FURP.ORG / PUBLIC DATA EXPLORER

ADVOCATE HEALTH AND HOSPITALS CORPORATION: Form 990, tax year 2017

View the entire original 990 at ProPublica ↗

Organization
ADVOCATE HEALTH AND HOSPITALS CORPORATION (EIN 36-2169147)
Tax period
2017-01-01 to 2017-12-31
Filed
2018-11-14
IRS object ID
201843189349304009
Schema version
2017v2.3
Source
Download XML · Original 990 at ProPublica

Every field in the e-filed return. Faint text is the IRS element name, for citing.

Return header ReturnHeader

FieldValueIRS element (for citing)
Return2018-11-14T10:40:47-06:00ReturnTs
Tax Period End2017-12-31TaxPeriodEndDt

Preparer Firm PreparerFirmGrp

Preparer Firm Name PreparerFirmName

FieldValueIRS element (for citing)
Business Name Line1ERNST & YOUNG US LLPBusinessNameLine1Txt

Preparer US Address PreparerUSAddress

FieldValueIRS element (for citing)
Address Line1155 N Wacker DriveAddressLine1Txt
CityChicagoCityNm
State AbbreviationILStateAbbreviationCd
ZIP60606ZIPCd
FieldValueIRS element (for citing)
Return Type990ReturnTypeCd
Tax Period Begin2017-01-01TaxPeriodBeginDt

Filer Filer

FieldValueIRS element (for citing)
EIN362169147EIN

Business Name BusinessName

FieldValueIRS element (for citing)
Business Name Line1Advocate Health and Hospitals CorpBusinessNameLine1Txt
FieldValueIRS element (for citing)
In Care Of% JAMES DOHENEYInCareOfNm
Business Name ControlADVOBusinessNameControlTxt
Phone6305729393PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line13075 HIGHLAND PARKWAY SUITE 600AddressLine1Txt
CityDOWNERS GROVECityNm
State AbbreviationILStateAbbreviationCd
ZIP60515ZIPCd

Business Officer BusinessOfficerGrp

FieldValueIRS element (for citing)
PersonJAMES W DOHENYPersonNm
Person TitleVP FIN & CONTROLLERPersonTitleTxt
Phone6309295543PhoneNum
Signature2018-11-13SignatureDt

Preparer Person PreparerPersonGrp

FieldValueIRS element (for citing)
Preparer PersonTAMARA TARAZIPreparerPersonNm
PTINP01266026PTIN
Phone3128792000PhoneNum

Filing Security Information FilingSecurityInformation

IP Address IPAddress

FieldValueIRS element (for citing)
I Pv4 Address99.46.67.29IPv4AddressTxt
FieldValueIRS element (for citing)
Federal Original Submission Id36964520183185000031FederalOriginalSubmissionId
Federal Original Submission Id2018-11-14FederalOriginalSubmissionIdDt
Filing License TypePFilingLicenseTypeCd
At Submission Creation Device IdF4E1502620192AA1FFAA659060C72E89830A7AC0AtSubmissionCreationDeviceId
At Submission Filing Device Id6DFBA33F1DAEE8CAFFEB9AC40683ECF49AA6169AAtSubmissionFilingDeviceId
FieldValueIRS element (for citing)
Tax2017TaxYr
Build TS2019-02-21 02:37:17ZBuildTS

Form 990 IRS990

FieldValueIRS element (for citing)
Principal OfficerJAMES SKOGSBERGHPrincipalOfficerNm

US Address USAddress

FieldValueIRS element (for citing)
Address Line13075 HIGHLAND PARKWAYAddressLine1Txt
CityDOWNERS GROVECityNm
State AbbreviationILStateAbbreviationCd
ZIP60515ZIPCd
FieldValueIRS element (for citing)
Gross Receipts$7,584,246,680GrossReceiptsAmt
Group Return For AffiliatesfalseGroupReturnForAffiliatesInd
Organization501c3Yes (X)Organization501c3Ind
Website Addresswww.ADVOCATEHEALTH.COMWebsiteAddressTxt
Type Of Organization CorpYes (X)TypeOfOrganizationCorpInd
Formation1906FormationYr
Legal Domicile StateILLegalDomicileStateCd
Activity Or MissionSERVE HEALTH NEEDS OF COMMUNITIES THROUGH WHOLISTIC PHILOSOPHY ROOTED IN FUNDAMENTAL UNDERSTANDING OF HUMANS AS CREATED IN THE IMAGE OF GOD.ActivityOrMissionDesc
Voting Members Governing Body12VotingMembersGoverningBodyCnt
Voting Members Independent9VotingMembersIndependentCnt
Total Employee32853TotalEmployeeCnt
Total Volunteers4138TotalVolunteersCnt
Total Gross UBI$62,021,676TotalGrossUBIAmt
Net Unrelated Bus Txbl Incm$0NetUnrelatedBusTxblIncmAmt
PY Contributions Grants$28,585,836PYContributionsGrantsAmt
CY Contributions Grants$29,433,256CYContributionsGrantsAmt
PY Program Service Revenue$4,341,119,311PYProgramServiceRevenueAmt
CY Program Service Revenue$5,059,452,926CYProgramServiceRevenueAmt
PY Investment Income$190,711,463PYInvestmentIncomeAmt
CY Investment Income$210,205,569CYInvestmentIncomeAmt
PY Other Revenue$21,169,352PYOtherRevenueAmt
CY Other Revenue$11,302,981CYOtherRevenueAmt
PY Total Revenue$4,581,585,962PYTotalRevenueAmt
CY Total Revenue$5,310,394,732CYTotalRevenueAmt
PY Grants And Similar Paid$7,196,620PYGrantsAndSimilarPaidAmt
CY Grants And Similar Paid$4,367,511CYGrantsAndSimilarPaidAmt
PY Benefits Paid To Members$0PYBenefitsPaidToMembersAmt
CY Benefits Paid To Members$0CYBenefitsPaidToMembersAmt
PY Salaries Comp Emp Bnft Paid$2,261,427,379PYSalariesCompEmpBnftPaidAmt
CY Salaries Comp Emp Bnft Paid$2,414,123,879CYSalariesCompEmpBnftPaidAmt
PY Total Prof Fndrsng Expns$0PYTotalProfFndrsngExpnsAmt
CY Total Prof Fndrsng Expns$0CYTotalProfFndrsngExpnsAmt
CY Total Fundraising Expense$302,054CYTotalFundraisingExpenseAmt
PY Other Expenses$2,059,256,987PYOtherExpensesAmt
CY Other Expenses$2,648,770,097CYOtherExpensesAmt
PY Total Expenses$4,327,880,986PYTotalExpensesAmt
CY Total Expenses$5,067,261,487CYTotalExpensesAmt
PY Revenues Less Expenses$253,704,976PYRevenuesLessExpensesAmt
CY Revenues Less Expenses$243,133,245CYRevenuesLessExpensesAmt
Total Assets BOY$7,758,491,097TotalAssetsBOYAmt
Total Assets EOY$8,519,791,827TotalAssetsEOYAmt
Total Liabilities BOY$3,585,083,444TotalLiabilitiesBOYAmt
Total Liabilities EOY$3,505,024,878TotalLiabilitiesEOYAmt
Net Assets Or Fund Balances BOY$4,173,407,653NetAssetsOrFundBalancesBOYAmt
Net Assets Or Fund Balances EOY$5,014,766,949NetAssetsOrFundBalancesEOYAmt
Info In Schedule O Part IIIYes (X)InfoInScheduleOPartIIIInd
MissionTHE MISSION OF ADVOCATE HEALTH AND HOSPITALS CORPORATION IS TO SERVE THE HEALTH NEEDS OF INDIVIDUALS, FAMILIES AND COMMUNITIES THOUGH A WHOLISTIC PHILOSOPY ROOTED IN OUR FUNDAMENTAL UNDERSTANDING OF HUMAN BEINGS AS CREATED IN THE IMAGE OF GOD.MissionDesc
Significant New Program SrvcfalseSignificantNewProgramSrvcInd
Significant ChangefalseSignificantChangeInd
Expense$2,464,374,112ExpenseAmt
Grant$4,367,511GrantAmt
Revenue$3,167,080,040RevenueAmt
DescSEE SCHEDULE ODesc

Prog Srvc Accom Acty2 ProgSrvcAccomActy2Grp

FieldValueIRS element (for citing)
Expense$1,047,682,871ExpenseAmt
Grant$0GrantAmt
Revenue$1,029,655,308RevenueAmt
DescSEE SCHEDULE ODesc

Prog Srvc Accom Acty3 ProgSrvcAccomActy3Grp

FieldValueIRS element (for citing)
Expense$87,996,558ExpenseAmt
Grant$0GrantAmt
Revenue$23,996,082RevenueAmt
DescSEE SCHEDULE ODesc
FieldValueIRS element (for citing)
Total Other Prog Srvc Expense$744,092,919TotalOtherProgSrvcExpenseAmt
Total Other Prog Srvc Grant$0TotalOtherProgSrvcGrantAmt
Total Other Prog Srvc Revenue$838,721,496TotalOtherProgSrvcRevenueAmt
Total Program Service Expenses$4,344,146,460TotalProgramServiceExpensesAmt
Described In Section501c3Yes (true)DescribedInSection501c3Ind
Schedule B RequiredYes (true)ScheduleBRequiredInd
Political Campaign ActyfalsePoliticalCampaignActyInd
Lobbying ActivitiesYes (true)LobbyingActivitiesInd
Subject To Proxy TaxfalseSubjectToProxyTaxInd
Donor Advised FundfalseDonorAdvisedFundInd
Conservation EasementsfalseConservationEasementsInd
Collections Of ArtfalseCollectionsOfArtInd
Credit CounselingfalseCreditCounselingInd
Temp Or Permanent EndowmentsfalseTempOrPermanentEndowmentsInd
Report Land Building EquipmentYes (true)ReportLandBuildingEquipmentInd
Report Investments Other SecYes (true)ReportInvestmentsOtherSecInd
Report Program Related InvstfalseReportProgramRelatedInvstInd
Report Other AssetsfalseReportOtherAssetsInd
Report Other LiabilitiesYes (true)ReportOtherLiabilitiesInd
Include FIN48 FootnotefalseIncludeFIN48FootnoteInd
Independent Audit Fincl StmtfalseIndependentAuditFinclStmtInd
Consolidated Audit Fincl StmtYes (true)ConsolidatedAuditFinclStmtInd
School OperatingfalseSchoolOperatingInd
Foreign OfficeYes (true)ForeignOfficeInd
Foreign ActivitiesYes (true)ForeignActivitiesInd
More Than5000 K To OrgfalseMoreThan5000KToOrgInd
More Than5000 K To IndividualsfalseMoreThan5000KToIndividualsInd
Professional FundraisingfalseProfessionalFundraisingInd
Fundraising ActivitiesfalseFundraisingActivitiesInd
Gaming ActivitiesfalseGamingActivitiesInd
Operate HospitalYes (true)OperateHospitalInd
Audited Financial Stmt AttYes (true)AuditedFinancialStmtAttInd
Grants To OrganizationsYes (true)GrantsToOrganizationsInd
Grants To IndividualsfalseGrantsToIndividualsInd
Schedule J RequiredYes (true)ScheduleJRequiredInd
Tax Exempt BondsYes (true)TaxExemptBondsInd
Invest Tax Exempt BondsfalseInvestTaxExemptBondsInd
Escrow AccountfalseEscrowAccountInd
On Behalf Of IssuerfalseOnBehalfOfIssuerInd
Engaged In Excess Benefit TransfalseEngagedInExcessBenefitTransInd
PY Excess Benefit TransfalsePYExcessBenefitTransInd
Loan OutstandingfalseLoanOutstandingInd
Grant To Related PersonfalseGrantToRelatedPersonInd
Business Rln With Org MemfalseBusinessRlnWithOrgMemInd
Business Rln With Fam MemYes (true)BusinessRlnWithFamMemInd
Business Rln With Officer EntfalseBusinessRlnWithOfficerEntInd
Deductible Non Cash ContrifalseDeductibleNonCashContriInd
Deductible Art ContributionfalseDeductibleArtContributionInd
Terminate OperationsfalseTerminateOperationsInd
Partial LiquidationfalsePartialLiquidationInd
Disregarded EntityfalseDisregardedEntityInd
Related EntityYes (true)RelatedEntityInd
Related Organization Ctrl EntYes (true)RelatedOrganizationCtrlEntInd
Transaction With Control EntYes (true)TransactionWithControlEntInd
Trnsfr Exmpt Non Chrtbl Rltd OrgfalseTrnsfrExmptNonChrtblRltdOrgInd
Activities Conducted PrtshpfalseActivitiesConductedPrtshpInd
Schedule O RequiredYes (true)ScheduleORequiredInd
IRP Document4336IRPDocumentCnt
IRP Document W2 G0IRPDocumentW2GCnt
Employee32853EmployeeCnt
Employment Tax Returns FiledYes (true)EmploymentTaxReturnsFiledInd
Unrelated Bus Incm Over LimitYes (true)UnrelatedBusIncmOverLimitInd
Form990 T FiledYes (true)Form990TFiledInd
Foreign Financial AccountYes (true)ForeignFinancialAccountInd
Foreign CountryCJForeignCountryCd
Prohibited Tax Shelter TransfalseProhibitedTaxShelterTransInd
Taxable Party NotificationfalseTaxablePartyNotificationInd
Nondeductible ContributionsfalseNondeductibleContributionsInd
Quid Pro Quo ContributionsfalseQuidProQuoContributionsInd
Form8282 Property Disposed OffalseForm8282PropertyDisposedOfInd
Rcv Fnds To Pay Prsnl Bnft CntrctfalseRcvFndsToPayPrsnlBnftCntrctInd
Pay Premiums Prsnl Bnft CntrctfalsePayPremiumsPrsnlBnftCntrctInd
Indoor Tanning ServicesfalseIndoorTanningServicesInd
Info In Schedule O Part VIYes (X)InfoInScheduleOPartVIInd
Governing Body Voting Members12GoverningBodyVotingMembersCnt
Independent Voting Member9IndependentVotingMemberCnt
Family Or Business RlnYes (true)FamilyOrBusinessRlnInd
Delegation Of Mgmt DutiesfalseDelegationOfMgmtDutiesInd
Change To Org DocumentsfalseChangeToOrgDocumentsInd
Material Diversion Or MisusefalseMaterialDiversionOrMisuseInd
Members Or StockholdersYes (true)MembersOrStockholdersInd
Election Of Board MembersYes (true)ElectionOfBoardMembersInd
Decisions Subject To ApprovaYes (true)DecisionsSubjectToApprovaInd
Minutes Of Governing BodyYes (true)MinutesOfGoverningBodyInd
Minutes Of CommitteesYes (true)MinutesOfCommitteesInd
Officer Mailing AddressfalseOfficerMailingAddressInd
Local ChaptersYes (true)LocalChaptersInd
Policies Reference ChaptersYes (true)PoliciesReferenceChaptersInd
Form990 Provided To Gvrn BodyYes (true)Form990ProvidedToGvrnBodyInd
Conflict Of Interest PolicyYes (true)ConflictOfInterestPolicyInd
Annual Disclosure Covered PrsnYes (true)AnnualDisclosureCoveredPrsnInd
Regular Monitoring EnfrcYes (true)RegularMonitoringEnfrcInd
Whistleblower PolicyYes (true)WhistleblowerPolicyInd
Document Retention PolicyYes (true)DocumentRetentionPolicyInd
Compensation Process CEOYes (true)CompensationProcessCEOInd
Compensation Process OtherYes (true)CompensationProcessOtherInd
Investment In Joint VentureYes (true)InvestmentInJointVentureInd
Written Policy Or ProcedureYes (true)WrittenPolicyOrProcedureInd
States Where Copy Of Return Is FldILStatesWhereCopyOfReturnIsFldCd
Upon RequestYes (X)UponRequestInd

Books In Care Of Detail BooksInCareOfDetail

FieldValueIRS element (for citing)
PersonJAMES DOHENEYPersonNm
Phone6309295543PhoneNum

US Address USAddress

FieldValueIRS element (for citing)
Address Line13075 HIGHLAND PARKWAY SUITE 600AddressLine1Txt
CityDOWNERS GROVECityNm
State AbbreviationILStateAbbreviationCd
ZIP60515ZIPCd
FieldValueIRS element (for citing)
Info In Schedule O Part VIIYes (X)InfoInScheduleOPartVIIInd

Form990 Part VII Section A Form990PartVIISectionAGrp (40 entries)

TitleTitleTxtAverage Hours Per WeekAverageHoursPerWeekRtAverage Hours Per Week Rltd OrgAverageHoursPerWeekRltdOrgRtIndividual Trustee Or DirectorIndividualTrusteeOrDirectorIndOfficerOfficerIndReportable Comp From OrgReportableCompFromOrgAmtReportable Comp From Rltd OrgReportableCompFromRltdOrgAmtOther CompensationOtherCompensationAmtKey EmployeeKeyEmployeeIndHighest Compensated EmployeeHighestCompensatedEmployeeIndFormer Ofcr Director TrusteeFormerOfcrDirectorTrusteeInd
James Skogsbergh
President & CEO, Director40.04.0Yes (X)Yes (X)$10,051,752$0$1,676,704
Michele Baker Richardson
Chairperson, Director1.03.0Yes (X)$0$0$0
John Timmer
Vice Chairperson, Director1.03.0Yes (X)$0$0$0
Gail D Hasbrouck
Corp Secretary 01/17, DIRECTOR40.08.0Yes (X)Yes (X)$901,912$0$108,754
David Anderson
Director1.03.0Yes (X)$0$0$0
Rev Dr Nathaniel Edmond
Director1.04.0Yes (X)$0$4,050$0
Ron Greene
Director1.03.0Yes (X)$0$0$0
Mark Harris
Director1.03.0Yes (X)$0$0$0
Lynn Crump-Caine
Director1.03.0Yes (X)$0$0$0
Clarence Nixon Jr PhD
Director1.03.0Yes (X)$0$0$0
Rick Jakle
Director1.04.0Yes (X)$0$4,050$0
Gary Stuck DO
Director1.03.0Yes (X)$0$0$0
William P Santulli
Executive Vice President, COO40.04.0Yes (X)$3,247,863$0$685,966
Lee B Sacks MD
Executive Vice President, CMO40.03.0Yes (X)$1,724,075$0$420,504
James Doheny
VP, SYS CONTR & ASST.TREASURER40.09.0Yes (X)$494,892$0$51,892
Rev Kathie B Schwich
SVP, MISSION & SPIRITUAL CARE40.03.0Yes (X)$548,112$0$223,819
Kevin Brady
SVP, CHF HUMAN RESOURCES OFFC40.04.0Yes (X)$1,114,158$0$311,141
Vincent Bufalino MD
PRESIDENT PHYS& AMB SVCS/AMG40.03.0Yes (X)$1,947,233$0$318,387
Susan Campbell
SVP OF PATIENT CR-CHF NRS OFFC40.05.0Yes (X)$640,991$0$265,302
Kelly Jo Golson
SVP, CHIEF MARKETING OFFICER40.03.0Yes (X)$775,754$0$149,952
Dominic J Nakis
SVP, CFO & TREASURER40.06.0Yes (X)$1,623,475$0$429,664
Scott Powder
SVP, CHIEF STRATEGY OFFICER40.03.0Yes (X)$868,198$0$205,174
Bruce D Smith
SVP, INFORMATION SYS/CIO 07/1740.03.0Yes (X)$826,746$0$113,134
Earl J Barnes II
SVP, Gen Counsel & Corp. Sec40.08.0Yes (X)$637,319$0$239,712
Barbara Byrne MD
SVP, Chief Information Officer40.03.0Yes (X)$254,696$0$207,148
Michael Farrell
PRESIDENT -ADV CHILDREN'S HOSP40.00.0$2,730,710$0$532,080Yes (X)
David Fox
President, Good Samaritan Hosp40.00.0$1,047,619$0$260,447Yes (X)
Dominica Tallarico
PRES LUTHERAN/CONDELL20.020.0$284,500$660,197$284,030Yes (X)
Terika Richardson
PRESIDENT, TRINITY/S-SUB HOSP40.00.0$423,607$0$232,538Yes (X)
Richard Heim
President, Christ Medical CTR40.00.0$777,117$0$263,168Yes (X)
Colleen Kannaday
President, BroMenn Medical CTR40.01.0$908,073$0$215,708Yes (X)
Karen Lambert
President,Good Shepherd/Condel20.021.0$984,857$0$260,021Yes (X)
Kenneth Lukhard
President, Christ Med 07/1740.00.0$1,296,648$0$159,518Yes (X)
Rick Floyd
PRESIDENT, LUTHERAN HOSP 07/1740.01.0$1,794,701$0$163,539Yes (X)
Hamad Farhat
Neurosurgeon40.00.0$1,726,438$0$53,513Yes (X)
Michel Ilbawi
Pediatric CV Surgery40.00.0$1,274,578$0$45,850Yes (X)
Dean Karahalios
Neurosurgeon40.00.0$1,186,480$0$61,342Yes (X)
Egon Doppenberg
Neurosurgeon40.00.0$1,089,995$0$42,589Yes (X)
Ryan Trombly
Neurosurgeon40.00.0$1,011,158$0$56,605Yes (X)
James Dan MD
PRES PHYS& AMB SVCS/AMG - 7/160.00.0$849,710$0$63,919Yes (X)
FieldValueIRS element (for citing)
Total Reportable Comp From Org$43,043,367TotalReportableCompFromOrgAmt
Tot Reportable Comp Rltd Org$668,297TotReportableCompRltdOrgAmt
Total Other Compensation$8,102,120TotalOtherCompensationAmt
Indiv Rcvd Greater Than100 K3454IndivRcvdGreaterThan100KCnt
Former Ofcr Employees ListedYes (true)FormerOfcrEmployeesListedInd
Total Comp Greater Than150 KYes (true)TotalCompGreaterThan150KInd
Compensation From Other SrcsfalseCompensationFromOtherSrcsInd

Contractor Compensation ContractorCompensationGrp (5 entries)

Address Line1ContractorAddress/USAddress/AddressLine1TxtCityContractorAddress/USAddress/CityNmState AbbreviationContractorAddress/USAddress/StateAbbreviationCdZIPContractorAddress/USAddress/ZIPCdServicesServicesDescCompensationCompensationAmt
POWER CONSTRUCTION COMPANY LLC
2360 N PALMER DRSCHAUMBURGIL601733818CONSTRUCTION CONTR$26,088,685
ARAMARK HEALTHCARE SUPPORT SERVICES
25271 NETWORK PLACECHICAGOIL606731252HOSPITAL SERVICES$24,838,559
FORWARD SPACE LLC
1142 N NORTH BRANCHCHICAGOIL60642ASSET MANAGEMENT$11,221,953
ALLSCRIPTS HEALTHCARE LLC
24630 NETWORK PLACECHICAGOIL606731246MEDICAL SOFTWARE$9,192,116
SUPERIOR HEALTH LINENS LLC
5005 S PACKARD AVENUECUDAHYWI53110LAUNDRY SERVICES$6,929,788
FieldValueIRS element (for citing)
Cntrct Rcvd Greater Than100 K154CntrctRcvdGreaterThan100KCnt
Related Organizations$21,108,492RelatedOrganizationsAmt
Government Grants$3,168,107GovernmentGrantsAmt
All Other Contributions$5,156,657AllOtherContributionsAmt
Total Contributions$29,433,256TotalContributionsAmt

Program Service Revenue ProgramServiceRevenueGrp (5 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtRelated Or Exempt Func IncomeRelatedOrExemptFuncIncomeAmtUnrelated Business RevenueUnrelatedBusinessRevenueAmt
MEDICARE/MEDICAID622110$1,466,802,295$1,466,802,295
PATIENT SERVICE REVENUE622110$1,330,845,766$1,330,845,766
BLUE CROSS/ MANAGED CARE622110$1,209,619,582$1,209,619,582
PHARMACY446110$595,836,284$595,722,829$113,455
LABORATORY621511$456,348,999$389,240,667$67,108,332
FieldValueIRS element (for citing)
Total Program Service Revenue$5,059,452,926TotalProgramServiceRevenueAmt

Investment Income InvestmentIncomeGrp

FieldValueIRS element (for citing)
Total Revenue Column$193,839,135TotalRevenueColumnAmt
Unrelated Business Revenue-$21,467,184UnrelatedBusinessRevenueAmt
Exclusion$215,306,319ExclusionAmt

Incm From Invest Bond Proceeds IncmFromInvestBondProceedsGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Royalties Revenue RoyaltiesRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$208,765TotalRevenueColumnAmt
Exclusion$208,765ExclusionAmt

Gross Rents GrossRentsGrp

FieldValueIRS element (for citing)
Real$9,088,899RealAmt

Less Rental Expenses LessRentalExpensesGrp

FieldValueIRS element (for citing)
Real$9,048,785RealAmt

Rental Income Or Loss RentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Real$40,114RealAmt
Personal$0PersonalAmt

Net Rental Income Or Loss NetRentalIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$40,114TotalRevenueColumnAmt
Exclusion$40,114ExclusionAmt

Gross Amount Sales Assets GrossAmountSalesAssetsGrp

FieldValueIRS element (for citing)
Securities$2,278,204,575SecuritiesAmt
Other$2,965,022OtherAmt

Less Cost Oth Basis Sales Expnss LessCostOthBasisSalesExpnssGrp

FieldValueIRS element (for citing)
Securities$2,240,515,050SecuritiesAmt
Other$24,288,113OtherAmt

Gain Or Loss GainOrLossGrp

FieldValueIRS element (for citing)
Securities$37,689,525SecuritiesAmt
Other-$21,323,091OtherAmt

Net Gain Or Loss Investments NetGainOrLossInvestmentsGrp

FieldValueIRS element (for citing)
Total Revenue Column$16,366,434TotalRevenueColumnAmt
Exclusion$16,366,434ExclusionAmt
FieldValueIRS element (for citing)
Fundraising Gross Income$800FundraisingGrossIncomeAmt
Fundraising Direct Expenses$0FundraisingDirectExpensesAmt

Net Incm From Fundraising Evt NetIncmFromFundraisingEvtGrp

FieldValueIRS element (for citing)
Total Revenue Column$800TotalRevenueColumnAmt
Exclusion$800ExclusionAmt
FieldValueIRS element (for citing)
Gaming Gross Income$0GamingGrossIncomeAmt
Gaming Direct Expenses$0GamingDirectExpensesAmt

Net Income From Gaming NetIncomeFromGamingGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt
FieldValueIRS element (for citing)
Gross Sales Of Inventory$0GrossSalesOfInventoryAmt
Cost Of Goods Sold$0CostOfGoodsSoldAmt

Net Income Or Loss NetIncomeOrLossGrp

FieldValueIRS element (for citing)
Total Revenue Column$0TotalRevenueColumnAmt

Other Revenue Misc OtherRevenueMiscGrp (3 entries)

DescDescBusinessBusinessCdTotal Revenue ColumnTotalRevenueColumnAmtExclusionExclusionAmt
CAFETERIA REVENUE722514$9,381,565$9,381,565
MISCELLANEOUS621999$839,939$839,939
GIFT SHOP812930$800,104$800,104

Miscellaneous Revenue MiscellaneousRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$31,694TotalRevenueColumnAmt
Exclusion$31,694ExclusionAmt
FieldValueIRS element (for citing)
Other Revenue Total$11,053,302OtherRevenueTotalAmt

Total Revenue TotalRevenueGrp

FieldValueIRS element (for citing)
Total Revenue Column$5,310,394,732TotalRevenueColumnAmt
Related Or Exempt Func Income$4,975,964,066RelatedOrExemptFuncIncomeAmt
Unrelated Business Revenue$62,021,676UnrelatedBusinessRevenueAmt
Exclusion$242,975,734ExclusionAmt

Grants To Domestic Orgs GrantsToDomesticOrgsGrp

FieldValueIRS element (for citing)
Total$4,367,511TotalAmt
Program Services$4,367,511ProgramServicesAmt

Grants To Domestic Individuals GrantsToDomesticIndividualsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Foreign Grants ForeignGrantsGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Benefits To Members BenefitsToMembersGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Comp Current Ofcr Directors CompCurrentOfcrDirectorsGrp

FieldValueIRS element (for citing)
Total$35,908,008TotalAmt
Program Services$32,754,516ProgramServicesAmt
Management And General$3,149,882ManagementAndGeneralAmt
Fundraising$3,610FundraisingAmt

Comp Disqual Persons CompDisqualPersonsGrp

FieldValueIRS element (for citing)
Total$1,189,786TotalAmt
Program Services$1,189,786ProgramServicesAmt

Other Salaries And Wages OtherSalariesAndWagesGrp

FieldValueIRS element (for citing)
Total$1,943,543,371TotalAmt
Program Services$1,772,858,643ProgramServicesAmt
Management And General$170,489,310ManagementAndGeneralAmt
Fundraising$195,418FundraisingAmt

Pension Plan Contributions PensionPlanContributionsGrp

FieldValueIRS element (for citing)
Total$66,450,841TotalAmt
Program Services$58,922,777ProgramServicesAmt
Management And General$7,521,508ManagementAndGeneralAmt
Fundraising$6,556FundraisingAmt

Other Employee Benefits OtherEmployeeBenefitsGrp

FieldValueIRS element (for citing)
Total$239,098,503TotalAmt
Program Services$219,363,897ProgramServicesAmt
Management And General$19,711,016ManagementAndGeneralAmt
Fundraising$23,590FundraisingAmt

Payroll Taxes PayrollTaxesGrp

FieldValueIRS element (for citing)
Total$127,933,370TotalAmt
Program Services$117,389,665ProgramServicesAmt
Management And General$10,531,083ManagementAndGeneralAmt
Fundraising$12,622FundraisingAmt

Fees For Services Management FeesForServicesManagementGrp

FieldValueIRS element (for citing)
Total$47,543TotalAmt
Management And General$47,543ManagementAndGeneralAmt

Fees For Services Legal FeesForServicesLegalGrp

FieldValueIRS element (for citing)
Total$6,276,355TotalAmt
Management And General$6,276,355ManagementAndGeneralAmt

Fees For Services Accounting FeesForServicesAccountingGrp

FieldValueIRS element (for citing)
Total$1,583,247TotalAmt
Management And General$1,583,247ManagementAndGeneralAmt

Fees For Services Lobbying FeesForServicesLobbyingGrp

FieldValueIRS element (for citing)
Total$1,291,483TotalAmt
Management And General$1,291,483ManagementAndGeneralAmt

Fees For Services Prof Fundraising FeesForServicesProfFundraising

FieldValueIRS element (for citing)
Total$0TotalAmt

Fees For Srvc Invst Mgmnt Fees FeesForSrvcInvstMgmntFeesGrp

FieldValueIRS element (for citing)
Total$8,522,441TotalAmt
Management And General$8,522,441ManagementAndGeneralAmt

Fees For Services Other FeesForServicesOtherGrp

FieldValueIRS element (for citing)
Total$411,633,243TotalAmt
Management And General$411,633,243ManagementAndGeneralAmt

Advertising AdvertisingGrp

FieldValueIRS element (for citing)
Total$15,089,633TotalAmt
Program Services$1,149,378ProgramServicesAmt
Management And General$13,940,255ManagementAndGeneralAmt

Office Expenses OfficeExpensesGrp

FieldValueIRS element (for citing)
Total$39,482,888TotalAmt
Program Services$36,602,274ProgramServicesAmt
Management And General$2,880,614ManagementAndGeneralAmt

Information Technology InformationTechnologyGrp

FieldValueIRS element (for citing)
Total$113,093,405TotalAmt
Program Services$107,428,788ProgramServicesAmt
Management And General$5,664,617ManagementAndGeneralAmt

Royalties RoyaltiesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Occupancy OccupancyGrp

FieldValueIRS element (for citing)
Total$92,634,248TotalAmt
Program Services$85,858,262ProgramServicesAmt
Management And General$6,775,986ManagementAndGeneralAmt

Travel TravelGrp

FieldValueIRS element (for citing)
Total$7,413,242TotalAmt
Program Services$5,247,786ProgramServicesAmt
Management And General$2,165,456ManagementAndGeneralAmt

Pymt Travel Entrtnmnt Pub Ofcl PymtTravelEntrtnmntPubOfclGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Conferences Meetings ConferencesMeetingsGrp

FieldValueIRS element (for citing)
Total$8,362,474TotalAmt
Program Services$6,740,745ProgramServicesAmt
Management And General$1,621,729ManagementAndGeneralAmt

Interest InterestGrp

FieldValueIRS element (for citing)
Total$56,387,332TotalAmt
Program Services$56,386,115ProgramServicesAmt
Management And General$1,217ManagementAndGeneralAmt

Payments To Affiliates PaymentsToAffiliatesGrp

FieldValueIRS element (for citing)
Total$0TotalAmt

Depreciation Depletion DepreciationDepletionGrp

FieldValueIRS element (for citing)
Total$226,044,722TotalAmt
Program Services$190,940,200ProgramServicesAmt
Management And General$35,104,522ManagementAndGeneralAmt

Insurance InsuranceGrp

FieldValueIRS element (for citing)
Total$57,014,062TotalAmt
Program Services$55,867,185ProgramServicesAmt
Management And General$1,146,877ManagementAndGeneralAmt

Other Expenses OtherExpensesGrp (4 entries)

DescDescTotalTotalAmtProgram ServicesProgramServicesAmtManagement And GeneralManagementAndGeneralAmt
INCOME TAXES$908,746$908,746
MEDICAL SUPPLIES$615,136,790$617,076,905-$1,940,115
OTHER INTERCOMPANY$556,394,330$550,452,956$5,941,374
BAD DEBT$149,300,541$149,300,541

All Other Expenses AllOtherExpensesGrp

FieldValueIRS element (for citing)
Total$282,153,372TotalAmt
Program Services$273,339,784ProgramServicesAmt
Management And General$8,753,330ManagementAndGeneralAmt
Fundraising$60,258FundraisingAmt

Total Functional Expenses TotalFunctionalExpensesGrp

FieldValueIRS element (for citing)
Total$5,067,261,487TotalAmt
Program Services$4,344,146,460ProgramServicesAmt
Management And General$722,812,973ManagementAndGeneralAmt
Fundraising$302,054FundraisingAmt

Cash Non Interest Bearing CashNonInterestBearingGrp

FieldValueIRS element (for citing)
BOY$72,502,289BOYAmt
EOY$229,765,090EOYAmt

Savings And Temp Cash Invst SavingsAndTempCashInvstGrp

FieldValueIRS element (for citing)
BOY$116,271BOYAmt
EOY$164,106EOYAmt

Pledges And Grants Receivable PledgesAndGrantsReceivableGrp

FieldValueIRS element (for citing)
BOY$2,289,692BOYAmt
EOY$2,756,131EOYAmt

Accounts Receivable AccountsReceivableGrp

FieldValueIRS element (for citing)
BOY$549,970,922BOYAmt
EOY$599,997,888EOYAmt

Receivables From Officers Etc ReceivablesFromOfficersEtcGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Rcvbl From Disqualified Prsn RcvblFromDisqualifiedPrsnGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Oth Notes Loans Receivable Net OthNotesLoansReceivableNetGrp

FieldValueIRS element (for citing)
BOY$166,901,317BOYAmt
EOY$168,687,589EOYAmt

Inventories For Sale Or Use InventoriesForSaleOrUseGrp

FieldValueIRS element (for citing)
BOY$59,914,418BOYAmt
EOY$59,834,765EOYAmt

Prepaid Expenses Defrd Charges PrepaidExpensesDefrdChargesGrp

FieldValueIRS element (for citing)
BOY$61,514,830BOYAmt
EOY$92,523,973EOYAmt
FieldValueIRS element (for citing)
Land Bldg Equip Cost Or Other Bss$4,654,881,596LandBldgEquipCostOrOtherBssAmt
Land Bldg Equip Accum Deprec$2,508,469,723LandBldgEquipAccumDeprecAmt

Land Bldg Equip Basis Net LandBldgEquipBasisNetGrp

FieldValueIRS element (for citing)
BOY$2,120,028,408BOYAmt
EOY$2,146,411,873EOYAmt

Investments Pub Traded Sec InvestmentsPubTradedSecGrp

FieldValueIRS element (for citing)
BOY$1,911,311,721BOYAmt
EOY$1,337,403,342EOYAmt

Investments Other Securities InvestmentsOtherSecuritiesGrp

FieldValueIRS element (for citing)
BOY$2,540,096,942BOYAmt
EOY$3,542,859,311EOYAmt

Investments Program Related InvestmentsProgramRelatedGrp

FieldValueIRS element (for citing)
BOY$34,204,621BOYAmt
EOY$38,293,498EOYAmt

Intangible Assets IntangibleAssetsGrp

FieldValueIRS element (for citing)
BOY$34,472,278BOYAmt
EOY$39,952,082EOYAmt

Other Assets Total OtherAssetsTotalGrp

FieldValueIRS element (for citing)
BOY$205,167,388BOYAmt
EOY$261,142,179EOYAmt

Total Assets TotalAssetsGrp

FieldValueIRS element (for citing)
BOY$7,758,491,097BOYAmt
EOY$8,519,791,827EOYAmt

Accounts Payable Accr Expnss AccountsPayableAccrExpnssGrp

FieldValueIRS element (for citing)
BOY$752,519,456BOYAmt
EOY$745,286,217EOYAmt

Grants Payable GrantsPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Deferred Revenue DeferredRevenueGrp

FieldValueIRS element (for citing)
BOY$1,179,040BOYAmt
EOY$832,965EOYAmt

Tax Exempt Bond Liabilities TaxExemptBondLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,616,781,940BOYAmt
EOY$1,480,667,737EOYAmt

Escrow Account Liability EscrowAccountLiabilityGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Loans From Officers Directors LoansFromOfficersDirectorsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Mortg Notes Pybl Scrd Invst Prop MortgNotesPyblScrdInvstPropGrp

FieldValueIRS element (for citing)
BOY$16,469,861BOYAmt
EOY$16,040,619EOYAmt

Unsecured Notes Loans Payable UnsecuredNotesLoansPayableGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Other Liabilities OtherLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$1,198,133,147BOYAmt
EOY$1,262,197,340EOYAmt

Total Liabilities TotalLiabilitiesGrp

FieldValueIRS element (for citing)
BOY$3,585,083,444BOYAmt
EOY$3,505,024,878EOYAmt
FieldValueIRS element (for citing)
Organization Follows SFAS117Yes (X)OrganizationFollowsSFAS117Ind

Unrestricted Net Assets UnrestrictedNetAssetsGrp

FieldValueIRS element (for citing)
BOY$4,142,791,172BOYAmt
EOY$4,984,078,293EOYAmt

Temporarily Rstr Net Assets TemporarilyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$30,616,481BOYAmt
EOY$30,688,656EOYAmt

Permanently Rstr Net Assets PermanentlyRstrNetAssetsGrp

FieldValueIRS element (for citing)
BOY$0BOYAmt
EOY$0EOYAmt

Total Net Assets Fund Balance TotalNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$4,173,407,653BOYAmt
EOY$5,014,766,949EOYAmt

Tot Liab Net Assets Fund Balance TotLiabNetAssetsFundBalanceGrp

FieldValueIRS element (for citing)
BOY$7,758,491,097BOYAmt
EOY$8,519,791,827EOYAmt
FieldValueIRS element (for citing)
Info In Schedule O Part XIYes (X)InfoInScheduleOPartXIInd
Reconcilation Revenue Expnss$243,133,245ReconcilationRevenueExpnssAmt
Net Unrlzd Gains Losses Invst$250,642,954NetUnrlzdGainsLossesInvstAmt
Other Changes In Net Assets$347,583,097OtherChangesInNetAssetsAmt
Method Of Accounting AccrualYes (X)MethodOfAccountingAccrualInd
Accountant Compile Or ReviewfalseAccountantCompileOrReviewInd
FS AuditedYes (true)FSAuditedInd

FS Audited Basis FSAuditedBasisGrp

FieldValueIRS element (for citing)
Consolidated Basis Fincl StmtYes (X)ConsolidatedBasisFinclStmtInd
FieldValueIRS element (for citing)
Audit CommitteeYes (true)AuditCommitteeInd
Federal Grant Audit RequiredYes (true)FederalGrantAuditRequiredInd
Federal Grant Audit PerformedYes (true)FederalGrantAuditPerformedInd

Schedule A IRS990ScheduleA

FieldValueIRS element (for citing)
HospitalYes (X)HospitalInd

Schedule B IRS990ScheduleB

Schedule C IRS990ScheduleC

FieldValueIRS element (for citing)
Total Grassroots LobbyingTotalGrassrootsLobbyingGrp
Total Direct LobbyingTotalDirectLobbyingGrp
Total Lobbying ExpendTotalLobbyingExpendGrp
Other Exempt Purpose ExpendOtherExemptPurposeExpendGrp
Total Exempt Purpose ExpendTotalExemptPurposeExpendGrp
Lobbying Nontaxable AmountLobbyingNontaxableAmountGrp
Grassroots NontaxableGrassrootsNontaxableGrp
Tot Lbbyng Grassroot Mns Non TxTotLbbyngGrassrootMnsNonTxGrp
Tot Lbby Expend Mns Lbbyng Non TxTotLbbyExpendMnsLbbyngNonTxGrp
VolunteersYes (true)VolunteersInd
Paid Staff Or ManagementYes (true)PaidStaffOrManagementInd
Media AdvertisementsfalseMediaAdvertisementsInd
Mailings MembersYes (true)MailingsMembersInd
Mailings Members$6,878MailingsMembersAmt
Publications Or BroadcastfalsePublicationsOrBroadcastInd
Grants Other OrganizationsfalseGrantsOtherOrganizationsInd
Direct Contact LegislatorsYes (true)DirectContactLegislatorsInd
Direct Contact Legislators$341,944DirectContactLegislatorsAmt
Rallies DemonstrationsfalseRalliesDemonstrationsInd
Other ActivitiesYes (true)OtherActivitiesInd
Other Activities$942,661OtherActivitiesAmt
Total Lobbying Expenditures$1,291,483TotalLobbyingExpendituresAmt
Not Described Section501c3falseNotDescribedSection501c3Ind

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceForm 990, Schedule C, Part II-B, Lines 1A, B, D, GFormAndLineReferenceDesc
ExplanationSUPPLEMENTAL LOBBYING INFORMATION ADVOCATE HEALTH AND HOSPITALS CORPORATION SPONSORS A NURSE ADVOCACY COUNCIL, COMPRISED OF NURSES EMPLOYED BY THE SYSTEM. THIS GROUP PROVIDES LEGISLATIVE FORUMS AND EDUCATION SUMMITS TO APPRISE AND EDUCATE LEGISLATORS OF THE ISSUES FACING THE NURSING PROFESSION AND HOW CHANGES IN LEGISLATION AFFECT PATIENT CARE. FORM 990, SCHEDULE C, PART II-B, LINE 1I ADVOCATE HEALTH AND HOSPITALS CORPORATION IS A MEMBER OF THE AMERICAN HOSPITAL ASSOCIATION AND THE ILLINOIS HEALTH AND HOSPITAL ASSOCIATION. THESE ORGANIZATIONS, AS PART OF THEIR MISSIONS, ADVOCATE IN THE GENERAL ASSEMBLY AND CONGRESS ON LEGAL AND POLICY ISSUES THAT AFFECT HEALTHCARE INCLUDING QUALITY, AFFORDABILITY, PATIENT ACCESS AND ACCREDITATION. A PORTION OF THE ANNUAL MEMBERSHIP DUES PAID TO THESE ORGANIZATIONS IS ATTRIBUTABLE TO THESE LOBBYING ACTIVITIES. ADVOCATE ALSO ENGAGES CERTAIN FIRMS TO LOBBY ON ITS BEHALF REGARDING ISSUES AND POLICIES THAT AFFECT HEALTHCARE SUCH AS QUALITY, AFFORDABILITY AND PATIENT ACCESS. ADVOCATE ALSO REIMBURSES VARIOUS ASSOCIATES FOR DUES PAID TO VARIOUS PROFESSIONAL ORGANIZATIONS AND ALSO FOR EDUCATIONAL EXPENSES PROVIDED BY PROFESSIONAL AND MEMBERSHIP ORGANIZATIONS. ADVOCATE ENDEAVORS TO IDENTIFY THE PORTION OF DUES OR FEES PAID TO THESE ORGANIZATIONS WHICH ARE ATTRIBUTABLE TO LOBBYING ACTIVITIES.ExplanationTxt

Schedule D IRS990ScheduleD

FieldValueIRS element (for citing)
Art Public Exhibition AmountsArtPublicExhibitionAmountsGrp
Held Works ArtHeldWorksArtGrp
CY Minus3 Yr Endwmt FundCYMinus3YrEndwmtFundGrp
CY Minus4 Yr Endwmt FundCYMinus4YrEndwmtFundGrp

Land LandGrp

FieldValueIRS element (for citing)
Investment Cost Or Other Basis$12,815,456InvestmentCostOrOtherBasisAmt
Other Cost Or Other Basis$158,161,113OtherCostOrOtherBasisAmt
Book Value$170,976,569BookValueAmt

Buildings BuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$2,748,705,875OtherCostOrOtherBasisAmt
Depreciation$1,307,812,155DepreciationAmt
Book Value$1,440,893,720BookValueAmt

Leasehold Improvements LeaseholdImprovementsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$121,044,034OtherCostOrOtherBasisAmt
Depreciation$65,864,814DepreciationAmt
Book Value$55,179,220BookValueAmt

Equipment EquipmentGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$1,500,816,361OtherCostOrOtherBasisAmt
Depreciation$1,134,615,408DepreciationAmt
Book Value$366,200,953BookValueAmt

Other Land Buildings OtherLandBuildingsGrp

FieldValueIRS element (for citing)
Other Cost Or Other Basis$113,338,757OtherCostOrOtherBasisAmt
Depreciation$177,346DepreciationAmt
Book Value$113,161,411BookValueAmt
FieldValueIRS element (for citing)
Total Book Value Land Buildings$2,146,411,873TotalBookValueLandBuildingsAmt
Financial DerivativesFinancialDerivativesGrp

Closely Held Equity Interests CloselyHeldEquityInterestsGrp

FieldValueIRS element (for citing)
Book Value$3,542,859,311BookValueAmt
Method ValuationFMethodValuationCd
FieldValueIRS element (for citing)
Total Book Value Securities$3,542,859,311TotalBookValueSecuritiesAmt
Federal Income Tax Liability$0FederalIncomeTaxLiabilityAmt

Other Liabilities Org OtherLiabilitiesOrgGrp (11 entries)

DescDescAmtAmt
SELF INSURANCE LIABILITY$668,795,221
3RD PARTY SETTLEMENTS$197,607,999
EXECUTIVE PENSION LIABILITY & DEF COMP$121,839,181
TAXABLE TERM LOAN$114,813,071
INTEREST RATE SWAP MTM SERIES$73,874,557
UNFUNDED HRA/DRA$28,480,402
OBLIGATION TO RETURN COLLATERAL$19,576,912
LONG TERM DISABILITY$18,455,200
REMEDIATION COST ACCRUAL$16,375,633
DEFERRED CONTRACTS$2,212,305
DEACONESS RESIDENCE LIABILITY$166,859
FieldValueIRS element (for citing)
Total Liability$1,262,197,340TotalLiabilityAmt

Schedule F IRS990ScheduleF

Account Activities Outside US AccountActivitiesOutsideUSGrp (12 entries)

RegionRegionTxtOfficesOfficesCntEmployeeEmployeeCntType Of Activities ConductedTypeOfActivitiesConductedTxtRegion Total ExpendituresRegionTotalExpendituresAmtSpecific Services ProvidedSpecificServicesProvidedTxt
Central America and the Caribbean11Investments$1,321,941,750
Central America and the CaribbeanProgram Services$18,769,935Self-Insurance
East Asia and the PacificInvestments$98,066,589
East Asia and the PacificProgram Services$2,776Conference
Europe (Including Iceland and Greenland)Investments$583,390,571
Europe (Including Iceland and Greenland)Program Services$15,620Conference
Middle East and North AfricaInvestments$460,198
Middle East and North AfricaProgram Services$19,406Conference
North AmericaInvestments$31,356,202
North AmericaProgram Services$609Conference
South AmericaInvestments$1,066,845
South AsiaProgram Services$4,389Conference
FieldValueIRS element (for citing)
Subtotal Offices1SubtotalOfficesCnt
Subtotal Employees1SubtotalEmployeesCnt
Total Office1TotalOfficeCnt
Total Employee1TotalEmployeeCnt
Subtotal Spent$2,055,094,890SubtotalSpentAmt
Total Spent$2,055,094,890TotalSpentAmt
Transfer To Foreign CorpYes (true)TransferToForeignCorpInd
Interest In Foreign TrustfalseInterestInForeignTrustInd
Foreign Corp OwnershipYes (true)ForeignCorpOwnershipInd
Passive Foreign Investmest CoYes (true)PassiveForeignInvestmestCoInd
Foreign PartnershipYes (true)ForeignPartnershipInd
Boycott CountriesfalseBoycottCountriesInd

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceForm 990, Schedule F, Part I, Line 3FormAndLineReferenceDesc
ExplanationTotal Expenditures The Expenditures reported in Part I, Line 3 are based on the cash paid for these activities.ExplanationTxt

Schedule H IRS990ScheduleH

FieldValueIRS element (for citing)
Financial Assistance PolicyYes (true)FinancialAssistancePolicyInd
Written PolicyYes (true)WrittenPolicyInd
All Hospitals PolicyYes (X)AllHospitalsPolicyInd
FPG Reference Free CareYes (true)FPGReferenceFreeCareInd
Percent200Yes (X)Percent200Ind
FPG Reference Discounted CareYes (true)FPGReferenceDiscountedCareInd

Discounted Care Oth Percentage DiscountedCareOthPercentageGrp

FieldValueIRS element (for citing)
OtherYes (X)OtherInd
Discounted Care Other600.DiscountedCareOtherPct
FieldValueIRS element (for citing)
Free Care Medically IndigentYes (true)FreeCareMedicallyIndigentInd
Financial Assistance BudgetYes (true)FinancialAssistanceBudgetInd
Expenses Exceed BudgetfalseExpensesExceedBudgetInd
Annual Community Bnft ReportYes (true)AnnualCommunityBnftReportInd
Report Publically AvailableYes (true)ReportPublicallyAvailableInd

Financial Assistance At Cost Typ FinancialAssistanceAtCostTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$39,040,642TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$17,056DirectOffsettingRevenueAmt
Net Community Benefit Expns$39,023,586NetCommunityBenefitExpnsAmt
Total Expense0.00790TotalExpensePct

Unreimbursed Medicaid UnreimbursedMedicaidGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$739,761,883TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$544,338,106DirectOffsettingRevenueAmt
Net Community Benefit Expns$195,423,777NetCommunityBenefitExpnsAmt
Total Expense0.03970TotalExpensePct

Total Financial Assistance Typ TotalFinancialAssistanceTyp

FieldValueIRS element (for citing)
Total Community Benefit Expns$778,802,525TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$544,355,162DirectOffsettingRevenueAmt
Net Community Benefit Expns$234,447,363NetCommunityBenefitExpnsAmt
Total Expense0.04760TotalExpensePct

Community Health Services CommunityHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$8,209,981TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$8,209,981NetCommunityBenefitExpnsAmt
Total Expense0.00170TotalExpensePct

Health Professions Education HealthProfessionsEducationGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$113,581,599TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$23,996,082DirectOffsettingRevenueAmt
Net Community Benefit Expns$89,585,517NetCommunityBenefitExpnsAmt
Total Expense0.01820TotalExpensePct

Subsidized Health Services SubsidizedHealthServicesGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$26,800,938TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$22,642,663DirectOffsettingRevenueAmt
Net Community Benefit Expns$4,158,275NetCommunityBenefitExpnsAmt
Total Expense0.00080TotalExpensePct

Cash And In Kind Contributions CashAndInKindContributionsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$4,555,663TotalCommunityBenefitExpnsAmt
Net Community Benefit Expns$4,555,663NetCommunityBenefitExpnsAmt
Total Expense0.00090TotalExpensePct

Total Other Benefits TotalOtherBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$153,148,181TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$46,638,745DirectOffsettingRevenueAmt
Net Community Benefit Expns$106,509,436NetCommunityBenefitExpnsAmt
Total Expense0.02160TotalExpensePct

Total Community Benefits TotalCommunityBenefitsGrp

FieldValueIRS element (for citing)
Total Community Benefit Expns$931,950,706TotalCommunityBenefitExpnsAmt
Direct Offsetting Revenue$590,993,907DirectOffsettingRevenueAmt
Net Community Benefit Expns$340,956,799NetCommunityBenefitExpnsAmt
Total Expense0.06920TotalExpensePct
FieldValueIRS element (for citing)
Bad Debt Expense ReportedfalseBadDebtExpenseReportedInd
Bad Debt Expense$149,300,541BadDebtExpenseAmt
Bad Debt Expense Attributable$13,877,921BadDebtExpenseAttributableAmt
Reimbursed By Medicare$1,123,174,347ReimbursedByMedicareAmt
Cost Of Care Reimbursed By Medcr$1,298,480,669CostOfCareReimbursedByMedcrAmt
Medicare Surplus Or Shortfall-$175,306,322MedicareSurplusOrShortfallAmt

Costing Methodology Used CostingMethodologyUsedGrp

FieldValueIRS element (for citing)
Cost To Charge RatioYes (X)CostToChargeRatioInd
FieldValueIRS element (for citing)
Written Debt Collection PolicyYes (true)WrittenDebtCollectionPolicyInd
Financial Assistance PrvsnYes (true)FinancialAssistancePrvsnInd
Hospital Facilities8HospitalFacilitiesCnt

Hospital Facilities HospitalFacilitiesGrp (8 entries)

FacilityFacilityNumAddress Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdWebsite AddressWebsiteAddressTxtState LicenseStateLicenseNumLicensed HospitalLicensedHospitalIndGeneral Medical And SurgicalGeneralMedicalAndSurgicalIndChildrens HospitalChildrensHospitalIndTeaching HospitalTeachingHospitalIndEmergency Room24 HrsEmergencyRoom24HrsIndCritical Access HospitalCriticalAccessHospitalInd
CHRIST HOSP INCL HOPE CHILDREN'S HOSP
14440 WEST 95TH STREETOAK LAWNIL60453http://www.advocatehealth.com/cmc/0000315Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)
LUTHERAN GEN HOSP INCL LUTH GEN CHILD
21775 DEMPSTER STREETPARK RIDGEIL60068http://www.advocatehealth.com/luth/0004796Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)
GOOD SAMARITAN HOSPITAL
33815 HIGHLAND AVENUEDOWNERS GROVEIL60515http://www.advocatehealth.com/gsam/0003384Yes (X)Yes (X)Yes (X)
GOOD SHEPHERD HOSPITAL
4450 W HIGHWAY 22BARRINGTONIL60010http://www.advocatehealth.com/gshp/0003475Yes (X)Yes (X)Yes (X)
SOUTH SUBURBAN HOSPITAL & ICU
517800 S KEDZIEHAZEL CRESTIL60429http://www.advocatehealth.com/ssub/0004697Yes (X)Yes (X)Yes (X)
BROMENN MEDICAL CENTER
61304 FRANKLIN AVENORMALIL61761http://www.advocatehealth.com/BROMENN/0005645Yes (X)Yes (X)Yes (X)
TRINITY HOSPITAL
72320 EAST 93RD STREETCHICAGOIL60617http://www.advocatehealth.com/TRIN/0004176Yes (X)Yes (X)Yes (X)
EUREKA HOSPITAL
8101 S MAJOR STREETEUREKAIL61530http://www.advocatehealth.com/eureka/0005652Yes (X)Yes (X)Yes (X)Yes (X)

Hospital Fclty Policies Prctc HospitalFcltyPoliciesPrctcGrp (8 entries)

FacilityFacilityNumFirst Licensed CY Or PYFirstLicensedCYOrPYIndTax Exempt Hospital CY Or PYTaxExemptHospitalCYOrPYIndCHNA ConductedCHNAConductedIndCommunity DefinitionCommunityDefinitionIndCommunity DemographicsCommunityDemographicsIndExisting ResourcesExistingResourcesIndHow Data ObtainedHowDataObtainedIndCommunity Health NeedsCommunityHealthNeedsIndOther Health IssuesOtherHealthIssuesIndCommunity Hlth Needs Id ProcessCommunityHlthNeedsIdProcessIndConsulting ProcessConsultingProcessIndPrior CHNA ImpactPriorCHNAImpactIndCHNA ConductedCHNAConductedYrTake Into Account Others InputTakeIntoAccountOthersInputIndCHNA Conducted With Other FcltsCHNAConductedWithOtherFcltsIndCHNA Conducted With Non FcltsCHNAConductedWithNonFcltsIndCHNA Report Widely AvailableCHNAReportWidelyAvailableIndRpt Available On Own WebsiteRptAvailableOnOwnWebsiteIndOwn Website URLOwnWebsiteURLTxtPaper Copy Public InspectionPaperCopyPublicInspectionIndRpt Available Thru Other MethodRptAvailableThruOtherMethodIndImplementation Strategy AdoptImplementationStrategyAdoptIndImplementation Strategy AdptImplementationStrategyAdptYrStrategy Posted WebsiteStrategyPostedWebsiteIndStrategy Website URLStrategyWebsiteURLTxtOrganization Incur Excise TaxOrganizationIncurExciseTaxIndElig Criteria ExplainedEligCriteriaExplainedIndFPG Family Incm Lmt Free DscntFPGFamilyIncmLmtFreeDscntIndFPG Family Incm Lmt Free CareFPGFamilyIncmLmtFreeCarePctFPG Family Incm Lmt Dscnt CareFPGFamilyIncmLmtDscntCarePctMedical Indigency CriteriaMedicalIndigencyCriteriaIndInsurance Status CriteriaInsuranceStatusCriteriaIndUnderinsurance Stat CriteriaUnderinsuranceStatCriteriaIndResidency CriteriaResidencyCriteriaIndOther CriteriaOtherCriteriaIndExplained BasisExplainedBasisIndApp Financial Asst ExplnAppFinancialAsstExplnIndDescribed InfoDescribedInfoIndDescribed Suprt DocDescribedSuprtDocIndProvided Hospital ContactProvidedHospitalContactIndIncludes Publicity MeasuresIncludesPublicityMeasuresIndFAP Available On WebsiteFAPAvailableOnWebsiteIndFAP Available On Website URLFAPAvailableOnWebsiteURLTxtFAP App Available On WebsiteFAPAppAvailableOnWebsiteIndFAP App Available On Website URLFAPAppAvailableOnWebsiteURLTxtFAP Summary On WebsiteFAPSummaryOnWebsiteIndFAP Summary On Website URLFAPSummaryOnWebsiteURLTxtFAP Avlbl On Request No ChargeFAPAvlblOnRequestNoChargeIndFAP App Avlbl On Request No ChrgFAPAppAvlblOnRequestNoChrgIndFAP Sum Avlbl On Request No ChrgFAPSumAvlblOnRequestNoChrgIndNotified FAP Copy Bill DisplayNotifiedFAPCopyBillDisplayIndFAP TranslatedFAPTranslatedIndOther PublicityOtherPublicityIndFAP Actions On NonpaymentFAPActionsOnNonpaymentIndPermit No ActionsPermitNoActionsIndCollection ActivitiesCollectionActivitiesIndProvided Written NoticeProvidedWrittenNoticeIndMade Effort Orally NotifyMadeEffortOrallyNotifyIndProcessed FAP ApplicationProcessedFAPApplicationIndMade Presumptive Elig DetermMadePresumptiveEligDetermIndOther Actions TakenOtherActionsTakenIndNondis Emergency Care PolicyNondisEmergencyCarePolicyIndLook Back Medicare PrivateLookBackMedicarePrivateIndAmounts Generally BilledAmountsGenerallyBilledIndGross ChargesGrossChargesIndOther WebsiteOtherWebsiteIndOther Website URLOtherWebsiteURLTxt
CHRIST HOSP INCL HOPE CHILDREN'S HOSP
1falsefalseYes (true)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)16Yes (true)Yes (true)Yes (true)Yes (true)Yes (X)WWW.ADVOCATEHEALTH.COM/CHNAREPORTSYes (X)Yes (X)Yes (true)17Yes (true)WWW.ADVOCATEHEALTH.COM/CHNAREPORTSfalseYes (true)Yes (X)200.600.Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (true)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)SEE SECTION CYes (X)SEE SECTION CYes (X)SEE SECTION CYes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)falseYes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)falsefalse
LUTHERAN GEN HOSP INCL LUTH GEN CHILD
2falsefalseYes (true)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)16Yes (true)Yes (true)Yes (true)Yes (true)Yes (X)WWW.ADVOCATEHEALTH.COM/CHNAREPORTSYes (X)Yes (X)Yes (true)17Yes (true)WWW.ADVOCATEHEALTH.COM/CHNAREPORTSfalseYes (true)Yes (X)200.600.Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (true)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)SEE SECTION CYes (X)SEE SECTION CYes (X)SEE SECTION CYes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)falseYes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)falsefalse
GOOD SAMARITAN HOSPITAL
3falsefalseYes (true)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)16Yes (true)falsefalseYes (true)Yes (X)WWW.ADVOCATEHEALTH.COM/CHNAREPORTSYes (X)Yes (X)Yes (true)17Yes (true)WWW.ADVOCATEHEALTH.COM/CHNAREPORTSfalseYes (true)Yes (X)200.600.Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (true)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)SEE SECTION CYes (X)SEE SECTION CYes (X)SEE SECTION CYes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)falseYes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)falsefalse
GOOD SHEPHERD HOSPITAL
4falsefalseYes (true)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)16Yes (true)Yes (true)falseYes (true)Yes (X)WWW.ADVOCATEHEALTH.COM/CHNAREPORTSYes (X)Yes (X)Yes (true)17Yes (true)WWW.ADVOCATEHEALTH.COM/CHNAREPORTSfalseYes (true)Yes (X)200.600.Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (true)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)SEE SECTION CYes (X)SEE SECTION CYes (X)SEE SECTION CYes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)falseYes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)falsefalse
SOUTH SUBURBAN HOSPITAL & ICU
5falsefalseYes (true)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)16Yes (true)Yes (true)Yes (true)Yes (true)Yes (X)WWW.ADVOCATEHEALTH.COM/CHNAREPORTSYes (X)Yes (X)Yes (true)17Yes (true)WWW.ADVOCATEHEALTH.COM/CHNAREPORTSfalseYes (true)Yes (X)200.600.Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (true)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)SEE SECTION CYes (X)SEE SECTION CYes (X)SEE SECTION CYes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)falseYes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)falsefalse
BROMENN MEDICAL CENTER
6falsefalseYes (true)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)16Yes (true)Yes (true)Yes (true)Yes (true)Yes (X)WWW.ADVOCATEHEALTH.COM/CHNAREPORTSYes (X)Yes (X)Yes (true)17Yes (true)WWW.ADVOCATEHEALTH.COM/CHNAREPORTSfalseYes (true)Yes (X)200.600.Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (true)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)SEE SECTION CYes (X)SEE SECTION CYes (X)SEE SECTION CYes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)falseYes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)falsefalseYes (X)(SEE SECTION C)
TRINITY HOSPITAL
7falsefalseYes (true)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)16Yes (true)Yes (true)Yes (true)Yes (true)Yes (X)WWW.ADVOCATEHEALTH.COM/CHNAREPORTSYes (X)Yes (true)17Yes (true)WWW.ADVOCATEHEALTH.COM/CHNAREPORTSfalseYes (true)Yes (X)200.600.Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (true)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)SEE SECTION CYes (X)SEE SECTION CYes (X)SEE SECTION CYes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)falseYes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)falsefalse
EUREKA HOSPITAL
8falsefalseYes (true)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)16Yes (true)Yes (true)Yes (true)Yes (true)Yes (X)WWW.ADVOCATEHEALTH.COM/CHNAREPORTSYes (X)Yes (X)Yes (true)17Yes (true)WWW.ADVOCATEHEALTH.COM/CHNAREPORTSfalseYes (true)Yes (X)200.600.Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (true)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)SEE SECTION CYes (X)SEE SECTION CYes (X)SEE SECTION CYes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)falseYes (X)Yes (X)Yes (X)Yes (X)Yes (X)Yes (true)Yes (X)falsefalse

Supplemental Information SupplementalInformationGrp (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
PART V, SECTION C - DESCRIPTION FOR PART V, SEC B, LINE 2N/A PART V, SECTION C - DESCRIPTION FOR PART V, SEC B, LINE 3J N/A PART V, SECTION C - DESCRIPTION FOR PART V, SEC B, LINE 5 ADVOCATE CHRIST MEDICAL CENTER ADVOCATE CHRIST MEDICAL CENTER CONTINUES TO DEMONSTRATE STRONG COMMITMENT TO BUILDING LIFELONG RELATIONSHIPS TO IMPROVE THE HEALTH OF INDIVIDUALS, FAMILIES AND COMMUNITIES. IN 2015, ALL FIVE ADVOCATE HEALTH CARE HOSPITALS PRINCIPALLY SERVING COOK COUNTY, INCLUDING ADVOCATE CHRIST MEDICAL CENTER, WERE FOUNDING MEMBERS OF THE HEALTH IMPACT COLLABORATIVE OF COOK COUNTY (HICCC). HICCC MERGED WITH THE HEALTHY CHICAGO HOSPITAL COLLABORATIVE. THE MERGER ALLOWED PARTNERS TO FURTHER ALIGN THEIR EFFORTS AND ACHIEVE GREATER COLLECTIVE IMPACT IN CHICAGO AND COOK COUNTY. ON JUNE 30, 2017, HOSPITAL PARTNERS FROM BOTH COLLABORATIVES MET TO KICK OFF THE START OF A FULLY MERGED INITIATIVE. THE NAME SELECTED FOR THE MERGER WAS THE ALLIANCE FOR HEALTH EQUITY (AFHE). THE ALLIANCE FOR HEALTH EQUITY IS A PARTNERSHIP BETWEEN THE ILLINOIS PUBLIC HEALTH INSTITUTE (IPHI), HOSPITALS, HEALTH DEPARTMENTS AND COMMUNITY ORGANIZATIONS ACROSS CHICAGO AND COOK COUNTY. THIS INITIATIVE IS ONE OF THE LARGEST COLLABORATIVE HOSPITAL-COMMUNITY PARTNERSHIPS IN THE COUNTRY WITH THE CURRENT INVOLVEMENT OF 30+ NONPROFIT AND PUBLIC HOSPITALS, SEVEN LOCAL HEALTH DEPARTMENTS, AND REPRESENTATIVES OF MORE THAN 100 COMMUNITY ORGANIZATIONS SERVING ON ACTION TEAMS. PARTNERS ARE COMING TOGETHER WITH THE GOAL OF WORKING ON STRATEGIES TO ADDRESS THE PRESSING ISSUES IN OUR COMMUNITIES TO ACHIEVE GREATER COLLECTIVE IMPACT. GIVEN THE SIZE AND DIVERSITY OF COOK COUNTY, THE COLLABORATIVE CREATED THREE REGIONS - NORTH, CENTRAL AND SOUTH - FOR PURPOSES OF ORGANIZING THE ASSESSMENT PROCESS. CHRIST MEDICAL CENTER WAS APPROPRIATELY ASSIGNED TO THE SOUTH REGION CONSISTING OF BOTH THE SOUTH SIDE OF CHICAGO AND THE SOUTH SUBURBS OF COOK COUNTY. A REGIONAL LEADERSHIP TEAM WAS FORMED INCLUDING REPRESENTATIVES FROM THE HOSPITALS AND HEALTH DEPARTMENTS IN THE REGION. A REGIONAL STAKEHOLDER GROUP WAS ALSO ORGANIZED INCLUDING MEMBERS OF COMMUNITY ORGANIZATIONS REPRESENTING VARIOUS SECTORS. FROM FEBRUARY 2015 THROUGH JUNE OF 2016, THE COLLABORATIVE COMPLETED AN EXTENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS WITHIN EACH OF THE THREE REGIONS USING THE PUBLIC HEALTH PROCESS-MAPP-MOBILIZING FOR ACTION THROUGH PARTNERSHIPS AND PLANNING. ADDITIONALLY, FOR PURPOSES OF THE 2014-2016 CHNA CYCLE, THE HOSPITAL FORMED A COMMUNITY HEALTH COUNCIL (COUNCIL) CONSISTING OF 25 COMMUNITY AND MEDICAL CENTER LEADERS. THIS COUNCIL, IN PARTNERSHIP WITH THE COMMUNITY HEALTH DEPARTMENT, WAS CONVENED TO OVERSEE THE ASSESSMENT. DATA FROM THE HEALTH IMPACT COLLABORATIVE OF COOK COUNTY WAS PRESENTED TO THE COUNCIL INCLUDING THE PRIORITY-SETTING PROCESS THAT IDENTIFIED SOCIAL DETERMINANTS OF HEALTH, MENTAL HEALTH AND SUBSTANCE ABUSE, ACCESS TO CARE, AND CHRONIC DISEASE AS THE FOUR COUNTY-WIDE PRIORITIES. ALL HOSPITALS THAT PARTICIPATED IN THE COLLABORATIVE AGREED TO ACCEPT SOCIAL DETERMINANTS AS ONE OF THEIR PRIORITIES, WITH CHRIST MEDICAL CENTER IDENTIFYING THAT ONE OF THEIR STRATEGIES WITHIN THIS PRIORITY WOULD BE VIOLENCE PREVENTION. IN ADDITION, MULTIPLE INDICATORS FROM THE HEALTHY COMMUNITIES INSTITUTE (HCI) DATA PLATFORM WERE SHARED WITH THE CHRIST MEDICAL CENTERS COMMUNITY HEALTH COUNCIL. MANY OF THESE INDICATORS WERE PARTICULARLY USEFUL TO THE ASSESSMENT BECAUSE THE HOSPITALIZATION AND EMERGENCY ROOM VISIT RATES WERE AVAILABLE BY ZIP CODE, THUS PERMITTING A DEEPER LOOK INTO THE HEALTH STATUS OF THE MEDICAL CENTERS PRIMARY SERVICE AREA (PSA). A CONSENSUS VOTING PROCESS WAS USED BY THE COUNCIL TO SELECT THE SECOND AND THIRD PRIORITIES FOR THE 2014-2016 CHNA CYCLE-ASTHMA AND DIABETES. CANCER, HEART DISEASE AND HYPERTENSION (STROKE) WERE NOT SELECTED PRIMARILY BECAUSE THE MEDICAL CENTER ALREADY HAS INSTITUTES ADDRESSING EACH OF THESE IMPORTANT HEALTH NEEDS. THE THREE PRIORITIES SELECTED BY CHRIST MEDICAL CENTER ARE VIOLENCE PREVENTION, ASTHMA AND DIABETES. CHRIST MEDICAL CENTER HAS DEVELOPED IMPLEMENTATION PLANS FOR EACH OF THE THREE SELECTED PRIORITIES. COMMUNITY HEALTH STAFF WILL ALSO BE PARTICIPATING IN THE ACTION PLANNING TEAMS ON COMMUNITY SAFETY AND CHRONIC DISEASE PREVENTION CONVENED AS PART OF THE AFHE. FOR VIOLENCE PREVENTION AS A SOCIAL DETERMINANT, THE MEDICAL CENTER PLANS TO CONTINUE ITS WORK WITH CEASEFIRE AND COLLABORATE WITH COMMUNITY ORGANIZATIONS TO INVESTIGATE HOW RESTORATIVE JUSTICE PRACTICES CAN IMPACT THE VIOLENCE ON CHILDREN. FOR THE ASTHMA AND DIABETES PRIORITIES, TEAMS WILL BE DEVELOPING EDUCATIONAL, OUTREACH AND ENVIRONMENTAL STRATEGIES IN COLLABORATION WITH ADVOCATE CHILDRENS HOSPITAL AND COMMUNITY PARTNERS TO IMPROVE THE MANAGEMENT OF THESE DISEASES. IN 2014, ADVOCATE HEALTH CARE BEGAN ORGANIZING RESOURCES TO IMPLEMENT THE 2014-2016 CHNA CYCLE. THE SYSTEM SIGNED A THREE-YEAR CONTRACT WITH THE HEALTHY COMMUNITIES INSTITUTE (HCI), NOW A XEROX COMPANY, TO PROVIDE AN INTERNET-BASED DATA RESOURCE FOR THEIR ELEVEN HOSPITALS DURING THE 2014-2016 CHNA CYCLE. THIS ROBUST PLATFORM OFFERED THE HOSPITALS 171 HEALTH AND DEMOGRAPHIC INDICATORS INCLUDING THIRTY-ONE (31) HOSPITALIZATION AND EMERGENCY DEPARTMENT (ED) VISIT INDICATORS AT THE SERVICE AREA AND ZIP CODE LEVELS. IN ADDITION, SYSTEM LEADERS COLLABORATED WITH THE STRATEGIC PLANNING DEPARTMENT TO CREATE SETS OF DEMOGRAPHIC, MORTALITY AND UTILIZATION DATA FOR EACH HOSPITAL SITE. THIS COLLABORATION WITH STRATEGIC PLANNING CONTINUED DURING THE THREE-YEAR CYCLE ENSURING THAT EACH HOSPITAL SITE HAD DETAILED INPATIENT, OUTPATIENT AND EMERGENCY DEPARTMENT DATA. BY THE END OF 2014, A NEW DEPARTMENT OF COMMUNITY HEALTH WAS ESTABLISHED UNDER MISSION AND SPIRITUAL CARE, A VICE-PRESIDENT NAMED TO LEAD THE DEPARTMENT, AND A PLAN DEVELOPED TO ENSURE THAT EACH HOSPITAL IN THE SYSTEM WOULD HAVE A COMMUNITY HEALTH EXPERT TO COORDINATE ITS COMMUNITY HEALTH WORK. THIS NEW SYSTEM LEVEL DEPARTMENT EXPANDED STAFFING RESOURCES AT CHRIST MEDICAL CENTER BY ADDING A NEW COORDINATOR POSITION DEDICATED TO THE MEDICAL CENTER AND THE POSITION OF SOUTH REGION DIRECTOR FOR CHRIST MEDICAL CENTER, AS WELL AS ADVOCATE TRINITY AND ADVOCATE SOUTH SUBURBAN HOSPITALS. COMMUNITY HEALTH COUNCIL CHRIST MEDICAL CENTER, IN COLLABORATION WITH ADVOCATE CHILDRENS HOSPITAL, CONVENED A COMMUNITY HEALTH COUNCIL TO OVERSEE ITS COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT. THIS COUNCIL WAS CHAIRED BY A MEMBER OF THE MEDICAL CENTERS GOVERNING COUNCIL AND COMPRISED OF REPRESENTATIVES FROM THE MEDICAL CENTERS COMMUNITY HEALTH TEAM, PATIENT ADVOCACY, COMMUNITY HEALTH RELATIONS, AND BUSINESS DEVELOPMENT DEPARTMENTS. COMMUNITY MEMBERS ON THE COUNCIL INCLUDED REPRESENTATION FROM SCHOOL DISTRICTS, YOUTH SERVICES AND FAITH COMMUNITIES, AS WELL AS OTHER COMMUNITY ORGANIZATIONS. THE AFFILIATIONS AND TITLES OF THE CHRIST MEDICAL CENTER COMMUNITY HEALTH COUNCIL MEMBERS ARE PROVIDED BELOW. ASTERISKS HAVE BEEN USED TO INDICATE INDIVIDUALS WHO REPRESENT MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS: MEMBERS FROM THE COMMUNITY *ARAB AMERICAN FAMILY SERVICES, DIRECTOR* *AUBURN GRESHAM COMMUNITY DEVELOPMENT CORPORATION, EXECUTIVE DIRECTOR* *AUBURN GRESHAM COMMUNITY DEVELOPMENT CORPORATION/SOUTHWEST SMART COMMUNITIES, PROGRAM MANAGER AND TECHNOLOGIST* *BUSCHBACH INSURANCE, BUSINESS OWNER; ADVOCATE CHRIST MEDICAL CENTER GOVERNING COUNCIL MEMBER (COMMUNITY HEALTH COUNCIL CO-CHAIR) *CHICAGO PUBLIC SCHOOLS, COMMUNITY ENGAGEMENT MANAGER *CHICAGO PUBLIC SCHOOLS, PROJECT MANAGER, STUDENT HEALTH AND WELLNESS PROJECT HOOD (HELPING OTHERS OBTAIN DESTINY), DIRECTOR OF COMMUNITY ENGAGEMENT; ADVOCATE CHRIST MEDICAL CENTER COMMUNITY HEALTH COUNCIL MEMBER (COMMUNITY HEALTH COUNCIL CO-CHAIR) *CHILDRENS HOME AND AID, DIRECTOR, YOUTH SERVICES *CHRISTIAN COMMUNITY HEALTH CENTER, DIRECTOR, QUALITY ASSURANCE *GREATER ST. JOHN AME CHURCH, FAITH LEADER* *HISPANIC LEADERSHIP COUNCIL, PRESIDENT* *LIGHTS OF ZION MINISTRIES, FAITH LEADER* *METROPOLITAN FAMILY SERVICES, PROGRAM SUPERVISOR *METROPOLITAN TENANTS ORGANIZATION, COORDINATOR, OUTREACH SERVICES *OAK LAWN-HOMETOWN SCHOOL DISTRICT 123, SUPERINTENDENT MEMBERS FROM CHRIST MEDICAL CENTER/ADVOCATE CHILDRENS HOSPITAL *ADVOCATE HEALTH CARE, DIRECTOR, COMMUNITY HEALTH, SOUTH REGION *ADVOCATE CHILDRENS HOSPITAL, DIRECTOR, COMMUNITY & HEALTH RELATIONS *ADVOCATE CHRIST MEDICAL CENTER, CARE MANAGER AND OAK LAWN HEALTH CARE ROTARY *ADVOCATE CHRIST MEDICAL CENTER, COORDINATOR, COMMUNITY HEALTH *ADVOCATE CHRIST MEDICAL CENTER, COORDINATOR, COMMUNITY HEALTH AND WELLNESS *ADVOCATE CHRIST MEDICAL CENTER, MANAGER, INPATIENT CARE *ADVOCATE CHRIST MEDICAL CENTER, MANAGER, PATIENT AND GUEST RELATIONS *ADVOCATE CHILDRENS HOSPITAL, RONALD MCDONALD CARE MOBILE, NURSE PRACTITIONER *ADVOCATE CHRIST MEDICAL CENTER, VICE PRESIDENT, MISSION AND SPIRITUAL CARE GOVERNING COUNCIL THE GOVERNING COUNCIL AT CHRIST MEDICAL CENTER IS MADE UP OF LOCAL COMMUNITY LEADERS AND PHYSICIANS. GOVERNING COUNCIL MEMBERS SUPPORT MEDICAL CENTER LEADERSHIP IN THEIR PURSUIT OF
LUTHERAN GENERAL HOSPITAL/ADVOCATE CHILDRENS HOSPITAL STAFF MEMBERS*ADVOCATE LUTHERAN GENERAL HOSPITAL COMMUNITY AND HEALTH RELATIONS COORDINATOR *ADVOCATE LUTHERAN GENERAL HOSPITAL COMMUNITY AND HEALTH RELATIONS DIRECTOR *ADVOCATE CHILDRENS HOSPITAL COMMUNITY AND HEALTH RELATIONS DIRECTOR *ADVOCATE LUTHERAN GENERAL HOSPITAL, OLDER ADULT SERVICES DIRECTOR *ADVOCATE LUTHERAN GENERAL HOSPITAL HEART/VASCULAR/CC/ED/TRAUMA DIRECTOR AND OPERATIONS-REHAB/OUT PATIENT PSYCHOLOGY/NEUROLOGY EXECUTIVE CLINICAL DIRECTOR *ADVOCATE LUTHERAN GENERAL HOSPITAL WOMENS HEALTH AND PROFESSIONAL PRACTICE EXECUTIVE DIRECTOR *ADVOCATE LUTHERAN GENERAL HOSPITAL KOREAN CONCIERGE/PATIENT NAVIGATOR* *ADVOCATE LUTHERAN GENERAL HOSPITAL MENTAL HEALTH SERVICES MANAGER *ADVOCATE CHILDRENS HOSPITAL RONALD MCDONALD CARE MOBILE/STUDENT HEALTH SERVICES PROGRAM NURSE PRACTITIONER *ADVOCATE LUTHERAN GENERAL HOSPITAL POLISH PATIENT NAVIGATOR* *ADVOCATE LUTHERAN GENERAL HOSPITAL MISSION AND SPIRITUAL CARE VICE PRESIDENT AS PART OF THE 2014-2016 CHNA PROCESS, LUTHERAN GENERAL HOSPITAL AND ADVOCATE CHILDRENS HOSPITAL ALSO CONSULTED WITH THE FOLLOWING COMMUNITY ORGANIZATIONS: *CHICAGO DEPARTMENT OF PUBLIC HEALTH *CHICAGO PUBLIC SCHOOLS DEPARTMENT OF STUDENT HEALTH *COMMUNITY LEADERS, SOUTH ASIAN, KOREAN AND POLISH COMMUNITIES *DES PLAINES HEALTHY COMMUNITY PARTNERSHIP *DES PLAINES, PARK RIDGE AND NILES POLICE DEPARTMENTS *FAITH COMMUNITIES *HANUL FAMILY ALLIANCE (KOREAN COMMUNITY PARTNER) *HEALTH AND MEDICINE POLICY RESEARCH GROUP *HEALTHIER PARK RIDGE COALITION *HEALTHY SCHOOLS CAMPAIGN *ILLINOIS PUBLIC HEALTH INSTITUTE *ILLINOIS STATE BOARD OF EDUCATION, SCHOOL NURSING/HEALTH SPECIAL EDUCATION SERVICES *HEALTHIER DES PLAINES PROJECT *HEALTHIER NILES PROJECT *HEALTHIER PARK RIDGE PROJECT *PARK RIDGE, NILES AND DES PLAINES MINISTERIAL ASSOCIATIONS *PARK RIDGE CHAMBER OF COMMERCE HEALTH CARE FORUM *PARK RIDGE COMMUNITY FUND *PARK RIDGE HEALTH COMMISSION *PARK RIDGE HUMAN NEEDS TASK FORCE *PARK RIDGE POLICE CHIEF ADVISORY TASK FORCE *SCHAUMBURG TOWNSHIP SUPERVISOR AND TRUSTEE *SCHOOL DISTRICT 63 *SCHOOL DISTRICT 64 *SCHOOL DISTRICT 207 *VILLAGE OF GLENVIEW *VILLAGE OF MORTON GROVE *VILLAGE OF NILES THE HOSPITAL CONSIDERED INPUT FROM UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS IN IDENTIFIED HIGH RISK ZIP CODES IN DES PLAINES AND NILES FOR ASSESSING AND DEVELOPING IMPROVEMENT INTERVENTIONS IN THE 2014-2016 CHNA. ADVOCATE CHILDRENS HOSPITAL, LOCATED ON TWO CAMPUSES IN THE CHICAGOLAND AREA, SERVES CHILDREN AGES 0-17. THE NORTH CAMPUS IS LOCATED ON THE GROUNDS OF ADVOCATE LUTHERAN GENERAL HOSPITAL IN PARK RIDGE, ILLINOIS, (ADVOCATE CHILDRENS HOSPITAL-PARK RIDGE) WITH WHICH IT SHARES THE SAME TAX ID NUMBER. THE SOUTH CAMPUS IS LOCATED ON THE GROUNDS OF ADVOCATE CHRIST MEDICAL CENTER IN OAK LAWN, ILLINOIS, (ADVOCATE CHILDRENS HOSPITAL-OAK LAWN) WITH WHICH IT SHARES THE SAME TAX ID NUMBER. A CHILDRENS HOSPITAL COMMUNITY PROFILE WAS COMPLETED TO SUPPLEMENT THE COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) PROCESS OF THE RESPECTIVE ADVOCATE HOSPITALS. WHILE AN IMPORTANT PART OF THE LUTHERAN GENERAL HOSPITAL CAMPUS, ADMINISTRATIVELY AND OPERATIONALLY, ALL PEDIATRIC SERVICES REPORT TO THE ADVOCATE CHILDRENS HOSPITAL LEADERSHIP TEAM. THE ADVOCATE CHILDRENS HOSPITAL SERVICE AREA INCLUDES COMMUNITIES SERVED BY LUTHERAN GENERAL HOSPITAL AS WELL AS AREAS FARTHER NORTH, WEST AND EAST. THE HOSPITAL WORKS WITH UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS THROUGHOUT THE NORTH SUBURBS AND CHICAGO AS IDENTIFIED THROUGH ADVOCATE-SPONSORED MEDICAID MANAGED CARE PROGRAM UTILIZATION AND THE CHICAGO PUBLIC HEALTH DEPARTMENTS HEALTHY CHICAGO 2.0 HEALTH PLAN. HIGH-RISK AREAS INCLUDE DES PLAINES, ROUND LAKE, WHEELING, WAUKEGAN AND ELGIN, AS WELL AS AVALON PARK AND AVONDALE ON THE NORTH SIDE OF CHICAGO. PARTICULARLY HELPFUL TO ASSESSING COMMUNITY HEALTH NEEDS FOR THE UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS WERE THE CHICAGOS HEALTHY SCHOOL CAMPAIGN, CHICAGO PUBLIC HEALTH DEPARTMENT, AND SCHOOL DISTRICTS 63 AND 64, AS WELL AS UTILIZATION DATA FROM THE ADVOCATE MEDICAID MANAGED CARE PROGRAM. LUTHERAN GENERAL HOSPITALS 2014-2016 AND PREVIOUS 2011-2013 CHNA REPORTS AND IMPLEMENTATION PLANS ARE POSTED ON THE ADVOCATE HEALTH CARE WEBSITE WITH A MECHANISM FOR THE COMMUNITY TO PROVIDE FEEDBACK OR ASK QUESTIONS IN COMPLIANCE WITH REQUIREMENTS OF THE AFFORDABLE CARE ACT. AS OF DECEMBER 31, 2017, THE HOSPITAL HAD NOT RECEIVED ANY COMMENTS OR INQUIRIES FROM THE COMMUNITY. ADVOCATE GOOD SAMARITAN HOSPITAL ADVOCATE GOOD SAMARITAN HOSPITAL COMPLETED A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT PROCESS IN 2016, UNDER THE SUPERVISION OF THE GOOD SAMARITAN HOSPITAL COMMUNITY HEALTH COUNCIL (CHC) AND THE HOSPITALS COMMUNITY HEALTH LEADER. THE CHC IS A DIVERSE COUNCIL COMPRISED OF GOOD SAMARITAN HOSPITAL LEADERSHIP AND COMMUNITY REPRESENTATIVES FROM COMMUNITY-BASED ORGANIZATIONS, AND IS LED BY THE HOSPITALS COMMUNITY HEALTH MANAGER. THE CHC IS COMPRISED OF A TOTAL OF 13 MEMBERS OF WHICH SIX ARE HOSPITAL REPRESENTATIVES AND SEVEN ARE COMMUNITY ORGANIZATION REPRESENTATIVES. THE CHC SERVES AS AN ADVISORY COUNCIL FOR THE HOSPITALS COMMUNITY HEALTH WORK AND HELPS TO DRIVE THE WORK OF THE HOSPITALS CHNA THROUGH SUPPORTING DATA COLLECTION, DATA REVIEW, PRIORITIZING IDENTIFIED HEALTH NEEDS, AND IDENTIFYING COMMUNITY PARTNERS TO SUPPORT THE CREATION AND DEVELOPMENT OF THE CHNA IMPLEMENTATION PLAN. THE CHC CONVENED FOR FIVE TWO-HOUR IN-PERSON MEETINGS THROUGHOUT 2016 TO COMPLETE EACH PHASE OF THE CHNA. IN ADDITION TO IN-PERSON MEETINGS, CHC MEMBERS SHARED THEIR FEEDBACK, COMMENTS AND RECOMMENDATIONS ELECTRONICALLY. COMMUNITY REPRESENTATIVE COUNCIL MEMBERS PROVIDED CRITICAL FEEDBACK AND INSIGHT REGARDING NEEDS AND COMMUNITY-BASED PROGRAMS, WHILE HOSPITAL REPRESENTATIVE COUNCIL MEMBERS PROVIDED ESSENTIAL FEEDBACK AND INSIGHT RELATED TO THE HOSPITALS AREAS OF EXPERTISE, CAPACITY AND CURRENT RESOURCES AVAILABLE TO THE COMMUNITY. IN ADDITION, COMMUNITY REPRESENTATIVES PROVIDED PERSPECTIVES FROM VARIOUS HEALTH AND SOCIAL DISCIPLINES INCLUDING KNOWLEDGE ABOUT SOCIAL DETERMINANTS OF HEALTH, SUCH AS HOUSING AND EMPLOYMENT. COMMUNITY REPRESENTATIVES ALSO SHARED SPECIFIC KNOWLEDGE REGARDING THE CORRELATION BETWEEN SOCIAL CONDITIONS AND POOR HEALTH OUTCOMES. THESE SOCIAL INDICATORS WERE CRITICAL IN SUCCESSFULLY IDENTIFYING THE HOSPITALS CHNA PRIORITIES. THE AFFILIATIONS AND TITLES OF GOOD SAMARITAN HOSPITALS CHC MEMBERS ARE LISTED BELOW. 2016-2017 ADVOCATE GOOD SAMARITAN COMMUNITY HEALTH COUNCIL MEMBERS MEMBERS FROM THE COMMUNITY *DUPAGE HEALTH COALITION, PRESIDENT *DUPAGE COUNTY HEALTH DEPARTMENT, ASSISTANT DIRECTOR, CLIENT ACCESS *DUPAGE COUNTY HEALTH DEPARTMENT, COORDINATOR, POPULATION HEALTH *DUPAGE PADS, PRESIDENT, CHIEF EXECUTIVE OFFICER *DUPAGE SENIOR CITIZENS COUNCIL, EXECUTIVE DIRECTOR *PEOPLES RESOURCE CENTER, EXECUTIVE DIRECTOR *SAMARITAN INTERFAITH COUNSELING, CLINICAL DIRECTOR, ADULT SERVICES *MEMBERS FROM GOOD SAMARITAN HOSPITAL STAFF *ADVOCATE GOOD SAMARITAN HOSPITAL, DIRECTOR, BUSINESS DEVELOPMENT *ADVOCATE GOOD SAMARITAN HOSPITAL, DIRECTOR, PUBLIC AFFAIRS AND MARKETING *ADVOCATE GOOD SAMARITAN HOSPITAL, OP, ADVANCED PRACTICE NURSE, PSYCHOLOGY *ADVOCATE GOOD SAMARITAN HOSPITAL, VICE PRESIDENT, MISSION AND SPIRITUAL CARE *DUPAGE EMERGENCY PHYSICIANS, EMERGENCY DEPARTMENT PHYSICIAN; HOSPITAL GOVERNING COUNCIL MEMBER SEVERAL ORGANIZATIONS THAT WERE REPRESENTED ON THE 2014-2016 CHNA COMMUNITY HEALTH COUNCIL PROVIDED SERVICES TO THE LOW-INCOME, MINORITY AND/OR UNDERSERVED POPULATIONS WITHIN DUPAGE COUNTY. THESE ORGANIZATIONS IMPLEMENTED PROGRAMMING AND PROVIDED SERVICES THAT IMPACTED ONE OR MORE OF THE VULNERABLE POPULATIONS LISTED ABOVE. BELOW IS A LIST OF THE ORGANIZATIONS AND THE VULNERABLE POPULATIONS THEY REPRESENTED DURING THE 2014-2016 CHNA PROCESS. *DUPAGE COUNTY HEALTH DEPARTMENT PROVIDES SERVICES TO LOW-INCOME, MINORITY AND MEDICALLY-UNDERSERVED POPULATIONS THROUGH VARIOUS COMMUNITY PROGRAMMING AND HEALTH SERVICES. *DUPAGE HEALTH COALITION IS AN ORGANIZATION THAT FOCUSES ON PROVIDING ACCESS TO HEALTH SERVICES FOR THOSE WHO ARE LOW-INCOME AND MEDICALLY UNDERSERVED. MOST CLIENTS RECEIVING SERVICES THROUGH THIS ORGANIZATION ARE FROM A MINORITY POPULATION AND FOREIGN BORN. *DUPAGE PADS PROVIDES SUPPORTIVE SERVICES AND TEMPORARY HOUSING TO LOW-INCOME HOMELESS INDIVIDUALS AND FAMILIES IN DUPAGE COUNTY. THE ORGANIZATION ALSO CONNECTS LOW-INCOME INDIVIDUALS AND FAMILIES TO SOCIAL AND HEALTH SERVICES. *PEOPLES RESOURCE CENTER IS AN ORGANIZATION THAT FOCUSES ON HUNGER AND POVERTY IN DUPAGE COUNTY. THE ORGANIZATION RUNS A FOOD PANTRY, EMPLOYMENT AND TRAINING, AND PROVIDES ENGLISH AS A SECOND LANGUAGE (ESL) PROGRAMS FOR LOW-INCOME AND/OR FOREIGN-BORN INDIVIDUALS TO IMPROVE STUDENTS' LEVEL OF ENGLISH. ADVOCATE GOOD SAMARITANS 2014-2016 AND THE PREVIOUS 2011-2013 CHNA REPORTS AND IMPLEMENTATION PLANS ARE POSTED ON THE ADVOCATE HEALTH CARE WEBPAGE WITH A MECHANISM FOR COMMUNITY FEEDBACK AS REQUIRED BY THE AFFORDABLE CARE ACT. AS OF DECEMBER 31, 2017, THERE HAVE BEEN NO COMMEN
ADVOCATE SOUTH SUBURBAN HOSPITALCOMMUNITY HEALTH COUNCIL IN CONDUCTING THE 2014-2016 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA), ADVOCATE SOUTH SUBURBAN HOSPITAL CONSULTED WITH VARIOUS STAKEHOLDERS THAT REPRESENTED THE BROAD INTERESTS OF THE COMMUNITY. THE HOSPITAL CONVENED A COMMUNITY HEALTH COUNCIL (CHC) ON FEBRUARY 24, 2016. THE CHCS RESPONSIBILITIES WERE TO: 1) OVERSEE COMMUNITY HEALTH WORK FOR THE HOSPITAL; 2) REVIEW DATA AND PRIORITIZE HEALTH NEEDS IDENTIFIED FOR THE 2014-2016 COMMUNITY HEALTH NEEDS ASSESSMENT; AND 3) CONTRIBUTE TO THE DEVELOPMENT OF AN IMPLEMENTATION PLAN TO ADDRESS COMMUNITY HEALTH NEEDS. CHAIRED BY A MEMBER OF SOUTH SUBURBAN HOSPITALS GOVERNING COUNCIL AND MANAGED BY THE REGIONAL DIRECTOR OF COMMUNITY HEALTH, THE CHC IS COMPRISED OF A VARIETY OF REPRESENTATIVES FROM THE COMMUNITY, INCLUDING MULTIPLE COMMUNITY MEMBERS REPRESENTING MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS. A LIST OF THE COMMUNITY HEALTH COUNCIL MEMBERS TITLES AND AFFILIATIONS ARE PROVIDED BELOW. ASTERISKS HAVE BEEN USED TO INDICATE INDIVIDUALS WHO REPRESENT MEDICALLY UNDERSERVED, LOW-INCOME AND MINORITY POPULATIONS. 2016 SOUTH SUBURBAN HOSPITAL COMMUNITY HEALTH COUNCIL MEMBERS MEMBERS REPRESENTING THE COMMUNITY *COUNTRY CLUB HILLS SCHOOL DISTRICT 160, SCHOOL NURSE 1 *COUNTRY CLUB HILLS SCHOOL DISTRICT 160, SCHOOL NURSE 2 *FAITH LUTHERAN CHURCH OF HOMEWOOD, PASTOR; ADVOCATE SOUTH SUBURBAN HOSPITAL GOVERNING COUNCIL MEMBER; COMMUNITY HEALTH COUNCIL, CHAIR *GOVERNORS STATE UNIVERSITY, ASSISTANT PROFESSOR 1 *GOVERNORS STATE UNIVERSITY, ASSISTANT PROFESSOR 2 *HAZEL CREST COMMUNITY RESIDENT 1* *HAZEL CREST COMMUNITY RESIDENT 2* *HAZEL CREST COMMUNITY RESIDENT 3* *SOUTH SUBURBAN FAMILY HEALTH, SC, FAMILY MEDICINE PHYSICIAN *SOUTH SUBURBAN MAYORS AND MANAGERS ASSOCIATION, COMMUNITY DEVELOPMENT PLANNER* ADVOCATE SOUTH SUBURBAN HOSPITAL STAFF *ADVOCATE HEALTH CARE, REGIONAL DIRECTOR, COMMUNITY HEALTH *ADVOCATE MEDICAL GROUP, GENERAL SURGEON; ADVOCATE SOUTH SUBURBAN HOSPITAL GOVERNING COUNCIL MEMBER *ADVOCATE SOUTH SUBURBAN HOSPITAL, COORDINATOR, COMMUNITY HEALTH *ADVOCATE SOUTH SUBURBAN HOSPITAL, MARKETING SPECIALIST, PUBLIC AFFAIRS AND MARKETING *ADVOCATE SOUTH SUBURBAN HOSPITAL, VICE PRESIDENT, OPERATIONS; COMMUNITY HEALTH EXECUTIVE SPONSOR THE CHC FUNCTIONS AS A SUBSET OF THE HOSPITALS GOVERNING COUNCIL AND ALL ACTIVITIES AND DECISIONS MADE BY THE CHC REGARDING THE CHNA ARE SUBMITTED FOR APPROVAL BY THE FULL GOVERNING COUNCIL. GOVERNING COUNCIL AS MENTIONED EARLIER, A MEMBER OF THE SOUTH SUBURBAN HOSPITAL GOVERNING COUNCIL CHAIRS THE COMMUNITY HEALTH COUNCIL, PROVIDING PERIOD FEEDBACK TO THE GOVERNING COUNCIL ON CHC PROGRESS. A MAJORITY OF MEMBERS SERVING ON THE HOSPITALS GOVERNING COUNCIL (59%) REPRESENT THE COMMUNITY. THE PRINCIPAL ROLES OF GOVERNING COUNCIL MEMBERS ARE TO: 1) SUPPORT THE HOSPITAL LEADERSHIP IN THEIR PURSUIT OF THE HOSPITALS GOALS; 2) REPRESENT THE COMMUNITYS INTERESTS TO THE HOSPITAL; AND 3) SERVE AS AN AMBASSADOR OF THE HOSPITAL IN THE COMMUNITY. FOR THE CHNA, THE ROLE OF THE GOVERNING COUNCIL IS TO PROVIDE INPUT, AND TO REVIEW AND APPROVE THE RECOMMENDATIONS OF THE CHC. THE GOVERNING COUNCIL APPROVED SOUTH SUBURBAN HOSPITALS 2016 COMMUNITY HEALTH NEEDS ASSESSMENT REPORT, INCLUDING IDENTIFIED PRIORITIES FOR ACTION AND IMPLEMENTATION STRATEGY, ON DECEMBER 1, 2016. HEALTH IMPACT COLLABORATIVE OF COOK COUNTY IN 2015, ALL FIVE ADVOCATE HEALTH CARE HOSPITALS PRINCIPALLY SERVING COOK COUNTY, INCLUDING ADVOCATE SOUTH SUBURBAN HOSPITAL, WERE FOUNDING MEMBERS OF THE HEALTH IMPACT COLLABORATIVE OF COOK COUNTY (HICCC). HICCC IS A BEST PRACTICE COMMUNITY HEALTH INITIATIVE INVOLVING 26 HOSPITALS, 7 HEALTH DEPARTMENTS AND NEARLY 100 COMMUNITY-BASED ORGANIZATIONS. THE GOAL OF THIS COLLABORATIVE IS TO WORK TOGETHER ON A COUNTY-WIDE HEALTH ASSESSMENT AND COMMON HEALTH IMPROVEMENT STRATEGIES ONCE PRIORITIES ARE IDENTIFIED. THE ILLINOIS PUBLIC HEALTH INSTITUTE (IPHI) SERVED AS THE BACKBONE ORGANIZATION FOR THE COLLABORATIVE-PROVIDING FACILITATION, DATA COORDINATION AND REPORT PREPARATION ACTIVITIES. GIVEN THE SIZE AND DIVERSITY OF COOK COUNTY, THE COLLABORATIVE CREATED THREE REGIONS-NORTH, CENTRAL AND SOUTH-FOR PURPOSES OF ORGANIZING THE ASSESSMENT PROCESS. SOUTH SUBURBAN HOSPITAL WAS APPROPRIATELY ASSIGNED TO THE SOUTH REGION CONSISTING OF BOTH THE SOUTH SIDE OF CHICAGO AND THE SOUTH SUBURBS OF COOK COUNTY, WHERE THE HOSPITAL IS LOCATED. COMMUNITY HEALTH STAFF WILL BE PARTICIPATING IN THE ACTION PLANNING TEAMS FOR CHRONIC DISEASE PREVENTION AND SOCIAL DETERMINANTS OF HEALTH CONVENED AS PART OF THE HICCC. FOR THE ASTHMA AND DIABETES PRIORITIES, TEAMS WILL BE DEVELOPING EDUCATIONAL, OUTREACH AND ENVIRONMENTAL STRATEGIES IN COLLABORATION WITH COMMUNITY PARTNERS TO IMPROVE THE MANAGEMENT OF THESE DISEASES. IN 2017, HICCC MERGED WITH THE HEALTH CHICAGO HOSPITAL COLLABORATIVE. THE MERGER ALLOWS PARTNERS TO FURTHER ALIGN THEIR EFFORTS AND ACHIEVE GREATER COLLECTIVE IMPACT IN CHICAGO AND COOK COUNTY. ON JUNE 30, 2017, HOSPITAL PARTNERS FROM BOTH COLLABORATIVES MET TO KICK OFF THE START OF A FULLY MERGED ENTITY. THE NAME SELECTED FOR THE MERGER WAS THE ALLIANCE FOR HEALTH EQUITY (AFHE). THE ALLIANCE FOR HEALTH EQUITY IS A PARTNERSHIP BETWEEN THE ILLINOIS PUBLIC HEALTH INSTITUTE (IPHI), HOSPITALS, HEALTH DEPARTMENTS, AND COMMUNITY ORGANIZATIONS ACROSS CHICAGO AND COOK COUNTY. BOTH SOUTH SUBURBAN HOSPITALS 2014-2016 CHNA REPORT AND THE PREVIOUS 2011-2013 CHNA REPORT AND IMPLEMENTATION PLANS AS APPROVED BY THE HOSPITALS GOVERNING COUNCIL ARE POSTED ON THE ADVOCATE HEALTH CARE WEBPAGE WITH A MECHANISM FOR COMMUNITY FEEDBACK AS REQUIRED BY THE AFFORDABLE CARE ACT. AS OF DECEMBER 31, 2017, THERE HAVE BEEN NO COMMENTS OR INQUIRIES RECEIVED FROM THE COMMUNITY. ADVOCATE BROMENN MEDICAL CENTER ADVOCATE BROMENN MEDICAL CENTER, THE MCLEAN COUNTY HEALTH DEPARTMENT, OSF HEALTHCARE ST. JOSEPH MEDICAL CENTER AND UNITED WAY OF MCLEAN COUNTY COLLABORATED FOR THE FIRST TIME FOR THE 2016 MCLEAN COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT. THIS EXCITING AND UNIQUE OPPORTUNITY WAS POSSIBLE, ACCORDING TO THE FINAL RULES OF THE PATIENT PROTECTION AND AFFORDABLE CARE ACT, AS ALL FOUR ENTITIES DEFINE THEIR SERVICE AREA AS MCLEAN COUNTY. THE GOALS OF THE COLLABORATIVE ARE AS FOLLOWS: *ESTABLISH THE MCLEAN COUNTY COMMUNITY HEALTH COUNCIL *ANALYZE DATA COLLECTIVELY *PRIORITIZE AND SELECT THE TOP THREE HEALTH NEEDS FOR MCLEAN COUNTY *GENERATE ONE COMMUNITY HEALTH NEEDS ASSESSMENT FOR MCLEAN COUNTY *WORK COLLABORATIVELY ON A COMMUNITY HEALTH IMPLEMENTATION PLAN ADDRESSING EACH OF THE TOP THREE HEALTH PRIORITIES WITH OTHER KEY COMMUNITY STAKEHOLDERS AT LEAST ONE MEMBER FROM EACH OF THE FOUR ORGANIZATIONS MADE UP THE EXECUTIVE STEERING COMMITTEE. THE STEERING COMMITTEE ANALYZED AN EXTENSIVE QUANTITY OF BOTH PRIMARY AND SECONDARY DATA FROM JULY 2015 TO FEBRUARY 2016. DUE TO THE AVAILABILITY OF NEW DATASETS, THE STEERING COMMITTEE ANALYZED DATA AT A MORE DETAILED LEVEL AND IDENTIFIED HEALTH DISPARITIES FOR GENDER, AGE, RACE/ETHNICITY, AND ZIP CODE FOR A VARIETY OF HEALTH OUTCOMES. IN FEBRUARY 2016, THE EXECUTIVE STEERING COMMITTEE PRESENTED 13 HEALTH ISSUES THAT THE DATA SUGGESTED WERE HEALTH PROBLEMS TO THE MCLEAN COUNTY COMMUNITY HEALTH COUNCIL. THE MCLEAN COUNTY COMMUNITY HEALTH COUNCIL CONSISTS OF 33 INDIVIDUALS FROM 15 ORGANIZATIONS IN MCLEAN COUNTY REPRESENTING PUBLIC ENTITIES, FAITH-BASED AND PRIVATE ORGANIZATIONS, SOCIAL SERVICE ORGANIZATIONS, HEALTHCARE FACILITIES AND CITY AND REGIONAL PLANNING. SEVERAL OF THE INDIVIDUALS FROM THE VARIOUS ORGANIZATIONS LISTED BELOW REPRESENT THE UNDERSERVED, UNINSURED, MINORITY OR LOW-INCOME POPULATIONS. MCLEAN COUNTY COMMUNITY HEALTH COUNCIL ADVOCATE HEALTH CARE; HEALTH BLOOMINGTON SCHOOL DISTRICT 87; YOUTH AND SCHOOLS BLOOMINGTON TOWNSHIP; JOHN M. SCOTT HEALTH COMMISSION; UNDERSERVED CHESTNUT HEALTH SYSTEMS; MENTAL HEALTH, FEDERALLY QUALIFIED HEALTH CENTER CITY OF BLOOMINGTON; CITY PLANNING COMMUNITY HEALTH CARE CLINIC; UNDERSERVED, UNINSURED IMMANUEL HEALTH CENTER; UNDERSERVED, UNINSURED ILLINOIS STATE UNIVERSITY SCHOOL OF SOCIAL WORK; SOCIAL WORK AND HEALTH RESEARCH MCLEAN COUNTY HEALTH DEPARTMENT; PUBLIC HEALTH MCLEAN COUNTY CENTER FOR HUMAN SERVICES; MENTAL HEALTH, UNDERSERVED MCLEAN COUNTY REGIONAL PLANNING COMMISSION; PLANNING MARCFIRST SPICE; DEVELOPMENTAL DISABILITIES, EARLY CHILDHOOD OSF HEALTHCARE SYSTEM; HEALTH REGIONAL OFFICE OF EDUCATION; SCHOOLS, YOUTH UNITED WAY; CONVENER, FUNDER IN ADDITION TO EXISTING SECONDARY DATA SOURCES SHARED AND COLLECTED THROUGH THE MCLEAN COUNTY HEALTH COUNCIL, IT WAS ALSO IMPORTANT TO UTILIZE PRIMARY SURVEY DATA TO COLLECT CURRENT INFORMATION AND ASK QUESTIONS NOT ASKED ELSEWHERE, SUCH AS RATINGS OF HEALTH ISSUES IN THE COMMUNITY. A COMMUNITY HEALTH SURVEY CONSISTING OF 36 DEMOGRAPHIC AND HEALTH-RELATED QUESTIONS WAS ADMINISTERED IN MCLEAN COUNTY FROM JULY THROUGH SEPTEMBER 2015 AND YIELDED A TOTAL OF 834 RESPONSES FROM MCLEAN COUNTY RESIDENTS. APPROXIMATELY 300 OF THE SURVEYS WERE FROM THE LOW-INCOME POPULATION. BROM
CENTRAL ILLINOIS COMMUNITY HEALTH COLLABORATIVEFOR THE TRI-COUNTY REGION CONSISTING OF PEORIA, WOODFORD AND TAZEWELL COUNTIES, THERE WAS A SECOND COLLABORATIVE CREATED BY A TEAM OF HEALTHCARE PROFESSIONALS FROM OSF HEALTHCARE SAINT FRANCIS MEDICAL CENTER AND UNITYPOINT CALLED THE CENTRAL ILLINOIS COMMUNITY HEALTH COLLABORATIVE. THIS COLLABORATIVE WAS CREATED TO ENGAGE THE ENTIRE COMMUNITY IN IMPROVING POPULATION HEALTH AS A PART OF THE COMMUNITY HEALTH ASSESSMENT PROCESS. MEMBERS OF THE CENTRAL ILLINOIS COMMUNITY HEALTH COLLABORATIVE INCLUDE: PEORIA CITY/COUNTY HEALTH DEPARTMENT, TAZEWELL COUNTY HEALTH DEPARTMENT, WOODFORD COUNTY HEALTH DEPARTMENT, KINDRED HOSPITAL, ADVOCATE EUREKA HOSPITAL, HOPEDALE MEDICAL COMPLEX, PEKIN HOSPITAL, HEART OF ILLINOIS UNITED WAY, HEARTLAND COMMUNITY HEALTH CLINIC AND BRADLEY UNIVERSITY, AS WELL AS OSF HEALTHCARE SAINT FRANCIS MEDICAL CENTER AND UNITYPOINT. THE DIRECTOR OF COMMUNITY HEALTH FOR ADVOCATE EUREKA HOSPITAL SERVED ON THE CENTRAL ILLINOIS COMMUNITY HEALTH COUNCIL. THE COUNCIL MEMBERS AND ORGANIZATIONS THEY REPRESENT ARE PROVIDED BELOW. *SENIOR VICE PRESIDENT AND CEO, OSF SAINT FRANCIS MEDICAL CENTER *VICE PRESIDENT OF AMBULATORY CARE, OSF SAINT FRANCIS MEDICAL CENTER *DIRECTOR OF BUSINESS & COMMUNITY HEALTH IN AMBULATORY ADMINISTRATION, OSF SAINT FRANCIS MEDICAL CENTER *VP OF STRATEGY & DEVELOPMENT, UNITYPOINT HEALTH - METHODIST, PROCTOR *COMMUNITY HEALTH COORDINATOR, HOPEDALE MEDICAL COMPLEX *CONTROLLER, PEKIN HOSPITAL *EPIDEMIOLOGIST, PEORIA CITY/COUNTY HEALTH DEPARTMENT *EPIDEMIOLOGIST, TAZEWELL COUNTY HEALTH DEPARTMENT *ADMINISTRATOR, TAZEWELL COUNTY HEALTH DEPARTMENT *ADMINISTRATOR, WOODFORD COUNTY HEALTH DEPARTMENT *CHIEF MEDICAL OFFICER, HEARTLAND HEALTH SERVICES *DIRECTOR OF COMMUNITY HEALTH, ADVOCATE EUREKA HOSPITAL *PRESIDENT, HEART OF ILLINOIS UNITED WAY SEVERAL OF THE INDIVIDUALS FROM THE VARIOUS ORGANIZATIONS LISTED ABOVE REPRESENT THE UNDERSERVED, UNINSURED, MINORITY OR LOW-INCOME POPULATIONS. IN ADDITION TO COLLECTING INPUT FROM THE ABOVE COLLABORATIONS, A TRI-COUNTY COMMUNITY HEALTH SURVEY WAS ADMINISTERED FROM JULY THROUGH SEPTEMBER 2015 TO EXAMINE PERCEPTIONS OF COMMUNITY HEALTH ISSUES, UNHEALTHY BEHAVIORS, ISSUES WITH QUALITY OF LIFE, HEALTHY BEHAVIORS AND ACCESS TO HEALTHCARE. WOODFORD COUNTY RESULTS INDICATED THAT 535 RESIDENTS RESPONDED TO THE SURVEY. EUREKA HOSPITAL'S 2014-2016 AND PREVIOUS 2011-2013 CHNA REPORTS AND IMPLEMENTATION PLANS ARE POSTED ON THE ADVOCATE HEALTH CARE WEBPAGE WITH A MECHANISM FOR COMMUNITY FEEDBACK AS REQUIRED BY THE AFFORDABLE CARE ACT. AS OF DECEMBER 31, 2017, THERE HAVE BEEN NO COMMENTS OR INQUIRIES RECEIVED FROM THE COMMUNITY. PART V, SECTION C - DESCRIPTION FOR PART V, SEC B, LINE 6A ADVOCATE CHRIST MEDICAL CENTER ADVOCATE CHRIST MEDICAL CENTERS CHNA WAS CONDUCTED WITH ADVOCATE CHILDRENS HOSPITAL, OAK LAWN CAMPUS. ADVOCATE CHRIST MEDICAL CENTER AND ADVOCATE CHILDRENS HOSPITAL PARTICIPATED IN THE HEALTH IMPACT COLLABORATIVE OF COOK COUNTY (NOW KNOWN AS THE ALLIANCE FOR HEALTH EQUITY), LED BY THE ILLINOIS PUBLIC HEALTH INSTITUTE, THAT INCLUDED OVER 30 HOSPITALS, AS WELL AS 7 HEALTH DEPARTMENTS, AND OVER 100 COMMUNITY ORGANIZATIONS. THIS COLLABORATIVE COMPLETED A COMMUNITY HEALTH NEEDS ASSESSMENT FOR THE NORTH, CENTRAL AND SOUTH REGIONS OF COOK COUNTY. CHRIST HOSPITAL WAS AN ACTIVE MEMBER OF THE COLLABORATIVE AND PARTICIPATED FULLY IN THE SOUTH REGION SURVEY. THE PARTICIPATING HOSPITALS IN THE SOUTH REGION INCLUDED: *ADVOCATE CHILDRENS HOSPITAL (OAK LAWN, IL) *ADVOCATE SOUTH SUBURBAN HOSPITAL (HAZEL CREST, IL) *ADVOCATE TRINITY HOSPITAL (CHICAGO, IL) *MERCY HOSPITAL AND MEDICAL CENTER (CHICAGO, IL) *PROVIDENT HOSPITAL (CHICAGO, IL) *ROSELAND HOSPITAL (CHICAGO, IL) FOR FULL DETAILS ON THE COLLABORATIVE, PLEASE REFER TO THE FOLLOWING WEBSITE. HTTP://HEALTHIMPACTCC.ORG ADVOCATE LUTHERAN GENERAL HOSPITAL LUTHERAN GENERAL HOSPITAL AND ADVOCATE CHILDREN'S HOSPITAL PARTICIPATED IN THE HEALTH IMPACT COLLABORATIVE OF COOK COUNTY (HICCC), LED BY THE ILLINOIS PUBLIC HEALTH INSTITUTE. THE COLLABORATIVE INCLUDED TWENTY-SIX HOSPITALS, SEVEN HEALTH DEPARTMENTS, AND OVER ONE HUNDRED COMMUNITY ORGANIZATIONS. HICCC COMPLETED A CHNA FOR THE NORTH, CENTRAL AND SOUTH REGIONS OF COOK COUNTY. FOR FULL DETAILS ON THE COLLABORATIVE, PLEASE REFER TO FOLLOWING WEB SITE: HTTP://HEALTHIMPACTCC.ORG ADVOCATE CHILDRENS HOSPITAL ALSO PARTICIPATED IN THE CHICAGO HOSPITAL COLLABORATIVE LED BY HEALTH AND DISABILITY ADVOCATES, WHICH INCLUDED TWENTY-FIVE HOSPITALS SERVING THE METROPOLITAN CHICAGO AREA. FOR FULL DETAILS ON SELECTED ACTION PRIORITY AREAS, PLEASE REFER TO: WWW.HEALTHYCHIHOSPITALS.ORG ADVOCATE LUTHERAN GENERAL HOSPITAL CO-LED THE NORTH REGION HICCC GROUP WITH PRESENCE RESURRECTION MEDICAL CENTER. THERE WERE NINE HOSPITALS, FOUR HEALTH DEPARTMENTS AND THIRTY COMMUNITY ORGANIZATIONS INVOLVED IN THE NORTH REGION. THE NINE PARTICIPATING NORTH REGION ILLINOIS HOSPITALS INCLUDED: ADVOCATE LUTHERAN GENERAL HOSPITAL (PARK RIDGE); ADVOCATE ILLINOIS MEDICAL CENTER (CHICAGO); NORTHSHORE EVANSTON HOSPITAL (EVANSTON); NORTHSHORE GLENBROOK HOSPITAL (GLENVIEW); NORTHSHORE SKOKIE HOSPITAL (SKOKIE); PRESENCE HOLY FAMILY MEDICAL CENTER (DES PLAINES); PRESENCE RESURRECTION MEDICAL CENTER (CHICAGO); PRESENCE SAINT FRANCIS HOSPITAL (EVANSTON); AND PRESENCE SAINT JOSEPH HOSPITAL (CHICAGO). ADVOCATE LUTHERAN GENERAL HOSPITAL UTILIZED THE HICCC NORTH REGION ASSESSMENT AS A FOUNDATION FOR THE HOSPITAL-SPECIFIC COMMUNITY HEALTH NEEDS ASSESSMENT. ADVOCATE GOOD SHEPHERD HOSPITAL ADVOCATE GOOD SHEPHERD HOSPITALS CHNA WAS CONDUCTED WITH THE FOLLOWING RELATED AND UNRELATED HOSPITALS: -RELATED *ADVOCATE CONDELL MEDICAL CENTER, LIBERTYVILLE, IL (THROUGH THE LAKE COUNTY HEALTH DEPARTMENT) *ADVOCATE SHERMAN HOSPITAL, ELGIN, IL (THROUGH THE MCHENRY COUNTY HEALTH DEPARTMENT) -UNRELATED *CENTEGRA HEALTH SYSTEMS, MCHENRY, IL (THROUGH THE MCHENRY COUNTY HEALTH DEPARTMENT) *LOVELL FEDERAL HEALTHCARE CENTER, NORTH CHICAGO, IL (THROUGH THE LAKE COUNTY HEALTH DEPARTMENT) *NORTHWESTERN LAKE FOREST HOSPITAL, LAKE FOREST, IL (THROUGH THE LAKE COUNTY HEALTH DEPARTMENT) *VISTA HEALTH SYSTEMS, WAUKEGAN, IL (THROUGH THE LAKE COUNTY HEALTH DEPARTMENT) ADVOCATE SOUTH SUBURBAN HOSPITAL ADVOCATE SOUTH SUBURBAN HOSPITAL PARTICIPATED IN THE HEALTH IMPACT COLLABORATIVE OF COOK COUNTY (HICCC), LED BY THE ILLINOIS PUBLIC HEALTH INSTITUTE, THAT INCLUDED 26 HOSPITALS, AS WELL AS 7 HEALTH DEPARTMENTS, AND OVER 100 COMMUNITY ORGANIZATIONS. HICCC COMPLETED A COMMUNITY HEALTH NEEDS ASSESSMENT FOR THE NORTH, CENTRAL AND SOUTH REGIONS OF COOK COUNTY. FOR FULL DETAILS ON THE COLLABORATIVE, PLEASE REFER TO THE FOLLOWING WEBSITE: HTTP://HEALTHIMPACTCC.ORG/. COLLABORATIVE MEMBERS IN THE SOUTH REGION CONSISTED OF 8 HOSPITALS, 4 HEALTH DEPARTMENTS AND A NUMBER OF COMMUNITY ORGANIZATIONS. THE PARTICIPATING SOUTH REGION ILLINOIS HOSPITALS INCLUDED THREE ADVOCATE-RELATED HOSPITALS: ADVOCATE TRINITY HOSPITAL (CHICAGO, IL), ADVOCATE CHILDRENS HOSPITAL (OAK LAWN, IL), AND ADVOCATE CHRIST MEDICAL CENTER (OAK LAWN, IL). THE NON-RELATED HOSPITALS PARTICIPATING IN THE SOUTH REGIONAL ASSESSMENT INCLUDED MERCY HOSPITAL AND MEDICAL CENTER (CHICAGO, IL), PROVIDENT HOSPITAL-COOK COUNTY HEALTH AND HOSPITAL SYSTEM (CHICAGO, IL), ROSELAND COMMUNITY HOSPITAL (CHICAGO, IL), AND SOUTH SHORE HOSPITAL (CHICAGO, IL). SOUTH SUBURBAN HOSPITAL UTILIZED THE HICCC SOUTH REGIONAL ASSESSMENT AS A FOUNDATION FOR A MORE SITE-SPECIFIC SOUTH SUBURBAN HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT. ADVOCATE BROMENN MEDICAL CENTER ADVOCATE BROMENN MEDICAL CENTERS CHNA WAS CONDUCTED WITH AN UNRELATED HOSPITAL: OSF HEALTHCARE ST. JOSEPH MEDICAL CENTER ADVOCATE TRINITY HOSPITAL ADVOCATE TRINITY HOSPITAL PARTICIPATED IN THE HEALTH IMPACT COLLABORATIVE OF COOK COUNTY (HICCC), LED BY THE ILLINOIS PUBLIC HEALTH INSTITUTE, THAT INCLUDED 26 HOSPITALS, AS WELL AS 7 HEALTH DEPARTMENTS, AND OVER 100 COMMUNITY ORGANIZATIONS. HICCC COMPLETED A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT FOR THE NORTH, CENTRAL AND SOUTH REGIONS OF COOK COUNTY. FOR FULL DETAILS ON THE COLLABORATIVE, PLEASE REFER TO FOLLOWING WEB SITE. HTTP://HEALTHIMPACTCC.ORG COLLABORATIVE MEMBERS IN THE SOUTH REGION CONSISTED OF 8 HOSPITALS, 4 HEALTH DEPARTMENTS AND A NUMBER OF COMMUNITY ORGANIZATIONS. THE PARTICIPATING SOUTH REGION ILLINOIS HOSPITALS INCLUDED THREE RELATED HOSPITALS: ADVOCATE SOUTH SUBURBAN HOSPITAL (CHICAGO, IL), ADVOCATE CHILDRENS HOSPITAL (OAK LAWN, IL), AND ADVOCATE CHRIST MEDICAL CENTER (OAK LAWN, IL). NON-RELATED HOSPITALS INCLUDED MERCY HOSPITAL AND MEDICAL CENTER (CHICAGO, IL), PROVIDENT HOSPITALCOOK COUNTY HEALTH AND HOSPITAL SYSTEM (CHICAGO, IL), ROSELAND COMMUNITY HOSPITAL (CHICAGO, IL), AND SOUTH SHORE HOSPITAL (CHICAGO, IL). TRINITY HOSPITAL UTILIZED THE HICCC SOUTH REGION ASSESSMENT AS A FOUNDATION FOR A MORE SITE-SPECIFIC TRINITY HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT. THE HICCC SOUTH REGION REPORT MAY BE ACCESSED USING THE FOLLOWING WEBSITE LINK. HTTP://HEALTHIMPACTCC.ORG/WP-CONTENT/UPLOADS/2016/12/POST-SOUTH-REPORT.PDF ADVOCAT
PART V, SECTION C - DESCRIPTION FOR PART V, SEC B, LINE 7DADVOCATE CHRIST MEDICAL CENTER *ON MARCH 15, 2017, A PRESENTATION WAS DELIVERED TO THE OAK LAWN HEALTH CARE ROTARY. *ON MARCH 23, 2017, A PRESENTATION ABOUT THE CURRENT CHNA WAS PRESENTED TO THE ADVOCATE CHRIST MISSION AND SPIRITUAL CARE CHAPLAINS. ADVOCATE LUTHERAN GENERAL HOSPITAL THE 2016 CHNA REPORT WAS PRESENTED TO THE HEALTHIER PARK RIDGE COALITION AND HEALTHIER DES PLAINES PROJECT. THE REPORT WAS ALSO PRESENTED TO THE COMMUNITY HEALTH COUNCIL ON FEBRUARY 15, 2017. ADVOCATE GOOD SAMARITAN HOSPITAL ADVOCATE HEALTH CARE PARISH NURSES - THE GOOD SAMARITAN HOSPITAL COMMUNITY HEALTH MANAGER PRESENTED THE CHNA TO ADVOCATE HEALTH CARE PARISH NURSES THAT SERVE CONGREGATIONS IN GOOD SAMARITAN HOSPITALS PRIMARY AND SECONDARY SERVICE AREAS. KEY DATA RESULTS AND COMMUNITY HEALTH PRIORITIES WERE OUTLINED IN DETAIL AND EACH PARISH NURSE RECEIVED THE WEBSITE LINK OR HARD-COPY OF THE CHNA. GOOD SAMARITAN HOSPITAL CANCER CARE TEAM THE GOOD SAMARITAN HOSPITAL COMMUNITY HEALTH MANAGER PRESENTED THE CHNA TO THE CANCER CARE COMMUNITY ENGAGEMENT COORDINATOR AND NURSE NAVIGATOR. THE PRESENTATION INCLUDED KEY DATA RESULTS AND HEALTH PRIORITIES. THE CHNA SUPPORTS THE DEVELOPMENT AND COMPLETION OF THE CANCER CARE CENTERS MINI CHNA. IN ADDITION, ALL MEMBERS OF THE COMMUNITY HEALTH COUNCIL AND ADVOCATE GOOD SAMARITAN GOVERNING COUNCIL RECEIVED A COPY OF THE FINAL REPORT AND A COPY OF THE CHNA WAS MAILED TO THE AMERICAN CANCER SOCIETY (DUPAGE COUNTY OFFICE) AND THE COMMUNITY MEMORIAL FOUNDATION TO SHARE WITH THEIR COMMUNITY PARTNERS AND STAKEHOLDERS. ADVOCATE GOOD SHEPHERD HOSPITAL GOOD SHEPHERD HOSPITALS COMMUNITY HEALTH STAFF PRESENTED THE CHNA RESULTS TO THE GENERAL COMMUNITY AT A NATIONAL ALLIANCE ON MENTAL ILLNESS (NAMI) BARRINGTON EVENT AND TO THE CONDELL MEDICAL CENTER COMMUNITY HEALTH COUNCIL. COMMUNITY HEALTH STAFF ALSO PRESENTED THE RESULTS INTERNALLY TO THE SENIOR LEADERSHIP TEAM, CANCER COMMITTEE AND THE GOVERNING COUNCIL. IN ADDITION, THE HOSPITAL SENT AN ANNOUNCEMENT OF THE CHNA RESULTS TO EACH GOOD SHEPHERD HOSPITAL EMPLOYEE, WHICH INCLUDED A BRIEF DESCRIPTION OF THE CHNA RESULTS AND THE LINK TO THE FULL REPORT. ADVOCATE SOUTH SUBURBAN HOSPITAL ON SEPTEMBER 20, 2017, THE CHNA WAS PRESENTED TO THE HARVEY PUBLIC SCHOOLS NURSE. THE COMMUNITY HEALTH COORDINATOR DISCUSSED THE PREVALENCE OF ASTHMA AS A HEALTH DETERRENT IN THE HARVEY COMMUNITY AS A RESULT OF THE NEEDS ASSESSMENT AND HOW IT AFFECTS CHILDREN IN THIS COMMUNITY. A COPY WAS ALSO LEFT TO SHARE WITH THE SCHOOL BOARD. ADVOCATE BROMENN MEDICAL CENTER AN OVERVIEW OF THE PROCESS AND RESULTS OF THE 2016 MCLEAN COUNTY COMMUNITY HEALTH NEEDS ASSESSMENTS WERE GIVEN TO THE FOLLOWING GROUPS: *MCLEAN COUNTY REGIONAL PLANNING COMMISSION BOARD *ADVOCATE BROMENN MEDICAL CENTER DELEGATE CHURCH ASSOCIATION *CITY OF BLOOMINGTON COUNCIL *ADVOCATE BROMENN MEDICAL CENTER AND EUREKA HOSPITAL GOVERNING COUNCIL *UNITED WAY OF MCLEAN COUNTY BOARD OF DIRECTORS *OSF HEALTHCARE SYSTEMS BOARD OF DIRECTORS *MCLEAN COUNTY BOARD OF HEALTH *LEADERSHIP MCLEAN COUNTY SEVERAL INTERVIEWS WERE ALSO CONDUCTED BY THE LOCAL MEDIA SUMMARIZING THE 2016 MCLEAN COUNTY COMMUNITY HEALTH ASSESSMENT. AN ARTICLE ALSO APPEARED IN THE AREA NEWSPAPER. ADVOCATE EUREKA HOSPITAL THE RESULTS OF THE 2016 ADVOCATE EUREKA HOSPITAL CHNA WERE PRESENTED TO: *THE ADVOCATE BROMENN MEDICAL CENTER AND ADVOCATE EUREKA HOSPITAL DELEGATE CHURCH ASSOCIATION *THE ADVOCATE BROMENN MEDICAL CENTER AND ADVOCATE EUREKA HOSPITAL GOVERNING COUNCIL PART V, SECTION C - DESCRIPTION FOR PART V, SEC B, LINE 11 ADVOCATE CHRIST MEDICAL CENTER 2014-2016 CHNA CHRIST MEDICAL CENTER AND ADVOCATE CHILDRENS HOSPITAL PARTICIPATED IN THE HEALTH IMPACT COLLABORATIVE OF COOK COUNTY. THROUGH A DATA-DRIVEN COLLABORATIVE ASSESSMENT AND PRIORITIZATION PROCESS, THE HICCC IDENTIFIED FOUR PRIORITY FOCUS AREAS. THE FOUR FOCUS AREAS FOR HICCC INCLUDE THE FOLLOWING: *IMPROVING SOCIAL, ECONOMIC, AND STRUCTURAL DETERMINANTS OF HEALTH/REDUCING SOCIAL AND ECONOMIC INEQUITIES; *IMPROVING MENTAL AND BEHAVIORAL HEALTH; *PREVENTING AND REDUCING CHRONIC DISEASE (FOCUS ON RISK FACTORS-NUTRITION, PHYSICAL ACTIVITY AND TOBACCO); AND *INCREASING ACCESS TO CARE AND COMMUNITY RESOURCES. ALL HOSPITALS WITHIN THE COLLABORATIVE INCLUDED THE FIRST FOCUS AREA-IMPROVING SOCIAL, ECONOMIC, AND STRUCTURAL DETERMINANTS OF HEALTH-AS A PRIORITY IN THEIR CHNA AND IMPLEMENTATION PLAN. EACH HOSPITAL SELECTED AT LEAST ONE OF THE OTHER FOCUS AREAS AS A PRIORITY. NEEDS SELECTED TO ADDRESS BY CHRIST MEDICAL CENTER THROUGH THE PROCESS OF UTILIZING CHRIST MEDICAL CENTERS COMMUNITY HEALTH COUNCIL (CHC) AND ANALYZING ZIP CODE LEVEL DATA, CHC MEMBERS SELECTED ASTHMA AND DIABETES AS ADDITIONAL PRIORITIES. AS A RESULT OF THE 2014-2016 CHNA PROCESS, CHRIST MEDICAL CENTER WILL HAVE THREE PRIORITIES FOR IMPLEMENTATION PLANNING AS FOLLOW: *ASTHMA *DIABETES *SOCIAL DETERMINANTS OF HEALTH VIOLENCE PREVENTION VIOLENCE PREVENTION REDUCE VIOLENCE AND INCREASE AWARENESS OF VIOLENCE PREVENTION IN THE PRIMARY SERVICE AREA - THE STRATEGIES WILL INCLUDE EXPANDING THE PARTNERSHIP WITH CEASEFIRE TO IMPLEMENT AN EVIDENCE-BASED MODEL THAT ADDRESSES VIOLENCE PREVENTION. ADDITIONAL VIOLENCE INTERRUPTERS WILL BE HIRED TO COMPLEMENT THE EXISTING INTERRUPTERS ALREADY WORKING AT THE MEDICAL CENTER. CHRIST MEDICAL CENTER AND ADVOCATE CHILDRENS HOSPITAL WILL CONTINUE TO ACTIVELY PARTICIPATE IN THE ALLIANCE FOR HEALTH EQUITY (FORMERLY KNOWN AS HEALTH IMPACT COLLABORATIVE OF COOK COUNTY) TO IDENTIFY ADDITIONAL INTERVENTIONS AND RESOURCES TO SUPPORT VIOLENCE PREVENTION STRATEGIES. PROGRAM RESULTS FOR 2017 WERE AS FOLLOWS: *A TOTAL OF 607 PATIENTS RECEIVED CEASEFIRE INTERVENTION SERVICES. *A TOTAL OF 803 VIOLENT INJURY PATIENTS FROM THE HOSPITALS PSA AND SSA WERE TREATED AT CHRIST MEDICAL CENTER. *A TOTAL OF 1,237 VIOLENT INJURY PATIENTS RECEIVED SERVICES FROM THE MEDICAL CENTERS TRAUMA CLINIC BEHAVIORAL HEALTH PROGRAM. *90.8% OF INJURY PATIENTS RECEIVED VIOLENCE PREVENTION SERVICES THROUGH THE CEASEFIRE PROGRAM. *96.4% OF GUNSHOT/VIOLENT INJURY PATIENTS TREATED AT THE MEDICAL CENTER WERE REFERRED TO COMMUNITY-BASED BEHAVIORAL HEALTH SERVICES. *77.9% OF GUNSHOT/VIOLENT INJURY PATIENTS RECEIVED SERVICES FROM THE MEDICAL CENTERS TRAUMA CLINIC BEHAVIORAL HEALTH PROGRAM. ASTHMA REDUCE THE INCIDENCE OF UNCONTROLLED ASTHMA AMONG ADULTS AND CHILDREN WITHIN THE PRIMARY SERVICE AREA-STRATEGIES WILL INCLUDE PARTNERING WITH THE METROPOLITAN TENANT ORGANIZATION ON THE HEALTHY HOMES INITIATIVE FOR CHILDREN WITH ASTHMA. COMMUNITY HEALTH STAFF WILL COLLABORATE WITH CLINICAL STAFF IN INPATIENT MEDICAL CENTER UNITS AS WELL AS THE EMERGENCY DEPARTMENT (ED) TO IMPROVE DISEASE SELF-MANAGEMENT SKILLS FOR PATIENTS AND FAMILIES WITH ASTHMA. CHRIST MEDICAL CENTER WILL COLLABORATE WITH ADVOCATE CHILDRENS HOSPITAL-OAK LAWN TO PROVIDE "KICKIN' ASTHMA," AN EVIDENCE-BASED EDUCATION/DISEASE SELF-MANAGEMENT PROGRAM IN HIGH RISK SCHOOLS IN THE PRIMARY SERVICE AREA. PROGRAM RESULTS FOR 2017 WERE AS FOLLOWS: *A CONTRACT WITH METROPOLITAN TENANT ORGANIZATION (MTO) WAS EXECUTED IN DECEMBER 2017. AS A RESULT, THERE WERE NO STAFF TRAINED, NO HEALTHY HOME WORKSHOPS WERE OFFERED, OR ANY HEALTHY HOME INSPECTIONS COMPLETED DUE TO 2017 BEING A PLANNING YEAR. *THE AMERICAN LUNG ASSOCIATIONS BREATHE WELL LIVE WELL PROGRAM IS BEING EVALUATED AS THE ASTHMA SELF MANAGEMENT PROGRAM TO IMPLEMENT FOR ADULTS. *ADVOCATE CHILDRENS HOSPITALS HEALTH EDUCATOR WAS TRAINED IN LATE 2017 TO PROVIDE THE NATIONAL LUNG ASSOCIATIONS KICKIN ASTHMA CLASSES. THE HEALTH EDUCATOR WILL OFFER CLASSES BEGINNING FIRST QUARTER 2018. DIABETES REDUCE THE INCIDENCE OF DIABETES IN PSA COMMUNITIES THAT HAVE THE HIGHEST SOCIONEEDS INDEX - AUBURN GRESHAM, CHICAGO LAWN, BRIGHTON PARK, AND WEST ENGLEWOOD. CREATED BY THE HEALTHY COMMUNITIES INSTITUTE, THE SOCIONEEDS INDEX IS A MEASURE OF SOCIOECONOMIC NEED THAT IS CORRELATED WITH POOR HEALTH OUTCOMES. INDICATORS FOR THE INDEX ARE WEIGHTED TO MAXIMIZE THE CORRELATION OF THE INDEX WITH PREMATURE DEATH RATES AND PREVENTABLE HOSPITALIZATION RATES. THIS INDEX COMBINES MULTIPLE SOCIOECONOMIC INDICATORS INTO A SINGLE COMPOSITE VALUE. AS A SINGLE INDICATOR, THE INDEX CAN SERVE AS A CONCISE WAY TO EXPLAIN WHICH AREAS ARE OF HIGHEST NEED. THE SCORES CAN RANGE FROM 1 TO 100. A SCORE OF 100 REPRESENTS THE HIGHEST SOCIOECONOMIC NEED. STRATEGIES INCLUDE: 1. IMPLEMENTATION OF THE CENTER OF DISEASE CONTROL (CDC) NATIONAL DIABETES PREVENTION PROGRAM'S (DPP) PREVENT T2 IN TARGETED COMMUNITY AREAS IN PARTNERSHIP WITH COMMUNITY-BASED ORGANIZATIONS AND FAITH COMMUNITIES; 2. ESTABLISHMENT OF CHRIST MEDICAL CENTER AS A DESIGNATED DIABETES PREVENTION PROGRAM APPROVED SITE BY COLLABORATING WITH CLINICAL DIABETES EDUCATION TEAM; AND 3. INCREASING COMMUNITY EDUCATIONAL OPPORTUNITIES TO SUPPORT DIABETES SELF-MANAGEMENT SKILLS. PROGRAM RESULTS FOR MAY 2017 TO DECEMBER 2017 WERE AS FOLLOWS: *THE CDC APPLICATION WAS SUBMITTED IN MAY 2017 AND PENDING STATUS WAS RECEIVED IN JUNE 2017. *ONE YEAR-LONG DPP PREVENT T2 COHORT
BECOME A TRAUMA-INFORMED CHILDREN'S HOSPITALPLANS INCLUDE BECOMING THE FIRST TRAUMA-INFORMED CHILDRENS HOSPITAL IN THE METROPOLITAN CHICAGO AREA, AS WELL AS FURTHERING THE PARTNERSHIP WITH THE ADVERSE CHILDHOOD EXPERIENCES (ACE) PROGRAM OF THE HEALTH AND MEDICINE POLICY RESEARCH GROUP TO DETERMINE BEST PRACTICES FOR TRAINING THE HOSPITALS CLINICAL TEAM ON ACES AND THEIR IMPACT ON IMPROVING CHILDRENS HEALTH OUTCOMES. ADVOCATE CHILDRENS HOSPITAL WILL ALSO WORK CLOSELY WITH THE CHICAGO DEPARTMENT OF PUBLIC HEALTH TO ASSIST IN REACHING ITS HEALTHY CHICAGO 2.0 GOAL OF BECOMING A TRAUMA-INFORMED CITY AND WITH ILLINOIS SENATOR DICK DURBIN TO SUPPORT LEGISLATION TO FURTHER TRAUMA-INFORMED CARE FOR CHILDREN. PROGRAM RESULTS IN 2017 WERE AS FOLLOWS. *ADVOCATE CHILDRENS HOSPITAL HAS SECURED EXECUTIVE LEADERSHIP SUPPORT INCLUDING THE CHIEF MEDICAL OFFICER. *A WORKGROUP HAS BEEN FORMED TO DETERMINE NECESSARY PROCESS AND POLICY CHANGES. *PATIENT SCREENING AND ASSESSMENT TOOLS WERE REVIEWED AND STAFF TRAINING MODULES WERE DEVELOPED. *PEER SUPPORT FOR THE CLINICAL TEAM WAS PROVIDED. *RESILIENCY TRAINING THROUGH THE VITAL HEARTS PROGRAM, WHICH IS AN EVIDENCE-BASED BEST PRACTICE MODEL OF FOSTERING RESILIENCY AND SELF-CARE FOR CLINICIANS, WAS USED TO TRAIN OVER 200 CLINICIANS. IMPROVE CHILDRENS ACCESS TO PRIMARY HEALTH CARE IN ADVOCATE CHILDRENS HOSPITALS PSA AND SSA STRATEGIES INCLUDE OFFERING TARGETED, SCHOOL-BASED HEALTH SERVICES TO HIGH RISK, LOW-INCOME CHILDREN WHO ARE UNINSURED OR ARE RECEIVING MEDICAID. SERVICES INCLUDE PRIMARY MEDICAL CARE, IMMUNIZATIONS, ASTHMA AND WEIGHT MANAGEMENT, WELLNESS AND HEALTH EDUCATION. ADVOCATE CHILDRENS HOSPITAL WILL IMPROVE ACCESS TO PRIMARY HEALTH SERVICES THROUGH A MOBILE HEALTH CLINIC-THE RONALD MCDONALD CARE MOBILE, IMPROVE COMPLIANCE FOR PHYSICALS AND IMMUNIZATIONS AT TARGETED SCHOOLS, ESTABLISH MEDICAL AND SOCIAL REFERRAL NETWORKS AND IMPROVE ASTHMA EDUCATION AND COMPLIANCE FOR PATIENTS SEEN ON THE CARE MOBILE. PROGRAM RESULTS FOR 2017 WERE AS FOLLOWS: *ADVOCATE CHILDRENS HOSPITAL TREATED 1,301 PATIENTS IN OAK LAWN PSA/SSA. *THE CARE MOBILE TEAM PROVIDED A COMBINED TOTAL OF 2,226 PHYSICALS PROVIDED IN THE NORTH AND SOUTH PSA/SSA (A NEW ELECTRONIC MEDICAL RECORD SYSTEM DID NOT PROVIDE SEPARATE DATA FOR BOTH THE NORTH AND SOUTH CAMPUSES). *A TOTAL OF 2,008 VACCINES WERE GIVEN IN OAK LAWN PSA/SSA, WITH A REPORTED A 95-98% COMPLIANCE RATE FOR SELECT SCHOOLS IN THE SERVICE AREA. *REFERRAL PARTNERSHIPS EXIST WITH ADVOCATE HEALTH CARE, MOBILE CARE CHICAGO FOR DENTAL AND ASTHMA, AGELESS EYE CARE, AND METROPOLITAN FAMILY SERVICES FOR FOLLOW-UP AND SPECIALTY SERVICES REFERRALS AS NEEDED. STUDENTS WERE ALSO GIVEN LOCAL REFERRAL LISTS FOR FEDERALLY QUALIFIED HEALTH CENTERS AND PROVIDERS WHO ACCEPT MEDICAID IN ORDER TO ESTABLISH A MEDICAL HOME GOING FORWARD. *A TOTAL OF 1,465 STUDENTS WERE REFERRED TO A PRIMARY CARE PHYSICIAN, DENTIST, OPTOMETRIST OR SPECIALIST. REFERRAL SERVICES WILL BE ENHANCED IN 2018 WHEN THE CLINICAL TEAM WILL HAVE ACCESS TO NOWPOW, A SOCIAL AND HEALTH SERVICES REFERRAL SYSTEM. THIS PROGRAM WILL ALSO PROVIDE MORE FREQUENT CONTACT WITH PARENTS OF REFERRED PATIENTS TO INCREASE FOLLOW-UP WITH COMMUNITY RESOURCES AND SCHEDULED APPOINTMENTS. REDUCE INCIDENCE OF UNCONTROLLED ASTHMA IN CHILDREN STRATEGIES INCLUDE TARGETING ASTHMA SELF-MANAGEMENT SERVICES TO LOW-INCOME CHILDREN TREATED ON THE RONALD MCDONALD CARE MOBILE. ADVOCATE CHILDRENS HOSPITAL RESPIRATORY CARE SPECIALISTS AND HEALTH EDUCATORS WILL ALSO OFFER THE NATIONAL LUNG ASSOCIATIONS KICKIN ASTHMA SCHOOL-BASED ASTHMA EDUCATION PROGRAM TO TARGETED MIDDLE AND HIGH SCHOOL AGED STUDENTS. PROGRAM RESULTS 2017 WERE AS FOLLOWS: *SIXTY-THREE CARE MOBILE PATIENTS RECEIVED CONCENTRATED 1:1 EDUCATION REGARDING ASTHMA SELF-MANAGEMENT. SEVENTY-FIVE PERCENT OF STUDENTS SURVEYED POST SESSION COMPREHENDED AND RETAINED INFORMATION TAUGHT. *ADVOCATE CHILDRENS HOSPITAL HEALTH EDUCATOR WAS TRAINED IN LATE 2017 TO PROVIDE THE NATIONAL LUNG ASSOCIATIONS KICKIN ASTHMA CLASSES. THE HEALTH EDUCATOR WILL OFFER CLASSES BEGINNING FIRST QUARTER 2018. HEALTH NEEDS NOT SELECTED TO ADDRESS BY ADVOCATE CHILDRENS HOSPITAL CHILDHOOD OBESITY WHILE NOT AN IDENTIFIED AREA FOR ACTION, CHILDHOOD OBESITY IS BEING ADDRESSED THROUGH THE HOSPITAL-SPONSORED PROACTIVE KIDS PROGRAM FOR WEIGHT LOSS AND WEIGHT MANAGEMENT, AND SOON THROUGH THE HOSPITAL'S NEW HEALTHY ACTIVE LIVING PROGRAM, WHICH IS A WEIGHT MANAGEMENT PROGRAM FOR OVERWEIGHT AND OBESE CHILDREN LARGELY INSURED THROUGH MEDICAID. ORAL HEALTH ADVOCATE CHILDRENS HOSPITAL IS COLLABORATING WITH MOBILE CARE CHICAGO, AN ORGANIZATION PROVIDING MOBILE DENTAL CARE TO THE AREA'S UNDERSERVED. WHERE APPROPRIATE, PATIENTS SEEN THROUGH THE CHILDRENS HOSPITALS RONALD MCDONALD CARE MOBILE PROGRAM ARE REFERRED FOR CARE TO MOBILE CARE CHICAGO AND AREA DENTISTS ACCEPTING MEDICAID. ADVOCATE LUTHERAN GENERAL HOSPITAL 2014-2016 CHNA IN 2016, ADOVCATE LUTHERAN GENERAL HOSPITAL (LUTHERAN GENERAL HOSPITAL) COMPLETED A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) WITH INPUT FROM THE COMMUNITY HEALTH COUNCIL. THE COUNCIL IS COMPOSED OF VARIOUS KEY STAKEHOLDERS FROM COMMUNITIES WITHIN LUTHERAN GENERAL HOSPITAL'S SERVICE AREA. AFTER REVIEWING PRIMARY AND SECONDARY DATA, THE COUNCIL SELECTED THREE HEALTH NEEDS AS PRIORITIES FOR HOSPITAL ACTION: HEART DISEASE, HEALTH LITERACY AND WORKFORCE DEVELOPMENT. THE HOSPITAL'S COMMUNITY HEALTH COUNCIL MET QUARTERLY DURING THE 2014-2016 CHNA PROCESS. THERE WERE TWO ADDITIONAL MEETINGS IN 2016 FOR DATA REVIEW AND PRIORITIZATION OF HEALTH NEEDS. OUTLINED BELOW ARE THE THREE SELECTED PRIORITIES AND RESPECTIVE 2017 UPDATES FOR EACH PRIORITY. LUTHERAN GENERAL HOSPITALS SELECTED HEALTH NEEDS TO ADDRESS HEALTH LITERACY NAVIGATING THE HEALTH CARE SYSTEM PROGRAM-STRATEGY ONE: PARTNER WITH ADVOCATE CHILDREN'S HOSPITAL PARK RIDGE TO ENGAGE AND SUPPORT LOCAL SCHOOL DISTRICTS IN IMPLEMENTING THE NAVIGATING THE HEALTH CARE SYSTEM, A HEALTH LITERACY CURRICULUM. 2017 NAVIGATING THE HEALTH CARE SYSTEM-STRATEGY ONE UPDATES/PROGRESS *PARTNERED WITH THREE SCHOOLS IN DISTRICT 207 (MAINE EAST, WEST AND SOUTH) TO IMPLEMENT THE NAVIGATING THE HEALTH CARE SYSTEM PROGRAM. *THREE TEACHERS WERE TRAINED IN THE NAVIGATING THE HEALTH CARE SYSTEM CURRICULUM. *FOUR CLASSES WERE OFFERED TO THE NIGHT SCHOOL STUDENTS OF DISTRICT 207. *FORTY-FIVE STUDENTS COMPLETED THE NAVIGATING THE HEALTH CARE SYSTEM CURRICULUM. *THERE WAS A 10% INCREASE IN KNOWLEDGE AMONG DISTRICT 207 STUDENTS MEASURED BY THE HEALTH LITERACY POST-TEST. AGENCY FOR HEALTHCARE RESEARCH AND QUALITY-STRATEGY TWO: PARTNER WITH LUTHERAN GENERAL HOSPITAL PHYSICIANS TO IMPLEMENT THE AGENCY FOR HEALTHCARE RESEARCH AND QUALITY (AHRQ) HEALTH LITERACY ASSESSMENT AND RECOMMENDATIONS WITHIN THE PRIMARY CARE SETTING. 2017 AGENCY FOR HEALTHCARE RESEARCH AND QUALITY PROGRAM-STRATEGY TWO UPDATES/PROGRESS *2017 WAS A STRATEGIC PLANNING YEAR FOR IMPLEMENTING THE AGENCY FOR HEALTHCARE RESEARCH AND QUALITY ASSESSMENTS AND ACTION PLANS, THUS THERE WERE NO HEALTH LITERACY ASSESSMENTS COMPLETED. CARDIOVASCULAR DISEASE EMPOWER TO SERVE (ETS) PROGRAM-STRATEGY ONE: PARTNER WITH PRESENCE RESURRECTION MEDICAL CENTER (PRMC) TO TRAIN COMMUNITY LEADERS WITH THE EMPOWERED TO SERVE CURRICULUM (ETS), A HEART HEALTH CURRICULUM, IN IRVING PARK (60641). 2017 EMPOWER TO SERVE PROGRAM-STRATEGY ONE UPDATES/PROGRESS *ONE INTERN WAS TRAINED BY LUTHERAN GENERAL HOSPITAL TO FACILITATE EMPOWERED TO SERVE IN THE IRVING PARK FOOD PANTRY. *ONE COMPLETE SERIES OF ETS WAS OFFERED AND IMPLEMENTED AT THE IRVING PARK FOOD PANTRY. *THIRTY-SIX PARTICIPANTS ATTENDED THE IRVING PARK FOOD PANTRY EMPOWER TO SERVE SESSIONS. *LUTHERAN GENERAL HOSPITAL COLLABORATED WITH DOMINICAN UNIVERSITY TO COORDINATE TEN WEEKLY COOKING DEMONSTRATIONS, PRECEEDING THE ETS CLASSES. *THERE WAS A SIX PERCENT INCREASE IN KNOWLEDGE FOR THE SURVEY QUESTION OF "WHY IS CHECKING YOUR BLOOD PRESSURE IMPORTANT." *THERE WAS A FORTY-TWO PERCENT INCREASE IN KNOWLEDGE AMONG PARTICIPANTS WHO WERE ABLE TO IDENTIFY THE SYMPTOMS OF A STROKE USING F.A.S.T. BLOOD PRESSURE CHECKS-STRATEGY TWO: TRACK THE BLOOD PRESSURE OF ADULTS WHO UTILIZE THE IRVING PARK FOOD PANTRY IN THE 60641 ZIP CODE. 2017 BLOOD PRESSURE CHECKS-STRATEGY TWO UPDATES/PROGRESS *ONE-HUNDRED AND TWO PARTICIPANTS FROM THE IRVING PARK FOOD PANTRY RECEIVED A BLOOD PRESSURE SCREENING. *THERE WERE TWELVE SCREENINGS THAT OCCURRED EVERY WEDNESDAY FROM JUNE THROUGH NOVEMBER 2017. *WHEN ASKED, "CAN YOU NAME AT LEAST ONE RISK FACTOR FOR HEART DISEASE?" EIGHTY-THREE PERCENT OF PARTICIPANTS COULD STATE WHAT NORMAL BLOOD PRESSURE WAS IN THE POST-ASSESSMENT, COMPARED TO TWENTY-SEVEN PERCENT IN THE PRE-ASSESSMENT. *WHEN ASKED, "DO YOU KNOW WHAT AN OPTIMAL (NORMAL) BLOOD PRESSURE RANGE IS?" NINETY-SEVEN PERCENT OF PARTICIPANTS ANSWERED CORRECTLY IN THE POST-ASSESSMENT, COMPARED TO SIXTY-SEVEN PERCENT IN THE PRE-ASSESSMENT. *NINETY PERCENT OF PARTICIPANTS ANSWERED BOTH QUESTIONS CORRECTLY IN THE POST-ASSESSMENT COMPARED TO FORTY-NINE PERCENT IN THE PRE-ASSESSMENT. WORKS
CULTURAL HEALTH DISPARITIESAS INDICATED IN THE 2011-2013 CHNA, CULTURAL HEALTH DISPARITIES STILL EXIST, BUT THIS AREA WAS NOT CHOSEN AS A PRIORITY FOR THE 2014-2016 CHNA. AS STATED IN AN EARLIER SECTION, LUTHERAN GENERAL HOSPITAL HAS CONTINUED TO EXPAND AND ENHANCE ITS CULTURAL INITIATIVES TO ADDRESS HEALTH EQUITY. THESE INITIATIVES INCLUDE THE SOUTH ASIAN CARDIOVASCULAR CENTER AND PROGRAMS FOR THE KOREAN, POLISH AND HISPANIC COMMUNITIES. ADVOCATE CHILDRENS HOSPITAL HEALTH NEEDS NOT SELECTED TO ADDRESS CHILDHOOD OBESITY ADVOCATE CHILDREN'S HOSPITAL DID NOT SELECT CHILDHOOD OBESITY AS A HEALTH NEED. THE HOSPITAL IS, HOWEVER, ADDRESSING CHILDHOOD OBESITY THROUGH THE HOSPITALS HEALTHY ACTIVE LIVING PROGRAM-A WEIGHT MANAGEMENT PROGRAM FOR OVERWEIGHT AND OBESE CHILDREN LARGELY INSURED THROUGH MEDICAID. COMPONENTS OF THE PROGRAM ARE OFFERED TO STUDENTS IN THE EXPANDED LEARNING PROGRAM OF EAST MAINE SCHOOL DISTRICT 63. ASTHMA HOSPITAL UTILIZATION DATA SHOWS THAT DES PLAINES AND WHEELING-AREAS WITH LARGE VOLUMES OF MEDICAID MANAGED CARE PARTICIPANTS-ARE TWO OF THE TOP NINE COMMUNITIES ACCOUNTING FOR SIXTY-ONE PERCENT OF ALL ASTHMA DISCHARGES. DATA ALSO SHOWS THAT THE EMERGENCY ROOM (ER) RATE DUE TO PEDIATRIC ASTHMA HAS STEADILY RISEN SINCE 2009. WHILE ASTHMA WAS NOT SPECIFICALLY SELECTED AS A HEALTH NEED, ASTHMA EDUCATION AND TREATMENT ARE A FOCUS OF PRIMARY CARE SERVICES BEING PROVIDED AS PART OF THE SCHOOL-BASED MODEL DESCRIBED ABOVE. SELECT SCHOOLS WITH LARGE CONCENTRATIONS OF CHILDREN WHO EXPERIENCE ASTHMA, AS IDENTIFIED BY STAFF OF THE RONALD MCDONALD CARE MOBILE, WILL RECEIVE THE AMERICAN LUNG ASSOCIATION'S KICKIN' ASTHMA PROGRAM. THIS PROGRAM OFFERS SMALL GROUP EDUCATION REGARDING TRIGGERS, SYMPTOMS AND PROPER MANAGEMENT OF THE DISEASE. ADVOCATE GOOD SAMARITAN HOSPITAL 2014-2016 CHNA HEALTH NEEDS SELECTED TO ADDRESS HEALTHY LIFESTYLES OBESITY AND POOR NUTRITION ARE THE MAIN CAUSES OF MANY CHRONIC DISEASES AND HEALTH ISSUES INCLUDING HEART DISEASE, STROKE, SOME CANCERS AND DIABETES. TAKING THIS INTO CONSIDERATION, THE CHC SELECTED HEALTHY LIFESTYLES AS ONE OF THE TWO HEALTH PRIORITIES TO ADDRESS, DUE TO THE LARGE IMPACT IT HAS ON QUALITY OF LIFE AND OVERALL HEALTH STATUS. THE PREVENTION OF OBESITY, PROPER NUTRITION AND PHYSICAL ACTIVITY HAVE THE POTENTIAL TO DECREASE THE RATE OF CHRONIC DISEASE THUS INCREASING LIFE EXPECTANCY AND QUALITY OF LIFE. THE TERM HEALTHY LIFESTYLES IS USED TO ENCOMPASS MULTIPLE FACTORS THAT CAUSE OBESITY AND IMPACT QUALITY. DATA ALSO REVEALED THAT LOW-INCOME POPULATIONS WITHIN DUPAGE COUNTY HAVE HIGHER RATES OF OBESITY INDICATING OBESITY PREVENTION AND NUTRITION EDUCATION IS AN ESSENTIAL NEED IN THE MORE VULNERABLE COMMUNITIES WITHIN THE HOSPITAL'S PRIMARY SERVICE AREA (PSA). BELOW, ARE STRATEGIES THAT THE HOSPITAL WILL IMPLEMENT TO ADDRESS THE HEALTHY LIFESTYLES PRIORITY IN THE HOSPITALS DEFINED COMMUNITY. FOOD PANTRY WORKSHOPS-STRATEGY ONE: PARTNER WITH UNIVERSITY OF ILLINOIS EXTENSION, NORTHERN ILLINOIS FOOD BANK AND LOCAL FOOD PANTRIES TO IMPLEMENT HEALTHY LIFESTYLE WORKSHOPS IN FOOD PANTRIES WITHIN GOOD SAMARITAN HOSPITAL'S PSA. 2017 FOOD PANTRY WORKSHOP-STRATEGY ONE UPDATES/PROGRESS A SERIES OF 4 WORKSHOPS PER PANTRY WERE IMPLEMENTED IN 2017. PEOPLES RESOURCE CENTER (WESTMONT) HAD 16 PARTICIPANTS (CONSISTENT THROUGHOUT SERIES) AND WEST SUBURBAN COMMUNITY FOOD PANTRY HAD 20 PARTICIPANTS (CONSISTENT THROUGHOUT SERIES). THERE WERE TWO FOOD PANTRIES THAT PARTICIPATED-PEOPLES RESOURCE CENTER (WESTMONT) AND WEST SUBURBAN COMMUNITY FOOD PANTRY. AN AVERAGE OF 65 PERCENT OF WORKSHOP SERIES PARTICIPANTS REPORTED THAT THEY PLANNED ON MAKING AT LEAST ONE HEALTHY CHANGE IN THEIR LIFESTYLE AS A RESULT OF THE WORKSHOP(S). 72 PERCENT OF WORKSHOP PARTICIPANTS REPORTED THAT THEY "MOST OF THE TIME"ALMOST ALWAYS" THINK ABOUT HEALTHY FOOD CHOICES WHEN FEEDING THEIR FAMILY AS A RESULT OF THE WORKSHOP(S). AN AVERAGE OF 90 PERCENT OF WORKSHOP PARTICIPANTS "AGREED" TO "STRONGLY AGREED" THAT THEY LEARNED NEW AND PRACTICAL INFORMATION AS A RESULT OF THE WORKSHOPS. AN UNEXPECTED ADDITIONAL POSITIVE OUTCOME OF THE WORKSHOP SERIES HAS BEEN THAT THE PARTICIPANTS HAVE BEGUN TO SHARE RECIPES AND IDEAS ABOUT IMPROVING THEIR LIFESTYLES WITH EACH OTHER, CREATING AN INFORMAL PEER SUPPORT GROUP. HEALTHY SCHOOLS PROGRAM-STRATEGY TWO: PARTNER WITH ACTION FOR HEALTHY KIDS TO SUPPORT SCHOOLS IN GOOD SAMARITAN HOSPITAL'S PSA IN CREATING A HEALTHY SCHOOL ENVIRONMENT AND BECOMING RECOGNIZED AS A CERTIFIED HEALTHY SCHOOL UNDER THE USDA'S HEALTHIER US SCHOOLS CHALLENGE. 2017 HEALTHY SCHOOLS PROGRAM - STRATEGY TWO UPDATES/PROGRESS GOOD SAMARITAN HOSPITAL AND ACTION FOR HEALTHY KIDS (AFHK) IS COLLABORATING WITH TWO SCHOOLS IN THE HOSPITAL'S PSA. BOTH SCHAFER AND SIPLEY ELEMENTARY SCHOOLS HAVE 50 PERCENT OF STUDENTS WHO ARE LOW-INCOME AND ELIGIBLE FOR FREE/REDUCED LUNCH. BOTH PARTNER SCHOOLS HAVE ACTIVE SCHOOL HEALTH TEAMS THAT ARE ENGAGED IN THE IMPLEMENTATION OF ACTION PLAN STRATEGIES. IN 2017, THERE HAVE BEEN AT LEAST 15 TECHNICAL ASSISTANCE INTERACTIONS WITH EACH PARTNER SCHOOL. THE AVERAGE SHI SCORE WAS 71.95% (SIPLEY 66.67%, SCHAFER 77.22%). BOTH SCHOOLS IMPLEMENTED AT LEAST ONE PHYSICAL ACTIVITY IMPROVEMENT STRATEGY. BOTH SCHOOLS SHARED INFORMATION ON PHYSICAL ACTIVITY AND NUTRITION WITH PARENTS THROUGH THE SCHOOL NEWSLETTER. PROACTIVE KIDS-STRATEGY THREE: GOOD SAMARITAN HOSPITAL, IN PARTNERSHIP WITH EDWARD-ELMHURST HEALTH SYSTEM, WILL IMPLEMENT AN 8-WEEK HEALTHY LIFESTYLE PROGRAM FOR OBESE AND OVERWEIGHT CHILDREN LIVING IN GOOD SAMARITAN HOSPITALS PSA. 2017 PROACTIVE KIDS - STRATEGY THREE UPDATES/PROGRESS GOOD SAMARITAN HOSPITAL AND EDWARD-ELMHURST HEALTH OFFERED ONE PAK SESSION AT THE LOMBARD PARK DISTRICT. -10 KIDS WERE IN ATTENDANCE FOR THE FIRST PAK SESSION AT THE LOMBARD PARK DISTRICT. -48 PERCENT OF PAK REGISTRANTS ATTENDED THE FIRST CLASS OF EACH SESSION. -7 OUT OF THE 10 (70 PERCENT) KIDS GRADUATED FROM THE PROGRAM. -40 PERCENT OF PARTICIPANTS RECOGNIZED A SIGNIFICANT TO SOLID IMPROVEMENT IN THEIR COMMITMENT TO FITNESS AT THE CONCLUSION OF THE 8-WEEK PROGRAM. -40 PERCENT OF PROGRAM PARTICIPANTS REPORTED RECOGNIZING A SIGNIFICANT TO SOLID IMPROVEMENT IN THEIR DIET AND NUTRITION AT THE CONCLUSION OF THE 8-WEEK PROGRAM. CARDIOVASCULAR WORKSHOPS - STRATEGY FOUR: THE GOOD SAMARITAN HOSPITAL CARDIOVASCULAR (CV) SERVICE LINE WILL CREATE AND IMPLEMENT 2-3 HEALTHY LIFESTYLE WORKSHOPS IN THE HOSPITALS PSA. 2017 CARDIOVASCULAR WORKSHOPS - STRATEGY FOUR UPDATES/PROGRESS GOOD SAMARITAN HOSPITAL'S CV SERVICE LINE IMPLEMENTED 2 WORKSHOPS IN 2017. -63 PEOPLE PARTICIPATED IN HEALTHY LIFESTYLE WORKSHOPS IN 2017. -100 PERCENT OF PARTICIPANTS WERE ABLE TO IDENTIFY AT LEAST TWO RISK FACTORS FOR HEART AND BRAIN ATTACKS AT THE CONCLUSION OF THE WORKSHOP. -2 ORGANIZATIONS HOSTED THE WORKSHOP IN 2017-GLORIA DEI LUTHERAN CHURCH AND VILLA ST. BENEDICT. MENTAL HEALTH THE CHC SELECTED MENTAL HEALTH AS THE SECOND HEALTH NEED PRIORITY. DATA TRENDS INDICATED THAT MENTAL HEALTH ISSUES ARE INCREASING AND THE NEED FOR MENTAL HEALTH SERVICES AND PROGRAMMING IS CONTINUING TO GROW. THIS IS A HEALTH NEED THAT IS ALSO CORRELATED WITH SUBSTANCE ABUSE AS MANY SUBSTANCE USERS/ABUSERS ALSO EXPERIENCE MENTAL HEALTH ISSUES AND MANY INDIVIDUALS WITH MENTAL HEALTH DISORDERS EXPERIENCE SUBSTANCE ABUSE ISSUES. THE NATIONAL ALLIANCE FOR MENTAL ILLNESS (NAMI), ONE OF THE LEADING MENTAL HEALTH AGENCIES IN DUPAGE COUNTY, PROVIDED MENTAL HEALTH DATA THAT ALSO INDICATED THE NEED FOR RESILIENCE AND MENTAL HEALTH CRISIS TRAINING AMONG ADOLESCENTS AND YOUNG ADULTS. THE HIGH RATES OF ED VISITS AND HOSPITALIZATION DUE TO MENTAL HEALTH ISSUES ARE PREVENTABLE THROUGH EMPLOYING COPING MECHANISMS AND RESILIENCE TRAINING. THE CHC IS SPECIFICALLY INTERESTED IN PROGRAMS THAT PREVENT MENTAL HEALTH EMERGENCIES AND DECREASE ED VISITS AND HOSPITALIZATION DUE TO MENTAL HEALTH ISSUES. BELOW, ARE STRATEGIES THAT THE HOSPITAL WILL IMPLEMENT TO ADDRESS MENTAL HEALTH IN THE HOSPITALS PSA. ENDING THE SILENCE-STRATEGY ONE: PARTNER WITH NATIONAL ALLIANCE ON MENTAL ILLNESS (NAMI DUPAGE) TO IMPLEMENT THE ENDING THE SILENCE (ETS) PROGRAM IN MIDDLE AND HIGH SCHOOLS WITHIN GOOD SAMARITAN HOSPITAL'S PSA. 2017 ENDING THE SILENCE - STRATEGY ONE UPDATES/PROGRESS: -IN 2017, OVER 11 ETS CLASSES WERE HELD AT WESTMONT HIGH AND EISENHOWER MIDDLE SCHOOLS. -OVER 200 STUDENTS PARTICIPATED AND COMPLETED THE ETS PROGRAM. -2 SCHOOLS HOSTED THE ETS PROGRAM IN 2017 - WESTMONT HIGH SCHOOL AND EISENHOWER MIDDLE SCHOOL. -92 PERCENT OF WESTMONT HIGH SCHOOL STUDENTS REPORTED THEY KNEW THE SIGNS OF MENTAL ILLNESS IN THE POST EVALUATION SURVEY. -63 PERCENT OF WESTMONT HIGH SCHOOL STUDENTS REPORTED FEELING MORE COMFORTABLE TALKING ABOUT MENTAL ILLNESS ON THE POST EVALUATION SURVEY. -74 PERCENT OF WESTMONT HIGH SCHOOL STUDENTS REPORTED LEARNING NEW INFORMATION ABOUT MENTAL ILLNESS ON THE POST EVALUATION SURVEY. MENTAL HEALTH FIRST AID - STRATEGY TWO: PROVIDE MENTAL HEALTH FIRST AID (MHFA) TO HOSPITAL ASSOCIATES AND STAFF AND COMMUNITY ORGANIZATIONS/BUSINESSES SERV
ADVOCATE GOOD SHEPHERD HOSPITAL2014-2016 CHNA GOOD SHEPHERD HOSPITAL CONDUCTED A COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENT WHICH INCLUDED THE SELECTION OF HEALTH PRIORITIES THROUGH A CONSENSUS PRIORITIZATION PROCESS BY THE COMMUNITY HEALTH COUNCIL. THE COUNCIL RECOMMENDED, AND THE HOSPITAL GOVERNING COUNCIL APPROVED, TWO HEALTH AREAS FOR PRIORITY ACTION: OBESITY AND MENTAL HEALTH. STEPS BEING TAKEN TO ADDRESS THE TWO PRIORITIES ARE BELOW. NEEDS SELECTED TO ADDRESS OBESITY GOOD SHEPHERD HOSPITAL IS ADDRESSING OBESITY IN THE SERVICE AREA THROUGH THREE EVIDENCE-BASED PROGRAMS. THE FIRST PROGRAM IS THE NUTRITION AND PHYSICAL ACTIVITY SELF-ASSESSMENT FOR CHILD CARE (GO NAP SACC) PROGRAM. THE GO NAP SACC PROGRAM IS AN EVIDENCE-BASED EARLY INTERVENTION PROGRAM TARGETING INFANTS THROUGH PRE-KINDERGARTEN WHICH AIMS TO ADVANCE THE CHILDCARE ENVIRONMENT BY IMPROVING NUTRITION, PHYSICAL ACTIVITY AND POLICIES IN THE CHILD CARE CENTER. THE HOSPITAL WILL LEAD THE GO NAP SACC ASSESSMENT PROCESS WITH CHILDCARE CENTERS IN COMMUNITIES WITH HIGH SOCIONEEDS INDEX SCORES WITHIN THE HOSPITAL SERVICE AREA. SOCIOECONOMIC NEED WAS DETERMINED BY THE HEALTHY COMMUNITIES INSTITUTES (HCI) CALCULATIONS TO CREATE AN INDEX USING SIX MAJOR SOCIO-NEEDS INDICATORS THAT ARE CORRELATED WITH POOR HEALTH OUTCOMES. THE INDICATORS INCLUDE INCOME, UNEMPLOYMENT, OCCUPATION, EDUCATION, LANGUAGE, AND POVERTY. GOOD SHEPHERD HOSPITAL HAS PARTNERED WITH ADVOCATE CONDELL MEDICAL CENTER AND ADVOCATE SHERMAN HOSPITAL TO MAKE THIS PROGRAM A REGIONAL INITIATIVE. IN 2017, ADVOCATE HEALTH CARE LED THE LAUNCH OF A MULTI-STAKEHOLDER CHICAGOLAND COALITION TO RAISE FUNDS FOR THE WEB-BASED GO NAP SACC PROGRAM FOR THE STATE OF ILLINOIS. THE UNIVERSITY OF NORTH CAROLINA PERFORMED ON-LINE DEMONSTRATIONS OF GO NAP SACC TO COALITION MEMBERS AND COMMUNITY PARTNERS. GOOD SHEPHERD HOSPITAL STAFF HELD MULTIPLE PLANNING MEETINGS WITH THE LAKE COUNTY HEALTH DEPARTMENT AND COMPLETED A NAP SACC TRAINING. THE COMMUNITY HEALTH STAFF ALSO DEVELOPED A NAP SACC INFORMATION GUIDE AND PROMOTIONAL MATERIALS FOR RECRUITING CHILDCARE CENTERS IN THE COMMUNITY. THE SECOND OBESITY-PREVENTION PROGRAM IS THE CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC) WORKSITE WELLNESS PROGRAM WHICH TARGETS ADULTS IN THE WORKPLACE. THE PROGRAM FOLLOWS THE CDC FOUR-STEP WORKPLACE HEALTH MODEL AND INVOLVES USING THE CDC WORKSITE HEALTH SCORECARD. WORKSITE NUTRITION AND PHYSICAL ACTIVITY PROGRAMS ARE DESIGNED TO IMPROVE HEALTH-RELATED BEHAVIORS AND HEALTH OUTCOMES. GOOD SHEPHERD HOSPITAL COMMUNITY HEALTH STAFF IS WORKING WITH THE HOSPITALS COMMUNITY RELATIONS DIRECTOR TO PROVIDE WORKSITE HEALTH TRAINING AND PROGRAMS TO CHAMBERS OF COMMERCE AND SMALL BUSINESSES WITHIN THE SERVICE AREA. IN 2017, GOOD SHEPHERD HOSPITAL ESTABLISHED RELATIONSHIPS WITH THE ALGONQUIN/LAKE IN THE HILLS (LITH) CHAMBER OF COMMERCE AND THE CRYSTAL LAKE CHAMBER OF COMMERCE. THE CHAMBERS ASSISTED IN FACILITATING RELATIONSHIPS WITH LOCAL SMALL BUSINESSES THAT WERE INTERESTED IN CREATING AND IMPLEMENTING A WORKSITE WELLNESS PROGRAM. HOSPITAL STAFF PROVIDED A WORKSITE WELLNESS PRESENTATION TO 17 CHAMBER BUSINESSES THROUGH THE ALGONQUIN/LITH CHAMBER OF COMMERCE. CASA (COURT APPOINTED SPECIAL ADVOCATE) MCHENRY COUNTY COMPLETED THE CDC WORKSITE WELLNESS SCORECARD ASSESSMENT AND DRAFTED AN ACTION PLAN FOR 2018. AFTER CASA REVIEWED THEIR WORKSITES STRENGTHS AND WEAKNESSES, THEY SELECTED TO TARGET STAFF EDUCATION AND POLICIES IN THEIR 2018 ACTION PLAN. THE THIRD OBESITY PREVENTION INITIATIVE IS FOOD INSECURITY (FI) SCREENING AND RESOURCE REFERRAL. THE FI SCREEN RAPIDLY IDENTIFIES HOUSEHOLDS AT RISK FOR FOOD INSECURITY, ENABLING PROVIDERS TO TARGET SERVICES THAT AMELIORATE THE ASSOCIATED HEALTH AND DEVELOPMENTAL CONSEQUENCES. THE TWO - ITEM EVIDENCE-BASED FI SCREEN TOOL WAS ORIGINALLY DESIGNED TO BE SENSITIVE, SPECIFIC AND VALID AMONG LOW-INCOME FAMILIES WITH YOUNG CHILDREN. THE HOSPITAL WILL COLLABORATE WITH SENIOR SERVICE ORGANIZATIONS IN THE GOOD SHEPHERD HOSPITAL SERVICE AREA TO SCREEN SENIORS FOR FOOD INSECURITY, USING THE HUNGER VITAL SIGN FI QUESTIONNAIRE. INDIVIDUALS WHO ARE IDENTIFIED AS FOOD INSECURE ARE REFERRED TO COMMUNITY RESOURCES (FOOD PANTRIES, SUPPLEMENTAL NUTRITION ASSISTANCE PROGRAM (SNAP), MEALS ON WHEELS, CONGREGATE MEAL PROGRAMS, FARMERS MARKETS AND COMMUNITY GARDENS. IN 2017, GOOD SHEPHERD HOSPITAL STAFF CREATED THE GOOD SHEPHERD HOSPITAL FOOD AND NUTRITION RESOURCE GUIDE WITH 45 RESOURCES THROUGHOUT THE COMMUNITY. THIS GUIDE IS AVAILABLE TO ANY COMMUNITY MEMBER AND IS PROVIDED TO ALL SENIORS SCREENING POSITIVE FOR FOOD INSECURITY AT THE LOCAL SENIOR PARTNER LOCATIONS. COMMUNITY HEALTH STAFF RECRUITED AND TRAINED TWO AGENCIES WHO COUNSEL AND ASSIST SENIORS IN THE COMMUNITY, THE GOOD SHEPHERD HOSPITAL SENIOR SERVICES DEPARTMENT AND THE BARRINGTON AREA COUNCIL ON AGING (BACOA). EACH OF THESE AGENCIES INCORPORATED THE HUNGER VITAL SIGN FI SCREENING INTO THEIR COUNSELING APPOINTMENTS WITH SENIORS. IN 2017, 180 SENIORS COMPLETED THE HUNGER VITAL SIGN SCREENING AND SEVEN SENIORS SCREENED POSITIVE FOR FOOD INSECURITY (FOUR PERCENT). MENTAL HEALTH THE HOSPITAL IS ADDRESSING MENTAL HEALTH IN THE GOOD SHEPHERD HOSPITAL SERVICE AREA THROUGH THREE STRATEGIES. THE FIRST STRATEGY UTILIZES MENTAL HEALTH FIRST AID TRAINING. MENTAL HEALTH FIRST AID IS AN INTERNATIONAL EVIDENCE-BASED PROGRAM, DESIGNED TO HELP PEOPLE RECOGNIZE INDIVIDUALS WITH MENTAL HEALTH PROBLEMS AND PROVIDE SKILLS TO HELP THOSE WHO ARE HAVING A MENTAL HEALTH CRISIS TO ACCESS HELP. THE HOSPITAL WILL HOLD MULTIPLE EIGHT-HOUR MENTAL HEALTH FIRST AID SESSIONS IN MCHENRY COUNTY. USING THE MENTAL HEALTH YOUTH FIRST AID CURRICULUM, THE HOSPITAL WILL TARGET TEACHERS, PHYSICAL EDUCATION (PE) INSTRUCTORS AND COACHES. THE HOSPITAL WILL ALSO HOLD EIGHT-HOUR MENTAL HEALTH FIRST AID SESSIONS FOR GOOD SHEPHERD HOSPITAL CARE MANAGERS, SOCIAL WORKERS AND ONCOLOGY NURSE NAVIGATORS. FINALLY, THE HOSPITAL WILL ENSURE THE TRAINING OF TWO INDIVIDUALS TO BECOME MENTAL HEALTH FIRST AID INSTRUCTORS, WHICH REQUIRES COMPLETING A 40-HOUR TRAINING COURSE. IN 2017, GOOD SHEPHERD HOSPITAL HOSTED ONE MENTAL HEALTH FIRST AID TRAINING IN PUBLIC SAFETY TO 23 FIRST RESPONDERS IN WAUCONDA AND THROUGHOUT THE COMMUNITY. THIS SESSION WAS HELD IN PARTNERSHIP WITH ADVOCATE CONDELL MEDICAL CENTER. POST-SURVEY RESULTS SHOWED ONE HUNDRED PERCENT OF PARTICIPANTS HAD AN INCREASED KNOWLEDGE OF DE-ESCALATION TECHNIQUES AND WERE MORE CONFIDENT ABOUT RECOGNIZING AND CORRECTING MISCONCEPTIONS ABOUT MENTAL HEALTH AND MENTAL ILLNESSES. THROUGH COLLABORATION WITH CONDELL MEDICAL CENTER, THE HOSPITAL ALSO SPONSORED ONE POLICE OFFICER FROM THE WAUCONDA POLICE DEPARTMENT TO COMPLETE THE 40-HOUR MENTAL HEALTH FIRST AID PUBLIC SAFETY INSTRUCTOR COURSE. THIS POLICE OFFICER NOW IS INSTRUCTING OTHER POLICE OFFICERS AND FIRST RESPONDERS IN THE COMMUNITY IN THE 8-HOUR MENTAL HEALTH FIRST AID CLASS. AFTER MULTIPLE MEETINGS WITH SCHOOL DISTRICTS, DISCUSSING MENTAL HEALTH YOUTH FIRST AID TRAINING, IT WAS DISCOVERED THAT AN EIGHT-HOUR COURSE IS DIFFICULT TO SCHEDULE FOR TEACHERS DURING THE SCHOOL DAY. DUE TO THIS, THE HOSPITAL ARRANGED A ONE-HOUR QUESTION, PERSUADE AND REFER (QPR) AND STRESS MANAGEMENT TRAINING FOR 64 HEINEMAN MIDDLE SCHOOL STAFF AND ADMINISTRATORS. QPR IS AN EVIDENCE-BASED SUICIDE PREVENTION TRAINING DESIGNED TO EMPOWER A PERSON WITH THE TOOLS TO IDENTIFY IF SOMEONE IS SUICIDAL AND REFER THEM TO PROFESSIONAL RESOURCES. WAUCONDA HIGH SCHOOL SCHEDULED A MENTAL HEALTH YOUTH FIRST AID TRAINING SESSION FOR FEBRUARY OF 2018, WITH THE CURRICULUM TAILORED TO FIT INTO THE SCHOOL PROFESSIONAL DEVELOPMENT SCHEDULE. THE SECOND STRATEGY TO ADDRESS MENTAL HEALTH IS TO INCREASE THE NUMBER OF ADULTS WHO ARE SCREENED FOR DEPRESSION AND, IF POSITIVE, REFERRED TO SUPPORTIVE SERVICES BY HEALTH CARE PROFESSIONALS. COLLABORATIVE CARE FOR THE MANAGEMENT OF DEPRESSIVE DISORDERS IS A MULTICOMPONENT, HEALTHCARE SYSTEM-LEVEL INTERVENTION THAT USES CASE MANAGERS TO LINK PRIMARY CARE PROVIDERS, PATIENTS AND MENTAL HEALTH SPECIALISTS. THIS COLLABORATION IS DESIGNED TO IMPROVE THE ROUTINE SCREENING AND DIAGNOSIS OF DEPRESSIVE DISORDERS, INCREASE PROVIDER USES OF EVIDENCE-BASED PROTOCOLS FOR THE PROACTIVE MANAGEMENT OF DIAGNOSED DEPRESSIVE DISORDERS, AND IMPROVE CLINICAL AND COMMUNITY SUPPORT FOR ACTIVE PATIENT ENGAGEMENT IN TREATMENT GOAL SETTING AND SELF-MANAGEMENT. GOOD SHEPHERD HOSPITAL IS SCREENING HOSPITAL PATIENTS, AGE 65 AND OLDER, OBSTETRIC PATIENTS AND CARDIOLOGY PATIENTS. HOSPITAL HEALTH CARE PROFESSIONALS REFER INDIVIDUALS WHO SCREEN POSITIVE TO COMMUNITY AND MENTAL HEALTH SUPPORT SERVICES. IN 2017, GOOD SHEPHERD HOSPITAL STRENGTHENED RELATIONSHIPS WITH THE LAKE COUNTY HEALTH DEPARTMENT AND THE MCHENRY COUNTY MENTAL HEALTH BOARD WITH THE GOAL OF IMPROVING THE REFERRAL PROCESS. COMMUNITY HEALTH STAFF COMPLETED VERIFICATION THAT DEPRESSION SCREENINGS USING THE PHQ-9 SCREENING TOOL ARE OCCURRING AT GOOD SHEPHERD HOSPITAL. REFERRALS TO MENTAL HEALTH PROVIDERS ARE BEING COMPLETED BY PHYSICIANS
ADVOCATE SOUTH SUBURBAN HOSPITAL2014-2016 CHNA AS AN IMPORTANT PART OF THE CHNA PROCESS, SOUTH SUBURBAN HOSPITAL'S COMMUNITY HEALTH TEAM REVIEWED HICCC DATA AS WELL AS ADDITIONAL SERVICE AREA SPECIFIC DATA FROM PRIMARY AND SECONDARY SOURCES. THIS DATA HIGHLIGHTED THE PREVALENT HEALTH ISSUES WITHIN THE HOSPITAL'S PRIMARY AND SECONDARY SERVICE AREA. AFTER REVIEW OF EXTENSIVE DATA, THE LEADING CAUSES OF DEATH, HOSPITALIZATIONS AND OVERARCHING HEALTH ISSUES WERE SUMMARIZED AND PRESENTED TO THE HOSPITAL'S COMMUNITY HEALTH COUNCIL FOR PRIORITIZATION. DATA PRESENTED TO THE CHC TARGETED THE FOLLOWING HEALTH CONDITIONS IDENTIFIED AS IMPORTANT IN SOUTH SUBURBAN HOSPITAL'S PRIMARY AND SECONDARY SERVICE AREA: ASTHMA, CANCER, DIABETES, HEART DISEASE, HYPERTENSION AND STROKE. THE FOLLOWING CRITERIA WERE ALSO CONSIDERED IN DETERMINING PRIORITIES: *DEGREE TO WHICH COMMUNITY PARTNERS ARE INVOLVED IN SOLVING/ADDRESSING THE HEALTH ISSUE; *HOSPITAL AND COMMUNITY RESOURCES AVAILABLE TO ADDRESS THE HEALTH ISSUE; *HOSPITAL'S CAPACITY TO ADDRESS THE HEALTH ISSUES; *IMPORTANCE OF THE HEALTH PROBLEM TO THE COMMUNITY; AND *DEGREE TO WHICH EFFECTIVE PROGRAMS ARE AVAILABLE TO THE COMMUNITY. AFTER DISCUSSION AND REVIEW OF SIGNIFICANT DATA FINDINGS, THE CHC MEMBERS WERE INSTRUCTED TO RANK THE SEVEN HEALTH CONDITIONS BY VOTING ON THOSE THAT THEY PERCEIVED TO BE THE MOST IMPORTANT TO ADDRESS FOR THE COMMUNITIES WITHIN THE HOSPITAL'S PRIMARY SERVICE AREA. THE MULTI-VOTING STRATEGY RESULTED IN ASTHMA AND DIABETES RECEIVING THE HIGHEST NUMBER OF VOTES. HOUSING WAS SELECTED AS A FOCUS AREA BY CHC MEMBERS AS THE SOCIAL, ECONOMIC OR STRUCTURAL DETERMINANT OF HEALTH RELATED TO THE HICCC PRIORITY. THEREFORE, FOR THE 2014-2016 CHNA, SOUTH SUBURBAN HOSPITAL SELECTED THREE PRIORITIES FOR IMPLEMENTATION PLANNING: 1) ASTHMA; 2) DIABETES; AND 3) HOUSING AS A SOCIAL DETERMINANT OF HEALTH (SDOH). NEEDS SELECTED AS PRIORITIES TO ADDRESS ASTHMA ASTHMA AND OTHER RESPIRATORY-RELATED DISEASES WITHIN SOUTH SUBURBAN HOSPITAL'S PSA WERE SELECTED AS THE TOP HEALTH NEED TO ADDRESS. AN EXAMINATION OF SOUTH SUBURBAN HOSPITAL'S INPATIENT ADMISSIONS AND EMERGENCY DEPARTMENT UTILIZATION DATA SHOWED THERE WERE A SIGNIFICANT NUMBER OF INDIVIDUALS THAT SEEK SERVICES FOR ASTHMA/RESPIRATORY HEALTH ISSUES FROM THE HOSPITAL. IN FACT, PULMONARY ADMISSIONS WERE THE SECOND MOST PREVALENT TYPE OF INPATIENT ADMISSION AND THE EIGHTH MOST PREVALENT REASON FOR EMERGENCY DEPARTMENT VISITS. THE SEVERITY AND PREVALENCE OF ASTHMA IS MOST EVIDENT IN LOW-INCOME, MINORITY COMMUNITIES. TO ADDRESS ASTHMA IN THE HIGH-RISK COMMUNITIES THE HOSPITAL SERVES, THE HOSPITAL HAS DIRECTED ITS KICKIN' ASTHMA PROGRAM TOWARD THE MOST VULNERABLE COMMUNITIES IN ITS SERVICE AREA. THESE COMMUNITIES INCLUDE: CHICAGO HEIGHTS, 60411; HARVEY, 60426; MARKHAM, 60428; HAZEL CREST, 60429; AND COUNTRY CLUB HILLS, 60478. THE FOLLOWING OUTCOMES WERE ACHIEVED DURING 2017: STRATEGY 1: EXPAND THE KICKIN ASTHMA PROGRAM TO SCHOOLS IN THE FOLLOWING ZIP CODES: 60411, 60426, 60428, 60429 AND 60478. *3 PARTNER SCHOOLS HOSTED THE KICKIN ASTHMA PROGRAM IN 2017. *31 STUDENTS PARTICIPATED IN THE PROGRAM AT A PARTICIPATION RATE OF 88%. *ZERO OF THE 31 STUDENTS WHO TOOK THE KICKIN' ASTHMA CLASS HAD AN ED VISIT WITHIN 3 MONTHS POST PROGRAM. STRATEGY 2: WORK WITH THE SOUTH SUBURBAN HOSPITAL ASTHMA COMMITTEE TO IMPROVE DISEASE SELF-MANAGEMENT SKILLS FOR PATIENTS AND FAMILIES WITH ASTHMA*. *87% OF PEDIATRIC PATIENTS AGE 5-17 YEARS WITH A DIAGNOSIS OF ASTHMA SYMPTOMS IN THE ED RECEIVED AN ASTHMA ACTION PLAN. *78% OF PEDIATRIC PATIENTS AGE 5-17 YEARS WITH A DIAGNOSIS OF ASTHMA SYMPTOMS IN THE ED RECEIVED ASTHMA EDUCATION AS DOCUMENTED IN THE CHART. *93% OF PEDIATRIC PATIENTS WITH A DIAGNOSIS OF ASTHMA SYMPTOMS IN THE ED WERE DISCHARGED WITH STEROIDS. *100% OF PEDIATRIC PATIENTS WITH A PRIMARY DIAGNOSIS OF ASTHMA SYMPTOMS IN THE ED HAD PARENTS OR GUARDIANS WHO INDICATED THE DISCHARGE PRESCRIPTIONS WERE FILLED AS VERIFIED BY A POST-DISCHARGE CALL. *READMISSIONS/REVISITS RATES FOR 2017 WAS 4% OF ED PEDIATRIC VISITS FOR ASTHMA THAT REPRESENTED READMISSIONS FOR ASTHMA FOR THE CALENDAR YEAR. THERE WERE 229 ED VISITS WITH ONLY 10 READMISSIONS/REVISITS. IT SHOULD BE NOTED THAT DATA FROM JULY THROUGH DECEMBER WAS NOT CAPTURED BY THE RESPIRATORY DEPARTMENT DUE TO SIGNIFICANT STAFF CHANGES. STRATEGY 3: PROVIDE ASTHMA EDUCATION THROUGH PARTNERSHIPS WITH COMMUNITY ORGANIZATIONS THAT TEACH PARTICIPANTS WHAT ADULTS SHOULD DO IN CASE A CHILD EXPERIENCES AN ASTHMA ATTACK. *THERE WERE 7 PARTNERSHIPS ESTABLISHED WITH COMMUNITY-BASED ORGANIZATIONS IN 2017 WITH A TOTAL OF 17 HOURS OF ASTHMA EDUCATION OFFERED. *24 PARTICIPANTS FROM THE 7 PARTNER ORGANIZATIONS WERE TRAINED IN ASTHMA EDUCATION. *ALL ATTENDEES INDICATED AN INCREASED KNOWLEDGE OF ASTHMA DURING A POST TRAINING POLL. DIABETES ACCORDING TO THE ILLINOIS DEPARTMENT OF PUBLIC HEALTH, MORE THAN 29 MILLION PEOPLE IN THE UNITED STATES HAVE DIABETES MELLITUS. ABOUT ONE-THIRD OF THESE PEOPLE ARE UNAWARE THAT THEY HAVE DIABETES AND ARE NOT UNDER MEDICAL CARE. EACH YEAR, 1.9 MILLION NEW CASES OF DIABETES ARE DIAGNOSED IN PEOPLE AGE 20 YEARS AND OLDER. IN ILLINOIS, APPROXIMATELY 800,000 PEOPLE 18 YEARS OF AGE AND OLDER HAVE DIAGNOSED DIABETES, WITH ANOTHER 500,000 PEOPLE UNAWARE THEY HAVE THE DISEASE. INDIVIDUALS WITH DIABETES ARE AT INCREASED RISK FOR HEART DISEASE, BLINDNESS, KIDNEY FAILURE, AND LOWER EXTREMITY AMPUTATIONS (NOT RELATED TO INJURIES). DIABETES AND ITS COMPLICATIONS OCCUR AMONG ALL AGE, RACIAL AND ETHNIC GROUPS. TO ADDRESS DIABETES IN THE HIGHER RISK COMMUNITIES IT SERVES, THE HOSPITAL IS SEEKING TO BECOME A CDC RECOGNIZED FACILITY TO IMPLEMENT THE PREVENT T2 DIABETES PREVENTION PROGRAM. THE HOSPITAL HAS PARTNERED WITH LOCAL CHURCHES AND COMMUNITY PARTNERS TO HOST THE PROGRAM. THE PROGRAM IS DESIGNED TO EDUCATE INDIVIDUALS WHO HAVE BEEN DIAGNOSED WITH PRE-DIABETES TO PREVENT OR DELAY THE ONSET OF DIABETES THROUGH EDUCATION, DIET AND EXERCISE. THE FOLLOWING OUTCOMES WERE ACHIEVED DURING 2017: STRATEGY 1: HIRE A LIFESTYLE COACH TO IMPLEMENT THE NATIONAL DIABETES PREVENTION PROGRAM (DPP), PREVENT T2, IN MARKHAM (60428) AND CHICAGO HEIGHTS (60411) IN COLLABORATION WITH COMMUNITY ORGANIZATIONS. *THE HOSPITAL COMMUNITY HEALTH COORDINATOR RECEIVED TRAINING TO BECOME A LIFESTYLE COACH TO FACILITATE THE 2017 SESSION. *2 CONTRACTUAL LIFESTYLE COACHES RECEIVED TRAINING IN NOVEMBER 2017 TO EXECUTE ADDITIONAL SESSIONS IN 2018. *THERE WAS 1 COHORT IN PROGRESS DURING 2017 WITH 16 CLASSES HELD. *SOUTH SUBURBAN HOSPITAL PARTNERED WITH ABUNDANT LIVING CHRISTIAN CENTER IN DOLTON, ILLINOIS, TO HOST THE INAUGURAL SESSION IN 2017 *60% OF THE PARTICIPANTS WERE ELIGIBLE TO PARTICIPATE IN THE PREVENT T2 PROGRAM BASED ON THEIR A1C LEVEL. *40% OF THE ORIGINAL PROGRAM PARTICIPANTS ARE STILL IN THE PROGRAM. *IMPACT INDICATOR MEASUREMENTS WILL NOT BE AVAILABLE UNTIL ONE YEARS WORTH OF DATA IS CAPTURED AND EXAMINED. STRATEGY 2: ESTABLISH SOUTH SUBURBAN HOSPITAL AS A CDC DESIGNATED DIABETES PREVENTION PROGRAM APPROVED SITE. *SOUTH SUBURBAN HOSPITAL COMPLETED, SUBMITTED AND RECEIVED CDC PENDING APPROVAL ON MAY 3, 2017, TO BECOME A CDC APPROVED SITE. *A TIMELINE FOR PROGRAM IMPLEMENTATION WAS DEVELOPED FOR THE PREVENT T2 PROGRAM IN JULY 2017. *THE FIRST PREVENT T2 PROGRAM BEGAN ON TUESDAY, AUGUST 22, 2017. *50% OF PARTICIPANTS IN THE PROGRAM SELF-REPORTED = 150 MINUTES OF MODERATE PHYSICAL ACTIVITY. STRATEGY 3: RAISE AWARENESS OF PREDIABETES THROUGH EDUCATION PROGRAMS IN FAITH-BASED ORGANIZATIONS IN MARKHAM (60428) AND CHICAGO HEIGHTS (60411). *6 COMMUNITY PARTNERS WERE IDENTIFIED TO HOST PREDIABETES AWARENESS SESSIONS. *5 EDUCATION SESSIONS WERE CONDUCTED REGARDING DIABETES AWARENESS. *189 INDIVIDUALS RECEIVED EDUCATIONAL INFORMATION AT COMMUNITY PARTNER SITES REGARDING PREDIABETES. *SOUTH SUBURBAN HOSPITALS DIETITIAN PROVIDED COUNSELING TO 50 INDIVIDUALS AT VICTORY APOSTOLIC CHURCH IN JULY 2017 TO HELP THEM UNDERSTAND HOW FOOD IMPACTS DIABETES. *SOUTH SUBURBAN HOSPITALS DIETITIAN AND PHYSICIAN PROVIDED DIABETES EDUCATION TO 186 INDIVIDUALS IN 2017, WITH 10 INDIVIDUALS REFERRED TO THE PREVENT T2 PROGRAM.
SOCIAL DETERMINANTS OF HEALTH HOUSINGACCORDING TO THE AMERICAN LUNG ASSOCIATION, HOMES MAY BE THE MOST CRITICAL ENVIRONMENT FOR MANAGING ASTHMA. HOMES OFTEN CONTAIN KNOWN ASTHMA TRIGGERS, INCLUDING SECONDHAND SMOKE, DAMPNESS AND MOLD, COCKROACHES AND DUST MITES. "HOMES" INCLUDE APARTMENTS AND OTHER MULTI-UNIT HOUSING, GROUP HOMES, SHELTERS AND INSTITUTIONALIZED SETTINGS, AS WELL AS SINGLE-FAMILY HOUSES. INDIVIDUALS SUFFERING FROM ASTHMA AND OTHER LUNG DISEASES CAN BE HELPED BY ADOPTING POLICIES THAT CREATE SAFE HOME ENVIRONMENTS. TO ADDRESS THIS SOCIAL DISPARITY, THE HOSPITAL HAS CHOSEN TO IMPLEMENT A HEALTHY HOMES AWARENESS PROGRAM TO IMPROVE HEALTH OUTCOMES FOR ASTHMA PATIENTS IN THE HOSPITALS PRIMARY SERVICE AREA. STRATEGY 1: INCORPORATE HEALTHY HOMES INITIATIVE INTO THE "KICKIN" ASTHMA PROGRAM WITHIN THE PSA. *A CONTRACT WITH METROPOLITAN TENANTS ORGANIZATION WAS EXECUTED IN LATE 2017. *HOSPITAL STAFF WILL BE OFFERED TRAINING IN THE HEALTHY HOMES INITIATIVE IN 2018. STRATEGY 2: PARTNER WITH METROPOLITAN TENANTS ORGANIZATION TO PROVIDE HEALTHY HOMES EDUCATION TO DECREASE ASTHMA TRIGGERS IN HOMES IN PSA COMMUNITIES. *A CONTRACT WITH MTO WAS ESTABLISHED IN DECEMBER 2017. STRATEGY 3: WORK WITH THE HEALTH IMPACT COLLABORATIVE OF COOK COUNTY TO IDENTIFY ADDITIONAL RESOURCES TO SUPPORT THE HEALTHY HOMES INITIATIVE. *PROGRAM STAFF ATTENDED 4 SDOH ACTION TEAM MEETINGS IN 2017. *THE HEALTH IMPACT COLLABORATIVE AND THE CHICAGO HOSPITAL COLLABORATIVE HAVE JOINED TO CREATE THE ALLIANCE FOR HEALTH EQUITY. THE COMMUNITY HEALTH TEAM WILL CONTINUE TO ATTEND MEETINGS AND WORK ON COLLABORATIVE PROJECTS. SOUTH SUBURBAN HOSPITAL'S COMMUNITY HEALTH COUNCIL REVIEWED ADDITIONAL DATA FROM PRIMARY AND SECONDARY SOURCES. THIS DATA HIGHLIGHTED THE PREVALENT HEALTH ISSUES WITHIN THE HOSPITAL'S PRIMARY SERVICE AREA (PSA). AFTER REVIEW OF HOSPITAL, HICCC, COUNTY, STATE AND HEALTHY COMMUNITIES INSTITUTE (HCI) DATA, THE LEADING CAUSES OF DEATH, HOSPITALIZATIONS AND OVERARCHING HEALTH ISSUES WERE SUMMARIZED AND PRESENTED TO THE HOSPITALS COMMUNITY HEALTH COUNCIL FOR PRIORITIZATION. DATA PRESENTED TO THE COUNCIL TARGETED THE FOLLOWING HEALTH CONDITIONS IDENTIFIED AS IMPORTANT IN SOUTH SUBURBAN HOSPITAL'S PRIMARY SERVICE AREA: ASTHMA, CANCER, DIABETES, HEART DISEASE, AND HYPERTENSION AND STROKE. AFTER DISCUSSION AND REVIEW OF SIGNIFICANT DATA FINDINGS, THE COMMUNITY HEALTH COUNCIL RANKED THE FIVE HEALTH CONDITIONS BY VOTING ON THOSE THAT THEY PERCEIVED TO BE THE MOST IMPORTANT TO ADDRESS FOR COMMUNITIES WITHIN THE HOSPITAL'S PRIMARY SERVICE AREA. THIS STRATEGY RESULTED IN ASTHMA AND DIABETES BEING IDENTIFIED AS THE HEALTH NEEDS TO ADDRESS. HOUSING WAS SELECTED AS A FOCUS AREA BY MEMBERS AS THE SOCIAL, ECONOMIC OR STRUCTURAL DETERMINANT OF HEALTH RELATED TO THE HICCC. THE COUNCIL SELECTED HOUSING AS THIS HAS A SIGNIFICANT IMPACT ON ASTHMA. NEEDS NOT SELECTED ALTHOUGH CANCER, HEART DISEASE, AND HYPERTENSION AND STROKE WERE NOT SELECTED TO ADDRESS DURING THE CHNA PROCESS, SOUTH SUBURBAN HOSPITAL REMAINS COMMITTED TO SERVING THE HEALTH NEEDS OF THE COMMUNITY FOR INDIVIDUALS WITH THESE HEALTH CONDITIONS. CANCER SOUTH SUBURBAN HOSPITALS CANCER CENTER OFFERS AN ARRAY OF SERVICES, INCLUDING RADIATION THERAPY, BRACHYTHERAPY, IMAGE GUIDED RADIATION THERAPY, INTENSITY MODULATED RADIATION THERAPY, AND MINIMALLY INVASIVE APPROACHES TO CANCER TREATMENT. THE BREAST HEALTH CENTER OFFERS EARLY DETECTION SERVICES AS WELL AS ADVANCED PROCEDURES INCLUDING SENTINEL LYMPH NODE BIOPSY FOR BREAST CANCER TREATMENT FOR CANCER DIAGNOSIS AND STAGING. ADDITIONALLY, SOUTH SUBURBAN HOSPITAL HAS AN INTEGRATED CANCER COMMITTEE AND CANCER CARE TEAM THAT ARE DEDICATED TO DEVELOPING A COMPREHENSIVE, MULTIDISCIPLINARY APPROACH THROUGHOUT THE YEAR. VARIOUS EDUCATION AND SCREENING PROGRAMS ARE ALSO HELD IN THE COMMUNITY AND AT THE HOSPITAL THAT FOCUS ON BREAST, LUNG AND PROSTATE CANCERS. SOME SERVICES INCLUDE GENETIC COUNSELING, PATIENT NAVIGATION, CLINICAL TRIALS AND RESEARCH - ALL DESIGNED TO IMPROVE QUALITY OF LIFE FOR PATIENTS AND THEIR FAMILIES. ADDITIONALLY, SOUTH SUBURBAN HOSPITAL HAS A STRONG PARTNERSHIP WITH THE CANCER SUPPORT CENTER AND THE AMERICAN CANCER SOCIETY THAT PROMOTES HEALTH AND WELL-BEING FOR INDIVIDUALS LIVING WITH CANCER. HEART DISEASE THROUGH THE ADVOCATE HEART INSTITUTE, SOUTH SUBURBAN HOSPITAL OFFERS A CONTINUUM OF SERVICES FROM SCREENING TO DIAGNOSIS AND TREATMENT. ADVANCED TREATMENT AND SERVICES INCLUDE COMPREHENSIVE DIAGNOSTIC SERVICES, INCLUDING MINIMALLY-INVASIVE ENDOVASCULAR PROCEDURES, ELECTROPHYSIOLOGICAL PROCEDURES, COMPUTED TOMOGRAPHY SCANNING, THREE-PHASE CARDIAC REHABILITATION AND A CONGESTIVE HEART FAILURE PROGRAM. THE HOSPITAL COMMITS TO COMMUNITY PREVENTION PROGRAMS BY CONDUCTING HEART HEALTH EDUCATION CLASSES, AND FREE AND REDUCED HEART RISK SCREENINGS FOR CARDIOVASCULAR HEALTH. THE CONGESTIVE HEART FAILURE PROGRAM IS A COMPREHENSIVE INPATIENT AND OUTPATIENT PROGRAM DESIGNED TO STRENGTHEN THE HEART, IMPROVE HEALTH AND MONITOR CHANGE. THE OVERALL GOAL IS TO RESTORE CARDIAC HEALTH AND REDUCE HOSPITALIZATION THROUGH THERAPY, DIET AND OTHER SERVICES. THE CARDIAC REHABILITATION PROGRAM IS FOR INDIVIDUALS REQUIRING REHABILITATION SERVICES FOLLOWING A CARDIOVASCULAR INCIDENT. THIS INDIVIDUALIZED PROGRAM IS DESIGNED TO REDUCE BLOOD PRESSURE, BODY MASS INDEX AND STRESS LEVELS THOUGH CUSTOMIZED EXERCISE PROGRAMS, YOGA AND STRENGTHENING TECHNIQUES. HYPERTENSION AND STROKE SOUTH SUBURBAN HOSPITAL IS AN ILLINOIS DEPARTMENT OF PUBLIC HEALTH (IDPH)-DESIGNATED PRIMARY STROKE CENTER AND HAS EARNED THE AMERICAN HEART ASSOCIATIONS GET WITH THE GUIDELINES-STROKE GOLD-PLUS QUALITY ACHIEVEMENT AWARD. THE IDPH DESIGNATION SIGNIFIES THAT THE HOSPITAL DELIVERS THE CRITICAL STROKE CARE ELEMENTS REQUIRED TO ACHIEVE LONG-TERM SUCCESS IN IMPROVING OUTCOMES. ACHIEVING STROKE CERTIFICATION ENSURES THAT THE HOSPITAL OFFERS THE HIGHEST LEVEL OF CARE FOR THOSE WHO ARE EXPERIENCING AND RECOVERING FROM A STROKE. THE HOSPITAL ALSO OFFERS COMMUNITY EDUCATION EVENTS AND A STROKE SUPPORT GROUP FOR INDIVIDUALS AND THEIR CAREGIVERS THAT IS HELD MONTHLY AT THE HOSPITAL.
ADVOCATE BROMENN MEDICAL CENTER2014-2016 CHNA HEALTH NEEDS SELECTED THE MCLEAN COUNTY COMMUNITY HEALTH COUNCIL SELECTED ACCESS TO APPROPRIATE HEALTHCARE FOR THE UNDERSERVED AND AREAS OF HIGH SOCIOECONOMIC NEEDS, BEHAVIORAL HEALTH, AND OBESITY AS THE THREE HEALTH PRIORITIES FOR THE 2016 MCLEAN COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT. IN ADDITION TO COMPLETING A JOINT COMMUNITY HEALTH NEEDS ASSESSMENT FOR MCLEAN COUNTY, BROMENN MEDICAL CENTER, THE MCLEAN COUNTY HEALTH DEPARTMENT, OSF HEALTHCARE ST. JOSEPH MEDICAL CENTER AND UNITED WAY OF MCLEAN COUNTY COMPLETED THE JOINT MCLEAN COUNTY 2017-2019 COMMUNITY HEALTH IMPROVEMENT PLAN. TO DEVELOP THE 2017-2019 COMMUNITY HEALTH IMPROVEMENT PLAN, A SUBCOMMITTEE COMPRISED OF KEY STAKEHOLDERS FOR EACH OF THE HEALTH PRIORITIES LISTED BELOW WAS FORMED. THE SUBCOMMITTEES PLAYED AN INTEGRAL ROLE IN THE DEVELOPMENT OF THE INTERVENTION STRATEGIES AND ASSOCIATED PROCESS AND OUTCOME INDICATORS. ACCESS TO APPROPRIATE CARE FOR THE UNDERSERVED AND AREAS OF HIGH SOCIOECONOMIC NEEDS ACCESS TO APPROPRIATE CARE FOR THE UNDERSERVED AND AREAS OF HIGH SOCIOECONOMIC NEED WAS SELECTED AS A HEALTH PRIORITY BY THE MCLEAN COUNTY COMMUNITY HEALTH COUNCIL NOT ONLY BECAUSE OF ITS HIGH PRIORITY SCORE (158.6) DERIVED FROM THE HANLON METHOD, BUT FOR SEVERAL OTHER REASONS. ACCESS TO APPROPRIATE CARE IS AN IMPORTANT ISSUE THAT AFFECTS MANY HEALTH OUTCOMES. IMPROVING ACCESS IN SPECIFIC AREAS AND FOR TARGETED POPULATIONS CAN HAVE A WIDESPREAD IMPACT ON A VARIETY OF HEALTH OUTCOMES RANGING FROM ORAL HEALTH TO BEHAVIORAL HEALTH. DATA PRESENTED TO THE COUNCIL ALSO INDICATED THAT THERE ARE SIGNIFICANT GEOGRAPHIC AND RACIAL/ETHNIC DISPARITIES IN MCLEAN COUNTY THAT MAY BE RELATED TO ACCESS TO CARE. RESEARCH AND SUBJECT MATTER EXPERTISE SUGGESTED THAT THERE ARE A VARIETY OF FACTORS THAT CAN IMPROVE ACCESS TO APPROPRIATE CARE RANGING FROM INCREASED CAPACITY FOR URGENT CARE CLINICS AND PRIMARY CARE OFFICES, TRANSPORTATION, AND PROVIDER AND CONSUMER EDUCATION. HIGHLIGHTS FOR STEPS TAKEN IN 2017, AS A PART OF THE 2017-2019 MCLEAN COUNTY COMMUNITY HEALTH IMPROVEMENT PLAN TO ADDRESS ACCESS TO APPROPRIATE CARE FOR THE UNDERSERVED, ARE LISTED BELOW: *ADVOCATE BROMENN AND OSF HEALTHCARE ST. JOSEPH MEDICAL CENTER COLLABORATED WITH THE COMMUNITY HEALTH CARE CLINIC FOR COORDINATING APPROPRIATE ACCESS TO COMPREHENSIVE CARE (CAATCH). CAATCH IS AN EMERGENCY ROOM NAVIGATION PROGRAM FOR NAVIGATORS AND/OR CARE COORDINATORS TO ENGAGE THOSE WITHOUT A PRIMARY CARE HOME. *THE PARTNERSHIP FOR HEALTH PILOT PROGRAM BEGAN IN APRIL 2017. THE PROGRAM IS A PRIVATE-PUBLIC PARTNERSHIP TO IMPROVE THE HEALTH AND FITNESS OF PEOPLE WITH DEVELOPMENTAL AND INTELLECTUAL DISABILITIES AND THEIR SUPPORT WORKERS. PARTNERS INCLUDE ADVOCATE BROMENN HEALTH AND FITNESS CENTER, MARCFIRST, ADVOCATE BROMENN CHARITABLE FOUNDATION, THE MCLEAN COUNTY HEALTH DEPARTMENT AND THE MCLEAN COUNTY BOARD FOR THE CARE AND TREATMENT OF PERSONS WITH A DEVELOPMENTAL DISABILITY (377 BOARD). *CREATED AN INVENTORY OF SITES WITH INTEGRATED AND/OR CO-LOCATED BEHAVIORAL HEALTH SERVICES. *THE MCLEAN COUNTY HEALTH DEPARTMENT BEGAN A MOBILE WOMEN, INFANT AND CHILDREN'S (WIC) CLINIC IN 2017. SERVICES PROVIDED AS A PART OF THE PROGRAM INCLUDE CERTIFICATIONS, NUTRITION EDUCATION, WIC COUPONS, FARMER'S MARKET COUPONS AND REFERRALS AND INFORMATION ON COMMUNITY RESOURCES. *THE COMMUNITY HEALTH CARE CLINIC AND HOME SWEET HOME MINISTRIES LAUNCHED A FOOD FARMACY PILOT PROGRAM IN AUGUST 2017. THE PROGRAM PROVIDES PATIENTS AT THE CLINIC WHO HAVE DIABETES OR HEART DISEASE A PRESCRIPTION PASS. THE PASS CAN BE USED TO OBTAIN FREE FRESH PRODUCE AND OTHER FOOD FROM THE BREAD FOR LIFE CO-OP. ADVOCATE BROMENN MEDICAL CENTER AND OSF HEALTHCARE ST. JOSEPH MEDICAL CENTER SUPPORT THE COMMUNITY HEALTH CARE CLINIC. ADDITIONALLY, THE DIRECTOR OF COMMUNITY HEALTH FOR ADVOCATE BROMENN MEDICAL CENTER SERVES ON THE MCLEAN COUNTY WELLNESS COALITION ACCESS TO HEALTHY FOODS COMMITTEE AND ASSISTED WITH REARRANGING THE SHOPPING ORDER FOR THE CO-OP, AS WELL AS ASSISTING WITH LABELING HEALTHIER OPTIONS. ADDITIONAL ACCESS TO APPROPRIATE CARE INTERVENTIONS ARE LISTED IN THE 2017-2019 MCLEAN COUNTY COMMUNITY HEALTH IMPROVEMENT PLAN AT HTTP://WWW.ADVOCATEHEALTH.COM/CHNAREPORTS. BEHAVIORAL HEALTH (MENTAL HEALTH AND SUBSTANCE ABUSE) BEHAVIORAL HEALTH WAS SELECTED AS A HEALTH PRIORITY BY THE MCLEAN COUNTY COMMUNITY HEALTH COUNCIL FOR SEVERAL REASONS. BEHAVIORAL HEALTH RECEIVED THE HIGHEST PRIORITY SCORE (175.7) FROM THE HANLON METHOD, CLEARLY INDICATING THE NEED FOR FURTHER IMPROVEMENTS IN THIS AREA IN MCLEAN COUNTY. IN ADDITION, THERE ARE NUMEROUS HEALTH DISPARITIES IN BLOOMINGTON ZIP CODE 61701 AND NORMAL ZIP CODE 61761 FOR BOTH MENTAL HEALTH AND SUBSTANCE ABUSE. THERE IS ALSO A GREAT DEAL OF PUBLIC SUPPORT AND MOMENTUM TO IMPROVE MENTAL HEALTH IN MCLEAN COUNTY AS HAS BEEN THE CASE FOR THE LAST FEW YEARS. MCLEAN COUNTY IS WELL SITUATED TO COLLABORATE ON MENTAL HEALTH DUE TO THE ON-GOING EFFORTS OF NUMEROUS ORGANIZATIONS. MENTAL HEALTH WAS ALSO PREVIOUSLY SELECTED AS A KEY HEALTH PRIORITY BY BOTH HOSPITALS AND THE HEALTH DEPARTMENT DURING THE PREVIOUS COMMUNITY HEALTH NEEDS ASSESSMENTS, GIVING FURTHER MOMENTUM TO THE EFFORTS OF IMPROVING MENTAL HEALTH FOR COUNTY RESIDENTS. HIGHLIGHTS FOR STEPS TAKEN OR PROGRAMS OFFERED IN 2017, AS A PART OF THE 2017-2019 MCLEAN COUNTY COMMUNITY HEALTH IMPROVEMENT PLAN TO ADDRESS BEHAVIORAL HEALTH, ARE LISTED BELOW: *IN 2016, ADVOCATE BROMENN MEDICAL CENTER PROVIDED AN IN-KIND DONATION OF $5,000 TO PROJECT OZ TO HELP FURTHER THEIR EFFORTS OF OFFERING ENDING THE SILENCE IN SCHOOLS IN MCLEAN COUNTY. ENDING THE SILENCE IS A PROGRAM AIMED AT REDUCING BEHAVIORAL HEALTH STIGMA, I.E., SUICIDE PREVENTION AND MENTAL HEALTH AWARENESS. THE $5000 DONATION HELPED PROJECT OZ OFFER THE ENDING THE SILENCE PROGRAM IN 2017 TO 443 SIXTH GRADE STUDENTS AT BLOOMINGTON JUNIOR HIGH SCHOOL AND 18 SEVENTH AND EIGHTH GRADE STUDENTS IN THE BOYS AND GIRLS CLUB PROGRAM AT BLOOMINGTON JUNIOR HIGH SCHOOL. *TWO-HUNDRED AND FIFTY-THREE MCLEAN COUNTY COMMUNITY MEMBERS WERE TRAINED IN MENTAL HEALTH FIRST AID (MHFA) IN COLLABORATION WITH THE MCLEAN COUNTY MHFA COLLABORATIVE. MENTAL HEALTH FIRST AID IS AN EVIDENCE-BASED PROGRAM DESIGNED TO INCREASE AWARENESS OF MENTAL HEALTH ISSUES AND DECREASE THE STIGMA RELATED TO MENTAL HEALTH. *IN JUNE, THE MCLEAN COUNTY MHFA COLLABORATIVE HOSTED A YOUTH MHFA INSTRUCTOR TRAINING COURSE. EIGHT INSTRUCTORS FROM MCLEAN COUNTY WERE TRAINED. *IN MAY 2017, ADVOCATE BROMENN MEDICAL CENTER SENT A MEMBER OF THE LEADERSHIP TEAM TO BECOME A CERTIFIED MHFA INSTRUCTOR. THE HOSPITAL ALSO OFFERED MHFA FOR MEMBERS OF THE LEADERSHIP TEAM IN FEBRUARY 2017 AND TO NURSES IN APRIL, SEPTEMBER AND NOVEMBER 2017 AS A PART OF A STRATEGY TO TRAIN INTERNAL STAFF. *CHESTNUT HEALTH SYSTEMS IN PARTNERSHIP WITH ADVOCATE BROMENN MEDICAL CENTER, THE MCLEAN COUNTY HEALTH DEPARTMENT AND OSF HEALTHCARE ST. JOSEPH MEDICAL CENTER WAS AWARDED A GRANT BY THE ILLINOIS DIVISION OF MENTAL HEALTH, DEPARTMENT OF HEALTH AND HUMAN SERVICES, TO HOST A TWO-DAY ADVERSE CHILDHOOD EXPERIENCES (ACES) MASTER TRAINING FOR 25 INDIVIDUALS. THE TRAINING COURSE WAS HELD ON OCTOBER 12 AND 13, 2017, WITH INSTRUCTORS FROM THE FOLLOWING ORGANIZATIONS IN MCLEAN COUNTY: ADVOCATE BROMENN MEDICAL CENTER; BABY FOLD; CENTER FOR YOUTH AND FAMILY SOLUTIONS; CHESTNUT HEALTH SYSTEMS; DISTRICT 87; HOME SWEET HOME MINISTRIES; MCLEAN COUNTY COURT SERVICES; MCLEAN COUNTY HEALTH DEPARTMENT; PATH; PROJECT OZ; REGIONAL OFFICE OF EDUCATION #17; AND OSF HEALTHCARE. *ADVOCATE BROMENN MEDICAL CENTERS PRESIDENT IS A MEMBER OF THE MCLEAN COUNTY BEHAVIORAL HEALTH COORDINATING COUNCIL. THE COUNCIL RECEIVED A GRANT IN THE FALL OF 2017 FOR PAY FOR SUCCESS. THE GRANT PROVIDED FOR TWO DAYS OF TRAINING FOR 10-12 PROVIDERS ON A NEW REIMBURSEMENT MODEL CALLED PAY FOR SUCCESS. ONLY FOUR GOVERNMENTAL BODIES ACROSS THE COUNTRY WERE CONSIDERED FOR THE GRANT. THE FOCUS OF PAY FOR SUCCESS IS ON HOW THE DETERMINATION WILL BE MADE ABOUT SUPER UTILIZERS OF SUBSTANCE ABUSE AND/OR MENTAL HEALTH SERVICES, AND HOW TO GET THEM INTO HOUSING THAT FITS THEIR NEEDS. *IN 2017, THE DIRECTOR OF COMMUNITY HEALTH FOR ADVOCATE BROMENN MEDICAL CENTER LED A COMMITTEE TO WORK ON A COLLABORATIVE BEHAVIORAL HEALTH AWARENESS CAMPAIGN FOR MCLEAN COUNTY. ADDITIONAL BEHAVIORAL HEALTH INTERVENTIONS ARE LISTED IN THE 2017-2019 MCLEAN COUNTY COMMUNITY HEALTH IMPROVEMENT PLAN AT HTTP://WWW.ADVOCATEHEALTH.COM/CHNAREPORTS. OBESITY OBESITY WAS SELECTED AS ONE OF THE THREE TOP HEALTH PRIORITIES BY THE MCLEAN COUNTY COMMUNITY HEALTH COUNCIL BECAUSE IT RANKED AS NUMBER THREE ACCORDING TO ITS PRIORITY SCORE OF 153.8 FROM THE HANLON METHOD. ADDITIONALLY, THE COUNCIL FELT THAT BY IMPROVING OBESITY, MANY OTHER HEALTH OUTCOMES, SUCH AS HEART DISEASE, CANCER AND DIABETES MAY ALSO BE POSITIVELY IMPACTED. IT WAS ALSO SELECTED BECAUSE OBESITY IS A WIDESPREAD ISSUE AFFECTING A LARGE NUMBER OF PEOPLE ACROSS ALL SOCIAL AND ECONOMIC SECTORS. THERE ARE ALSO MANY SIGNIFICANT EFFORTS UNDERWA
ADVOCATE TRINITY HOSPITAL2014-2016 CHNA AS AN IMPORTANT PART OF THE CHNA PROCESS, TRINITY HOSPITAL'S COMMUNITY HEALTH TEAM REVIEWED HICCC DATA AS WELL AS ADDITIONAL SERVICE AREA SPECIFIC DATA FROM PRIMARY AND SECONDARY SOURCES. THIS DATA HIGHLIGHTED THE PREVALENT HEALTH ISSUES WITHIN THE HOSPITAL'S PRIMARY AND SECONDARY SERVICE AREA. AFTER REVIEW OF EXTENSIVE DATA, THE LEADING CAUSES OF DEATH, HOSPITALIZATIONS AND OVERARCHING HEALTH ISSUES WERE SUMMARIZED AND PRESENTED TO THE HOSPITAL'S COMMUNITY HEALTH COUNCIL (CHC) FOR PRIORITIZATION. DATA PRESENTED TO THE COUNCIL TARGETED THE FOLLOWING HEALTH CONDITIONS IDENTIFIED AS IMPORTANT IN TRINITY HOSPITAL'S PRIMARY AND SECONDARY SERVICE AREA: ASTHMA, CANCER, DIABETES, HEART DISEASE, HYPERTENSION, STROKE, MENTAL HEALTH AND VIOLENCE. THE FOLLOWING CRITERIA WERE ALSO CONSIDERED IN DETERMINING PRIORITIES: *THE ALIGNMENT OF THE HOSPITAL'S MISSION, AND EXISTING PROGRAMS; *THE ABILITY TO MAKE AN IMPACT WITHIN A REASONABLE TIME FRAME; *HOSPITAL AND COMMUNITY RESOURCES TO ADDRESS THE HEALTH ISSUE; *THE IMPORTANCE OF THE HEALTH PROBLEM TO THE COMMUNITY; AND *AVAILABILITY OF EVIDENCE-BASED PROGRAMS WITH PROVEN MEASURABLE OUTCOMES TO ADDRESS IDENTIFIED COMMUNITY NEEDS. AFTER DISCUSSION AND REVIEW OF SIGNIFICANT DATA FINDINGS, THE CHC MEMBERS WERE INSTRUCTED TO RANK THE SEVEN HEALTH CONDITIONS BY VOTING ON THOSE THAT THEY PERCEIVED TO BE THE MOST IMPORTANT TO ADDRESS FOR THE COMMUNITIES WITHIN THE HOSPITAL'S PRIMARY SERVICE AREA. THE MULTI-VOTING STRATEGY RESULTED IN ASTHMA AND DIABETES RECEIVING THE HIGHEST NUMBER OF VOTES. WORKFORCE DEVELOPMENT WAS SELECTED AS A FOCUS AREA BY CHC MEMBERS AS THE SOCIAL, ECONOMIC OR STRUCTURAL DETERMINANT OF HEALTH RELATED TO THE HICCC PRIORITY. THEREFORE, FOR THE 2014-2016 CHNA, TRINITY HOSPITAL HAS SELECTED THREE PRIORITIES FOR IMPLEMENTATION PLANNING: ASTHMA, DIABETES, AND WORKFORCE DEVELOPMENT (SOCIAL DETERMINANT OF HEALTH). HEALTH NEEDS SELECTED TO ADDRESS SOCIAL DETERMINANTS OF HEALTH - HEALTHCARE WORKFORCE DEVELOPMENT WITH UNEMPLOYMENT RATES AS HIGH AS 32 PERCENT IN SOME OF THE NEIGHBORHOODS IN CHICAGO, EFFECTIVE WORKFORCE DEVELOPMENT PROGRAMS PLAY A CRUCIAL ROLE IN PREPARING INDIVIDUALS FOR ENTRY-MIDDLE SKILL OPPORTUNITIES WITHIN THE HEALTHCARE SECTOR. THE HEALTHCARE WORKFORCE COLLABORATIVE IS A PARTNERSHIP BETWEEN ADVOCATE HEALTH CARE AND JP MORGAN CHASE BANK TO ESTABLISH AN INTENTIONAL SERIES OF PARTNERSHIPS, AIMED AT ENHANCING THE ALIGNMENT BETWEEN ADDRESSING AVAILABLE HEALTHCARE JOBS AND THE SKILLS OF CURRENT JOB SEEKERS IN THE GREATER CHICAGOLAND AREA. THE PROGRAM AIMS TO DEVELOP AND IMPLEMENT "BEST PRACTICES" TO BE ADOPTED BY OTHER METROPOLITAN AREAS AND HEALTHCARE ORGANIZATIONS. THE COLLABORATIVE WILL SERVE MORE THAN 1,000 INDIVIDUALS BY 2020, ALL OF WHOM WILL RECEIVE SUPPORTIVE SERVICES AND GUARANTEED POST-PROGRAM INTERVIEWS WITH ADVOCATE OR OTHER REGIONAL HEALTH CARE PROVIDERS. TRINITY HOSPITAL WILL SERVE AS AN INTERNSHIP SITE FOR EDUCATIONAL INSTITUTIONS IN OUR SERVICE AREA. HTTP://WWW.ADVOCATEGIVING.ORG/ABOUT/HEALTHCARE-WORKFORCE-COLLABORATIVE/EXE CUTIVE-SUMMARY/ PROGRAM RESULTS FOR 2017 WERE AS FOLLOWS: *A TOTAL OF 50 PARTICIPANTS WERE ENROLLED IN CLINICAL AND NON-CLINICAL EDUCATION FOR ENTRY TO MID-LEVEL HEALTH CARE POSITIONS. *78% OF PARTICIPANTS ENROLLED IN THE PROGRAM COMPLETED CLINICAL AND NON-CLINICAL ROTATIONS AT TRINITY HOSPITAL. *32% OF PARTICIPANTS WERE INTERVIEWED FOR EMPLOYMENT FOR ENTRY LEVEL TO MIDDLE SKILLS POSITIONS. *20% OF PARTICIPANTS WERE EMPLOYED BY ADVOCATE HEALTH CARE. *20% OF PARTICIPANTS WERE EMPLOYED BY OTHER HEALTH CARE ORGANIZATIONS. *27 PARTICIPANTS WERE ACCECPTED AS INTERNS. A TOTAL OF 24 CAREER DEVELOPMENT CLASSES WERE PROVIDED AND 4,762 HOURS OF SERVICE WERE COMPLETED AT TRINITY HOSPITAL. ASTHMA ASTHMA IS A CONDITION IN WHICH A PERSONS AIR PASSAGES BECOME INFLAMED, AND THE NARROWING OF THE RESPIRATORY PASSAGES MAKES IT DIFFICULT TO BREATHE. ASTHMA IS ONE OF THE MOST COMMON LONG-TERM DISEASES OF CHILDREN. ADDITIONALLY, IT AFFECTS 15.7 MILLION NON-INSTITUTIONALIZED ADULTS NATIONWIDE. SYMPTOMS CAN INCLUDE TIGHTNESS IN THE CHEST, COUGHING, AND WHEEZING. THESE SYMPTOMS ARE OFTEN BROUGHT ON BY EXPOSURE TO INHALED ALLERGENS (DUST, POLLEN, CIGARETTE SMOKE, ANIMAL DANDER, ETC.). AN ASTHMA ATTACK CAN ALSO BE BROUGHT ON BY EXERTION AND STRESS. THERE IS NO CURE FOR ASTHMA BUT, FOR MOST PEOPLE, THE SYMPTOMS CAN BE MANAGED THROUGH A COMBINATION OF LONGER-ACTING MEDICATIONS FOR PREVENTATIVE MAINTENANCE AND SHORT-TERM RESCUE INHALERS FOR ACUTE ATTACKS. IN SOME CASES, HOWEVER, ASTHMA SYMPTOMS ARE SEVERE ENOUGH TO WARRANT HOSPITALIZATION, AND THE DISEASE CAN EVEN RESULT IN DEATH (HEALTHY COMMUNITIES INSTITUTE (HCI), 2016). TRINITY HOSPITALS GOAL IS TO DECREASE THE AGE-ADJUSTED EMERGENCY ROOM/HOSPITALIZATION RATE DUE TO ADULT ASTHMA IN PRIMARY SERVICE AREA (PSA) COMMUNITIES: 60617 AND 60619. THE KEY STRATEGY WILL BE TO EXPAND THE COMMUNITY HEALTH WORKER PROGRAM TO ENGAGE PATIENTS AND CONDUCT HOME VISTS TO IDENTIFY TRIGGERS AND BARRIERS TO ASTHMA MANAGEMENT. TRINITY HOSPITAL WILL PARTNER WITH THE METROPOLITAN TENANTS ORGANIZATION TO DELIVER THE HEALTHY HOMES INITIATIVE TO COMMUNITY MEMBERS. THE HEALTHY HOMES INITIATIVE WORKS WITH COMMUNITY MEMBERS TO REMEDIATE ANY ISSUES IN THEIR HOME THAT MAY IMPACT THEIR ASTHMA. PROGRAM RESULTS FOR 2017 WERE AS FOLLOWS: *ESTABLISHED A NEW PROCESS TO CONDUCT ASTHMA CONTROL TESTS (ACT) WITH HOSPITAL INPATIENTS AND ER PATIENTS AS PART OF THE PROJECT HEALTH PROGRAM. *25 ASTHMA CONTROL TESTS WERE PROVIDED TO TRINITY HOSPITAL ER PATIENTS AND INPATIENTS PRESENTING WITH ASTHMA SYMPTOMS. *4% OF ER PATIENTS SCORED GREATER THAN 19 ON THEIR ACT SCORE AT 3-MONTHS POST DISCHARGE AS COMPARED TO THEIR ER ACT SCORE. *A CONTRACT WITH METROPOLITAN TENANT ORGANIZATION (MTO) WAS EXCUTED IN DECEMBER 2017. AS A RESULT, THERE WERE NO STAFF TRAINED, NO HEALTHY HOME WORKSHOPS WERE OFFERED, OR ANY HEALTHY HOME INSPECTIONS COMPLETED DUE TO 2017 BEING A PLANNING YEAR. DIABETES ACCORDING TO THE AMERICAN DIABETES ASSOCIATION, 29.1 MILLION AMERICANS (9.3%) HAVE DIABETES. AMONG THE INDIVIDUALS WITH DIABETES, 1.25 MILLION HAVE TYPE 1 DIABETES. AS OF 2010, DIABETES REMAINED THE 7TH LEADING CAUSE OF DEATH IN THE US AS RECORDED BY VITAL STATISTICS RECORDS. FURTHER, DIABETES IS LISTED ON A TOTAL OF 234,051 DEATH CERTIFICATES AS AN UNDERLYING OR CONTRIBUTING CAUSE OF DEATH (AMERICAN DIABETES ASSOCIATION, 2016). THE PERCENTAGE OF AMERICANS AGE 65+ WITH BOTH DIAGNOSED AND UNDIAGNOSED DIABETES REMAINS HIGH AT 25.9%, OR 11.8 MILLION SENIORS. TO REDUCE THE INCIDENCE OF DIABETES, TRINITY HOSPITAL WILL IMPLEMENT THE CENTERS FOR DISEASE CONTROL AND PREVENTIONS DIABETES PREVENTION PROGRAM (DPP) PREVENT T2 IN PRIMARY SERVICE AREA COMMUNITIES: 60617 AND 60619. PROGRAM IMPLEMENTATION AND MAINTENANCE WILL BE COMPLETED IN PARTNERSHIP WITH COMMUNITY-BASED AND FAITH ORGANIZATIONS. TRINITY HOSPITAL WILL ALSO SEEK DESIGNATION AS A NATIONAL DIABETES PREVENTION SITE IN COLLABORATION WITH THE CLINICAL DIABETES EDUCATION TEAM. ADDITIONALLY, TRINITY HOSPITAL WILL INCREASE COMMUNITY EDUCATION OPPORTUNITIES TO SUPPORT DIABETES SELF-MANAGEMENT SKILLS. PROGRAM RESULTS FOR 2017 WERE AS FOLLOWS: NATIONAL DIABETES PREVENTION PROGRAM (DPP) *THE CDC APPLICATION WAS SUBMITTED IN MAY 2017 AND PENDING STATUS WAS RECEIVED IN JUNE 2017. *ONE YEAR-LONG DPP PREVENT T2 COHORT BEGAN IN AUGUST 2017. A TOTAL OF 17 OUT OF 24 CLASSES WERE PRESENTED FOR THE COHORT IN 2017. *18 PARTICIPANTS WERE ENROLLED IN THE DPP PROGRAM. *50% OF PARTICIPANTS REPORTED AT LEAST 150 MINUTES OF MODERATE PHYSICAL ACTIVITY BY DECEMBER 2017. *94% OF PARTICIPANTS COMPLETED 9 OF 16 CLASSES WITHIN THE FIRST SIX MONTHS. PRE-DIABETES COMMUNITY WORKSHOPS *3 FAITH PARTNERS WERE ENGAGED TO OFFER PRE-DIABETES AWARENESS WORKSHOPS. *60 PARTICIPANTS ATTENDED PRE-DIABETES EDUCATION WORKSHOPS. *20 PARTICIPANTS WERE REFERRED FOR ADDITIONAL FOLLOW-UP TO THE DPP PROGRAM. *90% OF PARTICIPANTS INCREASED THEIR KNOWLEDGE OF HOW NUTRITION IMPACTS DIABETES. *90% OF PARTICIPANTS DEMONSTRATED TWO WAYS TO PREVENT DIABETES. HEALTH NEEDS NOT SELECTED TO ADDRESS IN 2014-2016 CHNA HEART DISEASE ONE OF THE KEY HEALTH ISSUES IDENTIFIED BUT NOT SPECIFICALLY TARGETED IN TRINITY HOSPITAL'S COMMUNITY HEALTH IMPLEMENTATION PLAN WAS HEART DISEASE. TRINITY HOSPITAL IS ADDRESSING THE HEART DISEASE NEEDS OF THE COMMUNITY THROUGH THE NEWLY INTEGRATED ADVOCATE HEART INSTITUTE. THE HEART INSTITUTE SERVICES ARE COMPREHENSIVE AND RANGE FROM CARDIOVASCULAR DIAGNOSTICS AND DETECTION TO TREATMENT AND SURGERY, USING THE MOST ADVANCED DIAGNOSTIC AND THERAPEUTIC TOOLS AVAILABLE. THE INSTITUTE ALSO OFFERS CPR TRAINING, A FREE HEART RISK ASSESSMENT AND AN AFFORDABLE HEART CT SCAN. IN 2015, TRINITY HOSPITAL OPENED A NEW CARDIAC CATHETERIZATION LAB WHICH OFFERS PROCEDURES USED TO DIAGNOSE CARDIOVASCULAR CONDITIONS. IN ADDITION TO THE NEW CATHETERIZATION LAB, THE HOSPITAL DEVELOPED A NEW STATE-OF-THE-ART CARDIAC REHABILITATION FACILITY OFFERING PHASE I AND II CARDIAC REHABILITATION
ADVOCATE EUREKA HOSPITAL2014-2016 CHNA ADVOCATE EUREKA HOSPITAL PARTICIPATED IN THE PRIORITY SETTING PROCESS AS OUTLINED IN APPENDIX 7, PAGE 102, IN THE TRI-COUNTY COMMUNITY HEALTH NEEDS ASSESSMENT 2016 REPORT. THE LINK FOR THE ASSESSMENT CAN BE FOUND AT: HTTP://HEALTHYHOI.ORG. IN BRIEF, THE FOLLOWING STEPS OCCURRED DURING THE PRIORITIZATION PROCESS WITH THE CENTRAL ILLINOIS COMMUNITY HEALTH COLLABORATIVE. *DATA WAS PRESENTED FOR HEALTH CONCERNS FOR THE TRI-COUNTY REGION *DISCUSSION OCCURRED REGARDING THE ISSUES AND POTENTIAL GROUPING OF ISSUES *THE PEARL TEST WAS APPLIED FROM THE HANLON METHOD *THE COLLABORATIVE COUNCIL VOTED TO NARROW ISSUES *THE COLLABORATIVE COUNCIL VOTED A SECOND TIME BASED ON MAGNITUDE, SEVERITY AND ABILITY TO IMPACT THROUGH COLLABORATION *CONSENSUS WAS AGREED UPON FOR TWO HEALTH PRIORITIES FOR THE TRI-COUNTY REGION THE TWO NEEDS IDENTIFIED DURING THE PRIORITIZATION PROCESS ARE: *HEALTHY EATING/ACTIVE LIVING; AND *MENTAL HEALTH HEALTH NEED SELECTED MENTAL HEALTH THE COMMUNITY HEALTH NEEDS ASSESSMENT TEAM AT ADVOCATE EUREKA HOSPITAL SELECTED MENTAL HEALTH AS A HEALTH PRIORITY FOR SEVERAL REASONS. IN ADDITION TO MENTAL HEALTH BEING IDENTIFIED AS A TOP HEALTH PRIORITY FOR THE CENTRAL ILLINOIS COMMUNITY HEALTH COLLABORATIVE, BEHAVIORAL HEALTH WAS ALSO IDENTIFIED AS ONE OF THREE HEALTH PRIORITIES FOR THE TRI-COUNTY HEALTH DEPARTMENT COLLABORATION. THE HEALTH DEPARTMENTS UTILIZED THE MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP) PROCESS TO DETERMINE THE HEALTH PRIORITIES. SPECIFIC TO WOODFORD COUNTY, ON DECEMBER 3, 2015, SEVERAL STAFF MEMBERS FROM ADVOCATE EUREKA HOSPITAL, INCLUDING THE ADMINISTRATOR OF ADVOCATE EUREKA HOSPITAL, PARTICIPATED IN THE LOCAL FORCES OF CHANGE ASSESSMENT CONDUCTED BY THE WOODFORD COUNTY HEALTH DEPARTMENT AS A PART OF THE TRI-COUNTY MAPP PROCESS. MENTAL HEALTH WAS IDENTIFIED AS ONE OF THE TOP THREE FORCES OF CHANGE BY THE 30 INDIVIDUALS THAT PARTICIPATED IN THE ASSESSMENT. FORCES OF CHANGE ARE DEFINED AS THOSE THINGS THAT INFLUENCE THE HEALTH AND QUALITY OF LIFE FOR WOODFORD COUNTY RESIDENTS. A SECOND REASON MENTAL HEALTH WAS SELECTED AS A KEY HEALTH PRIORITY IS THAT WOODFORD COUNTY RESIDENTS THAT PARTICIPATED IN THE 2016 TRI-COUNTY COMMUNITY HEALTH SURVEY PERCEIVED MENTAL HEALTH AS THE SECOND MOST IMPORTANT HEALTH ISSUE IN THE COMMUNITY. IN ADDITION TO THE ABOVE SURVEY DATA AND LOCAL FORCES OF CHANGE ASSESSMENT RESULTS, THE NUMBER OF SUICIDE ATTEMPTS IN WOODFORD COUNTY FOR THE FIRST HALF OF 2016 HAS EXCEEDED THE NUMBER OF ATTEMPTS FOR THE ENTIRE YEAR IN BOTH 2014 AND 2015. THE NUMBER OF DEATHS DUE TO SUICIDE ALSO INCREASED FROM 2014-2015. AS STATED ABOVE, MENTAL HEALTH WAS ALSO PREVIOUSLY SELECTED AS A KEY HEALTH PRIORITY FOR THE 2011-2013 COMMUNITY HEALTH NEEDS ASSESSMENT BY BOTH EUREKA HOSPITAL AND THE WOODFORD COUNTY HEALTH DEPARTMENT. IT IS CLEAR FROM COMMUNITY INPUT AND CURRENT DATA THAT CONTINUED EFFORTS ARE NEEDED TO REDUCE THE STIGMA ASSOCIATED WITH MENTAL HEALTH AND GIVE FURTHER MOMENTUM TO THE EFFORTS OF IMPROVING MENTAL HEALTH FOR COUNTY RESIDENTS. HIGHLIGHTS FOR STEPS TAKEN IN 2017 TO ADDRESS MENTAL HEALTH ARE LISTED BELOW: *THREE MENTAL HEALTH FIRST AID (MHFA) COURSES WERE HOSTED AT ADVOCATE EUREKA HOSPITAL. *THE ADVOCATE EUREKA HOSPITAL MHFA INSTRUCTOR: *RECEIVED ADDITIONAL MHFA CERTIFICATIONS IN OLDER ADULTS AND HIGHER EDUCATION *TAUGHT TWO SESSIONS ON DEPRESSION AND ANXIETY FOR FRESHMAN FROM EUREKA HIGH SCHOOL AT EUREKA COLLEGE *TAUGHT A MHFA COURSE TO 21 RESIDENTIAL ASSISTANTS AT EUREKA COLLEGE *SERVED AS A MEMBER OF THE TRI-COUNTY BEHAVIORAL HEALTH IMPLEMENTATION PLAN SUBCOMMITTEE *ONE HUNDRED AND SIXTEEN COUNSELING AND PSYCHIATRIC SERVICES WERE OFFERED ON-SITE AT EUREKA HOSPITAL. THE SERVICES WERE PROVIDED BY THE TAZWOOD CENTER FOR WELLNESS AT THE HOSPITAL AND ALLOWED RESIDENTS TO RECEIVE CARE LOCALLY VERSUS TRAVELING OUTSIDE OF THE COUNTY FOR CARE. *TELEPSYCHIATRY CONSULTS WERE AVAILABLE AT ADVOCATE EUREKA HOSPITAL BEGINNING IN AUGUST 2017, THUS EXPANDING ACCESS TO PSYCHIATRIC CARE. HEALTH NEED NOT SELECTED HEALTHY BEHAVIORS ADVOCATE EUREKA HOSPITAL DID NOT SELECT HEALTHY BEHAVIORS AS A PRIORITY HEALTH NEED FOR THE HOSPITALS 2014-2016 COMMUNITY HEALTH NEEDS ASSESSMENT. THE HOSPITAL COMMUNITY HEALTH NEEDS ASSESSMENT TEAM WANTED TO FOCUS ITS EFFORTS ON ONE MAJOR INITIATIVE AS ITS RESOURCES ARE LIMITED AS A CRITICAL ACCESS HOSPITAL. THE HOSPITAL WILL, HOWEVER, CONTINUE TO SUPPORT THE EFFORTS OF THE TRI-COUNTY HEALTHY EATING/ACTIVE LIVING IMPLEMENTATION SUBCOMMITTEE. A STAFF MEMBER FROM THE HOSPITAL HAS SERVED ON THIS COMMITTEE TO ASSIST IN PROMOTING HEALTHY EATING AND ACTIVE LIVING IN THE TRI-COUNTY REGION. THE HOSPITAL ALSO EMPLOYS NURSES IN MOST OF THE PUBLIC SCHOOLS IN WOODFORD COUNTY WHO CAN REINFORCE HEALTHIER EATING HABITS AND INCREASED EXERCISE AMONG STUDENTS. PART V, SECTION C - DESCRIPTION FOR PART V, SEC B, LINE 13B ALL HOSPITAL FACILITIES N/A PART V, SECTION C - DESCRIPTION FOR PART V, SEC B, LINE 13H ALL HOSPITAL FACILITIES OTHER FACTORS USED IN DETERMINING AMOUNTS CHARGED TO PATIENTS INCLUDE: DECEASED PATIENTS WITH NO ESTATE; HOMELESS PATIENTS, OR PATIENTS WHO RECEIVE CARE IN A HOMELESS CLINIC; PATIENTS WITH RELIGIOUS AFFILIATION WITH A VOW OF POVERTY, PATIENTS WHO QUALIFY FOR A STATE DEPARTMENT OF HUMAN SERVICES (DHS) ASSISTANCE PROGRAM, BUT HAVE NO MEDICAL COVERAGE (E.G., ILLINOIS AMI/GA, FOOD STAMP, PRESCRIPTION, WOMEN, FREE LUNCH AND BREAKFAST PROGRAM, TEMPORARY ASSISTANCE FOR NEEDY FAMILIES (TANF), INFANTS AND CHILDREN (WIC), MEDICAID ELIGIBLE PATIENTS BUT NOT ON THE DATE OF SERVICE, WHY WAIT AND WISE WOMEN PROGRAMS; COUNTY HEALTH CLINIC PATIENTS; LEGAL ASSISTANCE FOUNDATION OF ILLINOIS REFERRALS; INDIVIDUALS WITH A VALID ADDRESS AT LOW-INCOME/SUBSIDIZED HOUSING; QUALIFIED INDIVIDUALS OF LOW INCOME HOME ENERGY ASSISTANCE PROGRAM, INCARCERATED INDIVIDUALS; INCOMPETENT INDIVIDUALS WITH COMPROMISED DIAGNOSES (E.G., PSYCHIATRIC); INDIVIDUALS MEETING DEFINED CREDIT REPORTING (OR OTHER EXTERNAL REPORTING) RESULT THRESHOLDS; PATIENTS WITH PRIOR HISTORY OF INABILITY TO MAKE PAYMENTS; PATIENTS WITH COURT FILED OR APPROVED BANKRUPTCY DETERMINATIONS). PART V, SECTION C - DESCRIPTION FOR PART V, SEC B, LINE 15E ALL HOSPITAL FACILITIES N/A PART V, SECTION C - DESCRIPTION FOR PART V, SEC B, LINES 16A, 16B AND 16C ALL HOSPITAL FACILITIES HTTP://WWW.ADVOCATEHEALTH.COM/FINANCIALASSISTANCE PART V, SECTION C - DESCRIPTION FOR PART V, SEC B, LINE 16J ALL HOSPITAL FACILITIES ADVOCATE HEALTH AND HOSPITALS CORPORATION COMMUNICATES THE AVAILABILITY OF FINANCIAL ASSISTANCE IN THE APPLICABLE LANGUAGES OF THE HOSPITAL COMMUNITY. MEANS OF COMMUNICATION INCLUDE: 1. THE HEALTH CARE CONSENT THAT IS SIGNED UPON REGISTRATION FOR HOSPITAL SERVICES INCLUDES A STATEMENT THAT FINANCIAL COUNSELING, INCLUDING FINANCIAL ASSISTANCE CONSIDERATION, IS AVAILABLE UPON REQUEST. 2. SIGNAGE IS CLEARLY AND CONSPICUOUSLY POSTED IN LOCATIONS THAT ARE VISIBLE TO THE PUBLIC, INCLUDING, BUT NOT LIMITED TO HOSPITAL REGISTRATION AREAS (I.E., PATIENT ACCESS, EMERGENCY DEPARTMENT). 3. BROCHURES ARE PLACED IN HOSPITAL REGISTRATION AREAS (I.E., PATIENT ACCESS, EMERGENCY DEPARTMENT) AND INCLUDE GUIDANCE ON HOW A PATIENTS MAY APPLY FOR MEDICARE, MEDICAID, ALL KIDS, FAMILY CARE ETC., AND THE HOSPITAL'S FINANCIAL ASSISTANCE PROGRAM. A HOSPITAL CONTACT AND TELEPHONE NUMBER FOR FINANCIAL ASSISTANCE IS INCLUDED. 4. A HANDOUT SUMMARIZING ADVOCATES FINANCIAL ASSISTANCE POLICY AND FINANCIAL ASSISTANCE APPLICATION ARE GIVEN TO ALL UNINSURED PATIENTS WHO RECEIVE MEDICALLY NECESSARY HOSPITAL SERVICES AT THE EARLIEST PRACTICAL TIME OF SERVICE. 5. ADVOCATES WEBSITE PROMINENTLY NOTES THAT FINANCIAL ASSISTANCE IS AVAILABLE, WITH AN EXPLANATION OF THE APPLICATION PROCESS, A SUMMARY OF THE FINANCIAL ASSISTANCE POLICY, AND THE FINANCIAL ASSISTANCE APPLICATION. PART V, SECTION C - DESCRIPTION FOR PART V, SEC B, LINE 18E ALL HOSPITAL FACILITIES N/A PART V, SECTION C - DESCRIPTION FOR PART V, SEC B, LINE 19E ALL HOSPITAL FACILITIES ADVOCATE HEALTH AND HOSPITALS CORPORATION DOES NOT PERFORM ACTIONS SUCH AS THOSE LISTED IN LINES 19A-D UNTIL REASONABLE EFFORTS HAVE BEEN MADE TO DETERMINE A PATIENT'S FAP ELIGIBILITY. PART V, SECTION C - DESCRIPTION FOR PART V, SEC B, LINE 20A ALL HOSPITAL FACILITIES ADVOCATE DOES NOT ENGAGE IN EXTRAORDINARY COLLECTION ACTIONS (ECAS) AND AS DESCRIBED BELOW USES ALL OPPORTUNITIES TO INFORM INDIVIDUALS OF THE FAP PROCESS. IF ADVOCATE EVER WERE TO USE AN ECA IT WOULD PROVIDE THE INDIVIDUAL WITH ALL REQUIRED INFORMATION INCLUDING PROVIDING THE FAP AT LEAST 30 DAYS BEFORE INITIATING AN ECA. PART V, SECTION C - DESCRIPTION FOR PART V, SEC B, LINE 20E ALL HOSPITAL FACILITIES 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". ADVO
FieldValueIRS element (for citing)
Facility399FacilityNum

Oth Hlth Care Fclts Not Hospital OthHlthCareFcltsNotHospitalGrp

Oth Hlth Care Fclts OthHlthCareFcltsGrp (399 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdFacilityFacilityTxt
AHC-Beverly Health Facility-WALK-IN CTR
9831 S Western AveChicagoIL60643Patient Care - Out Patient
AHC-Burbank Health Facility
4901 W 79th StreetBurbankIL60459Patient Care - Out Patient
AHC-Evergreen Park Health Facility
1357 W 103rd Street STE 100 200ChicagoIL60643Patient Care - Out Patient
AHC-Evergreen Plaza - UM
9730 S Western Ave STE 733Evergreen ParkIL60805Patient Care - Out Patient
AHC-Evergreen Peds
9730 S Western Ave STE 500Evergreen ParkIL60805Patient Care - Out Patient
AHC-Frankfort AHC
328 N LaGrange RoadFrankfortIL60423Patient Care - Out Patient
AHC-Halsted & Blackhawk Health Facility
1460 N Halsted AvenueChicagoIL60614Patient Care - Out Patient
AHC-Irving and Western
4025 North Western AveChicagoIL60618Patient Care - Out Patient
AHC-Logan Square Health Facility
2511 North KedzieChicagoIL60647Patient Care - Out Patient
AHC-Oak Park-North Ave Health Facility
6434 W North AvenueOak ParkIL60639Patient Care - Out Patient
AHC-Orland Square Health CT WALK-IN CARE
29 Orland Square DriveOrland ParkIL60462Patient Care - Out Patient
AHC-Palos
7620 W 111th StreetPalos HillsIL60465Patient Care - Out Patient
AHC-Six Corners AHC
4211 North Cicero STE 308 306 3ChicagoIL60641Patient Care - Out Patient
AHC-South Holland
100 W 162nd StreetSouth HollandIL60473Patient Care - Out Patient
AHC-Southeast Health Facility
2301 East 93rd St STE 117 2nd 3ChicagoIL60617Patient Care - Out Patient
AHC-Southwest Highway
11824 SW Highway STE 135 140 15Palos HeightsIL60463Patient Care - Out Patient
AHC-Sykes Health CTR - WALK-IN CARE
2545-55 S Martin Luther King DriveChicagoIL60616Patient Care - Out Patient
AHC-West Suburban - UM Office
3 Erie CourtOak ParkIL60439Patient Care - Out Patient
ABMG-Crossroads Medical
128 W Main StLexingtonIL61753Patient Care - Out Patient
ABMG-Crossroads Medical
385 S Orange StEl PasoIL61738Patient Care - Out Patient
ABMG-Crossroads Medical
307 W Main StLexingtonIL61753Patient Care - Out Patient
ABMG-Fairbury Medical Associates
115 E WalnutFairburyIL61739Patient Care - Out Patient
ABMG-Healthpoint
1437 E College AveNormalIL61761Patient Care - Out Patient
ABMG-Illinios Heart & Lung Associates
1302 Franklin AveNormalIL61761Patient Care - Out Patient
ABMG-Illinois Heart & Lung -Billing Offc
1300 Franklin AveNormalIL61761Patient Care - Out Patient
ABMG-Illinois Heart & Lung -Pontiac Offc
1508 W Reynolds STE APontiacIL61764Patient Care - Out Patient
ABMG-LeRoy Family Medicine
911 S ChestnutLeroyIL61752Patient Care - Out Patient
ABMG-Medical Hills Internists
1401 Eastland DrBloomingtonIL61701Patient Care - Out Patient
ABMG-Sugar Creek Medical I
1302 Franklin Ave STE 1100NormalIL61761Patient Care - Out Patient
ABMG-Sugar Creek Medical II
1302 Franklin Ave STE 2500NormalIL61761Patient Care - Out Patient
ABMG-Town & Country
105 S Major StEurekaIL61530Patient Care - Out Patient
ABMG-Town & Country
415 W FrontRoanokeIL61561Patient Care - Out Patient
ABMG-Twin Cities Behavioral HealthEAP
403 Virginia AveNormalIL61761Patient Care - Out Patient
ABMG-Twin Cities Behavioral HealthEAP
403 Virginia Ave 2nd FlrNormalIL61761Patient Care - Out Patient
ABMG-Twin Cities Behavioral HealthEAP
303 N Hershey Rd STE 2CBloomingtonIL61761Patient Care - Out Patient
CH-ACMC - Outpatient CTR Lockport
1206 E 9th St STE 110 170 250LockportIL60441Patient Care - Out Patient
CH-Advocate PTOT (Christ)
12340-50 S Harlem AvenuePalos HeightsIL60463Patient Care - Out Patient
CH-Ambulatory Building
4440 W 95th StreetOak LawnIL60453Patient Care - In Patient
CH-Breast Health CTR
4545 W 103rd StreetOak LawnIL60453Patient Care - Out Patient
CH-Christ POB
4400 W 95th Street Suites - VARIOUOak LawnIL60453Patient Care - Out Patient
CH-Christ Women's Health CTR
18210 S LaGrange Road STE 200Tinley ParkIL60477Patient Care - Out Patient
CH-Development CTR
4546 W 95th StreetOak LawnIL60453Patient Care - Out Patient
CH-Family Practice
4140 W SW HighwayHometownIL60456Patient Care - Out Patient
CH-High Tech Offices - Hospital
11800 SW HighwayPalos HeightsIL60463Patient Care - Out Patient
CH-Physician's Offices
11745 SW HighwayPalos HeightsIL60463Patient Care - Out Patient
CH-Physician's Offices
4151 Naperville RoadLisleIL60532Patient Care - Out Patient
CH-Physician's Offices
9848 S Roberts RoadPalos HeightsIL60465Patient Care - Out Patient
GSAM-GOOD SAMARITAN HOSPITAL - OTP
6840 Main Street 1st Flr STE 202Downers GroveIL60515Patient Care - Out Patient
GSAM-Good Samaritan Hospital Cancer Care
3745 Highland AvenueDowners GroveIL60515Patient Care - In Patient
GSAM-Good Samaritan POB Tower 1
3825 Highland Ave STE 2J 4H 4KDowners GroveIL60515Patient Care - Out Patient
GSAM-Good Samaritan POB Tower 2
3825 Highland Ave STE 1031071103Downers GroveIL60515Patient Care - Out Patient
GSAM-Lemont Walk In ClinicRadiology
15900 W 127th St STE 100 131LemontIL60439Patient Care - Out Patient
GSAM-Midwest CTR For Day Surgery
3811 Highland AvenueDowners GroveIL60515Patient Care - Out Patient
GSAM-North Pavilion
3743 Highland AvenueDowners GroveIL60515Patient Care - Out Patient
GSAM-Woodridge Imaging CTR
7530 Woodward AvenueWoodridgeIL60517Patient Care- Out Patient
GSH-Adult & Pediatric Rehab CtrPinehrst
5150 NorthW HighwayCrystal LakeIL60014Patient Care - Out Patient
GSH-Briarwood Building
2272 Countyline Rd STE XXX-XX-XXXXAlgonquinIL60102Patient Care - Out Patient
GSH-Good Shepherd OTP CTR & Imaging CTR
525 Congress Parkway 1st Flr 225Crystal LakeIL60014Patient Care - Out Patient
GSH-Good Shepherd POB Building 1
27790 W HWY 22 STE 2513141619BarringtonIL60010Patient Care - Out Patient
GSH-Good Shepherd POB Building 2
27750 W HWY 22 STES G50G6014021BarringtonIL60010Patient Care - Out Patient
GSH-Imaging CTR
2284 W Countyline RoadAlgonquinIL60014Patient Care - Out Patient
GSH-Lake Zurich Breast Imaging CTR
350 Surryse Road STE 140 150 25Lake ZurichIL60047Patient Care - Out Patient
GSH-North Suburban Clinic
2575 Algonquin RoadAlgonquinIL60102Patient Care - Out Patient
BH-POB Building
414 S HomanChicagoIL60624Patient Care - Out Patient
BH-POB Building
3410 W Van BurenChicagoIL60624Patient Care - Out Patient
FCN-Bolingbrook Quadrangle Building C
391 Quadrangle Drive N-4BolingbrookIL60440Patient Care - Out Patient
CH-Rotunda Medical Building
4340 W 95th St STE 104 105 106Oak LawnIL60453Patient Care - Out Patient
ABMCAEH -ABMC Landmark Drive Location
207 LandmarkNormalIL61761Office - Other
Advanced MRI (AMRI)
2204 Eastland Drive STE 200BloomingtonIL61701Patient Care - Out Patient
ABMC-BroMenn Outpatient CTR
3024 E Empire StreetBloomingtonIL61704Patient Care - Out Patient
ABMCAEH-Community Cancer CTRCyberknife
407 E VernonNormalIL61761Patient Care - Out Patient
ABMCAEH-Home HealthHospiceComm Health
407 E VernonNormalIL61761Patient Care - Out Patient
ABMCAEH-Il Heart & Lung Cardiology
1302 Franklin Ave MOB 4500NormalIL61761Patient Care - Out Patient
ABMCAEH-Offc Building-Advocate Phys Ptr
3004 General Electric Road STE 1BloomingtonIL61704Patient Care - Out Patient
ABMCAEH-Franklin Avenue Building
900 Franklin AveNormalIL61761Patient Care - Out Patient
ABMCAEH-Medical Office Building
1302 Franklin AveNormalIL61761Patient Care - Out Patient
ABMCAEH-POB Building
1300 Franklin AveNormalIL61761Patient Care - Out Patient
TH-Sleep CTR
1111 E 87th Street STE 500ChicagoIL60617Patient Care- Out Patient
TH-Trinity POB
2301-2315 E 93rd StSTE XXX-XX-XXXXChicagoIL60617Patient Care - Out Patient
TH-Wound Care Clinic
8751 S Greenwood STE600 100ChicagoIL60619Patient Care- Out Patient
SSHS-Frankfort Medical Office
20325 S Graceland LaneFrankfortIL60423Patient Care - Out Patient
SSHS-South Suburban Hospital - Crete
1024-1036 E Steger Road 4 STECreteIL60417Patient Care- Out Patient
SSHS-South Suburban Hospital Cancer CTR
17750 S KedzieHazel CrestIL60429Patient Care - Out Patient
SSHS-South Suburban Medical Office & SC
16532 Oak Park Avenue STE LL1Tinley ParkIL60477Patient Care - Out Patient
SSHS-South Suburban POB
17850 S Kedzie STE LL 1 2 LL StHazel CrestIL60429Patient Care - Out Patient
GSH-Advocate Good Shepherd HLTHFIT CTR
1301 S Barrington RoadBarringtonIL60005Patient Care - Out Patient
GSAM-Good Samaritan Wellness CTR
3551 Highland AvenueDowners GroveIL60515Patient Care - Out Patient
LGHS-Parkside CTR
1875 Dempster StreetPark RidgeIL60068Patient Care - Out Patient
OHC-Downers Grove CTR
3551 Highland Avenue STE 200Downers GroveIL60515Patient Care - Out Patient
OHC-Elk Grove CTR
1502 Elmhurst RoadElk Grove VillageIL60007Patient Care - Out Patient
OHC-Hazel Crest CTR
17850 S Kedzie Avenue STE 1100Hazel CrestIL60429Patient Care - Out Patient
OHC-Lake Zurich CTR
350 Surryse RoadLake ZurichIL60047Patient Care- Out Patient
OHC-LGOHC-I
7255 CaldwellNilesIL60714Patient Care - Out Patient
OHC-Tinley Park CTR - Occ Health
18210 S LaGrange Road STE 211Tinley ParkIL60477Patient Care - Out Patient
LGHS-Nesset Health CTR
1775 Ballard RoadPark RidgeIL60068Patient Care - Out Patient
LGHS-Yacktman Children's Pavillion
1675 Dempster StreetPark RidgeIL60068Patient Care - Out Patient
LGHS-CTR for Advanced Care
1700 Luther LanePark RidgeIL60068Patient Care - Out Patient
LGHS-Adult Down Syndrome Clinic
1610 Luther LanePark RidgeIL60068Patient Care - Out Patient
AIS-AHHC dba Advocate Imaging-Wilmette
114 Skokie BlvdWilmetteIL60091Patient Care - Out Patient
LGHS-Cardiac Risk
8820 Dempster StreetPark RidgeIL60068Patient Care - Out Patient
LGHS-East Pavillion-Old Science Building
1775 Western AvePark RidgeIL60068Patient Care - Out Patient
LGHS-Vacant
1999 Dempster StreetPark RidgeIL60068Patient Care - Out Patient
AMG - Des Plaines
701 Lee Street STE LL 10011030Des PlainesIL60016Patient Care - Out Patient
AMG - Glenview
1255 Milwaukee RoadGlenviewIL60025Patient Care - Out Patient
AMG - Heart and Vascular of Illinois
3118 N Ashland AvenueChicagoIL60657Patient Care - Out Patient
AMG - Heart and Vascular of Illinois
5151 W 95th Street 2nd FlrOak LawnIL60453Patient Care - Out Patient
AMG - Hyde Park
1301 E 47th Street Unit 2ChicagoIL60615Patient Care - Out Patient
AMG - Lockport Primary Care
1206 E 9th Street STE 210LockportIL60441Patient Care - Out Patient
AMG - Mundelein Internal Medicine
550 N Lake StreetMundeleinIL60060Patient Care - Out Patient
AMG - Oak Lawn
4712 W 103rd StreetOak LawnIL60453Patient Care - Out Patient
AMG - Parkside CTR
1875 W Dempster St STE 525 110Park RidgeIL60068Patient Care - Out Patient
AMG - Posen
2590 W Walter Zimny DrivePosenIL60469Patient Care - Out Patient
AMG - Richton Park
4511 Sauk TrailRichton ParkIL60471Patient Care - Out Patient
AMG - Southeast Location
2301 E 93rd Street STE 213ChicagoIL60617Patient Care - Out Patient
AMG - Wauconda
224 Brown StreetWaucondaIL60522Patient Care - Out Patient
AMG- Metrodocs
431 Lakeview CourtMount ProspectIL60056Patient Care - Out Patient
AMG Alexian Brothers
800 Biesterfield Road STE 645Elk Grove VillageIL60007Office - No Patient Care
AMG Alpine Family Medicine
350 Surryse Road STE 100Lake ZurichIL60047Patient Care - Out Patient
AMG Bartlett
1054 Norwood LaneBartlettIL60103Patient Care - Out Patient
AMG Downers Grove
1341 Waren AvenueDowners GroveIL60515Patient Care - Out Patient
AMG Glenbrook
2551 Compass DriveGlenviewIL60026Patient Care - Out Patient
AMG Hampshire
1000 S State StreetHampshireIL60140Patient Care - Out Patient
AMG Huntley
12151-12199 Regency CenterHuntleyIL60142Patient Care - Out Patient
AMG Island Lake
27979 Converse RoadIsland LakeIL60042Patient Care - Out Patient
AMG Lemont
6319 S FairviewWesmontIL60559Patient Care - Out Patient
AMG Libertyville Winchester
1870 Winchester Road STE 143LibertyvilleIL60048Patient Care - Out Patient
AMG Lincolnwood
6540 N Lincoln AvenueLincolnwoodIL60712Patient Care - Out Patient
AMG Primary Care Specialists
150 N River RoadDes PlainesIL60016Patient Care - Out Patient
AMG Pulaski
10627 S PulaskiChicagoIL60655Patient Care - Out Patient
AMG Riverside
7234 W Ogden AvenueDowners GroveIL60515Patient Care - Out Patient
AMG Swedish Covenant
5140 N California Ave STE 505ChicagoIL60625Patient Care - Out Patient
AMG-AMG-Chicago-900 W Nelson
900 W Nelson 1st FlrChicagoIL60657Patient Care - Out Patient
AMG-Amundsen School Based Health CTR
5110 N Damen Avenue Rm 307ChicagoIL60625Patient Care - Out Patient
AMG-CTR for Advanced Cardiology
1875 Dempster STE 580 585 590 5Park RidgeIL60068Patient Care - Out Patient
AMG-Chicago Greenwood
1111 E 87th Street STE 900AChicagoIL60619Patient Care - Out Patient
AMG-Doctors of the North Shore
6131 W Dempster StreetMorton GroveIL60053Patient Care - Out Patient
AMG-Doctors Office
3040 North WiltonChicagoIL60657Patient Care - Out Patient
AMG-Downers Grove Internists
3825 Highland Avenue STE 5BDowners GroveIL60515Patient Care - Out Patient
AMG-Family Practice - Arlington Heights
825 East Golf RoadArlington HeightsIL60005Patient Care - Out Patient
AMG-Family Practice at Ravenswood
4600 N Ravenswood AvenueChicagoIL60640Patient Care - Out Patient
AMG-Gartner Dentistry Building
811 W Wellington AvenueChicagoIL60657Patient Care - Out Patient
AMG-Grand Oaks Health CTR Hollister Gr
1800 Hollister Drive STE G2LibertyvilleIL60048Patient Care - Out Patient
AMG-Great Lakes REIT (GLR) Internal Med
27790 W Highway 22 Bldg 1 STE 16BarringtonIL60010Patient Care - Out Patient
AMG-Illinois Masonic Physician Group
4211 N Cicero STE 300ChicagoIL60641Patient Care - Out Patient
AMG-Internal Medicine - Buffalo Grove
214 McHenry Road STE B19 B20Buffalo GroveIL60089Patient Care - Out Patient
AMG-Ivy Physicians Group
2437 N Sport Avenue 1st FlrChicagoIL60614Patient Care - Out Patient
AMG-Lakeview School Based Health CTR
4015 N Ashland Avenue Rm 103ChicagoIL60657Patient Care - Out Patient
AMG-Libertyville Office Building
716 S Milwaukee AvenueLibertyvilleIL60048Patient Care - Out Patient
AMG-Medical Office Building
3000 North Halsted St SUITES VARIOChicagoIL60657Patient Care - Out Patient
MCC AMG Cicero
10837 S Cicero Ave STE 200 110Oak LawnIL60453Patient Care - Out Patient
MCC AMG Hickory Cardiac Care
3611 W 183rd StreetHazel CrestIL60429Patient Care - Out Patient
MCC AMG Ravinia
14741 Ravinia DriveOrland ParkIL60467Patient Care - Out Patient
MCC AMG Ridgeland
9830 S Ridgeland AvenueChicago RidgeIL60415Patient Care - Out Patient
MCC AMG South Suburban POB
17850 S Kedzie Ave STE 3250Hazel CrestIL60429Patient Care - Out Patient
MCC AMG Trinity POB
2301/2315 E 93rd St STE 222ChicagoIL60617Patient Care - Out Patient
MCC St James POB
3800 Burke Drive STE 201Olympia FieldsIL60449Patient Care - Out Patient
Midwest Heart SpecialistsAMGBarrington
27750 W Highway 22 STE 240BarringtonIL60010Patient Care - Out Patient
Midwest Heart SpecialistsAMGDowners Gr
3825 Highland Ave STE 400Downers GroveIL60515Patient Care - Out Patient
Midwest Heart SpecialistsAMG Elmhurst
133 E Brush Hill Rd STE 202ElmhurstIL60126Patient Care - Out Patient
Midwest Heart SpecialistsAMGHoffman Es
1555 Barrington Rd STE 3200Hoffman EstatesIL60194Patient Care - Out Patient
Midwest Heart SpecialistsAMGNaperville
801 S Washington 4th FlrNapervilleIL60540Patient Care - Out Patient
Midwest Heart SpecialistsAMG Winfield
25 N Winfield Rd STE 301WinfieldIL60190Patient Care - Out Patient
Midwest Pediatric Cardiology AMGBilling
621 Plainfield Road STE 105WillowbrookIL60527Office - No Patient Care
Midwest Pediatric CardiologyAMG Aurora
2020 Ogden Avenue STE 400AuroraIL60504Patient Care - Out Patient
Midwest Pediatric CardiologyAMGCPOB
4440 W 95th Street STE 108Oak LawnIL60453Patient Care - Out Patient
Midwest Pediatric Cardiology AMG Crest
16151 Weber Road Unit 107Crest HillIL60403Patient Care - Out Patient
Midwest Pediatric Cardiology AMG Hope
4440 W 95th St STE 1100HOak LawnIL60453Patient Care - Out Patient
Midwest Pediatric Cardiology AMGLockpt
1206 9th Street STE 310LockportIL60441Patient Care - Out Patient
Midwest Pediatric CardiologyAMGMRIVL
209 E 86th Place STE DMerrillvilleIN46410Patient Care - Out Patient
Midwest Pediatric Cardiology AMG MHS
1555 Barrington Rd STE 3200Hoffman EstatesIL60169Patient Care - Out Patient
Midwest Pediatric CardiologyAMGMunster
800 MacArthur Blvd STE 3MunsterIN46321Patient Care - Out Patient
Midwest Pediatric CardiologyAMGNPRVL
1020 E Ogden Ave STE 302NapervilleIL60563Patient Care - Out Patient
Midwest Pediatric Cardiology AMGOak Ln
4700 W 95th Street STE 205Oak LawnIL60453Patient Care - Out Patient
Midwest Pediatric CardiologyAMGRockfrd
5701 Strathmoor Dr STE 1 3RockfordIL61107Patient Care - Out Patient
AMG-Park Ridge Pediatric Nephrology
1480 Renaissance Dr STE 211Park RidgeIL60068Patient Care - Out Patient
AMG-PEDS - Deerfield
720 Osterman Avenue 103DeerfieldIL60015Patient Care - Out Patient
AMG-Ravenswood Medical Group
1945 W Wilson Avenue Ste 2100 4ChicagoIL60640Patient Care - Out Patient
AMG-Tinley Park Medical Office
16750 S 80th Avenue STE BTinley ParkIL60477Patient Care - Out Patient
AMG-AMG Orland Park Clinic & Orland Park
9550 W 167th StreetOrland ParkIL60467Patient Care - Out Patient
AMG-Chicago (Medicine & Surgery) AMG
11250 S Western AveChicagoIL60643Patient Care - Out Patient
AMG-Olympia Fields
4001 Vollmer RoadOlympia FieldsIL60461Patient Care - Out Patient
AMG-Olympia Fields Cancer Care Institute
3700 W 203rd StreetOlympia FieldsIL60461Patient Care - Out Patient
AMG-Olympia Fields Corp & Phys Therapy
20110 Governors HighwayOlympia FieldsIL60461Patient Care - Out Patient
AMG-Elgin
1140 N Mclean Blvd STE E FElginIL60120Patient Care - Out Patient
ACC 95th St
2210 W 95th StChicagoIL60643Patient Care - Out Patient
ACL Lab Service CTR
3048 N Wilton LabChicagoIL60657Patient Care - Out Patient
ACL Lab Service CTR
1775 Ballard Road LLPark RidgeIL60068Patient Care - Out Patient
ACL Lab Service CTR - Parkside Ctr
1875 Dempster St STE 504Park RidgeIL60068Patient Care - Out Patient
ACMG Oak Lawn 95 street 210
4220 W 95th StreetOak LawnIL60453Patient Care - Out Patient
AMG-Lockport Primary Care
1206 E 9th Street STE 100LockportIL60441Patient Care - Out Patient
AMG-Lockport Primary Care
1206 E 9th Street STE 250LockportIL60441Patient Care - Out Patient
AMG-Algonquin County Line Rd
2284 Countyline RdAlgonquinIL60201Patient Care - Out Patient
AMG-Algonquin Merchant Drive
1486 Merchant DriveAlgonquinIL60102Patient Care - Out Patient
AMG-Algonquin Randall Rd
600 S Randall RoadAlgonquinIL60102Patient Care - Out Patient
AMG-Algonquin Ryan Parkway
1345 Ryan ParkwayAlgonquinIL60102Patient Care - Out Patient
AMG-Darien
2622 w 83rd StDarienIL60561Patient Care- Out Patient
AMG-Naperville
100 Spalding AvNapervilleIL60540Patient Care- Out Patient
AMG-Ingleside
214 Washington StInglesideIL60041Patient Care- Out Patient
AMG-Wonder Lake
7432 Hancock DrWonder LakeIL60097Patient Care- Out Patient
AMG-East Dundee
151 E Dundee AvenueEast DundeeIL60118Patient Care - Out Patient
AMG-Elgin 1710 Randall Rd
1710 Randall Rd STE 200 250 380ElginIL60123Patient Care - Out Patient
AMG-Elgin 750 Fletcher Drive
750 Fletcher Drive STE 206ElginIL60123Patient Care - Out Patient
AMG-Elk Grove
1502 S Elmhurst RdElk Grove VillageIL60007Office - No Patient Care
AMG-Finance
2311 22nd Street Ste 202OakbrookIL60523Office - No Patient Care
AMG-Finance-Phy Comp
2311 22nd Street Ste 315OakbrookIL60523Office - No Patient Care
AMG-Hometown
4140 SW HWHometownIL60456Patient Care - Out Patient
AMG-Lemont
15900 W 127th streetLemontIL60439Patient Care - Out Patient
AMG-LeRoy
911 S ChestnutLe RoyIL61752Patient Care - Out Patient
AMG-Lexington
307 W MainLexintonIL61753Patient Care - Out Patient
AMG-Libertville 801 S Milwaukee
801 S Milwaukee RdLibertyvilleIL60048Patient Care - Out Patient
AMG-Lincolnshire
100 Village Green Dr Ste 120LincolnshireIL60069Patient Care - Out Patient
AMG-Lincolnshire
100 Village Green Dr Ste 210LincolnshireIL60069Patient Care - Out Patient
AMG-Lombard & AMG Lemont
500 East 22nd Street STE ALombardIL60148Patient Care - Out Patient
AMG-McHenry 5403 Bull Valley Road
5403 Bull Valley RoadMcHenryIL60050Patient Care - Out Patient
AMG-Merrionette Park
11600 S KedzieMerrionette ParkIL60803Patient Care - Out Patient
AMG-Mundelein 560 N Midlothian
560 N Midlothian STE 400MundeleinIL60060Patient Care - Out Patient
AMG-Oak Lawn 4400 W 95th Ste 101
4400 W 95th StreetOak LawnIL60453Patient Care - Out Patient
AMG Oak Lawn 4400 W 95th Ste 102
4400 W 95th StreetOak LawnIL60453Patient Care - Out Patient
AMG Oak Lawn 4400 W 95th Ste 108
4400 W 95th StreetOak LawnIL60453Patient Care - Out Patient
AMG Oak Lawn 4400 W 95th Ste XXX-XX-XXXX
4400 W 95th StreetOak LawnIL60453Patient Care - Out Patient
AMG Oak Lawn 4400 W 95th Ste 207
4400 W 95th StreetOak LawnIL60453Patient Care - Out Patient
AMG Oak Lawn 4400 W 95th Ste 301
4400 W 95th StreetOak LawnIL60453Patient Care - Out Patient
AMG Oak Lawn 4400 W 95th Ste 403
4400 W 95th StreetOak LawnIL60453Patient Care - Out Patient
AMG Oak Lawn 4400 W 95th Ste 404
4400 W 95th StreetOak LawnIL60453Patient Care - Out Patient
AMG Oak Lawn 4400 W 95th Ste 407
4400 W 95th StreetOak LawnIL60453Patient Care - Out Patient
AMG Oak Lawn 4400 W 95th Ste 408
4400 W 95th StreetOak LawnIL60453Patient Care - Out Patient
AMG Oak Lawn 4400 W 95th Ste 413
4400 W 95th StreetOak LawnIL60453Patient Care - Out Patient
AMG Oak Lawn 4700 w 95th Ste 308
4700 W 95th StreetOak LawnIL60453Patient Care - Out Patient
AMG Oak Lawn 95 street 200
4220 W 95th StreetOak LawnIL60453Patient Care - Out Patient
AMG Orland Park 165th
10745 W 165th streetOrland ParkIL60467Patient Care - Out Patient
AMG Orland Park Ravinia
14741 Ravinia DriveOrland ParkIL60467Patient Care - Out Patient
AMG Palos Heights Harlem Ave
12332 S Harlem AvePalos HeightsIL60463Patient Care - Out Patient
AMG Palos Heights Harlem Ave
12400 S Harlem AvePalos HeightsIL60463Patient Care - Out Patient
AMG Palos Heights SW Hwy
11800 SW HighwayPalos HeightsIL60463Patient Care - Out Patient
AMG Palos Hills
7620 W 111th StPalos HillsIL60465Patient Care - Out Patient
AMG Park Ridge Busse Highway
850 Busse HwyPark RidgeIL60068Patient Care - Out Patient
AMG Winfield
25 N WinfieldWinfieldIL60527Patient Care - Out Patient
AMG Woodstock 3703 Doty Road
3703 Doty Rd Bldg1 Ste 4WoodstockIL60098Patient Care - Out Patient
AMG-Aurora Cardiology
4100 Healthway DriveAuroraIL60504Patient Care - Out Patient
AMG-Aurora PEDS Specialists
2020 Ogden AveAuroraIL60504Patient Care - Out Patient
AMG-Barrington Garlands
6000 Garlands LaneBarringtonIL60010Patient Care - Out Patient
AMG-Barrington GSHP Occ Hlth
27790 W Highway 22 Ste 19BarringtonIL60010Patient Care - Out Patient
AMG-Barrington GSHP Occ Hlth
27790 W Highway 22 Ste 20BarringtonIL60010Patient Care - Out Patient
AMG-Barrington GSHP Sleep
27790 W Highway 22 Ste 20BarringtonIL60010Patient Care - Out Patient
AMG-Barrington Pepper Rd
22285 Pepper RdBarringtonIL60010Patient Care - Out Patient
AMG-Bloomington 1401 Eastland Dr
1401 Eastland DriveBloomingtonIL61701Patient Care - Out Patient
AMG-Bloomington 2204 Eastland Dr
2204 Eastland DriveBloomingtonIL61704Patient Care - Out Patient
AMG-Bloomington 2406 E Empire
2406 E EmpireBloomingtonIL61704Patient Care - Out Patient
AMG-Bloomington 3024 E Empire ImmCare
3024 E EmpireBloomingtonIL61704Patient Care - Out Patient
AMG-Bloomington 3024 E Empire OccHlth
3024 E EmpireBloomingtonIL61704Patient Care - Out Patient
AMG-Bloomington 3024 E Empire Surgery
3024 E EmpireBloomingtonIL61704Patient Care - Out Patient
AMG-Bloomington 3024 E Empire 3A
3024 E EmpireBloomingtonIL61704Patient Care - Out Patient
AMG-Bloomington 3024 E Empire 3D
3024 E EmpireBloomingtonIL61704Patient Care - Out Patient
AMG-Bloomington 3024 E Empire 3E-3F
3024 E EmpireBloomingtonIL61704Patient Care - Out Patient
AMG-Bloomington Hershey
303 N HersheyBloomingtonIL61704Patient Care - Out Patient
AMG-Bolingbrook Weber Drive
130 Weber DriveBolingbrookIL60440Patient Care - Out Patient
AMG-Burbank
4901 W 79th StreetBurbankIL60459Patient Care - Out Patient
AMG-Chicago 3040 N Wilton 2nd Flr
3040 North WiltonChicagoIL60657Patient Care - Out Patient
AMG-Chicago 3048 N Wilton 1st Flr
3040 North WiltonChicagoIL60657Patient Care - Out Patient
AMG-Chicago 3048 N Wilton 3rd Flr OB MW
3040 North WiltonChicagoIL60657Patient Care - Out Patient
AMG-Chicago 3048 N Wilton 3rd Flr
3040 North WiltonChicagoIL60657Patient Care - Out Patient
AMG-Chicago 9831 S Western
9831 S Western AveChicagoIL60643Patient Care - Out Patient
AMG-Chicago Creticos Cancer CTR
901 Wellington AveChicagoIL60657Patient Care - Out Patient
AMG-Chicago Doty (Pullman)
10834 S Doty AveChicagoIL60628Patient Care - Out Patient
AMG-Chicago E 118th street
3550 E118th StreetChicagoIL60625Patient Care - Out Patient
AMG-Chicago E 93rd Suite 117-213
2301 E 93rd StreetChicagoIL60617Patient Care - Out Patient
AMG-Chicago E 93rd Suite 222
2315 E 93rd StreetChicagoIL60617Patient Care - Out Patient
AMG-Chicago E 93rd Suite 322
2301 E 93rd StreetChicagoIL60617Patient Care - Out Patient
AMG-Chicago E 93rd Suite 440
2301 E 93rd StreetChicagoIL60617Patient Care - Out Patient
AMG-Chicago Evergreen
1357 W 103rd StChicagoIL60643Patient Care - Out Patient
AMG-Chicago Greenwood Sleep
1111 E 87th Street STE 500ChicagoIL60619Patient Care - Out Patient
AMG-Chicago HalstedBlackhawk
1460 N Halsted AveChicagoIL60622Patient Care - Out Patient
AMG-Chicago Irv & Wstrn
4025 N Western AveChicagoIL60634Patient Care - Out Patient
AMG-Chicago Marine Drive
4646 N Marine DriveChicagoIL60640Patient Care - Out Patient
AMG-Chicago N Broadway
5304 N Broadway AveChicagoIL60640Patient Care - Out Patient
AMG-Chicago N Central Ave
3942 N Central AveChicagoIL60617Patient Care - Out Patient
AMG-Chicago N Cicero
4211 N CiceroChicagoIL60641Patient Care - Out Patient
AMG-Chicago N Kedzie
AMG Chicago Logan SquareChicagoIL60647Patient Care - Out Patient
AMG-Chicago North Ave
6434 W North AvenueChicagoIL60302Patient Care - Out Patient
AMG-Chicago Sykes
AMG SykesChicagoIL60616Patient Care - Out Patient
AMG-Chicago W Bryn Mawr Suite 350
8550 W Bryn MawrChicagoIL60631Patient Care - Out Patient
AMG-Chicago W Bryn Mawr Suite 650
8550 W Bryn MawrChicagoIL60631Patient Care - Out Patient
AMG-Chicago W Bryn Mawr Suite 700
8550 W Bryn MawrChicagoIL60631Patient Care - Out Patient
AMG-Chicago W Bryn Mawr Suite 800
8550 W Bryn MawrChicagoIL60631Patient Care - Out Patient
AMG-Chicago W Foster
AMG Chicago FosterChicagoIL60610Patient Care - Out Patient
AMG-Chicago Wellington Dentistry
811 Wellington AveChicagoIL60657Patient Care - Out Patient
AMG-Crystal Lake Congress Parkway
525 Congress ParkwayCrystal LakeIL60014Patient Care - Out Patient
AMG-Crystal Lake Memorial Court
284 Memorial CourtCrystal LakeIL60014Patient Care - Out Patient
AMG-Des Plaines ACMG
8901 Golf RdDes PlainesIL60016Patient Care - Out Patient
AMG-Des Plaines Lee St Suite 003
701 Lee StreetDes PlainesIL60016Patient Care - Out Patient
AMG-Des Plaines Lee St Suite 100
701 Lee StreetDes PlainesIL60016Patient Care - Out Patient
AMG-Des Plaines Lee St Suite 800
701 Lee StreetDes PlainesIL60016Patient Care - Out Patient
AMG-Des Plaines Rand Rd
77 Rand RdDes PlainesIL60016Patient Care - Out Patient
AMG-Downers Grove 4900 Main st 1st Fl
4900 Main StreetDowners GroveIL60515Patient Care - Out Patient
AMG-Downers Grove 4900 Main st Bsmnt
4900 Main StreetDowners GroveIL60515Patient Care - Out Patient
AMG-Downers Grove GSAM Sleep
3815 Highland AveDowners GroveIL60515Patient Care - Out Patient
AMG-Downers Grove GSAM Suite 103
3825 Highland AveDowners GroveIL60515Patient Care - Out Patient
AMG-Downers Grove GSAM Suite 107
3825 Highland AveDowners GroveIL60515Patient Care - Out Patient
AMG-Downers Grove GSAM Suite 200
3551 Highland AveDowners GroveIL60515Patient Care - Out Patient
AMG-Downers Grove GSAM Suite 306
3825 Highland AveDowners GroveIL60515Patient Care - Out Patient
AMG-Downers Grove GSAM Suite 400
3825 Highland AveDowners GroveIL60515Patient Care - Out Patient
AMG-Downers Grove GSAM Suite 4H4K
3825 Highland AveDowners GroveIL60515Patient Care - Out Patient
AMG-Downers Grove GSAM Suite 5B
3825 Highland AveDowners GroveIL60515Patient Care - Out Patient
AMG-Downers Grove S Main suite 101
6840 S Main StreetDowners GroveIL60515Patient Care - Out Patient
AMG-Downers Grove S Main suite 202
6840 S Main StreetDowners GroveIL60515Patient Care - Out Patient
AMG-Downers Grove S Main suite 2nd Flr
6840 S Main StreetDowners GroveIL60515Patient Care - Out Patient
AMG-El Paso
385 S OrangeEl PasoIL61738Patient Care - Out Patient
AMG-Eldorado
306 EldoradoBloomingtonIL61704Support
AMG-Elgin Fletcher Suite 101
745 Fletcher RdElginIL60123Patient Care - Out Patient
AMG-Elgin Fletcher Suite 302
745 Fletcher RdElginIL60123Patient Care - Out Patient
AMG-Elgin Randall Suite 107
1710 Randall Rd STE 107ElginIL60123Patient Care - Out Patient
AMG-Elgin Randall Suite 201 (eff 4115)
1710 Randall Rd STE 201ElginIL60123Patient Care - Out Patient
AMG-Elgin Randall Suite 340
1710 Randall RdElginIL60123Patient Care - Out Patient
AMG-Eureka
105 S MajorEurekaIL61530Patient Care - Out Patient
AMG-Evergreen Park S Western Ave Parking
9730 S Western AveEvergreen ParkIL60805Patient Care - Out Patient
AMG-Evergreen Park S Western Ave Ste 500
9730 S Western AveEvergreen ParkIL60805Patient Care - Out Patient
AMG-Evergreen Park S Western Ave Ste 733
9730 S Western AveEvergreen ParkIL60805Patient Care - Out Patient
AMG-Fairbury
115 E WalnutFairburyIL61739Patient Care - Out Patient
AMG-Fox River Grove
912 Northwest HighwayFox River GroveIL60010Patient Care - Out Patient
AMG-Frankfort Graceland
20325 S GracelandFrankfortIL60423Patient Care - Out Patient
AMG-Frankfort LaGrange
21160 S LaGrange AveFrankfortIL60423Patient Care - Out Patient
AMG-Glenview Milwaukee
1255 MilwaukeeGlenviewIL60025Patient Care - Out Patient
AMG-Glenview Waukegan
1412 Waukegan RdGlenviewIL60025Patient Care - Out Patient
AMG-Gurnee Hunt Club Rd Imm Care
1445 Hunt Club RdGurneeIL60031Patient Care - Out Patient
AMG-Gurnee Hunt Club Rd Sleep
1445 Hunt Club RdGurneeIL60031Patient Care - Out Patient
AMG-Gurnee Hunt Club Rd Suite 301
1425 Hunt Club RdGurneeIL60031Patient Care - Out Patient
AMG-Gurnee Hunt Club Rd Suite 304
1445 Hunt Club RdGurneeIL60031Patient Care - Out Patient
AMG-Hazel Crest W 177th street
3330 W 177th StreetHazel CrestIL60429Patient Care - Out Patient
AMG-Hazel Crest S Kedzie (SANE)
17680 S KedzieHazel CrestIL60429Patient Care - Out Patient
AMG-Hazel Crest S Kedzie (SHAH)
17680 S KedzieHazel CrestIL60429Patient Care - Out Patient
AMG-Hazel Crest SSUB EMP Hlth
17850 S KedzieHazel CrestIL60429Patient Care - Out Patient
AMG-Hazel Crest SSUB Suite 2100
17850 S KedzieHazel CrestIL60429Patient Care - Out Patient
AMG-Hazel Crest SSUB Suite 2300
17850 S KedzieHazel CrestIL60429Patient Care - Out Patient
AMG-Hazel Crest SSUB Suite 3100 3500
17850 S KedzieHazel CrestIL60429Patient Care - Out Patient
AMG-Lake Zurich Suite 110
350 Surryse Road STE 110Lake ZurichIL60047Patient Care - Out Patient
AMG-Libertyville 755 S Milwaukee
755 S Milwaukee AveLibertyvilleIL60048Patient Care - Out Patient
AMG-Libertyville Garfield suite 200
890 GarfieldLibertyvilleIL60048Patient Care - Out Patient
AMG-Libertyville Garfield suite 202
890 GarfieldLibertyvilleIL60048Patient Care - Out Patient
AMG-McHenry
633 Ridgeview DriveMcHenryIL60050Patient Care - Out Patient
AMG-Niles Caldwell
7255 N CaldwellNilesIL60714Patient Care - Out Patient
AMG-Niles Milwaukee
7900 Milwaukee AveNilesIL60714Patient Care - Out Patient
AMG-Normal Behavioral Health
403 W Virginia AveNormalIL61761Patient Care - Out Patient
AMG-Normal Billing Office
1304 Franklin AveNormalIL61761Patient Care - Out Patient
AMG-Normal Ednocrinology
1302 Franklin AveNormalIL61761Patient Care - Out Patient
AMG-Normal ENY Surgical Associates
207 LandmarkNormalIL61761Patient Care - Out Patient
AMG-Normal General & Colorectal Surgery
1300 Franklin AveNormalIL61761Patient Care - Out Patient
AMG-Normal Ill Heart and Lung Cardiology
1302 Franklin AveNormalIL61761Patient Care - Out Patient
AMG-Normal Ill Heart & Lung Pulmonology
1302 Franklin AveNormalIL61761Patient Care - Out Patient
AMG-Normal Neurology
1300 Franklin AveNormalIL61761Patient Care - Out Patient
AMG-Normal Pediatrics
1302 Franklin AveNormalIL61761Patient Care - Out Patient
AMG-Normal Primary Care & Immediate Care
1302 Franklin AveNormalIL61761Patient Care - Out Patient
AMG-Orland Square Orland Drive
29 Orland Park DriveOrland ParkIL60467Patient Care - Out Patient
AMG-Park Ride Yacktman
1675 DempsterPark RidgeIL60068Patient Care - Out Patient
AMG-Park Ridge Adult Down Sydrome
1610 Luther LanePark RidgeIL60068Patient Care - Out Patient
AMG-Park Ridge CAC GynOnc Oncology
1700 Luther LanePark RidgeIL60068Patient Care - Out Patient
AMG-Park Ridge Cardio Vascular
1700 Luther LanePark RidgeIL60068Patient Care - Out Patient
AMG-Park Ridge LGH Sleep CTR
1775 DempsterPark RidgeIL60068Patient Care - Out Patient
AMG-Park Ridge Nesset
1775 Ballard RdPark RidgeIL60068Patient Care - Out Patient
AMG-Park Ridge Parkside suite 270
1875 W DempsterPark RidgeIL60068Patient Care - Out Patient
AMG-Park Ridge Parkside Suite 285
1875 W DempsterPark RidgeIL60068Patient Care - Out Patient
AMG-Park Ridge Parkside Suite 310
1875 W DempsterPark RidgeIL60068Patient Care - Out Patient
AMG-Park Ridge Parkside Suite 325
1875 W DempsterPark RidgeIL60068Patient Care - Out Patient
AMG-Park Ridge Parkside Suite 340
1875 WDempsterPark RidgeIL60068Patient Care - Out Patient
AMG-Park Ridge Parkside Suite 360
1875 W DempsterPark RidgeIL60068Patient Care - Out Patient
AMG-Park Ridge Parkside Suite 470
1875 W DempsterPark RidgeIL60068Patient Care - Out Patient
AMG-Park Ridge Parkside Suite 490
1875 W DempsterPark RidgeIL60068Patient Care - Out Patient
AMG-Park Ridge Parkside Suite 520
1875 W DempsterPark RidgeIL60068Patient Care - Out Patient
AMG-Park Ridge Parkside Suite 550
1875 W DempsterPark RidgeIL60068Patient Care - Out Patient
AMG-Park Ridge Parkside suite 555-556
1875 W DempsterPark RidgeIL60068Patient Care - Out Patient
AMG-Park Ridge Parkside Suite 640
1875 W DempsterPark RidgeIL60068Patient Care - Out Patient
AMG-Park Ridge Renaissance Drive
1480 Renaissance DrivePark RidgeIL60068Patient Care - Out Patient
AMG-Park Ridge Yacktman OB
1675 DempsterPark RidgeIL60068Patient Care - Out Patient
AMG-Plainfeild
24600 W 127th Street Bld BPlainfieldIL60544Patient Care - Out Patient
AMG-Pontiac Illinois Heart and Lung
1508 W ReynoldsPontiacIL61764Patient Care - Out Patient
AMG-Riverside
7234 W Ogden AveRiversideIL60546Patient Care - Out Patient
AMG-Roanoke
415 W FrontRoanokeIL61561Patient Care - Out Patient
AMG-South Elgin
2000 McDonald RoadSouth ElginIL60177Patient Care - Out Patient
AMG-South Elgin
2000 McDonald RoadSouth ElginIL60177Patient Care - Out Patient
AMG-South Holland
100 W 162nd StreetSouth HollandIL60473Patient Care - Out Patient
AMG-Tinley Park - CMC 8th ave suite E
16750 S 80th AveTinley ParkIL60477Patient Care - Out Patient
AMG-Tinley Park High Tech
18210 S LaGrange AveTinley ParkIL60477Patient Care - Out Patient
AMG-Tinley Park La Grange Ave Suite 105
18210 S LaGrange AveTinley ParkIL60477Patient Care - Out Patient
AMG-Tinley Park La Grange Ave Suite 200
18210 S LaGrange AveTinley ParkIL60477Patient Care - Out Patient
AMG-Tinley Park La Grange Ave Suite 209
18210 S LaGrange AveTinley ParkIL60477Patient Care - Out Patient
AMG-Tinley Park Sleep CTR
16532 Oak Park AveTinley ParkIL60477Patient Care - Out Patient
AMG-Vernon Hills OB
565 Lakeview DriveVernon HillsIL60061Patient Care - Out Patient
AMG-Wrigley Field
1060 W AddisonChicagoIL60613Patient Care - Out Patient
AMG-Peterson
4801 W Peterson 506ChicagoIL60646Patient Care - Out Patient
AHHC-Family Care Network
440 QUADRANGLE DRIVE STE KBolingbrookIL60440Patient Care - Out Patient
AMG-East Dundee
151 E Dundee Avenue STE CEast DundeeIL60098Patient Care - Out Patient
BROMENN
1609 Northtown Rd Unit 8NormalIL61761Patient Care - Out Patient
AMG-Niles
7900 N Milwaukee Ave Ste 2-34NilesIL60714Patient Care - Out Patient
AMG-Niles
7900 N Milwaukee Ave Ste 16NilesIL60714Patient Care - Out Patient
BROMENN
1111 Trinity Lane Unit EBloomingtonIL61704Patient Care - Out Patient
AMG-Bartlett
1050 Norwood LnBartlettIL60103Patient Care - Out Patient
AMG-Oak Lawn
4400 W 95th St Ste 106Oak LawnIL60453Patient Care - Out Patient
AMG-Chicago
1273 Milwaukee AveChicagoIL60622Patient Care - Out Patient
AMG-Martin Luther King
2535 S Martin Luther King DrChicagoIL60616Patient Care - Out Patient
AMG-Libertyville Ambulatory Building
825 S Milwaukee AveLibertyvilleIL60048Patient Care - Out Patient

Supplemental Information Detail SupplementalInformationDetail (13 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
1. REQUIRED DESCRIPTIONSPART VI, LINE 1 - DESCRIPTION FOR PART I, LINE 3C N/A PART VI, LINE 1 - DESCRIPTION FOR 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 VI, LINE 1 - DESCRIPTION FOR PART I, LINE 7 A COST-TO-CHARGE RATIO, DERIVED FROM SCHEDULE H INSTRUCTIONS WORKSHEET 2, RATIO OF PATIENT CARE COST-TO-CHARGES, WAS USED TO CALCULATE THE AMOUNTS REPORTED IN THE TABLE FOR PART I, LINE 7A. SCHEDULE H INSTRUCTIONS WORKSHEET 3, UNREIMBURSED MEDICAID AND OTHER MEANS-TESTED GOVERNMENT PROGRAMS, WAS USED TO CALCULATE THE AMOUNTS REPORTED IN THE TABLE FOR PART I, LINE 7B. A COST ACCOUNTING SYSTEM WAS USED TO DETERMINE THE AMOUNTS REPORTED IN THE TABLE FOR PART I, LINES 7E, 7F, 7G, AND 7I. PART VI, LINE 1 - DESCRIPTION FOR PART I, 7E ADVOCATE HEALTH & HOSPITALS CORPORATION PROVIDES COMMUNITY HEALTH IMPROVEMENT SERVICES TO THE COMMUNITIES IN WHICH IT SERVES. AHHC PROVIDES LANGUAGE SERVICES TO ALL THOSE IN NEED IN ORDER TO PROVIDE BETTER ACCESS TO CARE FOR ALL COMMUNITY MEMBERS. IN ADDITION, OTHER PROGRAMS ARE CARRIED OUT WITH THE EXPRESS PURPOSE OF IMPROVING COMMUNITY HEALTH, ACCESS TO HEALTH SERVICES AND GENERAL HEALTH KNOWLEDGE. THESE SERVICES DO NOT GENERATE PATIENT BILLS, HOWEVER, CERTAIN PROGRAMS OR SERVICES MAY HAVE NOMINAL FEES. THESE SERVICES AND PROGRAMS INCLUDE SENIOR BREAKFAST CLUBS WHICH INCLUDE EDUCATIONAL SPEAKERS FOCUSING ON HEALTH AND WELLNESS AND INCLUDE BLOOD PRESSURE SCREENINGS; CANCER SUPPORT GROUPS FOR VARIOUS TYPES OF CANCER INCLUDING, PROSTATE, BREAST AND SKIN CANCERS. THESE GROUPS FOCUS ON EDUCATING THE NEWLY DIAGNOSED AND PROVIDING INFORMATION ON BETTER LIVING FOR SURVIVORS. SKIN CANCER SCREENINGS ARE ALSO PROVIDED; VARIOUS PROGRAMS REGARDING JOINT PAIN AND REPLACEMENT INCLUDING TREATMENT OPTIONS AND INFORMATION ON PAIN RELIEF; VARIOUS WOMEN AND BABY, BREASTFEEDING, MULTIPLES AND CHILDBIRTH CLASSES; VARIOUS EDUCATIONAL PROGRAMS AND SUPPORT GROUPS TO RAISE AWARENESS OF HEART DISEASE RISK FACTORS AND TREATMENT OPTIONS AND EDUCATION FOR LIVING WITH THE DISEASE; THERE ARE VARIOUS PROGRAMS REGARDING HEALTHY EATING AND THE RISKS OF BEING OVERWEIGHT FOR BOTH ADULTS AND ADOLESCENTS. THESE PROGRAMS INCLUDE SCREENING, EDUCATION AND OPTIONS FOR DEALING WITH THE ISSUE; PROGRAMS RELATED TO SPORTS MEDICINE AND ATHLETIC TRAINING AND INJURIES ARE ALSO OFFERED; CPR TRAINING IS OFFERED TO THE COMMUNITY AS WELL AS VARIOUS OTHER WELLNESS AND SCREENING PROGRAMS AND HEALTH FAIRS ARE OFFERED THROUGHOUT THE YEAR. CAREER COUNSELING, MENTORING AND JOB SHADOWING ARE ALSO OFFERED TO STUDENTS WHO EXPLORE CAREER POSSIBILITIES IN HEALTH CARE. CERTAIN PROGRAMS ARE GEARED TO LOW INCOME AND DIVERSE STUDENT POPULATIONS. PART VI, LINE 1 - DESCRIPTION FOR PART I, LINE 7G ADVOCATE HEALTH & HOSPITALS CORPORATION PROVIDES SUBSIDIZED HEALTH SERVICES TO THE COMMUNITY. THESE SERVICES ARE PROVIDED DESPITE CREATING A FINANCIAL LOSS FOR AHHC. THESE SERVICES ARE PROVIDED BECAUSE THEY MEET AN IDENTIFIED COMMUNITY NEED. IF AHHC DID NOT PROVIDE THE CLINICAL SERVICE, IT IS REASONABLE TO CONCLUDE THAT THESE SERVICES WOULD NOT BE AVAILABLE TO THE COMMUNITY. THE SERVICES INCLUDED ARE BOTH INPATIENT AND OUTPATIENT PROGRAMS FOR AIDS/HIV, TRAUMA, EMERGENCY, GERIATRICS, INFECTIOUS DISEASE, NEONATOLOGY, OB/NEWBORN, ORTHOPEDIC AND HOSPICE SERVICES. PART VI, LINE 1 - DESCRIPTION FOR PART I, LINE 7H AHHC CONDUCTS NUMEROUS RESEARCH ACTIVITIES FOR THE ADVANCEMENT OF MEDICAL AND HEALTH CARE SERVICES. HOWEVER, THE UNREIMBURSED COST OF SUCH RESEARCH ACTIVITIES IS NOT READILY DETERMINABLE AND NO AMOUNT IS BEING REPORTED FOR PURPOSES OF THE 2017 FORM 990, SCHEDULE H. PART VI, LINE 1 - DESCRIPTION FOR PART I, LINE 7, COLUMN (F) $149,300,541 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 VI, LINE 1 - DESCRIPTION FOR PART II N/A PART VI, LINE 1 - DESCRIPTION FOR PART III, LINES 2, 3, AND 4 THE FOOTNOTES TO ADVOCATE HEALTH CARE NETWORK AND SUBSIDIARIES' AUDITED FINANCIAL STATEMENTS DO NOT SPECIFICALLY ADDRESS BAD DEBT EXPENSE; RATHER, THE FOOTNOTE DESCRIBES ADVOCATE'S PATIENT ACCOUNTS RECEIVABLE POLICY AND THE PERCENTAGE OF ACCOUNTS RECEIVABLE THAT THE ALLOWANCE FOR DOUBTFUL ACCOUNTS COVERS (SEE PAGE 11 OF THE AUDITED FINANCIAL STATEMENTS). FOR 2017, FOR AHHC, THE ALLOWANCE FOR DOUBTFUL ACCOUNTS COVERED 19.21% OF NET PATIENT ACCOUNTS RECEIVABLE. PATIENT ACCOUNTS RECEIVABLE ARE STATED AT NET REALIZABLE VALUE. AHHC EVALUATES THE COLLECTABILITY OF ITS ACCOUNTS RECEIVABLE BASED ON THE LENGTH OF TIME THE RECEIVABLE IS OUTSTANDING, PAYER CLASS, HISTORICAL COLLECTION EXPERIENCE, AND TRENDS IN HEALTH CARE INSURANCE PROGRAMS. ACCOUNTS RECEIVABLE ARE CHARGED TO THE ALLOWANCE FOR UNCOLLECTIBLE ACCOUNTS WHEN THEY ARE DEEMED UNCOLLECTIBLE. THE COSTING METHODOLOGY USED IN DETERMINING THE AMOUNTS REPORTED ON LINES 2 AND 3 IS BASED ON THE RATIO OF PATIENT CARE COST TO CHARGES. THE UNREIMBURSED COST OF BAD DEBT WAS CALCULATED BY APPLYING THE ORGANIZATION'S COST TO CHARGE RATIO FROM THE MEDICARE COST REPORTS (CMS 2252-96 WORKSHEET C, PART 1, PPS INPATIENT RATIOS) TO THE ORGANIZATION'S BAD DEBT PROVISION PER GENERALLY ACCEPTED ACCOUNTING PRINCIPLES, LESS ANY PATIENT OR THIRD PARTY PAYOR PAYMENTS RECEIVED. ADVOCATE MAKES EVERY EFFORT TO IDENTIFY THOSE PATIENTS WHO ARE ELIGIBLE FOR FINANCIAL ASSISTANCE BY STRICTLY ADHERING TO ITS FINANCIAL ASSISTANCE POLICY. WE BELIEVE THAT ADVOCATE HAS A POPULATION OF PATIENTS WHO ARE UNINSURED OR UNDERINSURED BUT WHO DO NOT COMPLETE THE FINANCIAL ASSISTANCE APPLICATION. THE ESTIMATED AMOUNT OF BAD DEBT EXPENSE (AT COST) WHICH COULD BE REASONABLY ATTRIBUTABLE TO PATIENTS WHO WOULD LIKELY QUALIFY FOR FINANCIAL ASSISTANCE UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE POLICY, IF SUFFICIENT INFORMATION HAD BEEN AVAILABLE TO MAKE A DETERMINATION OF THEIR ELIGIBILITY, WAS BASED UPON SELF PAY PATIENT ACCOUNTS WHICH HAD AMOUNTS WRITTEN OFF TO BAD DEBTS. OUR METHOD WAS TO BEGIN WITH THE SELF-PAY PORTION OF BAD DEBT EXPENSE PROVISION. THE SELF-PAY PORTION EXCLUDES THOSE PATIENTS WHO HAD FINANCIAL ASSISTANCE APPLICATIONS PENDING AT THE TIME OF SERVICE. THIS COST WAS THEN REDUCED BY CHARGES IDENTIFIED AS TRUE BAD DEBT EXPENSE, INCLUDING COPAYS FOR PATIENTS WHO QUALIFIED FOR LESS THAN 100% FINANCIAL ASSISTANCE. THE COST TO CHARGE RATIO WAS THEN APPLIED TO THE REMAINING CHARGES, TO DETERMINE THE VALUE (AT COST) OF PATIENT ACCOUNTS THAT DID NOT COMPLETE FINANCIAL COUNSELING AND WERE ASSIGNED TO BAD DEBT. WE BELIEVE THIS PROCESS IS A REASONABLE BASIS FOR OUR ESTIMATE. AS WE ARE ONLY CONSIDERING SELF-PAY ACCOUNTS WRITTEN OFF TO BAD DEBT FOR THIS ESTIMATE, THIS ESTIMATE DOES NOT INCLUDE THE IMMEDIATE 20% DISCOUNT TO CHARGES WHICH IS APPLIED TO ALL SELF-PAY PATIENTS. IT ALSO DOES NOT INCLUDE ACCOUNT BALANCES OR CO-PAYS OF NON-SELF PAY ACCOUNTS WHICH ARE WRITTEN OFF TO BAD DEBT WHEN THE PATIENT HAS NO OTHER FINANCIAL RESOURCES TO PAY THESE AMOUNTS AND THE PATIENT DOES NOT APPLY FOR FINANCIAL ASSISTANCE. BAD DEBT AMOUNTS HAVE BEEN EXCLUDED FROM OTHER COMMUNITY BENEFIT AMOUNTS REPORTED THROUGHOUT SCHEDULE H. PART VI, LINE 1 - DESCRIPTION FOR PART III, LINE 8 THE SHORTFALL OF $175,306,322 ON PART III, LINE 7 IS THE UNREIMBURSED COST OF PROVIDING SERVICES FOR MEDICARE PATIENTS AND SHOULD BE TREATED AS COMMUNITY BENEFIT BECAUSE PROVIDING THESE SERVICES WITHOUT REIMBURSEMENT LESSENS THE BURDENS OF GOVERNMENT OR OTHER CHARITIES THAT WOULD OTHERWISE BE NEEDED TO SERVE THE COMMUNITY. FOR ADVOCATE HEALTH AND HOSPITALS CORPORATION'S OPERATIONS, THE UNREIMBURSED COST OF MEDICARE WAS CALCULATED BY APPLYING THE ORGANIZATION'S COST TO CHARGE RATIO FROM THE MEDICARE COST REPORTS (CMS 2252-96 WORKSHEET C, PART 1, PPS INPATIENT RATIOS) AND FOR NON-HOSPITAL OPERATIONS THE COST TO CHARGE RATIO CALCULATED ON WORKSHEET 2 RATIO OF PATIENT CARE COST TO CHARGES TO THE ORGANIZATION'S MEDICARE, LESS ANY PATIENT OR THIRD PARTY PAYOR PAYMENTS AND/OR CONTRIBUTIONS RECEIVED THAT WERE DESIGNATED FOR THE PAYMENT OF MEDICARE PATIENT BILLS. PART VI, LINE 1 - DESCRIPTION FOR PART III, LINE 9B ADVOCATE HEALTH AND HOSPITALS CORPORATION MAINTAINS BOTH WRITTEN FINANCIAL ASSISTANCE AND BAD DEBT/COLLECTION POLICIES. THE BAD DEBT/COLLECTION POLICY DOES NOT APPLY TO THOSE PATIENTS KNOWN TO QUALIFY FOR FINANCIAL ASSISTANCE; THEREFORE SUCH PATIENTS ARE NOT SUBJECT TO COLLECTION PRACTICES.
PART VI, LINE 2. NEEDS ASSESSMENTADVOCATE CHRIST MEDICAL CENTER ADVOCATE CHILDRENS HOSPITAL WORKS CLOSELY WITH LOCAL PARTNER SCHOOL DISTRICTS, SCHOOL NURSES, THE HOSPITALS FAMILY ADVISORY COUNCIL, THE PARTNERSHIP FOR RESILIENCE, HEALTHY SCHOOLS CAMPAIGN AND THE CHICAGO PUBLIC SCHOOLS OFFICE OF STUDENT WELLNESS TO IDENTIFY HEALTH ISSUES AFFECTING CHILDREN. ADVOCATE LUTHERAN GENERAL HOSPITAL LUTHERAN GENERAL HOSPITAL AND ADVOCATE CHILDRENS HOSPITAL ASSESS THE NEEDS OF THEIR COMMUNITIES IN MULTIPLE WAYS RANGING FROM PATIENT ROUNDING AND CAREGIVER INTERACTIONS, TO LEADERSHIP PARTICIPATION IN COMMUNITY ORGANIZATIONS. LUTHERAN GENERAL HOSPITAL ALSO COLLECTED PRIMARY DATA FROM THE FOLLOWING TO ASSESS COMMUNITY NEEDS: THE HEALTHIER PARK RIDGE SURVEY AND PROJECT (2013), THE HEALTHIER NILES SURVEY AND PROJECT (2014), AND THE HEALTHIER DES PLAINES AREA SURVEY AND PROJECT (2015-2016). THE KOREAN COMMUNITY ASSESSMENT, DESCRIBED EARLIER IN THE DOCUMENT, WAS AN ADDITIONAL WAY OF ASSESSING THE NEEDS OF THE KOREAN COMMUNITY. ADVOCATE CHILDRENS HOSPITAL WORKS CLOSELY WITH LOCAL SCHOOL DISTRICTS, SCHOOL NURSES, THE HOSPITALS FAMILY ADVISORY COUNCIL, THE PARTNERSHIP FOR RESILIENCE, THE HEALTHY SCHOOLS CAMPAIGN AND THE CHICAGO PUBLIC SCHOOLS OFFICE OF STUDENT WELLNESS TO IDENTIFY HEALTH ISSUES AFFECTING CHILDREN. HEALTHIER DES PLAINES AREA SURVEY AND PROJECT LUTHERAN GENERAL HOSPITAL LED HEALTHIER DES PLAINES AREA SURVEY AND PROJECT, MENTIONED ABOVE, IN 2015 AND IN 2016. THE COALITION WAS COMPRISED OF OVER 30 ORGANIZATIONS INCLUDING REPRESENTATIVES FROM LOCAL GOVERNMENT, POLICE/FIRE/PARAMEDICS, COMMUNITY-BASED AGENCIES, FAITH COMMUNITIES AND SCHOOLS. IN 2016, THE SURVEY WAS DISTRIBUTED TO 7,000 RANDOMIZED HOUSEHOLDS WITH 500 SURVEYS RETURNED. THE RESULTS WERE PRESENTED TO THE COMMUNITY THROUGH VARIOUS PRESENTATIONS TO COMMUNITY LEADERS AND ORGANIZATIONS, WITH THE MAYOR AND CITY COUNCIL INCLUDED. HEALTH IMPACT COLLABORATIVE OF COOK COUNTY (HICCC) SURVEYS AS PART OF THE HICCC CHNA, THE COLLABORATIVE COLLECTED APPROXIMATELY 5,200 RESIDENT SURVEYS, WHICH REFLECTED THE DIVERSITY OF COOK COUNTY. THE NORTH REGION HAD 1,700 SURVEYS RETURNED. OF THESE, 19 PERCENT IDENTIFIED AS HISPANIC/LATINO, THE SAME PERCENTAGE OF HISPANIC/LATINO IN LUTHERAN GENERAL HOSPITALS PRIMARY SERVICE AREA, MAKING THIS POPULATION THE HOSPITALS MOST DIVERSE. APPROXIMATELY EIGHT PERCENT OF THE NORTH REGION SURVEY RESPONDENTS IDENTIFIED AS POLISH AND SIX PERCENT AS KOREAN. HICCC ALSO CONDUCTED EIGHT FOCUS GROUPS IN THE NORTH REGION FOR CHNA INPUT FROM FALL 2015 THROUGH SPRING 2016. THE COLLABORATIVE ENSURED THAT THE FOCUS GROUPS INCLUDED POPULATIONS WHO ARE TYPICALLY UNDER-REPRESENTED IN COMMUNITY HEALTH NEEDS ASSESSMENTS. SOME EXAMPLES OF THE POPULATIONS INCLUDED ARE RACIAL AND ETHNIC MINORITIES, IMMIGRANTS, THE LGBQIA AND TRANSGENDER COMMUNITY, FORMERLY INCARCERATED INDIVIDUALS, VETERANS AND SENIORS. ADVOCATE GOOD SAMARITAN HOSPITAL GOOD SAMARITAN HOSPITAL HAS BEEN ACTIVELY ENGAGED IN THE IMPACT DUPAGE STEERING COMMITTEE, WHICH IDENTIFIES AND ADDRESSES THE COUNTYS HEALTH NEEDS THROUGH VARIOUS PARTNERSHIPS AND PROGRAMS. IMPACT DUPAGES TARGET COMMUNITIES OVERLAP WITH THE HOSPITALS PRIMARY SERVICE AREA, THEREFORE THE HEALTH NEEDS AND PRIORITIES ADDRESSED THROUGH IMPACT DUPAGE ALSO ADDRESS SOME OF THE HEALTH NEEDS OUTLINED IN THE HOSPITALS 2013-2016 CHNA. GOOD SAMARITAN HOSPITAL ALSO CONTINUES TO PARTICIPATE IN THE FIGHTING OBESITY REACHING A HEALTHY WEIGHT AMONG RESIDENTS OF DUPAGE (FORWARD) COALITION, WHICH ADDRESSES OBESITY AND HEALTHY LIFESTYLES AMONG RESIDENTS LIVING IN DUPAGE COUNTY. THE HOSPITAL IS A MEMBER OF FORWARDS HEALTHY HOSPITAL COALITION, WHICH IS A GROUP OF DUPAGE COUNTY HOSPITALS WORKING TO IMPROVE THE HEALTH AND WELLNESS OF EMPLOYEES, PATIENTS AND THEIR FAMILIES THROUGH CREATING A HEALTHY HOSPITAL ENVIRONMENT. IN 2016, THE HOSPITAL COMPLETED A CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC) WORKSITE WELLNESS ASSESSMENT, WHICH SUPPORTED THE DEVELOPMENT OF THE HOSPITALS SODIUM REDUCTION ACTION PLAN. TO SUPPORT THE IMPLEMENTATION OF STRATEGIES, THE HOSPITAL WAS AWARDED A SODIUM REDUCTION MINI GRANT BY THE DUPAGE COUNTY HEALTH DEPARTMENT AND FORWARD. WITH GREAT TEAM EFFORT, THE GOOD SAMARITAN HOSPITAL BETTER FOR US COMMITTEE (THE HOSPITALS WORKSITE WELLNESS COMMITTEE) AND SODIUM REDUCTION SUB-COMMITTEE WERE ABLE TO SUCCESSFULLY IMPLEMENT ALL OF THE SODIUM REDUCTION ACTION PLAN STRATEGIES. AFFORDABLE HOUSING WAS IDENTIFIED AS A NEED FOR DUPAGE COUNTY BY THE IMPACT DUPAGE STEERING COMMITTEE. HOUSING CAN HAVE A MAJOR IMPACT ON HEALTH AND IS CONSIDERED A SOCIAL DETERMINANT OF HEALTH. THE HOSPITALS COMMUNITY HEALTH MANAGER IS A MEMBER OF THE IMPACT DUPAGE AFFORDABLE HOUSING SUBCOMMITTEE AND HAS BEEN VERY ENGAGED IN THE ASSESSMENT AND PLAN DEVELOPMENT PROCESS. AS A PART OF THE ASSESSMENT AND PLANNING PROCESS, THE SUBCOMMITTEE WORKED WITH THE CHICAGO METROPOLITAN AGENCY FOR PLANNING TO COMPLETE THE DUPAGE COUNTY AFFORDABLE HOUSING ASSESSMENT AND PLAN. THE HOSPITAL RECOGNIZES THE IMPORTANCE AND IMPACT OF SOCIAL DETERMINANTS OF HEALTH AND WILL CONTINUE TO PARTICIPATE AND BE ENGAGED IN THE DEVELOPMENT AND IMPLEMENTATION OF THE AFFORDABLE HOUSING PLAN. ADVOCATE GOOD SHEPHERD HOSPITAL IN ADDITION TO THE FORMAL SURVEYS CONDUCTED FOR THE ASSESSMENT, THE HOSPITAL PARTNERS WITH LOCAL COMMUNITY GROUPS AND CONGREGATIONS TO HELP ASSESS NEEDS AND PROVIDE RESOURCES TO IMPROVE THE HEALTH STATUS OF INDIVIDUALS WITHIN THESE GROUPS. THE MISSION AND SPIRITUAL CARE TEAM AT THE HOSPITAL WORK CLOSELY WITH SEVERAL COMMUNITY CONGREGATIONS TO SURVEY AND RESPOND TO SPECIFIC NEEDS IDENTIFIED THROUGH THIS PROCESS. SOME CONGREGATIONS HAVE ASKED FOR TARGETED EDUCATION ON NUTRITION, MENTAL HEALTH, END OF LIFE ISSUES, AND DIABETES MANAGEMENT. THE HOSPITAL WORKS WITH THESE CONGREGATIONS AND OTHER COMMUNITY GROUPS TO COORDINATE SERVICES TO CLIENTS. THE HOSPITAL ALSO ACTS AS A CATALYST BY PROVIDING LEADERSHIP AND RESOURCES TO COMMUNITY COALITIONS TO HELP ADDRESS ISSUES THAT MAY SURFACE. ADVOCATE SOUTH SUBURBAN HOSPITAL HEALTH IMPACT COLLABORATIVE OF COOK COUNTY (NOW NAMED THE ALLIANCE FOR HEALTH EQUITY) SOUTH SUBURBAN HOSPITAL IS A MEMBER OF THE HEALTH IMPACT COLLABORATIVE OF COOK COUNTY (HICCC). HICCC IS A PARTNERSHIP OF HOSPITALS, HEALTH DEPARTMENTS AND COMMUNITY ORGANIZATIONS WORKING TO ASSESS COMMUNITY HEALTH NEEDS AND ASSETS, AND TO IMPLEMENT A SHARED PLAN TO MAXIMIZE HEALTH EQUITY AND WELLNESS IN CHICAGO AND COOK COUNTY. THIS COLLABORATIVE WAS DEVELOPED SO THAT PARTICIPATING ORGANIZATIONS COULD EFFICIENTLY SHARE RESOURCES AND WORK TOGETHER ON DATA COLLECTION, PRIORITY SETTING AND IMPLEMENTATION PLANNING. COOK COUNTY WAS DIVIDED INTO NORTH, CENTRAL AND SOUTH REGIONS TO ENABLE THE INVOLVEMENT OF OTHER LOCAL STAKEHOLDERS AND IDENTIFY THE LOCAL NEEDS OF THIS DIVERSE COUNTY. SOUTH SUBURBAN HOSPITAL PARTICIPATED IN THE HICCC SOUTH REGION ASSESSMENT. THE METHODOLOGY FOR THE CHNA HAD THREE COMPONENTS: 1) THE MAPP PROCESS USED BY THE HEALTH IMPACT COLLABORATIVE OF COOK COUNTY (2/2015-6/2016); 2) USE OF THE HEALTHY COMMUNITIES INSTITUTE (HCI) PLATFORM TO REVIEW COUNTY, SERVICE AREA AND ZIP CODE DATA (3/2014-8/2016); AND 3) REVIEW OF OTHER AVAILABLE NATIONAL AND LOCAL DATA (1/2016-8/2016). MAPP PROCESS THE HEALTH IMPACT COLLABORATIVE OF COOK COUNTY (HICCC) CONDUCTED A COLLABORATIVE CHNA BETWEEN FEBRUARY 2015 AND JUNE 2016. THE ILLINOIS PUBLIC HEALTH INSTITUTE (IPHI) DESIGNED AND FACILITATED A COLLABORATIVE, COMMUNITY-ENGAGED ASSESSMENT BASED ON THE MOBILIZING FOR ACTION THROUGH PLANNING AND PARTNERSHIPS (MAPP) FRAMEWORK. MAPP IS A COMMUNITY-DRIVEN STRATEGIC PLANNING FRAMEWORK THAT WAS DEVELOPED BY THE NATIONAL ASSOCIATION FOR COUNTY AND CITY HEALTH OFFICIALS (NACCHO) AND THE CENTERS FOR DISEASE CONTROL AND PREVENTION (CDC). BOTH THE CHICAGO AND COOK COUNTY DEPARTMENTS OF PUBLIC HEALTH USE THE MAPP FRAMEWORK FOR COMMUNITY HEALTH ASSESSMENT AND PLANNING. THE MAPP FRAMEWORK PROMOTES A SYSTEM FOCUS, EMPHASIZING THE IMPORTANCE OF COMMUNITY ENGAGEMENT, PARTNERSHIP DEVELOPMENT AND THE DYNAMIC INTERPLAY OF FACTORS AND FORCES WITHIN THE PUBLIC HEALTH SYSTEM. THE HEALTH IMPACT COLLABORATIVE OF COOK COUNTY CHOSE THIS INCLUSIVE, COMMUNITY-DRIVEN PROCESS SO THAT THE ASSESSMENT AND IDENTIFICATION OF PRIORITY HEALTH ISSUES WOULD BE INFORMED BY THE DIRECT PARTICIPATION OF STAKEHOLDERS AND COMMUNITY RESIDENTS. THE MAPP FRAMEWORK EMPHASIZES PARTNERSHIPS AND COLLABORATION TO UNDERSCORE THE CRITICAL IMPORTANCE OF SHARED RESOURCES AND RESPONSIBILITY TO MAKE THE VISION FOR A HEALTHY FUTURE A REALITY. HICCC USED THE COUNTY HEALTH RANKINGS MODEL TO GUIDE THE SELECTION OF ASSESSMENT INDICATORS. IPHI WORKED WITH THE HEALTH DEPARTMENTS, HOSPITALS, AND COMMUNITY STAKEHOLDERS TO IDENTIFY AVAILABLE DATA RELATED TO HEALTH OUTCOMES, HEALTH BEHAVIORS, CLINICAL CARE, PHYSICAL ENVIRONMENT, AND SOCIAL AND ECONOMIC FACTORS. THE COLLABORATIVE DECIDED TO ADD MENTAL HEALTH AS AN ADDITIONAL CATEGORY OF DATA INDICATORS. AS PART OF CONTINUING EFFORTS TO ALIGN AND INTEGRATE COMMUNITY HEALTH ASS
PART VI, LINE 4. COMMUNITY INFORMATIONDEFINITION OF COMMUNITY ADVOCATE CHRIST MEDICAL CENTER LOCATED IN OAK LAWN, ILLINOIS, CHRIST MEDICAL CENTER SERVES AN AREA THAT LIES PRIMARILY WITHIN COOK COUNTY AND THE CHICAGO CITY LIMITS. IN ADDITION TO PARTICIPATING IN THE HEALTH IMPACT COLLABORATIVE OF COOK COUNTY SOUTH REGION CHNA, CHRIST MEDICAL CENTER CONDUCTED A COMMUNITY HEALTH NEEDS ASSESSMENT TARGETING ITS DEFINED COMMUNITY - THE HOSPITALS PRIMARY SERVICE AREA (PSA). THIS AREA INCLUDES APPROXIMATELY 947,915 INDIVIDUALS WITHIN 27 ZIP CODES IN CHICAGO AND SUBURBAN COOK COUNTY. THE DIVERSE POPULATION SERVED IS 59% WHITE, 23% AFRICAN-AMERICAN, 2% ASIAN AND 13% OTHER. BY ETHNICITY, THE PSA IS 29.4% HISPANIC. NEARLY 17% OF THE PSA POPULATION OVER THE AGE OF 25 DOES NOT HAVE A HIGH SCHOOL DIPLOMA AS COMPARED TO 12% FOR ILLINOIS, WHILE ALMOST 13% OF ALL FAMILIES LIVE BELOW THE FEDERAL POVERTY LEVEL COMPARED TO 11% FOR ILLINOIS. THE MEDIAN AGE FOR THE PSA IS 37.56 YEARS. CHRIST MEDICAL CENTER HAS FOUR ZIP CODES IN ITS PRIMARY SERVICE AREA WITH A RANKING OF FIVE FOR THE SOCIONEEDS INDEX - ALL WITHIN CHICAGO - WHICH REPRESENT THE AREAS WITH THE HIGHEST SOCIOECONOMIC NEEDS: WEST ENGLEWOOD (99.2), BRIGHTON PARK (96.3), CHICAGO LAWN (97.6), AND AUBURN GRESHAM (95.3). THE INDEX VALUES EACH OF THESE ZIP CODES ARE OVER 90/100, THUS REPRESENTING SOME OF THE HIGHEST AREAS OF NEED IN THE COUNTRY. ADVOCATE CHILDRENS HOSPITAL, WHICH IS INTEGRATED AS PART OF ADVOCATE CHRIST HOSPITAL IN OAK LAWN AND ADVOCATE LUTHERAN GENERAL HOSPITAL IN PARK RIDGE, HAS A TOTAL SERVICE AREA (TSA) THAT INCLUDES COMMUNITIES SERVED BY CHRIST MEDICAL CENTER, AS WELL AS GEOGRAPHIC AREAS OR COMMUNITIES SERVED BY ADVOCATE TRINITY HOSPITAL ON CHICAGOS SOUTH AND SOUTHEAST SIDES, ADVOCATE SOUTH SUBURBAN HOSPITAL IN CHICAGOS SOUTH SUBURBS, AND ADVOCATE GOOD SAMARITAN HOSPITAL IN THE WEST AND SOUTHWEST SUBURBAN CHICAGO AREA. THE TOTAL PEDIATRIC POPULATION, AGES 0-17 YEARS, WITHIN THE CHILDRENS HOSPITAL OAK LAWN TSA IS 591,263 CHILDREN IN 77 COMMUNITIES OR 25% OF THE TOTAL POPULATION WITHIN THE SAME AREA. THE HOSPITALS DIVERSE SERVICE AREA IS 37% BLACK/NON-HISPANIC, 35% WHITE/NON-HISPANIC AND 24% HISPANIC. WITHIN THE TSA, 56.3% OF ADVOCATE CHILDRENS HOSPITAL PATIENTS (CHILDREN AGES 0-17) RECEIVE MEDICAID, 38.9% ARE COVERED BY MANAGED CARE HEALTH INSURANCE AND 4.5% HAVE OTHER PAYMENT PLANS. HOUSEHOLD INCOME STATISTICS SHOW THAT 26% OF HOUSEHOLDS IN THE TSA EARN LESS THAN $25,000/YEAR AND 46% HAVE A HIGH SCHOOL EDUCATION OR LESS. THERE ARE 20 HOSPITALS PROVIDING PEDIATRIC MEDICAL SERVICES IN ADVOCATE CHILDRENS HOSPITALS SERVICE AREA. IN ADDITION TO ADVOCATE, THERE IS ALSO ADVENTIST BOLINGBROOK HOSPITAL, ADVOCATE SOUTH SUBURBAN HOSPITAL, FRANCISCAN ST. JAMES HEALTH - CHICAGO HEIGHTS AND OLYMPIA FIELDS, HOLY CROSS HOSPITAL, INGALLS MEMORIAL HOSPITAL, JACKSON PARK HOSPITAL, LARABIDA CHILDRENS HOSPITAL, LITTLE COMPANY OF MARY HOSPITAL, MERCY HOSPITAL AND MEDICAL CENTER, METROSOUTH MEDICAL CENTER, PALOS COMMUNITY HOSPITAL, PRESENCE ST. JOSEPH MEDICAL CENTER, ROSELAND COMMUNITY HOSPITAL, SILVER CROSS HOSPITAL, SOUTH SHORE HOSPITAL, ST. ANTHONY HOSPITAL, ST. BERNARD HOSPITAL AND UNIVERSITY OF CHICAGO MEDICAL CENTER. HIGH RISK AREAS AND COMMUNITIES OF HIGH NEED WERE FURTHER DETERMINED BY USE OF THE SOCIAL VULNERABILITY INDEX, WHICH IS AN AGGREGATE MEASURE OF THE CAPACITY OF COMMUNITIES TO PREPARE FOR AND RESPOND TO EXTERNAL STRESSORS ON HUMAN HEALTH, SUCH AS NATURAL OR HUMAN-CAUSED DISASTERS, OR DISEASE OUTBREAKS. THE SOCIAL VULNERABILITY INDEX RANKS EACH CENSUS TRACT ON 14 SOCIAL FACTORS, INCLUDING POVERTY, LACK OF VEHICLE ACCESS AND CROWDED HOUSING. COMMUNITIES WITH HIGH SOCIAL VULNERABILITY INDEX SCORES HAVE LESS CAPACITY TO DEAL WITH OR PREPARE FOR EXTERNAL STRESSORS AND, AS A RESULT, ARE MORE VULNERABLE TO THREATS ON HUMAN HEALTH. MANY COMMUNITIES IN ADVOCATE CHILDRENS HOSPITALS TSA RANK HIGH IN SOCIAL VULNERABILITY WHICH CAN HAVE A NEGATIVE IMPACT ON CHILDRENS HEALTH. SUCH COMMUNITIES INCLUDE BLUE ISLAND, CALUMET PARK, DIXMOOR, FORD HEIGHTS AND HARVEY IN THE SOUTH SUBURBS, ALONG WITH THE CHICAGO LAWN, ENGLEWOOD AND GAGE PARK NEIGHBORHOODS IN CHICAGO. ANOTHER MEASURE IN DETERMINING NEED WAS THE CHILDHOOD OPPORTUNITY INDEX WHICH IS BASED ON SEVERAL INDICATORS IN EACH OF THE FOLLOWING CATEGORIES: DEMOGRAPHICS AND DIVERSITY; EARLY CHILDHOOD EDUCATION; RESIDENTIAL AND SCHOOL SEGREGATION; MATERNAL AND CHILD HEALTH; NEIGHBORHOOD CHARACTERISTICS OF CHILDREN; AND CHILD POVERTY. CHILDREN WHO LIVE IN AREAS OF LOW OPPORTUNITY HAVE AN INCREASED RISK FOR A VARIETY OF NEGATIVE HEALTH INDICATORS, SUCH AS PREMATURE MORTALITY, ARE MORE LIKELY TO BE EXPOSED TO SERIOUS PSYCHOLOGICAL DISTRESS AND ARE MORE LIKELY TO HAVE POOR SCHOOL PERFORMANCE. COMMUNITIES IN THE ADVOCATE CHILDRENS HOSPITAL TSA INCLUDE FORD HEIGHTS, DIXMOOR, DOLTON AND HARVEY IN THE SOUTH SUBURBS, AS WELL AS THE ARCHER HEIGHTS, AUBURN-GRESHAM, BRIGHTON PARK AND CHICAGO LAWN NEIGHBORHOODS IN CHICAGO. ADVOCATE LUTHERAN GENERAL HOSPITAL FOR THE 2014-2016 CHNA CYCLE, LUTHERAN GENERAL HOSPITALS COMMUNITY HEALTH COUNCIL DEFINED COMMUNITY AS THE HOSPITAL'S PRIMARY SERVICE AREA (PSA). THIS AREA INCLUDES 1,069,146 INDIVIDUALS WITHIN 28 ZIP CODES-25 OF WHICH ARE IN COOK COUNTY AND 3 IN LAKE COUNTY. THE PRIMARY SERVICE AREA (PSA) DESIGNATION IS DETERMINED BY THE ADVOCATE HEALTH CARE STRATEGIC PLANNING DEPARTMENT, GENERALLY NOTED AS THE GEOGRAPHIC AREA WHERE 75 PERCENT OF PATIENTS RESIDE. ALL 25 LUTHERAN GENERAL HOSPITAL PSA ZIP CODE COMMUNITIES IN COOK COUNTY WERE PART OF THE GEOGRAPHIC AREA WITHIN THE NORTH REGION OF HICCC. SOCIOECONOMIC NEED WAS DETERMINED BY THE HEALTHY COMMUNITIES INSTITUTES (HCI) CALCULATIONS TO CREATE AN INDEX USING SIX MAJOR SOCIONEEDS INDICATORS THAT ARE CORRELATED WITH POOR HEALTH OUTCOMES. THE INDICATORS INCLUDE INCOME, UNEMPLOYMENT, OCCUPATION, EDUCATION, LANGUAGE AND POVERTY. LUTHERAN GENERAL HOSPITALS PSA INCLUDES THE FOLLOWING COMMUNITIES, LISTED IN ORDER FROM GREATEST NEED TO LOWEST NEED COMMUNITIES: IRVING PARK/PORTAGE (60641), DUNNING (60634), DES PLAINES (60018), ELMWOOD PARK (60707), HARWOOD HEIGHTS (60706), JEFFERSON PARK (60630), PALATINE (60074), MOUNT PROSPECT (60656), NILES (60714), SKOKIE (60077), PROSPECT HEIGHTS (60070), WHEELING (60090), DES PLAINES (60016), SKOKIE (60076), MORTON GROVE (60053), HARWOOD HEIGHTS (60056), NORWOOD PARK (60631), ARLINGTON HEIGHTS (60005), FOREST GLEN (60646), ARLINGTON HEIGHTS (60004), GLENVIEW (60025), PARK RIDGE (60068), BUFFALO GROVE (60089), PALATINE (60067), NORTHBROOK (60062), GLENVIEW (60026), LAKE ZURICH (60047) AND DEERFIELD (60015). THE THREE LARGEST COMMUNITIES WITHIN LUTHERAN GENERAL HOSPITALS PSA, AND THE THREE WITH THE HIGHEST SOCIOECONOMIC NEEDS, ARE DUNNING (60634) WITH A POPULATION OF 75,196, IRVING PARK (60641) WITH A POPULATION OF 70,970, AND DES PLAINES (60016) WITH A POPULATION OF 61,060 (2016). THE CITY OF DES PLAINES HAS TWO ZIP CODES WITH DES PLAINES (60018) ACCOUNTING FOR AN ADDITIONAL POPULATION OF 30,788 INDIVIDUALS. ADDITIONAL COMMUNITIES WITH DUAL ZIP CODES ARE ARLINGTON HEIGHTS, SKOKIE, GLENVIEW AND HARWOOD HEIGHTS. FROM 2010 TO 2016, THE AVERAGE POPULATION GROWTH WITHIN LUTHERAN GENERAL HOSPITALS PSA WAS 1.25 PERCENT, WHICH WAS HIGHER WHEN COMPARED TO THE ILLINOIS RATE OF 0.43 PERCENT. THE THREE COMMUNITIES WITH THE HIGHEST PERCENT POPULATION GROWTH FROM 2010 TO 2016 WERE GLENVIEW (60026) AT 9.71 PERCENT, MOUNT PROSPECT (60656) AT 5.42 PERCENT AND PALATINE (60074) AT 4.3 PERCENT. THE TWO COMMUNITIES THAT DECREASED IN POPULATION SIZE FROM 2010 TO 2016 WERE DEERFIELD (60015) BY -1.28 PERCENT AND BUFFALO GROVE (60089) BY -1.19 PERCENT. ADVOCATE CHILDRENS HOSPITAL THE COMBINED PRIMARY AND SECONDARY SERVICE AREAS OF ADVOCATE CHILDRENS HOSPITAL-PARK RIDGE ARE KNOWN AS THE HOSPITALS TOTAL SERVICE AREA (TSA). THE TSA OF ADVOCATE CHILDRENS HOSPITAL-PARK RIDGE SERVES PATIENTS IN THE LUTHERAN GENERAL HOSPITAL SERVICE AREA, BUT ALSO INCLUDES GEOGRAPHIC AREAS OR COMMUNITIES SERVED BY ADVOCATE GOOD SHEPHERD HOSPITAL IN THE NORTHWEST SUBURBS, ADVOCATE CONDELL MEDICAL CENTER IN THE NORTH SUBURBS AND PORTIONS OF ADVOCATE ILLINOIS MASONIC MEDICAL CENTER ON THE NORTH SIDE OF CHICAGO. THE TOTAL PEDIATRIC POPULATION AGES 0-17 YEARS WITHIN THE CHILDRENS HOSPITAL PARK RIDGE TSA IS 841,812 CHILDREN, IN 109 COMMUNITIES, OR 27 PERCENT OF THE TOTAL POPULATION WITHIN THE SAME AREA. HIGH RISK AREAS AND COMMUNITIES OF HIGH NEED ARE FURTHER DETERMINED FOR THE CHILDRENS HOSPITAL BY USE OF THE SOCIAL VULNERABILITY INDEX, WHICH IS AN AGGREGATE MEASURE OF THE CAPACITY OF COMMUNITIES TO PREPARE FOR AND RESPOND TO EXTERNAL STRESSORS ON HUMAN HEALTH, SUCH AS NATURAL OR HUMAN-CAUSED DISASTERS OR DISEASE OUTBREAKS. THE SOCIAL VULNERABILITY INDEX RANKS EACH CENSUS TRACT ON 14 SOCIAL FACTORS INCLUDING POVERTY, LACK OF VEHICLE ACCESS AND CROWDED HOUSING. COMMUNITIES WITH HIGH SOCIAL VULNERABILITY INDEX SCORES HAVE LESS CAPACITY TO DEAL WITH OR PREPARE FOR EXTERNAL STRESSORS AND, AS A RESULT, ARE MORE VULNERABLE TO THREATS ON HU
POVERTYLUTHERAN GENERAL HOSPITAL FOR LUTHERAN GENERAL HOSPITALS PSA, THE COMMUNITIES WITH THE HIGHEST POVERTY RATES ARE SKOKIE (60077), IRVING PARK/PORTAGE (60641), AND PALATINE (60070). IN THE HOSPITALS PSA, ZIP CODES THAT REPORTED HIGHER PERCENTAGES FOR SPEAKING ENGLISH AT HOME ALSO HAD LOWER POVERTY RATES. THE FEDERAL POVERTY GUIDELINES DEFINE POVERTY BASED ON HOUSEHOLD SIZE, RANGING FROM $11,880 FOR A ONE-PERSON HOUSEHOLD TO $24,300 FOR A FOUR PERSON-HOUSEHOLD AND $40,890 FOR AN EIGHT-PERSON HOUSEHOLD (U.S. DEPARTMENT OF HEALTH AND HUMAN SERVICES, POVERTY GUIDELINES, 2016, HTTPS://ASPE.HHS.GOV/POVERTY-GUIDELINES). ADVOCATE CHILDRENS HOSPITAL NEARLY HALF OF ALL CHILDREN LIVING IN CHICAGO AND COOK COUNTY LIVE AT OR BELOW 200% OF THE FEDERAL POVERTY LEVEL. THE PERCENTAGE OF CHILDREN IN POVERTY IS HIGHER FOR COOK COUNTY THAN IT IS FOR ILLINOIS AND THE U.S., AND AFRICAN AMERICAN AND LATINO CHILDREN HAVE MUCH HIGHER POVERTY RATES THAN NON-HISPANIC WHITE CHILDREN. ALTHOUGH THE NUMBER OF CHILDREN LIVING IN POVERTY DECREASED OVERALL IN CHICAGO BETWEEN 2009 AND 2013, THE NUMBER OF CHILDREN LIVING IN POVERTY DOUBLED IN SUBURBAN COOK COUNTY. INSURANCE LUTHERAN GENERAL HOSPITAL WITHIN ILLINOIS, APPROXIMATELY 5.9 PERCENT OF THE POPULATION IS UNINSURED, WITH LUTHERAN GENERAL HOSPITALS PSA UNINSURED RATE AT 4.5 PERCENT. LUTHERAN GENERAL HOSPITAL SERVES A LARGE SENIOR POPULATION, AGE 65 AND OVER, MOST OF WHOM ARE COVERED BY MEDICARE. NILES (60714) AT 26.1 PERCENT, NORTHBROOK (60062) AT 24.3 PERCENT AND HARWOOD HEIGHTS (60706) AT 21.8 PERCENT REPORTED HAVING THE HIGHEST PERCENTAGES OF MEDICARE BENEFICIARIES. WHILE SKOKIE (60077) WAS NOT RANKED HIGHEST FOR OVERALL SOCIOECONOMIC NEED, IT HAS THE HIGHEST UNINSURED RATE WITHIN LUTHERAN GENERAL HOSPITALS PSA. ADVOCATE CHILDRENS HOSPITAL WITHIN THE CHILDRENS HOSPITALS TSA, 43.2 PERCENT OF PATIENTS (CHILDREN AGES 0-17) ARE COVERED BY MEDICAID, 51 PERCENT ARE COVERED BY MANAGED CARE HEALTH INSURANCE, .5 PERCENT ARE ON MEDICARE AND 5.3 PERCENT HAVE OTHER PAYMENT PLANS. UNEMPLOYMENT UNEMPLOYMENT RATES WITHIN LUTHERAN GENERAL HOSPITALS PSA HAVE DECREASED AS COMPARED TO 2014. IN 2014, 9.4 PERCENT OF LUTHERAN GENERAL HOSPITALS PSA WAS UNEMPLOYED, WITH THE CURRENT UNEMPLOYMENT RATE DECREASING TO 8.1 PERCENT. THE CURRENT HOSPITAL PSA UNEMPLOYMENT RATE OF 8.1 PERCENT IS LOWER THAN THE CURRENT ILLINOIS RATE OF 9.8 PERCENT (TRUVEN, 2016). IRVING PARK/PORTAGE PARK (12.5 PERCENT), ELMWOOD PARK (11.6 PERCENT), DUNNING (11.2 PERCENT) AND JEFFERSON PARK (10.9 PERCENT) HAVE HIGHER UNEMPLOYMENT RATES THAN OTHER COMMUNITIES IN THE HOSPITALS PSA AND ARE MUCH HIGHER THAN THE RATES FOR ILLINOIS. EMPLOYMENT IS AN IMPORTANT DETERMINANT OF HEALTH AND IT HAS ADVERSE EFFECTS IN HIGH NEED COMMUNITIES. HEALTH RESOURCES IN THE DEFINED COMMUNITY LUTHERAN GENERAL HOSPITAL THERE ARE SEVEN HOSPITALS WITHIN THE LUTHERAN GENERAL HOSPITAL PRIMARY SERVICE AREA. IN ADDITION TO LUTHERAN GENERAL HOSPITAL, THERE IS ALSO COMMUNITY FIRST MEDICAL CENTER, RESURRECTION MEDICAL CENTER, NORTHWEST COMMUNITY HOSPITAL, NORTHSHORE GLENBROOK HOSPITAL, HOLY FAMILY MEDICAL CENTER AND NORTHSHORE SKOKIE HOSPITAL. THERE ARE 973 PRIMARY CARE PHYSICIANS WITHIN THE MARKET AND 1,377 SPECIALISTS. THE SPECIALISTS INCLUDE 184 OBSTETRICS & GYNECOLOGY PHYSICIANS, 88 CARDIOLOGISTS, 33 OTOLARYNGOLOGISTS, 49 GASTROENTEROLOGISTS, AND 108 ORTHOPEDIC PHYSICIANS. THERE IS ALSO THE ACCESS COMMUNITY HEALTH NETWORK GENESIS CLINIC FOR HEALTH AND EMPOWERMENT IN DES PLAINES, ILLINOIS, WHICH IS A FEDERALLY QUALIFIED HEALTH CENTER (FQHC) THAT PROVIDES HEALTH CARE PREDOMINANTLY FOR LOW-INCOME AND UNINSURED PATIENTS, PRIMARILY FOR THE HISPANIC COMMUNITY. THERE IS ALSO ONE FEDERALLY DESIGNATED UNDERSERVED AREA IN LUTHERAN GENERAL HOSPITALS PSA. ADVOCATE CHILDRENS HOSPITAL THERE ARE 20 HOSPITALS AND 572 PEDIATRICIANS PROVIDING PEDIATRIC MEDICAL SERVICES IN ADVOCATE CHILDRENS HOSPITALS SERVICE AREA. IN ADDITION TO ADVOCATE CHILDRENS HOSPITAL, THERE IS ALSO ADVOCATE CONDELL MEDICAL CENTER, ADVOCATE SHERMAN HOSPITAL, ALEXIAN BROTHERS MEDICAL CENTER, CENTEGRA HOSPITALS IN MCHENRY AND WOODSTOCK, COMMUNITY FIRST MEDICAL CENTER, ELMHURST HOSPITAL, EVANSTON HOSPITAL, HIGHLAND PARK HOSPITAL, NORTHWEST COMMUNITY HOSPITAL, NORTHWESTERN LAKE FOREST HOSPITAL, PRESENCE MERCY MEDICAL CENTER, PRESENCE RESURRECTION MEDICAL CENTER, PRESENCE ST. JOSEPH HOSPITAL, SHRINERS HOSPITAL FOR CHILDREN-CHICAGO, ST. ALEXIUS MEDICAL CENTER, SWEDISH COVENANT MEDICAL CENTER AND VISTA MEDICAL CENTER EAST. ADVOCATE GOOD SAMARITAN HOSPITAL FOR THE PURPOSES OF COMMUNITY HEALTH NEEDS ASSESSMENT, GOOD SAMARITAN HOSPITAL DEFINES THE COMMUNITY AS ITS PRIMARY SERVICE AREA (PSA). THE PSA FOR THE HOSPITAL CONSISTS OF 15 COMMUNITIES REPRESENTING 21 ZIP CODES IN DUPAGE COUNTY AND 3 COMMUNITIES REPRESENTING 3 ZIP CODES IN WILL AND COOK COUNTIES. THE PSA COMMUNITIES INCLUDE LOMBARD (60148), DOWNERS GROVE (60515, 60516), WESTMONT (60559), WOODRIDGE (60517), DARIEN (60561), GLEN ELLYN (60137), LISLE (60532), VILLA PARK (60181), OAK BROOK (60523), WILLOWBROOK (60527), BOLINGBROOK (60440), LEMONT (60439), WHEATON (60189, 60187), ELMHURST (60126), NAPERVILLE (60563, 60540), CLARENDON HILLS (60514), ROMEOVILLE (60446) AND HINSDALE (60521). THE TOTAL POPULATION FOR THE PSA IS 653,410 (2016). THE DEMOGRAPHIC DATA SHOWS THAT THE HOSPITALS PSA IS 78.65 PERCENT WHITE, 9.45 PERCENT ASIAN, 6 PERCENT AFRICAN AMERICAN, 3.44 PERCENT OTHER, 2.4 PERCENT NATIVE HAWAIIAN/PACIFIC ISLANDER AND .03 PERCENT AMERICAN INDIAN/ALASKAN NATIVE. THE PSA IS 10.32 PERCENT HISPANIC AND 89.68 PERCENT NON-HISPANIC. OVER 20 PERCENT OF THE PSA IS UNDER THE AGE OF 18 WHILE 9 PERCENT IS BETWEEN THE AGES OF 18-24 (2015). THE LARGEST AGE GROUP IS 25-64 YEAR OLDS WITH 52.9 PERCENT OF THE POPULATION BELONGING IN THIS AGE BRACKET (2015). THE SENIOR POPULATION WAS THE THIRD LARGEST GROUP, WITH 15.3 PERCENT OF THE PSA ABOVE THE AGE OF 65 (2015). THE PRIMARY SERVICE AREA IS 49 PERCENT MALE AND 51 PERCENT FEMALE. THE AVERAGE ANNUAL HOUSEHOLD INCOME IN 2015 FOR THE HOSPITALS PSA IS $110,956, WHICH IS SIGNIFICANTLY HIGHER THAN THE STATES AVERAGE HOUSEHOLD INCOME AT $81,390 (2016). THE NUMBER OF FAMILIES LIVING BELOW THE FEDERAL POVERTY LEVEL IS 7,526, WHICH ACCOUNTS FOR 4.4 PERCENT OF THE PSA POPULATION. THE ASIAN, NATIVE HAWAIIAN/PACIFIC ISLANDER AND WHITE RACIAL GROUPS HAVE THE HIGHEST AVERAGE HOUSEHOLD INCOME, WHILE THE BLACK AND AMERICAN INDIAN/ALASKAN NATIVES SUBGROUPS HAD THE LOWEST AVERAGE HOUSEHOLD INCOMES. INCOME DISPARITY ALSO EXISTS BETWEEN HISPANIC AND NON-HISPANIC ETHNICITY. THE HISPANIC POPULATIONS AVERAGE HOUSEHOLD INCOME FOR THE PSA IS $82,294 WHILE THE AVERAGE HOUSEHOLD INCOME FOR NON-HISPANICS IS $113,285. THE HOSPITALS PSA HAS A DIVERSE PAYOR MIX WITH 14 PERCENT COVERED BY MEDICAID, 3 PERCENT UNINSURED AND ANOTHER 14 PERCENT COVERED BY MEDICARE. HOSPITALS AND HEALTH RESOURCES THERE ARE FIVE HOSPITALS LOCATED WITHIN GOOD SAMARITAN HOSPITALS PSA: ADVOCATE GOOD SAMARITAN HOSPITAL IN DOWNERS GROVE, EDWARD HOSPITAL IN NAPERVILLE, ADVENTIST HINSDALE HOSPITAL IN HINSDALE, ADVENTIST BOLINGBROOK HOSPITAL IN BOLINGBROOK, AND ELMHURST MEMORIAL HOSPITAL IN ELMHURST. THE DUPAGE COUNTY HEALTH DEPARTMENT, AS WELL AS THE ACCESS COMMUNITY HEALTH NETWORK FEDERALLY QUALIFIED HEALTH CENTER (FQHC) CLINICS, PROVIDE HEALTH CARE PRIMARILY FOR LOW-INCOME AND UNINSURED PATIENTS. IN ADDITION, THE DUPAGE HEALTH COALITION/ACCESS DUPAGE, A COLLABORATIVE EFFORT BY HUNDREDS OF INDIVIDUALS AND ORGANIZATIONS IN DUPAGE COUNTY, ALSO PROVIDES A MOSAIC APPROACH TO PROVIDING ACCESS TO MEDICAL SERVICES FOR THE COUNTYS LOW-INCOME AND MEDICALLY UNINSURED RESIDENTS. IT REPRESENTS A UNIQUE PARTNERSHIP OF COUNTY HOSPITALS (INCLUDING GOOD SAMARITAN HOSPITAL), PHYSICIANS, LOCAL GOVERNMENT, HUMAN SERVICE AGENCIES, AND COMMUNITY GROUPS WORKING TOGETHER TO ADDRESS THIS FORMIDABLE ISSUE. ADVOCATE GOOD SHEPHERD HOSPITAL THE COMMUNITY HEALTH COUNCIL DEFINED THE COMMUNITY AS THE TOTAL SERVICE AREA (TSA) OF THE HOSPITAL. THE TSA INCLUDES COMMUNITIES IN MCHENRY COUNTY, LAKE COUNTY AND A SMALL PORTION OF BARRINGTON, WHICH LIES IN COOK COUNTY. THE TSA IS DIVIDED BETWEEN THE PRIMARY SERVICE AREA (PSA) AND THE SECONDARY SERVICE AREA (SSA). GENERALLY, SEVENTY-FIVE PERCENT OF ALL PATIENTS SERVED COME FROM THE PSA, AND TWENTY-FIVE PERCENT OF ALL PATIENTS SERVED COME FROM THE SSA. GOOD SHEPHERD HOSPITALS PSA INCLUDES THE FOLLOWING COMMUNITIES: BARRINGTON (60010), LAKE ZURICH (60047), CARY (60013), FOX RIVER GROVE (60021), CRYSTAL LAKE (60014), ISLAND LAKE (60042), WAUCONDA (60084), MCHENRY (60050, 50051), PALATINE (60067), ALGONQUIN (60102), AND LAKE IN THE HILLS (60156). THE HOSPITALS SSA CONSISTS OF THE FOLLOWING COMMUNITIES: CRYSTAL LAKE (60012), MUNDELEIN (60060), ROUND LAKE (60073), WOODSTOCK (60098), AND CARPENTERSVILLE (60110). THE HOSPITALS TSA POPULATION IS 489,512. THE POPULATION OF THE PSA IS 308,906 AND THE SSA POPULATION IS 180,606. THE GROWTH RATE OF THE PSA IS QUITE SLOW, WITH ONLY A LESS THAN ONE PERCENT GROWTH FROM
RACE AND ETHNICITYTHE POPULATION OF MCLEAN COUNTY IS 82 PERCENT WHITE, 7.7 PERCENT BLACK OR AFRICAN AMERICAN, 5.7 PERCENT ASIAN, FIVE PERCENT HISPANIC OR LATINO, 0.26 PERCENT AMERICAN INDIAN AND ALASKA NATIVE, AND .04 PERCENT NATIVE HAWAIIAN OR PACIFIC ISLANDER (HEALTHY COMMUNITIES INSTITUTE, CLARITAS, 2016). ECONOMICS INCOME THE MEDIAN HOUSEHOLD INCOME IN MCLEAN COUNTY IS $66,355. THE PERCENT OF PEOPLE LIVING BELOW THE POVERTY LEVEL IN MCLEAN COUNTY IS 14.7 PERCENT. HEALTH CARE COVERAGE THE TOTAL NUMBER OF MEDICAID BENEFICIARIES IN MCLEAN COUNTY HAS INCREASED BY 50.2 PERCENT FROM 2007 TO 2014. THERE WERE 4,499 INDIVIDUALS WHO GAINED MEDICAID COVERAGE IN 2014 DUE TO THE AFFORDABLE CARE ACT (ILLINOIS DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES). ADDITIONALLY, 12.7 PERCENT OF MCLEAN COUNTY RESIDENTS ARE ENROLLED IN MEDICARE (CENTERS FOR MEDICARE AND MEDICAID, 2014). IN 2017, 18 PERCENT OF PATIENTS SEEN AT BROMENN MEDICAL CENTER WERE UNINSURED PATIENTS OR WERE MEDICAID RECIPIENTS. NINETY-ONE PERCENT OF RESPONDENTS OF THE 2015 MCLEAN COUNTY COMMUNITY HEALTH SURVEY REPORTED HAVING EITHER PRIVATE INSURANCE, MEDICAID OR MEDICARE, WHILE EIGHT PERCENT REPORTED HAVING NO INSURANCE. NO INSURANCE WAS SELECTED AS A RESPONSE TO TYPE OF INSURANCE MORE FREQUENTLY BY PEOPLE WITH THE FOLLOWING CHARACTERISTICS: YOUNGER AGE, HISPANIC OR LATINO, AND HOMELESSNESS. EMPLOYMENT THE PERCENT OF THE CIVILIAN LABOR FORCE THAT IS UNEMPLOYED IN MCLEAN COUNTY IS 5.5 PERCENT, LOWER THAN ILLINOIS AT 9.9 PERCENT. THE THREE COMMON INDUSTRIES OF EMPLOYMENT ARE THE FINANCIAL OR INSURANCE INDUSTRY AT 21.6 PERCENT, EDUCATIONAL SERVICES AT 13.2 PERCENT AND HEALTH CARE AT 10.8 PERCENT (HEALTHY COMMUNITIES INSTITUTE, CLARITAS, 2016). EDUCATION EDUCATIONAL LEVEL NINETY-FIVE PERCENT OF THE POPULATION OVER THE AGE OF 25 IN MCLEAN COUNTY POSSESSES A HIGH SCHOOL DIPLOMA OR HIGHER, AND 43.4 PERCENT HAVE A BACHELORS DEGREE OR HIGHER (HEALTHY COMMUNITIES INSTITUTE, AMERICAN COMMUNITY SURVEY, 2010-2014). THE STATE AVERAGE FOR A BACHELORS DEGREE OR HIGHER IS 32 PERCENT (TOWN CHARTS, 2016). ILLINOIS STATE UNIVERSITY, ILLINOIS WESLEYAN UNIVERSITY, HEARTLAND COMMUNITY COLLEGE AND LINCOLN COLLEGE ARE ALL LOCATED IN MCLEAN COUNTY. HIGH SCHOOL GRADUATION RATES THE 2015 FOUR-YEAR HIGH SCHOOL GRADUATION RATE FOR MCLEAN COUNTY IS 88 PERCENT (ILLINOIS STATE BOARD OF EDUCATION, 2015). THIS IS HIGHER THAN THE GRADUATION RATE FOR ILLINOIS OF 86 PERCENT. THE GRADUATION RATE FOR LOW-INCOME STUDENTS AT VARIOUS HIGH SCHOOLS IN MCLEAN COUNTY, HOWEVER, IS LOWER THAN THE COUNTY GRADUATION RATE WITH PERCENTAGES RANGING FROM A LOW OF 61 PERCENT TO A HIGH OF 83 PERCENT. TRUANCY RATE THE 2015 TRUANCY RATE FOR MCLEAN COUNTY IS 2.5 PERCENT COMPARED TO THE TRUANCY RATE IN ILLINOIS OF 8.7 PERCENT (ILLINOIS STATE BOARD OF EDUCATION, 2015). STUDENT-TO-TEACHER RATIO THIS INDICATOR SHOWS THE AVERAGE NUMBER OF PUBLIC SCHOOL STUDENTS PER TEACHER IN THE REGION. IT DOES NOT MEASURE CLASS SIZE. ACCORDING TO THE NATIONAL CENTER FOR EDUCATION STATISTICS, LARGER SCHOOLS TEND TO HAVE HIGHER STUDENT-TEACHER RATIOS. THERE ARE 16.7 STUDENTS PER TEACHER IN MCLEAN COUNTY (HEALTHY COMMUNITIES INSTITUTE, NATIONAL CENTER FOR EDUCATION STATISTICS, 2013-2014). THIS HAS INCREASED SLIGHTLY FROM 15.4 STUDENTS PER TEACHER SINCE 2011-2012. HEALTH CARE RESOURCES IN THE DEFINED COMMUNITY THERE ARE NUMEROUS HEALTH CARE RESOURCES IN MCLEAN COUNTY. THERE ARE TWO HOSPITALS, ADVOCATE BROMENN MEDICAL CENTER LOCATED IN NORMAL AND OSF HEALTHCARE ST. JOSEPH MEDICAL CENTER LOCATED IN BLOOMINGTON. THERE IS ALSO A FEDERALLY QUALIFIED HEALTH CENTER (FQHC), THE CHESTNUT FAMILY HEALTH CENTER, LOCATED IN BLOOMINGTON. IN ADDITION, THERE ARE FIVE COMMUNITY CLINICS. THE COMMUNITY HEALTH CARE CLINIC AND THE COMMUNITY CANCER CENTER ARE BOTH LOCATED IN NORMAL. THE JOHN M. SCOTT HEALTH RESOURCES CENTER, IMMANUEL HEALTH CENTER AND MCLEAN COUNTY CENTER FOR HUMAN SERVICES ARE ALL LOCATED IN BLOOMINGTON. TWO ADDITIONAL HEALTH CARE RESOURCES IN MCLEAN ARE THE CLINIC WITHIN THE MCLEAN COUNTY HEALTH DEPARTMENT AND A CRISIS STABILIZATION UNIT WHICH IS A PART OF CHESTNUT HEALTH SYSTEMS. ADVOCATE TRINITY HOSPITAL IN 2016, THE TOTAL POPULATION OF TRINITY HOSPITALS TOTAL SERVICE AREA (TSA) WAS ESTIMATED AT 578,551, WITH A PRIMARY SERVICE AREA (PSA) POPULATION OF 380,375 AND A SECONDARY SERVICE AREA (SSA) POPULATION OF 198,176. BOTH PRIMARY (-2.27%) AND SECONDARY (-2.77%) SERVICE AREAS EXPERIENCED A DECLINE IN POPULATION FROM 2010 TO 2016. THE RACE AND ETHNICITY DISTRIBUTION IN THE TOTAL SERVICE AREA IS PREDOMINANTLY AFRICAN AMERICAN (83.0%) FOLLOWED BY THE WHITE POPULATION (10.0%). APPROXIMATELY 9.0% OF THE POPULATION IDENTIFIED AS BEING OF HISPANIC OR LATINO ETHNICITY. THE HISPANIC POPULATION IS PRIMARILY LOCATED IN FOUR COMMUNITY AREAS: EASTSIDE, SOUTH CHICAGO, SOUTH DEERING AND HEGEWISCH. THE RACIAL AND ETHNIC BREAKDOWN OF TRINITY HOSPITALS TOTAL SERVICE AREA IS SUBSTANTIALLY DIFFERENT THAN THAT OF COOK COUNTY AND THE STATE OF ILLINOIS. THE MEDIAN HOUSEHOLD INCOME IN TRINITY HOSPITALS PSA IS $38,029 AND $30,660 IN THE HOSPITALS SECONDARY SERVICE AREA. BOTH ARE CONSIDERABLY LOWER AMOUNTS WHEN COMPARED TO THE ILLINOIS MEDIAN HOUSEHOLD INCOME OF $59,608 AND THE COOK COUNTY MEDIAN HOUSEHOLD INCOME OF $56,747. EXAMINING RACE AND INCOME, THE COMMUNITY HEALTH DATA SHOWED THAT THE AFRICAN AMERICAN POPULATION HAS ONE OF THE LOWEST MEDIAN HOUSEHOLD INCOMES ($35,677 IN THE PSA AND $27,830 IN THE SSA) IN COMPARISON TO OTHER RACES. IN TRINITY HOSPITALS PSA, THE PERCENT OF FAMILIES LIVING BELOW THE FPL IS 22.85%, WHICH IS HIGHER THAN BOTH STATE (10.79%) AND COUNTY (13.83%) PERCENTAGES. THE PERCENT OF FAMILIES LIVING BELOW THE FPL IN TRINITY HOSPITALS SECONDARY SERVICE AREA IS 31.84%, WHICH IS NEARLY THREE TIMES THE ILLINOIS PERCENTAGE. IN THE PSA, 10.47% OF THE POPULATION AND 13.62% OF THE SSA POPULATION HAVE SOME HIGH SCHOOL EDUCATION BUT NO DIPLOMA. THIS PERCENTAGE IS HIGHER IN COMPARISON TO THE ILLINOIS RATE OF 6.75% AND THE COUNTY RATE OF 7.44%; HOWEVER, WHEN "LESS THAN 9TH GRADE"SOME HIGH SCHOOL" ARE ADDED TOGETHER, THE DIFFERENCES BETWEEN THE PSA AND THE COUNTY AND STATE NARROW. TWENTY-NINE PERCENT OF THE PSA POPULATION HAVE A HIGH SCHOOL DIPLOMA AND 28% HAVE TAKEN SOME COLLEGE CLASSES. ONLY 12.18% OF THE PSA AND 9.16% OF THE SSA RESIDENTS HAVE A BACHELORS DEGREE COMPARED TO THE 20.99% OF COOK COUNTY RESIDENTS WITH SUCH A DEGREE. IN TRINITY HOSPITALS PSA, 38.2% OF THE POPULATION IS INSURED BY MEDICAID AND 15.9% BY MEDICARE, WHILE 10.7% HAVE NO INSURANCE. IN THE SSA, 48.3% OF THE POPULATION IS INSURED BY MEDICAID, 11.6% BY MEDICARE AND 13.4% HAVE NO INSURANCE. ADVOCATE EUREKA HOSPITAL FOR THE PURPOSES OF THIS ASSESSMENT, "COMMUNITY" IS DEFINED AS WOODFORD COUNTY, ILLINOIS. ADVOCATE EUREKA HOSPITAL IS THE ONLY HOSPITAL IN WOODFORD COUNTY, WHICH IS LOCATED IN RURAL CENTRAL ILLINOIS AND THERE ARE NOT ANY FEDERALLY-DESIGNATED MEDICALLY UNDERSERVED AREAS OR POPULATIONS IN THE COUNTY. ALTHOUGH THE HOSPITAL PARTICIPATED IN A TRI-COUNTY COLLABORATIVE EXPLAINED EARLIER IN THE DOCUMENT, FOR THIS COMMUNITY HEALTH NEEDS ASSESSMENT, THE FOCUS OF THIS REPORT WILL BE ON WOODFORD COUNTY. THE FOLLOWING TOWNS ARE IN WOODFORD COUNTY: BAY VIEW GARDENS, BENSON, CONGERVILLE, EL PASO, EUREKA, GERMANTOWN HILLS, GOODFIELD, KAPPA, LOWPOINT, METAMORA, MINONK, PANOLA, ROANOKE, SECOR, SPRING BAY AND WASHBURN. POPULATION WOODFORD COUNTY CONSISTS OF A TOTAL POPULATION OF 39,334 (HEALTHY COMMUNITIES INSTITUTE (HCI), CLARITAS, 2016). EUREKA HAS THE LARGEST POPULATION IN THE COUNTY WITH 6,861. THE POPULATION IN WOODFORD COUNTY INCREASED BY 1.73 PERCENT FROM 2010 TO 2016 (HCI, CLARITAS, 2016). DEMOGRAPHICS AGE AND GENDER THE MEDIAN AGE IN WOODFORD COUNTY IS 40.0, WHICH IS OLDER THAN THE MEDIAN AGE FOR ILLINOIS AT 37.8 YEARS OF AGE. RACE AND ETHNICITY THE POPULATION OF WOODFORD COUNTY IS 96.6 PERCENT WHITE, 0.7 PERCENT BLACK OR AFRICAN AMERICAN, .63 PERCENT ASIAN, .25 PERCENT AMERICAN INDIAN AND ALASKA NATIVE, AND .03 PERCENT NATIVE HAWAIIAN OR PACIFIC ISLANDER (HCI, CLARITAS, 2016). HOUSEHOLD/FAMILY THE AVERAGE HOUSEHOLD SIZE IN WOODFORD COUNTY IS 2.62 WITH 14,636 RESIDENTS LIVING AS A PART OF A HOUSEHOLD. THIRTY-FIVE PERCENT OF PEOPLE IN A HOUSEHOLD ARE UNDER 18 YEARS OF AGE (HCI, CLARITAS, 2016). TWENTY-ONE PERCENT OF THE HOUSEHOLDS IN WOODFORD COUNTY ARE SINGLE PARENT HOUSEHOLDS. ECONOMICS INCOME THE MEDIAN HOUSEHOLD INCOME IN WOODFORD COUNTY IS $69,760 WHICH IS HIGHER THAN THE ILLINOIS MEDIAN HOUSEHOLD INCOME OF $59,608 (HCI, CLARITAS, 2016). THE PERCENT OF PEOPLE LIVING BELOW THE FEDERAL POVERTY LINE IS 8.1 PERCENT (HCI, AMERICAN COMMUNITY SURVEY, 2010-2014). HEALTH CARE COVERAGE IN WOODFORD COUNTY, THE NUMBER OF INDIVIDUALS WHO RECEIVED MEDICAID COVERAGE INCREASED FROM 2,749 IN FISCAL YEAR 2014 TO 4,838 IN FISCAL YEAR 2015 DUE TO THE AFFORDABLE CARE ACT (ILLINOIS DEPARTMENT OF HEALTHCARE AND FAMILY SERVICES). IN 2017, 16% PERCENT OF PATIENTS SEEN AT ADVOCATE EUREKA HOSPITAL WERE UNINSURED PATIENTS OR MEDICAID RECIPIE
EDUCATIONEDUCATIONAL LEVEL NINETY-FOUR PERCENT OF THE POPULATION OVER THE AGE OF 25 IN WOODFORD COUNTY POSSESSES A HIGH SCHOOL DIPLOMA OR HIGHER AND 28 PERCENT HAVE A BACHELORS DEGREE OR HIGHER (HCI, AMERICAN COMMUNITY SURVEY, 2010-2014). EUREKA COLLEGE IS A SMALL LIBERAL ARTS COLLEGE LOCATED IN WOODFORD COUNTY. STUDENT-TO-TEACHER RATIO THIS INDICATOR SHOWS THE AVERAGE NUMBER OF PUBLIC SCHOOL STUDENTS PER TEACHER IN THE REGION. IT DOES NOT MEASURE CLASS SIZE. ACCORDING TO THE NATIONAL CENTER FOR EDUCATION STATISTICS, LARGER SCHOOLS TEND TO HAVE HIGHER STUDENT-TEACHER RATIOS. THERE ARE 16.8 STUDENTS PER TEACHER IN WOODFORD COUNTY (HCI, NATIONAL CENTER FOR EDUCATION STATISTICS, 2013-2014). HEALTH CARE RESOURCES IN THE DEFINED COMMUNITY NAME OF FACILITY ADVOCATE EUREKA HOSPITAL - CRITICAL ACCESS HOSPITAL WOODFORD COUNTY PUBLIC HEALTH DEPARTMENT - HEALTH CLINIC HEART HOUSE/SHELTER, EUREKA, IL - COMMUNITY ORGANIZATION
PART VI, LINE 5. PROMOTION OF COMMUNITY HEALTHADVOCATE CHRIST MEDICAL CENTER THE GOVERNING COUNCIL AT ADVOCATE CHRIST MEDICAL CENTER IS COMPRISED OF LOCAL COMMUNITY LEADERS AND PHYSICIANS. GOVERNING COUNCIL MEMBERS SUPPORT HOSPITAL LEADERSHIP IN THEIR PURSUIT OF THE HOSPITALS GOALS, REPRESENT THE COMMUNITYS INTEREST TO THE HOSPITAL AND SERVE AS AMBASSADORS IN THE COMMUNITY. SIXTY-EIGHT PERCENT OF THE CURRENT GOVERNING COUNCIL MEMBERS REPRESENT THE COMMUNITY, INCLUDING THE FAITH COMMUNITY. IN ADDITION, THE ORGANIZATION EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY FOR SOME OR ALL OF ITS DEPARTMENTS AND SPECIALTIES. SIGNIFICANT PROGRAMS/INITIATIVES CONTRIBUTING TO A HEALTHIER COMMUNITY IN 2017 INCLUDE: *CHRIST MEDICAL CENTER IS ONE OF ONLY EIGHT HOSPITALS NATIONWIDE, AND THE ONLY CHICAGO-AREA HOSPITAL, CITED FOR BEST HEART-TRANSPLANT PATIENT OUTCOMES, ACCORDING TO DATA COLLECTED BY THE SCIENTIFIC REGISTRY OF TRANSPLANT RECIPIENTS (SRTR) AS REPORTED BY BECKERS HOSPITAL REVIEW. *CHRIST MEDICAL CENTER WAS PRESENTED THE GIFT OF HOPE LIFESAVING PARTNER AWARD FOR THE MEDICAL CENTERS EXTRAORDINARY SUPPORT AND COMMITMENT TO SAVING LIVES THROUGH ORGAN AND TISSUE DONATION. *CHRIST MEDICAL CENTERS EAST TOWER WAS AWARDED PRESTIGIOUS LEED FOR HEALTHCARE GOLD CERTIFICATION BY THE U. S. GREEN BUILDING COUNCIL FOR SUSTAINABLE DESIGN ELEMENTS IN THE BUILDING. THE MEDICAL CENTER IS THE FIRST IN ADVOCATE TO ACHIEVE THIS RECOGNITION. LEED (LEADERSHIP IN ENERGY & ENVIRONMENTAL DESIGN) IS THE NATIONS PREEMINENT PROGRAM FOR THE DESIGN, CONSTRUCTION AND OPERATION OF HIGH-PERFORMANCE GREEN BUILDINGS. *CHRIST MEDICAL CENTER RECEIVED RECOGNITION AS A BLUE DISTINCTION CENTER+ FOR CARDIAC CARE, MATERNITY CARE AND SPINE SURGERY AND RECOGNITION AS A BLUE DISTINCTION CENTER FOR ADULT CARE BY BLUE CROSS BLUE SHIELD. BLUE DISTINCTION CENTERS+ ARE HOSPITALS RECOGNIZED FOR THEIR EXPERTISE AND EFFICIENCY IN DELIVERING SPECIALTY CARE. *CHRIST MEDICAL CENTER RECEIVED ENERGY TO CARE AWARD FROM THE AMERICAN SOCIETY FOR HEALTHCARE ENGINEERING (PART OF THE AMERICAN HOSPITAL ASSOCIATION) FOR REDUCING ENERGY USE BY 10 PERCENT OR MORE. *CHRIST MEDICAL CENTERS COMPREHENSIVE STROKE CENTER PROGRAM RECEIVED THREE-YEAR RECERTIFICATION FROM DNV-GL HEALTHCARE. THE HOSPITAL HAS CREATED, COLLABORATED WITH OR SUPPORTED NUMEROUS ADDITIONAL PROGRAMS NOT INCLUDED IN EARLIER SECTIONS OF SCHEDULE H, SUCH AS: *RONALD MCDONALD HOUSE *ILLINOIS MOBILE HEALTH COALITION *CONTINUING EDUCATION SYMPOSIUM AND WORKSHOPS FOR SCHOOL NURSES *CHILDHOOD INJURY PREVENTION AND CHILD SAFETY SEAT PROGRAM *CHILDRENS HEALTH RESOURCE CENTER PROVIDING RELIABLE HEALTH INFO TO PARENTS; MATERIALS ON THE MOST COMMON DIAGNOSES/CONDITIONS/TREATMENTS ARE ALSO TRANSLATED INTO SPANISH, POLISH AND ARABIC *LOCAL FOOD PANTRIES ADVOCATE LUTHERAN GENERAL HOSPITAL THE ADVOCATE LUTHERAN GENERAL HOSPITAL GOVERNING COUNCIL IS COMPRISED OF LOCAL COMMUNITY LEADERS AND PHYSICIANS. GOVERNING COUNCIL MEMBERS SUPPORT HOSPITAL LEADERSHIP IN THEIR PURSUIT OF THE HOSPITALS GOALS, REPRESENT THE COMMUNITY'S INTEREST TO THE HOSPITAL AND SERVE AS AMBASSADORS IN THE COMMUNITY. SIXTY-THREE PERCENT OF THE CURRENT GOVERNING COUNCIL MEMBERS REPRESENT THE COMMUNITY, INCLUDING THE FAITH COMMUNITY. IN ADDITION, THE ORGANIZATION EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY FOR SOME OR ALL OF ITS DEPARTMENTS AND SPECIALTIES. LUTHERAN GENERAL HOSPITAL AND ADVOCATE CHILDRENS HOSPITAL, THROUGH THE OFFICE OF MEDICAL EDUCATION, THE GRADUATE MEDICAL EDUCATION COMMITTEE AND THE CENTER FOR RESEARCH EDUCATION AND DEVELOPMENT, SUPPORTS A SUBSTANTIAL ARRAY OF MEDICAL AND HEALTH PROFESSIONS EDUCATION. IN ADDITION TO AND IN ALIGNMENT WITH ITS MISSION, LUTHERAN GENERAL HOSPITAL PROVIDES CARE TO UNDERINSURED AND UNINSURED POPULATIONS IN THE COMMUNITY THROUGH ITS PROVISION OF CHARITY CARE. LUTHERAN GENERAL HOSPITAL ALSO ASSURES ENVIRONMENTAL RESPONSIVENESS, RESOURCE EFFICIENCY AND COMMUNITY SENSITIVITY THROUGH LEED DESIGNATION FOR THE HOSPITALS NEW BED TOWER AND ONGOING EDUCATIONAL ACTIVITIES. LUTHERAN GENERAL HOSPITAL AND ADVOCATE CHILDRENS HOSPITAL LEADERS ALSO ARE ACTIVELY INVOLVED IN THE COMMUNITY THROUGH REPRESENTATION AND/OR PARTICIPATION IN MANY COMMUNITY ORGANIZATIONS, SUCH AS KIWANIS, ROTARY AND CHAMBERS OF COMMERCE, AND SERVE ON MULTIPLE BOARDS INCLUDING THE NATIONAL ALLIANCE FOR MENTAL ILLNESS (NAMI), HAVE DREAMS (AUTISM), MARCH OF DIMES, HEALTHY SCHOOLS CAMPAIGN, PARTNERSHIP FOR RESILIENCE AND MAINE TOWNSHIP HIGH SCHOOL DISTRICT 207. IN ADDITION TO ALL PROGRAMS AND SERVICES LISTED EARLIER IN THIS DOCUMENT, LUTHERAN GENERAL HOSPITAL AND ADVOCATE CHILDRENS HOSPITAL HAVE CREATED, COLLABORATED WITH OR SUPPORTED NUMEROUS ADDITIONAL PROGRAMS INCLUDING THE FOLLOWING: *MAINE TOWNSHIP HIGH SCHOOL DISTRICT 207 SCHOOL-BASED HEALTH CENTER *OLDER ADULT SERVICES (INCLUDING ADULT DAY CARE, ALZHEIMERS CLASSES, HOME DELIVERED MEALS) *DIABETES EDUCATION *INTIMATE PARTNER VIOLENCE TASK FORCE (IN PARTNERSHIP WITH COMMUNITY ORGANIZATIONS) *MELANOMA SKIN SCREENINGS *PEDIATRIC CELIAC PROGRAM (FOCUSING ON CLINICAL SERVICES SUPPORT, EDUCATION AND COMMUNITY OUTREACH) *DEVELOPMENTAL PEDIATRICS PROGRAM *ADULT DOWN SYNDROME CENTER *POLISH EARLY ALZHEIMERS PROGRAM *CONTINUING EDUCATION SYMPOSIUM AND WORKSHOPS FOR SCHOOL NURSES *PARENT WORKSHOPS, HEALTHY COOKING DEMONSTRATIONS AND CHILDRENS HEALTHY EATING PROGRAMS PROVIDED AT PARTNER SCHOOL AND THE SCHOOL DISTRICT 63 EXPANDING LEARNING PROGRAM. *CHILDHOOD INJURY PREVENTION AND CHILD SAFETY SEAT PROGRAM *CHILDREN'S HEALTH RESOURCE CENTER PROVIDING RELIABLE HEALTH INFO TO PARENTS; MATERIALS ON THE MOST COMMON DIAGNOSES/CONDITIONS/TREATMENTS ARE ALSO TRANSLATED INTO SPANISH, POLISH AND ARABIC. ADVOCATE GOOD SAMARITAN HOSPITAL THE GOVERNING COUNCIL AT ADVOCATE GOOD SAMARITAN HOSPITAL IS COMPRISED OF LOCAL COMMUNITY LEADERS AND PHYSICIANS. GOVERNING COUNCIL MEMBERS SUPPORT HOSPITAL LEADERSHIP IN THEIR PURSUIT OF THE HOSPITALS GOALS, REPRESENT THE COMMUNITYS INTEREST TO THE HOSPITAL AND SERVE AS AMBASSADORS IN THE COMMUNITY. SIXTY-EIGHT PERCENT OF THE CURRENT GOVERNING COUNCIL MEMBERS REPRESENT THE COMMUNITY, INCLUDING THE FAITH COMMUNITY. IN ADDITION, THE ORGANIZATION EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY FOR SOME OR ALL OF ITS DEPARTMENTS AND SPECIALTIES. ADVOCATE GOOD SAMARITAN HOSPITAL IS ONE OF FOUR RESOURCE HOSPITALS WITHIN EMERGENCY MEDICAL SERVICES (EMS) REGION 8. THE HOSPITAL PROVIDES KEY LEADERSHIP TO THE REGION EMS PROGRAM THROUGH EXECUTING TABLETOP, FUNCTIONAL AND FULL-SCALE EXERCISES TO ADDRESS THE RISKS IN THE AGENCY SPECIFIC HAZARD VULNERABILITY ANALYSIS (HVA). THESE EXERCISES ARE DONE IN CONJUNCTION WITH STATE, COUNTY AND COMMUNITY PARTNERS, WHICH MAKE THE EMERGENCY PREPAREDNESS PLAN MORE EFFECTIVE AND THOROUGH. DOMESTIC VIOLENCE GOOD SAMARITAN HOSPITAL IS COMMITTED TO ADDRESSING DOMESTIC VIOLENCE THROUGH A MYRIAD OF SERVICES AND COMMUNITY ENGAGEMENT. BELOW IS A LIST OF THE HOSPITALS DOMESTIC VIOLENCE SERVICES AND WORK IN COMMUNITY ENGAGEMENT. *DOMESTIC VIOLENCE TRAINING FOR ER NURSES *DOMESTIC VIOLENCE TRAINING FOR PHYSICIANS IN THE COMMUNITY *DOMESTIC VIOLENCE SUPPORT GROUPS *INDIVIDUAL THERAPY FOR DOMESTIC VIOLENCE CLIENTS/PATIENTS *MEMBER OF THE 18TH JUDICIAL COURT DOMESTIC VIOLENCE COORDINATING COUNCIL *DOMESTIC VIOLENCE WORK WITH COMMUNITY PARISHES CRIMINAL JUSTICE/MENTAL HEALTH COMMITTEE THE HOSPITALS BEHAVIORAL HEALTH DEPARTMENT IS A MEMBER OF THE DUPAGE COUNTY CRIMINAL JUSTICE/MENTAL HEALTH COMMITTEE. THIS COMMITTEE IS A COALITION OF MENTAL HEALTH SERVICE PROVIDERS, HOSPITALS AND DUPAGE COUNTY MUNICIPAL SECTORS. THE VARIOUS INSTITUTIONS AND ORGANIZATIONS IDENTIFY ISSUES AROUND MENTAL HEALTH AND ASSESS MENTAL HEALTH SERVICES AND INTERVENTIONS THAT INVOLVE COMMUNITY ORGANIZATIONS AND LOCAL POLICE DEPARTMENTS. THE MANAGER OF GOOD SAMARITAN HOSPITALS BEHAVIORAL HEALTH SERVICES IS ACTIVELY ENGAGED IN THE COMMITTEE AND REPRESENTS THE HOSPITAL AT COMMITTEE MEETINGS. SODIUM REDUCTION INITIATIVE GOOD SAMARITAN HOSPITAL WAS AWARDED A MINI GRANT BY THE DUPAGE COUNTY HEALTH DEPARTMENT AND FORWARD (FIGHTING OBESITY REACHING WEIGHT AMONG RESIDENTS OF DUPAGE) TO IMPLEMENT A SODIUM REDUCTION INITIATIVE. THIS INITIATIVE WAS GEARED TOWARD CREATING A HEALTHIER ENVIRONMENT FOR HOSPITAL, EMPLOYEES, PATIENTS AND THEIR FAMILIES. TO ENSURE TIMELY AND THOROUGH IMPLEMENTATION OF STRATEGIES, THE HOSPITAL FORMED A SODIUM REDUCTION SUBCOMMITTEE AND CREATED AN ACTION PLAN WITH ELEVEN SODIUM REDUCTION STRATEGIES. MEMBERS FROM THE HOSPITALS EXECUTIVE LEADERSHIP TEAM, PUBLIC RELATIONS, COMMUNITY HEALTH, ENVIRONMENTAL SERVICES AND WORKSITE WELLNESS DEPARTMENTS WORKED TOGETHER TO SUCCESSFULLY IMPLEMENT ONE HUNDRED PERCENT OF THE SODIUM REDUCTION STRATEGIES. THE HOSPITAL WILL CONTINUE TO IMPLEMENT THESE STRATEGIES AND WILL SERVE AS A LEADER ON FORWARDS WORKSITE WELLNESS COMMITTEE. BHORADE CANCER CARE CENTER EXPANSION ADVOCATE GOOD SAMARITAN HOSPITAL COMPLETED ITS EXPANSION OF THE CANCER CARE CENTE
ADVOCATE SOUTH SUBURBAN HOSPITALTHE GOVERNING COUNCIL AT ADVOCATE SOUTH SUBURBAN HOSPITAL IS COMPRISED OF LOCAL COMMUNITY LEADERS AND PHYSICIANS. GOVERNING COUNCIL MEMBERS SUPPORT HOSPITAL LEADERSHIP IN THEIR PURSUIT OF THE HOSPITAL'S GOALS, REPRESENT THE COMMUNITY'S INTEREST TO THE HOSPITAL AND SERVE AS AMBASSADORS IN THE COMMUNITY. FIFTY NINE PERCENT OF THE CURRENT GOVERNING COUNCIL MEMBERS REPRESENT THE COMMUNITY, INCLUDING THE FAITH COMMUNITY. IN ADDITION, THE ORGANIZATION EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY FOR SOME OR ALL OF ITS DEPARTMENTS AND SPECIALTIES. ADVOCATE SOUTH SUBURBAN HOSPITAL IS AN ACUTE-CARE FACILITY PROVIDING A WIDE RANGE OF COMPREHENSIVE INPATIENT, OUTPATIENT, DIAGNOSTIC AND AMBULATORY MEDICAL SERVICES. IN ADDITION TO OFFERING AN ARRAY OF HOSPITAL SERVICES, THIS NOT-FOR-PROFIT FACILITY PROVIDES FREE SCREENINGS AND A VARIETY OF OTHER OUTREACH SERVICES THROUGHOUT THE COMMUNITY, INCLUDING: SENIOR SERVICES: SOUTH SUBURBAN HOSPITAL SERVES A LARGE SENIOR POPULATION AND HOSTS A VARIETY OF PROGRAMS AND SCREENINGS IN THE COMMUNITY FOR SENIORS, INCLUDING: A SENIOR BREAKFAST CLUB PROGRAM THAT HOSTS A VARIETY OF HEALTH EDUCATION FOCUSED ON SENIORS; THE ANNUAL ACTIVE SENIOR EXPO, A PREMIER EVENT DESIGNED ESPECIALLY FOR SENIORS; AND PARTICIPATION IN A VARIETY OF COMMUNITY HEALTH EVENTS THROUGHOUT THE YEAR. SUPPORT GROUPS: THE HOSPITAL ALSO HOSTS SUPPORT GROUPS FOR THE COMMUNITY DESIGNED FOR INDIVIDUALS LIVING WITH A SPECIFIC ILLNESS. COMMUNITY MEMBERS CAN FIND SUPPORT GROUPS FOR ALZHEIMER'S, DIABETES, PARKINSON'S, EASY BREATHERS, LUPUS, NAMI, CONGESTIVE HEART FAILURE, AND STROKE AT THE HOSPITAL - ALL FREE OF CHARGE TO THE COMMUNITY. LIFESTYLE CLASSES: TO AID THE COMMUNITY WITH LIFESTYLE ADJUSTMENTS, SOUTH SUBURBAN HOSPITAL AND ITS TEAM OF HEALTH CARE PROFESSIONALS OFFER CLASSES ON CONGESTIVE HEART FAILURE, LIFE AFTER A STROKE, AND DIABETES. THE HOSPITAL ALSO HAS STRONG PARTNERSHIPS WITH THE AMERICAN CANCER SOCIETY AND THE CANCER SUPPORT CENTER TO OFFER WELLNESS CLASSES FOR CANCER PATIENTS. SANE PROGRAM: SEXUAL ASSAULT NURSE EXAMINERS (SANES) ARE SPECIALISTS IN FORENSIC NURSING. SANES NOT ONLY ASSIST PATIENTS WHO HAVE BEEN SEXUALLY ASSAULTED, BUT THEY ALSO USE THEIR EDUCATION AND EXPERIENCE TO EXPAND THEIR CLINICAL PRACTICES TO ACCOMMODATE VICTIMS OF OTHER FORMS OF VIOLENCE. EXPERIENCED SANES EXTEND THEIR PRACTICE INTO THE CARE OF VICTIMS OF DOMESTIC VIOLENCE AS WELL. THESE SPECIALLY-EDUCATED NURSES CAN BE A VALUABLE RESOURCE TO PROSECUTORS, PARTICULARLY IN CASES WHERE THE VICTIM MAY BE UNWILLING OR UNABLE TO TESTIFY, AND ASSIST LAW ENFORCEMENT AND THE COURTS IN SENDING THOSE PERPETRATORS OF SEXUAL ASSAULT AND/OR DOMESTIC VIOLENCE TO JAIL. IN 2017, SOUTH SUBURBAN HOSPITAL UNDERTOOK MEASURES TO ENHANCE IT'S WOMEN'S HEALTH AND OB SERVICES BY INVESTING IN THE UNIT'S REDESIGN. THE REDESIGN INCLUDED CONSTRUCTION OF SIXTEEN SINGLE OCCUPANCY ROOMS THAT ENHANCE PATIENT PRIVACY AND PROMOTE THE BEST ENVIRONMENT IN WHICH TO HEAL. THE HOSPITAL'S VICE PRESIDENT FOR MISSION AND SPIRITUAL CARE SERVES ON THE BOARD OF THE UNITED WAY OF METROPOLITAN CHICAGO SOUTH-SOUTHWEST SUBURBAN CHAPTER. THE UNITED WAY OF METROPOLITAN CHICAGO IS A 501(C)(3) NON-PROFIT ORGANIZATION AND A BRANCH OF THE UNITED WAY OF AMERICA. THE UNITED WAY SERVES THE CITY OF CHICAGO AND ITS SURROUNDING SUBURBS, ALLOCATING FUNDING TO OTHER CHARITABLE ORGANIZATIONS, ESPECIALLY THOSE THAT PROVIDE NEEDED HEALTHCARE, EDUCATION AND INCOME SERVICES. THE UNITED WAY PROVIDES CRITICAL RESOURCES TO INDIVIDUALS WHO NEED THEM MOST IN THE SOUTH-SOUTHWEST SUBURBS - SOME OF THE SAME COMMUNITIES SERVED BY SOUTH SUBURBAN HOSPITAL. ADVOCATE BROMENN MEDICAL CENTER ADVOCATE BROMENN MEDICAL CENTER'S DEDICATION TO PROMOTING THE HEALTH OF THE COMMUNITY IS EXEMPLIFIED IN NUMEROUS WAYS. THE GOVERNING COUNCIL AT ADVOCATE BROMENN MEDICAL CENTER IS COMPRISED OF LOCAL COMMUNITY LEADERS AND PHYSICIANS. GOVERNING COUNCIL MEMBERS SUPPORT HOSPITAL LEADERSHIP IN THEIR PURSUIT OF THE HOSPITAL'S GOALS, REPRESENT THE COMMUNITY'S INTEREST TO THE HOSPITAL AND SERVE AS AMBASSADORS IN THE COMMUNITY. SEVENTY-EIGHT PERCENT OF THE CURRENT GOVERNING COUNCIL MEMBERS REPRESENT THE COMMUNITY, INCLUDING THE FAITH COMMUNITY. IN ADDITION, THE ORGANIZATION EXTENDS MEDICAL STAFF PRIVILEGES TO ALL QUALIFIED PHYSICIANS IN ITS COMMUNITY FOR SOME OR ALL OF ITS DEPARTMENTS AND SPECIALTIES. A VAST MAJORITY OF THE HOSPITAL'S EXECUTIVE OR LEADERSHIP TEAM ALSO SERVE ON MULTIPLE COMMUNITY BOARDS THAT HELP EITHER DIRECTLY OR INDIRECTLY IMPROVE THE HEALTH OF THE COMMUNITY, INCLUDING, BUT NOT LIMITED TO - UNITED WAY, MCLEAN COUNTY GOVERNMENT BEHAVIORAL HEALTH COORDINATING COUNCIL, EASTER SEALS, KIWANIS, COMMUNITY HEALTH CARE CLINIC, JOHN M. SCOTT HEALTH COMMISSION, MCLEAN COUNTY CHAMBER OF COMMERCE, HEARTLAND COMMUNITY COLLEGE FOUNDATION, ECONOMIC DEVELOPMENT COUNCIL AND IMMANUEL HEALTH CENTER'S BOARD. THE PRESIDENT OF ADVOCATE BROMENN MEDICAL CENTER IS ALSO INVOLVED IN MANY BOARDS THAT IMPACT THE COMMUNITY IN A POSITIVE MANNER, SUCH AS THE BN ADVANTAGE LEADERSHIP COUNCIL, CENTRAL ILLINOIS REGIONAL AIRPORT AUTHORITY, ILLINOIS STATE UNIVERSITY FOUNDATION BOARD OF DIRECTORS, ILLINOIS HEALTH AND HOSPITAL ASSOCIATION PATIENT AND FAMILY ADVISORY COMMITTEE, AND THE COMMUNITY CANCER CENTER. THE PRESIDENT AND OTHER MEMBERS OF THE EXECUTIVE TEAM PROVIDE LEADERSHIP TRAINING IN THE COMMUNITY TO GROUPS SUCH AS THE MULTICULTURAL LEADERSHIP PROGRAM AND LEADERSHIP MCLEAN COUNTY. IN ADDITION, A MEMBER OF ADVOCATE BROMENN MEDICAL CENTER'S LEADERSHIP TEAM TRAINS STUDENTS FROM THE BLOOMINGTON AREA CAREER CENTER AND ILLINOIS WESLEYAN UNIVERSITY ON THE HEALTH INSURANCE PORTABILITY AND ACCOUNTABILITY ACT TO HELP PREPARE THE STUDENTS TO TAKE THE CERTIFIED NURSING ASSISTANT EXAM. ANOTHER KEY AREA IN WHICH THE HOSPITAL CONTRIBUTES SIGNIFICANTLY TO THE HEALTH OF THE COMMUNITY AND FURTHERS ITS EXEMPT STATUS IS THE COMMUNITY HEALTH CARE CLINIC. IN 1993, ADVOCATE BROMENN MEDICAL CENTER PARTNERED WITH OSF HEALTHCARE ST. JOSEPH MEDICAL CENTER, ALSO LOCATED IN MCLEAN COUNTY, TO OPEN THE COMMUNITY HEALTH CARE CLINIC. THE COMMUNITY HEALTH CARE CLINIC PROVIDES SERVICES TO THE MEDICALLY UNDERSERVED POPULATION OF MCLEAN COUNTY TO ENSURE THAT ALL POPULATIONS IN THE COMMUNITY HAVE ACCESS TO HEALTHCARE. TO BE ELIGIBLE FOR CARE AT THE CLINIC, AN INDIVIDUAL MUST HAVE A TOTAL HOUSEHOLD INCOME LESS THAN 185 PERCENT OF FEDERAL POVERTY GUIDELINES, HAVE NO ACCESS TO THIRD PARTY INSURANCE (MEDICAID, MEDICARE, ALL KIDS, VETERAN'S BENEFITS, DISABILITY OR EMPLOYER-SPONSORED INSURANCE) AND RESIDE IN MCLEAN COUNTY. ALL EMERGENCY ROOM VISITS, DIAGNOSTIC TESTING AND HOSPITAL SERVICES ARE PROVIDED FREE OF CHARGE BY ADVOCATE BROMENN MEDICAL CENTER AND OSF HEALTHCARE ST. JOSEPH MEDICAL CENTER. THE COMMUNITY HEALTH CARE CLINIC SAW 1,022 PATIENTS IN 2017, PROVIDED 2,941 PATIENT VISITS AND PRESCRIBED OVER 21,775 PRESCRIPTION MEDICATIONS AT NO CHARGE TO UNINSURED INDIVIDUALS. THE CLINIC IS IN A BUILDING OWNED BY ADVOCATE BROMENN MEDICAL CENTER, FOR WHICH THE HOSPITAL PAID $81,191 FOR THE MAINTENANCE AND UPKEEP OF THE FACILITY IN 2017. IN ADDITION TO THE ABOVE, ADVOCATE BROMENN MEDICAL CENTER SERVES AS AN EMERGENCY MEDICAL SERVICES (EMS) RESOURCE FOR EDUCATION AND TRAINING FOR MCLEAN COUNTY, PROVIDING A $293,951 BENEFIT TO THE COMMUNITY. THE HOSPITAL ALSO CONTRIBUTES TO THE HEALTH OF THE COMMUNITY BY MAINTAINING AND OFFERING COMMUNITY MEMBERS, NURSING STUDENTS, RESIDENTS, PHYSICIANS AND OTHER HEALTH CARE PROFESSIONALS ACCESS TO THE A.E. LIVINGSTON HEALTH SERVICES LIBRARY. THIS ACCESS IS PROVIDED FREE OF CHARGE TO THESE INDIVIDUALS. THE COST OF THIS SERVICE, IN 2017 $103,461, WAS ABSORBED BY THE HOSPITAL. ADVOCATE BROMENN MEDICAL CENTER ALSO PROVIDES A GREAT BENEFIT TO THE COMMUNITY BY PAYING FOR ATHLETIC TRAINERS TO ASSIST AT AREA SCHOOLS TO AID IN THEIR ATHLETIC PROGRAMS. THE COST TO THE HOSPITAL TO PROVIDE THIS SERVICE FROM JANUARY-JULY 2017 WAS $75,939. THE PROGRAM WAS DISCONTINUED IN JULY 2017. ADVOCATE BROMENN MEDICAL CENTER IS ALSO AN AMERICAN HEART ASSOCIATION TRAINING CENTER FOR THE COMMUNITY. THE COST OF PROVIDING THIS SERVICE IS $43,697. THE NUMEROUS OTHER WAYS ADVOCATE BROMENN MEDICAL CENTER PROMOTES THE HEALTH OF THE COMMUNITY RANGE FROM PROVIDING PET THERAPY AND CLINICAL PASTORAL EDUCATION PROGRAMS TO OFFERING MEETING SPACE TO COMMUNITY NOT-FOR-PROFIT GROUPS AND BEING A TEACHING HOSPITAL FOR BOTH FAMILY PRACTICE, NEUROLOGY AND NEUROSURGERY RESIDENTS. ADVOCATE BROMENN MEDICAL CENTER HAD A FEW SIGNIFICANT CAPITAL PROJECTS THAT BEGAN OR WERE COMPLETED IN 2017 THAT IMPROVED PATIENT CARE OR CONTRIBUTED TO A HEALTHIER COMMUNITY ENVIRONMENT. IN 2017, CAPITAL FUNDS WERE ALLOCATED FOR THE RENOVATION AND EXPANSION OF THE INPATIENT MENTAL HEALTH UNIT. THE UNIT IS LICENSED FOR 19 BEDS, BUT CAPS BED CAPACITY AT 12 BEDS DUE TO THE CONDITION AND PHYSICAL CONSTRAINTS OF THE EXISTING SPACE. THE EXPANSION WILL INCREASE THE NUMBER OF BEDS AVAILABLE FOR PATIENTS NEEDING INPATIENT MENTAL HEALTH S
ENVIRONMENTAL IMPROVEMENTSADVOCATE HEALTH CARE IS COMMITTED TO GREENING HEALTH CARE BECAUSE IT IS DEEPLY CONNECTED TO OUR CORE MISSION - HEALTH AND HEALING. WE UNDERSTAND THAT THE HEALTH OF THE ENVIRONMENT AND THE HEALTH OF THE PATIENTS AND COMMUNITIES WE SERVE IS INEXTRICABLY LINKED - AND THAT A HEALTHY PLANET SUPPORTS HEALTHY PEOPLE. REDUCING WASTE, CONSERVING ENERGY AND WATER, MINIMIZING USE OF TOXIC CHEMICALS, AND CONSTRUCTING ECO-FRIENDLY BUILDINGS FOR TODAY AND TOMORROW - ALL OF THESE EFFORTS HAVE A DIRECT BENEFIT ON THE HEALTH OF LOCAL COMMUNITIES VIA CLEANER COMMUNITIES, HEALTHIER AIR QUALITY, REDUCED GREEN HOUSE GASES, AND PRESERVATION OF NATURAL RESOURCES. AS WE WORK TO REDUCE THE ENVIRONMENTAL AND HEALTH IMPACT OF HEALTH CARE, OUR ENVIRONMENTAL STEWARDSHIP PRACTICES HELP EASE THE BURDEN OF HEALTH CARE COSTS BOTH DIRECTLY (LOWER ENERGY COSTS) AND INDIRECTLY (LOWER ENVIRONMENTALLY-RELATED DISEASE BURDEN). 1. MENTORING AND EDUCATION AS WE WORK TO SERVE THE HEALTH NEEDS OF TODAY'S PATIENTS AND FAMILIES WITHOUT COMPROMISING THE NEEDS OF FUTURE GENERATIONS, ADVOCATE HAS COMMITTED RESOURCES TO SHARING LESSONS LEARNED AND BEST PRACTICES WITH OTHER HOSPITALS AND HEALTH SYSTEMS, BOTH LOCALLY AND NATIONALLY, AND WE DO SO IN A VARIETY OF WAYS. ADVOCATE HEALTH CARE WAS ONE OF 12 FOUNDING AND SPONSORING HEALTH SYSTEMS OF THE NATIONAL HEALTHIER HOSPITALS INITIATIVE, WHICH HAS NOW BECOME A PERMANENT PROGRAM OF PRACTICE GREENHEALTH. THE HEALTHIER HOSPITALS PROGRAM ENGAGES OVER 1,300 HOSPITALS IN SIX KEY CATEGORIES OF HEALTH CARE SUSTAINABILITY: ENGAGED LEADERSHIP, HEALTHIER FOODS, LESS WASTE, LEANER ENERGY, SAFER CHEMICALS, AND SMARTER PURCHASING. ENROLLED HOSPITALS HAVE ACCOMPLISHED REDUCTIONS IN MEAT PURCHASING, INCREASED PURCHASING OF LOCAL AND SUSTAINABLE FOOD, REDUCED EXPOSURE TO TOXIC CHEMICALS THROUGH GREEN CLEANING PROGRAMS AND CONVERSION OF MEDICAL PRODUCTS FREE FROM PVC AND DEHP AND DECREASED ENERGY AND WASTE. ADVOCATE IS PROUD TO JOURNEY WITH THIS GROWING MASS OF HOSPITALS THROUGH ITS OWN INVOLVEMENT AND LEADERSHIP IN THE HEALTHIER HOSPITALS CHALLENGES. ADVOCATE CONTINUES ITS LEADERSHIP, ADVOCACY AND MENTORING ROLE NATIONALLY THROUGH PARTICIPATION IN SEVERAL HEALTHCARE SUSTAINABILITY LEADERSHIP GROUPS AND ADVISORY BOARDS, ADDRESSING ANTIBIOTIC OVERUSE IN AGRICULTURE, SAFER CHEMICALS IN FURNISHING AND MEDICAL PRODUCTS, CLIMATE CHANGE, PLASTICS RECYCLING, AND ENVIRONMENTALLY-PREFERABLE PURCHASING: *PRACTICE GREENHEALTH MARKET TRANSFORMATION GROUP - LESS MEAT, BETTER MEAT *PRACTICE GREENHEALTH MARKET TRANSFORMATION GROUP - SAFER CHEMICALS *HEALTH CARE CLIMATE COUNCIL *HEALTHCARE PLASTICS RECYCLING COALITION - HEALTHCARE FACILITY ADVISORY BOARD *VIZIENT ENVIRONMENTAL ADVISORY COUNCIL *SIGNATORY OF THE CHEMICAL FOOTPRINT PROJECT ADVOCATE ALSO COMMONLY PROVIDES MENTORING TO HEALTH CARE COMMUNITY ON SUSTAINABILITY BEST PRACTICES THROUGH PRESENTATIONS AND WEBINARS, AS WELL AS TO INDIVIDUAL HEALTH CARE INSTITUTIONS ON A CASE-BY-CASE BASIS. 2. ADVOCATE HEALTH CARE SYSTEM - 2017 ENVIRONMENTAL INITIATIVES: *REDUCED CUMULATIVE HOSPITAL ENERGY CONSUMPTION (ELEVEN HOSPITALS) BY 2.9 PERCENT IN TWELVE MONTHS ENDING 11/30/17. OUR 2017 ENERGY REDUCTIONS: *SAVED ADVOCATE $1,097,000 IN ENERGY COSTS. *EQUATED TO ELIMINATING THE ENERGY USE OF APPROXIMATELY 363 AVERAGE AMERICAN HOMES - OR - AVOIDING THE ANNUAL CARBON EMISSIONS FROM NEARLY 378,080 GALLONS OF GASOLINE. *RECYCLED 2,828 TONS OF WASTE FROM HOSPITAL OPERATIONS. *RECYCLED 82 PERCENT OF CONSTRUCTION AND DEMOLITION DEBRIS. *SAVED NEARLY 64 TONS OF WASTE FROM LANDFILL AND SAVED OVER $2.1 MILLION VIA OUR SURGICAL AND MEDICAL DEVICE REPROCESSING PROGRAMS. *LAUNCHED A FORMAL RELATIONSHIP AND DONATION PROGRAM WITH PROJECT C.U.R.E., A NON-PROFIT ORGANIZATION THAT WILL RESPONSIBLY REDISTRIBUTE DONATED MEDICAL SUPPLIES AND EQUIPMENT TO UNDER-RESOURCED AREAS AROUND THE GLOBE, FOR ALL ADVOCATE HEALTH CARE FACILITIES. ADVOCATE DONATED A TOTAL OF 157 PALLETS OF MISCELLANEOUS MEDICAL SUPPLIES, 31 EXAM TABLES OR OTHER FURNITURE, AND 83 PIECES OF MEDICAL EQUIPMENT TO PROJECT CURE IN 2017, ALL OF WHICH MAY HAVE OTHERWISE BEEN LANDFILLED. *PURCHASED 23,157 FEWER REAMS OF PAPER IN 2017 VERSUS 2016 EVEN THOUGH PATIENT VOLUMES ROSE SIGNIFICANTLY - TRANSLATING INTO A 5.8% YEAR-OVER-YEAR REDUCTION IN PAPER USAGE. *COMPLETED A CONVERSION AWAY FROM HAND SOAP CONTAINING TRICLOSAN, AN ENDOCRINE DISRUPTING CHEMICAL, AT ALL FACILITIES SYSTEM-WIDE, AND SHARED THE STORY WITH OTHER HEALTH SYSTEMS ACROSS THE COUNTRY VIA A NATIONAL CONFERENCE SPEAKING SESSION AND FOLLOW-UP WEBINAR. *SPENT 83% OF ADVOCATE'S EXPENSES IN SELECT CLEANING PRODUCT CATEGORIES (WINDOW, FLOOR, CARPET, BATHROOM, AND GENERAL-PURPOSE CLEANERS) ON THIRD-PARTY CERTIFIED "GREEN" CLEANERS. *INCREASED THE PURCHASE OF HEALTHIER HOSPITALS-APPROVED FURNITURE, MADE WITHOUT SELECT CHEMICALS OF CONCERN, INCLUDING PERFLUORINATED COMPOUNDS, PVC (VINYL), FORMALDEHYDE, FLAME RETARDANTS (WHERE CODE PERMISSIBLE) AND ANTIMICROBIALS, TO 63% OF TOTAL PURCHASES. *INCREASED THE AMOUNT OF PURCHASED MEDICAL SUPPLIES THAT ARE FREE OF PVC AND DEHP (CHEMICALS OF CONCERN). *PURCHASED 25% OF TOTAL MEAT PRODUCTS FROM LIVESTOCK AND POULTRY RAISED WITHOUT THE ROUTINE USE OF ANTIBIOTICS, SUPPORTING THE JUDICIOUS AND RESPONSIBLE USE OF ANTIBIOTICS IN AGRICULTURE WHICH CAN HELP SLOW THE EMERGENCE OF ANTIBIOTIC-RESISTANT BACTERIA. *ENCOURAGED THE PURCHASE OF HEALTHY BEVERAGES (NO SUGAR OR ARTIFICIAL SWEETENERS ADDED) TO 66% OF TOTAL BEVERAGES PURCHASED THROUGHOUT ADVOCATE HEALTH CARE. *RELEASED A PUBLIC STATEMENT OF ADVOCATE'S COMMITMENT TO ADDRESSING CLIMATE CHANGE AS AN ORGANIZATION. *INSTITUTED A NEW ENVIRONMENTALLY-BASED SOCIAL SCREEN FOR ADVOCATE'S MARKETABLE INVESTMENT PROGRAM, LIMITING EXPOSURE TO COMPANIES WITH POOR ENVIRONMENTAL PRACTICES INCLUDING SEVERAL FOSSIL FUEL AND MINING COMPANIES. *RECOGNIZED 27 STAFF MEMBERS WITH HEALTHY ENVIRONMENT AWARDS FOR DEMONSTRATING OUTSTANDING EFFORTS TOWARD PERSONAL HEALTH OR ENVIRONMENTAL STEWARDSHIP. *ENGAGED STAFF TO CONSERVE RESOURCES THROUGH CAMPAIGNS THAT ENCOURAGED PRINT MANAGEMENT AND ENERGY REDUCTION BEST PRACTICES. *PLEASE SEE ADVOCATE HEALTH CARE'S PUBLICLY-FACING SUSTAINABILITY & WELLNESS WEBSITE FOR MORE INFORMATION. 3. HOSPITAL-BASED ENVIRONMENTAL IMPROVEMENTS IN 2017 ADVOCATE CHRIST MEDICAL CENTER *EARNED U.S. GREEN BUILDING COUNCIL LEADERSHIP IN ENERGY AND EFFICIENT DESIGN (LEED) GOLD CERTIFICATION FOR THE NEW EAST PATIENT TOWER, WHICH TOUTS A 34% ENERGY AND 33% WATER USE REDUCTION. *PURCHASED 1,847 FEWER REAMS OF PAPER IN 2017 VERSUS 2016, TRANSLATING INTO A 5.4% YEAR OVER YEAR REDUCTION IN PAPER USAGE. *AVOIDED 18,600 POUNDS OF MEDICAL AND SOLID WASTE THROUGH ITS MEDICAL AND SURGICAL DEVICE REPROCESSING PROGRAMS. *THROUGH A PARTNERSHIP WITH ITS PRODUCE VENDOR, CHRIST HOSTED TWO FARMERS MARKETS ON CAMPUS; LEFTOVER PRODUCE WAS DONATED TO LOCAL FOOD PANTRIES FOR REDISTRIBUTION TO THE COMMUNITY. *DONATED 59 PALLETS OF VARIOUS MEDICAL SUPPLIES AND 12 EXAM TABLES TO PROJECT CURE FOR USE IN RESOURCE-LIMITED AREAS AROUND THE WORLD IN 2017. ADVOCATE LUTHERAN GENERAL HOSPITAL *LUTHERAN GENERAL HOSPITAL DIVERTED OVER ONE MILLION POUNDS OF OPERATING WASTE FROM THE LANDFILL THROUGH ITS VARIOUS RECYCLING PROGRAMS. *PURCHASED 1,922 FEWER REAMS OF PAPER IN 2017 VERSUS 2016, TRANSLATING INTO A 5% YEAR OVER YEAR REDUCTION IN PAPER USAGE. *AVOIDED 20,000 POUNDS OF MEDICAL AND SOLID WASTE THROUGH ITS MEDICAL AND SURGICAL DEVICE REPROCESSING PROGRAMS. *PURCHASED 99% THIRD-PARTY CERTIFIED GREEN CLEANERS FOR SELECT CLEANING PRODUCT CATEGORIES (WINDOW, FLOOR, CARPET, BATHROOM, AND GENERAL-PURPOSE CLEANERS). *IN 2017, LUTHERAN GENERAL DONATED 12 PALLETS OF VARIOUS MEDICAL SUPPLIES TO PROJECT CURE FOR USE IN RESOURCE-LIMITED AREAS AROUND THE WORLD. ADVOCATE GOOD SAMARITAN HOSPITAL *COMPLETED CONSTRUCTION ON THE NEW WEST TOWER, WHICH EARNED LEED SILVER CERTIFICATION FROM THE U.S. GREEN BUILDING COUNCIL. *USED 4% LESS ENERGY PER SQUARE FOOT IN 2017 VERSUS 2016 (WEATHER NORMALIZED). *DIVERTED OVER 767,000 POUNDS OF OPERATING WASTE FROM THE LANDFILL THROUGH ITS VARIOUS RECYCLING PROGRAMS. *AVOIDED 17,400 POUNDS OF MEDICAL AND SOLID WASTE IN 2016 THROUGH ITS MEDICAL AND SURGICAL DEVICE REPROCESSING PROGRAMS. *PURCHASED 1,768 FEWER REAMS OF PAPER IN 2017 VERSUS 2016, TRANSLATING INTO A 4.9% YEAR OVER YEAR REDUCTION IN PAPER USAGE. *IN 2017, GOOD SAMARITAN DONATED 19 PALLETS OF VARIOUS MEDICAL SUPPLIES AND 30 PIECES OF MEDICAL EQUIPMENT TO PROJECT CURE FOR USE IN RESOURCE-LIMITED AREAS AROUND THE WORLD. ADVOCATE GOOD SHEPHERD HOSPITAL *DONATED LAND TO AND PARTNERED WITH A LOCAL NON-PROFIT ORGANIZATION, SMART FARM, TO GROW VEGETABLES AND TEACH THE COMMUNITY HOW TO GROW ORGANIC FOOD AND EAT HEALTHY. THE SMART FARM DONATED OVER 5,700 POUNDS OF FRESH PRODUCE TO LOCAL FOOD PANTRIES IN 2017. *USED OVER 12% LESS ENERGY PER SQUARE FOOT IN 2017 THAN IN 2016 (WEATHER NORMALIZED). *DIVERTED OVER 550,000 POUNDS OF OPERATING WASTE FROM THE LANDFILL THROUGH ITS VARIOUS RECYCLING PROGRAMS. *AVOI
PART VI, LINE 6. AFFILIATED HEALTH CARE SYSTEMIN SERVICE OF ITS MISSION, ADVOCATE HEALTH CARE SUPPORTS SYSTEM-WIDE PROGRAMS THAT ADDRESS THE HEALTH NEEDS OF PATIENTS, FAMILIES AND THE COMMUNITIES SERVED. ADVOCATE HEALTH CARE'S BOARD OF DIRECTORS, SENIOR LEADERSHIP AND ASSOCIATES (EMPLOYEES) ARE COMMITTED TO POSITIVELY AFFECTING THE HEALTH STATUS AND QUALITY OF LIFE OF INDIVIDUALS AND POPULATIONS IN COMMUNITIES SERVED BY ADVOCATE THROUGH PROGRAMS AND PRACTICES THAT REFLECT ADVOCATES WHOLISTIC PHILOSOPHY. TO THAT END, THEY CONTINUE TO DEVELOP AND SUPPORT INITIATIVES THAT ENHANCE ACCESS TO HEALTH AND WELLNESS SERVICES WITHIN THE DIVERSE COMMUNITIES THAT ADVOCATE SERVES. SYSTEM LEADERSHIP DIRECTS AND SUPPORTS THE HOSPITALS IN THEIR EFFORTS TO ADDRESS IDENTIFIED COMMUNITY HEALTH NEEDS. ADVOCATE HEALTH CARE CREATED A COMMUNITY HEALTH DEPARTMENT IN 2016, LED BY A SYSTEM EXECUTIVE AND STAFFED WITH PUBLIC/COMMUNITY HEALTH SPECIALISTS TO EXECUTE COMMUNITY NEEDS ASSESSMENTS, EVIDENCE BASED PROGRAM DEVELOPMENT AND COLLABORATIVE PARTNERSHIPS WITHIN THE COMMUNITIES SERVED BY ADVOCATE. PRIOR TO THIS TIME, THE COMMUNITY FACING FUNCTION WAS LED BY A TEAM OF SYSTEM-LEVEL INDIVIDUALS WHOSE JOB RESPONSIBILITIES INCLUDED VARIOUS COMMUNITY ROLES MORE CLOSELY ALIGNED WITH COMMUNITY RELATIONS. DURING THE INITIAL 2011-2013 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) CYCLE, THE SYSTEM LEADERS PROVIDED OVERSIGHT AND SUPPORT TO THE HOSPITALS FOR DEVELOPING THEIR CHNAS AND SUBSEQUENT PROGRAMMING. IN 2016, ADVOCATES NEW COMMUNITY HEALTH TEAM CONDUCTED COMPREHENSIVE CHNAS (2014-2016) AND POSTED GOVERNANCE-APPROVED CHNA REPORTS AND CHNA IMPLEMENTATION PLANS ON ADVOCATE'S WEBPAGE IN COMPLIANCE WITH THE AFFORDABLE CARE ACT. AT THE DIRECTION OF THE SYSTEM LEVEL, COMMUNITY HEALTH DEPARTMENT LEADERSHIP ALSO MET MONTHLY IN LATE 2016 THROUGH FIRST QUARTER 2017 TO SIGNIFICANTLY REVISE ADVOCATE HEALTH CARE'S COMMUNITY BENEFITS PLAN. THE PLANS GOALS AND OBJECTIVES WERE CRAFTED AND EXPANDED TO BUILD ON RECENT LEARNINGS AND INCREASED FOCUS ON COMMUNITY HEALTH. THE PLAN'S BROAD GOALS AND OBJECTIVES WERE DESIGNED TO STRUCTURE SYSTEM-WIDE COMMUNITY BENEFITS ACTIVITIES WITHIN A STRATEGIC FRAMEWORK. INCLUDED IN THE COMMUNITY BENEFITS PLAN ARE GOALS FOCUSED ON SYSTEM-WIDE EFFORTS TO ADDRESS THE BROADER ISSUES OF DISPARITY AND ACCESS, AND TO ALIGN HOSPITAL COMMUNITY HEALTH PLANS WITH SYSTEM STRATEGY AS COMMUNITY HEALTH PLANS AND IMPLEMENTATION STRATEGIES EVOLVE. ADVOCATE'S COMMUNITY BENEFITS PLAN ALSO SETS THE COURSE FOR STRENGTHENING EXISTING PARTNERSHIPS AND BUILDING NEW ONES TO LEVERAGE AND MAXIMIZE THE IMPACT OF ADVOCATES PROGRAMS IN ITS SERVICE AREAS. ADVOCATE'S COMMUNITY BENEFITS PLAN GOALS AND SPECIFIC EXAMPLES OF PROGRAMS AND SERVICES THAT ARE DIRECTED AND MANAGED AT THE SYSTEM LEVEL ARE PROVIDED BELOW. GOAL A: OPTIMIZE ADVOCATE'S CAPACITY TO MANAGE AN EFFECTIVE COMMUNITY HEALTH STRATEGY BY IMPLEMENTING REGULAR COMMUNITY HEALTH ASSESSMENTS (CHNAS) AND USING DATA FROM THESE ASSESSMENTS TO GUIDE PROGRAM DEVELOPMENT. DURING 2016, ALL ELEVEN ADVOCATE HEALTH CARE HOSPITALS COMPLETED COMPREHENSIVE COMMUNITY HEALTH NEEDS ASSESSMENTS IN COLLABORATION WITH HEALTH DEPARTMENTS, OTHER HOSPITALS, AND COMMUNITY ORGANIZATIONS. ADVOCATE CHILDRENS HOSPITAL, WITH INTEGRATED SITES AT BOTH ADVOCATE LUTHERAN GENERAL HOSPITAL AND ADVOCATE CHRIST MEDICAL CENTER, CONTRIBUTED TO ASSESSMENTS AT THOSE TWO HOSPITALS. ALL THE ADVOCATE HOSPITAL ASSESSMENTS ARE AVAILABLE THROUGH THE ADVOCATE HEALTH CARE WEBSITE AT: HTTP://WWW.ADVOCATEHEALTH.COM/CHNAREPORTS AS A FIRST STEP TOWARD DEVELOPING A 2017-2019 IMPLEMENTATION PLAN, THE SYSTEM DIRECTED THE HOSPITAL COMMUNITY HEALTH LEADERS AND STAFF TO IDENTIFY THE STRENGTHS AND OPPORTUNITIES FOR IMPROVEMENT WITHIN THE JUST COMPLETED CYCLE (2014-2016), AS WELL AS IDEAS FOR NEW DATA SOURCES, AND NEEDS FOR PROFESSIONAL DEVELOPMENT RELATED TO THE OVERALL CHNA PROCESS. A NUMBER OF STRENGTHS WERE IDENTIFIED INCLUDING DEVELOPMENT OF LOCAL COMMUNITY HEALTH COUNCILS (CHC), INVOLVEMENT OF HOSPITAL GOVERNING COUNCIL MEMBERS IN THE CHCS, PARTNERSHIPS WITH HEALTH DEPARTMENTS, DATA FROM THE HEALTHY COMMUNITIES INSTITUTE, ESPECIALLY THE ZIP CODE LEVEL HOSPITALIZATION AND EMERGENCY ROOM UTILIZATION DATA, AND THE SHARING OF TEMPLATES AND APPROACHES ACROSS HOSPITAL SITES. ADDITIONAL PROFESSIONAL DEVELOPMENT REGARDING DATA RETRIEVAL, ANALYSIS, AND SUMMARIZATION AS WELL AS PROGRAM DEVELOPMENT WERE IDENTIFIED. A PROFESSIONAL DEVELOPMENT PLAN WAS IMPLEMENTED FOR ALL INTERNAL COMMUNITY HEALTH STAFF IN 2017. CHNA DATA TRAINING WAS CONDUCTED USING THE HEALTHY COMMUNITIES INSTITUTE (HCI) PLATFORM WITH THE TEAM RECEIVING TRAINING REGARDING RUNNING VARIOUS TYPES OF REPORTS AND CROSS COMPARING DATA IN HCI. UPDATE PRESENTATIONS WERE HELD AT SELECTED MONTHLY STAFF MEETINGS REGARDING NEW CAPACITIES OF THE HCI PLATFORM FOR REPORTS AND DATA PRESENTATION. ADDITIONALLY, ALL STAFF PROVIDED INPUT REGARDING TRAINING NEEDS RESULTING IN THE ESTABLISHMENT OF A SET OF MINIMUM STANDARD DATA REQUIREMENTS ADVOCATE WILL BE USING FOR THE NEXT CHNA CYCLE. COMMUNITY HEALTH STAFF PULLED DATA AS PART OF LEARNING EXERCISES AND SHARED FINDINGS FROM THEIR UNIQUE SERVICE AREAS WITH PEERS IN A PEER REVIEW MODEL. IN 2018, THE TRAINING FOCUS WILL BE ON DATA ANALYSIS, DATA INTERPRETATION AND PROGRAM DEVELOPMENT AND EVALUATION. GOAL B: UNDERTAKE OR SUPPORT INITIATIVES THAT ENHANCE ACCESS TO HEALTH CARE, PREVENTION AND WELLNESS SERVICES ACROSS THE LIFESPAN AND WITHIN THE DIVERSE COMMUNITIES ADVOCATE SERVES. CHARITY CARE AS A NON-PROFIT HEALTH CARE SYSTEM, ADVOCATE PROVIDES CHARITY AND FINANCIAL ASSISTANCE TO PATIENTS IN NEED. ALTHOUGH ADVOCATES SYSTEM-WIDE CHARITY CARE POLICY IS VERY GENEROUS, ADVOCATE CONTINUES TO REVIEW AND REFINE ITS POLICY IN AN ONGOING EFFORT TO ENSURE THAT FINANCIAL ASSISTANCE IS AVAILABLE TO THOSE IN NEED IN A TIMELY MANNER. WHILE EACH HOSPITAL HAS A CHARITY CARE COUNCIL TO REVIEW APPLICATIONS AND DETERMINE ELIGIBILITY, SYSTEM FINANCE LEADERS ARE RESPONSIBLE FOR ONGOING POLICY REVIEW AND REFINEMENTS TO ASSURE THAT ADVOCATE CONTINUES TO PROVIDE FINANCIAL ASSISTANCE TO INDIVIDUALS WHO NEED HELP, WHEN THEY NEED IT. FEDERALLY QUALIFIED HEALTH CENTERS IN ADDITION, ADVOCATES SYSTEM LEADERS ENCOURAGE AND SUPPORT ITS HOSPITALS INITIATIVES TO PARTNER WITH FEDERALLY QUALIFIED HEALTH CENTERS (FQHC), PUBLIC HEALTH DEPARTMENTS AND COMMUNITY CLINICS IN ORDER TO ASSIST THE UNINSURED IN FINDING INSURANCE COVERAGE AND MEDICAL SERVICES. FOR EXAMPLE, ADVOCATE SOUTH SUBURBAN HOSPITAL HAS A PARTNERSHIP WITH AUNT MARTHAS YOUTH SERVICE CENTER, AN FQHC, TO IMPROVE ACCESS TO PRIMARY CARE SERVICES FOR UNINSURED AND UNDERINSURED INDIVIDUALS IN ITS SERVICE AREA. ADVOCATE BROMENN MEDICAL CENTER MAINTAINS A COMMUNITY HEALTH CLINIC IN COLLABORATION WITH OSF ST. JOSEPHS HOSPITAL, WHEREBY ADVOCATE BROMENN MEDICAL CENTER IS RESPONSIBLE FOR A PORTION OF THE HOSPITAL CARE FOR THE CLINIC PATIENTS HOSPITAL CARE THROUGHOUT THE YEAR. BROMENN IS ALSO THE SOLE PROVIDER OF THE CLINICS INFORMATION TECHNOLOGY (IT) SUPPORT AND PROVIDES THE SPACE OCCUPIED BY THE CLINIC. IN ADDITION, BROMENN MEDICAL CENTER, THROUGH AN INFORMAL REFERRAL AGREEMENT IN PLACE SINCE 2010, COLLABORATES WITH CHESTNUT HEALTH SYSTEMS. CHESTNUT HEALTH SYSTEMS OWNS AND OPERATES AN FQHC IN BLOOMINGTON AND PATIENTS ARE SOMETIMES REFERRED TO BROMENN MEDICAL CENTER FOR SERVICES. WORKING WITH OTHER AREA HOSPITALS, ADVOCATE GOOD SAMARITAN HOSPITAL PROVIDES SUPPORT THROUGH THE DUPAGE HEALTH COALITION TO SUSTAIN THE ACCESS DUPAGE COMMUNITY PROGRAM A COMMUNITY COLLABORATION DESIGNED TO PROVIDE LOW-COST PRIMARY MEDICAL CARE SERVICES TO THE LOW-INCOME, MEDICALLY UNINSURED RESIDENTS OF DUPAGE COUNTY. IN ADDITION, THE HOSPITAL PARTNERS WITH THE DUPAGE COUNTY HEALTH DEPARTMENT'S ENGAGE DUPAGE INITIATIVE FOR INDIGENT PATIENT FINANCIAL ELIGIBILITY IN THE EMERGENCY ROOM AND TO ASSIST WITH OUTPLACEMENT SERVICES FOR THOSE PATIENTS WHO COULD BENEFIT FROM TREATMENT PROGRAMS, PLACEMENT WITH A PRIMARY CARE PROVIDER (PCP), DENTAL CARE, ETC. ADVOCATE HEALTH CARE ALSO WORKS TO IMPROVE THE PROVISION OF SERVICES TO INDIVIDUALS AND FAMILIES WHO ARE COVERED BY MEDICARE AND MEDICAID AND SEEK SERVICES FROM ADVOCATE'S OVER 400 SITES OF CARE. ADVOCATE COLLABORATES WITH VARIOUS COMMUNITY-BASED ORGANIZATIONS (CBOS) AND FQHC'S IN INNOVATIVE WAYS TO ESTABLISH PRIMARY CARE RELATIONSHIPS FOR MEDICAID AND UNINSURED PATIENTS. ADVOCATE ACCOUNTABLE CARE ENTITY (ACE) AS ONE OF THE LARGEST PROVIDERS OF HEALTH CARE SERVICES TO MEDICARE AND MEDICAID PATIENTS IN CHICAGO AND THE SURROUNDING SUBURBS, ADVOCATE HEALTH CARE'S MEDICAID ACCOUNTABLE CARE ORGANIZATION (ACO), ALSO KNOWN AS THE ADVOCATE ACCOUNTABLE CARE ENTITY, TRANSITIONED TO MERIDIAN FAMILY HEALTH PLAN (FHP) OF ILLINOIS AS PART OF AN INTEGRATED CARE MODEL ON APRIL 1, 2016. THE ADVOCATE/MERIDIAN FHP PARTNERSHIP AND COLLABORATION WAS DRIVEN LARGELY BY CHANGES TO THE MEDICAID PROGRAM IN ILLINOIS AND WAS DESIGNED TO ENSURE CURRENT MEDICAID MEMBERS CONTINUE TO RECEIVE HIGH-QUALITY AND WELL-COORDINATED CARE DELIVERED
ENVIRONMENTAL STEWARDSHIPADVOCATE BELIEVES THAT ENVIRONMENTAL HEALTH DEEPLY IMPACTS PERSONAL HEALTH AND THE HEALTH OF COMMUNITIES. GROUNDED IN OUR FAITH BELIEFS THAT GUIDE OUR HEALTH MINISTRY, WE ARE CALLED TO CARE FOR THE EARTH AND WORK DILIGENTLY TO MINIMIZE OUR ENVIRONMENTAL IMPACT AND CONTRIBUTE POSITIVELY TO EFFORTS THAT PRESERVE HEALTHY ENVIRONMENTS FOR GENERATIONS TO COME. ADVOCATE IS INVOLVED AS A LEADER IN THE HEALTH CARE SUSTAINABILITY ARENA AS AN ACTIVE MEMBER OF HEALTH CARE WITHOUT HARM, PRACTICE GREENHEALTH, HEALTH CARE CLIMATE COUNCIL AND THE MIDWEST BUSINESS GROUP ON HEALTH, AS WELL AS HEALTH CARE ANCHORS (FOCUSED ON ENVIRONMENTAL STEWARDSHIP, SUSTAINABILITY, EQUITABLE PROCUREMENT AND WORK FORCE DEVELOPMENT). IN 2010, ADVOCATE BECAME A FOUNDING SPONSOR OF THE HEALTHIER HOSPITALS INITIATIVE, A THREE-YEAR NATIONAL CAMPAIGN TO IMPLEMENT BEST PRACTICES FOCUSED ON IMPROVING SUSTAINABILITY IN THE HEALTH CARE SECTOR. HEALTHIER HOSPITALS IS NOW A PERMANENT PROGRAM OF PRACTICE GREENHEALTH. THE PROGRAM ENGAGES OVER 1,300 HOSPITALS IN CHALLENGES IN SIX CATEGORIES: ENGAGED LEADERSHIP, HEALTHIER FOODS, LESS WASTE, LEANER ENERGY, SAFER CHEMICALS AND SMARTER PURCHASING. IN 2008, ADVOCATE EMBARKED ON A JOURNEY TO REDUCE ITS CARBON FOOTPRINT AND TO BECOME THE MOST ENERGY EFFICIENT HEALTH SYSTEM IN THE COUNTRY. BY 2015, ADVOCATE HAD REDUCED ENERGY CONSUMPTION BY 23% FROM THE 2008 BASELINE, REDUCING ENERGY USE BY AN ADDITIONAL 2.1% IN 2017 AND 4.2% SINCE 2015. THE CURRENT GOAL IS TO REDUCE ENERGY UTILIZATION BY YET AN ADDITIONAL 16%, FOR A TOTAL OF 20% REDUCTION OVER THE 2015 BASELINE BY 2020. PROJECT C.U.R.E. (COMMISSION ON URGENT RELIEF AND EQUIPMENT) ADVOCATE IS AN OFFICIAL DONATION PARTNER OF PROJECT C.U.R.E., THE WORLDS LEADING MEDICAL SUPPLY DISTRIBUTION ORGANIZATION BENEFITING RESOURCE-LIMITED AREAS ACROSS THE GLOBE. SURPLUS MEDICAL SUPPLIES AND DECOMMISSIONED EQUIPMENT ARE DONATED TO PROJECT C.U.R.E. AND MANY ADVOCATE ASSOCIATES ALSO VOLUNTEER TIME AT ITS WAREHOUSE-SORTING AND PACKAGING SUPPLIES FOR DISTRIBUTION OVERSEAS. IN 2017, ADVOCATE DONATED A TOTAL OF 157 PALLETS OF MISCELLANEOUS MEDICAL SUPPLIES, 31 BEDS, MATTRESSES, EXAM TABLES OR FURNITURE, AND 83 PIECES OF MEDICAL EQUIPMENT TO PROJECT CURE. STAKEHOLDER HEALTH ADVOCATE IS A FOUNDING MEMBER AND INVESTING PARTNER OF STAKEHOLDER HEALTH, FORMERLY KNOWN AS HEALTH SYSTEMS LEARNING GROUP. MEMBERS OF ADVOCATE STAFF SERVE ON THE ADVISORY COUNCIL AND HAVE BEEN ACTIVELY INVOLVED IN OFFERING THOUGHT LEADERSHIP AS WELL AS CONTRIBUTING TO THE WRITING OF TWO SEMINAL DOCUMENTS-A 2013 HEALTH SYSTEMS LEARNING GROUP MONOGRAPH HTTPS://STAKEHOLDERHEALTH.ORG/PDF/ AND A 2016 BOOK, STAKEHOLDER HEALTH: INSIGHTS FROM NEW SYSTEMS OF HEALTH HTTPS://STAKEHOLDERHEALTH.ORG/STAKEHOLDER-HEALTH-CHAPTER-1/. THE LATTER PUBLICATION, DEVELOPED AND PUBLISHED WITH THE SUPPORT OF THE ROBERT WOOD JOHNSON FOUNDATION, IS A RICH AND DETAILED REVIEW OF SOME OF THE BEST PRACTICES IN THE AREAS OF COMMUNITY HEALTH IMPROVEMENT, AND CLINICAL AND COMMUNITY PARTNERSHIPS. THE FIRST RELEASE OF THE BOOK OCCURRED AT AN EVENT AT CHICAGO THEOLOGICAL SEMINARY AND WAS PLANNED AND EXECUTED BY ADVOCATE HEALTH CARE STAFF AND STAFF OF THE CENTER FOR FAITH AND COMMUNITY HEALTH TRANSFORMATION. STAKEHOLDER HEALTH ASPIRES TO IDENTIFY AND ACTIVATE A MENU OF PROVEN COMMUNITY HEALTH PRACTICES AND PARTNERSHIPS THAT WORK FROM THE TOP OF THE MISSION STATEMENT TO THE BOTTOM LINE. SPARKED BY A SERIES OF STAKEHOLDER MEETINGS AT THE WHITE HOUSE WITH REPRESENTATIVES OF THE DEPARTMENT OF HEALTH & HUMAN SERVICES CENTER FOR FAITH-BASED & NEIGHBORHOOD PARTNERSHIPS, THE GROUP IS A SELF-ORGANIZED LEARNING COLLABORATIVE OF OVER 50 HOSPITALS AND HEALTH SYSTEMS THAT HAVE ENGAGED IN A SERIES OF MEETINGS ACROSS THE COUNTRY OVER THE PAST FOUR YEARS. MEMBERS OF STAKEHOLDER HEALTH SHARE A COMMITMENT TO THE OPTIMAL FULFILLMENT OF THEIR CHARITABLE MISSION, FOCUSING THEIR EFFORTS IN COMMUNITIES WHERE HEALTH INEQUITIES ARE MOST PREVALENT. INSPIRED BY THE PASSAGE OF THE PATIENT PROTECTION AND AFFORDABLE CARE ACT, AND MOTIVATED BY THE RECOGNITION OF THE NEED TO TRANSFORM OUR ORGANIZATIONS AND OUR COMMUNITIES, THE GROUP MADE A COMMITMENT TO ACCELERATE THIS TRANSFORMATIONAL PROCESS. THE AIM IS TO DO SO BY FOSTERING THE SHARING OF INNOVATIVE PRACTICES THAT IMPROVE POPULATION HEALTH AND THROUGH THE DEVELOPMENT OF COORDINATED STRATEGIES THAT TAKE INNOVATION TO SCALE. SUSTAINABLE BUILDING SUSTAINABILITY, SAFETY AND EFFICIENCY ARE CORE ELEMENTS OF ALL ADVOCATE CONSTRUCTION PROJECTS. IN 2017, 82% OR 2,535 TONS OF ADVOCATE CONSTRUCTION WASTE WAS RECYCLED. ADVOCATE IS PURSUING LEADERSHIP IN ENERGY AND ENVIRONMENTAL DESIGN (LEED) CERTIFICATION ON ALL NEW MAJOR BUILDINGS AND HAS DEVELOPED A NEW TOOL, THE HEALTHY SPACES ROADMAP, TO ENSURE SUSTAINABILITY IN ALL RENOVATIONS AND PROJECTS THROUGHOUT ADVOCATE. IN 2017, ADVOCATE CHRIST MEDICAL CENTER'S EAST TOWER WAS LEED GOLD HEALTHCARE CERTIFIED. PROJECTS AT THREE MORE ADVOCATE HOSPITALS-GOOD SAMARITAN, GOOD SHEPHERD AND LUTHERAN GENERAL-ARE CURRENTLY PURSUING LEED CERTIFICATION. SUSTAINABLE WORK SPACES BEING GREEN AT WORK IS EASIER WHEN THE WORK ENVIRONMENT IS CONDUCIVE TO SUSTAINABLE PRACTICES. AT ADVOCATE, INDOOR AIR QUALITY IS INCREASED AND EXPOSURE TO TOXIC CHEMICALS DECREASED THROUGH ENVIRONMENTALLY-PREFERABLE PURCHASING, INCLUDING FURNITURE, CLEANING PRODUCTS AND MEDICAL SUPPLIES. ASSOCIATES ARE EMPOWERED TO CREATE SUSTAINABLE WORK SPACES THROUGH THE GREEN ADVOCATE AND SUSTAINABLE WORK SPACE CERTIFICATION PROGRAMS. ALL STAFF AND VOLUNTEERS ARE ENCOURAGED TO REDUCE WASTE, RECYCLE AND UTILIZE ELECTRICITY EFFECTIVELY. BEING GREEN IS A TEAM EFFORT AND MANY METRICS ARE TRACKED AND REPORTED AT ADVOCATE SITES. ADVOCATE BETHANY COMMUNITY HEALTH FUND ("BETHANY FUND") AS INTRODUCED EARLIER, THE BETHANY FUND ADDRESSES THE UNIQUE HEALTH NEEDS OF FOUR TARGETED UNDERSERVED COMMUNITIES ON CHICAGOS WEST SIDE [AUSTIN, GARFIELD PARK, HUMBOLDT PARK AND NORTH LAWNDALE] BY AWARDING GRANTS TO PROGRAMS THAT PROMOTE HEALTH AND WELLNESS AND REDUCE HEALTH DISPARITIES AND THEIR DETERMINANTS. PRIORITY AREAS INCLUDE DIABETES, SCHOOL DROPOUT PREVENTION, VIOLENCE PREVENTION AND WORKFORCE DEVELOPMENT. SINCE 2007, THE BETHANY FUND HAS AWARDED OVER $9 MILLION THROUGH 375 GRANTS SERVING NEARLY 60,000 INDIVIDUALS. IN 2017, THE FUND AWARDED $825,000 TO 34 GRANTEES. GRANTEE PROGRAMS THIS PAST YEAR INCLUDED THE FOLLOWING: PROJECT HOPE (GARFIELD PARK) WHICH SERVES PREGNANT AND PARENTING TEENS AS WELL AS YOUNG ADULTS THROUGH A PROGRAM THAT ADDRESSES THE NEGATIVE EFFECTS OF VIOLENCE ON INDIVIDUALS AND THEIR FAMILIES; ST. AGATHA PARISH (NORTH LAWNDALE) IN PARTNERSHIP WITH MUSIC IN URBAN SCHOOLS INSPIRING CHANGE TO PROVIDE TUITION-FREE VIOLIN LESSONS TO LOCAL STUDENTS; CHRIST THE KING (AUSTIN) TO SUPPORT STUDENTS ON THE WEST SIDE IN ACHIEVING ACADEMIC EXCELLENCE; AND FREE SPIRIT MEDIA, (NORTH LAWNDALE) TO PROVIDE A COMPREHENSIVE FOUNDATION IN MEDIA LITERACY AND HANDS-ON MEDIA PRODUCTION EXPERTISE TO YOUTH AND YOUNG ADULTS ON CHICAGOS WEST SIDE. IN ADDITION TO ITS GRANT MAKING ROLE, THE BETHANY FUND INVESTS SUBSTANTIAL STAFF TIME AND FINANCIAL RESOURCES TO SUPPORT ORGANIZATIONAL CAPACITY-BUILDING EFFORTS. MANY OF THE GRANTEE ORGANIZATIONS ARE SMALL WITH LIMITED STAFF THAT BENEFIT FROM SUPPORT TO STRENGTHEN ORGANIZATIONAL INFRASTRUCTURE AND BUILD LEADERSHIP CAPACITY. TO HELP FOSTER GROWTH AND SUSTAINABILITY FOR THESE ORGANIZATIONS, THE BETHANY FUND PROVIDES CAPACITY-BUILDING GRANTS AND SERVICES IN AREAS SUCH AS FUND RAISING, BOARD DEVELOPMENT, STRATEGIC PLANNING, HUMAN RESOURCES AND FINANCE. TO DATE, THE FUND HAS INVESTED NEARLY $270,000 IN CAPACITY-BUILDING AND PROFESSIONAL-DEVELOPMENT SESSIONS THAT HAVE ENGAGED OVER 1,150 STAFF FROM GRANTEE AND COMMUNITY-BASED ORGANIZATIONS. GOAL E: LEVERAGE RESOURCES AND MAXIMIZE COMMUNITY ENGAGEMENT BY BUILDING AND STRENGTHENING COMMUNITY PARTNERSHIPS WITH HEALTH DEPARTMENTS AND OTHER DIVERSE COMMUNITY ORGANIZATIONS. A KEY OBJECTIVE UNDER THIS GOAL IS ALIGNING INITIATIVES WITH LOCAL HEALTH DEPARTMENTS AND THEIR COMMUNITY HEALTH PRIORITIES. ALL ADVOCATE HOSPITALS COLLABORATED WITH THEIR RESPECTIVE HEALTH DEPARTMENTS DURING THE 2014-2016 COMMUNITY HEALTH NEEDS ASSESSMENT (CHNA) CYCLE. ONE OF THE PRIMARY VALUES OF ADVOCATES COMMUNITY HEALTH DEPARTMENT IS COLLABORATION WITH PARTNERS, PREFERABLY THROUGH A COLLECTIVE IMPACT MODEL. ONE OF THE PRINCIPAL PARTNERS IN PROVIDING FOR COMMUNITY NEEDS IS THE LOCAL HEALTH DEPARTMENT. WHILE AT THE DIRECTION OF THE SYSTEM, ALL HOSPITALS ACTIVELY PARTICIPATED IN COLLABORATIVE ASSESSMENTS AND HEALTH IMPROVEMENT PLANNING WITH THEIR LOCAL HEALTH DEPARTMENTS FOR THE 2014-2016 CHNA PROCESS AND ARE DOING SO AGAIN FOR THE 2017-2019 PROCESS. THERE IS ONE NOTABLE COLLABORATION IN PARTICULAR IN WHICH ADVOCATE SYSTEM LEVEL LEADERSHIP PLAYED A VITAL ROLE. HEALTH IMPACT COLLABORATIVE OF COOK COUNTY (HICCC). AS INTRODUCED EARLIER, ADVOCATE HEALTH CARE, PRESENCE HEALTH AND THE ILLINOIS PUBLIC HEALTH INSTITUTE (IPHI) WERE THE THREE FOUNDIN
GOAL F: PROMOTE ACCOUNTABILITY FOR SYSTEM AND SITE ALIGNMENTBY INCREASING PROGRAM COORDINATION AND DEVELOPING STRONG GOVERNANCE RELATIONSHIPS. KEY TO DEVELOPING STRONG GOVERNANCE RELATIONSHIPS WAS ESTABLISHING SYSTEM BOARD ENGAGEMENT IN SUPPORT OF ADVOCATES COMMUNITY HEALTH VISION. AS THE FUNCTION ACCOUNTABLE FOR ADVOCATES SYSTEM-WIDE CHNA PROCESS AND BOTH CHNA AND STATE COMMUNITY BENEFITS REGULATORY REPORTING, THE COMMUNITY HEALTH DEPARTMENT PROVIDES UPDATES AT LEAST ANNUALLY TO ADVOCATES BOARD OF DIRECTORS. THE MISSION AND SPIRITUAL CARE COMMITTEE OF THE ADVOCATE BOARD OF DIRECTORS IS RESPONSIBLE FOR THE ADOPTION OF COMMUNITY HEALTH STRATEGY AND OBJECTIVES FOR THE SYSTEM, AND UPDATES ARE PROVIDED ANNUALLY OR MORE FREQUENTLY AS REQUESTED TO KEEP THE COMMITTEE INFORMED OF KEY HOSPITAL FOCUS AREAS AND CHNA IMPLEMENTATION PLAN PROGRESS. AS INDICATED EARLIER, ADVOCATE HEALTH CARE ESTABLISHED A COMMUNITY HEALTH DEPARTMENT IN LATE 2015 AND THE DEPARTMENT WAS FULLY STAFFED AND OPERATING BY JANUARY 2016. THE DEPARTMENTS FIRST ORDER OF BUSINESS WAS TO DEVELOP A MISSION, VALUES AND VISION (MVV) TO GUIDE ITS ACTIONS. THE DEPARTMENT'S MISSION IS "TO TRANSFORM THE HEALTH AND WELL-BEING OF THE COMMUNITIES WE SERVE BY PROMOTING PREVENTION AND ENSURING HEALTH EQUITY, THROUGH COLLABORATIVE PARTNERSHIPS AND EVIDENCE-BASED PRACTICES." THE DEPARTMENT'S VALUES ENCOMPASS BEING "ACCOUNTABLE, COLLABORATIVE, EQUITABLE, INCLUSIVE, RESILIENT, SUSTAINABLE, TRANSFORMATIVE AND TRANSPARENT." THROUGH THESE ATTRIBUTES, THE VISION "TO WORK COLLABORATIVELY TO TRANSFORM OUR ENVIRONMENT INTO COMMUNITIES WHERE HEALTH SERVICES ARE ACCESSIBLE AND INTEGRATED; PEOPLE ARE SUPPORTED; HEALTH EQUITY IS ACHIEVED AND RESULTS ARE MEASURABLE" WILL BE ACHIEVED. DURING 2016 AND TO SUPPORT ADVOCATE HOSPITALS PLANS TO IMPLEMENT PROGRAM STRATEGIES AS OUTLINED IN THEIR CHNA REPORTS DURING 2017, SITE-SPECIFIC COMMUNITY HEALTH DEPARTMENT BUDGETS WERE PUT IN PLACE AT ALL ADVOCATE HOSPITALS BY THE SYSTEM VICE PRESIDENT OF COMMUNITY HEALTH AND FAITH OUTREACH. HOSPITAL COMMUNITY HEALTH BUDGETS, INCLUDING ONGOING PROGRAM IMPLEMENTATION COSTS, STAFF SALARIES, ANNUAL CONTRACTED DATA ACCESS COSTS TO THE CONDUENT-HEALTHY COMMUNITIES INSTITUTE'S CHNA TOOL, TO PARTICIPATE IN THE ALLIANCE FOR HEALTH EQUITY (AHFE) AND FOR ANNUAL SUPPORT FOR AND USE OF THE LYON SOFTWARE CBISA (COMMUNITY BENEFITS REPORTING TOOL) WERE INCLUDED IN THE 2017 BUDGET CYCLE IN PREPARATION FOR YEAR 2018. HOSPITAL GOVERNING COUNCILS ALSO KEY TO PROMOTING ACCOUNTABILITY FOR COMMUNITY HEALTH THROUGHOUT ADVOCATE WAS A SYSTEM LEVEL IMPLEMENTED PROCESS FOR ESTABLISHING HOSPITAL-BASED GOVERNANCE OVERSIGHT FOR EACH HOSPITAL'S CHNA PROCESS, INCLUDING REVIEW AND APPROVAL OF THE HOSPITAL CHNA REPORT AND HIGH LEVEL STRATEGIES TO ADDRESS KEY SELECTED NEEDS THAT RESULTED FROM THE PRIORITY-SETTING PROCESS. TO THAT END, THE SYSTEM EXPANDED THE ROLE OF THE HOSPITAL GOVERNING COUNCILS TO INCLUDE OVERSIGHT OF THE CHNA PROCESS AND APPROVAL OF THE HOSPITAL CHNA REPORTS AND IMPLEMENTATION STRATEGIES. THIS HAS RESULTED IN COMMUNITY HEALTH BEING STRONGLY INTEGRATED INTO ADVOCATE GOVERNANCE STRUCTURES. COMMUNITY HEALTH COUNCILS COMPRISED OF COMMUNITY EXPERTS AND HOSPITAL LEADERS HAVE BEEN DEVELOPED AT EACH HOSPITAL. THESE COUNCILS ARE CO-LED BY THE HOSPITAL COMMUNITY HEALTH LEADER AND A HOSPITAL GOVERNING COUNCIL MEMBER. A MINIMUM OF 50% OF THE COUNCIL MEMBERS FOR THE 2016 CHNA REPORT CYCLE WERE COMMUNITY REPRESENTATIVES WITH A FOCUS ON PEOPLE WHO REPRESENTED UNDERSERVED AND VULNERABLE POPULATIONS. THE COUNCILS MET AT LEAST FOUR TIMES DURING THE YEAR. HOSPITAL COMMUNITY HEALTH STAFF ANALYZED AND PRESENTED PRIMARY AND SECONDARY COMMUNITY HEALTH DATA TO THE HOSPITALS' COMMUNITY HEALTH COUNCILS. THE COUNCIL MEMBERS IDENTIFIED THE HOSPITAL SERVICE AREAS SIGNIFICANT HEALTH NEEDS, SUBSEQUENTLY EMPLOYING A CONSENSUS BASED PRIORITY-SETTING PROCESS TO DETERMINE THE NEEDS UPON WHICH TO FOCUS. AS PART OF THE PRIORITIZATION PROCESS, THE COUNCILS SCANNED HOSPITAL AND COMMUNITY CHALLENGES AND ASSETS, AS WELL AS POTENTIAL PARTNERSHIPS WITH OTHER ORGANIZATIONS THAT MIGHT RESULT IN A LARGER HEALTH IMPROVEMENT IMPACT. CHNA DATA ASSESSMENT RESULTS AND RECOMMENDATIONS FOR HEALTH IMPROVEMENT PRIORITIES WERE PRESENTED TO THE FULL HOSPITAL GOVERNING COUNCILS FOR ENDORSEMENT. ONCE THE HEALTH IMPROVEMENT PRIORITIES AND STRATEGIES WERE APPROVED BY THE HOSPITAL GOVERNING COUNCILS, THE RESULTS WERE PRESENTED TO THE MISSION AND SPIRITUAL CARE COMMITTEE OF THE ADVOCATE HEALTH CARE BOARD OF DIRECTORS, CHARGED WITH SYSTEM OVERSIGHT OF COMMUNITY HEALTH PLANNING, FOR FINAL APPROVAL. SERVICE LINE AND POPULATION HEALTH ENGAGEMENT TO SUPPORT FURTHER ALIGNMENT WITHIN ADVOCATE, THE SYSTEM COMMUNITY HEALTH DEPARTMENT HAS ALSO WORKED TO ENGAGE SYSTEM DEFINED CLINICAL SERVICE LINES IN EXPANDING THEIR FOCUS ON COMMUNITY HEALTH. ADVOCATE IS VIEWED AS A LEADER IN THE POPULATION HEALTH MANAGEMENT ARENA. AN EARLY ADOPTER OF MANAGING CARE ACROSS POPULATIONS, ADVOCATE HAS SIGNIFICANT SUCCESS IMPROVING HEALTH OUTCOMES WHILE DECREASING OR MAINTAINING COST OF CARE DELIVERY. ADVOCATE'S COMMUNITY HEALTH DEPARTMENT HAS INTENTIONALLY ALIGNED WITH ADVOCATE POPULATION HEALTH LEADERS AND ADVOCATE SERVICE LINES. THIS ALIGNMENT ASSURES THAT MEMBERS OF THE COMMUNITIES ADVOCATE SERVES AND OUR PATIENTS RECEIVE COMMUNITY-BASED INTERVENTIONS, AS WELL AS EDUCATION AND PROGRAMMING THAT ALIGNS WITH THEIR HEALTH NEEDS. THE FOLLOWING ARE EXAMPLES OF EDUCATION AND PROGRAMMING ALIGNED WITH POPULATION HEALTH AND SERVICE LINE DEVELOPMENT THAT REFLECT THIS INTEGRATED APPROACH. BEHAVIORAL HEALTH BEHAVIORAL HEALTH COUNCIL INTEGRATION STRATEGIES HAVE INCLUDED COMMUNITY HEALTH STAFF OFFERING MENTAL HEALTH FIRST AID TO TARGETED COMMUNITY MEMBERS FOR THE PURPOSE OF REDUCING STIGMA, AND TRAINING COMMUNITY MEMBERS TO RECOGNIZE MENTAL HEALTH ISSUES AND UNDERSTAND APPROPRIATE INTERVENTIONS. IN 2017, OVER 400 COMMUNITY MEMBERS WERE TRAINED IN THE EIGHT-HOUR EVIDENCE-BASED PROGRAM. ADDITIONALLY, ALL HOSPITALS PARTICIPATE IN LOCAL BEHAVIORAL HEALTH AND SUBSTANCE ABUSE COLLABORATIVES. ADVOCATE PHYSICIAN PARTNERS (APP) ADVOCATE POPULATION HEALTH LEADERS AND ADVOCATE COMMUNITY HEALTH LEADERS ARE PARTNERING TO DEVELOP NEW APPROACHES TO PATIENT SCREENING AND RESOURCING FOR SOCIAL DETERMINANTS OF HEALTH. GOAL G: PROMOTE THE TRAINING OF FUTURE HEALTH PROFESSIONALS. TO FURTHER THE TRADITION OF PROVIDING MEDICAL EDUCATION TO UNDERGRADUATE AND GRADUATE MEDICAL STUDENTS AND NURSING STUDENTS, ADVOCATES SYSTEM LEVEL CLINICAL EDUCATION DEPARTMENT HAS DEVELOPED LONG-TERM ACADEMIC AFFILIATIONS WITH ALL MAJOR UNIVERSITIES IN THE CHICAGO METROPOLITAN AREA FOR THE EDUCATION AND TRAINING OF STUDENTS IN UNDERGRADUATE MEDICAL EDUCATION (UME), GRADUATE MEDICAL EDUCATION (GME), NURSING UNDERGRADUATE AND GRADUATE EDUCATION, AND IN NUMEROUS OTHER ALLIED HEALTH PROFESSIONAL FIELDS. ADVOCATE MEDICAL EDUCATION DEPARTMENTS MISSION IS TO TRAIN THE NEXT GENERATION OF PHYSICIANS THROUGH UNDERGRADUATE (UME) AND GRADUATE MEDICAL EDUCATION (GME), AND TO CONTINUE THE DEVELOPMENT OF ADVOCATE PHYSICIANS THROUGH CONTINUING MEDICAL EDUCATION (CME). AS ONE OF THE LARGEST PROVIDERS OF PRIMARY MEDICAL EDUCATION IN ILLINOIS, THERE WERE 2,288 MEDICAL STUDENT ROTATIONS COMPLETED AND 582 RESIDENTS AND FELLOWS WHO RECEIVED HANDS-ON TRAINING IN 2017 AT ADVOCATES FOUR ACADEMIC MEDICAL CENTERS, INCLUDING ADVOCATES BROMENN MEDICAL CENTER, CHRIST MEDICAL CENTER, ILLINOIS MASONIC MEDICAL CENTER AND LUTHERAN GENERAL HOSPITAL. POST-GRADUATE MEDICAL EDUCATION (CME) ADVOCATE HEALTH CARE IS ACCREDITED BY ACCREDITATION COUNCIL FOR CONTINUING MEDICAL EDUCATION (ACCME) TO PROVIDE CONTINUING MEDICAL EDUCATION (CME) FOR PHYSICIANS. ADVOCATES CME PROGRAM PROVIDES PROFESSIONAL DEVELOPMENT THROUGH YEAR-ROUND SCHEDULING AND PLANNING OF ACCREDITED COURSES, SEMINARS AND MEETINGS FOR ADVOCATE AND NON-ADVOCATE PHYSICIANS AND HEALTH CARE PROFESSIONALS IN THE REGION. ADVOCATES MEDICAL STAFF SHARE THEIR EXPERTISE THROUGH GRAND ROUNDS, MORTALITY AND MORBIDITY CONFERENCES, AND JOURNAL CLUBS-AS WELL AS SINGLE ACTIVITIES ADDRESSING A VARIETY OF CLINICAL AND RESEARCH TOPICS. IN 2017, ADVOCATE HOSTED 2,581 CME EVENTS TOTALING 2,513 CME CREDIT HOURS TO 48,592 PARTICIPANTS. NURSING EDUCATION UNDERGRADUATE AND GRADUATE (APN/NP/MANAGEMENT) NURSING EDUCATION OCCURS AT TEN ADVOCATE HOSPITALS AND AT MANY ADVOCATE MEDICAL GROUP SITES. NOTABLY, EIGHT ADVOCATE HOSPITALS HAVE EARNED MAGNET RECOGNITION FROM THE AMERICAN NURSE CREDENTIALING CENTER (ANCC), INCLUDING ADVOCATE BROMENN MEDICAL CENTER, ADVOCATE CONDELL MEDICAL CENTER, ADVOCATE CHRIST MEDICAL CENTER, ADVOCATE GOOD SAMARITAN HOSPITAL, ADVOCATE GOOD SHEPHERD HOSPITAL, ADVOCATE ILLINOIS MASONIC MEDICAL CENTER, ADVOCATE LUTHERAN GENERAL HOSPITAL AND ADVOCATE SHERMAN HOSPITAL. MAGNET STATUS REPRESENTS HOSPITAL-WIDE TEAMWORK AND DEDICATION TO CREATING A POSITIVE ENVIRONMENT, WHICH HELPS ATTRACT THE BEST PHYSICIANS AND NURSES, RESULTING IN BETTER OVERALL PATIENT CARE. EMERGENCY MEDICAL TECHNICIAN (EMT) EDUCATION ADVOCATE ALSO TAKES A
PART VI, LINE 7. STATE FILING OF COMMUNITY BENEFIT REPORTIL

Schedule I IRS990ScheduleI

FieldValueIRS element (for citing)
Grant Records MaintainedYes (true)GrantRecordsMaintainedInd

Recipient Table RecipientTable (80 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdRecipient EINRecipientEINIRC SectionIRCSectionDescCash GrantCashGrantAmtPurpose Of GrantPurposeOfGrantTxt
ACTION FOR HEALTHY KIDS
600 W Van Buren StreetChicagoIL60607470902020501(c)(3)$11,250SUPPORT EXEMPT MISSION
ALLIANCE OF LOCAL SERVICE ORGANIZATIONS
2401 W North AvenueChicagoIL60647364207887501(c)(3)$30,000SUPPORT EXEMPT MISSION
ALZHEIMERS ASSOCIATION
850 Essington RD STE 200JolietIL60435133039601501(c)(3)$5,925SPONSOR EVENTS
AMERICAN CANCER SOCIETY INC
225 N Michigan AveChicagoIL60601131788491501(c)(3)$59,100sponsor events
AMERICAN HEART ASSOCIATION
PO Box 50035PrescottAZ863045035135613797501(c)(3)$14,750SUPPORT EXEMPT
ASSOCIATION HOUSE OF CHICAGO
1116 N Kedzie AvenueChicagoIL60651362166961501(c)(3)$20,000SUPPORT EXEMPT
BARRINGTON CHILDRENS CHARITIES
117 S Cook St 235BarringtonIL60010270963289501(c)(3)$5,250SUPPORT EXEMPT
BARRINGTON LEADS
117 S Cook St 245BarringtonIL60010465117099501(c)(3)$17,000SUPPORT EXEMPT MISSION
BETHANY CHRISTIAN SERVICES INC
12416 S Harlem Ave STE 305Palos HeightsIL60463381405282501(c)(3)$10,000SPONSOR EVENTS
BETTER BOYS FOUNDATION
1512 S Pulaski RdChicagoIL60623362484473501(c)(3)$20,000SUPPORT EXEMPT
BLOCKS TOGETHER
3711 West Chicago AvenueChicagoIL60651363983087501(c)(3)$20,000SUPPORT EXEMPT
BREAKTHROUGH URBAN MINISTRIES
402 N Louis AveChicagoIL60624363810926501(c)(3)$30,000SUPPORT EXEMPT
CANCER SUPPORT CENTER
2028 Elm RoadHomewoodIL60430363880404501(c)(3)$14,650SUPPORT EXEMPT MISSION
CASA CENTRAL
1343 N California AveChicagoIL60622362728618501(c)(3)$15,000SUPPORT EXEMPT MISSION
CCA ACADEMY
1231 South Pulaski RoadChicagoIL60623363001358501(c)(3)$30,000SUPPORT EXEMPT MISSION
CHILDRENS HEART FOUNDATION
PO Box 2844GlenviewIL60026364077528501(c)(3)$9,600SPONSOR EVENTS
CHOOSE DUPAGE
2525 Cabot Drive STE 303LisleIL60532320177792501(c)(6)$10,000COMMUNITY SUPPORT
CHRIST THE KING JESUIT COLLEGE PREP
5088 W Jackson BlvdChicagoIL60644260556958501(c)(3)$25,000SUPPORT EXEMPT MISSION
CLUSTER TUTORING PROGRAM
5460 West Augusta BlvdChicagoIL60651363835179501(c)(3)$15,000SUPPORT EXEMPT MISSION
COALITION TO PROTECT AMERICA'S HLTH CARE
PO Box 30211BethesdaMD208240211522253225501(c)(4)$125,000COMMUNITY SUPPORT
COMM DEVELOP CORP OF THE BN AREA
200 W College Ave STE 402NormalIL61761261436471501(c)(3)$21,000SUPPORT EXEMPT MISSION
COMMUNITYHEALTH
2611 W Chicago AveChicagoIL60622363831793501(c)(3)$25,000SUPPORT EXEMPT MISSION
COUNCIL FOR HEALTH & HUMAN SRV MINISTRIES
700 Prospect AvenueClevelandOH44115133118966501(c)(3)$10,000SUPPORT EXEMPT MISSION
CRISIS CENTER SO SUBURBIA CORP
PO Box 39Tinley ParkIL60477363039964501(c)(3)$9,420SPONSOR EVENTS
CRISTO REY JESUIT HIGH SCHOOL
1852 West 22nd PlaceChicagoIL60608043730980501(c)(3)$69,400SUPPORT EXEMPT MISSION
DEMOCRACY COLLABORATIVE FOUNDATION
1422 Euclid Ave Ste 1652ClevelandOH44115200387511501(c)(3)$15,000SUPPORT EXEMPT MISSION
DOWNERS GROVE ECONOMIC
5159 MochelDowners GroveIL60515870772222501(c)(6)$7,500COMMUNITY SUPPORT
DR PEDRO ALBIZU CAMPOS HIGH SCHOOL
2739 W DivisionChicagoIL60622362754514501(c)(3)$25,000SUPPORT EXEMPT MISSION
DUPAGE HABITAT FOR HUMANITY
1600 E Roosevelt RdWheatonIL60137364003119501(c)(3)$10,000SPONSOR EVENTS
DUPAGE HEALTH COALITION
511 Thornhill Drive STE MCarol StreamIL60188364448208501(c)(3)$395,289SUPPORT EXEMPT MISSION
ECONOMIC DEVELOPMENT COUNCIL
200 W College Avenue STE 402NormalIL61761371169886501(c)(6)$15,000COMMUNITY SUPPORT
ERIE ELEMENTARY CHARTER SCHOOL
1405 N WashtenawChicagoIL60622371504399501(c)(3)$10,000SUPPORT EXEMPT MISSION
FAITHHEALTH INNOVATIONS INC
Medical Center BoulevardWinstonSalemNC271571098237426944501(c)(3)$7,000SUPPORT EXEMPT MISSION
FREE SPIRIT MEDIA
906 S Homan Ave Floor 5ChicagoIL60624364456215501(c)(3)$25,000SUPPORT EXEMPT MISSION
GARFIELD PARK CONSERVATORY ALLIANCE
300 N Central Park AvenueChicagoIL60624364200490501(c)(3)$20,000SUPPORT EXEMPT MISSION
GENEVIEVE MELODY STEM ELEMENTARY SCHOOL
3937 W Wilcox StChicagoIL60624366005821501(c)(3)$25,000SUPPORT EXEMPT MISSION
GILDA'S CLUB CHICAGO
205 West Wacker Drive Ste 1400ChicagoIL60606364115144501(c)(3)$58,900SUPPORT EXEMPT MISSION
GIRLS IN THE GAME
1401 S Sacramento DriveChicagoIL60623364024533501(c)(3)$20,000SUPPORT EXEMPT MISSION
GREATER WEST TOWN COMM DEVELOP PROJ
500 N Sacramento BlvdChicagoIL60612363657734501(c)(3)$35,000SUPPORT EXEMPT MISSION
HARPER COLLEGE EDUCATIONAL FOUNDATION
1200 West Algonquin RoadPalatineIL60067237348228501(c)(3)$5,500SUPPORT EXEMPT MISSION
HEAD FOR THE CURE FOUNDATION
2020 Baltimore Suite 201Kansas CityMO64108208345719501(c)(3)$6,125SPONSOR EVENTS
HEALTHY SCHOOLS CAMPAIGN
175 N Franklin Suite 300ChicagoIL60606364308068501(c)(3)$25,000SUPPORT EXEMPT MISSION
I AM ABLE CENTER FOR FAMILY DEV INC
3408 W Roosevelt RdChicagoIL60624363861251501(c)(3)$15,000SUPPORT EXEMPT MISSION
IHREF
24676 Network PlaceChicagoIL606731246237421930501(c)(3)$530,750SUPPORT EXEMPT MISSION
ILLINOIS BUSINESS & ECONOMIC
333 W Wacker Suite 2600ChicagoIL60606811265157501(c)(3)$50,000SUPPORT EXEMPT MISSION
ILLINOIS MANUFACTURING EXCELLENCE CENTER
1501 W Bradley AvePeoriaIL61625371368934501(c)(3)$27,405SPONSOR EVENTS
ILLINOIS PUBLIC HEALTH INSTITUTE
954 W Washington Blvd MB10ChicagoIL60607262757523501(c)(3)$8,150SPONSOR EVENTS
INSTITUTE FOR NONVIOLENCE CHICAGO
4926 West Chicago AvenueChicagoIL60651811098722501(c)(3)$20,000SUPPORT EXEMPT MISSION
JOHN MARSHALL METROPOLITAN HIGH SCHOOL
3250 W Adams StreetChicagoIL60624364263664501(c)(3)$35,000SUPPORT EXEMPT MISSION
KIPP CHICAGO
2007 South Halsted StreetChicagoIL60608300135927501(c)(3)$25,000SUPPORT EXEMPT MISSION
LAWNDALE CHRISTIAN LEGAL CENTER
1530 S Hamlin AvenueChicagoIL60623272285007501(c)(3)$45,000SUPPORT EXEMPT MISSION
LEGAL PREP CHARTER ACADEMIES
4319 W Washington BlvdChicagoIL60647271071296501(c)(3)$25,000SUPPORT EXEMPT MISSION
LUTHERAN SOCIAL SERVICES IL
1001 E Touhy AveDes PlainesIL60018362584799501(c)(3)$22,000SUPPORT EXEMPT MISSION
MAKE-A-WISH FOUNDATION
640 North LaSalle Street Ste 280ChicagoIL60654363422138501(c)(3)$11,000SPONSOR EVENTS
MARCH OF DIMES FOUNDATION
111 W Jackson Blvd Ste 1650ChicagoIL60604131846366501(c)(3)$77,450SPONSOR EVENTS
MARILLAC ST VINCENT FAMILY SERVICES
212 S Francisco AveChicagoIL60612362109717501(c)(3)$25,000SUPPORT EXEMPT MISSION
MIKVA CHALLENGE
322 S Michigan Ave Ste 400ChicagoIL60626522033353501(c)(3)$10,000SUPPORT EXEMPT MISSION
MUSEUM OF SCIENCE & INDUSTRY
57th Street and Lake Shore DriveChicagoIL60637362167797501(c)(3)$58,333SUPPORT EXEMPT MISSION
NATL KIDNEY FOUNDATION OF IL
215 West Illinois Suite 1CChicagoIL60654366009226501(c)(3)$20,570SUPPORT EXEMPT MISSION
NEIGHBORSPACE
455 N Sacramento Ste 204ChicagoIL60612364105593501(c)(3)$20,000SUPPORT EXEMPT MISSION
NORTH LAWNDALE EMPLOYMENT NETWORK
3726 W FlournoyChicagoIL60624364295189501(c)(3)$40,000SUPPORT EXEMPT MISSION
NORWEGIAN AMERICAN HOSPITAL
1044 N Francisco AveChicagoIL60622361564290501(c)(3)$25,000SUPPORT EXEMPT MISSION
PASS PREGNANCY CARE CENTER
17214 Oak Park AvenueTinley ParkIL60477363345840501(c)(3)$10,000SUPPORT EXEMPT MISSION
PROACTIVE KIDS FOUNDATION
1101 Belter DriveWheatonIL60189371556796501(c)(3)$8,000SUPPORT EXEMPT MISSION
PUERTO RICAN CULTURAL CENTER
2739 W Division StreetChicagoIL60622237347778501(c)(3)$25,000SUPPORT EXEMPT MISSION
PURDUE RESEARCH FOUNDATION
403 W State St Room 134West LafayetteIN47907351052049501(c)(3)$60,000SUPPORT EXEMPT MISSION
SOUTHSIDE PREGNANCY CENTER
9115 S Cicero AveOak LawnIL60453363367445501(c)(3)$10,000SPONSOR EVENTS
SPECIAL OLYMPICS ILLINOIS
500 Waters Edge Suite 100LombardIL60148362922811501(c)(3)$13,950SPONSOR EVENTS
ST AGATHA PARISH
3147 West Douglas BlvdChicagoIL60623362170923501(c)(3)$10,000SUPPORT EXEMPT MISSION
STROKE SURVIVORS EMPOWERING
PO Box 855LombardIL601480855271925734501(c)(3)$12,500SUPPORT EXEMPT MISSION
TAPROOTS INC
2718 W Adams Street 2nd FloorChicagoIL60612363041825501(c)(3)$30,000SUPPORT EXEMPT MISSION
THE BOULEVARD OF CHICAGO
3456 West Franklin BoulevardChicagoIL60624364075641501(c)(3)$30,000SUPPORT EXEMPT MISSION
TURNING THE PAGE
906 S Homan Avenue 6th FloorChicagoIL60624522081934501(c)(3)$20,000SUPPORT EXEMPT MISSION
UCAN
3605 W Fillmore StChicagoIL60624362167937501(c)(3)$30,000SUPPORT EXEMPT MISSION
UNIV OF ILL AT CHICAGO
1603 West Taylor St M/C 923ChicagoIL60612376000511501(c)(3)$180,000GRANT FOR CURE
VILLAGE OF BARRINGTON
200 So Hough StreetBarringtonIL60010366005782501(c)(6)$6,125COMMUNITY SUPPORT
VILLAGE OF OAK LAWN
6451 West 93rd PlaceOak LawnIL60453366006024501(c)(6)$10,880COMMUNITY SUPPORT
WORLD BUSINESS CHICAGO
177 N State Street Suite 500ChicagoIL60601364313685501(c)(3)$75,000SUPPORT EXEMPT MISSION
YOUNG MEN'S EDUCATIONAL NETWORK (YMEN)
1241 S Pulaski RoadChicagoIL60623364124098501(c)(3)$35,000SUPPORT EXEMPT MISSION
YWCA MCLEAN COUNTY
1201 N Hershey RoadBloomingtonIL61704370661264501(c)(3)$15,945SUPPORT EXEMPT MISSION
FieldValueIRS element (for citing)
Total501c3 Org74Total501c3OrgCnt
Total Other Org6TotalOtherOrgCnt

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceForm 990, Schedule I, Part I and IIFormAndLineReferenceDesc
ExplanationGrants and Other Assistance to Domestic Organizations and Domestic Governments FOR AMOUNTS REPORTED ON SCHEDULE I, ADVOCATE HEALTH AND HOSPITALS CORPORATION 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 HEALTH AND HOSPITALS CORPORATION. THE PURPOSES OF THESE GRANTS IS TO SUPPORT COMMUNITY PROGRAMS. CASH CONTRIBUTIONS ARE NOT MADE TO INDIVIDUALS, FOR PROFIT BUSINESSES, OR PRIVATE PROVIDERS.ExplanationTxt

Schedule J IRS990ScheduleJ

FieldValueIRS element (for citing)
First Class Or Charter TravelYes (X)FirstClassOrCharterTravelInd
Idemnification Gross Up PmtsYes (X)IdemnificationGrossUpPmtsInd
Housing Allowance Or ResidenceYes (X)HousingAllowanceOrResidenceInd
Club Dues Or FeesYes (X)ClubDuesOrFeesInd
Personal ServicesYes (X)PersonalServicesInd
Written Policy Ref T And E ExpnssYes (true)WrittenPolicyRefTAndEExpnssInd
Substantiation RequiredYes (true)SubstantiationRequiredInd
Compensation CommitteeYes (X)CompensationCommitteeInd
Independent ConsultantYes (X)IndependentConsultantInd
Form990 Of Other OrganizationsYes (X)Form990OfOtherOrganizationsInd
Compensation SurveyYes (X)CompensationSurveyInd
Board Or Committee ApprovalYes (X)BoardOrCommitteeApprovalInd
Severance PaymentYes (true)SeverancePaymentInd
Supplemental Nonqual Rtr PlanYes (true)SupplementalNonqualRtrPlanInd
Equity Based Comp ArrngmfalseEquityBasedCompArrngmInd
Comp Based On Revenue Of Flng OrgfalseCompBasedOnRevenueOfFlngOrgInd
Comp Bsd On Rev Related OrgsfalseCompBsdOnRevRelatedOrgsInd
Comp Bsd Net Earns Flng OrgfalseCompBsdNetEarnsFlngOrgInd
Comp Bsd Net Earns Rltd OrgsfalseCompBsdNetEarnsRltdOrgsInd
Any Non Fixed PaymentsYes (true)AnyNonFixedPaymentsInd
Initial Contract ExceptionfalseInitialContractExceptionInd

Rltd Org Officer Trst Key Empl RltdOrgOfficerTrstKeyEmplGrp (30 entries)

TitleTitleTxtBase Compensation Filing OrgBaseCompensationFilingOrgAmtCompensation Based On Rltd OrgsCompensationBasedOnRltdOrgsAmtBonus Filing OrganizationBonusFilingOrganizationAmountBonus Related OrganizationsBonusRelatedOrganizationsAmtOther Compensation Filing OrgOtherCompensationFilingOrgAmtOther Compensation Rltd OrgsOtherCompensationRltdOrgsAmtDeferred Compensation Flng OrgDeferredCompensationFlngOrgAmtDeferred Comp Rltd OrgsDeferredCompRltdOrgsAmtNontaxable Benefits Filing OrgNontaxableBenefitsFilingOrgAmtNontaxable Benefits Rltd OrgsNontaxableBenefitsRltdOrgsAmtTotal Compensation Filing OrgTotalCompensationFilingOrgAmtTotal Compensation Rltd OrgsTotalCompensationRltdOrgsAmtComp Report Prior990 Filing OrgCompReportPrior990FilingOrgAmtComp Report Prior990 Rltd OrgsCompReportPrior990RltdOrgsAmt
James Skogsbergh
President & CEO, Director$1,536,274$0$2,484,514$0$6,030,964$0$1,652,575$0$24,129$0$11,728,456$0$3,923,100$0
Gail D Hasbrouck
Corp Secretary 01/17, DIRECTOR$360,146$0$313,772$0$227,994$0$92,303$0$16,451$0$1,010,666$0$106,321$0
William P Santulli
Executive Vice President, COO$930,226$0$905,144$0$1,412,493$0$661,298$0$24,668$0$3,933,829$0$1,262,976$0
Lee B Sacks MD
Executive Vice President, CMO$750,194$0$581,990$0$391,891$0$402,023$0$18,481$0$2,144,579$0$112,776$0
James Doheny
VP, SYS CONTR & ASST.TREASURER$345,367$0$115,083$0$34,442$0$24,688$0$27,204$0$546,784$0$0$0
Rev Kathie B Schwich
SVP, MISSION & SPIRITUAL CARE$203,930$0$221,679$0$122,503$0$142,934$0$80,885$0$771,931$0$56,539$0
Kevin Brady
SVP, CHF HUMAN RESOURCES OFFC$485,331$0$389,720$0$239,107$0$274,218$0$36,923$0$1,425,299$0$149,680$0
Vincent Bufalino MD
PRESIDENT PHYS& AMB SVCS/AMG$546,621$0$356,952$0$1,043,660$0$291,525$0$26,862$0$2,265,620$0$623,659$0
Susan Campbell
SVP OF PATIENT CR-CHF NRS OFFC$372,072$0$225,262$0$43,657$0$245,031$0$20,271$0$906,293$0$75,419$0
Kelly Jo Golson
SVP, CHIEF MARKETING OFFICER$393,396$0$213,174$0$169,184$0$147,032$0$2,920$0$925,706$0$69,327$0
Dominic J Nakis
SVP, CFO & TREASURER$680,607$0$581,990$0$360,878$0$402,023$0$27,641$0$2,053,139$0$226,308$0
Scott Powder
SVP, CHIEF STRATEGY OFFICER$413,940$0$269,534$0$184,724$0$180,245$0$24,929$0$1,073,372$0$93,292$0
Bruce D Smith
SVP, INFORMATION SYS/CIO 07/17$272,935$0$317,618$0$236,193$0$95,307$0$17,827$0$939,880$0$112,776$0
Earl J Barnes II
SVP, Gen Counsel & Corp. Sec$480,769$0$125,000$0$31,550$0$204,240$0$35,472$0$877,031$0$0$0
Barbara Byrne MD
SVP, Chief Information Officer$211,534$0$25,000$0$18,162$0$202,653$0$4,495$0$461,844$0$0$0
Michael Farrell
PRESIDENT -ADV CHILDREN'S HOSP$725,074$0$520,064$0$1,485,572$0$512,046$0$20,034$0$3,262,790$0$887,596$0
David Fox
President, Good Samaritan Hosp$482,137$0$332,396$0$233,086$0$233,916$0$26,531$0$1,308,066$0$125,514$0
Dominica Tallarico
PRES LUTHERAN/CONDELL$135,847$313,339$85,389$199,241$63,264$147,617$77,878$181,716$7,331$17,105$369,709$859,018$0$100,794
Terika Richardson
PRESIDENT, TRINITY/S-SUB HOSP$319,233$0$80,725$0$23,649$0$200,067$0$32,471$0$656,145$0$0$0
Richard Heim
President, Christ Medical CTR$370,625$0$241,126$0$165,366$0$241,066$0$22,102$0$1,040,285$0$82,216$0
Colleen Kannaday
President, BroMenn Medical CTR$431,834$0$282,108$0$194,131$0$192,756$0$22,952$0$1,123,781$0$100,794$0
Karen Lambert
President,Good Shepherd/Condel$491,433$0$284,170$0$209,254$0$222,329$0$37,692$0$1,244,878$0$100,794$0
Kenneth Lukhard
President, Christ Med 07/17$590,959$0$412,044$0$293,645$0$136,946$0$22,572$0$1,456,166$0$167,156$0
Rick Floyd
PRESIDENT, LUTHERAN HOSP 07/17$365,477$0$388,970$0$1,040,254$0$127,361$0$36,178$0$1,958,240$0$163,224$0
Hamad Farhat
Neurosurgeon$1,737,500$0$0$0-$11,062$0$21,988$0$31,525$0$1,779,951$0$0$0
Michel Ilbawi
Pediatric CV Surgery$1,090,000$0$189,362$0-$4,784$0$21,988$0$23,862$0$1,320,428$0$0$0
Dean Karahalios
Neurosurgeon$1,197,000$0$2,167$0-$12,687$0$21,988$0$39,354$0$1,247,822$0$0$0
Egon Doppenberg
Neurosurgeon$1,097,000$0$0$0-$7,005$0$21,988$0$20,601$0$1,132,584$0$0$0
Ryan Trombly
Neurosurgeon$878,000$0$141,460$0-$8,302$0$21,988$0$34,617$0$1,067,763$0$0$0
James Dan MD
PRES PHYS& AMB SVCS/AMG - 7/16$22,661$0$353,547$0$473,502$0$54,967$0$8,952$0$913,629$0$163,224$0

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferenceFORM 990, SCHEDULE J, PART I, LINE 1AFormAndLineReferenceDesc
ExplanationREV. KATHIE B. SCHWICH, SENIOR VICE PRESIDENT-MISSION AND SPIRITUAL CARE, RECEIVED AN ANNUAL HOUSING ALLOWANCE OF $55,000 FROM ADVOCATE HEALTH AND HOSPITALS CORPORATION. JAMES SKOGSBERGH, PRESIDENT AND CHIEF EXECUTIVE OFFICER OF ADVOCATE HEALTH AND HOSPITALS CORPORATION, IS A MEMBER OF SEVERAL LUNCHEON CLUBS WHERE HE CONDUCTS BUSINESS MEETINGS ON BEHALF OF AHHC. JAMES SKOGSBERGH, PRESIDENT AND CHIEF EXECUTIVE OFFICER OF ADVOCATE HEALTH AND HOSPITALS CORPORATION, RECEIVES AS PART OF HIS BENEFITS PACKAGE, FINANCIAL PLANNING SERVICES. JAMES SKOGSBERGH, PRESIDENT AND CHIEF EXECUTIVE OFFICER OF ADVOCATE HEALTH AND HOSPITALS CORPORATION, WAS PERMITTED TO USE FIRST CLASS TRAVEL IN ACCORDANCE WITH THE ORGANIZATION'S POLICY. JAMES SKOGSBERGH, PRESIDENT AND CHIEF EXECUTIVE OFFICER OF ADVOCATE HEALTH AND HOSPITALS CORPORATION, RECEIVED A TAX GROSS-UP IN 2017. THE GROSS-UP WAS INCLUDED IN INCOME AND REPORTED ON HIS 2017 FORM W-2. DOMINICA TALLARICO, PRESIDENT OF LUTHERAN/CONDELL, RECEIVED A TAX GROSS-UP IN 2017. THE GROSS-UP WAS INCLUDED IN INCOME AND REPORTED ON HER 2017 FORM W-2. FORM 990, SCHEDULE J, PART I, LINE 4A JAMES DAN, M.D. FORMER PRESIDENT OF AMBULATORY SERVICES AND PRESIDENT OF AMG, RECEIVED A SEVERANCE PAYMENT IN THE AMOUNT OF $267,800 WHICH HAS BEEN REPORTED ON SCHEDULE J, PART II, COLUMN (B)(III). RICK FLOYD, FORMER PRESIDENT OF LUTHERAN GENERAL HOSPITAL, RECEIVED A SEVERANCE PAYMENT IN THE AMOUNT of $792,488 WHICH HAS BEEN REPORTED ON SCHEDULE J, PART II, COLUMN (B)(III). FORM 990, SCHEDULE J, PART I, LINE 4B GAIL D. HASBROUCK, SENIOR VICE PRESIDENT-GENERAL COUNSEL AND CORPORATE SECRETARY, IS VESTED IN A NON-QUALIFIED RETIREMENT PLAN. AS SUCH ANY CONTRIBUTIONS ARE TAXED CURRENTLY. THERE IS NO DEFERRED COMPONENT. THE CURRENT YEAR CONTRIBUTION AMOUNT IS $34,190. ADVOCATE PROVIDES A TARGET REPLACEMENT SENIOR EXECUTIVE RETIREMENT PLAN. THE CONTRIBUTIONS TO THIS PLAN ARE VESTED AND TAXABLE AFTER FIVE YEARS OF SERVICE. THE FOLLOWING EMPLOYEES ARE VESTED IN THE PLAN AND THEREFORE THE CONTRIBUTIONS ARE REPORTED AS COMPENSATION ON THE W-2: JAMES SKOGSBERGH $684,846, WILLIAM P. SANTULLI $308,617, GAIL D. HASBROUCK $119,188, LEE B. SACKS, M.D. $222,290, DOMINIC J. NAKIS $210,951, MICHAEL FARRELL $366,234, BRUCE D. SMITH $117,737, KEVIN BRADY $145,836, SCOTT POWDER $112,610, REV. KATHIE B. SCHWICH $76,889, KELLY JO GOLSON $98,962, JAMES DAN $110,293, DAVID FOX $135,822, KAREN LAMBERT $125,615, KENNETH LUKHARD $166,000, RICHARD HEIM $97,983, RICK FLOYD $142,230, DOMINICA TALLARICO $118,730, VINCENT BUFALINO $250,795 AND COLLEEN KANNADAY $118,117. THE FOLLOWING EMPLOYEES HAVE NOT YET FULLY VESTED AND THEREFORE THE CONTRIBUTIONS ARE REPORTED AS DEFERRED COMPENSATION: SUSAN CAMPBELL $97,304, EARL J. BARNES II $47,573 AND TERIKA RICHARDSON $49,313. FORM 990, SCHEDULE J, PART I, LINE 7 INCENTIVE PAYMENTS ARE BASED UPON A FORMULA. THE AMOUNTS ARE CALCULATED AFTER CERTAIN PERFORMANCE AND OPERATING GOALS ARE ACHIEVED. THE COMPENSATION COMMITTEE CAN EXERCISE DISCRETION OVER WHETHER INCENTIVE COMPENSATION IS PAID OUT ANNUALLY.ExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
Illinois Health Facilities Authority
A36278004645200PXH52003-10-29$115,000,000SEE SCHEDULE K, PART VIfalsefalsefalse
ILLINOIS FINANCE AUTHORITY
B86109196745200FED72013-01-24$51,134,288SEE SCHEDULE K, PART VIfalsefalsefalse
ILLINOIS FINANCE AUTHORITY
C86109196745200FEE52013-02-01$43,219,722SEE SCHEDULE K, PART VIfalsefalsefalse
ILLINOIS FINANCE AUTHORITY
D86109196745200FEF22012-05-01$51,142,165SEE SCHEDULE K, PART VIfalsefalsefalse

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtBond DefeasedBondDefeasedAmtTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtCapitalized InterestCapitalizedInterestAmtRefunding EscrowRefundingEscrowAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCredit EnhancementCreditEnhancementAmtWorking Capital ExpendituresWorkingCapitalExpendituresAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtUnspentUnspentAmtSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$89,655,000$0$116,432,024$0$0$0$1,034,454$0$0$111,807,084$3,590,486$02005falsefalseYes (true)Yes (true)
B$0$0$51,324,288$0$0$0$0$0$0$0$51,134,288$02009Yes (true)falseYes (true)Yes (true)
C$0$0$43,219,722$0$0$0$0$0$0$0$43,219,722$02009Yes (true)falseYes (true)Yes (true)
D$0$0$51,142,165$0$0$0$0$0$0$0$51,142,165$02009Yes (true)falseYes (true)Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndEngage Bond Counsel ContractsEngageBondCounselContractsIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndChange In Use Bond Financed PropChangeInUseBondFinancedPropPctRemedial Action TakenRemedialActionTakenIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
AfalseYes (true)Yes (true)falsefalse0.001000.00100falseYes (true)0.00600Yes (true)Yes (true)
BfalseYes (true)Yes (true)falsefalse0.001100.00110falsefalsefalseYes (true)
CfalseYes (true)Yes (true)falsefalse0.001100.00110falsefalsefalseYes (true)
DfalseYes (true)Yes (true)falsefalse0.001100.00110falsefalsefalseYes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndBusiness Name Line1GICProviderName/BusinessNameLine1TxtGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
0
AfalsefalsefalseYes (true)Yes (true)falsefalse0falseYes (true)
0
BfalseYes (true)falsefalseYes (true)falsefalse0falseYes (true)
0
CfalseYes (true)falsefalseYes (true)falsefalse0falseYes (true)
0
DfalsefalseYes (true)Yes (true)Yes (true)falsefalse0falseYes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (true)
BYes (true)
CYes (true)
DYes (true)

Supplemental Information Detail SupplementalInformationDetail

FieldValueIRS element (for citing)
Form And Line ReferencePURPOSE OF BOND SERIES 2003 ISSUED 10/29/2003FormAndLineReferenceDesc
ExplanationSCHEDULE K PART 1(F) (CUSIP # 45200PXH5) THE PROCEEDS OF THE ILLINOIS HEALTH FACILITIES AUTHORITY REVENUE BONDS, SERIES 2003A, 2003B AND SERIES 2003C (ADVOCATE HEALTH CARE NETWORK) WERE USED FOR THE PURPOSE, TOGETHER WITH OTHER AVAILABLE FUNDS, OF FINANCING CERTAIN CAPITAL EXPENDITURES OF CERTAIN OF THE HEALTH CARE FACILITIES OF THE ORGANIZATION AND ADVOCATE NORTH SIDE HEALTH NETWORK. PURPOSE OF BOND SERIES 2008C ISSUED 10/10/2007 SCHEDULE K PART I (F) (CUSIP #45200FAZ2) THE PROCEEDS OF THE ILLINOIS FINANCE AUTHORITY REVENUE BONDS, SERIES 2007B-1, SERIES 2007B-2 AND SERIES 2007B-3 (ADVOCATE HEALTH CARE NETWORK), WERE USED FOR THE PURPOSE, TOGETHER WITH OTHER AVAILABLE FUNDS, OF FINANCING CERTAIN CAPITAL EXPENDITURES OF CERTAIN OF THE HEALTH CARE FACILITIES OF THE ORGANIZATION AND ADVOCATE NORTH SIDE HEALTH NETWORK, AND OF REFUNDING ALL OR A PORTION OF THE ORGANIZATION'S SERIES 1997A BONDS, SERIES 1997B BONDS, SERIES 2003B BONDS AND SERIES 2005 BONDS WHICH WERE ISSUED ON JANUARY 9, 1997, OCTOBER 23, 2003, AND JULY 7, 2005, RESPECTIVELY. THE SERIES 2007B BONDS WERE EXCHANGED FOR THE ILLINOIS FINANCE AUTHORITY REVENUE BONDS, SERIES 2008C-1, SERIES 2008C-2A, SERIES 2008C-2B, SERIES 2008C-3A, AND SERIES 2008C-3B (ADVOCATE HEALTH CARE NETWORK) ON APRIL 25, 2008. BASED ON THE ADVICE OF BOND COUNSEL, THE ORGANIZATION IS TREATING THE SERIES 2008C BONDS AS THE SAME ISSUE AS THE SERIES 2007B BONDS FOR FEDERAL INCOME TAX PURPOSES. PURPOSE OF BOND SERIES 2008A-1 ISSUED 1/24/2013 SCHEDULE K PART I (F) (CUSIP # 45200FED7) THE SERIES 2008A-1 BONDS WERE REISSUED FOR FEDERAL INCOME TAX PURPOSES ON JANUARY 24, 2013. PURPOSE OF BOND SERIES 2008A-2 ISSUED 2/1/2013 SCHEDULE K PART I (F) (CUSIP # 45200FEE5) THE SERIES 2008A-2 BONDS WERE REISSUED FOR FEDERAL INCOME TAX PURPOSES ON FEBRUARY 1, 2013. PURPOSE OF BOND SERIES 2008A-3 ISSUED 5/1/2012 SCHEDULE K PART I (F) (CUSIP # 45200FEF2) THE SERIES 2008A-3 BONDS WERE REISSUED FOR FEDERAL INCOME TAX PURPOSES ON MAY 1, 2012. PURPOSE OF BOND SERIES 2008D ISSUED 12/01/2008 SCHEDULE K PART I (F) (CUSIP # 45200FSB6) THE PROCEEDS OF THE ILLINOIS FINANCE AUTHORITY REVENUE BONDS, SERIES 2008D (ADVOCATE HEALTH CARE NETWORK) WERE USED FOR THE PURPOSE, TOGETHER WITH OTHER AVAILABLE FUNDS, OF FINANCING THE COSTS OF PURCHASING ASSETS OF CONDELL MEDICAL CENTER AND THE COSTS OF CONSTRUCTING AND EQUIPPING A NEW PATIENT TOWER FOR ADVOCATE CONDELL MEDICAL CENTER. THE ACQUIRED ASSETS INCLUDE CONDELL MEDICAL CENTER, A 283-LICENSED BED ACUTE CARE HOSPITAL LOCATED IN LIBERTYVILLE, ILLINOIS. PURPOSE OF BOND SERIES 2010 ISSUED 1/06/2010 SCHEDULE K PART I (F) (CUSIP # 45200FK65) THE PROCEEDS OF THE ILLINOIS FINANCE AUTHORITY REVENUE BONDS, SERIES 2010 (ADVOCATE HEALTH CARE NETWORK) WERE USED FOR THE PURPOSE, TOGETHER WITH OTHER AVAILABLE FUNDS, OF REFUNDING THE ORGANIZATION'S SERIES 2008B-1, SERIES 2008B-2, SERIES 2008B-3, SERIES 2008B-4 AND SERIES 2008B-5 BONDS, OF FINANCING THE COSTS RELATED TO THE MERGER WITH BROMENN HEALTHCARE SYSTEM AND THE COSTS RELATED TO THE CONSTRUCTING AND EQUIPPING A NEW PATIENT TOWER FOR ADVOCATE BROMENN MEDICAL CENTER AS WELL AS FINANCING CERTAIN CAPITAL EXPENDITURES AT OTHER HEALTH CARE FACILITIES OF THE ORGANIZATION. THE MERGED ASSETS INCLUDE BROMENN REGIONAL MEDICAL CENTER, A 221-LICENSED BED ACUTE CARE HOSPITAL LOCATED IN BLOOMINGTON, ILLINOIS AND EUREKA COMMUNITY HOSPITAL, A 25-LICENSED BED GENERAL ACUTE CARE HOSPITAL LOCATED IN EUREKA, ILLINOIS. PURPOSE OF BOND SERIES 2011 ISSUED 9/21/2011 SCHEDULE K PART I (F) (CUSIP # 45203HCA8) THE PROCEEDS OF THE SERIES 2011A-2, SERIES 2011B, SERIES 2011C AND SERIES 2011D BONDS WERE USED FOR THE PURPOSE, TOGETHER WITH OTHER AVAILABLE FUNDS, OF FINANCING THE COST OF CONSTRUCTING, RENOVATING AND EQUIPPING A NINE STORY AMBULATORY CARE FACILITY AT ADVOCATE CHRIST MEDICAL CENTER AND CERTAIN OTHER CAPITAL PROJECTS AT THE HEALTH CARE FACILITIES OF THE ORGANIZATION, ADVOCATE NORTH SIDE HEALTH NETWORK AND ADVOCATE CONDELL MEDICAL CENTER. PURPOSE OF BOND SERIES 2012 ISSUED 11/29/2012 SCHEDULE K PART I (F) (CUSIP # 45203HNJ7) THE PROCEEDS OF THE SERIES 2012 BONDS WERE USED FOR THE PURPOSE, TOGETHER WITH OTHER AVAILABLE FUNDS, OF FINANCING THE COST OF CONSTRUCTING, RENOVATING AND EQUIPPING AN OUTPATIENT CENTER AT ADVOCATE ILLINOIS MASONIC MEDICAL CENTER, AN AMBULATORY CARE FACILITY AT ADVOCATE CHRIST MEDICAL CENTER AND CERTAIN OTHER CAPITAL PROJECTS AT THE HEALTH CARE FACILITIES OF THE ORGANIZATION, ADVOCATE NORTH SIDE HEALTH NETWORK AND ADVOCATE CONDELL MEDICAL CENTER. PURPOSE OF BOND SERIES 2013A ISSUED 8/8/2013 SCHEDULE K PART I (F) (CUSIP # 45203HUC4) THE PROCEEDS OF THE SERIES 2013A BONDS WERE USED FOR THE PURPOSE, TOGETHER WITH OTHER AVAILABLE FUNDS, OF FINANCING THE COST OF CONSTRUCTING, RENOVATING AND EQUIPPING AN ICU EXPANSION PROJECT AT ADVOCATE TRINITY HOSPITAL, A CAMPUS MODERNIZATION PROJECT AT ADVOCATE GOOD SHEPHERD HOSPITAL, AN EMERGENCY DEPARTMENT/SURGERY EXPANSION PROJECT AT ADVOCATE LUTHERAN GENERAL HOSPITAL, AND CERTAIN OTHER CAPITAL PROJECTS AT THE HEALTH CARE FACILITIES OF THE ORGANIZATION, ADVOCATE NORTH SIDE HEALTH NETWORK AND ADVOCATE CONDELL MEDICAL CENTER. PURPOSE OF BOND SERIES 2014 ISSUED 12/18/2014 SCHEDULE K PART I (F) (CUSIP # 45203HE40) THE PROCEEDS OF THE SERIES 2014 BONDS WERE USED FOR THE PURPOSE, TOGETHER WITH OTHER AVAILABLE FUNDS, OF ADVANCE REFUNDING CERTAIN OF THE SERIES 2008D BONDS PREVIOUSLY ISSUED BY THE ILLINOIS FINANCE AUTHORITY FOR THE BENEFIT OF THE BORROWER AND ADVANCE REFUNDING THE SERIES 2007A BONDS PREVIOUSLY ISSUED BY THE ILLINOIS FINANCE AUTHORITY FOR THE BENEFIT OF ADVOCATE SHERMAN HOSPITAL. PURPOSE OF BOND SERIES 2015 ISSUED 9/24/2015 FORM SCHEDULE K PART I (F) (CUSIP # 45203H4J8) THE PROCEEDS OF THE SERIES 2015 BONDS WERE USED FOR THE PURPOSE OF FINANCING THE COST OF CONSTRUCTING, RENOVATING AND EQUIPPING CERTAIN CAPITAL PROJECTS AT THE HEALTH CARE FACILITIES OF THE MEMBERS OF THE OBLIGATED GROUP INCLUDING WITHOUT LIMITATION A BED TOWER AT ADVOCATE GOOD SAMARITAN HOSPITAL AND RENOVATIONS AT ADVOCATE CHRIST MEDICAL CENTER. PURPOSE OF BOND SERIES 2015B ISSUED 10/22/2015 FORM SCHEDULE K PART I (F) (CUSIP # 45203H6T4) THE PROCEEDS OF THE SERIES 2015B BONDS WERE USED FOR THE PURPOSE, TOGETHER WITH OTHER AVAILABLE FUNDS, OF ADVANCE REFUNDING A PORTION OF THE SERIES 2010A, SERIES 2010B, SERIES 2010C AND SERIES 2010D BONDS PREVIOUSLY ISSUED BY THE ILLINOIS FINANCE AUTHORITY FOR THE BENEFIT OF THE BORROWER. PURPOSE OF BOND SERIES 2011A-1 ISSUED 9/21/2011 FORM SCHEDULE K PART I (F) (CUSIP # 45203HCM2) THE PROCEEDS OF THE SERIES 2011A-1 BONDS WERE USED FOR THE PURPOSE, TOGETHER WITH OTHER AVAILABLE FUNDS, OF REFUNDING ALL OF THE ORGANIZATION'S SERIES 1998A AND SERIES 1998B BONDS. FORM SCHEDULE K PART II LINE 3 FOR THOSE BOND ISSUES WHERE THE TOTAL PROCEEDS LISTED IN PART II, LINE 3 ARE NOT IDENTICAL TO THE ISSUE PRICE FOR THE RELATED BOND ISSUE SHOWN IN PART I, COLUMN (E), THE DIFFERENCE REPRESENTS INVESTMENT EARNINGS. SERVICE CONTRACTS AND RESEARCH AGREEMENTS SCHEDULE K PART III LINE 3B, ALL BOND ISSUES INTERNAL COUNSEL REVIEWS ALL MANAGEMENT OR SERVICE CONTRACTS AND RESEARCH AGREEMENTS. THEREFORE, THE ORGANIZATION DOES NOT ROUTINELY ENGAGE OUTSIDE BOND COUNSEL TO REVIEW THE CONTRACTS. BOND COUNSEL DOES REVIEW CONTRACTS RELATED TO THE FINANCED PROPERTY DURING DUE DILIGENCE PRIOR TO A BOND TRANSACTION. PRIVATE BUSINESS USE PERCENTAGE SCHEDULE K PART III LINES 4-6, ALL BOND ISSUES PRIVATE BUSINESS USE PERCENTAGE WAS CALCULATED BASED ON NEW MONEY PORTION OF THE BOND ISSUE ONLY. PRIVATE SECURITY AND PAYMENT TEST SCHEDULE K PART III LINE 7, ALL BOND ISSUES ADVOCATE MONITORS THE PRIVATE BUSINESS USE PERCENTAGE FOR EACH BOND ISSUE, AND THEREFORE, HAS NOT CALCULATED THE AMOUNT OF PRIVATE PAYMENTS. ARBITRAGE REBATE COMPUTATION SCHEDULE K PART IV LINE 2C (BOND SERIES 2003, CUSIP # 45200PXH5) THE REBATE COMPUTATION WAS PERFORMED AS OF OCTOBER 29, 2013. SCHEDULE K PART IV LINE 2C (BOND SERIES 2008A-3, CUSIP # 45200FEF2) THE REBATE COMPUTATION WAS PERFORMED AS OF MAY 1, 2017. SCHEDULE K PART IV LINE 2C (BOND SERIES 2008C, CUSIP # 45200FAZ2) THE REBATE COMPUTATION WAS PERFORMED AS OF OCTOBER 10, 2017. SCHEDULE K PART IV LINE 2C (BOND SERIES 2008D, CUSIP # 45200FSB6) THE REBATE COMPUTATION WAS PERFORMED AS OF DECEMBER 1, 2013. SCHEDULE K PART IV LINE 2C (BOND SERIES 2010, CUSIP # 45200FK65) THE REBATE COMPUTATION WAS PERFORMED AS OF JANUARY 6, 2015. SCHEDULE K PART IV LINE 2C (BOND SERIES 2011A-1, CUSIP # 45203HCM2) THE REBATE COMPUTATION WAS PERFORMED AS OF SEPTEMBER 21, 2016. SCHEDULE K PART IV LINE 2C (BOND SERIES 2011A-2, 2011BCD CUSIP # 45203HCA8) THE REBATE COMPUTATION WAS PERFORMED AS OF SEPTEMBER 21, 2016. SCHEDULE K PART IV LINE 2C (BOND SERIES 2012, CUSIP # 45203HNJ7) THE REBATE COMPUTATION WAS PERFORMED AS OF NOVEMBER 29, 2017. SWAP PROVIDERS SCHEDULE K PART IV LINE 4B ON DECEMBER 28, 2011 THE ORIGINAL SWAP RELATING TO THESE BONDS WITH CITIBANK N.A. WAS SEPARATED INTO TWO TRANCHES AND NOVATED (ASSIGNED TO) TWO SEPARATE SWAP COUNExplanationTxt

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
ILLINOIS FINANCE AUTHORITY
A86109196745200FAZ22007-10-10$348,300,000SEE SCHEDULE K, PART VIfalsefalsefalse
ILLINOIS FINANCE AUTHORITY
B86109196745200FSB62008-12-01$175,920,559SEE SCHEDULE K, PART VIYes (true)falsefalse
ILLINOIS FINANCE AUTHORITY
C86109196745200FK652010-01-06$243,746,239SEE SCHEDULE K, PART VIYes (true)falsefalse
ILLINOIS FINANCE AUTHORITY
D86109196745203HCA82011-09-21$201,774,238SEE SCHEDULE K, PART VIfalsefalsefalse

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtBond DefeasedBondDefeasedAmtTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtCapitalized InterestCapitalizedInterestAmtRefunding EscrowRefundingEscrowAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCredit EnhancementCreditEnhancementAmtWorking Capital ExpendituresWorkingCapitalExpendituresAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtUnspentUnspentAmtSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$5,030,000$0$352,851,959$0$0$0$2,331,125$3,418,607$0$154,520,722$192,581,505$02009Yes (true)falseYes (true)Yes (true)
B$39,045,000$136,010,000$176,137,450$0$0$0$2,640,929$0$0$173,462,191$34,330$02010falsefalseYes (true)Yes (true)
C$51,945,000$169,025,000$243,841,007$0$0$0$2,992,121$0$0$118,008,697$122,840,189$02012Yes (true)falseYes (true)Yes (true)
D$0$0$202,235,524$0$0$0$1,649,390$0$0$200,461,255$124,879$02013falsefalseYes (true)Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndEngage Bond Counsel ContractsEngageBondCounselContractsIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndChange In Use Bond Financed PropChangeInUseBondFinancedPropPctRemedial Action TakenRemedialActionTakenIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
AfalseYes (true)Yes (true)falsefalse0.000900.00090falseYes (true)0.01500Yes (true)Yes (true)
BfalseYes (true)Yes (true)falsefalse0.024200.02420falsefalsefalseYes (true)
CfalseYes (true)Yes (true)falsefalse0.000000.00000falsefalsefalseYes (true)
DfalseYes (true)Yes (true)falsefalse0.000000.00000falsefalsefalseYes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndTerm Of HedgeTermOfHedgePctSuperintegrated HedgeSuperintegratedHedgeIndHedge TerminatedHedgeTerminatedIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndBusiness Name Line1GICProviderName/BusinessNameLine1TxtTerm Of GICTermOfGICPctRegulatory Safe Harbor StsfdRegulatorySafeHarborStsfdIndGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
SEE PART VI
AfalsefalseYes (true)Yes (true)Yes (true)Yes (true)26.8falsefalseYes (true)TRINITY PLUS FUNDING2.1Yes (true)falseYes (true)
0
BfalsefalsefalseYes (true)falsefalsefalse0falseYes (true)
0
CfalsefalsefalseYes (true)falsefalsefalse0falseYes (true)
0
DfalsefalsefalseYes (true)Yes (true)falsefalse0falseYes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (true)
BYes (true)
CYes (true)
DYes (true)

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (4 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
ILLINOIS FINANCE AUTHORITY
A86109196745203HNJ72012-11-29$150,003,863SEE SCHEDULE K, PART VIfalsefalsefalse
ILLINOIS FINANCE AUTHORITY
B86109196745203HUC42013-08-08$103,136,955SEE SCHEDULE K, PART VIfalsefalsefalse
ILLINOIS FINANCE AUTHORITY
C86109196745203HE402014-12-18$341,558,564SEE SCHEDULE K, PART VIfalsefalsefalse
ILLINOIS FINANCE AUTHORITY
D86109196745203H4J82015-09-24$104,517,375SEE SCHEDULE K, PART VIfalsefalsefalse

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (4 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtBond DefeasedBondDefeasedAmtTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtCapitalized InterestCapitalizedInterestAmtRefunding EscrowRefundingEscrowAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCredit EnhancementCreditEnhancementAmtWorking Capital ExpendituresWorkingCapitalExpendituresAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtUnspentUnspentAmtSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$0$0$150,184,694$0$0$0$1,646,514$0$0$148,493,974$44,206$02014falsefalsefalseYes (true)
B$5,110,000$0$103,146,877$0$0$0$1,285,192$0$0$101,849,526$12,160$02015falsefalsefalseYes (true)
C$0$0$348,661,358$0$0$140,326,425$2,627,651$0$0$0$205,707,281$02015falseYes (true)Yes (true)Yes (true)
D$0$0$104,528,531$0$0$0$1,436,749$0$0$103,068,646$23,136$02016falsefalsefalseYes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (4 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndEngage Bond Counsel ContractsEngageBondCounselContractsIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndRemedial Action TakenRemedialActionTakenIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
AfalseYes (true)Yes (true)falsefalse0.000000.000000.00000falsefalsefalseYes (true)
BfalseYes (true)Yes (true)falsefalse0falsefalsefalseYes (true)
CfalseYes (true)Yes (true)falsefalse0.011200.01120falsefalsefalseYes (true)
DfalseYes (true)Yes (true)falsefalse0.000000.000000.00000falsefalsefalseYes (true)

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (4 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndBusiness Name Line1GICProviderName/BusinessNameLine1TxtGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
0
AfalsefalsefalseYes (true)falsefalsefalse0falseYes (true)
0
BfalseYes (true)falsefalsefalsefalsefalse0falseYes (true)
0
CfalseYes (true)falsefalsefalsefalsefalse0falseYes (true)
0
DfalseYes (true)falsefalsefalsefalsefalse0falseYes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (4 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (true)
BYes (true)
CYes (true)
DYes (true)

Schedule K IRS990ScheduleK

Tax Exempt Bonds Issues TaxExemptBondsIssuesGrp (2 entries)

Bond ReferenceBondReferenceCdBond Issuer EINBondIssuerEINCUSIPCUSIPNumBond IssuedBondIssuedDtIssue PriceIssuePriceAmtPurposePurposeDescDefeasedDefeasedIndOn Behalf Of IssuerOnBehalfOfIssuerIndPool FinancingPoolFinancingInd
ILLINOIS FINANCE AUTHORITY
A86109196745203H6T42015-10-22$73,276,988SEE SCHEDULE K, PART VIfalsefalsefalse
ILLINOIS FINANCE AUTHORITY
B86109196745203HCM22011-09-21$12,453,367SEE SCHEDULE K, PART VIfalsefalsefalse

Tax Exempt Bonds Proceeds TaxExemptBondsProceedsGrp (2 entries)

Bond ReferenceBondReferenceCdRetiredRetiredAmtBond DefeasedBondDefeasedAmtTotal ProceedsTotalProceedsAmtIn Reserve FundInReserveFundAmtCapitalized InterestCapitalizedInterestAmtRefunding EscrowRefundingEscrowAmtIssuance Costs From ProceedsIssuanceCostsFromProceedsAmtCredit EnhancementCreditEnhancementAmtWorking Capital ExpendituresWorkingCapitalExpendituresAmtCapital ExpendituresCapitalExpendituresAmtOther Spent ProceedsOtherSpentProceedsAmtUnspentUnspentAmtSubstantial CompletionSubstantialCompletionYrCurrent RefundingCurrentRefundingIndAdvance RefundingAdvanceRefundingIndFinal Allocation MadeFinalAllocationMadeIndAdequate Books And Rec MaintAdequateBooksAndRecMaintInd
A$0$0$75,644,840$0$0$68,175,984$715,867$0$0$0$6,752,989$02019falseYes (true)Yes (true)Yes (true)
B$7,325,000$0$12,453,367$0$0$0$130,427$0$0$0$12,322,940$02011Yes (true)falseYes (true)Yes (true)

Tax Exempt Bonds Private Bus Use TaxExemptBondsPrivateBusUseGrp (2 entries)

Bond ReferenceBondReferenceCdOwning Bond Financed PropertyOwningBondFinancedPropertyIndAny Lease ArrangementsAnyLeaseArrangementsIndMgmt Contract Bond Fincd PropMgmtContractBondFincdPropIndEngage Bond Counsel ContractsEngageBondCounselContractsIndAny Research AgreementsAnyResearchAgreementsIndPrivate Bus Use By OthersPrivateBusUseByOthersPctPrivate Bus Concerning UBIPrivateBusConcerningUBIPctTotal Private Business UseTotalPrivateBusinessUsePctBond Iss Meet Prvt Sec Pymt TestBondIssMeetPrvtSecPymtTestIndChange In Use Bond Financed PropChangeInUseBondFinancedPropIndRemedial Action TakenRemedialActionTakenIndProcs Nonqualified Bond RemdtdProcsNonqualifiedBondRemdtdInd
AfalseYes (true)Yes (true)falsefalse0.000000.000000.00000falsefalsefalseYes (true)
B0

Tax Exempt Bonds Arbitrage TaxExemptBondsArbitrageGrp (2 entries)

Bond ReferenceBondReferenceCdForm8038 T FiledForm8038TFiledIndRebate Not Due YetRebateNotDueYetIndException To RebateExceptionToRebateIndNo Rebate DueNoRebateDueIndVariable Rate IssueVariableRateIssueIndHedge Identified In Bks And RecHedgeIdentifiedInBksAndRecIndGross Proceeds Invested In GICGrossProceedsInvestedInGICIndBusiness Name Line1GICProviderName/BusinessNameLine1TxtGross Proceeds InvestedGrossProceedsInvestedIndWritten Proc To Monitor ReqsWrittenProcToMonitorReqsInd
0
AfalseYes (true)falsefalsefalsefalsefalse0falseYes (true)
0
BfalsefalsefalseYes (true)Yes (true)falsefalse0falseYes (true)

Procedures Corrective Action ProceduresCorrectiveActionGrp (2 entries)

Bond ReferenceBondReferenceCdProcedures Corrective ActionProceduresCorrectiveActionInd
AYes (true)
BYes (true)

Schedule L IRS990ScheduleL

Bus Tr Involve Interested Prsn BusTrInvolveInterestedPrsnGrp (8 entries)

Relationship DescriptionRelationshipDescriptionTxtTransactionTransactionAmtTransactionTransactionDescSharing Of RevenuesSharingOfRevenuesInd
IBEAWUCHI MBANU
FAMILY MBR-T. RICHARDSON$351,779Employmentfalse
ANNA KATZ
FAMILY MBR- LEE SACKS$323,733EMPLOYMENTfalse
DANIEL DOHERTY
FAM MBR- J. DAN, FRM OFF$202,915EMPLOYMENTfalse
JULIE NAKIS
FAMILY MBR- D. NAKIS$97,394EMPLOYMENTfalse
MICHAEL MAHONEY
FAMILY MBR- D. NAKIS$81,056EMPLOYMENTfalse
EMILY HEIM
FAMILY MBR- R. HEIM$61,055EMPLOYMENTfalse
JAMES RICHARDSON
FAMILY MBR- M. RICHARDSON$55,900EMPLOYMENTfalse
ALLISON LUKHARD
FAMILY MBR- K. LUKHARD$15,954EMPLOYMENTfalse

Schedule O IRS990ScheduleO

Supplemental Information Detail SupplementalInformationDetail (10 entries)

Form And Line ReferenceFormAndLineReferenceDescExplanationExplanationTxt
FORM 990, PART III, LINE 4Aproviding inpatient and outpatient healthcare services to the community regardless of the patients' ability to pay. included in these health care services are the provision of charity care and trauma care. as part of its community benefits strategy and its mission, advocate is committed to promoting initiatives that enhance access to health care for people who are uninsured, underinsured and low income. an example of this is advocate's provision of charity care. advocate offers a very generous charity care program - requiring no payments from the patients most in need, and providing discounts to uninsured patients earning up to six times the federal poverty level, and to insured patients earning up to four times the federal poverty level. advocate also considers an individual's extenuating circumstances to qualify patients for charity care. for uninsured patients, advocate will presumptively provide charity care if the financial status has been verified by a third party and, in these cases, the patient is not required to submit a separate charity care application. if presumptive criteria is not available for uninsured patients, then financial assistance eligibility is available using an income-based screening. advocate extends its income-based financial assistance policy to its insured patients as well, also taking into consideration the insured individual's extenuating circumstances. although advocate's charity care policy is very generous, advocate continues to review and refine its policy in an ongoing effort to ensure that financial assistance is available to those who need help in a timely manner. advocate hospitals maintain highly visible signage and brochures in multiple languages to inform patients of the availability of financial help and financial counselors. information about advocate's charity care program and charity applications is provided to all uninsured patients during registration and is mailed to them in advance of the first patient billing. after that, each uninsured patient bill includes summary information regarding the charity care program. advocate is also one of the largest providers of health care services to medicaid and medicare patients in chicago and the surrounding suburbs. advocate health care is dedicated to providing expert emergency care - today and into the future. in the area of trauma care, level 1 designation is the highest level for trauma centers. as level 1 trauma centers, five advocate hospitals-advocate christ medical center, advocate condell medical center, advocate good samaritan hospital, advocate illinois masonic medical center and advocate lutheran general hospital-care for the most seriously injured people in chicagoland. as is the case with all illinois level i trauma centers, advocate's trauma centers are staffed by on-site, 24-hour-a-day trauma surgeons; feature 24-hour surgical and nonsurgical services, such as radiology and anesthesia; and can accommodate helicopter transports. advocate operates nearly one-quarter of all level i trauma centers in illinois and is the largest trauma system in the state. twenty percent of trauma patients in metropolitan chicago are treated annually in an advocate trauma center. in 2017, advocate's level i trauma hospitals treated 9,773 trauma patients, and an additional 1,350 trauma patients were treated at advocate's level ii designated trauma hospitals, including advocate bromenn medical center, advocate good shepherd hospital and advocate sherman hospital. Form 990, Part III, Line 4b health care services provided by physicians employed by the organization. as part of advocate's broad array of services and programs designed to meet community health needs, advocate physicians target unique health access needs of the uninsured, underinsured, underserved, low income and special needs individuals living in chicagoland and central illinois communities. examples of these programs include: advocate adult down syndrome center established in 1992 through a partnership between advocate lutheran general hospital and the national association for down syndrome (nads), the advocate medical group adult down syndrome center provides crucial psychosocial and medical services to adolescents and adults with down syndrome living in all areas of illinois. many in this unique population are on public assistance and, for most of these individuals, there are few sources of reimbursement for these much-needed services. the center's multidisciplinary approach to comprehensive medical care, with a strong emphasis on preventive medicine, provides practical approaches to health education and health risk reduction, including supporting people with down syndrome in their own health promotion efforts. a significant focus for the center moving forward is the continued expansion of research and patient education efforts. each year approximately 3,000 individuals are served through over 7,000 visits including care in the office, the patient's home, at residential facilities, nursing homes and in the hospital. maine township district 207 school-based health centers (sbhc) maine township district 207 was faced with approximately 30 percent of its students not being able to meet, or experiencing significant difficulty meeting, the state-mandated physical and immunization requirements due to being uninsured or underinsured. following several years of planning and in collaboration with advocate medical group and advocate lutheran general hospital, the district opened a school based-health center (d207 sbhc) in maine east high school in march 2003 to provide these students with access to vital health care services. advocate employees serve as medical director, pediatrician, nurse practitioner and mental health worker for the grant-funded clinic. all prescriptions are processed and filled by the advocate pharmacy and advocate keeps the clinic equipped with office supplies and other equipment. the center also serves as a training site for pediatric and family medicine residents. open to all high school students in maine township high school district 207, the d207 sbhc has helped to provide many students with physicals and immunizations which has allowed the district to maintain its 99% il state compliance rate for the 2017-18 school year. the d207 sbhc continues to provide free or low-cost services including physicals, immunizations, emergent care, behavioral health treatment, nutritional counseling and educational programs. the center's medical director and staff have had 1,568 contacts during the 2017/2018 school year and more than 25,560 student contacts since the facility's inception. medfest in 2017, advocate medical group sponsored medfest, a collaborative with special olympics of illinois, for the 19th year in a row in 2017. medfest is annually held at various locations in the state. the event provides people with intellectual disabilities opportunities to participate in sports training and competitions, creating avenues for inclusion and acceptance for this underserved population throughout illinois. the free clinical services result in participants' enhanced physical fitness and comfort with the medical community. amg provided 1,405 free athletic physicals to special olympians at the united center in chicago in 2017, allowing them opportunities to participate in competitions throughout the year. advocate medical group has also provided free physicals to special olympians in bloomington for the past 5 years and in orland park for over ten years, providing 37 and 260 physical exams, respectively, in 2017. in addition to the examples provided above, advocate physicians provide year-round health education, lectures, screenings and consultations at community health events throughout the metropolitan chicago area and bloomington/normal area.
FORM 990, PART III, LINE 4Cgraduate medical education (gme)/medical students/other health professionals education advocate is committed to training health care providers in a broad range of medical specialties. as one of the largest providers of training in primary care medicine in illinois, there were 2,288 medical student rotations completed and 582 residents and fellows who received hands-on training in 2017 at advocate's four academic medical centers - advocate bromenn medical center, advocate christ medical center, advocate illinois masonic medical center and advocate lutheran general hospital. in addition, and dependent on each hospital's or advocate's system-level academic affiliations, the training of undergraduate and graduate student nurses and students in other allied health professions, such as respiratory care, radiologic technology, physical and speech therapy, pharmaceutical services, etc., occurs throughout advocate's multiple sites. advocate's spiritual leaders oversee a nationally accredited clinical pastoral education program. supervising over 180 student units each year, this program is the largest in the country, providing opportunities for seminary students and local faith leaders to grow and develop spiritual care ministry skills. not included in the above expense and revenue amounts but important to the organization's role in training health care professionals, are the nursing residency programs at advocate good samaritan hospital and advocate illinois masonic medical center. Form 990, Part III, Line 4D description of advocate health care advocate is the largest fully integrated health care system in illinois and one of the largest health care providers in the midwest. in 2017, as part of a network of nearly 400 sites of care, advocate's more than 37,000 associates provided care at twelve hospitals, including a children's hospital located on two campuses (oak lawn and park ridge), totaling more than 3,500 beds. advocate had a combined total of 170,700 inpatient admissions, 2,203,000 outpatient visits and 547,293 emergency department visits in 2017. advocate health care earned 100 top hospitals recognition by truven health analytics at three of its hospitals in 2017, including advocate condell medical center, advocate illinois masonic medical center and advocate sherman hospital. eight advocate hospitals - advocate bromenn medical center, advocate christ medical center, advocate condell medical center, advocate good samaritan hospital, advocate good shepherd hospital, advocate illinois masonic medical center, advocate lutheran general hospital and advocate sherman hospital - have been awarded the amercian nurses credentialing center's magnet designation-the highest honor for nursing excellence. advocate has also been recognized with the visionary and system for change award by practice greenhealth for the 10th consecutive year. in addition, advocate has been ranked as one of the best places to work by the chicago tribune, one of the 150 best places to work in healthcare by modern healthcare, and one of the best places to work for nurses by nurses.org. diversity incorporated has also recognized advocate as one of the top 10 health systems for diversity in the us. advocate was again recognized as one of hospitals and health networks most wired health systems in 2017. advocate provides expert emergency care to the chicago area's seriously injured people through its five level i trauma centers (the state's highest designation in trauma care), which comprise the largest emergency and level 1 trauma network in illinois, and three level ii trauma centers. in 2017, advocate's five level i trauma centers handled 9,773 trauma visits out of an overall combined total of 274,635 emergency room visits that occurred at these sites; and the level ii trauma centers handled a total of 1,350 trauma visits out of a combined total of 127,639 emergency room visits. the three advocate hospitals that are not level i or level ii trauma centers, including advocate children's hospital (on two campuses-oak lawn and park ridge), handled a combined total of 145,019 non-trauma emergency room visits. two advocate hospitals also serve as point of dispensing hospitals for coordination of disaster communication-advocate illinois masonic medical center for the city of chicago and advocate christ medical center for a 5-county geographic area. leadership of the metropolitan chicago and collar county disaster and communication coordination efforts requires significant involvement in both national and local bioterrorism and disaster preparedness activities. advocate provides services for complex surgeries during pregnancy and neonatal periods. the advocate children's hospital center for fetal care is one of the first in chicagoland, and one of only 33 medical centers in north america, performing advanced in-utero fetal therapy procedures. advocate also treats more pediatric patients than any other hospital or system in the state. in addition, four of advocate's hospitals are designated level iii (the state's highest level) neonatal intensive care units (nicu). these hospitals handle the most ill babies from other advocate hospitals and through transfers from non-advocate hospitals in the chicagoland area. in 2017, these advocate hospitals had a total of 3,928 nicu admissions, up substantially from the 2,168 nicu admissions the previous year. more people trust their hearts (cardiac care) to advocate, and advocate diagnoses and treats more cancer than any health system in illinois. this is important because health research shows there is a positive relationship between the number of procedures performed and quality outcomes. in addition, the organization is also recognized as having one of the largest home health companies in the state. advocate has one of the largest physician networks of primary care physicians, specialists and sub-specialists in illinois. of the 6,300 physicians affiliated with advocate, 5,000 of them are members of advocate physician partners, the system's care management organization, with 1,500 employed through advocate medical group. advocate has academic and teaching affiliations with most major universities in the chicago metropolitan area. at its four teaching hospitals, advocate trains more primary care physicians and residents than any other health care system in the state. advocate health care is one of the nations largest aco's and is nationally recognized for it's ability to positively affect rising healthcare costs. while medicare health care costs rose nationally by 5.8% in 2015 and 1.24% in 2016, advocate decreased medicare costs in its medicare shared savings program by 2.1% and 2.08% respectively. advocate continues to be the market leader in working with payers to offer new solutions that align incentives and lead to improved quality with reduced costs to payers, employers and patients. as a not-for-profit, mission-based health system affiliated with the evangelical lutheran church in america and the united church of christ, advocate contributed $702.5 million in charitable care and services to communities across chicagoland and central illinois in 2017. mission incorporated as advocate health care in january 1995, the system has a long tradition of providing health care dating back more than 100 years to hospitals founded by predecessor churches of the evangelical lutheran church in america and the united church of christ. advocate's common mission, values, and philosophy (mvp) was developed from the similar mission-oriented histories of both organizations. the mission of advocate health care is to serve the health needs of individuals, families and communities through a wholistic philosophy rooted in our fundamental understanding of human beings as created in the image of god. the values of advocate serve as an internal compass to guide relationships and actions. they include equality, compassion, excellence, partnership and stewardship. the philosophy of advocate is grounded in the principles of human ecology, faith, and community-based health care. these principles arise from an understanding of human beings as whole persons in light of their relationships with god, themselves, their families and society in which they live. through its actions, advocate health care affirms these principles. population served advocate health care provides quality health care to various communities in the chicagoland area and central illinois regardless of race, creed, national origin, age or ability to pay. in 2017, advocate experienced 170,700 total inpatient admissions, 2,203,000 outpatient visits, 547,293 emergency department visits and 20,587 deliveries. in addition, advocate home health services had a total of 26,987 admissions and advocate hospice reported a total of 134,914 adult patient days in 2017.
FORM 990, PART VI, SECTION A, LINE 1Aboard delegating powers to executive committee the corporate member's executive committee has nine members, consisting of the chairperson, the vice chairperson, the president, the chairpersons of the finance, planning, health outcomes and mission and spiritual care committees, and two other directors. the past chairperson of the board of directors may serve as an ex-officio member of the committee, with vote. each of the executive committee's members is on the board. the scope of the executive committees' authority includes: be responsible for planning educational programs for the board of directors; conduct an evaluation of the members of the board of directors; have such authority as shall be delegated by the board of directors; and act on behalf of the board of directors between meetings. the executive committee is accountable as a body to the board of directors. FORM 990, PART VI, LINE 2 officer business relationship as james dan, m.d., vincent bufalino, m.d., gail d. hasbrouck, earl barnes ii, james doheny, and dominic j. nakis are either directors or officers of wholly owned advocate entities, they are deemed to have a business relationship pursuant to the instructions for form 990. as james dan, m.d., vincent bufalino, m.d., and lee b. sacks, m.d., are either directors or officers of wholly owned advocate entities, they are deemed to have a business relationship pursuant to the Instructions for form 990. as james dan, m.d., vincent bufalino, m.d., gail d. hasbrouck, earl barnes ii, james doheny, scott powder, and william p. santulli are either directors or officers of wholly owned advocate entities, they are deemed to have a business relationship pursuant to the instructions for form 990. FORM 990, PART VI, QUESTION 4 the advocate health care network and aurora health care, inc. Systems entered into an affiliation agreement december 4, 2017 and the transaction occurred on april 1, 2018.
FORM 990, PART VI, QUESTION 6DESCRIPTION OF CLASSES OF MEMBERS OR STOCKHOLDERS BYLAWS PROVIDE FOR CORPORATE MEMBERS.
FORM 990, PART VI, QUESTION 7Adescription of classes of persons and the nature of their rights directors of the board are corporate members of advocate health and hospital board, which elects the board of directors. FORM 990, PART VI, QUESTION 7B descr classes of persons, decisions requiring appr & type of voting rights the following reserve powers identified in the bylaws require the approval of the corporate member, advocate health care network: appoint outside auditors and establish and revise all financial control policies, and any changes to such policies, before such policies or changes become effective; cause the corporation to pay, loan or otherwise transfer property and funds to other entities affiliated with the corporate member; amend the bylaws without action or approval by the board of directors (after ten days notice) to the corporation's board of directors of the proposed amendment(s) with an opportunity for board members to consult with the corporate member regarding the proposed amendment; approval of the overall mission, philosophy and values statements and any amendments or supplements to such statements; approval of the overall strategic plans; approval of all overall operating and capital budgets before any expenditure, pursuant to such budgets are made or committed, and approval of all expenditures above any limit that may be established by the board of the corporate member; approval of the incurrence or guarantee of any indebtedness for borrowed money which has not already been approved as a part of the budget approval process or which is above any limit that may be established by the board of the corporate member; approval of all transfers of ownership or donations of assets above any limit that may be established by the board of the corporate member; approval of all amendments to the articles of incorporation and bylaws of the corporation before they become effective; approval of any merger, consolidation, or dissolution; and approval of the creation of or affiliation with any subsidiary or affiliate, before such entity is created or the entrance into any joint venture if the contemplated activity will involve the expenditure of funds or the assumption of obligations which have not already been approved as a part of the budget approval process or require member approval under the financial control policies.
FORM 990, PART VI, QUESTION 11BDESCRIBE THE PROCESS USED BY MANAGEMENT &/OR GOVERNING BODY TO REVIEW 990 ADVOCATE'S TAX PREPARATION PROCESS INCLUDES ONGOING CONSULTATION WITH ITS OUTSIDE TAX CONSULTING FIRM AND TAX LEGAL COUNSEL, both of which possess expertise in health care and tax-exempt return preparation, to advise and assist with preparation of the form 990. these advisors worked closely with the organization's finance, tax, and legal associates and other members of the organization's team assembled to participate in the preparation of the form 990. the form 990 is reviewed by finance management, the tax manager, the vp of finance/corporate controller, the chief financial officer, and advocate's outside tax consulting firm and tax legal counsel. prior to presenting the form 990 to the board of director's audit committee in november, the organization's team, including its advisors, met frequently to discuss and review drafts of the form 990. at the november audit committee meeting, the vp of finance/corporate controller and chief financial officer coordinated a review of the form 990 with committee members, as the audit committee is the committee of the board of directors charged with oversight of audit and tax matters. the vp of finance/corporate controller and chief financial officer responded to the audit committee Members' questions and provided the opportunity for detailed discussion of the form 990. The changes identified were incorporated, and then a complete copy of the final form 990 was provided to each member of the organization's board of directors before the form 990 was filed.
FORM 990, PART VI, QUESTION 12CDESCRIBE THE PROCESS TO MONITOR TRANSACTIONS FOR CONFLICTS OF INTEREST THE ORGANIZATION'S CONFLICT OF INTEREST POLICY APPLIES TO VARIOUS PEOPLE, INCLUDING MEMBERS OF ADVOCATE'S BOARD OF DIRECTORS, GOVERNING COUNCILS, OFFICERS, ASSOCIATES, VOLUNTEERS, AND MEDICAL STAFF MEMBERS WITH ADMINISTRATIVE RESPONSIBILITIES. ANNUALLY, THE COMPLIANCE DEPARTMENT SENDS THIS POLICY AND THE ADVOCATE CODE OF BUSINESS CONDUCT TO A RANGE OF INDIVIDUALS WHO MAY BE IN A POSITION TO EXERCISE SUBSTANTIAL INTEREST OVER A PARTICULAR MATTER (DEFINED AS INTERESTED PERSONS). THEY ARE REQUIRED TO READ THE POLICIES AND PROVIDE A DISCLOSURE STATEMENT TO THE COMPLIANCE DEPARTMENT, WHICH IDENTIFIES ACTIVITIES AND RELATIONSHIPS THAT COULD POTENTIALLY GIVE RISE TO A CONFLICT OF INTEREST. THE CHIEF COMPLIANCE OFFICER REVIEWS THE DISCLOSURES AND PROVIDES A REPORT TO THE SYSTEM BUSINESS CONDUCT (COMPLIANCE) COMMITTEE, EXECUTIVE MANAGEMENT TEAM AND THE AUDIT COMMITTEE OF THE BOARD FOR REVIEW. THE REPORT IS THEN PROVIDED, IN RELEVANT PART, TO THE SITE CHIEF EXECUTIVE OFFICERS. POTENTIAL CONFLICTS ARE REVIEWED BY THE COMPLIANCE DEPARTMENT ON A CASE BY CASE BASIS. FOLLOW UP PROCEDURES CONDUCTED ARE UNIQUE TO THE GIVEN CIRCUMSTANCE, AND MAY INCLUDE REVIEWING THE POTENTIAL CONFLICT WITH THE INTERESTED PERSON, OR INVESTIGATING THE MATTER IN CONSULTATION WITH THE INTERESTED PERSON'S SUPERVISOR AND/OR SITE MANAGEMENT. IN CIRCUMSTANCES WHERE THE INTERESTED PERSON IS NOT A MEMBER OF THE BOARD, OR GOVERNING COUNCIL, OR A COMMITTEE THEREOF, OR A PERSON OF INTEREST, IF IT IS DETERMINED THAT THERE IS AN ACTUAL CONFLICT OF INTEREST, THE SUPERVISOR OF THE INDIVIDUAL IS RESPONSIBLE FOR MAKING AN APPROPRIATE RESPONSE, POTENTIALLY INCLUDING A RESTRICTION OF THE INDIVIDUAL'S JOB DUTIES WITH RESPECT TO THE MATTER GIVING RISE TO THE CONFLICT.
FORM 990, PART VI, QUESTIONS 15A & 15BOFFICES & POSITIONS FOR WHICH PROCESS WAS USED, & YEAR PROCESS WAS BEGUN EXECUTIVE COMPENSATION AT ADVOCATE HEALTH AND HOSPITAL CORPORATION IS BASED ON A BOARD OF DIRECTORS' APPROVED STRATEGY THAT GUIDES THE CORPORATION IN ESTABLISHING COMPENSATION OPPORTUNITIES FOR EXECUTIVES, MANAGERS, PROFESSIONALS AND ALL EMPLOYEES. IN THIS STRATEGY, SPECIFIC MARKET COMPARISONS ARE IDENTIFIED AND THE DESIRED LEVELS OF COMPETITIVENESS IN THOSE MARKETS SPECIFIED. IN ADDITION, THE LINKAGE OF EXECUTIVE PAY TO PERFORMANCE IS ARTICULATED AND HOW THIS RELATIONSHIP IS TO BE MAINTAINED IS OUTLINED. TO SUPPORT AND IMPLEMENT THE COMPENSATION STRATEGY, FIVE BASIC ELEMENTS ARE UTILIZED. THESE ELEMENTS ARE: -A SOLID, RELIABLE AND TESTED JOB EVALUATION METHODOLOGY. -ACCURATE, QUALITY AND RELEVANT COMPENSATION SURVEY INFORMATION. -A CONSISTENT ANNUAL PROCESS FOR UPDATING THE COMPENSATION LEVELS. -AN ACTIVE BOARD REVIEW PROCESS THAT ASSURES COMPLIANCE WITH THE COMPENSATION STRATEGY AND ON-GOING REVIEW OF THE PERFORMANCE OF THE ORGANIZATION, AND -ACTIVE, EXTERNAL REVIEW AND AUDITING OF COMPENSATION BY EXTERNAL INDEPENDENT CONSULTANTS
FORM 990, PART VI, QUESTION 19THE ORGANIZATION MAKES ITS FINANCIAL STATEMENTS AVAILABLE TO THE PUBLIC THROUGH THE FOLLOWING WEB SITES: DACBOND.COM (DIGITAL ASSURANCE CERTIFICATION LLC) EMMA.MSRB.ORG (ELECTRONIC MUNICIPAL MARKET ACCESS) THE ORGANIZATION DOES NOT MAKE ITS GOVERNING DOCUMENTS OR CONFLICT OF INTEREST POLICY AVAILABLE TO THE PUBLIC.
FORM 990, PART XI, LINE 9contributions from subsidiaries $170,000,000 contribution from parent $100,000,000 fasb 158 adjustments $77,583,097 -------------- TOTAL $347,583,097

Schedule R IRS990ScheduleR

Id Related Tax Exempt Org IdRelatedTaxExemptOrgGrp (12 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdExempt Code SectionExemptCodeSectionTxtPublic Charity StatusPublicCharityStatusTxtBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtControlled OrganizationControlledOrganizationInd
Advocate Health Care Network
3075 Highland Parkway STE 600Downers GroveIL60515362167779Parent CorpIL501(c)(3)12-III-FINAfalse
Advocate Condell Medical Center
3075 Highland Parkway STE 600Downers GroveIL60515262525968Health CareIL501(c)(3)3AHHCYes (true)
Advocate North Side Health Network
3075 Highland Parkway STE 600Downers GroveIL60515363196629Health CareIL501(c)(3)3AHHCYes (true)
Advocate Charitable Foundation
3075 Highland Parkway STE 600Downers GroveIL60515363297360FundraisingIL501(c)(3)7AHCNfalse
EHS Home Health Care Service Inc
3075 Highland Parkway STE 600Downers GroveIL60515362913108Home CareIL501(c)(3)10AHHCYes (true)
Meridian Hospice
3075 Highland Parkway STE 600Downers GroveIL60515363158667Hospice CareIL501(c)(3)10EHSHHCSfalse
Hispanocare Inc
3075 Highland Parkway STE 600Downers GroveIL60515363606486Health CareIL501(c)(3)10ANSHNfalse
Ravenswood Health Care Foundation
3075 Highland Parkway STE 600Downers GroveIL60515363196628FundraisingIL501(c)(3)12-IINAfalse
Masonic Family Health Foundation Inc
3075 Highland Parkway STE 600Downers GroveIL60515364397387FundraisingIL501(c)(3)12-IMFHSfalse
Advocate Sherman Hospital
3075 Highland Parkway STE 600Downers GroveIL60515362167920Health CareIL501(c)(3)3AHCNfalse
Sherman West Court
3075 Highland Parkway STE 600Downers GroveIL60515363725580Nursing CareIL501(c)(3)10ASHfalse
ADVOCATE AURORA HEALTH INC
3075 HIGHLAND PARKWAY STE 600DOWNERS GROVEIL60515824184596SUPPORT ORGDE501(C)(3)12-III-FINAfalse

Id Related Org Txbl Partnership IdRelatedOrgTxblPartnershipGrp

Related Organization Name RelatedOrganizationName

FieldValueIRS element (for citing)
Business Name Line1DMA SURGERY CENTERBusinessNameLine1Txt

US Address USAddress

FieldValueIRS element (for citing)
Address Line12357 Sequoia DriveAddressLine1Txt
CityAURORACityNm
State AbbreviationILStateAbbreviationCd
ZIP60506ZIPCd
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EIN363890298EIN
Primary ActivitiesMEDICAL SERVicesPrimaryActivitiesTxt
Legal Domicile StateILLegalDomicileStateCd

Direct Controlling Entity Name DirectControllingEntityName

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Business Name Line1NABusinessNameLine1Txt

Id Related Org Txbl Corp Tr IdRelatedOrgTxblCorpTrGrp (14 entries)

Address Line1USAddress/AddressLine1TxtCityUSAddress/CityNmState AbbreviationUSAddress/StateAbbreviationCdZIPUSAddress/ZIPCdEINEINPrimary ActivitiesPrimaryActivitiesTxtLegal Domicile StateLegalDomicileStateCdBusiness Name Line1DirectControllingEntityName/BusinessNameLine1TxtEntity TypeEntityTypeTxtControlled OrganizationControlledOrganizationIndAddress Line1ForeignAddress/AddressLine1TxtCityForeignAddress/CityNmCountryForeignAddress/CountryCdForeign PostalForeignAddress/ForeignPostalCdLegal Domicile Foreign CountryLegalDomicileForeignCountryCdShare Of Total IncomeShareOfTotalIncomeAmtShare Of EOY AssetsShareOfEOYAssetsAmtOwnershipOwnershipPct
Advocate Home Care Products
3075 Highland Parkway Suite 600Downers GroveIL60515363315416Health ServicesILNAC Corpfalse
Advocate Health Centers Inc
3075 Highland Parkway Suite 600Downers GroveIL60515364217291Medical ServicesILNAC Corpfalse
Evangelical Services Corporation
3075 Highland Parkway Suite 600Downers GroveIL60515363208101Mgmt ServicesILNAC Corpfalse
High Technology Inc
3075 Highland Parkway Suite 600Downers GroveIL60515363368224Medical ServicesILNAC Corpfalse
Dreyer Clinic Inc
3075 Highland Parkway Suite 600AuroraIL60515362690329Medical ServicesILNAC Corpfalse
BroMenn Physician Management Corporation
3075 Highland Parkway Suite 600Downers GroveIL60515371313150Medical ServicesILNAC Corpfalse
Parkside Center Condo Association
1775 West Dempster StreetPark RidgeIL60068363452486Property MgmtILNAC Corpfalse
The Delphi Group IV Inc
1425 N Randall RoadElginIL60123364017279Health Cost MgtILNAC Corpfalse
Sherman Ventures Inc
3075 HIGHLAND PARKWAY SUITE 600DOWNERS GROVEIL60515364292309Holding CompanyILNAC Corpfalse
Advocate HPN NFP
3075 Highland Parkway Suite 600Downers GroveIL60515810893878Health Imprv mgmtILNAC Corpfalse
ADVOCATE INSURANCE SPC
980422925INSURANCENAC CORPYes (true)878 West Bay Road PO Box 1159GRAND CAYMANCJKY1-1102CJ$29,365,000$208,654,0001.00000
ADVOCATE HEALTH PARTNERS
1701 WEST GOLF ROADROLLING MEADOWSIL60008364032117HEALTH CARE MGTILNAC CORPfalse
ADVOCATE PHYSICIAN PARTNERS ACCOUNTABLE
1701 WEST GOLF ROADROLLING MEADOWSIL60008455498384HEALTH CARE MGTILNAC CORPfalse
ADVOCATE PHYSICIAN PTNRS RISK PURChase
1701 WEST GOLF ROADROLLING MEADOWSIL60008383914173group malpracticeILNAC CORPfalse
FieldValueIRS element (for citing)
Receipt Of Int Annts Rnts RyltsYes (true)ReceiptOfIntAnntsRntsRyltsInd
Gift Grnt Or Cap Contri To Oth OrgfalseGiftGrntOrCapContriToOthOrgInd
Gift Grnt Cap Contri From Oth OrgYes (true)GiftGrntCapContriFromOthOrgInd
Loans Or Guarantees To Other OrgfalseLoansOrGuaranteesToOtherOrgInd
Loans Or Guarantees From Oth OrgfalseLoansOrGuaranteesFromOthOrgInd
Div Related OrganizationYes (true)DivRelatedOrganizationInd
Asset Sale To Other OrgfalseAssetSaleToOtherOrgInd
Asset Purchase From Other OrgfalseAssetPurchaseFromOtherOrgInd
Asset ExchangefalseAssetExchangeInd
Rental Of Facilities To Oth OrgYes (true)RentalOfFacilitiesToOthOrgInd
Rental Of Fclts From Oth OrgYes (true)RentalOfFcltsFromOthOrgInd
Perform Of Services For Oth OrgYes (true)PerformOfServicesForOthOrgInd
Perform Of Services By Other OrgYes (true)PerformOfServicesByOtherOrgInd
Sharing Of FacilitiesfalseSharingOfFacilitiesInd
Paid Employees SharingfalsePaidEmployeesSharingInd
Reimbursement Paid To Other OrgYes (true)ReimbursementPaidToOtherOrgInd
Reimbursement Paid By Other OrgYes (true)ReimbursementPaidByOtherOrgInd
Transfer To Other OrgYes (true)TransferToOtherOrgInd
Transfer From Other OrgYes (true)TransferFromOtherOrgInd

Transactions Related Org TransactionsRelatedOrgGrp (29 entries)

Transaction TypeTransactionTypeTxtInvolvedInvolvedAmtMethod Of Amount DeterminationMethodOfAmountDeterminationTxt
Advocate Health Care Network
C$100,000,000COST
Advocate North Side Health Network
Q$77,992,251COST
Advocate North Side Health Network
C$75,000,000COST
Advocate Condell Medical Center
C$75,000,000COST
Advocate North Side Health Network
L$67,818,727COST
Advocate Condell Medical Center
L$56,137,966COST
Advocate Condell Medical Center
Q$45,431,850COST
Advocate North Side Health Network
P$42,936,515COST
Advocate Insurance SPC
Q$24,554,659COST
Advocate Charitable Foundation
C$21,108,492COST
Advocate Insurance SPC
F$20,000,000COST
Advocate Condell Medical Center
P$19,478,787COST
Advocate North Side Health Network
R$13,380,136COST
EHS Home Health Care Service Inc
Q$10,018,024COST
Advocate North Side Health Network
S$5,847,664COST
Advocate Condell Medical Center
R$5,463,226COST
EHS Home Health Care Service Inc
L$1,922,440COST
Advocate Health Care Network
P$1,171,564COST
Advocate North Side Health Network
M$1,091,461COST
EHS Home Health Care Service Inc
P$958,000COST
Advocate Condell Medical Center
S$888,951COST
Advocate North Side Health Network
K$800,197COST
Advocate Condell Medical Center
M$474,346COST
Advocate Condell Medical Center
K$326,238COST
Advocate Insurance SPC
P$257,133COST
EHS Home Health Care Service Inc
M$238,920COST
Advocate Condell Medical Center
A$184,483COST
EHS Home Health Care Service Inc
A$14,840COST
Advocate North Side Health Network
A$13,611COST