAM AT ADVOCATE SHERMAN. ED STAFF WILL REFER PATIENTS WITH OPIOID USE DISORDER TO BE ASSESSED BY THE ENGAGEMENT SPECIALIST FOR SUBSTANCE USE AND THEN THE PATIENT IS COUNSELED AND ASSISTED TO START SUBSTANCE USE TREATMENT IN THE COMMUNITY. IN 2019, ADVOCATE SHERMAN ALSO CONTINUED ITS LONG-STANDING PARTNERSHIP WITH THE ECKER CENTER, WHICH PROVIDES ONSITE STAFF AT ADVOCATE SHERMAN TO ASSESS PATIENTS IN THE ED WHO ARE BEING SEEN FOR MENTAL HEALTH REASONS. MISSION & SPIRITUAL CARE PARTNERSHIPS ADVOCATE SHERMAN'S MISSION AND SPIRITUAL CARE OFFICE DEVELOPS PARTNERSHIPS WITH COMMUNITIES AND CONGREGATIONS TO HELP ADDRESS LOCAL HEALTH CARE NEEDS AND PROVIDES HEALTH EDUCATION ON TOPICS SUCH AS DIABETES AND MENTAL HEALTH. THE HOSPITAL'S CLINICAL CHAPLAINS ALSO PROVIDE SUPPORT AND SERVICES 24 HOURS EACH DAY TO THE INDIVIDUALS AND FAMILIES SERVED BY ADVOCATE SHERMAN. 3. WORKFORCE DEVELOPMENTBELIEVEING THAT MANY COMMUNITY HEALTH ISSUES ARE DRIVEN BY SOCIAL DETERMINANTS OF HEALTH, THE HOSPITAL HAS FORMED NON-TRADITIONAL PARTNERSHIPS WITH KEY STAKEHOLDERS, SUCH AS AN AREA LIBRARY, SCHOOL DISTRICTS AND SOCIAL SERVICE ORGANIZATIONS, FOCUSED ON IMPROVING THE QUALITY OF LIFE AND HEALTH OF RESIDENTS. THE HOSPITAL ALSO PROMOTES THE TRAINING OF FUTURE HEALTH CARE PROFESSIONALS WORKING TOWARDS DEGREES IN MANY DISCIPLINES. EXAMPLES OF PROGRAMS ARE PROVIDED BELOW. PROMOTING READING AND LITERACY. ADVOCATE SHERMAN HAS BEEN WORKING TO IMPROVE LITERACY IN THE COMMUNITY. LOW LITERACY IS ASSOCIATED WITH POOR HEALTH, QUALITY OF LIFE AND ECONOMIC OPPORTUNITY. TO SET ELGIN FAMILIES ON COURSE FOR A HEALTHY LIFE, ADVOCATE SHERMAN HAS PARTNERED WITH THE GAIL BORDEN PUBLIC LIBRARY, UNITED WAY OF ELGIN AND SCHOOL DISTRICT U-46 FOR THE "WELCOME BABY" INITIATIVE, WHICH PROMOTES LITERACY AND EARLY READING OPPORTUNITIES. THROUGH THIS INITIATIVE, ALL NEWBORNS LIVING WITHIN THE GAIL BORDEN DISTRICT RECEIVE A LIBRARY CARD AND PARENTS ARE INVITED TO A "BABY'S FIRST LIBRARY VISIT," WHERE THEY CAN CHECK OUT "BABY BUNDLES" BOOKS AND PARTICIPATE IN LITERACY CLASSES IN ENGLISH OR SPANISH. IN 2019, 350 BABIES RECEIVED LIBRARY CARDS. FAMILIES ARE ALSO ENROLLED IN UNITED WAY OF ELGIN'S DOLLY PARTON IMAGINATION LIBRARY PROGRAM, WHICH SENDS A BOOK A MONTH TO CHILDREN FROM BIRTH THROUGH THE AGE FIVE. WORKFORCE DEVELOPMENT. IN 2019, ADVOCATE SHERMAN CONTINUED ITS PARTNERSHIP WITH ELGIN COMMUNITY COLLEGE, THE YWCA OF ELGIN AND SCHOOL DISTRICT U-46, INCLUDING PARTICIPATION IN THE DISTRICT U-46 CAREER FAIR AND ADVISING STUDENTS ON HOW TO PREPARE FOR HEALTH CARE CAREER OPPORTUNITIES. PROVISION OF NURSING EDUCATION AND OTHER MEDICAL PROFESSIONALS EDUCATION. AS INDICATED UNDER PART III, LINE B, ADVOCATE SHERMAN STAFF DEVOTED THEIR TIME TO DEVELOPING PROFICIENCY AND EXCELLENCE IN NURSING STUDENTS SENT TO THE HOSPITAL FROM FIVE AREA COLLEGES AND UNIVERSITIES. THE HOSPITAL'S REGISTERED NURSES SUPERVISED AND TAUGHT 318 UNDERGRADUATE NURSING STUDENTS AT A COST OF NEARLY $1.3 MILLION TO THE HOSPITAL IN 2019. ADVOCATE SHERMAN STAFF TRAIN STUDENTS FROM AREA COLLEGES AND UNIVERSITIES IN MULTIPLE OTHER CLINICAL AREAS AS WELL INCLUDING, BUT NOT LIMITED TO, PHYSICAL, OCCUPATIONAL, SPEECH AND REHABILITATION THERAPY, ULTRASOUND, MAMMOGRAPHY, PHARMACY, LABORATORY, AS WELL AS DIETARY AND HEALTH INFORMATION MANAGEMENT. TRAINING OF GREATER ELGIN EMS. ADVOCATE SHERMAN'S FULL-TIME PARAMEDIC INSTRUCTOR AND FULL-TIME EMS CONTINUING EDUCATION COORDINATOR TRAIN ALL NEW REGION 9 PARAMEDICS AND ALL EXISTING GREATER ELGIN EMS PERSONNEL IN EMS REGION 9.
FORM 990, PART VI, SECTION A, LINE 2	FAMILY RELATIONSHIP BETWEEN INTERESTED PERSON KELLY DEERING AND ORGANIZATION: FAMILY MEMBER LINDA DEERING
FORM 990, PART VI, SECTION A, LINE 6	CORPORATE MEMBER THE BYLAWS PROVIDE FOR ADVOCATE HEALTH CARE NETWORK AS THE SOLE CORPORATE MEMBER.
FORM 990, PART VI, SECTION A, LINE 7A	POWER TO ELECT OTHER MEMBERS ADVOCATE SHERMAN HOSPITAL HAS A SOLE CORPORATE MEMBER, ADVOCATE HEALTH CARE NETWORK, WHO ELECTS ITS DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 7B	GOVERNANCE DECISIONS THE FOLLOWING REQUIRE A RECOMMENDATION INITIATED BY THE BOARD OF DIRECTORS AND THE SUBSEQUENT APPROVAL BY THE CORPORATE MEMBER, ADVOCATE HEALTH CARE NETWORK, TO BE VALID: A) APPOINTMENT OF THE MEMBERS OF THE BOARD OR ITS AFFILIATES, OTHER THAN THE EX OFFICIO DIRECTORS; B) AMENDMENT OF THE ARTICLES OF INCORPORATION OF THE CORPORATION OR ITS AFFILIATES; C) AMENDMENT OF THE BYLAWS OF THE CORPORATION OR ITS AFFILIATES; D) IMPLEMENTATION OF ANY CHANGE TO THE STRUCTURE OR OPERATION OF THE CORPORATION OR ITS AFFILIATES THAT COULD AFFECT THE CORPORATION'S OR ANY AFFILIATE'S TAX-EXEMPT STATUS; E) ADOPTION OF A STRATEGIC PLAN; F) APPROVAL OF THE CORPORATION'S OR ANY AFFILIATE'S ANNUAL CAPITAL PLAN; G) APPROVAL OF THE CORPORATION'S OR ANY AFFILIATE'S ANNUAL OPERATING BUDGET; H) TRANSFER OR ENCUMBRANCE OF ANY OF THE CORPORATION'S OR ANY AFFILIATE'S ASSETS BY PURCHASE, SALE, CAPITAL LEASE, MORTGAGE, DISPOSITION OR HYPOTHECATION IN EXCESS OF LIMITS ESTABLISHED BY THE CORPORATE MEMBER'S FINANCIAL APPROVAL POLICY; I) FILING OF A CERTIFICATE OF NEED OR EXEMPTION APPLICATION (OR ANY AMENDMENT THERETO) BY THE CORPORATION OR ANY AFFILIATE; J) DISSOLVING OR WINDING-UP THE CORPORATION, OR AN AFFILIATE, OR ABANDONING AN ENTIRE BUSINESS ENTERPRISE THEREOF; K) FILING ANY ACTION IN BANKRUPTCY OR RECEIVERSHIP REGARDING THE CORPORATION OR ANY AFFILIATE; L) THE SALE OR TRANSFER OF ANY MEMBER INTEREST, STOCK, OR OTHER OWNERSHIP INTEREST IN ANY AFFILIATE OF THE CORPORATION; M) THE MERGER OR CONSOLIDATION OF THE CORPORATION OR ANY AFFILIATE, OR THE FORMATION OF ANY PARTNERSHIP, CO-SPONSORSHIP ARRANGEMENT OR JOINT VENTURE BETWEEN OR AMONG THE CORPORATION OR ANY AFFILIATE AND ANY THIRD PARTY; N) ADOPTION OR AMENDMENT OF ANY POLICY, PROTOCOL OR PROCEDURE THAT IS INCONSISTENT WITH ONE OR MORE OF THE CORPORATE MEMBER'S SYSTEM-WIDE POLICIES, PROTOCOLS OR PROCEDURES OR THE CORPORATE MEMBER'S ARTICLES OF INCORPORATION AND/OR BYLAWS; PROVIDED, HOWEVER, THAT THIS COLLABORATIVE AUTHORITY DOES NOT ABROGATE THE POWER OF THE BOARD TO ADOPT POLICIES, PROTOCOLS AND/OR PROCEDURES FOR WHICH NO SYSTEM-WIDE POLICY, PROTOCOL OR PROCEDURE EXISTS AND THAT ARE RELATED SOLELY TO THE INTERNAL OPERATIONS OF THE CORPORATION AND/OR ANY OF ITS AFFILIATES; AND O) APPOINTMENT OF THE CORPORATION'S OFFICERS IDENTIFIED IN SECTION 6.2 OF THE CORPORATION'S BYLAWS. THE CORPORATE MEMBER MAY TAKE THE FOLLOWING ACTIONS WITHOUT THE APPROVAL OR RECOMMENDATION OF THE BOARD OF DIRECTORS: A) REMOVAL OF ANY OF THE MEMBERS OF THE BOARD "FOR CAUSE" IN ACCORDANCE WITH SECTION 3.15 OF THE CORPORATION'S BYLAWS; B) THE INCURRENCE OR MODIFICATION OF SHORT OR LONG-TERM DEBT AND LEASE OBLIGATIONS; C) APPOINTMENT OR REMOVAL OF THE CORPORATION'S PRESIDENT OR CHIEF FINANCIAL OFFICER ("CFO"); D) ADOPTION OF AN ANNUAL CAPITAL PLAN FOR THE CORPORATION, BUT ONLY AFTER THE CORPORATE MEMBER HAS MADE A GOOD FAITH DETERMINATION THAT THE BOARD HAS NOT RECOMMENDED AN ACCEPTABLE ANNUAL CAPITAL PLAN IN A TIMELY MANNER; AND E) ADOPTION OF AN ANNUAL OPERATING BUDGET FOR THE CORPORATION, BUT ONLY AFTER THE CORPORATE MEMBER HAS MADE A GOOD FAITH DETERMINATION THAT THE BOARD HAS NOT RECOMMENDED AN ACCEPTABLE ANNUAL OPERATING BUDGET IN A TIMELY MANNER.
FORM 990, PART VI, SECTION B, LINE 11B	TAX PREPARATION AND REVIEW PROCESS 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. 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	CONFLICT OF INTEREST POLICY 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 THE COMPLIANCE DEPARTMENT WITH A DISCLOSURE STATEMENT, 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, AND 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	EXECUTIVE COMPENSATION EXECUTIVE COMPENSATION AT ADVOCATE HEALTH CARE NETWORK AND SUBSIDIARIES IS BASED ON A BOARD-APPROVED STRATEGY THAT GUIDES THE CORPORATION IN ESTABLISHING COMPENSATION OPPORTUNITIES FOR EXECUTIVES, MANAGERS, PROFESSIONALS AND EMPLOYEES. IN THIS STRATEGY, SPECIFIC MARKET COMPENSATIONS 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 ONGOING REVIEW OF THE PERFORMANCE OF THE ORGANIZATION, AND - ACTIVE REVIEW AND AUDITING OF COMPENSATION BY EXTERNAL INDEPENDENT CONSULTANTS.
FORM 990, PART VI, SECTION C, LINE 19	AVAILABILITY OF DOCUMENTS, CONFLICT OF INTEREST POLICY & FINANCIAL STATEMENTS THE ORGANIZATION MAKES ITS FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC THROUGH THE FOLLOWING WEBSITES: - DACBOND.COM (DIGITAL ASSURANCE CERTIFICATION LLC) - EMMA.MSRB.ORG (ELECTRONIC MUNICIPAL MARKET ACCESS) THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS OR CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC.
FORM 990, PART XI, LINE 9:	BOOK/TAX DIFFERENCE RELATED TO JOINT VENTURES 737,254.
FORM 990, PART III, LINE 4D, PROGRAM SERVICE ACCOMPLISHMENTS CONTINUED:	4. COMMUNITY SAFETYTHE HOSPITAL ALSO WORKS WITH COMMUNITY PARTNERS TO ADDRESS COMMUNITY SAFETYA SOCIAL DETERMINANT OF HEALTH. SOME EXAMPLES ARE PROVIDED BELOW. REGION 9 EMERGENCY MEDICAL SERVICES. AS BRIEFLY MENTIONED EARLIER, THE GREATER ELGIN AREA EMS SYSTEM IS OPERATED OUT OF ADVOCATE SHERMAN. ALL NEW PARAMEDICS COMPLETE TRAINING AT ADVOCATE SHERMAN AND ALL EXISTING GREATER ELGIN EMS PERSONNEL COMPLETE THEIR CONTINUING EDUCATION AT THE HOSPITAL. EMS STAFF ARE TRAINED BY A FULL-TIME PARAMEDIC INSTRUCTOR AND A FULL-TIME EMS CONTINUING EDUCATION COORDINATOR WHO ARE EMPLOYED BY THE HOSPITAL. ADVOCATE SHERMAN ALSO COLLABORATES WITH EMERGENCY MEDICAL SERVICE PROVIDERS TO SHARE BEST PRACTICE INFORMATION THROUGHOUT ILLINOIS DEPARTMENT OF PUBLIC HEALTH (IDPH) DESIGNATED REGION 9. 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 SHERMAN 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 ARE EXAMPLES OF THE HOSPITAL'S EFFORTS TO ADDRESS THIS SDOH. ADVOCATE SHERMAN IS NOT CURRENTLY ENGAGED IN WORK RELATED TO HOUSING. 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 SHERMAN IS INVOLVED WITH MULTIPLE LOCAL COMMUNITY PARTNERS TO DEVELOP SUSTAINABLE FOOD INITIATIVES TO ADDRESS FOOD INSECURITY. EXAMPLES OF THESE INITIATIVES ARE PROVIDED BELOW. FOOD SECURITY. IN 2018, ADVOCATE SHERMAN, AS PART OF EFFORTS TO ADDRESS OBESIY AND OBESITY-RELATED DISEASES, DEVELOPED A PROCESS TO PROVIDE EXCESS PRODUCE FROM THE ON-SITE COMMUNITY GARDEN TO HOSPITAL DIABETES CENTER PATIENTS FOR THOSE PATIENTS WHO ARE IDENTIFIED AS FOOD INSECURE BASED ON THE HUNGER VITAL SIGN QUESTIONNAIRE SCREENING. DISTRIBUTION OF FRESH PRODUCE FROM THE GARDEN TO DIABETES CENTER PATIENTS BEGAN IN MARCH 2018. ADDITIONALLY, THE HOSPITAL INITIATED A NEW PARTNERSHIP WITH THE ELGIN COMMUNITY COLLEGE (ECC) STUDENT FOOD PANTRY. ECC STUDENTS WERE ASSIGNED GARDEN PLOTS AT THE ADVOCATE SHERMAN COMMUNITY GARDEN AND THE PRODUCE THAT WAS HARVESTED WAS PROVIDED TO THE STUDENT FOOD PANTRY. IN THE 2019 GARDEN SEASON, 376 TOTAL POUNDS OF PRODUCE WAS PROVIDED TO THE PATIENTS IN THE DIABETES CENTER, AS WELL AS TO THE ECC STUDENT FOOD PANTRY. AS IDENTIFIED IN THE ADVOCATE SHERMAN CHNA, TWENTY-TWO PERCENT OF THE POPULATION HAS LOW FOOD ACCESS IN KANE COUNTY. THIS IS THE PERCENT OF THE POPULATION LIVING IN DESIGNATED FOOD DESERTS. IN 2018, ADVOCATE SHERMAN BEGAN DEVELOPING A FOOD INSECURITY (FI) SCREENING INITIATIVE. USING THE HUNGER VITAL SIGN SCREENING TOOL, INDIVIDUALS IN THE DIABETES CENTER AND ENROLLED PARTICIPANTS OF THE MOBILE INTEGRATED HEALTH PROGRAM WERE SCREENED AND REFERRED TO AREA FOOD PANTRIES, CONGREGATE MEAL PROGRAMS OR THE SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP). IN 2019 THE HOSPITAL UPDATED THE PUBLISHED AND COMPREHENSIVE FOOD AND NUTRITION RESOURCE GUIDE CONTAINING AREA RESOURCES IN BOTH ENGLISH AND SPANISH. IN MARCH 2019, 284 INDIVIDUALS WERE SCREENED, OF WHICH 28 PERCENT SCREENED AS BEING FOOD INSECURE (AS COMPARED TO SEVEN PERCENT OVERALL RATE FOR KANE COUNTY). THE AREAS WITH THE HIGHEST RATE OF CONCERN FOR FOOD INSECURITY AMONG THOSE PATIENTS SCREENED WAS ELGIN (42 PERCENT) AND CARPENTERSVILLE (16 PERCENT). BABY-FRIENDLY HOSPITAL ADVOCATE SHERMAN ACHIEVED RECOGNITION AS A BABY FRIENDLY HOSPITAL IN 2016 AND MAINTAINS THIS RECOGNITION IN 2019. THE CORE COMPONENTS OF THE BABY-FRIENDLY HOSPITAL INITIATIVE (BFHI) ARE THE UNICEF/WHO TEN STEPS TO SUCCESSFUL BREASTFEEDING, WHICH ARE DESIGNED TO FACILITATE THE ROLE OF THE BIRTHING FACILITY IN PROVIDING WOMEN THE INFORMATION, CARE PRACTICES AND OPPORTUNITY TO BREASTFEED, REGARDLESS OF THE METHOD OF BIRTH. NATIONAL HEALTHY PEOPLE 2020 OBJECTIVES TO INCREASE AND EXTEND BREASTFEEDING ARE ALIGNED WITH THIS INITIATIVE.

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:

- TIN:

SCHEDULE R
(Form 990)

Department of the Treasury
Internal Revenue Service

Related Organizations and Unrelated Partnerships

Complete if the organization answered "Yes" on Form 990, Part IV, line 33, 34, 35b, 36, or 37.
MediumBullet

Attach to Form 990.
MediumBullet

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 SHERMAN HOSPITAL

Employer identification number

36-2167920

Part I

Identification of Disregarded Entities. Complete if the organization answered "Yes" on Form 990, Part IV, line 33.

(a) Name, address, and EIN (if applicable) of disregarded entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Total income	(e) End-of-year assets	(f) Direct controlling entity

Part II

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

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Exempt Code section	(e) Public charity status (if section 501(c)(3))	(f) Direct controlling entity	(g) Section 512(b)(13) controlled entity?
(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 CARE NETWORK 3075 HIGHLAND PARKWAY STE 600 DOWNERS GROVE,IL60515 36-2167779	PARENT CORP	IL	501(C)(3)	LINE 12C, III-FI	N/A		No
(2)ADVOCATE CONDELL MEDICAL CENTER 3075 HIGHLAND PARKWAY STE 600 DOWNERS GROVE,IL60515 26-2525968	HEALTH CARE	IL	501(C)(3)	LINE 3	AHHC		No
(3)ADVOCATE NORTH SIDE HEALTH NETWORK 3075 HIGHLAND PARKWAY STE 600 DOWNERS GROVE,IL60515 36-3196629	HEALTH CARE	IL	501(C)(3)	LINE 3	AHHC		No
(4)ADVOCATE HEALTH & HOSPITALS CORPORATION 3075 HIGHLAND PARKWAY STE 600 DOWNERS GROVE,IL60515 36-2169147	HEALTH CARE	IL	501(C)(3)	LINE 3	AHCN		No
(5)ADVOCATE CHARITABLE FOUNDATION 3075 HIGHLAND PARKWAY STE 600 DOWNERS GROVE,IL60515 36-3297360	FUNDRAISING	IL	501(C)(3)	LINE 7	AHCN		No
(6)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
(7)MERIDIAN HOSPICE 3075 HIGHLAND PARKWAY STE 600 DOWNERS GROVE,IL60515 36-3158667	HOSPICE CARE	IL	501(C)(3)	LINE 10	EHSHHCS		No
(8)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
(9)SHERMAN WEST COURT 3075 HIGHLAND PARKWAY STE 600 DOWNERS GROVE,IL60515 36-3725580	NURSING CARE	IL	501(C)(3)	LINE 10	ASH	Yes
(10)ADVOCATE AURORA HEALTH INC 3075 HIGHLAND PARKWAY STE 600 DOWNERS GROVE,IL60515 82-4184596	SUPPORT ORG	DE	501(C)(3)	LINE 12D, III-O	N/A	Yes

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

Cat. No. 50135Y

Schedule R (Form 990) 2019

Page 2

Part III

Identification of Related Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, because it had one or more related organizations treated as a partnership during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(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

Part IV

Identification of Related Organizations Taxable as a Corporation or Trust. Complete if the organization answered "Yes" on Form 990, Part IV, line 34 because it had one or more related organizations treated as a corporation or trust during the tax year.

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(i) 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) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	Yes	No
(1) ADVOCATE HOME CARE PRODUCTS 3075 HIGHLAND PARKWAY SUITE 600 DOWNERS GROVE,IL60515 36-3315416	HEALTH SERVICES	IL	N/A	C				No
(2) EVANGELICAL SERVICES CORPORATION 3075 HIGHLAND PARKWAY SUITE 600 DOWNERS GROVE,IL60515 36-3208101	MGMT SERVICES	IL	N/A	C				No
(3) HIGH TECHNOLOGY INC 3075 HIGHLAND PARKWAY SUITE 600 DOWNERS GROVE,IL60515 36-3368224	MEDICAL SERVICES	IL	N/A	C				No
(4) DREYER CLINIC INC 3075 HIGHLAND PARKWAY SUITE 600 DOWNERS GROVE,IL60515 36-2690329	MEDICAL SERVICES	IL	N/A	C				No
(5) BROMENN PHYSICIAN MANAGEMENT CORPORATION 3075 HIGHLAND PARKWAY SUITE 600 DOWNERS GROVE,IL60515 37-1313150	MEDICAL SERVICES	IL	N/A	C				No
(6) PARKSIDE CENTER CONDO ASSOCIATION 1775 WEST DEMPSTER STREET PARK RIDGE,IL60068 36-3452486	PROPERTY MGMT	IL	N/A	C				No
(7) THE DELPHI GROUP IV INC 1425 N RANDALL ROAD ELGIN,IL60123 36-4017279	HEALTH COST MGT	IL	N/A	C				No
(8) ADVOCATE HPN NFP 3075 HIGHLAND PARKWAY SUITE 600 DOWNERS GROVE,IL60515 81-0893878	HEALTH IMPRV	IL	N/A	C				No
(9) ADVOCATE INSURANCE SPC 878 W BAY RD PO BOX 1159 GRAND CAYMAN KY1-1102 CJ 98-0422925	INSURANCE	CJ	N/A	C				No
(10) ADVOCATE HEALTH PARTNERS 1701 WEST GOLF ROAD ROLLING MEADOWS,IL60008 36-4032117	HEALTH CARE MGT	IL	N/A	C				No
(11) ADVOCATE PHYSICIAN PARTNERS ACCTBLE CARE 1701 WEST GOLF ROAD ROLLING MEADOWS,IL60008 45-5498384	HEALTH CARE MGT	IL	N/A	C				No
(12) ADVOCATE PHYSICIAN PTNRS RISK PURC GROUP 1701 WEST GOLF ROAD ROLLING MEADOWS,IL60008 38-3914173	GROUP MALPRACTICE	IL	N/A	C				No

Schedule R (Form 990) 2019

Page 3

Part V

Transactions With Related Organizations. Complete if the organization answered "Yes" on Form 990, Part IV, line 34, 35b, or 36.

Note. Complete line 1 if any entity is listed in Parts II, III, or IV of this schedule.

Yes

1 During the tax year, did the orgranization engage in any of the following transactions with one or more related organizations listed in Parts II-IV?

a Receipt of (i) interest, (ii) annuities, (iii) royalties, or (iv) rent from a controlled entity .....................

b Gift, grant, or capital contribution to related organization(s) ............................

c Gift, grant, or capital contribution from related organization(s) ............................

Yes

d Loans or loan guarantees to or for related organization(s) ............................

Yes

e Loans or loan guarantees by related organization(s) ............................

f Dividends from related organization(s) ............................

g Sale of assets to related organization(s) ............................

h Purchase of assets from related organization(s) ............................

i Exchange of assets with related organization(s) ............................

j Lease of facilities, equipment, or other assets to related organization(s) .......................

k Lease of facilities, equipment, or other assets from related organization(s) ......................

l Performance of services or membership or fundraising solicitations for related organization(s) .....................

m Performance of services or membership or fundraising solicitations by related organization(s) .................

n Sharing of facilities, equipment, mailing lists, or other assets with related organization(s) ...................

o Sharing of paid employees with related organization(s) ............................

p Reimbursement paid to related organization(s) for expenses ............................

q Reimbursement paid by related organization(s) for expenses ............................

Yes

r Other transfer of cash or property to related organization(s) ............................

Yes

s Other transfer of cash or property from related organization(s) ............................

If the answer to any of the above is "Yes," see the instructions for information on who must complete this line, including covered relationships and transaction thresholds.

(a) Name of related organization	(b) Transaction type (a-s)	(c) Amount involved	(d) Method of determining amount involved
(1) ADVOCATE CHARITABLE FOUNDATION	C	717,113	COST
(2) ADVOCATE SHERMAN WEST COURT	Q	1,415,987	COST
(3) ADVOCATE HEALTH CARE NETWORK	D	6,560,000	COST
(4) ADVOCATE HEALTH CARE NETWORK	R	3,104,324	COST

Schedule R (Form 990) 2019

Page 4

Part VI

Unrelated Organizations Taxable as a Partnership. Complete if the organization answered "Yes" on Form 990, Part IV, line 37.

Provide the following information for each entity taxed as a partnership through which the organization conducted more than five percent of its activities (measured by total assets or gross revenue) that was not a related organization. See instructions regarding exclusion for certain investment partnerships.

(a) Name, address, and EIN of entity	(b) Primary activity	(c) Legal domicile (state or foreign country)	(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

Schedule R (Form 990) 2019

Page 5

Part VII

Supplemental Information

Provide additional information for responses to questions on Schedule R. (see instructions).

Return Reference	Explanation

Schedule R (Form 990) 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	20
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	17
5	Total number of individuals employed in calendar year 2019 (Part V, line 2a) ......	5	2,039
6	Total number of volunteers (estimate if necessary) .............	6	416
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	7,310
b	Net unrelated business taxable income from Form 990-T, line 39 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	1,119,961	1,329,470
9	Program service revenue (Part VIII, line 2g) .........	461,943,124	438,203,079
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	5,943,301	24,250,717
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	1,344,055	2,071,021
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	470,350,441	465,854,287
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	129,058	47,819
14	Benefits paid to or for members (Part IX, column (A), line 4).....	2,753,287	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	127,780,428	131,356,225
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)....	319,937,953	299,680,963
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	450,600,726	431,085,007
19	Revenue less expenses. Subtract line 18 from line 12.......	19,749,715	34,769,280
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	521,356,283	554,453,581
21	Total liabilities (Part X, line 26).............	311,748,973	309,339,737
22	Net assets or fund balances. Subtract line 21 from line 20.....	209,607,310	245,113,844

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 359,080,491 including grants of $ 47,819 ) (Revenue $ 410,952,857 )
	FINANCIAL ASSISTANCE (CHARITY CARE) AND TRAUMA CARE. AS PART OF ADVOCATE SHERMAN HOSPITAL'S (ADVOCATE SHERMAN) COMMUNITY HEALTH STRATEGY, THE HOSPITAL 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 SHERMAN PROVIDES INPATIENT AND OUTPATIENT HEALTH CARE SERVICES TO THE COMMUNITY REGARDLESS OF THE PATIENTS' ABILITY TO PAY. THE HOSPITAL 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 SHERMAN 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 HOSPITAL 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 SHERMAN AND ALL OTHER AAH HOSPITALS. THE HOSPITAL 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. AS A LEVEL II TRAUMA CENTER, ADVOCATE SHERMAN PROVIDES EXPERT EMERGENCY CARE. THE HOSPITAL HAD 304 TRAUMA VISITS OUT OF A TOTAL OF 58,050 EMERGENCY DEPARTMENT VISITS IN 2019.

4b	(Code: ) (Expenses $ 3,108,406 including grants of $ ) (Revenue $ )
	PROVISION OF NURSING EDUCATION. ADVOCATE SHERMAN IS COMMITTED TO PROVIDING EDUCATION TO NURSING STUDENTS NOW AND IN THE FUTURE. THE HOSPITAL PROVIDES EDUCATION IN A CLINICAL ENVIRONMENT TO NURSING STUDENTS FROM FIVE AREA COLLEGES AND UNIVERSITIES, INCLUDING CHAMBERLAIN COLLEGE, ELGIN COMMUNITY COLLEGE, MCHENRY COUNTY COLLEGE, AURORA UNIVERSITY AND NORTHERN ILLINOIS UNIVERSITY. IN 2019, ADVOCATE SHERMAN'S REGISTERED NURSES SUPERVISED AND TAUGHT 318 UNDERGRADUATE NURSING STUDENTS. HOSPITAL STAFF PROVIDED NEARLY $1.3 MILLION IN STAFF TIME DEVOTED TO DEVELOPING PROFICIENCY AND EXCELLENCE IN THESE NURSING STUDENTS THAT WILL SOON TAKE THEIR PLACE PROVIDING CARE AT VARIOUS HEALTH CARE ORGANIZATIONS IN THE COMMUNITY.

4c	(Code: ) (Expenses $ 26,893,545 including grants of $ ) (Revenue $ 27,250,222 )
	HEALTH CARE SERVICES PROVIDED BY PHYSICIANS, NURSES, CLINICIANS AND OTHER ASSOCIATES EMPLOYED BY ADVOCATE SHERMAN. ADVOCATE SHERMAN CLINICIANS PROVIDE CARE TO THE COMMUNITY BOTH AT THE HOSPITAL AND IN THE COMMUNITY. ADVOCATE SHERMAN HAS MORE THAN 30 YEARS OF CARDIOVASCULAR EXCELLENCE FOCUSING ON PROACTIVELY PREVENTING, DIAGNOSING AND TREATING AN ARRAY OF HEART CONDITIONS. AS AN ACCREDITED CHEST PAIN CENTER THROUGH THE SOCIETY OF CARDIOVASCULAR PATIENT CARE, ADVOCATE SHERMAN IS DEDICATED TO THE CARE OF ITS CARDIAC PATIENTS. THIS ACCREDITATION MEANS THAT THE HOSPITAL INTEGRATES THE INDUSTRY'S BEST PRACTICES TO PROVIDE THE BEST POSSIBLE OUTCOMES IN CARDIAC CARE. THE HOSPITAL'S HEART FAILURE PROGRAM HAS ACHIEVED ADVANCED CERTIFICATION IN HEART FAILURE DESIGNATION FOR BEST PRACTICES IN CARING FOR HEART FAILURE PATIENTS. IN 2019, ADVOCATE SHERMAN PROVIDED 794 INPATIENT CARDIAC CATHERIZATIONS AND 112 INPATIENT CARDIOVASCULAR OPEN-HEART SURGERIES.ADVOCATE SHERMAN IS RECOGNIZED AS A CENTER OF EXCELLENCE IN TREATING DISEASES AND INJURIES OF MUSCLES, BONES AND JOINTS AND IS A LEADER IN STATE-OF-THE-ART ORTHOPEDIC DIAGNOSTIC AND TREATMENT OPTIONS. DEPENDING ON THE INJURY OR ILLNESS, TREATMENT CAN RANGE FROM NON-SURGICAL OPTIONS, SUCH AS CASTS, SPLINTS AND PHYSICAL THERAPY, TO SURGICAL OPTIONS, FROM MINIMALLY INVASIVE ARTHROSCOPY TO TOTAL JOINT REPLACEMENT. IN 2019, ADVOCATE SHERMAN PERFORMED 2,087 ORTHOPEDIC SURGERIES (INPATIENT AND OUTPATIENT).ADVOCATE SHERMAN'S CANCER CARE CENTER IS ACCREDITED THROUGH THE COMMISSION ON CANCER (COC) AND THE NATIONAL ACCREDITATION PROGRAM FOR BREAST CENTERS (NAPBC). THE HOSPITAL IS A LEADER IN THE GREATER ELGIN AREA FOR CANCER CARE - PROMOTING HEALTHY LIFESTYLES, FOCUSING ON PREVENTATIVE AND INNOVATIVE MEDICINE, ESTABLISHING A COMPREHENSIVE GENETIC PROGRAM, SECURING NURSE NAVIGATION, ENHANCING THE ONCOLOGY SERVICE LINE (INPATIENT, OUTPATIENT AND COMMUNITY), AS WELL AS PARTNERING WITH THE AMERICAN CANCER SOCIETY, LIVING WELL AND JOURNEY CARE. IN ADDITION, THE HOSPITAL PARTICIPATED IN A COLEMAN GRANT FOR SUPPORTIVE ONCOLOGY AND NATIONAL CANCER INSTITUTE/YALE UNIVERSITY GRANT FOR DISTRESS SCREENING. THE HOSPITAL IS ALSO FOCUSED ON DEVELOPING NEW EDUCATION AND PREVENTION PROGRAMS (INCLUDING COLORECTAL CANCER OUTREACH AND SCREENINGS, AND LUNG CANCER SCREENINGS), ENHANCEMENTS TO GENETIC COUNSELING, THE ADDITION OF AN ONCOLOGY NURSE NAVIGATION RESOURCE, INCLUDING AN ONCOLOGY FINANCIAL NAVIGATOR AND A PARTNERSHIP WITH ADVOCATE LUTHERAN GENERAL FOR RESEARCH AND CLINICAL TRIALS.ADVOCATE SHERMAN'S PRIMARY STROKE CENTER IS ACCREDITED THROUGH DET NORSKE VERITAS HEALTHCARE, INC. (DNV HEALTHCARE). THE SCOPE OF THE PROGRAM ENCOMPASSES THE ADULT POPULATION ENTERING THE HOSPITAL WITH A HEMORRHAGIC/ISCHEMIC STROKE OR TRANSIENT ISCHEMIC ATTACK (TIA) DIAGNOSIS. DATA IS ABSTRACTED, SUBMITTED AND REPORTED THROUGH THE STROKE DATA REGISTRY AND THE CENTERS FOR MEDICARE AND MEDICAID SERVICES. OTHER IMPORTANT HOSPITAL-BASED SERVICES INCLUDE A COMPREHENSIVE DIABETES CENTER, A BIRTHING CENTER PROFICIENT IN HANDLING HIGH RISK DELIVERIES AND AN EMERGENCY DEPARTMENT AND LEVEL II TRAUMA CENTER. IN 2016, A NEW COMPLETE CARE CENTER WAS LAUNCHED AT ADVOCATE SHERMAN HOUSING THE HEART FAILURE RECOVERY CENTER, DIABETES AND NUTRITION CARE CENTER, ANTI-COAGULANTION CLINIC AND THE WOUND CARE CENTER. THE COMPLETE CARE CENTER IS LOCATED ADJACENT TO THE HEART AND VASCULAR CENTER AND OUTPATIENT PHYSICAL THERAPY UNIT FOR EASE OF ACCESS AND COORDINATED APPOINTMENTS FOR OUTPATIENTS. IN 2019, THE COMPLETE CARE CENTER PROVIDED 14,164 VISITS TO PATIENTS. HOSPITAL CLINICIANS ALSO PROVIDE CARE TO PATIENTS AT SEVERAL OFF-SITE LOCATIONS INCLUDING THREE IMMEDIATE CARE CENTERS FOR IMAGING, LABORATORY, PHYSICAL REHABILITATION AND PRIMARY CARE SERVICES, AS WELL AS SERVICES PROVIDED AT A NURSING/REHABILITATION CENTER AND A STAND-ALONE IMAGING CENTER. ADVOCATE SHERMAN CLINICIANS LEAD PRENATAL/CHILDBIRTH, PARENTING EDUCATION AND DIABETES EDUCATION CLASSES. THE HOSPITAL ALSO PROVIDES SUPPORT GROUPS FOCUSED ON INDIVIDUALS STRUGGLING WITH HEALTH ISSUES, SUCH AS DIABETES, HEART DISEASE, CANCERS, OSTOMIES AND BREASTFEEDING.

	(Code: ) (Expenses $ including grants of $ ) (Revenue $ )
	DESCRIPTION OF ADVOCATE SHERMANADVOCATE HEALTH CARE BASED IN ILLINOIS AND AURORA HEALTH CARE BASED IN WISCONSIN MERGED TO BECOME ADVOCATE AURORA HEALTH IN APRIL 2018. ADVOCATE SHERMAN IS A 255-BED NOT-FOR-PROFIT HOSPITAL LOCATED IN ELGIN, ILLINOIS, AND IS ONE OF 27 ACUTE CARE HOSPITALS IN THE ADVOCATE AURORA HEALTH SYSTEM. ADVOCATE SHERMAN PROVIDES ACUTE INPATIENT AND OUTPATIENT MEDICAL CARE TO INDIVIDUALS RESIDING IN THE GREATER ELGIN, ILLINOIS AREA. FOUNDED IN 1888, THE HOSPITAL HAS EXPANDED ITS SERVICES TO SEVERAL OFF-SITE LOCATIONS, INCLUDING THREE IMMEDIATE CARE CENTERS, A NURSING/REHABILITATION CENTER AND A STAND-ALONE IMAGING CENTER. AT ALL THESE SITES OF CARE, THE HOSPITAL'S 820 PHYSICIANS AND 1,495 TEAM MEMBERS (EMPLOYEES) PROVIDE QUALITY AND COMPASSIONATE CARE TO INDIVIDUALS REGARDLESS OF THEIR ABILITY TO PAY FOR SERVICES RECEIVED. THE HOSPITAL MOVED TO ITS CURRENT LOCATION ON RANDALL ROAD FOLLOWING COMPLETION OF A NEW HOSPITAL BUILDING IN DECEMBER 2009. ADVOCATE SHERMAN HAS BEEN RECOGNIZED FOR ITS COMMITMENT TO CONTINUALLY IMPROVING PERFORMANCE AND PATIENT CARE AS DEMONSTRATED THROUGH ITS ACHIEVEMENT OF SEVERAL AWARDS. CONSIDERED THE NATIONAL "GOLD STANDARD" FOR NURSING EXCELLENCE AMONG HOSPITALS, THE HOSPITAL HAS RECEIVED MAGNET RECOGNITION BY THE AMERICAN NURSES CREDENTIALING CENTER, AN AFFILIATE OF THE AMERICAN NURSES ASSOCIATION. MAGNET RECOGNITION IS GIVEN ONLY TO HOSPITALS THAT SATISFY A SET OF CRITERIA DESIGNED TO MEASURE STRENGTH AND QUALITY IN NURSING CARE WITH LESS THAN SEVEN PERCENT OF HOSPITALS NATION-WIDE ACHIEVING THIS STATUS. THE CENTER FOR BREAST CARE AT ADVOCATE SHERMAN IS DESIGNATED AS A BREAST IMAGING CENTER OF EXCELLENCE BY THE AMERICAN COLLEGE OF RADIOLOGY FOR ITS DEDICATION TO IMPROVING WOMEN'S HEALTH. THE HOSPITAL IS ALSO AN ACCREDITED CHEST PAIN CENTER, WHICH MEANS THE HOSPITAL INTEGRATES THE INDUSTRY'S BEST PRACTICES AND NEWEST MODELS TO PROVIDE THE BEST POSSIBLE OUTCOMES IN CARDIAC CARE. THE HOSPITAL'S HEART FAILURE PROGRAM RECEIVED GOLD LEVEL RECOGNITION FROM THE AMERICAN HEART ASSOCIATION'S "GET WITH THE GUIDELINES-HEART FAILURE PROGRAM" FOR COMMITMENT TO IMPROVING QUALITY CARE. ADVOCATE SHERMAN'S HEALTHCARE PROVIDERS ARE ENGAGED IN ONGOING EFFORTS FOCUSED ON QUALITY IMPROVEMENT INITIATIVES. THESE PROVIDERS USE EVIDENCE-BASED PRACTICES AS AN APPROACH TO IMPROVE QUALITY WHILE REDUCING UNNECESSARY VARIATION IN PRACTICE, COST AND HOSPITALIZATION. THESE EFFORTS ARE DESIGNED TO MAINTAIN AND ENHANCE PATIENT, STAFF AND VISITOR SAFETY AND TO IMPROVE THE ENVIRONMENT OF CARE.WITH A TEAM OF NEARLY 50 CARDIOLOGISTS, ADVOCATE SHERMAN HAS OVER 35 YEARS OF EXERIENCE WITH OPEN HEART PROCEDURES AND ALL FORMS OF CARDIAC CARE. IN ADDITION TO A WIDE RANGE OF CARDIOVASCULAR SERVICES, THE HOSPITAL IS ALSO AN ACCREDITED CHEST PAIN CENTER WITH DEDICATED INTERVENTIONAL CARDIOLOGISTS AND CARDIOLOGY AND EMERGENCY PERSONNEL TRAINED IN RAPID RESPONSE AND TREATMENT OF HEART ATTACKS, WHICH HELPS ENSURE REDUCED HEART MUSCLE DAMAGE AND SAVES LIVES. THE HOSPITAL'S CENTER FOR CANCER CARE OFFERS THE LATEST CANCER TREATMENTS AND STATE-OF-THE-ART TECHNOLOGY IN AN ENVIRONMENT CUSTOM-DESIGNED FOR HEALING AND COMPASSIONATE CARE. THE CENTER FOR ADVANCED LIVER & PANCREATIC CARE PROVIDES PATIENTS WITH ACCESS TO SPECIALIZED CARE FOR THE TREATMENT OF A WIDE RANGE OF LIVER AND PANCREATIC DISEASES THAT TYPICALLY HAVE ONLY BEEN TREATED AT ACADEMIC MEDICAL CENTERS. AS AN ADVOCATE AURORA HOSPITAL, ADVOCATE SHERMAN SUPPORTS THE ORGANIZATION'S VISION OF "WE HELP PEOPLE LIVE WELL AND TO FULFILL ITS VALUES OF: EXCELLENCE WE ARE A TOP PERFOMER IN ALL THAT WE DO; COMPASSION WE UNSELFISHLY CARE FOR OTHERS; AND RESPECT WE VALUE THE UNIQUE NEEDS AND PREFERENCES OF ALL PEOPLE. POPULATION SERVEDADVOCATE SHERMAN PROVIDES QUALITY HEALTH CARE TO INDIVIDUALS REGARDLESS OF RACE, CREED, NATIONAL ORIGIN, AGE OR ABILITY TO PAY. IN 2019, THE HOSPITAL'S 820 PHYSICIANS AND 1,495 TEAM MEMBERS (EMPLOYEES) TREATED 13,727 INPATIENT ADMISSIONS, INCLUDING 2,295 DELIVERIES, AND HANDLED 303,551 OUTPATIENT VISITS. AS A LEVEL II TRAUMA CENTER, ADVOCATE SHERMAN PROVIDED 304 TRAUMA VISITS AND 58,050 (INCLUDING TRAUMA) EMERGENCY DEPARTMENT VISITS IN 2019.ADVOCATE SHERMAN SERVES A PRIMARY SERVICE AREA (PSA) INCLUDING 301,055 PEOPLE WHO RESIDE IN THE COMMUNITIES OF ALGONQUIN, CARPENTERSVILLE, DUNDEE, ELGIN, GILBERTS, HUNTLEY, LAKE IN THE HILLS AND SOUTH ELGIN (DATA UPDATED JANUARY 2019).THE PERCENT OF THE FAMILIES IN THE POPULATION LIVING BELOW THE FEDERAL POVERTY LEVEL WAS 7.3% FOR THE PSA AS COMPARED TO 9.8% FOR THE STATE ACCORDING TO JANUARY 2019 DATA (CLARITAS 2019). THERE ARE SEVERAL COMMUNITIES IN THE HOSPITAL'S PSA WHICH ARE FINANCIALLY CHALLENGED, WITH A HIGHER PERCENTAGE LIVING BELOW POVERTY THAN THE STATE, INCLUDING CARPENTERSVILLE WITH 14.55% OF THE FAMILIES IN THE POPULATION LIVING BELOW POVERTY, AND ELGIN (60120) AT TWELVE PERCENT. THE PSA MEDIAN HOUSEHOLD INCOME IS $80,036.THE PSA HAS A HIGH PORTION OF THE POPULATION OF LATINO ETHNICITY (TWENTY-NINE PERCENT). THERE IS ALSO A LOW RATE OF AFRICAN AMERICAN POPULATION (4.79%) IN THE PSA. COMMITMENT TO THE COMMUNITYEVEN IN THE FACE OF LOW REIMBURSEMENTS, ADVOCATE SHERMAN IS DEDICATED TO MAINTAINING A STRONG PRESENCE WITHIN ITS COMMUNITY AND CONTINUES TO MONITOR EXPENDITURES TO MAKE CERTAIN THAT THE PROGRAMS AND SERVICES SUPPORTED ARE IN DIRECT RESPONSE TO COMMUNITY NEED. IN 2019, ADVOCATE SHERMAN PROVIDED OVER $41.5 MILLION IN COMMUNITY BENEFIT PROGRAMS AND SERVICES. THESE BENEFITS INCLUDED NOT ONLY THE COST OF FINANCIAL ASSISTANCE AND UNREIMBURSED MEDICAID AND MEDICARE, FOR EXAMPLE, BUT ALSO THE COST FOR IMPLEMENTING AND SUSTAINING PROGRAMS SPECIFICALLY DESIGNED TO MEET THE HEALTH CARE NEEDS OF THE COMMUNITY. PARTNERING TO ASSESS COMMUNITY NEEDS. ADVOCATE SHERMAN HAS BEEN WORKING COLLABORATIVELY WITH THE MCHENRY COUNTY DEPARTMENT OF PUBLIC HEALTH AND THE KANE COUNTY HEALTH DEPARTMENT TO ASSESS THE HEALTH NEEDS OF THE COMMUNITY. PARTICIPATING IN THE COUNTY-WIDE HEALTH ASSESSMENTS LED BY BOTH HEALTH DEPARTMENTS, COMMUNITY HEALTH ASSOCIATES HAVE PLAYED IMPORTANT ROLES ON THE EXECUTIVE LEADERSHIP OVERSIGHT COMMITTEES AND SUB-COMMITTEES OF THESE INITIATIVES. OTHER HOSPITAL ASSOCIATES SERVE IN KEY LEADERSHIP ROLES IN THE OVERSIGHT COMMITTEES OF BOTH COUNTIES, AS WELL AS SERVING ON MANY SUBCOMMITTEES. ADVOCATE SHERMAN ALSO FOCUSES ITS INTERNAL STRENGTHS TO ASSESS COMMUNITY NEEDS AND TO GUIDE PROGRAM DEVELOPMENT. THE HOSPITAL'S COMMUNITY HEALTH DEPARTMENT PLAYS A KEY ROLE IN WORKING COLLABORATIVELY WITH INTERNAL HOSPITAL DEPARTMENTS AS WELL AS WITH COMMUNITY PARTNERS TO ENHANCE THE HEALTH OF THE COMMUNITY. THE DEPARTMENT ALSO PLANS AND IMPLEMENTS COMMUNITY OUTREACH EVENTS AND HEALTH EDUCATION CLASSES, AND OVERSEES THE AMERICAN HEART ASSOCIATION TRAINING CENTER AT THE HOSPITAL. COMMUNITY HEALTH NEEDS ASSESSMENT COLLABORATIVES. ADVOCATE SHERMAN HAS BEEN WORKING COLLABORATIVELY WITH THE MCHENRY COUNTY DEPARTMENT OF PUBLIC HEALTH AND THE KANE COUNTY HEALTH DEPARTMENT TO ASSESS THE HEALTH NEEDS OF THE COMMUNITY. PARTICIPATING IN THE COUNTY-WIDE HEALTH NEEDS ASSESSMENTS LED BY BOTH HEALTH DEPARTMENTS, COMMUNITY HEALTH TEAM MEMBERS HAVE PLAYED IMPORTANT ROLES ON THE EXECUTIVE LEADERSHIP OVERSIGHT COMMITTEES AND SUB-COMMITTEES OF THESE INITIATIVES SINCE 2006. OTHER HOSPITAL TEAM MEMBERS SERVE IN KEY LEADERSHIP ROLES IN THE OVERSIGHT COMMITTEES OF BOTH COUNTIES AS WELL AS SERVING ON MANY SUBCOMMITTEES OF PUBLIC AND PRIVATE NON-PROFIT ORGANIZATIONS WITHIN THE COMMUNITY. COMMUNITY STRATEGY AND EXAMPLES OF PROGRAMS AND SERVICE ACCOMPLISHMENTSAS A HOSPITAL CENTER WITHIN THE ADVOCATE AURORA HEALTH SYSTEM, ADVOCATE SHERMAN'S IMPLEMENTATION PLANS AND STRATEGIES ALIGN WITH THE AAH SYSTEM STRATEGY. THROUGH THIS COMMUNITY STRATEGY, THE HOSPITAL 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) FOOD SECURITY. EACH STRATEGY FOCUS AREA AND EXAMPLES OF ADVOCATE SHERMAN PROGRAMS AND ACTIVITIES ADDRESSING THAT STRATEGY ARE PROVIDED BELOW.

4d	Other program services (Describe in Schedule O.)
	(Expenses $ including grants of $ ) (Revenue $ )
4e	Total program service expenses389,082,442

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	4,020,320	19,838,801	2,068,845

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c
d	Related organizations		1d	717,114
e	Government grants (contributions)		1e	612,356

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.......		1,329,470

		Business Code
2a	BLUE CROSS/MGD CARE	622110	140,877,872	140,877,872
b	MEDICARE/MEDICAID	622110	132,664,833	132,664,833
c	PATIENT SVC REVENUE	622110	97,550,038	97,550,038
d	PHARMACY	446110	40,431,746	40,431,746
e	LABORATORY	621511	26,678,590	26,678,590
f	All other program service revenue.
g	Total. Add lines 2a–2f .....		438,203,079

3 Investment income (including dividends, interest, and othersimilar amounts) ......			25,324,360			25,324,360
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents		400,025	6a
b	Less: rental expenses		0	6b
c	Rental income or (loss)		400,025	6c
d	Net rental income or (loss).......			400,025			400,025
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory	873,140		7a
b	Less: cost or other basis and sales expenses	1,946,783		7b
c	Gain or (loss)	-1,073,643		7c
d	Net gain or (loss).........			-1,073,643			-1,073,643
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	MISCELLANEOUS		900099	1,018,448		7,310	1,011,138
b	CAFETERIA REVENUE		722514	652,548			652,548
c
d	All other revenue ....
e	Total. Add lines 11a–11d ......			1,670,996
12	Total revenue. See instructions.....			465,854,287	438,203,079	7,310	26,314,428

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....	35,319	35,319
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........	12,500	12,500
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 ...........	1,829,558	1,829,558
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........	68,944	68,944
7	Other salaries and wages........	104,556,729	102,842,484	1,714,245
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	4,097,732	4,097,732
9	Other employee benefits .......	13,623,212	13,593,050	30,162
10	Payroll taxes ...........	7,180,050	7,101,288	78,762
11	Fees for services (non-employees):
a	Management ......	5,200		5,200
b	Legal .........
c	Accounting ...........
d	Lobbying ...........	39,268		39,268
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)	14,191,063		14,191,063
12	Advertising and promotion ....	36,660	15,766	20,894
13	Office expenses .......	2,352,881	2,314,159	38,722
14	Information technology ......	12,468,690	32,962	12,435,728
15	Royalties ..
16	Occupancy ...........	5,641,203	5,641,203
17	Travel ............	123,185	104,637	18,548
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	330,843	234,659	96,184
20	Interest ...........	8,823,132	8,823,132
21	Payments to affiliates .......
22	Depreciation, depletion, and amortization ..	21,465,177	20,861,359	603,818
23	Insurance ...	1,807,591	1,807,591
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	119,451,659	119,450,591	1,068
b	MEDICAL SUPPLIES	60,761,321	60,761,306	15
c	BAD DEBT	17,115,928	17,115,928
d	INCOME TAXES	-858	-858
e	All other expenses	35,068,020	22,339,132	12,728,888
25	Total functional expenses. Add lines 1 through 24e	431,085,007	389,082,442	42,002,565	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 ........			41,642,139	1	10,491,477
2	Savings and temporary cash investments .........				2
3	Pledges and grants receivable, net ......			319,538	3	102,038
4	Accounts receivable, net .............			38,893,509	4	40,432,156
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 ...........				7
8	Inventories for sale or use ............			5,623,887	8	6,503,143
9	Prepaid expenses and deferred charges ......			283,986	9	272,705
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	388,779,372
b	Less: accumulated depreciation	10b	128,124,797	267,363,394	10c	260,654,575
11	Investments—publicly traded securities .			156,714,099	11	218,676,932
12	Investments—other securities. See Part IV, line 11 .....				12
13	Investments—program-related. See Part IV, line 11 ..			4,180,974	13	5,412,645
14	Intangible assets ...............				14
15	Other assets. See Part IV, line 11 ...........			6,334,757	15	11,907,910
16	Total assets. Add lines 1 through 15 (must equal line 33)...			521,356,283	16	554,453,581

17	Accounts payable and accrued expenses .....	45,019,308	17	52,818,010
18	Grants payable ...		18
19	Deferred revenue .........		19
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 ..		23
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	266,729,665	25	256,521,727
26	Total liabilities. Add lines 17 through 25..	311,748,973	26	309,339,737

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	209,486,105	27	244,992,639
28	Net assets with donor restrictions ...........	121,205	28	121,205
	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 ...........	209,607,310	32	245,113,844
33	Total liabilities and net assets/fund balances ........	521,356,283	33	554,453,581