TY 2022 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/1099-NEC)
(1) RICHARD JAKLE...................................................................... DIRECTOR, CHAIRPERSON AS OF JAN 21	1.00 ................. 55.00	X	X	123,433	0
(2) REV DR NATHANIEL EDMOND...................................................................... DIRECTOR, VICE CHAIRPERSON AS OF JAN '21	1.00 ................. 55.00	X	X	15,100	0
(3) JAMES SKOGSBERGH...................................................................... EXECUTIVE VP, CHIEF OPERATING OFFICER, DIRECTOR	1.00 ................. 55.00	X	X	7,634,095	591,891
(4) MICHELE BAKER RICHARDSON...................................................................... DIRECTOR	1.00 ................. 1.00	X		143,767	0
(5) CLARENCE NIXON JR PHD...................................................................... DIRECTOR	1.00 ................. 1.00	X		16,000	0
(6) DAVID ANDERSON...................................................................... DIRECTOR	1.00 ................. 1.00	X		56,000	0
(7) JOHN TIMMER...................................................................... DIRECTOR, VICE CHAIRPERSON UNTIL DEC 17	1.00 ................. 1.00	X		120,433	0
(8) LYNN CRUMP-CAINE...................................................................... DIRECTOR	1.00 ................. 1.00	X		120,433	0
(9) MARK HARRIS...................................................................... DIRECTOR	1.00 ................. 1.00	X		120,433	0
(10) ULYSSES BURLEY III...................................................................... DIRECTOR	1.00 ................. 1.00	X		8,000	0
(11) DR DAISY VARUGHESE...................................................................... DIRECTOR	1.00 ................. 1.00	X		8,000	0
(12) GAIL D HASBROUCK...................................................................... DIRECTOR	0.00 ................. 0.00	X		0	0
(13) DOMINIC J NAKIS...................................................................... TREASURER	1.00 ................. 55.00		X	2,304,330	214,335
(14) JAMES DOHENY...................................................................... ASSISTANT TREASURER	1.00 ................. 55.00		X	664,780	103,379
(15) MICHAEL GREBE...................................................................... SECRETARY	1.00 ................. 55.00		X	1,338,491	132,454
(16) MICHAEL KERNS...................................................................... ASSISTANT SECRETARY	1.00 ................. 55.00		X	587,048	98,816
(17) NANINE NELSON...................................................................... ASSISTANT TREASURER	1.00 ................. 55.00		X	1,049,258	123,675

(A) Name and title	(B) Average hours per week (list any hours for related organizations below dotted line)	(E) Reportable compensation from related organizations (W-2/1099-MISC/1099-NEC)	(F) Estimated amount of other compensation from the organization and related organizations
(18) RACHELLE HART........................................................................ ASSISTANT SECRETARY	1.00 .......................55.00	X				0	864,327	120,559
(19) STEVE HUSER........................................................................ ASSISTANT TREASURER	1.00 .......................55.00	X				0	523,937	91,064
(20) WILLIAM P SANTULLI........................................................................ PRESIDENT	1.00 .......................55.00	X				0	3,046,462	273,298
(21) DOMINICA TALLARICO........................................................................ VICE PRESIDENT	1.00 .......................55.00	X				0	1,520,998	165,810
(22) CARRIE DONOVAN........................................................................ ASSISTANT TREASURER	1.00 .......................55.00	X				0	575,844	108,096
(23) ROBIN STOEN........................................................................ ASSISTANT TREASURER	1.00 .......................55.00	X				0	271,057	29,570
(24) MICHAEL VOLANTE........................................................................ ASSISTANT TREASURER	1.00 .......................55.00	X				0	264,121	18,806
(25) SUSAN NORDSTROM LOPEZ........................................................................ PRESIDENT OF ADVOCATE IMMC	55.00 .......................0.00		X			1,040,588	0	113,129
(26) CLIFTON CLARKE........................................................................ VP & CMO IMMC	55.00 .......................0.00			X		550,486	0	32,298
(27) RICHARD FANTUS........................................................................ CHAIR SURGERY DEPARTMENT	55.00 .......................0.00			X		855,976	0	47,849
(28) KENNETH LAUBE........................................................................ VP & CNO IMMC	55.00 .......................0.00			X		376,609	0	48,922
(29) JADA JOHNSON........................................................................ CHAIR PSYCHIATRY DEPT	55.00 .......................0.00			X		264,992	89,631	26,638
(30) FREDELYN MEDRANO........................................................................ REGISTERED NURSE	55.00 .......................0.00			X		259,794	0	17,562
(31) GARY STUCK DO........................................................................ FORMER DIRECTOR	0.00 .......................0.00				X	0	1,494,847	161,556
(32) BARBARA BYRNE MD........................................................................ FORMER DIRECTOR	0.00 .......................0.00				X	0	1,671,146	156,259
(33) JAMES SLINKMAN........................................................................ FORMER DIRECTOR	0.00 .......................0.00				X	0	518,002	95,446
(34) KELLY JO GOLSON........................................................................ FORMER DIRECTOR	0.00 .......................0.00				X	0	1,325,092	134,932
(35) KEVIN BRADY........................................................................ FORMER DIRECTOR	0.00 .......................0.00				X	0	1,384,573	159,945
(36) LESLIE LENZO........................................................................ FORMER DIRECTOR	0.00 .......................0.00				X	0	968,247	32,298
(37) MICHAEL LAPPIN........................................................................ FORMER VICE CHAIRPERSON, DIRECTOR	0.00 .......................0.00				X	0	1,020,814	15,549
(38) REV KATHIE BENDER SCHWICH........................................................................ FORMER CHIEF SPIRITUAL OFFICER	0.00 .......................0.00				X	0	750,994	105,747
(39) SCOTT POWDER........................................................................ FORMER CHIEF STRATEGY OFFICER	0.00 .......................0.00				X	0	1,262,393	152,424
(40) VINCENT BUFALINO MD........................................................................ FORMER CHIEF ADVOCATE MEDICAL GROUP OFFICER	0.00 .......................0.00				X	0	1,213,868	5,664
(41) VIJAY MAKER........................................................................ CHAIR SURGERY DEPARTMENT (FORMER HCE)	0.00 .......................0.00				X	179,445	0	6,082
(42) JOSE ELIZONDO........................................................................ CHAIR FAMILY MED (FORMER HCE)	0.00 .......................0.00				X	0	408,580	34,493

(A) Name and business address	(B) Description of services	(C) Compensation
TRAVEL NURSE ACROSS AMERICA LLC 5020 NORTHSHORE DR STE 2 NORTH LITTLE ROCK,AR72118	STAFFING	13,168,034
REHABILITATION INSTITUTE OF CHICAGO 355 E ERIE ST 10TH FLOOR CHICAGO,IL60611	MEDICAL SERVICES	528,221
ILLINOIS BONE & JOINT INSTITUTE LLC 900 RAND RD STE 300 NORTH LITTLE ROCK,IL60016	MEDICAL SERVICES	511,850
CUNNINGHAM MEYER & VEDRINE 4200 CANTERA DR STE 112 WARRENVILLE,IL60555	LEGAL SERVICES	488,024
CARDIOTHORACIC & VASCULAR SURGICAL ASSOC 204 CANTERBERRY LN CHICAGO,IL60523	MEDICAL SERVICES	439,747
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 19

- TIN:

SCHEDULE A
(Form 990)

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

2022

Open to Public
Inspection

Name of the organization

ADVOCATE NORTH SIDE HEALTH NETWORK

Employer identification number

36-3196629

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).)

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 33 1/3% 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 33 1/3% 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 on 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) 2022

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) 2018	(b) 2019	(c) 2020	(d) 2021	(e) 2022	(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) 2018	(b) 2019	(c) 2020	(d) 2021	(e) 2022	(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 5 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 2022 (line 6, column (f) divided by line 11, column (f)) .........

Public support percentage for 2020 Schedule A, Part II, line 14 ...............

16a

33 1/3% support test—2022. 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—2021. 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—2022. 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—2021. 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) 2022

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) 2018	(b) 2019	(c) 2020	(d) 2021	(e) 2022	(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) 2018	(b) 2019	(c) 2020	(d) 2021	(e) 2022	(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 on 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 5 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 2022 (line 8, column (f) divided by line 13, column (f)) .........

Public support percentage from 2021 Schedule A, Part III, line 15 ...............

Section D. Computation of Investment Income Percentage

Investment income percentage for 2022 (line 10c, column (f) divided by line 13, column (f)) ......

Investment income percentage from 2021 Schedule A, Part III, line 17 .............

19a

33 1/3% support tests-2022. 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—2021. 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) 2022

Page 4

Part IV

Supporting Organizations

(Complete only if you checked a box on line 12 of Part I. If you checked box 12a, of Part I, complete Sections A and B. If you checked box 12b, of Part I, complete Sections A and C. If you checked box 12c, of Part I, complete Sections A, D, and E. If you checked box12d, 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 lines 3b and 3c 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 box 12a or 12b in Part I, answer lines 4b and 4c 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 lines 5b and 5c 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) .

Did the organization make a loan to a disqualified person (as defined in section 4958) not described on line 7? If “Yes,” complete Part I of Schedule L (Form 990).

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 on 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 on 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) 2022

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 on lines 11b and 11c below, the governing body of a supported organization?

11a

A family member of a person described on 11a above?

11b

A 35% controlled entity of a person described on line 11a or 11b above? If “Yes” to 11a, 11b, or 11c, provide detail in Part VI.

11c

Section B. Type I Supporting Organizations

Yes

Did the officers, 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 line 2 above, 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 lines 2a and 2b 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 on line 2a, above 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 lines 3a and 3b 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?If "Yes" or "No", 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) 2022

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 0.015 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 0.035	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) 2022

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	1
2 Amounts paid to perform activity that directly furthers exempt purposes of supported organizations, in excess of income from activity	2
3 Administrative expenses paid to accomplish exempt purposes of supported organizations	3
4 Amounts paid to acquire exempt-use assets	4
5 Qualified set-aside amounts (prior IRS approval required - provide details in Part VI)	5
6 Other distributions (describe in Part VI). See instructions	6
7Total annual distributions. Add lines 1 through 6.	7
8 Distributions to attentive supported organizations to which the organization is responsive (provide details in Part VI). See instructions	8
9 Distributable amount for 2022 from Section C, line 6	9
10 Line 8 amount divided by Line 9 amount	10

Section E - Distribution Allocations (see instructions)		(i) Excess Distributions	(ii) Underdistributions Pre-2022	(iii) Distributable Amount for 2022
1 Distributable amount for 2022 from Section C, line 6
2 Underdistributions, if any, for years prior to 2022 (reasonable cause required-- explain in Part VI). See instructions.
3 Excess distributions carryover, if any, to 2022:
a From 2017.......
b From 2018.......
c From 2019.......
d From 2020.......
e From 2021.......
fTotal of lines 3a through e
g Applied to underdistributions of prior years
h Applied to 2022 distributable amount
i Carryover from 2017 not applied (see instructions)
j Remainder. Subtract lines 3g, 3h, and 3i from line 3f.
4Distributions for 2022 from Section D, line 7:
$
a Applied to underdistributions of prior years
b Applied to 2022 distributable amount
c Remainder. Subtract lines 4a and 4b from line 4.
5 Remaining underdistributions for years prior to 2022, 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 2022. 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 2023. Add lines 3j and 4c.
8 Breakdown of line 7:
a Excess from 2018.....
b Excess from 2019.....
c Excess from 2020.....
d Excess from 2021.....
e Excess from 2022.....

Schedule A (Form 990) (2022)

Schedule A (Form 990) 2022

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) 2022

Additional Data

Software ID:
Software Version:

- TIN:

Schedule B
(Form 990)

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

2022

Name of the organization

ADVOCATE NORTH SIDE HEALTH NETWORK

Employer identification number

36-3196629

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) (2022)

Schedule B (Form 990) (2022) Page 2

Name of organization ADVOCATE NORTH SIDE HEALTH NETWORK

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) (2022)

Schedule B (Form 990) (2022)

Page 3

Name of organization ADVOCATE NORTH SIDE HEALTH NETWORK		Employer identification number 36-3196629

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) (2022)

Schedule B (Form 990) (2022)

Page 4


Name of organization ADVOCATE NORTH SIDE HEALTH NETWORK			Employer identification number 36-3196629
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) (2022)

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE C
(Form 990)

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

2021

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 NORTH SIDE HEALTH NETWORK

Employer identification number

36-3196629

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.

Cat. No. 50084S

Schedule C (Form 990) 2021

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) 2018	(b) 2019	(c) 2020	(d) 2021	(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) 2021

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

50,380

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

50,380

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

Return Reference

Explanation

PART II-B, LINE 1:

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

Schedule C (Form 990) 2021

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

2021

Open to Public Inspection

Name of the organization

ADVOCATE NORTH SIDE HEALTH NETWORK

Employer identification number

36-3196629

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) 2021

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 .....	51,842,237		51,842,237
b	Buildings ....	389,054,310	188,439,696	200,614,614
c	Leasehold improvements	7,777,439	2,257,828	5,519,611
d	Equipment ....	109,597,310	82,546,017	27,051,293
e	Other .....	47,070,825	866,798	46,204,027
Total. Add lines 1a through 1e. (Column (d) must equal Form 990, Part X, column (B), line 10(c).)..				331,231,782

Schedule D (Form 990) 2021

Page 3

Part VII

Investments - Other Securities.
Complete if the organization answered "Yes" on Form 990, Part IV, line 11b. See Form 990, Part X, line 12.

(a) Description of security or category (including name of security)	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1) Financial derivatives.........
(2) Closely-held equity interests........
(3)Other
(A)
(B)
(C)
(D)
(E)
(F)
(G)
(H)
Total. (Column (b) must equal Form 990, Part X, col. (B) line 12.)

Part VIII

Investments - Program Related. Complete if the organization answered 'Yes' on Form 990, Part IV, line 11c. See Form 990, Part X, line 13.

(a) Description of investment	(b) Book value	(c) Method of valuation: Cost or end-of-year market value
(1)MASONIC FAMILY HEALTH FDN	94,301,820	F
(1)
(2)
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 13.)	94,301,820

Part IX

Other Assets.
Complete if the organization answered 'Yes' on Form 990, Part IV, line 11d. See Form 990, Part X, line 15.

(a) Description				(b) Book value
(1)PREPAID EXPENSES AND MISC AR				193,186
(2)INTERCOMPANY ASSETS				155,385,096
(3)DEFERRED COST				7,239
(3)
(4)
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 15.)...........				155,585,521

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
(5)
(6)
(7)
(8)
(9)
Total. (Column (b) must equal Form 990, Part X, col.(B) line 25.)	44,609,752
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) 2021

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) 2021

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 20a.
MediumBullet

Attach to Form 990.
MediumBullet

Go to www.irs.gov/Form990EZ for instructions and the latest information.

OMB No. 1545-0047

2022

Open to Public Inspection

Name of the organization

ADVOCATE NORTH SIDE HEALTH NETWORK

Employer identification number

36-3196629

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? . . . . . .

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) . . .	3,081,984	0	3,081,984	0.350 %
b	Medicaid (from Worksheet 3, column a) . . . . .	102,751,107	93,795,048	8,956,059	1.010 %
c	Costs of other means-tested government programs (from Worksheet 3, column b) . .	0	0
d	Total Financial Assistance and Means-Tested Government Programs . . . . .	105,833,091	93,795,048	12,038,043	1.360 %
Other Benefits
e	Community health improvement services and community benefit operations (from Worksheet 4).	6,995,201	0	6,995,201	0.790 %
f	Health professions education (from Worksheet 5) . . .	35,396,178	10,703,009	24,693,169	2.790 %
g	Subsidized health services (from Worksheet 6) . . . .	16,743,423	13,354,113	3,389,310	0.380 %
h	Research (from Worksheet 7) .	0	0
i	Cash and in-kind contributions for community benefit (from Worksheet 8) . . . .	45,541	0	45,541	0.010 %
j	Total. Other Benefits . .	59,180,343	24,057,122	35,123,221	3.970 %
k	Total. Add lines 7d and 7j .	165,013,434	117,852,170	47,161,264	5.330 %

For Paperwork Reduction Act Notice, see the Instructions for Form 990. Cat. No. 50192T Schedule H (Form 990) 2022

Schedule H (Form 990) 2022

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. ......

25,969,308

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. ......

1,046,519

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).....

169,866,103

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

166,750,494

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

3,115,609

Describe in Part VI the extent to which any shortfall reported in line 7 should be treated as community benefit.Also describe in Part VI the costing methodology or source used to determine the amount reported on line 6.Check the box that describes the method used:

Cost accounting system Cost to charge ratio Other

Section C. Collection Practices

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

Yes

If "Yes," did the organization’s collection policy that applied to the largest number of its patients during the tax year
contain provisions on the collection practices to be followed for patients who are known to qualify for financial assistance? Describe in Part VI .........................

Yes

Part IV

Management Companies and Joint Ventures(owned 10% or more by officers, directors, trustees, key employees, and physicians—see instructions)

(a) Name of entity	(b) Description of primary activity of entity	(c) Organization's profit % or stock ownership %	(d) Officers, directors, trustees, or key employees' profit % or stock ownership %	(e) Physicians' profit % or stock ownership %
1
2
3
4
5
6
7
8
9
10
11
12
13

Schedule H (Form 990) 2022

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 IL MASONIC MEDICAL CENTER 836 WEST WELLINGTON AVENUE CHICAGO,IL60657 HTTP://WWW.ADVOCATEHEALTH.COM/IMMC/ 0005165	X	X	X	X

Schedule H (Form 990) 2022

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 ILLINOIS MASONIC MEDICAL CENTER
Name of hospital facility or letter of facility reporting group

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

Yes

Community Health Needs Assessment

Was the hospital facility first licensed, registered, or similarly recognized by a state as a hospital facility in the current tax year or the immediately preceding tax year?........................

Was the hospital facility acquired or placed into service as a tax-exempt hospital in the current tax year or the immediately preceding tax year? If “Yes,” provide details of the acquisition in Section C...............

During the tax year or either of the two immediately preceding tax years, did the hospital facility conduct a community health needs assessment (CHNA)? If "No," skip to line 12......................

Yes

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

A definition of the community served by the hospital facility

Demographics of the community

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

How data was obtained

The significant health needs of the community

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

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

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

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

Other (describe in Section C)

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

In conducting its most recent CHNA, did the hospital facility take into account input from persons who represent the broad interests of the community served by the hospital facility, including those with special knowledge of or expertise in public health? If "Yes," describe in Section C how the hospital facility took into account input from persons who represent the community, and identify the persons the hospital facility consulted .................

Yes

6 a

Was the hospital facility’s CHNA conducted with one or more other hospital facilities? If "Yes," list the other hospital facilities in Section C..................................

Yes

Was the hospital facility’s CHNA conducted with one or more organizations other than hospital facilities?” If “Yes,” list the other organizations in Section C. ............................

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 20

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) 2022

Page 5

Part VFacility Information (continued)

Financial Assistance Policy (FAP)

	ADVOCATE ILLINOIS MASONIC MEDICAL CENTER
Name of hospital facility or letter of facility reporting group

Yes

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

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

Yes

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

Federal poverty guidelines (FPG), with FPG family income limit for eligibility for free care of 250.000000000000%
and FPG family income limit for eligibility for discounted care of 600.000000000000%

Income level other than FPG (describe in Section C)

Asset level

Medical indigency

Insurance status

Underinsurance discount

Residency

Other (describe in Section C)

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

Yes

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

Yes

If “Yes,” indicate how the hospital facility’s FAP or FAP application form (including accompanying instructions) explained the method for applying for financial assistance (check all that apply):

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

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

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

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

Other (describe in Section C)

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

Yes

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

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

HTTP://WWW.ADVOCATEHEALTH.COM/FINANCIALASSISTANCE

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

HTTP://WWW.ADVOCATEHEALTH.COM/FINANCIALASSISTANCE

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

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

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

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

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

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

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

Other (describe in Section C)

Schedule H (Form 990) 2022

Page 6

Part VFacility Information (continued)

Billing and Collections

	ADVOCATE ILLINOIS MASONIC MEDICAL CENTER
Name of hospital facility or letter of facility reporting group

Yes

Did the hospital facility have in place during the tax year a separate billing and collections policy, or a written financial assistance policy (FAP) that explained all of the actions the hospital facility or other authorized party may take upon nonpayment?..................................

Yes

Check all of the following actions against an individual that were permitted under the hospital facility's policies during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP:

Reporting to credit agency(ies)

Selling an individual’s debt to another party

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

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

None of these actions or other similar actions were permitted

Did the hospital facility or other authorized party perform any of the following actions during the tax year before making reasonable efforts to determine the individual’s eligibility under the facility’s FAP?............

Yes

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

Reporting to credit agency(ies)

Selling an individual’s debt to another party

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

Actions that require a legal or judicial process

Other similar actions (describe in Section C)

Indicate which efforts the hospital facility or other authorized party made before initiating any of the actions listed (whether or not checked) in line 19. (check all that apply):

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

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

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

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

Other (describe in Section C)

None of these efforts were made

Policy Relating to Emergency Medical Care

Did the hospital facility have in place during the tax year a written policy relating to emergency medical care that required the hospital facility to provide, without discrimination, care for emergency medical conditions to individuals regardless of their eligibility under the hospital facility’s financial assistance policy?..................

Yes

If "No," indicate why:

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

The hospital facility’s policy was not in writing

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

Other (describe in Section C)

Schedule H (Form 990) 2022

Page 7

Part VFacility Information (continued)

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

	ADVOCATE ILLINOIS MASONIC MEDICAL CENTER
Name of hospital facility or letter of facility reporting group

Yes

Indicate how the hospital facility determined, during the tax year, the maximum amounts that can be charged to FAP-eligible individuals for emergency or other medically necessary care.

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

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

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

The hospital facility used a prospective Medicare or Medicaid method

During the tax year, did the hospital facility charge any FAP-eligible individual to whom the hospital facility provided emergency or other medically necessary services more than the amounts generally billed to individuals who had insurance covering such care? ...............................

If "Yes," explain in Section C.

During the tax year, did the hospital facility charge any FAP-eligible individual an amount equal to the gross charge for any service provided to that individual? ...........................

If "Yes," explain in Section C.

Schedule H (Form 990) 2022

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 ILLINOIS MASONIC MEDICAL CENTER	PART V, SECTION B, LINE 5: 2017-2019 CHNA ADVOCATE ILLINOIS MASONIC MEDICAL CENTER (ADVOCATE ILLINOIS MASONIC) EMPLOYED MULTIPLE DATA COLLECTION STRATEGIES FOR THE 2017-2019 CHNA. THE MEDICAL CENTER COLLABORATED WITH MANY PARTNERS TO COLLECT PRIMARY AND SECONDARY SERVICE AREA AND COUNTY DATA THROUGH PARTICIPATION IN THE ALLIANCE FOR HEALTH EQUITY (THE ALLIANCE). THE ALLIANCE IS A PARTNERSHIP OF NUMEROUS STAKEHOLDERS REPRESENTING A BOARD CROSS-SECTOR OF ORGANIZATIONS, INCLUDING HEALTHCARE, COUNTY AND CITY GOVERNMENT, PUBLIC HEALTH, SOCIAL SERVICES, HOUSING, EDUCATION, FAITH AND OTHERS. ADDITIONALLY, THE MEDICAL CENTER ENGAGED MEMBERS FROM THE COMMUNITY REPRESENTING THE INTERESTS OF ITS COMMUNITY'S MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS THROUGH THE ADVOCATE ILLINOIS MASONIC COMMUNITY HEALTH AND GOVERNING COUNCILS. THESE COUNCILS AND COLLABORATIVES, AND THE KEY STAKEHOLDERS AND PARTNERS THEREIN, ARE DESCRIBED BELOW.COMMUNITY HEALTH COUNCIL. ADVOCATE ILLINOIS MASONIC CONVENED A COMMUNITY HEALTH COUNCIL (CHC) CHARGED WITH OVERSIGHT OF THE MEDICAL CENTER'S 2017-2019 CHNA PROCESS. THE MEDICAL CENTER'S CHC IS COMPRISED OF COMMUNITY AND MEDICAL CENTER REPRESENTATIVES. THE CHC SUPPORTED THE COLLECTION AND ANALYSIS OF DATA AND SELECTED THE MEDICAL CENTER'S HEALTH NEED PRIORITIES. IN ADDITION, FEEDBACK FROM THE COMMUNITY, HEALTH EXPERTS AND MULTIPLE STAKEHOLDERS WAS ALSO AN ESSENTIAL COMPONENT OF THE MEDICAL CENTER'S CHNA. IN AUGUST 2018, THE MEDICAL CENTER'S COMMUNITY HEALTH DEPARTMENT ORGANIZED A FORCES OF CHANGE ASSESSMENT (FOCA), THAT INCLUDED QUESTIONS SUCH AS "WHAT IS OCCURRING OR MIGHT OCCUR THAT AFFECTS THE WELL-BEING OF THE RESIDENTS OR THE LOCAL SYSTEM? AND "WHAT SPECIFIC THREATS AND OPPORTUNITIES ARE GENERATED BY THESE OCCURRENCES?" THE MEDICAL CENTER'S COMMUNITY HEALTH COUNCIL, COMMUNITY ORGANIZATIONS AND LEADERS, AS WELL AS LOCAL MUNICIPAL REPRESENTATIVES WERE INVITED TO ATTEND THE FOCA TO PROVIDE FEEDBACK AND INPUT ON THE MEDICAL CENTER'S PRIMARY SERVICE AREA (PSA) HEALTH NEEDS, SOCIAL ISSUES, COMMUNITY STRENGTHS AND OPPORTUNITIES. IN DECEMBER 2018, THE COMMUNITY HEALTH DEPARTMENT PRESENTED THE TOP EIGHT HEALTH NEEDS TO THE MEDICAL CENTER'S CHC, USING QUALITATIVE AND QUANTITATIVE DATA FROM VARIOUS SOURCES TO SUPPORT THE SELECTION OF IDENTIFIED HEALTH NEEDS. AFTER A THOROUGH REVIEW AND ANALYSIS OF THE EIGHT HEALTH NEEDS, THE CHC UTILIZED A PRIORITIZATION GRID TO NARROW THE HEALTH NEEDS TO THE TOP FOUR.IN MARCH 2019, THE MEDICAL CENTER'S COMMUNITY HEALTH DEPARTMENT HELD TWO CHC MEETINGS TO SELECT THE FINAL PRIORITY HEALTH NEEDS. COMMUNITY EXPERTS REPRESENTING THE TOP FOUR HEALTH NEEDS EDUCATED THE CHC MEMBERS ON THE BARRIERS AND CHALLENGES IN ADDRESSING EACH HEALTH ISSUE, INCLUDING THE ROOT CAUSE OF THE HEALTH ISSUE AND ORGANIZATIONS THAT ARE ALREADY WORKING TO ADDRESS THE HEALTH NEED IN THE COMMUNITY. THESE SUBJECT MATTER EXPERTS WERE FROM A FEDERALLY QUALIFIED HEALTH CENTER (FQHC), THE NATIONAL ALLIANCE ON MENTAL ILLNESS CHICAGO (NAMI CHICAGO), ILLINOIS PUBLIC HEALTH INSTITUTE AND THE MEDICAL CENTER'S COMMUNITY HEALTH DEPARTMENT. THE SECOND CHC MEETING IN MARCH WAS CONVENED AS A FORUM FOR COUNCIL MEMBERS TO DISCUSS INFORMATION FROM THE EXPERT PRESENTATIONS AND VOTE ON THE FINAL HEALTH NEED PRIORITIES. THE ORGANIZATIONS AND TITLES OF INDIVIDUALS SERVING ON THE MEDICAL CENTER'S CHC ARE PROVIDED BELOW. IN ADDITION, MEMBERS REPRESENTING LOW-INCOME, MEDICALLY UNDERSERVED AND/OR MINORITY POPULATIONS ARE ALSO INDICATED.MEMBERS FROM THE COMMUNITY- ACCLIVUS INC, COO (LOW-INCOME AND MINORITY POPULATIONS)- ASIAN HEALTH COALITION, EXECUTIVE DIRECTOR (LOW-INCOME AND MINORITY POPULATIONS)- CASA CENTRAL, DEPUTY DIRECTOR AND SENIOR COMMUNITY SERVICES (LOW-INCOME, MINORITY AND MEDICALLY UNDERSERVED POPULATIONS)- CENTRO ROMERO, RESOURCE DEVELOPER (LOW-INCOME, MEDICALLY UNDERSERVED AND MINORITY POPULATIONS)- CHICAGO POLICE DEPARTMENT 19TH DISTRICT, OFFICER - CHICAGO PUBLIC HEALTH DEPARTMENT, SENIOR ANALYST (LOW-INCOME, MEDICALLY UNDERSERVED AND MINORITY POPULATIONS)- CHUHAK & TECSON, LAWYER AND ADVOCATE ILLINOIS MASONIC GOVERNING COUNCIL MEMBER- COMMUNITY HEALTH CLINIC, EXECUTIVE DIRECTOR (LOW-INCOME, MEDICALLY UNDERSERVED AND MINORITY POPULATIONS)- DEPAUL UNIVERSITY, DIRECTOR, OFFICE OF HEALTH PROMOTION AND WELLNESS - HEARTLAND HEALTH CENTERS, VP STRATEGY AND DEVELOPMENT (LOW-INCOME, MEDICALLY UNDERSERVED AND MINORITY POPULATIONS)- HOWARD BROWN, DIRECTOR, DATA, EVALUATION AND EPIDEMIOLOGY (MINORITY AND MEDICALLY UNDERSERVED POPULATIONS) - LAKEVIEW FOOD PANTRY, DIRECTOR, PROGRAMS (LOW-INCOME POPULATIONS) - NAMI CHICAGO, EXECUTIVE DIRECTOR (MEDICALLY UNDERSERVED POPULATION)- NORTHEASTERN ILLINOIS UNIVERSITY, COORDINATOR, HEALTH SCIENCES FIELD EXPERIENCE PROGRAM- ONE NORTHSIDE, COORDINATOR (MEDICALLY UNDERSERVED POPULATIONS)ADVOCATE AURORA AND ADVOCATE ILLINOIS MASONIC STAFF MEMBERS- ADVOCATE AURORA, DIRECTOR, COMMUNITY HEALTH- ADVOCATE ILLINOIS MASONIC, COORDINATOR, COMMUNITY HEALTH - ADVOCATE ILLINOIS MASONIC, DIRECTOR, CARE MANAGEMENT - ADVOCATE ILLINOIS MASONIC, DIRECTOR, COMMUNITY HEALTH - ADVOCATE ILLINOIS MASONIC, FAITH COMMUNITY NURSE #1- ADVOCATE ILLINOIS MASONIC, FAITH COMMUNITY NURSE #2- ADVOCATE ILLINOIS MASONIC, MANAGER, BUSINESS DEVELOPMENT - ADVOCATE ILLINOIS MASONIC, PHYSICIAN AND GOVERNING COUNCIL MEMBER - ADVOCATE ILLINOIS MASONIC, PROGRAM MANAGER, TRANSITION SUPPORT PROGRAM- ADVOCATE ILLINOIS MASONIC, PROJECT LEADER, WORKFORCE DEVELOPMENT- ADVOCATE ILLINOIS MASONIC, SUPERVISOR, FOOD AND NUTRITION - ADVOCATE ILLINOIS MASONIC, VP, MISSION AND SPIRITUAL CARE GOVERNING COUNCIL. THE ADVOCATE ILLINOIS MASONIC GOVERNING COUNCIL IS COMPRISED OF COMMUNITY LEADERS AND EXECUTIVE LEVEL MEDICAL CENTER STAFF. THE PRINCIPAL ROLE OF EACH GOVERNING COUNCIL MEMBER IS TO SUPPORT MEDICAL CENTER LEADERSHIP IN ACHIEVEMENT OF THE MEDICAL CENTER'S GOALS, REPRESENT THE COMMUNITY'S INTERESTS TO THE MEDICAL CENTER AND TO SERVE AS AN ADVOCATE ILLINOIS MASONIC AMBASSADOR IN THE COMMUNITY. THE GOVERNING COUNCIL MONITORS CLINICAL OUTCOMES, PATIENT SATISFACTION, ASSOCIATE SATISFACTION, PHYSICIAN CREDENTIALING AND RELATIONS, FINANCIAL PERFORMANCE, STRATEGIC DIRECTION AND OVERALL COMMUNITY HEALTH STRATEGY. THE GOVERNING COUNCIL IS ALSO THE MEDICAL CENTER'S GOVERNING BODY THAT REVIEWS AND APPROVES THE MEDICAL CENTERS CHNA AND SELECTED PRIORITIES TO BE ADDRESSED. THE MEDICAL CENTER'S DIRECTOR OF COMMUNITY HEALTH PRESENTED THE PROCESS AND FINDINGS OF THE 2019 CHNA TO THE MEDICAL CENTER'S GOVERNING COUNCIL. THE PRESENTATION INCLUDED DETAILS REGARDING THE PRIORITY SETTING PROCESS AND PRIORITIZED HEALTH NEEDS. THE ADVOCATE ILLINOIS MASONIC GOVERNING COUNCIL APPROVED THE 2017-2019 CHNA AND THE PRIORITY HEALTH NEEDS ON SEPTEMBER 24, 2019.THE ALLIANCE FOR HEALTH EQUITY. AS MENTIONED EARLIER, ADVOCATE ILLINOIS MASONIC IS A KEY MEMBER OF THE ALLIANCE FOR HEALTH EQUITY AND CONTRIBUTES TO THE COLLECTION AND ANALYSIS OF COOK COUNTY DATA FOR THE COLLABORATIVE CHNA. THE ALLIANCE INCLUDES 37 NON-PROFIT AND PUBLIC HOSPITALS, HEALTH DEPARTMENTS AND REGIONAL AND COMMUNITY-BASED ORGANIZATIONS WORKING TO IMPROVE HEALTH EQUITY, WELLNESS AND QUALITY OF LIFE ACROSS CHICAGO AND SUBURBAN COOK COUNTY. FACILITATED BY THE ILLINOIS PUBLIC HEALTH INSTITUTE, THE COLLABORATIVE SHARES RESOURCES AND WORKS TOGETHER ON A CHNA PROCESS, INCLUDING DATA COLLECTION, PRIORITY SETTING AND HEALTH IMPROVEMENT IMPLEMENTATION PLANNING FOR THE REGION.THE SURVEYS AND DATA DISTRIBUTED AND COLLECTED BY THE COLLABORATIVE WAS A MAJOR SOURCE OF PRIMARY AND SECONDARY DATA FOR THE MEDICAL CENTER'S CHNA. THE ALLIANCE DATA WAS USED TO THOROUGHLY UNDERSTAND HEALTH NEEDS IN THE PSA. STAFF FROM THE ILLINOIS PUBLIC HEALTH INSTITUTE (IPHI) PRESENTED QUALITATIVE, QUANTITATIVE, SECONDARY AND PRIMARY DATA AROUND THE HEALTH AND SOCIAL NEEDS OF THE PSA TO THE MEDICAL CENTER'S CHC. ADVOCATE ILLINOIS MASONIC CONTINUES TO WORK WITH AND FINANCIALLY SUPPORT THE ALLIANCE IN EFFORTS TO ALIGN COMMUNITY HEALTH STRATEGIES TO HAVE A COLLECTIVE IMPACT ON THE COMMUNITY'S PRIORITY HEALTH NEEDS. A COPY OF THE ALLIANCE'S CHNA REPORT IS POSTED NEXT TO THE ADVOCATE ILLINOIS MASONIC CHNA REPORT ON THE MEDICAL CENTER'S WEBSITE.THE ADVOCATE HEALTH CARE NETWORK BOARD OF DIRECTORS APPROVED THE ADVOCATE ILLINOIS MASONIC 2017-2019 CHNA REPORT AND HEALTH PRIORITIES AT THE SYSTEM LEVEL ON DECEMBER 16, 2019. THE MEDICAL CENTER'S 2017-2019 CHNA REPORT WAS POSTED ON THE ADVOCATE HEALTH CARE WEBPAGE THE FOLLOWING DAY AND INCLUDED A FORM AND AN EMAIL AS MECHANISMS FOR THE COMMUNITY TO PROVIDE FEEDBACK ON THE CHNA. AS OF DECEMBER 31, 2019, THE MEDICAL CENTER HAD RECEIVED NO COMMENTS/FEEDBACK ON EITHER THE 2017-2019 CHNA REPORT, OR THE PREVIOUS 2014-2016 CHNA REPORT OR THE ACCOMPANYING 2017-2019 IMPLEMENTATION PLAN.
ADVOCATE ILLINOIS MASONIC MEDICAL CENTER	PART V, SECTION B, LINE 6A: ADVOCATE ILLINOIS MASONIC PARTICIPATED IN THE ALLIANCE FOR HEALTH EQUITY COLLABORATIVE AND SURVEY WHICH WAS LED BY THE ILLINOIS PUBLIC HEALTH INSTITUTE AND INCLUDED OVER 30 HOSPITALS, 7 HEALTH DEPARTMENTS AND OVER 100 COMMUNITY ORGANIZATIONS. THIS COLLABORATIVE COMPLETED A COMMUNITY HEALTH NEEDS ASSESSMENT FOR CHICAGO AND SUBURBAN COOK COUNTY. THE RELATED AS WELL AS UNRELATED HOSPITALS IN CLOSE PROXIMITY TO ADVOCATE ILLINOIS MASONIC ARE PROVIDED BELOW.RELATED? ADVOCATE CHILDREN'S (PARK RIDGE, IL); ADVOCATE LUTHERAN GENERAL (PARK RIDGE, IL)UNRELATED? RUSH UNIVERSITY MEDICAL CENTER (CHICAGO, IL); SWEDISH COVENANT (CHICAGO, IL); AMITA HEALTH (CHICAGO, IL); UNIVERSITY OF CHICAGO MEDICINE (CHICAGO, IL); ANN & ROBERT H. LURIE CHILDREN'S HOSPITAL (CHICAGO, IL). FOR FULL DETAILS ON THE COLLABORATIVE, PLEASE SEE THE FOLLOWING WEBSITE HTTPS://ALLHEALTHEQUITY.ORG/.
ADVOCATE ILLINOIS MASONIC MEDICAL CENTER	PART V, SECTION B, LINE 6B: OTHER NON-HOSPITAL FACILITIES THAT PARTICIPATED IN THE AHE INCLUDED THE ILLINOIS PUBLIC HEALTH INSTITUTE, CHICAGO DEPARTMENT OF PUBLIC HEALTH, COOK COUNTY HEALTH DEPARTMENT, VILLAGE OF SKOKIE HEALTH DEPARTMENT, AND CHICAGO PUBLIC LIBRARY-JEFFERSON PARK BRANCH.FOR A COMPLETE LIST OF COMMUNITY-BASED ORGANIZATIONS' NAMES THAT PARTICIPATED IN THE ASSESSMENT, PLEASE SEE THE FOLLOWING WEBSITE. HTTPS://ALLHEALTHEQUITY.ORG/.
ADVOCATE ILLINOIS MASONIC MEDICAL CENTER	PART V, SECTION B, LINE 7D: IN PARTNERSHIP WITH THE ALLIANCE FOR HEALTH EQUITY, ADVOCATE ILLINOIS MASONIC'S 2017-2019 CHNA WAS MADE WIDELY AVAILABLE ACROSS THE CITY OF CHICAGO AND PRESENTATIONS WERE PROVIDED UPON REQUEST. FURTHERMORE, THE CHNA WAS PRESENTED TO INTERNAL LEADERS FROM THE ADVOCATE ILLINOIS MASONIC CANCER CARE COMMITTEE.
ADVOCATE ILLINOIS MASONIC MEDICAL CENTER	PART V, SECTION B, LINE 11: HEALTH NEEDS SELECTED AS A RESULT OF THE 2017-2019 CHNA PROCESS, ADVOCATE ILLINOIS MASONIC SELECTED THREE PRIORITIES FOR 2020-2022 IMPLEMENTATION PLANNING, INCLUDING: 1) HEALTHY LIFESTYLES/OBESITY; 2) BEHAVIORAL HEALTH; AND 3) SOCIAL DETERMINANTS OF HEALTH. (FOR PRIORITY SELECTION PROCESS DETAILS, SEE PAGES 37-38 OF THE ADVOCATE ILLINOIS MASONIC 2017-2019 CHNA REPORT AT HTTPS://WWW.ADVOCATEHEALTH.COM/ASSETS/DOCUMENTS/CHNA/ILLINOIS-MASONIC-MEDICAL-CENTER/0762_IMMC_CHNA_F_1_14_2020-(LR).PDF.)HEALTHY LIFESTYLES/OBESITY. THE MEDICAL CENTER'S CHC CHOSE HEALTHY LIFESTYLES/OBESITY AS A HEALTH PRIORITY TO ADDRESS DUE TO THE MANY CHRONIC DISEASES AND HEALTH ISSUES THAT ARE RELATED TO POOR NUTRITION AND PHYSICAL INACTIVITY. THE CHC ALSO RECOGNIZED THE SIGNIFICANT IMPACT THIS ISSUE HAS ON QUALITY OF LIFE AND OVERALL HEALTH OUTCOMES IN THE MEDICAL CENTER'S PSA. IN 2020, ADVOCATE ILLINOIS MASONIC IMPLEMENTED DRIVE-THROUGH POP-UP FARMERS MARKETS IN PARTNERSHIP WITH IRV AND SHELLY'S FRESH PICKS, CLEVELAND ELEMENTARY SCHOOL AND AREA FREE CLINICS. THE INITIATIVE DISTRIBUTED OVER 3,680 POUNDS OF FRESH PRODUCE TO 900 INDIVIDUALS AND FAMILIES IN FOOD DESERT COMMUNITIES IN 2020. IN ADDITION, THE MEDICAL CENTER'S FOOD PANTRY, WHICH BEGAN IN 2016, DISTRIBUTED OVER 200 NON-PERISHABLE FOOD BAGS AND 17 FRESH PRODUCE BOXES TO 180 FOOD INSECURE PATIENTS. TO MEET THE NEEDS OF ITS COMMUNITY AND PATIENTS DURING THE COVID-19 PANDEMIC, THE MEDICAL CENTER'S FOOD PANTRY EXPANDED ITS SERVICES TO TEAM MEMBERS AND THREE NEW SERVICES LINES AND DEPARTMENTSOB/GYN, FAMILY MEDICINE AND THE DENTAL MOBILE VAN. IN PARTNERSHIP WITH THE AVONDALE FAITH AND HEALTH COLLABORATIVE, ADVOCATE ILLINOIS MASONIC'S COMMUNITY HEALTH DEPARTMENT COMPLETED A CHNA AND IMPLEMENTATION PLAN TO GUIDE WORK AND ADDRESS HEALTH NEEDS IN THE AVONDALE COMMUNITY. IN 2020, IN RESPONSE TO THE PANDEMIC, THE COLLABORATIVE WORKED WITH IRV'S AND SHELLY'S FRESH PRODUCE AND COMMUNITY ORGANIZATIONS TO HOST COMMUNITY DINNERS, WHICH PROVIDED FRESH AND HEALTHY FOOD TO LOW-INCOME AND UNDOCUMENTED INDIVIDUALS AND FAMILIES. IN 2020, OVER 20 COMMUNITY DINNERS WERE PROVIDED. THE TRANSITION SUPPORT PROGRAM (TSP) AIMS TO IMPROVE HEALTH OUTCOMES AND LIFESTYLES BY INCREASING ACCESS TO PRIMARY CARE FOR LOW-INCOME AND UNINSURED PATIENTS. IN 2020, THE PROGRAM SERVED 1,245 UNIQUE PATIENTS. BEHAVIORAL HEALTH WAS SELECTED AS THE SECOND HEALTH PRIORITY. THE CHC SELECTED BEHAVIORAL HEALTH, INCLUDING MENTAL HEALTH AND SUBSTANCE/ALCOHOL USE, GIVEN THAT THE RATE OF MENTAL HEALTH ISSUES AND SUBSTANCE USE IN ADVOCATE ILLINOIS MASONIC'S PSA ARE CONTINUING TO INCREASE OVER TIME AND ARE HIGH WHEN COMPARED TO OTHER COMMUNITIES IN ILLINOIS. DATA AND HOSPITALIZATION RATES INDICATE THAT THERE IS A GREAT NEED FOR EXPANSION OF BEHAVIORAL HEALTH SERVICES, INCLUDING ACCESS TO HEALTH SERVICES, TREATMENT, HOUSING AND PROGRAMMING. FURTHERMORE, THERE IS A CORRELATION BETWEEN SUBSTANCE USE AND MENTAL HEALTH, WHICH MAKES IT ESSENTIAL FOR THE MEDICAL CENTER TO ADDRESS BOTH HEALTH ISSUES IN TANDEM. IN 2020, ADVOCATE ILLINOIS MASONIC'S MEDICALLY INTEGRATED COMMUNITY CRISIS SUPPORT (MICCS) PROGRAM CONTINUED WORKING TO INCREASE ACCESS TO MENTAL HEALTH SERVICES AND MEDICATION FOR HIGH-RISK PATIENTS IN ITS PSA. IN 2020, THE PROGRAM SERVED 104 LOW-INCOME AND HOUSING INSECURE PATIENTS. IN ADDITION, THE MEDICAL CENTER ALSO OPERATES AN INJECTION CLINIC FOR THOSE WITH MENTAL ILLNESS. IN 2020, THE CLINIC SERVED 204 INDIVIDUALS. DUE TO COVID-19, THE MEDICAL CENTER'S FIRST ACCESS PROGRAM OPERATED VIRTUALLY TO LINK PATIENTS FROM THE MEDICAL CENTER'S ED AND INPATIENT PSYCH UNIT TO OUTPATIENT REMOTE SERVICES. SEVENTY-FIVE PERCENT OF PATIENTS REFERRED THROUGH FIRST ACCESS FOLLOWED UP WITH THEIR OUTPATIENT RECOMMENDATIONS. IN PARTNERSHIP WITH THE CITY OF CHICAGO AND NAMI CHICAGO, THE MEDICAL CENTER'S BEHAVIORAL HEALTH TEAM STAFFED THE CALL4CALM LINE, A PHONE LINE DEVELOPED IN RESPONSE TO COVID-19 FOR THOSE STRUGGLING WITH MENTAL HEALTH ISSUES OR ILLNESS. THE PROGRAM RECEIVED 60 CALLS OF WHICH SEVEN WERE REFERRED TO FIRST ACCESS FOR ADDITIONAL SUPPORT. IN ADDITION, AND DUE TO COVID-19, THE MEDICAL CENTER DID NOT IMPLEMENT MENTAL HEALTH FIRST AID OR BRIDGES OF HOPE TRAININGS IN 2020 AS WAS PLANNED. IN 2021, BRIDGES OF HOPE AND MENTAL HEALTH FIRST AID WILL CONTINUE TO BE IMPLEMENTED IN PARTNERSHIP WITH COMMUNITY ORGANIZATIONS.SOCIAL DETERMINANTS OF HEALTH. THE AHE'S CHNA DEMONSTRATED THE DEVASTATING IMPACT SOCIAL AND ECONOMIC FACTORS CAN HAVE ON ONE'S HEALTH. THE CHC IDENTIFIED SDOH AS A CRUCIAL COMPONENT OF ADDRESSING THE ROOT CAUSE OF THE PRIORITIZED HEALTH ISSUES AND KEY TO IMPROVING THE OVERALL HEALTH AND QUALITY OF LIFE IN THE MEDICAL CENTER'S PSA. SPECIFICALLY, ADVOCATE ILLINOIS MASONIC WILL ADDRESS EMPLOYMENT AND TRAINING, HOUSING AND COMMUNITY SAFETY/VIOLENCE PREVENTION. ADDITIONAL INFORMATION CAN BE FOUND IN ADVOCATE ILLINOIS MASONIC'S 2019 CHNA REPORT OR IN THE ALLIANCE FOR HEALTH EQUITY'S 2019 CHNA REPORT POSTED NEXT TO THE MEDICAL CENTER'S REPORT AT HTTPS://WWW.ADVOCATEHEALTH.COM/HOSPITAL-CHNA-REPORTS-IMPLEMENTATION-PLANS-PROGRESS-REPORTS/ILLINOIS-MASONIC-CHNA-REPORT-2019.IN 2020 AND IN PARTNERSHIP WITH THE CENTER FOR HEALTH AND HOUSING, ADVOCATE ILLINOIS MASONIC PLACED ONE INDIVIDUAL IN PERMANENT HOUSING AND THREE INDIVIDUALS IN TRANSITIONAL HOUSING THROUGH ITS FLEXIBLE HOUSING POOL PROGRAM. PATIENTS PLACED IN HOUSING WERE HOMELESS AND DIAGNOSED WITH MENTAL OR CHRONIC HEALTH CONDITIONS. CASE MANAGEMENT AND WRAP AROUND SERVICES WERE PROVIDED TO ALL PATIENTS PLACED IN PERMANENT AND TRANSITIONAL HOUSING. THE ADVOCATE WORKFORCE INITIATIVE (AWI), AIMS TO INCREASE MINORITY REPRESENTATIONS IN THE HEALTH CARE SECTOR. THE PROGRAM ENROLLED 1,250 NEW PARTICIPANTS IN 2020 WITH OVER 900 PARTICIPANTS COMPLETING THE PROGRAM. ADDITIONALLY, THE COMMUNITY HEALTH AND ADVOCATE WORKFORCE INITIATIVE TEAMS DEVELOPED AN EMPLOYMENT AND TRAINING PROGRAM PROVIDING PAID EXTERNSHIPS TO STUDENTS COMPLETING TRAINING IN ENTRY LEVEL HEALTH CARE POSITIONS. THE PROGRAM FOCUSES ON STUDENTS RESIDING IN UNDER-SERVED COMMUNITIES WITH HIGH UNEMPLOYMENT RATES. THE MEDICAL CENTER ALSO PARTNERS WITH ACCLIVUS, AN ORGANIZATION FOCUSED ON COMMUNITY SAFETY, TO PROVIDE VIOLENCE INTERVENTION SERVICES. IN 2020, 117 MEDICAL CENTER PATIENTS WERE ADMITTED TO THE ED DUE TO DOMESTIC OR COMMUNITY VIOLENCE. IN ADDITION, 147 REFERRAL CALLS BY HOSPITAL CHAPLAINS WERE MADE TO THE ACCLIVUS TEAM. HEALTH NEEDS NOT SELECTED CARDIOVASCULAR/HEART DISEASE. WHILE IDENTIFIED AS A HEALTH NEED IN THE MEDICAL CENTER'S PSA, CARDIOVASCULAR/HEART DISEASE WAS NOT SELECTED AS A PRIORITY DUE TO CONSENSUS FROM THE CHC THAT MANY FACTORS LEADING TO CARDIOVASCULAR/HEART DISEASE CAN PARTIALLY BE PREVENTED BY HEALTHY EATING, PHYSICAL ACTIVITY AND ACCESS TO CARE. THE CHC WILL ADDRESS CARDIOVASCULAR/ HEART DISEASE THROUGH THE HEALTHY LIFESTYLE AND OBESITY PRIORITY. ADVOCATE ILLINOIS MASONIC ALSO ADDRESSES CARDIOVASCULAR DISEASE THOUGH ITS HEART INSTITUTE, WHICH HAS PROVIDED OVER 20,000 HEART PROCEDURES PERFORMED BY OVER 350 SPECIALISTS. CANCER. CANCER WAS NOT SELECTED AS A PRIORITY DUE TO THE MANY CANCER SERVICES AND PROGRAMS OFFERED BY ADVOCATE ILLINOIS MASONIC'S CRETICOS CANCER CENTER (CCC). IN ADDITION, THE MEDICAL CENTER'S COMMUNITY HEALTH DEPARTMENT WORKS WITH THE CCC TO PROVIDE A HOSPITAL-BASED FOOD PANTRY TO FOOD INSECURE CANCER PATIENTS. THE MEDICAL CENTER ALSO WORKS CLOSELY WITH THE AMERICAN CANCER SOCIETY TO PROVIDE OTHER CANCER RELATED SERVICES AND SUPPORT, SUCH AS FOR EXAMPLE, WIGS AND SUPPORT GROUPS. SENIOR HEALTH. WHILE SENIOR HEALTH IS A NEED GIVEN THAT 11.56 PERCENT OF THE MEDICAL CENTER'S PSA IS 65 AND OLDER, THE CHC DID NOT SELECT IT AS A PRIORITY TO BE ADDRESSED BY THE MEDICAL CENTER. ADVOCATE ILLINOIS MASONIC CURRENTLY HAS AN ARRAY OF OUTREACH PROGRAMS FOR SENIORS AND THEIR CARE GIVERS. THE PROGRAMS INCLUDE THE SENIOR FAIR, MEDICARE 101 CLASSES, HEALTH EDUCATION LECTURES PROVIDED TO LOCAL SENIOR CARE PROVIDERS AND ORGANIZATIONS, AS WELL AS SENIOR HOUSING FACILITIES. THE MEDICAL CENTER'S COMMUNITY HEALTH DEPARTMENT ALSO WORKS CLOSELY WITH THE BUSINESS DEVELOPMENT TEAM TO ENSURE THAT THE HEALTH NEEDS OF SENIORS ARE BEING ADDRESSED IN THE COMMUNITY. ASTHMA. THE MEDICAL CENTER'S CHC IDENTIFIED ASTHMA AS A LOWER RANKED HEALTH NEED AND THEREFORE IT WAS NOT SELECTED AS A PRIORITY DUE TO THE LACK OF COMMUNITY PARTNERS AND INEFFECTIVENESS/ AVAILABILITY OF ASTHMA PREVENTION PROGRAMS.ACCESS TO HEALTH CARE. THE CHC, COMMUNITY HEALTH DEPARTMENT AND THE MEDICAL CENTER RECOGNIZE ACCESS TO HEALTH CARE AS BEING CRITICAL TO THE HEALTH OF INDIVIDUALS WITHIN ADVOCATE ILLINOIS MASONIC'S PSA. RATHER THAN MAKING THIS HEALTH ISSUE A STAND-ALONE HEALTH PRIORITY, THE CHC DECIDED TO INCORPORATE ACCESS TO CARE IN BOTH THE BEHAVIORAL HEALTH AND HEALTHY LIFESTYLE STRATEGIES.ADDITONAL INFORMATION ON ADVOCATE ILLINOIS MASONIC'S 2019 CHNA CAN BE FOUND AT: HTTPS://WWW.ADVOCATEHEALTH.COM/HOSPITAL-CHNA-REPORTS-IMPLEMENTAL
ADVOCATE ILLINOIS MASONIC MEDICAL CENTER	PART V, SECTION B, LINE 16J: ADVOCATE NORTH SIDE 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. 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.4. 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 ILLINOIS MASONIC MEDICAL CENTER	PART V, SECTION B, LINE 19E: ADVOCATE NORTH SIDE 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 ILLINOIS MASONIC MEDICAL CENTER	PART V, SECTION B, LINE 20E: ADVOCATE MAKES REASONABLE EFFORTS TO DETERMINE A PATIENT'S ELIGIBILITY UNDER ITS FAP, INCLUDING SENDING A SERIES OF LETTERS AND ATTEMPTING TO WORK WITH THE PATIENT THROUGH THE FINANCIAL COUNSELING PROCESS AND/OR PHONE CALLS. ALL CORRESPONDENCE ASKS THE PATIENT TO NOTIFY THE HOSPITAL IF HE/SHE IS EXPERIENCING "DIFFICULTY IN PAYING YOUR BILL". ADVOCATE ALSO USES EARLY OUT AND PRECOLLECTION VENDORS TO ASSIST IN OBTAINING PAYMENTS OR COLLECTING FINANCIAL ASSISTANCE ELIGIBILITY INFORMATION. THESE VENDORS HAVE THE FOLLOWING LANGUAGE IN THEIR CONTRACT: "VENDOR WILL COMMUNICATE THE ADVOCATE HEALTH CARE POLICY AND GUIDELINE TO ANY PATIENT EXPRESSING A DIFFICULTY IN PAYING THEIR BILL AND, "VENDOR WILL MAIL THE ADVOCATE HEALTH CARE FINANCIAL ASSISTANCE APPLICATION TO ANY PATIENTS EXPRESSING A DIFFICULTY IN PAYING THEIR BILL". ADVOCATE'S BAD DEBT AGENCY CONTRACTS HAVE THE FOLLOWING LANGUAGE: "AGENCY SHALL EVALUATE EACH PATIENT WHOSE ACCOUNT IS REFERRED TO AGENCY, WHERE THE PATIENT EXPRESSES DIFFICULTY OR INABILITY TO PAY THEIR BILL, FOR ELIGIBILITY UNDER ADVOCATE'S FINANCIAL ASSISTANCE POLICY." VENDOR AND AGENCY CONTRACTS ARE STANDARD ACROSS ADVOCATE'S SYSTEM.

Schedule H (Form 990) 2022

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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?6
Name and address		Type of Facility (describe)
1	1 - EDUCATION CENTER 836 W NELSON ST CHICAGO,IL60657	OTHER
2	2 - AMBULATORY PAVILION 836 W WELLINGTON AVE CHICAGO,IL60657	PATIENT CARE - OUT PATIENT
3	3 - CANCER CENTER 901 W WELLINGTON AVE CHICAGO,IL60657	PATIENT CARE - OUT PATIENT
4	4 - MEDICAL OFFICE BUILDING 3000 N HALSTED ST CHICAGO,IL60657	PATIENT CARE - OUT PATIENT
5	5 - OFFICES 836 W NELSON ST CHICAGO,IL60657	PATIENT CARE - OUT PATIENT
6	6 - PRIMARY CARE CENTER 3048 N WILTON CHICAGO,IL60657	PATIENT CARE - OUT PATIENT
7
8
9
10

Schedule H (Form 990) 2022

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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:	ANSHN PROVIDES SUBSIDIZED HEALTH SERVICES TO THE COMMUNITY. THESE SERVICES ARE PROVIDED DESPITE CREATING A FINANCIAL LOSS FOR ANSHN. THESE SERVICES ARE PROVIDED BECAUSE THEY MEET AN IDENTIFIED COMMUNITY NEED. IF ANSHN DID NOT PROVIDE THE CLINICAL SERVICE, IT IS REASONABLE TO CONCLUDE THAT THESE SERVICES WOULD NOT BE AVAILABLE TO THE COMMUNITY. THE SERVICES INCLUDED ARE BOTH INPATIENT AND OUTPATIENT PROGRAMS FOR PEDIATRICS AND REHABILITATION SERVICES.
PART I, LN 7 COL(F):	$25,472,918 OF BAD DEBT EXPENSE WAS INCLUDED ON FORM 990, PART IX, LINE 25, COLUMN (A), BUT WAS REMOVED FROM THE DENOMINATOR FOR PURPOSES OF SCHEDULE H, PART I, LINE 7, COLUMN (F).
PART II, COMMUNITY BUILDING ACTIVITIES:	AS A RESULT OF THE 2017-2019 CHNA PROCESS, ADVOCATE ILLINOIS MASONIC SELECTED THREE PRIORITIES FOR 2020-2022 IMPLEMENTATION PLANNING, INCLUDING: 1) HEALTHY LIFESTYLES 2) BEHAVIORAL HEALTH; AND 3) SOCIAL DETERMINANTS OF HEALTH. (FOR PRIORITY SELECTION PROCESS DETAILS, SEE PAGES 37-38 OF THE ADVOCATE ILLINOIS MASONIC 2017-2019 CHNA REPORT AT IMMC 2019 CHNA HEALTHY LIFESTYLES THE MEDICAL CENTER'S CHC CHOSE HEALTHY LIFESTYLES AS A HEALTH PRIORITY TO ADDRESS DUE TO THE MANY CHRONIC DISEASES AND HEALTH ISSUES THAT ARE RELATED TO POOR NUTRITION AND PHYSICAL INACTIVITY. THE CHC ALSO RECOGNIZED THE SIGNIFICANT IMPACT THIS ISSUE HAS ON QUALITY OF LIFE AND OVERALL HEALTH OUTCOMES IN THE MEDICAL CENTER'S PSA. IN IN 2022, ADVOCATE ILLINOIS MASONIC IMPLEMENTED THIRTEEN POP-UP FARMER'S MARKETS THAT SERVED OVER 9,000 POUNDS OF FRESH PRODUCE AND SHELF STABLE FOODS TO 1,197 PATIENTS. AIMMC HOSPITAL-BASED FOOD PANTRY DISTRIBUTED 1,360 POUNDS OF NON-PERISHABLE FOOD AND 3,712 POUNDS OF FRESH PRODUCE. THE PANTRY PROGRAM SERVED A TOTAL OF 531 PATIENTS. IN PARTNERSHIP WITH COMMUNITYHEALTH AND ONWARD HOUSE, THE MEDICAL CENTER DEVELOPED THE ADVOCATE AURORA HEALTH HYPERTENSION INITIATIVE TO ADDRESS HIGH BLOOD PRESSURE IN COMMUNITIES WITH THE HIGHEST RATES OF HYPERTENSION. THE COMPREHENSIVE PROGRAM PROVIDED HEALTH EDUCATION, PHYSICAL ACTIVITY, ACCESS TO FRESH PRODUCE, AND MONTHLY BLOOD PRESSURE SCREENINGS. 190 FRESH PRODUCE BOXES WERE DISTRIBUTED TO PROGRAM PARTICIPANTS. IN PARTNERSHIP WITH THE AVONDALE FAITH AND HEALTH COLLABORATIVE, THE ADVOCATE ILLINOIS MASONIC COMMUNITY HEALTH DEPARTMENT PARTICIPATED IN THREE AVONDALE RESTORATIVE JUSTICE COMMUNITY COURT PEACE CIRCLES. THE TRANSITION SUPPORT PROGRAM AIMS TO IMPROVE ACCESS TO PRIMARY CARE AND SPECIALTY CARE FOR PATIENTS WITHOUT HEALTH INSURANCE COVERAGE. THE PROGRAM CONTINUED TO SERVE UNINSURED AND LOW-INCOME PATIENTS, CONNECTING PATIENTS TO PRIMARY CARE. THE COMMUNITY HEALTH DEPARTMENT WILL CONTINUE TO PARTNER WITH THE TRANSITION SUPPORT PROGRAM IN 2023.BEHAVIORAL HEALTH WAS SELECTED AS THE SECOND HEALTH PRIORITY. THE CHC SELECTED BEHAVIORAL HEALTH, INCLUDING MENTAL HEALTH AND SUBSTANCE/ALCOHOL USE, GIVEN THAT THE RATE OF MENTAL HEALTH ISSUES AND SUBSTANCE USE IN ADVOCATE ILLINOIS MASONIC'S PSA ARE CONTINUING TO INCREASE OVER TIME AND ARE HIGH WHEN COMPARED TO OTHER COMMUNITIES IN ILLINOIS. DATA AND HOSPITALIZATION RATES INDICATE THAT THERE IS A GREAT NEED FOR EXPANSION OF BEHAVIORAL HEALTH SERVICES, INCLUDING ACCESS TO HEALTH SERVICES, TREATMENT, HOUSING AND PROGRAMMING. FURTHERMORE, THERE IS A CORRELATION BETWEEN SUBSTANCE USE AND MENTAL HEALTH, WHICH MAKES IT ESSENTIAL FOR THE MEDICAL CENTER TO ADDRESS BOTH HEALTH ISSUES IN TANDEM. IN 2022, THE ADVOCATE ILLINOIS MASONIC MEDICALLY INTEGRATED COMMUNITY CRISIS SUPPORT (MICCS) PROGRAMS AIMS TO INCREASE ACCESS TO MENTAL HEALTH SERVICES AND MEDICATION. EIGHTY-FIVE PATIENTS WERE ENROLLED IN THE MICCS PROGRAM AND RECEIVED 1,917 SERVICES. THE MEDICAL CENTER CONTINUED TO IMPLEMENT THE FIRST ACCESS PROGRAM WHICH AIMS TO INCREASE ACCESS TO BEHAVIORAL HEALTH SERVICES. A TOTAL OF 135 PATIENTS WERE SERVED AND THE PROGRAM PERFORMED 1,276 INTAKE ASSESSMENTS. THE CALL4CALM WAS ESTABLISHED TO SUPPORT PATIENTS STRUGGLING WITH STRESS DUE TO THE COVID-19 PANDEMIC. THREE REFERRALS WERE MADE TO FIRST ACCESS ORIGINATING FROM THE CALL4CALM. TO ADDRESS INCREASING NEEDS FOR MENTAL HEALTH PROGRAMMING, THE MEDICAL CENTER IMPLEMENTED ONE MENTAL HEALTH FIRST AID TRAINING (MHFA). THE MEDICAL CENTER PARTNERED WITH AVONDALE RESTORATIVE JUSTICE COMMUNITY COURT, PROVIDING A TRAINING FOR A TOTAL OF SEVEN INDIVIDUALS. ADVOCATE ILLINOIS MASONIC OPERATES AN INJECTION CLINIC FOR THOSE WITH MENTAL ILLNESS. 62 PATIENTS WERE SERVED RECEIVING A TOTAL OF 107 INJECTIONS. SOCIAL DETERMINANTS OF HEALTH. THE AHE'S CHNA DEMONSTRATED THE DEVASTATING IMPACT SOCIAL AND ECONOMIC FACTORS CAN HAVE ON ONE'S HEALTH. THE CHC IDENTIFIED SDOH AS A CRUCIAL COMPONENT OF ADDRESSING THE ROOT CAUSE OF THE PRIORITIZED HEALTH ISSUES AND KEY TO IMPROVING THE OVERALL HEALTH AND QUALITY OF LIFE IN THE MEDICAL CENTER'S PSA. SPECIFICALLY, ADVOCATE ILLINOIS MASONIC WILL ADDRESS EMPLOYMENT AND TRAINING, HOUSING, AND COMMUNITY SAFETY/VIOLENCE PREVENTION. ADDITIONAL INFORMATION CAN BE FOUND IN ADVOCATE ILLINOIS MASONIC'S 2019 CHNA REPORT OR IN THE ALLIANCE FOR HEALTH EQUITY'S 2019 CHNA REPORT POSTED NEXT TO THE MEDICAL CENTER'S REPORT AT ADVOCATE ILLINOIS MASONIC MEDICAL CENTER CHNA REPORT 2019 \| ADVOCATE HEALTH CAREIN 2022, THE ADVOCATE AURORA WORKFORCE DEVELOPMENT TEAM AND THE MEDICAL CENTER'S COMMUNITY HEALTH TEAMS COLLABORATED TO CREATE THE CAREER SUCCESS COACH PROGRAM WHICH AIMS AT REDUCING EMPLOYEE TURNOVER IN THE FIRST 90 DAYS. THE PROGRAMS LOOKED AT ADDRESSING BARRIERS AND CHALLENGES SUCH AS TRANSPORTATION, CHILDCARE AND FOOD INSECURITY.THE ADVOCATE TRAUMA RECOVERY CENTER (TRC) IS A HEALTHCARE-BASED VIOLENCE INTERVENTION PROGRAM THAT PROVIDES SHORT TERM SERVICES TO SURVIVORS OF INTENTIONAL CRIME. THE TRAUMA RECOVERY CENTER WAS IMPLEMENTED AT THE MEDICAL CENTER IN 2022 SCREENING 70 PATIENTS WHO WERE TRC SERVICES AND RESOURCES. HEALTH NEEDS NOT SELECTED CARDIOVASCULAR/HEART DISEASE. CANCER. SENIOR HEALTH. ASTHMA. ACCESS TO HEALTH CARE. FOR DETAILED INFORMATION ON WHY THESE NEEDS WERE NOT SELECTED PLEASE SEE ADVOCATE ILLINOIS MASONIC'S 2019 CHNA AT: ADVOCATE ILLINOIS MASONIC MEDICAL CENTER CHNA REPORT 2019 \| ADVOCATE HEALTH CARE
PART III, LINE 4:	FOR ANHN, IN 2022, THE ALLOWANCE FOR DOUBTFUL ACCOUNTS COVERED 24.96% OF NET PATIENT ACCOUNTS RECEIVABLE. PATIENT ACCOUNTS RECEIVABLE ARE STATED AT NET REALIZABLE VALUE. ANSHN EVALUATES THE COLLECTABILITY OF ITS ACCOUNTS RECEIVABLE BASED ON THE LENGTH OF TIME THE RECEIVABLE IS OUTSTANDING, PAYER CLASS, HISTORICAL COLLECTION EXPERIENCE, AND TRENDS IN HEALTH CARE INSURANCE PROGRAMS. ACCOUNTS RECEIVABLE ARE CHARGED TO THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS WHEN THEY ARE DEEMED UNCOLLECTIBLE.THE COSTING METHODOLOGY USED IN DETERMINING THE AMOUNTS REPORTED ON LINES 2 AND 3 IS BASED ON THE RATIO OF PATIENT CARE COST TO CHARGES. THE UNREIMBURSED COST OF BAD DEBT WAS CALCULATED BY APPLYING THE ORGANIZATION'S COST TO CHARGE RATIO FROM THE MEDICARE COST REPORTS (CMS 2252-96 WORKSHEET C, PART 1, PPS INPATIENT RATIOS) TO THE ORGANIZATION'S BAD DEBT PROVISION PER GENERALLY ACCEPTED ACCOUNTING PRINCIPLES, LESS ANY PATIENT OR THIRD PARTY PAYOR PAYMENTS RECEIVED.ADVOCATE MAKES EVERY EFFORT TO IDENTIFY THOSE PATIENTS WHO ARE ELIGIBLE FOR FINANCIAL ASSISTANCE BY STRICTLY ADHERING TO ITS FINANCIAL ASSISTANCE POLICY. WE BELIEVE THAT ADVOCATE HAS A POPULATION OF PATIENTS WHO ARE UNINSURED OR UNDERINSURED BUT WHO DO NOT COMPLETE THE FINANCIAL ASSISTANCE APPLICATION. THE ESTIMATED AMOUNT OF BAD DEBT EXPENSE (AT COST) WHICH COULD BE REASONABLY ATTRIBUTABLE TO PATIENTS WHO WOULD LIKELY QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY, IF SUFFICIENT INFORMATION HAD BEEN AVAILABLE TO MAKE A DETERMINATION OF THEIR ELIGIBILITY, WAS BASED UPON SELF PAY PATIENT ACCOUNTS WHICH HAD AMOUNTS WRITTEN OFF TO BAD DEBTS. OUR METHOD WAS TO BEGIN WITH THE SELF-PAY PORTION OF BAD DEBT EXPENSE PROVISION. THE SELF PAY PORTION EXCLUDES THOSE PATIENTS WHO HAD FINANCIAL ASSISTANCE APPLICATIONS PENDING AT THE TIME OF SERVICE. THIS COST WAS THEN REDUCED BY CHARGES IDENTIFIED AS TRUE BAD DEBT EXPENSE, INCLUDING COPAYS FOR PATIENTS WHO QUALIFIED FOR LESS THAN 100% FINANCIAL ASSISTANCE. THE COST TO CHARGE RATIO WAS THEN APPLIED TO THE REMAINING CHARGES, TO DETERMINE THE VALUE (AT COST) OF PATIENT ACCOUNTS THAT DID NOT COMPLETE FINANCIAL COUNSELING AND WERE ASSIGNED TO BAD DEBT. WE BELIEVE THIS PROCESS IS A REASONABLE BASIS FOR OUR ESTIMATE. AS WE ARE ONLY CONSIDERING SELF-PAY ACCOUNTS WRITTEN OFF TO BAD DEBT FOR THIS ESTIMATE, THIS ESTIMATE DOES NOT INCLUDE THE IMMEDIATE 25% DISCOUNT TO CHARGES WHICH IS APPLIED TO ALL SELF-PAY PATIENTS. IT ALSO DOES NOT INCLUDE ACCOUNT BALANCES OR CO-PAYS OF NON-SELF PAY ACCOUNTS WHICH ARE WRITTEN OFF TO BAD DEBT WHEN THE PATIENT HAS NO OTHER FINANCIAL RESOURCES TO PAY THESE AMOUNTS AND THE PATIENT DOES NOT APPLY FOR FINANCIAL ASSISTANCE.BAD DEBT AMOUNTS HAVE BEEN EXCLUDED FROM OTHER COMMUNITY BENEFIT AMOUNTS REPORTED THROUGHOUT SCHEDULE H.
PART III, LINE 8:	IN 2022, NO SHORTFALL WAS REPORTED ON PART III, LINE 7.FOR ADVOCATE NORTHSIDE'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:	ANSHN 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 2:	COMMUNITY HEALTH NEEDS ASSESSMENTADVOCATE ILLINOIS MASONIC MEDICAL CENTER (ADVOCATE ILLINOIS MASONIC) UTILIZED MULTIPLE DATA COLLECTION STRATEGIES FOR THE 2017-2019 CHNA. THE MEDICAL CENTER COLLABORATED WITH MANY PARTNERS TO COLLECT PRIMARY AND SECONDARY SERVICE AREA AND COUNTY DATA THROUGH PARTICIPATION IN THE ALLIANCE FOR HEALTH EQUITY AND ADVOCATE ILLINOIS MASONIC COMMUNITY HEALTH/ GOVERNING COUNCILS. THESE COUNCILS AND COLLABORATIVES, AND THE KEY STAKEHOLDERS AND PARTNERS THEREIN, ARE DESCRIBED BELOW.THE ALLIANCE FOR HEALTH EQUITY (AHE). ADVOCATE ILLINOIS MASONIC IS A KEY MEMBER OF THE ALLIANCE FOR HEALTH EQUITY (AHE) AND CONTRIBUTES TO THE COLLECTION AND ANALYSIS OF COOK COUNTY DATA FOR THE COLLABORATIVE CHNA. THIS ALLIANCE INCLUDES 37 NON-PROFIT AND PUBLIC HOSPITALS, HEALTH DEPARTMENTS AND REGIONAL AND COMMUNITY-BASED ORGANIZATIONS WORKING TO IMPROVE HEALTH EQUITY, WELLNESS AND QUALITY OF LIFE ACROSS CHICAGO AND SUBURBAN COOK COUNTY. FACILITATED BY THE ILLINOIS PUBLIC HEALTH INSTITUTE, THE COLLABORATIVE SHARES RESOURCES AND WORKS TOGETHER ON A CHNA PROCESS. DETAILED INFORMATION RELATED TO THE COLLABORATIVE ASSESSMENT AND PARTICIPATING HOSPITALS, HEALTH DEPARTMENTS AND COMMUNITY ORGANIZATIONS MAY BE FOUND IN THE 2019 COMMUNITY HEALTH NEEDS ASSESSMENT FOR CHICAGO AND SUBURBAN COOK COUNTY, AND IS POSTED ALONGSIDE ADVOCATE ILLINOIS MASONIC'S 2017-2019 CHNA REPORT ON THE ADVOCATE CHNA WEBPAGE AT: ADVOCATE ILLINOIS MASONIC MEDICAL CENTER CHNA REPORT 2019 \| ADVOCATE HEALTH CARECOMMUNITY HEALTH COUNCIL (CHC). ADVOCATE ILLINOIS MASONIC CONVENED A COMMUNITY HEALTH COUNCIL (CHC), COMPRISED OF BOTH COMMUNITY MEMBERS AND MEDICAL CENTER REPRESENTATIVES, WHO ARE CHARGED WITH OVERSIGHT OF THE MEDICAL CENTER'S 2017-2019 CHNA PROCESS. THE CHC COMMUNITY MEMBERS REPRESENT THE INTERESTS OF THE MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS IN ADVOCATE ILLINOIS MASONIC'S COMMUNITY. THE CHC SUPPORTED THE COLLECTION AND ANALYSIS OF DATA AND SELECTED THE MEDICAL CENTER'S HEALTH NEED PRIORITIES. IN AUGUST 2018, THE MEDICAL CENTER'S COMMUNITY HEALTH DEPARTMENT ORGANIZED A FORCES OF CHANGE ASSESSMENT (FOCA). THE MEDICAL CENTER'S CHC, COMMUNITY ORGANIZATIONS, AND LOCAL LEADERS WERE INVITED TO ATTEND THE FOCA TO PROVIDE FEEDBACK AND INPUT ON THE MEDICAL CENTER'S PRIMARY SERVICE AREA (PSA) HEALTH NEEDS, SOCIAL ISSUES, COMMUNITY STRENGTHS AND OPPORTUNITIES. GOVERNING COUNCIL (GC). THE ADVOCATE ILLINOIS MASONIC GOVERNING COUNCIL IS COMPRISED OF COMMUNITY LEADERS AND EXECUTIVE LEVEL MEDICAL CENTER STAFF CONSISTING OF MEMBERS REPRESENTING A BROAD SPECTRUM OF COMMUNITY SECTORS, INCLUDING FAITH COMMUNITY, MEDICAL, BUSINESS AND INDUSTRY FIELDS. THE ADVOCATE ILLINOIS MASONIC GOVERNING COUNCIL APPROVED THE 2017-2019 CHNA AND THE PRIORITY HEALTH NEEDS ON SEPTEMBER 24, 2019. THE ADVOCATE HEALTH CARE NETWORK BOARD APPROVED THE MEDICAL CENTER'S 2017-2019 CHNA REPORT AT THE SYSTEM LEVEL ON DECEMBER 16, 2019.
PART VI, LINE 3:	PATIENT EDUCATION OF ELIGIBILITY FOR ASSISTANCEANSHN ASSISTS PATIENTS WITH ENROLLMENT IN GOVERNMENT-SUPPORTED PROGRAMS FOR WHICH THEY ARE ELIGIBLE AND IN SECURING REIMBURSEMENT FROM AVAILABLE THIRD-PARTY RESOURCES. FINANCIAL ASSESSMENT 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 ANSHN'S HOSPITAL FINANCIAL ASSISTANCE POLICY. ADVOCATE UTILIZES A FINANCIAL SCREENING SOFTWARE PROGRAM TO HELP IDENTIFY PUBLIC ASSISTANCE PROGRAMS FOR WHICH THE PATIENT MAY BE ELIGIBLE OR ADVOCATE'S FINANCIAL ASSISTANCE AT THE TIME OF REGISTRATION OR AS SOON AS PRACTICABLE THEREAFTER. IN ADDITION, HEALTHADVISOR, ADVOCATE'S EDUCATION REGISTRATION AND PHYSICIAN REFERRAL TELEPHONE CENTER, SERVES AS A COMMUNITY RESOURCE PROVIDING REFERRALS TO GOVERNMENT-FUNDED AND OTHER PROGRAMS VIA TELEPHONE FROM 7 A.M. TO 7 P.M., MONDAY THROUGH FRIDAY AND SATURDAYS 9 A.M. TO 2 P.M. ANSHN ASSISTS PATIENTS WITH APPLYING FOR ADVOCATE'S OWN FINANCIAL ASSISTANCE SERVICES, IF PATIENTS ARE NOT ELIGIBLE FOR GOVERNMENT-SUPPORTED PROGRAMS. ANSHN 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 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. UPON REQUEST A HANDOUT SUMMARIZING ADVOCATE'S FINANCIAL ASSISTANCE POLICY AND FINANCIAL ASSISTANCE APPLICATION WILL BE 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 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 COMMUNITYFOR THE PURPOSES OF THE 2017-2019 CHNA, ADVOCATE ILLINOIS MASONIC DEFINES THE "COMMUNITY" AS ITS PSA. THE MEDICAL CENTER'S PSA CONSISTS OF 21 COMMUNITIES IN COOK COUNTY, INCLUDING FORT DEARBORN (60610), NORTH CENTER (60613), LINCOLN PARK (60614), AVONDALE/NORTH CENTER (60618), WICKER PARK (60622), RAVENSWOOD (60625), ROGERS PARK (60626), JEFFERSON PARK (60630), DUNNING (60634), BELMONT CRAGIN (60639), UPTOWN (60640), IRVING PARK/PORTAGE PARK (60641), WICKER PARK (60642), AVALON PARK/NORTH (60645), LOGAN SQUARE (60647), DIVISION STREET (60651), LAKEVIEW (60657), WEST RIDGE (60659), ROGERS PARK (60660), OLD TOWN/NEAR NORTH SIDE (60610) AND ELMWOOD (60707 AND 60635). DEMOGRAPHICS POPULATION. IN 2019, THE POPULATION OF ADVOCATE ILLINOIS MASONIC'S PSA WAS 1,186,360. THE PSA POPULATION SLIGHTLY DECREASED BY 0.05 PERCENT FROM 2010 TO 2019 (CONDUENT HEALTHY COMMUNITIES INSTITUTE [HCI], CLARITAS, 2019). AGE. TWENTY SEVEN PERCENT OF THE MEDICAL CENTER'S PSA IS UNDER THE AGE OF 18 YEARS OLD. THE 18-24 YEAR OLD AGE GROUP IS THE SMALLEST GROUP AT 7.7 PERCENT OF THE POPULATION, THE 25-64 YEAR OLD AGE GROUP IS THE LARGEST AGE GROUP AT 60.04 PERCENT OF THE POPULATIONS, AND 11.56 PERCENT OF THE POPULATION IS OVER THE AGE OF 65 (CONDUENT HCI, CLARITAS, 2019).GENDER. THERE ARE 49.65 PERCENT MALES AND 50.35 PERCENT FEMALES IN ADVOCATE ILLINOIS MASONIC'S PSA.RACE/ETHNICITY. 2019 DEMOGRAPHIC DATA SHOWS THAT THE MEDICAL CENTER'S PSA IS 62.48 PERCENT WHITE, 15.17 PERCENT "OTHER", 10.33 PERCENT BLACK/AFRICAN AMERICAN, 7.68 PERCENT ASIAN, 3.56 PERCENT 2 OR MORE RACES, 0.56 PERCENT AMERICAN INDIAN/ALASKAN NATIVE AND 0.05 PERCENT NATIVE HAWAIIAN/PACIFIC ISLANDER. THE PSA IS 32.99 PERCENT HISPANIC/LATINO AND 67.01 PERCENT NON-HISPANIC/LATINO (CONDUENT HCI, CLARITAS, 2019).INCOME. THE MEDICAL CENTER HAS 502,786 HOUSEHOLDS IN ITS PSA AND THE AVERAGE HOUSEHOLD SIZE IS 2.32 PERSONS. THE MEDIAN HOUSEHOLD INCOME FOR ADVOCATE ILLINOIS MASONIC'S PSA IS $71,593, WHICH IS $5,106 HIGHER THAN THE STATE'S AVERAGE HOUSEHOLD INCOME OF $66,487. THERE IS A RACIAL AND ETHNIC DISPARITY IN THE MEDIAN HOUSEHOLD INCOME WITH THE WHITE POPULATION HAVING THE HIGHEST MEDIAN HOUSEHOLD INCOME OF $80,630, FOLLOWED BY THE ASIAN POPULATION AT $72,081 AND THE NATIVE HAWAIIAN/PACIFIC ISLANDER POPULATION AT $67,231. THE LOWEST HOUSEHOLD INCOMES IN THE PSA ARE AMONG THE BLACK POPULATION AT $38,837, THE AMERICAN INDIAN/ALASKAN NATIVES AT $45,985, THE "OTHER RACE" POPULATION AT $49,933, AND THE HISPANIC/LATINO POPULATION AT $52,438 (CONDUENT HCI, CLARITAS, 2019). POVERTY. THE NUMBER OF FAMILIES LIVING BELOW THE FEDERAL POVERTY LEVEL (FPL) IS 30,672 (12.49 PERCENT), WHICH IS MORE THAN THE STATE OF ILLINOIS AT 9.8 PERCENT. THERE ARE 8.7 PERCENT OF FAMILIES WITH CHILDREN LIVING BELOW POVERTY, WHICH IS SLIGHTLY MORE THAN ILLINOIS AT 7.38 PERCENT (CONDUENT HCI, CLARITAS, 2019). ADULTS WITH HEALTH INSURANCE. IN COOK COUNTY 87.4 PERCENT OF ADULTS 19 AND OVER ARE IDENTIFIED AS HAVING HEALTH INSURANCE. WITHIN THE MEDICAL CENTER'S PSA, THE LARGEST SOURCE OF HEALTH INSURANCE COVERAGE COMES FROM THE COMMERCIAL SECTOR WITH 64.7 PERCENT OF THE PSA COVERED BY COMMERCIAL INSURANCE. MEDICARE PROVIDES INSURANCE TO 16.9 PERCENT OF THE PSA FOLLOWED BY MEDICAID AT 10.1 PERCENT. THE UNINSURED MAKE UP 4.5 PERCENT OF THE PSA AND 24 PERCENT ARE COVERED THROUGH VETERANS BENEFITS. HISPANIC/LATINO ADULTS HAVE THE LOWEST RATES OF HEALTH INSURANCE COMPARED TO ALL OTHER RACE/ETHNICITIES (CONDUENT HCI, CLARITAS, 2019).CHILDREN WITH HEALTH INSURANCE. AT THE COUNTY LEVEL, 97 PERCENT OF CHILDREN HAVE HEALTH INSURANCE WHICH IS EQUAL TO THE STATE OF ILLINOIS AT 97 PERCENT AND SLIGHTLY MORE THAN THE U.S. AT 95 PERCENT. THERE ARE NO RACIAL/ETHNIC DISPARITIES IN HEALTH INSURANCE RATES FOR CHILDREN IN COOK COUNTY. PERSONS WITH PUBLIC HEALTH INSURANCE ONLY. IN COOK COUNTY, 27 PERCENT OF RESIDENTS HAVE PUBLIC HEALTH INSURANCE. THE PERCENTAGE OF COOK COUNTY RESIDENTS COVERED BY PUBLIC HEALTH INSURANCE HAS INCREASED FROM 23.6 PERCENT IN 2013 TO 27 PERCENT IN 2017. HOSPITALS AND FEDERALLY QUALIFIED HEALTH CENTERS. THERE ARE ELEVEN HOSPITALS IN ADVOCATE ILLINOIS MASONIC'S PSA, INCLUDING, KINDRED-CHICAGO LAKESHORE, KINDRED-CHICAGO NORTH, THOREK MEMORIAL HOSPITAL ANDERSONVILLE, HUMBOLDT PARK HEALTH, COMMUNITY FIRST, AMITA HEALTH-SAINTS MARY AND ELIZABETH, AMITA HEALTH SAINT JOSEPH, SWEDISH COVENANT, THOREK MEMORIAL, AND WEISS MEMORIAL. THERE ARE ALSO TWO FREE CLINICS, INCLUDING THE COMMUNITY HEALTH AND OLD IRVING PARK CLINICS, AS WELL AS NINE FEDERALLY QUALIFIED HEALTH CENTERS, INCLUDING PCC WELLNESS, PRIME CARE, ERIE FAMILY HEALTH NETWORK, NEAR NORTH HEALTH SERVICE CORPORATION, HEARTLAND HEALTH, HAMDARD, ACCESS COMMUNITY HEALTH NETWORK, HOWARD BROWN AND ASIAN HUMAN SERVICES. THERE ARE SEVERAL HEALTH RESOURCES AND SERVICES ADMINISTRATION (HRSA) MEDICALLY UNDERSERVED COMMUNITIES (MUP) WITHIN THE MEDICAL CENTER'S SERVICES AREA INCLUDING: RODGERS PARK (60626), BELMONT CRAGIN (60639), HUMBOLDT PARK (60651) AND AVONDALE (60618).
PART VI, LINE 5:	PROMOTION OF COMMUNITY HEALTHTHE ADVOCATE ILLINOIS MASONIC GOVERNING COUNCIL IS COMPRISED OF LOCAL COMMUNITY REPRESENTATIVES AND PHYSICIANS. GOVERNING COUNCIL MEMBERS SUPPORT HOSPITAL LEADERSHIP IN THEIR PURSUIT OF THE HOSPITAL'S GOALS, REPRESENT THE COMMUNITY'S INTEREST TO THE HOSPITAL AND SERVE AS AMBASSADORS IN THE COMMUNITY. SEVENTY-FIVE PERCENT OF THE CURRENT GOVERNING COUNCIL MEMBERS REPRESENT THE COMMUNITY, INCLUDING THE FAITH COMMUNITY. THE GOVERNING COUNCIL APPROVES QUALIFIED MEDICAL STAFF SEEKING PRIVILEGES AT ADVOCATE ILLINOIS MASONIC. ADVOCATE ILLINOIS MASONIC HAS A LONG-STANDING COMMITMENT TO SERVING ITS COMMUNITY, PROVIDING NUMEROUS ADDITIONAL PROGRAMS AND SERVICES, WHICH CAN BE VIEWED AND ARE DESCRIBED IN DETAIL, INCLUDING 2021 OUTCOMES, IN ADVOCATE ILLINOIS MASONIC'S PART III, PROGRAMS AND SERVICES ACCOMPLISHMENTS. IN ORDER TO REDUCE REPETITIVENESS OF THIS INFORMATION, ITEMS NOT INCLUDED ELSEWHERE IN THIS DOCUMENT OR IN PART III INCLUDE: THE HUMAN BREAST MILK DEPOT; BIKE HELMET FITTING EVENTS; BETTER BREATHERS CLUB, WHICH ARE HELD QUARTERLY AND ASSISTS COMMUNITY MEMBERS WITH RESPIRATORY ISSUES; AND MULTIPLE DISEASE-SPECIFIC SUPPORT GROUPS.IN 2022, ADVOCATE ILLINOIS MASONIC ADMINISTERED A TOTAL OF 31,763 COVID-19 VACCINES. OF THAT TOTAL, 14,290 WERE PARTIALLY VACCINATED (NOT RECEIVING A SECOND DOSE), 15,97 WERE FULLY VACCINATED AND 1,536 RECEIVED A BOOSTER. ADDITIONALLY, 44,230 COVID-19 VACCINES WERE ADMINISTERED BY MASONIC STAFF AT THE WRIGLEY LOCATION; 20,765 RECEIVED THEIR FULL DOSE AND 23,462 WERE PARTIALLY VACCINATED.TO ENSURE QUALITY AND SAFE CARE ADVOCATE ILLINOIS MASONIC INVESTED OVER $40 MILLION ON A NEW PHYSICAL THERAPY CLINIC AND $32 MILLION ON A NEW BEHAVIORAL HEALTH AND PEDIATRIC CARE CENTER TO ENSURE THE MEDICAL CENTER PROVIDES HIGH-QUALITY TECHNOLOGICALLY ADVANCED CARE TO PATIENTS AND THE COMMUNITY.
PART VI, LINE 6:	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.ADVOCATE HEALTH CARE (ILLINOIS) AND AURORA HEALTH CARE (WISCONSIN) MERGED IN 2018 TO BECOME ADVOCATE AURORA HEALTH. 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. THE ADVOCATE HEALTH CARE NETWORK BOARD MEMBERS, 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." PRIOR TO 2016, 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. IN AN ONGOING EFFORT TO SUPPORT ITS HOSPITALS IN ADDRESSING COMMUNITY HEALTH PRIORITIES, ADVOCATE AURORA'S SYSTEM LEADERSHIP DIRECTED THE FORMATION OF A COMMUNITY HEALTH DEPARTMENT IN 2016. THE DEPARTMENT IS LED BY A SYSTEM EXECUTIVE AND STAFFED WITH PUBLIC/COMMUNITY HEALTH SPECIALISTS WHO ARE RESPONSIBLE FOR COMMUNITY BENEFITS REPORTING, EXECUTING COMMUNITY NEEDS ASSESSMENTS, EVIDENCE-BASED PROGRAM DEVELOPMENT AND IMPLEMENTATION, AND COLLABORATIVE PARTNERSHIPS WITHIN THE COMMUNITIES SERVED BY ADVOCATE. THE COMMUNITY HEALTH TEAM HAS SINCE LED TWO CHNA CYCLES. THE MOST RECENT CHNA REPORTS WERE APPROVED BY THE ADVOCATE HEALTH CARE NETWORK BOARD AND POSTED IN DECEMBER 2019, FOLLOWED BY APPROVAL AND POSTING OF THE HOSPITALS' COMMUNITY HEALTH IMPLEMENTATION PLANS IN 2020. 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. 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 AURORA 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) WORKFORCE DEVELOPMENT; 4) COMMUNITY SAFETY; 5) AFFORDABLE HOUSING; AND 6) FOOD SECURITY. GIVEN THAT ADVOCATE AND AURORA HAVE SEPARATE FEIN'S, THE NARRATIVE WITHIN THIS DOCUMENT PRIMARILY DESCRIBES PROGRAMS AND ACTIVITIES PERTAINING TO ADVOCATE (AAH ILLINOIS). 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. PATIENTS EARNING UP TO SIX TIMES THE FEDERAL POVERTY LEVEL (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 IS AVAILABLE 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. ADVOCATE CONTINUES TO REVIEW AND REFINE ITS POLICY IN AN ONGOING EFFORT TO ENSURE THAT FINANCIAL ASSISTANCE IS AVAILABLE TO THOSE WHO NEED HELP. IN 2022, FINANCIAL ADVOCATES PROCESSED 14,111 ADVOCATE FINANCIAL ASSISTANCE APPLICATIONS, COMPLETED 1,188 MEDICAID APPLICATIONS, IDENTIFIED 693 PEOPLE FOR CO-PAY ASSISTANCE AND ASSISTED PEOPLE WITH COMPLETING 260 MARKETPLACE APPLICATIONS.FEDERALLY QUALIFIED HEALTH CENTERS (FQHCS). ALL ADVOCATE'S HOSPITALS CONTINUE TO HAVE RELATIONSHIPS WITH FQHC'S OR OTHER COMMUNITY CLINICS WITHIN THEIR SERVICE AREAS AND COLLABORATE WITH THOSE PARTNERS TO IMPROVE ACCESS TO CARE FOR MEDICAID AND UNINSURED PATIENTS. ADVOCATE SHERMAN CONTINUES TO WORK CLOSELY WITH GREATER FAMILY HEALTH (FQHC), VNA HEALTH CARE AND AUNT MARTHA'S (FQHC) TO COORDINATE CARE FOR LOW-INCOME PATIENTS IN THE ELGIN AREA. THE HOSPITAL PROVIDES COLONOSCOPIES AND MAMMOGRAMS TO GREATER FAMILY HEALTH PATIENTS, COORDINATED THROUGH GRANT-FUNDED PROGRAMS. ADVOCATE CONDELL WORKS COLLABORATIVELY WITH THE LAKE COUNTY HEALTH DEPARTMENT AND COMMUNITY HEALTH CENTER (FQHC) AND ERIE HEALTHREACH WAUKEGAN (FQHC), BY PROVIDING MAMMOGRAMS AND SOME SPECIALTY CARE TO UNINSURED AND LOW-INCOME PATIENTS AS THEY ARE REFERRED TO THE MEDICAL CENTER. ADVOCATE ILLINOIS MASONIC AND ADVOCATE LUTHERAN GENERAL ALSO PARTNER WITH HEARTLAND HEALTH CENTERS AND COMMUNITYHEALTH, ONE OF THE LARGEST FREE CLINICS IN THE NATION, TO PROVIDE SPECIALTY CARE TO UNINSURED PATIENTS AND REFERRALS TO FQHCS AND FREE CLINICS FOR PRIMARY CARE SERVICES. IN ADDITION, ADVOCATE ILLINOIS MASONIC PROVIDES OPERATIONS SPACE TO HEARTLAND HEALTH CENTERS ON ITS CAMPUS TO PROVIDE PRIMARY CARE FOR INDIVIDUALS AND FAMILIES THAT ARE UNINSURED. IN PARTNERSHIP WITH THE ACCESS TO CARE ORGANIZATION, ADVOCATE CHRIST CONTINUES TO PROVIDE FREE MAMMOGRAMS TO UNINSURED AND LOW-INCOME INDIVIDUALS THAT ARE REFERRED BY THEIR CLINIC TO THE HOSPITAL WHEN THIS SERVICE IS REQUIRED. ADVOCATE TRINITY WORKS WITH CHICAGO FAMILY HEALTH CENTER AND CHRISTIAN COMMUNITY HEALTH CENTER TO COORDINATE CARE FOR LOW-INCOME PATIENTS. ADVOCATE HOSPITAL IN COOK COUNTY WORK CLOSELY WITH COMMUNITYHEALTH TO CONNECT TREAT UNINSURED PATIENTS AND TO CONNECT INDIVIDUALS THAT NEED A PRIMARY CARE PROVIDER.
PART VI, LINE 7, REPORTS FILED WITH STATES	IL
PART VI, 6. AFFILIATED HEALTH CARE SYSTEM CONT.	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 AND DUE TO CONNECTING PATIENTS WITH COMMUNITY RESOURCES FOR UNMET SOCIAL DETERMINANTS OF HEALTH NEEDS.COMMUNITY HEALTH WORKERS-CONNECTING AND NAVIGATING PEOPLE TO PRIMARY CARE AND SOCIAL SERVICES. THE PRIMARY CARE CONNECTION (PCC) PROGRAM, DEPLOYS COMMUNITY HEALTH WORKERS (CHWS) AS COMMUNITY RESOURCE NAVIGATORS TO SERVE PEOPLE IN THE ED. THE PURPOSE OF THE PROGRAM IS TO REDUCE UNNECESSARY ED VISITS AND TO CONNECT PEOPLE TO A PRIMARY CARE HOME. CHWS EDUCATE PEOPLE ABOUT ACCESSING THE APPROPRIATE LEVEL OF CARE AND PROVIDING FOLLOW-UP APPOINTMENTS TO A CONVENIENT CARE SITE FOR PEOPLE DURING THE ED VISIT. CHWS ALSO CONDUCT A COMMUNITY HEALTH ASSESSMENT TO IDENTIFY SOCIAL DETERMINANTS OF HEALTH AND LINK PEOPLE TO SOCIAL SERVICES AND COMMUNITY RESOURCES THAT CONTRIBUTE TO THE PERSONS' OVERALL WELLBEING. THE PCC PROGRAM HAS REACHED OVER 40,000 PEOPLE SINCE 2018. FROM JANUARY 2018 THROUGH DECEMBER 19, 2022, COMMUNITY HEALTH WORKERS HAVE SERVED A TOTAL OF 40,082 PEOPLE WITH A COMBINED 90-DAY READMISSION RATE FOR 2018-2022 OF 3.5 PERCENT.ADVOCATE ALSO PROVIDES LANGUAGE AND OTHER CULTURALLY APPROPRIATE SERVICES TO IMPROVE ACCESS TO A BROAD RANGE OF HEALTH-RELATED SERVICES. LANGUAGE SERVICES. OUR LANGUAGE SERVICES TEAM BRIDGES LANGUAGES AND CULTURES BY CONNECTING PATIENTS, FAMILY MEMBERS, AND COMPANIONS TO INFORMATION AND SERVICES AT THE DESIRED TIME, IN THE OPTIMAL PLACE, AND UTILIZING APPROPRIATE COMMUNICATION MODALITIES.INFOGRAPHIC: OUR JOURNEY OVER THE LAST FIVE YEARS HAS YIELDED SIGNIFICANT GROWTH, DEMONSTRATED BY A 124% INCREASE IN ENCOUNTERS, OVER 1.2 MILLION INTERACTIONS, AND 193 LANGUAGES FROM 2018 TO 2022.A FOCUS FOR LANGUAGE SERVICES IN 2022 WAS TO ENSURE PATIENTS, FAMILY MEMBERS, AND COMPANIONS HAVE AUXILIARY AIDS, DEVICES, OR SERVICES THAT ENABLE EFFECTIVE COMMUNICATION. WE EXPECT ALL ACCESS POINTS WITHIN THE SYSTEM WILL BE FULLY EQUIPPED WITH THESE AIDS. THESE AIDS INCLUDE BUT ARE NOT LIMITED TO CLEAR MASKS, VISUAL ALERT SYSTEMS, BABY SOUND ALERT, POCKET TALKERS, CAPTEL PHONES, TTY PHONES, PICTURE BOARD, WHITEBOARD, MAGNIFIER, AND SPECIAL COMMUNICATION NEEDS SIGNS. ENHANCING THE EXPERIENCE AND POSITIVE OUTCOMES OF OUR CONSUMERS WHO ARE DEAF, HARD OF HEARING, BLIND, LOW VISION, OR THOSE WITH LIMITED LITERACY REMAINS A CORE FOCUS FOR LANGUAGE SERVICES.
PART VI, 6. AFFILIATED HEALTH CARE SYSTEM CONT.	ADVOCATE'S LONG-TERM SUPPORT OF PROGRAMS AND SERVICES THAT PROMOTE HEALTH EQUITY HAVE RESULTED IN VARIOUS PROGRAMS/INITIATIVES THAT WORK TO IMPROVE THE HEALTH OF DIVERSE UNDERSERVED POPULATIONS IN THE COMMUNITIES IT SERVES. EXAMPLES OF THESE EFFORTS FOLLOW. LGBTQ (LESBIAN, GAY, BISEXUAL, TRANSGENDER AND QUEER) HEALTH EQUITY INDEX. ADVOCATE ILLINOIS MASONIC WAS THE FIRST ADVOCATE AURORA HOSPITAL TO ACHIEVE, SINCE ITS INCEPTION, "LEADER" STATUS DENOMINATION WITH THE HUMAN RIGHTS CAMPAIGN FOUNDATION'S HEALTH EQUALITY INDEX. THE HOSPITAL IS ONE OF 496 LEADERS OUT OF 906 PARTICIPANTS. AS THE LEADING LGBTQ SITE, IT HAS BEEN THE FOUNDATION FOR ADVOCATE AURORA HEALTH TO BE THE 4TH LARGEST HEALTH SYSTEM WITH ALL ITS SITES ACCREDITED IN 2022. LEADERS ARE RECOGNIZED FOR POLICIES AND SERVICES SUPPORTIVE OF LGBTQ RIGHTS, INCLUDING PATIENT VISITATION AND EMPLOYMENT NON-DISCRIMINATION, STAFF TRAINING IN LGBTQ PATIENT-CENTERED CARE AND EMPLOYMENT NON-DISCRIMINATION, LGBTQ PATIENT SERVICES AND SUPPORT, TRANSGENDER PATIENT SERVICES, EMPLOYEE BENEFITS, AND PATIENT AND COMMUNITY ENGAGEMENT. IN 2016, ADVOCATE ILLINOIS MASONIC CREATED A SITE LGBTQ WORK GROUP WORKING ON AFFINITY, ADVOCATING FOR POLICIES AND PROCESSES AFFIRMING TOWARD LGBTQ PATIENTS AND TEAM MEMBERS. THE MEDICAL CENTER HAS DEVELOPED PROCESSES FOR GENDER EXPANSIVE AFFIRMING IDENTIFICATION AND CAPABILITIES TO CAPTURE GENDER IDENTIFY AND SEXUAL ORIENTATION SOGI DATA. ADVOCATE ILLINOIS MASONIC'S EXPERIENCE SERVED AS THE MODEL FOR OTHER MEDICAL CENTERS WITHIN THE ADVOCATE AURORA HEALTH NETWORK TO PARTICIPATE IN THE HEALTH EQUALITY INDEX IN 2020, IMPACTING THOUSANDS OF TEAM MEMBERS AND MILLIONS OF PATIENTS ACROSS ILLINOIS AND WISCONSIN. THE HOSPITAL WAS FEATURED IN THE HEI 15 YEARS REPORT AS ONE OF 4 INITIAL SURVEY RESPONDENTS AND A MODEL FOR COMMUNITY HOSPITALS PARTICIPATION. DESPITE THE CIRCUMSTANCES AND CHALLENGES THAT THE COVID-19 PANDEMIC BROUGHT TO THE ENTIRE HEALTH CARE SYSTEM, ADVOCATE HOSPITALS CONTINUED THEIR COMMITMENT TO INCLUSIVE AND AFFIRMING CARE FOR LGBTQ PATIENTS IN 2022.CULTURAL HEALTH INITIATIVES. IN MARCH 2021, ADVOCATE LUTHERAN GENERAL HOSPITAL RESHAPED TWO PREVIOUS PATIENT NAVIGATOR POSITIONS PREVIOUSLY SERVING THE POLISH AND KOREAN POPULATIONS AND CREATED A MORE ROBUST CULTURAL AND COMMUNITY LIAISON ROLE. THIS POSITION CONTINUES THE MORE THAN DECADE LONG ADVOCATE LUTHERAN COMMITMENT AND DEDICATED RESPONSE TO THE MULTITUDE AND CONTINUALLY CHANGING DIVERSE CULTURES, LANGUAGES, HEALTH LITERACY AND DEMOGRAPHICS OF THE COMMUNITIES THAT WE SERVE. THIS POSITION'S PRIORITY IS TO CREATE AN ENVIRONMENT THAT IS CONDUCIVE TO DEVELOPING LIFELONG RELATIONSHIPS WITH MEMBERS OF THE COMMUNITY, TO INCREASE ACCESS TO HEALTH CARE SERVICES FOR MEMBERS OF THE COMMUNITY AND TO HELP OUR CURRENT PATIENTS ACHIEVE BEST HEALTH OUTCOMES. THE LIAISON ALSO WORKS IN COLLABORATION WITH THE CENTRAL CHICAGOLAND PRIMARY SERVICE AREA (PSA) AND THE COMMUNITY HEALTH AREA TO MEET THE HEALTH CARE, CULTURAL AND SPIRITUAL NEEDS OF OUR PATIENTS AND FAMILIES. THE LIAISON CONTINUES TO ASSIST PATIENTS WHO ARE LIMITED/NON-ENGLISH SPEAKING AND HELPS PATIENTS NAVIGATE THE HEALTH CARE FACILITY, PROVIDES LINGUISTICALLY COMPETENT AND CULTURALLY SENSITIVE PATIENT EDUCATION IN THE CONTEXT OF COMMUNITY OUTREACH, AND HELPS TO IDENTIFY POTENTIAL BARRIERS TO HEALTH CARE FOR THE COMMUNITY. THE CULTURAL AND COMMUNITY LIAISON COLLABORATES WITH EXTERNAL STAKEHOLDERS INCLUDING BUT NOT LIMITED TO, CHAMBERS OF COMMERCE, COMMUNITY AGENCIES AND EDUCATIONAL DISTRICTS TO PROMOTE OUR HEALTH CARE SERVICE LINES AND CONCURRENTLY EMBED AND INTEGRATE THE AHC MISSION OF DIVERSITY, EQUITY AND INCLUSION INTO THE SIX COMPONENTS OF THIS ROLE. THEY ARE PATIENT NAVIGATION, COMMUNITY RELATIONS/OUTREACH AND ENGAGEMENT, CULTURAL COMPETENCE, PHYSICIAN RELATIONS/RECRUITMENT AND COMMUNITY HEALTH. THE LIAISON PARTNERS WITH INTERNAL STAKEHOLDERS INCLUDING PHYSICIANS, TEAM MEMBERS, ADMINISTRATORS AND VOLUNTEERS TO PROVIDE GUIDANCE AROUND CULTURAL SENSITIVITIES OF THE PATIENT'S CARE PLAN AND POSSIBLE ALTERATIONS NEEDED TO FURTHER THE GOAL OF SERVICE EXCELLENCE FOR ALL, WHICH IN TURN PROMOTES AN ENVIRONMENT THAT MEETS THE UNEXPRESSED AND EXPRESSED NEEDS OF ALL THOSE IN THE FACILITY. THIS PROVIDES AN OPPORTUNITY TO ALSO IDENTIFY POTENTIAL BARRIERS AND TO ASSESS WHAT EDUCATIONAL MATERIALS AND HOSPITAL RESOURCES ARE NEEDED THAT SUPPORT CULTURAL SENSITIVITIES TO CONTINUE TO FOSTER GREATER COMMUNICATION BETWEEN THE PROVIDER AND PATIENT/FAMILY AROUND THE PATIENT'S CARE PLAN.2. ACCESS/BEHAVIORAL HEALTH SERVICESA SECOND ADVOCATE COMMUNITY STRATEGY FOCUS AREA IS ACCESS TO BEHAVIORAL HEALTH SERVICES. ADVOCATE HAS IMPLEMENTED MANY PROGRAMS/SERVICES FOCUSED ON IMPROVING THE CONTINUUM OF CARE FOR THE BENEFIT OF MENTAL HEALTH AND BEHAVIORAL HEALTH PATIENTS. SEVERAL EXAMPLES OF BEHAVIORAL HEALTH PROGRAMS THAT ADVOCATE HOSPITALS HAVE IMPLEMENTED AND IMPROVE ACCESS ARE PROVIDED BELOW. BEHAVIORAL HEALTH INTEGRATION. MANY STUDIES HAVE SHOWN THAT INTEGRATING BEHAVIORAL HEALTH INTO PRIMARY CARE PRACTICE CAN LEAD TO INCREASES IN A PERSON'S ADHERENCE TO TREATMENT, IMPROVES QUALITY OF LIFE, AND INCREASES A PERSON'S SATISFACTION WITH THEIR CARE. AT ADVOCATE HEALTH WE ARE INTEGRATING INTO PRIMARY CARE PRACTICES IN ILLINOIS AND WISCONSIN USING THE COLLABORATIVE CARE APPROACH AND EMBEDDING SOCIAL WORKER TO WORK ALONGSIDE THE PRIMARY CARE TEAM SEEING PEOPLE IN NEED WHEN THEY COME IN FOR THEIR PRIMARY CARE VISIT. IN ADDITION, PATIENTS HAVE ACCESS TO A VIRTUAL LICENSED CLINICIAN FOR BRIEF TARGETED SOLUTION FOCUSED THERAPY. THIRDLY, PRIMARY CARE PHYSICIANS HAVE ACCESS TO A CONSULTING PSYCHIATRIST FOR QUESTIONS REGARDING PRESCRIPTION MEDICATIONS TO TREAT MENTAL HEALTH CONDITIONS. THE GOAL OF THIS INITIATIVE IS TO ADDRESS LOWER-LEVEL BEHAVIORAL HEALTH ISSUES IN THE PRIMARY CARE SETTING WHERE PEOPLE FEEL MOST COMFORTABLE. BETWEEN JUNE 2021 THROUGH 2022, THE PROGRAM HAS SERVED 2,927 PEOPLE IN OUR NINETEEN BEHAVIORAL HEALTH INTEGRATION PROGRAMS ACROSS ILLINOIS AND WISCONSIN, INCLUDING 2,133 PEOPLE SERVED IN 2022 ALONE. THIS PROGRAM IS BASED ON AN EVIDENCE-BASED MODEL OF CARE, COLLABORATIVE CARE OUT OF UNIVERSITY OF WASHINGTON. WE USE EVIDENCE-BASED SCREENING TOOLS, PHQ-9 AND GAD-7. EARLY METRICS HAVE DEMONSTRATED AN INCREASED TIME TO FIRST APPOINTMENT BY 83% COMPARED TO REFERRAL TO USUAL OUTPATIENT BEHAVIORAL HEALTH PROVIDERS.BEHAVIORAL HEALTH ASSESSMENTS . BEHAVIORAL HEALTH ASSESSMENTS HELP PROVIDERS IDENTIFY WHEN A PERSON IS EXPERIENCING BEHAVIORAL HEALTH ISSUES AND ASSISTS IN EXPEDITING REFERRALS TO APPROPRIATE LEVELS OF CARE AND OTHER SUPPORTIVE RESOURCES. IN 2022, 10,637 ASSESSMENTS FOR PEOPLE PRESENTING IN AN ADVOCATE HEALTH IN IL HOSPITAL ED IN ACUTE MENTAL/BEHAVIORAL HEALTH CRISIS WERE COMPLETED BY A BEHAVIORAL-HEALTH SPECIALIST.MOBILE CRISIS RESPONSE TEAM (FORMERLY KNOWN AS MICCS). THE TEAM IS COMPRISED OF FOUR CLINICIANS AND A PEER SUPPORT SPECIALIST. THEY PROVIDE CRISIS INTERVENTIONS, THERAPY AND CASE MANAGEMENT TO ACUTELY ILL BEHAVIORAL HEALTH PATIENTS, OFFERING COMMUNITY-BASED ENCOUNTERS. IN 2022, 85 PEOPLE ENROLLED IN MOBILE CRISIS RECEIVED 1,917 SERVICES, OF WHICH ABOUT HALF WAS DELIVERED IN THE COMMUNITY. ADVOCATE ILLINOIS MASONIC'S BEHAVIORAL HEALTH SERVICES ALSO RAN AN INJECTION CLINIC DURING THE FIRST 2 MONTHS OF 2022 AND DURING THAT TIME, 62 PEOPLE RECEIVED 107 INJECTIONS.DEAF AND HARD OF HEARING PROGRAM. ADVOCATE ILLINOIS MASONIC'S DEAF AND HARD OF HEARING PROGRAM PROVIDES COMPREHENSIVE MENTAL HEALTH CARE IN AMERICAN SIGN LANGUAGE (ASL) TO DEAF AND HARD OF HEARING CHILDREN, ADOLESCENTS, AND ADULTS ACROSS ILLINOIS. THE PROGRAM OFFERS A CONTINUUM OF CARE THAT INCLUDES CLINICAL ASSESSMENTS; PRE-SCREENINGS AND LINKAGE; INDIVIDUAL AND FAMILY THERAPY; PSYCHIATRIC EVALUATIONS AND MEDICATION MONITORING; AS WELL AS CRISIS INTERVENTION WITH A 24-HOUR PHONE LINE. TELE-PSYCHIATRY IS AVAILABLE TO CLIENTS USING A VARIETY OF METHODS, INCLUDING VIDEOPHONE EQUIPMENT SUPPORTED BY THE FEDERAL COMMUNICATIONS COMMISSION (FCC) AND TEAMS/ZOOM, THAT SUIT THE INDIVIDUAL'S LINGUISTIC AND TECHNOLOGICAL NEEDS TO ENABLE THE PROVISION OF OTHERWISE SCARCE DEAF-FRIENDLY PSYCHIATRIC SERVICES IN THE HOMES OF DEAF PATIENTS. OVER THE YEARS, THE HOSPITAL HAS DISTRIBUTED SEVERAL THOUSAND FREE ASL DVDS ON HIV/AIDS, STDS, BREAST HEALTH, DIABETES, DEPRESSION, AND SMOKING CESSATION. IN 2022 , BHS PROVIDED 1537 SERVICES TO 84 DHOH PATIENTS, WITH 1380 OFFERED BY THE ASL-FLUENT STAFF AND 157 SERVICES USING ACCOMMODATION. 12 PATIENTS OF THOSE 84 ALSO HAVE VISUAL IMPAIRMENT; THEY RECEIVED 195 SERVICES OVER THE COURSE OF 2022.
PART VI, 6. AFFILIATED HEALTH CARE SYSTEM CONT.	FIRST ACCESS PROGRAM. GIVEN THE HIGH NUMBER OF ADMISSIONS AND ED VISITS FOR BEHAVIORAL HEALTH CONDITIONS AT ADVOCATE ILLINOIS MASONIC AND THE HIGH NUMBER OF DISCHARGED PATIENTS THAT WERE NOT KEEPING THEIR OUTPATIENT FOLLOW-UP APPOINTMENTS, THE HOSPITAL'S BEHAVIORAL HEALTH DEPARTMENT CREATED THE FIRST ACCESS PROGRAM IN 2013. THE GOAL OF FIRST ACCESS IS TO PROVIDE IMMEDIATE ACCESS TO FOLLOW-UP BEHAVIORAL HEALTH SERVICES TO SUPPORT RECOVERY AND PREVENT RELAPSES. THROUGH THIS PROGRAM, BEHAVIORAL HEALTH ED PATIENTS, AS WELL AS PATIENTS REFERRED BY THE HOSPITAL'S INPATIENT PSYCHIATRIC UNIT, MEDICAL FLOORS AND PHYSICIANS, ARE LINKED TO FOLLOW-UP FOR OUTPATIENT APPOINTMENTS WITH MINIMAL WAIT TIME. SINCE ITS IMPLEMENTATION, FIRST ACCESS CONSISTENTLY INCREASED BEHAVIORAL HEALTH PATIENTS' APPOINTMENT FOLLOW-THROUGH RATES FROM 40 PERCENT IN 2013 TO 100 PERCENT IN 2019. DISCHARGED PATIENTS RECEIVED WARM HAND-OFFS TO BEHAVIORAL HEALTH SERVICES AND LEFT WITH AN OUTPATIENT PLAN OF CARE. HAVING ACHIEVED THAT, FIRST ACCESS STARTED TO FOCUS ON PROVIDING ACCESS TO CARE TO ALL ADVOCATE PATIENTS AND ITS VOLUMES HAVE STEADILY GROWN, PROVIDING 1,828 INTAKES TO PATIENTS IN 2021. THESE VOLUMES WERE MAINTAINED AND IN 2022 FIRST ACCESS PROVIDED 1826 NEW-PATIENT INTAKES.COMMUNITY LINKAGE SPECIALIST (CLS). IN RESPONSE TO THE INCREASING RATES OF SUBSTANCE ABUSE AND MENTAL ILLNESS IN DUPAGE COUNTY, ADVOCATE GOOD SAMARITAN EMPLOYED A COMMUNITY LINKAGE SPECIALIST THAT WORKS WITH DETOX AND BEHAVIORAL HEALTH UNIT PATIENTS TO CONNECT THEM TO THE APPROPRIATE COMMUNITY SUPPORT SERVICES AND RESOURCES. THIS INDIVIDUAL ALSO CONDUCTS COMMUNITY AND HOME VISITS WITH DISCHARGED PATIENTS . MENTAL HEALTH FIRST AID (IMMC AND GSAM). MENTAL HEALTH FIRST AID TRAINING AIMS TO INCREASE AWARENESS AROUND MENTAL ILLNESS THROUGH HELPING PEOPLE IDENTIFY MENTAL HEALTH ISSUES/ILLNESS AND ADDRESS MENTAL HEALTH CRISES IN THE COMMUNITY. THE TEAM IMPLEMENTED TWO MENTAL HEALTH FIRST AID TRAININGS ACROSS CENTRAL CHICAGOLAND (GOOD SAMARITAN'S EMS/PARAMEDIC STUDENTS AND AVONDALE RESTORATIVE JUSTICE COMMUNITY COURT. TWENTY-EIGHT INDIVIDUALS COMPLETED THE TRAINING AND RECEIVED THEIR CERTIFICATION IN MENTAL HEALTH FIRST AID IN 2022.3. WORKFORCE DEVELOPMENT. ADVOCATE WORKS WITH NON-TRADITIONAL COMMUNITY PARTNERS, SUCH AS SCHOOL DISTRICTS, EMPLOYMENT AGENCIES, COLLEGES AND UNIVERSITIES, AND OTHER PUBLIC AND PRIVATE BUSINESS LEADERS TO ADDRESS BOTH THE HIGH UNEMPLOYMENT RATES AND ECONOMIC DISPARITIES IN SOME CHICAGO NEIGHBORHOODS AS WELL AS TO CONTRIBUTE TO SOLVING THE CITY'S HEALTHCARE SECTOR TALENT SHORTAGE. ADVOCATE WORKFORCE INITIATIVE (AWI). THE ADVOCATE AURORA HEALTH, WORKFORCE DEVELOPMENT TEAM ORIGINATED FROM A GENEROUS GRANT FROM JPMORGAN CHASE IN 2015 VIA A GRANT ENTITLED THE "ADVOCATE WORKFORCE INITIATIVE" (AWI). AWI WAS CREATED TO ADDRESS HIGH-UNEMPLOYMENT RATES AND EMPLOYMENT DISPARITIES IN THE CITY OF CHICAGO'S MOST UNDERSERVED AREAS. SINCE THE GRANT COMPLETION IN 2020, AAH HAS CONTINUED THIS WORK BY ESTABLISHING A SYSTEMWIDE WORKFORCE DEVELOPMENT TEAM ACROSS WISCONSIN AND ILLINOIS. THIS TEAM HAS CREATED AND CONTINUES TO SCALE PROGRAMS AIMED TO CREATE EQUITABLE WORKPLACE PROGRAMS, MEETING THE TALENT NEEDS OF THE ORGANIZATION AND BUILDING SUSTAINABLE WORKFORCE DEVELOPMENT PROGRAMMING. THESE PROGRAMS INCLUDE, BUT AREN'T LIMITED TO:REGISTERED APPRENTICESHIP. LAUNCHED IN 2019, ADVOCATE HEALTH HAS CREATED SEVERAL APPRENTICESHIP MODELS THROUGH THE WISCONSIN DEPARTMENT OF WORKFORCE DEVELOPMENT (DWD) AND THE US DEPARTMENT OF LABOR (DOL) TO ADDRESS URGENT TALENT NEEDS. THESE PROGRAMS INCLUDE A FACILITIES MAINTENANCE AND CULINARY ARTS APPRENTICESHIP IN PARTNERSHIP WITH LOCAL COLLEGES. DIVERSE ABILITIES. SINCE 2017, AAH HAS CREATED A FOCUSED EFFORT TO SOURCE AND EMPLOY INDIVIDUALS WITH DISABILITIES WHILE CREATING A MORE INCLUSIVE HIRING PROCESS. TO DATE, ADVOCATE HEALTH HAS EMPLOYED 35 INDIVIDUALS THROUGH THE PROGRAM . TEAMMATE SUCCESS COACHING. LAUNCHED IN 2022, THIS EFFORT ADDRESSES SOCIAL DETERMINANTS TO RETENTION BY PROVIDING COMPLEX CASE MANAGEMENT AND PROVIDE WRAPAROUND SUPPORT TO SELECT NEW TEAM MEMBERS FROM THE MOST VULNERABLE TALENT POPULATIONS. THIS EFFORT LAUNCHED WITH TWO "TEAMMATE SUCCESS COACHES" IN SOUTH CHICAGOLAND AT CHRIST MEDICAL CENTER IN JUNE 2022 AND CENTRAL CHICAGOLAND AT ILLINOIS MASONIC MEDICAL CENTER IN JANUARY 2023. CORPORATE INTERNSHIPS. EACH SUMMER, AAH EMPLOYS 20+ CORPORATE INTERNS FROM AROUND THE COUNTRY TO INTRODUCE COLLEGE STUDENTS TO CAREERS IN HR, FINANCE, IT AND OTHER CORPORATE FUNCTIONS.COMMUNITY SCHOLARSHIP. STARTING IN 2021, THE AAH COMMUNITY SCHOLARSHIP PROGRAM AWARDS $5,000 SCHOLARSHIPS TO 10 COMMUNITY MEMBERS AND 10 DEPENDENTS OF AAH TEAM MEMBERS. IN 2022, AAH AWARDED TWENTY, $5,000 SCHOLARSHIPS FOR STUDENTS ACROSS ILLINOIS AND WISCONSIN THAT ARE PURSUING STEM-RELATED CAREERS.HISTORICALLY BLACK COLLEGES AND UNIVERSITY (HBCU). STARTING IN 2021, AAH PARTNERED WITH SEVERAL HBCUS ACROSS THE NATION TO PROVIDE SPONSORSHIPS, SCHOLARSHIPS, INTERNSHIPS, AND MENTORING FOR STUDENTS ENROLLED IN COLLEGE PROGRAMS. PARTNER SCHOOLS INCLUDE FLORIDA A&M, CENTRAL STATE UNIVERSITY AND SPELMAN COLLEGE.HERZING UPSKILLING PROGRAMS. STARTING IN 2021, ADVOCATE HEALTH DEVELOPED AND LAUNCHED TWO UPSKILLING PROGRAMS WITH HERZING UNIVERSITY 'STERILE PROCESSING TO SURGICAL TECHNOLOGIST AND 'MEDICAL ASSISTANT'. ADVOCATE HEALTH TEAM MEMBERS IN ENTRY-LEVEL ROLES CAN ENROLL IN REGULARLY SCHEDULED COHORTS AS THEY WORK THROUGH ONLINE EDUCATION AND ON-SITE SKILLS TRAINING. TO DATE, OVER 80 TEAM MEMBERS HAVE ENROLLED ACROSS ILLINOIS AND WISCONSIN WITH MANY MORE ON THE WAY.MAAPET (MEDICAL ASSISTANT ACCELERATED PATH TO EMPLOYMENT TRAINING PROGRAM). THE MAAPET PROGRAM WAS A PAID TRAINING PROGRAM IN PARTNERSHIP WITH THE CENTER FOR HEALTHCARE CAREERS OF SE WI (CHCSEW) AND MADE POSSIBLE BY A $500K GRANT THROUGH THE MEDICAL COLLEGE OF WISCONSIN'S ADVANCING A HEALTHIER WISCONSIN ENDOWMENT (AHW). THIS PROGRAM, IN COLLABORATION WITH THE REGION'S FOUR LARGEST HEALTHCARE SYSTEMS, TRAINED OVER 100 NEW MEDICAL ASSISTANTS FROM UNDERSERVED COMMUNITIES BY THE END OF 2022. OVER THE COURSE OF THIS PAID, 14-WEEK, ACCELERATED TRAINING PROGRAM, EMPLOYEES OF ALL FOUR SYSTEMS TRAINED TO BECOME MAS AND SIT FOR A NATIONAL MA CERTIFICATION UPON COMPLETION . WORKFORCE DEVELOPMENT . IN 2021, ADVOCATE WORKFORCE INITIATIVE AND CENTRAL CHICAGOLAND COMMUNITY HEALTH PARTNERED WITH COMMUNITY COLLEGES AND ORGANIZATIONS TO PROVIDE PHLEBOTOMY AND MEDICAL ASSISTANT EXTERNSHIPS FOR INDIVIDUALS LIVING IN UNDERSERVED, DISENFRANCHISED COMMUNITIES. THE INITIATIVE PROVIDED HANDS-ON AND WORKFORCE DEVELOPMENT TRAINING TO 11 INDIVIDUALS FROM COMMUNITIES WITH HIGH RATES OF UNEMPLOYMENT. IN ADDITION, ADVOCATE LUTHERAN GENERAL HOSPITAL PARTNERS CLOSELY WITH MAINE EAST HIGH SCHOOL AND THEIR JUMPSTART PROGRAM. JUMPSTART IS A YOUTH EMPLOYMENT PROGRAM, FEDERALLY FUNDED THROUGH THE WORKFORCE INNOVATION AND OPPORTUNITY ACT BASED OUT OF MAIN TOWNSHIP HIGH SCHOOL DISTRICT 207. THE PROGRAM SERVES IN AND OUT OF SCHOOL YOUTH WITH EMPLOYMENT AND EDUCATION BARRIERS THROUGHOUT NORTHERN COOK COUNTY WITH AN EMPHASIS ON THE DES PLAINES, PARK RIDGES, NILES, MORTON GROVE AND GLENVIEW NEIGHBORHOODS. ADVOCATE LUTHERAN OFFERS WORKING OPPORTUNITIES IN VARIOUS ENTRY-LEVEL DEPARTMENT, SUCH AS FOOD AND NUTRITION SERVICES AND ENVIRONMENTAL SERVICES. THE COMMUNITY HEALTH DEPARTMENT OVERSEES THE ORIENTATION PROCESS AND WORKS WITH THE JUMPSTART TEAM AND HOSPITAL STAFF TO ENSURE THAT THE STUDENTS ARE EQUIPPED WITH THE PROPER TOOLS TO START THEIR PAID INTERNSHIP. FROM 2021 TO 2022, A TOTAL OF 27 JUMPSTART YOUTH HAS HAD WORK EXPERIENCES AT ADVOCATE LUTHERAN GENERAL AND SEVEN OF THOSE YOUTH HAVE BEEN HIRED INTO PERMANENT POSITIONS.SOUTH SHORE INTERNATIONAL COLLEGE PREPARATORY. SEVERAL ADVOCATE HOSPITALS PROVIDE EXPERIENTIAL LEARNING TO AREA HIGH SCHOOL STUDENTS THAT ARE ON AN EDUCATIONAL TRACK TO A HEALTH CARE CAREER. THESE STUDENTS RECEIVE CREDIT TOWARDS GRADUATION IN ADDITION TO HELPING THEM DISCERN IN WHICH HEALTH CARE AREA THEY WISH TO SPECIALIZE. TO GIVE CHICAGO SOUTHSIDE STUDENTS BETTER JOB OPPORTUNITIES, ADVOCATE TRINITY WORKS WITH STUDENTS FROM CHICAGO VOCATIONAL CAREER ACADEMY, AND SOUTH SHORE AND JULIAN HIGH SCHOOLS. THESE STUDENTS ARE ROTATED IN HOSPITAL UNITS TO LEARN MARKETABLE JOB SKILLS.
PART VI, 6. AFFILIATED HEALTH CARE SYSTEM CONT.	4. COMMUNITY SAFETY: ADVOCATE ALSO WORKS WITH COMMUNITY PARTNERS TO ADDRESS COMMUNITY SAFETY/VIOLENCEANOTHER COMMUNITY STRATEGY FOCUS AREA. SOME EXAMPLES ARE PROVIDED BELOW.CENTER FOR FAITH AND COMMUNITY HEALTH TRANSFORMATION. THE CENTER FOR FAITH AND COMMUNITY HEALTH TRANSFORMATION WORKS TO ADVANCE HEALTH EQUITY BY PARTNERING WITH FAITH-BASED AND COMMUNITY ORGANIZATIONS TO BUILD COMMUNITY, NURTURE LEADERS AND CONNECT THE UNIQUE SPIRIT POWER OF FAITH COMMUNITIES TO PROMOTE SOCIAL JUSTICE AND ABUNDANT LIFE FOR INDIVIDUALS, FAMILIES AND COMMUNITIES. THE CENTER IS A PARTNERSHIP BETWEEN ADVOCATE AND THE OFFICE FOR COMMUNITY ENGAGEMENT AND NEIGHBORHOOD HEALTH PARTNERSHIPS AT THE UNIVERSITY OF ILLINOIS AT CHICAGO. CURRENTLY, THE CENTER IS CONVENING A TRAUMA INFORMED CONGREGATIONS NETWORK TO SUPPORT THE CAPACITY OF FAITH COMMUNITIES TO PREVENT TRAUMA AND TO BE PLACES OF HEALING FOR THOSE WHO HAVE EXPERIENCED ADVERSITY IN CHILDHOOD OR THROUGHOUT THEIR LIVES.ILLINOIS ADVOCATE HEALTH FORENSIC NURSE EXAMINERS (FNES). FNES, SPECIALLY TRAINED AND STATE CERTIFIED NURSE EXAMINERS LOCATED IN ADVOCATE HEALTH HOSPITALS IN BOTH ILLINOIS AND WISCONSIN, PROVIDE COMPASSIONATE, TRAUMA-INFORMED CARE TO SEXUAL ASSAULT AND DOMESTIC VIOLENCE SURVIVORS SEEKING CARE IN THE EMERGENCY DEPARTMENT. THESE HIGHLY TRAINED PRACTITIONERS PERFORM FORENSIC EXAMS PERTAINING TO SEXUAL ASSAULT/ABUSE, ADDRESS SEXUALLY TRANSMITTED INFECTION CONCERNS, COLLECT FORENSIC EVIDENCE, TESTIFY IN COURT AS EXPERT WITNESSES, AND PROVIDE ACCESS TO ADVOCACY AND AFTER-CARE RESOURCESSUPPORTING SURVIVORS THROUGH THE ENTIRE PROCESS. IN ILLINOIS, WE HAVE BEEN AGGRESSIVELY TRAINING AND RECRUITING SEXUAL ASSAULT NURSE EXAMINERS TO MEET THE REGULATORY MANDATE THAT GOES INTO EFFECT JANUARY 2023. IN 2022 WE TRAINED 11 RN TO SUPPORT COVERAGE AT ALL ADVOCATE HOSPITALS IN ILLINOIS. WE HAVE DEVELOPED A REGIONAL RESPONSE TO SEXUAL ASSAULT VICTIMS THAT WILL PROVIDE 24/7 COVERAGE WITHIN 90 MINUTES OF THE PATIENT'S ARRIVAL AT OUR FACILITIES. IN 2022 ACROSS OUR ILLINOIS MARKET, 294 ADULTS AND 234 CHILDREN <13 YEARS WERE TREATED FOR SEXUAL ASSAULT, WITH AN ADDITIONAL 91 CHILDREN REFERRED FOR FURTHER EVALUATION TO ADVOCATE CHILDREN'S HOSPITAL CHILD PROTECTION TEAM SEXUAL ABUSE CLINIC. SOUTHLAND RISE. SOUTHLAND RISE (RESILIENCE INITIATIVE TO STRENGTHEN AND EMPOWER) IS A COLLABORATIVE UNITING THE TRAUMA RECOVERY CENTER OF ADVOCATE CHRIST MEDICAL CENTER IN OAK LAWN AND THE VIOLENCE RECOVERY PROGRAM OF HYDE PARK-BASED UCHICAGO MEDICINE (UCM). INSPIRED BY U.S. SENATOR DICK DURBIN'S HEAL (HOSPITAL ENGAGEMENT, ACTION, LEADERSHIP) INITIATIVE, THE TWO HOSPITALS WORK TOGETHER AND ALONGSIDE COMMUNITY PARTNERS TO IMPROVE LONG-TERM TRAUMA RECOVERY CARE AND MITIGATE VIOLENCE-RELATED INJURY IN SOUTHLAND AND ON THE SOUTH SIDE OF CHICAGO. THROUGH ITS ACTIVE LEADERSHIP ROLE IN SOUTHLAND RISE, ADVOCATE HEALTH CHAMPIONS EFFORTS THAT INCREASE ACCESS TO QUALITY CARE FOR SURVIVORS OF INTENTIONAL VIOLENCE AND STRIVES TO BUILD STRONGER, MORE RESILIENT COMMUNITIES. ADVOCATE HEALTH'S LEADERSHIP ROLE IN SOUTHLAND RISE HAD A PROFOUNDLY POSITIVE IMPACT ON SOUTH SIDE COMMUNITIES IN 2022.THROUGH THE RAPID CYCLE VIOLENCE PREVENTION & COMMUNITY RESILIENCY GRANT PROGRAM, 18 SOUTH SIDE COMMUNITY GROUPS RECEIVED $150,000 TO STRENGTHEN THEIR GRASSROOTS WORK SUPPORTING YOUTH AND KEEPING THEM SAFE DURING THE SUMMER IN 2022. THE COLLABORATIVE HAS BEEN ABLE TO EXPAND THE COMMUNITY VIOLENCE PREVENTION INITIATIVE BY HIRING TWO STAFF MEMBERS IN 2022. ADDITIONAL FUNDS WERE RECEIVED TO IMPROVE THE DELIVERY OF TRAUMA-INFORMED CARE AND SUPPORT AWARENESS EFFORTS SUCH AS THE STRIDES FOR PEACE, RACE AGAINST GUN VIOLENCE EVENT. SOUTHLAND RISE HOSPITAL PARTNERS HAVE AGAIN RENEWED THEIR COMMITMENT TO FUND THE RAPID-CYCLE VIOLENCE PREVENTION & COMMUNITY RESILIENCY GRANT PROGRAM, WITH THE ADDED GOAL OF STRENGTHENING COLLABORATION BETWEEN GRANT RECEIVING ORGANIZATIONS. ALSO, A PRIORITY IS CONTINUING TO STRENGTHEN COMMUNITY PARTNERSHIPS, FOSTERING DEEPER COLLABORATION WITH KEY VIOLENCE PREVENTION STAKEHOLDERS, AND ENCOURAGING CONTINUED COLLABORATION BETWEEN THE TWO HOSPITALS THROUGH THE SOUTHLAND RISE STEERING COMMITTEE.ADVOCATE TRAUMA RECOVERY CENTER (TRC). THE TRC IS A HEALTH CARE-BASED VIOLENCE INTERVENTION PROGRAM THAT PROVIDES SOCIAL AND BEHAVIORAL HEALTH SERVICES, INDIVIDUAL AND GROUP THERAPEUTIC SERVICES, AND PSYCHIATRIC CONSULTATION TO SURVIVORS OF INTENTIONAL CRIME AND/OR TRAUMA. THE PURPOSE IS TO AID INDIVIDUALS WHO HAVE EXPERIENCED TRAUMA IN REBUILDING, RESTORING AND STRENGTHENING THEIR SENSE OF SAFETY BY ENDING THE CYCLE OF VIOLENCE. THE TRC PROVIDES ACCESS TO TRAUMA-INFORMED CARE BY ACKNOWLEDGING HOW PAST AND PRESENT TRAUMATIC EXPERIENCES AND STRESS MAY IMPACT THE INDIVIDUALS AND FAMILIES SERVEDRESPONDING TO THE UNIQUE NEEDS OF EACH SURVIVOR AND THEIR FAMILY. THE TRC PROGRAM BEGAN AT ADVOCATE CHRIST MEDICAL CENTER IN 2019. IN LATE 2022, THE TRC PROGRAM EXPANDED ITS SERVICES TO ADVOCATE CONDELL MEDICAL CENTER AND ADVOCATE ILLINOIS MASONIC THROUGH SUPPORT FROM THE ILLINOIS CRIMINAL JUSTICE INFORMATION AUTHORITY. THE TRC SERVICES HAVE EXPANDED FROM COOK COUNTY, WILL COUNTY, KANKAKEE COUNTY AND DUPAGE COUNTY TO ALSO SERVE LAKE COUNTY, KANE COUNTY, KENDALL COUNTY, MCHENRY COUNTY. THE PROGRAM NOW HAS TRAUMA OUTREACH WORKERS THAT ARE AVAILABLE 24 HOURS A DAY, 7 DAYS A WEEK. IN 2022, A TOTAL OF 1,556 PEOPLE WERE SERVED BY THE TRC PROGRAM. THE TOP THREE GROUPS SERVICED, BY RACE AND ETHNICITY, WERE BLACK OR AFRICAN AMERICAN (56.8%), HISPANIC OR LATINO (21.2%) AND WHITE NON-LATINO OR CAUCASIAN (17.7%).VIOLENCE REDUCTION. THE TRAUMA RECOVERY CENTER HAS PARTNERED WITH COMMUNITIES PARTNERING 4 PEACE (CP4P) TO BETTER SERVE OUR COMMUNITIES THAT ARE IMPACTED BY GUN VIOLENCE. CP4P IS PART OF METROPOLITAN FAMILY SERVICES; THEY WORK WITH STREET OUTREACH ORGANIZATIONS THAT COVER 28 COMMUNITIES IN THE CHICAGOLAND AREA. TRC TEAMMATES ARE TRAINED BY CP4P TO IDENTIFY HIGH RISK FOR RETALIATION SITUATIONS AND THEN TO PARTNER WITH THE STREET OUTREACH ORGANIZATION IN THE NEIGHBORHOOD IN WHICH THE INCIDENT OCCURRED. STREET OUTREACH WILL WORK WITHIN THE NEIGHBORHOOD TO PREVENT RETALIATION AND PARTNER WITH MEMBERS OF THE TRC TO HELP THE PATIENT IN THEIR HEALING PROCESS AND DO OUR BEST TO ENSURE SAFETY UPON DISCHARGE. TRAUMA-INFORMED CARE (TIC) TRAINING. THROUGH STAFF MEETINGS, STUDENT EDUCATION, AND SPECIALIZED TRAINING AS REQUESTED BY ADVOCATE HEALTH TEAMS, THE TRAUMA INFORMED CARE (TIC) MANAGER LOCATED AT AURORA SINAI MEDICAL CENTER IN MILWAUKEE PROVIDED A FUNDAMENTAL OVERVIEW OF TRAUMA-INFORMED CARE TO TEAMMATES IN VARIOUS ROLES ACROSS THE SYSTEM. THE TRAINING PROVIDES AN OVERVIEW OF THE FOUR RS OF TRAUMA-INFORMED CARE (REALIZE, RECOGNIZE, RESPOND, AND RESIST RE-TRAUMATIZATION) AND HISTORICAL TRAUMA AS A FACTOR IMPACTING A PERSON'S LIFETIME WELLNESS. THIS EXPANDED THE WORK WITH INITIATIVES TO ASSURE TEAM MEMBER AND PATIENT SAFETY BY INTEGRATING TRAUMA-INFORMED CARE PRACTICES TAILORED TO SERVICE AREAS AND EXPANDED IMPLEMENTATION OF THE FOUR R'S OF TRAUMA-INFORMED CARE. OUR TIC MANAGER TRAINED 1,100 AURORA TEAMMATES IN 2022. 5. AFFORDABLE HOUSING: ACCORDING TO HEALTHY PEOPLE 2020, DATA INDICATES THAT POOR-QUALITY HOUSING IS ASSOCIATED WITH VARIOUS NEGATIVE HEALTH OUTCOMES, INCLUDING CHRONIC DISEASE AND INJURY, AND POOR MENTAL HEALTH. IT IS FOR THIS REASON THAT ADVOCATE HAS VOWED AS A FIFTH COMMUNITY STRATEGY FOCUS AREA TO DECREASE THE NUMBER OF ED PATIENTS WHO ARE SCREENED POSITIVE FOR HOMELESSNESS BY 5% BY 2025. WHILE WORK TOWARDS THIS GOAL IS STILL EMERGING, SEVERAL ADVOCATE HOSPITALS ARE TAKING STEPS TO PROVIDE PATIENTS WITH A HEALTHY AND SAFE ENVIRONMENT IN WHICH TO HEAL. COOK COUNTY FLEXIBLE HOUSING POOL. THE COOK COUNTY FLEXIBLE HOUSING POOL IS A COLLABORATIVE PARTNERSHIP AMONG HEALTH SYSTEMS, MANAGED CARE ORGANIZATIONS, COOK COUNTY HEALTH AND HOSPITAL SYSTEM, CITY OF CHICAGO DEPARTMENT OF PUBLIC HEALTH AND THE CENTER FOR HEALTH AND HOUSING. THE PROGRAM ADDRESSES HOUSING INSECURITY AMONG HOMELESS PATIENTS BY PLACING INDIVIDUALS IN PERMANENT SUPPORTIVE HOUSING WHILE ALSO PROVIDING WRAP AROUND CARE, CASE MANAGEMENT AND BEHAVIORAL HEALTH SERVICES. THE MAIN GOAL OF THE PROGRAM IS TO ADDRESS HOMELESSNESS, ONE OF THE MOST SIGNIFICANT ROOT CAUSES OF POOR HEALTH. WHILE THIS PROGRAM SERVES A SMALL NUMBER OF PEOPLE, THE IMPACT IS DEEP AND LIFELONG. IN 2022, THE ADVOCATE HEALTH TEAMS IN COOK COUNTY PLACED 10 INDIVIDUALS AND FAMILIES INTO PERMANENT SUPPORTIVE HOUSING.
PART VI, 6. AFFILIATED HEALTH CARE SYSTEM CONT.	THE CAROL STREET APARTMENTS. THE ADVOCATE LUTHERAN GENERAL CARE MANAGEMENT DEPARTMENT PLANS SAFE DISCHARGES FOR PATIENTS RECOVERING FROM HOSPITALIZATION AND WHO HAVE NO HOUSING RESOURCES. THE DEPARTMENT MANAGES THE ADVOCATE LUTHERAN CAROL STREET APARTMENTS. LOCATED ON THE HOSPITAL'S CAMPUS, THESE APARTMENTS ARE AVAILABLE FOR RENT ON A DAILY, WEEKLY OR MONTHLY BASIS. THE APARTMENTS ARE USED BY PATIENTS THAT ARE ACTIVELY GETTING SERVICES ON CAMPUS, I.E., CHEMOTHERAPY, RADIATION, ETC., AND ARE ALSO AVAILABLE FOR FAMILY MEMBERS OF INPATIENTS THAT DO NOT LIVE NEAR THE HOSPITAL. FINANCIAL ASSISTANCE IS GRANTED TO PATIENTS AND FAMILIES THAT DEMONSTRATE FINANCIAL HARDSHIP. IN 2022, THE PROGRAM SERVED 11INDIVIDUALS. 6. FOOD SECURITY. ANOTHER KEY ADVOCATE COMMUNITY STRATEGY FOCUS AREA IS FOOD SECURITY. ACCESS TO FRESH, AFFORDABLE FOOD IS A KEY INGREDIENT IN THE RECIPE TO ADDRESS FOOD INSECURITYAND IN KEEPING THE COMMUNITY HEALTHY. ADVOCATE IS INVOLVED WITH MULTIPLE NON-TRADITIONAL COMMUNITY PARTNERS IN LOCAL AND SUSTAINABLE FOOD INITIATIVES TO ADDRESS FOOD INSECURITY. RX MOBILE PANTRY. IN 2019, ADVOCATE CONDELL LAUNCHED THE RX MOBILE FOOD PANTRY TO SERVE FOOD INSECURE (FI) RESIDENTS OF THE ROUND LAKE AREA. THE PROGRAM GREW FROM THE MEDICAL CENTER'S COMMUNITY HEALTH EFFORTS IN SCREENING AND REFERRAL FOR FOOD INSECURITY. IN DECEMBER OF 2021, ADVOCATE CONDELL'S RX MOBILE FOOD PANTRY PROGRAM TRANSITIONED INTO AN RX MARKET, WHICH WILL BE MANAGED BY CATHOLIC CHARITIES. THE PERMANENT LOCATION WILL CONTINUE ADDRESSING THE NEEDS OF THE COMMUNITY WHILE OFFERING THE SAME VARIETY OF HEALTHY FOODS DURING SEVERAL DAYS AND AT VARIOUS HOURS OF EACH WEEK. THE PROGRAM EVOLVED INTO A SUSTAINABLE MODEL THAT HAS SIGNIFICANTLY INCREASED ACCESS TO HEALTHY FOODS IN THAT AREA. IN 2022, ADVOCATE CONDELL LAUNCHED A SECOND RX MOBILE PROGRAM IN LAKE COUNTY, FOCUSING ON LAKE VILLA. IN 2022, THE PROGRAM SERVED 8,478 PEOPLE AND DISTRIBUTED OVER 100,000 POUNDS OF MEAT, DAIRY AND PRODUCE. HOSPITAL-BASED FOOD PANTRY PROGRAMS IN CENTRAL CHICAGOLAND. ADVOCATE ILLINOIS MASONIC MEDICAL CENTER HOSPITAL-BASED FOOD PANTRY PROGRAM SCREENS PATIENTS FOR FOOD INSECURITY. PATIENTS WHO SCREEN POSITIVE FOR FOOD INSECURITY ARE ELIGIBLE FOR A NON-PERISHABLE FOOD BAG AND FRESH PRODUCE BOX ONCE A MONTH. IN ADDITION, THE MEDICAL CENTER IMPLEMENTS POP UP FARMERS MARKETS IN LOW-INCOME AND VULNERABLE COMMUNITIES WITH HIGH FOOD INSECURITY RATES. IN 2022. THE PROGRAM SERVED 47 NEW PATIENTS AND 21 REPEAT PATIENTS, A TOTAL OF 68 PATIENTS. SIMILARLY, ADVOCATE LUTHERAN GENERAL HOSPITAL HAS AN ESTABLISHED HOSPITAL-BASED PANTRY PROGRAM THAT SERVED 98 PATIENT AND 3 REPEAT PATIENTS IN 2022. ADVOCATE GOOD SAMARITAN HOSPITAL SERVED 19 NEW PATIENTS AND 4 REPEAT PATIENTS IN 2022. THE CENTRAL CHICAGOLAND HOSPITAL-BASED PANTRY PROGRAM CONTINUE TO GROW AND WILL CONTINUE TO EVOLVE TO ADDRESS THE GROWING NEEDS OF THE COMMUNITY AND THE PATIENTS. HEALTHY LIVING FOOD FARMACY. ADVOCATE LAUNCHED AN INNOVATIVE PILOT PROGRAMHEALTHY LIVING FOOD FARMACYAT ADVOCATE TRINITY HOSPITAL TO MAKE A POSITIVE IMPACT ON PATIENTS FACING SOCIO-ECONOMIC BARRIERS TO BETTER HEALTH. PATIENTS ARE INVITED TO ATTEND THE BI-WEEKLY EVENTS FOR A FREE DOSE OF HEALTHY FOODMAKING THEIR SELECTIONS FROM TABLES OF ASSORTED FRESH PRODUCE AND LOW-SODIUM, SHELF-STABLE PROTEINS. THE PROGRAM IS FOCUSED ON IMPACTING THE HEALTH OF THE COMMUNITY BY PROVIDING ACCESS TO HEALTHY FOOD OPTIONS FOR FOOD INSECURE PATIENTS. THE HEALTHY LIVING FOOD FARMACY IS SUPPORTED BY A PARTNERSHIP WITH THE GREATER CHICAGO FOOD DEPOSITORY, ADVOCATE TRINITY'S LEADERSHIP, VOLUNTEERS AND COMMUNITY HEALTH DEPARTMENT. IN 2022, THE FOOD FARMACY DISTRIBUTE 48,917 POUNDS OF FOOD AND SERVED 2,065 PATIENTS.SHERMAN NATURAL PRAIRIE AND COMMUNITY GARDEN (SNPCG). ADVOCATE SHERMAN HOSPITAL IS ADDRESSING FOOD INSECURITY BY DONATING PRODUCE HARVESTED FROM THE MASTER GARDENERS (COLLABORATION WITH UNIVERSITY OF ILLINOIS EXTENSION OFFICE) AND EXCESS PRODUCE FROM COMMUNITY GARDEN BEDS THROUGH THE ON-CAMPUS COMMUNITY GARDEN. IN 2022, 315 POUNDS OF PRODUCE WAS HARVESTED AND DONATED TO THE ELGIN COMMUNITY COLLEGE SPARTAN STUDENT FOOD PANTRY AND FOOD FOR GREAT ELGIN FOOD PANTRY. OVERALL, ADVOCATE FUNDS MANY SYSTEM LEVEL PROGRAMS AND ACTIVITIES FOCUSED ON POSITIVELY AFFECTING THE HEALTH STATUS AND QUALITY OF LIFE OF INDIVIDUALS AND POPULATIONS IN COMMUNITIES SERVED BY ADVOCATE. IN ADDITION TO THE MANY PROGRAM EXAMPLES PROVIDED PREVIOUSLY, ANOTHER SYSTEM-LEVEL FUNDED PROGRAM IS PROVIDED BELOW.FAITH AND HEALTH PARTNERSHIPS. ADVOCATE AURORA HEALTH'S FAITH AND HEALTH PARTNERSHIPS PROGRAM WORKS SIDE BY SIDE WITH FAITH COMMUNITIES TO PROMOTE HEALTH EQUITY BY MOBILIZING THE TRANSFORMING POWER OF SOCIAL CONNECTEDNESS AND SPIRITUAL WISDOM. THE PROGRAM SUPPORTS A NEIGHBORHOOD MODEL THAT EMBEDS AAH TEAM MEMBERS IN SPECIFIC NEIGHBORHOODS IDENTIFIED AS PRIORITIES THROUGH THE AAH COMMUNITY STRATEGY. TEAM MEMBERS WORK WITH A COLLABORATIVE NETWORK OF FAITH COMMUNITIES AND COMMUNITY-BASED ORGANIZATIONS TO ADDRESS HEALTH ISSUES THAT HAVE BEEN IDENTIFIED BY COMMUNITY MEMBERS AS ISSUES THAT ARE IMPORTANT TO THEM. IN ILLINOIS WE HAVE NEIGHBORHOOD NETWORK PROGRAMS IN SOUTH CHICAGO AND AVONDALE AND ARE FOCUSED EFFORTS ON REDUCING STRESS AND INCREASING SOCIAL CONNECTEDNESS, MANAGING CHRONIC DISEASE, AND SUPPORTING FOOD ACCESS. FAITH AND HEALTH PARTNERSHIPS ALSO WORKS ACROSS OUR FOOTPRINT ON BUILDING CAPACITY OF FAITH LEADERS AND CONGREGATIONS TO PROMOTE THE WHOLISTIC HEALTH OF THEIR MEMBERS AND THE COMMUNITIES THEY SERVE, PARTICULARLY AROUND MENTAL HEALTH. AAH ALSO SUPPORTS A FAITH COMMUNITY NURSE NETWORK OF 27 NURSES THAT SERVE CONGREGATIONS ACROSS THE CHICAGOLAND REGION.AT BOTH THE SYSTEM AND SITE LEVELS, ADVOCATE IS WORKING TO EXAMINE AND ADDRESS THE ROOT CAUSES OF HEALTH INEQUITIES IN OUR COMMUNITIES. TO SUPPORT THE ADVOCATE HOSPITALS IN CONDUCTING CHNA'S, ADVOCATE PURCHASED ACCESS TO METOPIO, A CHNA DATA TOOL. METOPIO IS A SOFTWARE AND SERVICES COMPANY THAT IS GROUNDED IN THE PHILOSOPHY THAT COMMUNITIES ARE CONNECTED THROUGH PLACES AND PEOPLE. METOPIO'S TOOLS AND VISUALIZATIONS USE DATA TO REVEAL VALUABLE, INTERCONNECTED FACTORS THAT INFLUENCE HEALTH OUTCOMES IN DIFFERENT LOCATIONS. METOPIO OFFERS A DATA, TAILORED TO SUPPORT ALL ADVOCATE AURORA HEALTH HOSPITALS WITH IDENTIFYING HEALTH INEQUITIES IN COMMUNITIES. METOPIO USES THE MOST CURRENT DATA SOURCES AND CREATES TOOLS AND INDICES THAT FOCUS ON THE COMMUNITIES WITHIN THE AAH SERVICES AREAS. THE DATA CAN BE USED TO FOCUS ON SPECIFIC REGIONS, COMMUNITIES, AND HOSPITAL SERVICES AREAS. BELOW IS A DESCRIPTION OF TWO IMPORTANT INDICES FOUND IN METOPIO. HARDSHIP INDEX DESCRIPTION. THE HARDSHIP INDEX WAS ORIGINALLY DEVELOPED BY RICHARD P. NATHAN AND CHARLES F. ADAMS, JR. IN 1976 TO COMPARE SOCIOECONOMIC CONDITIONS BETWEEN COMMUNITIES. IT IS HIGHLY CORRELATED WITH OTHER MEASURES OF ECONOMIC HARDSHIP, SUCH AS LABOR FORCE STATISTICS, AND WITH POOR HEALTH OUTCOMES. THE INDEX COMBINES THE FOLLOWING TOPICS INTO A SINGLE COMPOSITE VALUE ON A SCALE OF 0-100: CROWDED HOUSING (MORE THAN ONE PERSON PER ROOM) POVERTY RATE FOR HOUSEHOLDS UNEMPLOYMENT RATE ADULTS WITH A HIGH SCHOOL DEGREE OR EQUIVALENT AGE DEPENDENCY RATIO (% OF RESIDENTS WHO ARE <18 OR >65 YEARS OLD, COMPARED TO THOSE OF WORKING AGE) PER-CAPITA INCOME HIGHER VALUES INDICATE GREATER HARDSHIP AND CORRELATE HIGHER WITH POOR HEALTH OUTCOMES. THE INDEX DOES NOT PRESERVE THE RATIO BETWEEN TWO PLACES, SO IF ONE PLACE HAS TWICE THE HARDSHIP INDEX OF ANOTHER, WE CANNOT SAY THAT IT EXPERIENCES "TWICE AS MUCH HARDSHIP" AS ANOTHER PLACE. INSTEAD, COMPARE DIFFERENT PLACES USING THE CONSTITUENT TOPICS. SOCIAL VULNERABILITY INDEX. THE SOCIAL VULNERABILITY INDEX (SVI) WAS DEVELOPED BY THE CENTER FOR DISEASE CONTROL AND PREVENTION (CDC) TO HELP PUBLIC HEALTH OFFICIALS AND EMERGENCY RESPONSE PLANNERS IDENTIFY AND MAP THE COMMUNITIES THAT WILL MOST LIKELY NEED SUPPORT BEFORE, DURING, AND AFTER A HAZARDOUS EVENT, SUCH AS A NATURAL DISASTER, DISEASE OUTBREAK, OR CHEMICAL SPILL. SVI INDICATES RELATIVE VULNERABILITY BY RANKING PLACES ON 15 SOCIAL FACTORS THAT CAN BE DIVIDED INTO 4 CATEGORIES: SOCIOECONOMIC HOUSEHOLD COMPOSITION & DISABILITY MINORITY STATUS & LANGUAGE HOUSING TYPE & TRANSPORTATION THE ORIGINAL SCORE IS ON A SCALE FROM 0-1, BUT IT IS MULTIPLIED BY 100 FOR READABILITY ON METOPIO. A HIGHER SCORE REPRESENTS A COMMUNITY MORE VULNERABLE TO A HAZARDOUS EVENT. DETAILED DOCUMENTATION IS AVAILABLE FROM THE CDC HERE .
PART VI, 6. AFFILIATED HEALTH CARE SYSTEM CONT.	ADVOCATE CONTINUES TO WORK LOCALLY AND NATIONALLY WITH MANY PROMINENT COMMUNITY PARTNERS TO ADDRESS SOCIAL DETERMINANTS OF HEALTH. EXAMPLES OF THESE EFFORTS INCLUDE THE FOLLOWING. HEALTH CARE ANCHOR NETWORK (HAN). AAH IS A FOUNDING MEMBER OF THE HEALTHCARE ANCHOR NETWORK WHICH HAS EXPANDED TO INCLUDE 70 OTHER AREA HEALTH SYSTEM AND HOSPITAL PARTNERS. AAH HAS SIGNIFICANT ECONOMIC AND HUMAN RESOURCES ACROSS ITS SERVICE AREA AS THE LARGEST EMPLOYER IN THE MILWAUKEE AREA AND THE FOURTH LARGEST IN CHICAGO. TO LEVERAGE THESE RESOURCES, IN 2019, AAH ANNOUNCED A COMMITMENT TO INVEST $50 MILLION TO HELP ADDRESS THE ECONOMIC, RACIAL, AND ENVIRONMENTAL DISPARITIES THAT IMPACT COMMUNITY HEALTH OUTCOMES AND DECREASE HEALTH INEQUITY. ADDITIONALLY, AAH COMMITTED TO DRIVING COMMUNITY HEALTH AND WELL-BEING THROUGH ITS INCLUSIVE, LOCAL HIRING AND LOCAL PURCHASING STRATEGIES AND INITIATIVES.ADVOCATE AURORA $50M INVESTMENT PLEDGE. AAH IS AMONG THE FIRST HEALTH SYSTEMS IN THE COUNTRY TO MAKE A SIGNIFICANT COMMITMENT TO INVESTING IN TARGETED COMMUNITY DEVELOPMENT. THE ANCHOR STRATEGY INVESTMENTS ARE TARGETED TO ENHANCE CRITICAL SERVICES SUCH AS AFFORDABLE OR SUPPORTIVE HOUSING AND FOOD ACCESS IN COMMUNITIES THAT LEAD TO IMPROVED HEALTH AND DEMONSTRATED DOWNSTREAM BENEFITS TO OUR PATIENTS AND THE COMMUNITY. INITIALLY, THE INVESTMENT WORK WAS DONE IN PARTNERSHIP WITH COMMUNITY DEVELOPMENT FINANCING INSTITUTIONS (CDFIS) TO FUND PROJECTS. ALTHOUGH NOT A PROFIT MAXIMIZING ACTIVITY, THIS INVESTMENT COMMITMENT WILL RESULT IN A RETURN OF THE PRINCIPAL TO THE ORGANIZATION WITH INTEREST TO ENSURE A SUSTAINABLE INVESTMENT CAPACITY FOR REINVESTMENT OVER TIME. A COMMUNITY INVESTMENT STRATEGY TEAM WAS FORMED TO PLAN AND GUIDE THE WORKCONSISTING OF FINANCE AND TREASURY, COMMUNITY HEALTH AND OPERATIONS TEAMS TO DEVELOP THE SCOPE AND PROCESS. THE TEAM IS RESPONSIBLE FOR DEPLOYING $50 MILLION IN LOANS TO CDFIS ACROSS OUR FOOTPRINT BY THE END OF 2025. TO DATE, THE TEAM HAS COMPLETED 4 CONTRACTS WITH LOCAL CDFIS: $25M WITH LOCAL INITIATIVE SUPPORT CORPORATION (LISC) $5M WITH IFF $2.5M WITH CHICAGO COMMUNITY LOAN FUND (CCLF) $1M WITH WISCONSIN WOMEN'S BUSINESS INITIATIVE CORPORATION (WWBIC)ADVOCATE AURORA PURCHASING COMMITMENT. THIS ANCHOR STRATEGY BUILDS ON THE EXISTING DIVERSITY, EQUITY, AND INCLUSION PURCHASING STRATEGIES AND ESTABLISHES TARGETS RELATED TO INCREASING THE NUMBER OF LOCAL AND DIVERSE VENDORS WITH THE POSSIBILITY OF THE INVESTMENT STRATEGY ALSO FUNDING STRATEGIC BUSINESSES SUCH AS URBAN AGRICULTURE VENTURES TO QUALIFY MORE BUSINESS AS VENDORS. ON JUNE 9, 2021, AAH ANNOUNCED SIGNING THE "IMPACT PURCHASING COMMITMENT"DESIGNED BY THE HEALTH ANCHOR NETWORK (HAN)TO BUILD HEALTHY, EQUITABLE, AND CLIMATE-RESILIENT LOCAL ECONOMIES THROUGH SPENDING. THE COMMITMENT INCLUDES INCREASING SPENDING WITH MINORITY AND WOMEN OWNED BUSINESS ENTERPRISES (MWBES) AS WELL AS LOCAL AND EMPLOYEE-OWNED, COOPERATIVELY OWNED AND/OR NONPROFIT-OWNED ENTERPRISES, BY AT LEAST $1 BILLION OVER FIVE YEARS. AAH WILL ALSO WORK WITH AT LEAST TWO OF THEIR LARGE EXISTING VENDORS TO CREATE HIRING PIPELINES IN THE DISINVESTED COMMUNITIES THAT IT SERVES AND WILL COMMIT TO ADOPTING SUSTAINABLE PROCUREMENT GOALS. THERE ARE SEVERAL ADDITIONAL EXAMPLES OF EFFORTS TO STRENGTHEN CORPORATE OPTIONS THROUGH HUMAN RESOURCE, SUPPLY CHAIN, ENVIRONMENTAL STEWARDSHIP AND INVESTMENT POLICIES THAT IMPACT THE SOCIAL DETERMINANTS OF HEALTH IN THE COMMUNITIES SERVED BY ADVOCATE.ADVOCATE IS ALSO STRENGTHENING CORPORATE OPTIONS THROUGH HUMAN RESOURCE, SUPPLY CHAIN, ENVIRONMENTAL STEWARDSHIP AND INVESTMENT POLICIES TO IMPACT THE SOCIAL DETERMINANTS OF HEALTH IN THE COMMUNITIES IT SERVES.ENVIRONMENTAL LEADERSHIP. REDUCING WASTE, CONSERVING ENERGY AND WATER, MINIMIZING USE OF TOXIC CHEMICALS, AND CONSTRUCTING ECO-FRIENDLY BUILDINGS FOR TODAY AND TOMORROWALL 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 ADVOCATE WORKS TO REDUCE THE ENVIRONMENTAL AND HEALTH IMPACTS OF HEALTH CARE, ITS ENVIRONMENTAL STEWARDSHIP PRACTICES EASE THE BURDEN OF HEALTH CARE COSTS BOTH DIRECTLY (LOWER ENERGY COSTS) AND INDIRECTLY (LOWER ENVIRONMENTALLY RELATED DISEASE BURDEN) AND HELP SAVE RESOURCES FOR FUTURE GENERATIONS. IN ADDITION TO CONTINUING TO REDUCE ADVOCATE'S OWN ENVIRONMENTAL IMPACTS AS A HEALTH CARE ORGANIZATION, ADVOCATE ALSO PROVIDES NATIONAL LEADERSHIP AND MENTORING IN SUSTAINABLE HEALTH CARE THROUGH THE MEMBERSHIP AND PARTICIPATION IN SEVERAL SUSTAINABILITY LEADERSHIP COUNCILS AND GROUPS. THESE COLLABORATIVE PARTNERSHIPS ADDRESS MULTIPLE SUSTAINABILITY ISSUES, INCLUDING ANTIBIOTIC OVERUSE IN AGRICULTURE, SAFER CHEMICALS IN FURNISHINGS AND MEDICAL PRODUCTS, CLIMATE CHANGE, CLINICAL PLASTICS RECYCLING, AND ENVIRONMENTALLY PREFERABLE AND LOCAL PURCHASING, SPURRING MOVEMENT TOWARD HEALTHIER AND MORE SUSTAINABLE PRACTICES THROUGHOUT THE HEALTH CARE SECTOR AND WIDER MARKETPLACE. THESE PARTNERSHIPS INCLUDE:O HEALTHCARE ANCHOR NETWORK -IMPACT PURCHASING COMMITTEEO HEALTH CARE CLIMATE COUNCILO HEALTHCARE PLASTICS RECYCLING COALITION HEALTHCARE FACILITY ADVISORY BOARDO PRACTICE GREENHEALTH MARKET TRANSFORMATION GROUPSAFER CHEMICALSO HEALTHY BUILDING NETWORKO PREMIER'S ENVIRONMENTAL ADVISORY COUNCILO STEERING COUNCIL OVERSIGHT AND SIGNATORY OF THE CHEMICAL FOOTPRINT PROJECTIT IS IMPORTANT TO HIGHLIGHT THAT WE ACCOMPLISHED MUCH, BUT DECARBONIZATION IS A MUCH LARGER ISSUE THAN ANY ONE BUSINESS CAN SOLVE ON ITS OWN. WE HAVE A LONG HISTORY OF ENVIRONMENTAL AND CLIMATE ADVOCACY BECAUSE WE UNDERSTAND THROUGH POLICY AND LEGISLATIVE CHANGES, WE ARE OPENING DOORS, GETTING PERMISSION, AND SUPPORTING COMPLIANCE IN THIS IMPACT WORK. BELOW ARE SOME HIGHLIGHTS OVER THE PAST FOUR YEARS. O THROUGH THE HEALTH CARE CLIMATE COUNCIL, A LETTER OF SUPPORT WAS SENT TO THE MEMBERS OF CONGRESS ABOUT THE BUILD BACK BETTER PACKAGE AND CERTAIN PROVISIONS (2022)O WE PROVIDED COMMENTS TO THE CURRENT ASSESSMENT OF CLIMATE CHANGE IMPACTS ON OUTCOMES, CARE, AND HEALTH EQUITYREQUEST FOR INFORMATION (RFI) IN THE MEDICARE PROGRAM: HOSPITAL INPATIENT PROSPECTIVE PAYMENT SYSTEMS (IPPS), ETC. PROPOSED RULE (SECTION IX.A) (2022)O IN THE SUMMER OF 2022, WE RESPONDED TO THE HOUSE WAYS & MEANS COMMITTEE HEARING AND RFI REPORT ON HEALTH CARE'S ROLE IN THE CLIMATE CRISIS (2022) O IN JUNE 2022, AS A SYSTEM WE SIGNED THE HHS PLEDGE TO BECOME A NET ZERO HEALTH SYSTEM BY 2050** (2022)PROJECT C.U.R.E. (COMMISSION ON URGENT RELIEF AND EQUIPMENT). ADVOCATE IS A MEDICAL EQUIPMENT AND SUPPLY DONATION PARTNER OF PROJECT C.U.R.E., THE WORLD'S LEADING MEDICAL SUPPLY DISTRIBUTION ORGANIZATION BENEFITING RESOURCE-LIMITED AREAS ACROSS THE GLOBE. IN 2022, ADVOCATE DONATED A TOTAL OF 182 PALLETS OF MISCELLANEOUS MEDICAL SUPPLIES TO PROJECT C.U.R.E.SUSTAINABLE BUILDINGS AND OPERATIONS. SUSTAINABILITY, SAFETY AND EFFICIENCY ARE CORE ELEMENTS OF ADVOCATE BUILDING AND OPERATIONS PROGRAMS. O ADVOCATE PURSUES LEADERSHIP IN ENERGY AND ENVIRONMENTAL DESIGN (LEED) CERTIFICATION FOR ALL NEW MAJOR BUILDINGS AND UTILIZES A RIGOROUS, INTERNAL TOOL CALLED THE HEALTHY SPACES ROADMAP TO ENSURE SUSTAINABILITY IN ALL ITS RENOVATIONS AND PROJECTS. TO DATE, ADVOCATE HAS COMPLETED SIX MAJOR PROJECTS THAT HAVE RECEIVED LEED SILVER OR GOLD CERTIFICATION. O IN 2008, ADVOCATE EMBARKED ON A JOURNEY TO REDUCE ITS CARBON FOOTPRINT AND TO BECOME THE MOST ENERGY EFFICIENT HEALTH SYSTEM IN THE COUNTRY. BY 2015, ADVOCATE HAD REDUCED ENERGY CONSUMPTION BY 23% FROM THE 2008 BASELINE. WHILE AGGRESSIVELY CONTINUING ENERGY EFFICIENCY PROJECTS, ADVOCATE NOW AIMS TO BE CARBON NEUTRAL BY 2030 AND NET ZERO BY 2050 AND HAS SIGNED ON THE US DEPARTMENT OF HEALTH AND HUMAN SERVICES CLIMATE PLEDGE.
PART VI, 6. AFFILIATED HEALTH CARE SYSTEM CONT.	ADVOCATE COMBINES SUSTAINABLE FACILITIES WITH ENVIRONMENTALLY FRIENDLY OPERATIONS AND PURCHASES. THIS INCLUDES WASTE MINIMIZATION AND RECYCLING, REDUCING CHEMICALS IN FURNITURE AND CLEANING PRODUCTS, PURCHASING MEAT RAISED WITHOUT ANTIBIOTICS, AND OTHER ECO-FRIENDLY PRODUCTS, ALL OF WHICH HAVE COMMUNITY HEALTH IMPACTS IN THEIR LIFE CYCLE. IN 2022, ADVOCATE ACHIEVED THE FOLLOWING:O AVOIDED 34 MTCO2E OF GREENHOUSE GASES (EQUIVALENT TO 82,000 MILES OF DRIVING) THROUGH ECO-FRIENDLY MANAGEMENT OF ANESTHETIC GASES.O 95% OF ADVOCATE'S FURNITURE PURCHASES AVOIDED FIVE KEY CHEMICALS OF CONCERN.O 87% OF FIVE MAIN CATEGORIES OF CLEANERS WERE ON THIRD PARTY CERTIFIED GREEN CLEANERS O OVER $1 MILLION OF ADVOCATE'S MEAT PURCHASES SUPPORTED PRODUCERS WHO RAISE THEIR ANIMALS WITHOUT THE USE OF ANTIBIOTICS (30% OF TOTAL).O COPY PAPER USED CONTAINS 30% POST-CONSUMER RECYCLED CONTENT AND IS FOREST STEWARDSHIP COUNCIL CERTIFIED. O RECYCLED 2,982 TONS OF WASTE FROM HOSPITAL OPERATIONS.ENVIRONMENTALLY RESPONSIBLE INVESTING. ADVOCATE INSTITUTES AN ENVIRONMENTALLY-BASED SOCIAL SCREEN FOR ITS MARKETABLE INVESTMENT PROGRAM. ALL COMPANIES IN SEPARATELY MANAGED ACCOUNTS ARE SCORED ON ENVIRONMENTAL PRACTICES, BEHAVIOR AND CONTROVERSIES. POOR-SCORING COMPANIES ARE SCREENED OUT OF THE INVESTMENT PROGRAM. RECOGNITION. ADVOCATE IS CONSISTENTLY RECOGNIZED FOR ITS COMMITMENT AND ACHIEVEMENTS IN SUSTAINABLE HEALTH CARE. O ALL ADVOCATE HOSPITALS RECEIVED INDIVIDUAL RECOGNITION FROM PRACTICE GREENHEALTH.O ADVOCATE AURORA HEALTH RECEIVED THE PRACTICE GREENHEALTH SYSTEM FOR CHANGE AWARD FOR THE 15TH CONSECUTIVE YEAR AND RECEIVED A CIRCLE OF EXCELLENCE IN CHEMICALS, TOP 25 PERFORMERO ADVOCATE AURORA HEALTH WAS NAMED A CLIMATE CHAMPION IN THE CATEGORY OF CLIMATE LEADERSHIP (SILVER) THROUGH THE HEALTH CARE CLIMATE CHALLENGEEMPLOYEE ENGAGEMENT. EVERY HOSPITAL HAS A GREEN TEAM, LED BY SITE SUSTAINABILITY LEADERS AND SPONSORED BY EXECUTIVE CHAMPIONS (OFTEN INCLUDING HOSPITAL PRESIDENTS). TOGETHER, OUR SSLS EACH YEAR HOST A MINIMUM OF TWO ENVIRONMENTAL SUSTAINABILITY CAMPAIGNS USED TO INFORM, INSPIRE, AND INVOLVE HOSPITAL TEAM MEMBERS IN OUR ES JOURNEY.SOME CAMPAIGNS TO HIGHLIGHT:O ANNUAL 'BIKE TO WORK' CELEBRATIONS (SUPPORTING ALTERNATIVE TRANSPORTATION)O CHILDREN'S HOSPITAL CELEBRATING CHILDREN'S ENVIRONMENTAL HEALTH WEEK FOR THREE CONSECUTIVE YEARS, SINCE 2019.O SITE SUSTAINABILITY LEADERS AND GREEN ADVOCATES COLLECTING AND GIVING AWAY FREE PARTIALLY USED (HALTER MONITOR) BATTERIES TO TEAM MEMBERSO RACIAL EQUITY CHALLENGE O IN 2022, THE SYSTEM ADOPTED ENVIRONMENTAL JUSTICE AS A LENS FOR WHICH TO IMPLEMENT ENVIRONMENTAL SUSTAINABILITY AND LAUNCHED THE FIRST-EVER RACIAL EQUITY CHALLENGE IN COLLABORATION WITH SSLS AND HOSTED A REFLECTION AND LEARNING CONVERSATION AS OUR FEATURED 2022 EARTH DAY EVENT ADVOCATE WORKS TO LEVERAGE RESOURCES AND MAXIMIZE COMMUNITY ENGAGEMENT BY BUILDING AND STRENGTHENING COMMUNITY PARTNERSHIPS WITH HEALTH DEPARTMENTS AND OTHER DIVERSE COMMUNITY ORGANIZATIONS. A PRIMARY VALUE OF ADVOCATE'S COMMUNITY HEALTH DEPARTMENT IS COLLABORATION WITH PARTNERS, PREFERABLY THROUGH A COLLECTIVE IMPACT MODEL. IN ORDER TO ALIGN INITIATIVES WITH LOCAL HEALTH DEPARTMENTS AND THEIR COMMUNITY HEALTH PRIORITIES, ALL ADVOCATE HOSPITALS COLLABORATE WITH THEIR RESPECTIVE HEALTH DEPARTMENTS DURING THE CHNA AND HEALTH IMPROVEMENT (IMPLEMENTATION PLAN) CYCLES. ONE SUCH NOTABLE COLLABORATION IN WHICH ADVOCATE SYSTEM LEADERSHIP PLAYED A VITAL ROLE IS AS FOLLOWS. THE ALLIANCE FOR HEALTH EQUITY. ADVOCATE HEALTH CARE, PRESENCE HEALTH (NOW KNOWN AS AMITA HEALTH) AND THE ILLINOIS PUBLIC HEALTH INSTITUTE (IPHI) WERE THE THREE FOUNDING ORGANIZATIONS OF THE HEALTH IMPACT COLLABORATIVE OF COOK COUNTY (HICCC). THESE ORGANIZATIONS INVITED HEALTH DEPARTMENTS AND ALL COOK COUNTY NONPROFIT HOSPITALS TO JOIN THEM IN CREATING WHAT IS NOW ONE OF THE LARGEST CHNA AND COMMUNITY HEALTH IMPROVEMENT COLLABORATIVES IN THE COUNTRY. THE INITIAL PARTICIPATING HOSPITALS AND HEALTH DEPARTMENTS WORKED TOGETHER TO DESIGN A SHARED LEADERSHIP MODEL AND COLLABORATIVE INFRASTRUCTURE TO SUPPORT COMMUNITY-ENGAGED PLANNING PARTNERSHIPS AND STRATEGIC ALIGNMENT OF IMPLEMENTATION PLANS TO FACILITATE MORE EFFECTIVE AND SUSTAINABLE COMMUNITY HEALTH IMPROVEMENT. IN LATE 2017, HICCC MERGED WITH THE HEALTHY CHICAGO HOSPITALS COLLABORATIVE TO CREATE THE ALLIANCE FOR HEALTH EQUITY (THE ALLIANCE). IPHI SERVES AS THE BACKBONE ORGANIZATION FOR THE COLLABORATIVE AND THE HOSPITALS PROVIDE FUNDING FOR THE SHARED ASSESSMENT AND COMMUNITY HEALTH IMPROVEMENT PLANNING WORK. IN 2019, THE ALLIANCE GREW TO INCLUDE 37 NONPROFIT AND PUBLIC HOSPITALS, SIX LOCAL HEALTH DEPARTMENTS AND MORE THAN 100 COMMUNITY ORGANIZATIONS. IN 2022, THE ALLIANCE COMPLETED A COLLABORATIVE COMMUNITY HEALTH NEEDS ASSESSMENTS (CHNA) FOR CHICAGO AND SUBURBAN COOK COUNTY. THE REPORT BUILDS ON THE PREVIOUS ASSESSMENTS AND ALLOWS PARTNERS TO IDENTIFY STRATEGIC PRIORITIES THAT THEY CAN COLLECTIVELY ADDRESS TO IMPROVE COMMUNITY HEALTH. A COPY OF THE REPORT AND THE APPENDICES CAN BE FOUND AT THIS LINK 2022 CHNA REPORT - ALLIANCE FOR HEALTH EQUITY (ALLHEALTHEQUITY.ORG)PRIMARY AND SECONDARY DATA FROM A DIVERSE RANGE OF SOURCES WERE UTILIZED FOR ROBUST DATA ANALYSIS AND TO IDENTIFY COMMUNITY HEALTH NEEDS IN CHICAGO AND SUBURBAN COOK COUNTY. FOR THE 2022 CHNA, THE ALLIANCE FOR HEALTH EQUITY BUILT ON THE PREVIOUS COLLABORATIVE CHNA WORK (2019). ADVOCATE CONTINUES TO BE ACTIVELY INVOLVED IN LEADERSHIP OF THE ALLIANCE PARTNERSHIP, SERVING ON THE STEERING COMMITTEE. ADVOCATE HOSPITALS, AS WELL AS THE OTHER MEMBER HOSPITALS, PROVIDE THE MONETARY SUPPORT FOR THE COLLABORATIVE'S WORK AND SUPPORT THE COST OF STAFF AND OVERSIGHT PROVIDED BY THE ILLINOIS PUBLIC HEALTH INSTITUTE. ADDITIONALLY, ADVOCATE HAS BEEN INVOLVED IN LEADING THIS ASSESSMENT WORK AS AN ACTIVE MEMBER OF THE STEERING COMMITTEE, PROVIDING FINANCIAL SUPPORT TO THE ALLIANCE IN 2022.THE PRIORITY AREAS SELECTED BY THE ALLIANCE INCLUDE SOCIAL AND STRUCTURAL DETERMINANTS OF HEALTH, ACCESS TO CARE, MENTAL HEALTH AND SUBSTANCE USE DISORDERS, CHRONIC HEALTH CONDITIONS, INJURY INCLUDING VIOLENCE, AND MATERNAL/FETAL HEALTH. ALL PARTICIPATING HOSPITALS SELECTED SOME OF THE PRIORITIES TO ADDRESS IN THE AREAS SERVED. THERE ARE MULTIPLE WORK GROUPS ADDRESSING THE PRIORITY AREAS AND ADVOCATE STAFF SERVE ON MOST OF THE WORK GROUPS.ADVOCATE PROMOTES ACCOUNTABILITY FOR SYSTEM AND SITE ALIGNMENT BY INCREASING PROGRAM COORDINATION AND DEVELOPING STRONG GOVERNANCE RELATIONSHIPS.SYSTEM OVERSIGHT OF COMMUNITY HEALTH. ADVOCATE HAS TAKEN SEVERAL STEPS TO ASSURE SYSTEM AND SITE ACCOUNTABILITY FOR AND ALIGNMENT OF COMMUNITY HEALTH IMPROVEMENT EFFORTS. THESE ACTIONS INCLUDE DEVELOPING A GOVERNANCE AND DEPARTMENTAL INFRASTRUCTURE AT THE SITES AND SYSTEM LEVELS TO LEAD AND SUPPORT EFFORTS, AND TO INCLUDE ADVOCATE'S AMPLE CLINICAL EXPERTISE IN DEVELOPING AND SUSTAINING EVIDENCE-BASED PROGRAMS THAT MEASURABLY IMPACT/IMPROVE COMMUNITY HEALTH.HOSPITAL GOVERNING COUNCILS. COMMUNITY HEALTH IS STRONGLY INTEGRATED INTO ADVOCATE'S GOVERNANCE STRUCTURES. COMMUNITY HEALTH COUNCILS, COMPRISED OF COMMUNITY EXPERTS AND HOSPITAL LEADERS, HAVE BEEN DEVELOPED AT EACH OF THE ADVOCATE HOSPITALS. THESE COUNCILS ARE CO-LED BY THE HOSPITAL COMMUNITY HEALTH LEADER AND A HOSPITAL GOVERNING COUNCIL MEMBER. A MINIMUM OF 50% OF THE COUNCIL MEMBERS FOR THE 2019 CHNA REPORT AND 2020-2022 COMMUNITY HEALTH IMPLEMENTATION PLAN CYCLES WERE COMMUNITY REPRESENTATIVES WITH A FOCUS ON PEOPLE WHO REPRESENTED UNDERSERVED AND VULNERABLE POPULATIONS. DEPENDENT ON THE HOSPITAL, THE COUNCILS MET THREE OR FOUR TIMES DURING THE YEAR.HOSPITAL COMMUNITY HEALTH STAFF ANALYZED AND PRESENTED PRIMARY AND SECONDARY COMMUNITY HEALTH DATA TO THE HOSPITALS' COMMUNITY HEALTH COUNCILS. THE COUNCIL MEMBERS IDENTIFIED THE HOSPITAL SERVICE AREAS' SIGNIFICANT HEALTH NEEDS, SUBSEQUENTLY EMPLOYING CONSENSUS-BASED, PRIORITY-SETTING PROCESSES TO DETERMINE THE NEEDS UPON WHICH TO FOCUS. AS PART OF THE PRIORITIZATION PROCESS, THE COUNCILS SCANNED HOSPITAL AND COMMUNITY CHALLENGES AND ASSETS, AS WELL AS POTENTIAL PARTNERSHIPS WITH OTHER ORGANIZATIONS THAT MIGHT RESULT IN LARGER HEALTH IMPROVEMENT IMPACT.TO LEARN MORE ABOUT THE 2017-2019 CHNA CYCLE DATA ASSESSMENT RESULTS FOR EACH HOSPITAL, VISIT HOSPITAL CHNA REPORTS IMPLEMENTATION PLANS PROGRESS REPORTS \| ADVOCATE HEALTH CARE.

Schedule H (Form 990) 2022

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Schedule I
(Form 990)

Department of the Treasury
Internal Revenue Service

Grants and Other Assistance to Organizations,
Governments and Individuals in the United States

Complete if the organization answered "Yes," on Form 990, Part IV, line 21 or 22.
lBullet

Attach to Form 990.
lBullet

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

OMB No. 1545-0047

2022

Open to Public
Inspection

Name of the organization
ADVOCATE NORTH SIDE HEALTH NETWORK

Employer identification number
36-3196629

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) LAKEVIEW PANTRY 3945 N SHERIDAN RD CHICAGO,IL60613	36-2734184	501(C)(3)	10,000	0			SUPPORT EXEMPT MISSION
(2) RESILIENCE 180 N MICHIGAN AVE STE 600 CHICAGO,IL60601	36-3049386	501(C)(3)	10,000	0			SUPPORT EXEMPT MISSION

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) 2022

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

PART I, LINE 2:

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

Schedule I (Form 990) 2022

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

2022

Open to Public Inspection

Name of the organization

ADVOCATE NORTH SIDE HEALTH NETWORK

Employer identification number

36-3196629

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) 2022

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, 1099-MISC compensation, and/or 1099-NEC			(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)	(F) Compensation in column (B) reported as deferred on prior Form 990
(A) Name and Title		(i) Base compensation	(ii) Bonus & incentive compensation	(iii) Other reportable compensation	(C) Retirement and other deferred compensation	(D) Nontaxable benefits	(E) Total of columns (B)(i)-(D)
1JAMES SKOGSBERGH EXECUTIVE VP, CHIEF OPERATING OFFICE	(i) (ii)	0 ------------- 2,038,070	0 ------------- 5,103,216	0 ------------- 492,809	0 ------------- 572,364	0 ------------- 19,527	0 ------------- 8,225,986	0 ------------- 588,049
2WILLIAM P SANTULLI PRESIDENT	(i) (ii)	0 ------------- 1,183,703	0 ------------- 1,633,526	0 ------------- 229,233	0 ------------- 246,278	0 ------------- 27,020	0 ------------- 3,319,760	0 ------------- 263,083
3DOMINIC J NAKIS TREASURER	(i) (ii)	0 ------------- 903,852	0 ------------- 1,221,060	0 ------------- 179,418	0 ------------- 195,217	0 ------------- 19,118	0 ------------- 2,518,665	0 ------------- 204,758
4BARBARA BYRNE MD FORMER DIRECTOR	(i) (ii)	0 ------------- 662,873	0 ------------- 691,613	0 ------------- 316,660	0 ------------- 139,657	0 ------------- 16,602	0 ------------- 1,827,405	0 ------------- 146,897
5DOMINICA TALLARICO VICE PRESIDENT	(i) (ii)	0 ------------- 802,182	0 ------------- 623,368	0 ------------- 95,448	0 ------------- 132,605	0 ------------- 33,205	0 ------------- 1,686,808	0 ------------- 132,504
6GARY STUCK DO FORMER DIRECTOR	(i) (ii)	0 ------------- 694,927	0 ------------- 686,167	0 ------------- 113,753	0 ------------- 143,552	0 ------------- 18,004	0 ------------- 1,656,403	0 ------------- 147,538
7KEVIN BRADY FORMER DIRECTOR	(i) (ii)	0 ------------- 620,950	0 ------------- 662,228	0 ------------- 101,395	0 ------------- 133,562	0 ------------- 26,383	0 ------------- 1,544,518	0 ------------- 139,519
8MICHAEL GREBE SECRETARY	(i) (ii)	0 ------------- 601,938	0 ------------- 635,238	0 ------------- 101,315	0 ------------- 129,806	0 ------------- 2,648	0 ------------- 1,470,945	0 ------------- 0
9KELLY JO GOLSON FORMER DIRECTOR	(i) (ii)	0 ------------- 624,901	0 ------------- 606,174	0 ------------- 94,017	0 ------------- 132,284	0 ------------- 2,648	0 ------------- 1,460,024	0 ------------- 131,594
10SCOTT POWDER FORMER CHIEF STRATEGY OFFICER	(i) (ii)	0 ------------- 572,404	0 ------------- 603,145	0 ------------- 86,844	0 ------------- 125,043	0 ------------- 27,381	0 ------------- 1,414,817	0 ------------- 130,900
11VINCENT BUFALINO MD FORMER CHIEF ADVOCATE MEDICAL GROUP	(i) (ii)	0 ------------- 25,002	0 ------------- 692,699	0 ------------- 496,167	0 ------------- 5,409	0 ------------- 255	0 ------------- 1,219,532	0 ------------- 145,934
12NANINE NELSON ASSISTANT TREASURER	(i) (ii)	0 ------------- 633,041	0 ------------- 343,233	0 ------------- 72,984	0 ------------- 99,317	0 ------------- 24,358	0 ------------- 1,172,933	0 ------------- 0
13SUSAN NORDSTROM LOPEZ PRESIDENT OF ADVOCATE IMMC	(i) (ii)	571,717 ------------- 0	388,525 ------------- 0	80,346 ------------- 0	97,738 ------------- 0	15,391 ------------- 0	1,153,717 ------------- 0	103,118 ------------- 0
14MICHAEL LAPPIN FORMER VICE CHAIRPERSON, DIRECTOR	(i) (ii)	0 ------------- 0	0 ------------- 284,150	0 ------------- 736,664	0 ------------- 0	0 ------------- 15,549	0 ------------- 1,036,363	0 ------------- 0
15LESLIE LENZO FORMER DIRECTOR	(i) (ii)	0 ------------- 630,040	0 ------------- 274,706	0 ------------- 63,501	0 ------------- 29,650	0 ------------- 2,648	0 ------------- 1,000,545	0 ------------- 106,034
16RACHELLE HART ASSISTANT SECRETARY	(i) (ii)	0 ------------- 564,637	0 ------------- 241,805	0 ------------- 57,885	0 ------------- 93,460	0 ------------- 27,099	0 ------------- 984,886	0 ------------- 0
17RICHARD FANTUS CHAIR SURGERY DEPARTMENT	(i) (ii)	551,259 ------------- 0	165,663 ------------- 0	139,054 ------------- 0	25,888 ------------- 0	21,961 ------------- 0	903,825 ------------- 0	21,872 ------------- 0
18REV KATHIE BENDER SCHWICH FORMER CHIEF SPIRITUAL OFFICER	(i) (ii)	0 ------------- 319,618	0 ------------- 368,848	0 ------------- 62,528	0 ------------- 83,571	0 ------------- 22,176	0 ------------- 856,741	0 ------------- 86,294
19JAMES DOHENY ASSISTANT TREASURER	(i) (ii)	0 ------------- 430,058	0 ------------- 189,033	0 ------------- 45,689	0 ------------- 78,993	0 ------------- 24,386	0 ------------- 768,159	0 ------------- 82,473
20MICHAEL KERNS ASSISTANT SECRETARY	(i) (ii)	0 ------------- 379,886	0 ------------- 165,167	0 ------------- 41,995	0 ------------- 73,386	0 ------------- 25,430	0 ------------- 685,864	0 ------------- 75,911
21CARRIE DONOVAN ASSISTANT TREASURER	(i) (ii)	0 ------------- 398,775	0 ------------- 147,392	0 ------------- 29,677	0 ------------- 75,228	0 ------------- 32,868	0 ------------- 683,940	0 ------------- 0
22STEVE HUSER ASSISTANT TREASURER	(i) (ii)	0 ------------- 350,319	0 ------------- 136,123	0 ------------- 37,495	0 ------------- 69,926	0 ------------- 21,138	0 ------------- 615,001	0 ------------- 0
23JAMES SLINKMAN FORMER DIRECTOR	(i) (ii)	0 ------------- 338,966	0 ------------- 147,762	0 ------------- 31,274	0 ------------- 68,915	0 ------------- 26,531	0 ------------- 613,448	0 ------------- 71,128
24CLIFTON CLARKE VP & CMO IMMC	(i) (ii)	408,499 ------------- 0	96,996 ------------- 0	44,991 ------------- 0	29,650 ------------- 0	2,648 ------------- 0	582,784 ------------- 0	28,200 ------------- 0
25JOSE ELIZONDO CHAIR FAMILY MED (FORMER HCE)	(i) (ii)	0 ------------- 277,613	0 ------------- 127,785	0 ------------- 3,182	0 ------------- 9,150	0 ------------- 25,343	0 ------------- 443,073	0 ------------- 8,700
26KENNETH LAUBE VP & CNO IMMC	(i) (ii)	297,217 ------------- 0	70,321 ------------- 0	9,071 ------------- 0	26,123 ------------- 0	22,799 ------------- 0	425,531 ------------- 0	8,700 ------------- 0
27JADA JOHNSON CHAIR PSYCHIATRY DEPT	(i) (ii)	197,308 ------------- 90,698	70,139 ------------- 0	-2,455 ------------- -1,067	9,150 ------------- 0	17,488 ------------- 0	291,630 ------------- 89,631	8,700 ------------- 0
28ROBIN STOEN ASSISTANT TREASURER	(i) (ii)	0 ------------- 222,236	0 ------------- 49,513	0 ------------- -692	0 ------------- 8,152	0 ------------- 21,418	0 ------------- 300,627	0 ------------- 0
29MICHAEL VOLANTE ASSISTANT TREASURER	(i) (ii)	0 ------------- 212,211	0 ------------- 49,794	0 ------------- 2,116	0 ------------- 15,887	0 ------------- 2,919	0 ------------- 282,927	0 ------------- 12,679
30FREDELYN MEDRANO REGISTERED NURSE	(i) (ii)	204,087 ------------- 0	0 ------------- 0	55,707 ------------- 0	7,376 ------------- 0	10,186 ------------- 0	277,356 ------------- 0	0 ------------- 0
31VIJAY MAKER CHAIR SURGERY DEPARTMENT (FORMER HCE	(i) (ii)	174,744 ------------- 0	0 ------------- 0	4,701 ------------- 0	5,242 ------------- 0	840 ------------- 0	185,527 ------------- 0	8,700 ------------- 0

Schedule J (Form 990) 2022

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 (Form 990) 2022

Additional Data

Software ID:
Software Version:

- TIN:

Schedule L
(Form 990)

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

2021

Open to Public Inspection

Name of the organization

ADVOCATE NORTH SIDE HEALTH NETWORK

Employer identification number

36-3196629

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) 2021

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) OSVALDO LOPEZ	FAMILY MEMBER - SUSAN NORDSTROM LOPEZ	67,975	EMPLOYMENT		No
(2) SHARI MASSEY	FAMILY MEMBER - KEVIN MASSEY	91,680	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) 2021

Additional Data

Software ID:
Software Version:

- TIN:

SCHEDULE O
(Form 990)

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

2021

Open to Public
Inspection

Name of the organization

ADVOCATE NORTH SIDE HEALTH NETWORK

Employer identification number

36-3196629

Return Reference	Explanation
FORM 990, PART III, LINE 4C, PROGRAM SERVICE ACCOMPLISHMENTS CONT.	COMMITMENT TO THE COMMUNITY ADVOCATE ILLINOIS MASONIC 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 2022, THE MEDICAL CENTER PROVIDED OVER $54.6 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. COMMUNITY HEALTH STRATEGY AND EXAMPLES OF PROGRAMS AND SERVICES ACCOMPLISHMENTS AS A MEDICAL CENTER WITHIN THE ADVOCATE AURORA SYSTEM, ADVOCATE ILLINOIS MASONIC'S IMPLEMENTATION PLANS AND STRATEGIES ALIGN WITH THE ADVOCATE AURORA SYSTEM STRATEGY. THROUGH THIS COMMUNITY STRATEGY, THE MEDICAL CENTER WILL BUILD HEALTH EQUITY, ENSURE ACCESS AND IMPROVE HEALTH OUTCOMES IN ITS COMMUNITY THROUGH EVIDENCE-INFORMED SERVICES AND INNOVATIVE PARTHERSHIPS BY ADDRESSING MEDICAL NEEDS AND SOCIAL DETERMINANTS. BASED ON NEED AND EFFECT ON HEALTH EQUITY AS IDENTIFIED IN THE ADVOCATE AURORA HOSPITALS CHNA REPORTS AND ON INDUSTRY LITERATURE, THE FOLLOWING SIX FOCUS AREAS HAVE BEEN PRIORITIZED, FROM WHICH EACH INDIVIDUAL ADVOCATE AURORA HOSPITALS' COMMUNITY IMPLEMENATION PLAN IS BUILT: 1) ACCESS TO PRIMARY MEDICAL HOMES; 2) ACCESS TO BEHAVIORAL HEALTH SERVICES; 3) WORKFORCE DEVELOPMENT; 4) COMMUNITY SAFETY; 5) AFFORDABLE HOUSING; AND 6) WORKFORCE DEVELOPMENT. EACH STRATEG FOCUS AREA AND EXAMPLES OF ADVOCATE ILLINOIS MASONIC PROGRAMS ADDRESSING IT ARE PROVIDED BELOW. 1. ACCESS/PRIMARY MEDICAL HOMES. ADVOCATE ILLINOIS MASONIC IS COMMITTED TO UNDERTAKING AND SUPPORTING INITIATIVES THAT ENHANCE ACCESS TO HEALTH CARE, INCLUDING NOT ONLY FINANCIAL ASSISTANCE AS INDICATED EARLIER FOR ITEM 4.A, BUT ALSO CARE COORDINATION, LANGUAGE ASSISTANCE, CULTURALLY SENSITIVE PROVISION OF CARE, AND PREVENTION EDUCATION AND WELLNESS SERVICES ACROSS THE LIFESPAN AND WITHIN THE DIVERSE COMMUNITIES THE MEDICAL CENTER SERVES. SOME EXAMPLES OF SUCH PROGRAMS PROVIDED BY THE MEDICAL CENTER INCLUDE THE FOLLOWING. TRANSITION SUPPORT PROGRAM. THE TRANSITION SUPPORT PROGRAM (TSP) IS A NAVIGATION SERVICE THAT ASSISTS WITH THE COORDINATION OF FOLLOW-UP CARE FOR PATIENTS WITH CHALLENGES NAVIGATING HEALTH SERVICES. PRIOR TO THE PROJECT, ADVOCATE ILLINOIS MASONIC'S COMMUNITY HEALTH COUNCIL IDENTIFIED CHRONIC DISEASE MANAGEMENT AS A KEY HEALTH DISPARITY FOR ITS PRIMARY SERVICE AREA (PSA). THE COMMUNITY HEALTH NEEDS ASSESSMENT CONCLUDED THAT PATIENTS IN THE MEDICAL CENTER'S PSA WITH CHRONIC ILLNESSES EXPERIENCE SIGNIFICANT BARRIERS NAVIGATING THE HEALTH CARE SYSTEM, INCLUDING BARRIERS RELATED TO REFERRALS, APPOINTMENTS, INSURANCE, TRANSPORTATION, LANGUAGE AND MEDICATION ACCESS. BY PROVIDING STRENGTH-BUILDING AND CULTURALLY AND LINGUISTICALLY- COMPETENT NAVIGATION OF A COMPLEX HEALTH CARE SYSTEM, THE TSP AIMS TO REDUCE READMISSIONS AND EMERGENCY ROOM VISITS AND IMPROVE CARE TRANSITIONS ACROSS THE CONTINUUM FOR PATIENTS AND FAMILIES, REGARDLESS OF INSURANCE OR CIRCUMSTANCE.THE PROGRAM CONNECTS PATIENTS WITHOUT PRIMARY CARE PROVIDERS TO HEALTH CENTERS WITH ADVOCATE AURORA HEALTH ADN THE SURROUNDING COMMUNITY. IN 2022, THE PROGRAM CONNECTED 2,214 UNIUNSURED AND LOW-INCOME PATIENTS TO PRIMARY CARE PROVIDERS AND SERVICES. ILLINOIS ORAL HEALTH PROGRAMS. ADVOCATE ILLINOIS MASONIC PROVIDES TWO DENTAL PROGRAMS FOCUSED ON IMPROVING ACCESS TO ORAL HEALTH SERVICES. THE MOBILE DENTISTRY PROGRAM BRINGS ORAL HEALTH CARE SERVICES TO UNDERSERVED AND UNINSURED POPULATIONS, INCLUDING LOW-INCOME CHILDREN AND FAMILIES, PEOPLE EXPERIENCING HOMELESSNESS, OLDER ADULTS AND PERSONS WITH SPECIAL NEEDS AT 18 DIFFERENT LOCATIONS ACROSS THE COMMUNITY. THE SPECIAL NEEDS DENTISTRY PROGRAM PROVIDES ACCESS TO ORAL HEALTH FOR CHILDREN AND ADULTS WITH DEVELOPMENTAL DISABILITIES. MOST DENTISTS LACK THE TRAINING OR EQUIPMENT NEEDED TO EFFECTIVELY SERVE PATIENTS WITH SPECIAL NEEDS, RESULTING IN MANY INDIVIDUALS LACKING ACCESS TO EVEN BASIC DENTAL CARE. IN 2022, THE SPECIAL NEEDS DENTISTRY PROGRAM HAD 1,876 VISITS, SERVING 1,490 PERSONS WITH SPECIAL NEEDS, AND THE MOBILE DENTAL VAN PROVIDED 2,487 SERVICES TO 430 PEOPLE IN 1,124 VISITS. PEDIATRIC DEVELOPMENT CENTER/AUTISM TREATMENT PROGRAM. APPROPRIATE DIAGNOSIS OF DEVELOPMENTAL CHALLENGES IS CRITICAL TO ASSISTING THESE INDIVIDUALS IN LIVING THEIR "BEST", MOST HEALTHY LIFE. THIS PROGRAM DIAGNOSES CHILDREN AND ADOLESCENTS FROM BIRTH TO AGE 18 WHO FACE DEVELOPMENTAL CHALLENGES. POST-DIAGNOSIS, THE PROGRAM PROVIDES SPECIALIZED TREATMENT PROGRAMS AS WELL AS TRAINING, EDUCATION AND SUPPORT FOR THE ENTIRE FAMILY, INCLUDING "SIBSHOPS" FOR SIBLINGS OF DEVELOPMENTALLY DISABLED CHILDREN. THE AUTISM TREATMENT PROGRAM HOUSED IN ADVOCATE ILLINOIS MASONIC'S PEDIATRIC DEVELOPMENTAL CENTER (PDC) SERVES CHILDREN WITH AUTISM AND THEIR FAMILIES--BOTH THOSE WITH COMMERCIAL INSURANCE AND MEDICAID PLANS. THE PDC REMAINS ONE OF THE ONLY CENTERS IN ILLINOIS TO PROVIDE DIAGNOSTIC EVALUATIONS AND THERAPY SERVICES FOR AUTISM TO LOW-INCOME FAMILIES. IN 2022, FOR EXAMPLE, OVER 60% OF PATIENTS SERVED AT THE CENTER WERE ON MEDICAID OR GOVERNMENT-FUNDED, EARLY INTERVENTION. THE PDC PROVIDES BOTH COMPREHENSIVE DIAGNOSTIC EVALUATIONS, SPECIALTY MEDICAL CARE (DEVELOPMENTAL PEDIATRICS) AS WELL AS COMPREHENSIVE THERAPY SERVICES (INDIVIDUAL BEHAVIOR THERAPY, SOCIALIZATION GROUPS, SPEECH, OCCUPATIONAL AND PHYSICAL THERAPY, SOCIAL WORK SERVICES, PARENT TRAINING AND SIBLING SUPPORT). IN 2022, THE PDC PROVIDED SERVICES 1,887 UNDUPLICATED PATIENTS FOR A TOTAL OF 17,889 PATIENT CONTACTSAT LEAST HALF OF WHICH REPRESENTED PATIENTS WITH AUTISM. THE PDC OFFERS SERVICES IN BOTH ENGLISH AND SPANISH, INCLUDING ONGOING PARENT TRAINING AND SUPPORT TO ENHANCE GENERALIZATION OF SKILLS INTO ALL ENVIRONMENTS. MEDICATION ASSISTANCE PROGRAM. THE MEDICATION ASSISTANCE PROGRAM PROVIDES FINANCIAL AS WELL AS RESOURCE NAVIGATION HELP TO PATIENTS WHO ARE UNABLE TO AFFORD THEIR MEDICATION. MEDICAL CENTER STAFF WORK WITH PHARMACEUTICAL COMPANIES TO OBTAIN MEDICATIONS AT NO OR LOW COSTS FOR PATIENTS AS WELL AS FINANCIALLY SUPPORTING THE PURCHASE OF SOME MEDICATIONS. IN 2022, ADVOCATE ILLINOIS MASONIC ASSISTED 93 PATIENTS THROUGH THIS PROGRAM. SERVICES FOR THE LGBTQ COMMUNITY. PROVIDING A SAFE, WELCOMING (COMFORTABLE) AND LGBTQ-AFFIRMING (FRIENDLY) HEALTH CARE ENVIRONMENT IS PART OF THE EMBRACING CULTURE AT ADVOCATE ILLINOIS MASONIC, WHICH IS LOCATED IN THE HEART OF CHICAGO'S LAKEVIEW NEIGHBORHOOD, ONE OF THE LARGEST LGBTQ COMMUNITIES IN THE MIDWEST. THE MEDICAL CENTER'S PROACTIVE PUSH FOR EQUALITY IS HELPING TO CLOSE THE HEALTH CARE DISPARITIES FACED BY THE LGBTQ COMMUNITY ACROSS CHICAGO AND BEYOND. ADVOCATE ILLINOIS MASONIC HAS BEEN NAMED A LEADER IN LGBTQ HEALTH CARE EQUALITY BY THE HUMAN RIGHTS CAMPAIGN'S HEALTHCARE EQUALITY INDEX FOR 15 YEARS, BEGINNING IN 2008. NONDISCRIMINATORY HEALTH CARE IS A RIGHT, AND THE MEDICAL CENTER STRIVES TO DELIVER EQUAL TREATMENT TO ALL PEOPLE, NO MATTER THEIR SEXUAL ORIENTATION OR GENDER PREFERENCES. COMPASSIONATE CARE FOR LGBTQ PATIENTS IS GUARANTEED AT THE MEDICAL CENTER BY ALL OF THE MEDICAL CENTER'S PHYSICIANS, MANY OF WHOM HAVE RECEIVED SPECIAL TRAINING IN CARING SPECIFICALLY FOR THE LGBTQ COMMUNITY AND THE UNIQUE ISSUES IT FACES.
FORM 990, PART III, LINE 4C, PROGRAM SERVICE ACCOMPLISHMENTS CONT. 2	HEALTHY FAMILIES. THE ADVOCATE ILLINOIS MASONIC HEALTHY FAMILIES PROGRAM IS A SUPPORT PROGRAM FOR YOUNG PARENTS, PROVIDING INTENSIVE HOME VISITING SERVICES FOR AT-RISK FAMILIES. THE PROGRAM MODEL IS ROOTED IN THE BELIEF THAT EARLY, NURTURING RELATIONSHIPS ARE THE FOUNDATION FOR LIFE-LONG, HEALTHY DEVELOPMENT. THE PROGRAM PROVIDES THREE KEY SERVICES: 1) FREE PRENATAL CLASSES OPEN TO THE COMMUNITY; 2) DOULA SERVICES PROVIDING HOME VISITS AND ON-CALL LABOR/DELIVERY SUPPORT; AND 3) PARENT COACHING HOME VISITATION FOR UP TO THE FIRST THREE YEARS OF A CHILD'S LIFE. ALL SERVICES ARE GRANT-FUNDED, FREE TO THE COMMUNITY AND AVAILABLE IN ENGLISH/SPANISH. LANGUAGE ASSISTANCE/INTERPRETER SERVICES. ADVOCATE ILLINOIS MASONIC PROVIDES CARE FOR PATIENTS FROM MANY DIFFERENT ETHNIC AND CULTURAL BACKGROUNDS. IN ORDER TO MEET THE UNIQUE COMMUNICATION NEEDS OF POPULATIONS ACCESSING CARE AT THE MEDICAL CENTER, ADVOCATE ILLINOIS MASONIC EMPLOYS SPANISH, POLISH AND AMERICAN SIGN LANGUAGE INTERPRETERS TO PROVIDE INTERPRETATION SERVICES AS NEEDED. IN ADDITION, AS WITH ALL HOSPITALS IN THE SYSTEM, ADVOCATE ILLINOIS MASONIC OFFERS TELEPHONIC AND/OR VIDEO INTERPRETING IN MORE THAN 200 LANGUAGES. IN 2022, THE MEDICAL CENTER PROVIDED LANGUAGE ASSISTANCE SERVICES TO A TOTAL OF 89,498 PATIENT/FAMILY ENCOUNTERS. 2. ACCESS/BEHAVIORAL HEALTH SERVICESADVOCATE ILLINOIS MASONIC HAS ALSO IMPLEMENTED SEVERAL PROGRAMS FOCUSED ON IMPROVING THE CONTINUUM OF CARE FOR THE BENEFIT OF MENTAL HEALTH AND BEHAVIORAL HEALTH PATIENTS. FIRST ACCESS. GIVEN THE HIGH NUMBER OF ADMISSIONS AND ED VISITS FOR BEHAVIORAL HEALTH CONDITIONS AT ADVOCATE ILLINOIS MASONIC AND THE HIGH NUMBER OF DISCHARGED PATIENTS THAT WERE NOT KEEPING THEIR OUTPATIENT FOLLOW-UP APPOINTMENTS, THE HOSPITAL'S BEHAVIORAL HEALTH DEPARTMENT CREATED THE FIRST ACCESS PROGRAM IN 2013. THE GOAL OF FIRST ACCESS IS TO PROVIDE IMMEDIATE ACCESS TO FOLLOW-UP BEHAVIORAL HEALTH SERVICES TO SUPPORT RECOVERY AND PREVENT RELAPSES. THROUGH FIRST ACCESS, BEHAVIORAL HEALTH ED PATIENTS, AS WELL AS PATIENTS REFERRED BY THE HOSPITAL'S INPATIENT PSYCHIATRIC UNIT, MEDICAL FLOORS AND PHYSICIANS, ARE LITERALLY WALKED OVER TO OUTPATIENT CARE BY A STAFF MEMBER TO ENSURE SAME DAY FOLLOW-UP FOR OUTPATIENT APPOINTMENTS. SINCE ITS IMPLEMENTATION, FIRST ACCESS HAS CONSISTENTLY INCREASED BEHAVIORAL HEALTH PATIENTS' APPOINTMENT FOLLOW-THROUGH RATES FROM 40 PERCENT IN 2013 TO 100% IN 2019; ALL DISCHARGED PATIENTS RECEIVED WARM HAND-OFFS TO BEHAVIORAL HEALTH SERVICES AND LEFT WITH AN OUTPATIENT PLAN OF CAREWE CONTINUE THIS PRACTICE. HAVING ACHIEVED THAT, FIRST ACCESS STARTED TO FOCUS ON PROVIDING ACCESS TO CARE TO ALL ADVOCATE AURORA PATIENTS AND ITS VOLUMES GREW STEADILY AND IN 2022 FIRST ACCESS PROVIDED 1826 NEW-PATIENT INTAKES. DEAF AND HARD OF HEARING PROGRAM. ADVOCATE ILLINOIS MASONIC'S DEAF AND HARD OF HEARING PROGRAM PROVIDES COMPREHENSIVE MENTAL HEALTH CARE IN AMERICAN SIGN LANGUAGE (ASL) TO DEAF, HARD OF HEARING AND DEAF-BLIND CHILDREN, ADOLESCENTS AND ADULTS IN THE SIX-COUNTY CHICAGO REGION. THE PROGRAM OFFERS A CONTINUUM OF CARE THAT INCLUDES CLINICAL ASSESSMENTS; PRE-SCREENINGS AND LINKAGE; INDIVIDUAL, FAMILY AND GROUP THERAPY; PSYCHIATRIC EVALUATIONS AND MEDICATION MONITORING; AND INTERVENTION WITH A 24-HOUR PHONE LINE CONNECTED TO A TEXT TELEPHONE (TTY) SYSTEM. A TELE-PSYCHIATRY NETWORK ENABLES THE PROVISION OF OTHERWISE SCARCE DEAF-FRIENDLY PSYCHIATRIC SERVICES IN THE HOMES OF DEAF PATIENTS WHO HAVE RECEIVED THE FREE VIDEOPHONE EQUIPMENT AND SERVICES SUPPORTED BY THE FEDERAL COMMUNICATIONS COMMISSION (FCC). A HEALTH EDUCATION WEBSITE ALLOWS USERS TO WATCH VIDEOS, LINK TO OTHER ASL VIDEOS AND/OR TO ORDER FREE ASL HEALTH EDUCATION DVDS. OVER THE YEARS, THE HOSPITAL HAS DISTRIBUTED SEVERAL THOUSAND FREE ASL DVDS ON HIV/AIDS, STDS, BREAST HEALTH, DIABETES, DEPRESSION AND SMOKING CESSATION. IN 2022, BHS PROVIDED 1537 SERVICES TO 84 DHOH PATIENTS, WITH 1380 OFFERED BY THE ASL-FLUENT STAFF AND 157 SERVICES USING ACCOMMODATION. 12 PATIENTS OF THOSE 84 ALSO HAVE VISUAL IMPAIRMENT; THEY RECEIVED 195 SERVICES OVER THE COURSE OF 2022. THE MEDICALLY INTEGRATED CRISIS COMMUNITY SUPPORT (MICCS) PROGRAM. THE MICCS PROGRAM IS A SERVICE WHICH FOLLOWS ACUTELY BEHAVIORALLY ILL PATIENTS, A PORTION OF WHOM ARE HOMELESS, WHO HAVE A COMORBID PHYSICAL ILLNESS OR ADDICTION, AND A PATTERN OF SEEKING PRIMARY AND BEHAVIORAL HEALTH CARE IN THE ED, INPATIENT PSYCHIATRIC UNIT OR MEDICAL UNIT OF COMMUNITY HOSPITALS. THE MULTIDISCIPLINARY TEAM WORKING WITH THE CLIENTS IS COMPRISED OF CLINICIANS, CLERGY AND OTHER ASSOCIATES WHO ARE IN DAILY CONTACT WITH THE CLIENTS. IN 2022, 85 PEOPLE ENROLLED IN MOBILE CRISIS RECEIVED 1,917 SERVICES, OF WHICH ABOUT HALF WAS DELIVERED IN THE COMMUNITY. ADVOCATE ILLINOIS MASONIC'S BEHAVIORAL HEALTH SERVICES ALSO RAN AN INJECTION CLINIC DURING THE FIRST 2 MONTHS OF 2022 AND DURING THAT TIME, 62 PEOPLE RECEIVED 107 INJECTIONS. FIRST EPISODE PSYCHOSIS (FEP): THE FEP PROGRAM SERVES ADOLESCENTS AND YOUNG ADULTS WHO ARE FACING THE ONSET OF PSCYCHOSIS DISORDERS. TROUGH SPECIALIZED AND COLLABORATIVE APPROACHES, THE PROGRAM PROVIDES SUPPORT AND EDUCATION TO PATIENTS AND THEIR FAMILY WITH THE GOALS OF IMPROVING RECOVERY OUTCOMES, REDUCING THE LIKELIHOOD OF ACUTE RELAPSE, AND SUPPORTING PATIENTS WITH ACCOMPLISHING THEIR WELLNESS GOALS FOR THE FUTURE. TREATMENT GOALS ARE ACHIEVED THROUGH THERAPY, PSYCHIATRY, SUPPORTED EMPLOYMENT/EDUCATION, FAMILY PSYCHOEDUCATION, AND RECOVERY SUPPORT SERVICES. IN 2022, THERE WERE 64 UNIQUE PATIENTS SERVED ACROSS 1599 SERVICE IN THE FEP PROGRAM. 3. WORKFORCE DEVELOPMENTBELIEVEING THAT MANY COMMUNITY HEALTH ISSUES ARE DRIVEN BY SOCIAL DETERMINANTS OF HEALTH, THE MEDICAL CENTER HAS FORMED NON-TRADITIONAL PARTNERSHIPS WITH KEY STAKEHOLDERS, SUCH AS EMPLOYMENT AGENCIES, TO PROVIDE MEDICAL EDUCATION EMPLOYMENT OPPORTUNITIES TO LOW-INCOME AND/OR MINORITY INDIVIDUALS. ALSO, IN ADDITION TO THE GRADUATE MEDICAL EDUCATION DESCRIBED IN 4.C, THE MEDICAL CENTER ALSO PROMOTES THE TRAINING OF FUTURE HEALTH CARE PROFESSIONALS WORKING TOWARDS DEGREES IN MANY OTHER DISCIPLINES. SEVERAL EXAMPLES OF THESE EDUCATION PROGRAMS ARE PROVIDED BELOW. WORKFORCE INITIATIVE. AS INDICATED IN PART V, QUESTION 11, THE MEDICAL CENTER ALSO ENGAGES IN A WORKFORCE DEVELOPMENT INITIATIVES TO RECRUIT, TRAIN AND HIRE COMMUNITY MEMBERS SEEKING EMPLOYMENT OPPORTUNITIES IN THE HEALTHCARE INDUSTRY. ADDITIONALLY, THE WORKFORCE DEVELOPMENT OFFERS AN INCUMBENT WORKER PROGRAM (NAVIGATE) TO FRONT-LINE TEAMMATES AT ADVOCATE ILLINOIS MASONIC, WHICH INCLUDES SOFT-SKILLS TRAINING, TOOLS AND RESOURCES DESIGNED TO ASSIST INDIVIDUALS IN DEVELOPING CAREER PATHWAYS. WORKFORCE DEVELOPMENT, WHICH ALSO AIMS TO INCREASE MINORITY REPRESENTATION IN THE HEATH CARE SECTOR, ENROLLED 1,280 NEW PROGRAM PARTICIPANTS IN 2022. PARTNERSHIP WITH THE MEDICAL ORGANIZATION FOR LATINO ADVANCEMENT (MOLA). TARGETING LATINO AT-RISK YOUTH, ADVOCATE ILLINOIS MASONIC, IN PARTNERSHIP WITH MOLA, PROVIDES OUTREACH IN HEALTH EDUCATION AND SCREENING IN UNDERSERVED AREAS OF CHICAGO. THE MEDICAL CENTER ALSO IN PARTNERSHIP WITH MOLA PROVIDES MEDICAL EDUCATION OPPORTUNITIES FOR UNDEREPRESENTED LATINO/LATINA STUDENTS INTERESTED IN HEALTH CARE CAREERS, AS WELL AS OPPORTUNITIES FOR INTERNATIONAL MEDICAL GRADUATES TO GAIN VALUABLE U.S. HOSPITAL EXPERIENCE THROUGH VARIOUS RESOURCE AND VOLUNTEER PROGRAMS (I.E., TRANSITION SUPPORT PROGRAM). NURSING EDUCATION. ADVOCATE ILLINOIS MASONIC'S NURSE RESIDENCY PROGRAM IS AN EVIDENCE-BASED, 24-WEEK PRECEPTED ORIENTATION. THE GOAL OF THE PROGRAM IS TO ENHANCE NLRN PROFESSIONAL DEVELOPMENT AND INCREASE ORGANIZATIONAL ENGAGEMENT SO THAT THE NLRN PROVIDES SAFE AND CONFIDENT CARE TO PATIENTS. ALTHOUGH THIS PROGRAM IS NOT INCLUDED IN THE COMMUNITY BENEFITS FINANCIAL NUMBERS FOR HEALTH PROFESSIONALS' EDUCATION, THIS PROGRAM INCREASES ADVOCATE NURSES' PROFICIENCY AND SKILLS FOR CURRENT AND FUTURE NURSING ROLES. IN ADDITION TO THE NURSE RESIDENCY PROGRAM, THE MEDICAL CENTER TRAINS NURSING STUDENTS (NON-RESIDENT) FROM FIVE AREA COMMUNITY-BASED COLLEGES/UNIVERSITIES FOR WHICH STAFF TEACHING TIME IS REPORTED AS COMMUNITY BENEFIT.
FORM 990, PART III, LINE 4C, PROGRAM SERVICE ACCOMPLISHMENTS CONT. 3	4. COMMUNITY SAFETYTHE MEDICAL CENTER ALSO WORKS WITH COMMUNITY PARTNERS TO ADDRESS COMMUNITY SAFETYA SOCIAL DETERMINANT OF HEALTH. SOME EXAMPLES ARE PROVIDED BELOW. ADVOCATE TRAUMA RECOVERY CENTER (TRC). THE TRC IS A HEALTH CARE-BASED VIOLENCE INTERVENTION PROGRAM THAT PROVIDES SOCIAL AND BEHAVIORAL HEALTH SERVICES, INDIVIDUAL AND GROUP THERAPEUTIC SERVICES, AND PSYCHIATRIC CONSULTATION TO SURVIVORS OF INTENTIONAL CRIME AND/OR TRAUMA. THE PURPOSE IS TO AID INDIVIDUALS WHO HAVE EXPERIENCED TRAUMA IN REBUILDING, RESTORING AND STRENGTHENING THEIR SENSE OF SAFETY BY ENDING THE CYCLE OF VIOLENCE. THE TRC PROVIDES ACCESS TO TRAUMA-INFORMED CARE BY ACKNOWLEDGING HOW PAST AND PRESENT TRAUMATIC EXPERIENCES AND STRESS MAY IMPACT THE INDIVIDUALS AND FAMILIES SERVEDRESPONDING TO THE UNIQUE NEEDS OF EACH SURVIVOR AND THEIR FAMILY. THE TRC PROGRAM BEGAN AT ADVOCATE CHRIST MEDICAL CENTER IN 2019. IN LATE 2022, THE TRC PROGRAM EXPANDED ITS SERVICES TO ADVOCATE CONDELL MEDICAL CENTER AND ADVOCATE ILLINOIS MASONIC THROUGH SUPPORT FROM THE ILLINOIS CRIMINAL JUSTICE INFORMATION AUTHORITY. DISASTER COORDINATION. ADVOCATE ILLINOIS MASONIC'S EMERGENCY MEDICAL SERVICES STAFF TRAIN CITY AND PRIVATE AMBULANCE AND FIRE DEPARTMENT PARAMEDICS. AS ONE OF ONLY ELEVEN HOSPITALS IN ILLINOIS DESIGNATED AS A RESOURCE HOSPITAL COORDINATION CENTER (RHCC), THE MEDICAL CENTER IS RESPONSIBLE FOR COORDINATING MEDICAL RESPONSE WITHIN A DENSELY POPULATED REGION OF CHICAGO. THIS INCLUDES COORDINATING EMERGENCY MEDICAL RESPONSE EFFORTS AT MAJOR EVENTS, SUCH AS THE CHICAGO MARATHON AND DURING VISITS OF NATIONAL AND INTERNATIONAL LEADERS. THE HOSPITAL ALSO SERVES AS THE LEAD HOSPITAL FOR DISASTERS OCCURRING IN CHICAGO, INCLUDING O'HARE AIRPORT. 5. HOUSING DATA INDICATES THAT POOR QUALITY HOUSING IS ASSOCIATED WITH VARIOUS NEGATIVE HEALTH COUTCOMES, INCLUDING CHRONIC DISEASE, INJURY, AND POOR MENTAL HEALTH. ADVOCATE ILLINOIS MASONIC IS WORKING WITH COMMUNITY PARTNERS TO ADDRESS HOUSING WITH THE GOAL OF PROVIDING A SAFE AND HEALTHY PLACE TO LIVE AND TO CONVALESCE. THIS SUPPORTS THE ADVOCATE AURORA 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 MEDICAL CENTER'S EFFORTS TO ADDRESS THIS SDOH. FLEXIBLE HOUSING POOL. AS INDICATED IN PART VI, QUESTION 5. PROMOTION OF COMMUNITY HEALTH, THE FLEXIBLE HOUSING POOL AT ADVOCATE ILLINOIS MASONIC IS A PARTNERSHIP WITH THE CENTER FOR HEALTH AND HOUSING WITH THE GOAL TO REDUCE HOSPITAL AND EMS RECIDIVISM THROUGH HOUSING. IN 2019, ADVOCATE AURORA HEALTH MADE A $500,000 COMMITMENT TO THE COOK COUNTY FLEXIBLE HOUSING POOL. ADVOCATE ILLINOIS MASONIC WAS THE FIRST HOSPITAL TO PARTICIPATE IN THE COOK COUNTY FLEXIBLE HOUSING POOL, A PARTNERSHIP WITH THE CENTER FOR HEALTH AND HOUSING. IN 2022, THE PROGRAM TRANSITION TO THE TRAUMA RECOVERY CENTER TEAM, BASED OUT OF ADVOCATE CHRIST MEDICAL CENTER. THIS PROGRAM AIMS TO ADDRESS HOUSING INSECURITY AMONG HOMELESS PATIENTS BY PLACING INDIVIDUALS IN PERMANENT HOUSING WHILE ALSO PROVIDING WRAP AROUND CARE, INCLUDING CASE MANAGEMENT AND BEHAVIORAL HEALTH SERVICES. THE MAIN GOAL OF THIS PROGRAM IS TO ADDRESS ONE OF THE MOST SIGNIFICANT ROOT CAUSES OF POOR HEALTH. WHILE THIS PROGRAM SERVES A SMALL NUMBER OF PATIENTS, THE IMPACT IS DEEP AND LIFELONG. IN 2020, THE PROGRAM PLACED ONE BEHAVIORAL HEALTH PATIENT IN PERMANENT HOUSING AND THREE PATIENTS IN TRANSITIONAL HOUSING. IN 2021, A TOTAL OF FIVE INDIVIDUALS WERE PLACED IN HOUSING; THE PROGRAM PLACED FOUR BEHAVIORAL HEALTH PATIENTS IN PERMANENT HOUSING AND ONE PATIENT IN TRANSITIONAL HOUSING. IN 2022, UNDER THE TRAUMA RECOVERY CENTER MANAGEMENT, THE PROGRAM WAS ABLE TO PLACE THREE PATIENTS INTO LONG TERM HOUSING WITHIN 6 WEEKS. SINCE 2020, THE PROGRAM HAS BEEN ABLE TO ASSIST 11 PATIENTS WITH HOUSING RELATED CONCERNS. 6. FOOD SECURITYACCESS TO FRESH, AFFORDABLE FOOD IS A KEY INGREDIENT IN THE RECIPE TO ADDRESS SOCIAL DETERMINANTS OF HEALTHAND IN KEEPING THE COMMUNITY HEALTHY. ADVOCATE ILLINOIS MASONIC IS INVOLVED WITH MULTIPLE LOCAL COMMUNITY PARTNERS TO DEVELOP SUSTAINABLE FOOD INITIATIVES TO ADDRESS FOOD INSECURITY. EXAMPLES OF THESE INITIATIVES ARE PROVIDED BELOW. HOSPITAL-BASED FOOD PANTRY PROGRAMS IN CENTRAL CHICAGOLAND. ADVOCATE ILLINOIS MASONIC MEDICAL CENTER HOSPITAL-BASED FOOD PANTRY PROGRAM SCREENS PATIENTS FOR FOOD INSECURITY. PATIENTS WHO SCREEN POSITIVE FOR FOOD INSECURITY ARE ELIGIBLE FOR A NON-PERISHABLE FOOD BAG AND FRESH PRODUCE BOX ONCE A MONTH. IN ADDITION, THE MEDICAL CENTER IMPLEMENTS POP UP FARMERS MARKETS IN LOW-INCOME AND VULNERABLE COMMUNITIES WITH HIGH FOOD INSECURITY RATES. IN 2022. THE PROGRAM SERVED 47 NEW PATIENTS AND 21 REPEAT PATIENTS, A TOTAL OF 68 PATIENTS. BABY FRIENDLY HOSPITAL. ADVOCATE ILLINOIS MASONIC IS CERTIFIED AS BABY FRIENDLY, A DESIGNATION FROM THE WORLD HEALTH ORGANIZATION RECOGNIZING THE HIGHEST LEVEL OF SUPPORT FOR BREASTFEEDING MOTHERS AND BABIES. THIS DESIGNATION AND RELATED PRACTICES ARE A STRONG STEP FORWARD IN ADDRESSING THE CITY'S CHILDHOOD OBESITY EPIDEMIC. PROVIDING INFANTS WITH HUMAN MILK GIVES THEM THE MOST COMPLETE NUTRITION POSSIBLE BECAUSE IT PROVIDES THE BEST MIX OF NUTRIENTS FOR EACH BABY TO THRIVE. THE BABY FRIENDLY DESIGNATION, WHICH IS GRANTED BY BABY-FRIENDLY USA, RECOGNIZES THE MEDICAL CENTER'S SUCCESS AT PROVIDING AN OPTIMAL LEVEL OF SUPPORT FOR BREASTFEEDING MOTHERS AND BABIES. THE DESIGNATION WAS ACHIEVED AFTER A RIGOROUS FOUR-PHASE PROCESS CULMINATING WITH COMPREHENSIVE ON-SITE EVALUATION. SCIENTIFIC STUDIES HAVE SHOWN THAT BREASTFED CHILDREN HAVE FAR FEWER AND LESS SERIOUS ILLNESS THAN THOSE WHO NEVER RECEIVED BREAST MILK, INCLUDING A REDUCED RISK OF SIDS, CHILDHOOD CANCER AND DIABETES. IN ADDITION TO THE MEDICAL CENTER'S MANY PROGRAMS AND SERVICES DESCRIBED PREVIOUSLY, THERE ARE A MYRIAD OF OTHER COMMUNITY SERVICES OFFERED INCLUDING: HUMAN BREAST MILK DEPOT; BIKE HELMET FITTING EVENTS; THE BETTER BREATHERS CLUB (ASSISTS COMMUNITY MEMBERS WITH RESPIRATORY ISSUES); QUARTERLY BLOOD DRIVES; CAR SEAT SAFETY CHECKS; PROVISION OF MEETING SPACE FOR COMMUNITY ORGANIZATIONS; CPR, CHOKING AND BLEEDING CONTROL TRAININGS FOR THE COMMUNITY; INCONTINENCE SEMINARS; CONTENT TARGETED GOLDEN AGE SENIOR SEMINARS; SEMINARS FOR CHICAGO HOUSING AUTHORITY RESIDENTS ON VARIOUS HEALTH ISSUES; STROKE EDUCATION SEMINARS; AND MULTIPLE DISEASE SPECIFIC SUPPORT GROUPS.
FORM 990, PART VI, SECTION A, LINE 1A	DESCRIPTION OF BOARD DELEGATING POWERS TO EXECUTIVE COMMITTEE THE ORGANIZATION'S BY-LAWS PROVIDE THAT THE EXECUTIVE COMMITTEE HAS THE AUTHORITY TO ACT ON BEHALF OF THE BOARD. THE EXECUTIVE COMMITTEE HAS THE SAME COMPOSITION AND MEMBERS AS THE EXECUTIVE COMMITTEE OF THE CORPORATE MEMBER. THE CORPORATE MEMBER'S EXECUTIVE COMMITTEE HAS NINE MEMBERS, CONSISTING OF THE CHAIRPERSON, THE VICE CHAIRPERSON, THE PRESIDENT, THE CHAIRPERSONS OF THE FINANCE, PLANNING HEALTH OUTCOMES AND MISSION AND SPIRITUAL CARE COMMITTEES, AND TWO OTHER DIRECTORS. THE PAST CHAIRPERSON OF THE BOARD OF DIRECTORS MAY SERVE AS AN EX-OFFICIO MEMBER OF THE COMMITTEE, WITH VOTE. EACH OF THE EXECUTIVE COMMITTEE'S MEMBERS IS ON THE BOARD. THE SCOPE OF THE EXECUTIVE COMMITTEE'S AUTHORITY INCLUDES: BE RESPONSIBLE FOR PLANNING EDUCATIONAL PROGRAMS FOR THE BOARD OF DIRECTORS; CONDUCT AN EVALUATION OF THE MEMBERS OF THE BOARD OF DIRECTORS; HAVE SUCH AUTHORITY AS SHALL BE DELEGATED BY THE BOARD OF DIRECTORS; AND ACT ON BEHALF OF THE BOARD OF DIRECTORS BETWEEN MEETINGS. THE EXECUTIVE COMMITTEE IS ACCOUNTABLE AS A BODY TO THE BOARD OF DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 2	DESCRIPTION OF BUSINESS RELATIONSHIPS AS DR. JAMES DAN, DR. VINCENT BUFALINO, DR. LEE SACKS, JAMES DOHENY, DOMINIC NAKIS, SCOTT POWDER AND WILLIAM SANTULLI ARE EITHER DIRECTORS OR OFFICERS OF WHOLLY OWNED ADVOCATE ENTITIES, THEY ARE DEEMED TO HAVE A BUSINESS RELATIONSHIP PURSUANT TO THE INSTRUCTIONS FOR FORM 990.
FORM 990, PART VI, SECTION A, LINE 6	MEMBERS OR STOCKHOLDERS THE BY-LAWS PROVIDE FOR CORPORATE MEMBERS.
FORM 990, PART VI, SECTION A, LINE 7A	DESCRIPTION OF CLASSES OF PERSONS AND THE NATURE OF THEIR RIGHTS THE NOT-FOR-PROFIT CORPORATIONS OF ADVOCATE HEALTH CARE, WITH THE EXCEPTION OF ADVOCATE HEALTH CARE NETWORK, HAVE CORPORATE MEMBERS WHO ELECT DIRECTORS. ADVOCATE HEALTH CARE NETWORK DOES NOT HAVE ANY MEMBERS, THEREFORE, THE AHCN BOARD ELECTS ITS DIRECTORS. THE FOR-PROFIT ORGANIZATIONS HAVE A SOLE SHAREHOLDER WHO ELECTS THE DIRECTORS.
FORM 990, PART VI, SECTION A, LINE 7B	DESCRIPTION OF CLASSES OF PERSONS, DECISIONS REQUIRING APPROVAL AND TYPE OF VOTING RIGHTS THE FOLLOWING RESERVE POWERS IDENTIFIED IN THE BYLAWS REQUIRE THE APPROVAL OF THE CORPORATE MEMBER, ADVOCATE HEALTH CARE NETWORK: APPOINT OUTSIDE AUDITORS AND ESTABLISH AND REVISE ALL FINANCIAL CONTROL POLICIES, AND ANY CHANGES TO SUCH POLICIES, BEFORE SUCH POLICIES OR CHANGES BECOME EFFECTIVE; CAUSE THE CORPORATION TO PAY, LOAN OR OTHERWISE TRANSFER PROPERTY AND FUNDS TO OTHER ENTITIES AFFILIATED WITH THE CORPORATE MEMBER; AMEND THE BYLAWS WITHOUT ACTION OR APPROVAL BY THE BOARD OF DIRECTORS AFTER TEN DAYS NOTICE TO THE CORPORATION'S BOARD OF DIRECTORS OF THE PROPOSED AMENDMENT(S) WITH AN OPPORTUNITY FOR BOARD MEMBERS TO CONSULT WITH THE CORPORATE MEMBER REGARDING THE PROPOSED AMENDMENT; APPROVAL OF THE OVERALL MISSION, PHILOSOPHY AND VALUES STATEMENTS AND ANY AMENDMENTS OR SUPPLEMENTS TO SUCH STATEMENTS; APPROVAL OF THE OVERALL STRATEGIC PLANS; APPROVAL OF ALL OVERALL OPERATING AND CAPITAL BUDGETS BEFORE ANY EXPENDITURE, PURSUANT TO SUCH BUDGETS ARE MADE OR COMMITTED, AND APPROVAL OF ALL EXPENDITURES ABOVE ANY LIMIT THAT MAY BE ESTABLISHED BY THE BOARD OF THE CORPORATE MEMBER; APPROVAL OF THE INCURRENCE OR GUARANTEE OF ANY INDEBTEDNESS FOR BORROWED MONEY WHICH HAS NOT ALREADY BEEN APPROVED AS PART OF THE BUDGET APPROVAL PROCESS OR WHICH IS ABOVE ANY LIMIT THAT MAY BE ESTABLISHED BY THE BOARD OF THE CORPORATE MEMBER; APPROVAL OF ALL TRANSFERS OF OWNERSHIP OR DONATIONS OF ASSETS ABOVE ANY LIMIT THAT MAY BE ESTABLISHED BY THE BOARD OF THE CORPORATE MEMBER; APPROVAL OF ALL AMENDMENTS TO THE ARTICLES OF INCORPORATION AND BYLAWS OF THE CORPORATION BEFORE THEY BECOME EFFECTIVE; APPROVAL OF ANY MERGER, CONSOLIDATION, OR DISSOLUTION; AND APPROVAL OF THE CREATION OF OR AFFILIATION WITH ANY SUBSIDIARY OR AFFILIATE, BEFORE SUCH ENTITY IS CREATED OR THE ENTRANCE INTO ANY JOINT VENTURE IF THE CONTEMPLATED ACTIVITY WILL INVOLVE THE EXPENDITURE OF FUNDS OR THE ASSUMPTION OF OBLIGATIONS WHICH HAVE NOT ALREADY BEEN APPROVED AS A PART OF THE BUDGET APPROVAL PROCESS OR REQUIRE MEMBER APPROVAL UNDER THE FINANCIAL CONTROL POLICIES.
FORM 990, PART VI, SECTION B, LINE 11B	DESCRIPTION OF THE PROCESS USED BY MANAGEMENT AND/OR GOVERNING BODY TO REVIEW 990 ADVOCATE'S TAX PREPARATION PROCESS INCLUDES ONGOING CONSULTATION WITH ITS OUTSIDE TAX CONSULTING FIRM AND TAX LEGAL COUNSEL, BOTH OF WHICH POSSESS EXPERTISE IN HEALTH CARE AND TAX-EXEMPT RETURN PREPARATION, TO ADVISE AND ASSIST WITH PREPARATION OF THE FORM 990. THESE ADVISORS WORKED CLOSELY WITH THE ORGANIZATION'S FINANCE, TAX AND LEGAL ASSOCIATES AND OTHER MEMBERS OF THE ORGANIZATION'S TEAM ASSEMBLED TO PARTICIPATE IN THE PREPARATION OF THE FORM 990. THE FORM 990 IS REVIEWED BY FINANCE MANAGEMENT, THE TAX MANAGER, THE VP OF FINANCE/CORPORATE CONTROLLER, THE CHIEF FINANCIAL OFFICER AND ADVOCATE'S OUTSIDE TAX CONSULTING FIRM AND TAX LEGAL COUNSEL. PRIOR TO PRESENTING THE FORM 990 TO THE BOARD OF DIRECTOR'S AUDIT COMMITTEE IN NOVEMBER, THE ORGANIZATION'S TEAM AND ADVISORS MET FREQUENTLY TO DISCUSS AND REVIEW DRAFTS OF THE FORM 990. AT THE NOVEMBER AUDIT COMMITTEE MEETING, THE VP OF FINANCE/CORPORATE CONTROLLER AND CHIEF FINANCIAL OFFICER COORDINATED A REVIEW OF THE FORM 990 WITH COMMITTEE MEMBERS, AS THE AUDIT COMMITTEE IS THE COMMITTEE OF THE BOARD OF DIRECTORS CHARGED WITH OVERSIGHT OF AUDIT AND TAX MATTERS. THE VP OF FINANCE/CORPORATE CONTROLLER AND CHIEF FINANCIAL OFFICER RESPONDED TO THE AUDIT COMMITTEE MEMBERS' QUESTIONS AND PROVIDED THE OPPORTUNITY FOR DETAILED DISCUSSION OF THE FORM 990. THE CHANGES IDENTIFIED WERE INCORPORATED, AND THEN A COMPLETE COPY OF THE FINAL FORM 990 WAS PROVIDED TO EACH MEMBER OF THE ORGANIZATION'S BOARD OF DIRECTORS BEFORE THE FORM 990 WAS FILED.
FORM 990, PART VI, SECTION B, LINE 12C	DESCRIPTION OF THE PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST THE ORGANIZATION'S CONFLICT OF INTEREST POLICY APPLIES TO VARIOUS PEOPLE, INCLUDING MEMBERS OF ADVOCATE'S BOARD OF DIRECTORS, GOVERNING COUNCILS, OFFICERS, ASSOCIATES, VOLUNTEERS, AND MEDICAL STAFF MEMBERS WITH ADMINISTRATIVE RESPONSIBILITIES. ANNUALLY, THE COMPLIANCE DEPARTMENT SENDS THIS POLICY AND THE ADVOCATE CODE OF BUSINESS CONDUCT TO A RANGE OF INDIVIDUALS WHO MAY BE IN A POSITION TO EXERCISE SUBSTANTIAL INTEREST OVER A PARTICULAR MATTER (DEFINED AS "INTERESTED PERSONS"). THEY ARE REQUIRED TO READ THE POLICIES AND PROVIDE A DISCLOSURE STATEMENT TO THE COMPLIANCE DEPARTMENT, WHICH IDENTIFIES ACTIVITIES AND RELATIONSHIPS THAT COULD POTENTIALLY GIVE RISE TO A CONFLICT OF INTEREST. THE CHIEF COMPLIANCE OFFICER REVIEWS THE DISCLOSURE 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 COMMITTEE THEREOF, OR A PERSON OF INTEREST, IF IT IS DETERMINED THAT THERE IS AN ACTUAL CONFLICT OF INTEREST, THE SUPERVISOR OF THE INDIVIDUAL IS RESPONSIBLE FOR MAKING AN APPROPRIATE RESPONSE, POTENTIALLY INCLUDING A RESTRICTION OF THE INDIVIDUAL'S JOB DUTIES WITH RESPECT TO THE MATTER GIVING RISE TO THE CONFLICT.
FORM 990, PART VI, SECTION B, LINE 15	OFFICES AND POSITIONS FOR WHICH PROCESS WAS USED AND YEAR PROCESS WAS BEGUN EXECUTIVE COMPENSATION AT THE ADVOCATE HEALTH CARE NETWORK AND SUBSIDIARIES IS BASED ON A BOARD OF DIRECTORS' APPROVED STRATEGY THAT GUIDES THE CORPORATION IN ESTABLISHING COMPENSATION OPPORTUNITIES FOR EXECUTIVES, MANAGERS, PROFESSIONALS, AND ALL EMPLOYEES. IN THIS STRATEGY, SPECIFIC MARKET COMPARISONS ARE IDENTIFIED AND THE DESIRED LEVEL OF COMPETITIVENESS IN THOSE MARKETS SPECIFIED. IN ADDITION, THE LINKAGE OF EXECUTIVE PAY TO PERFORMANCE IS ARTICULATED AND HOW THIS RELATIONSHIP IS TO BE MAINTAINED IS OUTLINED. TO SUPPORT AND IMPLEMENT THE COMPENSATION STRATEGY, FIVE BASIC ELEMENTS ARE UTILIZED. THESE ELEMENTS ARE: - A SOLID, RELIABLE AND TESTED JOB EVALUATION METHODOLOGY - ACCURATE, QUALITY AND RELEVANT COMPENSATION SURVEY INFORMATION - A CONSISTENT ANNUAL PROCESS FOR UPDATING THE COMPENSATION LEVELS - AN ACTIVE BOARD REVIEW PROCESS THAT ASSURES COMPLIANCE WITH THE COMPENSATION STRATEGY AND ON-GOING REVIEW OF THE PERFORMANCE OF THE ORGANIZATION, AND - ACTIVE, EXTERNAL REVIEW AND AUDITING OF COMPENSATION BY EXTERNAL INDEPENDENT CONSULTANTS.
FORM 990, PART VI, SECTION C, LINE 19	AVAILABILITY OF GOVERNING DOCUMENTS, CONFLICT OF INTEREST POLICY AND FINANCIAL STATEMENTS TO THE GENERAL PUBLIC THE ORGANIZATION MAKES ITS FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC THROUGH THE FOLLOWING SITES: - DACBOND.COM (DIGITAL ASSURANCE CERTIFICATION, LLC) - EMMA.MSRB.ORG (ELECTRONIC MUNICIPAL MARKET ACCESS) THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENT OR CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC.
FORM 990, PART IX, LINE 11G	OTHER FEES: PROGRAM SERVICE EXPENSES 0. MANAGEMENT AND GENERAL EXPENSES 92,814,909. FUNDRAISING EXPENSES 0. TOTAL EXPENSES 92,814,909.
FORM 990, PART XI, LINE 9:	CAPITAL TRANSFERS - GRANTS 304,862. INTERCOMPANY NONCONTROLLING INTEREST -311,910.

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

Cat. No. 51056K

Schedule O (Form 990) 2021

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

2021

Open to Public Inspection

Name of the organization

ADVOCATE NORTH SIDE HEALTH NETWORK

Employer identification number

36-3196629

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 2025 WINDSOR DR OAK,IL60523 36-2167779	PARENT CORP	IL	501(C)(3)	LINE 12C, III-FI	N/A		No
(2)ADVOCATE CONDELL MEDICAL CENTER 2025 WINDSOR DR OAK BROOK,IL60523 26-2525968	HEALTH CARE	IL	501(C)(3)	LINE 3	AHHC		No
(3)ADVOCATE HEALTH & HOSPITALS CORPORATION 2025 WINDSOR DR OAK BROOK,IL60523 36-2169147	HEALTH CARE	IL	501(C)(3)	LINE 3	AHCN		No
(4)ADVOCATE CHARITABLE FOUNDATION 2025 WINDSOR DR OAK BROOK,IL60523 36-3297360	FUNDRAISING	IL	501(C)(3)	LINE 7	AHCN		No
(5)EHS HOME HEALTH CARE SERVICE INC 2025 WINDSOR DR OAK BROOK,IL60523 36-2913108	HOME CARE	IL	501(C)(3)	LINE 10	AHHC		No
(6)MERIDIAN HOSPICE 2025 WINDSOR DR OAK BROOK,IL60523 36-3158667	HOSPICE CARE	IL	501(C)(3)	LINE 10	EHSHHCS		No
(7)MASONIC FAMILY HEALTH FOUNDATION INC 2025 WINDSOR DR OAK BROOK,IL60523 36-4397387	FUNDRAISING	IL	501(C)(3)	LINE 12A, I	MFHS		No
(8)ADVOCATE SHERMAN HOSPITAL 2025 WINDSOR DR OAK BROOK,IL60523 36-2167920	HEALTH CARE	IL	501(C)(3)	LINE 3	AHCN		No
(9)ADVOCATE AURORA HEALTH INC 2025 WINDSOR DR OAK BROOK,IL60523 82-4184596	SUPPORT ORG	DE	501(C)(3)	LINE 12C, III-FI	N/A		No

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

Cat. No. 50135Y

Schedule R (Form 990) 2021

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?		(k) Percentage ownership
(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	(k) Percentage ownership
(1) DREYER AMBULATORY SURGERY CENTER 2357 SEQUOIA DRIVE AURORA,IL60506 36-3890298	MEDICAL SERVICES	IL	N/A				No			No

Part IV

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

(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	(i) Section 512(b)(13) controlled entity?
(a) Name, address, and EIN of related organization	(b) Primary activity	(c) Legal domicile (state or foreign country)	(d) Direct controlling entity	(e) Type of entity (C corp, S corp, or trust)	(f) Share of total income	(g) Share of end-of-year assets	(h) Percentage ownership	Yes	No
(1) ADVOCATE HOME CARE PRODUCTS 2025 WINDSOR DR OAK BROOK,IL60523 36-3315416	HEALTH SERVICES	IL	N/A	C					No
(2) EVANGELICAL SERVICES CORPORATION 2025 WINDSOR DR OAK BROOK,IL60523 36-3208101	MGMT SERVICES	IL	N/A	C					No
(3) HIGH TECHNOLOGY INC 2025 WINDSOR DR OAK BROOK,IL60523 36-3368224	MEDICAL SERVICES	IL	N/A	C					No
(4) DREYER CLINIC INC 2025 WINDSOR DR OAK BROOK,IL60523 36-2690329	MEDICAL SERVICES	IL	N/A	C					No
(5) PARKSIDE CENTER CONDO ASSOCIATION 1775 WEST DEMPSTER STREET PARK RIDGE,IL60068 36-3452486	PROPERTY MGMT	IL	N/A	C					No
(6) THE DELPHI GROUP IV INC 1425 N RANDALL ROAD ELGIN,IL60123 36-4017279	HEALTH COST MGMT	IL	N/A	C					No
(7) SHERMAN VENTURES INC 2025 WINDSOR DR OAK BROOK,IL60523 36-4292309	HOLDING COMPANY	IL	N/A	C					No
(8) ADVOCATE HPN NFP 2025 WINDSOR DR OAK BROOK,IL60523 81-0893878	HEALTH IMPRV MGMT	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 MGMT	IL	N/A	C					No
(11) ADVOCATE PHYSICIAN PARTNERS ACCOUNTABLE 1701 WEST GOLF ROAD ROLLING MEADOWS,IL60008 45-5498384	HEALTH CARE MGMT	IL	N/A	C					No
(12) ADVOCATE PHYSICIAN PARTNERS RISK PURCH 1701 WEST GOLF ROAD ROLLING MEADOWS,IL60008 38-3914173	GROUP MALPRACTICE	IL	N/A	C					No

Schedule R (Form 990) 2021

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) ............................

Yes

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

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

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

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

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 FOUNDATION OPERATIONS	B	304,868	COST

Schedule R (Form 990) 2021

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?		(k) Percentage ownership
(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	(k) Percentage ownership

Schedule R (Form 990) 2021

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) 2021

Additional Data

Software ID:
Software Version:

1	Briefly describe the organization’s mission or most significant activities: SERVE HEALTH NEEDS OF COMMUNITIES THROUGH WHOLISTIC PHILOSOPHY ROOTED IN FUNDAMENTAL UNDERSTANDING OF HUMANS AS CREATED IN THE IMAGE OF GOD.
2	Check this box
3	Number of voting members of the governing body (Part VI, line 1a) ........	3	12
4	Number of independent voting members of the governing body (Part VI, line 1b) .....	4	8
5	Total number of individuals employed in calendar year 2021 (Part V, line 2a) ......	5	2,663
6	Total number of volunteers (estimate if necessary) .............	6	128
7a	Total unrelated business revenue from Part VIII, column (C), line 12 ........	7a	0
b	Net unrelated business taxable income from Form 990-T, Part I, line 11 .........	7b	0

		Prior Year	Current Year
8	Contributions and grants (Part VIII, line 1h) .........	5,360,280	10,707,228
9	Program service revenue (Part VIII, line 2g) .........	939,335,684	1,023,773,932
10	Investment income (Part VIII, column (A), lines 3, 4, and 7d ) ....	64,425,471	-288,556
11	Other revenue (Part VIII, column (A), lines 5, 6d, 8c, 9c, 10c, and 11e)	6,357,602	6,520,136
12	Total revenue—add lines 8 through 11 (must equal Part VIII, column (A), line 12)	1,015,479,037	1,040,712,740
13	Grants and similar amounts paid (Part IX, column (A), lines 1–3 )...	17,151	0
14	Benefits paid to or for members (Part IX, column (A), line 4).....	0	0
15	Salaries, other compensation, employee benefits (Part IX, column (A), lines 5–10)	187,349,586	195,921,040
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)....	643,938,901	716,522,817
18	Total expenses. Add lines 13–17 (must equal Part IX, column (A), line 25)	831,305,638	912,443,857
19	Revenue less expenses. Subtract line 18 from line 12.......	184,173,399	128,268,883
		Beginning of Current Year	End of Year
20	Total assets (Part X, line 16).............	1,102,009,834	1,263,013,188
21	Total liabilities (Part X, line 26).............	141,867,970	199,053,954
22	Net assets or fund balances. Subtract line 21 from line 20.....	960,141,864	1,063,959,234

Sign Here

	Signature of officer	Date

	Type or print name and title


4a	(Code: ) (Expenses $ 689,559,027 including grants of $ ) (Revenue $ 1,002,705,302 )
	FINANCIAL ASSISTANCE (CHARITY CARE) AND TRAUMA CARE. PROVIDING INPATIENT AND OUTPATIENT HEALTH CARE SERVICES TO THE COMMUNITY REGARDLESS OF THE PATIENTS' ABILITY TO PAY. AS PART OF ADVOCATE ILLINOIS MASONIC MEDICAL CENTER'S (ADVOCATE ILLINOIS MASONIC) COMMUNITY HEALTH STRATEGY, THE MEDICAL CENTER IS COMMITTED TO PROMOTING INITIATIVES THAT ENHANCE ACCESS TO HEALTH CARE FOR THE UNINSURED AND UNDERINSURED. AN EXAMPLE OF THIS IS THE PROVISION OF FINANCIAL ASSISTANCE. ADVOCATE ILLINOIS MASONIC OFFERS A VERY GENEROUS FINANCIAL ASSISTANCE PROGRAM, REQUIRING NO PAYMENTS FROM THE PATIENTS MOST IN NEED, AND PROVIDING DISCOUNTS TO UNINSURED AND INSURED PATIENTS. 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 IS AVAILABLE 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. ADVOCATE CONTINUES TO REVIEW AND REFINE ITS POLICY IN AN ONGOING EFFORT TO ENSURE THAT FINANCIAL ASSISTANCE IS AVAILABLE TO THOSE WHO NEED HELP.THE MEDICAL CENTER MAINTAINS HIGHLY VISIBLE SIGNAGE AND BROCHURES IN MULTIPLE LANGUAGES TO INFORM PATIENTS OF THE AVAILABILITY OF FINANCIAL HELP AND FINANCIAL COUNSELORS. INFORMATION ABOUT THE FINANCIAL ASSISTANCE PROGRAM AND AN APPLICATION IS PROVIDED TO ALL UNINSURED PATIENTS DURING REGISTRATION AND IS MAILED TO THEM IN ADVANCE OF THE FIRST PATIENT BILLING. AFTER THAT, EACH UNINSURED PATIENT'S BILL INCLUDES SUMMARY INFORMATION REGARDING THE FINANCIAL ASSISTANCE PROGRAM. IN 2022, ADVOCATE ILLINOS MASONIC PROVIDED $924,776.42 IN EMERGENCY DEPARTMENT CHARITY CARE ASSISTANCE. ADVOCATE ILLINOIS MASONIC IS DEDICATED TO PROVIDING EXPERT EMERGENCY AND TRAUMA CARE. THE MEDICAL CENTER'S LEVEL I TRAUMA CENTER, ONE OF ONLY FOUR IN CHICAGO, CARES FOR THE MOST SERIOUSLY INJURED PEOPLE WITHIN ITS SERVICE AREA. EMERGENCY AND TRAUMA SERVICES ARE PROVIDED REGARDLESS OF ABILITY TO PAY. IN 2022, THE MEDICAL CENTER EXPERIENCED 41,247 EMERGENCY ROOM VISITS, OF WHICH 753 WERE LEVEL I TRAUMA PATIENTS.

4b	(Code: ) (Expenses $ 0 including grants of $ ) (Revenue $ 0 )
	HEALTH CARE SERVICES PROVIDED BY PHYSICIANS EMPLOYED BY THE ORGANIZATION. HEALTH CARE SERVICES PROVIDED BY PHYSICIANS EMPLOYED BY THE MEDICAL CENTER ARE FOCUSED ON IMPACTING THE HEALTH OF THE COMMUNITY. THE DIGESTIVE HEALTH TEAM HAS BEEN WORKING ACTIVELY TO INCREASE COLON CANCER SCREENINGS. EMERGENCY MEDICINE PHYSICIANS HAVE BEEN TRAINING LOCAL EMERGENCY MEDICAL TECHNICIANS (EMTS) AS WELL AS PROVIDING TRAINING IN CARDIOPULMONARY RESUSCITATION (CPR), BLEEDING CONTROL AND APPROPRIATE BIKE HELMET USAGE. A RANGE OF PHYSICIANS AND ASSOCIATES PROVIDE HEALTH EDUCATION, LECTURES AND SCREENINGS AT COMMUNITY HEALTH EVENTS THROUGHOUT THE YEAR.

4c	(Code: ) (Expenses $ 29,068,831 including grants of $ ) (Revenue $ 10,703,009 )
	GRADUATE MEDICAL EDUCATION. ADVOCATE ILLINOIS MASONIC IS COMMITTED TO TRAINING HEALTH CARE PROVIDERS IN A BROAD RANGE OF SPECIALTIES. IN 2022, THE MEDICAL CENTER TRAINED 791 RESIDENTS AND 331 MEDICAL STUDENTS IN THE FOLLOWING SERVICES: ANESTHESIOLOGY, CARDIOLOGY, EMERGENCY MEDICINE, FAMILY MEDICINE, INTERNAL MEDICINE, OBSETRICS/ GYNECOLOGY, ORTHOPEDIC SURGERY, PODIATRY, RADIOLOGY, GENERAL SURGERY, SURGICAL CRITICAL CARE AND UROLOGY. THE MEDICAL CENTER ALSO HAS TRAINING PROGRAMS FOR OTHER HEALTHCARE PROFESSIONALS, INCLUDING PHARMACY, NURSING, PSYCHOLOGY, SOCIAL WORK AND REHABILITATION. A LIMITED NUMBER OF DENTAL STUDENTS RECEIVE SPECIALIZED TRAINING IN PROGRAMS FOR SPECIAL NEEDS DENTISTRY AND SERVE PATIENTS ON THE MOBILE DENTAL VAN. THE MEDICAL CENTER ALSO PROVIDES ACCREDITED CHAPLAINCY TRAINING THROUGH THE MEDICAL CENTER'S ACCREDITED CLINICAL PASTORAL EDUCATION PROGRAM.

	(Code: ) (Expenses $ 13,923,948 including grants of $ ) (Revenue $ 14,773,086 )
	DESCRIPTION OF ADVOCATE ILLINOIS MASONIC. ADVOCATE ILLINOIS MASONIC IS A 397-BED TEACHING MEDICAL CENTER LOCATED ON CHICAGO'S NORTH SIDE AND IS ONE OF 28 ACUTE CARE HOSPITALS IN THE ADVOCATE AURORA HEALTH SYSTEM. IN DECEMBER OF 2022, ADVOCATE HEALTH BASED IN ILLINOIS AND AURORA HEALTH BASED IN WISCONSIN, MERGED WITH ATRIUM HEALTH BASED IN NORTH CAROLINA. THE MEDICAL CENTER, ONE OF ONLY FOUR LEVEL I TRAUMA CENTERS IN CHICAGO, ILLINOIS, TREATED 753 TRAUMA PATIENTS IN 2022. ADVOCATE ILLINOIS MASONIC ALSO HAS ONE OF CHICAGO'S MOST ACTIVE EMERGENCY DEPARTMENTS (EDS). THERE WERE A TOTAL OF 41,247 (INCLUDING TRAUMA) EMERGENCY VISITS TO THE MEDICAL CENTER IN 2022. THE MEDICAL CENTER'S LEVEL III NEONATAL INTENSIVE CARE UNIT (NICU) HOLDS THE STATE'S HIGHEST DESIGNATION. THE MEDICAL CENTER HAD 1,556 INFANTS DELIVERED (LIVE BIRTHS) IN 2022. ADVOCATE ILLLINOIS MASONIC IS FULLY ACCREDITED BY DET NORSKE VERITAS (NORWAY) AND GERMANISCHER LLOYD (GERMANY) (DNV-GL), WITH THE EXCEPTION OF OUTPATIENT BEHAVIORAL HEALTH, WHICH IS ACCREDITED BY THE COMMISSION ON ACCREDITATION OF REHABILITATION FACILITIES (CARF). ADVOCATE ILLINOIS MASONIC HAS MORE THAN 1,000 ACTIVE PHYSICIANS ON STAFF REPRESENTING 43 MEDICAL SPECIALTIES. IT EMPLOYS ALMOST 800 REGISTERED NURSES. THE MEDICAL CENTER OFFERS A WIDE RANGE OF MEDICAL SERVICES AND IS NATIONALLY RECOGNIZED FOR ITS MEDICAL EXPERTISE, INNOVATIVE TECHNOLOGIES AND DEDICATION TO PATIENT SAFETY, QUALITY AND SERVICE. ADVOCATE ILLINOIS MASONIC'S MAJOR SERVICES INCLUDE: BEHAVIORAL HEALTH; COMPREHENSIVE SURGICAL; EMERGENCY AND TRAUMA; CANCER CARE; OPHTHALMOLOGY; CARDIOVASCULAR; DIGESTIVE DISEASE; OBSTETRIC, GYNECOLOGY, MIDWIFERY AND PEDIATRIC; ORTHOPEDIC AND NEUROSCIENCE. AMBULATORY AND COMMUNITY HEALTH SERVICES INCLUDE: PRIMARY CARE; A DENTISTRY PROGRAM, INCLUDING A MOBILE DENTAL VAN; VISION; A DEAF AND HARD OF HEARING PROGRAM; THE PEDIATRIC DEVELOPMENTAL CENTER; EAR, NOSE AND THROAT; UROLOGY AND UROGYNECOLOGY; PHYSICAL REHABILITATIVE; DIAGNOSTIC IMAGING; INFUSION THERAPY; PAIN MANAGEMENT; RHEUMATOLOGY; AND A HOSPITAL-BASED FOOD PANTRY.MULTIPLE ADVOCATE ILLINOIS MASONIC INSTITUTES BRING THE HIGHEST LEVEL OF EXCELLENCE IN CARING FOR PATIENTS DIAGNOSED WITH THE FOLLOWING CHRONIC DISEASES.HEART DISEASE. GIVEN THAT HEART DISEASE IS THE SECOND LEADING CAUSE OF DEATH IN THE HOSPITAL'S PRIMARY SERVICE AREA, ADVOCATE ILLINOIS MASONIC ESTABLISHED A HEART AND VASCULAR INSTITUTE. AS ONE OF THE AREA'S FIRST MEDICAL CENTERS TO PERFORM OPEN HEART SURGERY, ADVOCATE ILLINOIS MASONIC OFFERS A COMPLETE RANGE OF STATE-OF-THE-ART CARDIAC SERVICES. MEDICAL CENTER STAFF ALSO PARTICIPATE IN ILLINOIS HEART RESCUE, A PROGRAM THAT SEEKS TO IMPROVE OUT-OF-HOSPITAL SURVIVAL RATES RELATED TO CARDIAC ARREST. CANCER. THE CRETICOS CANCER CENTER, LOCATED ON THE ADVOCATE ILLINOIS MASONIC CAMPUS, UNITES ALL CANCER CARE AND RESEARCH UNDER ONE ROOF FOR MORE EFFICIENT AND PERSONALIZED PLANNING AND TREATMENT. THE CENTER OFFERS A WEALTH OF SERVICES TO ADDRESS THE UNIQUE NEEDS OF CANCER PATIENTS THROUGHOUT THE CONTINUUM OF CARE. THE CENTER FOR ADVANCED CARE, WHICH OPENED IN 2015, ENABLED ADVOCATE ILLINOIS MASONIC TO EXPAND AND CENTRALIZE OUTPATIENT SURGERY, DIGESTIVE HEALTH AND CANCER SERVICES INTO ONE LOCATION, CREATING IMPROVED ACCESS TO CARE, CONTINUITY AMONG DISCIPLINES, ENHANCED EFFICIENCIES AND A BETTER OVERALL EXPERIENCE FOR PATIENTS AND THEIR FAMILIES. ADVOCATE ILLINOIS MASONIC HAS AN EXTENSIVE RANGE OF CANCER SUPPORT SERVICES, INCLUDING BILINGUAL SPANISH/ENGLISH PSYCHOSOCIAL SUPPORT, COUNSELING AND FINANCIAL NAVIGATION. NURSE NAVIGATORS PROVIDE LINKAGE WITH COMMUNITY PROGRAMS, PHYSICAL MEDICINE, REHABILITATION, PAIN MANAGEMENT SERVICES, PALLIATIVE CARE, HOSPICE AND HOME CARE PROGRAMS. THE CENTER HOSTS THE AMERICAN CANCER SOCIETY'S LOOK GOOD, FEEL BETTER PROGRAM. EACH YEAR AT THE MEDICAL CENTER, THE AMBER FOUNDATION FACILITATES THE SPONSORSHIP OF FREE MAMMOGRAMS, COUNSELING AND EDUCATION REGARDING BREAST CANCER SPECIFICALLY TARGETING THE POLISH COMMUNITY IN CHICAGO. THE CANCER CENTER PROVIDES A LUNG SCREENING PROGRAM AND A DIRECT ACCESS SCREENING PROGRAM FOR COLORECTAL CANCER. THE DIRECT ACCESS PROGRAM ALLOWS PATIENTS TO SCHEDULE COLONOSCOPIES WITHOUT FIRST HAVING A FACE-TO-FACE CONSULTATION WITH A GASTROENTEROLOGIST.STROKE/PRIMARY STROKE CENTER. COMMUNITY ENGAGEMENT WITHIN THE STROKE PROGRAM IS A KEY INITIATIVE. ADVOCATE ILLINOIS MASONIC PARTNERS WITH MANY ORGANIZATIONS TO ENSURE OUTREACH EDUCATION IS PROVIDED FOR ALL AGES AS STROKE CAN HAPPEN AT ANY AGE. MEDICAL CENTER PARTNERSHIPS INCLUDE NURSING HOMES, ASSISTED LIVING COMMUNITIES, CHICAGO HOUSING AUTHORITY COMMUNITIES (>50 AT RISK POPULATIONS); HEALTH FAIRS; AND EDUCATION DAYS WITH THE CHICAGO FIRE DEPARTMENT AND THE CHICAGO POLICE DEPARTMENT. A FEW EVENTS THAT THE MEDICAL CENTER ATTENDED ARE AHA/ASA CYCLE NATION, AHA HEART AND STROKE WALK, CENTRO ROMERO, CENTER ON ADDISON/HALSTED AND MANY OTHERS. THE OUTREACH AND EDUCATION PROGRAMS INCLUDE: STROKE RISK SCREENING; STROKE IDENTIFICATION AND TREATMENT EDUCATION; AND WELLNESS SCREENINGS/TALKS (BLOOD PRESSURE, DIET, MANAGING OBESITY, SMOKING CESSATION). 2022 HIGHLIGHTS FOR THE STROKE CENTER INCLUDED PARTICIPATION IN AHA CYCLENATION 2022, AHA HEART WALK 2022, SYSSEM VIRTUAL STROKE SUPPORT GROP, SITE OUTREACH AT CENTER ON HALSTED, A KEY PARTNER WITH AIMMC, WHICH INCLUDED STROKE AWARENESS PRESENTATIONS RELATED TO BEFAST SIGNS AND SYSMPTOMS OF STROKE; STROKE RISK FACTORS, AND ASSESSMENT TOOL; STROKE HEART HEALTH FOR ADULTS, AND STROKE PENS AND LUGGAGE TAGS THAT PROVIDED EDUCATION.CANCER SUPPORT PROGRAMS. THE MEDICAL CENTER WORKS CLOSELY WITH THE ILLINOIS BREAST AND CERVICAL CANCER PROGRAM TO ENSURE THAT UNINSURED WOMEN HAVE ACCESS TO SCREENING AND TREATMENT FOR BREAST OR CERVICAL CANCER. ADVOCATE ILLLINOIS MASONIC ALSO HAS A BREAST CANCER SUPPORT GROUP FOR LATINAS AND IS DEVELOPING A CANCER SUPPORT GROUP FOR THE LGBTQ COMMUNITY.BABY FRIENDLY HOSPITAL. ADVOCATE ILLINOIS MASONIC IS CERTIFIED AS BABY FRIENDLY, A DESIGNATION FROM THE WORLD HEALTH ORGANIZATION RECOGNIZING THE HIGHEST LEVEL OF SUPPORT FOR BREASTFEEDING MOTHERS AND BABIES. THIS DESIGNATION AND RELATED PRACTICES ARE A STRONG STEP FORWARD IN ADDRESSING THE CITY'S CHILDHOOD OBESITY EPIDEMIC. PROVIDING INFANTS WITH HUMAN MILK GIVES THEM THE MOST COMPLETE NUTRITION POSSIBLE BECAUSE IT PROVIDES THE BEST MIX OF NUTRIENTS FOR EACH BABY TO THRIVE. THE BABY FRIENDLY DESIGNATION, WHICH IS GRANTED BY BABY-FRIENDLY USA, RECOGNIZES THE MEDICAL CENTER'S SUCCESS AT PROVIDING AN OPTIMAL LEVEL OF SUPPORT FOR BREASTFEEDING MOTHERS AND BABIES. THE DESIGNATION WAS ACHIEVED AFTER A RIGOROUS FOUR-PHASE PROCESS CULMINATING WITH COMPREHENSIVE ON-SITE EVALUATION. SCIENTIFIC STUDIES HAVE SHOWN THAT BREASTFED CHILDREN HAVE FAR FEWER AND LESS SERIOUS ILLNESS THAN THOSE WHO NEVER RECEIVED BREAST MILK, INCLUDING A REDUCED RISK OF SIDS, CHILDHOOD CANCER AND DIABETES.IN 2022, THE MEDICAL CENTER EMPLOYED OVER 2,000 ASSOCIATES AND HAD 128 VOLUNTEERS. ADVOCATE ILLINOIS MASONIC TRAINED A TOTAL OF 791 RESIDENTS AND MEDICAL STUDENTS IN 2022. THE MEDICAL CENTER IS ONE OF ILLINOIS' LARGEST NON-UNIVERSITY MEDICAL TEACHING HOSPITALS AND IS AFFILIATED WITH THE UNIVERSITY OF ILLINOIS AT CHICAGO HEALTH SCIENCES CENTER, ROSALIND FRANKLIN UNIVERSITY AND MIDWESTERN UNIVERSITY, CHICAGO COLLEGE OF MEDICINE, ARIZONA COLLEGE OF MEDICINE AND DES MOINES UNIVERSITY. THE MEDICAL CENTER ALSO PROVIDES COMMUNITY HEALTH DATA-DRIVEN HEALTH AND WELLNESS PROGRAMS, EVIDENCE-BASED STRATEGIES TO MEASURE COMMUNITY HEALTH OUTCOMES, COMMUNITY LECTURES AND OTHER SERVICES IN SUPPORT OF ITS VISION "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 ILLINOIS MASONIC PROVIDES QUALITY HEALTH CARE TO INDIVIDUALS REGARDLESS OF RACE, GENDER, CREED, NATIONAL ORIGIN, AGE OR ABILITY TO PAY. IN 2022, THE MEDICAL CENTER'S PHYSICIANS AND ASSOCIATES PROVIDED 5,272 INPATIENT ADMISSIONS, INCLUDING 1,508 DELIVERIES, AND HANDLED 34,930 OUTPATIENT VISITS. AS A LEVEL I TRAUMA CENTER, ADVOCATE ILLINOIS MASONIC EXPERIENCED 753 LEVEL I TRAUMA VISITS AND A TOTAL OF 41,247 (TRAUMA VISITS INCLUDED) EMERGENCY DEPARTMENT VISITS IN 2022. (FOR A DESCRIPTION OF THE MEDICAL CENTER'S SERVICE AREA, PLEASE SEE THE SUMMARY PROVIDED IN SCHEDULE H, PART VI. SUPPLEMENTAL INFORMATION, LINE 4.)COMMITMENT TO THE COMMUNITYADVOCATE ILLINOIS MASONIC 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 2022, THE MEDICAL CENTER PROVIDED OVER $54.6 MILLION IN COMMUNITY BENEFIT PROGRAMS AND SERVICES. THESE BENEFITS INCLUDED NOT ONLY THE COST OF FINANCIAL ASSISTANCE AND UNREIMBURSED MEDICAID AND MEDICARE, FOR EX

4d	Other program services (Describe in Schedule O.)
	(Expenses $ 13,923,948 including grants of $ ) (Revenue $ 14,773,086 )
4e	Total program service expenses732,551,806

1b	Sub-Total................
c	Total from continuation sheets to Part VII, Section A....
d	Total (add lines 1b and 1c)...........	3,527,890	33,484,534	3,418,546

1a	Federated campaigns..		1a
b	Membership dues..		1b
c	Fundraising events..		1c	2,100
d	Related organizations		1d	1,709,876
e	Government grants (contributions)		1e	8,542,885

f	All other contributions, gifts, grants, and similar amounts not included above		1f	452,367

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

h Total. Add lines 1a-1f.......		10,707,228

		Business Code
2a	PATIENT SVC REVENUE	622110	335,301,563	335,301,563
b	BLUE CROSS / MANAGED C	621110	272,047,146	272,047,146
c	MEDICARE / MEDICAID	622110	271,714,380	271,714,380
d	PHARMACY	456110	93,704,504	93,704,504
e	LABORATORY	541380	51,006,339	51,006,339
f	All other program service revenue.
g	Total. Add lines 2a–2f .....		1,023,773,932

3 Investment income (including dividends, interest, and othersimilar amounts) ......			579,104			579,104
4 Income from investment of tax-exempt bond proceeds
5 Royalties...........
		(ii) Personal	(i) Real
6a	Gross rents		2,112,671	6a
b	Less: rental expenses		0	6b
c	Rental income or (loss)		2,112,671	6c
d	Net rental income or (loss).......			2,112,671			2,112,671
		(ii) Other	(i) Securities
7a	Gross amount from sales of assets other than inventory	17,999		7a
b	Less: cost or other basis and sales expenses	885,659		7b
c	Gain or (loss)	-867,660		7c
d	Net gain or (loss).........			-867,660			-867,660
8a	Gross income from fundraising events (not including $ 2,100of contributions reported on line 1c). See Part IV, line 18 ....
			8a	0
b	Less: direct expenses ...		8b	0
c	Net income or (loss) from fundraising events..			0
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	PARKING		812930	2,358,932	2,358,932
b	CAFETERIA REVENUE		722514	1,336,866	1,336,866
c	MISCELLANEOUS		900099	710,674	710,674
d	All other revenue ....			993	993
e	Total. Add lines 11a–11d ......			4,407,465
12	Total revenue. See instructions.....			1,040,712,740	1,028,181,397	0	1,824,115

1	Grants and other assistance to domestic organizations and domestic governments. See Part IV, line 21 ....
2	Grants and other assistance to domestic individuals. See Part IV, line 22 ...........
3	Grants and other assistance to foreign organizations, foreign governments, and foreign individuals. See Part IV, lines 15 and 16. .............
4	Benefits paid to or for members .......
5	Compensation of current officers, directors, trustees, and key employees ...........	1,040,588	1,040,588
6	Compensation not included above, to disqualified persons (as defined under section 4958(f)(1)) and persons described in section 4958(c)(3)(B) .........
7	Other salaries and wages........	157,310,293	151,274,211	6,036,082
8	Pension plan accruals and contributions (include section 401(k) and 403(b) employer contributions) ....	3,352,843	3,352,843
9	Other employee benefits .......	22,996,702	22,674,458	322,244
10	Payroll taxes ...........	11,220,614	10,898,811	321,803
11	Fees for services (non-employees):
a	Management ......
b	Legal .........	61,459		61,459
c	Accounting ...........
d	Lobbying ...........	50,493		50,493
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)	92,814,909		92,814,909
12	Advertising and promotion ....	56,917	34,769	22,148
13	Office expenses .......	2,669,847	2,466,147	203,700
14	Information technology ......	496,263	496,263
15	Royalties ..
16	Occupancy ...........	3,662,826	3,662,826
17	Travel ............	263,089	262,390	699
18	Payments of travel or entertainment expenses for any federal, state, or local public officials .
19	Conferences, conventions, and meetings ....	525,850	514,666	11,184
20	Interest ...........	26,375,298	26,375,298
21	Payments to affiliates .......	3,045	3,045
22	Depreciation, depletion, and amortization ..	23,738,281	10,125,826	13,612,455
23	Insurance ...	3,559,036	21,811	3,537,225
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	303,074,492	297,768,592	5,305,900
b	MEDICAL SUPPLIES	148,455,748	148,452,124	3,624
c	OTHER	61,817,312	4,229,186	57,588,126
d	INCOME TAXES	33,540	33,540	0
e	All other expenses	48,864,412	48,864,412
25	Total functional expenses. Add lines 1 through 24e	912,443,857	732,551,806	179,892,051	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 ........			20,068,627	1	1,921,537
2	Savings and temporary cash investments .........			0	2	109,865,506
3	Pledges and grants receivable, net ......			1,793,280	3	702,524
4	Accounts receivable, net .............			80,849,488	4	94,353,409
5	Loans and other receivables from 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 ...........			109,890	7	0
8	Inventories for sale or use ............			19,224,980	8	24,350,879
9	Prepaid expenses and deferred charges ......			78,066	9	175,722
10a	Land, buildings, and equipment: cost or other basis. Complete Part VI of Schedule D	10a	605,342,121
b	Less: accumulated depreciation	10b	274,110,339	317,102,619	10c	331,231,782
11	Investments—publicly traded securities .			489,063,601	11	450,524,488
12	Investments—other securities. See Part IV, line 11 .....				12
13	Investments—program-related. See Part IV, line 11 ..			122,792,509	13	94,301,820
14	Intangible assets ...............				14
15	Other assets. See Part IV, line 11 ...........			50,926,774	15	155,585,521
16	Total assets. Add lines 1 through 15 (must equal line 33)...			1,102,009,834	16	1,263,013,188

17	Accounts payable and accrued expenses .....	100,943,266	17	153,918,107
18	Grants payable ...		18
19	Deferred revenue .........	0	19	526,095
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 ..	4,740	23	0
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	40,919,964	25	44,609,752
26	Total liabilities. Add lines 17 through 25..	141,867,970	26	199,053,954

	Organizations that follow FASB ASC 958, check here and complete lines 27, 28, 32, and 33.
27	Net assets without donor restrictions ..........	960,141,864	27	1,063,959,234
28	Net assets with donor restrictions ...........		28
	Organizations that do not follow FASB ASC 958, check here and complete lines 29 through 33.
29	Capital stock or trust principal, or current funds .....		29
30	Paid-in or capital surplus, or land, building or equipment fund ...		30
31	Retained earnings, endowment, accumulated income, or other funds		31
32	Total net assets or fund balances ...........	960,141,864	32	1,063,959,234
33	Total liabilities and net assets/fund balances ........	1,102,009,834	33	1,263,013,188