4A (Expenses $ 4298359693 including grants of $ 0) (Revenue $ 5155572740)
THE ORGANIZATIONS INCLUDED IN THIS GROUP RETURN PROVIDE HEALTH PROMOTION, DIAGNOSIS AND TREATMENT SERVICES TO THE RESIDENTS OF EASTERN WISCONSIN. SUCH SERVICES INCLUDE CARDIOLOGY, CANCER TREATMENT, HYPERBARIC MEDICINE, NEUROSCIENCE, 24-HOUR EMERGENCY CARE, GENERAL SURGERY, ORTHOPAEDICS, WOMEN'S HEALTH AND OBSTETRICS, DIGESTIVE DISEASES, GERIATRIC SERVICES, PHYSICAL REHABILITATION, MENTAL HEALTH, SUBSTANCE ABUSE, AMBULATORY CARE, HOME HEALTH CARE, HOME HOSPICE CARE, IV THERAPY AND PHARMACEUTICALS, RESPIRATORY THERAPY, MEDICAL EQUIPMENT ON A PER-USE BASIS, AND MEDICAL EDUCATION AND TEACHING OVERSIGHT.

PART V, SECTION B
FACILITY REPORTING GROUP A

FACILITY REPORTING GROUP A CONSISTS OF:
- FACILITY 1: AURORA ST. LUKE'S MEDICAL CENTER, - FACILITY 2: AURORA SLMC SOUTH SHORE, - FACILITY 3: AURORA SINAI MEDICAL CENTER, - FACILITY 4: AURORA MEDICAL CENTER KENOSHA, - FACILITY 5: AURORA LAKELAND MEDICAL CENTER, - FACILITY 6: AURORA MEMORIAL HOSPITAL BURLINGTON, - FACILITY 7: AURORA MEDICAL CENTER SUMMIT, - FACILITY 8: AURORA BAYCARE MEDICAL CENTER, - FACILITY 9: AURORA WEST ALLIS MEDICAL CENTER, - FACILITY 10: AURORA SHEBOYGAN MEDICAL CENTER, - FACILITY 11: AURORA MEDICAL CENTER WASHINGTON COUNTY, - FACILITY 12: AURORA PSYCHIATRIC HOSPITAL, - FACILITY 13: AURORA MEDICAL CENTER OF MANITOWOC COUNTY, - FACILITY 14: AURORA MEDICAL CENTER OSHKOSH, - FACILITY 15: AURORA MEDICAL CENTER GRAFTON

GROUP A-FACILITY 1 -- AURORA ST. LUKE'S MEDICAL CENTER PART V, SECTION B, LINE 5:
FOR ALL HOSPITALS INCLUDED IN THIS GROUP RETURN, THE KEY PARTICIPANTS IN THE PROCESS INCLUDED THE HEALTH OFFICERS FOR THE LOCAL HEALTH DEPARTMENTS AS WELL AS LEADERS OF ACADEMIC CENTERS, HEALTH COALITIONS, FOUNDATIONS, AND COMMUNITY ORGRANIZATIONS FOCUSED ON A RANGE OF PUBLIC HEALTH ISSUES AND/OR HEALTH DISPARITIES. KEY PARTICIPANTS WERE ASKED TO RANK THE TOP THREE TO FIVE MAJOR HEALTH-RELATED ISSUES FOR THEIR COUNTY BASED ON THE FOCUS AREAS OUTLINED IN THE WISCONSIN STATE HEALTH PLAN, HEALTHIEST WISCONSIN 2020. FOR EACH TOP-RANKED HEALTH TOPIC, THE PARTICIPANT WAS ASKED TO SPECIFY EXISTING STRATEGIES TO ADDRESS ISSUES, BARRIERS, OR CHALLENGES; ADDITIONAL STRATEGIES NEEDED; AND KEY GROUPS THE HOSPITALS COULD COLLABORATE WITH TO IMPROVE COMMUNITY HEALTH.

GROUP A-FACILITY 1 -- AURORA ST. LUKE'S MEDICAL CENTER PART V, SECTION B, LINE 11:
"AURORA ST. LUKE'S MEDICAL CENTER ADDRESSED SIGNIFICANT HEALTH NEEDS AS FOLLOWS: TO IMPROVE ACCESS TO APPROPRIATE SERVICES FOR UNINSURED PERSONS AND MEDICAID-ELIGIBLE PATIENTS, THE HOSPITAL PROVIDED PATIENTS WITH INFORMATION ON THE BENEFITS OF RECEIVING ROUTINE PRIMARY CARE IN A ""HEALTH HOME"" PROGRAM. TO IMPROVE COVERAGE FOR ALL UNINSURED PERSONS, THE HOSPITAL ACTIVELY SCREENED ALL UNINSURED PATIENTS FOR FINANCIAL ASSISTANCE PROGRAMS INCLUDING AURORA'S HELPING HAND PATIENT FINANCIAL ASSISTANCE PROGRAM, AND OTHER SAFETY NET PROGRAMS FOR WHICH THEY QUALIFY, AND ASSISTED WITH THE APPLICATION PROCESS. THE HOSPITAL ALSO ESTABLISHED A CONNECTION BETWEEN SOCIAL SERVICE AND NURSE PRACTITIONERS TO BETTER MONITOR AND MANAG PATIENTS WITH CHRONIC DISEASE."

GROUP A-FACILITY 2 -- AURORA ST. LUKE'S MEDICAL CENTER SOUTH S PART V, SECTION B, LINE 5:
FOR ALL HOSPITALS INCLUDED IN THIS GROUP RETURN, THE KEY PARTICIPANTS IN THE PROCESS INCLUDED THE HEALTH OFFICERS FOR THE LOCAL HEALTH DEPARTMENTS AS WELL AS LEADERS OF ACADEMIC CENTERS, HEALTH COALITIONS, FOUNDATIONS, AND COMMUNITY ORGRANIZATIONS FOCUSED ON A RANGE OF PUBLIC HEALTH ISSUES AND/OR HEALTH DISPARITIES. KEY PARTICIPANTS WERE ASKED TO RANK THE TOP THREE TO FIVE MAJOR HEALTH-RELATED ISSUES FOR THEIR COUNTY BASED ON THE FOCUS AREAS OUTLINED IN THE WISCONSIN STATE HEALTH PLAN, HEALTHIEST WISCONSIN 2020. FOR EACH TOP-RANKED HEALTH TOPIC, THE PARTICIPANT WAS ASKED TO SPECIFY EXISTING STRATEGIES TO ADDRESS ISSUES, BARRIERS, OR CHALLENGES; ADDITIONAL STRATEGIES NEEDED; AND KEY GROUPS THE HOSPITALS COULD COLLABORATE WITH TO IMPROVE COMMUNITY HEALTH.

GROUP A-FACILITY 2 -- AURORA ST. LUKE'S MEDICAL CENTER SOUTH S PART V, SECTION B, LINE 11:
"AURORA ST. LUKE'S MEDICAL CENTER SOUTH SHORE ADDRESSED SIGNIFICANT HEALTH NEEDS AS FOLLOWS: TO IMPROVE ACCESS AND COVERAGE FOR UNINSURED AND MEDICAID-ELIGIBLE PATIENTS, THE HOSPITAL DEVELOPED AN INFORMATION KIT FOR TARGET POPULATIONS TO PROMOTE THE BENEFITS OF PRIMARY AND PREVENTIVE CARE AND BECAME ESTABLISHED WITH A ""HEALTH HOME"". TO IMPROVE COVERAGE TO UNINSURED AND MEDICAID-ELIGIBLE PATIENTS, THE HOSPITAL ACTIVELY SCREENED ALL UNINSURED PATIENTS FOR FINANCIAL ASSISTANCE PROGRAMS INCLUDING AURORA'S HELPING HAND PATIENT FINANCIAL ASSISTANCE PROGRAM, AND OTHER SAFETY NET PROGRAMS FOR WHICH THEY QUALIFY, AND ASSISTED WITH THE APPLICATION PROCESS. THE PARISCH NURSES ALSO ASSISTED COMMUNITY MEMBERS WITH ACCESSING THE MARKETPLACE (THE HEALTH INSURANCE EXCHANGE). THE HOSPITAL CONTINUES TO HAVE PHYSICIANS SERVE ON THE CUDAHY AND OAK CREEK BOARD OF HEALTH AND SERVICE AS MEDICAL ADVISORS FOR THE CUDAHY AND OAK CREEK HEALTH DEPARTMENT."

GROUP A-FACILITY 3 -- AURORA SINAI MEDICAL CENTER PART V, SECTION B, LINE 5:
FOR ALL HOSPITALS INCLUDED IN THIS GROUP RETURN, THE KEY PARTICIPANTS IN THE PROCESS INCLUDED THE HEALTH OFFICERS FOR THE LOCAL HEALTH DEPARTMENTS AS WELL AS LEADERS OF ACADEMIC CENTERS, HEALTH COALITIONS, FOUNDATIONS, AND COMMUNITY ORGRANIZATIONS FOCUSED ON A RANGE OF PUBLIC HEALTH ISSUES AND/OR HEALTH DISPARITIES. KEY PARTICIPANTS WERE ASKED TO RANK THE TOP THREE TO FIVE MAJOR HEALTH-RELATED ISSUES FOR THEIR COUNTY BASED ON THE FOCUS AREAS OUTLINED IN THE WISCONSIN STATE HEALTH PLAN, HEALTHIEST WISCONSIN 2020. FOR EACH TOP-RANKED HEALTH TOPIC, THE PARTICIPANT WAS ASKED TO SPECIFY EXISTING STRATEGIES TO ADDRESS ISSUES, BARRIERS, OR CHALLENGES; ADDITIONAL STRATEGIES NEEDED; AND KEY GROUPS THE HOSPITALS COULD COLLABORATE WITH TO IMPROVE COMMUNITY HEALTH.

GROUP A-FACILITY 3 -- AURORA SINAI MEDICAL CENTER PART V, SECTION B, LINE 11:
AURORA SINAI MEDICAL CENTER ADDRESSED SIGNIFICANT HEALTH NEEDS AS FOLLOWS: TO IMPROVE ACCESS AND COVERAGE FOR UNINSURED AND MEDICAID-ELIGIBLE PATIENTS, THE HOSPITAL PROVIDED AN INFORMATION KIT TO MEDICAID-ELIGIBLE AND UNINSURED PATIENTS. TO IMPROVE COVERAGE TO UNINSURED AND MEDICAID-ELIGIBLE PATIENTS, THE HOSPITAL ACTIVELY SCREENED ALL UNINSURED PATIENTS FOR FINANCIAL ASSISTANCE PROGRAMS INCLUDING AURORA'S HELPING HAND PATIENT FINANCIAL ASSISTANCE PROGRAM, AND OTHER SAFETY NET PROGRAMS FOR WHICH THEY QUALIFY, AND ASSISTED WITH THE APPLICATION PROCESS. THE HOSPITAL ALSO PROVIDED COUNSELING AND MENTAL HEALTH SERVICES TO PREGNANT FAMILIES AND VICTIMS OF SEXUAL ASSUALT/ DOMESTIC VIOLENCE BY PROVIDING HOME-BASED EDUCATION, INFORMATION, COUNSELING, AND REFERRAL TO MEDICAL AND OTHER COMMUNITY RESOURCES TO ENSURE A HEALTHY PREGNANCY AND HEALTHY BIRTH.

GROUP A-FACILITY 4 -- AURORA MEDICAL CENTER KENOSHA PART V, SECTION B, LINE 5:
FOR ALL HOSPITALS INCLUDED IN THIS GROUP RETURN, THE KEY PARTICIPANTS IN THE PROCESS INCLUDED THE HEALTH OFFICERS FOR THE LOCAL HEALTH DEPARTMENTS AS WELL AS LEADERS OF ACADEMIC CENTERS, HEALTH COALITIONS, FOUNDATIONS, AND COMMUNITY ORGRANIZATIONS FOCUSED ON A RANGE OF PUBLIC HEALTH ISSUES AND/OR HEALTH DISPARITIES. KEY PARTICIPANTS WERE ASKED TO RANK THE TOP THREE TO FIVE MAJOR HEALTH-RELATED ISSUES FOR THEIR COUNTY BASED ON THE FOCUS AREAS OUTLINED IN THE WISCONSIN STATE HEALTH PLAN, HEALTHIEST WISCONSIN 2020. FOR EACH TOP-RANKED HEALTH TOPIC, THE PARTICIPANT WAS ASKED TO SPECIFY EXISTING STRATEGIES TO ADDRESS ISSUES, BARRIERS, OR CHALLENGES; ADDITIONAL STRATEGIES NEEDED; AND KEY GROUPS THE HOSPITALS COULD COLLABORATE WITH TO IMPROVE COMMUNITY HEALTH.

GROUP A-FACILITY 4 -- AURORA MEDICAL CENTER KENOSHA PART V, SECTION B, LINE 11:
"AURORA MEDICAL CENTER KENOSHA ADDRESSED SIGNIFICANT HEALTH NEEDS AS FOLLOWS: TO IMPROVE ACCESS TO APPROPRIATE SERVICES FOR UNINSURED AND MEDICAID-ELIGIBLE PATIENTS, THE HOSPITAL PROVIDED PATIENTS WITH INFORMATION ON THE BENEFITS OF RECEIVING ROUTINE PRIMARY AND DENTAL CARE IN A ""HEALTH HOME"" AT KENOSHA COMMUNITY HEALTH CENTER. TO IMPROVE COVERAGE TO UNINSURED AND MEDICAID-ELIGIBLE PATIENTS, THE HOSPITAL ACTIVELY SCREENED ALL UNINSURED PATIENTS FOR FINANCIAL ASSISTANCE PROGRAMS INCLUDING AURORA'S HELPING HAND PATIENT FINANCIAL ASSISTANCE PROGRAM, AND OTHER SAFETY NET PROGRAMS FOR WHICH THEY QUALIFY, AND ASSISTED WITH THE APPLICATION PROCESS. THE HOSPITAL ALSO EXPANDED COMMUNITY AWARENESS OF SPECIAL NEEDS OF FRAIL ELDERLY THROUGH OUTREACH SERVICES INCLUDING COMMUNITY HEALTH SCREENINGS AND EDUCATION FOR EARLY DETECTION AND INTERVENTION."

GROUP A-FACILITY 5 -- AURORA LAKELAND MEDICAL CENTER PART V, SECTION B, LINE 5:
FOR ALL HOSPITALS INCLUDED IN THIS GROUP RETURN, THE KEY PARTICIPANTS IN THE PROCESS INCLUDED THE HEALTH OFFICERS FOR THE LOCAL HEALTH DEPARTMENTS AS WELL AS LEADERS OF ACADEMIC CENTERS, HEALTH COALITIONS, FOUNDATIONS, AND COMMUNITY ORGRANIZATIONS FOCUSED ON A RANGE OF PUBLIC HEALTH ISSUES AND/OR HEALTH DISPARITIES. KEY PARTICIPANTS WERE ASKED TO RANK THE TOP THREE TO FIVE MAJOR HEALTH-RELATED ISSUES FOR THEIR COUNTY BASED ON THE FOCUS AREAS OUTLINED IN THE WISCONSIN STATE HEALTH PLAN, HEALTHIEST WISCONSIN 2020. FOR EACH TOP-RANKED HEALTH TOPIC, THE PARTICIPANT WAS ASKED TO SPECIFY EXISTING STRATEGIES TO ADDRESS ISSUES, BARRIERS, OR CHALLENGES; ADDITIONAL STRATEGIES NEEDED; AND KEY GROUPS THE HOSPITALS COULD COLLABORATE WITH TO IMPROVE COMMUNITY HEALTH.

GROUP A-FACILITY 5 -- AURORA LAKELAND MEDICAL CENTER PART V, SECTION B, LINE 11:
"AURORA LAKELAND MEDICAL CENTER ADDRESSED SIGNIFICANT HEALTH NEEDS AS FOLLOWS: TO IMPROVE ACCESS TO APPROPRIATE SERVICES FOR UNINSURED AND MEDICAID-ELIGIBLE PATIENTS, THE HOSPITAL PROVIDED PATIENTS WITH RESOURCES THROUGH THE ""BETTER TOGETHER FUND"" FOR THE FREE CLINIC IN WALWORTH COUNTY TO SUPPORT EXPANSION OF PRIMARY CARE AND BEHAVIORAL HEALTH SERVICES. TO IMPROVE COVERAGE TO UNINSURED AND MEDICAID-ELIGIBLE PATIENTS, THE HOSPITAL ACTIVELY SCREENED ALL UNINSURED PATIENTS FOR FINANCIAL ASSISTANCE PROGRAMS INCLUDING AURORA'S HELPING HAND PATIENT FINANCIAL ASSISTANCE PROGRAM, AND OTHER SAFETY NET PROGRAMS FOR WHICH THEY QUALIFY, AND ASSISTED WITH THE APPLICATION PROCESS. THE HOSPITAL ALSO OFFERED FREE SCREENINGS FOR BLOOD PRESSURE AND BODY MASS INDEX (BMI) AT A VARIETY OF COMMUNITY EVENTS, INCLUDING THE WALWORTH COUNTY FAIR."

GROUP A-FACILITY 6 -- AURORA MEMORIAL HOSPITAL OF BURLINGTON PART V, SECTION B, LINE 5:
FOR ALL HOSPITALS INCLUDED IN THIS GROUP RETURN, THE KEY PARTICIPANTS IN THE PROCESS INCLUDED THE HEALTH OFFICERS FOR THE LOCAL HEALTH DEPARTMENTS AS WELL AS LEADERS OF ACADEMIC CENTERS, HEALTH COALITIONS, FOUNDATIONS, AND COMMUNITY ORGRANIZATIONS FOCUSED ON A RANGE OF PUBLIC HEALTH ISSUES AND/OR HEALTH DISPARITIES. KEY PARTICIPANTS WERE ASKED TO RANK THE TOP THREE TO FIVE MAJOR HEALTH-RELATED ISSUES FOR THEIR COUNTY BASED ON THE FOCUS AREAS OUTLINED IN THE WISCONSIN STATE HEALTH PLAN, HEALTHIEST WISCONSIN 2020. FOR EACH TOP-RANKED HEALTH TOPIC, THE PARTICIPANT WAS ASKED TO SPECIFY EXISTING STRATEGIES TO ADDRESS ISSUES, BARRIERS, OR CHALLENGES; ADDITIONAL STRATEGIES NEEDED; AND KEY GROUPS THE HOSPITALS COULD COLLABORATE WITH TO IMPROVE COMMUNITY HEALTH.

GROUP A-FACILITY 6 -- AURORA MEMORIAL HOSPITAL OF BURLINGTON PART V, SECTION B, LINE 11:
AURORA MEMORIAL HOSPITAL OF BURLINGTON ADDRESSED SIGNIFICANT HEALTH NEEDS AS FOLLOWS: TO IMPROVE ACCESS TO APPROPRIATE SERVICES FOR UNINSURED AND MEDICAID-ELIGIBLE PATIENTS, THE HOSPITAL ESTABLISHED A BRANCH SITE FOR THE HEALTH CARE NETWORK (HCN) AT THE WESTER RACINE COUNTY HEALTH DEPARTMENTS, WHICH IS LOCATED NEAR THE HOSPITAL CAMPUT. TO IMPROVE COVERAGE TO UNINSURED AND MEDICAID-ELIGIBLE PATIENTS, THE HOSPITAL ACTIVELY SCREENED ALL UNINSURED PATIENTS FOR FINANCIAL ASSISTANCE PROGRAMS INCLUDING AURORA'S HELPING HAND PATIENT FINANCIAL ASSISTANCE PROGRAM, AND OTHER SAFETY NET PROGRAMS FOR WHICH THEY QUALIFY, AND ASSISTED WITH THE APPLICATION PROCESS. THE HOSPITAL ALSO ADDRESSED HEALTH RISK BEHAVIORS BY WORKING WITH COMMUNITY PARTNERS TO IMPLEMENT MEDICATION COLLECTION BOXES AT CONVENIENTLY ACCESSIBLE SITES IN THE COMMUNITY TO ENABLE RESIDENTS TO DESPOSE OF UNUSED, UNNEEDED OR EXPIRED PRESCRIPTION MEDICATION AND OVER-THE-COUNTER DRUGS (OR OTHER SUBSTANCES).

GROUP A-FACILITY 7 -- AURORA MEDICAL CENTER SUMMIT PART V, SECTION B, LINE 5:
FOR ALL HOSPITALS INCLUDED IN THIS GROUP RETURN, THE KEY PARTICIPANTS IN THE PROCESS INCLUDED THE HEALTH OFFICERS FOR THE LOCAL HEALTH DEPARTMENTS AS WELL AS LEADERS OF ACADEMIC CENTERS, HEALTH COALITIONS, FOUNDATIONS, AND COMMUNITY ORGRANIZATIONS FOCUSED ON A RANGE OF PUBLIC HEALTH ISSUES AND/OR HEALTH DISPARITIES. KEY PARTICIPANTS WERE ASKED TO RANK THE TOP THREE TO FIVE MAJOR HEALTH-RELATED ISSUES FOR THEIR COUNTY BASED ON THE FOCUS AREAS OUTLINED IN THE WISCONSIN STATE HEALTH PLAN, HEALTHIEST WISCONSIN 2020. FOR EACH TOP-RANKED HEALTH TOPIC, THE PARTICIPANT WAS ASKED TO SPECIFY EXISTING STRATEGIES TO ADDRESS ISSUES, BARRIERS, OR CHALLENGES; ADDITIONAL STRATEGIES NEEDED; AND KEY GROUPS THE HOSPITALS COULD COLLABORATE WITH TO IMPROVE COMMUNITY HEALTH.

GROUP A-FACILITY 7 -- AURORA MEDICAL CENTER SUMMIT PART V, SECTION B, LINE 11:
AURORA MEDICAL CENTER SUMMIT ADDRESSED SIGNIFICANT HEALTH NEEDS AS FOLLOWS: TO IMPROVE ACCESS TO APPROPRIATE SERVICES FOR UNINSURED AND MEDICAID-ELIGIBLE PATIENTS,THE HOSPITAL ENSURED ACCESS TO THE LAKE AREA FREE CLINIC FOR FOLLOW-UP CARE AND UNDERSTANDING OF BENEFITS OF PRIMARY AND PREVENTIVE CARE. TO IMPROVE COVERAGE TO UNINSURED AND MEDICAID-ELIGIBLE PATIENTS, THE HOSPITAL ACTIVELY SCREENED ALL UNINSURED PATIENTS FOR FINANCIAL ASSISTANCE PROGRAMS INCLUDING AURORA'S HELPING HAND PATIENT FINANCIAL ASSISTANCE PROGRAM, AND OTHER SAFETY NET PROGRAMS FOR WHICH THEY QUALIFY, AND ASSISTED WITH THE APPLICATION PROCESS. THE HOSPITAL ALSO STRENGTHENED THEIR PARTNERSHIP WITH STILLWATERS CANCER SUPPORT SERVICES TO ENSURE THAT PERSONS LIVING WITH CANCER - AND THEIR FAMILIES - HAD ACCESS TO SUPPORT SERVICES. TO SUPPORT AND ASSURE THE SAFETY OF YOUTH AND STUDENT ATHLETES IN ATHLETIC PROGRAMS, THE HOSPITAL OFFERED REDUCED-COST YOUTH SPORTS PHYSICALS AND FREE BASELINE CONCUSSION SCREENINGS.

GROUP A-FACILITY 8 -- AURORA BAYCARE MEDICAL CENTER PART V, SECTION B, LINE 5:
FOR ALL HOSPITALS INCLUDED IN THIS GROUP RETURN, THE KEY PARTICIPANTS IN THE PROCESS INCLUDED THE HEALTH OFFICERS FOR THE LOCAL HEALTH DEPARTMENTS AS WELL AS LEADERS OF ACADEMIC CENTERS, HEALTH COALITIONS, FOUNDATIONS, AND COMMUNITY ORGRANIZATIONS FOCUSED ON A RANGE OF PUBLIC HEALTH ISSUES AND/OR HEALTH DISPARITIES. KEY PARTICIPANTS WERE ASKED TO RANK THE TOP THREE TO FIVE MAJOR HEALTH-RELATED ISSUES FOR THEIR COUNTY BASED ON THE FOCUS AREAS OUTLINED IN THE WISCONSIN STATE HEALTH PLAN, HEALTHIEST WISCONSIN 2020. FOR EACH TOP-RANKED HEALTH TOPIC, THE PARTICIPANT WAS ASKED TO SPECIFY EXISTING STRATEGIES TO ADDRESS ISSUES, BARRIERS, OR CHALLENGES; ADDITIONAL STRATEGIES NEEDED; AND KEY GROUPS THE HOSPITALS COULD COLLABORATE WITH TO IMPROVE COMMUNITY HEALTH.

GROUP A-FACILITY 8 -- AURORA BAYCARE MEDICAL CENTER PART V, SECTION B, LINE 11:
AURORA BAYCARE MEDICAL CENTER ADDRESSED SIGNIFICANT HEALTH NEEDS AS FOLLOWS: TO IMPROVE ACCESS TO APPROPRIATE SERVICES FOR UNINSURED AND MEDICAID-ELIGIBLE PATIENTS, THE HOSPITAL PROVIDED A FULL-TIME, BILINGUAL PEDIATRICIAN WHO PROVIDES MEDICAL CARE FOR CHILDREN WHOSE FAMILIES DO NOT HAVE THE RESOURCES TO PAY FOR HEALTH SERVICES. TO IMPROVE COVERAGE TO UNINSURED AND MEDICAID-ELIGIBLE PATIENTS, THE HOSPITAL ACTIVELY SCREENED ALL UNINSURED PATIENTS FOR FINANCIAL ASSISTANCE PROGRAMS INCLUDING AURORA'S HELPING HAND PATIENT FINANCIAL ASSISTANCE PROGRAM, AND OTHER SAFETY NET PROGRAMS FOR WHICH THEY QUALIFY, AND ASSISTED WITH THE APPLICATION PROCESS. THE HOSPITAL ALSO PROMOTED LIVING WELL WITH CHRONIC DISEASE, A PROGRAM DESIGNED TO HELP SELF-MANAGE CHRONIC DISEASES. TO SUPPORT AND PROTECT STUDENT ATHLETES IN BROWN COUNTY, THE HOSPITAL PROVIDED REDUCED-COST YOUTH SPORTS PHYSICALS AND FREE BASELINE CONCUSSION SCREENINGS FOR EVERY STUDENT WHO WISHED TO TAKE PART.

GROUP A-FACILITY 9 -- AURORA WEST ALLIS MEDICAL CENTER PART V, SECTION B, LINE 5:
FOR ALL HOSPITALS INCLUDED IN THIS GROUP RETURN, THE KEY PARTICIPANTS IN THE PROCESS INCLUDED THE HEALTH OFFICERS FOR THE LOCAL HEALTH DEPARTMENTS AS WELL AS LEADERS OF ACADEMIC CENTERS, HEALTH COALITIONS, FOUNDATIONS, AND COMMUNITY ORGRANIZATIONS FOCUSED ON A RANGE OF PUBLIC HEALTH ISSUES AND/OR HEALTH DISPARITIES. KEY PARTICIPANTS WERE ASKED TO RANK THE TOP THREE TO FIVE MAJOR HEALTH-RELATED ISSUES FOR THEIR COUNTY BASED ON THE FOCUS AREAS OUTLINED IN THE WISCONSIN STATE HEALTH PLAN, HEALTHIEST WISCONSIN 2020. FOR EACH TOP-RANKED HEALTH TOPIC, THE PARTICIPANT WAS ASKED TO SPECIFY EXISTING STRATEGIES TO ADDRESS ISSUES, BARRIERS, OR CHALLENGES; ADDITIONAL STRATEGIES NEEDED; AND KEY GROUPS THE HOSPITALS COULD COLLABORATE WITH TO IMPROVE COMMUNITY HEALTH.

GROUP A-FACILITY 9 -- AURORA WEST ALLIS MEDICAL CENTER PART V, SECTION B, LINE 11:
AURORA WEST ALLIS MEDICAL CENTER ADDRESSED SIGNIFICANT HEALTH NEEDS AS FOLLOWS: TO IMPROVE ACCESS TO APPROPRIATE SERVICES FOR UNINSURED AND MEDICAID-ELIGIBLE PATIENTS, THE HOSPITAL PROVIDED STAFF ASSISTANCE TO NAVIGATE UNINSURED PATIENTS TO MEDICAL HOMES IN THE MILWAUKEE AREA. TO IMPROVE COVERAGE TO UNINSURED AND MEDICAID-ELIGIBLE PATIENTS, THE HOSPITAL ACTIVELY SCREENED ALL UNINSURED PATIENTS FOR FINANCIAL ASSISTANCE PROGRAMS INCLUDING AURORA'S HELPING HAND PATIENT FINANCIAL ASSISTANCE PROGRAM, AND OTHER SAFETY NET PROGRAMS FOR WHICH THEY QUALIFY, AND ASSISTED WITH THE APPLICATION PROCESS. TO ENSURE A CONTINUUM OF PATIENT-CENTERED, COMMUNITY BASED CARE THE OLDER ADULT POPULATION, THE HOSPITAL EXPANDED THE CAPACITY OF THEIR HOSPITAL-SPONSORED SENIOR RESOURCE NURSE PROGRAM BY ADDING A SECOND FULL-TIME GERIATRIC RESOURCE NURSE.

GROUP A-FACILITY 10 -- AURORA SHEBOYGAN MEMORIAL MEDICAL CENTER PART V, SECTION B, LINE 5:
FOR ALL HOSPITALS INCLUDED IN THIS GROUP RETURN, THE KEY PARTICIPANTS IN THE PROCESS INCLUDED THE HEALTH OFFICERS FOR THE LOCAL HEALTH DEPARTMENTS AS WELL AS LEADERS OF ACADEMIC CENTERS, HEALTH COALITIONS, FOUNDATIONS, AND COMMUNITY ORGRANIZATIONS FOCUSED ON A RANGE OF PUBLIC HEALTH ISSUES AND/OR HEALTH DISPARITIES. KEY PARTICIPANTS WERE ASKED TO RANK THE TOP THREE TO FIVE MAJOR HEALTH-RELATED ISSUES FOR THEIR COUNTY BASED ON THE FOCUS AREAS OUTLINED IN THE WISCONSIN STATE HEALTH PLAN, HEALTHIEST WISCONSIN 2020. FOR EACH TOP-RANKED HEALTH TOPIC, THE PARTICIPANT WAS ASKED TO SPECIFY EXISTING STRATEGIES TO ADDRESS ISSUES, BARRIERS, OR CHALLENGES; ADDITIONAL STRATEGIES NEEDED; AND KEY GROUPS THE HOSPITALS COULD COLLABORATE WITH TO IMPROVE COMMUNITY HEALTH.

GROUP A-FACILITY 10 -- AURORA SHEBOYGAN MEMORIAL MEDICAL CENTER PART V, SECTION B, LINE 11:
"AURORA SHEBOYGAN MEMORIAL MEDICAL CENTER ADDRESSED SIGNIFICANT HEALTH NEEDS AS FOLLOWS: TO IMPROVE ACCESS TO APPROPRIATE SERVICES FOR UNINSURED AND MEDICAID-ELIGIBLE PATIENTS, THE HOSPITAL PROVIDED PATIENTS WITH INFORMATION ON THE BENEFITS OF RECEIVING ROUTINE PRIMARY CARE IN A ""HEALTH HOME"" PROGRAM. TO IMPROVE COVERAGE TO UNINSURED AND MEDICAID-ELIGIBLE PATIENTS, THE HOSPITAL ACTIVELY SCREENED ALL UNINSURED PATIENTS FOR FINANCIAL ASSISTANCE PROGRAMS INCLUDING AURORA'S HELPING HAND PATIENT FINANCIAL ASSISTANCE PROGRAM, AND OTHER SAFETY NET PROGRAMS FOR WHICH THEY QUALIFY, AND ASSISTED WITH THE APPLICATION PROCESS. THE HOSPITAL ALSO ADVANCED KNOWLEDGE AND AWARENESS OF RISK FACTORS, WARNING SIGNS AND TREATMENT OF STROKES BY PARTNERING WITH THE SHEBOYGAN AREA SCHOOL DISTRICT TO PROVIDE EDUCATION IN 35 SCHOOLS AND PROVIDED FREE BLOOD PRESSURE SCREENING AT COMMUNITY TALKS. TO SUPPORT NUTRITUION AND PHYSICAL ACTIVITY IN SHEBOYGAN COUNTY, THE HOSPITAL DEVELOPED AND OFF-SITE WELLNESS CENTER TO ADDRESS HEALTH AND FITNESS NEEDS OF ADULTS."

GROUP A-FACILITY 11 -- AURORA MEDICAL CENTER WASHINGTON COUNTY PART V, SECTION B, LINE 5:
FOR ALL HOSPITALS INCLUDED IN THIS GROUP RETURN, THE KEY PARTICIPANTS IN THE PROCESS INCLUDED THE HEALTH OFFICERS FOR THE LOCAL HEALTH DEPARTMENTS AS WELL AS LEADERS OF ACADEMIC CENTERS, HEALTH COALITIONS, FOUNDATIONS, AND COMMUNITY ORGRANIZATIONS FOCUSED ON A RANGE OF PUBLIC HEALTH ISSUES AND/OR HEALTH DISPARITIES. KEY PARTICIPANTS WERE ASKED TO RANK THE TOP THREE TO FIVE MAJOR HEALTH-RELATED ISSUES FOR THEIR COUNTY BASED ON THE FOCUS AREAS OUTLINED IN THE WISCONSIN STATE HEALTH PLAN, HEALTHIEST WISCONSIN 2020. FOR EACH TOP-RANKED HEALTH TOPIC, THE PARTICIPANT WAS ASKED TO SPECIFY EXISTING STRATEGIES TO ADDRESS ISSUES, BARRIERS, OR CHALLENGES; ADDITIONAL STRATEGIES NEEDED; AND KEY GROUPS THE HOSPITALS COULD COLLABORATE WITH TO IMPROVE COMMUNITY HEALTH.

GROUP A-FACILITY 11 -- AURORA MEDICAL CENTER WASHINGTON COUNTY PART V, SECTION B, LINE 11:
"AURORA MEDICAL CENTER WASHINGTON COUNTY ADDRESSED SIGNIFICANT HEALTH NEEDS AS FOLLOWS: TO IMPROVE ACCESS TO APPROPRIATE SERVICES FOR UNINSURED AND MEDICAID-ELIGIBLE PATIENTS, THE HOSPITAL PROVIDED PATIENTS WITH INFORMATION ON THE BENEFITS OF RECEIVING ROUTINE PRIMARY CARE IN A ""HEALTH HOME"" PROGRAM. TO IMPROVE COVERAGE TO UNINSURED AND MEDICAID-ELIGIBLE PATIENTS, THE HOSPITAL ACTIVELY SCREENED ALL UNINSURED PATIENTS FOR FINANCIAL ASSISTANCE PROGRAMS INCLUDING AURORA'S HELPING HAND PATIENT FINANCIAL ASSISTANCE PROGRAM, AND OTHER SAFETY NET PROGRAMS FOR WHICH THEY QUALIFY, AND ASSISTED WITH THE APPLICATION PROCESS. THE HOSPITAL ALSO PROVIDED RESOURCES THROUGH THE BETTER TOGETHER FUND FOR THE FREE CLINIC(S) IN WASHINGTON COUNTY TO SUPPORT EXPANSION OF PRIMARY CARE AND BEHAVIORAL HEALTH SERVICES. TO SUPPORT AND PROTECT STUDENT ATHLETES IN WASHINGTON COUNTY, THE HOSPITAL PROVIDED EDUCATION AND SCREENINGS AT PUBLIC EVENTS, AND WORKED COLLABORATELY WITH COACHES TO MANAGE AND ADMINISTER THE INITIAL TREATMENT OF ATHLETIC INJURIES."

GROUP A-FACILITY 12 -- AURORA PSYCHIATRIC HOSPITAL PART V, SECTION B, LINE 5:
FOR ALL HOSPITALS INCLUDED IN THIS GROUP RETURN, THE KEY PARTICIPANTS IN THE PROCESS INCLUDED THE HEALTH OFFICERS FOR THE LOCAL HEALTH DEPARTMENTS AS WELL AS LEADERS OF ACADEMIC CENTERS, HEALTH COALITIONS, FOUNDATIONS, AND COMMUNITY ORGRANIZATIONS FOCUSED ON A RANGE OF PUBLIC HEALTH ISSUES AND/OR HEALTH DISPARITIES. KEY PARTICIPANTS WERE ASKED TO RANK THE TOP THREE TO FIVE MAJOR HEALTH-RELATED ISSUES FOR THEIR COUNTY BASED ON THE FOCUS AREAS OUTLINED IN THE WISCONSIN STATE HEALTH PLAN, HEALTHIEST WISCONSIN 2020. FOR EACH TOP-RANKED HEALTH TOPIC, THE PARTICIPANT WAS ASKED TO SPECIFY EXISTING STRATEGIES TO ADDRESS ISSUES, BARRIERS, OR CHALLENGES; ADDITIONAL STRATEGIES NEEDED; AND KEY GROUPS THE HOSPITALS COULD COLLABORATE WITH TO IMPROVE COMMUNITY HEALTH.

GROUP A-FACILITY 12 -- AURORA PSYCHIATRIC HOSPITAL PART V, SECTION B, LINE 11:
"AURORA PSYCHIATRIC HOSPITAL ADDRESSED SIGNIFICANT HEALTH NEEDS AS FOLLOWS: TO IMPROVE ACCESS TO APPROPRIATE SERVICES FOR UNINSURED AND MEDICAID-ELIGIBLE PATIENTS, THE HOSPITAL PROVIDED PATIENTS WITH INFORMATION ON THE BENEFITS OF RECEIVING ROUTINE PRIMARY CARE IN A ""HEALTH HOME"" PROGRAM. TO IMPROVE COVERAGE TO UNINSURED AND MEDICAID-ELIGIBLE PATIENTS, THE HOSPITAL ACTIVELY SCREENED ALL UNINSURED PATIENTS FOR FINANCIAL ASSISTANCE PROGRAMS INCLUDING AURORA'S HELPING HAND PATIENT FINANCIAL ASSISTANCE PROGRAM, AND OTHER SAFETY NET PROGRAMS FOR WHICH THEY QUALIFY, AND ASSISTED WITH THE APPLICATION PROCESS. THE HOSPITAL ALSO PROVIDED A CONTINUING EDUCATION SERIES OF EIGHT LECTURES TO ENHANCE KNOWLEDGE IN SPECIALIZED AREAS OF MENTAL HEALTH."

GROUP A-FACILITY 13 -- AURORA MEDICAL CENTER OF MANITOWOC COUNT PART V, SECTION B, LINE 5:
FOR ALL HOSPITALS INCLUDED IN THIS GROUP RETURN, THE KEY PARTICIPANTS IN THE PROCESS INCLUDED THE HEALTH OFFICERS FOR THE LOCAL HEALTH DEPARTMENTS AS WELL AS LEADERS OF ACADEMIC CENTERS, HEALTH COALITIONS, FOUNDATIONS, AND COMMUNITY ORGRANIZATIONS FOCUSED ON A RANGE OF PUBLIC HEALTH ISSUES AND/OR HEALTH DISPARITIES. KEY PARTICIPANTS WERE ASKED TO RANK THE TOP THREE TO FIVE MAJOR HEALTH-RELATED ISSUES FOR THEIR COUNTY BASED ON THE FOCUS AREAS OUTLINED IN THE WISCONSIN STATE HEALTH PLAN, HEALTHIEST WISCONSIN 2020. FOR EACH TOP-RANKED HEALTH TOPIC, THE PARTICIPANT WAS ASKED TO SPECIFY EXISTING STRATEGIES TO ADDRESS ISSUES, BARRIERS, OR CHALLENGES; ADDITIONAL STRATEGIES NEEDED; AND KEY GROUPS THE HOSPITALS COULD COLLABORATE WITH TO IMPROVE COMMUNITY HEALTH.

GROUP A-FACILITY 13 -- AURORA MEDICAL CENTER OF MANITOWOC COUNT PART V, SECTION B, LINE 11:
AURORA MEDICAL CENTER OF MANITOWOC COUNTY ADDRESSED SIGNIFICANT HEALTH NEEDS AS FOLLOWS: TO IMPROVE ACCESS TO APPROPRIATE SERVICES FOR UNINSURED AND MEDICAID-ELIGIBLE PATIENTS, THE HOSPITAL PROVIDED REFERRAL AND NAVAGATION SUPPORT TO UNINSURED PERSON SEEN IN THE EMERGENCY DEPARTMENT WO WILL BENEFIT FROM THE URGENT AND PRIMARY CARE SERVICES AVAILABLE TO THE COMMUNITY CLINIC OF MANITOWOC COUNTY. TO IMPROVE COVERAGE TO UNINSURED AND MEDICAID-ELIGIBLE PATIENTS, THE HOSPITAL ACTIVELY SCREENED ALL UNINSURED PATIENTS FOR FINANCIAL ASSISTANCE PROGRAMS INCLUDING AURORA'S HELPING HAND PATIENT FINANCIAL ASSISTANCE PROGRAM, AND OTHER SAFETY NET PROGRAMS FOR WHICH THEY QUALIFY, AND ASSISTED WITH THE APPLICATION PROCESS. THE HOSPITAL ALSO PROVIDED FREE COMMUNITY PRESENTATIONS AND SEMINARS ON PHYSICAL HEALTH AND FITNESS AND PREVENTION OF SPORTS INJURIES FEATURING CARDIAC AND ORTHOPEDIC PHYSICIANS, AS WELL AS REHABILITATION SPECIALISTS.

GROUP A-FACILITY 14 -- AURORA MEDICAL CENTER OSHKOSH PART V, SECTION B, LINE 5:
FOR ALL HOSPITALS INCLUDED IN THIS GROUP RETURN, THE KEY PARTICIPANTS IN THE PROCESS INCLUDED THE HEALTH OFFICERS FOR THE LOCAL HEALTH DEPARTMENTS AS WELL AS LEADERS OF ACADEMIC CENTERS, HEALTH COALITIONS, FOUNDATIONS, AND COMMUNITY ORGRANIZATIONS FOCUSED ON A RANGE OF PUBLIC HEALTH ISSUES AND/OR HEALTH DISPARITIES. KEY PARTICIPANTS WERE ASKED TO RANK THE TOP THREE TO FIVE MAJOR HEALTH-RELATED ISSUES FOR THEIR COUNTY BASED ON THE FOCUS AREAS OUTLINED IN THE WISCONSIN STATE HEALTH PLAN, HEALTHIEST WISCONSIN 2020. FOR EACH TOP-RANKED HEALTH TOPIC, THE PARTICIPANT WAS ASKED TO SPECIFY EXISTING STRATEGIES TO ADDRESS ISSUES, BARRIERS, OR CHALLENGES; ADDITIONAL STRATEGIES NEEDED; AND KEY GROUPS THE HOSPITALS COULD COLLABORATE WITH TO IMPROVE COMMUNITY HEALTH.

GROUP A-FACILITY 14 -- AURORA MEDICAL CENTER OSHKOSH PART V, SECTION B, LINE 11:
AURORA MEDICAL CENTER OSHKOSH ADDRESSED SIGNIFICANT HEALTH NEEDS AS FOLLOWS: TO IMPROVE ACCESS TO APPROPRIATE SERVICES FOR UNINSURED AND MEDICAID-ELIGIBLE PATIENTS, THE HOSPITAL CONTINUED TO BE AN ACTIVE FINANCIAL DONOR TO THE LIVING HEALTHY COMMUNITY CLINIC (LHCC), INCLUDING DONATING LAB AND BASIC DIAGNOSTIC SERVICES TO PATIENTS REFERRED TO FROM LHCC. TO IMPROVE COVERAGE TO UNINSURED AND MEDICAID-ELIGIBLE PATIENTS, THE HOSPITAL ACTIVELY SCREENED ALL UNINSURED PATIENTS FOR FINANCIAL ASSISTANCE PROGRAMS INCLUDING AURORA'S HELPING HAND PATIENT FINANCIAL ASSISTANCE PROGRAM, AND OTHER SAFETY NET PROGRAMS FOR WHICH THEY QUALIFY, AND ASSISTED WITH THE APPLICATION PROCESS. THE HOSPITAL ALSO ESTABLISHED METRICS FOR LONG-TERM EVALUATION OF REDUCTION OF THE PREVALENCE OF OBESITY IN THE YOUTH AND ADULT POPULATIONS.

GROUP A-FACILITY 15 -- AURORA MEDICAL CENTER GRAFTON PART V, SECTION B, LINE 5:
THE KEY PARTICIPANTS IN THE PROCESS INCLUDED THE HEALTH OFFICERS FOR THE LOCAL HEALTH DEPARTMENTS AS WELL AS LEADERS OF ACADEMIC CENTERS, HEALTH COALITIONS, FOUNDATIONS, AND COMMUNITY ORGRANIZATIONS FOCUSED ON A RANGE OF PUBLIC HEALTH ISSUES AND/OR HEALTH DISPARITIES. KEY PARTICIPANTS WERE ASKED TO RANK THE TOP THREE TO FIVE MAJOR HEALTH-RELATED ISSUES FOR THEIR COUNTY BASED ON THE FOCUS AREAS OUTLINED IN THE WISCONSIN STATE HEALTH PLAN, HEALTHIEST WISCONSIN 2020. FOR EACH TOP-RANKED HEALTH TOPIC, THE PARTICIPANT WAS ASKED TO SPECIFY EXISTING STRATEGIES TO ADDRESS ISSUES, BARRIERS, OR CHALLENGES; ADDITIONAL STRATEGIES NEEDED; AND KEY GROUPS THE HOSPITALS COULD COLLABORATE WITH TO IMPROVE COMMUNITY HEALTH

GROUP A-FACILITY 15 -- AURORA MEDICAL CENTER GRAFTON PART V, SECTION B, LINE 11:
"AURORA MEDICAL CENTER GRAFTON ADDRESSED SIGNIFICANT HEALTH NEEDS AS FOLLOWS: TO IMPROVE ACCESS TO APPROPRIATE SERVICES FOR UNINSURED AND MEDICAID-ELIGIBLE PATIENTS, THE HOSPITAL PROVIDED PATIENTS WITH INFORMATION ON THE BENEFITS OF RECEIVING ROUTINE PRIMARY CARE IN A ""HEALTH HOME"" PROGRAM. TO IMPROVE COVERAGE TO UNINSURED AND MEDICAID-ELIGIBLE PATIENTS, THE HOSPITAL ACTIVELY SCREENED ALL UNINSURED PATIENTS FOR FINANCIAL ASSISTANCE PROGRAMS INCLUDING AURORA'S HELPING HAND PATIENT FINANCIAL ASSISTANCE PROGRAM, AND OTHER SAFETY NET PROGRAMS FOR WHICH THEY QUALIFY, AND ASSISTED WITH THE APPLICATION PROCESS. THE HOSPITAL ALSO PARTICIPATED IN EDUCATING SCHOOL COUNSELORS, TEACHERS AND PARENTS ABOUT THE SIGNS OF UNDERAGE DRINKING AND ALCOHOL ABUSE TO FULFILL ITS ROLE IN SUPPORTING THE INVEST COMMITTEE. TO SUPPORT AND PROTECT STUDENT ATHLETES IN OZAUKEE COUNTY, AURORA MEDICAL CENTER GRAFTON PROVIDED REDUCED-COST (OR FREE) SPORTS PHYSICAL AND BASELINE CONCUSSION SCREENINGS FOR EVERY STUDENT WHO WISHED TO TAKE PART."

PART V, SECTION B, LINE 13H
HELPING HANDS REQUIRES THAT AN INDIVIDUAL APPLIES FOR FINANCIAL ASSISTANCE WITHIN 240 DAYS OF THE FIRST BILLING STATEMENT.

PART I, LINE 6A:
THE CONSOLIDATED ANNUAL COMMUNITY BENEFITS REPORT OF THE CORPORATE PARENT, AURORA HEALTH CARE, INC. (AURORA), ALONG WITH INDIVIDUAL COMMUNITY BENEFIT REPORTS FOR EACH AURORA HOSPITAL.

PART I, LINE 7:
THE COST-TO-CHARGE RATIO WAS DERIVED FROM WORKSHEET 2.

PART I, LINE 6B
YES. THE 2020 COMMUNITY BENEFIT REPORTS WILL BE AVAILABLE FOR REVIEW AT OUR HOSPITAL LOCATIONS AND ON THE AURORA WEBSITE: WWW.AURORA.ORG/COMMBENEFITS NO LATER THAN 12/31/2021

PART I, LINE 7F
THE COMMUNITY BENEFIT PERCENTAGE IS CALCULATED USING THE TOTAL EXPENSES OF ALL HOSPITAL SUBORDINATES INCLUDED IN THIS GROUP RETURN.

PART III, LINE 2:
BAD DEBT IS ALLOCATED BASED ON THE RATIO OF PATIENT CARE COST TO CHARGES.

PART III, LINE 4:
REPORTED ON PAGE 15 OF THE INDEPENDENT AUDITORS' REPORT.

PART III, LINE 8:
ALL OF THE SHORTFALL ON LINE 7 SHOULD BE TREATED AS COMMUNITY BENEFIT. THE AMOUNT REPORTED ON LINE 6 UTILIZES THE COST TO CHARGE RATIO OF THE MOST RECENTLY FILED COST REPORTS FOR THE HOSPITALS INCLUDED IN THIS GROUP RETURN.

PART III, LINE 9B:
SPECIFIC TO THE UNINSURED AND MEDICALLY-INDIGENT PATIENT POPULATIONS, THE ORGANIZATION'S PRACTICE IS TO THOROUGHLY EVALUATE THE PATIENT'S ABILITY TO PAY.

PART VI, LINE 2:
SINCE 2003, AURORA, THE CORPORATE PARENT, HAS COLLABORATED WITH LOCAL HEALTH DEPARTMENTS EVERY THREE YEARS TO SURVEY RESIDENTS ON THEIR HEALTH STATUS AND HABITS AND TO: GATHER INFORMATION BASED ON BEHAVIORAL AND LIFESTYLE HABITS, HEALTH CONDITIONS, RISK FACTORS, AND DEMOGRAPHICS; IDENTIFY THEMES, TRENDS, AND DISPARITIES, AND COMPARE TO STATE AND NATIONAL MEASUREMENTS. THESE REPORTS HAVE BEEN PART OF A COMPREHENSIVE SURVEY OF EASTERN WISCONSIN TO IDENTIFY AREAS OF GREATEST NEED AND PRODUCE A REPORT OF FINDINGS THAT IS SHARED WITH EACH COMMUNITY AT-LARGE (SEE HTTPS://WWW.AURORAHEALTHCARE.ORG/ABOUT-AURORA/COMMUNITY-BENEFITS/OUR-RESEARCH/COMMUNITY-HEALTH-DATA#METHODOLOGY). THE FINDINGS OF THE SURVEYS ARE AN INSTRUMENT THROUGH WHICH THE MUNICIPAL HDS ENGAGE COMMUNITY PARTICIPATION TO GENERATE COMMUNITY HEALTH IMPROVEMENT PLANS ALIGNED WITH HEALTHY WISCONSIN 2010 AND 2020.

PART VI, LINE 3:
THE ORGANIZATION'S PATIENT FINANCIAL ADVOCATES MEET WITH EVERY PATIENT OR PATIENT'S FAMILY WHO PRESENTS FOR SERVICES AND HAS NO INSURANCE, WITH THE PURPOSE OF SHARING OPTIONS FOR COVERAGE UNDER FEDERAL, STATE OR LOCAL GOVERNMENT PROGRAMS, AS WELL AS AHC'S INTERNAL PATIENT FINANCIAL ASSISTANCE PROGRAM. THE PATIENT FINANCIAL ADVOCATE WILL ASSIST THE PATIENT AND/OR PATIENT'S FAMILY IN PREPARING THE PAPERWORK TO APPLY FOR ANY GOVERNMENT COVERAGE AND/OR AURORA'S INTERNAL FINANCIAL ASSISTANCE. NOTICES REGARDING THE ELIGIBILITY FOR ASSISTANCE UNDER FEDERAL, STATE, OR LOCAL GOVERNMENT PROGRAMS, OR UNDER THE ORGANIZATION'S FINANCIAL ASSISTANCE PROGRAM ARE ALSO POSTED IN THE EMERGENCY ROOMS, ADMISSIONS OFFICES, AND WAITING AREAS.

PART VI, LINE 5:
EACH AURORA HOSPITAL FACILITY PUBLISHED A 2019 COMMUNITY BENEFIT REPORT PUBLICLY AVAILABLE AT WWW.AURORA.ORG/COMMBENEFITS. 2020 REPORTS WILL BE POSTED ON THIS WEBSITE NO LATER THAN 12/31/2021SHIFTING PRIORITIES DURING THE COVID-19 PANDEMIC: WHILE THE COVID-19 PANDEMIC HAS PROVIDED CHALLENGES TO COMPLETING SOME OF OUR INITIAL COMMUNITY HEALTH IMPROVEMENT PLAN PROGRAMS AND ACTIVITIES, THE ADVOCATE AURORA HEALTH HOSPITALS PIVOTED IMPROVEMENT ACTIVITIES AND PROGRAMS TO MEET CURRENT COVID-19 NEEDS WHILE REMAINING FULLY ALIGNED WITH OUR FOCUS ON ADDRESSING COMMUNITY HEALTH NEEDS AND HEALTH EQUITY. EXAMPLES OF THESE SYSTEM-WIDE EFFORTS INCLUDE: COVID-19 COMMUNITY DRIVE THROUGH TESTING: AAH, IN CLOSE PARTNERSHIP WITH STATE AND LOCAL GOVERNMENT ENTITIES DEVELOPED A ROBUST COMMUNITY-BASED DRIVE THROUGH TESTING STRATEGY IN WI. AAH PARTNERED WITH THE STATE OF WISCONSIN TO OBTAIN DONATIONS OF OVER $6.85 MILLION IN TEST KITS AND LAB WORK AT A TIME WHEN SIGNIFICANT SHORTAGES OF PPE, TEST KITS, REAGENTS AND STAFFING EXISTED. IN 2020, A TOTAL OF 66,421 COMMUNITY DRIVE THROUGH TESTS WERE COMPLETED, 61,356 IN WI AND 5,065 TESTS IN IL. CAPACITY-BUILDING: AAH DONATED OVER ONE MILLION MASKS AND OTHER PERSONAL PROTECTIVE EQUIPMENT TO FOOD PROGRAMS, SHELTERS, EMERGENCY RESPONDERS, FQHCS, FREE CLINICS, AND FAITH-BASED ORGANIZATIONS. TEAM MEMBERS WORKED WITH PARTNER ORGANIZATIONS TO CREATE SAFE REOPENING PLANS AND OPERATE COMMUNITY-BASED VACCINATION CLINICS AND TESTING SITES. AAH ALSO INCREASED COMMUNITY MEMBER ACCESS IN BOTH IL AND WI TO RELIABLE COVID-19 INFORMATION WITH THE AAH COVID-19 RESOURCE CENTER. IN 2020, THE WEBSITE RECEIVED 1.47M PAGEVIEWS INCLUDING 86,468 CLICKS ON THE ONLINE SYMPTOM CHECKER AND 7,419 CLICKS TO THE SYMPTOM CHECKER HOTLINE (1-866-443-2584).OTHER WAYS AAH CONTINUED TO PROMOTE THE HEALTH OF THE COMMUNITY IN WISCONSIN DURING 2020:AURORA HEALTH CARE METRO, INC. (ASLMC, ASLSS AND ASMC). HOSPITAL LEADERS SERVE ON BOARDS AND/OR COMMITTEES OF PUBLIC HDS, FQHCS AND FREE CLINICS AND PARTICIPATE IN THE MILWAUKEE HEALTH CARE PARTNERSHIP, TO IMPROVE COVERAGE, ACCESS AND CARE COORDINATION FOR UNDERSERVED POPULATIONS IN MILWAUKEE CO. (SEE: HTTP://MKEHCP.ORG/) AND SPECIALTY ACCESS TO UNINSURED PERSONS (SAUP). AURORA WALKERS POINT COMMUNITY CLINIC (AWPCC), LOCATED IN THE HEART OF MILWAUKEE'S MOST DIVERSE SOUTH-SIDE COMMUNITY, PROVIDES CARE, FREE OF CHARGE TO UNDER AND UNINSURED COMMUNITY MEMBERS. THIS INCLUDES BILINGUAL URGENT, PRIMARY, PREVENTIVE AND SPECIALTY HEALTH CARE; BILINGUAL MENTAL HEALTH SERVICES; ED AND HOSPITAL REFERRALS FOR UNINSURED PERSONS. DURING 2020, 2,520 UNIQUE PATIENTS (664 NEW) WERE SERVED, AND 167 PATIENTS WERE REFERRED TO PHYSICIAN SPECIALISTS THROUGH AURORA'S SPECIALTY ACCESS FOR UNINSURED PROGRAM (SAUP). FOR 17 YEARS, AURORA AND THE BREAD OF HEALING CLINIC (BOH) HAVE WORKED TOGETHER TO PROVIDE FREE SERVICES TO LOW-INCOME PEOPLE WHO EXPERIENCE BARRIERS TO ESSENTIAL HEALTH CARE. BOH OPERATES CLINICS AT CROSS LUTHERAN, EASTBROOK, AND FLORIST AVENUE CHURCHES. SERVICES INCLUDE RESPIRATORY AND PHYSICAL THERAPY, OPTOMETRY, RHEUMATOLOGY, MEDICATION, DENTAL SERVICES, LAB WORK, AND BEHAVIORAL HEALTH COUNSELING. ALCOHOL AND DRUG ADDICTION GROUPS ARE HELD WEEKLY. THE CLINIC CARES FOR APPROXIMATELY 4,000 CLIENTS EACH YEAR. AURORA HEALING AND ADVOCACY SERVICES (AHAS) INCLUDES A TEAM OF ADVOCATES IN MILWAUKEE WHO ACCOMPANY SURVIVORS OF ASSAULT FROM THE MOMENT THEY PRESENT IN A HOSPITAL ED THROUGH THEIR ENTIRE HEALING JOURNEY, VOLUNTEERS WHO STAFF OUR 24-HOUR SEXUAL ASSAULT HOTLINE, COUNSELORS WHO OFFER HEALING THERAPIES AND FORENSIC NURSE EXAMINERS (FNES) ACCESSIBLE THROUGH 14 AURORA HOSPITALS. AHAS SERVICES IN 2020 INCLUDE:O THE HEALING CENTER AT SINAI (THCS), LOCATED WITHIN ASMC, HAS PROVIDED FORENSIC NURSING COVERAGE 24 HOURS A DAY, 7 DAYS A WEEK SINCE 1986. THCS SERVES MILWAUKEE COUNTY AND THE GREATER MILWAUKEE AREA. AHAS FNES PROVIDED TRAUMA-INFORMED CARE AND FOLLOW-UP REFERRALS FOR 551 INDIVIDUALS AND ANSWERED 1,284 CALLS FROM VICTIMS AND THE PUBLIC ON THE 24-HOUR CRISIS PHONE LINE.O THE HEALING CENTER ON BRUCE STREET ESTABLISHED IN 2001 OFFERS ADULT SURVIVORS OF SEXUAL VIOLENCE AND THEIR LOVED ONES OPPORTUNITIES TO HEAL THROUGH SUPPORT AND ADVOCACY. IN 2020, INDIVIDUAL AND GROUP COUNSELING SESSIONS PROVIDED FOR 321 INDIVIDUALS, INCLUDING 140 NEW SURVIVORS.O THE HEALING CENTER AT SOJOURNER (SOJOURNER FAMILY PEACE CENTER) COUNSELORS AND ADVOCATES ALSO PROVIDED SERVICES FOR 67 PEOPLE.O AURORA'S SAFE MOM SAFE BABY PROGRAM (SMSB) IS A COMMUNITY PARTNERSHIP SPECIFICALLY FOCUSED ON ADDRESSING THE NEEDS OF PREGNANT WOMEN AND MOTHERS OF NEWBORNS EXPERIENCING DOMESTIC VIOLENCE. SMSB COMBINES NURSE CASE MANAGEMENT, PRENATAL AND PERINATAL CARE, AND ADVOCACY SERVICES. DURING 2020, A TOTAL OF 111 WOMEN WERE SERVED, WITH 24 RECEIVING INTENSIVE SUPPORT.O MILWAUKEE SEXUAL ASSAULT REVIEW (MSAR) IS A TEAM COMPRISED OF PROFESSIONALS FROM LAW ENFORCEMENT, STATE AND LOCAL CRIMINAL JUSTICE AGENCIES, HEALTH CARE REPRESENTATIVES AND COMMUNITY SERVICE PROVIDERS WHO MEET REGULARLY TO EXCHANGE INFORMATION REGARDING SEXUAL ASSAULT. MSAR DID MEET ONCE DURING 2020 BUT HAD TO PAUSE EFFORTS TEMPORARILY DUE TO THE COVID-19 PANDEMIC.APH (ONE HOSPITAL): AN AVERAGE OF 34 SUPPORT AND NOT-FOR-PROFIT GROUPS UTILIZED LIGHTHOUSE ON DEWEY FOR AN AVERAGE OF 26 HOURS PER WEEK; AN AVERAGE OF 418 PEOPLE ATTENDED SUPPORT GROUPS PER WEEK. LIGHTHOUSE WAS CLOSED STARTING MARCH 13- JULY 5TH DUE TO COVID-19 BUT REACTIVATED IN Q3 AT LOWER CAPACITY; TELEPSYCH SERVICES THAT REACH INDIVIDUALS ACROSS AURORA'S FOOTPRINT; HEALTH RISK ASSESSMENT SCREENINGS AND HEALTH COACHING; 7,584 IN-PERSON AND TELEINTAKE ASSESSMENTS WERE PROVIDED BY ABHS IN AURORA HOSPITAL EMERGENCY DEPARTMENTS (ED)TO EXPEDITE CARE FOR INDIVIDUALS PRESENTING WITH BEHAVIORAL HEALTH ISSUES; 6 CONTINUING EDUCATION AND 4 INTENSIVE WORKSHOPS WERE HELD WITH 392 INDIVIDUALS ATTENDING. 352 PARTICIPANTS REPORTED THAT THEY WILL CHANGE A SPECIFIC ASPECT OF THEIR PRACTICE AS A RESULT OF THE LECTURE OR WORKSHOPAWAMC (ONE HOSPITAL), SUBSIDIZES AURORA WISELIVES, A UNIV. OF WIS. MEDICAL SCHOOL CLINIC INTEGRATING COMPLEMENTARY AND ALTERNATIVE MEDICINE WITH CONVENTIONAL TREATMENTS; WORKS CLOSELY WITH THE WEST ALLIS WEST MILWAUKEE HD BOARD AND COMMITTEES; UNDERWRITES FACILITY EXPENSES AND SERVES ON BOARD OF A SHARED JOURNEYS CHARTER SCHOOL FOR TEEN PREGNANCY AND PARENTING.; OPERATES A TRANSITIONS IN CARE PROGRAM, WHICH SERVED 409 VULNERABLE OLDER ADULTS. 125 WIC-ELIGIBLE WOMEN DELIVERING AT OUR HOSPITAL INITIATED BREASTFEEDING AFTER RECEIVING EDUCATION BY OUR NURSES.AURORA HEALTH CARE SOUTHERN LAKES (INCLUDED FOUR HOSPITALS IN 2020 ALMC, AMCB, AMCK AND AMCS): PROVIDED SUPPORT FOR FREE CLINICS AND FQHCS THAT INCLUDE RACINE HEALTH CARE NETWORK, KENOSHA COMMUNITY HEALTH CENTER, LAKE COUNTRY FREE CLINIC IN WAUKESHA CO., AND OPEN ARMS FREE CLINIC IN WALWORTH COUNTY; PROVIDED GERIATRIC-CERTIFIED SENIOR RESOURCE NURSES FOR 3 COUNTIES, AND A PARISH NURSE PROGRAM IN KENOSHA (AND MILWAUKEE) COUNTIES; TRAININGS AND EQUIPMENT MAINTENANCE FOR EMS TEAMS; FREE MAMMOGRAM PROGRAM FOR UN- AND UNDER-INSURED WOMEN; AND MAINTAINED A SEXUAL ASSAULT NURSE EXAMINER PROGRAM TO MEET COMMUNITY NEEDS.ABMC (ONE HOSPITAL): STAFFS PEDIATRICIAN YOLO DIAZ, M.D. FOR THE N.E.W. COMMUNITY CLINIC S; ADDITIONAL PHYSICIAN TIME AND SUPPLIES FOR FREE CLINICS IN MARINETTE, GREEN BAY, AND DOOR CO.AMCMC (ONE HOSPITAL): SUPPORT FOR MULTIPLE FOOD PANTRIES; SPONSORSHIP OF MULTIPLE PROGRAMS AT THE YMCA; SUPPORT OF THE LAKESHORE COMMUNITY HEALTH CARE WITH IN-KIND DONATIONS; SEXUAL ASSAULT NURSE EXAMINER PROGRAM. 76 WIC-ELIGIBLE WOMEN DELIVERING AT OUR HOSPITAL INITIATED BREASTFEEDING AFTER RECEIVING EDUCATION BY OUR NURSES, FOOD DONATIONS WITH A TOTAL VALUE OF $31,132 WERE DONATED BY OUR HOSPITAL CAFETERIA TO LOCAL FOOD PANTRIESAMCO (ONE HOSPITAL): SEXUAL ASSAULT NURSE EXAMINER PROGRAM; PROVIDED AN RN TO TEACH COMMUNITY PRENATAL AND NEW PARENT RELATED CLASSES AT BELLA MEDICAL; SUPPORT OF THE LOCAL SALVATION ARMY CLINIC. FOCUSING ON OBESITY EFFORTS THROUGH WORK IN COLLABORATION WITH BE WELL FOX VALLEY AND FEEDING AMERICA.ASMMC (ONE HOSPITAL): SEXUAL ASSAULT NURSE EXAMINER PROGRAM; SUPPORT THE LAKESHORE COMMUNITY HEALTH CENTER AND ANCHOR OF HOPE HEALTH CENTER WITH IN-KIND DONATIONS; PARTICIPATION ON THE ORANGE CROSS BOARD AND HEALTHY SHEBOYGAN CO., 8 TEAMING TOGETHER FOR A BRIGHTER TOMORROW PROGRAMS WERE HELD FOR 1,063 STUDENTS IN Q1 AS PART OF THE 2019-2020 SCHOOL YEAR AND MULTIPLE SAFETY OUTREACH EFFORTS CONTINUED SUCH AS CAR SEAT CHECKS AND HELMET DONATIONS FOR COMMUNITY MEMBERS.

PART VI, LINE 7, REPORTS FILED WITH STATES
WI

PART II, COMMUNITY BUILDING ACTIVITIES:
THE HOSPITAL ORGANIZATIONS INCLUDED IN THIS GROUP RETURN ALIGNED FINANCIAL AND IN-KIND RESOURCES TO STATE AND LOCAL HEALTH DEPARTMENT (HD) INITIATIVES AND PARTICIPATED ON COMMUNITY TASK FORCES FOR DISEASE CONTROL AND PREVENTION AND OTHER PRIORITY HEALTH INITIATIVES. HOSPITAL ORGANIZATIONS SUPPORT THE FEDERALLY QUALIFIED HEALTH CENTERS (FQHCS) AND FREE COMMUNITY CLINICS IN THEIR SERVICE AREAS AND PARTNERED WITH SCHOOLS, FAITH COMMUNITIES, ECONOMIC AND JOB-CREATION COUNCILS, LAW ENFORCEMENT, AND OTHER NONPROFIT CHARITABLE AND CIVIC ORGANIZATIONS TO CONTRIBUTE TO COMMUNITY CAPACITY FOR ADDRESSING IDENTIFIED COMMUNITY HEALTH NEEDS AND SOCIAL DETERMINANTS OF HEALTH.AURORA HEALTH CARE METRO, INC. (AURORA METRO, INC.) - THREE HOSPITALS: AURORA ST. LUKE'S MEDICAL CENTER (ASLMC), AURORA ST. LUKE'S SOUTH SHORE (ASLSS) AND AURORA SINAI MEDICAL CENTER (ASMC). HOSPITAL LEADERS: SERVE ON BOARDS AND/OR COMMITTEES OF MUNICIPAL PUBLIC HDS WITHIN MILWAUKEE CO. AND FREE CLINICS FINANCE, STAFF AND FULFILL MILWAUKEE HEALTH CARE PARTNERSHIP INITIATIVES HTTP://MKEHCP.ORG/ SUPPORT INROADS, A DIVERSITY PROGRAM TO PROVIDE PAID INTERNSHIPS TO DEVELOP DIVERSE, HIGH-PERFORMING, UNDERGRADUATE STUDENTS HTTPS://INROADS.ORG/ ENGAGE AND FINANCIALLY SUPPORT GROUPS WHO REVITALIZE COMMUNITIES FACED WITH DISPARITIES - SEE PARTNERSHIPS NEAR WEST SIDE PARTNERS HTTP://WWW.NEARWESTSIDEMKE.ORG HOUSE A WOMEN, INFANT AND CHILDREN'S (WIC) NUTRITION CLINIC IN WITHIN ASMC HOUSE A PROGRESSIVE COMMUNITY CLINIC URGENT CARE WITHIN ASMC TO ADDRESS ACCESS ISSUES AND SUPPORT THE LOCAL COMMUNITIES' HEALTH CARE NEEDS.AURORA PSYCHIATRIC HOSPITAL (APH) (ONE HOSPITAL): SUPPORT THE BENEDICT CENTER (INTERFAITH, NONPROFIT CRIMINAL JUSTICE AGENCY); PROVIDE FREE CONTINUING EDUCATION TO COMMUNITY-BASED BEHAVIORAL HEALTH PROVIDERS AND SCHOOL COUNSELORS; SERVE ON: SOUTHEAST WI EAP ASSOCIATION, MCHP PSYCHIATRIC CRISIS REDESIGN PROJECT AND BEHAVIORAL PARTNERSHIP GROUP, WAUWATOSA CHAMBER OF COMMERCE, WI CHAPTER OF AMERICAN PSYCHIATRIC NURSES ASSOCIATIONAURORA WEST ALLIS MEDICAL CENTER (AWAMC) (ONE HOSPITAL), FINANCIAL AND IN-KIND SUPPORT FOR SHARED JOURNEYS CHARTER SCHOOL FOR PREGNANT AND PARENTING TEENS TO HELP THEM COMPLETE THEIR EDUCATION WHILE DEVELOPING PARENTING SKILLS; PARTICIPATION IN WEST ALLIS/WEST MILWAUKEE CHAMBER OF COMMERCE, ROTARY, WEST ALLIS-WEST MILWAUKEE SCHOOL BOARD AND JOINT WORKFORCE PLANNING WITH LOCAL SCHOOLS AND COLLEGES.AURORA HEALTH CARE SOUTHERN LAKES FOUR HOSPITALS: AURORA MEMORIAL MEDICAL CENTER BURLINGTON (AMCB), AURORA LAKELAND MEDICAL CENTER (ALMC), AURORA MEDICAL CENTER KENOSHA (AMCK), AND AURORA MEDICAL CENTER SUMMIT (AMCS). PARTICIPATED IN AND SUPPORT CHAMBERS AND PUBLIC HEALTH BOARDS IN RACINE, KENOSHA, WALWORTH, AND WAUKESHA COUNTIES TO ADVANCE OUTREACH EFFORTS INCLUDING COALITIONS ADDRESSING SEXUAL ASSAULT; INTERFAITH AND ELDERCARE COALITIONS AND UNITED WAY IN ALL FOUR COUNTIES; WORKFORCE PLANNING WITH LOCAL SCHOOLS AND COLLEGES; AND PROVISION OF MEDICAL AND LIFE-SUPPORT TRAINING FOR FIRE, SHERIFF, AND EMS PROVIDERS IN MANY SURROUNDING COMMUNITIES.AURORA BAYCARE MEDICAL CENTER (ABMC) (ONE HOSPITAL): FINANCIAL AND IN-KIND SUPPORT FOR LOCAL CHAMBERS WITHIN THE COUNTY; SERVE ON BOARDS AND/OR COMMITTEES OF HDS FREE CLINICS, AND LOCAL COMMUNITY NOT FOR PROFIT AGENCIES IN BROWN COUNTY, INCLUDING: SERVE ON BOARDS AND/OR COMMITTEES OF HDS FREE CLINICS, AND LOCAL COMMUNITY NOT FOR PROFIT AGENCIES IN BROWN COUNTY INCLUDING FAMILY SERVICE OF NE WI; BROWN CO. ALCOHOL AND DRUG TASK FORCE; GREEN BAY YMCA; BROWN CO. HD AND UNITED WAY; WELLO. ADVANCE HEALTH PROFESSIONS EDUCATION AS SITE FOR WISCONSIN ACADEMY OF RURAL MEDICINE (WARM). AURORA MEDICAL CENTER MANITOWOC CO. (AMCMC) (ONE HOSPITAL): FINANCIAL AND IN-KIND SUPPORT FOR LOCAL CHAMBERS WITHIN THE COUNTY; SERVE ON BOARDS AND/OR COMMITTEES OF HDS FREE CLINICS, AND LOCAL COMMUNITY NOT FOR PROFIT AGENCIES IN MANITOWOC COUNTY, INCLUDING: PARTICIPATE IN MANITOWOC CHAMBER, ROTARY, LEADERSHIP MANITOWOC AND TWO RIVERS BUSINESS ASSOCIATION; HEALTHY MANITOWOC COUNTY STEERING COMMITTEE; LAKESHORE COMMUNITY HEALTH CARE; UNITED WAY; LAKESHORE TECHNICAL COLLEGE TO ADVANCE HEALTH PROFESSION EDUCATION.AURORA MEDICAL CENTER OSHKOSH (AMCO), (ONE HOSPITAL): FINANCIAL AND IN-KIND SUPPORT FOR LOCAL CHAMBERS WITHIN THE COUNTY; SERVE ON BOARDS AND/OR COMMITTEES OF HDS FREE CLINICS, AND LOCAL COMMUNITY NOT FOR PROFIT AGENCIES IN WINNEBAGO COUNTY, INCLUDING: FOX VALLEY HEALTH CARE ALLIANCE (FVHCA); FOX VALLEY COMMUNITY HEALTH IMPROVEMENT COALITION (FVCHIC); UNITED WAY; WEIGHT OF THE FOX VALLEY COALITION (WOTFV).AURORA SHEBOYGAN MEMORIAL MEDICAL CENTER (ASMMC) (ONE HOSPITAL): FINANCIAL AND IN-KIND SUPPORT FOR LOCAL CHAMBERS WITHIN THE COUNTY; SERVE ON BOARDS AND/OR COMMITTEES OF HDS FREE CLINICS, AND LOCAL COMMUNITY NOT FOR PROFIT AGENCIES IN SHEBOYGAN COUNTY, INCLUDING: UNITED WAY, YMCA, LAKESHORE TECHNICAL COLLEGE, SAFE HARBOR, PLYMOUTH INTERGENERATIONAL COALITION AND COMMUNITY CENTER AND SALVATION ARMY; LAKESHORE COMMUNITY HEALTH CARE, HEALTHY SHEBOYGAN CO. 2020 SUB-COMMITTEES, THE SHEBOYGAN CO. HUMAN TRAFFICKING TASK FORCE, PARTNERS WITH LOCAL PARAMEDICS AND MEALS-ON-WHEELS AND THE CITY ON WELCOME BABY SCREENINGS.AURORA MEDICAL CENTER WASHINGTON CO. (AMCWC) (ONE HOSPITAL): FINANCIAL AND IN-KIND SUPPORT FOR LOCAL CHAMBERS WITHIN THE COUNTY; SERVE ON BOARDS AND/OR COMMITTEES OF HDS FREE CLINICS, AND LOCAL COMMUNITY NOT FOR PROFIT AGENCIES IN WASHINGTON COUNTY, INCLUDING:, WELL WASHINGTON COUNTY; WASHINGTON COUNTY WORKFORCE ALLIANCE, UNITED WAY AND FAMILY CENTER OF WASHINGTON CO.; KETTLE MORAINE YMCA; CASA GUADALUPE; ALBRECHT FREE CLINIC (OPERATIONS AND FINANCE COMMITTEES, IN ADDITION TO FINANCIAL SUPPORT); WASHINGTON CO. HD; AND PROVISION OF MEDICAL AND LIFE-SUPPORT TRAINING FOR FIRE, SHERIFF AND EMS PROVIDERS IN MANY SURROUNDING COMMUNITIES.AURORA MEDICAL CENTER GRAFTON (AMCG) (ONE HOSPITAL): FINANCIAL AND IN-KIND SUPPORT FOR MULTIPLE CHAMBERS WITHIN THE COUNTY; SERVE ON BOARDS AND/OR COMMITTEES OF HDS FREE CLINICS, AND LOCAL COMMUNITY NOT FOR PROFIT AGENCIES IN OZAUKEE COUNTY, INCLUDING: OZAUKEE ECONOMIC DEVELOPMENT, NORTHERN OZAUKEE CO. UNITED WAY, OZAUKEE CO. PUBLIC HD; INVEST COALITION; AND ADVOCATES OF OZAUKEE, CULTIVATE MENTAL HEALTH FRIENDLY COMMUNITY PROJECT, PROVISION OF MEDICAL AND LIFE-SUPPORT TRAINING FOR FIRE, SHERIFF AND EMS PROVIDERS IN SURROUNDING COUNTIES.

PART VI, LINE 4:
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

PART VI, LINE 6:
"ADVOCATE HEALTH CARE (ILLINOIS) AND AURORA HEALTH CARE (WISCONSIN) MERGED IN 2018 TO BECOME ADVOCATE AURORA HEALTH. ADVOCATE AURORA HEALTH'S ILLINOIS HOSPITALS (ADVOCATE) ARE NOT-FOR-PROFIT AND ARE RELATED TO BOTH THE EVANGELICAL LUTHERAN CHURCH IN AMERICA AND THE UNITED CHURCH OF CHRIST. THE ADVOCATE HEALTH CARE NETWORK BOARD MEMBERS, LEADERSHIP, AND TEAM MEMBERS (STAFF/EMPLOYEES) ARE COMMITTED TO POSITIVELY AFFECTING THE HEALTH STATUS AND QUALITY OF LIFE OF INDIVIDUALS AND POPULATIONS IN COMMUNITIES SERVED BY THE ORGANIZATION THROUGH PROGRAMS AND PRACTICES THAT SUPPORT THE ADVOCATE AURORA VISION OF ""WE HELP PEOPLE LIVE WELL.""IN OCTOBER 2019, THE ADVOCATE AURORA BOARD APPROVED A COMMUNITY STRATEGY THAT WOULD SUPPORT ORGANIZATIONAL VALUES AND CONTINUE TO SUPPORT SYSTEM-WIDE PROGRAMS THAT ADDRESS THE HEALTH NEEDS OF PATIENTS, FAMILIES AND THE COMMUNITIES SERVED BY ADVOCATE AURORA. THROUGH THIS STRATEGY, WE WILL BUILD HEALTH EQUITY, ENSURE ACCESS, AND IMPROVE HEALTH OUTCOMES IN OUR COMMUNITIES THROUGH EVIDENCE-INFORMED SERVICES AND INNOVATIVE PARTNERSHIPS BY ADDRESSING MEDICAL NEEDS AND SOCIAL DETERMINANTS. BASED ON NEED AND EFFECT ON HEALTH EQUITY, AS IDENTIFIED IN ADVOCATE AURORA'S 27 HOSPITAL CHNA REPORTS AND IN INDUSTRY LITERATURE, ADVOCATE AURORA PRIORITIZED THE FOLLOWING SIX FOCUS AREAS ON WHICH THE INDIVIDUAL HOSPITAL COMMUNITY HEALTH IMPLEMENTATION PLANS ARE BUILT AND SUPPORT, INCLUDING: 1) ACCESS/PRIMARY MEDICAL HOMES; 2) ACCESS/ BEHAVIORAL HEALTH SERVICES; 3) COMMUNITY SAFETY; 4) WORKFORCE DEVELOPMENT; 5) AFFORDABLE HOUSING; AND 6) FOOD SECURITY. GIVEN THAT ADVOCATE AND AURORA HAVE SEPARATE FEIN'S, THE NARRATIVE WITHIN THIS DOCUMENT PRIMARILY DESCRIBES PROGRAMS AND ACTIVITIES PERTAINING TO AURORA (AAH WISCONSIN). THE ADVOCATE AURORA HEALTH BOARD AND THE AURORA COMMUNITY BOARD, SYSTEM LEADERSHIP AND TEAM MEMBERS ARE FULLY ENGAGED IN PROGRAMS AND ACTIVITIES THAT SUPPORT SYSTEM AND SITE EFFORTS IN ACHIEVING MILESTONES IN EACH OF THESE COMMUNITY STRATEGY FOCUS AREAS.ADDITIONALLY, ADVOCATE AURORA'S INTEGRATED HEALTH CARE SYSTEM INCLUDES PHYSICIAN GROUPS AND CLINICS, PHARMACIES, HOME CARE, HOME HOSPICE, AND SOCIAL SERVICES SERVING EASTERN WISCONSIN. AURORA PROVIDES URGENT CARE, FAMILY PRACTICE, AND SPECIALIST SERVICES FOR UNDERSERVED POPULATIONS IN THE HEART OF THE COMMUNITIES IN WHICH OUR HOSPITALS RESIDE, INCLUDING BUT NOT LIMITED TO: AURORA FAMILY SERVICE, INC. (AFS), A 501(C)(3), IS AURORA'S SOCIAL SERVICE ARM THAT APPLIES A FAMILY WELLNESS AND STABILITY MODEL TO ADDRESS THE SOCIAL DETERMINANTS OF HEALTH IMPACTING OUR PATIENTS AND COMMUNITIES. A TEAM OF 81 DEDICATED PRACTITIONERS PROVIDE A FULL CONTINUUM OF SERVICES IN THE COMMUNITY TO PROMOTE SELF-SUFFICIENCY THROUGH EVERY STAGE OF LIFE, INTEGRATING HEALTH, MENTAL HEALTH, SOCIAL SERVICES, FAMILY AND MARRIAGE THERAPY, COMPREHENSIVE SERVICES FOR SENIORS, PARENTING EDUCATION, HOME VISITATION, AND A WIDE VARIETY OF FINANCIAL WELLNESS PROGRAMMING. AURORA AT HOME, INC., A 501(C) (3) ENTITY, IS A COMPREHENSIVE SOURCE OF HOME CARE SERVICES IN EASTERN WISCONSIN COMMITTED TO KEEPING PEOPLE INDEPENDENT IN THEIR HOMES. AURORA CONSOLIDATED LABS (ACL) PROVIDES PRO-BONO LABORATORY SERVICES FOR OUR FREE CLINIC PARTNERS. AURORA PHARMACY PROVIDES ESSENTIAL MEDICATIONS TO PATIENTS WHO CAN'T AFFORD THEM. AURORA HEALTH CARE FOUNDATION, INC. (AHCF) PROVIDES GRANT RESEARCH AND GRANT WRITING TO SUPPORT COMMUNITY HEALTH INITIATIVES. AURORA RESEARCH INSTITUTE (ARI) PROVIDED $1,757,452 IN UNFUNDED RESEARCH-RELATED EXPENSES. THEIR RESEARCH RESULTS ARE ALWAYS PUBLISHED FOR PUBLIC REVIEW AND BENEFIT. FINANCIAL ADVOCATES ARE AVAILABLE TO SUPPORT PATIENTS AT EVERY ADVOCATE AURORA HOSPITAL. THESE ADVOCATES PROVIDE FREE, PERSONALIZED FINANCIAL ASSESSMENTS THAT INCLUDE IDENTIFYING EACH PATIENT'S UNIQUE HEALTH CARE NEEDS, HELPING THE PATIENT UNDERSTAND THE POTENTIAL COST OF MEDICAL TREATMENT, AND DISCUSSING THEIR FINANCIAL ASSISTANCE OPTIONS. THE ADVOCATE THEN ASSISTS PATIENTS IN APPLYING FOR THE FINANCIAL ASSISTANCE PROGRAMS MOST APPROPRIATE FOR THEM INCLUDING ADVOCATE AURORA FINANCIAL ASSISTANCE OR OTHER PUBLICLY AVAILABLE PROGRAMS. IN 2020, AURORA FINANCIAL ADVOCATES PROCESSED 3,413 FINANCIAL ASSISTANCE APPLICATIONS, COMPLETED 2,124 MEDICAID APPLICATIONS, IDENTIFIED 779 PATIENTS IDENTIFIED FOR CO-PAY ASSISTANCE AND ASSISTED PATIENTS WITH COMPLETING 241 MARKETPLACE APPLICATIONS. ADVOCATE AURORA TEAM MEMBERS (EMPLOYEES) AND PHYSICIANS ARE ENCOURAGED TO DONATE TO, VOLUNTEER AT AND HELP RAISE FUNDS FOR COMMUNITY INITIATIVES. AAH PROMOTES AND SUPPORTS TEAM MEMBER, PHYSICIAN, AND HOSPITAL PARTICIPATION IN COMPANY-SPONSORED WALKS FOR MULTIPLE HEALTH-RELATED, NOT-FOR-PROFIT ORGANIZATIONS, AND ORGANIZES ANNUAL AURORA WEEKS OF CARING EVENTS WHEN TEAM MEMBERS DONATE WORK TIME TO SUPPORT LOCAL NOT-FOR-PROFIT PARTNER ORGANIZATIONS. PLEASE NOTE THAT IN-PERSON EVENTS WERE LIMITED IN 2020 DUE TO THE COVID-19 PANDEMIC."